This article contributes to the contemporary debate on land and water grabbing through a detailed, qualitative case study of horticultural agribusinesses which have settled in Tanzania, disrupting patterns of land and water use. In this paper we analyse how capitalist settler farms and their upstream and downstream peasant neighbours along the Nduruma river, Tanzania, expand and defend their water use. The paper is based on 3 months of qualitative field work in Tanzania. We use the echelons of rights analysis framework (...) combined with the concept of institutional bricolage to show how this contestation takes place over the full spectrum of actual abstractions, governance and discourses. We emphasise the role different (inter)national development narratives play in shaping day-to-day contestations over water shares and rule-making. Ultimately, we emphasise that water grabbing is not a one-time event, but rather an on-going struggle over different water resources. In addition, we show how a perceived beneficial development of agribusinesses switching to groundwater allows them to avoid peasant-controlled institutions, avoiding further negotiation between the different actors and improving their image among neighbouring communities. This development illustrates how complex and obscured processes of water re-allocation can be without becoming illegal per se. (shrink)

In recent years, the healthcare field welcomed an emerging field of practices captured under the umbrella term ‘Big Data’. This term is surrounded with positive rhetoric and promises about the ability to analyse real-world data quickly and comprehensively. Such rhetoric is highly consequential in shaping debates on Big Data. While the fields of Science and Technology Studies and Critical Data Studies have been instrumental in elaborating the neglected and problematic dimensions of Big Data, it remains an open question how and (...) to what extent such insights become embedded in other fields. In this paper, we analyse the epistemological claims that accompany Big Data in the healthcare domain. We systematically searched scientific literature and selected 206 editorials as these reflect on developments in the domain. Through an interpretive analysis, we construct five ideal-typical discourses that all frame Big Data in specific ways. Three of the discourses frame Big Data in positive terms and disseminate a compelling rhetoric. Metaphors of ‘capturing’, ‘illuminating’ and ‘harnessing’ data presume that Big Data are benign and leading to valid knowledge. The scientist and critical-interpretive discourses question the objectivity and effectivity claims of Big Data. Metaphors of ‘selecting’ and ‘constructing’ data illustrate another political message, framing Big Data as limited. We conclude that work in the critical-interpretive discourse has not broadly infiltrated the medical domain. Ways to better integrate aspects of the discourse in the healthcare domain are urgently needed. (shrink)

Many predator species feed on prey that fluctuates in abundance from year to year. Birds of prey can face large fluctuations in food abundance i.e. small mammals, especially voles. These annual changes in prey abundance strongly affect the reproductive success and mortality of the individual predators and thus can be expected to influence their population dynamics and persistence. The barn owl, for example, shows large fluctuations in breeding success that correlate with the dynamics in voles, their main prey species. Analysis (...) of the impact of fluctuations in vole abundance with a simple predator prey model parameterized with literature data indicates population persistence is especially affected by years with low vole abundance. In these years the population can decline to low owl numbers such that the ensuing peak vole years cannot be exploited. This result is independent of the length and regularity of vole fluctuations. The relevance of this result for conservation of the barn owl and other birds of prey that show a numerical response to fluctuating prey species is discussed. (shrink)

BackgroundEgg freezing has emerged as a technology of assisted reproductive medicine that allows women to plan for the anticipated loss of fertility and hence to preserve the option to conceive with their own eggs. The technology is surrounded by value-conflicts and is subject to ongoing discussions. This study aims at contributing to the empirical-ethical debate by exploring women’s viewpoints on egg freezing in Austria, where egg freezing for social reasons is currently not allowed.MethodsQ-methodology was used to identify prevailing viewpoints on (...) egg freezing. 46 female participants ranked a set of 40 statements onto a 9-column forced choice ranking grid according to the level of agreement. Participants were asked to explain their ranking in a follow-up survey. By-person factor analysis was used to identify distinct viewpoints which were interpreted using both the quantitative and the qualitative data.ResultsThree distinct viewpoints were identified:(1) “women should decide for themselves”,(2) “we should accept nature but change policy”, and (3) “we need an informed societal debate”. These viewpoints provide insights into how biomedical innovations such as egg freezing are perceived by women in Austria and illustrate the normative tensions regarding such innovations.ConclusionsAcknowledging the different prioritizations of values regarding assisted reproductive technologies is important to better understand the underlying normative tensions in a country where egg freezing for social reasons is currently not allowed. The study adds new empirical insights to the ongoing debate by outlining and discussing viewpoints of those directly affected: women. Following up on the lay persons perspective is particularly important in the context of future biomedical innovations that may challenge established norms and create new tensions. It therefore also adds to the societal debate and supports evidence-informed policy making in that regard. (shrink)

