We discuss the variety of sorts of sympathy Hume recognizes, the extent to which he thinks our sympathy with others’ feelings depends on inferences from the other’s expression, and from her perceived situation, and consider also whether he later changed his views about the nature and role of sympathy, in particular its role in morals.

David Hume's essay Of Moral Prejudices offers a spirited defense of "all the most endearing sentiments of the hearts, all the most useful biases and instincts, ...

Theories of new materialism have gained increasing traction in the social and human sciences in recent decades, as thinkers like Donna Haraway, Bruno Latour and Jane Bennett have reinvigorated the philosophical interest in topics such as the agency of nonhuman matter, the relational nature of existence and the limitations of anthropocentric forms of inquiry. However, these theories have faced criticism from post-Marxist critical theorists, who argue that theories of new materialism blunt social and capitalist critique and promote obscurity by flattening (...) the world to a single ontological plane. In this article, I argue that these critiques rely on mischaracterizations of new materialist scholarship and that theories of new materialism can in fact help us re-examine – not reject, as their critics suggest – the role of critique, responsibility and human politics in the context of the Anthropocene and its unfolding ecological crises. (shrink)

The Cautious Jealous Virtue is an illuminating meditation that will interest not only Hume scholars but also those interested in the issues of justice and in ...

What is it to deceive someone? And how is it possible to deceive oneself? Does self-deception require that people be taken in by a deceitful strategy that they know is deceitful? The literature is divided between those who argue that self-deception is intentional and those who argue that it is non-intentional. In this study, Annette Barnes offers a challenge to both the standard characterisation of other-deception and current characterizations of self-deception, examining the available explanations and exploring such questions as (...) the self-deceiver's false consciousness, bias, and the irrationality and objectionability of self-deception. She arrives at a non-intentional account of self-deception that is deeper and more complete than alternative non-intentional accounts and avoids the reduction of self-deceptive belief to wishful belief. (shrink)

Annette Baier's aim is to make sense of David Hume's Treatise as a whole. Hume's family motto, which appears on his bookplate, was True to the End. Baier argues that it is not until the end of the Treatise that we get his full story about truth and falsehood, reason and folly. By the end, we can see the cause to which Hume has been true throughout the work. Baier finds Hume's Treatise of Human Nature to be a carefully (...) crafted literary and philosophical work which itself displays a philosophical progress of sentiments. His starting place is an overly abstract intellectualism that deliberately thrusts passions and social concerns into the background. In the three interrelated books of the Treatise, his self-understander proceeds through partial successes and dramatic failures to emerge with new-found optimism, expecting that the exact knowledge the morally self-conscious anatomist of human nature can acquire will itself improve and correct our vision of morality. Baier describes how, by turning philosophy toward human nature instead of toward God and the universe, Hume initiated a new philosophy, a broader discipline of reflection that can embrace Charles Darwin and Michel Foucault as well as William James and Sigmund Freud. Hume belongs both to our present and to our past. (shrink)

