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)

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)

Universal Darwinism provides a methodology to study the evolution of anatomical form and sociocultural behavior that centers on defining the units and levels of selection, and it identifies the conditions whereby natural selection operates. In previous work, I have examined how this selection-focused evolutionary epistemology may be universalized to include theories that associate with an extended synthesis. Applied evolutionary epistemology is a metatheoretical framework that understands any and all kinds of evolution as phenomena where units evolve by mechanisms at levels (...) of an ontological hierarchy; and it provides three heuristics to search for these units, levels and mechanisms. The heuristics are applicable to language and sociocultural evolution, and here, we give an in-depth analysis of how the unit-heuristic can be implemented into language origin and evolution studies. The importance of developing hierarchy theories is also more fully explained. (shrink)

It is important to understand the drivers of green consumption, because of growing concern for the health of the planet. In this paper, the assumption that a virtue-green product relationship exists is tested. The objective is to understand how product morality can influence the valuation of green products. Relying on virtue theory and positive spillover as conceptual bases, the research implicitly and explicitly tests and confirms green product virtue. The results demonstrate that perceived green product virtue leads to positive emotions, (...) which explain heightened purchase intentions. In line with the conceptualization, I show that the effect is moderated by the importance consumers place on their own morality. Importantly, explicitly framing green products as virtuous activates positive spillover by consumers; when green products are branded with a virtue cue, they encourage consumers to be more virtuous. Beyond being perceived as better people, when consumers interact with green products they effectively engage in more moral acts, such as making donations. The results confirm the perception of green products as moral agents and provide marketers with insights into the marketing value of virtue cues in green product consumption. (shrink)

We examine how insights made in socio-anthropological and evolutionary schools of thought necessitate us to reevaluate the classic philosophical distinction between epistemology and ontology. We adopt an applied evolutionary epistemological stance and demonstrate that both epistemology and ontology evolve. Epistemology is broadened to include all knowledge and information that all life forms evolve, and ontology encompasses all biologically informed realities that life builds. Through processes such as symbiosis and niche construction, organisms acquire and extend information and knowledge into their offspring, (...) onto unrelated organisms, and onto their niches. Life builds biorealities that change over time. Consequently, knowledge and reality are mutable and truth is spatiotemporally bounded. We conclude that the classic distinction between epistemology and ontology has become superfluous and instead, we argue that the evolving knowledge that comes in the form of organisms and their extended niches equals ontological realities. (shrink)

Sous l'impulsion d'associations militantes ou de politiques publiques, la ville se modifie. Le vert gagne du terrain. Plus profondément, plus durablement peut-ètre, l'environnement ordinaire des citadins contemporains est reconfiguré. Il se pare désormais d'une nouvelle esthétique urbaine, associée aux politiques de ville durable, d'urbanisme écologique... Cette esthétique transforme l'espace public. Son aspect ornemental réduit la ville et ses espaces à un décor vert, fabriqué par le capitalisme contemporain et la multiplication des innovations technologiques vertes. L'investissement des citoyens, sur un mode (...) participatif et productif, laisse place à une ville « jardinée », écologisée et gérée en partenariat. De nouvelles manières d'habiter les lieux urbains émergent peu à peu. De telles évolutions dessinent-elles les prémices d'une restructuration de l'espace social dans son ensemble? Comment des enjeux urbains condensent-ils une métaphore nouvelle de l'espace public? Spécialisée dans les questions d'environnement et d'esthétique, Nathalie Blanc est directrice de recherche au Cnrs Umr Ladyss Paris 7. (shrink)

L’article se situe dans la perspective des travaux s’intéressant aux situations de pluriparentalité (familles recomposées, familles adoptives, familles d’accueil...) qui de fait suscitent de nombreuses questions. La parentalité se trouve bousculée, en pleine recomposition Quel rôle et quelle place peuvent avoir les adultes auprès des enfants dont ils ne sont pas les parents? L’article privilégie la situation des familles d’accueil, interroge le positionnement de l’assistante familiale, de son conjoint et des travailleurs sociaux. Les nouvelles situations de vie parentales nécessitent l’ouverture (...) vers d’autres références familiales et sociales, vers un partage des axes de la parentalité et au-delà la mise en œuvre d’une démarche de coéducation avec l’ensemble des acteurs gravitant autour de l’enfant. (shrink)

Name der Zeitschrift: Klio Jahrgang: 98 Heft: 1 Seiten: 351-354.

