Spirituality in Palliative Care Aimed at the ElderlyEspiritualidade no contexto de cuidados paliativos oncológicos a idososIn the last decade, spirituality has been studied in oncological palliative care for the elderly from quantitative, qualitative, and mixed perspectives. The study seeks to reveal the meaning of spirituality in this context. It reviews indexed literature from the MEDLINE database through PubMed between 2009 and 2019, which was accessed online, in full text, anonymously, and in English and Spanish. Revista Medicina Paliativa was manually searched. (...) The results include 50 subject-relevant articles and four categories. It is concluded that there are challenges related to the meaning of spirituality and quality of life, education, and research perspectives.Para citar este artículo / To reference this article / Para citar este artigoArenas-Massa A, Nocetti-de la Barra A, Fraile-Ducviq CG. La espiritualidad en contexto de cuidados paliativos oncológicos dirigidos a personas mayores. Pers Bioet. 2020;24:136-150. DOI: https://doi.org/10.5294/pebi.2020.24.2.2Recibido: 05/07/2020Aceptado: 01/09/2020Publicado: 27/11/2020. (shrink)

This article proposes that education, according to Antonio Gramsci, is a political act. To support our thesis, first we review the concepts hegemony, organic intellectual and historic bloc. In a second level, we use those concepts to understand education. In a third level we present a proposal for a functional political and ethical approach of education in current society. La tesis del artículo es que la educación en el pensamiento de Antonio Gramsci constituye un acto político. Para dar sustento a (...) nuestra tesis, en una primera aproximación hacemos una revisión de los conceptos de hegemonía, intelectual orgánico y bloque histórico. En un segundo nivel, nos aproximamos a la utilidad de dichos conceptos para una comprensión del fenómeno educativo. En un tercer y final nivel presentamos al lector una primera exploración de la función política y ética de la educación en la sociedad actual. (shrink)

El presente artículo pretende indagar desde el marco teórico-epistemológico de "imaginario social" de Cornelius Castoriadis (1922-1997), la subjetivación de la mujer trabajadora en el sistema de educación técnico-profesional en Chile. Se desarrolla una investigación filosófica y cualitativa que incluye análisis documental y entrevistas a sujetos del ámbito técnico-profesional secundario. A través de este marco teórico, desarrollamos las herramientas analíticas necesarias para poder leer e interpretar cómo a pesar de los aires de renovación del sistema técnico-profesional, la oferta política hacia la (...) mujer chilena trabajadora no cambia en realidad el "destino" que pesa sobre ella: ser, dicho peyorativamente "¡Buenas Trabajadoras, Buenas Madres!". This article seeks to investigate since the theoretical-epistemological frame of "social imaginary" of Cornelius Castoriadis (1922-1997), the subjectivity of the hard-working woman in the system of technical-professional education in Chile. It is carried out a philosophical and qualitative investigation including documentary analysis and interviews to subjects of the technical-professional secondary area. Through this theoretical frame, we develop the analytical tools needed to read and interpret how, despite the air of renewal of the technical-professional system, the political supply towards the Chilean woman worker in fact does not actually change the "destiny" hanging over her: to be, pejoratively said "Good Workers, Good Mothers"! (shrink)

