Background: Nurses are the largest professional group in healthcare and those who make more decisions. In 2014, the Committee on Bioethics of the Council of Europe launched the “Guide on the decision-making process regarding medical treatment in end-of-life situations”, aiming at improving decision-making processes and empowering professionals in making end-of-life decisions. The Guide does not mention nurses explicitly. Objectives: To analyze the ethical principles most valued by nurses working in palliative care when making end-of-life decisions and investigate if they are (...) consistent with the framework and recommendations of the Guide; to identify what disputed/controversial issues are more frequent in these nurses’ current end-of-life care practices. Design: Qualitative secondary analysis. Participants/context: Three qualitative datasets including 32 interviews from previous studies with nurses working in palliative care in Portugal. Ethical consideration: Ethical approval was obtained from the Ethics Research Lab of the Instituto de Bioética. Ethical procedures are thoroughly described. Findings: All participant nurses referred to autonomy as an ethical principle paramount in end-of-life decision-making. They were commonly involved in end-of-life decision-making. Palliative sedation and communication were the most mentioned disputed/controversial issues. Discussion: Autonomy was highly valued in end-of-life care and decision-making. Nurses expressed major concerns in assessing patients’ preferences, wishes, and promoting advance care planning. Nurses working in palliative care in Portugal were highly involved in end-of-life decision-making. These processes embraced a collective, inclusive approach. Palliative sedation was the most mentioned disputed issue, which is aligned with previous findings. Communication also emerged as a sensitive ethical issue; it is surprising, however, that only three nurses referred to it. Conclusion: While the Guide does not explicitly mention nurses in its content, this study shows that nurses working in palliative care in Portugal are involved in these processes. Further research is needed on nurses’ involvement and practices in end-of-life decision-making. (shrink)

In this paper we analyze an extension of Martin-Löf s intensional set theory by means of a set contructor P such that the elements of P are the subsets of the set S. Since it seems natural to require some kind of extensionality on the equality among subsets, it turns out that such an extension cannot be constructive. In fact we will prove that this extension is classic, that is “ true holds for any proposition A.

Consistency with the formal Church’s thesis, for short CT, and the axiom of choice, for short AC, was one of the requirements asked to be satisfied by the intensional level of a two-level foundation for constructive mathematics as proposed by Maietti and Sambin From sets and types to topology and analysis: practicable foundations for constructive mathematics, Oxford University Press, Oxford, 2005). Here we show that this is the case for the intensional level of the two-level Minimalist Foundation, for short MF, (...) completed in 2009 by the second author. The intensional level of MF consists of an intensional type theory à la Martin-Löf, called mTT. The consistency of mTT with CT and AC is obtained by showing the consistency with the formal Church’s thesis of a fragment of intensional Martin-Löf’s type theory, called \, where mTT can be easily interpreted. Then to show the consistency of \ with CT we interpret it within Feferman’s predicative theory of non-iterative fixpoints \ by extending the well known Kleene’s realizability semantics of intuitionistic arithmetics so that CT is trivially validated. More in detail the fragment \ we interpret consists of first order intensional Martin-Löf’s type theory with one universe and with explicit substitution rules in place of usual equality rules preserving type constructors -rule which is not valid in our realizability semantics). A key difficulty encountered in our interpretation was to use the right interpretation of lambda abstraction in the applicative structure of natural numbers in order to model all the equality rules of \ correctly. In particular the universe of \ is modelled by means of \-fixpoints following a technique due first to Aczel and used by Feferman and Beeson. (shrink)

Recent developments in Continental philosophy have included the emergence of a school of “speculative realism,” which rejects the human-centered orientation that has long dominated Continental thought. Proponents of speculative realism differ on several issues, but many agree on the need for an object-oriented ontology. Some speculative realists identify realism with materialism, while others accord equal reality to objects that are non-material, even fictional. Several thinkers retain a focus on difference, a well-established theme in Continental thought. This paper looks at speculative (...) realism from the perspective of systems theory. Many of the tenets of speculative realism have long been features of systems metaphysics and are expressed clearly in a systems framework. However, some views of some speculative realists differ substantially from systems theoretic ideas. (shrink)

