When people die suddenly and unexpectedly ethical issues often come to the fore. The aim of the study was to describe experiences of members of stroke teams in stroke units of ethical problems and how the teams manage the situation when caring for patients faced with sudden and unexpected death from stroke. Data were collected through four focus group interviews with 19 team members in stroke-unit teams, and analysed using interpretive content analysis. Three themes emerged from the analysis characterized by (...) information, decisions about care and support for the next-of-kin in the changing and uncertain situation, with mutual trust as the core. Mutual trust, both within the stroke team and with next-of-kin was seen by the stroke-team members as a way of handling ethical problems by administering care with the patient’s best interest at heart. (shrink)

© 2013 The Editors of The Philosophical QuarterlyOpening this book the philosopher might expect a treatise on self‐knowledge. However, despite its title, this is not a book on knowledge of our own minds, or even on self‐consciousness in the usual sense of being conscious of oneself. Rather, it is a book on developmental psychology, spelling out the fascinating details of the development of the human mind with a particular focus on the emergence of human consciousness. The question Radu J. Bogdan (...) raises is why, and how, consciousness develops in human beings. His central hypothesis is that consciousness is a bi‐product of the executive abilities that a small child develops in response to the complex socio‐cultural situation that she finds herself in. The executive abilities, Bogden argues, are assembled by the child's intuitive psychology, or theory of mind, which allows her to interact and coregulate with others. The origins of... (shrink)

Menschen bedürfen des Zeugnisses der Anderen, um sich zu vergewissern, was und wer sie sind oder was und wozu sie denken, reden und handeln - soweit eine gemeinhin unstrittige These. Doch gilt dies auch für die Zeug*innenschaft an Orten und in Momenten, in denen Menschen Opfer von extremem Unrecht, massiver Gewalt, Hass oder Diskriminierung werden? Lässt sich das Unsagbare eigentlich bezeugen? Matthias Käser plädiert mithilfe interdisziplinärer Zeug*innenschaftsdiskurse gegen das Unbeschreibliche und für das Ethos des Erzählens. Er zeigt auf, dass Erfahrungen (...) um der Betroffenen willen versuchsweise bezeugt werden müssen - so gebrochen oder lückenhaft sie auch sein mögen. (shrink)

The purpose of this article is to outline a systematic answer to the question of collective autonomy, its conceptual nature and lmimits, and apply it by way of example to the case of the engineering profession.In the first section, it is argued that a professional activity involves systematic knowledge and proficiency, a form of continuous improvement of the related bodies of knowledge and proficiency, as well as two levels of understanding: a local one, which is the ability to justify and (...) explain professional acts, and a global one, which involves a conception of the whole profession and its ethical principles.The second section is devoted to a conceptual analysis of professional ethics. It is argued that it consists of a general conception of professionality, a particular conception of the profession under consideration, and a conception of the normative requirements made by the societal envelope of the professional activity, in particular basic norms of democracy.The third section draws conclusions with respect to the nature and limits of professional autonomy. It is shown that such autonomy is much more restricted than its apparent extent. Examples from engineering and other professions are provided. (shrink)

Dignity, usually considered an essential ethical value in healthcare, is a relatively complex, multifaceted concept. However, healthcare professionals often have only a vague idea of what it means to respect dignity when providing care, especially for persons with impaired autonomy. This article focuses on two concepts of dignity, human dignity and dignity of identity, and aims to analyse how these concepts can be applied in the care for persons with impaired autonomy and in furthering the practice of respect and protection (...) from harm. Three vignettes were designed to illustrate typical caring situations involving patients with mild to severely impaired autonomy, including patients with cognitive impairments. In situations like these, there is a risk of the patient’s dignity being disrespected and violated. The vignettes were then analysed with respect to the two concepts of dignity to find out whether this approach can illuminate what is at stake in these situations and to provide an understanding of which measures could safeguard the dignity of these patients. The analysis showed that there are profound ethical challenges in the daily care of persons with impaired autonomy. We suggest that these two concepts of human dignity could help guide healthcare professionals to develop practical skills in person-centred, ethically grounded care, where the patient’s wishes and needs are the starting point. (shrink)

