El objetivo de esta investigación es analizar los procesos de acreditación de programas de licenciatura en la Universidad Autónoma de Zacatecas (UAZ), para identificar áreas de oportunidad para la consolidación del proceso y de los programas. El enfoque es cualitativo, la metodología utilizada fue la revisión de documentos institucionales y la realización de entrevistas semiestructuradas a exfuncionarios, las cuales se transcribieron, codificaron y analizaron con el software ATLAS.ti. Se concluye que la consolidación de procesos de acreditación en la UAZ es (...) una utopía. Sin embargo, se identificaron áreas de oportunidad como insumo para el Proceso de Reforma Universitaria en curso. (shrink)

A través de un estudio de caso y bajo el paradigma de investigación cualitativa, este artículo contribuye con evidencia que da cuenta de la conformación de los repertorios lingüísticos de estudiantes universitarios en el centro-norte de México, así como los espacios en donde ejercen prácticas lingüísticas flexibles.

The detrimental effect of human behavior on the environment is undeniable. Attitudes are recognized as a predictor of the pro-environmental behavior; therefore, having good quality tools in Colombia to measure them is strategic to assess interventions. This study aims to establish psychometric indicators for the pro-environmental attitudes questionnaire Colombian version to a sample of 415 volunteers aged 18–70 years. We used the 28-item PEAQ already linguistically adapted for Colombia. We applied the following questionnaires: Environmental awareness, environmental values, and the pro-environmental (...) at work questionnaire. We used a one-parameter Rasch model and Winsteps program to assess the PEAQ's one-dimensionality and item statistics by gender, and estimated Spearman's rho coefficient between the PEAQ scores and the scales for concurrent validity. The PEAQ in this study has 24 items because 4 items did not fit into the Rasch model criteria. Its one-dimensionality was supported by an explained variance and the first residual variance. The coefficients, α = 0.95 and Ω = 0.95; Rasch for persons = 0.90; and Rasch for items = 0.95. The correlation between the PEAQ and the EC, EV, and PEWQ scales were Spearman's rho coefficient = 0.859, 0.795, and 0.885, respectively. Thus, the PEAQ Colombian version's psychometric indicators support it as a valid and reliable instrument to measure pro-environmental attitudes in this country. (shrink)

Se ha sostenido tradicionalmente que los predicados atribuidos a Dios y a las criaturas son análogos. Pero, ¿qué es la analogía? Varios filósofos han pensado que la analogía debe ser considerada como una forma de ambigüedad. Argumentamos aquí que los predicados atribuidos a Dios y a las criaturas no son ambiguos o vagos. Siguiendo algunas sugerencias de McDaniel, proponemos una concepción de la analogía donde el fenómeno semántico está asociado con el carácter más o menos natural de la propiedad o (...) propiedades que instancian las entidades que satisfacen el predicado análogo. Un predicado "θ" es análogo si y sólo si, la propiedad Θ, que algo instancia, si y sólo si es θ, es menos natural que cualquier propiedad Ξ tal que todo lo que instancie Ξ, instancia Θ. Además, se requiere que las entidades de las cuales el término análogo es predicado deban ser ontológica o epistémicamente dependientes unas de otras. || It has been traditionally sustained that predicates attributed to God and to the creatures are analogical predicates. But, what is analogy? Several philosophers have thought that analogy should be taken as a form of ambiguity. Here we argue that predicates attributed to God and to creatures are neither ambiguous nor vague. Following some suggestions given by McDaniel, we propose a view of analogy in which the semantic phenomenon is associated with the more or less natural character of the property or properties that the entities that satisfy the analogous predicate instantiate. A predicate "θ" is analogous if and only if the property Θ, which something instantiates, if and only if it is θ, is less natural that any property Ξ so that anything that instantiates Ξ, instantiates Θ. Furthermore, it is required that the entities of which the analogous term is predicated should be either ontologically or epistemically dependent on each other. (shrink)

