Uncontrolled donation after circulatory death, which occurs when an individual has experienced unexpected cardiac arrest, usually not in a hospital, generates both excitement and concern. On the one hand, uDCD programs have the capacity to significantly increase organ donation rates, with good transplant outcomes—mainly for kidneys, but also for livers and lungs. On the other hand, uDCD raises a number of ethical challenges. In this essay, we focus on an issue that is central to all uDCD protocols: When should we (...) cease resuscitation and shift to organ preservation? Do current uDCD protocols prematurely consider as potential donors patients who could still have some chances of meaningful survival? Can the best interest of patients be fostered once they are considered and treated as potential donors? (shrink)

The ever‐increasing demand for organs led Spain, France, and other European countries to promote uncontrolled donation after circulatory determination of death (uDCDD). For the same reason, New York City has recently developed its own uDCDD protocol, which differs from European programs in some key ways. The New York protocol incorporates a series of technical and management improvements that address some practical problems identified in response to European uDCDD protocols. However, the more fundamental issue of whether uDCDD donors are dead when (...) organs are procured remains problematic for the New York City protocol and, indeed, for all uDCDD protocols. In the United States, two amendments to the legal criteria of death have been suggested to avoid a formal violation of the dead donor rule in DCDD protocols: first, replacing the requirement “irreversible” with the weaker term “permanent,” and second, using the term “circulatory” instead of “cardiac” to identify the key function that must be lost to declare death. While intended to facilitate controlled DCDD, these modifications create a problem for uDCDD protocols: if extracorporeal membrane oxygenation is introduced to preserve the organs, then circulation is restored after death is declared. In this issue of the Hastings Center Report, Kevin Munjal and colleagues call for a new ethical construct and policy so that uncontrolled and controlled DCDD can coexist. (shrink)

The so-called uncontrolled donation after circulatory determination of death (uDCDD) have been implemented in several countries, including Spain and France, to increase the availability of organs for transplantation. These protocols allow obtaining kidneys, livers and lungs of patients who do not survive cardio-pulmonary resuscitation performed in out-of-hospital settings. Simultaneously with the development and recent proliferation of these protocols, some emergency teams have begun to employ unconventional methods of CPR, with still uncertain but promising results. The coexistence of these two possibilities (...) raises some questions: At what point should attempts to save a patient with circulatory arrest be abandoned so that this individual can begin to be considered as a potential organ donor? How to manage potential conflicts of loyalties that may arise within emergency and procurement teams? How should the information to the families of those patients and potential organ donors be managed? This article gathers the conclusions of a workshop in which an interdisciplinary working group addressed these and other questions related to DCDD and non-conventional CPR. (shrink)

This paper analyses the arguments for and against what we have called automatic organ procurement model in relation to the organs of the deceased. For this purpose, this work provides empirical evidence to assess the potential impact of this model on donation rates and on public opinion. Specifically, we examine first the reasons supporting this model, with special reference to utilitarian and justice arguments. On the other hand, we analyse both the approaches based on the violation of pre mortem and (...) post mortem interests opposing this theoretical model and the rejection the model would generate in the population. Finally, we point out the aspects that, in our opinion, should be exhaustively regulated if this model were implemented. In particular, we refer to the legal status of the human body, the treatments for end-of-life patients, the incentives for health professionals and the recognition of the right to conscientious objection. (shrink)

Organ shortage constitutes an unsolved problem for every country that offers transplantation as a therapeutic option. Besides the largely implemented donation model and the eventually implemented market model, a theorized automatic organ procurement model has raised a rich debate in the legal, medical and bioethical community, since it could show a higher potential to solve organ shortage. In this paper, we study the main arguments for and against this model. We show how, in the light of empirical data extracted from (...) countries with a universal health care system, its implementation could lead to a positive impact on organ procurement rates. Three factors are envisioned as fundamental in the comprehension and a possible regulation of the automatic organ procurement model: the lack of recognition of the conscientious objection, the preservation of the right to choose end of life conditions, and the need to avoid incentives for families or healthcare professionals. (shrink)

