Este artículo pretende dilucidar el significado del sentir profundizando en la fenomenología genética y dialogando con la ontología fenomenológica, particularmente con la Métaphysique du sentiment de R. Barbaras. Comienza descubriendo los sentidos del cuerpo y lo que denominamos “re-flexión” corporal, siempre vinculada a la aisthesis (lato y stricto sensu) y a la afectividad. Aborda posteriormente la correlación entre fenomenología y estética como ejemplo de la pasividad en la actividad del sentir. Comprenderemos esta dinámica como movimiento ontológico que aúna la aisthesis (...) con el logos y exige ser expresado. Cézanne estará presente en esta investigación, como lo estuvo en la obra de Merleau-Ponty y de Maldiney, porque su pintura encarna ese movimiento en el que la creación es necesaria para experimentar y expresar el ser, y porque filosofía y arte son indispensables para sentir y pensar. Aceptaremos la crítica que Barbaras dirige Maldiney, mientras que continuaremos desarrollando la ontología fenomenológica de Merleau-Ponty para arrojar luz sobre le sentir. (shrink)

Cowan defines a chunk as “a collection of concepts that have strong associations to one another and much weaker associations to other chunks currently in use.” This definition does not impose any constraints on the nature and number of elements that can be bound into a chunk. We present an experiment to demonstrate that such limitations exist for visual short-term memory, and that their analysis may lead to important insights into properties of visual memory.

Zwischen der Veröffentlichung der "Phänomenologie der Wahrnehmung" im Jahr 1945 und dem Tod Merleau-Pontys im Jahr 1961 liegen gerade einmal 16 Jahre. In dieser Zeitspanne nimmt Merleau-Ponty das Projekt einer Ausweitung und Grundlegung seiner Überlegungen auf, indem er zum einen das Phänomen der Expressivität in den unterschiedlichsten kulturellen Dimensionen erkundet, um vom Ausdrucksverhalten her eine Kulturphilosophie eigenen Typs zu entwickeln, und um zum anderen ein ontologisches Fundament der ästhetischen Stellung des Menschen in der Welt freizulegen. Diese Projekte konnte Merleau-Ponty aufgrund (...) seines frühen Todes nicht vollständig verwirklichen und zusammenführen. Seine letzte große Veröffentlichung, die unter dem Titel "Zeichen (Signes)" die wichtigsten Beiträge aus jener Zeit versammelt und die nun erstmals vollständig in deutscher Übersetzung vorliegt, läßt den Rahmen dieses Unterfangens erkennen und skizziert die Konturen der Überlegungen Merleau-Pontys in den 50er Jahren. Aufgenommen wurden von ihm Aufsätze und Essays, die der Sprachphilosophie, der Ästhetik, der Wissenschaftstheorie der Sozialwissenschaften sowie der Phänomenologie und Philosophiegeschichte gewidmet sind. Zusätzlich fügt er politische Artikel und Stellungnahmen zur kulturellen Situation Frankreichs sowie Interviews hinzu, die belegen, in welche Zeit hinein und aus welcher Situation heraus sich sein Denken realisiert. (shrink)

Barbara Stafford is at the forefront of a growing movement that calls for the humanities to confront the brain’s material realities. In Echo Objects she argues that humanists should seize upon the exciting neuroscientific discoveries that are illuminating the underpinnings of cultural objects. In turn, she contends, brain scientists could enrich their investigations of mental activity by incorporating phenomenological considerations—particularly the intricate ways that images focus intentional behavior and allow us to feel thought. This, then, is a book for (...) both sides of the aisle, a stunningly broad exploration of how complex images—or patterns that compress space and time—make visible the invisible ordering of human consciousness. Stafford demonstrates, for example, how the compound formats of emblems, symbols, collage, and electronic media reveal the brain’s grappling to construct mental objects that are redoubled by prior associations. On the other hand, she compellingly shows that findings in evolutionary biology and the neurosciences are providing profound opportunities for understanding aesthetic conundrums as old and deep-seated as the human urge to imitate, the mapping of inner space, and the role of narrative and nonnarrative representation. As precise in her discussions of firing neurons as she is about the coordinating dynamics of image making, Stafford locates these major transdisciplinary issues at the intersection of art, science, philosophy, and technology. Ultimately, she makes an impassioned plea for a common purpose—for the acknowledgement that, at the most basic level, these separate projects belong to a single investigation. (shrink)

