Der Alltag der Medizin sowie gesundheitspolitische Losungsstrategien legen nahe, dass unser Gesundheitssystem massgeblich vom biomedizinisch-technischen Fortschritt und der Finanzierbarkeit gepragt ist. In diesem Band kommen Mediziner, Juristen und Gesundheitswissenschaftler zu Wort, die der Uberzeugung sind, dass die entscheidenden Fragen zur Zukunft unseres Gesundheitssystems ethischer Natur sind. Sei es auf der Systemebene der Gesundheitspolitik, der Ebene der Versorgung, sei es in Interaktionszusammenhangen oder seien es rechtliche Gratwanderungen beim Umgang mit Fehlern oder der Patientenverfugung - es geht um die Fragen: Was kann, (...) darf, soll die Medizin, welche Menschenbilder und Visionen des Zusammenlebens liegen ihr zugrunde? Wie viel Zeit bleibt, daruber nachzudenken, Optionen zu entwerfen? - Neben fuhrenden Fachvertretern kommen Patienten und Angehorige zu Wort. Ihre Erfahrungen fliessen ein in ein mosaikartiges Gesamtbild, das uns hilft, die Medizin der Zukunft im Sinne einer Kontextsteuerung mitzugestalten. (shrink)

This paper focuses on Aristotelian phronesis and aims at highlighting its nature as an eye on particulars with general ends in sight. More specifically, it challenges the particularistic interpretation of phronesis and Aristotelian ethics in order to argue for a “qualified generalism.” After sketching a radical Particularistic Reading (PR), the paper defends an interpretation it calls the Priority of Particulars Reading (PPR). First, it shows how PPR effectively accounts for the Aristotelian priority assigned to practical perception while at the same (...) time counterbalancing that priority by means of two interpretive strategies. Then it offers further support to PPR by appealing to its own reading of Aristotle's phronesis. It aims to show that it is possible to defend a legitimate form of PPR without ending in holding PR, and that Aristotle's own theory and work ground the moderate reading. Finally, it draws some implications by analyzing educational practice. (shrink)

This book on the Tripurārahasya, a South Indian Sanskrit work which occupies a unique place in the Śākta literature, is a study of the Śrīvidyā and Śākta traditions in the context of South Indian intellectual history in the late middle ages. Associated with the religious tradition known as Śrīvidyā and devoted to the cult of the Goddess Tripurā, the text was probably composed between the 13th and the 16th century CE. The analysis of its narrative parts addresses questions about the (...) relationships between Tantric and Purāṇic goddesses. The discussion of its philosophical and theological teachings tackles problems related to the relationships between Sākta and Śaiva traditions. The stylistic devices adopted by the author(s) of the work deal uniquely with doctrinal and ritual elements of the Śrīvidyā through the medium of a literary and poetic language. This stylistic peculiarity distinguishes the Tripurārahasya from many other Tantric texts, characterized by a more technical language. The book is intended for researchers in the field of Asian Studies, Indology, Philosophical, Theological or Religious Studies, Hindu Studies, Tantric Studies and South Asian Religion and Philosophy, in particular those interested in Śākta and Śaiva philosophic-religious traditions. (shrink)

This work promotes the thesis that humans are naturally transhuman. In order to achieve this, we present in the first two sections some examples of technological devices assembled to human beings, and we critically review the assumptions and dichotomies on which the idea of human enhancement is based according to the ordinary transhumanist vision. Thirdly, we present the thesis of the Extended Mind to support our intuition. Fourthly, we dismantle the most relevant philosophical dichotomies that structure the transhumanist position. Finally, (...) we recapitulate the reasons why we should wake up from the transhumanist dream. (shrink)

Il rapporto individuo-solidarietÀ viene qui affrontato nell'ambito delle relazioni familiari. In questo contesto l'‘individuo' si rivela un' astrazione. A lungo ogni nuovo nato č assolutamente dipendente dagli altri. La consapevolezza stessa di essere unici e irripetibili deriva dalla madre, dalla sua donazione di soggettivitÀ e di senso. Tuttavia nella nostra societÀ, egoista e competitiva, la dipendenza e la gratitudine sono negate a favore dell'autonomia. La presunzione di bastare a se stessi impedisce di provare compassione, un'attitudine pre-morale che trova un paradigma (...) efficace nella responsabilitÀ materna, espressione di un sentimento di giustizia che vale la pena d'interrogare. (shrink)

