Discerning the Good in the Letters and Sermons of Augustine turns to the vast collection of moral advice found in Augustine's letters and sermons, mining these neglected and highly illuminating texts for examples of Augustine's application of his own moral concepts. It focuses on letters and sermons in which Augustine offers concrete advice on how to interact with the various goods relevant to social and political life. A special set of goods reappears throughout the letters and sermons, namely sexual intimacy (...) and domestic life, power and public office, and wealth and private possessions. Together, these goods form the central topics of this book. Joseph Clair highlights that the most revealing cases are those in which an individual must choose between competing goods, and cases in which an individual's role and role--specific obligations inform their decisions. Such cases uncover the nimbleness of Augustine's moral reasoning in action--an artful blend of scriptural interpretation, virtue theory, and sensitivity to the circumstances of individual lives. He reveals that Augustine's understanding of the goods constitutive of social and political life is deeply indebted to the Stoic and Peripatetic doctrine of oikei=osis, or "social appropriation". The colorful, personal, and practical details found in these writings provide a window onto Augustine's moral reasoning not available in his more theoretical treatments of the good, and the concrete cases often illustrate the human significance of properly discerning the good. Beyond providing one of the first analyses of these ethical writings, this work contributes a new sense of Augustine's ethics--both in terms of the range of questions he addresses and the manner in which he treats them. (shrink)

In Justice in Love, Nicholas Wolterstorff argues for a unique ethical orientation called “care-agapism.” He offers it as an alternative to theories of benevolence-agapism found in Christian ethics on the one hand and to the philosophical orientations of egoism, utilitarianism, and eudaimonism on the other. The purported uniqueness and superiority of his theory lies in its ability to account for the conceptual compatibility of love and justice while also positively incorporating self-love. Yet in attempting to articulate a “bestowed worth” account (...) of human dignity—in which dignity is given by divine love and respected in acts of justice—Wolterstorff leans on an unstable characterization of how love and the good are conceptually interwoven. As a result, his reader cannot be sure about the theoretical superiority of care-agapism. Moreover, Wolterstorff's attempt to value self-love and at the same time reject eudaimonism depends on a dubious interpretation of Augustine carried over from Justice: Rights and Wrongs, which itself further depends on a mischaracterization of the possible varieties of eudaimonism. This mistake is unfortunate because, on a closer reading of Augustine, one finds an agapistic account of eudaimonism that could have significantly helped Wolterstorff's overall account of the complementary relation of love and justice. (shrink)

Dignity may just be the most promiscuous normative abstraction. This article, informed by dignity’s historical variability, political theoretic multipurpose, and conflicting jurisprudence, focuses on a particular but influential invocation of the term: dignity as the normative ground for the ‘capabilities approach’ (CA) model of social justice. We ask whether or not the CA, in particular the influential version propounded by philosopher Martha Nussbaum, requires dignity as its foundational premise, and whether or not dignity may be more costly than beneficial for (...) the CA’s vision of a minimally just society. The first section of this article rehearses the warrants of and criticisms against the dignity-basis of Nussbaum’s CA. We canvass the relatively sparse scholarship on dignity within the CA to situate our contribution. The next two sections are case studies, demonstrating dignity’s shortcomings for assessing and regulating sex and abortion, respectively. The fourth section rebuts two possible objections to our criticisms of dignity. The fifth and final section gestures toward another normative abstraction, ‘minimum conditions of individuation’, less polysemic than dignity, which might alternatively ground the CA. (shrink)

This article presents a radical claim: American medical ethics is broken, and it needs love to be healed. Due to a unique set of cultural and economic pressures, American medical ethics has adopted a mechanistic mode of ethical reasoning epitomized by the doctrine of principlism. This mode of reasoning divorces clinicians from both their patients and themselves. This results in clinicians who can ace ethics questions on multiple‐choice tests but who fail either to recognize a patient's humanity or to navigate (...) the ethical quandaries into which they are frequently thrown. Drawing on personal experience as well as the philosophical work of Augustine of Hippo, Simone Weil, and Iris Murdoch, we propose a novel ethical approach grounded in a conception of neighbor love, specifically, the virtue of love understood as attention to a sufferer's humanity. We conclude with five practical recommendations for reimagining medical ethics education oriented around the virtue of love. (shrink)

Guidelines advise that x-rays do not contribute to the clinical management of simple nasal fractures. However, in cases of simple nasal fracture secondary to assault, a facial x-ray may provide additional legal evidence should the victim wish to press charges, though there is no published guidance. We examine the ethical and medico-legal issues surrounding this controversial area.

