Until recently, moral case deliberation (MCD) sessions have mostly been facilitated by external experts, mainly professional ethicists. We have developed a train the facilitator programme for healthcare professionals aimed at providing them with the competences needed for being an MCD facilitator. In this paper, we present the first results of a study in which we evaluated the programme. We used a mixed methods design. One hundred and twenty trained healthcare professionals and five trainers from 16 training groups working in different (...) healthcare organisations throughout the Netherlands were included. After completion of the programme, participants feel sufficiently confident and equipped to facilitate an MCD session. Feeling competent does not mean that participants have no doubts or questions left. Rather, they are aware of their limitations and see the need for continuous learning. According to the respondents, the actual exercise of facilitating MCD during and in between the training sessions contributed most to the development of competences necessary for being an MCD facilitator. Respondents without prior experience of participating in MCD sessions felt less competent after the training than those who had participated in MCD sessions before. Self-attributed competence varied between participants with different professional backgrounds. (shrink)

There are no moral cookbooks—no algorithms for whipping up moral confections to suit every occasion. But more modest and flexible tools might still be useful for practical ethics. One team describes how professionals can be taught to use a framework for understanding moral problems.

This paper attempts to quantify the development of the key monetary values and changes in monetary trust that occurred during Roman times under ever-increasing prices. To track those developments, the paper introduces a minimal-parameter model that builds on available numismatic data relating to the Roman landmark coinages and on papyrological findings. The modelling produces a series of graphs which clearly signal the occurrence of a later crisis of confidence. It is argued that the monetary measures typically taken by the Roman (...) authorities actually fostered a crisis of confidence, and even made it inevitable. (shrink)

Residency training in the Netherlands is to be restructured over the coming years. To this end a general competence profile for medical specialists has been introduced. This profile is nearly the same as the Canadian CanMEDS 2000 model, which describes seven general areas of medical specialist competence, one of which is professionalism. In order to establish a training programme for residents and their instructors based on this competence, it is necessary to develop a vision that does justice to everyday medical (...) practice. The two most prevailing views of professionalism—as personal, or as a behavioural characteristic—fall short of this. Only when professionalism is understood as reflective professionalism does it encompass the fundamental contextuality of medical treatment. This means that the focus of training and assessment must be shifted to accountability for treatment. (shrink)

Several studies have focused on the effects of corporate social responsibility fit on external stakeholders’ evaluations of CSR activities, attitudes towards companies or brands, and behaviors. The results so far have been contradictory. A possible reason may be that the concept of CSR fit is more complicated than previously assumed. Researchers suggest that there may be different types of CSR fit, but so far no empirical research has focused on a typology of CSR fit. This study fills this gap, describing (...) a qualitative content analysis of the congruence between six organizations and their various CSR activities. Ten annual reports and CSR reports were analyzed, and 102 specific CSR activities were identified. The results show that two levels of fit must be distinguished: based on the means for and the intended ends of the CSR activity. Furthermore, six different types of fit were found, focusing on products and services, production processes, environmental impact, employees, suppliers, and geographical location. Considering the above variety of fit possibilities, the findings emphasize the role of CSR communication as a means of creating fit perceptions. (shrink)

Many public information documents attempt to persuade the recipients that they should engage in or refrain from specific behaviour. This is based on the assumption that the recipient will decide about his or her behaviour on the basis of the information given and a rational evaluation of the pros and cons. An analysis of 20 public information brochures shows that the argumentation in persuasive brochures is often not marked as such. Argumentation is presented as factual information, and in many instances (...) the task of making argumentational links and drawing conclusions is left to the reader. However, since the information offered does follow familiar argumentational schemes, readers can, in principle, reconstruct the argument. All the brochures make use of pragmatic argumentation (argumentation from consequences),i. e.,they formulate at least certain benefits of the desirable behaviour or disadvantages of the undesirable behaviour. In addition, they make regular use of argumentation from cause to effect and argumentation from example. Argumentation from rules and argumentation from authority are less frequently used. This empirical analysis of the use of argumentation schemes is a solid base for interesting and rich hypotheses about the cognitive processing of persuasive brochures. Central processing requires the reader to be able to reconstruct argumentation from informational texts and to identify and evaluate various types of argumentation. (shrink)

