BackgroundPaternalism/overprotection limits communication between healthcare professionals and patients and does not promote shared therapeutic decision-making. In the global north, communication patterns have been regulated to promote autonomy, whereas in the global south, they reflect the physician’s personal choices. The goal of this study was to contribute to knowledge on the communication patterns used in clinical practice in Mexico and to identify the determinants that favour a doctor–patient relationship characterized by low paternalism/autonomy.MethodsA self-report study on communication patterns in a sample of (...) 761 mental healthcare professionals in Central and Western Mexico was conducted. Multiple ordinal logistic regression models were used to analyse paternalism and associated factors.ResultsA high prevalence (68.7% [95% CI 60.0–70.5]) of paternalism was observed among mental health professionals in Mexico. The main determinants of low paternalism/autonomy were medical specialty (OR 1.67 [95% CI 1.16–2.40]) and gender, with female physicians being more likely to explicitly share diagnoses and therapeutic strategies with patients and their families (OR 1.57 [95% CI 1.11–2.22]). A pattern of highly explicit communication was strongly associated with low paternalism/autonomy (OR 12.13 [95% CI 7.71–19.05]). Finally, a modifying effect of age strata on the association between communication pattern or specialty and low paternalism/autonomy was observed.ConclusionsAmong mental health professionals in Mexico, high paternalism prevailed. Gender, specialty, and a pattern of open communication were closely associated with low paternalism/autonomy. Strengthening health professionals’ competencies and promoting explicit communication could contribute to the transition towards more autonomist communication in clinical practice in Mexico. The ethical implications will need to be resolved in the near future. (shrink)

Philosophers have long debated whether, if determinism is true, we should hold people morally responsible for their actions since in a deterministic universe, people are arguably not the ultimate source of their actions nor could they have done otherwise if initial conditions and the laws of nature are held fixed. To reveal how non-philosophers ordinarily reason about the conditions for free will, we conducted a cross-cultural and cross-linguistic survey (N = 5,268) spanning twenty countries and sixteen languages. Overall, participants tended (...) to ascribe moral responsibility whether the perpetrator lacked sourcehood or alternate possibilities. However, for American, European, and Middle Eastern participants, being the ultimate source of one’s actions promoted perceptions of free will and control as well as ascriptions of blame and punishment. By contrast, being the source of one’s actions was not particularly salient to Asian participants. Finally, across cultures, participants exhibiting greater cognitive reflection were more likely to view free will as incompatible with causal determinism. We discuss these findings in light of documented cultural differences in the tendency toward dispositional versus situational attributions. (shrink)

La afirmación de que las reglas jurídicas son derrotables significa que, de acuerdo con nuestras prácticas jurídicas, puede estar justificado que los jueces dejen de lado las normas aplicables en la resolución de disputas y tengan en cuenta en su lugar otras consideraciones. En línea con este enfoque, este trabajo busca esclarecer los tipos de casos y las condiciones en las que, de acuerdo con nuestras convenciones asentadas, es aceptable que los jueces se desvíen de lo establecido en las reglas (...) jurídicas. En concreto, en el artículo se diferencian tres tipos distintos de derrotabilidad: D1 ; D2, y D3. Finalmente el artículo aborda la cuestión de si podemos considerar como jurídicas las consideraciones alternativas a las que los jueces deben apelar cuando estiman que deben dejar de lado las reglas prima facie aplicables. El trabajo concluye apuntando que la clave para trazar los límites entre el Derecho dúctil y el Derecho arbitrario descansa en una respuesta afirmativa a esta última pregunta. (shrink)

En este ensayo exploramos una perspectiva epistemológica en la que el elemento social y colectivo del conocimiento juega un papel fundamental en la explicación de su producción y transmisión. Primero presentamos y criticamos una posición individualista que ha sido dominante en la epistemología contemporánea y cuyas raíces pueden trazarse, al menos, hasta Descartes. Posteriormente introducimos y defendemos nuestra propia mirada, una en la que el conocimiento es un proceso constituido por un conjunto de actividades y prácticas que tiene un carácter (...) material. (shrink)