Within the research field of computer-mediated communication, extensive attention has been paid to the differences between CMC and spoken conversation, particularly in terms of sequential structure. In this study, the aim is to analyse how participants maintain continuity and handle discontinuities in institutionally arranged, computer-mediated communication. The empirical material consists of chat log files from in-service training courses for professionals in the food production industry. In the chat sessions we analysed, participants initially had some problems in co-ordinating their postings, that (...) is, keeping track of the discussion’s threading.We also found, however, that methods for co-ordinating postings rather quickly were established among the participants. Two methods for making recognizable how postings were to be read were common in the material: 1) the use of personal names to address a specific participant, and 2) recycling part of the content of a previous posting or reformulating the content in the posting addressed in recognizable ways. We also found an emerging norm in their interaction: that of waiting for one’s turn. (shrink)

Externalism is widely endorsed within contemporary philosophy of mind and language. Despite this, it is far from clear how the externalist thesis should be construed and, indeed, why we should accept it. In this entry I distinguish and examine three central types of externalism: what I call foundational externalism, externalist semantics, and psychological externalism. I suggest that the most plausible version of externalism is not in fact a very radical thesis and does not have any terribly interesting implications for philosophy (...) of mind, whereas the more radical and interesting versions of externalism are quite difficult to support. (shrink)

Background: Ethical problems are a universal phenomenon but rarely researched concerning patients dying from acute stroke. These patients often have a reduced consciousness from stroke onset and thereby lack ability to convey their needs and could be described as ‘incompetent’ decision makers regarding their own care. Objective: The aim of the study was to deepen the understanding of stroke team members’ reasoning about truth-telling in end-of-life care due to acute stroke. Research design: Qualitative study based on individual interviews utilizing combined (...) deductive and inductive content analysis. Participants and research context: A total of 15 stroke team members working in stroke units of two associated county hospitals in western Sweden participated. Ethical considerations: The study was approved by the Regional Ethics Review Board, Gothenburg, Sweden. Findings: The main findings were the team members’ dynamic movement between the categories ‘Truth above all’ and ‘Hide truth to protect’. Honesty was highly valued and considered as a reason for always telling the truth, with the argument of truth as common morality. However, the carers also argued for hiding the truth for different reasons such as not adding extra burden in the sorrow, awaiting a timely moment and not being a messenger of bad news. Withholding truth could both be seen as a way of protecting themselves from difficult conversations and to protect others. Discussion: The results indicate that there are various barriers for truthfulness. Interpreted from a virtue of ethics perspective, withholding of truth might also be seen as an expression of sound judgement to put the patient’s best interest first. Conclusion: The carers may need support in the form of supervision to be given space to reflect on their experience and thereby promote ethically justified care. Here, the multi-professional team can be of great value and contribute through inter-professional sharing of knowledge. (shrink)

I argue that a central claim of Ásta’s conferralist framework – that it can account for all social properties of individuals – is false, by drawing attention to (opaque) class. I then discuss an implication of this objection; conferralism does not meet its own conditions of adequacy, such as providing a theory that helps to understand oppression. My diagnosis is that this objection points to a methodological problem: Ásta and other social ontologists have been fed on a “one-sided diet” of (...) types of examples, resulting in a limited view of the paradigmatic social phenomena, thus making conferralism too narrow to fulfill its intended role. (shrink)

Background: The occurrence of behavioural changes and problems, and degree of paranoid thoughts, are significantly higher among people who have experienced extreme trauma such as during the Holocaust. People with dementia and traumatic past experiences may have flashbacks reminding them of these experiences, which is of relevance in caring situations. In nursing homes for people with dementia, nursing assistants are often the group of staff who provide help with personal needs. They have firsthand experience of care and managing the devastating (...) outcomes of inadequate understanding of a person’s past experiences. Aim: The aim was to describe nursing assistants’ experiences of caring for older people with dementia who have experienced Holocaust trauma. Research design: A qualitative descriptive and inductive approach was used, including qualitative interviews and content analysis. Participants and research context: Nine nursing assistants from a Jewish nursing home were interviewed. Ethical considerations: The study was approved by the Regional Ethical Review Board, Stockholm. Findings: The theme ‘Adapting and following the survivors’ expression of their situation’ was built on two categories: Knowing the life story enables adjustments in the care and Need for flexibility in managing emotional expressions. Discussion and conclusion: The world still witnesses genocidal violence and such traumatic experiences will therefore be reflected in different ways when caring for survivors with dementia in the future. Person-centred care and an awareness of the meaning of being a survivor of severe trauma make it possible to avoid negative triggers, and confirm emotions and comfort people during negative flashbacks in caring situations and environments. Nursing assistants’ patience and empathy were supported by a wider understanding of the behaviour of people with dementia who have survived trauma. (shrink)

