I personally ascribe tremendous importance to the problem of socialization and education: I know of no more important problem. The training of personnel equipped with a high level of specialized qualifications, a scientific worldview, and firm Communist convictions is one of the most important questions of our development. No amount of time is too much to give to its discussion, solution, and philosophical analysis. The convening of this kind of round table, at which representatives of various spheres of scholarship and (...) practice have assembled and at which it is possible to compare and harmonize the most diverse approaches to this interdisciplinary problem, is a very good undertaking. It would seem that this is the essential point of departure for discussing unsolved questions of education and socialization. But it is necessary to look ahead. One would wish to have something like a permanent conference of this kind, regularly functioning and planning its work. (shrink)

We know that there has been no time in the history of humanity in which animate matter existed and produced only conditions favorable to its existence, without any damage to the environment. Therefore, I agree that changing the relationship of man to the environment must be considered a task of prime importance, because it makes no sense to live and not believe in the possibility that the conditions of life can be improved. It is absolutely essential that all efforts be (...) made - which depends on us - to see that social conditions and, consequently, the biological conditions of life on earth favor life and promote peace on earth - not war, not mutual extermination. The entire history of the past was based on the extermination and suppression of the weak. On the other hand, the theory of Marxism-Leninism holds that it is possible and necessary to create conditions under which life would be continued, but not at the expense of weaker or more poorly organized neighbors. Conditions must be created that favor joint and friendly existence. (shrink)

No generally accepted, unambiguous definition of the term "cybernetics" yet exists. However, we believe that many disputes about the purpose and spheres of application of cybernetics could be brought to an end if the definition of it as the science of the laws of control of complex dynamic systems were accepted. Such dynamic systems exist in unique forms both in living nature and in human society. These are systems capable of changing their state and comprising a multitude of simpler, interrelated (...) and mutually-influencing elementary systems or elements. The state of a complete dynamic system as a whole, like that of its individual elements, is characterized by the value of one or a number of parameters changing in accordance with various laws. The transition of a complex dynamic system from one state to another is termed a process. The switching of a system from one condition to another by bringing influences to bear upon its parameters is termed control. (shrink)

Richard Rorty is well known as a propagandist of pragmatism and of a "post-philosophical" culture in which many traditional philosophical debates are dismissed as outrightly fruitless. The paper is mainly concerned with Rorty's dismissal of the realism-antirealism debate. The shift from argument to propaganda which is typical of much of Rorty's reasoning is critically investigated from different perspectives. In particular, it is argued that Rorty cannot convincingly establish a pragmatist position beyond realism and antirealism, and that pragmatism seems to be (...) inadequate with respect to scientific practice. Finally, the fruitfulness of the realism-antirealism debate is defended. (shrink)

It has been widely accepted that Kant holds the “Opacity Thesis,” the claim that we cannot know the ultimate grounds of our actions. Understood in this way, I shall argue, the Opacity Thesis is at odds with Kant's account of practical self-consciousness, according to which I act from the (always potentially conscious) representation of principles of action and that, in particular, in acting from duty I act in consciousness of the moral law's determination of my will. The Opacity Thesis thus (...) threatens to render acting from duty unintelligible. To diffuse the threat, I argue, first, that we need not attribute the Opacity Thesis to Kant. Kant's concern with the ubiquity of moral self-opacity does not imply the strong skeptical conclusion that knowledge of the grounds of one's action is impossible. Second, I show how moral self-opacity in cases of morally bad action emerges from the intrinsic inability of representing oneself, insofar as one is pursuing the indeterminate end of “happiness.” Thus, moral self-opacity does not undermine the will's self-consciousness but is born of it. (shrink)

Even a morally good practical agent does not act solely from the recog- nition of the abstract demands of moral duty. Often, she acts to satisfy desires for particular ends that are not intrinsically moral. But if freedom, as Kant claims, consists in acting from universal principles one adopts from respect for the moral law, how can agents freely act to satisfy desires for particular ends? The standard answer to this question, the so-called Incorporation Thesis, is, I argue, unsatisfactory both (...) as an interpretation of Kant and on philosophical grounds. I propose instead that, for Kant, the capacity to act freely for the sake of a particular, non-intrinsically moral end is not exhausted by the ability to step back, reflect and decide whether a desire is or can provide a reason to act. Rather, Kant shows, the place for the pursuit of particular ends is determined by practically rational agents’ spontaneous constitution of their moral character, whereby they subordi- nate the pursuit of material, particular ends to the pursuit of formal, moral ones or vice versa. (shrink)

