Psychodrama is an effective psychotherapeutic model but interventions with adolescents require age-tailored techniques that maximize engagement and facilitate communication processes. This study describes a novel adaptation of a therapeutic mask technique to psychodrama with adolescents. Over the course of eight group sessions of psychodrama, five adolescents created their own mask and explored its therapeutic use. Their experiences were captured at the end of each session with the Helpful Aspects of Therapy form, and at the end of the study with the (...) Clinical Change Interview. Awareness/insight/self-understanding, empowerment and relief were the most significant aspects experienced by the adolescents, along with perceived increase of calmness and world connection, satisfaction in interpersonal communication and better emotional expression and regulation. The mask technique was experienced as a playful and engaging task that facilitated insight and interpersonal communication. Findings provide preliminary evidence on the clinical utility of mask-based psychodrama with adolescents. (shrink)

Background: Moral distress is a kind of suffering that nurses may experience when they act in ways that are considered inconsistent with moral values, leading to a perceived compromise of moral integrity. Consequences are mostly negative and include physical and psychological symptoms, in addition to organizational implications. Objective: To psychometrically test the Moral Distress Risk Scale. Research design: A methodological study was realized. Data were submitted to exploratory factorial analysis through the SPSS statistical program. Participants and research context: In total, (...) 268 nurses from hospitals and primary healthcare settings participated in this research during the period of March to June of 2016. Ethical considerations: This research has ethics committee approval. Findings: The Moral Distress Risk Scale is composed of 7 factors and 30 items; it shows evidence of acceptable reliability and validity with a Cronbach’s α = 0.913, a total variance explained of 59%, a Kaiser–Meyer–Olkin = 0.896, and a significant Bartlett <0.001. Discussion: Concerns about moral distress should be beyond acute care settings, and a tool to help clarify critical points in other healthcare contexts may add value to moral distress speech. Conclusion: Psychometric results reveal that the Moral Distress Risk Scale can be applied in different healthcare contexts. (shrink)

Background: Moral sensitivity has been identified as a foundational component of ethical action. Diminished or absent moral sensitivity can result in deficient care. In this context, assessing moral sensitivity is imperative for designing interventions to facilitate ethical practice and ensure that nurses make appropriate decisions. Objective: The main purpose of this study was to validate a scale for examining the moral sensitivity of Brazilian nurses. Research design: A pre-existing scale, the Moral Sensitivity Questionnaire, which was developed by Lützén, was used (...) after the deletion of three items. The reliability and validity of the scale were examined using Cronbach’s alpha and factor analysis, respectively. Participants and research context: Overall, 316 nurses from Rio Grande do Sul, Brazil, participated in the study. Ethical considerations: This study was approved by the Ethics Committee of Research of the Nursing School of the University of São Paulo. Findings: The Moral Sensitivity Questionnaire contained 27 items that were distributed across four dimensions: interpersonal orientation, professional knowledge, moral conflict and moral meaning. The questionnaire accounted for 55.8% of the total variance, with Cronbach’s alpha of 0.82. The mean score for moral sensitivity was 4.45 (out of 7). Discussion and conclusion: The results of this study were compared with studies from other countries to examine the structure and implications of the moral sensitivity of nurses in Brazil. The Moral Sensitivity Questionnaire is an appropriate tool for examining the moral sensitivity of Brazilian nurses. (shrink)

