Quality-Adjusted Life Years (QALYs) and Disability-Adjusted Life Years (DALYs) are two of the most commonly used health measures to determine resource prioritization and the population burden of disease, respectively. There are different types of problems with the use of QALYs and DALYs for measuring health benefits. Some of these problems have to do with measurement, for example, the weights they ascribe to health states might fail to reflect with exact accuracy the actual well-being or health levels of individuals. But even (...) if these weights represent accurately the well-being levels of individuals, there is room for questioning whether these measures capture everything that we care about in these cases, or whether there are important issues that they leave out, including considerations of fairness or equality. In this regard, the measures have been criticized for treating the aggregation of small benefits as greater than the aggregation of fewer but bigger benefits,1for disregarding fair chances in favor of utility maximization,2and for raising problems when applied in the context of variable population size.3Perhaps one of the most pervasive ethical issues that has been associated with the use of these measures is the fact that they seem to discriminate against disabled people.4Since the measures assume that disabled people have lower well-being and a shorter life span, treating a disabled person’s medical condition contributes less to the maximization of years of life with good health than treating a non-disabled patient’s medical condition. (shrink)

La identidad se ha constituido como una noción hegemónica y estática, sin embargo, la música de Herencia de Timbiquí consolida identidades múltiples y evidencia la hibridación racial, histórica y cultural por la que han pasado las comunidades Afro-Pacíficas desde la época de la Colonia y la esclavitud negra hasta la globalización y el conflicto armado colombiano. Estos hechos han ido transformando las identidades que originalmente traían las comunidades desde África, pues sus prácticas culturales se fueron entretejiendo con las prácticas indígenas (...) y españolas. Posteriormente, gracias a la globalización apareció un auge de los medios masivos de comunicación y la industria cultural, lo que hizo que los cantos Afro-Pacíficos comenzaran a hibridarse con ritmos populares provenientes de Norte América y Europa. Ahora bien, esta hibridación revela la ausencia de una noción de identidad purista y estática y, a la vez, evidencia los procesos de desterritorialización simbólica y física por los que han pasado las comunidades afro-Pacíficas a través de los siglos por la imposición de culturas dominantes. (shrink)

En el siglo XIX, médicos europeos desarrollaron estudios científicos sobre técnica vocal y su aplicación artística. Profesionales y aficionados al canto deseaban conocer estos nuevos recursos y descubrimientos sobre la fonación, la respiración y las últimas tendencias interpretativas. El objetivo de esta investigación es documentar a través de una metodología descriptiva las principales innovaciones en la técnica vocal que se presentaron en cinco tratodos españoles de canto publicados en la segunda mitad del siglo XIX. La incorporación de estos avances influyeron (...) de forma directa en la enseñanza del canto. (shrink)

This article presents an archaeological analysis of some of the discourses and practices that played a decisive role in the effectuation of the Conquest of America and the establishment of a political order based on a racial prejudice and domination. A political order that was, in consequence, extremely exclusionary and violent. This research is based on the concepts of biopolitics and anthropological machine created by Giorgio Agamben, as well as on the relationship that exists between them and the communities founded (...) on identitarian principles; the researches of post-colonial philosophers; and Carl Schmit’s writings on International Law. The analysis of the Aristotelian-Thomistic conception of the human being, the geographical division of the World created from Europe, and the political treaties concluded between the emerging European States during fifteenth and sixteenth centuries, allows me to propose the Conquest of America as a paradigmatic case of this form of power that has characterized Western politics: biopolitics. (shrink)

According topositive egalitarianism, not only do relations of inequality have negative value, as negative egalitarians claim, but relations of equality also have positive value. The egalitarian value of a population is a function of both pairwise relations of inequality (negative) and pairwise relations of equality (positive). Positive andnegative egalitarianismdiverge, especially in different-number cases. Hence, an investigation of positive egalitarianism might shed new light on the vexed topic of population ethics and our duties to future generations. We shall here, in light (...) of some recent criticism, further develop the idea of giving positive value to equal relations. (shrink)

