RationaleSurrogates of critically ill patients often have inaccurate expectations about prognosis. Yet there is little research on how intensive care unit clinicians should discuss prognosis, and existing expert opinion-based recommendations give only general guidance that has not been validated with surrogate decision makers.ObjectiveTo determine the perspectives of key stakeholders regarding how prognostic information should be conveyed in critical illness.MethodsThis was a multicenter study at three academic medical centers in California, Pennsylvania, and Washington. One hundred eighteen key stakeholders completed in-depth semistructured (...) interviews. Participants included 47 surrogates of adult patients with acute respiratory distress syndrome; 45 clinicians working in study ICUs, including physicians, nurses, social workers, and spiritual care providers; and 26 experts in health communication, decision science, ethics, family-centered care, geriatrics, healthcare disparities, palliative care, psychology, psychiatry, and critical care.Measurements and main resultsThere was broad support among surrogates for existing expert recommendations, including truthful prognostic disclosure, emotional support, tailoring the disclosure strategy to each family's needs, and checking for understanding. In addition, stakeholders offered suggestions that add specificity to existing recommendations, including: In addition to conveying prognostic estimates, clinicians should help families "see the prognosis for themselves" by showing families radiographic images and explaining the clinical significance of physical manifestations of severe disease at the bedside. Many physicians did not support using numeric estimates to convey prognosis to families, whereas many surrogates, clinicians from other disciplines, and experts believed numbers could be helpful. Clinicians should conceptualize prognostic communication as an iterative process that begins with a preliminary mention of the possibility of death early in the ICU stay and becomes more detailed as the clinical situation develops. Although prognostic information should be initially disclosed by physicians, other members of the multidisciplinary team-nurses, social workers, and spiritual care providers-should be given explicit role responsibilities to reinforce physicians' prognostications and help families process a poor prognosis emotionally.ConclusionsFamily members, clinicians, and experts identified specific communication behaviors that clinicians should use to discuss prognosis in the critical care setting. These findings extend existing opinion-based recommendations and should guide interventions to improve communication about prognosis in ICUs. (shrink)

(Report assembled for the Workshop of the AMIA Working Group on Formal Biomedical Knowledge Representation in connection with AMIA Symposium, Washington DC, 2005.) Best practices in ontology building for biomedicine have been frequently discussed in recent years. However there is a range of seemingly disparate views represented by experts in the field. These views not only reflect the different uses to which ontologies are put, but also the experiences and disciplinary background of these experts themselves. We asked six questions related (...) to biomedical ontologies to what we believe is a representative sample of ontologists in the biomedical field and came to a number conclusions which we believe can help provide an insight into the practical problems which ontology builders face today. (shrink)

Human coalitions frequently persist through multiple, overlapping membership generations, requiring new members to cooperate and coordinate with veteran members. Does the mind contain psychological adaptations for interacting within these intergenerational coalitions? In this paper, we examine whether the mind spontaneously treats newcomers as a motivationally privileged category. Newcomers—though capable of benefiting coalitions—may also impose considerable costs (e.g., they may free ride on other members, they may be poor at completing group tasks). In three experiments we show (1) that the mind (...) categorizes coalition members by tenure, including newcomers; (2) that tenure categorization persists in the presence of orthogonal and salient social dimensions; and (3) that newcomers elicit a pattern of impressions consistent with their probable ancestral costs. These results provide preliminary evidence for a specialized component of human coalitional psychology: an evolved concept of newcomer. (shrink)

This article offers the first phenomenological clarification of the objective conditions for sensory illusions focusing on the noematic ‘idea’ and a priori ontological structure that regulate the appearances of illusory things in perception. First, I will show the necessity of eidetic and noematically oriented investigations, arguing that it is an analysis of how the essence ‘Thinghood’ functions transcendentally that leads to an a priori clarification of both illusory things and their corresponding multiplicities of appearances. Accordingly, I will consider the correlate (...) of material perception according to both its formal and material ontological structures and focus on the a priori principle of coordination and the laws of mutability and reversibility that set the framework for an analysis a parte obiecti. I will then examine the process of typification, the psycho-physical conditionality of the lived-body, and the constitution of different levels of normality and abnormality. Within this expanded analysis, I will provide a clarification of ‘false’ sensory appearances showing how both deceptive and resilient illusory cases can be scientifically accounted for on a phenomenological basis and in accordance with natural-empirical laws. (shrink)

ABSTRACTIn this short introductory contribution the guest editors of this special issue sketch its aim and context.

