abstract The argument that scarce health care resources should be distributed so that patients in ‘need’ are given priority for treatment is rarely contested. In this paper, we argue that if need is to play a significant role in distributive decisions it is crucial that what is meant by need can be precisely articulated. Following a discussion of the general features of health care need, we propose three principal interpretations of need, each of which focuses on separate intuitions. Although this (...) account may not be a completely exhaustive reflection of what people mean when they refer to need, the three interpretations provide a starting‐point for further debate of what the concept means in its specific application. We discuss combined interpretations, the meaning of grading needs, and compare needs‐based priority setting to social welfare maximisation. (shrink)

With “The Zadeh Scenario,” Finder offers us a gift…a rich and thoughtful first-person account of the gradual unfolding of a specific ethics consultation conducted by a specific ethics consultant in a specific context. This is not your average case report, stripped to the bare facts and devoid of the ambiguity of real-time human interactions. It’s also not simply an example of thick description, offering the reader a detailed account of the context out of which an abstract ethical dilemma has emerged, (...) with the ethics consultant describing all from a distance, above the fray. What Finder offers and models for us instead is something entirely new and different. He offers us a case narrative into which he has chosen to place himself squarely and explicitly. And in the spirit of “peer review” he has generously revealed his own inner dialogue in response to twists and turns in the case, sharing his personal reflections as events unfolded, and his musings about various actions he took and choices he made in his role. By inviting us to ponder his story about the story of the case, he generously extends a gift to us: the opportunity to reflect on his—and therefore our own—consultation practice, and the opportunity to try a new kind of peer review. (shrink)

The concept of need is often proposed as providing an additional or alternative criterion to cost-effectiveness in making allocation decisions in health care. If it is to be of practical value it must be sufficiently precisely characterized to be useful to decision makers. This will require both an account of how degree of need for an intervention is to be determined and a prioritization rule that clarifies how degree of need and the cost of the intervention interact in determining the (...) relative priority of the intervention. Three common features of health care interventions must be accommodated in a comprehensive theory of need: the probabilistic nature of prognosis (with and without the intervention); the time course of effects; and the fact that the most effective treatments often combine more than one intervention. These common features are problematic for the concept of need. We outline various approaches to prioritization on the basis of need and argue that some approaches are more promising than others. (shrink)

Using fMRI, we investigated how right temporal lobe gliomas affecting the posterior superior temporal sulcus alter neural processing observed during speech perception and production tasks. Behavioural language testing showed that three pre-operative neurosurgical patients with grade 2, grade 3 or grade 4 tumours had the same pattern of mild language impairment in the domains of object naming and written word comprehension. When matching heard words for semantic relatedness (a speech perception task), these patients showed under-activation in the tumour infiltrated right (...) superior temporal lobe compared to 61 neurotypical participants and 16 patients with tumours that preserved the right postero-superior temporal lobe, with enhanced activation within the (tumour-free) contralateral left superior temporal lobe. In contrast, when correctly naming objects (a speech production task), the patients with right postero-superior temporal lobe tumours showed higher activation than both control groups in the same right postero-superior temporal lobe region that was under-activated during auditory semantic matching. The task dependent pattern of under-activation during the auditory speech task and over-activation during object naming was also observed in eight stroke patients with right hemisphere infarcts that affected the right postero-superior temporal lobe compared to eight stroke patients with right hemisphere infarcts that spared it. These task-specific and site-specific cross-pathology effects highlight the importance of the right temporal lobe for language processing and motivate further study of how right temporal lobe tumours affect language performance and neural reorganisation. These findings may have important implications for surgical management of these patients, as knowledge of the regions showing functional reorganisation may help to avoid their inadvertent damage during neurosurgery. (shrink)

Following an initial study of the needs of healthcare providers (HCP) regarding the introduction of Medical Assistance in Dying (MAiD), and the subsequent development of an assisted dying program, this study sought to determine the efficacy and impact of MAiD services following the first two years of implementation. The first of three aims of this research was to understand if the needs, concerns and hopes of stakeholders related to patient requests for MAiD were addressed appropriately. Assessing how HCPs and families (...) perceived the quality of MAiD services, and determining if the program successfully accommodated the diverse needs and perspectives of HCPs, rounded out this quality evaluation. This research implemented a mixed-methods design incorporative of an online survey with Likert scale and open-ended questions, as well as focus groups and interviews with staff and physicians, and interviews with MAiD-involved family members. There were 356 online surveys, as well as 39 participants in six focus groups with HCP, as well as fourteen interviews with MAiD-involved family members. Participants indicated that high-quality MAiD care could only be provided with enabling resources such as policies and guidelines to ensure safe, evidence-based, standardized care, as well as a specialized, trained MAiD team. Both focus group and survey data from HCPs suggest the infrastructure developed by the hospital was effective in delivering high-quality MAiD care that supports the diverse needs of various stakeholders. This study may serve as a model for evaluating the impact and quality of services when novel and ethically-contentious clinical practices are introduced to healthcare organizations. (shrink)

This study assessed the attitudes and needs of physicians and health professional staff at a tertiary care hospital in Canada regarding the introduction of physician assisted dying (PAD) during 2015–16. This research aimed to develop an understanding of the wishes, concerns and hopes of stakeholders related to handling requests for PAD; to determine what supports/structures/resources health care professionals (HCP) require in order to ensure high quality and compassionate care for patients requesting PAD, and a supportive environment for all healthcare providers (...) across the moral spectrum. This study constituted a mixed methods design with a qualitative descriptive approach for the study’s qualitative component. A total of 303 HCPs working in a tertiary care hospital completed an online survey and 64 HCPs working in hospital units with high mortality rates participated in 8 focus group discussions. Both focus group and survey data coalesced around several themes to support the implementation of PAD following the decriminalization of this practice: the importance of high quality care; honoring moral diversity; supporting values (such as autonomy, privacy, beneficence); and developing resources, including collaboration with palliative care, education, policies and a specialized team. This study provided the foundational evidence to support the development of the PAD program described in other papers in this collection, and can be a model for gathering evidence from stakeholders to inform the implementation of PAD in any healthcare organization. (shrink)

