La violencia de pareja hacia las mujeres es un problema de salud de primer orden con graves repercusiones para la salud física y mental de las víctimas y de los conviventes, y de esta forma ha sido recogido por las principales organizaciones con competencias en salud.

The purpose of this study is to determine empirically the state of the art of the medical care, when healthcare personal is confronted with ethical dilemmas related with the care they give to the geriatric population. An observational, longitudinal, prospective and qualitative study was conducted by analyzing the correlation between healthcare personnel–patient relationship, and ethical judgments regarding dilemmas that arise in daily clinical practice with geriatric patients. Mexican healthcare personnel with current active practices were asked to write up an ethical (...) dilemma that arose frequently or that had impacted their medical practice. From the narrative input, we were able to draw up a database with 421 dilemmas, and those corresponding to patients 60 years and older were selected (n = 54, 12.8 %). The axiological analysis of the narrative dilemmas of geriatric patients was made using dialectical empiricism. The axiological analysis values found most frequently were classified into three groups: the impact of healthcare, the roles of the physician, and refusal of therapy; the healthcare role of educator, caring for the patients’ life and the risk of imminent death where the values found more often. The persistence and universality of certain dilemmas in geriatrics calls for awareness and requires a good training in the ethical discernment of these dilemmas. This would help to improve substantially the care and the life quality of this population. (shrink)

Abstractabstract:This article analyzes Claude McKay's last novel, Amiable with Big Teeth—recently discovered in 2017—as a piece of postcolonial utopianist writing. The novel participates in an important debate on the role of utopias and utopian writing as ideological mechanisms that perpetuate colonial structures such as the nation-state. Through a critique of the Popular Front project in the black community of 1930s Harlem, Amiable with Big Teeth vindicates local knowledges and the assessment of the specific conditions of the present—ever-changing and transformable—in the (...) development of strategies for resistance. As such, the spiritual role of Ethiopia for the community depicted, rather than constitute yet another national utopia, fulfills the same role as it did for the Jamaican Rastafarians: it is a mechanism for group self-assertion and the promotion of self-esteem that subaltern communities need in order to achieve full agency. (shrink)

Desde la publicación de la encíclica Laudato si ‘(LS) del Papa Francisco en 2015, se han llevado a cabo múltiples acciones para fomentar una visión integral de la ecología en la Iglesia Católica. El objetivo fue el desarrollo de una propuesta curricular que incluye el desarrollo sostenible e integral en la enseñanza de la religión católica. El curso CHANCES ofrece un nuevo paradigma de la enseñanza de la religión católica, mostrando cómo desde ella se pueden descubrir motivaciones profundas, y potenciar (...) actitudes y virtudes, que pueden contribuir al desarrollo de competencias en sostenibilidad. (shrink)

IntroductionRheumatologists are the primary healthcare professionals responsible for patients with rheumatic diseases and should acquire medical ethical competencies, such as the informed consent process. The objective clinical structured examination is a valuable tool for assessing clinical competencies. We report the performance of 90 rheumatologist trainees participating in a station designed to evaluate the ICP during the 2018 and 2019 national accreditations.MethodsThe station was validated and represented a medical encounter in which the rheumatologist informed a patient with systemic lupus erythematosus with (...) clinically active nephritis about renal biopsy. A trained patient–actor and an evaluator were instructed to assess ICP skills in obtaining formal informed consent, delivering bad news and overall communication with patients. The evaluator used a tailored checklist and form.ResultsCandidate performance varied with ICP content and was superior for potential benefit information but significantly reduced for potential complications and biopsy description. Only 17.8% of the candidates mentioned the legal perspective of ICP. Death was omitted by the majority of the candidates ; after the patient–actor challenged candidates, only 57.1% of them gave a clear and positive answer. Evaluators frequently rated candidate communications skills as superior, but ≥1 negative aspect was identified in 69% of the candidates.ConclusionsEthical competencies are mandatory for professional rheumatologists. It seems necessary to include an ethics competency framework in the curriculum throughout the rheumatology residency. (shrink)

