ABSTRACT This paper explores one of the most politically sensitive and intellectually neglected issues in bioethics – the interface between the history of contemporary end‐of‐life ethics and the economics of life and death. It suggests that contrary to general belief, economic impulses have increasingly become part of the conditions in which contemporary end‐of‐life ethics continues to evolve. Although this conclusion does not refute the philosophical justifications provided by the ethics for itself, it may cast new light upon its social role.

An educated guess about the future of academic bioethics can only be made on the basis of the historical conditions of its success. According to its official history, which attributes its success primarily to the service it has done for the patient, it should be safe at least as long as the patient still needs its service. Like many other academic disciplines, it might suffer under the present economic downturn. However, in the plausible assumption that its social role has not (...) been exhausted yet, it should recover as soon as the economy does. But if, as this paper tries to argue, the success of academic bioethics should be attributed first and foremost to the service it has done for the neoliberal agenda, then its future would have to depend on the fate of the latter. The exact implications of the downturn for the neoliberal agenda are obviously impossible to predict. Among the various options, however, the one of going back to 'normal' seems to be the least likely. The other options suggest that the future of academic bioethics, as we have known it, is bleak. (shrink)

Social ontology is the study of the nature and properties of the social world. It is concerned with analyzing the various entities in the world that arise from social interaction. -/- A prominent topic in social ontology is the analysis of social groups. Do social groups exist at all? If so, what sorts of entities are they, and how are they created? Is a social group distinct from the collection of people who are its members, and if so, how is (...) it different? What sorts of properties do social groups have? Can they have beliefs or intentions? Can they perform actions? And if so, what does it take for a group to believe, intend, or act? -/- Other entities investigated in social ontology include money, corporations, institutions, property, social classes, races, genders, artifacts, artworks, language, and law. It is difficult to delineate a precise scope for the field (see section 2.1). In general, though, the entities explored in social ontology largely overlap with those that social scientists work on. A good deal of the work in social ontology takes place within the social sciences (see sections 5.1–5.8). -/- Social ontology also addresses more basic questions about the nature of the social world. One set of questions pertains to the constituents, or building blocks, of social things in general. For instance, some theories argue that social entities are built out of the psychological states of individual people, while others argue that they are built out of actions, and yet others that they are built out of practices. Still other theories deny that a distinction can even be made between the social and the non-social. -/- A different set of questions pertains to how social categories are constructed or set up. Are social categories and kinds produced by our attitudes? By our language? Are they produced by causal patterns? And is there just one way social categories are set up, or are there many varieties of social construction? -/- The term ‘social ontology’ has only come into wide currency in recent years, but the nature of the social has been a topic of inquiry since ancient Greece. As a whole, the field can be understood as a branch of metaphysics, the general inquiry into the nature of entities. (shrink)

We live in a world of crowds and corporations, artworks and artifacts, legislatures and languages, money and markets. These are all social objects — they are made, at least in part, by people and by communities. But what exactly are these things? How are they made, and what is the role of people in making them? In The Ant Trap, Brian Epstein rewrites our understanding of the nature of the social world and the foundations of the social sciences. (...) class='Hi'>Epstein explains and challenges the three prevailing traditions about how the social world is made. One tradition takes the social world to be built out of people, much as traffic is built out of cars. A second tradition also takes people to be the building blocks of the social world, but focuses on thoughts and attitudes we have toward one another. And a third tradition takes the social world to be a collective projection onto the physical world. Epstein shows that these share critical flaws. Most fundamentally, all three traditions overestimate the role of people in building the social world: they are overly anthropocentric. Epstein starts from scratch, bringing the resources of contemporary metaphysics to bear. In the place of traditional theories, he introduces a model based on a new distinction between the grounds and the anchors of social facts. Epstein illustrates the model with a study of the nature of law, and shows how to interpret the prevailing traditions about the social world. Then he turns to social groups, and to what it means for a group to take an action or have an intention. Contrary to the overwhelming consensus, these often depend on more than the actions and intentions of group members. (shrink)