Barbara Stafford is a pioneering art historian whose research has long helped to bridge the divide between the humanities and cognitive sciences. In _A Field Guide to a New Meta-Field_, she marshals a distinguished group of thinkers to forge a ground-breaking dialogue between the emerging brain sciences, the liberal arts, and social sciences. Stafford’s book examines meaning and mental function from this dual experimental perspective. The wide-ranging essays included here—from Frank Echenhofer’s foray into shamanist hallucinogenic visions to David Bashwiner’s (...) analysis of emotion and danceability—develop a common language for implementing programmatic and institutional change. Demonstrating how formerly divided fields are converging around shared issues, _A Field Guide to a New Meta-Field _maps a high-level, crossdisciplinary adventure from one of our leading figures in visual studies. (shrink)

Research over the past few decades has shown the positive influence that cognitive, social, and physical activities have on older adults’ cognitive and affective health. Especially interventions in health-related behaviors, such as cognitive activation, physical activity, social activity, nutrition, mindfulness, and creativity, have shown to be particularly beneficial. Whereas most intervention studies apply unimodal interventions, such as cognitive training, this study investigates the potential to foster cognitive and affective health factors of older adults by means of an autonomy-supportive multimodal intervention. (...) The intervention integrates everyday life recommendations for six evidence-based areas combined with psychoeducational information. This randomized controlled trial study compares the effects of a MMI and CT on those of a waiting control group on cognitive and affective factors, everyday life memory performance, and activity in everyday life. Three groups, including a total of 119 adults aged 65–86 years, attended a 5- or 10-week intervention. Specifically, one group completed a 10-week MMI, the second group completed 5-week of computer-based CT followed by a 5-week MMI, whereas the third group paused before completing the MMI for the last 5 weeks. All participants completed online surveys and cognitive tests at three test points. The findings showed an increase in the number and variability of activities in the everyday lives of all participants. Post hoc analysis on cognitive performance of MMI to CT indicate similar or better effects. Furthermore, results on far transfer variables showed interesting trends in favor of the MMI, such as increased well-being and attitude toward the aging brain. Also, the MMI group showed the biggest perceived improvements out of all groups for all self-reported personal variables. The results implicate a positive trend toward MMI on cognitive and affective factors of older adults. These tendencies show the potential of a multimodal approach compared to training a specific cognitive function. Moreover, the findings suggest that information about MMI motivates participants to increase activity variability and frequency in everyday life. Finally, the results could also have implications for the primary prevention of neurocognitive deficits and degenerative diseases. (shrink)

In her article, Barbara M. Staff ord argues for the conception of literacy that would encompass visual skills besides the traditional emphasis on verbal competence. Image itself is important, not merely the information it may convey. Moreover, a more extens ive notion of education is necessitated by the process of radical perceptual and conceptual changes that have been occurring since the Enlightenment and are all-pervasive in Postmodernism. The new-found power and ubiquity of images needs to be recogn ized in (...) order to surpass the limitative, yet enduring Platonic distrust in visual culture. Medical, environmental, physical, legal, and other practices have nonetheless profoundly benefited from the technologies of visualization. Examples from the 18th century visual endeavors such as preserving fragmented cultures, exhibit ion of diversity, and the externalization of somatic experience show, how images challenge the restrictions of human compreh ension. With the advent of visual and electronically generated culture, the time is ripe to edify images from their low status. Visual cognition as the crucial element of knowledge should be reflected in a hybrid art-science, public policy, as well as pedagogy. (shrink)

