Background/ObjectiveSeveral studies have examined the impact of Parkinson’s disease on the quality of couples’ relationships. To date, few studies have explored how couples experience their relationship dynamic by taking into account the disease stage. The objectives of this study were to understand the experience of each partner and to study the mechanisms that underlie their couple organization in the advanced stage of PD.MethodsSemistructured individual interviews conducted with fifteen patients and their partners were the subject of a dyadic interpretative phenomenological analysis.ResultsThree (...) themes were identified from the analysis: the first, “A Closeness That Separates,” allows the identification of different patterns of interactions that lead to emotional distancing between the partners; the second, “The Adversity Is Not Unbearable, But Going It Alone Would Be,” emphasizes the importance of how the assisting partner provides support; and the third, “Be Prepared for Anything and Facing an Uncertain Future,” reveals the extent and modes of the dyadic regulation of the emotions linked to what the future may hold.ConclusionPsychological support is important to help couples express both their feelings and their respective needs in the evolving context of PD. (shrink)

A philosophical investigation of the concept of interiority, presenting readers with its unmined aspects and senses.

What causes adolescents to develop consumer’ ethical beliefs? Prior research has largely focused on the negative influence of peers and negative patterns of parent–child interactions to explain risky and unethical consumer behaviors. We take a different perspective by focusing on the positive support of parents and peers in adolescent social development. An integrative model is developed that links parental and peer support with adolescents’ self-worth motives, their materialistic tendencies, and their consumer ethical beliefs. In a study of 984 adolescents, we (...) demonstrate support for a sequential mediation model in which peer and parental support is positively related to adolescents’ self-esteem and feelings of power, which are each associated with decreased materialism as a means of compensating for low self-worth. This reduced materialism is, in turn, associated with more ethical consumer beliefs. (shrink)

Mindfulness—the awareness of the present moment and experiences in daily life—contributes to genuine intrinsic and social-oriented values and curbs materialistic and hedonistic values. In the context of materialism, money is power. Avaricious individuals take risks and are likely to engage in dishonesty. Very little research has investigated the effects of mindfulness in reducing the avaricious monetary attitudes and enhancing ethical consumer beliefs. In this study, we theorize that mindfulness improves consumer ethics directly and indirectly by lowering avaricious monetary attitudes. To (...) test our theory, we collected data from 523 individuals with the Mindfulness-Based Stress Reduction training and 307 individuals without MBSR. The results of our whole sample support our theory. Three multiple-group confirmatory factor analyses reveal intriguing discoveries. First, with MBSR training, mindfulness excites consumer ethical beliefs directly and indirectly. Without training, trait mindfulness fails to reduce monetary attitudes—mindfulness training matters. Second, the power of MBSR training holds for participants completing the training within 1 year, but wears off after 1 year—the duration after training matters. Finally, after 1 year, the training retains its strength for those who practice mindfulness, but weakens its power for those who do not—practice matters. We shed light on mindfulness, monetary wisdom, and consumer ethics, in particular, and business ethics, in general. (shrink)

Engaging in unethical consumption behaviors is an acute societal problem that can have severe consequences for adolescents, and businesses in particular have been accused of making such consumption particularly appealing and accessible. However, the causes of unethical behaviors are not well understood and research on the causes has been mixed. In this research, we investigate the effects of coping strategies for loneliness on adolescents’ adoption of unethical behaviors, a topic that business ethics research has not explored. In a large-scale study (...) of adolescents, we show that whether loneliness leads to the adoption of unethical behaviors depends on the strategies adolescents use to cope with their loneliness: active coping strategies are associated with fewer unethical behaviors, whereas passive coping strategies are associated with more unethical behaviors. In addition, we show that active and passive coping strategies can be executed through consumption practices. We show that the relation between active coping and fewer unethical behaviors is mediated by sharing of possessions, whereas the relation between passive coping strategies and more unethical behaviors is mediated by product acquisition. Finally, we also show that these mediated relations differ as a function of age cohort. The indirect effect of active coping on fewer unethical behaviors via sharing holds only for middle school adolescents, whereas the indirect effect of passive coping on more unethical behaviors via product acquisition holds only for high school adolescents. We shed new light on both the bright and dark sides of materialism and unethical behaviors and provide practical implications for research on loneliness, business ethics, and unethical behaviors. (shrink)