In her ground-breaking and highly influential book Transformative Experience, L.A. Paul makes two claims: (1) one cannot evaluate and compare certain experiential outcomes (e.g. being a parent and being a non-parent) unless one can grasp what these outcomes are like; and (2) one can evaluate and compare certain intuitively horrible outcomes (e.g. being eaten alive by sharks) as bad and worse than certain other outcomes even if one cannot grasp what these intuitively horrible outcomes are like. We argue that the (...) conjunction of these two claims leads to an implausible discontinuity in the evaluability of outcomes. One implication of positing such a discontinuity is that evaluative comparisons of outcomes will not be proportionally sensitive to variation in the underlying features of these outcomes. This puts pressure on Paul to abandon either (1) or (2). But (1) is central to her view and (2) is very hard to deny. We call this the Shark Problem. (shrink)

La libertad en Descartes tiene dos momentos diferentes: antes de que se descubra la posibilidad de la verdad y después de su descubrimiento. La experiencia de la libertad previa al establecimiento de las condiciones de la verdad tiene lugar en la decisión de reconstruir el edificio del conocimiento. El descubrimiento de su fundamento teológico tiene como consecuencia la moralización del saber.

RESUMEN Las principales ideas del pensamiento de Han se construyen frente a conceptos de la filosofía de Foucault: la psicopolítica como superación de la biopolítica, la transparencia como un panóptico no perspectivista y el cuidado de sí como la técnica de dominación más eficaz, propia de individuos que se someten voluntariamente creyendo que son libres. En este trabajo evalúo dicha lectura subrayando las imprecisiones sobre las que se asienta su lectura de Foucault: no comprende el carácter incitador de la biopolítica (...) y olvida la importancia de la perspectiva en el panóptico y la imposibilidad de escapar de las relaciones de poder. ABSTRACT The main ideas of Han's thought are built against concepts of Foucault's philosophy: psychopolitics as overcoming biopolitics, transparency as a non-perspectivist panopticon and self-care as the most effective technique for dominating individuals who submit voluntarily while believing that they are free. In this paper I evaluate this reading, underlining the imprecisions on which his reading of Foucault is based: he does not understand the inciting character of biopolitics and forgets the importance of perspective in the panopticon and the impossibility of escaping from power relations. (shrink)

A pesar de que en los trabajos de Foucault no encontramos una problematización de los Ensayos de Montaigne, a partir de las escasas menciones que hace a su pensamiento es posible reconstruir su lectura. Si Descartes es el autor que mediante un gesto violento expulsa la locura de lo razonable y clausura la tradición del ejercicio de sí reactivada en el Renacimiento, en Montaigne el ensayo surge como una técnica de continua transformación de sí ejercida por un sujeto que, ante (...) la impotencia de la evidencia para acceder a la verdad, solo puede someterse a prueba. La relación que se establece entre ambos autores en el marco de la filosofía foucaultiana nos permite entrever cómo se relaciona el eje de la subjetividad con los del poder y el saber, así como subrayar la importancia de un estudio filosófico de los Ensayos para comprender la genealogía de la ontología del presente. (shrink)

It is often acknowledged that public policies can constrain people's procreative opportunities, in some cases even infringing their procreative rights. However, a topic that is not often discussed is how the procreative choices of one generation can affect the procreative opportunities of later generations. In this article, we argue that the demographic fact that childbearing above the replacement fertility level is eventually unsustainable supports two constraints on universal procreation rights: a compossibility constraint and an egalitarian constraint. We explore the implications (...) of these two constraints and suggest that there are reasons to think of procreative opportunity as a finite resource that can be distributed more or less equally across generations. We also briefly discuss possible ways of meeting demands of intergenerational justice with respect to procreative opportunity. (shrink)

el artículo que presenta Antonio Gómez Villar se basa en un trabajo previo, más amplio y con una estructura y contenido diferentes, preparado para la asignatura de “Ética civil”. Su publicación es, por tanto, independiente del cometido y de la programación de la asignatura. Este nuevo trabajo plantea de un modo razonable algunas de las cuestiones centrales para analizar el papel público de la religión en una democracia.

