Among the educative games of Plato’s Cretan city, choral performances have a prominent role. This paper examines the function of play (παιδιά) in the choral education in virtue in Plato’s Laws. I reconstruct the notion of play as it is elaborated throughout this dialogue, and then show how it contributes to solving the problem of virtue acquisition in the Athenian’s account of moral education through songs and dances. I argue that play in the Laws is best understood an imitative activity (...) that is intrinsically pleasurable, ordered by rules and patterns of repetition, and undertaken for its own sake by a player whose psychic condition is childish. Thus interpreted, we are in a better position to see why choruses must be engaged in playfully. Because the self-likening (ὁμοίωσις) process choral performances aim at requires pleasure and because pleasure normally obtains when there is a concordance between one’s character and the imitations, virtue acquisition is best secured if the imitations of virtue in choruses are performed playfully. (shrink)

This paper aims to show how Heidegger and Arendt’s reappropriations of Aristotle’s thought are structured around a reinterpretation of the double definition of man as a practical being, that is, aszôon logon echonandzôon politikon. I argue that by interpreting the notions that compose and circumscribe this definition — those of life (zôê),logos, production (poiêsis), action (praxis) and contemplation (theôria), Heidegger and Arendt find the main characteristic of human beings by developing upon two distinct possibilities contained in the ambivalent Aristotelian concept (...) ofpraxis. However, they both blur the distinction between activity (energeia) and motion (kinêsis), which expose their critique oftheôriato two difficulties — one concerning the praxical character oftheôria, the other its temporality. (shrink)

Résumé Cet article cherche à poser à nouveau l’épineuse question de l’« antimodernisme » dans la philosophie politique contemporaine. Nous proposons à cette fin d’expliquer la critique que fait le philosophe français Alain Renaut d’un des plus grands pionniers du renouveau contemporain de la philosophie politique, Leo Strauss, et d’exposer par la suite une réplique possible à cette critique, reconstituant ainsi un dialogue qui ne put véritablement avoir lieu. Nous cherchons à montrer qu’à terme, la critique de Renaut est en (...) bonne partie injuste et, conséquemment, que la posture « antimoderne » de Strauss n’est peut-être pas aussi « intenable » qu’il le laisse entendre. -/- Abstract This article aims to recover the thorny question of « antimodernism » in contemporary political philosophy. For this purpose, we propose to explain French philosopher Alain Renaut’s critique of one of the greatest pioneers of the contemporary recovery of political philosophy—Leo Strauss—and to expose a possible reply to this critique, aiming thus at the reconstitution of a dialogue that could not really have taken place. We try to show that, ultimately, Renaut’s critique is to a great extent unfair and then, that Strauss’s « antimodernist » stance is not as « untenable » as it is believed to be. (shrink)

This paper addresses the question of the function of genre in Gadamer’s hermeneutics by examining his treatment of Plato’s political writings in the context of the “utopian genre.” I argue that Gadamer’s reading of Plato informs us on the hermeneutics of genre, which is otherwise undiscussed in Truth and Method. First, I reconstruct the utopian genre as Gadamer treats it in a 1983 lecture hitherto neglected. Second, I expand Gadamer’s “logic of question and answer” by drawing on the notion of (...) genre as articulated by E.D. Hirsch and show that attention to genre is not only compatible with Gadamerian hermeneutics, but also productive. Finally, I demonstrate that an application of this concept of genre to the case of Plato’s political philosophy reveals a problem in Gadamer’s interpretation, namely a certain confusion between dialogue and utopia, and propose two ways of explaining this confusion and thus of resolving the aporia. (shrink)

This paper proposes a new interpretation of Gadamer’s problematic appropriation of Platonic metaphysics. It argues that Gadamer, attempting to respond to the challenge posed by Heidegger’s interpretation of Platonic metaphysics and of its role in the history of Being (Seinsgeschichte), downplayed the transcendence of Platonic Forms. Gadamer achieves a reconfiguration of this transcendence and its transposition into what I call here a plane of immanence through two hermeneutic gestures: 1) interpreting Forms in light of Greek mathematics and especially in light (...) of the structure of the sum-number; 2) introducing temporality and historicity in the Medieval doctrine of transcendentals by giving priority to the Beautiful over the Good. I contend that, Platonically speaking, this amounts to the rejection of νοήσις in favor of διάνοια, and that this raises issues concerning the problem of finitude and the potential limits of linguisticality (Sprachlichkeit). (shrink)

