The relevance of Rawls' principle of justice for research on cognitively impaired patients

An ethical conflict arises when we must performresearch in the interest of future patients,but that this may occasionally injure theinterests of today's patients.In the case of cognitively impaired persons, thequestion arises whether it is compatible withhumane healthcare not only to treat, but alsoto use these patients for research purposes.Some bioethicists and theologians haveformulated a general duty of solidarity, alsopertaining to cognitively impaired persons, as ajustification for research on these persons. Ifone examines this thesis from the theory ofjustice according to John Rawls, it is revealedthat such a duty of solidarity cannotnecessarily be extrapolated from Rawls'conception of justice. This is at least true ofRawls' difference principle, because accordingto the difference principle only those measuresare justifiable which serve the interest of therespective least well off. Those measures whichwould engender additional injury for the leastwell off could not be balanced by any utilityaccording to Rawls.However, John Rawls' difference principleis subordinate to the first principle,which is that each person has an equalright to the most extensive basic libertycompatible with the same liberty for others.These primary goods are determined by thefreedom and integrity of the person.This integrity of decisionally impaired personswould be in danger if one would abstain fromresearch and thus forego the increase inknowledge related to their disease. Thus onecould conclude, at least from Rawls' firstprinciple, that society must take on a duty toguarantee the degrees of freedom forcognitively impaired persons and thus alsosupport the efforts for their healing.     

Beziehungsmuster und Beziehungskonflikte

Zusammenfassung  Die Veränderung pathogenetisch bedeutsamer Beziehungsmuster gilt als wesentliches psychotherapeutisches Behandlungsziel. Um zielgerichtete Veränderungen von Beziehungsstrukturen zu erreichen, bedarf es sowohl einer Diagnostik und Beschreibung solcher Beziehungsmuster, einer darauf zielenden Behandlungstechnik als auch einer Verlaufskontrolle und Evaluation der angestrebten Veränderungen. Nach einem Überblick über verschiedene Methoden zur Erfassung von Beziehungsmustern wird die Methode des Zentralen-Beziehungskonflikt-Themas (ZBKT) von Luborsky näher beschrieben; ausgewählte Ergebnisse der ZBKT-Forschung werden dargestellt und die Methode kritisch bewertet.

Sexualit?t und Internet

On the discussion about sexual internet activities, the professional and public discourses have been strongly polarized for a long time. Currently the trend is that online sexuality is to be seen in a differentiated and empirical manner. Next to undesired (e.g. assault by internet platform) or indirect (e.g. due to excessive pornography use by partners) confrontations with online sexuality, there is a broad spectrum of self-initiated sexual use of the internet. These are, for example reception of information sites, exchange of experiences, utilization of online sexual consultation and romantic relationships. On the other hand clinically relevant problems could accompany sexual internet use, such as cybersex addiction. Because of the mediatization in society ambulant patients in the psychotherapeutic practice are more informed about sexual internet use. For psychotherapists it is important to know the internet-specific details and the potential risks and chances for sexual behavior in order to know how to deal with the situation and if necessary to integrate the internet into the spectrum of web-based sexual therapeutic options.     

Validity, the Squeezing Argument and Alternative Semantic Systems: the Case of Aristotelian Syllogistic

We investigate the philosophical significance of the existence of different semantic systems with respect to which a given deductive system is sound and complete. Our case study will be Corcoran’s deductive system D for Aristotelian syllogistic and some of the different semantic systems for syllogistic that have been proposed in the literature. We shall prove that they are not equivalent, in spite of D being sound and complete with respect to each of them. Beyond the specific case of syllogistic, the goal is to offer a general discussion of the relations between informal notions—in this case, an informal notion of deductive validity—and logical apparatuses such as deductive systems and (model-theoretic or other) semantic systems that aim at offering technical, formal accounts of informal notions. Specifically, we will be interested in Kreisel’s famous ‘squeezing argument’; we shall ask ourselves what a plurality of semantic systems (understood as classes of mathematical structures) may entail for the cogency of specific applications of the squeezing argument. More generally, the analysis brings to the fore the need for criteria of adequacy for semantic systems based on mathematical structures. Without such criteria, the idea that the gap between informal and technical accounts of validity can be bridged is put under pressure.     

