Hospital ethics committees (HECs) are expected to play extremely broad and pivotal roles such as case consultation, education of staffs on healthcare ethics, and institutional policy formation. Despite the growing importance of HECs, there are no standards for setup and operation of HECs, and composition and activities of HECs at each institution are rarely disclosed in Japan. In addition, there is also a lack of information sharing and collaboration among HECs. Therefore, the authors established the Consortium of Hospital Ethics Committees (...) (CHEC) in October 2020, which has been regularly hosting a couple of core activities. One is the Healthcare Ethics Forum, held monthly online for CHEC members to freely discuss HECs and healthcare ethics consultation. The other is the Collaboration Conference of Hospital Ethics Committees, intended to provide a place for HEC members and administrative officers from across Japan to exchange information of their HECs, learn from each other, and cooperate to operate HECs appropriately. In this paper, the authors introduced CHEC as well as reported the results of a questionnaire survey conducted at the first conference among participating facilities, suggesting the diverse structures and activities of HECs in Japan. (shrink)

This study aimed to identify the ethical issues faced by home care physicians and nurses, and the support they require. It was conducted in collaboration with the Japanese Association for Home Care Medicine from November to December 2020. An e-mail was sent to 2785 physicians and 582 nurses who are members of the society, requesting their participation in a web-based survey targeting physicians and nurses with practical experience in home care; 152 physicians and 53 nurses responded. Home care physicians and (...) nurses face ethical issues, some of which are that “the patient’s wishes cannot be reliably understood owing to their impaired decision-making capacity” and “there is disagreement between the patient and their family members over the necessary healthcare.” The respondents sought “experience with, and insight into, healthcare ethics” and “home care” from people with whom they would consult on ethical issues, but at the time of the actual consultation, those individuals were the main healthcare professionals involved with the patient. In addition, the respondents desired to have “multidisciplinary discussions in the community,” “participation of healthcare ethics experts at meetings,” and “meetings held by healthcare ethics experts” to discuss specific cases. Given these results and the history of healthcare ethics education in Japan—which has been implemented mostly for healthcare providers—we conclude that it is important for academic societies that offer healthcare ethics education to healthcare providers and regional core hospitals with ethics support resources to collaborate to provide ethics consultation services in the community. (shrink)

The storage and access of genetic testing results have unique considerations for medical records. Initially, genetic testing was limited to patients with single gene diseases. Genetic medicine and testing have expanded, as have concerns about appropriately handling genetic information. In this study, we surveyed the management of genetic information in general hospitals in Japan using a questionnaire on access restrictions. Our questions included whether any other medical information was managed in a unique way. We identified 1037 hospitals designated for clinical (...) training located throughout Japan and received responses from 258 hospitals, and 191 reported that they handle genetic information and results of genetic tests. Of the 191 hospitals that handle genetic information, 112 hospitals implement access restrictions to genetic information. Seventy-one hospitals, one of which uses paper medical records rather than electrical medical records, do not enforce access restrictions. For eight hospitals, it was not known whether access restrictions were enforced or not. The responses from these hospitals indicated that access restrictions and storage methods varied across institution type (e.g., general vs. university hospitals), institution size, and the presence of a clinical genetics department. Other information, such as infectious disease diagnosis, psychological counseling records, abuse, and criminal history, was also subject to access restriction in 42 hospitals. The disparity in how medical facilities handle sensitive genetic information demonstrates a need for discussion between medical professionals and the general public on the storage of sensitive records, including genetic information. (shrink)

This paper will defend scientific study of the social by scrutinizing Clifford Geertz's interpretive anthropology, and evolutionary psychologists' criticism of it. I shall critically examine Geertz's identification of anthropology with literary criticism, his assumption that a science of society is possible only on a positivist model, his view of the relation between culture and mind, and his anti anti-relativism. Then I shall discuss evolutionary psychologists' criticism of Geertz's view as an exemplar of the so-called "Standard Social Science Model." Finally, I (...) shall claim that both Geertz and evolutionary psychologists misunderstand the aim of the social sciences, which is to explain the unintended consequences of human actions in institutional contexts. Key Words: Clifford Geertz • evolutionary psychology • interpretive anthropology • positivism • Standard Social Science Model (SSSM). (shrink)

Kei Yoshida critically assesses five different theoretical approaches to cultural interpretivism and conclusions on rationality. This book reveals the need for a cogent solution to the problem of rationality and urges social scientists to interpret symbolic systems' or agents’ intentions as well as explain the consequences of human actions.

