In 2017, Victoria became the first state in Australia to pass legislation permitting voluntary assisted dying. Under this law, only those people who are near the end of their lives may access voluntary assisted dying, and because many of these people require nursing care to manage the progression of their illness or their symptoms, it will invariably have an impact on nursing practice. The Victorian law includes a series of procedural steps as safeguards to ensure that the law operates as (...) intended. To support people who choose voluntary assisted dying and to practice safely within boundaries of the law, nurses must be aware of these requirements and how they operate. However, there are often gaps in nurses’ legal knowledge. This was demonstrated in an article that aimed to inform nurses about the operation of Voluntary Assisted Dying Act 2017 (Vic) but contained several errors and misstatements of the law. Our article corrects these errors and discusses how the law is intended to be applied by revisiting the fictional case of Chloe – a woman with a terminal illness who is seeking voluntary assisted dying. As the Voluntary Assisted Dying Act 2017 (Vic) also protects nurses from liability if they act in accordance with its provisions, we conclude that sound knowledge and understanding of its operation support nurses to provide the safe, comprehensive and compassionate care their patients deserve at the end of life. (shrink)

El autor analiza, en la perspectiva de la filosofia del derecho, la cuestión de la relación entre derecho y moral en la Evangelium Vitae. En particular, se detiene a analizar las teorías que tematizan la neutralidad del derecho , como la teoría liberal libertaria que identifica el derecho con la garantía de la autonomía individual, y la teoría democrático-procesal que hace coincidir el derecho con el voto de la mayoría. Juan Pablo II critica los caminos postmodernos del derecho, retomando sobre (...) el plano filosófico y teológico la doctrina del derecho natural , que reconoce en el hombre sus derechos inviolables y su dignidad intrínseca. En el horizonte jurisnaturalista, existe un deber moral por parte del ciudadano de criticar y de no obedecer las leyes injustas y por parte del jurista y del político a actuar por abrogar, reformar y reformular con el fin de adecuar el derecho positivo a la exigencias intrínsecas de la naturaleza humana. (shrink)

Se plantea en este ensayo la discutida posición de Sócrates acerca de las leyes de Atenas: tanto la ley democrática y positiva, como la ley tradicional no-escrita. Se argumenta sobre las fuentes que tenemos, especialmente la Apología y el Critón de Platón, y los Memorabilia de Jenofonte. Se concluye que Sócrates no dejó nunca, a lo largo de su dilatada existencia, de intentar persuadir sobre la justicia, sosteniendo que, bajo ningún concepto, era justo hacer daño, ni incumplir las leyes o (...) las órdenes de la autoridad superior (humana o divina). (shrink)

In this article the author considers as a central matter the significance of M. Tullius Cicero’s conception of self-knowledge in his philosophical and political theory. With this purpose, the author justifies the contribution of Ciceronian elaboration to the matter as a rereading of the Socratic-platonic tradition, in the field of Roman philosophy, inquiring its own components. Thus, the author develops an exegesis on the characteristics of Ciceronian conception of self- knowledge in De republica, De legibus, De finibus bonorum et malorum, (...) Tusculanae disputationes and parallel texts, in order to ponder its mediation in the constitution of the political community. In this context, the author examines the rol of natural law in the development of the self-knowledge and the discovery of the human community. (shrink)

El trabajo pretende mostrar que la expansión de la dogmática, sobre todo en el discurso penal, representa un desafío al legislador y cuál es el precio que debemos pagar por ello. La dogmática, al igual que la legislación, necesita ofrecer al juez pautas precisas que sirvan para delimitar las decisiones correctas y, en ese mismo sentido, identificar a las que se consideran arbitrarias. Sólo bajo este supuesto la dogmática contribuye a lograr decisiones más previsibles. La dificultad radica en que la (...) búsqueda de precisión puede limitar la arbitrariedad de los órganos de aplicación, pero, a la vez, la precisión introduce distinciones arbitrarias. En ciertos casos la arbitrariedad se produce por la indeterminación que generan las normas imprecisas y en otros casos, la arbitrariedad consiste en que al aplicar normas precisas, los funcionarios se apartan de las razones que justifican a esas normas. El desafío para la dogmática es mostrar que su contribución a la racionalidad puede superar a las que elabora el legislador. Es decir, debe mostrar por qué sus normas pueden tener éxito donde el legislador, por cuestiones conceptuales, inevitablemente fracasa. Los autores de este trabajo sostienen que la incorporación de normas dogmáticas en el horizonte de justificación de las decisiones no solo posee las mismas dificultades conceptuales que las del legislador sino que sus soluciones compiten con otras justificaciones formales, e.g. normas legisladas y, con frecuencia, suponen una tensión entre las palabras de la ley y lo que los dogmáticos dicen que dice el legislador. (shrink)

