In ethics, the use of empirical data has become more and more popular, leading to a distinct form of applied ethics, namely empirical ethics. This 'empirical turn' is especially visible in bioethics. There are various ways of combining empirical research and ethical reflection. In this paper we discuss the use of empirical data in a special form of Reflective Equilibrium (RE), namely the Network Model with Third Person Moral Experiences. In this model, the empirical data consist of the moral experiences (...) of people in a practice. Although inclusion of these moral experiences in this specific model of RE can be well defended, their use in the application of the model still raises important questions. What precisely are moral experiences? How to determine relevance of experiences, in other words: should there be a selection of the moral experiences that are eventually used in the RE? How much weight should the empirical data have in the RE? And the key question: can the use of RE by empirical ethicists really produce answers to practical moral questions? In this paper we start to answer the above questions by giving examples taken from our research project on understanding the norm of informed consent in the field of pediatric oncology. We especially emphasize that incorporation of empirical data in a network model can reduce the risk of self-justification and bias and can increase the credibility of the RE reached. (shrink)

ABSTRACT In ethics, the use of empirical data has become more and more popular, leading to a distinct form of applied ethics, namely empirical ethics. This ‘empirical turn’ is especially visible in bioethics. There are various ways of combining empirical research and ethical reflection. In this paper we discuss the use of empirical data in a special form of Reflective Equilibrium (RE), namely the Network Model with Third Person Moral Experiences. In this model, the empirical data consist of the moral (...) experiences of people in a practice. Although inclusion of these moral experiences in this specific model of RE can be well defended, their use in the application of the model still raises important questions. What precisely are moral experiences? How to determine relevance of experiences, in other words: should there be a selection of the moral experiences that are eventually used in the RE? How much weight should the empirical data have in the RE? And the key question: can the use of RE by empirical ethicists really produce answers to practical moral questions? In this paper we start to answer the above questions by giving examples taken from our research project on understanding the norm of informed consent in the field of pediatric oncology. We especially emphasize that incorporation of empirical data in a network model can reduce the risk of self‐justification and bias and can increase the credibility of the RE reached. (shrink)

Pediatric oncology has a strong research culture. Most pediatric oncologists are investigators, involved in clinical care as well as research. As a result, a remarkable proportion of children with cancer enrolls in a trial during treatment. This paper discusses the ethical consequences of the unprecedented integration of research and care in pediatric oncology from the perspective of parents and physicians. An empirical ethical approach, combining (1) a narrative review of (primarily) qualitative studies on parents' and physicians' experiences of the pediatric (...) oncology research practice, and (2) comparison of these experiences with existing theoretical ethical concepts about (pediatric) research. The use of empirical evidence enriches these concepts by taking into account the peculiarities that ethical challenges pose in practice. Analysis of the 22 studies reviewed revealed that the integration of research and care has consequences for the informed consent process, the promotion of the child's best interests, and the role of the physician (doctor vs. scientist). True consent to research is difficult to achieve due to the complexity of research protocols, emotional stress and parents' dependency on their child's physician. Parents' role is to promote their child's best interests, also when they are asked to consider enrolling their child in a trial. Parents are almost never in equipoise on trial participation, which leaves them with the agonizing situation of wanting to do what is best for their child, while being fearful of making the wrong decision. Furthermore, a therapeutic misconception endangers correct assessment of participation, making parents inaccurately attribute therapeutic intent to research procedures. Physicians prefer the perspective of a therapist over a researcher. Consequently they may truly believe that in the research setting they promote the child's best interests, which maintains the existence of a therapeutic misconception between them and parents. Due to the integration of research and care, their different ethical perspectives become intertwined in the daily practice of pediatric oncology. Increasing awareness of what this means for the communication between parents and physicians is essential. Future research should focus on efforts that overcome the problems that the synchronicity of research and care evokes. (shrink)