Mary Wollstonecraft argues that women must be independent citizens, but that they cannot be that unless they fulfill certain duties as mothers. This is problematic in a number of ways, as argued by Laura Brace in a 2000 article. However, I argue that if we understand Wollstonecraft's concept of independence in a republican, rather than a liberal context, and at the same time pay close attention to her discussion of motherhood, a feminist reading of Wollstonecraft is not only possible but (...) enriching. I will attempt to show, in particular, that the seeds of a feminist argument for co-parenting are to be found in the Vindication of the Rights of Woman. (shrink)

Det er muligens ikke lenger et spørsmål om, men når mennesker med Downs syndrom ikke lenger finnes blant oss. Moderne medisinsk teknologi brukt i masseundersøkelser av gravide, tilsier at det nesten ikke behøver å bli født mennesker med Downs syndrom i fremtiden. I den politiske debatten i flere av de nordiske landene er dette kontroversielt. Det handler om et samfunn der det er plass til alle, hevdes det. På samme tid tas moderne genteknologi i bruk for bl.a. å forhindre at (...) mennesker disponert for Huntingtons sykdom eller arvelig brystkreft blir født. Om noen generasjoner kan slike sykdommer være utryddet. Dette påkaller imidlertid ikke henvisninger til «sortering» og «seleksjon». I denne artikkelen undersøkes de viktigste forutsetningene for hvorfor fosterdiagnostikk på noen indikasjoner vekker etisk debatt, mens det ikke skjer i andre tilfeller. Det argumenteres for at den medisinske forståelsen av alvorlighetsgrad ved en sykdom/funksjonshemming ikke gir oss nøkkelen til å forstå den etiske bekymringen rundt seleksjon. Identitets- og anerkjennelsesproblematikk, hevdes det, er kjernen i kontroversene rundt fosterdiagnostikk i Norden. Derfor står det noe vesentlig på spill i fosterdiagnostikkdebatten. Men bare for noen grupper. (shrink)

This contribution focusses on some of the digital theological expressions of Stephan Joubert from an auto-ethnographic angle. Orientating from a practical theology perspective, I have chosen the social media platform Twitter, and more specifically the @stephanjoubert domain, as source to chart some significant tweet expressions for the purpose of describing the character and value of an aphoristic theology. In order to do so, I have used some randomly selected tweets of Stephan Joubert, spanning the period 2020–2021, which express aspects of (...) a relevant contemporary ecclesiology. Against the backdrop of the disastrous impact of the COVID-19 pandemic as well as some important dates on the Christian calendar, I specifically emphasise the significance of the formulation of an aphoristic theology using amongst other markers of simplicity, contextuality and relevance.Contribution: I conclude the reflection with some critical-evaluative remarks on the significance of aphoristic expressions for the development of a meaningful contemporary ecclesiology and theology. (shrink)

I dette nummeret av Etikk i praksis ønsker vi å fokusere på et betent problemområde, nemlig etikken rundt teknologisk fravalg og tilvalg av fremtidige syke og funksjonshemmede barn. Det handler om abort, medisinsk teknologi og valg av barn. Det kan synes som om vi står overfor nye muligheter for fravalg og tilvalg som ikke bare setter en ny debatt, men som samtidig krever en tilbakevending og nyåpning av tidligere gjennomdiskuterte spørsmål og tema. Debattene rundt «valg av barn» berører dype, eksistensielle (...) dimensjoner ved menneskelivet. I tillegg berører det store samfunnsmessige temaer som inklusjon og menneskeverd, selvbestemmelse, abort, eugenikk og samfunnets forståelse av funksjonshemming. (shrink)

Dette nummeret av Etikk i praksis er i utgangspunktet ikke et temanummer. Profesjonsetiske utfordringer synes likevel å utgjøre et gjennomgangstema i de fleste av artiklene som utgis i dette nummeret. Det er en påminnelse om at en aldri blir ferdig med etiske problemstillinger innenfor et fagfelt, siden fagfeltene og profesjonelle oppgaver samt forventninger til profesjonen forandres hele tiden.

Idrettens etiske spørsmål oppleves særdeles engasjerende for svært mange mennesker. Enten man er topp- eller breddeidrettsutøver, TV-titter, foreldre til idrettsaktive barn eller man har en idrettsbarndom bak seg – hvilket til sammen utgjør en stor del av befolkningen – så oppleves idrettens etiske utfordringer så å si på kroppen. Juks og urettferdighet i idretten setter følelsene i kok.

There has long been a tension in Fredric Jameson’s work regarding the extent to which it is possible or warranted to develop transhistorical categories for literary interpretation across of the whole of the capitalist mode of production. In my contribution to this symposium, I take up the problem of how Jameson’s Allegory and Ideology participates in such questions in its consideration of periodisation and narrativisation through the particular construction of allegory, from the early modern age to our financial present.