Este artículo presenta el informe final de una investigación que ha surgido a partir de la observación situada en aquellos jardines de infantes de San Carlos de Bariloche en los cuales las estudiantes realizaban las prácticas de enseñanza. Al relevar los modelos organizacionales de las instituciones educativas de primera infancia se observa que presentan variadas organizaciones en la conformación de las grupalidades. A partir de ello, nos propusimos profundizar en las salas multiedad, y analizar las formas en que se lleva (...) a cabo la planificación didáctica en las mismas. Hemos fundamentado la propuesta de investigación desde el paradigma de la diversidad cultural de la UNESCO (2002), haciendo énfasis en la educación desde el enfoque pedagógico “que contemple la diversidad como condición inherente al ser humano” (Anijovich, 2019, p. 21). Mientras que, desde lo metodológico, seleccionamos especialmente un enfoque cualitativo, si bien consideramos aspectos cuantitativos necesarios para la tarea. En relación a las planificaciones que acompañaban estos cambios - en términos generales - observamos que revestían diferentes formatos, pero en todos los casos se las consideraba como proceso de construcción dinámico e interactivo. La intencionalidad de esta investigación fue la construcción de nuevos saberes que aporten y enriquezcan la didáctica específica de la educación inicial. (shrink)

El presente estudio se realizó con el objetivo de evaluar el impacto del estrés emocional en la adecuada toma de decisiones y práctica médica oportuna y de calidad de los estudiantes que cursan el quinto año de la carrera en la Facultad de Medicina de la Universidad Nacional Autónoma de México. Se utilizó una lista de valoración para las competencias de la simulación de reanimación cardiopulmonar avanzada, y un Cuestionario de Maslach Burnout Inventory para valorar los sentimientos, actitudes y de (...) desgaste profesional. Los resultados muestran que aquellos que estaban expuestos a mayor cantidad de labores recientes y estrés fueron más propensos de incidir en errores médicos durante la toma de decisiones y su aprendizaje. This study was conducted with the aim of assessing the impact of emotional stress in the appropriate decision-making and quality medical practice of fifth year medical students from the Faculty of Medicine of the National Autonomous University of Mexico. It was used an assessment list for cardiopulmonary resuscitation simulation competence and a Maslach Burnout Inventory Questionnaire was used to assess feelings, attitudes and professional wear and tear. Results show those who were exposed to a greater number of recent tasks and to greater stress were more likely to make medical mistakes while making decisions and learning. (shrink)

Domestic activities, involving productive and reproductive spheres, are mainly performed by women, requiring a great amount of knowledge and skills that are poorly represented in the literature and often undervalued in the society. Women’s role in the food system was investigated in Lacanjá Chansayab, Mexico, a village inhabited by ~ 400 Lacandon Maya people. This research included participant observation for three months in the community and semi-structured interviews with 10 cis-women and 5 cis-men documenting their recipes, the relationships that are (...) developed along their work in the food systems and actions for the restoration of traditional food. Women’s roles in food systems are central; they have an intricate knowledge of their environment and have principal roles in producing, obtaining, and transforming biodiversity into diverse meals within the kitchenspace. But they do more than producing, collecting, and mixing of ingredients. Their role in the food systems creates different types of relationships; the kitchenspace is a source of empowerment, traditional food is crucial for maintaining biocultural memory, and for establishing relationships with other-than-human beings. However, serving traditional foods is also a potential source for discrimination against their families even from members of their own community. It was recognized by participants that traditional food system is a medium for biocultural restoration in their community. Dignifying women’s work, views, techniques, and knowledge in traditional food systems is critical for food sovereignty, social justice, and biocultural restoration. (shrink)

This paper describes a practice innovation: the addition of formal weekly discussions of patients with prolonged PICU stay to reduce healthcare providers’ moral distress and decrease length of stay for patients with life-threatening illnesses. We evaluated the innovation using a pre/post intervention design measuring provider moral distress and comparing patient outcomes using retrospective historical controls. Physicians and nurses on staff in our pediatric intensive care unit in a quaternary care children's hospital participated in the evaluation. There were 60 patients in (...) the interventional group and 66 patients in the historical control group. We evaluated the impact of weekly meetings to establish goals of care for patients with longer than 10 days length of stay in the ICU for a year. Moral distress was measured intermittently and reported moral distress thermometer scores fluctuated. "Clinical situations" represented the most frequent contributing factor to moral distress. Post intervention, overall moral distress scores, measured on the moral distress scale revised, were lower for respondents in all categories, and on three specific items. Patient outcomes before and after PEACE intervention showed a statistically significant decrease in PRISM indexed LOS, a statistically significant increase in both code status changes DNR, and in-hospital death, with no change in patient 30 or 365 day mortality. The addition of a clinical ethicist and senior intensivist to weekly inter-professional team meetings facilitated difficult conversations regarding realistic goals of care. The study demonstrated that the PEACE intervention had a positive impact on some factors that contribute to moral distress and can shorten PICU length of stay for some patients. (shrink)