CADERNOS DE FILOSOFIA EXTRAVAGANTE - ANTÓNIO TELMO Vários Autores Um dos sinais do Quinto Império é que ainda há andorinhas O provérbio diz que uma andorinha não faz a Primavera Mas eu acho que faz Enquanto houver um homem onde resida a espiritualidade há sempre um princípio do Quinto Império António Telmo Este terceiro volume dos Cadernos de Filosofia Extravagante é o primeiro que se publica após a partida de António Telmo, que os imaginou, concebeu e fundou Constitui por isso, (...) na íntegra, um preito de homenagem ao autor da História Secreta de Portugal, nele se inserindo, bem a propósito, as actas do Colóquio A Obra e o Pensamento de António Telmo, realizado em 14 e 15 de Fevereiro de 2011, no Palácio da Independência, em Lisboa, por iniciativa do Instituto de Filosofia Luso-Brasileira, documento a que acrescem alguns testemunhos de amigos que, por uma ou outra razão, não puderam participar naquela comemoração, e duas entrevistas, uma das quais se encontrava por publicar, pelo filósofo concedidas na última década Por outro lado, nestas páginas o leitor poderá ainda encontrar dois escritos do autor de O Bateleur – um poema e um conto – nunca antes dados ao papel em letra de forma E, o que talvez seja mais, uma série significativa de correspondência epistolar até agora mantida inédita, tendo o filósofo por destinatário São missivas de Álvaro Ribeiro, José Marinho, Agostinho da Silva, Dalila Pereira da Costa e António Quadros, definindo um arco temporal que vai da publicação de Arte Poética, em 1963, à de Filosofia e Kabbalah, em 1990 Quase trinta anos de uma vida filosófica singular em que, a cada passo, são bem notórias a admiração e a amizade que mestres e condiscípulos lhe dedicam Autores- António Telmo, Pedro Martins, Renato Epifânio, Américo Rodrigues, Helena Estriga, António Braz Teixeira, Joaquim Domingues, Abel de Lacerda Botelho, Roque N Brás de Oliveira, M N Vieira, Luís Paixão, António Carlos Carvalho, Cynthia Guimarães Taveira, Rui Lopo, António Quadros Ferro, Carlos Aurélio, António Cândido Franco, Rodrigo Sobral Cunha, Carlos Vargas, Manuel Ferreira Patrício, Pedro Sinde, Paulo Santos, Pedro Paquim Ribeiro, Maurícia Teles da Silva, J Pinharanda Gomes, António Quadros, Avelino de Sousa, Elísio Gala, José Paulo Ribeiro Albuquerque, Helder Cortes, Eduardo Aroso, Isabel Xavier, Jesus Carlos, Álvaro Ribeiro, José Marinho, Agostinho da Silva, Dalila Pereira da Costa. (shrink)

Resumo Embora controversa, o contextualismo epistêmico alega oferecer a melhor explicação para alguns fenômenos analisados em epistemologia contemporânea, por exemplo: alega responder ou explicar o apelo de certos paradoxos e, ao mesmo tempo, manter a verdade de nossas alegações ordinárias de conhecimento. Conforme alegado por contextualistas, a vantagem de sua teoria ao explicar o apelo de certos paradoxos reside no fato de que nenhum princípio lógico precisa ser rejeitado. O paradoxo do prefácio – que consiste na aparente incoerência lógica que (...) ocorre quando o autor de um livro declara em seu prefácio que, apesar de acreditar que é altamente provável que tudo o que o livro afirma seja verdadeiro, também é altamente provável que o livro contenha, pelo menos, algum erro – parece não ter sido explorado o suficiente pelos contextualistas. Portanto, pretendemos sugerir uma versão do paradoxo do prefácio apresentando um argumento análogo ao argumento que os contextualistas costumam apresentar para explicar o paradoxo cético. Desta maneira, pretendemos oferecer, por meio de uma análise contextualista, uma explicação para o paradoxo do prefácio. Se a resposta contextualista é ou não adequada para esse paradoxo, isso será questão de disputa e não nos caberá discuti-la aqui. Meu objetivo é apenas sugerir que uma análise contextualista semelhante à aplicada ao paradoxo cético pode ser construída para explicar o paradoxo do prefácio. Palavras-chave: Contextualismo; Paradoxo do prefácio; Paradoxo cético. (shrink)

This 2nd edition Handbook of Spinoza retains a unique focus on the biographical details of Spinoza's life, as well as essential scholarship on his influences and early critics. A glossary of key Latin Spinozan terms with English translations remains a key feature alongside short synopses of Spinoza's writings. Adding to the updated contemporary scholarship on Spinoza from across Europe and the US is the recognition of Spinoza's influence more globally. Distinct from other reference works on Spinoza, this book offers the (...) tools and methodology necessary for students and scholars who are completing their own research. Accompanying each main section is an updated and detailed bibliography that situates both the summative and original scholarship therein. This 2nd edition includes a revised biography from Jeroen van de Ven who has systematically revisited the archive; influences will now include reference to Machiavelli and Hobbes primarily, as well as remarks on the De La Court brothers, La Perèyre, and Delmedigo. A new entry on the critic, Willem van Blijenbergh, alongside a reconstruction of dozens of letters now lost from Spinoza consolidates new directions of study which are supported by additional glossary terms on Axioma (cf. Ordo geometricus), Definitio (ibid.), Excommunicare, Lumen, Methodus, Negatio, Pax, Ratio, (Cf. Cognitio), Scientia intuitiva, and Tempus amongst others. Maintaining an approach that is refreshingly independent of the historicist/analytic/continental divide, this work features scholars from across these traditions, and remains an essential point of reference for students and scholars alike. (shrink)

