On the basis of the characterization of autonomy set out by Beauchamp and Childress in Principles of Biomedical Ethics, we first explore some of the parameters along which autonomy may vary in degree through a series of hypothetical examples drawn from various settings; and, second and in more detail, we examine how the range of autonomy is affected through informed consent to various medical diagnostic tests. Our conclusions are (1) that there are significant implications for patient autonomy inherent in new (...) and forthcoming diagnostic modalities, and (2) that attention should be paid to these implications in formulating policies for both clinical practice and research. We close with (a) some specific policy recommendations for clinical practice and research, and (b) some metaphysical speculations raised by our explorations. (shrink)

La conscience africaine se voit trop souvent caractérisée par son immédiateté et son innocence. Un chef d'État français n'a-t-il d'ailleurs pas récemment déclaré aux élites intellectuelles africaines, à l'université de Dakar, que leur continent n'était pas assez entré dans l'Histoire? Au-delà de ces clichés, comment penser l'Afrique noire dans un monde où l'Occident a prétendu pendant plus de cinq siècles dominer tant les échanges commerciaux que les échanges d'idées? Dans une démarche à la fois anthropologique, historique et philosophique, Alfred Adler (...) répond à cette question en s'intéressant à l'oeuvre d'Hegel. Ce penseur a, en effet, été convoqué par de nombreux philosophes africains tant pour utiliser sa dialectique libératrice que pour réfuter son discours professoral sur l'Afrique qui pâtissait de ses préjugés. Revenir vers le texte hégélien afin d'en extraire la substance intellectuelle toujours vivante et stimulante en la confrontant à l'histoire de l'Afrique, en particulier les empires de Ghana et Songhay : tel est l'objet de cet ouvrage. En se confrontant à l'"essence" de l'homme africain selon Hegel et à l'idée qu'en Afrique, il n'y a pas de place pour l'éclosion des idées, Alfred Adler nous invite à théoriser une histoire et une conscience propres à ce continent. À l'Afrique, dès lors, de s'inventer un destin. (shrink)

This book discusses in dialogue form the basic principles of mathematics and its applications including the question: What is mathematics? What does its specific method consist of? What is its relation to the sciences and humanities? What can it offer to specialists in different fields? How can it be applied in practice and in discovering the laws of nature? Dramatized by the dialogue form and shown in the historical movements in which they originated, these questions are discussed in their full (...) complexity, yet are easily comprehended. The first dialogue, whose chief actor is Socrates, leads the reader to the source of modern mathematics in Athens in the 5th Century BC. The second dialogue, featuring Archimedes, takes place during the siege of Syracuse in 212 BC and shows the birth of applied mathematics. The third dialogue occurs in the year 1633 in Rome, its chief character being Galileo Galilei who fully realized the central importance of the mathematical method in discovering the laws of nature. Intended as supplemental reading for philosophy of mathematics courses at the high school or college level it will be of interest to both specialists and non-specialists in mathematics. Alfréd Rényi was born in Budapest Hungary in 1921. He studied mathematics and physics at the University of Budapest and received his Ph. D. from the University of Szaged in 1945. Since 1950 he has been Director of the Mathematical Research Institute of the Hungarian Academy of Sciences and since 1952 a professor at the University of Budapest. Dr. Renyi was a visiting professor at Michigan State University in 1961, at the University of Michigan in 1964 and at Stanford University in 1966. His main fields of research are probability theory, mathematical statistics and information theory, and he has also worked in analytic number theory as well as in various branches of analysis, combinatorial analysis and geometry. (shrink)

