“HTA is a multidisciplinary process that summarizes information about the medical, social, economic and ethical issues related to the use of a health technology in a systematic, transparent, unbiased, robust manner. Its aim is to inform the formulation of safe, effective, health policies that are patient focused, and seek to achieve best value” (EUnetHTA 2007). Even though the assessment of ethical aspects of a health technology is listed as one of the objectives of a HTA process, in practice, the integration (...) of these dimensions into reports remains limited. The article is focused on four points: 1. the HTA concept; 2. the difficult HTA-ethics relationship; 3. the ethical issues in HTA; 4. the methods for integrating ethical analysis into HTA. (shrink)

In the field of health technology assessment, there are several approaches that can be used for ethical analysis. However, there is a scarcity of literature that critically evaluates and compares the strength and weaknesses of these approaches when they are applied in practice. In this paper, we analyse the applicability of some selected approaches for addressing ethical issues in HTA in the field of complex health interventions. Complex health interventions have been the focus of methodological attention in HTA. However, the (...) potential methodological challenges for ethical analysis are as yet unknown.Six of the most frequently described and applied ethical approaches in HTA were critically assessed against a set of five characteristics of complex health interventions: multiple and changing perspectives, indeterminate phenomena, uncertain causality, unpredictable outcomes, and ethical complexity. The assessments are based on literature and the authors’ experiences of developing, applying and assessing the approaches.The Interactive, participatory HTA approach is by its nature and flexibility, applicable across most complexity characteristics. Wide Reflective Equilibrium is also flexible and its openness to different perspectives makes it better suited for complex health interventions than more rigid conventional approaches, such as Principlism and Casuistry. Approaches developed for HTA purposes are fairly applicable for complex health interventions, which one could expect because they include various ethical perspectives, such as the HTA Core Model® and the Socratic approach.This study shows how the applicability for addressing ethical issues in HTA of complex health interventions differs between the selected ethical approaches. Knowledge about these differences may be helpful when choosing and applying an approach for ethical analyses in HTA. We believe that the study contributes to increasing awareness and interest of the ethical aspects of complex health interventions in general. (shrink)

The absence of an English translation of Gonzaga's writings, both as a whole and separately, as well as the difficulty in obtaining it outside of libraries, inspired me to undertake it with the aim of making it more accessible to the public. If I were to talk briefly about the outline, the first original French version of the text appears as an anonymous author's work. In that first version signed by Sir Thomas Witth whom nothing is known about, Gonzaga doesn’t (...) appear. His name hadn’t been appearing in the first booklet for seven years until it appeared as translator in the 1807 version. Researchers concur that this was actually a trick which Gonzaga has been hiding behind because he probably never had the courage to introduce himself as the author. It is claimed that it has been conducted a lot of research in order to recover the text of Sir Thomas Witth or other possible authors with a similar name but any satisfactory solution to the riddle has not yet been given. Regarding historical data carried out during my research, I would like to offer my opinion that there is the Scottish philosophy of Common Sense hidden behind this pseudonym which deserves attention. (shrink)

The knowledge of truth, in Plato, is an experience that calls for conversion of the soul (μεταστροφή, περιστροφή). The basic feature of this experience consists in some sort of connection, which is constantly at work, between rational arguments and their non-rational conditions, briefly, lógos and páthos. How does this connection show up in Plato? Its crucial importance emerges many times at both narrative (récit) and theoretical level. In the three parts of my contribution, I show how logos-pathos intertwines with Plato's (...) notion of conversion considered as a double-sided phenomenon, as both "process" of moral education and "noetic event". (shrink)

We discuss the role of perceptron (or threshold) connectives in the context of Description Logic, and in particular their possible use as a bridge between statistical learning of models from data and logical reasoning over knowledge bases. We prove that such connectives can be added to the language of most forms of Description Logic without increasing the complexity of the corresponding inference problem. We show, with a practical example over the Gene Ontology, how even simple instances of perceptron connectives are (...) expressive enough to represent learned, complex concepts derived from real use cases. This opens up the possibility to import concepts learnt from data into existing ontologies. (shrink)

