In lieu of an abstract, here is a brief excerpt of the content:Clinical CommentaryChong Siow Ann, Associate ProfessorDr. G appears to experiencing symptoms of schizophrenia, which is arguably the most severe mental disorder and which afflicts about one in a hundred people. This is a psychotic disorder that causes disturbances and distortions in thinking, including neurocognitive impairments, perception and behaviour. There is no cure for this often devastating disorder. Current antipsychotic medications can alleviate some of the symptoms but it often (...) comes at a price as these antipsychotics have burdensome side effects.A feature of this disorder is anosognosia, which is a lack of awareness or “insight” that an illness is present. This lack of insight presents a particular challenge because these individuals would, as in the case of Dr. G, refuse needed treatment as they do not perceive that they are ill. This is not necessarily an all-or-none phenomenon but is rather more complex and multidimensional; there might be an unawareness or recognition on behalf of the patient that they are suffering from a mental illness, the failure to appreciate the necessity of treatment; and/or the inability to recognise and define the psychotic symptoms like unusual thoughts and hallucinations as signs of illness1 and in many instances, all three are present. It is also by no means uncommon. Studies have found that between 60% and 80% of people with schizophrenia lack awareness of their illness to varying degrees.2This phenomenon remains an enigma. Some regard it as a form of psychological defence against the harsh reality of a psychotic illness — awareness of having a chronic and devastating illness might lead to demoralisation, hopelessness and suicide.3 Recent research, however, [End Page 250] indicates that this psychological denial plays a small part, if any, and instead has found an association with certain neuropsychological and neurocognitive deficits,4 as well as functional and structural brain abnormalities in the frontal lobe of the brain.5The prevailing clinical view thus is that this is an intrinsic and organic aspect of the schizophrenic illness which has nothing to do with wilfulness but rather the incapacity to perceive the presence of the illness. Edwin Fuller Torrey, an eminent psychiatrist and executive director of the Stanley Medical Research Foundation, calls anosognosia the “single largest reason why individuals with schizophrenia and bipolar disorder do not take their medications”, and he has remarked that “to keep talking about civil liberty is illogical. Patients are anything but free when they’re at the beck and call of their own delusions”.6It is also this view that it is a product of a brain disorder that some — particularly patients — find unacceptable. At one level, it does not take into context the person’s own experiences, and at a deeper level it calls into question the conception of the self with its capacity to exercise judgements and the autonomy to make decisions.This is a perennial ethical issue in psychiatry when people with severe mental illnesses refuse treatment. This becomes a Catch-22 situation where part of the illness that needs treatment is also preventing any treatment to be given: implicit in the principle of informed consent for treatment is that the person should be aware of the nature and course of their illness and acknowledge the need for treatment. While there are laws for involuntary commitment, the bar is usually high in that there must be a clear and present risk of harm to the person or others. Alan Stone, a professor of law and psychiatry at Harvard University proposed a possible justification for involuntary treatment based on his “thank-you theory” which assumes that patients will become well and subsequently agree that the intervention was in their best interests but research suggests that only half of these patients would admit so.7One suggested mechanism is the use of advance directives — psychiatry’s version of the living will in which people can specify what sort of medical care they would like should they become mentally unwell and unable to exercise appropriate judgement. An intrinsic part of this might include a “Ulysses contract” — just as Ulysess instructed his crew to lash him to the mast of the his ship so that he could... (shrink)

本书是一本关于陈冲体验人生感悟人生的书法集子。内容包括:悟道篇;明理篇;做人篇;处世篇等。.