Knjiga obravnava nekatera pojmovanja odnosa med telesom in filozofijo v 17. in 18. stoletju, natančneje v okazionalizmu, francoskem materializmu in britanskem utilitarizmu. Razdelek o okazionalizmu med drugim obravnava Malebranchevo pojmovanje telesa prvega človeka, ki je določalo njegova filozofska prepričanja, to pa celo do te mere, da je sprememba v njegovi fiziologiji, do katere je prišlo ob grehu, usodno zaznamovala ves nadaljnji potek zgodovine filozofije. Razdelek o materializmu poskuša rekonstruirati filozofijo, ki jo razvija sámo telo, ki je pri Diderotu dobesedno prišlo (...) do besede. Trdno prepričan, da telo ve o samem sebi več, kot ve duh o njem, Diderot razvije filozofijo materializma kot govor telesa o samem sebi. Razdelek o utilitarizmu pa med drugim obravnava Benthamovo filozofijo telesa po smrti in sámo telo, katerega posmrtna usoda je rezultat te filozofije, namreč filozofovo lastno ohranjeno telo oziroma tako imenovano avto-ikono, ki je bilo v očeh utilitarističnega modreca tisto, ki bo po smrti »njegov lastni jaz«. (shrink)

Knjiga obravnava nekatera pojmovanja odnosa med telesom in filozofijo v 17. in 18. stoletju, natančneje v okazionalizmu, francoskem materializmu in britanskem utilitarizmu. Razdelek o okazionalizmu med drugim obravnava Malebranchevo pojmovanje telesa prvega človeka, ki je določalo njegova filozofska prepričanja, to pa celo do te mere, da je sprememba v njegovi fiziologiji, do katere je prišlo ob grehu, usodno zaznamovala ves nadaljnji potek zgodovine filozofije. Razdelek o materializmu poskuša rekonstruirati filozofijo, ki jo razvija sámo telo, ki je pri Diderotu dobesedno prišlo (...) do besede. Trdno prepričan, da telo ve o samem sebi več, kot ve duh o njem, Diderot razvije filozofijo materializma kot govor telesa o samem sebi. Razdelek o utilitarizmu pa med drugim obravnava Benthamovo filozofijo telesa po smrti in sámo telo, katerega posmrtna usoda je rezultat te filozofije, namreč filozofovo lastno ohranjeno telo oziroma tako imenovano avto-ikono, ki je bilo v očeh utilitarističnega modreca tisto, ki bo po smrti »njegov lastni jaz«. (shrink)

Zusammenfassung Die 1890 von Reinach aufgestellte Chronologie der Ereignisse beim Ausbruch des Ersten Mithridatischen Krieges wurde über 80 Jahre lang nicht hinterfragt, ehe sie von Badian und Sherwin-White zu Recht widerlegt wurde. Worüber die beiden Forscher keine Einigkeit erzielten, ist, ob Mithridates die römische Provinz Asia vor oder nach dem Winter 89/88 v. Chr. eroberte. Der Zweck dieses Artikels ist es, diese Frage zu klären. Da die antiken Quellen uns nicht explizit sagen, wo der Winter in der Reihenfolge der Ereignisse (...) zu platzieren ist, muss man die Erzählung der antiken Autoren, ebenso wie die Argumente der modernen Historiker, genau überprüfen. Das Ergebnis ist, dass Mithridates die Provinz Asia höchstwahrscheinlich nicht vor dem Winter erobert hat. (shrink)

The paper presents a preliminary study on the linguistic elements and the diversity of Jerome’s Latin, with examples taken from some of his most notable works, his letters, biblical translations, Vita Malchi, and De viris illustribus, to demonstrate his particular contribution to the oft-discussed and problematized domain, namely the Latinitas Christianorum. The article offers a general overview of Jerome’s literary formation, discussing the influence by classical Latin writers. To illustrate the kaleidoscope of Jerome’s writing style, the analysis presents various genres (...) of his writings, ranging from his biblical to non-biblical translation, from reference books and dictionaries to letters and biographies. The conclusion presents some of the linguistic characteristics of his writings to show the nuance in his mastery of Latin. (shrink)

A theoretical platform for a much‐needed change in the provision of healthcare based on restoring the autonomy of doctor–patient relationships.

