BackgroundThe UN Convention on the Rights of Persons with Disabilities, and the reformed guardianship law in Germany, require that persons with a disability, including people with dementia in Alzheimer’s disease (PwAD), are supported in making self-determined decisions. This support is achieved through communication. While content-related communication is a deficit of PwAD, relational aspects of communication are a resource. Research in supported decision-making (SDM) has investigated the effectiveness of different content-related support strategies for PwAD but has only succeeded in improving understanding, (...) which, although one criterion of capacity to consent, is not sufficient to ensure overall capacity to consent. The aim of the ‘spatial intervention study’ of the DECIDE project is to examine an innovative resource-oriented SDM approach that focuses on relational aspects. We hypothesise that talking to PwAD in their familiar home setting (as opposed to a clinical setting) will reduce the complexity of the decision-making process and enhance overall capacity to consent. MethodsPeople with a suspected or confirmed diagnosis of dementia in Alzheimer’s disease will be recruited from two memory clinics (N = 80). We will use a randomised crossover design to investigate the intervention effect of the decision-making place on capacity to consent. Besides reasoning capacity, which is part of overall capacity to consent and will be the primary outcome, various secondary outcomes (e.g., other aspects of capacity to consent, subjective task complexity, decisional conflict) and suspected moderating or mediating variables (e.g., meaning of home, demographic characteristics) will be assessed.DiscussionThe results of the study will be used to develop a new SDM strategy that is based on relational resources for PwAD. If a change in location achieves the anticipated improvement in capacity to consent, future research should focus on implementing this SDM strategy in a cost-effective manner in clinical practice.Trial registration: DRKS00030799. (shrink)

BackgroundEverybody has the right to decide whether to receive specific medical treatment or not and to provide their free, prior and informed consent to do so. As dementia progresses, people with Alzheimer’s dementia (PwAD) can lose their capacity to provide informed consent to complex medical treatment. When the capacity to consent is lost, the autonomy of the affected person can only be guaranteed when an interpretable and valid advance directive exists. Advance directives are not yet common in Germany, and their (...) validity is often questionable. Once the dementia diagnosis has been made, it is assumed to be too late to write an advance directive. One approach used to support the completion of advance directives is ‘Respecting Choices’®—an internationally recognised, evidence-based model of Advance Care Planning (ACP), which, until now, has not been evaluated for the target group of PwAD. This study’s aims include (a) to investigate the proportion of valid advance directives in a memory clinic population of persons with suspected AD, (b) to determine the predictors of valid advance directives, and (c) to examine whether the offer of ACP can increase the proportion of valid advance directives in PwAD.MethodWe intend to recruit at leastN = 250 participants from two memory clinics in 50 consecutive weeks. Of these, the first 25 weeks constitute the baseline phase (no offer of ACP), the following 25 weeks constitute the intervention phase (offer of ACP). The existence and validity of an advance directive will be assessed twice (before and after the memory clinic appointment). Moreover, potential predictors of valid advance directives are assessed.DiscussionThe results of this study will enhance the development of consent procedures for advance directives of PwAD based on the ACP/Respecting Choices (R) approach. Therefore, this project contributes towards increasing the autonomy and inclusion of PwAD and the widespread acceptance of valid advance directives in PwAD.Trial RegistrationDRKS, DRKS00026691, registered 15th of October 2021,https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00026691. (shrink)

Nel contributo si analizzano le valutazioni che Ernst Cassirer e Jonas Cohn, in alcuni loro scritti pubblicati tra il 1903 e il 1918, espressero in modo esplicito o implicito l’uno del pensiero dell’altro nelle sfere della teoria della conoscenza e dell’estetica e a proposito della questione del rapporto fra la cultura tedesca e l’ebraismo. Si delineano, allo scopo di comprendere il loro dialogo, i diversi orientamenti della scuola neokantiana marburghese e della scuola neokantiana sud-occidentale, delle quali furono fondatori i (...) loro rispettivi maestri, Hermann Cohen e Wilhelm Windelband. Si ricorda infine l’interesse che ambedue gli autori mostrarono, nelle opere composte durante l’esilio dalla Germania, da cui Cassirer emigrò nel 1933, Cohn nel 1938, per la letteratura religiosa ebraica e cristiana come fonte di concetti filosofici quali l’individuo, l’amore verso l’altro, Dio come persona. (shrink)

