Das Ontologische Dilemma der Normativen Ethik

The Ontological Dilemma of Normative Ethics. This paper pursues two goals. The first is to show that normative ethics is confronted with the following dilemma: to be coherent, this discipline is ontologically committed to acknowledge the existence of objective values, but, to be scientifically respectable, it is committed to repudiate such values. The second goal is to assess the possible solutions to this dilemma. To this end, the following strategies are discussed: Kant’s constructive objectivism, Jürgen Habermas’ “epistemic ersatzism”, Franz von Kutschera’s “confirmation pragmatism”, and David Brink’s “objectivist tour de force”. The paper’s conclusion is that the dilemma cannot be solved because it rests on a clash of intuitions none of which can be given up. This revised version was published online in August 2006 with corrections to the Cover Date.     

Das Reizdarmsyndrom

Irritable bowel syndrome is a common disorder that can be associated with significant disability and health care costs. Beyond it is the most common disease diagnosed by gastroenterologists. Diagnosis is based on typical complaints including abdominal pain, bloating, irregularities of bowel movements and defecation. The discussion of different etiopathogenetic models showed that irritable bowel syndrome is a biopsychosocial disorder in which psychosocial factors, altered motility and visceral hypersensitivity interact. When symptoms are moderate to severe and are associated with psychological distress and impaired quality of life, psychological treatments can be considered. Apart from symptomatic treatment with loperamide for diarrhoea and antidepressants for abdominal pain and comorbid psychological symptoms for example cognitive behavioral treatment, hypnotherapy, psychodynamic short-term psychotherapy and functional relaxation are being evaluated.     

Das Messie-Syndrom

Messie ist abgeleitet von mess (englisch für Chaos, Unordnung). Betroffene, die als Messies bezeichnet werden, leiden darunter insbesondere im privaten Bereich keine zeitliche und / oder r?umliche Ordnung herstellen oder halten zu k?nnen. Eine eindeutige diagnostische Zuordnung ist bis jetzt nicht m?glich. Je nach Auspr?gungsgrad und Leidensdruck kommen verschiedene therapeutische Ma?nahmen zur Anwendung: Hilfestellung, Coaching, Selbsthilfegruppen, Psychotherapie (kognitive Verhaltenstherapie) und medikament?se Therapie (selektive Serotonin-Wiederaufnahmehemmer).     

男科临床工作中的人文关怀

随着现代医学模式的转化和男科学诊治技术的发展,在男科临床工作中应该注重树立人文关怀理念和强化人性化服务意识.实施人文关怀的方法包括:重视心理应激,应用心理疗法;关注患者生活,有效预防疾病;营造人文环境,提供人性化服务;遵循最优化原则,做到适度医疗;关心老年人健康,关注社会特殊群体.在男科临床工作中应提高人文关怀的自觉性.     

Rule-Consequentialism's Dilemma

This paper examines recent attempts to defend Rule-Consequentialism against a traditional objection. That objection takes the form of a dilemma, that either Rule-Consequentialism collapses into Act-Consequentialism or it is incoherent. Attempts to avoid this dilemma based on the idea that using RC has better results than using AC are rejected on the grounds that they conflate the ideas of a criterion of rightness and a decision procedure. Other strategies, Brad Hooker's prominent amongst them, involving the thought that RC need contain no overarching concern to maximize the good are acknowledged to avoid the original dilemma, but lead to further problems of motivating and justifying RC in the absence of such a concern. The paper argues that Hooker's attempt to deal with these problems by using a 'Reflective Equilibrium plus method is unsuccessful.     

精神分析师的两难处境

精神分析自诞生之日起就成为了一门有争议的学科,直到100多年后的今天,它仍旧面对着各种各样的质疑.究其原因,无意识概念中所包含的矛盾难辞其咎.精神分析师正是因为将无意识作为核心的探究对象而遭遇了种种两难处境.这些两难处境既是精神分析所引发的争论的缩影,也是理解这些争论的线索之一.在探讨精神分析师的两难处境的基础上,试图从一个侧面揭示无意识以至精神现象的本质特征.     

