In recent years, several studies have advocated the need to expand the concept of patient autonomy beyond the capacity to deliberate and make decisions regarding a specific medical intervention or treatment (decision-making or decisional autonomy). Arguing along the same lines, this paper proposes a multidimensional concept of patient autonomy (decisional, executive, functional, informative and narrative) and argues that determining the specific aspect of autonomy affected is the first step towards protecting or promoting (and respecting) patient autonomy. These different manifestations of (...) autonomy are not mutually dependent; there may be patients who have problems in one dimension, while at the same time being fully autonomous in others. Nevertheless, a close interaction has been observed between the various dimensions and indeed, a phenomenological analysis shows that damage to or a reduction in one aspect of people’s capacity for self-government generally affects other aspects of their autonomy, which in turn disrupts their identity and the way in which they see themselves and are seen by others. In this paper, I shall examine some of these interactions and show how they may lie at the heart of the problem of poor treatment adherence (where adherence is defined as being the extent to which a patient’s behavior over time coincides with the recommendations made by and agreed with their health professional). One example given is that of psoriasis, a chronic skin disease with a very poor adherence record. In Spain, it is calculated that 85% of patients diagnosed with mild to moderate psoriasis fail to comply properly with their treatment, and figures from other parts of the world are similar. Although there are many possible causes for non-adherence among psoriasis patients, assessing their decisional, executive and narrative capacities and taking appropriate action based on the results may help increase adherence rates. (shrink)

El respeto a las decisiones autónomas de las personas se ha impuesto en la práctica médica diaria como norma reguladora de las relaciones entre profesionales y pacientes, y esto, en opinión de Alfred I. Tauber, ha puesto a la relación asistencial en una encrucijada. La ética basada en la autonomía —que es el producto de un tiempo y lugar determinados: el liberalismo inglés clásico— ha resultado tremendamente exitosa y ha sido crucial en el desarrollo de las democracias occidentales, pero a (...) juicio de Tauber es muy conflictiva en ámbitos como la medicina. El mero «traslado» de esa autonomía jurídica y liberal, casi exclusivamente preocupada por la protección de los derechos individuales, no hace sino originar un sinfín de problemas en ambos polos de la relación asistencial: genera por un lado profesionales sanitarios a la defensiva y, por otro, se convierte en muchos casos en una abstracción de dudosa utilidad para la persona enferma, pues puede hacernos olvidar la situación de desvalimiento y vulnerabilidad en que al individuo le coloca la situación de enfermedad. El objeto de este breve escrito es dejar apuntados algunos de los conflictos que surgen cuando entendemos el encuentro entre doctor y paciente en términos excesivamente «autonomistas». (shrink)

Reseña de Nys, T., Denier, Y., Vandevelde, T. (eds.): 2007, Autonomy and Paternalism. Reflections on the Theory and Practice of Health Care. Lovaina: Peeters.

Filosofoek, ia ahobatez, bi egia moten arteko bereizketa onartu ohi dute. Alde batetik egia beharrezkoak eta egia kontingenteak bereizi eta bereizten dira. Lan honetan aipatutako bereizketaz ari gara, batez ere txanponaren alderdi bat jorratuz, egia beharrezkoak zertan diren aztertuz hain zuzen ere. Irakurleak bereizketaren jarraipen historikoa ere aurkituko du. Horrez gain, hiru testu berri-klasikoen itzulpena burutu dugu: Quineren enpirismoaren bi dogma, Tarskiren egia eta froga eta Kripkeren identitatea eta beharrezkotasuna.

Summary This paper aims to bridge anthropological and cognitivist research undertaken by Gilbert Durand and Mark Johnson, who studied the phenomenon of meaning making in a similar way, although they had to use different terminology as their disciplines demanded. Durand established systematization for analyzing symbolism by taking into account the position of the body and the perceptions determining the underlying schemata of symbols. Two decades later, Mark Johnson described image schemata as gestalts having an internal structure derived from bodily perceptions. (...) Owing to these similarities, a comparison between Durand and Johnson’s theories is offered first. In the second place, I reviewed the cognitive value of the anthropological regimes of imaginaire described by Durand. During the analysis, the terminology used by these theorists (like ‘image schemata’ or ‘axiomatic schemata’) was comparatively analyzed to find common ground between their positions. In conclusion, the need for recovering theories of imagination proposed by heterodox scholars like Durand is highlighted, since they anticipate the role of images and imagination not only in language, as Johnson demonstrated, but also in the formation of anthropologically relevant symbols, which are of interest for the analysis of literature and other arts. (shrink)

