Background In 2021, Spain became the first Southern European country to grant and provide the right to euthanasia and medically assisted suicide. According to the law, the State has the obligation to ensure its access through the health services, which means that healthcare professionals’ participation is crucial. Nevertheless, its implementation has been uneven. Our research focuses on understanding possible ethical conflicts that shape different positions towards the practice of Medical Assistance in Dying, on identifying which core ideas may be underlying (...) them, and on suggesting possible reasons for this disparity. The knowledge acquired contributes to understanding its complexity, shedding light into ambivalent profiles and creating strategies to increase their participation. Methods We conducted an exploratory qualitative research study by means of semi-structured interviews (1 h) with 25 physicians and nurses from primary care (12), hospital care (7), and palliative care (6), 17 women and 8 men, recruited from Madrid, Catalonia, and Andalusia between March and May 2023. Interviews were recorded, transcribed, and coded in Atlas.ti software by means of thematic and interpretative methods to develop a conceptual model. Results We identified four approaches to MAiD: Full Support (FS), Conditioned Support (CS), Conditioned Rejection (CR), and Full Rejection (FR). Full Support and Full Rejection fitted the traditional for and against positions on MAiD. Nevertheless, there was a gray area in between represented by conditioned profiles, whose participation cannot be predicted beforehand. The profiles were differentiated considering their different interpretations of four core ideas: end-of-life care, religion, professional duty/deontology, and patient autonomy. These ideas can intersect, which means that participants' positions are multicausal and complex. Divergences between profiles can be explained by different sources of moral authority used in their moral reasoning and their individualistic or relational approach to autonomy. Conclusions There is ultimately no agreement but rather a coexistence of plural moral perspectives regarding MAiD among healthcare professionals. Comprehending which cases are especially difficult to evaluate or which aspects of the law are not easy to interpret will help in developing new strategies, clarifying the legal framework, or guiding moral reasoning and education with the aim of reducing unpredictable non-participations in MAID. (shrink)

À la lumière de la législation actuelle sur l’aide médicale à mourir (AMM; aussi appelée euthanasie et suicide assisté) dans différents pays du monde, certains arguments ont été consacrés au droit à l’objection de conscience pour les professionnels de la santé dans ces pratiques spécifiques. Les objectifs de cette étude exploratoire sont de fournir une vue d’ensemble des motivations et des causes qui se cachent derrière l’objection de conscience identifiée par la littérature précédente selon les expériences des professionnels et de (...) vérifier si ces motivations correspondent aux débats théoriques sur l’objection de conscience. Comme le montrent les résultats, il existe une dissonance entre les motivations incluses dans la définition traditionnelle et courante de l’objection de conscience utilisée dans les cadre théoriques et spéculatifs et les facteurs réels que les études empiriques relèvent comme motivations déclarées pour s’opposer à l’AMM. Par conséquent, soit nous envisageons de nouveaux facteurs à inclure dans les causes de la “conscience”, soit nous acceptons qu’il existe des motivations qui ne sont pas réellement applicables à l’objection de conscience et qui devraient être traitées par d’autres moyens. L’objection de conscience à l’AMM étant multiforme, il peut y avoir différents types de motivations qui agissent en même temps. Il est donc pertinent de rééquilibrer les considérations théoriques et empiriques pour bien comprendre la complexité du phénomène et ainsi donner des pistes sur la meilleure façon de traiter l’objection de conscience. (shrink)

The increasing application of artificial intelligence (AI) to healthcare raises both hope and ethical concerns. Some advanced machine learning methods provide accurate clinical predictions at the expense of a significant lack of explainability. Alex John London has defended that accuracy is a more important value than explainability in AI medicine. In this article, we locate the trade-off between accurate performance and explainable algorithms in the context of distributive justice. We acknowledge that accuracy is cardinal from outcome-oriented justice because it helps (...) to maximize patients’ benefits and optimizes limited resources. However, we claim that the opaqueness of the algorithmic black box and its absence of explainability threatens core commitments of procedural fairness such as accountability, avoidance of bias, and transparency. To illustrate this, we discuss liver transplantation as a case of critical medical resources in which the lack of explainability in AI-based allocation algorithms is procedurally unfair. Finally, we provide a number of ethical recommendations for when considering the use of unexplainable algorithms in the distribution of health-related resources. (shrink)