This paper examines Gerhard Krüger's interpretation of Plato in light of Martin Heidegger's Destruktion of the Greeks and critique of Platonism. I argue that Krüger's new reading of Plato should be understood as a critique of Heidegger's understanding of Platonism, and thereby as a broader critique of Heidegger's thoughts on Western metaphysics and the history of Being (Seinsgeschichte). The force and originality of Krüger's response to Heidegger consist in the fact that Krüger's Plato anticipates Heidegger's critique of Platonism. Krüger thus (...) contends that Plato (1) does not allow the understanding of truth as correctness (Übereinstimmung) to supplant the understanding of truth as disclosedness (Unverborgenheit), (2) understands and displays philosophy's dependence upon prereflexive attunements (Stimmungen); (3) appreciates the intricate relation between Being and temporality. In sum, Krüger's Plato is not guilty of Seinsvergessenheit, and rather opens up new ways for an authentic meditation on Being and on the human way toward an understanding of Being. (shrink)

Cette étude cherche à rendre compte d’un trait particulier et pratiquement inobservé dans la fondation gadamérienne de l’herméneutique philosophique. Si l’on connaît bien le rôle du platonisme — et plus spécifiquement du dialogue platonicien — parmi les sources au sein desquelles Gadamer a puisé pour formuler le caractère dialogique du comprendre, on a rarement noté que la phénoménologie du dialogue sur laquelle s’appuie une telle fondation s’inscrivait en faux par rapport à son modèle sur un point bien précis : l’ironie, (...) qu’elle soit socratique ou platonicienne. Nous proposons ici que pour bien expliquer la relation trouble que la fondation dialogique de l’herméneutique gadamérienne entretient avec l’ironie socratico-platonicienne, il faille concevoir le platonisme de Gadamer à la lumière d’une certaine forme d’aristotélisation, par laquelle la philia et la phronêsis aristotéliciennes sont en quelque sorte projetées sur le modèle platonicien du dialogue. (shrink)

This paper examines the role of love in Xenophon’s Cyropaedia. I argue that an essential aspect of Cyrus’ knowledgeable rule is a specific understanding of eros and a corresponding strategy to cope with the power of love. Specifically, I contend that by exploiting a common Greek distinction between the beloved and the lover, he articulates the view that lovers are subjects or even slaves to their beloved who deceive themselves into thinking that their attraction and the ensuing behaviors are voluntary. (...) Accordingly, Cyrus attempts to avoid falling in love and to rule as a universally beloved leader. Reflecting on the implications of this solution, I finally suggest that Xenophon wishes to show the limits of Cyrus’ solution. (shrink)

What follows is an English translation of two documents pertaining to the Derrida-Gadamer encounter. The first one is the short correspondence between Jacques Derrida and Hans-Georg Gadamer that lasted from March 1977 to July 2000. The correspondence was written in German and French. The second one is the homage that Derrida wrote in honor of Gadamer in the wake of his passing in 2002. These two documents are now available in English for the first time.

This scoping review addresses the issues of responsible conduct of research (RCR) that can arise in the practice of research-creation (RC), an emergent, interdisciplinary, and heterogeneous field at the interface of academic research and creative activities. Little is yet known about the nature and scope of RCR issues in RC, so our study examined three questions: (1) What are the specific issues in RC in relation to RCR? (2) How does the specificity of RC influence the understanding and practice of (...) RCR? (3) What recommendations could help address the issues highlighted in the literature To answer these questions, we conducted a scoping review of the academic literature (n = 181 texts) dealing with RCR in RC. We found that researcher-creators faced some very different RCR challenges in comparison with their colleagues in the rest of academia. Addressing these issues is important for both the RCR and RC communities in order to ensure that the rapid development of this field occurs in line with the norms of RCR which, nonetheless, should be adapted to respect the particularities of RC and allow its contributions to the academic world. (shrink)

The Heythrop Journal, Volume 63, Issue 4, Page 676-690, July 2022.

