To fulfill their crucial duty of relieving suffering in their patients, physicians may have to administer palliative sedation when they implement treatment-limitation decisions such as the withdrawal of life-supporting interventions in patients with poor prognosis chronic severe brain injury. The issue of palliative sedation deserves particular attention in adults with serious brain injuries and in neonates with severe and irreversible brain lesions, who are unable to express pain or to state their wishes. In France, treatment limitation decisions for these patients (...) are left to the physicians. Treatment-limitation decisions are made collegially, based on the presence of irreversible brain lesions responsible for chronic severe disorders of consciousness. Before these decisions are implemented, they are communicated to the relatives. Because the presence and severity of pain cannot be assessed in these patients, palliative analgesia and/or sedation should be administered. However, palliative sedation is a complex strategy that requires safeguards to prevent a drift toward hastening death or performing covert euthanasia. In addition to the law on patients' rights at the end of life passed in France on April 22, 2005, a recent revision of Article 37 of the French code of medical ethics both acknowledges that treatment-limitation decisions and palliative sedation may be required in patients with severe brain injuries and provides legal and ethical safeguards against a shift towards euthanasia. This legislation may hold value as a model for other countries where euthanasia is illegal and for countries such as Belgium and Netherlands where euthanasia is legal but not allowed in patients incapable of asking for euthanasia but in whom a treatment limitation decision has been made. (shrink)

Background: Even in countries with an opt-out or presumed consent system, relatives have a considerable influence on the post-mortem organ harvesting decision. However, their reflection capacity may be compromised by grief, and they are, therefore, often prone to choose refusal as default option. Quite often, it results in late remorse and dissatisfaction. So, a high-quality reflection support seems critical to enable them to gain a stable position and a long-term peace of mind, and also avoid undue loss of potential grafts. (...) In practice, recent studies have shown that the ethical aspects of reflection are rarely and often poorly discussed with relatives and that no or incomplete guidance is offered. No review of the literature is available to date, although it could be of value to improve the quality of the daily practice. Objectives: The objective was to review and synthesize the main concepts and approaches, theories and practices of ethical reflection support of the relatives or surrogates of potential post-mortem organ donors. Research design: A narrative review was performed in the medical, psychological and ethical fields using PubMed, PsycArticles and Web of Science databases (1980–2020). Results: Out of 150 papers, 25 were finally retained. Four themes were drawn: the moral status of the potential post-mortem organ donor, the principlistic approach with its limits and critics, the narrative approach and the transcendental approach. Discussion: This review suggests an extension of psychological support towards ethical reflection support. The process of helping relatives in their ethical exploration of post-mortem organ donation is psychologically and morally characterized. The need for specialized professionals educated and experienced both in clinical psychology and in health ethics to carry out this task is discussed. Practical impact: This review could contribute to optimize the quality of the ethical reflection support by initiating an evolution from an empirical, partial and individual-dependent support to a more systematized, professionalized and exhaustive support. (shrink)

Aim: To carry out an appropriate overview and inventory of the teaching of ethics within the European Union Schools of Medicine. Methods: A questionnaire was sent by email to 45 randomly selected medical schools from each of 23 countries in the European Union in February 2006. Results: 25 schools of medicine from 18 European countries were included (response rate = 56%). In 21 of 25 medical schools, there was at least one ethics module. In 11 of 25 medical schools, the (...) teaching of ethics was transversal. Only one of the responding schools did not teach ethics. The mean time invested in ethics teaching was 44 h during the overall curriculum. Conclusions: Ethics now has an established place within the medical curriculum throughout the European Union. However, there is a notable disparity in programme characteristics among schools of medicine. (shrink)

Résumé L’expérience de la domination et de la marginalisation — politique, économique, sociale, culturelle — ressentie par beaucoup de Touaregs dans l’ordre des États modernes se traduit par une image récurrente : celle d’un corps mutilé, amputé, blessé, empêché de se mouvoir. Face à la fragmentation et à la paralysie du corps social, territorial, individuel, revient l’idée qu’il faut le souder, le remembrer, le réemboîter pour lui restituer sa mobilité. C’est dans cette perspective que, depuis plusieurs décennies, des initiatives aussi (...) nombreuses que variées investissent des scènes d’actions multiples, de l’insurrection armée au travail de l’imaginaire. Dans le domaine littéraire et artistique, la « furigraphie » du peintre et poète touareg Hawad, apparaît comme un de ces moyens « de dépasser les limites, de contourner l’enfermement, de faire ricocher les échos de (s)es paysages et de construire des espaces inédits pour penser, ressentir et dire autrement le monde ». (shrink)

