Background: Advances in biomedical sciences, technologies and care practices have resulted in an increase in ethical problems and a resulting growth of difficulties encountered by health workers in their professional activity. Objective: The main objective of this study was to analyse knowledge in the ethical field and experience with and the propensity for using ethics consultations by nurses and physicians. Methods: Between March and June 2014, a cross-sectional observational study was conducted on a sample of 351 nurses and 128 physicians (...) in four central Italian hospitals. For data collection, a semi-structured questionnaire was used, consisting of 21 items divided into four sections exploring (1) demographic and occupational characteristics, (2) knowledge in the ethics field, (3) experience with ethical issues and (4) the propensity to use ethics consultation. Ethical considerations: Research ethics approval was obtained from the Italian Nurses Professional Board. Results: The results show that both nurses and physicians are faced with ethically sensitive situations. Nurses were found to have better judgement concerning their own knowledge than physicians, but more physicians were found to have a deeper level of specific training in ethics issues. The propensity to ask for ethics consultations to address ethical issues was found to be significantly associated with the degree to which ethical issues have deepened (and the level of experience acquired in this field). Conclusion: The presence of a consulting service that can lead to shared choices may represent, together with basic and continuing education, a valid support for professional growth in the ethical field for both physicians and nurses. (shrink)

El pintor Blasco de Grañén, uno de los principales exponentes de la pintura gótica aragonesa del segundo tercio del siglo XV, fue el autor de las pinturas de varios retablos realizados para las tres provincias aragonesas en las que se representaban escenas de la Virgen María con el Niño y la Coronación de la Virgen junto con ángeles músicos. En el presente artículo, además de describir estos temas y tipos iconográficos, se realiza un breve recorrido histórico-artístico de cada pintura, se (...) describen las escenas musicales y se identifican sus elementos. Finalmente, se obtienen ciertas conclusiones acerca del contenido musical de las pinturas de Blasco de Grañén, que se caracterizan por su rica iconografía musical. Painter Blasco de Grañén, one of the main exponents of Aragonese Gothic painting of the second third of the 15th century, was the author of the paintings of several altarpieces made for the three Aragonese provinces, on which scenes of the Virgin and Child and the Coronation of the Virgin were represented with angels musicians. This article, as well as summarizing these iconographic subjects and types, makes a brief historic-artistic outline of each painting, describes the musical scenes and identifies their elements. Finally, some conclusions are drawn about the musical content of the paintings by Blasco de Grañén, which are characterized by their rich musical iconography. (shrink)

El actual Derecho Penal de la seguridad que se expresa en el populismo punitivo tiene un sesgo orientado a la persecución penal de los delitos callejeros, violentos, mientras que los delitos del poder y los negocios discurre con mayor tolerancia de la sociedad y de los operadores jurídicos, porque se realizan en contextos normalizados. Para sustentar esta tesis, se analiza qué entiende mayoritariamente la sociedad por delincuencia grave, la visibilidad de los delitos y las estadísticas criminales, principalmente. Este análisis nos (...) lleva a la consideración de que la percepción del daño social, el miedo a ser víctimas de delitos, la tolerancia social hacia determinados comportamientos, los medios de comunicación que construyen estereotipos, la visibilidad que se muestra en las estadísticas, todo ello conjugado, da lugar a una construcción social del contenido material de delincuencia grave de manera selectiva, orientado hacia los delitos contra las personas, dejando fuera de foco los delitos socioeconómicos. (shrink)

While theorists of epistemic injustice often refer to Gayatri Spivak’s “Can the Subaltern Speak” as an early articulation of the field’s concerns, they have stopped short of engaging deeply with Spivak’s deconstructive take on epistemic violence and her suggestion that this consists in an attribution of subjectivity to historically marginalized speakers. In redressing this oversight, this article makes a case for adopting a broader conception of epistemic harm and exclusion than has been acknowledged in the literature: I argue that the (...) presumption that speakers are subjects can precipitate silencing. For in determining the other who speaks as a subject, one forecloses hospitality to an alterity not already understood according to the subject/object distinction central to Western metaphysics. This deconstructive intervention thus challenges one of the field’s key assumptions, namely, that epistemic harm consists in a failure to treat speakers as subjects, and consequently that generating a more inclusive dialogical climate depends on restoring marginalized individuals to subject status. Folding Spivak’s deconstructive insight into the remedial project of epistemic justice is therefore far from straightforward; nonetheless, I argue that it is consistent with the literature’s demand for a heightened sensitivity vis-à-vis the ways marginalized others are routinely harmed in epistemic practices. (shrink)