BackgroundCRISPR-Cas9, a technology enabling modification of the human genome, is developing rapidly. There have been calls for public debate to discuss its ethics, societal implications, and governance. So far, however, little is known about public attitudes on CRISPR-Cas9. This study contributes to a better understanding of public perspectives by exploring the various holistic perspectives Dutch citizens have on CRISPR-Cas9.MethodsThis study used Q methodology to identify different perspectives of Dutch citizens (N = 30) on the use of CRISPR-Cas9. The Q-sort method (...) aims at segmenting audiences based on the structural characteristics of their perspectives. Participants individually ranked 32 statements about CRISPR-Cas9 and discussed their rankings in small groups. By-person factor analysis was performed using PQMethod. Participants’ contributions to the discussions were used to further make sense of the audience segments identified.ResultsFive perspectives on CRISPR-Cas9 were identified: (1) pragmatic optimism (2) concerned scepticism; (3) normative optimism; (4) enthusiastic support; and (5) benevolent generalism. Each perspective represents a unique position motivated by different ranking rationales. Sorting rationales included improving health, preventing negative impacts on society, and fear of a slippery slope. Overall, there is broad, but not universal support for medical uses of CRISPR-Cas9.ConclusionsResearch on CRISPR-Cas9 should prioritise the broadly supported applications of the technology. Research and public debates on CRISPR-Cas9, its uses, its broader implications, and the governance of CRISPR-Cas9 are recommended. A discourse that includes all perspectives can contribute to the embedding of future uses of CRISPR-Cas9 in society. This study shows that Q methodology followed by group discussions enables citizens to contribute meaningfully to discourses about research. (shrink)

In een tijd waarin 'nepnieuws' zich steeds nadrukkelijker naar de voorgrond dringt, is de vraag naar wat waarheid is buitengewoon belangrijk. Ook vragen of wetenschappelijke studies betrouwbaar zijn en of een (sociale) wetenschapper neutraal beleidsadvies kan geven zijn aan de orde van de dag. Daarop kan de wetenschapsfilosofie antwoord geven. Dit boek biedt kritische reflectie op belangrijke vraagstukken in de filosofie van de sociale wetenschappen. De sociale wetenschapper wordt ingeleid in wetenschapsfilosofische thema's als causaliteit, verklaringsstijlen, reductionisme en holisme, statistiek, modellen (...) en onderzoeksparadigma's. Daarnaast is er ruim aandacht voor de wetenschappelijke praktijk en de positie die (sociale) wetenschappers innemen in het maatschappelijk debat. Veel wetenschappers zijn immers geneigd liever neutraal te blijven en zich niet in een maatschappelijk debat te mengen. Maar is dat eigenlijk wel wenselijk en mogelijk?"--Page 4 of cover. (shrink)

Scholars and policymakers have increasingly advocated to engage citizens more substantially in the development of science and technology. However, to a large extent it has remained unknown how citizens can contribute to technology development. In this study, we systematically characterized citizens’ contributions in the development of nanotechnology for health. We explored to which technology aspects citizens are able to provide suggestions on and on which values their suggestions are based. Fifty citizens in the Netherlands were asked to discuss different applications (...) of nanotechnology for health. They were divided over eight focus groups, which lasted approximately 6.5h each. The citizens were able to contribute to various technology aspects; they mainly focused on the technologies’ implementation and use, they paid some attention to the development and system aspects, and also addressed, but less, the design and communication aspects. Their suggestions were often derived from concerns about the potential effects of the technologies and were predominantly based on the values of well-being, autonomy, and privacy. (shrink)