The phenomenon of altruism extends from the biological realm to the human sociocultural realm. This article sketches a coherent outline of multiple types of altruism of progressively increasing scope that span these two realms and are grounded in an ever-expanding sense of “self.” Discussion of this framework notes difficulties associated with altruism at different levels. It links scientific ideas about the evolution of cooperation and about hierarchical order to perennial philosophical and religious concerns. It offers a conceptual background for inquiry (...) into societal challenges that call for altruistic behavior, especially the challenge of environmental and social sustainability. (shrink)

Our interpretive resources enable us to make sense of, navigate, and communicate about our shared world. These resources not only carve the world up into categories, but also guide how we, individually and collectively, are oriented towards it. In this thesis, I examine how these resources, and the dispositions they guide, may be harmful. A vital kind of interpretive resources are frames, which equip us with unified perspectives on the world. Perspectives are suites of open-ended interpretive (inquisitive, attentional, inferential, evaluative, (...) and affective) dispositions. Frames thereby guide how we interpret, respond to, and navigate the world. I show that these perspectives are epistemically powerful and indispensable. I argue that flawed perspectives, and the distorting frames that produce them, are deeply pernicious and I examine their relationship to oppression. (shrink)

In this lively collection ten philosophers tackle the notoriously elusive issues raised by religious discourse in a series of linked debates. The debates focus on reason and faith; the logic of mysticism; the meaning of the word 'God'; language, biblical interpretation and worship; and religion and ethics. Through contemporary philosophical analysis it is possible to shed new light on teh status and language of religion, and in many ways the contributors to Religion and Philosophy break new ground in this perennially (...) controversial field. The collection is addressed to philosophers, theologians and anyone with a general intellectual interest in religion. Certainly it will be a valuable addition to the reading list of all teachers or students of the philosophy of religion. (shrink)

Martin Wrights original ground-breaking and influential analysis of the defects of the adversarial system of justice, plus the arguments in favour of a more ...

The article analyzes the historical experience of creation and development of military medical aircraft in Ukraine from the 1920s. to the present. In particular, reviewed the activity of Design Bureaus of K. Kalinin and O. Antonov. Special attention is paid to the creation of military medical aircraft after Ukraine gained independence in 1991 and their application to evacuate the wounded during Armed conflict in the east of Ukraine in 2014-2016. The first attempt of creation a sanitary aircraft were made in (...) Ukraine back in the 1920s under the leadership of Konstantin Kalinin. In a qualitatively new level was realized military medical aircraft designed by bureau Oleg Antonov, created in the second half of 1970s aircraft emergency resuscitative-surgical care An-26M "Spasatel'" Accumulated experience allowed at the beginning of 2000s a similar purpose for the An-26 "Vita" for the Air Force of Ukraine. Over a longer time, he reminded to be the only one military medical aircraft in Ukraine. Plans of creating mixed air-transport unit air ambulance were not implemented. Successful use of the An-26 "Vita" to evacuate the wounded during repel of Russian aggression in eastern Ukraine helped to intensify work in the field of military medical aircraft.In2015 inmedical version were rebuilt two more An-26. One of them joined the Air Force, and the second - Natinal Service of Emergencies in Ukraine. All three aircrafts are different composition of medical equipment and ability to provide medical care. Their purpose is evacuation of the wounded from the airfield vicinity of the battle area to military medical institutions. (shrink)

Heidegger in America explores the surprising legacy of his life and thought in the United States of America. As a critic of modern life, Heidegger often lamented the growing global influence of all things American. However, it was precisely in America where his thought inspired the work of generations of thinkers – not only philosophers but also theologians, architects, novelists, and even pundits. As a result, the reception and dissemination of Heidegger's philosophical writings transformed the intellectual and cultural history of (...) the United States at a time when American influence was itself transforming the world. A case study in the complex and sometimes contradictory process of transnational exchange, Heidegger in America recasts the scope and methods of contemporary intellectual and cultural history in the age of globalization, challenging what we think we know about Heidegger and American ideas simultaneously. (shrink)