This essay considers the theoretical disagreement between Isaiah Berlin and Hannah Arendt on the meaning and value of freedom. Berlin thinks that negative liberty as non-interference is commendable because it is attuned to the implication of value pluralism that man is a choice-making creature and cannot be otherwise. By contrast, the political freedom to act is in Arendt’s view a more fulfilling ideal because it is only in political action that man’s potentiality is actualised, his unique identity manifested and his (...) being-in-the-world-with-others reaffirmed. What lies beneath the two thinkers’ dispute over the most satisfactory meaning of freedom, I argue, is a deeper disagreement over human nature itself. The implication of this analysis for the contemporary debate between pluralist liberals and their agonistic critics is briefly discussed in conclusion. (shrink)

In this review, we discuss the implications of placing an infant in the supine position with respect to human cognitive development and evolution. When human infants are born, they are relatively large and immature in terms of postural and locomotor ability as compared with their closest relatives, the great apes. Hence, human mothers seemingly adopt a novel pattern of caring for their large and heavy infants, i.e., placing their infants in the supine position; this promotes face-to-face communication with their infants. (...) Moreover, infants in the supine position can interact with other nearby individuals in the same manner from an early age. In addition, the infants can also explore their own body parts and/or objects with their hands since the hands are not required to support the body and are therefore, free to move. These activities are considered to be fundamental to the early development of human social and nonsocial cognition, including knowledge of self, in the first six months after birth. Further, developmental continuity in the voluntary exploratory movements in the prenatal period to the early postnatal period is also discussed. (shrink)

v. 1. A critical edition of Mimamsa-Slokavarttika ad 1.1.2 (Codanasutra) -- v. 2. An annotated translation of Mimamsa-Slokavarttika ad 1.1.2 (Codanasutra).

This edited volume focuses on what Hannah Arendt famously called “the raison d’être of politics”: freedom. The unique collection of essays clarifies her flagship idea of political freedom in relation to other key Arendtian themes such as liberation, revolution, civil disobedience, and the right to have rights. -/- In addressing these, contributors to this volume juxtapose Arendt with a number of thinkers from Isaiah Berlin, John Rawls and Philip Pettit to Karl Marx, Frantz Fanon and Geoffroy de Lagasnerie. They also (...) consider the continuing relevance of Arendt’s work to some of the most dramatic events in recent years, including the current global refugee crisis, the Arab uprisings of the 2010s, and the ongoing crisis of liberal democracy in the West and beyond. -/- Contributors include Keith Breen, Joan Cocks, Tal Correm, Christian J. Emden, Patrick Hayden, Kei Hiruta, Anthony F. Lang Jr., Shmuel Lederman, Miriam Leonard, Natasha Saunders, William Smith, and Shiyu Zhang. (shrink)

The aim of this paper is to investigate how we can reunite social philosophy and philosophy of science to address problems in science and technology. First, referring to Don Howard?s, George Reisch?s, and Philip Mirowski?s works, I shall briefly explain how philosophy of science was depoliticised during the cold war. Second, I shall examine Steve Fuller?s criticism of Thomas Kuhn. Third, I shall scrutinise Philip Kitcher?s view of well-ordered science. Fourth, I shall emphasise the importance of autonomy and argue that (...) philosophy of science needs to cultivate a critical attitude towards authority. Fifth, drawing upon Ian Jarvie?s social reading of Karl Popper, I shall argue that Popper?s philosophy can be a model for reuniting social philosophy and philosophy of science. (shrink)

A method for sharing private data through personalized searches is described. This method enables users to retrieve access-controlled private data as well as publicly available data by submitting a single query to a conventional search engine. Seamless integration of the method into current search services through a prototype on the Mozilla Firefox web browser, without any changes to existing search functions, such as crawling, indexing, and matching, is also described. Evaluations showed that the additional storage requirement is only 10% and (...) that the system implementing the method responds in 10 s with 1,000 dummy results for anonymization. (shrink)

John Henry Newman’s educational ideas, which first became known in Japan before the Pacific War, continue to attract followers, especially as a result of the foundation of the Newman Society of Japan in 1983. However, this interest in Newman has had mixed results: on the one hand, some Japanese secular scholars who have tried to adopt Newman’s educational ideas to Japanese higher education do not seem interested in Catholicism. On the other hand, some post-war educational ideas of Japanese Catholics seem (...) incompatible with Newman’s spirituality and thought. (shrink)

