This discussion paper considers how seldom recognised theories influence clinical ethics committees. A companion paper examined four major theories in social science: positivism, interpretivism, critical theory and functionalism, which can encourage legalistic ethics theories or practical living bioethics, which aims for theory–practice congruence. This paper develops the legalistic or living bioethics themes by relating the four theories to clinical ethics committee members’ reported aims and practices and approaches towards efficiency, power, intimidation, justice, equality and children’s interests and rights. Different approaches (...) to framing ethical questions are also considered. Being aware of the four theories’ influence can help when seeking to understand and possibly change clinical ethics committee routines. The paper is not a research report but is informed by a recent study in two London paediatric cardiac units. Forty-five practitioners and related experts were interviewed, including eight members of ethics committees, about the work of informing, preparing and supporting families during the extended process of consent to children’s elective heart surgery. The mosaic of multidisciplinary teamwork is reported in a series of papers about each profession, including this one on bioethics and law and clinical ethics committees’ influence on clinical practice. The qualitative social research was funded by the British Heart Foundation, in order that more may be known about the perioperative views and needs of all concerned. Questions included how disputes can be avoided, how high ethical standards and respectful cooperation between staff and families can be encouraged, and how minors’ consent or refusal may be respected, with the support of clinical ethics committees. (shrink)

Consent can only be voluntary, freely given and uncoerced. Can this legal adult standard also apply to children? High-risk surgery is seldom a wanted choice, but compared with the dangers of the un...

Background: The law and literature about children’s consent generally assume that patients aged under-18 cannot consent until around 12 years, and cannot refuse recommended surgery. Children deemed pre-competent do not have automatic rights to information or to protection from unwanted interventions. However, the observed practitioners tend to inform young children s, respect their consent or refusal, and help them to “want” to have the surgery. Refusal of heart transplantation by 6-year-olds is accepted. Research question: What are possible reasons to explain (...) the differences between theories and practices about the ages when children begin to be informed about elective heart surgery, and when their consent or refusal begins to be respected? Research design, participants and context: Research methods included reviews of related healthcare, law and ethics literature; observations and conversations with staff and families in two London hospitals; audio-recorded semi-structured interviews with a purposive sample of 45 healthcare professionals and related experts; interviews and a survey with parents and children aged 6- to 15-years having elective surgery (not reported in this paper); meetings with an interdisciplinary advisory group; thematic analysis of qualitative data and co-authorship of papers with participants. Ethical considerations: Approval was granted by four research ethics committees/authorities. All interviewees gave their informed written consent. Findings: Interviewees explained their views and experiences about children’s ages of competence to understand and consent or refuse, analysed by their differing emphases on informed, signified or voluntary consent. Discussion: Differing views about children’s competence to understand and consent are associated with emphases on consent as an intellectual, practical and/or emotional process. Conclusion: Greater respect for children’s practical signified, emotional voluntary and intellectual informed consent can increase respectful understanding of children’s consent. Nurses play a vital part in children's practitioner-patient relationships and physical care and therefore in all three elements of consent. (shrink)

La inteligencia artificial y la robótica son dos realidades que han venido para quedarse y cuya implicación en nuestra sociedad afecta a distintos ámbitos. El hecho de que nos encontremos ante una tecnología capaz de emular actitudes humanas como son el aprendizaje o la adaptación, convierten a la IA, y en concreto a los robots dotados de la misma, en máquinas imprevisibles. Asimismo, nos encontramos con la agravante de la posible interacción entre máquinas y sujetos de carácter vulnerable como son (...) los consumidores o los pacientes, lo que entraña un riesgo aún mayor. Precisamente por ello es necesario un análisis desde el punto de vista jurídico, así como también ético, de las consecuencias del manejo de los robots inteligentes en nuestra sociedad. (shrink)

Epistemologists often describe subjects as being capable of adopting a third kind of categorical doxastic stance regarding whether something is the case, besides belief and disbelief. They deploy a variety of idioms in order to ascribe that stance. In this paper, I flesh out the properties that the third kind of categorical stance is supposed to have and start searching for the best ways to ascribe it. The idioms ‘suspends judgment about whether’ and ‘is agnostic about whether’, among others, are (...) found to be unfit to play the desired role. In the end, I suggest that ‘is in doubt as to whether’ is our best choice among the alternatives surveyed here. (shrink)

