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The 2015 Disneyland outbreak of measles in the US unequivocally brought to light what had been brewing below the surface for a while: a slow but steady decline in vaccination rates resulting in a rising number of outbreaks. This can be traced back to an increasing public questioning of vaccines by an emerging anti-vaccination movement. This article argues that, in the face of diminishing vaccination rates, childhood vaccinations should not be seen as part of the domain of parental choice but, (...) instead, as a non-negotiable legal obligation. The first part of the article formulates and defends two arguments in favour of unqualified mandatory childhood vaccination laws. First, government should not permit parents to put their children at avoidable risk of death and suffering; second, government should guard the common good of herd immunity to protect vulnerable persons. The second part rejects legal and pragmatic objections against such mandatory vaccination laws. (shrink)

Definition of the problem: The connection between time and the good life has already been worked out for a number of medical specialties and practices. However, what role does the temporality of the good life play for medicine as a whole? That is the central question of this article. Arguments: The good life is here understood as a meaningful life. Living meaningfully is only possible through present action. A fulfilled presence in this sense is therefore an essential aspect of the (...) temporality of the good life. Illness tends to prevent a fulfilled presence. In this respect, medical treatments aim to enable a fulfilled presence. A second structure of time, that is central to the good life, consists in the chronobiological rhythms, upon the maintenance and restoration of which health is critically dependent. Conclusion: The temporality of the good life has a twofold relevance for medicine as a whole. First, the purpose of medical treatment is to enable a fulfilled present. Second, this can and should be done by maintaining and restoring chronobiological rhythms. ++++ Der Zusammenhang von Zeit und gutem Leben wurde bereits für eine Reihe medizinischer Disziplinen und Praktiken herausgearbeitet. Doch welche Rolle spielt die Zeitlichkeit des guten Lebens für die Medizin insgesamt? Das ist die leitende Frage dieses Artikels. Dabei wird das gute Leben als sinnvolles Leben verstanden. In diesem Sinne wird für eine zweifache medizinische Relevanz der Zeitlichkeit des guten Lebens argumentiert: Erstens besteht der Sinn medizinischer Behandlungen in der Ermöglichung erfüllter Gegenwart. Zweitens kann und sollte ebendies u. a. durch die Wahrung und Wiederherstellung der chronobiologischen Rhythmen geschehen. (shrink)

Definition of the problem: Contemporary bioethics as an academic discipline mainly focuses on moral questions – according to its articulated self-concept and the explicit arguments in most areas of bioethical reflection. Concepts and theories of the good life are hardly considered. Arguments: In reality the ‘good life’ plays a much more important role than it is assumed, but mostly only in an implicit way. The article demonstrates this by referencing three selected fields of bioethical discussion. Hence the article argues that (...) bioethics should turn the ‘good life’ into an issue of intense, explicit and systematic consideration. Furthermore, the article provides an initial answer to the questions as to why the ‘good life’ has been marginalized within bioethics up to this point and which function it can assume in future bioethical reflection. Conclusion: The ‘good life’ is the blind spot of bioethics. A more intensive and systematic consideration of the ‘good life’ is a challenge for contemporary and future bioethics. (shrink)

A woman is found lying dead on the floor of the living room of her house in Leiden, the Netherlands, and because of a swollen and a slightly wounded eyelid, an autopsy is performed on the body the day after it is found. Behind the wound, there is a whole ballpoint pen, which entered the head of the deceased through her right eye causing mortal brain damage. How did it get there? This question was to cause a stir in Dutch (...) society, holding a group of police detectives and several scientists in its grip for several years. In this article, the ballpoint case is analyzed as to the boundary work between credible and noncredible expertise. As it is often assumed that boundary work in continental law is preempted by the structure of these law models, this case study adds a comparative note to the growing literature about science and the law. (shrink)

The Lorentz transformation of space and time between two reference frames is one of the pillars of the special relativity theory. As a result of the Lorentz transformation, space and time are only relative and are entangled, while the Minkowski metric is Lorentz invariant. For this reason, the Lorentz transformation is one of the major obstructions in the development of physical theories with quantized space and time. Here is described the Lorentz transformation of a physical system with a discrete dynamical (...) time and a continuous space that fulfills Lorentz invariance while approximating the Lorentz transformation at the time continuous limit and the Galilei transformation at the classical limit. Furthermore, the discreteness of time is not mixed with the continuous nature of space, making time distinct from space. (shrink)

