Contemporary healthcare practice has been progressively more regulated to increase efficiency, service user safety and practice quality. However, ethical issues in clinical practice that have not been implemented into regulations are undervalued by policymakers and healthcare institutions Considering the issues found by other authors, the use of a simple tool for policymakers to consider recurrent ethical issues could reduce those issues in a policy-driven clinical practice. The lack of tools to support structured ethical assessment of clinical policies was the main (...) reason to create the Clinical Policy Ethics Assessment Tool, but we realised of its possible advantages: limiting ethical dilemmas posed by policies, ensuring ethical practice by the use of policies and developing a consistent process for policymakers, institutions and healthcare professionals. Nonetheless, even if a tool can be implemented and it supports the creation of policies that reduce ethical issues, if the healthcare professionals are not aware of them they will not be implemented and the issues will continue. (shrink)

Contemporary healthcare practice has been progressively more regulated to increase efficiency, service user safety and practice quality. However, ethical issues in clinical practice that have not been implemented into regulations are undervalued by policymakers and healthcare institutions Considering the issues found by other authors, the use of a simple tool for policymakers to consider recurrent ethical issues could reduce those issues in a policy-driven clinical practice. The lack of tools to support structured ethical assessment of clinical policies was the main (...) reason to create the Clinical Policy Ethics Assessment Tool, but we realised of its possible advantages: limiting ethical dilemmas posed by policies, ensuring ethical practice by the use of policies and developing a consistent process for policymakers, institutions and healthcare professionals. Nonetheless, even if a tool can be implemented and it supports the creation of policies that reduce ethical issues, if the healthcare professionals are not aware of them they will not be implemented and the issues will continue. (shrink)

Introduction: Nurses who work in an emergency department regularly care for acute patients in a fast-paced environment, being at risk of suffering high levels of burnout. This situation makes them especially vulnerable to be accountable for decisions they did not have time to consider or have been pressured into. Research objective: The objective of this study was to find which factors influence ethical, legal and professional accountability in nursing practice in an emergency department. Research design: Data were analysed, codified and (...) triangulated using qualitative ethnographic content analysis. Participants and research context: This research is set in a large emergency department in the Midlands area of England. Data were collected from 186 nurses using participant observation, 34 semi-structured interviews with nurses and ethical analysis of 54 applicable clinical policies. Ethical considerations: Ethical approval was granted by two research ethics committees and the National Health Service Health Research Authority. Results: The main result was the clinical nursing accountability cycle model, which showed accountability as a subjective concept that flows between the nurse and the healthcare institution. Moreover, the relations among the clinical nursing accountability factors are also analysed to understand which factors affect decision-making. Discussion: The retrospective understanding of the factors that regulate nursing accountability is essential to promote that both the nurse and the healthcare institution take responsibility not only for the direct consequences of their actions but also for the indirect consequences derived from previous decisions. Conclusion: The decision-making process and the accountability linked to it are affected by several factors that represent the holistic nature of both entities, which are organised and interconnected in a complex grid. This pragmatic interpretation of nursing accountability allows the nurse to comprehend how their decisions are affected, while the healthcare institution could act proactively to avoid any problems before they happen. (shrink)

Introduction: Clinical policies control several aspects of clinical practice, including individual treatment and care, resource management and healthcare professionals’ etiquette. This article presents Clinical Policy Ethics Assessment Tool, an ethical assessment tool for clinical policies that could be used not only by clinical ethics committees but also by policy committees or other relevant groups. Aim: The aim of this study was to find or create a tool to identify ethical issues and/or confirm ethical validity in nursing practice policies, protocols and (...) guidelines. Methodology: The development of Clinical Policy Ethics Assessment Tool involved first a literature review, followed by modification of the Research Protocol Ethics Assessment Tool, which was created to identify research protocols’ ethical issues, and finally, a trial of Clinical Policy Ethics Assessment Tool to ensure its reliability and validity. Ethical consideration: The policies analysed trialling Clinical Policy Ethics Assessment Tool were in the public domain and did not contain any confidential information. Despite that, Clinical Policy Ethics Assessment Tool also had the approval of a research ethics committee. Results: Research Protocol Ethics Assessment Tool was chosen as the template for a Clinical Policy Ethics Assessment Tool, to which several modifications were added to adapt it to work within a nursing practice context. Clinical Policy Ethics Assessment Tool was tested twice, which resulted in a general test–retest reliability coefficient = 0.86, r = 0.84, α1 = 0.817, α2 = 0.824 and interclass correlation coefficient = 0.874. Discussion: Contemporary nursing practice in a developed country is often ruled by clinical policies. The use of Clinical Policy Ethics Assessment Tool could confirm the ethical validity of those clinical practice policies, impacting on nurses’ education, values and quality of care. Conclusion: Clinical Policy Ethics Assessment Tool has the potential to detect ethical issues and facilitate the correction and improvement of clinical policies and guidelines in a structured way. This is especially so as it has shown reliability in detecting issues in clinical policies involving human participants and in encouraging policymakers to consider common ethical dilemmas in nursing practice. (shrink)

