As Heraclitus, Cioran conceives man as a being that possesses lógos and is ruled in his life by it in its multiple aspects. Man not only makes use of word; this word also shapes him and traverses him entirely. Word is the necessary and intrinsic expression of every human being, and, as a result, he cannot elude it. In many of his works, Cioran warns us about the dangers that lógos has for man: not to find his genuine expression in (...) the midst of so many words, and to fall into totalizing fictions that lead us to deception and indoctrination. For this reason, in the midst of this misfortune, Cioran even considers silence as the only possible way out. However, if man denies the mark of language by avoiding all forms of expression, the anguish that his own existence entails will end up destroying him. Paradoxically, Cioran finds that the expression of lógos is the only possible salvation for man from the clutches of death, and that is, why by expressing oneself through lógos, one's own unhappiness becomes a necessary condition of life. (shrink)

Emotional processing and episodic memory are closely related throughout childhood development. With respect to emotional episodic memory, available evidence shows that the consolidation of information is accompanied by an arousal that generates longer duration and persistence of the memory representations. In the case of early stages of development (i.e., first 5 years), it is less clear how these associations emerge and are modulated by individual and environmental factors. In this study, 116 4- to 5-years old Argentinean children from different socio-environmental (...) contexts (i.e., favorable or unfavorable living conditions at home), performed a task of visual emotional memory in which they observed a set of 15 images with variable emotional valences (negative, neutral, and positive). The child’s task was to appraise each image using one of the following three possible valences: (a) drawings of faces with smiles (positive valence), (b) drawings of faces with tears and round mouth with edges down (negative valence), or (c) drawings of faces with horizontal mouth (neutral valence). Five years-old children exhibited greater accuracy appraisal. Individual differences in emotional accuracy appraisal allowed us to observe different performances in free recall of negative visual images. Accuracy appraisal did not vary between children with respect to gender, living conditions at home, or language ability. Seven to ten days after the emotional appraisal children were asked to tell the experimenter all the images they remembered (variables of interest: free recall of negative, positive, or neutral images). Results showed individual (age) differences. Specifically, 5-years-old children evoked more images than 4-years-old children. These findings contribute to the understanding of emotional memory in early developmental stages and raise the need to include emotional appraisal in the assessment of episodic memory. (shrink)

Psychological flexibility is a key concept of acceptation and commitment therapy. This factor has been linked with psychological wellbeing and associated factors, such as quality of life, in cancer patients. These and other positive results of acceptation and commitment therapy in cancer patients found in previous research could be enhanced by using mhealth tools. A three-arm randomized superiority clinical trial, with a pre-post-follow-up repeated measures intergroup design with a 1:1:1 allocation ratio is proposed. A hundred and twenty cancer patients will (...) be randomly assigned to one of the following interventions: face-to-face ACT + mobile application, face-to-face ACT, and Waitlist control group. The primary expected outcome is to observe significant improvements in psychological flexibility acceptance and action questionnaire- II in the face-to-face ACT + app group, after comparing baseline and post-treatment scores, and the scores will remain stable in the two assessment points, 3 and 6 months after the intervention. Secondary expected outcomes are significant increasing scores in quality of life and post-traumatic-growth, and significant decreasing scores in anxiety and depression, insomnia and fatigue at the same assessment points. Also, it is expected that the scores of this group will be higher than the scores of the face-to-face ACT group and the waitlist control group. This study aims to assess the efficacy of a combined intervention for psychological flexibility and associated symptoms in cancer patients. The results of this protocol may help to consider the use of acceptation and commitment therapy and mhealth applications in cancer settings as a valid therapeutic choice.Clinical Trial Registration[www.ClinicalTrials.gov], identifier [NCT05126823]. (shrink)

