BackgroundPaternalism/overprotection limits communication between healthcare professionals and patients and does not promote shared therapeutic decision-making. In the global north, communication patterns have been regulated to promote autonomy, whereas in the global south, they reflect the physician’s personal choices. The goal of this study was to contribute to knowledge on the communication patterns used in clinical practice in Mexico and to identify the determinants that favour a doctor–patient relationship characterized by low paternalism/autonomy.MethodsA self-report study on communication patterns in a sample of (...) 761 mental healthcare professionals in Central and Western Mexico was conducted. Multiple ordinal logistic regression models were used to analyse paternalism and associated factors.ResultsA high prevalence (68.7% [95% CI 60.0–70.5]) of paternalism was observed among mental health professionals in Mexico. The main determinants of low paternalism/autonomy were medical specialty (OR 1.67 [95% CI 1.16–2.40]) and gender, with female physicians being more likely to explicitly share diagnoses and therapeutic strategies with patients and their families (OR 1.57 [95% CI 1.11–2.22]). A pattern of highly explicit communication was strongly associated with low paternalism/autonomy (OR 12.13 [95% CI 7.71–19.05]). Finally, a modifying effect of age strata on the association between communication pattern or specialty and low paternalism/autonomy was observed.ConclusionsAmong mental health professionals in Mexico, high paternalism prevailed. Gender, specialty, and a pattern of open communication were closely associated with low paternalism/autonomy. Strengthening health professionals’ competencies and promoting explicit communication could contribute to the transition towards more autonomist communication in clinical practice in Mexico. The ethical implications will need to be resolved in the near future. (shrink)

Why should we avoid incoherence? An influential view tells us that incoherent combinations of attitudes are such that it is impossible for all of those attitudes to be simultaneously vindicated by the evidence. But it is not clear whether this view successfully explains what is wrong with certain akratic doxastic states. In this paper I flesh out an alternative response to that question, one according to which the problem with incoherent combinations of attitudes is that it is impossible for all (...) of those attitudes to be simultaneously knowledgeable. This alternative response explains what is wrong with akratic combinations of attitudes using commonly accepted epistemological theses. The paper still shows how this proposal is able to explain the badness of incoherent combinations involving the absence of attitudes, suspended judgment and credence. These explanations deploy the notions of knowledge and being in a position to know, instead of the notion of responding properly to the evidence. Finally, I suggest that this picture can be generalized to the realm of practical rationality as well. (shrink)

Ao evidenciar que as relações estabelecidas por homens e mulheres com o meio concreto engendram o real, a dialética torna exequível a revolução do status quo por possibilitar a compreensão de que o mundo é sempre resultado da práxis humana, seja ela marcada por relações de dominação que reificam e fetichizam a prática social, seja marcada por relações que operam a humanização dos homens e mulheres. Ao romper com os fetiches, ou seja, ao perceber que os objetos não devem sujeitá-los, (...) homens e mulheres avançam de encontro à reificação, alçando-se a possibilidade de revolucionar suas condições de existência. Assim, o rompimento da pseudoconcreticidade ocorre no momento em que se evidencia que a realidade social se concretiza por meio das condições de produção e reprodução da existência social das pessoas, que é em nossa sociedade marcada pela luta de classes. Este processo de rompimento exige um esforço construtor de uma interpretação do real que vá para além de uma representação caótica do todo, típico das vivências cotidianas. Este artigo postula que o método materialista histórico dialético pode auxiliar neste processo. Partindo desta constatação, elabora-se reflexão sobre este método de análise do real. By showing that the relationships established by men and women with the practical means to engender real, dialectic makes possible the revolution of the status quo by allowing the understanding that the world is always the result of human practice, it is marked by relations of domination that fetishize and reify the social practice or marked by relationships that operate at the humanization of men and women. By breaking with the fetishes, or to realize that objects should not expose them, men and women advance against reification, raising the possibility of revolutionizing his conditions of existence. Thus, disruption of pseudoconcreticity occurs at the moment is evident that social reality is concretized through the conditions of production and reproduction of social existence, which is in our society marked by class struggle. This process requires a breakout effort to construct an interpretation of reality that go beyond a representation of the whole chaotic, typical of everyday experiences. This article posits that the historical materialist dialectical method con help this process. Based on this observation, we undertake reflection on this method of analysis of the real. (shrink)

Con la clausura de Río+20, la Conferencia de Naciones Unidas para el Desarrollo sostenible, son ya cuatro los encuentros internacionales al más alto nivel que se ha celebrado en los últimos cuarenta años. Conocer el contenido y los temas que se trataron en las mismas nos servirá para comprobar si estas reuniones son un éxito, un fracaso y si todavía tienen un futuro prometedor.