ZusammenfassungDie aktuellen Entwicklungen und Anforderungen in der pflegeberuflichen Bildung, das Ausbildungsziel im Pflegeberufegesetz vom 17. Juli 2017 und die Explikationen in der dazugehörigen Ausbildungs- und Prüfungsverordnung für die Pflegeberufe fordern eine stärkere Ausrichtung auf die Entwicklung ethischer Kompetenzen explizit ein. Bislang liegen tendenziell übergreifende Definitionen und Darlegungen zu ethischen Kompetenzen in der Pflege vor, deren Verdienst es ist, das Spezifische der Pflegeethik zu konturieren und erstmals ethische Kompetenzen für das Feld zu konkretisieren. In methodischer und didaktischer Hinsicht ist indes eine (...) spezifische Differenzierung gemäß unterschiedlicher Bildungsniveaus relevant. Lehrende werden ihre Lehre nicht mehr nur im Sinne einer allgemeinen Förderung ethischer Kompetenz entwickeln können, sondern müssen dabei den jeweiligen Verantwortungsbereich und das angezielte Qualifikationsniveau der Lernenden berücksichtigen. Ziel der Darlegungen ist es, konkrete Kompetenzniveaus für die Anbahnung professionsethischer Kompetenzen zu operationalisieren, die einerseits die Anforderungen aus dem zukünftigen Pflegeberufegesetz aufgreifen und andererseits anstehende curriculare Entwicklungsprozesse unterstützen. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Hume Studies Volume 32, Number 1, April 2006, pp. 113-117 How Wide Is Hume's Circle? (A question raised by the exchange between Erin I. Kelly and Louis E. Loeb, Hume Studies, November 2004) ANNETTE C. BAIER Hume's version, in An Enquiry concerning the Principles of Morals, section 9,2 of the viewpoint from which moral assessments are made, and from which traits are recognized as virtues or vices, is (...) that it is one which activates a "universal principle of the human frame," the "principle of humanity." It displays "the force of many sympathies," and depends upon our possession of "some propensity to the good of mankind" (EPM 5.39; SBN 226). Does this represent a revision, on Hume's part, of his Treatise claim that sympathy with a person's "narrow circle" is what enables us to judge that person's moral goodness? A humanity-wide circle is scarcely "narrow," even if it is not wide enough for those who see our treatment of animals as relevant to our moral merit or demerit. The claim about sympathy with the narrow circle is made in the Treatise section "Of goodness and benevolence."3 It has recently been assuming the status of a definition of the Humean moral point of view, in some commentators' writings.4 If it had been so intended, then there would indeed be a revision in EPM, where there is no mention of narrow circles, merely two footnotes, 22 and 25, to the section "Why utility pleases," concerning the wisdom of confining our efforts to do good to those close to us, lest our efforts be "dissipated or lost for want of a properly limited object." But in fact Hume never claimed that sympathy with a Annette Baier formerly taught in the Department of Philosophy at the University of Pittsburgh, and is now retired. Email: [email protected]. 114 Annette C. Baier person's narrow circle was enough to enable us to recognize her bravery, her proper pride, her prudence, her good judgement, her wit, her integrity, her "justice" or her allegiance to lawful magistrates. It is needed only to judge her "goodness and benevolence. " (I take it that the title, "Of goodness and benevolence," is pleonastic, that the varieties of benevolence exhaust "goodness.") Just as benevolence is not the whole of virtue, for Hume, nor is "goodness." The section in which he uses the phrase, "narrow circle," begins with an explicit limitation of what is there to be discussed: "Having thus explained that praise and approbation for everything we call great in human affections, we now proceed to give an account of their goodness..." (T 3.3.3.1; SBN 602). "Good" is not, for Hume, the most general term of moral approbation. Just as we can judge some to be "too intrepid" (an ingredient in "greatness of mind"), so we can judge some to be "too good" (EPM 7.22; SBN 259). Hume's most general terms of approbation are "meritorious" and "estimable." He uses "good" in a restricted sense, for a person's possession of the group of virtues that come under "benevolence." In the Treatise 3.3.3.15 (SBN 581-82), he speaks not of one moral point of view, but of "steady and generalpoinrs of view" (my emphasis), and it is possible, indeed plausible, that sympathy with circles of different widths will be needed to recognize different virtues and groups of virtues. For some, such as justice, "extensive sympathy" (T 3.3.1.23; SBN 586) is needed. For others, such as affability, and other aspects of "goodness," we sympathize with the effects of the person's character on a less extensive circle. A good person is affable, generous, and kind, does well as friend, as parent, as neighbor, as colleague, as employer. She does considerate and helpful things to those she encounters, both those close to her, friends, family, and work-mates, and also to those to whom she is not so close, such as the needy in her own community, to whom she may give employment, or charity. Hume uses other phrases in Treatise 3.3 which are sometimes taken to refer to the same... (shrink)

