It is commonly assumed that there are differences in physicians’ and caregivers’ ethical attitudes towards clinical situations. The assumption is that the difference is driven by different values, views and judgements in specific situations. At Aalborg University Hospital, Denmark, we aimed to investigate these assumptions by conducting a large quantitative study. The study design, based on the Factorial Survey Method, was a carefully constructed survey with 50 questions designed to test which factors influenced the respondents’ ethical reasoning. The factors were (...) clustered into three categories of ethical reasoning and values. The categories were formulated in terms of easily recognizable ethical positions: consequential ethics, deontological ethics and relational ethics. Based on 2129 respondents, we found significant support for the assumption of differences between physicians and caregivers. The group of caregivers favoured the relational ethics view in clinical ethical situations, and the group of ph... (shrink)

_Vi gennemførte i 2016 et omfattende empirisk studie på Aalborg Universitetshospital med henblik på at afdække de forskellige sundhedsprofessioners etiske holdninger. Hensigten var at afdække eventuelle forskelle mellem professionerne samt at få begrebsliggjort de etiske tankemønstre, der er tilstede i den kliniske praksis. Vi fandt i den indledende dataanalyse, at vi med signifikans kunne vise, at plejegruppen i højere grad bruger nærhedsetiske og omsorgsetiske vurderinger, til forskel fra lægegruppen, der er mere pligtetisk funderet__. Undersøgelsen blev sat op ved brug af (...) vignetmetoden, der giver mulighed for at indsamle kvantitative data, der er velegnede til en statistisk analyse, men som samtidig også muliggør en kvalitativ undersøgelse ved en efterfølgende hermeneutisk analyse af udvalgte besvarelser. I denne artikel studerer vi undersøgelsens resultater inden for sygeplejegruppen alene med det formål at uddrage, hvad deres vurderinger kommer an på, og at diskutere, hvordan disse faktorer indbyrdes forholder sig til hinanden og skaber sammenhæng. Med udgangspunkt i dette finder vi frem til, hvordan sygeplejerskernes etiske holdninger som helhed formes af de særlige værdier, som den nærhedsetiske profil understøtter, men som videre også giver et mere fleksibelt og nuanceret billede af sygeplejeetikken._ _Nøgleord:_ sygeplejeetik, vignetmetoden, hermeneutik, patientperspektiv, klinisk praksis _ _ _English title: _Factors that influence nurses' attitude to "good clinical practice" - a qualitative analysis of data from an empirical study at Aalborg University Hospital In 2016, we conducted a comprehensive empirical study at Aalborg University Hospital in order to uncover the ethical attitudes of various health professions. The intention was to uncover any differences between professions as well as to conceptualize the ethical thought patterns present in clinical practice. We found in the preliminary data analysis that we could show with significance that the group of care givers uses relational ethics and care ethics assessments to a greater extent as opposed to the more duty ethics based group of physicians. The study was set up using the vignette method, which allows for the collection of quantitative data suitable for statistical analysis, but which also allows for a qualitative study by a subsequent hermeneutical analysis of selected answers. In this article we study the results of the study within the nursing group solely for the purpose of extracting what their assessments depend on and discussing how these factors relate to each other and create some form of moral coherence. Based on this we find how nurses' ethical attitudes are shaped by the particular values ​​that the relational ethical profile supports, but also how this profile is modified and flexible to the conditions of clinical settings and situations. In the end our interpretation provides us with a more nuanced picture of nursing ethics than a single theoretical perspective or a set of guidelines provide. _Keywords:_ nursing ethics, the vignette method, hermeneutics, patient perspective, clinical practice. (shrink)

Today there are multiple implantable medical devices on the market. The type of implants that interface the body’s tissues has been considered to have particular strong ethical implications. This article describes a development of a novel practice for ethical assessment and reflection within medical device research and development of non-CE marked medical devices, taking the perspective of both the ethicist and the researcher. The research case was an EU funded project where the aim was to develop and compare the efficiency (...) of invasive and non-invasive technological medical devices to create meaningful sensations as a novel therapy for phantom limb pain. An Independent Ethical Advisor with a regulatory and advisory role was assigned to the project, allowing us to investigate the projects deliberate incorporation of ethics. In the article we suggest and applied a novel framework based on action research for combining ethical assessment with building ethical reflection. The case analyse five different activities / elements: 1) the use of informed consent; 2) a survey amongst the research partners; 3) a workshop session; 4) observation of consortium meetings; and 5) an interview with a participating patient. (shrink)

