Ethik ist in Gesundheitsberufen allgegenwärtig, auch wenn das den Betroffenen nicht immer bewusst ist. Doch das Bewusstsein hierfür hat in den letzten Jahren deutlich zugenommen. Dies zeigt sich nicht nur auf politischer Ebene, sondern auch daran, dass in vielen grösseren Gesundheitsinstitutionen Ethikstrukturen geschaffen worden sind.Zudem wird der Ethik in der Ausbildung zu Gesundheitsberufen zunehmend mehr Gewicht eingeräumt. Im Folgenden gehen wir von unseren Erfahrungen als Dozierende für Ethik im Bachelorstudiengang Physiotherapie der Zürcher Hochschule für angewandte Wissenschaften (ZHAW) in Winterthur aus. (...) Wir argumentieren für die für uns zentrale Schlussfolgerung, dass die Ethikausbildung in der Ausbildung zu Gesundheitsberufen viel interdisziplinärer gestaltet sein sollte, als sie das heute meistens ist. Denn Ethik ist, wie die Kommunikationskompetenz oder das Grundwissen zur Forschung, eine transdisziplinäre und interprofessionelle Kompetenz. Das gilt nicht nur für deren Vermittlung, sondern insbesondere für die medizinische Berufspraxis. (shrink)

In Gesundheitsberufen ist Ethik allgegenwärtig und erhält in der Ausbildung zunehmend mehr Gewicht. Dieses Buch nimmt eine Schwierigkeit sehr ernst, die in der Ethik häufig vergessen geht: Ethiktheorien im Berufsalltag anzuwenden, ist nicht so einfach, wie es auf den ersten Blick erscheint. Dieses Buch gibt allen in Gesundheitsberufen Tätigen eine Entscheidungshilfe für ethische Fragestellungen. Die Autoren führen ein Raster zur Analyse von medizinischen Einzelfällen ein, das stark anwendungsbezogen aufgebaut ist und eine praxistaugliche Reflexionshilfe für den medizinischen Berufsalltag bietet. Anhand dieses (...) Rasters stellt das Buch Fallbeispiele mit Lösungsvorschlägen für alle Berufe des Gesundheitswesens vor. Kontrollfragen und Arbeitsaufträge fördern das Verständnis und die Diskussion. Die Raster zur Fallanalyse stehen zudem auch als Download zur Verfügung. (shrink)

An accessible yet rigorous introduction to the influential French philosopher Gilbert Simondon's philosophy of individuation. Gilbert Simondon, one of the most influential contemporary French philosophers, published only three works: L'individu et sa genèse physico-biologique and L'individuation psychique et collective, both drawn from his doctoral thesis, and Du mode d'existence des objets techniques. It is this last work that brought Simondon into the public eye; as a consequence, he has been considered a “thinker of technics” and cited often in pedagogical reports (...) on teaching technology. Yet Simondon was a philosopher whose ambitions lay in an in-depth renewal of ontology as a process of individuation—that is, how individuals come into being, persist, and transform. In this accessible yet rigorous introduction to Simondon's work, Muriel Combes helps to bridge the gap between Simondon's account of technics and his philosophy of individuation. Some thinkers have found inspiration in Simondon's philosophy of individuation, notably Gilles Deleuze and Félix Guattari. Combes's account, first published in French in 1999, is one of the only studies of Simondon to appear in English. Combes breaks new ground, exploring an ethics and politics adequate to Simondon's hypothesis of preindividual being, considering through the lens of transindividual philosophy what form a nonservile relation to technology might take today. Her book is essential reading for anyone who wants to understand Simondon's work. (shrink)

Paraphrase is ubiquitous in philosophy, especially in discussions about ontological commitment. But should it be? Paraphrases are seldom accompanied by evidence that would convince, say, a linguist that the paraphrase and the paraphrased sentence have the same meaning. Indeed, from the perspective of linguistics, many paraphrases would seem to be nothing but bad jokes. For this reason, many philosophers have become deeply suspicious about paraphrase. I ague in this paper that this worry is misguided--that successful paraphrases do not need to (...) preserve semantic content, and that the way that paraphrase has been used in Quinean meta-ontology, and philosophical inquiry more generally, corresponds, at least roughly, to the way it should be used. (shrink)