Ever since Putnam and Burge launched their respective attacks on individualist accounts of meaning the individualist has felt squeezed for space.1 Very little maneuvering room, it seems, is left for the philosopher who wants to deny that meaning and mental content depend on the speaker's social environment. One option, popular amongst individualists, is to grant that reference is socially determined but argue that there is nevertheless a notion of meaning or content that can be understood individualistically. That is, the individualist (...) can opt for a. (shrink)

The purpose of this paper is to portray the nature of public trust in a military force within a democratic state and explain its importance. On grounds of a general conception of 'profession' and 'professional ethics', it is argued that a military force in a democratic state ought to nurture genuine public trust in itself, to take the form of a commonly or at least very broadly held presumption of proper functioning in all professional respects, including effectiveness, improvement and ethics. (...) It is also argued that external inquiry commissions, sometimes appointed to investigate a recent failure, within the framework of a military force, are counterproductive as attempts to enhance the required public trust. (shrink)

Standing on the shoulders of thinkers who have sought carefully to delineate proper behaviour in armed conflict—not least to distinguish just from illegitimate wars—military ethics is a subdiscipline enjoying renewed interest and, at the beginning of the twenty-first century, increasing practical relevance. It is particularly vibrant and expansive at the moment due to the emergence of novel forms of military activity. Whereas classical warfare involved a near symmetrical encounter between opposing forces, present-day asymmetric conflicts (such as fighting terrorists and insurgents) (...) and other military challenges (such as humanitarian intervention and peacekeeping) raise especially difficult—and often dizzying—ethical issues. As research in and around the area flourishes as never before, this new title in the Routledge Major Works series, Critical Concepts in Philosophy, meets the need for an authoritative reference work to make sense of a rapidly growing and ever more complex corpus of literature. It is a four-volume collection of the best and most influential canonical and cutting-edge research. The first volume (‘Traditions’) assembles the key work on the history of military ethics from a variety of traditions. The second volume collects the most important thinking on the crucial doctrine of a ‘just war’. Volume III (‘New Military Activities’), meanwhile, brings together the best research on topics such humanitarian intervention, peacekeeping, fighting terrorism, and counterinsurgency. The scholarship assembled in the final volume (‘Issues’) focuses on the contentions around military values and virtues. It also collects the best work on the ethcis of dealing with extreme emergencies, deterrence, and torture. With a comprehensive introduction, newly written by the editor, which places the material in its historical and intellectual context, Military Ethics is an essential work of reference and is destined to be valued by scholars and students as a vital one-stop research resource. (shrink)

With this treatise, Mahan attempts to do justice to the subject of moral philosophy and, therefore, challenge the student who tries to fathom the depths and ascend the heights of thought.

Military activities with the framework of the IDF [Israel Defense Force] is carried out by citizens in a variety of positions. In addition to the ordinary positions of career officers and NCOs, the IDF consists of conscripted men and women as well as reservists. Some of the latter serve under an ordinary command to serve for a certain relatively short period. Other reservists, including pilots and special forces officers have served since they volunteered to serve. Facing the political clash between (...) the government, who have been viewed as trying to change the democratic nature of the state, and the popular opposition, who have tried to protect the judiciary and other elements of democracy, many officers who belong to the latter reservist group have suspended their voluntary service or even retired. Their decision has raised the obvious issue of whether such decisions can be justified, morally, ethically, and democratically. This is the topic of the present paper. (shrink)

We are grateful to Professors Nick Fotion, Bashshar Haydar and David L. Perry for their illuminating discussions of our paper, ?Military ethics of fighting terror: An Israeli perspective?, published in the present issue of the Journal of Military Ethics. We also thank the editors of the Journal for allowing us to add the present response. Professors Fotion, Haydar and Perry raise many significant issues. We will, however, presently address just a few of them, leaving the discussion of the other interesting (...) points to other occasions. (shrink)

The paper discusses the thesis of extended belief and its implications for the possibility of extending ordinary, personal level knowledge. A common worry is that knowledge will overextend, that there will be ‘cognitive bloat’. If the subject’s standing beliefs can be realized in devices such as notebooks and smart phones, what is there to prevent the conclusion that she knows everything stored on such devices? One response to this worry is to block the move from belief to knowledge, and argue (...) that these externally stored beliefs, although reliable, do not qualify as knowledge. I argue, instead, that the fundamental problem arises at the level of belief. We prevent bloating of knowledge by preventing the bloating of belief. To do so, I argue, we need to take seriously Clark and Chalmers’ suggestion that what is distinctive of belief is its role in folk psychological explanations. Paying attention to this role shows that the usual examples, such as Otto’s notebook information, do not qualify as beliefs. To qualify, the external information would have to be much more directly connected to, and deeply integrated into, the subject’s overall system of beliefs and desires. (shrink)