Den form for anvendt etik, som denne antologi repræsenterer, sigter mod at anvise løsninger på de etiske problemer, som samfunds- og teknologi-udviklingen fører med sig. De helt konkrete aktuelle etiske udfordringer, som tages op i denne bog er: Virksomheders adgang til jobansøgeres straffeattester, det fælles medicinkort, fordelingsretfærdighed i forhold til miljøudfordringer, Al Qaedas brug af de elektroniske medier, Irak-krigens legitimitet, evidensbaseret pædagogik samt personers ansvar for egen sundhed. Bogens syv bidrag er skrevet af forskere ved universiteterne i Aalborg, Roskilde, Aarhus (...) og Syddanske Universitet og forsynet med en indledning ved de to redaktører Patrik Kjærsdam Telléus og Mogens Pahuus. (shrink)

In discourses on digitization and the data economy, it is often claimed that data subjects shall beownersof their data. In this paper, we provide a problem diagnosis for such calls fordata ownership: a large variety of demands are discussed under this heading. It thus becomes challenging to specify what—if anything—unites them. We identify four conceptual dimensions of calls for data ownership and argue that these help to systematize and to compare different positions. In view of this pluralism of data ownership (...) claims, we introduce, spell out and defend a constructive interpretative proposal: claims for data ownership are charitably understood as attempts to call for theredistributionof material resources and the socio-culturalrecognitionof data subjects. We argue that as one consequence of this reading, it misses the point to reject claims for data ownership on the grounds that property in data does not exist. Instead, data ownership brings to attention a claim to renegotiate such aspects of thestatus quo. (shrink)

Background Big data and AI applications now play a major role in many health contexts. Much research has already been conducted on ethical and social challenges associated with these technologies. Likewise, there are already some studies that investigate empirically which values and attitudes play a role in connection with their design and implementation. What is still in its infancy, however, is the comparative investigation of the perspectives of different stakeholders. Methods To explore this issue in a multi-faceted manner, we conducted (...) semi-structured interviews as well as focus group discussions with patients and clinicians. These empirical methods were used to gather interviewee’s views on the opportunities and challenges of medical AI and other data-intensive applications. Results Different clinician and patient groups are exposed to medical AI to differing degrees. Interviewees expect and demand that the purposes of data processing accord with patient preferences, and that data are put to effective use to generate social value. One central result is the shared tendency of clinicians and patients to maintain individualistic ascriptions of responsibility for clinical outcomes. Conclusions Medical AI and the proliferation of data with import for health-related inferences shape and partially reconfigure stakeholder expectations of how these technologies relate to the decision-making of human agents. Intuitions about individual responsibility for clinical outcomes could eventually be disrupted by the increasing sophistication of data-intensive and AI-driven clinical tools. Besides individual responsibility, systemic governance will be key to promote alignment with stakeholder expectations in AI-driven and data-intensive health settings. (shrink)

That nature, including insentient entities such as trees, rivers, or ecosystems, should be recognized as right-holders is an enticing thought that would have substantial practical repercussions. But the position finds little support from moral conceptions of rights and moral distinctions that have judicial relevance in the sense of providing normative reasons for legislation and assessing existing laws. An alternative to viewing rights of nature as proper rights resting on valid moral claims that ought to be legally recognized is to regard (...) them as ‘manifesto’ rights. Such rights are based on political demands and hold even if there is no one with a corresponding duty to fulfill them. I investigate whether rights of nature can be considered manifesto rights. Some objections to regarding rights of nature as manifesto rights will be considered, such as difficulties of delimiting the borders of an environmental entity and making successful analogies with existing (human) rights based on interests and needs. It will be suggested that while some of those challenges can be mitigated by custodianship, it is not clear what needs of insentient entities in nature would justify such claims. It is found that rights of nature depend substantially on legitimate custodians both for delineation of the entity in question and for establishing interest-like characteristics. But rights of nature are not manifesto rights when there is a legitimate custodian having the possibility of evoking duties in others. However, the need for a legitimate custodian in delimitation and establishing normatively relevant characteristics of specific environmental entities defeats universal appeals to rights of nature. (shrink)

