The founder of the eponymous engineering firm, which continues to realize seminal projects around the world, Ove Arup is widely acknowledged as one of the most significant engineers of his time. Generated over the course of his illustrious career, these lectures, essays, and interviews broadlyshare several themes: insight into Arup's thinking on the nature of good design, quality and value in the built environment, and the growing need for better collaboration between engineers, architects, and contractors in order to exploit technological (...) advances in materials and methods, while at the same time reducing the environmental impact of building. These chronologically arranged essays span five decades, and many of the themes they address are as relevant today as they were when first produced. Illustrating wisdom, practical problem solving, and Arup's philosophical approach, this book is a necessary and long-overdue addition to the library of anyone who has a passion for, and an interest in, the principles of great design. (shrink)

Definition of the problemFrom an ethical point of view we analyse the ruling of the German Federal Joint Committee (Gemeinsamer Bundesausschuss, G‑BA) of September 2019 to revise the guidelines about the coverage of noninvasive prenatal tests (NIPT) by mandatory health insurance, in order to include them under specified conditions. The decision contains four essential elements: a definition of the aim of NIPT testing (to avoid invasive testing), a criterion of access (test must be “necessary” for the pregnant woman to tackle (...) her individual situation), statements about the process of decision-making (after counselling by a physician and case by case) and a normative contextualization (termination of pregnancy under § 218 a German penal law) which is to be found in its explanations. There are tensions in the proposed model that oscillate about two axes: (1) The suffering that results from a possible birth of a child with trisomy or from not knowing about the genetic condition of the fetus can ultimately only be evaluated subjectively, from the perspective of the pregnant woman. (2) The meaning of an individual decision in the case-by-case model remains unclear because when judging about individual cases general points of view also need to be considered. However, we argue that the model of the G‑BA could be a sociopolitically and ultimately also ethically defensible pragmatic solution, exactly because of its paradoxes and its inherent flexibility. (shrink)

It is almost universally acknowledged that risks have to be weighed against benefits, but there are different ways to perform the weighing. In conventional risk analysis, collectivist risk-weighing is the standard. This means that an option is accepted if the sum of all individual benefits outweighs the sum of all individual risks. In practices originating in clinical medicine, such as ethical appraisals of clinical trials, individualist risk-weighing is the standard. This implies a much stricter criterion for risk acceptance, namely that (...) the risk to which each individual is exposed should be outweighed by benefits for that same individual. The different choices of risk-weighing methods in different policy areas seem to have emerged from traditional thought patterns and social relations, rather than from explicit deliberations on possible justifications for the alternative ways to weigh risks against benefits. It is not obvious how the prevalent differences in risk-weighing practices can be reconstructed in terms of consistent underlying principles of preventive health or social priority-setting. (shrink)

Magic est de ces livres étonnants, bouleversant tout ce que nous croyions savoir sur un sujet. A partir d'une interrogation sur l'apparition du concept de "lien social" chez Rousseau ou Durkheim, Laurent de Sutter propose une surprenante remise en cause du consensus régnant autour de l'idée de lien. Plutôt que de poursuivre l'investigation du côté de la sociologie, il suggère, pour comprendre ce qui nous lie, de regarder du côté d'un droit qui aurait retrouvé celle qui lui a toujours (...) été consubstantielle et que l'on a pourtant tenté de refouler, à savoir sa magie. Que se passerait-il si, en effet, le droit était la dernière manifestation de la magie dans un monde qui croyait pouvoir s'en passer? Telle est la question au coeur de ce bref essai érudit, spectaculaire et fascinant, passant avec une grâce provocante de Montesquieu à Giordano Bruno, des juristes romains à Gabriel Tarde, de Marcel Mauss aux inspirateurs du Code civil, de Giorgio Agamben à Quentin Meillassoux. (shrink)

Scientific knowledge is experimental knowledge. Such knowledge can be seen as "forbidden," either because the experiments leading to that knowledge are seen as immoral, or because interventions made possible by that knowledge could be morally offensive. There is currently an interesting case in the realm of genetic engineering, in which moral condemnations have been forthcoming but have not been unanimous. Here I present an analysis of this heterogeneity of moral assessment in the hope that this study of a single case (...) might be helpful for the discussion of bioethical generalizations around the category of the "forbidden.". (shrink)

