BackgroundInternationally, patient access to notes is increasing. This has been driven by respect for patient autonomy, often recognised as a primary tenet of medical ethics: patients should be able to access their records to be fully engaged with their care. While research has been conducted on the impact of patient access to outpatient and primary care records and to patient portals, there is no such review looking at access to hospital medical records in real time, nor an ethical analysis of (...) the issues involved in such a change in process.MethodsThis study employed a systematic review framework in two stems, to integrate literature identified from two searches: Medline, CINAHL and Scopus databases were conducted, (for (1) hospitalised patients, patient access to records and its effects on communication and trust within the doctor-patient relationship; and (2) patient access to medical records and the ethical implications identified). The qualitative and quantitative results of both searches were integrated and critically analysed.Results3954 empirical and 4929 ethical studies were identified; 18 papers representing 16 studies were identified for review (12 empirical and 6 ethical). The review reveals a consensus that our current approach to giving information to patients – almost exclusively verbally – is insufficient; that patient access to notes is a welcome next step for patient-centred care, but that simply allowing full access, without explanation or summary, is also insufficient. Several ethical implications need to be considered: increased information could improve patient trust and knowledge but might transfer an (unwelcome) sense of responsibility to patients; doctors and patients have conflicting views on how much information should be shared and when; sharing written information might increase the already significant disparity in access to health care, and have unforeseen opportunity costs. The impact on medical practice of sharing notes in real time will also need to be evaluated.ConclusionsThe review presents encouraging data to support patient access to medical notes. However, sharing information is a critical part of clinical practice; changing how it is done could have significant empirical and ethical impacts; any changes should be carefully evaluated. (shrink)

Beads and other ‘body ornaments’ are very widespread components of the archaeological record of early modern humans (Homo sapiens). They appear first in the Middle Stone Age in Africa, and somewhat later in the Early Upper Paleolithic of Eurasia. The manufacture and use of ornaments is widely considered to be evidence for significant developments in human cognition. In our view, the appearance of these objects represents the interaction of evolved cognitive capacities with changing social and demographic conditions. Body ornamentation is (...) a medium or technology for communication, particularly of socially-relevant information. The widespread adoption of beads and other discrete objects as media for communication implies changes in the complexity and stability of social messages, as well as the scale of social networks. The relatively sudden appearance of beads in the Paleolithic archaeological record coincides with genetic and archaeological evidence for expansion of human populations. We argue that these changes reflect expanding scales of social interaction and more complex social landscapes resulting from unprecedentedly large and internally differentiated human populations. (shrink)

This qualitative study identifies police interactions with gun violence co-victims as a crucial, overlooked component of police unresponsiveness, particularly in minority communities where perceptions of police illegitimacy and legal estrangement are relatively high. Gun violence co-victims in three cities participated in online surveys, in which they described pervasive disregard by police in the aftermath of their loved ones' shooting victimization. We build on the checklist model that has improved public safety outcomes in other complex, high-intensity professional contexts to propose a (...) checklist for police detectives to follow in the aftermath of gun violence. To build the checklist, we also reviewed the general orders of five police departments to better understand what guidance, if any, is currently given to police personnel regarding how they should interact with gun violence victims. (shrink)

Between 300,000 and 250,000 years ago early humans in Africa and Eurasia began to use durable material substances and objects as media for signaling. Initially material signals were confined to ochre and other pigments, but over time objects such as beads were also added as technologies for sending messages. Changes in the types of materials used, their durability and costs, and the contexts of their disposal indicate a series of transitions in how early humans employed signaling media. Signaling theory from (...) biology suggests that shifts in technologies over the course of the Pleistocene reflect problems in coordinating action and resolving conflicts within increasingly large and internally differentiated societies. (shrink)

