Reichle et al. claim to successfully simulate a frequency effect of 60% on skipping rate in human data, whereas the original article reports an effect of only 4%. We suspect that the deviation is attributable to the length of the words in the different conditions, which implies that E-Z Reader is wrong in its conception of eye guidance between words.

Stimulation of airway myocytes by contractile agents such as acetylcholine (ACh) activates a Ca2+-activated Cl– current (IClCa) which may play a key role in calcium homeostasis of airway myocytes and hence in airway reactivity. The aim of the present study was to model IClCa in airway smooth muscle cells using a computerised model previously designed for simulation of cardiac myocyte functioning. Modelling was based on a simple resistor-battery permeation model combined with multiple binding site activation by calcium. In order to (...) validate the model, a combination of equations, used to mimic [Ca2+]i response to ACh stimulation, were incorporated into the model. The results indicate that the model developed in this article accounts for experimental recordings and electrophysiological characteristics of this current in airway smooth muscle cells, with parameter values consistent with those calculated from experimental data. Such a model may thus be used to predict IClCa functioning, though additional experimental data from airway myocytes would be useful to more accurately determine some parameter values of the model. (shrink)

Fruit d'une large collaboration interuniversitaire, cet ouvrage, qui fait suite a une publication consacree a eidos, idea et morphe, expose les resultats d'une enquete qui a porte sur tous les emplois du mot ousia dans la philosophie grecque jusqu'a Aristote ; il commence par un apercu des significations du mot dans la litterature non philosophique. Est ainsi offert un cadre de reference exhaustif pour l'etude d'une notion qui compte parmi les plus importantes et aussi les plus complexes de l'histoire de (...) la philosophie. Chacune des uvres concernees de Platon et d'Aristote fait l'objet d'un examen systematique, suivi d'un bilan partiel. Des conclusions generales recapitulent la polysemie foisonnante d'ousia, qui va de l'avoir aux differentes facettes de l'etre, et en font voir aussi l'evolution ainsi que les principaux enjeux philosophiques. Trois outils de travail s'y ajoutent: une riche bibliographie, un index de toutes les occurrences d'ousia chez Platon et chez Aristote ainsi qu'un index de plus de 200 mots grecs apparaissant dans ce champ semantique. (shrink)

This second volume in the Counterpoints Series focuses on alternative models of visual-spatial processing in human cognition. The editors provide a historical and theoretical introduction and offer ideas about directions and new research designs.

Michael A. PetersBeijing Normal UniversityMy deepest condolences to Pepe, Dom and Marcus and to Jim’s grandchildren. Tina and I spent a lot of time at the Marshall family home, often attending dinn...

In this article we argue that an immaterialist ontology -- a metaphysic that denies the existence of material substance -- is more consonant with Christian dogma than any ontology that includes the existence of material substance. We use the philosophy of the famous eighteenth-century Irish immaterialist George Berkeley as a guide while engaging one particularly difficult Christian mystery: the doctrine of the Incarnation of Christ. The goal is to make plausible the claim that, from the analysis of this one example, (...) there are strong reasons for thinking that if one wants to be a Christian one ought to be an immaterialist. (shrink)

What has compelled Jews in the Ottoman Empire, Turkey, and abroad to promote a positive image of Ottomans and Turks while they deny the Armenian genocide and the existence of anti-Semitism in Turkey? The dominant historical narrative is that Jews expelled from Spain in 1492 were embraced by the Ottoman Empire, and then later, protected from the Nazis during WWII. If we believe that Turks and Jews have lived in harmony for so long, then it is hard for us to (...) accept that the Turks could have committed genocide against the Armenians. In this article, the author confronts these convictions and circumstances to reflect on what moral responsibility the descendants of the victims of one genocide have to the descendants of victims of another. Baer delves into the history of Muslim-Jewish relations in the Ottoman Empire and Turkey to tease out the origin of these many tangled truths. He aims to bring about reconciliation between Jews, Muslims, and Christians, not only to face inconvenient historical facts, but to confront it and come to terms with it. By looking at the complexities of interreligious relations, Holocaust denial, genocide and ethnic cleansing, and confronting some long-standing historical stereotypes, the author sets out to tell a new history that goes against Turkish antisemitism and admits to the Armenian genocide. (shrink)

