Do people only act out of self-interest? Or is there a less pessimistic explanation for human behaviour? Maurer delves into early-Enlightenment debates on self-love from both famous and lesser known authors, including Lord Shaftesbury, Bernard Mandeville, Francis Hutcheson, Joseph Butler, Archibald Campbell, David Hume and Adam Smith.

The fifteen new essays collected in this volume address questions concerning the ethics of self-defense, most centrally when and to what extent the use of defensive force, especially lethal force, can be justified. Scholarly interest in this topic reflects public concern stemming from controversial cases of the use of force by police, and military force exercised in the name of defending against transnational terrorism. The contributors pay special attention to determining when a threat is liable to defensive harm, though (...) doubts about this emphasis are also raised. The legitimacy of so-called "stand your ground" policies and laws is also addressed. This volume will be of great interest to readers in moral, political, and legal philosophy. (shrink)

Many theories of social justice maintain that concern for the social bases of self-respect grounds demanding requirements of political and economic equality, as self-respect is supposed to be dependent on continuous just recognition by others. This paper argues that such views miss an important feature of self-respect, which accounts for much of its value: self-respect is a capacity for self-orientation that is robust under adversity. This does not mean that there are no social bases of (...) self-respect that such theories ought to incorporate. It means that they are different: they consist of the motivational and epistemic resources needed to develop and maintain such robustness. (shrink)

If I am aware that p, say, that it is raining, is it the case that I must be aware that I am aware that p? Does introspective or object-awareness entail the apprehension of mental states as being of some kind or another: self-monitoring or intentional? That is, are cognitive events implicitly self-aware or is “self-awareness” just another term for metacognition? Not surprisingly, intuitions on the matter vary widely. This paper proposes a novel solution to this classical (...) debate by reframing the problem of self-knowledge in terms of the relation between phenomenal concepts and phenomenal knowledge. Concepts of consciousness such as “introspective awareness” and “reflexive self-awareness” are grounded in phenomenal experiences rather than physical events and processes. As such they yield a different kind of self-knowledge than what can be gained by applying externalist conceptual schemas to understanding the mind. I argue that Dharmakīrti’s theory of content can be seen as endorsing the efficacy of phenomenal experience as a vehicle for self-knowledge. (shrink)

In the light of the modern idea of a sovereign and self-transparent subject, the paper evaluates the philosophical and ethical relevance of Bildung. As a first step, (the early) Nietzsche's and Adorno's criticism of Bildung is explicated, a criticism based upon the thinkers' critical stance towards the modern epistemological relation of subject and object. However, neither thinker abandons the concept of Bildung. The second part of the paper accordingly reconstructs Nietzsche's and Adorno's adherence to Bildung understood as a different (...) relationship of subject and object within Bildung. In the paper's concluding reflections there is an attempt to assess the systematic educational consequences, and to shed light on the ethical relevance, of a non-transparent subject of Bildung. (shrink)

The chapter analyses the debates on the relation between self-interest and sociability in eighteenth-century British moral philosophy. It focuses on the selfish hypothesis, i.e. on the egoistic theory that we are only motivated by self-interest or self-love, and that our sociability is not based on disinterested affections, such as benevolence. The selfish hypothesis is much debated especially in the early eighteenth century (Mandeville, Shaftesbury, Hutcheson, Butler, Clarke, Campbell, Gay), and then rather tacitly accepted (Hartley, Tucker, Paley) or (...) rejected (Hume, Smith, Reid). It is asserted for example by philosophers with an Augustinian and Epicurean background and by the associationists, yet rejected especially by thinkers inspired by Stoic ideas. In particular for these latter authors, who emphasise the disinterested aspects of moral motivation, the debates on the selfish hypothesis have an important moral dimension. Others again argue that specific kinds of self-interest motivate virtuous actions. (shrink)