It has been well documented that children perceive robots as social, mental, and moral others. Studies on child-robot interaction may encourage this perception of robots, first, by using a Wizard of Oz set-up and, second, by having robots engage in self-description. However, much remains unknown about the effects of transparent teleoperation and self-description on children’s perception of, and relationship formation with a robot. To address this research gap initially, we conducted an experimental study with a 2 × 2 between-subject design (...) in which 168 children aged 7–10 interacted with a Nao robot once. Transparency about the teleoperation procedure decreased children’s perceptions of the robot’s autonomy and anthropomorphism. Self-description reduced the degree to which children perceived the robot as being similar to themselves. Transparent teleoperation and self-description affected neither children’s perceptions of the robot’s animacy and social presence nor their closeness to and trust in the robot. (shrink)

Social robots and their interactions with children are becoming increasingly sophisticated, with the emergence of child-robot relationships as a likely result. However, adequate measurement instruments that tap into concepts associated with child-robot relationship formation are scarce. We aimed to develop three measures that can be used to assess children’s closeness to, trust in, and perceived social support from, a social robot. We established the validity and reliability of these measures among 87 Dutch children aged 7 to 11 years old. Because (...) of their shortness, the measures can efficiently be applied by scholars aiming to gain insight into the general process of child-robot relationship formation and its specific sub-processes, that is, the emergence of closeness, trust, and perceived social support. (shrink)

We highlight the various domains of the flavivirus virulence factor NS1 and speculate on potential implications of the NS1 3D structure in understanding its role in flavivirus pathogenesis. Flavivirus non‐structural protein 1 (NS1) is a virulence factor with dual functions in genome replication and immune evasion. Crystal structures of NS1, combined with reconstructions from electron microscopy (EM), provide insight into the architecture of dimeric NS1 on cell membranes and the assembly of a secreted hexameric NS1‐lipid complex found in patient sera. (...) Three structural domains of NS1 likely have distinct roles in membrane association, replication complex assembly, and immune system avoidance. A conserved hydrophobic inner face is sequestered either on the membrane or in the interior of the secreted hexamer and contains regions implicated in viral replication. The exposed variable outer face is presented to cellular and secreted components of the immune system in infected patients and contains candidate regions for immune system modulation. We anticipate that knowledge of the distinct NS1 domains and assembly will lead to advances in elucidating virus‐host interactions mediated through NS1 and in dissecting the role of NS1 in viral genome replication. (shrink)

“Problem-solving” as a criterion of scientific progress defended by Thomas S. Kuhn and Larry Laudan, respectively, has been criticized by several authors. Recently, Alexander Bird has suggested that problem-solving as a criterion of scientific progress is regressive and anti-intuitive. In this text I reassess Kuhn, Laudan and Bird’s positions and I show that Bird’s arguments are untenable.

