the Logische Untersuchungen,l phenomenology has been conceived as a substratum of empirical psychology, as a sphere comprising "imma nental" descriptions of psychical mental processes, a sphere compris ing descriptions that - so the immanence in question is understood - are strictly confined within the bounds of internal experience. It 2 would seem that my protest against this conception has been oflittle avail; and the added explanations, which sharply pinpointed at least some chief points of difference, either have not been understood (...) or have been heedlessly pushed aside. Thus the replies directed against my criticism of psychological method are also quite negative because they miss the straightforward sense of my presentation. My criticism of psychological method did not at all deny the value of modern psychology, did not at all disparage the experimental work done by eminent men. Rather it laid bare certain, in the literal sense, radical defects of method upon the removal of which, in my opinion, must depend an elevation of psychology to a higher scientific level and an extraordinary amplification ofits field of work. Later an occasion will be found to say a few words about the unnecessary defences of psychology against my supposed "attacks. (shrink)

The moral authority for professional ethics in medicine customarily rests in some source external to medicine, i.e., a pre-existing philosophical system of ethics or some form of social construction, like consensus or dialogue. Rather, internal morality is grounded in the phenomena of medicine, i.e., in the nature of the clinical encounter between physician and patient. From this, a philosophy of medicine is derived which gives moral force to the duties, virtues and obligations of physicians qua physicians. Similarly, an ethic specific (...) to the other healing professions, law, teaching or ministry, can be derived from the specific ends to telos of each of these professions, which like medicine, are focused on a special type of human relationship. (shrink)

I suggest that we may want to strive, over time, to change our present professional-cultural view, from one that sees an expression of moral distress as a threat, to a professional-cultural view that welcomes these challenges. Such an effort to better medicine would not only include dissenting clinicians, but patients (and their loved ones) as well.

:The Small Improvement Argument is the leading argument for value incomparability. All vagueness-based accounts of the SIA have hitherto assumed the truth of supervaluationism, but supervaluationism has some well-known problems. This paper explores the implications of epistemicism, a leading rival theory. We argue that if epistemicism is true, then options are comparable in small improvement cases. Moreover, even if SIAs do not exploit vagueness, if epistemicism is true, then options cannot be on a par. The epistemicist account of the SIA (...) has an advantage over leading existing rival accounts of the SIA because it accounts for higher-order hard cases. (shrink)

Commodification of health care is a central tenet of managed care as it functions in the United States. As a result, price, cost, quality, availability, and distribution of health care are increasingly left to the workings of the competitive marketplace. This essay examines the conceptual, ethical, and practical implications of commodification, particularly as it affects the healing relationship between health professionals and their patients. It concludes that health care is not a commodity, that treating it as such is deleterious to (...) the ethics of patient care, and that health is a human good that a good society has an obligation to protect from the market ethos. (shrink)

What the philosophy of medicine is -- Philosophy of medicine: should it be teleologically or socially construed? -- The internal morality of clinical medicine: a paradigm for the ethics of the helping and healing professions -- Humanistic basis of professional ethics -- The commodification of medical and health care: the moral consequences of a paradigm shift from a professional to a market ethic -- Medicine today: its identity, its role, and the role of physicians -- From medical ethics to a (...) moral philosophy of the professions -- Moral choice, the good of the patient, and the patient's good -- The four principles and the doctor-patient relationship: the need for a better linkage -- Patient and physician autonomy: conflicting rights and obligations in the physician-patient relationship -- Character, virtue, and self-interest in the ethics of the professions -- Toward a virtue-based normative ethics for the health professions -- The physician's conscience, conscience clauses, and religious belief: a Catholic perspective -- The most humane of the sciences, the most scientific of the humanities -- The humanities in medical education: entering the post-evangelical era -- Agape and ethics: some reflections on medical morals from a catholic christian perspective -- Bioethics at century's turn: can normative ethics be retrieved? -- Hippocratic tradition -- Toward an expanded medical ethics: the Hippocratic ethic revisited -- Medical ethics: entering the post-Hippocratic era. (shrink)

