BackgroundAt the start of 2021, oncologists lacked the necessary scientific knowledge to adapt their clinical practices optimally when faced with cancer patients refusing or reluctant to be vaccinated against COVID-19, despite the marked vulnerability of these patients to severe, and even fatal forms of this new viral infectious disease. Oncologists at Foch Hospital were confronted with this phenomenon, which was observed worldwide, in both the general population and the population of cancer patients.MethodsBetween April and November 2021, the Ethics and Oncology (...) Departments of Foch Hospital decided to investigate this subject, through an empirical and interdisciplinary study in bioethics. Our scientific objective was to try to identify and resolve the principal bio-ethical issues, with a view to improving clinical practices in oncology during future major pandemics of this kind, from a highly specific bio-ethical standpoint. We used a mainly qualitative methodological approach based on questionnaires and interviews.ResultsIn April 2021, 29 cancer patients refused or were reluctant to be vaccinated. Seventeen of these patients said that making vaccination mandatory would have helped them to accept vaccination. In October 2021, only 10 cancer patients continued to maintain their refusal. One of the main reasons for the decrease in refusals was probably the introduction of the “pass sanitaire” in July 2021, which rendered vaccination indispensable for many activities. However, even this was not sufficient to convince these 10 cancer patients.ConclusionWe identified a key bio-ethical issue, which we then tried to resolve: vaccination policy. We characterized a major tension between “the recommendation of anti-COVID-19 vaccination” and “free will”, and the duty to “protect each other”. Mandatory vaccination, at least in France, could resolve this tension, with positive effects on quality of life, or survival, in cancer patients initially refusing or reluctant to be vaccinated, but only if collective and individual scales are clearly distinguished. (shrink)

We address the controversy in the literature concerning the definition of holobionts and the apparent constraints on their evolution using concepts from community population genetics. The genetics of holobionts, consisting of a host and diverse microbial symbionts, has been neglected in many discussions of the topic, and, where it has been discussed, a gene-centric, species-centric view, based in genomic conflict, has been predominant. Because coevolution takes place between traits or genes in two or more species and not, strictly speaking, between (...) species, it may affect some traits but not others in either host or symbiont. Moreover, when interacting species pairs are embedded in a larger community, indirect ecological effects can alter the expected pairwise dynamics. Mode of symbiont transmission and the degree of host inbreeding both affect the extent of microbial mixing across host lineages and thereby the degree to which selection on one trait of either partner affects other aspects of a holobiont phenotype. We discuss several potential defining criteria for holobionts using community genetics and population genetics models, suggesting their application and limitations. Using community genetics models, we show how conflict between genomes can be self-limiting, while cooperation and mutualism tend to be self-accelerating. It is likely that this bias in the evolutionary dynamics of interaction between hosts and symbionts is an important feature of holobionts. This bias in the evolutionary dynamic could contribute to explaining the absence of cheaters from natural mutualisms, although cheaters are predicted by gene-centered conflict theory to cause the evolutionary instability of mutualisms. Additionally, it may help explain the more frequent origin of mutualisms from parasitic than from free-living systems, an evolutionary trajectory opposite to that predicted by genome conflict theory. (shrink)

Slurs are incendiary terms so much that many ordinary speakers and theorists deny that sentences containing them can ever be true, and utterances where they occur embedded within normally "quarantining" contexts, like conditionals and indirect reports, are still typically offensive. At the same time, however, many speakers and theorists also find it obvious that sentences containing slurs can be true; and there are clear cases where embedding does inoculate a speaker from the slur's offensiveness. I argue that four standard accounts (...) of the "other" element that differentiates slurs from their more neutral counterparts semantic content, perlocutionary effect, presupposition, and conventional implicature all fail to account for this puzzling mixture of intuitions about truth, and for this mixture of projection and quarantining. Instead, I propose that slurs make two distinct, coordinated contributions to a sentence's conventional communicative role: predication of group membership and endorsement of a derogating perspective on the group. Predication of group membership is "at issue" by default, but different semantic and conversational contexts can alter the relative prominence and scope of the two contributions. (shrink)