Like many of their counterparts in the West, Buddhist philosophers realized a long time ago that our linguistic and conceptual practices are rooted in pre-predicative modes of apprehension that provide implicit access to whatever is immediately present to awareness. This paper examines Dignāga’s and Dharmakīrti’s contributions to what has come to be known as “Buddhist epistemology” (sometimes referred in the specialist literature by the Sanskrit neologism pramāṇavāda, lit. “doctrine of epistemic warrants”), focusing on the phenomenological and epistemic role of perception (...) and self-awareness. The central argument is that reliance on accurate observations and on an understanding of the contextual and dispositional factors that constrain, condition, and direct our perceptual and intentional states gives this tradition of epistemic inquiry a pragmatic focus unique in premodern Indian philosophy. (shrink)

Why does equality matter, as a social and political value, and what does it require? Relational egalitarians argue that it does not require that people receive equal distributive shares of some good, but that they relate as equals. Christian Schemmel here provides the first comprehensive development of a liberal conception of relational equality, one which understands relations of non-domination and egalitarian norms of social status as stringent demands of social justice. He first argues that expressing respect for the freedom and (...) equality of individuals in social cooperation requires stringent protections against domination. Taking this as a starting point, he then develops a substantive, liberal conception of non-domination and argues that non-domination is a particularly important, but not the only, concern of social justice. From there, Schemmel develops an account of the wrongness of inegalitarian norms of social status which shows how status-induced foreclosure of important social opportunities is a social injustice in its own right, over and above the role of status inequality in enabling domination, and the threats it poses to individuals' self-respect. Finally, Schemmel articulates the core requirements of liberal relational egalitarianism for political, economic, and health justice: these amount to demands for far-reaching forms of equality in all three domains, which can rarely, if ever, be overridden by competing concerns. With expert rigor and creativity, Justice and Egalitarian Relations brings together scholarship in a variety of related topics, from social justice and liberalism to distributive and relational equality, social equality, neo-republicanism, and non-denomination. (shrink)

The task of this paper is to exhibit Wittgenstein’s method of perspicuous presentation as aiming at a distinctive kind of self-knowledge. Three influential readings of Wittgenstein’s concept of perspicuous presentation – Hacker’s, Baker’s and Sluga’s – are examined. All of them present what Wittgenstein calls the “unsurveyablity of our grammar” as a result of the “complexity” of our language. Contrary to this, a fundamental difference between matter-of-factual complexity and the unsurveyability of grammar is pointed out. What perspicuous presentations are (...) designed to deal with, isn’t, accordingly, occasioned by the complexity of our language but by an unnoticed assimilation of our own activities as speaking beings to matter-of-factual affairs. In response to this, perspicuous presentations help us to fully appropriate our activities as speakers in virtue of achieving a transparent understanding of the use of “our words”. It thus provides us with a distinctive kind of grammatical self-knowledge. (shrink)

Stephens and Grahamset themselves an apparently modest task, to understand why people who experience alien voices and inserted thoughts do not believe that they themselves are the source of these experiences. However, it soon becomes clear that there are many connected issues here. In eight short chapters, they address the phenomenology and ontology of consciousness, the phenomenology of alien voices, inserted thoughts, obsessive-compulsive thoughts and feelings, and other cases of unusual experience often associated with psychopathology, including brief discussion of multiple (...) personality disorder. They survey some of the main empirical explanations of the phenomenology, set out the shortcomings of these theories, and end by proposing their own schematic account. (shrink)

It is generally agreed that consciousness is a somewhat slippery term. However, more narrowly defined as 'phenomenal consciousness' it captures at least three essential features or aspects: subjective experience (the notion that what we are primarily conscious of are experiences), subjective knowledge (that feature of our awareness that gives consciousness its distinctive reflexive character), and phenomenal contrast (the phenomenality of awareness, absence of which makes consciousness intractable) (cf. Siewert 1998). If Buddhist accounts of consciousness are built, as it is claimed, (...) on phenomenological (thus descriptive) rather than metaphysical grounds, the obvious question arises: is there such a place or locus for conscious experience? And if there is, does it have the sort of character that is amenable to phenomenological analysis? A positive answer would suggest that conscious experience is such that at a minimum, the 'sense of self' must be an ineliminable structural feature of cognitive awareness. This paper pursues the question of precisely what conception of self-consciousness can be supported on experiential grounds given the Buddhist no-self view, and whether such conception is sufficient to account for the ineliminable features of phenomenal consciousness. (shrink)

