Patient centred diagnosis is best practised through shared decision making; an iterative dialogue between doctor and patient, whichrespects a patient’s needs, values, preferences, and circumstances. -/- Shared decision making for diagnostic situations differs fundamentally from that for treatment decisions. This has important implications when considering its practical application. -/- The nature of dialogue should be tailored to the specific diagnostic decision; scenarios with higher stakes or uncertainty usually require more detailed conversations.

Moderate holists like French, Copp :369–388, 2007), Hess, Isaacs and List and Pettit argue that certain collectives qualify as moral agents in their own right, often pointing to the corporation as an example of a collective likely to qualify. A common objection is that corporations cannot qualify as moral agents because they lack free will. The concern is that corporations are effectively puppets, dancing on strings controlled by external forces. The article begins by briefly presenting a novel account of (...) corporate moral agency and then demonstrates that, on this account, qualifying corporations do possess free will. Such entities possess and act from their own “actional springs”, in Haji’s :292–308, 2006) phrase, and from their own reasons-responsive mechanisms. When they do so, they act freely and are morally responsible for what they do. (shrink)

The argument from analogy is examined from the standpoint of Carnap's confirmation theory. Carnap's own discussion of analogy in relation to his c*— function is restricted to cases where the analogues are known to be similar, but not known to be different in any respect. It has been argued by the author in a previous work,, and by P. Achinstein, that typical analogy arguments involve known differences between the analogues as well as similarities. Achinstein shows that for such arguments none (...) of Carnap's Δ— system of conflrmation functions gives satisfactory values, and it is further shown in the present paper that for these arguments the confirmation never rises above its initial value, irrespective of evidence drown from an analogue. it is argued that even if inductive arguments are to be applicable to the real world, they must in principle be capable of taking into account known differences between the instances of an inductive generalization. Hence Carnap's Δ— system is inadequate as an explication of both induction and analogy.Three conditions are stated as necessary for any confirmation theory which gives a satisfactory explication of analogical inference:I. If two individuals a and b are known to agree in certain properties and differ in others, and if in addition a has a further property, then the confirmation of the hypothesis that b also has this property is greater than its initial confirmation, at least if the weight of the similarities is sufficiently great compared with the weight of the differences.II. The confirmation‐value increases or decreases with the weight of the similarities between the analogues compared with the weight of their differences.III. The confirmation that b has a certain property is greater if a has that property than if a does not have it.The Δ— system sastisfles none of these conditions. Carnap and Stegmüller have now, however, presented a new anxiom system for confirmation functions. the — system, Which is introduced primarily to deal with languages whose primitive predicates fall into families such that each individual can only be qualified by one predicate of each family. They construct a c‐ function which, as well as dealing with a language having two families of such predicates, also depends, unlike the functions in the Δ— system, on similarities between otherwise different individuals. The system is not developed far enough in this Appendix to enable the authors to discuss the confirmation in analogy arguments satisfying conditions I — III above, but it is shown in the present paper that, with a simple generalization of the measure‐function defined by Carnap and Stegmüller, and in the simplest non‐trivial case, condition I — III are all satisfied, indeed a stronger form of condition I is satisfied, in which no known similarity of the analogues is postulated.Finally it is remarked that Carnap and Stegmüller's method of introducing their Δ— system is extremely arbitrary and ad hoc, and an alternative method of introducing is suggested. Bearing in mind the fundamental nature of the argument from analogy in all application of induction to the real world, it is suggesetd that the fundamental inductive inference needing explication is not the inference of‘P1b, from ‘P,1a, but the analogical infeence of‘P2b, from‘P1P2a.P1b,. It is posinitial confirmation of‘P2b, and the confirmation of‘P2b, given‘P2a” and that the later two confirmation‐values are equivalent to those in the Δ— system. It is then shown that Carnap and Stegmüller's new measure‐function follows from their axiom system together with these postulates. Thus some of the arbitrariness of the — system is removed by general considérations regarding inductive and analogical inference. (shrink)

ZusammenfassungDie Palliative Sedierung als therapeutische Handlungsoption in anderweitig refraktären Behandlungssituationen wird in der Öffentlichkeit und in Fachkreisen in ihrer klinischen Wertigkeit grundsätzlich akzeptiert und weitgehend positiv konnotiert. Im Widerspruch dazu fallen sowohl die Quantität der empirischen Forschung als auch die Intensität der ethischen und klinischen Diskussion ins Auge, mit der konzeptuelle als auch durchführungsbezogene Aspekte der Palliativen Sedierung beschrieben und kontrovers erörtert werden. Anstatt eines distinkten Behandlungskonzeptes stellt sich hier eher ein komplexes Spektrum verschiedener Vorgehensweisen dar. Die folgende Übersichtsarbeit fasst (...) anhand der aktuellen Literatur zusammen, welche Aspekte im Kontext der Palliativen Sedierung als problematisch bewertet werden. (shrink)