This article provides a summary of current knowledge about memory illusions. The memory illusions described here focus on the recall of imagined events that have never actually occurred. The purpose is to review theoretical ideas and empirical evidence about the reality-monitoring processes involved in memory illusions. Reality monitoring means deciding whether the memory has been perceptually derived or been self-generated (thought or imagined). A few key findings from the literature have been reported in this paper and these focus on internal (...) source-monitoring judgments which distinguish perceptual events from imagined events. Finally, the experimental paradigms used to shed light on processes occurring in the failure of reality monitoring in healthy subjects may be extended to an examination of the causes and the prevention of hallucinations in patients. (shrink)

Le Venezuela de la fin de la période coloniale se distingue sur bien des points des autres régions d’Amérique espagnole : une prospérité économique flatteuse fondée sur le commerce du cacao et que confirment les réformes bourboniennes de la fin du siècle ; une configuration sociale contrastée mais extrêmement fluide et une aristocratie créole, les mantuanos, dont le discours et les généalogies sociales sont repris à leur compte par les autres groupes sociaux émergents, notamment par le monde des pardos (métis) (...) ; mais également l’une des révolutions d’Indépendance les plus violentes du continent. Les sensibilités métisses vont de pair avec une mémoire partagée, au quotidien ou lors d’événements bien particuliers tels que visitas ou procès. D’autant qu’un autre élément contribue à faire de cette société métisse une société en mouvement : les femmes, quel que soit leur statut social ou ethnique. Transgressions des normes sociales et morales par les aristocrates mantuanas, revendications des pardas se voulant nobles et défendant leur « honneur » : se situant dans la perspective de l’histoire des sensibilités, cette étude tentera de faire le point sur ce métissage des représentations, ainsi que sur la subversion du modèle culturel hispanique qui en découle dans les pratiques effectives. (shrink)

Dans les traités italiens du XVIe siècle consacrés au mérite, à la dignité et excellence des femmes, le mot « censure » ne figure pas nommément, mais si le terme est anachronique, la notion qu'il recouvre ne l'est peut-être pas, comme semblent le suggérer les comparaisons de la valeur féminine à un soleil obscurci ou masqué par des nuages, ou bien à de l'or enfoui dans la terre. Ces images d'occultation, d'ensevelissement, d'étouffement pourraient être des métaphores d'une censure que ..

Cette toute première édition critique de la version arabo-latine de la _Rhétorique_ d’Aristote réalisée par Hermann l’Allemand est accompagnée d’une étude complète de la tradition latine du texte, et présente les principes d’édition adoptés ici, qui prennent en compte la version arabe de la _Rhétorique_. This is the first critical edition of Aristotle’s _Rhetoric_ in its Arabo-Latin translation made by Hermann the German. It contains a full study of the latin tradition of the text, as well as the principles used (...) in the edition, which takes account of the Arabic version of the _Rhetoric_. (shrink)

Le present ouvrage est ne d'un etonnement: comment se fait-il que la grammaire se soit si tardivement constituee en discipline autonome - entre le second siecle avant J. C. et le premier siecle apres J. C. -, bien posterieure donc a l'invention de la conceptualite philosophique? L'etude du langage, loin d'etre d'emblee presentee comme l'objet d'une discipline specifique, fut longtemps distribuee entre differentes disciplines: phonetique, metrique, onomastique, rhetorique, poetique, logique, dialectique. L'enquete a permis de montrer que le caractere tardif de (...) l'emergence de la grammaire devait etre mis au compte du projet specifique qui unit les philosophies platonicienne, aritotelicienne et stoicienne, projet de dire les realites dans le logoi (discours, enonces, raisonnements...), et de la mainmise correlative, par la philosophie, sur l'analyse du langage. (shrink)

