Mettre à la disposition du public l'ensemble des écrits de la « reine Margot » permet d'éclairer la personnalité d'une reine dont l'image est assurément obscurcie par le mythe et dont la production littéraire était jusque là trop méconnue. On saluera donc l'initiative des éditions Champion pour accueillir, outre les Mémoires, des textes polémiques et poétiques variés, présentés par une spécialiste confirmée de Marguerite. Dans cet ensemble indéniablement riche et instructif, la présen...

Background The first COVID-19 wave started in February 2020 in France. The influx of patients requiring emergency care and high-level technicity led healthcare professionals to fear saturation of available care. In that context, the multidisciplinary Ethics- Support Cell (EST) was created to help medical teams consider the decisions that could potentially be sources of ethical dilemmas. Objectives The primary objective was to prospectively collect information on requests for EST assistance from 23 March to 9 May 2020. The secondary aim was (...) to describe the Cell’s functions during that period. Research design This observational, real-time study of requests for Cell consultations concerned ethical dilemmas arising during a public health crisis. The EST created a grid to collect relevant information (clinical, patient’s/designated representative’s preferences and ethical principles strained by the situation), thereby assuring that each EST asked the same questions, in the same order. Participants and research context Only our university hospital’s clinicians could request EST intervention. Ethical considerations The hospital Research Ethics Committee approved this study (no. CER-2020-107). The patient, his/her family, or designated representative was informed of this ethics consultation and most met with EST members, which enabled them to express their preferences and/or opposition. Findings/results 33 requests (patients’ mean age: 80.8 years; 29 had COVID-19: 24 with dyspnea, 30 with comorbidities). 17 Emergency Department solicitations concerned ICU admission, without reference to resource constraints; others addressed therapeutic proportionality dilemmas. Discussion Intervention-request motives concerned limited resources and treatment intensity. Management revolved around three axes: the treatment option most appropriate for the patient, the feasibility of implementation, and dignified care for the patient. Conclusions COVID-19 crisis forced hospitals to envisage prioritization of ICU access. Established decision-making criteria and protocols do not enable healthcare professionals to escape ethical dilemmas. That acknowledgement highlights ethical risks, enhances the added-value of nursing and encourages all players to be vigilant to pursue collective deliberations to achieve clear and transparent decisions. (shrink)

pt. 1. Gaston Bachelard's historical epistemology.--pt. 2. For a critique of epistemology.

Qu'un interet renouvele se manifeste aujourd'hui pour la versant epistemologique de l'oeuvre de Gaston Bachelard peut se comprendre au regard de l'histoire contemporaine de la philosophie des sciences. Cette histoire a ete dominee durant la plus grande partie du XXe siecle par une doctrine - celle de l'empirisme (ou positivisme) logique - promue a Vienne a la fin des annees 1920 par une institution originale, le Cercle de Vienne qui publie son manifeste en 1929, et s'organise comme un mouvement a (...) visee universelle et progressiste - celui de la conception scientifique du monde. La tradition francaise de la philosophie des sciences a pris d'entree de jeu un tout autre chemin. Si elle ne les a pas ignorees, elle a refuse de souscrire aux theses majeures du positivisme logique lorsqu'il s'est presente a elle. Elle a toujours lie etroitement philosophie et histoire des sciences. Dans le titre de ce petit livre ecrit durant l'annee universitaire 1967-1968 sous la direction de Georges Canquilhem, Dominique Lecourt a avance l'expression d'epistemologie historique pour signaler, a propos de Gaston Bachelard, cette particularite. (shrink)

This brilliant and controversial work investigates the relationship between 'individual' and 'scientific' knowledge.

Studies on rational conjecture, inference, and reckoning.

The art of rational conjecture.--The art of drawing inferences.--The art of reckoning.

