Der Alltag der Medizin sowie gesundheitspolitische Losungsstrategien legen nahe, dass unser Gesundheitssystem massgeblich vom biomedizinisch-technischen Fortschritt und der Finanzierbarkeit gepragt ist. In diesem Band kommen Mediziner, Juristen und Gesundheitswissenschaftler zu Wort, die der Uberzeugung sind, dass die entscheidenden Fragen zur Zukunft unseres Gesundheitssystems ethischer Natur sind. Sei es auf der Systemebene der Gesundheitspolitik, der Ebene der Versorgung, sei es in Interaktionszusammenhangen oder seien es rechtliche Gratwanderungen beim Umgang mit Fehlern oder der Patientenverfugung - es geht um die Fragen: Was kann, (...) darf, soll die Medizin, welche Menschenbilder und Visionen des Zusammenlebens liegen ihr zugrunde? Wie viel Zeit bleibt, daruber nachzudenken, Optionen zu entwerfen? - Neben fuhrenden Fachvertretern kommen Patienten und Angehorige zu Wort. Ihre Erfahrungen fliessen ein in ein mosaikartiges Gesamtbild, das uns hilft, die Medizin der Zukunft im Sinne einer Kontextsteuerung mitzugestalten. (shrink)

Dieses Buch untersucht, was in den jeweiligen Theorieansätzen mit Bildhandeln‹ gemeint ist, indem eine Reihe von philosophischen und kunstwissenschaftlichen Ansätzen zum Verhältnis von Bild und Handlung vorgestellt und systematisiert werden. Vier paradigmatische Handlungstypen werden voneinander differenziert, die spezifische Verwendungsmöglichkeiten von Bildern umfassen. Die ersten zwei – Bildspiele‹ und Bildakte‹ – beruhen auf der sprachphilosophisch motivierten Prämisse, dass die Verwendung von Bildern der Struktur eines Sprachspieles oder eines Sprechaktes entspricht. Diese Prämisse bezieht sich auf Verwendungsweisen, durch die materiellen Gegenständen der Bildstatus (...) zugeschrieben wird. Demgegenüber werden zwei weitere Bildhandlungstypen vorgestellt, wonach Bilder nur dann verwendet werden können, wenn ihr Bildstatus bereits feststeht. Diese Bildhandlungstypen werden mit einem Vergleich von Bildern und Werkzeugen sowie der Kategorie Probehandlungen‹ thematisiert. (shrink)

The Scottish Enlightenment shaped a new conception of history as a gradual and universal progress from savagery to civil society. Whereas women emancipated themselves from the yoke of male-masters, men in turn acquired polite manners and became civilized. Such a conception, however, presents problematic questions: why were the Americans still savage? Why was it that the Europeans only had completed all the stages of the historic process? Could modern societies escape the destiny of earlier empires and avoid decadence? Was there (...) a limit beyond which women's influence might result in dehumanization? The Scottish Enlightenment's legacy for modernity emerges here as a two-faced Janus, an unresolved tension between universalism and hierarchy, progress and the limits of progress. (shrink)

Based on the Nietzschean conception of language as rhetoric, the aim is to show how the notion of constitutive artifice denies the naturalness of language and, at the same time, it is linked to the affirmation of an unconscious dimension operating in its functioning.

Trotz großer Verbesserungen in der Versorgung von Menschen mit Typ-1-Diabetes (MmT1D) werden auch bei hoher Motivation und hohem Wissensstand der T1D-Grundlagen und -Therapie die angestrebten Blutglukose-Werte häufig nicht erreicht. Daher hat sich aus der Gruppe der MmT1D und ihrer Angehörigen eine Gemeinschaft zusammengefunden, die auf Basis kommerzieller Technologien sogenannte Open-Source-Closed-Loop-Systeme (OSCLS) entwickelt, welche eine automatisierte Insulinabgabe ermöglichen. OSCLS haben das Potenzial, das Management der Erkrankung zu erleichtern und normnähere Blutglukose-Werte zu erzielen. Die OSCLS sind jedoch weder offiziell geprüfte noch zugelassene (...) Systeme. Aus dem Blickwinkel der Technikfolgenabschätzung untersucht die vorliegende Arbeit mittels leitfadengestützter qualitativer Interviews mit Nutzenden und Fachkräften vorrangig, warum sich die Nutzenden der OSCLS für die Systeme entscheiden und wie sich diese auf das Leben der Nutzenden sowie auf das Gesundheitswesen auswirken. Zudem ordnet diese Arbeit die OSCLS-Bewegung in vergleichbare aktivistische Bewegungen in Medizin und Gesundheit ein sowie in den Kontext der derzeit immer stärker werdenden Bewegung der Patient Innovation. Die Autorin Silvia Woll war als Geisteswissenschaftlerin seit 2015 als Mitarbeiterin am Institut für Technikfolgenabschätzung und Systemanalyse (ITAS) im Karlsruher Institut für Technologie (KIT) tätig. Ihre inhaltlichen Schwerpunkte umfassten dabei Technologien für Gesundheit und Ernährung, Technikethik und partizipative Verfahren wie die Citizen Science. (shrink)

