Objectives: The objective of this study is to estimate the proportion of different types of end‐of‐life decisions (ELDs) of physicians in the city of Hasselt (Flanders, Belgium). The question is addressed to what degree these ELD meet legal constraints and the ethical requirements for prudent practice.Methodology: All physicians of the city of Hasselt who signed at least one death certificate in 1996 (N=166) received an anonymous self‐administered mail questionnaire per death case (max. 5/doctor)Results: the response rate was 55% (N=269). In (...) 37.3% of all cases at least one ELD was made (16.5% non‐treatment decisions; 16% potential life‐shortening by intensifying the treatment of pain and symptoms; 4.8% administration, supply or prescription of lethal drugs). In 59.5% of the cases were an ELD was made that decision was legally questionable. Patient characteristics were clearly related to the type of ELD. There was no influence of physician characteristics, except for commitment to life‐stance. In 71.3% of the cases the ELD was in no way discussed with the patient. 8.1% of the ELD‐cases were in response to a direct request from the patientConclusions: The incidences of ELDs in Hasselt are consistent with earlier findings. The study shows that religious commitment influences the behaviour of physicians at the end of their patients' life. The patient's and her family's entitlements to participation in the decision making process were rather poorly respected. (shrink)

Objectives: The objective of this study is to estimate the proportion of different types of end‐of‐life decisions (ELDs) of physicians in the city of Hasselt (Flanders, Belgium). The question is addressed to what degree these ELD meet legal constraints and the ethical requirements for prudent practice. Methodology: All physicians of the city of Hasselt who signed at least one death certificate in 1996 (N=166) received an anonymous self‐administered mail questionnaire per death case (max. 5/doctor) Results: the response rate was 55% (...) (N=269). In 37.3% of all cases at least one ELD was made (16.5% non‐treatment decisions; 16% potential life‐shortening by intensifying the treatment of pain and symptoms; 4.8% administration, supply or prescription of lethal drugs). In 59.5% of the cases were an ELD was made that decision was legally questionable. Patient characteristics were clearly related to the type of ELD. There was no influence of physician characteristics, except for commitment to life‐stance. In 71.3% of the cases the ELD was in no way discussed with the patient. 8.1% of the ELD‐cases were in response to a direct request from the patient Conclusions: The incidences of ELDs in Hasselt are consistent with earlier findings. The study shows that religious commitment influences the behaviour of physicians at the end of their patients' life. The patient's and her family's entitlements to participation in the decision making process were rather poorly respected. (shrink)

Our ability to acknowledge and recognise our own identity - our 'self' - is a characteristic doubtless unique to humans. Where does this feeling come from? How does the combination of neurophysiological processes coupled with our interaction with the outside world construct this coherent identity? We know that our social interactions contribute via the eyes, ears etc. However, our self is not only influenced by our senses. It is also influenced by the actions we perform and those we see others (...) perform. Our brain anticipates the effects of our own actions and simulates the actions of others. In this way, we become able to understand ourselves and to understand the actions and emotions of others. -/- This book is the first to describe the new field of 'Motor Cognition' - one to which the author's contribution has been seminal. Though motor actions have long been studied by neuroscientists and physiologists, it is only recently that scientists have considered the role of actions in building the self. How consciousness of action is part of self-consciousness, how one's own actions determine the sense of being an agent, how actions performed by others impact on ourselves for understanding others, differentiating ourselves from them and learning from them: these questions are raised and discussed throughout the book, drawing on experimental, clinical, and theoretical bases. -/- The advent of new neuroscience techniques, like neuroimaging and direct electrical brain stimulation, together with a renewal of behavioral methods in cognitive psychology, provide new insights into this area. Mental imagery of action, self-recognition, consciousness of actions, imitation can be objectively studied using these new tools. The results of these investigations shed light on clinical disorders in neurology, psychiatry and in neuro-development. -/- This is a major new work that will lay down the foundations for the field of motor cognition. (shrink)

Several logical operators are defined as dual pairs, in different types of logics. Such dual pairs of operators also occur in other algebraic theories, such as mathematical morphology. Based on this observation, this paper proposes to define, at the abstract level of institutions, a pair of abstract dual and logical operators as morphological erosion and dilation. Standard quantifiers and modalities are then derived from these two abstract logical operators. These operators are studied both on sets of states and sets of (...) models. To cope with the lack of explicit set of states in institutions, the proposed abstract logical dual operators are defined in an extension of institutions, the stratified institutions, which take into account the notion of open sentences, whose satisfaction is parametrised by sets of states. A hint on the potential interest of the proposed framework for spatial reasoning is also provided. (shrink)

In this volume, three aspects are examined: a) normal subjects, where new findings on spatial behavior are described. b) brain-lesioned subjects, where the ...

