Despite that it is commonly accepted that migraine is a disorder of the nervous system with a prominent genetic basis, it is comorbid with a plethora of medical conditions. Several studies have found bidirectional comorbidity between migraine and different disorders including neurological, psychiatric, cardio- and cerebrovascular, gastrointestinal, metaboloendocrine, and immunological conditions. Each of these has its own genetic load and shares some common characteristics with migraine. The bidirectional mechanisms that are likely to underlie this extensive comorbidity between migraine and other (...) diseases are manifold. Comorbid pathologies can induce and promote thalamocortical network dysexcitability, multi-organ transient or persistent pro-inflammatory state, and disproportionate energetic needs in a variable combination, which in turn may be causative mechanisms of the activation of an ample defensive system with includes the trigeminovascular system in conjunction with the neuroendocrine hypothalamic system. This strategy is designed to maintain brain homeostasis by regulating homeostatic needs, such as normal subcortico-cortical excitability, energy balance, osmoregulation, and emotional response. In this light, the treatment of migraine should always involves a multidisciplinary approach, aimed at identifying and, if necessary, eliminating possible risk and comorbidity factors. (shrink)

La réception de l’Idéologie en Argentine au début du XIXe siècle a joué un rôle essentiel dans la construction politique et culturelle du pays à travers l’action de son président, Bernardino Rivadavia. Les professeurs de philosophie de la nouvelle université de Buenos Aires furent chargés d’adapter en espagnol et de diffuser les idées des philosophes français dans un contexte politique souvent difficile. L’Idéologie est ainsi devenue un enjeu important dans les débats sur les modèles d’organisation politique de la jeune République (...) succédant à l’organisation coloniale. (shrink)

Name der Zeitschrift: Der Islam Jahrgang: 93 Heft: 2 Seiten: 413-432.

Communicating an unfavourable prognosis while maintaining patient hope represents a critical challenge for healthcare professionals. Duty requires respect for the right to patient autonomy while at the same time not doing harm by causing hopelessness and demoralisation. In some cases, the need for therapeutic privilege is discussed. The primary objectives of this study were to explore HPs’ perceptions of hope in the prognosis communication and investigate how they interpret and operationalise key ethical principles. Sixteen qualitative semistructured interviews with HPs from (...) different positions and experience, including doctors and nurses in four different departments, were conducted in the Ticino Cantonal Hospital, Switzerland. The interviews were recorded, transcribed verbatim and analysed using thematic analysis. HPs defined prognosis and patient hope as interdependent concepts related to future perspectives for subjective quality of life. Two main factors allow HPs to maximise the benefits and minimise the harm of their communication: respecting the patient’s timing and sharing the patient’s wishes. Time is required to reframe needs and expectations. Furthermore, communication needs to be shared by HPs, patients and their relatives to build common awareness and promote a person-centred approach to prognosis. In this process, interprofessional collaboration is key: doctors and nurses are complementary and can together guarantee that patients and relatives receive information in the most appropriate form when they need it. Organisational aspects and the HPs’ emotional difficulties, particularly in coping with their own despair, are barriers to effective communication that need further investigation. (shrink)

Introduction: Novel coronavirus is having a devastating psychological impact on patients, especially patients with cancer. This work aims to evaluate mood disorders of cancer patients undergoing radiation therapy during COVID-19 in comparison with cancer patients who underwent radiation therapy in 2019.Materials and Methods: We included all the patients undergoing radiation therapy at our department in two-time points and during the COVID-19 outbreak. All the patients were asked to fulfill a validated questionnaire, the Symptom Distress thermometer, and the Beck Depression Inventory (...) v.2. We took into account the COVID-19 outbreak and also sex, age, week of radiation treatment, and disease.Results: We included 458 patients, with a median age of 64 years. STAI-Y1 median score was 40, whereas the median score of SDT was five and BDI-2 median score was 11. STAI-Y1, SDT, and BDI-2 were significantly correlated with the COVID-19 outbreak, sex, week of treatment, and disease.Conclusions: The prevalence of mood disorders in patients undergoing radiation therapy is higher than expected and even higher during the COVID-19 outbreak. These measurements could be useful as a baseline to start medical humanities programs to decrease these scores. (shrink)

Previous studies have highlighted that temporal source memory can be influenced by factors such as the individual’s age and the emotional valence of the event to be remembered. In this study, we investigated how the different points of view (POVs) from which an event is presented could interact with the relationship between age-related differences and emotional valence on temporal source memory. One hundred and forty-one younger adults (aged 18–30) and 90 older adults (aged 65–74) were presented with a series of (...) emotional videos shot from different POVs (first vs. third-person) in three sessions. In the fourth session, participants were asked to indicate in which session (1, 2, or 3) they viewed each video. The results indicated that the first-person POV amplified the effects of the emotional valence on temporal source memory. Only in this experimental condition, older adults “pushed away” negative stimuli by perceiving them as more distant in time, and “kept closer” positive stimuli by perceiving them as more recent. In comparison, younger adults “kept closer” positive stimuli. These findings add to the existing literature on the positivity effect on temporal source memory and highlighted the importance of considering the POV in relation to the emotional valence. (shrink)