Der Beitrag fragt danach, was einem Subjekt durch ein psychisches Trauma angetan wird. In diesem Zusammenhang setzt er sich mit Tendenzen auseinander, die derzeit in der Psychoanalyse im Umgang mit Traumata zu beobachten sind: Steht ein Trauma im Zentrum ihrer Aufmerksamkeit, tendierten Psychoanalytiker dazu, darin ein für ihre klinische Arbeit spezielles oder gar außergewöhnliches Problem zu sehen, das nach »etwas Anderem« als der grundlegenden Methode der Psychoanalyse verlangt. Demgegenüber wird die Auffassung vertreten, dass ein Trauma untrennbar mit dem Seelenleben verwoben (...) ist. So etwas wie eine nichttraumatische Psychopathologie, so der Autor, gibt es nicht. Jede traumatisierte Psyche, unabhängig von der Intensität des Traumas, stehe darum im Grunde vor demselben Problem: Wie lässt sich der grundsätzliche Mechanismus der Wiederholung überwinden und eine ergebnisoffene Symbolisierung erreichen? Um diese Prozesse beschreiben zu können – die auch anhand einer Vignette illustriert werden –, schlägt der Autor die Unterscheidung zwischen »Subjektivität« und »Subjektalität« vor. (shrink)

Immunological mechanisms and therapy approaches in psychotic syndromes were recently supported by the discovery of autoantibody-associated limbic and non-limbic encephalitis. However, how clinical diagnostic procedures in psychiatry should be adapted to these new insights is still unclear. In this study, we analyzed the cerebrospinal fluid (CSF) and neuroimmunological alterations and their association with cerebral MRI (cMRI) and electroencephalographic (EEG) findings. From 2006 until 2013, we acquired 180 CSF samples from psychotic patients. Between 2006 and 2009, CSF examinations were only performed (...) in cases in which organic brain disease was suspected. Since then, this procedure has been integrated into our routine diagnostic workup. CSF basic diagnostics were supplemented by measuring antineuronal antibodies against intracellular synaptic antigens, antibodies against intracellular onconeural antigens, antibodies against neuronal cell surface antigens and thyroid antibodies. In addition, cMRIs and EEGs were conducted. We found white cell counts elevated in 3.4% of the cases, albumin quotient elevated in 21.8%, and protein concentration elevated in 42.2%. Evidence of intrathecal immunoglobulin synthesis was found in 7.2% of the cases. Antibodies measured against neuronal cell surface antigens were positive in 3.2%. Reactivity on antibodies against intracellular onconeural antigens were detected in 3.5%. Serum thyroid antibodies were elevated in 24.7%. Abnormalities were found in 39.5% of cMRIs and in 34.3% of EEGs. The main finding of our study was the high prevalence of CSF and autoantibody abnormalities in 54.4% of psychotic patients. In combination with cMRIs and EEGs, 75.6% showed abnormal findings. Our results are discussed with regard to the concept of immunological encephalopathy. Future studies should analyze the efficacy of immunomodulatory therapies. (shrink)

The analysis of identity in cases of memory loss, particularly in Alzheimer’s disease, sheds light on relevant philosophical and practical concerns, such as decision-making processes, autonomy, and the improvement of interaction with patients. Literature on psychological continuity recognizes identity when there are no disruptions in memory, which is certainly not the case in Alzheimer´s disease. Narrative identity, particularly in its relational and non-relational versions, delivers tools which are not exempt from difficulties. Either the caregivers’ narrative or the patient’s narrative is (...) dismissed. Furthermore, if there is a contradiction of narratives in relational theories, we are advised to either find the best narrative or seek agreement. However, one option rejects one narrative, while the other is unattainable in practice for the case in question. Hence, we propose drawing from ironism (Rorty, 1989), which suggests duality of dialogues when dealing with problems. This will be used to defend that the narratives of both, a person with Alzheimer and those close to them, are valid when constituting identity of the former. In this case, we will articulate and defend relational ironism, which allows us to embrace inconsistent narratives without seeking agreements. According to this, personal identity in this case is in constant tension between the narratives of those who suffer Alzheimer’s disease and the narratives of those close to them. We close illustrating possible benefits for how best to interact with patients. (shrink)

