Ob Pastores zur Selbstlosigkeit fähig sind und ob sie die Verfügbarkeit in ihrem Leben wirklich konkret gestalten können, hängt eng mit ihrem persönlichen Gefühl des Eigenwertes zusammen. Solange individuelle Pastores Unruhe und Unbehagen empfinden über ihren eigenen Wert, ihre eigene Bedeutung und Kompetenz, und solange sie sich selbst nicht als diejenigen akzeptieren können, die sie sind mitsamt ihren Unzulänglichkeiten, wird sich das auf ihre Verfügbarkeit für Menschen negativ auswirken. Mehrere Risiken bedrohen sie. Das menschliche Bedürfnis nach Eigenwert ist dermaßen lebensnotwendig, (...) daß Menschen mit nur geringem Eigenwert in Kontakten gewöhnlich mehr mit sich selbst beschäftigt sind als mit anderen; unbewußt benutzen sie andere zur Steigerung des Eigenwertes. Außerdem vermögen sie sich nur schwer in die Bedürfnisse anderer hineinzuversetzen, weil sie von den eigenen Bedürfnissen so stark beansprucht sind. Da sie sich selbst oft entfremdet sind, können sie dem anderen bloß ein ,falsches Selbst' zeigen und ist von wirklicher Offenheit und Nähe kaum die Rede. Schließlich besteht das Risiko, daß man eigene, negative Eigenschaften auf andere projiziert und daß die Intoleranz anderen gegenüber zunimmt. Kurzum: Wie kann ich dir wirklich zur Verfügung stehen, solange ich dich dazu benutze, mein Selbstwertgefühl zu heben? Solange ich von meinen eigenen Bedürfnissen dermaßen in Anspruch genommen bin, daß ich deine Bedürfnisse nicht, oder nur durch meine gefärbte Brille, also nicht objektiv, wahrnehmen kann? Solange ich mich anders gebe als ich in Wirklichkeit bin? Solange ich mich dir gegenüber ablehnend verhalte? So sehen wir, daß ein kümmerliches Selbstwertgefühl auf viele Weisen wirkliche Verfügbarkeit für andere unmöglich macht. Unsere Schlußfolgerung muß daher die sein, daß ein wahrlich verfügbarer Pastor vor allen Dingen Sorge für sich selbst und die eigenen Bedürfnisse haben muß. Erst nachdem der eigene Becher gefüllt worden ist, kann er damit anfangen, daraus wegzuschenken. (shrink)

Die Arzneimittelzulassung und der Aufnahmeprozess zur Kostenerstattung sollen die Entwicklung und Vermarktung von pharmazeutischen Innovationen mit Patientennutzen nicht behindern, zugleich aber die Wirtschaftlichkeit der Arzneimittelversorgung für die Kostenträger nicht gefährden. Eine Anpassung der Verfahren an die Merkmale personalisierter Arzneimittel erscheint notwendig. Dabei ist allerdings zu fragen, ob eine ungerechtfertigte Privilegierung erfolgt. In den USA und in der EU werden die jeweiligen Zulassungsverfahren für Arzneimittel und Tests schrittweise angepasst und integriert. Zulassung und Erstattungsentscheidungen sollen koordiniert werden. Eine Privilegierung, wie bei Arzneimitteln (...) für seltene Indikationen (Orphan Drugs), findet jedoch für personalisierte Medizin nicht statt. Es bestehen keine unzumutbaren Hürden für die Hersteller. Zurückhaltung bei der Entwicklung innovativer Produkte wäre deshalb nicht gerechtfertigt. (shrink)

Using placebos in day-to-day practice is an ethical problem. This paper summarises the available epidemiological evidence to support this difficult decision. Based on these data we propose to differentiate between placebo and “knowledge framing”. While the use of placebo should be confined to experimental settings in clinical trials, knowledge framing — which is only conceptually different from placebo — is a desired, expected and necessary component of any doctor-patient encounter. Examples from daily practice demonstrate both, the need to investigate the (...) effects of knowledge framing and its impact on ethical, medical, economical and legal decisions. (shrink)