In diesem Beitrag soll das Wechselverhältnis von Wissenschaft, Politik und Gesellschaft näher beleuchtet werden. Im Fokus der Untersuchung wird dabei der Begriff des Faktums stehen, dessen Bedeutung durch die neuesten Sprachspiele auf der Bühne der internationalen Politik zumindest in den Augen vieler Wissenschaftler in Misskredit gebracht wurde. In einem ersten Analyseschritt wird aus wissenschaftstheoretischer Perspektive aufgezeigt, inwieweit der Begriff des Faktums als konstitutiv für das nach wie vor hohe Ansehen wissenschaftlicher Erkenntnis in der Gesellschaft betrachtet werden kann. Diese Einsicht in (...) den Zusammenhang von öffentlicher Reputation und Faktenbasiertheit wissenschaftlicher Erkenntnis ist dabei keinesfalls neu, sondern gehört quasi zum wissenschaftsphilosophischen Grundkanon. Der kurze Rekurs auf diese Überlegungen dient im Folgenden als Einstieg in die kritische Erörterung der Frage nach der Zuverlässigkeit dieses Fundaments der Fakten. Ein besonderes Augenmerk wird in der Untersuchung auf das Problem der Wertbeladenheit epistemischer Prozesse in den Wissenschaften gelegt. Inwiefern beeinflussen Werte die Objektivität wissenschaftlicher Resultate? Ist eine solche Beeinflussung stets negativ zu betrachten? Wie hängen die Probleme der Wertbeladenheit und die für die Wissenschaften postulierte Glaubwürdigkeitskrise zusammen? Welche Lösungsstrategien lassen sich aufzeigen? Die Diskussion dieser Fragen wird in eine kritische Auseinandersetzung mit neoliberalen Wertauffassungen münden, welche in den letzten Jahrzehnten verstärkt nicht nur an die wissenschaftliche Gemeinschaft heran-, sondern von deren Mitgliedern auch in diese hineingetragen wurden und werden. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Underplayed Ethics and the Dilemmas of Psychiatric CareChong Siow Ann and Tamra LysaghtThe practice of psychiatry is fraught with uncertainty. The exact causes and the biological substrates underlying mental disorders remain to be elucidated; even the diagnosis of these disorders is descriptive and not based on an etiological understanding and no biological diagnostic markers have been validated. The manifestation of almost all mental disorders results from a complex interaction (...) of biological and environmental factors which encompasses the patient’s unique life history, experiences and relationship with others and the community. In the face of such uncertainties — at times extending to the types of treatment (psychiatry is generally acknowledged not be an exact science) — it has been argued that adopting a pragmatic approach is necessary.1 Accordingly, this approach necessitates high ethical standards among mental health practitioners.Some mental illnesses are associated with varying degrees and types of cognitive impairments. Others have certain symptoms like auditory hallucinations and delusions that might severely compromise the patients’ autonomy, distort their sense of reality, increase the risk of harm to themselves or others and render them incapable of making informed decisions in their treatment and participation in research.Consequently, there are issues that are particular to the provision of mental healthcare. These include the need for enforced involuntary treatment with the corollary of depriving a patient of his personal liberty even [End Page 173] though it is often justified on the grounds that it is in the patient’s best interests. However, at times, it is the legal and societal obligation of mental health practitioners to protect those who might be harmed from the patient’s action that might seem to be more pressing. In this situation of double agency, lies the tension of providing confidential care for patients and acting as “an agent of the state” where that patient’s confidentiality might be breached and his liberty infringed upon. This situation is further aggravated by the stigma that clings ever so tenaciously to those who suffer from mental disorders and where it is the norm to stereotype them as dangerous and unpredictable.Consideration of a patient’s autonomy is also challenged by characteristics that are unique to the practice of psychiatry. The prescription of certain psychotropic medications can alter how people think and feel, while psychotherapy works towards changing the patient’s views and values. The philosopher, Jennifer Radden, describes this process as “re-forming the patient’s whole self or character … akin to the responsibilities of raising children”.2 The psychotherapeutic relationship is thus particularly personal and intimate because patients are asked to provide information that often reveals their innermost feelings, fears and fantasies. This information is provided on the basis of trust and assurance of confidentiality, and with expectation of being helped.Jeremy Holmes and Gwen Adshead have elaborated on the vulnerability of patients seeking psychotherapy: they might be particularly susceptible to exploitation because their past experiences of being exploited have led to their distress and help seeking — their dependency and the extreme privacy of the therapeutic relationship make any transgression difficult to be uncovered.3 There is a calamitous combination of the “unconscious wish in the patient to be used” with the complicity of an unethical therapist seeking to fulfil his own interests.4As in any other doctor-patient relationship, the relationship between the mental healthcare practitioner and the patient is one of unequal power where the former is ascendant. While that power should be exercised to heal and to relieve suffering, it also gives the practitioner tremendous power “to harm, reject, misunderstand, or exploit patients who struggle with the experience of mental illness, which itself may generate helplessness, despair, distress, and exceptional dependence on the clinician”.5 Given the potential of doing good and harm coupled with the likelihood of being so significant in the life of the patient,6 providing care for those with mental disorders and distress is necessarily ethically exacting — arguably more so than in other medical practice settings. [End Page 174]This precariousness has led to the suggestion that ethics in psychiatry should have a special status and that the more general principles of biomedical ethics are too limited in scope to... (shrink)

