In this article, we comment upon and provide an arts-informed example of an emotive-focused reflection of a health care practitioner. Specifically, we use poetry and photographic imagery as tools to un-earth practitioners’ emotions within agonizing and traumatic clinical encounters. In order to recognize one’s own humanness and authentically engage in the art of medicine, we immerse ourselves in the first author’s poetic and photographic self-reflection. The poem and image are intended to inspire interpretation and meaning based on the reader’s own (...) professional and/or personal context. The last line of the poem is “I take off the gloves. My hands are marked.”. (shrink)

Perin argues that theSceptic is engaged in the search for truth and that since this is so, the Sceptic aims to satisfy certain basic rational requirements.

BackgroundThis study aims to quantitatively and qualitatively evaluate the activities of a Bioethics Unit (BU) 5 years since its implementation (2016–2020). The BU is a research unit providing empirical research on ethical issues related to clinical practice, clinical ethics consultation, and ethical education for health care professionals (HPS).MethodsWe performed an explanatory, sequential, mixed-method, observational study, using the subsequent qualitative data to explain the initial quantitative findings. Quantitative data were collected from an internal database and analyzed by descriptive analysis. Qualitative evaluation (...) was performed by semi-structured interviews with 18 HPs who were differently involved in the BU’s activities and analyzed by framework analysis.ResultsQuantitative results showed an extensive increment of the number of BU research projects over the years and the number of work collaborations with other units and wards. Qualitative findings revealed four main themes, concerning: 1. the reasons for contacting the BU and the type of collaboration; 2. the role of the bioethicist; 3. the impact of BU activities on HPs, in terms of developing deeper and more mature thinking; 4. the need to extend ethics support to other settings. Overall, our results showed that performing both empirical bioethics research and more traditional clinical ethics activities at the same unit would produce an impetus to increase collaboration and spread an 'ethical culture' among local HPs.ConclusionsOur findings contribute to a growing body of literature on the models of clinical ethics support services and the role of empirical research in bioethics internationally. They also prepare the ground for the implementation of a multidisciplinary Clinical Ethics Committee (CEC) that aims to support the BU’s ethics consultation service within the local context. (shrink)

“Platão, creio, estava doente” (Fédon 59 B). Esta famosa frase do Fédon, a que alude o título desta obra, traduz uma estratégia de ocultamento, pela qual Platão sinaliza claramente que sua obra escrita não pretende se apresentar como um conjunto de documentos históricos, testemunho de diálogos efetivamente ocorridos, ao mesmo tempo em que lhe permite fazer do condutor dos diálogos, na maioria deles Sócrates, uma dramatis persona de si mesmo. Assim como na tradição direta dos escritos Platão esconde-se deliberadamente, mas (...) revela seu pensamento sob a máscara dos personagens literários que criou, também na tradição indireta seu pensamento encontra-se camuflado, seja pelo caráter alusivo de muitas passagens de seus escritos, seja pelo testemunho de seus discípulos imediatos e longínquos. (shrink)

From Gadamer's Habilitation thesis, “Plato’s dialectical ethics. Phenomenological Interpretations Relating to the Philebus” (1928), this article seeks to highlight the fundamental lines of Plato’s image, outlined in that author’s first philosophical publication (1931). The confrontation with the themes of ethics and dialectic, in the current state of Platonic studies, indicates that in Plato’s image drawn in the early confrontation with the Philebus, clearly influenced by the phenomenological notion of Dasein, one already finds the fundamental features of what will become Gadamer's (...) philosophical hermeneutics, fully emancipated from Heideggerian tutelage. (shrink)

Advance care planning (ACP) is considered a pivotal aid in the decision‐making process, especially for many people living with dementia, who inevitably will lose the capacity to make decisions at the end of life. In Italy, ACP has been recently regulated by law 219/2017, leading to the investigation of how physicians deal with ACP in dementia. In order to comprehend the perception of physicians who provide care for patients with dementia regarding ACP and to describe their difficulties and needs, this (...) study presents the results of a qualitative research study performed within a local health authority in northern Italy. Data were collected by semi‐structured interviews with 11 physicians dealing with patients with dementia and were analysed using interpretative phenomenological analysis. Four superordinate themes were identified, describing both the difficulties and challenges perceived by physicians in performing shared ACP in their daily activities. This study demonstrates that physicians experience troubles synchronizing the time of shared ACP with the more rapid development of dementia. Results also suggest that further training about communication on ACP is urgently required to ease the implementation of shared ACP. A broader involvement of institutions and other professionals is also important in spreading ACP among healthcare institutions. (shrink)

In the current debate in political philosophy, the so-called communitarian thinkers intend to offer an alternative to the dominant liberal thought. The ideal of ethicalcommunity as way of life in society in which intersubjective relationships are ruled by laws conceived as public laws, reintroduces the question of virtue in the scope of social and political life, with the requirement of an ethical style of doing politics.