We present in this paper an abstract categorical logic based on an abstraction of quantifier. More precisely, the proposed logic is abstract because no structural constraints are imposed on models (semantics free). By contrast, formulas are inductively defined from an abstraction both of atomic formulas and of quantifiers. In this sense, the proposed approach differs from other works interested in formalizing the notion of abstract logic and of which the closest to our approach are the institutions, which in addition to (...) be semantics free do not also impose any syntactic contingencies on the structure of formulas. To define the semantical framework in which formulas will be interpreted, we propose to follow the idea from categorical logic which defines the semantical interpretation of formulas from context and as subobjects of an object of a given category. In the spirit of Lawvere’s hyperdoctrines, we use a more abstract notion which generalizes the notion of subobject, standard in category theory: Pitt’s prop-categories. Always in the spirit of categorical logic, we propose a sequent calculus of which we show correctness and completeness for all semantical frameworks defined over any prop-categories. We then study some conditions which allow us to get this completeness result for particular classes of prop-categories. (shrink)

Serious concerns about pervasive, persistent, and unjustified social inequalities have prompted a small—but growing—number of academic commentators to raise some hard and troubling questions for those who would like to legalize physician-assisted suicide. In various ways, these commentators have asked: In light of existing social inequalities—inequalities that operate, for example, along sometimes intersecting lines of race, class, age, sex, and disability—how persuasive are autonomy-based arguments in favor of legalization of assisted suicide when those arguments depend on a conception of autonomy (...) that either presupposes social equality or does not expressly account for its absence? How compelling are arguments that we ought to legalize assisted suicide out of feelings of mercy for the sick and dying, when such affective expressions may actually be the socially acceptable manifestation of private ambivalence that includes merciless discrimination? (shrink)

:This paper questions the distinction between egalitarianism and prioritarianism, arguing that it is important to separate the reasons for particular social preferences from the contents of these preferences, that it is possible to like equality and separability simultaneously, and that some egalitarians and prioritarians may therefore share the same social preferences. The case of risky prospects, for which Broome has proposed an interesting example meant to show that egalitarians and prioritarians cannot share the same preferences, is scrutinized. The levelling down (...) objection is also examined. (shrink)

Logical puzzles like the doctrinal paradox raise the problem of how to aggregate individual judgements into a collective judgement, or alternatively, how to merge collectively inconsistent knowledge bases. In this paper, we view judgement aggregation as a function on propositional logic valuations, and we investigate how logic constrains judgement aggregation. In particular, we show that there is no non-dictatorial decision method for aggregating sets of judgements in a logically consistent way if the decision method is local, i.e., only depends on (...) the individual judgements on the proposition under consideration. (shrink)

In this article we present a new approach to practical artificial intelligence (AI) ethics in heavy industry, which was developed in the context of an EU Horizons 2020 multi partner project. We begin with a review of the concept of Industry 4.0, discussing the limitations of the concept, and of iterative categorization of heavy industry generally, for a practical human centered ethical approach. We then proceed to an overview of actual and potential AI ethics approaches to heavy industry, suggesting that (...) current approaches with their emphasis on broad high-level principles are not well suited to AI ethics for industry. From there we outline our own approach in two sections. The first suggests tailoring ethics to the time and space situation of the shop floor level worker from the ground up, including giving specific and evolving ethical recommendations. The second describes the ethicist’s role as an ethical supervisor immersed in the development process and interpreting between industrial and technological (tech) development partners. In presenting our approach we draw heavily on our own experiences in applying the method in the Use Cases of our project, as examples of what can be done. (shrink)

This ethnographic study of political life in the department of the Yonne, in the Burgundy region, explores a still richly Balzacian provincial world. The author, a French anthropologist, has extensive field experience in Ethiopia. Deploying the insights and methods of social anthropology by drawing on local history, interviews and participant observation, Abélès describes politicians at every level, from municipal officers to Members of Parliament and Ministers. He provides a clear picture of the process of 'decentralization' initiated by the Socialist government (...) in 1982, and undermines the simplistic notion of 'centralist France'. This book, which develops a fresh perspective on political life in France, past and present, illustrates more generally an exciting approach to modern political phenomena, from the point of view of anthropology. (shrink)