: In this paper, I consider some issues concerning Hume’s epistemology of testimony. I’ll particularly focus on the accusation of reductivism and individualism brought by scholars against Hume’s view on testimonial evidence, based on the tenth section of his An enquiry concerning human understanding. I first explain the arguments against Hume’s position, and address some replies in the literature in order to offer an alternative interpretation concerning the way such a defense should go. My strategy is closely connected with Hume’s (...) notion of virtue and the role it plays in his epistemology, mainly as presented in his A treatise of human nature. I address the problem of how the section “Of miracles” in the Enquiry must be properly understood, as several misunderstandings of Hume’s epistemology of testimony emerge partially from the particular character and aim of that section. Resumen: En este artículo, considero algunas cuestiones relacionadas con la epistemología del testimonio de David Hume. El eje central será la acusación de reductivismo e individualismo de los estudiosos en contra de la opinión de Hume sobre la evidencia testimonial. Dicha acusación se basa en su tratamiento de los reportes sobre hechos milagrosos, presente en la sección X de su Investigación sobre el entendimiento humano. En primer lugar, se abordan los argumentos en contra de la posición de Hume y algunas respuestas en la literatura reciente, para luego ofrecer una interpretación alternativa con respecto a la forma en que debería articularse esa defensa. Mi estrategia está estrechamente relacionada con la noción de virtud de Hume y el papel que desempeña en su epistemología, principalmente como se presenta en su Tratado de la naturaleza humana. Finalmente, abordaré el problema relacionado con la forma en que debe entenderse correctamente la sección “Of miracles” de la Investigación, ya que varios malentendidos sobre la epistemología del testimonio de Hume emergen parcialmente del carácter particular y el objetivo de dicho ensayo. (shrink)

A reflection on how to teach philosophy with the help of theatrical techniques and scenic interpretation tools, building an allegorical environment for the presentation of philosophical content. Considering Plato's explanation of the allegory of the cave, where he starts from 'appears' or 'imagines' and describes his narrative, in a complete way, in a theatrical approach to use the imagination of his listeners. And thus building a scene, a representation of what he wanted to teach his interlocutors. In addition to reflecting (...) on contemporary caves, built in the rooms of young people, who are isolated, attentive only to the images produced on cell phone and computer screens, without being sure about the veracity of the information received in these 'walls' of modern caves. Also following the approaches and paths of Deleuze and Foucault in their considerations on the constructions relevant to the study of philosophy and its learning, this article aims at this reflection as a contribution to the art of theatre, the 'teatron', the place for to see. And to see how this seeing is a metaphorical perspective, something that is also a philosophical question, both in the direct and in the metaphysical sense. In addition to being a matter of experience made possible by immersion in the world of ideas and imagination, in a reflective, pragmatic way and with a view to learning and teaching philosophy. (shrink)

First, we define the concepts of well-being and happiness at school. Then, we explore well-being at school from the perspective of the teacher-student relationship, both from the point of view of the students and of the teachers. To do this, the main results of two studies carried out in 2019 and 2020, mainly in Quebec, are presented. Finally, the two perspectives, that of the pupils and that of the teachers, are confronted. The results of our analysis highlight the importance of (...) the teacher-student relationship both in the student's school experience and in the teacher's professional practice. The affective nature of the relationship seems to occupy a major place. Suggestions and recommendations for optimizing the quality of the teacher-student relationship, for the happiness of learning or teaching, are proposed. (shrink)

Cet ouvrage est dans la continuite de la reflexion de Santiago Espinosa, qui etend ses vues sur la musique a l'art en general, et qui aborde des sujets plus vastes comme la science physique (l'auteur fait observer que les scientifiques contemporains adoptent la perspective critiquee des lors qu'ils cherchent a faire une image de l'univers). A cette perspective, Espinosa oppose la perception auditive, plus prompte a saisir le mouvement et le changement, non susceptible par surcroit d'en faire une (...) image ou meme une chose. Il fait remarquer l'interet de certains philosophes pour l'intuition du silence de l'interpretation, aucune chose ne pouvant etre le signe (ou l'image) d'une autre, n'etant que ce qu'elle est, ou plutot devient. Il revient enfin a la mise en rapport de la perspective imaginative et les affections de l'angoisse, la melancolie et la nausee afin de montrer que ces dernieres relevent parfois de l'illusion que les choses semblent, dans la mesure ou elles sont prises pour des images, se repeter sans cesse. Pour l'ouie, sensible a la singularite de ce qui passe, tout ce qui arrive est en revanche d'une surprenante nouveaute, ce qui, pour l'affirmateur de la realite, peut se reveler etre aussi une source de joie. (shrink)

