A fronte del quotidiano rincorrersi di nuovi interrogativi che esigono una risposta dalla bioetica, si assiste alla difficoltà di trovare un solido fondamento al giudizio etico in bioetica. Si confrontano e si scontrano, infatti, teorie etiche tra di loro non sovrapponibili né conciliabili, che portano a soluzioni pratiche tra di loro divergenti e spesso, troppo spesso, dimentiche della centralità della persona umana. Edè proprio la riflessione sulla persona umana, con i suoi diritti, ma anche con i suoi doveri, secondo la (...) lettura del personalismo ontologicamente fondato, il filo conduttore dei contributi contenuti in questo volume...(Dalla quarta di copertina)- In sommario: La nuova genetica - La clonazione umana: aspetti tecnici e considerazioni - Le basi biologiche della sessualità - Natura e interpretazione dei disordini sessuali: l'omosessualità - I disorientamenti sessuali: il ruolo dell'educatore - La sindrome da immunodeficienza acquisita - Orientamenti metodologici nell'educazione sessuale. (shrink)

Prader-Willi syndrome (PWS) is one of the 25 syndromic forms of obesity, in which patients present—in addition to different degrees of obesity—intellectual disability, endocrine disturbs, hyperphagia and/or other signs of hypothalamic dysfunction. In front of a severe/extreme obesity and the failure of non-invasive treatments, bariatric surgery is proposed as a therapeutic option. The complexity of the clinical condition, which could affect the long-term effects of bariatric surgery, and the frequent association with a mild to severe intellectual disability raise some ethical (...) concerns in the treatment of obese PWS adolescents. This article analyses these issues referring to the principles of healthcare ethics: beneficence/non-maleficence (proportionality of treatments; minimisation of risks); respect of autonomy; justice. Based on these principles, three hypothetical scenarios are defined: (1) obese PWS adolescent, capable of making an autonomous decision; (2) obese PWS adolescent with a severe intellectual disability, whose parents agree with bariatric surgery; (3) obese PWS adolescent with a life-threatening condition and a severe intellectual disability, whose parents do not agree with bariatric surgery. The currently available evidence on efficacy and safety of bariatric surgery in PWS adolescents with extreme or severe obesity and the lack of adequate long-term follow-up suggests great caution even in a very life-threatening condition. Clinicians must always obtain a full IQ assessment of patients by psychologists. A multidisciplinary team is needed to analyse the clinical, psychological, social and ethical aspects and organise support for patient and parents, involving also the hospital ethical committee or, if necessary, legal authorities. (shrink)

In this paper, we analyse the most important documents establishing the criteria for the treatment and exclusion of COVID-19 patients, especially in regard to the giving of respiratory support, in Italy and Spain. These documents reflect a tension that stems from limited healthcare resources which are insufficient to save lives that, under normal conditions, could have been saved, or at least could have received the best possible treatment. First, we analyse the healthcare systems of these two countries before the spread (...) of the virus, both of which have seen decreases in the number of intensive care beds and have been marked by financial cuts during the last ten years. It is a fact that a greater number of people, especially those over 70 years of age, have been left without respiratory support treatment, and therefore, there have been a greater number of deaths. It is also a fact that there has been a higher infection rate among healthcare professionals due to the delay in the management of protective measures and the inability to provide adequate care for those in nursing homes, as recognised by WHO. In the context of this health emergency, healthcare professionals have suffered a real ‘moral distress’ because, knowing first-hand the causes of the limitation of resources, they have had to put triage protocols into practice. Finally, we set forth a series of concrete ethical proposals with which to face the successive waves of COVID-19 infection, as well as other future pandemics. (shrink)

While dreaming amputees often experience a normal body image and the phantom limb may not be present. However, dreaming experiences in amputees have mainly been collected by questionnaires. We analysed the dream reports of amputated patients with phantom limb collected after awakening from REM sleep during overnight videopolysomnography . Six amputated patients underwent overnight VPSG study. Patients were awakened during REM sleep and asked to report their dreams. Three patients were able to deliver an account of a dream. In all (...) dreaming recalls, patients reported that the amputated limbs were intact and completely functional and they no longer experienced phantom limb sensations. Phantom limb experiences, that during wake result from a conflict between a pre-existing body scheme and the sensory information on the missing limb, were suppressed during sleep in our patients in favour of the image of an intact body accessed during dream. (shrink)