Verónica Adriana Ramírez, Eliana Ruetti: Memoria emocional en niñas y niños preescolares de diferentes condiciones socio-ambientales; Anne-Lise Saive: Reír para recordar: mejora de la memoria en relación con el humor; Veronika Diaz Abrahan, Maria Benitez, Leticia Sarli, Maximiliano Bossio, Nadia Justel: Memoria emocional. Una revisión sistemática sobre la capacidad modulatoria de la música, la actividad física y el bilingüismo; Matías Bonilla, Camila Isabel Jorge, Malen Daiana Moyano, Cecilia Forcato: Modificación de memorias maladaptativas durante el sueño y la vigilia: (...) una visión interdisciplinaria; María Angélica Fierro: Éros el memorioso; Marina Trakas: Dimensiones de análisis de los recuerdos personales como recuerdos afectivos; Marcelo Vieira Lopes: Sentimentos existenciais e memória corporal: Dois casos em filosofia da psiquiatria. -/- . (shrink)

Aunque las Lecciones de fenomenología de la conciencia interna del tiempo tienen pocas referencias al marco metódico, ciertos pasajes apuntan a la reducción fenomenológica, de modo que su status se diferenciaría del de las Investigaciones lógicas y se acercaría al de Ideas i. Se ha señalado que aun si la reducción es empleada en este texto, no lo sería en su “versión madura”. Se busca determinar el estatus metodológico de las Lecciones a partir de una comparación entre los desarrollos metódicos (...) y las descripciones fenomenológicas que se presentan allí y aquellos consignados en Investigaciones e Ideas, teniendo como idea regulativa el esclarecimiento del papel del tiempo en la ampliación del dominio de la fenomenología como conjunto. (shrink)

Nuestra hipótesis es la siguiente: Históricamente, las políticas públicas de comunicación ayudaron a construir una posición de desventaja en términos de sostenibilidad económica de los medios comunitarios, populares y alternativos de Argentina, con respecto a los medios de propiedad privada con fines de lucro y a los estatales. Después de una breve etapa entre 2009 y 2015 en la que las políticas dirigidas al sector no lucrativo se orientaron -con sus demoras y problemas- a su legalización y fomento, las políticas (...) del gobierno actual, aunque no modificaron el marco legal, restauran las persecuciones a las radios en situación de ilegalidad forzosa. (shrink)

The doctor-patient relationship -- Consent, choice, and refusal : adults with capacity -- Treating adults who lack capacity -- Children and young people -- Confidentiality -- Health records -- Contraception, abortion, and birth -- Assisted reproduction -- Genetics -- Caring for patients at the end of life -- Euthanasia and physician assisted suicide -- Responsibilities after a patient's death -- Prescribing and administering medication -- Research and innovative treatment -- Emergency situations -- Doctors with dual obligations -- Providing treatment and (...) care in detention settings -- Education and training -- Teamwork, referral, delegation, and shared care -- Public health dimensions of medical practice -- Reducing risk, clinical error, and poor performance. (shrink)

Besides their skepticism about universal reason and universal morality, the Frankfurt Schools of Critical Systems Theory and Critical Theory share basic assumptions: (1) the thinking in societal-systemic, institutional concepts, which transcend simple reciprocal relations by dint of their complexity; (2) the assumption that society is based on fundamental paradoxes, antagonisms, antinomies; (3) the strategy to conceptualize justice as a contingent and transcendental formula; (4) the form of immanent (and not morality-based, external) critique as an attitude of transcendence; (5) the aim (...) of societal (and not only political) emancipation in an ‘association of free individuals’ (Marx). The article focuses on those parallels and aims to conceptualize a critical turn-around of autopoietic systems theory. (shrink)