Résumé La sous-traitance dans les métiers londoniens est un phénomène massif au XVIIIe siècle qui transforme l’économie et la culture technique artisanales. Elle est liée à la recherche de producteurs qualifiés capables de répondre à la demande en nombre d’articles hautement composites, censés varier les effets visuels et fonctionnels des objets de consommation. L’économie de la variété, appliquée à une production importante, favorise l’extension des circuits entre producteurs et l’essor des marchés de production, c’est-à-dire une organisation ramifiée complexe fondée sur (...) la mobilisation d’opérateurs externes spécialisés, sous l’égide d’artisans-entrepreneurs. Nous nous proposons d’examiner l’impact de cette organisation du travail sur la culture technique et les identités professionnelles en milieu artisanal. On abordera cette question d’une part à travers l’écrit économique, d’autre part à partir d’actes de la pratique. (shrink)

Le but de cet article est d'interroger les transformations culturelles qui accompagnent la commercialisation des inventions, phénomène majeur de l'essor marchand et consumériste au XVIIIe siècle. Les stratégies commerciales des inventeurs sont fondées sur une médiatisation croissante, mêlant rhétoriques visuelles (démonstrations, spectacles, expositions) et recours à l'imprimé: annonces de presse, affiches, prospectus, modes d'emploi, livrets d'utilisation. L'information et le savoir techniques jouent un rôle clef dans la construction de marchés pour les inventions. Cette dimension a rarement été prise en compte (...) dans l'histoire de la consommation et dans l'histoire des techniques. Pourtant, la littérature d'usage, qui postule l'autonomie et la capacité participative de l'acheteur comme argument de vente, exprime la montée en puissance des savoirs d'action, opératoires, prescriptifs, où priment le verbe et le geste, l'intention et le projet. Si la technologie des Lumières se déploie dans les traités et les dictionnaires, elle se manifeste aussi dans cette littérature éphémère, pratique et commerciale, source d'appropriations. (shrink)

__Winner of the 2011 Bainton Prize for Reference Works__ The “canon” of Hispanic mysticism is expanding. By taking a more inclusive approach to studying mysticism in its “marginal” manifestations, we draw mysticism—in all its complex iterations—back toward its rightful place at the center of early modern spiritual experience.

De La Théorie des sentiments moraux à l'Essai sur la nature de l'imitation dans les arts, Adam Smith a déployé une conception de l'esthétique comme art des liaisons. Il a fondé sa définition de la beauté des objets comme aptitude à être utiles (aptness), non sans écho avec la valeur d'échange comme « faculté d'acheter d'autres marchandises », « pouvoir » d'agencer et de réaliser des desseins. Composition, adaptation, réduction et mise en scène des moyens: une « techno-esthétique » naît (...) en Angleterre au XVIIIe siècle, portée par l'économie du produit. (shrink)

As the world population is rapidly aging, stakeholders must address the care of the elderly with great concern. Also, loss of dignity is often associated with aging due to dementia, mobility problems and diminished functional autonomy. However, dignity is a polysemic term that is deemed useless by some ethicists. To counter this claim, we propose four concepts to define it better and make use accurately of this notion. These are human dignity, dignity of identity, dignities of excellence and attributed dignities. (...) Finally, we explain the importance of solicitude and human dignity in the care of the elderly. This will ensure the respect, friendship and dignity of the elderly in providing geriatric ethical care. (shrink)