Research indicates that people value music primarily because of the emotions it evokes. Yet, the notion of musical emotions remains controversial, and researchers have so far been unable to offer a satisfactory account of such emotions. We argue that the study of musical emotions has suffered from a neglect of underlying mechanisms. Specifically, researchers have studied musical emotions without regard to how they were evoked, or have assumed that the emotions must be based on the mechanism for emotion induction, a (...) cognitive appraisal. Here, we present a novel theoretical framework featuring six additional mechanisms through which music listening may induce emotions: (1) brain stem reflexes, (2) evaluative conditioning, (3) emotional contagion, (4) visual imagery, (5) episodic memory, and (6) musical expectancy. We propose that these mechanisms differ regarding such characteristics as their information focus, ontogenetic development, key brain regions, cultural impact, induction speed, degree of volitional influence, modularity, and dependence on musical structure. By synthesizing theory and findings from different domains, we are able to provide the first set of hypotheses that can help researchers to distinguish among the mechanisms. We show that failure to control for the underlying mechanism may lead to inconsistent or non-interpretable findings. Thus, we argue that the new framework may guide future research and help to resolve previous disagreements in the field. We conclude that music evokes emotions through mechanisms that are not unique to music, and that the study of musical emotions could benefit the emotion field as a whole by providing novel paradigms for emotion induction. (shrink)

Xenotransplantation is any transplantation, implantation, or infusion of either live cells, tissues, or organs from a nonhuman animal source, or human bodily fluids, cells, tissues, or organs that have had ex vivo contact with live nonhuman animal cells, tissues, or organs into a human recipient. Most scientists agree that clinical xenotransplantation should not be performed in the absence of accompanying public health safeguards The science upon which that consensus is based has been extensively described in the literature. By and large (...) the most compelling reason for public health safeguards is the possible introduction of new infectious agents into the human life cycle as a result of xenotransplantation.The most frequent source of new infectious diseases in human populations is the transfer of agents, such as viruses, bacteria, or prions, from animals to man. Human diseases and infectious agents that are thought to have originated from animals include influenza, rabies, malaria, lassa fever, lyme disease, AIDS, yellow fever, tuberculosis, the human t-cell lymphotropic virus, the herpes B virus, the hantavirus, and even the bubonic and pneumonic plagues. (shrink)

Xenotransplantation is any transplantation, implantation, or infusion of either live cells, tissues, or organs from a nonhuman animal source, or human bodily fluids, cells, tissues, or organs that have had ex vivo contact with live nonhuman animal cells, tissues, or organs into a human recipient. Most scientists agree that clinical xenotransplantation should not be performed in the absence of accompanying public health safeguards The science upon which that consensus is based has been extensively described in the literature. By and large (...) the most compelling reason for public health safeguards is the possible introduction of new infectious agents into the human life cycle as a result of xenotransplantation.The most frequent source of new infectious diseases in human populations is the transfer of agents, such as viruses, bacteria, or prions, from animals to man. Human diseases and infectious agents that are thought to have originated from animals include influenza, rabies, malaria, lassa fever, lyme disease, AIDS, yellow fever, tuberculosis, the human t-cell lymphotropic virus, the herpes B virus, the hantavirus, and even the bubonic and pneumonic plagues. (shrink)

A successor to the acclaimed 'Music and Emotion', The Handbook of Music and Emotion provides comprehensive coverage of the field, in all its breadth and depth. As well as summarizing what is currently known about music and emotion, it will also stimulate further research in promising directions that have been little studied.

