Objectives: To assess French district nurses’ opinions towards euthanasia and to study factors associated with these opinions, with emphasis on attitudes towards terminal patients.Design and setting: An anonymous telephone survey carried out in 2005 among a national random sample of French district nurses.Participants: District nurses currently delivering home care who have at least 1 year of professional experience. Of 803 district nurses contacted, 602 agreed to participate .Main outcome measures: Opinion towards the legalisation of euthanasia , attitudes towards terminal patients (...) .Results: Overall, 65% of the 602 nurses favoured legalising euthanasia. Regarding associated factors, this proportion was higher among those who discuss end-of-life issues with terminal patients , who consider competent patients should always be told their prognosis and who value the role of advance directives and surrogates in end-of-life decision-making for incompetent patients . Women and older nurses were less likely to favour legalising euthanasia, as were those who believed in a god who masters their destiny.Conclusions: French nurses are more in favour of legalising euthanasia than French physicians; these two populations contrast greatly in the factors associated with this support. Further research is needed to investigate how and to what extent such attitudes may affect nursing practice and emotional well-being in the specific context of end-of-life home care. (shrink)

Background: Hospital nurses are frequently the first care givers to receive a patient’s request for euthanasia or physician-assisted suicide (PAS). In France, there is no consensus over which medical practices should be considered euthanasia, and this lack of consensus blurred the debate about euthanasia and PAS legalisation. This study aimed to investigate French hospital nurses’ opinions towards both legalisations, including personal conceptions of euthanasia and working conditions and organisation. Methods: A phone survey conducted among a random national sample of 1502 (...) French hospital nurses. We studied factors associated with opinions towards euthanasia and PAS, including contextual factors related to hospital units with random-effects logistic models. Results: Overall, 48% of nurses supported legalisation of euthanasia and 29%, of PAS. Religiosity, training in pallative care/pain management and feeling competent in end-of-life care were negatively correlated with support for legalisation of both euthanasia and PAS, while nurses working at night were more prone to support legalisation of both. The support for legalisation of euthanasia and PAS was also weaker in pain treatment/palliative care and intensive care units, and it was stronger in units not benefiting from interventions of charity/religious workers and in units with more nurses. Conclusions: Many French hospital nurses uphold the legalisation of euthanasia and PAS, but these nurses may be the least likely to perform what proponents of legalisation call “good” euthanasia. Improving professional knowledge of palliative care could improve the management of end-of-life situations and help to clarify the debate over euthanasia. (shrink)

Les sociétés contemporaines entretiennent un rapport ambivalent au risque : elles sont promptes à s’alarmer pour des risques collectifs, tout en valorisant les prises de risque individuelles. Cet article s’attache à resituer les interprétations sociologiques de ces prises de risque délibérées, en particulier celles de Lyng et Le Breton, dans le cadre de la société du risque décrite par Beck et Giddens. Les prises de risque apparaissent alors comme la réaction à un environnement devenu très incertain et anxiogène. Ce cadre (...) interprétatif invite aussi à nuancer l’opposition entre prises de risque adultes et adolescentes. Si les premières se concrétisent plus souvent dans la pratique d’un sport extrême, tandis que les secondes s’avèrent plus transgressives, il est possible que ce contraste traduise surtout des moyens matériels différenciés. Les données quantitatives du Baromètre Santé 2000 permettent enfin de tester empiriquement quelques hypothèses relatives à ces interprétations.Risk has an ambivalent status in contemporary societies : great fears of collective risks coexist with an increasing taste for individual risk-taking. This article aims at reframing Lyng and Le Breton’s sociological interpretations of voluntary risk-taking in a broader scope, derived from the « risk society » described by Beck and Giddens. From this viewpoint, such behaviours are individual responses to an environment in which uncertainty is causing anxiety, and adolescent risky behaviours are not so different from those of adults. If adolescents are more prone to take risks in illegal ways, it can result from a restricted access to expensive extreme sports. Using quantitative data from the French survey Baromètre Santé 2000, the article ends with an empirical test of some hypotheses deriving from these interpretations. (shrink)

Reflection Principles are commonly thought to produce only strong axioms of infinity consistent with V = L. It would be desirable to have some notion of strong reflection to remedy this, and we have proposed Global Reflection Principles based on a somewhat Cantorian view of the universe. Such principles justify the kind of cardinals needed for, inter alia , Woodin’s Ω-Logic.

