As health systems around the world turn towards highly distributed, specialized and cooperative structures to increase quality and safety of care as well as efficiency and efficacy of delivery processes, there is a growing need for supporting communication and collaboration of all parties involved with advanced ICT solutions. The Electronic Health Record (EHR) provides the information platform which is maturing towards the eHealth core application. To meet the requirements for sustainable, semantically interoperable, and trustworthy EHR solutions, different standards and different (...) national strategies have been established. The workshop summarizes the requirements for such advanced EHR systems and their underlying architecture, presents different strategies and solutions advocated by corresponding protagonists, discusses pros and cons as well as harmonization and migration strategies for those approaches. It particularly highlights a turn towards ontology-driven architectures. (shrink)

This paper is a survey of the supervenience challenge to non-naturalist moral realism. I formulate a version of the challenge, consider the most promising non-naturalist replies to it, and suggest that no fully effective reply has yet been given.

[First published 09/2016; substantive revision 02/2021.] Evaluative terms and concepts are often divided into “thin” and “thick”. We don’t evaluate actions and persons merely as good or bad, or right or wrong, but also as kind, courageous, tactful, selfish, boorish, and cruel. The latter evaluative concepts are "descriptively thick": their application somehow involves both evaluation and a substantial amount of non-evaluative description. This article surveys various attempts to answer four fundamental questions about thick terms and concepts. (1) A “combination question”: (...) how exactly do thick terms and concepts relate evaluation and non-evaluative description? (2) A “location question”: is evaluation somehow inherent to thick terms and concepts, such as perhaps an aspect of their meaning, or merely a feature of their use? (3) A “delineation question”: how do thick terms differ from the thin and from other kinds of evaluative terms? (4) Given answers to these questions, what broader philosophical significance and applications might thick concepts have? (shrink)

To meet all physicians' needs for ethics consultation in Finland, a novel form of service, the Physicians' Ethics Forum, was founded in 2003. The Forum is a cost-efficient service based on electronic communication. In this paper, experiences throughout its first 6 years are described.

This chapter present a glimpse of medieval academic discussions concerning sense perception, which had by the end of the Middle Ages gained a prominent position as a major element of Aristotelian psychology.

In this paper we investigate the coupling properties of pairs of quadrature observables, showing that, apart from the Weyl relation, they share the same coupling properties as the position-momentum pair. In particular, they are complementary. We determine the marginal observables of a covariant phase space observable with respect to an arbitrary rotated reference frame, and observe that these marginal observables are unsharp quadrature observables. The related distributions constitute the Radon transform of a phase space distribution of the covariant phase space (...) observable. Since the quadrature distributions are the Radon transform of the Wigner function of a state, we also exhibit the relation between the quadrature observables and the tomography observable, and show how to construct the phase space observable from the quadrature observables. Finally, we give a method to measure together with a single measurement scheme any complementary pair of quadrature observables. (shrink)

The article examines the role of discourse in organisational sensemaking. By building links between the theorising undertaken within organisational studies and the empirical analysis of multimodal social interaction, it argues for a relational view of sensemaking and investigates how sense is made in and through social interaction in real organisational situations where language use intertwines with embodied actions and the manipulation of artefacts. In particular, the article studies the use of discourse technologies of textual artefacts in sensemaking processes. The data (...) come from training workshops of a Finnish workplace organisation, conducted in order for the employees to delineate the history and future of their organisation with the help of writable papers. The results show how the papers exert agency in the situation by facilitating three specific discursive practices and by enabling and restricting the actions employed in constructing a shared understanding of the organisational reality. (shrink)

Although the history of centrally planned economies has been widely studied, the development of socialist thinking on the subject has remained largely uncharted. In this 1991 work, Pekka Sutela presents a detailed analysis of Soviet economic thought and theory. Dr Sutela traces the competing currents in the Marxist tradition of socialist economies from the Revolution to the present day. In particular he shows how the Gorbachev economic reform programme of 1987 rose from the work of Nobel Prize economist L. (...) V. Kantorovich and his followers. However, this programme failed and the author explains in some detail why this happened. Since then, Soviet economists have tried to abandon their traditional theory of central planning and move along the path and long established contacts with leading Soviet economists, Pekka Sutela is able to show how Soviet economic thinking has moved from dogmatism through reformism to pragmatism. (shrink)