Physician empathy is considered essential for good clinical care. Empirical evidence shows that it correlates with better patient satisfaction, compliance, and clinical outcomes. These data have nevertheless been criticized because of a lack of consistency and reliability. In this paper, we claim that these issues partly stem from the widespread idealization of empathy: we mistakenly assume that physician empathy always contributes to good care. This has prevented us from agreeing on a definition of empathy, from understanding the effects of its (...) different components and from exploring its limits. This is problematic because physicians’ ignorance of the risks of empathy and of strategies to manage them can impact their work and wellbeing negatively. To address this problem, we explore the effects of the potential components of empathy and argue that it should be conceived as a purely descriptive and wide term. We end by discussing implications for medical education. (shrink)

Christopher Boorse’s bio-statistical theory of health and disease argues that the central discipline on which theoretical medicine relies is physiology. His theory has been much discussed but little has been said about its focus on physiology or, conversely, about the role that other biomedical disciplines may play in establishing a theoretical concept of health. Since at least the 1950s, epidemiology has gained in strength and legitimacy as an independent medical science that contributes to our knowledge of health and disease. Indeed, (...) it not only provides important information about disease distribution and aetiology, but the risk-factor approach it employs seems to challenge BST’s binary conception of health and disease. The objective of the article is to show, firstly, how important information deriving from descriptive and analytical epidemiology forms part of our contemporary medical concepts of health and disease, and secondly, that these elements are not taken into account by BST in a satisfactory way. The article’s central contention, therefore, is that if the project of defining the theoretical concept of health is to be maintained, more importance should be accorded to the contribution made by epidemiology—alongside physiology—in defining health. (shrink)

Cet article reformule et approfondit la distinction de Ricœur entre douleur et souffrance dans les termes de la philosophie de l’esprit contemporaine pour qu’elle puisse ultérieurement y être discutée dans le débat existant sur la douleur. Douleur et souffrance sont distinguées, par leurs dimensions évaluatives respectives, donc en termes d’intentionnalité, ainsi que par leurs fonctions, à partir de la façon dont Ricœur caractérise les effets propres de la souffrance sur l’activité mentale et la conduite. Notre lecture suggère que la douleur (...) évalue le caractère dommageable d’un état corporel ou d’une situation, tandis que la souffrance évalue le caractère à première vue injustifiable du mal subi. La première a une fonction pratique, nous motiver à nous préserver de ce qui nous porte atteinte, tandis que la seconde a une fonction épistémique, nous motiver à nous interroger sur l’imputation morale du mal subi et sur les raisons qui pourraient le justifier. (shrink)

Cet article relate les détours d’un parcours de recherche doctorale sinueux. L’interdisciplinarité du projet dont il est question a mis au jour une incompatibilité des conceptions du sens et de l’implicite. Le projet visait à étudier les moyens de communication dont dispose l’interlocuteur pour gérer l’intercompréhension. Afin de mener les analyses, quatre types d’observables ont été dégagés : celles qui informent directement sur le contenu de son interprétation ou sur sa satisfaction vis-à-vis de cette interprétation, celles qui changent de sujet, (...) et celles qui poursuivent l’interaction « vers l’avant ». Ces quatre types d’observables ont conduit à une conception tridimensionnelle du sens : une dimension situante du sens ; la dimension structurante du sens ; la dimension relationnelle du sens. Cette modélisation remet en question la notion d’implicite ainsi que la distinction entre connotation et dénotation. (shrink)

Dans cet ouvrage-hommage à Michèle Riot-Sarcey, les travaux et la pensée de l’historienne sont mis en perspective au travers de dix-huit articles organisés autour des thèmes « Genre », « Utopies et discontinuités », « Révolution, république et démocratie », et « Se situer dans son propre présent ». L’ensemble de l’ouvrage constitue une invitation à lire ou relire les œuvres de l’auteure et à prendre avec elle le parti de se confronter en toute conscience aux enjeux de l’écriture de (...) l’histoire... (shrink)

Timothy Verhoeven, de l’université de Monash en Australie, est spécialiste de l’histoire contemporaine de la France et des États-Unis. Son ouvrage Sexual Crime, Religion and Masculinity in Fin-de-Siècle France: the Flamidien affair se situe à la croisée de deux thématiques qu’il avait déjà étudiées auparavant, l’anticléricalisme et les relations entre Église et États d’un côté, et l’histoire des masculinités à partir des sexualités cléricales de l’autre. À partir d’un fait divers propice à me...