This paper intends to append the frame of dialectic upon St. John of the Cross’ delineation of mysticism. Its underlying hypothesis is that the dialectical structuring of St. John’s mystical theology promises to unravel the web of relational concepts embedded within his immense writings on this unique phenomenon. It is hoped that as a consequence of this undertaking, relevant pairs of correlative opposites that figure prominently in mysticism can be elucidated and perhaps come to some form of resolution.

During the Covid-19 pandemic, a considerable amount of people seem to have been lured into believing in conspiracy theories. These people deliberately disregard expert advice by virologists and physicians concerning social behaviour that is aimed at reducing the number of new infections. Disregarding traditional experts and their advice is just one example of what, in the philosophy of science, is referred to as a crisis of expertise – the phenomenon whereby people seem to have lost their trust in traditional expert (...) advice and are looking for alternatives. In the following paper, the trend to use Internet technology as an epistemic alternative will be analysed in detail by investigating the question of whether the Internet really allows people to become epistemically more autonomous. The focus will be on the epistemic and moral vulnerability of people resorting to new media tools instead of relying on traditional expert opinion. It will be shown that some important presuppositions about the Internet and, in particular, social media tools as alternative ways to collect information and find emotional support in a group of like-minded people cannot be maintained. (shrink)

A common assumption in the selection of nonhuman animal subjects for research and the approval of research is that, if the risks of a procedure are too great for humans, and if there is a so-called scientific necessity, then it is permissible to use nonhuman animal subjects. I reject the common assumption as neglecting the central ethical issue of the permissibility of using nonhuman animal subjects and as being inconsistent with the principle of justice used in human subjects research ethics. (...) This principle requires that certain classes of individuals not be subjected to a disproportionate share of the burdens or risks of research. I argue for an extension of this principle to nonhuman animal research and show that a prima facie violation of the principle occurs because nonhuman animals bear an overwhelmingly disproportionate share of the risks of research without sufficient justification or reciprocal benefit. (shrink)

What should we do about “tainted” public commemorations? Recent events have highlighted the urgency of reaching a consensus on this question. However, existing discussions appear to be dominated by two naïve opposing views – to remove or preserve them. My aims in this essay are two-fold. First, I argue that the two views are not naïve, but undergirded by concerns with securing self-respect and with the character of our engagement with the past. Second, I offer a qualified defence of vandalising (...) tainted commemorations. The defence comprises two parts. I consider two prominent suggestions – to install counter-commemorations and to add contextualising plaques – and argue that they are typically beset with difficulties. I then argue that in some circumstances, constrained vandalism is a response to tainted commemorations which effectively adjudicates the demands of the two opposing views. (shrink)

The term, "objectionable commemorations”, refers to a broad category of public artefacts – such as, and especially, memorials, monuments and statues – that are regarded as morally problematic in virtue of what or whom they honour. In this regard, they are a special class of public artefacts that are subject to public contestation. In this paper, we survey the general ethical and political issues on this topic. First, we categorise the arguments on offer in the literature, concerning the objectionable nature (...) of such commemorations. Second, we review common political responses to objectionable commemorations. Finally, we identify fruitful areas for further philosophical inquiry on this topic. (shrink)

