The management of patients suffering from chronic disorders of consciousness inevitably raises important ethical questions about the end of life decisions. Some ethical positions claim respect of human life sacredness and the use of good medical practices require allowing DOC patients to live as long as possible, since no one can arbitrarily end either his/her or others’ life. On the other hand, some currents of thought claim respect of human life dignity, patients’ wishes, and the right of free choice entail (...) allowing the withdrawal of life sustaining therapy. This could happen when patients believe their own life to be not worth living, or if therapy is not very beneficial, excessively burdensome, or even futile. Indeed, the decision to withdraw therapies in a DOC patient should be guided by reliable information about DOC diagnosis and prognosis and on how the patient would wish to be treated in such a condition. Taking into account such issues, it would be possible to make the decision that more adequately fits a DOC patient’s best interest. This review aims to overview the range of ethical issues referring to end-of-life decisions in DOC patients, with regard to the thorny debate on the sacredness and dignity of human life. (shrink)

Neuromodulatory effects of non-invasive brain stimulation (NIBS) have been extensively studied in chronic pain. A hypothetic mechanism of action would be to prevent or revert the ongoing maladaptive plasticity within the pain matrix. In this review, the authors discuss the mechanisms underlying the development of an abnormal plasticity in patients with chronic pain and the putative mechanisms of NIBS in modulating synaptic plasticity in neuropathic pain conditions.

Background Family and Community Health Nurses (FCHNs) are at a higher risk of experiencing emotional exhaustion and feelings of low personal accomplishment. Higher levels of professional identity may decrease these negative feelings. Its measurement could produce positive effects for FCHNs and the quality of care they offer. Aim This study aims to evaluate the psychometric properties (validity and reliability) of the Nurses Professional Values Scale-Revised (NPVS-R) on FCHNs in Italy. Research design A cross-sectional research design was used. Participants and research (...) context A convenience sample of FCHNs was recruited in an out-of-hospital setting from Italy. A total of 202 nurses were eligible (mean age of 41.11 ± 10.55 years; 78.2% female). Ethical considerations The study was performed in accordance with the World Medical Association Declaration of Helsinki. Participants were asked for their consent and were guaranteed anonymity in the information collected. The study was approved by the internal review board of the university. Results Confirmatory Factor Analysis (CFA) supported a unidimensional factorial structure of the NPVS-R with an adequate fit to the data. Internal consistency reliability was also supported. The construct validity was further reinforced by the concurrent validity results showing a positive and significant correlation of professional identity with job satisfaction. Conclusion The NPVS-R is a valid and reliable instrument to measure professional identity among FCHNs. It can be used in clinical practice to improve FCHNs’ psychological-emotional feelings and quality of care provided, in research to allow comprehensive understanding of professional identity, and in educational settings to monitor the professional identity levels of Family and Community Health Nursing students. (shrink)

This paper aims to conceptualize the phenomenology of attentional experience as ‘embodied attention.’ Current psychological research, in describing attentional experiences, tends to apply the so-called spotlight metaphor, according to which attention is characterized as the illumination of certain surrounding objects or events. In this framework, attention is not seen as involving our bodily attitudes or modifying the way we experience those objects and events. It is primarily conceived as a purely mental and volitional activity of the cognizing subject. Against this (...) view, the phenomenology of Maurice Merleau-Ponty shows that attention is a creative activity deeply linked with bodily movements. This paper clarifies and systematizes this view and brings it into dialogue with current empirical findings as well as with current theoretical research on embodied cognition. By doing this, I spell out three main claims about embodied attention: the transcendentalism of embodiment for attention, the bodily subjectivity of attention, and the creativity of embodied attention. (shrink)

