Chronic diseases are the main disease burden worldwide, leading to premature deaths and poor individual and population health outcomes. Although modern medicine has made significant progress in developing effective treatments, only around 50% of people follow long-term treatment recommendations in high-income countries and presumably even less in low-income and middle-income countries.1 Health outcomes for chronic diseases follow a social gradient across socioeconomic groups, suggesting that the 50% adherence rate distributes unequally across social groups, affecting those who live in disadvantage the (...) most despite universal health coverage.2 Bioethicists have largely ignored inequalities that arise from differences in adherence to long-term treatments and the importance of the ethical dimension of chronicity for clinical practice. As I discuss in detail elsewhere, the concept of ‘chronic disease’ lacks a successful and agreed definition, failing to be structured in a traditional way and allowing for a disjunctive group of diseases to fall under the concept.3 Still, the main element that helps distinguish ‘chronic diseases’ from all other diseases is their long duration, so the noun chronicity can help demarcate and identify the nature of ‘chronic disease’. Drawing on conceptual analysis and phenomenological research on illness that highlight the tension between the cyclical and static elements of chronic disease, I have argued that chronicity has a phenomenological sense beyond its …. (shrink)

On Miranda Fricker’s influential account, the central case of testimonial injustice occurs if and only if the speaker receives a credibility deficit owing to identity prejudice of the hearer. Her critics have taken issue with her view, arguing that cases in which speakers are given more credibility than they deserve, may also amount to testimonial injustice. Furthermore, they argue, these cases cannot be captured by Fricker’s account of objectification as the primary epistemic harm of testimonial injustice; rather, it is an (...) account of othering that best captures a wide range of epistemic injustices. In this paper, I join Fricker’s critics in advancing a novel case of testimonial injustice through identity-prejudicial credibility excess – the adultification of black girls in testimony-giving settings. When testifying, black girls are likely to receive a credibility excess with respect to adult topics such as sex and consent because they are perceived as older, more self-reliable, and mature than they actually are by the hearers. Nevertheless, when examining the girls’ intersecting social identities defined by age, race and gender, it becomes clear that this constitutes an unjustly and prejudicially inflated estimation of their credibility. These cases also involve hermeneutical injustice since the identity-prejudicial credibility excess denies the victims a meaningful opportunity to make sense of their traumatic experiences of sexual assault. I conceptualize this compounded injustice as testimonial obfuscation, where an identity-prejudicial credibility evaluation (either in excess or deficit) causes an experience to remain unintelligible to the hermeneutically marginalized speaker. (shrink)

The climate crisis has implications for the idea of justice. The paper explores this idea to inquire whether climate change wrongs animals and, if it does, how these wrongs are constitutive of an injustice. The first question is answered in the positive to then propose an answer to the second question through an account of climate injustice articulated as a problem of distribution of ecological space. On that basis, the general conclusion of the paper is that at least some harms (...) suffered by animals are constitutive of climate distributive injustices. They are cases of wrongful appropriation of ecological space, that is, of the benefits that the Earth’s life-support systems and its physical resources provide to sentient animals. These are wrongs against animals that should be condemned, prohibited and redressed. (shrink)

RESUMEN Este artículo se propone recuperar un acercamiento peculiar en la comprensión de la realidad a través del concepto del silencio. A pesar de que sobre el silencio hay varías indagaciones, la mayoría relacionadas con la obra de Martín Heidegger, Ludwig Wittgenstein o Merleau-Ponty, este artículo tiene la intención de extender la comprensión de una filosofía del silencio que no sería completa sin la contribución de Max Picard. Siendo este último un pensador original y el autor de una obra peculiar, (...) el objetivo de estas páginas es analizar el silencio, para comprender por qué el filósofo suizo lo entiende como una realidad originaria y positiva y no como una ausencia, creando así una metafísica del silencio como una filosofía integral ; una filosofía en la cual el silencio une, a través del lenguaje, al hombre con lo divino, creando una relación de complementariedad ABSTRACT This article aims to recover a peculiar approach in the understanding of reality through the concept of silence. Although there are several inquiries about silence, mostly related to the work of Martín Heidegger, Ludwig Wittgenstein or Merleau-Ponty, this article intends to extend the understanding of a philosophy of silence that would not be complete without the contribution of Max Picard. Being an original thinker and the author of a peculiar work, the purpose of these pages is to analyze the silence, to understand why the Swiss philosopher understands it as an original and positive reality and not as an absence, thus creating a "metaphysics of silence" as an integral philosophy ; a philosophy in which silence unites, through language, the human and the divine, creating a relationship of complementarity. (shrink)

