Ziele und Wünsche.--Reform und Medizin.--Körper und Schicksal.--Entelechie und Freiheit (Bios und Logas).

The literature on Base of the Pyramid strategies emphasizes that creating social value requires collaborative, multi-stakeholder business approaches. However, there is limited understanding of how businesses can successfully coordinate such value creation processes in the developing economies that face significant institutional voids. This study adopts a business model perspective for analyzing social value creation processes that span organizational boundaries. We introduce a novel, theoretically grounded business model framework that helps conceptualize social value by locating the various loci of value creation, (...) and the stakeholders that partake in creating and capturing this value. We subsequently analyze the mechanisms of social value creation in M-Pesa, a renowned boundary-spanning mobile money system that has advanced financial inclusion among tens of millions of users in Kenya. The results show that information and communications technology can help advance social value creation by reducing the cost of coordinating boundary-spanning business models that integrate diverse societal stakeholders. The results further point to uneven distributional outcomes in self-governing social value creation strategies where the focal firm plays a coordinating role. (shrink)

Acaryaratnakirtiviracitam Udayananirakaranam. Deciphered and critically edited by Ragunath Pandey. Sri Satguru Publications, Delhi 1984. XII + 95 pp. Rs 95.

Nyayapravesa of Dinnaga. With Commentaries of Haribhadra Suri [sic] & Parsavadeva [sic]. Critically edited with Notes and Introduction by A. B. Dhruva. Sri Satguru Publications: Bibliotheca Indo-Buddhica No. 41, Delhi 1987. xxxvii, 82, 104pp. Rs 180.

IntroductionInternet addiction is characterized by excessive and uncontrolled use of the internet affecting everyday life. Adolescents are the primary risk group for internet addiction. Data on internet addiction is lacking in Africa. Thus, this review aimed to determine the pooled prevalence of internet addiction and its associated factors among high school and university students in Africa.MethodsA comprehensive literature search was conducted using electronic databases to locate potential studies. Heterogeneity between studies was checked using Cochrane Q test statistics and I2 test (...) statistics and small-study effects were checked using Egger's statistical test at a 5% significance level. A sensitivity analysis was performed. A random-effects model was employed to estimate the pooled prevalence and associated factors of internet addiction among students. The primary outcome of measure of this review was the prevalence of internet addiction and the secondary outcome of measures are the factors associated with internet addiction.ResultsA total of 5,562 studies were identified among the five databases. Of these, 28 studies from 10 countries with 14,946 high school and university students were included in this review. The overall pooled prevalence of internet addiction among the students was 34.53% [95% Confidence Interval : 26.83, 42.23, I2 = 99.20%]. Male sex [Pooled Odds Ratio = 1.92, 95% CI:1.43, 2.57 I2 = 0.00], urban residence, and duration of daily internet use for more than 4 h (POR = 2.25, 95% CI:1.20, 4.21, I2 = 0.00%, were significantly associated with internet addiction among adolescents.ConclusionAlmost one-third of university and high school students in Africa are addicted to the internet. Male students, those from urban areas, and those who use the internet for more than 4 h per day have higher odds of internet addiction. Thus, we recommend that health planners and policymakers pay attention to the use of the internet and internet addiction in Africa. (shrink)

There is a remedy available for many of our ailments: Psychopharmacology promises to alleviate unsatisfying memory, bad moods, and low self-esteem. Bioethicists have long discussed the ethical implications of enhancement interventions. However, they have not considered relevant evidence from psychology and economics. The growth in autonomy in many areas of life is publicized as progress for the individual. However, the broadening of areas at one’s disposal together with the increasing individualization of value systems leads to situations in which the range (...) of options asks too much of the individual. I scrutinize whether increased self-determination and unbound possibilities are really in a person’s best interests. Evidence from psychology and economics challenges the assumption that unlimited autonomy is best in all cases. The responsibility for autonomous self-formation that comes with possibilities provided by neuro-enhancement developments can be a burden. To guarantee quality of life I suggest a balance of beneficence, support, and respect for autonomy. (shrink)

Joshua Parker has made many interesting points, and we welcome the opportunity to develop the ideas of ‘Too Much Medicine, Not Enough Trust’. We will address: (i) the asymmetry between the trust that patients extend to doctors, and the trust that doctors extend to patients; (ii) our reasons for doubting that litigation or complaints reflect a betrayal of the patient–doctor relationship and (iii) the importance of institutional trust, both for the doctor and the patient.

