Genetic counselling is an important aspect of prenatal care in many developed countries. This tendency has also begun to emerge in Br.

In the ongoing pandemic, death statistics influence people’s feelings and government policy. But when does COVID-19 qualify as the cause of death? As philosophers of medicine interested in conceptual clarification, we address the question by analyzing the World Health Organization’s rules for the certification of death. We show that for COVID-19, WHO rules take into account both facts and values.

Resumo: Este artigo visa a investigar as críticas que o sociólogo francês Alfred Fouillé faz a Nietzsche acerca de suas concepções morais. Apoiado nos textos de seu enteado, Jean-Marie Guyau, Fouillée contrapõe uma moral do altruísmo ao que entende ser uma moral nietzschiana: individualismo, egoísmo e violência. O texto indica os equívocos da leitura de Fouillée a partir dos próprios comentários de Nietzsche ao sociólogo francês e faz algumas aproximações entre Nietzsche e Guyau.: This article intends to investigate the criticism (...) raised by the French sociologist Alfred Fouillé to Nietzsche related to his moral conceptions. Supported by his stepson´s text, Jean-Marie Guyau, Fouillé opposes an altruism morality to what he understands to be a Nietzschian morality: individualism, selfishness and violence. The text points to errors in Fouillé´s readings based on the very Nietzsche´s comments to the French sociologist and do some approximations between Nietzsche and Guyau. (shrink)

Most of the epidemiological models of the Covid-19 pandemic contain the reproduction number as a parameter. In this article we focus on some shortcomings regarding its role in driving health policies and political decisions. First, we summarize what R is and what it is used for. Second, we introduce a three-question matrix for the evaluation of any construct or parameter within a model. We then review the main literature about R to highlight some of its shortcomings and apply to them (...) our three-question matrix. Finally, we argue that these shortcomings are important for an epistemic and political evaluation of R. (shrink)

Este artigo trata o tema da pandemia do vírus Covid 19 na perspectiva da psicanálise lacaniana nos seus três registros: simbólico, real e imaginário. Para fins de transmissão usaremos a topologia e referências aos matemas através da lógica da psicanálise.

Nella pratica scientifica ci sono molte questioni di tipo concettuale che possono trarre vantaggio da uno specifico sguardo filosofico. Per esempio, qual è la differenza tra scienza e pseudoscienza? Le teorie scientifiche sono in grado di fornire una descrizione vera del mondo? In cosa consiste la spiegazione scientifica? In che misura l’impresa scientifica è influenzata da valori etici, politici, economici o religiosi? Prediligendo un approccio tematico, il volume introduce alla comprensione dei principali problemi teorici della filosofia della scienza attraverso l’analisi (...) di venti parole o concetti chiave, così da permettere la lettura dei singoli capitoli in modo indipendente, pur in una fitta rete di importanti rimandi. (shrink)

The present article traces the changes that took place within the Genevan church between the late seventeenth and early eighteenth centuries. These changes resulted from a number of different factors, but especially from the evolution in theological and other, broader intellectual parameters. The analysis focuses on the spirited debates that surrounded the Consensus Helveticus, a formula which was adopted in Geneva in 1679 and to which all pastors were required to subscribe. When the Genevan church decided in 1706 no longer (...) to require subscription, it did so – among others – for the freedom of conscience on articles not necessary to salvation, and thus embarked on a long road of theological reflection which led it eventually to abandon, within the space of only several decades, the orthodox theology that had dominated the seventeenth century. As result of this evolution, the eighteenth century saw a slow but definite change in the image the church of Geneva held for the rest of European Calvinism. ☆ This article is an uptated English translation of «De l’exemplarité au soupçon: l’Eglise genevoise entre la fin du XVIIe siècle et le début du XVIIIe» in W. Kaiser, C. Sieber-Lehmann et C. Windler (éd.), Eidgenössische «Grenzfälle»: Mülhausen und Genf/en marge de la Confédération: Mulhouse et Genève (Basler Beiträge zur Geschichtswissenschaft 172), Bâle, Schwabe et Co, 2001, 273–92. I thank Keith Tribe for his translation and Albert Gootjes for his suggestions for updating. (shrink)

Introduction française au numéro spécial "Ricœur et la question de l'espace".

