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)

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)

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)

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)

Cognitive symptoms after COVID-19 have been increasingly recognized several months after the acute infection and have been designated as “brain fog.” We report a patient with cognitive symptoms that started immediately after COVID-19, in which cerebrospinal fluid biomarkers were highly suggestive of Alzheimer’s disease. Our case highlights the need to examine patients with cognitive symptoms following COVID-19 comprehensively. A detailed assessment combining clinical, cognitive, and biomarker studies may help disentangle the underlying mechanisms associated with cognitive dysfunction in each case. The (...) investigation of neurodegenerative processes in an early stage, especially in older patients, is probably warranted. (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.

IntroductionCardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they (...) have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter.ResultsWe point out the need for strengthening the roles of healthcare personnel as educators and guidance counselors in order to meet the ends of medicine, as well as the need for an ethical discernment that is compatible with our results, namely, that the ethical values developed by healthcare professionals stem from their life history as well as their professional education.ConclusionWe establish the kind of actions, communication skills and empathy that are required to build a stronger patient-healthcare professional relationship, which at the same time improves prognosis, treatment efficiency and therapeutic adhesion. (shrink)

La "yesería" constituye uno de los elementos decorativos más característicos de nuestra arquitectura medieval. La imagen que hoy tenemos de La Alhambra, de la Sinagoga del Tránsito, y de tantos otros palacios y conventos, se debe a ese barato elemento constructivo que logró crear la misma apariencia de lujo de las telas o el marfil. Como hemos podido estudiar en nuestro artículo del número anterior (Al-Qantara, XX, 275-297), en el palacio de Ruy López Dávalos de Toledo se conserva uno de (...) los conjuntos más fascinantes del siglo XIV, el cual nos ha llevado a preparar estas páginas sobre la técnica de la yesería medieval. (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)

Since time immemorial, the phenomenon of leadership and its understanding has attracted the attention of the business world because of its important role in human groups. Nevertheless, for years efforts to understand this concept have only been centred on people in leadership roles, thus overlooking an important aspect in its understanding: the necessary moral dimension which is implicit in the relationship between leader and follower. As an illustrative example of the importance of considering good morality in leadership, an empirical study (...) is conducted in which a good performance of the "leader-follower" relationship is reflected when individuals perceive ethical leadership in higher hierarchical managerial levels. To be precise, findings of this study demonstrate that follower job response is improved through an ethics trickle-down partial effect from the Top Manager to the immediate supervisor, and also reveal both key aspects and managerial level on which the practice of ethical leadership should rest upon to have a stronger effect on the follower positive job response. Practical implications of these findings and directions for future research are finally presented. (shrink)

The aims of this research were twofold: first, to compare the levels of organisational harmony between family and non-family firms and, second, to study the influence of organisational harmony on family firms’ performance (profitability, longevity and group cohesion). Starting from a definition of organisational harmony as a value and considering the importance of the management of organisational values, we use the main topics indicated by the general literature (organisational climate, trust and participation) to analyse organisational harmony, as well as three (...) other topics for performance (profitability, survival and group cohesion). Results indicate that family firms have higher levels of these three qualities than non-family firms, and that the levels of trust, participation and organisational climate have a positive and significant influence on the performance of family firms. These results can be understood as a consequence of the influence of family social capital on organisational social capital and so on the performance of family businesses. From the perspective of institutionalism, the higher levels of harmony existing in family businesses are a reflection of the pressures that the owning family as an institution exercises on the organisational social capital in its companies. (shrink)

The accuracy of proxies when they interpret advance directives or apply substituted decision-making criteria has been called into question. It therefore became important to know if the Andalusian Advance Directive Form (AADF) can help to increase the accuracy of proxies' predictions. The aim of this research was to compare the effect of the AADF on the accuracy of proxies' predictions about patients' preferences with that gained from informative and deliberative sessions about end-of-life decision making. A total of 171 pairs of (...) patients and their proxies were randomized to three groups. The control group's answers to the Life Sustaining Preferences Questionnaire (LSPQ) were compared with their proxies' answers to the same questionnaire. In one intervention group, the patients had already completed the AADF and given it to their proxies, who used it to guide their own answers to the LSPQ. In the second intervention (discussion) group, both patients and proxies attended two educative sessions guided by trained nurses and later filled in the LSPQ. Comparisons of accuracy and other variables showed a strong association with the discussion group. The findings show that promoting communication between patients and their proxies improves the accuracy of proxies' predictions much more than isolated use of the AADF form. (shrink)

This study investigates priming in an implicit Word Stem Completion (WSC) task. A total of 305 participants performed a WSC task in two phases (study and test). The test phase included 63 unique-solution stems and 63 multiple-solution stems. After confirming the presence of priming (mean = 0.22), analysis revealed that it was stronger in the case of multiple-solution stems, indicating that the stems were not a homogeneous group of stimuli. Thus, further analyses were performed only for the data of the (...) unique-solution stems. The correlations between priming and a set of conceptual (familiarity, frequency of use, number of meanings) and non-conceptual (letters/blanks ratio and difficulty of completed) variables showed significant relationships between two conceptual variables (familiarity and frequency) and priming. Difficulty was also significantly correlated with priming. The most familiar and frequent words were those that produced a greater magnitude of priming. At the same time, the most difficult stems were those generating more priming. A regression analysis showed that the difficulty of completing a stem was the strongest predictor of priming. When difficulty was the dependent variable in the regression analysis, the significant variables in the regression were familiarity and letters-blanks ratio. Finally, a comparison was made between these results and those obtained in a previous study of WFC by Soler et al. (2009) in which the same words and procedure were employed. A comparison of results from these two sets of data suggested that the only relevant difference between the two tasks was the influence of the variable letters-blanks ratio. This perceptual variable had a significant correlation with priming only in the WFC task. These results highlight the importance of controlling the characteristics (conceptual and non-conceptual) of stimuli used in WFC and WSC tasks when exploring the nature of priming. (shrink)

