Ethical challenges are traditionally described in a negative light, even though moral conflict can express the individual ability to perceive when something is not working and promote change. The true question, therefore, is not to how to silence moral conflict but how to educate it. Although the need for ethical support of health- and social-care professionals in elderly care is clearly perceived, there is no universal method for providing effective interventions. The authors hypothesize that adequate training sessions can help care (...) professionals enhance this skill, once clear goals and specific educational techniques are set. This research tests the hypothesis on twenty care professionals working in acute and residential care settings for the elderly, building on the ethics round method. Mixed methods drawn from literature and the experience of educators were adapted to meet different educational goals. Moral issues can hardly be removed from a context characterized by increasing demand and decreasing resources, but they can be recognized and addressed with common efforts, a critical attitude, and a growth mindset. Enhancing these skills in qualified workers can help them accept the reality of work, release pressure, and identify common team goals. Introducing these skills before graduation can help future workers avoid unreal expectations and reduce frustration and early job quit rates. (shrink)

The nurse's moral competences in the management of situations which present ethical implications are less investigated in literature than other ethical problems related to clinical nursing. Phenomenology affirms that emotional warmth is the first fundamental attitude as well as the premise of any ethical reasoning. Nevertheless, it is not clear how and when this could be confirmed in situations where the effect of emotions on the nurse's decisional process is undiscovered. To explore the processes through which situations of moral distress (...) are determined for the nurses involved in nursing situations, a phenomenological–hermeneutic analysis of a nurse's report of an experience lived by her as a moral distress situation has been conducted. Nursing emerges as a relational doctrine that requires the nurse to have different degrees of personal involvement, the integration between logical–formal thinking and narrative thinking, the perception of the salience of the given situation also through the interpretation and management of one's own emotions, and the capacity to undergo a process of co‐construction of shared meanings that the others might consider adequate for the resolution of her problem. Moral action requires the nurse to think constantly about the important things that are happening in a nursing situation. Commitment towards practical situations is directed to training in order to promote the nurse's reflective ability towards finding salience in nursing situations, but it is also directed to the management of nursing assistance and human resources for the initial impact that this reflexive ability has on patients' and their families' lives and on their need to be heard and assisted. The only case analysed does not allow generalizations. Further research is needed to investigate how feelings generated by emotional acceptance influence ethical decision making and moral distress in nursing situations. (shrink)

Pandemic infection by COVID‐19 could be changing the public image of the nursing profession in Italy. Recently, as in any western country, we were being registered with an increase in the number of violence against healthcare professionals. Nevertheless, due to pandemic in the social media, the nursing profession is remembered for competence, determination, courage, and humanity, and it is continually remercied by people, politicians, and journalists. In this paper, we will conduct a phenomenological argument that proposes both phenomena can be (...) explained by Paul Ricoeur's courses of recognition. In cases of violence, patients and their family members reacting because they feel betrayed for a real or alleged injustice—primarily not to be listened to by health professionals. Nurses and other professionals are often unable to take the right grade of involvement for understanding patient's needs. On the other hand, during COVID‐19 pandemic, patients and family members perceive the extraordinary daily work of caring, and they react thanking. The principle of the gift is implicated in both cases: the crisis of gift received or donated can be explaining violence; gratitude and thanks can be explaining by gratuitousness of care. (shrink)

In this article we focus on female genital mutilation. We analyse this problem as one of the most important issues of multiculturalism, which is also coming to the attention of the public in Italy as a consequence of the growing number of immigrants from African countries. The fundamental problem is about the acceptability of this practice: can female genital mutilation be permitted and, if so, on what basis? We will try to cope with this as a genuine conflict between culture-relative (...) values and universal values, such as human rights. Some attention will be drawn to Italian law. Finally, the impact on nurses of requests for genital mutilation will be described. (shrink)

