The goal is to present how shared decision-making in paediatric oncology occurs from the viewpoints of parents and physicians. Eight Swiss Pediatric Oncology Group centres participated in this prospective study. The sample comprised a parent and physician of the minor patient. Surveys were statistically analysed by comparing physicians’ and parents’ perspectives and by evaluating factors associated with children’s actual involvement. Perspectives of ninety-one parents and twenty physicians were obtained for 151 children. Results indicate that for six aspects of information provision (...) examined, parents’ and physicians’ perceptions differed. Moreover, parents felt that the children were more competent to understand diagnosis and prognosis, assessed the disease of the children as worse, and reported higher satisfaction with decision-making on the part of the children. A patient’s age and gender predicted involvement. Older children and girls were more likely to be involved. In the decision-making process, parents held a less active role than they actually wanted. Physicians should take measures to ensure that provided information is understood correctly. Furthermore, they should work towards creating awareness for systematic differences between parents and physicians with respect to the perception of the child, the disease, and shared decision-making. (shrink)

Philosophers have offered many arguments to explain why historical injustices require reparations. This paper raises an unnoticed challenge for almost all of them. Most theories of reparations attempt to meet two intuitions: (1) Reparations are owed for a past wrong and (2) the content of reparations must reflect the historical injustice. I argue that necessarily no monistic theory can meet both intuitions. I do this by showing that any theory that can meet intuition (1) necessarily cannot also meet intuition (2). (...) This result suggests that a theory of reparations must either sacrifice one of the two intuitions or be pluralist. I argue that we ought to prefer the pluralist over the monistic theory. I sketch the pluralist theory and I defend it by considering an objection about the way it can resolve conflicts. (shrink)

This paper discusses the pluralist theory of reparations for historical injustice offered by Daniel Butt (Ethical Theory and Moral Practice 24(5):1161–75, 2021). Butt attempts to vindicate purely past-regarding corrective duties in response to Alasia Nuti’s historical-structural model of reparations. I agree with Butt that reparative justice requires both past-regarding and future-looking structural duties. And I agree with him that Nuti’s model leaves out purely past-regarding duties. I argue, however, that Butt does not offer a genuinely pluralist account. I present minimal (...) necessary conditions for past-regarding (corrective) justice and demonstrate that the past-regarding duties Butt advocates do not meet these conditions. The past-regarding duties Butt offers collapse into the kinds of distributive (structural) duties from which he attempts to separate them. Yet, I suggest these shortcomings are instructive and sketch a path forward for a genuinely pluralist account of reparations. A genuinely pluralist account must follow this path in order to vindicate the intuitions that motivate both past-regarding duties and the structural injustice model. (shrink)

Contemporary liberal states must provide an answer to the “question of cultural diversity”, requiring a principled way to determine which minority cultural practices a state must accommodate and support. (Liberal egalitarian) multiculturalism answers this question neatly by creating a dichotomy between national minorities and ethnic minorities (the national/ethnic “dichotomy”). Where national minorities are entitled to extensive and far-reaching cultural rights, ethnic minorities are entitled to significantly fewer cultural rights and accommodations. This dichotomy is enacted through a distributive logic that allocates (...) cultural rights to achieve equal individual autonomy. But the dichotomy is also influenced by the ways these groups were incorporated into the state. Their modes of incorporation are different and, thus, they have different requirements to achieve equally autonomous lives. Critics have challenged multiculturalism by questioning this dichotomy. They have suggested that the dichotomy does not adequately capture differences in kinds of minority groups and their entitlements. This paper defends the dichotomy by offering a supplementary principle to liberal egalitarian multiculturalism: the reparative multicultural principle. This principle allocates cultural rights as part of reparative entitlements for historical and ongoing injustices committed against minority groups. Supplementing multiculturalism in this way more accurately captures the idea of the historical mode of incorporation that inspires the dichotomy and can help resolve some the objections to multiculturalism. (shrink)

Every cultural phenomenon is multifaceted and only with great difficulty can it fit into the framework of one general concept. The term ‘sport’ is such a broad concept, because the great wealth of...

