Many new genetic tests are used in clinical practice, and the number of available tests is growing. Two important health policy questions arise as these genetic tests become available. The first question, whether a new test should be made available, has been the focus of much recent discussion. The second question concerns defining the appropriate standards surrounding the use of these tests, including patient selection, education, informed consent, test interpretation and counseling.Genetic tests currently move from the research arena, where strategies (...) are put in place to minimize risks,into the clinical context where the practice of medicine is more variable and the risks to patients less understood. In the research setting, risks can be minimized through safeguards including education, consent, and counseling. The frequency and magnitude of psychosocial and clinical risks canbe assessed. In the clinical setting, however, these safeguards may not be used consistently, creating unknown risksfor patients. (shrink)

Many new genetic tests are used in clinical practice, and the number of available tests is growing. Two important health policy questions arise as these genetic tests become available. The first question, whether a new test should be made available, has been the focus of much recent discussion. The second question concerns defining the appropriate standards surrounding the use of these tests, including patient selection, education, informed consent, test interpretation and counseling.Genetic tests currently move from the research arena, where strategies (...) are put in place to minimize risks,into the clinical context where the practice of medicine is more variable and the risks to patients less understood. In the research setting, risks can be minimized through safeguards including education, consent, and counseling. The frequency and magnitude of psychosocial and clinical risks canbe assessed. In the clinical setting, however, these safeguards may not be used consistently, creating unknown risksfor patients. (shrink)

The Star of Redemption, * which presents Franz Rosenzweig's system of philosophy, begins with the sentence "from death, (vom Tode) , from the fear of death, originates all cognition of the All" and concludes with the words "into life. " This beginning and this conclusion of the book signify more than the first and last words of philosophical books usually do. Taken together - "from death into life" - they comprise the entire meaning of Rosenzweig's philosophy. The leitmotif of this (...) philosophy is the life and death of the human being and not the I of philosophical idealism, where man ultimately signifies "for ethics" no more than" . . . a point to which it (ethics) relates its problems, as for science also he (man) is only a particular case of its general laws. "l Rosenzweig deals with the individual's actual existence, that which is termi nated by death; he speaks of the individual's hic et nunc, of his actions and decisions in the realm of concrete reality. This philosophy is not an exposition of theoretical principles. It is not concerned with man in general in abstract time, but rather with the individual human being, designated by a proper name, living in his particular time. ** Human existence in its finiteness and temporalness forms the focus in which Rosenzweig's motif can be gathered together. (shrink)

L'ouvrage traite essentiellement des grands thèmes de la méthodologie et de l'épistémologie wébériennes, tels que la neutralité axiologique, les processus de rationalisation ou la bureaucratie. Il fait également des incursions dans un de ses domaines de prédilection : la sociologie des religions. Il s'interroge plus particulièrement sur la signification de l'économie dans les religions mondiales et sur sa théorie du polythéisme des valeurs.

La Philosophie de la Technique compte des centaoines de titres a l'etranger mais reste balbutiante en France. Or la technique constitue bien le milieu universel dans lequel desormais nous naissons, vivons et mourrons. Il n'est pas sur que cette technique englobante, qui innerve notre temps et notre espace, puisse encore etre consideree comme un ensemble d'outils au service de l'Homme et comme une science appliquee. L'Homme suivant toutes ses dimensions, est mis en question par la technique contemporaine. La science est (...) si essentiellement enchevetree a la technique, qui est operation (action et manipulation), qu'il n'y a plus de science pure, c'est-a-dire neutre et innocente. Voila pourquoi la Philosophie de la Technique rencontre la problematique ethique non de l'exterieur mais necessairement et essentiellement. Que dois-je faire? depend fondamentalement de ce que j'ai la capacite de faire. La technique, qui a radicalement modifie la nature et le champ du pouvoir-faire humain, individuel et collectif, exige du meme coup que la question ethique soit fondamentalement reconsideree. Ethique et Technique n'intervient donc pas comme un chapitre quelconque de la Philosophie de la Technique, mais peut-etre bien comme le coeur meme de ce nouveau champ de reflexion. (shrink)