In lieu of an abstract, here is a brief excerpt of the content: Choice and Virtue in the Nicomachean Ethics ALFRED R. MELE COM~rNTATORS ON THr Nicomachean Ethics (NE) have long been laboring under the influence of a serious misunderstanding of one of the key terms in Aristotle's moral philosophy and theory of action. This term is prohairesis (choice), the importance of which is indicated by Aristotle's assertions that choice is the proximate efficient cause of action (NE 6. 1139a31--32) and (...) that in which "the essential elements of virtue and character" lie (NE 8. x163a2'~-23). The accepted view is that Aristotle employs two importantly different notions of choice in the NE, one on which the term refers exclusively to means or things which are pros (toward, related to)' ends and another on which it does not have this reference? This "two notion" interpretation is motivated by the following three considerations: i. Aristotle's good or virtuous agent is said (NE 2. 11o5a28-33, cf. NE 6. 1144ax8-2o ) to choose actions for their own sakes; but, according to the This paper is derived in part from a chapter of my doctoral dissertation, which was submitted to the University of Michigan in January of 1979. 1 would like to express my gratitttde to the chairman of my dissertation committee, Nicholas P. White, for his comments and criticisms on the relevant sections during the preparation of my dissertation and to theJHP's anonymous reviewers for their helpful criticisms and queries. ' It has often been pointed out that things which are pros an end are not necessarily "means," in the ordinary sense of the word. E.g., constituents of an end are pros the end, but they are not means to it. See, e.g., Nicomachean Ethics, Book 6, trans. Leonard H. G. Greenwood (Cambridge: Cambridge University Press, 19o9), pp. 46-47, 53ff.: and John M. Cooper, Reason and Human Good in Aristotle (Cambridge: Harvard University Press, 1975), pp. 1o-22. ' Among the many proponents of this "two notion" interpretation are William D. Ross and Donald J. Allan. See Ross, Aristotle, 5th ed. (London: Methuen, t953), p. 2oo. See Allan, The Philosophy of Aristotle, 2nd ed. (London: Oxford University Press, 197o), p. 132; idem, "Aristotle 's Account of the Origin of Moral Principles," Xlth International Congress of Philosophy 12 (1953):124; idem, "The Practical Syllogism," in Autour d'Aristote, Studies for A. Mansion (Louvain : Publications Universitaires, 1955). Richard Sorabji, in "Aristotle on the Role of Intellect in Virtue" (Proceedings of the Aristotelian Society 74 l t973-74]:t t6), says that he has noticed sixteen commentators who take this view. [4o5] 406 HISTORY OF PHILOSOPHY so-called formal account of prohairesis (NE 3. 2-3, 6. 2), the object of choice is what has been decided upon by deliberation (bouleuais), and what is decided upon by deliberation is a "means" to an end. 2. Aristotle says that choice is "closely bound up with virtue" and "discriminates characters better than actions do" (1 1t lb5; cf. t i lob3t, 1117a 5, 1163a22, 1t64bi); but commentators argue that these claims about choice are false unless choice is "of ends." 3. Though Aristotle holds that the impetuous akrat~s (incontinent agent) does not deliberate (e.g., t 152a 18-19), he says that the akrat~s' choice is good (1152ax5--17; cf. l l51a5-- 7, 29--32); and this appears to contradict his position in Book 3 that the object of choice is what is decided upon by deliberation, s In this paper I shall show that only one (philosophically significant) notion ofprohairesis is employed in the NE, namely, the notion developed in the "formal account" of deliberation and choice (3- 2-3, 6. 2), according to which choice is specifically of things which are pros ends. This point has several interesting applications. For example, it makes it easier to find in Aristotle (as I shall briefly explain) a comprehensive theory of practical reasoning or inference rather than several unconnected accounts of what practical inference is like in different types of cases; and it is helpful in clarifying what is involved in the evaluation of character on Aristotle's view (see Sec. ~). However, though I do think that the main point to be made... (shrink)

" Recourir à la métaphysique est comme lancer une allumette dans une poudrière. Cela fait exploser la scène entière. C'est exactement ce que font les philosophes de la science quand ils sont conduits dans une impasse et convaincus d'incohérence. Aussitôt ils font entrer de force l'esprit et parlent d'entités qui sont selon le cas dans l'esprit ou hors de l'esprit. Pour la philosophie naturelle, toute chose perçue est dans la nature. Nous ne pouvons pas faire le difficile. Pour nous, la (...) lueur rouge du crépuscule est autant une partie de la nature que les molécules ou les ondes électriques par lesquelles les hommes de science expliqueraient le phénomène. Il appartient à la philosophie naturelle d'analyser comment les éléments variés de la nature sont liés ". Whitehead. (shrink)

