The goal of referent tracking is to create an ever-growing pool of data relating to the entities existing in concrete spatiotemporal reality. In the context of Electronic Healthcare Records (EHRs) the relevant concrete entities are not only particular patients but also their parts, diseases, therapies, lesions, and so forth, insofar as these are salient to diagnosis and treatment. Within a referent tracking system, all such entities are referred to directly and explicitly, something which cannot be achieved when familiar concept-based systems (...) are used in what is called “clinical coding”. In this paper we describe the components of a referent tracking system in an informal way and we outline the procedures that would have to be followed by healthcare personnel in using such a system. We argue that the referent tracking paradigm can be introduced with only minor – though nevertheless ontologically important – technical changes to existing EHR infrastructures, but that it will require a radically different mindset on the part of those involved in clinical coding and terminology development from that which has prevailed hitherto. (shrink)

While classifications of mental disorders have existed for over one hundred years, it still remains unspecified what terms such as 'mental disorder', 'disease' and 'illness' might actually denote. While ontologies have been called in aid to address this shortfall since the GALEN project of the early 1990s, most attempts thus far have sought to provide a formal description of the structure of some pre-existing terminology or classification, rather than of the corresponding structures and processes on the side of the patient. (...) We here present a view of mental disease that is based on ontological realism and which follows the principles embodied in Basic Formal Ontology and in the application of BFO in the Ontology of General Medical Science. We analyzed statements about what counts as a mental disease provided in the research agenda for the DSM-V, and in Pies' model. The results were used to assess whether the representational units of BFO and OGMS were adequate as foundations for a formal representation of the entities in reality that these statements attempt to describe. We then analyzed the representational units specific to mental disease and provided corresponding definitions. Our key contributions lie in the identification of confusions and conflations in the existing terminology of mental disease and in providing what we believe is a framework for the sort of clear and unambiguous reference to entities on the side of the patient that is needed in order to avoid these confusions in the future. (shrink)

Advances in science and technology have added to our insights into the vulnerabilities of human agency as well as to the methods of exploiting them. This has raised the stakes for efforts to clarify the concept and ethics of manipulation. Among these efforts, Robert Noggle’s influencer-centered account of manipulation has been most significant. He defines manipulative acts as those whereby an agent intentionally influences a recipient’s attitudes so that they do not conform as closely as they otherwise would to the (...) pertinent norms and ideals endorsed by the influencer. This provides a relatively simple and in many ways clear definition of manipulation. It sidesteps thorny debates about autonomy, freedom, or practical rationality. It also promises to reveal a conceptual parallel between manipulating and lying, and thus to explain why manipulation is pro tanto wrong. In one respect, however, the account remains ambiguous: It remains unclear whether, and to what extent, it requires that influencers’ beliefs about what is ideal for their recipients to be grounded in some effort on the part of the influencer to identify with or take on the role of her recipient. This paper explains this ambiguity. It argues that influencer-centrism cannot remain indifferent to the validity of an agent’s beliefs about the ideal state of the recipient and provide an identification requirement that would render the whole account plausible and sufficiently determinate. (shrink)

Electronic Health Records (EHRs) are organized around two kinds of statements: those reporting observations made, and those reporting acts performed. In neither case does the record involve any direct reference to what such statements are actually about. They record not: what is happening on the side of the patient, but rather: what is said about what is happening. While the need for a unique patient identifier is generally recognized, we argue that we should now move to an EHR regime in (...) which all clinically salient particulars – from the concrete disorder on the side of the patient and the body parts in which it occurs to the concrete treatments given – should be uniquely identified. This will allow us to achieve interoperability among different systems of records at the level where it really matters: in regard to what is happening in the real world. It will also allow us to keep track of particular disorders and of the effects of particular treatments in a precise and unambiguous way. We discuss the ontological and epistemological aspects of our claim and describe a scenario for implementation within EHR systems. (shrink)

The goal of the OBO (Open Biomedical Ontologies) Foundry initiative is to create and maintain an evolving collection of non-overlapping interoperable ontologies that will offer unambiguous representations of the types of entities in biological and biomedical reality. These ontologies are designed to serve non-redundant annotation of data and scientific text. To achieve these ends, the Foundry imposes strict requirements upon the ontologies eligible for inclusion. While these requirements are not met by most existing biomedical terminologies, the latter may nonetheless support (...) the Foundry’s goal of consistent and non-redundant annotation if appropriate mappings of data annotated with their aid can be achieved. To construct such mappings in reliable fashion, however, it is necessary to analyze terminological resources from an ontologically realistic perspective in such a way as to identify the exact import of the ‘concepts’ and associated terms which they contain. We propose a framework for such analysis that is designed to maximize the degree to which legacy terminologies and the data coded with their aid can be successfully used for information-driven clinical and translational research. (shrink)

The paradigm of referent tracking is based on a realist presupposition which rejects so-called negative entities (congenital absent nipple, and the like) as spurious. How, then, can a referent tracking-based Electronic Health Record deal with what are standardly called ‘negative findings’? To answer this question we carried out an analysis of some 748 sentences drawn from patient charts and containing some form of negation. Our analysis shows that to deal with these sentences we need to introduce a new ontological relationship (...) between a particular and a universal, which holds when no instance of the universal has a specific qualified ontological relation with the particular. This relation is found to be able to accommodate nearly all occurrences of negative findings in the examined sample, in ways which involve no reference to negative entities. (shrink)

Moral perception has made something of a comeback in recent work on moral epistemology. Many traditional objections to the view have been argued to fail upon closer inspection. But it remains an open question just how far moral perception might extend. In this paper, I provide the beginnings of an answer to this question by assessing the relationship between the metaphysical structure of different normative properties and a plausible constraint on which properties are eligible for perceptual awareness which I call (...) the Counterfactual Strengthening Test. Along the way I consider and reject a few other possible constraints on perceptual awareness. I defend the view that moral perception is restricted to the perception of evaluative and pro tanto deontic properties. I conclude with a few gestures toward what this limitation on moral perception may mean for broader moral epistemology. (shrink)