The Handbook of Formal Argumentation is a community effort aimed at providing a comprehensive and up-to-date view of the state of the art and current trends in the lively research field of formal argumentation. The first volume of the Handbook is organised into five parts, containing nineteen chapters in all, each written by leading experts in the field. The first part provides a general and historical perspective on the field. The second part gives a comprehensive coverage of the argumentation formalisms (...) available in the literature at various levels of abstraction. The third part is devoted to cover some of the many dialogical aspects of argumentation, while the fourth one deals with algorithmic, computational and implementation issues. Finally, the fifth part provides some deeper analyses on the previously introduced topics. The Handbook of Formal Argumentation is an open-ended initiative of which the present volume is the first outcome. Further volumes are planned to cover topics not included in the present one and the initiative is conceived to grow by the support and feeding it receives from the community members. (shrink)

The fact that Internet companies may record our personal data and track our online behavior for commercial or political purpose has emphasized aspects related to online privacy. This has also led to the development of search engines that promise no tracking and privacy. Search engines also have a major role in spreading low-quality health information such as that of anti-vaccine websites. This study investigates the relationship between search engines’ approach to privacy and the scientific quality of the information they return. (...) We analyzed the first 30 webpages returned searching “vaccines autism” in English, Spanish, Italian, and French. The results show that not only “alternative” search engines but also other commercial engines often return more anti-vaccine pages (10–53%) than Google (0%). Some localized versions of Google, however, returned more anti-vaccine webpages (up to 10%) than Google. Health information returned by search engines has an impact on public health and, specifically, in the acceptance of vaccines. The issue of information quality when seeking information for making health-related decisions also impact the ethical aspect represented by the right to an informed consent. Our study suggests that designing a search engine that is privacy savvy and avoids issues with filter bubbles that can result from user-tracking is necessary but insufficient; instead, mechanisms should be developed to test search engines from the perspective of information quality (particularly for health-related webpages) before they can be deemed trustworthy providers of public health information. (shrink)

Ineffability in Plato is a conundrum. There are at least four dimensions of ineffability in Platonic texts: epistemic (divine), strategic (religious), unspeakability and incommunicability. In this paper, I deal only with the first dimension, which is strictly epistemic in kind, and defend that Plato rejects divine ineffability, namely, the belief that the knowledge of the divine in general is inaccessible to the human mind. Several crucial passages attest to this rejection unequivocally. They show that Plato attached a great philosophical relevance (...) to what I call the equivalenceprinciple, namely, the interdependence or specularity between human and divine intelligence. The assertion of this principle represents the Platonic path to absolute knowledge, which I try to locate in the broader context of the history of philosophy, from early philosophers to Hegel. (shrink)

The paper provides a thorough account of the relationship between Ernst Mach’s thought and that of an apparently more intellectually distant near-contemporary, Friedrich Nietzsche. The consistency of their views is in fact substantial, as I try to show within the paper. Despite their interests being different, both Mach and Nietzsche were concerned with the same issues about our intellectual relationship with the external world, dealing with the same questions and pursuing a common aim of eliminating worn-out philosophical conceptions. Moreover, it (...) can be argued that both Mach and Nietzsche converged on what we now know as the problem of realism versus anti-realism in the philosophy of science, and that they both rejected ‘representational’ (realist) conceptions of science in favour of a certain sort of pragmatic anti-realism, whose focus was on the role science plays as a means of orientation. (shrink)