Para desarrollar este trabajo, en el primer capítulo caracterizaré con cierta extensión dos de las principales posturas funcionalistas del progreso científico, a saber, la defendida por Thomas S. Kuhn y Larry Laudan, respectivamente. Posteriormente, haré un análisis crítico de estas posturas. En particular, mostraré que un modelo de progreso científico basado en la resolución de problemas no puede pasar por alto explicar cómo es que se genera un problema científico y cómo puede ser medida no sólo la importancia cognitiva (...) de los problemas científicos a resolver; sino la importancia cognitiva que tienen las soluciones a los problemas que enfrenta la ciencia. En el segundo capítulo caracterizaré y analizaré la postura realista metafísica sobre el progreso científico desarrollada por Philip Kitcher. El análisis del modelo de Kitcher es pertinente para el presente estudio debido a que este autor integró muchas de las críticas que se le hicieron a las posturas funcionalistas anteriores a su propuesta. Sin embargo, como sugeriré en la conclusión de ese capítulo, la postura defendida por Kitcher en torno al progreso cognitivo de la ciencia fluctúa entre la defensa de un realismo de corte metafísico (Kitcher 1993 y 1995) y un realismo de corte semántico (Kitcher 2001a, 2001b, 2002 y 2007) que hace difícil entender con precisión y a cabalidad su postura. Con los anteriores elementos, en el tercer capítulo revisaré el debate entre las posturas funcionalistas y las posturas realistas sobre el progreso cognitivo de la ciencia en el marco del llamado Realismo Epistemológico Convergente, con el objetivo de evaluar si otras posturas realistas pueden explicar de mejor manera el progreso cognitivo de la ciencia. Como mostraré, el realismo epistemológico convergente requiere para su defensa de una definición conceptual precisa en relación a lo que debe entenderse por “verdad” – o “aproximación a la verdad” – y su conexión con el éxito científico; así como la relación de referencia entre las entidades y organismos teóricos observables e inobservables que la ciencia postula y el mundo natural. Para analizar estas conexiones, en este capítulo revisaré varios argumentos anti-realistas en contra de la relación cognitiva que los defensores del realismo epistemológico convergente pretenden establecer entre el éxito empírico y la verdad, por un lado, y el éxito empírico y la referencia, por el otro. Posteriormente, analizaré los contra-argumentos realistas más importantes que a mi juicio se han elaborado para defender el realismo epistemológico convergente. Finalmente, mostraré que los contra-argumentos realistas no logran ser lo suficientemente sólidos para evadir con éxito los ataques anti-realistas en torno al progreso cognitivo de la ciencia. El cuarto capítulo de este trabajo lo dedicaré a caracterizar y analizar la postura fundacionista defendida por Alexander Bird. Este autor sostuvo que la ciencia progresa cuando muestra “acumulación de conocimiento justificado”. Para validar su postura, este autor contrastó sus ideas con los conceptos sobre el progreso científico construidos precisamente por Kuhn y Laudan, respectivamente. El objetivo de Bird fue mostrar que el criterio de “resolución de problemas” defendido por estos autores es regresivo y, por ello, anti-intuitivo. En este capítulo analizo los argumentos de Bird, muestro en qué fallan para, finalmente, evaluar su postura a partir de sus propios fundamentos epistemológicos. En el quinto y último capítulo del libro ofreceré algunas conclusiones que pueden ser inferidas del presente estudio. (shrink)

Simple finite axiomatizations are given for versions of the modal logics K and K4 with non-contingency (or contingency) as the sole modal primitive. This answers two questions of I. L. Humberstone.

The studies in this book set out to examine the labile resonances of phenomenology and art in Michel Henry, by examining the different figures of movement given to the concept of the aesthetic by the philosopher. They are preceded by one of Michel Henry’s own texts. Les études qui composent ce livre proposent d’interroger les résonances labiles de la phénoménologie et de l’art chez Michel Henry, en examinant les différentes figures du déplacement imprimé par le philosophe au concept d’esthétique. Le (...) tout est précédé d’un texte de Michel Henry. (shrink)

Evolutionary Transitions in Individuality have been responsible for the major transitions in levels of selection and individuality in natural history, such as the origins of prokaryotic and eukaryotic cells, multicellular organisms, and eusocial insects. The integrated hierarchical organization of life thereby emerged as groups of individuals repeatedly evolved into new and more complex kinds of individuals. The Social Protocell Hypothesis proposes that the integrated hierarchical organization of human culture can also be understood as the outcome of an ETI—one that produced (...) a “cultural organism” from a substrate of socially learned traditions that were contained in growing and dividing social communities. The SPH predicts that a threshold degree of evolutionary individuality would have been achieved by 2.0–2.5 Mya, followed by an increasing degree of evolutionary individuality as the ETI unfolded. We here assess the SPH by applying a battery of criteria—developed to assess evolutionary individuality in biological units—to cultural units across the evolutionary history of Homo. We find an increasing agreement with these criteria, which buttresses the claim that an ETI occurred in the cultural realm. (shrink)

:According to current interpretation of their ethics the Stoics incorporated in the theory of happiness the conception of attachment to oneself supposed to be changed into attachment to reason. This article aims to show that there is no textual evidence to corroborate this idea, and that, on the contrary, several texts and conceptual configurations tell against it. The same seems to hold true for the life of human adults who are not wise and keep their animal attachment to themselves : (...) as Cicero apparently suspected, the moral maxim of this life, i.e. self-preservation. (shrink)

