ObjectiveThis study aims to evaluate the effectiveness of the MotivAir program—a phone-based intervention based on Motivational Interviewing principles and techniques—in enhancing adherence to Continuous Positive Airway Pressure therapy among patients with Obstructive Sleep Apnea Syndrome.MethodsA multicenter randomized controlled trial design with random allocation at the level of the individual will be conducted to compare the impact of the experimental program with a control group receiving usual care only in improving selected clinical and psychological parameters in the patients. A minimum sample (...) of 80 participants will be recruited in each center according to the inclusion criteria. After the initial screening, participants will be randomly assigned to either the experimental group or the control condition. The program will last 180 days and will be delivered by a trained nurse. The impact of the MotivAir program on selected primary and secondary outcomes will be measured at baseline, and after 1-, 3-, and 6-month from CPAP initiation.DiscussionParticipants are expected to show an increased level of adherence to CPAP and to acquire the skills and self-confidence necessary to deal with the psychological consequences of their chronic condition. (shrink)

Este texto é a primeira parte do terceiro capítulo de minha tese de doutoramento - MÁRIO DE ANDRADE, PLURAL . Aí, tenta-se a produção de um biografema à maneira de Roland Barthes, de quem é a epígrafe do capítulo. O biografema é uma livre-produção textual na medida em que não deriva de significado , mas, enfatizando imagens, cenas, gestos, fragmentos textuais, pulsões, opera significancias. O biografema não dispensa a biografia - usa-a, desmembra-a, desgasta-a. Disseminação, o biografema não hesita em lançar (...) mão de todos os operadores de linguagem à disposição. Se a biografia opera com dados, instituindo a verossimilhança no biografado, o biografema retém o arbitrário na produção do ser-de-tinta que imprime no papel.Ce texte est une partie du troisième chapitre de mon Doctorat de 3 ème Cycle - Mário de Andrade: Pluriel . Il s'agit d'un essai de production d'un biographème, à la façon de Roland Barthes. Le biographème c'est de la production textuelle à la dérive des signifiants. Ne s'inquiétant point de la vérité, le biographème joue à la vraisemblance tout en la déjouant. Dissémination, un biographème n'hesite pas à mètre en oeuvre tous les opérateurs de langage a sa portée. Agissant de la sorte, il fait usage de la biographie, Técartelle en la rendant autre à l'écart Si la biographie travaille avec des faits en vue de l'établissement du vraisemblable du biographe, le biographème retient l'arbitraire de la production de cet "être-en-encre" qu'il imprime sur le papier. Son enjeu c'est donc le jeu des images, des scènes, des gestes, des fragments textuels, des pulsions, c'est-à-dire, des signifiances. (shrink)

According to Plato’s Timaeus, time is ‘an arithmetically progressing, eternal image of eternity which stays still in unity’, a likeness made by the corporeal living world’s manufacturer to furnish the cosmic animal. Plotinus keeps this Platonic conception of time. His own concept, however, is aimed to put in terms the temporal dimension or substratum rather than the orderly running time: Time is ‘the soul’s life in a movement shifting from one state of life to another’. The soul sets up the (...) temporal dimension and fulfills it. Time thus conceived is a life which resembles not only another, complete life above time but also the principle of that perfect life. Within time, the soul unfolds itself and her original mindlike nature with its tendency towards the One Principle. One part of the soul keeps company with the perfect mind while another part bends down to the realm where one comes after another. She experiences happiness instantaneously, above time – an experience which she can not, and is not obliged to, bring about, keep hold of or repeat within temporal limits. Therefore, the individual living thing, with its tendency towards happiness, may keep calm and sure. Men can share time in such calmness. The cosmos as conceived by Plotinus and Plato – shared by the living things, moved and besouled – can be read as an image of the practical knowledge that we have time for each other. Keywords: Plotinus; Plato; Timaeus; mysticism; time; the One; eternity; soul; life; mind; happiness; cosmos. (shrink)

A recent preoccupation in scholarly research is the capacity of firms in developing country industrial clusters to comply with international corporate social responsibility policies and codes of conducts. This research is at an early stage and draws on several—often quite distinct—scholarly traditions. In this paper, we argue that future work in this area would benefit from a more explicit examination of the connection between cluster firms and human rights defined according to the 1948 Universal Declaration of Human Rights and subsequent (...) covenants and treaties. We argue that cluster firms’ adoption of CSR policies, often indiscriminately imposed by global buyers, should be differentiated from firms’ actual human rights practices. Based on this distinction, we elaborate a typology of industrial clusters and identify a set of factors likely to influence their practice. Against this background, we discuss an agenda for future research and elaborate on the potential methodological intricacies related to research on the interface between industrial clusters and human rights. (shrink)

