Zusammenfassung. Im Wandel vom paternalistischen zum partnerschaftlichen Arzt-Patient-Verhältnis werden auch Konfliktsituationen am Ende des Lebens aus einem anderen Blickwinkel gesehen. Der Fortschritt der Intensivmedizin und die zunehmende Zahl chronisch Kranker schaffen hier neue ethische Probleme. Am Fall eines Patienten, der an einer Amyotrophen Lateralsklerose litt, wird der Autonomiekonflikt zwischen Selbst- und Fremdbestimmung verdeutlicht. Juristische, medizinische und ethische Argumente werden fallbezogen dargestellt und der Stellenwert von Patientenverfügungen und das derzeitige deutsche Betreuungsrecht diskutiert.

Given its non-invasive nature, there is increasing interest in the use of transcutaneous vagus nerve stimulation across basic, translational and clinical research. Contemporaneously, tVNS can be achieved by stimulating either the auricular branch or the cervical bundle of the vagus nerve, referred to as transcutaneous auricular vagus nerve stimulation and transcutaneous cervical VNS, respectively. In order to advance the field in a systematic manner, studies using these technologies need to adequately report sufficient methodological detail to enable comparison of results between (...) studies, replication of studies, as well as enhancing study participant safety. We systematically reviewed the existing tVNS literature to evaluate current reporting practices. Based on this review, and consensus among participating authors, we propose a set of minimal reporting items to guide future tVNS studies. The suggested items address specific technical aspects of the device and stimulation parameters. We also cover general recommendations including inclusion and exclusion criteria for participants, outcome parameters and the detailed reporting of side effects. Furthermore, we review strategies used to identify the optimal stimulation parameters for a given research setting and summarize ongoing developments in animal research with potential implications for the application of tVNS in humans. Finally, we discuss the potential of tVNS in future research as well as the associated challenges across several disciplines in research and clinical practice. (shrink)

Investigations of innate talent should narrow the definition of talent to deal with constituent abilities, identify touchstone phenomena, and provide detailed explanations of these phenomena. A list of relevant phenomena is proposed.

Along with potential benefits to healthcare delivery, machine learning healthcare applications raise a number of ethical concerns. Ethical evaluations of ML-HCAs will need to structure th...

American distance running legend Steve Prefontaine – ‘Pre’ – claimed that he was an artist and that his races were works of art. In this article, I examine and defend Pre’s claims. Using Robert Stecker’s definition of art as a guide, I argue that a race can be a work of art – specifically, performance art. I then argue that Pre’s 3,000 m American record race at the 1972 Bislett Games in Oslo, Norway, and his 5,000 m final at the (...) 1972 Munich Olympics illustrate his view of himself as an artist and are works of art in Stecker’s sense of achieving excellence in fulfilling an artistic function. (shrink)

Answering the design questions inherent to building and deploying machine learning tools —based on algorithms that can learn from and make predictions on large data sets without being explicitl...

Some popular views of Ernst Mach cast him as a philosopher-scientist averse to imaginative practices in science. The aim of this analysis is to address the question of whether or not imagination is compatible with Machian philosophy of science. I conclude that imagination is not only compatible, but essential to realizing the aim of science in Mach’s biologico-economical view. I raise the possible objection that my conclusion is undermined by Mach’s criticism of Isaac Newton’s famous “bucket experiment.” I conclude that (...) Mach’s issue lies not with thought experimentation, tout court, but with the improper use of thought experimentation as it relates to the aim of the biologico-economical development of science. (shrink)

