The last two decades have seen considerable efforts directed towards making Electronic Health Records interoperable through improvements in medical ontologies, terminologies and coding systems. Unfortunately, these efforts have been hampered by a number of influential ideas inherited from the work of Eugen Wüster, the father of terminology standardization and the founder of ISO TC 37. We here survey Wüster’s ideas – which see terminology work as being focused on the classification of concepts in people’s minds – and we argue that (...) they serve still as the basis for a series of influential confusions. We argue further that an ontology based unambiguously, not on concepts, but on the classification of entities in reality can, by removing these confusions, make a vital contribution to ensuring the interoperability of coding systems and healthcare records in the future. (shrink)
The purpose of this study was to illuminate the ethically difficult situations experienced by care providers working in a nursing home. Individual interviews using a narrative approach were conducted. A phenomenological-hermeneutic method developed for researching life experience was applied in the analysis. The findings showed that care providers experience ethical challenges in their everyday work. The informants in this study found the balance between the ideal, autonomy and dignity to be a daily problem. They defined the culture they work in (...) as not supportive. They also thought they were not being seen and heard in situations where they disagree with the basic values of the organization. The results are discussed in terms of Habermas’s understanding of modern society. Care settings for elderly people obviously present ethical challenges, particularly in the case of those suffering from dementia. The care provider participants in this study expressed frustration and feelings of powerlessness. It is possible to understand their experiences in terms of Habermas’s theory of modern society and the concept of the system’s colonization of the life world. (shrink)
Anthropology combines two quite different enterprises: the ethnographic study of particular people in particular places and the theorizing about the human species. As such, anthropology is part of cognitive science in that it contributes to the unitary theoretical aim of understanding and explaining the behavior of the animal species Homo sapiens. This article draws on our own research experience to illustrate that cooperation between anthropology and the other sub-disciplines of cognitive science is possible and fruitful, but it must proceed from (...) the recognition of anthropology’s unique epistemology and methodology. (shrink)
In this paper, I consider the claim that a corporation cannot be held to be morally responsible unless it is a person. First, I argue that this claim is ambigious. Person flags three different but related notions: metaphysical person, moral agent, moral person. I argue that, though one can make the claim that corporates are metaphysical persons, this claim is only marginally relevant to the question of corporate moral responsibility. The central question which must be answered in discussions of corporate (...) moral responsibility is whether corporations are moral agents or moral persons. I argue that, though we can make a case for saying corporations are moral agents, they are not moral persons, and hence, we can hold them responsible. In addition, we need not treat them the way we would be obligated to treat a moral person; we needn't have the same scruples about holding a corporation morally responsible as we would a moral person. (shrink)
The doctor patient relationship starts with a story. Doctors' notes, a patient's chart, the recommendations of ethics committees and insurance justifications all hinge on written and verbal narrative interaction. The "practice" of narrative profoundly affects decision making, patient health and treatment and the everyday practice of medicine. In this edited collection, the contributors provide conceptual foundations, practical guidelines and theoretical considerations central to the practice of narrative ethics.
The doctrine of double effect has a firm, respected position within Roman Catholic medical ethics. In addition, public debate often incorporates this doctrine when determining the acceptability of certain actions. This essay examines and assesses the application of this doctrine to end-of-life decisions. National Catholic Bioethics Quarterly 11.1 : 99–119.
Proposing that the interaction between reader and literature involves four “modes of textual engagement” — recognition, enchantment, knowledge, and shock — The Uses of Literature bridges the gap between literary theory and common-sense beliefs about why we read literature.
We welcome the critical appraisal of the database used by the behavioral sciences, but we suggest that the authors' differentiation between variable and universal features is ill conceived and that their categorization of non-WEIRD populations is misleading. We propose a different approach to comparative research, which takes population variability seriously and recognizes the methodological difficulties it engenders.
In contemporary liberal ethics patient autonomy is often interpreted as the right to self-determination: when it comes to treatment decisions, the patient is given the right to give or withhold informed consent. This paper joins in the philosophical and ethical criticism of the liberal interpretation as it does not regard patient autonomy as a right, rule or principle, but rather as a practice. Patient autonomy, or so I will argue, is realised in the concrete activities of day-to-day health care, in (...) the material and technological context of care, in arrangements of health care institutions, in the physical training of people with disabilities, as well as in the concrete activities of care-giving. This move from conversations in the consultation room to other sites and situations in the practice of care takes seriously the empirical reality of medical care and intends to show that patient autonomy is practically realised in a much richer and more creative way than most ethical theory seems to assume. (shrink)
The problem of the relation and difference between things and objects is one of the most decisive issues for the conception of the real. These words are usually used interchangeably – and not only in their everyday usage. There are some contemporary philosophical positions that consider almost “everything” as an object; on the other hand, there are proponents of a strict separation of objects and things. How did it happen that the concept of thing and object not only began to (...) theoretically “compete” with each other but also sometimes came to represent differently conceived realities, and even occasionally came to represent an identical conception of reality? This article, on the one hand, discusses the philosophical strategies that reveal the difference between objects and things and enable such a conception of reality which takes into account the Kantian distinction between Realität and Wirklichkeit. On the other, it reconstructs Giorgio Agamben’s project of modal ontology. Agamben’s take on the question What is real? is oriented toward the modus of being and could be traced back to the recognition of the difference between objects and things as well as the “restoration of the life of things themselves.”. (shrink)
As third wave feminist philosophers attending graduate schools in different parts of the country, we decided to use our e-mail discussion as the format for presenting our thinking on the subject of third wave feminism. Our dialogue takes us through the subjects of postmodernism, the relationship between theory and practice, the generation gap, and the power relations associated with feminist philosophy as an established part of the academy.