Background: Nursing continues to gain legitimation epistemologically and ontologically as a scientific discipline throughout the world. If a profession gains respect as a true autonomous scientific profession, then this recognition has to be put in practice in all environments and geographical areas. Nursing professional dignity, as a self-regarding concept, does not have a clear definition in the literature, and it has only begun to be analyzed in the last 10 years. Objectives: The purpose of this meta-synthesis was to determine the (...) various factors that constitute the notion of nursing professional dignity. The target was to create a tentative model of the concept. Research design: The research design was a meta-synthesis (N = 15 original articles) of nursing professional dignity described in the literature, based on the guidelines by Noblit and Hare. Method and findings: Original studies were sought out from electronic databases and manual searches. The selection of literature was conducted on stages based on titles (n = 2595), abstracts (n = 70), and full-texts (n = 15) according to the inclusion and exclusion criteria. From this analysis, a clear definition of nursing professional dignity emerged that underscored two main macro-dimensions constituting this intertwined, multidimensional, and complex notion: characteristics of the human beings and workplace elements. Conclusion: The recognition of nursing professional dignity could have a positive impact on patients because the results clearly showed that nurses are more prone to foster patients’ dignity, patients’ safety, and a better quality of care if their own dignity is respected. If nurses are uncomfortable, humiliated, or not seen in their professional role, it is difficult to give to others good care, good support, or good relationships. (shrink)

This paper investigates the nature of emotional experience in relation to the senses, and it defends the thesis that emotional experience is partly non-sensory. In §1 I introduce my reader to the debate. I reconstruct a position I call ‘restrictivism’ and motivate it as part of a reductive approach to mind’s place in nature. Drawing on intuitive but insightful remarks on the nature of sensation from Plato, I map out the conditions under which the restrictivist thesis is both substantive and (...) plausible. I then present two arguments against it. The first argument, which I lay out in §2, draws on recent empirical results in emotion research to show that restrictivism cannot be reconciled with the possibility of knowledge of one’s own emotional state by acquaintance. The second argument, which I present in §3, individuates a claim on which most contemporary theories of emotional valence converge and uses it to demonstrate that restrictivism has a false implication: it must deny that valence is experientially felt. (shrink)

This paper develops the concept of ‘creative attention’. Against classical theories that understand attention as a spotlight that brings objects into focus, I will argue that attention is a complex phenomenon structured in different layers. The most basic layer is perceptual, passive and pre-predicative: at this level, attention is creative – and this is the central claim of this paper – because it institutes meanings and rules for our behaviour.

Concealment -- Part of eloquence is to hide eloquence -- The concealed ornament -- Art or nature? -- In the garden -- Iki -- Those who cannot dissimulate cannot rule either -- True eloquence mocks eloquence -- Ready-mades.

Background: There is growing awareness that patient care suffers when nurses are not respected. Therefore, to improve outcomes for patients, it is crucial that nurses operate in a moral work environment that involves both recognition respect, a form of respect that ought to be accorded to every single person, and appraisal respect, a recognition of the relative and contingent value of respect modulated by the relationships of the healthcare professionals in a determined context. Research question/aim: The purpose of this study (...) was to develop better understandings of perceptions of nursing’s professional respect in community and hospital settings in England. Research design: The research design was qualitative. Focus groups were chosen as the most appropriate method for eliciting discussion about nursing’s professional respect. Participants and research context: A total of 62 nurses who had been qualified for at least a year and were working in two localities in England participated in this study. Methods: Data were collected using 11 focus group sessions. The data were analysed by means of an inductive content analysis, extracting meaning units from the information retrieved and classifying the arising phenomena into conceptually meaningful categories and themes. Ethical considerations: To conduct the research, permission was obtained from the selected universities. Results: Recognition respect of human beings was perceived as ingrained in the innermost part of nurses. Regarding appraisal respect, a great importance was placed on: the interactions among healthcare professionals, the time to build trust in these relationships, the influences of the workplace characteristics and nurses’ professional autonomy and decision-making. Conclusion: Recognition respect of persons was embedded in the inmost part of nurses as individuals. Concerning appraisal respect, it was thought to be deeply enshrined in the inter- and intra-healthcare professional interactions. The forging of trusting relationships over time was deemed to be strongly associated with good quality interactions with other healthcare professionals. (shrink)

Both fairness and efficiency are important considerations in market design and regulation, yet many regulators have neither defined nor measured these concepts. We develop an evidencebased policy framework in which these are both defined and measured using a series of empirical proxies. We then build a systems estimation model to examine the 2003–2011 explosive growth in algorithmic trading on the London Stock Exchange and NYSE Euronext Paris. Our results show that greater AT is associated with increased transactional efficiency and reduced (...) information leakage in top quintile stocks. For less liquid stocks, manipulation at the close declines. We also document the tradeoff between reduced spreads and increased manipulation or information leakage following the introduction of MiFID1. (shrink)