We prize loyalty in our friends, lovers and colleagues, but loyalty raises difficult questions. What is the point of loyalty? Should we be loyal to country, just as we are loyal to friends and family? Can the requirements of loyalty conflict with the requirements of morality? In this book, originally published in 2007, Simon Keller explores the varieties of loyalty and their psychological and ethical differences, and concludes that loyalty is an essential but fallible part of human life. He (...) argues that grown children can be obliged to be loyal to their parents, that good friendship can sometimes conflict with moral and epistemic standards, and that patriotism is intimately linked with certain dangers and delusions. He goes on to build an approach to the ethics of loyalty that differs from standard communitarian and universalist accounts. His book will interest a wide range of readers in ethics and political philosophy. (shrink)

Nombreux couples arrivent en thérapie avec une demande d’amélioration de leur communication. Or les mots semblent dangereux, investis d’un pouvoir sur l’autre. Quel danger représente le fait de dire? L’exposition de la situation d’un couple recomposé permet d’évoquer différentes dimensions de la thérapie psychanalytique en couple dont celle du discours. Contradictions et paradoxes mettent en lumière les conflits identitaires d’appartenance constitutifs du lien du couple. L’usage du verbe et ses effets fâcheux montrent combien au nom du discours s’organisent les résistances (...) en groupe. C’est au thérapeute que revient la tâche de rendre possible le passage par le verbe, en travaillant les interactions et projections inconscientes dans l’interrelation, de cette difficulté à dire pour chacun. (shrink)

The potential of memory modification techniques (MMTs) has raised concerns and sparked a debate in neuroethics, particularly in the context of identity and authenticity. This paper addresses the question whether and how MMTs influence authenticity. I proceed by drawing two distinctions within the received views on authenticity. From this, I conclude that an analysis of MMTs based on a dual-basis, process view of authenticity is warranted, which implies that the influence of MMTs on authenticity crucially depends on the specifics of (...) how memory modification would eventually work. Therefore, I continue with a systematic analysis of possible properties of MMTs in which I distinguish between the dimensions of memories and the kinds of experiences that can be modified as well as the properties of the process of memory modification. The impact of MMTs on authenticity is analyzed regarding the possible properties of MMTs and based on a narrative approach to authenticity which fulfills the requirements of a dual-basis, process view of authenticity. Lastly, I explore the potential of MMTs to shift the balance between self-discovery and self-creation within authenticity and thereby alter the concept itself as well as the value of authenticity. (shrink)

The profound changes in personality, mood, and other features of the self that neural interventions can induce can be disconcerting to patients, their families, and caregivers. In the neuroethical debate, these concerns are often addressed in the context of possible threats to the narrative self. In this paper, I argue that it is necessary to consider a dimension of impacts on the narrative self which has so far been neglected: neural interventions can lead to a loss of meaning of actions, (...) feelings, beliefs, and other intentional elements of our self-narratives. To uphold the coherence of the self-narrative, the changes induced by neural interventions need to be accounted for through explanations in intentional or biochemical terms. However, only an explanation including intentional states delivers the content to directly ascribe personal meaning, i.e., subjective value to events. Neural interventions can deprive events of meaning because they may favor a predominantly biochemical account. A loss of meaning is not inherently negative but it can be problematic, particularly if events are affected one was not prepared or willing to have stripped of meaning. The paper further examines what it is about neural interventions that impacts meaning by analyzing different methods. To which degree the pull towards a biochemical view occurs depends on the characteristics of the neural intervention. By comparing Deep Brain Stimulation, Prozac, Ritalin, psychedelics, and psychotherapy, the paper identifies some main factors: the rate of change, the transparency of the causal chain, the involvement of the patient, and the presence of an acute phenomenological experience. (shrink)

