Background Advances in artificial intelligence, robotics and wearable computing are creating novel technological opportunities for mitigating the global burden of population ageing and improving the quality of care for older adults with dementia and/or age-related disability. Intelligent assistive technology is the umbrella term defining this ever-evolving spectrum of intelligent applications for the older and disabled population. However, the implementation of IATs has been observed to be sub-optimal due to a number of barriers in the translation of novel applications from the (...) designing labs to the bedside. Furthermore, since these technologies are designed to be used by vulnerable individuals with age- and multi-morbidity-related frailty and cognitive disability, they are perceived to raise important ethical challenges, especially when they involve machine intelligence, collect sensitive data or operate in close proximity to the human body. Thus, the goal of this paper is to explore and assess the ethical issues that professional stakeholders perceive in the development and use of IATs in elderly and dementia care. Methods We conducted a multi-site study involving semi-structured qualitative interviews with researchers and health professionals. We analyzed the interview data using a descriptive thematic analysis to inductively explore relevant ethical challenges. Results Our findings indicate that professional stakeholders find issues of patient autonomy and informed consent, quality of data management, distributive justice and human contact as ethical priorities. Divergences emerged in relation to how these ethical issues are interpreted, how conflicts between different ethical principles are resolved and what solutions should be implemented to overcome current challenges. Conclusions Our findings indicate a general agreement among professional stakeholders on the ethical promises and challenges raised by the use of IATs among older and disabled users. Yet, notable divergences persist regarding how these ethical challenges can be overcome and what strategies should be implemented for the safe and effective implementation of IATs. These findings provide technology developers with useful information about unmet ethical needs. Study results may guide policy makers with firsthand information from relevant stakeholders about possible solutions for ethically-aligned technology governance. (shrink)
Theodor Lipps: Schriften zur Einfühlung. Mit einer Einleitung und Anmerkungen [Theodor Lipps: Writings on Empathy. With an Introduction and Comments] FaustinoFabbianelli Ergon Verlag. 2018. pp. 792. £68.26.
Hans Lipps’s originality lies in a tension between his hermeneutical and existential philosophy on the one hand, and his analysis of themes belonging to classical logic, on the other. To understand this tension, it must be examined at its point of origin – when Lipps discusses Husserl’s philosophy. The purpose of this text is to explain the opposition between Lipps and his first Master. Lipps’s critique of Husserl concerns transcendental idealism, the transcendental reduction, and the concept (...) of intentionality, which appear to Lipps as an escape from the realm of facticity. Husserlian idealism is then similar to Kant’s critical philosophy. Pursuing his inquiry from the perspective of facticity, Lipps refutes Kant’s and Husserl’s transcendentalism and their focus on the realm of representation. He tries nevertheless to analyse the classic problems of phenomenology and Kantian logic from the point of view of facticity. (shrink)
BackgroundSex and gender differences are often overlooked in research design, study implementation and scientific reporting, as well as in general science communication. This oversight limits the generalizability of research findings and their applicability to clinical practice, in particular for women but also for men. This article describes the rationale for an international set of guidelines to encourage a more systematic approach to the reporting of sex and gender in research across disciplines.MethodsA panel of 13 experts representing nine countries developed the (...) guidelines through a series of teleconferences, conference presentations and a 2-day workshop. An internet survey of 716 journal editors, scientists and other members of the international publishing community was conducted as well as a literature search on sex and gender policies in scientific publishing.ResultsThe Sex and Gender Equity in Research guidelines are a comprehensive procedure for reporting of sex and gender information in study design, data analyses, results and interpretation of findings.ConclusionsThe SAGER guidelines are designed primarily to guide authors in preparing their manuscripts, but they are also useful for editors, as gatekeepers of science, to integrate assessment of sex and gender into all manuscripts as an integral part of the editorial process. (shrink)
MIRJAM HORN, POSTMODERN PLAGIARISMS: CULTURAL AGENDA AND AESTHETIC STRATEGIES OF APPROPRIATION IN US-AMERICAN LITERATURE, WALTER DE GRUYTER, BERLIN/BOSTON, 2015.Marko Bogunović.
