Background Recent publications reveal shortcomings in evidence review and summarization methods for patient decision aids. In the large-scale "Share to Care (S2C)" Shared Decision Making (SDM) project at the University Hospital Kiel, Germany, one of 4 SDM interventions was to develop up to 80 decision aids for patients. Best available evidence on the treatments' impact on patient-relevant outcomes was systematically appraised to feed this information into the decision aids. Aims of this paper were to (1) describe how PtDAs are developed (...) and how S2C evidence reviews for each PtDA are conducted, (2) appraise the quality of the best available evidence identified and (3) identify challenges associated with identified evidence. Methods The quality of the identified evidence was assessed based on GRADE quality criteria and categorized into high-, moderate-, low-, very low-quality evidence. Evidence appraisal was conducted across all outcomes assessed in an evidence review and for specific groups of outcomes, namely mortality, morbidity, quality of life, and treatment harms. Challenges in evidence interpretation and summarization resulting from the characteristics of decision aids and the type and quality of evidence are identified and discussed. Conclusions Evidence reviews in this project were carefully conducted and summarized. However, the evidence identified for our decision aids was indeed a "scattered landscape" and often poor quality. Facing a high prevalence of low-quality, non-directly comparative evidence for treatment alternatives doesn't mean it is not necessary to choose an evidence-based approach to inform patients. While there is an urgent need for high quality comparative trials, best available evidence nevertheless has to be appraised and transparently communicated to patients. (shrink)

Includes articles by: Ulrich Arnswald, Jens Kertscher, Matthias Kross, Thomas Macho, Walter Mesch, Dieter Mersch, Regine Munz, Hans Julius Schneider, Hans-Peter Schutt, Ilse Somavilla, Samuel C. Wheeler III, Anja Weiberg, Rüdiger Zill.

A wide-ranging collection of philosophical essays in honor of Hans-Georg Gadamer.

Promoting translational research as a means to overcoming chasms in the translation of knowledge through successive fields of research from basic science to public health impacts and back is a central challenge for research managers and policymakers. Organizational leaders need to assess baseline conditions, identify areas needing improvement, and to judge the impact of specific initiatives to sustain or improve translational research practices at their institutions. Currently, there is a lack of such an assessment tool addressing the specific context of (...) translational biomedical research. To close this gap, we have developed a new survey for assessing the organizational climate for translational research. This self-assessment tool measures employees’ perceptions of translational research climate and underlying research practices in organizational environments and builds on the established Survey of Organizational Research Climate, assessing research integrity. Using this tool, we show that scientists at a large university hospital perceive translation as a central and important component of their work. Importantly, local resources and direct support are main contributing factors for the practical implementation of translation into their own research practice. We identify and discuss potential leverage points for an improvement of research climate to foster successful translational research. (shrink)

Most eighteenth- and nineteenth-century portrait paintings have eyes staring outward at the beholder. A minority of these eyes have slightly elevated pupils in comparison to the iris. These off-centre pupils are not the norm, but they occur regularly in works by skilful European portrait painters in the eighteenth and nineteenth centuries. This article takes a closer look at selected portrait paintings by Danish artists Jens Juel and Constantin Hansen and argues that the discrepancy between the pupils and the rest (...) of the paintings creates an illusion of movement or presence when looking the paintings in the eye. The discrepancy creates an aesthetic effect corresponding with Merleau-Ponty’s concept of internal discordance. According to Merleau-Ponty, visual art can create the illusion of movement by portraying its parts in different moments. These internal discordances make the painting “move” because the beholder unconsciously creates a fictive link between the parts thereby expanding time in space. The article combines presence theory (Jean-Luc Nancy and Hans Ulrich Gumbrecht), phenomenology (Merleau-Ponty) and art theory and perception theory (James Elkins, Dominic McIver Lopes and Michael Fried) in order to study the effects and possible reasons for creating pupils out of sync with the rest of the painting. (shrink)

