Nielsen Busch and Mjaaland argue that controlled donation after circulatory death (DCD), and normothermic regional perfusion (NRP) do not violate the dead donor rule (DDR) (Nielsen Busch and Mjaala...

Volume 20, Issue 6, June 2020, Page 47-49.

In this article I examine the question of how a liberal state should go about defining death. Plausible standards for a definition of death include a somatic one based on circulatory criteria, death by neurologic criteria (DNC), and higher brain death. I will argue that Rawlsian “burdens of judgment” apply in this process: that is, reasonable disagreement should be expected on important topics, and such disagreement ought not be resolved via the coercive powers of the state. Nevertheless, the state must (...) legislate a definition of death, and in doing so faces a “neutralist dilemma,” that is, when there are multiple reasonable ways to move forward, only one can be chosen. I will examine a possible way to exit this neutralist dilemma. Finally, I will argue for DNC as the normatively preferred default definition of death. To do this, I will employ the Rawlsian heuristic of the “original position” and offer public reasons in favor of using DNC as the preferred default definition of death. (shrink)

The recently published World Brain Death Project aims in alleviating inconsistencies in clinical guidelines and practice in the determination of death by neurologic criteria. However, critics have taken issue with a number of epistemic and metaphysical assertions that critics argue are either false, ad hoc, or confused. In this commentary, I discuss the nature of a definition of death; the plausibility of neurologic criteria as a sensible social, medical, and legal policy; and within a Rawlsian liberal framework, reasons for personal (...) choice or accommodation among neurologic and circulatory definitions. Declaration of human death cannot rest on contested metaphysics or unmeasurable standards, instead it should be regarded as a plausible and widely accepted social construct that conforms to best available and pragmatic medical science and practice. The definition(s) and criteria should be transparent, publicly justifiable, and potentially allow for the accommodation of reasonable choice. This is an approach that situates the definition of death as a political matter. The approach anticipates that no conceptualization of death can claim universal validity, since this is a question that cannot be settled solely on biologic or scientific grounds, rather it is a matter of normative preference, socially constructed and historically contingent. (shrink)

Background There is lack of consensus in the bioethics literature regarding the use of cardiopulmonary resuscitation (CPR) for organ-preserving purposes. In this study, we assessed the perspectives of clinicians in critical care settings to better inform donor management policy and practice.Methods An online anonymous survey of members of the Society of Critical Care Medicine that presented various scenarios about CPR for organ preservation.Results The email was sent to 10,340 members. It was opened by 5,416 (52%) of members and 405 members (...) (4%) completed the survey with few missing data. A majority of respondents (81%) answered that donation status should not influence whether CPR is performed on an imminently dying patient. There was very strong agreement (>85%) that 1) CPR should be performed on a registered donor who experiences a cardiac arrest with an unknown code status before death by neurological criteria (DNC) and 2) CPR should be performed if the patient is not a registered donor and experiences cardiac arrest but the surrogate/power of attorney (POA) has not yet been approached regarding code status and donation. When a registered donor with a DNR order experiences cardiac arrest before DNC, 98% of respondents would not perform CPR. However, after DNC, respondents were evenly divided on whether they would (49%) or would not (51%) perform CPR on a registered donor with an undocumented code status. When asked whether consent should be required for CPR for organ-preserving purposes, 39% answered “Yes” when a patient arrests before DNC and 48% answered “Yes” when a patient arrests after DNC (P = 0.2).Conclusions The majority of respondents did not consider donor status relevant to CPR decisions before DNC, and virtually all would respect a DNR order in a registered donor before DNC. Respondents were divided about the need for an affirmative consent for CPR for organ-preserving purposes both before and after DNC. (shrink)