Although developmental biology is an institutionalized discipline, no unambiguous account of what development is and when it stops has so far been provided. In this article, I focus on two sets of developmental molecular mechanisms, namely those underlying the heterochronic pathway in C. elegans and those involving Hox genes in vertebrates, to suggest a conceptual account of animal development. I point out that, in these animals, the early stages of life exhibit salient mechanistic features, in particular in the way mechanisms (...) of genetic regulation occur in the organism. Indeed, these stages are characterized by sequential and irreversible changes in gene expression taking place throughout the organism. A general definition of animal development based on these distinctive features implies that, at least for some animal species, development does not go on throughout the life of the animal, contrary to what has recently been claimed by some biologists and philosophers. Instead, in such species, development encompasses various events occurring sequentially at the beginning of life. (shrink)

When one contrasts pain with the classic five senses, discussions generally focus on vision, which is taken as the paradigmatic example of perception. An intentionalist might argue that if the phenomenal difference between feeling and seeing bodily disturbances cannot be explained at the level of the content, it can be so at the level of the mode of presentation, and more particularly at the level of the structure of the spatial phenomenology of pain. Here I will argue that the spatial (...) phenomenology of pain shares some key features with touch by contrast to sight, but these similarities should not make us neglect major differences between these two types of bodily sensations. I shall then draw the consequences of these differences for the awareness of one’s body as one’s own. In brief, to fix the boundaries of the body that one experiences as one’s own, one must answer two questions: where does the body stop, and the rest of world start? and what matters for self-preservation? I will suggest that touch primarily answers the first question, whereas pain primarily answers the second question. (shrink)

ABSTRACT Analytic philosophy in the mid-twentieth century underwent a major change of direction when a prior consensus in favour of extensionalism and descriptivism made way for approaches using direct reference, the necessity of identity, and modal logic. All three were first defended, in the analytic tradition, by one woman, Ruth Barcan Marcus. But analytic philosophers now tend to credit them to Kripke, or Kripke and Carnap. I argue that seeing Barcan Marcus in her historical context – one dominated by extensionalism (...) and descriptivism – allows us to see how revolutionary she was, in her work and influence on others. I focus on her debate with Quine, who found himself retreating to softened, and more viable, versions of his anti-modal arguments as a result. I make the case that Barcan's formal logic was philosophically well-motivated, connected to her views on reference, and well-matched to her overall views on ontology. Her nominalism led her to reject posits which could not be directly observed and named, such as possibilia. She conceived of modal calculi as facilitating counterfactual discourse about actual existents. I conclude that her contributions ought to be recognized as the first of their kind. Barcan Marcus must be awarded a central place in the canon of analytic philosophy. (shrink)

Je reviens dans cet article sur certaines configurations conceptuelles propres à la logique stoïcienne et concernant le traitement stoïcien de la signification qui, comme on le sait, se découple en signifiant et signifié. La question que je pose est la suivante : à quelles certitudes est-on susceptible de parvenir avec les textes dont nous disposons sur la question des rapports entre signification, donc signifiant, σημαῖνον et signifié, σημαινόμενον, et λεκτόν? À l’occasion de cette interrogation, j’en viens à réouvrir l’enquête sur (...) la part éventuelle de modalité associée au λεκτόν et je propose d’analyser la signification stoïcienne tout en prenant en compte des concepts associés ou solidaires, comme les concepts de πρᾶγμα et de πτῶσις. (shrink)

The Marx of Communism and the Marx of Structuralism. The article addresses the issue of the response within the French Communist Party to the structuralist and anti-humanist reading of Marx which Althusser formulated in the period leading up to May 1968. While structuralism was regarded by some as a marker of the avant-garde, to a number of communist intellectuals, and in particular those closest to the party leadership, it amounted to a “a philosophy of hopelessness”. e article thus examines the (...) context in which Althusser was declared to be heterodox in the early months of 1966, in particular at the convention of philosophers held in Choisy and at the meeting of the Communist Party central committee in Argenteuil. (shrink)

This is the first critical edition of Book X of the Latin version of Averroes’ Middle Commentary on Aristotle’s _Nicomachean Ethics_. The text is accompanied by a French translation and explanatory notes, and is preceded by a study of the manuscript tradition and two studies on the Commentary itself. Cette première édition critique de la version latine du Commentaire d’Averroès à l’_Éthique à Nicomaque_, accompagnée d’une traduction française annotée, est précédée de l’examen de la tradition manuscrite du texte et de (...) deux études consacrée à ce Commentaire. (shrink)