This study explored perceived benefits and risks of participation in HIV research among 33 female sex workers in Tecún Umán, Guatemala. Stigma associated with sex work and HIV was a critical barrier to research participation. Key benefits of participation included access to HIV/sti prevention and testing, as well as positive and trusting relationships between sex workers and research teams. Control exerted by managers had mixed influences on perceived research risks and benefits. Results underscore the critical need for HIV investigators to (...) develop population-tailored procedures to reduce stigma; engage managers; and reinforce trusting, reciprocal relationships between sex work communities and researchers. (shrink)

Background: Serious games have shown positive results in increasing motivation, adherence to treatment and strengthening the therapeutic alliance in multiple psychiatric disorders. In particular, patients with impulse control disorders and other disorders in which the patient suffers from inhibitory control deficits have been shown to benefit from serious games.Aim: The aim of this study was to describe the characteristics and to evaluate the usability of a new serious videogame, e-Estesia. This serious videogame was designed to improve emotion regulation in patients (...) with gambling disorder. Preliminary results from a pilot sample are also reported.Method: A pilot sample of 26 patients undergoing treatment for GD was recruited. Participants used e-Estesia on a tablet, which was connected to a thoracic band that sent heart rate and heart rate variability data to the videogame platform in order to provide biofeedback. The System Usability Scale was completed by patients to determine the usability of e-Estesia.Results and Discussion: e-Estesia performed comparatively well for all the explored groups. Around 84.6% of the patients endorsed that it was easy to use. Female patients with GD presented higher HRV during the use of the serious videogame compared to men. (shrink)

This article analyses the intellectual and political trajectory of the Pasado y Presente group in Argentina, focusing on its main representative, José María Aricó (1931–91). Although usually described as ‘the Argentine Gramscians’, the ‘Gramscianism’ of the Pasado y Presente group was actually little more than a theoretical cover for its erratic political behaviour, which led them from Stalinism to Guevarism, from Guevarism to Maoism, from Maoism to Montoneros’s branch of Peronism, and from Peronism to Alfonsín’s Radicalism. Politically, their weakest point (...) was that they distanced themselves from Stalinism empirically, because of the popularity of foquism, without undertaking a thorough critique of Stalinism. This made them vulnerable to the ubsequent crisis of Stalinism, which they identified with a ‘crisis of Marxism’ sans phrase. What made them historically significant was that they articulated the radicalisation of a whole social layer in Latin America under the impact of the Cuban Revolution, as well as its subsequent deradicalisation and adaptation to bourgeois parliamentary democracy. The article closes with an analysis of Aricó’s intellectual legacy, particularly his well-known book Marx y América Latina (1980). (shrink)

Andrés de Guevara y Basoazábal (1748-1801), jesuita novohispano guanajuatense, escribió las Institutionum elementarium philosophiae, donde su autor ofrece un currículo deseable para la juventud mexicana que incluya la ciencia moderna empírica, la política virtuosa y la sabiduría humana. A través de una traducción comparativa del latín al español del proemio de la citada obra, este artículo pretende: 1) contextualizar al autor novohispano, 2) mostrar la recepción de la ciencia moderna desde los elementos aristotélicos de los que Guevara dispuso, (...) y 3) mostrar que la modernidad y la tradición aristotélica se enriquecieron mutuamente; y lo que debía de reformarse era la escolástica anquilosada. Se concluye que a través del proemio De vicissitundinibus de Guevara se evidencia la recepción mexicana de la modernidad emanada de una mentalidad aristotélica. (shrink)

Despite the recent attention given to moral character in moral psychology and moral philosophy, there is little evidence on how the folk concept of character is structured. Virtue ethics literature...