The aim of this paper is to introduce, elucidate and defend the usefulness of a variant of grounding, or metaphysical explanation, that has the feature that the grounds explain of some states of affairs that one of them obtains without explaining which one obtains. I will dub this variant arbitrary grounding. After informally elucidating the basic idea in the first section, I will provide three metaphysical hypotheses that are best formulated in terms of arbitrary grounding in the second section. The (...) third section will be concerned with the relation between arbitrary grounding and non-arbitrary grounding. The fourth section will compare arbitrary grounding to two extant proposals in the literature. (shrink)

Emile Borel regards the Banach-Tarski Paradox as a reductio ad absurdum of the Axiom of Choice. Peter Forrest instead blames the assumption that physical space has a similar structure as the real numbers. This paper argues that Banach and Tarski's result is not paradoxical and that it merely illustrates a surprising feature of the continuum: dividing a spatial region into disjoint pieces need not preserve volume.

The integration of information resources in the life sciences is one of the most challenging problems facing bioinformatics today. We describe how Language and Computing nv, originally a developer of ontology-based natural language understanding systems for the healthcare domain, is developing a framework for the integration of structured data with unstructured information contained in natural language texts. L&C’s LinkSuite™ combines the flexibility of a modular software architecture with an ontology based on rigorous philosophical and logical principles that is designed to (...) comprehend the basic formal relationships that structure both reality and the ways humans perceive and communicate about reality. (shrink)

We performed a qualitative analysis of the Thesaurus in order to assess its conformity with principles of good practice in terminology and ontology design. We used both the on-line browsable version of the Thesaurus and its OWL-representation (version 04.08b, released on August 2, 2004), measuring each in light of the requirements put forward in relevant ISO terminology standards and in light of ontological principles advanced in the recent literature. Version 04.08b of the NCI Thesaurus suffers from the same broad range (...) of problems that have been observed in other biomedical terminologies. For its further development, we recommend the use of a more principled approach that allows the Thesaurus to be tested not just for internal consistency but also for its degree of correspondence to that part of reality which it is designed to represent. (shrink)

Ontologies are today being applied in almost every field to support the alignment and retrieval of data of distributed provenance. Here we focus on new ontological work on dance and on related cultural phenomena belonging to what UNESCO calls the “intangible heritage.” Currently data and information about dance, including video data, are stored in an uncontrolled variety of ad hoc ways. This serves not only to prevent retrieval, comparison and analysis of the data, but may also impinge on our ability (...) to preserve the data that already exists. Here we explore recent technological developments that are designed to counteract such problems by allowing information to be retrieved across disciplinary, cultural, linguistic and technological boundaries. Software applications such as the ones envisaged here will enable speedier recovery of data and facilitate its analysis in ways that will assist both archiving of and research on dance. (shrink)

An original analysis of the parallels between the arrested moment in photography and in the traumatized psyche.

Die Frage, ob Karl Jaspers ein Kantianer ist, wird nicht nur kompetente Jasperskenner überraschen, sondern auch die meisten Philosophiehistoriker, die mit der Geschichte der Philosophie der Neuzeit und Moderne vertraut sind. Denn einerseits werden nicht nur die meisten Jasperskenner, sondern auch die meisten Philosophiehistoriker überhaupt, diese Frage zunächst einmal mit einem gewissen Recht verneinen. Denn der überlieferten Lehrmeinung zufolge, war Jaspers kein Kantianer, sondern ein Existenzphilosoph. Andererseits werden vermutlich die meisten Jasperskenner und Philosophiehistoriker zugestehen, dass Kant für Jaspers zumindest einer (...) der wichtigsten Philosophen war, wenn nicht sogar der wichtigste Philosoph überhaupt. Das alleine reicht aber kaum aus, um Jaspers als einen Kantianer aufzufassen. Denn wer Jaspers als einen Kantianer bezeichnet, wird damit nicht nur meinen, dass Jaspers unter allen großen Philosophen immer noch Kant am nächsten stand und ihn am meisten schätze, sondern auch dass er selbst philosophische Auffassungen und Überzeugungen vertreten hat, die dem überlieferten Idealtypus eines Kantianers entsprechen. In diesem idealtypischen Sinne können und dürfen wir zumindest aus heuristischen Gründen z.B. Augustinus, Plotin und Bonaventura als Platoniker sowie Thomas von Aquin, Trendelenburg und Brentano als Aristoteliker bezeichnen. In diesem idealtypischen Sinne können und dürfen wir auch fragen, in welchem Sinne man Jaspers eher als einen Platoniker oder als einen Aristoteliker verstehen kann. Und in diesem Sinne kann man dann auch mit gewissen Fug und Recht fragen, ob Jaspers den wesentlichen Grundzügen seines Philosophierens zufolge ein Kantianer ist. (shrink)