I argue that stories are ‘equipment for living’ in two senses: retrospectively, they provide ‘configurational comprehension’ of a temporal sequence of events; prospectively, they offer templates for action. Narrative conceptions of the self appear well poised to leverage these functional roles for stories into an intuitively compelling view of self-construction as self-construal. However, the narrative conception defines selves in terms of the lives they live: a self is the protagonist in a lifelong story. And narrative structure is itself defined by (...) ‘retrospective necessity’: the meaning of events within a story is given by their contribution to that story's ending. Together, this entails that life stories hold selves metaphysically, epistemically, and practically hostage to their ends. Fortunately, narratives are just one species of interpretive frame. I suggest some alternative types of frames, including identity labels and metaphors, that support configurational comprehension, action guidance, and self construction without shackling selves to their lives’ ends. (shrink)

climate scientists have been engaged in a decades-long debate over the standing of satellite measurements of the temperature trends of the atmosphere above the surface of the earth. This is especially significant because skeptics of global warming and the greenhouse effect have utilized this debate to spread doubt about global climate models used to predict future states of climate. I use this case from an under-studied science to illustrate two distinct philosophical approaches to the relation among data, scientists, measurement, models, (...) and theory. I argue that distinguishing between 'direct' empiricist and 'complex' empiricist approaches helps us understand and analyze this important scientific episode. I also introduce a complex empiricist account of testing and evaluation, and contrast it with the basic Hypothetico-Deductive approach to the climate models used by the direct empiricists. This more developed complex empiricist apporach will serve philosophy of science well, as computational models become more wide-spread in the sciences. (shrink)

Ernie Lepore and Herman Cappelen (2005) argue that contextual influences on semantic content are much more restricted than most theorists assume, by presenting three tests for semantic context-sensitivity and concluding that only a very restricted class of expressions pass them. They combine this extreme semantic minimalism with an even more extreme speech-act pluralism, according to which a speaker has said anything that she can be reported as having said. I argue that because Lepore and Cappelen refuse to distinguish what is (...) said from what is claimed, their tests wrongly classify metaphor as semantically context-sensitive. I then argue that our ordinary linguistic practices support a distinction between what is said and what is claimed, and that underwrites a much more moderate form of speech act pluralism. (shrink)

On realist terms, politics is about power, security, and order, and the question of whether politics can practice compassion is irrelevant. The author argues that a politics of compassion is possible and necessary in order to address human security needs. She extend debates on care ethics to develop a politics of compassion, using the example of asylum seekers to demonstrate that politics can practice compassion with attentiveness to the needs of vulnerable people who are suffering, an active listening to the (...) voices of the vulnerable, and open, compassionate, and appropriate responses to particular needs. (shrink)

Keine ausführliche Beschreibung für "Friedrich Nietzsches Philosophie des europäischen Nihilismus" verfügbar.

This article examines the involvement of residents and their relatives in end-of-life decisions and care in Norwegian nursing homes. It also explores challenges in these staff—family relationships. The article is based on a nationwide survey examining Norwegian nursing homes’ end-of-life care at ward level. Only a minority of the participant Norwegian nursing home wards ‘usually’ explore residents’ preferences for care and treatment at the end of their life, and few have written procedures on the involvement of family caregivers when their (...) relative is in the terminal phase. According to the respondents, most staff seem to comfort relatives well. However, several challenges were described. The study revealed a need for better procedures in the involvement of residents and relatives in nursing home end-of-life care. The findings emphasize a need to strengthen both the involvement of nursing home physicians and staff communication skills. (shrink)