Jenefer Robinson believes that feelings can play an important role in the critical evaluation of artworks. In this paper, I want to put some pressure on two important notions in her theory: emotional understanding and affective empathy. I will do this by focusing on the nature of self-conscious emotions. My strategy will be, firstly, to demonstrate the difficulty that Robinson’s two step theory of emotions has in accommodating higher cognitive emotional responses to art. Secondly, I will discuss how the tight (...) connection to the ‘self’ involved in self-conscious emotions makes it difficult to take the emotional perspective of another person as empathy requires. From here, I suggest that Peter Goldie’s feeling-towards and his critique of perspective-shifting may give a better understanding of the role of emotions in the appreciation of art, particularly in the case of reflective emotions. This issue will be explored through a discussion of the expression of autobiographical nostalgia in the work of the avant-garde filmmaker Jonas Mekas. (shrink)

erster Teilband. Grundlegung -- zweiter Teilband. Tragweite und Aktualität einer Zukunftsethik.

The so-called Wrong Kind of Reason (WKR) problem for Scanlon's account of value has been much discussed recently. In a recent issue of Utilitas Gerald Lang provides a highly useful critique of extant proposed solutions to the WKR problem and suggests a novel solution of his own. In this note I offer a critique of Lang's solution and respond to some criticisms Lang directs at a Brentano-style approach suggested by Sven Danielsson and me.

The concept of sustainability was developed in response to stakeholder demands. One of the key mechanisms for engaging stakeholders is sustainability disclosure, often in the form of a report. Yet, how reporting is used to engage stakeholders is understudied. Using resource dependence and stakeholder theories, we investigate how companies within the same industry address different dependencies on stakeholders for economic, natural environment, and social resources and thus engage stakeholders accordingly. To achieve this objective, we conducted our research using qualitative research (...) methods. Our findings suggest that the resource dependencies on different stakeholders lead to development of different stakeholder relationships and thus appropriate resources within the company to execute engagement strategies that are informing, responding, or involving. Our research explains why diversity exists in sustainability disclosure by studying how it is used to engage stakeholders. We find that five sustainability reporting characteristics are associated with the company’s stakeholder engagement strategy: directness of communication, clarity of stakeholder identity, deliberateness of collecting feedback, broadness of stakeholder inclusiveness, and utilization of stakeholder engagement for learning. Our study develops the literature by providing insight into companies’ choices of stakeholder engagement strategy thus explaining diversity in sustainability reporting based on the characteristics and relationships with specific stakeholders. (shrink)

Organizations that develop and deploy artificial intelligence (AI) systems need to manage the associated risks—for economic, legal, and ethical reasons. However, it is not always clear who is responsible for AI risk management. The three lines of defense (3LoD) model, which is considered best practice in many industries, might offer a solution. It is a risk management framework that helps organizations to assign and coordinate risk management roles and responsibilities. In this article, I suggest ways in which AI companies could (...) implement the model. I also discuss how the model could help reduce risks from AI: it could identify and close gaps in risk coverage, increase the effectiveness of risk management practices, and enable the board of directors to oversee management more effectively. The article is intended to inform decision-makers at leading AI companies, regulators, and standard-setting bodies. (shrink)

In this paper we discuss some questions proposed by Prof. Newton da Costa on the foundations of quasi-set theory. His main doubts concern the possibility of a reasonable semantical understanding of the theory, mainly due to the fact that identity and difference do not apply to some entities of the theory’s intended domain of discourse. According to him, the quantifiers employed in the theory, when understood in the usual way, rely on the assumption that identity applies to all entities in (...) the domain of discourse. Inspired by his provocation, we suggest that, using some ideas presented by da Costa himself in his seminars at UFSC and by one of us in some papers, these difficulties can be overcome both on a formal level and on an informal level, showing how quantification over items for which identity does not make sense can be understood without presupposing a semantics based on a ‘classical’ set theory. (shrink)