BackgroundHIV prevention research in resource-limited countries is associated with a variety of ethical dilemmas. Key amongst these is the question of what constitutes an appropriate standard of health care (SoC) for participants in HIV prevention trials. This paper describes a community-focused approach to develop a locally-appropriate SoC in the context of a phase III vaginal microbicide trial in Mwanza City, northwest Tanzania.MethodsA mobile community-based sexual and reproductive health service for women working as informal food vendors or in traditional and modern (...) bars, restaurants, hotels and guesthouses has been established in 10 city wards. Wards were divided into geographical clusters and community representatives elected at cluster and ward level. A city-level Community Advisory Committee (CAC) with representatives from each ward has been established. Workshops and community meetings at ward and city-level have explored project-related concerns using tools adapted from participatory learning and action techniques e.g. chapati diagrams, pair-wise ranking. Secondary stakeholders representing local public-sector and non-governmental health and social care providers have formed a trial Stakeholders' Advisory Group (SAG), which includes two CAC representatives.ResultsKey recommendations from participatory community workshops, CAC and SAG meetings conducted in the first year of the trial relate to the quality and range of clinic services provided at study clinics as well as broader standard of care issues. Recommendations have included streamlining clinic services to reduce waiting times, expanding services to include the children and spouses of participants and providing care for common local conditions such as malaria. Participants, community representatives and stakeholders felt there was an ethical obligation to ensure effective access to antiretroviral drugs and to provide supportive community-based care for women identified as HIV positive during the trial. This obligation includes ensuring sustainable, post-trial access to these services. Post-trial access to an effective vaginal microbicide was also felt to be a moral imperative.ConclusionParticipatory methodologies enabled effective partnerships between researchers, participant representatives and community stakeholders to be developed and facilitated local dialogue and consensus on what constitutes a locally-appropriate standard of care in the context of a vaginal microbicide trial in this setting.Trial registrationCurrent Controlled Trials ISRCTN64716212. (shrink)

This paper examines the impact of a week-long philosophy summer camp on middle and high school-age youth with specific attention paid to the development of intellectual humility in the campers. In June 2016 a university in Texas hosted its first philosophy summer camp for youth who had just completed sixth through twelfth grades. Basing our camp on the pedagogical model of the Philosophy for Children program, our aim was specifically to develop a community of inquiry among the campers, providing them (...) with a safe intellectual space to be introduced to philosophy and philosophical discussion. In 2017 we launched a formal longitudinal study to determine what impact a week-long philosophy summer camp would have on teens and tweens. Examining quantitative and qualitative data collected from 2016–2020, we found that the camp has had a significant impact on the teenagers who have attended. In particular, we found that intellectual humility increased over the duration of their camp experience and that this increase correlates with an increased affinity for philosophy and philosophical discussion. (shrink)

Despite the frequency of stillbirths, the subsequent implications are overlooked and underappreciated. We present findings from comprehensive, systematic literature reviews, and new analyses of published and unpublished data, to establish the effect of stillbirth on parents, families, health-care providers, and societies worldwide. Data for direct costs of this event are sparse but suggest that a stillbirth needs more resources than a livebirth, both in the perinatal period and in additional surveillance during subsequent pregnancies. Indirect and intangible costs of stillbirth are (...) extensive and are usually met by families alone. This issue is particularly onerous for those with few resources. Negative effects, particularly on parental mental health, might be moderated by empathic attitudes of care providers and tailored interventions. The value of the baby, as well as the associated costs for parents, families, care providers, communities, and society, should be considered to prevent stillbirths and reduce associated morbidity. (shrink)