Autonomy of people on the autism-spectrum has only been very rarely conceptually explored. Autism spectrum is commonly considered a hetereogenous disorder, and typically described as a behaviorally-defined neurodevelopmental disorder associated with the presence of social-communication deficits and restricted and repetitive behaviors. Autism research mainly focuses on the behavior of autistic people and ways to teach them skills that are in line with social norms. Interventions such as therapies are being justified with the assumption that autists lack the capacity to be (...) self-reflective and to be “author of their lives”. We question this assumption, as some empirical research shows that autists are aware of their strengths and are critical about social norms, we take this as a starting point to reconsider the beliefs about autistic people’s capacities. As a theoretical framework, we draw on Berlin’s idea of positive and negative liberty as he clearly distinguishes between one’s own developed preferences and the simple absence of interference. By drawing on the concept of positive liberty, we illustrate that a lot of autists are aware of their own needs, and usually do not deny their own needs, values and interests. This makes them less prone than non-autistic people to adapt their preferences to external influences, which might be seen as sticking to an authentic way of living. Our analysis shows that many autists are hindered to be autonomous due to unjustified interference, unreflected assumptions about their self-determination, or by paternalistic actions. These observations contribute to a better understanding when help and interference are justified and a more differentiated understanding of autonomy of autistic people. (shrink)

Individual autonomy is a concept highly appreciated in modern Western societies. Its significance is reflected by the central importance and broad use of the model of informed consent in all fields of medicine. In predictive genetic testing, individual autonomy gains particular importance, for what is in focus here is not so much a concrete medical treatment but rather options for taking preventive measures and the influence that the test results have on long-term lifestyle and preferences. Based on an analysis of (...) autonomy-related issues in predictive genetic diagnosis and genetic screening programmes, this contribution stresses the central relevance of a broad notion of autonomy for the discussion of ethical issues raised in connection with predictive genetic testing and genetic screening programmes. Only against the background of such a broad notion of autonomy, which stresses not only free and informed decision-making but also the relevance of long-term prospects for leading a self-determined life in familial and social contexts, can the manifold autonomy-related issues linked to predictive genetic testing be given adequate consideration. (shrink)

Universities around the world are undergoing a marketisation process in order to respond to consumer-oriented demands. Despite priority shifts, universities have remained traditionally hierarchical and elitist. Moreover, a new and growing generation of academic researchers has found it increasingly difficult to integrate in academia. Systems and patterns of behaviour breeding cultural narcissism, intended as a value and cultural system characterised by an investment in false self-projections backed by Machiavellian attainment, exist and appear to thrive in academic institutions. This organizational adaptation (...) for survival is now embedded in higher education and interlinked with mobbing, workplace bullying and academic misconduct. The problematics we are witnessing today in many academic settings (high rates of mental health issues, widespread research misconduct scandals and loss of credibility of academic research) are a by-product of an organizational narcissistic culture. Amidst economic shifts, it might seem reasonable to adopt measures aimed at increasing assets, invest in highly entrepreneurial academics who attract financial resources to universities and use any means to salvage the reputations of educational institutions. Yet these strategies might be promoting and perpetuating value systems that are undermining academic integrity, and therefore contributing to the scientific credibility crisis and failure of these institutions. (shrink)

The patient’s home is a common setting for palliative care. This means that we need to understand current palliative care philosophy and how its goals can be realized in home‐care nursing encounters (HCNEs) between the nurse, patient and patient’s relatives. The existing research on this topic describes both a negative and a positive perspective. There has, however, been a reliance on interview and descriptive methods in this context. The aim of this study was to explore planned HCNEs in palliative care. (...) The design was a multiple case study based on observations. The analysis includes a descriptive and an explanation building phase. The results show that planned palliative HCNEs can be described as a process of co‐creating possibilities for the patient to reach vital goals through shared knowledge in a warm and caring atmosphere, based on good caring relations. However, in some HCNEs, co‐creation did not occur: Wishes and needs were discouraged or made impossible and vital goals were not reached for the patients or their relatives. Further research is needed to understand why. The co‐creative process presented in this article can be seen as a concretization of the palliative care ideal of working with a person‐centered approach. (shrink)