'Tu m'as déçu!' Qui, aujourd'hui, pourrait se relever d'une telle accusation? Et qui, aussi, n'y a jamais recouru? Nous sommes les êtres de la déception, car nous ne cessons de décevoir et d'être déçu. Pourtant, les moralistes l'ont martelé : être déçu, c'est avant tout être la victime d'attentes qui n'existaient que dans notre tête. Mais si ce n'était pas tout? Et si, derrière la fable morale, se dissimulait toute une politique, une théologie et même une métaphysique? Et si, derrière (...) la danse de l'espoir et de la déception, des attentes et de leur frustration, se déployait un véritable ordre du monde, décidant, pour nous, de ce que nous pouvons et ne pouvons pas? Et si décevoir était avant tout une manière de s'y soustraire? Poursuivant son travail de décadrage des grands concepts issus de la modernité, Laurent de Sutter ajoute un chapitre jouissif au chantier de ses Propositions."--Page 4 of cover. (shrink)

This article is an attempt at a systematic account of decision making under greater uncertainty than what traditional, mathematically oriented decision theory can cope with. Four components of great uncertainty are distinguished: (1) the identity of the options is not well determined (uncertainty of demarcation) ; (2) the consequences of at least some option are unknown (uncertainty of consequences); (3) it is not clear whether information obtained from others, such as experts, can be relied on (uncertainty of reliance); and (4) (...) the values relevant for the decision are not determined with sufficient precision (uncertainty of values). Some possible strategy types are proposed for each of these components. Decisions related to environmental issues are used to illustrate the proposals. (shrink)

We offer philosophical motivations for a method we call Virtual World Cognitive Science (VW CogSci), in which researchers use virtual embodied agents that are embedded in virtual worlds to explore questions in the field of Cognitive Science. We focus on questions about mental and linguistic representation and the ways that such computational modeling can add rigor to philosophical thought experiments, as well as the terminology used in the scientific study of such representations. We find that this method forces researchers to (...) take a god’s-eye view when describing dynamical relationships between entities in minds and entities in an environment in a way that eliminates the need for problematic talk of belief and concept types, such as the belief that cats are silly, and the concept CAT, while preserving belief and concept tokens in individual cognizers’ minds. We conclude with some further key advantages of VW CogSci for the scientific study of mental and linguistic representation and for Cognitive Science more broadly. (shrink)

The integration of multisensory information is an essential mechanism in perception and action control. Research in multisensory integration is concerned with how the information from the different sensory modalities, such as the senses of vision, hearing, smell, taste, touch, and proprioception, are integrated to a coherent representation of objects (for an overview, see e.g., Calvert, Spence and Stein, 2004). The combination of information from the different senses is central for action control. For instance, when you grasp for a rubber duck, (...) you can see its size, feel its compliance and hear the sound it produces. Moreover, identical physical properties of an object can be provided by different senses. You can both see and feel the size of the rubber duck. Even when you grasp for the rubber duck with a tool (e.g., with tongs), the information from the proximal hand, from the effective part of the distal tool and from the eyes are integrated in a manner to act successfully (for limitations of this integration see Sutter et al., 2013).Over the recent decade a surge of interest in multisensory integration and action control has been witnessed, especially in connection with the idea of a statistically optimized integration of multiple sensory sources. The human information processing system is assumed to adjust moment-by-moment the relative contribution of each sense’s estimate to a multisensory task. The sense’s contribution depends on its variance, so that the total varia... (shrink)

