Dos místicos relativamente contemporáneos: Etty Hillesum y Benjamín González Buelta; dos estilos, dos contextos y una coincidencia establecida desde sus experiencias espirituales, en profunda conexión con la realidad, en medio de la vida y sus desafíos. Hillesum no habla propiamente de la experiencia mística, sin embargo, su proceso personal existencial en el duro contexto de guerra que le tocó vivir, la condujo a descubrirse profundamente habitada. Su experiencia de Dios le hizo posible comprender y gestionar el dolor en medio de (...) la guerra, así como la necesidad de ‘hacerse bálsamo sobre las heridas’ de sus hermanos judíos. Etty es una mística de ojos abiertos. Benjamín González Buelta ha profundizado en la comprensión de la mística, describiéndola y analizándola desde la experiencia de Dios en el contexto latinoamericano. Su reflexión permite hoy leer a Etty Hillesum desde la perspectiva del místico de ojos abiertos. (shrink)

El trabajo tuvo como objetivo caracterizar los resultados de la gestión de la investigación en ciencias sociales y humanísticas aplicadas en salud en el contexto de su institucionalización a través del Centro para el desarrollo de las Ciencias Sociales y Humanísticas en salud. Con el fin de alcanzar el objetivo propuesto se determinaron los siguientes momentos: primero se fundamentó el proceso de gestión de la investigación en estas áreas de conocimientos en el Cendecsa; se presentaron los resultados de la gestión (...) de la investigación de 2013-2017; y por último se realizó una valoración de sus impactos científicos y sociales de la entidad. Se utilizó el enfoque de los estudios sociales de la ciencia y la tecnología, con el enfoque metodológico cuanticualitativo: la revisión bibliográfica y de documentos elaborados como informes de Balance anual de la ciencia, de los planes de ciencia del centro y de otros procesos como los expedientes presentados en el proceso de reordenamiento de las entidades de ciencia de 2013 y 2014, documentos normativos y entrevistas a informantes clave. The aim of the paper was to characterize the results of research management in Social and Humanistic Sciences applied to Health in the context of its institutionalization through the Center for the Development of Social and Humanistic Sciences in Health. To achieve this aim, the following moments were determined: first, the research management process in these areas of knowledge in Cendecsa were underpinned from the context which knowledge production; second, Social and Humanistic Sciences applied to health research management results from 2013 to 2017 were presented; finally, its scientific and social impacts were assessed. The social studies of science and technology approach was used, with the quantitative-qualitative methodological approach: bibliographic review and documents such as annual science assessment reports, science plans in the institution and other processes like files presented in the science organizations restructuring process and other normative documents. (shrink)

Este trabajo tiene como objetivo valorar la contribución del Centro de Desarrollo de las Ciencias Sociales y Humanísticas en Salud a las Ciencias Sociales y Humanísticas en el sector de la Salud de Camagüey, desde la contextualización de la política científica cubana en la proyección estratégica de la entidad. En el mismo se expone la trayectoria de la gestión de la actividad científico-tecnológica del centro. Se utilizó la revisión de los documentos y resultados generados por la entidad y trabajos publicados (...) acerca de la actividad científica. Se concluye que el centro es una institución pertinente y con sus resultados impacta en la formación integral de los recursos humanos y en el desarrollo del enfoque social de los problemas de salud. The objective of this work is to value the contribution of the Center of development for the Social and Humanity Sciences in Health to the Social and Humanity Sciences in the health area in Camagüey, from the contextualization of the Cuban scientific policy in the strategic projection of this center. Its trajectory on the management of the scientific-technological activity was exposed. It was used the revision of documents and results generated by the institution, and published works about the scientific activity. It is concluded that the center is pertinent and its results have an impact in the integral formation of the human resources and the development of the social viewpoint of health problems. (shrink)

The current training model being used in higher education advocates the acquisition of competences aimed at providing students with all-round training that will enable them to tackle their future work responsibilities effectively. This encompasses a number of different competences, most notably the transversal kind, especially in view of the important role they play in shaping the profile of any professional individual. The active learning methods applied to group work have shown to be the most suitable for achieving these competences. From (...) this perspective, and considering their relevance, we present the results of a study that addresses the perceptions held by students from Education Degrees regarding the extent to which transversal competences are acquired by implementing active learning methods. The students perceive group work as a dynamic that teaches them how to be more self-critical and committed to group-oriented tasks, thus encouraging communication skills, personal relationships and motivation. However, a lesser degree of acquisition has been recorded in other equally important competences. As such, it is necessary to promote these learning methods from the start, carefully designing and planning the curriculum structure as well as the tasks to be performed in order to avoid any negative implications that may arise. (shrink)