ZusammenfassungIn der Deutschschweizer massenmedialen Debatte zur Weigerung zweier Schüler in der Gemeinde Therwil, ihrer Lehrerin die Hand zu schütteln, wird häufig der Kulturbegriff verwendet. Der vorliegende Beitrag analysiert, wie „Kultur“ als wissensstrukturierende Kategorie in der Konstituierung der Gruppenzugehörigkeiten zur Schweizer Mehrheitsgesellschaft und zur muslimischen Minderheit zum Tragen gekommen ist. Basierend auf dem Konzept der „Kulturalisierung“ untersucht die qualitative Medienanalyse die verschiedenen „Spielarten der Kulturalisierung“, die in der Debatte um den Fall Therwil verwendet wurden. Die Ergebnisse zeigen, dass „Kultur“ in Beziehung (...) zu geografischer Herkunft, religiöser Zugehörigkeit und spezifischen Wertvorstellungen gesetzt wurde. Gleichzeitig kann die Verknüpfung dieser Ideen mit Vorstellungen „kulturspezifischer“ Geschlechterverhältnisse und angenommenen Einstellungen zur Geschlechtergerechtigkeit und sexuellen Liberalisierung beobachtet werden. (shrink)
Definition of the problem Feminist approaches to medical ethics are well established in international discourses. By contrast, in the German-speaking medical ethical discourse, they still seem to be rather marginal. In this article, we analyze which feminist perspectives are prominent in German medical ethics and suggest new approaches. Arguments We present our results from a systematized review of the literature, in which we identify existing feminist approaches within the German-speaking medical ethics discourse as well as research gaps. Based on the (...) review, our preliminary research and discussions in the working group “Feminist perspectives in bio and medical ethics”, we defend three hypotheses aimed at advancing the German feminist medical ethical discourse. We posit that (1) feminist medical ethics aim at (epistemic) justice, (2) feminist medical ethics are critical and context-sensitive, and (3) intersectional and postcolonial approaches within feminist medical ethics may contribute to epistemically just, critical, and context-sensitive medical ethics. Conclusion We argue that feminist perspectives should be implemented as a fundamental perspective in medical ethics because they can bring together key dimensions such as epistemically just, critical, context-sensitive, intersectional, and postcolonial thinking. (shrink)
The aim of this study is to provide a discussion on the definitions and conceptual dimensions of Responsible Research and Innovation based on findings from the literature. In the study, the outcomes of a literature review of 235 RRI-related articles were presented. The articles were selected from the EBSCO and Google Scholar databases regarding the definitions and dimensions of RRI. The results of the study indicated that while administrative definitions were widely quoted in the reviewed literature, they were not substantially (...) further elaborated. Academic definitions were mostly derived from the institutional definitions; however, more empirical studies should be conducted in order to give a broader empirical basis to the development of the concept. In the current study, four distinct conceptual dimensions of RRI that appeared in the reviewed literature were brought out: inclusion, anticipation, responsiveness and reflexivity. Two emerging conceptual dimensions were also added: sustainability and care. (shrink)
Menschen mit psychischer Erkrankung sterben statistisch gesehen früher als die Allgemeinbevölkerung. Ein Grund hierfür ist, dass sie eine schlechtere somatische Gesundheitsversorgung erhalten. Wir argumentieren, dass ableistische Netzwerke sozialer Bedeutung zu einer Abwertung der epistemischen Kompetenz von Menschen mit psychischer Erkrankung führen. Diese Abwertung kann mit dem Konzept der testimonialen Ungerechtigkeit erfasst werden. Testimoniale Ungerechtigkeit bezeichnet das ungerechtfertigte Herabstufen der Glaubwürdigkeit einer*s Sprecher*in aufgrund eines Vorurteils gegen ihre*seine soziale Identität. Wir analysieren ethische und epistemische Folgen testimonialer Ungerechtigkeit als wichtige Ursachen der (...) schlechteren Gesundheitsversorgung von Menschen mit psychischer Erkrankung. Testimoniale Ungerechtigkeit kann zu medizinischen Behandlungsfehlern führen und für Betroffene schwerwiegende gesundheitliche Folgen nach sich ziehen. Zudem kann sie zu einem Vertrauensverlust von Menschen mit psychischer Erkrankung in das Gesundheitssystem führen. Daher trägt testimoniale Ungerechtigkeit zur strukturellen Diskriminierung von Menschen mit psychischer Erkrankung bei. Vor diesem Hintergrund diskutieren wir, wie die somatische Gesundheitsversorgung unter ethischen Gesichtspunkten verbessert werden kann. (shrink)
