BackgroundThe emergence of artificial intelligence (AI) in medicine has prompted the development of numerous ethical guidelines, while the involvement of patients in the creation of these documents lags behind. As part of the European PROFID project we explore patient perspectives on the ethical implications of AI in care for patients at increased risk of sudden cardiac death (SCD).AimExplore perspectives of patients on the ethical use of AI, particularly in clinical decision-making regarding the implantation of an implantable cardioverter-defibrillator (ICD).MethodsSemi-structured, future scenario-based (...) interviews were conducted among patients who had either an ICD and/or a heart condition with increased risk of SCD in Germany (n = 9) and the Netherlands (n = 15). We used the principles of the European Commission’s Ethics Guidelines for Trustworthy AI to structure the interviews.ResultsSix themes arose from the interviews: the ability of AI to rectify human doctors’ limitations; the objectivity of data; whether AI can serve as second opinion; AI explainability and patient trust; the importance of the ‘human touch’; and the personalization of care. Overall, our results reveal a strong desire among patients for more personalized and patient-centered care in the context of ICD implantation. Participants in our study express significant concerns about the further loss of the ‘human touch’ in healthcare when AI is introduced in clinical settings. They believe that this aspect of care is currently inadequately recognized in clinical practice. Participants attribute to doctors the responsibility of evaluating AI recommendations for clinical relevance and aligning them with patients’ individual contexts and values, in consultation with the patient.ConclusionThe ‘human touch’ patients exclusively ascribe to human medical practitioners extends beyond sympathy and kindness, and has clinical relevance in medical decision-making. Because this cannot be replaced by AI, we suggest that normative research into the ‘right to a human doctor’ is needed. Furthermore, policies on patient-centered AI integration in clinical practice should encompass the ethics of everyday practice rather than only principle-based ethics. We suggest that an empirical ethics approach grounded in ethnographic research is exceptionally well-suited to pave the way forward. (shrink)

Extensive and critical review of Perception and Reality in Kant, Husserl and McDowell, written by van Mazijk, Corijn focussing on his discussion of McDowell.

The purpose of this paper is to lay bare the major problems underlying the concept of downward causation as discussed within the perspective of the present interest for phenomena that are characterized by self-organization. In our discussion of the literature, we have focussed on two questions: (1) What sorts of things are said to be, respectively, causing and caused within the context of downward causation? And (2) What is the meaning of ‘causing’ in downward causation? We have concluded that the (...) concept of ‘downward causation’ is muddled with regard to the meaning of causation and fuzzy with regard to the nature of the causes and the effects. Moreover, we have concluded that ‘causation’ in respect of ‘downward causation’ is usually understood in terms of explanation and determination rather than in terms of causation in the sense of ‘bringing about’. Thus, the term ‘downward causation’ is badly chosen. (shrink)

To what use can causal claims established in good studies be put? We give examples of studies from which inaccurate inferences were made about target policy situations. The usual diagnosis is that the studies in question lack external validity, which means that the same results do not hold in the target as in study. That’s a label that just repeats what we already knew. We offer a deeper analysis. Our analysis points to the need for interdisciplinarity and to the demand (...) to focus not on the study – as the expression ‘external validity’ invites you to do – but on the target. The call for interdisciplinary approaches to real life problems is common since it is widely acknowledged that what happens in the real world seldom falls under the auspices of any single research domain. Our focus is on one specific real life problem: how to use causal claims from good studies to help predict whether the policies tested will work in a new situation. Our analysis of what it takes to back up these predictions points up very specific stages in the process of prediction where we are bound to get it wrong if we do not diversify our concepts, our knowledge and our methods. We isolate two reasons inferences from study to target fail. First, policy variables do not produce results on their own; they need helping factors. The distribution of helping factors is likely to be unique or local for each study, so one cannot expect external validity to be all that common. Second, researchers often give too concrete a description of the cause in the study for it to carry over to the target.ion is necessary to get causes that travel. There is no sure-fire way to guard against these problems. But the unavailability of one perfect tool does not imply there are no second best contrivances. Two general pointers for Good Practice in policy advice follow from our diagnosis: focus on the concrete details in the target and use cross discipline heuristics that diversify background knowledge. (shrink)

