Background:The global COVID-19 pandemic has imposed challenges on healthcare systems and professionals worldwide and introduced a ´maelstrom´ of ethical dilemmas. How ethically demanding situations are handled affects employees’ moral stress and job satisfaction.Aim:Describe priority-setting dilemmas, moral distress and support experienced by nurses and physicians across medical specialties in the early phase of the COVID-19 pandemic in Western Norway.Research design:A cross-sectional hospital-based survey was conducted from 23 April to 11 May 2020.Ethical considerations:Ethical approval granted by the Regional Research Ethics Committee in (...) Western Norway (131421).Findings:Among the 1606 respondents, 67% had experienced priority-setting dilemmas the previous two weeks. Healthcare workers who were directly involved in COVID-19 care, were redeployed or worked in psychiatry/addiction medicine experienced it more often. Although 59% of the respondents had seen adverse consequences due to resource scarcity, severe consequences were rare. Moral distress levels were generally low (2.9 on a 0–10 scale), but higher in selected groups (redeployed, managers and working in psychiatry/addiction medicine). Backing from existing collegial and managerial structures and routines, such as discussions with colleagues and receiving updates and information from managers that listened and acted upon feedback, were found more helpful than external support mechanisms. Priority-setting guidelines were also helpful.Discussion:By including all medical specialties, nurses and physicians, and various institutions, the study provides information on how the COVID-19 mitigation also influenced those not directly involved in the COVID-19 treatment of patients. In the next stages of the pandemic response, support for healthcare professionals directly involved in outbreak-affected patients, those redeployed or those most impacted by mitigation strategies must be a priority.Conclusion:Empirical research of healthcare workers experiences under a pandemic are important to identify groups at risks and useful support mechanisms. (shrink)

One important aspect of the nurse-patient relationship is nurses’ attitudes towards their patients. Nurses’ attitudes towards people with dementia have been studied from a wide range of approaches, but few authors have focused on the structure of these attitudes. This study aimed to identify a structure in licensed practical nurses’ attitudes towards people with dementia. Twenty-one group dwelling units for people with dementia at 11 nursing homes participated in the study. A total of 1 577 assessments of 178 patients were (...) sent out to 181 respondents and 1 237 answers were returned. The semantic differential technique was used. The scale had 57 bipolar pairs of adjectives that estimate an unknown number of dimensions of nurses’ attitudes towards an identified patient. The assessments were analysed using entropy-based measures of association combined with structural plots. The analysis revealed four dimensions, which related to licensed practical nurses’ opinions of the patients: an ethical and aesthetic dimension; an ability to understand; an ability to experience; and an ability for social interaction. The results of the study indicated that, on the positive to negative attitude continuum, the nurses’ attitudes fell at the positive to neutral end. This is an important finding owing to the personhood perspective, from which it is reasonable to assume that, with a more positive attitude to people with dementia, the prerequisites for person-centred care will improve. (shrink)

A conceptual analysis of falsificationism is performed, in which the central falsificationist thesis is divided into several components. Furthermore, an empirical study of falsification in science is reported, based on the 70 scientific contributions that were published as articles in Nature in 2000. Only one of these articles conformed to the falsificationist recipe for successful science, namely the falsification of a hypothesis that is more accessible to falsification than to verification. It is argued that falsificationism relies on an incorrect view (...) of the nature of scientific inquiry and that it is, therefore, not a tenable research methodology. (shrink)

This article investigates how the Norwegian author Karl Ove Knausgård in My struggle uses his existential reading of 1914 and World War I to nuance our general understanding of the war. Knausgård wants to demonstrate that the collective enthusiasm, which took millions of men by storm, was existentially motivated. The war was able to give the soldiers a sense of meaning, a project and a community; feelings they needed in their civilian lives. Furthermore, Knausgård uses his reading of World (...) War I to make a connection between the soldier’s fight and his own struggle. On the basis of his existential reading of World War I, Knausgård is able to formulate a literary poetics and existential experience. Therefore, Knausgård is able to actualize World War I. (shrink)

The founder of the eponymous engineering firm, which continues to realize seminal projects around the world, Ove Arup is widely acknowledged as one of the most significant engineers of his time. Generated over the course of his illustrious career, these lectures, essays, and interviews broadlyshare several themes: insight into Arup's thinking on the nature of good design, quality and value in the built environment, and the growing need for better collaboration between engineers, architects, and contractors in order to exploit technological (...) advances in materials and methods, while at the same time reducing the environmental impact of building. These chronologically arranged essays span five decades, and many of the themes they address are as relevant today as they were when first produced. Illustrating wisdom, practical problem solving, and Arup's philosophical approach, this book is a necessary and long-overdue addition to the library of anyone who has a passion for, and an interest in, the principles of great design. (shrink)

[1]. Antikken -- 2. Middelalder, Renessanse.

