Theoretical models for patient-physician communication in clinical practice are frequently described in the literature. Respecting patient autonomy is an ethical problem the physician faces in a medical emergency situation. No theoretical physician-patient model seems to be ideal for solving the communication problem in clinical practice. Theoretical models can at best give guidance to behavior and judgement in emergency situations. In this article the premises of autonomous treatment decisions are discussed. Based on a case-report we discuss different genuine efforts the physician (...) can do to uncover treatment refusal and respect patient autonomy in an emergency situation. Autonomy requires competence and in emergency medicine time does not allow intimate exploration of patient competence and reasons for treatment refusal. We find that the physician must base her decision on a firm theoretical base combined with a practical and realistic view of the patient's situation on a case to case basis. (shrink)

Social intrapreneurs can help corporations to address grand challenges and create hybrid value—that is simultaneous commercial and social value—by identifying and exploring entrepreneurial opportunities that address social or environmental issues. However, we still know little about how individuals assume social intrapreneurial roles in corporations. Based on a qualitative study of social intrapreneurs and their supporters, we identify variations in social intrapreneurial profiles along two dimensions: the role of the social intrapreneur in the entrepreneurial process (idea initiator versus idea explorer), and (...) their position (within core business departments versus within sustainability departments). We contribute to the literature by identifying four different types of social intrapreneurs as corporate change agents—the Visionary Business Insurgent, the Visionary Sustainability Transformer, the Enabled Business Expert, and the Enabled Sustainability Expert—and by shedding light on four pathways to social intrapreneurship that vary in initial levels of agency and ethical expression. (shrink)

In this article, three new concepts of dehumanization are proposed in order to distinguish clearly between three different kinds of phenomena that are frequently conflated and misrepresented in current research: subjective dehumanization, detrimental conditions, and objective dehumanization. The article offers (i) a more fine-grained understanding of these three kinds of dehumanization phenomena, which in turn (ii) illuminates new strategies for conflict prevention. This is achieved through a process of conceptual engineering, where the boundaries of our concepts are redrawn, so they (...) are better suited for the dealing with the phenomena in question. (shrink)

Im Werk von Gilles Deleuze und Michel Foucault sind Körper und Körperlichkeit zentrale Aspekte, die in diesem Band erstmalig vergleichend in den Fokus gerückt werden. Die Beiträger_innen stellen die Entwürfe beider Denker zur Ästhetik und Ethik als Reflexionen der Beziehung zwischen Körper und Bild vor und betonen die Verkettungen von Körper, Macht und Ästhetik. Gleichzeitig werden spezifische Fragen der jüngeren Deleuze- und Foucault-Forschung angesprochen. Der interdisziplinäre Band bietet Wissenschaftler_innen aus Philosophie und Kunstgeschichte sowie den Medien- und Kulturwissenschaften einen thematischen Überblick (...) und weiterführende Lektüre. (shrink)

Six case studies on nursing home staff attitudes to patient autonomy have been analysed. The case studies are based on six polarities within autonomy, as developed by Collopy. In total, 189 professional caregivers, comprising the staff of 13 nursing homes in the county of Stockholm, Sweden, responded to questions based on the case studies. Results show that the attitudes within each professional category had a high level of internal correspondence. Nurses consistently supported patient preferences to the highest degree, followed by (...) assistant nurses and auxiliary staff. Nurses' aides ranked lowest in supporting patient preferences. In only one of the cases were background variables of significance. (shrink)

This article explores notions of intimacy in the caring context. The aspects discussed are: privacy and intimacy; intimacy as emotional and/or physical closeness; intimacy as touch; sexual intimacy and normal ageing; sexual intimacy and patients suffering from dementia; and intimacy as trust. Examples are given and problems are identified, with reflection on the attitude and behaviour of the carer. It is suggested that when trying to make moral decisions in concrete situations it is imperative that the carer is aware of (...) the values upon which his or her own thinking is based. It is argued that the guiding principle should be the moral assumption that the carer’s responsibility can never be interpreted as a right to disregard the wishes of the patient. Hence, the key word in daily care is ‘respect’. (shrink)

The aim of this study was to obtain an increased understanding of the experiences of elderly people in geriatric care, with special reference to integrity. Data were collected through qualitative interviews with elderly people and, in order to obtain a description of caregivers’ integrity-promoting or non-promoting behaviours, participant observations and qualitative interviews with nursing students were undertaken. Earlier studies on the integrity of elderly people mainly concentrated on their personal and territorial space, so Kihlgren and Thorsén opened up the possibility (...) of considering the concept of integrity from a broader view by recognizing its relationship to the larger framework of the self-concept. Based on this, findings in the present study indicate that elderly people’s integrity relating to their corporal self were the least violated. On the other hand, their psycological, information and cultural selves were the most exposed. The study also identified a further dimension (i.e. one relating to social self), which should be included in the concept of integrity because respecting elderly people’s social self reduces their feelings of loneliness, isolation and seclusion. In summary, the results indicate that the concept of integrity is complex and has several dimensions. (shrink)