The study of biological invasions raises troubling scientific, political and moral issues that merit discussion and debate on a broad scale. Nativist trends in Conservation Biology have made environmentalists biased against alien species. This bias is scientifically questionable, and may have roots in xenophobic and racist attitudes. Rethinking conservationists' conceptions of biological invasion is essential to the development of a progressive environmental science, politics, and philosophy.

François-Xavier de Peretti | : Notre propos consistera à analyser des textes cartésiens pouvant confirmer une tendance de l’ego à mimer Dieu, à endosser une certaine ressemblance avec Dieu. Nous examinerons pour cela l’énoncé du cogito tel qu’il est formulé dans les Médiations métaphysiques, pour suggérer que la parole de l’ego mime, dans les limites de sa puissance, la puissance performative de la parole de Dieu. Nous considérerons ensuite la manière dont les Méditations métaphysiques sont construites comme un hexaméron, (...) qui donne à nouveau naissance au monde au terme d’un exercice méditatif où le sujet retrouve une place centrale. | : We shall analyze some Cartesian texts able to enlighten a trend of the ego to mimic or to endorse a sort of resemblance to God. For this purpose, we shall consider the cogito, as it is formulated in the Meditations on First Philosophy, and we shall suggest that the ego mimics, in the limits of its own power, the performative power of the word of God. Then, we shall examine how the Meditations on First Philosophy are built as an hexameron which creates again the world at the end of a meditation exercise where the subject gets back to a central position. (shrink)

Did Descartes manage to overcome the skeptics? If we understand “overcome” in the sense of “refute,” the answer is no, since his hyperbolic doubt harbors several blind spots and is, therefore, not as radical as is commonly argued. In this way, the victory of the cogito is perhaps less decisive and fruitful than it is claimed. If we understand “overcome” in the sense of “remove” or “move beyond,” the answer is yes. Descartes has overcome skepticism, but at the cost of (...) a decision, a sort of bet made in favor of reason based on a confidence in the human mind that is never really subverted. This faith in reason, truth, and specific epistemological principles in Descartes’ philosophy constitute what Wittgenstein calls “hinges,” which are indispensable for doubting and searching for truth. In this sense, Descartes’ anti-skepticism is more a confidence in reason in order to save the possibility of science than the result of a logical refutation. (shrink)

Aquí se presenta una visión panorámica de la herencia filosófica legada por Derrida, pasando revista a los rasgos más característicos del pensamiento derridiano, que se definió a sí mismo como «cierta experiencia aporética de lo imposible». Tras examinar conceptos como los de «fidelidad», «espectro», «acontecimiento» y, por supuesto, «deconstrucción», se hace ver que -según Derrida- la tarea filosófica consistiría en analizar los estratos y sedimentos que configuran el discurso dentro del cual pensamos, con el fin de abrir nuevas perspectivas de (...) futuro y descubrir otros posibles sentidos distintos a los refrendados por la tradición. (shrink)

La tradition française du commentaire cartésien a peu traité du thème des Méditations métaphysiques en tant que méditations. Elle ne l’a toutefois pas totalement ignoré, d’où l’intérêt de faire un point sur les antécédents et les esquisses de ce thème dans la critique philosophique française contemporaine, d’en mesurer la portée en situant les Méditations à l’égard du genre méditatif et de proposer une double interprétation du texte de Descartes, non seulement comme traité de métaphysique, mais aussi comme suite d’exercices volontaires. (...) Cette qualité d’exercices volontaires qui contribue, en grande partie, à son originalité, assigne au texte réputé théorique des Méditations métaphysiques, une finalité éminemment pratique : l’assimilation des vérités métaphysiques et non leur seule démonstration. (shrink)

According to a broadly accepted interpretation, the doubt of the First Meditation gets stronger due to an increasing effectiveness of the reasons for said doubt. I defend a deflationary reading of the doubt of the Meditations insofar as the sceptical arguments used by René Descartes gradually lose power. This reading is obviously not without consequences, which will be mentioned in the conclusion, for the interpretation of the exercise of doubt and, more fundamentally, of the Cartesian doctrine of knowledge.