Volume 24, Issue 12, December 2024, Page 51-53.

In their article “Moral Stress and Moral Distress: Confronting Challenges to Healthcare Systems Under Pressure” Buchbinder et al. (2024) provide a thoughtful conceptual distinction between moral di...

Moral distress is a well-documented phenomenon for health care providers (HCPs). Exploring HCPs’ perceptions of participation in moral distress interventions using qualitative and quantitative methods enhances understanding of intervention effectiveness. The purpose of this study was to measure and describe the impact of a two-phased intervention on participants’ moral distress. Using a cross-over design, the project aimed to determine if the intervention would decrease moral distress, enhance moral agency, and improve perceptions about the work environment. We used quantitative instruments and (...) explored participants’ perceptions of the intervention using semi-structured interviews. Participants were from inpatient settings, within three major hospitals of a large, urban healthcare system in the Midwest, United States. Participants included nurses (80.6%) and other clinical care providers. Using generalized linear mixed modeling we assessed the change in each of the outcome variables over time controlling for groups. Interviews were audiotaped and professionally transcribed. The written narratives were coded into themes. The change in scores on study instruments trended in the desired direction however did not meet statistical significance. Qualitative interviews revealed that intervention effectiveness was derived from a combination of learning benefits, psychological benefits, and building community that promoted moral agency. Findings demonstrate a clear link between moral distress and moral agency and suggest that Facilitated Ethics Conversations can enhance the work environment. Findings provide insight for developing evidenced-based approaches to address moral distress of hospital nurses. (shrink)

A recent Carnegie Report on Nursing Education – Educating Nurses: A Call for Radical Transformation challenges the nursing profession to embrace an education model that integrates knowledge, skilled know how and ethical comportment. Placing ethics in such a prominent position in nursing education is a radical transformation. Teaching ethics must be intentional and it is integral to the development of individual nurses and the profession as a whole. The development of moral imagination has a prominent place in this new education (...) model. The moral imagination is the ability to ponder and wonder about the inherent rightness or wrongness of decisions, choices and behaviors. This paper will review some key issues relevant to teaching ethics and then explore what nurturing the moral imagination could do for nurses as they learn to apply abstract ethics concepts to their clinical practice. (shrink)

Campbell, Ulrich, and Grady (2016) should be commended for attempting to contribute to the discussion of what many believe is currently a messy concept. They propose that a broader definition of mo...

The article “Moral distress: What are we measuring?” by Kolbe and de Melo-Martin (2023) is an important contribution both to the literature and research agenda for the complicated construct of mora...

Lucia Schwarz urges a reconsideration of the implications of species egalitarianism, which is an essential element of the position in environmental ethics that Paul Taylor calls “respect for nature.” Species egalitarianism’s claim that every living thing has equal inherent worth appears to lead to counterintuitive conclusions, such as that killing a human being is no worse than killing a dandelion. Species egalitarians have generally responded by explaining that species egalitarianism is compatible with recognizing moral differences between killing different types (...) of living things, and that some killing is morally permissible. Schwarz raises doubts about whether this deflationary defensive strategy is philosophically justified, and suggests that taking seriously the supposedly repugnant implications of species egalitarianism may have a salutary effect on the overall debate. (shrink)

Here, I reply to three commentaries on my recent book, Promoting Justice Across Borders: The Ethics of Reform Intervention. The main topics include the scope of the category “reform intervention,” to what extent it is appropriate to evaluate economic activity using moral criteria, the meaning of collective self-determination and its relationship to democracy, and the limits of toleration as a moral ideal.

