Propósito: la adecuación del esfuerzo terapéutico es una decisión clínica basada en la evidencia que pretende evitar la futilidad médica. Se han señalado diferentes factores que pueden influir en esta toma de decisiones los cuales se relacionan con el paciente, el profesional médico que toma de las decisiones, barreras del sistema, cultura y economía, entre otros. El presente estudio pretende identificar aquellos factores que influyen en los médicos especialistas que laboran en la institución referente del cáncer en Colombia, a fin (...) de planear acciones que mejoren el abordaje de la toma de decisiones con respecto a la adecuación del esfuerzo terapéutico en pacientes con cáncer. Metodología: diseño cualitativo basado en 13 entrevistas en profundidad a médicos especialistas del Instituto Nacional de Cancerología de Colombia. Resultados: participaron 3 mujeres y 10 hombres, con un promedio de edad de 36 años, 7 pertenecientes a la especialidad de oncología de adultos, 2 a oncohematología pediátrica, 1 a cuidados intensivos de adultos y 3 a cuidados intensivos pediátricos. Los factores hallados se agruparon en cuatro categorías: 1) conocimiento, 2) aspectos relacionados con la toma de decisiones, 3) quién decide, 4) tipo de decisión que se toma; a su vez, estas categorías se agruparon en temas que hacen alusión a los factores que influyen en la toma de decisiones de los especialistas para adecuar los esfuerzos terapéuticos. Conclusión: la adecuación de los esfuerzos terapéuticos es importante para evitar procedimientos médicos fútiles que prolonguen el sufrimiento. Se evidenciaron algunos factores que influyen en la toma de decisiones de los especialistas: falta de preparación de los profesionales de salud en el tema de toma de decisiones al final de la vida, uso reducido de escalas que permitan mejorar la información del pronóstico y desconocimiento sobre voluntades anticipadas; estos son algunos de aquellos factores que deben fortalecerse para generar acciones que mejoren el abordaje de esta temática. (shrink)

The present article is devoted to a logical treatment of some fundamental concepts involved in responsibility attribution. We specify a theoretical framework based on a language of temporal deontic logic with agent-relative operators for deliberate causal contribution. The framework is endowed with a procedure to solve normative conflicts which arise from the assessment of different normative sources. We provide a characterization result for a basic system within this framework and illustrate how the concepts formalized can be put at work in (...) the analysis of examples of legal reasoning. (shrink)

The purpose of the present text is to show the importance of the system of relevances in respect of the analysis of the literary texts. This concept, developed by Alfred Schutz, helps not only to understand the relation between text and empirical reality as such, but it simultaneously questions the relation between reader, writer, and text. The questions raised by the status of the system of relevances help the phenomenological analysis of the literary text to achieve a better understanding of (...) the act of signification (particularly that defined in the realm of literature) and of the status of reference. It helps also to understand how the configuration of experience as such can be modified according to the specific interaction accomplished within the act of reading. (shrink)

Attention-deficit/hyperactivity disorder (ADHD) represents adaptation to defective neurotransmission – an adaptation seldom with benefit. The resulting behavioural style not only increases vulnerability to adverse experiences, but also creates a context in which encountering adversity is more likely. Furthermore, the fact that ADHD is a highly heritable condition increases the probability of a child with a compromised neurobiological disposition being raised by caregivers with suboptimal resources.

Recent achievements in rehabilitative robotics modify essential parameters of the human body, such as motility. Exoskeletons used for persons with neurological impairments like spinal cord injury and stroke enter this category by rehabilitating and assisting damaged motor patterns, achievements thought impossible until not long ago. Unlike other examples leading to similar dysfunctions, such as diseases or tumors, the experience of an accident causing a spinal cord injury or the occurrence of a cerebrovascular accident is sudden and perceived as a radical (...) event. This often leads to deep consequences for one’s own body capacities. Exoskeletons attempt to alter this condition, contributing to forge a temporary abled body, although this currently happens in the restricted space of a clinic or a lab and under very controlled conditions for the predominance of users. Using qualitative empirical material from an ongoing study in sociology, including expert and narrative interviews as well as ethnographic visits in labs and centers that design and test exoskeletons, this article addresses the challenges and gains that people with stroke and spinal cord injury experience during their training with exoskeletons. The discussed cases contribute to reassess categories from the phenomenological paradigm, disability studies, and the role medical technologies play in contemporary body worlds. (shrink)

