BackgroundAt the start of 2021, oncologists lacked the necessary scientific knowledge to adapt their clinical practices optimally when faced with cancer patients refusing or reluctant to be vaccinated against COVID-19, despite the marked vulnerability of these patients to severe, and even fatal forms of this new viral infectious disease. Oncologists at Foch Hospital were confronted with this phenomenon, which was observed worldwide, in both the general population and the population of cancer patients.MethodsBetween April and November 2021, the Ethics and Oncology (...) Departments of Foch Hospital decided to investigate this subject, through an empirical and interdisciplinary study in bioethics. Our scientific objective was to try to identify and resolve the principal bio-ethical issues, with a view to improving clinical practices in oncology during future major pandemics of this kind, from a highly specific bio-ethical standpoint. We used a mainly qualitative methodological approach based on questionnaires and interviews.ResultsIn April 2021, 29 cancer patients refused or were reluctant to be vaccinated. Seventeen of these patients said that making vaccination mandatory would have helped them to accept vaccination. In October 2021, only 10 cancer patients continued to maintain their refusal. One of the main reasons for the decrease in refusals was probably the introduction of the “pass sanitaire” in July 2021, which rendered vaccination indispensable for many activities. However, even this was not sufficient to convince these 10 cancer patients.ConclusionWe identified a key bio-ethical issue, which we then tried to resolve: vaccination policy. We characterized a major tension between “the recommendation of anti-COVID-19 vaccination” and “free will”, and the duty to “protect each other”. Mandatory vaccination, at least in France, could resolve this tension, with positive effects on quality of life, or survival, in cancer patients initially refusing or reluctant to be vaccinated, but only if collective and individual scales are clearly distinguished. (shrink)

The practice and development of modern medicine requires large amounts of data, particularly in the domain of cancer. The future of personalized medicine lies neither with “genomic medicine” nor with “precision medicine”, but with “data medicine”. The establishment of this DM has required far-reaching changes, to establish four essential elements connecting patients and doctors: biobanks, databases, bioinformatic platforms and genomic platforms. The “transformation” of scientific research areas, such as genetics, bioinformatics and biostatistics, into clinical specialties has generated a new vision (...) of care. Molecular tumor boards are one response to these changes and are now providing better access to next-generation sequencing and new cancer treatments to patients with inoperable or metastatic cancers, and those for whom the usual treatment has failed. However, MTB face a crucial ethical challenge: maintaining and improving the trust of patients, clinicians, researchers and industry in academic medical centers supported by private or public funding rather than providing genetic data directly to private companies. We believe that, in this era of DM, appropriate modern digital communication networks will be required to maintain this trust and to improve the organization and effectiveness of the system. There is, therefore, a need to reconsider the form and content of informed consent documents at all academic medical centers and to introduce dynamic and electronic informed consent. (shrink)

Le droit, l'économie, la gestion, l'histoire, la linguistique, la sociologie abordent la question des règles à leur manière propre. Une confrontation de leurs approches apparaît nécessaire et féconde.

L’œuvre du persan Avicenne, offre le témoignage d’une pensée de l’être qui traverse l’histoire de la philosophie et en fait le contemporain, aussi bien d’Aristote et de Plotin, que de Thomas d’Aquin et de Duns Scot, ou de Husserl et de Heidegger. Les contributions réunies dans ce volume le confirment. Les textes analysés, les thèmes traités, mettent en relief le rôle et l’apport décisif d’un auteur qui se situe à un carrefour où se croisent l’héritage aristotélicien et néo...

Through a close analysis of various moments within two hours of video-taped interaction, we investigate properties of the setting that the participants cannot ignore even as they transform them in various ways. These properties are not under local control. What is under control is revealed in the participants' “play” with the properties, including dangerous, “deep” play. In this process, some properties of the participants are rarely mentioned (e.g., that the laboring woman is an MD), others are repeatedly emphasized (e.g. the (...) strength of contractions). And others appear in ways that have not been dealt with adequately in current theoretical frameworks. To deal with life-threatening lies, and jokes about lies, we must move away from theories of hegemonic particularity that rely on a habitus. Rather we must acknowledge the practical understandings revealed in the collective submergence of that which may be actively noted as potentially relevant and then set aside so that other tasks can be foregrounded and achieved. (shrink)

Gleïzès, philosophe proche des Méditateurs et des dormeuses, avait écrit une épopée pionnière du mouvement végétarien se déroulant sur la Montagne noire dans le Sud-Ouest de la France. Ce livre en main, Louise Hervé et Clovis Maillet ont été à la rencontre des maraîchers et des végétarien·nes de la région en 2023, au lendemain d’une grande manifestation contre la construction de l’autoroute Toulouse-Castres. Leur cri de ralliement était : « Moins de bitume, plus de légumes ».