ABSTRACTWhile Spinoza stipulates an ideal moral person in the propositions on the ‘free man’ in Ethics IV, this account does not seem to be intended to function as a pedagogical tool of political relevance. Hence, it does not seem to correspond to the purpose of moral exemplarism. If we look for that kind of practical guidance, Spinoza’s political works seem more relevant. Interestingly, when we approach Spinoza’s political theory with moral exemplarism in mind, we find that instead of constructing his (...) exemplar on the idea of a supremely moral person, he emphasizes the concept of ingenium to chisel out an imperfect model of human behavior. We argue that the purpose of this is to avoid a utopian and inefficient political theory and to work out a moral practice that is capable of assisting people and communities in ethical self-transformation. (shrink)

Drawing on many areas of expertise, from paleontology to psychology, Tomasello offers a plausible, evolutionary story abouthow our ancestors are likely to have developed cooperative behaviors and collaborative lifeways in order to survive and thrive.He also claims that this narrative explains why they would have begun to think in characteristically cooperative and moral ways,developing a “we is greater than me” [we>me] psychological orientation. Do the arguments offered support this extra claim? Thisarticle suggests that they do not. It seeks to alleviate (...) this shortcoming by drawing upon some conceptual resources offered bySartre’s Theory of Practical Ensembles. The centerpiece of the article consists of a detailed analysis of Sartre’s account of the genesisof the “group-in-fusion,” seeking to show that the genesis of a we-way of thinking in a group made up of many requires themediation of what Sartre calls a “third party” (le tiers). After closely examining Sartre’s treatment of the “third party” in theapocalyptic genesis of the “group-in-fusion,” I evaluate the success of this notion in resolving those questions that Tomasello’saccount raises while, at the same time, addressing the ontological question concerning the nature of the individual-grouprelation, in a way that suggests new and significant alternatives to standard dilemmas in contemporary social philosophy. (shrink)

Political theorists have written a great deal about the ethics of “intervention,” defined as states using coercion or force to interfere in foreign societies’ politics. But this work leaves much of global politics un-analyzed—both because non-state actors play an increasingly significant role in it and because its practitioners use many tactics besides force and coercion.We need an ethics of foreign influence to help us navigate the global political arena in all its complexity. Here, I begin to develop a unified theory (...) of the ethics of deliberate attempts to promote justice in foreign societies, whether undertaken by state or non-state actors, and whatever tactics they employ. I identify two important but under-appreciated dimensions along which instances of foreign influence can differ and argue that, once we appreciate the full range of forms foreign influence can take, we’ll see it’s often immune to the common moral objections against intervention. (shrink)

This paper attempts to answer whether the property of “efficacy” can be attributed to constitutive rules. In particular, according to Di Lucia, I will point out some problems that the “semantic conception of efficacy” has concerning constitutive and regulative rules. Then, the main goal of the paper will be to reflect on the possibility of the efficacy of constitutive rules by means of a complex case that the semantic conception seems to disregard: The case of the cheater. Does the (...) action of the cheater show the inefficacy of constitutive rules? Does she play the game while breaking the rule? Can the semantic conception of efficacy explain this situation, or do we need a more flexible concept of efficacy that takes nomotropism into account? These are some of the questions I will try to answer. (shrink)

Since 1992, institutions accredited by The Joint Commission have been required to have a process in place that allows staff members, patients, and families to address ethical issues or issues prone to conflict. While the commission's expectations clearly have made ethics committees more common, simply having a committee in no way demonstrates its effectiveness in terms of the availability of the service to key constituents, the quality of the processes used, or the outcomes achieved. Beyond meeting baseline accreditation standards, effective (...) ethics resources are requisite for quality care for another reason. The provision of care to the sick is a practice with profound moral dimensions. Clinicians need what Margaret Urban Walker has called “moral spaces,” reflective spaces within institutions in which to explore and communicate values and ethical obligations as they undergird goals of care. Walker proposed that ethicists needed to be concerned with the design and maintenance of these moral spaces. Clearly, that concern needs to extend beyond ethicists to institutional leaders. This essay uses Walker's idea of moral space to describe individuals and groups who are actual and potential ethics resources in health care institutions. We focus on four requisite characteristics of effective resources and the challenges to achieving them, and we identify strategies to build them. In our view, such moral spaces are particularly important for nurses and their colleagues on interprofessional teams and need to be expanded and strengthened in most settings. (shrink)