Is medicalization always harmful? When does medicine overstep its proper boundaries? The aim of this article is to outline the pragmatic criteria for distinguishing between medicalization and over-medicalization. The consequences of considering a phenomenon to be a medical problem may take radically different forms depending on whether the problem in question is correctly or incorrectly perceived as a medical issue. Neither indiscriminate acceptance of medicalization of subsequent areas of human existence, nor criticizing new medicalization cases just because they are medicalization (...) can be justified. The article: (i) identifies various consequences of both well-founded medicalization and over-medicalization; (ii) demonstrates that the issue of defining appropriate limits of medicine cannot be solved by creating an optimum model of health; (iii) proposes four guiding questions to help distinguish medicalization from over-medicalization. The article should foster a normative analysis of the phenomenon of medicalization and contribute to the bioethical reflection on the boundaries of medicine. (shrink)

Este estudio trata de dar respuesta a la dificultad que presenta el alumnado que cursa el Grado de Maestro en Educación Infantil para elaborar el Trabajo Final de Grado (TFG). Para ello, se describe una experiencia de coaching con la finalidad de introducir al profesorado de educación superior en dicha metodología como herramienta para la innovación y la mejora educativa en el marco de la tutoría de TFG del citado grado. Finalmente, se discuten los aspectos positivos y a mejorar de (...) la implementación descrita y se plantea la necesidad de fomentar este tipo de metodologías entre el el profesorado de educación superior. (shrink)

We believe with the publication of our Lexicon Spinozanum, that we are meeting a need in Spinoza historiography which has been pointed out by scholars, but has never before been satisfied. In the intro duction of his Spinozas philosophische Terminologie (Leipzig, 1913), G. T. Richter promised "a Spinozistic Lexicon in which the meaning of each term is set out on an historical basis in alphabetical order". In 1924, in the Report, i.e., Nachbericht, of his four volume edition of the complete (...) works of Spinoza (Heidelberg), C. Gebhardt promised a complementary volume comprising, among other things, a general index. However, neither the one nor the other were ever published. The hope of seeing this gap quickly filled has been reiterated recently by Di Vona: "The compilation of a Spinozistic index is a task of the history of philosophy, the execution of which would gratify all scholars". (Di V on a, Studi suIt' ontologia di Spinoza, Florence, 1960). We do not know how closely our Lexicon Spinozanum corresponds to what Richter and Gebhardt projected. We believe, however, that there are common requirements at the basis of works of this sort. In our procedure and in the delimitation of our scope, we have set for ourselves two main criteria: that of clarity and that of completeness. We hope we hav:e not deviated from them too much. (shrink)

Aphantasia is a heterogeneous neuropsychological syndrome consisting of the inability to create mental images. We argue that its progressive form may be a harbinger of dementia. Aphantasia may manifest as the inability to create any mental images or to create complex scenes, inability to spontaneously initiate generation of mental images, and/or inability to visualize a sequence of events.

The discussion of collective agency involves the reduction problem of the concept of a collective. Individualism and Cartesian internalism have long restricted orthodox theories and made them face the tension between an irreducible concept of a collective and ontological reductionism. Heterodox theories as functionalism and interpretationism reinterpret the concept of agency and accept it as realized on the level of a collective. In order to adequately explain social phenomena that have relations as their essence, in this paper we propose a (...) relational, holistic account of collective agency and argue that functionalism and interpretationism can be integrated into such an account. (shrink)

We could ask: how national could be a culture or another? The modernist or postmodernist perspectives seems to be unilateral here. Could be transmodernism the right sollution? The distictions between modernism, postmodernism and transmodernism are actually a pretext to set into discussion again the old dispute between Culture, regarded as a humanity universal feature and national cultures, perceived as a human community tradition symbol (community that claims a territory, a language, a religious belief and a certain government form).