To what use can causal claims established in good policy studies be put? We isolate two reasons inferences from study to target fail. First, policy variables do not produce results on their own; they need helping factors. The distribution of helping factors is likely to be unique or local for each study, so one cannot expect external validity to be all that common. Second, researchers often give too concrete a description of the cause in the study for it to carry (...) over to the target. Abstraction is necessary to get causes that travel. There is no sure-fire way to guard against these problems. But the unavailability of one perfect tool does not imply there are no second best contrivances. Two general pointers for Good Practice in policy advice follow from our diagnosis: focus on the concrete details in the target and use cross discipline heuristics that diversify background knowledge. (shrink)

Large-scale linkage of international clinical datasets could lead to unique insights into disease aetiology and facilitate treatment evaluation and drug development. Hereto, multi-stakeholder consortia are currently designing several disease-specific translational research platforms to enable international health data sharing. Despite the recent adoption of the EU General Data Protection Regulation, the procedures for how to govern responsible data sharing in such projects are not at all spelled out yet. In search of a first, basic outline of an ethical governance framework, we (...) set out to explore relevant ethical principles and norms. We performed a systematic review of literature and ethical guidelines for principles and norms pertaining to data sharing for international health research. We observed an abundance of principles and norms with considerable convergence at the aggregate level of four overarching themes: societal benefits and value; distribution of risks, benefits and burdens; respect for individuals and groups; and public trust and engagement. However, at the level of principles and norms we identified substantial variation in the phrasing and level of detail, the number and content of norms considered necessary to protect a principle, and the contextual approaches in which principles and norms are used. While providing some helpful leads for further work on a coherent governance framework for data sharing, the current collection of principles and norms prompts important questions about how to streamline terminology regarding de-identification and how to harmonise the identified principles and norms into a coherent governance framework that promotes data sharing while securing public trust. (shrink)

The possibilities for collecting, storing, and processing of data have increased significantly over the last decades. It has been argued that an increasing demand for health data will de...

The amalgamation in the small urban centre, for which Bree is chosen as an example, may be considered to have been a success partially because a number of general principles with respect to the amalgamation operation were respected. The socio-cultural differences existing between the submunicipalities could be bridged, which was not the case with other amalgamations. The municipal policy rests to a large extent on the concept of decentralisation and the participation of the citizen. Decentralisation was made concrete both (...) with regard to the provision of services and with regard to the investments in the various centres. The participation of the citizen was implemented by hearings held systematically in the residential areas. The amount of personnel was reduced slightly in spite of the increased municipal tasks. This reduction was made possible by greater efficiency in the use of personnel and by better equipment. Financially, the municipality is having no difficulties, the budget is balanced, and theaccounts show a surplus. (shrink)

El presente texto tiene como objetivo exponer el concepto de “cultura básica”, fundamental en la fenomenología de Lester Em-bree. En la primera parte se expondrá el contexto biográfico de ese texto. En la segunda se abordará el primer avance que hace Lester Embree, para en la tercera centrarse en el artículo fundamental sobre el mismo. El núcleo del concepto está en relación con la diferencia que Lester Embree establece entre la experiencia y la posicionalidad de uso, valoración y creencia. (...) Estas son características o determinaciones culturales que constituyen el mundo humano, que por eso es siempre un mundo cultural. Esa cultura básica se da también, al menos, en algunos animales no humanos. Aunque se alude a puntos problemáticos de esa teoría, no se entra de lleno en esos problemas.The present paper aims to expose the concept of "basic culture", fundamental in Lester Embree’s phenomenology. In the first part the biographical context of that text is explained. In the second one, the first advance made by Lester Embree is described, and in the third one the fundamental article about it will be focused on. The core of the concept is in relation to the difference that Lester Embree establishes between experience and the positionality of use, valuation and belief. These are characteristics or cultural determinations that constitute the human world, which therefore is always a cultural world. This basic culture also occurs, at least, in some non-human animals. Although problematic points of that theory are alluded to, these problems are not fully developed. (shrink)