In der Medizin gehören Kinder neben Ausländern, Behinderten und psychiatrisch Erkrankten zu den besonders vulnerablen Patientengruppen. Im Folgenden soll die Frage nach der Würde der Kinder in medizinethischer Hinsicht behandelt werden. Dazu werden drei Thesen erläutert und begründet: (1.) das Prinzip der Menschenwürde kann nicht ganz außer Acht gelassen werden, wenn Kinder als Patienten in medizinethischer Hinsicht thematisiert werden; (2.) das Prinzip der Menschenwürde wird in der Medizinethik nicht schon vollständig durch die medizinethischen Prinzipien der Patientenautonomie und der Fürsorge für (...) die Patienten abgedeckt; (3.) die habituelle und bewusste Achtung der Würde des Menschen bringt immer wieder neue und bisher noch wenig beachtete Aspekte des medizinischen, therapeutischen und pflegerischen Umgangs mit Patienten und Kindern als Patienten ans Licht. Diskussionen über den Gehalt des Prinzips der Menschenwürde gehen nicht nur in der Medizinethik, sondern auch in anderen Bereichen der angewandten Ethik in der Regel von Erwachsenen aus. Erwachsene gelten als die paradigmatischen Subjekte und Objekte der Wahrnehmung, Zuschreibung und Anerkennung von Würde. Meistens denkt man nur an Erwachsene, wenn man darauf besteht, dass die menschliche Würde (1.) vom moralischen und rechtlichen Standpunkt aus grundsätzlich zu achten ist, (2.) unter bestimmten psychologischen, sozialen und politischen Umständen gefährdet ist und (3.) in bestimmten Handlungssituationen mit anderen ethischen Forderungen in Konflikt geraten kann. Bei Erwachsenen ist es relativ leicht, ethische Intuitionen darüber, ob in bestimmten medizinischen Handlungssituationen die Würde eines Menschen verletzt wird, zu formulieren und zu begründen. Denn bei Erwachsenen steht die Würdeverletzung in einem engen Zusammenhang mit der Berücksichtigung verschiedener ethischer Forderungen: (1.) nach Achtung der willentlichen Selbstbestimmung und der normativen Autonomie, (2.) nach Berücksichtigung von persönlichen Lebenszielen und Wertpräferenzen, (3.) nach Bewahrung von mutmaßlichen Lebenschancen (4.) nach Berücksichtigung personaler Bedürfnisse nach Anerkennung, Gegenseitigkeit, Intimität, Integrität, etc. sowie (5.) nach Wahrnehmung und Anerkennung der unverwechselbaren Individualität des Anderen. Die Angemessenheit und Erfüllbarkeit dieser ethischen Forderungen hängt nun aber von soziologischen und psychologischen Gegebenheiten ab, die bei Kindern je nach Altersgruppe und individueller Ausprägung nicht in gleicher Weise gegeben sind. Deswegen soll hier gezeigt werden, welche besondere und zusätzliche Rolle eine medizinethische Erinnerung an die Würde der Kinder im Spannungsfeld zwischen Autonomie und Fürsorge spielen kann. Dabei zeigt sich, dass es gerade die Achtung vor der Würde des Kindes ist, die uns überhaupt erst ermöglicht, das Kind als Kind und damit als ein eigenständiges Subjekt und als ein besonderes menschliches Wesen zu entdecken. (shrink)

When people suffer they always suffer as a whole human being. The emotional, cognitive and spiritual suffering of human beings cannot be completely separated from all other kinds of suffering, such as from harmful natural, ecological, political, economic and social conditions. In reality they interact with each other and influence each other. Human beings do not only suffer from somatic illnesses, physical pain, and the lack of decent opportunities to satisfy their basic vital, social and emotional needs. They also suffer (...) when they are not able to experience and grasp any meaning of life even if such suffering is not quite as obvious as most forms of physical, social and emotional suffering. Suffering from the lack for the sense of the meaning of life is a special form of emotional, cognitive, and spiritual suffering. Although all human beings share the same basic human need for some meaning of life, the fulfilment of this need is highly individual and personal. Although all forms of human suffering can be a challenge to the meaning of life, the personal conditions of suffering usually are a stronger challenge for the meaning of life. Among the personal conditions of human suffering, the Grenzsituationen cannot be cancelled or raised at all, but only accepted and coped with as existential aspects of the conditio humana. According to Karl Jaspers these are: death, suffering, struggling, guilt, and failing. The challenge for human beings to cope with these Grenzsituationen is a way to move from the mere Being-there to true human Existence. (shrink)

We present a novel methodology for calculating the improvements obtained in successive versions of biomedical ontologies. The theory takes into account changes both in reality itself and in our understanding of this reality. The successful application of the theory rests on the willingness of ontology authors to document changes they make by following a number of simple rules. The theory provides a pathway by which ontology authoring can become a science rather than an art, following principles analogous to those that (...) have fostered the growth of modern evidence-based medicine. Although in this paper we focus on ontologies, the methodology can be generalized to other sorts of terminology-based artifacts, including Electronic Patient Records. (shrink)

The paradox of the concept horse has often been taken to be devastating for Frege’s ontological distinction between objects and concepts. I argue that if we consider how the concept-object distinction is supposed to account for the unity of linguistic meaning, it transpires that the paradox is in fact not paradoxical.

Moral perceptualism is the theory that perception and perceptual experience is attuned to moral features in our environment. This idea has received renewed attention in the last 15–20 years, for its potential to do theoretical work in moral epistemology and moral psychology. In this paper, I review the main motivations and arguments for moral perceptualism, the variety of theories that go under the heading of “moral perception,” and the three biggest challenges to moral perception. https://youtu.be/9cc_1zykq80.

