Ever since their invention, photographic images have often been thought to be a special kind of image. Often, photography has been claimed to be a particularly realistic medium. At other times, photographs are said to be epistemically superior to other types of image. Yet another way in which photographs apparently are special is that our subjective experience of looking at photographs seems very different from our experience of looking at other types of image, such as paintings and drawings. While the (...) other seemingly distinctive aspects of photography have been quite thoroughly discussed in the literature, theories of the experience of photography, or in other words, theories of its special phenomenology, are less common. To be sure, the phenomenon has often been pointed out and described, but explanations of the phenomenology of photography are rare. In this essay, I attempt an explanation of at least part of the phenomenology of photography by appealing to the idea, borrowed from André Bazin, that a photograph is a certain kind of trace. Along the way, it is also argued that Kendall Walton's so called “transparency thesis” cannot give a plausible explanation of the phenomenology associated with looking at photographs. (shrink)

DNR decisions are frequently made in oncology and hematology care and physicians and nurses may face related ethical dilemmas. Ethics is considered a basic competence in health care and can be understood as a capacity to handle a task that involves an ethical dilemma in an adequate, ethically responsible manner. One model of ethical competence for healthcare staff includes three main aspects: being, doing and knowing, suggesting that ethical competence requires abilities of character, action and knowledge. Ethical competence can be (...) developed through experience, communication and education, and a supportive environment is necessary for maintaining a high ethical competence. The aim of the present study was to investigate how nurses and physicians in oncology and hematology care understand the concept of ethical competence in order to make, or be involved in, DNR decisions and how such skills can be learned and developed. A further aim was to investigate the role of guidelines in relation to the development of ethical competence in DNR decisions. Individual interviews were conducted with fifteen nurses and sixteen physicians. The interviews were analyzed using thematic content analysis. Physicians and nurses in the study reflected on their ethical competence in relation to DNR decisions, on what it should comprise and how it could be developed. The ethical competence described by the respondents related to the concepts being, doing and knowing. In order to make ethically sound DNR decisions in oncology and hematology care, physicians and nurses need to develop appropriate virtues, improve their knowledge of ethical theories and relevant clinical guidelines. Ethical competence also includes the ability to act upon ethical judgements. Continued ethical education and discussions for further development of a common ethical language and a good ethical working climate can improve ethical competence and help nurses and physicians cooperate better with regard to patients in relation to DNR decisions, in their efforts to act in the best interest of the patient. (shrink)

BackgroundIn cancer care, do not resuscitate orders are common in the terminal phase of the illness, which implies that the responsible physician in advance decides that in case of a cardiac arrest neither basic nor advanced Coronary Pulmonary Rescue should be performed. Swedish regulations prescribe that DNR decisions should be made by the responsible physician, preferably in co-operation with members of the team. If possible, the patient should consent, and significant others should be informed of the decision. Previous studies have (...) shown that physicians and nurses can experience ethical dilemmas in relation to DNR decisions, but knowledge about what ethical reasoning they perform is lacking. Therefore, the aim was to describe and explore what ethical reasoning physicians and nurses apply in relation to DNR-decisions in oncology and hematology care.MethodsA qualitative, descriptive and explorative design was used, based on 287 free-text comments in a study-specific questionnaire, answered by 216 physicians and nurses working in 16 oncology and hematology wards in Sweden. Comments were given by 89 participants.ResultsThe participants applied a situation-based ethical reasoning in relation to DNR-decisions. The reasons given for this were both deontological and utilitarian in kind. Also, expressions of care ethics were found in the material. Universal rules or guidelines were seen as problematic. Concerning the importance of the subject, nurses to a higher extent underlined the importance of discussing DNR-situations, while physicians described DNR-decisions as over-investigated and not such a big issue in their daily work.ConclusionThe study revealed that DNR-decisions in oncology and hematology care gave rise to ethical considerations. Important ethical values described by the participants were to avoid doing harm and to secure a peaceful and “natural” death with dignity for their dying patients. A preference for the expression “allow for natural death” instead of the traditional term “do not resuscitate” was found in the material. (shrink)

Pictures let us see what is not there. Or rather, since what pictures depict is not really there, we do not really see the things they are pictures of. Ever since Richard Wollheim introduced the notion of seeing-in into philosophical aesthetics, as part of his theory of depiction, there has been a lively debate about how, precisely, to understand this experience. However, one (alleged) feature of seeing-in that Wollheim pointed to has been almost completely absent in the subsequent discussion, namely (...) that seeing-in allows for non-localization. When looking at a picture, Wollheim says, there is not always an answer to the question of where one sees a certain thing in a picture. If Wollheim is right in this, pictures indeed let us see what is not there: we see things in pictures, but there is no ‘there’ where we see those things. In this paper I argue against Wollheim's claim that object-seeing-in allows for non-localization. But there is, I argue, a pictorial experience, which is closely tied to seeing-in and which is non-localized, namely (what I call) pictorial perceptual presence. (shrink)