ABSTRACTIn recent years, with Europe witnessing its worst refugee crisis since the Second World War, the process of applying for asylum in a foreign country has become the focus of numerous studies and research programs. The aim of the present article is to explore the subject through a case study of the issues and complexities surrounding the interpreting and translation services offered by the Spanish Asylum and Refugee Office. The data is based on two surveys: the first focused on the (...) professionals’ views of the role of translators and interpreters, and the second on translators and interpreters working in the field of international protection. The findings obtained from these studies may prove useful for improving the various interpreting and translation training programs and services that are crucial for managing the refugee crisis and the multiple problems associated with it. (shrink)

Projectibility has traditionally been given a prominent role in natural kind theories. However, where most of these theories take projectibility to be a necessary but insufficient feature of natural kinds, this paper defends an account of natural kinds according to which the naturalness of kinds is to be identified with their degree of projectibility only. This view follows thus the path opened by Häggqvist (2005), although it goes significantly further on two main respects. First, I develop and discuss two important (...) dimensions of projectibility that are overlooked in Häggqvist’s work. Second, I address two recent important objections (Magnus 2012 and Spencer 2015) against projectibility-based accounts. (shrink)

In this paper, we argue for an objectivist pluralist interpretation of Hume’s moral philosophy. We begin by approaching the pluralist/relativist distinction in aesthetics. Then we move to ethics, and present some reasons which justify considering Hume a normative pluralist, and, in particular, an objectivist pluralist. Our argument will make use of Hume’s idea that there are foru sources of value, and of his notion of artificial lives/moralities.

Research on individual differences in facing the COVID-19 pandemic seems to be crucial in order to design diverse and highly effective intervention strategies. This study uses a sample of 302 North American participants who were recruited through the crowdsourcing platform ProA; different profiles were established, profiling variables of interest in facing the COVID-19 outbreak. Socio-demographic and psychological (personality traits, gratitude, life purpose, and religiosity) variables were explored. These results are of interest if we want to deepen the study of individual (...) differences at both a theoretical and applied level. (shrink)

El presente trabajo pretende aportar una serie de recomendaciones prácticas consonantes con el respeto de los derechos humanos para el trabajo periodístico al momento de abordar el fenómeno de la inmigración. Para ello se recogen aportes teóricos y conceptuales acerca del análisis de discurso, la teoría del framing y teoría de los derechos humanos, y con ello evidenciar la importancia que tienen los enfoques periodísticos al momento de exponer noticias relacionadas con el fenómeno de la inmigración.

In his last book about Locke{\textquoteright}s philosophy, E. J. Lowe claims that Frege{\textquoteright}s arguments against the Lockean conception of number are not compelling, while at the same time he painstakingly defines the Lockean conception Lowe himself espouses. The aim of this paper is to show that the textual evidence considered by Lowe may be interpreted in another direction. This alternative reading of Frege{\textquoteright}s arguments throws light on Frege{\textquoteright}s and Lowe{\textquoteright}s different agendas. Moreover, in this paper, the problem of singular sentences (...) of number is presented, and Frege{\textquoteright}s and Lowe{\textquoteright}s views are confronted with it. (shrink)