Globalization has consequences for the religious sphere, but it does not constitute a break with the previous situation. It constitutes rather an acceleration of a process begun with the birth of nation-states. The impact of the values of modernity is general, since even those in power, whatever their tendency, invoke values of democracy, progress, freedom and justice, whereas submission is what was required of subjects. Nevertheless, people today look to religion for fixed reference points, because of the brutal transition from (...) the Middle Ages to the 20th and 21st centuries, and because modernity is not a endogenous phenomenon. Islam then is playing the role of bulwark against western hegemony. It is also instrumentalized both by the powers that be and by the oppositions, all of whom give themselves over to displays of one-upmanship over fidelity to Islam. Does Islam then maintain its relevance in the context of globalization? The fact is that the bases on which social relations are now founded no longer permit discrimination on the ground of sex or religion, and that there is a loosening of the grip of traditional ritualism and that more and more Muslims are looking for an understanding of the faith that is freed from old-fashioned dogmas. These new givens are being demonstrated particularly when it comes to the exercise of power and the condition of women. As a result, traditional conceptions are destined to evolve, particularly concerning the status of the Koran, the growing awareness of the historical process that made the Koran into a juridical code, the archetype that has been stuck to the person of the Prophet, and the alienation that consists in the sacralization of every human act. (shrink)

Contemporary responses to Plato’s Republic rarely examine its complex relationship to festivals and sacrifice. Recovering the importance of the festival to Plato’s concerns, this article reveals Plato’s displacement of the sacrificial violence of ancient Greek festivals with the language and possibilities (including notions of responsibility) of money. The first section introduces, through the opening scenes of the Republic, the significance of money in Ancient Greece, particularly its affiliation with the ritual dynamics of the festival. The second section focuses on animal (...) sacrifice, developing the central claim that much of the Republic imagines replacing the power of sacrifice to hold a conflicted polis together with the logic of money to organize and maintain the city. To explore the ramifications of this shift, the third section of the essay turns to the problems of visibility and sacrifice, arguing that the shift from festival to monetary political practice obscures the violence of political and monetary life; an obscurity reproduced in Giorgio Agamben’s neglect of ancient Greece in his account of the relationship between sacrifice and political status. This reading provokes an engagement with the contemporary acceptance of monetary violence leading to the conclusion that the violence and death resulting from monetary practice should be considered political violence, not sacrifice. (shrink)

Autonomous vehicles (AVs) hold considerable promise for maintaining aging adults’ mobility as they develop impairments in driving skill. Nonetheless, attitudes can be a significant barrier to adoption as has been shown for other technologies. We investigated how different introductions to AV, video with a driver in the front seat, the rear seat, and a written description, affected attitudes, as well as how individual difference variables such as age, gender, prior knowledge, and personality traits predict attitudes within a middle-aged (Median age (...) = 34, IQR = 20, n = 441) Amazon Mechanical Turk sample. The 16-item attitude survey uncovered three factors: Concern with AV, Eagerness to Adopt AV technology, and Willingness to Relinquish Driving Control. ANOVAs showed that only age (younger less concerned) and gender, (females more concerned) were significant factors in Concern with AV. Only gender affected Willingness to Relinquish Driving Control, with males more willing. Multiple regressions that included previous knowledge level and personality traits showed a different pattern. Female gender and greater conscientiousness were associated with greater Concern about AV. Prior knowledge of AV was associated with less concern. Emotional stability and openness to experience were positive predictors of Eagerness to Adopt AV, whereas conscientiousness was a negative predictor. Prior knowledge and openness to experience, positively, and extraversion, negatively, were associated wi... (shrink)

Machine learning is fundamental to multiple visions of health care’s future, from precision medicine 2020) to a model of health delivery and research...

The misleading and propagandistic tendencies in American news reporting have been a part of public discussion from its earliest days as a republic (Innis, 2007;Sheppard, 2007). “Fake news” is hardly new (McKernon, 1925), and the term has been applied to a variety of distinct phenomenon ranging from satire to news, which one may find disagreeable (Jankowski, 2018;Tandoc et al., 2018). However, this problem has become increasingly acute in recent years with the Macquarie Dictionary declaring “fake news” the word of the (...) year in 2016 (Lavoipierre, 2017). The international recognition of fake news as a problem (Pomerantsev and Weiss, 2014;Applebaum and Lucas, 2016) has led to a number of initiatives to mitigate perceived causes, with varying levels of success (Flanagin and Metzger, 2014;Horne and Adali, 2017;Sample et al., 2018). The inability to create a holistic solution continues to stymie researchers and vested parties. A significant contributor to the problem is the interdisciplinary nature of digital deception. While technology enables the rapid and wide dissemination of digitally deceptive data, the design and consumption of data rely on a mixture of psychology, sociology, political science, economics, linguistics, marketing, and fine arts. The authors for this effort discuss deception’s history, both old and new, from an interdisciplinary viewpoint and then proceed to discuss how various disciplines contribute to aiding in the detection and countering of fake news narratives. A discussion of various fake news types (printed, staged events, altered photographs, and deep fakes) ensues with the various technologies being used to identify these; the shortcomings of those technologies and finally the insights offered by the other disciplines can be incorporated to improve outcomes. A three-point evaluation model that focuses on contextual data evaluation, pattern spread, and archival analysis of both the author and publication archives is introduced. While the model put forth cannot determine fact from fiction, the ability to measure distance from fact across various domains provides a starting point for evaluating the veracity of a new story. (shrink)