The use of algorithmic prediction in insurance is regarded as the beginning of a new era, because it promises to personalise insurance policies and premiums on the basis of individual behaviour and level of risk. The core idea is that the price of the policy would no longer refer to the calculated uncertainty of a pool of policyholders, with the consequence that everyone would have to pay only for her real exposure to risk. For insurance, however, uncertainty is not only (...) a problem – shared uncertainty is a resource. The availability of individual risk information could undermine the principle of risk-pooling and risk-spreading on which insurance is based. The article examines this disruptive change first by exploring the possible consequences of the use of predictive algorithms to set insurance premiums. Will it endanger the principle of mutualisation of risks, producing new forms of discrimination and exclusion from coverage? In a second step, we analyse how the relationship between the insurer and the policyholder changes when the customer knows that the company has voluminous, and continuously updated, data about her real behaviour. (shrink)

Forgiveness seeking after a relational transgression is an important aspect of relational repair from an interpersonal perspective, although it has received much less attention than the process of granting forgiveness. This research focuses on the victim's perspective of the transgressor's behaviors and how they are related to forgiveness and offense characteristics. This paper proposes a multidimensional concept of seeking forgiveness that includes four dimensions: apologies, restorative action, relational caring behaviors, and diverting behaviors. A questionnaire for assessing these dimensions was developed (...) and tested with a general population sample of 450 subjects. Participants recalled a specific offense and then answered a questionnaire about the perceived usefulness of different forgiveness-seeking behaviors, a forgiveness inventory, and several questions regarding the characteristics of the offense. Our results support the four-factor structure of the questionnaire. As the perceived intentionality of the offense increases, behaviors that are directly related to the transgression, such as apologies and restorative actions, are experienced as less useful for forgiveness. The more hurtful the offense, the less useful the diverting behaviors are. Behavior such as apologies and restorative action are related to a lower motivation for revenge, while all forgiveness-seeking behaviors are related to an increase in feelings of benevolence toward the offender. (shrink)

The Ibero-American Conference is a forum for dialogue, consultation and cooperation in which the observance of human rights is an essential principle. These rights are an area of action of the Ibero-American system. The instruments adopted by the Conference and other Ibero-American instances provide political and legal indications in the field of human rights that must be developed through initiatives, actions, programmes and agendas of cooperation. Social rights deserve special attention at the Ibero-American Summits. All this should have an influence (...) on the positions of the Inter-American Court of Human Rights, particularly when it deals with cases in which are affected economic, social and cultural rights, as it has been done in the wake of recent judgments on the matter. The work of the Ibero-American system in the fields of migration and culture will be of particular interest to the Inter-American Court in determining the content and scope of the rights recognized and protected in the inter-American system. (shrink)

RESUMEN: La labor del Tribunal Penal Internacional para la Ex-Yugoslavia tuvo un momento importante en la compresión del principio de legalidad, como principio básico en la garantía de los derechos humanos, al enfrentar no sólo el derecho consuetudinario como fuente de derecho sino también diferentes modos o enfoques en la identificación de este derecho consuetudinario. Esta relación debe ser analizada a la luz de las limitaciones que tiene el derecho internacional y, sobre todo, de los procedimientos de creación de normas. (...) No resulta fácil exigir responsabilidad en el cumplimiento del derecho internacional humanitario y de los derechos humanos. La práctica de este Tribunal abre una vía para la reflexión con la finalidad de asegurar el respeto de los derechos humanos en cualquier circunstancia, incluso de aquellos que llevaron a cabo la comisión de graves crímenes contra la comunidad internacional.ABSTRACT: The work of the International Criminal Tribunal for the former Yugoslavia was important for understanding the principle of legality as a key principle on the guarantee of Human Rights. The former was due to the Tribunal’s work on having faced the customary law as a source of law using different perspectives for its identification. The link between customary law, principle of legality and human rights has to be analyzed taking in account the limits of International law and the procedures for creating legal norms. It is not easy to invoke responsibility in the fulfillment of international humanitarian law and international law of human rights. The practice developed by this Tribunal provides an avenue for thinking about ensuring the respect of the human rights in any case including the commission of grave crimes against international community. PALABRAS CLAVE: derecho internacional de los derechos humanos, principio de legalidad, derecho internacional humanitario, costumbre internacionalKEYWORDS: international law of human rights, principle of legality, international humanitarian law, international custom. (shrink)