Motor learning can be defined as a process that leads to relatively permanent changes in motor behavior through repeated interactions with the environment. Different strategies can be adopted to achieve motor learning: movements can be overtly practiced leading to an amelioration of motor performance; alternatively, covert strategies (e.g., action observation) can promote neuroplastic changes in the motor system even in the absence of real movement execution. However, whether a training regularly alternating action observation and execution (i.e., Action Observation Training, AOT) (...) may surpass the pure motor practice (MP) and observational learning (OL) remains to be established. To address this issue, we enrolled 54 subjects requiring them to learn tying nautical knots via one out of three types of training (AOT, MP, OL) with the scope to investigate which element mostly contributes to motor learning. We evaluated the overall improvement of each group, along with the predictive role that neuropsychological indexes exert on each treatment outcome. The AOT group exhibited the highest performance improvement (42%), indicating that the regular alternation between observation and execution biases participants toward a better performance. The reiteration of this sequence provides an incremental, adjunct value that super-adds onto the efficacy of motor practice or observational learning in isolation (42% > 25% + 10%, i.e., OL + MP). These findings extend the use of the AOT from clinical and rehabilitative contexts to daily routines requiring the learning and perfectioning of new motor skills such as sports training, music, and occupational activities requiring fine motor control. (shrink)

Reassesses the Italian Resistance movement, historically conceived, and explores the concept of Resistance within the contemporary cultural context from a multidisciplinary perspective.

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)

When people combine concepts these are often characterised as “hybrid”, “impossible”, or “humorous”. However, when simply considering them in terms of extensional logic, the novel concepts understood as a conjunctive concept will often lack meaning having an empty extension (consider “a tooth that is a chair”, “a pet flower”, etc.). Still, people use different strategies to produce new non-empty concepts: additive or integrative combination of features, alignment of features, instantiation, etc. All these strategies involve the ability to deal with conflicting (...) attributes and the creation of new (combinations of) properties. We here consider in particular the case where a Head concept has superior ‘asymmetric’ control over steering the resulting concept combination (or hybridisation) with a Modifier concept. Specifically, we propose a dialogical approach to concept combination and discuss an implementation based on axiom weakening, which models the cognitive and logical mechanics of this asymmetric form of hybridisation. (shrink)

The New Economic Windows Series, derived from Massimo Salzano's ideas and work, incorporates material from textbooks, monographs and conference proceedings that deals with both the theoretical and applied aspects of various sub-disciplines ...

The paper focuses on the kind of expertise required by doctors in health communication and argues that such an expertise is twofold: both epistemological and communicative competences are necessary to achieve compliance with the patient. Firstly, we introduce the specific epistemic competences that deal with diagnosis and its problems. Secondly, we focus on the communicative competences and argue that an inappropriate strategy in communicating the reasons of diagnosis and therapy can make patient compliance unworkable. Finally, we focus on the case (...) of diabetes metaphor and propose the deliberate use of metaphors in health communication as an educational tool. On the one hand, metaphors might help doctors in explaining the disease in simpler terms and framing the experience of illness according to patient’s specific needs. On the other hand, metaphors might encourage a change in patient’s beliefs on their own experience of illness, and enable them to reach a shared decision making with doctors. (shrink)

