Throughout March and April 2020, debate raged about how best to allocate limited intensive care unit resources in the face of a growing COVID-19 pandemic. The debate was dominated by utility-based arguments for saving the most lives or life-years. These arguments were tempered by equity-based concerns that triage based solely on prognosis would exacerbate existing health inequities, leaving disadvantaged patients worse off. Central to this debate was the assumption that ICU admission is a valuable but scarce resource in the pandemic (...) context.In this paper, we argue that the concern about achieving equity in ICU triage is problematic for two reasons. First, ICU can be futile and prolong or exacerbate suffering rather than ameliorate it. This may be especially true in patients with COVID-19 with emerging data showing that most who receive access to a ventilator will still die. There is no value in admitting patients with poor prognostic indicators to ICU to meet an equity target when intensive critical care is contrary to their best interests. Second, the focus on ICU admission shifts focus away from important aspects of COVID-19 care where there is greater opportunity for mitigating suffering and enhancing equitable care.We propose that the focus on equity concerns during the pandemic should broaden to include providing all people who need it with access to the highest possible standard of end-of-life care. This requires attention to culturally safe care in the following interlinked areas: palliative care, communication and decision support and advanced care planning. (shrink)

The legitimacy of conscientious objection to abortion continues to fuel heated debate in Italy. In two recent decisions, the European Committee for Social Rights underlined that conscientious objection places safe, legal, and accessible care and services out of reach for most Italian women and that the measures that Italy has adopted to guarantee free access to abortion services are inadequate. Nevertheless, the Ministry of Health states that current Italian legislation, if appropriately applied, accommodates both the right to conscientious objection and (...) the right to voluntary abortion. One empirical argument used to demonstrate that conscientious objection does not create barriers to abortion is the “no correlation” argument, which the Italian Committee for Bioethics employed to demonstrate that no association exists between conscientious objection and waiting times for voluntary abortion in Italy and to support the weak form of conventional comprise adopted by the Italian legislation to balance the conflict between women’ autonomy and healthcare professionals’ moral integrity. Conversely, we showed how the “no correlation” argument fails to demonstrate the absence of a relationship between the number of conscientious objectors and waiting times for voluntary abortion, and that the limitations of the “no correlation” argument itself demonstrate how it is still difficult to describe the real effect of conscientious objection on the access to abortion services and to evaluate the suitability of conventional compromise to effectively balance conflicting moral principles. Further studies are needed to better describe the relationship between conscientious objection and waiting times for voluntary abortion. If new evidence would show that the increasing proportion of objectors does undermine the efficacy of the Italian law and the right of a woman to freely obtain a voluntary abortion, new ways will need to be found to address the conflict between moral principles and restrict the protection accorded to the principle of moral integrity. This would inevitably imply the need to constrain and to redefine the terms and conditions for claiming conscientious objection. (shrink)

Background The legitimacy of conscientious objection to abortion continues to fuel heated debate in Italy. In two recent decisions, the European Committee for Social Rights underlined that conscientious objection places safe, legal, and accessible care and services out of reach for most Italian women and that the measures that Italy has adopted to guarantee free access to abortion services are inadequate. Nevertheless, the Ministry of Health states that current Italian legislation, if appropriately applied, accommodates both the right to conscientious objection (...) and the right to voluntary abortion. Main body One empirical argument used to demonstrate that conscientious objection does not create barriers to abortion is the “no correlation” argument, which the Italian Committee for Bioethics employed to demonstrate that no association exists between conscientious objection and waiting times for voluntary abortion in Italy and to support the weak form of conventional comprise adopted by the Italian legislation to balance the conflict between women’ autonomy and healthcare professionals’ moral integrity. Conversely, we showed how the “no correlation” argument fails to demonstrate the absence of a relationship between the number of conscientious objectors and waiting times for voluntary abortion, and that the limitations of the “no correlation” argument itself demonstrate how it is still difficult to describe the real effect of conscientious objection on the access to abortion services and to evaluate the suitability of conventional compromise to effectively balance conflicting moral principles. Conclusion Further studies are needed to better describe the relationship between conscientious objection and waiting times for voluntary abortion. If new evidence would show that the increasing proportion of objectors does undermine the efficacy of the Italian law and the right of a woman to freely obtain a voluntary abortion, new ways will need to be found to address the conflict between moral principles and restrict the protection accorded to the principle of moral integrity. This would inevitably imply the need to constrain and to redefine the terms and conditions for claiming conscientious objection. (shrink)

