Objective: To evaluate feasibility of the guidelines of the Groupe Francophone de Réanimation et Urgence Pédiatriques for limitation of treatments in the paediatric intensive care unit .Design: A 2-year prospective survey.Setting: A 12-bed PICU at the Hôpital Jeanne de Flandre, Lille, France.Patients: Were included when limitation of treatments was expected.Results: Of 967 children admitted, 55 were included with a 2-day median delay. They were younger than others , had a higher paediatric risk of mortality score , and a higher paediatric (...) overall performance category score at admission ; all p<0.002. 34 children died. A limitation decision was made without meeting for 7 children who died: 6 received do-not-resuscitate orders and 1 received withholding decision. Decision-making meetings were organised for 31 children, and the following decisions were made: 12 DNROs , 4 withholding , with 14 withdrawing and 1 continuing treatment . After limitation, 21 children died and 10 survived . 13 procedures were interrupted because of death and 11 because of clinical improvement . Parents’ opinions were obtained after 4 family conferences , 3 days after inclusion. The first meeting was planned for 6 days after inclusion and held on the 7th day after inclusion; 80% of parents were immediately informed of the decision, which was implemented after half a day.Conclusions: GFRUPs procedure was applicable in most cases. The main difficulties were anticipating the correct date for the meeting and involving nurses in the procedure. Children for whom the procedure was interrupted because of clinical improvement and who survived in poor condition without a formal decision pointed out the need for medical criteria for questioning, which should systematically lead to a formal decision-making process. (shrink)

After History, the Event ? Our aim in this article is to reflect on the reasons lying behind the current fascination with the concept of the event. A belief in the Event has taken the place of the belief in History. The concept of the Event in no sense constitutes a step beyond the metaphy-sical. It is, on the contrary, the new guise of the latter. Our initial aim is therefore to outline our hypothesis, placing it alongside other possible dia-gnoses. (...) We then seek to attempt the pragmatic validation of our argument concerning the concept of the Event, arguing that the advantage of our hypothesis is that it offers a more adequate account of our present historical moment, which may perhaps be qualified as merely the precarious conjunc-tion between the Event, Globalisation, and Memory. And so it is that, after History, our moment is that of the Event, understood as the categorical hypo-stasis of the event. As such, the concept is, we argue, one which is not to be celebrated too hastily, in case one were to end up howling with the wolves. (shrink)

Partisans et adversaires, acteurs et spectateurs de la Révolution française réfléchirent d’emblée celle-ci comme la mise en oeuvre, triomphale ou désastreuse, de la théorie — entendons la philosophie des « Lumières ». Ce faisant, ils s’enfermèrent dans une alternative — pour ou contre la théorie? — que l’on put tenter de forcer dans trois directions bien distinctes: 1) en substituant une théorie à une autre, aux droits de l’homme l’utilité (Bentham); 2) en instituant le pratique (das Praktische) au fondement de (...) la théorie elle-même (Fichte); 3) en déployant dans le temps nouveau de la perfectibilité indéfinie la réalisation de la théorie dans la pratique (Condorcet, Godwin, Fichte), toute la difficulté se focalisant alors dans la signification précise qu’il s’agissait d’accorder à l’épithète « indéfinie ». (shrink)

On amalgame souvent, sous le terme d' « échange », le sauvage du contrat social avec celui du marché. Il s'agit ici a contrario de les distinguer en montrant comment ces deux personnages répondent en réalité à deux modes d'argumentation tout à fait différents que les Lumières ont contraints à coexister selon des modalités très diverses. Or le syntagme moderne de« société civile» n'ajamais résorbé cette ambiguïté et nous trouvons là matière à bien des enseignements car cela permet de réfléchir (...) à la fois sur ce qu'est un« concept», une« historicité » et un « citoyen ». Méthodologie, anthropologie et politique apparaissent ainsi comme les trois horizons d'une analyse qui ne veut nullement réduire l'équivoque, mais bien plutôt en mesurer les richesses. (shrink)