Las tecnologías exponenciales generan problemáticas éticas que han sido abordadas desde las tradiciones dominantes (principalismo, deontologismo, utilitarismo), con cierto olvido de las éticas del cuidado. Recuperar estas éticas permitiría pensar otras posibilidades de la IA. Entre ellas: un diseño que involucre elementos de vulnerabilidad o el horizonte de una robótica inclusiva. Pensar la gobernanza de la IA y la robótica no sólo desde estas éticas exige complementar la gobernanza _de _las mismas con la consideración de los horizontes éticos en dicha (...) gobernanza implícitos. Si las éticas dominantes abonan alternativas de solución para los impactos de las tecnologías exponenciales, las éticas del cuidado –por cuanto ponen énfasis en la formación del carácter– son especialmente significativas para pensar la interacción entre tecnologías y la formación de la persona moral. _Palabras clave: _Posibilismo tecnológico, gobernanza, ética del cuidado, gobernanza ética. (shrink)

Technologies that deploy data science methods are liable to result in epistemic harms involving the diminution of individuals with respect to their standing as knowers or their credibility as sources of testimony. Not all harms of this kind are unjust but when they are we ought to try to prevent or correct them. Epistemically unjust harms will typically intersect with other more familiar and well-studied kinds of harm that result from the design, development, and use of data science technologies. However, (...) we argue that epistemic injustices can be distinguished conceptually from more familiar kinds of harm. We argue that epistemic harms are morally relevant even in cases where those who suffer them are unharmed in other ways. Via a series of examples from the criminal justice system, workplace hierarchies, and educational contexts we explain the kinds of epistemic injustice that can result from common uses of data science technologies. (shrink)

This paper explores the ways in which Cordwainer Smith’s short story “Under Old Earth” problematizes emotions, who/what has them, and who/what is granted moral status. Most importantly, however, “Under Old Earth” questions the primacy of happiness in human society, especially where happiness is understood as the absence of other (negative) emotions. As such, “Under Old Earth” challenges the notion, widely held in contemporary ethics, that our moral obligation to one another is mediated through the goal of the attainment of happiness. (...) Through this challenge, Smith’s short story speaks directly to the current understanding of emotion in the field of AI, and complicates what the goal of affective computing should be. (shrink)

In the Laws, Plato theorizes citizenship as simultaneously a political, ethical, and aesthetic practice. His reflection on citizenship finds its roots in a descriptive psychology of human experience, with sentience and, above all, volition seen as the primary targets of a lifelong training in the values of citizenship. In the city of Magnesia described in the Laws erôs for civic virtue is presented as a motivational resource not only within the reach of the 'ordinary' citizen, but also factored by default (...) into its educational system. Supporting a vision of 'perfect citizenship' based on an internalized obedience to the laws, and persuading the entire polity to consent willingly to it, requires an ideology that must be rhetorically all-inclusive. In this city 'ordinary' citizenship itself will be troped as a performative action: Magnesia's choral performances become a fundamental channel for shaping, feeling and communicating a strong sense of civic identity and unity. (shrink)

This book explores when, and using what means, global political actors are morally justified in promoting their own ideas of justice in foreign societies. It develops ethical principles we can use to judge when such activities (“reform interventions”) are justified. In so doing, it re-conceives the traditional boundaries of politics and lays the foundation for a politically-engaged cosmopolitanism.

