This article presents the new German law on advance directives from 1 September 2009. The history of the parliamentary process of this law is described, the present regulations are explained, their relevance for medical practice discussed and shortcomings are identified. Finally, the new law is compared with other regulations in the international context. Previously established legal practice in Germany has now become largely confirmed by the new law: An advanced directive must be respected in any decision concerning medical treatment, regardless (...) of the stage of the illness. It can be informally revoked at any time, even with limited decision-making capacity. Nobody may be obliged to issue a directive in any way. Advance directives do not need notarisation or routine updating after certain time intervals. Provided that the patient, who is no longer mentally competent, has issued a lasting power of attorney, or provided that the patient has been appointed a healthcare proxy by the courts, this authorised surrogate must assert the patient's will. The role of the guardianship court is clarified: it only needs to be involved in cases of disagreement as to the patient's will. The new German law thus combines more legal certainty with a liberal emphasis on patient autonomy and flexible, adaptable regulations. (shrink)

Richard Koch first made his appearance in the 1920s with works published on the foundations of medicine. These publications describe the character of medicine as an action and the status of medicine within the theory of science. One of his conclusions is that medicine is not a science in the original sense of the word, but a practical discipline. It serves a practical purpose: to heal the sick. All medical knowledge is oriented towards this purpose, which also defines the physician’s (...) role. One kind of knowledge is diagnosis, which is strictly understood in relation to therapy, and is at the core of medical thinking. Diagnosis is not the assignment of a term of a species to a patient’s disease: this would not do justice to the individuality of a clinical manifestation and would fail to provide a reason for individual therapy. Nevertheless, the terms assigned to diseases, although fictitious, are not useless, but assist in differentiating various phenomena. These conclusions carry ethical consequences. Because the task of helping the sick constitutes medicine, morals not only set ethical limits: medicine originates in a moral decision. If there are no diseases but only individual sick people, disease can not be defined as an abnormality. The individual benefit to the patient must not necessarily be the complete restoration of health. With its object being incalculable, medicine cannot guarantee its own success. Here the physician has to develop principles that allow for the best possible response to the challenges faced in varying situations of conduct. (shrink)

Richard Koch1 became known in the 1920s with works on basic medical theory. Among these publications, the character of medical action and its status within the theory of science was presented as the most important theme. While science is inherently driven by the pursuit of knowledge for its own sake, medicine pursues the practical purpose of helping the sick. Therefore, medicine must be seen as an active relationship between a helping and a suffering person. While elucidating this relationship, Koch discusses (...) the fundamental elements of medicine found in natural philosophy and the relationship of medicine to its own history. One of his aims is to unite natural history and the history of ideas without reducing intellectual processes to biological ones. Koch considers free will as something intuitively certain. It must serve as an axiom which will capture human as well as non-human reality. Based on the fact that human free will, considered a psychic quality, evolved out of inanimate matter, Koch grants matter (proto-) psychic qualities. They are evoked through specific constellations of matter. – With regard to history, Koch rejects the notion of constant progress. The history of medicine has provided insights that cannot be surpassed but can be obscured. Historical self-contemplation serves as a means for avoiding any deviations which may prevent medicine from fulfiling its ultimate purpose. Koch connects nature and history through the concept of a unity between natural history and the historical development of medicine. Medicine is considered an especially complex development of a purposive reaction to harmful stimuli, a reaction which can already be encountered in unicellular organisms. Without intending to reduce historical and mental processes to biological ones, Koch sets for himself the aim of gathering different phenomena and presenting them in one encapsulating unity. (shrink)

Der Beitrag nähert sich dem Phänomen des Luxus und seiner sehr unterschiedlichen, in Teilen auch unvereinbaren Deutungen. Ziel ist es nicht, eine bestimmte Konzeption als die überlegene oder letztendlich richtige herauszustellen, sondern die Vielfalt der Zugänge aufzufächern. Diese umfassen dezidiert kulturkritische bis kulturpessimistische Deutungen, scharfe Kontrastierungen von Luxus und Askese oder kapitalismuskritische Einsätze. Näher betrachtet werden Peter Sloterdijks historisch-anthropologische Hypothese, der zufolge der auf eine sehr spezifische Weise verstandene Luxus eine zentrale Bedingung für die Menschwerdung des homo sapiens ist; das (...) u.a. von Thorstein Veblen vertretene soziologische Standardmodell, das Luxus funktional als Mittel zum Zweck fasst; Werner Sombarts Versuch, Luxus als Motor der Entwicklung kapitalistischer Gesellschaften zu rekonstruieren; schließlich Lambert Wiesings Phänomenologie des Luxus, die ihrerseits ganz eigene Wege beschreitet. (shrink)

Die Philosophie von Hans Jonas hat eine tiefe Wirkung auf ein weites Spektrum von Lesern in Europa, Asien und in Amerika entfaltet. Mit seinem ethischen Entwurf "Das Prinzip Verantwortung" gewann er insbesondere in Deutschland in der ökologischen Bewegung in den 70er Jahren einen enormen Einfluss. Die Autoren dieses von Christian Wiese und Eric Jacobson herausgegebenen Bandes (u.a. Micha Brumlik, Konrad Liessmann, Michael Löwy) versuchen hier eine Neubewertung seines herausragenden Beitrags zum religionsgeschichtlichen und philosophischen Diskurs seiner Zeit. Erstmals liegt hier der (...) Versuch vor, die vier zentralen Elemente des Werkes von Hans Jonas in ihrer Gesamtheit und ihrem inneren Zusammenhang zu beleuchten: deutsch-jüdische Geistesgeschichte des 20. Jahrhunderts, Erforschung der spätantiken Gnosis, Ethik und Philosophie der Verantwortung für die technologische Zivilisation sowie theologische Reflexionen nach dem Zivilisationsbruch von Auschwitz. Die international anerkannten Forscherinnen und Forscher arbeiten die vielfältigen Facetten des Denkens von Hans Jonas heraus. Sein leidenschaftliches Plädoyer für die "Weiterwohnlichkeit der Welt" ist vor diesem Hintergrund von bleibender Aktualität. (shrink)