Philosophers pursue a number of different explanatory projects when explaining various sorts of normative phenomena. For example, they may seek to explain why the right acts are right or why the things that are good for us are so, explain what it is for something to be obligatory, or explain the source of reasons for action. This chapter takes some steps towards understanding this variety. I first lay some general ground about explanation, suggest that explanations that are appropriate in normative (...) inquiry are objective in a certain sense, and discuss the relevant notion of the normative. I describe some key axes of debate about the form and the content of explanations that first-order normative inquiry (such as normative ethics) typically seeks to state and defend, such as whether normative principles are essential to first-order normative explanation and whether first-order normative explanations work by highlighting what grounds the normative phenomena that are being explained, or by unifying them with other seemingly disparate normative phenomena, or in some other way. I then discuss the function of explanation in normative inquiry and the question of whether normative explanation might be pluralist in various senses. More briefly I discuss how two other sorts of normative explanation that seem more concerned with the foundations of normative domains like ethics and practical reason (such as the source of reasons for action) and with explicating or analyzing the natures of normative properties might be understood and how they relate to first-order normative explanations. (shrink)

In addition to thin concepts like the good, the bad and the ugly, our evaluative thought and talk appeals to thick concepts like the lewd and the rude, the selfish and the cruel, the courageous and the kind -- concepts that somehow combine evaluation and non-evaluative description. Thick concepts are almost universally assumed to be inherently evaluative in content, and many philosophers claimed them to have deep and distinctive significance in ethics and metaethics. In this first book-length treatment of thick (...) concepts, Pekka Väyrynen argues that all this is mistaken. Through detailed attention to the language of thick concepts, he defends a novel theory on which the relationship between thick words and evaluation is best explained by general conversational and pragmatic norms. Drawing on general principles in philosophy of language, he argues that many prominent features of thick words and concepts can be explained by general factors that have nothing in particular to do with being evaluative. If evaluation is not essential to the sort of thinking we do with thick concepts, claims for the deep and distinctive significance of the thick are undermined. The Lewd, the Rude and the Nasty is a fresh and innovative treatment of an important topic in moral philosophy and sets a new agenda for future work. It will be essential reading to anyone interested in the analysis and the broader philosophical significance of evaluative and normative language. (shrink)

The accommodation of evidence has been argued to be associated with several methodological problems that should prompt evaluators to lower their confidence in the accommodative theory. Accommodators may overfit their model to data (Hitchcock and Sober, Br J Philos Sci 55(1):1–34, 2004. https://doi.org/10.1093/bjps/55.1.1), hunt for (spurious) associations between variables (Mayo, Error and the growth of experimental knowledge. University of Chicago Press, Chicago, 1996, pp 294–318), or ‘fudge’ their theory in the effort to accommodate a particular datum (Lipton, Inference to the (...) best explanation. Routledge, London, 2004, pp. 164–183). The converse of accommodation, novel prediction, has been offered as a solution. If theorists novelly predict empirical results rather than accommodate those results, the potential risks of accommodation are avoided, and the theory warrants greater confidence. This paper evaluates if the problems of accommodation justify a preference for novel prediction over accommodation for evaluators of a scientific theory. I argue that there is currently insufficient evidence to conclude that the problems of accommodation result in a predictivist advantage in theory confirmation. Taking into consideration the disadvantages of novel prediction and the advantages of accommodation, the impact of further evidential factors, and recent scientific evidence about the consequences of novel prediction and accommodation, novel prediction and accommodation appear roughly on a par, or accommodation is even superior in the current context. (shrink)

