Pain, suffering and positive emotions in patients in vegetative state/unresponsive wakefulness syndrome (VS/uws) and minimally conscious states (MCS) pose clinical and ethical challenges. Clinically, we evaluate behavioural responses after painful stimulation and also emotionally-contingent behaviours (e.g., smiling). Using stimuli with emotional valence, neuroimaging and electrophysiology technologies can detect subclinical remnants of preserved capacities for pain which might influence decisions about treatment limitation. To date, no data exist as to how healthcare providers think about end-of-life options (e.g., withdrawal of artificial nutrition (...) and hydration) in the presence or absence of pain in non-communicative patients. Here, we aimed to better clarify this issue by re-analyzing previously published data on pain perception (Prog Brain Res 2009 177, 329–38) and end-of-life decisions (J Neurol 2010 258, 1058–65) in patients with disorders of consciousness. In a sample of 2259 European healthcare professionals we found that, for VS/uws more respondents agreed with treatment withdrawal when they considered that VS/uws patients did not feel pain (77%) as compared to those who thought VS/uws did feel pain (59%). This interaction was influenced by religiosity and professional background. For MCS, end-of-life attitudes were not influenced by opinions on pain perception. Within a contemporary ethical context we discuss (1) the evolving scientific understandings of pain perception and their relationship to existing clinical and ethical guidelines; (2) the discrepancies of attitudes within (and between) healthcare providers and their consequences for treatment approaches, and (3) the implicit but complex relationship between pain perception and attitudes toward life-sustaining treatments. (shrink)

Les canevas de conférences sont à l'œuvre de Gustave Thibon ce que les esquisses sont aux toiles ou aux sculptures des artistes : souvent conçues comme simples outils de travail, elles survivent, par leur valeur intrinsèque, à leur emploi. Ainsi des textes que nous proposons ici aux lecteurs : Gustave Thibon ne les a écrits que pour lui-même, à seule fin d'affermir son discours lorsqu'il parlait en public. Précaution utile, car il improvisait beaucoup... Mais de même que la (...) nudité du trait, s'il est juste, fait ressortir le pouvoir miraculeux de la main, le dépouillement de la phrase accusera ici celui de l'intelligence. Et Gustave Thibon a l'intelligence contagieuse! Il nous donne de comprendre tout ce qu'il nous donne à comprendre. On remarquera qu'ici, où il n'est guère question que de sujets "terre à terre", sociaux ou politiques, Gustave Thibon emploie, certes, son légendaire bon sens à la juste exposition des problèmes, à la claire formulation des questions (ce qui relève d'une sorte de bon sens inspiré qui n'a vraiment rien de commun avec le gros bon sens ordinaire) mais qu'en revanche, il n'entrevoit jamais l'ombre d'une solution qui n'exige de la part des hommes un minimum d'ouverture à une autre dimension - une dimension spirituelle, religieuse, hors de laquelle tout se complique à l'infini, rien ne peut être dénoué."--Page 4 of cover. (shrink)

In elaborating his phenomenological project, Michel Henry refers to Søren Kierkegaard. After a brief survey of Henry’s phenomenology of the self, we will inquire whether this appropriation is accurate. It will be argued that Kierkegaard’s dialectics of existence can operate as a therapy or corrective in order to save Henry’s project of a radical immanent and passive self. If not, it suffers from incoherence both from a phenomenological as well as from a theological perspective. Each self-consciousness, even in its most (...) extreme aff ective states, cannot dispose itself of refl ective remnants. On the contrary, it is precisely Kierkegaard’s proposition that refl ection intensifi es pathos. What appears as most near and dear to us, be it God, self or life, always touches from a distance. (shrink)

Vorschule der Aesthetik ist ein unveranderter, hochwertiger Nachdruck der Originalausgabe aus dem Jahr 1876. Hansebooks ist Herausgeber von Literatur zu unterschiedlichen Themengebieten wie Forschung und Wissenschaft, Reisen und Expeditionen, Kochen und Ernahrung, Medizin und weiteren Genres.Der Schwerpunkt des Verlages liegt auf dem Erhalt historischer Literatur.Viele Werke historischer Schriftsteller und Wissenschaftler sind heute nur noch als Antiquitaten erhaltlich. Hansebooks verlegt diese Bucher neu und tragt damit zum Erhalt selten gewordener Literatur und historischem Wissen auch fur die Zukunft bei.".

Seite dualität: Anarchismus 121. Konsequenzen der individualitätszerstörenden Gleichheitstheorie: Stellung der Frau 123; unhistorische Denkweise 123; ...

Commentary and notes on Plato's Republic. The text of the Republic is not included.

It is argued here that cognitive science currently neglects an important source of insight into the human mind: the effects created by magicians. Over the centuries, magicians have learned how to perform acts that are perceived as defying the laws of nature, and that induce a strong sense of wonder. This article argues that the time has come to examine the scientific bases behind such phenomena, and to create a science of magic linked to relevant areas of cognitive science. Concrete (...) examples are taken from three areas of magic: the ability to control attention, to distort perception, and to influence choice. It is shown how such knowledge can help develop new tools and indicate new avenues of research into human perception and cognition. (shrink)

Seit dem 2. nachchristlichen Jahrhundert werden die Schriften von Aristoteles kommentiert. Diese Ausgabe enthält griechische Kommentare zu seinem Werk vom 3. bis 8. Jahrhundert n. Chr., u. a. von Alexander von Aphrodiensias, Themistios, Joh. Philoponus, Simplicius in griechischer Sprache.

Doctors occasionally make diagnoses in strangers outside of formal medical settings by using the medical skill of visual inspection, such as noticing signs of melanoma or the symptoms of hyperthyroidism. This may cause considerable moral unease and doubts on the side of the diagnosing physician. Such encounters force physicians to consider whether or not to intervene by introducing themselves to the stranger and offering an unsolicited medical opinion despite the absence of a formal doctor-patient relationship. A small body of literature (...) has addressed the topic of the unsolicited medical opinion, often with a primary focus on practical advice. This article seeks to establish an ethical-theoretical basis for physicians' ethical obligation to offer an unsolicited medical opinion when they make a diagnosis by visual inspection in a stranger outside of the formal medical context. Using a utilitarian approach, it is argued that, if it is in the physicians' power to prevent a possible loss of well-being, without thereby sacrificing anything of equal value, physicians have an ethical obligation to intervene. (shrink)

Breve y penetrante ensayo de acercamiento al significado profundo de las ciencias jur dicas. el autor estudia la idea y la filosof a del derecho y las enmarca dentro del contexto hist rico de las grandes culturas jur dicas: el derecho romano, el angloamericano, el franc s y el alem n.