An incidental remark on an otherwise unknown Licinia in Cic. fam. 7,23 offers insights into family relations and female interactions during the first century BCE. The paper provides a prosopographical analysis of Licinia, placing her as half-sister to the Cassii Longini, and of her unnamed mother, who via marriage interlinked three different kinship groups, and thus highlights Rome’s complicated kinship ties. Furthermore, the role of women within these family ties is discussed on a macro level - the social role of (...) kinship - and as well as on a micro level - the importance of quotidian female interactions on behalf of the male members of their domus. (shrink)

Im Werk von Gilles Deleuze und Michel Foucault sind Körper und Körperlichkeit zentrale Aspekte, die in diesem Band erstmalig vergleichend in den Fokus gerückt werden. Die Beiträger_innen stellen die Entwürfe beider Denker zur Ästhetik und Ethik als Reflexionen der Beziehung zwischen Körper und Bild vor und betonen die Verkettungen von Körper, Macht und Ästhetik. Gleichzeitig werden spezifische Fragen der jüngeren Deleuze- und Foucault-Forschung angesprochen. Der interdisziplinäre Band bietet Wissenschaftler_innen aus Philosophie und Kunstgeschichte sowie den Medien- und Kulturwissenschaften einen thematischen Überblick (...) und weiterführende Lektüre. (shrink)

Cities and local governments loom large on the sustainability agenda. Networks such as Fair Trade Towns International (FTT) and the Organic Cities Network aim to bring about global policy change from below. Given the new enthusiasm for local approaches, it seems relevant to ask to what extent local groups exercise power and in what form. City networks present their members as “ethical places” exercising _power with_, rather than _power over_ others. The article provides an empirical analysis of the power of (...) FTT and Organic Cities in Germany. In both cases, we found cities that are eager to emphasize their inclusive potential. Their willingness to compromise is demonstrated most illustratively by the fact that several cities are members of both networks: While the FTT campaign aims to address problems of international trade but does not abandon it, Organic Cities advocate for a new localism based on food supply from farmers in the same region. In both cases, city networks use their purchasing power to increase the share of certified products. By doing so, the city networks reproduce privileged positions of consumers benefitting from the global capitalist order (_power over_). However, our analysis revealed that networks also make citizens reflect upon agri-food challenges and allow developing alternatives for more sustainable systems (_power with_). (shrink)

This article reveals a 91-year-old cognitively intact man’s lived experiences of being cared for in a geriatric context in which the majority of the patients were cognitively impaired. A narrative patient story was analysed phenomenologically. The findings indicate that this patient’s basic needs for ethical care were not met. The staff did not see him as a unique individual with his own preferences, resources and abilities to master his life. In order to survive this lack of ethical care, he played (...) the role of an ‘old cognitively impaired man’, which provided him with at least the understanding and attention the cognitively impaired patients received from the staff. The findings also indicate that ethical care is independent of whether or not older cognitively intact and impaired patients stay or live in the same unit, but it is more dependent on a caregiver’s ability to respect and confirm each and every patient for who he or she is and would like to be. (shrink)

Name der Zeitschrift: Klio Jahrgang: 97 Heft: 1 Seiten: 402-404.

For quite some time, cognitive science has offered philosophy an opportunity to address central problems with an arsenal of relevant theories and empirical data. However, even among those naturalistically inclined, it has been hard to find a universally accepted way to do so. In this article, we offer a case study of how cognitive-science input can elucidate an epistemological issue that has caused extensive debate. We explore Jason Stanley’s idea of the practical grasp of a propositional truth and present naturalistic (...) arguments against his reductive approach to knowledge. We argue that a plausible interpretation of cognitive-science input concerning knowledge—even if one accepts that knowledge how is partly propositional—must involve an element of knowing how to act correctly upon the proposition; and this element of knowing how to act correctly cannot itself be propositional. (shrink)