Das Bild ist ohne Zweifel ein interkulturelles Grundphänomen. In verschiedenen kulturellen Kontexten finden sich stets bestimmte Formen und Praktiken bildlicher Darstellung, die sich zudem als Ausdruck der jeweiligen Welt- und Selbstansichten lesen lassen. Zugleich drängen Fragen nach universalen Strukturen der Bildlichkeit und der Bildwahrnehmung in den Vordergrund. Damit verweisen das Kulturelle und das Bildliche in spannungsreicher Form aufeinander. Dieser Band unternimmt einen ersten Brückenschlag zwischen Ansätzen der Bildtheorie und der interkulturellen Philosophie und liefert damit auch neue Zugänge zu aktuellen bildethischen (...) und bildpolitischen Debatten. Der Inhalt Bildtheorie und Interkulturalität.- TheorieBildungen.- WeltBilder.- BildPolitiken Die Zielgruppen BildtheoretikerInnen und BildwissenschaftlerInnen PhilosophInnen Kultur- und SozialwissenschaftlerInnen ÄsthetikerInnen und KunstwissenschaftlerInnen PhänomenologInnen Die HerausgeberInnen Mag. Sergej Seitz, MA ist wissenschaftlicher Mitarbeiter am Institut für Philosophie der Universität Wien. Dr. Anke Graness ist wissenschaftliche Mitarbeiterin am Institut für Philosophie der Universität Wien. Prof. Dr. Georg Stenger ist Inhaber der Professur für Philosophie in einer globalen Welt und Interkulturelle Philosophie am Institut für Philosophie der Universität Wien. (shrink)

Psychiatric classification, as exemplified by the Diagnostic and Statistical Manual of Mental Disorders, is dealing with a lack of trust and credibility—in the scientific, but also in the public realm. Regarding the latter in particular, one possible remedial measure for this crisis in trust lies in an increased integration of patients into the DSM revision process. The DSM, as a manual for clinical practice, is forced to make decisions that exceed available data and involve value-judgments. Regarding such decisions, public epistemic (...) trustworthiness requires that these value-judgments should be representative of those of the affected public, and that the public has a reason to believe such a representation to be realized. Due to the long tradition of distrust in psychiatry, such a reason can in this case best be provided by an actual integration of patients into the decision-making process, rather than by their representation through scientific experts. (shrink)

This collection features eleven original essays, divided into three thematic sections, which explore the work of Wilfrid Sellars in relation to other twentieth-century thinkers. Section I analyzes Sellars’s thought in light of some of his influential predecessors, specifically Ludwig Wittgenstein, Rudolf Carnap, John Cook Wilson, and Kazimierz Ajdukiewicz. The second group of essays explores from different perspectives Sellars’s place within the analytic tradition, including his relation with analytic Kantianism and analytic pragmatism. The book’s final section extracts some of the most (...) significant lessons Sellars’s work has to offer for contemporary philosophy. These chapters address his views on inference, his views on truth and its connection to recent discussions about truth-relativism and truth-pluralism, his conception of self-knowledge, and his theory of perceptual experience. (shrink)

The need for a shift toward healthier and more sustainable diets is evident and is supported by universalized standards for a “planetary health diet” as recommended in the recent EAT-Lancet report. At the same time, differences exist in tastes, preferences and food practices among diverse ethnic groups, which becomes progressively relevant in light of Europe’s increasingly multi-ethnic cities. There is a growing tension between current sustainable diets standards and how diverse ethnic resident groups relate to it within their ‘culturally appropriate’ (...) foodways, raising questions around inclusion. What are dynamics of inclusiveness in migrant food practices? And what does this mean towards the transition to healthy and sustainable food? We study this question among Syrian migrants with different lengths of stay in the Netherlands. Our theoretical framework is based on practice theories, which emphasize the importance of socio-material context and of bodily routines and competences. We use qualitative methods, combining in-depth semi-structured life-history interviews with participant observation. Our findings indicate that inclusiveness takes different forms as migrants’ food practices and the food environment change. Regarding health and sustainability in food practices, understandings and competences around particularly fresh food change over time among both short- and long-term migrants, replacing making things from scratch with seasonal products with buying more processed products and out-of-season vegetables and fruits. We conclude that the performances of food practices and their configurations in food environments and lifestyles are dynamic and cannot unequivocally be interpreted as in- or exclusive, but that a more nuanced understanding is required. (shrink)