David Hume has been invoked by those who want to found morality on human nature as well as by their critics. He is credited with showing us the fallacy of moving from premises about what is the case to conclusions about what ought to be the case; and yet, just a few pages after the famous is-ought remarks in A Treatise of Human Nature, he embarks on his equally famous derivation of the obligations of justice from facts about the cooperative (...) schemes accepted in human communities. Is he ambivalent on the relationship between facts about human nature and human evaluations? Does he contradict himself – and, if so, which part of his whole position is most valuable? Between the famous is-ought passage and the famous account of convention and the obligations arising from established cooperative schemes once they are morally endorsed, Hume discusses the various meanings of the term “natural.” “Shou'd it be ask'd, Whether we ought to search for these principles [upon which all our notions of morals are founded] in nature or whether we must look for them in some other origin? I wou'd reply, that our answer to this question depends upon the definition of the word, Nature, than which there is none more ambiguous and equivocal.” The natural can be opposed to the miraculous, the unusual, or the artificial. It is the last contrast that Hume wants, for his contrast between the “artificial” culturally variant, convention-dependent obligations of justice and the more invariant “natural virtues,” and what he says about that contrast in this preparation for his account of the “artificial” virtues, makes it clear why he can later refer to justice as “natural” and to the general content of the rules of justice – that is, of basic human conventions of cooperation – as “Laws of Nature”. (shrink)

Berkeley says that "the making and unmaking of ideas doth very properly denominate the mind active." What did Berkeley take as the paradigm of that making which denominates mind active? He speaks in the same passage of exciting "ideas in my mind at pleasure," of varying and shifting the scene "as oft as I see fit. It is no more than willing and straightway this or that idea arises in my fancy." This quite clearly takes human idea-making to be fantasizing. (...) But if this is the only sort of making we are capable of, it is a poor model for that divine making which Berkeley wishes to obtain by "reflecting on my own soul, heightening its powers, and removing its imperfections." Ideas of the fancy are not strong, lively, vivid, nor real for other minds. Has Berkeley any other, better, human model for the divine making? In his Commonplace Book, Berkeley notes tersely, "We move our legs ourselves." This suggests that our voluntary actions could be taken by Berkeley as ideas made by us. This would at least give him a human model for that divine responsibility for something real, something strong, vivid, lively, something which other minds have no choice but to see, when in broad daylight they open their eyes from the appropriate vantage point. (shrink)