Novel technological devices, applications, and algorithms can provide us with a vast amount of personal information about ourselves. Given that we have ethical and practical reasons to pursue self-knowledge, should we use technology to increase our self-knowledge? And which ethical issues arise from the pursuit of technologically sourced self-knowledge? In this paper, I explore these questions in relation to bioinformation technologies (health and activity trackers, DTC genetic testing, and DTC neurotechnologies) and algorithmic profiling used for recommender systems, targeted advertising, and (...) technologically supported decision-making. First, I distinguish between impersonal, critical, and relational self-knowledge. Relational self-knowledge is a so far neglected dimension of self-knowledge which is introduced in this paper. Next, I investigate the contribution of these technologies to the three types of self-knowledge and uncover the connected ethical concerns. Technology can provide a lot of impersonal self-knowledge, but we should focus on the quality of the information which tends to be particularly insufficient for marginalized groups. In terms of critical self-knowledge, the nature of technologically sourced personal information typically impedes critical engagement. The value of relational self-knowledge speaks in favour of transparency of information technology, notably for algorithms that are involved in decision-making about individuals. Moreover, bioinformation technologies and digital profiling shape the concepts and norms that define us. We should ensure they not only serve commercial interests but our identity and self-knowledge interests. (shrink)

L’auteure présente une thérapie en couple de personnes sourdes. Les spécificités inhérentes à leur langue dont les modalités sont visuelles, où signifiant et signifié sont si proches, génèrent un sentiment d’appartenance groupale à une culture. Comment s’articule la problématique du couple avec les divers modes de communication à l’œuvre, les identités et identifications au sein de ce néo-groupe? Les aspects transférentiels et contretransférentiels serviront de fil rouge dans le déroulement de cette thérapie particulière. Le recours à la métaphore constitue pour (...) le thérapeute un point d’appui vers l’interfantasmatisation. Il contribue à créer une enveloppe, une pensée métaphorique, celle-ci permettant de surmonter les représentations inhibantes qui faisaient obstacle au travail d’élaboration. (shrink)

Par la publication de ces Lettres d’un inverti allemand, Philippe Artières poursuit l’entreprise amorcée avec le Livre des vies coupables (2000) :en éditant ces « archives mineures » il nous invite à une plongée dans l’infâme ordinaire et donne, surtout, la parole aux « grands absents » de l’histoire, « les invertis du xixe siècle », qui partagent en cela le destin de bien des femmes, longtemps absentes du discours historique, quoi qu’ils aient, comme elles, laissé de nombreuses traces. Les (...) l... (shrink)

I intend to argue that good friendship sometimes requires epistemic irresponsibility. To put it another way, it is not always possible to be both a good friend and a diligent believer.

This paper presents a functional genealogy of essentialist authenticity. The essentialist account maintains that authenticity is the result of discovering and realizing one’s ‘true self’. The genealogy shows that essentialist authenticity can serve the function of supporting continuity in one’s individual characteristics. A genealogy of essentialist authenticity is not only methodologically interesting as the first functional genealogy of a contingent concept. It can also deepen the functional understanding of authenticity used in neuroethics, provide a possible explanation for the prevalence of (...) the idea of an essentialist true self and justify the use of the ideal of authenticity. First, essentialist authenticity is defined and explained through the work of Jean-Jacques Rousseau. Second, a general need to have steady characteristics is derived from basic human practices. Third, circumstances that make it more challenging to steady oneself are identified and shown to have become more prevalent in the age of modernity when the ideal of authenticity emerged. Finally, it is shown how essentialist authenticity helps to steady the self. (shrink)

Authenticity has been recognized as a central concept in the ethics of human enhancement. In the last decade, a plethora of novel distinctions, specifications, and definitions of authenticity have been added to the debate. This chapter takes a step back and maps the different accounts of authenticity to provide a nuanced taxonomy of authenticity and reveal the emerging underlying structures of this concept. I identify three kinds of conditions for authentic creation and change of the true self (coherence, endorsement, and (...) relations) as well as ways how the true self should be expressed (in one’s self-conception, self-presentation, and one’s body, emotions, and actions). Based on this analysis, I discuss the hopes and concerns human enhancement raises for authenticity. Enhancement technologies do not threaten or foster authenticity across the board but affect different dimensions of authenticity individually. Finally, I turn to the value of authenticity and argue that the debate on authenticity in the ethics of human enhancement would profit from a more extended discussion on the comparative value of the individual dimensions of authenticity. (shrink)