What is the relationship between the world and logic, between intuition and language, between objects and their quantitative determinations? Rationalists, on the one hand, hold that the world is structured in a rational way. Representationalists, on the other hand, assume that language, logic, and mathematics are only the means to order and describe the intuitively given world. In World and Logic, Jens Lemanski takes up three surprising arguments from Arthur Schopenhauer’s hitherto undiscovered Berlin Lectures, which concern the philosophy of (...) language, logic, and mathematics. Based on these arguments, Lemanski develops a new position entitled ‘rational representationalism’: the world is always structured by human beings according to linguistic, logical, and mathematical principles, but the basic vocabulary of these structural descriptions already contains metaphors taken from the world around us. (shrink)

According to the “deprivation approach,” a person’s death is bad for her to the extent that it deprives her of goods. This approach faces the Lucretian problem that prenatal non-existence deprives us of goods just as much as death does, but does not seem bad at all. The two most prominent responses to this challenge—one of which is provided by Frederik Kaufman (inspired by Thomas Nagel) and the other by Anthony Brueckner and John Martin Fischer—claim that prenatal non-existence is relevantly (...) different from death. This paper criticizes these responses. (shrink)

Logicians have often suggested that the use of Euler-type diagrams has influenced the idea of the quantification of the predicate. This is mainly due to the fact that Euler-type diagrams display more information than is required in traditional syllogistics. The paper supports this argument and extends it by a further step: Euler-type diagrams not only illustrate the quantification of the predicate, but also solve problems of traditional proof theory, which prevented an overall quantification of the predicate. Thus, Euler-type diagrams can (...) be called the natural basis of syllogistic reasoning and can even go beyond. In the paper, these arguments are presented in connection with the book Nucleus Logicae Weisaniae by Johann Christian Lange from 1712. (shrink)

In this article I discuss the question of whether a person’s existence can be better (or worse) for him than his non-existence. Recently, Nils Holtug and Melinda A. Roberts have defended an affirmative answer. These defenses, I shall argue, do not succeed. In different ways, Holtug and Roberts have got the metaphysics and axiology wrong. However, I also argue that a person’s existence can after all be better (or worse) for him than his non-existence, though for reasons other than those (...) provided by Holtug and Roberts. (shrink)

The traditional Lewis–Stalnaker semantics treats all counterfactuals with an impossible antecedent as trivially or vacuously true. Many have regarded this as a serious defect of the semantics. For intuitively, it seems, counterfactuals with impossible antecedents—counterpossibles—can be non-trivially true and non-trivially false. Whereas the counterpossible "If Hobbes had squared the circle, then the mathematical community at the time would have been surprised" seems true, "If Hobbes had squared the circle, then sick children in the mountains of Afghanistan at the time would (...) have been thrilled" seems false. Many have proposed to extend the Lewis–Stalnaker semantics with impossible worlds to make room for a non-trivial or non-vacuous treatment of counterpossibles. Roughly, on the extended Lewis–Stalnaker semantics, we evaluate a counterfactual of the form "If A had been true, then C would have been true" by going to closest world—whether possible or impossible—in which A is true and check whether C is also true in that world. If the answer is "yes", the counterfactual is true; otherwise it is false. Since there are impossible worlds in which the mathematically impossible happens, there are impossible worlds in which Hobbes manages to square the circle. And intuitively, in the closest such impossible worlds, sick children in the mountains of Afghanistan are not thrilled—they remain sick and unmoved by the mathematical developments in Europe. If so, the counterpossible "If Hobbes had squared the circle, then sick children in the mountains of Afghanistan at the time would have been thrilled" comes out false, as desired. In this paper, I will critically investigate the extended Lewis–Stalnaker semantics for counterpossibles. I will argue that the standard version of the extended semantics, in which impossible worlds correspond to maximal, logically inconsistent entities, fails to give the correct semantic verdicts for many counterpossibles. In light of the negative arguments, I will then outline a new version of the extended Lewis–Stalnaker semantics that can avoid these problems. (shrink)

How can work be a genuine good in life? I argue that this requires overcoming a problem akin to that studied by Marx scholars as the problem of work, freedom and necessity: how can work be something we genuinely want to do, given that its content is not up to us, but is determined by necessity? I argue that the answer involves valuing contributing to the good of others, typically as valuing active pro-sociality – that is, valuing actively doing something (...) good for others. This makes work better in one way, and may even make work something we are genuinely glad to have in our lives. Contemporary philosophical thinking about good work tends to focus on how work can be good for the person doing it, by providing, for example, self-realization or social relationships, while underappreciating the special importance of valuing social contribution. People will typically only really want work if they want a part of their lives to be about the good of others. This also means that work may be a part of the best life, something we should take into account when discussing work-related policies and the desirability of a ‘post-work’ future. (shrink)