Most moral theorists agree that it is one thing to believe that someone has slighted you and another to resent her for the insult; one thing to believe that someone did you a favor and another to feel gratitude toward her for her kindness. While all of these ways of responding to another's conduct are forms of moral appraisal, the reactive attitudes are said to 'go beyond' beliefs in some way. We think this claim is adequately explained only when we (...) take seriously the fact that reactive attitudes are emotions. In this paper, we appeal to insights of the emotions literature to highlight one key way in which reactive attitudes go beyond beliefs: beliefs about a person and her morally significant conduct merely ascribe to the person the property of having performed a morally significant action, while reactive attitudes are ways of experiencing that person as having performed a morally significant action. We then suggest that appreciating this is a crucial first step toward understanding why reactive emotions play roles in our practices around responsibility that beliefs do not. (shrink)

To date, 1.7 million US military service personnel have been deployed to Iraq and Afghanistan. Of those, one in five are suffering from diagnosable combat-stress related psychological injuries including Posttraumatic Stress Disorder (PTSD). All indications are that the mental health toll of the current conflicts on US troops and the medical systems that care for them will only increase. Against this backdrop, research suggesting that the common class of drugs known as beta-blockers might prevent the onset of PTSD is drawing (...) much interest. I urge caution against accepting too quickly the use of beta-blockers for dealing with the psychological injuries that combat experiences can wreak. Beta-blockers are thought to work by disrupting the formation of emotionally disturbing memories that typically occur in the wake of traumatic events and that in some people manifest as PTSD. Focusing on a single dimension of soldiers' experience in combat, namely, their perpetration of other-directed violence, I argue that some of the emotional memories blunted by beta-blockers play important roles in the recovery of moral aspects of soldiers' selves damaged by experiences of combat violence — specifically, in the achievement of a state of grace— and, therefore, that the use of beta-blockers may come with distinct moral costs. (shrink)

Empathy has become a common point of debate in moral psychology. Recent developments in psychiatry, neurosciences and social psychology have led to the revival of sentimentalism, and the ‘empathy thesis’ has suggested that affective empathy, in particular, is a necessary criterion of moral agency. The case of psychopaths – individuals incapable of affective empathy and moral agency, yet capable of rationality – has been utilised in support of this case. Critics, however, have been vocal. They have asserted that the case (...) of autism proves the empathy thesis wrong; that psychopathy centres on rational rather than empathic limitations; that empathy is not relevant to many common normative behaviours; and that rationality is required when empathy fails. The present paper analyses these four criticisms. It will be claimed that they each face severe difficulties, and that moral agency ought to be approached via a multi-tier model, with affective empathy as a baseline. (shrink)

It is now a commonplace that emotions are not mere sensations but, rather, conceptually contentful states. In trying to expand on this insight, however, most theoretical approaches to emotions neglect central intuitions about what emotions are like. We therefore need a methodological shift in our thinking about emotions away from the standard accounts' attempts to reduce them to other mental states and toward an exploration of the distinctive work emotions do. I show that emotions' distinctive function is to engage us (...) with both objective and personal values. Attention to emotions' work reveals that it is precisely their “unruliness” that allows them to play meaningful roles in our lives. (shrink)

This paper aims to investigate the significance of mood for a philosophical approach to emotion. Are moods problematic because they constrain us in an affective cage? Or do they rather give us access to the world? The starting point for this investigation is the work of Martin Heidegger: I analyze what he defines as vorweltlich arguing that this term refers to the emotional dimension of human existence, in particular, to mood, or, in Heideggerian terms, Stimmung. Human existence is not just (...) a neutral being-there but a being-affected, a being-in-a-mood. I then move on to consider the role of mood in relation to the concept of transcendence, providing an analysis of two main source of inspiration in Heidegger’s thought: Augustine and Aristotle. This allows us to distinguish three aspects of Stimmung : Stimmung as openness to the world, Stimmung as teleological movement, and Stimmung as event of ontological difference. In the final section, I discuss the contribution of these aspects of Heidegger’s thought to the contemporary debate on emotions. (shrink)

: Animal ethics has presented convincing arguments for the individual value of animals. Animals are not only valuable instrumentally or indirectly, but in themselves. Less has been written about interest conflicts between humans and other animals, and the use of animals in practice. The motive of this paper is to analyze different approaches to interest conflicts. It concentrates on six models, which are the rights model, the interest model, the mental complexity model, the special relations model, the multi-criteria model, and (...) the contextual model. Of these, the contextual model is the strongest, and carries clear consequences for the practical use of animals. (shrink)

Empathy is a term used increasingly both in moral theory and animal ethics. Yet, its precise meaning is often left unexplored. The book aims to tackle this by clarifying the different and even contradictory ways in which “empathy” can be defined.