Academic incivility has contributed to (a) disruptions in learning, (b) poor mental health, (c) diminished academic achievement, and (d) increased financial costs. Understanding and characterizing human roles in academic incivility is foundational to developing plans and policies to mitigate the damaging effects of academic incivility. The purpose of this exploratory study is to characterize the roles of those involved in academic incivility in higher education. In this quantitative study of (N = 459) of higher education learners from 44 of 50 (...) states in the United States, a survey was deployed to investigate the role of self-esteem and advocacy beliefs in relationship to academic incivility roles (i.e., victim, perpetrator, bystander, and upstander). Statistical analysis included regression and correlations. Findings include that upstanders have higher self-esteem and perceptions of options to self-advocate than bystanders, victims, perpetrators, and victim/perpetrator. Likewise, respondents identified being involved in a plurality of incivility roles. Other findings included bystanders preferred faculty intervention in academic incivility incidences over self-advocacy. Those who endorsed being an incivility victim or victim/perpetrator were predictive of acknowledging having low self-esteem. (shrink)

« Un soin inédit fait nouvellement partie de l’arsenal thérapeutique de la médecine occidentale. Presque un oxymore, l’aide médicale à mourir ne fait pas l’unanimité. Or, une nouvelle frontière est sur le point d’être transgressée. Parce que certains font l’erreur de considérer la perte de dignité comme possible, ils mettent de l’avant la mort comme le remède ultime aux souffrances des gens atteints de démence. On oublie alors que cette sensation de déchéance peut être soignée autrement. De plus, nous démontrons (...) que la défense de l’autonomie ne saurait justifier l’euthanasie en démence. Notre manifeste confirme également l’importance d’en finir avec la peur du centre d’hébergement et de soins de longue durée (CHSLD). Ainsi, la fragilité de l’aîné souffrant de démence doit être célébrée en tant que richesse oubliée pour promouvoir une telle modification des mœurs au sein des établissements en cause. Notre réflexion contre l’euthanasie en démence, appuyée par de nombreux cliniciens, contribue à la protection des aînés vulnérables. »--. (shrink)

