Este artículo analiza el recorrido histórico de la antropología del género desde su nacimiento hasta nuestros días. Se pone de manifiesto que esta antropología no puede dar una respuesta integral sobre la pregunta de quién es la persona porque fundamentan sus estudios en la categoría exclusiva de la sexualidad. No puede plantearse como una antropología fi losófi ca al olvidar el resto de facultades y dimensiones propias del ser humano.

Breve ensayo sobre la tristeza, la nostalgia y la felicidad.

En sus páginas recoge el mensaje que Aleksandr Solzhenitsyn lanza al pueblo ruso en 1947 antes de ser desterrado. El disidente sabe que la manera de combatir el totalitarismo soviético no es otra que mantenerse fiel a la verdad. Ante la amenaza de un sistema que nubla la capacidad racional del ser humano, que pretende instrumentalizar a la sociedad y que desde sus propios orígenes es pura falsedad, la mejor arma es la defensa de la verdad.

Promote a Mentoring Culture as Cornerstone to University Learning Process under Benedict XVI’s View Benedict XVI’s idea of University invites us to reconsider its original vocation: the pursuit of truth, the transmission of values, the fruitful dialogue between Sciences and Humanities, and the synthesis of knowledge embodied in educators and students. From the study and analysis of his texts, we propose the university as a privileged place to recover the integral formation that concerns the whole person and that longs for (...) an encounter with the vital reality of our students, with their deepest wishes and questions. One of the essential keys to fulfil this mission is to create a culture of accompaniment that commits us to the integral development process of each person, what would make it possible to transform society. (shrink)

Se aborda aquí la transformación de la idea de una primigenia identidad entre palabras y cosas, lenguaje y mundo, que tuvo lugar en Venecia en el s. XVI.

The idea of agency has long been used in the nursing literature in the study of nurses' roles regarding the patients they take care of, but it has not often been used to study its relationship with nurses themselves and their status in the healthcare system. The purpose of this article is to analyze how the idea of agency is used in nursing research to better understand how we might advance our thinking around nurses' agency to shape nursing and healthcare (...) with an emancipatory intent. Based on the results of a literature review focused on the study of conceptions, treatments, and applications of the concept of agency in nursing, we present a critical discussion to reflect on the need to consistently define the idea of nurses' agency, to guide research concerned with this topic in theoretical frameworks with emancipatory and social change tenets, and to make a call to develop the idea of agency as a central one to rework nurses' relationship with themselves. The idea of agency provides a valuable analytical framework for the study of a wide range of issues around nurses' status in healthcare organizations and in the healthcare system while offering a means for nurses' emancipation. (shrink)

Nurses have their own ways of talking about their experiences of injustice in healthcare organizations. The aim of this article is to describe how nurses talk about their work‐life experiences and discuss the discursive effects that arise from nurses' use of language regarding their political agency. To this end, we present the findings garnered from a study focused on exploring how nurses deploy their political agency to project their idea of social and political justice in public healthcare organizations and how (...) they face the challenges and uncertainties of (re)thinking their institutional order when it does not resonate with their professional ethos. We then discuss the implications that nurses' use of language has in relation to their ability to deploy their political agency to oppose the forms of injustice they face in their daily practice. We conclude by stating that careful attention should be placed on understanding the discursive implications of nurses' use of language on their individual and collective emancipation in healthcare organizations. (shrink)

This article aims to present the life and work of German thinker Hartmut Rosa as a philosopher of interest for nursing. Although his theoretical framework remains fairly unknown in the nursing domain, its main key concepts open up a philosophical and sociological approach that can contribute to the understanding of a wide range of study phenomena related to nurses, nursing, and healthcare. The concepts of social acceleration, alienation, and resonance are useful to explore healthcare organizations' performance by bringing the time (...) dimension of modernity to the center; to grasp nurses' experiences of caring for patients; and to understand nurses as agents endowed with the capacity to deploy their political agency to create alternative forms of relationship to themselves, to others, and the world, challenging the institutional order of healthcare organizations when it fails to resonate with their professional ethos. In this article, we propose Hartmut Rosa's theoretical framework as a new and inspiring phenomenological and critical lens that should be further explored to advance knowledge concerning phenomena that are found at the crossroads of the nursing domain and other fields of knowledge. (shrink)