To engage with the fragments of Parmenides requires a dutiful apprenticeship. The work of translation/resequencing are of equal weight in an interpretative commentary that carry one towards the possible world pictured by the Eleatic master. As far as the translation and resequencing, presented here in its entirety, I have held fast to Eco’s recommendation for translations, that “goodwill... prods us to negotiate the best solution for every line. Among the synonyms for "faithfulness," the word "exactitude" does not exist. Instead there (...) is loyalty, devotion, allegiance, piety.” The “Notes to Translator’s Introduction,” and more so, the “Notes to the Fragments,” are a condensed version of a few frames of references, both cultural and theoretical, that stand in, for the present, as signposts. A fuller elaboration of the resequencing decisions, and philosophical aspects of my position, will take the form of an accompanying piece, and Part II, to this article. (shrink)

Most theories of learning would predict a gradual acquisition and refinement of skills as learning progresses, and while some highlight exponential growth, this fails to explain why natural cognitive development typically progresses in stages. Models that do span multiple developmental stages typically have parameters to “switch” between stages. We argue that by taking an embodied view, the interaction between learning mechanisms, the resulting behavior of the agent, and the opportunities for learning that the environment provides can account for the stage-wise (...) development of cognitive abilities. We summarize work relevant to this hypothesis and suggest two simple mechanisms that account for some developmental transitions: neural readiness focuses on changes in the neural substrate resulting from ongoing learning, and perceptual readiness focuses on the perceptual requirements for learning new tasks. Previous work has demonstrated these mechanisms in replications of a wide variety of infant language experiments, spanning multiple developmental stages. Here we piece this work together as a single model of ongoing learning with no parameter changes at all. The model, an instance of the Epigenetic Robotics Architecture embodied on the iCub humanoid robot, exhibits ongoing multi-stage development while learning pre-linguistic and then basic language skills. (shrink)

Attention is often dichotomized into controlled vs. automatic processing, where controlled processing is slow, flexible, and intentional, and automatic processing is fast, inflexible, and unintentional. In contrast to this strict dichotomy, there is mounting evidence for context-specific processes that are engaged rapidly yet are also flexible. In the present study we extend this idea to the domain of implicit learning to examine whether flexibility in automatic processes can be implemented through the reliance on contextual features. Across three experiments we show (...) that participants can learn implicitly two complementary sequences that are associated with distinct contexts, and that transfer of learning when the two contexts are randomly intermixed depends on the distinctiveness of the two contexts. Our results point to the role of context-specific processes in the acquisition and expression of implicit sequence knowledge, and also suggest that episodic details can be represented in sequence knowledge. (shrink)

El artículo expone la propuesta de filosofía de la historia de José Ortega y Gasset. Tras mostrar su constante interés por la historia en prácticamente todos sus escritos tanto de juventud como de madurez, pasa a exponer su proyecto de historiología. Para ello, centra la atención en dos conceptos clave: la teoría de las creencias y la teoría de las generaciones. Este recorrido se lleva a cabo en paralelo a un análisis del influjo crítico de Hegel, mostrando las continuidades y (...) rupturas entre ambos. (shrink)

Hardy’s paradox was originally presented as a demonstration, without inequalities, of the incompatibility between quantum mechanics and the hypothesis of local causality. Equipped with newly developed tools that allow for a quantitative assessment of realism, here we revisit Hardy’s paradox and argue that nonlocal causality is not mandatory for its solution; quantum irrealism suffices.

