世界の三人宗教が祖、大預言者と仰ぐアブラハム。「すべての父なるアブラハム」の生涯を通した人間の在り方と信仰を、キリスト教的人間形成論という視点から考えていく。.

Background In current Western medical ethics, patient-centered medicine is considered the norm. However, the cultural background of collectivism in East Asia often leads to family-centered decision-making. In Japan, prior studies have reported that family-centered decision-making is more likely to be preferred in situations of disease notification and end-of-life decision-making. Nonetheless, there has been a recent shift from collectivism to individualism due to changes in the social structure. Various personal factors have also been reported to influence moral decision-making. Therefore, this study (...) examined whether the current trend in attitudes of healthcare decision-making in Japan is family-centered or patient-centered among the general public and physicians. In addition, the personal factors that influence this tendency were examined.Methods Three vignettes on disease notification and two vignettes on decision-making during end-of-life care were created, and 457 members of the public and 284 physicians were asked about their attitudes (behavioral intentions) regarding these vignettes.Results Approximately, 95% of physicians were patient-centered in explaining the patient’s severe medical condition. However, approximately 80% of physicians emphasized the wishes of the family over patient wishes when making life-sustaining decisions. Nearly half the general public emphasized the patient’s wishes in the explanation of a severe medical condition and in life-sustaining decisions. In both the public and physician groups, personal factors, particularly the presence or absence of a disease under treatment and prior caregiving experience, influenced ethical attitudes toward medical treatment decisions.Conclusions In relatively low-conflict situations, such as the announcement of a patient’s medical condition, physicians tended to be patient-centered, while they tended to be family-centered in situations of strong conflict in withholding life-sustaining treatment. The fact that personal factors influenced the family-centered response in situations of strong conflict highlights the importance of not only acquiring knowledge of medical ethics but also learning to fairly apply this knowledge in practice. (shrink)

In ‘Causes and Reasons of Desert Islands’, Gilles Deleuze presents a mythological and scientific vision in which new islands and new humanity emerge from the opposition between the land and sea in desert islands. However, what Deleuze cannot explain is how such new territory and people are produced and reproduced while rejecting old and conventional generational ways. To break this impasse, which is also present in Difference and Repetition, Deleuze and Guattari intend to retain the absolute movement of deterritorialisation, while (...) acknowledging that deterritorialisation and reterritorialisation always comingle. This theoretical project is found in the critique of Pierre Clastres on counter-state societies, and is taken up by Deleuze and Guattari in What is Philosophy? In this latter work, by creating concepts and constituting a new plane, Deleuze and Guattari offer some conditions of a third reterritorialisation that, after the second reterritorialisation in the democratic states, presents a new way of forging a political and revolutionary philosophy. In this essay, we criticise the opinions that consider Deleuze and Guattari's political philosophy as one version of radical democracy. Their political philosophy should be situated in the post-democratic era to come. (shrink)

生命科学、医学、社会学、経済学、そして、政治学。あらゆる知の最新の達成を渉猟し、法・政治・制度といった現実の問題を真正面から考え続けてきた哲学者が、研ぎ澄まされた言葉で「生」を描きだす。.

Proposes a provocative reinterpretation of poststructuralist theory of power The “structuralist” theories of power show that the subject is produced and reproduced by the investment of power: but how then can we then think of the subject’s resistance to power? Based on this fundamental question, Power and Resistance interprets critically the (post-)structuralist theory of power and resistance, i.e., the theories of Foucault, Deleuze and Guattari, Derrida and Althusser. It analyses also the mechanism of power and the strategies of resistance in (...) the era of neoliberalism. This meticulous analysis that completely renewed the theory of power is already published in French, Japanese, and Korean with success. (shrink)

