La filosofía nace y hunde sus raíces en ese tempestuoso navegar en el que se desenvuelve la vida de los hombres, tratando siempre de responder a necesidades históricas concretas y de buscar respuestas a los problemas de su propio tiempo. Esta solidaridad de la palabra filosófica con ese continuo variar que constituye la vida humana es lo que explica el hecho de que las concepciones filosóficas sean inevitablemente múltiples y diversas, y que los textos de los filósofos no puedan leerse, (...) si se quieren evitar deformaciones de todo tipo, aislándolos del contexto en el que surgieron. Los esfuerzos de aquellos que pretenden situar al discurso filosófico al margen y fuera de la historia real, presentando a la historia de la filosofía como una generación de conceptos nacidos de unos seres que parecen estar situados fuera del espacio y del tiempo, están condenados al fracaso, pues olvidan el hecho de la historicidad misma de la filosofía que va unida a una cultura y a una época determinadas. El presente volumen pretende mostrar el nexo constante que existe entre la historia de la filosofía y la vida de los hombres a través del análisis de cómo pensaron y qué significado y valor dieron a sus propios pensamientos algunos de los más ilustres filósofos que vivieron en tiempos históricos muy diversos. El estudio de los mismos, llevado a cabo por distintos especialistas, nos permitirá contemplar la pluralidad de distintos modos de filosofar y de las filosofías resultantes. (shrink)

Le développement du secteur privé et de la régulation par le marché à Cuba depuis dix ans questionne le projet de construction socialiste encore prôné par le pouvoir. Or, la concurrence inévitable entre le secteur d’État « socialiste » et le secteur privé marchand et capitaliste peut réduire à néant ce projet. En effet, la coexistence pacifique entre ces deux secteurs est illusoire. L’objectif de cet article est de mettre en évidence les modifications nécessaires des politiques économiques dans ce nouveau (...) contexte et de souligner l’importance d’appréhender le secteur productif privé comme un outil temporaire, permettant, à travers l’aliénation d’une partie de son surproduit, le développement du secteur socialiste. (shrink)

Présentation par NATHALIE LELEU : Longtemps les œuvres issues de la commande publique furent reléguées au rayon des commémorations nationales, des aménagements de ronds-points et des décorations d’édifices comme les parfaits poncifs de l’art officiel dans l’espace public. La vocation civique de la commande a souvent été.

A patient suffering from a severe illness that is entering its terminal stage is forced to develop a coping process. Of all the coping patterns, the religious one stands out as being a psychological resource available to all patients regardless of culture, learning, and any age. Religious coping interacts with other values or practices of society, for example the model of a society that takes care of it's elder members among family or in an institutionalized environment or the way the (...) health system offers or not psychological support for a terminally ill patient. Health care providers should have at least some psychological coping patterns training because not all patterns of religious coping are equally effective, and some have been described as increasing the level of stress or producing other negative psychological effects on the patient. This article aims to review the complex models of religious coping that are unanimously accepted in psychooncology, arguments in favor of religious coping, the types of patients that use this model, ethical dilemmas that could be reinterpreted using religious arguments. Finally, we will also discuss the need of Romanian patients to embrace a religious coping in case of an incurable illness, and also the support that they can receive from both curative and palliative health care providers.  . (shrink)

Research has demonstrated that people readily pay more attention to negative than to positive and/or neutral stimuli. However, evidence from recent studies indicated that such an attention bias to negative information is not obligatory but sensitive to various factors. Two experiments using intergroup evaluative tasks (Study 1: a gender-related groups evaluative task and Study 2: a minimal-related groups evaluative task) was conducted to determine whether motivation to strive for a positive social identity - a part of one's self-concept - drives (...) attention toward affective stimuli. Using the P1 component of event-related brain potentials (ERPs) as a neural index of attention, we confirmed that attention bias toward negative stimuli is not mandatory but it can depend on a motivational focus on affective outcomes. Results showed that social identity-based motivation is likely to bias attention toward affectively incongruent information. Thereby, early onset processes - reflected by the P1 component - appeared susceptible to top-down attentional influences induced by the individual's motivation to strive for a positive social identity. (shrink)

Medical communication in Western-oriented countries is dominated by concepts of shared decision-making and patient autonomy. In interactions with Roma patients, these behavioral patterns rarely seem to be achieved because the culture and ethnicity have often been shown as barriers in establishing an effective and satisfying doctor–patient relationship. The study aims to explore the Roma’s beliefs and experiences related to autonomy and decision-making process in the case of a disease with poor prognosis. Forty-eight Roma people from two Romanian counties participated in (...) semi-structured interviews, conducted by a research team from the University of Medicine and Pharmacy of Iasi. Participants were recruited among the chronically ill patients and caregivers. The Roma community opposes informing the terminal patients about their condition, the “silence conspiracy” being widely practiced. The family fully undertakes the right of decision making, thus minimizing the patient’s autonomy. We identified ethical dilemmas concerning autonomy, lack of patients’ real decision-making power, and paternalistic attitudes exerted firstly by the family and, on demand, by the physician. Instead, the Roma patient benefits from a very active support network, being accompanied at the hospital by numerous relatives. The patient’s right to make autonomous decisions promoted in the Western countries and stipulated by the Romanian law has diminished value in the Roma community. For the Roma, the understanding of dignity is not simply individual and personal, but it is closely related to their cultural particularities. Ignoring their cultural values could create conflicts between healthcare providers and community. (shrink)

In order to assure optimal care of patients with chronic illnesses, it is necessary to take into account the cultural factors that may influence health-related behaviors, health practices, and health-seeking behavior. Despite the increasing number of Romanian Roma, research regarding their beliefs and practices related to healthcare is rather poor. The aim of this paper is to present empirical evidence of specificities in the practice of healthcare among Romanian Roma patients and their caregivers. Using a qualitative exploratory descriptive design, this (...) study is based on data gathered through three focus groups with 30 health mediators in the counties of Iasi and Cluj (Romania). We identified various barriers to access to healthcare for Roma patients: lack of financial resources and health insurance coverage, lack of cognitive resources or lack of personal hygiene, but also important cultural issues, such as the shame of being ill, family function, disclosure of disease-related information, patient’s autonomy, attitudes towards illness and health practices, that should be considered in order to create a culturally sensitive environment in Romanian medical facilities:… The role of the health mediators within the context of cultural diversity is also discussed, as cultural brokers contributing to health care quality among Romanian Roma patients Bridging cultural differences may improve patient–healthcare provider relationships, but may have limited impact in reducing ethnic disparities, unless coupled with efforts of Roma communities to get involved in creating and implementing health policies. (shrink)