How do markets come about? This article offers a first systematic analysis of three different ideal types of market fashioning: mutual adjustment, organization, and fields. Although aspects of these are identifiable in most empirical markets, these three ideal types provide analytic tools for students of real markets and marketplaces. After going through this comprehensive literature, it is argued that mutual adjustment, which refers to non-planned processes, is affinity with markets in which products are differentiated, for example, producer markets. Organization refers (...) to process driven by attempts to decide for others and shows affinity with markets for standardized and homogenous products, for example, stock exchanges. Organization also accounts for the making of marketplaces. The broader notion of fields does not refer to any specific process, but accounts for the context of market fashioning and its respective power struggles. (shrink)

A somewhat prominent view in the literature is that language provides opportunity to program the brain with ‘cognitive gadgets’, or ‘virtual machines’. Here, I explore the possibility that thinking itself – internal symbolic responses to stimuli that are either intrinsic or extrinsic, and computational procedures that operate on these internal symbolic representations – is such a software product rather than just an emergent phenomenon of the brain’s hardware being ‘complex enough’, or the brain processing information in a manner that is (...) ‘integrated enough’. I also present a testable hypothesis that would indicate the presence of such a thought-gadget, and briefly overview some evolutionary pre-requisites for its existence. Further, I explore some consequences the existence of such a gadget would entail for our understanding of consciousness. The nature of the gadget is left unspecified as the article is not a blueprint for the thinking gadget, but an argument in favor of its existence. (shrink)

This paper introduces the philosophical foundation and practical application of empirical phenomenology in social research. The approach of empirical phenomenology builds upon the phenomenology of the philosophers Edmund Husserl and Martin Heidegger and the sociologist Alfred Schütz, but considers how their more philosophical and theoretical insights can be used in empirical research. It aims at being practically useful for anyone doing qualitative studies and concerned about safeguarding the perspective of those studied. The main idea of empirical phenomenology is that scientific (...) explanation must be grounded in the first-order construction of the actors; that is, in their own meanings. These constructions are then related to the second-order constructions of the scientist. In this paper, empirical phenomenology is considered in the light of phenomenological philosophy. The paper includes an explication of the approach, which is summarized in seven steps through which the researcher is guided, and considers its implications for qualitative methods such as interviewing and participant observation. (shrink)

Culinary products have culinary value. That is, they have value qua culinary products. However, what is the nature of culinary value and what elements determine it? In the light of the central and universal role that culinary products play in our lives, offering a philosophical analysis of culinary value is a matter of interest. This paper attempts to do just this. It develops three different possible models of culinary value, two rather restricted ones and a third more encompassing one, rejects (...) the first two, and defends the third one. (shrink)

During recent years the relevance of environmental ethics to nature conservation has been increasingly questioned. This doubt mainly takes two forms: (1) Conservation biology is regarded as solely a scientific endeavor, and therefore ethics is redundant; (2) It is acknowledged that values are part and parcel of conservation science, practice and policy, but environmental ethics is considered to have little positive contribution to make. We focus on the latter form and argue that it enables only suppressed normative premises omitted from (...) critical scrutiny, and that relying on suppressed premises for making prescriptive conclusions is normatively unreasonable. Furthermore, even if the normative premises were well-founded, the stance has unwelcome implications. We show ways in which environmental ethics provides critical and structured manners of reasoning on normative premises. This invites more collaboration between nature conservation and environmental ethics in the future. (shrink)

This book examines the role of ethics and philosophy in biodiversity conservation. The objective of this book is two-fold: on the one hand it offers a detailed and systematic account of central normative concepts often used, but rarely explicated nor justified, within conservation biology. Such concepts include 'values', 'rights', and 'duties'. The second objective is to emphasize to environmental philosophers and applied ethicists the many interesting decision-making challenges of biodiversity conservation. The book argues that a nuanced account of instrumental values (...) provides a powerful tool for reasoning about the values of biodiversity. It also scrutinizes relational values, the concept of rights of nature, and risk, and show how moral philosophy proves indispensable for these concepts. Consequently, it engages with recent suggestions on normative aspects of biodiversity conservation, and show the need for moral philosophy in biodiversity conservation. The overriding aim of this book is to provide conservation biologists and policy-makers with a systematic overview of concepts and assessments of the reasons for reaching prescriptive conclusions about biodiversity conservation. This will prove instrumental in clarifying the role of applied ethics and a refined understanding of the tools it can provide. This title will be of interest to students and scholars of conservation biology, conservation policy, environmental ethics and environmental philosophy. (shrink)