Background In Scandinavia 13–28% of gynecology patients have experienced abuse in health care in their life time, which contradicts the ethical obligations not to harm the patient and to protect the patient's dignity. Concerning learning to act ethically, scholars have emphasized the importance of combining theoretical and practical dimensions. This article explores Forum Play as a way of learning to act ethically in abusive situations in health care. Method Ten health-care workers participating in a Forum Play course took part in (...) this study. To explore participants' experiences of Forum Play, semi-structured interviews were conducted and processed by using the grounded theory analysis techniques of coding and constant comparison. Results The analysis resulted in the core category “developing response–ability.” It encompasses the processes bringing about the ability to respond adequately to situations where abuse occurs and the conditions for these processes, as well as the participants' achieved understanding of the third person's potential to act in a situation with a power imbalance. Forum Play allows participants to reflect on both verbal and body language, and gives them time to enact and think through issues of moral agency. Conclusion The simulated reality of Forum Play offers a platform where learning to act ethically in abusive situations in health care is facilitated by providing a safe space, suspending constricting structural conditions such as hierarchies and lack of time, fostering moral imagination, allowing creativity in developing and trying out a variety of acting alternatives, and reflecting upon the observed and experienced situation. (shrink)

The Dutch system of obstetric care is often recommended for midwife-attended births, the high number of home deliveries, and the low rate of intervention during pregnancy and labour. In this contribution, the question is addressed whether processes of medicalization can be demonstrated in the Dutch midwife practice. Medicalization of pregnancy and childbirth is often criticized because it creates dependency on the medical system and infringement of the autonomy of pregnant women. It is concluded that medicalization is present in the practice (...) of Dutch independent midwives, however it is less clear and outspoken than in hospital policies. (shrink)

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This article supports calls for an increased integration of patients into taxonomic decision making in psychiatry by arguing that their exclusion constitutes a special kind of epistemic injustice: preemptive testimonial injustice, which precludes the opportunity for testimony due to a wrongly presumed irrelevance or lack of expertise. Here, this presumption is misguided for two reasons: the role of values in psychiatric classification and the potential function of first-person knowledge as a corrective means against implicitly value-laden, inaccurate, or incomplete diagnostic criteria (...) sets. This kind of epistemic injustice leads to preventable epistemic losses in psychiatric classification, diagnosis, and treatment. (shrink)

Feminist scholars have identified pervasive gender discrimination in science as an institution, as well as gender bias in the very content of many scientific theories. An ameliorative project at heart, feminist philosophy of science has inquired into the social and epistemological roots and consequences of these problems and into their potential solutions. Most feminist philosophers agree on a need for diversity in scientific communities to counter the detrimental effects of gender bias. Diversity could thus serve as a unifying concept for (...) a potential consensus of the field. Yet there are substantial differences in the kinds and roles of diversity envisaged. This element argues that we need diversity, both in terms of social locations and of values, to overcome former biases and blind spots. Diversity as such, however, is insufficient. To reap its epistemic benefits, diversity also needs to be institutionalised in a way that counters various forms of epistemic injustice. (shrink)

The nomadic Kazaks inhabiting Xinjiang Province, China, retain many aspects of their pre‐Islamic way of life, including the use of methods of traditional healing usually classified under the rubric of "shamanism." These practices are closely related to those in Kazakstan, Mongolia, and other parts of the former Soviet Union.The present study addresses aspects of traditional healing in use among the Xinjiang Kazaks in recent times, and presents a native taxonomy of these practices obtained during recent fieldwork in Xingjiang. Special attention (...) is paid to the use of words, sound, and movement in healing contexts by elders and specialized individuals. (shrink)