The Groundwork of the Metaphysics of Morals is Kant's central contribution to moral philosophy, and has inspired controversy ever since it was first published in 1785. Kant champions the insights of 'common human understanding' against what he sees as the dangerous perversions of ethical theory. Morality is revealed to be a matter of human autonomy: Kant locates the source of the 'categorical imperative' within each and every human will. However, he also portrays everyday morality in a way that many readers (...) find difficult to accept. The Groundwork is a short book, but its argument is dense, intricate and at times treacherous. This commentary explains Kant's arguments paragraph by paragraph, and also contains an introduction, a synopsis of the argument, six short interpretative essays on key topics of the Groundwork, and a glossary of key terms. It will be an indispensable tool for anyone wishing to study the Groundwork in detail. (shrink)

In a recent article, I criticized Anthony L. Brueckner and John Martin Fischer’s influential argument—appealing to the rationality of our asymmetric attitudes towards past and future pleasures—against the Lucretian claim that death and prenatal non-existence are relevantly similar. Brueckner and Fischer have replied, however, that my critique involves an unjustified shift in temporal perspectives. In this paper, I respond to this charge and also argue that even if it were correct, it would fail to defend Brueckner and Fischer’s proposal against (...) my critique. (shrink)

It is little known that Schopenhauer (1788–1860) made thorough use of Euler diagrams in his works. One specific diagram depicts a high number of concepts in relation to Good and Evil. It is, hence, uncharacteristic as logicians of that time seldom used diagrams for more than three terms (the number demanded by syllogisms). The objective of this paper is to make sense of this diagram by explaining its function and inquiring whether it could be viewed as an early serious attempt (...) to construct complex diagrams. (shrink)

Derek Parfit famously defends a number of surprising views about "fission." One is that, in such a scenario, it is indeterminate whether I have survived or not. Another is that the fission case shows that it does not matter, in itself, whether I survive or not. Most critics of the first view contend that fission makes me cease to exist. Most opponents of the second view contend that fission does not preserve everything that matters in ordinary survival. In this paper (...) I shall provide a critique that does not rely on either of these contentions. There are other, interrelated reasons to reject Parfit's defense of the two theses. In particular, the availability of the following view creates trouble for Parfit: I determinately survive fission, but it is indeterminate which fission product I am. (shrink)

There seems to be a strong sentiment in pre-philosophical moral thought that actions can be morally valuable without at the same time being morally required. Yet Kant, who takes great pride in developing an ethical system firmly grounded in common moral thought, makes no provision for any such extraordinary acts of virtue. Rather, he supports a classification of actions as either obligatory, permissible or prohibited, which in the eyes of his critics makes it totally inadequate to the facts of morality. (...) The related idea of uncommonly grand and noble deeds is frequently dismissed by Kant as high-.own emotional nonsense. Such considerations give rise to the fear that actions intuitively classed as morally commendable but not required must be re-classified as commands of duty by Kant, making his ethical theory as unbearably demanding as direct utilitarianism. The paper divides into three sections: (1) an examination of the nature of moral goodness from a meta-ethical angle that introduces some passages from Kant's writings presenting strong theoretical evidence against the case for supererogatory action; (2) a critique of Thomas Hill's suggestion that within the category of wide duty we can accommodate some of the main features of actions classified as supererogatory in other ethical systems; concluding that, contra Hill, there are no actions of wide duty that can be so characterized in any significant sense; and (3) a final discussion of the problem of how demanding the requirements of Kantian ethical theory really are. (shrink)

In early modernity, one can find many spatial logic diagrams whose geometric forms share a family resemblance with religious art and symbols. The family resemblance these diagrams bear in form is often based on a vesica piscis or on a cross: Both logic diagrams and spiritual symbols focus on the intersection or conjunction of two or more entities, e.g. subject and predicate, on the one hand, or god and man, on the other. This paper deals with the development and function (...) of logic diagrams, their analogy to religious art and symbols, and their modern application in artificial intelligence. (shrink)

The paper examines Schopenhauer's logic lectures and the eristic dialectics of the manuscript remains in particular. The content of the logic lectures is briefly presented, then the characteristics are highlighted and finally Schopenhauer’s Euler diagrams are examined. The section on eristic dialectics summarizes the history of the text and its origin and reflects the content and order of the document.