There are now many important contributions to the scientific study of the brain-mind continuum. These results come both from research into non-ordinary states of consciousness and into the brain's intrinsic, largely unconscious mechanisms. The larger potential of such investigations consists precisely in making the parameters of our cognitive system apparent. But they also reveal the socio-cultural uses to which these parameters are currently, or in the foreseeable future, being applied. This article wrestles with that fact. Specifically, it examines the implications (...) for those of us interested in the dynamics of visual awareness and the structural and phenomenological aspects of noticing. Because some of the key characteristics of consciousness are so ingrained that we are usually blind to them, it is all the more important to understand how and why we pay attention to certain features of our environment. Subjective consciousness pertains to the realm of inner experience as well as focusing on the external world. What Daniel Dennett terms `intentionality' or directedness towards an object is a sign of our connectedness to the outside world. Beyond connection, I am interested in how complex works of art help us cognize, confer reality, or have knowledge of what lies before our eyes. I will argue that this calibration of the agent's experience and her perception of the world is under threat today. (shrink)

Investigating perceptual and cognitive abilities of zoo animals might help to improve their husbandry and enrich their daily life with new stimuli. Developing new environmental enrichment programs and devices is hence necessary to promote species-specific behaviours that need to be maintained in controlled environments. As far as we are aware, no study has ever tested the potential benefits of motion illusions as visual enrichment for zoo animals. Starting from a recent study showing that domestic cats are spontaneously attracted by a (...) well-known motion illusion, the Rotating Snake (RS) illusion, we studied whether this illusion could be used as a visual enrichment for big cats. We observed the spontaneous behaviour of three lionesses when three different visual stimuli were placed in their environment: the RS illusion and two control stimuli. The study involved two different periods: the baseline and the RS period, in which the visual stimuli were provided to the lionesses. To assess whether the lionesses were specifically attracted by the RS illusion, we collected data on the number of interactions with the stimuli, as well as on the total time spent interacting with them. To investigate the effect of the illusion on the animals’ welfare, individual and social behaviours were studied and compared between the two periods. The results showed that two lionesses out of three interacted more with the RS stimulus than with the two control stimuli. The fact that the lionesses seemed to be more inclined to interact with the RS stimulus indirectly suggests the intriguing possibility that they were attracted by the illusory motion. Moreover, behavioural changes between the two periods were reported for one of the lionesses, highlighting a reduction in self-directed behaviours and an increase in attentive behaviours, suggesting positive welfare implications. Thus, behavioural observations made before and during the presentation of the stimuli showed that our visual enrichment actually provided positive effects in lionesses. These results call for the development of future studies on the use of visual illusions in the enrichment programs of zoo animals. (shrink)

One of the most important social cognitive skills in humans is the ability to “put oneself in someone else’s shoes,” that is, to take another person’s perspective. In socially situated communication, perspective taking enables the listener to arrive at a meaningful interpretation of what is said and what is meant by the speaker. To successfully decode the speaker’s meaning, the listener has to take into account which information he/she and the speaker share in their common ground. We here further investigated (...) competing accounts about when and how CG information affects language comprehension by means of reaction time measures, accuracy data, event-related potentials, and eye-tracking. Early integration accounts would predict that CG information is considered immediately and would hence not expect to find costs of CG integration. Late integration accounts would predict a rather late and effortful integration of CG information during the parsing process that might be reflected in integration or updating costs. Other accounts predict the simultaneous integration of privileged ground and CG perspectives. We used a computerized version of the referential communication game with object triplets of different sizes presented visually in CG or PG. In critical trials, CG information had to be integrated while privileged information had to be suppressed. Listeners mastered the integration of CG. Yet, slower RTs, and enhanced late positivities in the ERPs showed that CG integration had its costs. Moreover, eye-tracking data indicated an early anticipation of referents in CG but an inability to suppress looks to the privileged competitor, resulting in later and longer looks to targets in those trials, in which CG information had to be considered. Our data therefore support accounts that foresee an early anticipation of referents to be in CG but a rather late and effortful integration if conflicting information has to be processed. We show that both perspectives, PG and CG, contribute to socially situated language processing and discuss the data with reference to theoretical accounts and recent findings on the use of CG information for reference resolution. (shrink)