Sober 2011 argues that, contrary to Hume, some causal statements can be known a priori to be true—notably, some ‘would promote’ statements figuring in causal models of natural selection. We find Sober's argument unconvincing. We regard the Humean thesis as denying that causal explanations contain any a priori knowable statements specifying certain features of events to be causally relevant. We argue that not every ‘would promote’ statement is genuinely causal, and we suggest that Sober has not shown that his examples (...) of ‘would promote’ statements manage to achieve a priori status without sacrificing their causal character. (shrink)

Roche and Sober (2013; 2014; 2017; 2019) have offered an important new argument that explanatoriness lacks confirmatory significance. My aim in this paper is not only to contend that their argument fails to show that in confirmation ‘there is nothing special about explanatoriness’ (Roche & Sober, 2017: 589), but also to reveal what is special confirmationwise about explanatoriness. I will argue that much of the heavy work in Roche and Sober's argument is done by the dichotomy into which they carve (...) up the philosophical options: either explanatory considerations per se are confirmatorily relevant or they acquire whatever confirmatory significance they may possess only by way of background beliefs and so no differently from non‐explanatory considerations. I will argue that this is a false dichotomy: Explanatoriness per se can have confirmatory relevance even while explanatory considerations acquire their confirmatory relevance only through background opinions. Furthermore, there is ‘something special’ about the background opinions concerning explanations that allow explanatoriness in itself to have confirmatory impact. Unlike other sorts of background, having some background opinions expressly about explanations is indispensable to being an observer at all. (shrink)

This chapter investigates whether signs and their action, semiosis, are real. It critically surveys three arguments. The first argument consists in holding that semiosis must be real, because denying the reality of signs is self-defeating. This self-confirming status seems to imply that semiosis is the very means by which we partition the mind-independent and mind-dependent. One would then need to clarify this ontological neutrality or priority. The second argument consists in identifying an instance of sign-action that is mind-independent. Instead of (...) searching for abiotic semiosis, a more parsimonious approach is to ask whether we want reality to be what exists apart from minds in general or apart from human minds specifically. If we adopt the latter view, and if the action of signs can be shown to take place in the non-human realm, this would show that semiosis does not depend on us. One would then need to explain how humans can interpret all this while putting themselves out of the equation, so to speak. The third argument consists in saying that, despite its initial plausibility, the mind-dependent and mind-independent division is not clear-cut. This is because some conventional patterns can be informationally compressed in ways that are practically indistinguishable from genuinely mind-independent patterns. One would then need to clarify how the mind-dependent/mind-independent divide can admit of such hybrid cases. (shrink)

Many theories of personal identity allow for the metaphysical possibility of fission. In 1981 Nozick proposed a theory of personal identity called ‘the closest continuer view’ (CCV) that denies fission in the case of persons but allows fisson in the case of human beings. CCV may thus appear to reduce ‘person’ to a nonmetaphysical, practical notion. Against this I argue that CCV is an externalist metaphysical theory that purports to solve a problem that is insurmountable within the confines of an (...) internalist metaphysics of personal identity. (shrink)

According to Lange,?Really Statistical explanations? constitute an important kind of non-causalscientific explanation. However, Roski has argued that all alleged RS explanations are either causalexplanations or not explanations at all. In so arguing, Roski has invoked Kahneman?s interpretation of onealleged RS explanation. I employ Roski?s arguments as an opportunity to elaborate and defend RS explanations. Iargue that?RS explanations? genuinely explain rather than deny the presuppositions of why-questions. I argue thatthe RS model is not excessively permissive in allowing some explanations to work (...) purely statistically rather than bydescribing causal relations. I argue that Roski?s view that some?RS explanations? operate by describing causalrelations fails to capture the kind of explanatory insight that RS explanations provide. I elaborate the notion of a?characteristically statistical phenomenon? that figures in the RS model and thereby explain how an RS explanationreveals that its explanandum is independent of any causal facts or specific chances, but rather depends only on ageneric sort of arrangement of chances. Finally, I argue that Roski misinterprets Kahneman, who actually holds thatthe explanation he discusses is a non-causal explanation that nicely fits the RS model. RS explanations constitutean important kind of non-causal scientific explanation. (shrink)