We obtain some new results on the topology of unary definable sets in expansions of densely ordered Abelian groups of burden 2. In the special case in which the structure has dp‐rank 2, we show that the existence of an infinite definable discrete set precludes the definability of a set which is dense and codense in an interval, or of a set which is topologically like the Cantor middle‐third set (Theorem 2.9). If it has burden 2 and both an infinite (...) discrete set D and a dense‐codense set X are definable, then translates of X must witness the Independence Property (Theorem 2.26). In the last section, an explicit example of an ordered Abelian group of burden 2 is given in which both an infinite discrete set and a dense‐codense set are definable. (shrink)

One popular style of argument for the thesis that determinism is incompatible with moral responsibility features manipulation. Its thrust is that regarding moral responsibility, there is no important difference between various cases of manipulation in which agents who A are not morally responsible for A-ing and ordinary cases of A-ing in deterministic worlds. There is a detailed argument of this kind in Derk Pereboom’s recent book (2001: 112–26). His strategy in what he calls his ‘four-case argument’ (117) is to describe (...) three cases of progressively weaker manipulation in which, he contends, the agent, Plum, is not morally responsible for killing his victim and to compare them to a related deterministic case that involves no manipulation. Pereboom argues that what blocks Plum’s moral responsibility for the killing in the first three cases is the fact that ‘his action results from a deterministic causal process that traces back to factors beyond his control’ and that, because this fact also obtains in the fourth case, Plum is not morally responsible for that killing either (116). My thesis is that Pereboom’s argument fails. (shrink)

Der Laie spricht manchmal die Ansicht aus, die Mathematik ware heutzutage schon eine tote Wissenschaft: nachdem sie einen ungemein hohen Grad der Entwicklung erreicht hat, sei sie in ihrer steinernen Vollkommenheit erstarrt. Dies ist ein vollig irriges Bild der Situation: nur wenige Wissenschaftsgebiete befinden sich heute in der Phase einer solch intensiven Entwicklung wie die Mathematik. Diese Entwicklung ist dabei auBerordentlich vie1seitig: die Mathematik erweitert ihre Domane nach allen moglichen Richtungen, sie wachst in die Rohe, in die Weite und in (...) die Tiefe. Sie wachst in die Rohe, da auf dem Boden ihrer alten Theorien, denen eine jahrhundert-, ja sogar jahrtausend- lange Entwicklung zugrunde liegt, immer wieder neue Prob1eme auftauchen, immer scharfere und vollkommenere Resultate er- zielt werden; in die Weite, da ihre Methoden andere Wissen- schaftszweige durchdringen, ihr Untersuchungsbereich immer umfangreichere Gebiete von Erscheinungen umfaBt und immer neue Theorien in den groBen Kreis mathematischer Disziplinen einbezogen werden; und schlieBlich in die Tiefe, da ihre Grund- lagen immer mehr gefestigt, die bei ihrem Aufbau angewandten Methoden immer vollkommener werden und ihre Prinzipien an Dauerhaftigkeit gewinnen. In dem vorliegenden Buch wiinschte ich dem Leser, der fiir die gegenwartige Mathematik Interesse aufweist, aber ihr fern- steht, mindestens einen ganz allgemeinen Begriff von dieser dritten Entwicklungslinie der Mathematik, d. i. von ihrer Ent- wicklung in die Tiefe, zu geben. (shrink)

Summary By means of examples drawn from everyday experience, the author investigates what conditions must be satisfied in order that behaviour may be called rational or irrational. Does the attribution of irrationality apply to means or to ends? Is it based on consideration of the total cost? Is heroism irrational? Cannot what is irrational for one person be rational for another? Finally, the author uses this approach to come to the problem of induction and to that of moral freedom.RésuméL'auteur examine, (...) à l'aide d'exemples divers tiréds de l'expérience quotidienne, quelles sont les conditions qui doivent ětre remplies pour qu'on puisse qualifier une conduite de rationnelle ou d'irrationnelle. L'imputation d'irrationalité concerne‐t‐elle les moyens ou les buts? Se fonde‐t‐elle sur une estimation globale des coǔts? L'héroïsme est‐il irrationnel? Ce qui est irrationnel pour l'un ne peut‐il pas ětre rationnel pour un autre? Enfin, il aborde par ce biais le problème de l'induction et celui de la liberté morale.ZusammenfassungDer Verfasser untersucht aufgrund verschiedener aus dem Alltag gezogenen Beispiele die Frage, welches die Bedingungen sind, die erfüllt sein müssen, damit man ein Verhalten als rational bezeichnen kann. Bezieht sich das Zuschreiben von Irrationalität auf Mittel oder auf Ziele? Ist es auf der Einschätzung des Aufwandes begründet? Ist Heldentum irrational? Kann das, was dem einen als irrational gilt, einem andern nicht als rational gelten? Schliesslich wird über das Induktionsproblem das Problem der moralischen Freiheit angegangen. (shrink)