Much of the commentary in the wake of the Charlie Gard litigation was aimed at apparent shortcomings of the law. These include concerns about the perceived inability of the law to consider resourcing issues, the vagueness of the best interests test and the delays and costs of having disputes about potentially life-sustaining medical treatment resolved by the courts. These concerns are perennial ones that arise in response to difficult cases. Despite their persistence, we argue that many of these criticisms are (...) unfounded. The first part of this paper sets out the basic legal framework that operates when parents seek potentially life-sustaining treatment that doctors believe is against a child’s best interests, and describes the criticisms of that framework. The second part of the paper suggests an alternative approach that would give decision-making power to parents, and remove doctors’ ability to unilaterally withhold or withdraw life-sustaining treatment that they regard is futile. This proposal is grounded in several values that we argue should guide these regulatory choices. We also contend that the best interests test is justifiable and since the courts show no sign of departing from it, the focus should be on how to better elucidate the underlying values driving decisions. We discuss the advantages of our proposed approach and how it would address some of the criticisms aimed at the law. Finally, we defend the current role that the judiciary plays, as an independent state-sanctioned process with a precedent-setting function. (shrink)

Os heróis japoneses estão cada vez mais presentes no cotidiano brasileiro, influenciando o público infanto-juvenil e pré-adolescente. O animê ganhou força na década de 60 através de Osamu Tezuka. Os personagens são orientais, mas a narrativa é construída a partir da cultura pop. Hoje a preocupação se volta para Bey Blade -desenho atuante no inconsciente, colocando a razão em último plano, prevalecendo a alienação e a exclusão social.

Partiendo de una serie de tesis respecto del significado de la negación lógica, se ofrece una reflexión acerca de la relación entre el pluralismo lógico y el estatus de ciertos principios lógicos fundamentales. El objetivo de este trabajo es mostrar que el Problema de la Adopción, tal como se encuentra formulado por Kripke-Padró, no representa un conflicto para una visión antiexcepcionalista de la lógica. Las leyes lógicas no poseen un status privilegiado, independientemente de que existan algunas que no podemos adoptar, (...) porque sí podemos decidir abandonar principios lógicos y es abandonando reglas y no adoptándolas como se revisa una teoría lógica; en consecuencia es aceptable un tipo de pluralismo lógico que parta de considerar que más de un conjunto de principios capturan de manera adecuada el significado de la negación. (shrink)

Marc Crépon es director de investigación en el Centre National de la Recherche Scientifique y director del Departamento de Filosofía de l’École normale supérieure de París. Entre sus publicaciones se encuentran: La culture de la peur, I. Démocratie, identité, sécurité ; La culture de la peur, II. La guerre des civilisations ; Le consentement meurtrier ; La vocation de l’écriture ; La gauche c’est quand?.

O artigo apresenta reflexões teóricas sobre a atividade de ensino que se torna práxis bem-sucedida. Essa discussão gira em torno de duas categorias teóricas: atividade e afetação. A atividade, categoria teórica de base marxista, é discutida a partir dos aportes da psicologia sócio-histórica. A categoria afetação é aqui analisada com base na filosofia de Baruc de Espinosa. Realizamos este estudo a partir de pesquisa bibliográfica que tem como objetivo refletir sobre o que contribui para que o professor consiga realizar um (...) ensino capaz de afetar com alegria seus alunos levando ao desenvolvimento de uma práxis bem-sucedida. A pesquisa bibliográfica é realizada a partir dos teóricos da psicologia sócio-histórica, sobretudo Vygotsky e Leontiev. Da filosofia de Espinosa pesquisamos a obra Ética. Os resultados revelam que professores e alunos são sujeitos que se constituem historicamente, a partir de múltiplas mediações. Significados, sentidos e afetações são parte das mediações que constituem professores e alunos envolvidos em atividades de ensino consideradas exitosas. O estudo aprofundado acerca dessas categorias poderá contribuir de forma determinante para que o ensino, como atividade social que se realiza entre pessoas, possa tornar-se um encontro alegre, gerador de afetos que potencializem desejos e aumentem a potência de agir e pensar de professores e alunos, fato que contribui para a emancipação humana. Palavras-chave: Atividade de ensinar. Sentido e significado. Encontros alegres. Afetação. (shrink)