Los cambios asociados al envejecimiento y las posibilidades de satisfacción de las necesidades que de ello se derivan, hacen que en Chile los espacios comunitarios de atención y nuevas estrategias de intervención se transformen en una posibilidad para la mantención y la recuperación de la salud de las personas mayores. El objetivo fue identificar el valor terapéutico del "juego" en personas mayores, como un aporte con fines terapéuticos, especialmente en contextos de intervención en comunidad con esta población. El presente artículo (...) muestra los resultados de una investigación-acción-participativa con 12 personas mayores de 60 años, en siete sesiones, durante el año 2013 en la comuna de Valdivia, Región de Los Ríos. Se realizó un taller experiencial abierto, grupo de discusión y aplicación del test de Jugueteo. Se muestra el efecto de la vinculación comunitaria para la construcción de un significado positivo de la actividad lúdica. Se describen conductas de las personas mayores sobre la base de indicadores que evidencian el impacto en el desempeño de actividades terapéuticas. La sistematización de la investigación-acción-participativa muestra el significado atribuido a la actividad lúdica, por sobre la atribución a la recreación, la resignificación de espacios lúdicos dentro de lo cotidiano y comunitario, que permite pensarlo como estrategia terapéutica innovadora. Changes realted to aging and satisfaction possibilities derived from them, in Chile make the community settings of attention and new intervention strategies transform into a possibility for older people to maintain and recover health. The objective was to identify the therapeutic value of "play" in older people, as a contribution with therapeutic purposes, specially in intervention community-based settings with this population. The present study shows the results of a participative action research with 12 people over 60 years old, in seven sessions, during the year 2013 in Valdivia district, Los Ríos region. An open experiential workshop, a discussion group and the aplication of the Test of Playfulness were conducted. The results show the effect of communitary linkage to the construction of a possitive meaning of ludic activity. Older people behaviors are described using indicatiors that shows the impact of therapeutic activities on performance. Systematization of the participative action research shows the meaning attributed to ludic activity, over the atributtion to recreation, but rather to the finding of new meaning of ludic spaces within the community and daily life, that allows to see it as an innovative therapeutic activity. (shrink)

Se examina la noción de espectro, propuesta en Espectros de Marx, para evidenciar la problematización que Jacques Derrida hace a la oposición, que se supone tajante, entre las nociones de vida y muerte. Se evidencia que Derrida no traza tal problematización exclusivamente a partir de Espectros de Marx, sino también desde diversos textos que dan cuenta de un constante asedio que ronda su pensamiento: la sobrevida. A su vez, se analiza la discusión que Derrida sostuvo con el espectro de Marx (...) para evidenciar: (1) de qué modo la herencia fiel-infiel de Marx contribuye al pensamiento de la sobrevida; (2) cómo en tal pensamiento de la sobrevida se inscribe necesariamente el problema de la justicia y la alteridad. (shrink)

Este artículo da cuenta de una entrevista realizada a doce profesores que ejercen docencia en un programa de Pedagogía en Inglés de una universidad chilena, que busca identificar los géneros que solicitan leer y escribir a los estudiantes durante su formación de pregrado, y las principales dificultades detectadas en ambas habilidades. Mediante análisis de contenido se pudo identificar una variedad de géneros en lecturas asignadas, no así en escritura, en donde tanto la práctica como la enseñanza explícita de los géneros (...) apareció limitada. Las principales debilidades declaradas incluyen conocimiento limitado de vocabulario en L1 y L2, falta de hábitos y estrategias de lectura y escritura, y dificultad para expresar ideas en forma escrita. Esta información es relevante para la planificación de actividades de lecto-escritura que ayuden a estos profesores en formación a superar los problemas identificados. (shrink)

Data are lacking with regard to participants' perspectives on return of genetic research results to relatives, including after the participant's death. This paper reports descriptive results from 3,630 survey respondents: 464 participants in a pancreatic cancer biobank, 1,439 family registry participants, and 1,727 healthy individuals. Our findings indicate that most participants would feel obligated to share their results with blood relatives while alive and would want results to be shared with relatives after their death.

El presente artículo pretende elucidar las insuficiencias de la denominada economía del bienestar a partir del enfoque de las capacidades de Amartya Sen y Martha C. Nussbaum. En el primer bloque presentamos los lineamientos fundamentales de ambas propuestas con el fin de concretar y dotar de autonomía sus respectivos modelos basados en el enfoque de las capacidades, contrastándolos con los modelos convencionales de medición de la calidad de vida relativa de la ciudadanía. En el segundo bloque incidimos en la justificación (...) de sus aportaciones para profundizar en la perspectiva de la capacidad desde una vertiente comparada, esto es, desde dos áreas de estudio (Sen desde el ámbito económico y Nussbaum desde el filosófico) que han aunado sus fuerzas e intereses bajo este paradigma. (shrink)

