Interpretation of first four sutras of Brahmasūtra of Bādarāyaṇa on the basis of Śaṅkarācārya's commentary on Vedanta.

This article addresses the contributions of the literature on the new mechanistic philosophy of science for the scientific practice of model building in ecology. This is reflected in a one-to-one interdisciplinary collaboration between an ecologist and a philosopher of science during science-in-the-making. We argue that the identification, reconstruction and understanding of mechanisms is context-sensitive, and for this case study mechanistic modeling did not present a normative role but a heuristic one. We expect our study to provides useful epistemic tools for (...) the improvement of empirically-riven work in the debates about mechanistic explanation of ecological phenomena. (shrink)

"Science is rooted in conversations," wrote Werner Heisenberg, one of the twentieth century's great physicists. In Quantum Dialogue, Mara Beller shows that science is rooted not just in conversation but in disagreement, doubt, and uncertainty. She argues that it is precisely this culture of dialogue and controversy within the scientific community that fuels creativity. Beller draws her argument from her radical new reading of the history of the quantum revolution, especially the development of the Copenhagen interpretation. One of several (...) competing approaches, this version succeeded largely due to the rhetorical skills of Niels Bohr and his colleagues. Using extensive archival research, Beller shows how Bohr and others marketed their views, misrepresenting and dismissing their opponents as "unreasonable" and championing their own not always coherent or well-supported position as "inevitable." Quantum Dialogue, winner of the 1999 Morris D. Forkosch Prize of the Journal of the History of Ideas, will fascinate everyone interested in how stories of "scientific revolutions" are constructed and "scientific consensus" achieved. "[A]n intellectually stimulating piece of work, energised by a distinct point of view."—Dipankar Home, Times Higher Education Supplement "[R]emarkable and original. . . . [Beller's] arguments are thoroughly supported and her conclusions are meticulously argued. . . . This is an important book that all who are interested in the emergence of quantum mechanics will want to read."—William Evenson, History of Physics Newsletter. (shrink)

Examines the role of the gender of philosopher-contributors in the constitution of a philosophical canon. Effects of the inclusion of women's voices within the canon; Development of a Japanese philosophical canon as a case in point.

The aim of this paper is to combine the intellectual and the psychosocial aspects. blurring the distinction between the conceptual and the anecdotal history of quantum mechanics. The full realization of the importance of such “anecdotal” factors leads to the revision of our understanding of the conceptual development itself. The paper concludes with the suggestion that a major part of numerous inconsistencies in the Copenhagen interpretation of quantum physics are of a psychosocial origin.

Scientific understanding as a subject of inquiry has become widely discussed in philosophy of science and is often addressed through case studies from history of science. Even though these historical reconstructions engage with details of scientific practice, they usually provide only limited information about the gradual formation of understanding in ongoing processes of model and theory construction. Based on a qualitative ethnographic study of an ecological research project, this article shifts attention from understanding in the context of historical case studies (...) to evidence of current case studies. By taking de Regt’s contextual theory of scientific understanding into the field, it confirms core tenets of the contextual theory suggesting a normative character with respect to scientific activities. However, the case study also shows the limitations of de Regt’s latest version of this theory as an attempt to explain the development of understanding in current practice. This article provides a model representing the emergence of scientific understanding that exposes main features of scientific understanding such as its gradual formation, its relation to skills and imagination, and its capacity for knowledge selectivity. The ethnographic evidence presented here supports the claim that something unique can be learned by looking into ongoing research practices that can’t be gained by studying historical case studies. (shrink)

William Harvey (1578-1656) presented his conceptions on blood circulation in Exercitatio anatomica de motu cordis e sanguinis em animalibus (Anatomical study on the heart and blood movement in animals) in 1628. His most relevant work was the treatise De motu cordis, as it is better known, which resulted from more than nine years of observations and anatomical demonstrations in animals and humans. It greatly impacted the period's physicians, philosophers, and anatomists, generating several comments and criticisms. Harvey's ideas concerning blood circulation (...) implied a break with the accepted knowledge of the time, based mainly on the conceptions of Claudio Galeno (129 AD- 216 AD). This article aims to present Harvey's ideas on the subject and discuss to what extent they represent a break with the ideas of his predecessors. This research corroborates the view defended by more recent historiography that knowledge about blood circulation has been constructed since Antiquity, although Harvey's work is prominent. (shrink)