Background Victoria was the first Australian state to legalize voluntary assisted dying (elsewhere known as physician-assisted suicide and euthanasia). Some institutions indicated they would not participate in voluntary assisted dying. The Victorian government issued policy approaches for institutions to consider Objective To describe and analyse publicly available policy documents articulating an institutional objection to voluntary assisted dying in Victoria. Methods Policies were identified using a range of strategies, and those disclosing and discussing the nature of an institutional objection were thematically (...) analysed using the framework method. Results The study identified fifteen policies from nine policymakers and developed four themes: (1) extent of refusal to participate in VAD, (2) justification for refusal to provide VAD, (3) responding to requests for VAD, and (4) appeals to state-sanctioned regulatory mechanisms. While institutional objections were stated clearly, there was very little practical detail in most documents to enable patients to effectively navigate objections in practice. Conclusion This study demonstrates that despite having clear governance pathways developed by centralized bodies (namely, the Victorian government and Catholic Health Australia), many institutions’ public-facing policies do not reflect this guidance. Since VAD is contentious, laws governing institutional objection could provide greater clarity and regulatory force than policies alone to better balance the interests of patients and non-participating institutions. (shrink)

Deep brain stimulation (DBS) is a developing technology. New generations of DBS technology are already in the pipeline, yet this particular fact has been largely ignored among ethicists interested in DBS. Focusing only on ethical concerns raised by the current DBS technology is, albeit necessary, not sufficient. Since current bioethical concerns raised by a specific technology could be quite different from the concerns it will raise a couple of years ahead, an ethical analysis should be sensitive to such alterations, or (...) it could end up with results that soon become dated. The goal of this analysis is to address these changing bioethical concerns, to think ahead on upcoming and future DBS concerns both in terms of a changing technology and changing moral attitudes. By employing the distinction between inherent and noninherent bioethical concerns we identify and make explicit the particular limits and potentials for change within each category, respectively, including how present and upcoming bioethical concerns regarding DBS emerge and become obsolete. Many of the currently identified ethical problems with DBS, such as stimulation-induced mania, are a result of suboptimal technology. These challenges could be addressed by technical advances, while for instance perceptions of an altered body image caused by the mere awareness of having an implant may not. Other concerns will not emerge until the technology has become sophisticated enough for new uses to be realized, such as concerns on DBS for enhancement purposes. As a part of the present analysis, concerns regarding authenticity are used as an example. (shrink)

Understanding the psychological computations underlying motivation can shed light onto motivational constructs as emergent phenomena. According to Murayama and Jach, reward-learning is a key candidate mechanism. However, there's no such thing as a free lunch: Not only benefits (like reward), but also costs inherent to motivated behaviors (like effort, or uncertainty) are an essential part of the picture.

ObjectiveTo increase knowledge of how doctors perceive futile treatments and scarcity of resources at the end of life. In particular, their perceptions about whether and how resource limitations influence end-of-life decision making. This study builds on previous work that found some doctors include resource limitations in their understanding of the concept of futility.SettingThree tertiary hospitals in metropolitan Brisbane, Australia.DesignQualitative study using in-depth, semistructured, face-to-face interviews. Ninety-six doctors were interviewed in 11 medical specialties. Transcripts of the interviews were analysed using thematic (...) analysis.ResultsDoctors’ perceptions of whether resource limitations were relevant to their practice varied, and doctors were more comfortable with explicit rather than implicit rationing. Several doctors incorporated resource limitations into their definition of futility. For some, availability of resources was one factor of many in assessing futility, secondary to patient considerations, but a few doctors indicated that the concept of futility concealed rationing. Doctors experienced moral distress due to the resource implications of providing futile treatment and the lack of administrative supports for bedside rationing.ConclusionsDoctors’ ability to distinguish between futility and rationing would be enhanced through regulatory support for explicit rationing and strategies to support doctors’ role in rationing at the bedside. Medical policies should address the distinction between resource limitations and futility to promote legitimacy in end-of-life decision making. (shrink)

