Informed consent is an essential step in helping patients be aware of consequences of their treatment decisions. With surgery, it is vitally important for patients to understand the risks and benefits of the procedure and decide accordingly. We explored whether a written IC form was provided to patients; whether they read and signed it; whether they communicated orally with the physician; whether these communications influenced patient decisions. Adult postsurgical patients in nine general hospitals of Italy’s Campania Region were interviewed via (...) a structured questionnaire between the second and seventh day after the surgery at the end of the first surgical follow up visit. Physicians who were independent from the surgical team administered the questionnaire. The written IC form was given to 84.5% of those interviewed. All recipients of the form signed it, either personally or through a delegate; however, 13.9% did not know/remember having done so; 51.8% said that they read it thoroughly. Of those who reported to have read it, 90.9% judged it to be clear. Of those receiving the written consent form, 52.0% had gotten it the day before the surgery at the earliest 41.1% received it some hours or immediately before the procedure. The written IC form was explained to 65.6% of the patients, and 93.9% of them received further oral information that deemed understandable. Most attention was given to the diagnosis and the type of surgical procedure, which was communicated respectively to 92.8 and 88.2% of the patients. Almost one in two patients believed that the information provided some emotional relief, while 23.2% experienced increased anxiety. Younger patients and patients with higher levels of education were more likely to read the written IC form. The written IC form is not sufficient in assuring patients and making them fully aware of choices they made for their health; pre-operative information that was delivered orally better served the patients’ needs. To improve the quality of communication we suggest enhancing physicians’ communication skills and for them to use structured conversation to ensure that individuals are completely informed before undergoing their procedures. (shrink)

This article defends Noël Carroll’s incongruity theory of humour from the pressing criticism that his articulation of incongruity is too vague to serve as a key notion of the theory. I first distinguish between two versions of the criticism of vagueness: (i) the claim that Carroll’s notion of incongruity is vacuous, and (ii) the claim that Carroll’s notion allows for shoehorning. To reject (i), I put Carroll’s notion of incongruity to the test by analysing complex comic texts, demonstrating that it (...) is not vacuous as it allows for capturing their similarities and differences. In response to (ii), I claim that Carroll’s notion of incongruity should be amended adding a pertinence condition, which requires that the element establishing the incongruity are part of the same context. Finally, I show that the pertinence condition helps Carroll replying to a set of counterexamples moved to his sufficiency conditions too. (shrink)

Despite the proliferation of research on ethical leadership, there remains a limited understanding of how specifically the assumingly moral component of this leadership style affects employee behavior. Taking an identity perspective, we integrate the ethical leadership literature with research on the dynamics of the moral self-concept to posit that ethical leadership will foster a sense of moral identity among employees, which then inspires followers to adopt more ethical actions, such as increased organization citizenship behavior. We further argue that these identity (...) effects should be more pronounced when leaders are perceived to be group prototypical, as their actions then speak louder to followers’ sense of identity. Two studies—a scenario experiment with 138 participants and a field study with 225 employees—provided support for our hypothesized moderated mediation model. Perceived ethical leadership positively affected OCB via followers’ moral identity but only under conditions of high perceived leader group prototypicality. We discuss how the identity pathway of ethical leadership can facilitate novel theorizing about moral transference. Our findings also suggest that, when hiring external ethical leaders or training internal managers, practitioners are well advised to consider that these individuals may only be effective in morally transforming followers when they are perceived as prototypical for the group. (shrink)

We tested the plausibility of a cognitive-emotional model to understand the effects of messages framed in terms of gain, non-loss, non-gain, and loss, and related to the health consequences of red/processed meat consumption. A total of 544 Italian participants reported their attitude toward reduced red/processed meat consumption and intention to eat red/processed meat. One week later, participants were randomly assigned to four different message conditions: gain messages focused on the positive health outcomes associated with low meat consumption; non-loss messages focused (...) on the avoided negative health outcomes associated with low meat consumption; non-gain messages focused on the missed positive health outcomes associated with high meat consumption; loss messages focused on the negative health outcomes associated with high meat consumption. After reading the messages, participants answered a series of questions regarding their emotional and cognitive reactions to the messages, their evaluation of the messages, and again their attitude and intention toward red/processed meat consumption. Comparing different multivariate linear models under the Bayesian approach, we selected the model with the highest plausibility conditioned to observed data. In this model, message-induced fear influenced systematic processing, which in turn positively influenced message evaluation and attitude, leading to reduced intention to consume red/processed meat. Vice versa, message-induced anger reduced systematic processing, which in turn negatively influenced message evaluation, and led to no effect on attitude and intention. The comparison among message conditions showed that gain and non-loss messages activated integrated emotional and cognitive processing of the health recommendation, while loss and non-gain messages mainly activated emotional shortcuts toward attitude and intention. Overall, these results advance our comprehension of the effects of message framing on receivers' attitudes and intentions. (shrink)

