_Importance and implications of an oath in times of a pandemic_ _Importância e implicações de um juramento em tempos de pandemia_ La pandemia del SARS-CoV-2, que causa el Covid-19, es un hecho que está desestabilizando no solo los sistemas de salud, sino la misma cultura actual. En torno a ella hay una serie de elementos que complican su contención, mitigación y tratamiento: interrogantes sobre su origen, profusión de información, medidas de aislamiento con efectos diametralmente opuestos, despertar de una pesadilla de (...) agresión al ecosistema, develamiento de falencias y fragilidades de gobiernos, sistemas económicos y de salud pública; crisis de liderazgo y un largo etcétera. Se examina el trabajo del talento humano en salud a partir de la constatación de situaciones paradójicas frente al mismo y se plantea la importancia del Juramento hipocrático, como razón que justifica el accionar del personal de salud en escenarios normales, pero sobre todo en situaciones límite. Se concluye que el Juramento hipocrático, más que la Declaración de Ginebra, es un punto de partida clave para el actuar médico, también en las crisis, y que la humanidad debería cambiar y salir fortalecida de la pandemia, porque aprendió las lecciones que el Covid-19 le ha dejado. _Para citar este editorial / to reference this editorial / para citar este editorial_ Gamboa-Bernal GA. Importancia e implicaciones de un juramento en tiempos de pandemia. 2020;24:5-13. DOI: https://doi.org/10.5294/pebi.2020.24.1.1 Publicado: 07/05/2020. (shrink)

Universal Declaration of Human Rights anniversary: More shame than glory? Aniversário da Declaração Universal dos Direitos Humanos: mais pena que glória? Para citar esta editorial / to reference this editorial / para citar esta editorial Gamboa-Bernal GA. Aniversario de la Declaración Universal de los Derechos Humanos: ¿más pena que gloria?. Pers Bioet. 2019; 23: 6-13. DOI: https://doi.org/10.5294/pebi.2019.23.1.1.

Da Vinci, 500 años después: del humanismo a la humanización Da Vinci, 500 anos depois: do humanismo à humanização Leonardo Da Vinci is a prototype of humanism. Five hundred years after his death, we reflect on what humanism may add to humanization in health sciences in general and medical education in particular. The history of thought classifies humanisms into Renaissance, socialist, existential, hermeneutic, anti-humanism and new humanism. By contrast, transhumanism is pointed out. Their main lines of thought and exponents are (...) listed. Finally, some reactions of contemporary philosophy to these humanisms are explained, and it is concluded that for proper humanization it is necessary to build on the basics contributed by classical humanism and some key points of bioethics. Para citar este editorial / To reference this editorial / Para citar este editorial Gamboa-Bernal GA. Da Vinci, 500 años después: del humanismo a la humanización. Pers Bioet. 2019;23:171-179. DOI: https://doi.org/10.5294/pebi.2019.23.2.1. (shrink)

El libro E-physicalism - A Physicalist Theory of PhenomenalConsciousness presenta una teoría en el área de la metafísica de laconciencia fenomenal. Está basada en las convicciones de que la experienciasubjetiva -en el sentido de Nagel - es un fenómeno real,y de que alguna variante del fisicalismo debe ser verdadera.

The phenomenal properties of conscious mental states happen to be exclusively accessible from the first-person perspective. Consequently, some philosophers consider their existence to be incompatible with materialist metaphysics. In this paper I criticise one particular argument that is based on the idea that for something to be real it must (at least in principle) be accessible from an intersubjective perspective. I argue that the exclusively subjective access to phenomenal contents can be explained by the very particular nature of the epistemological (...) relation holding between a subject and his own mental states. Accordingly, this subjectivity does not compel us to deny the possibility that phenomenal contents are ontologically objective properties. First, I present the general form of the argument that I will discuss. Second, I show that this argument makes use of a criterion of reality that is not applicable to the case of subjective experience. Third, I discuss a plausible objection and give an argument for rejecting observation models of self-knowledge of phenomenal contents. These models fall prey to the homunculus illusion. (shrink)