As many studies around the theme of ‘too much medicine’ attest, investigations are being ordered with increasing frequency; similarly the threshold for providing treatment has lowered. Our contention is that trust is a significant factor in influencing this, and that understanding the relationship between trust and investigations and treatments will help clinicians and policymakers ensure ethical decisions are more consistently made. Drawing on the philosophical literature, we investigate the nature of trust in the patient–doctor relationship, arguing that at its (...) core it involves a transfer of discretion. We show that there is substantial empirical support for the idea that more trust will reduce the problem of too much medicine. We then investigate ways in which trust can be built, concentrating on issues of questioning, of acknowledging uncertainty and of shouldering responsibility for it. We argue that offering investigations or treatments as a way of generating trust may itself be an untrustworthy way of proceeding, and that healthcare systems should provide the institutional support for facilitating continuity, questioning and the entrusting of uncertainty. (shrink)

Trust and monitoring are traditionally antithetical concepts. Describing trust as a property of a relationship of reliance, we introduce a theory of trust and monitoring, which uses mathematical models based on two classes of functions, including _q_-exponentials, and relates the levels of trust to the costs of monitoring. As opposed to several accounts of trust that attempt to identify the special ingredient of reliance and trust relationships, our theory characterizes trust as a quantitative property of certain relations of reliance that (...) can be quantified and expressed as a scalar quantity. Our theory is applicable to both human–human and human–artificial agent interactions, as it is agnostic with respect to the concrete realization of trustworthiness properties, and is compatible with many views differing on which properties contribute to trust and trustworthiness. Finally, as our mathematical models make the quantitative features of trust measurable, they provide empirical studies on trust with a rigorous methodology for its measurement. (shrink)

BackgroundNo standard method exists to assess how many consults a healthcare ethics consultation (HCEC) service should perform. To address this, we developed a method to estimate the volume of HCEC services based on a mixed-methods approach that included a systematic review and survey data on the volume of consult services requested.MethodsOur investigation included a systematic review of studies that reported the volume of HCEC services that were requested from 2000 to 2017, institutional surveys, and statistical analyses that estimated the volume (...) of HCEC services that were adjusted to the size of the hospitals in the survey and to population acuity.ResultsWe contacted the authors of 19 studies that met our inclusion criteria; 17 authors responded to the institutional survey and five provided annualized data points. We found that standard methods of reporting the volume of HCEC services led to inaccuracies in estimating the growth of HCEC services over time. To rectify this, we proposed two means to estimate volume based on either the service goals of HCEC services or hospital size and acuity.DiscussionThe statistical limitations of our study highlight the need to standardize the sharing and reporting of data in clinical ethics. Future work should further standardize methods of HCEC quality assessment using measures similar to those we describe. (shrink)

How much by way of economic reward is due to health care providers?Although this problem usually presents itself as a practical matter of policy, it has buried within it a number of philosophical issues, for it can be regarded as a question in the theory of economic justice. The formal principle of justice is that we should render persons what is due to them. But on what consideration in the case of health care providers can we make an assessment (...) of what is due?The answer we give to this question has significant implications for the ethical appraisal of the allocation of resources in the health care system. Some of the most difficult issues of ethical appraisal emerge when we consider the problems of allocating potentially life-saving resources between different groups of patients. Many of the most significant current issues in medical ethics—the role of QALYs, the meaning of equality and the economic evaluation of life—find their point of reference in the ‘tragic choices’ that are created when there are insufficient resources to meet apparently legitimate medical need. Yet, as Robert Evans has pointed out, it is a simple matter of accounting identity that health care expenditures must equal health providers' incomes. So, in asking how we limit or allocate costly health care resources, we are implicitly offering an answer to the question of how much we should pay providers. I hope by seeking an answer explicitly to that question to throw light on the problems that are raised when considering ethically the allocation of health care resources. (shrink)

This supplement serves a double purpose. It presents, on the one hand, a selection of papers devoted to the title question “How much philosophy in the philosophy of science?”. On the other hand, it signalizes the newly established cooperation between the German Society for the Philosophy of Science and the Journal for General Philosophy of Science .The GWP was founded in Hannover in 2011 and had its inaugural conference in March 2013 [for a report on the “GWP.2013” by H. (...) Lyre see EPSA Newsletter 2 2013]. The society was launched for several reasons. Albeit the German community of philosophers of science is quite large , it is at the same time a rather distributed and dispersed community. This has to do with the university landscape in Germany, which is dispersed rather t .. (shrink)

Wright, Ken Review of: How much is Enough?: Money and the good life, by Robert and Edward Skidelsky, Other Press, New York, 2012, x + 241 pp., $20.07.