Interpreters and even the sources of stoicism tend to equate the notions of providence, rationality and natural law. In contrast to this trend, the goal of this article is to analyze these notions in order to identify what is the explanatory role attributed by the Stoics to each one of them. This will provide a better understanding of the Stoic theory of the constitution of the world and the different roles played by the divine mind in it. I will defend (...) that providence is a function of the divine will, related to the goal sought in the constitution of the world. The divine rationality refers to the logical and causal requirements to be observed in this constitution. And the notion of natural law refers to a normative aspect of nature established by the divine right reason. (shrink)

En este artículo, las autoras analizan las trayectorias de las normativas crecientemente restrictivas a propósito de la población femenina musulmana y su corporalidad en espacios públicos, especialmente en los establecimientos educativos y laborales. Estas leyes y normas tienen dos características fundamentales. La primera es que se insertan firmemente en contextos locales, en los que cumplen diferentes papeles, a veces relacionados con meras coyunturas partidistas o electoralistas; la segunda es que su alcance va mucho más allá que la prohibición de la (...) vestimenta, ya que se vinculan a la construcción de representaciones y de la ciudadanía. Ambas circunstancias se integran en una construcción sistemática del racismo, como parte constitutiva del momento capitalista, que va incorporando otros niveles, aparentemente de modo contradictorio, pero con una gran coherencia respecto a su objetivo prohibicionista. (shrink)

En el libro 4 de la _Política_ de Aristóteles encontramos una forma de constitución recta que se da cuando los _mésoi_, los ciudadanos de recursos moderados, son, no solo numerosos, sino mayoritarios. Los ciudadanos medios garantizan el gobierno de la ley y de la razón, fundamentan la amistad entre ciudadanos y la estabilidad del régimen. Nos planteamos en este ensayo qué relación tiene esta forma constitucional con la politia, entendida como mezcla de democracia y oligarquía; con la democracia, como gobierno (...) de la mayoría; y con la _aríste politeía_, basada en la virtud de sus ciudadanos. (shrink)

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Este texto investiga las condiciones del lugar propio de la libertad según la propuesta kantiana. Esa libertad está vinculada al ámbito práctico, en el que las máximas de la acción parecen dirigirse a la consecución de la felicidad. Simultáneamente la razón se reconoce subordinada a ciertas leyes morales. ¿Dónde situar la libertad? ¿En las elecciones del mundo sensible o en el sometimiento a la legalidad moral? La posible solución, si admitimos la segunda propuesta, pasa por reconocer el origen de la (...) legalidad en la razón que se reconoce a ella sometida, por lo que esa razón adquiere un papel eminentemente activo. Based on the conditions of Kantian Theory of Knowledge, this paper investigates the proper place of freedom, considered from the practical point of view in which maxims try to achieve happiness. In the same way, reason recognize the necessary respect for the moral law. Where must freedom be placed? In the elections in the world of sense or in the submit to that law? Assumption of the second propos- al implies to set up the origin of morality in the reason that recognize itself subordinate to moral legislation and it that way becomes an active role in the establishment of morality. (shrink)

Este artículo proporciona un análisis detallado del contexto español respecto a la vida independiente de las personas con discapacidad. Pone énfasis en la relevancia de la accesibilidad, la desinstitucionalización y la asistencia personal como factores clave. Cuatro años después de la revisión de España por el Comitéde la Convención sobre los Derechos de las Personas con Discapacidad, se realiza un examen minucioso de las políticas y leyes implementadas por el gobierno español, desde una óptica de derechos humanos. El artículo actualiza (...) y profundiza en los debates sobre cómo lograr una vida independiente y autónoma paralas personas con discapacidad en España, ofreciendo una visión comprensiva del entorno jurídico y político que facilita esta transformación esencial. (shrink)