A key objection to naturalistic versions of moral realism is that the (meta)semantics to which they are committed yields incorrect semantic verdicts about so-called Moral Twin Earth cases. Recently, it has been proposed that the Moral Twin Earth challenge can be answered by adopting a neo-Aristotelian semantics for moral expressions. In this paper, I argue that this proposal fails. First, however attractive the central claims of neo-Aristotelianism are, they do not for us have the status of analytic constraints on the (...) use of ethical expressions, as they must if they are to block Moral Twin Earth counterexamples. Second, even when the neo-Aristotelian’s claims are taken as non-negotiable analytic constraints, the semantics faces a dilemma: if characteristic human functioning is understood in an ethically neutral way, the semantics yields an incorrect intension for ‘good human.’ If human functioning is understood in an ethically partisan way, the semantics fails to avoid problematic Moral Twin Earth counterexamples. (shrink)

Are there planets beyond our solar system? What may appear quite plausible now had only been a hypothesis until about twenty years ago. The search for exoplanets is driven by the interest in the “habitable” ones among them. Could such planets one day in the far future provide resources or even shelter for humankind? Will we find one day a habitable planet that is even inhabited? These kinds of imaginative speculations drive public interest in the subject. Imagining alien intelligent life (...) in the universe is not at all new. When Ted Peters called for establishing the field of “astrotheology,” he was certainly thinking less of historical precedents than of something analogous to the emerging field of astrobiology. Will astrotheology result in the decentering of humanity in cosmic dimensions? One could also conclude that we are alone, at least for all practical purposes. (shrink)

Boredom—that inescapable accoutrement of human existence—is more than a common affective encounter. It is an experience of key phenomenological significance. Boredom gives rise to perceptions of meaninglessness, difficulties in effective agency, lapses in attention, an altered perception of the passage of time, and to an impressively diverse array of behavioral outcomes. Above all, it shapes our world and lives. Boredom’s presence demarcates what is engaging, interesting, or meaningful from what is not; it alerts us when we find ourselves in situations (...) that either are lacking in personal significance or cannot properly engage us; and it spurs us into action and thought. Within the phenomenological tradition, the importance of boredom has been highlighted by Martin Heidegger, who in his 1929-30 lecture course, The Fundamental Concepts of Metaphysics: World, Finitude, Solitude (FCM) (Heidegger 1995), makes a case for its ontological significance. Notwithstanding Heidegger’s detailed engagement with it, boredom has not received sustained attention within the phenomenological tradition, even though phenomenology is particularly well suited to explicate the phenomenon of boredom. The aim of this entry is to present three different phenomenological perspectives on boredom. In doing so, it hopes to showcase not just what boredom is, according to phenomenology, but also what a phenomenology of boredom can reveal about human existence. (shrink)

Through an analysis of Suzanne Collins’ The Hunger Games trilogy (2008, 2009, 2010), this text will consider the ways in which contemporary postfeminism can be read as a dystopic narrative. The protagonist of the novel (and the rest of the trilogy) is Katniss Everdeen, a young woman who through an ethics of care, disruption of the heteronormative script, and a critical posthuman embodiment offers an alternative to the dystopic present offered by postfeminism. In Katniss’ dystopian world, Collins constructs a narrative (...) that highlights the continued need for a feminist politics of engagement and activism that works against claims for neo-liberal individualism. (shrink)

Roholt’s discussion of the methodological divide between analytic and continental philosophy of music is undertaken with the hope of bringing about the divide’s dissolution. Roholt limits the scope of the discussion to methodological debates in the philosophy of music, without referring to the ongoing debate about the divide at large. This begs the question of how methodological differences in the philosophy of music correlate with differences between analytic and continental philosophy. Upon closer inspection, there is nothing that is essentially (...) analytic or continental about the opposed methodological preferences discussed by Roholt. This acknowledgement is in part what Roholt aimed at: it erects no strict communicative barrier between two methodologically opposed sides. There is however, as I point out, a further unresolved problem with Roholt’s talk of ‘tendencies’ (or the parallel metaphilosophical employment of family resemblances to understand the divide), which if unresolved may allow for a regression to stereotypical conceptions of the divide. (shrink)

Policy work is often cited as one of the primary functions of Hospital Ethics Committees (HECs), along with consultation and education. Hospital policies can have far reaching effects on a wide array of stakeholders including, care providers, patients, families, the culture of the organisation and the community at large. In comparison with the wealth of information available about the emerging practice of ethics consultation, relatively little attention has been paid to the policy work of HECs. In this paper, we (...) class='Hi'>hope to advance the development of best practices in HEC policy work by describing the quality improvement process that we undertook at Hamilton Health Sciences, Hamilton, Ontario, Canada. In the first section of the paper we describe the context of our HEC policy work, and the shortcomings of our historical review process. In subsequent sections, we detail the quality improvement project we undertook in 2010, the results of the project and the specific tools we developed to enhance the quality of HEC policy work. Our goal in sharing this organisational case study is to prompt other HECs to publish qualitative descriptions of their policy work, in order to generate a body of knowledge that can inform the development of best practices for ethics policy review. (shrink)

ABSTRACT: We argue that the so-called ‘Primary’ and ‘Secondary’ Value Problems for knowledge are more easily solved than is widely appreciated. Pritchard, for instance, has suggested that only virtue-theoretic accounts have any hopes of adequately addressing these problems. By contrast, we argue that accounts of knowledge that are sensitive to the Gettier problem are able to overcome these challenges. To first approximation, the Primary Value Problem is a problem of understanding how the property of being knowledge confers more epistemic value (...) on a belief than the property of being true. The Secondary Value is a problem of understanding how, for instance, property of being knowledge confers more epistemic value on a belief than the property of being jointly true and justified. We argue that attending to the fact that beliefs are ongoing states reveals that there is no difficulty in appreciating how knowledge might ordinarily have more epistemic value than mere true belief or mere justified true belief. We also explore in what ways ordinary cases of knowledge might be of distinctive epistemic value. In the end, our proposal resembles the original Platonic suggestion in the Meno that knowledge is valuable because knowledge is somehow tied to the good of truth. (shrink)