For any market to work properly, certain key elements are necessary: competition, pricing, rules, clearly defined offers, and easy access to information. Without these components, there would be chaos. Orderly Fashion examines how order is maintained in the different interconnected consumer, producer, and credit markets of the global fashion industry. From retailers in Sweden and the United Kingdom to producers in India and Turkey, Patrik Aspers focuses on branded garment retailers--chains such as Gap, H&M, Old Navy, Topshop, and Zara. (...) Aspers investigates these retailers' interactions and competition in the consumer market for fashion garments, traces connections between producer and consumer markets, and demonstrates why market order is best understood through an analysis of its different forms of social construction. Emphasizing consumption rather than production, Aspers considers the larger retailers' roles as buyers in the production market of garments, and as potential objects of investment in financial markets. He shows how markets overlap and intertwine and he defines two types of markets--status markets and standard markets. In status markets, market order is related to the identities of the participating actors more than the quality of the goods, whereas in standard markets the opposite holds true. Looking at how identities, products, and values create the ordered economic markets of the global fashion business, Orderly Fashion has wide implications for all modern markets, regardless of industry. (shrink)

Can culinary items bear heritage value? That is, can culinary items bear the kind of universal value shared by, say, a paleolithic site and the Hiroshima Peace.

Attention serves to represent selectively relevant information at the expense of competing and irrelevant information, but the mechanisms and effects of attention are not unitary. The great variety of methods and techniques used to study automaticity and attention for facial expressions suggests that the time should now be ready for a better breaking down of the concepts of automaticity and attention into elementary constituents that are more tractable to investigations in cognitive neuroscience. This article reviews both the behavioral and neuroimaging (...) literature on the automatic perception of facial expressions of emotion in healthy volunteers and patients with brain damage. It focuses on aspects of automaticity in face perception that relate to task goals, attentional control, and conscious awareness. Behavioral and neuroimaging findings converge to support some degree of automaticity in processing facial expressions and is likely to reflect distinct components that should be better disentangled at both the behavioral and neural level. (shrink)

Interreligious dialogue and conversion are two contentious foci for understanding how religion operates. An interpretation of George Lindbeck serves as a starting point for discussion in this paper. The dominant reading is that Lindbeck claims that traditions absorb the world. Religious traditions are isolated, and the one with a greater capacity to assimilate others’ concerns emerges the strongest – implying what is called exclusivism. My proposal is that a different reading of Lindbeck is possible; I am not so much questioning (...) Lindbeck as highlighting another aspect of his oeuvre. If grammar, framework and structure – and not propositional first‐order ontological contents – are given first place, dialogue and conversion appear differently. Questions must be raised, however; isn't it true that there is always some content and substance – even if hidden or disguised? (shrink)

This review provides an overview of the ethics of extinctions with a focus on the Western analytical environmental ethics literature. It thereby gives special attention to the possible philosophical grounds for Michael Soulé’s assertion that the untimely ‘extinction of populations and species is bad’. Illustrating such debates in environmental ethics, the guiding question for this review concerns why – or when – anthropogenic extinctions are bad or wrong, which also includes the question of when that might not be the case (...) (i.e. which extinctions are even desirable). After providing an explanation of the disciplinary perspective taken (section “Introduction”), the concept of extinction and its history within that literature are introduced (section “Understanding extinction”). Then, in section “Why (or when) might anthropogenic extinctions be morally problematic?”, different reasons for why anthropogenic extinctions might be morally problematic are presented based on the loss of species’ value, harm to nonhuman individuals, the loss of valuable biological variety and duties to future generations. This section concludes by also considering cases where anthropogenic extinctions might be justified. Section “How to respond to extinctions?” then addresses a selection of topics concerning risks and de-extinction technologies. Finally, the section on “Extinction studies” introduces other viewpoints on the ethics of extinction from the extinction studies literature, followed by the “Conclusion”. (shrink)

To facilitate recruitment of conscript cyber soldiers in Sweden, the Cyber Test for Future Soldiers was developed as a complement to the existing generic enrolment test. Consisting of several parts, CTFS measures different aspects of computer-related knowledge and cognitive abilities that we believe are of particular relevance to cyber security. This article describes the evaluation regarding CTFS’s validity and reliability based on data from 62 conscripts that took the test and the 27 selected conscripts finishing the training 1 year later. (...) Reliability was predicted through internal consistency and test–retest measures. Cronbach’s alpha for CTFS ranges from 0.79 to 0.86 whereas the test–retest reliability is 0.60. Evidence regarding validity was collected based on test content and internal structure. Convergent, discriminant, and predictive evidence are also presented. Perhaps most importantly, CTFS could predict the cyber soldiers’ performance during their training and added incremental validity to I-prov 2000. When adjusted for range restriction, I-prov 2000 predicted 20% of the variation in course score, while 34% of the variance was explained when CTFS was used in conjunction with I-prov 2000. The results show that CTFS already in its first version is adding value for the Swedish Armed Forces. (shrink)