: This article explores debate as a key scientific practice among the medical elite in nineteenth-century Paris, with an emphasis on academic debate and debate in the scientific/medical press. I use the debate over the microscope, which took place in the Paris Academy of Medicine in 1854-55 and concurrently in the medical press, to illustrate the role of debate as scientific practice. Focusing on the debate in the press, I show how medical journalists used the debate in the Academy to (...) raise larger questions about the nature of science and medicine and to legitimate French microscopy. I suggest that debate was an important scientific practice in nineteenth-century Paris, not only owing to a longstanding belief that truth emerges through disputation but also depending on and exemplifying a shared masculine culture of honor. (shrink)

This article introduces a new hybrid intake procedure developed for posttraumatic stress disorder (PTSD) screening, which combines an automated textual assessment of respondents’ self-narratives and item-based measures that are administered consequently. Text mining technique and item response modeling were used to analyze long constructed response (i.e., self-narratives) and responses to standardized questionnaires (i.e., multiple choices), respectively. The whole procedure is combined in a Bayesian framework where the textual assessment functions as prior information for the estimation of the PTSD latent trait. (...) The purpose of this study is twofold: first, to investigate whether the combination model of textual analysis and item-based scaling could enhance the classification accuracy of PTSD, and second, to examine whether the standard error of estimates could be reduced through the use of the narrative as a sort of routing test. With the sample at hand, the combination model resulted in a reduction in the misclassification rate, as well as a decrease of standard error of latent trait estimation. These findings highlight the benefits of combining textual assessment and item-based measures in a psychiatric screening process. We conclude that the hybrid test design is a promising approach to increase test efficiency and is expected to be applicable in a broader scope of educational and psychological measurement in the future. (shrink)

In this paper, I offer a close reading of Wittgenstein's remarks on inconsistency, mostly as they appear in the Lectures on the Foundations of Mathematics. I focus especially on an objection to Wittgenstein's view given by Alan Turing, who attended the lectures, the so-called ‘falling bridges’-objection. Wittgenstein's position is that if contradictions arise in some practice of language, they are not necessarily fatal to that practice nor necessitate a revision of that practice. If we then assume that we have adopted (...) a paraconsistent logic, Wittgenstein's answer to Turing is that if we run into trouble building our bridge, it is either because we have made a calculation mistake or our calculus does not actually describe the phenomenon it is intended to model. The possibility of either kind of error is not particular to contradictions nor inconsistency, and thus contradictions do not have any special status as a thing to be avoided. (shrink)

The focus on animal welfare in society has increased during the last 50 years. Animal welfare legislation and private standards have developed, and today many farmers within animal production have both governmental legislation and private standards to comply with. In this paper intentions and values are described that were expressed in 14 animal welfare legislation and standards in four European countries; Sweden, United Kingdom, Germany and Spain. It is also discussed if the legislation and standards actually accomplish what they, in (...) their overall description and ethics, claimed to do, i.e. if this is followed up by relevant paragraphs in the actual body of the text in the legislation and standards respectively. The method used was an on-line questionnaire from the EconWelfare research project and text analyses. This study shows that the ethical values within a set of legislation or private standards are not always consistently implemented, and it is not always possible to follow a thread between the intentions mentioned initially and the actual details of the legislation or standard. Since values will differ so will also the animal welfare levels and the implications of similar concepts in the regulations. In general, the regulations described were not based on animal welfare considerations only, but also other aspects, such as food safety, meat quality, environmental aspects and socio-economic aspects were taken into account. This is understandable, but creates a gap between explicit and implicit values, which we argue, can be overcome if such considerations are made more transparent to the citizens/consumers. (shrink)

In this paper, I present a game-theoretic solution to the rule-following paradox in terms of what I will call basic constitutive practices. The structure of such a practice P constitutes what it is to take part in P by defining the correctness conditions of our most basic concepts as those actions that lie on the correlated equilibrium of P itself. Accordingly, an agent S meant addition by his use of the term ‘+’ because S is taking part in a basic (...) constitutive practice of adding where quus-like answers are ruled out by not lying on the equilibrium. The resulting picture of language will preserve the objectivity and correctness conditions of meaning, all the while providing room for the community as a whole to make a mistake. I also argue that by accepting the account presented, we have a strong reason to reject the idea that language is rule-governed. (shrink)

Introduction to collection of papers by group of scholars and ACO missionaries brought together to discuss the developments within the ACO over the past hundred years during a conference that was organised by Dr Wilbert van Saane of Haigazian University in January 2021. I will briefly summarise what strikes me as characteristic of the ACO on the basis of these articles, and conclude with a discussion of how this may contribute to further reflection in Mission Studies and World Christianity.