El artículo repasa el debate que enfrentó a estos grandes autores tomistas durante dos años (1934-1936). Según J. Maritain, la fi losofía moral es el tipo más perfecto de filosofía cristiana y, por esta razón, ella no puede prescindir de la Revelación. Es decir, si la filosofía moral quiere permanecer complète et adéquate en su objeto, debe considerar al hombre no según su sola naturaleza, sino también, según su estado de naturaleza caída y redimida, en relación con su verdadero fin (...) último que es sobrenatural. De allí que S. Ramírez critique, por un lado, el error epistemológico cometido por el filósofo francés al no distinguir los objetos formales de la filosofía y la teología; y, por otro, no considerar que el fin último del hombre efectivo no es el mismo que el propio. (shrink)

En Enfermería, se requiere que los profesionales tengan conocimientos y habilidades que le permitan asumir actitudes propias del trabajo en equipo, por tanto, el proceso de enseñanza-aprendizaje debe proponer alternativas didácticas dirigidas a formar en los estudiantes modos de actuación para desarrollar tareas asistenciales en equipo. Se plantea como idea a defender que una concepción del proceso de enseñanza con enfoque de aprendizaje cooperativo asistencial a través de tareas de aprendizaje en situación cooperativa favorece el desarrollo de competencias para trabajar (...) en equipo en la formación de enfermeros. Los métodos utilizados fueron: histórico lógico, método sistémico estructural y método hermenéutico. (shrink)

Las prácticas teatrales contemporáneas se caracterizan por un fuerte coeficiente de hibridación. Esto conlleva un replanteo constante de las categorías que definen la teatralidad. En el marco de este problema, queremos pensar, a partir de los aportes de Gilles Deleuze, la intersección entre imagen y teatro, entendiendo que este cruce permite una modulación entre ambos. El aspecto fundamental de esta modulación es su desvinculación de la noción de representación mimética y su viraje hacia la presencia. A partir de la noción (...) de figura (analizada por Deleuze en su obra sobre Francis Bacon), vemos que la imagen se modula en un desajuste de la sensación, el cuerpo y su ritmo. Esto nos indica una operación teatral, de dislocación de la representación mimética y la puesta en escena de otros tipos de ritmo y otros tipos de corporalidad. Dado este vínculo, podemos establecer que la lógica de la sensación en la figura comparte el mismo esquema de variación que en el teatro. Por lo cual, establecemos el concepto de imagen teatral como un operador donde resuenan las nociones de presencia, imagen, cuerpo y desfiguración. (shrink)

During the recent decades, a global culrural-institutional network has gradually grown lip to project, implement, and use an enormous technological web that is supposed to observe, monitor, communicate, inventory, and assess our environment and its biodiversity in order to implement sustainable management models. The majority of "knowledge tools" that have been incorporated in the mainstream of this "techno-web" are amply based on a combination of mechanistic biology, genetic reductionism, economical determinism and neo-Darwinian cultural and biological perspectives. These approaches leave aside (...) many of the qualitative and relational aspects that can only be grasped by considering the semiotic networks operative in complex ecological and cultural systems. In this paper, it is suggested that a biosemiotic approach to ecology may prove useful for the modelling process which in turn will allow the construction of meaningful monitoring systems. It is aJso advanced that it may as well serve to better integrate our understanding and monitoring of ecosystems into the cultural process of searching for (human) sustainability. (shrink)

recover that lost impetus, that onward movement of creativeness, which is of its very essence of Life. Full self-realization can only be opened up to it, ...

Europa se muestra en los modos de vida por su cultura, espíritu que vive hacia la verdad, el bien y la belleza, vital antes que mecánicamente, como manifestación del espíritu. Supera la naturaleza cultivando logos y nomos. Fomenta la capacidad de conocimiento y de valoraciones morales, estéticas y sociales. La vida debe ser culta, pero la cultura tiene que ser vital. Se abre al espíritu de vida culta, intensa y generosa. El vivir humanista europeo afirma un modo espiritual civil, sentir (...) el bien, la belleza y la justicia. Disfrute en el esfuerzo, no sólo placer y una bella donación de sí mismo al bien propio y compartido. (shrink)

The first comprehensive research book on Cynicism published in English. Provides descriptive information on over 650 books on the Greek and Roman Cynics.

Contra la nación y la patria : Guillén de Lampart, rey de México -- Labios azules -- Cronotopía del oasis.

Thomistic ontology -- Ontological morality and human rights -- The war of the philosophers -- The modern way -- Pope Leo XIII and his legacy -- The survival of tradition.