Habermas’s argument from human nature, which speaks in favour of holding back the use of human germline editing for purposes of enhancement, has lately received criticism anew. Prominent are objections to its supposedly genetic essentialist and determinist framework, which underestimates social impacts on human development. I argue that this criticism originates from an instrumentalist reading of Habermas’s argument, which wrongly focuses on empirical conditions and means-ends-relations. Drawing on Habermas’s distinction of a threefold use of practical reason, I show how an (...) alternative—the ethical—reading avoids essentialist and determinist objections by addressing an existential level of sense making. I present three reasons that speak in favour of the ethical reading and I demonstrate how it incorporates social aspects of character formation. Habermas’s account therefore offers exactly what the critics claim is missing. The paper concludes with a conceptual challenge that the ethical reading has to face within Habermas’s overall approach to genetic engineering. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Hume Studies Volume XX, Number 2, November 1994, pp. 211-218 Symposium A version of this paper was presented at the symposium on A Progress of Sentiments by Annette C. Baier, held at the Pacific Division Meetings of the American Philosophical Association, Los Angeles, March 1994. Response to My Critics ANNETTE C. BAIER I thank my critics for their generous compliments on what they find good about my (...) book, and thank them even more for their criticisms. Both my critics query the role given to reason, in my version of Hume's version of our nature. If David Owen is right, I downplay Hume's scepticism, in Treatise Book I, about what we can expect of what he there calls our reason, and, if Rachel Cohon is right, I downplay Hume's scepticism in Books II and III about the role of reason in our passionate and active lives. Cohon even charges that my Hume is barely distinguishable from Samuel Clarke. Grave charges! In response, I want first to concede that in A Progress of Sentiments I should have given more space to the section "Of scepticism with regard to reason" than I did, and that, even though I did not purport to more than touch on Hume's attitude to other philosophers, I should have more explicitly acknowledged the background role of Clarke as Hume's target, throughout the Treatise, and given more emphasis to Hume's anti-religious aims, which I mention from time to time, but do not dwell on. I could also have given more prominence to Hume's treatment of liberty and necessity, and have said a bit more about Hume's section, "Morality not based on reason." As Rachel Cohon says, I dismiss what, for some, is the distinctively Humean claim that morals excite passions and produce or prevent actions as largely an ad hominem move against rationalists who expect their pronouncements about eternal fitnesses, or divine commands, to produce or prevent actions, possibly by exciting fear of divine punishment. The Humean moral sentiment, I claimed, is not an Annette C. Baier is at the Department of Philosophy, University of Pittsburgh, Pittsburgh PA 15260 USA. 212 Annette C. Baier especially motivating passion, although it does normally produce good will towards those whose character traits it approves, and some dislike of those whose character traits are disapproved. So it may excite some self-dislike, when it is our own character that we find distasteful, or produce some pride, if we pass muster. Hume writes: "There may perhaps, be some, who being accustom 'd to the style of the schools and pulpit, and having never consider'd human nature in any other light than that in which they place it, may here be surpriz'd to hear me talk of virtue as exciting pride, which they look on as a vice..." (T 297). So Humean morals does often excite passions. But pride and humility, Hume claims, are "compleat in themselves," not "attended with any desire" (T 367), so are not directly motivating passions. And even the love and hatred that are felt towards fellow persons for their virtues and vices may, as motivating influences on the will, have to compete with other loves, such as esteem for the rich and powerful. Hume is a realistic and often rather cynical moralist, and has no easy story about how the moral sentiment can produce the virtues of which it approves. Still, there is some active power in the moral sentiment. It is an impression, namely a sentiment or "peculiar pleasure," not an idea, and so not a belief. In my book I first contrasted Humean sentiments with beliefs in Chapter 1, discussing the conclusion of Book I, and then continued to discuss passions in Chapter 2, on association. There it is said plainly enough that, for Hume, it is pleasure and pain on which most of our passions are founded. (He exempts some instinctive desires.) His own decision to continue with his philosophical journey, after the near shipwreck of Part 4 of Book I, is based, he claims, on the fact that he would be the loser in point of pleasure if he inhibited his philosophical impulses. But... (shrink)

Traditionally, the term ‘diaspora’ (from the Greek translation of the Hebrew Bible) referred to the dispersion of the Jewish people from ancient Israel. It had a pejorative connotation, associated...

In lieu of an abstract, here is a brief excerpt of the content:133. HUME ON RESENTMENT In his Enquiry version of the conditions of justice, Hume adds a third modified Hobbesian condition to the two, moderate scarcity and moderate selfishness, which he had listed in the Treatise. The new condition is a certain measure of equality, or limit ±o inequality—justice is owed, he says, only if there is a society of more-or-less equals; and only to those who are members of (...) it. The equality in question concerns the ability of candidate societymembers to make us feel the effects of their resentment (E190). If such ability is lacking, then, Hume says, the relationships between "us" and "them" will be those of absolute command on the one side and servile obedience on the other. Whatever we covet, they must instantly resign: Our permission is the only tenure, by which they hold their possessions : Our compassion and kindness the only check, by which they curb our lawless will (Ibid. ). This passage is interesting because Hume describes the position of such powerless creatures intermingled with men in terms which appear to be social —command, obedience, possession, tenure, the act of "resigning" coveted goods. But he says that our intercourse with them could not be called society, which supposes a degree of equality (Ibid. ). True society is, then, restricted to those who are roughly equal, whose interests help to determine the conventions which give rise to duties of justice. But intermingled with the members of such a real society there might be, were or are, a species of creatures, who, though rational, were possessed of such inferior strength, both of body and mind, that they were incapable of all resistance, and could never, upon the highest provocation, make us feel the effects of their resentment (Ibid. ). They are "rational", so can obey, can resign possessions, and can resent their inferior status. They have quasi-social relations with their masters, but not fully social ones, since they are neither parties to nor bene- 134. ficiaries of the social conventions which create rights and duties. Hume seems to assume that because they are not parties to the artifice-creating conventions, those conventions will not cover relations with them, so that the conveners' "laws" are limited, and allow them a sphere of "lawless will" in their dealings with the inferior creatures. But children, for example, while not legislators, may be both right holders and beneficiaries of the laws which adults agree on. Hume is most charitably read here to mean that the conventions which serve the interests of the superior creatures might not, cannot be depended on, to regulate in any way the dealings of the superiors with the inferiors. They are left at the mercy of their superiors, resent that fact, and yet may be powerless to alter the situation. It is very clear from what follows that Hume has in mind in this passage the relations of males to females, and that it is his thoughts about male-female relationships which led to his emendation of his Treatise account of the conditions of justice. The Treatise had not mentioned equality of power as a condition for justice, but had devoted a chapter to the extra obligations, of chastity and modesty, which social conventions imposed on the female sex. It was therefore a natural question to arise for Hume whether women really could be parties to conventions which imposed these obligations on them. Were their interests served, or did these obligations arise from "the voluntary conventions of men, " (T510, emphasis added) who asked themselves What restraint, therefore, shall we impose upon women, in order to counter-balance so strong a temptation as they have to infidelity? (T571). Hume had argued that female fidelity was needed for male paternal obligations to be properly assigned, so that it was in the interests of children, of fathers, and of society in general, that fatherhood be determinable, and so that wives be chaste. Now, in the Enquiry, he considers the possibility of a class of slaves whose interests, like those of animals, need not be considered 135, in the conventions which generate duties of justice. The great superiority of civilized Europeans above barbarous Indians, tempted us to imagine ourselves on... (shrink)