Background According to some medical ethicists and professional guidelines, there is no ethical difference between withholding and withdrawing life-sustaining treatment. However, medical professionals do not always agree with this notion. Patients and their families may also not regard these decisions as equivalent. Perspectives on life-sustaining treatment potentially differ between cultures and countries. This study compares Japanese physicians’ and citizens’ attitudes toward hypothetical cases of withholding and withdrawing life-sustaining treatment.Methods Ten vignette cases were developed. A web-based questionnaire was administered to 457 (...) citizens and 284 physicians to determine whether they supported withholding or withdrawing treatment.Results In a case where a patient had an advance directive refusing ventilation, 77% of the physicians and 68% of the citizens chose to withhold treatment. In a case where there was an advance directive but the patient’s family requested treatment, 55% of the physicians and 45% of the citizens chose to withhold the ventilator. When a family requested withdrawal of the ventilator but patient wishes were unknown, 19% of the physicians and 48% of the citizens chose to withdraw the ventilator. However, when the patient had also indicated their wishes in writing, 49% of the physicians and 66% of the citizens chose to withdraw treatment. More physicians were prepared to withdraw dialysis (84%) and artificial nutrition (81%) at a patient’s request than mechanical ventilation (49%).Conclusions A significant proportion of Japanese physicians and citizens were reluctant to withhold or withdraw life-sustaining treatment, even in cases where the patient had indicated their wishes in writing. They were more likely to withhold than withdraw treatment, and more likely to withdraw artificial nutrition than mechanical ventilation. Japanese physicians gave significant weight to family views about treatment but were less likely to agree to withdraw treatment than citizens, indicating a potential source of conflict in clinical settings. (shrink)

While some studies suggest cultural differences in visual processing, others do not, possibly because the complexity of their tasks draws upon high-level factors that could obscure such effects. To control for this, we examined cultural differences in visual search for geometric figures, a relatively simple task for which the underlying mechanisms are reasonably well known. We replicated earlier results showing that North Americans had a reliable search asymmetry for line length: Search for long among short lines was faster than vice (...) versa. In contrast, Japanese participants showed no asymmetry. This difference did not appear to be affected by stimulus density. Other kinds of stimuli resulted in other patterns of asymmetry differences, suggesting that these are not due to factors such as analytic/holistic processing but are based instead on the target-detection process. In particular, our results indicate that at least some cultural differences reflect different ways of processing early-level features, possibly in response to environmental factors. (shrink)

When building personal relationships, it is important to select optimal partners, even based on the first meeting. This study was inspired by the idea that people who smile are considered more trustworthy and attractive. However, this may not always be true in daily life. Previous studies have used a relatively simple method of judging others by presenting a photograph of one person’s face. To move beyond this approach and examine more complex situations, we presented the faces of two people confronted (...) with each other to participants and asked them to judge them from a third-person perspective. Through three experiments, participants were asked to judge which of the two persons was more appropriate for forming alliances, more trustworthy, or more attractive, respectively. In all experiments, images were shown for a short or a long time. In all three experiments, the results showed that participants were more likely to choose persons with happy faces than those with neutral, sad, or angry faces when the image presentation was short. Contrarily, the facial expressions did not affect those judgments when the image presentation was long. Instead, judgments were correlated with personality estimated from the model’s neutral face in a single-person presentation. These results suggest that although facial expressions can affect the judgments of others when observing two-person confrontations from a third-person perspective, when participants have more time to elaborate their judgments, they go beyond expressions. (shrink)

This article proposes a methodological schema for engaging in a productive discussion of ethical issues regarding human brain organoids, which are three-dimensional cortical neural tissues created using human pluripotent stem cells. Although moral consideration of HBOs significantly involves the possibility that they have consciousness, there is no widely accepted procedure to determine whether HBOs are conscious. Given that this is the case, it has been argued that we should adopt a precautionary principle about consciousness according to which, if we are (...) not certain whether HBOs have consciousness—and where treating HBOs as not having consciousness may cause harm to them—we should proceed as if they do have consciousness. This article emphasizes a methodological advantage of adopting the precautionary principle: it enables us to sidestep the question of whether HBOs have consciousness and, instead, directly address the question of what kinds of conscious experiences HBOs can have, where the what-kind-question is more tractable than the whether-question. By addressing the what-kind-question, we will be able to examine how much moral consideration HBOs deserve. With this in mind, this article confronts the what-kind-question with the assistance of experimental studies of consciousness and suggests an ethical framework which supports restricting the creation and use of HBOs in bioscience. (shrink)