Public surveys conducted in many countries report widespread willingness of individuals to donate a kidney while alive to a family member or close friend, yet thousands suffer and many die each year while waiting for a kidney transplant. Advocates of financial incentive programs or “regulated markets” in kidneys present the problem of the kidney shortage as one of insufficient public motivation to donate, arguing that incentives will increase the number of donors. Others believe the solutions lie—at least in part—in facilitating (...) so-called “altruistic donation;” harnessing the willingness of relatives and friends to donate by addressing the many barriers which serve as disincentives to living donation. Strategies designed to minimize financial barriers to donation and the use of paired kidney exchange programs are increasingly enabling donation, and now, an innovative program designed to address what has been termed “chronologically incompatible donation” is being piloted at the University of California, Los Angeles, and elsewhere in the United States. In this program, a person whose kidney is not currently required for transplantation in a specific recipient may instead donate to the paired exchange program; in return, a commitment is made to the specified recipient that priority access for a living-donor transplant in a paired exchange program will be offered when or if the need arises in the future. We address here potential ethical concerns related to this form of organ “banking” from living donors, and argue that it offers significant benefits without undermining the well-established ethical principles and values currently underpinning living donation programs. (shrink)

During dialog, references are presented, accepted, and potentially reused. Two experiments were conducted to examine reuse in a naturalistic setting. In Experiment 1, where the participants interacted face to face, self-presented references and references accepted through verbatim repetition were reused more. Such biases persisted after the end of the interaction. In Experiment 2, where the participants interacted over the phone, reference reuse mainly depended on whether the participant could see the landmarks being referred to, although this bias seemed to be (...) only transient. Consistent with the memory-based approach to dialog, these results shed light on how differences in accessibility in memory affect the unfolding of the interaction. (shrink)

L’époque carolingienne est qualifiée de renaissance car il y eut alors une forte volonté de retourner aux textes antiques. Dans le présent article, après avoir précisé les conditions matérielles qui ont commandé la copie des écrits patristiques puis leur circulation dans le monde carolingien, on tente de mettre en lumière la fréquentation des Pères par les différents auteurs carolingiens. Mais, et c’est là le cœur de la question, les œuvres des Pères ne sont-elles pas employées par les clercs du ix (...) e siècle comme autant d’arguments dans les différentes polémiques qui les mettent aux prises? C’est ce qui justifierait leur copie. (shrink)

Alors que la guerre était associée au masculin, quelques femmes en France ont combattu au cours des guerres civiles des XVIe-XVIIe siècles ou ont servi dans les armées royales, qu’accompagnaient de plus de nombreuses civiles. Avec la Révolution française, le service dans la garde nationale et, moins directement, dans l’armée est lié à la citoyenneté. En réclamant le port des armes au sein de la garde nationale, des militantes révolutionnaires revendiquaient ainsi un des droits politiques du citoyen, ce qui provoqua (...) un ferme refus. Mues par le désir de défendre la République et de partager avec les hommes la gloire de se battre pour elle, des citoyennes s’engagèrent par ailleurs individuellement dans les armées, où elles continuèrent à servir après le décret du 30 avril 1793 qui les en chassait. Les demandes d’armement des militantes et les réponses qui leur sont apportées, ainsi que les histoires, les propos des soldates et les réactions qu’elles ont suscitées permettent d’analyser l’association entre masculin, armes et citoyenneté et d’étudier les mécanismes de l’exclusion des femmes des armées. (shrink)

In response to Adam’s concern that when one tries to articulate a moral commitment, the commitment is ‘falsified,’ I examine the importance of a particular articulation in the process of moral development and look for a way to engage in this articulation, while avoiding the pitfalls Adams identified. Via the example of moral formation, and more specifically, exemplarity, I show the role of articulation in moral growth. Moreover, I attempt to show that partial and imperfect articulation can lead to moral (...) growth. For if this articulation is understood as inherently partial, it does not fall into the pitfall of ‘falsification,’ nor other well-known pitfalls in the process of moral formation through exemplarity. (shrink)