The objective of this research is to examine how and when employees' attributions of corporate social responsibility (CSR) affect their extra-role service behaviors. The research analyses the mediating role of work meaningfulness in the employees' CSR attributions–extra-role behaviors relationships. The moderating role of employees' attitudes toward CSR in both the relationships between CSR attributions and work meaningfulness and in the mediated relationship is also studied. The hypotheses were tested on a sample of 204 frontline employees of four- and five-star hotels (...) in Spain using structural equations and the PROCESS macro. The results indicate that only substantive CSR attributions positively influenced employees' extra-role service behaviors and that the relationship occurs through the work meaningfulness experienced by employees. While substantive CSR attributions boosted work meaningfulness and subsequent extra-role service behavior regardless of personal attitudes toward CSR, the link between symbolic CSR attributions and work meaningfulness as well as the mediated relationship with extra-role service behaviors were found to be moderated by employees' personal attitudes toward CSR. When employees had lower personal attitudes toward CSR, symbolic CSR attributions positively affected work meaningfulness and extra-role service behavior; when attitudes toward CSR were higher, the relationships were not significant. Interesting theoretical contributions and practical insights follow from these findings. (shrink)

This article examines the centrality of Brazil within the future of climate policy and politics. The state of the carbon sink of the Amazon rainforest has long been an iconic marker of the condition of the Earth. Brazil has been innovative in developing many non-carbon forms of energy generation and use and it has played a major role in international debates on global warming since the Rio Earth Summit in 1992. We examine various ways in which climate change has come (...) to be centrally important in Brazilian public opinion. Survey evidence shows that Brazilians are the most concerned about issues of climate change – with less climate change scepticism as compared with more ‘advanced’ societies. Through using techniques of corpus linguistics we examine how Brazilian media has engendered and stabilized such a high and striking level of climate change concern. We show that the media helped to fix a ‘climate change framing’ of recent often strange weather. The article analyses the newly constructed Brazilian Corpus on Climate Change, presenting data on a scale and reach that is unique in this area of research. (shrink)

Zusammenfassung Der Beitrag analysiert auf der Basis theoretischer Überlegungen sowie empirischer Ergebnisse Möglichkeiten und Grenzen einer „interkulturellen Öffnung“ von Sportvereinen, worunter Strukturanpassungen verstanden werden, die auf die Inklusion und Integration von Personen mit Migrationshintergrund zielen. Es wird gezeigt, inwiefern eine nachhaltige interkulturelle Öffnung der Vereine von der programmatischen Anbindung an den Vereinszweck, von der kontinuierlichen Behandlung in den Kommunikationswegen, von spezifischen Personalentscheidungen und der Kompatibilität mit der Organisationskultur abhängig ist.

En este artículo se presenta una propuesta formativa utilizando el cine como material cultural y fuente de conocimiento. Una película como Babel permite trabajar la globalización y la educación de la ciudadanía, con planteamientos que exigen un nuevo humanismo, una nueva relación interpersonal, conscientes de los problemas de comunicación, prejuicios y choques culturales derivados del desarrollo tecnológico. La película cuestiona esta existencia en un mundo global interrelacionado, evocando el viejo mito bíblico de la Torre de Babel haciendo énfasis en identificaciones (...) erróneas, malentendidos y oportunidades fallidas, como manos invisibles que nos guían; o el fin cuyo destino se nos escapa.Babel hace comprender la realidad de la globalización. Nos permite observar cuatro lugares tan distantes como Estados Unidos, Méjico, Marruecos y Japón, no sólo distanciados físicamente. Los cuatro países representan estilos culturales diferentes, tres formas de realización humana. Asistimos al choque, a la incomunicación personal, al aislamiento por la diferencia de cultura y la ficticia proximidad tecnológica. Vivimos juntos, pero aislados los unos de los otros. (shrink)