During the second decade of the 20th century Hans Kleinpeter, an Austrian scholar devoted to the development of the modern science, published some brief papers on Nietzsche’s thought. Kleinpeter has been one of the main upholders of Mach’s epistemology and probably the first who connected his ideas with the philosophy of Nietzsche. In his book on Der Phänomenalismus (1913) he described a new world view that arose in the 19th century, a perspective that ‒ according to him ‒ completely contrasted (...) the mechanistic and metaphysical world view of the old school of scientific inquiry. The main outcome of the scientists whose name was related with this perspective (e.g. Clifford, Maxwell, Kirchoff and, obviously, Mach himself) has been the refusal of the absolute value of any “truth”. Kleinpeter’s statements on this topic are a good example of the rising of a Scientific Philosophy, whose development involved many scientists and thinkers that later set up the Verein Ernst Mach and the Wiener Kreis. On the other hand, his interest on Nietzsche is a relevant case of reception of the latter’s thought, that Kleinpeter puts into the context of the contemporary epistemology. In fact, he considers Nietzsche as one of the main upholders of the phenomenalistic world view, and states that he «took part at the same renewal of philosophical investigation that arose from the latest results of scientific inquiry» during the 19th century. A renewal whose main outcomes has been presented by John Stallo in his book on The Concepts and Theories of Modern Physics (1881), which Kleinpeter translated in German and published in 1901. According to Kleinpeter, in Nietzsche’s writings (mostly unpublished) one can find a theory of knowledge quite close to the one presented by both Mach and the new born Pragmatism, i.e. the complete refusal of an absolute truth and, therefore, the development of an antimetaphysical world view. In my paper I’ll discuss the main statements presented by Kleinpeter on this topic and show which of Nietzsche’s ideas has actually been in compliance with the main outcomes of late 19th century science. Thus, I’ll carry out a reconstruction of an unfamiliar side of the first period of reception of the philosophy of Nietzsche and its relevance to the development of a new (scientific) world view. (shrink)

The paper provides both a description of conspiracy beliefs and an insight into their cultural significance. On one side, it highlights their specific formal features, on the other, and this constitutes its peculiarity in the recent literature on the topic, it considers them within the broader genre of general conceptual beliefs, whose main characteristics are weak methodology and logical structure, strong affective and dispositional constraints, epistemic closure and mauvaise foi, and whose main function is practical and self-representative (not epistemic). The (...) paper also claims that political theory and social sciences had some influence in legitimizing certain ideas and stereotypes that are exacerbated in conspiracy beliefs, while other te(le)ological conceptions, such as finalism and providence, may be an important source of ideas that turn out to be widely spread in contemporary criticism towards those same beliefs. (shrink)

Il pensiero prospettivistico del Nietzsche maturo sorge come reazione alla «fede in un valore metafisico e in sé della verità» che, a partire da Platone, ha animato la cultura occidentale. Agli occhi di Nietzsche, tale fede si trova all’origine del processo di degenerazione antropologica che ha caratterizzato la morale europea, ed è pertanto su di essa che occorre operare criticamente se si vuole avviare un contromovimento in grado di permettere all’umanità di orientarsi nei meandri labirintici del nichilismo. Attraverso una contestualizzazione (...) delle riflessioni di Nietzsche sul tema del prospettivismo, il presente studio si propone di rilevare la componente pragmatista che si trova alla base di tale critica. In linea con quanto osservato da William James e condividendo molte delle istanze che il suo pragmatismo portò a maturazione, il pensiero prospettivistico di Nietzsche si presenta infatti come strategia per gestire lo svuotamento di senso della nozione di verità a cui conducono i risultati della moderna epistemologia. Esso consiste, in particolare, in una metodologia di orientamento che assume produttivamente su di sé gli spazi lasciati aperti da un sapere non più metafisico e dogmatico e che, pertanto, permette di avviare un nuovo percorso educativo per l’umanità a venire. (shrink)

In this paper I discuss the role played by Ernst Mach on Nietzsche’s thought. Starting from the contents of his Beiträge zur Analyse der Empfindungen, I’ll show the close similarities between their view on both human knowledge and the scientific world description. In his writing on science Nietzsche shares Mach’s critique to the 19th century mechanism and its metaphysical ground, as much as his way of defining the substantial notions such as matter, ego and free will. Moreover, my investigation will (...) make it clear that Mach cannot be seen as a direct source of Nietzsche’s thought, since the latter wrote many times on the same subjects long before his first reading one of his works. Rather, it is possible to consider the writings of Lange, Spir and Spencer as the first sources of Nietzsche’s views on the main themes Mach dealt with in his work from 1886. (shrink)