A través del presente artículo se realiza un estudio sobre el Movimiento de Vida Independiente y la figura del Asistente Personal en España. Dicho movimiento defiende una visión distinta sobre el mundo de la discapacidad, planteada por las propias personas con diversidad funcional que fomentan su propia autonomía e independencia y apuestan, por tanto, por una manera diferente de gestionar las políticas públicas de atención a la dependencia. La figura del Asistente Personal, poco desarrollada por las Administraciones Públicas en nuestro (...) país, supone una herramienta en el proceso emancipador y de empoderamiento de las personas con discapacidad, con la adopción de medidas no medico-rehabilitadoras, encontrándose en la misma línea y principios propugnados por el Movimiento de Vida Independiente. (shrink)

BackgroundCognitive Behavioral Therapy is delivered in most of the early intervention services for psychosis in different countries around the world. This approach has been demonstrated to be effective in decreasing or at least delaying the onset of psychosis. However, none of them directly affect the comorbidity of these types of patients that is often the main cause of distress and dysfunctionality. The Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders is a psychological intervention that combines cognitive-behavioral and third-generation techniques (...) that address emotional dysregulation as an underlying mechanism that these disorders have in common. The application of this intervention could improve the comorbid emotional symptoms of these patients.Materials and methodsThe study is a randomized controlled trial in which one group receives immediate UP plus standard intervention and the other is placed on a waiting list to receive UP 7 months later, in addition to standard care in one of our early psychosis programs. The sample will be 42 patients with UHR for psychosis with comorbid emotional symptoms. The assessment is performed at baseline, at the end of treatment, and at 3-months’ follow-up, and includes: general psychopathology, anxiety and depression, positive and negative emotions, emotional dysregulation, personality, functionality, quality of life, cognitive distortions, insight, and satisfaction with the UP intervention.DiscussionThis will be the first study of the efficacy, acceptability, and viability of the UP in a sample of young adults with UHR. The results of this study may have clinical implications, contributing to improving the model of care for young people who consult for underlying psychotic, anxiety, and/or depressive symptoms that can lead to high distress and dysfunctionality.Clinical trial registration[https://clinicaltrials.gov/], identifier [NCT04929938]. (shrink)

Los famosos sueños de Descartes han constituido siempre para la historia de la filosofía un incómodo problema, pues dejaban la puerta abierta a la posibilidad de que el origen de la moderna racionalidad hubiese nacido de lo irracional. Superar este problema no fue fácil para el propio Descartes pasados los años ni lo ha sido para quienes desde entonces han mantenido que sus ideas marcaron el origen de una etapa de la filosofía y la ciencia caracterizada por el rechazo de (...) cualquier tipo de saber basado en la iluminación, la revelación o la inspiración mística. La mayoría de los autores han intentado marginar tal carácter irracional de los orígenes de la racionalidad realizando una lectura de los sueños cartesianos a la luz del posterior desarrollo del pensamiento cartesiano. Aquí se propone, en cambio, hacer una valoración de aquellos sueños en el contexto de las inquietudes intelectuales que el francés tenía en 1619. Hay elementos en la descripción de los sueños cartesianos, como la relevancia otorgada al «entusiasmo», o la revelación de una nueva ciencia «desde lo alto», que la vinculan estrechamente con una concepción de la verdad y la razón muy cercana a la de platónicos, filósofos y poetas que posteriormente la historia de la filosofía ha considerado en las antípodas de la moderna racionalidad. (shrink)

This paper is part of an attempt to offer a better understanding of the origins of modern science in the light of the transformations of the concept of representation through XVIth and XVIIth centuries. My aim here is to point out how Francis Bacon had to revise naturalistic and mimetic conceptions of language for drawing up his particular methodical empiricism. In other words, it was not possible to formulate the modern scientific empiricism without advancing a criticism of those naturalistic philosophies (...) of language which had so great success in the XVIth century. To get to this conclusion, I set out here how the results achieved by those who united their empirical study of nature with mimetic and naturalistic conceptions of language were irremediably far from the open and progressive model of scientific knowledge which was an essential element of the Baconian project. (shrink)

Most philosophical and historiographical interpretations of the origins of modern science have conferred an essential relevance to the importance attached to experience and experiment during sixteenth and seventeenth centuries. These epistemological categories have been very often deemed basic concepts that need not any further analysis. As an alternative interpretation, this paper rather suggests to think over the philosophical and scientifical evolution of the concept of experience itself up to seventeeenth century. The chain sensation-memory-experience that Aristotle had provided as the way (...) to the establishing of first principles of science, was after worked out by scholastic thinkers who made of the concept of “experience” a kind of historical knowledge necessary to science although prior to it and deeply legitimated by the authority of tradition criteria and the concept of “common opinion”. Seventeenth century science, undertook from different philosophical and disciplinary approaches a criticism as well as a reformulation of the said category of “historical experience”. As a consequence of it science was obliged to search for new legitimating strategies for empirical knowledge. This paper aims to point out the outcomes of this process of experience rationalization, as well as the consequences of considering experience not merely a prior condition, but an essential part of scientific knowledge. (shrink)