O presente artigo se ocupa do problema funcional da consciência referente às questões do porquê a consciência evoluiu e se é relevante para os organismos. A hipótese defendida é que a consciência tem a função comunicativa capaz de recrutar a memória de trabalho, especialmente, os seus subcomponentes especialistas em linguagem, e o sistema cognitivo-computacional, que tem, em seu núcleo, uma estrutura sintática para codificar simbolicamente a informação implícita no organismo. Aos organismos que possuem esses recursos, foi conferida uma vantagem adaptativa, (...) uma vez que tais organismos vivem numa organização socialmente interdependente e, assim, puderam comunicar aos outros organismos, com mais complexidade e precisão do que a comunicação comportamental não simbólica, os seus estados internos e implícitos, tais como o estado dos seus corpos, as suas intenções, os seus planos, e as características do ambiente. A metodologia possui duas fases: primeiro, uma abordagem teórico-conceitual, com base em variados modelos explicativos teórico-experimentais, na qual foram comparadas diferentes definições teórico-conceituais para a origem da consciência. Depois, modelos filogenéticos de estudos comparativos forneceram insights válidos sobre a consciência em animais humanos e não-humanos. Assim, o objetivo geral aqui consiste em postular uma definição conceitual de consciência. Os resultados sugeriram quais as condições necessárias para a emergência da consciência no tocante à memória de trabalho, atenção, representações de alta-ordem e linguagem. Concluiu-se que a pesquisa está em uma fase de brainstorming. Nessa fase, a hipótese é avaliada criticamente e submetida a testes de aproximação com diferentes modelos. Se for bem-sucedida, ela poderá ser aplicada experimentalmente no futuro. (shrink)

We start by problematizing the way in which philosophical practice is generally conceived in our academic environment. In this article, we address an understanding of Philosophy as a process of serious and sincere investigation of existential questions and creation of theory. With this, we intend to question some of the most common diagnoses and solutions for the underdevelopment of philosophical practice in Brazil, as well as provide our contribution to the propagation of a philosophical practice that risks the leap from (...) commentary to creation. (shrink)

Em um artigo intitulado “Whether certainty is a form of life”, Elizabeth Wolgast ataca por duas vias diversas a concepção witgensteiniana de proposição gramatical desenvolvida no Da Certeza. Ela acusa Wittgenstein de contradizer certas teses centrais das Investigações Filosóficas, ao estabelecer como significativas proposições sem uso em nossos jogos de linguagem correntes, e denuncia a precariedade da tese, supostamente presente no Da Certeza, de que proposições gramaticais descrevem nosso sistema de crenças. Procuro refutar ambas as objeções por meio de uma (...) apresentação de evidências de que proposições gramaticais podem ter uso efetivo em jogos de linguagem correntes, e da demonstração de que uma mesma proposição pode, a um só tempo, descrever o uso das palavras em uma língua e servir como exemplo (modelo) de uso. Busco apoio no artigo de Debrah Aidun, “Wittgenstein on gramatical propositions”, para efetuar essa investigação sobre o estatuto das proposições gramaticais e faço complementações a seus argumentos de modo a aproximar o último Wittgenstein das pesquisas sobre os atos de fala conforme desenvolvidas por Austin e Searle. (shrink)

Esta investigação, partindo do diagnóstico da modernidade empreendido por Alasdair MacIntyre, destina-se a avaliar a possibilidade de conciliação entre o discurso universalizante dos direitos humanos e a ética particularista sustentada pelo autor citado a partir do referencial ético aristotélico. A convergência entre os bens individuais, consubstanciados em direitos, e o bem comum, componente essencial da prática e do pensamento éticos, pode representar relevante contribuição teórica no campo de estudos dos direitos humanos. Neste trabalho, dada a limitação da sua natureza, intentou-se (...) analisar os três problemas intrínsecos à concepção de direitos, conforme a perspectiva de MacIntyre: a) a ideia de que sujeitos de direitos são indivíduos morais autônomos e plenamente independentes; b) a separação do bem individual do bem comum; c) a deflação da razão prática comunitária, em relação à racionalidade individual. O trabalho empreendido teve como resultado uma exposição analítica dos pontos de contraste entre a perspectiva dos direitos humanos e a ética conforme compreendida por MacIntyre, necessária para preparar bases de uma possível reconciliação entre ambas. (shrink)

