Is medicalization always harmful? When does medicine overstep its proper boundaries? The aim of this article is to outline the pragmatic criteria for distinguishing between medicalization and over-medicalization. The consequences of considering a phenomenon to be a medical problem may take radically different forms depending on whether the problem in question is correctly or incorrectly perceived as a medical issue. Neither indiscriminate acceptance of medicalization of subsequent areas of human existence, nor criticizing new medicalization cases just because they are medicalization (...) can be justified. The article: (i) identifies various consequences of both well-founded medicalization and over-medicalization; (ii) demonstrates that the issue of defining appropriate limits of medicine cannot be solved by creating an optimum model of health; (iii) proposes four guiding questions to help distinguish medicalization from over-medicalization. The article should foster a normative analysis of the phenomenon of medicalization and contribute to the bioethical reflection on the boundaries of medicine. (shrink)

Resumen de Tesis Tiempo humano y tiempo natural: una distinción problemática en los debates sobre el tiempo histórico del siglo XX por M. E. Arabarco.

Celem artykułu jest podsumowanie filozoficznego sporu na temat autentyczności emocji wywoływanych przez środki psychofarmakologiczne. Praca jest głosem w szerszej bioetycznej dyskusji na temat ulepszania ludzi, a w szczególności ulepszania nastroju. W pierwszej części pracy przedstawiono dwa przeciwstawne bioetyczne stanowiska: wrogich idei ulepszania ludzi biokonserwatystów oraz entuzjastycznych transhumanistów. W drugiej części artykułu wykazano, w jaki sposób nieporozumienie między obydwoma stanowiskami może wynikać z innego sposobu definiowania pojęcia autentyczności. W trzeciej części problem autentyczności emocji rozpatrzono na hipotetycznym przykładzie przyjemności wywoływanej przez „pigułkę (...) szczęścia”. (shrink)

_The Bounds of Reason: Habermas, Lyotard & Melanie Klein on Rationality_ is a highly original yet accessible study of the debate between modernity and postmodernity. Emilia Steuerman clearly explains the modernity/postmodernity dispute by examining the problem that has driven the whole debate: whether the use of reason is an emancipatory or enslaving force. Steuerman clearly sets out this debate by critically examining the arguments of two of its key proponents, Jurgen Habermas and Jean-François Lyotard. She clearly explains Habermas' defence (...) of modernity and his attempt to salvage Enlightenment ideas of truth, justice, and freedom through the use of reason. She contrasts this with Lyotard's postmodernism and his scepticism about the use of reason, and its claims to universalism and objectivity. Throughout, Steuerman contrasts the Habermas-Lyotard debate with important insights from psychoanalytic theory, and shows how Habermas' notions of intersubjectivity and a community of shared language users can be compared and contrasted with Melanie Klein's theory of object relations. (shrink)

Este artículo pretende mostrar las líneas fundamentales de la teoría merleaupontyana acerca de la violencia, centrándonos en sus «escritos de guerra». Consta de cuatro epígrafes: una Introducción en la que describimos la situación histórica que influye en la propuesta de Merleau-Ponty, así como explicamos las expresiones «mains sales»-«mains propres». Un segundo apartado en el que caracterizamos las «manos limpias» en base al optimismo democrática el cual se apoya en una conciencia pura. En el tercer epígrafe hacemos patente la crítica merleau-pontyana (...) a los fundamentos teóricos de los «manos limpias» y señalamos su nuevo concepto de humanismo cuya figura central es Maquiavelo. Asimismo, nos detenemos en la ambigüedad existente entre la coexistencia primigenia y la violencia, de modo que una llama a la otra. Finalmente, concluimos definiendo a Merleau-Ponty como «filósofo de la Modernidad», concepto que adquiere un nuevo matiz en su obra.  . (shrink)

_The Bounds of Reason: Habermas, Lyotard & Melanie Klein on Rationality_ is a highly original yet accessible study of the debate between modernity and postmodernity. Emilia Steuerman clearly explains the modernity/postmodernity dispute by examining the problem that has driven the whole debate: whether the use of reason is an emancipatory or enslaving force. Steuerman clearly sets out this debate by critically examining the arguments of two of its key proponents, Jurgen Habermas and Jean-François Lyotard. She clearly explains Habermas' defence (...) of modernity and his attempt to salvage Enlightenment ideas of truth, justice, and freedom through the use of reason. She contrasts this with Lyotard's postmodernism and his scepticism about the use of reason, and its claims to universalism and objectivity. Throughout, Steuerman contrasts the Habermas-Lyotard debate with important insights from psychoanalytic theory, and shows how Habermas' notions of intersubjectivity and a community of shared language users can be compared and contrasted with Melanie Klein's theory of object relations. (shrink)