In the conclusion to this multi-part article I first review the discussions carried out around the six essential questions in psychiatric diagnosis – the position taken by Allen Frances on each question, the commentaries on the respective question along with Frances’ responses to the commentaries, and my own view of the multiple discussions. In this review I emphasize that the core question is the first – what is the nature of psychiatric illness – and that in some manner all further (...) questions follow from the first. Following this review I attempt to move the discussion forward, addressing the first question from the perspectives of natural kind analysis and complexity analysis. This reflection leads toward a view of psychiatric disorders – and future nosologies – as far more complex and uncertain than we have imagined. (shrink)

In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role (...) of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM – whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part 1 of this article took up the first two questions. Part 2 took up the second two questions. Part 3 now deals with Questions 5 & 6. Question 5 confronts the issue of utility, whether the manual design of DSM-III and IV favors clinicians or researchers, and what that means for DSM-5. Our final question, Question 6, takes up a concluding issue, whether the acknowledged problems with the earlier DSMs warrants a significant overhaul of DSM-5 and future manuals. As in Parts 1 & 2 of this article, the general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances. (shrink)

In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role (...) of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM - whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part I of this article will take up the first two questions. With the first question, invited commentators express a range of opinion regarding the nature of psychiatric disorders, loosely divided into a realist position that the diagnostic categories represent real diseases that we can accurately name and know with our perceptual abilities, a middle, nominalist position that psychiatric disorders do exist in the real world but that our diagnostic categories are constructs that may or may not accurately represent the disorders out there, and finally a purely constructivist position that the diagnostic categories are simply constructs with no evidence of psychiatric disorders in the real world. The second question again offers a range of opinion as to how we should define a mental or psychiatric disorder, including the possibility that we should not try to formulate a definition. The general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances. (shrink)

In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role (...) of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM - whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part I of this article took up the first two questions. Part II will take up the second two questions. Question 3 deals with the question as to whether DSM-V should assume a conservative or assertive posture in making changes from DSM-IV. That question in turn breaks down into discussion of diagnoses that depend on, and aim toward, empirical, scientific validation, and diagnoses that are more value-laden and less amenable to scientific validation. Question 4 takes up the role of pragmatic consideration in a psychiatric nosology, whether the purely empirical considerations need to be tempered by considerations of practical consequence. As in Part 1 of this article, the general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances. (shrink)

Biographical essays explore the careers of two major early photographers, Joseph-Philibert Girault de Prangey and William James Stillman. in addition, portfolios with works by Maxime Du Camp, John Beasley Greene, Francis Frith, Robert Macpherson, Adolphe Braun and others testify to the strength and consistency of other early photographers who captured the antique worlds around the Mediterranean."--BOOK JACKET.

Le cours de Schelling sur le Monotheisme, discretement polemique ( a l'egard de Schleiermacher et surtout de Hegel), enseigne a Munich a partir de 1828, forme dans l'edition posthume le porche de la Philosophie de la mythologie. Cette situation due a l'editeur n'est pourtant pas pleinement satisfaisante. Car alors le Monotheisme fait double emploi avec l'Introduction historico-critique a la Mythologie, avec laquelle il a sans doute alterne selon les semestres. Or l'elaboration parallele de l'expose de l'empirisme philosophique (Darstellung) et, plus (...) tardive, de la Philosophie rationnelle a retenti dans l'intervalle sur la signification du Monotheisme. La distinction de plus en plus accusee d'un negatif rationnel et d'un positif historique englobe desormais celle de la Mythologie ou du paganisme et de la Revelation ou du christianisme. A la philosophie negative revient la dignite de philosophie premiere. La mythologie, des lors coloree negativement, projette ses effigies de neant, mais comme des prefigurations de l'avenir. La refonte successive des seules versions de l'Introduction a la Revelation confere au cours sur le Monotheisme une certaine autonomie. Dans la ligne ideale d'un developpement synchronise, le Monotheisme occupe, bien que relativement en porte-a-faux, l'emplacement charniere, le point delicat d'amorcage de la philosophie historique, documentee. La presentation du Monotheisme comme theogonie transcendantale et theorie des principes ou puissances est en outre le plus simple et le plus clair de tous les textes de Schelling traitant du probleme de la transition. (shrink)