Background: Human rights are an important part of nursing practice. Although there is increasing recognition regarding the importance of including human rights education in nursing education, few studies have focused on nursing students’ perspectives and experiences in relation to human rights in nursing, especially regarding older nursing home residents’ right to food. Objective: To explore nursing students’ perspectives and experiences in relation to the right to food. Research design: The study followed a qualitative interpretative research design. Data were collected from (...) multistage focus groups before, during and after clinical placement in a nursing home and analysed through thematic analysis. Participants and research context: Participants were 18 first-year nursing students; the study was conducted in 2017. Ethical considerations: This study was approved by the Norwegian Centre for Research Data. Findings: Students’ understanding of older nursing home residents’ right to food was a dynamic process. Their perceptions evolved from a polarized perspective to a reality orientation and finally to retrospective reflection. Discussion: The article discusses how nursing students learn about and understand human rights within and throughout their placements. Conclusion: The study bridges human rights theory and practice. Findings suggest that the human right to food must be enacted in daily practice for students to learn in context. Human rights education, specifically pertaining to nutritional care, thus benefits from a practice-oriented approach preparing students to face ‘real life’ challenges and ethical dilemmas. Findings will help nurse educators tailor education in this field. (shrink)

Unlike a great deal of research on expert/non-expert communication, most of which is based on written materials, this article focuses on face-to-face communication. The analysis is based on a large corpus of transcribed recordings of medical seminars in rehabilitation centres and of interviews with chronically ill patients suffering from heart conditions. The focus is on procedures of illustration, which are often combined with reformulation procedures. Four main types are described: metaphors, exemplification, `scenarios', concretization. Whatever the type of illustration used, participants (...) in face-to-face interaction show a marked preference for procedures which relate abstract medical information to everyday life and experience. After a brief outline of the theoretical approach adopted the analysis proceeds in two steps: first, the emphasis is on techniques employed by the `experts', then on those used by `non-experts', i.e. patients. This is followed by an examination of the question how the roles of expert and non-expert are constituted in and by interaction. (shrink)

Examining changing role models for masculine identity--from cowboy in the 1950s to Terminator in the 1990s, from flesh-and-blood man to machine--this book suggests that men need new role models and that sufficient room needs to be left for the expression of male vulnerability, a psychic space that would accept attitudes and behaviors traditionally labeled as "feminine." This new model, Badinter argues, may reduce the profound effects of homophobia and misogyny.

A specific form of research question, for instance, “What is the probability of a certain class of weather events, given global climate change, relative to a world without?” could be answered with the use of FAR or RR (Fraction of Attributable Risk or Risk Ratio) as the most common approaches to discover and ascribe extreme weather events. Kevin Trenberth et al. (2015) and Theodore Shepherd (2016) have expressed doubts in their latest works whether it is the most appropriate explanatory tool (...) or the way of public outreach concerning climate events and extremes. As an alternative, these researchers focus on complementary questions, for example, “How much did climate change affect the severity of a given storm?” advocating a “storyline” approach. New methods and new research questions are neither foreign, nor controversial from the standpoint of history and philosophy of science, especially those, related to public interest. Nevertheless, the new proposal has got a tepid reception from the majority of professionals of the given field. They argued that this approach can cause weakening of standards and neglecting of scientific method. The following paper attempts to find the roots of the supposed controversy. We claim inefficiency of uncompromising approach to D&A in absolute sense and assert that errors of a particular type may have a different level of concern in society, depending on the variety of contexts. Therefore, context defines the risk of over-estimation vs. under-estimation of harm. (shrink)

Hermann Cohen, the founding father of Marburg neo-Kantianism, is known for criticising capitalism from a Kantian ethical perspective. Thus far, the role of the notion of humanity in this critique has been viewed as grounding what I shall call the ‘purposive labour reading’. This reading takes Cohen’s primary interest to lie in a reorganisation of work so that our humanity, which requires us to be treated as ends, remains intact. With the aim to better understand the relevant notion of humanity, (...) I contextualise the discussion within the overall framework of Cohens’ neo-Kantian account of ethical cognition and situate his ideas in the context of his contemporary interlocutors. Revisiting Cohen’s remarks on socialism and capitalism against this backdrop reveals that his discussion of labour serves as an exemplar, showcasing how ethical rationality manifests in the liberal socialists’ demands. I argue that his primary aim was not to prepare the ground for a prescriptive labour theory – though this is likely to follow – but to argue for a framework alternative to historical materialism, allowing us to perceive and interpret social practices in an ethical light. (shrink)