Este trabajo discute varias formulaciones diferentes del principio de causalidad considerando la función que tales principios pueden cumplir en argumentos cosmológicos. Se argumenta que el principio se comprende mejor como requiriendo una causa para todos los estados de cosas contingentes, en vez de requiriendo una explicación para todas las proposiciones verdaderas contingentes. Se argumenta, también, que el requerimiento de una causa para un estado de cosas no debe ser visto como el requerimiento de algo que hace necesaria la ocurrencia del (...) efecto. Varias dificultades bien conocidas pueden ser evitadas con causas que no hacen necesarias sus producciones. Se argumenta, luego, que en las teorías combinatorias de la modalidad, donde todo puede existir con o sin cualquier otro existente diferente, las formulaciones fuertes del principio de causalidad parecen falsas, pero las formulaciones débiles, donde sólo se postula una causa posible para todo estado de cosas, parecen verdaderas. Por otro lado, tanto las formulaciones fuertes como las débiles parecen verdaderas en las concepciones causales de la modalidad. Sin embargo, en las teorías causales de la modalidad la fase II del argumento cosmológico resulta mucho más difícil, esto es, parece mucho más complicado justificar que el objeto concreto necesario al que se hace referencia es omnisciente, omnipotente y moralmente perfecto. This work discusses several different formulations of the principle of causality considering the function that those principles might play in cosmological arguments. It is argued that the principle is best understood as requiring a cause for all contingent states of affairs, instead of as requiring an explanation for all contingent true propositions. It is also argued that the requirement of a cause for a state of affairs should not be seen as the requirement for something that necessitates the effect. Several well-known difficulties haunting the principle can be avoided with non-necessitating causes. It is then argued that in combinatorial theories of modality, where everything can exist with or without any other different existent, the strong formulations of the principle of causality seem false, but the weak formulations, where only a possible cause for every contingent state of affairs is postulated, seem true. On the other hand, both strong and weak formulations of the principle seem true on the causal conceptions of modality. Nevertheless, in causal theories of modality phase II of the cosmological argument turns out to be much more difficult, i. e., it seems much harder to justify that the necessary concrete object referred to is omniscient, omnipotent and morally perfect. (shrink)

The rapid development of large language models (LLM’s) and of their associated interfaces such as ChatGPT has brought forth a wave of epistemic and moral concerns in a variety of domains of inquiry...

The emotion of anger has received overall negative treatment in recent moral philosophy. This article explores the gendered representations of anger in the Lienüzhuan 《列女傳》 of Liu Xiang 劉向 (77–6 BCE). It begins with a brief account of the semantic field of anger and its representation in the Lienüzhuan, focusing on three important patterns. Perhaps most important is the didactic role of anger; and how female teachers use it (or avoid it) in instructing male sons, husbands and rulers. Second is (...) the treatment of women’s distinct strategies for addressing the effects of being the object of the anger of others. The third is the representation of female anger in accounts of female vice. The representations of anger in the LNZ provides an important alternative to views of anger as motivated by the desire for payback and status. The LNZ, like other pre-Qin texts, understands anger very differently, and focuses on other-regarding anger, based on perceptions of wrongdoing and injustice. (shrink)

Background: Reliance on moral principles and professional codes has given nurses direction for ethical decision-making. However, rational models do not capture the emotion and reality of human choice. Intuitive response must be considered. Research purpose: Supporting intuition as an important ethical decision-making tool for nurses, the aim of this study was to determine relationships between intuition, years of worked nursing experience, and perceived ethical decision-making ability. A secondary aim explored the relationships between rational thought to years of worked nursing experience (...) and perceived ethical decision-making ability. Research design and context: A non-experimental, correlational research design was used. The Rational Experiential Inventory measured intuition and rational thought. The Clinical Decision Making in Nursing Scale measured perceived ethical decision-making ability. Pearson’s r was the statistical method used to analyze three primary and two secondary research questions. Participants: A sample of 182 emergency nurses was recruited electronically through the Emergency Nurses Association. Participants were self-selected. Ethical considerations: Approval to conduct this study was obtained by the Adelphi University Institutional Review Board. Findings: A relationship between intuition and perceived ethical decision-making ability ( r =.252, p =.001) was a significant finding in this study. Discussion: This study is one of the first of this nature to make a connection between intuition and nurses’ ethical decision-making ability. Conclusion: This investigation contributes to a broader understanding of the different thought processes used by emergency nurses to make ethical decisions. (shrink)

O texto tem como propósito realizar uma reflexão sobre a ideia da tradição, considerando a experiência nietzschiana. A tradição não é o oposto da contemporaneidade, não impede a reflexão sobre o presente. A tradição, em qualquer perspectiva filosófica bem como em qualquer dimensão cultural, é um recurso utilizado para explicar nossa inserção na história, poderá ser um recurso para reeditar esta inserção considerando os desafios atuais.