Digital Rights Management (DRM) covers the description, identification, trading, protection, monitoring and tracking of all forms of rights over both tangible and intangible assets. The Digital Object Identifier (DOI) system provides a framework for the persistent identification of entities involved in this domain. Although the system has been very well designed to manage object identifiers, some important questions relating to the creation and assignment of identifiers are left open. The paradigm of a Referent Tracking System (RTS) recently advanced in the (...) healthcare and life sciences environment is able to fill these gaps. This is demonstrated by pointing out inconsistencies in the existing DOI models and by showing how they can be corrected using an RTS. (shrink)

The Information Artifact Ontology (IAO) was created to serve as a domain‐neutral resource for the representation of types of information content entities (ICEs) such as documents, data‐bases, and digital im‐ages. We identify a series of problems with the current version of the IAO and suggest solutions designed to advance our understanding of the relations between ICEs and associated cognitive representations in the minds of human subjects. This requires embedding IAO in a larger framework of ontologies, including most importantly the Mental (...) Func‐tioning Ontology (MFO). It also requires a careful treatment of the aboutness relations between ICEs and associated cognitive representa‐tions and their targets in reality, which implies in turn a new treatment of the relation of truthmaking. (shrink)

The IPAP Schizophrenia Algorithm was originally designed in the form of a flow chart to help physicians optimise the treatment of schizophrenic patients. We examined the current version from the perspective of recent work on terminologies and ontologies thereby drawing on the resources of Basic Formal Ontology, and this with the objective to make the algorithm appropriate for Semantic Web applications. We found that Basic Formal Ontology is a rich enough theory to represent all the entities involved and that applying (...) the theory to the IPAP schizophrenia algorithm results in a representation that can be used by software agents to perform monitoring and control in a referent tracking environment. (shrink)

In seiner ‘Existenzerhellung der Freiheit’ reflektiert Jaspers, das Problemfeld der Freiheit in einem Kontrast zu den Begriffen, Phänomenen und Bedingungen der Unfreiheit und der Grenzen der Freiheit. Dem Problemfeld der Freiheit kann man im Denken und Handeln nur dann gerecht werden, wenn man nicht nur zwischen den verschiedenen Begriffen und Phänomenen der Freiheit unterscheidet, sondern auch zwischen den verschiedenen Begriffen und Phänomenen von Grenzen der Freiheit, wie z.B. durch die allgemeine Naturgesetzlichkeit und die menschliche Natur, durch besondere Bedingungen in Natur, (...) Kultur und Gesellschaft, durch gesundheitliches Befinden und individuelle Persönlichkeit, durch situative Begrenzungen, normative Forderungen und konkrete Grenzsituationen, wie z.B. von Leiden, Kampf, Schuld, Wagnis und Tod zeigen. Jaspers hat sich zum Problemfeld der Freiheit sowohl in seiner Allgemeinen Psychopathologie, in seinen pathographischen Untersuchungen, in seiner Psychologie der Weltanschauung und in einigen seiner philosophischen Schriften geäußert. Im zweiten Band seines frühen Hauptwerkes Philosophie mit dem Titel Existenzerhellung hat er jedoch eine umfassende Abhandlung zu dem komplexen Problemfeld der Freiheit verfasst. Dort behandelt Jaspers fast alle wesentlichen Begriffe und Phänomene der Freiheit bis hin zu seiner Konzeption einer existenziellen Freiheit. Jaspers geht anfangs von einem unbestimmten Begriff der Freiheit aus, dem kein bestimmtes Phänomen entspricht und der deswegen nur Illusionen erzeugen und einem ideologischem Denken dienen kann. Dann aber unterscheidet Jaspers zwischen verschiedenen Begriffen und Phänomenen der Freiheit. Dabei scheint er nicht nur wie die meisten zeitgenössischen Philosophen an Locke und Hume, Kant und Brentano, Wilhelm von Humboldt und John Stuart Mill anzuknüpfen, sondern auch an die Konzeptionen des Selbstbewusstseins bei Hegel, Fichte und Schelling. Da sich Jaspers nicht zuletzt auch mit den Schriften von Kierkegaard und Nietzsche auseinandergesetzt hat, gelangt er zu einer besonders umfangreichen und differenzierten Diskussion des ganzen Problemfeldes der Freiheit in der Moderne. Jaspers hat jedoch nicht nur verschiedene Freiheitsbegriffe und -phänomene unterschieden, sondern er hat auch zu den überlieferten Denkweisen im Form einer existenzphilosophischen Erhellung der Freiheit Stellung genommen. Dabei hat Jaspers’ Stellungnahme anders als viele zeitgenössische Beiträge über Freiheit und Determinimus den deutlichen und bewahrenswerten Vorzug, dass sie die unverfügbare und irreduzible Subjektivität der Willensfreiheit anerkennt. Damit knüpft Jaspers an Kants Einsicht an, dass der Freiheit des menschlichen Willens und ihrer praktischen Wirksamkeit immer nur die subjektive Evidenz inneren Erlebens zukommen kann. Dies unterscheidet sie von der Wahl- und Handlungsfreiheit, die man auch in konkreten Handlungssituationen objektiv feststellen kann. Der Freiheit des menschlichen Willens kommt damit weder die Objektivität empirischer Erkenntnis noch metaphysische Notwendigkeit zu. Die subjektive Evidenz des Erlebens eines freien Willens spricht nach Jaspers jedoch auch gegen einen weltanschaulichen, methodischen oder metaphysischen Determinismus, der sie aufgrund seiner Annahme einer kausal geschlossenen Wirklichkeit leichtfertig für eine bloße Illusion hält. Eine deterministische Weltanschauung oder Philosophie kann der condition humaine zumindest dann nicht gerecht werden, wenn sie die evidente Subjektivität eines freien Willens nicht auf eine plausible Art und Weise integriert. Jaspers’ wird der potentiellen Freiheit des menschlichen Willens dadurch gerecht, dass er ihre unverfügbare und irreduzible Subjektivität versteht und akzeptiert und erst gar nicht den abwegigen Versuch macht, sie durch eine objektivierende Einstellung zu objektivieren, wissenschaftlich zu erklären oder gar zu beweisen. (shrink)

This essay is a close reading analysis of Plato's Eutyphron coming to the conclusion that Plato's Socrates is still a model for an open minded, but critical attitude towards the ethical and metaphysical claims of religions.

