There are two main ways of understanding the function of surrogate decision making in a legal context: the Best Interests Standard and the Substituted Judgment Standard. First, we will argue that the Best Interests Standard is difficult to apply to unconscious patients. Application is difficult regardless of whether they have ever been conscious. Second, we will argue that if we accept the least problematic explanation of how unconscious patients can have interests, we are also obliged to accept that the Substituted (...) Judgment Standard can be coherently applied to patients who have never been conscious at the same extent as the Best Interests Standard. We then argue that acknowledging this result is important in order to show patients respect. (shrink)

Recent global advances in available technology to prevent mother-to-child HIV transmission necessitate a rethinking of contemporary and previous ethical debates on HIV testing as a means to preventing vertical transmission. In this paper, we will provide an ethical analysis of HIV-testing strategies of pregnant women. First, we argue that provider-initiated opt-out HIV testing seems to be the most effective HIV test strategy. The flip-side of an opt-out strategy is that it may end up as involuntary testing in a clinical setting. (...) We analyse this ethical puzzle from a novel perspective, taking into account the moral importance of certain hypothetical preferences of the child, as well as the moral importance of certain actual preferences of the mother. Finally, we balance the conflicting concerns and try to arrive at an ethically sound solution to this dilemma. Our aim is to introduce a novel perspective from which to analyse testing strategies, and to explore the implications and possible benefits of our proposal. The conclusion from our analysis is that policies that recommend provider-initiated opt-out HIV testing of pregnant mothers, with a risk of becoming involuntary testing in a clinical setting, are acceptable. The rationale behind this is that the increased availability of very effective and inexpensive life-saving drugs makes the ethical problems raised by the possible intrusiveness of HIV testing less important than the child's hypothetical preferences to be born healthy. Health care providers, therefore, have a duty to offer both opt-out HIV testing and available PMTCT (preventing mother-to-child transmission) interventions. (shrink)

The article describes the founding principles, work program, and accomplishments of a Reference Group with both expert and layperson stakeholders for the corrosion of copper canisters in a proposed deep repository in Sweden for spent nuclear fuel. The article sets the Reference Group as a participatory effort within a broader context of stakeholder and public participation. It is argued that for the future it will be necessary to more precisely define the roles of different approaches to public participation in relation (...) to the actual societal decision-making procedures, and the issue is raised whether an increasing level of their institutionalization is required. In particular, the focus is set on the safe-space approach to stakeholder participation designed to suit situations where independence and autonomy are crucial elements for the participants. To illustrate this we compare experiences from Sweden and the Czech Republic. (shrink)

Recent health legislation in Norway significantly increases access to specialist care within a legally binding time frame. The paper describes the contents of the new legislation and introduces some of the challenges with proliferations of rights to health care. The paper describes some of the challenges associated with the proliferation of legal rights to health care. It explains the benefits of assessing the new law in the light of a rights framework. It then analyses the problematic aspects of establishing additional (...) priority rules as solutions to rights conflicts. It then defends adequacy criteria for acceptable priority rules when such rules are unavoidable. It finally defends our proposed method and explores concrete applications. (shrink)

Today, societal decisions in areas of complexity are often dominated by one of three alternative ways: (a) by scientists, nowadays often in combination with commercial interest; (b) by politicians alone; and (c) by simply “laissez-faire,” or “the tyranny of small steps.” None of these three ways of decision making is fully democratic because they do not create enough awareness among the politicians and the general public. One reason is that the decision making basis becomes too narrowly framed and fragmented. Biotechnology (...) will continue to feed society with new democratic challenges for many years, perhaps decades, to come. The initially promising ideas of participative and deliberative democracy do not seem to solve the awareness problem. Instead, the authors propose an approach with more structured efforts for awareness building with transparency and participation taking place within the framework of representative democracy. (shrink)

The ‘awareness principle’: theory, practice and praxis Content Type Journal Article Pages 1-3 DOI 10.1007/s11016-011-9594-5 Authors Virginia Baker, Institute of Environmental Science and Research (ESR) Ltd, PO Box 50 348, Porirua, 5240 New Zealand Journal Metascience Online ISSN 1467-9981 Print ISSN 0815-0796.