Bilingualism has been shown to induce neuroplasticity in the brain, but conflicting evidence regarding its specific effects in grey matter continues to emerge, probably due to methodological differences between studies, as well as approaches that may miss the variability and dynamicity of bilingual experience. In our study, we devised a continuous score of bilingual experiences and we investigated their non-linear effects on regional GM volume in a sample of young healthy participants from an immersive and naturalistic bilingual environment. We focused (...) our analyses on cortical and subcortical regions that had been previously proposed as part of the bilingual speech pipeline and language control network. Our results showed a non-linear relationship between bilingualism score and grey matter volume of the inferior frontal gyrus. We also found linear increases in volumes of putamen and cerebellum as a function of bilingualism score. These results go in line with predictions for immersive and naturalistic bilingual environments with increased intensity and diversity of language use and provide further evidence supporting the dynamicity of bilingualism’s effects on brain structure. (shrink)

The objective of this paper is to articulate a distinction between habit and bodily skill as different ways of acting without deliberation. I start by elaborating on a distinction between habit and skill as different kinds of dispositions. Then I argue that this distinction has direct implications for the varieties of automaticity exhibited in habitual and skilful bodily acts. The argument suggests that paying close attention to the metaphysics of agency can help to articulate more precisely questions regarding the varieties (...) of automaticity exhibited in overt action. (shrink)

Economics has an impoverished view of virtuous human behaviour in general, and corporate social responsibility in particular. We claim that this is due to a particular, albeit currently dominant approach to economics. This approach focuses on the pursuit of wealth through efficient allocation of scarce resources by ‘rational’ utility‐maximizing economic agents and institutions, such as markets, firms and states, in the exclusive pursuit of ‘efficiency’. This results in an ethic‐free and often inimical approach to virtuous behaviour. However, a different approach (...) to economics, which focuses on sustainable global resource creation and allocation, asserts virtuous responsible behaviour to be part and parcel of economic analysis and performance. (shrink)

An Introduction to basic metaepistemological debates and positions.

Bill Pollard has recently developed an account of habits of action, endeavoring to rehabilitate the traditional notion of habit in a way that can be used to address current philosophical concerns. I argue that Pollard’s account has important shortcomings. The account is intended to apply indiscriminately to both habitual and skilled acts, but this overlooks crucial distinctions. Moreover, Pollard’s account fails to do justice to the various ways in which the idea of habit figures in the explanation and assessment of (...) action. These shortcomings are a consequence of certain assumptions Pollard shares with the accounts of mind and action he sets to criticize. As long as these assumptions are left intact, the potential of dispositional notions such as habit and skill to contribute to contemporary debates will not be realized. (shrink)

Several authors have argued that the things one does in the course of skilled and habitual activity present a difficult case for the ‘standard story’ of action. They are things intentionally done, but they do not seem to be suitably related to mental states. I suggest that once manifestations of habit are properly distinguished from exercises of skills and other kinds of spontaneous acts, we can see that habit raises a distinctive sort of problem. I examine certain responses that have (...) been given, as well as responses that could be given on behalf of the standard story to the problems presented by habitual activity. These responses rely on the idea of a kind of intention that does not ensue from conscious thought or deliberation. I raise three different objections to this line of response. The conclusion is that habit explains aspects of human behavior that cannot be accounted by ascribing intentions of any kind. (shrink)

A central argument against Ryle’s (The concept of mind, University of Chicago Press, Chicago, 1949) distinction between propositional and non propositional knowledge has relied on linguistic evidence. Stanley and Williamson (J Philos 98:411–444, 2001) have claimed that knowing-how ascriptions do not differ in any relevant syntactic or semantic respect from ascriptions of propositional knowledge, concluding thereby that knowing-how ascriptions attribute propositional knowledge, or a kind thereof. In this paper I examine the cross-linguistic basis of this argument. I focus on the (...) linguistic analysis of practical knowledge ascriptions in Modern Greek, although the issues raised are not restricted to one language. It is relatively straightforward to show that none of the three types of practical knowledge ascriptions in Modern Greek is an embedded question configuration, and hence Stanley and Williamson original claim is confined to certain languages only. This is not the end of the matter, however, since Stanley (Nous 45:207–238, 2011) argues that the equivalents of ‘knowing-how’ ascriptions in certain languages should be semantically analyzed as embedded questions despite their syntactic form. I argue that this fallback position faces a host of empirical and theoretical problems, in view of which it cannot bear the weight Stanley puts on it, supporting a conclusion about the kind of knowledge thereby attributed. (shrink)