Human experience has a symbolic structure. By focusing on the symbolism of human action, this essay considers the reciprocal influences and the essential differences between Paul Ricœur’s hermeneutics and Clifford Geertz’s cultural anthropology. Through reference to Ricœur’s Lectures on Ideology and Utopia, the section on “Ideology, Utopia, and Politics” in From Text to Action, and Geertz’s 1973 book The Interpretation of Cultures, this paper aims at reconstructing the dialogue between these thinkers. I begin with a broad framing of the encounter (...) between Ricœur and Geertz, and then turn to the notion of the symbolic mediation of action, considering it as the shared key concept between these authors. These reflections will lead to an examination of the semiotic conception of culture, opening up the discussion of a nonpejorative dimension of ideology. (shrink)

Exemplos, relatos e anedotas históricas são recorrentes nos Ensaios e revelam a maneira original de Montaigne se apropriar da história: como estudo do passado e das ocorrências particulares; como alimento moral; como referência fictícia ou real; através da relação da história com a retórica e a prova argumentativa; como história contemporânea e a crítica da mentalidade cultural; como história de vida. Em todas essas articulações da narrativa histórica, que podemos sintetizar ao modo de uma conversação com os homens do passado (...) e do presente, encontramos o alvo de Montaigne: ir das ações às intenções, do outro para o conhecimento de si, do diverso para o discernimento. A história, sobretudo aquela à maneira plutarquiana, constitui matéria prima indispensável para o exercício do julgamento de Montaigne. Examples, reports and historical anecdotes are not hard to find in Les Essais and reveal Montaigne's original way of approaching history: as a study of the past and particular events; as moral nourishment; as fictitious or real reference; by relating history to rhetoric and argumentative proof; as contemporary history and criticism of cultural mentality; as life story. In all these articulations of historical narrative, which we can synthesize as a conversation with men of the past and present time, we find Montaigne's target: to go from actions to intentions, from the other to the knowledge of oneself, from diversity to discernment. History, mainly the one that follows Plutarch's style, composes the raw material indispensable to Montaigne's exercise of judgment. (shrink)

This study explores the intra-organizational antecedents of sustainable governance by examining the impact of female presence at the corporate apex. Drawing upon the upper echelon theory, we investigate whether women in top positions influence sustainable governance practices. Our research focuses on a sample of companies operating within two distinct market economies: liberal market economies (LMEs) and coordinated market economies (CMEs). The United States, represented by the S&P100, and the United Kingdom, represented by the FTSE100, serve as examples of LMEs. Conversely, (...) Germany (DAX30), France (CAC40), Spain (IBEX35), and Switzerland (SMI) are illustrative of CMEs. Analyzing archival data spanning from 2010 to 2019, we confirm that the presence of a critical mass of women on the board of directors significantly increases the likelihood of establishing a sustainability committee within organizations. This relationship holds true across both LMEs and CMEs, highlighting the universal importance of gender diversity in driving sustainable governance initiatives. Interestingly, we observe that the impact of women with structural power on sustainability committee formation is specific to LMEs, suggesting the context-dependent nature of female leadership in sustainable governance. (shrink)

The general definition of mental disorder stated in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders seems to identify a mental disorder with a harmful dysfunction. However, the presence of distress or disability, which may be bracketed as the presence of harm, is taken to be merely usual, and thus not a necessary requirement: a mental disorder can be diagnosed as such even if there is no harm at all. In this paper, we focus on the (...) harm requirement. First, we clarify what it means to say that the harm requirement is not necessary for defining the general concept of mental disorder. In this respect, we briefly examine the two components of harm, distress and disability, and then trace a distinction between mental disorder tokens and mental disorder types. Second, we argue that the decision not to regard the harm requirement as a necessary criterion for mental disorder is tenable for a number of practical and theoretical reasons, some pertaining to conceptual issues surrounding the two components of harm and others pertaining to the problem of false negatives and the status of psychiatry vis-à-vis somatic medicine. However, we believe that the harm requirement can be maintained among the specific diagnostic criteria of certain individual mental disorders. More precisely, we argue that insofar as the harm requirement is needed among the specific diagnostic criteria of certain individual mental disorders, it should be unpacked and clarified. (shrink)

El artículo tiene como objetivo fundamental presentar el concepto de repetición bajo tres aspectos. El primero es su ubicación en el contexto de la existencia individual; el segundo, su carácter de exigencia de búsqueda de la libertad; y, finalmente, la consideración de la repetición como acontecimiento de la existencia. El recorrido del artículo revela así el tránsito que se emprende desde la importancia de la figura del lector en su profunda soledad; lector de la vida, de la prueba, de la (...) circunstancia, de lo ineludible; hasta la revelación de la existencia revestida en un acto mimético. Este recorrido aparece evidenciado porque se pone de relieve la preocupación humana no sólo por la existencia, sino por el sentido que ella adquiere frente a la posibilidad del mal desde lo particular, desde lo individual. En este orden de ideas, tras un seguimiento del concepto de repetición se pretende hacer evidente un interés que puede llamarse interés existencial y por ello filosófico: volver la cara hacia el individuo. (shrink)