What does it take for an argument to be a success? Peter van Inwagen argues that an argument for conclusion c is one that, when ideally presented in the company of an ideal opponent, would be convincing to an audience of ideal neutral agnostics about c. He goes on to argue that, by this criterion, there are (almost certainly) no successful arguments for substantive philosophical conclusions. I outline several problems with both van Inwagen's account of success and the others in (...) the literature, and argue for an alternative conception--one that allows for the existence of successful arguments for substantive philosophical conclusions. This alternative conception of success is individualistic, in that it relativizes success to the individual evaluating it. I argue that this form of relativism is not as bad as it seems. (shrink)

This paper is a defense of what I call The Simple View, according to which propositions are simple, fine-grained, abstract entities that have truth-conditions essentially and fundamentally. The Simple View has two controversial implications: (i) propositions do not (literally) have constituents or parts, and (ii) propositions’ having truth-conditions is a brute fact about them. I criticize the Simple View’s two competitors, the Possible Worlds View and the Structured View, for failing to provide a plausible ontology of propositions and failing to (...) explain the propositional features they set out to explain. I then consider three versions of the Simple View, developed by George Bealer, Trenton Merricks, and Peter van Inwagen, and argue that Bealer’s view is the most promising. (shrink)

Can associative learning take place without awareness? We explore this issue in a sequence learning paradigm with amnesic and control participants, who were simply asked to react to one of four possible stimuli on each trial. Unknown to them, successive stimuli occurred in a sequence. We manipulated the extent to which stimuli followed the sequence in a deterministic manner (noiseless condition) or only probabilistically so (noisy condition). Through this paradigm, we aimed at addressing two central issues: first, we asked whether (...) sequence learning takes place in either condition with amnesic patients. Second, we asked whether this learning takes place without awareness. To answer this second question, participants were asked to perform a subsequent sequence generation task under inclusion and exclusion conditions, as well as a recognition task. Reaction times results show that amnesic patients learned the sequence only in the deterministic condition. However, they failed to be able to reproduce the sequence in the generation task. In contrast, we found learning for both sequence structures in control participants, but only control participants exposed to a deterministic sequence were successful in performing the generation task, thus suggesting that the acquired knowledge can be used consciously in this condition. Neither amnesic nor control participants showed correct old/new judgments in the recognition task. The results strengthen the claim that implicit learning is at least partly spared in amnesia, and the role of contextual information available for learning is discussed. © 2006 Elsevier Ltd. All rights reserved. (shrink)

Through a series of multidisciplinary readings, Environmental Ethics: The Big Questions contextualizes environmental ethics within the history of Western intellectual tradition and traces the development of theory since the 1970s. Includes an extended introduction that provides an historical and thematic introduction to the field of environmental ethics Features a selection of brief original essays on why to study environmental ethics by leaders in the field Contextualizes environmental ethics within the history of the Western intellectual tradition by exploring anthropocentric (human–centered) and (...) nonanthropocentric precedents Offers an interdisciplinary approach to the field by featuring seminal work from eminent philosophers, biologists, ecologists, historians, economists, sociologists, anthropologists, nature writers, business writers, and others Designed to be used with a web–site which contains a continuously updated archive of case studies: http://environmentalethics.info/. (shrink)

Le livre d’Anne-Claire Rebreyend est tiré d’une thèse préparée sous la direction de Françoise Thébaud et soutenue en septembre 2006, intitulée « pour une histoire de l’intime. Sexualités et sentiments amoureux en France de 1920 à 1975 ». Le titre du livre a été habilement condensé en Intimités amoureuses. La piste suivie dans l’ouvrage est doublement novatrice : une histoire de l’intime, du privé d’individus, hommes et femmes, ordinaires ; une histoire écrite à partir de sources autobiographi...

