Since the late 1980s, the fetal origins of adult disease, from 2003 developmental origins of health and disease (DOHaD), has stimulated significant interest in and an efflorescence of research on the long-term effects of the intrauterine environment. From the start, this field has been interdisciplinary, using experimental animal, clinical and epidemiological tools. As the influence of DOHaD on public health and policy expanded, it has drawn criticism for reducing the complex social and physical world of early life to women’s reproductive (...) bodies as drivers of intergenerational ills. This paper explains this narrowing of focus in terms of a formative and consequential exchange between David Barker, the British epidemiologist whose work is credited with establishing the field, and the discipline of fetal physiology. We suggest that fetal physiologists were a crucial constituency of support for Barker’s hypothesis about early life origins of disease. Their collaborations with Barker helped secure and sustain the theory amid considerable controversy. The trajectory of DOHaD and its focus on the maternal body can be understood, we argue, as a consequence of this alliance, which brought together two distinct conceptualizations of the intrauterine environment, one from epidemiology and the other from fetal physiology. Along the way, we trace the histories of these conceptualizations, both of which were products of mid-to-late twentieth century British science, and show how Barker’s early emphasis on social and economic conditions was superseded by a narrower focus on physiological mechanisms acting upon the autonomous fetus. (shrink)

This title examines the fields of value theory, normative and applied ethics on the issue of killing animals. It addresses a number of questions: Can painless killing harm or benefit an animal and, if so, why and under what conditions? Can coming into existence harm or benefit an animal? Is killing animals morally acceptable? Should animals have the legal right to life? In addressing these questions, animal rights and animal welfare positions are articulated and debated by some of the foremost (...) thinkers on these issues, with a distinction made between rights-based and utilitarian approaches. (shrink)

This paper focuses on a crucial and insufficiently examined issue of the conflict between legality and legitimacy, seen as a key element in securing continuity and providing the intellectual justification of the Francoist regime. Without analyzing the tension between legality and legitimacy, it is impossible to comprehend and successfully dismantle the thesis of the regime's intellectuals, recently revitalized by revisionist historians, according to which Francoism succeeded in re-establishing historical continuity and political normalcy in Spanish society. In the context of the (...) Cold War, it was crucial for Spanish legal scholars to portray Francoism not as a bastion of anti-liberalism, but as a regime whose survival entailed an original interpretation of notions such as freedom, rule of law, sovereignty and authority. They argued that the significance of Francoism consisted not only in defeating liberalism in Spain but in offering an alternative interpretation of its main tenets. By aspiring to justify and overcome its own historical exceptionality, the Francoist regime sought to avoid the inevitability of its demise. By virtue of its failure to do so, Francoism remained outside the European political norm, to which only democratic Spain would be re-admitted. (shrink)

With growing opportunities for medical doctors to work either in academia and industry, research ethics education for health sciences research, meaning research which includes humans and animals and/or their tissues and cells with the goal to understand underlying mechanisms of disease occurrence and disease treatment, is of paramount importance, especially in regions, such as Serbia, where comprehensive research ethics curricula for physician researchers are lacking. This article addresses the spectrum of research ethics topics that were identified through analysis of the (...) existing research ethics curricula in medical schools, international organizations, Serbian legislative codes and the PubMed database applying the key search terms: ethics, research, biomedical, education, curriculum, program, course and their combinations. Selected topics were classified in eight syllabi based on their similarity: #1 Responsible conduct of research, #2 Justice in human subjects research, #3 Research on human subjects, #4 Vulnerable population groups, #5 Conflict of interest, #6 Research on animals, #7 Research on genes, cells and embryos, and #8 Organization of research ethics. Justifications for each syllabus are discussed based on empirical evidence and local context. Higher education authorities could use this framework to strengthen, adjust or refine research ethics education for physician researchers in Serbia. (shrink)