We should now be able to come to some general conclusions about the main lines of Cuvier's development as a naturalist after his departure from Normandy. We have seen that Cuvier arrived in Paris aware of the importance of physiology in classification, yet without a fully worked out idea of how such an approach could organize a whole natural order. He was freshly receptive to the ideas of the new physiology developed by Xavier Bichat.Cuvier arrived in a Paris also torn (...) by many overlapping debates on the nature of classification, and in particular that between the natural and artificial systems. The very validity of the enterprise of classification was questioned in many quarters. Cuvier's achievement on his entry into the Parisian world of science was not simply to establish himself as a highly competent anatomist: far more important, he also began to use ideas from many different specialties to change completely the notion of what was involved in natural history.124 At the same time that he himself swung away from the guiding image of the field naturalist as the ideal of the specialty, he took ideas from the new physiology to answer questions about the order of the animal world, and from comparative anatomy to resurrect extinct creation — and to come to conclusions from that creation about the history of the forms of life and the manner of their succession. He showed himself able to alter the relationships between natural history and many other fields of study in a way that implied, rightly or wrongly, his own complete mastery over such a movement. Partly he was able to do this because the ideas he borrowed were not themselves logically articulated and thus could be easily adapted and refocused for many different specific purposes. The value of the heuristic possibilities inherent in the idea of life, for example, far outweighed its inability to generate full systems of classification. Cuvier also consistently refused to consider in science matters relating to the first causes of events. Freed from the consideration of first-order phenomena, he was able to use second-order explanations across a far wider field of applicability. Personal doubts about the validity of a theology that had used science in order to bolster its own claims were combined here with the strong influence of the Kantian critique of the limits of human reason.125Cuvier's characteristic mode of procedure was that of intellectual appropriation and a bold capacity for altering the relationships between different fields of knowledge, rather than, with the exception of taxonomy, the technique of expanding their subject matter. His claims to originality came, first, from this reappropriation and reorientation and, second, from the sheer scope of his work, which aimed at nothing less than the cataloging and classification of all animate objects.126 They rested also on his acute use of his assertion of a certain relationship with the past of his subject. Very often he would present this history in such a way as to obscure his own intellectual genealogy, and often too he would give differing accounts of the priority of use of an idea in order to distract attention from the questionable exactitude of his own claims to originality. Cuvier came to Paris at precisely the time when society and institutions were most profitably malleable for a newcomer; it was also a time when many scientific disciplines had reached a stage advanced in terms of their factual content, yet relatively inadequate in conceptual organization. They were ripe for takeover by large-scale organizing ideas such as the animal economy and the subordination of characteristics. Paleontology is a particularly good example of a specialty in this particular form of underdevelopment in 1795.Cuvier paid a high price for his initial success. His electic applications of large-scale organizing ideas tended to mean that little of his own work had complete coherence at all levels. Ideas, as we have seen, that proved capable of providing a complete reform of the larger groups of the animal kingdom were incapable of producing its detailed working-out in the taxonomy of smaller groups, which had to be supplied from observed analogical correlations. Further, his physiological approach to classification involved the breakdown of strict correspondence between organs and functions, which left the way open for workers such as Geoffroy St. Hilaire gradually to tilt the balance away from the study of the correlations of hierarchies of functions, and toward morphology as the basis of the order of nature. Cuvier's brilliant appropriations from physiology from the beginning, therefore, contained the seeds of conflict with Geoffroy.Cuvier's eclectic approach made it very nearly impossible for him to present a clear idea of the ways in which the life sciences could be said to be lawful. In spite of his efforts to assimilate them to the position of the physical sciences in this respect, he was forced in the end to accord only an ambiguous status as “laws” to observational correlations. From this area of failure came much of the attempt to give his own two laws — the correlation of parts and the subordination of characteristics — predictive qualities, particularly in relation to paleontological research.It is not surprising that Cuvier's title as the “legislator” of natural history should represent more a claim than a reality. How, then, was he able to emerge as the leading French naturalist of his day? First of all must be adduced the sheer scale of his undertakings. Then comes his expertise as a practical anatomist, and the range of different topics toward which he turned his interest. His collaborators cannot be given credit for his output nor, as we have seen, for slavish adherence to his ideas. Cuvier was able to successfully claim to have dominated the underdeveloped specialties, such as paleontology, and turned them into a major heuristic input into both geology and comparative anatomy; but in other fields, such as physiology, he appropriated concepts and encouraged research but made little impact on the field himself. His attempts in 1812 to head off, or neutralize and absorb the growth of morphological studies landed him in a dangerously rigid position, which despite his encouragement of the new physiological research under the Restoration made further elaboration of his own conceptual underpinnings almost impossible.Cuvier's authority in the scientific world would in any case have been great because of his substantive achievement in taxonomy, but the rest of his work had enough ambiguities and dislocations for it to need the support of his political and social power. Cuvier's detractors seized on a vital fragment of the truth when they accused him of finding the political dimension all-important: it obscured the disjunctions in his theories and at the same time gave him the authority to make new claims for the status of the observational sciences - and for their relations of power with their surrounding specialties. Cuvier's science both thrived on and was halted by the power games of intellectual appropriation, manipulation of the past to confirm the present, and continual claims for hegemony. (shrink)

Les travaux de Patrice Bret occupent une place centrale en histoire des sciences et en histoire des techniques. Ce livre entend les mettre à l'honneur, qu'il s'agisse de l'histoire des savoirs académiques, du régime techno-politique du XVIIIe siècle, des interactions entre savants et praticiens à l'heure de la chimie lavoisienne, des circulations culturelles et des traductions ou encore de la place des femmes de sciences. Les contributions réunies dans ce volume illustrent, par leur diversité, l'influence de Patrice Bret dans la (...) communauté historienne. Nous proposons ainsi de mettre en perspective son oeuvre en la replaçant dans un contexte intellectuel, scientifique et épistémologique. Un constat s'impose : loin de distinguer entre les approches conceptuelles, érudites et méthodologiques, Patrice Bret joue un rôle de premier plan dans un milieu scientifique qui a choisi de conjuguer le renouvellement des questionnements avec la production d'instruments de recherche et les interrogations de repérage, de dénomination, d'identification, seules à même de contrer les récits téléologiques qui ont longtemps prévalu dans ce domaine. Si l'histoire des sciences et l'histoire des techniques sont de nos jours à l'avant-poste du renouvellement de la science historique, c'est aussi grâce au rôle de passeur de Patrice Bret. (shrink)