The main aim of this article is to reflect on the impact of biases related to artificial intelligence (AI) systems developed to tackle issues arising from the COVID-19 pandemic, with special focus on those developed for triage and risk prediction. A secondary aim is to review assessment tools that have been developed to prevent biases in AI systems. In addition, we provide a conceptual clarification for some terms related to biases in this particular context. We focus mainly on nonracial biases (...) that may be less considered when addressing biases in AI systems in the existing literature. In the manuscript, we found that the existence of bias in AI systems used for COVID-19 can result in algorithmic justice and that the legal frameworks and strategies developed to prevent the apparition of bias have failed to adequately consider social determinants of health. Finally, we make some recommendations on how to include more diverse professional profiles in order to develop AI systems that increase the epistemic diversity needed to tackle AI biases during the COVID-19 pandemic and beyond. (shrink)

To analyze which ethically relevant biases have been identified by academic literature in artificial intelligence algorithms developed either for patient risk prediction and triage, or for contact tracing to deal with the COVID-19 pandemic. Additionally, to specifically investigate whether the role of social determinants of health have been considered in these AI developments or not. We conducted a scoping review of the literature, which covered publications from March 2020 to April 2021. ​Studies mentioning biases on AI algorithms developed for contact (...) tracing and medical triage or risk prediction regarding COVID-19 were included. From 1054 identified articles, 20 studies were finally included. We propose a typology of biases identified in the literature based on bias, limitations and other ethical issues in both areas of analysis. Results on health disparities and SDOH were classified into five categories: racial disparities, biased data, socio-economic disparities, unequal accessibility and workforce, and information communication. SDOH needs to be considered in the clinical context, where they still seem underestimated. Epidemiological conditions depend on geographic location, so the use of local data in studies to develop international solutions may increase some biases. Gender bias was not specifically addressed in the articles included. The main biases are related to data collection and management. Ethical problems related to privacy, consent, and lack of regulation have been identified in contact tracing while some bias-related health inequalities have been highlighted. There is a need for further research focusing on SDOH and these specific AI apps. (shrink)

Muḥammad Mahdī ibn Abī Z̲arr Narāqī, -1794 or 1795. Jāmiʻ al-saʻādāt - Criticism and interpretation; Islamic ethics.

Ideología y subjetivación desde una intervención filosófica materialista. Lectura sintomática y crítica. Resumen de Tesis de Doctorado en Filosofía de Fabiana Parra.

Iris Murdoch once observed: 'philosophy is often a matter of finding occasions on which to say the obvious'. What was obvious to Murdoch, and to all those who read her work, is that Good transcends everything - even God. Throughout her distinguished and prolific writing career, she explored questions of Good and Bad, myth and morality. The framework for Murdoch's questions - and her own conclusions - can be found here.

Dooley provides background information for each of the interviews, along with a thorough index.

Iris Marion Young (1949-2006) was one of the most influential and innovative political theorists of her generation who had a significant impact on a wide range of topics such as democratic theory, feminist theory, and justice. She bridged many longstanding divides among political theorists, engaging in Continental and critical theory, but also insisting on the importance of normative argument: her corpus stands as a testament to the fruitfulness of engaging in both abstract theory and the 'real world' of everyday (...) politics. This volume spans the several decades of her work, illustrating her intellectual development over time through three major areas of innovation: Gender: Maintaining that gender is both conceptually and politically meaningful, Young theorized gender in terms of structures that, in combination, position different people we call "women" in different ways, such that some women have some structures in common, without all women sharing all gendered structures in common. Justice: Young's early writings on a critical theory of justice evolved in her later and posthumously published works where she developed an account of justice that brought together her theorization of structure with her concern to respond to contemporary claims of injustice. The Politics of Difference: Young rejected universal and abstract theories of justice and maintained that justice instead required attending to the experiences of people marked by difference. (shrink)

Este artículo aborda los efectos del voto preferente en el sistema de partidos políticos colombiano a la luz de las elecciones al Senado de la República entre el año 2006 y 2018. Específicamente se pregunta por los incentivos institucionales para los actores políticos en relación con la reputación partidista o personal y sus efectos reales en el comportamiento electoral de los partidos políticos. Teórica y metodológicamente se parte del paradigma post-positivista, de un enfoque neoinstitucional desde la elección racional y de (...) una metodología mixta, que combina instrumentos y técnicas cualitativas con indicadores cuantitativos. Se identifica la estructura de incentivos del sistema electoral colombiano a partir de las normatividades legales utilizadas y se utilizan indicadores cuantitativos para analizar el comportamiento de los actores políticos en relación con dichos incentivos. Este ejercicio se fundamenta en la necesidad de realizar un estudio sistemático y prolongado en el tiempo de los efectos de la Reforma Política del 2003, especialmente de uno de sus instrumentos con mayor influencia en las decisiones políticas de maximización de beneficios y disminución de costos: el voto preferente. (shrink)

In this classic work of feminist political thought, Iris Marion Young challenges the prevailing reduction of social justice to distributive justice.