In this paper we explore the possibilities of a sexual ethics that responds to our times of precariousness. We sustain that the task of a reconsidered sexual ethics can contribute to a more livable life for persons rendered fragile beyond our constitutive embodied fragility. Thus, we connect Judith Butler with 20th century dialogical philosophies as well as with some analysis on sexuality and ethics in authors like Thomas Nagel and Margaret Farley. In all this a key category will be that (...) of justice. (shrink)

In this paper we seek to take notice of the evolution and continuity of Jan Patočka’s phenomenology on the topic of the world and human existence’s relationship with it. We believe that this problem underlies and stimulates Patočka’s whole phenomenological research and we think that it is a key element to understand the ensemble of his thought.

En este trabajo describimos las líneas básicas del análisis fenómeno-lógico de la corporalidad en Patočka. El estudio de la corporalidad es un elemento clave en el proyecto de fenomenología asubjetiva de Jan Patočka. Es en ella donde se da la inserción del sujeto finito en el mundo y es en ella donde se hace compren-sible el dinamismo del sujeto en el mundo, un sujeto que no “constituye” el mundo sino que es una fuerza en el campo de fuerzas del aparecer.In (...) this paper we describe the basic lines of Jan Patočka’s analysis of em-bodiment. The study of corporeality is a key element in Patočka’s project of an a-subjetive Phenomenology. It is within corporeality where the finite subject’s inser-tion in the world takes place and it is there that the subject’s dynamism becomes understandable; this subject does not “constitute” the world but is a force in the field of forces of appearance. (shrink)

Neste artigo apresentamos as análises fenomenológicas sobre a dor que Jan Patočka desenvolveu nos anos 40. Nelas, o filósofo aponta para uma posição interessante sobre a dor como uma experiência do mal. Em particular, a dor é uma intenção negativa, onde existe um objeto peculiar que aniquila todos os objetos possíveis aos quais os desejos humanos aspiram. Esta tese do filósofo checo, além de esclarecer todo o seu trabalho, enquadra-‑se plenamente nos atuais debates filosóficos e interdisciplinares sobre a dor.

En este trabajo buscamos dar cuen-ta de la evolución y continuidad de la fenomenología de Jan Patočka en torno al tema del mundo y relación de la existencia humana con el mismo. Creemos que este problema subyace y anima toda su investigación fenomenológica y que es clave para comprender el conjunto de su pensamiento.In this paper we seek to take notice of the evolution and continuity of Jan Patočka’s phenomenology on the topic of the world and human existence’s relationship with (...) it. We believe that this problem underlies and stimulates Patočka’s whole phenomenological research and we think that it is a key element to understand the ensemble of his thought. (shrink)

En este trabajo describimos las líneas básicas del análisis fenómeno-lógico de la corporalidad en Patočka. El estudio de la corporalidad es un elemento clave en el proyecto de fenomenología asubjetiva de Jan Patočka. Es en ella donde se da la inserción del sujeto finito en el mundo y es en ella donde se hace compren-sible el dinamismo del sujeto en el mundo, un sujeto que no “constituye” el mundo sino que es una fuerza en el campo de fuerzas del aparecer.In (...) this paper we describe the basic lines of Jan Patočka’s analysis of em-bodiment. The study of corporeality is a key element in Patočka’s project of an a-subjetive Phenomenology. It is within corporeality where the finite subject’s inser-tion in the world takes place and it is there that the subject’s dynamism becomes understandable; this subject does not “constitute” the world but is a force in the field of forces of appearance. (shrink)