In the last two decades, Davidson’s event-argument hypothesis has become very popular in natural language semantics. This article questions that event-based analyses actually add something to our understanding of the respective phenomena: I argue that they already find their explanation in independently motivated grammatical assumptions and principles which apply to all kinds of modification. Apart from a short discussion of Davidson’s original arguments in favour of his hypothesis, I address Larson’s event-based account of the distinctions between stage-level vs. individual-level modification (...) and adverbial vs. adjectival modification in the nominal domain. I argue that his analysis of the former reduces straightforwardly to the grammatical structure of the nominal phase. As for the latter, I provide reasons which motivate a re-description of the phenomenon in terms of sensitivity to descriptive content rather than events. I argue that, so described, the phenomenon can be explained in terms of interface conditions, given a phasal architecture of grammar. (shrink)

Brandom’s philosophical programme can be seen as a reversion of the traditional order of explanation in semantics. Whereas traditional semantic theories start with a grip on a notion like truth or reference, Brandom argues that it is also possible to begin with an analysis of the speech acts of what one is doing by making a claim in order to explain representational notions like truth and objectivity. Evaluating the explanatory values of Brandom’s theory, it therefore is necessary to ask to (...) what extent Brandom’s analysis of our linguistic practices is able to explain what other theories start with. That is, can linguistic practices in Brandom’s sense give an account of why we are capable of referring to language-external objects? And can they make evident why we take truth and falsity not to depend upon our beliefs or claims but upon an extra-linguistic reality? After a short discussion of Brandom’s answer to the first question, I argue that Brandom’s answer to the second is not sufficient and that it does not seem to be possible to give a sufficient answer within his theory. (shrink)

Neidische Gedanken, neidische Gefühle, neidische Menschen sind im alltäglichen Leben gegenwärtig. Kaum vergeht ein Tag, an dem man nicht mit dem Phänomen des Neides konfrontiert wäre. Bei sich selbst mag man ihn schon gar nicht, denn der Neid ist ein schmerzliches und unschönes Gefühl. Obwohl der Neid ein alltägliches Phänomen ist, bleibt er im Alltag ein weitgehend tabuisiertes Thema: Über den Neid spricht man entweder gar nicht oder nur selten. Falls man doch über den Neid spricht, dann zumeist über den (...) Neid der Anderen. Den Neid der Anderen kann man nämlich als einen gewissen Triumph verbuchen: entweder als eine Art von Anerkennung des eigenen sozialen Status oder als ein Genuss dessen, was man bei den Anderen an Neid erregenden Gütern vorzuweisen hat. Der kleine Mann erfreut sich am Neid der Anderen. Entfremdet von der unmittelbaren Freude am eigenen Tun und Lassen sowie von den Früchten seiner Arbeit kann er sie nur noch auf dem Umweg über die Erniedrigung der Anderen erleben. Der Spießer braucht den neidischen Blick der kleineren Anderen, um zu bemerken, was er ist und was er hat. Denn der Spießer weiß nicht, wer er ist, und weil er nicht weiß, wer er ist, muss er ersatzweise wenigstens wissen, was er ist, und er ist vor allem das, was er erreicht hat und was er hat. (Einleitung). (shrink)

A technical artefact is often described in two ways: by means of a physicalistic model of its structure and dynamics, and by a functional account of the contributions of the components of the artefact to its capacities. These models do not compete, as different models of the same phenomenon in physics usually do; they supplement each other and cohere. Coherence is shown to be the result of a mapping of role-contributions on physicalistic relations that is brought about by the concept (...) of function. It results a sandwich-like structure of the two models, which can be reconstructed as a two-sorted theory element. (shrink)

Quality assurance in large terminologies is a difficult issue. We present two algorithms that can help terminology developers and users to identify potential mistakes. We demon­strate the methodology by outlining the different types of mistakes that are found when the algorithms are applied to SNOMED-CT. On the basis of the results, we argue that both formal logical and linguistic tools should be used in the development and quality-assurance process of large terminologies.

Der Begriff der Vernunft gehört zu den Begriffen, die für Jaspers‘ philosophisches Denken und schriftliche verfaßte Philosophie eine besonders wichtige Rolle spielen. Gleichwohl kann es im Folgenden nicht um Jaspers‘ ganze Philosophie gehen, sondern nur um seinen Begriff der Vernunft. Sein Begriff der Vernunft ist jedoch für die wesentlichen Grundzüge seiner Philosophie konstitutiv und charakteristisch. Im ersten Teil werde ich kurz auf die Entwicklung der Schriften eingehen, in denen Jaspers hauptsächlich sein Verständnis von Vernunft dargelegt hat. Im zweiten Teil werde (...) ich dann Jaspers‘ Begriff der Vernunft anhand einiger wichtiger Aussagen in den genannten Werken rekonstruieren. Dabei kann jedoch nur der wesentliche Gehalt seines Begriffes der Vernunft berücksichtigt werden und nicht alle Strukturen, Formen und Funktionen der Vernunft, die dann für seine Philosophie charakteristisch und konstitutiv sind. Im dritten Teil werde ich dann kurz den systematischen Ort und Stellenwert von Jaspers‘ Begriff der Vernunft in seiner Vernunftphilosophie beleuchten. (shrink)

Das Thema der Misologie und Misanthropie lässt sich wie so viele anderen philosophischen Themen der europäischen Geistesgeschichte bis zu einem platonischen Dialog zurückverfolgen. In diesem Fall handelt es sich um Platons berühmten Dialog Phaidon. Nun handelt dieser Dialog bekanntlich von der Frage nach der Unsterblichkeit der menschlichen Seele. Dennoch verweist Sokrates an einer bestimmten Stelle des Dialoges auf die für den Menschen drohenden Gefahren der Misologie und der Misanthropie hin, dem Hass auf die Vernunft und den Hass auf den Menschen, (...) die seiner Auffassung nach zusammenhängen. Die sokratische Warnung vor der Misologie und Misanthropie ist um so eindringlicher, als sie auf dem Hintergrund des existenziellen Problems des Todes und der religiösen Frage nach einem Jenseits des Todes diskutiert wird. (Einleitung). (shrink)