Persons infected with the Human Immunodeficiency Virus often experience intermittent life-threatening infections, a progressive decrease in cognitive abilities, and a loss of capacity to communicate their wishes to their family and medical care providers. Accordingly, AIDS patients are among those most likely to benefit from the increased availability of legally recognized forms of advance care planning. Although the three countries examined in this article differ greatly in the prevalence of HIV infection, the legal status of advance directives, and in the (...) attitudes toward their use, a collection of case studies is used to demonstrate that an ability to address the specific needs, values and goals of individual patients is promoted by the availability of a variety of options for implementing advance directives or health care proxies. The conclusion of the analysis is that the best option in a specific context will depend upon differences in individual values and medical objectives of the sort discussed in the case studies. Das mit der HIV-Infektion verbundene Krankheitsbild ist durch wechselnde lebensbedrohliche Infektionen und den fortschreitenden Verfall kognitiver Fähigkeiten gekennzeichnet. Es führt zudem häufig zum Verlust der Möglichkeit, Behandlungswünsche gegenüber Ärzten und Angehörigen zu äußern. Deshalb gehören besonders AIDS-Patienten zu denjenigen, die von rechtlich anerkannten vorsorglichen Patientenverfügungen profitieren werden.In diesem Artikel werden drei Länder betrachtet, die sich hinsichtlich der Häufigkeit des Auftretens der HIV-Infektion sowie des rechtlichen Status von und der Einstellung zu Patientenverfügungen erheblich unterscheiden. Fallstudien belegen allerdings, daß nicht allein die kulturellen und sozialen Bedingungen für die jeweils beste Form der Patientenverfügung ausschlaggebend sind. Voraussetzung für die Möglichkeit, den Bedingungen, Wert- und Zielvorstellungen des individuellen Patienten zu entsprechen, ist auf jeden Fall die Verfügbarkeit unterschiedlicher Formen von Patienten- und Betreuungsverfügungen. Auch innerhalb eines Kulturkreises müssen daher verschiedene Formen vorsorglicher Willensäußerungen des Patienten rechtlich anerkannt werden. Welche Art von Verfügung jeweils die beste Option darstellt, ist dabei abhängig von medizinischen Bedingungen und persönlichen Wertvorstellungen, wie sie in den Fallstudien diskutiert werden. (shrink)

El presente texto se inscribe dentro de la temática dirigida a la investigación sobre la violencia intrafamiliar. Tiene como objetivo sistematizar aspectos históricos y teóricos inherentes al estudio del maltrato infantil y sus consecuencias en el ámbito social y familiar para su detección y tratamiento en el nivel de atención primaria de los servicios de salud en Cuba. Mediante una revisión bibliográfica se logró concretar un análisis documental de materiales y textos en soporte digital e impreso que condujo a los (...) acercamientos teórico e histórico del fenómeno en el ámbito internacional y nacional, para su conceptualización, la determinación de su tipología y el establecimiento de sus consecuencias; elementos imprescindibles del saber profesional del futuro egresado de las ciencias médicas, en función de su desempeño en los diferentes niveles de atención de salud, en especial, la atención primaria. The text falls within the research on intrafamiliar violence subject matter. Its objective is to systematize historical and theoretical aspects inherent to the study of child abuse and its consequences within the social and domestic scopes for its detection and treatment in the Cuban primary health care services. By means of a bibliographic review, a documentary analysis of electronic and printed form materials and texts was summarized. It led to theoretical and historical approaches to the phenomenon within the national and international scopes for its conceptualization, the establishment of its typology and consequences. They are essential elements of the professional knowledge of future medical sciences graduates towards their performance in different health care levels, especially in primary health care. (shrink)