Most philosophical and historiographical interpretations of the origins of modern science have conferred an essential relevance to the importance attached to experience and experiment during sixteenth and seventeenth centuries. These epistemological categories have been very often deemed basic concepts that need not any further analysis. As an alternative interpretation, this paper rather suggests to think over the philosophical and scientifical evolution of the concept of experience itself up to seventeeenth century. The chain sensation-memory-experience that Aristotle had provided as the way (...) to the establishing of first principles of science, was after worked out by scholastic thinkers who made of the concept of “experience” a kind of historical knowledge necessary to science although prior to it and deeply legitimated by the authority of tradition criteria and the concept of “common opinion”. Seventeenth century science, undertook from different philosophical and disciplinary approaches a criticism as well as a reformulation of the said category of “historical experience”. As a consequence of it science was obliged to search for new legitimating strategies for empirical knowledge. This paper aims to point out the outcomes of this process of experience rationalization, as well as the consequences of considering experience not merely a prior condition, but an essential part of scientific knowledge. (shrink)

LA COMPLEMENTARIEDAD DE LA OPOSICIÓN EXPLICACIÓN VS. INTERPRETACIÓN. Las funciones metodológicas del análisis del discurso en el marco de las semióticas peirceana y neo-hjelmsleviana.

Currently, entrepreneurship is a priority for economic, social, and technological growth. Therefore, the interest in understanding entrepreneurship processes has increased significantly. Individual variables play a fundamental role, and academic research has pointed out the influence of emotional intelligence in entrepreneurial processes; however, its relationship with other interpersonal processes and individual variables, such as personality and self-efficacy, has not been extensively studied. The aim of this research was to analyze the relationship among emotional intelligence, self-efficacy, and entrepreneurial intention, controlling for the (...) effects of personality, gender, and age. Multiple hierarchical regression analyses were applied through a questionnaire survey of 1,593 college students to test the relationship between the constructs in the model. The results show that the personality traits are associated with entrepreneurial self-efficacy, emotional intelligence positively influences entrepreneurial intention, and self-efficacy mediates the relationship between emotional intelligence and entrepreneurial intention. Practical implications for training programs are examined, and future lines of research were discussed. (shrink)

La autonomía económica permite a las mujeres ser económicamente autosuficientes y tomar decisiones libres respecto a sus vidas. La generación de ingresos propios representa un elemento simbólico y clave para el empoderamiento, el reforzamiento de la autoestima, la autovaloración y la reflexión sobre sus roles de género.A partir de la metodología PRISMA se realizó la revisión sistemática para identificar los factores y estrategias que explican la autonomía económica de las mujeres en zonas rurales de América Latina; destacando la participación en (...) proyectos productivos y emprendimientos, el acceso al microcrédito, así como el fortalecimiento de procesos de cooperación y solidaridad. (shrink)

Background: Serious games have shown positive results in increasing motivation, adherence to treatment and strengthening the therapeutic alliance in multiple psychiatric disorders. In particular, patients with impulse control disorders and other disorders in which the patient suffers from inhibitory control deficits have been shown to benefit from serious games.Aim: The aim of this study was to describe the characteristics and to evaluate the usability of a new serious videogame, e-Estesia. This serious videogame was designed to improve emotion regulation in patients (...) with gambling disorder. Preliminary results from a pilot sample are also reported.Method: A pilot sample of 26 patients undergoing treatment for GD was recruited. Participants used e-Estesia on a tablet, which was connected to a thoracic band that sent heart rate and heart rate variability data to the videogame platform in order to provide biofeedback. The System Usability Scale was completed by patients to determine the usability of e-Estesia.Results and Discussion: e-Estesia performed comparatively well for all the explored groups. Around 84.6% of the patients endorsed that it was easy to use. Female patients with GD presented higher HRV during the use of the serious videogame compared to men. (shrink)