The study focuses on the debates on self-love in early 18th - century British moral philosophy. It examines the intricate relations of these debates with questions concerning human nature and morality in five central authors : Anthony Ashley Cooper the 3rd Earl of Shaftesbury, Bernard Mandeville, Francis Hutcheson, Joseph Butler and Archibald Campbell. One of the central claims of this study is that a distinction between five different concepts of self-love is necessary to achieve a clear understanding of (...) the debates on self-love. Thus, egoistic self-love, self-love as love of praise, self-love as self-esteem, self-love as excessive pride and self-love as self-respect are distinguished. The role of these different concepts is analysed in the mentioned authors ’ theories of human nature and morality, and the relations between the concepts of self-love and other essential concepts of moral philosophy such as benevolence, pity and virtue are examined. This study highlights the importance of the widely discussed claim that self-love is the only motive for human agents and shows that the moral rehabilitation of self-love becomes an important issue for the period. Commentators generally agree on the importance of the notion of self-love for the period’s moral philosophy, yet little attention has been paid to the different concepts of self-love. Present-day philosophy’s tendency to equate self-love with egoism is too simplistic, and the insufficient recognition of the vagueness of the notion of self-love is shown to be an impediment to an appropriate reconstruction of important arguments in the debates on self-love. The framework suggested in this study thus enables a better comprehension of the different accounts of self-love in the selected authors ’ moral psychologies, and of their views of the moral value of self-love. This facilitates the shedding of light on central aspects of moral philosophy at the beginning of the 18th century. (shrink)

Whether ethics is too important to be left to the experts or so important that it must be is an age-old question. The emergence of clinical ethicists raises it again, as a question about professionalism. What role clinical ethicists should play in healthcare decision making – teacher, mediator, or consultant – is a question that has generated considerable debate but no consensus.

Given that all Buddhists give universal scope to the no-self view, accounts of personal identity in Buddhism cannot rest on egological conceptions of self-consciousness. Without a conception of consciousness as the property, function, or dimension of an enduring subject or self, how, then, do mental states acquire their first-personal character? What it is that in virtue of which mental states exhibit a basic or minimal sense of self? These questions are at the heart of a long (...) debate about the nature and character of consciousness and self-consciousness. This paper traces the genealogy of key concepts of consciousness and personal identity in Buddhism, their role in articulating specific accounts of self-knowledge, and their relevance to contemporary debates in phenomenology and philosophy of mind about the relation between consciousness and self-consciousness. (shrink)

Drawing on three Platonic dialogues (Charmides, Alcibiades I, and Theaetetus) and the epistemology of Dignāga and Dharmakīrti, this chapter argues that the self-knowledge project need not depend on a metaphysics of self if the awareness present in each knowledge episode is taken to exhibit a reflexive dimension. Whatever the ultimate ground for self-knowledge, it must be such as to provide unity and coherence to experience, even if the achieved unity or harmony is not something determinate or fixed (...) (as suggested by some interpretations of the Platonic soul as form-like, hence as impersonal). The chapter argues that an account of self-knowledge that can explain what turns knowledge onto itself, what makes it personal, is better equipped to show how such knowledge can become a vehicle for self-cultivation. Doctrinal commitment to a no-self view notwithstanding, the recognition on the part of certain Buddhist thinkers that an irreflexive view of awareness may fail to capture the phenomenal and subjective dimensions of knowledge episodes further bolsters such an account. (shrink)

