Although shared decision-making is a standard in medical care, unilateral decisions through process-based conflict resolution policies have been defended in certain cases. In patients who do not stand to receive proportional clinical benefits, the harms involved in interventions such as cardiopulmonary resuscitation seem to run contrary to the principle of non-maleficence, and provision of such interventions may cause clinicians significant moral distress. However, because the application of these policies involves taking choices out of the domain of shared decision-making, they face (...) important ethical and legal problems, including a recent challenge to their constitutionality. In light of these concerns, we suggest a re-conceptualization of informed non-dissent as an alternative approach in cases where the application of process-based policies is being considered. This clinician-directed communication model still preserves what is valuable in such policies and salvages professional integrity, while minimising ethical and legal challenges. (shrink)

The imprints left by quantum mechanics in classical (Hamiltonian) mechanics are much more numerous than is usually believed. We show that the Schrödinger equation for a nonrelativistic spinless particle is a classical equation which is equivalent to Hamilton’s equations. Our discussion is quite general, and incorporates time-dependent systems. This gives us the opportunity of discussing the group of Hamiltonian canonical transformations which is a non-linear variant of the usual symplectic group.

Is the assessment of motor milestones valid and scaled equivalently for all infants? It is not only important to understand if the way we use gross and fine motor scores are appropriate for monitoring motor milestones but also to determine if these scores are confounded by specific infant characteristics. Therefore, the aim of the study is to investigate the latent structure underlying motor milestone assessment in infancy and measurement invariance across sex, birth weight, and gestational age. For this study, the (...) birth cohort data from the United Kingdom Millennium Cohort Study was used, which includes the assessment of eight motor milestone tasks from the Denver Developmental Screening Test in 9-month-old infants, depicting early motor development of the first children of generation Z. Confirmatory factor analyses showed a better model fit for a two-factor structure compared to a one-factor structure, and multiple indicators multiple causes modeling revealed no differential item functioning related to sex, birth weight, and gestational age. The study provides support for the use of gross and fine motor scores when assessing motor milestones in infants—both boys and girls with different birth weights and of varying gestational ages. Further investigation into widely adopted assessment tools is recommended to support the use of valid composite scores in early childhood research and practice. (shrink)

The necessary appearance of Clifford algebras in the quantum description of fermions has prompted us to re-examine the fundamental role played by the quaternion Clifford algebra, C 0,2 . This algebra is essentially the geometric algebra describing the rotational properties of space. Hidden within this algebra are symplectic structures with Heisenberg algebras at their core. This algebra also enables us to define a Poisson algebra of all homogeneous quadratic polynomials on a two-dimensional sub-space, $\mathbb{F}^{a}$ of the Euclidean three-space. This enables (...) us to construct a Poisson Clifford algebra, ℍ F , of a finite dimensional phase space which will carry the dynamics. The quantum dynamics appears as a realisation of ℍ F in terms of a Clifford algebra consisting of Hermitian operators. (shrink)

In this paper, I show where Adolf Reinach comes down on the question of conflicts of obligation. The aim is to look at whether Reinach’s phenomenological realism of obligation holds its own against positions developed by Bernard Williams concerning the nature and import of obligations, and their capacity or incapacity to impinge upon each other and other moral and non-moral concerns. It is shown that even if Reinach turns out to succumb to pitfalls Williams identifies, he nonetheless verges upon agreement (...) with Williams in more ways than one might expect. This result is significant because it shows that Reinach’s phenomenological realism, in contrast to certain forms of moral realism, lays the foundations for what can be considered a heterontology of obligation and ethical concerns, which is presupposed by the experience of (moral) conflict in the first place. (shrink)

Résumé Les affinités paradoxales que la recherche a pu pointer entre la « secte » philosophique épicurienne et la secte chrétienne dans les premiers siècles de notre ère sont rappelées puis examinées dans le détail du premier document attestant une rencontre précise entre les deux sectes, le récit des Actes des Apôtres qui montre Paul discutant avec les Épicuriens et les Stoïciens d’Athènes, puis nous restitue le discours de Paul devant l’Aréopage d’Athènes. Il apparaît que Paul se pose en philosophe (...) pour exposer sa doctrine en des termes jusqu’à un certain point compatibles avec une doctrine matérialiste voire polythéiste. (shrink)

Cet ouvrage est le fruit d'une recherche approfondie dans le champ de l'esthétique et de l'herméneutique des traditions orales africaines. Il est remarquable par sa singularité et son niveau d'élaboration philosophique. Il aura fallu traverser le triple brouillage des codes culturels eux-mêmes, de l'acculturation notamment coloniale, et du particularisme des études ethnologiques et philosophiques alors disponibles. Il aura fallu, en outre, mettre en oeuvre une démarche d'analyse régressive permettant de décliner les catégories qui, en deçà des normes et des procédés (...) constituant le système des réponses, les font tenir ensemble. L'oeuvre n'est pas une invite à un repli passéiste de la culture négro-africaine sur elle-même. Il faut y voir plutôt une tentative de détermination d'un "fonds de sens" susceptible de réappropriations différentes. (shrink)