Ce petit livre est concis. Il l’est peut-être trop, mais il demeure clair et stimulant. Il est axé sur des questions de justice sociale que se posent des sociaux-démocrates perplexes. Il se divise en trois parties traitant chacune d’un problème différent. Ce compte rendu les traitera l’un après l’autre, mais ils sont liés dans la pratique. Philippe Van Parijs utilise les notions de maximin, de contrat social passé derrière un voile d’ignorance et de solidarité nationale, et il fonde une (...) partie de son argumentation sur ces notions. Il discute des mérites d’une solidarité élargie à la nation, mais non d’une solidarité qui irait au-delà, bien qu’il tienne compte, à plusieurs moments, du fait que la nation soit de plus en plus tributaire d’une économie mondiale. En introduction, il rend hommage à John Rawls et André Gorz, des maîtres «avec et contre» qui il a écrit ce livre. Il dit aussi vouloir établir des principes cohérents, provisoires sans doute, mais auxquels on puisse adhérer. Il réussit certainement à les tirer au clair et à favoriser leur problématisation. (shrink)

RÉSUMÉ. — Robert Brandom a tenté de déplacer le concept de représentation de sa position de concept explicatif central en philosophie du langage et de le remplacer par un ensemble de concepts explicatifs dérivés de l’analyse de l’action sociale. Il soutient que le concept de norme sociale peut servir de concept primitif dans le développement d’une théorie générale de la signification. Selon Brandom, le problème central lié au fait de considérer la représentation comme un primitif explicatif est que nous n’avons (...) pas une compréhension claire de ce à quoi correspond la relation de « représentation ». Il est donc naturel de s’attendre à ce que Brandom utilise, dans son analyse de l’action sociale, des primitifs explicatifs qui sont, d’une certaine manière, moins mystérieux. En particulier, on s’attend à ce que Brandom démontre que le concept de « norme sociale » peut être compris en termes d’un ensemble plus simple de concepts issus de la philosophie de l’action. Malheureusement, Brandom ne fournit pas une telle explication. Dans cet article, je commence par analyser l’argument proposé par Brandom, et je tente d’expliquer pourquoi cet argument, en définitive, n’est pas concluant. J’essaie ensuite de développer l’explication des origines de la normativité dans l’action sociale que, selon moi, Brandom aurait dû donner. (shrink)

The author responds to a letter by D. Brendan Johnson in the July‐August 2023 issue of the Hastings Center Report concerning his and Joseph Clair's article “Love Your Patient as Yourself: On Reviving the Broken Heart of American Medical Ethics.”.

This letter responds to the article “Love Your Patient as Yourself: On Reviving the Broken Heart of American Medical Ethics,” by Tyler Tate and Joseph Clair, in the March‐April 2023 issue of the Hastings Center Report.

The field of development ethics has evolved over the years to incorporate topics that have become of the utmost importance in achieving fair and sustainable development for all. This is not the place to review such a conceptual evolution from the origins of Denis Goulet’s writings, but I wish to note how the saliency of development ethics is highly dependent on speaking to and relating with issues of central importance to global society. In this brief piece I want to focus (...) on a particular challenge for the field of development ethics: how to move beyond rethinking and reframing so this field provides guidance for the needed systemic global transformations. (shrink)

Both male ornamentation and male combat result in increased male mortality. Because population sizes are limited by a carrying capacity, increased age-specific adult male mortality will result in decreased age-specific adult female mortality, as well as decreased juvenile mortality. As intersexual competition is one form of intraspecific competition, through choosing to mate with ornamented and/or combative males, females in polygamous systems reduce intraspecific competition. Because average male fitness must exactly equal average female fitness, male fitness will paradoxically rise with increasing (...) male mortality. This theory also offers new perspectives on peripheral problems to sexual theory, such as mate location, resource guarding, leks, harems, and others. (shrink)