In this paper, I give an account of a hitherto neglected kind of ‘here’, which does not work as an intentional indexical. Instead, it automatically refers to the immediate perceptual environment of the subject’s body, which is known as peripersonal space. In between the self and the external world, there is something like a buffer zone, a place in which objects and events have a unique immediate significance for the subject because they may soon be in contact with her. I (...) argue that seeing objects as being here in a minimal sense means seeing them in the place in which the perceptual system expects the world and the body to collide. I further argue that this minimal notion of here-content gives rise to a tactile sense of presence. It provides a unique experiential access to the reality of the seen object by making us aware of its ability to have an effect on us. (shrink)

The philosophical world is indebted to Alvin Goldman for a number of reasons, and among them, his defense of the relevance of cognitive science for philosophy of mind. In Simulating minds, Goldman discusses with great care and subtlety a wide variety of experimental results related to mindreading from cognitive neuroscience, cognitive psychology, social psychology and developmental psychology. No philosopher has done more to display the resourcefulness of mental simulation. I am sympathetic with much of the general direction of Goldman’s theory. (...) I agree with him that mindreading is not a single system based on a single mechanism. And I admire his attempt to bring together the cognitive neuroscientific discovery of mirror system phenomena and the philosophical account of pretense within a unique theoretical framework of mental simulation. To do so, Goldman distinguishes two types of mindreading, respectively, based on low-level and high-level simulation. Yet, I wonder in what sense they are really two distinct processes. Here, I will confine myself largely to spelling out a series of points that take issue with the distinction between low-level and high-level mindreading. (shrink)

In a recent contribution to this journal, Arjaliès (J Bus Ethics 92:57—78, 2010) suggests that the emergence of socially responsible investment (SRI) in France can be best described as a social movement with a collective identity that aimed to challenge the dominant logic of the financial market. Such an account is at odds with a body of empirical studies that approaches SRI in the French context as a process of market creation led by loosely coordinated actors with contradictory and conflicting (...) interests and values, who have mainly complied with—rather than opposed—the existing dominant financial logic of the asset-management field. In this comment, we build on this prior research to contest Arjaliès' perspective on both theoretical and empirical grounds, with the aim of highlighting the shortcomings of conflating social movements and other forms of collective actions in understanding the building of new markets in organization theory and SRI studies. We contend that in mistaking for social movement forms of collective actions that underpin the emergence of markets, scholars of organization theory may confuse distinct mechanisms in their explanation of SRI emergence across countries, overlook the complex dynamics and interactions of markets and social movements, and, most importantly, fail to evaluate the real political significance of SRI as an empirical phenomenon. We propose that future research on SRI distinguishes carefully "social-movement research as a theoretical framework" from "social movement as an empirical phenomenon" in order to avoid such drawbacks while benefiting from recent advances in social-movement research. (shrink)

The present discussion derives from a larger research project that concerns the medieval Latin translation of Averroes’ Middle Commentary on the Nicomachean Ethics. The translation was carried out by Hermann the German in Toledo in 1240. I am concerned here specifically with nine passages that are distributed over three chapters of the Commentary in which the Latin translation is sprinkled with transliterations based on Greek and Arabic terms. These transliterations, which are not glosses, can be understood on several levels, and (...) these, in turn, raise questions about the boundary between transliteration proper and translation that borrows from the source language a term which is then integrated into the Latin lexicon in the form of a calque or ‘loan translation’. Examining these transliterations makes it possible, first, to show that the translator does not follow a uniform method throughout the text, which could imply the existence of several translators or several collaborators with disti... (shrink)

Connue sous le titre d’« Invective contre le roi Jean », la Lettre céleste conservée dans le manuscrit Cotton Vespasian E. III de la British Library peut être datée du début de la décennie 1250. Elle se présente comme une critique du roi Henri III, des prélats et des grands du royaume d’Angleterre et de leurs officiers, tout en commémorant la figure du prédicateur et prophète Pierre de Wakefield, supplicié en 1213 sur l’ordre de Jean sans Terre. L’édition du texte (...) est accompagnée d’une traduction annotée et précédée d’une introduction historique et littéraire. (shrink)