The subject of “The Other”, the different one always generated conflicts more or less serious in the history of humanity, without proposals of any resolution. In the measure in that The Other questions, by similitude or by difference, the identity in which the subject is sustained, that questioning make unstable that precarious construction, and because of this, it converts itself in the opposer. In this study, we will find, in the text of Il Visconte Dimezzato by Italo Calvino, the subject (...) of the Otherness/Alterity, analyzing from the semiotic point of view the reactions and behaviors of each one of the two characters and of the members of the society in which they live. The starting point of the story by Italo Calvino is that in a war between Austria and the Turks, the Viscount Medardo di Terralba as a consequence of a canon shot remains divided vertically into two halves and both halves survive. One of the two halves is very bad and the other is very good. Each one of the two halves sees in the other one “The Other”, feeling itself “The One” but incomplete and desiring to turn to be “The Same” as it was before being divided by the canon shot. (shrink)

No. 93: PAPELES SEMÁNTICOS Estudio de los papeles semánticos a partir de un enfoque tipológico, intentando unificar las distintas propuestas y analizar en profundidad el significado y la utilidad de esta etiqueta.

Resumen: Marta Suria escribe Ella soy yo como parte de su respuesta a la irrupción del recuerdo de las agresiones sexuales que había sufrido desde su infancia. Confía en que la forma en que narra su experiencia, la transforme y la libere. ¿Cómo es posible, sin embargo, que una forma de narrar nos transforme, tenga el poder de liberarnos? En este escrito, describiremos, primero, la concepción de la relación entre lenguaje y experiencia que da pie a esta perplejidad; esbozaremos, posteriormente, (...) una concepción alternativa en la que esa perplejidad se disuelve y desde la que es fácil reconocer el poder transformador de ciertas formas de narrarnos. Descansará esta concepción alternativa en la idea de expresión y en la capacidad de percibir aspectos. Mostraremos, en primer lugar, que el lenguaje no solo sirve para describir o para valorar nuestra experiencia, sino también para expresarla; argumentaremos, posteriormente, que la expresión lingüística o gestual de una experiencia no solo la anuncia o manifiesta, sino que le da forma y la modula; subrayaremos, finalmente, el poder transformador de ciertos usos expresivos del lenguaje.: Marta Suria writes Ella soy yo as part of her response to the irruption of the memories of the sexual aggressions she had suffered since childhood. She is convinced that the way she narrates her experience will transform and liberate her. How is it at all possible that a certain kind of narrative may transform and liberate us? In this paper, we will first describe the conception of the relationship between language and experience that lies behind this perplexity and, secondly, we will sketch an alternative conception that will hopefully allow us to account for the transformative power of certain kinds of narratives. This alternative conception will hinge on the idea of expression and on the concept of aspect perception. For this purpose, we will firstly argue that language can be used not only to describe or evaluate our experience, but also to express it; we will, then, defend the view that linguistic or gestural expressions of our experiences not only announce or manifest them, but contribute to shaping and modulating them; finally, we will highlight the transformative, humanizing power of certain expressive uses of language. Palabras clave: daño sexual, narración, expresión, percepción de aspectos, escena de triangulación, jugar, transformación. Keywords: sexual harm, narrative, expression, aspect perception, scene of triangulation, playing, transformative. (shrink)

En este trabajo se intentan mostrar algunas tensiones entre el discurso de la conservación, el multiculturalismo y los prejuicios racistas, tomando como punto de referencia el caso de los Montes de María en el Caribe colombiano, donde han tenido lugar proyectos de cooperación a propósito de la biodiversidad y existen iniciativas locales para su conservación. Se describen tres niveles en los que pueden encontrarse los prejuicios racistas en el discurso de la conservación, y las tensiones que los caracterizan, asociadas tanto (...) a las ideas de resistencia y de comunidad, como a la necesidad de corrección de las prácticas por parte de quienes habitan los bosques. El propósito de estas reflexiones es cuestionar el discurso de la conservación y el multiculturalismo para ampliar las perspectivas frente a las apuestas por la conservación y las luchas étnico-campesinas que se llevan a cabo en la alta montaña de los Montes de María, similares seguramente a otros casos en América Latina. (shrink)