The Academics offered an argument from twins or perceptually indiscernible objects and an argument from dreams or madness in support of the indiscernibility thesis: that every true perceptual impression is such that some false impression just like it is possible. I claim that these arguments, unlike modern sceptical arguments, are supposed to establish mere counterfactual rather than epistemic possibilities. They purport to show that for any true perceptual impression j, there are a number of alternative causal histories j might have (...) had which would not have resulted in any change in the way in which j represents its object. (shrink)

Four hundred seventy-six nuclear power plants are in operation or under construction around the world. Are concepts for designing and operating plants safely sufficient? Conventional approaches are premised on expectations of predictability and control of radiation release and on assumptions that plant operations are closed systems. Field observations in the industry find, however, that the periodic necessity to refuel, test safety equipment, and continuously upgrade plant designs introduces challenges to control not originally calculated. The social and cultural contexts of markets, (...) regulation, and work systems create additional contingencies. In this dynamic environment, reactor operations produce invaluable data about the states of the entire technology and organizational system. Rereading these dynamics as "experiments" suggests an alternative epistemol ogy that synthesizes science's values of doubt, discovery, and documentation with engineering's values of efficiency, optimization, and problem solving. This redefines plant-based risk handlers as ethologists, geologists, and anthropologists of an ecology of visible and invisible hazards. (shrink)

Research question and aim Clinical Ethics Committees (CECs) aim to support healthcare professionals (HPs) and healthcare organizations to deal with the ethical issues of clinical practice. In 2020, a CEC was established in an Oncology Research Hospital in the North of Italy. This paper describes the development process and the activities performed 20 months from the CEC’s implementation, to increase knowledge about CEC’s implementation strategy. Research design We collected quantitative data related to number and characteristics of CEC activities carried out (...) from October 2020 to June 2022 using the CEC internal database. Data were reported descriptively and compared with data from the literature to provide a complete overview of the CEC’s development and implementation process. Participants and research context The study has been conducted at the local health authority (LHA) of Reggio Emilia. It is a report of the activities provided by the CEC, where no HPs or patients were involved. Ethical Considerations The report is part of a larger study named EVAluating a Clinical Ethics Committee implementation process (EvaCEC), which has been approved by the Local Ethics Committee (AUSLRE Protocollo n° 2022/0026554 of 24/02/2022). EvaCEC is also the first author's PhD project. Findings In total, the CEC performed 7 ethics consultations (EC), published three policies related to particular ethical questions of clinical and organizational practice, provided one educational online course on ethics consultation targeting employed HPs, and promoted a specific dissemination process among the different departments of the LHA. According to our results, the CEC widely fulfilled the standard threefold set of clinical ethics support services tasks (namely, ethics consultation, ethics education, and policy development), but further investigations are needed to evaluate the CEC’s impact on clinical practice. Conclusion Our findings may increase knowledge regarding the composition, role, and tasks of a CEC in an Italian setting, informing future strategies and efforts to regulate these institutions officially. (shrink)

O principal ponto de desacordo sobre a abordagem kantiana do problema da verdade é se ela pode ser compreendida nos moldes da filosofia contemporânea como coerentista ou como correspondentista. Primando por uma consideração sistemática da argumentação de Kant em confronto com a literatura existente sobre o problema, este trabalho defende a segunda alternativa. Sustentase a tese de que a definição da verdade como a “concordância do conhecimento com o seu objeto” é cogente em todo o percurso do pensamento kantiano e (...) que, nessa acepção, a verdade culmina por ser abordada não a partir de uma teoria estabelecida, mas como um problema cuja solução não pode ser dada nos limites da filosofia crítico-transcendental. Pondera-se, primeiramente, a literatura que situa Kant quer como coerentista quer como correspondentista e sistematiza-se a segunda alternativa em quatro grupos: a leitura ontológica, a leitura isomórfica, a leitura “consequencialista” e a leitura regulativa. Num segundo momento, em atenção ao período pré-crítico, argumenta-se que a alternativa coerentista deixa de se confirmar já nessa mesma época e que, na década de 1750, Kant descarta uma suposta teoria correspondentista isomórfica. Num último momento, considera-se a argumentação crítica e defende-se que a mesma concebe a verdade como um problema fundamental que não cabe ao tratamento de uma teoria correspondentista concebida de modo “consequencialista” ou regulativo. (shrink)

In this short note we prove that a definable set X over is superstable only if.