During clinical ethics consultation training, hands-on practice after acquiring the necessary knowledge under an experienced clinical ethics consultant's supervision is an effective method of obtaining technical and practical skills. However, in regions where clinical ethics consultation is still nascent, few experienced clinical ethics consultants exist. The number of clinical ethics consultation cases is small, making on-the-job training significantly difficult. To address this problem, this study developed a remote supervision program using e-mail and ZOOM and evaluated its effectiveness using Kirkpatrick's learning (...) effectiveness model. The findings confirmed the good learning effects of both programs. In particular, ZOOM's learning effectiveness was greater than e-mail's in Level 2 learning effects. Nevertheless, remote supervision may be an effective method when in-person training is difficult, such as in countries with developing clinical ethics consultations or during the outbreak of infection. (shrink)

This study aims to develop guidelines of key concepts and specific considerations to make the research more ethical when conducting neurological examinations and treatment interventions in mentally ill patients. We analyzed guideline development theory and literature, previous issues, and discussions with specialists of philosophy, medicine, sociology, and bioethics. The selection of research participants, drafting of intervention plans, and informed consent process were examined with reference to the dual burden; the minimal risk as a general rule of ethical allowance levels, assent (...) and dissent to assess the individual’s judgment capacity for consent, relational autonomy for personal consent with assistance by the proxy, and risk/benefit assessments. When conducting studies, this guideline requires that these three processes be set up appropriately on a case-by-case basis. (shrink)

In nature, cells face a variety of stresses that cause physical damage to the plasma membrane and cell wall. It is well established that evolutionarily conserved cell cycle checkpoints monitor various cellular perturbations, including DNA damage and spindle misalignment. However, the ability of these cell cycle checkpoints to sense a damaged plasma membrane/cell wall is poorly understood. To the best of our knowledge, our recent paper described the first example of such a checkpoint, using budding yeast as a model. In (...) this review, we will discuss this important question as well as provide hypothetical explanations to be tested in the future. (shrink)

The paper is based on a review of research on media selection and related topics on the one hand and on an explorative pilot survey on the other. In summarising the review, the authors propose that the factors explaining media choice be grouped into five categories: (1) the properties of the media itself affect its choice, (2) properties of the user affect media choice, (3) the communication situation plays an important role, (4) macro factors explain media choice, and (5) media (...) choice can be explained as the outcome of a dynamic multiparty negotiation process. The pilot survey compares Japanese and Finnish students’ preference of media in various communication situations. The survey results encourage reserving, local macro factors or culture, a certain amount of explanatory force in explaining media choice. (shrink)