The thesis of underdetermination of theory by evidence has led to an opposition between realism and relationism in philosophy of science. Various forms of the thesis are examined, and it is concluded that it is true in at least a weak form that brings realism into doubt. Realists therefore need, among other things, a theory of degrees of confirmation to support rational theory choice. Recent such theories due to Glymour and Friedman are examined, and it is argued that their criterion (...) of "unification" for good theories is better formulated in Bayesian terms. Bayesian confirmation does, however, have consequences that tell against realism. It is concluded that the prospects are dim for scientific realism as usually understood. (shrink)

Martin Eger's comparison of controversies in science and morals is extended to a consideration of the nature of “rationality” in each. Both theoretical science and moral philosophy are held to be relativist in social and historical terms, but science also has definitive non‐relativist pragmatic criteria of truth. The problem for moral philosophy is to delineate its own appropriate types of social criteria of validity.

Gregory of Tours’s oeuvre is one of the few testimonies of the Merovingian Early Middle Ages. The paper illustrates that the experience of contingency and the attempt to overcome it during a time of civil war were the situation in which the ‚Libri historiarum decem‘ originated. Among other things, this becomes apparent in the composition of the ten books. Furthermore, the Merovingian kingship is a recurring motive of the text. The paper illustrates how genealogy, which can be used to conceal (...) disruptions and discontinuities, was instrumentalized to serve as legitimation. (shrink)

Trenton Merricks holds to a physicalist view of the Incarnation according to which the Son transformed into a physical object at the Incarnation. R. T. Mullins, in “Physicalist Christology and the Two Sons Worry,” claims that Merricks’s account is Nestorian since it entails that it is metaphysically possible for the human nature of Christ to be a person independently of the Son’s incarnation. While I am not a physicalist, in this essay I defend Merricks’s view against Mullins’s claim. I argue (...) that if the Son is numerically identical to the body of Jesus, then it is not possible for the body of Jesus to exist independently of the Son’s incarnation. (shrink)

Since Tversky argued that similarity judgments violate the three metric axioms, asymmetrical similarity judgments have been particularly challenging for standard, geometric models of similarity, such as multidimensional scaling. According to Tversky, asymmetrical similarity judgments are driven by differences in salience or extent of knowledge. However, the notion of salience has been difficult to operationalize, especially for perceptual stimuli for which there are no apparent differences in extent of knowledge. To investigate similarity judgments between perceptual stimuli, across three experiments, we collected (...) data where individuals would rate the similarity of a pair of temporally separated color patches. We identified several violations of symmetry in the empirical results, which the conventional multidimensional scaling model cannot readily capture. Pothos et al. proposed a quantum geometric model of similarity to account for Tversky's findings. In the present work, we extended this model to a more general framework that can be fit to similarity judgments. We fitted several variants of quantum and multidimensional scaling models to the behavioral data and concluded in favor of the quantum approach. Without further modifications of the model, the best-fit quantum model additionally predicted violations of the triangle inequality that we observed in the same data. Overall, by offering a different form of geometric representation, the quantum geometric framework of similarity provides a viable alternative to multidimensional scaling for modeling similarity judgments, while still allowing a convenient, spatial illustration of similarity. (shrink)

Given the apparent nondisplaceability and noncancellability of the derogatory content of slurs, it may appear puzzling that non-derogatory uses of slurs exist. Moreover, these uses seem to be in general available only to in-group speakers, thereby exhibiting a peculiar kind of context-sensitivity. In this paper the author argues that to understand non-derogatory uses we should consider slurs in terms of the kind of social practice their uses instantiate. A suitable theory of social practices has been proposed by McMillan. In typical (...) uses the practice is one of bigotry and discrimination. Non-derogatory uses are only possible to the extent that they consitute acts of an alternative, non-derogatory practice. In the core cases it must be a subversive practice of satire or reappropriation. The social identity of speakers is not an ultimately decisive factor but it is an important constitutive condition: most non-derogatory practices of slur-use can only be performed by a member of the target group. (shrink)

This article examines how a non-anthropocentric virtue ethics can truly avoid an anthropocentric bias in the ethical evaluation of a situation where the environment is at stake. It argues that a non-anthropocentric virtue ethics capable of avoiding the pitfall of an anthropocentric bias can only conceive of the ultimate good—from which virtues are defined—in reference to an ecological self. Such a self implies that the natural environment is not simply a condition for human flourishing, or something that complements it by (...) adding the proper good of animals, organisms or ecosystems. Fulfilment is not that of a human self, but that of an ecological self: the natural environment or nature is not an external but an internal good. Therefore, the virtues or character traits that such an ecological self must nurture and develop leads us ultimately to distinguish—without opposing them—three different forms of virtue ethics applied to the environment, depending on whether it is anthropocentric or non-anthropocentric and whether nature is considered extrinsically or intrinsically. Such distinctions are also crucial to determine how we conceive of the political community and the collective goals that virtuous citizens assign to it (for instance, to preserve biodiversity, to tackle climate change, and so on). (shrink)