A cognitive assessment strategy that is not limited to examining a set of summary test scores may be more helpful for early detection of emergent illness such as Alzheimer’s disease (AD) and may permit a better understanding of cognitive functions and dysfunctions in those with AD and other dementia disorders. A revisit of the work already undertaken by Kaplan and colleagues using the Boston Process-Approach provides a solid basis for identifying new opportunities to capture data on neurocognitive processes, test-taking strategies (...) and response styles. Thus, this critical review will combine traditional process-based assessment strategies with support provided or offered by newer technologies that have the potential to add value to data collection and interpretation. There is now considerable interest in neuropsychological test administration using computer/digital technology, both in research and in clinical settings. To add value, any computerized version of an existing cognitive test should respect the administration procedure for which normative data were obtained, should be time-saving in terms of scoring and interpretation, and should, we argue, facilitate gathering information about the processes and strategies followed in test completion. This article will offer an overview of the steps needed when implementing computerization of neuropsychological tests using a Process-Based Approach (PBA) to these technology-based adaptations and will discuss further developments in this area by linking it to future technological developments that may be possible in the area of neuropsychological assessment. Additionally, an overview of neuropsychological tests that may benefit from computerization will be presented, together with suggestions on the specific processes, strategies and features that may be captured with the aid of such computerization. Finally, hypotheses on how virtual reality could be an asset for the future of the PBA to neuropsychological assessment will also be discussed. (shrink)

Humanismo básico. Humanismo e historicidad. Humanismo y libertad. Humanismo y díalogo. Lenguaje y verdad. Existencia, fermento de lo trágico.

Tratar cuál es el carácter de la relación entre ciencia y tecnología en el complejo mundo de la Ilustración, es lo que plantea este libro. Los historiadores de la ciencia y de la tecnología han venido suponiendo en las últimas décadas que dicha relación se había producido en un único sentido. La presente obra desafía esta visión por simplificadora y replantea la cuestión para ofrecer un análisi más completo de la interacción entre ciencia e industria en este período.

It can certainly be said that history of science has experienced a large growth in recent decades in Spain. This has occurred despite the generic term ‘history of science’ covering activities of a very varied nature and lacking an intimate relation between each other, in research as well as instruction. At present the number of publications which could fit into the frame of this branch of learning has increased remarkably and commercial publishing houses have opened their editorial lists to the (...) publication of classics as well as to monographs on the history of science. Moreover, new specialized journals on these subjects have become popular and have joined the small number of journals which already had a certain tradition. The number of participants in the periodical congresses of the Sociedad Española de Historia de las Ciencias y de las Técnicas [SEHCYT] has risen and the number of congresses and symposia that have been held in Spain and have assembled Spanish as well as foreign historians has also increased. As another recent promising detail, we could quote the presence of history of science in the curricula of Spanish university programmes, a presence that tends to increase progressively. (shrink)

A proliferation of tests exists for the assessment of auditory-verbal memory processes. However, from a clinical practice perspective, the situation is less clear when it comes to the ready availability of reliable and valid tests for the evaluation of visual/visuo-spatial memory processes. While, at face value, there appear to be a wide range of available tests of visual/visuo-spatial memory, utilizing different types of materials and assessment strategies, a number of criticisms have been, and arguably should be, leveled at the majority (...) of these tests. The criticisms that have been directed toward what are typically considered to be visual/visuo-spatial memory tests, such as the potential for verbal mediation, over-abstraction of stimuli, the requirement of a drawing response, and the lack of sensitivity to unilateral brain lesions, mean that, in reality, the number of readily available valid tests of visual/visuo-spatial memory is, at best, limited. This article offers a critical, historical review on the existing measures and resources for the neuropsychological assessment of visual/visuo-spatial memory, and it showcases some examples of newer tests that have aimed to overcome the challenges of assessing these important aspects of memory. The article also identifies new trends and examples of how technological advances such as virtual reality may add value to overcome previous obstacles to assessment, thereby offering professionals more reliable, accurate means to evaluate visual/visuo-spatial memory in clinical practice. (shrink)