En este trabajo pretendo mostrar que el derecho penal contemporáneo no ha encontrado todavía buenas soluciones a las difi cultades conceptuales y normativas planteadas por los casos de ignorancia deliberada. Las difi cultades surgen, en buena medida, al tratar de resolver estas situaciones mediante una herramienta equivocada: ampliando el concepto de dolo eventual. Este recurso conceptual intenta encontrar justifi cación para un castigo severo –el tipo de castigo paradigmáticamente ligado a los delitos intencionales–pero fracasa porque el dolo eventual requiere que (...) exista conocimiento. En contraste con ello, sugiero que la ignorancia deliberada puede ser vista, en algunas situaciones, como una especifi cación del fraude de ley. Esta sería la razón por la que esta fi gura puede algunas veces parecer más grave que la imprudencia. (shrink)

El presente estudio se propone examinar, por una parte, la elaboración del maestro Felipe, Canciller de París sobre principios del siglo XIII, acerca de la naturaleza del ser como bien, en el contexto de un desarrollo de metodología filosófica. En este sentido, presenta la postura del Canciller sobre el valor de las razones filosóficas en la inteligencia de la fe. Por otra parte, tiene por objeto desarrollar la concepción cósmico-antropológica del Canciller, subrayando las aportaciones de tradición platónica, aristotélica y helenística.

The aim of this article is to consider, in the first place, the characteristic traits of ciceronian conception about “conservatio sui” in the context of ciceronian practical philosophy, differentiating between the components of stoic tradition and the position that Cicero proposes as its own. The article makes its center in the ciceronian exposition of De finibus III and IV and passages of other works that allow us to elaborate the links between natura, ratio and lex established by Cicero. In second (...) place, the article proposes a comparison of the ciceronian elaboration of “conservatio sui” with passages of the corpus of Thomas Aquinas, specially with Tractatus de legibus of Summa Theologiae. (shrink)

Desde la tradicional linealidad temporal hasta la temporalización estética y premeditadamente elaborada, se estudian aquí los diferentes enfoques de la temporalidad en la novela mexicana desde Al filo del agua de Agustín Yáñez hasta La ley del amor de Laura Esquivel, pasando por Pedro Páramo de Juan Rulfo, La muerte de Artemio Cruz de Carlos Fuentes, Palinuro de México de Fernando del Paso y Arráncame la vida de Ángeles Mastretta.

According to Bayesian epistemology, the epistemically rational agent updates her beliefs by conditionalization: that is, her posterior subjective probability after taking account of evidence X, pnew, is to be set equal to her prior conditional probability pold(·|X). Bayesians can be challenged to provide a justification for their claim that conditionalization is recommended by rationality—whence the normative force of the injunction to conditionalize? There are several existing justifications for conditionalization, but none directly addresses the idea that conditionalization will be epistemically rational (...) if and only if it can reasonably be expected to lead to epistemically good outcomes. We apply the approach of cognitive decision theory to provide a justification for conditionalization using precisely that idea. We assign epistemic utility functions to epistemically rational agents; an agent’s epistemic utility is to depend both upon the actual state of the world and on the agent’s credence distribution over possible states. We prove that, under independently motivated conditions, conditionalization is the unique updating rule that maximizes expected epistemic utility. (shrink)

The Everett (many-worlds) interpretation of quantum mechanics faces a prima facie problem concerning quantum probabilities. Research in this area has been fast-paced over the last few years, following a controversial suggestion by David Deutsch that decision theory can solve the problem. This article provides a non-technical introduction to the decision-theoretic program, and a sketch of the current state of the debate.