Personnalité et irrationalité chez Merleau-PontyUne personnalité est l’ensemble des traits et des qualités propres à une personne spécifique. Il s’agit d’un être humain concret, considéré dans sa totalité et distinct des autres individus. Merleau-Ponty s’est peu intéressé au concept de “personnalité”. Mais il fait référence au concept de totalité pour un individu lorsqu’il parle d’ “existence” ou d’ “être humain”. Grâce à la clarification du concept merleau-pontien de personnalité, je voudrais démontrer ce qui suit : la philosophie merleau-pontienne de la (...) structure caractérise la personnalité humaine comme un tout. Cette idée est héritée du “personnalisme” de la psychologie française inauguré par Ribot. La personnalité ainsi définie possède une rationalité téléologique (un objet visé). Cependant, lorsque Merleau-Ponty propose plus tard le concept d’“institution”, il souligne que toute signification de l’expérience humaine se fonde sur une expérience particulière et sur un point de vue concret ayant valeur de dimension, de niveau, ou encore sur un critère qui donne un sens à l’expérience suivante. S’il en est ainsi, les êtres humains doivent posséder une irrationalité fondamentale au coeur de leur personnalité ; irrationalité désigne une attitude attachée à une expérience particulière ou à un point de vue singulier. Les hommes peuvent “ré-instituer” leur expérience, c’est-à-dire abolir et transformer une dimension, un niveau ou un critère de l’expérience en y intégrant d’autres points de vue à travers leurs relations intersubjectives. Ils gagnent ainsi en nuance et en objectivité. Cependant, ils ne parviennent jamais à une rationalité totale si celle-ci se définit par une pensée totalement objective, universelle et non située, capable de voir le monde de nulle part. La ré-institution pourrait aussi entraîner une rupture dans la personnalité de quelqu’un et la rendre complexe et multiple, sans être pathologique pour autant.Personalità e irrazionalità in Merleau-PontyLa personalità è l’insieme delle qualità e dei tratti peculiari di una certa persona. È un essere umano concreto, preso nella sua interezza e distinto dagli altri individui. Merleau-Ponty non si è mai occupato molto del concetto di “personalità”. Ma si è riferito a tale concetto di totalità di un individuo sotto i nomi di “esistenza” o “essere umano”. Chiarendo la concezione merleau-pontiana della “personalità”, intendo sostenere che la filosofia della struttura di Merleau-Ponty caratterizza la personalità umana come un tutto unificato. Quest’idea è un’eredità del “personalismo” della psicologia francese inaugurata da Ribot. La personalità definita come tale ha una razionalità teleologica (orientata ad un obiettivo). Tuttavia, quando Merleau-Ponty propose più tardi il concetto di “istituzione”, sottolineò più di quanto avesse fatto precedentemente che perché ogni esperienza umana abbia un significato occore stabilire una particolare esperienza ed un punto di vista concreto quale dimensione, livello, o criterio che dia significato all’esperienza successiva. Se così è, gli esseri umani devono avere una fondamentale irrazionalità nel profondo della loro personalità, intendendo con irrazionalità un atteggiamento che è legato ad una particolare esperienza o punto di vista. Gli esseri umani possono “re-istituire” la loro esperienza, ovvero, riconsiderare una dimensione, un livello, o un criterio dell’esperienza attraverso l’integrazione degli altri punti di vista grazie alle loro relazioni intersoggettive. Guadagnano, così, sfumature e obiettività. Tuttavia, non possono mai realizzare la razionalità completa se per razionalità s’intende il pensiero completamente oggettivo, universale, imparziale, che guarda il mondo da nessun luogo. E la re-istituzione potrebbe creare una fessura decisiva nell’identità personale di un uomo, e rendere tale personalità complessa e “multipla,” anche se non necessariamente patologica. (shrink)