Neuroscientist Maxwell Bennett and philosopher Peter Hacker defend the need to eradicate the mereological fallacy of cognitive neuroscience. This fallacy attributes to the parts of an animal psychological predicates that make sense only when applied to the whole animal. In contrast, philosopher Daniel Dennett argues that it is possible to explain behavior and cognitive abilities by applying the Intentional Stance to the brain, a stance that attributes increasingly simple psychological capacities to increasingly less intelligent homunculi. So, among other things, taking (...) the intentional stance requires i) attributing psychological predicates to the brain and its parts, and ii) gradually replacing psychological predicates with non-psychological predicates.If the criticism of Bennett and Hacker is accepted, these requirements lead to two dilemmas. According to the first, the intentional stance would be inapplicable or fallacious: because it implies incurring in the mereological fallacy, and to deny is equivalent to rejecting the intentional stance. The horns of the second dilemma are dualism and explanatory vacuity: can be interpreted in a dualistic sense because it presupposes the distinction between psychological and non-psychological predicates; however, failing to respect generates an infinite regress. In this article I intend to show that both dilemmas are resolved by focusing on the details of the relationship between the intentional stance and the design stance. (shrink)

Genomic research results and incidental findings with health implications for a research participant are of potential interest not only to the participant, but also to the participant's family. Yet investigators lack guidance on return of results to relatives, including after the participant's death. In this paper, a national working group offers consensus analysis and recommendations, including an ethical framework to guide investigators in managing this challenging issue, before and after the participant's death.

Returning genomic research results to family members raises complex questions. Genomic research on life-limiting conditions such as cancer, and research involving storage and reanalysis of data and specimens long into the future, makes these questions pressing. This author group, funded by an NIH grant, published consensus recommendations presenting a framework. This follow-up paper offers concrete guidance and tools for implementation. The group collected and analyzed relevant documents and guidance, including tools from the Clinical Sequencing Exploratory Research Consortium. The authors then (...) negotiated a consensus toolkit of processes and documents. That toolkit offers sample consent and notification documents plus decision flow-charts to address return of results to family of living and deceased participants, in adult and pediatric research. Core concerns are eliciting participant preferences on sharing results with family and on choice of a representative to make decisions about sharing after participant death. (shrink)

Background: Genomic analysis may reveal both primary and secondary findings with direct relevance to the health of probands’ biological relatives. Researchers question their obligations to return findings not only to participants but also to family members. Given the social value of privacy protection, should researchers offer a proband’s results to family members, including after the proband’s death? Methods: Preferences were elicited using interviews and a survey. Respondents included probands from two pancreatic cancer research resources, plus biological and nonbiological family members. (...) Hypothetical scenarios based on actual research findings from the two cancer research resources were presented; participants were asked return of results preferences and justifications. Interview transcripts were coded and analyzed; survey data were analyzed descriptively. Results: Fifty-one individuals (17 probands, 21 biological relatives, 13 spouses/partners) were interviewed. Subsequently, a mailed survey was returned by 464 probands, 1,040 biological family members, and 399 spouses/partners. This analysis highlights the interviews, augmented by survey findings. Probands and family members attribute great predictive power and lifesaving potential to genomic information. A majority hold that a proband’s genomic results relevant to family members’ health ought to be offered. While informants endorse each individual’s choice whether to learn results, most express a strong moral responsibility to know and to share, particularly with the younger generation. Most have few concerns about sharing genetic information within the family; rather, their concerns focus on the health consequences of not sharing. Conclusions: Although additional studies in diverse populations are needed, policies governing return of genomic results should consider how families understand genomic data, how they value confidentiality within the family, and whether they endorse an ethics of sharing. A focus on respect for individual privacy—without attention to how the broad social and cultural context shapes preferences within families—cannot be the sole foundation of policy. (shrink)