Scientific realism is the view that one can be justified in believing, of some theory about unobservable entities, that the entities it posits are real and accurately described by the theory, in the same sense as one can be justified in believing that the theory’s empirical predictions are accurate, and that so to believe is what it means for a scientist to “accept” that theory, because the goal of science is to describe reality, even its unobservable features. The first part (...) is an epistemic claim, whereas the second concerns the rational reconstruction of scientific practice. Together they suggest that evidence justifying scientific acceptance of a theory justifies belief that the unobservable entities it posits are real and as the theory purports them to be. Anti-realism denies ; it holds that claims about unobservables are either unjustified or justified in a different sense from predictions of observations. It also denies ; it maintains that in her scientific work, as rationally reconstructed, a scientist who accepts a claim about unobservables believes that it yields accurate predictions of observables, not that it describes unobservables. (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)

Contents Acknowledgements iii I. Royce and the Interpretation of His Contemporaries Introduction 1 1. Royce and Lotze 25 Introduction to Lotze. Lotze's ontology. Royce's response to Lotze. Successfull metaphysics renders experience broadly consistent without denying types of human experience. Logically testing metaphysical assumptions offers a promising methodology. The individual is not immediately given but realized through a process. The individual is not immediately given but realized through a process. Conclusion. 2. Royce and James 66 The friendship of James and Royce. (...) James's position. James summarized. Royce's response. The ‘abstract’ ideal has its pragmatic aspect. Logic can supplement pragmatism. Experience itself drives the unifying efforts of speculative philosophy. A more consistent pragmatism hypothesizes broader experience and allows an active and constructive process of response to that experience. Conclusion. 3. Royce and Bradley 108 Bradley's destruction of appearances. Bradley's construction? Royce's response - non-technical. Metaphysics is interpretively applicable to special experiential problems. In active willful attention the ethical complements the theoretical, rendering the relation of finite and absolute interpretable. Royce's response - technical development. Conclusion. 4. Royce and Whitehead 163 Statement of Whitehead's three primary presuppositions. Scheme of Whitehead's philosophy: the role of extended events. The building blocks of Whitehead's metaphysics. Process as an action within and upon experience. The process of concrescence. Consciousness and propositions in Whitehead's philosophy. Royce in comparison with Whitehead. Royce's cosmology in outline. Explicit contrast and comparison of Royce's and Whitehead's philosophies. Principles suggested by the contrast of Royce and Whitehead. II. An Extension of Royce’s Philosophy of Interpretation Preamble: The Need for a Re-Envisioned Philosophy of Interpretation 212 5. The Roycean Hypothetical Method and Its Prospects 226 The interpretation of Christianity. Metaphysical foundations of community. The synthesis and promise of Royce's insights. 6. Hyperthematics 269 Working definition. Some methodological considerations. Some general considerations. Some definitions. The foundational hypertheme and the derivatives. Hyperthematic expansion. The hyperthematic structure of the game. The hyperthematic structure of narrative. The hyperthematic structure of dance. The hyperthematic structure of music. Retrospect and prospect. 7. Hyperthematics Applied: The Corporation As a Hyperthematic Structure 339 Introduction. Restatement of the hyperthemes. The problematic of the corporation. Some exemplifications of the historical development of the corporation. Consideration of several prominent views regarding the purpose of commercial corporations. Consideration of consistency of the corporation as a hyperthematic structure. Hyperthematic reconstruction of the corporation as a community of epsionomic interpretation. Bibliography 412. (shrink)