El siguiente artículo trata de investigar los diferentes tipos de narrativas visuales derivadas de las distorsiones de la posverdad como son la manipulación, la viralidad y el cuerpo humano considerado como documento. Para finalizar hablaremos de un tipo de ilustraciones que fomentan la construcción del pensamiento escéptico. Previamente contextualizaremos la situación actual donde tienen lugar el fenómeno de la posverdad y cómo procede ideológicamente de la forma de pensamiento posmoderno donde se exalta el lado irracional y la intuición.

El autor recupera el planteamiento de Jacques Maritain respecto de la presencia que deben tener en la teoría democrática los pequeños grupos dinámicos libremente organizados, o “minoría de choque” que desatan luchas de emancipación y materializan su crítica, a través de una acción práctica, movimientista y asambleísta, orientada al autogobierno. Analiza el artículo su legitimidad en las condiciones actuales del neoliberalismo y la globalización.

Some philosophical positions maintain that some aspect of reality depends on human practices, cognitive attitudes or sentiments. This paper presents a framework for understanding such positions in a way that renders them immune to a number of natural but allegedly devastating objections.

The idea of perfection -- On "god" and "good" -- The sovereignty of good over other concepts.

RESUMEN El pensamiento y las prácticas sociales de los atenienses de la Época Clásica se hallaban jerarquizados en favor de los varones, que se consideraban superiores naturalmente y con capacidad y derecho a gobernar en la polis y en la casa. Se muestra cómo el Agamenón de Esquilo cuestiona la naturalización de esta superioridad mediante el personaje de Clitemnestra, quien actúa, piensa y habla como varón, y muestra que matar a un familiar, cambiar de pareja, luchar por el mando se (...) justificaban si lo realizaba Agamenón. ¿Por qué se condenaban estas acciones cuando eran llevadas a cabo por Clitemnestra? ABSTRACT The thought and social practices of Athenians during the Classical period were hierarchized in favor of males, who were considered naturally superior and endowed with the capacity and right to rule the polis and the home. The article shows how Aeschylus' Agamemnon questions the naturalization of that superiority through the character of Clytemnestra, who acts, thinks, and speaks like a man, and shows that killing a family member, changing partners, and fighting for power were justified if Agamemnon did those things. Why were such actions condemned if Clytemnestra carried them out? (shrink)

Attention is biased towards threat-related stimuli. In three experiments, we investigated the mechanisms, processes, and time course of this processing bias. An emotional flanker task simultaneously presented affective or neutral pictures from the international affective picture system database either as central response-relevant stimuli or surrounding response-uninformative flankers. Participants’ response times to central stimuli was measured. The attentional bias was observed when stimuli were presented either for 1500 ms or 500 ms. The threat-related attentional bias held regardless of the stimuli competing (...) for attention even when presentation time was further reduced to 200 ms. The results indicate that automatic and controlled mechanisms may interact to modulate the orientation of attention to threat. The data presented here shed new light on the mechanisms, processes, and time course of this long investigated by still largely unknown processing bias. (shrink)

Resumen Ante el dilema de si la Lógica de Hegel debe entenderse como una ontología o como una continuación del proyecto kantiano de la lógica trascendental, el artículo sostiene que no es propiamente una ontología, ni un análisis de conceptos y categorías subjetivas. Su vocación metafísica se basa en el postulado según el cual la reflexión del pensamiento sobre sí mismo tiene consecuencias para la comprensión del ser de lo que no es pensamiento, de modo que resulta ser un proyecto (...) novedoso de ontología mediada por la autorreflexión del pensar.This text faces the dilemma whether Hegel’s Logic must be understood as ontology or as continuation of the Kantian project of transcendental logics. It upholds the thesis that Hegel’s Logic is not properly an Ontology -a direct and immediate description of object’s immanent way of being- nor an analysis of merely subjective concepts and categories. The metaphysical vocation of Hegel’s Logic draws rather on the claim that thought’s self-reflection has necessarily consequences for the comprehension of the being of all that is not thought. Hence, we are facing a groundbreaking project of an ontology that is mediated by thought’s self-reflection. (shrink)

The De Doctrina Christiana is one of St. Augustine´s most important works, not only because of the reflection and hermeneutic exposed, but because of its special nature, since their composition realizes the vital and intellectual development of the author over two decades. A large section of the specialized reviews say that this work should be understood as a set of two irreconcilable parts, that one written in 396, with a hermeneutical character, the other finished by 426 devoted to rhetoric and (...) the doctrine of grace. While it should not be ignored the difference between these two parts of the work, it is necessary to find a common ground that not only ensures the unity of the work, but also of the whole Christian culture. (shrink)

We offer philosophical motivations for a method we call Virtual World Cognitive Science (VW CogSci), in which researchers use virtual embodied agents that are embedded in virtual worlds to explore questions in the field of Cognitive Science. We focus on questions about mental and linguistic representation and the ways that such computational modeling can add rigor to philosophical thought experiments, as well as the terminology used in the scientific study of such representations. We find that this method forces researchers to (...) take a god’s-eye view when describing dynamical relationships between entities in minds and entities in an environment in a way that eliminates the need for problematic talk of belief and concept types, such as the belief that cats are silly, and the concept CAT, while preserving belief and concept tokens in individual cognizers’ minds. We conclude with some further key advantages of VW CogSci for the scientific study of mental and linguistic representation and for Cognitive Science more broadly. (shrink)

Cognitive Science, Volume 46, Issue 3, March 2022.