The aim of the present study was to explore the use and understanding of the concepts ‘placebo’ and ‘placebo effect’ in 12 empirical studies that have addressed the prescription of placebos by doctors in clinical practice. There were great differences in the general methodology and in the definitions (or lack of any definition) of the basic concepts in these 12 studies. Therefore, the results reflect different things. They tell us a little about the use of ‘pure placebos’, more about the (...) use of ‘impure placebos’, but most of all, they tell us about the conceptual confusion in this area. (shrink)

In this paper a social group’s (retrospective) responsibility for its actions and their consequences are investigated from a philosophical point of view. Building on Tuomela’s theory of group action, the paper argues that group responsibility can be analyzed in terms of what its members (jointly) think and do qua group members. When a group is held responsible for some action, its members, acting qua members of the group, can collectively be regarded as praiseworthy or blameworthy, in the light of some (...) normative standard, for what the group has done. The paper gives a necessary and sufficient conditions analysis of a group’s responsibility for its actions and their outcomes, and the conditions can be cashed out in terms of the group members’ joint (and other) actions. (shrink)

This paper concerns non-causal normative explanations such as ‘This act is wrong because/in virtue of__’. The familiar intuition that normative facts aren't brute or ungrounded but anchored in non- normative facts seems to be in tension with the equally familiar idea that no normative fact can be fully explained in purely non- normative terms. I ask whether the tension could be resolved by treating the explanatory relation in normative explanations as the sort of ‘grounding’ relation that receives extensive discussion in (...) recent metaphysics. I argue that this would help only under controversial assumptions about the nature of normative facts, and perhaps not even then. I won't try to resolve the tension, but draw a distinction between two different sorts of normative explanations which helps to identify constraints on a resolution. One distinctive constraint on normative explanations in particular might be that they should be able to play a role in normative justification. (shrink)

This paper is a survey of the generalism-particularism debate and related issues concerning the relationship between normative reasons and moral principles.

Placebos are allegedly used widely in general practice. Surveys reporting high level usage, however, have combined two categories, ‘pure’ and ‘impure’ placebos. The wide use of placebos is explained by the high level usage of impure placebos. In contrast, the prevalence of the use of pure placebos has been low. Traditional pure placebos are clinically ineffective treatments, whereas impure placebos form an ambiguous group of diverse treatments that are not always ineffective. In this paper, we focus on the impure placebo (...) concept and demonstrate problems related to it. We also show that the common examples of impure placebos are not meaningful from the point of view of clinical practice. We conclude that the impure placebo is a scientifically misleading concept and should not be used in scientific or medical literature. The issues behind the concept, however, deserve serious attention in future research. (shrink)

This paper offers a general model of substantive moral principles as a kind of hedged moral principles that can (but don't have to) tolerate exceptions. I argue that the kind of principles I defend provide an account of what would make an exception to them permissible. I also argue that these principles are nonetheless robustly explanatory with respect to a variety of moral facts; that they make sense of error, uncertainty, and disagreement concerning moral principles and their implications; and that (...) one can grasp these principles without having to grasp any particular list of their permissibly exceptional instances. I conclude by pointing out various advantages that this model of principles has over several of its rivals. The bottom line is that we should find nothing peculiarly odd or problematic about the idea of exception-tolerating and yet robustly explanatory moral principles. (shrink)

Interface agents are increasingly being used to enhance the user-friendliness of computers. In the new mobile technology of handheld computers, interface agents are also being used to present on-line news. The purpose of the study was to explore how the gender of the interface agent and the user affect evaluations of the agent and the news service. The results revealed that attitudes toward the interface agent significantly correlated with evaluations of the entire news service. Moreover, the gender of the participant (...) and of the agent was significant for an evaluation of the credibility and entertainment value of the news service. (shrink)

In his discussions on the psychology of moral judgement, Mair appears as a follower of the via moderna in the footsteps of Gabriel Biel. However, his refinements of, and even conscious disagreement with the Bielian position reveals a degree of originality in his thinking. In all of this, Mair seemed to be interested in the problems of moral psychology throughout his career and endeavoured to find satisfactory solutions even if some remained open to further questions.

