Après une évocation des travaux de quelques cliniciens qui se servent du génogramme comme médiation, l’article s’attache à présenter cet outil dans le cadre de la formation des thérapeutes familiaux de l’association psyfa (Psychanalyse et Famille). Sont envisagés en particulier sa finalité et les modalités de son utilisation. Le but de cet exercice en groupe est de permettre à chacun de réfléchir à la place qu’il occupe dans sa famille actuelle, de repérer les legs des générations précédentes, de s’intéresser aux (...) phénomènes de répétition qui impactent les différents membres du groupe familial ainsi que les relations traduites en termes d’alliances. Les particularités de la situation groupale sont aussi évoquées, comme les nécessités du cadre contenant, les résonances induites chez les participants et la créativité du goupe qui s’exprime. Les témoignages de thérapeutes en formation jalonnent cet écrit et illustrent les propos. (shrink)

Pour présenter la thérapie familiale psychanalytique, l’auteure en évoque la genèse en France, en explicite les visées, puis s’attache à en décrire le processus. En appui sur le cas clinique d’une famille suivie, sont mis en évidence les points délicats depuis la demande de la famille jusqu’à l’arrêt de la thérapie. La technique est décrite ainsi que les différentes étapes qui tentent d’amener chacun à gagner en individuation. L’auteure insiste sur les prérequis nécessaires de la formation dispensée aux thérapeutes qui (...) s’engagent dans cette pratique. (shrink)

La sexualité, force vitale essentielle, anime l’humain en tant qu’individu et membre d’un groupe. Depuis les soins primaires indispensables à l’éveil de la sensualité et à la construction de l’identité sexuée chez le jeune enfant jusqu’au temps des pratiques sexuelles possibles de l’adolescent, l’article scande les moments de transformation portée par les liens intersubjectifs indispensables de cette évolution, de la sexualité infantile à la sexualité génitale.

À partir de l’analyse de quelques récits chantés des berceuses traditionnelles et de vignettes tirées de leur clinique en pédopsychiatrie, les auteures décrivent les effets de la pratique des berceuses et des enfantines. Elles montrent comment ce jeu corporel et vocal donné au bébé, quand il est ranimé entre parents et enfants désaccordés, apporte des bénéfices. Il participe ainsi à vivifier les interactions, à construire un attachement de meilleure qualité, il ouvre le bébé à la culture ambiante, il suscite des (...) intégrations somato-psychiques et conforte le démarrage de la construction identitaire chez le tout petit enfant. (shrink)

O presente texto objetiva investigar o retorno do fenômeno religioso por meio da teoria de Karl Marx sobre o estranhamento, em obras como A questão Judaica, Crítica da filosofia do direito de Hegel – Introdução, Manuscritos Econômicos-filosóficos e a Ideologia Alemã, obras nas quais Marx discute as condições materiais de existência para explicar a sociedade moderna (a política, a religião etc.), o que possibilita uma discussão sobre as estruturas concretas e sociais do sistema capitalista. Essas análises permitem entender como a (...) religião se faz tão presente na vida dos indivíduos, uma vez que o capitalismo é permeado por um trabalho fragmentado, que conduz o homem à perda de si, um trabalho marcado pelas contradições da propriedade privada. Para Marx, a religião não é um fenômeno abstrato, mas social e pode ser investigada pelo estudo das condições materiais da realidade. Portanto, se a religião persiste na sociedade é porque o capitalismo não promove uma real emancipação, mas apenas uma vida humana estranhada. A busca pela religião é uma forma de o homem reconciliar-se consigo mesmo, já que o mundo material o aflige e dilacera. (shrink)

By registering different health benefits on a common scale, CEA allows us to assess the relative social importance of different health care interventions and opens the way for the allocation decisions of health care policy. If it is really to be effective, however, CEA must be recalibrated so that it better reflects some of our widely held beliefs about the merits of different kinds of treatment.

By registering different health benefits on a common scale, CEA allows us to assess the relative social importance of different health care interventions and opens the way for the allocation decisions of health care policy. If it is really to be effective, however, CEA must be recalibrated so that it better reflects some of our widely held beliefs about the merits of different kinds of treatment.