Merleau-Ponty. Une conception de l’empathie non centrée sur le sujet?Cet article étudie l’émergence du terme « empathie » dans les textes de Merleau-Ponty. Il souligne que le concept n’est pas avant tout présenté comme une catégorie épistémologique, remettant en question si et comment nous pouvons éventuellement connaître les autres. Au contraire, il est conçu comme une catégorie ontologique, pour dire notre appartenance à une nature commune. De ce point de vue, il propose une façon sensible pour comprendre les autres, basée (...) sur une proximité et un partage physiques.Mais, avec des références à l’actuel débat, le texte suggère que, dans les réflexions du phénoménologue français, il est possible de trouver un paradigme qui n’est pas centré sur une conception subjective de l’empathie – c’est a dire qu’il s’agit d’un paradigme qui ne suppose pas toujours une projection subjective de ma sensibilité sur celle des autres. Plutôt, il peut à la fois consister en un sentiment commun, prépersonnel, qui constitue l’arrière-plan de nos sensibilités conscientes, et aussi proceder de l’autre être humain à moi, alors que souvent je sens et comprendre moi-même par differentiation des autres personnes, qui s’imposent sur mes sentiments et sur mes mots.Merleau-Ponty. A Conception of Empathy not centered on the Subject?This paper investigates the emergence of the term “empathy” in Merleau-Ponty’s texts. It points out that the concept is not primarly introduced as an epistemological category, questioning if and how eventually we can know the others. On the contrary it is meant as an ontological category, in order to say our belonging to a common nature. From this point of view he proposes a sensible way to understanding the others, based on a bodily closeness and sharing.But, with references to the current debate, the text suggests that in the reflections of the French phenomenologist it is possible to find a not subjectively centered paradigm for understandig empathy – that is a paradigm which does not always presuppose a subjective projection of my sensibility on that of the other ones. It can rather both consist in a common, prepersonal feeling, costituting the background of our conscious sensitivities, and proceed from the other human being to me, so that I often feel and understand myself by differing from the other individuals, who impose themselves on my senses and on my words. (shrink)

Previous studies consistently showed age-related differences in temporal judgment and temporal memory. Importantly, emotional valence plays a crucial role in older adults’ information processing. In this study, we examined the effects of emotions at the intersection between time and memory, analysing age-related differences in a temporal source memory task. Twenty-five younger adults (age range 18–35), 25 old adults (age range 65–74), and 25 old–old adults (age range 75–84) saw a series of emotional pictures in three sessions separated by a one-day (...) rest period. In the fourth session, participants were asked to indicate in which session (1, 2, or 3) they saw each picture. Results showed that old–old adults tended to collocate negative pictures distant in time, while positive stimuli were remembered as more recent than real, compared to neutral pictures. To a lower extent, people over 65 showed the same pattern of results. In contrast, emotional valence did not affect younger adults’ temporal positioning of stimuli. Current findings fit well with the Socio-Emotional Selectivity Theory’s assumptions and extended the literature on the positivity effect to temporal source memory. (shrink)

Merleau-Ponty. Une conception de l’empathie non centrée sur le sujet?Cet article étudie l’émergence du terme « empathie » dans les textes de Merleau-Ponty. Il souligne que le concept n’est pas avant tout présenté comme une catégorie épistémologique, remettant en question si et comment nous pouvons éventuellement connaître les autres. Au contraire, il est conçu comme une catégorie ontologique, pour dire notre appartenance à une nature commune. De ce point de vue, il propose une façon sensible pour comprendre les autres, basée (...) sur une proximité et un partage physiques.Mais, avec des références à l’actuel débat, le texte suggère que, dans les réflexions du phénoménologue français, il est possible de trouver un paradigme qui n’est pas centré sur une conception subjective de l’empathie – c’est a dire qu’il s’agit d’un paradigme qui ne suppose pas toujours une projection subjective de ma sensibilité sur celle des autres. Plutôt, il peut à la fois consister en un sentiment commun, prépersonnel, qui constitue l’arrière-plan de nos sensibilités conscientes, et aussi proceder de l’autre être humain à moi, alors que souvent je sens et comprendre moi-même par differentiation des autres personnes, qui s’imposent sur mes sentiments et sur mes mots.Merleau-Ponty. A Conception of Empathy not centered on the Subject?This paper investigates the emergence of the term “empathy” in Merleau-Ponty’s texts. It points out that the concept is not primarly introduced as an epistemological category, questioning if and how eventually we can know the others. On the contrary it is meant as an ontological category, in order to say our belonging to a common nature. From this point of view he proposes a sensible way to understanding the others, based on a bodily closeness and sharing.But, with references to the current debate, the text suggests that in the reflections of the French phenomenologist it is possible to find a not subjectively centered paradigm for understandig empathy – that is a paradigm which does not always presuppose a subjective projection of my sensibility on that of the other ones. It can rather both consist in a common, prepersonal feeling, costituting the background of our conscious sensitivities, and proceed from the other human being to me, so that I often feel and understand myself by differing from the other individuals, who impose themselves on my senses and on my words. (shrink)