In his Knowledge and Belief (1962), Hintikka establishes his system of epistemic logic with the KK (Knowing that One Knows, in symbols, Kp→KKp) principle (KK for short). However, his system of epistemic logic and the KK principle are grounded upon his strong notion of knowledge, which requires that knowledge is infallible, that is, it makes further inquiry pointless, and becomes ‘discussion-stopper’; knowledge implies truth, to wit, cognitive agents will not be mistaken in their knowledge; cognitive agents will be ‘perfect logicians’, (...) i.e. they have infinitive capability of logical inference. Hintikka calls the argument for KK from the strong notion of knowledge as the ‘transcendental argument’ for KK. Obviously, the strong notion of knowledge is far away from our ordinary conception of knowledge; based on such a strong sense of knowledge, epistemic logic has met the problem of logical omnipotence, and is difficult to apply in our ordinary cognitive practice. Moreover, there is no close connection of the KK principle with internalism or externalism. (shrink)

Editors' introduction to 3rd thematic issue on philosophy of medicine.

Die Wissenschaften erzeugen mit neuem Wissen gleichzeitig auch verschiedene Formen des Nichtwissens. Dieser scheinbar paradoxe Zusammenhang der "Ko-Produktion" von Wissen und Nichtwissen wird in der Wissenschaftsforschung in jungster Zeit zunehmend anerkannt. Mit dem Konzept "Nichtwissenskulturen" lasst sich sowohl theoretisch begreifen als auch empirisch analysieren, wie wissenschaftliche Erkenntnispraktiken mit dem Wissen zugleich neue Raume gewussten wie nicht-gewussten Nichtwissens hervorbringen. Wissenskulturen sind daher auch Nichtwissenskulturen, die sich anhand spezifischer Charakteristika ebenso voneinander unterscheiden wie vergleichen lassen. Die unterschiedlichen Nichtwissenskulturen stellen wichtige Bezugspunkte in (...) den offentlich-politischen Debatten uber den Umgang mit Nichtwissen dar. In diesen Nichtwissensdiskursen kann die Anerkennung einer Pluralitat gleichrangiger Nichtwissenskulturen wichtige neue Perspektiven und Reaktionsmoglichkeiten eroffnen. Mit Beitragen von Stefan Boschen, Karen Kastenhofer, Jens Soentgen, Peter Wehling. (shrink)

Historians not only operate in the famous "ivory tower" of science, but present their research and take part in social debates. Their interventions relate to developments in the culture of remembrance or historical-political decisions, but also to current issues that go beyond this. They can take on an analytical, an enlightening, a warning, an accusatory or a defensive role and act as public historians. The volume brings together contributions from the Leibniz Center for Contemporary History Potsdam (ZZF). They address individual (...) actors, discussions and scientific self-understandings as well as the relationship between history and the public. (shrink)

ABSTRACTBy means of critical reflection on the current situation of Chinese philosophy, this article aims to clarify two different approaches to philosophy. One is for scholars to focus on original texts and thought tradition, concerned with interpretation and inheritance; even in this way, scholars can achieve theoretical innovation through creative interpretation. The other is for researchers to face up questions from academics and from reality, and mainly to do theoretical creation in philosophy on a profound theoretical background, strictly following academic (...) norms and standards. For contemporary Chinese philosophy, the two approaches are indispensable, but the serious problem is that the first approach absolutely is dominant, but the second is too weak. The correct choice of Chinese philosophy should be to let hundreds of flower bloom, to let different approaches compete with each other, and to cooperatively establish the prosperity of contemporary Chinese philosophy. (shrink)

The inscription edited in this paper is the third bilingual Chinese-Sogdian epitaph to be made known, following that of Wirkakk and Wiyusi and that of Nanai-vande and Kekan, published in 2005 and 2017 respectively. The new epitaph is that of a Sogdian lady who died in 736 CE. Apart from its linguistic interest, it is important as attesting the conversion of a Sogdian lady to the “heretical” Buddhist Sanjie or “Three levels” movement, which remained popular despite being officially suppressed under (...) the Tang. (shrink)