Several proponents of the 'buck-passing' account of value have recently attributed to G. E. Moore the implausible view that goodness is reason-providing. I argue that this attribution is unjustified. In addition to its historical significance, the discussion has an important implication for the contemporary value-theoretical debate: the plausible observation that goodness is not reason-providing does not give decisive support to the buck-passing account over its Moorean rivals. The final section of the paper is a survey of what can be said (...) for and against the buck-passing account and Moore's views about goodness and reasons. (shrink)

Geschichte des Unendlichkeitsproblems im abendländischen Denken bis Kant ist ein unveränderter, hochwertiger Nachdruck der Originalausgabe aus dem Jahr 1896. Hansebooks ist Herausgeber von Literatur zu unterschiedlichen Themengebieten wie Forschung und Wissenschaft, Reisen und Expeditionen, Kochen und Ernährung, Medizin und weiteren Genres. Der Schwerpunkt des Verlages liegt auf dem Erhalt historischer Literatur. Viele Werke historischer Schriftsteller und Wissenschaftler sind heute nur noch als Antiquitäten erhältlich. Hansebooks verlegt diese Bücher neu und trägt damit zum Erhalt selten gewordener Literatur und historischem Wissen auch (...) für die Zukunft bei. (shrink)

Two entities are weakly discernible when an irreflexive and symmetric relation holds between them. That weak discernibility holds in quantum mechanics is fairly uncontroversial nowadays. The ontological consequences of weak discernibility, however, are far from clear. Part of the literature seems to imply that weak discernibility points to a definite metaphysics to quantum mechanics. In this paper we shall discuss the metaphysical contribution of weak discernibility to quantum mechanics and argue that, contrary to part of current literature, it does not (...) provide for a fully naturalistic determination of metaphysics. Underdetermination of the metaphysics still plagues the way of the naturalist. (shrink)

In this paper we propose to take seriously the claim that at least some kinds of paraconsistent negations are subcontrariety forming operators. We shall argue that from an intuitive point of view, by considering paraconsistent negations as formalizing that particular kind of opposition, one needs not worry with issues about the meaning of true contradictions and the like, given that “true contradictions” are not involved in these paraconsistent logics. Our strategy will consist in showing that, on the one hand, the (...) natural translation for subcontrariety in formal languages is not a contradiction in natural language, and on the other, translating alleged cases of contradiction in natural language to paraconsistent formal systems works only provided we transform them into a subcontrariety. Transforming contradictions into subcontrariety shall provide for an intuitive interpretation for paraconsistent negation, which we also discuss here. By putting all those pieces together, we hope a clearer sense of paraconsistency can be made, one which may liberate us from the need to tame contradictions. (shrink)

Debunking arguments in metaethics are often presented as particularly challenging for non‐naturalistic versions of moral realism. The first aim of this paper is to explore and defend a response on behalf of non‐naturalism. The second aim of the paper is to argue that although non‐naturalism’s response is satisfactory, this does not mean that debunking arguments are metaethically uninteresting. They have a limited and indirect role to play in the exchange between non‐naturalists and moral error theorists. In the end, debunking arguments (...) can do less for sceptics and nihilists than what is commonly thought, but not nothing. (shrink)

Recently, in the debate about the ontology of quantum mechanics some authors have defended the view that quantum particles are individuals in a primitive sense, so that individuality should be preferred over non-individuality (the alternative option). Primitive individuality involves two main claims: (1) every item is identical with itself and (2) it is distinct from every other item. Non-relativistic quantum mechanics is said to provide positive evidence for that position, since in every situation comprising multiple particles there is a well-defined (...) number of them to begin with, and so they must be distinct from each other. We argue that the link between a well-defined number of items and the relation of identity that is being claimed to hold is not imposed by quantum mechanics, but rather by a metaphysical view. Formal evidence is advanced in favor of the thesis that counting may be performed for items without identity (non-individuals), so that quantum mechanics needs not be viewed as endorsing an ontology of individuals. (shrink)

