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 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.

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)

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)

VVe argue in this essay that the real violence in schools is a result of the structural violence of oppresive social conditions that force students, especially low-income African American and Latino males, tofeel vulnerable, angry, and resistant to the normative expectations of “police-like” school environments. Instead of making attempts to transform these oppressive conditions and explore alternatives outsideof these frameworks, schools utilize the ideological state apparatuses (ISA’s) to justify the construction of certain students (e.g., African American and Latino males) as (...) “violent/deviant/disabled” therebymaking it an individual rather than a social problem. On the other hand, we contend, a political economic analysis of educational contexts makes critical linkages between race, class, and disabilityand in doing so offers an alternative way of re-theorizing identity. Additionally this argument will aIso demonstrate how a political economic analysis exposes and re-orients one towards a collective (global) struggle for social transfornlation in critical multicultural contexts. (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)

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.

A disconnect remains between theories about responsible management and application in real-life organizations. Part of the reason is due to the complexity and holistic nature of the field, and the fact that many of the benefits of aligning business objectives with changing societal conditions are of an intangible nature. Human resource management is an increasingly important part of the field with benefits including talent retention, higher levels of motivation, and improvements in organizational cohesion. This paper sets out an experiment run (...) at a large Spanish university to try to analyze the impact on worker productivity of a responsible management stance by an employer. Based on the Corporate Social Performance model, the paper examines the issue from the point of view of responsibilities, responsiveness, and outcomes, and considers the cost/benefit effect of incorporating a social responsibility variable into the wage structure to measure the impact on productivity. (shrink)

An overview on archaeological evidence, provided by Colagè and d’Errico, reveals that the timing, location, and pace of cultural innovations are more consistent with scenarios that take culture, rather than genetic evolutionary processes, as the key driving force for human cognition. The authors elaborate on those mechanisms by which cultural evolution operates, with a specific focus on cultural exaptation and cultural neural reuse.

If we are to believe the proponents of the Theory of Practice and of Rational Choice, the gap between these two paradigmatic approaches cannot be bridged. They rely on ontological premises, theories of motivations and causal models that stand too far apart. In this article, I argue that this theoretical antinomy loses much of its edge when we take as objects of sociological investigation processes of historical change, that is, when we try to specify in theoretical terms how and in (...) which conditions historical actors enact and endorse shifts in patterns of relations as well as shifts in the symbolic and cognitive categories that make these relations significant. I substantiate this argument in light of the distinction between two temporalities of historical change: first, the long waves of gradual change and, second, the short waves of moments of breaks and ruptures. Along the way, I develop an argument about the conditions of emergence of self-limiting norms and the centrality of epistemic beliefs in situations of high disruption. (shrink)

Identifying, classifying, and analyzing arguments in legal discourse has been a prominent area of research since the inception of the argument mining field. However, there has been a major discrepancy between the way natural language processing (NLP) researchers model and annotate arguments in court decisions and the way legal experts understand and analyze legal argumentation. While computational approaches typically simplify arguments into generic premises and claims, arguments in legal research usually exhibit a rich typology that is important for gaining insights (...) into the particular case and applications of law in general. We address this problem and make several substantial contributions to move the field forward. First, we design a new annotation scheme for legal arguments in proceedings of the European Court of Human Rights (ECHR) that is deeply rooted in the theory and practice of legal argumentation research. Second, we compile and annotate a large corpus of 373 court decisions (2.3M tokens and 15k annotated argument spans). Finally, we train an argument mining model that outperforms state-of-the-art models in the legal NLP domain and provide a thorough expert-based evaluation. All datasets and source codes are available under open lincenses at https://github.com/trusthlt/mining-legal-arguments. (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)