Expressivism is a blossoming meta-semantic framework sometimes relying on what Carter and Chrisman call “the core expressivist maneuver.” That is, instead of asking about the nature of a certain kind of value, we should be asking about the nature of the value judgment in question. According to expressivists, this question substitution opens theoretical space for the elegant, economical, and explanatorily powerful expressivist treatment of the relevant domain. I argue, however, that experimental work in cognitive psychology can shed light on how (...) the core expressivist maneuver operates at the cognitive level and that this: raises worries about the aptness of the expressivist question substitution and supports an evolutionary debunking argument against expressivism. Since evolutionary debunking arguments are usually run in favor of expressivism, this creates an obvious puzzle for expressivists. I wrap up by briefly responding to the objection that the debunking argument against expressivism overgeneralizes and, therefore, should be rejected. (shrink)

Perceptual experience is one of our fundamental sources of epistemic justification—roughly, justification for believing that a proposition is true. The ability of perceptual experience to justify beliefs can nevertheless be questioned. This article focuses on an important challenge that arises from countenancing that perceptual experience is cognitively penetrable. -/- The thesis of cognitive penetrability of perception states that the content of perceptual experience can be influenced by prior or concurrent psychological factors, such as beliefs, fears and desires. Advocates of this (...) thesis could for instance claim that your desire of having a tall daughter might influence your perception, so that she appears to you to be taller than she is. Although cognitive penetrability of perception is a controversial empirical hypothesis, it does not appear implausible. The possibility of its veracity has been adduced to challenge positions that maintain that perceptual experience has inherent justifying power. -/- This article presents some of the most influential positions in contemporary literature about whether cognitive penetration would undermine perceptual justification and why it would or would not do so. -/- Some sections of this article focus on phenomenal conservatism, a popular conception of epistemic justification that more than any other has been targeted with objections that adduce the cognitive penetrability of experience. (shrink)

Metaepistemology Metaepistemology is, roughly, the branch of epistemology that asks questions about first-order epistemological questions. It inquires into fundamental aspects of epistemic theorizing like metaphysics, epistemology, semantics, agency, psychology, responsibility, reasons for belief, and beyond. So, if as traditionally conceived, epistemology is the theory of knowledge, metaepistemology is the theory of the theory of knowledge. … Continue reading Metaepistemology →.

This book offers the first comprehensive assessment of Heidegger’s account of affective phenomena. Affective phenomena play a significant role in Heidegger’s philosophy — his analyses of mood significantly influenced diverse fields of research such as existentialism, hermeneutics, phenomenology, theology and cultural studies. Despite this, no single collection of essays has been exclusively dedicated to this theme. Comprising twelve innovative essays by leading Heidegger scholars, this volume skilfully explores the role that not only Angst plays in Heidegger’s work, but also love (...) and boredom. Exploring the nature of affective phenomena in Heidegger, as well as the role they play in wider philosophical debates, the volume is a valuable addition to Heideggerian scholarship and beyond, enriching current debates across disciplines on the nature of human agency. (shrink)

Keine ausführliche Beschreibung für "Die ontologischen Grundlagen der Freiheitstheorie von Leibniz" verfügbar.

The domain of agential powers is marked by a contrast that does not arise in the case of dispositions of inanimate objects: the contrast between propensities or tendencies on the one hand, and capacities or abilities on the other. According to Ryle (1949), this contrast plays an important role in the ‘logical geography’ of the dispositional concepts used in the explanation and assessment of action. However, most subsequent philosophers use the terms of art ‘power’ or ‘disposition’ indiscriminately in formulating central (...) metaphysical claims about human agency, assuming that an adequate account of inanimate dispositions can safely be used for such purposes. As a result, the distinctive features of propensities and capacities drop out of view. This is bound to obscure distinctions of crucial importance to the understanding of human agency. In order to show this, I undertake to articulate some central differences between propensities and capacities. Propensities and capacities have a different relation to value, as well as a concomitant difference in their metaphysical structure. The argument points to an explanation of why the distinction between propensities and capacities does not arise in the case of non-agential powers. This explanation takes us back to questions about the nature of human agency. (shrink)