What is the meaning of reason in our postmodern society today? Is reason a weapon of domination, or can it also serve as a means for emancipation? Is it possible for reason to understand its "other"--what it is not? Confronting such questions, Bounds of Reason is a compelling discussion of the limits and meaning of rationality as a tool for understanding the ideas of truth, justice and freedom. Emilia Steuerman explores the modernist and postmodernist controversy between Habermas and Lyotard (...) to highlight the problems encountered both by a defense of reason and by the lack of meaning that haunts a world without it. Using Kleinian theory to examine the debate as it is manifested in the main philosophical themes of this century, Steuerman argues that a rational and ethical theory of justice must take into account that which is not rational, symmetrical or transparent--namely a primitive world of love and hatred which colors and shapes our perceptions. (shrink)

Despite recent efforts by the Artificial Intelligence (AI) community to move towards standardised procedures for documenting models, methods, systems or datasets, there is currently no methodology focused on use cases aligned with the risk-based approach of the European AI Act (AI Act). In this paper, we propose a new framework for the documentation of use cases that we call use case cards, based on the use case modelling included in the Unified Markup Language (UML) standard. Unlike other documentation methodologies, we (...) focus on the intended purpose and operational use of an AI system. It consists of two main parts: firstly, a UML-based template, tailored to allow implicitly assessing the risk level of the AI system and defining relevant requirements, and secondly, a supporting UML diagram designed to provide information about the system-user interactions and relationships. The proposed framework is the result of a co-design process involving a relevant team of EU policy experts and scientists. We have validated our proposal with 11 experts with different backgrounds and a reasonable knowledge of the AI Act as a prerequisite. We provide the 5 use case cards used in the co-design and validation process. Use case cards allows framing and contextualising use cases in an effective way, and we hope this methodology can be a useful tool for policy makers and providers for documenting use cases, assessing the risk level, adapting the different requirements and building a catalogue of existing usages of AI. (shrink)

The article analyzes the historical experience of creation and development of military medical aircraft in Ukraine from the 1920s. to the present. In particular, reviewed the activity of Design Bureaus of K. Kalinin and O. Antonov. Special attention is paid to the creation of military medical aircraft after Ukraine gained independence in 1991 and their application to evacuate the wounded during Armed conflict in the east of Ukraine in 2014-2016. The first attempt of creation a sanitary aircraft were made in (...) Ukraine back in the 1920s under the leadership of Konstantin Kalinin. In a qualitatively new level was realized military medical aircraft designed by bureau Oleg Antonov, created in the second half of 1970s aircraft emergency resuscitative-surgical care An-26M "Spasatel'" Accumulated experience allowed at the beginning of 2000s a similar purpose for the An-26 "Vita" for the Air Force of Ukraine. Over a longer time, he reminded to be the only one military medical aircraft in Ukraine. Plans of creating mixed air-transport unit air ambulance were not implemented. Successful use of the An-26 "Vita" to evacuate the wounded during repel of Russian aggression in eastern Ukraine helped to intensify work in the field of military medical aircraft.In2015 inmedical version were rebuilt two more An-26. One of them joined the Air Force, and the second - Natinal Service of Emergencies in Ukraine. All three aircrafts are different composition of medical equipment and ability to provide medical care. Their purpose is evacuation of the wounded from the airfield vicinity of the battle area to military medical institutions. (shrink)

Este trabajo plantea el papel de la providencia y de la religión en los principales temas de la Ciencia Nueva: el mito, las primeras comunidades, la dialéctica de nobles y plebeyos, la lógica poética, etc., esbozando el proceso de cómo los hombres pasan a ser de hombres sin Dios a hombres con leyes. This paper deals with the role of both Providence and religion within the range of the main themes in the “New Science”: myth, the first human communities, the (...) dialectics between nobles and plebeians, logic, politics, etc., sketching in turn the way in which human beings became men with laws from the stage of Godlessmen. (shrink)