We study finite ℓ‐colourable structures with an underlying pregeometry. The probability measure that is used corresponds to a process of generating such structures by which colours are first randomly assigned to all 1‐dimensional subspaces and then relationships are assigned in such a way that the colouring conditions are satisfied but apart from this in a random way. We can then ask what the probability is that the resulting structure, where we now forget the specific colouring of the generating process, has (...) a given property. With this measure we get the following results: (1) A zero‐one law. (2) The set of sentences with asymptotic probability 1 has an explicit axiomatisation which is presented. (3) There is a formula (not directly speaking about colours) such that, with asymptotic probability 1, the relation “there is an ℓ‐colouring which assigns the same colour to x and y” is defined by. (4) With asymptotic probability 1, an ℓ‐colourable structure has a unique ℓ‐colouring (up to permutation of the colours). (shrink)

This classic remains one of Karl Popper's most wide-ranging and popular works, notable not only for its acute insight into the way scientific knowledge grows, but also for applying those insights to politics and to history.

Kant's Reason develops a novel interpretation of Kant’s conception of reason and its philosophical significance, focusing on two claims. First, it argues that Kant presents a powerful model for understanding the unity of theoretical and practical reason as two manifestations of a unified capacity for theoretical and practical understanding (or “comprehension”). This model allows us to do justice to the deep commonalities between theoretical and practical rationality, without reducing either to the other. In particular, through it, we see why the (...) activities of both theoretical and practical reason are governed by a version of the Principle of Sufficient Reason, while also seeing why reason is essentially autonomous. At the same time, Kant's Reason also reads Kant as presenting us with a compelling picture of the role that reason (as a capacity or power) should play in a systematic approach to foundational philosophical questions. In doing so, it argues for an account of the fundamental norms that apply to rational beings that treats as fundamental neither substantive reasons or values nor merely structural rationality, but instead a robust conception of reason as a power or capacity — namely, the capacity for theoretical and practical understanding. The result is a form of “rational constitutivism” – one which contrasts both with the forms of “reasons fundamentalism” that are currently fashionable and the forms of “agency-first constitutivism” that have dominated much of Kantian metaethics. In this sense, the aim of the book is to vindicate Kant’s insistence that his philosophy represents nothing more or less than reason’s implicit self-understanding coming to explicit and systematic self-consciousness. (shrink)

Described by the philosopher A.J. Ayer as a work of 'great originality and power', this book revolutionized contemporary thinking on science and knowledge. Ideas such as the now legendary doctrine of 'falsificationism' electrified the scientific community, influencing even working scientists, as well as post-war philosophy. This astonishing work ranks alongside The Open Society and Its Enemies as one of Popper's most enduring books and contains insights and arguments that demand to be read to this day.

This article is an attempt at a systematic account of decision making under greater uncertainty than what traditional, mathematically oriented decision theory can cope with. Four components of great uncertainty are distinguished: (1) the identity of the options is not well determined (uncertainty of demarcation) ; (2) the consequences of at least some option are unknown (uncertainty of consequences); (3) it is not clear whether information obtained from others, such as experts, can be relied on (uncertainty of reliance); and (4) (...) the values relevant for the decision are not determined with sufficient precision (uncertainty of values). Some possible strategy types are proposed for each of these components. Decisions related to environmental issues are used to illustrate the proposals. (shrink)

The AGM theory of belief contraction is extended tomultiple contraction, i.e. to contraction by a set of sentences rather than by a single sentence. There are two major variants: Inpackage contraction all the sentences must be removed from the belief set, whereas inchoice contraction it is sufficient that at least one of them is removed. Constructions of both types of multiple contraction are offered and axiomatically characterized. Neither package nor choice contraction can in general be reduced to contractions by single (...) sentences; in the finite case choice contraction allows for reduction. (shrink)

Dieses Buch ist die erfolgreichste Einführung in die Philosophie der Nachkriegszeit. Ein klassischer Text eines bedeutenden Philosophen dieses Jahrhunderts. Ausgehend von der Strittigkeit der Philosophie werden in 12 Vorträgen Grundlagen und Bedingungen des Philosophierens entfaltet. Im Anhang werden Lektürevorschläge zum eigenen philosophischen Studium gegeben. (Ec).