We investigated the role of honour concerns in mediating the effect of nationality and gender on the reported intensity of anger and shame in reaction to insult vignettes. Spain, an honour culture, and The Netherlands, where honour is of less central significance, were selected for comparison. A total of 260 (125 Dutch, 135 Spanish) persons participated in the research. Participants completed a measure of honour concerns and answered questions about emotional reactions of anger and shame to vignettes depicting insults in (...) which type of threat was manipulated. It was found that Spanish participants responded especially intensely to insults that threaten family honour, and that this effect of nationality on emotional reactions to threats to family honour was mediated by individual differences in concern for family honour. (shrink)

The Break-Up Aid Procedure is a proposed EMDR intervention designed to address the difficulties that some patients experience when trying to overcome a complex break-up. The procedure aims to not only target the consequences of the break-up, but also the difficulties that may be present in starting a new relationship. The latter is often the case when there are either unresolved consequences from the previous break-up or untreated early adverse experiences. By structuring the treatment in three sequential stages and including (...) interventions and adaptations to the standard EMDR protocol, we aim to facilitate the clinician’s therapeutic approach to intervening for this specific presenting concern and maximizing success. (shrink)

Este artículo tiene por objetivo poner en valor la importancia del postestructuralismo francés en el tránsito del operaismo al operaismo. El encuentro entre la corriente francesa e italiana no es tanto un proyecto para reunir ambos pensamientos, como un proceso de revelamiento de resonancias previas. Lo que abre la verdadera posibilidad de encuentro entre ambas corrientes son los lazos teóricos profundos que preexistían a la contingencia del encuentro. El resultado de ese encuentro no puede ser reducido a una unidad. Penetraremos (...) en él desde las grietas y fisuras de sus formas desbordantes y disruptivas. (shrink)

El presente trabajo pretende repensar la centralidad ontológica de la clase obrera a la luz de los cambios acaecidos en el paradigma post-fordista. Una profunda transformación del capitalismo que ha consolidado una matriz de acumulación en la que la forma-empleo ha cristalizado como precariado. Éste no es concebido como el sujeto histórico portador de un proyecto de transformación radical. Pensar las posibles potencias de subversión que encarna el precariado será el objetivo.

Partiendo de los análisis (post)operaistas, proponemos explicar la transición de los dispositivos disciplinarios a los dispositivos de la sociedad de control, como el in- tento de capturar el exceso de subjetividad y la multiplicación de formas de vida que constituyen el modo inmanente de la producción de riqueza en la economía post- fordista. El capitalismo postfordista no es tanto una estructura de explotación que se pueda comprender, exclusivamente, con relación al concepto de plusvalía, sino un dispositivo de captura y apropiación (...) de esa producción. (shrink)

Este artículo se propone rastrear genealógicamente el materialismo de la inmanencia que signa el pensamiento de Antonio Negri. Los inicios de tal operación filosófica, aunque entroncan con la evolución de los cinco Libros de la Autonomía obrera, se pueden situar a finales de los años ‘70, cuando Negri escribe La anomalía salvaje, dando lugar a una “vuelta a Spinoza”. Su objetivo fue el de volver a hallar un asidero ontológico, materialista; una operación filosófica que marcará su obra posterior. Si su (...) temprana formación jurídica había estado acompañada de una subjetividad trascendental y de una dialéctica –hegeliana y marxiana–, a partir de finales de los ‘70 su pensamiento se orienta hacia un materialismo constituyente de las multitudes signado por la presencia de Maquiavelo, Spinoza y Marx. (shrink)

Este trabajo pretende mostrar que la suspensión es la temporalidad inmanente a la noción de éxodo en Paolo Virno, a través de la potencia negativa tal como es entendida en el pensamiento de G. Agamben. La argumentación se articulará en tres momentos: en primer lugar, atenderemos a la lectura de “El Fragmento de las máquinas” de los Grundrisse de Marx que realiza Paolo Virno, en la que sostiene que la propia naturaleza del General Intellect implica que una parte importante de (...) los conocimientos no sea susceptible de ser depositada en las máquinas, sino que contiene como condición necesaria su manifestación directa del trabajo vivo y, por tanto, en fuerza de trabajo; en segundo lugar, analizaremos cómo el cuerpo biológico del individuo, en tanto que potencia puesta a producir, es el fundamento de la biopolítica; y, finalmente, nos adentraremos en el pensamiento de G. Agamben para sostener la tesis planteada. (shrink)