This paper analyzes the influence of J. Derrida’s philosophy on the early thought of French phenomenologist M. Richir. Main texts for the analysis are Derrida’s report « La Différance » and the article « Le Rien Enroulé » by Richir. The author stresses their deep figurative and substantive interconnectedness. Thus, Richir borrows from Derrida a number of key philosophical figures, including the figure of différance itself, and applies them to phenomenological landscape through the “first-person” narrative. Having examined the correlation between (...) Derrida’s figures of différance and Richir’s phenomenalization, the author concludes that Richir, influenced by the impersonal figure of différance, leads his “first-person” narrative in an attempt to take it beyond the limits of classical phenomenological discourse. Moreover, the author finds preconditions for Richir’s introduction of one of his early key concepts “nothing” (rien) in the text of Derrida’s « La Différance ». The main thesis of this research is: Richir borrows Derrida’s understanding of consciousness and performs phenomenological description from its perspective. The paper considers Derrida’s text as a key to understanding Richir’s article « Le Rien Enroulé » and, as a result, the key to his early philosophy in general. (shrink)

Traducimos al español el artículo de Marc Richir «Du rôle de la phantasia au théâtre et dans le roman», publicado en la revista Littérature, n.º 132 en diciembre de 2003. El artículo empieza conceptuando la diferencia fenomenológica entre phantasia e imaginación según Husesrl. Más adelante, el autor se detiene en el examen de la llamada phantasia «perceptiva», distinta tanto de la percepción como de la imaginación. La phantasia «perceptiva» le permite a Richir, junto a Husserl, abordar el análisis fenomenológico del (...) teatro y de sus paradojas, necesario preámbulo al análisis de lo que está en juego, fenomenológicamente, tanto en la escritura como en la lectura de una novela. (shrink)

Fred Dretske notoriously claimed that knowledge closure sometimes fails. Crispin Wright agrees that warrant does not transmit in the relevant cases, but only because the agent must already be warranted in believing the conclusion in order to acquire her warrant for the premise. So the agent ends up being warranted in believing, and so knowing, the conclusion in those cases too: closure is preserved. Wright's argument requires that the conclusion's having to be warranted beforehand explains transmission failure. I argue that (...) it doesn't, and that the correct explanation does not imply that the agent will end up warranted in believing the conclusion when transmission fails. Those who agree that transmission does fail in those cases, therefore, might as well follow Dretske in denying knowledge closure too. (shrink)

Knowledge closure is, roughly, the following claim: For every agent S and propositions P and Q, if S knows P, knows that P implies Q, and believes Q because it is so implied, then S knows Q. Almost every epistemologist believes that closure is true. Indeed, they often believe that it so obviously true that any theory implying its denial is thereby refuted. Some prominent epistemologists have nevertheless denied it, most famously Fred Dretske and Robert Nozick. There are closure advocates (...) who see other virtues in those accounts, however, and so who introduce revisions of one sort or another in order to preserve closure while maintaining their spirit. One popular approach is to replace the “sensitivity” constraint at the heart of both of those accounts with a “safety” constraint, as advocated by Timothy Williamson, Duncan Pritchard, Ernest Sosa, Stephen Luper, and others. The purpose of this essay is to show that this approach does not succeed: safety does not save closure. And neither does a popular variation on the safety theme, the safe-basis or safe-indicator account. (shrink)

This paper is a presentation of Russian translation of the article « La Défenestration » by Marc Richir. In this paper we depict the philosophical context in which the article was written and define its place in the totality of Richir’s works. Our main goal is to help the reader to understand the features of Richir’s complex thought and to give explicit definition to the term “defenestration.” The defenestration, understood as a philosophical concept, is a process of reconsideration of major (...) phenomenological presuppositions. Thus, we distinguish three main steps of defenestration basing on Richir’s critique of previous phenomenologists: 1) the abolition of the transcendental ego as a structure external to “the world”; 2) the rejection of the universe of beings as the one and only universe people inhabit ; 3) rethinking the phenomenalisation on the basis of “nothing” as a primary universe and, therefore, overcoming the classical dualism of the sensible and the intelligible. We conclude that by analyzing systems of previous philosophers through the concept of defenestration Richir in this early work determines the direction of his future philosophical research. (shrink)