Este estudio trata de dar respuesta a la dificultad que presenta el alumnado que cursa el Grado de Maestro en Educación Infantil para elaborar el Trabajo Final de Grado (TFG). Para ello, se describe una experiencia de coaching con la finalidad de introducir al profesorado de educación superior en dicha metodología como herramienta para la innovación y la mejora educativa en el marco de la tutoría de TFG del citado grado. Finalmente, se discuten los aspectos positivos y a mejorar de (...) la implementación descrita y se plantea la necesidad de fomentar este tipo de metodologías entre el el profesorado de educación superior. (shrink)

El objetivo de este artículo es ofrecer material para que los agentes educativos mediten sobre la necesidad que tenemos todos los seres humanos de recibir cuidados, a partir de la reflexión sobre el papel de los mismos.La metodología utilizada es cualitativa desde la teoría de género. El cuidado atañe a todas las personas, aunque no sean conscientes de los recursos que requieren. Tradicionalmente, estas tareas han sido realizadas por mujeres de forma invisible sin remuneración ni reconocimiento.En conclusión, la reflexión teórica (...) sobre el cuidado y su ética conduce a planificar su inclusión en el currículo escolar para asumirlo y garantizarlo en toda la población. (shrink)

The participation of families in schools where their children study is a recurring research topic. This field tends to address the perception of parents or teaching staff. This work is novel in that it considers what teachers, and not families, do to facilitate this participation. The purpose of this work has been to contrast a theoretical model with a multidimensional questionnaire designed to obtain information on the assistance provided by teachers to improve parental involvement in schools. It will allow us (...) to lay the foundations for the content necessary for the initial and permanent training of teachers. Then, an initial questionnaire was created and, after being subjected to expert judgment, it was applied to 225 Spanish teachers, using a quantitative and a non-experimental methodology. After calculating the exploratory and confirmatory factor analysis and applying the structural equation model, a questionnaire was obtained that had satisfactory construct validity and reliability. (shrink)

The origins of the legend of Anju and Zushio, children cruelly torn from their mother and sold to Sansho, are lost in the Middle Ages, but it was “Ôgai” Mori Rintarô who gave it literary status when he published the historical tale Sansho dayu in 1915. The analysis details the important symbolic role played by birds in freedom and the hunting of birds. The bird, symbol of freedom and autonomy. In parallel, an antagonism, the hunting of birds. Death and the (...) bird complement a bipolarity of symbolic content present throughout the work. (shrink)

The Divine Names explores the different names and metaphoric expressions used in the Bible to refer to God. Dionysius the Areopagite is known as an exponent of positive theology, in the sense that he offers an argumentative and explicit account of the nature of God, relying on the Scripture as a source of knowledge and truth, in contrast to the declared inability of apophatic or negative theology to communicate any knowledge of the divine. Indeed, the Areopagite resorts to the study (...) of biblical terms and to the coinage of hapax, neologisms often derived of known terms with added privative prefixes, in order to refer in some way to the sacred. Our research aims at showing that, for Dionysius, the purpose of pursuing the knowledge of God is not only to grasp the order of the different spheres of existence—present across the Corpus Dionysiacum—but also to connect with Him in hénosis, a living experience of permanent tension towards the Supreme. By focusing in the study of the names of God through exegesis, this paper aims at clarifying eutony, a constant tension towards God, as the central theme of the Byzantine theologian’s thought. (shrink)

El mal ejercicio del poder suele llevar de la mano la falta de libertad de los otros, la lucha por la misma y el sufrimiento humano. Muchos salen mal parados de la experiencia, sufren patologías psicológicas durante años y no son ya capaces de amar y contribuir al bien común. La literatura y las artes ha ayudado siempre a sublimar el dolor y han proporcionado la expresión de la transmisión de los últimos pensamientos de las personas que vivieron las situaciones (...) extremas a las que condice la sed de poder -como las guerras- o el autoritarismo sufrido bien en un espacio público, bien en el seno la propia familia. La lectura de Kafka y la muñeca viajera, de Jordi Sierra y Fabra nos ofrece un testimonio narrativo-poético de todo ello. (shrink)

