La réelle généralisation du téléphone en France, outil technique de médiation de la communication interpersonnelle ordinaire, date, après une longue gestation, d’une génération. Revisiter les enquêtes et analyses sur les usages sociaux du téléphone pendant le quart de siècle écoulé facilite, en prenant du recul, le suivi de l’évolution d’une appropriation, par les Français, qui ne fut pas seulement technique mais culturelle. Ce travail de remémorisation et de synthèse d’une révolution invisible préalable à la visibilité soudaine du téléphone portable dans (...) les médias et les espaces publics s’appuie sur les jalons suivants : processus de diffusion dans la société ; alternative au courrier et au face-à-face ; représentations sociales ; mécanismes de compétence interlocutoire ; normes et tactiques d’usage ; différenciation du genre masculin vs féminin ; usages privés sur le lieu de travail ; visite à distance ; réseaux de sociabilité ; répondeur ; téléphone mobile.In France, the telephone, a technical interpersonal communication tool, underwent a long gestation period and became widely used one generation ago. A study of the surveys and analyses of the social uses of the telephone in the last 25 years makes it easier to follow the evolution of its appropriation by the French, which was not merely technical but also cultural. The present history and analysis of the invisible revolution that took place prior to the sudden emergence of the mobile phone in the media and in public places focuses on the following themes : spreading process in society ; alternative to mail or to face-to-face communication ; social representations ; speaking skill mechanisms ; rules and tactics of usage ; differences between sexes ; private uses in the workplace ; remote visits ; social networks ; answering-machines ; mobile phones. (shrink)

No contexto da realização de megaeventos esportivos no Brasil, este artigo tem como objetivo refletir sobre as práticas de agendamento das Olimpíadas Rio 2016 em relação à problemática do zika vírus pela Folha de S. Paulo e pela Zero Hora. O método utilizado é a análise de conteúdo, de Laurence Bardin. A amostra compreende o mês de fevereiro de 2016. Foram localizadas 19 matérias na Folha e três matérias em Zero Hora. A partir disso, trabalhamos sobre a defasagem (...) noticiosa entre esses veículos de comunicação. Os resultados indicam que o agendamento de cada veículo está vinculado aos fluxos da informação em cada plataforma midiática. Na Folha, há uma cobertura intensiva e difusa, enquanto em Zero Hora o agendamento é seletivo e concentrado. (shrink)

Apresentamos no artigo em tela os resultados de uma Revisão Sistemática de Literatura (RSL) cujo objetivo de pesquisa foi indicar os contornos curriculares do ensino de Filosofia no ensino médio em um corpus formado por sete teses cuja investigação atravessou, simultaneamente, o campo do Currículo, do Ensino de Filosofia e do Ensino Médio e que tenham sido defendidas no Brasil após a Reforma dessa etapa da educação básica (MPV 746/2016, convertida na Lei 13.415/2017) até 2022. Para tanto, nos aportamos teoricamente (...) na Teoria do Discurso de Ernesto Laclau e Chantal Mouffe e nas curriculistas Alice Lopes e Elizabete Macedo. Metodologicamente nos inspiramos na Análise de Conteúdo de Laurence Bardin e nos procedimentos da RSL, adaptados da indicação de Maria Cristiane Galvão, Ivan Luiz Ricarte e Chitu Okoli. Compreendemos com a pesquisa que há uma divergência entre a ambiência criada pela Reforma e pela Base Nacional Comum Curricular e as necessidades apontadas nas teses para um ensino filosófico. (shrink)