En limitant leur sujet au Paris de la fin du XIXe siècle au début du XXIe siècle, Catherine Gonnard et Élisabeth Lebovici montrent non seulement que le XXe siècle est le siècle où les femmes prennent place dans l’histoire de l’art, mais que l’histoire de leur visibilité ne suit pas le découpage des courants artistiques conçus par l’histoire de l’art. On pourrait regretter que le cadre géographique ne soit pas plus élargi dans la deuxième moitié du siècle, alors que New (...) York l’emporte sur Pari... (shrink)

Recluses, ermites ou engagées dans le monde, les saintes travesties sont nombreuses jusqu’à la fin du Moyen Âge. Ayant valeur de transgression et/ou d’initiation, le travestissement permet à Thècle, Pélagie, Marguerite, Marine ou Eugénie de redéfinir non seulement la notion de virginité mais d’affirmer une sainteté au nom d’une intégrité qui dérange les catégories sexuées et renverse les notions de genre. D’autres, comme Galla, Paula ou Wilgeforte, délivrent de l’antagonisme des sexes. Et toutes, jusqu’à Jeanne d’Arc, bouleversent la destinée des (...) femmes en perturbant l’ordre temporel des hommes. Ainsi apparaît la conquête d’un nouveau corps à travers la mission chrétienne et l’expérience mystique, qui déjoue la nature de femme et les vertus masculines. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Comme Elle Respire:Memory of Breath, Breath of MemoryFrédérique Berthet (bio)Translated by David F. Bell (bio)La poésie est un système de respiration, c'est fait pour mieux respirer.[Poetry is a respiration system, it's made for breathing better.]—Erri De Luca- Stop!- What?- I can hear you breathing!...- Stop!- Breathing?- Yes!—Paul Thomas AndersonLittle paper-fish cutouts have been placed on the ground, on the carpet.We're in the reassuring '70s stylishness of a doctor's office. (...) The carpet is soft and glistens like in interior decoration magazines, it's with it, in. We couldn't care less about what Dyson vacuum cleaners and "purifiers" boast they can eliminate several decades later: acarids, those microscopic domestic arthropods, human parasites (notably), and airborne vectors of infectious disease (colds, coughs, respiratory distress). No, in the spring of 1975, innocently and self-satisfyingly, the urbane doctor flaunts the opulent carpet with curly pile in his luxury apartment with its state-of-the-art waiting room.In this grand interior of a medical office, a man in a white coat plies his important trade. For example, that day a little girl is re-learning how to breathe. One might think that exhaling and inhaling is learned for life—je t'aime comme je respire, elle parle comme elle respire, il ment comme il respire1—from the very first cry at birth. But in fact, sometimes in life breathing gets stuck between the nasal cavity and the bronchial tubes, between the respiratory tract and the lungs. Progressively, imperceptibly, the organism is short of air, a malicious infection spreads and impairs [End Page 92] alveolar diffusion to the point of respiratory exhaustion: Is it serious, doctor? We must act quickly, very quickly. How to liquify what stopped up the system one day to the point of blocking it—the doctors know what to do.This doctor undertook long, arduous and learned studies. He knows functionally how a living being breathes, how a child lives organically. He can also re-teach the little girl what she no longer knows how to do: inhale, exhale using the full volume of the thoracic cage, regulating the ventilatory flow, solidifying the invisible membranes. In the child's family, everyone knows (and knows how to do) important things, but no one undertook extensive studies, much less studies of the aerial exchanges in the human body. This special knowledge possessed by the doctor (unless special means something else unspoken that would explain why this specific doctor was chosen rather than any other) surrounds him with a padding of respect that creates (and the little girl feels this) a sort of protective continuum between him and the walls within which he sees her, where he practices his kind of calm and slow urbane medicine. It's far from the formidable hospital she has just left, with its spherical apparatus next to the bed aspirating the red and yellow pleural liquid, the "treatment room" where the surgeon, the "butcher" as the nurses call him among themselves, manipulated the drain without anesthesia, with no regard for the child's suffering. The doctor, and his place in the elevated tower, even though they are not to be confused, make for a cozy reception space in which one is comfortable, even in passing.This doctor—who is, in truth, a massage-physiotherapist—is located in a designer high-rise building with a façade decorated by white, pointed features that manifest a will toward an architectural act. On the ground floor, the entrance hall is finished in dark-veined, clear brown marble, and the entry threshold between the exterior and interior is marked by large transparent glass panes that must be manipulated with care. The entrance hall has an intimidating sonority and a useless cold nudity from which one escapes in an elevator where one is surrounded by mirrors and gold buttons and in which one speeds upward silently toward floors, clouds.The designer high-rise is located at the outskirts, the outskirts of a city of recent Olympic stature, where several years earlier Olympic athletes were welcomed and trained to increase their respiratory capacity and... (shrink)