La Déclaration commune sur la Doctrine de la Justification proposée par l'Institut pour la Recherche oecuménique de Strasbourg affirme que nous avons atteint un tel consensus concernant la question de la justification que les condamnations du XVIe siècle n'existent plus. Cet article montre d'abord que cette déclaration est le résultat d'un long dialogue au sein des théologies catholique et protestante, puis des comités officiels, au cours des quarante dernières années. Puis il en indique la signification et les limites. Il expose (...) ensuite comment elle a été reçue dans les Eglises luthériennes et la réponse officielle de la Fédération Mondiale Luthérienne, et celle de l'Eglise catholique. Il indique pour finir les tâches du dialogue oecuménique dans le futur. (shrink)

En los últimas décadas se han elaborado diferentes teorías al interior de la filosofía de la ciencia que pretenden explicar cuál es la mejor manera de entender el progreso científico cognitivo. De entre ellas sobresalen por su extensión, especificidad y alcance las propuestas de Larry Laudan y de Philip Kitcher. Laudan, siguiendo a Karl Popper, Thomas S. Kuhn y retomando varias ideas de Imre Lakatos, defendió una perspectiva funcionalista a partir de la cual propuso la resolución de problemas como (...) el mejor criterio cognitivo para evaluar el progreso científico. Por su parte, Kitcher propuso como criterio del progreso científico la producción de enunciados significativos y verdaderos, defendiendo - no sin ambigüedad - un tipo de realismo científico. En este trabajo pretendo mostrar que los criterios epistémicos, a diferencia de los criterios no epistémicos, complican innecesariamente el análisis de la progresividad científica. (shrink)

Recientemente, Alexander Bird (2007) sugirió que la ciencia progresa cuando muestra “acumulación de conocimiento justificado”. Para validar su postura, Bird contrastó sus ideas con los conceptos sobre el progreso científico construidos por Thomas S. Kuhn y Larry Laudan, respectivamente. El objetivo de Bird fue mostrar que el criterio de “resolución de problemas” defendido por estos autores, es regresivo y, por ello, anti-intuitivo. En este texto analizo los argumentos de Bird en contra de estos autores y muestro en qué fallan. (...) Posteriormente se evalúa su postura a partir de sus propios fundamentos epistemológicos. Al final, presento algunas conclusiones que pueden inferirse del presente estudio. (shrink)

La Philosophie de la religion demande une délimitation par rapport à des philosophies religieuses et la science religieuse. L'étude de quelques auteurs représentatifs montre ensuite une certaine convergence théorique autour du problème de la « contingence » dont la « maîtrise » socio-pratique implique aujourd'hui souvent tout le sens du « réel ». La tâche critique d'une philosophie de la religion consiste alors à plaider pour une ouverture des valeurs humaines vers l'« inconditionnel », et cela dans l'intérêt même d'une (...) « libertégénérosité » à sauvegarder. The Philosophy of religion requires demarcation comparatively to any religious philosophical thought and the science of religion. The study of several representative scholars points out that the problem of « contingency » is able at present to permit some conformity concerning theoretical positions. Frequently, the social and material « control » of this contingency of our world of life is forming the exhaustive sense of that what means « Reality » Therefore, it is a critical necessity of the philosophy of religion to demonstrate that human values are including orientation to an « inconditional ». (shrink)

L'A. s'attache à étudier l'expérience de la temporalité dans la philosophie heidéggerienne de l'existence : elle prend la structure d'un être-avec repensé à neuf par Heidegger après le tournant visant à surmonter la métaphysique de la représentation et du sens et cherchant à atteindre l'Etre pur. L'A. montre le déploiement de cette pensée dans l'analyse existentielle.

