BackgroundPaternalism/overprotection limits communication between healthcare professionals and patients and does not promote shared therapeutic decision-making. In the global north, communication patterns have been regulated to promote autonomy, whereas in the global south, they reflect the physician’s personal choices. The goal of this study was to contribute to knowledge on the communication patterns used in clinical practice in Mexico and to identify the determinants that favour a doctor–patient relationship characterized by low paternalism/autonomy.MethodsA self-report study on communication patterns in a sample of (...) 761 mental healthcare professionals in Central and Western Mexico was conducted. Multiple ordinal logistic regression models were used to analyse paternalism and associated factors.ResultsA high prevalence (68.7% [95% CI 60.0–70.5]) of paternalism was observed among mental health professionals in Mexico. The main determinants of low paternalism/autonomy were medical specialty (OR 1.67 [95% CI 1.16–2.40]) and gender, with female physicians being more likely to explicitly share diagnoses and therapeutic strategies with patients and their families (OR 1.57 [95% CI 1.11–2.22]). A pattern of highly explicit communication was strongly associated with low paternalism/autonomy (OR 12.13 [95% CI 7.71–19.05]). Finally, a modifying effect of age strata on the association between communication pattern or specialty and low paternalism/autonomy was observed.ConclusionsAmong mental health professionals in Mexico, high paternalism prevailed. Gender, specialty, and a pattern of open communication were closely associated with low paternalism/autonomy. Strengthening health professionals’ competencies and promoting explicit communication could contribute to the transition towards more autonomist communication in clinical practice in Mexico. The ethical implications will need to be resolved in the near future. (shrink)

Throughout our entire evolutionary history, the physical environment has played a significant role in shaping humans’ subsistence adaptations. As early humans began to colonise novel biomes and construct ecological niches, their behavioural flexibility appeared as an unquestionable fact. During the Late Pleistocene-Holocene transition, the shift from foraging to farming radically altered ecosystem services, resulting in increased exposure to zoonotic pathogens and the emergence of structural inequalities that pervade our current human condition in the Anthropocene epoch. The article seeks to use (...) an anthropological biosocial analysis to explore the diverse evolutionary paths humans have taken, which in turn shape their relationships with the natural world. Given the enigmatic nature of human behavior, it is essential to examine it holistically to understand how different subsistence patterns (e.g., intensive agriculture, foraging, and horticulture) have influenced resilience and adaptation to environmental challenges. (shrink)

This chapter examinates the concept of Baroque habits in its various declensions, dwelling in particular on aesthetic habits through the case study of Guarino Guarini’s Chapel of the Holy Shroud in Turin. In the first part three declensions of Baroque habits, linked together by profound implications, are identified: habits of knowledge, referred to the ideal of Baroque encyclopedism; moral habits, framed in the Baroque practices of government of affects; and aesthetic habits, consisting in regimes of or- dering of sensible experience (...) which finds in the Wunderkammer one of its highest manifestations. In the second part of this chapter, these concepts are applied and further elaborated in the light of one of the greatest results of European Baroque, the Guarinian Chapel. Through the example of the Turinese architecture it is demon- strated how Baroque representative practices perform a gesture of immanentization of the transcendent principle by composition of light and application of geometry. Such “sensible metaphysics” is aimed at both the government of affects and at the creation of a habitable space of experience, where the infinite transcendence of Christian divinity becomes source and object of habits. (shrink)

The human community faces today the most serious challenges ever to have confronted the planet in the areas of health, environment, and security. Science and technology are essential for responding to these challenges. More is needed, however, because science is not equipped to deal adequately with the values dimensions and the political issues that accompany the challenges. For an adequate response, there must be cooperative effort by scientists and statespersons, informed for moral leadership by the religious wisdom that is available. (...) The religious communities can provide this spiritual dimension, thereby fulfilling their traditional role, but it will require their coming to terms with the character of the scientific and technological base of contemporary culture. The paper lays the conceptual groundwork for understanding these issues. (shrink)

