A pobreza e a vulnerabilidade no Brasil originam um cenário no qual a população não é contemplada com seus direitos básicos, incluindo a alimentação. Nesse sentido, a Insegurança Alimentar e Nutricional (IAN) é caracterizada quando uma família não tem acesso aos alimentos, em quantidade e qualidade que supra suas necessidades nutricionais. O estudo tem como objetivo avaliar o risco de Insegurança Alimentar e Nutricional e seus fatores associados em famílias beneficiadas pelo Programa Bolsa Família (PBF), no município de Pantano Grande, (...) RS. A pesquisa foi do tipo transversal com abordagem quantitativa a partir de uma amostra não probabilística, com famílias beneficiadas pelo PBF. Foram aplicados três questionários, sendo um para avaliar os dados socioeconômicos, um de Triagem para Risco de Insegurança Alimentar e outro para avaliar os marcadores de consumo alimentar. Os dados foram analisados no software EpiInfo versão 7.2.5.0. Foram avaliadas 44 famílias e a prevalência de IAN foi de 91%, sendo 75% de IAN grave. Dentre os resultados, a IAN foi mais presente nas famílias chefiadas por mulheres brancas (38,7%; n=17), com idade entre 29 e 50 anos (59,1%; n=26), solteiras (59,1%; n=26), desempregadas (65,9%; n=29), que recebiam menos de um salário mínimo (54,5%; n=24) e com ensino fundamental incompleto (38,7%; n=17), contudo os resultados não apresentaram diferença estatística. Conclui-se que é necessário a implementação de políticas públicas para garantir o direito humano à alimentação adequada e a criação de programas complementares de geração de renda, principalmente para população que já se encontra em situação de vulnerabilidade social. (shrink)

O artigo apresenta como questão norteadora: Qual a base de conhecimentos para a formação de professores de Educação Física? O objetivo visa analisar que conhecimentos são reconhecidos como importantes para a formação de professores de Educação Física, sob a perspectiva dos professores envolvidosno currículo. Foram entrevistados 11 professores de diferentes disciplinas e de diferentes centros de estudos da instituição que atuaram na primeira série do curso . Os resultados demonstram ênfase nos conhecimentos de conteúdo específico como necessários para a formação (...) do professor de Educação Física, além de carência teórica sobre o que vem a ser essa base de conhecimentos para o ensino. L'article présente comme question principale: Lequel la base de connaissances pour la formation d'enseignants d'Éducation Physique? L'objectif vise à analyser que des connaissances sont reconnues comme importants pour la formation d'enseignants d'Éducation Physique, sous la perspective des enseignants impliqués dans le curriculum . Ont été interviewés 11 enseignants de différentes disciplines et de différents centres d'études de l'institution qui ont agi dans première série du cours . Les résultats démontrent accent dans les connaissances de contenu spécifique comme nécessaires pour la formation de l'enseignant d'Éducation Physique, outre manque théorique sur lequel vient à être cette base de connaissances pour l'enseignement. (shrink)

L’histoire de l’obstétrique est un champ d’étude prolixe ; les méthodes d’anesthésie et d’analgésie occupent une place centrale dans ses objets d’analyse. Les premières formes d’anesthésie, à l’aide de divers gaz (éther, chloroforme, protoxyde d’azote) utilisés à partir de la seconde moitié du xixe siècle, ont la part belle des récits historiques. Toutefois, les méthodes d’analgésie du xxe siècle commencent à retenir l’attention historienne. L’« Accouchement Sans Douleur par psychoprophylaxie...