L'encadrement aporétique est un dispositif proposé aux enseignants pour favoriser l’autonomie de penser des élèves ; il s'inspire de l'idée issue du platonisme consistant, par un dialogue éclairé, à conduire les élèves dans l'aporie, c'est-à-dire à les confronter aux limites de leur raisonnement en provoquant la remise en question de leur pensée. Une investigation de terrain, menée dans une classe primaire, dévoile l’image de l’aporie qu’ont les élèves ayant bénéficié de l’encadrement aporétique comme positive, plaisante, légitime et opérationnelle. Les élèves (...) semblent considérer l’aporie comme une aide concrète à penser. (shrink)

While the paradigm of utility maximisation has formed the basis of the majority of applications in discrete choice modelling for over 40 years, its core assumptions have been questioned by work in both behavioural economics and mathematical psychology as well as more recently by developments in the RUM-oriented choice modelling community. This paper reviews the basic properties with a view to explaining the historical pre-eminence of utility maximisation and addresses the question of what departures from the paradigm may be necessary (...) or wise in order to accommodate richer behavioural patterns. We find that many, though not all, of the behavioural traits discussed in the literature can be approximated sufficiently closely by a random utility framework, allowing analysts to retain the many advantages that such an approach possesses. (shrink)

Religion scheint auf den ersten Blick eine besondere Anfälligkeit für Dogmatismus zu besitzen. Religiöse Überzeugungen sind häufig tief im Leben der Menschen verankert und religiöse Hingabe scheint in Spannung zu jedem Zweifel an dem Inhalt der jeweiligen Religion zu stehen. Auf der Basis von Ernst Cassirers Überlegungen kann im Gegensatz zu diesem Anschein eine Konzeption von Religion entwickelt werden, wonach sich diese gerade durch eine kritische Reflexion auf die eigenen Inhalte auszeichnet und im Gegensatz zu Aberglauben, Irrglaube und Wahnglaube, zu (...) immer größerer Entfaltung von Freiheit führt. (shrink)

Evolutionary models of human cooperation are increasingly emphasizing the role of reputation and the requisite truthful “gossiping” about reputation-relevant behavior. If resources were allocated among individuals according to their reputations, competition for resources via competition for “good” reputations would have created incentives for exaggerated or deceptive gossip about oneself and one’s competitors in ancestral societies. Correspondingly, humans should have psychological adaptations to assess gossip veracity. Using social psychological methods, we explored cues of gossip veracity in four experiments. We found that (...) simple reiteration increased gossip veracity, but only for those who found the gossip relatively uninteresting. Multiple sources of gossip increased its veracity, as did the independence of those sources. Information that suggested alternative, benign interpretations of gossip decreased its veracity. Competition between a gossiper and her target decreased gossip veracity. These results provide preliminary evidence for psychological adaptations for assessing gossip veracity, mechanisms that might be used to assess veracity in other domains involving social exchange of information. (shrink)

As human beings do we at all have a common ground for dialogue and mutual understanding? Yes: what we as human beings have in common, is that we can use and understand arguments. In other words: that we are rational beings. 2. Is our capability for argumentation the only ground we have in common as the basis for dialogue and mutual understanding? There is no argumentation against argumentation. Argumentation can´t be transcended. Thus argumentation, more precisely: the capability of argumentation – (...) i.e. reason - is the only ground we have in common as human beings. 3. Does religion play a role in this respect? Isn´t religion superfluous for a rational human being? No, not in the sense Kant has ascribed to it. To know about the boundaries of knowledge (of reason) and to humbly marvel about the miraculous existence of world, life and reason can rightly be seen as the form of religion - as the form of attitude towards the "beyond" - which is adequate (and unavoidable) for a rational being. Religion is the source of truth and ethics if it means: humble acknowledgment of the un-knowable and hence of the fact that in our search for orientation we are relegated to ourselves as fellow human beings, as brothers and sisters. (shrink)

Climate adaptation research often ignores the broader socio-cultural human sphere within which climate change takes place. Dominant viewpoints on climate adaptation derive from the biophysical world that often excludes social, economic, and political contexts that also connect to biophysical changes. Hybrid methodological mixed methods approaches to climate adaptation provide paradigmatically different questions. This perspective is useful for identifying socio-cultural aspects of climatic adaptation. To demonstrate the power of a hybrid approach for interconnecting human and non-human factors implicated in climate adaptation, (...) we deploy an in-depth case study of N. Benin, West African farmers who increasingly must configure their farming methods to tackle erratic changes in weather. The case study examines the role gender dynamics play in climate adaptation that found few gender differences in the ways male and female farmers perceive the biophysical aspects of climate adaptation on their subsistence farming lifestyle from their initial village climate survey. However, the qualitative components of their study uncovered significant gender differences in socio-cultural adaptation challenges, vulnerabilities, and future lifestyle opportunities. We discuss the transformative policy implications about ignoring gender difference and the importance of taking an intersectional approach to variation in climate adaptation policy making. (shrink)