The intellectual relationship between Carl Schmitt and Max Weber has been a point of controversy for at least half a century. At the 1964 convention of the German Sociological Association, in honor of Weber's centenary, Schmitt was famously referred to as Weber's ?legitimate student.? This article uses the chapter Schmitt specifically wrote for an edited volume in Weber's memory, published in 1923, as the starting point for juxtaposing the two scholars, and then expands the analysis to encompass a range of (...) sources and commentaries. The comparison focuses on the approach of each of the two scholars to methodology and didactics, theory and conceptual use, as well as to the society/social science nexus. The article concludes by arguing that Schmitt performed a double rhetorical move: while styling himself as Weber's student, he then drew on that authority to assault Weber's liberalism and concept of scientific integrity. (shrink)

By setting up a dialogue with contemporary animal research the essay attempts, on the one hand, to expose the limits of Martin Heidegger’s concept of animality in The Fundamental Concepts of Metaphysics, and, on the other hand, to propose some new ways of thinking the being of those animals that most distinctly show themselves as being other than Heidegger’s claims. I suggest, with reference to Heidegger’s thesis of the animal as “poor in world,” that the being of the cognitively most (...) complex animals is better understood in terms of otherworldly worlds within the world of human world forming. With this concept I aim to develop and continue, rather than criticize, Heidegger’s way of thinking the being of animals and deepen the productive relationship between science and philosophy that Heidegger proposed in this work. (shrink)

Creativity is the hallmark of human intelligence. Roli et al. (Frontiers in Ecology and Evolution 9:806283, 2022) state that algorithms cannot achieve human creativity. This paper analyzes cooperation between humans and intelligent algorithmic tools to compensate for algorithms’ limited creativity. The intelligent tools have functionality from the neocortex, the brain’s center for learning, reasoning, planning, and language. The analysis provides four key insights about human-tool cooperation to solve challenging problems. First, no neocortex-based tool without feelings can achieve human creativity. Second, (...) an interactive tool exploring users’ feeling-guided creativity enhances the ability to solve complex problems. Third, user-led abductive reasoning incorporating human creativity is essential to human-tool cooperative problem-solving. Fourth, although stakeholders must take moral responsibility for the adverse impact of tool answers, it is still essential to teach tools moral values to generate trustworthy answers. The analysis concludes that the scientific community should create neocortex-based tools to augment human creativity and enhance problem-solving rather than creating autonomous algorithmic entities with independent but less creative problem-solving. (shrink)

The purpose of this paper is to use an anaphoric notion of presupposition for solving the problem of zero argument anaphora. Since Shopen (1973) it has been known that many missing arguments have an anaphoric interpretation, but it has not been known how this interpretation arises. I argue that these arguments are involved in presuppositions. On an anaphoric account of presuppositions as in van der Sandt (1992) or Kamp and Roßdeutscher (1992), it can be shown that the zero arguments acquire (...) an anaphoric interpretation through the presuppositions. The analysis rests on the principle that the Discourse Representation Structure for the presupposition is proper, so that the discourse referents for the zero arguments are in its universe and must be anchored to discourse referents in the context. (shrink)