Since the late 1960s, the legal doctrine of consent has occasionally been subject to severe criticism from within the bioethical discourse. The criticism was often based on observations indicating that consents and refusals, which had been considered valid from legal or institutional points of view, had frequently failed to reflect genuinely autonomous decision making, hence genuinely autonomous choices.This has led several critics to conclude that informed consent is a legal fiction. To clarify the concept, a legal fiction is a supposition (...) of fact taken to be true by the courts of law, irrespective of whether it is true or not, and even though it might not be true .1 What these critics probably meant to say was that the law deems any person who has given a legally valid consent to be genuinely task specifically autonomous, regardless of whether this is true or not and even though it might not be true. In other words, informed consent is a legal fiction, since it presupposes—that is, claims to reflect—genuine task specific autonomy, however baselessly.It was precisely this potentially embarrassing conclusion that prompted Faden and Beauchamp to develop a brilliant and remarkably effective argument in defence of the legal doctrine of consent. In their seminal work, AHistory and Theory of Informed Consent, they indeed acknowledged that effective consent often fails to be compatible with autonomous authorisation . Indeed, they recognised that effective consent does not necessarily entail autonomous authorisation. They argued, however, that the former is not a legal fiction, since it does not presuppose the …. (shrink)

The recently published Report of theAHAG on the Operation of NHS Research Ethics Committees advocates major reforms of the NHS research ethics committees system. The main implications of the proposed changes and their probable effects on the major stakeholders are described.The Ad Hoc Advisory Group on the operation of NHS research ethics committees, set up in November 2004 by Lord Warner on behalf of the Department of Health, submitted its report in June 2005.1 The report advocates major reforms of the (...) research ethics committee system. The primary aim of the report is to streamline the processes around the approval of research projects and to pursue conformity of governance across Europe. Implicit in the report is the contention that failure to achieve this objective would be harmful to everyone with vested interests in improving health and social care. Moreover, it is stated that the reforms will enhance the mechanisms that protect the interests of all parties concerned.1Being mindful of two published critiques of the Warner Report, we suggest that its alleged benefits should not be taken at face value.2,3 In fact, the reformed system will give rise to moral failings akin to those of the existing system, but will differ from the existing system in its effect on the stakeholders. Thus, whereas the outgoing system has given each stakeholder a unique mixture of benefit and harm, the incoming system offers benefit only to sponsors and researchers and nothing but detriment to participants in research and consumers of its products.In the light of this conclusion, we finally suggest that the Warner Report be construed not merely as an ill-considered document, but rather as an ideological reflection of a long-established hegemonic contract fine-tuning itself to contemporary global challenges.To avoid …. (shrink)

Diderot?s universe is somewhat weird, often dreamlike and hallucinatory, and his ontology fluid and elusive. It comprises the existing, the non-existent and even contradictory entities, the boundaries between which cannot always be clearly delimited. This universe in which nothing is of the essence of a particular being and everything is more or less something or other, resembles the amorphous and oneiric world of Zhuangzi in which nothing is clearly defined, while essenceless things, floating in uncertainty and indeterminacy, literally blend into (...) one another. The author examines what the early Hollywood comedies of Preston Sturges and the Marx brothers can teach us about the metaphysics and the principles at work in this complex and intricate world. Didroov univerzum je unekoliko neobican, cesto nalik na san, halucinatoran, a njegova ontologija fluidna i neuhvatljiva. Ona, naime, obuhvata kako postojeca tako i nepostojeca, pa cak i protivrecna bica, izmedju kojih nije uvek moguce postaviti jasne granice. Taj univerzum, u kojem nista nema sustinu posebnog bica i svaka stvar je vise ili manje bilo koja stvar, mozda jos najvise podseca na Cuang Ceov amorfni i oniricni svet, u kojem nema nicega razgovetnog, a stvari koje bez ikakve esencije plutaju u neizvesnosti i neodredjenosti se doslovno prelivaju jedna u drugu. Autor razmatra sta nam o metafizici i principima koji vaze u tom kompleksnom i slozenom svetu mogu reci rane holivudske komedije Prestona Stardzesa i brace Marks. (shrink)