In the first months of the COVID-19 pandemic, we created and implemented from November 2020 to February 2021 a monthly educational pilot program of philosophical management of stress based on Science, Humanism and Epicurean Pragmatism, which was offered to employees of 26 municipalities in the Prefecture of Attica, Greece. The program named “Philosophical Distress Management Operation System” (Philo.Di.M.O.S.) is novel and unique in its kind, as it combines a certain Greek philosophical tradition (Epicurean) that concurs with modern scientific knowledge. The (...) program was designed to be implemented in a period of crisis; therefore, it used a fast-paced, easy to learn and practice philosophical approach to stress management, based on cognitive psychotherapy. The philosophical approach to stress management has the advantage that it can be offered to most people, regardless of age and educational level. The pilot program was effective in achieving its objectives, shown by statistical comparisons of the trainees’ responses to anonymous questionnaires before and after the month-long training. The successful Philo.Di.M.O.S. program, thus, based on a solid scientific and philosophical basis, offers a paradigm of stress management during crises and could be useful in Greece and internationally. (shrink)

In Politics I 2 (1253a18–27), Aristotle makes a controversial claim that the polis is prior in nature to the individual. The aim of this article is to reconstruct this thesis. According to recent scholarship, there are two main ways to understand priority in nature in Aristotle. It may be construed as ‘existential priority, or as ‘priority in being’. It is argued that: (a) The first option is problematic; it cannot give us a viable reading of the thesis in Politics I (...) 2. Whereas (b) The second option provides us with a sound approach to the puzzle at hand. Furthermore, it is argued that the exegetical plausibility of the suggested reading of the thesis in Politics I 2 (1253a18–27) may be bolstered if we note that, for Aristotle, the polis is a particular kind of hylomorphic whole. (shrink)

The goal of perception is to infer the most plausible source of sensory stimulation. Unisensory perception of temporal order, however, appears to require no inference, since the order of events can be uniquely determined from the order in which sensory signals arrive. Here we demonstrate a novel perceptual illusion that casts doubt on this intuition: in three studies (N=607) the experienced event timings are determined by causality in real-time. Adult observers viewed a simple three-item sequence ACB, which is typically remembered (...) as ABC (Bechlivanidis & Lagnado, 2016), in line with principles of causality. When asked to indicate the time at which events B and C occurred, points of subjective simultaneity shifted so that the assumed cause B appeared earlier and the assumed effect C later, despite full attention and repeated viewings. This first demonstration of causality reversing perceived temporal order cannot be explained by post-perceptual distortion, lapsed attention, or saccades. (shrink)

Most philosophers and psychologists assume that habitual acts do not ensue from deliberation, but are direct responses to the circumstances: habit essentially involves a variety of automaticity. My objective in this paper is to show that this view is unduly restrictive. A habit can explain an act in various ways. Pointing to the operation of automaticity is only one of them. I draw attention to the fact that acquired automaticity is one outgrowth of habituation that is relevant to explanation, but (...) not the only one. Habituation shapes our emotional and motivational make up in ways that affect deliberation itself. Hence mentioning a habit might be indispensable in explaining an act which nevertheless ensues from deliberation. The view that habitual acts are direct responses to the circumstances implies an impoverished conception of habit, which fails to do justice to its rich explanatory potential in theoretical and pre-theoretical contexts, as well as to its role in the history of philosophy. (shrink)

Economics has an impoverished view of virtuous human behaviour in general, and corporate social responsibility in particular. We claim that this is due to a particular, albeit currently dominant approach to economics. This approach focuses on the pursuit of wealth through efficient allocation of scarce resources by ‘rational’ utility‐maximizing economic agents and institutions, such as markets, firms and states, in the exclusive pursuit of ‘efficiency’. This results in an ethic‐free and often inimical approach to virtuous behaviour. However, a different approach (...) to economics, which focuses on sustainable global resource creation and allocation, asserts virtuous responsible behaviour to be part and parcel of economic analysis and performance. (shrink)