What are the intellectual origins of the ecological crisis? Which approach can offer an alternative? In the first part of this paper, I argue that the crisis was caused not by faith in reason as such, but instead by distortions of reason. Further, I consider the intellectual prerequisites for ecological destruction, the ultimate cause of which can be seen in the transitional state of our civilisation from a dependent to an interdependent mode of interaction with the biosphere. A possible remedy (...) to this can be the reconciliation of humankind with the biosphere by means of the Gestalt approach. (shrink)

The aim of this paper was to examine the professional burnout of professional associates (51 psychologists and 70 pedagogues) in primary and secondary schools in relation to socio‑demographic determinants. The MBI – Questionnaire for experts in helping occupations was applied. The most common symptoms of professional burnout are in the domain of personal achievement (76%), followed by emotional exhaustion (63.6%) and depersonalization (62%). The results indicate that there is a difference between school pedagogues and psychologists in terms of depersonalization and (...) personal achievement. When it comes to the level of the school where professional associates work, the difference is determined on the scale of depersonalization. Considering the location where the school is located, differences are present in relation to emotional exhaustion and depersonalization, with professional burnout being higher in suburban schools. The research results point to the need for psychological‑pedagogical preventive work, encouraging social support and teamwork. In subsequent research, it is necessary to include expert associates from other institutions, and to apply other instruments related to professional burnout. (shrink)

Following publication of the original article [1], the author reported that the values for LV1, LV2, LV3 and LV4 in row “Website section” of Table 2 should be corrected as follows.

Im Zentrum der Ästhetik und Kulturtheorie des nahezu vergessenen jüdischen Aufklärers Lazarus Bendavid (1762-1832) steht das Verhältnis von moralischem und ästhetischem Fortschritt. Dieser Aufsatz stellt drei komplementäre Theorien Bendavids vor, denen zufolge ästhetische Phänomene Moralität befördern: Erstens behauptet Bendavid, dass die ästhetische Selbsterfahrung auch die Einfühlung in andere Menschen ermögliche und deshalb zu deren Anerkennung einen entscheidenden Beitrag leiste. Zweitens geht er davon aus, dass der Ästhetiker sich nicht nur theoretisch erkennt, sondern auch praktisch-autopoietisch bestimmt. Zugleich Künstler und Kunstwerk, verwirklicht (...) er durch kulturelle Artefakte seine Autonomie. Drittens verbindet sich mit der Ästhetik eine Rechtfertigung des Menschen: Trotz aller menschlichen Unzulänglichkeiten sieht die ästhetische Einstellung die Gleichheit und Zusammengehörigkeit aller Menschen und verheißt damit einen moralisch besseren Zustand in der Zukunft. The works of Jewish enlightenment thinker Lazarus Bendavid (1762-1832) are virtually forgotten today. His aesthetic and cultural theory focused on the relationship between moral and aesthetic progress. The present essay discusses Bendavid’s three complementary theories on how aesthetic phenomena promote morality: Firstly, he claims that aesthetic self-experience leads to empathy and therefore to social recognition. Secondly, he suggests that aesthetics do not only facilitate theoretical self-knowledge, but also practical, autopoietic self-determination. At once artist and artwork, the human subject realizes autonomy through cultural artefacts. Thirdly, he associates aesthetics with a justification of man: Despite all human shortcomings, an aesthetic attitude helps recognizing the equality and shared identity of all people and thereby promises a morally superior state in the future. (shrink)

The aim of this paper is to get from a phenomenology of birth towards an ethics of obstetric care: Human rights violations in obstetrics are currently a globally debated phenomenon. Research suggests that maltreatment is widespread and a global phenomenon. However, the prevalence cannot yet be clearly quantified. In view of this problem, it is necessary to take the subjective perspective of those affected seriously. Narrative and phenomenological accounts of birth experiences could help to foster the dialogue between persons giving (...) birth and health professionals. First, I will present narrative accounts of birth experiences recorded by feminist phenomenologists. Second, I will interpret these narrative accounts within a feminist phenomenological framework in order to contribute to a phenomenology of birth, which, in a third step, shall help to develop an ethics of obstetric care. In engaging with the phenomenology of care outlined by feminist care ethicists, I will analyze the elements and conditions of good care, and draw conclusions for an ethic of obstetric and midwifery care. Drawing additionally on the theory of relational autonomy, my paper argues for a relational implementation of self-determination in childbirth. Lastly, I will discuss to what extent the ethical ideal of care has an affinity to the midwifery model of childbirth, and how the current situation of obstetrics prevents a women-centered birth culture. (shrink)