Compreender a violência na sociedade contemporânea requer o mapeamento dos fatores geradores de atos violentos bem como sua prevenção por meio de políticas públicas e de processos educacionais. Este artigo traz algumas reflexões sobre a racionalidade comunicativa e a violência escolar no contexto da crescente exclusão social e a crise de horizontes utópicos para a construção da educação e da formação de sujeitos de direitos. A abordagem metodológica está ancorada na perspectiva da análise de conteúdo de Laurence Bardin (...) (2016), do documento ‘Violência escolar e bullying: relatório sobre a situação mundial’, publicado pela Organização das Nações Unidas para a Educação, a Ciência e a Cultura (UNESCO). São analisadas as pretensões de validade das informações e dos dados considerados relevantes por meio da elaboração de dois eixos principais para analisar a violência escolar apresentada no relatório: a) definições e amparos legais; b) impactos e principais desafios sobre a violência escolar e o bullying. Nessa perspectiva, recorreremos à Racionalidade Comunicativa, ponto central da Teoria do Agir Comunicativo, de Jürgen Habermas, para refletir sobre os achados e saber quais as bases consideradas relevantes para se construir uma educação para a paz alicerçada no diálogo e no entendimento. (shrink)

Conceptual analysis is undergoing a revival in philosophy, and much of the credit goes to Frank Jackson. Jackson argues that conceptual analysis is needed as an integral component of so-called serious metaphysics and that it also does explanatory work in accounting for such phenomena as categorization, meaning change, communication, and linguistic understanding. He even goes so far as to argue that opponents of conceptual analysis are implicitly committed to it in practice. We show that he is wrong on all of (...) these points and that his case for conceptual analysis doesn't succeed. At the same time, we argue that the sorts of intuitions that figure in conceptual analysis may still have a significant role to play in philosophy. So naturalists needn't disregard intuitions altogether. (shrink)

The clinical ethics literature is striking for the absence of an important genre of scholarship that is common to the literature of clinical medicine: systematic reviews. As a consequence, the field of clinical ethics lacks the internal, corrective effect of review articles that are designed to reduce potential bias. This article inaugurates a new section of the annual "Clinical Ethics" issue of the Journal of Medicine and Philosophy on systematic reviews. Using recently articulated standards for argument-based normative ethics, we provide (...) a systematic review of the literature on concealed medication for the management of psychiatric disorders. Four steps are completed: identify a focused question; conduct a literature search using key terms relevant to the focused question; assess the adequacy of the argument-based methods of the papers identified; and identify conclusions drawn in each paper and whether they apply to the focused question. We identified seven papers and provide an assessment of them. While none of the papers fully meet the standards of argument-based ethics, they did provide rationales for the use of concealed medications, with the important requirement such a practice be accountable in explicit organizational policy to prevent abuse of patients with mental illness or dementia. (shrink)

Research to improve the health of pregnant and fetal patients presents ethical challenges to clinical investigators, institutional review boards, funding agencies, and data safety and monitoring boards. The Common Rule sets out requirements that such research must satisfy but no ethical framework to guide their application. We provide such an ethical framework, based on the ethical concept of the fetus as a patient. We offer criteria for innovation and for Phase I and II and then for Phase III clinical trials (...) to improve the health of pregnant patients and of fetal patients and also criteria to responsibly manage the transition from investigation to clinical practice. Basing ethical criteria for research involving pregnant women on the ethical concept of the fetus as a patient insulates the proposed ethical framework and therefore research on pregnant women from the divisive and politicized concepts and discourses of personhood, fetal rights, and unborn child. (shrink)

This essay is a commentary upon "Race and Kant" by Thomas Hill, Jr and Bernard Boxill. They argue that although Kant in his anthropological writings took blacks to be inferior, his moral theory requires that they be shown the proper moral respect since blacks are persons nonetheless. I argue that this argument is sound, because the conception of inferiority that Kant attributed to blacks does not permit showing them the proper moral respect. Imagine a defective Mercedes Benz and a Ford (...) Pinto. These two cars are not inferior in the same sort of way. For Kant, I argue, the inferiority of blacks is more akin to that of a Ford Pinto; for he undoubtedly took blacks to be perpetual children. Chilren are persons, too; however, no one has ever supposed that moral theory applies to children in the full way that it applies to adults. (shrink)

Volume 20, Issue 7, July 2020, Page 9-12.

