Nair-Collins and Joffe (2023) highlight the complexities inherent to the clinical diagnosis of death by neurologic criteria and inconsistencies between legal, scientific, and clinical standards for...

Ethical concerns about therapeutic misconception have been raised since the early 1980s. This concept was originally described as research participants' assumptions that decisions relating to research interventions are made on the basis of their individual therapeutic needs. The term has since been used to refer to a range of ‘misunderstandings’ that research participants may have. In this paper, we describe a new concept—therapeutic appropriation. Therapeutic appropriation occurs when patients, or clinicians, actively reframe research participation as an opportunity to enhance patients' (...) clinical care, while simultaneously acknowledging the generalised research aims. To illustrate the concept of therapeutic appropriation, we draw on data from an interview study which we conducted to investigate the experiences of patients and general practitioners involved in clinical trials in primary care. We argue that therapeutic appropriation has two key elements: comprehension that the research project is not necessarily aiming to benefit participants and the deliberate use of incidental features of the research for personal therapeutic benefit of various kinds. We conclude that therapeutic appropriation is a useful concept that refines understanding of potential ethical problems in clinical research, and points to strategies to address them. (shrink)

To students and practitioners of anamorphic art, the name of Jean-François Niceron is more than preeminent; it has become iconic. La Perspective Curieuse was first published in 1638. An augmented version was then translated into Latin by Mersenne in 1646. A newly amended and augmented version was retranslated into French by Roberval in 1652. This book is an English translation of the 1652 text, with reference to the 1638 and 1646 versions. Considering the continued high reputation of the book, the (...) mathematics have been checked for correctness and consistency, and the authors have provided a full commentary, pointing out the most difficult turns of the 17th-century French, the respective contributions of Niceron, Mersenne and Roberval, and explaining Niceron's greatest insights and weaknesses. (shrink)

Background The first COVID-19 wave started in February 2020 in France. The influx of patients requiring emergency care and high-level technicity led healthcare professionals to fear saturation of available care. In that context, the multidisciplinary Ethics- Support Cell (EST) was created to help medical teams consider the decisions that could potentially be sources of ethical dilemmas. Objectives The primary objective was to prospectively collect information on requests for EST assistance from 23 March to 9 May 2020. The secondary aim was (...) to describe the Cell’s functions during that period. Research design This observational, real-time study of requests for Cell consultations concerned ethical dilemmas arising during a public health crisis. The EST created a grid to collect relevant information (clinical, patient’s/designated representative’s preferences and ethical principles strained by the situation), thereby assuring that each EST asked the same questions, in the same order. Participants and research context Only our university hospital’s clinicians could request EST intervention. Ethical considerations The hospital Research Ethics Committee approved this study (no. CER-2020-107). The patient, his/her family, or designated representative was informed of this ethics consultation and most met with EST members, which enabled them to express their preferences and/or opposition. Findings/results 33 requests (patients’ mean age: 80.8 years; 29 had COVID-19: 24 with dyspnea, 30 with comorbidities). 17 Emergency Department solicitations concerned ICU admission, without reference to resource constraints; others addressed therapeutic proportionality dilemmas. Discussion Intervention-request motives concerned limited resources and treatment intensity. Management revolved around three axes: the treatment option most appropriate for the patient, the feasibility of implementation, and dignified care for the patient. Conclusions COVID-19 crisis forced hospitals to envisage prioritization of ICU access. Established decision-making criteria and protocols do not enable healthcare professionals to escape ethical dilemmas. That acknowledgement highlights ethical risks, enhances the added-value of nursing and encourages all players to be vigilant to pursue collective deliberations to achieve clear and transparent decisions. (shrink)

The essence of the method of physics is inseparably connected with the problem of interplay between local and global properties of the universe. In the present paper we discuss this interplay as it is present in three major departments of contemporary physics: general relativity, quantum mechanics and some attempts at quantizing gravity (especially geometrodynamics and its recent successors in the form of various pregeometry conceptions). It turns out that all big interpretative issues involved in this problem point towards the necessity (...) of changing from the standard space-time geometry to some radically new, most probably non-local, generalization. We argue that the recent noncommutative geometry offers attractive possibilities, and gives us a conceptual insight into its algebraic foundations. Noncommutative spaces are, in general, non-local, and their applications to physics, known at present, seem very promising. One would expect that beneath the Planck threshold there reigns a "noncommutative pregeometry", and only when crossing this threshold does the usual space-time geometry emerges. (shrink)

Bulletin de Philosophie Médiévale, Volume 62, Issue, Page 430-436, January 2020.