In the fifth–sixth century CE the rulers of the Kadamba dynasty claimed the town of Halsi in modern Karnataka as the northern capital of their expanding polity. Their investments in this locale are recorded in a corpus of copper-plate inscriptions spanning four generation of kings. The plates record the growth of a thriving Jain community at Palāśikā and are revelatory of their relationships with the Kadamba rulers and their agents. This study of the donative and political processes converging in Palāśikā (...) shows that the use of Sanskrit inscriptions as media for royal representation and public self-fashioning was highly developed in the Kadamba polity, where idioms and trends developed independent of the Gupta royal model. Moreover, the evidence from Halsi is indicative of the centrality of Jain religious communities, ideologies, and institutions in the administration of the Kadamba polity and the expression of a lineage identity. (shrink)

In recent years, the practices of artists in non-artistic environments have set my mind in motion. Where before I could marvel at the visual outcomes of the artistic process and would want to understand how processes of creating meaning could be described, I am now particularly struck by the way in which artists are present, by their way of looking, how they make decisions, when and how they act, how they take responsibility. I have conversations with them and ask questions (...) to better understand their processes, and I explore literature to find people with a similar quest. This process of moving and being moved lies at the heart of the book 'The Artistic Attitude'"--Page 4 of cover. (shrink)

Aus dem Motiv eines »Aufstandes der Dinge« leitet sich im linken russischen Konstruktivismus der Imperativ einer Befreiung der Dinge her, der sich von ihrer Repräsentation abkehrt und ein Bilderverbot verhängt, um neue Dinge für 〉neue Menschen〈 zu erschaffen. Diese Dinge – Universalkleidungsstücke und mobile Gebrauchsgegenstände – überspringen den Gegensatz zwischen Objekt und Dinglichkeit. Wie die zeitgenössische russische Phänomenologie (Gustav Špet, Nikolaj Žinkin) feststellt, macht kein 〉idealer Gegenstand〈 ihr Wesen aus, sondern der soziale Gebrauch, der es in einen unabschließbaren Veränderungsprozess involviert. (...) Russian constructivism's motif of an »insurgence of things« leads to the imperative of a liberation of things, which turns away from their representation and declares a Bilderverbot (prohibition of representation) in order to create new things for »new men.« These things – for example, clothing and articles of daily use – overleap the opposition between object and thingness. Their essence, as contemporary Russian phenomenology (Gustav Špet, Nikolaj Žinkin) affirms, is not constituted by any »ideal object«, but by social usage, which involves it in an interminable metamorphosis. (shrink)

The reception and revival of Ibn Rušd in the Arab world of the 20th century provides a profound insight into the efforts of prominent Arab intellectuals to redefine Islamic culture and reveals the possibilities and limits of a dialogue with the West.

At present, the debate on global justice, a debate which is at the core of global ethics, is largely being conducted by European and American scholars from different disciplines without taking into account views and concepts from other regions of the world, particularly, from the Global South. The lack of a truly intercultural, interreligious, and international exchange of ideas provokes doubts whether the concepts of global justice introduced so far are able to transcend regional and cultural horizons. The article introduces (...) concepts of justice from African scholars, whose voices have remained marginal until now, like the Kenyan philosopher Henry Odera Oruka, the Ethiopian philosopher Teodros Kiros, and the debate on ubuntu, one of the most controversial concepts in southern Africa today. These concepts focus on issues that are seldom considered in the debate on global justice, such as the importance of bodily needs as a prerequisite for human beings to act as moral beings and the importance of human rel.. (shrink)

Gender-medicine has been very successful in discovering gaps in medical knowledge, disclosing biases in earlier research, and generating new results. It has superseded a more androcentric and sexist medicine. Yet, its development should not be understood in terms of a further approximation of value-freedom. Rather, it is a case of better value-laden science due to an enhanced pluralism in medicine and society. This interpretation is based on an account of the origins of gender-medicine in the feminist women’s health movement and (...) an analysis of the debate on inclusion of women in clinical trials. Consequently, the history of gender-medicine provides support for a procedural account of objectivity that stresses the importance of a diversity of perspectives. (shrink)

There have been few empirical studies into what non-medical factors influence physicians and nurses when deciding about admission and discharge of ICU patients. Information about the attitudes of healthcare professionals about this process can be used to improve decision-making about resource allocation in intensive care. To provide insight into ethical problems that influence the ICU admission and discharge process, we aimed to identify and explore ethical dilemmas healthcare professionals are faced with.