In 1972 the Socialist Party and the Communist French Party signed the Programme Commune du Gouvenement d'Union de la Gauche. Six years marked the electoral agenda of the two “historical enemies” in search of political convergence that remained an open debate, also animated by the current of antitotalitarian thought that increased public disrepute towards the pro-Soviet left and the PCF. Political and ideological differences between alternative government guidelines were amplified by the publication of Alexander Solgenitsin’s Gulag Archipelago which will significantly (...) influence the philosophical discourse and French political dynamics of that historical ridge. (shrink)

O estudo de manuscritos literários pode se revelar como um terreno fecundo para a compreensão de movimentos criativos, a observação de hábitos redacionais e a reatualização de uma obra. Contudo, a crítica genética, ciência que embasa tal trabalho, vem disputando um espaço dentro do campo literário desde seu surgimento. A partir dessas considerações, o objetivo deste artigo é identificar os motivos que geram a marginalização da crítica genética e as perspectivas apresentadas por essa jovem ciência para a contemporaneidade. Para tanto, (...) por meio de um levantamento bibliográfico, foram elencados e discutidos os três motivos que geram tal marginalidade, bem como as possíveis contribuições dos processos genéticos para diversas áreas do saber e perante o avanço tecnológico.Palavras-chave: Manuscritos literários. Crítica Genética. Marginalidade. Perspectivas. (shrink)

O presente artigo lida com a questão da compatibilidade entre duas exigências opostas da filosofia teorética de Kant: a crítica, por um lado, e a ideia de sistema, por outro. Enquanto a crítica assenta sobre uma divisão da razão em faculdades distintas, o sistema é um ideal de unidade sob um mesmo princípio. Uma apreciação do uso do termo "sistem" nas principais obras críticas de Kant mostra que o termo é equívoco, e que os seus diferentes sentidos só podem ser (...) sistematicamente unificados na medida em que a razão se puder definir como auto-determinação e auto-diferenciação em si mesma. Esta análise e conclusão são fundadas num estudo (1) do sistema como forma conceptual por excelência, (2) da questão do sistema em relação ao problema do fundamento, (3) do sistema como unidade de princípio, (4) do sistema como particularização do universal e por fim, (5) da possibilidade de uma determinação por reflexão como chave da sistematicidade. /// Subject of this paper is the relation between the opposite demands of critique and of the idea of system in Kant's theoretical philosophy. Critique rests on a division of reason in itself while system, on the other hand, is an ideal of unity under one principle. An analysis of the use of the term "system" in Kant's main critical works shows that the term is equivocal, and that its different meanings can only be systematically unified in so far as reason can be defined as self-determination and self-differentiation. This analysis and its conclusion are supported on a study of (1) system as conceptual form, (2) system and the problem of grounds, (3) system as unity of principles, (4) system as particularization of the universal, and (5) the possibility of a reflective determination as key to the idea of systematicity in Kant. (shrink)

In this paper, we intend to demonstrate that the asylum request process can have its semantic and politic structures evidenced from an access via philosophy of language. In order to elucidate the normative nature of this social practice and to take a critical stance in relation to the treatment given to the refuge interview as it has been done in our country, we resort to certain concepts developed by the so called later Wittgenstein. Looking for a more complete treatment of (...) our object of study, we also turn to the authors of Bakhtin’s Circle, which explore communicational dimensions that the Viennese philosopher did not properly explore – with special emphasis on “value accents”. In order to collect empirical evidence relevant to our purposes, a field research was carried out with professionals and volunteers involved in the asylum request interviews. The resulting reports provided us with more basis for the considerations we make about the normative fragility of the interview language game and the intricate value system that guides the interaction between interviewer, interpreter and interviewee. (shrink)