This paper argues for a ‘contextualist’ approach to teaching antisemitism in philosophy class. The traditional ‘systematic’ approach emphasizes recognizing and dismantling antisemitic aspects in canonical philosophical texts. The introduced contextualist approach broadens the perspective, treating philosophy as a continuous debate embedded in cultural realities. It focuses on historical controversies rather than isolated arguments, includes the voice and the perspectives of the oppressed, and so has the potential to broaden traditional philosophical canons. In the second half of the paper, we provide (...) a case study of the contextualist approach, applying it to the ‘Berlin antisemitism controversy’ of 1879/80. We argue that the contextualist approach is particularly valuable when dealing with antisemitism as it teaches students to analyze arguments within the socio-political landscape and to identify antisemitic elements. The students thereby acquire the skills to discern antisemitic argumentation in other contexts as well. We suggest that this approach could be used to teach other debates in the history of philosophy, especially those tackling race, sex, and gender issues. (shrink)

‘Left melodrama’ is a form of contemporary political critique that combines thematic elements and narrative structures of the melodramatic genre with a political perspective grounded in a left theoretical tradition, fusing them to dramatically interrogate oppressive social structures and unequal relations of power. It is also a new form of what Walter Benjamin called ‘left melancholy’, a critique that deadens what it examines by employing outdated and insufficient analyses to current exploitations. Left melodrama is melancholic insofar as its use of (...) older leftist critical methods disavows its attachments to the failed promises of left political-theoretical critique: that it could provide direct means to freedom and moral rightness. Left melodrama is melodramatic insofar as it incorporates the specific melodramatic narrative, style and promise of the text that stands in for its disavowed attachments: the Manifesto of the Communist Party. Whereas the Manifesto's critical power promised radical political transformation, left melodrama incorporates the Manifesto's melodramatic style in an effort to revivify that promise. It thus inhibits the creation of new critical methods appropriate to our current historical moment and occludes Marx and Engels' warning that the possibility of radical transformation is diminished when the past furnishes the vision for the future. Left melodrama can be found in the texts of Giorgio Agamben, Michael Hardt and Antonio Negri; their reincorporation of the Manifesto's melodrama both contributes to their widespread success and undercuts their critical capacities to examine and challenge the inequalities, injustices and unfreedom that shape the present moment. (shrink)

The focus of this essay is Sylvia Wynter’s conception of ceremony. I argue that ceremonies provide the conditions for a new conception of what it means to be human, that is no longer hierarchical. As such, both ceremonies and this new human are necessary for processes of liberation. In order to be liberatory, however, ceremonies must be place-based and yet fluid and mobile, are steeped in history and are thrust into the future, depend upon community, and impact daily experiences. I (...) argue that employing the best aspects of ceremony can provide the tools for developing coalitional movements, which are often already employed by Black and Indigenous communities. I call this process ceremonies of liberation. (shrink)

Recent studies have shown that schizophrenia may be a disease affecting the states of consciousness. The present study is aimed at investigating metamemory, i.e., the knowledge about one's own memory capabilities, in patients with schizophrenia. The accuracy of the Confidence level (CL) in the correctness of the answers provided during a recall phase, and the predictability of the Feeling of Knowing (FOK) when recall fails were measured using a task consisting of general information questions and assessing semantic memory. Nineteen outpatients (...) were paired with 19 control subjects with respect to age, sex, and education. Results showed that patients with schizophrenia exhibited an impaired semantic memory. CL ratings as well as CL and FOK accuracy were not significantly different in the schizophrenic and the control groups. However, FOK ratings were significantly reduced for the patient group, and discordant FOK judgments were also observed more frequently. Such results suggest that FOK judgments are impaired in patients with schizophrenia, which confirms that schizophrenia is an illness characterized by an impaired conscious awareness of one's own knowledge. (shrink)