We derive and estimate a production function for microfinance institutions to provide empirical evidence of the ethical dilemma of balancing social and financial logics in hybrid organizations. A worldwide panel dataset of microfinance institutions is utilized and a production function augmented by average loan size is estimated using the control function approach. We show how this framework can be used to quantify the tradeoff between social outreach and financial sustainability in relation to the expansion of microfinance institutions’ credit operations. The (...) study reveals that expanding the extensive margin (increasing the number of loan clients) requires on average more than twice as many inputs as expanding the intensive margin (increasing the average loan size) to achieve the same growth in assets. Beyond the case of microfinance our production function illustrates that as hybrid organizations expand, they will inevitably face an ethical dilemma as the laws of economic efficiency exert pressure on their social missions. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 9.3 (2002) 285-286 [Access article in PDF] Depersonalization and Feelings of Unreality:Significant Symptoms With a Variety of Meanings Kjell Modigh Evaluations and diagnostic procedures in clinical psychiatry depend mainly on how the patient communicates his or her subjective experiences and on the psychiatrist's ability to understand that message. This is critical not only for understanding and offering proper treatment, but also for developing diagnostic (...) classifications. Hence the paper by Radovic and Radovic deals with an important topic, aiming to clarify the variety of meanings of the closely related terms unreality and depersonalization. The latter occurs as a symptom in connection to some psychiatric disorder and also constitutes a separate syndromeI agree with the authors that the rather intense renewing of the diagnostic criteria is seldom balanced by corresponding ambitions to analyze and improve the distinctness of the words for the experiences and symptoms which define the diagnoses.It is indeed a difficult task to demarcate what should be included in the concepts feelings of unreality and depersonalization and even to decide whether they are synonyms or distinguishable. There is at least one clear agreement in the different diagnostic systems: psychotic, delusional experiences are excluded. The border between unreality feelings with largely intact reality-testing ability and psychotic disorders with grossly disturbed reality-testing is, however, not absolute and patients with psychotic disorders may of course experience feelings of unreality or depersonalizationThe authors present a useful scheme by which different meanings of derealization are separated and that also points out the differences between depersonalization and derealization, although they are mutually dependant. Category (a), which come closest to depersonalization, includes experiences related to the self, whereas category (c) refers to impressions that the external world is unreal. Category (b), in their scheme, refers to altered bodily sensations: "the body part of the self" (Are there any body parts of the self? Perhaps all psychoanalysts would not agree).In my view, this scheme is useful and corresponds to clinical realities. Symptoms belonging to category (a) can, for instance, occur in affective disorders of almost psychotic depth, due to a [End Page 285] pathologically changed self-esteem. Symptoms belonging to category (b)—experiences of having moved outside one's own body—mainly belong to the diagnostic category dissociative disorders and can be understood as defense reactions to earlier traumatic experiences. The self escaped from the body during repeated experiences of sexual abuse. The diagnosis of depersonalization disorder consequentlybelongs to the group of dissociative disorders. Conditions where the outer world seems unreal (category [c]) can occur when the amount of internal stimuli is increased beyond what is possible to handle and therefore the capacity to recognize the environment is limited. So is the case in severe panic anxiety. Feelings of unreality as part of grief reactions may also belong, at least partly, to category (c): when dramatic and emotionally unacceptable events occur in the environment. As the authors point out, expressions of unreality feelings during grief more often can be understood as metaphors or existential reflections. In conclusion, categories -(a) and (c) can serve to separate depersonalization experiences with different psychopathologic origin, although they are closely related.As a second step, the authors examine how the terms unreal and feels unreal can be understood. Two interpretations of unreal, "nonexistent" and "artificial," have high psychiatric relevance; a third meaning, relating to "quality," mainly has linguistic connections to the experiences on unreality and depersonalization. The word feels communicates the experience of something that appears unreal although the subject has an intact ability of reality testing.The authors propose an additional interpretation, which they describe as a quasisensory experience. They give the example that dreams with unrealistic contents in some meaning, probably related to their intensity, appear "real." A further connection to dreams is that a situation, when awake, may have dreamlike qualities because of intensity or similarities to fragments of dreams. Events that occur in an unusual sequences, for example, corresponding to ones aims and wishes ("to good to be true") perhaps have similarities to dreamlike experiences. One may... (shrink)

The aim of this study was to describe the experiences of undergoing a presymptomatic genetic test for the hereditary and fatal Huntington’s disease, using a case study approach. The study was based on 18 interviews with a young woman and her husband from the decision to undergo the test, to receiving the results and trying to adapt to them, which were analysed using a life history approach. The findings show that the process of undergoing a presymptomatic test involves several closely (...) connected ethical and medical questions, such as the reason for the test, the consequences of the test results and how health-care services can be developed to support people in this situation. (shrink)

Recensie van: Geert Jan Blanken, Kierkegaard. Een inleiding in zijn leven en werk (Amsterdam: Ambo, 2012).

Knut Olav Almås. Solum, 1994. 295 s. ISBN 82-560-0936-5 Den østerrrikske filosofen Wittgenstein var ikke bare opptatt av den norske vestlandsnaturen, men også fascinert av menneskene som levde der. Denne bio-grafien om ham har hans forhold til Norge som hovedtema. Her har en sett på hans bakgrunn for gjentatte Norges-besøk, og dokumentert hans relasjoner tilSkjolden-bygda i Sognefjorden. Her kan en presentere en rekke korrespondansemed mennesker fra Skjolden, alt for å kaste lys over Wittgenstein som både filosof og person. Det norske (...) filosofiske miljøet er svært preget av Witt- gensteins tenkning. (shrink)

In the pursuit of a dramaturgy of telematics as a compositional practice, the author builds a position on technology as externalized technique, develops a dramaturgic strategy with notions of an extended theatre practice and reports on a realized telematized performance where a practical implementation was explored. The theatrical site is viewed as a construct of attention, generated by the performers through the performance composition. The composition determines the audience experience, orchestrated by how the construction of the site manages their perspectives, (...) and how the performers are situated in the consciousness site of the audience. In the performed event the performers articulate as a collective extended entity, incorporating the transformation of the performance site via the articulation strategies implemented in the staging. Telematics is argued to be a technology facilitating specific modes of thinking, generating specific modes of actions and presence, which enable new performance sites and new modes of situating performance. (shrink)