Jan Patočka desarrolló un original trabajo fenomenológico pese a circunstancias adversas. En él, pasó de defender unas tesis muy cercanas a Ideas I a sostener unos planteamientos notablemente alejados. Para el filósofo checo, Husserl habría localizado la esfera trascendental pero habría errado al tomarla por un ente o preente subjetivo. Por el contrario, una aplicación consecuente hasta el final de la epojé nos permite ir hasta la auténtica esfera trascendental, que es el mundo como proto-estructura universal de aparición. En consecuencia, (...) Patočka diverge muy notablemente de Husserl al tiempo que mantiene la propuesta de una fenomenología trascendental. Asimismo, esta noción de la esfera trascendental permite profundizar la crítica a Husserl, pues su subjetivismo vendría dado por haber confundido la realización concreta del aparecer en cada sujeto concreto con la esfera pura del aparecer. Husserl no habría sido, a ojos de Patočka, lo suficientemente trascendental.Jan Patočka developed an original phenomenological research in spite of adverse circumstances. He underwent a profound evolution. If at first his theses were very close to Husserl’s Ideas, at the end of his life his position was notably different of his master’s. For the Czech philosopher, Husserl was right to speak about a transcendental sphere but was wrong to take it as an entity or pre-entity of subjective nature. On the contrary, a consequent use of epokhe enables us to get to the true transcendental sphere. This sphere is the “world” as the universal structure of appearing as such. Consequently, Patočka diverges from Husserl but he keeps the idea of a transcendental phenomenology. Furthermore, Patočka thinks that Husserl mistook the realisation of appearing in each particular subject with the pure sphere of appearance. According to Patočka, then, Husserl’s Phenomenology would not have been transcendental enough. (shrink)

En este artículo partimos del pensamiento de Butler para adentrarnos en las propuestas de tres autoras que consideramos que complementan su proyecto de ayudar a las personas excluidas en su lucha por una vida más digna, una vida “vivible”, así como la estrategia de lograrlo mediante resignificaciones performativas de discursos y prácticas. Por un lado, presentamos los trabajos de Sarah Ahmed y Lanei Rodemeyer, para atender a la espacialidad y temporalidad del cuerpo vivido, y a la relación entre el cuerpo (...) y el discurso. En ambos casos se aplica la fenomenología pura, no hermenéutica, a la cuestión de la diversidad sexual. Por otro lado, nos adentramos en las obras de Luise Bourgeois, para quien la creación artística es un modo de exorcizar el dolor y de liberarse de las cárceles socialmente construidas. Partiendo de la línea que recorren y abren estas autoras, creemos que se puede elaborar una fenomenología en la que quepa lo que se suele quedar en los márgenes. Esta fenomenología permitiría, por un lado, visibilizar a quienes no encajan en los conceptos y categorías establecidas, y por otro, contribuir a una reformulación de los discursos que les permita habitar en ellos. La fenomenología de las cosas mismas no naturaliza las opresiones, como podría sospecharse, creemos que más bien es una aliada para reconocerlas, denunciarlas y repararlas. (shrink)

The American Journal of Bioethics, Volume 12, Issue 6, Page 15-17, June 2012.

Revisión del libro En la cresta de la ola. Debates y definiciones en torno a la historia del tiempo presente por E. Allier Montaño, C. I. Vilchis Ortega y C. V. Ovalle (coord.).

In this article, we examine the political and educational relevance of Hannah Arendt’s account of friendship. Drawing from Arendt’s central works on friendship, we offer a novel interpretation of the concept by connecting the notion with the idea of educational ‘love for the world’, amor mundi. With this interpretation, we seek to demonstrate that the concept of friendship has both direct educational and indirect political significance. Thereby, we distinguish our interpretation from two previous understandings of the educational relevance of the (...) Arendtian notion of friendship—those by (1) Aaron Schutz and Marie G. Sandy, and (2) Morten T. Korsgaard—in which friendship is either assigned a specifically political role (as in (1)) or its significance to education is narrowly understood (as in (2)). We argue our interpretation of friendship offers both a new contribution to the understanding of the relationship between education and politics in the context of Arendt scholarship, and a novel way of thinking about the educational significance of friendship in the context of contemporary democratic politics, especially the prevailing political polarization. (shrink)