Network Analysis is considered as a new method that challenges Latent Variable models in inferring psychological attributes. With Network Analysis, psychological attributes are derived from a complex system of components without the need to call on any latent variables. But the ontological status of psychological attributes is not adequately defined with Network Analysis, because a psychological attribute is both a complex system and a property emerging from this complex system. The aim of this article is to reappraise the legitimacy of (...) latent variable models by engaging in an ontological and epistemological discussion on psychological attributes. Psychological attributes relate to the mental equilibrium of individuals embedded in their social interactions, as robust attractors within complex dynamic processes with emergent properties, distinct from physical entities located in precise areas of the brain. Latent variables thus possess legitimacy, because the emergent properties can be conceptualized and analyzed on the sole basis of their manifestations, without exploring the upstream complex system. However, in opposition with the usual Latent Variable models, this article is in favor of the integration of a dynamic system of manifestations. Latent Variables models and Network Analysis thus appear as complementary approaches. New approaches combining Latent Network Models and Network Residuals are certainly a promising new way to infer psychological attributes, placing psychological attributes in an inter-subjective dynamic approach. Pragmatism-realism appears as the epistemological framework required if we are to use latent variables as representations of psychological attributes. (shrink)

Ghost Image is made up of sixty-three short essays—meditations, memories, fantasies, and stories bordering on prose poems—and not a single image. Hervé Guibert’s brief, literary rumination on photography was written in response to Roland Barthes’s Camera Lucida, but its deeply personal contents go far beyond that canonical text. Some essays talk of Guibert’s parents and friends, some describe old family photographs and films, and spinning through them all are reflections on remembrance, narcissism, seduction, deception, death, and the phantom images (...) that have been missed. Both a memoir and an exploration of the artistic process, Ghost Image not only reveals Guibert’s particular experience as a gay artist captivated by the transience and physicality of his media and his life, but also his thoughts on the more technical aspects of his vocation. In one essay, Guibert searches through a cardboard box of family portraits for clues—answers, or even questions—about the lives of his parents and more distant relatives. Rifling through vacation snapshots and the autographed images of long-forgotten film stars, Guibert muses, “I don’t even recognize the faces, except occasionally that of an aunt or great-aunt, or the thin, fair face of my mother as a young girl.” In other essays, he explains how he composes his photographs, and how—in writing—he seeks to escape and correct the inherent limits of his technique, to preserve those images lost to his technical failings as a photographer. With strains of Jean Genet and recurring themes that speak to the work of contemporary artists across a range of media, Guibert’s Ghost Image is a beautifully written, melancholic ode to existence and art forms both fleeting and powerful—a unique memoir at the nexus of family, memory, desire, and photography. (shrink)

Apres avoir reconnu la justesse du geste henryen, consistant à placer l’individu vivant au centre de son interprétation, c’est l’atomisation voire l’approche « nominaliste » du travail qui en découle qu’Hervé Touboul met vigoureusement en question, au fil d’une analyse approfondie de la manière dont M. Henry en viendrait à méconnaitre les dialectiques, toujours à l’œuvre dans le texte de Marx, de la quantité et de la qualité, ou de la valeur d’usage et de la valeur d’échange. L’auteur pense (...) décisif d’interroger la posture henryenne : la conception réductrice du travail – comme qualité pure et refus de l’objectivité, au nom de la subjectivité transcendantale. D’où la difficulté à aborder la socialité du travail – les médiations dont elle est tissée, son anonymat irréductible à toute inter-personnalité – et au-delà, à dégager les conditions de sa répétition proprement politique. (shrink)