In Thus Spoke Zarathustra (2006), Nietzsche presents Zarathustra as a sage and parodic prophet, who acquires and offers insight over the narrated journey of his spiritual development. Nietzsche’s conception of Zarathustra as a gift (to “all and none”) endorses learning as the kind of emulation condensed into Zarathustra’s complex formulation: rather than “corpses that I carry with me wherever I want... I need living companions who follow me because they want to follow themselves—wherever I want.” Thus I aim, firstly, to (...) follow the text closely to see what is given. However, noting that Zarathustra is deeply imbued with figures of laughter, I also impose an interpretation. “Repeating differently,” as demanded by Zarathustra, I outline a practicable, spiral‐shaped “learning curve” of traversal and return to various “shades of laughter,” advancing from the worst laughters to “golden laughter,” which embraces complexity. This represents what it means to laugh well. In so doing, I hope to demonstrate that the complex ethos of affirmative laughter in Zarathustra remains strikingly pertinent for a contemporary era urgently tasked with embracing complexity. (shrink)

Broadly speaking, transhumanism is a movement seeking to advance the cause of post-humanity. It advocates using science and technology for a reconstruction of the human condition sufficiently radical to call into question the appropriateness of calling it “human” anymore. While there is not universal agreement among transhumanists as to the best path to this goal, the general outline is clear enough. Advances in genetic engineering, artificial intelligence, robotics and nanotechnology will make possible the achievement of the Baconian vision of “the (...) relief of man’s estate,” as they allow us to conquer disease, eliminate unhappiness, end scarcity and postpone, perhaps indefinitely, death itself. But fulfilling such long-standing dreams is only the beginning of what our new powers will make possible. Left to itself, the present trajectory of technological development necessarily aims at a future incomprehensible to beings such as we are – at no distant date an evolutionary leap in the way intelligence is embodied, and what it can accomplish. Transhumanism seeks to make sure no atavistic scruple obstructs this momentum, and to maximize its benefits and minimize its admitted risks. While there is no lack of illuminating print works advocating transhumanism, that its public face should be on the World Wide Web is as much a matter of course as once would have been the use by similar movements of the printed broadside or the public lecture. On the websites of the World Transhumanist Association (www. transhumanism.org) and the Extropy Institute (www.extropy. org) – premier among transhumanism’s many organizations – one finds authoritative statements explaining and justifying the transhumanist project. If transhumanism were primarily an academic school or a professional association, it would not be entirely fair to turn to these admittedly popular presentations for a critical look at the transhumanist vision. But as these are the documents by which transhumanism presents itself to the public as a movement, and through which it hopes to gain adherents, it is legitimate to make.... (shrink)

In contemporary philosophy, it is tempting to apply the metaphysics of properties to the specific case of truth, in the hope of making progress on the investigation of the latter. In this paper, I argue that a different approach, mostly independent from the metaphysics of properties and based on the naturalness, in Lewis’ sense, of semantic nations, is often a better alternative, both in general and in some specific cases. In particular, adopting the new perspective, I present a new (...) problem of combining logical validity and strong truth pluralism, and offer a way to sharply distinguish deflationism and primitivism about truth. The main original upshot of the paper is offering a perspective on philosophy of truth that sheds new light on the general problem of truth and on some particular issues. (shrink)

Martin Seel wonders how it is possible to liberate oneself from wanting to be right. In the following, we will ask whether the idea of a wanting to be right is so much as intelligible. For if one thinks about thinking and asks what it means to think something, then the idea of wanting to be right seems to have no place. Both the possibility and the necessity of a liberation from wanting to be right seem to dissolve. And yet, (...) we will show, there is wanting-to-be-right. But we do not understand the idea of wanting-to-be-right merely by thinking about thinking. Rather, we understand the idea of wanting-to-be-right only because thinking is something that takes place between two whose thoughts can contradict each other. If my thought meets your thought, and your thought negates my thought, then it is possible that we both want tobe right. This is the existential core of the idea of a liberation from wanting to be right: It is about the liberation from conflict and the hope for reconciliation. (shrink)

