BackgroundInformed consent is a key element of ethical clinical research. Addicted population may be at risk for impaired consent capacity. However, very little research has focused on their comprehension of consent forms. The aim of this study is to assess the capacity of addicted individuals to provide consent to research.Methods53 subjects with DSM-5 diagnoses of a Substance Use Disorder and 50 non psychiatric comparison subjects participated in the survey from December 2014 to March 2015. This cross-sectional study was carried out (...) at a community-based Outpatient Treatment Center and at an urban-located Health Centre in Spain. A binary judgment of capacity/incapacity was made guided by the MacArthur Competence Assessment Tool for Clinical Research and a clinical interview. Demographics and clinical characteristics were assessed by cases notes and the Mini-Mental State Examination, the Global Assessment Functional Scale and the Clinical Global Impression Scale.ResultsNPCs performed the best on the MacCAT–CR, and patients with SUD had the worst performance, particularly on the Understanding and Appreciation subscales. 32.7 % SUD people lacked research-related decisional capacity. There were no statistically significant differences between the groups in terms of capacity to consent to research.ConclusionsThe findings of our study provide evidence that a large proportion of individuals with SUD had decisional capacity for consent to research. It is therefore inappropriate to draw conclusions about capacity to make research decisions on the basis of a SUD diagnosis. In the absence of advanced cognitive impairment, acute withdrawal or intoxication, we should assume that addicted persons possess decision-making capacity. Thus, the view that people with SUD would ipso facto lose decision-making power for research consent is flawed and stigmatizing. (shrink)

Spain’s Roma community has its own cultural and moral values. These values influence the way in which end-of-life decision-making is confronted. The objective of this study was to explore the perspective of Roma women on end-of-life decision-making. It was a qualitative study involving thirty-three Roma women belonging to groups for training and social development in two municipalities. We brought together five focus groups between February and December 2012. Six mediators each recruited five to six participants. We considered age and care (...) role to be the variables that can have the most influence on opinion regarding end-of-life decision-making. We considered the discussion saturated when the ideas expressed were repeated. Data analysis was carried out according to five steps: describing, organizing, connecting, corroborating/legitimating, and representing the account. The main ideas gleaned from the data were as follows: the important role of the family in end-of-life care, especially the role of women; the large influence of community opinion over personal or family decisions, typical of closed societies; the different preferences women had for themselves compared to that for others regarding desired end-of-life care; unawareness or rejection of advance directives. Roma women wish for their healthcare preferences to be taken into account, but “not in writing.” The study concluded that the success of end-of-life healthcare in Roma families and of their involvement in the making of healthcare decisions depends upon considering and respecting their idiosyncrasy. (shrink)

An accessible analysis of the global expansion of financial markets in poor communities, incorporating the latest thinking and evidence.

We present the dossier “Studies of Childhood: movements, limits and frontiers”, a theme discussed in the III Brazilian Congress Childhood Studies (CEI). The Congress was organized by members of the Department of Childhood Studies (DEDI) and the Graduate Program in Education (ProPEd) of the State University of Rio de Janeiro. The articles that compose the dossier review the debates that took place during the event in the fields of education, international relations, and ethno-racial issues. In this presentation, inspired by Mario (...) Benedetti's poem “The Bridge”, we explore the power of three words to think about childhood and the relationship we establish with children: borders, strangeness and movements. How many borders do childhood and children cross into the political, cultural, social, and biological order of life? Which movements or changes do they produce, reproduce, and spread? How to destrange childhood, in the sense of challenging the actions and discursive productions that promote exclusions of various forms? Which movements – in the field of research and in society in general – are instituted to encourage the agency of childhood? Starting from the idea that both our culture and our subjectivity are constituted in the relationship between an interior and an exterior that are placed in tension, we draw on philosophy, literature, psychoanalysis, and cultural studies to explore these questions. In this dossier, the texts compose a set that dialogues with the philosophy of childhood and goes beyond conceptual and methodological limits, in the sense of making moves to understand children and childhood through their perspectives, actions, languages and positions, in an objective and subjective form. (shrink)

El objetivo fundamental de este artículo está dirigido a valorar las funciones de la intertextualidad en la construcción del espacio insular caribeño en WideSargasso Sea, de la escritora dominiquesa Jean Rhys. Por tal motivo se analizaron las relaciones intertextuales entre Jean Eyre, de Charlotte Brontë, y Wide Sargasso Sea, de Jea Rhys, con énfasis en la isla en tanto espacio literario presentado de manera explícita. Como resultado se pudo constatar que la principal función de la intertextualidad en dicho texto responde (...) a la intención calibanesca y desmitificadora de desmonte de los arquetipos en los que la imagen del otro ha sido construida en el discurso del poder. De igual manera, el presente análisis permite develar la riqueza de las connotaciones otorgadas en el texto al espacio isla y a sus significados añadidos. La red de significaciones encontradas refuerza su identidad cultural caribeña. (shrink)

The contributions of the Anthropology could be significant for the Penal Law as long as some epistemological criteria could be settled down. Today we lack of these criteria or are simple outlined. This article tries to outline some of these epistemological axes that would allow a better use of th..