El método clínico surge desde las relaciones humanas más primitivas y aún cuando se encuentra en constante evolución no se consigue su adecuada aplicación. El estudio de este método científico constituye uno de los temas más importantes que guían la praxis médica, ostenta ciertos caracteres que se entrelazan dialécticamente imposibles de desligar, centrados esencialmente en la relación médico-paciente con el objetivo de arribar al diagnóstico de una enfermedad determinada, por lo cual, se brindan algunas consideraciones teóricas a partir del análisis (...) de sus conceptualizaciones y atributos más significativos y se elabora una definición de método clínico. The clinical method faces constant evolution, in spite of the issues that affect its application. The study of this scientific method constitutes one of the most important topics that lead medical praxis. It entails several characteristics dialectically intertwined that focus mainly on the doctor-patient relation for the diagnosis of a given disease. The objective of this article is to provide some theoretical considerations based on the analysis of its main concepts and attributes. (shrink)

El antiguo convento del Carmen calzado de Sevilla fue uno de los edificios religioso más paradigmáticos de su ciudad. No ya sólo por sus dimensiones o por el enorme patrimonio artístico que llegó a albergar (del que hoy nos queda in situ sólo buena parte de su arquitectura), sino también por su amplio significado devocional. En él llegaron a establecerse en el s. XVI y hasta el s. XIX numerosas hermandades y cofradías. En este artículo no se pretende simplemente (...) resumir la historia de dichas corporaciones durante ese periodo carmelitano, sino ahondar en sus relaciones con respecto a los frailes que los acogían, y reflexionar sobre el estrecho paralelismo que hubo entre la evolución y posterior decadencia de esta comunidad religiosa con respecto a esas hermandades. (shrink)

El «mundo entero» vive un gran desasosiego al estar inmiscuido en la dominación de la Naturaleza sustentada en la gran inversión económica, desde el paradigma antropocéntrico neoliberal. El objetivo del presente trabajo es reconocer y abrazar epistemologías y metodologías alternativas, entre ellas validar las contribuciones de los pueblos indígenas (PI) como protagonistas de la sustentabilidad y soberanía alimentaria. La investigación es de corte documental y la reflexión personal de más de 20 años de labor junto a los PI en Mesoamérica (...) y los Andes. Valorar dichas contribuciones, es centrarse en sus acervos y corpus cognoscitivos, antes que sea tarde. Son los sabios guardianes de la sustentabilidad biocultural de la Naturaleza y la Vida. Se concluye principalmente que son quienes conocen las claves, llaves y secretos que dan respuesta al reto de estelarizar la sustentabilidad y seguridad alimentaria global, que tanto persigue la humanidad. La sociedad en general y en particular las instancias oficiales, formativas, políticas, corporativas, industriales, de extensión y académicas, deben distinguir a estos actores sociales que soportan hoy la seguridad alimentaria mundial. El hallazgo principal cual severa advertencia, es que al «desaparecer» estaríamos ante un fenómeno descomunal de inseguridad alimentaria mundial. (shrink)

Extended cognition brings with it a particular phenomenology. It has been argued that when an artifact is integrated into an agent’s cognitive system, it becomes transparent in use to the cognizing subject. In this paper, I challenge some of the assumptions underlying how the transparency of artifacts is described in extended cognition theory. To this end, I offer two arguments. First, I make room for some forms of conscious thought and attention within extended cognitive routines, and I question the close (...) association drawn between attention and effort. Second, I vindicate the importance of paying careful attention to individual differences and the diverse ways in which bodies and technologies can be experienced. I end by offering some hints toward an alternative, and more accurate, account of the phenomenology of extended cognition. (shrink)

In De veritate I.2, Thomas Aquinas claims that “to every true act of understanding there must correspond some being and likewise to every being there corresponds a true act of understanding.” For Aquinas, the ratio of truth consists in a conformity between intellect and being. This account of truth, however, doesnot appear to allow for a certain class of truths, namely those that are about nonbeings. Many think that it is true that ‘no chimeras exist,’ that ‘blindness can becaused by (...) exposure to bright lights,’ and that ‘evil should be avoided.’ Yet, in each of these cases of truth, there does not appear to be a being to which the intellectconforms. In this paper, I will explore the ways in which Aquinas’s notion of truth as “conformity to being” is able to accommodate truths about nonbeings. (shrink)