Die breite Einführung nicht-invasiver pränataler Tests sowie die Ausweitung der Testziele über Trisomien hinaus machen es notwendig, Sinn und Ziel der pränatalen Diagnostik als emergente soziale Praxis grundsätzlich zu diskutieren. Wenn, wie angenommen wird, PND nicht zu eugenischen Zwecken, sondern zur Stärkung der Autonomie dienen soll, muss gefragt werden, welche Bedeutung die Entscheidungen haben, ein bestimmtes zukünftiges Kind zu gebären. Stephen Wilkinson hat vorgeschlagen, PND als eine Form „selektiver Reproduktion“ zu verstehen. In diesem Paper wird geprüft, ob die Charakterisierung der (...) Entscheidung nach PND als „Selektion“ zutrifft und welche moralischen Vorannahmen ihr zugrunde liegen.Es zeigt sich, dass das Konzept der „selektiven Reproduktion“ die Handlungen der PND inakkurat repräsentiert. Es beinhaltet zudem sowohl eine Abstrahierung als auch eine Distanzierung. Es nimmt an, dass Frauen und Paare entweder falls nötig mehrere Schwangerschaften planen, um ein gesundes Kind zu erzeugen, oder sich als Ausführende einer selektiven Strategie auf der Populationsebene verstehen. Die Einschränkung der ethischen Diskussion auf das Problem der Selektion verdeckt zwei wichtige Problemfelder, die die konflikthaltige Situation der PND aus der Perspektive der Frau oder des Paares charakterisieren: die Schwangerschaft als persönliche Beziehung und den Akt des Abbruchs der Schwangerschaft. Aufgrund seiner impliziten Normativität wird „selektive Fortpflanzung“ als sinnvolle Bezeichnung für die Praxis der PND zurückgewiesen. (shrink)

Patients at the end of their life who express a wish to die sometimes explain their wish as the desire not to be a burden to others. This feeling needs to be investigated as an emotion with an intrinsically dialogical structure. Using a phenomenological approach, two key meanings of the feeling of being a burden to others as a reason for a wish to die are identified. First, it is an existential suffering insofar as it contains the perception of a (...) plight so desperate that it can only be relieved by the end of the patient’s existence. Second, it is an empathic concern that implies caring about those who bear the burden of caring for the person at the end of their life. It is therefore a moral emotion, encompassing a series of difficulties, including the subjective perception of a stark imbalance between giving and taking, the adequacy of the representation of the caregiver burden in the patient’s mind, and the danger of diminishing the worth of one’s life out of shame or self‐denigration. R. D. Laing’s terminology of crossed perspectives in interexperience is used to systematically distinguish the actual caregiver burden, the patient’s view of the caregiver burden, the stress for the patient in feeling that s/he is a burden to the caregiver, and the caregiver’s view of the patient’s stress. The sense of being a burden implies the belief that the caregiver feels burdened, and the fear that this burden could become unbearable. (shrink)

Le livre que le lecteur tient entre les mains est un bréviaire de l'indifférence à la politique. Ce bréviaire, toutefois, ne vise aucune fin édificatrice, ni prosélyte. Il se contente d'être l'exposé fragmentaire d'un soupçon vague : que la politique ne rend pas heureux. Plutôt qu'y dépenser une énergie que nous n'avons pas, ne vaut-il pas mieux nous tourner vers d'autres horizons? Déambulant le long d'une plage des Pouilles, assis à la terrasse d'un café parisien, ou goûtant, depuis le balcon (...) d'un hôtel, la nuit londonienne, nous n'avons que l'embarras du choix. II suffit qu'une jeune fille croise notre chemin pour que la politique s'évanouisse comme un rêve d'hiver. (shrink)

Le discours officiel de l'Église catholique met volontiers en cause, depuis plusieurs années, la rationalité des Lumières sous le nom de « modernité ». La raison occidentale qui se détourne de la transcendance est accusée de conduire l'humanité à sa perte, rendue responsable de la décadence des mœurs, et de toutes les formes de totalitarisme; la Shoah serait le fruit amer d'une telle perversion.Il est vrai que les Lumières ont été dénoncées depuis longtemps sous des aspects divers, par le Romantisme, (...) par l'École de Francfort, et le sont encore par toutes les critiques adressées à la raison instrumentale. Mais ces critiques émanent de la méme raison, elles s'inscrivent dans la ligne d'une évolution de la rationalité qui a commencé bien avant les Lumières, elles ne rejettent aucun de ses acquis, en particulier la liberté de penser face à tous les autoritarismes, notamment religieux, elles gardent la même vision d'un monde sécularisé.La pensée catholique devrait faire l'effort de mieux comprendre cette évolution pour rester en dialogue avec la raison des temps modernes.For many years now the official discourse of the Catbolic Cburcb bas, witbout besitation, questioned the rationality of the Enlightenment under the name of “modernity”. Western reason that turns away from transcendence is accused of leading bumanity to its destruction. It is held responsible for the decadence of morals and for all types of totalitarianism ; the Shoah would be the bitter fruit of such a perversion.It is true that the Enlightenment bas been denounced for a long time from different points of view, by Romanticism and the Scbool of Frankfurf, and continues to be by all the criticisms addressed to instrumental reason. But these criticisms emanate from the same reason; they are written in the line of an evolution of rationality that begun well before the Enlightenment; they don’t reject any of these gains, in particular the freedom of thougbt in face of all authoritarianisms, especially religious; they keep the same vision of a secularized world.Catholic thougbt ougbt to make an effort to better understand tbis evolution in order to stay in dialogue with the reason of modern times. (shrink)