This article revisits theologian Ulrich Duchrow’s three-decade-old use of the Protestant notion of status confessionis to denounce the capitalist global economy. Scholars quickly dismissed Duchrow’s argument; however, philosopher Thomas Pogge has developed a remarkable “negative duty”—based critique of the current global economic order that might help revitalize Duchrow’s position. The article argues that sound reasons exist for the churches to declare the contemporary world economy a—provisionally termed—status confessionis minor. After explaining the inadequacy of Duchrow’s original position and summarizing Pogge’s account, (...) the article develops a twofold argument. First, Pogge’s in-depth inquiry into the world economy gives Duchrow’s call for a status confessionis a strong yet narrowing economic foundation. Second, to declare the world economy a status confessionis minor is theological-ethically justifiable if the limited though indispensable “prophetic” significance of doing so is acknowledged. Thus, Duchrow’s approach is justified, but only partially. (shrink)

The late influential American intellectual Michael Novak was a self-declared devotee of Reinhold Niebuhr, arguably the foremost twentieth-century American theologian. Novak’s The Spirit of Democratic Capitalism (1982) was an attempt to fill the political-economic lacuna in Niebuhr’s thought. The present article offers a Niebuhrian irony–focused response to Novak’s democratic capitalism in view of climate change as probably the greatest threat facing humanity. Novak quite successfully extended Niebuhrian ideas into a theology-based vision of democratic capitalism as the only political-economic system effective (...) in widely lifting people out of poverty. Yet he failed to acknowledge human-induced climate change as beyond reasonable doubt and rooted in the predominantly American invention of a fossil energy–based capitalist political economy. This article’s thesis is that Novak’s democratic capitalism entails Niebuhrian irony: the virtue it displays about resources becomes a vice due to Novak’s irresponsible post–Spirit of Democratic Capitalism attempt to represent democratic capitalism as innocent of any dangerous climate-change implications. (shrink)

In A Quest for Humanity, Menno Boldt presents a persuasive new framework for achieving a human social order in the global age. Boldt explores the concept of 'the good society' as a world in which every person can realize their potential for humanity through liberty, social justice, and equal human dignity. A Quest for Humanity innovatively positions globalization as a deterministic phenomenon of expanding interdependence and shared knowledge -- resulting in ever-larger economic and political jurisdictions, but also creating social (...) and psychological links between peoples across the world. Boldt challenges mainstream certainty that Western democracy and constitutional human rights are the exemplary doctrines for the global good society. With a fresh vision designed to inspire a universal acknowledgement of human dignity, A Quest for Humanity powerfully affirms the value of each human being. (shrink)

An introduction to philosophy of language since Frege, focusing on the 20th century.

Society’s relationship with modern animal farming is an ambivalent one: on the one hand there is rising criticism about modern animal farming; on the other hand people appreciate certain aspects of it, such as increased food safety and low food prices. This ambivalence reflects the two faces of modernity: the negative (exploitation of nature and loss of traditions) and the positive (progress, convenience, and efficiency). This article draws on a national survey carried out in the Netherlands that aimed at gaining (...) a deeper understanding about the acceptance of modern dairy farming in Dutch society. People take two dimensions into account when evaluating different aspects of modern dairy farming: (1) the way living beings are used for production and (2) the way a dairy farm functions as a business. In both these dimensions people appeared to adopt cautious opinions: most people preferred relatively traditional and natural farms and were concerned about the use of nature and treatment of animals in modern production—although this did not imply an outright rejection of modern animal farming. The study also looked for (and sought to explain) differences of opinion between social groups. Besides socio-demographic factors such as age and gender, farming experience and value-orientation (such as socially minded and professional) appeared to be important variables. The values and convictions within modern society can help to explain why some people are greatly concerned about animal welfare while some show less concern. This diversity also helps to explain why general information campaigns are quite ineffective in allaying concerns about modern animal farming. (shrink)

Michael Ayers’s Knowing and Seeing: Groundwork for a New Empiricism is a rich and detailed development of two ideas. The first is that perception presents reality to us directly in a perspicuous way. We thus acquire primary knowledge of the world: “knowledge gained by being evidently, self-consciously, in direct cognitive contact with the object of the knowledge.” (Ayers 2019, 63) The second idea is that concepts are not needed in perception. In this article, the author examines Ayers’s view. The author (...) proceeds as follows: In the first section, he identifies the target of Ayers’s attacks, conceptualism. He then describes why many philosophers have felt this conceptualist view to be attractive. In the next section, he discusses Ayers’s criticisms of conceptualism in an attempt to disentangle these criticisms from the statement of his positive view, which the author discusses in the following section. He ends by describing some problems for Ayers’s positive position that are, so he argues, the result of his vehement opposition to conceptualism. (shrink)

