We assessed students’ and employees’ perception of ethical climate at a university school of medicine compared to that of social sciences and humanities, as well as temporal changes in the employees’ perception of ethical climate. We also explored potential predictors of ethical climate, including moral foundations. This cross-sectional questionnaire study was conducted at the University of Split School of Medicine and the Faculty of Humanities and Social Sciences, in Croatia, from April to September 2019. We used 36-item Ethical Climate Questionnaire (...) and 22-item Moral Foundation Questionnaire to survey employees, senior and doctoral students. We collected responses using ballot boxes as well as online survey. We collected 449 complete responses. The dominant ethical climates at two schools were “Company rules and procedures” and “Laws and professional codes”. We compared our results with a study conducted in 2012 and found that the perception of ethical climate had not changed dramatically in last 8 years. Ethical climate, or shared social and work-related behaviours, does not seem to change in these institutions even when students and staff are included with faculty in surveys. We provide further discussion of why this seems to be the case. (shrink)

Organizational climate and culture may influence different work-related outcomes, including responsible conduct of research and research misconduct in academic or research organizations. In this scoping review we collected evidence on outcomes of interventions to change organizational climate or culture in academic or research settings. Out of 32,093 documents retrieved by the search, we analysed 207 documents in full text, out of which 7 met the eligibility criteria and were included in the final analysis. The included studies measured organizational climate, organizational (...) culture, or both at biomedical faculties or non-academic university departments. Four studies had post-test, and three before-and-after study designs. The majority of interventions were face-to-face activities, and two were based on organizational change. Six studies reported positive changes in organizational climate/culture after the intervention. These positive changes were measured as improvements in score on different questionnaire survey or were described through authors’ or external evaluator’s narrative reports. However, the methodological quality of the studies was low, both for qualitative and quantitative study designs. Replicable studies, using rigorous methods and clearly defined outcomes are urgently needed if organizations want to achieve a real change in organizational climate or culture for responsible research. The protocol for this scoping review was registered at https://osf.io/7zjqb. (shrink)

BackgroundThe European Charter of Patients' Rights presents basic patients' rights in health care. We analysed the characteristics of patients' complaints about their rights submitted through the official complaints system and to a non-governmental organization in Croatia.MethodsThe official system for patients’complaints in Croatia does not have a common pathway but offers different modes for addressing patient complaints. In this cross-sectional study, we analysed the reports about patients’ complaints from the official regional committees sent to the Ministry of Health. We also analysed (...) the complaints received by the Croatian Association for the Protection of Patient’s Rights and mapped them to the ECPR.ResultsThe aggregated official data from the Ministry of Health in 2017 and 2018 covered only 289 individual complaints from 10 out of 21 counties. Complaints were most frequently related to secondary and tertiary healthcare institutions and details were not provided. CAPR received a total of 440 letters, out of which 207 contained 301 complaints about violations of patients’ rights in 2017–2018. The most common complaint was the Right of Access to health care from the ECPR, followed by the Right to Information and the Right to Safety. The fewest complaints were about the Right to Complain, Right to Innovation, Right to Compensation, and Right to Preventive Measures.ConclusionsReporting and dealing with patients’ complaints about violations of their patients’ rights does not appear to be effective in a system with parallel but uncoordinated complaints pathways. Mapping patient's complaints to the ECPR is a useful tool to assess the perception of patients’ rights and to plan actions to improve the complaints system for effective health care. (shrink)

It is untrue that, as Hegel said in 1807 in the Phänomenologie, «the wounds of the spirit heal and leave no scar behind; what is done is not indelible, but is reassumed by the spirit» (GW 9, 360) since the ground of reality, that reality which, as indicated by Kant, seems to be submerged in evil (Ak. VI), refuses to be tamed by concepts. Disappearance without remnant, that dissolution (Verschwindung) mentioned by Hegel would suppose that there is no remnant of (...) evil, thatits effects in history-such as the Jacobin terror with its macabre liturgy of severed heads referred to in the above passage of the Phänomenologieare nothing more than moments to be sublate (aufgehoben), part of a necessary process. There is no remnant to be explained. All is revealed: Offenbarung der Tiefe. The relationship between Hegel and Schelling has in this topic, the problem of evil and its meaning in history (Geschichte), one of its key points: in Schelling one can see a hollow which constitutes a pathway to the problem of finitude and evil, studied in depth in the Freiheitsschrift of 1809, partly as a response to the critics expressed by Hegel in the Phänomenologie. While Hegel reduced evil to an abstract negation, to be overcome through a determinated negation as a sign ofthe reason in history, in Schelling evil would remain a permanent possibility that can never be dissolved (verschwinden) or overcome (aufgehoben) any way. (shrink)