My paper examines the popular idea, defended by Kripke, that meaning is an essentially normative notion. I consider four common versions of this idea and suggest that none of them can be supported, either because the alleged normativity has nothing to do with normativity or because it cannot plausibly be said that meaning is normative in the sense suggested. I argue that contrary to received opinion, we don’t need normativity to secure the possibility of meaning. I conclude by considering the (...) repercussions of rejecting semantic normativity on three central issues: justification, communication, and naturalism. (shrink)

Crick and Koch’s 1990 “neurobiological theory of consciousness” sparked the race for the physical correlates of subjective experience. 30 years later, cognitive sciences trend toward consideration of the brain’s electromagnetic field as the primary seat of consciousness, the “to be” of the individual. Recent advancements in laboratory tools have preceded an influx of studies reporting a synchronization between the neuronally generated EM fields of interacting individuals. An embodied and enactive neuroscientific approach has gained traction in the wake of these findings (...) wherein consciousness and cognition are theorized to be regulated and distributed beyond the individual. We approach this frontier to extend the implications of person-to-person synchrony to propose a process of combination whereby coupled individual agents merge into a hierarchical cognitive system to which they are subsidiary. Such is to say, the complex mammalian consciousness humans possess may not be the tip of the iceberg, but another step in a succeeding staircase. To this end, the axioms and conjectures of General Resonance Theory are utilized to describe this phenomenon of interpersonal resonant combination. Our proposal describes a coupled system of spatially distributed EM fields that are synchronized through recurrent, entraining behavioral interactions. The system, having achieved sufficient synchronization, enjoys an optimization of information flow that alters the conscious states of its merging agents and enhances group performance capabilities. In the race for the neurobiological correlates of subjective experience, we attempt the first steps in the journey toward defining the physical basis of “group consciousness.” The establishment of a concrete account of the combination of consciousness at a scale superseding individual human consciousness remains speculation, but our suggested approach provides a framework for empirical testing of these possibilities. (shrink)

This article discusses the thesis that a subject can have a concept, think thoughts containing it, that she incompletely understands. The central question concerns how to construe the distinction between having a concept and understanding it. Two important versions of the thesis are distinguished: a metasemantic version and an epistemic version. According to the first, the subject may have concept C without being a fully competent user, in virtue of deference to other speakers or to the world. According to the (...) second, the subject may have a concept without being able to provide a proper explication of it. It is argued that whereas the epistemic version is plausible, the metasemantic version faces some challenges. First, it needs to be explained precisely how deference enables a speaker to have C. Second, metasemantic incomplete understanding is in tension with the idea that concepts serve to capture the subject’s cognitive perspective. (shrink)

The present paper is devoted to a detailed presentation of a new Military Ethics doctrine of fighting terror. It is proposed as an extension of the classical Just War Theory, which has been meant to apply to ordinary international conflicts. Since the conditions of a fight against terror are essentially different from the conditions that are assumed to hold in the classical war (military) paradigm or in the law enforcement (police) paradigm, a third model is needed. The paper proposes such (...) a model in the form of principles that should govern the activity of a democratic state when faced with terror. Eleven principle are proposed. Two are on the level of the state, including the Principle of Self-Defense Duty. Six are related to military preventive acts against activities of terror, including new formulations of a Principle of Military Necessity, a Principle of Distinction, and a Principle of Military Proportionality. Principles of Low Probabilities, Time Span Considerations and Professional Understanding are also included. Finally, three principles that are related to consciousness-directed activities against terror are added: a Principle of Permanent Notice, a Principle of Compensation, and a Principle of Operational Deterrence. The exposition of the principles is accompanied by arguments about their moral justification. The doctrine has been developed on the background of the IDF fight against acts and activities of terror performed by Palestinian individuals and organizations. (shrink)

Abstract:Hume’s theory of pride has been dismissed due to the contingent relation between passion and object. But why did Hume state the theory as he did? Why did he give two accounts of pride, one holistic and one atomistic? This paper considers Hume’s reasons for giving two accounts, and how he unified them. The holistic account enables Hume to explain how moral distinctions are made, whereas the atomistic allows him to anchor morality in human nature. The accounts are unified by (...) the distinction of feeling pride and being proud: a steady passion of pride would not count as that if it did not contain feelings of pride identified by their introspective quality, and would not be a state of pride without the causal relation of ideas. (shrink)