BackgroundThis article is part of a study to gain insight into the decision-making process by looking at the views of the relatives of potential brain dead donors. Alongside a literature review, focus interviews were held with healthcare professionals about their role in the request and decision-making process when post-mortal donation is at stake. This article describes the perspectives of the relatives.MethodsA content-analysis of 22 semi-structured in-depth interviews with relatives involved in an organ donation decision.ResultsThree themes were identified: ‘conditions’, ‘ethical considerations’ (...) and ‘look back’. Conditions were: ‘sense of urgency’, ‘incompetence to decide’ and ‘agreement between relatives’. Ethical considerations result in a dilemma for non-donor families: aiding people or protecting the deceased’s body, especially when they do not know his/her preference. Donor families respect the deceased’s last will, generally confirmed in the National Donor Register. Looking back, the majority of non-donor families resolved their dilemma by justifying their decision with external arguments. Some non-donor families would like to be supported during decision-making.DiscussionThe discrepancy between general willingness to donate and the actual refusal of a donation request can be explained by multiple factors, with a cumulative effect. Firstly, half of the participants stated that they felt that they were not competent to decide in such a crisis and they seem to struggle with utilitarian considerations against their wish to protect the body. Secondly, non-donor families refused telling that they did not know the deceased’s wishes or contesting posthumous autonomy of the eligible. Thirdly, the findings emphasise the importance of Donor Registration, because it seems to prevent dilemmas in decision-making, at least for donor families.ConclusionDiscrepancies between willingness to consent to donate and refusal at the bedside can be attributed to an unresolved dilemma: aiding people or protect the body of the deceased. Non-donor families felt incompetent to decide. They refused consent for donation, since their deceased had not given any directive. When ethical considerations do not lead to an unambiguous answer, situational factors were pivotal. Relatives of unregistered eligible donors are more prone to unstable decisions. To overcome ambivalence, coaching during decision-making is worth investigation. (shrink)

In the Netherlands, consent from relatives is obligatory for post mortal donation. This study explored the perspectives of relatives regarding the request for consent for donation in cases without donor registration. A content analysis of narratives of 24 bereaved relatives of unregistered, eligible, brain-dead donors was performed. Relatives of unregistered, brain-dead patients usually refuse consent for donation, even if they harbour pro-donation attitudes themselves, or knew that the deceased favoured organ donation. Half of those who refused consent for donation mentioned (...) afterwards that it could have been an option. The decision not to consent to donation is attributed to contextual factors, such as feeling overwhelmed by the notification of death immediately followed by the request; not being accustomed to speaking about death; inadequate support from other relatives or healthcare professionals, and lengthy procedures. Healthcare professionals could provide better support to relatives prior to donation requests, address their informational needs and adapt their message to individual circumstances. It is anticipated that the number of consenting families could be enlarged by examining the experience of decoupling and offering the possibility of consent for donation after circulatory death if families refuse consent for donation after brain-death. (shrink)

Background: Audio-visual teleconsultation is expected to help home-based palliative patients, hospital-based palliative care professionals, and family physicians to jointly design better, pro-active care. Consensual knowledge of the possibilities and limitations of teleconsultation in transmural palliative care is, however, largely lacking.This paper aims at describing elements of both the physical workplace and the cultural-social context of the palliative care practice, which are imperative for the use of teleconsultation technologies. Methods: A semi-structured expert meeting and qualitative, open interviews were deployed to explore (...) professionals’ assumptions and wishes, which are considered to contain latent presumptions about the practice’s physical workplace and latent elements of the cultural-social context, regarding (1) the mediating potential of audio-visual teleconsultation, (2) how the audio-visual teleconsultations will affect medical practice, and (3) the design and usage of the teleconsultation technology. We used a qualitative analysis to investigate how palliative care professionals interpret the teleconsultation package in preparation. The analysis entailed open and axial coding techniques developed in a grounded theory approach. Results: Respondents assume: 1. teleconsultation will hinder physical proximity, thereby compromising anamnesis and diagnosis of new or acutely ill patients as well as “real contact” with the person behind the patient; 2. teleconsultation will help patients becoming more of a pivotal figure in their own care trajectory; 3. they can use teleconsultation to keep a finger on the pulse; 4. teleconsultations have a healing effect of their own due to offered time and digital attention; 5. teleconsultation to open up an additional “gray” network outside the hierarchical structures of the established chain of transmural palliative care. This network could cause bypassing of caregivers and uncertainty about responsibilities; 6. teleconsultations lead to an extended flow of information which helps palliative care professionals to check the stories of patients and medical specialists. Conclusions: Professionals assume teleconsultation co-defines a new patient–professional relationship by extending hospital-based caregivers’ perceptions of as well as attention for their patients. At the cost, however, of clinical and personal connectedness. Secondly, a hermeneutics is needed to carefully interpret teleconsultation images. Thirdly, teleconsultations transform caregiving cultures as formerly separated care domains collide, demanding a redefinition of roles and responsibilities. (shrink)