This co-edited volume compares Chinese and Western experiences of engineering, technology, and development. In doing so, it builds a bridge between the East and West and advances a dialogue in the philosophy of engineering. Divided into three parts, the book starts with studies on epistemological and ontological issues, with a special focus on engineering design, creativity, management, feasibility, and sustainability. Part II considers relationships between the history and philosophy of engineering, and includes a general argument for the necessity of dialogue (...) between history and philosophy. It continues with a general introduction to traditional Chinese attitudes toward engineering and technology, and philosophical case studies of the Chinese steel industry, railroads, and cybernetics in the Soviet Union. Part III focuses on engineering, ethics, and society, with chapters on engineering education and practice in China and the West. The book’s analyses of the interactions of science, engineering, ethics, politics, and policy in different societal contexts are of special interest. The volume as a whole marks a new stage in the emergence of the philosophy of engineering as a new regionalization of philosophy. This carefully edited interdisciplinary volume grew out of an international conference on the philosophy of engineering hosted by the University of the Chinese Academy of Sciences in Beijing. It includes 30 contributions by leading philosophers, social scientists, and engineers from Australia, China, Europe, and the United States. (shrink)
In this paper, I survey liberal and communitarian defenses of privacy, paying particular attention to defenses of privacy in the workplace. I argue that liberalism cannot explain all our of intuitions about the wrongness of workplace invasions of privacy. Communitarianism, on the other hand, is able to account for these intuitions.
La recente pubblicazione delle note di corso Recherches sur l’usage littéraire du langage sono una conferma del ruolo giocato dal linguaggio poetico in Merleau-Ponty in quell’ambizioso e incompiuto progetto perseguito dal 1951 Sur la phénoménologie du langage. La convinzione che il linguaggio sia la questione cruciale per la fenomenologia avvicina le ricerche di Merleau-Ponty a quelle che Ricoeur svilupperà negli anni Settanta: è nella parola, nel discorso pronunciato, che avviene non solo il rapporto tra soggetti, ma anche quello con le (...) cose. Per entrambi i filosofi la Lebenswelt è una sorta di terra promessa della fenomenologia; un mondo che ci è dato cogliere soltanto in modo mediato. E a rappresentare una forma di mediazione esemplare è la figura retorica della metafora, negazione di ogni tentazione di presa diretta, di trasparenza del linguaggio stesso: nella parola metaforica, non riducibile alla dimensione nominale, viene delineata una ontologia “indiretta” o “abbozzata”. Tecnica stilistica da Merleau-Ponty, a differenza di Ricoeur, più praticata che teorizzata, la metafora poetica, o viva, realizza lo snodo tra pre-categoriale e categoriale, tra mondo sensibile e mondo dell’espressione, tra logos muto e logos pronunciato. Riprendendo l’analogia individuata da Valéry tra danza e linguaggio letterario, Merleau-Ponty traccia una teoria della figura come espressione degli ordini di senso percepiti che può trasfigurare il linguaggio ordinario; teoria molto vicina a quella ricoeuriana di “figurazione” che nel mondo della vita si radica per poi tornarvi.La publication récente des notes du cours Recherches sur l’usage littéraire du langage confirment le rôle joué par le langage poétique chez Merleau-Ponty dans le projet ambitieux et inachevé qu’il engage à partir de 1951 dans l’essai Sur la phénoménologie du langage. La conviction que le langage est la question cruciale pour la phénoménologie rapproche les recherches de Merleau-Ponty de celles que Ricoeur développera dans les années 1970 : c’est dans les mots, dans le discours prononcé, qu’advient non seulement les relations entre sujets, mais aussi nos rapports avec les choses. Pour les deux philosophes, la Lebenswelt est une sorte de terre promise pour la phénoménologie ; un monde qu’on ne peut saisir que de manière indirecte. Et c’est la figure de la métaphore qui représente une forme de médiation exemplaire, comme négation de toute tentative de prise directe, de transparence du langage lui-même. Dans l’expression métaphorique, non réductible à la dimension nominale, une ontologie « indirecte » ou « ébauchée » est esquissée. Technique stylistique chez Merleau-Ponty, plus pratiquée que théorisée à la différence de Ricoeur, la métaphore poétique, ou vivante, réalise la jonction entre le précatégorial et le catégorial, entre le monde sensible et le monde de l’expression, entre logos muet et logos proféré. Reprenant l’analogie de Valéry entre danse et langage littéraire, Merleau-Ponty trace une théorie de la figure comme expression des ordres de la perception qui peut transfigurer le langage ordinaire ; une théorie très proche de celle de Ricoeur de la « figuration » qui, enracinée dans le monde de la vie, y retourne ensuite.The recent publication of the lecture notes Research on the Literary Use of Language confirms the role