Les notions d'identite et de difference recoupent celles de l'un et du multiple, du meme et de l'autre, de l'etre et du devenir. La pensee de Nicolas de Cues les a analysees avec une profondeur inegalee dans une oeuvre qui demeure meconnue et qui est, cependant, d'une actualite etonnante. Dans la Docte ignorance, le Cusain enseigne que Dieu est unite, egalite de l'unite avec l'unite et connexion de l'unite et de l'egalite. Que serait, en effet, une unite differente de l'unite, (...) une unite qui ne serait plus une? Nicolas de Cues repond qu'il ne peut y avoir d'egalite sans unite. Dans son opuscule De aequalitate, il developpera la these qu'il n'y a pas d'unite parfaite sans egalite. Des lors, quelle place donner... la difference, s'il ne peut y avoir une autre unite que l'unite? Si l'unite se donne... soi dans une repetition de soi, comment cette repetition peut-elle se distinguer de la differenciation? Telle est la problematique abordee dans les Actes du colloque qui s'est tenu... Rennes sous la direction de Herve Pasqua publies dans notre collection. (shrink)

In the history of war thinking, a transhistorical approach has emerged, with the value of not subjecting the theory to circumstances, particularly those fuelled by technical factors. This ambition was closely linked to Clausewitz’s theory, which was based on the difference between the historical character of “real war” and the transhistorical character of “absolute war”. Prior to Clausewitz’s theory, the transhistorical character had crept into the thinking on warfare in the modern era, which had developed a great deal around the (...) use of firearms, a character to which some theorists did not want to submit. During the First World War, the French army produced new weapons, such as tanks and aerial bombardment. It was therefore the ability to adapt to the historical circumstances of this war that was later considered to be the cause of victory, as the historian Marc Bloch later emphasised when he defined history as a “science of change”. After the Second World War, the major changes in warfare fuelled a tendency to refer to Clausewitz’s transhistorical theory in order to continue to think about war despite its major changes. The transhistorical approach was therefore a historical phenomenon. (shrink)

La reconnaissance accordée en sciences cognitives (Van Gelder et Varela) à l’analyse husserlienne du présent mental en termes de rétention et protension a manqué sa radicalité transcendantale, qui est aussi la limite de cette analyse. Si l’on recherche dans la subjectivité l’origine de notre sens du temps, il ne suffit pas de revenir au présent mental par réduction du temps objectif, il faut élargir aux aspects grammaticaux et aux rythmes biologiques l’éventail des moyens d’accès au temps d’un sujet incarné dans (...) le monde de la vie. (shrink)

La question des savoirs locaux suscite de nombreux débats sur la valeur et la considération que les uns et les autres leur accordent. Au-delà des aspects les plus vulgarisés que sont l’environnement et à la pharmacopée, cet article met en évidence une conception plus holiste des savoirs locaux et montre que leur valorisation est un enjeu de justice cognitive. À cette fin, l’auteur propose une stratégie numérique en quatre points adaptée au contexte camerounais : l’acquisition de compétences numériques par les (...) citoyens pour en faire des enregistreurs de savoirs locaux, les logiciels libres pour les stocker, le libre accès pour les diffuser et les politiques gouvernementales. (shrink)

En 1928 la théorie des form constants par Klüver catégorisait les hallucinations visuelles en quatre grandes catégories. Alors que la notion de form constants venait à s’appliquer virtuellement à toutes les figures entoptiques, comme l’avait prévu son auteur, dont les photismes synesthésiques, Cytowic a décrit et Carol Steen représenté ce que voient réellement des synesthètes visuels. L’une des caractéristiques d’œuvres de peintres synesthètes serait justement la présence de ces formes classées par Klüver. L’anthropologie avec la thèse de l’externalisation a montré (...) que certaines cultures ont repris les form constants perçues dans le premier stade de l’intoxication pour en faire les patterns de leur art. Les modèles physiologico-mathématiques permettent de localiser en V1 l’origine de production des photismes et d’expliquer leur morphogénèse. Mais une explication des circuits neuraux empruntés pour passer des différents types de déclencheur sensoriel à l’apparition de photismes synesthésiques reste aujourd’hui au stade de l’hypothèse. La synesthésie est l’objet de recherches alliant les sciences les plus contemporaines dont la génomique. Il est possible que les études sur la synesthésie transforment son statut de phénomène marginal en un élément essentiel dans la compréhension du système physiologique sous-jacent à l’esprit humain. In 1928, Klüver’s theory of form constants placed visual hallucinations into four broad categories. Whereas, as predicted by its author, the notion of form constants was virtually applicable to all entoptic figures, including synesthetic photisms, the very notion of entoptics was definitively extended. Cytowic has described and Carol Steen has represented what visual synesthetes actually see. The presence of these forms, as they have been classified by Klüver, is precisely one of the characteristics of the works of synesthetic painters. With the thesis of externalization, the field of Anthropology has shown that some cultures have adopted the constant forms perceived in the first stage of intoxication as patterns for their art. Physiological-mathematical models allow us to locate the origin of photism production in V1, and to explain these photisms’ morphogenesis. But, even today, an explanation of the neural pathways used to pass from different types of sensory triggers to the appearance of synesthetic photisms remains at the hypothesis stage. Synesthesia is a research topic that combines some of the most contemporary sciences, including genomics. Studies on synesthesia may just transform its status as that of a marginal phenomenon into that of an essential element in understanding the physiological system underlying the human mind. (shrink)

