ABSTRACT Curtailing health care for the very old promises to free resources that can be devoted to others. Such self‐conscious limit‐setting, leading to premature death, requires both a moral justification and a change in the paradigm of physician obligation. This paper argues that the moral justification for curtailing care is absent, and that the paradigm of the physician as a servant of life, and the patient's agent, is worth preserving. Finally, it is suggested that, if the ailing old need to (...) be deprived of life‐extending care, then the state should undertake the task of killing them. Physicians should not undertake this role, for it is the state that may gain an advantage it seeks by saving money, not the physicians. (shrink)

Ethical aspects of management control systems are attracting increasing attention among scholars and practitioners. Much of the work centers on their aims. We complement this scholarship by applying the ethical principle of “no harm,” i.e., non-maleficence, to examine how those aims are achieved. We illustrate this approach by exploring the effects of four MCS designs on job-related stress drawing on the differentiation of stress into two dimensions: a challenge and a threat dimension. Results from a lagged field-survey with 471 managers (...) and employees from the UK and the U.S. support key predictions and offer first insights into designing MCS based on a “no harm” ethics. Our study highlights the benefits of interdisciplinary research in business ethics and hopefully encourages more work on MCS from a perspective based on the non-maleficence principle. (shrink)

ABSTRACT While interest in philosophy and medicine has burgeoned in the past two decades, there remains a need for an analysis of the intellectual activity embodied in good medical practice. In this setting, ethical and scientific decision‐making are complexly interrelated. The following paper, collaboratively written by physicians and philosophers, presents a view of applied (clinical) science and applied ethics. Making extensive use of illustrations drawn from routine case material, we seek to indicate a variety of philosophic issues to be found (...) in daily practice, elucidate various levels of critical reasoning within the medical setting, and demonstrate a remarkable similarity between medical and ethical decision‐making. (shrink)

Dans le Sermon 74 sur le Cantique des Cantiques, Bernard de Clairvaux fait part de son expérience, exprimée en termes de « visites du Verbe ». De son propre aveu, il vise le dévoilement d’une ontologie de la personne qui se réalise pleinement par l’expérience immédiate du Verbe. La construction de la théologie bernardine est reprise dans cet article à partir du mouvement alternatif entre expérience et expression. La capacité humaine de produire de nouvelles formes de langage ne s’épuise (...) pas dans la mise en œuvre de la langue. Pour mettre en exergue cette idée, les termes d’inoperosità (désœuvrement) et d’inappropriable, forgés par Giorgio Agamben, sont utilisés pour montrer dans quelle mesure le cistercien emploie l’art des paroles pour produire l’effet de son expérience personnelle avec Dieu. L’article tente ainsi de montrer que les mots bernardins entrent dans un mode de désœuvrement, afin de nous introduire dans la contemplation du Verbe en tant que forme de vie et transformation intérieure. (shrink)

Not all truths are on a par. The realm of truths is structured: some propositions are only true because others are. The relation that endows the realm of truths with this structure is often called grounding. Grounding has achieved much attention in 21st century metaphysics, but the topic is arguably as old as philosophy itself. -/- This becomes apparent when investigating the works of the 19th-century philosopher Bernard Bolzano, who developed what is perhaps the first comprehensive theory of grounding, (...) drawing on a rich tradition that goes back to Aristotle’s Posterior Analytics. Roski’s book provides, for the first time, a comprehensive study of Bolzano’s theory of grounding in its entirety, paying more attention than previous studies to the interaction between grounding and the consequence-relation of deducibility. -/- . (shrink)

The dissertation provides a reconstruction of Bernard Bolzano's theory of grounding (both in early and late works) against the background of a classical conception of science and scientific explanation.

It is sometimes mentioned that Bernard Bolzano’s work on grounding anticipates many insights of the current debate on metaphysical grounding. The present paper discusses a certain part of Bolzano’s theory of grounding that has thus far not been discussed in the literature. This part does not so much anticipate what are nowadays common assumptions about grounding, but rather goes beyond them. Central to the discussion will be a thesis of Bolzano’s by which he tries to establish a connection between (...) grounding and unification. The paper spells out this thesis in detail and discusses the assumptions on which it rests. Next to this mainly historical aim, the paper also presents reasons why philosophers who are not interested in the historical Bolzano should find the thesis interesting by relating it to a certain view on unification and explanation that has been put forward by Kim. A final part of the paper provides a critical evaluation of the thesis against the background of current accounts of grounding. (shrink)

Im Fokus dieses Artikels steht die Vorstellung einer neuen Normativitätstheorie. Ich nenne sie metaethischen Konativismus. Der Konativismus ist der Theorienfamilie des Humeanismus zuzuordnen – er stellt konative Einstellungen in den Mittelpunkt – und ähnelt in seinen Grundzügen den Theorien von Bernard Williams, Mark Schroeder, David Sobel oder Peter Stemmer. Da er sich jedoch, wie ich zeigen werde, in einigen Kernelementen stark von bereits bestehenden Positionen unterscheidet, darf er als eigenständige Theorie gelten. Mein Hauptziel besteht darin, zu zeigen, dass der (...) Konativismus vier zentrale und historisch einflussreiche Einwände gegen humeanische Theorien zurückweisen kann. Diese betreffen die Phänomenologie praktischer Überlegungen, die rationale Kritik konativer Einstellungen, die Verwechslung von motivationaler Kraft und normativem Gewicht, sowie die Frage nach der moralischen Adäquatheit. Mein Ergebnis ist, erstens, dass der Konativismus der Phänomenologie praktischer Überlegungen gerecht wird. Außerdem ergibt sich, zweitens, aus dem Konativismus ganz natürlich die Idee, dass es Gründe „hinter“ unseren konativen Einstellungen gibt, die als Grundlage für eine rationale Kritik selbiger dienen können. Darüber hinaus unterscheidet er, drittens, klar zwischen normativem Gewicht und motivationaler Kraft. Und schließlich, viertens, liefert er eine gute Grundlage dafür, robuste und gewichtige moralische Gründe zu generieren. Es zeigt sich also, dass vier der wichtigsten und einflussreichsten Einwände gegen Humeanische Positionen, die von zahlreichen namhaften AutorInnen immer wieder vorgebracht wurden, das theoretische Potential selbiger stark unterschätzt haben. Der Konativismus stellt eine neue Theorie praktischer Gründe dar, die sich dieses Potential zunutze macht und damit ihren Hut als attraktive Option in den Ring wirft. (shrink)

In this article I seek to explain Hegel’s significance to contemporary meta-ethics, in particular to Kantian constructivism. I argue that in the master–slave dialectic in the Phenomenology of Spirit, Hegel shows that self-consciousness and intersubjectivity arise at the same time. This point, I argue, shows that there is no problem with taking other people’s reasons to motivate us since reflection on our aims is necessarily also reflection on the needs of those around us. I further explore Hegel’s contribution to the (...) debate about internal and external reasons. I end by arguing that we should understand reasons as historically constructed in the sense that who counts as an intrinsic bearer of value changes over time. I thus argue that the struggle for recognition is in fact the beginning of the long march toward the idea of recognition and the Kantian kingdom of ends. This march, however, is driven by the need to overcome injustice as it is instantiated at the beginning of history by the master’s absolute domination of the slave. (shrink)

Stefan Collini challenges the common claim that universities need to show that they help to make money in order to justify getting more money.