Resumen La historia ocupa un papel marginal en las teorías actuales de la globalización. Esto no deja de sorprender, pues “globalización” es, en esencia, un concepto que describe un proceso de la historia. Menos aún se habla de la filosofía de la historia, sobre todo porque ha caído en descrédito. Sin embargo, casi todas las argumentaciones emplean modelos de interpretación propios de la filosofía de la historia. Se conjetura qué tendencias generales le son inherentes a la globalización y si apuntan (...) a un “progreso” o a una “decadencia” de la civilización humana. Por último, el problema ético de la justicia global debe tomar en consideración el desarrollo de la historia acontecida. Estos temas dejan claro que el recurso a la historia con implicaciones filosóficas es imprescindible para resolver los problemas de la globalización.Contemporary theories of globalisation seldom mention history. This is surprising, because “globalisation” is essentially a term describing an historical process. There is still less mention of the philosophy of history, especially due to the discredit cast upon it. And yet nearly all of the relevant arguments operate with patterns of interpretation borrowed from the philosophy of history. The authors speculate on which general tendencies are inherent to globalisation and whether they are more indicative of the “progress” or of the “downfall” of human civilisation. Finally, the ethical problem of global justice requires us to take into account the course of history thus far. These topics underline that resorting to history with all of its philosophical implications is essential if we are to resolve the problems caused by globalisation. (shrink)

Medvedev's intermediate logic (MV) can be defined by means of Kripke semantics as the family of Kripke frames given by finite Boolean algebras without units as partially ordered sets. The aim of this paper is to present a proof of the theorem: For every set of connectives such that the-fragment ofMV equals the fragment of intuitionistic logic. The final part of the paper brings the negative solution to the problem set forth by T. Hosoi and H. Ono, namely: is an (...) intermediate logic based on the axiom (abc) (ab)(a c) separable? (shrink)

Inspired by Farshad Zahedi’s audiovisual essay The Petrified Object and the Poetics of Time in Cinema, this article briefly presents three philosophical approaches to cinema’s ways of expressing time – as articulated by Bergson, Tarkovsky, and Deleuze – and questions how absolute time and chronological time are brought to a state of crisis by this modern form of art.

El objetivo de este artículo es definir la concepción del acto involuntario de Francisco Suárez y mostrarla como un medio que permite comprender y profundizar en su teoría de la acción humana. En esta cuestión, el Doctor Eximio parte de presupuestos elaborados por Tomás de Aquino que amplía y adapta siguiendo sus propias tesis metafísicas y teológicas sobre la relación entre Dios y las creaturas. Mostraremos cómo Suárez vincula el verdadero involuntario con el _simpliciter_, lo forzado, necesario e indeseado, dejando (...) al _secundum quid_ como un acto mixto en el que la libertad y la voluntad, pese a las injerencias externas, no quedan anuladas. Por último, subrayaremos las consecuencias de la definición suareciana de lo involuntario sobre la noción de libertad, haciendo patente que tanto una como otra serían imposibles fuera del marco teórico que él sustenta, caracterizado por la eficiencia humana (y su dependencia de la divinidad) y no por la premoción física. (shrink)

Desiderius Erasmus considered that the education of children has to start at an early age. To get a better understanding of Erasmus’ theories about the education, this paper analyses the use of his term eruditio, but also the use of terms such as ratio, usus and philosophia. The aim is to point out the interesting link between the contemporary understanding of critical thinking and Erasmus’ concept of eruditio. Furthermore, for a better understanding of his perception of education, we analyse Erasmus’ (...) description of characteristics of a good teacher. Here mentioned description of a good teacher, in some aspects, link Erasmus with contemporary theorists such as John Dewey and Oscar Brenifier. As early training and practice for the development of a proper inference, Erasmus suggests fables, language exercises and proverbs, which is similar to what contemporary theorists and practitioners of critical thinking and philosophy with children do. (shrink)

Observations of animals engaging in apparently moral behavior have led academics and the public alike to ask whether morality is shared between humans and other animals. Some philosophers explicitly argue that morality is unique to humans, because moral agency requires capacities that are only demonstrated in our species. Other philosophers argue that some animals can participate in morality because they possess these capacities in a rudimentary form. Scientists have also joined the discussion, and their views are just as varied as (...) the philosophers’. Some research programs examine whether animals countenance specific human norms, such as fairness. Other research programs investigate the cognitive and affective capacities thought to be necessary for morality. There are two sets of concerns that can be raised by these debates. They sometimes suffer from there being no agreed upon theory of morality and no clear account of whether there is a demarcation between moral and social behavior; that is, they lack a proper philosophical foundation. They also sometimes suffer from there being disagreement about the psychological capacities evident in animals. Of these two sets of concerns—the nature of the moral and the scope of psychological capacities—we aim to take on only the second. In this chapter we defend the claim that animals have three sets of capacities that, on some views, are taken as necessary and foundational for moral judgment and action. These are capacities of care, capacities of autonomy, and normative capacities. Care, we argue, is widely found among social animals. Autonomy and normativity are more recent topics of empirical investigation, so while there is less evidence of these capacities at this point in our developing scientific knowledge, the current data is strongly suggestive. (shrink)