Taking the critical turn is one of the main tools of the humanities and inculcates an intellectual discipline that prevents ossification of thinking about issues and of organizational policies in clinical ethics. The articles in this "Clinical Ethics" number of the Journal take the critical turn with respect to cherished ways of thinking in Western clinical ethics, life extension, the clinical determination of death, physicians' duty to treat even at personal risk, clinical ethics at the interface of research ethics, and (...) the pertinence of the Hippocratic Oath to clinical ethics. These articles challenge clinical ethicists to inculcate the intellectual discipline of the critical turn into everyday practice and continuous quality enhancement of clinical ethics. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Laying Medicine Open: Innovative Interaction Between Medicine and the HumanitiesLaurence B. McCullough and Warren Thomas ReichThe past three decades have witnessed the emergence and remarkable success of the fields of bioethics and medical humanities. The intellectual landscape of medicine and that of the humanities have been remarkably altered in the process. Twenty-five to 30 years ago in the United States there existed but a few courses in what came (...) to be called “bioethics” in departments of philosophy, religious studies, and theology in colleges and universities, a handful of programs of teaching in medical schools such as the University of Texas Medical Branch at Galveston and Pennsylvania State University School of Medicine at Hershey, and but one independent research center (the Hastings Center) and one university-based research center (the Kennedy Institute of Ethics at Georgetown University). Articles on bioethics began to appear in the peer-reviewed medical, nursing, and humanities literature and some books were published. There was only one journal in bioethics, The Hastings Center Report (which consolidated two previously separate journals from the Hastings Center). Graduate programs in bioethics and medical humanities in colleges and universities and fellowship training in bioethics and medical humanities in medical schools did not exist. Very little existed in colleges, universities, and medical schools in other countries. Now, of course, everything is different.Teachers, scholars, and students of bioethics and medical humanities should not take these remarkable changes for granted, for they represent a sustained and innovative interaction between medicine and the humanities. We have chosen the metaphor of “laying medicine open” to characterize the history of bioethics and medical humanities of the past three decades. This surgical metaphor was used in eighteenth-century Britain by a number of writers who wanted to make medical science and practice more accessible to the sick and to the lay public more generally (Lawrence 1975). We use the metaphor to characterize the efforts of teachers and [End Page 1] scholars over the past three decades and more to make the value-laden dimensions of biomedical science and practice and of health care policy more accessible to patients and to the lay public more generally. The result of this laying open of medicine has gone a long way toward bringing closer together the two cultures of science and the humanities that had, as C. P. Snow famously described, become significantly isolated from each otherAlbert Jonsen (1998) has recently contributed the first book-length history of what he calls the “birth” of bioethics, adding to the work of other scholars such as Warren Reich (1994; 1995) and Robert Baker (1993) and, before them, Corrado Viafora (1990) and David Rothman (1991). The articles in this issue of the Kennedy Institute of Ethics Journal make additional contributions to the developing understanding of the history of the past thirty years of interaction between medicine and the humanities.Laurence McCullough provides an historical context for the three accounts of the recent laying open of medicine that follow. McCullough examines two times in the history of medicine when it has been laid open to accountability (in addition to its being laid open to and by bioethics and medical humanities). The first laying open occurred in the work of the eighteenth-century Scottish physician and philosopher John Gregory, who set out to create a profession of medicine in a true moral sense of a fiduciary profession by making medicine accountable for its scientific and moral quality. The second occurred in the late twentieth century in which the managed practice of medicine in general, and managed care in particular, have begun to lay medicine open to accountability for its scientific and moral quality, as well as its cost and, at least in the public sector, its accessibility. McCullough argues that, just as Gregory responded to the ethical challenges of medicine laid open more than two centuries ago, bioethics should respond to the ethical challenges in the current laying open of medicine.Warren Reich provides an account of André Hellegers, whose premature death left an enormous gap in the field that will never be filled. Reich claims that Hellegers was engaged substantially in much more than the laying open of medicine: he... (shrink)