The digitalized urban environment is explored in the paper as a medium with several overlapping and inter-weaving spatial layers. The author suggests that it has grown increasingly complex in the multi-spaced and multiply scaled cybercities for people to share in public space. Moreover, the challenges of public living in contemporary urban settings emerge most intensely at the points of intersection of the invisible technostruc-ture and the media saturated phenomenality of the city. At these intersections, one ethically and politically burning issue (...) is how people through their ICT-related activities contribute to the =automatic produc-tion of space‘. More specifically, critical attention should be paid to people‘s active, but not necessarily self-reflexive, participation in the consolidation of the =technological unconscious‘ that conditions their own public agency. (shrink)

This article approaches the Internet in terms of the metaphor of space and examines the web as a terrain for social agency in the local context. The main concern is how the global Internet is currently being used for locally oriented purposes, particularly with the kinds of actor roles that locally oriented web spaces construct for users and the modes of interaction these spaces enable and encourage. Finally, consideration is given to how the web could be developed as an arena (...) for dialogical collective processes where it is possible for citizens to take up a role which includes public deliberation and participation. The article is based on the assumption that the spatial metaphor would be empirically more fruitful if understood and employed in a down-to-earth manner that relates locally oriented web spaces to issues of physical localities and also takes notice of the locally established practices of public communication. (shrink)

In this book, Gobetti combines political theory with the history of political thought to question the conceptual conventions and tacit assumptions which surround the concepts of private and public. In seeking the foundations of the modern liberal conception of private and public, she traces it to modern Natural Law thinkers, in particular Locke and Hutcheson. By developing a revised interpretation of 17th century natural jurisprudence, which recognizes that every adult controls an individual or private domain, as well as engaging in (...) political, community or public interaction, Gobetti raises interesting questions about the politics of participation in modern society. (shrink)

Die "Consolatio philosophiae" von Boethius war im Mittelalter ausserordentlich verbreitet. Als eines der wichtigsten Werke der mittelalterlichen Ethik und zugleich Schullektüre wurde sie häufig kommentiert und in die Volkssprachen übertragen. Die in MS. Hamilton 46 der Bodleian Library, Oxford, überlieferte, 1465 abgefasste Übersetzung ist eine von insgesamt vier noch erhaltenen deutschsprachigen Versionen der Trostschrift, die in der 2. Hälfte des 15. Jahrhunderts unabhängig voneinander entstanden sind. Nur im Oxforder Codex wird die deutsche Übersetzung mit ihrer lateinischen Vorlage samt lateinischer Glossen (...) überliefert. Dadurch ist eine einzigartige Grundlage gegeben, von der aus die Arbeitsweise und Intention des Übersetzers genau untersucht werden kann. In der vorliegenden Publikation wird der Boethius-Text der Hamiltoner Handschrift, der sich aus Grund-, Paratext und deutscher Übersetzung zusammensetzt und im Original nur sehr schwer zu lesen ist, zum ersten Mal in Form einer wissenschaftlichen Edition und Studie zugänglich gemacht. Der synoptischen Edition des lateinischen Basistextes samt vielschichtiger Glossen und der deutschen Fassung folgen ein vergleichender Kommentar und zwei Glossare, welche jeweils Übersetzungstechniken und Wortschatz eingehend erschliessen. Der Edition vorausgeschickt ist eine Studie, die sich mit der Sprache und Provenienz der Übertragung, ihrem Entstehungs- und Verwendungskontext, ihrer Stellung innerhalb der deutschen "Consolatio"-Tradition, ihrer Abhängigkeit vom lateinischen Text und den Glossen, mit dem lateinischen Grund- und Paratext sowie den unterschiedlichen Textherstellungsphasen detailliert befasst."--Page 4 of cover. (shrink)

