The development and use of large and dynamic health data repositories designed to support research pose challenges to traditional informed consent models. We used semi-structured interviewing to elicit diverse research stakeholders' views of a model of consent appropriate to participation in initiatives that entail collection, long-term storage, and undetermined future research use of multiple types of health data. We demonstrate that, when considering health data repositories, research stakeholders replace a concept of consent as informed with one in which consent is (...) engaged. In engaged consent, a participant's ongoing relationship with a repository serves as a substitute or adjunct to information exchange at enrollment. We detail research stakeholders' views of the risks of engaged consent and suggest questions for further study about engagement and consent procedures in initiatives that aim to store data for future unspecified research purposes. (shrink)

La cuestión de la identidad personal ha sido muy discutida durante los últimos años. La atención puesta sobre este problema es una clara evidencia de la relevancia que tiene, entre otros, para el ámbito práctico en general. En este horizonte, Habermas y Tugendhat han sostenido una larga e interesante polémica sobre el concepto de identidad personal, polémica no siempre bien dimensionada. Esta querella ha servido para clarificar las diferentes variables que ingresan en esta problemática. En este trabajo analizaré críticamente cada (...) una de las posturas con la finalidad de advertir el corazón argumental, buscar elementos en común y subrayar las insalvables diferencias. (shrink)

In the deep joint work Deleuze-Guattari there is the demand of consider it as a political theory of literature, a literary politics. The following paragraphs, to some extent respond to that demand, enroll the Deleuze-Guattari micropolitics in a concatenation between the revolutionary and artistic machines, in this case, literary. Considering this conjecture, in this article we propose to address the relationships between the concept of minor literature, the spatial dynamics and the informative order.

In a 1998 article, Bohman argued that the contemporary deliberative turn in democratic theory had reached its ‘coming of age’, as deliberative democrats began to show greater interest in the institutionalization of their proposal. Moreover, Bohman referred to this growing interest with an expression that was unprecedented at the time: ‘deliberative constitutionalism’. At present, deliberative constitutionalism has become one of the most original and relevant contemporary proposals. In this context, my article proceeds as follows. I begin by arguing that the (...) contemporary deliberative turn in democratic theory also gave rise to a deliberative turn in constitutionalism—that is, a trend aimed at orienting constitutionalism and judicial review towards democratic deliberation. Next, I argue that, at that embryonic yet promising stage, deliberative constitutionalism had shortcomings that hindered the aim assumed since its origins. Finally, I argue that, over recent decades, these shortcomings have been finessed, which shows that deliberative constitutionalism has also reached its coming of age. (shrink)

A distinguishing feature of neural computation and information processing is that it fits models that describe the most efficient strategies for performing different cognitive tasks. Efficiency determines a distinctive sense of teleology involving optimal performance and resource management through a specific strategy. I articulate this kind of teleology and call it efficient teleological function. I argue that efficient teleological function is compatible with mechanistic explanation and, most likely, neural computational mechanisms are efficiently functional in this sense. They are members of (...) a distinctive class of computational mechanisms whose efficiency is intertwined with their functionality. This is illustrated by widely discussed approaches to mind, such as Barlow’s efficient coding hypothesis or the ones associated with the so-called “predictive mind”, which propose that the brain employs highly efficient coding strategies to save energy resources that are critical to the organism’s survival. (shrink)

Esta contribución examina la solución al problema mente-cuerpo que Kant formula en el marco de su primera explicación causal. Se analiza tanto el planteamiento metafísico como la solución interaccionista de Kant a este problema en su obra sobre las “fuerzas vivas” y, mediante orientaciones metodológicas de la historia intelectual, se contrastan con los planteamientos y soluciones de dos pensadores que influyeron en la formación del pensamiento kantiano: Marquardt y Knutzen, exponentes de algunas de las principales doctrinas causales de la época (...) como la de la armonía preestablecida y el influjo físico. En un sentido, la solución kantiana se plantea como una vía intermedia entre estas dos doctrinas y, en otro, como una postura crítica frente a ambas. (shrink)

Recientemente, en la literatura sobre neuroética se ha analizado la integración entre neurotecnologías y ser humano desde la teoría de la mente extendida. La discusión se ha centrado en buscar dimensiones para evaluar la integración de los dispositivos en las funciones cognitivas de sus usuarios. Este enfoque ha tenido un relativo éxito en conceptualizar la paridad ética de los dispositivos respecto del cuerpo orgánico. Sin embargo, esta integración presenta al menos tres desafíos que no han sido abordados y requieren un (...) nuevo marco conceptual. El primero, concierne a la distinción entre paciencia y agencia moral. El marco actual aborda solo el primero de estos aspectos. Los otros dos se desprenden en parte de este. El segundo, se relaciona con la distinción entre las dimensiones fenoménicas de los mencionados aspectos, esto es, el sentido de pertenencia corporal y el sentido de agencia. El foco en la paciencia moral descuida aspectos fenoménicos fundamentales de la integración con la neurotecnología. Finalmente, la posibilidad de que el dispositivo actúe coercitivamente sobre nuestros centros cognitivos constituye una forma de integración problemática que no puede abordarse adecuadamente desde los enfoques actuales. Proponemos que estos tres desafíos pueden ser estudiados explorando un nuevo abordaje sobre la identidad personal que enfatiza dichas dimensiones. (shrink)