There is general agreement that from the first few months of life, our apprehension of physical objects accords, in some sense, with certain principles. In one philosopher's locution, we are 'perceptually sensitive' to physical principles describing the behavior of objects. But in what does this accordance or sensitivity consist? Are these principles explicitly represented or merely 'implemented'? And what sort of explanation do we accomplish in claiming that our object perception accords with these principles? My main goal here is to (...) suggest answers to these questions. I argue that the object principles are not explicitly represented, first addressing some confusion in the debate about what that means. On the positive side, I conclude that the principles supply a competence account, at Marr's computational level, and that they function like natural constraints in vision. These are among their considerable explanatory benefits - benefits endowed by rules and principles in other cognitive domains as well. Characterizing the explanatory role of the object principles is my main project here, but in pursuing certain sub-goals I am led to other conclusions of interest in their own right. I address an argument that the object principles are explicitly represented which assumes that object perception is substantially thought-like. This provokes a jaunt off the main path which leads to interesting territory: the boundary between thought and perception. I argue that object apprehension is much closer to perception than to thought on the spectrum between the two. (shrink)

Ideal rods and clocks are defined as an infinitesimal symmetry of the spacetime, at least in the non-quantum case. Since no a priori geometric structure is considered, all the possible models of spacetime are obtained.

Kripke [1972] a présenté un argument très influent contre le physicalisme, basé sur l’idée suivante : les énoncés psycho-physiques—ceux qui identifient les phénomènes psychologiques de l’expérience à des phénomènes physiques—sont, s’ils sont vrais, nécessairement vrais. Pourtant, ils semblent être contingents. Par la suite, Levine [1983] a prétendu que l’apparence de contingence était due à un «fossé explicatif » qui se trouve dans ces énoncés : les phénomènes physiques ne semblent pas rendre compte de l’existence et des caractéristiques des phénomènes psychologiques. (...) Je suspecte que l’apparition du fossé explicatif résulte, du moins en partie, du fait que l’on prend la subjectivité de l’expérience comme une condition ontologique alors qu’elle serait épistémologique. Dans ce papier je présente et développe cette idée. (shrink)

Je commence par tenter de clarifier le concept de « conscience phénoménale », suivant la notion de « l’effet ça fait » élaborée par Nagel (1974). Deuxièmement, je défends la réalité de la conscience (phénoménale) en opposition avec l'éliminativisme. Il n’est pas possible de prouver que la conscience est un phénomène réel, mais les éliminativistes ne peuvent pas non plus prouver qu’elle n’en est pas un. Pour le réaliste, la conscience est donnée comme un fait brut. Troisièmement, j’introduis une notion (...) générale de physicalisme et de survenance [supervenience], et soutiens qu’un monisme physicaliste est la métaphysique la plus raisonnable. Ceci, étant donné l’existence de relations causales entre le corps et l’esprit, et malgré nos intuitions dualistes. Je prétends qu’il existe une propriété X, qui est une propriété physique ou une propriété survenante (sur le physique), telle que être conscient—au sens phénoménal—c’est instancier X. Enfin, je critique le panpsychisme et conclus que la conscience est une propriété de certaines entités physiques complexes. (shrink)

Advance directives are useful ways to express one's wishes about end of life care, but even now most people have not completed one of the documents. David Doukas and William Reichel strongly encourage planning for end of life care. Although Planning for Uncertainty is at times fairly abstract for the general reader, it does provide useful background and practical steps.

In this work we discuss logical structures related to indistinguishable particles. Most of the framework used to develop these structures was presented in [17, 28] and in [20, 14, 15, 16]. We use these structures and constructions to discuss possible ontologies for identical particles. In other words, we use these structures in order to characterize the logical structure of quantum systems for the case of indistinguishable particles, and draw possible philosophical implications. We also review some proposals available in the literature (...) which may be considered within the framework of the quantum logical tradition regarding the problem of indistinguishability. Besides these discussions and constructions, we advance novel technical results, namely, a lattice theoretical structure for identical particles for the finite dimensional case. This kind of approach was not present in the scarcely literature of quantum logic and indistinguishable particles. (shrink)

