I defend what I take to be a genuinely Kantian view on temporal extension: time is not an object but a human horizon of concrete particulars. As such, time depends on the existence of embodied human subjects. It does not, however, depend on those subjects determined as spatial objects. Starting with a realist notion of “apperception” as applied to indexical space, I proceed with the need for external criteria of temporal duration. In accordance with Kant’s Second Analogy of Experience, these (...) criteria are found in concepts and laws of motion and change. I then see what follows from this for a reasonable notion of transcendental idealism. Finally, in support of my Kantian conclusions, I argue for the transcendentally subjective nature of particular temporal extension. (shrink)

Background: Informed consent is regarded as a contract between autonomous and equal parties and requires the elements of information disclosure, understanding, voluntariness and consent. The validity of informed consent for critically ill patients has been questioned. Little is known about how these patients experience the process of consent.Objective: The aim of this study was to explore critically ill patients’ experience with the principle of informed consent in a clinical trial and their ability to give valid informed consent.Design: 11 stroke patients (...) who had been informed about thrombolytic treatment and had been through the process of deciding whether or not to participate in a thrombolysis trial went through repeated qualitative semistructured interviews.Results: None of the patients had any clear understanding of the purpose of the trial. Neither did they understand the principles of randomisation and voluntariness. Reasons for giving or not giving consent were trust, conceptions of benefits and risks and altruism. Several patients found it immoral to involve patients in the consent procedure and argued that this was the doctors’ responsibility. Others argued that it is a duty to question patients and perceived it as a sign of being treated with respect and dignity. A majority of the patients found the consent process vague and ambiguous.Conclusions: The results indicate that the principle of informed consent from critically ill patients cannot be seen as a contract between equal and autonomous parties. Further studies are needed to explore critically ill patients’ experiences with the process of informed consent. (shrink)

Background: Informed consent is regarded as a contract between autonomous and equal parties and requires the elements of information disclosure, understanding, voluntariness and consent. The validity of informed consent for critically ill patients has been questioned. Little is known about how these patients experience the process of consent.Objective: The aim of this study was to explore critically ill patients’ experience with the principle of informed consent in a clinical trial and their ability to give valid informed consent.Design: 11 stroke patients (...) who had been informed about thrombolytic treatment and had been through the process of deciding whether or not to participate in a thrombolysis trial went through repeated qualitative semistructured interviews.Results: None of the patients had any clear understanding of the purpose of the trial. Neither did they understand the principles of randomisation and voluntariness. Reasons for giving or not giving consent were trust, conceptions of benefits and risks and altruism. Several patients found it immoral to involve patients in the consent procedure and argued that this was the doctors’ responsibility. Others argued that it is a duty to question patients and perceived it as a sign of being treated with respect and dignity. A majority of the patients found the consent process vague and ambiguous.Conclusions: The results indicate that the principle of informed consent from critically ill patients cannot be seen as a contract between equal and autonomous parties. Further studies are needed to explore critically ill patients’ experiences with the process of informed consent. (shrink)

Questions on what it means to live and die well are raised and discussed in the hospice movement. A phenomenological lifeworld perspective may help professionals to be aware of meaningful and important dimensions in the lives of persons close to death. Lifeworld is not an abstract philosophical term, but rather the opposite. Lifeworld is about everyday, common life in all its aspects. In the writings of Cicely Saunders, known as the founder of the modern hospice movement, facets of lifeworld are (...) presented as important elements in caring for dying patients. Palliative care and palliative medicine today are, in many ways, replacing hospices. This represents not only a change in name, but also in the main focus. Hospice care was originally very much about providing support and comfort for, and interactions with the patients. Improved medical knowledge today means improved symptomatic palliation, but also time and resources spent in other ways than before. Observations from a Nordic hospice ward indicate that seriously ill and dying persons spend much time on their own. Different aspects of lifeworld and intersubjectivity in the dying persons’ room is presented and discussed. (shrink)

In his ‘pains and Places’ (Philosophy 78, 2003), John Hyman is right that pains are not located in their causes or effects but in the hurting limbs. However, his position may be consonant with Wittgensteinian expressivism or the view that consciousness is the locus of pain: In producing its own parts, a living organism ‘autopoietically’ sustains itself as an activity functionally present in its limbs. It thus supplies the biological basis for pain consciousness as something wholly present in organs that (...) hurt. (Published Online October 13 2005). (shrink)

‚Erfahrung ist eine verstandene Wahrnehmung‘ Die hier vorgeschlagene Kant-Interpretation stellt eine nicht-repräsentationalistische Version seiner Theorie der raumzeitlichen Erkenntnis dar. So befindet sie sich nicht nur im Gegensatz zu herkömmlichen Lesarten deutlich mentalistischer Prägung, sondern opponiert im allgemeinen gegen repräsentationalistische Auslegungen des Verhältnisses zwischen Wahrnehmung und Wissen. Wie sehr man sich dabei auf ein interpretatorisches Minenfeld hinaus bewegen kann – davon zeugt das folgende Schlusswort einer Lexikon-Eintragung zu Kantischen und anderen Varianten des Idealismus: „In the end, the only argument for idealism (...) of any form is to be found in the representative theory of perception, and that theory is false“. Formulierungen wie diese sind in verschiedenen Traditionen der Interpretation tief verwurzelt und können nicht ohne weiteres als extreme Einzeläusserungen abgetan werden – um so weniger, als repräsentationalistische oder auch mentalistische Lesarten der theoretischen Philosophie Kants immer noch einen wichtigen Trend darstellen. (shrink)