Bulletin de Philosophie Médiévale, Volume 62, Issue, Page 430-436, January 2020.

There is no direct, constant relationship between the anthropological and cultural aspects of modernity. Anthropologically modern peoples display a certain heterogeneity that is not unconnected with earlier peoples, and the culture produced by modern humans, which is also heterogeneous, is differentiated diachronically and according to territory. Though paleogenetic research seems to point us to a single, African source for modern peoples, who had replaced the pre-sapiens populations in Eurasia, this view is not completely proven or accepted. On the other hand, (...) paleo-genetic research has contributed to our relinquishing the hypothesis of a multiregional ‘total continuity’ of local pre-modern populations in the Old World. Indeed the theory of a partial replacement, by a migration ‘out of Africa’, appears to be getting increasingly plausible. This article deals with the problems of the origins of modern man from the points of view of anthropological, paleogenetic, paleoenvironmental and cultural approaches. (shrink)

Le sage antique, par E. Bréhier.--L'idéal chrétien, par H. Delacroix.--L'honnête homme, par D. Parodi.--Le citoyen moderne, par C. Bouglé.

A «proto-história» do livro e a história da imprensa foram sobretudo assuntos dos bibliófi­los, dos bibliográficos e dos historiadores da literatura, ou seja, de especialistas ambicionando defender uma identidade, ou de distinguir, na massa da produção impressa ao longo dos sécu­los, o raro, o monumental, o anedótico, o literário... A partir de meados do século XX c com Apparition du Livre (1a Ed. 1958) de Lucien Febvre et Henri-Jean Martin, a história do livro, usufruindo dos desenvolvimentos da sociologia histórica e (...) de conceitos como o de «história das mentalidades», constituiu-se como disciplina pioneira. Com trabalhos como Histoire de l'édition française (1982-1986), Histoire des bibliothèques françaises (1988-1992), Diction­naire encyclopédique du livre (2002 -...) e outros projectos similares quer na Europa, quer além dela, o livro foi reposicionado, quer quanto à sua produção, quer quanto às práticas associadas, num vasto contexto económico, social, político e cultural. Ao mesmo tempo, as interrogações levantadas pela história do livro foram ao encontro da história da comunicação social e dos media, que hoje se tornaram dominantes. (shrink)

Cet article constitue la réponse à une note critique publiée dans le n° 71 d’ Actuel Marx, dans laquelle Fabien Foureault discutait les travaux de G. Duménil et D. Lévy concernant l’actuelle transition entre le capitalisme et un nouveau mode de production, le managérialisme. Le premier argument est le fait que les hauts managers sont rétribués par la distribution de stock-options, considérés comme des revenus du capital par Foureault bien que ces options n’aient pas de rapport avec la détention antérieure (...) d’actions par les bénéficiaires. La forme de la rémunération l’emporte sur les pratiques qui la motivent. Foureault utilise, par ailleurs, les calculs réalisés au sein des Distributional National Accounts qui montrent que la part des revenus du capital au sein du revenu total du 1 % supérieur de la hiérarchie des revenus n’a pas décru. Ces nouvelles estimations sont, pour GD et DL, inutilisables hors des finalités comparatives pour lesquelles elles ont été conçues. Enfin, les auteurs considèrent que Foureault se méprend radicalement quant à la nature de leurs interprétations politiques. (shrink)

Cet ouvrage étudie la langue du vrai dans la première modernité. La vérité dépend-elle d'une belle énonciation? Y a-t-il des règles institutionnelles spécifiques d'énonciation de la vérité? Pourquoi la doctrina constitue-t-elle l'horizon de tout savoir et de tout enseignement prétendant à la vérité?

