This paper throws some light on the nature of argumentation, its use and advantages, within the setting of doctor–patient interaction. It claims that argumentation can be used by doctors to offer patients reasons that work as ontological conditions for enhancing the decision making process, as well as to preserve the institutional nature of their relationship with patients. In support of these claims, selected arguments from real-life interactions are presented in the second part of the paper, and analysed by means of (...) a model of argumentation borrowed from classical rhetoric, and refined according to the modern orientation of the pragma-dialectic approach. (shrink)

General practice consultation has often been characterized by pragma-dialecticians as an argumentative activity type. These characterizations are typically derived from theoretical insights and qualitative analyses. Yet, descriptions that are based on quantitative data are thus far lacking. This paper provides a detailed account of the development of an instrument to guide the quantitative analysis of argumentation in doctor–patient consultation. It describes the implementation and preliminary results of a content analysis of seventy videotaped medical consultations of which the extent and type (...) of doctors’ argumentative support for medical opinions and advice are analyzed. Based on the study results, this paper addresses the merits of observational studies using content analysis as a method for the analysis of argumentative discourse in context as well as some of its key challenges and limitations, laying bare the opportunities for future research. (shrink)

In the original publication of the article, the commentary of mine to Christopher Tindale’s article ‘Constrained Maneuvering: Rhetoric as a Rational Enterprise’, English translations of phrasings regarding several distinctions in the concept of rationality were taken from Stefan Gosepath’s book Aufgeklärtes Eigeninteresse: Eine Theorie theoretischer und praktischer Rationalität, Frankfurt: Suhrkamp 1992, without providing reference to his publication.

This article is concerned with the reasons why sometimes good arguments in health communication leaflets fail to convince the targeted audience. As an illustrative example it uses the age-dependent eligibility of women in the Netherlands to receive routine breast cancer screening examinations: according to Dutch regulations women under 50 are ineligible for them. The present qualitative study rests on and complements three experimental studies on the persuasiveness of mammography information leaflets; it uses interviews to elucidate reasons why the arguments in (...) the health communication leaflets for the exclusion of women under 50 from routine mammographic screenings do not work. (shrink)

From its beginning, Critical Theory aimed to explore the laws governing social life as a formational totality and the forces shaping and driving its historical evolution. So the attempt to develop a comprehensive conception of ‘society’ encompassing both its structural as well as its cultural components can be considered one of the defining hallmarks of Critical Theory through all its theoretical and generational variations. But what, then, is Critical Theory’s conception of society? To answer this question, the authors make use (...) of a three-tiered heuristic model distinguishing synthesis (what is society?), dynamis (what are the driving forces of social change?) and praxis ((how) can social change be motivated or influenced by social actors?). In this way, they are able to reconstruct not only the divergences and controversies between the different versions and approaches in Critical Theory across the four generations of authors writing in this tradition, but also four core points of convergence which can serve to differentiate between Critical Theory in the Frankfurt School tradition and other critical theories. These four points, we suggest, should be seen to form the backbone of any valid conception of society in contemporary Critical Theory. (shrink)

As a way to advance integration between traditional readings of the medical encounter and argumentation theory, this article conceptualizes the doctor–patient interaction as a form of info-suasive dialogue. Firstly, the article explores the relevance of argumentation in the medical encounter in connection with the process of informed consent. Secondly, it discloses the risks inherent to a lack of reconciliation of the dialectical and rhetorical components in the delivery of the doctor’s advice, as especially resulting from the less-than-ideal conditions of the (...) internal states of the doctor and the patient, and the lack of symmetry in their status. (shrink)

Was es heiSSt, ein Subjekt oder eine Person zu sein, hat unweigerlich soziale, rechtliche und politische Folgen. DIe Frage nach der Subjektivitat impliziert damit immer auch die Frage nach dem rechten Leben. Die hier versammelten Beitrage lassen den historischen ProzeSS sowohl als Entwicklungs- wie als Auflosungsgeschichte verstehen, wobei sich am Ende, die fur unsere Zukunft entscheidende Frage nach dem Bleibenden stellt.