The paper considers the multiplication of speech organs in Diderot's first novel Les Bijoux indiscrets. The main plot device of the novel—the talking "jewels" or female sex organs— enables Diderot to confront two different conceptions of the soul, the spiritual and material, in one and the same body. The voice coming from the head, traditionally held to be the seat of the soul, is contradicted by a voice that comes from that part of the body which is traditionally considered as (...) to be the least submissive to the head or mind. When the body rebels against the women who believe themselves to be spiritual substances in command of the body to which they are united, it is in fact the soul which is identical with the body or with its organization that really rebels against them, and objects to the false portrayal of its seat—and function— in the body. Strictly speaking, by unmasking the testimony of the women as a lie, the jewels expose the very spiritualist position itself as a lie. The paper then argues that, unlike the spiritualism propounded by the head, the spontaneous philosophy of the "indiscreet jewels" is one of forthright materialism. (shrink)

The article examines Diderot’s view of the inconstancy of nature and its corollaries, the most obvious of which is the recognition of the impossibility of philosophy and natural history. For, if everything in nature is in a state of flux, no theory can keep up with its changes, reflect on them and capture anything more than an isolated moment. Diderot’s conception of nature has important consequences for his aesthetic theory. If the goal of the fine arts is to imitate nature, (...) and if everything in nature undergoes constant change, does it not mean that art—no less than philosophy and natural history—is also impossible? By focusing on Diderot’s novel Rameau’s Nephew, I argue that the lesson of the numerous mimes its eponymous hero performs in the novel is that the dynamics of nature can perhaps only be captured by mime rather than on canvas or in stone, both of which, as Diderot puts it, can represent only a fleeting moment. (shrink)

I am focusing on the following questions that were raised in the commentaries: How to (re)awaken reflexive thinking? How to understand hallucinations as voices of sanity? How to become an effective therapist? How could the pattern that connects be described? How can psychotherapy contribute to psychological well-being?

We provide an overview of the life and work of Graham Barnes, who was strongly influenced by Gregory Bateson, and who collaborated with several other cyberneticians and constructivists, in particular, Gordon Pask and Heinz von Foerster. After having left the USA for Sweden, he commuted between Stockholm and Belgrade, Zagreb, Ljubljana and Rijeka, where he taught his own integration of second-order cybernetics and psychotherapy.

In this article we examine the association between national welfare regime and the propensity of middle–aged and older individuals with adult children of their own to provide social support to aged parents. Using data from mature adults (50+) in 26 European countries, we examine whether older and younger generations compete for the time resources of the middle “sandwiched” generation, and whether national policy context shapes this competition. Contrary to expectations, we found that sandwich generation members were less likely to provide (...) support to their parents in Conservative–Mediterranean and East European regimes, but more likely to do so in universalistic Social–Democratic regimes. This evidence supports the hypothesis that well–developed welfare states “crowd–in” family support to older individuals. Middle generation members who provided social support to their adult children tended to provide to their older parents as well. This was particularly true in the two regimes where resources and public benefits tend to be more generous and may be interpreted as state benefits that reduce intergenerational competition. Findings are discussed in terms of the capacity of state policies to shape the allocation of family resources to older adults where extended family lineages have become the norm. (shrink)