El objetivo de este artículo es definir qué son los estudios culturales, de género y literarios. Reflexionar acerca de la relación que hay entre ellos. Debatir cómo es posible el hecho de que puedan intersectarse éstos. E intentar explicar el funcionamiento teórico y metodológico de dichas interdisciplinas. Asimismo, este trabajo ofrece un panorama general con respecto a la situación actual de los estudios de género y los estudios literarios con esta perspectiva en México: ¿qué es lo que se está haciendo?, (...) ¿cómo?, ¿en dónde? (shrink)

RESUMEN Se examina la noción de espectro para evidenciar la problematización que hace J. Derrida a la oposición entre vida y muerte. Se evidencia que la traza desde diversos textos que dan cuenta de un constante asedio que ronda su pensamiento: la sobrevida. A su vez, se analiza la discusión que sostuvo con el espectro de K. 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. ABSTRACT The paper examines the notion of specter in order to evince J. Derrida's critical examination of the opposition between life and death. It shows how Derrida develops this idea in diverse texts that account for an obsession that permeates his thought: survival. The article also ana-lyzes Derrida's discussion with the specter of K. Marx in order to evince: 1) how the faithful-unfaithful legacy of Marx contributes to thinking survival; 2) how the issues of justice and alterity are necessarily inscribed in that thinking of survival. (shrink)

Los conceptos de intervención humanitaria y responsabilidad de proteger hansido formulados con la intención de dar respuesta a una vieja cuestión: cómoresponder ante situaciones de flagrantes violaciones de derechos cometidos porlos Estados sobre sus propios ciudadanos, aquellos a los que está llamado a proteger. Sustentada sobre la formulación de la guerra justa o la propia concepciónde humanidad, en ella subyace la difícil relación entre tres de los principios estructurales del Derecho Internacional Público: soberanía, uso de la fuerza y protección de (...) derechos humanos. El presente artículo analiza la evolución de ambos conceptos, las diferencias entre ambos y los obstáculos que dificultan su aplicación efectiva, agravados por la situación actual. (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.

Corned stucco represents one of the most characteristic elements of Spanish medieval architecture. The image that we have of the Alhambra, of Samuel Halevi's synagoge —el Tránsito— and of countless other palaces and monasteries is due to this cheap construction material which could imitate the luxurious quality of silk textiles and ivories. In our previous article {Al-Qantara, XX, 275-97), we showed that Ruy López Dávalos de Toledo's palace conserves an important group of carved stuccos. In this paper, we discuss its (...) technique of fabrication. (shrink)

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)

Firm managers play an important role in the implementation of corporate social responsibility (CSR) actions. Education is emerging as the key factor in developing a sense of moral responsibility amongst the business students who will eventually become company managers and decision makers. The aim of this research is, thus, twofold. First, to analyze the existence of a direct positive correlation between university students’ perception of CSR and its impact on business performance; and second, to examine the extent to which two (...) factors (advantages brought by CSR and responsibilities toward stakeholders) act as mediation variables in the aforementioned correlation. The analysis was performed with a sample of 390 business‐related university students. Amongst the potential contributions made by this study we can highlight the possibility of knowing future managers’ way of thinking and of knowing the aspects where educational centers might improve their CSR teaching. (shrink)

Justo antes de la pandemia por COVID-19, la Organización Mundial de la Salud definió unas prioridades de trabajo para la década 2020-2030. Un grupo interdisciplinario de profesionales de la salud reflexiona sobre estas prioridades, determinando unas categorías de análisis y, desde una perspectiva bioética, analiza cada una de ellas, ve su pertinencia, algunos eventos causales, las implicaciones que pueden tener si no son enfrentadas adecuadamente y hace sugerencias sobre la forma de llevarlas a cabo. En esta primera entrega se analiza (...) el primer grupo de prioridades estratégicas: “poblaciones más sanas”. En las conclusiones se destaca la conveniencia de acometer cada una de ellas de una manera colaborativa, gubernamental y privada; de reestructurar el sector salud con base en estas prioridades, aprovechando la experiencia obtenida en la lucha contra el COVID-19. La relación del ser humano con el medio ambiente también debe cambiar, apelando a la responsabilidad humana por el cuidado del planeta. (shrink)

Cardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they (...) have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter. (shrink)

La práctica docente reflexiva (PDR) se considera como una estrategia significativa para impulsar proyectos de innovación en centros educativos y mejorar el aprendizaje de los estudiantes. El objetivo de este artículo es analizar la asociación entre el desarrollo de una práctica docente reflexiva y el fomento de la innovación educativa. Para ello, se siguió una metodología mixta con alcance exploratorio-descriptivo y una recolección de datos de corte transversal. La vertiente cuantitativa contempló la visión de docentes de aula y docentes directivos (...) (n=123) de cinco centros escolares chilenos, quienes expresaron sus opiniones en un cuestionario ad hoc. En la vertiente cualitativa se realizaron entrevistas semiestructuradas a 18 docentes de aula y docentes directivos de los centros involucrados en esta investigación. Para sus relatos se realizó un análisis de contenido lo que permitió identificar patrones, temas convergentes y divergentes, considerando el contexto escolar como marco de refencia. Los resultados revelan una asociación entre una práctica docente reflexiva, donde el profesorado incorpora en su labor elementos y prácticas asociadas a un nivel de reflexión crítica, y su participación en proyectos de innovación educativa. (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)