Nietzsche uses many of the arguments used by himself against metaphysics in general to criticize the Cartesian cogito. The affinity indicated by Descartes himself between cogito and conscience means that the study focuses on the Nietzschean analysis of the problem of conscience, paying special attention to its anthropological implications. Faced with Cartesian reasoncentrism, Nietzsche maintains that, given that conscience is not an entity removed from the natural world, it is possible to present a strictly naturalist anthropology, eliminating the need to (...) resort to dualist hypothesis drawn from metaphysics or theology. (shrink)

Estableciendo las bases de su primera síntesis precrítica, Kant presenta en la Nova dilucidatio los principios de sucesión y de coexistencia, que, además de hacer posible un conocimiento metafísico de la naturaleza, pretendían ser útiles para la ciencia natural. Ambos son derivados del principio de razón determinante, formulado en el marco de una crítica a Wolff. Estos principios establecen que el mundo está constituido por la totalidad de las substancias conformada por una red dinámica de interconexiones causales, cuyo fundamento último (...) es el esquema relacional con el que el intelecto divino concibe al mundo. (shrink)

I attempt to clarify the specificity of Spinoza’s hermeneutic proposal of the Scripture in the Political-Theological Treatise. In this regard, I assume two levels of analysis in Spinoza interpretation: the historic-critical and the philosophical one. My aim is to find out the relationships between these two levels, and also the differences of Spinoza’s interpretation with others, in particular, that one developed by Lodewijk Meyer in his Philosophia S. Scripturae Interpres.

Pregnant people experience moral judgment in healthcare settings that may be coded into clinical documentation. Stigmatizing language in medical records transmits bias between clinicians, potentially exacerbating disparities in maternal morbidity and mortality. We examined obstetrical records from 100 randomly selected patients who received prenatal and delivery care in an academic hospital system. Qualitative analysis sought to identify linguistic features conveying negative attitudes or moral judgment, revealing themes of epistemic injustice: (1) discrediting patient testimony as incompetent, unreliable, and hysterical; (2) unnecessary (...) details that are objectifying, stigmatizing, or unprofessional; and (3) judgments of maternal fitness, where women are labeled “bad mothers” by emphasizing neglectful, selfish, and debauched characteristics. We conclude by advocating for further validation of our findings, revisiting medical education paradigms, and supporting the development of natural language processing (NLP) technologies to detect and intercept stigma. (shrink)

Resumen: El presente trabajo explora el estatuto del arte en la filosofía de Spinoza, en el marco de la inversión copernicana que da origen a la estética y del barroco holandés. Si bien el pensamiento spinozista se inscribe en la conversión antropológica, en donde lo bello resulta ser un efecto en el sujeto y no una cualidad de los objetos, su comprensión del arte es inasimilable a la “estética” como ámbito diferenciado y autónomo que se consolida en el siglo XVIII, (...) y más bien concibe el arte integrado a la vida y a la experiencia común -a la vez que, en cuanto praxis de origen corporal al alcance de cualquiera, presenta puntos de contacto con las vanguardias históricas del siglo XX-. Spinoza, según se propone en este texto, concibe la producción de “obras de arte” menos como un hecho estético que como una actividad corporal éticamente orientada a la vida buena.: The present work explores the status of art in the philosophy of Spinoza, within the framework of the Copernican revolution that gives rise to aesthetics and the Dutch Baroque. Although the Spinozist thought is inscribed in the anthropological conversion by virtue of which beauty turns out to be an effect on the subject and not a property of objects, its understanding of art is unassimilable to "aesthetics" as a differentiated and autonomous area that it was consolidated in the eighteenth century, and rather conceived art integrated to life and common experience -at the same time, as praxis of bodily origin within the reach of anyone, presents points of contact with the historical avant-gardes of the twentieth century-. Spinoza conceives the production of "artworks" less as an aesthetic fact than as a body activity ethically oriented to the good life. (shrink)

Diez años desde la entrada en vigor de la Ley Orgánica 5/2000, de 12 de enero, de la Responsabilidad Penal de los Menores han servido para mucho. Desde que se optó por legislar los ilícitos penales cometidos por aquellos menores con edades comprendidas entre los 14 y los 18 años, muchas y variadas son las certezas e incertidumbres que, al respecto de un tema tan complejo y tortuoso, han visto la luz en nuestro entramado social.

Preimplantation genetic diagnosis generates a series of ethical and legal questions: Which goals does it pursue? Does it protect the embryo? Should this technique be regulated by the legal system? And if so, which is the incumbent criteria? This research describes the limits that some international laws regulating this technique have considered. Additionally, a series of judgments about the legal problems that have occurred with the application of this technique will be analyzed, among them, the misdiagnosis.