Friedrich Nietzsche’s criticism towards the substance-concept „I“ plays an important role in his late thought, and can be properly understood by making reference to the 19th century debate on the scientific psychology. Friedrich Lange and Ernst Mach gave an important contribution to that debate. Both of them developed the ideas of Gustav Fechner, and thought about a „psychology without soul“, i.e. an investigation that gives up with the old metaphysics of substance in dealing with the mind-body problem. In this paper (...) I shall deal with both Lange and Mach (whose writings has been read by Nietzsche), in order to shed some light on Nietzsche’s rejection of the „I“ in philosophy. (shrink)

In this paper I deal with Nietzsche's theory of knowledge in the context of 19th century epistemology. In particular, I argue that, even though Nietzsche shows the ontological lack of content of truths (both on the theoretic and on the moral plane), he nevertheless leaves the space for a practical use of them, in a way that can be compared with William James' pragmatism. I thus deal with Nietzsche's and James' concept of "truth", and show their relationship with some outcomes (...) of Ernst Mach's epistemology. (shrink)

The main aim of this paper is to act as a corrective to the comparatively deafening silence of egalitarian political philosophy’s response to the Great Recession. The paper thus provides an accessible analysis of a new strand of empirical research into the causes of the crisis. This new literature, which has largely gone unnoticed by the broader philosophical community, maintains that the main driver of financial instability is income and wealth inequality coupled with income stagnation at the bottom of the (...) income distribution. Building on this empirical research, the paper puts forward six connections between egalitarian political philosophy broadly construed, and the findings of the new literature it surveys. These connections are understood as operating in two directions: that is, they both provide reasons for egalitarians to play a larger role in debates concerning the moral aspects of financial instability, and also offer valuable insights to egalitarians to reorient their position concerning central facets of their arguments. (shrink)

The properties of the ${\forall^{1}}$ quantifier defined by Kontinen and Väänänen in [13] are studied, and its definition is generalized to that of a family of quantifiers ${\forall^{n}}$ . Furthermore, some epistemic operators δ n for Dependence Logic are also introduced, and the relationship between these ${\forall^{n}}$ quantifiers and the δ n operators are investigated.The Game Theoretic Semantics for Dependence Logic and the corresponding Ehrenfeucht- Fraissé game are then adapted to these new connectives.Finally, it is proved that the ${\forall^{1}}$ quantifier (...) is not uniformly definable in Dependence Logic, thus answering a question posed by Kontinen and Väänänen in the above mentioned paper. (shrink)

The essay focuses, firstly, on the notion of evil in William James’ Varieties of Religious Experience (VRE). James identified evil with a pathological mental fact, “depression”, and analyzed it according to different thresholds and degrees of symptomatic severity: from the more conscious, intellectualized and, apparently, superficial cases to the more painful and obscure, which, according to his view, were also the deepest ones. The second aim of this essay is to cast light on James’ theory of religious conversion. According to (...) James, once the believer has reached a new mental balance and experienced a lasting happiness thanks to his change of mind, evil comes again to him under the form of a persistent and warning memory of the past troubling experience, a memory that is functional to preserve his new belief-system. We define this memory and its role as “functional atheism” and propose to transpose this notion from the uncertain realm of inner experience, where James originally put it, to the narrative and neurocognitive grounds, where it may lead to more original and wider developments. (shrink)

The paper aims to investigate some aspects of Ernst Mach’s epistemology in the light of the problem of human orientation in relation to the world (Weltorientierung), which is a main topic of Western philosophy since Kant. As will be argued, Mach has been concerned with that problem, insofar as he developed an original pragmatist epistemology. In order to support my argument, I firstly investigate whether Mach defended a nominalist or a realist account of knowledge and compare his view to those (...) elaborated by other pragmatist thinkers, such as W. James, H. Vaihinger and H. Poincaré. Secondly, the question of what does it mean, for Mach, to orient ourselves in science is addressed. Finally, it will be argued that, although Mach tried to keep his epistemology restricted to a mere operational and economical account of science, that question involves the wider plane of practical philosophy. (shrink)

Reciprocal libertarianism is a version of left-wing libertarianism that combines self-ownership with an egalitarian distribution of resources according to reciprocity. In this paper, I show that re...