Was kann ein Philosoph dazu beitragen, dass wir uns nicht nur ein adäquates Bild vom tatsächlichen Gesundheitswesen machen, sondern auch verstehen, wie in der Gesundheitspolitik ökonomische Rationalität dem übergeordneten Ziel der Realisierung humaner Verhältnisse dienen könnte? Wenn er kein weltfremder Utopist ist, dann wird er zunächst einmal anerkennen, dass die ökonomische Rationalität und die rechtsstaatliche Regulierung des Gesundheitswesens selbst schon notwendige Bedingungen für die Realisierung von Humanität sind. Denn humane Verhältnisse im Gesundheitswesen sind unter den Realbedingungen von mehr oder weniger (...) beschränkten Ressourcen immer schon eine normative Zielvorstellung, die mit Hilfe von moralischen, rechtlichen und politischen Konventionen und Institutionen den Interessenkonflikten und Verteilungskämpfen in der jeweiligen Gesellschaft abgetrotzt werden müssen. Sie ergeben sich nicht von selbst – weder aus der demokratischen Konsensbildung der Interessenkonflikte noch aus den Selbstregulierungskräften des Marktes alleine. Das gilt insbesondere in Zeiten, wo der Staat aufgrund wirtschaftlicher Stagnation, fehlender Steuereinnahmen und verschuldeter Staatshaushalte nicht umhin kommt, unter anderen Ausgaben für innere und äußere Sicherheit, Verwaltung, Wissenschaft, Kultur und Bildung auch die Sozialausgaben zu reduzieren. So viel common sense steht auch einem Philosophen gut an. (Einleitung) . (shrink)

Johann August Eberhard gründet 1788 die Zeitschrift "Philosophisches Magazin", um die sog. Leibniz-Wolffsche Schulphilosophie gegen die zunehmend erfolgreichen Angriffe der kantischen Philosophie zu verteidigen. Zu diesem Zweck publizierte er insgesamt sieben Artikel, um seiner Leserschaft zu zeigen, dass die ältere Philosophie Leibnizens bereits eine gründliche Vernunftkritik enthalte, die der neueren Vernunftkritik Kants nicht nur ebenbürtig, sondern sogar überlegen sei. Als Anhänger der leibnizianischen Vernunftkritik war Eberhard vor allem deswegen von ihrer Überlegenheit überzeugt, weil man mit ihr noch eine dogmatische Metaphysik (...) alten Zuschnitts begründen und verteidigen könne. -/- Immanuel Kant, der aus arbeitsökonomischen Gründen nur selten auf Angriffe auf seine kritische Philosophie reagierte, fühlte sich von Eberhard so sehr herausgefordert, dass er – wie zuvor auch schon einmal bei Emanuel Swedenborg – eine Ausnahme machte. Während es für ihn bei seiner Auseinandersetzung mit Swedenborg gerade auf die deutliche Abgrenzung von dessen konkretistischer Auffassung vom mundus intelligibilis und von dessen Verwechslung von philosophischer Metaphysik mit spekulativem Okkultismus ankam, ging es bei seiner Auseinandersetzung mit Eberhard bloß um eine innerphilosophische Abgrenzung von einer anderen Konzeption der formalen Struktur und epistemischen Reichweite der menschlichen Vernunft. (shrink)

In § 6 of his General Psychopathology (1st edition 1913) Jaspers distinguished between drives, wants and volitions as three different and irreducible kinds of motivational phenomena which are involved in human decision making and which may lead to successful actions. He has characterized the qualitative differences between volitions in comparison with basic vital drives and emotional wants such as being (a.) intentional, (b.) content-specific and (b.) directed towards concrete objects and actions as goals. Furthermore, Jaspers has presented and discussed three (...) kinds of pathological problems about motivation and willing. (1.) The first kind is impulsive action or impulsive behaviour, as e.g. in psychoses or personality disorders, which he compares with instinctive action which are both without any previous hesitation, deliberation and reflection of any presumable consequences, but still very different with respect to their motivational content. (2.) The second kind of pathological problems about motivation and willing are the inhibitions of the will and Jaspers is discussing two major kinds of them: (a.) the energetic or motivational inhibition of the will which is an inability of willing due to the mere lack of any drives and motives, as in the case of any severe and pathological depression; (b.) the cognitive inhibition of the will which is due to the pathological inability to be aware of and understand properly the complexity and difficulty of real life situations in order to solve some given tasks by appropriate decision making, as e.g. in some cases of schizophrenia. (3.) The third kind is a pathological weakness of the will which is extraordinary and not familiar to normal human adults. This pathological kind of weakness of the will consist in the complete causal ineffectiveness of the subjectively felt impulse of willing which is not leading to any inward and outward observable action, such as e.g. as a movement of the limbs or some verbal utterance. This pathological weakness of the will is a complete ineffectiveness of the volitional impulse and therefore different from what philosophers discuss under the heading of weakness of the will which presuppose some evaluation of the intended resp. realized action as ethically, morally or religiously right or wrong. Finally, there are three kinds of normal or non-pathological weakness of the will, as discussed by philosophers: (A.) ethical weakness of the will as in Aristotle’s disagreement about akrasia with the Platonic Socrates; (B) moral weakness of the will as in Kant’s analysis of the absence or failure of any specific moral reasoning by pure practical reason as opposed to mere strategic and pragmatic reason or as the occurrence of a self-deceptive “dialectics of the exception“; (C.) religious weakness of the will as in Pauls personal insight about the incoherence between his high spiritual aspirations and his factual ethical achievements. (shrink)