This course on logic and theory of knowledge fell exactly midway between the publication of the Logical Investigations in 1900-01 and Ideas I in 1913. It constitutes a summation and consolidation of Husserl’s logico-scientific, epistemological, and epistemo-phenomenological investigations of the preceding years and an important step in the journey from the descriptivo-psychological elucidation of pure logic in the Logical Investigations to the transcendental phenomenology of the absolute consciousness of the objective correlates constituting themselves in its acts in Ideas I. In (...) this course Husserl began developing his transcendental phenomenology as the genuine realization of what had only been realized in fragmentary form in the Logical Investigations. Husserl considered that in the courses that he gave at the University of Göttingen he had progressed well beyond the insights of the Logical Investigations. Once he exposed the objective theoretical scaffolding needed to keep philosophers from falling into the quagmires of psychologism and skepticism, he set out on his voyage of discovery of the world of the intentional consciousness and to introduce the phenomenological analyses of knowledge that were to yield the general concepts of knowledge needed to solve the most recalcitrant problems of theory of knowledge understood as the investigation of the thorny problems involving the relationship of the subjectivity of the knower to the objectivity of what is known. This translation appears at a time when philosophers in English-speaking countries have heartily embraced the thoughts of Husserl’s German contemporary Gottlob Frege and his concerns. It is replete with insights into matters that many philosophers have been primed to appreciate out of enthusiasm for Frege’s ideas. Among these are: anti-psychologism, meaning, the foundations of mathematics, logic, science, and knowledge, his questions about sets and classes, intensions, identity, calculating with concepts, perspicuity, and even his idealism. (shrink)

" Nous avons tenté dans cet ouvrage de tracer le chemin qui va de la logique traditionnelle à la logique transcendantale [...] à la logique transcendantale qui n'est pas une seconde logique mais qui est seulement la logique elle-même, radicale et concrète, qui doit son développement à la méthode phénoménologique. En vérité, pour s'exprimer plus précisément, nous n'avons justement eu en vue, comme logique transcendantale, que la logique telle qu'elle est délimitée traditionnellement, la logique analytique qui sans contredit grâce à (...) sa généralité vide et formelle embrasse toutes les sphères d'êtres et d'objets, corrélativement toutes les sphères de connaissances. Toutefois, étant astreints à reconsidérer la caractérisation du sens et de l'ampleur de la recherche transcendantale, nous avons par avance acquis aussi du même coup le moyen de comprendre les " logiques " (qu'il reste à fonder) ayant un autre sens, conçues comme doctrines de la science, mais comme doctrines matérielles ; doctrines de la science parmi lesquelles la plus élevée et la plus étendue serait la logique de la science absolue, la logique de la philosophie phénoménologico-transcendantale elle-même ". E. Husserl. (shrink)

What sort of connection is there between business ethics and philosophy? The answer given here: a weak one, but it may be getting stronger. Comparatively few business ethics articles are structurally dependent on mainstream academic philosophy or on such sub-specialities thereof as normative ethics, moral theory, and social and political philosophy. Examining articles recently published in the Journal of Business Ethics that declare some dependence, the author finds that such declarations often constitute only a pro forma gesture which could be (...) omitted without detriment to the paper's content and conclusions. He also finds, however, that some authors do draw on solid philosophical work in ways that are establishing ever more meaningful interconnections between business ethics and academic philosophy. These cross-disciplinary studies, he concludes, are ground-breaking and invite creative imitation. (shrink)

In this article I will discuss how clinicians might best treat adolescents who may die. I initially discuss these patients’ cognition, emotional tendencies, and sensitivity to interpersonal cues. I next discuss their parents’ feelings of loss and guilt and their clinicians’ risk of imposing their own moral views without knowing this. I then address the practical concerns of helping these patients gain or regain resilience and to identify strengths they have had in the past. I finally explore who, among staff, (...) might be best able to do this. I highlight as the main goal that patients, their parents, and ideally also their clinicians are able to come to agree on the best course the patients should take. (shrink)