In this article, I distinguish two models of personal integrity. The first, wholeheartedness, regards harmonious unity of the self as psychologically healthy and volitional consistency as ethically ideal. I argue that it does so at the substantial cost of framing ambivalence and conflict as defects of character and action. To avoid these consequences, I propose an alternate ideal of humility that construes the self as multiple and precarious and celebrates experiences of loss and transformation through which learning, growth, (...) innovation, and dynamic relationship become possible. This ideal not only sustains prospects for integrity but is more suitable than wholeheartedness for recognizing practices of contestation, such as those involving potentially destabilizing encounters with difference that is common within pluralistic societies, as vital for rich, well-lived lives. (shrink)

Within the last fifty years as philosophy, psychology, and cognitive science have moved towards increasingly more embodied theoretical frameworks, there has been growing interest in Dance Movement Therapy. DMT has been shown to be effective in mitigating negative symptoms in several psychopathologies including PTSD, autism, and schizophrenia. Further, DMT generally helps participants gain a stronger sense of agency and connection with their body. However, it has been argued that it is not always clear what constitutes these changes in DMT participants. (...) I argue that we can better understand the empirical and phenomenological results of DMT across psychopathologies if we adapt an enactive embodied approach to cognition. I use the framework of embodied enactive cognition and narrative theories of the self to develop an account of DMT as a form of narrative change. I claim that through the acquisition of new bodily skill and bodily awareness, DMT can cause changes to the participant’s narrative self-understanding. (shrink)

This paper examines Kant’s conception of the self as subject, to show that it points to an understanding of the self as embodied. By considering ways in which the manifold of representations can be unified, different notions of self are identified through the subjective perspectives they define. This involves an examination of Kant’s distinction between subjective and objective unities of consciousness, and the notion of empirical unity of apperception in the first Critique, as well as the discussion (...) of judgements of perception and judgements of experience in the Prolegomena. If this identifies the self as subject through its embodied perspective, it leaves open the question of the self’s existence. The paper proposes an interpretation of Kant’s brief statements on this matter which provides grounds for an existence claim that extends to the embodied self. This suggests considering Kant’s view of the certainty of one’s existence as involving a feeling of self, albeit in a specifically Kantian form drawing on the transcendental unity of apperception. This feeling of self introduces a practical dimension that supports the claim that any determination of the self as subject has to be practical, namely as free agent subject to inclinations, insofar as he is embodied. (shrink)

The present collection of essays is devoted to the Christian philosophy of the most prolific and most speculatively ambitious of the Cambridge Origenists, Henry More. Not only did More revere Origen, whom he extolled as a "holy sage" and "that miracle of the Christian world", but he also developed a philosophical system which hinged upon the Origenian notions of universal divine goodness and libertarian human freedom. Throughout his life, More subscribed to the ancient theology of the pre-existence of souls and (...) took issue with the early modern philosophies of Thomas Hobbes, René Descartes and Baruch de Spinoza. His vision of God's goodness, experienced in his early school years at Eton, became the cornerstone of an Origenist rationalism which envisaged an extended world animated by divine thought and inhabited by self-moving rational agents. More's philosophy is the crowning attainment of the early modern rediscovery of Origen as well as a neglected major rationalist system in its own right which went on to exert decisive influence upon all subsequent western metaphysics. The essays collected in the first part provide a detailed introduction to More's voluminous writings. After a comprehensive general overview of his metaphysical and ethical system, the essays expound More's historical context and his philosophical development from his early poetry in the 1640s to his mature philosophical and theological prose works of the 50s, 60s and 70s. In addition, the reception of More and Origen in the later Cambridge Origenists and in Isaac Newton is outlined. The second part contains several excerpts from More's influential Latin works first translated into English by the editor. (shrink)

This paper focuses on Olivi’s theory of representation and aims at showing that his theory does not endorse epistemological representationalism . Moreover, there is no representation without self-representation for Olivi. Therefore, his account of self-representation or inner experience resembles modern higher-order theories of consciousness. But unlike most modern authors, Olivi seems to combine a higher-order thought theory with a higher-order perception one.