Due to the pandemic and the suspension of in-person school classes, there was an interruption in the meals served to approximately 40 million students who benefited from the Brazilian National School Feeding Program (PNAE). This article describes two case studies, comparing the strategies adopted by two municipalities for maintaining school feeding during the Covid-19 pandemic in the northern region of the state of Rio de Janeiro, Brazil, and discuss possible impacts of these strategies on food and nutrition security. These municipalities (...) together cover about 81% of the population in the region. In July 2020, we conducted interviews with PNAE municipal managers, following a qualitative approach. We discuss the results in relation to existing Brazilian guidance on food and nutrition security. The municipalities have developed distinct strategies to overcome operational obstacles and maintain PNAE goals, such as distributing food kits and making cash transfers to students’ families. The main determinants of these strategies are financial availability, the relationship between municipal teams and school communities, and the pre-pandemic PNAE logistics and management. Depending on the strategy and duration of the pandemic, the impacts on food and nutrition security can be wide-ranging, affecting food quality and local farmers who sell products to PNAE. It is necessary to acknowledge that this is not a short-term pandemic and find ways to perform school feeding in accordance with PNAE criteria. (shrink)

The paper examines the Dialogue De pace fidei written by Nicolaus Cusanus in 1453 to settle disputes arising from events that triggered religious unrest, such as the fall of Constantinople in May 1453, the invasion and massacre of the Turks led by Sultan Mehmed II and the defeat of the Christians. Following the disintegration of medieval Christianity, Cusanus, instead of promoting a crusade, as Cardinal Bessarione did, proposed a more suitable way to make the major exponents of different religions interact (...) in a fruitful dialogue, hoping for the peace of a single universal faith. The arguments through which Cusanus claimed the concept of a concordance and pacification of the faith reveal the originality and topicality of the message communicated by the humanist, founded on the doctrine of peace in the faith, overcoming inter-confessional barriers and religious divergences.The author contrasts the divergences, massacres and wars with a doctrinal comparison among different religions through dialogue. The paper invites reflection upon the religious struggles that still spread discord in the world. (shrink)

O racismo é um dos problemas sociais que mais interferem nas relações cotidianas do ser humano, principalmente, no que diz respeito à população negra. Esse problema implica em sérias consequências no convívio entre as pessoas, gerando a necessidade de que intervenções sejam realizadas em âmbitos sociais para consciência e respeito mútuo, reconhecendo e valorizando diferenças raciais. A Educação das Relações Étnico-Raciais, que tem como pilar a Lei 10.639/2003, é uma das bases para que a temática étnico-racial possa ser discutida na (...) escola como forma de combate à práticas retrogradas de racismo e ideologias de superioridade de raças. Esse estudo de caso, realizado no interior da Bahia no Ensino Médio, teve como objetivo entender como tem sido a abordagem étnico-racial no ambiente e sua influência no cotidiano dos envolvidos. Observou-se que alunos e educadores têm percepções diferentes sobre o tratamento despendido ao negro no ambiente escolar; que a escola não tem feito inferências significativas sobre a temática; que falta conhecimento sobre as diretrizes para a Educação das Relações Étnico-Raciais; dentre outros. A partir dos achados verifica-se que faltam intervenções educacionais e formação profissional para abordagem discursiva e prática sobre a temática racial no ambiente. Palavras-chave: Educação; Ensino Médio; Relações Raciais; Racismo. (shrink)

The term ‘scientism’ has not attracted consensus about its meaning or about its scope of application. In this paper, we consider Mizrahi’s suggestion to distinguish ‘Strong’ and ‘Weak’ scientism, and the consequences this distinction may have for philosophical methodology. While we side with Mizrahi that his definitions help advance the debate, by avoiding verbal dispute and focussing on questions of method, we also have concerns about his proposal as it defends a hierarchy of knowledge production. Mizrahi’s position is that Weak (...) Scientism should be adopted, stating that “of all the knowledge we have, scientific knowledge is the best knowledge”. This version of scientism, however, has consequences for philosophical methodology. In particular, if one conceives of philosophy as an a priori discipline and holds Weak Scientism, the introduction of empirical methods in philosophy may threaten its very essence or soul. In this chapter, we will defend the move to adopt empirical methods in philosophy and argue that, rather than threatening its essence or soul, these methods put philosophy in a better position to contribute to knowledge production, an endeavor shared with the sciences, and in a very interdisciplinary spirit. Our point of disagreement with Mizrahi is that we should avoid any hierarchy of knowledge, and instead focus on what each perspective -- scientific, philosophical, historical, or other -- can contribute to understanding phenomena. (shrink)

A concepção de mundo estoica é fundamentada por uma rede causal de relações determinadas pela natureza. O destino faz parte dessas relações, problematizando a questão da liberdade num ambiente determinista. Levando em consideração esse legado teórico, Epicteto coloca a liberdade nas escolhas do indivíduo em relação a essas determinações, que ele atribui à providência divina.

