Rationale, aims and objectives Given the increasing prevalence of cataract and demand for cataract extraction surgery, patients must often wait to undergo this procedure. We validated a previously developed priority scoring system in terms of clinical variables, pre-intervention health status, appropriateness of surgery and gain in visual acuity (VA) and health-related quality of life (HRQoL).Methods Explicit prioritization criteria for cataract extraction created by a variation of the Research and Development (RAND) and University of California Los Angeles appropriateness methodology were retrospectively (...) applied to a prospective cohort of 5257 patients on waiting lists to undergo cataract by phacoemulsification at 17 hospitals in Spain. Demographic data, clinical data and data related to surgical technique were collected by trained ophthalmologists. Patients were evaluated by their ophthalmologist before the intervention and 6 weeks afterward. They also completed, by mail, the Visual Function Index (VF-14) before the intervention and 3 months afterward.Results High-priority patients experienced greater improvement in VA and HRQoL than those classified as intermediate or low-priority (P < 0.0001), even after adjusting by VA and the VF-14 score at baseline. The time to intervention was the same for high-priority patients as it was for intermediate and low-priority patients.Conclusions The priority score we developed identified patients most likely to experience the greatest improvements from cataract extraction. Use of this tool could provide a fairer and more rational way to prioritize patients for cataract extraction. (shrink)

v. 1. El problema del ente ideal ; Ontología de la existencia histórica ; La claridad en filosofía y otros estudios -- v. 2. Fundamentos de filosofía -- v. 3. La función social de los saberes liberales ; Persona humana y justicia social ; La formació de la personalidad humana -- 4. La estructura de la subjetividad -- v. 5. Economía y libertad -- v. 6. Sobre el hombre y la sociedad ; Universidad y sociedad -- v. 8. Teoría del (...) objeto puro (1990) -- v. 9. La libre afirmación de nuetrso ser ; Ética y realismo -- v. 10. El valor de la libertad (1995) ; El interés por la verdad (1997) -- v. 11. La lógica de los conceptos metafísica (2002-2003) ; La inmortalidad del alma humana (2008) -- v. 12. Artículos y otros escritos breves. (shrink)

Mark Platts is responsible for the first systematic presentation of truth-conditional semantics and for turning a generation of philosophers on to the Davidsonian program. He is also a pioneer in discussions of moral realism, and has made important contributions to bioethics, the philosophy of human rights and moral responsibility. This book is a tribute to Platts's pioneering work in these areas, featuring contributions from number of leading scholars of his work from the US, UK and Mexico. It features replies to (...) the individual essays from Platts, as well as a concluding chapter reflecting on his philosophical career from Oxford to Mexico City. Mind, Language and Morality will be of interest to philosophers across a wide range of areas, including ethics, moral psychology, philosophy of law, and philosophy of language. (shrink)

Resumen: Este artículo pretende mostrar cómo Ortega y Gasset propone una ética vocacional, heroica y deportiva contra, por una parte, el idealismo abstracto y universalista de Kant y, por otra, contra el nihilismo ético de la época de las masas, que acaba en un positivismo utilitarista y en desorientación. Esa ética orteguiana presenta además un carácter humanista mundano, alejado de todo trascendentalismo y fundado sobre la autoilustración del sujeto. De esta forma, el sujeto puede ser dueño y señor de sí (...) mismo para libremente poder gobernar su existencia y dirigirla hacia la realización del sí mismo. Según Ortega y Gasset, oír la vocación que nos llama a ser nosotros mismos es lo que caracteriza al sujeto moral, o sea, al héroe moral. ‘Llegar a ser uno mismo’ es el concepto que Ortega y Gasset propone para rellenar el hueco que ha dejado en el alma europea la muerte de dios anunciada por Nietzsche. Abstract: This article aims to show how Ortega y Gasset proposes a vocational, heroic and sportive ethic against, on the one hand, Kant's abstract and universalist idealism and, on the other hand, against the ethical nihilism of the era of the masses, which ends in utilitarian positivism and disorientation. This orteguian ethics also presents a mundane humanist character, far removed from all transcendentalism, and founded on the self-clarification of the subject. In this way, the subject can be lord and master of oneself to freely govern his existence and direct it toward the realization of the self. According to Ortega y Gasset, to hear vocation that calls us to be ourselves is what characterizes the moral subject, that is, the moral hero. ‘To become oneself’ is the concept that Ortega y Gasset proposes to fill the gap left by God’s death announced by Nietzsche in the European soul. (shrink)