It is widely believed that we ought not to criticize others for wrongs that we ourselves have committed. The author draws out and challenges some of the background assumptions about the practice of criticism that underlie our attraction to this claim, such as the tendency to think of criticism either as a social sanction or as a didactic intervention. The author goes on to offer a taxonomy of cases in which the moral legitimacy of criticism is challenged on the grounds (...) that the critic him- or herself engages in the behavior that he or she criticizes in others. The author argues that, in each type of case, the would-be critics should not constrain their participation in moral discourse on the grounds that they are not themselves innocent of the wrongdoing they criticize in others. (shrink)

I-Language introduces the uninitiated to linguistics as cognitive science. In an engaging, down-to-earth style Daniela Isac and Charles Reiss give a crystal-clear demonstration of the application of the scientific method in linguistic theory. Their presentation of the research programme inspired and led by Noam Chomsky shows how the focus of theory and research in linguistics shifted from treating language as a disembodied, human-external entity to cognitive biolinguistics - the study of language as a human cognitive system embedded within the (...) mind/brain of each individual. The recurring theme of equivalence classes in linguistic computation ties together the presentation of material from phonology, morphology, syntax, and semantics. The same theme is used to help students understand the place of linguistics in the broader context of the cognitive sciences, by drawing on examples from vision, audition, and even animal cognition.This textbook is unique in its integration of empirical issues of linguistic analysis, engagement with philosophical questions that arise in the study of language, and treatment of the history of the field. Topics ranging from allophony to reduplication, ergativity, and negative polarity are invoked to show the implications of findings in cognitive biolinguistics for philosophical issues like reference, the mind-body problem, and nature-nurture debates.This textbook contains numerous exercises and guides for further reading as well as ideas for student projects. A companion website with guidance for instructors and answers to the exercises features a series of pdf slide presentations to accompany the teaching of each topic. (shrink)

Who is a child’s father? Is it the man who raised her, or the one whose genes she carries—or both? We look at the view that men who have raised children they falsely believed to be ‘their own’ have been victims of a form of fraud or are ‘false fathers’. We consider the question of who has been harmed in such cases, and in what the harm consists. We use conceptual analysis, a philosophical method of investigating the use of a (...) concept and the logical implications of its various interpretations. We devise and discuss a number of possible scenarios in which a couple (arguably) become the parents of a child. We use these scenarios to illustrate the tenuousness of the claim that we can simply rely on biology to clarify parent-child relationships. We also discuss some of the underpinnings and implications of the language in which the debate on ‘paternity fraud’ has been framed: ‘duped’ or ‘false’ fathers and ‘cuckoo children’. (shrink)

Internationally, there is considerable inconsistency in the recognition and regulation of children's genetic connections outside the family. In the context of gamete and embryo donation, challenges for regulation seem endless. In this paper, I review some of the paths that have been taken to manage children' being closely genetically related to people outside their families. I do so against the background of recognising the importance of children's interests as moral status holders. I look at recent qualitative research involving donor-conceived people (...) and borrow their own words to make sense of a purported interest to know (of) their close genetic ties. I also review ways in which gamete donation may have facilitated new kinds of kinship, which are at the same time genetic and chosen. In short, in this paper, I explore what meaning there could be in genetic connections that is not about parenthood. Further, I argue that the focus on parenthood in previous work in this area may be detrimental to appreciating some of the goods that can be derived from close genetic connections. (shrink)

O presente estudo objetivou analisar a questão da educação feminina, enfatizando a trajetória da mulher na ampliação das oportunidades educacionais e sociais através da profissionalização do Magistério representado pelo Instituto de Educação Régis Pacheco na cidade de Jequié/BA, verificando as transformações ideológicas e sociais que ocorreram no modelo educacional do Brasil e a relação estabelecida entre mulher/educação/curso normal, em meados do Século XIX e Século XX. Abordamos a educação feminina como experiência e prática social histórica que se constitui na necessidade (...) de uma realização pessoal que permita a ascensão da mulher do espaço privado para o público através do exercício da docência. Tratamos da profissionalização do magistério enquanto oportunidade de liberdade e autonomia financeira das mulheres/professoras do Instituto de Educação Régis Pacheco e as contribuições que o processo educacional trouxe para estas professoras. Apresentamos as trajetórias de duas mulheres/professoras, reconhecendo a importância de perceber a história das mulheres através do ponto de vista de quem de fato, faz parte desse processo histórico. (shrink)

