Most current management systems of healthcare institutions correspond to a model of market ethics with its demands of competitiveness. This approach has been called managerialism and is couched in terms of much‐needed efficiencies and effective management of budgetary constraints. The aim of this study was to analyse the decision‐making of nurses through the impact of health institution management models on clinical practice. Based on Foucault's ethical theory, a qualitative study was conducted through a discourse analysis of the nursing records in (...) a hospital unit. The results revealed that the health institution standardises health care practice, which has an impact on professional and patient autonomy as it pertains to decision‐making. The results of this research indicate that resistance strategies in the internal structures of health organisations can replace the normalisation and instrumentalisation of professional practice aimed at promoting patient self‐determination. (shrink)

This book is the culmination of the COST Action CA15212 Citizen Science to Promote Creativity, Scientific Literacy, and Innovation throughout Europe. It represents the final stage of a shared journey taken over the last 4 years. During this relatively short period, our citizen science practices and perspectives have rapidly evolved. In this chapter we discuss what we have learnt about the recent past of citizen science and what we expect and hope for the future.

The selfish goal metaphor is interesting and intriguing. It accounts for the idiosyncrasies and inconsistencies in peoples' goal pursuits without invoking free will, self-regulatory, or self-control failures. However, people pursue multiple goals, sometimes simultaneously. We argue that the model proposed in the target article may gain significant theoretical and practical value if the principles underlying goal selection and/or balancing on a moment-to-moment basis are clearly specified and integrated with the notion of the selfish goal.

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)

En este artículo examino el concepto de infinito en Pascal y Kant en el contexto del análisis contemporáneo de la secularización moderna, realizado por H. Blumenberg y H. Arendt. Los aspectos principales de mi análisis son: primero, el paso del sentido del término ‘infinito’ del ámbito trascendente al inmanente. Segundo, la comprensión de la modernidad secular como una mundanización desmundanizada. Tercero, la aplicación secular del concepto de infinito a la historia, en el ideal moderno del progreso. En mi opinión, estos (...) rasgos de la secularización moderna pueden observarse de manera especial en el concepto de infinito que aparece en Pascal y Kant. (shrink)

Inspired by Judith Butler’s critique of Zionism, this article explores one artistic practice that may be considered as developing a diasporic thinking that is specifically rooted in the experience...

Adolescents who believe that their parents treat them differently from their siblings have poorer psychosocial well-being than otherwise. This phenomenon, which is known as parental differential treatment or PDT occurs in up to 65% of families. Past studies have examined socio-demographic variables (e.g., child gender, age, and birth order) as predictors of PDT, but these immutable characteristics do little to inform interventions and help these adolescents. Hence, this study extends past research by investigating links among parent empathy, parent perception of (...) PDT, child perception of PDT, child perception of fairness and child well-being (self-esteem, depression, anxiety, and trust in the relationship with parents). Furthermore, this study tests whether adolescent personality (openness, conscientiousness, extraversion, agreeableness and neuroticism), child empathy, and child perception of fairness moderate these links. This study will utilize a two-wave longitudinal design with a one-year lapse. Data will be collected from 760 Chinese adolescents studying from Secondary One to Secondary Three in 18 schools in Hong Kong and from their parents. We test our theoretical model via a multilevel structural equation model. This study both addresses (a) theoretical debates about relations among empathy, PDT, fairness, and psychosocial well-being and (b) focuses on modifiable factors and behaviors, to inform future interventions, such as parent education. (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)

Algunos autores como Hans Boersma critican la doctrina tomista sobre la visión beatífica porque consideran que en ella la mediación cristológica es totalmente irrelevante, sea cuando hace referencia al medio como al objeto de la visión de Dios que los santos tienen en la gloria. La postura de Boersma ha dado lugar a un debate que, sin embargo, se ha centrado sobre todo en la Suma de Teología. Sin embargo, en el último tiempo se ha redescubierto la riqueza que contienen (...) los comentarios bíblicos del Aquinate. Por eso, el objeto del presente artículo es considerar el rol de Cristo glorioso y del Espíritu Santo en la visión beatífica del cristiano según estos comentarios, para así iluminar el debate contemporáneo. (shrink)