Pluralist mathematical realism, the view that there exists more than one mathematical universe, has become an influential position in the philosophy of mathematics. I argue that, if mathematical pluralism is true (and we have good reason to believe that it is), then mathematical realism cannot (easily) be justified by arguments from the indispensability of mathematics to science. This is because any justificatory chain of inferences from mathematical applications in science to the total body of mathematical theorems can cover at most (...) one mathematical universe. Indispensability arguments may thus lose their central role in the debate about mathematical ontology. (shrink)

This article presents the first, systematic analysis of the ethical challenges posed by recommender systems through a literature review. The article identifies six areas of concern, and maps them onto a proposed taxonomy of different kinds of ethical impact. The analysis uncovers a gap in the literature: currently user-centred approaches do not consider the interests of a variety of other stakeholders—as opposed to just the receivers of a recommendation—in assessing the ethical impacts of a recommender system.

Public engagement is one of the fundamental pillars of the European programme for research and innovation _Horizon 2020_. The programme encourages engagement that not only fosters science education and dissemination, but also promotes two-way dialogues between scientists and the public at various stages of research. Establishing such dialogues between different groups of societal actors is seen as crucial in order to attain epistemic as well as social desiderata at the intersection between science and society. However, whether these dialogues can actually (...) help attaining these desiderata is far from obvious. This paper discusses some of the costs, risks, and benefits of dialogical public engagement practices, and proposes a strategy to analyse these argumentative practices based on a three-tiered model of epistemic exchange. As a case study, we discuss the phenomenon of vaccine hesitancy, arguably a result of suboptimal public engagement, and show how the proposed model can shed new light on the problem. (shrink)

I argue that recent attempts to deflect Access Problems for realism about a priori domains such as mathematics, logic, morality, and modality using arguments from evolution result in two kinds of explanatory overkill: the Access Problem is eliminated for contentious domains, and realist belief becomes viciously immune to arguments from dispensability, and to non-rebutting counter-arguments more generally.

The existence of fundamental moral disagreements is a central problem for moral realism and has often been contrasted with an alleged absence of disagreement in mathematics. However, mathematicians do in fact disagree on fundamental questions, for example on which set-theoretic axioms are true, and some philosophers have argued that this increases the plausibility of moral vis-à-vis mathematical realism. I argue that the analogy between mathematical and moral disagreement is not as straightforward as those arguments present it. In particular, I argue (...) that pluralist accounts of mathematics render fundamental mathematical disagreements compatible with mathematical realism in a way in which moral disagreements and moral realism are not. 11. (shrink)

This paper intends to show how Schopenhauer‟s „eristic dialectics‟, defined by him as „the art of being right‟, arise from the combination of two lines of thought on dialectics: the Aristotelian tradition, in which dialects are understood as an argumentative discourse based on generally accepted notions; and the tradition set in motion by Kant, which understands dialectics as a logic of appearances or of illusion. The interpretation we favor, and which we intend to argue in this work, is the following: (...) while attempting to assimilate and to go beyond the teachings of both traditions, Schopenhauer sets forth the basic elements of a kind of communicative rationality in which the polemical functioning of language, understood as the effective instrument of a certain „will of power‟, becomes the sole factor which determines the consolidation of social beliefs and values. (shrink)

It is well-established that algorithms can be instruments of injustice. It is less frequently discussed, however, how current modes of AI deployment often make the very discovery of injustice difficult, if not impossible. In this article, we focus on the effects of algorithmic profiling on epistemic agency. We show how algorithmic profiling can give rise to epistemic injustice through the depletion of epistemic resources that are needed to interpret and evaluate certain experiences. By doing so, we not only demonstrate how (...) the philosophical conceptual framework of epistemic injustice can help pinpoint potential, systematic harms from algorithmic profiling, but we also identify a novel source of hermeneutical injustice that to date has received little attention in the relevant literature: epistemic fragmentation. Epistemic fragmentation is a structural characteristic of algorithmically-mediated environments that isolate individuals, making it more difficult to develop, uptake and apply new epistemic resources. This, in turn, can impede the identification and conceptualisation of emerging harms in these environments. We trace the occurrence of hermeneutical injustice back to the fragmentation of the epistemic experiences of individuals, who are left more vulnerable by the inability to share, compare, and learn from shared experiences. (shrink)