The ageing population has become one of the major issues, with manifold consequences upon the economic welfare and elderly living standards satisfaction. This paper grasps an in-depth assessment framework of the ageing phenomenon in connection with the labor market, with significant implications upon economic welfare, across the European Union. We configure our research on four distinctive groups of the EU–27 countries based on the Active Ageing Index mapping, during 1995–2018, by acknowledging the different intensities of ageing implications on economic well-being (...) from one group of countries to another. The methodological endeavor is based on Structural Equation Modelling. Empirical results highlight that the ageing dimensions and labor market productivity notably shape the socioeconomic development of EU countries, visibly distinguished across the four panels. The economic development induced remarkable positive spillover effects on the welfare of older people, under the influence of the ageing credentials and dynamic shaping factors. Our research advances the literature underpinnings on this multifaceted topic by investigation made on specific groups of the EU countries and distinctive strategies proposed for each group of countries, as effective results for improving the well-being of older people. Constant policy rethinking and adequate strategies should be a top priority for each specific group of EU countries, to further sustain the ageing phenomenon, with positive implications mostly on elderly welfare. (shrink)

" Dr. Cassell discusses the world of the sick, the healing connection and healer's battle, the role of omnipotence in the healer's art, illness and disease, and ...

Some claim that moral factors affect the epistemic status of our beliefs. Call this _the moral encroachment thesis_. It’s been argued that the moral encroachment thesis can explain at least part of the wrongness of racial profiling. The thesis predicts that the high moral stakes in cases of racial profiling make it more difficult for these racist beliefs to be justified or to constitute knowledge. This paper considers a class of racial generalizations that seem to do just the opposite of (...) this. The high moral stakes of the beliefs we infer from these generalizations make it _easier_ rather than _harder_ for these beliefs to be justified or to constitute knowledge. I argue that the existence of this class of cases—cases of “positive profiling”—give us reason to expand our account of moral encroachment in a way that brings it closer to the ideal of pragmatic encroachment that motivates it in the first place. (shrink)

Medicine and ethics alike must learn properly to attend to suffering. We can never truly experience another's distress. We can, however, learn to recognize the particular purposes, values, and aesthetic responses that shape the sense of self whose integrity is threatened by pain, disease, and the mischances of life.

Adults and children spontaneously produce gestures while they speak, and such gestures appear to support and expand on the information communicated by the verbal channel. Little research, however, has been carried out to examine the role played by gesture in the listener's representation of accumulating information. Do listeners attend to the gestures that accompany narrative speech? In what kinds of relationships between gesture and speech do listeners attend to the gestural channel? If listeners do attend to information received in gesture, (...) how is this information represented— is it 'tagged' as originating in the gestural channel? In this article research is described that addresses these questions. Results show that listeners do attend to information conveyed in gesture, when that information supplements or even contradicts the information conveyed by speech. And information received via gesture is available for retelling in speech. These results are taken to demonstrate that gesture is not taken by the listener to be epiphenomenal to the act of speaking, or a simple manual translation of speech. But they also suggest that the information conveyed in a discourse may be represented in a manner that is neither gesture nor language, although accessible to both channels. (shrink)

Like the broom in “The Sorcerer's Apprentice,” technologies take on a life of their own. To bring them under control, doctors must learn to tolerate ambiguity, resist the lure of the immediate, cease fearing uncertainty, and rechannel their response to wonder.

Communism lost the Cold War, not to pure free market capitalism, but to a range of diverse economic systems based onvarying degrees and forms of social regulation of the market. Such social regulation was possible because both polities and economies were primarily national. Since the end of the Cold War, there has been rapid globalization of the economy, but not of effective social regulation. Incipient global political institutions are too weak to regulate global corporate power, while national governments no longer (...) have sufficient reach to regulate large multinationals. Corporate self-regulation has begun, but only haltingly and mostly ineffectively.While global prosperity has risen dramatically in recent decades, not everyone has progressed since the end of the Cold War. Since 1990 some 55 countries have had declining per capita incomes, while inequality has risen within and between countries. It is too soon to say whether global capitalism will be saved from itself by regulation, just as American national capitalism may have been saved by the New Deal reforms it opposed. As Pope John Paul II has warned, the world must not succumb to a "radical capitalist ideology" which "blindly entrusts" social problems to market forces. (shrink)

Ethics committees now require that individuals give informed consent to much health services research, in the same way as for clinical research. This is misguided. Existing ethical guidelines do not help us decide how to seek consent in these cases, and have allowed managerial experimentation to remain largely unchecked. Inappropriate requirements for individual consent can institutionalise health inequalities and reduce access to services for vulnerable groups. This undermines the fundamental purpose of the National Health Service , and ignores our rights (...) and duties as its members, explored here. Alternative forms of community consent should be actively pursued. (shrink)

Bayesian epistemology’s most fundamental diachronic constraint is the norm of Conditionalization. This entry begins by describing the structure of Conditionalization and its generalization, Jeffrey Conditionalization. It goes on to discuss rational constraints on Conditionalization and justifications for Conditionalization. It concludes by considering how Conditionalization handles cases involving memory loss, old evidence, and context-sensitivity.

