This chapter contains sections titled: Warming Up Seeking Early Solace Experience and Thought So Be It Against Lukewarmness Pragmatic Use of Belief.

Phenomenology in medicine’s main contribution is to present a first-person narrative of illness, in an effort to aid medicine in reaching an accurate disease diagnosis and establishing a personal relationship with patients whose lived experience changes dramatically when severe disease and disabling condition is confirmed. Once disease is diagnosed, the lived experience of illness is reconstructed into a living-with-disease narrative that medicine’s biological approach has widely neglected. Key concepts like health, sickness, illness, disease and the clinical encounter are being diversely (...) and ambiguously used, leading to distortions in socio-medical practices such as medicalization, pharmaceuticalization, emphasis on surveillance medicine. Current definitions of these concepts as employed in phenomenology of medicine are revised, concluding that more stringent semantics ought to reinforce an empirical phenomenological or postphenomenological approach. (shrink)

Latin American countries have slowly enacted laws decriminalizing abortion in three circumstances: Life‐threatening risk for the pregnant woman, extra‐uterine non‐viability of malformed foetus, and pregnancy due to rape or incest. Chile is one of the last countries to adopt such a law, formulated in an increasingly restrictive format. Conservative politicians and Church‐related healthcare institutions promptly announced individual and institutional conscientious objection based on the right of private facilities to obey their ideology and personal moral integrity. Juridical consultations and Constitutional Court (...) rulings allowed private hospitals to uphold their objection even if contracted to provide some public health services. Under these conditions, only a few hundred women requested and obtained a legal abortion, while an estimated 100,000 continued to depend on unsafe procedures. Bioethical debate was silenced by the unfettered drive for conscientious objection that continues to limit women’s autonomy, and fails to ease the public health scourge of massive unsafe clandestine abortions. (shrink)

Neglected diseases are severe conditions that mainly affect the world's poorest people. Those suffering from neglected diseases are mostly suffering from tropical infections that have failed to receive priority in pharmaceutical research and development programs, as well as in public health policies aimed at improving availability and access to preventive, diagnostic and curative medicine. The World Health Organization has issued a number of documents directing attention to the plight affecting one third of the world's population, assisted by active support from (...) private organizations, notably the Bill and Melissa Gates Foundation, but the overall situation remains dismal. In the wake of major socioeconomic processes including globalization, steadily growing economic disparity, healthcare inequality, the instability created by rogue states and terrorism, as well as massive migration, and epidemic outbreaks, the features of neglected diseases have been changing. Neglected populations affected by tropical diseases are suffering increasingly from non-infectious degenerative conditions and disabilities due to untreated chronic maladies. Pockets of poverty and neglect can also be detected in high-income countries, contributing to the emergence of new diseases and the reemergence of infections believed to be disappearing such as tuberculosis and the measles. Included in the issues of neglect are rare diseases, mostly of genetic origin, affecting a small number of patients that suffer from multiple life-shortening functional impairment and organ defects. Effective medicines are extremely expensive, allegedly because research and development of appropriate drugs is resources and time consuming, requiring exorbitant prices to recoup investment from a small number of consumers. Bioethics has been tardy in addressing the suffering and destitution of neglected and rare diseases. Convinced that permanently repeated denunciations blunt the sensitivity towards suffering, whereas statistics are bloodless and unable to elicit commitment, this book attempts to explore a different strategy. In an upstream approach, bioethics needs to engage in ethnographic fieldwork that confronts and shares the context in which people suffer, vividly presenting what epidemiological research has blunted into statistical data. Additionally, a downstream approach is suggested, requiring bioethics to vigorously and openly denounce unethical biomedical and pharmaceutical research, misdeeds in registration and marketing of drugs, and misalignment of policies with the unmet healthcare needs of the destitute. More than being critical observers, bioethicists ought to shed lurking conflicts of interests and seek active participation in planning research and public healthcare practices aimed at improving the lives of medically neglected populations. (shrink)