Insults elicit intense emotion. This study tests the hypothesis that one's social image, which is especially salient in honour cultures, influences the way in which one reacts to an insult. Seventy-seven honour-oriented and 72 non-honour oriented participants answered questions about a recent insult episode. Participants experienced both anger and shame in reaction to the insult. However, these emotions resulted in different behaviours. Anger led to verbal attack (i.e., criticising, insulting in return) among all participants. This relationship was explained by participants’ (...) motivation to punish the wrongdoer. Shame, on the other hand, was moderated by honour. Shame led to verbal disapproval of the wrongdoers behaviour, but only among the honour-oriented participants. This relationship was explained by these participants’ motivation to protect their social image. By contrast, shame led to withdrawal among non-honour-oriented participants. (shrink)

Climate change evokes different emotions in people. Recently, climate emotions have become a matter of normative scrutiny in the public debate. This phenomenon, which we refer to as the normativization of climate emotions, manifests at two levels. At the individual level, people are faced with affective dilemmas, situations where they are genuinely uncertain about what is the right way to feel in the face of climate change. At the collective level, the public debate reflects disagreement about which emotions are appropriate (...) to feel in the climate context. The aim of this paper is to examine the normative reasons in favour of different climate emotions by combining normative criteria from philosophy and psychology, such as rationality-based and consequentialist ones. We conclude that these criteria provide partial reasons for or against different climate emotions and that the suitability of each criterion will depend on various considerations, including the specific object that the emotion is directed to. We suggest that emotional disagreement in climate contexts may generate distrust, potentially hindering cooperation for climate action. We propose that we can ease challenges like this if we come to terms with the complex nature of climate emotions and their normative justification. (shrink)

Deprivations normally give rise to undeserved inequality. It is commonly thought that one way of improving a situation with respect to equality is by reducing the incidence of deprivations. In this paper I argue that there is at least one respect in which reducing the incidence of deprivations can make things worse from the point of view of equality. While eliminating deprivations leads to the elimination of inequalities, reducing the incidence of deprivations leads to an uneven distribution of the pairwise (...) relations of inequality of a population, which leads to the concentration of pairwise relations of inequality in the worse off. If my argument is correct, egalitarians have reasons to broaden their dimensions of concern: egalitarians should not only be concerned about the unequal distribution of goods, but also about the unequal distribution of pairwise relations of inequality of a population. (shrink)

This thesis is an evaluation of the badness of disability and equality. It argues that disability poses a problem for equality and that, given the new advances in reproductive and gene technologies, egalitarians should strive to give an answer to how we should best reduce the inequality between disabled and non-disabled individuals of future generations. To support the claim that disabilities pose a problem for equality, I argue against the recently proposed Mere Difference View of disability. Firstly, the view is (...) not successful in responding to why, if disabilities are neutral, inflicting disability is still impermissible. Secondly, some intellectual disabilities, for example, do not bring about positive features capable of compensating for the negative features that they also bring about. If some disabilities are bad states of being, some disabled individuals will be worse off than non-disabled individuals other things being equal. Given that disabled individuals are subject to inequality due to their disability, I analyse how able traditional compensatory accounts of egalitarian justice are when it comes to improving this inequality. I conclude that given the existence of intellectual disabilities, traditional compensatory accounts are not fully satisfactory and that egalitarians should look at whether other means, like enhancements and preventive techniques, would do this job better. Paradoxically, techniques that lead to the reduction in the incidence of disabilities make things worse with respect to one new aspect of inequality, namely the concentration of inequality. In scenarios of disability reduction, where there are only a few remaining disabled individuals and a great number of non-disabled individuals, disabled individuals would be worse off than a great number of non-disabled individuals. This situation can potentially also have a negative impact in the wellbeing of the few remaining disabled individuals if the fact that disabled individuals become a very small minority puts less pressure in society to accommodate them. I conclude that reducing the incidence of disabilities can make things worse for inequality in at least one respect. This conclusion has crucial consequences for policy making. I recognise that the question remains about how this aspect should be weighed against the fact that scenarios of disability reduction promote utility - they contain more individuals with higher wellbeing - and against the fact that, under views that ascribe positive value to relations of equality, scenarios of disability reduction would also be, in one way, promoters of equality. (shrink)