Objetivo: Analizar los riesgos psicosociales sufridos durante la pandemia por docentes. Método: Análisis descriptivo correlaciones y de comparación de medias. Muestra: 265 docentes no universitarios. Instrumentos: Cuestionario validado extraído de UNIPSICO Battery, Evaluación del Burnout- BAT y Escala de Inseguridad Laboral y cuestionario ad-hoc para medir recursos, información, medidas e impacto. Resultados: Inequidad seguido de sobrecarga son los mayores riesgos. Perciben falta de justicia organizacional, conflicto de rol e interpersonal, mayor carga de trabajo. Apoyo social alto. Recursos, información y medidas (...) insuficientes y un impacto moderado-alto en su desempeño profesional. Valores no significativos en cuanto a burnout y salud. (shrink)

Nos complace presentar este número especial de la Revista Las Torres de Lucca, dedicado íntegramente a la investigación sobre injusticia epistémica. El proyecto de esta publicación se gestó entre 2017 y 2018, en conversaciones entre Cristina Bernabéu e Isabel Gamero; a las que luego se sumaron Alba Moreno y Llanos Navarro. Los directores de Las Torres de Lucca, Diego Fernández Peychaux y Juan Antonio Fernández Manzano, aceptaron la propuesta con interés. Estamos muy agradecidas a ambos por ello, así (...) como por el acompañamiento que nos han hecho durante todo el proceso, desde la publicación de la convocatoria hasta la conclusión del número que ahora presentamos. La motivación que subyace a este trabajo es el interés en la noción de injusticia epistémica, en la que encontramos una poderosa herramienta para visibilizar qué voces tienen más presencia en los distintos contextos sociales situados en los que participamos y qué prácticas habría que aplicar para lograr una distribución más justa de capacidades, tan básicas y cruciales, como las de dar testimonio y comunicar las propias experiencias. El debate sobre injusticia epistémica ha crecido significativamente a raíz de la publicación del libro de Miranda Fricker Epistemic Injustice. Desde entonces, la discusión se ha desarrollado sobre todo en el contexto de la epistemología social feminista y antirracista, aunque ha tenido otras ramificaciones. Este número en particular reúne una serie de trabajos que aplican la noción de injusticia epistémica, tal y como fue propuesta por Fricker, a ámbitos diversos de discusión, que incluyen el análisis jurídico, el análisis del discurso y la estrategia políticos o el desarrollo de formas de resistencia epistémica, y que abordan problemas como la atribución errónea de género ─conocida como misgendering por su voz inglesa─ y el fenómeno del silenciamiento. Nos satisface comprobar que el debate es tan rico en sus ramificaciones y aplicaciones, así como haber podido reunir una muestra de esta riqueza. (shrink)

Nel 1881, per i tipi dell’editore Brigola di Milano, vedeva la luce Macchiette parigine, un compendio di profili biografici che lo scrittore siciliano Emanuele Navarro della Miraglia (1838-1919) dedicava a eminenti personalità della cultura letteraria e artistica francese di metà Ottocento.Francesista, a lungo residente a Parigi (1864-1872), in contatto a Milano con gli ambienti della scapigliatura lombarda (1872-1882) e da ultimo professore di Lingua e letteratura francese presso l’Istituto superiore di magistero femminile di Roma (1883-1913), Navarro della Miraglia (...) includeva fra le sue “macchiette” anche due ritratti d’artisti dedicati rispettivamente a Gustave Courbet e a Jean-Baptiste Carpeaux.Questo contributo si propone di definire il contesto e le ricadute di una lettura non allineata alla tempestiva e più “ortodossa” discussione della lezione di Courbet promossa da Diego Martelli presso i macchiaioli toscani, a beneficio di una geografia culturale diversamente articolata fra le aperture cosmopolite del naturalismo meridionale e le frange più avanzate della scapigliatura lombarda. Allo stesso modo il resoconto dell’atelier di Carpeaux è riconsiderato alla luce del coevo dibattito sulla scultura monumentale e delle ricerche in corso a Milano su un modellato più mosso e nervoso. (shrink)

Skepticism: From Antiquity to the Present is an authoritative and up-to-date survey of the entire history of skepticism. Divided chronologically into ancient, medieval, renaissance, modern, and contemporary periods, and featuring 50 specially-commissioned chapters from leading philosophers, this comprehensive volume is the first of its kind.