Understanding the spread of national public policies to increase the percentage of women on boards is often presented using different types of institutional theory logic. However, the importance of the political games influencing these decisions has not received the same attention. In this article, we look beyond the institutional setting by focusing on the role of actors. We explore processes that include who the critical actors that drive and determine these policies are, and what motivates them to push for change. (...) We employ a processual design approach using a longitudinal country-comparative case study exploring the case of Norway, England, Germany and Italy. We map the political games, both inside and outside legislative areas, including the micro-politics among various actors and groups of actors in the selected countries. Data are collected through participation observations, interviews and text analyses. The study contributes by filling important gaps in the literature by embedding the discussion about women on boards in politicking and national public policies and by introducing dynamic perspectives. Finally, by using a processual design approach, we capture the reality of the women on board debates at different points of time and in different actor and motivational contexts. The study has consequences for how policy-makers and businesses may follow up and act, based on the debates. (shrink)

Business ethics education aims to enable students to become conscious of their own values and develop the capacity to voice such values and make value-consistent decisions. However, a student’s personal values and the capacity to act on them tend to change after graduation. In this study, we discuss how moral learning is different in real work life compared to a business school setting, and we explain why graduates may downplay or abandon their values after graduation. We launch the concept of (...) dynamic moral capacity (DMC), defined as the metacognitive routines for processing moral decision outcomes, motivated by humility goals. We suggest that future courses in business ethics develop DMC to avoid value drift and negative moral learning over time after graduation. Finally, we discuss how DMC can be included in the instructional framework of giving voice to values and thus increase its impact on moral learning after graduation. (shrink)

This book contains an introduction to mathematical proofs, including fundamental material on logic, proof methods, set theory, number theory, relations, functions, cardinality, and the real number system. The book is divided into approximately fifty brief lectures. Each lecture corresponds rather closely to a single class meeting.

Drawing on a finance professional’s reflections on his ethical education as an economics undergraduate, Chartered Financial Analyst, and top-tier MBA graduate, this article considers the framing of, and need for philosophy in, ethical training for finance professionals. Role-playing is emphasized as helpful for developing a mature ethical approach, and theory is seen as desirable after the fact, to plan improved future action. The article problematizes an orientation in professional programs that primarily gears the teaching of ethics toward those students perceived (...) to be least ethical. This orientation seems to underlie both the education the financial professional received and current public interest in ‘more ethics’ in professional programming. As an alternative, the article reframes finance students and professionals as ethical actors whose primary dilemma concerns not how to avoid ethical transgressions, but how to better optimize the duty to self in... (shrink)

In contemporary discourse, inclusion has evolved into a core value, with inclusive societies being lauded as progressive and inherently positive. Conversely, exclusion and excluding practices are typically deemed undesirable. However, this paper questions the prevailing assumption that inclusion is always synonymous with societal progress. Could it be that exclusion, in certain contexts, serves as a more effective tool for advancing societal development? Is there a more intricate interconnection between these phenomena than conventionally acknowledged? This paper advocates moving beyond a simplistic (...) inclusion/exclusion dichotomy and puts forth two theses. First, it posits that exclusion can, at times, be a superior metric for gauging progress. Second, it contends that inclusion and exclusion are thoroughly entwined, challenging the notion of a clear demarcation between them. The underlying premise is that, much like inclusion, there can be meaningful value associated with exclusion. Furthermore, applying a rigid inclusion/exclusion dichotomy oversimplifies the discourse on societal progress, providing an artificial representation of what constitutes advancement. Such oversimplification hampers both contemporary research in the humanities and broader political discourse. The primary objective of this paper is to introduce a fresh perspective to the discourse surrounding societal progress. By challenging the fundamental conceptual framework, it seeks to add nuance to the ongoing debate, fostering a more comprehensive understanding of the complexities inherent in measuring progress within society. (shrink)

The increasing need for innovative research driven by rapid global changes gives doctoral supervisors of early-stage researchers a significant role in facilitating the ethical conduct of qualitative research. In the context of European Commission funding, the demands of research ethics and integrity place a tremendous responsibility on the supervisors of early-stage researchers involved in cross-national projects. This document study seeks to illuminate the role of the supervisors in facilitating research ethics in these projects. Specifically, we describe and discuss the supervisor (...) role associated with five approaches to doctoral supervision of qualitative research, namely those described as ‘Functional’, ‘Enculturation’, ‘Critical thinking’, ‘Emancipation’ and ‘Developing a quality relationship’. The main challenges for supervisors of cross-national research projects are the cultural and linguistic mobilisation of ethical principles in qualitative research processes and the management of the future use of open data. The results from this study have implications for planning and conducting cross-national studies within research involving human participants. These results can guide supervisors in the codification and mobilisation of ethical qualitative research in practice. (shrink)

There is an ongoing debate about the value of virtual friendship. In contrast to previous authorships, this paper argues that virtual friendship can have independent value. It is argued that within an Aristotelian framework, some friendships that are perhaps impossible offline can exist online, i.e., some offline unequals can be online equals and thus form online friendships of independent value.