Mi propósito en este trabajo es reconsiderar una de las lecturas más relevantes y provocativas que se han hecho sobre John Dewey en el mundo de habla hispana. En la primera parte reconstruyo las circunstancias que rodearon la difusión, interpretación y traducción de las obras de Dewey en el México de mediados de los años 1940, y en concreto las razones que llevaron a que la visión sociológica que José Medina Echavarría quiso dar de Dewey fuera finalmente desplazada por la (...) filosófica de José Gaos. En la segunda parte analizo la traducción y lectura que Gaos hizo de Experience and Nature de Dewey, teniendo muy presente sus comparaciones con Sein und Zeit de Heidegger . Finalmente, propongo algunas críticas a la visión que Gaos transmite de Dewey como un pensador carente de un tipo de "soberbia diabólica" propia de la verdadera gran filosofía. The purpose of this work is a reconsideration of one of the most relevant and provocative readings of John Dewey written in the Hispanic World. In the first part I reconstruct the circumstances which surrounded the publicity, interpretation and translation of John Dewey's works in the Mexico of the middle 1940's, particularly the reasons why the sociological reading of Dewey that José Medina Echavarría proposed was finally displaced by the metaphysic perspective of José Gaos. In the second part I reconsider Gaos' own translation and interpretation of Experience and Nature, taking in consideration his comparisons with Heidegger's Sein und Zeit . Finally I analyze critically Gaos' view of Dewey as a thinker whose philosophy lacked the "diabolical arrogance" that true great philosophy would seem to require. (shrink)

Entre los siglos IX y XII son varias las manifestaciones artísticas que vinculan a Túnez con al-Andalus, Egipto y Sicilia. Se trata, más concretamente, de los cipos funerarios, de las mezquitas de nueve tramos y de los conjuntos de carácter áulico caracterizados por contar con un gran estanque. La documentación de estos modelos tipológicos, así como la aproximación a sus posibles orígenes y funciones llevan a plantear el papel de Ifrīqiya como foco creador o de concreción formal de los modelos, (...) actuando los focos restantes como receptores. (shrink)

Hemos ingeniado numerosos juegos para solazarnos; jugamos en las relaciones sociales desempeñando papeles con sus pertinentes máscaras; y el mundo semeja un gran juego que avanza subyugado por reglas, en el que, armados de nuestros saberes, jugamos para mantenernos vivos y vivir de la mejor manera. Mas aquí no se acaba el juego: resulta que el mundo, que es uno entre los posibles, debe de haberse impuesto, sin duda, a otras combinaciones de cartas en una recóndita partida de póquer de (...) un jugar inasible y difuso que rehúye nuestras concepciones. Porque, si bien de los juegos que hemos construido sabemos el qué, el para qué y el cómo, no podemos decir lo mismo del juego del mundo, inscrito a su vez en una maraña que juega sin límite y en la que nos vislumbramos. Por ello hemos de aclarar en qué consiste este juego último, para intentar descubrir a qué juega todo y a qué juega el ser humano. A ello ha venido consagrándose la Metafísica con estrategias varias: la Metafísica es también un juego, un juego de nociones, y a él se aplica este ensayo pretendiendo jugar con el mayor tino aun sin obtener ganancia. Así pues, este no es un libro de filosofía, contra lo que proclama el título; esto es un entretejido de partidas de un juego desesperado donde el jugador se juega el mundo, la vida, el pensamiento, el hombre y hasta a sí mismo. Con el molde del juego probaremos a concebir la realidad entera y a digerir la temática filosófica en sus tópicos más relevantes. Porque en este escrito la palabra juego funcionará como un significante flotante (en la nomenclatura estructuralista), como un valor simbólico cero, susceptible de aplicarse a cualquier fenómeno, y útil para conexionar nuestras inquietudes en los escenarios más diversos. Con dicha táctica, este libro recorrerá los problemas fundamentales de la filosofía para ofrecer al lector una visión aventurera al mismo tiempo que coherente. Empezando por un juego de solitario, el del Yo pensante, nos abriremos al pensamiento y al mundo, como juego en que participamos los hombres; veremos cómo en él se constituye el sentido o ser de las cosas, y cómo ese juego nos catapulta a un Gran Juego columbrado, al Juego de Ser (por llamarlo de algún modo), a un jugar sin sujeto y sin reglas al que no cabe aplicarle nuestras nociones. En tal juego intervenimos los hombres y efectuamos nuestras apuestas con los otros y con nosotros mismos y ante la muerte. Este libro se dirige a los jugadores genuinos, a los amantes del juego al margen de su resultado, dispuestos a los triunfos y a las derrotas, y a la derrota definitiva, sabedores de que todo es un juego después de todo. Emprenderemos, pues, un juego en sentido estricto y en sentido laxo, habida cuenta de que el ser y la nada, la verdad y el conocimiento, el mundo y las cosas, el hombre y el Yo pensante, la sociedad y la historia, el bien y el mal, Dios y el absurdo, la transcendencia y la muerte… son piezas, cartas o fichas con que nos hemos topado en un juego que nos abarca y al que nos sentimos arrojados. En cuanto juego, este libro, verdadero curso de filosofía para jugadores, aspira solo a que sus jugadas cuadren. (shrink)