Photography: morally close or aesthetically removed? Can photographs make a contribution to the moral discourse? And, if so, what kind of contribution might that be? On the one hand, they are often used in morally laden contexts of communication such as media reports about wars etc. On the other, it is said that images are inherently ambiguous which seems to speak against the possibility to use them as a means to communicate focused moral judgements. The following article starts with a (...) critical analysis of Susan Sontag‘s theses regarding the above mentioned questions. Sontag claims that the “ethical content of photographs is fragile”. But what does this mean and is her claim justified? The discussion of her ideas will take us to a more basic question, namely what kind of information photographs can transfer in communicative contexts. Here, we will follow Patrick Maynard’s advice to think of photography as a “family of technologies” that can serve a variety of different purposes, amongst which depiction is but one possibility. (shrink)

Paracelsus nahm in verschiedenen Kontexten Stellung zum facettenreichen Thema "Bild". Als radikaler Laientheologe attackierte er in reformatorisch gesinnten Schriften den Bildgebrauch der Römischen Kirche und umriss die Macht des Glaubens. Als Naturphilosoph und Mediziner verfasste er einen Bildertraktat, der nicht zum ästhetischen Genuss von Bildern anleiten, sondern ihre "Kraft" und "Tugend" zur Erkundung der Welt und zur Gewinnung des Heils eingesetzt wissen will. In seinem Hauptwerk Astronomia magna integrierte er seine Vorstellungen von wirkmächtigen Bildern in ein enzyklopädisches Wissenschaftsprogramm und umriss (...) seine Erwartungen an den wahren Künstler. (shrink)

One recurring criticism of the best interests standard concerns its vagueness, and thus the inadequate guidance it offers to care providers. The lack of an agreed definition of ‘best interests’, together with the fact that several suggested considerations adopted in legislation or professional guidelines for doctors do not obviously apply across different groups of persons, result in decisions being made in murky waters. In response, bioethicists have attempted to specify the best interests standard, to reduce the indeterminacy surrounding medical decisions. (...) In this paper, we discuss the bioethicists’ response in relation to the state's possible role in clarifying the best interests standard. We identify and characterise two clarificatory strategies employed by bioethicists —elaborative and enumerative—and argue that the state should adopt the latter. Beyond the practical difficulties of the former strategy, a state adoption of it would inevitably be prejudicial in a pluralistic society. Given the gravity of best interests decisions, and the delicate task of respecting citizens with different understandings of best interests, only the enumerative strategy is viable. We argue that this does not commit the state to silence in providing guidance to and supporting healthcare providers, nor does it facilitate the abuse of the vulnerable. Finally, we address two methodological worries about adopting this approach at the state level. The adoption of the enumerative strategy is not defeatist in attitude, nor does it eventually collapse into (a form of) the elaborative strategy. (shrink)

Given the paradoxical nature of unethical pro-organizational behavior (UPB), that it simultaneously involves sincere extraordinary efforts to help the organization but violates ethical norms, we examined its paradoxical psychological and behavioral outcomes in the workplace. We hypothesized that UPB generates simultaneous but conflicting feelings: On one hand, guilt (for having behaved unethically) and on the other, psychological entitlement (for having done something positive for the organization). In turn, these conflicting psychological states differentially affect two conflicting behaviors. Feelings of guilt motivate (...) customer service behavior but reduce self-serving cheating, whereas psychological entitlement does the opposite. We further hypothesized that moral identity centrality moderates the paradoxical effects of UPB. Data from three studies using experimental and field methodologies demonstrated support for all hypotheses. We discuss the theoretical and managerial implications of these findings. (shrink)