Lange (2000) famously argues that although Jeffrey Conditionalization is non-commutative over evidence, it’s not defective in virtue of this feature. Since reversing the order of the evidence in a sequence of updates that don’t commute does not reverse the order of the experiences that underwrite these revisions, the conditions required to generate commutativity failure at the level of experience will fail to hold in cases where we get commutativity failure at the level of evidence. If our interest in commutativity is, (...) fundamentally, an interest in the order-invariance of information, an updating sequence that does not violate such a principle at the more fundamental level of experiential information should not be deemed defective. This paper claims that Lange’s argument fails as a general defense of the Jeffrey framework. Lange’s argument entails that the inputs to the Jeffrey framework differ from those of classical Bayesian Conditionalization in a way that makes them defective. Therefore, either the Jeffrey framework is defective in virtue of not commuting its inputs, or else it is defective in virtue of commuting the wrong kinds of ones. (shrink)

Although written primarily for medical research, the Belmont principles have permeated clinical medicine as well. In fact, they are part of a broad cultural shift that has dramatically reworked the relationship between doctor and patient. In the early 1950s, medicine was about making the patient better and maintaining optimism when the patient could not get better. By the 1990s, medicine was about the treatment of specific physiological systems, as directed by the patient, but as limited by the society's concern for (...) justice. (shrink)

Epistemic impermissivism is the view that there is never more than one doxastic attitude it is rational to have in response to one's total evidence. Epistemic permissivism is the denial of this claim. The debate between the permissivist and the impermissivist has proceeded, in large part, by way of 'negative' arguments that highlight the unattractiveness of the opposing position. In light of the deadlock that has ensued, this paper has two aims. The first is to introduce the concept of a (...) 'positive' argument for impermissivism. The second is to show that this argument faces a dilemma, one that generalizes the problems that famously arise for formal constraints like the Principle of Indifference. The aim of this paper is to strengthen the argument against the impermissivist by showing that no positive argument for impermissivism is likely to succeed. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 10.3 (2003) 225-226 [Access article in PDF] Travelers in the Land of Sickness Eric J. Cassell THE PROBLEM OF knowing another person and the world in which that person lives, particularly someone with major mental illness, is addressed in this interesting and rich essay. The number of different metaphors and concepts Potter employs to describe the task of crossing into and then understanding the thoughts, (...) emotions, symptoms, constraints, context, and perspectives of another testifies to the difficulties involved.Yet, as I read the essay, it was not clear what the clinician world traveler, moral tourist, empathizer (and other categories) is supposed to do on the journey to another person. Why do we reach out to the sick person? What is it that we want to know or do that makes this trip necessary? Potter is primarily concerned with mental illness—the examples she cites are patients with schizophrenia—while my experience has in the main been with persons with physical illness, but for the moment, the differences are less important than the central lesson. The illness that the patient presents—the experience of the symptoms, the impairments, disability, and disruptions of the emotional and social existence that happen because of the disease result from an amalgam of the disease process with the specific nature of the sick person. There is no disease in pure form; there is no disease in abstract for clinicians. There is only this sick person. She correctly quotes me, because of all this, as pointing out the importance of integrating knowledge of this particular patient with the abstract knowledge of disease to understand the illness as it is expressed in this person. All to form a basis for the treatment of the patient and especially to help relieve suffering because suffering is always personal, particular, and individual. (It is important in thinking about this topic to remember that most serious diseases, psychiatric and otherwise, are chronic and take place over significant lived time. The acute schizophrenic symptoms or the acute infectious diseases, as dramatic as they are, distract attention from the importance of the place of the sick person.)In physical disease, our long (and continuing) history of separating human beings from nature and the body, and the importance medicine places on objectivity and the objective, have made the inevitable personalization of the disease and symptoms virtually invisible. After ages of explaining psychiatric diseases as the alienation of the person, and a long psychoanalytic period of finding their origins in the person, in the last 30 years these diseases have become increasingly objectified. The place of the person has been diminished as psychiatry has entered the DSM, neurotransmitter, and effective psychotropic drug era. For both physical and mental disease, however, and whatever the current ideology, the nature of person is crucial in determining the onset, diagnosis, course, treatment, and outcome of each illness. It is in order to have an impact on these crucial aspects of sickness that clinicians must come to know their patients to the degree possible. [End Page 225]But there is something more. Nancy Potter quotes a woman with schizophrenia as saying, "All that was my former self has crumbled and fallen together and a creature has emerged of whom I know nothing. She is a stranger to me... She is not real—she is not I... She is I—and because I still have myself on my hands, even if I am a maniac, I must deal with me somehow." (Potter, 2003, p. 215)Must she deal with this crazy self alone? Is that not what her doctors and caregivers are for? But how can they take care of her, protect her, keep what is left intact, and sustain her until she is (hopefully) better without knowing who she is? She makes clear in those few phrases that inside her there is a person with a past, a family, a world, a culture, a role(s) in life, relationships, a body, dreams for the future, things she does, and all the other things that make up a person. It is in... (shrink)