Research on Augmented Reality in education has demonstrated that AR applications designed with diverse components boost student motivation in educational settings. However, most of the research conducted to date, does not define exactly what those components are and how these components positively affect student motivation. This study, therefore, attempts to identify some of the components that positively affect student motivation in mobile AR learning experiences to contribute to the design and development of motivational AR learning experiences for the Vocational Education (...) and Training level of education. To identify these components, a research model constructed from the literature was empirically validated with data obtained from two sources: 35 students from four VET institutes interacting with an AR application for learning for a period of 20 days, and a self-report measure obtained from the Instructional Materials Motivation Survey. We found that the following variables: use of scaffolding, real-time feedback, degree of success, time on-task and learning outcomes are positively correlated with the four dimensions of the ARCS model of motivation: Attention, Relevance, Confidence, and Satisfaction. Implications of these results are also described. (shrink)

This book addresses current threats to citizenship and democratic values posed by the spread of post-truth communication. The contributors apply research on moral, civic, and epistemic virtues to issues involving post-truth culture. The spread of post-truth communication affects ordinary citizens' commitment to truth and attitudes toward information sources, thereby threatening the promotion of democratic ideals in public debate. The chapters in this volume investigate the importance of helping citizens improve the quality of their online agency and raise awareness of the (...) risks social media poses to democratic values. The book moves from two initial chapters that provide historical background and overview of the present post-truth malaise, through a series of chapters that feature mainly diagnostic accounts of the epistemic and ethical issues we face, to the complexities of virtue-theoretic analyses of specific virtues and vices. Virtues, Democracy, and Online Media will be of interest to scholars and advanced students working in virtue ethics, epistemology, political philosophy, and media studies. (shrink)

Background: In Hospital Emergency Department and Emergency Medical Services professionals experience situations in which they face difficulties or barriers to know patient’s advance directives and implement them. Objectives: To analyse the barriers, facilitators, and ethical conflicts perceived by health professionals derived from the management of advance directives in emergency services. Research design, participants, and context: This is a qualitative phenomenological study conducted with purposive sampling including a population of nursing and medical professionals linked to Hospital Emergency Department and Emergency Medical (...) Services. Three focus groups were formed, totalling 24 participants. We performed an inductive-type thematic discourse analysis. Ethical considerations: This study was approved by ethical committees of Ethical Commitee of Clínic Hospital (Barcelona) and Comittee of Emergency Medical Services (Barcelona). The participants received information about the purpose of the study. Patients’ anonymity and willingness to participate in the study were guaranteed. Findings: There were four types of barriers that hindered the proper management of patients’ advance directives in Hospital Emergency Department and Emergency Medical Services: personal and professional, family members, organisational and structural, and those derived from the health system. These barriers caused ethical conflicts and hindered professionals’ decision-making. Discussion: These results are in line with those of previous studies and indicate that factors such as gender, professional category, and years of experience, in addition to professionals’ beliefs and the opinions of colleagues and family members, can also influence the professionals’ final decisions. Conclusion: The different strategies described in this study can contribute to the development of health policies and action protocols to help reduce both the barriers that hinder the correct management and implementation of advance directives and the ethical conflicts generated. (shrink)