Se ofrece una interpretación teórico-política de la fusión de horizontes de Gadamer. Se argumenta que el diálogo político, desde un punto de vista hermenéutico, debe entenderse como el proceso de cuestionamiento y disputa de los horizontes de sentido en donde descansan las prácticas sociales. Asimismo, se sostiene que el diálogo instituye una pregunta-escenario-común que abre el horizonte social de sentido hacia la contingencia e incertidumbre, así como que este nunca busca un consenso procedimental o sustancial que subsane los conflictos y (...) concilie las diferentes perspectivas en un punto de vista homogéneo. (shrink)

El artículo sostiene una relación fundacional entre la visión bioética potteriana con el cometido de la sostenibilidad. Teniendo en cuenta que V. R. Potter no desarrolló conceptualmente cómo y desde qué enfoque tendría que entenderse la sostenibilidad de la humanidad, se hace necesario mostrar tal desarrollo conceptual. Así, la visión bioética potteriana podría ser repensada y actualizada para enfrentar el desafío de la humanidad en la época actual. En este orden de ideas, se propone analizar descriptivamente los enfoques teóricos y (...) las ampliaciones conceptuales del concepto de sostenibilidad para reconocer en qué sentido contribuyen a la construcción de una supervivencia aceptable para la humanidad, en términos de la bioética global. Para esto, se presenta el eje teórico del desarrollo sostenible, del cual se resalta su componente sistémico e intergeneracional, sin dejar de exponer las críticas a su estructura de crecimiento económico y la incompatibilidad de esto con la visión bioética potteriana. Seguidamente, se expone la propuesta alternativa del ecodesarrollo y de la racionalidad ambiental, como elementos importantes para ampliar el paradigma de la sostenibilidad. Finalmente, se concluye con una integración de los elementos de ambos ejes teóricos como un punto de partida para pensar en la sostenibilidad de una visión bioética. (shrink)

Este artículo presenta una reflexión sobre aquellas mujeres que siendomadres “optaron” por vincularse a las Autodefensas Unidas de Colombia, convirtiéndose la gran mayoría en “obreras de la guerra” para cumplir la función materna de no dejar morir a sus hijos. Son madres combatientesque fueron a la guerra para luchar por sus hijos/as, sacrificando su vida por ese otro que una vez hizo parte de ella. Intento demostrar que dichas madres combatientes, no transgreden las normas de la maternidad hegemónica. Transgreden sí, (...) la visión estereotipada de género, según la cual se considera a la mujer esencialmente “pacífica”. Pero no son efectivamente transgresoras de los ideales asociados a la maternidad vista fundamentalmente como esencia, como un hecho biológico e individual. Finalmente se hace una apuesta por repensar la(s) maternidad(es) en una sociedad en (pos) conflicto como la colombiana. (shrink)

The basic thesis explored in this paper is that rather than seeing spirituality as a byproduct of music, the other arts, and religion, music, the other arts, and religion might be seen as a byproduct of spirituality—hence, the proposition that music is a language of spirituality. If that is the case, there are twin dangers: talk of “wholism” can obscure the distinctly human capacity of spirituality and constructions of spirit as one element of the old dualisms or tripartisms can separate (...) spirituality from the context of body and mind. If music is a language of spirituality understood as a distinct but contextualized expression of the spirit, the primary implications for music education are that some parts of music education might be conducted at a non-discursive, non-rational level and constructivist pedagogical approaches may be called for. (shrink)

This latest work from one of the world's leading political philosophers will appeal to audiences from a variety of fields, including philosophy, political science, women's studies, ethnic studies, sociology, and communications studies.

Although puppets have been employed by various disciplines in clinical and community (e.g. homes and schools) environments, little has been written about their use as a communication tool in research. In this article, a critical review of the literature is undertaken integrating the use of puppets in a qualitative research study exploring children's perspectives on and responses to a camp for children with cancer. Methodological considerations and ethical issues of using puppets as a data collection technique are discussed. Although some (...) limitations exist, using puppets in interviews with children appear to help them to identify, clarify and verbalize their feelings. (shrink)