Background: In Switzerland, non-medical right-to-die organisations such as Exit Deutsche Schweiz and Dignitas offer suicide assistance to members suffering from incurable diseases. Objectives: First, to determine whether differences exist between the members who received assistance in suicide from Exit Deutsche Schweiz and Dignitas. Second, to investigate whether the practices of Exit Deutsche Schweiz have changed since the 1990s. Methods: This study analysed all cases of assisted suicide facilitated by Exit Deutsche Schweiz (E) and Dignitas (D) between 2001 and 2004 and (...) investigated by the University of Zurich’s Institute of Legal Medicine (E: n = 147; D: n = 274, total: 421). Furthermore, data from the Exit Deutsche Schweiz study which investigated all cases of assisted suicide during the period 1990–2000 (n = 149) were compared with the data of the present study. Results: More women than men were assisted in both organisations (D: 64%; E: 65%). Dignitas provided more assistance to non-residents (D: 91%; E: 3%; p = 0.000), younger persons (mean age in years (SD): D: 64.5 (14.1); E: 76.6 (13.3); p = 0.001), and people suffering from fatal diseases such as multiple sclerosis and amyotrophic lateral sclerosis (D: 79%; E: 67%; p = 0.013). Lethal medications were more often taken orally in cases assisted by Dignitas (D: 91%; E: 76%; p = 0.000). The number of women and the proportion of older people suffering from non-fatal diseases among suicides assisted by Exit Deutsche Schweiz has increased since the 1990s (women: 52% to 65%, p = 0.031; mean age in years (SD): 69.3 (17.0) to 76.9 (13.3), p = 0.000), non-fatal diseases: 22% to 34%, p = 0.026). Conclusions: Weariness of life rather than a fatal or hopeless medical condition may be a more common reason for older members of Exit Deutsche Schweiz to commit suicide. The strong over-representation of women in both Exit Deutsche Schweiz and Dignitas suicides is an important phenomenon so far largely overlooked and in need of further study. (shrink)

Background: In Switzerland, non-medical right-to-die organisations such as Exit Deutsche Schweiz and Dignitas offer suicide assistance to members suffering from incurable diseases.Objectives: First, to determine whether differences exist between the members who received assistance in suicide from Exit Deutsche Schweiz and Dignitas. Second, to investigate whether the practices of Exit Deutsche Schweiz have changed since the 1990s.Methods: This study analysed all cases of assisted suicide facilitated by Exit Deutsche Schweiz and Dignitas between 2001 and 2004 and investigated by the University (...) of Zurich’s Institute of Legal Medicine. Furthermore, data from the Exit Deutsche Schweiz study which investigated all cases of assisted suicide during the period 1990–2000 were compared with the data of the present study.Results: More women than men were assisted in both organisations. Dignitas provided more assistance to non-residents, younger persons : D: 64.5 ; E: 76.6 ; p = 0.001), and people suffering from fatal diseases such as multiple sclerosis and amyotrophic lateral sclerosis. Lethal medications were more often taken orally in cases assisted by Dignitas. The number of women and the proportion of older people suffering from non-fatal diseases among suicides assisted by Exit Deutsche Schweiz has increased since the 1990s : 69.3 to 76.9, p = 0.000), non-fatal diseases: 22% to 34%, p = 0.026).Conclusions: Weariness of life rather than a fatal or hopeless medical condition may be a more common reason for older members of Exit Deutsche Schweiz to commit suicide. The strong over-representation of women in both Exit Deutsche Schweiz and Dignitas suicides is an important phenomenon so far largely overlooked and in need of further study. (shrink)

This article develops an objection to Kant’s proof of freedom from the Critique of Practical Reason. In his proof — the fact of reason argument — Kant deduces the reality of freedom, understood as the ability to act independently of all inclinations, from our consciousness of the unconditional validity of morality. He calls this consciousness the "fact of reason". After a systematic reconstruction of the argument, I develop an objection that relies on three points: (i) the cultural embeddedness of human (...) beings ("fact of culture"), (ii) an "external" perspective on human deliberative processes, and (iii) an alternative interpretation of the unconditional validity of morality that appears in practical deliberation. Contrary to Kant’s claims, I argue that the reality of freedom cannot be deductively derived from the fact of reason. I then discuss two objections to my argument. The first objection claims that my considerations regarding the "external" perspective misunderstand Kant's methodology. The second objection states that, based on my considerations, the fact of reason ultimately turns out to be an illusion. I discuss both objections and refute them. My ultimate conclusion is that Kant's fact of reason argument is not convincing. (shrink)