The paper presents the diagrammatic calculus CL, which combines features of tree, Euler-type, Venn-type diagrams and squares of opposition. In its basic form, `CL' (= Cubus Logicus) organizes terms in the form of a square or cube. By applying the arrows of the square of opposition to CL, judgments and inferences can be displayed. Thus CL offers on the one hand an intuitive method to display ontologies and on the other hand a diagrammatic tool to check inferences. The paper focuses (...) mainly on the adaptation of the square of opposition in CL and offers an algebraic notation, which corresponds to the diagrammatic representation. (shrink)

In previous research, Schopenhauer is regarded as a consistent representative of a classical picture theory of language. The paper shows, however, that Schopenhauer does not only present a use theory of meaning in his lectures on logic, but also justifies it with the help of the context principle. Furthermore, it is discussed to what extent Schopenhauer's use theory of meaning is similar to the semantic theory of Ludwig Wittgenstein and his successors.

According to luck egalitarianism, it is not unfair when people are disadvantaged by choices they are responsible for. This implies that those who are disadvantaged by choices that prevent disadvantage to others are not eligible for compensation. This is counterintuitive. We argue that the problem such cases pose for luck egalitarianism reveals an important distinction between responsibility for creating disadvantage and responsibility for distributing disadvantage which has hitherto been overlooked. We develop and defend a version of luck egalitarianism which only (...) holds people responsible for creating disadvantage. This revision enables luck egalitarianism to offer compensation to those who are disadvantaged by preventing disadvantage to others, like dependent caretakers, without compromising the responsibility–sensitivity at the heart of luck egalitarianism. (shrink)

What happens when human beings fail to do as reason bids? This book is an attempt to address this age-old question within Kant’s mature practical philosophy, i.e. the practical philosophy that emerged with the watershed discovery of autonomy in the mid-1780s. As always, Kant is good for a surprise. There is, it is argued, not one answer but two: he advocates Socratic intellectualism in the realm of prudence whilst defending an anti-intellectualist or volitional account of immoral action. This ‘hybrid’ theory (...) of practical failure is more than a philosophical curiosity. There are ramifications for Kant’s theory of practical reason as a whole. In particular, the hybrid account emphasizes the divide between pure and empirical practical rationality to the extent that the latter, while containing practically relevant propositions, no longer counts as a branch of practical reason at all. Hypothetical and categorical imperatives exemplify two entirely distinct kinds of normativity. In fact, the dichotomy between pure and empirical determining grounds of the will goes hand in hand with many other dualisms and dichotomies that, whether we like them or not, continue to define Kant’s mature ethical thought. (shrink)

Japanese translation of ""Schopenhauers Gebrauchstheorie der Bedeutung und das Kontextprinzip. Eine Parallele zu Wittgensteins Philosophischen Untersuchungen". In: 97. Schopenhauer-Jahrbuch (2016), S. 29–51" by Tadahiro Oota (太田 匡洋 [訳]).

Meaningful work is an important ideal, but it seems hard to give an adequate account of meaningful work. In this article, I conduct a revisionary conceptual analysis of ‘meaningful work’, i.e. a conceptual analysis that aims at finding a better and more useful way to use this term. I argue for a distinction between cases where work itself is meaningful and cases where other sources of meaning are found at work. The term ‘meaningful work’ is most useful for the former (...) cases. I then argue for the reasons account of what makes work itself meaningful: work is meaningful if (and to the extent that) there are good reasons to do it. I compare this to established accounts of meaningful work, such as subjective meaningfulness, self-realization, alienation, the unity of conception and execution, autonomy, social contribution, and Veltman’s four-dimensional account. None of these capture the distinct concern that the concept ‘meaningful work’ should capture, or they do so less well than the reasons account. This also shows that work can be meaningful regardless of whether it is good in other respects, such as in inherent interest or opportunities for self-realization. (shrink)