Over the past years, Massive Open Online Courses have emerged as new competitive advantages in the digital economy of higher education globally. Accordingly, an increasing number of individuals are attracted to these new learning environments for developing their knowledge and skills in a variety of subject areas. Despite these developments, research on linguistic features of MOOCs lectures as the main mediums for delivering the course contents remained limited. To address this gap, the present study analyzed a corpus of MOOCs lectures (...) with around 4.45 million words to determine the size of vocabulary knowledge needed for 95 and 98% coverages. The findings revealed that sufficient coverage of the course contents requires knowledge of the 5,000 most frequent words in English. Nonetheless, achieving adequate coverage level requires a much larger vocabulary size of around 9,000 most frequent words in English. The study also found that widely used word lists for general and academic vocabulary fail to support MOOCs learners with sufficient vocabulary knowledge for adequate lexical coverage. Based on these findings, the study draws a number of implications for preparing non-native English speakers to use MOOCs effectively and setting research-informed vocabulary learning goals in instructional programs and materials. (shrink)

When the absence of an event causes some outcome, it is an instance of omissive causation. For instance, not eating lunch may cause you to be hungry. Recent psychological proposals concur that the mind represents causal relations, including omissive causal relations, through mental simulation, but they disagree on the form of that simulation. One theory states that people represent omissive causes as force vectors; another states that omissions are representations of contrasting counterfactual simulations; a third argues that people think about (...) omissions by representing sets of iconic possibilities – mental models – in a piecemeal fashion. In this paper, we tease apart the empirical predictions of the three theories and describe experiments that run counter to two of them. Experiments 1 and 2 show that reasoners can infer temporal relations from omissive causes – a pattern that contravenes the force theory. Experiment 3 asked participants to list the possibilities consistent with an omissive cause – it found that they tended to list particular privileged possibilities first, most often, and faster than alternative possibilities. The pattern is consistent with the model theory, but inconsistent with the contrast hypothesis. We marshal the evidence and explain why it helps to solve a long-standing debate about how the mind represents omissions. (shrink)

The cost of basic income is typically estimated for a particular year. However, to assess the financial feasibility of basic income, it is also important to consider how much basic income will cost in the future. This is especially important in countries experiencing an ageing population, where the proportion of workers is expected to shrink. This article considers basic income as a universal life annuity and develops two models based on actuarial concepts to estimate the flat tax rate required (...) to finance basic income. The first model considers the cost of basic income over the lifetime of the current population and the second model additionally considers changing population dynamics. The proposed models are conceptually simple, providing a straightforward way to assess the financial feasibility of basic income. Using Singapore data, the models show that the monthly cut-off income separating net contributors and net recipients is around $2710 and benefits around 39 % of adult residents. A tax rate of around 22 % is required to support a basic income of $600. (shrink)

In this paper we explore what sacrifices you are morally required to make to save a child who is about to die in front of you. It has been argued that you would have very demanding duties to save such a child (or any adult who is in similar circumstance through no fault of their own, for that matter), and some examples have been presented to make this claim seem intuitively correct. Against this, we argue that you do not in (...) general have a moral requirement to bear more than moderate cost to save even a child who is just in front of you. Moreover, we explain why you have a much more demanding moral requirement in certain cases by appealing to the notions of undue risk and cost sharing. (shrink)

This paper is a report on the viability, both technical and ethical, of negative emissions technologies (NETs) in climate change mitigation. Given present levels of atmospheric carbon dioxide, NETs are almost certainly required in order to avoid the most serious consequences of anthropogenic carbonization. Critics argue that we should not rely on the promise of future NETs because that could be taken as an excuse to avoid decarbonization in the near term. The concern is genuine, but if the prima facie (...) arguments for drawing down carbon as soon as possible are correct, ways must be found to counter the incentives to defer the immediate deployment of NETs and other forms of mitigation. A policy instrument is sketched which could help accomplish that task. (shrink)

Much Ado About Nothingness brings together 14 essays on Nishida Kitaro and Tanabe Hajime by one of the leading scholars of twentieth-century Japanese philosophy. With Nishida’s “logic of place” and Tanabe’s “logic of the specific” providing a continuity to the whole, the author writes from a conviction that “the overriding challenge for those doing philosophy in the key of the Kyoto School, with their sights set squarely on self-awareness like Nishida and Tanabe before them, is to turn its attention (...) to the wider world….”. (shrink)