With robots being introduced into caregiving, particularly for older persons, various ethical concerns are raised. Among them is the fear of replacing human caregiving. While ethical concepts like well-being, autonomy, and capabilities are often used to discuss these concerns, this paper brings forth the concept of social dignity to further develop guidelines concerning the use of robots in caregiving. By social dignity, we mean that a person’s perceived dignity changes in response to certain interactions and experiences with other persons. In (...) this paper, we will first present the concept of social dignity, and then identify a niche where robots can be used in caregiving in an ethical manner. Specifically, we will argue that, because some activities of daily living are performed in solitude to maintain dignity, a care recipient will usually prefer robotic assistance instead of human assistance for these activities. Secondly, we will describe how other philosophical concepts, which have been commonly used to judge robotic assistance in caregiving for the elderly so far, such as well-being, autonomy, and capabilities, are less useful in determining whether robotic assistance in caregiving is ethically problematic or not. To conclude, we will argue that social dignity offers an advantage to the other concepts, as it allows to ask the most pressing questions in caregiving. (shrink)

In this paper, we propose a new and simple method for image encryption. It uses an external secret key of 128 bits long and an internal secret key. The novelties of the proposed encryption process are the methods used to extract an internal key to apply the zigzag process, affine transformation, and substitution-diffusion process. Initially, an original gray-scale image is converted into binary images. An internal secret key is extracted from binary images. The two keys are combined to compute the (...) substitution-diffusion keys. The zigzag process is firstly applied on each binary image. Using an external key, every zigzag binary image is reflected or rotated and a new gray-scale image is reconstructed. The new image is divided into many nonoverlapping subblocks, and each subblock uses its own key to take out a substitution-diffusion process. We tested our algorithms on many biomedical and nonmedical images. It is seen from evaluation metrics that the proposed image encryption scheme provides good statistical and diffusion properties and can resist many kinds of attacks. It is an efficient and secure scheme for real-time encryption and transmission of biomedical images in telemedicine. (shrink)

Background: Mental health professionals working in correctional contexts engage a double role to care and control. This dual loyalty conflict has repeatedly been criticized to impede the development of a high-quality alliance. As therapeutic alliance is a robust predictor of outcome measures of psychotherapy, it is essential to investigate the effects of this ethical dilemma. Methods: This qualitative interview study investigates patients’ perceptions of their therapists’ dual role conflict in court-mandated treatment settings. We interviewed 41 older incarcerated persons using a (...) semi-structured interview guide, the interviews were subsequently analyzed following thematic analysis. Results: We first present the patients’ perceptions of their treating psychotherapist’s dual loyalty conflict, which was linked to their overall treatment experience. In a second step, we outline the study participants’ reasons for this judgment, which were most commonly linked to feelings of trust or betrayal. More specifically, they named certain therapist characteristics and activities that enabled them to develop a trustful therapeutic alliance, which we grouped into four topics: respecting the patient’s pace and perceived coercion; patient health needs to be first priority; clarity in roles and responsibilities; and the art of communication – between transparency and unchecked information sharing. Discussion: Developing a high quality alliance in mandatory offender treatment is central due to its relationship with recovery and desistance. Our findings show that some therapists’ characteristics and activities attenuate the negative impact of their double role on the development and maintenance of the alliance. To increase the effectiveness of court-mandated treatments, we need to support clinicians in dealing with their dual role to allow the formation of a high quality therapeutic alliance. Our qualitative interview study contributed to this much-needed empirical research on therapist’ characteristics promoting a trustful relationship in correctional settings. (shrink)

Aquinas has been accused of being a sexist for making the following four claims about woman: (1) woman is a deficient male; (2) woman was created only for the purpose of procreation; (3) woman is inferior to man; (4) woman must submit to man. Some scholars, notably Michael Nolan, have attempted to defend Thomas, and a few have even gone so far as calling him a feminist. The aim of this paper is to show that Aquinas did hold these four (...) claims throughout his career, and to show in what sense he held them, thus revealing how well-founded the accusations remain, given the assumptions of feminism. Finally, the authors propose that any future attempt to exonerate Aquinas from the charge of sexism must grapple with the question of how these claims are compatible with a gender-equality view. (shrink)