The hoax perpetrated by New York University theoretical physicist Alan Sokal in 1996 on the editors of the journal Social Text quickly became widely known and hotly debated. (See Physics Today January 1997, page 61, and March 1997, page 73.) "Transgressing the Boundaries -- Toward a Transformative Hermeneutics of Quantum Gravity," was the title of the parody he slipped past the unsuspecting editors. [1] Many readers of Sokal's article characterized it as an ingenious exposure of the decline of the intellectual (...) standards in contemporary academia, and as a brilliant parody of the postmodern nonsense rampant among the cultural studies of science. Sokal's paper is variously, so we read, "a hilarious compilation of pomo gibberish", "an imitation of academic babble", and even "a transformative hermeneutics of total bullshit". [2] Many scientists reported having "great fun" and "a great laugh" reading Sokal's article. Yet whom, exactly, are we laughing at? (shrink)

Placebos are often used by clinicians, usually deceptively and with little rationale or evidence of benefit, making their use ethically problematic. In contrast with their typical current use, a provocative line of research suggests that placebos can be intentionally exploited to extend analgesic therapeutic effects. Is it possible to extend the effects of drug treatments by interspersing placebos? We reviewed a database of placebo studies, searching for studies that indicate that placebos given after repeated administration of active treatments acquire medication-like (...) effects. We found a total of 22studies in both animals and humans hinting of evidence that placebos may work as a sort of dose extender of active painkillers. Wherever effective in relieving clinical pain, such placebo use would offer several advantages. First, extending the effects of a painkiller through the use of placebos may reduce total drug intake and side effects. Second, dose-extending placebos may decrease patient dependence. Third, using placebos along with active medication, for part of the course of treatment, should limit dose escalation and lower costs. Importantly, provided that nondisclosure is pre-authorized in the informed consent process and that robust evidence indicates therapeutic benefit comparable to that of standard full-dose therapeutic regimens, introducing dose-extending placebos into the clinical arsenal should be considered. This novel prospect of placebo use has the potential to change our general thinking about painkiller treatments, the typical regimens of painkiller applications, and the ways in which treatments are evaluated. (shrink)

Social context shapes negotiators’ actions, including their willingness to act unethically. We use a simulated negotiation to test how three dimensions of social context—dyadic gender composition, negotiation strategy, and trust—interact to influence one micro-ethical decision, the use of deception. Deception in all-male dyads was relatively unaffected by trust or the other negotiator’s strategy. In mixed-sex dyads, negotiators consistently increased their use of deception when three forms of trust were low and opponents used an accommodating strategy. However, in all-female dyads, negotiators (...) appeared to use multiple and shifting reference points in deciding when to deceive the other party. In these dyads, the use of deception increased when a competitive strategy combined with low benevolence-based trust or an accommodating strategy combined with high identity-based trust. Deception in all-female dyads decreased when a competitive strategy was used in the context of low deterrence-based trust. (shrink)

Today, in both theory and practice, the concepts of corporate social responsibility and ethics are not necessarily related. Organizations can demonstrate high levels of social proactivity in their CSR policies with or without having laudable levels of ethical quality or virtuousness. This article introduces the concepts of organizational ethical quality to evaluate the moral excellence of CSR actions and policies, identifying and categorizing varying levels ranging from the absence of ethical virtuousness, termed immoral CSR, to high levels of moral CSR, (...) or ethical virtuousness. High MCSR is the product of both high levels of OEQ in conjunction with more proactive CSR policies based on social action. (shrink)