En De Oratore y otros escritos, Cicerón critica la retórica de los estoicos. Afirma que su elocuencia es “confusa, oscura, árida y cortada” y que sus tratados de retórica sirven más “para aprender a callar” que para aprender a hablar persuasivamente. ¿Qué decían los estoicos de la retórica para que Cicerón tenga sus preceptos en tan baja estima? En este trabajo exploro el problema, con miras a entender los fundamentos psicológicos y epistemológicos de la concepción estoica de la retórica y (...) contrastarlos con los de la retórica ciceroniana. En mi opinión, la disputa reza, más que sobre cuestiones de estilo, sobre la validez de la convicción que se produce por vías alternas a la argumentación racional o lógica . Dicha convicción es indeseable para los estoicos; para Cicerón, necesaria y conveniente.In De Oratore and other works, Cicero criticizes the rhetoric of the stoics. He claims that their eloquence is “obscure, dry and excessively brief” and their treatises on rhetoric are more useful to “learn how to be silent” than to learn how to speak persuasively . What did the stoics say about rhetoric so that Cicero holds their precepts in such low esteem? In this paper I attempt to clarify the psychological and epistemological presupposition that underlie the Stoic conception of rhetoric, in order to compare them with those behind Ciceronian rhetoric. In my opinion, rather than a controversy on matters of style, the dispute concerns the validity of a conviction gained through means other than rational or logical argument . Such conviction is undesirable for the stoics; for Cicero, it is rather necessary and convenient. (shrink)

En este artículo se quiere mostrar cómo el bien la verdad y la belleza, al ser propiedades que se identifican con el ser, es decir, trascendentales, develan algunas características del ser perfecto en los entes imperfectos. Esto es posible desde el pensamiento de Tomás de Aquino, porque dios, que es aquel que crea, al hacerlo transmite algo de su propio ser a su obra; así como el artista se refleja en algún respecto en su creación. En el caso de dios, (...) este reflejo se llama vestigio, y tiene carácter analógico. Sin embargo, permite que una criatura racional encarnada pueda descubrirlo por medio de la contemplación del universo, lo que transforma a la creación en un fenómeno ierofánico. En este trabajo mostraremos cómo cada trascendental revela un aspecto de la divinidad. La verdad la hace inteligible, la bondad deseable y la belleza digna de ser amada. (shrink)

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 focus on this article is to analyze the concept of beauty in Kierkegaard’s thought, starting from some questions that I try to answer in these pages: How does Kierkegaard understand beauty? What role does beauty play in the inner constitutive process? All this to argue that, as regards beauty, Kierkegaard recovers the Greek concept of kalokagathia to give it a modern interpretation; thus, distancing himself from the modern understanding of beauty as a mere object of study of aesthetics or (...) the mere contemplation of an ideal; beauty is defined as the telos of the inner self and is related to freedom and choice. It is, therefore, as I will argue, an ethical beauty, rather than an aesthetic one. (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 article analyzes the innovations produced by the concept of experience, introduced from the feminist theory during the eighties. The experience was an epistemic invention to give account of what used to result exceeding, subsidiary, or invisible to the science legitimated as such. This theoretical-methodological tool led to redefinitions around the sense of objectivity and pointed out the political condition of a perspective that was declared as neutral. This work tries to throw some light over the critical strength that this (...) epistemic tool had during those years, for which it chooses the historical perspective. At the same time, this article advances towards a critical analysis around certain modelling of the tool. In this sense, the article aims to sharpen the epistemic surveillance and to review the commitments that this has been acquiring with the institutionalization of the feminist perspective during the last decades. El presente artículo analiza las innovaciones que produjo en el campo del conocimiento la herramienta de la experiencia, introducida desde la teoría feminista en los años ochenta. La experiencia fue una invención epistémica que tuvo como objetivo dar cuenta de aquello que resultaba excedente, subsidiario o invisible a la ciencia legitimada como tal. Este instrumental teórico-metodológico conllevó redefiniciones en torno al sentido de la objetividad y señaló la condición política de una perspectiva declarada neutral. El presente trabajo apunta a alumbrar la potencia crítica que dicha herramienta epistémica tuvo en aquellos años, para lo cual elige la perspectiva histórica. Asimismo, el artículo avanza en un análisis crítico en torno a ciertas modelizaciones contemporáneas de dicha herramienta. En este sentido, el artículo aspira a agudizar la vigilancia epistémica y a revisar los compromisos que ha ido adquiriendo con la institucionalización de la perspectiva feminista de las últimas décadas. (shrink)

Este trabajo busca analizar los personajes que Tácito destaca como dignos de mérito durante el nuevo sistema político del Principado y que reciben una alabanza o elogio por parte del historiador en la primera héxada de sus _Anales. _Se examinan también los factores que se constituyen como meritorios bajo el reinado de Tiberio y que reciben algún tipo de compensación política por parte del emperador.