À partir du paradigme du cahier des charges imposés par l’ ars aux cmpp de Nouvelle-Aquitaine, l’article témoigne des menaces que font peser les politiques publiques de santé sur les institutions. Il s’agit d’une part de comprendre « l’idéo-logique » qui préside au démantèlement des institutions pour favoriser une conception postmoderne du soin où les institutions sont transformées en prestataires de services ; d’autre part, d’analyser ce glissement progressif de la désinstitutionalisation à la « désinstitution » qui menace les fondements (...) du soin psychique dans ses fonctions de reliance, de créativité, de transformation. Ainsi, l’article s’attache à cerner les effets de cette effraction qui infiltre les institutions, les équipes, jusque dans l’intimité de la rencontre thérapeutique. Cette néo-conception qui dénie ce qu’est la réalité psychique, la souffrance, invite à penser des questions pourtant légitimes de la diversité des pratiques, de la place des familles et de l’inclusion des sujets dans la société. (shrink)

iek's thinking departs from the Lacanian claim that we live in a symbolic order, not a real world, and that the Real is what we desire, but can never know or grasp. There is a fundamental virtuality of reality that points to the lie in every truth-claim, and there are two ways of dealing with this:repression and denial. An ideology, a system or a regime becomes totalitarian when it denies the virtual character of both its world and its subject (democracy (...) represses truth's basic lie, which makes it possible for the repressed to return). iek's analysis of totalitarianism, particularly Stalinism, shows how a totalitarian system denies its subject, which, being desire for the Real, cannot act in the name of truth but must acknowledge the contingency of its action (a political act can fail to reach its goal), whereas an established system can no longer fail and has to deny its flaws. Any political act disrupts the (evolution of) the symbolic order and thus is revolutionary, creating an event ex nihilo. An act is a jump into the inconsistency of the symbolic order, i.e. into das Ding, a jump both into and out of the nihil in which our world is grounded. Politics therefore can never be Realpolitik. The realization that politics is a symbolic phenomenon, supported not by the real, but by signifiers, is the Lacanian foundation of iek's political theory. (shrink)

Tout au long de sa longue carrière, Henri Lecoq a eu une réputation contrastée dans la communauté scientifique. Son oeuvre est citée par Mendel et par Darwin; cependant certains de ses compatriotes, tels qu'Adolphe Brongniart lui ont dénié originalité et profondeur. Dans une certaine mesure, Lecoq a subi le destin de beaucoup de naturalistes provinciaux dont les efforts n'étaient pas vraiment reconnus par les maîtres de la discipline. Mais une explication plus spécifique se trouve peut-être dans l'habitude qu'avait Lecoq d'utiliser (...) dans le même texte différents styles considérés comme incompatibles. Son travail sur l'hybridation végétale est à cet égard significatif: des bribes de vulgarisation hautes en couleurs y côtoient des conseils pratiques pour les horticulteurs, et les descriptions pittoresques s'y mêlent aux réflexions théoriques. Au terme de cette étude, Lecoq apparaît comme un homme de science qui combine un sens aigu de l'observation avec les caractéristiques d'un auteur romantique. (shrink)