RESUMEN La medicina tradicional herbolaria desde su evolución hasta la contemporaneidad ha sido objeto de uso para la medicina convencional. Por eso el objetivo del trabajo es describir el comportamiento de la medicina tradicional herbolaria en los sistemas de salud convencionales. Se realizó la búsqueda y análisis documental de numerosas fuentes sobre la temática pertenecientes a las bases de datos SciELO Cuba, SciELO Regional, Science Direct, Clinical Key, Cumed, Lilacslo. Se concluye que la actualidad social registra manifestaciones alentadoras en el (...) campo de la aceptación de la herbolaria como medicina complementaria por el equipo de salud y un renovado interés en el ámbito mundial por estudiar los efectos que tienen las plantas sobre la salud. ABSTRACT The traditional herbalist medicine from its evolution to the contemporaneity has been an object use for the conventional medicine. That's why the objective of the work is to describe the behavior of the traditional herbalist medicine in the conventional health systems. A search and documentary analysis of numerous sources on the subject-matter belonging to the databases SciELO Cuba, SciELO Regional, Science Direct, Clinical Key, Cumed, Lilacslo was carried out. It is concluded that the social actuality registers encouraging declarations in the field of the acceptance of the herbalist as complementary medicine for the team of health and a renewed interest in the world ambience to study the effects that have the plants on the health. (shrink)

La lectura de todo libro, de entrada, crea expectativas en el lector. Hay libros que consiguen despertar el interés a sabiendas de que han sido publicados gracias a la confluencia de diversos factores que prometen algo novedoso y de calidad. Este es el caso de la obra que nos ocupa, publicada por un Instituto que trabaja incansablemente por los Derechos Humanos, y que ha tenido a bien reconocer la obra y el compromiso humano de Raphael Lemkin, la persona que dio (...) su vida por dar nombre y luchar contra el infame delito del genocidio. A su vez, la edición corre a cargo de Donna–Lee Frieze, una profesora de la Universidad de Deakin, editora de la edición original en lengua inglesa de Totally Unoficial. The Autobiography of Raphael Lemkin y del profesor de Derecho Internacional Público y Relaciones Internacionales de la Universidad Alfonso X el Sabio de Madrid, impecable traductor y editor de esta obra en español Por su parte, el prólogo de esta Autobiografía ha salido de la pluma de un Académico de la RAE, Antonio Muñoz Molina y lleva por título: «El dueño de una sola palabra». (shrink)

This article traces the link between Deleuze’s philosophy of individuation, developed in such works as Difference and Repetition and Logic of Sense, and the notion of structure, that articulated a good part of the epistemological and ontological discussions in French philosophy and science in the 1960s. Besides pointing out the originality of Deleuze’s take on the term ‘structure’—as it ceases to correspond to a formal constant that is opposed or indifferent to the genesis of singular individuals, and becomes a virtual (...) field of pre-individual determinations—, the author presents the possible limits of its use in a philosophy of difference in itself. The reconstruction of this philosophical bet that wanted to turn “structuralism” into a new transcendental philosophy allows to assess how much of this idea of structure remains alive in Deleuze and Guattari’s later works, and to what extent their philosophy transforms or displaces the project that had been formulated in those early books. (shrink)