In Philosophy for Children (P4C), consensus-making is often regarded as something that needs to be avoided. P4C scholars believe that consensus-making would dismiss P4C’s ideals, such as freedom, inclusiveness, and diversity. This paper aims to counteract such assumptions, arguing that P4C scholars tend to focus on a narrow, or universal, concept of “consensus” and dismiss various forms of consensus, especially what Niemeyer and Dryzek (2007) call meta-consensus. Meta-consensus does not search for universal consensus, but focuses on the process by which (...) people achieve various non-universal forms of consensus, such as agreement on the value of opponents’ normative view or agreement on the degree to which they accept opponents’ view. This paper argues that such meta-consensus is a key part of what Clinton Golding (2009) calls “philosophical progress,” which is the essential element that makes inquiry philosophical. In other words, without meta-consensus and philosophical progress, inquiry ends in merely conversation or antagonistic talk. Drawing on the example of P4C conducted with Japanese students, this paper shows how meta-consensus is achieved in the community of philosophical inquiry and how it contributes to make inquiry philosophical. (shrink)

In this critical response to Charles Ess’ ‚Ethical Pluralism and Global Information Ethics’ presented in this Special Issue of Ethics and Information Technology, it is firstly argued that his account of pros hen pluralism can be more accurately reformulated as a three layered doctrine by separating one acceptance of diversity at a cultural level and another at an ethical theoretic level. Following this clarificatory section, the next section considers Ess’ political and sociological reasons for the necessity and desirability of pros (...) hen pluralism, criticising the former reasons as social scientifically problematic, while elaborating on the latter as more persuasive. In the last section, I discuss how pros hen pluralism may be realised, making three arguments in particular. First, Ess’ requirement for sensitivity to cultural diversity is to be interpreted as differentiated and extended sensitivity. Second, his discussion of shared responses to central ethical problems is ambiguous and needs further elaboration and clarification. Third, his focus on dialogue and Socratic education is persuasive, although excessive optimism is not reasonable. (shrink)

I present my observations of combinatory manipulations by three infant chimpanzees in a series of test tasks. Common characteristics of motor patterns were observed across the tasks between both infant chimpanzees and 1-year-old infants. Based on the results, I point out that comparative approach can illuminate Thelen et al.'s arguments.

法哲学の伝統的な課題である「法の効力根拠」を解明する、著者のライフワークの集大成。日本とヨーロッパの法哲学者の諸学説を綿密に検討することを通じて、法という実在の根源に迫る知の冒険。.

This article aims at proposing a solution to one of the well-known textual cruces in Lucretius’ De rerum natura. After a brief survey of the suggested emendations, the author will shed some fresh light on Manning's gratus, which recent editors have curiously neglected. The idea that the old man should retire from life with thanks is not uncommon among classical writers. In addition, parallel expressions are also found in Epicurus’ own words. This article concludes that gratus is what we would (...) expect in the last line of Nature's admonition in De rerum natura and, therefore, the most probable emendation. (shrink)

January 6th, 2013 at Kyoto University. Organizer: Hisashi Nakao.

According to Dignāga, the word “cow” makes one understand all cows in a general form by excluding non-cows. However, how does one understand the non-cows to be excluded? Hattori answers as follows: “On perceiving the particular which is endowed with dewlap, horns, a hump on the back, and so forth, one understands that it is not a non-cow, because one knows that a non-cow is not endowed with these attributes.” Hattori regards observation of a dewlap, etc. as the cause of (...) excluding non-cows. Akamatsu presents a view similar to Hattori’s. Tanizawa, however, criticises Akamatsu by pointing out that then the apohavādin would have accepted positive elements such as a dewlap as defining characteristics of a cow. Stating that X is not a cow because it is not endowed with a dewlap, etc., amounts to accepting that the dewlap, etc. are the defining characteristics of a cow. Instead of a real universal cowness the apohavādin would have accepted a dewlap, etc. Akamatsu’s understanding of apoha, if it was correct, implies Tanizawa, would destroy the essence of the Buddhist theory of apoha. Continuing the view of Hattori and Akamatsu, Yoshimizu recently published two articles on Dignāga’s theory of apoha. He claims that “the word “cow” excludes all horses by virtue of the fact that horns are never seen on them.” Thus, “the word “cow” can exclude all of them collectively by virtue of the fact that none of them has all the members of the set of characteristics that form the worldly definition of “cow”.” Horns, one of the characteristic features of cows, are indeed mentioned by Dignāga in PS 5:43. Yoshimizu understands Dignāga’s semantics as being parallel to the modern semantics of componential analysis. A question arises: what does Dignāga, the founder of the Buddhist theory of apoha, really think regarding this issue? The present article sheds light on the incompatibility of the two interpretations by investigating the relevant source texts. It further shows that the issue Tanizawa deals with was already discussed by Dignāga. Examining Dignāga’s discussions shows that Tanizawa is right in his understanding of apoha. The interpretation by Hattori and other scholars is not supported by Dignāga’s text. The present conclusion is also supported by Mādhava, Uddyotakara and Kumārila. None of them assumes Dignāga’s theory to be as Hattori, etc. take it. (shrink)