In this paper, I propose a solution to a challenge formulated by Judith Jarvis Thomson: We have to explain why the moral asymmetry between doing and allowing harm is a deep feature of our moral thinking. In a nutshell, my solution is this: It could not be otherwise. Accepting the asymmetry is indispensable for the construction and maintenance of stable moral communities. -/- My argument centrally involves mental resource management. Moral communities depend on their members’ commitment to moral norms. And, (...) I argue, community members can only be committed to these norms in the required ways without overextending their mental resources if morality contains the doing/allowing asymmetry. -/- This has two noteworthy implications. Firstly, we can and should stop discussing the asymmetry in normative ethics and, instead, regard it as “moral axiom” we cannot but accept. Secondly, even consequentialists have to accept the asymmetry but, by doing so, their view loses part of its intuitive appeal. Lastly, I turn to an objection. One might think that my indispensability argument confuses issues in moral psychology with issues in normative ethics. I reject the objection on broadly pragmatist grounds. (shrink)

In a recent paper, Nate Sharadin and Rob van Someren Greve pull into doubt a seemingly platitudinous idea: deontic evaluation is capable of guiding action (“Capable”). After discussing several arguments for it, the authors conclude that, to the extent to which Capable can be defended, it cannot produce interesting results about the nature of the deontic. My goal is to argue that the authors’ skeptical endeavors are unconvincing. I aim to show that they rely on an implausibly broad understanding of (...) “actual guidance”. I propose an alternative understanding and show that, with it, “functionalist” arguments of the above kind can produce interesting results. If I am right, Sharadin’s and van Someren Greve’s considerations do not get off the ground. Instead, optimism seems warranted: We can learn something interesting about the nature of the deontic by assuming that actual guidance is the function of deontic evaluation. (shrink)

How come we ought to do things? Current metanormative debates often suffer from the fact that authors implicitly use adequacy conditions not shared by their opponents. This leads to an unsatisfying dialectical gridlock: One author accuses her opponents of not being able to account for stuff she judges essential, but the opponents do not think this to be a major flaw. In an attempt to meet the problem of gridlock head-on, the current investigation approaches oughtness differently. -/- I start with (...) the introduction of a grounding framework for thinking about oughtness -- the central normative property -- that allows a lucid presentation of the views on the market. It soon becomes clear that one necessary part of any plausible assessment of accounts of oughtness is a discussion of their adequacy conditions. I continue with a detailed evaluation of four different accounts, as presented by Halbig (2007), Schroeder (2007), Stemmer (2006), and Scanlon (2014). My main result is that desire-based or Humean theories of oughtness are more plausible because desire-independent accounts fail to explain something crucial: the for-me character of oughtness. Based on the insights gathered thus far, I then develop a new Humean theory – metaethical conativism – and defend it against some historically influential objections. (shrink)

In this paper, I criticize the most prevalent positive argument for ethical nonnaturalism, the argument from ethical phenomenology. According to it, nonnatural entities are part of the best explanation of the phenomenology of ethical deliberation; therefore, nonnaturalism is true. -/- The argument from ethical phenomenology blinds out the external, empirically informed perspective on ethical deliberation. I argue that this is unwarranted for general methodological reasons: When starting to investigate any mental process — such as ethical deliberation — it is reasonable (...) to take into account, and try to reconcile, both the internal and the external perspective on the process. This renders the argument from ethical phenomenology methodologically flawed. The problem could be avoided if we already knew, somehow, that external evidence is irrelevant for the nature of ethical entities. Many nonnaturalists believe in this irrelevance because they take ethics to be "autonomous", "just too different", or the like. But the autonomy of ethics must itself be justified in a way that does not solely rely on internal insights — or else we are going in circles. I conclude that solely phenomenology-based arguments for nonnaturalism fail for methodological reasons. Consequently, nonnaturalists need to change their strategies and actively embrace the external perspective. (shrink)