The proliferation of diasporas has influenced the nature of internationalization in many higher education (HE) systems and institutions, especially in terms of academic and student mobility/migration. Through a systematic review of the academic literature, I critically analyze the widespread uses of and approaches to ‘diaspora’ in HE research and its relationship to internationalization. I identify two major areas of studies and corresponding approaches to diaspora: one which frames diaspora as human capital and focusses on the role of the state; and (...) the other which frames diaspora as marginalized other and social construct. I argue that ‘diaspora’ in HE studies tends to be ambiguous, under-defined, under-theorized, and fragmented. I further argue that it is loosely connected to internationalization discourses, despite its clear connections. I posit that this is because ‘internationalization’ is associated with humanitarianism, cosmopolitanism, global citizenship and the de-centering of states, nations, ethnicities, religions, and particularistic identities. Diaspora is often associated with these latter categories and thus, is shunned. I conclude by suggesting that the blending of (often conflictual) ideas, intentions, values and identities is precisely what diaspora engages in and that the conditions of our increasingly mobile and (inter)connected world necessitate a (re)thinking of diaspora in HE scholarship. (shrink)

When patients cannot make their own treatment decisions, surrogates typically step in to do it for them. Surrogate decision‐making is far from ideal, of course, as the surrogate may not know what the patient prefers or what best promotes her interests. One way to improve it would be to arm surrogates with information about what patients in similar circumstances tend to prefer, allowing them to make empirically grounded predictions about what their patient would want.

Motion is both elementary and fleeting; it is a fundamental precondition to our survival and our civilisation. Motion is the functional basis to the discovery, measurement and exploration of the world that we live in. Elucidating and calculating motion are central issues within our culture, which is not only based on motion but designs it, being built upon a history of dynamics and acceleration. Representatives of different disciplines - ranging from architecture to car design, from art-, cultural- and media-studies to (...) sociology- discuss the depiction and design of motion in art, architecture, design, dance and technology. This overview of historic developments and current trends discloses some surprising, border-crossign correlations. (shrink)

One of the fundamental ethical concerns about biomedical research is that it frequently exposes participants to risks for the benefit of others. To protect participants’ rights and interests in this context, research regulations and guidelines set out a mix of substantive and procedural requirements for research involving humans. Risk thresholds play an important role in formulating both types of requirements. First, risk thresholds serve to set upper risk limits in certain types of research. Second, risk thresholds serve to demarcate risk (...) categories that streamline risk-adapted systems of ethical oversight. But although risk thresholds play such an important role in research governance, there is a need both to better define the existing risk thresholds and to delineate new thresholds in order to develop more risk-adapted systems of research oversight. The present paper examines the existing minimal risk threshold and the surrounding debates with the goal of deriving a systematic approach to setting thresholds of research risk. (shrink)