Deleuze's readings of Hume, Spinoza, Bergson and Nietzsche respond to philosophical critiques of classical and modern empiricism. However, Deleuze's arguments against those critiques - by Kant, Hegel, Husserl and Heidegger - consolidate the philosophy of immanence that can be called 'transcendental empiricism'. Marc Rolli offers us a detailed examination of Gilles Deleuze's philosophy of transcendental empiricism. He demonstrates that Deleuze takes up and radicalises the empiricist school of thought developing a systematic alternative to the mainstreams of modern continental philosophy.

George Berkeley, Bishop of Cloyne, was an Irish philosopher and divine who pursued a number of grand causes, contributing to the fields of economics, mathematics, political theory and theology. He pioneered the theory of 'immaterialism', and his work ranges over many philosophical issues that remain of interest today. This volume offers a complete and accurate edition of Berkeley's extant correspondence, including letters written both by him and to him, supplemented by extensive explanatory and critical notes. Alexander Pope famously said 'To (...) Berkeley every virtue under heaven', and a careful reading of the letters reveals a figure worthy of admiration, sheds new light on his personal and intellectual life, and provides insight into the broad historical and philosophical currents of his time. The volume will be an invaluable resource for philosophers, modern historians and those interested in Anglo-Irish culture. (shrink)

Why do physicians have financial conflicts of interest? They arise because society expects physicians to act in their patients’ interest, while simultaneously, financial incentives encourage physicians to practice medicine in ways that promote their own interests or those of third parties. Because physicians’ clinical choices, referrals, and prescriptions affect the fortune of third parties, these third parties may offer physicians financial incentives to make income-driven clinical choices. In the past, physicians and scholars typically conceived of conflicts of interest as an (...) ethical issue to be resolved according to individual judgment or professional and organizational norms. However, society can mitigate or eliminate conflicts of interest by changing financial and organizational arrangements in medicine. Conflicts of interest, therefore, are as much matters of public policy and management as individual choices or social norms. (shrink)

This paper argues that Rawls’ principles of justice provide a normative foundation for stakeholder theory. The principles articulate (at an abstract level) citizens’ rights; these rights create interests across all aspects of society, including in the space of economic activity; and therefore, stakeholders – as citizens – have legitimate interests in the space of economic activity. This approach to stakeholder theory suggests a political interpretation of Boatright’s Moral Market approach, one that emphasizes the rights/place of citizens. And this approach to (...) stakeholder theory – in terms of citizens – raises a further question, what rights and obligations do economic agents have, beyond those attached to their roles as citizens? Rawls would reject additional rights and obligations of this sort for two reasons, one tied to freedom and one tied to pluralism. Rawls’ work therefore presses us to re-conceptualize the place of ethical claims in the economic context. (shrink)

Game Logic is a modal logic which extends Propositional Dynamic Logic by generalising its semantics and adding a new operator to the language. The logic can be used to reason about determined 2-player games. We present an overview of meta-theoretic results regarding this logic, also covering the algebraic version of the logic known as Game Algebra.

The heart of the matter -- The evolution of the French medicine -- Coping with physicians' conflicts of interest in France -- The rise of a protected medical market : the United States before 1950 -- The commercial transformation : the United States, 1950-1980 -- The logic of medical markets : the United States, 1980 to the present -- Coping with physicians' conflicts of interest in the United States -- The evolution of Japanese medicine -- Coping with physicians' conflicts of (...) interest in Japan -- Reforms -- Professionalism reconsidered. (shrink)

This article critiques the concept and discourse of social responsibility in terms of theoretical coherence, empirical salience, normative viability, and power/knowledge implications from a Marxist-institutionalist perspective. The social responsibility concept and discourse is found to be problematic along each of the above dimensions. The basic point can be stated succinctly: The concept and discourse of social responsibility are viable only in the absence of a historically grounded understanding of capitalist political economy. At the same time, however, the article argues that (...) social responsibility constitutes an influential ideology with material implications for stakeholder groups. (shrink)