The purpose of this article is to discuss the criminalization of conduct based on human dignity arguments. It proposes a modest version of integrating human dignity into discussions about criminalization. After a critical examination of both the notion of “human dignity as an objective value” and the assumption that the meaning of human dignity can be explained by referring to Kant’s moral philosophy, human dignity violations are characterized as severe humiliations.

ZusammenfassungWie ist die Auswahl zukünftiger Kinder in moralischer Hinsicht zu beurteilen? Der Beitrag untersucht diese Frage auf der Basis eines liberalen Prinzips der reproduktiven Freiheit, welches Handlungsspielräume und Privatsphäre in Fragen der Fortpflanzung verteidigt, wenn nicht gewichtige moralische Gründe aufgezeigt werden können, welche den Handlungen der beteiligten Personen Grenzen setzen. Er beschränkt sich auf die negative Auswahl, d. h. die Auswahl von gesunden Kindern anstelle von zukünftigen Kindern mit Behinderung oder gesundheitlicher Beeinträchtigung. Erörtert werden selektionsbefürwortende Überlegungen, welche das Wohlergehen des (...) zukünftigen Kindes in den Fokus rücken, und zwei grundsätzlich selektionskritische Argumente. Das erste verweist auf parentale Tugenden, welche mit der Auswahl zukünftiger Kinder unvereinbar wären. Bei dem zweiten handelt es sich um den Einwand der Diskriminierung von Menschen mit Behinderung. Das Ergebnis der Diskussion ist, dass es zukünftigen Eltern in den meisten Fällen freisteht, die Entscheidung über die Auswahl ihrer Kinder im Licht ihrer Ziele und Werte zu treffen. (shrink)

Driven by concern about the suffering of animals in nature, Christopher Belshaw (2016) argued that if we were exclusively concerned with these animals’ good, we should reduce the number of free-living animals. We should prevent free-living animals from coming into existence and, if this is not possible, we should painlessly end their lives as soon as we can. This holds, according to Belshaw, even if the future lives of these animals would contain much more enjoyment than suffering. Belshaw’s argument rests (...) on two premises. First, he assumes that death does not harm an animal in a way that matters. Second, he takes it that most free-living animals lead a life of uncompensated suffering because the enjoyments in an animal’s life, even if more predominant, cannot outweigh the animal’s suffering. Therefore, since uncompensated suffering exists in about every animal’s life and matters morally and killing the animal does not harm the animal in a way that matters, killing the animal is an appropriate intervention with the aim of preventing its suffering. This article criticizes both assumptions of Belshaw’s argument and shows that his conclusion is insufficiently supported. (shrink)

Dominant cultural ideologies of motherhood define the nature of mother love. Recent developments in motherhood studies, and the work of a small number of feminist philosophers and scholars of motherhood, have challenged the tenets of these ideologies by daring to speak the “unspeakable”: that mother love is often and for all mothers, whether consciously or not, permeated by powerful negative and conflicting emotions termed maternal ambivalence. In this essay, relying on recorded personal narratives by Bosnian women who are raising children (...) born of wartime rape, as well as recent studies on empowered motherhood, my aim is to show that maternal love, like love in any other close relationship, encompasses and assimilates healthy ambivalence, and can inform maternal care in a constructive and positive manner. I argue that the acknowledgment of healthy maternal ambivalence as an integral aspect of mother love involves honoring the mother's subjectivity and validates her personhood, and as such it opens up the possibility of redefining mother love in terms that are empowering to mothers. (shrink)