A well-known common wisdom asserts that strong social bonds undermine delinquency. However, there is little empirical evidence to substantiate this assertion regarding adolescence academic cheating across cultures. In this study, we adopt social bonding theory and develop a theoretical model involving four social bonds and adolescence self-reported academic cheating behavior and cheating perception. Based on 913 adolescents in France and China, we show that parental attachment, academic commitment, and moral values curb academic cheating; counterintuitively, peer involvement contributes to cheating. We (...) test our theoretical model across culture and gender, separately, using multi-group analyses. For French teens, peer involvement encourages and moral values undermine cheating; for Chinese adolescents, all four social bonds contribute to cheating, similar to the whole sample. For girls, parental attachment deters, but peer involvement enhances cheating. For boys, parental attachment is the only social bond that does not affect cheating. We treat social integration as a mediator of the relationship between peer involvement and social bonds that construct, in turn, is related to cheating and ask: Considering popularity, who are likely to cheat? Our answers provide an interesting paradox: Popularity matters, yet popular French girls and unpopular Chinese boys are likely to cheat. Social sharing is a positive pro-social behavior in consumer behavior. However, academic cheating and rule breaking, reflecting self-serving altruism and the red sneakers effect, at a very young age may have the potential to grow into the Enron Effect later in their lives as executives in organizations. We shed new lights on both the bright and dark sides of social bonds on cheating, demonstrate bad company corrupts good morals, differently, across culture and gender, and provide practical implications to social bonding, business ethics, and cheating. (shrink)

Adoptant une perspective populationnelle inspirée des « sciences de la santé de la population », cet article développe une critique de la manière dont la médecine personnalisée envisage l’individu et la population et défend l’idée qu’une approche conjointe de la santé de l’individu et de la santé de la population est une condition pour une médecine humaniste.

Adolescents have increasing discretionary income, expenditures, and purchasing power. Inventory shrinkage costs $123.4 billion globally to retail outlets. Adolescents are disproportionately responsible for theft and shoplifting. Both parents and peers significantly influence adolescents’ monetary values, materialism, and dishonesty as consumers. In this study, we develop a theoretical model involving teenagers’ social attachment and their consumer ethics, treat adolescents’ money attitude in the context of youth materialism as a mediator, and simultaneously examine the direct and indirect paths. Results of 1018 adolescents (...) illustrate that social attachment discourages unethical beliefs directly, but encourages it indirectly through monetary values. Our multi-group analyses demonstrate a novel paradox: The correlation between parental and peer attachments is smaller in France than in China, but similar across gender. Parents contribute more than peers to social attachment in France, but both carry equal weight in China. There is a negative direct path for the Chinese sample and for girls. Indirectly, parental attachment prevents French teenagers’ unethical beliefs, whereas peer attachment promotes boys’ unethical intention, supporting the notion—bad company corrupts good morals. Across both culture and gender, monetary attitude excites dishonesty consistently for all adolescents. A negative direct path exists for Chinese boys only. Overall, social attachment reduces unethical beliefs. Parental and peer supports shape teenagers’ monetary intelligence and ethical or unethical decision making, differently, across culture and gender. We provide theoretical, empirical, and practical implications to ethical parenting, peer attachment, monetary values, and business ethics. (shrink)