La pensée transcendantale-logique est le facteur qui détermine toute réalité. Puisqu’elle est un objet déterminé par cette pensée déterminante, la pensée anthropologique-psychologique-cérébrale ne peut point être identique à celle-ci. Il s’ensuit que la nature physique peut, sans contradiction, précéder la pensée déterminée en tant que fonction anthropologique. Toute tentative d’incorporer la pensée déterminante dans l’histoire de l’évolution ou de l’ordonner au cerveau, à l’homme, au psychisme, amène la transformation de cette pensée déterminante en une pensée déterminée, une pensée anthropologique. Ainsi (...) ces déterminations historiques et naturelles n’atteindraient plus la pensée déterminante : étant la présupposition de toute détermination, la pensée déterminante ne peut être qu’exempte de toute détermination. (shrink)

The basic subject matter of the philosophy of action is a pair of questions: (1) What are actions? (2) How are actions to be explained? The questions call, respectively, for a theory of the nature of action and a theory of the explanation of actions. Donald Davidson has articulated and defended influential answers to both questions. Those answers are the primary focus of this chapter.

etudes de psychologie experimentale / par Alfred Binet,...Date de l'edition originale: 1888Sujet de l'ouvrage: Psychologie experimentaleCollection: Bibliotheque des actualites medicales et scientifiques; 7Ce livre est la reproduction fidele d'une oeuvre publiee avant 1920 et fait partie d'une collection de livres reimprimes a la demande editee par Hachette Livre, dans le cadre d'un partenariat avec la Bibliotheque nationale de France, offrant l'opportunite d'acceder a des ouvrages anciens et souvent rares issus des fonds patrimoniaux de la BnF.Les oeuvres faisant partie de cette (...) collection ont ete numerisees par la BnF et sont presentes sur Gallica, sa bibliotheque numerique.En entreprenant de redonner vie a ces ouvrages au travers d'une collection de livres reimprimes a la demande, nous leur donnons la possibilite de rencontrer un public elargi et participons a la transmission de connaissances et de savoirs parfois difficilement accessibles.Nous avons cherche a concilier la reproduction fidele d'un livre ancien a partir de sa version numerisee avec le souci d'un confort de lecture optimal. Nous esperons que les ouvrages de cette nouvelle collection vous apporteront entiere satisfaction.Pour plus d'informations, rendez-vous sur www.hachettebnf.frhttp: //gallica.bnf.fr/ark: /12148/bpt6k756813. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Cracked ArmorJoanne AlfredDisclaimers. Names have been changed to protect the privacy of the patient and the patient's family.After three weeks of night shifts, I had built a routine of driving home in darkness and watching the sunrise. It had become my way to push back against a quiet melancholy, the accumulation of loss over time, by remembering that light gently returning each morning. Heading into my last stretch of (...) ten nights in a row, I was intent to hold to this practice, to anchor myself for the challenge. The one-and-a-half years of residency training had prepared me for these moments, opportunities to grow and persist. The first six days of the stretch passed as I had expected, and the confidence and autonomy I had cultivated carried me through. It always had. I had shouldered our neurosurgery service, solitary night shifts at community hospitals, the NICU. I had pronounced a newborn dead on Good Friday, heartbroken by the juxtaposition of life and death. My experiences allowed tears and doubts, but I had always rebounded, chin up and looking onward for the next thing.I had just received sign out, and needed to check on Nate, a young man I'd known since he was first diagnosed with T-cell acute lymphoblastic leukemia (T-Cell ALL). I remembered our first meeting, a new diagnosis with a white cell count in the thousands requiring PICU admission for plasma exchange, all the way to reassuring him his EKG was normal after an incidental finding of hyperkalemia. He had returned to the hospital with abdominal swelling, and dread filled me as I rounded the corner to his room. Looking down at him and back up at his mother, my own distress reflected in their eyes. We needed help. I quickly found the oncology fellow and attending, and we put our heads together, deciding a blood gas and X-ray would be the next best steps. The results confirmed our suspicions.Nate was transferred to the PICU shortly. I watched his mother console him, remembering how much they both disliked the PICU. It was not a [End Page 85] place of pleasant memories, especially as Nate had been working toward remission therapy rather than returning to the intensive care unit, where he fought through his initial diagnosis. While reassuring him and his mother externally, internally my own dread welled further, because my first night in the PICU loomed two days away. To bolster myself for my seventh night shift, I rounded with the PICU team to learn as much as I could. Nate was on BIPAP now, and the decision inexorably moved to intubation. It was all happening rapidly, and the dread started feeling more like panic. Nate's eyes were squeezed shut, his stomach taut, and his breathing shallow. I truly worried for Nate now. I had hoped the PICU would be a temporary stay, a place where we could make a diagnosis and fill the gap. However, when I joined the private conversation the PICU attending had with Nate's mother and she said, "He may never come off the ventilator. He may never speak again," the finality in her voice had more certainty.The "never" struck my brittle residency armor and it cracked. I was not ready to believe it. I could sense his mother felt the same, so we walked along the silent halls of the hospital while she remembered Nate with me as a teenage boy beyond the hospital, not as his ascites and acidosis. Maybe to make his turn for the worse untrue. But I knew something awful was going to happen.On my eighth night, I entered the PICU with trepidation. All I could think about was Nate. He was now on dialysis, struggling with true hyperkalemia. Turning the corner to the unit, my heart racing, begging please don't let him die. It was hard to sense in the moment, but the cumulative melancholy, the sense that it could be held back, was not holding true. So, I defaulted to my splintering armor of persistence, picking apart his labs, discussing his dialysis with the nephrology fellow. I put my head down... (shrink)