In this paper we study in details a system of two weakly coupled harmonic oscillators from the point of view of Bohm's interpretation of quantum mechanics. This system may be viewed as a simple model for the interaction between a photon and a photodetector. We obtain exact solutions for the general case. We then compute approximate solutions for the case where one oscillator is initially in its first excited state (a single photon) reaching the other oscillator in its ground state (...) (the photodetector). The approximate solutions represent the state of both oscillators after the interaction, which is not an eigenstate of the individual hamiltonians for each oscillator, and therefore the energies for each oscillator do not exist in the Copenhagen interpretation of Quantum Mechanics. We use the approximate solutions that we obtained to compute Bohmian trajectories and to study the energy transfer between the oscillators. We conclude that, even using the Bohmian view, the energy of each individual oscillator is not well defined, as the nonlocal quantum potential is not negligible even after the coupling is turned off. (shrink)

In recent years, the healthcare field welcomed an emerging field of practices captured under the umbrella term ‘Big Data’. This term is surrounded with positive rhetoric and promises about the ability to analyse real-world data quickly and comprehensively. Such rhetoric is highly consequential in shaping debates on Big Data. While the fields of Science and Technology Studies and Critical Data Studies have been instrumental in elaborating the neglected and problematic dimensions of Big Data, it remains an open question how and (...) to what extent such insights become embedded in other fields. In this paper, we analyse the epistemological claims that accompany Big Data in the healthcare domain. We systematically searched scientific literature and selected 206 editorials as these reflect on developments in the domain. Through an interpretive analysis, we construct five ideal-typical discourses that all frame Big Data in specific ways. Three of the discourses frame Big Data in positive terms and disseminate a compelling rhetoric. Metaphors of ‘capturing’, ‘illuminating’ and ‘harnessing’ data presume that Big Data are benign and leading to valid knowledge. The scientist and critical-interpretive discourses question the objectivity and effectivity claims of Big Data. Metaphors of ‘selecting’ and ‘constructing’ data illustrate another political message, framing Big Data as limited. We conclude that work in the critical-interpretive discourse has not broadly infiltrated the medical domain. Ways to better integrate aspects of the discourse in the healthcare domain are urgently needed. (shrink)

Recent buzzes around big data, data science and artificial intelligence portray a data-driven future for healthcare. As a response, Europe's key players have stimulated the use of big data technologies to make healthcare more efficient and effective. Critical Data Studies and Science and Technology Studies have developed many concepts to reflect on such overly positive narratives and conduct critical policy evaluations. In this study, we argue that there is also much to be learned from studying how professionals in the healthcare (...) field affectively engage with this strong European narrative in concrete big data projects. We followed twelve hospital-based big data pilots in eight European countries and interviewed 145 professionals between 2018 and 2020. In this study, we introduce the metaphor of dreams to describe how professionals link the big data promises to their own frustrations, ideas, values and experiences with healthcare. Our research answers the question: how do professionals in concrete data-driven initiatives affectively engage with European Union's data hopes in their ‘dreams’ – and with what consequences? We describe the dreams of being seen, of timeliness, of connectedness and of being in control. Each of these dreams emphasizes certain aspects of the grand narrative of big data in Europe, makes particular assumptions and has different consequences. We argue that including attention to these dreams in our work could help shine an additional critical light on the big data developments and stimulate the development of responsible data-driven healthcare. (shrink)

Ethical approval must be obtained before medical research can start. We describe the differences in EA for an pseudonymous, non-interventional, observational European study. Sixteen European national coordinators of the international study on very old intensive care patients answered an online questionnaire concerning their experience getting EA. N = 8/16 of the NCs could apply at one single national ethical committee, while the others had to apply to various regional ECs and/or individual hospital institutional research boards. The time between applying for (...) EA and the first decision varied between 7 days and 300 days. In 9/16 informed consent from the patient was not deemed necessary; in 7/16 informed consent was required from the patient or relatives. The upload of coded data to a central database required additional information in 14/16. In 4/16 the NCs had to ask separate approval to keep a subject identification code list to de-pseudonymize the patients if questions would occur. Only 2/16 of the NCs agreed that informed consent was necessary for this observational study. Overall, 6/16 of the NCs were satisfied with the entire process and 8/16 were unsatisfied. 11/16 would welcome a European central EC that would judge observational studies for all European countries. Variations in the process and prolonged time needed to get EA for observational studies hampers inclusion of patients in some European countries. This might have a negative influence on the external validity. Further harmonization of ethical approval process across Europe is welcomed for low-risk observational studies. Getting ethical approval for low-risk, non-interventional, observational studies varies enormously across European countries. (shrink)

