Background Moral distress is a phenomenon that can lead to an imbalance of the mind and body. There are many coping strategies to overcome the obstacles that lead the subject to this condition. Some coping strategies are capable of being achieved through the cultivation of moral resilience. Aim The aim is to identify the strategies of moral resilience in the nursing management of University Hospitals in Brazil. Research design The research design is the qualitative study with discursive textual analysis. Participants (...) and research context : 44 nurse managers and nurses in leadership positions participated in a total of 30 University Hospitals in Brazil. Data were collected online, using a questionnaire with open questions. Ethical considerations The Ethics Committee approved the study. Participants received information about the research, agreed to respond to the questionnaire, and were guaranteed anonymity. Findings Personal adaptive strategies (intrapersonal and interpersonal) and organizational collaborative strategies (intrinsic and transformational management) emerged from this process. The intrapersonal strategies involved elements of rationality, flexibility, rebalancing practices, moral courage, and detachment. The interpersonal strategies addressed support networks, team involvement, and dialog. Organizational strategies dealt with actions which reorient ethical infrastructure, ethical education, and psychological protection, as well as fostering dialogical relationships, empowerment, and cooperation. Conclusion From the perspective of social historical construction, it is understood that developing personal and organizational strategies is essential to cultivating moral resilience. (shrink)

The focus of this article is a question that has been neglected in debates about digitalization: Could machines replace human scientists? To provide an intelligible answer to it, we need to answer a further question: What is it that makes (or constitutes) a scientist? I offer an answer to this question by proposing a new demarcation criterion for science which I call “the discoverability criterion”. I proceed as follows: (1) I explain why the target question of this article is important, (...) and (2) show that it leads to a variant of the demarcation problem of science. (3) By arguing that it is probably an essential feature of science that we can make scientific discoveries, I suggest a novel way of dealing with this problem by proposing a new demarcation criterion. Before introducing it, (4) I analyze an exemplary case of a real scientific discovery, and (5) argue that scientific discovery processes have a general underlying structure. (6) I introduce my discoverability criterion for science and present my master argument that helps us understand which criteria have to be fulfilled in order to decide whether machines can replace human scientists or not. (7) I conclude by answering the article’s target question and bringing forward a take-home message. (shrink)

According to Husserl, the epochè (or suspension of judgment) must be left incomplete. It is to be performed step by step, thus defining various layers of “reduction.” In phenomenology at least two such layers can be distinguished: the life-world reduction, and the transcendental reduction. Quantum physics was born from a particular variety of the life-world reduction: reduction to observables according to Heisenberg, and reduction to classical-like properties of experimental devices according to Bohr. But QBism has challenged this limited version of (...) the phenomenological reduction advocated by the Copenhagen interpretation. QBists claim that quantum states are “expectations about experiences of pointer readings,” rather than expectations about pointer positions. Their focus on lived experience, not just on macroscopic variables, is tantamount to performing the transcendental reduction instead of stopping at the relatively superficial layer of the life-world reduction. I will show that quantum physics indeed gives us several reasons to go the whole way down to the deepest variety of phenomenological reduction, may be even farther than the standard QBist view: not only reduction to experience, or to “pure consciousness,” but also reduction to the “living present.”. (shrink)

Context: Varela’s neurophenomenology was conceived from the outset as a criticism and dissolution of the “hard problem” of the physical origin of consciousness. Indeed, the standard (….

This article examines the rise of foreign ownership in France and Germany. I argue that the firm-level institutional arrangements of workplace organization constitute the most significant variable to account for the greater attractiveness of French firms over their German counterparts to short-term, impatient capital—namely, hedge and mutual funds. I demonstrate how key notions of the Varieties of Capitalism perspective—institutional interaction, institutional latency, and the distinction between institutional framework and the mode of coordination that follows from these institutions—provide important theoretical insights (...) to account for the different structures of foreign ownership in France and Germany. (shrink)

In The Contemplation of the World, eminent French theorist Michel Maffesoli pursues and extends his project of decoding contemporary societies.