In Religion, Emergence, and the Origins of Meaning , Paul Cassell uses ‘emergence theory’ to explain why religion is so meaningful to individuals and central to social life, going beyond the foundational explanations of Émile Durkheim and Roy Rappaport.

The Nature of Suffering underscores the change that is taking place in medicine from a basic concern with disease to a greater focus on the sick person. Cassell centers his discussion on the problem of suffering because, he says, its recognition and relief are a test of the adequacy of any system of medicine. He describes what suffering is and its relationship to the sick person: bodies do not suffer, people do. An exclusive concern with scientific knowledge of the body (...) and disease, therefore, impedes an understanding of suffering and diminishes the care of the suffering patient. The growing criticism that medicine is not sufficiently humanistic does not go deep enough to provide a basis for a new understanding of medicine. New concepts in medicine must have their basis in its history and in the development of ideas about disease and treatment. Cassell uses many stories about patients to demonstrate that, despite the current dominance of science and technology, there can be no diagnosis, search for the cause of the patient's disease, prognostication, or treatment without consideration of the individual sick person. Recent trends in medicine and society, Cassell believes, show that it is time for the sick person to be not merely an important concern for physicians but the central focus of medicine. He addresses the exciting problems involved in such a shift. In this new medicine, doctors would have to know the person as well as they know the disease. What are persons, however, and how are doctors to comprehend them? The kinds of knowledge involved are varied, including values and aesthetics as well as science. In the process of knowing the experience of patient and doctor move to center stage. He believes that the exploration of the person will engage medicine in the 21st century just as understanding the body has occupied the last hundred years. (shrink)

Recently, some have challenged the idea that there are genuine norms of diachronic rationality. Part of this challenge has involved offering replacements for diachronic principles. Skeptics about diachronic rationality believe that we can provide an error theory for it by appealing to synchronic updating rules that, over time, mimic the behavior of diachronic norms. In this paper, I argue that the most promising attempts to develop this position within the Bayesian framework are unsuccessful. I sketch a new synchronic surrogate that (...) draws upon some of the features of each of these earlier attempts. At the heart of this discussion is the question of what exactly it means to say that one norm is a surrogate for another. I argue that surrogacy, in the given context, can be taken as a proxy for the degree to which formal and traditional epistemology can be made compatible. (shrink)

Jonathan Weisberg has argued that Bayesianism’s rigid updating rules make Bayesian updating incompatible with undermining defeat. In this paper, I argue that when we attend to the higher-order beliefs we must ascribe to agents in the kinds of cases Weisberg considers, the problem he raises disappears. Once we acknowledge the importance of higher-order beliefs to the undermining story, we are led to a different understanding of how these cases arise. And on this different understanding of things, the rigid nature of (...) Bayesianism’s updating rules is no obstacle to its accommodating undermining defeat. (shrink)