Personnalité et irrationalité chez Merleau-PontyUne personnalité est l’ensemble des traits et des qualités propres à une personne spécifique. Il s’agit d’un être humain concret, considéré dans sa totalité et distinct des autres individus. Merleau-Ponty s’est peu intéressé au concept de “personnalité”. Mais il fait référence au concept de totalité pour un individu lorsqu’il parle d’ “existence” ou d’ “être humain”. Grâce à la clarification du concept merleau-pontien de personnalité, je voudrais démontrer ce qui suit : la philosophie merleau-pontienne de la (...) structure caractérise la personnalité humaine comme un tout. Cette idée est héritée du “personnalisme” de la psychologie française inauguré par Ribot. La personnalité ainsi définie possède une rationalité téléologique (un objet visé). Cependant, lorsque Merleau-Ponty propose plus tard le concept d’“institution”, il souligne que toute signification de l’expérience humaine se fonde sur une expérience particulière et sur un point de vue concret ayant valeur de dimension, de niveau, ou encore sur un critère qui donne un sens à l’expérience suivante. S’il en est ainsi, les êtres humains doivent posséder une irrationalité fondamentale au coeur de leur personnalité ; irrationalité désigne une attitude attachée à une expérience particulière ou à un point de vue singulier. Les hommes peuvent “ré-instituer” leur expérience, c’est-à-dire abolir et transformer une dimension, un niveau ou un critère de l’expérience en y intégrant d’autres points de vue à travers leurs relations intersubjectives. Ils gagnent ainsi en nuance et en objectivité. Cependant, ils ne parviennent jamais à une rationalité totale si celle-ci se définit par une pensée totalement objective, universelle et non située, capable de voir le monde de nulle part. La ré-institution pourrait aussi entraîner une rupture dans la personnalité de quelqu’un et la rendre complexe et multiple, sans être pathologique pour autant.Personalità e irrazionalità in Merleau-PontyLa personalità è l’insieme delle qualità e dei tratti peculiari di una certa persona. È un essere umano concreto, preso nella sua interezza e distinto dagli altri individui. Merleau-Ponty non si è mai occupato molto del concetto di “personalità”. Ma si è riferito a tale concetto di totalità di un individuo sotto i nomi di “esistenza” o “essere umano”. Chiarendo la concezione merleau-pontiana della “personalità”, intendo sostenere che la filosofia della struttura di Merleau-Ponty caratterizza la personalità umana come un tutto unificato. Quest’idea è un’eredità del “personalismo” della psicologia francese inaugurata da Ribot. La personalità definita come tale ha una razionalità teleologica (orientata ad un obiettivo). Tuttavia, quando Merleau-Ponty propose più tardi il concetto di “istituzione”, sottolineò più di quanto avesse fatto precedentemente che perché ogni esperienza umana abbia un significato occore stabilire una particolare esperienza ed un punto di vista concreto quale dimensione, livello, o criterio che dia significato all’esperienza successiva. Se così è, gli esseri umani devono avere una fondamentale irrazionalità nel profondo della loro personalità, intendendo con irrazionalità un atteggiamento che è legato ad una particolare esperienza o punto di vista. Gli esseri umani possono “re-istituire” la loro esperienza, ovvero, riconsiderare una dimensione, un livello, o un criterio dell’esperienza attraverso l’integrazione degli altri punti di vista grazie alle loro relazioni intersoggettive. Guadagnano, così, sfumature e obiettività. Tuttavia, non possono mai realizzare la razionalità completa se per razionalità s’intende il pensiero completamente oggettivo, universale, imparziale, che guarda il mondo da nessun luogo. E la re-istituzione potrebbe creare una fessura decisiva nell’identità personale di un uomo, e rendere tale personalità complessa e “multipla,” anche se non necessariamente patologica. (shrink)

The lifeworld is, according to Husserl, the horizon of all our experiences, in the sense that it is the background environment of human being’s competences, practices, and attitudes. The lifeworld is the intersubjective, pre-given in the ontic sense, and immediately perceived world of everyday life. Although Husserl has distinguished the lifeworld from the objective world that natural science describes with mathematical methods, we cannot divide the world on the practical level into the perceived world of ordinary life and the scientific (...) world. The characteristic of human beings is that they live in the environment which they have enormously changed. Modern science has accelerated this tendency: the contemporary world is constructed so deeply scientifically and technologically. Accordingly, as Ulrich Beck pointed out, the risk of the technologically constructed world is often invisible/unperceivable. The disaster at Fukushima nuclear power plants is a terrible testament of this kind of risk. In order for a land to become the lifeworld of meaningful human interactions, the land should be first of all safe and livable for all of us. The risk calculation made by Tokyo Electric Power Company was shown to be sloppy and deceptive. The contemporary techno-science should be democratically governed and watched by all kinds of stakeholders, and never be left it to the specialists of science. For re-establishing the livable and sustainable lifeworld, safety, resilience, and vulnerability should be the fundamental values. And, the autonomy of the local residents, including the most vulnerable people, through the democratization of the techno-science must be the fundamental value to establish and protect such a safe environment. (shrink)

In the target article, Zilio and Lavazza (2023) persuasively argue that an ontological analysis of human cerebral organoids (HCOs) is necessary to identify their moral status. Although they also pr...