Speciation is a central but elusive issue in evolutionary biology. Over the past sixty years, the subject has been studied within a framework conceived by Ernst Mayr and Theodosius Dobzhansky and subsequently developed further by numerous other workers. In this “isolation” theory, the evolution of reproductive isolation is a key element of speciation; natural selection is given only secondary importance while gene flow is considered prohibitive to the process. In this paper, I argue that certain elements in this approach have (...) produced confusion and irreconcilability among students of speciation. The more prominent debates in speciation (i.e., the species definition, sympatry/allopatry, and the role of reinforcement) all derive from an inherent conflict between the “isolation” theory and Darwin's “selection” view on species and speciation (in which disruptive selection is crucial). New data, mainly from field ecology, molecular population genetics, laboratory studies with Drosophila and computer analysis, all suggest that the isolation theory may no longer be the most desirable vantage point from which to explore speciation. Instead, environmental selection in large populations, often unimpeded by ongoing gene flow, appears to be the decisive element. The traditional preoccupation with reproductive isolation has created gaps in our knowledge of several crucial issues, mainly regarding the role of environmental selection and its connection with mate selection. BioEssays 22:1134–1141, 2000. © 2000 John Wiley & Sons, Inc. (shrink)

In this paper I examine one well-known attempt to justify the claim that thoughts are intrinsically structured, Evans’s justification of the Generality Constraint. I compare this with a rival account, proposed by Peaocke. I end by suggesting that a naïve, Aristotelian realist has no difficulty at all in providing a justification of the Generality Constraint, which is therefore a view that deserves serious consideration.

Until today, an externally imposed epistemological paradigm is dominant in most educational curricula at universities in Africa. Despite ongoing Eurocentrism and Western hegemony in mainstream agricultural trainings in Africa, Indigenous knowledge on agriculture still exists: it has been preserved for generations by farmers and wise elders in rural communities who often are knowledge authorities on African agrarian Indigenous knowledge, values and practices. An imposed epistemological paradigm on the African continent reinforces epistemic injustice by dominating and ignoring Indigenous African ways of (...) doing and knowing, which is deeply dehumanizing. Inspired by Paulo Freire’s ‘humanising pedagogy’ and Mogobe Ramose’s call for mothofatso in human relations, we explore a re-humanising pedagogy for African agrarian philosophy, which addresses the following questions: Can African agrarian philosophy contribute to re-humanization by reviving and restoring Indigenous agricultural knowledge, values and practices? If so, what pedagogy and educational methods are appropriate? In search for answers to these questions, we reflect on a two-week educational program on an endogenous approach to community resilience in Ghana, as a pedagogy that is emerging. In doing so, the chapter is firmly rooted in African soil, both practically—through trainings in Ghana—and theoretically—through African agrarian philosophy. By connecting educational experiences with insights from theory, seven themes for a pedagogy for African agrarian philosophy come to the front: an African agrarian philosophy with memory; a dialogical student–teacher relation; the value of lived experiences; intergenerational and spiritual methods of education; relationality of human beings and Mother Earth; unity between theory and practice; critical consciousness about people’s rights. The thesis defended is that African agrarian philosophy is without relevance if it remains a theoretical exercise that is not developed and put to use with farmers, wise elders and youth in the communities. Instead, when combined with a re-humanising pedagogy, African agrarian philosophy can contribute to reconnecting and reviving African agricultural knowledge, values and practices, which subsequently contributes to transforming African food systems that heals the environment and produces enough food to feed communities. (shrink)

In een tijd waarin 'nepnieuws' zich steeds nadrukkelijker naar de voorgrond dringt, is de vraag naar wat waarheid is buitengewoon belangrijk. Ook vragen of wetenschappelijke studies betrouwbaar zijn en of een (sociale) wetenschapper neutraal beleidsadvies kan geven zijn aan de orde van de dag. Daarop kan de wetenschapsfilosofie antwoord geven. Dit boek biedt kritische reflectie op belangrijke vraagstukken in de filosofie van de sociale wetenschappen. De sociale wetenschapper wordt ingeleid in wetenschapsfilosofische thema's als causaliteit, verklaringsstijlen, reductionisme en holisme, statistiek, modellen (...) en onderzoeksparadigma's. Daarnaast is er ruim aandacht voor de wetenschappelijke praktijk en de positie die (sociale) wetenschappers innemen in het maatschappelijk debat. Veel wetenschappers zijn immers geneigd liever neutraal te blijven en zich niet in een maatschappelijk debat te mengen. Maar is dat eigenlijk wel wenselijk en mogelijk?"--Page 4 of cover. (shrink)

Volume 27, Issue 1, March 2020, Page 89-92.