Liar-like paradoxes are typically arguments that, by using very intuitive resources of natural language, end up in contradiction. Consistent solutions to those paradoxes usually have difficulties either because they restrict the expressive power of the language, or else because they fall prey to extended versions of the paradox. Dialetheists, like Graham Priest, propose that we should take the Liar at face value and accept the contradictory conclusion as true. A logical treatment of such contradictions is also put forward, with the (...) Logic of Paradox, which should account for the manifestations of the Liar. In this paper we shall argue that such a formal approach, as advanced by Priest, is unsatisfactory. In order to make contradictions acceptable, Priest has to distinguish between two kinds of contradictions, internal and external, corresponding, respectively, to the conclusions of the simple and of the extended Liar. Given that, we argue that while the natural interpretation of LP was intended to account for true and false sentences, dealing with internal contradictions, it lacks the resources to tame external contradictions. Also, the negation sign of LP is unable to represent internal contradictions adequately, precisely because of its allowance of sentences that may be true and false. As a result, the formal account suffers from severe limitations, which make it unable to represent the contradiction obtained in the conclusion of each of the paradoxes. (shrink)

I offer a principled objection to arguments in favour of legalizing non-voluntary euthanasia on the basis of the principle of beneficence. The objection is that the status of death as a benefit to people who cannot formulate a desire to die is more problematic than pain management care. I ground this objection on epistemic and political arguments. Namely, I argue that death is relatively more unknowable, and the benefits it confers more subjectively debatable, than pain management. I am not primarily (...) referring to the claim that it is difficult to make comparisons between live and post-mortem states, but rather to the fact that it is epistemically and metaphysically problematic to impute a “life-worse-than-death” or a state of “suffering-calling-for-death” to people who cannot subjectively wish to die, as though this kind of suffering were a medically observable fact rather than a belief- and value-laden notion. On the contrary, people enduring similar causes of pain may have different experiences of suffering and views on how it affects the worthwhileness of their existence or the desirability of death or of continuing their lives. The projection of a “suffering-calling-for-death” onto infants or people with severe intellectual disabilities may not be indefensible, but it is more controversial than judging that pain management will improve their well-being from the perspective of beneficence. My argument also relies on our society’s liberal endeavour to avoid endorsing unverifiable beliefs about life and death or controversial conceptions of the good life. My goal is not to suggest we should not attend the suffering of cognitively disabled people. On the contrary, I only cast doubt on too quick an assumption that ending their lives is the best way of caring for them, when robust palliative treatments are available. Moreover, I express the concern that a lack of attention to distinctions between “pain-calling-for-relief” and “suffering-calling-for-death” may be based on ableist projections and assumptions. I conclude that it is imperative to continue research into the nature of pain and suffering experienced by individuals with mental or cognitive impairments preventing them from expressing autonomous wishes about the kind of treatment that would most benefit them. (shrink)

This essay argues that while Hume believes both that morality is grounded in our ordinary moral practices, sentiments, and beliefs, and that moral properties are real, he also holds that ordinary moral thinking involves systematically erroneous beliefs about moral properties. These claims, on their face, seem difficult to square with one another but this paper argues that on Hume’s view, they are reconcilable. The reconciliation is effected by making a distinction between Hume’s descriptive metaethics, that is, his account of vulgar (...) moral thought and discourse, and his revisionary metaethics, that is, his account of how vulgar moral thought and discourse could be reformed so as to no longer involve error. This essay concludes that Hume is a projectivist and an error theorist in descriptive metaethics, while he is a projectivist and a subjectivist in revisionary metaethics. (shrink)