Sarlo expone algunos aspectos de la vida y obra de Walter Benjamin Para imbricarlos en el pensamiento contempor neo. Se ocupa tanto de la huida de Walter Benjamin del r gimen nazi y su suicidio en la frontera, como de su resistencia a los requisitos acad micos. a partir de un m todo compositivo, de una elecci n y uso at picos de los materiales, y de la relaci n entre cr tica de arte y filosof a, Sarlo propone leer (...) a este estudioso alem n. (shrink)

The aim of this paper is twofold: (1) to assess whether the construct of neural representations plays an explanatory role under the variational free-energy principle and its corollary process theory, active inference; and (2) if so, to assess which philosophical stance - in relation to the ontological and epistemological status of representations - is most appropriate. We focus on non-realist (deflationary and fictionalist-instrumentalist) approaches. We consider a deflationary account of mental representation, according to which the explanatorily relevant contents of neural (...) representations are mathematical, rather than cognitive, and a fictionalist or instrumentalist account, according to which representations are scientifically useful fictions that serve explanatory (and other) aims. After reviewing the free-energy principle and active inference, we argue that the model of adaptive phenotypes under the free-energy principle can be used to furnish a formal semantics, enabling us to assign semantic content to specific phenotypic states (the internal states of a Markovian system that exists far from equilibrium). We propose a modified fictionalist account: an organism-centered fictionalism or instrumentalism. We argue that, under the free-energy principle, pursuing even a deflationary account of the content of neural representations licenses the appeal to the kind of semantic content involved in the aboutness or intentionality of cognitive systems; our position is thus coherent with, but rests on distinct assumptions from, the realist position. We argue that the free-energy principle thereby explains the aboutness or intentionality in living systems and hence their capacity to parse their sensory stream using an ontology or set of semantic factors. (shrink)

Based on the theoretical reconstruction of neglected post-WWI writings and political action of W. E. B. Du Bois, this volume offers a normative account of transnational cosmopolitanism. Pointing out the limitations of Kant's cosmopolitanism through a novel contextual account of Perpetual Peace, Transnational Cosmopolitanism shows how these limits remain in neo-Kantian scholarship. Inés Valdez's framework overcomes these limitations in a methodologically unique way, taking Du Bois's writings and his coalitional political action both as text that should inform our theorization (...) and normative insights. The cosmopolitanism proposed in this work is an original contribution that questions the contemporary currency of Kant's canonical approach and enlists overlooked resources to radicalize, democratize, and transnationalize cosmopolitanism. (shrink)

In this paper we propose a pragmatic approach to the evolution of language based on analysis of a particular element of human communication: discourse coherence. We show that coherence is essential for effective communication. Through analysis of a collection of neuropsychological and neurolinguistic studies, we maintain that the proper functioning of executive processes responsible for planning and executing actions plays a key role in the construction of coherent discourses. Studies that tested the discursive and conversational abilities of bonobos have showed (...) that apes are unable to construct a flow of discourse governed by coherence, and therefore, apes’ conversational interactions are quite different from those of humans. We then propose that the emergence of coherence in communication occurred after the split between great apes’ and humans’ lines of descendants and that this emergence might have been the result of a specific gradual development in the course of hominin evolution of the executive functions. (shrink)

Este trabajo analiza la situación laboral de los trabajadores inmigrantes de origen extranjero en las áreas rurales vascas. Un escenario que se aleja en gran medida de la ruralidad más decadente y muestra un espacio social y económico dinámico. Asumiendo la motivación laboral como factor de asentamiento de la población inmigrante en este territorio, se establece un análisis estadístico comparativo entre la población inmigrante y la población local en relación con los principales indicadores de trabajo y las actividades económicas en (...) las que se insertan ambos colectivos. Los resultados reflejan una realidad laboral fragmentada, que permite identificar dos mercados de trabajo paralelos en función de su desigual vinculación con el empleo. Esta posición más inestable de la población inmigrante en los mercados de trabajo rurales los convierte en actores más frágiles y vulnerables, poniendo en peligro su capacidad de arraigo en estas zonas. (shrink)