Los y las estudiantes denominados migrantes internos o interregionales, así como los jóvenes migrantes retornados o pertenecientes a la generación 1.5 enfrentan un cúmulo de adversidades que deben sortear durante sus trayectorias escolares en la universidad pública y en muchos de los casos no son visibilizadas ni atendidas por las IES. En el presente ensayo se pretende proveer algunas estrategias que puedan servir de punto de partida para la atención y seguimiento a estos grupos de población estudiantil.

Este trabajo plantea el papel que juega la Providencia tanto en el curso de la historia como en el posible conocimiento de ésta. En ambos casos la Providencia es un factor 'ad extra' en los hechos históricos, que dependen del arbitrio del hombre .This paper questions the role of Providence, as much in the course of history as in the possible knowledge of it. In both cases Providence is an 'ad extra' factor in historical facts, that depend on the freedom (...) of man. (shrink)

We tested the plausibility of a persuasion model to understand the effects of messages framed in terms of gain, non-loss, loss, and non-gain, and related to the physical, mental and social consequences of doing physical activity at home during the lockdown restrictions. 272 Italian participants responded to a questionnaire on their attitude and intention at Time 1, frequency of past behavior, and self-efficacy related to exercising at home. Then, participants were randomly assigned to four different message conditions: gain messages focused (...) on the positive outcomes associated with doing physical activity at home; non-loss messages focused on the avoided negative outcomes associated with doing physical activity at home; loss messages focused on the negative outcomes associated with not doing physical activity at home; non-gain messages focused on the missed positive outcomes associated with not doing physical activity at home. After reading the messages, participants answered a series of questions regarding their perception of threat and fear, their evaluation of the messages, and their attitude and intention toward exercising at home at Time 2. Using multigroup structural equation modeling, we compared message conditions, and tested whether the effects of the messages on attitude and intention at Time 2 were mediated by message-induced threat, message-induced fear, and message evaluation. Results showed that the perception of the messages as not threatening was the key point to activate a positive evaluation of the recommendation. The highest persuasive effect was observed in the case of the non-loss frame, which did not threaten the receivers, triggered a moderated fear and, in turn, activated a positive evaluation of the recommendation, as well as higher attitude and intention to do home-based physical activity at Time 2. Overall, these results advance our comprehension of the effects of message framing on receivers' attitudes and intentions toward home-based physical activity. (shrink)

The overturn of Roe v. Wade has resulted in fewer rights and resources for people seeking abortion care, particularly in the South. The Hyde Amendment has historically restricted abortion access for those enrolled in Medicaid. We argue here that its guarantees of minimum abortion coverage should be leveraged to offset harms where possible.