In the Transcendental Aesthetic (TA), Kant is typically held to make negative assertations about “things in themselves,” namely that they are not spatial or temporal. These negative assertions stand behind the “neglected alternative” problem for Kant’s transcendental idealism. According to this problem, Kant may be entitled to assert that spatio-temporality is a subjective element of our cognition, but he cannot rule out that it may also be a feature of the objective world. In this paper, I show in a new (...) way how Kant’s view (focusing on his conclusions about space) is not subject to this objection, by showing that he does not make the denial about mind-independent reality that he is typically held to make. The argument develops consequences of a new reading of Kant’s expression “an sich selbst” (‘in itself’; ‘in themselves’). I argue that “an sich selbst” or “per se” has a special, judgment-level role, so that this expression does not form new noun-terms adjectivally. It follows that the conceptual unit of Kant’s “Conclusions” in the TA is simply “things” (Dinge), since “things in themselves” is not a nominal expression; Kant adopts the Wolffian ontological use of “thing” as the basic kind-term for any existent. The arguments that things per se are not in space are arguments that space cannot be a necessary property or relations of things as a kind. I show that this does not involve the positive claim about mind-independent reality that inspires the neglected alternative objection. (shrink)

While the idea of philosophy as conceptual analysis has attracted many adherents and undergone a number of variations, in general it suffers from an authority problem with two dimensions. First, it is unclear why the analysis of a concept should have objective authority: why explicating what we mean should express how things are. Second, conceptual analysis seems to lack intersubjective authority: why philosophical analysis should apply to more than a parochial group of individuals. I argue that Hegel’s conception of social (...) ontology, focused on his concept of “ethical life” (Sittlichkeit), helps to explain how concepts (and their explication) have both objective and intersubjective authority in the social domain. Hegel claims that modern institutions are the product of self-conscious purposes, so that they are conceptually constituted. Concepts do not just represent these objects and so depend on a contingent relation to them. As many contemporary social ontologists agree, this means that our concepts of these institutions are uniquely epistemically “transparent.” They have objective authority. Concepts have intersubjective authority in the modern world as well, according to Hegel. However, I show that this feature of Hegel’s account does not rely on the solution to a philosophical problem. Rather, since the concepts of modern ethical life are “essentially contested,” their content depends on the practical and political agreement of modern subjects. This means that concepts can only have objective authority if some prior intersubjective agreement has been reached. The role of philosophy as conceptual analysis is thus importantly dependent on political developments. (shrink)

Asperó and Schindler have completely solved the Axiom [Formula: see text] vs. [Formula: see text] problem. They have proved that if [Formula: see text] holds then Axiom [Formula: see text] holds, with no additional assumptions. The key question now concerns the relationship between [Formula: see text] and Axiom [Formula: see text]. This is because the foundational issues raised by the problem of Axiom [Formula: see text] vs. [Formula: see text] arguably persist in the problem of Axiom [Formula: see text] vs. (...) [Formula: see text]. The first of our two main theorems is that Axiom [Formula: see text] is equivalent to Axiom [Formula: see text], and as a corollary we show that Axiom [Formula: see text] fails in all the known models of [Formula: see text]. This suggests that [Formula: see text] actually refutes Axiom [Formula: see text]. Our second main theorem is that the [Formula: see text] Conjecture holds assuming [Formula: see text]. This is the strongest partial result known on this conjecture which is one of the central open problems of [Formula: see text]-theory and [Formula: see text]-logic. These results identify a fundamental asymmetry between the Continuum Hypothesis and any axiom which is both [Formula: see text]-expressible and which implies [Formula: see text], on the basis of generic absoluteness for the simplest of the nontrivial sentences of Third-Order Number Theory. These are the [Formula: see text]-sentences with no parameters. Such sentences are those which simply assert the existence of a set [Formula: see text] for which some property involving only quantification over [Formula: see text] holds. (shrink)

Inleidend studieboek op universitair niveau over de Nederlandse rechtswetenschap.