We reflect upon the meaning of freedom and autonomy in nursing behaviour, attempting to outline the contemporary situation of nursing in Italy, where the profession is achieving important results after a long period of submission and subordination. The way to real emancipation is not easy, but a statement of law on the one hand - abolishing constraints such as the Mansionario - and professional self-regulation on the other - the recent new Deontological Code - represent a real conquest in that (...) direction. However, no statement of law or deontology can be sufficient without deeper reflection by the profession on itself and its tasks, potentiality, social importance and self-esteem. (shrink)

In the domain of evolutionary cognitive archaeology, the early body ornaments from the Middle Stone Age/Palaeolithic are generally treated as mere by-products of an evolved brain-bound cognitive architecture selected to cope with looming social problems. Such adaptive artefacts are therefore taken to have been but passive means of broadcasting a priori envisaged meanings, essentially playing a neutral role for the human mind. In contrast to this epiphenomenalist view of material culture, postphenomenology and the Material Engagement Theory have been making a (...) case for the active role of artefacts on the count that they can actually shape and restructure the human mind. By bringing these dissenting voices together, the paper at hand employs an enactive way of thinking in order to challenge the epiphenomenalist take on early body ornaments. In fact, two variants of enactivism are presented, each advancing a unique explanation of how the engagement of early humans with body ornaments transformed their minds along the two postphenomenological categories of embodied and hermeneutic cognition. Our theoretical frameworks specifically seek to explore how early beadworks could have scaffolded the creation of semiotic categories and the development of cognitive processes. Despite relying on inherently different premises, both theories suggest that beads fostered the emergence of an epistemic apparatus which thoroughly transformed the way humans engaged with the world. Having concurred on the ornaments’ transformative effects, we ultimately conclude that the epiphenomenalist paradigm best be replaced with an enactive approach grounded on the dictates of postphenomenology and the MET. (shrink)

In evolutionary cognitive archaeology, the school of thought associated with the traditional framework has been deeply influenced by cognitivist intuitions, which have led to the formulation of mentalistic and disembodied cognitive explanations to address the emergence of artifacts within the archaeological record of ancient hominins. Recently, some approaches in this domain have further enforced this view, by arguing that artifacts are passive means to broadcast/perpetuate meanings that are thoroughly internal to the mind. These meanings are conveyed either in the form (...) of a Language of Thought, constituted by sub-personal, content-bearing mental representations, or in that of a natural language. In both cases, however, material culture stands as the physical derivative of computations run over representations, which include abstract concepts, semantic relationships, and meta-representations about intensional states, a conception hereby indicated as “representational apriorism”. In this paper, I will argue that such mentalistic models are plagued by the fundamental problems of content, substance, and origin, which affect the representational substrates required for the production of artifacts. At the same time, these models fail the criterion of minimalism at the crux of conditional cognitive archaeology, because they propose overly costly explanations which are insufficiently constrained by material evidence. An alternative proposal, based on the principles of radical enactive cognitive science, is hereby introduced in order to counter this mentalistic drift. It is concluded that a radical enactive cognitive archaeology is able to dissolve the deep problems confronting the mentalistic paradigm, while providing minimalistic cognitive explanations about the emergence of Paleolithic artifacts. (shrink)

The documented appearance of body ornaments in the archaeological record of early anatomically modern human and late Neanderthal populations has been claimed to be proof of symbolism and cognitive modernity. Recently, Henshilwood and Dubreuil (Current Anthropology 52:361–400, 2011) have supported this stance by arguing that the use of beads and body painting implies the presence of properties typical of modern cognition: high-level theory of mind and awareness of abstract social standards. In this paper I shall disagree with this position. For (...) the purposes of the argument, body ornaments are divided in three categories: aesthetic, indexical and fully-symbolic, on the basis of the necessary and sufficient conditions to construct meaning for each category. As previously acknowledged by a number of authors, I will argue that the abilities considered by Henshilwood & Dubreuil necessarily apply only to fully symbolic ornaments and they do not extend to the aesthetic and indexical categories. Indeed, a series of situated strategies can be sufficient to process non-symbolic categories of ornaments, through their phases of initiation, understanding and maintenance. Since these strategies could be implemented also by non-modern cognitive architectures, it is concluded that early body ornaments are currently unable to support cognitive equivalence between primitive and modern human populations. (shrink)

The cognitive gadgets theory proposes to reform evolutionary psychology by replacing the standard nativist and internalist approach to modularity with a cultural constructivist one. However, the resulting “cultural evolutionary psychology” still maintains some controversial aspects of the original neo-Darwinian paradigm. These assumptions are unnecessary to the cognitive gadgets theory and can be eliminated without significant conceptual loss.