The present article is an attempt to clarify the Kantian conception of duties to the self and to defend them against common objections. Kant’s thesis that all duty rests on duties to the self is shown to follow from the autonomy of the human will; and the allegation that they are impossible because the agent could always release himself from such a duty turns out to be question-begging. There is no attempt to prove that there are such duties, but they (...) are revealed to be an indispensable part of morality. Traditional attributes of moral commands, such as ‘categoricity’ or ‘overridingness’ make no sense in a one-sidedly other-regarding or social conception of morality. (shrink)

A particularly promising trail on the search for forgotten logic diagrams leads to Upper Lusatia in the 17th century, more precisely to Christian Weise and his students. Samuel Grosser, who later became rector in Görlitz, and Johann Christian Lange, who later became professor of logic at the University of Gießen, are the most prominent to have published remarkable logic diagrams. Even more remarkable, however, is the fact that Lange's interest in these diagrams ultimately gave rise to the idea of building (...) a logic machine. (shrink)

This article defends three claims. First, that collection and division in the Phaedrus are described as procedures that underlie human speaking and thinking in general, as well as philosophical inquiry, and are not identified with either. Second, that what sets the dialectical use of these procedures apart from their ordinary use are philosophical suppositions independent of the procedures of collection and division themselves; for that reason, collection and division cannot be identified with dialectic as such. Third, that the second part (...) of the Phaedrus is concerned with the broader question how noble or beautiful speaking, in general, may be said to depend on dialectic as much as it is concerned with the question how rhetoric, as a kind of expertise, is related to dialectic. (shrink)

In the second preface to the Critique of Pure Reason, Kant claims that Galileo Galilei, Evangelista Torricelli and Georg Ernst Stahl caused a scientific revolution in experimental physics (B xii). In this paper, I advance the historical thesis that Kantʼs claim refers precisely to three passages from Discursus et demonstrationes mathematicae (Galilei), Lettera a Filaleti Di Timauro Antiate (Torricelli), and Beweiß von den Saltzen (Stahl). This historical thesis provides evidence for a newer systematic interpretation, which says that the topic of (...) the second preface is not epistemological, but rather methodological. (shrink)

According to luck egalitarianism, it is not unfair when people are disadvantaged by choices they are responsible for. This implies that those who are disadvantaged by choices that prevent disadvantage to others are not eligible for compensation. This is counterintuitive. We argue that the problem such cases pose for luck egalitarianism reveals an important distinction between responsibility for creating disadvantage and responsibility for distributing disadvantage which has hitherto been overlooked. We develop and defend a version of luck egalitarianism which only (...) holds people responsible for creating disadvantage. This revision enables luck egalitarianism to offer compensation to those who are disadvantaged by preventing disadvantage to others, like dependent caretakers, without compromising the responsibility–sensitivity at the heart of luck egalitarianism. (shrink)

Papers from a conference held August 2010.

There has recently been a revived interest in temporal justice among political philosophers. For example, lone mothers have, on average, 30 h less free time per week than people in couples without children. Recent work has focussed on free time as a distinct distributive good, but this paper argues that it would be a mistake for a theory of temporal justice to focus only on shares of free time. First, I argue that the concept of free time does not succeed (...) in tracking discretionary control over time. All of time is a resource, and the particular moral relevance of free time must be established otherwise. Second, hours of time differ in use value, and we cannot fully track our concerns about the allocation of time, whether free or necessary, without taking this into account. We care about free time but also about ‘quality time’. To explain this observation, I develop an account of the value of time as a resource. The value of time periods differs with the prospects for which a time period can be used, that is, what we can do and be with it. What we are allocating when we are allocating time is not just hours; it is hours of time with a certain value. Finally, I argue that a concern for the value of time is compatible with a resourcist theory of temporal justice. (shrink)

When a proposition might be the case, for all an agent knows, we can say that the proposition is epistemically possible for the agent. In the standard possible worlds framework, we analyze modal claims using quantification over possible worlds. It is natural to expect that something similar can be done for modal claims involving epistemic possibility. The main aim of this paper is to investigate the prospects of constructing a space of worlds—epistemic space—that allows us to model what is epistemically (...) possible for ordinary, non-ideally rational agents like you and me. I will argue that the prospects look dim for successfully constructing such a space. In turn, this will make a case for the claim that we cannot use the standard possible worlds framework to model what is epistemically possible for ordinary agents. (shrink)

