Trust between a patient and a medical doctor is normally both justified and taken for granted, but sometimes it may need to be negotiated. In this paper I will present how trust can be interpreted as both an explicit and implicit phenomenon, drawing on literature from the social sciences and philosophy. The distinction between explicit and implicit interpretations of trust will be used to address problems that may arise in clinical consultations. Negotiating trust in any way very easily brings distrust (...) into a situation, but sometimes this can be helpful for building a more functional patient-doctor relationship. (shrink)

We have studied ethical considerations of care among health professionals when treating and setting priorities for elderly patients in Norway. The views of medical doctors and nurses were analysed using qualitative methods. We conducted 21 in depth interviews and 3 focus group interviews in hospitals and general practices. Both doctors and nurses said they treated elderly patients different from younger patients, and often they were given lower priorities. Too little or too much treatment, in the sense of too many interventions (...) and too much drugs, combined with too little care and comfort, was admitted as a relatively frequent yet unwanted consequence of the way clinical priorities were set for elderly patients. This was explained in terms of elderly patients not tolerating the same treatment as younger patients, and questions were raised about the quality of life of many elderly patients after treatment. These explanations were frequently referred to as medically sound decision making. Other explanations had little to do with medically sound decisions. These often included deep frustration with executive guidelines and budget constraints. (shrink)

Conscientious objection has spurred impassioned debate in many Western countries. Some Norwegian general practitioners (GPs) refuse to refer for abortion. Little is know about how the GPs carry out their refusals in practice, how they perceive their refusal to fit with their role as professionals, and how refusals impact patients. Empirical data can inform subsequent normative analysis.

The focus of the study is the conflict between care and concern for particular patients, versus considerations that take impartial considerations of justice to be central to moral deliberations. To examine these questions we have conducted qualitative interviews with health professionals in Norwegian hospitals. We found a value norm that implicitly seemed to overrule all others, the norm of ‘making a difference for the patients’. We will examine what such a statement implies, aiming to shed some light over moral dilemmas (...) interwoven in bedside rationing. (shrink)

This article contends that an ethics of care has a particular moral ontology that makes it suitable to argue for the normative significance of relational responsibilities within professional health care. This ontology is relational. It means that moral choices always have to account for the web of relationships, the relational networks and responsibilities that are an essential part of particular moral circumstances. Given this ontology, the article investigates the conditions for health care professionals to be partial and to act on (...) the basis of particular responsibilities to their patients. We will argue that priorities could be partial in three ways: first, because there may be exceptional circumstances that allow for giving priority to one patient over another; second, because the integrity of the patient and a health care worker may be connected in special ways; and, finally, even if impartiality is essential, the institutional basis of health care must always give ample space for an ethically qualified individual and personal care for patients. Even if difficult priorities may be necessary, the conditions of institutional health care should always seek to create the prerequisites for nurses and doctors to administer proper care. (shrink)

In this paper we aim to discuss a theoretical explanation for the positive relationship between patients’ knowledge and their trust in healthcare personnel. Our approach is based on John Dewey’s notion of continuity. This notion entails that the individual’s experiences are interpreted as interrelated to each other, and that knowledge is related to future experience, not merely a record of the past. Furthermore, we apply Niklas Luhmann’s theory on trust as a way of reducing complexity and enabling action. Anthony Giddens’ (...) description and analysis of the high modern society provides a frame for discussing the preconditions for patient-healthcare personnel interaction. High modernity is dominated by expert systems and demands trust in these. We conclude that patient knowledge and trust in healthcare personnel is related because both knowledge and trust are future- and action-oriented concepts. The traits of high modernity provides opportunities and challenges as the personnel can and must perform discretion. This discretion must be made in a context where knowledge is considered uncertain and preliminary. (shrink)