O objetivo do presente artigo é expor a leitura que a psicanálise lacaniana levanta acerca das causas que levam à irrupção da agressividade, principalmente em razão do caráter frequente deste fenômeno em educação. Sendo o método utilizado basicamente o dissertativo, procurou-se ressaltar a dimensão filosófica do problema. O próprio Lacan se apropria do legado hegeliano e marxista para desdobrar a tese da agressividade enquanto realização de uma dinâmica instaurada a partir do olhar e que tem o seu modus operandi nos (...) movimentos de alienação e de desalienação. A agressividade, ilustrada, por exemplo, pelas injúrias sofridas pelos professores mostra-se como tentativa de provocar a queda do Outro, queda essa tida como objeto a cujo modo de aparição é regulado pelo complexo de Édipo. Isto é, tanto o modo como se inscrevem as figuras de autoridade parentais nas cadeias significantes de que é composto o sujeito quanto o modo como essa inscrição molda as possibilidades existenciais de articulação com o sexo oposto seriam chave para antevermos em que medida o sujeito faz uso da agressividade. Nessa medida, o complexo de Édipo, reinvestido pelo acontecimento da puberdade, seria responsável pelo deslocamento da libido ora para o Outro ora para o próprio sujeito. O Outro, no desdobramento teórico de Lacan que se segue à década de 60, compreende tanto as escolhas identificatórias quanto aquilo que escapa a qualquer identificação. O Outro, por exemplo, na figura do professor, tem tanto o papel de se posicionar enquanto tal e assim gerar intuitivamente um processo de identificação, quanto o delicado papel de sustentar a dialética que surge no momento em que o Outro cai, momento esse que frequentemente se segue à identificação e que acontece junto a um gozo capaz de desvelar o objeto a. Muito embora o papel em educação não seja manter uma ausculta a esse objeto, a educação pode fazer com que esse objeto não seja excluído e seja contornado junto ao advento de singularidades. Neste momento, a explicitação das regras através das quais a educação se constitui assim como a empatia do educador aparecem como instrumentos fundamentais na educação tanto quanto a própria matéria a ser ensinada. Do texto, depreendemos a seguinte conclusão: acerca da necessidade de causarmos a colocação da agressividade na fala como via de conquista do processo de desalienação conjugada com uma possibilidade de sustentação do desejo. (shrink)

This book presents a historiographical and theorical analysis of how Husserlian Phenomenology arrived and developed in North America. The chapters analyze the different phases of the reception of Edmund Husserl’s thought in the USA and Canada. The volume discusses the authors and universities that played a fundamental role in promoting Husserlian Phenomenology and clarifies their connection with American Philosophy, Pragmatism, and with Analytic Philosophy. Starting from the analysis of how the first American Scholars of Edmund Husserl's thought opened the door (...) to the reception of his texts, the book explores the first encounters between Pragmatism and Husserlian Phenomenology in American Universities. The study focuses, then, on those Scholars who fled from Europe to America, from 1933 onwards, to escape Nazism - Felix Kaufmann, Alfred Schutz, Aron Gurwitsch, Herbert Spiegelberg, Fritz Kaufmann, among the most notable - and illustrates how their teaching provided the very basis for the spreading of Husserlian Phenomenology in North America. The volume examines, then, the action of the 20th Century North-American Husserl Scholars, together with those places, societies, centers, and journals, specifically created to represent the development of the studies devoted to Husserlian Phenomenology in the U.S., with a focus of the Regional Phenomenological Schools. (shrink)

Different immunotherapeutic approaches are in the pipeline for the treatment of drug dependence. “Drug vaccines” aim to induce the immune system to produce antibodies that bind to drugs and prevent them from inducing rewarding effects in the brain. Drugs of abuse currently being tested using these new approaches are opioids, nicotine, cocaine, and methamphetamine. In human clinical trials, “cocaine and nicotine vaccines” have been shown to induce sufficient antibody levels while producing few side effects. Studies in humans, determining how these (...) vaccines interact in combination with their target drug, are underway. However, although vaccines can become a reasonable treatment option for drugs of abuse, there are several disadvantages that must be considered. These include i) great individual variability in the formation of antibodies, ii) the lack of protection against a structurally dissimilar drug that produces the same effects as the drug of choice, and iii) the lack of an effect on the drug desire that may predispose an addict to relapse. In addition, a comprehensive overview of several crucial ethical issues has not yet been widely discussed in order to have not only a biological approach to immunotherapy of addiction. Overall, immunotherapy offers a range of possible treatment options: the pharmacological treatment of addiction, the treatment of overdoses, the prevention of toxicity to the brain or the heart, and the protection of the fetus during pregnancy. So far, the results obtained from a small-scale experiment using vaccines against cocaine and nicotine suggest that a number of important technical challenges still need to be overcome before such vaccines can be approved for clinical use. (shrink)

Previous research has shown that language switching is costly, and that these costs are likely to persist even when speakers are given ample time to prepare. The aim of this study was to determine whether there are cognitive limitations to speakers’ ability to prepare for a switch, or whether a new language can be prepared in advance and any cost to switch language eliminated. To explore this, language switching costs were measured in a group of Dutch-English (L1-L2) bilinguals who named (...) pictures in their two languages while the preparation time was manipulated. The participants were given either no time to prepare (cue to stimulus interval, CSI: 0 ms), or some time to prepare, for the target language (CSI: 250, 500, and 800 ms). The results revealed that when speakers had no time to prepare, language switching was costly. However, when preparation time was provided, switching costs disappeared. This suggests that there might be no cognitive limitations to the ability to prepare for a language switch, and that, provided enough preparation time, the effort to switch language could be eliminated. This finding might also explain why normal code-switched conversations seem effortless, as speakers typically have ample time to prepare for the language switch. (shrink)