Requiring family authorization for apnea testing subtracts health professionals control over death determination, a procedure that has traditionally been considered a matter of clinical expertise alone. In this commentary, we first provide evidence showing that health professionals’ (HPs) disposition to act on death determination without family’s prior consent could be much lower than that referred to by Berkowitz and Garrett (2020). We hypothesize that HPs may have reservations about their own expertise as regards death, and may thus hesitate to impose (...) their views on patients’ families. We then address the theoretical question of clinical expertise in death determination by distinguishing judgments about facts (e.g., the presence or absence of spontaneous breathing) from interpretations given of these facts (i.e., their meaning for the vital status of an individual). We argue that, while clinicians may claim some expert authority on the former, they hold no particular authority on the latter. (shrink)

En este artículo, se aborda, desde una óptica Spinoziana, el problema de la libertad. Spinoza rechaza la libertad como el libre albedrío. Sin embargo, considera que podemos tener agencia (libertad) en tanto, guiados por el conocimiento de las causas de nuestros afectos, actuemos en favor de nuestro conatus. Esta investigación está dividida en tres capítulos: En el primero, se reconstruye, someramente, la posición de Spinoza sobre el libre albedrío; en el segundo, se desarrolla su propuesta de agencia; finalmente, en el (...) tercero, se busca reactualizar las consideraciones de Spinoza en torno a la discusión contemporánea sobre problema de la libertad. (shrink)

The debate over the determination of death has been raging for more than fifty years. Since then, objections against the diagnosis of brain death from family members of those diagnosed as dead-have been increasing and are causing some countries to take novel steps to accommodate people’s beliefs and preferences in the determination of death. This, coupled with criticism by some academics of the brain death criterion, raises some questions about the issues surrounding the determination of death. In this paper, we (...) discuss some of the main approaches to death determination that have been theoretically proposed or currently put into practice and propose a new approach to death determination called "weak pluralism" as a reasonable ethical and political alternative to respect diversity in death determination. (shrink)

Este estudio devela la lejanía que existe entre las prácticas evaluativas de los docentes y el perfil de egreso de los estudiantes durante la acción formativa que se brinda en la Educación superior. Mediante un diseño de enfoque cualitativo, se realizaron entrevistas a docentes de universidades con Facultades de Educación en Lima (Perú), que, en base a las representaciones gráficas de su práctica evaluativa, comunicaron que durante el proceso evaluativo el perfil de egreso está ausente en la mirada del docente, (...) lo cual implica poca valoración de este componente curricular que es el eje orientador de todo el proceso formativo. (shrink)

Netley Hospital played a crucial role in caring for the wounded during the nineteenth century and twentieth century, becoming one of the busiest military hospitals of the time. Simultaneously, Florence Nightingale delved into the concept of health and developed the theoretical basis of nursing. This research aims to describe the experiences related to nursing and patient care described in The Netley British Red Cross Magazine during the First World War. The analysis displays different nurses' roles and the influence of environmental (...) factors in the delivery of the soldiers' care. There are indications that Nightingale's ideas would have infiltrated the nursing practices and other aspects of the soldiers' recovery at Netley. The history of the Netley Red Cross Hospital shows the theoretical and practical advancement of nursing care towards a holistic approach. (shrink)

Este estudio cualitativo fenomenológico-hermenéutico interpreta los discursos narrativos de estudiantes sobre sus vivencias en entornos virtuales con respecto al proceso de retroalimentación vinculado con el modelo socioformativo asumido por su universidad. Es un estudio retrospectivo que se focaliza en los dos primeros años de pandemia de la COVID-19 y la información se obtuvo mediante el análisis documentario y grupos focales que permiten, desde las voces de los estudiantes, dar aportes que sustenten la acción pedagógica de docentes en diferentes modalidades formativas (...) que después de la pandemia de la COVID 19 estarán presentes en el proceso formativo a nivel mundial. (shrink)