The plurality of languages and ethnicities, the geographic fragmentation, the predominant Roman Catholic religion, together with the still relatively short experience in nationhood account for a very peculiar understanding of "business ethics" in the Philippines. The rapid growth and liberalization of the economy, coupled with the inequitable distribution of wealth, the destruction of the environment and corruption are the main ethical concerns. Businesspersons and the academe endeavor to find creative solutions for these unique challenges.

La profusa utilización del concepto de buen gobierno en los discursos políticos y mediáticos puede conducirnos a pensar que estamos ante una innovación conceptual del presente. Pero lo cierto es que se trata de un viejo concepto que hunde sus raíces en la teoría política clásica y se resiste a una definición clara y precisa. El artículo pretende reflexionar sobre los principales cambios experimentados por el buen gobierno y su metamorfosis en gobernanza, analizándolo como una narrativa de transformación conceptual, en (...) la que se ha pasado de una lógica normativa a una lógica tecnocrática. (shrink)

Repensar la obra de un filósofo a la luz de sus influencias constituye una tarea que exige asumir los sentidos diferentes que conlleva la noción de influencia: la elección de los “antecesores”, con la que el filósofo configura su propio canon, las apropiaciones que realiza de las obras elegidas, así como también las reapropiaciones que los analistas críticos llevan a cabo respecto de las recepciones y apropiaciones de la obra del filósofo. Las tradiciones son relaciones causales construidas desde el presente. (...) Este trabajo expone un análisis de los modos en que María Laura Martínez Rodríguez se apropia de la obra de Ian Hacking para dar cuenta de cómo el filósofo canadiense enlaza su obra con la de Michel Foucault. A la vez, nuestra recepción del libro de Martínez Rodríguez destaca las aproximaciones de la filosofía hackiniana a los estudios sociales de la ciencia, la filosofía neomaterialista y la epistemología histórica. (shrink)

This study investigates the effects of making academic space for service learning that emphasizes the importance of active participation in society. We describe several projects of professional practice performed by students at our university with the objective of satisfying the needs of NGOs. The practice will allow for a meeting between academic learning of CSR and the needs of the community, articulated through voluntary practice. The final goal is to guide students through the process of facing the needs of their (...) social context. Through an analysis of these aspects, we will demonstrate how the university can contribute to the formation of future professionals with solid social responsibility awareness. (shrink)

The present research study carries out a contrastive analysis between two corpora of legal opinion columns as special types of genres, with a view to assess their opposing patterns of impersonality—authorial detachment—and attitude—emotion, judgment, appreciation, taking as a point of departure appraisal theory, or the interpretation of Halliday's Systemic-Functional Linguistics by the so-called Sydney School. The long-established perspective is that legal genres are highly impersonal; authoritative instruments representing an intentional exercise of elitist and exclusionary practices. However, the hypothesis embedded in (...) the present study is that some texts, such as news editorials and op-eds, constitute hybrid genres where the writer makes use of all kinds of inducement devices to support his/her theses with effectiveness and credibility, nonetheless retaining one of the basic traits of monogloss legal discourse: impersonality. However, it is hypothesized that this hybridity is to take place in different degrees, in tune with the influence exerted by legal system that constitutes the background of each corpus. To prove such a point, 40 legal op-eds—roughly, a thirty-five-thousand-word corpus in English and Spanish overall—were scrutinized, having been extracted from the specialized legal sections of two national newspapers of undisputed prestige as opinion-formation media. Through a contrastive study, the purpose of the present work was set to describe, explain and assess how lexicogrammar devices unveil interesting differences between the expression of impersonality and attitude in legal opinion columns as genres in either language, hence reflecting different ways in which the law is envisioned in each of the particular legal systems they belong to. (shrink)