We study finite ℓ‐colourable structures with an underlying pregeometry. The probability measure that is used corresponds to a process of generating such structures by which colours are first randomly assigned to all 1‐dimensional subspaces and then relationships are assigned in such a way that the colouring conditions are satisfied but apart from this in a random way. We can then ask what the probability is that the resulting structure, where we now forget the specific colouring of the generating process, has (...) a given property. With this measure we get the following results: (1) A zero‐one law. (2) The set of sentences with asymptotic probability 1 has an explicit axiomatisation which is presented. (3) There is a formula (not directly speaking about colours) such that, with asymptotic probability 1, the relation “there is an ℓ‐colouring which assigns the same colour to x and y” is defined by. (4) With asymptotic probability 1, an ℓ‐colourable structure has a unique ℓ‐colouring (up to permutation of the colours). (shrink)

ZusammenfassungZumindest bei bestimmten Gruppen kann die Aneuploidietestung im Rahmen der PID für die Schwangerschaft medizinisch sinnvoll sein. Die gegenwärtige Rechtslage in Deutschland scheint die PID auf eine Chromosomenfehlverteilung im Embryo nicht auszuschließen; diese Testung muss aber im Einzelfall begründet und von der Frau bei einer PID-Ethikkommission beantragt werden. Der Artikel untersucht die Frage aus ethischer und rechtlicher Sicht, ob prinzipielle Gründe dagegen stehen, dass die zuständigen Ethikkommissionen Anträgen auf die Durchführung von Aneuploidietests zustimmen. Es können drei verschiedene Fallkonstellationen unterschieden werden, (...) in denen Aneuploidietests Teil von unterschiedlichen Handlungen werden und entsprechend unterschiedliche ethische Implikationen aufweisen: Das Ziel der IVF kann (i) der Aneuploidietest selbst sein, oder (ii) die IVF kann eine indizierte Unfruchtbarkeitsbehandlung sein, bei der man auch PID und Aneuploidietests durchführen kann, oder (iii) die PID ist indiziert zur Vermeidung einer Erbkrankheit oder Chromosomenschädigung und Aneuploidie kann in dieser Situation ein Zufalls- oder ein Zusatzbefund werden. Ethische Argumente, die grundsätzlich gegen eine Zulässigkeit von Aneuploidietests sprechen könnten, sind die Vermeidung einer Diskriminierung von Menschen mit Aneuploidien und der Embryonenschutz. Sie könnten gegen das Fallszenario (i) erhoben werden, aber nicht gegen (ii) und (iii). Es gibt aber mindestens drei ethische Argumente, die für die Zulässigkeit sprechen: die „gute Praxis“ der IVF, die Pflicht gegenüber dem entstehenden Kind und die Mitsprache des Paares. Ergebnis: Es ist aus rechtlichen und ethischen Gründen nicht ausgeschlossen und deshalb in Deutschland durch die zuständigen PID-Kommissionen offen zu diskutieren, ob Aneuploidietests in der PID möglich werden. (shrink)