Kant’s account of the feeling of moral respect has notoriously puzzled interpreters: on the one hand, moral action is supposed to be autonomous and, in particular, free of the mediation of any feeling on the other hand, the subject’s grasp of the law somehow involves the feeling of moral respect. I argue that moral respect for Kant is not, pace both the ‘intellectualists’ and ‘affectivists,’ an effect of the determination of the will by the law – whether it be a (...) mere effect or the motivating cause of action – but is instead identical to it. Drawing on Kant’s general account of feeling as the awareness of how representations and their objects harm or benefit our own powers, I argue that the identity between moral respect and the determination to action contains two elements. Moral respect is, first, a form of practical self-consciousness which constitutes the subject’s recognition of the moral law and thus of herself as intrinsically bound by it, i. e., as a moral agent. Second, respect is a capacity for receptive awareness of particular features of our environment as well as other persons insofar as they benefit and harm us as moral agents. Thereby moral respect affords us awareness in concreto of particular, morally-conditioned ends. In this way moral respect provides the key for a Kantian account of genuinely free practical receptivity. (shrink)

In this paper I look at the philosophical struggles of one eighteenth-century woman writer to reconcile a desire and obvious capacity to participate in the creation of republican ideals and their applications on the one hand, and on the other a deeply held belief that women's role in a republic is confined to the domestic realm. I argue that Marie-Jeanne Phlipon Roland's philosophical writings—three unpublished essays, published and unpublished letters, as well as parts of her memoirs—suggest that even though she (...) adopted a Rousseau-style rural republicanism that relies on complementarity of men and women's virtues, she somehow succeeds in proposing a less sexist picture of the republican family, one that makes it possible for men and women to take an equal part in family business and politics. (shrink)

This essay surveys the main objections to aesthetic hedonism, the view that aesthetic value is reducible to the value of aesthetic pleasure or experience. Hedonism is the dominant view of aesthetic value, but a spate of recent criticisms has drawn its accuracy into question. I introduce some distinctions crucial to the criticisms, before using the bulk of the essay to identify and review six major lines of argument that hedonism's critics have employed against it. Whether or not these arguments suffice (...) to refute hedonism decisively, I argue that its privileged status, as the sole contender in aesthetic value theory, is detrimental to downstream research on aesthetic phenomena. The essay concludes with an overview of current work and promising avenues of inquiry into non-hedonic alternatives. (shrink)

This paper introduces a new solution concept for games with incomplete preferences. The concept is based on rationalizability and it is more general than the existing ones based on Nash equilibrium. In rationalizable strategies, we assume that the players choose nondominated strategies given their beliefs of what strategies the other players may choose. Our solution concept can also be used, e.g., in ordinal games where the standard notion of rationalizability cannot be applied. We show that the sets of rationalizable strategies (...) are the maximal mutually nondominated sets. We also show that no new rationalizable strategies appear when the preferences are refined, i.e., when the information gets more precise. Moreover, noncooperative multicriteria games are suitable applications of incomplete preferences. We apply our framework to such games, where the outcomes are evaluated according to several criteria and the payoffs are vector valued. We use the sets of feasible weights to represent the relative importance of the criteria. We demonstrate the applicability of the new solution concept with an ordinal game and a bicriteria Cournot game. (shrink)

Background: Informed consent is regarded as a contract between autonomous and equal parties and requires the elements of information disclosure, understanding, voluntariness and consent. The validity of informed consent for critically ill patients has been questioned. Little is known about how these patients experience the process of consent.Objective: The aim of this study was to explore critically ill patients’ experience with the principle of informed consent in a clinical trial and their ability to give valid informed consent.Design: 11 stroke patients (...) who had been informed about thrombolytic treatment and had been through the process of deciding whether or not to participate in a thrombolysis trial went through repeated qualitative semistructured interviews.Results: None of the patients had any clear understanding of the purpose of the trial. Neither did they understand the principles of randomisation and voluntariness. Reasons for giving or not giving consent were trust, conceptions of benefits and risks and altruism. Several patients found it immoral to involve patients in the consent procedure and argued that this was the doctors’ responsibility. Others argued that it is a duty to question patients and perceived it as a sign of being treated with respect and dignity. A majority of the patients found the consent process vague and ambiguous.Conclusions: The results indicate that the principle of informed consent from critically ill patients cannot be seen as a contract between equal and autonomous parties. Further studies are needed to explore critically ill patients’ experiences with the process of informed consent. (shrink)

Drawing on the transformative potential of critical-theoretical learning grounded in the CHAT framework of recognizing the bi-directional relationship between learning and development, the present paper is an investigation of how nine American community college students participating in a critical learning community (Peer Activist Learning Community) make sense of and position themselves towards the pursuit of higher education. The paper has two key findings: (1) students primarily draw on vocational discourse paired with a conceptualization of learning as rote learning (i.e. memorization (...) and acquisition of skills) in making sense of their pursuit of higher education, and (2) students embody a transitional positioning toward the community college, which poses the ontological challenge of belonging to an academic institution while seeking to negate this belonging. The findings are framed and discussed in particular through the lens of the transformative activist stance (Stetsenko) with an emphasis on the recognition of education as the process of becoming human as well as with a focus on the transformative potential of meaningful learning experiences. I conclude by suggesting the need for transforming the aim of retention studies as well as put forward the suggestion of re-conceptualization the concept of belongingness in educational psychology in light of the CHAT framework. (shrink)