This masterful work on Kant's Religion within the Boundaries of Mere Reason explores Kant's treatment of the Idea of God, his views concerning evil, and the moral grounds for faith in God. Kant and Religion works to deepen our understanding of religion's place and meaning within the history of human culture, touching on Kant's philosophical stance regarding theoretical, moral, political, and religious matters. Wood's breadth of knowledge of Kant's corpus, philosophical sharpness, and depth of reflection sheds light not only on (...) Kant, but also on the fate of religion and its relation to philosophy in the modern world. (shrink)

In the introduction to the volume, the editors explain the overarching aim of the volume and contextualize the main themes of its chapters. Even if the notions of biopolitics and biopower have played a crucial role in philosophy, the humanities, and the social sciences over the last decades, they have been used in various and at times diverging senses, which has also produced different narratives about the history of biopolitics. The main aim of the volume is to clarify whether and (...) to what extent the concept of biopolitics is applicable to antiquity. To answer such questions, the chapters collected in the volume address three main topics, namely the possible presence of biopolitical discourse in ancient thought, the extent to which the application of a biopolitical approach to ancient thought requires qualifications, and some influential contemporary interpretations of the relation between biopolitics and antiquity. (shrink)

De Interpretatione is among Aristotle's most influential and widely read writings; C. W. A. Whitaker presents the first systematic study of this work, and offers a radical new view of its aims, its structure, and its place in Aristotle's system. He shows that De Interpretatione is not a disjointed essay on ill-connected subjects, as traditionally thought, but a highly organized and systematic treatise on logic, argument, and dialectic.

Various attempts have been made recently to bring Husserl into the contemporary analytic discussion on sensory illusion and hallucination. On the one hand, this has resulted in a renewed interest in what one might call a ‘phenomenology of sense-deception.’ On the other hand, it has generated contrasting—if not utterly incompatible—readings of Husserl’s own account of sense perception. The present study critically evaluates the contemporary discourse on illusion and hallucination, reassesses its proximity to Husserl’s reflection on sensory perception, and highlights the (...) philosophical limits and structural deficiencies of the current debate in light of some of Husserl’s insights. The analysis first provides a synopsis of the argumentative structures, aims, and assumptions informing the conjunctivism-disjunctivism debate. This assessment is then critically elaborated through the lens of Husserlian phenomenology in its historical and theoretical distance from the recent debate. Contrary to certain readings of Husserl, the reconstruction of some cardinal phenomenological themes provides all the elements necessary to dislocate his own account from the conjunctivism-disjunctivism dispute, by means of both a ‘global’ and a ‘local’ analysis, and both exegetically and theoretically. Most importantly, a ‘return’ to Husserl shows the philosophical untenability of the whole controversy as not only leaving untouched the core problem of perception but also altering some of its essential traits. This critique of the image of experience portrayed in the contemporary discussion is conducted through a phenomenological clarification of perception as a distinct ‘structure of rules’ of consciousness and, more specifically, by means of a descriptive analysis centered on the core notion of horizonal-intentionality. (shrink)

The present study seeks to accomplish three goals: to shed light on the problem of reason in Husserl’s co-inherited philosophical project, to elucidate his transcendental critique of reason, and to present Husserl's idea of reason in its distinctive features. A historical excursus first provides a frame to understand the necessity of a critique of reason, its proper subject-matter, and its function for the project of genuine philosophy. In particular, this historical reflection identifies the form that a critique must assume in (...) order to fulfil its philosophical-scientific task. The focus is then directed at Husserl's methodological recalibration of the problem of reason. Husserl's ‘prinzipielle Kritik’ is elucidated in his transcendental reassessment of the headings ‘reason’ and ‘unreason,’ and is thought in connection to the concept of Selbstbesinnung. Lastly, Husserl’s idea of reason is reconstructed in relation to, and in disambiguation from, the concepts of self-evidence, logos, synthesis, fulfilment, positing, etc. Reason, as teleological rule and structural form of transcendental subjectivity, is clarified in its dependence on, and irreducibility to, the problems of constitution and in light of the question of its objective/subjective character. (shrink)