This title examines the fields of value theory, normative and applied ethics on the issue of killing animals. It addresses a number of questions: Can painless killing harm or benefit an animal and, if so, why and under what conditions? Can coming into existence harm or benefit an animal? Is killing animals morally acceptable? Should animals have the legal right to life? In addressing these questions, animal rights and animal welfare positions are articulated and debated by some of the foremost (...) thinkers on these issues, with a distinction made between rights-based and utilitarian approaches. (shrink)

Academic integrity determines the trust that society has in the quality of education and the results of scientific research. More broadly, it influences honesty, respect for ethical principles, and the fair behaviour of society members. Accordingly, higher education institutions should have clear, transparent and well-communicated policies to defend academic integrity among all stakeholders. Taking into account the worldwide dependence on digital technologies, online communication channels should be also used for this purpose. Using qualitative content analysis, this paper aims to investigate (...) how academic integrity is framed by Latvian and Lithuanian state-financed universities in online public spaces in relation to the criteria of an exemplary academic integrity policy. Given the limited content of publicly available university documents, the research findings indicated a poor correspondence to the mentioned criteria. (shrink)

Many problems that arise when providing pharmacy services may contain some ethical components and the aims of this study were to develop and validate a scale that could assess difficulties of ethical issues, as well as the frequency of those occurrences in everyday practice of community pharmacists. Development and validation of the scale was conducted in three phases: generating items for the initial survey instrument after qualitative analysis; defining the design and format of the instrument; validation of the instrument. The (...) constructed Ethical Issue scale for community pharmacy setting has two parts containing the same 16 items for assessing the difficulty and frequency thereof. The results of the 171 completely filled out scales were analyzed. The Cronbach’s α value of the part of the instrument that examines difficulties of the ethical situations was 0.83 and for the part of the instrument that examined frequency of the ethical situations was 0.84. Test–retest reliability for both parts of the instrument was satisfactory with all Interclass correlation coefficient values above 0.6,. The 16-item scale, as a self assessment tool, demonstrated a high degree of content, criterion, and construct validity and test–retest reliability. The results support its use as a research tool to asses difficulty and frequency of ethical issues in community pharmacy setting. The validated scale needs to be further employed on a larger sample of pharmacists. (shrink)

BackgroundPrevious studies suggest that engagement in any type of physical activity can be protective against mental health issues, whereas elite-level athletes can endure various mental health challenges. The aim of this study was to determine variations in the prevalence of psychological distress among elite sambo athletes and their recreational counterparts.MethodsA sample consisting of 245 athletes was chosen. Out of the total sample, 105 were elite-level athletes while 140 were recreational athletes. Participants were accessed via the Depression Anxiety Stress Scales-21 to (...) determine their stress in various domains at a given time.ResultsData indicated that all tested differences between elite sambo athletes and recreational athletes were statistically significant; recreational athletes had a higher score on the depression scale, anxiety and stress, and a general distress score than sambo athletes. Although there are no gender differences in psychological distress in the total sample of athletes, elite sambo athletes achieve significantly lower scores in all tested variants than recreational ones. Women who engage in recreational activities have stood out as a vulnerable subsample in psychological stress.ConclusionFuture epidemiological and interventional studies should explore optimal strategies to identify mental health needs based on specific sport activity, especially in terms of gender. There is a need to place special emphasis on psychological distress in the context of combat sports. (shrink)