In this article, I propose a semantic account of temporally mismatched past subjunctive counterfactuals. The proposal consists of the following parts. First, I show that in cases of temporal mismatch, [past] cannot be interpreted inside the proposition where it occurs at surface structure. Instead, it must be interpreted as constraining the time argument of the accessibility relation. This has the effect of shifting the time of the evaluation of the conditional to some contextually salient past time. Second, I will propose (...) specific felicity conditions (presuppositions) for subjunctive conditionals and I will argue that there is a strict correspondence between the time of evaluation in the truth conditions of a conditional and the time relevant for the felicity conditions. In other words, if the time relevant for the accessibility relation has been shifted to the past, then the conditional's presupposition will make reference to a past context. On the other hand, if no past is constraining the time argument of the accessibility relation, the conditional's felicity will make reference to the current (main) context. Third, I will argue that the intuition that the antecedent of mismatched counterfactuals is not true is a scalar implicature arising from a competition not between assertions but between presuppositions. Finally, I will investigate the repercussions of my proposal for the general theory of modality. (shrink)

Caravaggio and Rembrandt have often been considered together in light of their realism and use of chiaroscuro, as propounded in the 2006 exhibition “Caravaggio-Rembrandt”. This article explores another unifying characteristic of their paintings, ambiguity. By specifically considering the artists’ construction of narrative ambiguity in their first versions of The Supper at Emmaus, from their respective climates of Protestant Holland and Counter-Reformation Italy, it analyses the significance of the pictorial and temporal strategies employed for the exegesis of the Emmaus narrative. It (...) considers these paintings as intentionally aporetic artworks, relying on the spiritual awareness of the viewer to resolve their indeterminacy and to reactivate their Eucharistic meaning. (shrink)

Cognitive Science, Volume 46, Issue 2, February 2022.

In this paper, we study the distribution and interpretation of a non-temporal use of the future tense in Italian, called ‘presumptive’ or ‘epistemic’, which we label here PF. We first distinguish PF from its closest modal relatives, namely epistemic necessity/possibility/likelihood modals, as well as weak necessity modals. We then propose an account of PF in declaratives and interrogatives that treats it as a special comparative subjective likelihood modal, and test its empirical predictions. A theoretical lesson drawn from this detailed study (...) of the semantics of PF is that semantics needs sharpened theoretical tools to be able to capture the fine-grained distinctions languages make when it comes to signaling modulated epistemic commitment to a proposition. (shrink)

Few studies have examined how groups of individuals enact different patterns of gender relations within and across contexts. In this article, I draw upon nine months of fieldwork and 15 semistructured interviews conducted with eight- to 10-year-old swimmers on a co-ed youth swim team. During focused aspects of swim practice, gender was less salient and structural mechanisms encouraged athletes to interact in ways that illuminated girls’ and boys’ similar athletic abilities, undermining categorical, essentialist, and hierarchical gender beliefs pertaining to athleticism. (...) However, in the swimmers’ unfocused free time, the salience of gender was high and structural mechanisms encouraged swimmers to engage in “borderwork.” In this context, similarities between the genders were obscured and girls and boys instead interacted in ways that affirmed essentialist and categorical—but nonhierarchical—meanings of gender. By paying attention to structural mechanisms and the variable salience of gender, we can thus see the various conditions under which children deploy different patterns of gender relations, and how less oppressive gender relations can potentially “spill over” from one context to the next. (shrink)

During the AIDS epidemic in the 1980s, it was crucial that providers take steps to protect patients by managing HIV with the perspective of ‘HIV exceptionalism’. However, in 2020, the social and historical barriers erected by this concept, as demonstrated in this patient’s case, are considerably impeding progress to end the epidemic. With significant medical advances in HIV treatment and prevention, the policies informed by HIV exceptionalism now paradoxically perpetuate stigma and inequities, particularly for people of colour. To improve overall (...) HIV care, the medical community must move past HIV exceptionalism by liberalising diagnostics, instituting clinician implicit bias training and advocating to fully decriminalise HIV non-disclosure. (shrink)