In this paper, we discuss the largely neglected topic of semantics in medicine and the associated ethical issues. We analyse several key medical terms from the informed perspective of the healthcare professional, the lay perspective of the patient and the patient’s family, and the descriptive perspective of what the term actually signifies objectively. The choice of a particular medical term may deliver different meanings when viewed from these differing perspectives. Consequently, several ethical issues may arise. Technical terms that are not (...) commonly understood by lay people may be used by physicians, consciously or not, and may obscure the understanding of the situation by lay people. The choice of particular medical terms may be accidental use of jargon, an attempt to ease the communication of psychologically difficult information, or an attempt to justify a preferred course of action and/or to manipulate the decision-making process. (shrink)

In this paper I propose a set-theoretical interpretation of the logical square of opposition, in the perspective opened by generalized quantifier theory. Generalized quantifiers allow us to account for the semantics of quantificational Noun Phrases, and of other natural language expressions, in a coherent and uniform way. I suggest that in the analysis of the meaning of Noun Phrases and Determiners the square of opposition may help representing some semantic features responsible to different logical properties of these expressions. I will (...) conclude with some consideration on scope interactions between quantifiers. (shrink)

Research on the effects of the COVID-19 pandemic on same-sex relationships is limited. The present study aimed at analyzing the association between the psychophysical impact of the COVID-19 pandemic and same-sex couples’ conflict, also considering the potential mediating effect of internalized sexual stigma. For this purpose, psychophysical challenges and couples’ conflict during the COVID-19 pandemic, ISS, age, biological sex, sexual orientation, relationship duration, religiosity, involvement in lesbian, gay, and bisexual associations, sexual satisfaction, and interpersonal partner violence were assessed in an (...) Italian sample of 232 LGB people engaged in a same-sex relationship. The results indicated that the psychophysical impact of the COVID-19 pandemic was significantly associated with couples’ conflict, and ISS mediated this relationship. Among the covariates considered, only sexual satisfaction was associated with couples’ conflict. The findings suggest that ISS, over and above the adverse effects of the COVID-19 pandemic on psychophysical health, triggered conflict within same-sex relationships. Studying the role of ISS in various relational and social contexts is important, as ISS may have an adverse effect on the mental health of sexual minority people. We recommend that more efforts be made to improve research on the LGB population during the public health response to the COVID-19 emergency, because the paucity of studies underlines the invisibility of this population in many domains, including the domain of romantic relationships. Implications and directions for future research are discussed. (shrink)

Brasil es uno de los principales emisores de gases de efecto invernadero y uno de los países más activos en las negociaciones climáticas multilaterales en la Convención Marco de Naciones Unidas sobre Cambio Climático. A partir del reconocimiento de las condiciones generales de la gobernanza climática internacional y de los contextos propios de los paradigmas de Estado en Brasil, el objetivo de esta investigación es analizar comparativamente y de modo diacrónico la posición asumida por Brasil, en tanto Parte no Anexo (...) I de la Convención, en dos momentos específicos de las negociaciones. Dichos momentos son las negociaciones del Protocolo de Kyoto y del Acuerdo de París. En ambas instancias, se considera el debate en torno a la diferenciación de responsabilidades de las partes como aspecto distintivo de la participación brasileña en estos procesos de gobernanza internacional. Los conceptos claves utilizados incluyen el acumulado diplomático y los contextos de modelos de Estado en Brasil. En términos metodológicos, la contribución tiene un diseño cualitativo y apela a la construcción de una comparación focalizada y estructurada en función de un análisis diacrónico que considera los elementos contextuales. (shrink)