Difficulties over probability have often been considered fatal to the Everett interpretation of quantum mechanics. Here I argue that the Everettian can have everything she needs from `probability' without recourse to indeterminism, ignorance, primitive identity over time or subjective uncertainty: all she needs is a particular *rationality principle*. The decision-theoretic approach recently developed by Deutsch and Wallace claims to provide just such a principle. But, according to Wallace, decision theory is itself applicable only if the correct attitude to a future (...) Everettian measurement outcome is subjective uncertainty. I argue that subjective uncertainty is not to be had, but I offer an alternative interpretation that enables the Everettian to live without uncertainty: we can justify Everettian decision theory on the basis that an Everettian should *care about* all her future branches. The probabilities appearing in the decision-theoretic representation theorem can then be interpreted as the degrees to which the rational agent cares about each future branch. This reinterpretation, however, reduces the intuitive plausibility of one of the Deutsch -Wallace axioms. (shrink)

I explore the prospects for modelling epistemic rationality (in the probabilist setting) via an epistemic decision theory, in a consequentialist spirit. Previous work has focused on cases in which the truth-values of the propositions in which the agent is selecting credences do not depend, either causally or merely evidentially, on the agent’s choice of credences. Relaxing that restriction leads to a proliferation of puzzle cases and theories to deal with them, including epistemic analogues of evidential and causal decision theory, and (...) of the Newcomb Problem and ‘Psychopath Button’ Problem. A variant of causal epistemic decision theory deals well with most cases. However, there is a recalcitrant class of problem cases for which no epistemic decision theory seems able to match our intuitive judgements of epistemic rationality. This lends both precision and credence to the view that there is a fundamental mismatch between epistemic consequentialism and the intuitive notion of epistemic rationality; the implications for understanding the latter are briefly discussed. (shrink)

Recent work in the Everett interpretation has suggested that the problem of probability can be solved by understanding probability in terms of rationality. However, there are *two* problems relating to probability in Everett --- one practical, the other epistemic --- and the rationality-based program *directly* addresses only the practical problem. One might therefore worry that the problem of probability is only `half solved' by this approach. This paper aims to dispel that worry: a solution to the epistemic problem follows from (...) the rationality-based solution to the practical problem. (shrink)

Armstrong describes the rise of a new mode of medical practice that he calls in the following terms: Surveillance medicine gives rise to a novel and underexplored aspect of the long-standing tension between the different goals of clinical medicine and public health.

Prioritarianism is supposed to be a theory of the overall good that captures the common intuition of . But it is difficult to give precise content to the prioritarian claim. Over the past few decades, prioritarians have increasingly responded to this by formulating prioritarianism not in terms of an alleged primitive notion of quantity of well-being, but instead in terms of von NeumannPrimitivistTechnicalpriority to the worse offMorgenstern utility is a retrograde step.

Since the nineteenth century the theory and practice of mainstream Western medicine has been grounded in the biomedical model. In the later years of the twentieth century, however, it has faced a range of serious problems, which when viewed collectively, remain unresolved despite a variety of responses. The question we now face is whether these problems can be dealt with by modifying and extending the principles underlying the biomedical model, or whether a more radical solution is required. Recent critiques of (...) Western medicine have focused mainly on the biopsychosocial model in relation to the former approach, but it will be contended that this cannot deal adequately with the challenges that medicine currently faces, because although it addresses both the scientific and humanistic aspects of medicine it fails to harmonise them. I shall therefore argue for the necessity of a more radical approach, and suggest that what is required to accomplish this is the development of a new medical cosmology, rooted in an older and more global framework. Such a fundamental change would inevitably involve a long term process which it is not yet possible to fully comprehend let alone specify in detail. Some of the necessary features of such a new medical cosmology can, however, already be distinguished and the outline of these is described. (shrink)

The failure of Western medicine to deal with many of the problems it is currently facing has led to an awareness of the need for a fundamental reappraisal. The way in which medical concepts derived from the nineteenth century have brought technical medical advances in this century and the alliances that medicine has made with statistics and more recently the social sciences, have prevented a questioning of medicine's underlying assumptions. Thus, despite a number of critical initiatives from both within and (...) outside medicine, there has been no coherent development to seriously confront the question 'what is medicine?'. It is suggested that the basis for such a development depends on the return to a philosophical questioning of our conceptual understanding of disease, a subject which has largely been ignored during the past hundred years. (shrink)

ordinary electron, except it’s attracted to normal electrons – we say it has positive charge. For this reason it’s called a ‘positron’. The positron is a sister..