As one of the characteristics of the nowadays postmodernism, the multiculturalism and the globalization seems to be profoundly related to the heterogenity and to the heteronomy. Globalization is going with the multiculturalism, but in an opposite direction: globalization towards the standardization and multiculturalismtowards fragmentation. Is the Global Village also the Postmodern Village?

Axiomatic classes of algebras of a given type which are closed with respect to direct limits are studied in this paper.

The relationship between self- and informant reports of personality using psychometric instruments is constantly the focus of attention for researchers in the field of clinical assessment in psychology. The research shows weak agreement between clinicians and patients’ assessments of personality disorders (PDs). The current study aimed at the convergence of measurement of PDs using the Shedler-Westen Assessment Procedure (SWAP-200), the self-report Character Styles Questionnaire-R (CSQ-R) and Borderline Personality Inventory (BPI). Paper-pencil questionnaires were administered to 102 inpatients (88.2% female, aged 18-64, (...) M = 38.4) in a voivodeship hospital and outpatient health care centre. The SWAP-200 allowed us to gather expert (clinician) personality ratings basing on the intensive contact with patients. Results show that only a few SWAP-200 PD scales showed low positive correlations with corresponding self-reported PD scales from the CSQ-R. With the canonical correlation analysis, we identified two functions (borderline and internalising) that described similarities between the SWAP-200 and CSQ-R. SWAP-200 Obsessive-Compulsive PD correlated negatively with BPI scales. Consistent with previous studies, the self-report and the clinical assessment were only marginally convergent. Furthermore, OCPD stands out from other disorders in that it correlates positively with health indicators and negatively with some of the other personality disorders. The highest agreement was observed in the description of Borderline PD. (shrink)

There is growing interest in a category of domestic labour frequently termed ‘emotional labour’. I argue that this labour is, in fact, primarily a form of epistemic labour. I argue that domestic epistemic labour is the target of dual erasure. Firstly, as invisible domestic labour, it is underrecognized and undervalued. Secondly, it is not recognized as epistemic, due to women’s epistemic oppression. ‘Emotional labour’, as a catch-all for feminized labour, perpetuates the dominant ideological conception of emotion as feminine and anti-epistemic. (...) Consequently, popular usage of ‘emotional labour’ attempts to address the first layer of erasure but reinforces the second. (shrink)

This article focuses on blood donation as a form of bloodletting in a context where donation is commonly seen to alleviate the symptoms of `thick blood'. It deals with the gendered aspects of blood donation, and the parallels drawn between donating blood and menstruating. Women are seen not to need to donate blood as much as men, who, in the absence of menstruation, are more prone to thick blood and require a means to expunge the ensuing excess. While blood donation (...) professionals strive to reconstruct donation as a selfless and ungendered act, counterposing the `facts' of arterial blood circulation to local blood-lore and beliefs, lay understandings challenge this construction in the use they make of blood donation centres or by reiterating the personalistic and gendered dimensions of donation. The article explores cases of patients who use hormonal contraceptives which suppress menstruation and express concerns over the resulting accumulation of blood in the body. It considers how blood donation is adopted by some women as a means of dispelling both the perceived inconveniences of menstrual bleeding and its swelling effects. Such literalized engagements with medical technologies reveal a conception of the body as a permeable, malleable and recipient-like enclosure. These views are often characterized as `ignorance' by medical practitioners, where ignorance is seen to derive not only from the absence of knowledge, but from the presence of the wrong kind of knowledge. (shrink)

Les hormones sexuelles sont des objets hybrides et complexes à la frontière du sexe et du genre. Dès lors qu’elles sont synthétisées sous forme pharmaceutique, elles peuvent attribuer des caractéristiques sexuelles au corps de manière partiellement exogène à celui-ci. Il s’en suit que l’utilisation clinique qui en est faite est socialement réglementée. À travers une analyse de divers contextes d’utilisation des hormones observés à Bahia, au Brésil, cet article montre que le dualisme sexuel est le produit de pratiques de régulation (...) biomédicales qui visent à encadrer la circulation des hormones. Le sens du terme local « hormônio » n’est pas pleinement recoupé par celui d’hormone, qu’il excède. L’emploi commun qui est fait au Brésil du singulier procure au terme « hormônio » une qualité fluide et homogène. Dans ce contexte, les hormones sont comprises comme une sorte de substance qui peut circuler entre les corps. Cette conceptualisation des hormones comme une substance a des implications pour le statut ontologique des corps et révèle la relative plasticité de la relation sexe/genre. (shrink)