Asheim, O. Om handlingsformidling.--Hellesnes, J. Hending, handling og aktør.--Apel, K.-O. Vår tids konflikter og muligheten for en etiskpolitisk grunnorientering.--Böhler, D. Å kunne handle, å kunne forstå, å kunne tale.--Nordenstam, T. Vetenskaplig kompetens.--Måseide, A. Perspektivitet, intensjonalitet, refleksjon.--Øfsti, A. Moral og erscheinungswelt hos Kant.--Haga, Å. Transcendentalfilosofi og refleksiv argumentasjon.--Skirbekk, G. Folkelege tankar om sikt og oversikt.--Johannessen, K. S. Mening, kontekst, praksis og transcendentalitet.--Kalleberg, R. Fra kritikk av positivismen til kritikk av kapitalismens politiske økonomi.--Slagstad, R. Struktur-funksjonalisme og historisk materialisme.--Wyller, E. A. Politisk (...) oppløsning og forfall ifølge Platon.--Høibraaten, H. Romantisk eller teknologisk refleksjon. (shrink)

There is an argument (first presented by Fitch), which tries to show by formal means that the anti-realistic thesis that every truth might possibly be known, is equivalent to the unacceptable thesis that every truth is actually known (at some time in the past, present or future). First, the argument is presented and some proposals for the solution of Fitch's Paradox are briefly discussed. Then, by using Wehmeier's modal logic with subjunctive marks (S5*), it is shown how the derivation can (...) be blocked if one respects adequately the distinction between the indicative and the subjunctive mood. Essentially, this proposal amounts to the one by Edgington which was formulated with the help of the actuality-operator. Finally it is shown how the criticisms by Williamson against Edgington can be answered by the formulation of a new conception of possible knowledge that \alpha (thereby \alpha being in the indicative mood and thus referring to the actual world). This conception is based on the concept of same de re knowledge in different possible worlds. (shrink)

In his Doctrine of Right, Immanuel Kant calls Moses Mendelssohn, the towering figure of the German and the Jewish Enlightenment, a ‘Rechtsforscher’—a legal scholar. Yet not only Kant, but numerous scholars of Natural law in the 18th and 19th centuries refer to and reflect on the juridical aspects of Mendelssohn’s work, in particular his thoughts on the law of contract. In this article, I hope to shed some light on this hitherto rather unexplored facet of Mendelssohn’s oeuvre. Mendelssohn develops his (...) theory of contract from the starting point of the officium amoris: the unenforceable ‘duty of love’ to exercise beneficence. Mendelssohn’s theory knows nothing yet of the modern contrast between altruism, distributive justice and ‘freedom of contract’. By exploring Mendelssohn’s theory, we will thus be able to catch a glimpse of the birth pangs of the modern Western discourse on the ‘freedom of contract’, which formed the backdrop as well as the jumping-off point of the development of a ‘liberal’ will theory of contract. Since this ‘liberal’ model is still the paradigm of how contract is mostly perceived today, Mendelssohn’s theory also exemplifies the possibility of an alternative to our own conceptualizations of contract that inescapably shape the way we think. (shrink)

Nærværende bog er et forsøg på at skrive en introduktion til viden- skabsteorien. Vi har valgt at lade en ret stor del af bogen bestå af historiske eksempler i tilknytning til de behandlede videnskabsteore- tiske temaer, hermed ønsker vi at understrege vor opfattelse af at videnskabsteorien er uadskilleligt knyttet til videnskabshistorien.

In dominant discourses, migrants are mostly perceived as either victims or villains but rarely as political subjects and democratic constituents. Challenging this view, the aim of the article is to rethink democracy with respect to migration struggles. I argue that movements of migration are not only consistent with democracy but also provide a decisive impetus for actualizing democratic principles in the context of debates about the crisis of representation and post-democracy. Drawing on the work of Jacques Rancière, Étienne Balibar and (...) Ernesto Laclau and Chantal Mouffe, I develop a theory of radical democracy as practice, which, starting from the proposed notion of ‘democratic difference’, goes beyond the fixation on democratic regimes and focuses on contentious practices of enacting democratic principles. I articulate these theoretical concepts by analysing how refugees in Germany have managed to break out of a marginalized position and have challenged their denial of rights through a protest march. (shrink)