This book explores the nature and significance of Pyrrhonism, the most prominent and influential form of skepticism in Western philosophy. Not only did Pyrrhonism play an important part in the philosophical scene of the Hellenistic and Imperial age, but it also had a tremendous impact on Renaissance and modern philosophy and continues to be a topic of lively discussion among both scholars of ancient philosophy and epistemologists. The focus and inspiration of the book is the brand of Pyrrhonism expounded in (...) the extant works of Sextus Empiricus. Its aim is twofold: to offer a critical interpretation of some of the central aspects of Sextus’s skeptical outlook and to examine certain debates in contemporary philosophy from a neo-Pyrrhonian perspective. The first part explores the aim of skeptical inquiry, the defining features of Pyrrhonian argumentation, the epistemic challenge posed by the Modes of Agrippa, and the Pyrrhonist’s stance on the requirements of rationality. The second part focuses on present-day discussions of the epistemic significance of disagreement, the limits of self-knowledge, and the nature of rationality. The book will appeal to researchers and graduate students interested in skepticism. (shrink)

In his account of Pyrrhonism, Sextus Empiricus talks about the disturbance concerning matters of opinion that afflicts his dogmatic rivals and that he himself was afflicted by before his conversion to Pyrrhonism. The aim of the present paper is to identify the distinct sources of doxastic disturbance that can be found in that account, and to determine whether and, if so, how they are related. The thesis to be defended is that it is possible to discern three sources of doxastic (...) disturbance and that two of them are to be explained by reference to the third, which is the real cause of mental distress. The paper also considers whether the thesis in question entails that there is no reason for the Pyrrhonist to suspend judgment across the board, but only to suspend judgment about evaluative matters. (shrink)

Putnam and others have argued that semantic externalism extends to artifactual kind words such as “pencil” or “doorstop”. I first show that, even with natural kinds, externalism applies to words for ground level kinds. The issue then arises of which categories of artifacts should be identified as kinds in the relevant, restricted sense. I argue that, though there are natural taxonomies of artifactual categories at least some of which have well-defined ground levels, even words for such kinds do not appear (...) to have externalist semantics, as they do not support ignorance or error arguments. Some think that membership to any kind is determined by objective features. Against this, I argue that the makers’ productive intentions are often crucial in selecting which pattern of features counts as constitutive of a kind. Though externalists may insist that membership to a kind is ultimately determined by sharing objective features, the resulting version of externalism can hardly be distinguished from internalism. (shrink)

My purpose in this article is to revisit an issue concerning the state of undisturbedness or tranquility (ἀταραξία) in ancient Pyrrhonism as this skeptical stance is depicted in Sextus Empiricus’s extant works. The issue in question is whether both the pursuit and the attainment of undisturbedness in matters of opinion should be regarded as defining features of Pyrrhonism not merely from a systematic standpoint that examines Pyrrhonism as a kind of philosophy, but mainly according to Sextus’s own account of that (...) skeptical stance. In exploring this issue, I will develop an interpretation defended in previous work, responding to some objections, discussing alternative interpretations, offering further textual support, and putting forward new arguments. It is my contention that examining whether both the pursuit and the attainment of undisturbedness in matters of opinion are essential to Pyrrhonism will make it possible to gain a more accurate understanding of this brand of skepticism. (shrink)

La présente étude a deux objectifs. Le premier est d’examiner les différentes formulations de l’objection de l’ἀπραξία telle qu’elle fut soulevée contre le scepticisme académicien et le pyrrhonisme, ainsi que les réponses à cette objection proposées par Arcésilas et Sextus Empiricus. Le second objectif consiste à évaluer la force de la version de l’objection de l’ἀπραξία selon laquelle le sceptique ne peut réaliser les actions rationnelles propres à l’être humain.