In his Questions on Aristotle’s De anima, John Buridan faced the problem, whether it follows from the definition of the term ‘animal’ that all quantitative parts of an animal are to be called animals. His solution was that parts of the animal are to be called animals, though in a extraordinary, non-connotative, sense of the term. The problem variously discussed by some later Buridanian authors from Erfurt. Bartholomaeus Arnoldi de Usingen ends up to deny the use of such terms as (...) ‘animal’ and ‘human being’ as connotative terms. Jodocus Trutfetter, however, uses the distinction between the absolute and connotative senses of these terms without reservation. (shrink)

Francesco Guala has written an important book proposing a new account of social institutions and criticizing existing ones. We focus on Guala’s critique of collective acceptance theories of institutions, widely discussed in the literature of collective intentionality. Guala argues that at least some of the collective acceptance theories commit their proponents to antinaturalist methodology of social science. What is at stake here is what kind of philosophizing is relevant for the social sciences. We argue that a Searlean version of collective (...) acceptance theory can be defended against Guala’s critique and question the sufficiency of Guala’s account of the ontology of the social world. (shrink)

I first distinguish between different forms of the buck-passing account of value and clarify my target in other respects on buck-passers' behalf. I then raise a number of problems for the different forms of the buck-passing view that I have distinguished.

Corporate social responsibility (CSR) has been recently conceptualized and studied as a political phenomenon. Most debates in this scholarship have thus far focused on normative issues. Less attention has been paid to the explanatory potential of CSR research grounded in political theory and philosophy. In this article, we conduct a pragmatist reading of political scholarship on CSR and seek to deploy existing knowledge for research pursuing political explanation. We argue that the political ontologies that underlie scholarship on CSR can be (...) used to transform normative and descriptive research also for explanatory uses. We show how ontologies vary in terms of potential research objects and scopes of political explanation, and argue that the main types of political-ontological stances adopted in scholarship on CSR, foundational and post-foundational stances, offer explanatory analysis of different schematic guidelines. Our pragmatist reading of previous research and an empirical case illustration of political explanation of change in corporate responsibility in the biofuel industry demonstrate the opportunities, limitations, and challenges different political-ontological commitments provide for political explanation. (shrink)

Some philosophers hold that so-called "thick" terms and concepts in ethics (such as 'cruel,' 'selfish,' 'courageous,' and 'generous') are contextually variable with respect to the valence (positive or negative) of the evaluations that they may be used to convey. Some of these philosophers use this variability claim to argue that thick terms and concepts are not inherently evaluative in meaning; rather their use conveys evaluations as a broadly pragmatic matter. I argue that one sort of putative examples of contextual variability (...) in evaluative valence that are found in the literature fail to support the variability claim and that another sort of putative examples are open to a wide range of explanations that have different implications for the relationship between thick terms and concepts and evaluation. I conclude that considerations of contextual variability fail to settle whether thick terms and concepts are inherently evaluative in meaning. In closing I suggest a more promising line of research. (shrink)

“Whatever matters to human beings, trust is the atmosphere in which it thrives” writes Sissela Bok. Although trust is ubiquitous, understanding trust is a non-trivial challenge. Trust: Analytic and Applied Perspectives addresses critical and analytical issues of trust. It examines trust from a conceptual perspective as well as considers it in practical contexts ranging from the public sphere broadly understood to particular social institutions, such as universities and medical care. Trust: Analytic and Applied Perspectives explores what kind of good trust (...) is, what kind of goods it can protect and how it can bring about goods, and develops subtle distinctions between trust and other virtues, and between trust and other forms of dependence.The pluralism of the volume reflects the diversity of the real world contexts and theoretical perspectives indispensable in the search of a deeper understanding of trust. Without such an understanding of the nature of trust and the good reasons why people might trust one another or the institutions, we are in danger of designing institutions that will reduce trust or even drive it out. Trust: Analytic and Applied Perspectives sheds new light on the intersecting dimensions of our social cooperation, in which trust can be responsibly undertaken. (shrink)

The Buridanian view of the concrete cognition as the general characteristics of sense perception was adopted by Jodocus Trutfetter and Bartholomaeus Arnoldi of Usingen. This theory was not accepted merely on the basis of authority, but it was argued against the competing view, which appeared as legitimate inside the late medieval school of via moderna.