"Dans cette thèse, je démontre que la tradition phénoménologique développe une redéfinition ontologique de l'individuation du sujet fondée sur la notion d'intentionnalité opérante. J'explique comment cette redéfinition offre une nouvelle approche de la vision du monde et des relations intersubjectives qui ne serait ni réflexive ni représentative. Néanmoins, cette configuration montre le développement parallèle de l'individuation du sujet et de ses expressions, grâce à une ontologie relationnelle, aux implications épistémologiques et éthiques. Analysant la phénoménologie de Husserl, je mets au jour (...) le rapport entre individuation et intentionnalité en montrant que cette relation permet de repenser les problèmes de l'ipséité et de la différence (1). A la lumière de l'analyse heideggérienne du Dasein et de la description merleau-pontienne du corps propre, je montre alors que l'individuation doit être conçue comme un processus permanent de différenciation qui ne repose plus sur le schéma hylémorphique ou sur la représentation cartésienne du sujet (2). Je décris le type de mouvement ontologique qui caractérise l'individuation, en m'appuyant sur Patočka et Simondon, afin de montrer la corrélation de la manifestation du monde et de l'individuation du sujet (3). Celle-ci suppose la nécessité paradoxale de la contingence afin de pouvoir penser l'individuation comme ouverture radicale, modelée par une certaine forme d'altérité. En m'appuyant sur l'ontologie tardive de Merleau-Ponty, la psychanalyse et l'herméneutique, je cherche ensuite à dévoiler la structure analogique - mais non représentationaliste - du sensible et à repenser la corrélation à la lumière du processus d'individuation éprouvé par le sujet (4). Rendant compte de la généralité et de la générativité du mouvement charnel, je démontre pour finir que cette structure analogique permet d'élaborer des conceptions de l'individuation et de la réflexivité requérant moins la mort du sujet, comme dans l'optique poststructuraliste, que sa métamorphose et son advenue. Cette thèse conclut en ouvrant des perspectives utiles à la compréhension de la vie, dans les recherches épistémologiques contemporaines (5), et à l'examen éthique de nos visions du monde et de la responsabilité qui incombe au sujet, dans l'épreuve contingente de ses désirs (6). " --. (shrink)

This article, focusing on America, analyses the way in which Baudrillard uses aphoristic statements in order to propose a response, in the form of parody both of America and of its mediatization, to the proliferation of signs and loss of referentiality which characterize hyperreality. The text in question might be among the most controversial by its author due partly to its non-discursive style and the way in which it offers a punchy critique of America. It raises the question of legitimacy (...) that the aphorism bears at its heart as a self-sufficient authoritative statement, as well as the use of irony. This article analyses the way in which Baudrillard's use of the name ‘America’ both refers to a place and functions as the title of a book. This allows us to question the notion of identity both in terms of identification and of sharing, thereby enabling us to reconsider the notion of contemporaneity. (shrink)

Quel sens donner à l'intrusion quand celle-ci est inséparable d'une mise en danger potentiellement mortelle de ce qui se pense ' un ', mais qu'elle est en même temps nécessaire pour que quelque chose advienne? Quelles perspectives ontologiques, esthétiques et politiques la venue de l'autre ouvre-t-elle alors qu'il peut nous mettre ' hors de nous '? Comment, de fait, l'intrus ne vient-il pas toujours d'ailleurs? La lecture de L'Intrus de Jean-Luc Nancy et des liens qui se tissent entre le philosophe, (...) la réalisatrice Claire Denis et les réalisateurs Nicolas Klotz et Rabah Ameur-Zaïmeche, permet d'envisager comment la notion d'ex-criture donne lieu à des gestes cinématographiques: greffe, adoption, adaptation ou encore intégration. (shrink)

Les confits parentaux aigus et séparations parentales ultraconflictuelles – souvent qualifiées de « déchirantes » – ont aujourd’hui massivement envahi les dispositifs de Protection de l’enfance. Cet article interroge les effets de tels contextes traumatogènes sur la vie psychique des enfants qui en sont victimes à partir de la pratique de psychologue clinicienne de l’auteure au sein d’un service éducatif en milieu ouvert, mais aussi de psychothérapeute psychanalytique en libéral. Au-delà du conflit de loyauté auquel sont confrontés ces enfants, l’auteure (...) analyse les traces de ces conflits parentaux aigus dans l’organisation somato-psychique de ces enfants, leur corps étant porteur de ces dynamiques conflictuelles. Des vignettes cliniques témoignent des effets de déchirure sur les enveloppes du Soi, appréhendés au travers de tableaux symptomatologiques spécifiques. Cette approche psychanalytique montre comment la « part déchirée du soi » chez ces enfants porte les traces des parents qui se déchirent sur leur dos. (shrink)

L’auteure trace l’historique des réflexions sur la médiation en France depuis 30 ans. Elle tire de ces analyses des propositions sur la notion de certification de la médiation, ses modalités possibles et la manière dont celle-ci pourrait répondre aux dimensions originales de la médiation sans les réduire à d’autres formes de régulation des conflits.