More and more companies are developing corporate social responsibility -related programs which imply strategic and organizational changes. This article focuses on a public utility organization, the Groupe La Poste, in which CSR issues and practices are linked to its specific mission as a public service, thus defining and explicitly structuring its CSR programs. We explore the following research questions: Why did the Groupe La Poste formulate explicitly its CSR program? What is the content of this program and how it is (...) perceived by managers? To provide answers to these questions, we have developed a conceptual framework based on a literature review linking CSR to strategic and organizational change and we apply it to the Groupe La Poste. The analysis shows a progressive convergence between strategic and CSR trajectories and sheds light into how an organization can progressively integrate CSR as a central part of its strategic plan. It confirms the role of central dimensions that support the integration of CSR programs within the organization. CSR-related mission and vision aim at orienting the organization toward sustainability and responsibility. CSR-related principles and policies transpose vision and mission into commitments and guide the implementation and adoption of responsible behavior while CSR-related shared values underlie the whole program. (shrink)

Although the topic has been extensively studied, many issues about understanding of indirect requests in children are still unsolved. Our contribution is to distinguish genuine and ironic hints, focusing on the latter. We examined the understanding of ironic hints and ironic imperatives in 5- to 9-year-old children and in adults, in various situational contexts. The main result of this study was that ironic hints were more difficult to understand than ironic imperatives only when the context was neutral. When the context (...) was ironic, there was no significant difference. Discussion highlights how context enables young children to understand very indirect requests like ironic hints. (shrink)

On a tendance à voir une sorte de hiatus entre la communication politique moderne et les différents aspects du rituel qui ont jusqu'ici prévalu dans les sociétés traditionnelles. Cet article montre que l'apparition de ces nouvelles formes de communication politique n'implique pas mécaniquement la disparition de pratique liées à toute une conception de la vie publique ; loin qu'il y ait réellement antinomie entre le travail rituel et l'utilisation des médias, ceux-ci favorisent l'émergence de nouvelles formes qui combinent les referents (...) anciens et les procédures modernes. La recherche présentée ici résulte d'une enquête sur la vie politique locale dans un département français (l'Yonne) et sur les pratiques symboliques d'hommes politiques d'envergure nationale, tel le président Mitterrand. L'auteur analyse d'un point de vue anthropologique les rituels de consensus et les rituels d'affrontement pratiqués dans notre société. Si les rites d'affrontement sont profondément transformés dans leur forme et leur contenu, les rites consensuels perdurent, et trouvent dans les médias un prolongement, une chambre d'écho. Par ailleurs, de nouveaux rites surgissent qui combinent tradition, dimension religieuse et stratégie de communication. (shrink)

Beginnings and the hyperthematic structures of game and narrative -- Hyperthematic structures of dance and music -- Hyperthematic expansion of light and color -- The hyperthematic structure of visual arts -- Hyperthematization of the corporation -- Expansive reconstruction of H5 to H15 -- Expansive reconstruction of the hyperthemes of light and color -- Expansive reconstruction of the hyperthemes of the visual arts.

Cet article propose un regard sur la place des familles au chevet des patients comateux et leur rôle potentiel dans le processus d’éveil, notamment en ce qui concerne le travail de mémoire et le partage d’affect, principalement la honte. Il s’appuie sur l’expérience de travail de plusieurs années d’un psychologue en service de réanimation adulte. La réanimation est un lieu dans lequel la place de chaque objet est pensée en fonction de son utilité pour le soin du patient, mais peu (...) dans la perspective du lien à l’entourage. Certains objets comme la famille sont porteurs de complexité à résonances affectives. L’article montre que cette complexité, si elle est accompagnée par le psychologue et l’équipe soignante, peut jouer un rôle favorable dans le processus d’éveil et dans le travail de réappropriation de son vécu par le patient. (shrink)

Some philosophers argue that, because it is subject to twinning and fusion, the early human embryo cannot hold strong moral standing. Supposedly, the fact that an early human embryo can twin or fuse with another embryo entails that it is not a distinct individual, thus precluding it from holding any level of moral standing. I argue that appeals to twinning and fusion fail to show that the early human embryo is not a distinct individual and that these appeals do not (...) provide us with plausible reasons for denying the strong moral standing of the early human embryo. I recognize one possible exception to this general assessment, a particular version of the appeal to fusion. Embryo fusion that results in tetragametic chimerism provides some reason for doubting the early human embryo's moral standing. But twinning and fusion are otherwise irrelevant in this context. (shrink)