In which a scientist searches for an empirical explanation for phenomenal experience, spurred by his instinctual belief that life is meaningful. What links conscious experience of pain, joy, color, and smell to bioelectrical activity in the brain? How can anything physical give rise to nonphysical, subjective, conscious states? Christof Koch has devoted much of his career to bridging the seemingly unbridgeable gap between the physics of the brain and phenomenal experience. This engaging book--part scientific overview, part memoir, part futurist (...) speculation--describes Koch's search for an empirical explanation for consciousness. Koch recounts not only the birth of the modern science of consciousness but also the subterranean motivation for his quest--his instinctual belief that life is meaningful. Koch describes his own groundbreaking work with Francis Crick in the 1990s and 2000s and the gradual emergence of consciousness as a legitimate topic for scientific investigation. Present at this paradigm shift were Koch and a handful of colleagues, including Ned Block, David Chalmers, Stanislas Dehaene, Giulio Tononi, Wolf Singer, and others. Aiding and abetting it were new techniques to listen in on the activity of individual nerve cells, clinical studies, and brain-imaging technologies that allowed safe and noninvasive study of the human brain in action. Koch gives us stories from the front lines of modern research into the neurobiology of consciousness as well as his own reflections on a variety of topics, including the distinction between attention and awareness, the unconscious, how neurons respond to Homer Simpson, the physics and biology of free will, dogs, Der Ring des Nibelungen, sentient machines, the loss of his belief in a personal God, and sadness. All of them are signposts in the pursuit of his life's work--to uncover the roots of consciousness. (shrink)

The hard problem of consciousness is the problem of explaining how and why physical processes give rise to consciousness (Chalmers 1995). Regardless of many attempts to solve the problem, there is still no commonly agreed solution. It is thus very likely that some radically new ideas are required if we are to make any progress. In this paper we turn to quantum theory to find out whether it has anything to offer in our attempts to understand the place of mind (...) and conscious experience in nature. In particular we will be focusing on the ontological interpretation of quantum theory proposed by Bohm and Hiley (1987, 1993), its further development by Hiley (Hiley and Callaghan 2012; Hiley, Dennis and de Gosson 2021), and its philosophical interpretation by Pylkkänen (2007, 2020). The ontological interpretation makes the radical proposal that quantum reality includes a new type of potential energy which contains active information. This proposal, if correct, constitutes a major change in our notion of matter. We are used to having in physics only mechanical concepts, such as position, momentum and force. Our intuition that it is not possible to understand how and why physical processes can give rise to consciousness is partly the result of our assuming that physical processes (including neurophysiological processes) are always mechanical. If, however, we are willing to change our view of physical reality by allowing non-mechanical, organic and holistic concepts such as active information to play a fundamental role, this, we argue, makes it possible to understand the relationship between physical and mental processes in a new way. It might even be a step toward solving the hard problem. (shrink)

Robert Nozick famously asks us whether we would plug in to an experience machine, or whether we would insist upon ‘living in contact with reality’. Felipe De Brigard, after conducting a series of empirical ‘inverted’ experience machine studies, suggests that this is a false dilemma. Rather, he says, ’…the fact is that people tend to prefer the state of affairs they are in currently,’ or the status quo. In this paper, I argue that these studies are a test case for (...) ‘experimental philosophy’ as such. Specifically, I argue that De Brigard offers a series of faulty studies, and so, reaches unfounded conclusions. More generally, I argue that certain philosophical thought experiments cannot be tested empirically at all, and this limits what experimental philosophy can do. (shrink)

In den Aufsätzen dieses Bandes präsentiert Anton Friedrich Koch Hegels theoretische Philosophie als diejenige Nichtstandard-Metaphysik, in der sich die Metaphysik, nicht aber die Philosophie vollendet. Jenseits von Hegels Evolutionstheorie des Absoluten gilt es von einem Standpunkt der Endlichkeit aus neu zu philosophieren.

English summary: French description: Pensees du corps: se peut-il que le corps pense, qu'il ne soit pas un simple objet de reflexion, mais un sujet de pensee a part entiere?La demarche philosophique est ici confrontee a un corpus de pratiques et d'arts gestuels japonais (danse, theatre, arts martiaux). Une serie d'experiences significatives bousculent les idees recues et poussent le penseur a un renouvellement radical de ses methodes et de ses concepts. En resulte une philosophie de terrain, incarnee et immanente, qui (...) met en lumiere la profonde rationalite du corps. Y compris dans ses deploiements qui d'ordinaire resistent a l'analyse: sensation et action.Nul besoin d'avoir recours a un relativisme culturaliste friand d'exotisme, encore moins a un quelconque irrationalisme. Les pensees du corps dessinent un espace de publicite et d'intelligibilite, une forme d'universalite que chacun peut intimement eprouver et affiner. Loin de constituer un dehors, le corps apparait comme le lieu de production d'un savoir et d'une pensee universellement partageables. (shrink)

The article surveys German-language ayurvedic cooking and nutrition books from 1990 until today. The semantic analysis reveals a market diversification that corresponds to the following categories: health, diet, spirituality, and individualism. These are main attractors of Ayurveda along with its promises of holistic balance and cosmological integration. Because this development can be interpreted as a reaction to the Western scientific formation of "Ayurveda" within popular life advice literature, this essay uses the concept of reflexive nutrition as derived from M. Stausberg's (...) reflexive ritualization. Furthermore, the success of these books indicates an absence of Christian dietetics in Germany's religion landscape. (shrink)

Sobre o conceito de voluntas em Agostinho.

Since its publication in French in 1949 by the Presses Universitaires de France, Basil Tatakis' Byzantine Philosophy remains the sole work of its kind, an analysis of the rise of Christianity in the East and the civilization that grew out of it at the crossroads of Europe, Asia, and Africa.