Inter- and transdisciplinary research arise as necessary conditions to address societal problems. These collaborations, by definition, encompass experts from distinct domains, demanding an epistemic dependence between researchers. In such cases where, additionally, an epistemic asymmetry exists, this might then lead to tensions and enhance epistemic disagreements. How should scholars behave when in peer disagreement? On the one hand, in philosophical literature on the epistemology of disagreement, normative accounts about how one should respond when facing an epistemic disagreement are usually built (...) upon hypothetical scenarios that do not portray real-life disagreements in scientific settings. On the other hand, Science and Technology Studies (STS) research that deals with academic and scientific disagreement typically uses a descriptive, empirical approach. We argue that before a normative account of responses to disagreement is developed, we need to understand how academic disagreement actually takes place in real interdisciplinary scientific practice. In this chapter, we address a case of academic disagreement within an interdisciplinary research team in Brazil during their development of a framework for transdisciplinary collaboration. Data was collected with ethnographic tools, while the analytic perspective of the investigation is grounded on recent debates about research groups in social epistemology and in the epistemology of disagreement. We will show that an interplay between trust and disagreement is required for dealing with inter- and transdisciplinary research practices. We hold that shedding light on disagreements and communications between collaborators may improve the epistemic performance of collaborative research teams by refining the dynamics of inter- and transdisciplinary investigations. (shrink)

On 19 July 2016, three medical organisations filed a federal lawsuit against representatives from several Vermont agencies over the Patient Choice and Control at End of Life Act. The law is similar to aid-in-dying laws in four other US states, but the lawsuit hinges on a distinctive aspect of Vermont's law pertaining to patients' rights to information. The lawsuit raises questions about whether, and under what circumstances, there is an ethical obligation to inform terminally ill patients about AID as an (...) end-of-life option. Much of the literature on clinical communication about AID addresses how physicians should respond to patient requests for assisted dying, but neglects the question of how physicians should approach patients who may not know enough about AID to request it. In this article, I examine the possibility of an affirmative duty to inform terminally ill patients about AID in light of ethical concerns about professional responsibilities to patients and the maintenance of the patient–provider relationship. I suggest that we should not take for granted that communication about AID ought to be patient-initiated, and that there may be circumstances in which physicians have good reasons to introduce the topic themselves. By identifying ethical considerations that ought to inform such discussions, I aim to set an agenda for future bioethical research that adopts a broader perspective on clinical communication about AID. (shrink)

In this paper, classical pragmatism is used as a method, not as a substantial ethical theory, to develop “moral pragmatics.” Moral pragmatics offers a constructive approach for making progress where traditional ethical theories converge, and it innovates ethical deliberation. Assuming widespread agreement that real moral problems need practical solutions, the paper addresses two related problems: the missing link between ethical theories and moral practice, and the question of who is in charge of finding such solutions. It argues that “conscience” can (...) create a link between ethical knowledge and moral practice, and that this partly discharges “the ethicist” from the task of solving problems that are not really, or not only, hers. Two specific methodological innovations are suggested that go beyond admonitions to render ethics sensitive to context. Instead, a reevaluation of “casuistry” and a sensitivity for “finding the right words” give an idea of how to achieve this goal. (shrink)

Using a simulated two-party negotiation, we examined how trustworthiness and power balance affected deception. In order to trigger deception, we used an issue that had no value for one of the two parties. We found that high cognitive trust increased deception whereas high affective trust decreased deception. Negotiators who expressed anxiety also used more deception whereas those who expressed optimism also used less deception. The nature of the negotiating relationship (mutuality and level of dependence) interacted with trust and negotiators’ affect (...) to influence levels of deception. Deception was most likely to occur when negotiators reported low trust or expressed negative emotions in the context of nonmutual or low dependence relationships. In these relationships, emotions that signaled certainty were associated with misrepresentation whereas emotions that signaled uncertainty were associated with concealment of information. Negotiators who expressed positive emotions in the context of a nonmutual or high dependence relationship also used less deception. Our results are consistent with a fair trade model in which negotiator increases deception when contextual and interpersonal cues heighten concerns about exploitation and decrease deception when these cues attenuate concerns about exploitation. (shrink)

In this article, we reassess two of Mises’ core methodological claims. The first claim is that action is necessarily rational. The second claim is that all human minds share a logical structure. Neither claim can be unreservedly accepted but, we argue, both contain truth: Mises’ reflections remain important contributions to our understanding of action and the mind, hence to economics.