Advances in genetic research have created the need to inform consumers. Yet, the communication of hereditary risk and of the options for how to deal with it is a difficult task. Due to the abstract nature of genetics, people tend to overestimate or underestimate their risk. This paper addresses the issue of how to communicate risk information on hereditary breast and ovarian cancer through an online application. The core of the paper illustrates the design of OPERA, a risk assessment instrument (...) that applies the UK National Institute of Health and Clinical Excellence's guidelines on the basis of (i) the number of relatives on the same side of the family with the same cancer or cancers that are known to run together; (ii) the ages of these relatives at diagnosis and (iii) the closeness of the family relationship with the person who is doing the assessment. By relying on the argumentation theory, we explain how the communication strategy that OPERA implements is essentially based on Perelman and Olbrechts-Tyteca's deductive argumentation by association. By using as premises “facts” (propositions about reality that can be assumed without further justification) and “truths” (propositions that make connections about facts), OPERA delivers its claims with an ex auctoritate causal link aimed at transferring the audience's acceptance of the cause to the effect. Overall, the design of OPERA rests on its capacity to induce users' active processing of risk information through an appeal to their reasoning faculty. In the conclusion, we present some results from a pilot evaluation of users' acceptance of OPERA. (shrink)

This article holds that ability to support one’s opinions with arguments, awareness of the arguments for other opinions, and insight into the superiority of some arguments are basic requirements for rational discourse. Based on a content analysis of Swiss Italian newspaper coverage of a controversy over a smoke-free law introduced and finally implemented in the canton of Ticino in 2007 and on a five-wave panel survey of public opinion on the issue, the article describes elements of the argumentative structure of (...) news coverage of this issue and relates them to rationality requirements. It finds that the newspapers offered a wide variety of arguments to readers (articulation function) when political activity to introduce a ban intensified, and especially when arguments mattered as a referendum approached. Papers displayed a reasonable and differentiated picture of arguments, contributing to a unique pattern of weighting and evaluating them. Neither newspaper coverage nor public opinion showed much sign of change, which speaks against a reaction to superior arguments. Finally, the newspaper bias towards arguments for the ban and their inclination to publish objections to arguments against may have contributed to a widespread lack of awareness of arguments against the ban among people favouring it. Thus, evidence of the rationality of argumentative structures is mixed, and further enquiry into this subject is encouraged. (shrink)

Name der Zeitschrift: Zeitschrift für kritische Sozialtheorie und Philosophie Jahrgang: 2 Heft: 1 Seiten: 101-117.

The human being is an important subject in Edith Stein's work, not only in her first writings but also in her later work. Edith Stein's own contribution comes about as a result of the particular way she relates the classical metaphysics of being to the phenomenological philosophy of consciousness.

Edith Stein’s work revolves around one central question, namely, the identity of the person. Discussions of this topic are already present in Stein’s dissertation. Iexamine her theory of identity, developed throughout her work and maturing in her magnum opus, Finite and Eternal Being, in three stages, each of which is historically relevant and original. First, Stein’s development of the question is examined phenomenologically, focusing on Stein’s early work. Second, I will show how Stein takes her early phenomenological positions concerning the (...) nature of the human person and combines them with Greek and medieval insights into ontology. Here I focus on Finite and Eternal Being. Finally, I concentrate on the meaning and value of Stein’s theory of identity as it contributes to a theory of the person in connection with Greek and medieval metaphysics, and a phenomenological philosophy of consciousness. Together, the three stages of the essay will demonstrate Stein’s systematic contribution toward a theory of personal identity, one of the most difficult problems of philosophy. (shrink)

Edith Stein’s work revolves around one central question, namely, the identity of the person. Discussions of this topic are already present in Stein’s dissertation. Iexamine her theory of identity, developed throughout her work and maturing in her magnum opus, Finite and Eternal Being, in three stages, each of which is historically relevant and original. First, Stein’s development of the question is examined phenomenologically, focusing on Stein’s early work. Second, I will show how Stein takes her early phenomenological positions concerning the (...) nature of the human person and combines them with Greek and medieval insights into ontology. Here I focus on Finite and Eternal Being. Finally, I concentrate on the meaning and value of Stein’s theory of identity as it contributes to a theory of the person in connection with Greek and medieval metaphysics, and a phenomenological philosophy of consciousness. Together, the three stages of the essay will demonstrate Stein’s systematic contribution toward a theory of personal identity, one of the most difficult problems of philosophy. (shrink)

As a way to advance integration between traditional readings of the medical encounter and argumentation theory, this article conceptualizes the doctor–patient interaction as a form of info-suasive dialogue. Firstly, the article explores the relevance of argumentation in the medical encounter in connection with the process of informed consent. Secondly, it discloses the risks inherent to a lack of reconciliation of the dialectical and rhetorical components in the delivery of the doctor’s advice, as especially resulting from the less than ideal conditions (...) of the internal states of the doctor and the patient, and the lack of symmetry in their status. (shrink)