Autumnal spring. Semiotic analysis in the context of the developments of the Parisian school. Both verbal and non-verbal exhortations are usually much more complex than we can ascertain in one quick overview. The semiotic ‘instrument’ as developed by the Parisian school is geared towards helping us readers to discover the hidden meaning of expressions and to pursue the levels of meaning of the object, which are not immediately obvious. In this article, which consists of two parts, we will gradually expound (...) and make operational the most important semiotic notions. In this context we will work in such a manner as to also elucidate the developments in semiotics of the Parisian school. In this first part of our article, we will expound the ‘classical’ semiotic approach, and its operational workings in analysis. As object of the analysis we have chosen the discourse ‘Not only the spring is disconsolate’ by pastor Monique de Bree. This discourse is analysed on the discursive level with its syntactic component and its semantic component . After this, the narrative syntax and semantics will be discussed, and finally the syntax and semantics of the level of depth. Characteristic for the initial period of this type of semiotics is that discursiveness was seen especially as a further addition to the deeper levels. The transition of the semiotic narrative level to the discursive level was seen as a concretisation of the elements of the surface and depth levels. In the recent development in Greimassian semiotics however, this classical notion of the generative trajectory is criticised. The discursive level has its own autonomy and semiotics has developed further within this context. These recent developments in semiotic meta-language and making it operational will be the focus of the second article. (shrink)

In "Off Track" art and philosophy are the inspiration to look differently at daily life and organizations. The book is a plea to approach the complexity of the current world with new metaphors. The author calls this "hinking around". She sees that in "square worlds" there is a need for tools to approach entrenched patterns and systems differently and to get thought processes moving. Sarai van de Boel challenges the reader to look at one's own systems from the inside with (...) a philosophical approach. In eight chapters there are eight "tracks" to follow, but it is also possible to go off the rails. More than fifty works of art by well-known and lesser-known artists and designers play a role in these traces. The author questions the essence of their works and asks philosophical questions about phenomena they evoke. With Marlene Dumas, Marinus Boezem, L.A. Raeven, Ed Atkins, Wong Ping, Kazumasa Nagai, Remy Jungerman, Otto Piene, Eiko Ishioka, Campana brothers, Ann Demeulemeester and Kara Walker. The book ends with the Art & Philosophy Strategy, a theoretical framework for the use of art and philosophy. (shrink)

Ultimamente bastante atençáo vem sendo dispensada ao estudo do ceticismo moderado na modernidade. O famoso historiador da filosofia Richard Popkin, em sua História do Ceticismo de Erasmo a Espinosa , cunhou a denominaçáo de ceticismo epistemológico para qualificar os membros desta corrente e nela inseriu os filósofos setecentistas Gassendi e Mersenne, considerando-os seus principais representantes. Além disso, no século XVIII temos o denominado ceticismo mitigado de Hume, que chamou a atençáo dos filósofos modernos para definir os limites do ceticismo. Este (...) artigo procura contribuir para o estudo do ceticismo moderado na modernidade, mostrando náo só que Hume, Mersenne e Gassendi podem fazer parte do assim chamado ceticismo epistemológico ou mitigado, mas também que há certos elementos comuns em suas filosofias destinados a mitigar os argumentos dos céticos de seu tempo. (shrink)

Este trabajo trata de la importancia que tienen los estudiantes de medicina para responder a las demandas de atención médica en México; alude al proceso histórico que determina esta situación y la construcción de la categoría “médicos en formación”; refiere las condiciones laborales, educativas y de salud de los estudiantes de medicina en las unidades médicas, y su impacto sobre la calidad de la atención médica. Desde la perspectiva ética y de los derechos humanos se plantea que los programas de (...) educación médica, y en particular la categoría de “médicos en formación”, pueden, paradójicamente, violentar tanto el derecho a la educación como el derecho a la atención médica, y dañar tanto la salud de los estudiantes como la de la población por ellos atendida. Se concluye que debe desarrollarse un nuevo respaldo ético docente asistencial para educación médica en las unidades de atención médica. (shrink)