This chapter contains section titled: Introduction The Structure of Skeptical Arguments The Arguments of the Ancient Skeptics Reasons for Doubt vs. Reasons for Suspending Judgment Two Puzzles References and Further Reading.

La presente reflexión parte del libro VI de la Ética a Nicómaco y de los resultados de un estudio anterior sobre la phrónesis en Aristóteles, en el cual demostré que la phrónesis aristotélica no es una ciencia contemplativa, sino una sabiduría práctica se dirige inmediatamente a la acción por el conocimiento de los particulares y los medios para alcanzar los fines propuestos por la acción. Esa sabiduría práctica es verdadera y, por tanto, normativa ya que conoce universalmente el fin de (...) la vida humana. En efecto, para Aristóteles la phrónesis es un estado cognitivo habitual, esto es, racional, que presupone un estado volitivo no-racional y un estado cognitivo no estrictamente racional, que es la experiencia. [Portugués] [Fragmento]. (shrink)

Quando Platão trata das “afecções e as formas que ela [a alma] tem na vida humana”, ele a descreve segundo um esquema tripartite, tal como aparece também na exposição dos seus gêneros na República. No Timeu, ao tomar a via mais longa para expor a natureza da alma, Platão apresenta a Ideia da alma cósmica como uma mistura de três Ideias intermediárias procedentes de um princípio bipolar. Assim como na alma do mundo, também a alma humana possui uma estrutura tripartite (...) hierarquizada segundo o mesmo princípio bipolar que governa a realidade. O artigo pretende mostrar que essas perspectivas não se contradizem, mas se completam na obra platônica. (shrink)

The paper begins with an understanding of modernity in terms of an anthropological turn that characterizes Western culture from the seventeenth century. The figures of Descartes and Hobbes indicate, respectively, the discovery of subjectivity and the invention of the individual. Then reflects on the problem of God in philosophical discourse: the attitude of faith is thematized in the understanding of man as image of God and the world as rational structure teleologically ordered toward God. Finally, the paper proposes the understanding (...) of religious experience and of human contingency in terms of an experience of meaning, in which the human being can open himself to the attitude of radical faith as recognition of what gives meaning to the existence of each. (shrink)

Este artigo reflete sobre a passagem da categoria Discussão à categoria Objeto na Lógica da filosofia e sobre a retomada da Discussão pelo Objeto. Essas categorias são ilustradas, respectivamente, pelas atitudes de Sócrates e de Platão. Minha hipótese é que se o Sócrates da Discussão é uma criação de Platão do Objeto, então a retomada da Discussão pelo Objeto constitui um caso único na Lógica da filosofia em que a antiga categoria é produzida pela nova e a nova atitude, gerada (...) pela antiga, a ultrapassa e a conserva na ação. (shrink)

A presente reflexão pretende,em primeiro lugar,fazer uma breve fenomenologia da sociedade moderna liberal,em vista de explicitar a lógica subjacente ao seu mecanismo.Em seguida,pretende verificar se essa organização social,tal como se apresenta aos nossos olhos e tal como ela mesma se compreende,é compatível com a noção de bem que a moral descobre na origem da organização social.Finalmente,conforme sugere o título,pretendemos concluir,refletindo sobre as possibilidades teóricas e práticas, de uma "lógica do reconhecimento",como instrumento de reinvençao da comunidade humana, a ser apresentada como (...) alternativa à "lógica da eficácia" dominante na moderna sociedade neoliberal. . (shrink)

Starting from the platonic concept of thumos/thumoeides formulated in the Republic, the paper intends to show (1) the originality of the those concepts for the Plato’s anthropological conception of the individual and the citizen; (2) its coherence with the platonic doctrine of the Principles, delivered by the so called indirect tradition of the Platonism, and, (3) its fecundity for a contemporary reflection about the action of the statesman and about the political action of the philosopher. Key words: Plato, courage, moderation, (...) measure, mixture, indirect tradition. (shrink)

O artigo trata das relações entre mito e filosofia enquanto formas do discurso humano. A análise filosófica da narrativa mítica a partir do modelo metafórico e a compreensão da consciência mítica, como forma originária da presença do ser humano no mundo, revelam o mito como sabedoria, pela qual os grupos humanos garantiram sua sobrevivência e identidade e na qual formulam o sentido de sua existência.

