ZusammenfassungDer Begriff Advance Care Planning bezeichnet ein Konzept umfassender gesundheitlicher Vorausplanung, das u. a. darauf zielt, Menschen bei der Erstellung gesundheitlicher Vorausverfügungen, in denen Ziele und Wünsche für zukünftige Behandlungen festgelegt werden, durch aufsuchende, qualifizierte Beratungsangebote zu unterstützen. Weiterhin zielt dieses Konzept darauf, die Verbreitung und Umsetzung solcher Vorausverfügungen durch strukturelle, meist regionale Maßnahmen zu fördern. Dieser Beitrag diskutiert Advance Care Planning in der Psychiatrie. Er stellt verschiedene Formen psychiatrischer Vorausverfügungen sowie exemplarisch rechtliche Regelungen aus den USA, aus Großbritannien und (...) aus Deutschland vor. Ferner beleuchtet er die internationale Studienlage zur Umsetzung von Advance Care Planning in der Psychiatrie. Diese belegt deutlich den Bedarf an qualifizierten Beratungs- und Unterstützungsangeboten, da ohne solche Angebote psychiatrische Vorausverfügungen in der Praxis nur wenig Verbreitung und auch wenig Beachtung finden. Vor dem Hintergrund dieser Erfahrungen plädieren die Autoren dafür, Advance-Care-Planning-Programme als Pilotprojekte zu etablieren mit dem Ziel, die Qualität und die Akzeptanz gesundheitlicher Vorausverfügungen in der Psychiatrie zu erhöhen. Diese Projekte sollten wissenschaftlich begleitet, evaluiert und ggf. angepasst werden. (shrink)

This paper examines the ethics of using assistive technology such as video surveillance in the homes of people living with dementia. Ideation and concept elaboration around the introduction of a camera-based surveillance service in the homes of people with dementia, typically living alone, is explored. The paper reviews relevant literature on surveillance of people living with dementia, and summarises the findings from ideation and concept elaboration workshops, designed to capture the views of those involved in the care of people living (...) with dementia at home. The research question relates to the ethical considerations of using assistive technologies that include video surveillance in the homes of people living with dementia, and the implications for a person living with dementia whenever video surveillance is used in their home and access to the camera is given to the person’s family. The review of related work indicated that such video surveillance may result in loss of autonomy or freedom for the person with dementia. The workshops reflected the findings from the related work, and revealed useful information to inform the service design, in particular in fine-tuning the service to find the best relationship between privacy and usefulness. Those who took part in the workshops supported the concept of the use of camera in the homes of people living with dementia, with some significant caveats around privacy. The research carried out in this work is small in scale but points towards an acceptance by many caregivers of people living with dementia of surveillance technologies. This paper indicates that those who care for people living with dementia at home are willing to make use of camera technology and therefore the value of this work is to help shed light on the direction for future research. (shrink)

Recent work on the hole argument in general relativity by Weatherall has drawn attention to the neglected concept of models’ representational capacities. I argue for several theses about the structure of these capacities, including that they should be understood not as many-to-one relations from models to the world, but in general as many-to-many relations constrained by the models’ isomorphisms. I then compare these ideas with a recent argument by Belot for the claim that some isometries “generate new possibilities” in general (...) relativity. Philosophical orthodoxy, by contrast, denies this. Properly understanding the role of representational capacities, I argue, reveals how Belot’s rejection of orthodoxy does not go far enough, and makes better sense of our practices in theorizing about spacetime. (shrink)

This paper explores the conscious visual experience of seeing race. In everyday occurrences, racialized seeing involves the capacity for a subject to simply “see” that someone she encounters belongs to a racial category. I bridge research in analytic philosophy of perception and accounts from phenomenologists and critical race theorists on the lived experience of racialized seeing. I contend that we should not trust our visual experiences of racialized seeing because they provide, at best, incomplete information on a target’s racial identity. (...) I make a case for a version of perceptual learning that I think both captures actual experiences of racialized seeing and is empirically plausible. Finally, I follow work of critical race theorists in suggesting that normative constraints surrounding racial identity and privilege are built into our experiences of racialized seeing. Both types of racialized seeing are subject to social norms and practices and, thus, aid in perpetuating racial hierarchies. (shrink)