Dialogical logic is a game-theoretical approach to logic. Logic is studied with the help of certain games, which can be thought of as idealized argumentations. Two players, the Proponent, who puts forward the initial thesis and tries to defend it, and the Opponent, who tries to attack the Proponent’s thesis, alternately utter argumentative moves according to certain rules. For a long time the dialogical approach had been worked out only for classical and intuitionistic logic. The seven papers of this dissertation (...) show that this narrowness was uncalled for. The initial paper presents an overview and serves as an introduction to the other papers. Those papers are related by one central theme. As each of them presents dialogical formulations of a different non-classical logic, they show that dialogical logic constitutes a powerful and flexible general framework for the development and study of various logical formalisms and combinations thereof. As such it is especially attractive to logical pluralists that reject the idea of “the single correct logic”. The collection contains treatments of free logic, modal logic, relevance logic, connexive logic, linear logic, and multi-valued logic. (shrink)

This volume offers a critical analysis and illustration of the challenges and promises of ‘stateless’ law thought, pedagogy and approaches to governance - that is, understanding and conceptualizing law in a post-national condition. Confronting the ‘transnational challenge’ posed to the traditional theoretical and institutional structures that underlie the teaching and study of law in the university, the book brings new insight to the ongoing and crucial conversation about the future shape of legal scholarship, education and practice that is emblematic of (...) the early twenty-first century. (shrink)

Kant is generally conceived to have offered little attention to the fact that we experience the world in and through our bodies. This book argues that this standard image of the great German philosopher is radically wrong. Not only does Kant - throughout his career and in works published before and after the Critique of pure reason - reflect constantly upon the fact that human life is embodied, but the Critique of pure reason itself may be read as a critical (...) reflection aimed at exploring some significant philosophical implications of this fact. Bringing this aspect of Kant's philosophy into focus is important, not only because it sheds new light on our understanding of Kant's work, but also because it is relevant to contemporary discussions in philosophy about embodiment, learning and practice. By taking his philosophy of embodiment into account, the author makes Kant stand out as a true contemporary in new and unexpected ways. (shrink)

Telegraphy, the distant ancestor of Internet and GSM (Global System for Mobile Communications), was invented by Samuel Morse in 1838. One year later, William Grove invented the fuel cell. Although numerous highly successful innovations stemming from telegraphy may be observed, the development of fuel cells has been insignificant, slow, and erratic and has not yet resulted in notable positive socioeconomic effects. By comparing the modern development of fuel cells and hydrogen technology, that is, a potential radical innovation in energy generation, (...) with some aspects related to the evolution of two highly successful radical innovations, Internet and GSM, the author focuses on the role of innovation regimes and policy in a sectorial system of innovations perspective. In the slow pace in fuel cells and hydrogen technology development, two factors seem to interact negatively: weak and fragmented innovation regimes in the energy sector and the current hegemony of market-oriented R&D policies. (shrink)

In this essay I intend to flesh out and discuss what I consider to be the groundbreaking contribution by the German historian and theorist of history Reinhart Koselleck to postwar historiography: his theory of historical times. I begin by discussing the view, so prominent in the Anglophone context, that Koselleck's idea of the plurality of historical times can be grasped only in terms of a plurality of historical periods in chronological succession, and hence, that Koselleck's theory of historical times is (...) in reality a theory of periodization. Against this interpretation, to be found in works by Kathleen Davis, Peter Osborne, and Lynn Hunt, among others, I will argue that not only is Koselleck's theory of historical times, or, with a more phenomenlogical turn of phrase, his theory of multiple temporalities, not a theory of periodization, it is, furthermore, a theory developed to defy periodization. Hence, at the core of Koselleck's work is the attempt to replace the idea of linear, homogeneous time with a more complex, heterogeneous, and multilayered notion of temporality. In this essay I will demonstrate how this shift is achieved by means of three dichotomies: between natural and historical, extralinguistic and intralinguistic, and diachronic and synchronic time. (shrink)