Background Only a few studies have been conducted to assess physicians’ knowledge of legal standards. Nevertheless, prior research has demonstrated a dearth of medical law knowledge. Our study explored physicians’ awareness of legal provisions concerning informed consent and confidentiality, which are essential components of the physician-patient relationship of trust. -/- Methods A cross-sectional study assessed attending physicians’ legal knowledge of informed consent and confidentiality regulations. The study was conducted in nine hospitals in Dolj County, Romania. Physicians were given a questionnaire (...) with ten scenarios and instructed to select the response that best reflected their practice. We assessed the responses of physicians who claimed their practice to be entirely legal. Their legal knowledge was evaluated by comparing their answers to applicable laws. We also calculated a score for the physicians who admitted to committing a legal breach. -/- Results Of the 305 respondents, 275 declared they never committed any law violation. However, their median correct answer score was 5.35 ± 1.66 out of 10. The specialty was the strongest predictor of legal knowledge, with emergency physicians rating the lowest and non-surgical physicians scoring the highest. Physicians who worked in both private and public sectors were better knowledgeable about legal issues than those who worked exclusively in the public sector. Results indicate that physicians are aware of the patient’s right to informed consent but lack comprehensive understanding. While most physicians correctly answered simple questions, only a tiny minority identified the correct solution when confronted with ethical dilemmas. The physicians who acknowledged breaching the law, on the other hand, had a slightly higher knowledge score at 5.45 ± 2.18. -/- Conclusion Legal compliance remains relatively low due to insufficient legal awareness. Physicians display limited awareness of legal requirements governing patient autonomy, confidentiality, and access to health data. Law should be taught in all medical schools, including undergraduate programs, to increase physicians’ legal knowledge and compliance. (shrink)

La realización de homenajes a figuras apreciadas del mundo académico impone el reto de seleccionar cuál sea el contenido de lo presentado en el evento para que éste se constituya en una auténtica muestra de reconocimiento de sus méritos.En ocasión de la mesa de homenaje a Gregorio Klimovsky, organizada por la Universidad Torcuato Di Tella a instancias de Guillermo Ranea, y convocada en el seno de las XX Jornadas de Epistemología e Historia de la Ciencia, el 26 de noviembre de (...) 2009, en La Falda (Córdoba), Alberto Moretti y Alejandro Cassini, plasmaron la mejor opción. Ambos eligieron analizar tesis filosóficas defendidas por el recordado y querido maestro, tanto en su obra como en las distintas ocasiones de diálogo que mantuvo con pares y discípulos. Se trató de la mejor elección porque de este modo no sólo ambos contribuyen a la difusión de las ideas de Klimovsky sino también, y con gran cuidado analítico, las conjugan con otras doctrinas presentes en el escenario filosófico contemporáneo, destacando así su actualidad y valía. (shrink)

O artigo apresenta reflexões acerca das afinidades eletivas entre os Estudos Sociais da Ciência e a Bibliometria, a Cientometria, campos de estudo voltados, respectivamente, para a análise das práticas e dinâmicas das comunidades científicas e da avaliação da produção científica e tecnológica produzidas pelos cientistas no interior das áreas de conhecimento.