Leibniz's earliest philosophy and its importance for his mature philosophy have not been examined in detail, particularly in the level of detail that one can achieve by placing Leibniz's philosophy in the context of the sources for two of the most basic concerns of his philosophical career: his metaphysics of individuals and the principle oftheir individuation. In this book I provide for the first time a detailed examination of these two Leibnizian themes and trace its implications for how we should (...) interpret other major Leibnizian themes and for how we should read Leibniz and other philosophers of the sixteenth and later centuries as 'modem' philosophers. Leibniz began his philosophical career more than 300 years ago, a fact that shapes fundamentally my attempt in the pages that follow to come to terms now with the texts that he left us. Leibniz's did not do philosophy in a way wholly congenial to twentieth century philosophical methodologies, especially those that have enjoyed some prominence in recent Anglo-American philosophy. Moreover, as we shall see, Leibniz is not a modem philosopher, when 'modem' is understood to mean making a sharp break with medieval philosophy. Indeed, I shall argue, scholars should discard such terms as 'modem' from historical philosophical scholarship, so that old texts can be allowed to remain old - to stand on their own in and from times now long past. (shrink)

Volume 20, Issue 3, March 2020, Page 65-68.

The concept of medicine as a profession in the English-language literature of medical ethics is of recent vintage, invented by the Scottish physician and medical ethicist, John Gregory (1724-1773). Gregory wrote the first secular, philosophical, clinical, and feminine medical ethics and bioethics in the English language and did so on the basis of Hume's principle of sympathy. This paper provides a brief account of Gregory's invention and the role that Humean sympathy plays in that invention, with reference to key texts (...) in Gregory's work. The paper also considers two interesting and perhaps provocative ways in which Hume can be read through Gregory: first, sympathy as a principle of scientific discovery in Hume's science of man and moral physiology; and sympathy as gendered feminine in Hume's moral philosophy. Hume's principle of sympathy is at the core of Gregory's medical ethics and the histories of Western medical ethics and bioethics pivot on Gregory - and, therefore, on Hume - as it does on few other figures. (shrink)

In his Disrupted Dialogue: Medical Ethics and the Collapse of Physician-Humanist Communication Robert Veatch presents a scholarly tour de force of eighteenth- and nineteenth-century Anglophone medical ethics to demonstrate how the easy communication between physicians and humanists in the Scottish Enlightenment progressively dissipated as medicine became detached from humanistic disciplines. In this paper I offer two comments—that the discourse of medical ethics in the Scottish Enlightenment was a discourse of Baconian moral science and that nineteenth-century medical ethics in the United (...) States became detached from that discourse. The result was that a principal resource for physicians at the birth of bioethics, the American Medical Association’s Principles of Medicine Ethics of 1957, did not equip physicians with the conceptual tools they needed to formulate and address the ethical challenges that became the agenda of bioethics. The paper opens with a brief portrait of Robert Veatch, the author’s connections to him, and his little-known role as an impresario of the classical music of the Blue Ridge and Appalachia. (shrink)

(2001). The History of Medical Ethics Is Crucial for a Critical Perspective in the Continuing Development of Ethics Consultation. The American Journal of Bioethics: Vol. 1, No. 4, pp. 55-57.

The Meditative Way - Readings in the theory and practice of Buddhist meditation. Ed. by Rod Bucknell and Chris Kang. Curzon Press, Richmond 1997. x, 274 pp. Cloth £40, pbk £14.99. ISBN 0-7007-0677-1/0678-X.

The Tale of Prince Samuttakote. A Buddhist Epic from Thailand. Trans. Thomas John Hudak. Ohio University 1993. xxix, 276 pp. + 6 b/w plates. Pbk $20.00, £14.95.