Zusammenfassung Im internationalen Diskurs sind feministische Perspektiven auf die Medizinethik bereits etabliert. Demgegenüber scheinen diese bislang nur vereinzelt in den deutschsprachigen medizinethischen Diskurs eingebracht zu werden. In diesem Artikel untersuchen wir, welche feministischen Perspektiven im deutschsprachigen medizinethischen Diskurs vertreten sind, und schlagen weitere Ansätze für eine feministische Medizinethik vor. Zu diesem Zweck zeichnen wir mittels einer systematisierten Literaturrecherche feministische Perspektiven im deutschsprachigen medizinethischen Diskurs seit der Etablierung der Medizinethik als eigenständiger institutionalisierter Disziplin nach. Wir analysieren, welche Themen bereits innerhalb der (...) Medizinethik aus einer feministischen Perspektive untersucht worden sind, und identifizieren Leerstellen. Basierend auf der Literaturrecherche, unseren eigenen Vorarbeiten sowie der Zusammenarbeit in der Arbeitsgruppe in der Akademie für Ethik in der Medizin „Feministische Perspektiven in der Bio- und Medizinethik“ stellen wir drei Thesen vor, die aus unserer Sicht einer Weiterentwicklung des deutschsprachigen medizinethischen Diskurses dienen können. Die erste These bezieht sich auf die Ziele feministischer Medizinethiken und besagt, dass diese (epistemische) Gerechtigkeit anstreben. Die zweite These stellt zentrale Eigenschaften von feministischen Medizinethiken als kritisch und kontext-sensibel heraus. In der dritten These diskutieren wir Intersektionalität und Postkolonialismus als theoretische Ansätze, die zu einer epistemisch gerechten, kritischen und kontext-sensiblen Medizinethik beitragen können. Wir argumentieren, dass feministische Perspektiven grundständig verankert werden sollten. Der Artikel schließt mit einem Ausblick auf die Arbeit der im letzten Jahr gegründeten Arbeitsgruppe in der Akademie für Ethik in der Medizin „Feministische Perspektiven in der Bio- und Medizinethik“. (shrink)
This article traces ‘difficult guests’ who violate the tacit rules that guide interactions between talk show hosts and their guests, between news anchors and their interviewees. The goal is to theorize the appearance of such guests on television against the background of four case studies. Using the media events and media scandals concepts as well as more recent work on ‘mediatization’, a new category of remarkable media occurrences is developed. Such ‘media incidents’ capture the resistance to media routines as well (...) as the incorporation of resistance into those very routines. I will illustrate how media incidents make visible, for large audiences, the media’s daily habitual construction of reality. Despite their complex, even ambivalent nature, it is argued that media incidents perform a more critical function for citizens in media-saturated societies than both media events and scandals. (shrink)
Theodor Lipps’ doctrine of empathy (Einfühlung) is enjoying renewed relevance today for two reasons. On the one hand, it offers heuristic potential in researching the functionality of mirror neurons. On the other hand, as many of the early phenomenologists gained their conceptions of empathy by examining Lipps’ related works, the presently widespread interest in empathy necessitates a re‑reading of Lipps in phenomenological circles. The critiques that phenomenology launches against Lipps, however, often remain bound to the established (...) cliché interpretations of Lipps. This article counters such shortsighted readings by differentiating four kinds of imitation in Lipps. The supposed persuasiveness of such critiques, as will be shown, is lost in light of this differentiation. (shrink)
Purpose – The aim of this paper is to lay out some of the more complex issues arising in the area of publication ethics. The impact of electronic publishing and electronic information is a main focus of the paper. Design/methodology/approach – The paper draws in particular upon the work of the Committee on Publication Ethics including illustrative cases discussed at the forum, guidelines and discussion documents. Findings – Three areas are highlighted to stimulate discussion around challenges of publication ethics in (...) the digital era. These are the role of the internet in facilitating misconduct, the issue of confidentiality in publishing and how incentives in research assessments drive author behavior. Originality/value – The paper brings together a variety of issues discussed under the broader umbrella of electronic information and new technologies in publishing. (shrink)
This essay is, in the first instance, an exercise in intellectual archaeology. My aim is to bring back into view an idiosyncratic and largely forgotten approach to the theory of judgement that was developed around 1900 by Theodor Lipps, a pioneering but now rather obscure figure from the history of psychology. But I also hope to show that Lipps’ approach to the phenomenon of judgement is not just of antiquarian interest. Accordingly, my second aim is more narrowly philosophical: (...) I propose to assess the adequacy of Lipps’ approach to judgement by testing it against two objections — one phenomenological and one logical. (shrink)