"À son décès, Julien Freund laissait parmi ses papiers un recueil de textes inédits, sous forme épistolaire, adressés à ses amis et collègues : les Lettres de la vallée. Dans ces méditations, rédigées en sa retraite vosgienne - qui n'est pas sans évoquer la Hütte de Heidegger, de l'autre côté du Rhin - et loin des servitudes propres aux écrits universitaires, l'auteur de L'Essence du politique s'exprime en toute liberté, à bâtons rompus, sur ses sujets de prédilection (le politique, (...) l'idéologie, la guerre, les totalitarismes, l'utopie, la décadence), mais également l'enseignement, le journalisme, la connaissance, le droit, la morale, la métaphysique, les limites... Ce livre forme la clef de voûte où se rejoignent les grands thèmes de sa pensée."--Page 4 de la couverture. (shrink)

Les préoccupations éthiques des scientifiques, l'autonomisation de la technologie par rapport à la technique, l'adoption par les diverses sciences sociales d'éléments du discours philosophique, sont pour beaucoup les indices d'un effondrement de la philosophie. Mais cette fin de la philosophie moderne marque-t-elle la fin de toute philosophie? Julien Freund, après tant d'années consacrées aux sciences sociales et à la polémologie, revient sur son terrain de prédilections : la philosophie. Dans cet essai, qui contient à la fois une histoire de (...) la philosophie moderne et la construction d'une nouvelle métaphysique, il répond que la philosophie entendue comme liberté du présupposé ne doit pas s'évanouir dans d'autres savoirs, mais s'affirmer comme discours spécifique. L'esprit de la métaphysique ne réside pas, comme Heidegger l'a répété après Kant, dans le souci du fondement de l'être, mais dans les diversités de ses expressions, positives ou négatives, logiques ou contradictoires, et dans le contexte inéluctable de l'identité et de l'altérité. Ce qui intéresse le métaphysicien ce sont les immenses possibilités de l'expressivité de l'être. Le philosophe n'a pas pour mission d'expliquer l'être mais de méditer sur lui. Ainsi Julien Freund médite-t-il sur la science et le progrès, sur la foi et la croyance, sur l'humeur et le sentiment et nous offre une remarquable leçon de philosophie philosophique. (shrink)

Celebrated and castigated as the “Hobbes of the twentieth century” and even a modern Machiavelli. Carl Schmitt (1888–1984) is undoubtedly the most controversial legal and political theorist of the twentieth century. He greatly influenced the thinking of such political scientists and political philosophers as Hans J. Morgenthau, Franz Neumann, Otto Kirchheimer, Leo Strauss, and Julien Freund. But Schmitt always spoke and wrote as a jurist. He grounded his thinking in jurisprudence and was the teacher in the wider sense of (...) such jurists as Ernst‐Wolfgang Böckenförde and Ernst‐Rudolf Huber. (shrink)

En 1993, disparaissait Julien Freund. Onze ans après, en dehors de son ouvrage incontournable L'essence du politique, son œuvre demeure méconnue en France, en dépit de sa grande richesse.

An seine Freunde - wer da Zeugnisse dessen, was wir Freundschaft nennen, erwartet, wird sich ein wenig enttäuscht finden. Abgesehen von den Briefen an seine Gattin Terentia und seine Freigelassenen Tiro, die eine Sonderstellung einnehmen, gibt sich Cicero nur einigen wenigen Partnern gegenüber ganz so, wie er ist, und das ist doch das, was wir bei einem Freund voraussetzen: Unbefangenheit und Unverstelltheit. Die große Masse seiner Briefe ist zweckgebunden, trägt mehr oder weniger formellen Charakter. Da gilt es, das eigene (...) politische Handeln zu rechtfertigen, das persönliche Verdienst ins rechte Licht zu rücken, Differenzen mit politischen "Freunden" auszufechten, Beziehungen für sich und andere auszuwerten, den politischen Gesinnungsgenossen bei der Stange zu halten oder zu fördern und was dergleichen mehr ist. So leuchten diese Briefe tief hinein in das Treiben der führenden Kreise und bergen mit ihren Schlaglichtern auf das politische Geschehen der Zeit eine Fülle von Interessantem und Fesselndem. Ganz von der Politik diktiert ist der Briefwechsel mit L. Plancus, M. Lepidus, D. Brutus und C. Cassius in den Büchern X, XI und XII. Er bildet eine unschätzbare Quelle für unsere Kenntnis der Vorgänge während des Todeskampfes der Republik. (shrink)