Riassunto: In questo contributo analizzeremo il criterio del danno, presente nella definizione generale di disturbo mentale del DSM. La questione ha rilevanza sia da un punto di vista filosofico, perché il danno è una componente normativa e valoriale, non oggettiva, sia da un punto di vista clinico, perché chi ha difeso il criterio del danno ha spesso sostenuto che in sua assenza avremmo troppi falsi positivi. Infine, ha importanza dal punto di vista socio-sanitario in relazione al rapporto tra la psichiatria (...) e la medicina non psichiatrica, nello specifico tra il DSM e l’ICD. Sosterremo che ci sono buone ragioni per non mantenere il danno come criterio necessario nella definizione generale del disturbo mentale. Dopo una breve introduzione, forniremo una panoramica storica sul ruolo del criterio del danno nelle varie edizioni del DSM. Successivamente si illustrerà la principale obiezione contro l’inclusione del criterio del danno nella definizione generale di disturbo mentale, ossia il problema dei falsi negativi, per poi presentare e discutere ulteriori ragioni – medico-pratiche e concettuali – che depongono a sfavore dell’attribuzione di un forte peso al criterio del danno. In sede conclusiva ribadiamo come la decisione presa dalla task force del DSM-5 di escludere il criterio del danno dalla definizione generale di disturbo mentale debba essere sostenuta. Parole chiave: Danno; Disabilità; Disagio; Disturbo mentale; DSM “Harm” as Criterion for the Definition of Mental Disease in DSM. Some Epistemological Reflections: In this paper, we analyse the harm requirement in the general definition of mental disorder in the Diagnostic and Statistical Manual for Mental Disorders. This issue has both philosophical and clinical relevance: on the one hand the harm requirement is a normative, value-laden, non-objective component in the definition of mental disorder; on the other hand, the harm requirement has often been defended on the grounds that it prevents an increase in false positives. The issue is also important in assessing the relationship between psychiatry and somatic medicine, more precisely, between the DSM and the International Classification of Diseases. We argue that there are good reasons not to maintain the harm requirement in the general definition of mental disorder. After a brief introduction, we overview the history of the harm requirement across the various editions of the DSM. Then, we examine the main objection to the inclusion of the harm requirement in the general definition of mental disorder, that is, the problem of false negatives, and also present several other points – both practical and conceptual – that help demonstrate why the harm requirement is inadequate as a definiens of mental disorder. To conclude, we stress that the decision of the DSM-5 task force not to regard the harm requirement as a necessary component of mental disorder should be endorsed. Keywords: Harm; Disability, Distress; Mental Disorder; DSM. (shrink)

L’introduzione al fascicolo Analogia e medioevo sive vent’anni di analogie presenta il numero 18 di "Doctor Virtualis" e traccia le tappe fondamentali della rivista. Si delineano dapprima alcune linee della storia della rivista e le sue ispirazioni teoriche e storiografiche principali, per poi mettere in luce le ragioni della rilevanza del tema dell’analogia, come oggetto utilizzato e pensato nei secoli medievali e come strumento di ricerca storiografica, e infine si conclude con l’articolazione del fascicolo. The introduction to the issue Analogy (...) and the Middle Ages sive twenty years of analogies presents issue n. 18 of Doctor Virtualis and traces the milestones of the journal. It first sketches some lines of the history of the journal and its main theoretical and historiographical inspirations, then highlights the reasons for the relevance of the theme of analogy, as an object used and thought of in the medieval centuries and as a tool for historiographical research, and finally concludes with the articulation of the issue. (shrink)

Nas reflexões sobre percepção, voltando-se às coisas mesmas, a filosofia de Merleau-Ponty busca compreender o percebido em seu ser desde o instante primeiro, isento de qualquer cognição possível. Esse movimento metodológico é marcadamente inspirado na Fenomenologia, tal como preconizada por Edmund Husserl, ao anunciar a consciência intencional. Esta não é mais um predicamento egocêntrico, como concebido pela tradição filosófica, mas sim a consciência da percepção enquanto intencionalidade, movimento, verbo, que se constitui no instante do voltar-se noético para o objeto intuído. (...) Isso nos proporciona uma ampla compreensão dos diversos modos de ser do ente que somos nós, em nossa cotidianidade mediana e contemporânea. Além disso, compreendem-se os modos como percebemos os outros, humanos como nós, em sua alteridade e corporeidade. Os corpos se movimentam em estéticas, impressões e expressões, ritmos, danças, poesia, sendo percebidos de diferentes maneiras, ganhando diversas conotações significativas, marcadas pela historicidade e linguisticidade vividas. Considerando a filosofia merleau-pontyana à luz de um viés estético, como poderiam ser compreendidos os corpos dromomaníacos, aqueles que se deslocam incessantemente, sempre impulsionados a estarem onde não estão? Este estudo tem como objetivo instigar a reflexão filosófica sobre o que poderia estruturar esses afetos, buscando vislumbrar outros sentidos além da descrição de existências malogradas, reduzidas a meros objetos de pesquisa psicopatológica. O que poderiam dizer esteticamente os corpos em seus movimentos e fixações, em suas impressões e expressões, em sua capacidade infinita de suscitar novos sentidos e significados? (shrink)

The purpose of this article is to initiate a philosophical discussion about the ethical component of professional competence in nursing from the perspective of Brazilian nurses. Specifically, this article discusses professional competence in nursing practice in the Brazilian health context, based on two different conceptual frameworks. The first framework is derived from the idealistic and traditional approach while the second views professional competence through the lens of historical and dialectical materialism theory. The philosophical analyses show that the idealistic view of (...) professional competence differs greatly from practice. Combining nursing professional competence with philosophical perspectives becomes a challenge when ideals are opposed by the reality and implications of everyday nursing practice. (shrink)

Introduction to special issue "Ricoeur and the Problem of Space".