"William Henry Fox Talbot ist vor allem als Pionier der Fotografie bekannt. Basierend auf neuen Quellen wird Talbots Erfindung hier erstmals im Hinblick auf sein gesamtes Œuvre untersucht. Dies ermöglicht neue Interpretationen seiner Fotografien, die Mirjam Brusius primär als Hilfsmittel für seine vielfältigen wissenschaftlichen Interessen und somit als Teil eines größeren epistemischen Gedankengebildes versteht. Da Talbot selbst maßgeblich an der Entzifferung von Keilschriften beteiligt war, propagierte er zunächst den Einsatz des Mediums im Museum und in der Archäologie. Als er (...) jedoch die Seiten vom Erfinder zum Nutzer der Fotografie wechselte, wurde er zum Kritiker seiner eigenen Erfindung."--Cover. (shrink)
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)
In this article, I apply the concept of solidarity to collective knowledge practices in healthcare. Generally, solidarity acknowledges that people are dependent on each other in many respects, and it captures those support practices that people engage in out of concern for others in whom they recognise a relevant similarity. Drawing on the rich literature on solidarity in bioethics and beyond, this article specifically discusses the role that epistemic solidarity can play in healthcare. It thus focuses, in particular, on solidarity’s (...) relationship with justice and injustice. In this regard, it is argued (1) that justice and solidarity are two equally important and complementary values that should both be considered in healthcare practices and institutions and (2) that solidarity often arises in unjust situations and can be a means to bring about justice. I transfer these ‘general’ insights about solidarity to knowledge practices in healthcare and link them to the discussion about epistemic injustices in healthcare and how to overcome them. I argue that epistemic solidarity can play an important role in overcoming epistemic injustices as well as—and independently from its contribution to justice—in knowledge production in medicine more generally. To demonstrate how epistemic solidarity can add to our understanding of collective knowledge practices, I discuss two examples: patients sharing their medical data for research purposes and healthcare professionals’ engagement with patients to better understand their afflictions. (shrink)
This paper explores the complex relationship between the meaning of predicates and the morphosyntactic expression of their arguments, as manifested in the swarm-class alternations in Czech. One way of getting at the nature of the alternations is to take a frame-semantic approach, which allows us to introduce the notion of scene as an important factor in linking relationships. It is proposed that linking patterns are organized in a network of generalized scene types, each of which represents a particular role configuration (...) structured in such a way that one of its roles can be singled out as the vantage point from which that event type is conventionally presented in a particular diathesis; the analysis argues for the notion of viewpoint as an event-structuring concept (distinct from discourse-based topicness) that is directly reflected in certain conventionalized linking patterns. The results of the investigation show that what may appear to be hard-to-predict variations in subject selection can be treated as instances of regular linking relations. (shrink)
The book provides a comprehensive exploration of witchcraft beliefs and practices in the rural region of Eastern Slovenia. Based on field research conducted at the beginning of the twenty-first century, it examines witchcraft in the region from folkloristic, anthropological, as well as historical, perspectives. Witchcraft is presented as part of social reality, strongly related to misfortune and involved in social relationships. The reality of the ascribed bewitching deeds, psychological mechanisms that may help bewitchment to work, circumstances in which bewitchment narratives (...) can be mobilised, reasons for a person to acquire a reputation of the witch in the entire community, and the role that unwitchers fulfilled in the community, are but a few of the many topics discussed. In addition, the intertwinement of social witchcraft with narratives of supernatural experiences, closely associated with supernatural beings of European folklore, forming part of the overall witchcraft discourse in the area, is explored. (shrink)
In diesem Artikel diskutiere ich zwei Herausforderungen für Serene J. Khaders Vorschlag einer transnationalen anti-imperialistischen feministischen Ethik. Die erste Herausforderung ist methodologischer Art und wirft die Frage auf, welche epistemischen und politischen Faktoren für Khaders nicht-idealer Theoriebildung eine Rolle spielen. Die zweite Herausforderung stellt sich mit Blick auf die Frage, wie stark Widerstand gegen sexistische Unterdrückung als Grundlage für transnationalen Feminismus tatsächlich ist. In diesem Zusammenhang diskutiere ich außerdem die Frage nach der Beziehung zwischen sexistischer Unterdrückung und Kapitalismus.