Concern about the rapid ageing of all societies reaches alarming proportions as healthcare inequities are steeply rising, prompting the elderly to live longer but subject to insufficient social protection and healthcare in the wake of dwindling public resources. The aged population of developing nations are facing additional hardships due to the growing gap between needs and the financial reductions of public institutions, retirement funds, and the trend towards privatization of essential services turned into commodities. Current approaches to allocation of insufficient (...) resources without ageist discrimination are briefly discussed: individual self‐care aimed at successful, active and healthy ageing based on resourcefulness of the privileged elderly; utilitarian approaches founded on QALY and fair innings, and human rights focused on the plights of the elderly. These approaches cannot apply to resources poor nations, who need to engage in context‐bound bioethics dealing with the realities of their exposed ageing population. A developing world bioethics is needed to face the plights of the elderly in countries with low and middle‐income and insufficient social capital. Suggested are: 1) a phenomenological approach based on the interaction of bioethics and ethnology, furthering grass‐roots input from the elderly; 2) Create small communities –campus‐like boroughs– to simplify accessibility to social services and healthcare facilities, as an alternative to the high‐cost WHO proposal of age‐friendly large cities. (shrink)

The multidisciplinary provenance of bioethics leads to a variety of discursive styles and ways of reasoning, making the discipline vulnerable to criticism and unwieldy to the setting of solid theoretical foundations. Applied ethics belongs to a group of disciplines that resort to deliberation rather than formal argumentation, therefore employing both factual and value propositions, as well as emotions, intuitions and other non logical elements. Deliberation is thus enriched to the point where ethical discourse becomes substantial rather than purely analytical. Caution (...) must be exercised to avoid this formal permissiveness from accepting empty and incorrigible statements that are but flatus voci since they can neither be supported nor falsified. It is therefore suggested that deliberation in bioethics should comply with three sets of conditions: (1) Be understandable, truthful, honest and pertinent, as suggested by communicative ethics; (2) Allow for second order, thick judgements as suggested by pragmatism; (3) Abide by additional criteria as here proposed: Doxastic propositions should be bolstered by a cognitive element; statements should be specific and proportional to the issue at hand, and they should be arguable and coherent. (shrink)

The acknowledged masterpiece of Unamuno expresses the anguish of modern man as he is caught up in the struggle between the dictates of reason and the demands of his own heart.

The notion of the human embryo is not immutable. Various scientific and technological breakthroughs in reproductive biology have compelled us to revisit the definition of the human embryo during the past 2 decades. Somatic cell nuclear transfer, oocyte haploidisation and, more recently, human stem cell-derived embryo models have challenged this scientific term, which has both ethical and legal repercussions. Here, we offer a legal perspective to identify a universally accepted definition of ‘embryo’ which could help to ease and unify the (...) regulation of such entities in different countries. (shrink)

In this article, I claim that the Antinomy of pure reason emerges as the result of synthetic activities that require succession. In this regard, I show that cosmological conflicts involve different kinds of representations: cosmological ideas, purely conceptual representations of the unconditioned and the product of non-temporal synthetic activities; and putative complete series of spatiotemporal conditions, which require temporal synthetic activities. As I show, purely conceptual representations cannot produce cosmological conflicts: The Antinomy requires the interaction of reason, understanding, and sensibility. (...) I also discuss the maxim and principle of pure reason, how they lead to the unconditioned, and how the cosmological syllogism produces the Antinomy. (shrink)

Should we be allowed to refuse any involvement of artificial intelligence technology in diagnosis and treatment planning? This is the relevant question posed by Ploug and Holm in a recent article in Medicine, Health Care and Philosophy. In this article, I adhere to their conclusions, but not necessarily to the rationale that supports them. First, I argue that the idea that we should recognize this right on the basis of a rational interest defence is not plausible, unless we are willing (...) to judge each patient’s ideology or religion. Instead, I consider that the right must be recognized by virtue of values such as social pluralism or individual autonomy. Second, I point out that the scope of such a right should be limited at least under three circumstances: if it is against a physician’s obligation to not cause unnecessary harm to a patient or to not provide futile treatment, in cases where the costs of implementing this right are too high, or if recognizing the right would deprive other patients of their own rights to adequate health care. (shrink)

Este artículo aborda dos temáticas de la novela La muerte es una vieja historia de Hernán Rivera Letelier: la construcción de la identidad de la mujer pentecostal y el uso de la música tanto en el templo como en la vida de un fiel pentecostal. En el primer apartado abordamos tres aspectos del primer tema relacionados con la mujer pentecostal: la inteligencia social y cognitiva, la corporalidad y sensualidad, y la violencia sexual. En el segundo apartado hacemos referencia a la (...) importancia que tiene la música en los templos y la vida cotidiana de los pentecostales, que en la novela se refleja en las anécdotas y experiencias que se cuentan de la protagonista, la hermana Tegualda. (shrink)

La descripción detallada de un hallazgo considerable de dirhames y fragmentos de dirhames realizado en las proximidades de Iznalloz (Granada) nos lleva a plantear una serie de cuestiones acerca de la trascendencia del reinado de `Abd al-Rahmán II en la historia numismática de al-Ándalus, sobre todo, lo relativo a la posible existencia de más de una ceca emisora.