No deja de llamar la atención que un autor considerado como subversivo y expulsado de su comunidad, sea después de todo el creador de los límites del estado político. Pareciera que debía haber sido el destructor de todo orden, cuando es precisamente el inspirador de un orden y además limitado. Su concepción del estado político no supone, como en Hobbes, el abandono del estado de naturaleza, sino la metamorfosis de este último en el primero, ya que aquello que se modifica, (...) el estado natural, permanece en lo modificado, el estado político. Reconoce que únicamente en la medida en que no es posible asegurar nuestra pervivencia en el estado natural por sí solo, es por lo que se requiere la institucionalización del estado político, aunque éste no puede construirse rompiendo con la razón de su creación que no es sino el aseguramiento de nuestra pervivencia física, el incremento de nuestra riqueza y la generación de las condiciones que hagan posible el cultivo de la razón. Las ideas de un autor como Spinoza fueron relevantes para resolver el problema de la fundamentación del Estado desde los inicios de la modernidad. Su presencia en la reflexión jurídico-política occidental impresiona, está desde el comienzo, con Hobbes, pero contra Hobbes, y además destacando la insuficiencia del núcleo central de la argumentación hobbesiana, en la medida en que la libertad de pensamiento exigirá para Spinoza la libertad de expresión. Desde entonces no dejará de acompañarnos, si bien de manera larvada, pues cada vez que se acercaron a justificar de una u otra manera el orden jurídico-político, la sombra de Spinoza puede entreverse. Spinoza pergeña el orden moderno, lo traza, aunque también es verdad que a partir de ese momento intentaron olvidarlo, en el sentido en que la mayor parte de los grandes autores, Kant y Hegel por ejemplo, si bien no frenaron sus propuestas, aunque a veces uno piensa que sí que lo hicieron, lo que es cierto es que no desarrollaron aquello que Spinoza dejó en ciernes. (shrink)

These days paradoxes seem to be all around us, constantly produced under the impetus of new technologies but tending to dissolve no less quickly at the instigation of these same technologies. Everything that was considered durable (concepts, organizations, ideas) tends to shift towards immediacy, as if long-term memory can and must become instantaneous memory. New technologies, especially the various networks and mobile telephones, fit less and less into established frames of reference. They go so far as to break with the (...) very notion of a frame, and thus place us in a movement of continuous and chaotic knowledge that the author has dubbed rheomorphism. The Web is increasingly oriented towards interaction among users, and the creation of rudimentary social networks that can provide content that makes good use of the network effects, with or without real visual and interactive rendering of web pages. In this sense, current websites act more as points of presence, or Web portals centred on the user rather than on traditional websites that were more or less static pages of data. (shrink)

This book offers a powerful, comprehensive and compelling rereading of Hobbes's theory of representation, by reinstating it in a wider pattern of Hobbes’s theorizing about human thought and action in relation to images, roles and fictions of various types.

(2008). A Case of Melancholic Humors and Dilucida Intervalla. Intellectual History Review: Vol. 18, Humanism and Medicine in the Early Modern Era, pp. 139-154.

Como parte de la investigación doctoral en curso, este escrito presenta una lectura filosófica de las visiones analíticas de la contemporaneidad de José Saramago en su obra La caverna y de Zygmunt Bauman a partir de las obras del denominado “período líquido”, teniendo como orientación metodológica la hermenéutica gadameriana. Se pretende dilucidar el carácter particular de algunos de los fenómenos culturales, sociales, emocionales y comportamentales que constituyen la experiencia contemporánea del mundo (consumismo, debilitamiento de los lazos sociales y afectivos, desregulación (...) de las instituciones que sustentan la sociedad occidental, hedonismo, relativismo moral y religioso, etc). Dichos fenómenos son abordados desde un metáfora óptica –la de Saramago– y una metáfora física –la de Bauman–. Todos ellos constituyen una encrucijada con respecto al sentido atribuible a dichas dinámicas, las múltiples lecturas que se hacen de las mismas y los retos analíticos, comprensivos e intelectuales que implica el debate en torno a la contemporaneidad (¿posmodernidad? ¿tardomodernidad? ¿hipermodernidad?). (shrink)

La Práctica Filosófica es un movimiento internacional constituido por filósofos que buscan que la filosofía rebase su actual circunscripción a los circuitos académicos y recupere su relevancia para la vida individual y social. Consideran que, mediante esta recuperación, la filosofía se aproxima, dentro de marcos contemporáneos, a su espíritu inicial, pues ésta no nació simplemente como especulación sobre las cuestiones de ultimidad, menos aún como mera reflexión sobre la historia del pensamiento, sino también como guía en el arte de vivir, (...) como una disciplina que incumbía indisociablemente a la comprensión profunda de la realidad y de nosotros mismos y a nuestra transformación interior, la ordenada al desarrollo de nuestras mejores posibilidades. Philosophical Practice Philosophical Practice is an international movement comprised by philosophers whose aim is for philosophy to outrun its present confinement to academic circles, so as to regain its relevance in individual and social life. They consider that by doing this philosophy will come closer, within a contemporary framework, to its initial spirit, for the former was not born simply as speculation on matters of ultimacy let alone as a mere reflection on the history of thought, but also as a guide on the art of living, as a discipline that inextricably had to do with the profound understanding of reality and ourselves, as well as with. (shrink)

Electronic Mail: [email protected] Abstract Stability of activation, while it may be necessary for information to become available to consciousness, is not sufficient to produce phenomenal experience. We suggest that consciousness involves access to information and that access makes information symbolic. From this perspective, implicit representations exist, and are best thought of as sub-symbolic. Crucially, such representations can be causally efficacious in the absence of consciousness.