In this paper I provide a unified analysis of a number of pragmatic anomalies that have been discussed in the literature. The paper’s main goal is to account for Sobel sequences of conditionals and sequences of disjunctive sentences, but I will also propose that this analysis can be extended to sequences of sentences with superlatives. The starting point is the observation that, while all these sequences are felicitous in one order, they are infelicitous when the order is reversed. Previous proposals (...) have focussed on particular types of infelicitous sequences Ken Hale: A life in language, MIT Press, Cambridge, 2001; Moss in Noûs 46:516–586, 2012; Lewis in Noûs 52:481–507, 2018; a.o.), or a subset of all the phenomena cited above Linguistic and psycholinguistic approaches on implicatures and presuppositions. Palgrave McMillan, Basingstoke, 2017; a.o.). I propose that sequences of sentences belonging to the same structured set of alternatives T are subject to a Specificity Constraint : sequences are acceptable if both alternatives are dominated by the same number of nodes in the structured set of alternatives T. Violations of SC can be avoided by strengthening the weaker alternative. However, covert strengthening violates an economy condition if the overtly stronger alternative is among those made salient by the preceding utterance in the sequence. I propose that the set of alternatives made salient by an utterance of a sentence s consists of s’s sisters and mother in T. I will show that the strengthening mechanism varies depending on the kind of sequence we have. (shrink)

The aim of this paper is to present a new perspective under which branching-time semantics can be viewed. The set of histories (maximal linearly ordered sets) in a tree structure can be endowed in a natural way with a topological structure. Properties of trees and of bundled trees can be expressed in topological terms. In particular, we can consider the new notion of topological validity for Ockhamist temporal formulae. It will be proved that this notion of validity is equivalent to (...) validity with respect to bundled trees. (shrink)

Although the study of the affective components involved in predicting physical activity is spreading faster and faster, there is a lack of studies testing their role when promoting physical activity through message interventions. In the present study, we considered these components by focusing on how anticipated affective reactions and emotional processing of the messages influence receivers’ affective attitude toward physical activity, concurrent behavior, and future intention. A sample of 250 participants was involved in an intervention relying on prefactual messages promoting (...) physical activity. All messages were sent through a research app and were focused on the expected consequences of exercising. Four experimental conditions involving messages differing as to their outcome sensitivity framing were compared to a control condition. Results showed that reading gain and non-gain messages enhanced the positive affective attitude toward physical activity, compared to control. Enhanced affective attitude after the intervention increased, in turn, self-reported physical activity and future intention. Interestingly, gain messages were even more persuasive for people with a low level of positive anticipated affective reactions. Furthermore, their effectiveness was especially attributable to the elicitation of hope in receivers. Discussion focuses on the advantages of considering affective components and their implications when promoting physical activity. (shrink)

El propósito de la investigación es determinar el impacto de los programas formativos ofertados por las autoridades educativas en 2021, en el estado de Tabasco, México en docentes de educación básica que laboran en contextos vulnerables. La importancia del estudio se comprende ya que es una estrategia que el Estado Mexicano aplica para impulsar la calidad e inclusión educativas. El enfoque es cuantitativo, la validación y confiabilidad del instrumento se realizó a través del juicio de expertos y un alfa de (...) Cronbach de 0.92.Los resultados obtenidos proporcionaron información relevante relacionada con aspectos académicos y tecnológicos. (shrink)

The article aims to show that Priest wrongly associates Hegel’s dialectic with his dialetheism. Even if Priest correctly argues that the notion of contradiction in Hegel’s logic is a logical one and that contradiction is meant to be true, Hegel goes a long way beyond Priest’s dialetheism insofar as he is not committed to a dialetheist conception of a three truth-values logic. I start my analysis with a brief introductory overview of the dialetheist’s thesis of the truth of contradiction. Then, (...) in the first part of the article, I show that Hegel’s notion of contradiction can be equated with a logical contradiction and that Hegel argues that some contradictions are true. In the second part of the paper I show that Hegel’s thesis of the truth of contradiction is different from Priest’s, because Hegel endorses a developmental conception of truth which allows him to account for complex and dynamic properties of reality in a way that Priest’s does not allow. (shrink)