The contribution of Jesuits to the different fields of knowledge, including philosophy, is historically well known. In fact, since the foundation of the Society of Jesus, in the 16th century, Jesuits from different generations and cultures have taken part in the philosophical debates of their time and their different contexts. Since the foundation of the Society of Jesus, in 1540, the Jesuits, individually and as a body, have engaged in a fruitful dialogue between the Christian tradition and different dimensions of (...) human culture. During almost five centuries, numerous Jesuits taught philosophy in academic institutions all over the world. Some of them have their names recorded in the history of philosophy. Of course, the majority of them is not anymore remembered, despite their valuable contribution to the development of the Jesuit intellectual tradition up to our times. In fact, as an heir of the Roman College, the first academic institution founded by the Society of Jesus, in 1551, the Pontifical Gregorian University, in Rome, is a witness to this tradition, which has been kept alive thanks to the discrete work of both Jesuits and lay intellectuals. Known as the University of the Nations, this institution corroborates not only the capacity of the Jesuit tradition to put faith in dialogue with reason, but also the option to take the concrete reality of each human culture and its historical context as its point of departure. The Jesuits’ willingness to engage in dialogue with different intellectual perspectives is underpinned by one of the most defining traits of the Jesuit charism, namely, the conviction that God can be found and served in all things. Accordingly, Jesuits have adopted, from the beginning, an amenable stance towards the world with its different cultures and intellectual trends. As such, Jesuits have, since the beginning, inhabited the frontiers of human thought. According to the contemporary philosopher Paul Gilbert, SJ, within the institutions under the leadership of the Society of Jesus, it was always possible to maintain an equilibrium between two principles: “intellectual unity” and “openness to the world.” Without detriment to the Jesuit identity, the companions of Ignatius have been willing to dwell in the various dimensions of human reality, in their multiplicity and plurality. Either in the renewal of Aristotle’s and Aquinas’ metaphysics, or in the dialogue with modern philosophers such as Descartes, Kant, or Hegel, and even in the inculturation in non-European contexts, the Jesuits have been able to preserve the Christian tradition through an original development of human culture in all its richness and diversity. With respect to the last century, it has to be acknowledged that a significant number of Jesuits made significant contributions, with recognized competence, to philosophy. Certainly, the 20th century was particularly complex in many respects. It would be enough to recall that this period, which brought with it unprecedented social, scientific, and technological developments, was also the stage for the two World Wars. With the emergence or consolidation of philosophical currents such as Marxism, Phenomenology, Existentialism, Structuralism, and Post-Modernism, the past century was, without any doubt, fascinating from the intellectual point of view. Jesuits such as Karl Rahner, Frederick Copleston, Bernard Lonergan, William Norris Clarke, John F. Kavanaugh, Teilhard de Chardin, Gaston Fessard, Jean Daniélou, Henri de Lubac, Michel de Certeau, Xavier Tilliette, Paul Valadier, Paweł Siwek, Ignacio Ellacuría, Francisco Taborda, Henrique de Lima Vaz and, in the Portuguese context, Diamantino Martins or Júlio Fragata, among many others, were able to engage different philosophical currents, problems and controversies of their times. Faithful to their long tradition of being present in the frontiers of thought, those Jesuits have engaged in a fruitful dialogue with these intellectual trends, offering relevant contributions to different ongoing debates. Within this context, the present volume recalls and discusses the philosophical contribution of some of the most prominent Jesuit protagonists of the intellectual interchange that took place in the 20th century. This volume also intends to celebrate the 75th anniversary of the Revista Portuguesa de Filosofia, which happens just before the inauguration of the Ignatian Year. Decreed by Father Arturo Sosa, the Superior General of the Society of Jesus, this celebratory Year will start on May 20, 2021, precisely 500 years after Ignatius of Loyola, the founder of the Jesuit Order, was wounded at the battle of Pamplona. We are happy that this volume could bring together outstanding specialists in the thought of some of the most prominent Jesuits philosophers of the last century, namely Paul Valadier, Paul Gilbert, Józef Bremer, Jacek Poznański, Alexander Maar, Patrick H. Byrne, M. Ross Romero, Carlos Alvarez, Hélio Pereira Lima, José Gama, Domingos Terra, Gabriel Flynn, Marie-Gabrielle Lemaire, José Sols Lucia, Lorena Zuchel Lovera, Pedro Pablo Achondo Moya, Enzo Solari, Massimo Borghesi, Mendo Castro Henriques, João Barbosa, and Dominique Lambert. In addition, in the celebration of the 100th anniversary of Júlio Fragata’s birth, Maria Teresa Fragata presents a memory of his life and thought. We hope that this volume may be useful to all those interested in the Jesuit philosophical tradition. Hopefully, it will stimulate scholars to pursue a fruitful and creative dialogue with contemporary philosophy, in the footsteps of the Jesuit philosophers featured here. We would like to thank all the authors and all those who, in different ways, made this volume possible. (shrink)

since, as I said, I agree on this, I had to look pretty hard in order to find fault with any point he makes. Fortunately, his paper is a very rich one, and so I spotted two more or less incidental remarks I hoped I could reasonably disagree with. Although these two points which I shall focus on are not, as far as I can see, in any way indispensable for arriving at Manuel's main conclusion, I think they are in (...) themselves philosophically interesting enough to consider them a bit closer. (shrink)

I argue that there are cases in which ecumenical expressivism cannot distinguish between endorsement of certain trivial and substantive normative judgments. I consider the extent to which this problem generalizes across different formulations of the ecumenical view. I suggest that we may not be able to escape the problem if we hope to retain the ability to solve the Frege-Geach problem in the way promised by ecumenical expressivism.

This is the first concise study to give full credit to the collaboration of works between French nobleman, writer and politician Alexis de Tocqueville (1805-59) and his travel companion and friend Gustave de Beaumont (1802-66), and puts this collaboration into its social, historical and theoretical context. It accompanies the two friends to the US and analyses the fruitful encounter between the New and the Old World that was the result of that journey, particularly in relation to emerging Atlantic democracies and (...) revolutions. This includes the hopes but also the problems and contradictions that they have come to represent. The book also follows Tocqueville and Beaumont to England, Ireland, and Algeria. It discusses their political careers and their engagement in the abolitionist movement, their fight for liberal social and political reform, as well as their futile attempt to rationalize French colonization in Algeria. (shrink)

Both Heidegger's Being and Time and Helen Keller's The Story of my Life address the problem of what it means for humans to be optimally human. In reading these texts together, I hope to show that Helen's life-story confirms Heidegger's existential analyses to some extent, but also, importantly, poses a challenge to them with respect to the interrelated issues of disability, language and others. Heidegger's hermeneutic explication of what it means to be human is intended to uncover supposedly basic (...) human existential structures. As a fore-structure for this explication, Heidegger projects an already able-bodied, self-sufficient adult, resolutely engaged in daily activity. I shall argue, however, that it is due to this starting-point in adult-Dasein that Heidegger's existential analyses miss important insights concerning the meaning of being human to be gained from Helen's experience. Starting from the essentially disabled child-Dasein, Helen describes her struggle to achieve the very condition that Heidegger assumes from the start, first through rescue by the other as teacher, who offered the gift of language and community, and thereafter in her grasp of language as a “pharmakon.” I hope to show in the end that Helen's experience of a struggle for humanity offers the model for an alternative projection, that of an essentially disabled and needy Dasein, which, I believe, provides a more viable fore-structure than Heidegger's for a hermeneutics of humanity. S. Afr. J. Philos. Vol.22(1) 2003: 98-112. (shrink)