Resumo: Neste artigo, procura-se evidenciar que a genealogia nietzschiana representa um conceito novo para a história da filosofia, que ela não deve ser confundida com a “filosofia histórica” de Humano, demasiado humano, mantendo antes uma identificação não utilitarista da história e da filosofia. Com isso, a genealogia dá origem a um tipo original de narrativa em que Nietzsche finalmente resolve satisfatoriamente uma de suas preocupações mais antigas, na medida em que a genealogia celebra o casamento da especulação e do empirismo (...) à igual distância da história dos historiadores, das filosofias da história e da pseudo-história dos empiristas.: This article aims to show that the Nietzschean genealogy represents a new concept for the history of philosophy, that it should not be confused with a historical philosophy, maintaining instead a non-utilitarian identification of history and philosophy. I show how it gives rise to an original type of narrative in which Nietzsche finally satisfactorily resolves one of his oldest concerns, as genealogy celebrates the marriage of speculation and empiricism at an equal distance from the history of historians, of the philosophies of history and pseudo-history of empiricists. (shrink)

The Two Principles of Liberalism. The aim of our article is to construct a substantive definition of liberalism. To do so, the article brings together two principles which are entirely distinct, both in historical and in logical terms. The first is the principle of lesser government, according to which the State should allow the individual to carry out those actions which the latter is best fitted to perform – and, to begin with, those actions where the individual’s own safety is (...) at stake. The second is the principle of differential government, which stipulates that liberty is only possible when several, heterogeneous systems of constraint – laws, morals, etc. – are simultaneously in operation. Liberalism, in the strict sense of the term, that is, understood as a body of thought which explicitly defined itself as such at the start of the nineteenth century, emerged from the encounter between these two principles. What is today called « neo-liberalism », that is, the subsumption of all modes of endeavour under the sole rule of economic exchange, thus proves to be the negation rather than the accomplishment of liberalism. (shrink)

The essay analyzes the conflict which opened after the French Revolution between public opinion and ideology. In this space of reflection the second seemed sometimes as the hidden face of the first one. Public opinion historically represented the institutionalization of the possibility of a disagreement on the legitimacy of the body politic. It has thus made possible a speech on the political detached from religion. As is clear from the controversy of Napoleon against the ideologues and the Marxian critique, ideology (...) does not get to be the science of social discourse and its alienation, to become a set of sophistry on social conditions. Discussing the arguments of Tocqueville, Bourdieu and Reynié about the deficit of reflexivity of public opinion, the author affirms its distance from the ideology, because it requires anyway an investment for religious believe his propositions. (shrink)

En France, Nietzsche fut un temps l'emblème oraculaire de toutes les subversions et son nom côtoyait couramment ceux d'Artaud et de Bataille. Puis vint l'âge de son académisation qui permit bien des avancées et où on lui attribua l'insigne mérite d'avoir élaboré un système tout à fait cohérent dont la reconstitution méticuleuse pouvait occuper toute une vie. Le présent ouvrage fait le pari que le moment est venu de mettre en avant un autre Nietzsche, celui d'un philosophe dont l'oeuvre obéit (...) à une dynamique originale où s'enchevêtrent des registres dont l'homogénéité ne va pas de soi. C'est le concept d'historicité qui est mobilisé à cette fin. Le passé lointain auquel doit régresser le savoir généalogique ; la réitération indéfinie du même présent que la sagesse de l'éternel retour doit inciter à vouloir ; le futur un peu brumeux de très long terme auquel doit oeuvrer le véritable créateur : trois temps, trois registres et trois problèmes aussi - objectivité, répétition, évolution. On ne doit pas trop vite présumer que ces trois discours n'en font qu'un. Au contraire : toute la difficulté est de savoir comment tirer ensemble ces fils, si seulement il faut les nouer et si oui, selon quelles modalités qui ne sont pas forcément celles du système. On peut encore dire ce qui précède autrement : si Dieu est mort et si Nietzsche s'est efforcé à tout prix de conjurer la posture du prêtre, le lecteur doit en tirer les conséquences. Interpréter, c'est ruminer, pas refermer. (shrink)

Le présent volume conjoint deux grands soucis, en droit distincts. Le premier est méthodologique. Il vise à élaborer ce qui n'existe ni en France ni ailleurs, à savoir une histoire comparée des philosophies. Par là, il faut entendre une histoire qui brouille les partages universitaires et reconstruit ses objets propres par les voies expérimentales auxquelles les vrais historiens sont accoutumés depuis longtemps. C'est alors l'activité philosophique elle-même qui apparaît autrement, dans la singularité de pratiques nationales qui l'effectuent toujours dans une (...) conjoncture donnée. L'Europe spirituelle n'existe pas. La seconde préoccupation ordonnant ces analyses est anthropologique. Elle se présente comme une histoire polémique des historicités observables de Vico à aujourd'hui, où l'Événement est devenu la pierre philosophale. On y comprend mieux comment les hommes, pour simplement vivre, doivent s'installer dans un temps donné. Ils y nouent présent, passé et futur selon des modalités indéfiniment variables, mais toujours illusoires ainsi se définit chaque époque. L'Histoire universelle n'existe pas. Dans ces pages, il n'existe donc que des philosophies comme il n'existe que des historicités. On n'y proclame pas la mort de Dieu : soyons plutôt polythéistes! (shrink)