Recently the role of customary local institutions in the conservation of biological diversity has become a topic of widespread interest. In this paper the conservation value of one such institution, traditionally protected forest, is studied with regard to its ecological representativity and institutional persistence. On the basis of a case study from Mozambique the paper concludes that traditionally protected forests do have a practical conservation value, especially as fire refuges and in the preservation of metapopulations of endangered species. However, it (...) is also important to recall their spiritual aspect, which is crucial for their continuing appreciation and upholding. Even though customary institutions are still strong in the study area, they are subject to power struggles at both local and national levels. In the present context of political transition, any outside interventions regarding such local institutions as sacred forests, which have high symbolic value, should be considered carefully. (shrink)

Normative explanations of why things are wrong, good, or unfair are ubiquitous in ordinary practice and normative theory. This paper argues that normative explanation is subject to a justification condition: a correct complete explanation of why a normative fact holds must identify features that would go at least some way towards justifying certain actions or attitudes. I first explain and motivate the condition I propose. I then support it by arguing that it fits well with various theories of normative reasons, (...) makes good sense of certain legitimate moves in ordinary normative explanatory discourse, and helps to make sense of our judgments about explanatory priority in certain cases of normative explanation. This last argument also helps to highlight respects in which normative explanation won’t be worryingly discontinuous with explanations in other domains even though these other explanations aren’t subject to the justification condition. Thus the paper aims not only to do some constructive theorizing about the relatively neglected topic of normative explanation but also to cast light on the broader question of how normative explanation may be similar to and different from explanations in other domains. (shrink)

Evaluative and normative terms and concepts are often said to be "essentially contestable". This notion has been used in political and legal theory and applied ethics to analyse disputes concerning the proper usage of terms like democracy, freedom, genocide, rape, coercion, and the rule of law. Many philosophers have also thought that essential contestability tells us something important about the evaluative in particular. Gallie (who coined the term), for instance, argues that the central structural features of essentially contestable concepts secure (...) their evaluativeness. I'll argue that these (widely held) central features are exemplified by many evaluative and non-evaluative terms alike, owing to more general factors (such as multidimensionality) which have nothing in particular to do with being evaluative. The role of these factors in semantic interpretation is subject to a certain kind of "metasemantic" disputes which have the features of the disputes characteristically admitted by essentially contestable concepts (whether evaluative or not) and which can be similarly substantive and worthwhile. In closing I'll discuss how my argument shows that our understanding of evaluative disagreement needs refinement. The overall upshot is that essential contestability shows nothing deep or distinctive about the evaluative in particular. (shrink)

The present article discusses the concept of synderesis in the late medieval universities of Erfurt and Leipzig and the later developments in Wittenberg. The comparison between Bartholomaeus Arnoldi of Usingen in Erfurt and Johannes Peyligk in Leipzig shows that school traditions played an important role in the exposition of synderesis by the late medieval scholastic natural philosophers. However, Jodocus Trutfetter's example warns against overemphasizing the importance of the school traditions and reminds us of the manifold history of medieval discussions on (...) synderesis, which were more or less familiar to many authors of this period. Finally, the diverse references to synderesis in the texts of Martin Luther, Johannes Bernhardi of Feldkirch and Philip Melanchthon reveal no uniform relationship with late medieval discussions but rather indicate various ways of adopting scholastic ideas and transforming them in the context of humanist and reformation thinking. (shrink)