« Qu’est-ce que la philosophie et quel est son rôle aujourd’hui? Entre juillet et octobre 1966, quelques mois après la parution des Mots et les Choses, Michel Foucault, dans un manuscrit très soigneusement rédigé mais qu’il ne publiera pas, apporte sa réponse à cette question tant débattue.À la différence de ceux qui, à l’époque, s’attachent à dévoiler l’essence de la philosophie ou à en prononcer la mort, Foucault l’appréhende, dans sa matérialité, comme un discours dont il convient de dégager (...) l’économie eu égard aux autres discours (scientifique, fictif, ordinaire, religieux) qui circulent dans un contexte donné.Le Discours philosophique propose ainsi une nouvelle manière de faire l’histoire de la philosophie, qui la décentre du commentaire des grands philosophes. Nietzsche y occupe toutefois une place particulière car il inaugure une conjoncture où la philosophie devient une entreprise de diagnostic du présent. Il revient en effet désormais à la philosophie de dire, à partir de l’« archive intégrale » d’une culture, ce qui en fait l’actualité.Si L’Archéologie du savoir, consacré aux enjeux méthodologiques d’un tel projet, s’y annonce, nulle part autant que dans Le Discours philosophique Michel Foucault n’aura explicité les ambitions de son programme intellectuel.»--. (shrink)

BackgroundClinical ethics case consultations (CECCs) provide a structured approach in situations of ethical uncertainty or conflicts. There have been increasing calls in recent years to assess the quality of CECCs by means of empirical research. This study provides detailed data of a descriptive quantitative and qualitative evaluation of a CECC service in a department of cardiology and intensive care at a German university hospital.MethodsSemi-structured document analysis of CECCs was conducted in the period of November 1, 2018, to May 31, 2020. (...) All documents were analysed by two researchers independently.ResultsTwenty-four CECCs were requested within the study period, of which most (n = 22; 92%) had been initiated by physicians of the department. The patients were an average of 79 years old (R: 43–96), and 14 (58%) patients were female. The median length of stay prior to request was 12.5 days (R: 1–65 days). The most frequent diagnoses (several diagnoses possible) were cardiology-related (n = 29), followed by sepsis (n = 11) and cancer (n = 6). Twenty patients lacked decisional capacity. The main reason for a CECC request was uncertainty about the balancing of potential benefit and harm related to the medically indicated treatment (n = 18). Further reasons included differing views regarding the best individual treatment option between health professionals and patients (n = 3) or between different team members (n = 3). Consensus between participants could be reached in 18 (75%) consultations. The implementation of a disease specific treatment intervention was recommended in five cases. Palliative care and limitation of further disease specific interventions was recommended in 12 cases.ConclusionsTo the best of our knowledge, this is the first in-depth evaluation of a CECC service set up for an academic department of cardiology and intensive medical care. Patient characteristics and the issues deliberated during CECC provide a starting point for the development and testing of more tailored clinical ethics support services and research on CECC outcomes. (shrink)

English summary: This commentary of Plato's Euthydemus demonstrates its place as the clearest text for understanding the relationship between Platonism and Sophism. French description: De tous les dialogues de Platon, l'Euthydeme est peut-etre le plus exclusivement consacre a l'elucidation de la relation du platonisme avec la sophistique. Ce qu'on a pris pour indigence de son contenu, c'est l'acuite avec laquelle la forme y est consideree. Formalisme moral de Socrate, formalisme eristique des sophistes: dans la lecon d'eristique donnee a Socrate apparait, (...) plus clairement peut-etre que dans aucun texte antique, la logique propre au discours sophistique, celle-la meme a laquelle a affaire dans sa totalite le texte platonicien. La sophistique, et Platon avec elle, relevent d'un regime de discours pre-aristotelicien, et c'est dans la pratique de ce discours que demande a etre reinscrite la tant galvaudee ironie socratique. (shrink)

According to the traditional view, meaning presents itself under the form of some kind of identity.