Children have special duties to their parents: there are things that we ought to do for our parents, but not for just anyone. Three competing accounts of filial duty appear in the literature: the debt theory, the gratitude theory and the friendship theory. Each is unsatisfactory: each tries to assimilate the moral relationship between parent and child to some independently understood conception of duty, but this relationship is different in structure and content from any that we are likely to share (...) with anyone apart from a parent. A more promising account will concentrate on what is unique about the parent-child relationship. I articulate and defend the 'special goods theory', according to which filial duties arise from the distinctive kinds of goods that healthy parent-child relationships typically involve. (shrink)

While care ethics has frequently been criticized for lacking an account of autonomy, this paper argues that care ethics' relational model of moral agency provides the basis for criticizing the philosophical tradition's model of autonomy and for rethinking autonomy in relational terms. Using Diana Meyers's account of autonomy competency as a basis, a dialogical model of autonomy is developed that can respond to internal and external critiques of care ethics.

A mesure que le XIXe siècle a donné la priorité à l'économie, on a cessé collectivement de vouloir rendre "l'homme meilleur". Mais avec la post-modernité, nouvel avatar d'une domination qui ne supporte plus qu'on lui apporte la contradiction, c'est en nuisant au "meilleur de l'homme" que l'économie poursuit sa conquête mondialisée. Pour ce qui est de cette nuisance particulièrement inconséquente, reconnaissons à la présente époque une efficacité inégalée dans l'Histoire. Quelque chose comme une volonté de mettre effectivement fin à l'Histoire.

A partir de la divergencia de M. Foucault con Th. Hobbes con respecto a la guerra como principio y fundamento del poder, se muestra la importancia de esa diferencia conceptual para los análisis políticos contemporáneos. Foucault sostiene que, en las sociedades modernas de Occidente, la comunidad política, y más precisamente la política misma, ha sido el terreno de la guerra librada por otros medios. Por extensión, esta tesis significa invertir el principio de von Clausewitz; a saber, que la guerra es (...) la continuación de la política por otros medios. (shrink)

Nombreux couples arrivent en thérapie avec une demande d’amélioration de leur communication. Or les mots semblent dangereux, investis d’un pouvoir sur l’autre. Quel danger représente le fait de dire? L’exposition de la situation d’un couple recomposé permet d’évoquer différentes dimensions de la thérapie psychanalytique en couple dont celle du discours. Contradictions et paradoxes mettent en lumière les conflits identitaires d’appartenance constitutifs du lien du couple. L’usage du verbe et ses effets fâcheux montrent combien au nom du discours s’organisent les résistances (...) en groupe. C’est au thérapeute que revient la tâche de rendre possible le passage par le verbe, en travaillant les interactions et projections inconscientes dans l’interrelation, de cette difficulté à dire pour chacun. (shrink)

In Kant and the Demands of Self-Consciousness, Pierre Keller examines Kant's theory of self-consciousness and argues that it succeeds in explaining how both subjective and objective experience are possible. Previous interpretations of Kant's theory have held that he treats all self-consciousness as knowledge of objective states of affairs, and also that self-consciousness can be interpreted as knowledge of personal identity. By developing this striking new interpretation Keller is able to argue that transcendental self-consciousness underwrites a general theory of (...) objectivity and subjectivity at the same time. (shrink)

An historical review of authorship definitions and publication practices that are embedded in directions to authors and in the codes of ethics in the fields of psychology, sociology, and education illuminates reasonable agreement and consistency across the fields with regard to (a) originality of the work submitted, (b) data sharing, (c) human participants’ protection, and (d) conflict of interest disclosure. However, the role of the professional association in addressing violations of research or publication practices varies among these fields. Psychology and (...) sociology provide active oversight with sanction authority. In education, the association assumes a more limited role: to develop and communicate standards to evoke voluntary compliance. With respect to authorship credit, each association’s standards focus on criteria for inclusion as an author, other than on the author’s ability to defend and willingness to take responsibility for the entire work. Discussions across a broad range of research disciplines beyond the social sciences would likely be beneficial. Whether improved standards will reduce either misattribution or perceptions of inappropriate attribution of credit within social science disciplines will likely depend on how well authorship issues are addressed in responsible conduct of research education (RCR), in research practice, and in each association’s ongoing efforts to influence normative practice by specifying and clarifying best practices. (shrink)

