Le rejet actuel de la psychanalyse dans les traitements d’enfants autistes s’explique en partie par une erreur de considération clinique au sujet de la place des parents. Dans ce contexte, les auteurs, impliqués dans un dispositif thérapeutique de soin et d’éducation au Brésil, proposent une discussion quant aux repères théoriques qui sous-tendent le fonctionnement de Lugar de Vida. Dans ladite Educação Terapêutica (éducation à visée thérapeutique), le rôle des parents est complètement reformulé. Il ne s’agit plus d’interpréter leur culpabilité dans (...) l’éclosion de l’autisme de leurs enfants, ni de les conseiller techniquement pour en faire des assistants dans des programmes comportementaux, mais de relancer le dialogue inhérent à l’espace transitionnel entre parents et enfant à même de produire des effets aussi bien thérapeutiques qu’éducatifs. (shrink)

Este texto es un estudio profundo sobre lo poético en la obra de Jorge Luis Borges, rastreado no solo en sus poemas sino en su narrativa: ensayo y cuento. Lo que permite sostener que la cualidad principal de su escritura se encarna en la figura del poeta. El eje central del estudio se refiere a la particularidad de su adjetivación en la cual puede reconocerse el vínculo entre literatura y filosofía puesto que en la escritura de Borges el adjetivo no (...) es un mero adorno sino una manera de vincular pensamiento y poesía y hacer posible que en la lectura de sus textos el lector experimente el efecto que las ideas tienen sobre la vida. (shrink)

Con el presente artículo se propone continuar el diálogo entre la tradición hermenéutica y el psicoanálisis, reconociendo en ellas dos de las corrientes de pensamiento más influyentes en la época contemporánea. Con este acercamiento se pretende aportar a la reflexión, siempre fecunda, sobre el abordaje de textos literarios a partir del acto interpretativo.

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

Reason and rationality represent crucial elements of the self-image of human beings and have unquestionably been among the most debated issues in Western philosophy, dating from ancient Greece, through the Middle Ages, and to the present day. Many words and thoughts have already been spent trying to define the nature and standards of reason and rationality, what they could or ought to be, and under what conditions something can be said to be rational. This volume focuses instead on the relationships (...) of reason and rationality to some relevant specific topics, i.e., science, knowledge, gender, politics, ethics, religion, aesthetics, language, logic, and metaphysics, trying to uncover and clarify both the connections and differences in their various characterisations and uses. (shrink)

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.

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.

Background: The intensive care unit environment focuses on interventions and support therapies that prolong life. The exercise by nurses of their autonomy impacts on perception of the role they assume in the multidisciplinary team and on their function in the intensive care unit context. There is much international research relating to nurses’ involvement in end-of-life situations; however, there is a paucity of research in this area in Brazil. In the Brazilian medical scenario, life support limitation generated a certain reluctance of (...) a legal nature, which has now become unjustifiable with the publication of a resolution by the Federal Medical Council. In Brazil, the lack of medical commitments to end-of-life care is evident. Objective: To understand the process by which nurses exercise autonomy in making end-of-life decisions in intensive care units. Research design: Symbolic Interactionism and Corbin and Strauss theory methodology were used for this study. Participants and research context: Data were collected through single audio-recorded qualitative interviews with 14 critical care nurses. The comparative analysis of the data has permitted the understanding of the meaning of nurse’s experience in exercising autonomy relating to end-of-life decision-making. Ethical considerations: Institutional ethics approval was obtained for data collection. Participants gave informed consent. All data were anonymized. Findings: The results revealed that nurses experience the need to exercise autonomy in intensive care units on a daily basis. Their experience expressed by the process of increase opportunities to exercise autonomy is conditioned by the pressure of the intensive care unit environment, in which nurses can grow, feel empowered, and exercise their autonomy or else can continuously depend on the decisions made by other professionals. Conclusion: Nurses exercise their autonomy through care. They work to create new spaces at the same time that they acquire new knowledge and make decisions. Because of the complexity of the end-of-life situation, nurses must adopt a proactive attitude that inserts them into the decision-making process. (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)

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)

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)

