The essay presents Giorgio Agamben’s theory of the paradigm in the first chapter of The Signature of All Things. On Method in order to better understand the well-known use of references to and qoutations from literature in philosophical reasoning and theory. Agamben’s uncommented reference to two short stanzas from Wallace Stevens’ poem “Description without Place”, which he consider the best definition of a paradigmatic ontology, is briefly commented. A gathering of three ‘literary singularities’ from Friedrich Hölderlin/Sophocles, James Joyce, and Samuel (...) Beckett in a suggested paradigm on time is presented as an example of a solely literary way of philosophical thinking. (shrink)

THE WORK OF ART AS COUNTER-VALUE: ASGER JORN'S CRITIQUE OF MARX'S ECONOMISK VALUE-THINKING IN CAPITALAs one of the rather significant and influential Modernist and Avant-garde artists of the 20th century Asger Jorn is internationally well-known and admired. Lesser known – or lesser accepted in the reception of his work – is the fact that his many critical writings on art, philosophy, and politics as well as his archives and political activism are integrated and important parts of his entire artwork. For (...) the first time in the reception of Jorn’s critical thinking the essay examines his Situationist criticism of Marx’ concepts of value, as outlined in the commodity analysis in Capital vol. 1, by regarding it a crucial example of his understanding of counter value as the only or most prominent quality of the artwork as such. (shrink)

Limiting intensive care is paid increasing attention. In the echoing call for physicians’ ethical self‐restriction, it is easily overlooked, however, that ethics needs a critical epistemological analysis before it can suffice as an emergency brake to futile treatment. This analysis is provided by the present essay. The authors suggest that the difficulties of resolving moral dilemmas related to limiting intensive care may just be due to the unclarified epistemological status of moral claims. Even if normative ethics cannot prescribe right decisions, (...) but only draw conclusions from defined premises, the premises may or may not be true. Their intertwined descriptive and normative evidence is endorsed in an academic and political discourse. There will necessarily be various demands for rationality in prudent decisions between physicians, their patients and society. These demands are formulated dialogically through critical questions and justified answers. A good argument is the convincing one that, finally and ideally, leads to the absence of open objections. Thus, in the end the rightness of a given decision does not depend on axiomatic moral principles, but is comparative and conditional, as it is given in an omnilateral argument. Neither is it the democratic process of shared decision making that we should evaluate, but rather the argumentative state itself, when we judge the morality of health politics and clinical practice. (shrink)

_English summary_ This article investigates the impact of moral statistics on suicide in Denmark in the 19. century. Championed as a new European social science, moral statistics was able to reveal statistical regularity on social and moral issues – such as suicide. Statistics proved, firstly, that Denmark experienced one of the highest suicide rates in Europe. Secondly, as demonstrated in 1846 by the Danish physician C. J. Kayser, statistics uncovered that suicides over time occurred regularly in the case of frequency, (...) gender distribution, method of self-killing etc.. This new knowledge encouraged Danish statisticians and physicians to look for societal causes rather than the former theological focus on individual sin. The statistical representations of suicide paved the way for two different interpretations of suicide in the second half of the 19. century, one of which linked suicide rates to the evils of modernisation and secularisation of society, emphasizing drunkenness, alcoholism, and moral decline as causes of suicide. Another, less prevalent, explanation stressed the social and economic inequality of industrialisation as the cause of rising suicide rates. ‘The moral explanation’ prevailed and the official statistical reports as well as newspaper articles was clearly affected by the idea that the rising suicide rates of the 19. century reflected an attack on core values of bourgeois society; moral, sobriety and religion. This way suicide statistics was embedded in a broader social representation reflecting a fear of breakdown of traditional values in modern society. (shrink)

The World Health Organization has declared a world pandemic due to COVID-19. In response, most affected countries have enacted measures involving compulsory confinement and restrictions on free movement, which likely influence citizens' lifestyles. This study investigates changes in health risk behaviors with duration of confinement. An online cross-sectional survey served to collect data about the Spanish adult population regarding health behaviors during the first 3 weeks of confinement. A large sample of participants from all Spanish regions completed the survey. Binomial (...) logistic regressions adjusted for socioeconomic characteristics, body mass index, previous HRBs, and confinement context were conducted to investigate associations between the number of weeks confined and a set of six HRBs. When adjusted, we observed significantly lower odds of experiencing a higher number of HRBs than before confinement overall in a time-dependent fashion: OR 0.63; 95% CI: 0.49–0.81 for the second and OR 0.47; 95% CI: 0.36–0.61 for the third week of confinement. These results were equally consistent in all age and gender subgroup analyses. The present study indicates that changes toward a higher number of HRBs than before confinement, as well as the prevalence of each HRB except screen exposure, decreased during the first 3 weeks of COVID-19 confinement, and thus the Spanish adult population may have adapted to the new situational context by gradually improving their health behaviors. (shrink)