Kant’s views on animals have received much attention in recent years. According to some, Kant attributed the capacity for objective perceptual awareness to non-human animals, even though he denied that they have concepts. This position is difficult to square with a conceptualist reading of Kant, according to which objective perceptual awareness requires concepts. Others take Kant’s views on animals to imply that the mental life of animals is a blooming, buzzing confusion. In this article I provide a historical reconstruction of (...) Kant’s views on animals, relating them to eighteenth-century debates on animal cognition. I reconstruct the views of Buffon and Reimarus and show that (i) both Buffon and Reimarus adopted a conceptualist position, according to which concepts structure the cognitive experience of adult humans, and (ii) that both described the mental life of animals as a blooming, buzzing confusion. Kant’s position, I argue, is virtually identical to that of Reimarus. Hence Kant’s views on animals support a conceptualist reading of Kant. The article further articulates the historical antecedents of the Kantian idea that concepts structure human cognitive experience and provides a novel account of how the ideas of similarity and difference were conceptualized in eighteenth-century debates on animal cognition. (shrink)

Political writings of eighteenth-century France have been so far mostly overlooked as a source of republican thought. Philosophers such as Condorcet actively promoted the ideal of republicanism in ways that can shed light on current debates. In this paper, I look at one particular source: Le Republicain, published in the summer 1791, focusing on previously unattributed articles by Condorcet’s wife and collaborator, Sophie de Grouchy. Grouchy, a philosopher in her own right, is beginning to be known for her Letters on (...) Sympathy, a response to Adam Smith’s Theory of Moral Sentiment, which she published at the same time as her translation of that text into French. I argue, further, that in the texts, which I attribute to Grouchy, we can find the early development of a commercial republican theory, a belief, which is reflected in her discussion of the ‘cost’ of tyranny. (shrink)

I argue that Plato holds a medical model of virtue as health which does not have themorally unacceptable implications which have led some to describe it as authoritarian.This model, which draws on the educational virtues of the elenchos, lacks anyimplication that all criminals are mad or all mad people criminals – this implication beingat the source of many criticisms of Plato’s analogy of virtue and health. After setting upthe analogy and the model, I defend my argument against two objections. The (...) firstclaims that Plato's picture of virtue as health is unacceptable because it entails that vice isa defect and therefore that criminals are all mad. The second resists Kenny'sinterpretation but does so by attacking its first premise, i.e. that Plato believes virtue issome kind of health. I reply that both objections are misguided. (shrink)

I will examine a version of Bubeck's and Robeyns' proposals for ‘care duty’ which looks at the ways in which care work is analogous to defence work, and what the implications are for the best models in terms both of distributive justice and serving the common good. My own analysis will differ from Bubeck's and Robeyns' in two respects. First I will apply their arguments to all aspects of care including housework. This will mean making a case for housework counting (...) as a form of care work as it is not usually regarded as such, and in particular, would probably be excluded from Robeyns' own account as she follows Bubeck's earlier characterisation of care as involving face-to-face interaction. Secondly, I will explore various ways in which care, and especially housework, could and has been distributed by appealing to a number of military models, concluding that the best gender-just distribution of care requires a style of care experience modelled on universal military service. I will consider a number of objections to my view before concluding that not doing one's share of the housework could indeed come to be regarded as not doing one's duty as a citizen. (shrink)

István Hont identified a point in the history of political thought at which republicanism and commercialism became separated. According to Hont, Emmanuel Sieyès proposed that a monarchical republic should be formed. By contrast the Jacobins, in favour of a republic led by the people, rejected not only Sieyès’s political proposal, but also the economic ideology that went with it. Sieyès was in favour of a commercial republic; the Jacobins were not. This was, according to Hont, a defining moment in the (...) history of political thought. In this article, I offer a different analysis of that particular moment in the history of the commercial republic, one that instead of focusing on Sieyès and the Jacobins, looks at the thought of Girondins philosophers Nicolas de Condorcet and Sophie de Grouchy. I argue that their arguments provide sound models for a commercial republic, reconciling late 18th century republican ideals in which virtue was central, with the need for a flourishing and internationally active market economy. (shrink)

The purpose of this paper is to draw attention to the normative role of conventions in sports. However, the approach I have in mind does not dispatch the theory of interpretivism. What I offer is a synthesis that aims to show how interpretivism works in concert with – and relies heavily on – conventions. To make this point, I will argue that historical, cultural, and even simple preferential needs and desires help to determine what counts as athletic ‘excellence’ in sports.