The use in psychology of crowdsourcing platforms as a method of data collection has been increasing in popularity because of its relative ease and versatility. Our goal is to adapt the Gratitude Questionnaire–20 Items to the English language by using data collected through a crowdsourcing platform. The G20 is a comprehensive instrument that takes in consideration the different basic processes of gratitude and assesses the construct’s cognitive, evaluative, emotional, and behavioral processes. We test the psychometric properties of the English version (...) of the G20 with a Prolific user sample. We assess the adequacy of the G20 for the crowdsourcing population in its English version. A description of the characteristics of the participants is conducted. Reliability analyses reveal an optimal internal consistency of the adapted scale. The results are discussed from a cross-cultural vision of gratitude. We conclude that the Gratitude Questionnaire–20 Items, adapted to English with an American sample, is a psychometrically strong instrument to measure gratitude using crowdsourcing platforms for data collection and, therefore, a reference and useful tool in future research. (shrink)

Ion Soteropoulos reconciles the contradiction between the finite and infinite and transforms this reconciliation into the founding principle of motion. This book will appeal to readers interested in the logical mechanics of the physical universe, the hidden powers of our finite brain, and the utility of robots in the future.

In this paper I argue against Simion’s (2018) Epistemic Limiting Procedure for conceptual engineering and put forward a more permissive alternative, according to which epistemic losses do not systematically block amelioration, but merely provide reasons against it. On this less restrictive view, epistemic losses will be permissible, provided that they are compensated by the non-epistemic gains of the amelioration. After fleshing out the details of my proposal, I discuss two case studies in relation to which Simion’s restrictive procedure seems to (...) yield the wrong predictions. I argue that my alternative accommodates these cases significantly better. (shrink)

El presente artículo busca señalar que cantantes como Bob Marley, Bunny Wailer y Peter Tosh han ejercido una especie de educación tribal que le ha permitido a la comunidad rastafari informarse de las pautas de comportamiento social y moral que han llegado a considerarse como emblemáticas de su sistema de valores. Para lograr nuestro propósito se citarán y glosarán un conjunto de canciones de ese género musical que a lo largo de décadas ha pregonado la naturaleza divina de Haile Selassie, (...) la idea del regreso al África, la importancia histórica y política de Marcus Garvey, el carácter sacramental del consumo de la marihuana y el valor simbólico de los dreadlocks. (shrink)

Painted in 1656 by Diego Velasquez (1599-1660), Las Meninas has engendered countless philosophical commentaries. Artists, too, have explored the painting's puzzles and paradoxes. All of the responses to this masterpiece, now over 350 years old, show that Las Meninas continues to live with us on several levels. Indeed, Las Meninas is one of the most controversial paintings of our time (Brown and Garrido, 1998, p. 181); no small feat given that cutting-edge art today is often media-based and/or media-driven. The wealth (...) of controversy has generated so much material since the work's conception that James Elkins, in his book Why Are Our Pictures Puzzles, characterized Las Meninas as an artwork that has become monstrous. According to Elkins, it has effectively outgrown the discipline of art history. Like the frescos in the Brancacci Chapel, the Mona Lisa, Raphael's School of Athens and the Oath of Horatio by David, the scholarship surrounding Las Meninas is so vast that no single thinker or volume can present it fully; it is not even possible to teach these works in a yearlong seminar (Elkins, 1999). While I am among those captivated by the painting, I am also aware of how little a short essay can accomplish. Nevertheless, I do hope to convey why this immense canvas continues to inspire people creatively, intellectually, and passionately. In terms of consciousness, my comments are intended to weave the physicality of the work with epistemological interpretations and empirical investigations so that its mutability is more present in our consciousness discourse. (shrink)

Nature Exposed to our Method of Questioning explores how we create our cultural assumptions about personhood, culture and nature.