BackgroundDecision-making in out-of-hospital cardiac arrest should ideally include clinical and ethical factors. Little is known about the extent of ethical considerations and their influence on prehospital resuscitation. We aimed to determine the transparency in medical records regarding decision-making in prehospital resuscitation with a specific focus on ethically relevant information and consideration in resuscitation providers’ documentation.MethodsThis was a Danish nationwide retrospective observational study of out-of-hospital cardiac arrests from 2016 through 2018. After an initial screening using broadly defined inclusion criteria, two experienced (...) philosophers performed a qualitative content analysis of the included medical records according to a preliminary codebook. We identified ethically relevant content in free-text fields and categorised the information according to Beauchamp and Childress’ four basic bioethical principles: autonomy, non-maleficence, beneficence, and justice. ResultsOf 16,495 medical records, we identified 759 (4.6%) with potentially relevant information; 710 records (4.3%) contained ethically relevant information, whereas 49 did not. In general, the documentation was vague and unclear. We identified four kinds of ethically relevant information: patients’ wishes and perspectives on life; relatives’ wishes and perspectives on patients’ life; healthcare professionals’ opinions and perspectives on resuscitation; and do-not-resuscitate orders. We identified some “best practice” examples that included all perspectives of decision-making. ConclusionsThere is sparse and unclear evidence on ethically relevant information in the medical records documenting resuscitation after out-of-hospital cardiac arrests. However, the “best practice” examples show that providing sufficient documentation of decision-making is, in fact, feasible. To ensure transparency surrounding prehospital decisions in cardiac arrests, we believe that it is necessary to ensure more systematic documentation of decision-making in prehospital resuscitation. (shrink)

In the work of both Ludwik Fleck and Thomas Kuhn the scientific literature plays important roles for stability and change of scientific phenomenal worlds. In this article we shall introduce the analyses of scientific literature provided by Fleck and Kuhn, respectively. From this background we shall discuss the problem of how divergent thinking can emerge in a dogmatic atmosphere. We shall argue that in their accounts of the factors inducing changes of scientific phenomenal worlds Fleck and Kuhn offer substantially different (...) approaches, and we shall discuss in which respects their approaches may be compatible. (shrink)

The paper develops a new holistic theory of the word by integrating semiotic, linguistic, and psychological perspectives and introduces the Cogitative-Sensory Word Model, the CogSens Model, that unites the human mind and body. Saussure’s two-sided sign is replaced by a Peirce-inspired three-sided conception in which the expression unit mediates two content units, namely, an idea content connected to the human mind and an image content linked to the human body. It is argued that it is the word that makes human (...) language a unique tool of communication. Moreover, it is demonstrated how words interact with grammar to create an utterance. Finally, it is suggested that speech perception, i.e., fission of idea and image content, is the mirror image of speech production, i.e., fusion of idea and image content. (shrink)

This paper argues that a naturalized epistemology of the kind presented by W.V. Quine preserves everything worthwhile in traditional epistemology. Arguments against Quinean naturalism by such writers as Laurence BonJour, Jaegwon Kim, Richard Rorty, Barry Stroud, and Donald Davidson are criticized. Contrary to what is sometimes assumed, Quinean naturalism does not reject a priori justification. The important point is that epistemology is contained in science. There is no ‘first philosophy’, and, in particular, epistemology is not a normative discipline. Nevertheless, there (...) is a sense in which Quinean naturalism provides an answer to Cartesian scepticism. (shrink)

Contemporary discourses of management are full of encouragements to ‘expect the unexpected’ and to celebrate ‘the future of the future’. Many new public managerial technologies of change – such as steering labs, future games, and managerial performance arts – promise the co-creative ‘potentialization’ of employees, citizens and organizations. This paper approaches such potentialization technologies as immune mechanisms which serve to protect the social system from itself. From a perspective inspired by autopoietic systems theory, potentialization technologies provide autoimmunity by problematizing institutional (...) structures and providing ‘anti-structural’ space-times to facilitate transformation. There is a price to pay for this immune function, however, since these immune mechanisms cannot discriminate between productive and unproductive structures. By dissolving the certainty of the expectations that underlie the connectivity of diverse organizational operations, they risk harming the welfare systems that host them. (shrink)

The doctrine of the moral equality of combatants holds that combatants on either side of a war have equal moral status, even if one side is fighting a just war while the other is not. This chapter examines arguments that have been offered for and against this doctrine, including the collectivist position famously articulated by Walzer and McMahan’s influential individualist critique. We also explore collectivist positions that have rejected the moral equality doctrine and arguments that some individualists have offered in (...) its favor. We defend a non-categorical version of the moral equality doctrine, according to which combatants on either side of a just war sometimes (but not always) have equal moral status. On our view, some degree of culpability is necessary for liability, and non-culpable combatants may therefore sometimes remain non-liable even when they fight for an unjust cause. (shrink)