This excerpt from our collective biography emerges from a dialogue that commenced when Noel interjected the concept of ‘becoming-cyborg’ into our conversations about Annette’s experiences of breast cancer, which initially prompted her to interpret her experiences as a ‘chaos narrative’ of cyborgian and environmental embodiment in education contexts. The materialisation of Donna Haraway’s figuration of the cyborg in Annette’s changing body enabled new appreciations of its interpretive power, and functioned in some ways as a successor project to Noel’s (...) earlier deployment of cyborgs in what he now recognises as a ‘posthumanising’ of curriculum inquiry. Noel’s subsequent experiences with throat cancer drew us towards exploring the possibilities that concepts such as Deleuze and Guattari’s machinic assemblage and Karen Barad’s ontoepistemology offer as a mean of thinking the meetings of bodies and technologies in educational inquiry beyond Haraway’s hybrid cyborg. Through both collective biography and playfully scripted conversations with other theorists we explore what it means to perform diffractive interpretations and analyses in posthumanist educational inquiry. Our essay also contributes to contemporary conversations about the uses of collaborative biographical writing as a method of inquiry in educational research. (shrink)

Pourquoi l'histoire et la mémoire sont-ils des outils pour penser la démocratie? Face aux crimes contre l'humanité plus que jamais d'actualité, se dessine une responsabilité commune essentielle : celle de cultiver, transmettre l'histoire et en tirer les enseignements. Retraçant sa propre histoire et celle de sa famille, Annette Wieviorka, disposant des témoignages de ses parents, d'archives mais aussi de ses propres souvenirs, dessine d'un même geste les contours d'une biographie collective de ce monde qui a connu l'impensable Shoah. Le (...) souvenir des millions de victimes, cette conscience du temps qui passe, ce sentiment d'appartenir à la dernière génération à pouvoir restituer la mémoire se révèlent vivaces et fondateurs. Surtout, Annette Wieviorka montre que le vrai danger pour la démocratie est dans l'oubli de l'histoire, la grande et celle familiale, quand s'imposent la haine de l'Autre, l'antisémitisme et les extrémismes en tous genres."--Page 4 of cover. (shrink)

In these Carus Lectures, Annette Baier looks at the relation between individual and shared reasoning, intending, and moral reflection. In each case she emphasizes the interdependence of minds and the role of social practices in setting the norms governing these activities.

This article is about the recent and profound changes in the conceptualization of dementia, especially the turn towards prevention. The main argument is that more attention needs to be paid to “situated prevention” — the framing of internationally circulating data on the “new dementia” in different contexts. After introducing some of the more problematic issues related to the “new dementia,” a first comparison of major preventive clinical trials in Europe and in North America will be provided. The major insight stemming (...) from situating the global message of preventing dementia is recognition of the responsibility researchers and policy makers bear with respect to the implicit and potential moral narratives in emerging scientific landscapes. (shrink)

Background: It is often claimed that a regulated kidney market would significantly reduce the kidney shortage, thus saving or improving many lives. Data are lacking, however, on how many people would consider selling a kidney in such a market. Methods: A survey instrument, developed to assess behavioural dispositions to and attitudes about a hypothetical regulated kidney market, was given to Swiss third-year medical students. Results: Respondents’ median age was 23 years. Their socioeconomic status was high or middle. 48 considered selling (...) a kidney in a regulated kidney market, of whom 31 would sell only to overcome a particularly difficult financial situation. High social status and male gender was the strongest predictor of a disposition to sell. 32 of all respondents supported legalising a regulated kidney market. This attitude was not associated with a disposition to sell a kidney. 5 respondents endorsed a market and considered providing a kidney to a stranger if and only if paid. 4 of those 5 would sell only under financial duress. Conclusions: Current understanding of a regulated kidney market is insufficient. It is unclear whether a regulated market would result in a net gain of kidneys. Most possible kidney vendors would only sell in a particularly difficult financial situation, raising concerns about the validity of consent and inequities in the provision of organs. Further empirical and normative analysis of these issues is required. Any calls to implement and evaluate a regulated kidney market in pilot studies are therefore premature. (shrink)