The social responsibility field in the organizations has become recently a subject scholars have debated. Despite of the huge discussion regarding to this concept, there is no consensus. Still, there is a confusion related to “social actions,” this way reducing the social responsibility scope as a philanthropic activity. This reductionism is inadequate, distorting the essence of what is supposed to be a socially responsible conduct. The present proposal intends to evaluate enterprises in the Corporate Social Responsibility – CSR. This research (...) will investigate confessional universities in Brazil, which are organizations in higher education that have a relationship with a specific church(s) or religion and are ordinarily dependent upon that religion, through sponsorship and/or board oversight. These universities are skilled in financial reporting, but they have no good process for evaluating and reporting on the programs, activities, and outcomes that relate more directly to their educational and service missions. This paper shows the Brazilian universities scenario on CSR, describes the Hopkins and Wood’s framework followed by an evaluation of a small group of universities through a survey. From the outcomes, the framework may be reformulated, finally displaying the elements to future research and its implications. (shrink)

Tumor progression involves the transition from normal to malignant cells, through a series of cumulative alterations. During this process, invasive and migratory properties are acquired, enabling cells to metastasize (reach and grow in tissues far from their origin). Numerous cellular changes take place during epithelial malignancy, and disruption of E‐cadherin based cell‐cell adhesion is a major event. The small Rho GTPases (Rho, Rac and Cdc42) have been implicated in multiple steps during cellular transformation, including alterations on the adhesion status of (...) the tumor cells. This review focuses on recent in vivo evidence that implicates RhoGTPases in epithelial tumor progression. In addition, we discuss different hypotheses to explain disruption of cadherin‐mediated cell–cell adhesion, directly or indirectly, through activation of Rho GTPases. Understanding the molecular mechanism of how cadherin adhesion and RhoGTPases interplay in normal cells and how this balance is altered during cellular transformation will provide clues as to how to interfere with tumor progression. © 2003 Wiley Periodicals, Inc. BioEssays 25:452–463, 2003. © 2003 Wiley Periodicals, Inc. (shrink)

This paper examines the reasons for the high level of unmet needfor contraception in rural Egypt, using data from the individual survey andservice availability module of the 1988Ð89 Egypt Demographic and HealthSurvey. Two broad sets of potential factors are considered: characteristics ofa woman which influence her desire for children and thus her propensity touse contraception, and factors relating to the family planning serviceenvironment in which she lives. The results from a multivariate analysis showthat certain individual characteristics, such as family composition (...) andeducation, have a strong impact on the level of contraceptive use and on theproportion of total demand for spacing or limiting childbearing that is metby use of family planning. Unmet need, however, remains fairly constantacross demographic and socioeconomic subgroups of the population. Thelargest variations in unmet need are regional, but elements of the familyplanning services, namely the provision of a community-based nurse whodistributes family planning and female doctors at clinics, also play animportant role. (shrink)

Das Grab des Königs Ninetjer in Saqqara: Architektonische Entwicklung frühzeitlicher Grabanlagen in Ägypten. By Claudia M. Lacher-Raschdorff. Deutsches Archäologisches Institut Kairo, Archäologische Veröffentlichungen, vol. 125. Wiesbaden: Harrassowitz Verlag, 2014. Pp. 295, 44 pls., plans. €247.

Resumo Pretendemos, neste artigo, expor a noção trágica nietzschiana na conferência O Drama Musical Grego e os fragmentos póstumos escritos no mesmo período, mostrando que o desenvolvimento dessa concepção caminha peri passu à crítica ao pensamento moderno. Essa crítica é realizada por meio do conceito de ecstase, o qual se confronta com a ideia de tragédia entendida a partir da poesia, Deste modo, exporemos como Nietzsche articula o seu conceito de ecstase como um contraponto à compreensão moderna da “Poética” de (...) Aristóteles, assim como as suas aproximações e distanciamentos da filosofia schopenhaueriana ao formular sua concepção trágica. Abtract In this article we intend to expose the nietzschean tragic notion in the conference The Greek Musical Drama and the posthumous fragments written in the same period, showing that the development of this conception goes peri passu to criticism of modern thought. This criticism is made through the concept of ecstase, which confronts the idea of tragedy understood from poetry. In this way, we will expose how Nietzsche articulates his concept of ecstase as a counterpoint to the modern understanding of Aristotle's Poetics, as well as his approximations and distances from Schopenhauer's philosophy in formulating his tragic conception. (shrink)