Gadamer's project in Truth and Method is as much about truth in the human sciences as it is about human subjectivity, for, following Heidegger, he claims that truth is reducible to method (technical rationality) only if one is misled by old Enlightenment subject/object dualisms. Posing the question of the possibility and nature of truth in scientific thinking, where a strict division between subjective and objective has fallen away, Gadamer belongs, as one of its inaugural figures, to an alternative tradition of (...) philosophical complexity, which implicates environmental systems (culture, ideology, institutions), embedded in language, in the constitution of human subjectivity.With these theoretical shifts in mind, what caught my attention in a press report concerning the trial of (subsequently convicted) serial killer, Stewart Wilken (“Boetie Boer”), was the strangely anachronistic question that dominated the front page of a Port Elizabeth newspaper: “Boetie: Is he Sick or Evil?” This question, in my view, harks back to a questionable framework of Enlightenment autonomy, which depends upon the easy technical rationality of clear-cut dichotomies. In what follows I hope to show that in acknowledging the role of complex interrelations between cultural and other systems, a tradition of philosophical complexity justifiably claims a more adequate framework for understanding self- formation than that underpinning the discourses at work in Wilken's trial. I shall draw on Gadamer's hermeneutic model of an “embedded”subject, which is based on his speculative model of “play” out lined in Truth and Method, and supplement this with Lacan's psychoanalytic account of subject formation. S. Afr. J. Philos. Vol.21(4) 2002: 258-273. (shrink)

The present article is an analysis of Heidegger's notorious Rectoral Address in terms of its attempt to bring together philosophy and politics in a way that would revitalise both. Through the repossession and reconfiguration of common words and concepts, Heidegger hoped to provide the intellectual impetus for a radical, invigorating cultural revolution in Germany. Given this apparently laudable aim, one is faced with the pressing question concerning the tension between his philosophical insight, on the one hand, and his inexplicable political (...) blindness on the other. Hence the paper focuses, firstly, on the radical nature of Heidegger's transformation of traditional conceptions of philosophy (science), and secondly, on his failure to separate the originality and significance of this philosophy from a catastrophic ideological attachment to the idea of German spiritual unity and destiny. S. Afr. J. Philos. Vol.21(1) 2002: 18-34. (shrink)

Early in the resurgence of feminist philosophy that accompanied the “second wave” of the feminist movement in the 1960s and 1970s, language was recognized as a key issue. Because personal relations, politics, economics, religions, and academic disciplines are defined and carried on in language, practical reform or transformation in these areas is often blocked by insistence on logics, rules of grammar, systems of meaning, and uses of words that carry sexist implications. The question immediately presented itself as to whether these (...) barriers are changeable uses of words and reformable conventions of grammar, or constitutive of rationality and so not removable without risking unintelligibility. Is language a variable and flexible tool that can be used to describe independently existing differences between men and women, or are those differences projected in language? Even more important for feminists is the question of the relation between language and thought. Is language constitutive of thought so that any intelligible communicable thought is framed within established perimeters of possibly sexist meaning? Or can feminist beliefs and aspirations achieve independence from established meanings and lay groundwork for radical changes in human relations? Even more important: is the self constituted in language, or can freely thinking feminist selves hope to create more adequate means of communication and more truthful ways of naming reality? (shrink)

Urban landscapes in the Roman world were covered in written text, from monumental building inscriptions to smaller, more personal texts of individual accomplishment and commemoration. In the East, Greek dominated these written landscapes, but Latin also appeared with some frequency, especially in places where a larger Roman audience was expected, such as major cities and Roman colonies. When Latin and Greek appear alongside each other, whether in the same inscription or across a single monumental space, we might ask what benefits (...) the sponsor of the monument hoped to gain from such a bilingual presentation, and whether each language was serving the same function. This paper considers the monumental entrance to the Pamphylian city of Perge as a case study for exploring this relationship between bilingual inscriptions and civic space. By surveying the display of both Greek and Latin on this entrance, examining how the entrance interacted with the broader linguistic landscape of Perge, and considering the effects that each language would have had on the viewer, I show that the use of language, and the variation between the languages, served not only to communicate membership in both Greek and Roman societies but also to delineate civic space from imperial space, both physically and symbolically. (shrink)

Contre toute attente is the manifesto of a thought that refuses passivity and can only endlessly seek the "weak force" of hope for a different, spectral, melancholy future. This book brings together several works around Gerard Bensussan which retrace the paths of his philosophical reflection.

This article analyzes Heidegger’s Paris lecture, “The End of Philosophy and the Task of Thinking,” in an attempt to understand the historical “task” that Heidegger seeks to examine when confronted with the agony of philosophy today. I attempt to valorize the understanding of time and history that Heidegger stages in his reading by demonstrating its entrance to be radical and novel with respect to other moments in Heidegger’s production: history here is not of “destiny”, that is, it does not coincide (...) with the appropriating orientation of man in time already presented in Heidegger’s other texts; rather, it is understood on the basis of the opening to the future that fragilizes and suspends all hope and all historical resolution. History is thought here as the desertification of present times, the completion of metaphysical nihilism, in which there opens at the same time a “perhaps” that, repeated many times throughout the lecture, takes up in all its complexity the problem of the future’s coming, of the extraordinary, of the opening, that is, of what, from the future, exceeds destiny. (shrink)