The internet offers adolescents a huge window of opportunities, but these opportunities are not always exempt from risks. Indeed, many young people are nowadays confronted with spam, gruesome or violent images and content including pornography, drugs, racism, and even suicide. We surveyed 815 Flemish 15- to 19-year-olds about the online risks they have been confronted with and on how they cope with these risks. We controlled for digital literacy levels, socio-demographics and personality traits. Interestingly, our research shows that not only (...) adolescents with a high level of internet literacy but also those with lower internet literacy levels, such as youths enrolled in vocational education, tend to be more frequently exposed to online risks. Also worthwhile noting is the fact that a high level of self-confidence positively correlates with exposure to risky online content. In general, adolescents do not consult anybody when it comes to coping with risks and negative experiences online. However, a good parent-child relationship pays off as kids with a good parental relationship encounter aggressive, sexual or value-based content less frequently. (shrink)

The growing body of research on interdisciplinarity has encouraged a more in depth analysis of the relations that hold among academic disciplines. In particular, the incursion of one scientific discipline into another discipline’s traditional domain, also known as scientific imperialism, has been a matter of increasing debate. Following this trend, Scientific Imperialism aims to bring together philosophers of science and historians of science interested in the topic of scientific imperialism and, in particular, interested in the conceptual clarification, empirical identification, and (...) normative assessment of the idea of scientific imperialism. Thus, this innovative volume has two main goals. Indeed, the authors first seek to understand interdisciplinary relations emerging from the incursion of one scientific discipline into one or more other disciplines, such as in cases in which the conventions and procedures of one discipline or field are imposed on other fields; or more weakly when a scientific discipline seeks to explain phenomena that are traditionally considered proper of another discipline’s domain. Secondly, the authors explore ways of distinguishing imperialistic from non-imperialistic interactions between disciplines and research fields. (shrink)

In environmental ethics, the legal and political representation of non-humans is a widespread aspiration. Its supporters see representative institutions that give voice to non-humans’ interests as a promising strategy for responding to the illegitimate worldwide exploitation of non-human beings. In this article I engage critically with those who support this form of representation, and address two issues central to any account concerned with the legal and political representation of non-human living beings: what should be represented? And what are the conditions (...) of such a representation? The answers I provide to these queries count as a first step towards a comprehensive account of the institutional representation of non-human nature. (shrink)

The definition and measurement of the impact of laws and courts is a subject of disagreement and uncertainties. In this article, law is understood as a public, general, and binding command enforceable through state coercion. Assessments on the effects of laws on democracy and development focus on changes in specific social indicators. The evaluation of impact relates to the availability and reliability of judicial statistics and the impact of laws depends on political and social conditions. The interaction of laws can (...) be studied in three contextual variables: the structure and competitiveness of political systems, the structure and performance of the judiciary, and the organizational endowments of the social or political actors, such as social and labor movements that use the law. This interaction shows how and why certain conditions affect impact. It also speculates, about some additional developments that might follow from the relationships between law and these three variables. (shrink)

This paper starts by establishing a prima facie case that disadvantaged groups or individuals are more likely to get a chronic disease and are in a disadvantaged position to adhere to chronic treatment despite access through Universal Health Coverage. However, the main aim of this paper is to explore the normative implications of this claim by examining two different but intertwined argumentative lines that might contribute to a better understanding of the ethical challenges faced by chronic disease health policy. The (...) paper develops the argument that certain disadvantages which may predispose to illness might overlap with disadvantages that may hinder self-management, potentially becoming disadvantageous in handling chronic disease. If so, chronic diseases may be seen as disadvantages in themselves, describing a reproduction of disadvantage among the chronically ill and a vicious circle of disadvantage that could both predict and shed light on the catastrophic health outcomes among disadvantaged groups—or individuals—dealing with chronic disease. (shrink)