Kant is well known for his restrictive conception of proper science. In the present paper I will try to explain why Kant adopted this conception. I will identify three core conditions which Kant thinks a proper science must satisfy: systematicity, objective grounding, and apodictic certainty. These conditions conform to conditions codified in the Classical Model of Science. Kant’s infamous claim that any proper natural science must be mathematical should be understood on the basis of these conditions. In order to substantiate (...) this reading, I will show that only in this way it can be explained why Kant thought (1) that mathematics has a particular foundational function with respect to the natural sciences and (2) as such secures their scientific status. (shrink)

In Direct Belief I argue for the Theory of Direct Belief, which treats having a belief about an individual as an unmediated relation between the believer and the individual the belief is about. After a critical review of alternative positions, I use Grice’s theory of conversational implicature to provide a detailed pragmatic account of substitution failure in belief ascriptions and go on to defend this view against objections, including those based on an unwarranted “Inner Speech” Picture of Thought. The work (...) serves as a case study in pragmatic explanation, dealing also with methodological issues about context-sensitivity in language and the relation between semantics and pragmatics. (shrink)

Background: Informed consent is regarded as a contract between autonomous and equal parties and requires the elements of information disclosure, understanding, voluntariness and consent. The validity of informed consent for critically ill patients has been questioned. Little is known about how these patients experience the process of consent.Objective: The aim of this study was to explore critically ill patients’ experience with the principle of informed consent in a clinical trial and their ability to give valid informed consent.Design: 11 stroke patients (...) who had been informed about thrombolytic treatment and had been through the process of deciding whether or not to participate in a thrombolysis trial went through repeated qualitative semistructured interviews.Results: None of the patients had any clear understanding of the purpose of the trial. Neither did they understand the principles of randomisation and voluntariness. Reasons for giving or not giving consent were trust, conceptions of benefits and risks and altruism. Several patients found it immoral to involve patients in the consent procedure and argued that this was the doctors’ responsibility. Others argued that it is a duty to question patients and perceived it as a sign of being treated with respect and dignity. A majority of the patients found the consent process vague and ambiguous.Conclusions: The results indicate that the principle of informed consent from critically ill patients cannot be seen as a contract between equal and autonomous parties. Further studies are needed to explore critically ill patients’ experiences with the process of informed consent. (shrink)

InLe Bonheur Primitif, Olympe de Gouges takes on Rousseau's account of the evolution of human society in his first twoDiscourses, and she argues that primitive human beings were not only happy, but also capable of virtue. I argue that in that text, Gouges offers a contribution to the eighteenth-century debate on human progress that is distinct from Rousseau's in that it takes seriously the contribution of women and families to human happiness and progress. I show how the concept of emulation (...) plays an important role in Gouges's analysis, both in her account of primitive societies and of the theater, and argue that she uses it to bridge the gap between primitive happiness and future progress. (shrink)

One of David Estlund’s key claims in Utopophobia is that theories of justice should not bend to human motivational limitations. Yet he does not extend this view to our cognitive limitations. This creates a dilemma. Theories of justice may ignore cognitive as well as motivational limitations—but this makes them so unrealistic as to be unrecognizable as theories of justice. Theories may bend to both cognitive and motivational limitations—but Estlund wants to reject this view. The other alternative is to find some (...) non-ad hoc way to distinguish cognitive from motivational limitations. I argue that this strategy will not work. Just as a person’s cognitive limitations may block her motives no matter how much she perseveres, so too motivational limitations may be genuine inabilities. Even ideal theories of justice must bend to even ordinary motivational limitations when they truly cause us to be unable to comply with requirements. (shrink)

It seems as though we have a duty to read the news – that we’re doing something wrong when we refuse to pay attention to what’s going on in the world. But why? I argue that some plausible justifications for a duty to read the news fail to fully explain this duty: it cannot be justified only by reference to its consequences, or as a duty of democratic citizenship, or as a self-regarding duty. It can, however, be justified on the (...) grounds that we have a positive, imperfect duty of respect for strangers, even when our actions don’t affect them directly. Reading the news is a key way, sometimes the only way, that we can respect those who are strangers to us. I close by considering some of the implications and limitations of this duty. (shrink)

On a widely held view in aesthetics, appreciation requires disinterested attention. George Dickie famously criticized a version of this view championed by the aesthetic attitude theorists. I revisit his criticisms and extract an overlooked challenge for accounts that seek to characterize appreciative engagement in terms of distinctive motivation: at minimum, the motivational profile such accounts propose must make a difference to how appreciative episodes unfold over time. I then develop a proposal to meet this challenge by drawing an analogy between (...) how attention is guided in appreciation and how practical action is guided in ‘striving play’—a mode of game play recently foregrounded in the philosophy of games. On the resulting account, appreciation involves an ‘inverted’ motivational structure: the appreciating agent's attention is guided by cognitive goals taken up instrumentally, for the sake of the cognitive activity that results from attending under the guidance of those goals. (shrink)