According to Humean promotionalism about practical reasons, the fact that I have a reason to φ holds in virtue of the fact that φ-ing promotes one or more of my desires. The topic of this discussion note is the question of how best to understand the promotion relation. In particular, I defend a probabilistic understanding of promotion against a line of argument recently brought forth by Jeff Behrends, Joshua DiPaolo, and Nate Sharadin. Roughly, their argument is that probabilistic promotion leads (...) to implausible results in cases in which the relevant desires are certain to be satisfied. In these cases, a probabilistic understanding tells us that we do not have a reason to φ because the probability of desire satisfaction is 1 already. Contrary to Behrends', DiPaolo's, and Sharadin's claims, I argue that this is precisely the result a Humean theory of reasons should generate. According to Humeanism, we have reasons for actions because these actions make a difference to the occurrence of desire satisfaction - where the causal route to desire satisfaction is normatively irrelevant. Thus, if desire satisfaction is dead certain, we have no reason to do anything. (shrink)

In psychophysical experiments, the use of a psychophysical procedure of brightness/darkness cancellation shed light on interactions between spatial arrangement and figure–ground contrast in the perceptual filling in of achromatic and colored surfaces.Achromatic and chromatic Kanizsa squares with varying contrast, contrast polarity, and inducer spacingwere used to test how these factors interact in the perceptual filling in of surface brightness or darkness. The results suggest that the neuronal processing of surfaces with apparent contrast, leading to figure–ground segregation (i.e., perceptual organization), is (...) governed by mechanisms that integrate both luminance contrast and spatial information carried by the inducing stimuli, while discarding information on contrast polarity or color. The findings are discussed in relation to earlier observations on brightness assimilation and contrast. They support theories of nonantagonistic neural mechanisms suppressing local contrast or color signs in brightnessbased figure–ground percepts. Such mechanismsmight be necessary to cancel potentially conflicting polarities in geometricallycomplex visual stimuli so that perceptual filling in resulting in the most plausible representation of figure and ground can be achieved. (shrink)

Human decisions are increasingly supported by decision support systems (DSS). Humans are required to remain “on the loop,” by monitoring and approving/rejecting machine recommendations. However, use of DSS can lead to overreliance on machines, reducing human oversight. This paper proposes “reflection machines” (RM) to increase meaningful human control. An RM provides a medical expert not with suggestions for a decision, but with questions that stimulate reflection about decisions. It can refer to data points or suggest counterarguments that are less compatible (...) with the planned decision. RMs think against the proposed decision in order to increase human resistance against automation complacency. Building on preliminary research, this paper will (1) make a case for deriving a set of design requirements for RMs from EU regulations, (2) suggest a way how RMs could support decision-making, (3) describe the possibility of how a prototype of an RM could apply to the medical domain of chronic low back pain, and (4) highlight the importance of exploring an RM’s functionality and the experiences of users working with it. (shrink)

Im Fokus dieses Artikels steht die Vorstellung einer neuen Normativitätstheorie. Ich nenne sie metaethischen Konativismus. Der Konativismus ist der Theorienfamilie des Humeanismus zuzuordnen – er stellt konative Einstellungen in den Mittelpunkt – und ähnelt in seinen Grundzügen den Theorien von Bernard Williams, Mark Schroeder, David Sobel oder Peter Stemmer. Da er sich jedoch, wie ich zeigen werde, in einigen Kernelementen stark von bereits bestehenden Positionen unterscheidet, darf er als eigenständige Theorie gelten. Mein Hauptziel besteht darin, zu zeigen, dass der Konativismus (...) vier zentrale und historisch einflussreiche Einwände gegen humeanische Theorien zurückweisen kann. Diese betreffen die Phänomenologie praktischer Überlegungen, die rationale Kritik konativer Einstellungen, die Verwechslung von motivationaler Kraft und normativem Gewicht, sowie die Frage nach der moralischen Adäquatheit. Mein Ergebnis ist, erstens, dass der Konativismus der Phänomenologie praktischer Überlegungen gerecht wird. Außerdem ergibt sich, zweitens, aus dem Konativismus ganz natürlich die Idee, dass es Gründe „hinter“ unseren konativen Einstellungen gibt, die als Grundlage für eine rationale Kritik selbiger dienen können. Darüber hinaus unterscheidet er, drittens, klar zwischen normativem Gewicht und motivationaler Kraft. Und schließlich, viertens, liefert er eine gute Grundlage dafür, robuste und gewichtige moralische Gründe zu generieren. Es zeigt sich also, dass vier der wichtigsten und einflussreichsten Einwände gegen Humeanische Positionen, die von zahlreichen namhaften AutorInnen immer wieder vorgebracht wurden, das theoretische Potential selbiger stark unterschätzt haben. Der Konativismus stellt eine neue Theorie praktischer Gründe dar, die sich dieses Potential zunutze macht und damit ihren Hut als attraktive Option in den Ring wirft. (shrink)