In this paper, we propose that economic sustainability is seen in terms of (inter-temporal and inter-national) value creation. We claim that value appropriation (or capture), can become a constraint to economic sustainability. We propose that for sustainable value creation to be fostered, corporate governance needs to be aligned to public and supra-national governance. In order to achieve this, a hierarchically layered set of ‘agencies’, needs to be diagnosed and the issue of incentive alignment addressed. Enlightened self-interest, pluralism and diversity, as (...) well as a representative supra-national organisation for world-wide economic sustainability can serve as a new, more ‘ethically correct’ governance for economic sustainability, but not a panacea. (shrink)

The article explores the complex experiences and positions of migrant women in the `nursing profession' in a southern European country, Greece. It looks at ways in which a rudimentary welfare state and a large informal economy have created the demand for les infirmières exclusives and for `quasi-nurses'. The supply and use of their services, on the one hand, helps perpetuate this informal welfare system and, on the other, has implications for migrant women themselves as, inter alia, it contributes to their (...) deskilling, exploitation, marginalization and exclusion. The multifarious degrees and forms that these processes take, to a large extent, depend on the cross-cutting of gender, ethnicity and class, as sexism intersects with different forms of `othering' and racialization processes in the destination country. The position of these women is also located in terms of ethnic and national boundaries. (shrink)

Patients living with chronic pain require appropriate access to opioid therapy along with improved access to pain care and additional therapeutic options. It's both medically reasonable and ethical to consider opioid therapy as a treatment option in the management of chronic, non-cancer pain for a subset of patients with severe pain that is unresponsive to other therapies, negatively impacts function or quality of life, and will likely outweigh the potential harms. This paper will examine opioid therapy in the setting of (...) the opioid epidemic, why critics feel that the CDC guideline has resulted in harsh consequences for patients and their physicians, and the rationale for opioid therapy as a means of providing ethical and compassionate pain care. (shrink)

The intellectual ferment that emerged in postwar France was marked by the renaissance of Hegel’s thought and the focus on Marx's early writings. In a parallel way, the death of Stalin, the uprising of 1953 in East Germany and the revolts in Hungary and Poland in 1956 provoked a thorough critique against the theory and practice of orthodox Marxism. The relationship between Marx and Marxism or the issue about the philosophical foundations of Marx’s thinking became the subject of long-standing controversy (...) and gave rise to several interpretations of Marx’s work. These debates were decisively fostered by the foreign intellectuals and refugees who arrived in France after the end of the Second World War; inter alia, a generation of young Greek intellectuals that included the prominent figures of Kostas Axelos, Cornelius Castoriadis and Kostas Papaioannou. This article focuses on Axelos’, Castoriadis’ and Papaioannou’s critique of Marx and provides an anti-critique of their intellectual endeavour. It outlines the common basis of their critical confrontation with the Marxian theorizing and argues that they interpreted Marx’s thought in a manner similar to orthodox Marxism. Despite the undoubted merits of their critique, they did not take it to all its theoretical and political conclusions. As a result, the horizons they opened lack radicalism and their dialogue with Marx was left open to being misunderstood. (shrink)

'Presents a good balance in terms of perspectives and content... should appeal to a large audience of scholars from multiple disciplines, including business history, organisational economics, international business, and strategic management.' -Academy of Management Review 'Pitelis's book opens our eyes to the variety of contexts in which Penrose's theory of firm-level growth is applicable... Rereading Penrose after reading Pitelis's book should result in a different learning experience for the reader, who will connect the dots between Penrose's ideas and different research (...) contexts more naturally.' -Academy of Management ReviewThis book celebrates the monumental contribution to economics, strategic management, international business, and more of Edith Penrose -- the first person to analyse the theory of the growth of the firm. She examined knowledge creation within firms, leading to endogenous growth and to limits to growth, and applied her insights to business strategy and industrial organisation. In this volume, eminent economists and management scholars assess, apply, and extend Penrose's contribution to new fields of enquiry. (shrink)