La evolución de la filosofía krausista, a partir de 1875, al entrar en contacto con las nuevas corrientes del pensamiento procedentes de Europa va a dar lugar a un movimiento denominado "krausopositivismo", en el que se sintetizan armónicamente dos tendencias en principio opuestas: la idealista, defensora del método especulativo-abstracto, y la positivista, partidaria del método experimental. Iniciado dicho movimiento por Nicoláss Salmerón, tiene en su discípulo urbano González Serrano al representante más cualificado dentro de la psicología y la sociología, propiciando (...) junto con Giner, Posada, Sales y Ferre, Azcárate y otros el desarrollo de las ciencias sociales en España. (shrink)

El sufrimiento existencial en el paciente oncológico en estadio avanzado: dimensiones y ejes vertebradores para la intervención psicológica Sofrimento existencial no paciente oncológico em estágio avançado: dimensões e eixos vertebrais para intervenção psicológica The relief of existential suffering in the patients with adavanced cancer is a first-order therapeutic goal. The present work suggests some axis on which psychotherapeutic intervention could be developed, in order to facilitate in these patients: 1) The experience of: In spite of the "existing" limited situation, one's (...) life "still" has meaning, 2) Positive emotional experiences that promote well-being and quality of life, and 3) Face the serious illness that will cause one's almost imminent death, through the development of a serene, reconciled attitude with life and integrating with oneself and the others. Para citar este artículo / To reference this article / Para citar este artigo García-Alandete J, Hernández-Jiménez MJ. El sufrimiento existencial en el paciente oncológico en estadio avanzado: dimensiones y ejes vertebradores para la intervención psicológica. pers. bioét. 2018; 22: 319-330. DOI: 10.5294/pebi.2018.22.2.9. (shrink)

Luis Jiménez abordó los problemas filosóficos fundamentalmente desde un punto de vista antropológico, teniendo siempre en cuenta la aportación de las ciencias positivas. Centrado en los autores contemporáneos, abrió tres espacios de reflexión: 1º, el humanismo práctico del pensamiento español, desde el Barroco hasta Unamuno, Ortega, d’Ors y Zubiri. 2º, el vitalismo antropológico-axiológico de Nietzsche. 3º, la libertad, la dignidad y la igualdad de los hombres en la Ilustración a partir de Rousseau y de Kant.

Philosopher Judith Butler has influenced how people talk about vulnerable bodies and sees vulnerability as universal, existential, and relational. Being vulnerable is part of the human condition. The main theoretical areas that run across Butler’s work; power, knowledge and subjectivity, performativity, and ethics—are of particular relevance to nursing practice. This review aims to explore how Butler’s theoretical work is reflected in research literature within a nursing context. We conducted a scoping review guided by Arksey and O’Malley’s methodological framework. A systematic (...) literature search of CINAHL (EBSCOhost), MEDLINE (Ovid), Embase (Ovid), PsycINFO (Ovid), and Web of Science identified 15 papers. Butler’s theoretical work was applied at an individual and social level in research literature within a nursing context. Nurses need to reflect on their clinical practice and role as health professionals in relation to power and performativity in encounters with patients who are marginalized. Nurses’ working conditions, recognition, and understanding are strongly influenced by society, and calling nurses heroes undermines their capacity to challenge and resist the hero identity. The healthcare system’s impact on patient-nurse encounters challenges patients’ and nurses’ subjectivity, performativity, and power relations. The review allowed us to describe how Butler’s theoretical work can facilitate a reflection on nursing practice which is a prerequisite for caring, ethical relationships, and working conditions within a nursing context. Butler’s concepts can provide useful perspectives on how nurses understand, communicate with, and care for patients, as well as a nuanced understanding of the nursing role and power relations and structures. (shrink)

Azorín se confiesa pequeño filósofo. Con discurso sencillo y diáfano contempla fenomenolgicamente los pequeños detalles para conocer la idea de las cosas. Le atrae la belleza, se preocupa por la vida, el paso del tiempo, la dimensión estética, afirmando la vida con intensa sensibilidad y el sentimiento de la naturaleza. Cita preferentemente a Montaigne, Schopenhauer y Nietzsche. Siente el pesimismo, la indolencia de la voluntad y la nada, que refleja en el coloquio de los canes.