Although he died in obscurity, the Belgian museum conservator Aimé Rutot was one of the most famous European archaeologists between 1900 and 1920. The focus of his scientific interest was stone flints, which he claimed to be the oldest known human tools, so‐called eoliths. Skeptics maintained that the flints showed no marks of human workmanship, but Rutot nevertheless managed to spread his “Eolithic theory” in an important part of the scientific community. This essay demonstrates how material objects—series of stone flints (...) and sets of statues that purported to reconstruct prehistoric “races”—were given scientific meaning by Rutot. Rutot diffused his ideas by disseminating his stones and statues, thus enlarging his networks of influence. For a time he managed to be at the material center of a trade network as well as at the intellectual center of archaeological debate. The essay shows how Rutot achieved this status and how he eventually fell from favor among serious scientists. (shrink)

This essay tells the story of early French ethology—“the science dealing with the habits of living beings and their relations, both with each other and with the cosmic environment.” The driving force behind this “ethological movement” was the biologist Alfred Giard (1846–1908). The essay discusses how the ethological viewpoint of Giard and his pupils developed in a period in which the current disciplines of field biology were not yet crystallized. It also shows how concepts and research interests could travel within (...) Giard's network from one working context to another, even from one discipline to another. By studying this traveling process, the essay reveals that, unlike the modern ethology of Konrad Lorenz and Niko Tinbergen, Giard's ethology was not a discipline at all but, rather, a scientific attitude. This scientific attitude triggered a reappraisal of fieldwork, but at the same time Giard's ethology was never limited to the field alone. It also found its way to the laboratory, the museum, and the zoo. -/- . (shrink)

Around 1960, leading figures in the international conservation circuit – such as Julian Huxley, Frank Fraser Darling and E. Barton Worthington – successfully propagated new visions about the value of undomesticated African mammals. Against traditional ideas, they presented these mammals as a highly efficient source of protein for growing African populations. In line with this vision, they challenged non-interventionist ideals of nature preservation, and launched proposals for active management through game ‘ranching’ and ‘cropping’. As such, they created a new socio-technical (...) imaginary for Africa's future, in which the consumption of wildlife meat took up a central position. This article explores the motivations of Western conservationists for this drastic rebranding. It argues that the rationale of considering African wildlife in terms of protein played an important symbolical role at various levels. It was crucial in the reorganization of the transnational networks of conservation, but also in the boosting of their scientific reputation, in the restructuring of their institutional ties, and in their attempts to maintain an authoritative position for Western ecologists in a rapidly decolonizing world. (shrink)

In historical literature, Edouard van Beneden is mostly remembered for his cytological discoveries. Less well known, however, is that he also introduced evolutionary morphology – and indeed evolutionary theory as such – in the Belgian academic world. The introduction of this research programme cannot be understood without taking both the international and the national context into account. It was clearly the German example of the Jena University that inspired van Beneden in his research interests. The actual launch of evolutionary morphology (...) at his University of Liège was, however, also connected with the dynamic of Belgian university reforms and the local rationale of creating a research “school.” Thanks to his networks, his mastering of the rhetoric of the “new” biology, his low ideological profile and his capitalising on the new academic élan in late-19th century Belgium, van Beneden managed to turn his programme into a local success from the 1870s onwards. Two decades later, however, the conceptual underpinnings of evolutionary morphology came under attack and the “Van Beneden School” lost much of its vitality. Despite this, van Beneden’s evolutionary morphology was prototypical for the research that was to come. He was one of the first scientific heavyweights in Belgium to turn the university laboratory into a centre of scientific practice and the hub of a research school. (shrink)

In historical literature, Edouard van Beneden (1846–1910) is mostly remembered for his cytological discoveries. Less well known, however, is that he also introduced evolutionary morphology – and indeed evolutionary theory as such – in the Belgian academic world. The introduction of this research programme cannot be understood without taking both the international and the national context into account. It was clearly the German example of the Jena University that inspired van Beneden in his research interests. The actual launch of evolutionary (...) morphology at his University of Liège was, however, also connected with the dynamic of Belgian university reforms and the local rationale of creating a research “school.” Thanks to his networks, his mastering of the rhetoric of the “new” biology, his low ideological profile and his capitalising on the new academic élan in late-19th century Belgium, van Beneden managed to turn his programme into a local success from the 1870s onwards. Two decades later, however, the conceptual underpinnings of evolutionary morphology came under attack and the “Van Beneden School” lost much of its vitality. Despite this, van Beneden’s evolutionary morphology was prototypical for the research that was to come. He was one of the first scientific heavyweights in Belgium to turn the university laboratory into a centre of scientific practice and the hub of a research school. (shrink)

Numbers of European hamsters in the Dutch Province of Limburg have been subject to much scrutiny and controversy. In the late nineteenth century, policymakers who considered them too numerous set up eradication programs. In the second half of the twentieth century, even when its domestic relative increasingly circulated as a pet in urban spaces, the numbers of European hamsters in the rural areas collapsed. Large-scale preservation campaigns and reintroduction programs ensued. According to some media, all this has turned the European (...) hamster into the most expensive undomesticated animal of the Netherlands. A whole network of institutions became involved to save the species – ranging from local activist organizations, over zoos and universities, to federal ministries and international organizations. The interactions between the Dutch and ‘their’ hamsters, this article argues, were inscribed in various forms of biopolitics. The article highlights the changing discursive framings and spatial practices that have shaped the management of Cricetus cricetus over time and calls attention to the diversity of living and non-living agents that produced the multispecies choreographies of the present-day Limburg landscape. Finally, it alerts us to the kinds of agency that reside in the numbers of non-human animals. (shrink)