The present study attempts to reconstruct Husserl’s account of empirical illusion and hallucination and disclose the significance of sense-deception in Husserl’s phenomenology. By clarifying the relation between the “leibhaftige presence” and “existence” of perceived objects, I shall be able to contend that illusion and hallucination are nullified, invalid perceptions. Non-existence or in-actuality is a form of invalidity: the Ungültigkeit of what demands its insertion in the totality of actual existence. Husserl elaborates an ex-negativo account of in-actuality, in which sensory deception (...) refers to a modal modification, which is always relative and contextual in relation to the total nexus of experience in its intersubjectively validated and harmonious unfolding. (shrink)

The volume studies, from different perspectives, the relationship between ancient thought and biopolitics, that is, theories, discourses, and practices in which the biological life of human populations becomes the focal point of political government. It thus continues and deepens the critical examination, in recent literature, of Michel Foucault's claim concerning the essentially modern character of biopolitics. The nine contributions comprised in the volume explore and utilize the notions of biopolitics and biopower as conceptual tools for articulating the differences and continuities (...) between antiquity and modernity and for narrating Western intellectual and political history in general. Without committing itself to any particular thesis or approach, the volume evaluates both the relevance of ancient thought for the concept and theory of biopolitics and the relevance of biopolitical theory and ideas for the study of ancient thought. The volume is divided into three main parts: part I studies instances of biopolitics in ancient thought; part II focuses on aspects of ancient thought that elude or transcend biopolitics; and part III discusses several modern interpretations of ancient thought in the context of biopolitical theory. (shrink)

Cette introduction présente et contextualise les articles publiés dans la section spéciale dont le but est d’analyser l’interprétation de la pensée hellénistique chez les philosophes continentaux très influents tels que : Agamben, Arendt, Blumenberg, Foucault, Heidegger et Stiegler. Les articles prêtent une attention particulière à trois directions de recherche. Ils examinent tout d’abord l’influence de la pensée hellénistique sur ces auteurs et la façon dont ils ont interprété, utilisé et mésinterprété l’héritage des philosophies hellé-nistiques. Deuxièmement, les articles analysent les hypothèses (...) in-terprétatives et les préjugés qui ont caractérisé ces interprétations. Enfin, ils nous permettent de comprendre plus clairement pourquoi plusieurs philosophes continentaux se sont intéressés à la philosophie ancienne. Les rédacteurs invités résument les conclusions pro-visoires de cette section spéciale en soulignant que les interprétations continentales de la pensée hellénistique représentent un thème particulièrement intéressant dans le cadre de la recherche historico-philosophique actuelle. (shrink)

The late Jacob Klein’s important book is, remarkably, a lucid presentation of esoteric argument. Dealing with the famed Platonic triad, Theaetetus, Sophist, and Statesman, Klein settles the dispute about the missing dialogue, "The Philosopher," by first denying that it is missing and second showing that it is unnecessary. He argues, in short, that the triad is a dyad. That argument is reinforced by the distinction Klein strongly implies between the Socratic Theaetetus and the Eleatic Sophist and Statesman. "We can now (...) understand why the conversations of the ‘trilogy’ occur in two, not three, days and why the Sophist, the Statesman, and the Philosopher are dealt with in two, not three, dialogues". (shrink)

ABSTRACTThe aim of this article is to shed light on the political ambitions of Agamben’s book The Time That Remains. First, the article examines Agamben’s political messianism in The Time That Remains by taking into account the question of political theology. Second, the article elaborates on a number of important concepts and ideas that are at the forefront of Agamben’s political messianism. Third, the author elucidates the general framework within which one has to view Agamben’s political messianism. In the fourth (...) and last part of the article, the author assesses the innovative nature of Agamben’s political messianism by sketching out a comparison between The Time That Remains and Heidegger’s phenomenological interpretation of Paul the apostle. (shrink)

Phenomenology and Experience emphasizes the central role of experience as a key theme of phenomenological research. Phenomenology is in a position to philosophically capture and articulate the multiple sides of human experience by disentangling philosophical reflection from traditional oversimplifications.