León-Portilla, M. El pensamiento prehispánico.--O'Gorman, E. América.--Gallegos Rocafull, J. M. La filosofía moderna en la Nueva España.--Villoro, L. Las corrientes ideológicas en la época de la Independencia.--Zea, L. El positivismo.--Salmerón, F. Los de filósofos mexicanos del siglo XX.--Villegas, A. El liberalismo mexicano.

This article outlines the theoretical developments experienced in historical studies over the last two decades. As a consequence of the growing critical reconsideration of some of the main theoretical assumptions underlying historical explanation of individuals' meaningful actions, a new theory of society has taken shape among historians during this time. By emphasizing the empirical and analytical distinction between language as a pattern of meanings and language as a means of communication, a significant group of historians has thoroughly recast the conventional (...) notions of society, experience, interests, culture, and identity, and has developed a new concept of social action. Thus, historiographical debate seems to have started to transcend, for the first time, the longstanding and increasingly futile contest or dilemma between objectivism and subjectivism, between materialism and culturalism, between social and intentional explanation, or between social constraints and human agency. The groundwork has now been laid for an alternative to the declining paradigm of social history that does not entail a revisionist return to idealist history but opens a quite different path. (shrink)

En la Ciencia de la lógica, Hegel analiza las dos antinomias matemáticas kantianas, realiza una crítica interna de sus pruebas y concluye que son meras peticiones de principio. A pesar de ello, reconoce la legitimidad del descubrimiento kantiano. En este artículo se analiza cómo se integran y complementan esas dos miradas, para mostrar cómo se apropia Hegel de la antinomia de la razón pura para reconducirla a su fundamento conceptual, y despojarla así de todo contenido empírico, para lo cual tendrá (...) que desactivarla mediante una crítica a la formulación kantiana. (shrink)

Se busca precisar cómo la Crítica de la razón pura responde al problema fundamental del Iluminismo alemán: la articulación entre la autoridad de la razón y la fe. Kant busca rescatar las intenciones del racionalista dogmático -compatibilizar la fe y la razón-, pero rechaza el racionalismo y su método. La "Antinomia de la razón pura" y la "Disciplina de la razón pura" llevan a cabo esta estrategia: la primera evidencia que el racionalismo no puede fundamentar la fe por medio de (...) la razón y elucida el origen de esta incapacidad; la segunda se distancia del método racionalista utilizado en las pruebas de la "Antinomia". Queda así abierto el camino para una razón finita pero crítica, capaz de ser restituida al lugar de autoridad que la Ilustración le ha reservado. This article seeks to show how the Critique of Pure Reason answers the fundamental problem of the German Enlightenment: the linkage between the authority of reason and faith. Kant seeks to rescue the intentions of the dogmatic rationalist -reconcile faith and reason- but rejects rationalism and its method. The "Antinomy of Pure Reason" and the "Discipline of Pure Reason" accomplish this strategy: the first shows that rationalism cannot justify faith by means of reason and clarifies the origin of this incapability; the second distances itself from the rationalist method using the proofs of the "Antinomy". This leaves room for a finite but critical reason, able to be reinstated to the place of authority that the Enlightenment has reserved for it. (shrink)

En las breves notas conocidas más tarde como Tesis sobre Feuerbach (1845), Marx apuntó algunas ideas importantes, la mayoría de las cuales empezaría a desarrollar durante el mismo año en La ideología alemana. Lamentablemente, estas dos obras no se hicieron públicas al mismo tiempo, porque cuando Engels decidió publicar las Tesis, en 1888, descartó la edición de La ideología alemana. Así, la lectura de las sucintas y a veces equívocas Tesis sin la posibilidad de compararlas con ese otro texto importante, (...) escrito en el mismo año y con el mismo espíritu (especialmente su primera parte, titulada “Feuerbach. Oposición entre las concepciones materialistas e idealistas”), produjo malos entendidos graves. Uno de ellos se refiere a la definición marxiana de la praxis como “actividad humana sensible” (sinnlich menschliche Tätigkeit). Muchos autores, y en particular quienes no pudieron leer La ideología alemana, interpretaron erróneamente esa expresión, como si significase que el punto de vista filosófico de Marx era un subjetivismo sensualista, contrapuesto a todo tipo de materialismo. El presente artículo aspira a contribuir al esclarecimiento de ese problema suscitado por aquella desafortunada fórmula utilizada por Marx para caracterizar la praxis. (shrink)