Introducción: la formación de profesionales competentes es una de las misiones esenciales de la Educación Médica Superior, esto exige que los tecnólogos posean habilidades comunicativas para un correcto desempeño laboral en aras del mejoramiento humano. Objetivo de la investigación: identificar las barreras que inciden en la comunicación tecnólogo - paciente en las carreras de Licenciatura en Traumatología, Podología, Terapia Física y Rehabilitación Social Ocupacional, en áreas de rehabilitación. Métodos: se presenta un estudio observacional, descriptivo longitudinal y retrospectivo entre junio de (...) 2008 y junio 2011 que consistió en la observación a exámenes estatales prácticos y a la educación en el trabajo, en las carreras de referencia, además se aplicó una encuesta a pacientes para la obtención de información acerca de las barreras que afectan el proceso de la comunicación entre tecnólogos y pacientes. Resultados: existen insuficiencias en la comunicación entre los futuros profesionales y pacientes. Conclusiones: se demuestra un insuficiente dominio de las habilidades comunicativas y por tanto barreras que interfieren en la comunicación como las semánticas y personales. Introduction: the training of competent professionals is one of the essential missions of higher medical education; this requires that technologists have communication skills in order to develop a proper job performance for the sake of human improvement. So the objective of the research is to identify barriers affecting technologist - patient communication in the careers of degree in Trauma, Podiatry, Physical Therapy, and Occupational Social Rehabilitation in areas of rehabilitation. Methods: an observational, longitudinal descriptive and retrospective study is presented between June 2008 and June 2011 that consisted on observation to practical state exams and training at work, in the reference degrees; in addition, a survey was applied to patients to obtain information about the barriers that affect the communication process between technologists and patients. Results: there are communication inadequacies between the future professionals and patients. Conclusions: An insufficient mastery of the communication skills is demonstrated and therefore barriers that interfere with communication as the semantic and personal barriers. (shrink)

La Sentencia 31 plantea una paradoja: el efecto permanece en su causa, pero al mismo tiempo la causa está “en todas partes y en ninguna” en su efecto. Nos centraremos en el análisis de la teoría del πανταχοῦ καὶ οὐδαμοῦ, deteniéndonos en la lectura porfiriana del argumento plotiniano de la anterioridad causal del Uno respecto a lo múltiple (III, 9 [13] 4, 1-9; V I 4 [22] 3), aplicado a Dios, al Intelecto y al Alma.

Literary narratives are well recognised for their power to foster engagement with complex social themes. Transmedia narratives, which present the same story in different media, can help advance both critical multimodal discourse studies and multiliteracies pedagogies. To harness this potential, we need to develop methods for systematically relating media affordances to discourse-semantic patterns and the broad social themes these patterns construct in narratives, and ensure these methods build on the knowledge learners bring to the classroom. This article introduces a social (...) semiotic method for analysing transmedia narratives and illustrates its ability to reflect the persuasive power of narrative and build on young children's critical multimodal awareness. This is achieved through a case study comprising data from three adaptations of the same award-winning narrative - animated film (Joyce, W. (Producer), Joyce, W., & Oldenburg, B. (Directors) (2011). The fantastic flying books of Mr Morris Lessmore [Motion Picture]. Moonbot Studios), interactive app (Moonbot Studios. (2011). The fantastic flying books of Mr Morris Lessmore (Version 1.4). [Mobile Application Software]), and traditional-format picture book (Joyce, W. (2012). The fantastic flying books of Mr Morris Lessmore. Illustrations by William Joyce and Joe Bluhm. Moonbot Books) - and mother-child interactions with the book and the app. (shrink)

Avec l’entrée massive dans l’usage du nom « émotion » comme nom générique de toutes les manifestations psychologiques, due à la vulgarisation du discours de spécialité de la psychologie, des arts, etc., il existe la tentation de considérer ce nom, du point de vue linguistique, uniquement comme un hyperonyme et même comme un « nom général », du sommet ou des fondements du lexique. Cet article présente un point de vue nouveau : il montre que, par ses propriétés morphologiques, syntaxiques (...) et anaphoriques, le nom émotion est aussi un nom de base, du même niveau lexical que peur, joie, tristesse, etc., que l’on a pu considérer comme ses hyponymes. (shrink)