The aim of this essay is to analyze the notion of “loving, knowing ignorance,” a type of “arrogant perception” that produces ignorance about women of color and their work at the same time that it proclaims to have both knowledge about and loving perception toward them. The first part discusses Marilyn Frye's accounts of “arrogant” as well as of “loving” perception and presents an explanation of “loving, knowing ignorance.” The second part discusses the work of Audre Lorde, Elizabeth Spelman, and (...) María Lugones in their attempts to deal with the issue of arrogant perception within feminism, and examines how Lugones's notion of “‘world’-traveling” may help us deal with “loving, knowing ignorance.” Ultimately, the author suggests that we need to become aware of instances of “loving, knowing ignorance,” especially if we are to stay true to Third Wave feminism's commitment to diversity. (shrink)

Autobiography and phenomenology: Preface for Germans (1934).--Phenomenology and theory of knowledge: Sensation, construction, and intuition (1913). On the concept of sensation (1913). Consciousness, the object, and its three distances (1916).--Phenomenology and esthetics: An essay in esthetics by way of a preface (1914). Esthetics on the streetcar (1916).--An esthetics of historical reason: The idea of theater: an abbreviated view (1946). Reviving the paintings (Velázquez, chapter I) (1946).

Planteamiento de la naturaleza, de la filosof a y de su raz n hist rica, al contemplar panor micamente la totalidad de su pasado e intentar reconstruir el dram tico suceso de su origen.

Introduction 'Indoctrination' belongs to a family of concepts which includes ' teaching', 'education', 'instruction', and 'learning'. ...

_Epistemic Logic_ studies statements containing verbs such as 'know' and 'wish'. It is one of the most exciting areas in medieval philosophy. Neglected almost entirely after the end of the Middle Ages, it has been rediscovered by philosophers of the present century. This is the first comprehensive study of the subject. Ivan Boh explores the rules for entailment between epistemic statements, the search for the conditions of knowing contingent propositions, the problems of substitutivity in intentional contexts, the relationship between epistemic (...) and modal logic, and the problems of composite and divided senses in authors ranging from Abelard to Frachantian. (shrink)

_Epistemic Logic_ studies statements containing verbs such as 'know' and 'wish'. It is one of the most exciting areas in medieval philosophy. Neglected almost entirely after the end of the Middle Ages, it has been rediscovered by philosophers of the present century. This is the first comprehensive study of the subject. Ivan Boh explores the rules for entailment between epistemic statements, the search for the conditions of knowing contingent propositions, the problems of substitutivity in intentional contexts, the relationship between epistemic (...) and modal logic, and the problems of composite and divided senses in authors ranging from Abelard to Frachantian. (shrink)

An assertion is existentially known if and only if: (i) the speaker knows that the sentence she uses to make the assertion expresses a true proposition; (ii) she makes the assertion based on that knowledge; and (iii) she does not believe, have justification for, or know the proposition asserted. Accordingly, if existentially known assertions could be made correctly—as argued by Charlie Pelling in his ‘Assertion and the Provision of Knowledge’—this would show that the norm of assertion cannot be the speaker's (...) belief in, justification for or knowledge of the proposition. In this paper, I try to show that Pelling's argument is inconclusive, as it rests on two assumptions which can be resisted. In turn, I offer a pair of alternative strategies to explain how we can deal with existentially known assertions under the assumption that the speaker's knowledge is the norm of assertion. (shrink)

"The medical establishment has become a major threat to health. The disabling impact of professional control over medicine has reached the proportions of an epidemic. Iatrogenesis, the name for this new epidemic, comes from iatros, the Greek word for physician, and genesis, meaning origin. Discussion of the disease of medical progress has moved up on the agendas of medical conferences, researchers concentrate on the sick-making powers of diagnosis and therapy, and reports on paradoxical damage caused by cures for sickness take (...) up increasing space in medical dope-sheets [...] The public has been alerted to the perplexity and uncertainty of the best among its hygienic caretakers [...] This book argues that panic is out of place. Thoughtful public discussion of the iatrogenic pandemic, beginning with an insistence upon demystification of all medical matters, will not be dangerous to the commonweal."-- from Introduction. (shrink)