In this paper, we investigate the constitutive problems and other several aspects of what a research entitled 'formal epistemology' should be. The interest in this subject has to do with the possibility of reaching a privileged point of view or axis of research - i.e., the 'formal' one - that would allow, a better grasp of the richness and variety of the facts and problems tackled by precise (local) epistemology of theories (for example, in physics). This approach is likely to (...) enable one to hold the main structural lines that organize those theories according to a more com prehensive, unifying and synthetic intelligibilit. By the same token, it would eventually allow a better handling of the changes required in the organization of knowledge, putting emphasis on its main directions, drawing up a rational inventory of this knowledge, and perhaps anticipating others. At first, we deal with the `thought of changes' that no approach of the 'form' can afford to leave aside, since the meaning of this concept is inseparable from the contents that come with constructions and modifications. We examine then the notion of 'epistemic operation' as an instrument to create new forms on the theoretical as well as on the meta-theoretical levels. ln the wake of it, we analyze the characteristics of the form and of the formal, as well as their relationship with the contents of knowledge. We also take the notion of object into account, since it depends upon the decision of a subject and upon conventional choices. We finally inquire about the link between `epistemic operations' as specified above and algorithmic functions for knowledge statements, and emphasize the risk of reductionism that might follow from a naturalistic conception of representation. (shrink)

L'ouvre de Diderot échappe aux catégories habituelles. Elle se développe dans un temps où les genres littéraires sont en crise. Dans ses romans et ses contes, les dialogues se chevauchent, les narrateurs se multiplient, les êtres de fiction côtoient des personnages historiques (oui, Rameau avait bien un neveu)... Du vivant de leur auteur, peu de textes parurent autrement que dans la clandestinité ou la confidentialité. Liberté d'invention, diffusion restreinte : sans doute tient-on là les raisons pour lesquelles Diderot n'a pas (...) été considéré comme un écrivain majeur aussi rapidement que le furent Voltaire ou Rousseau. Mais le temps a fait son ouvre. Aujourd'hui, c'est le génie et le visionnaire que l'on invoque en lisant ses récits presque entièrement composés de dialogues et où le narrateur, ironique, fantaisiste, ne se fait jamais oublier. Avec les célèbres échanges de Lui et de Moi dans Le Neveu de Rameau, avec ceux de Jacques le fataliste, de son maître et de leurs comparses, et avec ceux, moins connus, de l'Entretien d'un père avec ses enfants ou encore de Mystification : Diderot, auteur, narrateur et personnage, joue de l'illusion romanesque et de ses ficelles. Mais on est bien au-delà du simple jeu de société. Avec ses récits, Diderot parvient à transmettre les questions des Lumières à l'échelle des sentiments humains - amitié, désir, amour - et des individus. (shrink)

– Le mensonge? – Depuis la nuit des temps, il foisonne dans le discours public et infecte le monde; aujourd’hui, il prolifère sur la Toile informatique, sape notre conscience citoyenne et nourrit la cacocratie. – La cacocratie? – C’est une oligarchie financière, informe, amorale, ubiquiste, insidieuse et nocive, qui se cache dans l’assourdissant brouillard informationnel pour siphonner les richesses de la planète. – Et alors? – C’est le régime politique qui nous gouverne aujourd’hui, à notre insu. – Ne sommes-nous pas (...) en démocratie? – Elle n’est plus qu’une façade... elle agonise. – Ne devons-nous pas réagir? – C’est l’objet de cet ouvrage. (shrink)

Le symbolisme naît à partir du langage quand l'homme prend conscience qu'il est un être irrémédiablement clivé entre nature et culture, conscient et inconscient, masculinité et féminité, idéal du moi et moi idéal ; une sorte d'animal dénaturé à la recherche d'une unité perdue, que lui prête, provisoirement et superficiellement, le symbolique, ce lieu où il tente de "recoller les morceaux", c'est-à-dire retrouver le monde du prénatal, de l'amniotique qui était le Un et pas encore le Deux. Le symbolisme serait-il (...) la marche vers un Principe unificateur, comme le pense l'Eglise catholique, ou la prise de conscience et l'acceptation d'une vacuité lucide comme le suggère la psychanalyse...? (shrink)