The article presents an attempt to reconstruct the axiological contents of Marx’s –concept of justice In the broadest terms, the axiological content of Marx’s concept of justice consists, in the author’s opinion, in the eternal conviction of man that it is just to render unto man what is rightfully due to him, while to deprive man of his due rights is a wrong. Accordingly, every man, by reason of his work or merits, rightly deserves the use and enjoyment of the (...) material goods he has produced, or of the good reputation he has won, etc. That formulation, however, does not exhaust the full sense of Marx’s idea of ‚justice’. Man in his capacity as a human being rightfully deserves over and above all that, a chance to draw on the full stock of human achievement, in order to develop and satisfy his manifold needs, inclinations and talents. (shrink)

Este artículo intenta aproximarse a la figura femenina de Hiparquia de Maronea, identificando su lugar dentro del cinismo antiguo, movimiento filosófico contestatario de finales del siglo iv a. C. Su figura sería ejemplo de una mujer “extradoméstica”, opuesta completamente a la imagen de la mujer ateniense que permanece recluida en el interior de la casa, respetando celosamente las leyes del silencio. Al respecto, para descifrar las claves de Hiparquia, es fundamental y muy significativo considerar el “matrimonio de perros” como la (...) expresión más elevada del éros cínico. La kynogamía implica una ruptura radical con el matrimonio convencional, en cuanto institución religiosa, social y política que determina en el oîkos el lugar de las mujeres en la antigüedad, y constituye el punto culminante de la unión erótica cínica, al poner de manifiesto su “indiferencia” respecto al acto sexual. Hiparquia, comparada con Artemisa, se sitúa en los confines de lo salvaje, unida a su esposo, Crates de Tebas, vive en co-herencia según las leyes de la naturaleza. (shrink)

This article examines the topic of protest mapping during the rise of Occupy Wall Street in the United States in 2011–2012. It focuses on various practices of protest mapping, including a con­sideration of how space (public, urban, or of the protest camp) is represented in the visual sources discussed. It also addresses the qualitative difference between protest mapping and other mapping practices, as well as the categorization of protest mapping terms. Using the method of source analysis and online research, the (...) article adopts, as its key concept for studying protest as a multi-threaded phenomenon, the notion of détournement. This concept was first described in 1957 by Gil Wolman and Guy Debord, and from the early 1960s was used as a creative method and also a revolutionary strategy by the avant-garde artistic group, the Situationist International. The categories of stasis, dynamism, and spatiality will also be important points of reference. (shrink)

Numerose sono le figure – narrative, simboliche, storiche – nelle pagine di Borges, tratte dalla tradizione di una Germania intesa, alla maniera di Tacito, come l’antico nord del mondo. La passione per la germanistica percorre tutta l’opera di Borges per farsi, nell’ultima parte della sua vita, scoperta del mito e ripensamento della poesia, capace di conferire alla sua immagine della letteratura un colore perdutamente romantico.

The phenomena of truth, truthfulness, veracity and “truthiness” discussed widely in logic, epistemology as theory of science and gnoseology as general theory of knowledge, have received many interpretations—and not a single one to be generally accepted. Discussions continue not only upon narrow technical, operational questions of the predicate calculus and/or propositions calculus, but also on logic-gnoseological problems, one of which casts doubt on the maxim “logic is the house of truth,” and the other highlights the laxity of the opposition of (...) “truth—falsehood” meanings as the main categories of the two-valued logic. These evaluations of proposition do not in fact oppose each other in the sense of a contradiction. Verity and falsity are controversial (opposite), but not contradictory (antithetical) concepts; it is truth and non-truth that are contradictory. Therefore, there is not only the possibility, but also the reality of the existence of a field, or zone, of transition between the values “true—false.”. (shrink)