In the early twentieth century, China was on the brink of change. Different ideologies - those of radicalism, conservatism, liberalism, and social democracy - were much debated in political and intellectual circles. Whereas previous works have analyzed these trends in isolation, Edmund S. K. Fung shows how they related to one another and how intellectuals in China engaged according to their cultural and political persuasions. The author argues that it is this interrelatedness and interplay between different schools of thought (...) that are central to the understanding of Chinese modernity, for many of the debates that began in the Republican era still resonate in China today. The book charts the development of these ideologies and explores the work and influence of the intellectuals who were associated with them. In its challenge to previous scholarship and the breadth of its approach, the book makes a major contribution to the study of Chinese political philosophy and intellectual history. (shrink)

Der Begriff der Zahl ist ein vielfacher. Darauf weist uns schon die Mehrheit verschiedener Zahlworter hin, die in der Sprache des gewohnlichen Lebens auftreten und von den Grammatikern unter 5 folgenden Titeln aufgefiihrt zu werden pflegen: die Anzahlen oder Grundzahlen (numeralia cardinalia), die Ordnungszahlen (n. ordinalia), die Gattungszahlen (n. specialia), die Wiederho­ lungszahlen (n. iterativa), die Vervielfaltigungszahlen (n. multi­ plicativa) und die Bruchzahlen (n. partitiva). DaB die Anzahlen 10 als die ersten in dieser Reihe genannt werden, beruht ebenso wie die (...) charakteristischen N amen, die sie sonst tragen - Grund- oder Kardinalzahlen -, nicht auf bloBer Konvention. Sie nehmen sprachlich eine bevorzugte SteHung dadurch ein, daB die samt­ lichen iibrigen Zahlworter nur durch geringe Modifikationen aus 15 den Anzahlwortern hervorgehen (z. B. zwei, zweiter, zweierlei, zweifach, zweimal, zweitel). Die letzteren sind also wahrhafte Grundzahlworter. Die Sprache leitet uns hiermit auf den Gedan­ ken hin, es mochten auch die korrespondierenden Beg r iff e samtlich in einem analogen Abhangigkeitsverhaltnisse stehen 20 zu denen der Anzahlen und gewisse inhaltsreichere Gedanken vor­ steHen, in welchen die Anzahlen bloBe Bestandteile bilden. Die einfachste Uberlegung scheint dies zu bestatigen. So handelt es sich bei den Gattungszahlen (einerlei, zweierlei usw. ) um eine Anzahl von Verschiedenheiten innerhalb einer Gattung; bei den Wieder- 25 holungszahlen (einmal, zweimal usw. ) um die Anzahl einer Wiederholung. Bei den Vervielfaltigungs- und Bruchzahlen dient die Anzahl dazu, das Verhaltnis eines in gleiche Teile geteilten Ganzen zu einem Teile bzw. (shrink)

We agree with Rachlin's argument that altruism is best understood as a case of self-control, and that a behavioral analysis is appropriate. However, the appeal to teleological behaviorism and the value of behavioral patterns may be unnecessary. Instead, we argue that altruism can generally be explained with traditional behavioral principles such as negative reinforcement, conditioned reinforcement, and rule-governed behavior.