This chapter explores the relation between Sellars and Carnap by focusing on Sellars’s reception of Carnap’s Logical Syntax of Language. It claims that Carnap’s book was an important source of inspiration for Sellars. He saw promise in some of Carnap’s ideas to further a theory of meaning free of the Myth of the Given, while objecting that Carnap neglects the normativity of meaning. It is argued that this neglect leads to tensions internal to Carnap’s system. Three problems are formulated which (...) arise for any theory of meaning compatible with Carnap’s syntax. The remedy for these problems lies in a normative account of meaning. (shrink)

The value-freedom of scientific knowledge is commonly hold to be a necessary condition for objectivity. Helen Longino’s contextual empiricism aims to overcome this connection. She questions the suitability of the normative ideal of value-freedom and develops an alternative conception of objectivity, which integrates social and epistemic aspects of scientific enquiry. The function of this notion of ‘social objectivity’ is to make value-laden assumptions assessable through a process of criticism, even if there cannot be any guarantee of their elimination. This assessability (...) requires common standards of evaluation, which are threatened by Longino’s rejection of the distinction between cognitive and non-cognitive values guiding theory choice. I will argue that in order to resolve this inherent tension, social objectivity has to be understood as based on a procedural epistemology and, differing from Longino’s own approach, must include the normative requirement to strive for consensus instead of allowing for epistemological pluralism. (shrink)

A dominant view of guilt and shame is that they have opposing action tendencies: guilt- prone people are more likely to avoid or overcome dysfunctional patterns of behaviour, making amends for past misdoings, whereas shame-prone people are more likely to persist in dysfunctional patterns of behaviour, avoiding responsibility for past misdoings and/or lashing out in defensive aggression. Some have suggested that addiction treatment should make use of these insights, tailoring therapy according to people’s degree of guilt-proneness versus shame-proneness. In this (...) paper, we challenge this dominant view, reviewing empirical findings from others as well as our own to question (1) whether shame and guilt can be so easily disentangled in the experience of people with addiction, and (2) whether shame and guilt have the opposing action tendencies standardly attributed to them. We recommend a shift in theoretical perspective that explains our main finding that both emotions can be either destructive or constructive for recovery, depending on how these emotions are managed. We argue such management depends in turn on a person’s quality of self-blame (retributive or ‘scaffolding’), impacting upon their attitude towards their own agency as someone with fixed and unchanging dispositions (shame and guilt destructive for recovery) or as someone capable of changing themselves (shame and guilt productive for recovery). With an eye to therapeutic intervention, we then explore how this shift in attitude towards the self can be accomplished. Specifically, we discuss empathy-driven affective and narratively-driven cognitive components of a process that allow individuals to move away from the register of retributive self-blame into a register of scaffolding ‘reproach’, thereby enabling them to manage their experiences of both shame and guilt in a more generative way. (shrink)

The distinction between ‘disease’ and ‘illness’ has played an important role in the debate between naturalism and normativism. Both employ these notions, yet disagree on whether to assign priority to ‘disease’ or ‘illness’. I argue that this discussion suffers from implicit differences in the underlying interpretations: While for naturalists the distinction between ‘disease’ and ‘illness’ is one between a descriptive and a prescriptive notion, for normativists it is one between cause and effect. This discrepancy is connected to different interpretations of (...) priority, which also tend to be conflated in the debate. I disambiguate these different usages and develop a distinction between ‘disease’ and ‘illness’ that is theoretically neutral with regard to naturalism or normativism. Moreover, I propose a concept of heuristic priority that could serve as a common focus. This framework can avoid common confusions by providing a shared terminology and thereby help to make debates on disease-concepts more fruitful. (shrink)

Die Arbeit entwickelt erstmals eine von hermeneutischen Grundannahmen geleitete systematische Theorie des Films und reflektiert deren methodische Konsequenzen für die Analyse und Interpretation von Filmen. Auf der Grundlage einer zeichen- und sprechakttheoretischen Bestimmung filmischer Kommunikation werden die wichtigsten Strukturen filmischen Erzählens (Kameraführung, Montage, Erzählsituationen, verbale und nonverbale Figurenrede, Perspektivenstrukturen, uneigentliche Bilderrede) einer theoretischen und methodenpraktischen Reflexion unterzogen.