An important way to become self-deceived, omitted by Mele, is by intentionally ignoring and avoiding the contemplation of evidence one has for an upsetting conclusion, knowing full well that one is giving priority to one's present peace of mind over the search for truth. Such intentional self-deception may be especially hard to observe scientifically.

The concept of nonpropositionality covers the vast field of those aspects of knowledge and experience that cannot be captured by a truth-functional approach or escape conceptual analysis. The book is confined to questions of theoretical philosophy. Its first part provides an orientation within the nonpropositional jungle by critically following a historically beaten track: the philosophy of Gottlob Frege. It not only explains the propositional focus of Frege's epistemology, logic and philosophy of language against the historical background of psychologism but focuses (...) on the limits of this propositional approach. The critical analysis of Frege's logicist project centres on its foundational basis: definitions, logically primitive terms, elucidations of these terms as well as aspects of what Frege calls 'colouring'. The second part of the book echoes many of the central elements which mark the limits of Frege's propositional conception by dealing with the systematically pivotal role that the concept of nonpropositionality plays in contemporary analytical philosophy, especially within epistemology and philosophy of mind. Two main areas stand out: theories of perception and the discussion of inner experience. The focus here is on non-epistemic conceptions of seeing, the non-conceptual content of experience as well as on phenomenal consciousness and self-consciousness. The pivotal claim is that the nonpropositional constitutes the basis of and a necessary condition for the propositional. Any attempt to embark on an analysis of the propositional and of propositional knowledge will float in the air unless the nonpropositional grounds are systematically secured. The book aims to close this gap. (shrink)

This paper discusses the accounts of self-cultivation and self-denial of Archibald Campbell (1691–1756). It analyses how he attempts to make room for moral self-improvement and for the control of the passions in a thoroughly egoistic psychological framework, and with a theory of moral motivation that focuses on a specific kind of self-love, namely the desire for esteem. Campbell's views are analysed in the context of his criticisms of both Francis Hutcheson's benevolence-based moral philosophy and of Bernard (...) Mandeville's version of an egoistic psychology. The paper explores the key role of Campbell's distinction between true and mistaken self-love, and it discusses how his account of self-cultivation reflects both his optimistic view of human nature as being naturally disposed to virtue and his moral rehabilitation of self-love – two points on which he is in conflict with the period's orthodox Calvinism. (shrink)

The papers gathered here were first presented at an “Author Meets Critics” invited session that I organized for the Pacific Division of the American Philosophical Association meeting, held in Vancouver, April 1–5, 2015, on Evan Thompson’s book Waking, Dreaming, Being: Self and Consciousness in Neuroscience, Meditation, and Philosophy. Thompson opened the session with a précis of his book, which was followed by critical commentaries from John Dunne, Owen Flanagan, and Jay Garfield; Jennifer Windt was also an invited contributor to (...) this symposium although she was not able to attend the session. Together with Thompson’s reply, these papers are presented here in their final, revised format.Thompson’s... (shrink)

This paper contrasts Frankfurt’s characterisation of self-love as disinterested with the predominant 18th-century view on self-love as interested. Two senses of the term ‘interest’ are distinguished to discuss two fundamentally different readings of the claim that self-love promotes the agent’s interest. This allows characterising two approaches to self-love, which are found in Hutcheson’s and in Butler’s writings. Hutcheson sees self-love as a source of hedonistic motives, which can be calm or passionate. Butler sees it as (...) a general affection of rational beings in the sense of a kind of love of one’s real nature. (shrink)

Name der Zeitschrift: Zeitschrift für Religionswissenschaft Jahrgang: 23 Heft: 1 Seiten: 159-187.