How much understanding should be required of a person with respect to her actions and their implications for her to be autonomous with respect to her decisions to perform them? I defend a thin approach to the question of how much understanding of her acts a person should possess for her possibly to be autonomous with respect to her decisions to perform them: That a person could be autonomous with respect to her decision to perform a certain action (...) if she understood both the nature of the act and its expected implications under the intensional description under which she intentionally performed it. This paper is divided into three sections. First, I argue that a concern for the moral value of autonomy does not undergird the ethical requirement to secure a person’s informed consent to her medical treatment. Second, I respond to several objections that have been leveled against this argument that focus on its implicit premise that only a thin understanding of one’s actions is required for one to be autonomous with respect to one’s decisions to perform them. I conclude by indicating why this minimalist account of autonomy that I defend is preferable to its more robust competitors. (shrink)

It is widely recognized that workplace sexual harassment has significant negative psychological and personal consequences, and employees facing harassment suffer reductions in productivity. Our contribution is to propose a novel measure of workplace sexual harassment risk and provide a fuller estimation of the firm value impact of sexual harassment. In contrast to recent studies that focus on short-run market reactions to media announcements of harassment scandals, we use employee job reviews to identify low-profile harassment incidents that better reflect the pervasive, (...) toxic environment pertaining to sexual harassment than do newsworthy scandals, and we measure the longer-term effect on firm value starting from the date when harassment risk affects employee morale. We identify firm harassment risk by analyzing employee job reviews and estimate the sexual harassment score (SH) through textual analysis of online job reviews. Our sample of high-SH firms, or firms with unusually high-SH scores, exhibits significant reductions in future stock performance and profitability. For example, firms with a top 2% SH score earn a value-weighted risk-adjusted stock return of − 17% in the 1-year period after high-SH classification, and this damage is concentrated in firms with higher investor attention. Furthermore, high-SH firms experience a decline in operating profitability and an increase in labor costs during a 5-year period around high-SH classification. Our evidence suggests that sexual harassment can cause greater damages to firm value than previously documented. (shrink)

This paper tries to provide some clues and red threads through the magisterial work of Eric Santner. The first part takes the point of departure in his book on Schreber (My Own Private Germany) and tries to lay down a basic narrative that subtends most of Santner’s work and can be encapsulated by “the secret history of modernity.” This narrative is briefly spelled out through the relationship of Schreber the father (the “surplus father” as the continuation of the enlightenment), Doctor (...) Flechsig (the seminal representative of the modern university discourse), and Schreber the son, the embodiment of the symptom of the progress of modernity. The second part of the paper scrutinizes three interrelated concepts proposed by Santner, too muchness, the surplus of immanence, and manatheism, which provide conceptual tools to address the break of modernity. The three concepts are brought into relation with the historical placement of psychoanalysis in modernity, the dialectic of “what remains” and the emergence of the new, and finally with the nature of the exception pertaining to the notion of the surplus. The last part, “the punning of reason,” examines Santner’s frequent use of puns (“puncepts”) as a conceptual strategy to deal with the paradoxes of universality. Punning is taken not as an addition or embellishment but as a poignant way to propose a new status of universality, related to what Lacan named lalangue. The three different perspectives try to show the different ways by which Santner’s work addresses the core conundrums of modernity. (shrink)

Fiction, Reference, and Nonexistence contains a new, contemporary theory of fiction and discusses the connection between language and reality. Martinich and Stroll, two of America's leading philosophers, explore fiction and undertake an analytic philosophical study of fiction and its reference, and its relation to truth.

The article argues that the possibility of an unlimited gap in income and wealth between the top and bottom segments of society is incompatible with a democratic commitment to political equality. T...

Although it seems commonsensical to say that one cannot merely have too little, but also too much self-control, the philosophical debate has largely focused on failures of self-control rather than its potential excesses. There are a few notable exceptions. But, by and large, the issue of having too much self-control has not received a lot of attention. This paper takes another careful look at the commonsensical position that it is possible to have too much self-control. One key (...) insight that will emerge is that there are certain important confusions surrounding this view. Once these are removed, however, we are led to the conclusion that there need not be anything intrinsically problematic about being a paragon of self-control. (shrink)

Longtermists have argued that humanity should significantly increase its efforts to prevent catastrophes like nuclear wars, pandemics, and AI disasters. But one prominent longtermist argument overshoots this conclusion: the argument also implies that humanity should reduce the risk of existential catastrophe even at extreme cost to the present generation. This overshoot means that democratic governments cannot use the longtermist argument to guide their catastrophe policy. In this paper, we show that the case for preventing catastrophe does not depend on longtermism. (...) Standard cost-benefit analysis implies that governments should spend much more on reducing catastrophic risk. We argue that a government catastrophe policy guided by cost-benefit analysis should be the goal of longtermists in the political sphere. This policy would be democratically acceptable, and it would reduce existential risk by almost as much as a strong longtermist policy. (shrink)