Taking a cue from Philo we may ask: If the adoption of the "seeing" approach from Greek philosophy was a misfortune for theology, does the repudiation or overcoming of that approach in a contemporary philosophy provide a conceptual means for theology to reform itself, to become more adequate to its task? Can it thus lead to a new alliance between theology and philosophy after, e.g., the medieval one with Aristotelianism has broken down? The question assumes that some use of philosophy, (...) i.e., of the elucidation of the nature of reality by secular thought, and of the nature of thinking about reality in secular thought, is desirable and even necessary for theology. This assumption must be granted, since theology, as the logos about things divine, is by definition the discursive, in some sense scientific, elucidation of the contents of faith and thus, for one thing, comes under the rules and norms of elucidation and discourse as such; and since the contents of faith comprise the dealings of God with the world and with man, the elucidation of the mundane and human side of this polarity must be informed by a knowledge of what world and man are, and philosophy is supposed to provide such knowledge. It would then follow that that philosophy is most adequate to theology which is most adequate to being, i.e., which is most nearly true—by the criteria of philosophy itself, i.e., by the criteria of secular reason. But since for a decision on this the theologians cannot wait for the consensus of philosophers, nor even necessarily trust its authority, they may be guided in their choice by the appeal of affinity, the lessons of past experience with philosophical liaisons, the present needs of their discipline, and by appraising which philosophy is most helpful to the discharge of theology's task, or least dangerous to its own trust, to its own genuineness, least seductive, least alienating—by any or all of these considerations, but as little as possible by fashion. On all these counts the theologian would do well to exercise a great deal of caution and mistrust. Especially in the face of tempting similarity: what theology needs in this relationship is the otherness of philosophy, not its similarity. On this I need not elaborate before a theological audience. However, the experiment of relationship itself is inescapable, and the one choice closed is abstention. Thus, the openness to contemporary thought shown by theology in the present experiment—as it was shown at all times—is to be welcomed. (shrink)

In a recent paper, Tim Henning argues that the result that we should save the greatest number in rescue cases can be established on procedural grounds without making use of the aggregation of interests. He first argues that we ought to respect the affected persons' equal claims to have a say in the rescue decision and that this can only be achieved by the majority rule, which consists in giving each affected person an equal vote. Then he argues for the (...) second claim that if everyone votes in their self-interest, then the greatest number will be saved. I present a class of cases in which the second claim fails. This establishes that even if self-interested voting is assumed, the majority rule does not always lead to the greatest number being saved. (shrink)

In the last few decades, the study of terminology has undergone a cognitive shift that has led to the development of several approaches that study the social, linguistic, and cognitive dimension of terms, such as Communicative Theory of Terminology (CTT) and Frame-Based Terminology (FBT). CTT was developed in the early 1990s and argues that the study of terminology should be based on a communicative perspective, taking into account aspects such as the communicators and the context of communication. FBT has been (...) developed from 2007 and uses certain aspects of Frame Semantics to conceptualise specialised domains and create non-language-specific representations through the analysis of the domain event and on the study of the behaviour of the terminological units in texts. The two theories share many of the same premises and propose the representation of the concepts of a domain in an ontology. FBT also proposes a representation in frames. We explore how these two methods of domain representation can be used to represent the terminology of the domain of seafood in Germany and Spain. (shrink)

To gain a deeper understanding of consumers' brain responses during a real-time in-store exploration could help retailers to get much closer to costumers' experience. To our knowledge, this is the first time the specific role of touch has been investigated by means of a neuroscientific approach during consumer in-store experience within the field of sensory marketing. This study explores the presence of distinct cortical brain oscillations in consumers' brain while navigating a store that provides a high level of sensory arousal (...) and being allowed or not to touch products. A 16-channel wireless electroencephalogram was applied to 23 healthy participants, with interest in cosmetics but naive about the store explored. Subjects were assigned to two experimental conditions based on the chance of touching or not touching the products. Cortical oscillations were explored by means of power spectral analysis of the following frequency bands: delta, theta, alpha, and beta. Results highlighted the presence of delta, theta, and beta bands within the frontal brain regions during both sensory conditions. The absence of touch was experienced as a lack of perception that needs cognitive control, as reflected by Delta and Theta band left activation, whereas a right increase of Beta band for touch condition was associated with sustained awareness on the sensory experience. Overall, EEG cortical oscillations' functional meaning could help highlight the neurophysiological implicit responses to tactile conditions and the importance of touch integration in consumers' experience. (shrink)