BackgroundThe psychological burden possibly deriving from not immediately undergoing radical treatment for prostate cancer could be a potential disadvantage of active surveillance, especially in the eve of some relevant clinical exams [i.e., re-biopsy, prostate-specific antigen test, and medical examination]. Even if it is known from the literature that the majority of PCa men in AS do not report heightened anxiety, there is a minority of patients who show clinically significant levels of anxiety after diagnosis. The present study aimed to investigate (...) if demographic, clinical, and psychological variables at the entrance in AS were associated with the risk of developing clinically significant PCa-related anxiety 2 months before the first re-biopsy and to offer psychological support to improve quality of life.Materials and MethodsA total of 236 patients participated in the PCa Research International: AS protocol and in PRIAS-QoL study. Demographic/clinical features, health-related QoL domains, coping with cancer, PCa-related anxiety [Memorial Anxiety Scale for PCa ], personality traits, and decision-making-related factors were assessed at T0. MAX-PC was also administered at T1. PCa-related anxiety at T1 was considered to be of clinical significance if the MAX-PC score was ≥1.5. Multivariable logistic regression coupled to bootstrap was used to detect factors associated with high levels of anxiety.ResultsThe median age was 64.4 years. Fifty-six patients reported MAX-PC total score above the cutoff. Three factors were associated with a high level of PCa anxiety at T1: anxious preoccupation [odds ratio = 4.36], extraversion, and prostate-related symptoms. Physical well-being was associated with a low PCa anxiety subscale ; neuroticism and functional well-being were associated with PSA anxiety. Neuroticism and helplessness/hopelessness were associated with fear of progression.ConclusionOnly a partial portion of the sample experienced significant levels of anxiety after 10 months. Psychological assessment should be routinely conducted to detect risk factors for increased anxiety, offering tailored psychological interventions aimed at promoting interpersonal awareness and emotional well-being. (shrink)

The image of wine has a “spiritual sense”, which helps the faithful to understand the principles of their belief. Its mystery is connected with the theme of “sober inebriation”, developed by Philo of Alexandria and Origen, and culminating in Ambrose. The good wines that the bride enjoys before the groom’s arrival are a symbol of the good doctrines of the OT, whose teachings are however inferior to the revelation of the incarnate Christ. Good, sweet wine, meanwhile, refers to the doctrines (...) of the NT interpreted spiritually, the logos that helps us begin to know Christ, to bind ourselves to him in ecclesial unity and to love our neighbour. It also leads us to the “winepress”, i.e. renouncing superfluous land, becoming “full of must” and inebriated, so that we can dedicate ourselves to contemplation. The vine has a Christological value and catechetical function, dating back to John 15.1, which is often quoted with Saint Paul. The place where the vine is born and develops is the soul; the Logos supports its flowering in those who, by their free will, choose to flourish. The cluster of grapes refers to Christ, or to the victory of the righteous; the many grapes that he contains are believers. The vineyard is a symbol of the church formed by the pagans, of the commandments of God, or of the good things that God gave to man, who did not preserve them, having been stripped of them by the devil. The guardians of the vineyard are angels or priests. (shrink)

Gregory of Nyssa’s bearing in Qohelet 3:5b to wealth, rather than to the matrimonial “embrace”, is unusual by comparison withother ancient exegeses; it seems to be motivated not only by the acoluthia which characterizes his spiritual interpretation of the passage Qo. 3:2-8, but also by the crucial importance he gives to catharsis, as one the qualities he considered necessary for the exegete.