BackgroundIn June 2019, the Australian state of Victoria joined the growing number of jurisdictions around the world to have legalised some form of voluntary assisted dying. A discourse of safety was prominent during the implementation of the Victorian legislation.Main textIn this paper, we analyse the ethical relationship between legislative “safeguards” and equal access. Drawing primarily on Ruger’s model of equal access to health care services, we analyse the Victorian approach to voluntary assisted dying in terms of four dimensions: horizontal equity, (...) patient agency, high quality care, and supportive social norms. We argue that some provisions framed as safeguards in the legislation create significant barriers to equal access for eligible patients.ConclusionsWhile safety is undoubtedly ethically important, we caution against an overemphasis on safeguarding in voluntary assisted dying legislation given the implications for equal access. (shrink)

Philosophizing, according to E. Martens, can be seen as an elemental cultural technology, like arithmetic or writing, which both can and should be acquired in childhood. Martens is proposing here an understanding of philosophy that attributes value not only to the content canon, but also to the process itself, as Wittgenstein, for one, also did when he stated in the Tractatus Logico-Philosophicus, “Philosophy is not a doctrine, but an activity.” For Socrates, this activity consisted in “giving an account of ourselves, (...) our knowledge, our way of life.” In Nietzsche’s view, the precondition for this kind of accounting is the personal capacity for self-distancing, which allows us to grasp our quite individual primal experiences of emotion, perception, sudden illuminations of insight, and so on, as general concepts and logical structures. (shrink)

High-quality art pedagogical work requires continuous further training for teachers and the observation of art practice and art exhibitions. As art changes, so does society and therefore schools. If the teacher wants to refresh the content and bring it closer to the students, he or she must follow the changes. In this article, we present part of a broader study in which we were interested in teachers' personal interest in monitoring art practice. The research was conducted on a sample of (...) 84 upper elementary school art teachers from all over Slovenia (N = 84). We analyzed teachers' interest in terms of age and length of service. We were interested in whether age and length of service are factors that influence the personal interest of art teachers and the continuation of their professional development. The results show that teachers, regardless of age and professional experience, show a similar interest in artistic practices. (shrink)

In the final edition of the Theory of Moral Sentiments (TMS), Smith recommends several literary authors—Racine and Voltaire, Richardson, Marivaux, and Riccoboni—as “much better instructors than Zeno, Chrysippus, or Epictetus,” specifically in their illustrations of relationships of love and friendship as well as the “private and domestic affections,” like “parental tenderness” and “filial piety” (III.3.13-4). Smith does not here explain how literature performs this instructive function, and his remarks on the function of literature are scattered across TMS and the (...) Lectures on Rhetoric and Belles Lettres. This chapter contributes to a growing body of scholarship on Smith and literature by focusing closely on this recommendation, elucidating the instructive potential of the early novel, and showing how well-suited the techniques of that form are to the goals and challenges of Smith’s sentimentalist moral philosophy. By examining shared themes and formal features of the novels of Samuel Richardson, Pierre Marivaux, and Marie-Jeanne Riccoboni, I show how a reader’s engagement with these novels helps to enable and train her skills as an impartial and sympathetic spectator. (shrink)

We should be suspicious of the idea that experiencing pain could enable animals to trade off different motivations in a common currency. It is not even clear that humans have a common motivational currency reflected in evaluative experience. Instead, pain may capture attention, inhibiting attention to competing motivations and needs, thereby making genuine trade-offs harder. Our criteria for pain in invertebrates should be part of a more subtle theory of the relationship between pain and decision-making.

The primary objective of this study is to provide a description of the major ideas about void space within and beyond the world that were formulated between the fourteenth and early eighteenth centuries. The second part of the book - on infinite, extracosmic void space - is of special significance. The significance of Professor Grant's account is twofold: it provides the first comprehensive and detailed description of the scholastic Aristotelian arguments for and against the existence of void space; and it (...) presents (again for the first time) an analysis of the possible influence of scholastic ideas and arguments on the interpretations of space proposed by the nonscholastic authors who made the Scientific Revolution possible. The concluding chapter of the book is unique in not only describing the conceptualizations of space proposed by the makers of the Scientific Revolution, but in assessing the role of readily available scholastic ideas on the conception of space adopted for the Newtonian world. (shrink)