En los últimos años y por diversos motivos los filósofos han exhibido un creciente interés por la reflexión metafilosófica (una amplia bibliografía así lo manifiesta). Una de las cuestiones metafilosóficas que ha suscitado especial dedicación y ha atraído la atención de filósofos de distintas filiaciones es la cuestión acerca del canon filosófico. ¿En qué consiste? ¿Cómo debe ser concebido? ¿Cómo se constituye? ¿Cómo funciona? ¿Dónde está? ¿Qué relación guarda con la historia de la filosofía y con la historia de las (...) ideas en general? ¿Cuáles son sus vínculos con la institucionalización y profesionalización de la filosofía y con la comunidad filosófica? son algunas de las preguntas planteadas.En nuestro medio y en general en la comunidad filosófica hispano parlante, la aparición de la obra póstuma de Eduardo Rabossi En el comienzo Dios creó el canon. Biblia berolinensis en la que su autor aborda con originalidad y agudeza esta temática, ha resultado ser un estimulante disparador para el examen y discusión de la cuestión que nos ocupa. Rabossi declaró que se daba por satisfecho si lograba incentivar la polémica. Creemos que lo ha logrado ampliamente. Este número de Análisis Filosófico es una prueba de ello; en él recogemos parte de la reflexión que ha provocado el desafío lanzado por Rabossi. (shrink)

Savant aux intérêts multiples--historiques, scientifiques et religieux, connu et estimé dans l'Europe du XVIIIe siècle, bien qu'ayant très peu publié de son vivant, Firmin Abauzit reste à beaucoup d'égards un mystère. Comment ce réfugié huguenot, arrivé à Genève encore enfant après la révocation de l'édit de Nantes, a-t-il pu bénéficier d'une réputation flatteuse dans la ville d'accueil alors que ses opinions hétérodoxes sur la trinité ou la christologie ou les prophéties bibliques étaient notoires? Au-delà des étiquettes faciles, quelle était la (...) nature exacte de son hétérodoxie? Comment sa légendaire 'modestie', qui lui a fait refuser honneurs et charges publiques, se concilie-t-elle avec le fait de laisser copier et circuler abondamment en Europe ses manuscrits? Quel rapport existe-t-il entre une telle circulation et son refus obstiné d'autoriser la publication de ses travaux? Comment interpréter, dans son cas, la tension entre réputation et publication? À ces questions, souvent escamotées ou abordées dans une visée hagiographique, le volume répond par une réflexion large qui croise l'histoire des religions, de la littérature, de la philosophie et du fait religieux. Une approche qui intègre des aspects peu ou pas du tout étudiés de la vaste production de l'auteur, tels que le rapport entre idolâtrie et religion, ou sa lecture de textes déistes anglais, ou encore ses écrits de controverse confessionnelle, mais qui reprend aussi, en les renouvelant, des thèmes plus classiques, comme la célèbre note de Rousseau sur Abauzit philosophe ou les éditions concurrentes qui ont été publiées peu après la mort du savant"--Page 4 of cover. (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)

Este artículo explora mi devenir como indagadora narrativa en la educación superior. Se trata de una aproximación íntima a las formas teóricas y metodológicas en las cuales, dentro de mi grupo de investigación en la Facultad de Humanidades de la Universidad Nacional de Mar del Plata, Argentina, hemos recogido relatos sus docentes y estudiantes para estudiar entre otros temas, representaciones sobre el currículo, buenas prácticas de enseñanza, docentes memorables, identidades y experiencias de docentes en ciernes. En el transcurso de este (...) devenir indagador reconocemos, en este orden, estaciones de cruces con diversas metodologías tan narrativas como íntimas: investigación de narrativas; investigación con narrativas; investigación biográfico-narrativa; indagación narrativa; indagación poética; autoetnografía; indagación narrativa visual. Examinamos los vínculos metodológicos y teóricos entre qué investigamos y relatamos, cómo lo hacemos y lo re-presentamos y quiénes devenimos entre los contenidos teóricos y las formas metodológicas. Mediante este trabajo, aspiramos a continuar los diálogos con el variado universo narrativo en el ámbito de la educación universitaria. (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)

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)

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)

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)

In recent years, children and young people (CYP) have been increasingly included in patient and public involvement (PPI) in health research and innovation. Such initiatives intend to give a voice to CYP in such matters. Given that it is debated whether PPI in health care fosters the values of participation, public discussion and decision making put forward by deliberative democracy, this article examines three sets of challenges concerning the involvement of CYP by focusing on age biases. After describing some existing (...) initiatives, the paper critically examines why CYP are involved, how the CYP group is constituted and then investigates the moral status of CYP in biomedical settings. It shows that the rationale for involving CYP in PPI is mainly top-down and adult-centric, thereby questioning the authentic participation in decision making. It also suggests that to ensure democratic inclusion, the CYP group should be constituted by considering both age and politics. Lastly, the article indicates that, despite the increasing recognition of child-specific rights, the sociocultural norms and power dynamics in pediatrics undermine their moral status and challenge political equality. These three sets of considerations offer a preliminary theoretical contribution toward improving democratic legitimacy and representation of CYP in health research and innovation. (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)

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)