Received opinion holds that it would be more efficient, hence more economical, to compress and thus dissolve the holdings of the Warburg Institute Library into an overarching university library system. This essay argues two points: first, that we should not be automatically persuaded by the popular and largely unexamined goal of efficiency; and second, that the Library indeed requires its own space but that that space must now be reconceived. In line with Aby Warburg's belief that the past should engage (...) the present by expanding and refreshing it, the Warburg Institute Library's rare and singular collections are less about the books and more about the uniqueness of the content and what it does. This essay proposes that what makes the Library vital to today's networked epistemology is the insights that its volumes provide to the varieties of human ordering, organization, formatting, and categorization—visibly exhibited in the spatial arrangement of its holdings. As its users have long felt, the Warburg is more than a library: it is a complex physical space demonstrating the formal evolution or framing of human thought. The Warburg should thus be reconceived as a “house museum” along these lines. (shrink)

Analisam-se diversos aspectos do tempo nos poemas homéricos como sejam o seu uso na narrativa ou a importância da imortalidade. Em ambos os poemas estão patentes confusões entre a época do poeta e a da narrativa, o que se nota através de comparações, mas também por misturas de materiais, ou de costumes. Do mesmo modo, a narrativa não se reduz a uma única época. Seja por uma questão de economia da narrativa, como sucede na Odisseia, seja para explicar, ou justificar, (...) aspectos relacionados com a narrativa, as alusões ao passado são uma constante. Assim sendo, pode-se dizer que os poemas homéricos levantam questões como passado e presente, mortalidade e imortalidade. (shrink)

Major depression etiopathogenesis is related to a wide variety of genetics, demographic and psychosocial factors, as well as to environmental factors. The objective of this study is to analyze sociodemographic and environmental variables that are related to the prevalence of depression through correlation analysis and to develop a regression model that explains the behavior of this disease from an ecological perspective. This is an ecological, retrospective, cross-sectional study. The target population was 1,148,430 individuals over the age of 16 who were (...) registered in Aragon (Spain) during 2010, with electronic medical records in the community’s primary health care centers. The spatial unit was the Basic Health Area (BHA). The dependent variable was the diagnosis of Depression and the ecological independent variables were: Demographic variables (gender and age), population distribution, typology of the entity, population structure by sex and age, by nationality, by education, by work, by salary, by marital status, structure of the household by number of members, and state of the buildings. The results show moderate and positive correlations appear with higher rates of depression in areas having a higher femininity index, higher population density, areas with a higher unemployment rate and higher average salary. The results of the linear regression show that aging +75 and rural entities act as protective factors for depression, while urban areas and deficient buildings act as risk factors. In conclusion, the ecological methodology may be a useful tool which, together with the statistical epidemiological analysis, can help in the political decision making process. (shrink)

BackgroundChronic airway diseases are prevalent and costly conditions. Interdisciplinary rehabilitation programs that include Acceptance and Commitment-based components could be important to tackle the vicious circle linking progression of the disease, inactivity, and psychopathological symptoms.MethodsA retrospective evaluation of routinely collected data of an interdisciplinary rehabilitation program was performed. The program included group sessions including patient education, breathing exercise, occupational therapy and an ACT-based psychological treatment, and individual sessions of physical therapy. Demographic data, clinical characteristics of the patients and the values of (...) outcome variables before treatment, at discharge, at 3 months, and at 6 months were extracted from medical records. Multiple imputation was employed to address missing data. Linear mixed models were employed to assess changes over time. Multivariable logistic regression was performed to assess predictors of a minimum clinically important change of health status from baseline to the 6-months follow-up.ResultsData from 31 patients with chronic obstructive pulmonary disease and 12 patients with bronchiectasis were extracted. Health status improved from baseline to discharge to the 3 months follow-up, but not to the 6 months follow-up. Anxiety and depression improved across all the time points. Quality of life did not improve over time. Having a worse health status at baseline and fewer depressive symptoms were significantly associated with achieving a minimum clinically important change of health status at 6 months. The effects of the interdisciplinary program were not different for patients with COPD or with bronchiectasis.DiscussionInterdisciplinary programs including ACT-based components are promising treatments for the rehabilitation of patients with chronic airway diseases. (shrink)