"Dans l'Espagne du XVe au XVIIe siècle, avec les grands voyages et les explorations de mondes inconnus, l'art de bâtir des palais ou des jardins, d'écrire un voyage expérimental ou une quête mystique, de peindre des paysages et des gloires célestes témoigne d'un renouvellement du regard - philosophique, alchimique, théologique, politique. Habiter le monde s'inscrit dans une perspective géométrique et mystique de l'infini et de l'éternité. Il y aurait peut-être là la marque d'une spécificité hispanique. L'ouvrage s'articule autour de quatre (...) parties consacrées aux palais, jardins et demeures spirituelles, aux merveilles de l'univers de Séville à Mexico, à la mystique des paysages et à la magie naturelle, à la représentation de l'infini" --. (shrink)

On June 13, 323 BCE, Alexander the Great, king of the Greeks, died at Babylon at the age of thirty-three. He had conquered a large part of the known world—the oikoumenē of the Greeks—and he had pushed back the eastern limits of the universe by advancing into India as far as the basin of the Ganges. He had also done everything in his power to give birth to a myth around his person, a myth that endures to this day. Alexander (...) came to power in 336 BCE, at the age of twenty, after his father, Philip II, king of Macedon, had been assassinated. He was the cherished pupil of Aristotle, who followed him in his ventures and dedicated a treatise to him entitled Rhetoric to Alexander. He went to war in Asia against the .. (shrink)

L’Éthique est antérieure au droit, elle l’inspire, le prolonge, mais conserve aussi son autonomie. Un État de droit et une démocratie imposent le respect et la confiance dans le droit et la justice auxquels participent les professionnels du droit. Ces professions à statuts respectent une éthique professionnelle. Ainsi, les impératifs communs des magistrats et avocats permettent de comprendre le sens des règles déontologiques que sont l’indépendance, la notion de conflit d’intérêts, l’impartialité, l’intégrité, le secret, la probité, le respect d’autrui, la (...) dignité, la conscience… En dépit de la spécificité de chaque profession, l’Éthique demeure la boussole des comportements professionnels dans l’intérêt du Droit et de la Personne afin de garantir les libertés et la confiance que celle-ci doit avoir dans les institutions. (shrink)

t. 1. Esthétiques et discours de la fin -- t. 2. Historicité de la littérature contemporaine.

In the metabolic control theory, the control coefficient is a key parameter in quantifying the sensitivity of the flux towards an infinitesimal variation of enzyme activity. This concept does not apply just as it is for variations of enzyme concentrations whenever there is spatial, energy or resources limitations in the cell. Due to constraint on total enzyme concentration, the variation of concentration of any given enzyme may affect the concentrations of other enzymes. To take into account these correlations between enzyme (...) concentrations, we propose the concept of "combined response coefficient". Its definition is similar to that of the control coefficient, but its mathematical expression is different. Its range of variation is from – + 1, the null value corresponding to optimum enzyme concentration, i.e. to concentrations that maximise the flux, and the negative values to concentrations beyond the optimum value. A summation property could be derived using a simple weighting of the combined response coefficients, the sum of the weighed coefficient being 0. (shrink)

Marx’s conceptualization of history emphasizes the succession of modes of production. However the dynamics of productive forces and relations of production are continuous. Central to this analysis is the “socialization of production” and the rise of the managerial class. These trends require the adjustment of institutions, notably those in which the ownership of the means of production is expressed, an adjustment that is often implemented under the pressure of structural crises. The article illustrates these dynamics in the United States since (...) the late 19th century, in particular in relation to the tripolar class patterns, capitalists, popular classes and managerial class. What is involved is the gradual emergence of a new mode of production whose dominant class is intended to be the managerial class. A “social order” is a shorter period marked by the configuration of class dominations and alliances: the hegemony of capitalist classes during the first third of the 20th century, the alliance between managers and popular classes after the Great Depression and World War II, and neoliberalism as a new hegemony of capitalists in alliance with managers. The approach in terms of social orders allows for the interpretation of the state as the institutional “locus” in which social orders are formed, rather than as the exclusive domination of a ruling class. (shrink)

Dans cet entretien consacré à leur livre Managerial Capitalism : Ownership, management and the coming new mode of production (Pluto Press, 2018), G. Duménil et D. Lévy reviennent sur les implications de leur analyse du capitalisme managérial pour l’étude du capitalisme historique, de ses structures de classes fondamentales, et de ses alliances de pouvoirs variables. La thèse du marxisme traditionnel identifiant les managers à une fraction de classe capitaliste s’en trouve critiquée, de même que les présupposés véhiculés par le concept (...) de « capitalisme d’État ». Invités à revenir plus précisément sur leur distinction entre modes de production et « ordres sociaux », comme configurations variables de hiérarchies de pouvoirs et d’alliances de classe, les auteurs clarifient les raisons pour lesquelles ils introduisent une nouvelle catégorie de mode de production managérial qui impose de repenser le mode de production capitaliste lui-même suivant une logique de « l’hybridité ». Celle-ci permet de complexifier les tendances du capitalisme historique sur la longue durée, d’approfondir l’analyse de classe du capitalisme managérial, et d’y spécifier différentiellement, par rapport au « compromis » d’après-guerre (caractérisé par une alliance entre managers et classes populaires sous la direction des premiers), le dernier ordre social en date caractérisé par une alliance « au sommet » entre managers et capitalistes (au détriment des classes populaires) : le néolibéralisme. (shrink)