In De veritate I.2, Thomas Aquinas claims that “to every true act of understanding there must correspond some being and likewise to every being there corresponds a true act of understanding.” For Aquinas, the ratio of truth consists in a conformity between intellect and being. This account of truth, however, doesnot appear to allow for a certain class of truths, namely those that are about nonbeings. Many think that it is true that ‘no chimeras exist,’ that ‘blindness can becaused by (...) exposure to bright lights,’ and that ‘evil should be avoided.’ Yet, in each of these cases of truth, there does not appear to be a being to which the intellectconforms. In this paper, I will explore the ways in which Aquinas’s notion of truth as “conformity to being” is able to accommodate truths about nonbeings. (shrink)

In this innovative book, Gloria Frost reconstructs and analyses Aquinas's theories on efficient causation and causal powers, focusing specifically on natural causal powers and efficient causation in nature. Frost presents each element of Aquinas's theories one by one, comparing them with other theories, as well as examining the philosophical and interpretive ambiguities in Aquinas's thought and proposing fresh solutions to conceptual difficulties. Her discussion includes explanations of Aquinas's technical scholastic terminology in jargon-free prose, as well as background on medieval (...) scientific views - including ordinary language explanations of the medieval physical theories which Aquinas assumed in formulating his views on causation and causal powers. The resulting volume is a rich exploration of a central philosophical topic in medieval philosophy and beyond, and will be valuable especially for scholars and advanced students working on Aquinas and on medieval natural philosophy. (shrink)

The perception of sensory effects generated by one’s own actions is typically attenuated compared to the same effects generated externally. However, it is unclear whether this specifically relates to self-generation. Recent studies showed that sensory attenuation mainly relies on action preparation, not actual action execution. Hence, an attenuation of sensory effects generated by another person might occur if these actions can be anticipated and thus be prepared for.Here, we compared the perceived loudness of sounds generated by one’s own actions and (...) actions of another person that either could or could not be anticipated. We found an attenuation of the perceived loudness for self- as compared to other-generated sounds. This difference was independent of whether the sound-eliciting actions of the other person could be anticipated or not. Thus, sensory attenuation seems to be specifically tied to self-generation instead of being a secondary effect of agent-independent preparation for an upcoming action. (shrink)

We argue that philosophers are competent to facilitate public discussion concerning restrictions on human migration across political borders. We also argue that presenting public audiences with a prima facie case for open borders offers a unique opportunity to elucidate important aspects of philosophical reasoning. Finally, we share resources and a lesson plan for those keen to examine the case for open borders with students, or to facilitate public discussion on these issues.

BackgroundThe idea that individuals are responsible for their health has been the focus of debate in the theoretical literature and in its concrete application to healthcare policy in many countries. Controversies persist regarding the form, substance and fairness of allocating health responsibility to the individual, particularly in universal, need-based healthcare systems.ObjectiveTo examine how personal health responsibility has been framed and rationalised in Norwegian key policy documents on priority setting.MethodsDocuments issued or published by the Ministry of Health and Care Services between (...) 1987 and 2018 were thematically analysed. We developed a predefined conceptual framework that guided the analysis. The framework included: the subject and object of responsibility, the level of conceptual abstraction, temporality, normative justificatory arguments and objections to the application of personal health responsibility.ResultsAs an additional criterion, personal health responsibility has been interpreted as relevant if: the patient’s harmful behaviour is repeated after receiving treatment, and if the success of the treatment is conditional on the patient’s behavioural change. When discussed as a retrospective criterion, considerations of reciprocal fairness have been dominant. When discussed as a prospective criterion, the expected benefit of treatment justified its relevance.ConclusionPersonal health responsibility appears to challenge core values of equality, inclusion and solidarity in the Norwegian context and has been repeatedly rejected as a necessary criterion for priority setting. However, the responsibility criterion seems to have some relevance in particular priority setting decisions. (shrink)