Resumen Los textos televisivos interpretan y analizan la realidad circundante e influyen en la visión que la audiencia tiene del mundo. Es más, los programas cómicos basados en la burla y el sarcasmo hacia grupos étnicos minoritarios refuerzan estereotipos negativos y promueven la discriminación cultural. En este artículo se estudia el humor étnico en La paisana Jacinta. Esta serie peruana ha sido acusada de racista por diversas personas y grupos, entre ellos, la excongresista indígena Hilaria Supa, LUNDU y CHIRAPAQ. Primero, (...) se analizan las estrategias pragmático-lingüísticas empleadas en la construcción del humor étnico en una selección de diálogos y monólogos de Jacinta, el personaje principal de la serie. Para ello, se utiliza la Teoría General del Humor Verbal. Asimismo, dado que todo texto es multimodal, se tiene también en cuenta cómo imágenes, gestos, y elementos musicales y prosódicos en la serie contribuyen en la producción de la comicidad. Finalmente, a partir de estos resultados, se examina el contenido cómico del programa desde una perspectiva crítica para determinar si este es discriminatorio. (shrink)

Modern management reporting on its company''s performance is influenced by individuals ethical considerations. Stakeholders philosophies have continued to change over the last 75 years affecting reporting systems for companies reporting information internally and externally. These fundamental changes in philosophy have affected how information is conveyed. We are not claiming that only one philosophical viewpoint dominates companies reporting practices, but there does appear to be a changing trend of philosophies building on one another. We use resource dependence theory in relationship to (...) a decision-making model to explain changing stakeholders positions over time. This paper argues that six dominant philosophical theories have influenced the way individuals and organizations report financial and other information. Further, these philosophies then are depicted in a model that helps us to understand what influences companies to present themselves to the outside world. A vignette is used to depict changing philosophical views for several companies management report over 75 years. (shrink)

When conflicts regarding industrial operations erupt between countries, relationships between corporations and stakeholders may be affected. We combine insights from stakeholder theory and studies on government and corporate social responsibility to investigate how intergovernmental politics shapes stakeholder engagement. Relying on attribution theory and a qualitative analysis of the Finnish Metsä-Botnia (hereafter Botnia) company during the intergovernmental conflict between Uruguay and Argentina, we explore the mediating role of political attributions—defined as the stakeholder network actors’ inferences regarding governmental motives—in the process by (...) which intergovernmental politics shapes stakeholder engagement. We induce three types of political attributions: instrumentalizing, which points to the undeclared instrumental motives of governments; radicalizing, which refers to the beliefs that governments immoderately intensify confrontation; and acting in bad faith, which relates to the perceptions that governments act in inconsistent and/or morally inappropriate ways. Our results show how these attributions combine in specific configurations to explain how intergovernmental politics shapes stakeholder engagement throughout the conflict. Our study theorizes the role of governments as stakeholders in stakeholder engagement and expands organizational studies of attribution to the stakeholder and global levels. (shrink)

It has been argued that some animals are moral subjects, that is, beings who are capable of behaving on the basis of moral motivations. In this paper, we do not challenge this claim. Instead, we presuppose its plausibility in order to explore what ethical consequences follow from it. Using the capabilities approach, we argue that beings who are moral subjects are entitled to enjoy positive opportunities for the flourishing of their moral capabilities, and that the thwarting of these capabilities entails (...) a harm that cannot be fully explained in terms of hedonistic welfare. We explore the implications of this idea for the assessment of current practices involving animals. (shrink)

The suitability of the artificial grammar learning paradigm to capture relevant aspects of the acquisition of linguistic structures has been empirically tested in a number of EEG studies. Some have shown a syntax-related P600 component, but it has not been ruled out that the AGL P600 effect is a response to surface features rather than the underlying syntax structure. Therefore, in this study, we controlled for the surface characteristics of the test sequences and recorded the EEG before and after exposure (...) to a grammar. After exposure, a typical, centroparietal P600 effect was elicited by grammatical violations and not by unfamiliar subsequences, suggesting that the AGL P600 effect signals a response to structural irregularities. Moreover, preference and grammaticality classification showed a qualitatively similar ERP profile, strengthening the idea that the implicit structural mere-exposure paradigm in combination with preference classification is a suitable alternative to the traditional grammaticality classification test. (shrink)