In some respects this book can be considered as an elaboration of Clarke's earlier Descartes' Philosophy of Science. The latter work contains Clarke's analysis of the natural philosophy of Descartes with special attention to the role of experience and experiment in the formation and confirmation of theories. The present work focuses on the ways in which French philosophers and scientists tried to work out the general views of De l'Homme and the Principia during the period 1650-1700.

Economic and social activities are undergoing radical changes, which can be labelled as ‘knowledge economy and/or society’. In this sense, intellectual capital, or knowledge assets, as the fourth factor of production, is replacing the other ones – job, land and capital. This article tries to offer the origins and nature of the firm’s IC that can be labelled as ‘An Intellectual Capital-Based View of the Firm Competition’. This framework tries to highlight the strategic role of different intangible assets like talented (...) and committed workers, cultural values, or long-term relationships among the firm and its stakeholders – customers, allies, suppliers and society in general – in gaining and sustaining competitive advantages, being the management of IC a key issue in the management agenda. (shrink)

In a bid to boost their below-replacement fertility levels, some countries, such as China, India, Iran, and Japan, have launched state-sponsored dating apps, with more potentially following. However, the use of dating apps as tools for social engineering has been largely neglected by political theorists and public policy experts. This article fills this gap. While acknowledging the risks and historical baggage of social engineering, the article provides a qualified defense of using these apps for three purposes: raising below-replacement birth rates, (...) increasing social cohesion, and preventing certain genetic diseases. (shrink)

The article sets out a framework for analysing the way discourses construct legitimation for social practices in public communication as well as in everyday interaction. Four key categories of legitimation are distinguished: 1) ‘authorization’, legitimation by reference to the authority of tradition, custom and law, and of persons in whom institutional authority is vested; 2) ‘moral evaluation’, legitimation by reference to discourses of value; 3) rationalization, legitimation by reference to the goals and uses of institutionalized social action, and to the (...) social knowledges that endow them with cognitive validity; and 4) mythopoesis, legitimation conveyed through narratives whose outcomes reward legitimate actions and punish non-legitimate actions. Examples are drawn from texts legitimating or de-legitimating compulsory education, including children’s books, brochures for parents, teacher training texts, and media texts. (shrink)

In this paper we give a brief treatment of a theory of proofs for a system of Full Intuitionistic Linear Logic. This system is distinct from Classical Linear Logic, but unlike the standard Intuitionistic Linear Logic of Girard and Lafont includes the multiplicative disjunction par. This connective does have an entirely natural interpretation in a variety of categorical models of Intuitionistic Linear Logic. The main proof-theoretic problem arises from the observation of Schellinx that cut elimination fails outright for an intuitive (...) formulation of Full Intuitionistic Linear Logic; the nub of the problem is the interaction between par and linear implication. We present here a term assignment system which gives an interpretation of proofs as some kind of non-deterministic function. In this way we find a system which does enjoy cut elimination. The system is a direct result of an analysis of the categorical semantics, though we make an effort to present the system as if it were purely a proof-theoretic construction. (shrink)

El presente trabajo intenta mostrar el modo en que Tomás de Aquino tematiza el vicio de la acedia como taedium operandi en la Summa Theologiae II-II, q. 35. Para ello, se procederá en la recuperación, y consecuente análisis, de los elementos tanto sistemáticos cuanto doctrinales sobre cuya base el Aquinate desarrolla esta temática.