. We start from the geometrical-logical extension of Aristotle’s square in [6,15] and [14], and study them from both syntactic and semantic points of view. Recall that Aristotle’s square under its modal form has the following four vertices: A is □α, E is , I is and O is , where α is a logical formula and □ is a modality which can be defined axiomatically within a particular logic known as S5 (classical or intuitionistic, depending on whether is involutive (...) or not) modal logic. [3] has proposed extensions which can be interpreted respectively within paraconsistent and paracomplete logical frameworks. [15] has shown that these extensions are subfigures of a tetraicosahedron whose vertices are actually obtained by closure of by the logical operations , under the assumption of classical S5 modal logic. We pursue these researches on the geometrical-logical extensions of Aristotle’s square: first we list all modal squares of opposition. We show that if the vertices of that geometrical figure are logical formulae and if the sub-alternation edges are interpreted as logical implication relations, then the underlying logic is none other than classical logic. Then we consider a higher-order extension introduced by [14], and we show that the same tetraicosahedron plays a key role when additional modal operators are introduced. Finally we discuss the relation between the logic underlying these extensions and the resulting geometrical-logical figures. (shrink)

De nombreuses répliques du satyre à l'outre conservé au musée du Caire étaient connues jusqu'à présent, provenant d'Alexandrie, de Syracuse, de Kertch et de Phanagoria. Il convient de leur joindre un nouvel exemplaire fragmentaire du musée du Louvre provenant d'Amisos. Il est probable que nous ayons affaire dans chaque cas à une fabrication locale. Un passage des Dionysiaca de Nonnos de Panopolis (XXIII, 148) permet sans doute de voir dans cet objet un satyre voguant sur son outre : en effet (...) les fantassins de Dionysos sont décrits traversant l'Hydaspe, confluent de l'Indus, sur des outres gonflées d'air, mode de navigation connu par ailleurs. On peut supposer que le prototype était un satyre en bronze (peut-être un ornement de fontaine), créé sous l'influence pergaménienne, à la fin du IIIe s. ou au début du IIe s. av. J.-C. à Alexandrie, où l'expédition d'Alexandre aux Indes avait été transposée en une épopée de Dionysos. Suffisamment célèbre, il a pu donner lieu à des répliques en terre cuite, à la fois à Alexandrie, et dans divers centres liés à cette cité. (shrink)

This paper investigates the literal, metaphorical and ideological implications of ‘hybrid’ texts/genres for criticism in general, and for the workshopping of creative work in particular. The question underlying this investigation concerns the place of poetic discourse in fictocriticism. This is consonant with my understanding of genre as ‘index and mark’ representing ‘the site of the nonsubstitutable positioning of the I and the you and of their modalities of expression’ and of poetic discourse as ‘an unsettling process … of identity of (...) meaning and speaking subject’. (shrink)

This paper investigates the literal, metaphorical and ideological implications of ‘hybrid’ texts/genres for criticism in general, and for the workshopping of creative work in particular. The question underlying this investigation concerns the place of poetic discourse in fictocriticism. This is consonant with my understanding of genre as ‘index and mark’ representing ‘the site of the nonsubstitutable positioning of the I and the you and of their modalities of expression’ and of poetic discourse as ‘an unsettling process … of identity of (...) meaning and speaking subject’. (shrink)

lack.” Lacan’s conception of Eros revolves around “a presentification of 1 It is my contention that King Lear invites a theoretical reading of kinship as such “presentification of lack.” Indeed, the dialectic of desire in the text derives from King Lear’s discovering that his own kingly signifier signifies nothing. This error of judgment, which stems from a confusion between desire and jouissance, leads him to misappropriate the rules of bothkingship and kinship. Interestingly enough, it is Cordelia, the daughter andsubject with (...) whom he is erotically involved, who brings home to him thetruth of his error. As an incestuous drama of signification, then, King Learnot only relates to the Phallus as master signifier, but also to the Name-ofthe-Father as referent of the law. Moreover, the truth Cordelia speaks is “a half-said” that leads to the “abolition of discourse”: muteness, madness anddeath. 2 Thus, if the violence implicit in the erotics of the play strikes at “the self-contained character of the participators,” it strikes first at the core of language. 3. (shrink)