Chervenak and McCullough, authors of the most acknowledged ethical framework for maternal–fetal surgery, rely on the ‘ethical–obstetrical’ concept of the fetus as a patient in order to determine what is morally owed to fetuses by both physicians and the women who gestate them in the context of prenatal surgery. In this article, we reconstruct the argumentative structure of their framework and present an internal criticism. First, we analyse the justificatory arguments put forward by the authors regarding the moral status of (...) the fetus qua patient. Second, we discuss the internal coherence and consistency of the moral obligations those authors derive from that concept. We claim that some of the dilemmas their approach is purported to avoid, such as the debate about the independent moral status of the fetus, and the foundation of the moral obligations of pregnant women (towards the fetuses they gestate) are not, all things considered, avoided. Chervenak and McCullough construct the obligations of physicians as obligations towards entities with equal moral status. But, at the same time, they assume that the woman has an independent moral status while the moral status of the fetus is dependent on the decision of the woman to present it to a physician for care. According to the logic of their own argumentation, Chervenak and McCullough implicitly admit a different moral status of the woman and the fetus, which will lead to different ascription of duties of the physician than those they ascribed. (shrink)

This is the first in a series of papers on Predicative Algebraic Set Theory, where we lay the necessary groundwork for the subsequent parts, one on realizability [B. van den Berg, I. Moerdijk, Aspects of predicative algebraic set theory II: Realizability, Theoret. Comput. Sci. . Available from: arXiv:0801.2305, 2008], and the other on sheaves [B. van den Berg, I. Moerdijk, Aspects of predicative algebraic set theory III: Sheaf models, 2008 ]. We introduce the notion of a predicative category (...) with small maps and show that it provides a sound and complete semantics for constructive set theories like IZF and CZF. The main technical contribution of this paper is that it shows in detail that such categories can always be conservatively embedded in categories that are exact. These exactness properties play a crucial rôle in showing that predicative categories with small maps contain models of set theory and that they are closed under sheaves and realizability. We will prove the former statement in this paper as well, leaving a proof of the closure properties to the papers on realizability and sheaves as mentioned above. (shrink)

Motherhood, as it is practiced, constitutes an obstacle to gender equality in political participation. Several options are available as a potential solution to this problem. One is to advice women not to become mothers, or if they do, to devote less time and energy to caring for their children. However this will have negative repercussions for those who need to be cared for, whether children, sick people or the elderly. A second solution is to reject the view that political participation (...) is an important or necessary part of human flourishing, and allow that those who engage in caring activities can live good lives without having a say in how they are ruled. This has negative consequences for the carers who find themselves in a position, if not of direct oppression, of being dominated, and therefore susceptible of being oppressed. The solution I propose, inspired by the writings of Sophie de Grouchy, is that we look for a form of republicanism that regards caring activities as a form of political participation. (shrink)