Animal Suffering: Philosophy and Culture explores the multifaceted moral meanings allocated to non-human suffering in contemporary Western culture.

A common Western assumption is that animals cannot be persons. Even in animal ethics, the concept of personhood is often avoided. At the same time, many in cognitive ethology argue that animals do have minds, and that animal ethics presents convincing arguments supporting the individual value of animals. Although “animal personhood” may seem to be an absurd notion, more attention needs to placed on the reasons why animals can or cannot be included in the category of persons. Of three different (...) approaches to personhood—the perfectionist approach, the humanistic approach, and the interactive approach—the third approach is the strongest. Personhood defined via interaction opens new doors for animal ethics. (shrink)

Frege's puzzle about identity sentences has long challenged many philosophers to find a solution to it but also led other philosophers to object that the evidential datum it is grounded on is false. The present work is an elaboration of this second kind of reaction: it explains why Frege's puzzle seems to resist the traditional objection, giving voice to different and more elaborated presentations of the evidential datum, faithful to the spirit but not to the letter of Frege's puzzle. The (...) final outcome is negative, no satisfactory formulation of the evidential datum is found and Frege's puzzle is challenged until a better formulation of it is found. (shrink)

The supporter of vague objects has been long challenged by the following ‘Argument from Identity’: 1) if there are vague objects, then there is ontically indeterminate identity; 2) there is no ontically indeterminate identity; therefore, 3) there are no vague objects. Some supporters of vague objects have argued that 1) is false. Noonan (Analysis 68: 174–176, 2008) grants that 1) does not hold in general, but claims that ontically indeterminate identity is indeed implied by the assumption that there are vague (...) objects of a certain special kind (i.e. vague objects*). One can therefore formulate a ‘New Argument from Identity’: 1′) if there are vague objects*, then there is ontically indeterminate identity; 2) there is no ontically indeterminate identity; therefore, 3′) there are no vague objects*. Noonan’s strategy is to argue that premiss 1′) is inescapable, and, as a consequence, that Evans’s alleged defence of 2) is a real challenge for any supporter of vague objects. I object that a supporter of vague objects who grants the validity of Evans’s argument allegedly in favour of 2) should reject premiss 1′). The threat of the New Argument from Identity is thus avoided. (shrink)

The climate crisis is an enormous challenge for contemporary societies. Yet, public discussions on it often lead to anger, mocking, denial and other defensive behaviours, one prominent example of which is the reception met by the climate advocate Greta Thunberg. The paper approaches this curious phenomenon via shame. It argues that the very idea of anthropogenic climate change invites feelings of human failure and thereby may also entice shame. The notion of “climate shame” is introduced and distinguished from “climate guilt”. (...) Whereas climate guilt prioritises the flourishing of the environment and is focused on actions and morality, climate shame is concerned with human identity and selfhood. The paper then explores whether shame is a morally destructive or constructive emotion. Making use of both psychological and philosophical literature on shame, it argues that although shame faces many challenges that question its usefulness in moral pedagogy, these challenges can be met with “moral maturity”—moreover, following a utilitarian approach, the overall benefits of climate shame can justify its costs to individuals. My argument is that climate shame holds the potential of being a highly effective moral psychological method of persuasion, capable of inviting wholesale critical reflection on current, environmentally damaging practices and cultivation of more virtuous ways of co-existing with the rest of the natural world and other species. (shrink)

