Objective: To measure the stability of life-sustaining treatment preferences amongst older people and analyse the factors that influence stability. Design: Longitudinal cohort study. Setting: Primary care centres, Granada (Spain). Eighty-five persons age 65 years or older. Participants filled out a questionnaire with six contexts of illness (LSPQ-e). They had to decide whether or not to receive treatment. Participants completed the questionnaire at baseline and 18 months later. Results: 86 percent of the patients did not change preferences. Sex, age, marital status, (...) hospitalisation, and self-perception of health and pain did not affect preferences. Morbidity and the death of a relative did. Conclusion: Stability of preferences of older persons in relation to end-of-life decisions seems to be more probable than instability. Some factors, such as the death of a relative or the increase in morbidity, can change preferences. These findings have implications for advance directives (ADs) and advance care planning. (shrink)
The accuracy of proxies when they interpret advance directives or apply substituted decision-making criteria has been called into question. It therefore became important to know if the Andalusian Advance Directive Form can help to increase the accuracy of proxies' predictions. The aim of this research was to compare the effect of the AADF on the accuracy of proxies' predictions about patients' preferences with that gained from informative and deliberative sessions about end-of-life decision making. A total of 171 pairs of patients (...) and their proxies were randomized to three groups. The control group's answers to the Life Sustaining Preferences Questionnaire were compared with their proxies' answers to the same questionnaire. In one intervention group, the patients had already completed the AADF and given it to their proxies, who used it to guide their own answers to the LSPQ. In the second intervention group, both patients and proxies attended two educative sessions guided by trained nurses and later filled in the LSPQ. Comparisons of accuracy and other variables showed a strong association with the discussion group. The findings show that promoting communication between patients and their proxies improves the accuracy of proxies' predictions much more than isolated use of the AADF form. (shrink)
Las comunidades indígenas en Colombia atraviesan un fuerte proceso de eliminación, que no es reciente, se inició en los tiempos de la colonia con la llegada de los españoles en el siglo XVI. Actualmente, estos pueblos siguen siendo objeto de saqueos y penetración a sus territorios para aprovecharse de sus riquezas naturales y de sus conocimientos milenarios. Así la estrategia de penetración ha seguido la diferencia colonial; perspectiva binaria que clasifica a los agrupamientos humanos en superiores- inferiores, desarrollados-subdesarrollados, cultos incultos (...) y en útiles e inútiles, desde esta máquina de clasificación se han subalternizado formas otras de pensar, de sentir, de imaginar, de relacionarse con la naturaleza, de sociabilidad, de ocio y de re-creación como humanos, lo que nos ha alejado y nos sigue alejando de una convivencia con fundamento en la interculturalidad y en la prevalencia de lo diverso como condición existencial. (shrink)
The thesis that I wish to discuss in this paper is the next: Human Sciences (Cultural Sciences according to Dilthey, Historic-Hermeneutic sciences according to Habermas) are possible as far as the method that should make all of them possible can be epistemologically justified, this method is the hermeneutic understanding of meaning, whose central point is, in fact, the hermeneutic circle. The matter is to try to justify epistemologically the hermeneutic as understanding the meaning of the own and the other ones (...) life experiences within reflexivity and reciprocity that impregnates the structure of ordinary language. In the dialogue Habermas to Dilthey, in Knowledge and Human Interests appear many arguments to this foundation. Our text will make special emphasis in the next items: distinction between natural sciences and cultural sciences, hermeneutic understanding of meaning, ordinary language and reflexivity, specificity of the hermeneutic circle, science an vital context, and, finally, we are going to make an account of the Habermas interpretation of the Dilthey start point in bases to the relationships between Historic-hermeneutic sciences and the practice interest of the knowledge. (shrink)