Un requisito para demostrar la vigencia de un programa de posgrado es la evaluación de su pertinencia social. El presente trabajo tiene como objetivo describir los resultados de la evaluación de la pertinencia social del programa de maestría Humanidades Médicas. Se muestran sus características esenciales derivadas de los procesos realizados en el Centro para el Desarrollo de las Ciencias Sociales y Humanísticas en Salud; se define la pertinencia social y sus indicadores como conceptos esenciales para la evaluación de los procesos (...) del posgrado; por último, se presenta la metodología y su aplicación en el proceso de evaluación. Se realizó triangulación metodológica de fuentes de datos provenientes de encuestas y entrevistas a profesores, maestrantes de la edición actual y de egresados; además, datos de los informes de autoevaluación y de la comisión técnica en el proceso de evaluación externa para la acreditación acaecida en marzo de 2016. A requisite for demonstrating the validity of a postgraduate program is the assessment of its social relevance. This work aims to describe evaluative results related to the social relevance of the Masters of Science in Medical Humanities degree. The evaluation process was carried out in the Health Humanities and Social Sciences Development Centre of Camaguey. Social relevance and related indicators were defined and considered for this specific master's degree level evaluation. The methodology and its application in the evaluation process are presented. Data triangulation between surveys collected and interviews granted from faculty, current students of the Medical Humanities program, and graduates of the department was utilized. Additionally, data from self-evaluation reports and from the external evaluation technical commission for accreditation in March 2016 were considered in the data triangulation. (shrink)

Más allá de las críticas de Aristóteles a la noción platónica de participación, existen algunos usos de este término que merecen ser atendidos en la obra aristotélica, en tanto suponen no solo una herencia platónica sino también una resignificación en un plexo conceptual diverso. Este trabajo explora el uso aristotélico de la noción de participación como finalidad no intencional en el argumento que sostiene que uno de los modos de alcanzar la inmortalidad es la procreación, para mostrar cómo se puede (...) compatibilizar la adopción de la terminología platónica de la participación con el entramado causal aristotélico. (shrink)

Este trabajo ahonda en una de las estrategias básicas de Aristóteles en Physica I, la homogeneización de conceptos dispares de los primeros físicos, como parte del armado de su taxonomía de posiciones acerca de los principios. Esta estrategia propedéutica de la refutación consiste en el armado de una progresión y una genealogía de las posiciones de los físicos a partir del eleatismo. El objetivo principal de este trabajo es mostrar el sentido específico del concepto de separación en la física de (...) Anaxágoras y las transformaciones que experimenta en la crítica aristotélica. En línea con trabajos recientes como los de Curd (2019) y Marmodoro (2017) que han llamado la atención sobre la especificidad del vocabulario físico de Anaxágoras, esta investigación muestra que las bases de su negación de la génesis y su reelaboración en términos de separación y mezcla reposan sobre tesis originales de su propia física. Tanto a nivel terminológico como conceptual, las nociones de separación y mezcla anaxagóricas no se pueden exportar a otra teoría física. (shrink)

El objetivo de este trabajo es analizar las diversas manifestaciones de transgresión que tienen su origen en los últimos años de la década de los 70 y en los 80 en España, y su reflejo en los estereotipos de género. Desde las actitudes libertarias, pasando por la superwoman como modelo de mujer emancipada, hasta los nuevos modelos de maternidad intensiva que comienzan a introducirse a finales de los ochenta, la transgresión se ha manifestado de diversas formas durante este periodo en (...) el que las españolas a duras penas lograron superar el modelo tradicional impuesto por el franquismo. En este contexto, la transgresión se manifestó como un fenómeno superficial, inherente al momento sociopolítico y vaciada de un contenido reivindicativo. (shrink)

COVID-19 Lockdown was particularly challenging for most mothers of people with intellectual disabilities, including those with Rett syndrome, leading to feelings of abandonment from healthcare services of their children. Within those days, telerehabilitation has represented a valid alternative to support physical activity and treatment, supporting parents in structuring their children’s daily routine at home. This article aims to describe the well-being level of two groups of mothers of girls and women with RTT who were involved in a home-based remotely supervised (...) motor rehabilitation program, respectively, before and during the COVID-19 Italian lockdown. Forty participants with classic RTT were recruited before the lockdown and randomly assigned to two groups that performed the intervention immediately before and during the lockdown, respectively. The intervention included an individualized daily physical activity program carried out for 12 weeks by participants’ parents and fortnightly supervised throughout Skype contacts to plan, monitor, and accommodate individual activities in the participant’s life at home. The short form Caregivers Well-Being Scale was collected for the mothers in each group 12 weeks before intervention, at intervention initiation, immediately after intervention termination, as well as at 12 weeks after intervention termination. Mothers of participants in the Group 1 showed a stable level of well-being across all four evaluations with a slight improvement during the lockdown, without significant change. Similarly, the well-being level of mothers in the Group 2 showed a statistically significant increase in their well-being between T2 and T3 and its reduction to the pre-intervention level between T3 and T4. The results suggest that the lockdown did not negatively affect the participants’ mothers’ well-being, leading to its improvement. Moreover, the proposed intervention could have supported the mothers in managing the new daily routine at home, positively affecting maternal well-being. (shrink)