Aggleton & Brown propose that familiarity-based recognition depends on a perirhinal-medial dorsal thalamic system. However, connections between these structures are sparse or absent. In contrast, the perirhinal cortex is connected to midline/intralaminar nuclei. In a human, a lesion in this thalamic domain, sparing the medial dorsal nucleus, impaired familiarity-based recognition while sparing recollective-based recognition. It is thus more likely that the intralaminar/midline nuclei are involved in recognition.

This essay by the Dutch modernist writer Menno ter Braak, ‘National Socialism as a Doctrine of Rancour’, was written in 1937 just before the German annexation of the Netherlands. It is a rare examination of how the concept ressentiment can be used to analyse 1930s National Socialism, outlining the ways in which the fascist variant of ressentiment is both distinctive and also, nonetheless, connected to its democratic and socialist versions. The essay develops Nietzsche’s and Scheler’s understandings of ressentiment by (...) applying them to fascism, insisting on the centrality of the moral sentiment of ressentiment not just to populism but to all forms of democracy, and to any philosophical or political orientation committed to an ideal of equality, indeed to all of modern society, culture and politics. (shrink)

Julian Reiss finds an insoluble paradox in the claims that economic models are at the same time false, nevertheless explanatory, and that only true explanations explain. But the claim that they are false is itself false. A closer look at what ?truth? may mean is needed.

Stipulating universal propositions with a ceteris paribus clause is normal practice in science and especially in economics. Yet there are several problems associated with the use of ceteris paribus clauses in theorising and in policy matters. This paper first investigates three questions: how can ceteris paribus clauses be non-vacuous? How can ceteris paribus laws be true? And how can they help in formulating successful policy interventions in a diversity of contexts? It turns out that ceteris paribus clauses are not always (...) used legitimately. They are meant to fence off a theory from disturbing factors, but economists who do not specify the clause well enough tend to fence variables in rather than off. In such cases, it would be better to use theoretical abstraction, which is something very different from the use of ceteris paribus clauses. However, abstract theorising conceptually leads one away from the concrete detail of real world situations in which policies take place. Hence, a fourth question arises: how can policy interventions be properly designed on the basis of abstract laws? To answer this question, I defend interdisciplinarity in concept choice. (shrink)

Teaching philosophy online in secondary schools differs from offline teaching. The explanations usually offered for this difference show the cognitivist assumptions of mainstream pre-university philosophy education, meaning that philosophy education assumes that the aim of its practice is the enhancement of internal mental abilities. This paper argues that this view of the goal of education is unwarranted and unnecessarily restrictive, and that it implies an undesirable dichotomy between learning to be competent and being competent. An alternative, based on ecological and (...) enactive views of cognition, is presented as a better conception of philosophical cognitive competence in general, and of the difference between offline and online teaching in particular. This alternative suggests that the difference resembles the difference between life in a zoo and life in the jungle, and that we should teach pupils to do wild philosophy. (shrink)

This book develops an integrated perspective on the practices and politics of making knowledge work in inclusive development and innovation. While debates about development and innovation commonly appeal to the authority of academic researchers, many current approaches emphasize the plurality of actors with relevant expertise for addressing livelihood challenges. Adopting an action-oriented and reflexive approach, this volume explores the variety of ways in which knowledge works, paying particular attention to dilemmas and controversies. The six parts of the book address the (...) complex interplay of knowledge and politics, starting with the need for knowledge integration in the first part and decolonial perspectives on the politics of knowledge integration in the second part. The following three parts focus on the practices of inclusive development and innovation through three major themes of transformative learning, evidence, and digitization. The final part of the book addresses the governance of knowledge and innovation in the light of political struggles about inclusivity. Exploring conceptual and practical themes through case studies from the Global North and South, this book will be of great interest to students, scholars and practitioners researching and working in development studies, epistemology, innovation studies, science and technology studies and sustainability studies more broadly. (shrink)

Several studies have focused on the effects of corporate social responsibility fit on external stakeholders’ evaluations of CSR activities, attitudes towards companies or brands, and behaviors. The results so far have been contradictory. A possible reason may be that the concept of CSR fit is more complicated than previously assumed. Researchers suggest that there may be different types of CSR fit, but so far no empirical research has focused on a typology of CSR fit. This study fills this gap, describing (...) a qualitative content analysis of the congruence between six organizations and their various CSR activities. Ten annual reports and CSR reports were analyzed, and 102 specific CSR activities were identified. The results show that two levels of fit must be distinguished: based on the means for and the intended ends of the CSR activity. Furthermore, six different types of fit were found, focusing on products and services, production processes, environmental impact, employees, suppliers, and geographical location. Considering the above variety of fit possibilities, the findings emphasize the role of CSR communication as a means of creating fit perceptions. (shrink)