Contemporary literature includes a wide variety of definitions of empathy. At the same time, the revival of sentimentalism has proposed that empathy serves as a necessary criterion of moral agency. The paper explores four common definitions in order to map out which of them best serves such agency. Historical figures are used as the backdrop against which contemporary literature is analysed. David Hume’s philosophy is linked to contemporary notions of affective and cognitive empathy, Adam Smith’s philosophy to projective empathy, and (...) Max Scheler’s account to embodied empathy. Whereas cognitive and projective empathy suffer from detachment and atomism, thereby providing poor support for the type of other-directedness and openness entailed by moral agency, embodied and affective empathy intrinsically facilitate these factors, and hence are viewed as fruitful candidates. However, the theory of affective empathy struggles to explain why the experience of empathy includes more than pure affective mimicry, whilst embodied empathy fails to take into account forms of empathy that do not include contextual, narrative information. In order to navigate through these difficulties, Edith Stein’s take on non-primordial experience is used as a base upon which a definition of affective empathy, inclusive of an embodied dimension, and founded on a movement between resonation and response, is sketched. It is argued that, of the four candidates, this new definition best facilitates moral agency. (shrink)

The critical examination of current hypotheses is one of the key ways in which scientific fields develop and grow. Therefore, any critique, including Haidle and Schlaudt’s article, “Where Does Cumulative Culture Begin? A Plea for a Sociologically Informed Perspective,” represents a welcome addition to the literature. However, critiques must also be evaluated. In their article, Haidle and Schlaudt review some approaches to culture and cumulative culture in both human and nonhuman primates. H&S discuss the “zone of latent solutions” hypothesis as (...) applied to nonhuman primates and stone-toolmaking premodern hominins. Here, we will evaluate whether H&S’s critique addresses its target. (shrink)

This article deals with various responses to the phenomenon of Orientalism. Since the publication of Edward Said s book _Orientalism_, there has been an ongoing discussion about the influence of Orientalism on contemporary social sciences in the East. In the West, Orientalism was an original theory, but in the East its acceptance was tantamount to an assimilation of foreign point of view on social reality. I argue that it is a symptom of provincialism among scientists from the East. Even though (...) most of them tried to overcome Orientalism, they used the same categories and methodology. In this sense they repeated its mistakes and misunderstandings. This article analyzes different attempts of overcoming Orientalism and shows why they are provincial. (shrink)

ArgumentThis article examines the medical and political discussions regarding a controversial medicinal bark from Ecuador – cundurango – that was actively sponsored by the Ecuadorian government as a new botanical cure for cancer in the late nineteenth century United States and elsewhere. The article focuses on the commercial and diplomatic interests behind the public discussion and advertising techniques of this drug. It argues that diverse elements – including the struggle for positioning scientific societies and the disapproval of the capacities of (...) Ecuadorian doctors, US abolitionist history, regional and local political struggles – played a role in the quackery accusations against cundurango and its promoters. The development and international trade of this remedy offer interesting insights into the global history of drugs, particularly how medical knowledge was challenged during a period when scientific medicine was struggling for hegemony. It explores how newspapers expanded “the public interest” in a possible cancer cure. (shrink)

The subjective feeling of free choice is an important feature of human experience. Experimental tasks have typically studied free choice by contrasting free and instructed selection of response alternatives. These tasks have been criticised, and it remains unclear how they relate to the subjective feeling of freely choosing. We replicated previous findings of the fMRI correlates of free choice, defined objectively. We introduced a novel task in which participants could experience and report a graded sense of free choice. BOLD responses (...) for conditions subjectively experienced as free identified a postcentral area distinct from the areas typically considered to be involved in free action. Thus, the brain correlates of subjective feeling of free action were not directly related to any established brain correlates of objectively-defined free action. Our results call into question traditional assumptions about the relation between subjective experience of choosing and activity in the brain’s so-called voluntary motor areas. (shrink)

Croatia is a transitional society in that it is a country emerging from a socialist command economy toward a market-based economy with ensuing structural changes of a social and political nature—some extending into the healthcare system. A legacy from our past is that, until now, Croatian healthcare institutions have had no real experience with clinical ethics support services. When clinical cases arise presenting complex ethical dilemmas in treatment options, the challenges presented to the medical team are substantial. The case described (...) below recently occurred on a ward in a university hospital in Croatia. An unexpected request from the patient’s parents created a number of issues that needed to be addressed by the medical team, which was made more difficult by the lack of clinical ethics support services. Such cases press the question currently being debated as to what type of ethics support services would be suitable for Croatia and why. (shrink)

Ernst H. Gombrich criticized abstract painting with several remarks scattered around his wide oeuvre. I argue that his view of abstract paintings is coherent with the account of pictorial representation he put forward in Art and Illusion, show some limits of such view, and maintain that, although several of Gombrich’s criticisms of abstract painting should be rejected, some of his remarks are insightful and worthy of consideration.