The Unexpected Way. On Converting from Buddhism to Catholicism. Paul Williams. Continuum, London/New York 2002. Pb. xx, 240 pp. £12.99. ISBN 0 567 08830 8.

Some problems that arise in the account given by Thomasma and Pellegrino [6] of the foundations of medical ethics in a philosophy of medicine are addressed, in particular questions of a conceptual character about treating therelatum of medicine as health. Which concept of health is appropriate and which will bear the burden of the position thomasma and Pellegrino advance? It is argued that the proper relationship of medicine is one between a healer and developing embodied minds. As a consequence, the (...) project of providing a univocal account of the nature of medicine fails. Instead, pluralism infects philosophy and medicine, resulting in different philosophies of medicine. From these philosophies of medicine will follow not a single medical ethics but a variety. (shrink)

Paradigme même du diagramme, l’arbre a fait l’objet des convocations les plus variées dans des domaines et aux fins les plus diverses : outil mnémotechnique, modèle d’organisation de la connaissance, hiérarchies conceptuelles, relations généalogiques, processus héréditaires, modélisation de l’histoire ou de l’évolution naturelle, etc. De l’arbre de Porphyre à l’arbre des encyclopédistes, de l’arbre darwinien de la vie aux arbres de l’histoire littéraire de Franco Moretti, les diagrammes arborescents témoignent d’une capacité apparemment infinie à se laisser réactiver pour délivrer des (...) potentiels inédits, quitte parfois à faire émerger des contre-figures comme le rhizome de Deleuze et Guattari, ou encore le corail de Darwin. Cette capacité de métamorphose de l’arbre, qui est explorée ici, explique pourquoi il est souvent considéré comme le diagramme des diagrammes. (shrink)

This dissertation advances a solution to a problem intrinsic to understanding the dialogues of Plato. How are we to understand Plato's thought when he never speaks in his own name in any of his dialogues? Many writers assume that Plato's characters speak for him. With this assumption, they study the thought articulated by Plato's characters as if it were his own, and elaborate a so-called "doctrinal" interpretation. A variety of subjective readings follows, since what Socrates and other characters say in (...) the dialogues is often inconsistent or contradictory. To resolve these problems the dissertation constructs a method for interpreting Socratic dialogue which is true to the genre. Extending the work of Bakhtin, Clay, and Kahn, it develops a metalanguage for specifying the structure, plot, aim , and effect of a dialogue as well as the thought , character , and pathos of its participants, by applying concepts in Plato's dialogues and in Aristotle's Poetics, Ethics, Politics, Metaphysics, Physics, and other works. The dissertation shows that the Republic represents Glaucon as subject to erotic desire and desires for luxury and honor, and that the aim of Socrates' discourse is to induce a catharsis in Glaucon in order to change these states of character. ;To support this interpretation, the dissertation shows: Aristotle does not apply a doctrinal reading to Plato's dialogues; he does not attribute the remarks of the character Socrates to Plato. Irwin's claims in "Plato's Ethics" are not supported by the texts of Aristotle which he cites. Aristotle's treatment of the Republic in Politics II is consistent with a mimetic interpretation of the dialogue. His treatment of the Republic is peirastic: he refutes Socrates' proposals with premisses and arguments that Socrates himself expresses in the dialogue. The dissertation discusses Aristotle's treatment of Socrates' proposals for unity in the city of the guardians, the sharing of women and children, gender, sacrilegious acts and incest, property, and the minimum necessary elements for a city. Aristotle's concept of catharsis can be derived from Sophist 230 and Republic X. (shrink)

Face à sa finitude, l'homme est désemparé. Il aborde l'existence par la question du " pourquoi ". " Pourquoi m'a-t-on donné la vie si c'est pour la reprendre? " Il est envahi par la colère, la révolte... puis, il cherche un sens à sa mort et pose un au-delà salvateur, un lieu où tout peut continuer autrement... ou encore il envisage une réincarnation; bref, quelque chose qui n'est plus " la fin de la fin ". Mais quand l'homme se fait (...) philosophe, comment appréhende-t-il cette idée qui sera aussi sa réalité ultime? (shrink)