In forms of physical recreation associated with ‘wilderness experiences’, such as backcountry hiking or mountain climbing, technology is omnipresent. As a result, some may wonder whether genuine wilderness experiences are possible. In this essay, I argue that wilderness experiences are possible and that they can be enhanced through games. That is, I contend there are often physically challenging aspects to wilderness experiences that certain games can help to promote. This analysis will stress the fact that Bernard Suits delineated two comparable (...) but distinct ways to engage in games. Following Suits’s logic, I explain how ‘literal skills’ like walking or climbing can function as the ‘constitutive skills’ of games. I then consider how games predicated on ‘literal skills’ can help promote the meanings available in wilderness experiences. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:You Can't Say "No" to That!(A "Difficult Patient" Story)Ingrid BergAs a sequela of COVID-19, my rural Wisconsin hospital has been jam-packed for months with patients for whom we routinely provide care and many for whom we do not. An exodus of health care workers and other constraints have made the transfer of critically ill patients very difficult. In this disquieting "new-normal" of our work life, we routinely must call (...) bigger cities throughout our state to find beds for complex patients.So, it was not surprising when a young patient, an IV drug user in sepsis from a heart infection, was admitted to me in the middle of the night. In less disheartening times, before the pandemic, this patient would have been transferred promptly to the big-city hospital. Now, though, the possibility of finding an open bed is next to impossible. Resigned, I placed admission orders, continued antibiotics and fluids, and crossed my fingers. Then the unexpected happened: a bed opened up, and we could send her at once!The patient had a harsh heart murmur. It was likely that a "vegetation" was clinging to the valve, between the right upper and lower chambers of her heart. A vegetation is a clump of debris, such as platelets, clotting proteins, and bacteria that is a menace to the body. Her chest imaging looked like her infection had already spread to her lungs.A definitive diagnosis for endocarditis requires a special ultrasound with a probe that goes down through the esophagus, a procedure performed by cardiologists. It's a serious infection, one that requires weeks of IV antibiotics and is best monitored by infectious disease specialists. Sometimes, cardiothoracic surgeons are called upon to strip away the infection at the site, depending on how badly the valve has been slayed or the size of the vegetation. My only recommendation for a young, otherwise healthy patient in this scenario, is transfer.All of these reasons for transfer were lolling around in my tired head when the night-time [End Page 14] nursing supervisor approached me and said, "We have a problem." When the patient was updated about the transfer, she balked: "She says she is tired and refusing to go," the supervisor began. "She doesn't feel like getting into an ambulance in the middle of the night and she doesn't care if her condition is life-threatening. She knows we can't force her to go and she will only talk about it again in the morning."The cartoon version of myself at that moment had bugged-out eyes, a dropped jaw, fists tight and clenched at my sides, and steam coming out of my head. I can look past a patient's self-neglect, poor medication adherence, abysmal communication, alcohol and drug addiction, and other crimes. But saying no to a bed at a tertiary care facility? Unacceptable!I marched down the quiet hallway and into her room. She was lying on her side, facing the door, one IV in a thin arm. I was confident I could reason with her once I explained the scarcity of beds and the medical necessity of transfer. But she was having none of it. I was calm until I could no longer maintain my cool: "You can't give up this bed!""Maybe in the morning," she insisted, yawning. "But not now. I am tired and want to rest!""But there might not be a bed in the morning," I countered. "And your infection can be life-threatening." (This is true, but we both knew she wasn't dying at this very moment.)"I am not going anywhere!" She raised her voice and then closed her eyes.And she was right. I had no choice but to keep her. I could not kick her out of the hospital because she was making a poor choice, and I was frustrated for having to manage the fallout of that decision. Giving her antibiotics and fluid boluses to bolster her blood pressure was certainly within my scope of practice. And fretting. Fretting is always within my scope of practice; not that my scope of practice matters when all the big... (shrink)

I examine some of the evidence for collaboration between Condorcet and Sophie de Grouchy on the writing of the Sketch of Human Progress, but also uncover the ways in which the publication and reception of that text worked to exclude a woman who was a philosopher in her own right from a work she clearly contributed to. I show that at least one passage that was added in the 1795 edition makes the work philosophically more interesting.

In Religion within the Bounds of Mere Reason Kant famously argues that the moral quality of an an agent’s actions depends on the moral quality of their moral character and since their moral character can be either absolutely good or absolutely bad, all of an agent’s actions share the same moral quality: good or evil (R 6: 22). This claim, which implies that any agent who is not wholly good must therefore be wholly evil, has vexed Kant’s readers. Ordinary moral (...) intuitions suggest that differences in moral character come in degrees, and leaving some room for moral variance seems necessary to any account of moral corruption and improvement. What is not often remarked upon is that Kant’s rigorism about moral character stands in apparent tension with his own account, given that in the same work, of the Stufen, levels or grades, of evil: frailty, impurity, and wickedness. I argue that rigorism is grounded in a philosophical insight which we should not give up and show that we can preserve it while making room for the complexity of moral failure if we understand the first two grades of evil, frailty and impurity, as states of moral immaturity, a condition that precedes the acquisition of a stable moral character. To substantiate the claim, I argue that the idea of the acquisition of character must play a wholly different role in Kant’s practical philosophy than that accorded to it on standard readings. Not merely an “empirical” concern, the acquisition of character must be understood as a genuinely rational accomplishment: the development and determination of our uniquely rational capacities for feeling, necessary for the development of stable moral character. (shrink)

This paper looks at selected reviews of women’s philosophical (and literary) works by Revolutionary author and politician Pierre-Louis Roederer. This study occasions the following remarks. Women’s works, when they raised political radical and sometimes feminist agendas were not only read and reviewed, but considered part of the general Revolutionary effort to relieve social and political inequalities. Secondly Roederer appears, from these reviews, as committed to convincing the French intellectual community that works by women ought to be taken as seriously as (...) works by men, and to combat the prejudices which meant that they often were not. I will highlight in particular his reading of Mary Wollstonecraft’s Maria, or the Wrongs of Woman as both a fictionalized continuation of the philosophical programme of her Vindication of the Rights of Woman, and as a contribution to the philosophy of emotions – for which he compares it to Sophie de Grouchy’s Letters on Sympathy. I will also look at an unpublished draft in which he compares and contrasts Grouchy, Germaine de Staël, Emilie du Chatelet and Suzanne Necker’s writings on love. (shrink)