Der Ubergang von der Ideenwelt des Veda zu derjenigen der Upanisaden wird in der Regel als Beginn der indischen Philosophie angesehen. Lars Gohler zeigt in seiner Monographie zur fruhen Philosophie in Indien, dass es neben den Upanisaden hingegen noch eine weitere Traditionslinie in der Entstehung der indischen Philosophie gegeben hat: Sie fuhrt von der Opferritualistik des Veda zu der ihr nachfolgenden Ritualwissenschaft und Hermeneutik der Mimamsa. Ein Grossteil der Begriffe der indischen Philosophie, die ursprunglich aus dem Bereich der Opferritualistik (...) stammen, wurden in der Mimamsa von ihrem engeren rituellen Gebrauch gelost und erhielten eine philosophische Dimension. Ebenso haben die Diskurslogik, Sprachphilosophie und Hermeneutik der Mimamsa in methodischer Hinsicht wichtige Ausgangspunkte fur die klassische Philosophie Indiens dargestellt. Gohler beleuchtet in seiner Studie detailliert diese weitgehend unbekannte Traditionslinie und zeigt ihren entscheidenden Einfluss auf die Entwicklung der indischen Philosophie auf. (shrink)

I Möten med historiens mångfald ger nästa generation av svenska historiker läsaren en inblick i sina pågående eller nyss avslutade forskningsarbeten.

A cornerstone of physics, Maxwell‘s theory of electromagnetism, apparently contains a fatal flaw. The standard expressions for the electromagnetic field energy and the self-mass of an electron of finite extension do not obey Einstein‘s famous equation, \, but instead fulfill this relation with a factor 4/3 on the left-hand side. Furthermore, the energy and momentum of the electromagnetic field associated with the charge fail to transform as a four-vector. Many famous physicists have contributed to the debate of this so-called 4/3-problem (...) without arriving at a complete solution. It has generally been assumed that, as originally suggested by Poincaré, the problems are connected to the question of stability of the charge distribution, and that relativistic equivalence between energy and self-mass can only be restored by inclusion of stabilizing forces. Alternative solutions to the problems have also been proposed. Nearly a century ago Fermi suggested a covariant definition of the electromagnetic energy and momentum, and sixty years later Kalckar et al. argued that the 4/3 problem is caused by omission of a relativistic correction in the standard evaluation of the self-force from Coulomb self-interaction. However, the relation between these suggestions has not been clear. We show that the relativistic correction implies that the mechanical momentum of an accelerated rigid body must be defined as the sum of the momenta of its parts for fixed time in the momentary rest frame of the body. For the total momentum of particles and field to be conserved, the total energy–momentum tensor must be divergence free, and this then requires that the momentum of the associated electromagnetic field be defined in the same way, consistent with the suggestion by Fermi. This comprehensive solution of the 4/3-problem demonstrates that there is no conflict of Maxwell‘s theory with special relativity and the questions of equivalence of electromagnetic energy and self-mass and of stability of a classical charge distribution are independent. In appendices we discuss the relations of our treatment with Fermi‘s seminal paper and with a classic paper by Dirac where he evaluated the damping self-force on a point electron from transport of energy and momentum in the electromagnetic field. (shrink)

The epistemological soundness of controlled clinical trials is questioned. It is argued that the real effect of therapies cannot be determined by such experiments because there is a significant interaction between the placebo effect and real effect created by the individual therapist and treatment situation which, however, is neglected in controlled clinical trials. This critical standpoint is supported by several pharmacological examples.

This article examines two current debates in Denmark—assisted suicide and the prioritization of health resources—and proposes that such controversial bioethical issues call for distinct philosophical analyses: first-order examinations, or an applied philosophy approach, and second-order examinations, what might be called a political philosophical approach. The authors argue that although first-order examination plays an important role in teasing out different moral points of view, in contemporary democratic societies, few, if any, bioethical questions can be resolved satisfactorily by means of first-order analyses (...) alone, and that bioethics needs to engage more closely with second-order enquiries and the question of legitimacy in general. (shrink)

guest editors' introduction to a special issue on techno-anthropology.

Nowadays, it is common that newly built hospitals are designed with single‐room accommodation, unlike in the past, where shared accommodation was the favoured standard. Despite this change in hospital design, very little is known about how single‐room accommodation affects nurses' work environment and nursing care. This study evaluates how the single‐room design affects nurses and nursing care in the single‐room hospital design. Nurses working in the single‐room design predominantly work alone with little opportunity for peer training, interaction and reflection. In (...) addition, the single‐room design affects the nurses' work environment due to changes in sensory stimulation and increased walking distances. Furthermore, a change in the discourse, namely, regarding the single room as the patient's home, makes the nurses react to queries, demands and tasks in a new way. Overall, the new hospital design forces the nurses into a more reactive role and affect their way of providing nursing care. Despite this, the nurses find single‐room accommodation beneficial for the patients and their nursing care. (shrink)