In this well-known passage of his Antiquitates Romanae, Dionysius of Halicarnassus describes how Romulus and his companions seized and married the Sabine virgins. Romulus justifies his actions by stating that this method of acquiring wives was a Greek custom:Dionysius' report of a Greek tradition adopted by Romulus is rather enigmatic. It has previously been noted that this passage bears similarity to passages of Plutarch and in particular his description of the Spartan marriage ceremony. This Spartan marriage ceremony does bear some (...) relation to the situation being described by Dionysius in that the women are captured before being married, but other elements of the ceremony—the bride having her hair cut off and being taken in a darkened room—are quite out of place here and would appear to be a peculiarly Spartan tradition. As Plutarch was writing some time after Dionysius, it is not possible for Dionysius to be making a parallel with the ceremony as decribed by Plutarch, but he may have had access to a common source about that ceremony, now lost. However, I would like to suggest that there is another well-known source which may have been the source of the Greek tradition referred to in Dionysius 2.30 that is connected to neither Plutarch nor marriage. (shrink)

This paper examines the institutions for participatory governance that have been created in Chile through a case study of Huechuraba, a low income municipality in the Santiago metropolitan area. The case of Huechuraba suggests that in certain contexts, the meetings that take place between government officials and grassroots organizations can become a forum for the state to colonize public space and bolster the hegemony of the status quo by establishing the parameters of citizenship.

During the past thirty years a high proportion of all long stay hospital beds have been closed. The responsibility for those who would have occupied those beds previously has to a large extent been transferred from health to social services departments, or to family, voluntary and private care. The overall effect has been to prioritize acute medical care, and to expose the public provision and funding of long term residential care, whether medical or social, to the direct determination of political (...) and economic forces. These policy changes have been introduced under the banner of community care, but are dependent on complex concepts which are morally contentious and often obscure. The purpose of this paper is to analyse these processes as a prerequisite to devising better policies in future. (shrink)

ABSTRACT The assumptions underlying the traditional biomedical model of health and illness and criticisms of it are described. An examination of the historical development of ideas concerning cot (crib) deaths shows how early explanations, which were congruent with this model, came to be discredited. Because subsequent explanations have also been considered unsatisfactory, cot deaths have come to be regarded as medically problematic. The relationship of models of health and illness to cot deaths has therefore been exposed to an unusual degree (...) of scrutiny. Two possible contending models, social epidemiological and socio‐economic are identified, and their status vis‐à‐vis the biomedical model is considered. The choice as to which of these models is applied to cot deaths is shown to be not only of theoretical interest but also to have ethical implications for health care policy and medical practice. (shrink)

I read this book shortly after rereading Confessions of a Medicine Man by Alfred Tauber. (MIT Press 1999). As both these books are concerned with searching for the meaning of medicine in a world where scientific and technical goals predominate, it was inevitable that I should compare them. What intrigued me was how two books with a similar purpose could be so different. Tauber is an American physician and philosopher whose book is a personal quest to seek out a medical (...) ethos on which to base his practice. He therefore approaches his task biographically, relating a series of stories illustrative of medical issues that he has found troublesome during his medical career. He then uses these to explore those philosophical …. (shrink)

Following the first enactment of living will legislation in California in 1976 the majority of the states of the USA have now passed similar laws. However, flaws have been identified in the way they work in practice and many states are considering reviewing their legislation. In Britain there is no legislation but the subject is currently commanding considerable interest. This paper assesses the future prospects for living wills in both the USA and Britain, analysing the different options available and comparing (...) the two countries. If patients who become permanently incompetent are to have their previous autonomous decision-making respected, there is general agreement that advance directives for health care must be introduced. The difficulty is in deciding how to implement them, and especially whether this should be by statutory or non-statutory means, the traditions in the two countries being very different in this respect. It is concluded that whichever route is taken, promoting respect for patient autonomy is as much a matter for education and persuasion of doctors as of the adoption of particular instruments. Doctors should therefore be trained in what constitutes good medical practice in this area and, to ensure that it can be carried out properly, the general level of medical facilities for these patients must also be protected and promoted. (shrink)