Background The worldwide increase in older persons demands technological solutions to combat the shortage of caregiving and to enable aging in place. Smart home health technologies (SHHTs) are promoted and implemented as a possible solution from an economic and practical perspective. However, ethical considerations are equally important and need to be investigated. Methods We conducted a systematic review according to the PRISMA guidelines to investigate if and how ethical questions are discussed in the field of SHHTs in caregiving for older (...) persons. Results 156 peer-reviewed articles published in English, German and French were retrieved and analyzed across 10 electronic databases. Using narrative analysis, 7 ethical categories were mapped: privacy, autonomy, responsibility, human vs. artificial interactions, trust, ageism and stigma, and other concerns. Conclusion The findings of our systematic review show the (lack of) ethical consideration when it comes to the development and implementation of SHHTs for older persons. Our analysis is useful to promote careful ethical consideration when carrying out technology development, research and deployment to care for older persons. Registration We registered our systematic review in the PROSPERO network under CRD42021248543. (shrink)

1. Erfðir og uppeldi.--2. Siðmenning og siðgæði.

Vulnerability and politics are among the relevant and key topics of discussion in the Ethiopian healthcare context. Attempts by the formal bioethics structure in Ethiopia to deliberate on ethical issues relating to vulnerability and politics in healthcare have been limited, even though the informal analysis of bioethical issues has been present in traditional Ethiopian communities. This is reflected in religion, social values, and local moral underpinnings. Thus, the aim of this paper is to discuss the bioethical implications of vulnerability and (...) politics for healthcare in Ethiopia and to suggest possible ways forward. First, we will briefly introduce what has been done to develop bioethics as a field in Ethiopia and what gaps remain concerning its implementation in healthcare practice. This will give a context for our second and main task – analyzing the healthcare challenges in relation to vulnerability and politics and discussing their bioethical implications. In doing so, and since these two concepts are intrinsically broad, we demarcate their scope by focusing on specific issues such as poverty, gender, health governance, and armed conflicts. Lastly, we provide suggestions for the ways forward. (shrink)

The COVID-19 pandemic has led governments worldwide to make ethically controversial decisions. As a result, healthcare professionals are facing several ethical dilemmas, especially in terms of healthcare services provided to senior citizens. Thus, the aim of this review is to identify and categorize ethical dilemmas as well as propose solutions regarding health care services for elderly individuals. A qualitative systematic review of the literature was undertaken in the first tier of the pandemic. All identified scientific and editorial articles published in (...) English or French between December 2019 and October 2021 were included. An article was excluded if it was commercial, did not address an issue in the care of the elderly or present any qualitative data. Article eligibility was determined through a process of triangulation among three independent reviewers. Initially, 69 articles met our inclusion criteria and were selected for this review. These studies can be divided into 2 distinct categories: scientific articles (17 studies) and expert opinion articles (52 articles). However, due to the large quantity of qualitative data that was extracted, only the results from the scientific literature are presented here. The analysis of the data of 17 studies has allowed the emergence of 2 main themes of ethical dilemmas: 1) access to care (3 subthemes: A) triage decisions for admission, B) access to the intensive care unit and C) vaccine allocation) and 2) infection control decisions (2 subthemes: (D) isolation and E) autonomy). Our results also revealed 4 categories of potential solutions to the encountered ethical dilemmas, namely, optimal protocols, enhanced communication, caregiver support and technological assistance (virtual team-based, AI). The ethical dilemmas that emerged from our results highlight the interest of a serious international discussion around the phenomena of ageism and its potential ethical implications for health care workers (be it under normal circumstances or exceptional circumstances such as those of a pandemic). We highly recommend that future research be undertaken to test the efficacy of the proposed solutions in providing age-friendly, dilemma-free health care and environments. (shrink)