Marketing research on adolescents’ ethical predispositions and risky behaviors has focused primarily on individual difference variables. The present study, in contrast, examines the social network positions that an adolescent occupies within a group. A survey of 984 adolescents demonstrates that EP and RB stem from a balance between assimilation and individuation. In particular, we show that adolescents with close first-degree relationships within a specific peer group and/or high need for uniqueness have lower EP and engage in more RB, while adolescents (...) that are more central to the entire network have higher EP. The theoretic and practical implications of these findings are discussed. (shrink)

This essay analyzes the ontological and existential dimensions of vulnerability as a relational and structuring character of the human self while assessing the situations and policies that may perform its negative effects through situations of insecurity, inequality, and injustice. It argues that vulnerability appears as an experience and a social fact that is deeply ambivalent and which requires a paradigm shift in order to tackle its lived-through experience and its political and social implications. Indeed, exploring vulnerability entails considering the critical (...) aspect of this concept to deconstruct the modern paradigm of invulnerability and to consider this fundamental lived experience as an inspirational resource: to provide a philosophical description of personal and collective individuation processes; to critically assess the social, political and existential conditions that reinforce struggles and asymmetry; to help design policies that thwart its negative effects and enforce fundamental human rights; and to design interdisciplinary research methodologies accordingly. (shrink)

Canguilhem criticized the concept of “public health”: health and disease are concepts that only apply to individuals, taken as organic totalities. Their extension to a different level of organization is purely metaphorical. The importance assumed by epidemiology in the construction of our knowledge of the normal and the pathological does, however, call for reflection on the role and the status of the population level of organization in our approach to health phenomena. The entanglement of the biological and the social in (...) human life and in contemporary societies justifies this level of analysis for better understanding the complexity and the interaction of health determinants both at the level of individuals and their interactions and at that of the population. But is this population level just a useful level of analysis that makes it possible to bring to light the social determinants of health at the individual level, or does it rest instead on characteristics of the population that are irreducible to individual characteristics, but which are nevertheless important for understanding and taking action with respect to both population and individual health? Defending this second alternative, I show how the epidemiological point of view, and in particular that of social epidemiology, leads us to rethink the possibility of a concept of “population health” that is not reducible to the sum of individual instances of health. (shrink)

The philosophical analysis of trauma has grown over the last ten years due to our need to elucidate the lived experience endured by an increasing number of human beings undergoing forced migration, abuses, war crimes, and traumatizing situations. The irreducibility of trauma renders the task of care ethics more and more difficult. Yet, this paper argues that a phenomenological analysis of the care relation with traumatized patients can help elucidate the inter-affective dynamics at stake in such encounters. First, I will (...) analyze the phenomenon of compassion fatigue and show how it differs from “emotional contagion” and how it relates to empathy. Relying on phenomenological approaches to empathy, I will assess the kind of “affective sharing” entailed by compassion fatigue. In the second section, I will reframe this conception of empathy by uncovering the existential feeling of vulnerability and the pre-reflective bodily resonance that frames our encounter with others. In the final section, I will argue that vicarious traumatization could be overcome thanks to a “creative kind” of compassion which links the sense of self to the sense of agency, the act of caring with the quest for justice, in a constant effort to restore balance through affective sharing and mutual recognition. (shrink)