Clear-cut cases of decision-making under risk (known probabilities) are unusual in real life. The gambler’s decisions at the roulette table are as close as we can get to this type of decision-making. In contrast, decision-making under uncertainty (unknown probabilities) can be exemplified by a decision whether to enter a jungle that may contain unknown dangers. Life is usually more like an expedition into an unknown jungle than a visit to the casino. Nevertheless, it is common in decision-supporting disciplines to proceed (...) as if reasonably reliable probability estimates were available for all possible outcomes, i.e. as if the prevailing epistemic conditions were analogous to those of gambling at the roulette table. This mistake can be called the tuxedo fallacy. It is argued that traditional engineering practices such as safety factors and multiple safety barriers avoid this fallacy and that they therefore manage uncertainty better than probabilistic risk analysis (PRA). PRA is a useful tool, but it must be supplemented with other methods in order not to limit the analysis to dangers that can be assigned meaningful probability estimates. (shrink)

It is almost universally acknowledged that risks have to be weighed against benefits, but there are different ways to perform the weighing. In conventional risk analysis, collectivist risk-weighing is the standard. This means that an option is accepted if the sum of all individual benefits outweighs the sum of all individual risks. In practices originating in clinical medicine, such as ethical appraisals of clinical trials, individualist risk-weighing is the standard. This implies a much stricter criterion for risk acceptance, namely that (...) the risk to which each individual is exposed should be outweighed by benefits for that same individual. The different choices of risk-weighing methods in different policy areas seem to have emerged from traditional thought patterns and social relations, rather than from explicit deliberations on possible justifications for the alternative ways to weigh risks against benefits. It is not obvious how the prevalent differences in risk-weighing practices can be reconstructed in terms of consistent underlying principles of preventive health or social priority-setting. (shrink)

First published in French, Marx's The Poverty of Philosophy (1847) was composed during his years in Brussels, when he was developing his economic views and, through confrontations with the chief leaders of the working-class movement, establishing his intellectual standing. In this classic work, which laid the foundation of ideas later developed in Capital, Marx polemicized against then premier French socialist, Pierre-Joseph Proudhon. Proudhon wanted to unite the best features of such contraries as competition and monopoly. He hoped to save the (...) good features of economic institutions while eliminating the bad. Marx, however, declared that no equilibrium was possible between the antagonisms in any given economic system. Social structures were transient historical forms determined by the productive forces: "The handmill gives you society with the feudal lord; the stream mill, society with the industrial capitalist.". (shrink)

First published in French, Marx's The Poverty of Philosophy (1847) was composed during his years in Brussels, when he was developing his economic views and, through confrontations with the chief leaders of the working-class movement, establishing his intellectual standing. In this classic work, which laid the foundation of ideas later developed in Capital, Marx polemicized against then premier French socialist, Pierre-Joseph Proudhon. Proudhon wanted to unite the best features of such contraries as competition and monopoly. He hoped to save the (...) good features of economic institutions while eliminating the bad. Marx, however, declared that no equilibrium was possible between the antagonisms in any given economic system. Social structures were transient historical forms determined by the productive forces: "The handmill gives you society with the feudal lord; the stream mill, society with the industrial capitalist.". (shrink)

Marx and Engels's Communist Manifesto has become one of the world’s most influential political tracts since its original 1848 publication. Part of the Rethinking the Western Tradition series, this edition of the Manifesto features an extensive introduction by Jeffrey C. Isaac, and essays by Vladimir Tismaneanu, Steven Lukes, Saskia Sassen, and Stephen Eric Bronner, each well known for their writing on questions central to the Manifesto and the history of Marxism. These essays address the Manifesto's historical background, its impact on (...) the development of twentieth-century Communism, its strengths and weaknesses as a form of ethical critique, and its relevance in the post-1989, post-Cold War world. This edition also includes much ancillary material, including the many Prefaces published in the lifetimes of Marx and Engels, and Engels's "Principles of Communism.". (shrink)