Das in der Tierethik sehr prominente Argument der Grenzfälle beruht auf dem in der Ethik recht allgemeinen Problem der Grenzfälle. In der Ethik wird häufig argumentiert, dass Menschen aufgrund bestimmter Eigenschaften moralisch zu berücksichtigen seien. Immanuel Kant beispielsweise wird im Allgemeinen so verstanden, dass er die Moralfähigkeit für die relevante Eigenschaft hält, aufgrund derer Menschen eine Würde und damit moralischer Stellenwert zukommt. Nun geht es in solchen Argumenten zur Begründung des moralischen Stellenwerts von Menschen allerdings oft um Eigenschaften, die nicht (...) alle Menschen haben. Es gibt zum Beispiel Menschen, die nicht moralfähig sind, weil sie dafür noch zu jung sind, oder weil ihnen aufgrund von schweren kognitiven Behinderungen die dafür notwendigen Fähigkeiten fehlen. Das Problem der Grenzfälle bezieht sich auf die Herausforderung, vor der viele Theorien stehen, nämlich aufzuzeigen ob und, wenn ja, aufgrund wovon auch solchen Menschen, welche die genannten Eigenschaften nicht haben, ein moralischer Stellenwert zukommt. (shrink)

ZusammenfassungWie ist die Auswahl zukünftiger Kinder in moralischer Hinsicht zu beurteilen? Der Beitrag untersucht diese Frage auf der Basis eines liberalen Prinzips der reproduktiven Freiheit, welches Handlungsspielräume und Privatsphäre in Fragen der Fortpflanzung verteidigt, wenn nicht gewichtige moralische Gründe aufgezeigt werden können, welche den Handlungen der beteiligten Personen Grenzen setzen. Er beschränkt sich auf die negative Auswahl, d. h. die Auswahl von gesunden Kindern anstelle von zukünftigen Kindern mit Behinderung oder gesundheitlicher Beeinträchtigung. Erörtert werden selektionsbefürwortende Überlegungen, welche das Wohlergehen des (...) zukünftigen Kindes in den Fokus rücken, und zwei grundsätzlich selektionskritische Argumente. Das erste verweist auf parentale Tugenden, welche mit der Auswahl zukünftiger Kinder unvereinbar wären. Bei dem zweiten handelt es sich um den Einwand der Diskriminierung von Menschen mit Behinderung. Das Ergebnis der Diskussion ist, dass es zukünftigen Eltern in den meisten Fällen freisteht, die Entscheidung über die Auswahl ihrer Kinder im Licht ihrer Ziele und Werte zu treffen. (shrink)

The purpose of this article is to discuss the criminalization of conduct based on human dignity arguments. It proposes a modest version of integrating human dignity into discussions about criminalization. After a critical examination of both the notion of “human dignity as an objective value” and the assumption that the meaning of human dignity can be explained by referring to Kant’s moral philosophy, human dignity violations are characterized as severe humiliations.

Durch Migrationsprozesse und zunehmenden Pluralismus ist in Deutschland das Thema „kulturelle Diversität“ in der Medizin aktueller denn je. In der medizinischen Fachliteratur und im gesellschaftlichen Diskurs wird vermehrt von interkulturellen Konflikten im Kontakt zwischen Arzt und Patient berichtet, was die Frage nach der Rolle von Interkultureller Kompetenz für die klinische Praxis aufwirft. Zunächst widmet sich der Beitrag kritisch den verschiedenen Auffassungen des Begriffs „Kultur“ im medizinischen Kontext, um anschließend eine Methode der interkulturellen Philosophie als eine Möglichkeit für eine kultursensitive Ethik (...) zu skizzieren. Anschließend wird aufgezeigt, welche Schwierigkeiten mit dem Begriff der Interkulturellen Kompetenz verbunden sind und weshalb die Autoren diesen trotzdem als unerlässlich für die Wahrnehmung potentieller Konfliktfelder als auch für den Umgang mit diesen erachten. Schließlich werden derzeitige Entwicklungen in der medizinischen Ausbildung sowie konkrete Beispiele für eine kultursensible Ethikberatung illustriert. Es zeigt sich, dass international zahlreiche Ausgestaltungen Interkultureller Kompetenz in Form von Leitfäden und konkreten Schulungsmodulen existieren, aber auch, dass es in Deutschland an konkreten Umsetzungen in der Breite mangelt und die Zusammenarbeit wissenschaftlicher Disziplinen sowie der betroffenen Institutionen derzeit noch ausbaufähig ist. (shrink)

The "ruin" of the transcendental tradition -- Freud and the transcendental relation -- Derrida: Differance and the "plural logic of the aporia" -- The im-possibility of the psyche -- The death drive and the im-possibility of psychoanalysis -- Institutional psychoanalysis and the paradoxes of archivization -- The Lacanian real -- Sexual difference -- Feminine sexuality -- The transcendental relation in Lancanian psychoanalysis -- The death drive and ethical action -- The "talking cure": language and psychoanalysis.