A religious and philosophical treatise called Works of love was written by Kierkegaard in 1847 under Kierkegaard’s name. It’s a Christian book and not pseudonomical writing like his early writings. R. Gregor Smith notes that Kierkegaard’s study of love reaches to the heart of Christian thought. Indeed, it discusses the matter of Love in his different senses: self-love, love for the neighbour and love for God. So, it focuses on the relation between the self and the others. In Works of (...) Love, he sets up a contrast between the natural loves like erotic love (Elskov) and friendship (Venskab) on one hand, and the love for God and neighbour on the other hand. There is an evident tension between the different attitudes that Kierkegaard expresses in that writing with regard to preferential love. That why, perhaps, a great critics Løgstrup judges Works of Love to be “a brilliantly thought out system of safeguards against being forced into a close relationship with other people1”. In this article, I offer a brief account of some Kierkegaard’s key concerns about love: its’s preferential love and its being a form of self-love. I will discuss the means of preferential love which presents romantic love and friendship. This is, according to Kierkegaard, a real form of selfishness. Christian love is expressed in the Divine Commandment: “You shall love your neighbour as yourself” as Matthew said (22:39), so Kierkegaard shows that “Christian love teaches us to love all people, unconditionally all” (1995, 49). That words “shall” is the “very mark of Christian love” because that love is the duty to love neighbour, any neighbour as one loves oneself. Why does Kierkegaard separate two kinds of love? Is it so different? Preferential love is excluded from the category of neighbourly love because it is understood by the poet. That is to say that preferential love is only showing by the poet way. Therefore, erotic love and friendship aren’t dismissed altogether but only as long as they are understood in the pagan way, or more clearly as a poet manner. (shrink)

Sympathy (empathic concern) is mainly understood as a feeling for another and is often contrasted with empathy—a feeling with another. However, it is not clear what feeling for another means and what emotions sympathy involves. Since empirical data suggests that sympathy plays an important role in our social lives and is more closely connected to helping behavior than empathy, we need a more detailed account. In this paper, I argue that sympathy is not a particular emotion but a type of (...) emotional experience: those that have another person as focus. I explain what this means and show that this sheds light on why sympathy, rather than empathy, directly motivates altruistic actions. (shrink)

Cette étude se focalise sur différentes méthodes utilisées pour l’analyse phonologique de la parole aphasique. Nous comparons des tâches expérimentales de répétition et de dénomination d’image, des tâches d’élicitation semi-structurées et de la parole naturelle. Nous montrons que le type de mots rencontrés, le type de consonnes ou encore le nombre de productions diffèrent selon la tâche. Si les protocoles expérimentaux permettent d’obtenir toutes les cibles voulues, les tâches d’élicitation semi-structurée permettent d’avoir un plus grand nombre d’occurrences de sons et (...) de mots et des productions subissant des transformations différentes. (shrink)

Empathic concern is essential to our social lives because it motivates helping behavior. It has, however, well-known shortcomings such as its limitation in scope. Here, we highlight a further shortcoming of empathic concern: it contributes little to understanding the relevant features of complex social situations (e.g. the causes of somebody’s distress), and unaided by further cognitive inputs, likely fails to produce effective helping. We then elaborate on the conditions needed for an accurate assessment of others’ situations: the ability to pay (...) attention and try to understand others for their own sake. We explain that when combining these abilities with the valuing aspect of empathic concern, we obtain “availability”, an understudied mental state which plays a crucial role in helping motivation. We provide a detailed definition of that notion and show how availability can be trained and exercised by health professionals in order to improve their care and relationships with patients. (shrink)

Athletes’ identity development upon retirement from elite sport was examined through a model of self-reformation that integrates and builds on the theoretical underpinnings of identity development and liminality, while advancing seven propositions and supporting conceptual conjectures using findings from research on athletes’ transition out of sport. As some elite athletes lose a salient athletic identity upon retiring from sport, they experience an identity crisis and enter the transition rites feeling in between their former athletic identity and future identity post-sport life, (...) during which a temporary identity moratorium status is needed for identity growth. Given the developmental challenges encountered in moratorium and psychosocial processes necessary to establish a new, fulfilling identity for life after elite sport, we identified key conditions, triggers, and processes that advance how a journey of identity growth paradox experienced during liminality serves as a catalyst toward identity achievement. Elite athletes must be encouraged to persevere in this challenging identity search and delay commitments for as long as it is necessary to achieve identity growth despite experiencing uncomfortable feelings of confusion, void, and ambiguity during the liminal phase. Reforming into an achieved identity for life after elite sport would corroborate the successful navigation of transition, as elite athletes evolved into a synthesized sense of self by cementing, through a negotiated adaptation pathway, constructed identity commitments that will provide new beginnings and meaningful directions to their life after elite sport. (shrink)