ArgumentRaspail’s domestic medicine method, popularized in 1840s France, has similarities with the practices of nineteenth century non-academic healers. His mass marketing of camphor as a universal treatment echoes the practices of “charlatans” and their circles. But Raspail is also very original in this history of popular care. As a scientist, a popularizer of encyclopedic knowledge and a political activist, he managed to blur traditional distinctions between science and politics and between popular and learned medicine. Raspail was a constant thorn in (...) the side of academic institutions and professional organizations, which were struggling to gain legitimacy. His work took a political turn when he combined, within a single project, his approach to treatment and his call for democratizing medical care. Raspail’s method challenged institutional norms by acknowledging the importance of the patient’s contribution to the healing process, and recognizing the necessity of thwarting the occasionally deleterious effects of monopolistic medicalization. (shrink)

A classification of different interpretations of the quantum formalism is examined and the concept of perspectival interpretation is presented. A perspectival interpretation implies that the truth is relative to the observer. The degree to which Convivial Solipsism and QBism in its different versions are perspectival is examined.

The problem of measurement is often considered an inconsistency inside the quantum formalism. Many attempts to solve it have been made since the inception of quantum mechanics. The form of these attempts depends on the philosophical position that their authors endorse. I will review some of them and analyze their relevance. The phenomenon of decoherence is often presented as a solution lying inside the pure quantum formalism and not demanding any particular philosophical assumption. Nevertheless, a widely debated question is to (...) decide between two different interpretations. The first one is to consider that the decoherence process has the effect to actually project a superposed state into one of its classically interpretable component, hence doing the same job as the reduction postulate. For the second one, decoherence is only a way to show why no macroscopic superposed state can be observed, so explaining the classical appearance of the macroscopic world, while the quantum entanglement between the system, the apparatus and the environment never disappears. In this case, explaining why only one single definite outcome is observed remains to do. In this paper, I examine the arguments that have been given for and against both interpretations and defend a new position, the “Convivial Solipsism”, according to which the outcome that is observed is relative to the observer, different but in close parallel to the Everett’s interpretation and sharing also some similarities with Rovelli’s relational interpretation and Quantum Bayesianism. I also show how “Convivial Solipsism” can help getting a new standpoint about the EPR paradox providing a way out of the seemingly unavoidable non-locality of quantum mechanics. (shrink)

"Descartes a lu Montaigne, qui en douterait? Pourtant, il s'est passé plus de deux siècles avant qu'on ne les joigne et que la liaison des textes et des pensées nourrisse un genre herméneutique prolixe : le rapprochement montaigno-cartésien. Ce corpus n'a cessé de s'amplifier, surtout depuis les années 1970. Malgré les leçons de prudence initiales, nul n'a poussé l'enquête sur les assises épistémologiques et méthodologiques de la tradition qui entretient l'idée d'une filiation directe. Pour l'auteur, contrariant cette position qui n'a (...) jamais assumé son statut d'hypothèse, Descartes n'a pas lu les Essais ni même n'en a eu besoin pour épanouir sa pensée ou faire courir sa plume. Le Dos de ses livres comble le manque d'une critique historique et philologique en répondant à des interrogations non formulées jusque-là : comment en est-on arrivé à lier deux écrivains si différents? qu'est-ce que cette tradition leur a fait dire en rapprochant leurs textes? Ravivant la problématique de la réception de Montaigne au XVIIe siècle, ce livre examine des modes de réception et précise le portrait du philosophe de la table rase en lecteur. Par l'abandon d'une source survalorisée, il rafraîchit le paysage intertextuel, rehausse les contrastes et relance la question des ruptures et des incompatibilités entre les oeuvres et les pensées."--Page 4 of cover. (shrink)

This article proposes a new reading of transformative learning theory (TAT), proceeding from an examination of three concepts: the function of habit in the processes of constructing experience, the notion of trial and its potential, and the biographical dimensions of Transformative Learning Theory. This approach leads us to question the theories of experience that tacitly underlie the learning models proposed by Mezirow. The discussion thus opened is part of the controversy and dialogue between the currents of pragmatism, critical hermeneutics and (...) biographical research. (shrink)