Adolescence is a period of several changes and a time when young people are confronted with some difficult tasks of dealing with a diversity of emotions and building their own identity. Therefore, it is a period of higher vulnerability for the development of internalizing problems. The present paper aims to study some constructs considered relevant to adolescents’ adjustment and/or internalizing disorders, emphasizing the role of well-being, emotional regulation and family environment. Therefore, this research aims to test the mediating role of (...) well-being in the relationship between emotional regulation difficulties, the family environment, and internalizing problems, and understand the differences between adolescents with a higher and lower risk of presenting internalizing problems. In the study, 723 adolescents of both sexes from middle to high school completed self-report questionnaires. The results indicated that the mediating role of well-being was partially established between emotional regulation difficulties and internalizing problems, explaining 31% of the variance in these problems. Well-being was also considered a partial mediator between family environment and internalizing problems, explaining 19 and 26% of the variance, respectively. Furthermore, the group with a higher risk of developing internalizing problems revealed higher levels of emotional regulation difficulties and family conflict. In contrast, this group reported less family cohesion and support and lower levels of well-being. The main results of the present study provide relevant data in the context of clinical practice. Important implications are also discussed for the design of psychopathology prevention programs and the promotion of global well-being with adolescents. Considering the limitations of the present study, such as the nonrandom sampling process and the reduced number of participants included in the clinical group, these results need to be deepened in future research in this area. (shrink)

This paper explores Kant’s concept of dignity to claim that animals deserve moral consideration. The central notion in the paper is of that of “moral game,” a hypothetical scenario that illustrates our obligations to cooperate with rational agents and the natural world. This game displays how rational agents can collaborate with non-rational animals despite their inability to engage in reciprocal legislation. From reflection on what this game shows and by introducing a notion of “deep dignity,” I argue that rational beings (...) have a duty to respect the moral status of non-human creatures through indirect moral rights. (shrink)

A partir de la propuesta de investigación participativa se indaga sobre la temática de la inclusión educativa de estudiantes con discapacidad y/o en situación de desventaja educativa; se sustenta en el paradigma social para comprender el concepto de discapacidad y, nos involucramos en esta perspectiva, para mirar al sujeto en relación al contexto y cómo el contexto determina la situación del sujeto. Sostenemos tres claves desde en el marco teórico de la educación inclusiva “presencia, participación y aprendizaje”. El objetivo desafiante (...) es lograr mayor eficacia en los procesos de aprendizaje y desarrollo del alumnado con discapacidad, procesos que exigen de educadores la comprensión de aspectos teóricos y metodológicos que fundamentan la práctica educativa cotidiana y guían la labor que despliegan con sus educandos. Sumamos la teoría socio histórica que nos brinda los fundamentos teóricos para sustentar con vehemencia que la inclusión es posible si, desde una posición de pedagogía crítica comprendemos la singularidad de la naturaleza social, histórica y cultural que abraza el hecho educativo. (shrink)

This edited book deepens the engagement between 21st century philosophy of mind and the emerging technologies which are transforming our environment. Many new technologies appear to have important implications for the human mind, the nature of our cognition, our sense of identity and even perhaps what we think human beings are. They prompt questions such as: Would an uploaded mind be 'me'? Does our reliance on smart phones, or wearable gadgets enhance or diminish the human mind? and: How does our (...) deep reliance upon ambient artificial intelligence change the shape of the human mind? Readers will discover the best philosophical analysis of what current and near future 21st technology means for the metaphysics of mind. Important questions are addressed on matters relating to the extended mind and the distributed self. Expert authors explore the role that the ubiquitous smart phone might have in creating new forms of self-knowledge. They consider machine consciousness, brain enhancement and smart ambient technology, and what they can tell us about phenomenal consciousness. While ideas of artificial general intelligence, cognitive enhancements and the smart environment are widely commented on, serious analysis of their philosophical implications is only getting started. These contributions from top scholars are therefore very timely, and are of particular relevance to students and scholars of the philosophy of mind, philosophy of technology, computer science and psychology. (shrink)