This collection brings together fourteen contributions by authors from around the globe. Each of the contributions engages with questions about how local and global bioethical issues are made to be comparable, in the hope of redressing basic needs and demands for justice. These works demonstrate the significant conceptual contributions that can be made through feminists' attention to debates in a range of interrelated fields, especially as they formulate appropriate responses to developments in medical technology, global economics, population shifts, and poverty.

The multiple tensions of the present time reverberate on identity compositions, translating norms endorsed in the games of economic globalization which stress coexistence, producing inclusion and exclusion at the same time. This context refers to the action of two antagonistic forces, the first being mixophobia, strongly disruptive and excluding, the second, on the other hand, moves towards inclusion, towards respect for otherness, acceptance of the other who is identified as mixophilia. Therefore, thinking about hospitality in the contemporary context leads us (...) to the analysis of the tensioning of assumptions, values ​​and models which normalize some identities and exclude others. The methodological course of reflection referenced in the arguments of Zygmunt Bauman’s thought gathers data from documentary research on political mobility guidelines, as well as data from a bibliographic review study on hospitality in education. The results demonstrate the urgency of strengthening studies on the construction of a culture of hospitality for different identities, via intercultural education. (shrink)

Valorising the biocultural heritage of common goods could enable peasant farmers to achieve socially and economically inclusive sustainability. Increasingly appreciated by consumers, peasant heritage products offer small farmers promising opportunities for economic, social and territorial development. Identifying the obstacles and levers of this complex, multi-scale and multi-stakeholder objective requires an integrative framework. We applied the panarchy conceptual framework to two cases of participatory research with small quinoa producers: a local fair in Chile and quinoa export production in Bolivia. In both (...) cases, the “commoning” process was crucial both to bring stakeholders together inside their communities and to gain outside recognition for their production and thus achieve social and economic inclusion. Despite the differences in scale, the local fair and the export market shared a similar marketing strategy based on short value chains promoting quality products with high identity value. In these dynamics of biocultural heritage valorisation, the panarchical approach revealed the central place as well as the vulnerability of the community territory. As a place of both anchoring and opening, the community territory is the privileged space where autonomous and consensual control over the governance of common biocultural resources can be exercised. (shrink)

In 2017, the National Prosecution Bureau of Chile created the Special Unit for Human Rights, Gender-Based Violence, and Sex Crimes, becoming a milestone for criminal prosecution policies as the first time a state institution in Chile used the term ‘gender-based violence’ explicitly in its title. There was no law in the country that addressed and sanctioned this behaviour—recognising it as a social phenomenon—at the time of the Unit's creation. What does the creation of this new Unit mean for access to (...) justice from a gender perspective? To answer this question, we have critically analysed the creation of this Unit as a case study from a feminist institutionalist standpoint. We found that this institutional change might bring a broadening in access to justice for women, girls and LGBTQI+ persons by implementing a gender perspective. (shrink)