BackgroundThis paper investigates the content of Australian policies that address withholding or withdrawing life-sustaining treatment to analyse the guidance they provide to doctors about the allocation of resources.MethodsAll publicly available non-institutional policies on withholding and withdrawing life-sustaining treatment were identified, including codes of conduct and government and professional organization guidelines. The policies that referred to resource allocation were isolated and analysed using qualitative thematic analysis. Eight Australian policies addressed both withholding and withdrawing life-sustaining treatment and resource allocation.ResultsFour resource-related themes were (...) identified: doctors’ ethical duties to consider resource allocation; balancing ethical obligations to patient and society; fair process and transparent resource allocation; and legal guidance on distributive justice as a rationale to limit life-sustaining treatment.ConclusionOf the policies that addressed resource allocation, this review found broad agreement about the existence of doctors’ duties to consider the stewardship of scarce resources in decision-making. However, there was disparity in the guidance about how to reconcile competing duties to patient and society. There is a need to better address the difficult and confronting issue of the role of scarce resources in decisions about life-sustaining treatment. (shrink)

El texto presenta un adelanto de un profundo “trayecto” de trabajo colectivo en curso impulsado por un grupo de jóvenes investigadores y docentes que integran el Programa “Problemáticas comunicacionales barriales, organizacionales y políticas. Experiencias de lucha y resistencia a comienzos de siglo XXI en la provincia de Córdoba” (Argentina), desde el año 2011. La sistematización de las distintas experiencias, que presenta el libro, permite poner en común las peculiaridades de los contradictorios escenarios de conflicto y resistencia analizados, organizada en tres (...) capítulos que repasan con cuidadosa “vigilancia epistemológica” los procesos realizados con los actores sociales que integran los proyectos a saber: habitantes de las ciudades-barrio, trabajadores de la economía solidaria y vecinos e instituciones que forman parte de instancias participativas en los gobiernos locales. (shrink)

Medications of choice, necessary supplies, and evidence-based health care now seem like luxuries. The contrast between my experience at a well-funded health unit and the Lev El Lev (“heart to heart”) African Refugee Clinic in Tel Aviv, Israel, is staggering. The complex personal, social, health, psychological, educational, and economic difficulties create a unique ethical environment for the health care provider.

Debate a formação de educadores e de professores na sociedade contemporânea, com destaque para as políticas de formação de professores presentes na estrutura institucional do Estado e da sociedade brasileira. Analisa as condições históricas da produção das políticas de educação e, dentro delas, os aspectos de formação e de preparação de professores para as diversas etapas, graus e níveis da Educação Básica. Estuda as causas históricas e políticas do atraso cultural, institucional e político da organização da escola no Brasil e (...) debate as ressonâncias dessas contradições na vida cotidiana, na identidade subjetiva dos professores e em sua autoestima. Apresenta fundamentos filosóficos de uma formação docente para as relações humanas de igualdade e de alteridade, de dialeticidade e de elevação ética e estética. Apresenta a educação escolar como processo de formação humana e destaca a tarefa de educar como processo de desenvolvimento ou de formação humana. Apresenta as esperadas características de uma docência humanizadora e emancipatória. Enuncia processos humanistas e atitudes éticas de acolhimento voltados para as práticas de formação de professores, com destaque para os estágios e os percursos formativos. Destaca com esperanças as novas propostas de novas docências diante de novos sujeitos sociais e de novos desafios para a educação e a escola na sociedade tecnológica. (shrink)

Esta investigación pretende realizar un estudio descriptivo sobre la situación de las asociaciones de inmigrantes de la ciudad de Alicante. El interés sobre este tema radica en el aumento, desde hace más de una década, de población extranjera en Alicante y la certeza de que la integración de todos los ciudadanos es fundamental para que se pueda conseguir el desarrollo y la estabilidad social. La investigación se centra en los siguientes aspectos: a) el perfil, actividades, recursos y carencias de las (...) asociaciones; b) el perfil de los miembros de las asociaciones; c) la relación con otras asociaciones y d) la participación ciudadana y política. De este modo creemos que se puede hacer un fiel retrato de las asociaciones de inmigrantes en el municipio de Alicante y valorar, así, su capacidad de acción. (shrink)