Large-scale linkage of international clinical datasets could lead to unique insights into disease aetiology and facilitate treatment evaluation and drug development. Hereto, multi-stakeholder consortia are currently designing several disease-specific translational research platforms to enable international health data sharing. Despite the recent adoption of the EU General Data Protection Regulation, the procedures for how to govern responsible data sharing in such projects are not at all spelled out yet. In search of a first, basic outline of an ethical governance framework, we (...) set out to explore relevant ethical principles and norms. We performed a systematic review of literature and ethical guidelines for principles and norms pertaining to data sharing for international health research. We observed an abundance of principles and norms with considerable convergence at the aggregate level of four overarching themes: societal benefits and value; distribution of risks, benefits and burdens; respect for individuals and groups; and public trust and engagement. However, at the level of principles and norms we identified substantial variation in the phrasing and level of detail, the number and content of norms considered necessary to protect a principle, and the contextual approaches in which principles and norms are used. While providing some helpful leads for further work on a coherent governance framework for data sharing, the current collection of principles and norms prompts important questions about how to streamline terminology regarding de-identification and how to harmonise the identified principles and norms into a coherent governance framework that promotes data sharing while securing public trust. (shrink)

Several studies have focused on the effects of corporate social responsibility fit on external stakeholders’ evaluations of CSR activities, attitudes towards companies or brands, and behaviors. The results so far have been contradictory. A possible reason may be that the concept of CSR fit is more complicated than previously assumed. Researchers suggest that there may be different types of CSR fit, but so far no empirical research has focused on a typology of CSR fit. This study fills this gap, describing (...) a qualitative content analysis of the congruence between six organizations and their various CSR activities. Ten annual reports and CSR reports were analyzed, and 102 specific CSR activities were identified. The results show that two levels of fit must be distinguished: based on the means for and the intended ends of the CSR activity. Furthermore, six different types of fit were found, focusing on products and services, production processes, environmental impact, employees, suppliers, and geographical location. Considering the above variety of fit possibilities, the findings emphasize the role of CSR communication as a means of creating fit perceptions. (shrink)

Society’s relationship with modern animal farming is an ambivalent one: on the one hand there is rising criticism about modern animal farming; on the other hand people appreciate certain aspects of it, such as increased food safety and low food prices. This ambivalence reflects the two faces of modernity: the negative (exploitation of nature and loss of traditions) and the positive (progress, convenience, and efficiency). This article draws on a national survey carried out in the Netherlands that aimed at gaining (...) a deeper understanding about the acceptance of modern dairy farming in Dutch society. People take two dimensions into account when evaluating different aspects of modern dairy farming: (1) the way living beings are used for production and (2) the way a dairy farm functions as a business. In both these dimensions people appeared to adopt cautious opinions: most people preferred relatively traditional and natural farms and were concerned about the use of nature and treatment of animals in modern production—although this did not imply an outright rejection of modern animal farming. The study also looked for (and sought to explain) differences of opinion between social groups. Besides socio-demographic factors such as age and gender, farming experience and value-orientation (such as socially minded and professional) appeared to be important variables. The values and convictions within modern society can help to explain why some people are greatly concerned about animal welfare while some show less concern. This diversity also helps to explain why general information campaigns are quite ineffective in allaying concerns about modern animal farming. (shrink)

The biological notion of niche construction is used to conceptualize human-environment relations outside of the biological realm. If the relations between the environmental features and an organism are modified by organismic activity, we have an instance of niche construction. When the modifications are harmful to the organism, niche construction theory speaks of negative niche construction. When applied in biology, these concepts work well. However, when applied to human life, as is commonly done outside of the biological realm, it needs refinement, (...) or so I argue. Current research seems to be insufficiently aware that we need to establish what the goals and abilities of the organism are, because niches are defined by the relevance and availability of the environmental features to the organism. To establish these, we have to use empirically informed generalizations to get to a notion of a typical organism, with typical goals and typical abilities. Such an organism will inhabit, maintain, or construct a typical niche, which may or may not be its preferable niche. For many organisms, typicality can basically be derived from biology, but establishing human goals and abilities is much harder. Recognizing the essential role of goals and abilities allows us to come to a clearer analysis of human niche construction, and the positivity or negativity niches cause for individuals who are typical, and for those whom are not. (shrink)