Based on the concept of interactional competence, our study analyzes how learners of Spanish as a foreign language in a B2 level manage repair in oral interaction in language classrooms. We understand repair as “the treatment of trouble in talk-in-interaction”. A corpus of eleven interactions between students in the classroom is analyzed through the perspective of Conversation Analysis. The interactions were collected in different kinds of tasks in the language classroom. In our analysis we compare interactions produced in practice activities (...) and interactions collected during assessment. The findings in this study show a tendency to manage repair in classroom oral interaction as it would be done in normal conversation. Regarding the different contexts of our corpus, we observe that, in interactions produced in assessment contexts, speakers try to protect their interlocutor’s face and their own face by avoiding to make repairs. (shrink)

The aim of this essay is to carry out an analysis of the multi-voiced, multi-cultural self discussed by Latina feminists in light of a Heideggerian phenomenological account of persons or "Existential Analytic." In so doing, it (a) points out similarities as well as differences between the Heideggerian description of the self and Latina feminists' phenomenological accounts of self, and (b) critically assesses María Lugones's important notion of "world-traveling." In the end, the essay defends the view of a "multiplicitous" self which (...) takes insights from Lugones's view of the self that "travels 'worlds'" and from other Latina feminists' accounts of self as well as from Martin Heidegger's account of Dasein. (shrink)

Lackey’s (2007) class of “selfless assertions” is controversial in at least two respects: it allows propositions that express Moorean absurdity to be asserted warrantedly, and it challenges the orthodox view that the speaker’s belief is a necessary condition for warranted assertibility. With regard to the former point, I critically examine Lackey’s broadly Gricean treatment of Moorean absurdity and McKinnon’s (2015) epistemic approach. With regard to the latter point, I defend the received view by supporting the knowledge account, on which knowledge (...) is the necessary condition for warranted assertion. After examining two defenses of KA, by Montminy and Turri, I propose two alternative approaches. Although I remain neutral between them, I develop in more detail the view which classifies “selfless assertions” as “presentations”, a type of assertives distinct from genuine assertions. This account is motivated further by allowing for the expansion of the normative approach to other assertives, a feature we may be interested in, in the light of a recent wave of normative accounts of speech acts. (shrink)

O utopianismo científico de Neurath é a proposta para que as ciências sociais se envolvam na elaboração, desenvolvimento e comparação de cenários contrafactuais, as ‘utopias’. Tais cenários podem ser entendidos como peças centrais de experimentos de pensamento científicos, isto é, em exercícios da imaginação que não apenas promovem a revisão conceitual, mas também estimulam a criatividade para lidar com problemas vivenciados, já que utopias são esforços para imaginar como o futuro poderia ser. Ademais, experimentos de pensamento utópicos podem oferecer conhecimento (...) científico para informar debates e decisões políticas, contribuindo para formatar a sociedade. Este ensaio reconstrói um evento histórico como um exemplo da metodologia utopianista de Neurath. No final dos anos 1970 e início dos anos 1980, uma comissão científica e política designada pelo parlamento da Alemanha Ocidental inventou e comparou quatro cenários para políticas energético-econômicas futuras. Conclusões da comissão informaram decisões políticas que puseram a Alemanha Ocidental (e depois reunificada) em um caminho para se tornar uma potência industrial verde. Uma parte fundamental do trabalho da comissão envolveu um apelo à imaginação, permitindo a caracterização sob a metodologia de Neurath. (shrink)

The "theory of mind" framework has been the fastest growing body of empirical research in contemporary psychology. It has given rise to a range of positions on what it takes to relate to others as intentional beings. This book brings together disparate strands of ToM research, lays out historical roots of the idea, and indicates better alternatives.

"Ivan Illich alights on such topics as education, history, language, politics, and the church. The conversations range over the whole of Illich's published work and public career as a priest, vice-rector of a university, founder of the Centre for Intercultural Documentation in Cuernavaca, Mexico, and author of such classics as Tools for Conviviality, Medical Nemesis, and Deschooling Society.".