ResumenLa autora introduce al lector en la sociofenomenología de la vida cotidiana de A. Schütz desde una lectura hermenéutica de “El Quijote”. Se detiene en el análisis schütziano de las estructuras de relevancias presentes en el universo quijotesco, ilustrando con citas de la obra de Cervantes y comentarios de las mismas las diversas construcciones sociales de los mundos de la vida habitados por los diferentes personajes, principalmente por Don Quijote y Sancho. Las articulaciones de estas realidades múltiples van aclarando el (...) sentido del subuniverso quijotesco y el lugar del mismo en el seno del mundo de la vida compartido. Esas articulaciones se traducen en diferentes relaciones intersubjetivas que van reconfigurando el mundo social de don Quijote. A modo de conclusión, la autora reinterpreta la “locura” quijotesca de acuerdo con la estructura de relevancias.Palabras clavesociofenomenología, Schütz, mundo de la vida, D. QuijoteAutor initiates reader into A. Schütz´s Sociophenomenology of the daily life by means of the phenomenological hermeneutics of “The Quixot”. She focusses on the schützian analysis of the structures of relevances in the quixotic universe. The different social constructions of the lifeworlds are illustrated through Cervantes book´s quotations and comments, mainly by the D. Quixot and Sancho inhabited worlds. The articulations of these multiple realities go clarifying the sense of the quixotic subuniverse and its place in the common lifeworld´s bossom. Such articulations are translated into different intersubjetive relationships which reshape the Quixot´s social world. As a conclusion, author reinterpretes the quixotic “madness” in line with the structure of the relevances.KeywordsSociophenomenology, Schütz, Lifeworld, D. Quixot. (shrink)

The aim of this article is to analyse Spanish conversational structure, more concretely, to investigate in depth the role of the third move, or follow-up, outside classroom discourse. Since first introduced by Sinclair and Coulthard, the follow-up move has attracted a great deal of attention, as proved by numerous studies. However, these studies have mostly focused on English while Spanish has been neglected. The present study intends to fill in this gap by analysing a corpus of 50 conversational exchanges in (...) Peninsular Spanish. The analysis is qualitative and based on Tsui’s conversational framework, which has proved methodologically useful. As results will show, the presence or absence of the third move in Spanish conversations seems to rely heavily on a gender-based distinction. (shrink)

Este trabajo intenta analizar la concepción, naturaleza jurídica y garantía de los derechos económicos, sociales y culturales, en América Latina, así como las condiciones y medidas que pueden contribuir a su efectividad. Presenta tambien una propuesta de indicadores que pueden utilizarse en la supervision de la efectividad de esos derechos y de la proteccion que ellos han alcanzado, proporcionando información sobre la situactón latinoamericana y caribeña actual.

This volume explores the reception of John Dewey's ideas in various historical and geographical settings such as Japan, China, Argentina, Mexico, Chile, Spain, Russia, and Germany, analyzing how and why Dewey's thought was interpreted in various ways according to mediating local discursive and ideological configurations and formations.

Information asymmetries are regarded as the main obstacle for consumers to buy responsibly. CSR labels are considered the best tool to give consumers information about the brand's social and environmental performance. Yet, the information and credibility gap associated to the labels may render labels useless. This study aims to unveil the relationship of Spanish consumers with CSR labels, in order to assess the posited consequences of the information and credibility gap. To do so, 385 consumers were interviewed at the main (...) shopping centers in Madrid. The findings support the hypothesized gaps, which leads to recommend public policies in order to improve the effectiveness of CSR labels as an information tool. (shrink)

The main idea of this paper is that memories are the key elements of our identity and in order to access these elements it is sometimes necessary to use different techniques. Music is one of them and the education of the mind represents a safe direction to define and our cultural identity regardless the various social pressures.

Using the scope of justice perspective (Deutsch in J Soc Issues 31(3):137–149, 1975 ; Opotow in Conflict, cooperation, and justice: essays inspired by the work of Morton Deutsch, 1995 , J Soc Issues 52:19–24, 1996 ), we examined whether and how the relationship between perceived discrimination against minorities at work (i.e., racial minorities and females) and citizenship behavior toward minorities can be modified by personal value for diversity. Based on a survey of 173 employees, unexpectedly, we found a negative relationship (...) between perceived discrimination against minorities at work and citizenship behavior toward minorities. However, consistent with our expectations and the scope of justice, we found that the negative relationship was attenuated for those high in personal value for diversity. (shrink)