Surveys over the last twenty years have seen an ever-growing number of Americans disclaim religious affiliations and instead check the "none" box. In the first sociological exploration of organized secularism in America, Richard Cimino and Christopher Smith show how one segment of these "nones" have created a new, cohesive atheist identity through activism and the creation of communities. According to Cimino and Smith, the new upsurge of atheists is a reaction to the revival of religious fervor in American (...) politics since 1980. Feeling overlooked and underrepresented in the public sphere, atheists have employed a wide variety of strategies-some evangelical, some based on identity politics-to defend and assert themselves against their ideological opponents. These strategies include building and maintaining communities, despite the absence of the kinds of shared rituals, texts, and laws that help to sustain organized religions.Drawing on in-depth interviews with self-identified atheist, secularist, and humanist leaders and activists, as well as extensive observations and analysis of secular gatherings and media, Cimino and Smith illustrate how atheists organize and align themselves toward common goals, and how media-particularly web-based media-have proven invaluable in connecting atheists to one another and in creating a powerful virtual community. Cimino and Smith suggest that secularists rely not only on the Internet for community-building, but on their own new forms of ritual.This groundbreaking study will be essential reading for anyone seeking to understand the growing atheist movement in America. (shrink)

This is an in-depth study of J.G. Fichte’s philosophy of mathematics and theory of geometry. It investigates both the external formal and internal cognitive parallels between the axioms, intuitions and constructions of geometry and the scientific methodology of the Fichtean system of philosophy. In contrast to “ordinary” Euclidean geometry, in his Erlanger Logik of 1805 Fichte posits a model of an “ursprüngliche” or original geometry – that is to say, a synthetic and constructivistic conception grounded in ideal archetypal elements that (...) are grasped through geometrical or intelligible intuition. -/- Accordingly, this study classifies Fichte’s philosophy of mathematics as a whole as a species of mathematical Platonism or neo-Platonism, and concludes that the Wissenschaftslehre itself may be read as an attempt at a new philosophical mathesis, or “mathesis of the mind.” -/- “This work testifies to the author's exact and extensive knowledge of the Fichtean texts, as well as of the philosophical, scientific and historical contexts. Wood has opened up completely new paths for Fichte research, and examines with clarity and precision a domain that up to now has hardly been researched.” Professor Dr. Marco Ivaldo -/- “This study, written in a language distinguished by its limpidity and precision, and constantly supported by a close reading of the Fichtean texts and secondary literature, furnishes highly detailed and convincing demonstrations. In directly confronting the difficult historical relationship between the Wissenschaftslehre and mathematics, the author has broken new ground that is at once stimulating, decidedly innovative, and elegantly audacious.” Professor Dr. Emmanuel Cattin. (shrink)

The seventh edition of this pragmatic guide to determining right and wrong in the workplace is updated with new case studies and ancillary materials to combine stakeholder perspectives with a deep dive on workplace ethics issues. Using a unique stakeholder-based approach, this book takes business ethics out of the theory realm and provides practical ways to analyze any business decision. Including dozens of cases, Joseph Weiss looks beyond the impacts of ethical lapses on share price and profit to focus on (...) relationships between stakeholders, including individuals, groups, corporations, and governments. The new seventh edition includes seven new cases and ten new Point/Counterpoint exercises, which challenge students to argue both sides of a contemporary issue. It incorporates the latest research as well as updated cases dealing with recent scandals at organizations such as Boeing, Facebook, and Uber. Professors will have access to online support, including teaching notes, PowerPoint slides, and sample tests. The book is equipped with a step-by-step guide to implementing stakeholder analysis, tips to help students apply ethical principles in their personal and professional lives, and comprehensive coverage of employee workplace issues. Addressing relevant topics such as risk management, preferential hiring, and sexual harassment in conjunction with the digital divide, bribery, the environment, and more, Business Ethics, seventh edition explores ethical implications in today's increasingly interconnected global business environment. (shrink)