Pierre Teilhard de Chardin, jésuite et paléontologue, est surtout connu pour ses idées peu orthodoxes, au travers desquelles il tenta de concilier la science évolutionniste avec ses théories spirituelles personnelles. En dépit de la censure de la part des autorités ecclésiastiques, Teilhard essaya d’élaborer cette conciliation et de la disséminer dans les milieux intellectuels catholiques. Pour mener à bien ces deux projets, il trouva du soutien dans les cercles évolutionnistes de l’Université Catholique de Louvain et la maison jésuite de la (...) même ville belge. Le réseau louvaniste de Teilhard agit comme un amplificateur important de ses idées et lui offrit une aide concrète pour répandre celles-ci et pour éviter la censure. Malgré leur influence mutuelle significative, des divergences d’ordre philosophique entre Teilhard et ses amis louvanistes demeurèrent pourtant, et finirent par les séparer. Pendant les années 1930, le réseau louvaniste de Teilhard fut dissous en grande partie. Ses actions ne restèrent pourtant pas sans résultat. Ce petit groupe d’intellectuels fit sans aucun doute évoluer le climat en faveur de l’évolutionnisme au sein des milieux catholiques, et prépara, de cette manière, le succès des idées teilhardiennes à la suite de la Seconde Guerre mondiale. The Jesuit and palaeontologist Pierre Teilhard de Chardin is basically known for his not always orthodox conceptions by which he tried to reconcile evolutionist science with his personal spiritual ideas. In spite of censorship from the ecclesiastical authorities, Teilhard attempted to elaborate this conciliation and to spread it among catholic intellectuals. For both of these projects he found crucial support in evolutionist circles at the Catholic University of Louvain and the Jesuit house in the same Belgian town. Teilhard’s Louvain network proved to be an important sounding board and it offered concrete help in spreading his ideas and in bypassing the censorship. Despite significant mutual influences, philosophical divergences between Teilhard and his Louvain friends remained, and would eventually drive them apart. Therefore, in the 1930s, Teilhard’s Louvain network largely dissolved. However, its actions had not been without result. This small group of intellectuals definitely changed the climate among Catholics in favour of evolutionism and thus prepared the success that Teilhardian ideas would have in the aftermath of the Second World War. Pierre Teilhard de Chardin, Jesuit und Paläontologe, ist vor allem wegen seiner nicht immer orthodoxen Ideen bekannt, mit denen er versuchte, die Evolutionstheorien mit seinen persönlichen spirituellen Überzeugungen zu vereinbaren. Ungeachtet der Zensur durch die kirchlichen Autoritäten bemühte sich Teilhard um die Ausarbeitung dieser Versöhnung und um ihre Verbreitung in den katholischen Intellektuellenmilieus. Bei der Verwirklichung dieser beiden Projekte fand er Hilfe in den evolutionistischen Kreisen der Katholischen Universität Löwen und bei der Jesuitengemeinschaft derselben Stadt. Das Löwener Netzwerk half ihm dabei, seine Ideen einem größeren Publikum zugänglich zu machen, und lieferte konkrete Unterstützung bei der Verbreitung der Thesen und bei der Umgehung der Zensur. Trotz ihrer bedeutenden gegenseitigen Beeinflussung bestanden jedoch auch weiterhin philosophische Divergenzen zwischen Teilhard und seinen Löwener Freunden, die schließlich zur Trennung führten. In den 30er Jahren wurde der Löwener Kreis um Teilhard größtenteils aufgelöst. Sein Handeln blieb jedoch nicht ohne Resultat. Diese kleine Gruppe Intellektueller hat mit Sicherheit dazu beigetragen, das Klima zugunsten der Evolutionstheorien innerhalb der katholischen Kreise zu verbessern und bereitete auf diese Weise den Weg für den Erfolg der teilhardschen Ideen nach dem Zweiten Weltkrieg. (shrink)

Summary In 1918, Henry de Dorlodot—priest, theologian, and professor of geology at the University of Louvain (Belgium)—published Le Darwinisme au point de vue de l'Orthodoxie Catholique (translated as Darwinism and Catholic Thought) in which he defended a reconciliation between evolutionary theory and Catholicism with his own particular kind of theistic evolutionism. He subsequently announced a second volume in which he would extend his conclusions to the origin of Man. Traditionalist circles in Rome reacted vehemently. Operating through the Pontifical Biblical Commission, (...) they tried to force Dorlodot to withdraw his book and to publicly disown his ideas by threatening him with an official condemnation, a strategy that had been used against Catholic evolutionists since the late nineteenth century. The archival material on the ‘Dorlodot affair’ shows how this policy ‘worked’ in the early stages of the twentieth century but also how it would eventually reach the end of its logic. The growing popularity of theistic evolutionism among Catholic intellectuals, combined with Dorlodot's refusal to pull back amidst threats, made certain that the traditionalists did not get their way completely, and the affair ended in an uncomfortable status quo. Dorlodot did not receive the official condemnation that had been threatened, nor did he withdraw his theories, although he stopped short on publishing on the subject. With the decline of the traditionalists’ power and authority, the policy of denunciation towards evolutionists made way for a growing tolerance. The ‘Dorlodot affair’—which occurred in a pivotal era in the history of the Church—can be seen as exemplary with regards to the changing attitude of the Roman authorities towards evolutionism in the first half of the twentieth century. (shrink)