In an oft-quoted paper entitled “To What Extent Was the Austrian School Marginalist?”, Streissler challenged earlier interpretations of Menger’s work that had accorded equal billing to Menger alongside Jevons and Walras as co-discoverer of the marginalist principle. In Streissler’s words, Menger was exceptionally great because he created marginalism at the same time that he surpassed it: the essence of Menger’s contribution to economic science was to be located in his subjectivist vision of the economy rather than in marginalism per se. (...) Streissler’s interpretation presaged Professor Kirzner’s subsequent rendering of Menger’s work, namely, that Menger’s subjectivist vision of the system as whole forms the very core of his contribution. This paper argues that, while these modern subjectivist reinterpretations are more faithful to Menger’s work than the earlier restrictive marginalist interpretations, they have nonetheless failed to identify Menger’s ‘vision.’ It is submitted here that this vision is to be located in Menger’s intention of constructing a theory of complex economic phenomena. Building upon Alfred Whitehead’s “process philosophy”, this paper provides a philosophically realist reconstruction of Menger’s theory of complex phenomena before investigating its pervasiveness and significance in the economic sphere.Dans un article célèbre intitulé “To What Extent Was the Austrian School Marginalist?”, Streissler remit en cause les interprétations antérieures de l’oeuvre de Menger qui faisaient de ce dernier un des co-inventeurs du principe marginaliste au même titre que Jevons et Walras. Pour Streissler, Menger était exceptionnellement grand parce qu’il créa le marginalisme en même temps qu’il le surpassa : l’essence de la contribution de Menger à la science économique se trouvait dans sa vision subjectiviste de l’économie plus que dans le marginalisme en soi. L’article de Streissler annonçait l’interprétation que devait donner le Professeur Kirzner de la contribution de Menger, à savoir que sa vision subjectiviste du système dans son ensemble constituait le coeur même de sa contribution. Ces réinterprétations subjectivistes modernes de l’oeuvre de Menger sont certes plus fidèles à celle-ci que les interprétations étroites antérieures données sous l’angle marginaliste. Ces réinterprétations modernes n’ont pas pour autant identifié la vision qu’avait Menger de la sphère économique. L’article suggère que cette vision se situe dans la théorie des phénomènes complexes de l’économie que Menger se propose d’élaborer. En se fondant sur “ la pensée du procès ” d’Alfred Whitehead, l’article propose une reconstruction philosophico-réaliste de la théorie des phénomènes complexes de Menger avant d’illustrer sa pertinence et son importance dans la sphère économique. (shrink)

Sara Ahmed’s Living a Feminist Life draws explicitly from the writings of French second-wave feminist Monique Wittig. Given that Wittig’s work has fallen into obscurity in recent years, and that a number of critiques have responded to her theorization of the notion of “the lesbian,” this essay seeks to understand what Wittig has to offer to twenty-first-century intersectional feminist theory, like that of Ahmed. In this essay, I thus offer analysis and critique of Wittig’s discussion of race and slavery found (...) specifically in her philosophical writings. While emphasizing the significance of Wittig’s failure to be inclusive of women of color in these philosophical works, I propose that within Wittig’s literary writings there are potential tools and concepts—specifically multiplicity, interruption, and mutability—that can be fruitful for trans-inclusive and women of color feminist theorizing. (shrink)

Much debate concerning ‘precedent autonomy’ – that is, the authority of former, competent selves to govern the welfare of later, non-competent selves – has assumed a radical discontinuity between selves, and has overlooked the ‘bridging’ role of intimate proxy decision-makers. I consider a recent proposal by Lynn et al. (1999) that presents a provocative alternative, foregrounding an imagined dialogue between the formerly competent patient and her/his trusted others. I consider what standards must be met for such dialogues to have moral (...) force, appealing to narrative and feminist ethics. I then critique the dualistic construction of selves implicit in much of the advance directive literature, noting the continuities of dependence, character, and body, as well as the social dimension of the construction of selves. (shrink)

We consider the question of when, given a subset A of M, the setwise stabilizer of the group of automorphisms induces a closed subgroup on Sym(A). We define s-homogeneity to be the analogue of homogeneity relative to strong embeddings and show that any subset of a countable, s-homogeneous, ω-stable structure induces a closed subgroup and contrast this with a number of negative results. We also show that for ω-stable structures s-homogeneity is preserved under naming countably many constants, but under slightly (...) weaker conditions it can be lost by naming a single point. (shrink)