The aim of the present article is to draw attention on a historical development in the French sociological tradition. Being a heritage of the Germanintellectual context, the tradition of the comprehensive sociology was not among the main trends in France. Furthermore, the phenomenological orientationin social theory mostly associated with the work of Alfred Schütz was also a side interest until the 1980s. From this decade on, a new paradigm becomesgradually institutionalized, a paradigm which gathers different intellectual and theoretical positions and (...) which partly rehabilitates the comprehensive and thephenomenological heritage. My intention is to analyze how this new orientation in the French social science used the comprehensive legacy in order to proposea new culture of knowledge. (shrink)

Even though co‐parenthood is one of the most significant close personal relationships that people can have, there is relatively little philosophical work on the moral duties that co‐parents owe each other. This may be due to the increasingly questionable assumption, still common in our societies, that co‐parenthood arises naturally from marriage or romantic coupledom and thus that commitment to a co‐parent evolves from a commitment to a marital or romantic partner. In this article, we argue that co‐parenthood should be seen (...) as a relationship in its own right, which generates specific moral duties. Co‐parents should come to explicit agreements with each other regarding the most important areas of potential conflict between them. Such agreements may have to be renegotiated over time. We explore some possible non‐negotiable co‐parental duties such as the duties not to alienate the child from the other parent(s) and not to trap a co‐parent in a particularly vulnerable situation. We consider some legal and societal implications of our argument and, finally, suggest some pragmatic benefits of our proposal. (shrink)

In this brief text we look at one instance of how gender norms continue to inform institutional treatment of parents regarding care for children: specifically, at how the exercise of fathers’ responsibilities for their children can be discouraged or altogether blocked.

This paper explores a distinctive form of social interaction—interpersonal inquiry—in which two or more people attempt to understand one another by engaging in conversation. Like many modes of inquiry into human beings, interpersonal inquiry partly shapes its own objects. How we conduct it thus affects who we become. I present an ethical ideal of conversation to which, I argue, at least some of our interpersonal inquiry ought to aspire. I then consider how this ideal might influence philosophical conceptions of the (...) self. (shrink)

Care este statutul moral al copiilor? Ce înseamnă egalitatea morală dintre copii şi adulți? Care sunt constrângerile pe care le impune acceptarea acestei egalități în ceea ce priveşte felul în care pot fi tratați copiii în familie sau în societate ? Cine are ce fel de responsabilitate pentru copii ? În capitolul de față voi discuta astfel de întrebări. Voi analiza relația dintre copii, părinți şi stat, în dimensiunea ei practică (felul în care ne raportăm la copii), din punct de (...) vedere legal (constrângerile legale asupra felului în care ne raportăm la copii) şi din punct de vedere moral (cum ar trebui să ne raportăm la copii). Voi începe cu o scurtă incursiune în istoria relațiilor dintre copii, părinți, şi stat, atât din punct de vedere legal, cât şi filosofic. Voi prezenta conceptul de statut moral şi ideea de egalitate morală între copii şi adulți. Voi ilustra schimbările sociale şi legislative în ce priveşte acceptarea statutului moral al copiilor şi a egalității morale între copii şi adulți, folosind exemple din România şi Suedia. Voi examina dinamica dintre aspirațiile legale şi morale la care aderă România în ce priveşte statutul moral al copiilor şi normele sociale despre copii, copilărie, şi familie, care nu sunt întotdeauna în acord cu aceste aspirații. Voi urmări apoi schimbările care au avut loc în ultimele decenii în ce priveşte limitele responsabilității parentale. (shrink)