Machine generated contents note: 1. Molding the institutions of governance: theories of state formation and the contingency of sovereignty in fragile polities; 2. Imposing states: foreign rivalries, local collaboration, and state form in peripheral polities; 3. Feudalizing the Chinese polity, 1893-1922: assessing the adequacy of alternative takes on state-reorganization; 4. External influence and China's feudalization, 1893-1922: opportunity costs and patterns of foreign intervention; 5. The evolution of foreign involvement in China, 1923-52: rising opportunity costs and convergent approaches to intervention; 6. (...) How intervention remade the Chinese state, 1923-52: foreign sponsorship and the building of sovereign China; 7. Creating Indonesia, 1893-1952: major power rivalry and the making of sovereign statehood; 8. Siam stands apart, 1893-1952: external intervention and rise of a sovereign Thai state; 9. Domesticating international relations, externalizing comparative politics: foreign intervention and the state in world politics. (shrink)

Conscientious disobedients often face the demand to differentiate themselves from criminals whose law-breaking actions are not undergirded by conscientious convictions. In public and philosophical discourse, conscientious disobedients are often criticised on the basis that their actions render them no different from criminals. I provide a qualified defence of disobedients in this essay. I argue that the differentiation demand can be satisfied even by disobedients who engage in what are typically regarded as radical acts of disobedience. In practical terms, this means (...) that even disobedients who engage in actions such as arson, looting, rioting, vandalism or vigilantism can also successfully differentiate themselves from criminals. (shrink)

The Half-Causation Method is a metaphysical-epistemic model for developing industrialised technological inventions. It consists of five phases of reasoning through which methodological success is achieved. The Method is named after its first phase, which consists of a methodological idealisation of the causal process, by pinpointing half of a possible causal relation while ignoring everything else. Following this, the Method prescribes how the reasoning should proceed, which ultimately constructs a complete and novel causal process. Each phase terminates with an epistemic justification (...) which the inventor (or inventors) can share with other knowers and have them deliberated and scrutinised. As such, the entire process of developing industrialised technological inventions, including the early stages which are traditionally regarded as mysterious can be understood as a sequence of epistemic justifications. In this paper, the Half-Causation Method is presented as a detailed practical prescription for future projects which aim to develop industrialised technological inventions. Throughout the paper two case studies from the recent history of technology are used as exemplars, namely: the invention of the microwave oven and the invention of the centrifugal vacuum cleaner. First, a definition of the ‘technological invention’ is proposed. Following that, the prescription is presented as fifteen methodological instructions: three instructions that repeat at each phase. The prescription is supplemented by a set-theoretic diagram. Although this is a philosophy paper, it is spoken directly to the scientists and engineers who aim to direct part of their research towards the development of inventions. (shrink)

The Half-Causation Method is a metaphysical-epistemic model for developing industrialised technological inventions. It consists of five phases of reasoning through which methodological success is achieved. The Method is named after its first phase, which consists of a methodological idealisation of the causal process, by pinpointing half of a possible causal relation while ignoring everything else. Following this, the Method prescribes how the reasoning should proceed, which ultimately constructs a complete and novel causal process. Each phase terminates with an epistemic justification (...) which the inventor can share with other knowers and have them deliberated and scrutinised. As such, the entire process of developing industrialised technological inventions, including the early stages which are traditionally regarded as mysterious can be understood as a sequence of epistemic justifications. In this paper, the Half-Causation Method is presented as a detailed practical prescription for future projects which aim to develop industrialised technological inventions. Throughout the paper two case studies from the recent history of technology are used as exemplars, namely: the invention of the microwave oven and the invention of the centrifugal vacuum cleaner. First, a definition of the ‘technological invention’ is proposed. Following that, the prescription is presented as fifteen methodological instructions: three instructions that repeat at each phase. The prescription is supplemented by a set-theoretic diagram. Although this is a philosophy paper, it is spoken directly to the scientists and engineers who aim to direct part of their research towards the development of inventions. (shrink)

ABSTRACT In recent years, progressive activists around the world have fought to remove ‘problematic’ commemorations – typically, monuments commemorating and honoring individuals responsible for injustice, or even unjust events. Many of these problematic commemorations are vandalized before they are eventually removed. In this essay, I consider how the vandalism of problematic commemoration can transform the public honoring of a target, to a public repudiation or humiliation of that target. I discuss four obstacles to realizing the transformative potential of vandalism, and (...) how they may be mitigated or overcome. (shrink)