L'œuvre de Clément Rosset cherche à établir une 'théorie du réel', comprenant par là avant tout une critique de l'illusion. Trois figures principales n'ont de cesse de revenir du premier au dernier de ses livres : le réel, le double, la joie. Ces trois concepts ont cependant prêté aux malentendus les plus farfelus, en dépit de l'écriture claire et lumineuse de Rosset : les commentaires que son œuvre suscite çà et là donnent souvent l'impression de passer à côté de l'essentiel, (...) de ne retenir de ces trois figures que le son creux de leur nom. Cet essai tente de montrer au contraire la spécificité de la 'philosophie tragique' de Rosset, en la prenant pour une tentative cohérente et rigoureuse d'aborder l'expérience humaine du désir qui rende compte de la paradoxale et énigmatique joie de vivre"--Page 4 of cover. (shrink)

De ce qui existe -- De ce qui n'existe pas -- De l'interprétation.

Rousseau et l'exegese biblique du XVIIIe siecle -- Des pratiques bibliques du XVIIIe siecle a la lecture-consolation de Rousseau -- Intertextualite biblique dans l'ouvre de Rousseau -- Intertexte biblique et representation de soi -- Le Levite d'Ephraim : reecriture biblique -- Schemes de la pensee du religieux -- Ouvre de doctrine : la lettre a Christophe de Beaumont -- Etre Chretien de Jacques : les lettres ecrites de La Montagne.

Charles Peirce did not seem to have a consistent view regarding ethics. His occasional remarks on this subject appear to be contradictory at best and cynical at worst. As a result, many have suggested that his comments on ethics, especially those expressed in the 1898 Cambridge Conference lectures, should be dismissed or ignored. This chapter argues that Peirce's views on ethics can be best understood by comparing them to his views on scholastic realism and nominalism. When analyzed in this way, (...) Peirce's observations on ethics can serve as the grounds for a robust moderate moral realism that can compare favorably with contemporary metaethical theories. (shrink)

'Computationalism' is a relatively vague term used to describe attempts to apply Turing's model of computation to phenomena outside its original purview: in modelling the human mind, in physics, mathematics, etc. Early versions of computationalism faced strong objections from many (and varied) quarters, from philosophers to practitioners of the aforementioned disciplines. Here we will not address the fundamental question of whether computational models are appropriate for describing some or all of the wide range of processes that they have been applied (...) to, but will focus instead on whether `renovated' versions of the \textit{new computationalism} shed any new light on or resolve previous tensions between proponents and skeptics. We find this, however, not to be the case, because the 'new computationalism' falls short by using limited versions of "traditional computation", or proposing computational models that easily fall within the scope of Turing's original model, or else proffering versions of hypercomputation with its many pitfalls. (shrink)

La musique, disait Strawinsky, est inexpressive par essence. Elle n'exprime ni les idees ni les emotions humaines; elle n'exprime qu'elle-meme. Le sens et la beaute de la musique sont essentiellement musicaux: ils se trouvent dans les arrangements des sons dans le temps; toute autre "signification" de la musique est extra-musicale, et par la non-musicale. Aussi ce sens et cette beaute sont-ils inherents a l'objet musical, c'est-a-dire a un objet qui n'existe qu'au present, dans la mobilite, l'instantane, l'ephemere. En cela la (...) musique se rapproche de la vie et constitue ainsi un objet merveilleux permettant a l'homme de se reconcilier avec le temps, d'ou ce pouvoir infaillible qu'elle a, lorsqu'on lui prete l'oreille, de susciter la joie. De l'inexpressivite de la musique a l'inexpressivite du reel, et vice versa; de la joie musicale a la joie de vivre, et inversement. (shrink)

Nine authors discuss what is the criteria of a work of art.

Le grand maitre des apparences, Baltasar Gracián, dit que ce qui ne se voit pas est comme s'il n'était pas. Il n'a sans doute pas livré là, peut-être par prudence, le fond de sa pensée : ce qui ne se perçoit pas n'existe pas. Telle est la thèse en tout cas du présent traité.

This work develops the ethical attitude of courageous vulnerability through the integration of the phenomenon of involuntary memory in Marcel Proust's work and ...

Research and clinical trial development for rare diseases pose unique bioethical challenges. Much of the literature on rare diseases focuses on patient advocacy and drug development to manage or cu...