‘Plant neurobiology’ has emerged in recent years as a multidisciplinary endeavor carried out mainly by steady collaboration within the plant sciences. The field proposes a particular approach to the study of plant intelligence by putting forward an integrated view of plant signaling and adaptive behavior. Its objective is to account for the way plants perceive and act in a purposeful manner. But it is not only the plant sciences that constitute plant neurobiology. Resources from philosophy and cognitive science are central (...) to such an interdisciplinary project, if plant neurobiology is to maintain its target well-focused. This manifesto outlines a road map for the establishment and development of a new subject—the Philosophy of Plant Neurobiology—, a new field of research emerging at the intersection of the philosophy of cognitive science and plant neurobiology. The discipline is herewith presented, introducing challenges and novel lines of engagement with the empirical investigation, and providing an explanatory framework and guiding principles that will hopefully ease the integration of research on the quest for plant intelligence. (shrink)

The aim of this article is to explore how metaphor is mobilized to frame and describe the lived experience of dementia in a corpus of illness narratives compiled from 10 blogs initiated and maintained by individuals diagnosed with early-onset dementia. The article is set against the background of contemporary healthcare practices and discourse around chronic illness and focuses on the metaphors that patients use to communicate about their dementia experience in relation to three basic psychological needs: autonomy, competence and relatedness, (...) which are essential for human well-being and are heavily challenged in complex medical situations. Results are discussed in terms of the framing metaphors provide of the emotional, psychological impact of dementia and their implications for patient-centered care. This study expands prior work by researching metaphors used for a condition that has been scarcely explored from this point of view and by focusing on the patient’s perspective exclusively. (shrink)

This article focuses on blood donation as a form of bloodletting in a context where donation is commonly seen to alleviate the symptoms of `thick blood'. It deals with the gendered aspects of blood donation, and the parallels drawn between donating blood and menstruating. Women are seen not to need to donate blood as much as men, who, in the absence of menstruation, are more prone to thick blood and require a means to expunge the ensuing excess. While blood donation (...) professionals strive to reconstruct donation as a selfless and ungendered act, counterposing the `facts' of arterial blood circulation to local blood-lore and beliefs, lay understandings challenge this construction in the use they make of blood donation centres or by reiterating the personalistic and gendered dimensions of donation. The article explores cases of patients who use hormonal contraceptives which suppress menstruation and express concerns over the resulting accumulation of blood in the body. It considers how blood donation is adopted by some women as a means of dispelling both the perceived inconveniences of menstrual bleeding and its swelling effects. Such literalized engagements with medical technologies reveal a conception of the body as a permeable, malleable and recipient-like enclosure. These views are often characterized as `ignorance' by medical practitioners, where ignorance is seen to derive not only from the absence of knowledge, but from the presence of the wrong kind of knowledge. (shrink)

Autonomy has been central to moral and political philosophy for millenia, and has been positioned as a critical aspect of both justice and wellbeing. Research in psychology supports this position, providing empirical evidence that autonomy is critical to motivation, personal growth and psychological wellness. Responsible AI will require an understanding of, and ability to effectively design for, human autonomy (rather than just machine autonomy) if it is to genuinely benefit humanity. Yet the effects on human autonomy of digital experiences are (...) neither straightforward nor consistent, and are complicated by commercial interests and tensions around compulsive overuse. This multi-layered reality requires an analysis that is itself multidimensional and that takes into account human experience at various levels of resolution. We borrow from HCI and psychological research to apply a model (“METUX”) that identifies six distinct spheres of technology experience. We demonstrate the value of the model for understanding human autonomy in a technology ethics context at multiple levels by applying it to the real-world case study of an AI-enhanced video recommender system. In the process we argue for the following three claims: 1) There are autonomy-related consequences to algorithms representing the interests of third parties, and they are not impartial and rational extensions of the self, as is often perceived; 2) Designing for autonomy is an ethical imperative critical to the future design of responsible AI; and 3) Autonomy-support must be analysed from at least six spheres of experience in order to approriately capture contradictory and downstream effects. (shrink)

Today, scientific research is seen as being largely dominated by the short-term, and by the constant need to gain legitimacy in the eyes of society. This text analyzes the existing literature on the concept of future and seeks to explore some of the main meanings it has for scientists. Based on interviews with researchers working on different projects in Portuguese research centers, the authors scrutinize some of the implications of the recurrent reference to the future in their research agendas. Starting (...) with a review of the literature on the relations between science, time, and future, they show that nowadays, scientists experience some difficulty when dealing with the long-term in science, mostly due to the pressure of the market on innovation. In view of their profiles and discourses, what must be stressed are the risks and challenges playing out in the conflict between the short and the long term in scientific research. (shrink)