The global crisis of COVID-19 pandemic has considerably accelerated the use of teleconsultation (consultation between the patient and the doctor via video platforms). While it has some obvious benefits and drawbacks for both the patient and the doctor, it is important to consider—how teleconsultation impacts the quality of the patient-doctor relationship? I will approach this question through the lens of phenomenology of the body, focusing on the question—what happens to the patient objectification in teleconsultation? To answer this question I will (...) adopt a phenomenological approach combining both insights drawn from the phenomenological tradition, i.e., the concepts of the lived body and the object body, and the results from the phenomenologically informed qualitative research study on the patient experience of teleconsultation. The theoretical background against which I have developed this study comprises discussions within the field of phenomenology of medicine regarding the different sources of patient objectification within clinical encounter and the arguments concerning the negative impact that objectification has on the quality of care. I will argue that a factor that has frequently been identified within phenomenology of medicine as the main source of patient objectification in clinical encounters, namely, the internalized gaze of the clinician, is diminished during teleconsultation, increasing patient’s sense of agency, decreasing her sense of alienation and opening up the possibility for a closer relationship between the patient and the health care provider, all of which lead to the transformation of the hierarchical patient-health care professional relationship. (shrink)

This essay looks closely at metaphors and other figures of speech that often feature in how Americans talk about dementia, becoming part of cultural narratives: shared stories that convey ideas and values, and also worries and fears. It uses approaches from literary studies to analyze how cultural narratives about dementia may surface in conversations with family members or health care professionals. This essay also draws on research on a notable social effect of legalizing medical aid in dying: patients may find (...) it easier to bring up a range of concerns, regardless of whether they have any interest in hastening their own death. The essay proposes that health care professionals rethink an idea prominent within their own culture: that conversations about the end of a person's life are inherently difficult. This framing may make it hard for people facing dementia to bring up their concerns about what lies ahead. We suggest a different way to think about these conversations, using the metaphor of “opening the door” to represent inviting a patient to bring up issues of deepest concern. (shrink)

Chronic migraine is a difficult disease to diagnose, and its pathophysiology remains undefined. Its symptoms affect the quality of life and daily living tasks of the affected person, leading to momentary disability. This is a pilot, randomized, controlled, double-blind clinical trial study with female patients between 18 and 65 years old with chronic migraine. The patients underwent twelve mindfulness sessions paired with anodal transcranial direct-current stimulation over the left dorsolateral prefrontal cortex, with current intensity of 2 mA applied for 20 (...) min, three times a week for 4 weeks. In addition, 20 min of mindfulness home practices were performed by guided meditation audio files. A total of 30 participants were evaluated after the treatment, and these were subdivided into two groups—active tDCS and sham tDCS, both set to mindfulness practice. The FFMQ-BR, MIDAS, and HIT-6 questionnaires were used to evaluate the outcomes. After the treatment, the active mindfulness and tDCS group showed better results in all outcomes. The sham group also showed improvements, but with smaller effect sizes compared to the active group. The only significant difference in the intergroup analysis was the outcome evaluated by HIT-6 in the post treatment result. Our results provide the first therapeutic evidence of mindfulness practices associated with left DLPFC anodal tDCS with a consequent increase in the level of full attention and analgesic benefits in the clinical symptoms of patients with chronic migraine. (shrink)

Stresses on healthcare systems and moral distress among clinicians are urgent, intertwined bioethical problems in contemporary healthcare. Yet conceptualizations of moral distress in bioethical inquiry often overlook a range of routine threats to professional integrity in healthcare work. Using examples from our research on frontline physicians working during the COVID-19 pandemic, this article clarifies conceptual distinctions between moral distress, moral injury, and moral stress and illustrates how these concepts operate together in healthcare work. Drawing from the philosophy of healthcare, we (...) explain how moral stress results from the normal operations of overstressed systems; unlike moral distress and moral injury, it may not involve a sense of powerlessness concerning patient care. The analysis of moral stress directs attention beyond the individual, to stress-generating systemic factors. We conclude by reflecting on how and why this conceptual clarity matters for improving clinicians’ professional wellbeing, and offer preliminary pathways for intervention. (shrink)