This is the first textbook of surgical ethics. It is a practical, clinically comprehenive, well-organized guide to ethical issues in surgical practice, research, and education written by leading figures in surgery and bioethics. The authors cover the surgeon-patient relationship, the full range of surgical patients, surgical education and research, and surgery and managed care. Their chapters are not abstract discussions of ethical principles; rather, they connect directly with the everyday concerns of practicing surgeons.

Moral concerns about the authority, power, and trustworthiness of physicians have become important topics in clinical ethics during the past three decades. These concerns have come to greater prominence with the increasing involvement of large-scale private institutions in the organization and delivery of medical services, especially managed care organizations, and with the increasing involvement of government in the payment for and organization and delivery of medical services. When physicians act as the agents of large institutions or governments, the power of (...) physicians over their patients increases. The purposes of this article are (1) to reflect briefly on the historical origins of the moral problem of physicians' power in medicine, and (2) to introduce the articles in the 1999 annual number of the Journal of Medicine and Philosophy on topics in clinical ethics. (shrink)

À la fois omniprésent et incernable, le temps est une dimension omniprésente de nos existences, indissociable de notre rapport au cosmos, à la vie biologique, à la conscience mais aussi à l’histoire, à la culture et à la société. Parce qu’elle est au confluent de plusieurs champs d’expérience et de réflexion, la question du temps offre une passerelle privilégiée pour croiser des approches rarement invitées à se rencontrer : celles des sciences d’un côté (physique, biologie, médecine, cosmologie), celles des arts (...) de l’autre (littérature, cinéma, arts plastiques, musique, théâtre). Au-delà des questions qui touchent à la réorganisation des partages cognitifs et disciplinaires (entre sciences et arts), l’objectif de cet ouvrage est de montrer la fécondité des transferts épistémologiques entre ces deux domaines. D’un côté, les sciences constituent un réservoir inépuisable pour les arts, auxquels elles proposent une multiplicité de modèles du temps opérant à différentes échelles : temporalités non linéaires, réversibles, cycliques ou emboîtées, qui peuvent être dynamisées par des bifurcations, des catastrophes ou des phénomènes d’émergence imprévisibles. De l’autre, les arts sont un lieu privilégié de modélisation, d’exposition et de mise à l’épreuve de modèles temporels, qui tantôt croisent la rationalité dominante (sciences, historiographie), tantôt en réactivent des dimensions occultées (mythe, rite, etc.). Frayant à la fois dans l’imaginaire et le rationnel, ces représentations du temps permettent d’exhiber la complexité d’un phénomène qui ne peut être appréhendé que dans l’entre-deux des savoirs et des arts. (shrink)

La société chinoise aujourd’hui peut être définie comme produisant différentes formes de compressed modernities où se contractent et s’entrelacent des temporalités historiques, sociales, politiques, économiques, mais aussi individuelles et collectives. Nous introduisons ici la notion de temporalité « contractée » qui favorise la superposition, l’intensification et la multiplication de risques sociaux, économiques, écologiques et sanitaires. Temporalités et espaces s’agencent en Chine de manière flagrante dans la production de mobilités, migrations et circulations très intenses aujourd’hui. La conquête de soi apparaît comme (...) une question d’intensité liée à l’accélération des temporalités sociales et économiques objectives et subjectives ; se construit alors la figure d’un Individu compressé dans la société chinoise. Les temporalités collectives favorisent des micromobilisations où s’ouvrent des micro-arènes publiques et où se construit, en contexte autoritaire, de la démocratie « par le bas ». (shrink)