Reassessing logical hylomorphism and the demarcation of logical constants

The paper investigates the propriety of applying the form versus matter distinction to arguments and to logic in general. Its main point is that many of the currently pervasive views on form and matter with respect to logic rest on several substantive and even contentious assumptions which are nevertheless uncritically accepted. Indeed, many of the issues raised by the application of this distinction to arguments seem to be related to a questionable combination of different presuppositions and expectations; this holds in particular of the vexed issue of demarcating the class of logical constants. I begin with a characterization of currently widespread views on form and matter in logic, which I refer to as ‘logical hylomorphism as we know it’—LHAWKI, for short—and argue that the hylomorphism underlying LHAWKI is mereological. Next, I sketch an overview of the historical developments leading from Aristotelian, non-mereological metaphysical hylomorphism to mereological logical hylomorphism (LHAWKI). I conclude with a reassessment of the prospects for the combination of hylomorphism and logic, arguing in particular that LHAWKI is not the only and certainly not the most suitable version of logical hylomorphism. In particular, this implies that the project of demarcating the class of logical constants as a means to define the scope and nature of logic rests on highly problematic assumptions.     

Direktausbildung Psychotherapie an der medizinischen Fakultät

Background

There is ongoing political discussion at the Federal Ministry of Health that a university entrance diploma should allow psychotherapy to be studied directly: Graduation leads to a licensure that qualifies for further specialization, e.g. in cognitive behavioral therapy (CBT) or psychodynamic psychotherapy analog to medical specialization. As psychotherapy has its roots in both psychology and in medicine, the question is raised which faculty should be the future home of direct psychotherapy schools.

Material and methods

A theoretical model curriculum of psychosomatic psychotherapy is proposed. Its structure which is oriented to the established structure of medical training and its contents are described. It is argued that the proposed model in the tradition of psychosomatic medicine is suitable to meet ongoing changes in the structure of psychotherapeutic care due to new challenges in the field of public health.

Conclusion

The study of psychotherapy should be associated with chairs in clinical psychology and psychosomatic medicine in order to maintain and further develop the variety and quality which psychotherapy has gained in Germany.     

Cardiovascular reactivity in hypertensives: differential effect of expressing and inhibiting emotions during moments of interpersonal stress

This study investigated cardiovascular reactivity of hypertensive adults during periods of emotional stress. Two types of instructions were given at different moments, to the same subject, either to express or to suppress feelings during role-play. Expressing, but not inhibiting, emotions elicited significantly higher reactivity during responding to negative scenes, followed by responding during the positive interactions. Blood pressure increases in both expressing and inhibiting conditions, were also found during the instruction periods. Results indicated that socially demanding situations represent a stressor whose effects may vary depending on whether or not respondents regulate expression of emotions. It is suggested that the difficulty in expressing emotions found in some hypertensive individuals may have the function of controlling or reducing blood pressure reactivity.     

The Different Ways in which Logic is (said to be) Formal

I argue that, in the Prior Analytics, higher and above the well-known ‘reduction through impossibility’ of figures, Aristotle is resorting to a general procedure of demonstrating through impossibility in various contexts. This is shown from the analysis of the role of adunaton in conversions of premises and other demonstrations where modal or truth-value consistency is indirectly shown to be valid through impossibility. Following the meaning of impossible as ‘non-existent’, the system is also completed by rejecting any invalid combinations of terms in deductions or conversions. The notion of impossibility reaches the core of Aristotle's system in the Prior Analytics. On the one hand, the use of adunaton shows that he is following one of the two requisites for demonstrative science formulated in the Posterior Analytics, i.e. to demonstrate that it is impossible for things to be otherwise than stated. On the other hand, that demonstrations through impossibility are rooted in the notion of contradiction supports the claim that Aristotle might have been trained to use this specific procedure in the context of dialectical exercises in the academy. This need not rule out other influences on Aristotle's preferred procedures of proving or counter-proving, but it paves a way to a better understanding of Aristotle's logic under the light of Plato's dialectic.