Admiration and adoration have been considered as emotions with the power to change people, yet our knowledge of the specific nature and function of these emotions is quite limited. From an interdisciplinary perspective, we present a prototype approach to admiration and what has variously been labelled adoration, worship, or reverence. Both admiration and adoration contribute to the formation of personal and collective ideals, values, and identities, but their workings differ. We offer a detailed theoretical account of commonalities and differences in (...) the appraisal patterns and action tendencies associated with the two emotions. This analysis reveals that admiration motivates the internalisation and emulation of ideals embodied by an outstanding role model. Adoration motivates adherence to the teachings and expectations of a meaning maker and benefactor perceived as superhuman or sacred. Thus, the primary function of admiration is to promote individual learning and change, whereas adoration primarily serves to bind communities together. (shrink)

One of the criteria to a strong principle in natural sciences is simplicity. This paper claims that the Free Energy Principle (FEP), by virtue of unifying particles with mind, is the simplest. Motivated by Hilbert’s 24th problem of simplicity, the argument is made that the FEP takes a seemingly mathematical complex domain and reduces it to something simple. More specifically, it is attempted to show that every ‘thing’, from particles to mind, can be partitioned into systemic states by virtue of (...) self-organising symmetry break, i.e. self-entropy in terms of the balance between risk and ambiguity to achieve epistemic gain. By virtue of its explanatory reach, the FEP becomes the simplest principle under quantum, statistical and classical mechanics conditions. (shrink)

This aim of this paper is two-fold: it critically analyses and rejects accounts blending active inference as theory of mind and enactivism; and it advances an enactivist-dynamic understanding of social cognition that is compatible with active inference. While some social cognition theories seemingly take an enactive perspective on social cognition, they explain it as the attribution of mental states to other people, by assuming representational structures, in line with the classic Theory of Mind. Holding both enactivism and ToM, we argue, (...) entails contradiction and confusion due to two ToM assumptions widely known to be rejected by enactivism: that social cognition reduces to mental representation and social cognition is a hardwired contentful ‘toolkit’ or ‘starter pack’ that fuels the model-like theorising supposed in. The paper offers a positive alternative, one that avoids contradictions or confusion. After rejecting ToM-inspired theories of social cognition and clarifying the profile of social cognition under enactivism, that is without assumptions and, the last section advances an enactivist-dynamic model of cognition as dynamic, real-time, fluid, contextual social action, where we use the formalisms of dynamical systems theory to explain the origins of socio-cognitive novelty in developmental change and active inference as a tool to demonstrate social understanding as generalised synchronisation. (shrink)

The text develops reflections about the appropriation of the Internet by common people, distinguishing the pragmatic possibilities of the language in the organization of social nets and in the speakers’ congregation. Two empiric cases are emphasized to discuss the aesthetic and ethical dimensions in the interactions, as well as to point communicative competences requested to the persons.

El aprendizaje cooperativo aplicado en la clase de ILE (inglés como lengua extranjera) mejora el desarrollo de habilidades fundamentales en el alumnado y la competencia lingüística. Se presenta un trabajo de experimentación comparativa exploratoria que parte de la hipótesis de que el aprendizaje cooperativo (método jigsaw) podría ser conveniente para trabajar la escritura académica. Las conclusiones corroboran esta hipótesis ya que se obtienen resultados más favorables en el grupo experimental donde se aplicó el aprendizaje cooperativo. Se discuten las implicaciones educativas (...) prácticas dirigidas a las propuestas metodológicas para mejorar la escritura académica de inglés como lengua extranjera en enseñanza universitaria. (shrink)

Esta herramienta didáctica con tecnología de realidad aumentada ha aparecido recientemente como un nuevo recurso en los últimos años. En esta investigación cualitativa pretendemos conocer qué percepciones obtienen 72 futuros docentes de Educación Infantil una vez que experimentan por sí mismos estos formatos digitales multimodales. Entre las conclusiones, consideran que el cuento de RA es una herramienta multimodal con muchas cualidades, apta para ser introducida a los infantes, jugando un papel motivador para el desarrollo de la lectura. Además, estos cuentos (...) en 3D hacen que los niños aprendan mientras se divierten. (shrink)

ARISTOTLE'S Ethics are not focused on a group of moral principles; they are developed from the affirmation of an end which subordinates all human activities. This end is sought for itself and is called "the good and the best".