Este artículo utiliza la perspectiva de la democracia deliberativa para evaluar la teoría de la minoría permanente como posible motivo de secesión. Según esta teoría, los catalanes constituyen minorías permanentes que, en ningún caso, podrían obtener las mayorías parlamentarias que les permitan separarse. Históricamente, esta circunstancia habría propiciado las condiciones para un abuso permanente. Hoy en día, impediría el éxito de los procesos de secesión, lo que no dejaría otra alternativa que eludir los medios democráticos. El artículo concluye que este (...) argumento resulta incompatible con los ideales de la democracia deliberativa. En el mejor de los casos, la teoría colapsa en la tesis de la secesión como reparación: si los intereses de la minoría han sido adecuadamente considerados en un proceso deliberativo, las decisiones de la mayoría están justificadas y por lo tanto no generan un derecho de secesión; si esos intereses han sido ignorados, las decisiones no cumplen con los estándares deliberativos y acaban en el clásico derecho a la secesión de la teoría de la reparación. (shrink)

Formulating a metaphysical definition of human play faces three main difficulties. First, for many years the very possibility, or need, for such a definition has been questioned. Second, very often...

ABSTRACT The sense of kairos is of time as having an event-like character. Fundamental here is a split between quantitative time and a qualitatively distinct moment. The decisive moment connects the kairological to crisis. By exploring the accounts of kairos in three contemporaries responding to the sense of crisis in 1920s Germany—Benjamin, Heidegger, and Tillich—this article shows the manner in action in the kairos can be understood as both responsive and non-opportunist. Themes such as the “tiger leap” (Benjamin), the “moment (...) of vision” (Heidegger), and the “shuddering” of time (Tillich) are analyzed to demonstrate how these accounts taken in dialogue with one another give an understanding of kairos, as a displacement and disruption of time as chronos and not simply as an interruption in chronological time. Such a disruption of chronological time is a necessary condition for responsible action, giving a measure also for the present. (shrink)

Formulating a metaphysical definition of human play faces three main difficulties. First, for many years the very possibility, or need, for such a definition has been questioned. Second, very often...

The truly great ones, the giants, the really original thinkers, the pure philosopher types, these are to be found in the time before Plato.

Patients sometimes visit their general practitioners with more than one concern. This article investigates when and how patients initiate presentations of such additional concerns. The study is conversation analytic in its approach and scope. It is based upon video-recordings of naturally occurring general practice consultations in Denmark. Data suggest that Danish patients relatively frequently initiate presentations of additional concerns and defer such initiations until moments when the parties would otherwise engage in closing down the consultations. Additional concerns are introduced in (...) response to the doctor’s possible pre-closing remarks. The parties, thereafter, employ a set of transitional elements: confirmation, preliminary announcement and ratification. This transition enables the parties to recycle the activities of the visit, to discuss and examine yet another concern. Thus, additional concerns are not presented completely unexpectedly or randomly as commonsense understanding sometimes has it; they are introduced at orderly moments and by means of recognizable methods. (shrink)

This volume includes Felix Noeggerath's dissertation from 1916, published here for the first time in a reliable critical edition. The dissertation represents a daring and far-reaching re-conceptualization of Kantian and neo-Kantian thought that consists in "critique of anti-rationalism," especially in the form of vitalism. Both Kant's and Hermann Cohen's philosophies can be experienced anew through the far-reaching optic that Noeggerath developed - an optic that he reiterates and develops into a comprehensive theory of art in a 1951 essay - (...) republished here, as well. The introduction by Hartwig Wiebebach provides an overview and incisive analysis of Noeggerath's philosophical program, while the afterword by Peter Fenves describes in detail the effect of Noeggerath's thought on Walter Benjamin's own attempts at a critique of anti-rationalism. Altogether, the volume provides a new point of access to the important legacy of neo-Kantian thought in the early twentieth century not only in terms of the systematic philosophy, but also in relation to the theory of art and the philosophy of modern science. (shrink)

Violence is essential to religion, while religion holds the promise of transcending violence. The designation religious refers not to a type of violence, but to a specific issue of violence, namely the claim to higher justification. This religious aspect is not confined to religion; it is also evident in the secular domain. A critique of religious violence needs to show the gap between violence and its justifications, experienced affectively in horror. This horror in response to the unspeakable is structurally akin (...) to mystical experience, the temporal structure of which indicates the failure of the theodical justification for violence. (shrink)

The search for knowledge is a fact of any human society in the quest for development, as it is in the nature of human species to do so. This is geared towards humanisation of the society in the attainment of positive social change, which cannot be realised without adequate and informed knowledge from the culture of the people. This form of knowledge is seen from the identity of the people, focusing on the social change of their society. The creation of (...) a national consciousness is a crucial component of the society as it presupposes identity, seen as the heart of any culture that motivates the collective common goal of the people. This paper, using the analytic methodology in the philosophical discipline, therefore argues that the acceptance of cultural knowledge from the platform of its identity in the quest for development in Africa is a conditio sine qua non. (shrink)