Pluralistic ignorance is a socio-psychological phenomenon that involves a systematic discrepancy between people’s private beliefs and public behavior in certain social contexts. Recently, pluralistic ignorance has gained increased attention in formal and social epistemology. But to get clear on what precisely a formal and social epistemological account of pluralistic ignorance should look like, we need answers to at least the following two questions: What exactly is the phenomenon of pluralistic ignorance? And can the phenomenon arise among perfectly rational agents? In (...) this paper, we propose answers to both these questions. First, we characterize different versions of pluralistic ignorance and define the version that we claim most adequately captures the examples cited as paradigmatic cases of pluralistic ignorance in the literature. In doing so, we will stress certain key epistemic and social interactive aspects of the phenomenon. Second, given our characterization of pluralistic ignorance, we argue that the phenomenon can indeed arise in groups of perfectly rational agents. This, in turn, ensures that the tools of formal epistemology can be fully utilized to reason about pluralistic ignorance. (shrink)

Even the most sympathetic readers of Kant's moral philosophy usually disagree with him about some aspect of his theory, or some particular moral judgement. His unqualified condemnation of lying in the essay ‘On a supposed right to lie from philanthropy’ is a classical case in question, as is his strong endorsement of retributive justice and the death penalty. A third prominent source of discontent are Kant's repeated verdicts on the moral status of non-human animals, or rather the lack thereof. For, (...) despite the fact that his practical recommendations in this field are sensible and even progressive, he repeatedly insists that there are no direct duties to animals, that the well-being of animals is morally indifferent, in particular that we ought to treat animals decently solely for the sake of humanity. As a result, the foundations of his advice seem morally inadequate, even offensive. (shrink)

In this paper we present an overview of the current interpretations of the first volume of Arthur Schopenhauer’s main work The World as Will and Representation (W I) and discuss their problems. We discuss four issues, which in our opinion must clarify a current interpretation implicitly or explicitly, if it claims to be an interpretation of the whole book: (1) What does Schopenhauer mean by the fact that his work shares only one (single) thought? (2) How are the individual books (...) of W I related? (3) Do we have to read Schopenhauer’s W I as a normative guide to the denial of will-to-live or as a neutral description of the world? (4) Do the often discussed contradictions and aporias within the book follow a plan or are they errors of thought? (shrink)

A widely debated question in current research centres on determining the precursors to G. W. F. Hegel's theory of recognition. Until now Fichte, Rousseau and Aristotle have been discussed. However, the present paper analyses a further surprising correspondence between Marsilio Ficino's theory of love and Hegel's theory of recognition. Here it is shown that Hegel studied Ficino in 1793 and that we can discover syntactical, semantical, and structural vestiges of Ficino's De amore II 8 in Hegel's early fragments on religion (...) (1793) and love (1797), which are closely related to the general theory of recognition found in the Phenomenology of Spirit. Not only may this thesis be relevant for Hegel or Ficino scholarship, but it could also be a further indication that social theories with normative content are an integral characteristic of (early) modern self-consciousness. (shrink)

Contemporary conversations about religion and culture are framed by two reductive definitions of secularity. In one, multiple faiths and nonfaiths coexist free from a dominant belief in God. In the other, we deny the sacred altogether and exclude religion from rational thought and behavior. But is there a third way for those who wish to rediscover the sacred in a skeptical society? What kind of faith, if any, can be proclaimed after the ravages of the Holocaust and the many religion-based (...) terrors since? Richard Kearney explores these questions with a host of philosophers known for their inclusive, forward-thinking work on the intersection of secularism, politics, and religion. An interreligious dialogue that refuses to paper over religious difference, these conversations locate the sacred within secular society and affirm a positive role for religion in human reflection and action. Drawing on his own philosophical formulations, literary analysis, and personal interreligious experiences, Kearney develops through these engagements a basic gesture of hospitality for approaching the question of God. His work facilitates a fresh encounter with our best-known voices in continental philosophy and their views on issues of importance to all spiritually minded individuals and skeptics: how to reconcile God's goodness with human evil, how to believe in both God and natural science, how to talk about God without indulging in fundamentalist rhetoric, and how to balance God's sovereignty with God's love. (shrink)