Nossa intenção neste artigo é mostrar como Claude Lefort concebe a democracia como, mais do que um regime político, uma forma histórica privilegiada por ser aquela em que a sociedade se exprime politicamente sem anular um elemento fundamental para a preservação de sua liberdade: o conflito. Para tanto, partimos dos estudos lefortianos sobre Maquiavel para investigar como o autor extrai do republicanismo o sentido dessa conflitualidade fundamental e como ele vê nessa forma política a gestação de uma mutação histórica decisiva: (...) o esvaziamento do lugar do poder. (shrink)

Michel Foucault, no curso Em defesa da sociedade, explica a relação entre o biopoder e o racismo. Dentre as modalidades de racismo praticadas desde o século XIX, Foucault inclui o socialismo, sendo que neste há um racismo de tipo evolucionista, biológico, que funciona plenamente em relação aos doentes mentais, aos criminosos, aos adversários políticos etc., que foi necessário sempre que o socialismo teve de insistir no problema da luta contra o inimigo e da eliminação do adversário no interior da sociedade (...) capitalista, e apareceu porque foi a única maneira, nesse caso, de pensar uma razão para matar o adversário. Por outro lado, Maurice Merleau-Ponty publicou, em 1947, o livro Humanismo e Terror, no qual invoca o problema da violência praticada pela União Soviética, pondo em evidência a teoria e a prática da violência pelo regime comunista. Para Merleau-Ponty, quando se vive numa época em que a base tradicional de uma sociedade se destrói e o homem deve reconstruí-la e reconstruir também as relações humanas, a liberdade de cada um desaparece e a violência aparece. Isso seria como foi o princípio do comunismo, com Lênin. O que Merleau-Ponty questiona é se a violência praticada em 1947 pelo mesmo regime tem o mesmo sentido que tinha no leninismo. O objetivo deste trabalho é verificar se há e quais são os pontos de toque entre a visão foucaultiana do racismo de Estado praticado pela URSS e a violência revolucionária identificada por Merleau-Ponty na mesma URSS. (shrink)

Zadie Smith’s latest novel, NW, presents a multiverse in which multiplicity is driven into homogeneization by the forces of those dominant discourses that attempt to suppress the category of the “Other.” This paper focuses on the development of the two female protagonists. Their opposing attitudes towards motherhood, together with their confrontation with their origins, bring to the fore the performativity found in the discourses of gender, sexuality, class, and race. Thus, this paper will explore authenticity and performativity in a contemporary (...) context, where patriarchal and neocolonial discourses still apply. (shrink)

The relationship between Kurt Lewin and Lev S. Vygotsky is important for many methodological questions raised by the two psychologists such as distinguishing a genetic and an accidental event type. The concept of „Gestalt“ is another important issue. The present article analyzes and contextualizes the significance of this concept in their discussions since they met in Berlin in 1925. It can be shown that a difference between Lewin’s and Vygotsky’s approach becomes salient in the ways they refer to Gestalt theory (...) as a holistic approach. While Lewin understands the here-and-now of situation in which an event occurs as depending on the present field forces as a whole, Vygotsky agrees largely with Lewin’s postulate to consider all field forces, but then moves on from the field as an originally spatial model to introduce a semantic model. According to Vygotsky this is necessary to theorize fluidity and flexibility in behavior and thus to understand the necessary psychologically preconditions for free will and independency. (shrink)

This essay brings together political theories of empire and racial capitalism to clarify the entanglements between socialist and imperial discourse at the turn of the twentieth century. I show that white labor activists and intellectuals in the United States and the British settler colonies borrowed from imperial scripts to mark non-white workers as a threat. This discourse was thus both imperial and popular, because it absorbed the white working class into settler projects and enlisted its support in defense of imperial (...) logics of labor control. While white workers’ demands of enfranchisement were part of a transnational imagination that was both imperial and narrowly emancipatory, this discourse reemerged as one of popular sovereignty and found channels and paths to institutionalization through national states. These institutional formations arose out of the encounter between capitalists interested in facilitating mobility of racialized laboring subjects around the globe, elite projects invested in sheltering settler spaces, and white workers concerned with protecting their own labor from competition by excluding exploitable non-white workers. White labor’s embrace of racial prejudice and the exclusion of workers of color created segregated labor spaces that fit neatly with both capitalist goals of labor control and the protection of the settler status of emerging polities. Bringing to the forefront the imperial genealogy of popular sovereignty and immigration control disrupts liberal political theory frameworks that condemn restrictions as well as those that find migration restrictions permissible. The analysis also illuminates contemporary immigration politics. (shrink)