I defend moral generalism against particularism. Particularism, as I understand it, is the negation of the generalist view that particular moral facts depend on the existence of a comprehensive set of true moral principles. Particularists typically present "the holism of reasons" as powerful support for their view. While many generalists accept that holism supports particularism but dispute holism, I argue that generalism accommodates holism. The centerpiece of my strategy is a novel model of moral principles as a kind of "hedged" (...) principles that incorporate an independently plausible "basis thesis" concerning the explanation of moral reasons. The model implies that moral reasons requires the existence of a comprehensive set of true hedged principles, and so it captures generalism. But the model also offers an alternative explanation of holism, and so it undercuts much of the motivation for particularism. I defend this moderate (because holism-tolerating) form of generalism against a number of objections, and show how it can be used to defeat three distinct arguments from holism to particularism. (shrink)

X‐linked agammaglobulinemia is a heritable immunodeficiency disease caused by a differentiation abnormality, resulting in the virtual absence of B Iymphocytes and plasma cells. The affected gene encodes a cytoplasmic protein tyrosine kinase, Bruton's agammaglobulinemia tyrosine kinase, designated Btk. Btk and the other family members, Tec, Itk and Bmx, contain five regions, four of which are common structural and functional modules that are found in other signaling proteins. Mutations affect all domains of the gene, but amino acid substitutions seem to be (...) confined to certain regions. More than 150 unique mutations have been identified and are collected in a mutation database, BTKbase. Here we discuss the three‐dimensional structural implications of such mutations and their putative functional role. Of special interest are mutations affecting the pleckstrin homology domain, as Btk is the only disease‐associated protein so far reported to carry mutations in this particular module. (shrink)

The core doctrine of ethical intuitionism is that some of our ethical knowledge is non-inferential. Against this, Sturgeon has recently objected that if ethical intuitionists accept a certain plausible rationale for the autonomy of ethics, then their foundationalism commits them to an implausible epistemology outside ethics. I show that irrespective of whether ethical intuitionists take non-inferential ethical knowledge to be a priori or a posteriori, their commitment to the autonomy of ethics and foundationalism does not entail any implausible non-inferential knowledge (...) in areas outside ethics (such as the past, the future, or the unobservable). However, each form of intuitionism does require a controversial stand on certain unresolved issues outside ethics. (shrink)

This paper presents an alternative to the standard view that the evaluations that the so-called "thick" terms and concepts in ethics may be used to convey belong to their sense or semantic meaning. I describe a large variety of linguistic data that are well explained by the alternative view that the evaluations that (at least a very wide range of) thick terms and concepts may be used to convey are a certain kind of defeasible implications of their utterances which can (...) be given a conversational explanation. I then provide some reasons to think that this explanation of the data is superior to the standard view, but a fuller assessment must await further work. In closing I briefly survey the largely deflationary consequences of this account regarding the significance of thick terms and concepts for evaluative thought and judgment. (shrink)

This paper offers a simple response to the Moral Twin Earth (MTE) objection to Naturalist Moral Realism (NMR). NMR typically relies on an externalist metasemantics such as a causal theory of reference. The MTE objection is that such a theory predicts that terms like ‘good’ and ‘right’ have a different reference in certain twin communities where it’s intuitively clear that the twins are talking about the same thing when using ‘good’. I argue that Boyd’s causal regulation theory, the original target (...) of the MTE objection, was never vulnerable to this objection. The theory contains an epistemic constraint on reference which implies that either the property that causally regulates uses of ‘good’ isn’t different for the twin communities or, in scenarios where the reference is different, the communities diverge in ways where it’s not intuitively clear that ‘good’ has the same reference for them. (shrink)

Jodocus Trutfetter (also Trutvetter) was a philosopher and theologian of the via moderna, at the University of Erfurt, in the late fifteenth and early sixteenth centuries. His main works include a textbook on logic, the Summule totius logice, and another on natural philosophy, the Summa in totam physicen. As a proponent of the via moderna, Trutfetter stressed the importance of taking both ancient and modern authorities into account. In questions concerning universals, categories, and psychology, his views were close to those (...) of John Buridan. On the relationship between theology and philosophy he shared, for the most part, William of Ockham’s position. (shrink)