Due to the coronavirus disease 2019 (COVID-19) epidemic, global economies have suffered an exogenous shock never seen before with a strong economic and psychosocial impact on organizations. Italy, in the context of the research, has been severely affected. The economic crisis has mainly affected women. In this scenario, entrepreneurial perceived success (objective and subjective) is influenced by increasingly burdensome job demands that entrepreneurs have to face up. Using the job demand-resources model, the study aims to broaden the knowledge of the (...) determinants of entrepreneurial perceived success in the current emergency moment. In particular, as regards of the demands, alongside the specific entrepreneurial demands (time demands, uncertainty and risk, and responsibility), we also decided to include the negative interface family–work in both directions from-family-to-work (NEGWIF) and from-work-to-family (NEGFIW). Regarding the resources, we considered entrepreneurial self-efficacy (researching, planning, marshaling, implementing people, and implementing financial), proactive and elaborate social strategies (SS), and both directions of the positive interface: from-family-to-work (POSWIF) and from-work-to-family (POSFIW). All participants are women entrepreneurs (N= 137) who have completed a self-report questionnaire. We explored the associations between demands, resources, and the dimensions of success through hierarchical regressions. As for the demands, time demands, uncertainty and risk, NEGWIF, and NEGFIW negatively influenced the perceived entrepreneurial success. Regarding resources, planning, implementing financial, proactive and elaborate SS positively influenced the perceived entrepreneurial success. (shrink)

The winds of change sweeping across our globalised world have inspired a wide range of studies, new research paradigms, and new concepts that seek to characterise their nature and effects, the chal...

Going beyond Enlightenment critiques of ancien régime justice, historians are now exploring its distinctive procedures; courtrooms have become a fundamental site for recapturing early modern political and social dynamics. Historians of science and medicine can benefit too. Serving as expert witnesses was prominent among the activities of medical practitioners; and, especially in Continental Europe, natural and medical knowledge was routinely presented and contested in tribunals. This essay aims to promote further research on the resulting wealth of manuscript and printed sources (...) that give access to crucial social and epistemological issues. The voices of different actors, preserved in trial records, can extend our histories of the body. The relations among medical practitioners, and with the legal authorities, provide a hitherto neglected context within which to understand contemporary epistemological debates, from claims and challenges to expertise to the definition and production of evidence, including the status of signs, personal observation, and tests. (shrink)

The idea of an unchanging human nature has always had a special place in Western philosophical thought. Far from being uncontested, this idea has received criticism from different traditions of thought, which have seen it even as an obstacle to the understanding of ourselves. Now it appears in the shape of a renewed naturalism and the opposing forces are the same as in the past. This volume shows some lines of the current debate about human nature: the revival of Herodotus (...) and Protagoras's humanistic relativism and tolerance; Darwinian ethics; the critical relationship between neo-Aristotelian and neo-Kantian moral theories and the results of empirical science; the assumption about the existence of a “moral mind” based on an innate moral grammar; the multicultural political debate which considers the idea of human nature as a product and a tool of Western hegemony; and, finally, the reflection on sex and gender in the theory of difference and on the idea of "living" nature in the contemporary biopolitics. (shrink)

Interleukin‐15 (IL‐15) is a pleiotropic cytokine of the 4 α‐helix bundle family, which binds to a receptor complex that displays common elements with the IL‐2 receptor and a unique high‐affinity α chain. This review focuses on juxtacrine and reverse signaling levels in the IL‐15/IL‐15R system. Specifically, we discuss how agonistic stimulation of membrane‐bound IL‐15 induces phosphorylation of members of the MAP kinase family and of focal adhesion kinase (FAK), thereby upregulating processes including cytokine secretion, cell adhesion and migration. In addition, (...) we explore IL‐15 trans‐presentation and intracellular signaling, and define promising molecular targets for future pharmacological intervention in infectious diseases and immunological disorders. These frontiers in IL‐15/IL‐15Rα research serve as highly instructive examples for key concepts, unsolved problems and therapeutic opportunities in juxtacrine and reverse signaling in general. BioEssays 28: 362–377, 2006. © 2006 Wiley Periodicals, Inc. (shrink)

One of the main challenges in group therapy with drug-addicted patients is collective pseudomentalization, i.e., a group discourse consisting of words and clichés that are decoupled from any inner emotional life and are poorly related to external reality. In this study, we aimed to explore the phenomenology of pseudomentalization and how it was addressed by the therapist in an outpatient group for drug-addicted patients. The group was composed of seven members, and the transcripts of eight audio-recorded sessions were rated and (...) studied. The interventions of the therapist were measured with the mentalization-based group therapy adherence and quality scale by independent raters. Two sessions, one with the highest and one with the lowest adherence, were selected, and the clinical sequences of pseudomentalization were analyzed in a comparative way. The findings revealed that pseudomentalization does occur as a collective phenomenon, akin to “basic assumptions” of Wilfred Bion, which we reconceptualized in this study. Any pseudomentalization seemed to be reinforced by the therapist when she was presenting frequent and long interventions, when abstaining from the management of group boundaries, when providing questions focused more on content than on the mental states of the group members, and when not focusing on emotions. However, the ultimate source of collective pseudomentalization seemed to be the fear of the group members of being overwhelmed by painful emotions, mental confusion, and a loss of identity. The findings also indicated that the principles of MBT-G may be a good antidote to pseudomentalization. (shrink)