In “Descartes’s Theodicy of Error,” Michael J. Latzer argues that the Fourth Meditation has “general significance for the project of theodicy” and offers “asolution to the problem of evil as complete, in its own succinct way, as Leibniz’s is on a grander scale.” I do not think that anyone has accurately understood the complex theodicy offered there, however. Commentators disagree about the argument(s) and have not carefully explained exactly what Descartes says that applies to the problem of evil. The purpose (...) of my paper is three-fold. I (1) explain the theodicy that Descartes offers to explain philosophical error in the Fourth Meditation; (2) argue that although we are justified in understanding this theodicy as concerning the problem of evil, the advice Descartes offers for avoiding philosophical error does not apply to avoiding sin (an example of evil); and (3) argue that the theodicy may actually be no theodicy at all. (shrink)

Although philosophy courses are not known for hands-on learning activities in which students use, manipulate, or touch objects with their hands, there are simple hands-on activities that teachers can use to liven up their classrooms and foster active learning. In this paper I describe four activities I developed to attempt to improve student learning: GoldiLocke and the Three Buckets, The Argument From Disagreement Box, The Trolley Problem Reenactment, and The Lego Man of Theseus. I argue that such activities are effective (...) for two main reasons: they are fun; and they involve embodied learning. Finally, I offer some advice for developing hands-on learning activities for philosophy courses and share some of the ideas generated by session participants when I presented this material at the American Association of Philosophy Teachers Twentieth Biennial Workshop/Conference. (shrink)

Last year the Office of the Director of National Intelligence released its report on the unprecedented amassing of biodata by the People’s Republic of China, the profit to be had through accumulati...

Affirming the consequent is a fallacious form of reasoning in formal logic that occurs when the minor premise of a propositional syllogism affirms the consequent of a conditional statement. A conditional statement is an “if‐then” sentence that expresses a link between the antecedent (the part after the “if”) and the consequent (the part after the “then”). A conditional statement does not assert either the antecedent or the consequent. It simply claims that if the antecedent is true, then the consequent is (...) also true. Although affirming the consequent is an invalid argument form and sometimes mistaken for, the valid argument form modus ponens. Modus ponens is a valid argument form in Western philosophy because the truth of the premises guarantees the truth of the conclusion; however, affirming the consequent is an invalid argument form because the truth of the premises does not guarantee the truth of the conclusion. (shrink)

Unlike critically ill neonates, care of children with complex cardiac disease increasingly involves use of invasive technologies—such as ventricular assist devices (VAD)—or emergent surgical proced...

Amid Russia's illegal invasion of Ukraine, the human rights community has understandably focused its attention on human rights violations committed by the Russian state. This has, however, left the human rights implications of the martial law Ukraine has put in place for civilians largely unexamined. This essay highlights the ways Ukraine's travel restriction on “battle-aged” civilian men has harmed three overlapping groups—civilian men, the families of the men (including women and children), and trans and nonbinary individuals—and shows that the restriction (...) runs counter to important principles in international human rights and humanitarian law. It then considers the ethical dilemmas faced by the international human rights community in addressing such harms, and the political psychology of rights advocacy that may explain the tendency to underplay this particular set of human rights issues. Nonetheless, the essay ultimately argues that advocates should hold actors—including and perhaps especially those with which they may sympathize—accountable to the human rights standards to which they have pledged. (shrink)

Specters of venality -- The mystic challenge -- The curse of quietism -- Spinoza's ghost -- The sleep of reason -- The politics of alienation -- Revolutionary reveries.