Estonia is a democratic, parliamentary republic with a health care system that is built on the principle of compulsory, solidarity-based insurance and the all-round availability of services of private service providers. Estonia has specific biobank legislation as well as oversight via data protection laws. Its population-based biobank, the Estonian Genome Center, established in 2001, is one of the largest biobanks in Europe, and its database may be used only for scientific research, public health research, and statistics. The EGCUT can issue (...) data to a third party, but only in coded form. This comprehensive database of genotypic, phenotypic, health, and genealogical information represents about 5% of Estonia's adult population, and is the largest cohort ever gathered in Estonia. Government approval is required for international data sharing, and sharing can be further limited by the requirement of ethics approval and permission from Estonian government. (shrink)

Value pluralists see themselves as philosophical grown-ups. They profess to face reality as it is and accept resultant pessimism, while criticising their monist rivals for holding on to the naïve idea that the right, the good and the beautiful are ultimately harmonisable with each other. The aim of this essay is to challenge this self-image of value pluralists. Notwithstanding its usefulness as a means of subverting monist dominance, I argue that the self-image has the downside of obscuring various theoretical positions (...) that do not fall into either the pluralist or monist camp. Yet such positions do exist, as shown by my discussion of Albert Camus and Hannah Arendt. Near contemporaries of the pioneering value pluralist Isaiah Berlin, the pair, just like him, sought to be realistic about the lived experiences of political disasters and moral disorientation in the twentieth century. Moreover, they shared with Berlin a keen interest in real-world moral dilemmas, which seemed to them to have made traditional morality obsolete. But the three thinkers’ perspectives on ‘reality’ hardly converged, and neither Camus nor Arendt became a value pluralist as a result of their reflections on moral dilemmas. This, however, by no means indicates the pair’s immaturity. Rather, it shows that there is more than one way of observing fidelity to our actual experience and that value pluralists’ commitment to realism and resultant pessimism is not as uniquely mature as they would have us believe. (shrink)

Following Dharmakīrti’s interpretation, PS I 9ab has been understood as stating a view common to both Sautrāntikas and Yogācāras, i.e. a view that self-awareness is the result of a means of valid cognition. It has also been understood that Dignāga accepts two different views attributed to Sautrāntikas with regard to pramāṇaphala: in PS ad I 8cd he regards the cognition of an external object as the result; in PS ad I 9ab–cd he alternatively presents another view that self-awareness is the (...) result. Dignāga’s text, however, does not support these interpretations. Rather it contradicts them. In fact Dignāga presupposes a single view, and not two, attributed to Sautrāntikas, a view that the cognition of an external object is the result. In I 9ab he is presenting an alternative view that is attributed only to Yogācāras, i.e. a view that is not common to Sautrāntikas. Althogh the Sautrāntika sākāravāda essentially has an internal structure, Dignāga presupposes that an external object can be regarded as the object of cognition because it is similar to the image of object. He assumes that the objects of pramāṇa and phala, both being external objects, are identical. Criticizing Dignāga’s claim that bāhyārthajñāna is the phala, Kumārila points out that there is a serious gap between the objects of pramāṇa and phala. Consequently Dharmakīrti has to admit that even in the Sautrāntika view an external object is not directly cognized and instead proposes as the second view of Sautrāntikas that svasaṃvitti is the phala. At the same time he reinterprets Dignāga and defends from Kumārila’s criticism by introducing the two different levels. When investigating the real nature, i.e. in the paramārtha level, svasaṃvitti is the phala, whereas in the upacāra level, bāhyārthajñāna or bāhyārthaniścaya is the phala. Thus, Dharmakīrti avoids Kumārila’s criticism of Dignāga. Kumārila triggers Dharmakīrti’s new introduction of the second view of Santrāntikas that svasaṃvitti is the phala. (shrink)

Amid the ongoing political turmoil, symbolized by the recent violence in Charlottesville, Virginia, books and articles abound today to encourage us to re-read anti-totalitarian classics ‘for our times’. But what do we find in this body of work originally written in response to Nazism and Stalinism? Do we find a democratic consensus forged by a shared anti-totalitarian commitment? I doubt it. Considering the cases of Isaiah Berlin and Hannah Arendt, this article highlights discord beneath what may today appear like a (...) post-war democratic consensus. I argue that the anti-totalitarian literature of the last century encompassed multiple political philosophies, which sometimes differed irreconcilably from each other. (shrink)