El objetivo de este artículo es indagar en la fundamentación schmittiana del individuo y de la reserva de conciencia. En la actualidad, buena parte de la recepción contemporánea considera al jurista renano como un antiliberal y, por lo tanto, como un antiindividualista. Sin embargo, nuestra hipótesis es que es posible encontrar en su obra no solo una crítica a la noción liberal de individuo, sino también una concepción propositiva a través de sus reflexiones sobre la crítica frente a la autoridad (...) y al poder público. Para demostrarla, se propone un abordaje hermenéutico-exegético de sus obras —principalmente, de las conferencias sobre El Leviatán en la teoría del Estado de Thomas Hobbes y del artículo "La visibilidad de la Iglesia. Una reflexión escolástica”— para indagar la acción humana como fundadora del orden político y las posibilidades del individuo de criticar a la autoridad. El artículo sostiene que Carl Schmitt formula una noción de individualidad de signo distinto a la liberal y que se vincula íntimamente con la idea de Derecho, el entramado institucional-estatal y el sustrato comunitario. (shrink)

AI systems play an increasingly important role in shaping and regulating the lives of millions of human beings across the world. Calls for greater _transparency_ from such systems have been widespread. However, there is considerable ambiguity concerning what “transparency” actually means, and therefore, what greater transparency might entail. While, according to some debates, transparency requires _seeing through_ the artefact or device, widespread calls for transparency imply _seeing into_ different aspects of AI systems. These two notions are in apparent tension with (...) each other, and they are present in two lively but largely disconnected debates. In this paper, we aim to further analyse what these calls for transparency entail, and in so doing, clarify the sorts of transparency that we should want from AI systems. We do so by offering a taxonomy that classifies different notions of transparency. After a careful exploration of the different varieties of transparency, we show how this taxonomy can help us to navigate various domains of human–technology interactions, and more usefully discuss the relationship between technological transparency and human agency. We conclude by arguing that all of these different notions of transparency should be taken into account when designing more ethically adequate AI systems. (shrink)

This book defines the relationship between the thought of Adam Smith and that of the ancients---Plato, Aristotle, Cicero, and the Stoics. Vivenza offers a complete survey of all Smith's writings with the aim of illustrating how classical arguments shaped opinions and scholarship in the eighteenth century.

El presente trabajo niuestra que la aproxiniación arendtiana a la política nos proporciona nuevas perspectivas de análisis para la Teoría feminista. Estudiaremos la interpretación arendtiana del poder como potencialidad, destacando los conceptos de pluralidad, acción>' palabra. También oposiciones como: privado/público, necesidad/libertad, labor-trabajo/acción. Indagaremos además si la noción arendtiana de parma es aplicable a las mujeres, reflexionando igualmente sobre el valor de su análisis de los Derecitos Hunianos para la Teoría ferninista. Arendt no se interesó particularniente por la problemática de la (...) condición fenienina. Pero su obra contiene suficientes ideas liberadoras que rnerecen ser consideradas. (shrink)

Lifestyle-induced diseases are becoming a burden on healthcare, actualizing the discussion on health responsibilities. Using data from the National Association for Heart and Lung Diseases ’s 2015 Health Survey, this study examined the public’s attitudes towards personal and social health responsibility in a Norwegian population. The questionnaires covered self-reported health and lifestyle, attitudes towards personal responsibility and the authorities’ responsibility for promoting health, resource-prioritisation and socio-demographic characteristics. Block-wise multiple linear regression assessed the association between attitudes towards health responsibilities and individual (...) lifestyle, political orientation and health condition. We found a moderate support for social responsibility across political views. Respondents reporting unhealthier eating habits, smokers and physically inactive were less supportive of health promotion policies. The idea that individuals are responsible for taking care of their health was widely accepted as an abstract ideal. Yet, only a third of the respondents agreed with introducing higher co-payments for treatment of ‘self-inflicted’ conditions and levels of support were patterned by health-related behaviour and left-right political orientation. Our study suggests that a significant support for social responsibility does not exclude a strong support for personal health responsibility. However, conditional access to healthcare based on personal lifestyle is still controversial. (shrink)