Este trabalho tem como objetivo formular comparação entre as concepções de ética e direito dos autores Bentham e Kant. A posição assumida neste artigo ressalta que tanto para Kant quanto para Bentham o direito se baseia nos mesmos princípios que fundamentam a ética. No caso de Kant, é o imperativo categórico que fundamenta a ética e o direito e, no caso de Bentham, é o princípio de utilidade. Embora ambos os autores possuam apenas um princípio para fundamentar a ética e (...) o direito, há inúmeras diferenças entre ambos os campos do pensamento, bem como entre as teorias, que se pretende apresentar neste artigo. Entre elas estão a origem epistemológica dos princípios e o que cada um deles prescreve. The aim of this work is to formulate a comparison between Bentham’s and Kant’s conceptions of ethics and law. The position taken in this paper is that, for Bentham and Kant, law is grounded in the same principles which are the basis of ethics. For Kant it is the categorical imperative which is the basis of ethics, while the principle of utility is the basis of Bentham’s theory of law and ethics. Although both authors have established only one principle on which to ground ethics and law, there are several differences between the two fields and between the theories of the two philosophers. Among these differences, we mention the epistemological origin of principles and their prescriptions. (shrink)

Introducción al dossier: “Revisitando el Cordobazo cincuenta años después”.

In 2003, the Food and Drug Administration approved the use of growth hormone treatment for idiopathic short stature children, i.e. children shorter than average due to an unknown medical cause. Given the absence of any pathological conditions, this decision has been contested as a case of medicalisation. The aim of this paper is to broaden the debate over the reasons for and against the treatment, to include considerations of the sociocultural phenomenon of the medicalisation of short stature, by means of (...) a critical understanding of the concept of medicalisation. After defining my understanding of medicalisation and describing both the treatment and the condition of idiopathic short stature, I will problematise two fundamental issues: the medical/non-medical distinction and the debate about the goals of medicine. I will analyse them, combining perspectives of bioethics, medical sociology, philosophy of medicine and medical literature, and I will suggest that there are different levels of normativity of medicalisation. Ultimately, this study shows that: the definition of idiopathic short stature, focusing only on actual height measurement, does not provide enough information to assess the need for treatment or not; the analysis of the goals of medicine should be broadened to include justifications for the treatment; the use of growth hormone for idiopathic short stature involves strong interests from different stakeholders. While the treatment might be beneficial for some children, it is necessary to be vigilant about possible misconduct at different levels of medicalisation. (shrink)

This volume breaks new grounds by bringing together a great variety of innovative contributions on triangulation, epistemology, and mind. The notion of triangulation, developed by Donald Davidson during the last two decades of his life, has changed our understanding of the relationship between subjective, intersubjective, and objective, and shed new light on concepts such as externalism, internalism, communication, interpretation, and language. At the same time, however, it has been strongly criticized for several aspects. The papers collected in this volume written (...) by established contributors aim to provide new insights into the contemporary debate on triangulation. The upshot is not only a deeper understanding of Davidson s ideas but also a new appreciation of some central problems of epistemology and the philosophy of mind with regard to adjoining disciplines such as, for instance, cognitive sciences and the philosophy of language.". (shrink)

According to the minimal version of the traditional analysis of knowledge, there are (at least) three necessary components to knowledge, that is, truth, belief and justification. In this paper we will argue that even in a global sceptical scenario, all three conditions minimally necessary for knowledge can be satisfied. In particular, we will focus on the justification requirement and analyse two “traditional” theories of justification, i.e., coherentism and foundationalism, as well as a more “innovative” one, i.e., reliabilism. Then, we will (...) conclude that if we want to continue to claim that, in a global sceptical scenario, a cognitive subject does not know (almost) anything, we should recognise that she may still have justified true beliefs, and we should, therefore, look elsewhere for the reasons why she lacks knowledge. (shrink)

The purpose of this paper is to clarify the nature of research methods in the history of economic thought. In reviewing the "techniques" which are involved in the discipline, four broader categories are identified: a) textual exegesis; b) "rational reconstructions"; c) "contextual analysis"; and d) "historical narrative". After examining these different styles of doing history of economic thought, the paper addresses the question of its appraisal, namely what is good history of economic thought. Moreover, it is argued that there is (...) a distinction to be made between doing economics and doing history of economic thought. The latter requires the greatest possible respect for contexts and texts, both published and unpublished; the former entails constructing a theoretical framework that is in some respects freer, not bound by derivation, from the authors. Finally, the paper draws upon Econlit records to assess what has been done in the subject in the last two decades in order to frame some considerations on how the past may impinge on the future. (shrink)