To systematically compare welfare across species, it is first necessary to explore whether welfare subjects of different species have the same or rather a different capacity for welfare. According to what seems to be the dominant philosophical view, welfare subjects with higher cognitive capacities have a greater capacity for welfare and are generally much better off than those with lower cognitive capacities. Višak carefully explores and rejects this view and argues instead that welfare subjects of different species have the same (...) capacity for welfare despite different cognitive capacities. This book prepares the philosophical ground for comparisons of welfare across species. It will inform and inspire ethicists and animal welfare scientists alike, as well as a broader readership interested in wellbeing, animals, and ethics. (shrink)

This essay uses the case of the fin-de-siècle Vienna embryologist Samuel Leopold Schenk to analyze the factors at play in allegations of misconduct. In 1898, Schenk published a book titled Theorie Schenk. Einfluss auf das Geschlechtsverhältnis (Schenk’s theory. Influence on the sex ratio). The book argued that, by changing their diet, women trying to conceive could influence egg maturation and consequently select the sex of their offspring. This cross between a scientific monograph and a popular advice book received enormous publicity (...) but also spurred first the Vienna Medical Association and then the Senate of the University of Vienna to accuse Schenk of poor science, self-advertisement, quack medical practice, and wrong publisher choice. Formal proceedings against Schenk ended in 1900 with the unusually harsh punishment of early retirement. Schenk died two years later. I examine the elements of the case, from the science of sex determination and selection, to the growth of print media and advertising within the changing demographic and political landscape of Vienna. I argue that the influence of the public, via the growing media, upon science was the main driver of the case against Schenk, but also that the case would have had a more limited impact were it not for the volatile political moment rife with anti-Semitism, nationalism, and xenophobia. I draw the attention to the importance of setting cases of misconduct in the broader political history and against the key social concerns of the moment. (shrink)

Researching ethical problems and their frequency could give us a complex picture and greater insight into the types of ethical issues that pharmacists face in providing health care. The overall aim of this study was to assess the pharmacist’s perception of difficulty and frequency of selected ethical issues encountered by the community pharmacists in their everyday practice. A quantitative cross sectional multicenter study was performed using a validated survey instrument - Ethical Issue Scale for Community Pharmacy. The results of the (...) analysis of 690 completely filled out instruments showed the difference between the ethical issues which always occurred, and the ones that pharmacists found most difficult. The majority of respondents were familiar with the Code of Ethics but the correlation between the familiarity and the perceived usefulness of the code in resolving problems in everyday practice was negative. Results showed that patients’ well-being had a high influence on pharmacists’ behavior. The results provided quantitative data by the examination of specific ethical issues and their occurrence. Further empirical research is recommended in order to systematically identify the ethical issues faced by community pharmacists. (shrink)

Crispin Wright hat vorgeschlagen, Superassertibilität – stabile oder dauerhafte gerechtfertigte Behauptbarkeit – als Wahrheitsprädikat für den moralischen Diskurs aufzufassen. Dieser Vorschlag wird hier aufgenommen, spezifiziert, auf Probleme hin untersucht und verteidigt. Ausgangspunkt der Überlegungen ist dabei die Annahme, dass es attraktiv ist, in der Debatte um Grundlagenfragen der Ethik eine Position zu beziehen, die sich vom moralischen Realismus einerseits und andererseits vom Expressivismus, von einer Irrtumstheorie und vom moralischen Fiktionalismus unterscheidet. Für diese Richtungsentscheidung kann hier nicht befriedigend argumentiert werden; sie (...) wird aber wenigstens in Teilen motiviert. Wrights Vorschlag ist nur auf dem Hintergrund seiner minimalistischen Konzeption der Wahrheit angemessen zu verstehen. Ich erläutere und kommentiere seine wahrheitstheoretischen Überlegungen so weit, wie dies nötig ist. Schließ­lich konturiere ich die Idee der moralischen Superassertibilität und weise zwei Einwände gegen die Identifikation von moralischer Wahrheit mit Superassertibilität zurück. (shrink)