We investigated whether the inferior parietal lobule (IPL) responds in real-time to multisensory inconsistency during movement. The IPL is thought to be involved in both the detection of inconsistencies in multisensory information obtained during movement and that obtained during self-other discrimination. However, because of the limited temporal resolution of conventional neuroimaging techniques, it is difficult to distinguish IPL activity during movement from that during self-other discrimination. We simultaneously conducted electroencephalography (EEG) and near-infrared spectroscopy (NIRS) with the goal of examining IPL (...) activity with a high spatiotemporal resolution during single reaching movements. Under a visual feedback-delay condition, gamma event-related synchronization (γ-ERS), i.e., an increase in gamma (31–47 Hz) EEG power, occurred during reaching movements. This γ-ERS is considered to reflect processing of information about prediction errors. To integrate this temporal information with spatial information from the NIRS signals, we developed a new analysis technique that enabled estimation of the regions that show a hemodynamic response characterized by EEG fluctuation present in the visual feedback-delay condition. As a result, IPL activity was explained by γ-ERS specific to visual feedback delay during movements. Thus, we succeeded in demonstrating real-time activation of the IPL in response to multisensory inconsistency. However, we did not find any correlation between either IPL activity or γ-ERS with the sense of agency. Therefore, our results suggest that while the IPL is influenced by prediction error signals, it does not engage in direct processing underlying the conscious experience of making a movement, which is the foundation of self-other discrimination. (shrink)

On 11 March 2011, Japan experienced a major disaster brought about by a 9.0-magnitude earthquake and a massive tsunami that followed. This disaster caused extensive damage to the Fukushima Daiichi nuclear power plant with the release of a large amount of radiation, leading to a crisis level 7 on the International Atomic Energy Agency scale. In this report, we discuss the obligations of physicians to provide care during the initial weeks after the disaster. We appeal to the obligation of general (...) beneficence and argue that physicians should go to disaster zones only if there is no significant risk, cost or burden associated with doing so. We conclude that physicians were not obligated to go to Fukushima given the high risk of radiation exposure and physical and psychological harm. However, we must acknowledge that there were serious epistemic difficulties in accurately assessing the risks or benefits of travelling to Fukushima at the time. The discussion that follows is highly pertinent to all countries that rely on nuclear energy. (shrink)

This research examines the current status of clinical ethics consultation (CEC) in Japan through a nationwide study conducted with chairs of ethics committees and clinical ethics committees among 1028 post-graduate clinical teaching hospitals. We also qualitatively analyzed their viewpoints of the CEC’s benefits and problems related to hospital consultation services to identify the critical points for CEC and inform the development of a correctly functioning system. The questionnaire included structured questions about hospital CEC organization and service purpose and operation and (...) open-ended questions about the benefits and problems of initiating CEC. The questionnaire comprised the presence/absence of an ethics committee, CEC services and membership when services were implemented, users, and the number of cases handled since inception. In addition, the respondents also provided their impressions of the CEC system’s impact on their hospital by describing (a) the benefits of CEC services and (b) the ineffectual or harmful aspects of the CEC system. Qualitative data were examined using qualitative content analysis to determine the impact of establishing a CEC and the difficulties of practice. One hundred twenty-five questionnaires were returned from either the chair of the ethics committee or clinical ethics committee in teaching hospitals. Of these, 90 (72%) reported they provided CEC services. Additionally, 36 respondents (34.6%) reported that their existing research and clinical ethics committees had conducted CEC services, and 35 (33.7%) reported having a newly established clinical ethics committee conducting CEC services. Three positive effects of establishing and four challenges in managing CEC were also identified. (shrink)