The paper explores Nietzsche's observations on language in Human, All Too Human I, 11; reflects on the anti-realist position that Nietzsche defends in that aphorism; and focuses on the role she plays in his later investigation on Western culture and its anthropology. As will be argued, Nietzsche's criticism towards common sense realism is consistent with some pragmatist epistemologies developed during the late-nineteenth and early-twentieth century. This treat of " timeliness " does not limit Nietzsche's originality on the topic. In fact, (...) the idea that philosophy can contrast the metaphysical commitment of common sense can be seen as the theoretical tool that allows Nietzsche to operate on the development of European culture and society. (shrink)

ITA: Quello del “buon europeo” è in Nietzsche un tema significativo, che si presenta originariamente connesso alle riflessioni di Nietzsche sulla cultura europea, arricchendosi col tempo di una portata filosofica che si lega agli obiettivi del suo pensiero maturo. Scopo del presente articolo è di mostrare la genesi e l’evoluzione di tale concetto, a partire dalle sue prime occorrenze in Umano, troppo umano I fino al suo compiuto sviluppo negli scritti del 1885-87. Tale studio permetterà di evidenziare il particolare valore (...) che Nietzsche attribuisce ai “buoni europei”, in quanto promotori dello sviluppo spirituale conseguente alla compiuta liberazione della morale cristiana. ENG: The “good European” is a rich and important topic in Nietzsche. It is first related to Nietzsche’s early reflections on European culture, and during the 1880’s it gains philosophical value, being strictly connected with the purposes of Nietzsche’s mature thought. The aim of this paper is to track the genesis and development of the notion of “good European”, from Human, all too Human I to Nietzsche’s writings from the years 1885-1887. That investigation shall particularly show the meaning and value that Nietzsche attributes to the good Europeans; as for him, they are in fact the leaders of the spiritual development that follows the overcoming of Christian morality. (shrink)

In this article I rethink Rawls' conception of international economic justice, with a particular focus on international trade. I ground my normative argument on a different interpretation of the concepts of basic structure and of basic institution. I use the contemporary international trading system to illustrate my normative interpretation. I use the Law of Peoples to discuss the Rawlsian concept of basic structure. I contest Samuel Freeman's interpretation of this concept as one that pertains exclusively to the domestic realm. As (...) a reply, I work out an interpretation of basic institutions valid for both the national and international context. I base my understanding on the impact and the form of membership that characterize basic institutions. Both properties are compatible with an extension of the concept of a basic institution to the international domain. I then show how the World Trade Organization (WTO) system can be compared to a domestic basic institution. I analyse the decisional setting that surrounds the choice of joining the WTO. I conclude that no real alternative exists. Hence, WTO membership is not to be considered a completely free policy choice. I also state that the new system is witnessing a strong expansion of the areas subject to trade governance. Such expansion is responsible for the growing impact that international trade has on domestic institutions and hence on people. Finally, I use my analysis of contemporary international trading relations to test Rawls' position in the Law of Peoples. I conclude that although Rawls' principles for fair trade and international cooperation can regulate GATT-style international trade, they are not proficient in assessing the new characteristics of international trade. (shrink)

The aim of this paper is to shed light on Nietzsche’s late investigation of the Western human being, with particular reference to Twilight of the Idols. I shall argue that this investigation can be seen as a “pragmatic anthropology,” according to the meaning that Kant gave to this notion in 1798. Although the paper focuses on Nietzsche’s thought, an analysis of Kant’s anthropology and the comparison between and Nietzsche’s late views of the human being, will show both their differences and (...) similarities on the topic. (shrink)