Tout au long des années trente, un groupe de jeunes intellectuels non conformistes réunis dans le mouvement " Ordre Nouveau " ont lancé dans le débat une pensée radicalement nouvelle en rupture avec les idées dominantes du collectivisme conquérant et du capitalisme traditionnel. Ils avaient nom Denis de Rougemont, Robert Aron, Arnaud Dandieu, Daniel-Rops, Emmanuel Mounier. Alexandre Marc, philosophe jeté hors de sa Russie natale par la victoire des bolcheviques, était leur fédérateur et animateur principal.0De ces idées, il fit une (...) doctrine, le fédéralisme personnaliste, à l'approfondissement et à la diffusion de laquelle il consacra toute sa vie. On pourrait la croire aujourd'hui oubliée. Et pourtant, c'est en elle qu'ont germé des réalisations et des propositions, révolutionnaires en ces temps et très présentes dans les débats actuels : fédéralisme européen, crise de civilisation, allocation universelle, subsidiarité et régionalisme, etc.0Il en est jusqu'à la pensée dialectique du " en même temps ", chère au macronisme, qui apparaît comme une transposition hasardeuse de la dialectique inclusive, théorisée par Alexandre Marc. Sa disparition, voilà vingt ans, appelle une évaluation de cette doctrine et une tentative d'appréciation critique de sa pertinence. Ce livre s'efforce d'illustrer cette ambition au travers des réflexions des auteurs sur certains de ses aspects névralgiques comme le personnalisme, la crise, la dialectique ou l'action politique.0Certains ont été des élèves et des proches collaborateurs d'Alexandre Marc ; d'autres ne l'ont connu qu'au travers de ses écrits ou de ses conférences. Tous se reconnaissent dans le personnalisme, fondement de cette doctrine méconnue et pourtant, étonnamment actuelle. (shrink)

Luca M. Possati, Jean Grondin, Paul Ricoeur ; Aurore Dumont, François Dosse et Catherine Goldenstein, Paul Ricoeur: penser la mémoire ; Paul-Gabriel Sandu, Gert-Jan van der Heiden, The Truth of Language. Heidegger, Ricoeur and Derrida on Disclosure and Displacement ; Paul Marinescu, Marc-Antoine Vallée, Gadamer et Ricoeur. La conception herméneutiquedu langage ; Witold Płotka, Saulius Geniusas, Th e Origins of the Horizon in Husserl’s Phenomenology ; Delia Popa, Annabelle Dufourcq, La dimension imaginaire du réel dans la philosophie de Husserl ; (...) Maria GyemantDenis Seron, Ce que voir veut dire. Essai sur la perception ; Christian Ferencz-Flatz, Hans Friesen, Christian Lotz, Jakob Meier, Markus Wolf, Ding und Verdinglichung. Technik- und Sozialphilosophie nach Heidegger und der Kritischen Th eorie ; Bogdan MincăLarisa Cercel, John Stanley, Unterwegs zu einer hermeneutischen Übersetzungswissenschaft. Radegundis Stolze zu ihrem 60. Geburtstag ; Denisa Butnaru Johann Michel, Sociologie du soi. Essai d’herméneutique appliquée ; Ovidiu Stanciu, Jan Patočka, Aristote, ses devanciers, ses successeurs. Trad. fr. Erika Abrams ; Mădălina Diaconu, Emmanuel Alloa, Das durchscheinende Bild. Konturen einer medialen, Phänomenologie. (shrink)

Esta é a biografia de Gildo Marçal Brandão. A obra apresenta não só seus escritos, mas também informações biográficas, imagens, entrevistas e relatos de vários momentos considerados memoráveis da participação de Gildo no debate intelectual e político. Combinando trabalho meticuloso, os organizadores do presente volume têm o mérito de fazer tudo isso, uma vez que foram reunidos textos inéditos ou esparsos de Gildo, registros fotográficos, depoimentos de sua esposa - Simone Coelho - prefácios de dois de seus mais próximos amigos (...) e interlocutores, Denis Bernardes e Brasílio Sallum, e um encarte com sua última entrevista. (shrink)

It has often been argued that Humean accounts of natural law cannot account for the role played by laws in scientific explanations. Loewer (Philosophical Studies 2012) has offered a new reply to this argument on behalf of Humean accounts—a reply that distinguishes between grounding (which Loewer portrays as underwriting a kind of metaphysical explanation) and scientific explanation. I will argue that Loewer’s reply fails because it cannot accommodate the relation between metaphysical and scientific explanation. This relation also resolves a puzzle (...) about scientific explanation that Hempel and Oppenheim (Philosophy of Science 15:135–75, 1948) encountered. (shrink)