I review the historical context for modeling skilled performance in games. Using Newell's concept of time bands for explaining cognitive behavior, I categorize the current papers in terms of time scales, type of data, and analysis methodologies. I discuss strengths and weaknesses of these approaches for describing skill acquisition and why the study of digital games can address the challenges of replication and generalizability. Cognitive science needs to pay closer attention to population representativeness to enhance generalizability of findings, and to (...) the social band of explanation, in order to explain why so few individuals reach expert levels of performance. (shrink)

Exploring long-term educational change, we investigate our re/construction of research methodology as we moved from a positivist framework to working with ideas drawn from Deleuze and Guattari. We reveal our becoming rhizomatic in data analysis in the metamodelling of the richness flowing horizontally through our practices. We tell of our struggles to escape hierarchical thinking and relations researching between the smooth and striated. A space of interactions, conversations and writings created relations between polyphonic voices, leading us to an emergent methodology. (...) Our struggle against hierarchies in data analysis yielded rich educational possibilities for becoming that Deleuzo-Guattarian thinking offers us. (shrink)

Der erste Andronikos erwies sich unter jenen Kaisern, welchen auf dem Thron des byzantinischen Reiches nur eine kurze Zeitspanne beschieden war, als besonderer Liebling der Nymphe Echo. Geboren um 1120, tritt dieser kaiserliche Neffe und Ziehbruder eines Kaisers als eine im wahren Wortsinn changierende Gestalt des 12. Jahrhunderts vor unsere Augen. Zeitlebens war er der vornehmste Opponent seines Vetters, des Kaisers Manuel Komnenos (reg. 1143–1180); er verbrachte neun Jahre im Kerker (1154/55–Herbst 1164) und lebte nach abenteuerlicher Flucht für weitere fünfzehn (...) Jahre in Verbannung (1164/65, 1166–1180). Als er spät im Jahr 1183 schließlich zum Basileus der Rhomäer avancierte, schreckte er vor dem Meuchelmord an seinem Neffen, dem jungen Kaiser Alexios, nicht zurück – um seinerseits kaum zwei Jahre später von Hand des konstantinopolitanischen Pöbels das wohl grausamste Ende zu finden, das jemals einem byzantinischen Autokrator zuteil wurde (September 1185): Das prophezeite AIMA der Komnenoi hatte sich erfüllt. Andronikos' kurze Tyrannis ist eingerahmt von den blutigen Ausschreitungen der Konstantinopolitaner wider die Lateiner (April 1182) und deren Nemesis, der normannischen Eroberung und Plünderung Thessalonikes (August 1185). Einige beherzte Maßnahmen seinerseits, groben Mißständen Abhilfe zu leisten, wurden bereits von den Zeitgenossen mit Lob bedacht. Die folgenden Glossen richten den Fokus allerdings vor allem auf jene Jahre, in denen odysseusgleiche Irrfahrten Andronikos bis hinauf in die Lande der Rus' (1164/65) und schließlich von Jerusalem über Damaskus und Bagdad nach Georgien führten (zwischen 1167 und 1180), ehe er in der Herrschaft der Saltuḳ-oġullari im nordöstlichen Winkel Kleinasiens, bei Koloneia (türk. Şebinkarahisar), Zuflucht fand. (shrink)

This chapter focuses on one of the common fallacies in Western philosophy, 'denying the antecedent'. Like affirming the consequent, denying the antecedent is also a fallacious form of reasoning in formal logic. This time the problem occurs when the minor premise of a propositional syllogism denies the antecedent of a conditional statement. Denying the antecedent makes the mistake of assuming that if the antecedent is denied, then the consequent must also be denied. Like modus ponens, modus tollens is a valid (...) argument form because the truth of the premises guarantees the truth of the conclusion; however, like affirming the consequent, denying the antecedent is an invalid argument form because the truth of the premises does not guarantee the truth of the conclusion. The invalidity of denying the antecedent is confirmed by a truth table presented in the chapter. (shrink)

Volume 24, Issue 10, October 2024, Page 93-95.