8 March, now known as International Women’s Day, is a day for feminist claims where demonstrations are organized in over 150 countries, with the participation of millions of women all around the world. These demonstrations can be viewed as collective rituals and thus focus attention on the processes that facilitate different psychosocial effects. This work aims to explore the mechanisms involved in participation in the demonstrations of 8 March 2020, collective and ritualized feminist actions, and their correlates associated with personal (...) well-being and collective well-being, collective efficacy and collective growth, and behavioral intention to support the fight for women’s rights. To this end, a cross-cultural study was conducted with the participation of 2,854 people from countries in Latin America and Europe, with a retrospective correlational cross-sectional design and a convenience sample. Participants were divided between demonstration participants and non-demonstrators or followers who monitored participants through the media and social networks. Compared with non-demonstrators and with males, female and non-binary gender respondents had greater scores in mechanisms and criterion variables. Further random-effects model meta-analyses revealed that the perceived emotional synchrony was consistently associated with more proximal mechanisms, as well as with criterion variables. Finally, sequential moderation analyses showed that proposed mechanisms successfully mediated the effects of participation on every criterion variable. These results indicate that participation in 8M marches and demonstrations can be analyzed through the literature on collective rituals. As such, collective participation implies positive outcomes both individually and collectively, which are further reinforced through key psychological mechanisms, in line with a Durkheimian approach to collective rituals. (shrink)
This paper offers a critical analysis of the logical structure of principles proposed by Robert Alexy and, in particular, of their structure as optimisation commands. Its first part dwells on the question whether the optimisation element in the logical structure should be understood as part of modalisation, as part of the consequent, or as an independent element. In the second part, the author analyses possible forms of inter-definability of deontic operators. Finally, some questions are raised on the conditional structure proposed (...) by Alexy for principles. (shrink)
La figura popular del mendigo se define por su alegría, comicidad y autoexclusión social. En el siglo xix, surgió una nueva visión, de carácter realista, en torno a este personaje. El objetivo del presente artículo es rescatar la obra poética del colombiano Joaquín Pablo Posada, ya prácticamente olvidada, para estudiar cómo conforma la figura del mendigo en un tiempo de transición. Los resultados señalan la existencia de un imaginario híbrido y de carácter joco-serio. Por un lado, se mantienen los (...) rasgos tradicionales, que incluyen al mendigo dentro de la tendencia festiva; por otro lado, se introduce una denuncia moderna sobre los padecimientos físicos y morales del mendigo, lo que cuestiona el discurso de las élites burguesas, sin salirse de su esquema central. En las conclusiones, se compara la complejidad del personaje de Posada frente a otros sujetos poéticos construidos durante los siglos xix y xx, que suelen adherirse a una sola faceta de esta figura. (shrink)
This paper explores the underlying factors behind the collapse of commercial archaeology in Spain, with implications for other international contexts. It contributes to the current global debate about heritage ethics, adding nuance and conceptual depth to critical management studies and cultural heritage management in their approach to business ethics. Similar to other European contexts, Spanish archaeological management thrived during the 1990s and 2000s as a business model based on policies directed at safeguarding cultural heritage. The model had controversial ethical implications (...) at academic, policy and business levels. However, the global financial crisis of 2008 had a huge impact on this sector, and more than 70% of the Spanish archaeological companies closed by 2017. Drawing on the concepts of abstract narratives, functional stupidity and corporatist neoliberalism, this paper illustrates the need to examine ethical issues from a pragmatic standpoint, beyond epistemological and moralistic critiques of profit-oriented businesses in the cultural realm. In doing so, it connects the fields of cultural heritage and management studies, opening up hitherto unexplored strands of research and debate. (shrink)
Background: Pain has been associated with structural changes of the brain. However, evidence regarding white matter changes in response to acute pain protocols is still scarce. In the present study, we assess the existence of differences in brain white matter related to pain intensity reported by patients undergoing surgical removal of a mandibular impacted third molar using diffusion tensor imaging analysis.Methods: 30 participants reported their subjective pain using a visual analog scale at three postsurgical stages: under anesthesia, in pain, and (...) after the administration of an analgesic. The diffusion data were acquired prior to surgery.Results: DTI analysis yielded significant positive associations of fractional anisotropy in white matter areas related to pain processing with the differences in pain between the three postsurgery stages. Extent and location of these associations depended on the magnitude of the subjective pain differences. Tractography analysis indicated that some pain–tract associations are significant only when pain stage is involved in the contrast, while others are only when anesthesia is involved in the contrast.Conclusions: The association of white matter fractional anisotropy and connectivity, measured before the pain stages, with subjective pain depends on the magnitude of the differences in pain scores. (shrink)