In recent years, there has been renewed interest in Pyrrhonism among both philosophers and historians of philosophy. This skeptical tradition is complex and multifaceted, since the Pyrrhonian arguments have been put into the service of different enterprises or been approached in relation to interests which are quite distinct. The diversity of conceptions and uses of Pyrrhonism accounts for the diversity of the challenges it is deemed to pose and of the attempts to meet them. The present volume brings together twelve (...) essays by leading specialists which explore the history and philosophical significance of this form of skepticism: they discuss some thorny questions concerning ancient Pyrrhonism, explore its influence on certain modern thinkers, and examine it in relation to contemporary analytic philosophy. The essays combine historical and exegetical analysis with an assessment of the philosophical merits of the Pyrrhonian outlook, with the aim of understanding it both in its historical context and in connection with contemporary concerns. This volume, the first entirely devoted to a detailed study of the Pyrrhonian tradition, is intended to open up new exegetical and philosophical perspectives on Pyrrhonism and to motivate further examination of certain difficult issues. It will be a valuable resource for scholars of ancient philosophy, historians of modern philosophy, and epistemologists, as well as for graduate students interested in skepticism. (shrink)

The question of whether the Pyrrhonist adheres to certain logical principles, criteria of justification, and inference rules is of central importance for the study of Pyrrhonism. Its significance lies in that, whereas the Pyrrhonist describes his philosophical stance and argues against the Dogmatists by means of what may be considered a rational discourse, adherence to any such principles, criteria, and rules does not seem compatible with the radical character of his skepticism. Hence, if the Pyrrhonist does endorse them, one must (...) conclude that he is inconsistent in his outlook. Despite its import, the question under consideration has not received, in the vast literature on Pyrrhonism of the past three decades, all the attention it deserves. In the present paper, I do not propose to provide a full examination of the Pyrrhonist’s attitude towards rationality, but to focus on the question of whether he endorses the law of non-contradiction (LNC). However, I will also briefly tackle the question of the Pyrrhonist’s outlook on both the canons of rational justification at work in the so-called Five Modes of Agrippa and the logical rules of inference. In addition, given that the LNC is deemed a fundamental principle of rationality, determining the Pyrrhonist’s attitude towards it will allow us to understand his general attitude towards rationality. (shrink)

The purpose of this paper is twofold: to discuss some challenging issues concerning Sextus’ works and outlook, and to offer an overview of the influence exerted by Sextan Pyrrhonism on both early modern and contemporary philosophy.

It is generally thought that suspension of judgment about a proposition p is the doxastic attitude one is rationally compelled to adopt whenever the epistemic reasons for and against p are equipollent or equally credible, that is, whenever the total body of available evidence bearing on p epistemically justifies neither belief nor disbelief in p. However, in a recent contribution to this journal, Jan Wieland proposes “to broaden the conditions for suspension, and argue that it is rational to suspend belief (...) on a certain issue even if one’s current evidence is not neutral (or even close to neutral)”. My aim in this paper is to point to a number of problems in Wieland’s position, some of which in connection with the account of Pyrrhonian skepticism found in the extant works of Sextus Empiricus. (shrink)

Different notions of analysis have been both theorized and put to use in early analytic philosophy. Two of them stand out: connective analysis and analysis as paraphrase. The latter played a central role in the development of analytic philosophy from Frege to Quine and beyond. With the advent of formal semantics of natural language in the 1970s, paraphrase came to be characterizable as translation into a formal “target language”. While I claim that the method cannot achieve its original philosophical aims, (...) I insist that, in spite of them, it is far from being a theoretically empty operation and that it lives on in some contemporary philosophical enterprises. (shrink)

Scholarship on ancient Pyrrhonism has made tremendous advances over the past three decades, thanks especially to the careful reexamination of Sextus Empiricus’ extant corpus. Building on this momentum, the authors of the eight essays collected here examine some of the most vexed and intriguing exegetical and philosophical questions posed by Sextus’ presentation of this form of skepticism. The essays explore in a new light the skeptical interpretation of Plato, the differences between Pyrrhonism and Cyrenaicism, the Pyrrhonist’s stance on ordinary life, (...) religion, language, and ethics, Sextus’ discussion of our access to our own mental states, and the relationship between Pyrrhonism and epistemic internalism and externalism. These new essays represent a substantial contribution to the advancement of scholarship on Pyrrhonian skepticism. (shrink)