In Hybrid artwork, whereby the digital and the real are mixed, the artist/creator has to additionally manage interaction. Interaction is seen as an added dimension to narration: the art piece turns from being a means towards a narration (or an understanding) to a path towards an experience. It is argued that strong metaphysical concepts give place to new more fragmented ones. This nihilism and fragmentation can be seen as a cause of concern but also as an opportunity.

Nesta resenha, apresentamos os tópicos centrais discutidos no livro 'Consciência e mecânica quântica', de Raoni W. Arroyo. Discutimos criticamente alguns dos argumentos centrais do livro, focando em particular na tentativa do autor de argumentar contra abordagens mpisticas da mecãnica quântica, e na distinção mais refinada entre realismo científico e naturalismo.

The purpose of the paper is to study the interrelatedness of rationality, virtue, and practical wisdom in Aristotle’s Nicomachean Ethics by offering a critical interpretation of the bipartition of the soul presented in Chap. 13 of the first book. Aristotle relies on the partition of the soul into a rational and a non-rational part when he distinguishes between ethical and intellectual virtues. The paper will question the adequacy of these divisions and show that Aristotle himself casts doubt on them while (...) leaving open the possibility of understanding the soul in an alternative way which will prove to fit better with his own exposition of deliberate choice and the integration of virtuous action and practical wisdom. (shrink)

_ Source: _Volume 13, Issue 4, pp 397 - 402 Moral error theorists and moral realists agree about several disputed metaethical issues. They typically agree that ordinary moral judgments are beliefs and that ordinary moral utterances purport to refer to moral facts. But they disagree on the crucial ontological question of whether there are any moral facts. Moral error theorists hold that there are not and that, as a consequence, ordinary moral beliefs are systematically mistaken and ordinary moral judgments uniformly (...) untrue. Perhaps because of its kinship with moral realism, moral error theory is often considered the most notorious of moral scepticisms. While the view has been widely discussed, it has had relatively few defenders. _Moral Error Theory: History, Critique, Defence_ examines the view from a historical as well as a contemporary perspective, and purports to respond to some of its most prominent challenges. This précis is a brief summary of the book’s content. (shrink)

Presentación de la sección de Homenaje a Vicent Martínez Guzmán.

Tolson D and Schofield I. Nursing Inquiry 2012; 19: 63–70 Football reminiscence for men with dementia: lessons from a realistic evaluationA major challenge of studies of non pharmacological dementia interventions is the likely modest intervention effect size and difficulties collecting data from individuals with behavioural, psychological and communicative symptoms. The reported Realist Evaluation is built around sets of contextually comparable case studies of Football Focussed Reminiscence for men with dementia. The study aim was to evaluate benefits of football related reminiscence (...) for individuals and family carers. Four case studies were constructed; two community groups, one nursing home groups and individual sessions within their family home. Data was collected as field notes from non‐participation observation of reminiscence sessions, notes of conversations with people with dementia, audio recorded interviews with family members, facilitators and dementia link workers. The analysis was framed around identification and extraction of data pertaining to Context‐Mechanism‐Outcome configurations within each data set, and patterns and threads were compared across the cases. An important finding was that anticipation of pleasure in tandem with a sense of continuity appeared to be important mechanisms triggering optimal benefit. The paper explores design considerations, project delivery experiences and the contribution that innovative theory driven research adds to the study of complex interventions including those with behavioural and communicative symptoms of dementia. (shrink)