In Yizhuan’s interpretation of The Book of Changes, the book’s fundamental concepts, xiang 象 and ci 辞, play different roles. Concepts, including yin and yang, firmness and gentleness, sancai 三才, and the wuxing 五行, are used to interpret The Book of Changes through the interpretation of images, while the core Confucian values, such as benevolence and righteousness, are used to interpret The Book of Changes because of their connection with words of gua and yao. In order to expand the meaning (...) of the words of gua and yao, Yizhuan sometimes connects words with images; in other occasions, however, it simply takes these words as independent guides. The Confucian scholars who wrote Yizhuan, therefore, not only revered the classic, but also used it to send their own message. Out of reverence, they “shu 述 ”; in using it, they “zuo 作 ”. The combination of recitation and creation made the words of gua and yao very flexible in the process of interpretation, while the interpretation changed the meaning of the classic to a great extent. (shrink)

Researchers have consistently identified the disparity between teachers’ practical and legal knowledge regarding teachers’ right to discipline students. However, few studies have investigated teachers’ construction processes that form construction outcomes, which would help navigate the role of legislation in school discipline. This study contributes to a holistic picture of the neglected disciplinary rights that teachers construct in teaching practice and their underexplored attitude toward the law, using an interview-based constructionist method on twelve teachers of Lvliang city in a Chinese K-12 (...) context. The findings suggest that the participants prefer to acquire discipline knowledge by interacting with multiple power relations in their local environment and that their knowledge is historically and culturally specific. Although the disciplinary right they construct is never static, balanced, or essentialised, the participants’ constructions are commonly not in line with legal provisions or the aims of the law. Furthermore, school discipline legislation plays a silent role in empowering teachers to discipline students, but it is more visible in holding back teachers’ use of corporal punishment. These findings illustrate the complexity of implementing school disciplinary law as a universal national policy. (shrink)

Abstract:In the Chinese cultural imaginary, the road (Dao, “way”), especially trade routes, has always been an important metaphor for changing circumstances including shifting ideological grounds. Its own life trajectory is both classical and contemporary, and its emergence predates the trains, nation-states, sovereign powers, and so on, all such signs of techno-political modernity at work. Also in that regard, spiritually inflected images of the “West Heaven,” also an old name for India, where Buddhism originated, have always been present in East Asian (...) cultural spheres, which, in turn, points to the presence of a deeper Eurasian world connected through the Middle East as well. Now, however, quite strikingly, such global conceptual structures, long part of the evolving Chinese cultural tradition too, are being rapidly localized and recast into something else. For example, in China, Buddhism, a religion fundamentally critical of idol worshipping, has become pantheistic, and the political ideas that originally promoted equality newly patriarchal. For those living along the China Eastern Railway tracks in the twenty-first century, all such ideologies have become part of a tensional fight of gods in which they, too, are caught: on one hand they long for a linear progression of society that would never turn back, but on the other hand they are reluctant to abandon the self-comforting theory of reincarnation. This is also how they come to praise the imported concept of the motherland while worshipping figures of traditional patriarchal power. (shrink)

Although I do not have any final thoughts about the present topic, it might still be valuable to identify what questions are bothering many Chinese scholars. During an academic meeting last month Professor Yu Dunkang summarized the embarrassing situation confronting the study of Chinese philosophy today, as follows: "The object remains unclear, and the value is misplaced." The phrase "the object remains unclear" means that scholars are not sure what questions need to be studied in relation to what is called (...) "Chinese philosophy," while the phrase "the value is misplaced" means that scholars misunderstand the value and the meaning of their own work. To a large extent, this summary is correct; but the question is how this particular situation came into being. (shrink)