The paper discusses the metaphysical theory developed in the early eighteenth century in France by the so-called égoïstes, and explores some of its ramifications. In the eighteenth century French, the term égoïsme was used not only in the ethical sense, but also in the metaphysical sense, that is, to denote the extremist view that only oneself exists. The paper focuses primarily on Jean Brunet's work Projet d'une nouvelle métaphysique, published in 1703, which has since been lost, analyzing its fundamental principle (...) that the egoist's thought is the cause of the existence of all creatures, as found in a contemporary review of the book. Examining Brunet's "new metaphysics" within the framework of its own epistemology, the paper shows that the egoist philosopher himself was not trulyconvinced of the central tenet of his own metaphysical theory, that is, he did not sincerely believe that other minds were nothing other than modes of his thought or ideas that refer to nothing outside his mind, and argues that the very existence of Projet d'une nouvelle métaphysique in the form of a book in the mind of its author was contrary to the metaphysical theory expounded in it. (shrink)

Moral distress has been well reviewed in the literature with established deleterious side effects for all healthcare professionals, including nurses, physicians, and others. Yet, little is known about the quality and effectiveness of interventions directed to address moral distress. The aim of this integrative review is to analyze published intervention studies to determine their efficacy and applicability across hospital settings. Of the initial 1373 articles discovered in October 2020, 18 were appraised as relevant, with 1 study added by hand search (...) and 2 after a repeated search was completed in January and then in May of 2021, for a total of 22 reviewed articles. This review revealed data mostly from nurses, with some studies making efforts to include other healthcare professions who have experienced moral distress. Education-based interventions showed the most success, though many reported limited power and few revealed statistically lowered moral distress post intervention. This may point to the difficulty in adequately addressing moral distress in real time without adequate support systems. Ultimately, these studies suggest potential frameworks which, when bolstered by organization-wide support, may aid in moral distress interventions making a measurable impact. (shrink)

Razprava se ukvarja z analizo prvega pisma iz Hieronimove korespondence. Avtor je imel do njega očitno ambivalenten odnos, kar kliče k iskanju večplastne sporočilnosti spisa. Po poskusu datacije, retorični in slogovni analizi ter predstavitvi osnovne zgodbe, ki je vključena vanj, se pokaže, da je pismo kljub navidezni hagiografski šablonskosti vsebinsko bogato. Analiza se zato nadaljuje na dveh področjih. Kraj dogajanja, poznoantično mesto, ne more preživeti brez nove vodilne osebnosti, škofa. Je s pismom Hieronim želel tlakovati pot na vercelski škofovski sedež (...) prijatelju Evagriju iz Antiohije? Ob analizi nejasnih spolnih identitet obeh glavnih oseb iz zgodbe, nemoškega mladeniča in moško neuklonljive ženske, se pokaže, da je Hieronim v novem času iskal nov krščanski ideal, meništvo, ki ga je preko te zgodbe umestil v kontinuiteto z mučeništvom. (shrink)

Izhajajoč iz Montaignovega eseja Apologie de Raimond Sebond skuSa avtor osvetliti razliko med povezovanjem tako imenovanih razlogov za dvom, se pravi čutnih zmot, norosti in sanj pri Montaignu in v Descartesovi Prvi meditaciji. V zvezi z demonom kot razlogom oziroma sredstvom za dvom pa skuša - ob navezavi na Popkinovo tezo, da bi bilo zgodovinski vir Descarte-sovega demona mogoče iskati v znamenitem sodnem procesu zoper Urbaina Grandierja, do katerega je v začetku tridesetih let 17. stoletja prišlo v Loudunu v Franciji (...) - opozoriti na določeno ujemanje med Descartesovo lastno držo do demona v Prvi meditaciji, da bo namreč trdno odločen pazil, da mu ta varljivec ne bo mogel vsiliti kaj lažnega, in odklonilnim stališčem teologov s pariške Sorbone do pričevanja demonov na tedanjih sodnih procesih. (shrink)

Filozofija prvega človeka pred grehom, tj. filozofija v paradižu, je bila malebranchevski okazionalizem. Če bi Adam vztrajal v okazionalistični drži, do greha ne bi prišlo. Prav padec iz okazionalizma je bil potemtakem tisti, ki je povzročil Adamov padec. Okazionalizem je bil očitno možen samo ob božji razveljavitvi določenih naravnih zakonov, z eno besedo, možen je bil samo v paradižu. A dejstvo, daje klonil celo najbolj prepričani okazionalist, Adam, in to v času, ko je - s tem, daje njemu v prid (...) delal izjemo v naravnih zakonih - njegovo okazionalistično prepričanje posredno vzdrževal sam Bog, najbrž govori o tem, da se okazionalizem, kot filozofija, ni mogel obdržati niti z božjo pomočjo. (shrink)