Can art, religion, or philosophy afford ineffable insights? If so, what are they? The idea of ineffability has puzzled philosophers from Laozi to Wittgenstein. In Ineffability and its Metaphysics: The Unspeakable in Art, Religion and Philosophy, Silvia Jonas examines different ways of thinking about what ineffable insights might involve metaphysically, and shows which of these are in fact incoherent. Jonas discusses the concepts of ineffable properties and objects, ineffable propositions, ineffable content, and ineffable knowledge, examining the metaphysical pitfalls involved (...) in these concepts. Ultimately, she defends the idea that ineffable insights as found in aesthetic, religious, and philosophical contexts are best understood in terms of self-acquaintance, a particular kind of non-propositional knowledge. Ineffability as a philosophical topic is as old as the history of philosophy itself, but contributions to the exploration of ineffability have been sparse. The theory developed by Jonas makes the concept tangible and usable in many different philosophical contexts. (shrink)

What are the relevant values to the appraisal of research programs? This question remains hotly debated, as philosophers have recently proposed many lists of values potentially relevant to scientific appraisal. Surprisingly, despite being mentioned in many lists, little attention has been paid to fruitfulness. It is unclear how fruitfulness should be explicated, and whether it has any substantial role in scientific appraisal. In this paper, I argue we should explicate fruitfulness as the capacity to develop of research programs. Moreover, I (...) provide a novel strategy to assess and compare the fruitfulness of programs focused on their research questions and heuristics. To illustrate how this strategy would work, I will discuss a case study, namely the adaptationist program in evolutionary psychology. (shrink)

Para reconstruir la historia de la Patagonia desde una perspectiva que pone al sistema escolar en el centro, es inevitable centrar la atención en el aporte social y educativo de las Congregaciones salesianas, Salesianos e Hijas de María Auxiliadora, que se inició a fines del siglo XIX y principios del siglo XX. En la Patagonia, de hecho, las Congregaciones asumieron un papel relevante, mostrando un monopolio misionero y educativo desde 1880, aunque en algunos espacios y en distintos momentos, existieron tensiones (...) con los funcionarios del Estado por el conjunto de Leyes laicas sancionadas entre 1881 y 1884. En esta contribución adoptaremos una visión territorialista desarrollada en el contexto de la geografía suiza e italiana para analizar las escuelas agrícolas salesianas de la Patagonia, como resultado de la transformación material llevada a cabo por la Congregación salesiana-con foco en la escuela agrícola "San Miguel" de General Roca- en el marco de la formación del sistema educativo estatal y en el contexto de la promulgación y aplicación de la Ley nacional N° 1420 de 1884. (shrink)

This book draws on Iris Murdoch's philosophy to explore questions related to the importance of attention in ethics. In doing so, it also engages with Murdoch's ideas about the existence of a moral reality, the importance of love, and the necessity but also the difficulty, for most of us, of fighting against our natural self-centred tendencies. Why is attention important to morality? This book argues that many moral failures and moral achievements can be explained by attention. Not only our actions (...) and choices, but the possibilities we choose among, and even the meaning what we perceive, are to a large extent determined by whether we pay attention, and what we attend do. In this way, the book argues that attention is fundamental, though often overlooked, in morality. While the book's discussion of attention revolves primarily around Murdoch's thought, it also engages significantly with Simone Weil, who introduced the concept of attention in a spiritual context. The book also engages with contemporary debates concerning moral perception and motivation, empirical psychology, animal ethics, and Buddhist philosophy. The Ethics of Attention will be of interest to researchers and advanced students working on Iris Murdoch, Simone Weil, ethics and moral psychology, and the philosophy of attention. (shrink)

Featuring original essays from leading scholars in philosophy and psychology, this volume investigates and rethinks the role of practical wisdom in light of the most recent developments in virtue theory and moral, social and developmental psychology. The concept of phronesis has long held a prominent place in the development of Aristotelian virtue ethics and moral education. However, the nature and development of phronesis is still in need of investigation, especially because of the new insights that in recent years have come (...) from both philosophy and science. The essays in this volume contribute to the debate about practical wisdom by elucidating its role in empirical psychology and advancing important new research questions. They address various topics related to practical wisdom and its development, including honesty, ecocentric phronesis, social cognitive theory, practical wisdom in limited-information contexts, Whole Trait Theory, skill models, the reciprocity of virtue, and challenges from situationism. Practical Wisdom will interest researchers and advanced students working in virtue ethics, moral psychology, and moral education. (shrink)