Researching ethical problems and their frequency could give us a complex picture and greater insight into the types of ethical issues that pharmacists face in providing health care. The overall aim of this study was to assess the pharmacist’s perception of difficulty and frequency of selected ethical issues encountered by the community pharmacists in their everyday practice. A quantitative cross sectional multicenter study was performed using a validated survey instrument - Ethical Issue Scale for Community Pharmacy. The results of the (...) analysis of 690 completely filled out instruments showed the difference between the ethical issues which always occurred, and the ones that pharmacists found most difficult. The majority of respondents were familiar with the Code of Ethics but the correlation between the familiarity and the perceived usefulness of the code in resolving problems in everyday practice was negative. Results showed that patients’ well-being had a high influence on pharmacists’ behavior. The results provided quantitative data by the examination of specific ethical issues and their occurrence. Further empirical research is recommended in order to systematically identify the ethical issues faced by community pharmacists. (shrink)

We consider the problem whether the $\forall \Sigma _{1}^{b}$ theorems of the fragments $T_{2}^{a}$ form a strictly increasing hierarchy. We shall show a link to some results about the lengths of proofs in predicate logic that supports the conjecture that the hierarchy is strictly increasing.

Vanessa Carbonell argues that sacrifices of self, unlike most other sacrifices, cannot be analyzed entirely in terms of wellbeing. For this reason, Carbonell considers sacrifices of self as posing a problem for the wellbeing theory of sacrifice and for discussions about the demandingness of morality. In this paper I take issue with Carbonell’s claim that sacrifices of self cannot be captured as prudential harms. First, I explain why Carbonell considers sacrifices of self particularly problematic. In order to determine whether some (...) state of affairs is harmful for someone, it is necessary to assume a particular account of welfare. In this paper, I assume the self-fulfillment account of welfare. I introduce this theory and show that it can account for the harm of sacrifices of self. (shrink)

The article examines whether state officials may shoot down a hijacked airplane which carries uninvolved passengers, if it is known that the plane will be used against the lives of other human beings. In its first sections, it explains the German Federal Constitutional Court’s verdict against such a permission, and it scrutinizes the crucial arguments in this ruling. The author then extends the discussion beyond the path taken by the court. She examines the defensive claims of passengers aboard the plane (...) and the protective claims of potential victims who are present at the hijackers’ target zone. In contrast to the German Federal Constitutional Court, she concludes that state officials must take the claims of both groups of potential victims equally serious, and that such conditions allow applying a consequentialist calculus because it is the only way out of a genuine dilemma. (shrink)

In this article, I comment on Simester and von Hirsch’s theory of criminalization and discuss general principles of criminalization. After some brief comments on punishment theories and the role of moral wrongdoing, I examine main lines of contemporary criminalization theories which tend to focus on the issues of harm, offense, paternalism and side-constraints. One of the points of disagreement with Simester and von Hirsch concerns the role of the harm principle. I rely on a straightforward normative concept of “rights of (...) others,” not in the sense of rights granted in positive law but in the sense of rights which are to be justified in political philosophy. With a rights-centered rather than a harm-centered approach, a prima facie reason for criminalization is the violation of others’ rights. It is unnecessary to develop a separate category of “offense to others,” and paternalistic interventions can be criticized straightforwardly because rights can be waived. (shrink)

Wittgenstein ist auf vielschichtige Weise mit Rußland verbunden: als Kriegsfreiwilliger an der Ostfront, als eifriger Leser von Tolstoi und Dostojewski, als Freund Nikolai Bachtins und als Reisender in der Sowjet-Union. Wittgensteins Verhältnis zu Nikolai Bachtin - eine Geistesverwandtschaft vor dem Hintergrund humanistischer Bildung, Religiosität, Askese, Patriotismus und Weltbürgertum - und zu dessen Bruder Michail sowie beider Einfuß auf seine Philosophie, speziell in den Philosophischen Untersuchungen, werden im Detail untersucht. Seine Kontakte zu anderen Exilrussen, die Beziehungen der Bachtin-Brüder zum Brenner-Kreis und (...) Wittgensteins Motive für seine Rußlandreise sowie seinen vagen Plan, sich dort niederzulassen, werden anhand von Tagebuchaufzeichnungen und Korrespondenzen rekonstruiert. (shrink)