Building on the account of a pattern-theory of self introduced by Shaun Gallagher, this article investigates the unique role of the narrative dimension of the self within the self-pattern. According to a pattern-theory, the self is constituted by a cluster of dimensions that interact with each other. A particular variation of this pattern constitutes a self. This article advances the argument that for selves who narrate, the narrative dimension of the self takes a special role that cuts across the other (...) dimensions. First, the pattern-theory of self is introduced and a conceptual and ethical argument for employing a pattern-theory is developed. Second, the distinct role of the narrative dimension of the self is analysed. Through the narrative dimension of the self, we engage in self-definition, integrate and connect the other dimensions of the self, make them intelligible, and ascribe personal meaning to them. And third, the narrator type of self is characterized. Organizing one’s experiences through a self-narrative changes the self. Narrators constitute a unified self, they can actively plan and lead a life and engage in forensic practices, and they integrate the subjective and objective nature of the self. (shrink)

I reassess the famous arguments of Frank Plumpton Ramsey (1925) against the tenability of the distinction between particulars and universals and discuss their recent elaboration by Fraser MacBride. I argue that Ramsey’s argument is ambiguous between kinds and properties and that his sceptical worries can be resolved once this distinction is taken into account. A crucial role in this dissolution is a notion of what is essential to a property. I close by some epistemological considerations.

Ensemble musicians play in synchrony despite expressively motivated irregularities in timing. We hypothesized that synchrony is achieved by each performer internally simulating the concurrent actions of other ensemble members, relying initially on how they would perform in their stead. Hence, musicians should be better at synchronizing with recordings of their own earlier performances than with others’ recordings. We required pianists to record one part from each of several piano duets, and later to play the complementary part in synchrony with their (...) own or others’ recordings. The pianists were also asked to identify their own recordings. The pianists were better at synchronizing with their own than with others’ performances, and they were able to recognize their own recordings. Furthermore, synchronization accuracy and recognition were correlated: Pianists who were relatively accurate at synchronizing with their own performances were also good at recognizing them. Thus, action simulation may underlie both synchronization and self-recognition. (shrink)

This collection examines the intersections of religion and "new" materialisms. Calling upon an interdisciplinary throng of scholars in science studies, religious studies, and theology, it assembles a multiplicity of experimental perspectives on materiality: what is matter, how does it materialize, and what sort of worlds are enacted in its varied entanglements with divinity?

Muriel Briançon | : Afin d’éclairer le sens de la religiosité de la philosophie de Lévinas et d’écarter le soupçon d’une soumission de celle-ci à des dogmes ou à des croyances incompatibles avec un principe de laïcité, notre contribution vise à clarifier le sens de son projet général. L’intention lévinassienne, ambitieuse et visionnaire, consiste en l’explicitation philosophique, métaéthique et phénoménologique, de l’idée cartésienne de l’Infini, transcendance non idolâtrique surgissant de la relation humaine. Cette quête philosophique de l’extrême conscience suppose (...) un athéisme ou du moins une mise en question de l’idolâtrie, du sacré et des dogmes. Cette spiritualité laïque universelle réalisée dans un judaïsme repensé conduit à des questions philosophiques essentielles et à un changement paradigmatique. | : To enlighten the sense of the religiosity of the Lévinas’ philosophy and rule out the suspicion of a submission of this one in dogmae or in incompatible faiths with a principle of secularism, our contribution aims at clarifying the sense of its general project. The Lévinas’ intention, ambitious and visionary, consists of the philosophic explicitation, métaéthique and phenomenological, of the Cartesian idea of Infinity, the not idolatrous transcendence appearing from the human relation. This philosophic quest of the extreme consciousness supposes an atheism or at least a questioning of the idolization, the sacred and the dogmae. This universal laic spirituality realized in a rethought Judaism leads to essential philosophic questions and to paradigmatic change. (shrink)