M. Ally: Why Jaspers gives us Hope: Deconstruc ting the Myth of Cultural Impermeability B. Andrzejewski: Über Kant und Schelling hinaus. Zur Frage der existenziellen Theorie der Kommunikation bei Jaspers A. Cesana: Weltphilosophie und philosophischer Glaube J. M. Cho: Cross-Cultural Adaptations in Karl Jaspers J. Fukaya: The Japanese Moral Framework and Jaspers Philosophy K. Fukui: Karl Jaspers Philosophie aus Sicht der Kyoto-Schule J.-C. Gens: Jaspers Begegnung mit und sein Verhältnis zu China S. Hanyu: The Cross-Cultural Thought in Jaspers Philosophy. (...) In comparison with Kantian Thought in Toward Perpetual Peace K. Hara: Konflikte und Kommunikation der Religionen. Zur Möglichkeit des philosophischen Glaubens A. Hirano: Arendt und Jaspers: Der innere Zusammenhang und die Unterschiede zwischen den Gedanken beider S. C. Kim: Der philosophische Glaube angesichts des religiösen Pluralismus L. Lambrecht: Philosophie gegen den Nationalsozialismus: Hannah Arendt und Karl Jaspers E. Lee: Heidegger and Jaspers on the Public Sphere: Jaspers Theory of Communication as an Antidote to Heideggers Dark Public World W. Lee: Philosophischer Glaube und universale Kommunikation bei Karl Jaspers T. Nakajima: Die Idee der Universität inmitten der Popularisierung" T. Nakayama: Jaspers Philosophie und Buddhismus. Das Denken der Leerheit" C. Olay: Öffentlichkeit bei Jaspers und Hannah Arendt S.-K. Paek: Kants Schrift Zum ewigen Frieden im Spiegel dreier Interpretationen: Volker Gerhardt, Jürgen Habermas, Karl Jaspers E. Park: The Possibility of Social Existenz. A Reinterpretation of the Concept of Existenz in Karl Jaspers F. Peach: Jaspers, Existential Communication and Globalisation C. Piecuch: Welteinheit: Rationale Entscheidung oder kosmische Notwendigkeit? I. Ren: Zwei Wege der philosophischen Logik: Jaspers und Heidegger N. Reyhani: Die Anthropologie-Debatte und der Vorwurf des Positivismus gegen Karl Jaspers I. Sarin: Jaspers on Bridging the Intercultural Gap H.-J. Seideneck: Der Zusammenprall von Kulturkreisen im Weltdorf unter dem Blickwinkel des erhebenden Scheiterns bei Karl Jaspers H. Stelzer: Das Aufbrechen fixierter Weltbilder in der interkulturellen Kommunikation E. Struchholz: Karl Jaspers und Jacob Burckhardt: Existenz und Existenzbild A. Takahashi: Zur Wechselbeziehung zwischen der Kommunikation in der Geschichte und derjenigen in unserer Zeit bei Jaspers M. Wirtz: Die Regionen des Geistes. Zur interkulturellen Relevanz einer Weltphilosophiegeschichtsschreibung nach Karl Jaspers M. Wischke: Kommunikative Übergänge und Grenzsituationen. Über Schuld und Gedächtnis bei Jaspers. (shrink)

This article examines the clergy sexual abuse crisis in the Roman Catholic Church from an ethical point of view. The article uses the RRICC values model of ethical decision making (i.e., responsibility, respect, integrity, competence, concern) to review the behavior of Catholic bishops and other religious superiors as they have tried to manage clergy sex offenders and their victims. Hopefully, the recent press attention and resulting policy changes on these matters from the U.S. Council of Catholic Bishops will increase the (...) chances that future decisions will be ethical ones. (shrink)

This article examines the clergy sexual abuse crisis in the Roman Catholic Church from an ethical point of view. The article uses the RRICC values model of ethical decision making (i.e., responsibility, respect, integrity, competence, concern) to review the behavior of Catholic bishops and other religious superiors as they have tried to manage clergy sex offenders and their victims. Hopefully, the recent press attention and resulting policy changes on these matters from the U.S. Council of Catholic Bishops will increase the (...) chances that future decisions will be ethical ones. (shrink)

The following paper deals with the notion of existence, especially as concerns natural languages. In Section 1, starting from some quite obvious examples drawn from logic, I sketch the problem of the existential presupposition usually ascribed to noun phrases. My opinion is that the point of view frequently adopted in this case is unduly restrictive, for the existence which is believed to be presupposed here is actual existence. Accordingly, I emphasize the need for having a weaker notion of existential presupposition, (...) such that the existence (if this word can still be used) here referred to is relevant only to linguistic goals. Section 2 sketches this notion, by assimilating existence (in the weak sense) to identification in a linguistic space. (I deal here only with intuitive considerations: a more formal account will be given, I hope, in another paper.) Finally, in Section 3, the notion of actual existence is examined by contrast with the linguistic (or weak) notion of existence: and this is a question which of course can't be tackled in terms of a purely linguistic analysis, for it needs a general, epistemo-logical approach. (shrink)

The COMPASS experiment at CERN is carrying on an experimental investigation of the spin structure of the nucleon, covering both longitudinal and transverse spin phenomena. In the first case, the central topic is the direct measurement of the gluon polarisation with the hope to solve the spin crisis first observed by EMC. The result shows that Δg/g is small around x g ≃0.1, and its first moment should not be larger than 0.2—0.3 in absolute value. About transverse spin effects, (...) evidence is given for new phenomena, associated with transverse momentum dependent distribution and fragmentation functions. (shrink)

This book is perfect for anyone wondering where hope fits into our lives during these troubling times.

As ethics committees and programs become integrated into the “usual business” of healthcare organizations, they are likely to face the predicament of responding to greater demands for service and higher expectations, without an influx of additional resources. This situation demands that ethics committees and programs allocate their scarce resources (including their time, skills and funds) strategically, rather than lurching from one ad hoc request to another; finding ways to maximize the effectiveness, efficiency, impact and quality of ethics services is essential (...) in today’s competitive environment. How can Hospital Ethics Committees (HECs) begin the process of strategic priority-setting to ensure they are delivering services where and how they are most needed? This paper describes the creation of the Clinical Ethics Needs Assessment Survey (CENAS) as a tool to understand interprofessional staff perceptions of the organization’s ethical climate, challenging ethical issues and educational priorities. The CENAS was designed to support informed resource allocation and advocacy by HECs. By sharing our process of developing and validating this ethics needs assessment survey we hope to enable strategic priority-setting in other resource-strapped ethics programs, and to empower HECs to shift their focus to more proactive, quality-focused initiatives. (shrink)

Canadian ethicists have a long legacy of leadership in advocating for standards and quality in healthcare ethics. Continuing this tradition, a grassroots organization of practicing healthcare ethicists (PHEs) concerned about the lack of standardization in the field recently formed to explore potential options related to professionalization. This group calls itself “practicing healthcare ethicists exploring professionalization” (PHEEP). This paper provides a description of the process by which PHEEP has begun to engage the Canadian PHE community in the development of practice standards (...) and related projects. By making our process and its ethical and cultural underpinnings transparent, we hope to prompt PHEs around the world to reflect on the importance of context, process and principles (not just outcomes) in the exploration of and possible movement towards professionalization. By sharing some of our key successes and challenges, we also hope to inspire our colleagues to recognize the value in developing practice standards and to contribute to this endeavor. (shrink)