Modulating connectivity measures in EEG-based neurofeedback studies is assumed to be a promising therapeutic and training tool. However, little is known so far about its effects and trainability. In the present study, we investigated the effects of up- and down-regulating SMR coherence by means of neurofeedback training on EEG activity and memory functions. Twenty adults performed 10 neurofeedback training sessions in which half of them tried to increase EEG coherence between Cz and CPz in the SMR frequency range, while the (...) other half tried to down-regulate coherence. Up-regulation of SMR coherence led to between- and within-session changes in EEG coherence. SMR power increased across neurofeedback training sessions but not within training sessions. Cross-over training effects on baseline EEG measures were also observed in this group. Up-regulation of SMR coherence was also associated with improvements in memory functions when comparing pre- and post-test results. Participants were not able to down-regulate SMR coherence. This group did not show any changes in baseline EEG measures or memory functions comparing pre- and post-test. Our results provide insights in the trainability and effects of connectivity-based neurofeedback training and indications for its practical application. (shrink)

In two studies, children's concepts of various types of ordinarily unobservable entities were examined. Study 1 confirmed earlier findings in showing that children aged 4–9 years are confident of the existence of scientific entities such as germs as well as religious beings such as God. At the same time, both age groups are skeptical of the existence of various mythical beings such as mermaids. In Study 2, older children aged 10–12 years were probed for their concepts of religious as compared (...) to scientific phenomena. Despite considerable confidence in each type, older children differentiated between them, both with respect to their level of confidence and their pattern of justification. (shrink)

This article analyses the ethical aspects of multistakeholder recommendation systems (RSs). Following the most common approach in the literature, we assume a consequentialist framework to introduce the main concepts of multistakeholder recommendation. We then consider three research questions: who are the stakeholders in a RS? How are their interests taken into account when formulating a recommendation? And, what is the scientific paradigm underlying RSs? Our main finding is that multistakeholder RSs (MRSs) are designed and theorised, methodologically, according to neoclassical welfare (...) economics. We consider and reply to some methodological objections to MRSs on this basis, concluding that the multistakeholder approach offers the resources to understand the normative social dimension of RSs. (shrink)

Among the possible ways of gaining moral knowledge, moral perception figures as a controversial yet fruitful option. If moral perception is possible, moral disagreement is addressed not by appealing to principles but to the process and the objects of perception, and moral progress occurs not through deliberation but by refining one’s perceptual faculties. The possibility of “seeing clearly and justly” is at the heart of Iris Murdoch’s thought, but Murdoch herself does not put forth a systematic argument for this view. (...) In this paper I propose an argument for moral perception based on Murdoch’s philosophy, while engaging with contemporary debates in moral perception. The key idea I take from Murdoch is that perception is conceptually laden, where concepts are understood as ways of grasping the world according to human concerns. Murdoch’s position enables us to solve a difficult tension: explaining the motivating force of perception while maintaining objectivity in ethics. This view of moral perception also constitutes a radical position in the debate, where even the most optimistic defenses appeal to the supervenience of values on facts. If Murdoch is right, however, we perceive complex properties, including values, directly, so that appeal to supervenience becomes unnecessary and some of the grounds for the very distinction between fact and value are put into question. (shrink)

We advance research on how businesses engage with the complex social problems currently known as Grand Challenges. We study the concepts that preceded the term Grand Challenges, the connected ontologies that ground them, and the diversity of perspectives they offered. We construct a knowledge map that includes well-researched obstacles, such as governance obstacles hindering engagement and sensemaking obstacles limiting the ideation of novel and creative efforts. But we also build on prior research to identify curation obstacles, which precede engagement and (...) define which problems receive social attention, and adaptation obstacles, which create uncertainty over workable solutions and bias the momentum of social systems toward the status quo. Our broader view on the obstacles defining Grand Challenges opens new pathways and identifies underexplored levers by which to understand and influence business engagement with complex social problems. (shrink)