This text provides a comprehensive analysis of historical archives, letters, and primary sources to offer unique insight into how Fröbel's pedagogy of kindergarten and play has been understood, interpreted, and modified throughout history and in particular, as a consequence of it's adoption in the US. Tracing the development, modification, and global spread of the kindergarten movement, this volume demonstrates the far-reaching impacts of Fröbel's work, and asks how far contemporary understandings of the kindergarten pedagogy reflect the educationalist's original intentions. Recognizing (...) that Fröbel's pedagogy has at times been simplified or misunderstood, the book tackles issues caused by translation, or transfer to non-German speaking countries such as the US, and so demonstrates how and why contemporary research and Froebelian practice is in the danger of diverging from the original ideas expressed in Fröbel's work. By returning to original documents produced by Fröbel, Wasmuth traces various interpretations, and explains how and why some of these understandings established themselves in the context of US Early Childhood Education, whilst others did not. This insightful text will be of great interest to graduate and postgraduate students, researchers, academics, professionals and policy makers in the fields of early childhood education, history of education, Philosophy of Education and Teacher Education. (shrink)

This is a comprehensive introduction to the history of Western Philosophy from the Pre-Socratics to Twentieth Century thought. In addition to all the key figures, the book covers figures whose contributions have so far been overlooked, such as Vico, Montesquieu, Durkheim and Weber. Along with in-depth discussion of the philosophical movements, Skirbekk and Gilje also discuss the natural sciences, the establishment of the Humanities, Socialism and Fascism, Psychoanalysis, and the rise of the social sciences. _History of Western Thought_ is (...) an ideal introduction to philosophy and the sociological and scientific structures that have shaped modern day philosophy. (shrink)

This commentary reviews the basic physical principles underlying human single- and multi-joint arm movements. The potential role of the cerebellum in dealing with the physics of movement is discussed in the light of recent physiological findings and the theoretical model of cerebellar detection and generation of input and output sequences put forward by Braitenberg and colleagues.

Le but de cet article est de montrer comment les logiques dites multivalentes peuvent être formulées dans le cadre de la logique dialogique. Pour formuler les règles de particule pour ces logiques on introduit l’idée de différents modes d’assertion. En donnant ensuite les règles de particule et les règles structurelles appropriées, on peut reconstruire dialogiquement les systèmes standards de logiques multivalentes. Cela est fait explicitement pour la logique `a trois valeurs de Łukasiewicz (L3c). En remplaçant la règle structurelle classique par (...) sa contrepartie intuitionniste on obtient des versions intuitionnistes de systèmes multivalents (par exemple L3i). Les systèmes dialogiques multivalents L3c et L3i sont illustrés par quelques exemples et pour conclure on formule les tableaux stratégiques correspondants. (shrink)

Le but de cet article est de montrer comment les logiques dites multivalentes peuvent être formulées dans le cadre de la logique dialogique. Pour formuler les règles de particule pour ces logiques on introduit l’idée de différents modes d’assertion. En donnant ensuite les règles de particule et les règles structurelles appropriées, on peut reconstruire dialogiquement les systèmes standards de logiques multivalentes. Cela est fait explicitement pour la logique `a trois valeurs de Łukasiewicz (L3c). En remplaçant la règle structurelle classique par (...) sa contrepartie intuitionniste on obtient des versions intuitionnistes de systèmes multivalents (par exemple L3i). Les systèmes dialogiques multivalents L3c et L3i sont illustrés par quelques exemples et pour conclure on formule les tableaux stratégiques correspondants. (shrink)

This is a comprehensive introduction to the history of Western Philosophy from the Pre-Socratics to Twentieth Century thought. In addition to all the key figures, the book covers figures whose contributions have so far been overlooked, such as Vico, Montesquieu, Durkheim and Weber. Along with in-depth discussion of the philosophical movements, Skirbekk and Gilje also discuss the natural sciences, the establishment of the Humanities, Socialism and Fascism, Psychoanalysis, and the rise of the social sciences. _History of Western Thought_ is (...) an ideal introduction to philosophy and the sociological and scientific structures that have shaped modern day philosophy. (shrink)