Despite the strength of arguments for veganism in the animal rights literature, alongside environmental and other anthropocentric concerns posed by industrialised animal agriculture, veganism remains only a minority standpoint. In this paper, I explore the moral motivational problem of veganism from the perspectives of moral psychology and political false consciousness. I argue that a novel interpretation of the post-Marxist notion of political false consciousness may help to make sense of the widespread refusal to shift towards veganism. Specifically, the notion of (...) false consciousness fills some explanatory gaps left by the moral psychological notion of akrasia, often understood to refer to a weakness of will. Central to my approach is the idea that animal exploitation is largely systemic and the assumption that moral motivation is inseparable from moral thinking. In this light, the primary obstacle to the adoption of veganism arises not so much from a failure to put genuine beliefs into action, but rather in a shared, distorted way of thinking about animals. Thus, common unreflective objections to veganism may be said to be manifestations of false consciousness. (shrink)

Under one particular reading of it, Anscombe's 'Modern Moral Philosophy' is considered a seminal text in the revival of virtue ethics. Seen thus, Anscombe is implying that it is possible to do ethics without using concepts such as 'moral ought' or 'moral obligation', the perfect example being Aristotelian ethics. On the other hand, Anscombe claims that it is not useful at present to engage in moral philosophy since she finds that 'philosophically there is a huge gap… which needs to be (...) filled by an account of human nature, human action, …and above all of human "flourishing"' (Anscombe, 1958: 18). The gap Anscombe refers to appears where there should be a 'proof that an unjust man is a bad man'. My aim in this paper is to discuss the various ways in which Anscombe's theses can be interpreted, recalling two other philosophers for whom Aristotelian virtue ethics was also essential: P. Foot and J. McDowell. I will argue that Anscombe did not expect Aristotelian ethics to answer the problems modern ethics poses. (shrink)

En este escrito, 1) hago una presentación del tipo de análisis conceptual quehace Wittgenstein en algunas obras posteriores al Tractaus; me refiero,específicamente, a una cierta manera de proceder que consiste en ladescripción de los diferentes usos de un concepto, y que tiene como finarrojar luz sobre las condiciones de funcionamiento de nuestro lenguaje para,así, llegar a la solución de un determinado problema filosófico. 2) Examinoalgunos pasajes de las Investigaciones en los que que Wittgenstein analizaconceptos psicológicos y señalo lo que considero (...) son algunas fallas de lasinterpretaciones naturalistas, externalistas y mentalistas de esos pasajes. 3)Presento una interpretación de la perspectiva de Wittgenstein en torno alproblema de la existencia y naturaleza de los estados y procesos psicológicos,que tiene en cuenta, tanto el tipo de análisis que Wittgenstein hace, comoalgunas afirmaciones suyas extraídas de las Investigaciones y de LosCuadernos Azul y Marrón. (shrink)

Rationale, aims and objectives Given the increasing prevalence of cataract and demand for cataract extraction surgery, patients must often wait to undergo this procedure. We validated a previously developed priority scoring system in terms of clinical variables, pre-intervention health status, appropriateness of surgery and gain in visual acuity (VA) and health-related quality of life (HRQoL).Methods Explicit prioritization criteria for cataract extraction created by a variation of the Research and Development (RAND) and University of California Los Angeles appropriateness methodology were retrospectively (...) applied to a prospective cohort of 5257 patients on waiting lists to undergo cataract by phacoemulsification at 17 hospitals in Spain. Demographic data, clinical data and data related to surgical technique were collected by trained ophthalmologists. Patients were evaluated by their ophthalmologist before the intervention and 6 weeks afterward. They also completed, by mail, the Visual Function Index (VF-14) before the intervention and 3 months afterward.Results High-priority patients experienced greater improvement in VA and HRQoL than those classified as intermediate or low-priority (P < 0.0001), even after adjusting by VA and the VF-14 score at baseline. The time to intervention was the same for high-priority patients as it was for intermediate and low-priority patients.Conclusions The priority score we developed identified patients most likely to experience the greatest improvements from cataract extraction. Use of this tool could provide a fairer and more rational way to prioritize patients for cataract extraction. (shrink)