Jedes Jahr werden weltweit mehr als 65 Milliarden Landtiere für den menschlichen Verzehr getötet. Für einen durchschnittlichen amerikanischen Fleischkonsumenten sind das jährlich etwa 25 Landtiere, vor allem Hühner. Hinzu kommen etwa 12 Fische und 137 andere Meerestiere. Nicht nur für Fleisch werden Tiere getötet. Auch die Milch- und Eierproduktion geht mit dem Töten von Tieren einher. So werden zum Melken verwendete Kühe meist nach wenigen Lebensjahren wegen abnehmender Produktivität getötet, und deren männliche Kälber enden direkt in der Fleischindustrie. Ohne jährlich (...) geschwängert zu werden, geben die Kühe nämlich keine Milch, und die Hälfte der Kälber ist männlich und daher zur Milchproduktion ungeeignet. Auch die männlichen Küken der Legehennen werden direkt geschreddert oder vergast, da sie keine Eier legen und sich für die Fleischproduktion nicht eignen. Auch in anderen Kontexten töten Menschen Tiere, sowohl direkt – z. B. im Rahmen von Tierversuchen oder Automobilität – als auch indirekt, z. B. durch Umweltverschmutzung, den Klimawandel und die Vernichtung von natürlichen Lebensräumen. Unsere Essgewohnheiten gehen einher mit massiven, routinemäßigen und intentionalen Tötungen. Da es sich bei der Ernährung mit tierlichen Produkten meist nicht um eine Notwendigkeit handelt, sondern vielmehr Gewohnheit und geschmackliche Vorzüge eine Rolle spielen, und da den betroffenen Tieren im Allgemeinen ein moralischer Stellenwert zugesprochen wird, drängt sich die Frage nach der Rechtfertigung dieses Tötungszwecks auf. (shrink)

Tatjana Noemi Tömmel and Florian Grosser speak with Peter Trawny, the philosopher whose editions and interpretations of Martin Heidegger's work have strongly and lastingly shaped the view of Heidegger's thought.

An academic integrity policy usually specifies the university’s ethical principles and values, the forms of appropriate academic behaviour, the penalties for academic malpractice and the procedures for handling policy violations. However, the policy does not itself create academic integrity, but needs to be consistently and effectively communicated, implemented, and applied. This paper presents a case study investigating the extent to which students at Riga Technical University are informed about the university’s academic integrity policy. This quantitative research was performed by surveying (...) two groups of respondents: domestic students in the first year of their bachelor’s studies and the heads of the corresponding study programmes. The results revealed a low level of students’ awareness of the university policy on academic integrity and a lack of systematic institutional approach to promoting academic integrity. The study results also indicated that students with a higher awareness of the university policy on academic integrity were less tolerant towards violations and perceived academic integrity as an essential aspect for both the academic community and student life. These findings establish a foundation for a more extensive discussion of academic integrity issues in Latvia. They can also serve as impetus for similar studies in other Latvian universities, as well as research taking an international comparative perspective. (shrink)

Academic integrity determines the trust that society has in the quality of education and the results of scientific research. More broadly, it influences honesty, respect for ethical principles, and the fair behaviour of society members. Accordingly, higher education institutions should have clear, transparent and well-communicated policies to defend academic integrity among all stakeholders. Taking into account the worldwide dependence on digital technologies, online communication channels should be also used for this purpose. Using qualitative content analysis, this paper aims to investigate (...) how academic integrity is framed by Latvian and Lithuanian state-financed universities in online public spaces in relation to the criteria of an exemplary academic integrity policy. Given the limited content of publicly available university documents, the research findings indicated a poor correspondence to the mentioned criteria. (shrink)