BackgroundCritical Incident Reporting Systems (CIRS) provide a well-proven method to identify clinical risks in hospitals. All professions can report critical incidents anonymously, low-threshold, and without sanctions. Reported cases are processed to preventive measures that improve patient and staff safety. Clinical ethics consultations offer support for ethical conflicts but are dependent on the interaction with staff and management to be effective. The aim of this study was to investigate the rationale of integrating an ethical focus into CIRS.MethodsA six-step approach combined the (...) analysis of CIRS databases, potential cases, literature on clinical and organizational ethics, cases from ethics consultations, and experts’ experience to construct a framework for CIRS cases with ethical relevance and map the categories with principles of biomedical ethics.ResultsFour main categories of critical incidents with ethical relevance were derived: (1) patient-related communication; (2) consent, autonomy, and patient interest; (3) conflicting economic and medical interests; (4) staff communication and corporate culture. Each category was refined with different subcategories and mapped with case examples and exemplary related ethical principles to demonstrate ethical relevance.ConclusionThe developed framework for CIRS cases with its ethical dimensions demonstrates the relevance of integrating ethics into the concept of risk-, quality-, and organizational management. It may also support clinical ethics consultations’ presence and effectiveness. The proposed enhancement could contribute to hospitals’ ethical infrastructure and may increase ethical behavior, patient safety, and employee satisfaction. (shrink)

In controlled human infection (CHI) studies, investigators deliberately infect healthy individuals with pathogens in order to study mechanisms of disease or obtain preliminary efficacy data on investigational vaccines and medicines. CHI studies offer a fast and cost‐effective way of generating new scientific insights, prioritizing investigational products for clinical testing, and reducing the risk that large numbers of people are exposed to ineffective or harmful substances in research or in practice. Yet depending on the pathogen, CHI studies can involve significant risks (...) or burdens for participants, pose risks to individuals or communities not involved in the research, and lead to public controversy. It is therefore essential to ensure that the risks of CHI studies are justified by their social value—that is, their potential to generate benefits for society—and that public trust can be maintained. In this paper, we aim to clarify how research sponsors, research ethics committees and other reviewers should judge the social value of CHI studies. We develop a list of relevant considerations for making social value judgments based on the standard view of social value. We then use this list to discuss the example of potentially conducting dengue virus CHI studies in endemic settings. We argue that dengue virus CHI studies in endemic settings would fall on the higher end of the spectrum of social value, mostly because of their potential to redirect all fields of future dengue research. Drawing on this discussion, we derive several general recommendations for how reviewers should judge the social value of CHI studies. (shrink)

Zusammenfassung Todes- und Suizidwünsche älterer Menschen stellen ein relevantes und moralisch herausforderndes Thema für Pflegefachpersonen dar. Insbesondere im Zusammenhang möglicher Wünsche nach Suizidassistenz wächst das Potenzial moralischer Ungewissheit bis hin zu Moral Distress. Im Setting der ambulanten und stationären Langzeitpflege erweist sich die professionelle Sensibilität und ethische Einordnung gegenüber geäußerten Todes- und Suizidwünschen als besonders bedeutsam, denn sowohl die Suizidraten als auch die Anfragen nach Suizidassistenz sind Studien zufolge bei Menschen über 65 Jahren hoch. Dieser Sachverhalt unterstreicht zugleich die Bedeutsamkeit (...) der jüngst auch durch die Bundesregierung gestärkten Suizidprävention und den Auftrag, ein entsprechendes Gesetz hierfür auf den Weg zu bringen. Die situative Konfrontation der Pflegefachpersonen mit Todes- und Suizidwünschen kann aufgrund der aktuell in der Praxis vorherrschenden rechtlichen Unsicherheiten – so unsere Hypothese – ein ethisches Spannungsfeld zwischen einem vorurteilsfreien, offenen, empathischen und respektvollen Aufgreifen von Todes- und Suizidwünschen einerseits und dem Ziel der Suizidprävention andererseits hervorrufen. Internationale Studien verweisen auf das Potenzial von Moral Distress von Pflegefachpersonen in der Konfrontation mit Todes- und Suizidwünschen. Diese Erkenntnisse und die Bezugnahme auf die aktuellen rechtlichen Unsicherheiten und Rahmenbedingungen im nationalen Kontext untermauern die Bedeutsamkeit der professionsbezogenen Auseinandersetzung mit der Thematik, die Notwendigkeit (zukünftige) Pflegefachpersonen für potenzielle ethische Spannungsfelder zu sensibilisieren und einen kompetenten Umgang mit der einhergehenden moralischen Ungewissheit zu ermöglichen. (shrink)