This paper aims to restore, from the political thought of Merleau-Ponty, the rightful place of conflict. To achieve this hypothetical premise it is necessary to consider some issues that are woven into possible readings of the origin or foundation of politics. First, tracing back to the original cartesian proposition that the body is related with extensive substance invalid when detecting who we are. Then, considering the reading Merleau-Ponty makes of Machiavelli considering the notion of riot or mass under a conflicting (...) structure of politics in relation to the subject. In this regard, it is noted from this reading, the conditions proposed by Merleau-Ponty to highlight the importance of the singular in a politically shared space. And finally, to understand these problem areas of the history of philosophy as their own "world of life" where the contingent has a particular sense understood as the ontological place of the practical subject. Thus, in this context, it is possible to reconcile from Merleau-Ponty in the area of the contingent, body and language; what is felt and thought; perceived and settled. To understand the features of sedimentation helps to the formation of the localized subject; that is, it habituated or instituted. (shrink)

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.

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)

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.

En el presente texto se hace una lectura fenomenológica del relato mítico amazónico del Yurupary. A partir de esta, se defiende la tesis de que en la oralitura que se manifiesta en este relato se ofrece la cosmovisión de una cultura precolombina; en esta, se plasma en su estructura interna una determinada manera de estar-en-el-mundo, es decir, devela rasgos de la dimensión ontológica de la misma. Para exponer la tesis anterior el texto se divide en tres partes: I. “De la (...) fenomenología o presupuestos metodológicos”; II. “Aproximación fenomenológica al relato”, y III. “Perspectivas”. (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)

Este artículo problematiza la forma en la que el feminismo ha interpretado al escepticismo como una amenaza para su proyecto epistemológico, ético y político, y plantea que, a pesar de dicha interpretación, el escepticismo es inherente a la filosofía feminista y un aliado útil para su proyecto. El problema ha estado en cómo el feminismo ha reducido su comprensión del escepticismo a una versión cartesiana extrema y ha pasado por alto otras corrientes de la tradición —como la de David Hume— (...) que podrían ser fructíferas para promover una actitud crítica y emancipatoria. Muestra así como una alianza entre una comprensión moderada del escepticismo y el feminismo puede brindar las herramientas necesarias para cuestionar formas de dominación patriarcal y poner en marcha investigaciones que combatan la opresión de género. (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)

The paper is focused on the process that creates prepositional phrases in Spanish, from the perspective of the theory of grammaticalization and cognitivism, tracking semantic transformations through associative processes such as metaphor and metonymy. After reviewing these theoretical bases, the research follows two particular expressions in the Spanish prepositional phrases inventory: en cabeza de and a la cabeza de. The analysis starts by the study of the central noun, cabeza, in historic dictionaries, followed by a study of their use in (...) the main academic corpus. The aim is to observe how these expressions have changed diachronically to establish when and how they have become fixed phrases in the Spanish language. (shrink)

This article focuses on the assessment of mechanistic relations with specific attention to medicine, where mechanistic models are widely employed. I first survey recent contributions in the philosophical literature on mechanistic causation, and then take issue with Federica Russo and Jon Williamson’s thesis that two types of evidence, probabilistic and mechanistic, are at stake in the health sciences. I argue instead that a distinction should be drawn between previously acquired knowledge of mechanisms and yet-to-be-discovered knowledge of mechanisms and that both (...) probabilistic evidence and manipulation are essential with respect to newly discovered mechanisms. (shrink)

This contribution claims that the two fundamental notions of causation at work in the health sciences are manipulative and mechanistic, and investigates what kinds of evidence matter for the assessment of causal relations. This article is a development of our 2007 article, ‘Plurality of Causality’, where we argue for a pluralistic account of causation with an eye to econometrics and a single medical example. The present contribution has a wider focus, and considers the notion of evidence within a whole range (...) of disciplines belonging to the health sciences. Section 1 addresses the relations between kinds of evidence and causal accounts, and it is shown how different notions of causation can be employed in various medical cases. Section 2 calls attention to issues crucial for any adequate epistemological theory of causation, such as the distinctions between types and tokens, observational and experimental regimes, explanation and prediction. Lastly, the notion of context is articulated, highlighted in its role in the assessment of causal links. All these issues are tackled in the framework of what we label a ‘bottom–up’ epistemology. (shrink)