This book is a comprehensive and unique text and reference in medical ethics. By far the most inclusive set of primary documents and articles in the field ever published, it contains over 100 selections. Virtually all pieces appear in their entirety, and a significant number would be difficult to obtain elsewhere. The volume draws upon the literature of history, medicine, philosophical and religious ethics, economics, and sociology. A wide range of topics and issues are covered, such as law and medicine, (...) truth-telling by the physician, research, population policy, genetics, abortion, dying, and individual rights in medical care. The selections span the centuries, beginning with material from the works of Hippocrates, continuing through Thomas Percival, John Stuart Mill, and Claude Bernard, down to modern commentators like Henry K. Beecher, Walsh McDermott, David L. Bazelon, Paul Freund, H. L. A. Hart, John Rawls, Paul Ramsey, Richard McCormick, Rashi Fein, and Bernard Barber. The text has eight major divisions, beginning with sections on the ethical dimensions of the physician-patient relationship in history; the moral bases of medical ethics; and regulation, compulsion, and protection of the consumer in clinical medicine and public health. Each of these sections includes key essays that appear for the first time. All of the book's major divisions contain primary documents: codes such as the Hippocratic Oath, Medieval Law for the Regulation of Medicine, and the first as well as the most recent code of the American Medical Association; court decisions, including those on Karen Quinlan and on abortion in the United States and West Germany; government documents such as the statement of the National Commission on the Protection of Human Subjects, the Tuskegee Syphilis Report, the British Parliamentary debate on euthanasia, and the Council of Europe on rights of the sick and dying; and various published guidelines such as the Harvard Medical School brain death criteria, the American Hospital Association on patient's rights, and Pope Pius XII on the prolongation of life. Cases that illustrate moral dilemmas are provided for discussion purposes. Each section is preceded by a succinct editor's introduction. The documents and essays are of practical value for practitioners and students in medicine, law, ethics, and counselling, and for individual patients and groups concerned with medical care. Through encompassing divergent viewpoints, the essays and primary documents were selected to encourage humane practices and deepen understanding of the multiple traditions that shaped and do shape the development of medicine. (shrink)

Vorwort. -- I.t. Darstellung des lebens und charakters Immanuel Kants, von L.E. Borowski. -- II.t. Immanuel Kant geschildert in briefen an einen freund, von R.B. Jachmann. -- III.t. Immanuel Kant in seinen letzten lebensjahren ; ein beitrag zur kenntnis seines charakters und ḧauslichen lebens aus dem thaglichen umgange mit ihm, von E.A.C. Wasianki. -- Schlusswort.