In the last few decades, the historiographical categories rationalism and empiricism have been criticized for their limitations to explain the complex positions and the links held by the philosophers tradiotnally attached to them. This narrative was firstly conceived by Kantian German historians and began to become standard at the turn of the twentieh century. Nonetheless, nineteenth-century French historiography developed other narratives by which early modern philosophers were classified according to alternative criteria. In the first edition of Histoire comparée des systémes (...) de philosophie (1804), Joseph-Marie Degérando distinguishes three first-order early modern schools founded by Bacon, Descartes and Leibniz, respectively. Degérando introduces the empiricism and rationalism distinction as one among others, and not as the fundamental one. In addition, he separates empiricism from experimental philosophy. The last one, along with speculative philosophy, is said to conciliate senses and reason. As a result, this account offers philosophical groupings different from those constructed by the standard narrative. Furthermore, it draws on labels and classification criteria which were part of the early modern philosophical discourse. (shrink)

Maimonides famously holds that, while it is perfectly possible to know (and say) that God exists, it is impossible to know (and say) what God is like because any positive attri- bution contradicts God’s essential oneness. Consequently, pure equivocity obtains between descriptions of the divine and descriptions of any other being. But this raises a puzzle: Knowledge of God seems vacuous if we lack all comprehension of God’s nature - so how can we have any comprehension of the divine without (...) being able to say what it is that we know? In this essay, I defend the substantiality of the concept of knowledge of God on Maimonides’ apophatic picture. Drawing on the concept of non-propositional knowledge, I argue that knowledge and comprehension can come apart, which lends support to Maimonides’ thesis that knowledge of God, though substantial and objective, cannot be expressed. (shrink)

The paper considers one of the most enigmatic problems of Wittgenstein`s Tractatus - the problem of solipsism. The authorś task is to reveal how the discussion of solipsism illuminates Wittgenstein`s metaphysical view in this treatise. Wittgenstein`s method is considered as one through which the status of what cannot be said is demonstrated. Wittgenstein has not embrased solipsism or idealism in the Tractatus, and neither has he rejected metaphysics as a whole. His attack has been directed against dogmatic philosophy and ethics, (...) against the effort to say what cannot be said in true/false propositions. The discussion of solipsism brings into philosophy the importance of metaphysical "I" as a transcendental limit of the world and language. Wittgenstein`s aim in the Tractatus has been twofold: a) to show the nonsensicality of philosophical, ethical, aesthetical propositions , b) to emphasize, that the inexpresibility of the higher is the most important thing in our lives. (shrink)

In recent years, aggressive and conservative nationalistic forces have been growing stronger worldwide (Rydgren 2018). Increased random terrorist attacks are now occurring in sites previously thoug...

Drawing an analogy between modal structuralism about mathematics and theism, I o er a structuralist account that implicitly de nes theism in terms of three basic relations: logical and metaphysical priority, and epis- temic superiority. On this view, statements like `God is omniscient' have a hypothetical and a categorical component. The hypothetical component provides a translation pattern according to which statements in theistic language are converted into statements of second-order modal logic. The categorical component asserts the logical possibility of the (...) theism struc- ture on the basis of uncontroversial facts about the physical world. This structuralist reading of theism preserves objective truth-values for theistic statements while remaining neutral on the question of ontology. Thus, it o ers a way of understanding theism to which a naturalist cannot object, and it accommodates the fact that religious belief, for many theists, is an essentially relational matter. (shrink)

This essay provides an overview of the ways in which contemporary philosophers have tried to make sense of ineffability as encountered in aesthetic contexts. Section 1 sets up the problem of aesthetic ineffability by putting it into historical perspective. Section 2 specifies the kinds of questions that may be raised with regard to aesthetic ineffability, as well as the kinds of answer each one of those questions would require. Section 3 investigates arguments that seek to locate aesthetic ineffability within the (...) object of aesthetic experiences, i.e. within aesthetic content. Section 4 discusses arguments that seek to locate aesthetic ineffability within the subject of aesthetic experience. (shrink)

How does personality influence the relationship between appraisals and emotions? Recent research suggests individual differences in appraisal structures: people may differ in an emotion's appraisal pattern. We explored individual differences in interest's appraisal structure, assessed as the within-person covariance of appraisals with interest. People viewed images of abstract visual art and provided ratings of interest and of interest's appraisals (novelty–complexity and coping potential) for each picture. A multilevel mixture model found two between-person classes that reflected distinct within-person appraisal styles. For (...) people in the larger class (68%), the novelty–complexity appraisal had a stronger effect on interest; for people in the smaller class (32%), the coping potential appraisal had a stronger effect. People in the larger class were significantly higher in appetitive traits related to novelty seeking (e.g., sensation seeking, openness to experience, and trait curiosity), suggesting that the appraisal classes have substantive meaning. We conclude by discussing the value of within-person mixture models for the study of personality and appraisal. (shrink)