The article focuses on the text of Genesis 1:27–28 within its broader context where the author, the Jahwist, describes humankind as charged with the responsibility to fill and to subdue the earth, which has generally been misunderstood by wealth prospectors. Our methodology is a simplified historical and exegetical study of the two verses of the creation narrative in order to join other contemporary theologians to argue the right of humans to treat the nonhuman as private property as source of material (...) wealth is immoral. As we re-read the text, our findings resonate with the contemporary clarion call for respect and protection of the environment such as COP 2015 in Paris. This provides the justification of our title ‘Preaching the green gospel’, especially in the Nigerian oil-rich states and in Africa in general. Whilst the paper presents a disquisition of the global efforts of the church through sensitisation of their members to appreciate the magnitude of the environmental pollution and the apocalypse it holds for the world, it draws attention to the possibility of the envisaged doomsday that may descend on Nigeria and other parts of Africa if the crass environmental degradation and the rate of pollution of flora and fauna are not checked. The paper takes cognisance of the positive views expressed by the evangelists of the ‘New Theology’ in Africa. Whilst the paper raises Biblically friendly ecological awareness in modern Africa, using Nigeria as a contact point, it concludes, inter alia, that the text demands humankind to partake in God’s will for order and peace in the universe as it struggles to maintain the ecological sustainability of mother earth. (shrink)

ABSTRACT This essay tells the story of early French ethology— “the science dealing with the habits of living beings and their relations, both with each other and with the cosmic environment.” The driving force behind this “ethological movement” was the biologist Alfred Giard (1846– 1908). The essay discusses how the ethological viewpoint of Giard and his pupils developed in a period in which the current disciplines of field biology were not yet crystallized. It also shows how concepts and research interests (...) could travel within Giard’s network from one working context to another, even from one discipline to another. By studying this traveling process, the essay reveals that, unlike the modern ethology of Konrad Lorenz and Niko Tinbergen, Giard’s ethology was not a discipline at all but, rather, a scientific attitude. This scientific attitude triggered a reappraisal of fieldwork, but at the same time Giard’s ethology was never limited to the field alone. It also found its way to the laboratory, the museum, and the zoo. (shrink)

Recent buzzes around big data, data science and artificial intelligence portray a data-driven future for healthcare. As a response, Europe's key players have stimulated the use of big data technologies to make healthcare more efficient and effective. Critical Data Studies and Science and Technology Studies have developed many concepts to reflect on such overly positive narratives and conduct critical policy evaluations. In this study, we argue that there is also much to be learned from studying how professionals in the healthcare (...) field affectively engage with this strong European narrative in concrete big data projects. We followed twelve hospital-based big data pilots in eight European countries and interviewed 145 professionals between 2018 and 2020. In this study, we introduce the metaphor of dreams to describe how professionals link the big data promises to their own frustrations, ideas, values and experiences with healthcare. Our research answers the question: how do professionals in concrete data-driven initiatives affectively engage with European Union's data hopes in their ‘dreams’ – and with what consequences? We describe the dreams of being seen, of timeliness, of connectedness and of being in control. Each of these dreams emphasizes certain aspects of the grand narrative of big data in Europe, makes particular assumptions and has different consequences. We argue that including attention to these dreams in our work could help shine an additional critical light on the big data developments and stimulate the development of responsible data-driven healthcare. (shrink)

Background Policy instruments based on the working of markets have been introduced to empower consumers of healthcare. However, it is still not easy to become a critical consumer of healthcare. Objectives The aim of this study is to analyse the possibilities of the state to strengthen the position of patients with the aid of a new financial regime, such as personal health budgets. Methods Data were collected through in-depth interviews with executives, managers, professionals and client representatives of six long-term care (...) institutions. Results With the introduction of individual budgets the responsibility for budgetary control has shifted from the organisational level to the individual level in the caregiver-client relationship. Having more luxurious care on offer necessitates a stronger demarcation of regular care because organisations cannot simultaneously offer extra care as part of the standard care package. New financial instruments have an impact on the culture of receiving and giving care. Distributive justice takes on new meaning with the introduction of financial market mechanisms in healthcare; the distributing principle of ‘need’ is transformed into the principle of ‘economic demand’. Conclusion Financial instruments not only act as a countervailing power against providers insufficiently client-oriented, but are also used by providers to reinforce their own positions vis-à-vis demanding clients. Tailor-made finance is not the same as tailor-made care. (shrink)