Das Antilogische

Ohne Zusammenfassung     

Das Restless-Legs-Syndrom

In 1995, the International Restless Legs Syndrome Study Group (IRLSSG) developed the first consensus-based diagnostic criteria, which were revised in 2003. These criteria allowed the implementation of numerous epidemiological, pathophysiological, and therapeutic approval studies. To increase the specificity, the guidelines were augmented regarding differential diagnoses, clinical severity, and objective examination in 2012. RLS, one of the most common neurological diseases worldwide, is often misdiagnosed and greatly underdiagnosed. Symptomatic treatment with dopaminergic agents is standard treatment for primary RLS; however, opioids are also used.     

Das Unbewusste

In this paper I want to explore whether it is possible to establish a correlation between different levels of pathology and the distortions of some unconscious functions necessary for good mental functioning. My hypothesis is that mental health depends on the possibility to use an apparatus that allows us to contain and keep our emotions alive as well as to give meaning to them. This apparatus functions all the time, beyond individual consciousness. Some patients have this apparatus or have at least the potential to develop it whereas others, such as borderline and psychotic patients seem to be lacking it completely, hence the difficulty of analyzing these kinds of patients.     

A Systems Dilemma

The current shift of interest, reflected in public policy, from the production of goods to the provision of services, has caused a major re-examination of the nature of the services the individual can expect from his society. This re-examination is producing a number of insights, some of them shocking. In particular, we are learning that many of the systems we have created to deliver services are, in the name of “progress” and “civilization,” contributing to the conditions of human distress they were designed to alleviate. Much has been written lately about how service systems of one kind or another subvert their announced goals—how a welfare system perpetuates poverty, or how the medical profession creates iatrogenic illness. There has not been very much written, however, about how several systems inadvertently combine in their day to day operations in such a way as to frustrate each others' activities, and how, in so doing, they destroy in varying degrees the lives of people, or render it difficult for them to improve their lives. We have all been much too tightly locked in our own niches by training, experience, and various types of private interest to see this kind of interlock. It comes into sharp perspective only when one studies the problems of a single person in terms of his total life space, his “ecology.” This paper represents an effort to describe one such situation in a family as viewed from a community health services program designed to approach human crises as ecological phenomena, and to explore and respond to them within this framework. We have found that the best way to organize our view of the environmental field people move in is according to the diverse systems which make it up, so we have labeled our theoretical base “ecological systems theory.” ( 1 ) What is of particular interest to the behavioral scientist in the situation described is that neither individual nor family diagnosis, nor the contributions of the larger systems (in this case a housing system and a system of medical care) will, if viewed separately, explain the state of the man in question. Only when the contributions of all of these systems are made clear, and their interrelationships explored, do the origins of the phenomena described begin to emerge.     

The Obligation Dilemma

I motivate a dilemma to show that nothing can be obligatory for anyone regardless of whether determinism or indeterminism (the falsity of determinism) is true. The deterministic horn, to which prime attention is directed, exploits the thesis that obligation requires freedom to do otherwise. Since determinism precludes such freedom, it precludes obligation too. The indeterministic horn allows for freedom to do otherwise but assumes the burden of addressing whether indeterministically caused choices or actions are too much of a matter of luck to be obligatory for anyone. I critically discuss a response to the deterministic horn that invokes the distinction between alternatives compatible with determinism (weak alternatives) and those incompatible with determinism (strong alternatives).     

The Editor's Dilemma

Dr. Burnham agreed to be interviewed regarding his views on Christian education from his perspective of 15 years of living in Africa and his current dealings with health issues in Africa. He is an expert on onchocerciasis or “river blindness” and has worked with the World Health Organization. In addition to being a physician, he has a Ph.D. in tropical disease epidemiology and a Masters in Clinical Tropical Medicine.