Embedding research ethics education into apprenticeship-model undergraduate research experiences can contribute to creating, and maintaining, ethical and inclusive research cultures. Occidental College’s Biology and Philosophy Departments collaborated to develop a model for undergraduate ecological field research ethics education focused on promoting students’ understanding of ethics as embedded within scientific research practices. The model has two primary components: (a) a philosophical reading, reflective journaling, and discussion group for both philosophy and ecology undergraduate researchers about ecological research ethics; and (b) philosophy faculty (...) and undergraduate researchers embedded within and assisting with ecological fieldwork, while also pursuing their philosophical fieldwork projects. This project highlights a range of ways of embedding ethics in research experiences that can be adapted to other contexts, including sustained and structured reflective journaling focused one’s scientific practice and regular philosophical discussions involving the entire research group. (shrink)

Though it is commonplace in discussions of science and religion to make the distinction between scientific explanations of how and religious explanations of why, the distinction does not hold up under close examination. In recent discussions of big bang cosmology, scientists are more and more addressing of the questions of why, particularly in discussions of the role of symmetry in contemporary physics and in debates about the relevance of the anthropic principle.

L’unique tâche philosophique de Lequier a consisté dans la recherche d’une première vérité. Si une méthode réflexive ne parvient jamais à établir définitivement celle-ci et si la méthode dialectique se heurte sans fin aux apories, spécialement celles de la nécessité et de la liberté, une autre voie s’ouvre, celle du récit existentiel. Or cette voie, loin de mettre en question la métaphysique, est plutôt celle qui expose, sous une forme phénoménologique, comment la vérité peut s’accomplir comme liberté dans l’histoire par (...) laquelle un être humain effectue son identité.La pensée de Lequier, qui porte sur les actes les plus communs de l’existence, examine d’une manière très classique les principes métaphysiques. Ainsi au lieu que la métaphysique et l’existence soient antagonistes et disjointes, c’est dans les situations vécues qu’est reconnue, et même qu’est « faite », la première vérité sous la figure de la liberté. (shrink)

Since the translation, in 2005, of one of Kimberlé W. Crenshaw’s articles introducing intersectionality into the field of French social sciences, the word and the theoretical perspective it labels have been the object of great mistrust on the part of many sociologists claiming a critical position. The lexicon of threat is mobilised to disqualify the intersectional approach – much more than to discuss it – because its aim, or effect, is to purely and simply erase social class as a fundamental (...) category of analysis. The article goes back over the reasons for a trial that has become more and more noisy over the years, made of maintained ignorance and refusal of controversy. (shrink)

Interpreting John Paul II's message to the Pontifical Academy of Sciences in the context of the new scientific discoveries concerning the mitochondrial DNA, one can argue that the human species emerged in Africa some 200,000 years ago. The very problem of the emergence of the human soul in the process of biological evolution represents a subject outside the cognitive competence of science. Attempts can be undertaken to explain this issue in the epistemological perspective of philosophy and theology. In traditional versions (...) of evolutionary theism, God* s interaction in nature was interpreted in causal categories when deterministic dependences were stressed in the process of evolutionary growth. In new proposals, God's presence in an evolving nature has been explained in categories of potentialities and propensities built by God into an evolving Nature. Consequently, in this approach God could be conceived not as a Paleyan designer but rather as a composer unfolding the possibilities hidden in His creation. The future of the evolutionary process depends not only on cosmic physical determinants; it depends to a large extent on the quality of cooperation of human actions with the influence of the Divine Creator. Accordingly, the shape of human culture, as well as the state of moral consciousness of Homo sapiens, should be taken into consideration to discuss the future evolution of the human species. /// Interpretando a mensagem do Papa João Paulo II à Academia Pontifícia das Ciências no contexto das novas descobertas científicas referentes ao DNA mitocondrial, o autor do artigo considera ser possível defender que a espécie humana surgiu em África há cerca de 200 000 anos. Mas o problema da emergência da alma humana no contexto do processo da evolução biológica representa um assunto que está fora da competência cognitiva da ciência. Contudo é possível realizar tentativas no sentido de explicar esta questão na perspectiva epistemológica da filosofia e da teologia. Nas versões tradicionais do teísmo evolutivo, a interacção de Deus com a natureza era interpretada segundo categorias causais quando as dependências deterministicas eram sublinhadas no processo do desenvolvimento evolutivo. No contexto de novas propostas interpretativas, a presença de Deus na ordem evolutiva tem sido explicada em termos das potencialidades e das propensidades induzidas por Deus na Natureza em evolução. Consequentemente, segundo esta abordagem Deus poderia ser concebido não como sábio projectista de que fala William Paley, mas antes como um compositor fazendo vir ao de cima as possibilidades escondidas na sua própria criação. O futuro do processo evolutivo depende não apenas das determinantes físicas do cosmos; ele depende em larga medida da qualidade da cooperação das acções humanas com a influência do Criador. Neste sentido, o artigo defende que a forma da cultura humana, bem como o estado da consciência moral do homo sapiens deve ser tido em consideração em ordem a se poder discutir a evolução futura da espécie humana. (shrink)