Existing philosophies of justice have failed to challenge and overcome the peculiar African crisis of development. The contract model of justice assumed that there would be justice when people acting as rational agents accepted basic practices of society that would assure their mutual advantage in the long run, this has not really worked in the development practice in many parts of the world, due to the nullifying effects of Kleptocracy, patrimonialism, institutional decay, antinomies and apathy, precipitation of primordial ethno-cultural enclaves (...) and other divisive factors. The utilitarian philosophy of justice, seen as a way of defining the greatest good or happiness of the greatest number of the society and the impartiality or respect model of justice, which suggests the recognition of the intrinsic worth of people as entities deserving of respect, whose interests should be maintained in the interest of the overall common good, have also failed due to the realities of cultural, historical and psychological inducements to truncate or restrictively appropriate the principles and institutions intended for the greater or common good; federalism, industrialization and social services. Taken together, these philosophies have not succeeded, due to obstructive cosmological templates that have re-institutionalized almost globally, a new wave of regressive authoritarianism, denial of economic and political rights, ossified anachronism deriving from both the primordial and colonial forms of ethno-religious prejudices, conflict driven mistrust and mutual hatred among groups. We therefore need to look in other directions. (shrink)

The quest for what constitutes knowledge and the authentic means of attaining it have been a subject of intense philosophical speculations from time immemorial. This is to say that the discourse about theory of knowledge had stated from the ancient era in philosophical parlance. Knowledge, in turn, is a co-efficient of social order, democratic ideology and development, which implies that for there to be any form of tranquility and peace in any society at all; its leaders must necessarily have the (...) right sort of intelligence and ability. And that is why leadership problem is the deadliest monster a state and its people can suffer from. Plato’s understanding of knowledge is apt and germane in the discourse of social orderliness essentially as it relates to and with the training of the guardians for the growth, progress and development of human society. In Plato’s view, the guardians must be courageous with instinctive love for wisdom and understanding, which by so doing will make a really noble guardian of commonwealth to be swift, strong, spirited and philosophic. But an attempt to understand the impact of knowledge on leaders of societies among societies of the Global South especially in Africa had become a phenomenal mirage as many of the leaders are not properly ‘schooled’ and are also bereft of ideas to lead human societies.The thrust of this paper will be to examine the impact of knowledge on the kind of leaders societies supposed to have through the prism of Plato’s training of the guardians in the quest for democratic ideology and setting in the Global South. The intent will be to engender political harmony, trust and ‘normalcy’ between the state and society, that is, between the leaders and the led. (shrink)

This paper is based on my understanding and analysis of a number of ideas related with the body with the sole intention of over viewing the diverse understanding of the body and its functioning. Buddhaghosa’s understanding of the body seems to be negative to many. I have viewed the body from the perspective of Buddhaghosa within his work The Path of Purification. Buddhaghosa points out the reality of the body and its underlying foulness and the human tendency to camouflage its (...) foulness under the veil of superficial make up, which are altogether temporary by nature. I will also be dealing with the concept of donation of the body, from the perspective of the Buddhist school of thought. (shrink)

The importance of education can never be under-played in any society as it is the most potent weapon left to man in order to transform, change and liberate himself and the society from the slavery of ignorance and backwardness. This is done in order to attain rapid development in all ramifications. The epistemic foundation for the establishment of higher institutions has been devoted to the production of knowledge and cultural reproduction through the ages. It should be known from the outset (...) that universities are moulded on the foundation and systemic structure of the Western ideologies. But there are salient barriers towards the pursuit of higher education in Africa, which are multi-faceted and multi-dimensional. The thrust of this paper, then, will be to examine the challenges higher education has in Africa, which hinders its process of producing a body of knowledge that will elevate the human conditions and posit it for all-round development. Therefore, the methodology shall be purely analytic in nature. (shrink)

To determine the relevance of judgments of rationality and of morality in foreign policy decisions, it is necessary to provide a value‐neutral definition of “the national interest.” This makes it possible to ascertain, in principle, whether a given governmental foreign policy decision is rational with respect to this goal, in turn a necessary means to any government’s ultimate purposes. While it is pointless to judge the pursuit of the national interest itself morally right or wrong, moral judgments are relevant to (...) policies and goals compatible with the national interest. However, moral principles are often invoked to justify the pursuit of this intermediate goal. (shrink)