played by poetic language in Merleau-Ponty’s ambitious and unfinished project that began in his 1951 essay “On the Phenomenology of Language.” The conviction that language is the crucial question for phenomenology in Merleau-Ponty’s work nears the research Paul Ricoeur would develop in the 1970’s: it is in words, in expressed discourse, that we encounter not only relations among subjects, but also our relation to things. For the two philosophers, the Lebenswelt is a sort of promised land for phenomenology, a world that we can grasp only indirectly. And, it is the figure of the metaphor that represents an exemplary form of mediation, as a negation of every attempt toward a direct grasp, of the transparency of language in itself. In the metaphorical expression, which is not reducible to a nominal dimension, an “indirect” or “outlined” ontology is sketched out. In the stylistic technique of Merleau-Ponty, more practiced than theoretical unlike Ricoeur, the poetic or living metaphor constitutes a junction between the pre-categorical and the categorical, between the sensible world and the world of expression, between silent logos and pronounced logos. Referring to Valery’s analogy between dance and literary language, Merleau-Ponty traces a theory of the figure as expression in the orders of perception that can transfigure ordinary language, a theory very similar to that of Ricoeur’s “figuration” which, rooted in the world of life, subsequently returns to it. (shrink)
When is it permissible to move an issue out of normal politics and treat it as a security issue? How should the security measures be conducted? When and how should the securitization be reversed? Floyd offers answers to these questions by combining security studies' influential securitization theory with philosophy's long-standing just war tradition, creating a major new approach to the ethics of security: 'Just Securitization Theory'. Of interest to anyone concerned with ethics and security, Floyd's innovative approach enables scholars to (...) normatively evaluate past and present securitizations, equips practitioners to make informed judgements on what they ought to do in relevant situations, and empowers the public to hold relevant actors accountable for how they view security. (shrink)
In this article, I reflect on Benedict Anderson’s work on Indonesian urbanism. There are at least three concepts from Anderson’s work, particularly Imagined Communities, which deserve further attention in Indonesia’s urban studies, namely: 1) political cultures; 2) territorial boundaries; and 3) the urban scale of imagined communities. Besides the conceptual dimensions, the perspectives of Anderson’s work that featured ethical stance and strong commitments are useful principles in studying urbanisms in Indonesia, particularly in dealing with pragmatism in urban development. The three (...) conceptual dimensions, along with the critical stance toward political and economic elites, point towards paying increased attention to marginalized communities in conducting urban research. (shrink)
The past 20–30 years have provided plenty of new empirical data on women’s sexuality, a topic often theorised as puzzling and unexplainable. In recent discussions, a controversial issue has been the phenomenon of sexual concordance, i.e. the correlation between the self-reported, subjective assessment of one’s sexual arousal and the simultaneous bodily response measured directly on the genitals. In laboratory-based assessments, sexual concordance has been observed to be on average substantially lower in women than in men, although the reasons for the (...) considerable gender difference are still open to debate. Drawing on a phenomenological approach to culture-dependent meaning-formation and on feminist social theory of everyday sexuality, I argue that the reasons behind women’s low sexual concordance can be found neither in their minds nor their bodies but in the way meaning-making processes function in human sexual experiences. Women’s first-person perspectives on their own sexuality have historically played only a marginal role in the creation of socially endorsed sexual meanings, yet these shared meanings have a profound influence on how individuals make sense of their bodily experiences in sexual situations. (shrink)
About 2 million minor children in the U.S. have at least one parent incarcerated for criminal offenses. There are about 33,000 undocumented persons detained by Immigration and Customs Enforcement in jails and federal detention centers around the country, and 79% of the minor children of these detainees are U.S. citizens. There are few government programs that measure and respond to the harm caused to these children by the incarceration and detention of their parents, and the negative effects on these children (...) are largely ignored in public policy debates about incarceration and immigration detention. I argue that we have an obligation to these children based on the special status of children, the harm caused to children by the arrest, detention and incarceration of their parents, current incarceration and detention policies even in the presence of alternatives that would, on balance, create less harm. (shrink)