In this article, we discuss and compare various positions in leadership theory through the perspective of Kierkegaard’s modes of existence. After a brief presentation of the three modes of existence—aesthetic, ethical and religious—and a description of the ironic–reflective interpretation of the change process, we synthesize leadership theories into the three main positions of instrumental, responsible and spiritual. Later, we compare and integrate the different positions in leadership theory with the three modes of existence. We argue that the various positions in (...) leadership theory represent different modes of existence. This means that leaders anchored within the aesthetical mode of existence tend to prefer the instrumental position, leaders anchored in the ethical mode of existence tend to prefer the responsible position, and leaders anchored in the religious mode of existence tend to prefer the spiritual position. In accordance with this line of reasoning the ironic–reflective interpretation of Kierkegaard’s three modes of existence gives a relevant explanation for development of leadership theory, and we delve deeper into some key dimensions in the expanding contexts of ontology, epistemology, ethics, the image of man and organizational ends. We conclude that it is necessary to start a process of transition in the mode of existence and in leadership theory in order to cope with the underlying patterns of the natural, cultural and economic crises we are facing today. (shrink)

Karl Pfeifer attempts to present a coherent view of panentheism that eschews Pickwickian senses of “in” and aligns itself with, and builds upon, familiar diagrammed portrayals of panentheism. The account is accordingly spatial-locative and moreover accepts the proposal of R.T. Mullins that absolute space and time be regarded as attributes of God. In addition, however, it argues that a substantive parthood relation between the world and God is required. Pfeifer’s preferred version of panpsychism, viz. panintentionalism, is thrown into the (...) mix as an optional add-on. On this account, God is conceived of as a “spiritual field” whose nature can be made more intelligible by regarding “God” as having a mass-noun sense in some contexts. Pfeifer closes with the suggestion that we look to topology and mereology for further development of the position outlined in his paper. (shrink)

On its publication in 1957, _The Poverty of Historicism_ was hailed by Arthur Koestler as 'probably the only book published this year which will outlive the century.' A devastating criticism of fixed and predictable laws in history, Popper dedicated the book to all those 'who fell victim to the fascist and communist belief in Inexorable Laws of Historical Destiny.' Short and beautifully written, it has inspired generations of readers, intellectuals and policy makers. One of the most important books on the (...) social sciences since the Second World War, it is a searing insight into the ideas of this great thinker. (shrink)

First published in 1986. Routledge is an imprint of Taylor & Francis, an informa company.

‘If in this book harsh words are spoken about some of the greatest among the intellectual leaders of mankind, my motive is not, I hope, to belittle them. It springs rather from my conviction that, if our civilization is to survive, we must break with the habit of deference to great men.’ - Karl Popper, from the Preface Written in political exile during the Second World War and first published in two volumes in 1945, Karl Popper’s _The Open (...) Society and Its Enemies _is one of the most influential books of all time. Hailed by Bertrand Russell as a ‘vigorous and profound defence of democracy’, its now legendary attack on the philosophies of Plato, Hegel and Marx exposed the dangers inherent in centrally planned political systems and through underground editions become an inspiration to lovers of freedom living under communism in Eastern Europe. Popper’s highly accessible style, his erudite and lucid explanations of the thoughts of great philosophers and the recent resurgence of totalitarian regimes around the world are just three of the reasons for the enduring popularity of _The Open Society and Its Enemies_ and why it demands to be read today and in years to come. (shrink)

A number of logicians and philosophers have turned their attention in recent years to the problem of developing a logic of interrogatives. Their work has thrown a great deal of light on the formal properties of questions and question-sentences and has led also to interesting innovations in our understanding of the structures of performatives in general and, for example, in the theory of presuppositions. When, however, we examine the attempts of logicians such as Belnap or Åqvist to specify what, precisely, (...) a question is, or what it is to ask or raise a question, then what we are offered is somewhat less illuminating. Two alternative reductionist accounts seem in particular to have gained most favor: questions are identified either as special sorts of statements, or as special sorts of requests. As we hope will become clear in what follows, neither of these accounts is even nearly adequate; and matters are not improved if questions are identified, by force majeure, as combinations of statements and requests. (shrink)