Resumen:La obra capital de Phillip Mainländer se compone de seis capítulos (Analítica de la facultad cognoscitiva, Física, Estética, Ética, Política, Metafísica) y un Anexo (Crítica de las doctrinas de Kant y Schopenhauer). Seis capítulos y un anexo que hacen gala de la intempestividad de su autor. De esa cualidad presente en pocos pensadores y que condiciona la valoración de su obra al paso del tiempo. De esa cualidad que permite pensar más allá de los límites que impone la época. Curiosamente (...) un pensador del siglo XIX ilumina los tiempos que corren. Unos tiempos signados por prácticas ecocidas y sus derivaciones ecosuicidas (Baquedano: 37-38), y cuyas primeras manifestaciones físicas sobre la naturaleza comenzaron, llamativamente, en dicho momento, a saber, en 1784 cuando James Watt patentó su máquina de vapor. (shrink)

We study the SIS and SIRI epidemic models discussing different approaches to compute the thresholds that determine the appearance of an epidemic disease. The stochastic SIS model is a well known mathematical model, studied in several contexts. Here, we present recursively derivations of the dynamic equations for all the moments and we derive the stationary states of the state variables using the moment closure method. We observe that the steady states give a good approximation of the quasi-stationary states of the (...) SIS model. We present the relation between the SIS stochastic model and the contact process introducing creation and annihilation operators. For the spatial stochastic epidemic reinfection model SIRI, where susceptibles S can become infected I, then recover and remain only partial immune against reinfection R, we present the phase transition lines using the mean field and the pair approximation for the moments. We use a scaling argument that allow us to determine analytically an explicit formula for the phase transition lines in pair approximation. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:1-800-Quit-NowCatalina MeyerAs a healthcare interpreter, you are a communication tool, but more importantly, you are a bridge over a cultural barrier. Yes, we must repeat exactly what the provider says, and we must strive to convey the message—not so much the words but the meaning. To do this well, interpreters must be aware of cultural differences and advocate when something culturally interferes with understanding the message's meaning. Failing to (...) do so can drastically change the outcome of a patient's treatment. We can say that it is the interpreter's job to make sure that everyone is understood linguistically and culturally and to help in one of the most important aspects of human relations: communication.The following is an actual interaction that occurred between a provider, a patient in the Smoking Cessation Counseling Program, and me (a trained interpreter).Interpreter: "Good morning. I am going to be your Spanish interpreter today."Provider: "How is the chemotherapy going? Are you feeling better today? And please tell me, are you feeling less anxious now?"As the patient uttered his first words, I realized this would be a challenging encounter. The cancer in his throat had also affected his vocal cords. In a matter of seconds, I thought how difficult it would be to lose your voice suddenly. I could not understand his speech, but I had to try. I wanted to help him, and I wanted him to feel hope.Interpreter: In a gentle tone of voice: "Sir, would you please repeat that?" Then I added, "Wait a minute, Provider," and raised my hand to practice transparency and indicate that I was speaking as the interpreter. "The interpreter must ask for repetition."Provider to Patient: "Let us try to modulate. Try to speak slowly."At this point, the patient started to cry.Provider and interpreter: "It is okay, Sir, take your time. We are here for you."Provider to interpreter: "We struggled when using VRI (Video Remote Interpreters) for him in the past, so I requested a face-to-face interpreter for today."Provider: "I see you have missed appointments in the last six months. I was just wondering, is everything okay?"Patient: "It is because I have no car!" He cried and yelled.Interpreter: Shushing. "Sir, let's do this: You talk, I'll repeat what you say, and you can please nod if I'm correct, okay?"Interpreter: "Provider, I am asking for repetition. The interpreter needs to clarify."The patient responded with whimpering, gestures of pain and frustration, long pauses of silence, and putting his hands to his face to cover his crying.The provider gave him some time. She tried to redirect his emotions: "Sir, have you called the 1–800 number we gave you? Have you received all your supplies to help you quit smoking yet? How is that going for you?"The patient, now expressing anger on his face, says, "I called many times. Translator, tell her! Many times, I called, but they do not speak Spanish! They keep hanging up on me." He begins to cry again.Provider to Interpreter: "Interpreter, I am confused. We give the same number to all our patients [End Page E12] in the After Visit Summary and it works just fine! Could you repeat that? Did he say he called, and they hung up the phone on him? Could you please clarify?"Patient raising his voice: "I did! Translator, please tell her I did! They do not speak Spanish!"The patient continued to cover his mouth with his hand while he spoke and cried, which made it difficult to understand his voice and the movement of his lips, which, in this difficult case were a helpful aid—making it easier for the interpreter to comprehend the patient's words.Provider: "Let me double-check the 1–800 number so you can order your supplies."The patient's frustration grew. "Here! This is the number! Are we done? I am in pain; I want to go home now."Provider: "One moment, please, I'll call for you." The provider dialed 1–800-QUIT-NOW.Provider: "Well, they say for Spanish press 2. I cannot... (shrink)

Life with chronic disease and chronic care is hard and people who live in disadvantage may lack the freedom to prioritise their care because of increased c.