ome Remarks on the Crisis of Capitalism What are the causes and consequences of the crisis of capitalism ? What are the plausible scenarios forthe outcome of the crisis ? To what extent is the current crisis comparable to that of 1929, and to whatextent does it differ from the crisis of the 1970s ? To what extent can one speak of a crisis of neoliberalism ? These are some of the questions which the authors of The Crisis of Neoliberalism (...) address here. (shrink)

Social representations of addiction and the resulting stigmatization have been widely described and studied in the literature, but their effects are no less problematic. These representations, which also occur in care settings, generate a climate of distrust which damages the therapeutic relationship, and its ethical quality. This article, combining clinical experience and an ethical stance, offers an original, innovating approach to the existence of distrust in care relationships in the area of addiction. Pragmatic approaches deriving from the human sciences and (...) analytical philosophy provide an invitation to escape from the demanding climate of mistrust, and to take the gamble on trust so as to improve the quality of interactions between protagonists in care. In complementary fashion, a sociology of action can combat the disquiet generated by distrust through a new commitment to innovating forms of action. This “poetic” mode of action is legitimized by the reflection that backs it up, and by its presentation to peers qualified to approve it. Finally, continental moral philosophy underlines the importance of a carefully weighed commitment on the part of caregivers and addicted patients towards promises aiming to support a sincere care relationship, without damaging the therapeutic dynamic or the ethical quality by providing too many safety nets. This reflection is intended to achieve better identification of the clinical and ethical issues raised by mistrust, and inclusion of these aspects in the training of personnel and in care provision planning. (shrink)

Le réel, travaillé par une structure dissimulée sous le discours scientifique, technique et marchand que l'auteur érige à la dignité de concept sous le sigle "STM", impose sans vergogne les trouvailles les plus incertaines : équations financières douteuses, nucléaire civil et militaire, chaînes de Ponzi, génie génétique, NBIC etc. aboutissant en plus des inégalités, à la pollution industrielle planétaire de l'air, de l'eau et des aliments, du dépérissement des plantes, des animaux et des hommes. Supposant un sujet dont le discours (...) "STM" veut toujours se débarrasser, c'est le rôle de la psychanalyse de ne pas céder sur l'éthique, chacun ayant à répondre de la responsabilité de son inconscient non seulement là où ça parle, mais également là où ça revient sous la forme d'un réel répétitif et traumatique, celui de la catastrophe. (shrink)

pt. 1. Gaston Bachelard's historical epistemology.--pt. 2. For a critique of epistemology.

. We start from the geometrical-logical extension of Aristotle’s square in [6,15] and [14], and study them from both syntactic and semantic points of view. Recall that Aristotle’s square under its modal form has the following four vertices: A is □α, E is , I is and O is , where α is a logical formula and □ is a modality which can be defined axiomatically within a particular logic known as S5 (classical or intuitionistic, depending on whether is involutive (...) or not) modal logic. [3] has proposed extensions which can be interpreted respectively within paraconsistent and paracomplete logical frameworks. [15] has shown that these extensions are subfigures of a tetraicosahedron whose vertices are actually obtained by closure of by the logical operations , under the assumption of classical S5 modal logic. We pursue these researches on the geometrical-logical extensions of Aristotle’s square: first we list all modal squares of opposition. We show that if the vertices of that geometrical figure are logical formulae and if the sub-alternation edges are interpreted as logical implication relations, then the underlying logic is none other than classical logic. Then we consider a higher-order extension introduced by [14], and we show that the same tetraicosahedron plays a key role when additional modal operators are introduced. Finally we discuss the relation between the logic underlying these extensions and the resulting geometrical-logical figures. (shrink)

En dialogue avec ses amis et partenaires de travail, Dominique Malaquais, réinterroge sa manière d’entrer en relation avec les artistes et de donner à connaître leur travail. De nombreuses précautions doivent être prises pour affirmer l’art africain dans toutes ses dimensions. Un regard nouveau sur la grande ville en découle nécessairement. Les livres accumulés pendant cette quête, qu’ils y aient trait ou non, seront donnés à une institution amie, Chimurenga, à Cape Town, et transmettront ce travail.