The concept of meaning, since Frege initiated the linguistic turn in 1884, has been the subject of numerous theories, hypotheses, methodologies and distinctions. One distinction of considerable strategic value relates to the location of meaning: some aspects of meaning can be found in language and are modelled with semantic values of various kinds; some aspects of meaning can be found in communicative processes and are modelled with pragmatic inferences of one sort or another. One hypothesis of great heuristic utility concerns (...) the relationship that is assumed between the semantic and the pragmatic. This collection of especially commissioned papers examines current thinking on the plausible nature of the semantic, the possible character of the pragmatic and the mechanics of their intersection. (shrink)

In this commentary on Carse and Rushton’s call for reorientation of moral distress, we state agreement with the authors that the discourse of moral distress should refocus on the moral components of integrity. We then explain how our philosophical taxonomy of moral distress, mentioned by the authors, appeals to moral integrity. In this process, we clarify our taxonomy’s appeal to Aristotle’s concept of akrasia. We conclude by offering support of Carse and Rushton’s challenge to organizations to strengthen moral integrity by (...) fostering resilience. (shrink)

In our ‘The Professional Virtue of Civility and the Responsibilities of Medical Educators and Academic Leaders’,1 we provided an historically based conceptual account of the professional virtue of civility and the role of leaders of academic health centres in creating and sustaining an organisational culture of professionalism that promotes civility among healthcare professionals and between medical educators and learners. We emphasised that any adequate understanding of the virtues, including professional virtues, has cognitive, affective, behavioural and social components. Some of the (...) commentators expand on these components in important ways. Xuhao et al emphasises the importance of role models, especially in the hierarchical context of medical education.2 The hierarchy of faculty in the senior position and junior doctors and other learners below them has characterised medical education for centuries. Xuhao et al rightly call for academic leaders to shape this hierarchy in a morally responsible way, by becoming ‘exemplary role models’.2 Berry, a clinician manager, in critiquing our account, calls for an increased appreciation for the psychological and environmental factors that might explain why uncivil behaviour occurs.3 …. (shrink)

Face à la question des modes de distribution inégalitaire de l’honneur social et de la lutte pour la reconnaissance chez des populations objets de mépris social, le « savoir-être avec » l’Autre est devenu pour le sociologue un enjeu scientifique, méthodologique et épistémologique important. Est proposée ici une ethnographie de la reconnaissance où l’Autre est regardé et reconnu avec son expérience, sa compétence, et son identité plurielle, fluctuante, réversible, inscrit dans une diversité de mondes sociaux organisée par des processus culturels (...) producteurs de hiérarchies et d’inégalités.When faced with unequal forms of distribution of social honour and with the struggle for recognition among populations subject to social contempt, knowing how to be with the Other has become a major methodological and epistemological scientific issue. Here, we are proposing an ethnography of recognition, in which the Other is regarded and recognized with his experience, his competence, and his fluctuating, reversible and varied identity, anchored in a diversity of social worlds organized on the basis of structural processes which produce hierarchy and inequalities. (shrink)

This article comments on the treatment of critical-care ethics in four preceding articles about critical-care medicine and its ethical challenges in mainland China, Hong Kong, Japan, and the Philippines. These articles show how cultural values can be in both synchrony and conflict in generating these ethical challenges and in the constraints that they place on the response of critical-care ethics to them. To prevent ethical conflict in critical care the author proposes a two-step approach to the ethical jus tification of (...) critical-care management: (1) the decision to resuscitate and initiate critical-care management, which is based on the obligation to prevent imminent mortality without permanent loss of consciousness; and (2) the decision to continue critical-care management, which is based on the obligation both to prevent imminent death without permanent loss of consciousness and to avoid unnecessary, significant iatrogenic costs to the patient and psychosocial costs to the family when the reduction of morta lity risk is marginal. Physicians and hospitals should restore the critical-care physician's authority and power - against prevailing cultural values, if necessary - to control when critical-care intervention is offered, when it is recommended to continue, and when it is recommended to be discontinued and the patient allowed to die. (shrink)