Cancer is a chronic disease that causes the most deaths in the world, being a public health problem nowadays. Even though breast cancer affects the daily lives of patients, many women become resilient after the disease, decreasing the impact of the diagnosis. Based on a positive psychology approach, the concept of co-vitality arises understood as a set of socio-emotional competencies that enhance psychological adaptation. In this sense, emotional intelligence is one of the main protective factors associated with resilience. However, it (...) is not always as beneficial as it seems, and can lead to collateral effects on psychological adjustment. Given this controversy, this study aims to find the specific processes through which the dimensions of Perceived Emotional Intelligence can act as a risk or protective factor in the development of resilience. The total sample was 167 women, 46.7% were breast cancer survivors, and 53.3% were healthy controls. The selection of women with breast cancer carries out randomly, recruited through the Oncology Units. The sample completed measures of resilience and PEI, through Resilience Scale and TMMS-24. The results showed that breast cancer survivors showed higher age and greater levels of resilience and mood repair than healthy women. The mediation analysis revealed that breast cancer survival and PEI predicted 28% of the variance of resilience. The direct effects showed that emotional clarity and mood repair increased resilience levels. Although breast cancer did not predict resilience directly, it does through mood repair by an indirect process. Besides, the analysis showed that emotional attention played a role in vulnerability, decreasing mood repair, and resilience. These research support theories that point to a possible dark side of PEI, thus, a great level of emotional attention makes dark the positive effect of mood repair and personal growth if a clear perception of emotions does not complement it. These results provide empirical support concerning the need to work complementary each dimension of PEI to avoid unwanted effects on intrapersonal adjustment. (shrink)

Hastings Center Report, Volume 52, Issue 5, Page 46-47, September–October 2022.

Views that say corporations can be agents in their own right, metaphysically distinct from their individual members, are increasingly popular. Given the moral significance usually attributed to agency, this raises the question of whether corporate agents have moral rights comparable with those of individual agents. In this article, I argue that, even if we accept corporations can be agents, we must conclude that their moral rights are more limited than, because they are derivative of, the rights of their individual members. (...) In so doing, I offer a version of normative individualism even those who reject methodological individualism should accept. I then apply my findings to criticize the US Supreme Court’s decision in Burwell v. Hobby Lobby. (shrink)

The primary objective was to review pediatric ethics consultations at a large academic health center over a nine year period, assessing demographics, ethical issues, and consultant intervention. The secondary objective was to describe the evolution of PECs at our institution. This was a retrospective review of Consultation Summary Sheets compiled for PECs at our Academic Health Center between January 2008 and April 2017. There were 165 PECs reviewed during the study period. Most consult requests came from the inpatient setting, with (...) the Pediatric and Neonatal Intensive Care Units being the highest utilizers. Consultation utilization increased over the study period. The most common patient age was less than one year. Physicians were most likely to request consultation. Patient Best Interest, Withholding/Withdrawing of Life Sustaining Therapy, and Provider Moral Distress were ethical issues most commonly identified by the consultants. Making recommendations was the most common consultant intervention. The ethics consultation process evolved over time from informal provider discussions, to a hospital infant care review committee, to a pediatric only consultation service, to a combined adult/pediatric consultation service, with variable levels of salary support for consultants. Ethics consultation requests are growing at our institution. Similarities in identified ethical issues exist between our findings and existing literature, however meaningful comparisons remains elusive secondary to variability in approaches to investigation and reporting. A combined paid/volunteer/trainee ethics consultation service model appears sustainable and real time ethics consultation is feasible using this approach. (shrink)

El presente artículo es un comentario al texto de la Teodicea de Antonio Rosmini, pensador italiano del siglo XIX, con el objetivo de vislumbrar algunos puntos clave sobre la participación del hombre en el mal. En primer lugar, se analizará como Rosmini propone la distinción entre el mal metafísico y el mal moral y, por consecuencia, entre limitación y privación. En segundo lugar, se ahondará cómo este autor explica la temática del sufrimiento del mal en cuanto experiencia de crecimiento a (...) nivel de la virtud humana, para la sociedad entera y para el individuo, sin negar el dolor de quien sufre. (shrink)