Religion privée, Opinion publique, ouvrage consacré à l’examen de la formation du syntagme « opinion publique », maître mot ou concept?, exige beaucoup de son lecteur. Cela tient d’une part au caractère particulièrement resserré du propos : en un espace relativement restreint se trouve concentrée une grande quantité de références empruntées à des horizons très divers, convoquées en vue d’éclairer la notion d’opinion publique, qui est ainsi replacée dans son devenir effectif, et non traitée f...

Comment devient-on philosophe? Par quel sursaut un Aristoclès se fait-il Platon, jusqu'à s'imposer dans la liste des " auteurs philo " Il faut enquêter, non pas sur la vie privée, mais sur la vie intime : rumination intellectuelle, ton sur lequel on parle, motivations amoureuses... Ce qui fait un philosophe, c'est un immense travail sur soi, et la rencontre d'autres philosophes, vivants, de leurs problématiques. Mémoire sémantique + obsession métaphysique, voilà le code génétique du philosophe. Il débute par un attentat (...) religieux, puisqu'il commence sa carrière en niant tel ou tel sacré. Bien sûr, il vaut mieux être mâle, communiquer par les livres adopter la langue dominante, écrire quand on est célibataire. Comment gagner sa vie? Pas forcément en étant enseignant, comme c'est le cas aujourd'hui. Le profil du philosophe nous le révèle orphelin, vivant à l'étranger, souvent laid, jamais fou, et serial thinker, prêt à changer de philosophie pourvu qu'il reste, lui, à menacer le monde donnera ou donnera pas du sens à notre vie? Le philosophe est l'être inquiet qui pense inquiéter l'Être par deux trois mots bien aiguisés. (shrink)

While there are numerous doubts, controversies and lack of consensus on alternative definitions of human death, it is argued that it is more ethical to allow people to choose either cessation of cardio-respiratory function or loss of entire brain function as the definition of death based on their own views. This paper presents the law of organ transplantation in Japan, which allows people to decide whether brain death can be used to determine their death in agreement with their family. Arguably, (...) Japan could become a unique example of individual choice in the definition of death if the law is revised to allow individuals choose definition of death independently of their family. It suggests that such an approach is one of the reasonable policy options a country can adopt for legislation on issues related to the definition of death. (shrink)

Extraterrestrial Altruism examines a basic assumption of the Search for Extraterrestrial Intelligence (SETI): that extraterrestrials will be transmitting messages to us for our benefit. This question of whether extraterrestrials will be altruistic has become increasingly important in recent years as SETI scientists have begun contemplating transmissions from Earth to make contact. Technological civilizations that transmit signals for the benefit of others, but with no immediate gain for themselves, certainly seem to be altruistic. But does this make biological sense? Should we (...) expect altruism to evolve throughout the cosmos, or is this only wishful thinking? Is it dangerous to send messages to other worlds, as Stephen Hawking has suggested, or might humankind benefit from an exchange with intelligence elsewhere in the galaxy? Would extraterrestrial societies be based on different ethical principles, or would we see commonalities with Earthly notions of morality? Extraterrestrial Altruism explores these and related questions about the motivations of civilizations beyond Earth, providing new insights that are critical for SETI. Chapters are authored by leading scholars from diverse disciplines—anthropology, astronomy, biology, chemistry, computer science, cosmology, engineering, history of science, law, philosophy, psychology, public policy, and sociology. The book is carefully edited by Douglas Vakoch, Director of Interstellar Message Composition at the SETI Institute and professor of clinical psychology at the California Institute of Integral Studies. The Foreword is by Frank Drake. This interdisciplinary book will benefit everybody trying to understand whether evolution and ethics are unique to Earth, or whether they are built into the fabric of the universe. (shrink)