This review article discusses Melinda Cooper and Catherine Waldby’s recent book, Clinical Labor. Tissue donors and research subjects in the global bio-economy, as a topical contribution to the literatures on the bio-economy, and to studies of life sciences, society, and policy more generally. The article contextualizes the book within existing literatures and thoroughly considers its conceptual approach as well as its findings. Further, it discusses its value as a contribution, arguing that clinical labor also presents an intriguing framework for further (...) research, thereby suggesting some possible directions. (shrink)

Research on children's developing theories of mind has contributed to our understanding of the developmental relation of self and action (1) by exploring the relation of the development of self knowledge to the development of knowledge of others' minds and (2) by investigating the relation between theory of mind development and the development of action control. We argue that evidence on theory of mind reasoning in children with deficient action control (ADHD-diagnosed children) is especially relevant to the second (...) issue and we present some first evidence supporting the bi-directional hypothesis, that is, the view that theory of mind leads to improved action control which in turn supports the ability to represent mental states on-line. (shrink)

This study represents a comparison between two radical gestures of literary self-reflexivity: romantic irony and postmodernist metafiction. It examines the impact of early German romantic theory and its central concept of irony on German and English romantic narrative fiction and relates the same to postmodernist self-reflexive novels, including its British and American variants. A primary objective of this comparison is to account for the radical skepticism that postmodernist metafiction voices with respect to the paramount philosophical question of truth (...) and reality. The immanent tension between an absolute idealistic and a radically skeptic position which romantic irony articulates and enacts is conceived of as an important and instructive link to the understanding of postmodernism. (shrink)

Filipino's love for the elderly is undeniable. However, despite the respect they have for the elderly, an increasing amount of elderly abandonment is rising in the Philippines. The drastic increase in statistics of abandonment will still grow over the years because aging is inevitable. The primary goal of this study is to dig deeper into the experiences, challenges, and coping mechanisms of abandoned senior citizens inside of a home for the aged to spread awareness about this certain topic. By the (...) use of Interpretative Phenomenological Analysis, the study come up with the following findings: (1) The abandoned senior citizens chose to be inside the facility because they don't want to be a burden in their original homes. (2) Faith and religious works affect their psychological well-being. (3) Physical appearance does not affect their self-esteem. (4) Social support boosts their psychological well-being as well. (5) One of the biggest reasons why abandoned senior citizens left their homes is being neglected to cause them to leave and stay in home for the aged (6) Lastly, people inside the facilities accepted the fact that death is drawing closer to them but they don't want to die yet. (shrink)

What justifies holding the person that we are today morally responsible for something we did a year ago? And why are we justified in showing prudential concern for the future welfare of the person we will be a year from now? These questions cannot be systematically pursued without addressing the problem of personal identity. This essay considers whether Buddhist Reductionism, a philosophical project grounded on the idea that persons reduce to a set of bodily, sensory, perceptual, dispositional, and conscious elements, (...) provides support for Parfit’s psychological criterion for personal identity. It examines the role that self-consciousness plays in mediating both self-concern and concern for others, and offers an argument for how reductionism about substantive or enduring selves may be reconciled with the seemingly irreducible character of self-consciousness. (shrink)

This essay explores doctrinal issues in the philosophical and theological debates on human nature and self-love in the early 18th century. It focuses on the arguments between the Scottish philosopher and theologian Archibald Campbell and the Committee for Purity of Doctrine concerning Campbell’s Enquiry into the Original of Moral Virtue (1733). These centre in particular on Campbell’s supposedly unorthodox account of self-love as a virtuous principle and the connected more general view of human nature as tending towards virtue. (...) A comparison with the situation in Geneva shows that similar views were held by influential theologians such as Jean-Alphonse Turrettini and Jacob Vernet. (shrink)