Patients’ and families’ greatest need is often to do what for them is most meaningful. This may be, for example, their religion, their family, or their doing good for others. This piece will explore ways in which care providers may help maximize these ends. Paradigms offered will include Jehovah’s Witness patients needing kidney transplants, a transgender adolescent wanting his sperm preserved, care providers’ deciding whether to disclose that a deceased organ donor had HIV, and care providers seeking to do good (...) for children profoundly impaired and adults who feel shame for just existing. (shrink)

As new technologies develop, new ethical paradigms may be needed. This article considers several examples, such as stopping venoarterial extracorporeal membrane oxygenation (VAECMO), treating patients who are in a locked-in-like state who have awareness, purposefully deceiving patients who have dementia, meeting the needs of transgender persons, showing loved ones patients’ wounds, and doing research on controlled substances. I suggest that clinicians should identify the practices underlying their value assumptions so they can alter their assumptions when this might improve the care (...) they offer to their patients. (shrink)

Alzheimer’s disease is singularly tragic in that it may rob patients of much or all of their personal identity. Some persons fear this outcome so much that they talk of wanting to find the “sweet spot,” a time midway in the course of everincreasing dementia, during which they are able to foresee a possible loss of identity in sufficient time to end their life before they lose the capacity to choose to do so, and before further devastation occurs. This article (...) presents the belief of some experts that patients always retain a basic, core underlying awareness. Practical approaches that careproviders and caregivers can take to maximize patients’ quality of life are discussed. The possibility that patients and loved ones can find meaning in last months and years of life is emphasized. (shrink)

The COVID-19 pandemic may have left many of us needing closeness with others more than we have before. Three contexts in which we may especially need this closeness are (1) when we must triage and some but not all will benefit, (2) when families may be separated from loved ones who have COVID-19, and (3) when people for any reason experience shame. In this article I examine sources of present, harmful emotional distancing. I suggest how we might do better in (...) each of these contexts due to what the COVID-19 pandemic can teach us. (shrink)

En los esfuerzos de Descartes por encontrar una verdad indubitable en absoluto, Para partir de ella y reconstruir el saber humano entero y aun la vida humana toda, no pod a menos de reconocer Husserl un primer y principal antecedente cl sico preciso de sus propios esfuerzos por constituir definitivamente la filosof a en ciencia rigurosa. Estas Meditaciones son una breve y especialmente accesible -adem s de completa- exposici n de la fenomenolog a; su importancia, inter s y utilidad las (...) ha convertido en la obra por la cual su autor es m s conocido y justifican plenamente que sean incluidas en la colecci n Conmemorativa del FCE, que las public por vez primera en 1986. (shrink)

In the history of Indo-European peoples warriors were known to possess characteristic physical and ethical features which went together with special social status. This is undoubtedly true of ancient Greeks. According to Homer characters who made heroic feats depicted in his books had moulded their personality in accordance with requirements of arete and battle was the best means to achieve this end, even though particular ways of obtaining it were heavily affected by subjective considerations. The individualism of the epic heroes (...) can best be seen in the freedom they enjoyed to choose any method of fighting that suited them at the moment. The highest credit, however, was given for the fortitude displayed in a duel monomachia, which often awarded the warrior with eternal fame. But in exceptional circumstances the heroes resorted to guiles mētis or ambushes dolos. We have no ground to believe, therefore, that any kind of „chivalry code” was observed at that time. (shrink)

Based on the experiences of the Hearts and Minds of Ghana authors, I present possible approaches to the ethical questions that clinicians who participate in health missions and disaster relief programs often face.

This article reviews careproviders’ most difficult emotional challenges during disasters and provides approaches for responding optimally to them. It describes key approaches that careproviders may pursue to best help patients and others during a catastrophe. It raises unanswered questions regarding when, if ever, careproviders should provide active euthanasia to patients who are incompetent, and when, if ever, careproviders should give their own food and water to patients or others who may otherwise soon die without them.

Patients and their family members may become highly interdependent as patients near the end of life. To best help these patients, healthcare providers can try to become a member of the patient/family team. By becoming a member, careproviders can improve patients’ and family members’ access to medical information, more effectively offer advice, and assure patients and family members that they can still choose to do what they think is best.

Some requests made to careproviders by patients may be of great personal importance to patients. Careproviders may assign proportionally greater weight to these exceptional requests, and may choose to take exceptional measures to assist. A strong trust relationship may be formed with patients as a result.