Se analiza el papel del pathos como condición de emergencia tanto del logos como de la episteme, lo cual nos lleva reconocer que a la par de una concepción “intelectualista” de la teoría platónica del conocimiento, en la que es necesaria la supresión de todos los elementos irracionales que nublan el juicio, existe otra perspectiva, sobre todo sustentada en el Fedro, en la cual el pathos, expresado como manía amorosa, no es solamente una etapa a superar para acceder a la (...) intuición de las Formas, sino que ella misma se convierte en una experiencia cognitiva que devuelve al conocimiento su carácter humano.We analyze the role of pathos as emergency condition for both, logos and episteme, which leads us to recognize that along with an intellectual conception of the Platonic theory of knowledge, that demands to abolish all irrational elements that cloud the judgment, there is another perspective, especially supported by the Phaedrus, in which pathos, understood as love like madness, is not just a stage to overcome in order to arrive at the intuition of Forms, but it becomes itself a cognitive experience that gives back to knowledge its human nature. (shrink)

Research Ethics Committees have the responsibility to protect the participants involved in researches and to guarantee the ethical behavior of researchers. In some institutions, such committees also review scientific projects of non-pharmaceutical areas, Public Health and Health Economics. Within this framework, the article analyzes what it means to be part of a Research Ethics Committee in a hospital or university based on personal experience as a community representative. By means of the convenience sampling technique, implemented in four Colombian cities that (...) have GCP-certified committees by INVIMA –National Institute for the Control of Medications and Food–, and by means of content analysis, based on fixed and emergent categories; the experience, perception, participation, representation, and ethical aspects are described as well as the learning process and personal contributions. Findings prove that representatives interviewed have been benefited by learning clinic and epidemiological aspects without necessarily being “experts in the community”. However, they seem not to recognize clearly the population they represent, which might lead these communities to being affected by certain particular studies. The article suggests to work on the minimal common elements that a community representative should possess to appropriately protect participants. (shrink)

Assisted Reproductive Technologies, as a solution to the issues of human infertility, have been developed since the mid-twentieth century. The development of these techniques, their progress and results have occurred simultaneously with two events related to ART: the establishment of new rights that have contributed to their endorsement, and the birth of bioethics that have allowed the recognition of their limits. The cultural change due to the coming of ART is characterized by three topics that are discussed in this article (...) and which are all included in the so-called gender ideology: the concept of woman and the control of her body, kinship and parentage, and the idea of autonomy. Some considerations on these topics are presented as well as some alternatives to ART, which include learning to redirect their work based on criteria pointed out by bioethical reflection. Such criteria reveal the profound meaning of preserving the dignity of every single person within a true human framework. (shrink)

The will is one of the three pillars of the trilogy of mind that has pervaded Western thought for millennia, the other two being affectivity and cognition (Hilgard 1980). In the past century, the concept of will was imperceptibly replaced by the cognitive-oriented behavioral qualifiers “voluntary,” “goal-directed,” “purposive,” and “executive” (Tranel et al. 1994), and has lost much of its heuristic merits, which are related to the notion of “human autonomy” (Lhermitte 1986). We view catatonia as the clinical expression of (...) impairment of the brain mechanisms that promote human will. Catatonia is to the brain systems engaged in will, as coma is to the reticular ascending systems that promote sleep and wakefulness (Plum 1991). (shrink)

Hysterectomy (or hysterectomy with oophorectomy) is the most frequently performed major surgery in the United States, affecting approximately 700,000 women each year (Easterday, 1983). There has long been interest in the psychological effects of these surgeries. However, apart from the concern that some hysterectomies may be unnecessary (Pearse, 1976), there has been little attention to bioethical issues relating to hysterectomy. Physicians and nurses are ethically obligated to respect the woman who may have a hysterectomy by treating her as an autonomous (...) agent. Informed consent within the context of a decision for hysterectomy should include balanced information and supportive exploration of the woman's values, goals, and life plan. Care of the patient should assist her adjustment, thereby also promoting her autonomy. Physician attitudes toward hysterectomy and the hysterectomy patient can have a major influence on patient self-determination. (shrink)