Body expression and dance are activities that contribute to the integral well-being of people. In an educational context, the process of evaluating our students implies variations in their moods. This study tackles the states of mind that students perceive before and after the evaluation of a practice in the subject ofBody expression and dance, developed through choreographies, that were, previously rehearsed, and later presented to the rest of the class in a specific session. Our main interest was the obtention of (...) information on the states of mind of the students prior to the evaluation of their choreographies, and again once they had been performed. The study design consisted of two phases: two different choreographies separated by an interval of 2 months. The students were asked about their moods before and after performing their choreographies, which were evaluated. The participants, 167 in total, 35 women and 132 men, aged 18 to 22 years old, filled out a POMS questionnaire, before and after the evaluation of each occasion. Differences were found in the stress-anxiety, vigor-activity, fatigue-immobility scales and the total mood score. In all of them, except for the fatigue-immobility scale, we found a decrease in scores after the performance, compared to scores before. For the Stress-Anxiety factor, lower values were observed in the post-tests in comparison to the pre-tests, and also lower values in the pre- and post-test scores regarding the second choreography. We conclude that the practical evaluation of the subject through choreography modifies the mood states of the students, favoring their well-being after its execution, which is why evaluation through practice is considered a positive element in the educational process. (shrink)

A ocorrência de comorbidade psiquiátrica concomitante à dependência química é frequente, indicando um prognóstico desfavorável para o tratamento desse transtorno. O objetivo do presente estudo foi investigar a ocorrência de comorbidade psiquiátrica em 31 pacientes dependentes de álcool (51,6%) e de ..

Reseña del libro Ciencia y política en Karl Popper. Más nueve ensayos sobre otros temas de su obra. Blanca Inés Prada Márquez (2018). Windmills Editions. 366 pp.

El presente trabajo presenta el proceso completo para la creación de una escala. Se pretende elaborar un esquema que aglutine el proceso por seguir para la construcción de una escala y su posterior validación. Para ello nos centraremos en un estudio de caso que será la elaboración de una escala de prevención del sinhogarismo relacionada con los sucesos vitales estresantes que las personas sin hogar han vivido antes de la situación de sinhogarismo, así como en ella para observar sus dificultades (...) de inclusión. (shrink)

Anísio, Anísios Teixeira: um educador no Museu do Homem do Nordeste traz ao público leitor o pensamento, a atuação e a influência de um dos personagens mais instigantes da cultura brasileira do século XX, o educador Anísio Teixeira (1900-1971). Através da criação da escola Experimental do Recife ligada ao Centro Regional de Pesquisas Educacionais de Pernambuco, Anísio Teixeira teve uma intensa participação na história do então Instituto Joaquim Nabuco de Pesquisas Sociais, hoje Fundação Joaquim Nabuco. Com artigos escritos por coordenaodres (...) do Museu do Homem do Nordeste da Fundaj, e também por alguns de seus educadores, este livro atualiza as influências e o papel que as ideias do educador baiano exercem na educação de jovens nos dias de hoje"--Provided by Publisher. (shrink)

Puts leading Italian thinkers into conversation with established Continental philosophers concerning the future of the nature of the human, technology, metaphysical foundations, globalization, and social and political oppression.