A large body of research suggests arm extension and arm flexion to be indicators of automatically generated withdrawal and approach motivation, respectively. However, such a view has not remained unchallenged. Recent research suggests that the motivational significance of arm movements may be largely context dependent. The aim of this research was to demonstrate that an essential facilitating context factor for arm movements relies on the desirability of their expected outcomes. Participants viewed negative and positive stimulus material and were asked to (...) concurrently perform either an arm extension or an arm flexion. Arm movements were embedded in a meaningful context, leading to a stimulus size decrease or increase; and thus giving the visual illusion of withdrawing from the stimulus or approaching it. Results show that the significance of arm movements is indeed influenced by the desirability of their respective effects. (shrink)

Philosophers often aim to demonstrate that the things we ordinarily think and say can be reconciled with our considered beliefs about the world. To this end, many philosophers try to paraphrase ordinary language claims by finding equivalent sentences that are less misleading. For instance, though we know that there is no British family that is the average one, we want to say that the average British family has 1.8 children, and we might do that by paraphrasing this claim as: there (...) are nearly twice as many British children as British families. This article aims to introduce and distinguish different paraphrase strategies, sketch their role in metaphysical debates and highlight some crucial questions that proponents of such strategies face. (shrink)

This study contributes to the exploration of self-rated spirituality by anchoring self-ratings of spirituality and religiosity in an integrative model of personality. For the measurement of personality dispositions and characteristic adaptations, the NEO Personality Inventory Revised and the Sources of Meaning and Meaning in Life Questionnaire have been administered to a sample of German-speaking students. A three-step study design is employed. First, previous findings on associations between personality and religiosity/spirituality are replicated and supplemented. Second, sources of meaning are shown to (...) explain a considerably higher amount of unique variance in religiosity and spirituality than do personality dispositions. Third, two types of spirituality—religious-and-spiritual and spiritual-but-not-religious—are identified and distinguished on the basis of personality traits. The spiritual-but-not-religious type shows significantly higher degrees of Neuroticism, and lower degrees of Agreeableness. Possible interpretations and lines of future research on ‘spirituality without religion’ are sketched out. (shrink)

Fictional realism, i.e., the view that because fictions exist, fictional characters exist as well, has recently been accused of leading to inconsistency generated by phenomena of indeterminacy and inconsistency in fiction. We examine in detail four arguments against fictional realism, and present a version of fictional realism which can withstand those arguments.

Realists about fictional entities often distinguish the properties that a fictional character has and the properties a character holds. Roughly, this is the distinction between the properties that a character really possesses and the properties it fictionally possess. But despite the popularity of this distinction in realist circles, it gives rise to a number of subtle issues about which fictional realists can and do disagree. In this paper, we aim to clarify these issues and defend three related theses. One: that (...) to say that Hermione holds the property of being female is just to say that the singular proposition ⟨Hermione, being female⟩ is true according to Harry Potter. Two: that ordinary objects can hold properties insofar as propositions like ⟨Napoleon, being French⟩ can be true according to fictions like War and Peace. Three: that the distinction between having and holding should not be thought to play any semantic role within the context of fictional realism. (shrink)

The development of an information society and information technologies does not result in positive consequences only. Individuals with criminal intent also find their niche. Information security includes the creation of the input, processing and output processes of protection. The objective of information security is to protect the system of values, to protect and ensure accuracy and integrity and to minimize losses that may be incurred if the information is modified or destroyed. In the development of an information society, the new (...) visible changes in the legislation for the classification of crimes–crimes against computers–altered the concept of electronic crime data and information system security concepts. This article presents a brief analysis on the concept of the change of crimes against security of electronic data and information systems, the legislation analysis, the crimes against security of electronic data systems and information dynamics and its relationship with business factors. (shrink)