In this article I propose that a postphenomenological approach to science and technology can open new analytical understandings of how material artifacts, embodiment and social agency co-produce learned perceptions of objects. In particle physics, physicists work in huge groups of scientists from many cultural backgrounds. Communication to some extent depends on material hermeneutics of flowcharts, models and other visual presentations. As it appears in an examination of physicists’ scrutiny of visual renderings of different parts of a detector, perceptions vary in (...) relation to social and bodily experiences. Vision in physics has seemingly allowed an objective perception at a convenient distance of the body. This article challenges this view and proposes that the variations can be analysed as cultural at two echelons with the help of a postphenomenological approach combined with cultural psychological theory of artifacts. A third echelon presumably constitutes the phenomenological limit to culture in science. Even this last resort of subjectivity can be embraced by a postphenomenological approach. The process of culturalization in physics can be defined as a process of situating knowledge in a body whose continuous learning of micro-and macro perceptions makes scientific renderings unstable. Taken together postphenomenology, following the distinctions between body one and body two, and combined with cultural psychological learning theory, enables new insight into what constitutes culture in science. (shrink)

This paper discusses the conditions for legitimate expert arrangements within a democratic order and from a deliberative systems approach. It is argued that standard objections against the political role of experts are flawed or ill-conceived. The problem that confronts us instead is primarily one of truth-sensitive institutional design: Which mechanisms can contribute to ensuring that experts are really experts and that they use their competencies in the right way? The paper outlines a set of such mechanisms. However, the challenge exceeds (...) that of producing epistemically optimal expert deliberations because a deliberative political system must also fulfil the ethical and democratic requirements of respect and inclusion. Yet, epistemic concerns justify expertise arrangements in the first place, and measures taken to make the use of expertise compatible with these requirements have to balance the potential rewards from expertise against potential deliberative costs. In the final part of the paper, the regulatory framework of a best practice expert advice system is tentatively analysed to illustrate the applicability and critical potential of our approach. (shrink)

Epistemic democrats are rightly concerned with the quality of outcomes and judge democratic procedures in terms of their ability to ‘track the truth’. However, their impetus to assess ‘rule by experts’ and ‘rule by the people’ as mutually exclusive has led to a meagre treatment of the role of expert knowledge in democracy. Expertise is often presented as a threat to democracy but is also crucial for enlightened political processes. Contemporary political philosophy has so far paid little attention to our (...) reliance on experts and has not sufficiently addressed the question of how expertise can be used to improve the epistemic quality of democratic decision making. We believe this lack of interest is spurred by a too hasty acceptance of arguments dismissive of the political role of experts. The article examines a series of often-cited epistemic objections and concludes that several of them are overstated or misconceived, yet they all reflect real difficulties that need to be addressed. On this background, we tentatively outline a set of mechanisms that can contribute to alleviating the irreducible problem of epistemic asymmetries and ensuring that experts really are experts and use their expertise in the right way. (shrink)

The decisive epistemological and methodological moment of feminist analysis and critique is the moment of intervention. An intervention does not require a standpoint; instead, it displaces the locus of critique from the standpoint to the effects or consequences of critique. Intervention requires no new information or hitherto concealed facts about the object being interfered with. The critical effects of an intervention are the results of what is called a ‘sexing-up’ strategy. Different epistemological and methodological aspects of this strategy are discussed (...) and a connection established between feminist interventions in science and politics, and the strategy of sexing-up. (shrink)

The article probes into tensions following in the wake of feminism’s mappings of itself as a landscape that ‘is not there’, so to speak, but which is constituted and reconstituted discursively and affectively. The author discusses these tensions in relation to the notion of feminist genealogy. The discussion is elaborated with reference to a concrete, past and perhaps disturbing political and theoretical landscape: the official, state-sanctioned ‘women’s studies’ in the GDR during the Cold War. The author argues that efforts at (...) mappings and fillings of historical gaps in the production of women’s studies knowledge with reference to inclusion and recognition of ‘women’s experiences’ and ‘women’s voices’ may render feminists unable to trace and question the political operations that have produced and reproduce ‘woman’ and ‘women’ as the significant subject of feminism. The first part of the article illustrates the challenging complexity of feminist projects of inclusion and recognition by discussing some of the feminist critiques of the so-called ‘women’s studies’ in the GDR during the Cold War. The second part locates this complexity within feminist political and theoretical landscapes and cartographies by discussing it in relation to feminist genealogy. (shrink)