This essay argues that despite of the feminist critique of Merleau-Ponty his phenomenology can be positively appropriated to the theory of sexual difference. It focuses on three issues: the first one is closely linked to the Phenomenology of Perception and introduces a concept of "difference as differentiation". The second one is concerned with the intersubjective dimension of sexuality and will be called a "sexual syncretism". Finally, I’m referring to Merleau-Ponty's notion of "chiasm" in his late work The Visible and the (...) Invisible in order to apply it to the theory of sexual difference. At this point, the difference between sexual beings will be conceptualized as "chiasmatic intertwining". In doing so, I hope to show that Merleau-Ponty's phenomenology is a helpful resource for philosophical research that is mainly concerned with the questions of sexuality and sexual difference. (shrink)

Bacon’s project suggests in theory that the obtaining of absolute certain knowledge is possible but in fact such knowledge is revealed to be impossible. Th e description of the human mind on which Bacon’s account is based seems to imply that the impossibility of obtaining absolute certainty does not depend on the contingent historical situation of a preliminary stage of the scientifi c endeavor. Consequently, a gap emerges between the proposed goal of science and the ways to reach it: Bacon (...) tried to obtain absolute certainty but he only could arrive at degrees of certainty and probability both in theories and in facts. Malgrè lui, Bacon shows himself developing in fact a kind of probabilistic science instead of surpassing the limits to knowledge posed by the skeptical arguments. Th at is the reason why many of his followers could develop a mitigated skepticism in the framework of a Baconian science. (shrink)

Francis Bacon’s theory of matter is a controversial topic among historians. I agree with the viewpoint, which suggests that although Bacon changed his views on atomism repeatedly, he never rejected it completely (Partington, Urbach, Gemelli). I will substantiate this interpretation by paying more attention to the usually neglected allegorical works and by investigating why Bacon changed his mind on atomism in his Novum organum. I shall reconstruct Bacon’s various opinions in chronological order to establish his final evaluation of atomism and (...) his reasons for it. Given that Bacon never embraced a matter theory identical with Greek atomism, I shall here define atomism in the broadest sense, as a corpuscular matter theory that posits final and indivisible particles. Following this semantic delimitation, two successive Baconian opinions will be distinguished: the first took the atom to constitute an ontological and causative-operational principle; the second deprived the atom of this causative-operational ability, but did not touch its ontological priority. At the same time, I will investigate the question concerning the coexistence of atomism and pneumatism in Bacon’s theory, a point that has been discussed in the influential interpretations by Kargon and Rees. I shall argue that Bacon did not regard these two doctrines as incompatible. (shrink)

euroscience of Rule-Guided Behavior brings together, for the first time, the experiments and theories that have created the new science of rules. Rules are central to human behavior, but until now the field of neuroscience lacked a synthetic approach to understanding them. How are rules learned, retrieved from memory, maintained in consciousness and implemented? How are they used to solve problems and select among actions and activities? How are the various levels of rules represented in the brain, ranging from simple (...) conditional ones if a traffic light turns red, then stop to rules and strategies of such sophistication that they defy description? And how do brain regions interact to produce rule-guided behavior? These are among the most fundamental questions facing neuroscience, but until recently there was relatively little progress in answering them. It was difficult to probe brain mechanisms in humans, and expert opinion held that animals lacked the capacity for such high-level behavior. However, rapid progress in neuroimaging technology has allowed investigators to explore brain mechanisms in humans, while increasingly sophisticated behavioral methods have revealed that animals can and do use high-level rules to control their behavior. The resulting explosion of information has led to a new science of rules, but it has also produced a plethora of overlapping ideas and terminology and a field sorely in need of synthesis. In this book, Silvia Bunge and Jonathan Wallis bring together the worlds leading cognitive and systems neuroscientists to explain the most recent research on rule-guided behavior. Their work covers a wide range of disciplines and methods, including neuropsychology, functional magnetic resonance imaging, neurophysiology, electroencephalography, neuropharmacology, near-infrared spectroscopy, and transcranial magnetic stimulation. This unprecedented synthesis is a must-read for anyone interested in how complex behavior is controlled and organized by the brain. (shrink)

This paper explores contract cheating from the perspectives of researchers at three post-secondary institutions in Alberta, Canada, describing their efforts to develop and advance awareness of, interventions against, and responses to contract cheating at their respective institutions. Contract cheating is when a third party produces or completes academic work for a student, and the student then presents the work as their own. The student might have personal connections to the third party, or the student might pay a fee and outsource (...) the academic work to the third party. All three institutions are experiencing an increase in the incidence of contract cheating, which is consistent with trends at colleges and universities across Canada and the world. Contract cheating is not a new phenomenon, but it is a growing one, due in part to students having access to thousands of online companies offering to help them with their academic work. This paper examines personal narratives from four researchers and identifies five key themes: types of contract cheating, students, awareness, evidence and policy implications, and educational development. (shrink)