Desde el punto de vista no solo historiográfico sino también _topológico_, atendiendo a la hermenéutica textual que se desprende de las _Enéadas_, este trabajo pretende mostrar que el pensamiento de Plotino representa la primera respuesta racionalmente satisfactoria a la irrupción histórica sin precedentes del principio de la _diferencia absoluta_, establecido ya en el _Evangelio según San Juan_. La trascendencia del Uno-Bien evidencia otro ámbito histórico y filosófico que no pertenece ya al modo griego de comprender la naturaleza metafísica de la (...) verdad. En Plotino, la verdad cobra la forma de una _operatio_, pues ella infunde en el alma un amor que la mueve hacia la unión infinita. Esta noción de la verdad se aproxima más a las contribuciones posteriores a Plotino y constituye, por ende, un punto de partida solvente para la reflexión teológica ulterior sobre la trascendencia divina y la dependencia causal del ente en el orden del ser. Para el logro de los fines propuestos, se utiliza un registro descriptivo y analítico, junto con una lectura crítica tanto de las fuentes como de la bibliografía especializada. (shrink)

Discussions of human biology and its consequences for ethics and public policy are often misguided. Both proponents and critics of behavioral genetics, reproductive cloning, and genetic testing have mistaken beliefs about the role of genes in human life. Taking Biology Seriously calls attention to the social context in which both the science and our ethical precepts and public policies play a role.

We investigate an approach to improving statistical text classification by combining machine learners with an ontology-based identification of domain-specific topic categories. We apply this approach to ad hoc disclosures by public companies. This form of obligatory publicity concerns all information that might affect the stock price; relevant topic categories are governed by stringent regulations. Our goal is to classify disclosures according to their effect on stock prices (negative, neutral, positive). In the study reported here, we combine natural language parsing with (...) a formal background ontology to recognize disclosures concerning particular topics from a prescribed list. The semantic analysis identifies some of these topics with reasonable accuracy. We then demonstrate that machine learners benefit from the additional ontology-based information when predicting the cumulative abnormal return attributed to the disclosure at hand. (shrink)

RESUMO A operação que nos interessa destacar gira em torno da zona de problematicidade que ilumina o trabalho crítico com materiais culturais e que supõe uma complementaridade conceitual entre os caminhos da biopolítica e da precariedade. Aquilo que essas análises e seu trabalho com materiais indicam, de um modo muito nítido, é um conjunto de dimensões, linhas de indagação e zonas de problematização que não adquirem a suficiente relevância nos debates contemporâneos sobre biopolítica e precariedade. Daí advém a necessidade de (...) elaborar uma ferramenta de trama conceitual que dê conta dos marcadores que codificam uma vida precária. Justamente, este é o ponto cego em comum e, ao mesmo tempo, o espaço de interseção conceitual que nos interessa: os percursos em biopolítica que não tenham considerado os processos de precarização da vida e, em igual medida, as teorizações sobre a condição precária que não tenham pensado em termos estritamente biopolíticos. Denominamos bios-precário a este nó conceitual a partir da conjunção entre a caixa de ferramentas de Judith Butler em relação à ontologia corporal da precariedade e ao cruzamento do percurso biopolítico de Roberto Esposito entre vida impessoal e biopolítica afirmativa. ABSTRACT The operation that we want to emphasize revolves around the problematic area that brings light to the critical work that uses cultural material and assumes a conceptual complementarity between the paths of biopolitics and precariousness. What these analyses and their work with materials clearly indicate is that a set of dimensions, lines of questioning and problematic zones are not given enough relevance in contemporary debates about biopolitics and precariousness. Therefore, there emerges the need to develop a conceptual tool that may account for markers that encode a precarious life. That is, precisely, the common blind spot and, at the same time, the space of conceptual intersection on which we focus: the biopolitical paths that have not been taken into account in the processes of precarization of life and, in equal measure, the theorization about the precarious condition that has not been developed in strictly biopolitical terms. We call this conceptual knot bíos-precarious. This concept stems from the confluence between Judith Butler’s tools in relation to the bodily ontology of precariousness and the intersection between impersonal life and affirmative biopolitics in Roberto Esposito’s biopolitical path. RESUMEN La operación que nos interesa subrayar gira en torno a la zona de problematicidad que ilumina el trabajo crítico con materiales culturales y que supone una complementariedad conceptual entre los recorridos de la biopolítica y de la precariedad. Lo que estos análisis y su trabajo con materiales indican, de un modo muy nítido, es un conjunto de dimensiones, líneas de indagación y zonas de problematización que no adquieren la suficiente relevancia en los debates contemporáneos sobre biopolítica y sobre precariedad. De allí la necesidad de elaborar una herramienta de entramado conceptual que dé cuenta de los marcadores que codifican una vida precaria. Y justamente, ese es el punto ciego en común y a la vez, el espacio de intersección conceptual que nos interesa: los recorridos en biopolítica que no han considerado los procesos de precarización de la vida y en igual medida, las teorizaciones sobre la condición precaria que no han pensado en términos estrictamente biopolíticos. Denominamos bíos-precario a este nudo conceptual a partir de la conjunción entre la caja de herramientas de Judith Butler en relación a la ontología corporal de la precariedad y el cruce en el recorrido biopolítico de Roberto Esposito entre vida impersonal y biopolítica afirmativa. (shrink)