The contribution focuses on Neo-Confucian texts as collected by Zhu Xi and Lü Zuqian and is a look from the ‘outside’, from the perspective of German theories of Bildung. It aims at demonstrating that among other insights that today’s readers may gather from Neo-Confucian literature, one aspect protrudes from others: that learning can be considered as a virtue—even a meta-virtue—a form of life and mode of self-formation of the person. It does not seem exaggerated, from this perspective, to state that (...) Neo-Confucian philosophy is—to a large extent—a philosophy of learning and self-transformation which offers fruitful irritants for questioning the widespread habits of thinking about skills and their development in today’s strong and problematic discourses and corresponding educational policies. (shrink)

Nothing seems more possible to me than that people some day will come to the definite opinion that there is no copy in the… nervous system which corresponds to a particular thought, or a particular idea, or, memory.WittgensteinIn a recent essay it was emphasized that brain and mind appear to the mind as complementary and reciprocally recursive domains of a hermeneutic circle (Fischer, 1987). An outstanding and not yet recognized feature of this hermeneutic circle is that interpretation within this circle (...) is not rule-governed and hence appears self-organized: individual features of the world (or the brain) become intelligible in terms of the whole context (of the mind)… while the entire context becomes intelligible through individual features (or brain functions). How, or from where then is significance arising? (shrink)

Although neglected by psychology, self-respect has been an integral part of philosophical discussion since Aristotle and continues to be a central issue in contemporary moral philosophy. Within this tradition, self-respect is considered to be based on one's capacity for rationality and leads to behaviors that promote autonomy, such as independence, self-control and tenacity. Self-respect elicits behaviors that one should be treated with respect and requires the development and pursuit of personal standards and life plans that are guided by respect for (...) self and others. In contrast, the psychological concept of self-esteem is grounded in the theories of self-concept. As such, self-esteem is a self-evaluation of competency ratios and opinions of significant others that results in either a positive or negative evaluation of one's worthiness and inclusionary status. The major distinction between the two is that while competency ratios and others' opinions are central to self-esteem, autonomy is central to self-respect. We submit that not only is self-respect important in understanding self-esteem, but that it also uniquely contributes to individual functioning. Research is needed to establish the central properties of self-respect and their effects on individual functioning, developmental factors, and therapeutic approaches. (shrink)

This article addresses the role of science and science advisory bodies in modeling practices for the support of policy-making procedures in the Netherlands in the field of health care. The authors show, based on a detailed investigation of a prestigious interdisciplinary modeling project in which an economic care model was developed for governmental use, that science advisory bodies are entangled with the policy actors they advise in what we call boundary configurations. Boundary configurations are strongly situated interconnections between science advisory (...) institutes and policy institutions that share a specific approach to problem definitions and methods and that are embedded in specific social, discursive, and material elements. Importantly, as the case study shows, such boundary configurations shape the kind of science, and related, the kind of social and political theories about the world, that is effectuated in modeling practices. In this case study, the boundary configuration in which economic experts and policy makers participated contributed to the articulation of health care in terms of a market-based policy program for the health care sector. (shrink)

C. S. Jenkins has recently proposed an account of arithmetical knowledge designed to be realist, empiricist, and apriorist: realist in that what’s the case in arithmetic doesn’t rely on us being any particular way; empiricist in that arithmetic knowledge crucially depends on the senses; and apriorist in that it accommodates the time-honored judgment that there is something special about arithmetical knowledge, something we have historically labeled with ‘a priori’. I’m here concerned with the prospects for extending Jenkins’s account beyond arithmetic—in (...) particular, to set theory. After setting out the central elements of Jenkins’s account and entertaining challenges to extending it to set theory, I conclude that a satisfactory such extension is unlikely. (shrink)

The aim of this article is to present a conceptualization of cultural groups and cultural difference that provides a middle course between the Scylla of essentialism and the Charybdis of reductionism. The method I employ is the social mechanism approach. I argue that cultural groups and cultural difference should be understood as the result of cognitive and social processes of categorization. I describe two such processes in particular: categorization by others and self- categorization. Categorization by others is caused by processes (...) of ascription: the attribution by outsiders of certain characteristics, beliefs, and practices to indi- viduals who share a specific attribute. Self-categorization is caused by processes of inscription and community-building: the adoption of certain beliefs and practices as a result of socialization and enculturation. I therefore shift the focus from groups to categories, and from categories to processes of categorization. I show that this analytical distinction between categorization by others and self-categorization can clarify an ambiguity in dominant debates in contemporary multiculturalism. I conclude by indicating how injustices, commonly associated with multiculturalism, can better be understood as socially generated injustices, and how government should deal with these injustices. (shrink)

Folter gilt weithin als paradigmatisches Beispiel einer Verletzung der Menschenwürde. Doch was macht Folter zu einem so eindeutigen Fall einer Menschenwürdeverletzung? Das ist die Leitfrage dieses Beitrags. Dazu werden zwei Menschenwürdetheorien herangezogen und auf ihr Potential hin untersucht, die Folter als paradigmatische Menschenwürdeverletzung verständlich zu machen: zum einen Ralf Stoeckers Theorie, die die individuelle Identität und die darauf aufbauende kontingente Würde in den Mittelpunkt stellt; zum anderen meine Theorie, die die menschliche Orientierung an einem sinnvollen Leben ins Zentrum rückt.