In the Letter of Humanism, Heidegger reinterprets the Greek notion of ethos as designating the way in which human beings dwell in the world through a “unifying” language. Through various down strokes in the autobiographical and psychopathological literature on schizophrenia as well as in literary texts and literary criticism, this paper, experimental in its effort, argues that the language productions of schizophrenia and poetry, each in its own way, seem to fall outside this unification of a language in common. Furthermore, (...) it argues that this “falling outside” is related to radical experiences of “alienation” and “otherness,” which call for an alteration of conventional language. However, whereas poetry appears to open new linguistic possibilities, schizophrenia runs the risk of reducing language to the silence of incomprehensible “nonsense.” The paper ends with the suggestion that a poetic employment of language may hold a double potential with regard to the understanding and possible treatment of schizophrenia spectrum disorders. (shrink)

What is the relation between material hermeneutics, bodies, perception and materials? In this article, I shall argue cultural learning processes tie them together. Three aspects of learning can be identified in cultural learning processes. First, all learning is tied to cultural practices. Second, all learning in cultural practice entangle humans’ ability to recognize a material world conceptually, and finally the boundaries of objects, the object we perceive, are set by shifting material-conceptual entanglements. All these aspects are important for material hermeneutics (...) in a technoculture. Postphenomenology has expanded the connection between hermeneutics and phenomenology by focusing on studies of how perception, bodies, materials, the sensual realm and hermeneutics are entwined when we perceive the world through technologies. Following Don Ihde, hermeneutics expands beyond interpretation of texts in the humanities. We can interpret materials as for instance animal bones to make new sense of the Bible. New technologies have expanded material hermeneutics, when we can ‘look’ into bodies and ‘perceive’ below surfaces. Interpretation via such tools in a technoculture, both limit and extend our hermeneutic horizons in the humanities as well as in the natural sciences. Furthermore, from the perspective of cultural learning processes, material hermeneutics in the human and natural sciences depend on more than mediating instruments. Material hermeneutics also involve the material cultural environments of scientific apparatuses and the scientists’ processes of learning in cultural practice. This changes the focus from relations in postphenomenology to processes of relations. (shrink)

The feminist philosopher and social scientist shows how "gendering" has affected the social and natural sciences as she reconciles the long-standing dichotomy between the quantitative and qualitative methods and demonstrates the tandem use of both experimental and intuitive approaches.

Will robots ever be able to learn like humans? To answer that question, one first needs to ask: what is learning? Hubert and Stuart Dreyfus had a point when they claimed that computers and robots would never be able to learn like humans because human learning, after an initial phase of rule-based learning, is uncertain, context sensitive and intuitive under contract F49620-C-0063 with the University of California) Berkeley, February 1980.. Washington, DC: Storming Media. https://www.stormingmedia.us/15/1554/A155480.html. Accessed 10 Oct 2017, 1980). I (...) would add that learning also builds on prior learning, and that from the outset, human learning is a socio-cultural materially grounded collective epistemology. This posthuman acknowledgement shifts the focus from the individual learner to learning within collective phenomena. Dreyfus and Dreyfus do not seem to emphasise the essentially social and cultural nature of the human condition. Learning theory, new materialism and postphenomenology have emphasised in different ways the materially based socio-cultural nature of human learning. They thereby point towards a ‘posthuman’ learning that is far from the machine-like or enhanced creature envisioned by singularists. Until robots are essentially social and ground their epistemologies in socio-cultural materiality, I suggest that human-like AI is not possible. (shrink)

Robots are simultaneously real machines and technical images that challenge our sense of self. I discuss the movie Ex Machina by director Alex Garland. The robot Ava, played by Alicia Vikander, is a rare portrait of what could be interpreted as a feminist robot. Though she apparently is created as the dream of the ‘perfect woman’, sexy and beautiful, she also develops and urges to free herself from the slavery of her creator, Nathan Bateman. She is a robot created along (...) the perfect dimensions as a Vitruvian robot but is also a creature which could be interpreted as a human being. However, the point I want to raise is not whether Ava’s reaction to robot slavery is justified or not but how her portrait raises questions about the blurred lines between reality and fiction when we discuss our robotic future. A real version of Ava would not last long in a human world because she is basically a solipsist, who does not really care about humans. She cannot co-create the line humans walk along. The robots created as ‘perfect women’ today are very far from the ideal image of Ava. They are sexist, primitively normative and clearly ‘wax-doll machines’. So though Ava’s dimensions are perfect she, like the Vitruvian Man, remains a fiction. In real life, however, we may have to deal with an increasing solipsism stemming from people engaging with machines like sex robots. In this case, it is human and not robotic solipsism we need to worry about. (shrink)