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)

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)

Two right-to-die organisations offer assisted suicide in Switzerland. The specific legal situation allows assistance to Swiss and foreign citizens. Both organisations require a report of the person’s health status before considering assistance. This qualitative study explored these reports filed to legal authorities after the deaths of individuals in the area of Zurich. Health status reports in the legal medical dossiers of the deceased were analysed using content analysis and Grounded Theory. From 421 cases of assisted suicide (2001–2004), 350 reports on (...) health status were filed. Many cases contained diagnosis lists only. Other reports had more elaborate reports revealing that some physicians were aware about the patient’s death wish and the intention to solicit assisted suicide. Physicians’ attitudes ranged from neutral to rather depreciative. Few physicians openly referred the patient to the organisations and supported the patient’s request by highlighting a history of suffering as well as reporting understanding and agreement with the patient’s wish to hasten death. In the health status reports five categories could be identified. Some files revealed that physicians were aware of the death wish. The knowledge and recognition of the patient’s death wish varied from no apparent awareness to strongly supportive. This variety might be due to difficulties to discuss the death wish with patients, but might also reflect the challenge to avoid legal prosecution in the country of origin. To require comparable health status reports as requirements for the right-to-die organisations might be difficult to pursue. (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)

ZusammenfassungIm Fokus dieser Arbeit 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, konkret ausgearbeitete Humeanische Position dar, die sich dieses Potential zunutze macht und damit ihren Hut als attraktive und ernstzunehmende Normativitätstheorie 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)

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)