Questo contributo mette in luce la molteplice funzione politica di uno schema agiografico centrale nella rappresentazione della giovinezza di Bernardino da Siena: il suo servizio durante la peste del 1400 presso l’Ospedale di Santa Maria della Scala di Siena. La memoria di questo episodio si prestava ad essere utilizzata tanto dall’Osservanza minoritica quanto in diversi contesti locali. In questo racconto Bernardino è presentato come capace di rispondere ai bisogni della città non solo attraverso le proprie virtù, ma radunando altre (...) persone e convincendole a impegnarsi per il bene comune, anche a rischio della propria vita. L’episodio, così come è raccontato dagli agiografi, incorpora la prima predica fatta dal giovane Bernardino ai membri della confraternita dell’Ospedale. Il testo indica programmaticamente la necessità per i laici di anteporre il bonum commune al bonum proprium e delinea un ruolo di leadership dei frati dell’Osservanza nel cuore delle città. Inoltre, se a Siena la memoria della peste del 1400 serviva a sottolineare il rapporto tra il santo e le istituzioni della città, la raffigurazione di tale episodio in alcuni affreschi dipinti a Lodi nel 1476 non soltanto veicolava un modello di spiritualità laicale ma serviva a promuovere e legittimare la riforma ospedaliera in corso a Lodi. (shrink)

The period, from the middle of the fifteenth century, and in particular the fruition of the Franciscan Observance under the leadership of Bernardino of Siena, John of Capistrano and James of the Marches, through the end of the Council of Trent , lasts about a century. It is a century that has recently been the focus of much attention in our research group.2 The hypothesis in this essay is that this century was marked more by continuities than fractures, and in (...) which many problems came to the fore. Therefore, this was a period of instability but also of great vitality:3 “not a starting point, but the climax,” as Paolo Prodi wrote.4The booklet of Paolo Giustiniani and Pietro Quirini, the so-called Libellus ad .. (shrink)

La diffusione del libro nel Medioevo potrebbe essere riletta alla luce di una metafora attuale sebbene non scevra di aspetti dialettici: quella della “rete”. All’ubicazione spazio-temporale del libro nei monasteri medievali, contraddistinta da fisicità e permanenza, si sotituisce oggi un formato digitale e virtuale, che porta ad una sorta di decontestualizzazione e alla continuità del flusso di informazioni, contribuendo alla diffusione capillare del sapere. L’ottica di universalità e globalità accomuna tuttavia entrambe le epoche. Alcuni concetti-chiave dell’informatica potrebbero infatti declinarsi in (...) ambito medievale: Server-Client per la raccolta, la conservazione e la trasmissione delle conoscenze da parte dei monasteri, quali centri del sapere in Europa, agli uomini di cultura; Firewall, per alludere alla necessità di tutelare i manoscritti, mediante la copiatura e la diffusione dei codici; Community, ad indicare non solo la comunità religiosa o monastica in senso stretto, bensì l’apertura ad una costruzione del sapere mediante un’azione partecipativa. I problemi dell’autenticità delle fonti, dell’acriticità delle informazioni e la pratica delle citazioni trovano un precedente significativo nelle Sententiae di Pietro Lombardo: una sorta di “biblioteca virtuale” grazie alla collezione di passi dalla Sacra Scrittura e da fonti latine e greche, paragonabile a un moderno modello enciclopedico di sapere. The diffusion of the book in the Middle Ages could be critically read through a modern metaphor: the “net”. The space-temporal coordinates of the book shift from being physical and permanent in the Medieval monasteries, to being de-contextualized and continue in the flow of information of digital and virtual format. However the universal and global perspective is common to the contemporary and the Medieval periods. In fact some key-words of computer science could be applied to the Medieval context: Server-Client, for the collection, the preservation and the transmission of knowledge from monasteries, as cultural centers in Medieval Europe, to men of culture; Firewall, for the necessary protection of manuscripts, through copying and diffusing codes; Community, referred not only to the monastic and religious groups, but also to an open sharing of the building of knowledge. Problems like the authenticity of the sources, the lack of criticality in the reception of data, and the practice of quotations are well represented in Peter Lombard’s Sententiae: this work can be compared to a modern encyclopedia thanks to the collection of passages from the Holy Scripture and from Latin and Greek sources, as well as a “virtual library”. (shrink)