I call illocutionary externalism (IE) the approach to the study of illocutionary force that I favor. IE is inspired by Austin's seminal ideas on performatives and speech acts. According to IE, in the analysis of a paradigmatic illocutionary force we must essentially mention some aspects of the social and natural environment that cannot be reduced to the (de dicto) speakers' mental states, no matter how these are individuated. A difficult problem for IE derives from the possibility of making explicit the (...) force of an utterance. This fact invites us to focus our attention on the utterer (the person who makes the force explicit) and his mental states (illocutionary intentions), and to support a mentalist approach in the study of forces. In this article I shall argue for the compatibility of IE with the phenomenon of the explicitability of illocutionary force. (shrink)

In every introductory course on logic, students learn that expressions like ‘somebody’, ‘nothing’ or ‘every woman’ are not names or referring expressions, but quantifiers, and that, owing to this,...

Considerações sobre as categorias de público e privado, com vistas a uma abordagem mais ampla sobre a relação entre esfera pública, mídia e cidadania no Brasil contemporâneo. Para tanto, remete-se ao legado teórico de Hannah Arendt e Habermas, a fim de fundamentar a caracterização do momento pós-burguês da Esfera Pública e o panorama atual.

Recent neuro-psychoanalytic literature has emphasized the view that our subjective identity rests on ancient subcortical neuro-psychic processes expressing unthinking forms of experience, which are “affectively intense without being known” (Solms and Panksepp, 2012). Devoid of internal representations, the emotional states of our “core-Self” (Panksepp, 1998b) are entirely “projected” towards the external world and tend to be discharged through instinctual action-patterns. However, due to the close connections between the subcortical and the cortical midline brain, the emotional drives may also find a (...) way to be reflected within an intrinsic self-referential processing, evident when the organism is not actively engaged with the external world. Thanks to such endogenous functioning, the core-Self emotional dispositions are not overtly executed, but they are organized within coherent dynamic mental structures, called “feeling-toned complexes” by C.G. Jung and “unconscious phantasies” by Melanie Klein. The intrinsic self-referential dynamism of the ‘brainmind’ originated from REM sleep arousal and then evolved in the resting-state activity of a complex of cortico-limbic midline brain structures (CMS), also called Default Mode Network (DMN). From our neuro-ethological perspective, it is sustained by an “introverted” SEEKING activity leading to the subjective exploration of internally constructed virtual scenarios. This “mind wandering” function, implicated in dreaming, fantasy processing, remembering and thinking, is the essence of the imaginative function and constitutes the first form of reflection, where intentions and drives gain a primordial form of conscious (but not self-conscious) representation. During postnatal development, this original (“archetypal”) imaginative function is slowly attuned in a relational “transitional” space and may be expressed first in non-verbal and eventually in abstract-verbal social communicative patterns. Our view has noticeable implications for psychotherapy. Instead of trying to directly modify interpersonal, extrinsic relationships (a top-down approach), dysfunctional emotional-relational patterns may be modified by a process in which the patient is helped to let-go of the perceived feeling-objects in favor of an immersion, via the actual feeling, from the superficial level of perception towards a void feeling-state, empty of images. Only starting from this “anoetic” feeling-state, the deep imaginal creative and re-structuring self-referential activity may be reactivated by a process of spontaneous imagination. (shrink)

Der vorliegende Beitrag analysiert die griechische philosophische Strömung des Kynismus durch die Linse des Asketismus. Nach einer Darstellung des griechischen Konzepts der askesis, verstanden als Übung zur Vervollkommnung (§1), werden die Geschichte und die Hauptmerkmale des Kynismus rekonstruiert (§2) und die Bedeutung der Askese für diese Strömung dargestellt (§3). In §4 wird gezeigt, wie das kynische Konzept der Askese, das auf die Vervollkommnung des Subjekts durch eine Reihe von kontinuierlichen Übungen abzielt, im griechischen Kontext sowohl in Opposition zu den rituellen (...) und magischen Praktiken der Volksreligiosität als auch zu den Fleischopfern mit politischer Bedeutung der Polis zu interpretieren ist. (shrink)