PURPOSE—A substantial fraction of the observations made by clinicians and entered into patient records are expressed by means of negation or by using terms which contain negative qualifiers (as in “absence of pulse” or “surgical procedure not performed”). This seems at first sight to present problems for ontologies, terminologies and data repositories that adhere to a realist view and thus reject any reference to putative non-existing entities. Basic Formal Ontology (BFO) and Referent Tracking (RT) are examples of such paradigms. The (...) purpose of the research here described was to test a proposal to capture negative findings in electronic health record systems based on BFO and RT. METHODS—We analysed a series of negative findings encountered in 748 sentences taken from 41 patient charts. We classified the phenomena described in terms of the various top-level categories and relations defined in BFO, taking into account the role of negation in the corresponding descriptions. We also studied terms from SNOMED-CT containing one or other form of negation. We then explored ways to represent the described phenomena by means of the types of representational units available to realist ontologies such as BFO. RESULTS—We introduced a new family of ‘lacks’ relations into the OBO Relation Ontology. The relation lacks_part, for example, defined in terms of the positive relation part_of, holds between a particular p and a universal U when p has no instance of U as part. Since p and U both exist, assertions involving ‘lacks_part’ and its cognates meet the requirements of positivity. CONCLUSION—By expanding the OBO Relation Ontology, we were able to accommodate nearly all occurrences of negative findings in the sample studied. (shrink)

This essay begins with the claim that intercultural dialogue is an art rather than a science or technique and it attempts to point out what it takes to learn the art of intercultural dialogue. In PART ONE some basic forms of intercultural dialogue are presented which correlate to some basic forms of human life, such as family, politics, economy, science, art and religion. Also a few common traits about how intercultural dialogue is practised today are specified. PART TWO is pointing (...) out that cultural pluralism is not merely a political ideology, but rather a realistic political attitude towards the social realities in all cultures. Cultural pluralism means to accept that a certain variety of different forms of life is existing already within every culture, country or nation. Further it it argued that any society whether it is governed by a modern democracy or by a more traditional political system, such as a monarchy, needs some ethical, legal and political orientation in order to guarantee civil liberties, but also to limit civil, economic and political freedom. A common normative orientation being based on ethical ideals, principles, norms and values can only be established by philosophy and jurisprudence and neither by science nor by religion and neither by democracy nor by economy alone. Finally, PART THREE presents and discusses shortly a few reflections about three philosophical models of dialogue by Buber, Jaspers and Gadamer which are relevant to intercultural dialogue, to interreligious dialogue and last, but not least to philosophical dialogue. (shrink)

Ontology is currently perceived as the solution of first resort for all problems related to biomedical terminology, and the use of description logics is seen as a minimal requirement on adequate ontology-based systems. Contrary to common conceptions, however, description logics alone are not able to prevent incorrect representations; this is because they do not come with a theory indicating what is computed by using them, just as classical arithmetic does not tell us anything about the entities that are added or (...) subtracted. In this paper we shall show that ontology is indeed an essential part of any solution to the problems of medical terminology – but only if it is understood in the right sort of way. Ontological engineering, we shall argue, should in every case go hand in hand with a sound ontological theory. (shrink)

Modal dispositionalists hold that dispositions provide the foundation of metaphysical necessity and possibility. According to the kind of modal dispositionalism that can be found in the present literature, a proposition p is possible just in case some things are disposed to be such that p. In the first part of this paper I show that combining this classic form of dispositionalism with the assumptions that the laws of nature are necessary and deterministic and that all dispositions are forward-looking in time (...) leads to the unattractive conclusion that every truth is necessary. I argue that the classic dispositionalist should be troubled by this result and in the second part of the paper I suggest a novel variant of dispositionalism that avoids it. This extended form of dispositionalism allows that some propositions are only indirectly underwritten by dispositions. (shrink)

Der Neid wirft als Thema der philosophischen und psychologischen Reflexion eine ganze Reihe von Fragen auf, die theoretischer Natur sind. Dazu gehören die Frage nach der Analyse des alltagspsychologischen Neidbegriffes, die damit verbundene Frage nach der Abgrenzung des psychologischen Phänomens des Neides im Verhältnis zu verwandten Emotionen, wie z.B. Eifersucht, Habgier, Ehrgeiz, Wetteifer, Geiz, etc., die Frage nach dem Wesen des Neides als einem reflexartigen und unkontrollierbaren Affekt, als einer dauerhaften und unbewussten Stimmung, als einem momentanen, intentionalen und bewussten Gefühl, (...) als einem selbst erzeugten Konstrukt aus Gedanken und Gefühlen, etc. und schließlich die Frage nach den Ursachen des Neides als einem gewissen Mangel an Selbstsein und als Folge einer langfristig scheiternden Selbstverwirklichung. -/- Der Neid wirft als Thema der philosophischen und psychologischen Reflexion aber auch verschiedene Fragen auf, die praktischer Natur sind. Diese Fragen gehören weitgehend in dem Umkreis der Probleme der philosophischen Lebenskunst. Zu den Fragen der philosophischen Lebenskunst, der ars vivendi, die als die wohl wichtigste menschliche Kunst auch die philosophische Kunst des Alterns und Sterbens, die ars moriendi umfasst, gehört einerseits das Problem der Abwehr der Neider durch die Beneideten und andererseits das Problem der Überwindung des Neides beim Neider selbst. In der Geschichte der europäischen Philosophie wurden seit der Antike vor allem immer wieder lebensphilosophische Ratschläge zur Bewältigung beider Probleme erteilt. Dabei standen jedoch die Ratschläge zur Abwehr der Neider im Vordergrund. Das kommt weitgehend daher, dass vor allem in der Antike, aber auch im Mittelalter und selbst noch in der Neuzeit diese Art von Literatur den Begüterten und Gebildeten diente, die auf Grund ihrer privilegierten sozialen Stellung im Großen und Ganzen eher ein Interesse an der Abwehr der Neider als an der Neidüberwindung hatten. Dennoch darf man nicht meinen, dass diese klassischen Autoren und ihre Leser selbst ganz ohne äußere und innere Anlässe für Neidgefühle und -gedanken gewesen wären. Deswegen darf man vermuten, dass auch die Scheu davor, sich selbst als einen gewohnheitsmäßig neidischen Menschen oder zumindest als einen Gelegenheitsneider zu präsentieren, dazu geführt haben mag, dass man sich aus einem gewissen Selbstschutz zurückgehalten hat, Überlegungen und Ratschläge zur Überwindung des eigenen Neides öffentlich zu äußern und zu erörtern. (Einleitung). (shrink)