En el presente escrito se intentará explicar de manera estructurada la compleja propuesta del filósofo francés Jacques Rancière acerca del vínculo entre el arte y la política, para luego llevar a cabo una consideración crítica de dicha postura.

El artículo pretende evidenciar la dimensión política –en un sentido amplio– de la confesión y la inquisición en su emergencia como procedimientos para sentenciar el pecado oculto. Lo hace al insertar ambos en las formas duales, pastorales y jurídicas, que desarrolla el gobierno eclesiástico plenomedieval para la condena de la inobediencia a la nueva ortodoxia y ortopraxis romana. A este respecto, los dispositivos confesional e inquisitorial se comprenden en relación con la emergencia de lo herético como impugnación obstinada al gobierno (...) romano –en la tensión entre el gobierno de sí y de los otros–. (shrink)

This paper confronts the medieval Church with Foucault´s conceptualization of Christendom in his writing on governmentality. In order to do so, this paper analyzes the formation of an ecclesiastical dual rule –jurisdiccional and pastoral– from the perspective of a genealogy of western political forms. For this purpose, a critical dialogue is stablished with Foucault’s analytics of pastoral power and of the subjectivation technologies involved in it. While the transformations supported by the pontifical power gave rise to the first western juridical (...) system, the ecclesiastical institution implemented services of c ura animarum throughout Christianity. Further, this salvation economy leaned on an unprecedented legal rule that turned pastoral power into a twofold rule, both sovereign and governmental. This paper argues that such an interpretation expounds the problems of the dichotomy government/sovereignity, on which Foucault founds his analytics of pastoral power and his genealogy of governmentality. (shrink)

El presente manuscrito intenta, a través de una sucinta reflexión, dar cuenta de cómo el cuidado de sí rescatado por Foucault podría ser comprendido como una alternativa para superar los mecanismos identitarios de control neoliberal, gracias a la relación activa que el sujeto desarrolla con la verdad. En el entendido de que el abandono del espacio de la norma y el conocimiento por parte de aquella, y su ubicación al servicio de la autoconformación del sujeto favorecería el desarrollo de una (...) relación plena y coherente de cada individuo consigo mismo. (shrink)

This paper presents an interpretation of the paradoxical decision of Abraham done by Søren A. Kierkegaard in his work Fear and Trembling as an ethics of silence. The main idea is to understand ethics not as moral standards or specific duties, but as the responsibility of becoming a single individual in time; singularity as the intimate and personal relationship with the calling of love. In such a way, that silence is the experience of the encounter with the paradox that being (...) human means to be singular in conditions that claim an universal and general transparent manifestation dependent of the dominant rational discourse.Then, silence becomes the fundamental ethical claim to become a human person, as spirit in time, where it becomes a time of trial and examination, a temporality, where the trial is the fidelity to love’s calling, the listening of the possibilities that are presented by the anxiety of the decision. These possibilities are not immanent to the world or to history, they call for a personal choice, always containing a space of revelation; therefore of listening to the interiority of the personal choice that for Kierkegaard is the passion of faith, communicated and lived in silence. Concluding that an ethics of silence by the image of Abraham implies to re-think the role of philosophy in relationship to faith, hope and love in time, as a silent thought. (shrink)

¿Cuáles son los márgenes de la cultura en la contemporaneidad? ¿Cómo se puede resistir desde estos? ¿Quiénes lo hacen o pueden hacerlo? Por supuesto, es imposible responder estas preguntas en esta corta presentación, tal vez sean imposibles de responder sin importar la extensión del texto que las analice. No obstante, nos parece necesario presentarlas para situarlas en un contexto que nos permita problematizar este dossier. Zygmunt Bauman4 planteó que tres campos de conocimiento: la filosofía de la historia, la antropología filosófica (...) y la estética, y un concepto: la cultura, emergieron en el siglo XVIII con el propósito de explicar la crisis de una forma de comprender y estar en el mundo, que se había pensado y vivido como natural y que parecía mutar en un orden radicalmente humano y, por ende, endeble, arbitrario y cambiante. (shrink)

Se plantea un intento de "reconciliación" histórica de 'antiguos' y 'modernos' a través de la conexión postulada entre el empirismo baconiano y las "pruebas filológicas" de Vico en la Ciencia nueva.Here is proposed a historical "settlement" of 'ancients' and 'moderns', through the connexion between Bacon's empiricism and Vico's "philological proofs" in the New Science.