By reconstructing the eighteenth-century movement of the Italian Enlightenment, I show that Italy’s political fragmentation notwithstanding, there was a constant circulation of ideas, whether on philosophical, ethical, political, religious, social, economic or scientific questions—among different groups in various states. This exchange was made possible by the shared language of its leading illuministi— Cesare Beccaria, Ludovico Antonio Muratori, Francesco Maria Zanotti, Antonio Genovesi, Mario Pagano, Pietro Verri, Marco Antonio Vogli, and Giammaria Ortes—and resulted in four common traits. First, the (...) absence of a radical trend, such as the French materialist-atheist trend and British Deism, or religious reformation. Second, the rejection of inhumane laws and institutions, capital punishment, torture, war and slavery. Third, the idea of public happiness as the goal of good government and legislation. And fourth, the conception of the economy as a constellation where social capital, consisting of education, morality, and civility, plays a decisive role. I conclude that the Italian Enlightenment, not unlike the Scottish Enlightenment, was both cosmopolitan and local, which allowed its leading writers to develop a keen awareness of the complexity of society alongside a degree of prudence regarding the possibility and desirability of its modernization. (shrink)

Pietro Pomponazzi.--Simnoe Porzio.--Maria d'Aragona marchesa del Vasto.--Andrea Cesalpino.--Giovan Battista de la Porta.--Giordano Bruno.--Tommaso Campanella.--Giulio Cesare Vanini.--Trajano Boccalini.

Ante los hechos violentos que la población y en particular las mujeres padecen como grupo en México, este trabajo busca sumar al ejercicio crítico de pensar las violencias simbólicas y fácticas, mostrar sus formas de reconocimiento y el trabajo discursivo que apuesta por la vida de las mujeres y la población vulnerable no sólo desde el dolor y la rabia, sino también desde la apuesta por la supervivencia, por las estrategias que permitirían sustraerse al peso avasallador de sus formas, para (...) devenir otras. Este trabajo analiza el trabajo de escritoras que invitan a encontrar en sus reflexiones, historias, relatos y personajes femeninos no sólo a víctimas, sino a subjetividades que evitan por diferentes medios a quedar aprisionadas por conceptos que sólo reiteran la violencia en sus cuerpos y en sus vidas. Palabras clave: violencia, violencia contra las mujeres, literatura escrita por mujeres, subjetividad, representación. (shrink)

Se propone rastrear la interpretación que Schiller lleva a cabo en las Cartas sobre la educación estética del hombre del análisis kantiano del juicio de gusto puro como asociado con una suspensión de toda determinación que hace posible la experiencia de la belleza. Para Schiller, esto resulta en una temporalidad de lo bello experimentada como suspensión, que se torna adicionalmente en una suspensión de la temporalidad. El artículo muestra cómo este concepto resulta esencial para el concepto de crítica estética en (...) Schiller, que se relaciona con una capacidad de la experiencia estética de desactivar formas de violencia que, según el diagnóstico que Schiller propone en las Cartas, saturan su presente histórico. Con ello, el artículo pretende mostrar la pertinencia de la obra de Schiller para la configuración de este aspecto de la crítica filosófica-histórica. (shrink)

El antropocentrismo determina nuestra percepción sobre el mundo y nuestra relación con él, teniendo un efecto material en tanto que impregna nuestros discursos, pensamiento, sensibilidades y prácticas. Este artículo trata de explorar cómo una reformulación ontológica que busque salir de los presupuestos antropocéntricos puede suponer un cambio material efectivo en nuestra percepción, generando cambios en nuestras sensibilidades y disponibilidades. Comprender los límites ontológicos desde el dinamismo y como zona de contacto nos permite acceder o materializar otro tipo de realidades aún (...) por conocer. Poniendo en juego algunas ideas de Donna Haraway, Bruno Latour, Karen Barad y Alfred Whitehead se busca un desarrollo conceptual y una reformulación ontológica como un intento de comprendernos en un mundo más-que-humano. (shrink)