The aim in this article is to widen the understanding of the significance of morality in the Norwegian social formation by comparing it with the French and the American case. After the introductory discussion of the new sociology of morality, previous findings from a study of the Norwegian middle class are reported. A short presentation of republicanism in France and Americanism in USA is followed by an analysis of the cultural and structural peculiarities of the Norwegian case, arguing that the (...) content of the Norwegian middle class morality should be seen in light of the egalitarian tradition. Finally, by way of comparison the article points to possible ways the different configuration of values might be transferred institutionally. (shrink)

Karl Jaspers gehört zu den Ziehvätern der Psychopathologie, einer der Grundlagenwissenschaften der Psychiatrie. In diesem Zusammenhang wird gemeinhin auf sein systematisches Lehrbuch verwiesen, die Allgemeine Psychopathologie von 1913. Die wesentlichen Züge seiner Methodologie und den Gegenstand der neuen Wissenschaft fixierte Jaspers jedoch schon in den hier versammelten Arbeiten, die zwischen 1909 und 1913 erschienen: Seine Kritik am dominanten Reduktionismus und an der damals noch jungen Psychoanalyse sind in diesen Texten bereits gültig formuliert, ebenso - und nicht zuletzt - die (...) Dichotomie zwischen Erklären und Verstehen. Neben der Dissertation “Heimweh und Verbrechen” enthält der vorliegende Band unter anderem den bahnbrechenden und wirkungsvollen Aufsatz “Die phänomenologische Forschungsrichtung in der Psychiatrie” sowie die bis heute kontrovers diskutierte Abhandlung “Kausale und 'verständliche' Zusammenhänge zwischen Schicksal und Psychose bei der Dementia praecox (Schizophrenie)”. Der Kommentar verortet die einzelnen Beiträge sowohl im wissenschaftshistorischen als auch im werkgeschichtlichen Kontext. (Quelle: buchhandel.de). (shrink)

Observations from philosophy and psychology heavily favor the Empiricist tenet that many lexical concepts are learned. However, many observations also heavily favor the Nativist tenet that such concepts are representationally atomic. Fodor Representations: Philosophical essays on the foundations of cognitive science, 1981, LOT2: The language of thought revisited, 2008) has famously argued that representationally atomic concepts cannot be learned, at least not learned by hypothesis formation and testing. Concept theorists who want to preserve observations about concept learning have developed acquisition (...) models on which the acquired concepts are either non-atomic or are acquired by a process that doesn’t involve hypothesis formation and testing. I offer a model, Baptizing Meanings for Concepts, in which representationally atomic concepts are learned by hypothesis formation and testing. The concepts are learned by the agent’s hypothesizing the existence of a latent/hidden/imperceptible property in objects to explain the objects’ perceptible similarities. Once a hidden property is hypothesized, a new atomic mental name is assigned to it, and this atomic name becomes the concept. Any connections between the name and the representations involved in linking the name to its referent are stored as contingent. Further experience may give the agent reason to revise its hypotheses about latent properties as explanations for its observations. I discuss a software robot implementation of the BMC process that uses a Bayesian learning network. The implementation provides an existence proof of the possibility of learning representationally atomic concepts by hypothesis formation and testing. (shrink)

Observations from philosophy and psychology heavily favor the Empiricist tenet that many lexical concepts are learned. However, many observations also heavily favor the Nativist tenet that such concepts are representationally atomic. Fodor Representations: Philosophical essays on the foundations of cognitive science, 1981, LOT2: The language of thought revisited, 2008) has famously argued that representationally atomic concepts cannot be learned, at least not learned by hypothesis formation and testing. Concept theorists who want to preserve observations about concept learning have developed acquisition (...) models on which the acquired concepts are either non-atomic or are acquired by a process that doesn’t involve hypothesis formation and testing. I offer a model, Baptizing Meanings for Concepts, in which representationally atomic concepts are learned by hypothesis formation and testing. The concepts are learned by the agent’s hypothesizing the existence of a latent/hidden/imperceptible property in objects to explain the objects’ perceptible similarities. Once a hidden property is hypothesized, a new atomic mental name is assigned to it, and this atomic name becomes the concept. Any connections between the name and the representations involved in linking the name to its referent are stored as contingent. Further experience may give the agent reason to revise its hypotheses about latent properties as explanations for its observations. I discuss a software robot implementation of the BMC process that uses a Bayesian learning network. The implementation provides an existence proof of the possibility of learning representationally atomic concepts by hypothesis formation and testing. (shrink)