Dans son œuvre multiforme, à la fois narrative et conceptuelle, lyrique et dialectique, Kierkegaard s’interroge sur la liberté, tantôt sur un mode théorique (ainsi dans Le Concept d’angoisse), tantôt sur un mode romanesque (ainsi dans les Stades sur le chemin de la vie). Il importe alors de mettre en rapport et de confronter ces textes. On prendra la liberté comme fil conducteur de l’existence, avec le thème du choix, exposé et analysé dans Ou bien – Ou bien. C’est aussi le (...) choix qui est mis en scène dans une histoire singulière, « “Coupable?” – “non-coupable?” ». Si les textes théoriques explorent et éclairent le concept de liberté, pensé dans la tradition augustinienne et luthérienne, c’est la mise en récit qui donne sa pleine consistance à l’acte libre. Cela conduit à une recherche sur le statut de la subjectivité, dont le point ultime est explicité dans les Discours, éminemment dans les Œuvres de l’amour. (shrink)

Role models can be highly influential in conveying ethical standards. This study investigates the influence various categories of role models have had on a population of over 1,600 undergraduate students in Texas, Oregon and Michigan. Those identifying clergy, boy scout leaders, friends and college advisors as role models exhibited less willingness to adopt questionable ethical behavior in negotation situations. Journalist and spouse role models tended to cause students to be more accepting of questionable behavior. Individuals with strong end-result and social (...) contract ethical philosophies, as well as males and those who served in the military exhibited strong tendencies toward less than ethical behavior. Individuals with strong rule ethical philosophy, high levels of religiousity, and those with a cooperative attitude in negotiations tended to adopt higher ethical standards in negotiations. (shrink)

Reflete-se acerca das metamorfoses e devires no campo histórico-político dos processos de subjetivação. A partir da transversalidade de saberes, em uma perspectiva ecológica, engendram-se caminhos para uma revitalização subjetiva. Com esse fim, convocam-se as contribuições ético-estéticas de duas ficções literárias: A Metamorfose, de Franz Kafka, e Meu tio o Iauaretê, de João Guimarães Rosa. Enquanto A Metamorfose denuncia ações tóxicas produzidas no âmbito de uma monocultura subjetiva, o texto roseano abre incontroláveis devires, indomesticáveis e ferozes, borrando as fronteiras entre humano (...) e não-humano. Evocam-se múltiplas forças do vivo que plasmam outros regimes semióticos aptos a reflorestar a subjetividade, inventando novas linguagens, engendrando modos de ser. (shrink)

As the HIV epidemic continues to grow worldwide, women are increasingly and disproportionally affected. With the introduction of anti-retroviral medications that have been found to effectively prevent perinatal transmission of HIV, the approach to HIV testing in pregnant women has grown increasingly more controversial. In recent years, the model of voluntary counseling and testing (VCT) has come into question with opt-out testing now advocated for by the Centers for Disease Control and occurring widely in pregnancy. The benefits of opt-out testing (...) are numerous and may justify its use in replacing the VCT that many have come to see as insufficient. An ethical analysis of opt-out testing suggests it may be at odds with true informed consent and involve a degree of coercion that would not be allowed outside the prenatal setting. If opt-out testing is going to remain the standard of care then the ethical issues it raises must be made transparent. Strategies need to be designed for ensuring that HIV counseling and testing in pregnancy is done in accordance with ethical and reproductive rights principles. (shrink)