Altruism and solidarity are concepts that are closely related to organ donation for transplantation. On the one hand, they are typically used for encouraging people to donate. On the other hand, they also underpin the regulations in force in each country to different extents. They are often used indistinctly and equivocally, despite the different ethical implications of each concept. This paper aims to clarify to what extent we can speak of altruism and solidarity in the predominant models of organ donation. (...) It also raises the ethical question of whether these categories are adequate as a basis for such models, bearing in mind that organs are a scarce resource and that a shortage of them may mean that fewer lives are saved or improved. (shrink)

Desde el estallido de la crisis económica la vulnerabilidad socioeconómica se ha ido agravando, tanto en cantidad de familias cuyas fuentes de ingresos han disminuido como en la gravedad de la situación, llegando a cronificar la pobreza en determinados sectores sociales. Las ejecuciones hipotecarias han provocado serias dificultades para cubrir necesidades básicas como la alimentación, la higiene o los suministros de la vivienda. En España, debido a las reformas neoliberales de los últimos años, la cobertura pública se ha reducido drásticamente. (...) Esto se ha traducido en un aumento de la sobrecarga de las redes familiares y comunitarias de apoyo. En este artículo exploramos el tipo del capital social que la participación en la Plataforma de Afectados por la Hipoteca otorga a las familias vinculadas. A partir del análisis de los datos empíricos -recogidos a través de observación no participante y de entrevistas semi-dirigidas a 30 familias que han sufrido ejecución hipotecaria en el área metropolitana de Barcelona- discutimos hasta qué punto los lazos débiles entablados en la PAH pueden o no cumplir funciones de ventaja y de apoyo a las familias. Por otra parte, nos preguntamos en qué procesos las familias pueden ejercer su acción en la PAH, y si esta forma de empoderamiento les aporta o no capital social y movilidad social. (shrink)

Los cuidados paliativos buscan ofrecer una atención holística para brindar una mejor calidad de vida a los enfermos, especialmente cuando se aproximan al fin de su existencia. Profundizar en la dimensión espiritual de la persona humana resulta atractivo puesto que ofrece respuestas al sentido de la vida. Se ha constatado que la atención espiritual aporta grandes beneficios para el paciente. Es por eso que en este trabajo hemos querido profundizar en la importancia de la dimensión espiritual en los cuidados paliativos; (...) se destaca la actitud de la escucha como pieza clave de dicha atención espiritual, lo que evidencia que el burnout de los médicos es el principal obstáculo para potenciar la escucha como una adecuada disposición que resulte consoladora y sanadora. (shrink)

La filosofía de la tecnología es una rama reciente de la filosofía en general. Puede aportar herramientas para problemas derivados de aplicaciones tecnológicas recientes, como la telemedicina. Un problema señalado reiteradamente por la bioética lo constituye la privacidad en general, y las modificaciones que pueden introducirse por el cada vez mayor uso de las tecnologías. Comentando propuestas desde la Asociación Médica Mundial y datos contemporáneo derivados de la pandemia de COVID-19, puede reconocerse que la privacidad es una exigencia ética que (...) requiere regularse a través de su implementación política para su adecuada protección legal. (shrink)

Background: This research explores how public awareness and attitudes toward donation and transplantation policies may contribute to Spain's success in cadaveric organ donation. Materials and Methods: A representative sample of 813 people residing in Andalusia (Southern Spain) were surveyed by telephone or via Internet between October and December 2018. Results: Most participants trust Spain's donation and transplantation system (93%) and wish to donate their organs after death (76%). Among donors, a majority have expressed their consent (59%), and few nondonors have (...) expressed their refusal (14%). Only a minority are aware of the presumed consent system in force (28%) and feel sufficiently informed regarding the requirements needed to be an organ donor (16%). Participants mainly consider that relatives should represent the deceased's preferences and be consulted when the deceased's wishes are unknown, as is the case in Spain. Conclusion: Public trust in the transplant system may contribute to Spain's high performance in organ donation. High levels of societal support toward organ donation and transplantation do not correspond with similar levels of public awareness of donation and transplantation policies in Spain. (shrink)