It is commonplace in the philosophical literature the translation of the Aristotelian akrasia as “weakness of will”. This raises several important difficulties, far beyond a mere problem of translation. First of all, there is a growing consensus among scholars concerning the idea, held among others by Hannah Arendt, that there’s no concept in ancient Ethics that corresponds, behind some lexical appearances, with the Augustinian voluntas construed as a power or faculty fully autonomous with respect to reason as well as to (...) appetites, free from every determination not reducible to its own self-determination, and uniquely responsible, therefore, for the actions it commands. Secondly, the Augustinian voluntas raises a host of unsolvable paradoxes, as, for example, the supposed infinity of will, or its ultimate reduction to mere arbitrariness. This annihilates the very role assigned to will, i. e., that of founding and explaining the responsibility of the self. Therefore, it seems far more reasonable to hold a view of human soul that, in the same vein as the ancient Greek Ethics, refrains itself from introducing additional elements in the traditional dichotomy Reason-Desires, even if the detailed description of their mutual interactions can be greatly refined thanks to the modern cognitive science. (shrink)

El presente trabajo tiene como objetivo elucidar en qué sentido la idea de acontecimiento está presente en la filosofía de Michel Foucault, más como operador práctico en el modo de investigación que como puro concepto teórico. Pasando puntualmente por algunos trabajos reunidos en la obra Dits et Écrits, se intenta mostrar la real aparición de tal concepto a través de la aproximación del filósofo con la historia, en la elucidación de las relaciones entre el saber y el poder. Los ejemplos (...) clásicos de investigación sirvieron de base para establecer la relación entre el acontecimiento y la práctica filosófica que le es característica. (shrink)

El principio de proporcionalidad constituye hoy en día quizá el más conocido y el más recurrente "límite de los límites" a los derechos fundamentales, y en esa medida supone una barrera frente a intromisiones indebidas en el ámbito de los propios derechos. La idea de este libro es la de difundir entre los interesados una serie de herramientas hermenéuticas que son necesarias para lograr la adecuada protección de los derechos fundamentales. Las constituciones de América Latina, siguiendo la tendencia que ya (...) se apuntaba sobre el carácter fuertemente "materializado" de las cartas supremas de nuestros días, contienen todas ellas un amplio catálogo de derechos fundamentales. Pero su aplicación práctica ha dejado y sigue dejando mucho que desear. Esperamos que con la publicación de este libro se inicie un debate provechoso sobre las mejores formas de proteger los derechos fundamentales, a partir de una correcta interpretación de los mismos. Desde luego, Colombia lleva en este punto mucha ventaja respecto de otros países latinoamericanos, pues cuenta con la mejor jurisdicción constitucional de todos ellos. La Corte Constitucional de Colombia es reconocida y respetada en toda América Latina por su liderazgo intelectual y por su fuerte activismo progresista en materia de derechos fundamentales. (shrink)

A fenomenologia heideggeriana é marcada pela busca de uma experiência que precede a oposição de sujeito e objeto. Esse processo teve início na juventude desse filósofo em seus cursos e que culminou na elaboração de seu procedimento fenomenológico conhecido como os indícios formais. A intenção desse artigo é encontrar elementos que elucidem a gênese desse processo que se encontra, em especial, no curso proferido em 1919, entre outros. Além disso, intenta-se perceber o inevitável desembocar dessa abordagem para uma das questões (...) centrais do pensamento do jovem filósofo, que é a questão do tempo. (shrink)

Cybersecurity aggregates are numerical data obtained by aggregation on features along a database of cybersecurity reports. These aggregates are obtained by integration of time-stamped tables using some recent results of non-standard calculus. Time-series of aggregates are shown to contain relevant information about the concrete system dealt with. Trend time series is also forecasted using known data-driven methods. Although absolute forecasting of trend time series is not obtained, a directional forecasting of trend time series is achieved thence validated by means of (...) a rolling cross validation scheme on a public database of Scareware reports. (shrink)