The article considers the eponymous character of Du Marsais's Le Philosophe and examines his moral rationalism. In the eyes of Du Marsais's sage, the ways of virtue are not necessarily as painful as they might seem to those who are willing to stick to them solely in the hope of the promised post-mortem rewards, and the ways of vice are not necessarily as pleasant as they might seem to those who avoid them primarily out of fear of the threatened post-mortem (...) punishment. The sage is not encouraged to be virtuous by the prospect of eternal pleasure, nor is he deterred from vice by the thought of eternal suffering. For him, virtuous behaviour, i.e., observing the rules of probity, is in itself a source of genuine pleasure; likewise, he finds sinful behaviour repelling in itself: since the sense of probity enters as much into the mechanical constitution of the sage as the enlightenment of the mind, any action contrary to probity is also contrary to his very nature. (shrink)

The study examines the relationship between social inequalities (stratificational, gender and other disparities) and schooling, including academic attainment, longitudinally, in Slovenia. The issue is indicated most clearly at the tertiary education level. The basic finding is the parallel between educational expansion and the diminution of social inequalities as measured by standard parameters. This was particularly evident in the 1990s. Inequalities are measured in terms of gender, parental education and occupation. The impact of parental education proves to be an indicative, observable (...) and longitudinally comparative measure. Parental occupational status is also clearly linked to their children?s scholastic attainment, although there are difficulties in the formation of occupational strata. Further considered is the impact of school reforms over a lengthier period of time; there was not, however, any detectable impact. School and welfare policies, even financing, have little significance. There are clear indications that social disparities at school are continually regenerated, despite the decline established by standard measures. New forms of social disparities appear, through which the privileged ensure the continuation of privilege. (shrink)

Slovenian philosopher Miran Bozovic's An Utterly Dark Spot examines the elusive status of the body in early modern European philosophy by examining its various encounters with the gaze. Its range is impressive, moving from the Greek philosophers and theorists of the body (Aristotle, Plato, Hippocratic medical writers) to early modern thinkers (Spinoza, Leibniz, Malebranche, Descartes, Bentham) to modern figures including Jon Elster, Lacan, Althusser, Alfred Hitchcock, Stephen J. Gould, and others. Bozovic provides startling glimpses into various foreign mentalities haunted (...) by problems of divinity, immortality, creation, nature, and desire, provoking insights that invert familiar assumptions about the relationship between mind and body. The perspective is Lacanian, but Bozovic explores the idiosyncrasies of his material (e.g., the bodies of the Scythians, the transvestites transformed and disguised for the gaze of God; or Adam's body, which remained unseen as long as it was the only one in existence) with an attention to detail that is exceptional among Lacanian theorists. The approach makes for engaging reading, as Bozovic stages imagined encounters between leading thinkers, allowing them to converse about subjects that each explored, but in a different time and place. While its focus is on a particular problem in the history of philosophy, An Utterly Dark Spot will appeal to those interested in cultural studies, semiotics, theology, the history of religion, and political philosophy as well. Miran Bozovic is Associate Professor of Philosophy at the University of Ljubljana, Slovenia. He is the author of Der grosse Andere: Gotteskonzepte in der Philosophie der Neuzeit (Vienna: Verlag Turia & Kant, 1993) and editor of The Panopticon Writings by Jeremy Bentham (London: Verso, 1995). (shrink)

Quite unexpectedly, cognitive psychologists find their field intimately connected to a whole new intellectual landscape that had previously seemed remote, unfamiliar, and all but irrelevant. Yet the proliferating connections tying together the cognitive and evolutionary communities promise to transform both fields, with each supplying necessary principles, methods, and a species of rigor that the other lacks. (Cosmides and Tooby, 1994, p. 85).