The main endeavor of this project is to elucidate the correlation of two basic phenomenological concepts (typification and Phantasia), thereby allowing for a new discussion concerning the foundation of the life-world. While typification has been particularly developed in the social phenomenology of A. Schutz, Phantasia remains in a rather Husserlian “domain,” with regard to its phenomenological implications. In considering a new perspective, however, their discussion lends itself to a new understanding of the process of constitution. Namely, it will surpass the (...) so-called egological sphere, by incorporating new valences for the structures of the life-world. Even if Phantasia is to be understood in terms of a subjective zone “par excellence,” its correlation to the constant realization of typification will help to circumscribe how Phantasia can condition and contribute to the realization of the life-world on a larger scale. (shrink)

In normative reasoning one typically refers to intervals of time across which norms are intended to hold, as well as to alternative possibilities representing hypothetical developments of a given scenario. Thus, deontic modalities are naturally intertwined with temporal and metaphysical ones. Furthermore, contemporary debates in philosophy suggest that a proper understanding of fundamental ethical principles, such as the Ought-Implies-Can thesis, requires a simultaneous analysis of these three families of concepts. In the present article we propose a general formal framework which (...) allows for fine-grained multimodal reasoning in the normative domain. We provide an axiomatization for a novel system of propositional logic encoding the way in which possibilities and norms arising from different sources change over intervals of time. The usefulness of our framework is illustrated by analysing an ancient and particularly challenging `cold case', the Paradox of the Court. (shrink)

Leading philosophical models of curiosity represent it as a desiderative attitude whose content is a question, and which is satisfied by knowledge of the answer to that question. I argue that these models do not capture the distinctive character of a form of curiosity that I call 'erotic curiosity'. Erotic curiosity addresses itself not to a question but to an object whose significance for the inquirer is affective as well as epistemic. This form of curiosity is best understood by analogy (...) to erotic love as theorized by Plato in the Symposium. (shrink)

Normal 0 false false false MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} This article aims to examine the phenomenon of social services in post-1989 Romania, underscoring the role of the religious factor in the establishment and operation of nongovernmental organisations active in the area of family and child protection/child welfare. The results are based on empirical data collected from interviews with representatives (...) of NGO-s in Iaşi that correspond to the profile of faith-based organisations and which have been included in the list of accredited providers of social services. We used an assessment grid that allowed us to highlight a number of specific characteristics to the Romanian space, found among faith-based organisations involved in the development of social and medical services. One direction that Romanian organisation took was to dilute in time the religious message and to secularise their practices under the influence of the Orthodox majority, as well as following the requirements imposed by secular donors and especially by public ones. The channelling of private resources donated to religious cults predominantly towards building and restoring establishments (churches, monasteries) rather than towards the development of social faith-based programmes aimed at vulnerable populations has caused in faith-based organisations a high level of dependency on secular donors. The process in which the practices and the discourse are secularised is accompanied by a trend towards the fragmentation of the Christian-based civil society. (shrink)

ABSTRACT In “The Lost Thread: the democracy of Modern Fiction”, Jacques Rancière will criticize Roland Barthes, stating that his interpretation of Gustave Flaubert’s book “A simple heart” would have shown himself unable to understand the politics of writing of romanesque literature. For Thomas Clerc, reader of Barthes, Rancière would have been confused by the double character of Barthesian thought: both structuralist and critical. Both authors, Barthes and Rancière, strive to refuse a thought based on the notion of representation. Our hypothesis, (...) however, is that the authors diverge in relation to the very meaning of representation, resulting in a divergence in the understanding of politics, which would support Rancière’s criticism of Barthes not as a confusion, but, rather, as a refusal to the politics of Barthesian writing. With this, we intend to reconstruct the arguments of both autors around Flaubert, to understand the politics of writing that they operate. Refusing the structuralist and ideology-demystifying point of view of Barthes, Rancière points to another reading that sees in the Romanesque literature the rupture in relation to the politics of writing of the representative regime and the configuration of the aesthetic regime. (shrink)