In spite of the seminal work A Philosophical Basis of Medical Practice, the debate on the task and goals of philosophy of medicine still continues. From an European perspective it is argued that the main topics dealt with by Pellegrino and Thomasma are still particularly relevant to medical practice as a healing practice, while expressing the need for a philosophy of medicine. Medical practice is a discursive practice which is highly influenced by other discursive practices like science, law and economics. (...) Philosophical analysis of those influences is needed to discern their effect on the goals of medicine and on the ways in which the self-image of man may be changed. The nature of medical practice and discourse itself makes it necessary to include different philosophical disciplines, like philosophy of science, of law, ethics, and epistemology. Possible scenario's of euthanasia and the human genome project in the USA and Europe are used to exemplify how philosopy of medicine can contribute to a realistic understanding of the problems which are related to the goals of medicine and health care. (shrink)

El presente trabajo intenta mostrar de qué manera Plotino refuta la noción aristotélica del tiempo como «número» o «medida del movimiento», cuáles son las aporías que plantea, cómo las compulsa con sus propios argumentos y qué soluciones propone con respecto a esa misma confrontación. Todo esto será encauzado a partir de un estudio descriptivo y analítico, acompañado de una lectura a la vez hermenéutica y crítica de los textos seleccionados para esta ocasión.

This paper examines why fundamental freedoms are so unevenly distributed across the earth. Climato-economic theorizing proposes that humans adapt needs, stresses, and choices of goals, means, and outcomes to the livability of their habitat. The evolutionary process at work is one of collectively meeting climatic demands of cold winters or hot summers by using monetary resources. Freedom is expected to be lowest in poor populations threatened by demanding thermal climates, intermediate in populations comforted by undemanding temperate climates irrespective of income (...) per head, and highest in rich populations challenged by demanding thermal climates. This core hypothesis is supported with new survey data across 85 countries and 15 Chinese provinces and with a reinterpretative review of results of prior studies comprising 174 countries and the 50 states in the United States. Empirical support covers freedom from want, freedom from fear, freedom of expression and participation, freedom from discrimination, and freedom to develop and realize one's human potential. Applying the theory to projections of temperature and income for 104 countries by 2112 forecasts that (a) poor populations in Asia, perhaps except Afghans and Pakistanis, will move up the international ladder of freedom, (b) poor populations in Africa will lose, rather than gain, relative levels of freedom unless climate protection and poverty reduction prevent this from happening, and (c) several rich populations will be challenged to defend current levels of freedom against worsening climato-economic livability. (shrink)