Phenomenology is considered a philosophy of experience. But in the wake of French post-structuralism beginning in the 1970s, the concept of experience within phenomenology has fallen under heavy critique. Even today, in the context of feminist philosophy the phenomenological concept of experience has yet to recover from the poststructuralist critique. In this article, I will closely examine the poststructuralist critique of the concept of experience within the context of feminist theory. I will thereby refer first and foremost to the poststructuralist (...) theorist Joan Scott, and her influential text “'Experience'”. In my examination of the poststructuralist critique of experience, the leading question will be whether or not this critique, down to its details, can in fact be applied to phenomenology. My thesis is that phenomenology is able to withstand the poststructuralist critique of experience. Further, I will argue that post-structuralism and phenomenology have more in common as regards the concept of experience than is usually admitted. For several reasons, it seems - as I will maintain - that both poststructuralist feminism and phenomenology are equally interested in a strong concept of experience and thus do not promote doing away with the concept. (shrink)

Can art, religion, or philosophy afford ineffable insights? If so, what are they? The idea of ineffability has puzzled philosophers from Laozi to Wittgenstein. In Ineffability and its Metaphysics: The Unspeakable in Art, Religion and Philosophy, Silvia Jonas examines different ways of thinking about what ineffable insights might involve metaphysically, and shows which of these are in fact incoherent. Jonas discusses the concepts of ineffable properties and objects, ineffable propositions, ineffable content, and ineffable knowledge, examining the metaphysical pitfalls involved (...) in these concepts. Ultimately, she defends the idea that ineffable insights as found in aesthetic, religious, and philosophical contexts are best understood in terms of self-acquaintance, a particular kind of non-propositional knowledge. Ineffability as a philosophical topic is as old as the history of philosophy itself, but contributions to the exploration of ineffability have been sparse. The theory developed by Jonas makes the concept tangible and usable in many different philosophical contexts. (shrink)

Trotz großer Verbesserungen in der Versorgung von Menschen mit Typ-1-Diabetes (MmT1D) werden auch bei hoher Motivation und hohem Wissensstand der T1D-Grundlagen und -Therapie die angestrebten Blutglukose-Werte häufig nicht erreicht. Daher hat sich aus der Gruppe der MmT1D und ihrer Angehörigen eine Gemeinschaft zusammengefunden, die auf Basis kommerzieller Technologien sogenannte Open-Source-Closed-Loop-Systeme (OSCLS) entwickelt, welche eine automatisierte Insulinabgabe ermöglichen. OSCLS haben das Potenzial, das Management der Erkrankung zu erleichtern und normnähere Blutglukose-Werte zu erzielen. Die OSCLS sind jedoch weder offiziell geprüfte noch zugelassene (...) Systeme. Aus dem Blickwinkel der Technikfolgenabschätzung untersucht die vorliegende Arbeit mittels leitfadengestützter qualitativer Interviews mit Nutzenden und Fachkräften vorrangig, warum sich die Nutzenden der OSCLS für die Systeme entscheiden und wie sich diese auf das Leben der Nutzenden sowie auf das Gesundheitswesen auswirken. Zudem ordnet diese Arbeit die OSCLS-Bewegung in vergleichbare aktivistische Bewegungen in Medizin und Gesundheit ein sowie in den Kontext der derzeit immer stärker werdenden Bewegung der Patient Innovation. Die Autorin Silvia Woll war als Geisteswissenschaftlerin seit 2015 als Mitarbeiterin am Institut für Technikfolgenabschätzung und Systemanalyse (ITAS) im Karlsruher Institut für Technologie (KIT) tätig. Ihre inhaltlichen Schwerpunkte umfassten dabei Technologien für Gesundheit und Ernährung, Technikethik und partizipative Verfahren wie die Citizen Science. (shrink)