. The purpose of this paper is to assess Bacon’s proclamation of the novelty of his Novum Organum. We argue that in the Novum Organum, Bacon reshapes the traditional representation of logic as providing tools for the building of philosophical discourse. For he refuses both an understanding of logic in terms of an ars disserendi, and an approach to philosophy in terms of a discourse of a certain type of necessity and universality. How can Bacon articulate a logic, that is, (...) a set of rules with formal features, on the basis of a distrust of the paradigm of discourse? This seemingly paradoxical definition of logic follows from Bacon’s rejection of the conception of the scientific reasoning provided by the Organon. It also stems from his reworking of Aristotle’s semiotics, in an effort to deal with the gap between what reality consists in and what the mind perceives of it. (shrink)

This article presents a comparative analysis between Georges Canguilhem’sEssay on Some Problems Concerning the Normal and the Pathological, published in 1943 and the English language debate that started in the 1970s between the naturalists and the normativists. Seemingly, this comparison illustrates the opposition between the French historical epistemology and the Anglo-American philosophy of sciences. However, I put into perspective what is generally considered an opposition between the two traditions by analyzing certain conceptual similarities.

La possibilité d’une définition naturaliste de la santé et d’une distinction entre le normal et le pathologique qui ne repose pas sur des normes culturelles, sociales ou subjectives est au cœur des débats en philosophie de la médecine. Or le concept statistique de la normalité, fondamental pour une définition objective de la santé, soulève d’importantes difficultés. Christopher Boorse défend une « théorie bio-statistique » qui, en articulant ce concept à une notion non normative de fonction biologique, résoudrait ces difficultés. L’identification (...) de la santé et de la normalité au sens statistique demeure toutefois centrale dans sa définition. Après avoir précisé le rôle que joue la normalité statistique dans la BST, nous dégageons, à partir de l’épidémiologie contemporaine, un certain nombre de problèmes et questions que cette définition naturaliste soulève.The liability for a naturalist definition of health and for a value-free distinction between the normal and the pathological is at the core of discussions on health and disease in philosophy of medicine. But the statistical concept of normality, a central one for any objective definition of health, raises numerous problems. Christopher Boorse argues for a « biostatistical theory » which aims at solving these difficulties by articulating a statistical concept of normality and a non-normative concept of biological function. However the BST is still based on identifying normality and health with the most frequent. After analyzing in details the true role of statistical normality in BST, I will show how results and data from modern epidemiology can be mobilized to reveal several limits and difficulties with respect to this naturalist definition of health and disease. (shrink)

Evidence-Based Medicine (EBM) and Personalized Medicine (PM) share a common goal: reducing the gap between the results of biomedical research and their clinical application. PM is, however, often presented as a “new paradigm” for medicine, just as EBM was in the 1990s. It covers a wide variety of projects but the core idea that generally unites them is the ambition of better taking account of individual specificities than did EBM with its statistical and population-centred approach. In this article, I concentrate (...) on PM in cancerology, the essence of which is to target treatments based on the molecular profile of the patient. This targeting is made possible by gaining better knowledge about the molecular mechanisms of cancers. The classification of patients as a function of their molecular profile entails the creation of patient sub-groups. This creates a problem for the traditional evaluation of therapeutic treatment promoted by EBM, in particular the use of randomized trials using sizeable cohorts. But a better understanding of the mechanisms and the greater precision of treatments could reduce the need for these trials. Does PM thus represent the revenge of a physio-pathological and mechanistic culture in clinical research against the statistical and empirical one of EBM? My objective is to show how current practices of PM leads to epistemological changes in our estimation of what count as relevant types of information and proof in medicine, in particular in the field of therapeutic evaluation. I defend the idea that PM, far from obviating the need for statistical approaches and the search for correlations, ultimately poses new challenges for EBM. PM drives EBM to strengthen the articulation and the integration of statistical and mechanistic data with a view to providing a better service for each patient. (shrink)