Advancing a radically enactive account of cognition, we provide arguments in favour of the possibility that cultural factors permeate rather than penetrate cognition, such that cognition extensively and transactionally incorporates cultural factors rather than there being any question of cultural factors having to break into the restricted confines of cognition. The paper reviews the limitations of two classical cognitivist, modularist accounts of cognition and a revisionary, new order variant of cognitivism – a Predictive Processing account of Cognition, or PPC. It (...) argues that the cognitivist interpretation of PPC is conservatively and problematically attached to the idea of inner models and stored knowledge. In abandoning that way of understanding PPC, it offers a radically enactive alternative account of how cultural factors matter to cognition – one that abandons all vestiges of the idea that cultural factors might contentfully communicate with basic forms of cognition. In place of that idea, the possibility that culture permeates cognition is promoted. (shrink)

In European science and technology policy, various styles have been developed and institutionalised to govern the ethical challenges of science and technology innovations. In this paper, we give an account of the most dominant styles of the past 30 years, particularly in Europe, seeking to show their specific merits and problems. We focus on three styles of governance: a technocratic style, an applied ethics style, and a public participation style. We discuss their merits and deficits, and use this analysis to (...) assess the potential of the recently established governance approach of ‘Responsible Research and Innovation’. Based on this analysis, we reflect on the current shaping of RRI in terms of ‘doing governance’. (shrink)

This article explores the distinctions among European peoples’ character established in Kant’s anthropology and their connection with his politics. These aspects are neglected relative to the analysis of race between Europeans and non-Europeans, but Kant’s anthropological works portray the people of Mediterranean Europe as not capable of civilization because of the dominance of passion in their faculty of desire, which he ties to ‘Oriental’ influences in blood or government. Kant then superimposes this racialized anthropology over the historical geopolitics of Europe, (...) obscuring the indebtedness of Northern European trade dominance to Mediterranean historical tactics and financial wealth. By relegating the Mediterranean to the margins and dismissing contentious commercial exchange in the region as mere violence spearheaded by North African corsairs, Kant gives us an elitist cosmopolitanism unable to cope with hierarchy and inequality, diminishing its potential for egalitarian global projects today. (shrink)

When someone masters a skill, their performance looks to us like second nature: it looks as if their actions are smoothly performed without explicit, knowledge-driven, online monitoring of their performance. Contemporary computational models in motor control theory, however, are instructionist: that is, they cast skillful performance as a knowledge-driven process. Optimal motor control theory, as representative par excellence of such approaches, casts skillful performance as an instruction, instantiated in the brain, that needs to be executed—a motor command. This paper aims (...) to show the limitations of such instructionist approaches to skillful performance. We specifically address the question of whether the assumption of control-theoretic models is warranted. The first section of this paper examines the instructionist assumption, according to which skillful performance consists of the execution of theoretical instructions harnessed in motor representations. The second and third sections characterize the implementation of motor representations as motor commands, with a special focus on formulations from OMCT. The final sections of this paper examine predictive coding and active inference—behavioral modeling frameworks that descend, but are distinct, from OMCT—and argue that the instructionist, control-theoretic assumptions are ill-motivated in light of new developments in active inference. (shrink)

BackgroundCurrently, most people who might need mental health care services do not receive them due to a number of reasons. Many of these reasons can be overcome by telepsychology, in other words, the use of ICT technologies for therapy ; given that it facilitates access to specialized interventions. In fact, telepsychology is currently offered as an active service in many psychotherapy centers. However, its usage, how it is perceived, and who uses it are still largely unknown.ObjectiveThe aim of this study (...) was to determine if any pattern exists in the usage of telepsychology and face-to-face psychology, to clarify people’s perception of telepsychology in terms of the advantages, barriers and efficacy of online psychotherapy, and to examine usage patterns in terms of individual characteristics and identify patients’ profiles.MethodsAn online survey was conducted on a convenience sample of 514 subjects recluted by using an online advertisement. The inclusion criteria were: to be older than 18 years old and to answer completely the questionnaire. Cluster analysis, ANOVAs, and discriminant analysis were performed to test our research objectives.ResultsThree usage clusters were found: face-to-face psychotherapy ; non-therapy ; and combined face-to-face psychotherapy and telepsychology. In addition, the perception of telepsychology varied among usage clusters, but a common perception emerged about the main telepsychology advantages, barriers and efficacy. Finally, the results showed that personal characteristics differentiated people in each of these clusters.ConclusionThe most common form of access to psychotherapy is the face-to-face form but the second way of delivery was a combination between face to face and online psychotherapy. People who combine face to face with online psychotherapy perceives this last as more efficient and with less barriers to access. Finally, some characteristic as eHealth experience and sociodemographic variables can help to identify people that will attend telepsychology initiatives. These clusters provide insight into opportunities for face-to-face and online patient engagement strategies. (shrink)