Durante el siglo IV a. C. los intelectuales griegos discutieron sobre los alcances y características de la labor filosófica, en un intento por delimitar esta práctica distinguiéndola de otras. En este artículo me centraré en el retrato del sofista como contracara del filósofo. Analizaré específicamente la respuesta platónica al ataque que Isócrates dirige contra todos los discípulos de Sócrates en Contra los sofistas y Encomio de Helena. Defenderé que la estrategia de Platón para eludir dicha crítica consistió en construir en (...) el Eutidemo y la quinta definición del Sofista un personaje que reúne los rasgos más censurados por Isócrates: el sofista erístico. Argumentaré que esta figura no remite a los sofistas del siglo V a. C., sino que tras ella se encuentran ocultos los representantes del grupo megárico, a quienes Platón habría colocado como los principales merecedores de la embestida isocrática. During the fourth century BC, Greek thinkers discussed about the limits and characteristics of philosophy in order to distinguish it from other practices. In this paper, I will focus on the portrait of sophists as diametrically opposed to philosophers. Specifically, I will discuss the platonic answer to the charge that Isocrates directed against all Socrates’ disciples in the treatises Against the Sophists and Encomium of Helen. I will defend that Plato’s strategy to avoid his critics was to develop, in the Euthydemus and the fifth definition of the Sophist, a character that combines the most significant attributes censured by Isocrates: the eristic sophist. I will argue that this figure does not refer to the Sophists of the fifth century BC., but to the Megaric group. They would have been those who, according to Plato, really deserved the Isocratic attack. (shrink)

En la genealogía del cuidado de sí, Foucault afirma que la filosofía cartesiana propina a esta tradición el golpe definitivo que la condena al olvido. A partir de entonces, el sujeto ya no debe practicar sobre su ser de sujeto ninguna transformación para acceder a la verdad, basta con el empleo correcto de sus facultades cognoscitivas. En este artículo se defiende que en Descartes la cuestión del cuidado no es olvidada, sino que precisamente la empresa de la reconstrucción del edificio (...) del conocimiento para la búsqueda de la verdad es abordada como fruto de una decisión moral sobre la forma de vida. (shrink)

We studied the relationship between perceived social image and life satisfaction in four different cultural groups. One-hundred nine Indian (63 females, 46 males), 67 Pakistani/Bangladeshi (36 females, 31 males), 76 White British (43 females, 33 males), and 94 European Americans (43 females, 48 males) completed measures on the cultural importance of social image, positive and negative emotions, academic achievement, and perceived social image. Indian and Pakistani/Bangladeshi participants valued social image more than White British and European-American participants. Consistent with this value (...) difference, a positive perceived social image predicted life satisfaction among Indian and Pakistani/Bangladeshi participants only. For these participants, perceived social image predicted life satisfaction above and beyond the effects of emotions and academic achievement. Academic achievement only predicted life satisfaction among White British and European Americans. Emotions were significant predictors of life satisfaction for all participants. (shrink)

A través de esta obra el autor va respondiendo a diferentes cuestiones sobre la realidad, que va enlazando entre sí, dándoles respuesta y preocupándose por la actualidad socioeconómica a través de las reflexiones y cuestiones filosóficas. Realiza una crítica a la ideología capitalista actual y a los pilares que la sostienen.

El presente estudio pretende describir las actitudes más frecuentes, que demuestran estudiantes de educación media, frente a la lectura y los factores que inciden en el gusto o disgusto por ella, pues es de vital importancia poder conocer y descubrir las dificultades que puedan tener los estudiantes en su proceso lector, ya que un temprano conocimiento de aquellas dificultades posibilita la prevención de dificultades específicas de aprendizaje, miedos o desórdenes de hábitos lectores. El estudio se realizó por medio de la (...) observación y entrevista individual que indagaban sobre la lectura en el discurso y la lectura en la práctica. (shrink)

In this paper I analyse how procreative freedom poses a challenge for rule-consequentialism. First, I reconstruct the rule-consequentialist case for procreative freedom. Second, I argue that population scenarios resulting from very low fertility pose a problem for rule-consequentialism since such scenarios cannot secure population growth or even avoid human extinction in the long run. Third, I argue that population scenarios resulting from excessive procreation also pose a problem for rule-consequentialism since they are incompatible with the promotion of optimific consequences in (...) various ways. Were the rule-consequentialist to avoid these types of scenarios, the challenge would consist in doing so while retaining the liberal approach to individual rights and freedoms that made rule-consequentialism an advantageous competitor against moral theories like act-consequentialism. These population scenarios raise more general questions about how rule-consequentialism ought to conceptualise the application of universal rules in the long-term, intergenerational context. This is an important place for inquiry given that rule-consequentialism is originally conceived as a forward-looking theory. (shrink)