The number of people suffering from dementia will rise considerably in the years to come. This will have important implications for society. People suffering from dementia have to rely on relatives and professional caregivers when their disorder progresses. Some people want to determine for themselves their moment of death, if they should become demented. They think that the decline in personality caused by severe dementia is shocking and unacceptable. In this context, some people consider euthanasia as a way to avoid (...) total deterioration. In this article, we discuss some practical and ethical dilemmas regarding euthanasia in persons with severe dementia based on an advance euthanasia directive. We are using a personalist approach in dealing with these ethical dilemmas. (shrink)

How ontologically committal is common sense? Is the common-sense philosopher beholden to a florid ontology in which all manner of objects, substances, and processes exist and are as they appear to be to common sense, or can she remain neutral on questions about the existence and nature of many things because common sense is largely non-committal? This chapter explores and tentatively evaluates three different approaches to answering these questions. The first applies standard accounts of ontological commitment to common-sense claims. This (...) leads to the surprising and counter-intuitive result that common sense has metaphysically heavyweight commitments. The second approach emphasizes the superficiality and locality of common-sense claims. On this approach, however, common sense comes out as almost entirely non-committal. The third approach questions the seriousness of ontological commitment as such. If ontological commitment is cheap, it becomes possible both to accept the commitments of common sense at face value and to avoid the counter-intuitive consequences of heavyweight metaphysical commitments. (shrink)

ArgumentSince the linguistic turn, the role of rhetoric in the circulation and the popular representation of knowledge has been widely accepted in science studies. This article aims to analyze not a textual form of scientific rhetoric, but the crucial role of materiality in scientific debates. It introduces the concept ofmaterial rhetoricto understand the promotional regimes in which material objects play an essential argumentative role. It analyzes the phenomenon by looking at two students of prehistory from nineteenth-century Belgium.In the study of (...) human prehistory and evolution, material data are either fairly abundant stone tools or very scarce fossil bones. These two types of material data stand for two different strategies in material rhetoric. In this article, the first strategy is exemplified by Aimé Rutot, who gathered great masses of eoliths. The second strategy is typified by the example of Julien Fraipont, who based his scientific career on only two Neanderthal skeletons. Rutot sent his “artifacts” to a very wide audience, while Fraipont showed his skeletons to only a few selected scholars. Unlike Rutot, however, Fraipont was able to monitor his audience's interpretation of the finds by means of personal contacts. What an archaeologist gains in reach, he or she apparently loses in control. In this article we argue that only those scholars who find the right balance between the extremes of reach and control will prove to be successful. (shrink)

In the early twentieth century, ornithology underwent significant changes. So far, these changes, basically, have been studied by focussing on the elite of professional biologists working at universities or state museums. However, important developments also occurred in what Lynn Nyhart has called “the civic realm” of science – the sphere given form by private naturalist associations, nature writers, taxidermists and school teachers. This article studies the changing dynamics of civic ornithology, by looking at one particular case: the influential orinthological observatory (...) in Rossitten, East-Prussia. This observatory, the first of its kind, was founded in 1901 and led, for the first three decades of its existence, by the minister Johannes Thienemann. This article analyses the ornithological practices Thienemann developed in Rossitten and the rhetoric he used to defend these practices. In both, so it is argued, one finds a mixture of the traditional, locally anchored naturalist approach with the new ideals of the “modern” and “experimental” university laboratories. The innovations which Thienemann introduced in this hybrid form of ornithology called for specific spatial strategies which made optimal use of the natural chatacteristics of his workplace and which mobilized a large civic network of geograhically scattered amateurs. At the same time, his work also altered the space he shared with the birds – materially, conceptually and culturally. Thus, this article maintains Thienemann's ornithology can only be understood by acknowledging its continuous interaction with the geographical and civic context in which it arose. (shrink)

Focusing on the case of Colombia, this article sets out a sociological examination of constitutions marked by strong, activist judiciaries, by entrenched systems of human rights protection, and by emphatic implementation of global human rights law. Contra standard critiques of this constitutional model, it argues that such constitutions need to be seen as creating a new pattern of democracy, which is often distinctively adapted to structures in societies in which the typical patterns of legitimation and subject formation required for democratic (...) government were obstructed. In polities with such constitutions, legal institutions and norm setters have at times assumed the status offunctional equivalentsfor more typical democratically mandated actors and institutions. In such polities, further, global law assumes essential importance as it creates new sources of normative authorization for legislation and stimulates new lines of articulation between government and society. The article concludes that analysis of such polities, exemplified by Colombia, shows that the common categories of democratic-constitutional analysis are no longer always adequate for understanding current tendencies in democratic formation, and they can easily undermine democracy itself. (shrink)