How (Not) to Be Secular is what Jamie Smith calls "your hitchhiker's guide to the present" -- it is both a reading guide to Charles Taylor's monumental work A Secular Age and philosophical guidance on how we might learn to live in our times. Taylor's landmark book A Secular Age (2007) provides a monumental, incisive analysis of what it means to live in the post-Christian present -- a pluralist world of competing beliefs and growing unbelief. Jamie Smith's book is a (...) compact field guide to Taylor's insightful study of the secular, making that very significant but daunting work accessible to a wide array of readers. Even more, though, Smith's How (Not) to Be Secular is a practical philosophical guidebook, a kind of how-to manual on how to live in our secular age. It ultimately offers us an adventure in self-understanding and maps out a way to get our bearings in today's secular culture, no matter who "we" are -- whether believers or skeptics, devout or doubting, self-assured or puzzled and confused. This is a book for any thinking person to chew on. (shrink)

Introduction: Conversion and the practice of transformation -- The philosophical structure of Jonathan Edwards's religious affections -- Habit, habit change, and conversion in C.S. Peirce -- Reconstructing faith : religious overcoming in Dewey's pragmatism -- Transforming obligation in William James -- Dwelling in absence: the reflective origin of conversion -- Creative transformation : the work of conversion -- The evasion of conversion in recent American philosophy.

Ludwig Wittgenstein (1889-1951) was an extraordinarily original thinker, whose influence on twentieth-century thinking far outside the bounds of philosophy alone. In this engaging Introduction, A.C. Grayling makes Wittgenstein's thought accessible to the general reader by explaining the nature and impact of Wittgenstein's views. He describes both his early and later philosophy, the differences and connections between them, and gives a fresh assessment of Wittgenstein's continuing influence on contemporary thought.

Background: The magnitude of bullying and harassment among psychiatrists is reportedly high, yet no peer-review published studies addressing this issue could be found. Therefore, it was decided to conduct a pilot study to assess the degree of the problem, the types of bullying/harassment and to provide some insights into the situation.Methods and Principal Findings: Following multiple focus group meetings, a yes/no response type questionnaire was developed to assess the degree and type of bullying and harassment experienced by psychiatrists. Over a (...) 3-month period the questionnaire was administered to a random sample of 60 psychiatrists. 57 out of the 60 psychiatrists reported harassment and bullying. Frequencies of the following response variables are presented in descending order: rumours 40% ; defamation 20% ; passing remarks 20% ; false accusations 15% ; threats 13.3% ; verbal abuse 13.3% ; unjustified complaints 13.3% ; promotion blocked 13.3% ; humiliation 13% ; bad reference given 10% ; credentials questioned 8.3% ; physical attacks 5% ; termination 5% ; derogatory remarks 1.7% and 1.7% were subjected to personal work. As a result of being subjected to harassment, 66.7% of the psychiatrists did not take any action, whereas 33.3% confronted the person they believed responsible. Asked whether the bullying and harassment caused distress, 18.3% of the psychiatrists did not report any effect, 30% reported mild distress, 40% moderate distress and severe distress was reported by 11.7%.Conclusions: It was concluded that the magnitude of bullying and harassment among psychiatrists may be quite high, as evidenced by this pilot study. There is a need for extensive systematic studies on this subject and to establish strategies to prevent and address this issue at a national and regulatory level. (shrink)

The urgency of the research topic is that the theoretical and methodological principles of psychology of managerial activity of the head in the conditions of the information society help to increase the levers of management and guidance. The purpose of management - the receipt of the desired result, which must be obtained after the actions of the management of the head as the main operating force, which is heading for transformations, tries to increase the self-governing principle in the organization. The (...) problem of research is that for effective management it is necessary to develop reliable mechanisms for the identification and development of manager's abilities, to increase the level of professionalism and competence of the head to the highest level, so that the management organism does not disorient. A person who works as a specialist, a professional, a competent person can be qualified to carry out the work of a manager. The hypothesis is put forward that the manager of a high level of professionalism and competence is able to form the psychological foundations of the organization, so that it worked as a single social organism. The task of the research is to analyze the psychological foundations of management activity in the conditions of the information society, which would allow the most optimal management of a particular organization. The methodological foundations of the psychology of management as the basis of effective leadership include methods of cultural development, which are used to solve the problems of organization, the formation of psychological culture, devoid of conflicts, contradictions, disasters. Methodological basis of scientific research of psychological principles of administrative activity as the basis of effective management are methods, such as system, structural, structural-functional, historical, comparative, which allow to achieve a higher level of organization and self-organization at the expense of skilful leadership. Therefore, the manager must use the whole set of methods, techniques, algorithms of actions, techniques, methods of achieving certain results that will lead to the management of a high level. It is concluded that the determinants of the optimization of the managerial psychology of the head is a model aimed at regulating relationships, which would use the resources of the information society, which is based on high information provision for improving the efficiency of management work. (shrink)