The first aim of this note is to describe an algebraic structure, more primitive than lattices and quantales, which corresponds to the intuitionistic flavour of Linear Logic we prefer. This part of the note is a total trivialisation of ideas from category theory and we play with a toy-structure a not distant cousin of a toy-language. The second goal of the note is to show a generic categorical construction, which builds models for Linear Logic, similar to categorical models GC of (...) [deP1990], but more general. The ultimate aim is to relate different categorical models of linear logic. (shrink)

No século XXI, a produção e o consumo de informação acompanharam o ritmo da globalização e hoje, sem muito esforço, podemos saber do que aconteceu a poucos minutos em qualquer parte do planeta. Percebemos, no entanto, que a produção dessa informação, bem como sua circulação, não acontece de forma livre e democrática. Há várias forças em jogo que fazem da comunicação uma ferramenta de manipulação social.

SummaryThe germs of future development, contained in Aristotle's logical works, are indicated, and their influence on the later evolution of logic is explained.The history of symbolic logic since Boole's Mathematical analysis and De Morgan's Formal logic, both of which were published in 1847, is divided into four approximately subsequent phases, viz.:1. algebra of logic; this phase is characterized by Boole's work;2. logical foundation of mathematics; this phase is characterized by Frege's, Peano's and Russell's work, by the discovery of the antonomies (...) of logic and set theory, by the Couturat‐Poincaré debate and by the rise of Brouwer's intuitionism;3. intuitive metamathematics, concentrating in Hilbert's attempts towards a consistency proof for classical analysis; the discovery of Gödel's theorem necessitated a change of policy;4. axiomatic methodology, deriving from Hilbert's metamathematics and culminating so far in Tarski's semantics. — E. W. B. (shrink)

O seguinte trabalho tem por propósito uma breve análise acerca do pensamento do filósofo francês Gaston Bachelard. Para tal, inicialmente, retomarei de forma sucinta a trajetória biográfica deste, recuperando elementos históricos que teriam certa influência em sua construção teórica. Posteriormente, analisarei alguns daqueles que são considerados como conceitos centrais à obra de Bachelard e que buscam dar cabo das discussões a respeito do saber científico e de como este se daria sob o signo de uma ruptura. As análises que apresentarei (...) neste buscarão colocar a obra de Bachelard dentro de uma conjuntura hermenêutica, onde estas rupturas epistemológicas representariam, sobretudo, reestruturação linguística e de sentido. (shrink)

The chapter presents a study of one of Descartes' most important works: the Discourse on Method. In many respects, the Discourse contains the outline of modern philosophy. Philosophically speaking, the Discourse even appears to determine the position of modern philosophy with respect to science. Discourse seeks to persuade people in possession of the natural light of reason of the following: there can be a science that is true and certain; this science must be acquired by using a heuristic method which (...) proceeds like the method of analysis in mathematics: one learns the necessary insights through step by step exercise; the method does not stand on its own: through exercise the mind itself develops toward a perfect capacity even for metaphysical knowledge; in the process of development self-consiousness in moral issues will be reached on the basis of true metaphysics; and the Discourse must persuade everybody, because if anything is wrong, the whole architecture collapses. (shrink)

The prelims comprise: Death and Democracy Political Philosophy and Choosing Death Historical Roots Brain Death Abortion and Decisions for Neonates and Other Children Letting Die and Terminal Sedation Euthanasia and Physician‐Assisted Suicide Conclusion Notes.

Perceptual experience can be explained by contextualized brain dynamics. An inner loop of ongoing activity within the brain produces dynamic patterns of synchronization and de- synchronization that are necessary, but not sufficient, for visual experience. This inner loop is controlled by evolution, development, socialization, learning, task and perception- action contingencies, which constitute an outer loop. This outer loop is sufficient, but not necessary, for visual experience. Jointly, the inner and outer loop may offer sufficient and necessary conditions for the emergence (...) of visual experience. This hypothesis has methodological, empirical, theoretical, and philosophical implications. (shrink)

A 121-nation study of societal collectivism and a 174-nation study of political autocracy show that parasitic stress does not account for any variation in these components of culture once the interactive impacts of climatic demands and income resources have been accounted for. Climato-economic livability is a viable rival explanation for the reported effects of parasitic stress on culture.