Nietzsche hat Herder bekanntlich nur geringe und vor allem polemische Aufmerksamkeit gewidmet. Wie Nietzsche verstand jedoch schon Herder den Menschen und seine Kultur betont aus Analogien mit natürlichen Prozessen; beiden ging es - mit Nietzsches Begriff - um eine 'Vernatürlichung' des Menschen. Dabei nimmt der ursprung der Sprache eine Schlüsselstellung ein, und hier untersteichen widerum beide die Rolle unbewusster Instinkte und Triebe, die zur Produktion von Analogien und Metaphern führen. Da sie sich aber dessen bewusst sind, dass auch ihre Ursprungsdiskurse (...) an die Sprach gebunden bleiben und keine wissenschaftlichen Theorien sein können, werden diese Instinkte und Triebe, jenseits jeden biologistischen Reduktionismus, nur als heuristische Zeichen kenntlich. Während Herder jedoch an der Rolle des Bewusstseins bei der Sprachgenesis festhält, macht Nietzsche, auch hier noch konsequent pragmatisch ansetzend, die Entstehung des Bewussteins selbst von der Kommunikation abhängig.As is well known, Nietzsche gave Herder's thought only cursory attention, and the few remarks he did make were usually polemical and often dismissive. Nevertheless, both Herder and Nietzsche understood humans and their culture on the analogy with natural processes. Both thinkers are concerned with the, to use Nietzsche's phrase, "Vernatürlichung" (naturalization", of human beings. Moreover, both emphasize the importance of understanding the origin of language, especially the way in which instincts and drives lead to the production of analogies and metaphors. Because they are aware that their own discussion of the origin of language remains bound to language and cannot hope to attain the status of scientific theories, since these instincts and drives can only be knowable as heuristic signs. While Herder held that consciousness plays a role in the origin of language, Nietzsche rather sees the origin of consciousness itself dependent on communication. (shrink)

Both individuals and governments around the world have willingly sacrificed a great deal to meet the collective action problem posed by Covid-19. This has provided some commentators with newfound hope about the possibility that we will be able to solve what is arguably the greatest collective action problem of all time: global climate change. In this paper we argue that this is overly optimistic. We defend two main claims. First, these two collective action problems are so different that the (...) actions that individuals have taken to try to solve the problem posed by Covid-19 unfortunately provide little indication that we will be able to solve the problem posed by climate change. Second, the actions that states have taken in response to Covid-19 might—if anything—even be evidence that they will continue to fail to cooperate towards a solution to the climate crisis. (shrink)

Within the history of philosophy and across different cultures, few questions have been raised as frequently as what the realization of oneself means. Certainly, one of the very driving forces of philosophy seems to be the clarification of the self and its life. However, in spite of this, within recent years, there have been few serious critical and philosophical efforts to discuss what exactly it means to realize oneself. To this degree, there is a need to critically assess the meaning (...) of self-realization. What we propose to do, then, is to tackle this problem, from a variety of viewpoints. It is from this starting point that we hope to introduce the sprawling question of self-realization, as well as its connection to a variety of intellectual traditions. (shrink)

In this concluding piece, we identify and discuss various aspects of convergence and, to a lesser degree, divergence in the ideas expressed in the contributions to this special section. These contributions emphatically illustrate that approach–avoidance motivation is integral to the scientific study of emotion. It is our hope that the articles herein will facilitate cross-talk among researchers and research traditions, and will lead to a more thorough understanding of the role of approach–avoidance motivation in emotion.

We all wait – in traffic jams, passport offices, school meal queues, for better weather, an end to fighting, peace. Time spent waiting produces hope, boredom, anxiety, doubt, or uncertainty. Ethnographies of Waiting explores the social phenomenon of waiting and its centrality in human society. Using waiting as a central analytical category, the book investigates how waiting is negotiated in myriad ways. Examining the politics and poetics of waiting, Ethnographies of Waiting offers fresh perspectives on waiting as the uncertain (...) interplay between doubting and hoping, and asks "When is time worth the wait?" Waiting thus conceived is intrinsic to the ethnographic method at the heart of the anthropological enterprise. Featuring detailed ethnographies from Japan, Georgia, England, Ghana, Norway, Russia and the United States, a Foreword by Craig Jeffrey and an Afterword by Ghassan Hage, this is a vital contribution to the field of anthropology of time and essential reading for students and scholars in anthropology, sociology and philosophy. (shrink)

Our recent publication in Neuroethics re-constructed the perspectives of family caregivers of patients with disorders of consciousness on functional neurodiagnostics. Two papers criticized some of our methodological decisions and commented on some conclusions. In this commentary, we would like to further explain our methodological decisions. Despite the limitations of our findings, which we readily acknowledged, we continue to think they entail valid hypotheses that need further investigation. We conclude that some caregivers with high hopes for the recovery of their loved (...) ones with DOC will most likely not consider results of functional neuroimaging as guiding information for treatment decisions, despite efforts taken to deliver information to them. Caregivers of that type might argue that such test-results are not a reliable source of information for the judgement of whether their loved one is likely going to recover or not. We introduce the concept of epistemic beliefs to formulate this hypothesis and suggest that future qualitative studies in this area should be aware of such beliefs when investigating the effects of functional neurodiagnostics on knowledge communication and shared decision making for patients with DOC. (shrink)

Our sense of smell pervasively influences our most common behaviors and daily experience, yet little is known about olfactory consciousness. Over the past decade and a half research in both the fields of Consciousness Studies and Olfaction has blossomed, however, olfactory consciousness has received little to no attention. The olfactory systems unique anatomy, functional organization, sensory processes, and perceptual experiences offers a fecund area for exploring all aspects of consciousness, as well as a external perspective for re-examining the assumptions of (...) contemporary theories of consciousness. It has even been suggested that the olfactory system may represent the minimal neuroanatomy that is required for conscious processing. Here, we seek contributions that should serve as the foundation for future research concerning consciousness using olfaction as a model. -/- Given the variegated nature of research on consciousness, we seek original papers including review articles, original research, and theoretical contributions concerning the nature of olfactory consciousness. The scope of the special edition widely incorporates olfaction as it relates to Consciousness, Awareness, Attention, Phenomenal- or Access-Consciousness, and Qualia. Research concerning olfaction and cross-modal integration as it relates to conscious experience is also welcome. -/- As the initial foray into this uncharted area of research, we welcome contributions from across all disciplines contributing to cognitive neuroscience, including neurobiology, neurology, psychology, philosophy, linguistics, and computer sciences. It is our hope that this special edition will serve as the impetus for future interdisciplinary research on olfaction and consciousness. (shrink)