Background:Within oncology and hematology care, patients are sometimes considered to have such a poor prognosis that they can receive a do not resuscitate order from the physician responsible, stipulating that neither basic nor advanced coronary pulmonary rescue be performed in the event of a cardiac arrest. Studies on do not resuscitate decisions within oncology and hematology units, focusing on the specific role of the nurse in relation to these decisions, are scarce.Objective:The aim of this study was to investigate hematology and (...) oncology nurses’ experiences and perceptions of do not resuscitate orders, in order to achieve a deeper understanding of the nurses’ specific role in these decisions.Research design:A qualitative, descriptive methodology with individual semi-structured interviews was used.Participants and research context:A total of 15 nurses from eight hematology/oncology wards in four hospitals in Sweden were interviewed individually.Ethical considerations:In accordance with national regulations, an ethical review was not required for this study. The research followed international guidelines for empirical research, as outlined in the Helsinki Declaration.Findings:The nurses strived for good nursing care through balancing harms and goods and observing integrity and quality of life as important values. Experienced hindrances for good care were unclear and poorly documented decisions, uninformed patients and relatives, and disagreements among the caregivers and family. The nurses expressed a need for an ongoing discussion on do not resuscitate decisions, including all concerned parties.Conclusion:In order to provide good nursing care, nurses need clear and well-documented do not resuscitate orders, and patients and relatives need to be well informed and included in the decisions. To increase the understanding for each other’s opinions within the medical team, regular ethical discussions are required. (shrink)

Photography is often said to be an essentially causal medium. This paper addresses the role of causality in photography and argues for three main claims: (i) a causal theory of photography does not force us to say that images of backlit objects are photographs of the back surfaces of the said objects (as Roy Sorensen would have it); rather, (ii), such images, I suggest, are photographs of the objects and what Alva Noë would call their ‘looks’; (iii) the notion of (...) ‘looks’ furnishes us with a way to move closer to an answer to the question of the appropriate causal relation in photography. (shrink)

Many photographs seem to be images of absences: for instance, a photograph of a shadow seems to be an image of an absence, as shadows are plausibly thought of as being absences of light. Absence photography is puzzling, however, as, first, it is a common idea that photographs can only be images of things that have caused them, and, second, it is unclear whether absences can cause anything. In this paper, I look at various ways to unravel the puzzle. Along (...) the way, I also hope to cast some light on the idea that photography is a causal medium. (shrink)

In the burgeoning literature on thought experiments (e.g., Cohen 2005; Freese 1995; Gendler 2000; Häggqvist 1996, 2009; Ierodiakonou and Roux 2011; Sorensen 1992), examples are drawn from almost all areas of philosophy. One exception, however, is aesthetics. There are good reasons why this is so: there are very few interesting theory‐ oriented thought experiments in aesthetics, which is unsurprising since there are few well‐developed theories to test in this field (see Chapter 34, Applied Aesthetics). We argue in this chapter, however, (...) that theory‐centered thought experiments are not the only kinds of thought experiments, and that the practical and productive thought experiments that are prevalent in aesthetics are also worthy of some attention. The outline of this chapter is as follows. First we describe in some detail the single most influential theoretical thought experiment in aesthetics. We assess this experiment in epistemic terms, and with this case in view discuss the distinction between theoretical and practical or productive thought experiments. Examples of the latter are introduced so as to illustrate the importance of that distinction. (shrink)

What is it to see something in a picture? Most accounts of pictorial experience—or, to use Richard Wollheim’s term, ‘seeing-in’—seek, in various ways, to explain it in terms of how pictures somehow display the looks of things. However, some ‘things’ that we apparently see in pictures do not display any ‘look.’ In particular, most pictures depict empty space, but empty space does not seem to display any ‘look’—at least not in the way material objects do. How do we see it (...) in pictures, if we do? In this chapter, I offer an account of pictorial perception of empty space by elaborating on Wollheim’s claim that ‘seeing-in’ is permeable to thought. I end by pointing to the aesthetic relevance of seeing—or not seeing—empty space in pictures. (shrink)

The relationship between economic activity and environmental protection was hotly debated in Finland in the 1980s. Contemporaries conceived of themselves as existing on the verge of a knowledge society, and when rhetorically presenting contesting economic and ecological futures for this novel society, they used new, short-lived concepts. This article argues that one such concept, soft values, highlights a clash between futures. In one possible future, environmental equilibrium was a new model for economic activity, while in another, environmental protection would take (...) place as a result of the current economic model. The former was quickly synchronized into the latter. Soft values were thus used to harmonize environmental protection with notions of efficiency and national competitiveness under a linear temporality based on a belief in the necessity of economic growth. (shrink)