Rousseau's philosophy of education is contained not only in Emile , but also in The Government of Poland . In each of them he emphasises different aspects of education: How to be a human being? And: How to be a citizen? The main theme investigated by Rousseau in The Government of Poland, is how a minor nation surrounded by such major powers as Russia, Prussia and Austria can ensure its survival? Not having the option of defending itself against its powerful (...) neighbours by military means, Rousseau's advice is to found the Polish nation in the hearts of the Polish people, primarily through citizenship education. However, Poland was finally divided between its neighbours in 1795. Rousseau's writing The Government of Poland can shed some light on the Danish situation after losing the war to Prussia and Austria in 1864. With its defeat Denmark did not disappear, as did Poland, but the territory of the United Monarchy was almost halved by the loss of the duchies of Schleswig and Holstein. After the war some of the same defence strategies and educational ideas as Rousseau had recommended to Poland became important in Denmark. In light of Rousseau's ideas about citizenship education this article will explore the Danish way of trying to establish the nation in the hearts of the people throughout the 20th century. Today the question is: How to understand the conception of self‐determination in the context of establishing European political unity? In his analysis Habermas directs our attention to some of the same dilemmas that Rousseau had dealt with 200 years earlier. Habermas’ advice is to give the European spirit a republican form. (shrink)

Rousseau's philosophy of education is contained not only in Emile (1762), but also in The Government of Poland (1772). In each of them he emphasises different aspects of education: How to be a human being? And: How to be a citizen? The main theme investigated by Rousseau in The Government of Poland, is how a minor nation surrounded by such major powers as Russia, Prussia and Austria can ensure its survival? Not having the option of defending itself against its powerful (...) neighbours by military means, Rousseau's advice is to found the Polish nation in the hearts of the Polish people, primarily through citizenship education. However, Poland was finally divided between its neighbours in 1795. Rousseau's writing The Government of Poland can shed some light on the Danish situation after losing the war to Prussia and Austria in 1864. With its defeat Denmark did not disappear, as did Poland, but the territory of the United Monarchy was almost halved by the loss of the duchies of Schleswig and Holstein. After the war some of the same defence strategies and educational ideas as Rousseau had recommended to Poland became important in Denmark. In light of Rousseau's ideas about citizenship education this article will explore the Danish way of trying to establish the nation in the hearts of the people throughout the 20th century. Today the question is: How to understand the conception of self‐determination in the context of establishing European political unity? In his analysis Habermas directs our attention to some of the same dilemmas that Rousseau had dealt with 200 years earlier. Habermas’ advice is to give the European spirit a republican form. (shrink)

The basic theme of Popper's philosophy--that something can come from nothing--is related to the present situation in physical theory. Popper carries his investigation right to the center of current debate in quantum physics. He proposes an interpretation of physics--and indeed an entire cosmology--which is realist, conjectural, deductivist and objectivist, anti-positivist, and anti-instrumentalist. He stresses understanding, reminding us that our ignorance grows faster than our conjectural knowledge.

In the first part of this paper, I clear the ground from frequent misconceptions of the relationship between fact and value by examining some uses of the adjective “natural” in ethical controversies. Such uses bear evidence to our “natural” tendency to regard nature as the source of ethical norms. I then try to account for the origins of this tendency by offering three related explanations, the most important of which is evolutionistic: if any behaviour that favours our equilibrium with the (...) environment is potentially adaptive, nothing can be more effective for this goal than developing an attitude toward the natural world that considers it as a dispenser of sacred norms that must be invariably respected. By referring to the Aristotelian notion of human flourishing illustrated in the first part of the paper, in the second I discuss as a case study some ethical problems raised by mini-chips implantable in our bodies. I conclude by defending their potential beneficial effects of such new technological instruments. (shrink)