El artículo pone en evidencia la dimensión ético-antropológica de la historia de la medicina. En el pasado podemos encontrar aquellos elementos de relevancia ética que están en estrecha continuidad con el presente. Desde los orígenes el médico ha experimentado el conflicto entre el mundo del deseo y el mundo del límite. El cuidado de los enfermos comienza desde ahí, de la consciencia de compartir el mismo deseo, el mismo límite, el mismo destino. El artículo mira la historia de la medicina (...) como historia de la humanidad; dentro está toda la vida humana, según la definición del historiador Fielding Garrison . En esta perspectiva la dimensión ético-antropológica emerge sobre todo en las múltiples figuras de médicos ejemplares caracterizados por valores como el valor, la dedicación, la empatía, pero sobre todo por un gran sentido de humanidad y de solidaridad por sus enfermos. En fin, una lectura ético-social puede emerger del arte y de la literatura. Ellas son no sólo testimonio de una época sino también un sismógrafo de las dimensiones éticas de la medicina.This article highlights the ethical-anthropological level of the history of medicine. It explores the close connection between past and present regarding those elements of ethical relevance in medicine. Since the beginning, the physician experienced the conflict between hopes and limits. Medical care springs exactly from the awareness of sharing the same desire, the same limit, and the same destiny. This article regards the history of medicine as history of mankind; according to the historian Fielding Garrison, the history of medicine embodies the entire human life . In this perspective, the ethical-anthropological dimension emerges particularly in many exemplary figures of physicians, distinguished for courage, commitment, empathy, humanity and solidarity towards their patients. Finally, arts and literature can be regarded as instruments to get a cultural perspective, as well as guidelines for social and ethical key of interpretation. They are not only historical documents, but also a seismograph, registering the fundamental historical dimension of medicine. (shrink)

Nietzsche hat Herder bekanntlich nur geringe und vor allem polemische Aufmerksamkeit gewidmet. Wie Nietzsche verstand jedoch schon Herder den Menschen und seine Kultur betont aus Analogien mit natürlichen Prozessen; beiden ging es - mit Nietzsches Begriff - um eine 'Vernatürlichung' des Menschen. Dabei nimmt der ursprung der Sprache eine Schlüsselstellung ein, und hier untersteichen widerum beide die Rolle unbewusster Instinkte und Triebe, die zur Produktion von Analogien und Metaphern führen. Da sie sich aber dessen bewusst sind, dass auch ihre Ursprungsdiskurse (...) an die Sprach gebunden bleiben und keine wissenschaftlichen Theorien sein können, werden diese Instinkte und Triebe, jenseits jeden biologistischen Reduktionismus, nur als heuristische Zeichen kenntlich. Während Herder jedoch an der Rolle des Bewusstseins bei der Sprachgenesis festhält, macht Nietzsche, auch hier noch konsequent pragmatisch ansetzend, die Entstehung des Bewussteins selbst von der Kommunikation abhängig.As is well known, Nietzsche gave Herder's thought only cursory attention, and the few remarks he did make were usually polemical and often dismissive. Nevertheless, both Herder and Nietzsche understood humans and their culture on the analogy with natural processes. Both thinkers are concerned with the, to use Nietzsche's phrase, "Vernatürlichung" (naturalization", of human beings. Moreover, both emphasize the importance of understanding the origin of language, especially the way in which instincts and drives lead to the production of analogies and metaphors. Because they are aware that their own discussion of the origin of language remains bound to language and cannot hope to attain the status of scientific theories, since these instincts and drives can only be knowable as heuristic signs. While Herder held that consciousness plays a role in the origin of language, Nietzsche rather sees the origin of consciousness itself dependent on communication. (shrink)

This book tackles the question of why the brain is so difficult to fully understand. In neuroscience, data are acquired and analyzed with astonishing techniques and accumulate rapidly. Nevertheless, try to explain how a person can think or why there is such a condition as schizophrenia, and it appears that we really know little. To approach these difficulties, the authors first present a number of case studies in which the operation of a neural circuit is worked out in some detail (...) and, at the same time, the functional significance of the operation is also understood. These examples are complicated in their biologic specifics but are conceptually straightforward. The examples are hoped to provoke an appreciation for what neuroscience can accomplish. The authors then develop some thoughts on how these issues can be addressed----instead of considering cognition in general, taking instead a subset of cognition that does lend itself to formal description. (shrink)

What is education? What options does the educator have and what is expected from those who are being educated? What do education in the sense of paideia and the Christian educatio have in common? And what is the difference between those two notions? What does it mean to succeed in the drama of life and the world? Can the insightful (theoria) seeking of wisdom (sofia, sapientia) be separated from the effective (praxis) seeking of reason (fronésis, prudentia)? What is the purpose (...) of scholé and can it be experienced in schools today? How do today's schools prepare the youngest generation for the task of enhancing civil society? Is everyone able to relate to good? What does it mean to testify to the idea of good? These and other questions are asked in a dialogue of two teachers from the Czech Republic and Slovakia, respectively, who are concerned with philosophy, theology and pedagogy. The aim of the dialogue is to enter the Living school of thought, as founded by the Czech philosopher Radim Palouš (1924–2015), and to consider anew the topics he opened in his works. The dialogue embarks on a journey of searching for wisdom, by listening to words and the Word, by perceiving and contemplating experience, through reason and intuition, dialogue and acceptance in silence. It involves taking a closer look into the world that concerns everyone who are pupils, students, educators, teachers, educators – those who seek and who are sent, those longing and facing misunderstanding. It is an invitation to reflect on human life with humility and the awareness of human responsibility, in the hope that the pursuit of good, truth and beauty is intertwined with the task of succeeding as humans. (shrink)