It is suggested how one can imaginatively use a design strategy utilizing performers as tools in the creation of augmented, performative artwork. In order to establish meaningful constructions of performative and augmentative technology, one can use the formal methodologies of advanced formal body language as a tool in the creation process, and thereby have ‘the actual experience’ present in the process as a monitor and a constructive tool. To use a human being as a design tool is a method that (...) uses the skilled performer as a ‘super-’ or ‘extra-’ human tool to investigate through action and analysis. It is a way to test how realities occur under fluid and dynamic conditions within a controlled environment of time and space. This ‘technical’ use of the body as an extra-human behavioural entity, involves the total complex spectrum of intellect, emotions, desires, memory, actions, etc. as a formalized ‘machine’. (shrink)

When information activated in memory involves emotional associations, the ability to shift attention away from an emotional cue is impaired compared to an emotionally neutral cue. The purpose of the present study was to investigate how emotional stimuli modulate attentional processes, and how this is reflected in localised brain electrical activity. Eight emotion and eight neutral words served as cues in a covert attention spatial orienting task. The cues were either valid or invalid indicators of which hemifield the target would (...) be presented to. In the remaining trials, no cue was presented prior to the target. Twenty subjects were instructed to manually respond to the target as fast as possible. Event-related potentials (ERPs) showed an enhanced P3 component to the emotion words. The ERPs to the target showed enhanced P1 and P3 components on invalid trials, with emotional cues. There were faster reaction times (RTs) to validly cued targets, but only when the emotion words served as cues. The results demonstrated that the emotional cues elicited sustained focused attention, facilitating an engage mechanism of spatial orienting. (shrink)

According to a standard account of incomparability, two value bearers are incomparable if it is false that there holds a positive value relation between them. Due to the vagueness of the comparative predicates it may also be indeterminate as to which relation that holds - for each relation it is neither true nor false that it holds. John Broome has argued that indeterminacy cannot coexist with incomparability and since there seems to exist indeterminacy there cannot exist incomparability. At the core (...) of his argument lies the collapsing principle. There are several arguments against this principle; Erik Carlson has advanced most of these. In this paper two strategies in dealing with these arguments are discussed. One strategy is to deny the existence of a certain kind of properties; another strategy that has been advanced by Christian Constantinescu is to restrict the collapsing principle. In the paper it is argued that the first of these strategies is the most promising strategy. A novel argument in favour of this strategy is presented and several objections to the strategy are rebutted. Finally it is concluded that, even though this strategy deals with most objections, without a better argument in favour of the principle the debate seems to run into a stalemate. (shrink)

I present an analysis of Free Choice Items (FCIs), based on Scandinavian, where FCIs are complex and distinct from polarity sensitive items. Scandinavian FCIs are argued to have two components. One is a universal quantifying into modal contexts. The other is an operator mapping a type (s,t) expression onto itself, adjoining to the closest type t or (s,t) expression. Thus invoking Intensional Functional Application, this operator requires the presence of a modal in the scope of the universal quantifier. Facts concerning (...) ‘essential connections’ and ‘existential import’ are accounted for by assuming that the FC determiner has the option of acting like a quantifier. (shrink)

This paper discusses the interrelationship between wisdom, science and craft from the perspective of the Wittgenstein concept of tacit knowledge. It challenges the notion of the ‘rules-model’ as put forward by Logical Positivists, and shows the limitation of this model for describing the tacit dimension of knowledge. The paper demonstrates the crucial role of practice in ‘rule-following’ in the real world. It is held that ‘to follow a rule’ is to practice a custom, a usage or an institutional practice. Hence, (...) rules can only exist as a link in social life.The dream of the ‘precise’ language can only be realised in a closed scientific world. It is inadequate for reflecting the user's relationship to language and its content and practice in varied ‘use situations’. It is only through examples that we learn to deal with, describe, interpret and learn from the new situations.The rule-based models which are used to acquire and describe human knowledge in syntactic and propositional forms are, in effect, an impoverishment of the description of reality. It is argued that expert knowledge and linguistic knowledge are linked together and emerge as two sides of the same subject as the pragmatic perspective of reality. The tacit dimension of expert knowledge is, in many cases, more significant than the linguistic knowledge, especially in the case of the vocational and aesthetic world.The challenge to AI researchers, therefore, is to recognise that knowledge based systems which ignore the tacit dimension of expert knowledge not only distance the user from reality but also impoverish the learning process itself. (shrink)