Mental mapping is a method of interpreting with conceptual metaphors. This method is applied to the admiration song in Song of Songs 7:2–7. The song is interpreted in the context of a dance. For the purpose of interpretation, ancient Egyptian dance paintings and love poems are taken into account. The interpretation presents a methodological study that unmasks arbitrary exegesis and implausible interpretations. It discovers its subtle conceptual metaphors and shows a strategy for a comprehensible exegesis. As a side effect, the (...) male chauvinism present in this song is deconstructed. (shrink)

This paper takes stock of Parfit’s latest defence of his meta-ethical view, non-realist cognitivism. In the third volume of On What Matters, Parfit gives his account a new—as I am going to show: conceptual—spin. Also, quite surprisingly, he takes back much of his earlier criticism of rival theories and claims instead that he and his opponents, Allan Gibbard and Peter Railton, are climbing the same meta-ethical mountain on different sides.Mainly focusing on the new spin in Volume III, I argue for (...) the following four claims. Firstly, non-realist cognitivism can easily be accepted by all those believing in the irreducibility of normative concepts. Secondly, Parfit succeeds in avoiding Mackie-style queerness objections. However, thirdly, once we fully grasp the conceptual rather than metaphysical core of non-realist cognitivism, it becomes clear that the view, if successful, would accomplish much less than Parfit’s talk about irreducible, non-natural normative facts may have previously suggested. Finally, I argue that the conceptual spin generates a problem regarding one of the crucial pillars of non-realist cognitivism, namely the status of normative facts as objective or mind-independent. It remains entirely unclear how the view could account for this status. All in all, non-realist cognitivism doesn’t clear up the mists covering the heights of the meta-ethical mountain. It is still a long climb to the summit, and in order to reach it, we have to answer many questions Parfit doesn’t address. (shrink)

Das Verhältnis des Seneca philosophus zum Seneca tragicus ist für die Interpretation von Senecas Tragödien noch immer entscheidend. Die Autorin widmet sich dem Problem im Bereich der Theologie. Als zentrale theologische Problemfelder untersucht sie in Senecas philosophischen Schriften und Tragödien sein Verständnis von providentia und damit die Theodizeefrage sowie sein Verständnis des fatum und damit die Willensfreiheit. Anders als die bisherigen Untersuchungen, deren Interesse vorrangig den Dramen galt und die die philosophischen Schriften nur am Rande berücksichtigten, bildet in dieser Studie (...) die Theologie der philosophischen Schriften den Ausgangspunkt, um deren Problemstellungen auch für eine Deutung der Dramen fruchtbar zu machen. Im Gegensatz zu den Forschungspositionen, die Senecas Dramen entweder als philosophische Lehrstücke oder als Negation der stoischen Philosophie verstehen, erhellt die von der Autorin gewählte Vorgehensweise Senecas Bezugnahme auf philosophische Fragestellungen innerhalb der Dramen. In ihnen setzt sich Seneca im Gedankenexperiment mit Problemen und Aporien auseinander, die auch im philosophischen Diskurs der Stoa nicht zufriedenstellend aufzulösen sind. (shrink)