In fluid-dynamics, several motivating factors can spur new lines of inquiry. Beginning with considerations on the exchange of momentum that takes place at small scales inside a fluid, and after introducing a generalized categorization of different types of fluid media, Understanding the Nature of Science presents a critical analysis of contemporary issues which are being debated in the scientific community. Next, the authors present an evolutionary ecological approach in which human knowledge is studied as the ecology of interacting data-information-knowledge systems (...) developing in time as a consequence of incessant learning from interactions with the environment on various levels of organization. The concluding section suggests the use of problem-based learning to promote conceptual changes from the "Nature of Science" naive views, usually found in students, to more informed views. (shrink)

Artificial intelligence is currently changing many areas of society. Especially in health, where critical decisions are made, questions of control must be renegotiated: who is in control when an automated system makes clinically relevant decisions? Increasingly, the concept of meaningful human control (MHC) is being invoked for this purpose. However, it is unclear exactly how this concept is to be understood in health. Through a systematic review, we present the current state of the concept of MHC in health. The results (...) show that there is not yet a robust MHC concept for health. We propose a broader understanding of MHC along three strands of action: enabling, exercising and evaluating control. Taking into account these strands of action and the established rules and processes in the different health sectors, the MHC concept needs to be further developed to avoid falling into two gaps, which we have described as theoretical and labelling gaps. (shrink)

I support the music and social bonding framework, but submit that the authors' predictions lack discriminative power, and that they do not engage sufficiently with the emotion mechanisms that mediate between musical features and social bonding. I elaborate on how various mechanisms may contribute, in unique ways, to social bonding at various levels to help account for the socio-emotional effects of music.

I argue that Paul Ricœur displaces and decentres established theodicies; the issue of evil is perceived as a practical rather than a speculative matter. It is the view of evil as a productive aporia, which suggests that evil provokes action and obliges human beings to take a stand ethically and politically. Hence, the topic of evil is not necessarily about putting together a jigsaw puzzle. The central problem of evil has less to do with logic than with resignation, inertia, despair (...) and meaninglessness. (shrink)

Instrumental values are often considered to be inferior to intrinsic values. One reason for this is that instrumental values are extrinsic and rely on two factors: (a) a means–end relationship that is (b) conducive to something of final or intrinsic value. In this paper, I will investigate the conditions under which bearers of instrumental value are given different value or owed different levels of respect. Such conditions include the number of means that are conducive to something of final or intrinsic (...) value as well as the form of causality that is implied. It will be suggested that different numbers and causal relations will imply different degrees of reverence or respect to the bearers of instrumental value. I will also critically investigate recent proposals such as relational values that allegedly go beyond the distinction between instrumental and intrinsic value. Drawing from this critical analysis, a nuanced picture of instrumental value will be provided. (shrink)

‘Relational value’ (RV) has intuitive credibility due to the shortcomings of existing axiological categories regarding recognizing the ethical relevance of people’s relations to nature. But RV is justified by arguments and analogies that do not hold up to closer scrutiny, which strengthens the assumption that RV is redundant. While RV may provide reasons for ethically considering some relations, much work remains to show that RV is a concept that does something existing axiological concepts cannot, beyond empirically describing relations people have (...) to environmental areas and places. (shrink)

Kathleen Stock has recently argued that Gregory Currie’s account of fiction is beset by two patchwork puzzles. According to the first, Currie’s account entails that works of fiction end up being implausible heterogenous complexes of utterances that furnish a fictional world and utterances that aim at representing the actual world. According to the second, competent engagement with a fiction can implausibly result in switching from one mental attitude to another – namely, belief and make-belief. In this paper, I argue for (...) two main claims. First, that a few alterations to Currie’s account make it immune to Stock’s puzzles. And, second, that such a modified account presents clear advantages over the alternative one offered by Stock. (shrink)