Emotions shape judgments and decisions, including actions in response to climate change. Despite growing interest in the cognitive, social, and political determinants of climate (in)action, the role of emotions has received limited attention. This review discusses the role of hope in climate action. While many emotional states are oriented to the past or present, hope offers a positive vision of the future. In exploratory analyses of a nationally representative survey of US residents, we identify the most important predictors of hope, (...) climate action, and policy support from a large set of potential variables. We find suggestive evidence that hope, a construct comprised of cognitive, emotional, and contextual factors, is an important motivator of future-oriented action. (shrink)

Criticism and interpretation of Akhlāq-i Jalālī, a work of Muḥammad ibn Asʻad Dawwānī, 1426 or 7-1512 or 13, on Islamic ethics.

Collection of works on literature theory, translated into Mongolian language.

Body representations are known to be dynamically modulated or extended through tool use. Here, we review findings that demonstrate the importance of a user's tool experience or expertise for successful tool embodiment. Examining expert tool users, such as individuals who use tools in professional sports, people who use chopsticks at every meal, or spinal injury patients who use a wheelchair daily, offers new insights into the role of expertise in tool embodiment: Not only does tool embodiment differ between novices and (...) experts, but experts may experience enhanced changes to their body representation when interacting with their own, personal tool. The findings reviewed herein reveal the importance of assessing tool skill in future studies of tool embodiment. (shrink)

Mnogogolosie -- Ritm, dinamika, tembr -- Garmonii︠a︡ -- Stilʹ i zhanr.

The Fold is a book of practical philosophy that takes a radical new approach to aesthetics. Laura U. Marks calls this philosophy "enfolding-unfolding aesthetics," based in ideas derived from Gilles Deleuze and others (G.F.W. Leibniz, David Bohm, and Édouard Glissant) that the universe is folded in on itself. She proposes a theory of mediation as contact and connection across the folds and a set of embodied methods for detecting such cosmic connections. In drawing out this aesthetics, Marks considers the embodied (...) and sensuous dimensions of engaging with audiovisual works and works of art-dimensions that Marks suggests are composed of the very folds that compose everything and everyone: all living beings, from humans to particles, sandwiches to stars, technologies, thoughts and images, in the present, the past, and the future. Making use of art and film, with a focus on African diaspora and Arab cinema, Marks opens ways to strengthen connections to the cosmos and to better trace processes of becoming that are immanent within the fold. (shrink)

Ingolf U. Dalferth bietet in diesem Buch den Grundriss einer orientierungsphilosophischen Theorie der Hermeneutik, die Hermeneutik als Kunstlehre der Kunstpraxis des Verstehens in den Blick fasst und Verstehen als Tätigkeit und Vermögen von Menschen, sich durch das Kommunizieren mit anderen gemeinsam in den Sinn-Welten des menschlichen Lebens verlässlich zu orientieren. Das erste Kapitel bietet Grundlinien einer philosophischen Hermeneutik am Leitfaden der Frage nach dem Verstehen des Verstehens. Das zweite Kapitel skizziert eine Texthermeneutik, die dem Verstehen von Sinn in der Kommunikation (...) durch Texte nachgeht. Das dritte Kapitel verankert dieses Sinnverstehen in einer Daseinshermeneutik, in der Verstehen als ein grundlegender Modus menschlicher Orientierung in den Sinn-Welten des Lebens in den Blick genommen wird. Das vierte Kapitel bietet Grundzüge einer theologischen Hermeneutik des christlichen Glaubens, der als Resultat der Kommunikation des Wortes Gottes durch Texte analysiert wird und sein Verstehen als hermeneutische Dynamik des Mehrfachsinns, die durch das Setzen orientierender Unterscheidungen zum Aufbau der Sinn-Welten des Glaubens führt. (shrink)

Young children help others in a range of situations, relatively indiscriminate of the characteristics of those they help. Recent results have suggested that young children’s helping behaviour extends even to humanoid robots. However, it has been unclear how characteristics of robots would influence children’s helping behaviour. Considering previous findings suggesting that certain robot features influence adults’ perception of and their behaviour towards robots, the question arises of whether young children’s behaviour and perception would follow the same principles. The current study (...) investigated whether two key characteristics of a humanoid robot (animate autonomy and friendly expressiveness) would affect children’s instrumental helping behaviour and their perception of the robot as an animate being. Eighty-two 3-year-old children participated in one of four experimental conditions manipulating a robot’s ostensible animate autonomy (high/low) and friendly expressiveness (friendly/neutral). Helping was assessed in an out-of-reach task and animacy ratings were assessed in a post-test interview. Results suggested that both children’s helping behaviour, as well as their perception of the robot as animate, were unaffected by the robot’s characteristics. The findings indicate that young children’s helping behaviour extends largely indiscriminately across two important characteristics. These results increase our understanding of the development of children’s altruistic behaviour and animate-inanimate distinctions. Our findings also raise important ethical questions for the field of child-robot interaction. (shrink)