Cet ouvrage est né d'une réalité et d'un besoin. La petite Maëlle, enfant autiste, est devenue adolescente, alors il fallait la suivre pour mieux l'accompagner dans cette nouvelle étape de sa vie. Comme cela arrive chez les autres enfants qui entrent dans l'adolescence, tout est remis en question : les idéaux, l'identité, l'amitié, l'amour. Entre-temps, il y a eu la publication de la cinquième version du Manuel diagnostique et statistique des troubles mentaux (DSM-5). Il fallait donc étudier cette entrée dans (...) l'adolescence à partir des données diagnostiques les plus récentes. Autisme et adolescence est la suite de L'autisme, un jour à la fois et d'Accompagner un enfant autiste. Encore ici, la mère Catherine Kozminski et la psychologue Nathalie Poirier entrent en dialogue afin de se mettre à l'écoute des besoins de l'adolescente et d'élaborer les meilleures formes d'accompagnement. Il en résulte un ouvrage plein de sensibilité et rempli de solutions pratiques. (shrink)

Research on the influence of industry on chemical regulation has mostly been conducted within the framework of the production of ignorance. This special issue extends this research by looking at how industry asserts its interests––not just in the scientific sphere but also at other stages of policy-making and regulatory process––with a specific focus on the types of tools or instruments industry has used. Bringing together sociologists and historians specialized in Science and Technology Studies, the articles of the special issue study (...) the arenas in which instruments and practical guidelines for public policy are negotiated or used. The aim is to observe the devices in the making or in action, from the selection of actors to the production of thresholds, criteria, and other technical regulations. The introduction highlights how industry influence on expertise and regulation is undoubtedly far more pervasive and multifarious than has been conceptualized to date by social scientists. Putting this issue back at the heart of both the STS and social sciences research agendas is increasingly urgent and could lead to new inquiries able to highlight these logics even more widely, using fresh empirical examples. (shrink)

Les recherches de Natalie Depraz sur l’intersubjectivité rejoignent ici celles de Frédéric Mauriac, particulièrement dans les cas dits « d’urgence psychiatrique ». La question est ainsi de savoir comment poser et penser le rapport fulgurant de la force vitale à ce désir tout humain de vouloir en finir. En ces cas, quelles paroles faut-il oser et quel mode de relation convient-il d’instaurer? La contribution entend offrir des perspectives théoriques et pratiques, essentiellement thérapeutiques, en mettant d’abord en évidence, d’une part, la (...) situation de la phénoménologie henryenne devant la phénoménologie historique et, d’autre part, sa situation devant une praxis fondée sur la singularité de l’approche en deuxième personne. (shrink)

Human language, hominin tool production modes, and multimodal communications systems of primates and other animals are currently well-studied for how they display compositionality or combinatoriality. In all cases, the former is defined as a kind of hierarchical nesting and the latter as a lack thereof. In this article, I extend research on combinatoriality and compositionality further to investigations of everyday primate skills. Daily locomotion modes as well as behaviors associated with subsistence practices, hygiene, or body modification rely on the hierarchical (...) nesting of different behavioral and cognitive actions into complex skills. I introduce a scheme which uses hierarchical organization to differentiate combinatorial from compositional skills. Combinatorial skills are defined either as aggregational or linearly hierarchical depending on whether the skill occurs momentarily in space or unfolds sequentially over time. Compositional skills are defined either as nested or interactionally hierarchical depending on whether the skill results in new constructs or in new interactions between existing constructs. The methodology I propose combines epistemological hierarchy theory with data from primatological field research and experimental and comparative psychological research and provides a means to integrate current constructionist and extended views on cognition and action with older research on behavioral logics in psychology and operational chain thinking in anthropology. The approach furthermore synchronizes with ongoing research on teleonomy, intentionality, and creativity. -/- . (shrink)