Based on the Ontology for General Medical Science, we propose definitions for biomarkers of various types of. These definitions provide not only a complete formal representation of what biomarkers are according to the Institute of Medicine (IOM), but also remove the ambiguities and inconsistencies encountered in the documentation provided by the IOM.

We present the details of a methodology for quality assurance in large medical terminologies and describe three algorithms that can help terminology developers and users to identify potential mistakes. The methodology is based in part on linguistic criteria and in part on logical and ontological principles governing sound classifications. We conclude by outlining the results of applying the methodology in the form of a taxonomy different types of errors and potential errors detected in SNOMED-CT.

In the Phaedo the character Socrates argues that suicide is morally wrong. This is in fact one of only two places in the entire Platonic corpus where suicide is discussed. It is a brief passage, and a notoriously perplexing one. In this article, I distinguish between two arguments that Socrates gives in support of his claim. I argue that one of them is not to be taken literally, while the other represents the deeper reason for the prohibition of suicide. I (...) further relate the question of suicide to the overarching concerns of the Phaedo as a whole: the nature of our incarnate “imprisonment”, the nature and purpose of philosophy, the philosophical “purification” of the soul, the human pursuit of knowledge, and the nature of the divine. (shrink)

If SNOMED CT is to serve as a biomedical reference terminology, then steps must be taken to ensure comparability of information formulated using successive versions. New releases are therefore shipped with a history mechanism. We assessed the adequacy of this mechanism for its treatment of the distinction between changes occurring on the side of entities in reality and changes in our understanding thereof. We found that these two types are only partially distinguished and that a more detailed study is required (...) to propose clear recommendations for enhancement along at least the following lines: (1) explicit representation of the provenance of a class; (2) separation of the time-period during which a component is stated valid in SNOMED CT from the period it is (or has been) valid in reality, and (3) redesign of the historical relationships table to give users better assistance for recovery in case of introduced mistakes. (shrink)

It is commonly thought that there is a connection between love and death. But what can be said philosophically about the nature of that connection (if indeed it exists)? Plato's Symposium suggests at least three possible ways in which love and death might be connected: first, that love entails (or ought to entail) a willingness to die for one’s beloved; second, that love is a desire for (or perhaps itself is) a kind of death; and third, that love is linked (...) to human mortality and the desire for immortality. I argue that each of these three suggestions is problematic, and should not be accepted at face value. I am ultimately skeptical as to whether any one, overriding connection—be it moral or causal or metaphysical—between love and death exists. At the very least, the matter deserves more nuanced and multi-faceted reflection than what we find in the Symposium. (shrink)

We defend a realistic attitude towards biological species. We argue that two species are not different species because they differ in intrinsic features, be they phenotypic or genomic, but because they are separated with regard to gene flow. There are no intrinsic species essences. However, there are relational ones. We argue that bearing a gene flow relation to conspecifics may serve as the essence of a species. Our view of the species as a Gene-Flow Community differs from Mayr’s definition of (...) the species as a reproductive community. In a reproductive community, each organism is able to successfully reproduce with each other. However, there are species in which geographically distant organisms lost their ability to successfully reproduce, due to strong genetic adaptations to the respective local environmental conditions. Despite this loss of the ability to mutually reproduce, they are still bound by gene flow via continuous intermediate populations. This replacement of Mayr’s notion of an interbreeding potential as a criterion for species membership has important implications for the treatment of populations in allopatry and sympatry. (shrink)

Referent tracking (RT) is a new paradigm, based on unique identification, for representing and keeping track of particulars. It was first introduced to support the entry and retrieval of data in electronic health records (EHRs). Its purpose is to avoid the ambiguity that arises when statements in an EHR refer to disorders or other entities on the side of the patient exclusively by means of compound descriptions utilizing general terms such as ‘pimple on nose’ or ‘small left breast tumor’. In (...) this paper, we describe the theoretical foundations of this paradigm and show how it is being applied to the solution of analogous problems of ambiguous identification in the fields of digital rights management, corporate memories and decision algorithms. (shrink)

STIRNERs "Verdienst" geht im Grunde auf ein einziges Werk zurück: Der Einzige und sein Eigenthum erschienen 1844/45 in Leipzig. Hören wir also, was "berufene" Geister der Geschichte über ihn zu schreiben wußten: ARNOLD RUGE ein führender Kopf des sogenannten Vormärz der 48er Revolution des letzten Jahrhunderts, hat das Buch bei seinem ersten Erscheinen als "frischen Morgenruf im Lager der schlafenden Theoretiker" begrüßt. LUDWIG FEUERBACH nannte es, trotz einiger Einwände; das "Werk des genialsten und freiesten Schriftstellers, den er kenne". MAX NETTLAU (...) schreibt 1925, daß nur wenige Bücher so mißverstanden oder so verschiedenartig beurteilt werden wie dieses, "und viele Leser bleiben bei einem auf die Spitze getriebenen Individualismus oder Egoismus stehen, den sie herauslesen wollen". (shrink)