A partir de la consideración de las cartas como un escrito de carácter privado dirigido por una persona a otra, en el presente trabajo, se realiza un relevamiento de diversos aportes teóricos que han contribuido a una renovadora caracterización del género epistolar, sin pretender agotarlos. Algunas de los aspectos revisados se ejemplifican con misivas del filósofo argentino Francisco Romero. Considering letters as private texts written by one person and addressed to another, this research studies the theoretical approaches which have contributed (...) to a renewed characterization of the genre, which does not attempt to be exhaustive. These characteristics are exemplified through reference to letters by Argentine philosopher Francisco Romero. (shrink)

Este artículo tiene como objetivo analizar el discurso que Clorinda Matto de Turner pronunció en el Consejo Nacional de Mujeres de la República Argentina en el año 1904, titulado "La obrera y la mujer". Su postura transita entre la doctrina de las esferas separadas y la defensa de un feminismo moderado que no participa de las posiciones más radicales de las socialistas ni de las anarquistas que ya tenían presencia activa en el campo cultural de Buenos Aires. This article analyzes (...) the speech "Women laborers and women", given by Clorinda Matto de Turner at the Argentine National Council of Women in 1904. Her position stands between the doctrine of separated spheres and the defense of moderate feminism, which does not partake in the more radical position of feminists and anarchists, who already had, at the time, an active presence in Buenos Aires' culture. (shrink)

Like many African countries, Botswana is adversely affected by HIV and AIDS. However, from the onset of the epidemic there was an inimical expectation, both internally and externally, that the country would effectively address the problem. The paper posits that this expectation was a partial result of the halo effect emanating from Botswana's successful history on many social, economic, and political fronts. However, whilst the country's HIV and AIDS strategy is one of the success stories of the African continent insofar (...) as the state's commitment is concerned, it is afflicted by ethical impediments that continue to negatively impact the effectiveness of related policies and programmes. The paper examines the loopholes in the Botswana Government's HIV and AIDS response from the perspective of missed opportunities for addressing relevant ethical issues. These include anomalies regarding the lack of targeted sexual health and wellness programmes for prison inmates, sex workers, and sexual minorities. Strategies requiring urgent attention are concerned with provision of HIV prevention, treatment, and care for these populations. The authors contend that inclusive policies, legislation, and programmes to achieve a holistic and ethical response to the epidemic are urgently needed to harmonise the halo effect of Botswana's otherwise positive stance in relation to HIV and AIDS in Africa. (shrink)

Language is both a biological and a cultural phenomenon. Our aim here is to discuss, in an evolutionary perspective, the articulation of these two aspects of language. For this, we draw on the general conceptual framework developed by Ruth Millikan (1984) while at the same time dissociating ourselves from her view of language.

According to the Extended knowledge dilemma, first formulated by Clark (Synthese 192:3757–3775, 2015) and subsequently reformulated by Carter et al. (in: Carter, Clark, Kallestrup, Palermos, Pritchard (eds) Extended epistemology, Oxford Univer- sity Press, Oxford, pp 331–351, 2018a), an agent’s interaction with a device can either give rise to knowledge or extended cognition, but not both at the same time. The dilemma rests on two substantive commitments: first, that knowledge by a subject requires that the subject be aware to some extent (...) of some features of that knowledge’s sources and, second, that cognitive processes can only be extended if the subject is mostly unaware of the external object. The overwhelming response to the dilemma by proponents of extended knowledge has been to reconcile the demands of knowl- edge with the requirement that genuine extended cognition must lack any conscious encountering of the external artifact that features in the putative extended cognitive process. My approach, thus far unexplored, will be the opposite: I show how extended cognition can be made compatible with a wide range of agential attitudes, including an active form of epistemic hygiene. Consequently, I open the door for a new way of vindicating the possibility of extended knowledge, and call into question some assumptions that lie at the core of extended cognition theory. (shrink)