El trabajo utiliza las herramientas conceptuales de la discusión sobre injusticia epistémica para analizar tres contextos de cuidado emocional y la atención a la salud mental, tales como: las redes sociales de apoyo informal, la atención terapéutica y la atención psiquiátrica. El propósito es mostrar el tipo de dinámicas sociales que, en dichos contextos, derivan en una exclusión del testimonio de las personas que recurren a ellas. La tesis central sostiene que entender las diversas dinámicas sociales que propician los distintos (...) tipos de exclusiones, implica desglosar circunstancias sociales de diferente calado, algunas de las cuales se encuentran interrelacionadas, como lo representan la producción de sesgos derivados de diferentes tipos de prejuicios (de identidad o participación), mientras que, otras, responden a la constitución de un exceso de credibilidad otorgado a determinados campos expertos. De esta forma la invitación es a pensar que la restitución de la justicia epistémica en este tipo de atención y cuidado no depende ni de la corrección de una sola instancia social, ni de la mejora de un solo sistema experto. (shrink)

Reseá crítica sobre el libro de Ángeles Eraña, De un mundo que hila personas (o de la inexistencia de la paradoja individuo/sociedad), UNAM-Instituto de Investigaciones Filosóficas/UAM-Cuajimalpa-División de Ciencias Sociales y Humanidades, Ciudad de México, 2021, 175 pp.

Conversation analysts have noted that, in psychotherapy, formulations of the client's talk can be a vehicle for offering a psychological interpretation of the client's circumstances. But we notice that not all formulations in psychotherapy offer interpretations. We offer an analysis of formulations that are diagnostic: that is, used by the professional to sharpen, clarify or refine the client's account and make it better able to provide what the professional needs to know about the client's history and symptoms. In doing so, (...) these formulations also have the effect of shepherding the client's account towards subsequent therapeutic interpretation. In a coda, we notice that sometimes the formulations are designed discreetly. We examine one such discreet formulation in detail, and show how its very ambiguity can lead to its failure as a diagnostic probe. (shrink)

Positive reappraisal strategies have been found to reduce negative affect following the recall of negative personal events. This study examined the restorative effect of two mood-repair instructions (self-compassion vs benefit-focused reappraisal) and a control condition with no instructions following a negative Mood Induction Procedure by using the guided recall of a negative autobiographical event. A total of 112 university students participated in the online study (81% women, Mage: 21.0 years). Immediately following the negative memory recall, participants were randomised to each (...) condition [(self-compassion: n = 36, benefit-focused: n = 39) or a control condition (n = 37)]. Repeated measures ANOVAs 3 (Repair condition) × 3 (Time of mood assessment: pre-recall, post-recall, post-regulation) showed that, as expected, negative mood (sadness, shame, and guilt) worsened significantly after the guided recall in all groups (p <.001). After the mood-repair intervention, participants in the self-compassion and benefit-focused conditions showed a significant reduction in negative mood (p <.019), while such improvement was not observed in the control group. Self-compassion and benefit-focused reappraisal functioned similarly as mood repair strategies after experiencing negative affect induced by the recall of negative personal memories. Implications in the context of autobiographical memory biases are discussed. (shrink)

Desde 1935 Ortega anunció la publicación de un libro con el título de El hombre y la gente contendría su doctrina sociológica, pero sólo se publicó en 1957 y como la primera de sus obras póstumas. Esta nueva edición incluye el texto, inédito hasta la fecha, de la conferencia pronunciada por Ortega en 1934 a la que había dado el título que hoy lleva este libro, y en la que por primera vez expuso públicamente su idea de los (...) " usos " como realidad constitutiva del hecho social. Por otra parte, el texto va revisado y cotejado conforme a los originales. (shrink)

"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.".

Statements of degree appear to falsify basic doctrines in Tractatus Logico-Philosophicus. I offer a fresh formulation of the challenge and assess a solution proposed on Wittgenstein’s behalf by Sarah Moss. I find that Moss’s proposal fails. The proposal rides in part on novel interpretations of pronouncements by Wittgenstein on the nature of the elementary proposition. I find that the interpretations cannot be sustained but that Moss’s textual case hints at important and overlooked features of the Tractarian program. I develop Wittgenstein’s (...) comparison of propositions to measuring instruments and apply it throughout, showing that it captures philosophical commitments in Tractatus that otherwise tend to slip from view. (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).