The logic of inexactness, presented in this paper, is a version of the Łukasiewicz logic with predicates valued in [0, ∞). We axiomatize multi-valued models of equality and ordering in this logic guaranteeing their imbeddibility in the real line. Our axioms of equality and ordering, when interpreted as axioms of proximity and dominance, can be applied to the foundations of measurement (especially in the social sciences). In two-valued logic they provide theories of ratio scale measurement. In multivalued logic they enable (...) us to treat formally errors arising in nominal and ordinal measurements. (shrink)

There is a common refrain in the literature on punishment that presumes the mutual exclusivity of defending retribution and adopting a humanistic or welfare-oriented outlook. The refrain, that if we want to be humane, or care about human welfare, we must abandon retributive punishment, anger, and resentment is readily repeated, endorsed, and relied upon. This article suggests that this opposition is false: retribution and welfare-orientation can not only be endorsed concomitantly, but are complimentary projects, and may even be grounded in (...) the same normative basis, such that if we endorse one we are already committed to ideas that ground reason to care about the other.My primary target will be claims that aim to undermine retributivism by demonstrating the desirability of welfare-orientation. If both can live together, demonstrating the attractiveness of one goes nowhere toward displacing the other. Further, establishing this claim invites further inquiry into classic questions about the “barbaric,” or “morally repugnant” credentials of retributivism. Confronting these claims will elucidate the consistency of adopting both retributive and welfare-oriented views, which, I suggest, can be jointly adopted and pursued. (shrink)

A more complete understanding of the biocultural evolutionary origins of the concept of ought as developed by David Hume and G. E. Moore may lower the philosophical barrier between is and ought and provide new insights about the separations between the domains of religion and science. If this conjecture is correct, the resulting wisdom will help transcend a major source of irony that Philip Hefner has so aptly identified in his essay.

This essay argues for the significance of visual sources in intellectual history, using a case study on the central importance of snuffboxes in eighteenth-century debates regarding politeness, commerce, virtue, and manners. It highlights the authors, artists and advertisers who celebrated snuff-taking in both verbal and visual texts as a positive symbol of elegance, sociability and the transformative effects of polite commerce. And it analyses the highly sophisticated texts of London satirists who challenged this practice as symbolising the corruption associated with (...) luxury and commerce. Challenges to this practice, which involved some of the century’s most brilliant pens, from Sir John Vanburgh to William Hogarth and James Gillray, have been neglected by intellectual historians because of a tendency to treat visual sources as illustrations, rather than as significant contributions to political theory and debate. This essay argues that such an approach has resulted in an impoverished intellectual history and that images – and even snuffboxes themselves, used in highly articulated ritual performances of politeness and satirised in highly gendered terms – should be regarded as ‘texts’ and ‘idioms’ in the politics of politeness and patronage. It highlights Cambridge school contextualism as a method by which such texts may be read productively. (shrink)

Although Levinas talks about ethics as a response to the other, most scholars assume that this "response" is not something tangible—it is not an actual giving of food or providing of shelter and clothing. But there is evidence in Levinas's own writings that indicate he does intend for a positive response to the Other. In any event, while he acknowledges that the other is the sole person I wish to kill, killing the other, within an ethical framework would be a (...) violation of that response. The failure to respond to the other ethically requires us to ask if Levinas's project needs an educational philosophy or a model of moral cultivation to supplement it. This essay explores this question by putting into conversation Levinas's ethical project and his interest in Jewish education with John Dewey's philosophy of education and its relationship to the political community. This exploration will help us see what this field of research might offer in promoting the cultivation of ethical response as Levinas envisions it and what its limits are. (shrink)