Recent medical informatics and sociological literature has painted the image of a new type of patient—one that is reflexive and informed, with highly specified information needs and perceptions, as well as highly developed skills and tactics for acquiring information. Patients have been re-named “reflexive consumers.” At the same time, literature about the questionable reliability of web-based information has suggested the need to create both user tools that have pre-selected information and special guidelines for individuals to use to check the individual (...) characteristics of the information they encounter. In this article, we examine suggestions that individuals must be assisted in developing skills for “reflexive consumerism” and what these particular skills should be. Using two types of data (discursive data from websites and promotional items, and supplementary data from interviews and ethnographic observations carried out with those working to sustain these initiatives), we examine how users are directly addressed and discussed. We argue that these initiatives prescribe skills and practices that extend beyond finding and assessing information on the internet and demonstrate that they include ideals of consumerism and citizenship. (shrink)

Egg freezing has led to heated debates in healthcare policy and bioethics. A crucial issue in this context concerns the distinction between “medical” and “social” egg freezing —contrasting objections to bio-medicalization with claims for oversimplification. Yet such categorization remains a criterion for regulation. This paper aims to explore the “regulatory boundary-work” around the “medical”–”social” distinction in different egg freezing regulations. Based on systematic documents’ analysis we present a cross-national comparison of the way the “medical”–”social” differentiation finds expression in regulatory frameworks (...) in Austria, Germany, Israel, and the Netherlands. Findings are organized along two emerging themes: the definition of MEF and its distinctiveness—highlighting regulatory differences in the clarity of the definition and in the medical indications used for creating it ; and hierarchy of medical over social motivations reflected in usage and funding regulations. Blurred demarcation lines between “medical” and “social” are further discussed as representing a paradoxical inclusion of SEF while offering new insights into the complexity and normativity of this distinction. Finally, we draw conclusions for policymaking and the bioethical debate, also concerning the related cryopolitical aspects. (shrink)

The functions of the somatosensory system are multiple. We use tactile input to localize and experience the various qualities of touch, and proprioceptive information to determine the position of different parts of the body with respect to each other, which provides fundamental information for action. Further, tactile exploration of the characteristics of external objects can result in conscious perceptual experience and stimulus or object recognition. Neuroanatomical studies suggest parallel processing as well as serial processing within the cerebral somatosensory system that (...) reflect these separate functions, with one processing stream terminating in the posterior parietal cortex (PPC), and the other terminating in the insula. We suggest that, analogously to the organisation of the visual system, somatosensory processing for the guidance of action can be dissociated from the processing that leads to perception and memory. In addition, we find a second division between tactile information processing about external targets in service of object recognition and tactile information processing related to the body itself. We suggest the posterior parietal cortex subserves both perception and action, whereas the insula principally subserves perceptual recognition and learning. (shrink)

Since the early 1980’s, with the clinical advent of in vitro fertilization resulting in so-called “test tube babies,” a wide array of ethical considerations and concerns regarding artificial womb technology (AWT) have been described. Recent breakthroughs in the development of extracorporeal neonatal life support by means of AWT have reinitiated ethical interest about this topic with a sense of urgency. Most of the recent ethical literature on the topic, however, pertains not to the more imminent scenario of a physiologically improved (...) method of neonatal care through AWT, but instead to the remote scenario of “complete ectogenesis” that imagines human gestation occurring entirely outside of the womb. This scoping review of the ethical literature on AWT spans from more abstract concerns about complete ectogenesis to more immediate concerns about the soon-to-be-expected clinical life support of what we term the fetal neonate or fetonate. Within an organizing framework of different stages of human gestational development, from conception to the viable premature infant, we discuss both already identified and newly emerging ethical considerations and concerns regarding AWT and the care of the fetonate. (shrink)

In prevention and health promotion interventions, screening methods and risk profile assessments are often used as tools for establishing the interventions’ effectiveness, for the selection and determination of the health status of participants. The role these instruments fulfil in the creation of effectiveness and the effects these instruments have themselves remain unexplored. In this paper, we have analysed the role screening methods and risk profile assessments fulfil as part of prevention and health promotion programmes in the selection, enrolment and participation (...) of participants. Our analysis showed, that screening methods and health risk assessments create effects as they objectify health risks and/or the health status of individuals, i.e., they select the individuals ‘at risk’ and indicate the lifestyle modifications these people are required to make in order to improve their health. Yet, these instruments also reduce the group of participants thereby decreasing the possible effect of interventions, as they provide the legitimisation for people to make choices to whether they enrol or not and what lifestyle changes they incorporate into their lives. In other words, they present a space of interaction, in which agency is distributed across the practice nurses, the participants and the instruments. Decisions were not just made upon the projection of the outcomes of these instruments; decisions that were made by both the patients and practice nurses were the resultant of their opinions on these outcomes that were formed in interaction with the instruments. (shrink)