This paper discusses the establishment of a governance framework to secure the development and deployment of “good AI”, and describes the quest for a morally objective compass to steer it. Asserting that human rights can provide such compass, this paper first examines what a human rights-based approach to AI governance entails, and sets out the promise it propagates. Subsequently, it examines the pitfalls associated with human rights, particularly focusing on the criticism that these rights may be too Western, too individualistic, (...) too narrow in scope and too abstract to form the basis of sound AI governance. After rebutting these reproaches, a plea is made to move beyond the calls for a human rights-based approach, and start taking the necessary steps to attain its realisation. It is argued that, without elucidating the applicability and enforceability of human rights in the context of AI; adopting legal rules that concretise those rights where appropriate; enhancing existing enforcement mechanisms and securing an underlying societal infrastructure that enables human rights in the first place, any human rights-based governance framework for AI risks falling short of its purpose. (shrink)

In this chapter Nathalie Sigot argues that Bentham’s interest in international trade lies in the consideration of the redistributive effects of trade and its consequences on happiness for one’s society. Sigot demonstrates that Bentham’s view on international trade changed between 1786 and 1821, when the principle of the limitation of industry by capital disappeared from his writings. Sigot explains how Bentham’s approach is driven by a focus on security and on a calculus of gains and losses in terms of (...) happiness. (shrink)

Nel presente contributo proponiamo un’intervista a Nathalie Simondon, responsabile dell’edizione dell’opera di Gilbert Simondon, al fine di fare luce sui temi di ecologia, enciclopedismo, transdisciplinarità e umanismo nella produzione filosofica di Gilbert Simondon.

Applied Evolutionary Epistemology is a scientific-philosophical theory that defines evolution as the set of phenomena whereby units evolve at levels of ontological hierarchies by mechanisms and processes. This theory also provides a methodology to study evolution, namely, studying evolution involves identifying the units that evolve, the levels at which they evolve, and the mechanisms and processes whereby they evolve. Identifying units and levels of evolution in turn requires the development of ontological hierarchy theories, and examining mechanisms and processes necessitates theorizing (...) about causality. Together, hierarchy and causality theories explain how biorealities form and diversify with time. This paper analyzes how Applied EE redefines both hierarchy and causality theories in the light of the recent explosion of network approaches to causal reasoning associated with studies on reticulate and macroevolution. Causality theories have often been framed from within a rigid, ladder-like hierarchy theory where the rungs of the ladder represent the different levels, and the elements on the rungs represent the evolving units. Causality then is either defined reductionistically as an upward movement along the strands of a singular hierarchy, or holistically as a downward movement along that same hierarchy. Upward causation theories thereby analyze causal processes in time, i.e. over the course of natural history or phylogenetically, as Darwin and the founders of the Modern Synthesis intended. Downward causation theories analyze causal processes in space, ontogenetically or ecologically, as the current eco-evo-devo schools are evidencing. This work demonstrates how macroevolution and reticulate evolution theories add to the complexity by examining reticulate causal processes in space–time, and the interactional hierarchies that such studies bring forth introduce a new form of causation that is here called reticulate causation. Reticulate causation occurs between units and levels belonging to different as well as to the same ontological hierarchies. This article concludes that beyond recognizing the existence of multiple units, levels, and mechanisms or processes of evolution, also the existence of multiple kinds of evolutionary causation as well as the existence of multiple evolutionary hierarchies needs to be acknowledged. This furthermore implies that evolution is a pluralistic process divisible into different kinds. (shrink)

Numerous evolutionary linguists have indicated that human pointing behaviour might be associated with the evolution of language. At an ontogenetic level, and in normal individuals, pointing develops spontaneously and the onset of human pointing precedes as well as facilitates phases in speech and language development. Phylogenetically, pointing behaviour might have preceded and facilitated the evolutionary origin of both gestural and vocal language. Contrary to wild non-human primates, captive and human-reared nonhuman primates also demonstrate pointing behaviour. In this article, we analyse (...) the debates on pointing and its role it might have played in language evolution from a meta-level. From within an Applied Evolutionary Epistemological approach, we examine how exactly we can determine whether pointing has been a unit, a level or a mechanism in language evolution. (shrink)

The explanatory power of structures in analytical sociologists’ agent-based models brings into question methodological individualism. We defend that from an explanatory point of view, the syntactic properties of models require semantic conditions of interpretation drawn from a conceptual research framework; in such a framework, social/relational structures have only partial, explanatory power ; and taking the explanation further through generative mechanism modeling necessitates calling upon methodological individualism’s generic framework of interpretation that relies on social actors’ rational capacity. According to this interpretive (...) framework, forces in action in society are governed by the subjective meaning of/the reasons for individual actions. (shrink)