Voici un objet qui semble au prime abord bien spéculatif, puisque, jamais, il ne nous sera donné d’entendre cette langue. Voici pourtant l’objet que Magali Année [désormais MA] cherche à restituer et à analyser, dont elle ménage pour nous l’approche en ciselant ses analyses et en exerçant sa grande compétence technique sur la langue grecque. Le présent ouvrage concerne la linguistique certes, mais cette « linguistique vivante » que Saussure appelait de ses vœux, et la philologie nouvelle que...

This article focuses on a specific genre, the report of a university council meeting. It aims to relate the specific features of the text to the body whose minutes it is, and to the institution within which it is produced. To this end, we are analysing a corpus of reports from the University of Nanterre between 1971 and 1973, precisely at the time when the university as we know it was created following the Faure Law. As the archives also revealed (...) the presence of some drafts, it was possible to combine the historical approach with a genetic one, revealing the principles guiding the drafting of these texts. In this way, we have shown that the reports, through the way in which they negotiate the constraints that weigh on their drafting and fulfil their function of 'taking the place' (“tenant lieu”), deliver a certain representation of the council, which the drafts, through their reflexive dimension, make it possible to materialise. (shrink)

Cet ouvrage publié par la Société italienne des historiennes est le fruit d'un séminaire consacré aux voyages féminins qui s'est déroulé à Florence les 20 et 21 février 1998. Voyages de femmes de l'Antiquité au XIXe siècle propose 16 articles s'échelonnant de l'Antiquité à nos jours (4 sur l'Antiquité gréco-romaine, 1 sur le Xe siècle, 2 sur le Moyen Âge, 1 sur le XVIIe siècle, 3 sur le XVIIIe siècle, 3 entre XIXe et XXe siècles, 1 sur les incidences de (...) la guerre sur la condition et l... (shrink)

L’intervention de l’écrivain Thomas Clerc dans l’exposition de Pierre Huyghe au Centre Pompidou en 2013, conçue comme une performance revisitée de L’écrivain public (1995) de Huyghe, interroge le statut de l’auteur-performeur et celui de témoin doublé du statut de spectateur dans la personne de l’écrivain écrivant au cœur d’une exposition dont il fait lui-même partie. Nous interrogeons le déplacement de la fonction de l’écrivain public dans celui du traducteur de sensations et d’émotions propres à un lieu d’art, en situation d’immersion. (...) Faut-il lire ce qui fait événement en un seul et même acte sous la plume de l’écrivain comme autant de traces venant inquiéter le réel dans un travail d’enquête sur le temps d’exposition? Nous questionnons la fonction d’interprète et d’acteur d’une œuvre exposée à travers la figure de l’écrivain à l’œuvre. (shrink)

Pour la théorie des média 1, les média techniques – par opposition au médium symbolique qu’est l’écriture, sont déjà porteurs d’une des caractéristiques fondamentales de l’époque informatique : la possibilité de manipulation de la dimension temporelle du réel. En tant que médium, l’ordinateur ne constitue pas la rupture qu’implique le concept de révolution. Au contraire, la théorie des média et l’archéologie des média invitent à reconsidérer la distinction entre « anciens » et « nouveaux » média et à interroger les (...) formes mêmes de la temporalité. (shrink)

Odile Foucaud analyse la présence des femmes artistes sur la scène new-yorkaise depuis la fin des années 1960. Quelle place occupent-elles dans les circuits institutionnels et commerciaux, dans les expositions et les musées? Quel fut leur rôle dans le renouvellement de la création plastique? L’auteur, qui enseigne l’histoire de l’art contemporain, a recueilli le témoignage d’artistes de toutes nationalités qui ont une visibilité institutionnelle, en comparant les générations. Ainsi, Martha...