Anlässlich des 65. Geburtstages von Ingeborg Schüßler haben ihre Kollegen, Freunde und ehemaligen Schüler beschlossen, ihr eine Festschrift zu widmen. Das Buch umfasst 25 Beiträge in Deutsch und Französisch. Der Titel des Bandes, Genealogie des neuzeitlichen Denkens bezeichnet die leitende Perspektive der Beiträge: unter verschiedenen Beleuchtungen geht es jedesmal darum, wie das Denken der Moderne und der Gegenwart die philosophischen Erbschaften, von denen es herkommt, aufnimmt und neu bearbeitet. A l'occasion du soixante-cinquième anniversaire de Madame Ingeborg Schüßler, ses collègues, aims (...) et anciens élèves ont décidé de lui offrir un volume d'hommages, rassemblant vingt-cinq contributions en français et en allemand. Le titre du volume, Généalogie de la pensée moderne, indique l'optique commune aux études réunies : sous diverses perspectives, il s'agit à chaque fois de se demander comment la pensée de la modernité reprend et retravaille les héritages philosophiques dont elle est tributaire. Contributions de / Beiträge von Emil Angehrn, Rudolf Bernet, Raphae͏̈l Célis, Pascal David, Felix Duque, Michael Esfeld, Jean Ferrari, Karen Gloy, Gérard Guest, Michel Herren, Friedrich-Wilhelm von Herrmann, Helmuth Holzhey, Wolfgang Janke, Emmanuel Mejia, Ada Neschke, Thérèse Pentzopoulos-Valalas, Mario Ruggenini, John Sallis, Alexandre Schild, Gerhard Seel, Tiziana Suarez-Nani, Rainer Thurnher, Jean-Marc Tétaz, Ivan Urbancic, Franco Volpi. (shrink)

Moral philosophers agree that welfare matters. But they disagree about what it is, or how much it matters. In this vital new work, Wayne Sumner presents an original theory of welfare, investigating its nature and discussing its importance. He considers and rejects all notable theories of welfare, both objective and subjective, including hedonism and theories founded on desire or preference. His own theory connects welfare closely with happiness or life satisfaction. Reacting against the value pluralism that currently dominates moral philosophy, (...) he advances welfare as the only basic ethical value. He concludes by discussing the implications of this thesis for ethical and political theory. Written in clear, non-technical language, and including a definitive survey of other work in this area, Sumner's book is essential reading for moral philosophers, political theorists, and welfare economists. (shrink)

US Supreme Court rulings concerning sanctions for juvenile offenders have drawn on the science of brain development and concluded that adolescents are inherently less mature than adults in ways that render them less culpable. This conclusion departs from arguments made in cases involving the mature minor doctrine, in which teenagers have been portrayed as comparable to adults in their capacity to make medical decisions. I attempt to reconcile these apparently incompatible views of adolescents’ decision-making competence. Adolescents are indeed less mature (...) than adults when making decisions under conditions that are characterized by emotional arousal and peer pressure, but adolescents aged 15 and older are just as mature as adults when emotional arousal is minimized and when they are not under the influence of peers, conditions that typically characterize medical decision-making. The mature minor doctrine, as applied to individuals 15 and older, is thus consistent with recent research on adolescent development. (shrink)

Reporting peers’ counterproductive work behaviors (CWBs) is important for maintaining an ethical organization, but is a significant and potentially risky action. In Bandura’s Theory of Moral Thought and Action (Bandura, 1991) he states that such acts require significant moral agency, which is generated when an individual possesses adequate moral self-regulatory capacities to address the issue and is in a context that activates and reinforces those capacities. Guided by this theory, we assess moral potency (i.e., moral courage, moral efficacy, and moral (...) ownership) as key capacities predicting peer reporting intentions and assess three contextual factors influencing the generation and effects of moral potency: whether a potential informant (1) works for an ethical leader, (2) is embedded in a psychologically safe climate promoting interpersonal risk-taking, and (3) operates in a more normal or extreme context. We assess the proposed model across three field studies entailing both normal and extreme (i.e., firefighting units) contexts. Results show that ethical leaders raise employees’ moral potency, promoting greater willingness to report their peers’ CWBs. In normal work contexts, psychological safety positively moderated both the relationship between ethical leadership and moral potency and between moral potency and peer reporting intentions. However, psychological safety had the opposite effects in more extreme work contexts. Whereas psychological safety strengthens the positive association between moral potency and peer reporting intentions in normal work contexts, in contexts where individuals are more frequently exposed to extreme events, psychological safety weakens this relationship, thus highlighting the unforeseen downsides of psychological safety in extreme contexts. (shrink)