La déshumanisation à l’œuvre dans le projet génocidaire et l’héritage d’un tel événement traumatique entraîne une catastrophe de la transmission et de la filiation. S’ensuit une impasse des processus d’identification et de différenciation sur plusieurs générations. Dans cette contribution, on interroge la nature des obstacles entravant le processus de deuil, de séparation et l’investissement de la vie après une catastrophe sociale. Il s’agit pour cela de rendre compte du travail de subjectivation nécessaire à l’appropriation de sa propre histoire et de (...) celle de sa propre famille de manière à pouvoir engager un processus de séparation/différenciation. À travers une étude de cas, l’article montre la pertinence d’une rencontre clinique « médiatisée » pour la compréhension et la perlaboration du vécu traumatique d’une famille survivante qui vit entre-soi. Nous discuterons, en particulier, l’apport de la photographie comme une première tentative de figuration des affects et de mise au travail des processus intermédiaires garants de leur symbolisation. (shrink)

According to the jacket cover, John Leslie's Universes is “the first book by a philosopher on these controversial affairs.” Sadly, I must report, the controversy has gotten the better of his philosophy. Leslie's contribution to this area is merely to see, within the dispute, a narrow window through which to promote his own curious view of extreme axiarchism. This alone would not disturb me, were it not for the apparent disdain with which Leslie depicts views opposed to his own, and (...) his infuriating technique of responding to those critics who fail to see the point of his tremendously contrived examples by dogmatically waving these same examples. (shrink)

When organized into functional categories, the set of texts found in the Ugaritic archive in the “Maison du prêtre-magicien” manifests a clear raison d’être as a collection. Of the twelve main categories of texts from this deposit, the most significant serve to justify various forms of magical praxis and detail how to carry them out. Almost the entire collection of Ugaritic offering texts is found here, since all include a purification rite of the king, the responsibility of the magician priest (...) as mḥll, whose function is stated in KTU 1.119. This fact had been ignored up to now. In addition, the main texts setting out the royal ideology were entrusted to this magician priest, thus reflecting their magical-cultic nature. Additional texts belong to the realm of scribal training, another responsibility of this public official. The adjacent library with a wide variety of Akkadian texts was of fundamental value in this latter connection. (shrink)

In _Realistic Rationalism_, Jerrold J. Katz develops a new philosophical position integrating realism and rationalism. Realism here means that the objects of study in mathematics and other formal sciences are abstract; rationalism means that our knowledge of them is not empirical. Katz uses this position to meet the principal challenges to realism. In exposing the flaws in criticisms of the antirealists, he shows that realists can explain knowledge of abstract objects without supposing we have causal contact with them, (...) that numbers are determinate objects, and that the standard counterexamples to the abstract/concrete distinction have no force. Generalizing the account of knowledge used to meet the challenges to realism, he develops a rationalist and non-naturalist account of philosophical knowledge and argues that it is preferable to contemporary naturalist and empiricist accounts. The book illuminates a wide range of philosophical issues, including the nature of necessity, the distinction between the formal and natural sciences, empiricist holism, the structure of ontology, and philosophical skepticism. Philosophers will use this fresh treatment of realism and rationalism as a starting point for new directions in their own research. (shrink)

This article presents the ethical concept of service as a way of specifying higher ethical principles in business practice. We set out from the work of a number of scholars who have found some shared ethical principles for doing business in a context of cultural diversity. Love, benevolence, consideration, and other related concepts are considered to be important guiding concepts for business but it is not clear how they are to be operationalized. We argue that the ethical concept of service (...) can act as a bridge for bringing those higher principles into business practice. The article explains and refines the ethical concept of service, which has received little attention. In particular, we address the ethical ambiguity implicit in the common meaning of service, explain how service shows love in business, and offer an account of how service provides ethical growth through virtue. Finally, this work presents a variety of examples from business which illustrate how the ethical concept of service can be put into practice. To achieve the aim of this study we draw inspiration from Catholic social teaching. This source provides useful insights into service and can be understood and accepted without requiring that particular faith. (shrink)