This paper considers a problem for Bayesian epistemology and proposes a solution to it. On the traditional Bayesian framework, an agent updates her beliefs by Bayesian conditioning, a rule that tells her how to revise her beliefs whenever she gets evidence that she holds with certainty. In order to extend the framework to a wider range of cases, Jeffrey (1965) proposed a more liberal version of this rule that has Bayesian conditioning as a special case. Jeffrey conditioning is a rule (...) that tells the agent how to revise her beliefs whenever she gets evidence that she holds with any degree of confidence. The problem? While Bayesian conditioning has a foundationalist structure, this foundationalism disappears once we move to Jeffrey conditioning. If Bayesian conditioning is a special case of Jeffrey conditioning, then they should have the same normative structure. The solution? To reinterpret Bayesian updating as a form of diachronic coherentism. (shrink)

Providing a balance of reference to theoretical and practical information on critical thinking, this annotated bibliography of 930 selected items from 1980 through 1991 covers the fields of philosophy, psychology, and education. It is geared especially to teachers, administrators, and researchers in elementary, secondary, and higher education. Representing past and current trends in the concepts, research, and teaching of critical thinking, the eight chapters include literature references to the history of critical thinking, the Critical Thinking Movement, the wide range of (...) views on the definition and concept of critical thinking, testing and evaluating, professional development and teacher training, research studies on learning transfer and effective teaching techniques, theory of teaching critical thinking, and instructional methods. Author and subject indexes. (shrink)

The goals of medicine -- A story about a patient with aortic stenosis -- What are facts in medicine? -- Clarify the chain of events that led to the present state : the case as a narrative -- The case of Myra Manner -- Examine your presuppositions and preconceptions -- Separate and examine the values at issue -- A question of judgment -- The patient, the doctor, and the relationship -- Observation, prognosis, and prognosticating -- Thinking in medicine -- Accepting (...) the challenge. (shrink)

A medical student reflection on humbling compassion through giving and receiving care in the context of global health.

A review of the literature on Corporate Codes of Ethics suggests that whilst there exists an informative body of literature concerning the prevalence of such codes, their design, implementation and promulgation, it is also evident that there is a relative lack of consideration of their impact upon members' everyday organizational behaviour. By drawing upon organizational sociology and psychology this paper constructs a contextualist and interpretive model which seeks to enable an analysis and evaluation of their effects upon individual, group and (...) organizational behaviour. (shrink)

In a controversial paper, David Seedhouse argues that medical ethics is not and cannot be a distinct discipline with it own field of study. He derives this claim from a characterization of ethics, which he states but does not defend. He claims further that the project of medical ethics as it exists and of moral philosophy do not overlap. I show that Seedhouse's views on ethics have wide implications which he does not declare, and in the light of this argue (...) that Seedhouse owes us a defence of his characterization of ethics. Further, I show that his characterization of ethics, which he uses to attack medical ethics, is a committed position within moral philosophy. As a consequence of this, it does not allow the relation between moral philosophy and medical ethics to be discussed without prejudice to its outcome. Finally, I explore the relation between Seedhouse's position and naturalism, and its implications for medical epistemology. I argue that this shows us that Seedhouse's position, if it can be defended, is likely to lead to a fruitful and important line of inquiry which reconnects philosophy and medical ethics. (shrink)

We examined the course of caregiver motherese and the course of the infant’s response based on home movies from two single cases: a boy with typical development and a boy with autistic development. We first blindly assessed infant CG interaction using the Observer computer-based coding procedure, then analyzed speech CG production using a computerized algorithm. Finally we fused the two procedures and filtered for co-occurrence. In this exploratory study we found that the course of CG parentese differed based on gender (...) and child status. The course of an infant’s response to CG vocalization differed according to the type of speech and child status. Mothers spent more time interacting with infants, and fathers appeared to interact with their child preferentially between 12 and 18 months in the TD boy, but not in the AD boy. The TD boy responded equally well to motherese compared to other speech after 1 year of age. For the AD boy, the responses to both types of speech were lower than in the boy with TD and decreased from the second to the third semester. Keywords: Autism; motherese; early interaction; computational methods. (shrink)