Many problems that arise when providing pharmacy services may contain some ethical components and the aims of this study were to develop and validate a scale that could assess difficulties of ethical issues, as well as the frequency of those occurrences in everyday practice of community pharmacists. Development and validation of the scale was conducted in three phases: generating items for the initial survey instrument after qualitative analysis; defining the design and format of the instrument; validation of the instrument. The (...) constructed Ethical Issue scale for community pharmacy setting has two parts containing the same 16 items for assessing the difficulty and frequency thereof. The results of the 171 completely filled out scales were analyzed. The Cronbach’s α value of the part of the instrument that examines difficulties of the ethical situations was 0.83 and for the part of the instrument that examined frequency of the ethical situations was 0.84. Test–retest reliability for both parts of the instrument was satisfactory with all Interclass correlation coefficient values above 0.6,. The 16-item scale, as a self assessment tool, demonstrated a high degree of content, criterion, and construct validity and test–retest reliability. The results support its use as a research tool to asses difficulty and frequency of ethical issues in community pharmacy setting. The validated scale needs to be further employed on a larger sample of pharmacists. (shrink)

Platonas, 2022. Iš senosios graikų kalbos vertė, įvadą ir komentarus parengė Mantas Adomėnas. Opera Platonis. Vilnius: Phi knygos, 128 p. ISBN 9786098236255.

Wittgenstein ist auf vielschichtige Weise mit Rußland verbunden: als Kriegsfreiwilliger an der Ostfront, als eifriger Leser von Tolstoi und Dostojewski, als Freund Nikolai Bachtins und als Reisender in der Sowjet-Union. Wittgensteins Verhältnis zu Nikolai Bachtin - eine Geistesverwandtschaft vor dem Hintergrund humanistischer Bildung, Religiosität, Askese, Patriotismus und Weltbürgertum - und zu dessen Bruder Michail sowie beider Einfuß auf seine Philosophie, speziell in den Philosophischen Untersuchungen, werden im Detail untersucht. Seine Kontakte zu anderen Exilrussen (bes. Fanja Pascal), die Beziehungen der Bachtin-Brüder (...) zum Brenner-Kreis und Wittgensteins Motive für seine Rußlandreise sowie seinen vagen Plan, sich dort niederzulassen, werden anhand von Tagebuchaufzeichnungen und Korrespondenzen rekonstruiert. (shrink)

Definition of the problem The article asks whether vaccination status could become relevant if it is unavoidable to prioritize between patients in intensive care units during a pandemic. The aim is to analyze different approaches and arguments in favor of and against the inclusion of vaccination status. Arguments The following arguments are assessed: First, it has been argued that it is unnecessary to open this discussion. Second, one could make the point that public debates about touchy subjects should be avoided. (...) A third, frequently expressed opinion claims that physicians must never discriminate between vaccinated and unvaccinated patients, either because this is in conflict with human rights or because this is incompatible with the general principle that patients’ prior conduct does not matter. Fourth, behavioral economists argue that intensive care medicine should take vaccination status into account with the goal to improve the overall numbers of vaccinations. A fifth line of thinking argues that it is more just to take vaccination into account. Conclusion The author concludes that the omission to get a necessary and recommended vaccination may be taken into account if patients’ prospects to survive are similar. She points out that lotteries would be worse. (shrink)

For historians of medicine, the professor Theodor Billroth of the University of Vienna was the leading European surgeon of the late nineteenth century and the personification of intervention by organ or body part removal. For social and political historians, he was a German nationalist whose book on medical education heralded the rise of anti-Semitism in the Austrian public sphere. This article brings together and critically reassesses these two hitherto separate accounts to show how, in a period of dramatic social and (...) political change, Viennese surgery split into two camps. One, headed by Billroth, was characterized by an alliance with the German educational model, German nationalism leading to racial anti-Semitism and an experimental approach to the construction of surgical procedure, which heavily relied on the methods of pathological physiology. The other, which followed a long Austrian tradition, stood for a clinically oriented and strictly organized medical education that catered to an ethnically and socially diverse population and, simultaneously, for an anatomically oriented surgery, largely of the locomotor apparatus. This study shows how, in a major centre of medical education and capital of a multiethnic empire, surgical and national identities were forged together. (shrink)