Body image and body schema are two phenomenological concepts which generated a revival of Maurice Merleau-Ponty’s philosophical heritage. In the present text I intend to inquire on the relation between these two concepts and that of Logos of life, another challenging point in the Merleau-Pontyan thought.In order to delineate the correlation between body schema, body image and my understanding of a logic of life, I will first explore how what I term “schematism of the body” is connected to an inherent (...) model of life and living and how this schematism is reflected in the body image. I will turn further to the relation between body and world and highlight how the life of the body defines itself as meaningful in the context of both the surrounding world and the lifeworld. In a third part of my analysis I shall point out how the relation between body schematism and motile intentionality redefines corporeal inten-tionality. I shall conclude by noting the role of the Logos of life, through which corporeity, in its position of meaning project, is instituted as body schematism.Los conceptos fenomenológicos de imagen corporal y esquema corporal han dado lugar a un resurgimiento del legado filosófico de Maurice Merleau-Ponty. En este texto pretendo investigar la relación entre estos dos conceptos y el de Logos de la vida, otro elemento estimulante del pensamiento Merleau-Pontiano.Con el fin de trazar la correlación entre es-quema corporal, imagen corporal y mi interpretación de la lógica de la vida, exploraré en pri-mer lugar cómo el término “esquematismo del cuerpo” está conectado con un modelo inheren-te de vida y de vivir, y cómo este esquematis-mo se refleja en la imagen corporal. Consideraré después la relación entre cuerpo y mundo y remarcaré cómo la vida del cuerpo se define como significativa en el contexto tanto del mundo circundante como del mundo de la vida. En la tercera parte de mi análisis señalaré cómo la relación entre esquematismo corporal e intencionalidad moto-ra redefine la intencionalidad corporal. Concluiré destacando el papel del Logos de la vida, a través del cual la corporeidad, en su posición de proyecto significativo, se instituye como esquematismo corpora. (shrink)

The aim of the present article is to draw attention on a historical development in the French sociological tradition. Being a heritage of the Germanintellectual context, the tradition of the comprehensive sociology was not among the main trends in France. Furthermore, the phenomenological orientationin social theory mostly associated with the work of Alfred Schütz was also a side interest until the 1980s. From this decade on, a new paradigm becomesgradually institutionalized, a paradigm which gathers different intellectual and theoretical positions and (...) which partly rehabilitates the comprehensive and thephenomenological heritage. My intention is to analyze how this new orientation in the French social science used the comprehensive legacy in order to proposea new culture of knowledge. (shrink)

Motility impairments resulting from spinal cord injuries and cerebrovascular accidents are increasingly prevalent in society, leading to the growing development of rehabilitative robotic technologies, among them exoskeletons. This article outlines how bodies with neurological conditions such as spinal cord injury and stroke engage in processes of re-appropriation while using exoskeletons and some of the challenges they face. The main task of exoskeletons in rehabilitative environments is either to rehabilitate or ameliorate anatomic functions of impaired bodies. In these complex processes, they (...) also play a crucial role in recasting specific corporeal phenomenologies. For the accomplishment of these forms of corporeal re-appropriation, the role of experts is crucial. This article explores how categories such as bodily resistance, techno-inter-corporeal co-production of bodies and machines, as well as body work mark the landscape of these contemporary forms of impaired corporeality. While defending corporeal extension rather than incorporation, I argue against the figure of the ‘cyborg’ and posit the idea of ‘residual subjectivity’. (shrink)

The main endeavor of this project is to elucidate the correlation of two basic phenomenological concepts, thereby allowing for a new discussion concerning the foundation of the life-world. While typification has been particularly developed in the social phenomenology of A. Schutz, Phantasia remains in a rather Husserlian “domain,” with regard to its phenomenological implications. In considering a new perspective, however, their discussion lends itself to a new understanding of the process of constitution. Namely, it will surpass the so-called egological sphere, (...) by incorporating new valences for the structures of the life-world. Even if Phantasia is to be understood in terms of a subjective zone “par excellence,” its correlation to the constant realization of typification will help to circumscribe how Phantasia can condition and contribute to the realization of the life-world on a larger scale. (shrink)