This article tries to show the ambivalence of the hegelian idea of Europe. On the one hand, Hegel has always appeared as too eurocentric, even for his time. But, on the other hand, he´s still a thinker who investigates very deeply the traits of the European identity, of its historical roots and of its formative process.

La cultura procede de la vida y debe fomentar la vida. No basta el conocimiento científico intelectualizado, sino un saber humanístico. Nietzsche prefiere el saber meridional --provenzal-gay saber-- de los trovadores. A veces con sentido trágico, siempre acentuando la dimensión estética. Arte, creación y comunicación.

El artículo asume que el complejo proceso privatizador y descentralizador que vivió el sistema educativo chileno desde el año 1981 ha tenido consecuencias en el sujeto que se educa, a través de problemáticas que se concentran en los actores educativos –específicamente los estudiantes–. Estas problemáticas se han definido como la “psicologización” de los problemas del sistema educativo, la supuesta “clientelización” de los alumnos y el lugar que le cabe a La Familia como figura preponderante en el proceso privatizador. Las consecuencias (...) de esto dicen relación con la consolidación del sistema privatizado en la forma de enfrentar las subjetividades y, muy especialmente, en el quiebre del rol público que le cabe a la escuela y a la educación. (shrink)

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This work presents and defines three meanings of communication taking into account some of the traditions of thought that founded our field of study. These three conceptions are: communication as an architectonic art; communication as a social force; and communication as the encounter with truth. These three conceptions are considered with regard to several traditions of thought conceptualized in Craig’s (1999) constitutive metamodel of communication theory (rhetorical, sociopsychological, critical and phenomenological). Furthermore, the discussion expands the traditions of thought, adding American (...) pragmatism (Craig’s proposal would be included in it), and a new tradition that highlights the element of undecidability in communication, partly as an extension of phenomenology and partly with its own historical roots in Badiou’s philosophy of the event. (shrink)

Aunque se ha caracterizado el pensamiento liberal-democrático como la última ideología propia del fin de la historia, en este texto se considera que tal apreciación no es correcta pues ese pensamiento se apoya fundamentalmente en dos pilares, la democracia y la defensa de unos derechos humanos, que se encuentran en una tensión, que lejos de mostrar signos de agotamiento ideológico, constituye el núcleo teórico de la reflexión jurídico-política a lo largo del siglo veinte. La prueba más evidente de tal afirmación (...) la constituye el pensamiento de autores como Kelsen, Hart y Habermas, desde el que se ha intentado lograr la armonización entre el principio de la soberanía popular y el reconocimiento de una serie de límites al ejercicio del principio de las mayorías. (shrink)

This text considers the results of the western powers’ recognition of Kososvo’s independence from three perspectives: firstly, the possible consequences (of which what is happening in Georgia already gives us some proof) of this independence proclaimed and recognised outside the provisions of international law, and which can be considered a precedent in other territories with similar problems; secondly, it proposes, following Hegel, a rational conception of the state, far removed from ideas of ethnicity based on race, language, and so on, (...) in which nationalism finds its inspiration. Finally, it analyses and criticises from the Hegelian perspective, as updated by the reasoning of authors such as Habermas, the foundations of nationalism, especially its mistaken defence of the pre-eminence of collective over individual rights. (shrink)

In this paper we study the presence of elements related to Roman games in the work of the bishop Paulinus of Nola (355-431 AD). References to shows inhis work are not as abundant as they occurs among his contemporaries. Nevertheless, many of these references possess a great importance for us. Certainly, they are similar to other allusions made by his contemporaries; however they express the opinion of one of the most famous and prestigious bishops of the Late Antiquity about these (...) popular exhibitions. In his writings we can see his criticism of the waste of wealth in the organization of the Roman games, and also the use of a metaphorical language with ludical reminiscences whose origins go back to Paul of Tarsus. (shrink)