Lack of consideration of the complex European scientific scene from the late 18th century to the mid-decades of the 19th century has produced partial and often biased reconstructions of priorities, worries, implicit and explicit philosophical and at times political agendas characterizing the early debates on species. It is the purpose of this paper firstly to critically assess some significant attempts at broadening the historiographic horizon concerning the immediate context to Darwin's intellectual enterprise, and to devote the second part to arguing (...) that a multi-faceted European debate on the transformation of life forms had already occurred in Europe around 1800. Of this debate, contrary to long cherished views, Lamarck's was only one voice, amongst many. Naturalists active in different national contexts elaborated solutions and proposed doctrines that shared several viewpoints, yet clearly stemmed from a variety of disciplinary traditions and problematic contexts. (shrink)

PRÉFACE Joël Biard et Thierry Gontier La figure de Pietro Pomponazzi est représentative de la profusion et de l'inventivité de la culture universitaire du ...

The environment can elicit biological responses such as oxidative stress (OS) and inflammation as a consequence of chemical, physical, or psychological changes. As population studies are essential for establishing these environment-organism interactions, biomarkers of OS or inflammation are critical in formulating mechanistic hypotheses. By using examples of stress induced by various mechanisms, we focus on the biomarkers that have been used to assess OS and inflammation in these conditions. We discuss the difference between biomarkers that are the result of a (...) chemical reaction (such as lipid peroxides or oxidized proteins that are a result of the reaction of molecules with reactive oxygen species) and those that represent the biological response to stress, such as the transcription factor NRF2 or inflammation and inflammatory cytokines. The high-throughput and holistic approaches to biomarker discovery used extensively in large-scale molecular epidemiological exposome are also discussed in the context of human exposure to environmental stressors. We propose to consider the role of biomarkers as signs and to distinguish between signs that are just indicators of biological processes and proxies that one can interact with and modify the disease process. (shrink)

The tradition of Kant’s critical philosophy developed the concept of imagination rigorously and productively. In this article, I shall defend the suitability of placing this concept in a paleoanthropological frame and linking it to the cognitive practices – predominantly sensorimotor, interactive and those directed at the emergence of technologies – which preceded and prepared for the advent of articulated speech. Special attention will be paid to the internalization processes of these practices and their effects on human conduct. On the basis (...) of this discussion, I shall defend the theory by which the advent of denotative articulated speech entailed a profound reorganization of the technical performances attributable to the imagination and the relative internalization processes. Moreover, the origin of articulated speech inaugurated a singular story, that of the relationship between word and image. In my conclusions, I shall describe a major outcome of this within the framework of the new electronic technologies. (shrink)

Name der Zeitschrift: Klio Jahrgang: 99 Heft: 2 Seiten: 687-694.

In this article I propose a unitary interpretation of Kant’s reflection on evil in Religion Within the Bounds of Bare Reason (1792–1794). This part of Immanuel Kant’s work often presents knotty interpretative problems because the author, while reaffirming the principle of the subject’s moral freedom as set forth in Critique of Practical Reason, seems actually to be showing this freedom as conditioned by a tendency toward evil that is so compelling that it blocks and undermines the subject’s autonomy. I give (...) an account of the coherence acquired by the Kantian notion of radical evil, defined as an axiological inversion of the order of the motives, once one grasps the defective character of the notion of freedom that the philosopher employs in the work and the metaphysical orientation that backs it up. (shrink)

This paper presents a novel argumentation framework to support Issue-Based Information System style debates on design alternatives, by providing an automatic quantitative evaluation of the positions put forward. It also identifies several formal properties of the proposed quantitative argumentation framework and compares it with existing non-numerical abstract argumentation formalisms. Finally, the paper describes the integration of the proposed approach within the design Visual Understanding Environment software tool along with three case studies in engineering design. The case studies show the potential (...) for a competitive advantage of the proposed approach with respect to state-of-the-art engineering design methods. (shrink)