O texto sugere que a expressão “os inimigos de Filebo” não se refere a Demócrito, nem a Antístenes ou a Espeusipo, mas ao sofista Antifonte. A hipótese se mostra plausível seja pela análise de alguns fragmentos de Antifonte, seja pela constatação de que a expressão platônica se insere na estratégia de aliar-se aos anti-hedonistas para preservar a herança socrática no tratamento das paixões e, ao mesmo tempo, destacar dela uma nova concepção da natureza do prazer.

Esta comunicación toma como punto de partida un conflicto paradigmático entre las concepciones de Isócrates y de Platón sobre la educación y el ideal de hombre que las guiaba, para delinear los trazos de otro conflicto entre el humanismo inspirado por la tradición griega, asumido y transformado en el interior de la tradición cristiana, y un “humanismo” que, en el marco del pensamiento liberal, intenta recrear el ideal de hombre en términos de individuo aislado, con desdoblamientos consecuentes en la concepción (...) de la sociedad y de las tareas del Estado. Las tres figuras del conflicto aquí expuestas indican que los desafíos actuales del humanismo de inspiración cristiana son ciertamente más graves de los que se le presentaron al humanismo griego del siglo IV a.c. El individualismo asumido como ideología, el liberalismo transformado en tradición y el neoliberalismo como doctrina econó- mica hegemónica conforman una comprensión de hombre y de los bienes de la vida humana, en sus dimensiones individuales y sociales, en contraste radical con la que se reporta a la tradición cristiana. Palabras clave:humanismo, individualismo, liberalismo, bien común, justicia. (shrink)

No mito do Político há elementos da cosmologia, da teologia e da antropologia de Platão. Apresentados em narração mitológica, esses elementos não só não estão em contradição com as perspectivas formuladas em contextos argumentativos, mas ajudam a compreendê-las e interpretálas. Esta comunicação quer mostrar: a) o tempo do mundo na era de Zeus está sob governo de deus; b) o governo de deus não exclui, mas exige a autonomia humana; c) a inserção da ação humana no contexto cósmico é fundamental (...) para o sentido e alcance da autonomia humana; d) a descrição platônica do cosmo é crucial para a compreensão de suas preocupações ético-políticas.In the Statesman myth elements of Platonic cosmology, theology, and anthropology can be found. These elements, although presented in a mythological narrative, are not only not in contradiction with Plato's direct formulations, but also help in the understanding and interpreting of them. This paper aims to show that: a) cosmic time in the age of Zeus is under divine government; b) this divine government does not exclude but requires human autonomy; c) the inclusion of human action in the cosmic context is essential to understanding the meaning and reach of human autonomy; d) Plato's description of the cosmos is crucial to understanding his ethicalpolitical preoccupations. (shrink)

Les communautés humaines se sont organisées à l’origine autour de règles morales envisageant leur propre survie. Les règles morales existent parce que les êtres humains sont violents, en tant qu’êtres naturels, et raisonnables, en tant qu’êtres capables de choisir la raison. Le choix de la raison, au moment de créer un domaine d’exclusion et de reconnaissance, est ce qui constitue le monde humain comme monde sensé. La violence, concrétisée sous les plus différentes formes d’exclusion, est la négation du sens. Ainsi, (...) l’élimination progressive de la violence est, en même temps, le secret des morales et le critère de toute action politique qui se veut morale. (shrink)

Na controvérsia da relação entre os diálogos platônicos e as doutrinas não escritas, o Filebo ocupa um lugar privilegiado. O artigo quer mostrar que a recusa de dar uma definição do Bem e alguns aspectos da doutrina dos quatro gêneros são indícios que podem ser remetidos ao ensinamento oral de Platão.

The deduction of the categories lies undoubtedly at the very heart of Kant's theoretical philosophy and, for this reason, it is one of items in the philosophical canon that is greatly discussed and least agreed upon. In the modern and contemporary Western philosophical tradition as well as in Kant’s literature, the loci classici for its consideration are the 1781 and 1787 editions of the Critique of pure reason. In this paper, I aim at presenting and discussing an argument that Kant (...) advances in the Prolegomena and which is virtually ignored in the approach of the deduction of the categories. At first, an inquiry into the distinction between analytic and synthetic methods is carried out. After that, the difference between judgments of perception and judgments of experience is taken into account. Finally, the Prolegomena’s argument for the categories is brought into discussion. (shrink)