This article presents the critique of cybernetics as central to the history of one of the twentieth century’s most infamous avant-garde movements: the Situationist International (SI). Bringing together and analysing a series of seemingly marginal events in the build-up to May ’68, this article shows how the SI’s portrait of cybernetics as an emerging form of social power and control foreshadows later developments in French radical thought. This little-noted trajectory in the situationist movement also highlights the ways in which aesthetics, (...) theory, and politics are inextricably tied together in the events of May ’68. (shrink)

A citizen is a member of a political community who enjoys the rights and assumes the duties of membership. This broad definition is discernible, with minor variations, in the works of contemporary authors as well as in the entry “citoyen” in Diderot's and d'Alembert's Encyclopédie..

This interview ranges across a number of topics relevant to Dominique Lestel's thought: the history and philosophy of ethology; animal culture; realist-Cartesian and bi-constructivist ethology; biosemiotics; philo- sophical anthropology; animal studies; the other-than-human; veganism; and technology. It touches on thinkers including Bruno Latour, Jacques Derrida, Michel Foucault, Gilles Deleuze, Paul Shepard, and Donna Haraway.

C'est sur le chemin étonnant et sinueux du célèbre Phénomène Humain que nous entraîne cet ouvrage, nous invitant à la table de l'Histoire : contexte ecclésial, oppositions intellectuelles notoires sur la marche de l'Univers, dédale des allers-retours entre Pierre Teilhard de Chardin et ses supérieurs à la recherche d'un nihil obstat" jamais décroché, et enfin, une publication post-mortem, au succès et au retentissement foudroyants. Se basant sur les archives privées de la Compagnie de Jésus et des documents inédits ou peu (...) connus, les auteurs reconstituent patiemment le fil et, au-delà des aspects historiques, offrent une analyse philosophique et théologique qui permet de prendre conscience de la richesse, mais aussi des limites de la pensée du célèbre jésuite, et, in fine, de sa fécondité pour la pensée actuelle"-- Back cover. (shrink)

La nation – ou la patrie – est élevée par Durkheim au rang suprême dans la hiérarchie des formes d’attachement des individus aux groupes et à la société dans son ensemble, alors que, paradoxalement, les textes qui éclairent sa pensée sur ce point sont restés relativement dispersés dans son œuvre. Ce travail de relecture est accompli en confrontant ses écrits à ceux de son neveu, Marcel Mauss, qui, lui aussi, s’est penché sur ce sujet et dont les analyses apparaissent aujourd’hui (...) plus élaborées. Le lien entre les deux sociologues n’était pas seulement familial. Ils étaient l’un et l’autre des intellectuels républicains, patriotes, défenseurs des droits de l’homme et confiants dans les institutions de leur pays tant ils y voyaient l’inspiration des Lumières. Pour Durkheim, la nation se confond avec la société. La patrie est la forme de société la plus organisée et la plus haute qui puisse exister. Elle constitue une force en elle‐même dont l’Etat n’est que la représentation et l’instrument. L’Etat est en quelque sorte le cerveau social car sa fonction principale est de penser. La cohésion sociale est le produit de la morale et de la société, elle ne saurait dépendre d’un pouvoir autonome et autoritaire de l’Etat. Cette conception conduit Durkheim à rabattre le politique sur le plan du social. Quand il parle de la nation, il se réfère, sans le souligner formellement, à sa forme démocratique. Marcel Mauss rectifiera cette ambiguïté. Tout en s’inscrivant dans la continuité intellectuelle de son oncle, sensible à l’expérience du bolchévisme, il définira la nation en prenant en compte son régime politique, ce qui le conduira à une modification sensible de la définition de Durkheim. La conception de la nation des deux sociologues, mêle de manière presque inévitable engagement personnel et analyse objective. Elle a été, sans doute au moins partiellement pour cette raison, plus ou moins occultée pendant plusieurs décennies. Si nous la redécouvrons aujourd’hui, c’est parce qu’elle nous paraît susceptible d’interroger les fondements à la fois sociaux et politiques des sociétés démocratiques. (shrink)