The Cognitive Estimation Test is widely used by clinicians and researchers to assess the ability to produce reasonable cognitive estimates. Although several studies have published normative data for versions of the CET, many of the items are now outdated and parallel forms of the test do not exist to allow cognitive estimation abilities to be assessed on more than one occasion. In the present study, we devised two new 9-item parallel forms of the CET. These versions were administered to 184 (...) healthy male and female participants aged 18–79 years with 9–22 years of education. Increasing age and years of education were found to be associated with successful CET performance as well as gender, intellect, naming, arithmetic and semantic memory abilities. To validate that the parallel forms of the CET were sensitive to frontal lobe damage, both versions were administered to 24 patients with frontal lobe lesions and 48 age-, gender- and education-matched controls. The frontal patients’ error scores were significantly higher than the healthy controls on both versions of the task. This study provides normative data for parallel forms of the CET for adults which are also suitable for assessing frontal lobe dysfunction on more than one occasion without practice effects. (shrink)

This study addresses philosophy’s traditional rejection of the sense of smell, taking into account the most unpleasant but also the most beneficial aspects of odour, from antiquity to the present day. The topic is investigated following a thread through several texts by Derrida, Nietzsche, and Freud. It explains the reasons– sometimes apparent, sometimes hidden– behind the most palpable effects of the philosophical marginalization of the sense of smell.

Résumé Descartes a adopté envers le scepticisme une attitude que d’aucuns parmi ses adversaires ont jugée ambiguë voire coupable. Il a recouru à des arguments sceptiques pour mettre en œuvre son célèbre doute qu’il concevait néanmoins comme l’acte inaugural d’une philosophie en quête de certitude scientifique. Descartes rejetait ainsi la fin poursuivie par les sceptiques et entendait user du doute contre le doute. Cette stratégie fondée sur un scepticisme des moyens pour combattre la fin et l’esprit même du scepticisme s’est-elle (...) révélée pertinente? Richard Popkin a pensé que non, dans son histoire du scepticisme, et conclu à l’échec d’un Descartes « sceptique malgré lui ». Je me propose de nuancer cette thèse de manière significative, suggérant que Descartes, sceptique à un second degré, était bien conscient de la finitude de l’esprit humain et des limites assignables à la recherche de la vérité des choses telles qu’elles sont en soi. (shrink)

Constituye la primera monografía que, en castellano, se publica sobre Jacques Derrida. Las cuestiones que se abordan aquí nos demuestran, cosa que no es poco, como mediante su pensamiento nos es más lúcida la comprensión de la tradición occidental.

O artigo reflete sobre o atual contexto da Educação Superior e seus desafios na formação de novos perfis de docentes. Optamos por indagar fenomenologicamente a formação docente em uma instituição confessional a fim de perceber, na pulsão das vivências dos estudantes, o lugar que a formação humana e da consciência ocupa na trajetória acadêmica. Seguindo essa pista e dialogando com profissionais e estudantes percebemos a necessidade de um maior aprofundamento dos pressupostos antropológico-filosóficos da educação. A partir disso, fizemos um contraponto (...) entre o modelo reducionista e o complexo, fundamentando as concepções de conhecimento e educação no diálogo entre dois grandes pensadores: Edith Stein e Edgar Morin. Os resultados revelam a necessidade de um diálogo multi e transdisciplinar nos programas de formação docente, bem como a necessidade de pensar a formação humana a partir do paradigma da complexidade, interligando saberes que fomentem a reforma do pensamento. A formação humano-integral requer projetos que incluam todas as dimensões do ser humano. Desse modo, o ato educativo, ensino e aprendizagem, assume proporções que ultrapassam a experiência de sala de aula e perduram em sua formação. A reflexão realizada fez emergir com maior clareza os desafios de nosso tempo: um pensar rigoroso sobre o “humano” e sua formação em uma perspectiva onto-antropológica que tenha como base uma visão de mundo, de ser humano e de transcendência comprometidos com valores pautados na ideia de “casa comum”. (shrink)

Inleidend overzicht van de wijsgerige ethiek.