There is currently no consensus about a general account of hallucination and its object. The problem of hallucination has de facto generated contrasting accounts of perception, led to opposing epistemic and metaphysical positions, and, most significantly, exposed a manifold of diverging views concerning the intentionality of experience, in general, and perceptual intentionality, in particular. In this article, I aim to clarify the controversial status, experiential possibility, and intentional structure of hallucination qua distinctive phenomenon. The analysis will first detect a phenomenological, (...) Husserlian-informed concept of hallucination in its irreducibility to other kinds and modes of sensory experience. This will set the theoretical basis to develop an account of hallucination by means of a morphological description of those diversified structures of intentional consciousness that lend themselves to generate hallucinatory appearances. I will then describe both the turning of certain kinds of intentional experience into hallucinatory perceptions and the status of hallucinatory objects. This will support the possibility of hallucination in a strict and rigorous sense, elucidate the enigmatic claim that ‘in hallucination we are conscious of something while nothing truly appears,’ and offer a seminal perspective concerning the alleged problem that hallucinations pose on perceptual intentionality. With the aid of some crucial distinctions, I will then argue that hallucinations do not affect perceptual intentionality as a dyadic, relational structure. (shrink)

If we examine the discussion between Carnap and Heidegger about metaphysics, we can easily see that epistemological, logical, and ontological issues were at the forefront of that debate, whereas at...

In this study, W. J. Waluchow argues that debates between defenders and critics of constitutional bills of rights presuppose that constitutions are more or less rigid entities. Within such a conception, constitutions aspire to establish stable, fixed points of agreement and pre-commitment, which defenders consider to be possible and desirable, while critics deem impossible and undesirable. Drawing on reflections about the nature of law, constitutions, the common law, and what it is to be a democratic representative, Waluchow urges a different (...) theory of bills of rights that is flexible and adaptable. Adopting such a theory enables one not only to answer to critics' most serious challenges, but also to appreciate the role that a bill of rights, interpreted and enforced by unelected judges, can sensibly play in a constitutional democracy. (shrink)

Awarding rights to rivers, forests, and other environmental entities (EEs) is a new and increasingly popular approach to environmental protection. The distinctive feature of such rights of nature (RoN) legislation is that direct duties are owed to the EEs. This paper presents a novel rebuttal of the strongest argument against RoN: the no interest argument. The crux of this argument is that because EEs are not sentient, they cannot possess the kinds of interests necessary to ground direct duties. Therefore, they (...) cannot be legitimate rights-bearers. After considering and rejecting standard responses to this argument, the paper challenges its fundamental assumption: that rights-correlative duties must be grounded in the interests of the rights-bearer. The paper then presents the RoN critic with a dilemma. The critic must either accept that EEs are legitimate rights-bearers, or delegitimise many well-established rights-bearers along with EEs. Either way, the no interest argument loses its force. (shrink)

The aim of this article is to demonstrate that even if Popper’s and Patočka’s interpretations of Plato originate in philosophical and intellectual traditions that have nothing or very little to do with each other, they share a common target, that is, modern biopower, which culminated in twentieth-century totalitarianism. If we examine Popper’s and Patočka’s interpretations of Plato from a biopolitical angle, it is possible to view them in a new light, that is, as two different, even opposing, intellectual and philosophical (...) approaches to the very same tragic events that European culture and politics experienced in the twentieth century. Despite the radically divergent results of their readings, Popper and Patočka share a starting point, that is, the effort to outline a genealogy of European cultural and intellectual history in the light of Plato. The first section of this article explains why and to what extent Popper’s and Patočka’s interpretations can be considered genealogical readings. The second section elaborates on their different approaches to the relationship between justice and power in Plato. The third section concentrates on the relationship between Plato and twentieth-century biopower. (shrink)

The aim of this paper is to analyze those passages of the Black Notebooks where Heidegger mentions Søren Kierkegaard and to see how Heidegger interprets Kierkegaard’s impact on his own philosophical thought. The paper intends to clarify whether, and to what extent, Heidegger’s rejection of an existentialist reading of his early thought is plausible and justified. The conclusions reached will be twofold. First, Heidegger tries to reinterpret his existential analytic by using the approach he has developed in his work after (...) Being and Time. In so doing, Heidegger tries to understate or diminish the Kierkegaardian background of his analytic of existence. Second, Heidegger’s retrospective self-interpretation argues for a continuity between the approach he develops in Being and Time and that which he calls the question of ‘the truth of beyng’. In so doing, he does not recognize the inconsistencies and mismatches that characterize his thought during the transition from the existential analytic to the philosophy of the event. The passages dealing with Kierkegaard in the Black Notebooks are important sources that allow us to note how problematic Heidegger’s self-interpretation is. (shrink)