La Psicología se presenta desde sus inicios como una ciencia de carácter empírico, desmarcándose de la Filosofía. Esta independencia trae consigo una serie de dificultades de carácter epistemológico, una de las cuales consiste en la falta de consideración de la distinción filosófica entre persona y naturaleza en el campo de la Psicología. El desconocimiento del sentido tradicional de estos conceptos conlleva consecuencias semánticas relevantes para la disciplina. Mediante una breve reseña de su significado en Tomás de Aquino, se desarrollan algunos (...) apuntes acerca de cómo su comprensión afecta a la investigación de la personalidad y al ejercicio de la psicología clínica. (shrink)

The article examines the process of niche standardization in medical research as an example of democratizing strategies implemented in industry-funded science. I argue that niche standardization can lead to undesirable epistemic and ethical consequences, if the various goals of research are not properly aligned. I examine two examples: the case of Sarafem, approved for the treatment of premenstrual dysphoric disorder in women, and the case of BiDil, approved for exclusive use in African Americans for the treatment of congestive heart failure. (...) I conclude by cautioning against the unqualified support of democratizing strategies in industry-funded research. (shrink)

In an increasingly urbanized world, construction industry is called upon to serve the needs of human society, such as environmental protection and safety in terms of infrastructure. In this context, a sustainable and ethical development means a close connection between buildings and environment. This connection can be achieved through, for example, the concept of ecological concrete or green concrete, as it is often called. The conventional process of obtaining cement and mineral aggregates from the concrete composition generates pollution, especially through (...) greenhouse gas emissions. Also, one should not ignore the fact that extraction of the raw materials affects the habitats of the sites and of the neighboring areas. When construction materials are questioned, the ethical issues lay not in the means of expression, but mainly in the means of production. More to the point, the present contribution aimed to find solutions for enhancing the adhesion of vegetal aggregates with the cement matrix, in order to obtain a material with optimal mechanical properties, which is valued as an ethical approach of building industry. Results showed that plant aggregates can be used to obtain a building material which can be improved by using partial substitution of cement by silica fume, fly ash, or by using additives and that green concrete as an environmentally friendly material offers the alternative for lower energy use and fewer CO2 emissions. Marketers must understand not only the advantages of these green materials, but also that they have an ethical commitment to provide consumers with environmentally friendly materials. (shrink)

In this paper I identify a tension between the two sets of works by Kuhn regarding the genesis of the “new historiography” of science. In the first, it could be said that the change from the traditional to the new historiography is strictly endogenous. In the second, the change is predominantly exogenous. To address this question, I draw on a text that is considered to be less important among Kuhn’s works, but which, as shall be argued, allows some contact between (...) Kuhn’s two approaches via Koyré. I seek to point out and differentiate the roles of Koyré and Kuhn – from Kuhn’s point of view – in the development of the historiography of science and, as a complement, present some reflections regarding the justification of the new historiography. (shrink)

ABSTRACT:Business ethics research has long been interested in understanding the conditions under which ethical consumption is consistent versus context-dependent. Extant research suggests that many consumers fail to make consistent ethical consumption decisions and tend to engage in ethical decisions associated with ingroup identity cues. To fill this gap, four experiments examine how construal levels moderate the influence of ingroup versus outgroup identity cues in ethical consumption. The studies support the contention that when consumers use concrete construal to process information, they (...) will focus on ingroup cues and make ethical consumption decisions that are aligned with ingroup biases. However, when consumers use abstract construal, they will act more consistently with their inner goals rather than focusing on ingroup and outgroup cues. Social goodwill, which indicates desires to give back to society, is identified as mediating the effects. The findings have important implications for ethical consumption and social influence literature. (shrink)