This article provides an overview of the scarce international literature concerning nurses’ attitudes to euthanasia. Studies show large differences with respect to the percentage of nurses who are (not) in favour of euthanasia. Characteristics such as age, religion and nursing specialty have a significant influence on a nurse’s opinion. The arguments for euthanasia have to do with quality of life, respect for autonomy and dissatisfaction with the current situation. Arguments against euthanasia are the right to a good death, belief in (...) the possibilities offered by palliative care, religious objections and the fear of abuse. Nurses mention the need for more palliative care training, their difficulties in taking a specific position, and their desire to express their ideas about euthanasia. There is a need to include nurses’ voices in the end-of-life discourse because they offer a contextual understanding of euthanasia and requests to die, which is borne out of real experience with people facing death. (shrink)

ABSTRACT This essay examines a dispute between the French and German anthropological communities in the aftermath of the Franco‐Prussian War. While the debate ostensibly revolved around the ethnological classification of the Prussian population presented in Jean Louis Armand de Quatrefages's La race prussienne, this overlays much deeper points of contention, presenting a case study of how commitments to nationalism and internationalism in late nineteenth‐century science were not mutually exclusive but could operate in a highly synergistic manner, even during periods of (...) intense international crisis. In the controversy, a group of scholars attempted to reconcile national rivalries with a commitment to scientific universalism and define how anthropological ideas of race and progress related to political developments. The French and German communities retained similar views that anthropology was an international science and that politically defined nationality was separate from scientifically discerned race. Yet they nevertheless regarded their work as strongly affected by processes of national consolidation and employed the language of scientific universalism to accuse their rivals of misusing science for political purposes. (shrink)

The past 50 years have seen an accumulation of evidence suggesting that associative learning depends on high-level cognitive processes that give rise to propositional knowledge. Yet, many learning theorists maintain a belief in a learning mechanism in which links between mental representations are formed automatically. We characterize and highlight the differences between the propositional and link approaches, and review the relevant empirical evidence. We conclude that learning is the consequence of propositional reasoning processes that cooperate with the unconscious processes involved (...) in memory retrieval and perception. We argue that this new conceptual framework allows many of the important recent advances in associative learning research to be retained, but recast in a model that provides a firmer foundation for both immediate application and future research. (shrink)

: Discussions of ethical approaches in nursing have been much enlivened in recent years, for instance by new developments in the theory of care. Nevertheless, many ethical concepts in nursing still need to be clarified. The purpose of this contribution is to develop a fundamental ethical view on nursing care considered as moral practice. Three main components are analyzed more deeply--i.e., the caring relationship, caring behavior as the integration of virtue and expert activity, and "good care" as the ultimate goal (...) of nursing practice. For the development of this philosophical-ethical interpretation of nursing, we have mainly drawn on the pioneering work of Anne Bishop and John Scudder, Alasdair MacIntyre, Lawrence Blum, and Louis Janssens. We will also show that the European philosophical background offers some original ideas for this endeavor. (shrink)

In this article de Beauvoir defends a conception of literature as a kind of unveiling of something that exists outside itself, a mode of action which reveals certain truths about the world. What we call “literature” is eminently capable of grasping the world—a world which de Beauvoir, following Jean-Paul Sartre, conceives of as a “detotalized totality”; one that is real and independent of us, which exists for all, but is only graspable through our own projects and our perspectives. Yet far (...) from keeping us stranded within our unique subjectivities, literature restores to subjective experience its generality; it allows other to “taste” the world as it exists for others. We can communicate through literature because in it our world, our languages, and our projects overlap. Ultimately, for de Beauvoir, literature is what allows us to see the world as others see it—all the while remaining, irreducibly, ourselves. (shrink)

This article’s aim is to understand if and how the efforts to accumulate and organize clinical data transformed the regulation of pharmaceutical care. The authors analyze how the employment of databases by collectives of physicians and researchers shape both clinical and policy practice—and thereby reshape the relation between clinical work and policy. Since the late 1990s, Dutch government has supported the development of clinical databases for specific expensive medicines to gain oversight about actual medicine use. To be able to produce (...) evidence for appropriate medicine use, the collectives set regulations in clinical practice. These internal regulations provide a framework for establishing “appropriate medicine use”, steering reimbursement decisions. However, internal regulation and policy rules differ in how quickly they can change. While the employment of databases in clinical practices results in a constant adjustment of the protocols, policy makers require the databases to provide for static moments of “proven appropriate medicine use” in order to account for and define a fixed and closed formulary. Subsequently, the employment of the databases did not deliver on the promise of oversight and control due to different clinical and policy requirements. Nevertheless, the databases did stimulate appropriate medicine use and reimbursement in clinical practice. (shrink)

The number of people suffering from dementia will rise considerably in the years to come. This will have important implications for society. People suffering from dementia have to rely on relatives and professional caregivers when their disorder progresses. Some people want to determine for themselves their moment of death, if they should become demented. They think that the decline in personality caused by severe dementia is shocking and unacceptable. In this context, some people consider euthanasia as a way to avoid (...) total deterioration. In this article, we discuss some practical and ethical dilemmas regarding euthanasia in persons with severe dementia based on an advance euthanasia directive. We are using a personalist approach in dealing with these ethical dilemmas. (shrink)