Psychiatric classification is highly controversial, as could be witnessed again with the latest revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM). These controversies comprise multiple kinds of critiques by a variety of actors. It is unlikely that all these issues will be overcome by one perfect solution in the future. Rather, it is precisely the DSM’s “one-size-fits-all-approach” that lies at the root of many of the current problems. To restore the scientific and public credibility of psychiatric classification, (...) a multi-dimensional pluralist response is thus needed: (1) theoretical pluralism, meaning a promotion of different research projects and heuristic strategies, (2) taxonomic pluralism, which allows for different classifications used in research versus clinical practice, and (3) participatory pluralism, which concerns the diversity of perspectives and stakeholders in DSM-revisions. (shrink)

This article gives an overview of the influence of the work of Michel Foucault on the philosophy of Agamben. Discussed are Foucault’s influence on the Homo Sacer cycle, on (the development) of Agamben’s notion of power (and on his closely related notion of freedom and art of life), as well as on Agamben’s philosophy of language and methodology. While most commentaries focus on Agamben’s interpretation of Foucault’s concept of biopower, his work also contains many interesting references to Foucault on freedom (...) and possibilities—and I think that it is here that Foucault’s influence on Agamben is most deeply felt. This article focuses on the shifts Agamben takes while looking for the Entwicklungsfähigkeit in the work of Foucault. (shrink)

Gilbert et al. argue that the concerns about the influence of Deep Brain Stimulation on – as they lump together – personality, identity, agency, autonomy, authenticity and the self are due to an ethics hype. They argue that there is only a small empirical base for an extended ethics debate. We will critically examine their claims and argue that Gilbert and colleagues do not show that the identity debate in DBS is a bubble, they in fact give very little evidence (...) for that. Rather they show the challenges of doing research in a field that is stretched out over multiple disciplines. In that sense their paper is an important starting point for a discussion on methodology and offers valuable lessons for a future research agenda. (shrink)

Odera Oruka’s Sage philosophy project, his definition of philosophy, the method of interviewing sages, and the differentiation between folk and philosophic sages, have been discussed and criticised at length. Unfortunately, less known is Odera Oruka’s work on Ethics. This is especially regrettable, as his philosophical work had two main objectives:· The liberation of philosophy in Africa from ethnological and racist prejudices (Sage philosophy).· The reconstruction of the dimension of sagacity in philosophy which got lost in technical and analytic language during (...) the last decades. Philosophy becamea kind of expert knowledge with specialized terminology, thereby losing its holistic outlook and practical relevance.For Odera Oruka, who situates himself in the Socratic tradition of philosophy, philosophy is not a science in the ivory tower, but has to contribute to the bettermentof the life of the people - it has to be made practical. Philosophers have to deploy the results of their thinking to the well-being of their communities. This is what he considers, following Socrates, the sagacious dimension of philosophy.The aim of the present article is to highlight the ethical dimension of Odera Oruka's work, and to show the inseparable relationship of the Sage Philosophy project and his works on ethics, with a special focus on his concept of global justice. At the same time, the article attempts to show the relevance of Odera Oruka's work to the world philosophical discourse. (shrink)

Today, there is a growing consensus among philosophers in Africa, Latin America and other regions of the world that the history of philosophy has to consider both written and oral sources in the reconstruction of the history of philosophy. Even though it is usually not denied that philosophy also expresses itself in oral practices, such as conversation or instruction, the question remains as to how oral philosophical traditions can become part of a history of philosophy. This is subject to a (...) number of methodological questions. On the basis of discourses in contemporary African philosophy as well as examples from other regions of the world, this article discusses selected methodological challenges that oral traditions pose for the historiography of philosophy, with a focus on the relation between philosophy and written texts and philosophy and practice. It is argued that a turn to philosophical practices can offer new insights into philosophy in oral societies. (shrink)