Wish to die statements are becoming a frequent phenomenon in terminally ill patients. Those confronted by these statments need to understand the complexity of such wishes, so they can respond competently and compassionately to the requests. If misunderstood, the statements can be taken at face-value and the practitioner may not recognise that a patient is in fact experiencing ambivalent feelings at the end of life, or they may misinterpret the expressed wish to die as a sign of clinical depression. Public (...) debate about the morality and ethics of various end-of-life care options has exploded in recent years. However, it has never been sensitive to the finer aspects of clinical reality or the experiences of patients. The Patient's Wish to Die: Research, Ethics, and Palliative Care brings together that reality and the patient's voice, combining them with different research approaches. It presents the best available knowledge and research methodologies about patients' wishes at the end-of-life, together with a series of ethical views and a discussion about the clinical implications for palliative care. The book presents material in an open and unbiased manner whilst remaining sensitive to the spiritual and existential dimensions of dying, and to the different cultural views that provide meaning to the individual. Written by the best specialists and ethics scholars from around the world, including palliative care practitioners and end-of-life scholars from countries where assisted dying practices are legalized and from those where it isn't, The The Patient's Wish to Die: Research, Ethics, and Palliative Care will prove essential reading for all those working or studying in the field of palliative care. (shrink)

Auch wenn der Tod nicht gewählt wird, wenn das Faktum des Todes unabwendbar und endgültig ist, ergeben sich für Menschen, die sich dem Sterben zuwenden, Möglichkeiten. Ausgehend von der Annahme, dass der Tod in ontologischer und ethischer Hinsicht relational verstanden werden muss, legt dieses Kapitel die Bedeutung des Todes – in Anlehnung an Vladimir Jankélévitch – in der Du-Perspektive, in der Ich-Perspektive und in der dritten-Person-Perspektive aus. Für die Zurückbleibenden entsteht die Aufgabe, den Prozess des Gehen-Lassens zu begreifen und zu (...) gestalten. Eine Reihe von medizinethischen Dilemmata entstehen, die damit strukturiert werden, dass einem Sterbenden eine Rolle zugewiesen wird, die nur zu einer bestimmten Zeit gilt: wenn der Sterbeprozess begonnen hat. Wann hat er aber begonnen? Zwei soziologische Modelle der Sterberolle von 1977 und 2007 werden miteinander verglichen. Es zeigen sich Veränderungen in der Einstellung zu Sterbenden und zur Aufgabe der Medizin. Für die Sterbenden selbst entsteht die Aufgabe, die Anderen, die Welt und das ganze Leben zurückzulassen. Wünsche zum Sterben – auch eigentliche Sterbewünsche – enthalten Handlungsräume und reflektieren Verantwortung. Ein Wunsch zu sterben ist nicht einfach da oder nicht da, sondern wird gestaltet und fein austariert. Wünschen ist ein Akt des Denkens. Ein besseres Verständnis der Bedeutung von Wünschen am Lebensende kann zur Klärung der Fragen um ein „gutes Sterben“ im Kontext einer Ethik des „guten Lebens“ beitragen. (shrink)

While the history of Thomas More as a character on stage is long and varied, the humanist made his most regular appearance in Latin school plays across Catholic Europe throughout the seventeenth and eighteenth centuries. Still, only a handful of these plays are known to have survived, all of which were performed on the Jesuit stage. This article sheds light on a newly discovered Neo-Latin More play, which, it argues, was staged at the Benedictine college of Marchiennes in the late-sixteenth (...) or early-seventeenth century. After a brief contextualization and analysis of the manuscript and the tragedy enclosed, the article offers an edition of the Latin text and a study of its intertextual ties with the dramatic oeuvres of Desiderius Erasmus and George Buchanan. (shrink)

ABSTRACT This essay examines the role that entomological workers played in U.S. public health efforts during the construction of the Panama Canal (1904–1914). Entomological workers were critical to mosquito control efforts aimed at the reduction of tropical fevers such as malaria. But in the process of studying vector mosquitoes, they discovered that many of the conditions that produced mosquitoes were not intrinsic to tropical nature per se but resulted from the human‐caused environmental disturbances that accompanied canal building. This realization did (...) not mesh well with an American ideology of tropical triumphalism premised on the notion that the Americans had conquered unalloyed tropical nature in Panama. The result, however, was not a coherent counternarrative but a set of intra‐administrative tensions over what controlling nature meant in Panama. Ultimately, entomological workers were loyal not just to the U.S. imperial mission in Panama but also to a modernist culture of science and to the workings of mosquito ecology as they understood them. (shrink)