Zusammenfassung Um den normativen Erwartungen an die soziale Position des Schiedsrichters gerecht zu werden, müssen Schiedsrichter als geachtete Autorität auf dem Spielfeld anerkannt werden. Ihre Autorität setzt sich dabei aus der institutionell vom Deutschen Fußball-Bund abgeleiteten Amtsautorität, der funktionalen Sachautorität und der persönlichen Autorität zusammen. In der Selbstwahrnehmung wird der Regelkenntnis und Ernsthaftigkeit die höchste Bedeutung beigemessen. Für Schiedsrichte­rinnen ist im Selbstbild die Physis ein signifikant bedeutenderer Faktor als bei Schiedsrichtern, die wiederum die Regelauslegung als signifikant wichtiger erachten als die (...) Schiedsrichterinnen. Über alle Spielklassen ist die Regelkenntnis und Ernsthaftigkeit der wichtigste Faktor, während die Bedeutung der Physis in höheren Spielklassen stärker betont wird als in niedrigeren Spielklassen. (shrink)

Stephens and Grahamset themselves an apparently modest task, to understand why people who experience alien voices and inserted thoughts do not believe that they themselves are the source of these experiences. However, it soon becomes clear that there are many connected issues here. In eight short chapters, they address the phenomenology and ontology of consciousness, the phenomenology of alien voices, inserted thoughts, obsessive-compulsive thoughts and feelings, and other cases of unusual experience often associated with psychopathology, including brief discussion of multiple (...) personality disorder. They survey some of the main empirical explanations of the phenomenology, set out the shortcomings of these theories, and end by proposing their own schematic account. (shrink)

Humans and many animals are capable of learning and learning how to learn better. We are concerned here with one way that reinforcement learners might learn how to learn better. In an experiment described by Harlow in (Psychol Rev 56:51–65, 1949) a group of rhesus monkeys learn a new way of learning in the context of a specific type of problem. We will consider how such agents might coevolve a new learning dynamics and new attendant saliences. To this end, we (...) propose a self-tuning dynamics that illustrates one way that a reinforcement learner might acquire forms of learning that are well-suited to context-specific problems. (shrink)

Christian Lotz shows in this book that Husserl's Phenomenology and its key concept--subjectivity--is based on a concrete anthropological structure, such as self-affection and the bodily experience of the other. The analysis of the sensual sphere and the lived Body forces Husserl to an ongoing correction of his strong methodological assumptions. Subjectivity turns out to be an ambivalent phenomenon, as the subject is unable to fully present itself to itself, and therefore is forced to allow for a fundamental non-transparency in (...) itself. (shrink)

Every transformation monoid comes equipped with a canonical topology, the topology of pointwise convergence. For some structures, the topology of the endomorphism monoid can be reconstructed from its underlying abstract monoid. This phenomenon is called automatic homeomorphicity. In this paper we show that whenever the automorphism group of a countable saturated structure has automatic homeomorphicity and a trivial center, then the monoid of elementary self-embeddings has automatic homeomorphicity, too. As a second result we strengthen a result by Lascar by (...) showing that whenever \ is a countable \-categorical G-finite structure whose automorphism group has a trivial center and if \ is any other countable structure, then every isomorphism between the monoids of elementary self-embeddings is a homeomorphism. (shrink)

This article argues that standard models of person-centred care (PCC) and shared decision making (SDM) rely on simplistic, often unrealistic assumptions of patient capacities that entail that PCC/SDM might have detrimental effects in many applications. We suggest a complementary PCC/SDM approach to ensure that patients are able to execute rational decisions taken jointly with care professionals when performing self-care. Illustrated by concrete examples from a study of adolescent diabetes care, we suggest a combination of moral and psychological considerations to (...) support the claim that standard PCC/SDM threatens to systematically undermine its own goals. This threat is due to a tension between the ethical requirements of SDM in ideal circumstances and more long-term needs actualized by the context of self-care handled by patients with limited capacities for taking responsibility and adhere to their own rational decisions. To improve this situation, we suggest a counseling, self-care, adherence approach to PCC/SDM, where more attention is given to how treatment goals are internalized by patients, how patients perceive choice situations, and what emotional feedback patients are given. This focus may involve less of a concentration on autonomous and rational clinical decision making otherwise stressed in standard PCC/SDM advocacy. (shrink)