_Postures of the Mind _was first published in 1985. Minnesota Archive Editions uses digital technology to make long-unavailable books once again accessible, and are published unaltered from the original University of Minnesota Press editions. Annette Baier develops, in these essays, a posture in philosophy of mind and in ethics that grows out of her reading of Hume and the later Wittgenstein, and that challenges several Kantian or analytic articles of faith. She questions the assumption that intellect has authority over (...) all human feelings and traditions; that to recognize order we must recognize universal laws—descriptive or prescriptive; that the essential mental activity is representing; and that mental acts can be analyzed into discrete basic elements, combined according to statable rules of synthesis. In the first group of essays—"Varieties of Mental Postures"—Baier evaluates the positions taken by philosophers ranging from Descartes to Dennett and Davidson. Among her topics are remembering, intending, realizing, caring, representing, changing one's mind, justifying one's actions and feelings, and having conflicting reasons for them. The second group of essays—"Varieties of Moral Postures" - explores the sort of morality we get when all of these capacities become reflective and self-corrective. Some deal with particular moral issues—our treatment of animals, our policies regarding risk to human life, our contractual obligations; others, with more general questions on the role of moral philosophers and the place of moral theory. These essays respond to the theories of Hobbes, Kant, Rawls, and MacIntyre, but Baier's most positive reaction is to David Hume; _Postures of the Mind _ affirms and cultivates his version of a moral reflection that employs feeling and tradition as well as reason. (shrink)

Die Spannungen zwischen deutscher Philosophie und jüdischer Politik waren für Hannah Arendt von existentieller Bedeutung.

Several influential ethical guidelines and frameworks endorse the view that research with human participants is ethically acceptable only when it has “social value,” meaning that it generates knowledge which can be used to benefit society. For example, the Nuremberg Code requires that medical experiments on human beings “yield fruitful results for the good of society, unprocurable by other methods or means of study”. The Council for International Organizations of Medical Sciences guidelines hold that “health-related research with humans... must have social (...) value” or the “prospect of generating the knowledge and the means necessary to protect and promote people’s health” (CIOMS... (shrink)

BackgroundA special characteristic of nursing education is that professional teaching takes place in various locations. The learning locations involved (such as learning in theory, learning in clinical practice, or learning in third facilities, which are becoming increasingly popular, such as the skills lab) have an impact on and promote the development of ethical competences among prospective nursing professionals in various ways. Furthermore, it has become evident that the structural conditions that are specific to teaching and learning in nursing education programs (...) shape the organization of ethics education and the promotion of ethical competence development among nurse trainees over the course of their education.ObjectivesThe aim of this article is to discuss the following key question: What are the specific pedagogical and didactical requirements and educational frameworks that arise in view of the various learning locations in nursing education in order to facilitate ethics education and ethical competence development among prospective nursing professionals?DiscussionThis article emphasises the importance of a systematic, methodically reflected and learning-location-coordinated approach to ethics education in the field of nursing education. Moreover, it highlights the relevance of the conscious promotion of settings for ethical reflection within the process of ethical competence development in the different locations of learning. The unique quality of ethics education in nursing emerges from the professional requirements that are characteristic to nursing care and the individual experiences of trainees at the various locations of learning throughout their nursing education program. (shrink)