El presente trabajo aborda el tema acerca del conocimiento divino de los actos libres del hombre. El problema se relaciona con el tratamiento de Aristóteles acerca de los enunciados sobre futuros contingentes. Si Dios conoce los actos futuros libres, etos es, antes de su realización, y los conoce con verdad determinada, deberían estar predeterminados, y en tal caso no podrían ser libres. Se da cuenta en especial el tratamiento del tema por parte de los autores ibéricos de los siglos inmediatamente (...) posteriores al Descubrimiento de América, esto es, Domingo Báñez, Luis de Molina, Francisco Suá-rez; a su vez se da cuenta de estos planteamientos en base al pensamiento del escotista chileno Alonso Briceño. This paper addresses the divine knowledge of man's free acts. The problem is related to Aristotle's approach to utterances about future contingencies. If God knows of free future acts, that is, befare their realization, and knows them with determined truth, these acts should be predetermined and, in that case, they could not be free. The approaches to this subject taken by Spanish authors from the period after the Discovery of America, such as Domingo Báñez, Luis de Molina, Francisco Suárez as well as the approach adopted by Chilean Scotist Alonso Briceño are especially discussed. (shrink)
Apresentação / Pablo Lorenzano Introdução / Os editores Princípios em cosmologia / Antonio Augusto Passos Videira Aleatoriedad vs. arbitrariedad en la mecánica estadística clásica / Eduardo H. Flichman La teoría galileana de la materia: resolutio e infinitos indivisibles / Fernando Tula Molina Ciencia y música en la obra de Vincenzo Galilei (ca. 1520-1591) / Guillermo Boido & Eduardo Kastika T-invariancia, irreversibilidad, flecha del tiempo: similares pero diferentes / Olimpia Lombardi Mapa das interpretações da teoria quântica / Osvaldo Pessoa (...) Jr. Aspectos epistemológicos y geométricos de la teoría del campo unificado de Schrödinger / Victor Rodríguez & Pedro W. Lamberti. (shrink)
The study of agriculture in ancient societies is of vital importance for the understanding of their ecological basis. This article discusses data gathered from Alonso de Molina's dictionary, published in Mexico City in 1571. Molina's information on soil, rain, plants, technology, and human labor applied to agricultural activities gives a picture of the complexity of the several native agricultural systems practiced at that time. Since the Sixteenth Century, native agriculture was impacted by the introduction of new plants, (...) animals, agricultural equipment, and techniques from the Old World. A combination of the two agricultural models conform a new Mexican model of agriculture along the Colonial times. The knowledge of Sixteenth Century agricultural systems is fundamental for the understanding of the history and the conformation of contemporary agro-ecosystems. Recent studies on ecology and social anthropology agree on the necessity to take into account historical data for the discussion of ecological sustainability. (shrink)
Elaborating on the substantial parallels between Molina’s and Kant’s attempts to reconcile human freedom with divine foreknowledge and natural causal determinism respectively, my aim is to establish a proper historical connection as well. Leibniz is shown to be the crucial mediator in two respects: (i) Kant knew Molina’s account of divine knowledge in general in its Leibnizian version through Baumgarten’s Metaphysica. In this work, scientia media plays no role in the explication as to how God knows absolute future (...) contingents. (ii) In the Critique of Practical Reason Kant resorted to doctrines similar to Molina’s in his criticism of Leibniz’s alternative explication which drew on complete concepts of monads. (shrink)
The natural interpretation of counterfactuals with disjunctive antecedents involves selecting from each of the disjuncts the worlds that come closest to the world of evaluation. It has been long noticed that capturing this interpretation poses a problem for a minimal change semantics for counterfactuals, because selecting the closest worlds from each disjunct requires accessing the denotation of the disjuncts from the denotation of the disjunctive antecedent, which the standard boolean analysis of or does not allow (Creary and Hill, Philosophy of (...) Science 43:341–344, 1975; Nute, Journal of Philosophy 72:773–778, 1975; Fine, Mind 84(335):451–458, 1975; Ellis et al. Journal of Philosophical Logic 6:335–357, 1977). This paper argues that the failure to capture the natural interpretation of disjunctive counterfactuals provides no reason to abandon a minimal change semantics. It shows that the natural interpretation of disjunctive counterfactuals is expected once we refine our assumptions about the semantics of or and the logical form of conditionals, and (i) we assume that disjunctions introduce propositional alternatives in the semantic derivation, in line with independently motivated proposals about the semantics of or (Aloni, 2003a; Simons, Natural Language Semantics 13:271–316, 2005; Alonso-Ovalle, Disjunction in Alternative Semantics. PhD thesis, 2006); and (ii) we treat conditionals as correlative constructions, as advocated in von Fintel (1994), Izvorski (Proceedings of NELS 26, 1996), Bhatt and Pancheva (2006), and Schlenker (2004). (shrink)