El artículo tiene como objetivo describir las competencias informacionales a desarrollar durante la formación profesional. Se presenta los referentes teóricos a partir del empleo de un enfoque de sistema que supone el análisis y la síntesis, la inducción y la deducción como métodos de investigación, con el propósito de dar conocer los hitos en las universidades y organizaciones internacionales relacionadas. La modelación fue empleada para la construcción de un nuevo proyecto de desarrollo de competencias informacionales desde la perspectiva de la (...) formación profesional universitaria ajustada a las necesidades de la educación superior en Cuba. El nuevo proyecto se configura en tres unidades básicas (acceso, procesamiento y comunicación), con sus respectivos elementos de competencia, saberes esenciales e indicadores para la evaluación del desempeño. El artículo fundamenta la tesis de que el desarrollo de competencias informacionales debe ser sistemáticamente estructurado, planificado y ejecutado como parte integral de la formación curricular en interacción con los contenidos de las disciplinas docentes, bajo la dirección del profesor y la participación protagónica de los profesionales en formación. -/- ABSTRACT -/- The article aims at describing the competence to be developed during professional training. It presents the theoretical referents by means of an approach system that includes synthesis and analysis, induction and deduction as research methods in order to reveal the milestones of information skills development in universities and related international organizations. Modeling was used for the construction of a new skills development project from the perspective of university professional training according to the needs of Higher Education in Cuba. The new project is composed of three basic units (access, processing and communication), with their respective competence elements, essential knowledge and indicators for the evaluation of the performance. The article supports the theory that information development skills must be systematically structured, planned and implemented as an integral part of the curricular training in interaction with the contents of subjects, under the teacher´s guidance and the active participation of profesionals in training. -/- . (shrink)

El artículo tiene como objetivo describir las competencias informacionales a desarrollar durante la formación profesional. Se presenta los referentes teóricos a partir del empleo de un enfoque de sistema que supone el análisis y la síntesis, la inducción y la deducción como métodos de investigación, con el propósito de dar conocer los hitos en las universidades y organizaciones internacionales relacionadas. La modelación fue empleada para la construcción de un nuevo proyecto de desarrollo de competencias informacionales desde la perspectiva de la (...) formación profesional universitaria ajustada a las necesidades de la educación superior en Cuba. El nuevo proyecto se configura en tres unidades básicas, con sus respectivos elementos de competencia, saberes esenciales e indicadores para la evaluación del desempeño. El artículo fundamenta la tesis de que el desarrollo de competencias informacionales debe ser sistemáticamente estructurado, planificado y ejecutado como parte integral de la formación curricular en interacción con los contenidos de las disciplinas docentes, bajo la dirección del profesor y la participación protagónica de los profesionales en formación. The article aims at describing the competence to be developed during professional training. It presents the theoretical referents by means of an approach system that includes synthesis and analysis, induction and deduction as research methods in order to reveal the milestones of information skills development in universities and related international organizations. Modeling was used for the construction of a new skills development project from the perspective of university professional training according to the needs of Higher Education in Cuba. The new project is composed of three basic units, with their respective competence elements, essential knowledge and indicators for the evaluation of the performance. The article supports the theory that information development skills must be systematically structured, planned and implemented as an integral part of the curricular training in interaction with the contents of subjects, under the teacher´s guidance and the active participation of profesionals in training. (shrink)

Introduction and ObjectiveThe early identification of depressive patients having a poor evolution, with frequent relapses and/or recurrences, is one of the priority challenges in this study of high prevalence mental disorders, and specifically in depression. So, this study aims to analyze the factors that may be associated with an increased risk of recurrence of major depression episodes in patients treated in primary care.MethodsA retrospective, descriptive study of cases-controls was proposed. The cases consisted of patients who had been diagnosed with major (...) depression and who had presented recurrences, in comparison with patients who had experienced a single major depression episode with no recurrence. The variables of the study are age at first episode; number of episodes; perception of severity of the depression episode suffered prior to recurrence; number of residual symptoms; physical and psychiatric comorbidity; history of anxiety disorders; family psychiatric history; high incidence of stressful life events ; and experiences of physical, psychological, or sexual abuse in childhood. The differences of the variables were compared between the case subjects and the control subjects, using the Mann–Whitney, chi-square, and Fisher’s U statistics. A multivariate analysis was performed.ResultsThe average age of those suffering more than one depressive episode is significantly older, and a higher percentage of subjects who have experienced more than one depressive episode have a history of anxiety disorders. In the multivariate analysis, the variables that obtained a significant value in the logistic regression analysis were age and having suffered sexual abuse during childhood.ConclusionThese indicators should be considered by primary care physicians when attending patients suffering from major depression. (shrink)