A concise and authoritative introduction to Islamic political ideas In sixteen concise chapters on key topics, this book provides a rich, authoritative, and up-to-date introduction to Islamic political thought from the birth of Islam to today, presenting essential background and context for understanding contemporary politics in the Islamic world and beyond. Selected from the acclaimed Princeton Encyclopedia of Islamic Political Thought, and focusing on the origins, development, and contemporary importance of Islamic political ideas and related subjects, each chapter offers a (...) sophisticated yet accessible introduction to its topic. Written by leading specialists and incorporating the latest scholarship, the alphabetically arranged chapters cover the topics of authority, the caliphate, fundamentalism, government, jihad, knowledge, minorities, modernity, Muhammad, pluralism and tolerance, the Qur'an, revival and reform, shariʿa (sacred law), traditional political thought, ‘ulama' (religious scholars), and women. Read separately or together, these chapters provide an indispensable resource for students, journalists, policymakers, and anyone else seeking an informed perspective on the complex intersection of Islam and politics. The contributors are Gerhard Bowering, Ayesha S. Chaudhry, Patricia Crone, Roxanne Euben, Yohanan Friedmann, Paul L. Heck, Roy Jackson, Wadad Kadi, John Kelsay, Gudrun Krämer, Ebrahim Moosa, Armando Salvatore, Aram A. Shahin, Emad El-Din Shahin, Devin J. Stewart, SherAli Tareen, and Muhammad Qasim Zaman. A new afterword discusses the essays in relation to contemporary political developments. (shrink)

Light upon Light: Essays in Islamic Thought and History in Honor of Gerhard Bowering brings together studies that explore the richness of Islamic intellectual life in the pre-modern period. Leading scholars around the world present nineteen studies that explore diverse areas of Islamic Studies, in honor of a renowned scholar and teacher: Professor Dr. Gerhard Bowering (Yale University). The volume includes contributions in four main areas: (1) Quran and Early Islam; (2) Sufism, Shiism, and Esotericism; (3) Philosophy; (4) Literature and (...) Culture. These areas reflect the enormous breadth of Professor Bowering's contributions to the field over a lifetime of scholarship, teaching, and mentoring. Contributors: Hussein Ali Abdulsater, Mushegh Asatryan, Shahzad Bashir, Jonathan Brockopp, Yousef Casewit, Jamal Elias, Janis Esots, Li Guo, Matthew Ingalls, Tariq Jaffer, Mareike Koertner, Joseph Lumbard, Matthew Melvin-Koushki, Mahan Mirza, Bilal Orfali, Gabriel Reynolds, Nada Saab, Amina Steinfels & Alexander Treiger. (shrink)

Friedrich Nietzsche has emerged as one of the most important and influential modern philosophers. For several decades, the book series Monographien und Texte zur Nietzsche-Forschung (MTNF) has set the agenda in a rapidly growing and changing field of Nietzsche scholarship. The scope of the series is interdisciplinary and international in orientation reflects the entire spectrum of research on Nietzsche, from philosophy to literary studies and political theory. The series publishes monographs and edited volumes that undergo a strict peer-review process. The (...) book series is led by an international team of editors, whose work represents the full range of current Nietzsche scholarship. (shrink)

This article systematically challenges Kripke's modal argument and Soames's defence of this argument by arguing that, just like descriptions, names can take narrow or wide scopes over modalities, and that there is a big difference between the wide scope reading and the narrow scope reading of a modal sentence with a name. Its final conclusions are that all of Kripke's and Soames's arguments are untenable due to some fallacies or mistakes; names are not “rigid designators”; if there were rigid designators, (...) description(s) could be rigidified to refer fixedly to objects; so names cannot be distinguished in this way from the corresponding descriptions. A descriptivist account of names is still correct; and there is no justification for Kripke's theory of rigid designation and its consequences. (shrink)

Dem Absurden ins Auge sehen - das ist eine Herausforderung, die mit Entzweiung, Entfremdung und demzufolge mit großer Anspannung und Anstrengung einhergeht. In solchen Momenten entgleitet uns die Welt und wir stehen, so Albert Camus, vor der alles entscheidenden Frage: Selbstmord oder Freiheit. Der vorliegende Band verhandelt Bedrohungen und Gefahren ebenso wie Potenziale und Freiheiten des Absurden. Stimmen aus Philosophie, Erziehungswissenschaft, Literatur, Kunst, Medizin und Wirtschaftswissenschaft machen dabei deutlich: Das Absurde betrifft uns alle.