인간의 이성적 의식과 법의 관계를 밝히고 법의 해석 과 판단에 인간의 의식이 어떻게 작용하는가를 고찰 한 저술. 제1부에서는 법의 형이상학적인 측면에서 법의 실체, 그리스의 법, 데카르트의 법, 로크와 법, 칸트와 법, 헤겔과 법, 아담스미스의 법의 경제, 중국의 도덕과 법사상을 다루었다. 제2부에서는 심리학적 분석으로 헌법의 심리학적 해석, 법의 판결절차, 증거법, 형법과 죄, 청소년과 가족법, 조세법, 플라톤의 법, 칸트의 도덕론의 경험적 확인, 헤겔의 자아와 노동법, 법의 4차원에 대해 다뤘다.

Neste artigo, objetivamos refletir sobre a experiência cristã de Deus diante da tentação do vazio cultural que assola as «teologias» da secularização e o vazio de Deus nas «contra-teologias». No percurso investigativo, revisitamos a literatura teológica da tradição católica, mapeando as contribuições das teologias da experiência cristã de Deus como a experiência de uma plenitude. Por este caminho, delineamos uma pesquisa bibliográfica de abordagem qualitativa. No seio da sociedade contemporânea, desafiada por «crises permanentes», corrupção, barbáreis e pandemia aflora a carência (...) de um Mistério Sagrado, capaz de revelar o sentido último da existência humana. Na eclesiologia do século XXI, a experiência cristã de Deus — latino-americana e caribenha — reclama para a sua práxis histórica a epifania do rosto de um Deus sofredor. Este Deus, sensivelmente, assume o fardo da existência humana, solidarizando-se com o sofrimento de pessoas concretas, de corpo-vivente, psique e espírito - um Deus responsável, inclusivo, totalmente envolvido com o destino da humanidade e da «Casa Comum», que não renuncia a nenhuma das suas criaturas. (shrink)

George Berkeley is one of the greatest and most influential modern philosophers. In defending the immaterialism for which he is most famous, he redirected modern thinking about the nature of objectivity and the mind's capacity to come to terms with it. Along the way, he made striking and influential proposals concerning the psychology of the senses, the workings of language, the aims of science, and the scope of mathematics. In this Companion volume a team of distinguished authors not only examines (...) Berkeley's achievements but also his neglected contributions to moral and political philosophy, his writings on economics and development, and his defense of religious commitment and religious life. The volume places Berkeley's achievements in the context of the many social and intellectual traditions - philosophical, scientific, ethical, and religious - to which he fashioned a distinctive response. (shrink)

Constituye la primera monografía que, en castellano, se publica sobre Jacques Derrida. Las cuestiones que se abordan aquí nos demuestran, cosa que no es poco, como mediante su pensamiento nos es más lúcida la comprensión de la tradición occidental.

The introduction of novel diagnostic techniques in clinical domains such as genomics and radiology has led to a rich ethical debate on how to handle unsolicited findings that result from these innovations. Yet while unsolicited findings arise in both genomics and radiology, most of the relevant literature to date has tended to focus on only one of these domains. In this article, we synthesize and critically assess similarities and differences between “scanning the body” and “sequencing the genome” from an ethical (...) perspective. After briefly describing the novel diagnostic contexts leading to unsolicited findings, we synthesize and reflect on six core ethical issues that relate to both specialties: terminology; benefits and risks; autonomy; disclosure of unsolicited findings to children; uncertainty; and filters and routine screening. We identify ethical rationales that pertain to both fields and may contribute to more ethically sound policies. Considerations of preserving public trust and ensuring that people perceive healthcare policies as fair also support the need for a combined debate. (shrink)

There has been an increase in recent years in the use of empirical methods in healthcare ethics. Appeals to empirical data cannot answer moral questions, but insights into the knowledge, attitudes, experience, preferences and practice of interested parties can play an important part in the development of healthcare ethics. In particular, while we may establish a general ethical principle to provide explanatory and normative guidance for healthcare professionals, the interpretation and application of such general principles to actual practice still requires (...) interpretation and judgement. And many situations in healthcare practice are complex and may involve a variety of principles, each of which may conflict with the others. Simple surveys or interview studies may not be sufficient if we wish to develop a nuanced approach to ethical practice that can be set out in guidelines, codes or directives. We do not resolve moral questions by plebiscite. In this paper, the authors argue for the use of consensus methods to develop shared understanding of ethical practice, and they argue further for the combination of the Delphi method with the use of vignettes to illustrate the kind of situations that may occur in practice. They develop their argument in part by reference to their experience of using this approach in their recent research. (shrink)