Pyrrhonism can safely be said to be the most prominent and influential form of skepticism in the history of Western philosophy. It was an important philosophical movement in the Hellenistic and Imperial ages, made a tremendous impact on modern philosophy, and some of its arguments continue to be a central topic of discussion in the contemporary philosophical scene. This can be taken to be a strong indication of the intriguing and challenging character of the Pyrrhonian outlook. After presenting the collections (...) entirely or primarily devoted to ancient Pyrrhonism and its presence in, or connection with, both modern and contemporary philosophy, this article deals consecutively with Pyrrhonian skepticism in the three historical periods. The reason for not including a part on Pyrrhonism in medieval philosophy is simply that knowledge of this type of skepticism was so limited in the Middle Ages that it exerted almost no influence whatsoever on medieval thinkers. Given that Pyrrhonian skepticism is essentially an ancient philosophy, the great majority of the citations concern ancient Pyrrhonism. This article focuses primarily on scholarship in English but also included are works in French, German, Italian, and Spanish. (shrink)

Moral skepticism is at present a vibrant topic of philosophical inquiry. Particularly since the turn of the millennium, the metaethical study of skepticism has profited from advances in general epistemology and findings in empirical sciences, in light of which new arguments for and against moral skepticism have been devised, while the traditional ones have been reexamined. This collection of original essays by leading metaethicists will advance the ongoing debates about various forms of moral skepticism by drawing on recent innovative work (...) on moral disagreement, moral knowledge and justification, moral error theory, moral fictionalism, moral phenomenology, moral psychology, and evolutionary debunking of morality. It will be a valuable resource for professionals and advanced students working in the areas of moral philosophy and moral psychology. (shrink)

Christ as symbol in Kant¿s religion -- Hegel's conception of God -- The reality of religion in Hegel's idealist metaphysics -- Hegel's version of the ontological argument for the existence of God -- The trinity and the I -- The death of God and recognition of the self -- Beyond subjectivism -- The relevance of Hegel's philosophy of religion today.

There are two prevalent accounts of semantic normativity: the prescriptive account, which can be found in some of Wittgenstein’s remarks, and the regularity account, which may have been Sellars’s view and is nowadays defended by some antinormativists. On the former account, meanings are norms that govern the use of words; on the latter, they are regularities of use which, in themselves, do not engender any prescriptions. I argue that only the prescriptive view can account for certain platitudes about meaning, which (...) motivate the very idea of semantic normativity. After some preliminary clarifications about the form that alleged semantic norms should take in order to be prima facie plausible, I argue—against some antinormativists—that whatever normativity is involved in the meaning of words cannot be brought back to a general norm of truth as distinct from specifically semantic norms, for semantic norms already involve a norm of truth. Next, I examine what I take to be the strongest objection to semantic normativity, namely the identification of meaning with use: as use is just a bunch of facts, it cannot be attributed any normative import. Nowadays, this view has been defended by Paul Horwich. After criticizing Horwich’s claim that meaning, though not normative in itself, has unmediated normative implications, I propose a different view of the relation between use and meaning, on which meaning is not quite identical with use but is grounded on use. I propose as a model the idea of a hyperconformist social system: a system in which customs, and only customs, generate norms. I suggest that language is such a system, and describe two reasons why it is plausible for language to work like that. Finally, I analyze statements of meaning on the model of Ruth Millikan “pushmi-pullyu” representations, i.e. as having both descriptive and normative import. I point out that, however, there are exceptions to meaning’s being grounded on use, as there are cases in which semantic norms are dictated by authorities of several kinds. Lastly, I briefly discuss the suggestion that meaning supervenes on use, showing that, aside from its inherent difficulties, it does not explain why meaning would supervene on use. (shrink)

This essay aims to show that a phenomenological account of animal behavior can shed light on an ethological approach to alterity, and vice versa. The interface between ethology and phenomenology–which, as it is argued, is intelligible only with reference to a shared dimension of affection–is framed by means of the phenomenological concept of intentionality, which appears as a generative force of the organism, its behavior and surrounding world. This means that intentionality does not shape stable structures, but plastic and dynamic (...) processes that bound both the genesis of an organism and its surrounding world. Formation is thus understood as an epigenetic development, which suggests that natural forms are the result of a movement that goes from the general to the particular, from the most broad and regular structures of experience, to the multifarious proliferation of perspectives. (shrink)

The Future of Social Epistemology: A Collective Vision sets an agenda for exploring the future of what we – human beings reimagining our selves and our society – want, need and ought to know. The book examines, concretely, practically and speculatively, key ideas such as the public conduct of philosophy, models for extending and distributing knowledge, the interplay among individuals and groups, risk taking and the welfare state, and envisioning people and societies remade through the breakneck pace of scientific and (...) technological change. An international team of contributors offers a ‘collective vision’, one that speaks to what they see unfolding and how to plan and conduct the dialogue and work leading to a knowable and desirable world. The book describes and advances an intellectual agenda for the future of social epistemology. (shrink)