The therapeutic act and trans-noetic logotherapy. This text shows the permanent interference of clinical and phenomenological data in the logotherapy of Viktor E. Frankl in what concerns the existential analysis from our historical being and its meaning. This debate remains essential for any reader and practitioner in current psychotherapy and psychoanalysis to identify the foundations of man in his trans-noetic unity of flesh, drive and spirit, engaging his freedom and responsibility from an original desire without particular object.

A referência central do presente artigo é a fenomenologia material da vida de Michel Henry (1922-2002), fenomenologia essa mediante a qual se evidencia o quanto Karl Marx (1818-1893) merece ser reconhecido como o pensador de uma subjectividade radical em processo de realização mediante uma praxis imanente dos indivíduos, anterior a toda a abstracção política, económica ou institucional Assim, para o autor do artigo, a aplicação desta fenomenologia à economia mostra até que ponto esta última, com as suas equivalências de mercado (...) e capital, não constitui nem uma realidade nem uma teoria autónomas. Por outro lado, o artigo salienta também a enorme importância que para as nossas vidas reais e concretas pode e deve ter uma verdadeira meta-genealogia do processo real da produção e do consumo, especialmente no contexto de uma mundialização cada vez mais objectivista, baseada na aliança entre a ciência e a técnica. Com efeito, o perigo da alienação não é permanente apenas no contexto de uma tal evolução, pois, segundo Michel Henry, o cienti-fismo moderno, ao evacuar a vida subjectiva dos indivíduos, constitui também meio propício para o desenvolvimento de um fascismo latente baseado na negação "metafísica" da individualidade, assim como na "morte" associada às abstracções vazias de uma economia que facilmente se dispensa do "factor humano" ao nível de uma racionalização metodológica sem limite. The central matter of this paper is the material phenomenology of life of Michel Henry (1922-2002), a phenomenology through which it becomes evident how much Karl Marx (1818-1893) deserves to be recognised as the thinker of a radical subjectivity in the process of realization through an immanent praxis of the individuals, prior to all political, economic or institutional abstraction. Therefore, to the paper's author, the application of this phenomenology to economics shows the measure in which the later, with its equivalences of market and capital, neither constitutes an autonomous reality nor an autonomous theory. On the other hand, the paper also underlines the enormous importance which, to our real and concrete lives, a true meta-genealogy of the real process of production and consumption can and should have, especially in the context of a more and more objectivistic globalization, based on the alliance between science and technology. Indeed, the danger of alienation is not only permanent in the context of such an evolution, then, according to Michel Henry, modern scientism, as much as it tends to empty the subjective life of the individuals, is also a propitious means to the development of a latent fascism based on the negation of the "metaphysics" of individuality and, also, on the "death" associated to the empty abstractions of an economics which easily discards the "human factor" at the level of a methodological rationalization without limit. (shrink)

Thomas Kuhn is mostly known for his contributions to the philosophy of science. However, it was chiefly to investigations in philosophy of language that he dedicated the last part of his career. The aim of this paper is to present a systematic view of Kuhn’s main ideas on this subject. I start by describing his theory of concept, in particular what he says about kind terms. Such terms, acquired in blocks that form contrast sets or “taxonomies,” are learned (...) through ostensible definitions. Next, I analyze Kuhn’s concepts of “meaning” and “truth.” Finally, I discuss a second type of kinds terms, not fully investigated by him, which is learned together with scientific laws. Resumo Thomas Kuhn é conhecido principalmente por suas contribuições para a filosofia da ciência. No entanto, foi em grande medida à filosofia da linguagem que ele dedicou a última parte de sua carreira. O objetivo deste artigo é apresentar uma visão sistemática das principais ideias de Kuhn sobre esse assunto. Começo descrevendo sua teoria do conceito, em particular o que ele diz sobre termos para espécie. Tais termos, aprendidos em blocos que formam conjuntos de contraste ou “taxonomias”, são aprendidos através de definições ostensivas. Em seguida, analiso as concepções de Kuhn de “significado” e “verdade”. Finalmente, discuto um segundo tipo de termo para espécies, não totalmente investigado por ele, que é aprendido junto com as leis científicas. (shrink)