How should one understand comparisons in which neither of two alternatives is at least as good as the other? Much recent literature on comparability problems focuses on what the appropriate explanation of the phenomenon is. Is it due to vagueness or the possibility of non-conventional comparative relations such as parity? This paper argues that the discussions on how to best explain comparability problems has reached an impasse at which it is hard to make any progress. To advance the discussion we (...) suggest a new classification of comparability problems that focuses on the problems they cause for practical reasoning. (shrink)

Drawing on John Dewey and the later Ludwig Wittgenstein, this book employs philosophy as a conceptual resource to develop new methodological and analytical tools for conducting in situ empirical investigations. Chapter one explores the philosophies of Wittgenstein and Dewey. Chapter two exposits Deweyan ideas of embodiment, the primacy of the aesthetic encounter, and aesthetically expressive meaning underdeveloped in Wittgenstein. Chapter three introduces the method of practical epistemological analysis and a model of situated epistemic relations to investigate the learning of body (...) techniques in dinghy sailing. The concluding chapter introduces a model of situated artistic relations to investigate the learning of artistic techniques of self-expression in the Swedish sloyd classroom. (shrink)

It has been suggested that people who will face hardship in the future may deserve our sympathies now. Similar intuitions can be adopted regarding the deservingness of jobs and scholarships, where andidates may be deserving now based on their expected future performance. To accommodate these intuitions, some have contended that desert is sometimes forward-looking. In this paper, I argue that it is a mistake to think of desert as forward-looking. The forward-looking view struggles to explain the deservingness of subjects that (...) have conflicting desert-making features in the future, it requires that we accept asymmetries and exceptions in desert theory and that we commit to a form of moderate determinism. In response, I present a comparative approach that offers a unified framework for explaining forward-looking cases without the drawbacks associated with the forward-looking view. (shrink)

In this article I attack the scandalous one-sidedness of traditional philosophical epistemology. I make clear its total dependence on one and only one paradigm of knowledge – propositional knowledge. Such knowledge presupposes that we are always capable of fully articulate our knowledge verbally or notationally and support it by empirical or formal reasons. On this basis it becomes quite impossible to say anything sensible about, for instance, professional knowledge, not to speak of aesthetical or moral knowledge. Some of us have (...) been aware of this for quite a while as Michael Polanyi already in 1958 pointed it out in his book Personal Knowledge. His most famous statement is: «We know more than we can tell». And he argues that we possess a great amount of tacit knowledge. Therefore we need appropriate categories for handling the various kinds of knowledge which cannot be articulated as propositional knowledge. And that is Polanyi’s weak spot. Inspired by Wittgenstein’s remark in Philosophical Investigations § 78 concerning knowing and saying how high Mont Blanc is, how the word «game» is used and how a clarinet sounds, I have developed an alternative approach where becomes propositional knowledge, becomes various forms of practical knowledge and becomes various kinds of knowledge by familiarity. is a sort of first person knowledge which we are quite unable to express verbally to someone who is unfamiliar with the instruments of the Western musical tradition. On this basis I sketchily analyse the paradigm of knowledge in traditional philosophical epistemology and point out a series of its shortcomings. In the second part of my article I take a close look at a rather new contribution to the discussion of tacit knowledge, written by one of the leading figures within the research field called «the sociology of scientific knowledge» – Harry Collins. His book is called Tacit and Explicit Knowledge and was published in 2010. And his primary aim of the book is to «reconstruct the idea of tacit knowledge from first principles so that the concept’s disparate domains have a common conceptual language». I perform a close reading of his development of the common conceptual language and conclude that he does not succeed. He creates a monstrous terminology which just alienates us from the subject instead of making us see the connections between the «disparate domains» of tacit knowledge. (shrink)

It seems odd that in such a densely theological text that Augustine would bring up something like the KK-thesis, which is so epistemological. Yet, as one progresses through the book it does begin to make sense. In this paper, I aim to try to come to some understanding of how and why Augustine uses something like the KK-thesis in Book 11 of The City of God. The paper will progress in the following way: First, I discuss Jaakko Hintikka's work on (...) the KK-thesis in order to have a clear idea of what the KK-thesis is, and some associated problems with it. Next, since Augustine most explicitly deals with the KK-thesis in De Trinitate, with the help of Gareth Matthews work, I discuss Augustine's use of the KK-thesis there. Finally, I return to The City of God, in order come to an understanding of Augustine's use of the KK-thesis there. (shrink)