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Movements of the Mind. A Theory of Attention, Intention and Action by Wayne WuDiego D’AngeloWU, Wayne. Movements of the Mind. A Theory of Attention, Intention and Action. Oxford: Oxford University Press, 2023. 257 pp. Cloth, $80.00Wayne Wu presented a theory of attention as selection-for-action in 2014. According to this theory, given a behavioral space in which the agent has multiple inputs and outputs to choose from, attention involves (...) the selection of a particular course of action, that is, of certain outputs based on certain inputs. In the present work Wu puts to use the selection-for-action theory to shed light on the broader topic of the “movements of the mind”: intentionality and action. Action and movement are mostly not intended as bodily movement: By focusing on mental actions Wu aims to simplify philosophical explanations. His overall theoretical approach remains consistent with his work on attention, which involves a quest to develop rigorous philosophical concepts while incorporating insights from the empirical sciences. Interestingly, biology takes precedence over cognitive sciences and psychology for him; he says, “I aspire to a biology of agency” in which philosophical analysis must respond to “empirical friction.” In this framework, this book puts forth four main claims. The first concerns the general structure of action—action arises from solving a selection problem. Second, intentional actions can be differentiated from unintentional actions using the concepts of automaticity and control. Third, Wu argues that attention is a necessary aspect of every theory of action. Fourth, he claims that intention is practical memory for action. These four are woven throughout the different chapters of his book.The first part analyzes the structure of action along three axes: how the agent “takes things to be” as the basis for selection, the agent’s response to those things, and the biases that explain the link between perceptions and responses. In the second part, Wu presents a theory of intention as practical memory. The theory is surprising, as Wu himself acknowledges when he says, “The approach to intention will, I think, jar many readers.” And indeed, it does, but Wu provides strong arguments, and future work will determine if the theory is feasible. The third part of the book explores the implications of his theory of action for specific forms and aspects of action; the first chapter in this section deals with automaticity and biases, [End Page 734] the second deals with deductive reasoning, and the third deals with introspection.According to Wu’s theory, action involves a complex combination of elements. The agent is faced with many inputs and potential outputs within a behavioral space. She takes inputs in a certain way: The way she sees things is influenced by myriad aspects, such as intentions and biases of various forms. Action and intending to act are solutions to the problem of selecting appropriate inputs and outputs. Wu thematizes the role of attention in this process of selection. Attention comes in three different forms. It can be an action itself (“attending,” for example, in searching for something); it can mean “vigilance” as readiness to act; and most importantly, attention is “mental guidance.” Every action is guided by attention insofar as a selection problem must be solved: Attention is guiding when perceptual input “plays a functional role of guiding.” Attention also shapes the agent’s actions through remembering, and remembering in turn is nothing else then attending to remembered content. This attended content provides the agent with biases and reasons to select a particular course of action. Therefore, intending to act is nothing else than practical memory, that is, memory put to work in the choice of actions.One particular type of action that is crucially important for philosophical research is introspection. According to Wu, introspection, like every kind of mental action, is not entirely reliable—as some theories would have it—or entirely unreliable but, instead, depends on context. Like any other action, introspection follows the same guiding principle, attention, specifically, perceptual attention. Therefore, introspection is a particular type of perceptual experience where attention is focused on one’s own mental states. In this way, Wu establishes criteria for veridical introspective reports, such... (shrink)

Opinion is divided about the certainty of the evidence base for gender-affirming medical interventions in youth. Proponents claim that these treatments are well supported, while critics claim the poor-quality evidence base warrants extreme caution. Psychotherapy is one of the only available alternatives to the gender-affirming approach. Discussion of the treatment of gender dysphoria in young people is generally framed in terms of two binary approaches: affirmation or conversion. Psychotherapy/exploratory therapy offers a treatment option that lies outside this binary, although it (...) is mistakenly conflated with conversion therapies. Psychotherapy does not impose restrictive gender stereotypes, as is sometimes claimed, but critically examines them. It empowers young people to develop creative solutions to their difficulties and promotes agency and autonomy. Importantly, an exploratory psychotherapeutic process can help to clarify whether gender dysphoria is a carrier for other psychological or social problems that may not be immediately apparent. Psychotherapy can therefore make a significant contribution to the optimal, ethical care of gender-dysphoric young people by ensuring that patients make appropriate, informed decisions about medical interventions which carry risks of harm and have a contested evidence base. (shrink)