Thomas Kuhn's philosophy of science, which he developed by focusing on physics, was later applied by other authors to virtually all areas or disciplines of culture. What interests me here, however, is the movement in the opposite direction: the role that one of these disciplines, history of art, played in the conception of Kuhn'stheoryof science.In a 1969 article, his only published text concerning science and art, Kuhn makes a brief and intriguing observation about The Structure of Scientific Revolutions. He says (...) the book was a belated product of his discovery of the parallels between science and art. This is a retrospective assertion about Structure, as well as that of the... (shrink)

Este artigo apresenta estudos sobre o hibridismo presente na poesia simbolista de Florbela Espanca (1894-1930). Temos como objetivo apresentar os resultados de uma investigação realizada sobre os traços híbridos que estão presentes nos sonetos Este Livro..., Eu, Mais Alto, Vaidade e Torre de Névoa, observando de que maneira tais traços se apresentam em cada soneto, suas influências e a contribuição de diferentes estéticas na construção da poesia de Florbela Espanca.

Tradicionalmente, el patrimonio se ha relacionado con la educación histórica desde una perspectiva restrictiva que dejaba fuera a buena parte de las manifestaciones patrimoniales, entre ellas, las que se incluyen en el ámbito del patrimonio inmaterial. En este sentido, el presente trabajo se centra en la relación entre patrimonio inmaterial y pensamiento histórico dentro de la formación del profesorado de Educación Primaria. Desde el paradigma interpretativo se han analizado 27 propuestas didácticas de un total de 54 estudiantes del Grado de (...) Educación Primaria, con el propósito de conocer la percepción que poseen del uso del patrimonio inmaterial para trabajar los conceptos asociados al desarrollo del pensamiento histórico. Los datos obtenidos apuntan a la existencia de una alta consideración del patrimonio inmaterial para trabajar el pensamiento histórico en la Educación Primaria. (shrink)

Este artigo retoma os conceitos de poder disciplinar e biopoder em Michel Foucault para, então, fazer um diagnóstico do contexto pandêmico causado pela Covid-19. Ao se considerar que mais da metade da população mundial foi orientada ao isolamento social, bem como à alteração de hábitos cotidianos a fim de diminuir a propagação do vírus SARS-CoV-2, é possível perceber em Foucault as medidas da técnica disciplinar e da tecnologia biopolítica, ambas direcionadas à preservação da vida da população. Considera-se que o poder (...) disciplinar e o biopoder funcionam na atual pandemia num contexto inédito, marcado pelo avanço tecnológico. (shrink)

Usualmente se tem tratado a interação entre ceticismo e cristianismo apoiando-se em textos restritos ao contexto da modernidade, e, consequentemente, ao que veio a ser denominado ‘fideísmo’, que consiste em levantar dúvidas céticas acerca de toda e qualquer doutrina ou argumentação racional, com vistas a demonstrar as contradições da razão e propor como alternativa um salto para a fé. Contudo, esse trabalho pretende fomentar a investigação da influência da abordagem e da dýnamis cética pirrônica antiga — portanto, não dubitativa, mas (...) investigativa, aporética e suspensiva — sobre obras de importantes pensadores do cristianismo antigo, quais sejam: ‘ Refutação de todas as heresias ’, de Hipólito de Roma, e ‘ Preparação para o evangelho ’, de Eusébio de Cesareia. (shrink)

Tradução do quinto livro, passos 36-57 de Vidas, de Diógenes Laércio, tratando da vida de Teofrasto.

O presente artigo busca traçar um estudo político-filosófico e se dedica a articular as nuances do conceito arendtiano de ação, sobre o entendimento do agir humano dentro do espaço público. Observar as nuances e a imprevisibilidade pela qual a ação humana é expressa frente à convivência entre iguais e diferentes no espaço público é enxergar a forma com a qual as singularidades humanas e o fenômeno da revelação das identidades se tornam evidentes. Dessa maneira, o objetivo geral do presente trabalho (...) se perfaz em analisar como a dimensão política do conceito arendtiano de ação está ligada à busca da liberdade do indivíduo no espaço público. Dessa forma, busca-se entender as interações interpessoais em meio a pluralidade humana e a procura pela liberdade frente ao mundo das aparências. (shrink)