Of what does the size of spatially and temporally extended phenomena consist? The particular, non-conceptual magnitude of a spatial thing is a determinate, world-defining unit size. Correspondingly, natural objects have a definite size in relation to embodied human subjectivity as a global ‘measure of worlds’. As displayed by the occurrence of global models in human life, this relation has an irreducibly indexical character. The particular temporal extension of events is intrinsic to human experience as well – albeit in a different (...) way. As displayed in local models only, it is a conceivable object of practical but not of propositional knowledge. In its role as a global spatial measure, somehow the human body is more than one among the many possible objects of descriptive knowledge. This role is supplied by rational agency – which is then a condition of the world. (shrink)

Background: Thrombolytic drugs to treat an acute ischaemic stroke reduce the risk of death or major disability. The treatment is, however, also associated with an increased risk of potentially fatal intracranial bleeding. This confronts the patient with the dilemma of whether or not to take a risk of a serious side effect in order to increase the likelihood of a favourable outcome. Objective: To explore acute stroke patients’ perception of risk and willingness to accept risks associated with thrombolytic drug treatment. (...) Design: Eleven patients who had been informed about thrombolytic drug treatment and had been through the process of deciding whether or not to participate in a thrombolytic drug trial went through repeated qualitative, semistructured interviews. Results: Many patients showed a limited perception of the risks connected with thrombolytic drug treatment. Some perceived the risk as not relevant to them and were reluctant to accept that treatment could cause harm. Others seemed to be aware that treatment would mean exposure to risk. The patients’ willingness to take a risk also varied substantially. Several statements revealed ambiguity and confusion about being involved in a decision about treatment. The patients’ reasoning about risk was put into the context of their health-related experiences and life histories. Several patients wanted the doctor to be responsible for the decisions. Conclusion: Acute stroke patients’ difficulties in perceiving and processing information about risk may reduce their ability to be involved in clinical decisions where risks are involved. (shrink)

Gegen von Wright und andere Anhänger nicht-kausaler Handlungserklärungen hat Davidson argumentiert, daß Handlungen nicht nur als sinnvolles Verhalten konzeptuell verstanden, sondern auch durch singulare Ursachen als ihre „wahren” Motive erklärt werden. Dem entspricht auch der von Perry und anderen nachgewiesene indexikalische Charakter eines jeden Handlungsbewußtseins. Da jedoch ein singuläres Handlungsbewußtsein auch zukunfisgerichtet ist, hat das entsprechende, indexikalische Motiv keine von der erst zu realisierenden Handlung unabhängige Existenz. Die Handlung wird eher als eine „Wirkung von der Zukunft” verstanden, und so haben (...) die Anti-Kausalisten recht, daß bei Handlungserklärungen nicht auf Humesche Ursachen hingewiesen wird. (shrink)

Gegen von Wright und andere Anhänger nicht-kausaler Handlungserklärungen hat Davidson argumentiert, daß Handlungen nicht nur als sinnvolles Verhalten konzeptuell verstanden, sondern auch durch singulare Ursachen als ihre „wahren” Motive erklärt werden. Dem entspricht auch der von Perry und anderen nachgewiesene indexikalische Charakter eines jeden Handlungsbewußtseins. Da jedoch ein singuläres Handlungsbewußtsein auch zukunfisgerichtet ist, hat das entsprechende, indexikalische Motiv keine von der erst zu realisierenden Handlung unabhängige Existenz. Die Handlung wird eher als eine „Wirkung von der Zukunft” verstanden, und so haben (...) die Anti-Kausalisten recht, daß bei Handlungserklärungen nicht auf Humesche Ursachen hingewiesen wird. (shrink)

From two not very controversial premises I argue for a variant of transcendental idealism: Space is a non-conceptual system of particular distances and directions. As a possible object of propositional truth, distance or size is relational. But means the collapse of : In relationally equivalent worlds, one cannot distinguish between particular and conceptual size. What is needed for particular distance being an objective property of things is a global measure of such worlds. This is supplied by rational, indexical agency.

Every human being may be said to be a philosopher, endowed with the capacity to reflect on her own life as part of some general worldview or even 'ontology'. With that said, it is not obvious what kind of philosophical training a state-organized, state-funded educational system should support. This paper seeks an answer to this problem in a Kantian understanding of enlightenment: in transcendental philosophy, what corresponds to a formal notion of ontology is reason, and the autonomy of reason is (...) realized in free and equal citizens governing themselves according to their own best judgment. A precondition of such government is a certain general level of rationality and reflection among the populace, a level to be fostered by public philosophy education. This may warrant closer, 'dialogic' ties between teaching and research as the best way for students to develop their capacity for philosophical thinking. It may also favour the taking of a critical stance on the more scientistic approach dominating much of today's mainstream philosophy. (shrink)

This volume is a Norwegian/German collaboration lead by Trygve Wyller and Hans-Gunter Heimbrock.