Para construir seu próprio edifício filosófico em _Diferença e Repetição_, Deleuze dedicou-se no início de sua trajetória à pesquisa sistemática daquilo que chamou de “linhagem menor” em história da filosofia. Neste artigo buscamos explorar especificamente o embate deleuziano com o pensamento de Leibniz, situado no limiar dessa linhagem. Embora uma monografia mais extensiva tenha sido publicada por Deleuze apenas décadas mais tarde, seguimos a hipótese de que seus primeiros esboços críticos sobre o pensamento leibniziano aparecem já no seminário _O que (...) é fundar?_, endereçado ao problema do fundamento. À luz desse texto, abre-se uma perspectiva produtiva para a compreensão da relação entre as filosofias dos dois pensadores. (shrink)

This paper is in five sections. In the first one, I summarize some views on truthmaking I will be presupposing, emphasizing however the various controversies on which I will remain neutral. In section two and three, I present the characterization of a response-dependent property. In section four, I present two ways in which a property can be response-dependent, in the characterized sense. In final section five, I present how these correspond to different versions of moderate relativism, namely indexical and nonindexical (...) contextualism. Thus the view presented here contrasts not only with pluralism about truth, but also with radical relativism about truth, as recently defended by John MacFarlane. (shrink)

A guerra civil iniciada no final de 2013 no Sudão do Sul causou, pela primeira vez na história das Nações Unidas, um afluxo gigantesco de deslocados internos para o interior de bases da Missão das Nações Unidas no Sudão do Sul, em busca de proteção. Assim, foram criados os Protection of Civilian Sites. Com a chegada de dezenas de milhares de pessoas em poucas semanas, houve um enorme crescimento nas demandas humanitárias e de segurança. Para prover a necessária proteção, foi (...) necessário o trabalho conjunto de militares, policiais e civis da UNMISS, que será apresentado nesse trabalho. (shrink)

El objetivo del estudio fue sistematizar y analizar el pensamiento filosófico de Bruno sobre la concepción de magia en el renacimiento. La importancia de la investigación fue entender la cosmovisión bruneana que sigue vigente en el desarrollo del avance de la ciencia. Siendo la conclusión que el concepto de mago es equivalente a sabio, y se manifiesta a través de los tipos de magia: Divina, Física, Matemática y en función del vínculo entre el mago y la naturaleza: magia natural, fantasmagórica, (...) magia natural por virtud, magia matemática, de los desamparados, nigromancia, maléfico, adivinación y profecía. (shrink)

Resenha de Leão, D.; Guerrier, O. (eds.). Figures de sages, figures de philosophes dans l'oeuvre de Plutarque (2019).

Carta escrita por Gilda de Mello e Souza, remetida ao colega Oswaldo Porchat, que se encontrava em Berkeley, quando a ditadura civil-militar brasileira, recrudescida desde a implantação, em agosto de 1968, do AI-5, representava uma verdadeira ameaça a estudantes e docentes da Universidade de São Paulo, especialmente se lhe fizessem qualquer tipo de oposição. Porchat trocou uma sequência de cartas com Gilda nessa época, nas quais relata sua desilusão com a Faculdade de Filosofia, e com os acontecimentos políticos no Brasil. (...) Ao mesmo tempo, confessa estar encantado com a descoberta de novos elementos da Lógica, e com a atmosfera mais amena dos Estados Unidos. Porchat sabe que Gilda enfrenta momentos difíceis, tendo de assumir a Presidência do curso em meio à tentativa do reitor Miguel Reale de submetê-lo a um interventor. Enfrentando a dúvida sobre se valeria a pena retornar ao Brasil naquele momento, Porchat escreve à amiga. A carta a seguir expressa, dentro do que era possível na época, quando as correspondências eram vigiadas, o parecer de Gilda sobre as indagações do amigo, sobre os rumos da ditadura, e sobre o que ela pensava de sua própria atitude de resistência naquele contexto. A carta original, assim como a sequência de correspondências da qual faz parte, está depositada no Fundo Gilda de Mello e Souza, no Instituto de Estudos Brasileiros (IEB/USP). Agradeço à família de Gilda, especialmente a Ana Luisa Escorel e a Laura Escorel, pela disponibilização desse documento para a presente publicação. (shrink)