BackgroundRespect for autonomy is a key concept in contemporary bioethics and end-of-life ethics in particular. Despite this status, an individualistic interpretation of autonomy is being challenged from the perspective of different theoretical traditions. Many authors claim that the principle of respect for autonomy needs to be reconceptualised starting from a relational viewpoint. Along these lines, the notion of relational autonomy is attracting increasing attention in medical ethics. Yet, others argue that relational autonomy needs further clarification in order to be adequately (...) operationalised for medical practice. To this end, we examined the meaning, foundations, and uses of relational autonomy in the specific literature of end-of-life care ethics.MethodsUsing PRESS and PRISMA procedures, we conducted a systematic review of argument-based ethics publications in 8 major databases of biomedical, philosophy, and theology literature that focused on relational autonomy in end-of-life care. Full articles were screened. All included articles were critically appraised, and a synthesis was produced.ResultsFifty publications met our inclusion criteria. Twenty-eight articles were published in the last 5 years; publications were originating from 18 different countries. Results are organized according to: (a) an individualistic interpretation of autonomy; (b) critiques of this individualistic interpretation of autonomy; (c) relational autonomy as theoretically conceptualised; (d) relational autonomy as applied to clinical practice and moral judgment in end-of-life situations.ConclusionsThree main conclusions were reached. First, literature on relational autonomy tends to be more a ‘reaction against’ an individualistic interpretation of autonomy rather than be a positive concept itself. Dichotomic thinking can be overcome by a deeper development of the philosophical foundations of autonomy. Second, relational autonomy is a rich and complex concept, formulated in complementary ways from different philosophical sources. New dialogue among traditionally divergent standpoints will clarify the meaning. Third, our analysis stresses the need for dialogical developments in decision making in end-of-life situations. Integration of these three elements will likely lead to a clearer conceptualisation of relational autonomy in end-of-life care ethics. This should in turn lead to better decision-making in real-life situations. (shrink)

BackgroundDeciding whether to resuscitate extremely preterm infants (EPIs) is clinically and ethically problematic. The aim of the study was to understand neonatologists’ clinical–ethical decision-making for resuscitation of EPIs.MethodsWe conducted a qualitative study in Belgium, following a constructivist account of the Grounded Theory. We conducted 20 in-depth, face-to-face, semi-structured interviews with neonatologists. Data analysis followed the qualitative analysis guide of Leuven.ResultsThe main principles guiding participants’ decision-making were EPIs’ best interest and respect for parents’ autonomy. Participants agreed that justice as resource allocation (...) should not be considered in resuscitation decision-making. The main ethical challenge for participants was dealing with the conflict between EPIs’ best interest and respect for parents’ autonomy. This conflict was most prominent when parents and clinicians disagreed about births within the gray zone (24–25 weeks). Participants’ coping strategies included setting limits on extent of EPI care provided and rigidly following established guidelines. However, these strategies were not always feasible or successful. Although rare, these situations often led to long-lasting moral distress.ConclusionsParticipants’ clinical–ethical reasoning for resuscitation of EPIs can be mainly characterized as an attempt to balance EPIs’ best interest and respect for parents’ autonomy. This approach could explain why neonatologists considered conflicts between these principles as their main ethical challenge and why lack of resolution increases the risk of moral distress. Therefore, more research is needed to better understand moral distress in EPI resuscitation decisions.Clinical Trial Registration: The study received ethical approval from the ethics committee of UZ/ku Leuven (S62867). Confidentiality of personal information and anonymity was guaranteed in accordance with the General Data Protection Regulation of 25 May 2018. (shrink)

This article examines the 4th-century CE interpretation of the story of Rahab the Harlot by Severian of Gabala, in his homily, De paenitentia et compunctione (CPG 4186). In this article, a close and critical reading of Severian’s references to the story of Rahab in De paenitentia et compunctione (with some comparative reference to other works of Severian, and also of John Chrysostom and Pseudo-Chrysostom) is provided. It is asked, ‘how and why could a treacherous harlot, a prostitute, who was considered (...) to be the epitome of vice in early Christian moral deliberations, function as an exemplum for Severian?’ The article firstly asks how Severian deals with the problematic and paradoxical aspects of Rahab, namely, the fact that she was a prostitute and also a liar. Then, it illustrates how Severian transforms Rahab into a Christian heroine and how he deploys these qualities of the transformed Rahab in a potent anti-Judaistic rhetoric. This study is finally concluded with a somewhat broader delineation of the importance of Rahab in the development of a curious Christian cultural and moral trope, namely, the penitent prostitute. Such a study of Rahab is significant not only in that it expands our understanding of the history of women and gender dynamics in early Christianity, but it also elucidates the complex and strategic discursive moves employed by male Christian authors to deal with the seemingly ‘bad girls’ of scripture. Contribution: This article investigates the historical reception of the story of Rahab (Jos 2) in a little-known homily by Severian of Gabala. The focus is how Severian interprets the story and the paradoxical figure that is Rahab, with reference to its use as an anti-Judaistic trope, and its role in the shaping of the cultural phenomenon that is the penitent prostitute in early Christian thought. (shrink)