This paper examines employees’ reactions to Corporate Social Responsibility programs at the attitudinal level. The results presented are drawn from an in-depth study of two Chilean construction firms that have well-established CSR programs. Grounded theory was applied to the data prior to the construction of the conceptual framework. The analysis shows that the implementation of CSR programs generates two types of attitudes in employees: attitudes toward the organization and attitudes toward society. These two broad types of attitudes can then be (...) broken down into four different categories : acceptance of the new role of the organization, identification with the organization, importance attached to the work performed and a sense of social justice. In turn, each of these categories is a grouping of many different concepts, some of which have at first sight little to do with CSR. Finally, the analysis reveals an attitudinal employee typology: the committed worker, the indifferent worker, and the dissident worker. (shrink)
Philosophers have in general offered only a partial view of the normative grounds of reliance. Some maintain that either one of evidence or of pragmatic considerations has a normative bearing on reliance, but are silent about whether the other kind of consideration has such a bearing on it as well. Others assert that both kinds of considerations have a normative bearing on reliance, but sidestep the question of what their relative normative bearing is. My aim in this article is to (...) offer a more systematic and comprehensive view of reasons for reliance. (shrink)
Most research studying the corporate social performance –corporate financial performance link has utilized developed country samples. Also, this literature has generally focused on a wide variety of industries, ignoring the fact that certain sectors – such as controversial industries – have graver social and environmental issues. Hence, a gap exists in this tradition when it comes to emerging markets and controversial industries. This paper attempts to fill this void by providing preliminary evidence and insight on the matter. Based on an (...) exploration in six Latin American countries and five controversial industries, we find a negative bidirectional association between CSP and CFP. These results tend to contradict the mainstream conclusion of a positive bidirectional link, suggesting that institutional and market-level forces play a major role in shaping this relationship. (shrink)
Shared agency is of central importance in our lives in many ways. We enjoy engaging in certain joint activities with others. We also engage in joint activities to achieve complex goals. Current approaches propose that we understand shared agency in terms of the more basic phenomenon of shared intention. However, they have presented two antagonistic views about the nature of this phenomenon. Some have argued that shared intention should be understood as being primarily a structure of attitudes of individual participants (...) and their interrelations (Bratman, Searle, Tuomela and Miller). Others have claimed that shared intention should be regarded as being primarily a normative transaction which gives rise to interpersonal obligations (Gilbert). In contrast to these approaches, I propose a compromise view. I argue that shared intention involves a complex socio-psychological structure which ensures, in the absence of special circumstances, the existence of relevant moral obligations. My argument involves two main steps. First, I show that shared intention includes important relations of mutual reliance between the participants. Then, I argue that the existence of these relations of mutual reliance in shared intention helps us explain why, failing special circumstances, shared intention generates those obligations. This provides, in my view, a solution to the vexed question of the relation between shared intention and interpersonal obligations. (shrink)
According to Joseph Raz, the fact of making a valid promise creates “promissory reasons”: it constitutes for the promisor a reason for performing her promise and a reason for not acting for at least some of the reasons that recommend something different than performing. In his latest work on promising, Raz provides a novel account of the grounds of promissory reasons—an account which is different in important respects to the one he defended decades ago. In this paper, I argue that, (...) as his previous one, his latest account of the grounds of promissory reasons faces significant difficulties. (shrink)