Résumé Est-il possible d’élucider le sens de l’histoire? Telle est la question que se pose la philosophie de l’histoire. L’article examine la position qu’a prise le théologien allemand Troeltsch surtout à partir de son dernier ouvrage, le Der Historismus. Il se veut à la fois une introduction à cette oeuvre monumentale et une réflexion d’ensemble sur la pertinence de la philosophie de l’histoire en notre temps.Is it possible to elucidate the meaning of history? Such is the question raised by the (...) philosophy of history. This article studies the position that the German theologian Troeltsch has taken particularly in his last book, the Der Historismus. It intends both to be an introduction to that great work and to show how the philosophy of history is still relevant in our age. (shrink)

Au cours des dernières décennies, la philosophie des sciences est devenue la philosophie des sciences particulières. En conséquence, certaines des questions majeures de la philosophie des sciences sont adressées à la recherche en nanosciences et technologie. C’est le cas notamment des questions concernant la nature de la connaissance, le rôle de la théorie, les pratiques expérimentales et observationnelles. Ces questions habituelles suscitent des réponses inattendues, suggérant que la nanotechnoscience est un exemple non pas d’une science mais d’une technoscience.

John Christman, in 'Autonomy and Personal History,' advances a novel genetic or historical account of individual autonomy.1 He formulates 'the conditions of the [i.e., his] new model of autonomy' as follows: (i) A person Pis autonomous relative to some desireD if it is the case that P did not resist the development of D when attending to this process of development, or P would not have resisted that development had P attended to the process; (ii) The lack of resistance to (...) the development of D did not take place (or would not have) under the influence of factors that inhibit self-reflection; and (iii) The self-reflection involved in condition (i) [sic] is (minimally) rational and involves no self-deception. (11) Although Christman makes a telling case for the relevance of personal history to personal autonomy, I shall argue that he has gone too far in that direction. (shrink)