The work examines the influence of the relationship that football players have with significant others on their psychological wellbeing (PWB), adopting a psychosocial perspective. According to this perspective, PWB can be considered a basic condition for an effective talent development and holistic growth of young athletes. Current literature on talent development in sport has been analyzed to support the theoretical hypothesis of psychosocial perspective. Thus, it has been tested empirically through a Structural Equation Model. Analysis reveals a strong and positive (...) influence of some dimensions of the relationships with significant others on the psychological wellbeing, specifically team effort, coach closeness and parental learning climate. Following ANOVA shows that élite players perceive significantly better relationships than sub-élite and amateurs and have significantly higher levels of PWB. Those results provide a first evidence for the importance of relationships within and outside sport for an effective talent development, since they positively influence players’ PWB, that is higher in higher competitive level players. It emerges the necessity to further investigate different aspects of psychological wellbeing and to deepen the knowledge about the meaning of relationship in developmental athletes according to a psychosocial approach. (shrink)

Fino a vent’anni fa il nome di Solger, uno dei pensatori più significativi del Romanticismo tedesco, certo il più sistematico e filosoficamente attrezzato tra i protagonisti di quella grande stagione, era noto in Italia, anche fra gli studiosi di estetica, quasi soltanto per la menzione che delle sue teorie viene fatta nelle Lezioni di Estetica di Hegel. Nel giro di pochi anni, però, la situazione è radicalmente cambiata. Sono state tradotte le sue Lezioni di estetica, apparse postume nel 182...

The theme of the relationship between art and society is certainly not a central topic in the aesthetic reflection of Italian neo-idealism. Neither in Croce nor in Gentile it is ever discussed at length, and the few writings in which it is addressed are brief and polemically oriented. This essay, however, proposes to discuss the few hints present in Croce and Gentile on this subject. First, the debate on the materialistic interpretation of history will be examined, to which both Croce (...) and Gentile made important contributions at the end of the 19th century. Secondly, Croce’s own way of doing the history of literature will be discussed, showing the differences that distance him from the Desanctisian model and also from the model derived from the Hegelian Aesthetics. Croce’s way of making history of literature, indeed, aroused harsh criticism after World War II and provoked a request for a “return to De Sanctis”.Finally, but the theme will be only hinted at in the essay, a brief reference will be proposed to the opinions of Antonio Gramsci and his reading of Croce. (shrink)

Kevin Liggieri, »Anthropotechnik«. Zur Geschichte eines umstrittenen Begriffs, Konstanz: Konstanz University Press 2020.

Predicting the future state of a system has always been a natural motivation for science and practical applications. Such a topic, beyond its obvious technical and societal relevance, is also interesting from a conceptual point of view. This owes to the fact that forecasting lends itself to two equally radical, yet opposite methodologies. A reductionist one, based on first principles, and the naïve-inductivist one, based only on data. This latter view has recently gained some attention in response to the availability (...) of unprecedented amounts of data and increasingly sophisticated algorithmic analytic techniques. The purpose of this note is to assess critically the role of big data in reshaping the key aspects of forecasting and in particular the claim that bigger data leads to better predictions. Drawing on the representative example of weather forecasts we argue that this is not generally the case. We conclude by suggesting that a clever and context-dependent compromise between modelling and quantitative analysis stands out as the best forecasting strategy, as anticipated nearly a century ago by Richardson and von Neumann. (shrink)

The general topic of this book is the metaphysics of the subject in Kantian transcendental philosophy. A critical appreciation of Kant's achievements requires that we be able to view Kant's positions as transformations of pre-Kantian philosophy, and that we understand the ways in which contemporary philosophy changes the letter of Kantian thought in order to be true to its spirit in a new philosophical horizon. Descartes is important in two respects. One the one hand, he institutes a philosophical movement which (...) can be said to culminate in Kant; on the other hand, Descartes is one of the major opponents against whom Kant argues in establishing his own position. In either case, the Cartesian cogito is a central concern. Wilfred Sellars restates and transforms Kantian positions in the context of contemporary philosophy after the "linguistic turn", using the Platonic metaphor that thought is similar to discourse. (shrink)

This article puts forward some observations about the literary form of Documentalità. The genre to which Documentalità belongs is undoubtedly the philosophical treatise. This is a novelty, because the philosophical treatise is not a popular literary form with contemporary philosophers. But it is a genre that proves to be functional in the project of philosophical reconstruction pursued by Ferraris, and that do not necessarily conflict with the Derridean roots from which Documentality moves.