I consider an individualist reply to Burge's well-known anti-individualist thought experiment. It is commonly assumed that the individualist has one of two options: accept that reference is socially determined and opt for a bifurcation of content ; or reject the conclusions of the thought experiment and insist that Burge's patient uttering "I have arthritis in my thigh" has her or his own "arthritis"-concept and utters a true belief. I suggest that neither of these options is very attractive and thus the (...) individualist seems faced with a dilemma. However, Burge's thought experiment rests on problematic philosophical assumptions that the individualist need not accept. One such assumption is that the speaker uttering "I have arthritis in my thigh" makes a non-empirical error. This assumption, as Burge himself makes clear, is crucial if the thought experiment is to go through. So, Burge presents an account of the notion of a "non-empirical error" which is very problematic and fails to support the conclusions of the thought experiment. Once this account is questioned, the individualist can reject the claim that meaning is determined by the speaker's social environment without falling into the dilemma. (shrink)

We introduce a new approach to the model theory of metric structures by defining the notion of a metric abstract elementary class (MAEC) closely resembling the notion of an abstract elementary class. Further we define the framework of a homogeneous MAEC were we additionally assume the existence of arbitrarily large models, joint embedding, amalgamation, homogeneity and a property which we call the perturbation property. We also assume that the Löwenheim-Skolem number, which in this setting refers to the density character of (...) the set instead of the cardinality, is ${\aleph_0}$ . In these settings we prove an analogue of Morley’s categoricity transfer theorem. We also give concrete examples of homogeneous MAECs. (shrink)

In the book Gibbard proposes, first, that statements about meaning are normative statements and, second, that they can be given an expressivist treatment, along the lines of Gibbard’s preferred metaethics. In my paper, I examine the first step: The claim that meaning statements are to be construed as being normative, as involving ‘oughts’. Gibbard distinguishes two versions of the normativity of meaning thesis – a weak version, according to which every means implies an ought, and a strong version, according to (...) which for every means, there is an ought that implies it. I argue that neither thesis withstands scrutiny. The weak thesis depends on assumptions about the notion of semantic correctness that the anti-normativist rejects, and the strong thesis does not solve the problems Gibbard wants it to solve: the problems of indeterminacy and meaning skepticism. I conclude that semantics does not need normativity. (shrink)

Since Hilary Putnam and Saul Kripke's first attacks on traditional, descriptivist theories of natural kind terms, it has become customary to speak of the ‘Putnam-Kripke’ view of meaning and reference. This article argues that this is a mistake, and that Putnam's account of natural kind terms is importantly different from that of Kripke. In particular, Putnam has from the very start been sceptical of Kripke's modal claims, and in later papers he explicitly rejects the proposal that theoretical identity statements are (...) metaphysically necessary (if true). I suggest that this is wholly in line with Putnam's earlier, Quine-inspired writings on general terms, and his preoccupation with the philosophy of science. Moreover, I argue that the picture of general terms that emerges from Putnam's writings is more plausible than that suggested by Kripke. However, contrary to Putnam, I also suggest that Putnam's later views on natural kinds and natural kind terms do not support standard Twin Earth externalism. (shrink)

In Morality and Socially Constructed Norms, Laura Valentini poses and answers this overall question: When and why, if at all, are socially constructed norms morally binding? Valentini develops an original account, the agency-respect view, that offers an answer to this general question by offering a moral criterion in terms of agency respect. I agree with the criterion proposed by the agency-respect view, given the account of socially constructed norms that it assumes. However, its account of socially constructed norms seems too (...) narrow to answer the general question. More specifically, I argue that the account of social norms is too narrow, even according to Valentini’s own standard, since it does not account for teleological social norms, which are about standards of excellence rather than standards of behavior. Taking teleological social norms into account calls the moral criterion proposed by the agency-respect view into question: it is plausible concerning the type of social norm assumed by the agency-respect view, but not for teleological social norms. Hence, the general question has not been fully answered. (shrink)

Sustainability discourse offers a plethora of perspectives on the type of change needed to ensure a just development within planetary boundaries, and how that change could come about. Calls for radical transformations nonetheless underline the need to examine prevalent discursive structures in society, including challenging the ‘ideology of growth’, in order to formulate new and transformative policy approaches. Based on empirical insights as to how different actors – including grassroots, planners, officials and politicians – in Sweden perceive the transformations needed (...) to reach sustainability goals, this paper explores how narratives of change reproduce, make use of or show cracks in the eco-modern sustainability paradigm. (shrink)