Why do forces compose according to the parallelogram of forces? This question has been controversial; it is one episode in a longstanding, fundamental dispute regarding which facts are not to be explained dynamically. If the parallelogram law is explained statically, then the laws of statics are separate from and “transcend” the laws of dynamics. Alternatively, if the parallelogram law is explained dynamically, then statical laws become mere corollaries to the dynamical laws. I shall attempt to trace the history of this (...) controversy in order to identify what it would be for one or the other of these rival views to be correct. I shall argue that various familiar accounts of natural law not only make it difficult to see what the point of this dispute could have been, but also improperly foreclose some serious scientific options. I will sketch an alternative account of laws that helps us to understand what this dispute was all about. (shrink)

Conflicts of interest are rampant in the American medical community. Today it is not uncommon for doctors to refer patients to clinics or labs in which they have a financial interest (40% of physicians in Florida invest in medical centers); for hospitals to offer incentives to physicians who refer patients (a practice that can lead to unnecessary hospitalization); or for drug companies to provide lucrative give-aways to entice doctors to use their "brand name" drugs (which are much more expensive than (...) generic drugs). In Medicine, Money and Morals, Marc A. Rodwin draws on his own experience as a health lawyer--and his research in health ethics, law, and policy--to reveal how financial conflicts of interest can and do negatively affect the quality of patient care. He shows that the problem has become worse over the last century and provides many actual examples of how doctors' decisions are influenced by financial considerations. We learn how two California physicians, for example, resumed referrals to Pasadena General Hospital only after the hospital started paying $70 per patient (their referrals grew from 14 in one month to 82 in the next). As Rodwin writes, incentives such as this can inhibit a doctor from taking action when a hospital fails to provide proper service, and may also lead to the unnecessary hospitalization of patients. We also learn of a Wyeth-Ayerst Labs promotion in which physicians who started patients on INDERAL (a drug for high blood pressure, angina, and migraines) received 1000 mileage points on American Airlines for each patient (studies show that promotions such as this have a direct effect on a doctor's choice of drug). Rodwin reveals why the medical community has failed to regulate conflicts of interest: peer review has little authority, state licensing boards are usually ignorant of abuses, and the AMA code of ethics has historically been recommended rather than required. He examines what can be learned from the way society has coped with the conflicts of interest of other professionals --lawyers, government officials, and businessmen--all of which are held to higher standards of accountability than doctors. And he recommends that efforts be made to prohibit and regulate certain kinds of activity (such as kickbacks and self-referrals), to monitor and regulate conduct, and to provide penalties for improper conduct. Our failure to face physicians' conflicts of interest has distorted the way medicine is practiced, compromised the loyalty of doctors to patients, and harmed society, the integrity of the medical profession, and patients. For those concerned with the quality of health care or medical ethics, Medicine, Money and Morals is a provocative look into the current health care crisis and a powerful prescription for change. (shrink)

The article « La Défenestration » by Belgian philosopher Marc Richir has been translated into Russian for the first time for this issue of the “Horizon. Studies in Phenomenology.” In his early work “The Defenestration” Richir raises the question of relation between the subject and conceivable world. Here, a philosopher is pictured contemplating the world through the window of his tower. In such detachment from the world the thinker finds himself according to all Modern philosophies of consciousness. Husserl’s phenomenology inherits (...) this detachment, since Husserl imposes the structure of transcendental ego as external to the world. Richir abolishes the concept of transcendental ego with the help of heideggerian Dasein, but analyzing Heidegger’s ontology he comes to the conclusion that the latter remains fixated on beings. Believing a person to live in the fundamental openness of Being, Heidegger places such a person in the secondary world of “truth.” In order to overcome the remains of traditional philosophy in Heidegger’s ontology Richir turns to Merleau-Ponty’ “cosmology of the visible.” The author takes the Merleau-Ponty’s thesis that everything visible has something fundamentally invisible in it. This allows him to discover the universe of “nothing”, which includes both the visible and what is “behind” it. As a result Richir overcomes the classical dualism of the sensual and the intelligible. The concept of defenestration places the subject and the world in the same universe. (shrink)