In the call from papers from childhood & philosophy we hear an invitation to philosophize. But what does such an invitation mean? In what ways does an invitation or invitation to philosophize encourage us to suspension our accepted meanings and empower us to sustain this challenge? These are the questions of two teachers who have, first, accepted the prior invitation to philosophize with children, and have now accepted the invitation to think and write together about that experience. This essay was (...) prompted by two questions posed by the children with whom we philosophize: In writing it, we have experienced other ways of thinking and living educational practice, and, through our encounters with our students, find ourselves challenged to live in more inventive and therefore more childlike ways within the framework of the public school, here understood in the sense of scholé. In order to reflect on the two questions, we set off from the concept of consummation, and we engage in dialogue with both a pedagogy of the question, and the concept of equality of intelligence, in order to open a pathway of thought that addresses them. (shrink)

Resumo: Neste trabalho discute-se a crítica de István Mészáros à Lógica de Hegel. Aponta-se como o marxismo realiza a crítica aos pontos de partida e de chegada da Ciência da lógica, quais sejam, o pensamento sem pressupostos e o círculo auto-constituído da Lógica. Com isso, indica-se a diferença entre os modos hegeliano e marxista de conceber o enraizamento do conhecimento no processo de vida real. Discute-se ainda como István Mészáros realizou uma dura crítica à hipostasiação do método dialético em G. (...) Lukács, crítica esta que se apóia na rejeição de um método que deixa de prestar contas ao ser e que, por isso, acaba lidando com a identidade entre conhecimento e ser como uma mera postulação abstrata.: This paper discusses István Mészáros critique of Hegel’s Logic. We point out how Marxism criticizes the presuppositionless thinkingand self-constituted circle of reasoning of the Science of logic. We thereby show the difference between the Hegelian and Marxist ways of conceiving the rooting of knowledge in the process of real life. We also discuss how Mészáros made a scathing critique of the hypostatization of dialectical method in Lukács work. This critique is based on the rejection of a method that fails to be accountable to the real world and therefore ends up treating the identity of knowledge and being as a mere abstract postulation. (shrink)

Introduction: Probationers, offenders with less serious and non-violent offences, and under statutory supervision, have low levels of self-esteem and physical health, and high level of family conflict, and poorer quality of family relationships. This study examined the effectiveness of the existing probation service and the additional use of a positive family holistic health intervention to enhance physical, psychological, and family well-being in probationers and relationships with probation officers.Methods: Probationers under the care of the Hong Kong Social Welfare Department were randomized (...) into a care-as-usual control group, a brief intervention group receiving two 1-h individual sessions [of a brief theory-based positive family holistic health intervention integrating Zero-time Exercise and positive psychology themes of “Praise and Gratitude” in the existing probation service], or a combined intervention group receiving BI and a 1-day group activity with family members. The outcomes were physical activity, fitness performance, self-esteem, happiness, anxiety and depression symptoms, life satisfaction, quality of life, family communication and well-being, and relationships with probation officers. Self-administered questionnaires and simple fitness tests were used at baseline, 1-month and 3-month follow-up. Linear mixed model analysis was used to compare difference in the changes of outcome variables among groups, adjusted of sex, age, and baseline values. Focus group interviews were conducted. Thematic content analysis was used.Results: 318 probationers were randomized into CAU, BI, or CI group. CAU showed enhanced physical activity, fitness performance and psychological health, and family communication with small effect sizes. BI and CI showed further improved physical activity, family communication and family well-being. Additionally, CI reported greater improvements in the relationships with probation officers than CAU with a small effect size. CI also reported greater increases in physical activity and family communication than BI with small to moderate effect sizes. Qualitative feedbacks corroborated the quantitative findings.Conclusion: Our trial provided the first evidence of the effectiveness of probation service and the additional use of an innovative, relatively low-cost, theory-based brief positive family holistic health intervention. This intervention may offer a new model for enhancing probation service.Trial Registration: The research protocol was registered at the National Institutes of Health. (shrink)