L’instrument de musique est abordé non pas isolément mais avec la musique dans laquelle il intervient et par laquelle il se réalise véritablement comme instrument de musique. Après des éléments de définition abordés en rayonnant autour de l’idée de Berlioz du « corps sonore utilisé par le compositeur », l’accent est mis sur le rôle de la pratique instrumentale et de la technique instrumentale. Sont décrites alors les diverses formes de l’identité de l’instrument (de l’identité-objet à l’identité-répertoire) puis ses potentialités (...) (les éléments sonores précis qu’il doit permettre de produire, comme les possibilités nouvelles qu’il va offrir au cours de son histoire). (shrink)

À partir des années 1980 eut lieu une véritable révolution dans la connaissance du phénomène neurologique de la synesthésie, qui s’est accompagnée d’une révolution culturelle avec l’apparition de témoignages personnels de synesthètes. Cette représentation littéraire et plastique des perceptions synesthésiques fait partie du mouvement contemporain de représentations autobiographiques de différentes conditions neurologiques. Carol Steen, Patricia Lynne Duffy et Marcia Smilack sont des acteurs pionniers de la représentation des perceptions synesthésiques. From the 1980s, a revolution took place in the knowledge of (...) the neurological phenomenon of synesthesia, which has been accompanied by a cultural revolution with the emergence of personal accounts of synesthetes. Autobiographical representation—literary or plastic—of synesthetic perceptions belongs to the contemporary movement of autobiographical representations of various neurological conditions. Carol Steen, Patricia Lynne Duffy and Marcia Smilack are pioneers involved in representation of synesthetic perceptions. (shrink)

Le renouveau d'intérêt, parmi les catholiques, pour la réflexion sur le phénomène de la dogmatisation est aisément compréhensible, dû en particulier au choc que fut, à l'époque moderniste, la prise de conscience de la réelle historicité des dogmes. L'œcuméniste catholique ne peut ignorer ces questionnements relatifs à la genèse, à la portée et aux fonctions des dogmes, même s'il ne les prend pas en charge directement et même si sa tâche est de participer à la guérison des ruptures survenues dans (...) la communion ecclésiale. Cependant sa démarche peut avoir un réel intérêt réflexif. Dans le difficile débat épistémologique actuel sur la dogmatisation et sur l'interprétation des dogmes, l'article d'H. Legrand, tout en s'abstenant d'ajouter aux théorisations existantes et en se référant à des interprétations en cours, privilégie l'une d'entre elles comme étude de cas, non sans prendre acte de l'antinomie, souvent vivement perçue, entre la logique œcuménique, si tard venue à la conscience catholique, et la logique dogmatique qui a dominé presque toute l'histoire du christianisme d'Orient et d'Occident.The renewed interest among Catholics in reflecting on the phenomenon of dogmatization is easily understandable. This is especially due to the shock brought about in the modernist period by the realization of the actual historicity of dogmas. Catholic ecumenists cannot ignore these questions about the genesis, scope and functions of dogmas, even if they do not take charge of them directly and their task is rather to help heal the ruptures that have occurred in ecclesial communion. Nevertheless, their approach may be of genuine interest for thought. In today's difficult epistemological debate over dogmatization and the interpretation of dogmas, the article of H. Legrand, while refraining from adding to existing theories and referring to current interpretations, shows a preference for one of them as a case study and notes the often vividly perceived antimony between ecumenical logic, which came only late to Catholic consciousness, and dogmatic logic, which dominated almost the whole history of Western and Eastern Christianity. (shrink)

Parce qu’elle s’est élaborée à partir d’un héritage antique, l’avocature dispose d’une culture commune dès la fin du Moyen Âge. Dans la France des XVII e et XVIII e siècles, ces caractères partagés se renforcent par la professionnalisation, l’harmonisation institutionnelle des ordres et le renforcement d’un droit commun du barreau, qui n’est pas le fruit du seul travail des avocats et de leurs structures professionnelles ; l’émergence d’un « barreau français » a également été favorisée par l’État et les tribunaux. (...) Avec l’Empire et la Restauration, la construction nationale du barreau connaît un deuxième temps fort ; dans un premier temps, c’est l’État qui s’impose comme son acteur essentiel. (shrink)