Researchers are increasingly expected to deliver “socially robust knowledge” that is not only scientifically reliable but also takes into account demands from societal actors. This article focuses on an empirical example where these additional criteria are explicitly organized into research settings. We investigate how the multiple “accountabilities” are managed in such “responsive research settings.” This article provides an empirical account of such an organizational format: the Dutch Academic Collaborative Centres for Public Health. We present a cross-case analysis of four collaborative (...) research projects conducted within this context. We build on Miller’s notion of “hybrid management.” The article shows that the extended concept of hybrid management is useful to study the different accountabilities encountered in such settings. We analyze how the collaboration developed and which conflicts or dilemmas arose. We then focus on the different hybrid management strategies used in the collaboration. The empirical material shows how the different aspects of hybrid management feature in various configurations in the four projects. We highlight that hybrid management strategies may be used by different groups or at different moments, may reinforce or contradict each other, and may be more or less effective at different points in time. (shrink)

Concrete Causation centers about theories of causation, their interpretation, and their embedding in metaphysical-ontological questions, as well as the application of such theories in the context of science and decision theory. The dissertation is divided into four chapters, that firstly undertake the historical-systematic localization of central problems (chapter 1) to then give a rendition of the concepts and the formalisms underlying David Lewis' and Judea Pearl's theories (chapter 2). After philosophically motivated conceptual deliberations Pearl's mathematical-technical framework is drawn on for (...) an epistemic interpretation and for emphasizing the knowledge-organizing aspect of causality in an extension of the interventionist Bayes net account of causation (chapter 3). Integrating causal and non-causal knowledge in unified structures ultimately leads to an approach towards solving problems of (causal) decision theory and at the same time facilitates the representation of logical-mathematical, synonymical, as well as reductive relationships in efficiently structured, operational nets of belief propagation (chapter 4). (shrink)

Augustine established that the distension of the mind is a necessary condition of our perceiving temporal wholes. At the same time, as Teske explains, this condition is unnatural to the rational soul and results from original sin.

Duncan Pritchard has argued that his basis-relative anti-luck construal of a safety condition on knowing avoids the problem with necessary truths that safety conditions are often thought to have, viz., that beliefs the contents of which are necessarily true are trivially safe. He has further argued that adding an ability condition to truth, belief, and his anti-luck safety conditions yields an adequate account of knowledge. In this paper, we argue that not only does Pritchard’s anti-luck safety condition have a problem (...) with necessary truths, adding an ability condition is of no help. Indeed, the same sort of case that precipitates Pritchard’s introduction of an ability condition shows the inadequacy of his completed anti-luck account of knowledge. Moreover, reconstruing safety as an anti-risk condition as Pritchard has recently done does not fix the problem we’ve identified. We conclude by entertaining a radical suggestion to the effect that the failures of safety-based accounts of modal knowledge are due to failures of doxastic success rather than failures to satisfy an anti-luck (or anti-risk) condition. Accepting this radical suggestion makes available the view that there is, after all, no special problem between safety and necessary truths. (shrink)

How is distributive justice possible with respect to immigration if political decisions about entry and membership cannot be grounded in the symmetry of a prior commonality, human or otherwise, that could guarantee reciprocal relations between members and nonmembers? This paper deals with both aspects of this question. Initially, it engages critically with Seyla Benhabib's plea for ‘dialogical universalism,’ showing why the strong discontinuity between political and moral reciprocity precludes understanding distributive justice as the process of mediating between political particularity and (...) moral universality. Subsequently, it suggests that a way out of this conceptual and normative impasse can be found in the fact that boundaries create a double asymmetry. This double asymmetry is constitutive for the ‘dia’ of the political dialogue that separates and joins members and nonmembers. This ‘in between,’ which eludes control by the parties to a dialogue, is the realm of distributive justice. (shrink)

Child labor evokes deep emotions and is cause for growing international concern. Most recent global estimates show that 186 million children are engaged in full time economic activity.