The paper argues that the dynamics of personal and collective individuation could be interrelated and bear ethical significance thanks to an analysis of the Lifeworld and intersubjectivity that link together the genetic and the generative perspectives of phenomenology. The first section of the paper recalls the epistemological and ontological implications of Husserl's and Stein's analysis of personal individuation in relation to what Husserl would call, later, the “Lifeworld” and the intersubjective constitution of communities. The second section of the paper turns (...) to a phenomenology of the Lifeworld through an analysis of refugees' care and the intersubjective dynamics involved in the clinic of exile. Such an example will bring to light the importance of embodiment and intercorporeity to grasp the process through which the genetic constitution of the Lifeworld constitutes itself as a collective process of individuation trying to heal the scars of historicity. Consequently, individuation will appear as a personal and collective task, rather than a static and ego-centered achievement that would be forgetful of our fundamental interdependency. Finally, the last section argues that “healing the Lifeworld” does not amount to conceive of its “horizon” as being itself a predetermined “telos” of transcendental subjectivity, as if this open structure could be itself constituted. Rather, the varieties of the Lifeworld and its paradoxical movement of appropriation and differentiation point to a relational ontology that considers the becoming of a common and meaningful world as a _limit-problem_ of phenomenology and, perhaps, its ethical and critical promise. (shrink)

This collection renews contemporary debates in phenomenology, ethics, social ontology, aesthetics, and metaphysics and broadens the scope of twentieth-century French philosophy by analyzing the works and key concepts of authors who left their marks on its genesis.

Au xviie siècle, si à l’instar de Descartes, des penseurs de la science mécaniste moderne ne l’adossent pas à une théorie du syllogisme scientifique, et si plusieurs d’entre eux vont même jusqu’à prendre position contre la logique, la question logique des formes valides d’un raisonnement et celle des sources et des modalités de l’invention ne restent pas moins un objet d’enseignement et de recherche. Si l’on en croit les ouvrages retraçant l’histoire de la logique, « la mise en sommeil » (...) de c... (shrink)

Dans la perspective du second conflit mondial, la Suisse s’est engagée dans la production massive d’armements militaires. Épargnée par la guerre, elle procède à partir de 1948 à la réduction de ses stocks en privilégiant le rejet des munitions dans ses lacs plutôt que de les faire exploser à ciel ouvert ou de les recycler. Malgré le retour sur la scène publique des munitions immergées, aucune controverse n’a éclaté dans un pays pourtant sensible aux questions environnementales. À partir du cas (...) des munitions immergées dans les lacs, le présent article s’interroge sur les manières dont les stratégies du secret conjuguées avec d’autres facteurs, tels que l’oubli ou d’autres priorités politiques, ont retardé toute réflexion sur ce dossier et ont participé au contingentement de tout débat public. À quelles conditions préalables le dépôt des munitions dans les lacs suisses pourrait-il entrer dans le débat public et engager les pouvoirs publics à agir au-delà même d’un risque potentiel non avéré? Pour y parvenir, il s’agira de s’interroger sur le rôle et la fonction même de la controverse écologique comme moyen de mobilisation de la société civile et des acteurs institutionnels. (shrink)

Cet article vise à développer de quelles manières et pour quelles raisons le franglais, en règle générale décrié, est utilisé dans les tabloïdes français qui ont également mauvaise presse. Via un corpus constitué de gros titres, titres, et extraits d’articles provenant des magazines en ligne de presse à scandale français Closer, Gala, Grazia, Paris Match, Public, Purepeople, et Voici, nous débutons notre analyse par une première partie consacrée aux spécificités du franglais appliquées à la presse à sensation française, à savoir (...) l’aspect codé et ciblé de ce lexique ainsi que la notion de « quantité ». Puis, dans une seconde partie, nous traitons des principales raisons justifiant l’utilisation du franglais dans ce type de presse en abordant les notions clés d’ « économie du langage » et d’ « identité de groupe ». (shrink)