El artículo pretende aportar algunos trazos teóricos, metodológicos y prácticos para la lectura de la cuestión del Estado y el poder, desde la perspectiva de la gubernamentalidad sugerida por Foucault y sus herencias latinoamericanas. Se parte del supuesto de que en la actualidad argentina y salteña, la multiplicidad de lógicas y prácticas de gobierno que codifican al Estado y sus avatares encuentran una clara expresión en el gobierno de la pobreza y en los diagramas vinculares entre gobernados y gobernantes, tejidos (...) en los móviles del poder y la resistencia. En esta dirección, se delinean dos ejes expositivos. Por un lado, una analítica de los conceptos y cuestiones sugeridas desde la propuesta de la gubernamentalidad; por otro lado, una aproximación al gobierno de la pobreza y con ello a dos casos que dan cuenta del entramado relacional entre gobernados-gobernantes y prácticas de gobierno, resistencia y autogobierno entre las cuales se configura y re-configura el rol del Estado. Apostando a una “una ontología del presente”, se analizan formas de poder y resistencia que aún hoy en día se constituyen, reconfigurándose. Asimismo se sugiere un cruce metodológico entre genealogía y etnografía, en la apuesta a un ejercicio crítico de pensamiento a fines de contribuir a desnaturalizar y des-sustancializar las prácticas de gobierno, sus lógicas y nuestras conductas presentes. (shrink)

En este artículo se compara, la posición que tiene el historiador de la filosofía colombiana Carlos Arturo López Jiménez sobre la idea que tenía Cayetano Betancur acerca de la posibilidad de que existiera una Filosofía en Colombia, con lo que el autor mismo decía sobre este aspecto. De este modo, primero, se mostrará la perspectiva de López Jiménez y el uso que hace de las ideas de Cayetano Betancur. Enseguida se describe el recorrido intelectual de Cayetano Betancur con respecto al (...) problema de si existiría o no una Filosofía en Colombia. Así se expondrá cómo, en un momento determinado, Betancur hace un viraje en su pensamiento y pasa de negar una Filosofía en Colombia a asumir su existencia y su posibilidad, asi como también reconoce la necesidad de identificar y leer las fuentes filosóficas locales. (shrink)

info:eu-repo/semantics/publishedVersion.

info:eu-repo/semantics/publishedVersion.

En la gran discusión pública en torno a la pandemia de la COVID-19 fueposible identificar cuatro líneas argumentales que contenían un análisis delevento pandémico, una valoración y una predicción o propuesta futuro. Laprimera fue la de la negación o el engaño bajo el paradigma del Estado deexcepción permanente. La segunda cifró el peligro en la posible inacción delos Estados y en la consiguiente violación de la dignidad humana. La terceraconsideró la pandemia un acelerador de la crisis de los sistemas democráticosy (...) del triunfo del capitalismo tecnológico. Finalmente, la cuarta líneaargumental anunció el advenimiento de un momento único de catarsis colectiva.El objeto de este artículo es repensar con la perspectiva del tiempo losmarcos interpretativos que iluminaron un debate que todavía hoy no puededarse por cerrado. (shrink)

Se aborda la cuestión de la racionalidad desde la justificación de la lógica, considerando la existencia de sistemas alternativos. Delimito este tema a la justificación de nuestros criterios de racionalidad, centrándome en la racionalidad inferencial. Ante esto, sugiero una solución a posteriori para reconocer sistemas lógicos como razonables, dada la inexistencia de una noción infalible de racionalidad. Esta propuesta es pluralista, reconociendo múltiples sistemas válidos, y normativa, estableciendo que no todos tienen el mismo valor: algunos son más aptos para inferencias (...) que otros. (shrink)

ISSN:1909-9711 (En línea) Misión La Revista Acta Colombiana de Psicología publica hallazgos originales de las investigaciones en Psicología y de esta disciplina en diálogo con otras, con el propósito de divulgarlas a la comunidad universitaria y a todas las personas interesadas en conocer sus nuevos avances y aplicaciones a distintos campos y necesidades de la sociedad contemporánea.

El artículo se pregunta por el problema del Otro en América Latina, considerando la reflexión de Lévinas y de Ortega y Gasset a partir de la fenomenología de Husserl. El examen recae en dos figuras paradigmáticas de la modernidad barroca: la así denominada Malinche y Juana Inés de la Cruz, teniendo como telón de fondo el debate entre Ginés de Sepúlveda y Bartolomé de las Casas acerca de la humanidad o animalidad de los así llamados indígenas. Se le presta especial (...) atención a las perspectivas adoptadas por Tzvetan Todorov, Leopoldo Zea, Octavio Paz y Bolívar Echeverría sobre las figuras mencionadas. (shrink)