We prove that if $A$, $B$ are noncomputable c.e. sets, $A<_{sQ_{1}}B$ and [($B$ is not simple and $A\oplus B\leq _{sQ_{1}}B$) or $B\equiv _{sQ_{1}}B\times \omega $], then there exist infinitely many pairwise $sQ_{1}$-incomparable c.e. sets $\{C_{i}\}_{i\in \omega }$ such that $A<_{sQ_{1}}C_{i}<_{sQ_{1}}B$, for all $i\in \omega $. We also show that there exist infinite collections of $sQ_{1}$-degrees $\{\boldsymbol {a_{i}}\}_{i\in \omega }$ and $\{\boldsymbol {b_{i}}\}_{i\in \omega }$ such that for every $i, j,$ (1) $\boldsymbol {a_{i}}<_{sQ_{1}}\boldsymbol {a_{i+1}}$, $\boldsymbol {b_{j+1}}<_{sQ_{1}}\boldsymbol {b_{j}}$ and $\boldsymbol {a_{i}}<_{sQ_{1}}\boldsymbol {b_{j}}$; (...) (2) every c.e set in $\boldsymbol {a_{i}}$ is a maximal set; and (3) every c.e. set in $\boldsymbol {b_{j}}$ is a non-maximal hyperhypersimple set. We prove that a noncomputable c.e. $sQ$-degree contains either only one or infinitely many c.e. $sQ_{1}$-degrees. The $sQ_{1}$-degrees of c.e. cylinders are dense upper semilattice. (shrink)

This article tries to establish a possible close affinity between Malebranche’s “Research after Truth” and Proust’s one. There are some surprising parallels on the level of the description and the status of the sensations and the dreams. But moreover, we will suggest how some aspects of Malebranche’s metaphysical project resonate in Proust’s vision on art.

Born the illegitimate son of a priest, and plagued throughout life by illness and poverty, Erasmus of Rotterdam was sought everywhere for his wit and erudition. No man in Europe had so many friends in high places: a lifelong cosmopolitan, he moved from country to country, lodging in palaces and in the households of public printers, a friend of Thomas More and Henry VIII and a correspondent of Luther and the pope. A true man of letters, Erasmus wrote and translated (...) tirelessly; arguing, teaching, campaigning for the purification of the church. He ridiculed worldly prelates, but deplored Reformers who broke from Rome. On all occasions he spoke for moderation in thought and action, for classical humanism and a Christianity of the inward spirit. Still, he lived to see many of his friends imprisoned, beheaded, or burned for their beliefs, and he himself was accused of heresy. Through charming and frequently humorous glimpses of the people and scenes of Erasmus s life, Professor Bainton suggests the amplitude of his hero s nature. An affectionate appreciation "Time Magazine" calls "Erasmus of Christendom." In Bainton s view, the current revolution in the church makes the Erasmian message even more pertinent and perhaps more poignant than ever before. Woodcut images and illustrations throughout. Hendrickson Classic Biographies feature enduring stories about real people whose lives have been touched and transformed by God, and who in turn have touched others with God s love. Each story has been carefully selected, gently edited if necessary, and freshly typeset, making every account be it ancient or contemporary a compelling read. Great lives reaching across the ages to touch lives today, encouraging, challenging, and inspiring.". (shrink)

In this article, the author analyses Cernuda’s long poem “Lazaro”, in order to elucidate the inner relation between desire and reality that is central in his entire work. That relation is important not only in order to understand how imagination influences poetical creation, but also how poetical creativity acquires its autonomy and independency.

Definition of the problem: The ethical debate about assisted suicide remains controversial and is also based in part on assumptions that are taken for granted, but which, on closer inspection, lack a justification. Arguments: The article develops a new approach by focusing on the social dimension of the denial of meaning in life, which is often expressed by suicides. For a fundamental social connection is included in the human orientation towards the goal of a meaningful life, namely an implicit appreciation (...) of human beings as potential sources of meaning and as subjects of judgments about the meaningfulness. Suicides tend to deny this connection. Conclusion: This understanding of suicide can, among other things, adequately understand the meaning of (assisted) suicide and justify the widely shared assumptions of a primacy of suicide prevention and a conscientious objection right of doctors. (shrink)

We would like to conduct a phenomenological analysis of illness beyond the characteristics which define it scientifically, in order to consider the suffering experience of the sick person which, in reality, constitute its authentic truth. Following Michel Henry’s philosophy which defines life as pathetic self-affection, we will understand that illness may and must first of all be considered as an intense form of this unsurmountable link to one’s self which concerns the very essence of everyone of us as a living (...) ipseity. Then, if “One does not feel”, if suffering is always a founding individual experience, the principle that medicine should be attentive to the subjective experience of patients is consequently established. Then we can also begin to understand the enigma of a patient’s attachment to his illness, to the point of refusing to be cured, as an inappropriate existential expression of an ontological fear of losing oneself. (shrink)