Avec l’entrée massive dans l’usage du nom « émotion » comme nom générique de toutes les manifestations psychologiques, due à la vulgarisation du discours de spécialité de la psychologie, des arts, etc., il existe la tentation de considérer ce nom, du point de vue linguistique, uniquement comme un hyperonyme et même comme un « nom général », du sommet ou des fondements du lexique. Cet article présente un point de vue nouveau : il montre que, par ses propriétés morphologiques, syntaxiques (...) et anaphoriques, le nom émotion est aussi un nom de base, du même niveau lexical que peur, joie, tristesse, etc., que l’on a pu considérer comme ses hyponymes. (shrink)

Despite recent efforts by the Artificial Intelligence (AI) community to move towards standardised procedures for documenting models, methods, systems or datasets, there is currently no methodology focused on use cases aligned with the risk-based approach of the European AI Act (AI Act). In this paper, we propose a new framework for the documentation of use cases that we call use case cards, based on the use case modelling included in the Unified Markup Language (UML) standard. Unlike other documentation methodologies, we (...) focus on the intended purpose and operational use of an AI system. It consists of two main parts: firstly, a UML-based template, tailored to allow implicitly assessing the risk level of the AI system and defining relevant requirements, and secondly, a supporting UML diagram designed to provide information about the system-user interactions and relationships. The proposed framework is the result of a co-design process involving a relevant team of EU policy experts and scientists. We have validated our proposal with 11 experts with different backgrounds and a reasonable knowledge of the AI Act as a prerequisite. We provide the 5 use case cards used in the co-design and validation process. Use case cards allows framing and contextualising use cases in an effective way, and we hope this methodology can be a useful tool for policy makers and providers for documenting use cases, assessing the risk level, adapting the different requirements and building a catalogue of existing usages of AI. (shrink)

Celem artykułu jest podsumowanie filozoficznego sporu na temat autentyczności emocji wywoływanych przez środki psychofarmakologiczne. Praca jest głosem w szerszej bioetycznej dyskusji na temat ulepszania ludzi, a w szczególności ulepszania nastroju. W pierwszej części pracy przedstawiono dwa przeciwstawne bioetyczne stanowiska: wrogich idei ulepszania ludzi biokonserwatystów oraz entuzjastycznych transhumanistów. W drugiej części artykułu wykazano, w jaki sposób nieporozumienie między obydwoma stanowiskami może wynikać z innego sposobu definiowania pojęcia autentyczności. W trzeciej części problem autentyczności emocji rozpatrzono na hipotetycznym przykładzie przyjemności wywoływanej przez „pigułkę (...) szczęścia”. (shrink)

The aim of this article is to explore how metaphor is mobilized to frame and describe the lived experience of dementia in a corpus of illness narratives compiled from 10 blogs initiated and maintained by individuals diagnosed with early-onset dementia. The article is set against the background of contemporary healthcare practices and discourse around chronic illness and focuses on the metaphors that patients use to communicate about their dementia experience in relation to three basic psychological needs: autonomy, competence and relatedness, (...) which are essential for human well-being and are heavily challenged in complex medical situations. Results are discussed in terms of the framing metaphors provide of the emotional, psychological impact of dementia and their implications for patient-centered care. This study expands prior work by researching metaphors used for a condition that has been scarcely explored from this point of view and by focusing on the patient’s perspective exclusively. (shrink)

The article presents an attempt to reconstruct the axiological contents of Marx’s –concept of justice In the broadest terms, the axiological content of Marx’s concept of justice consists, in the author’s opinion, in the eternal conviction of man that it is just to render unto man what is rightfully due to him, while to deprive man of his due rights is a wrong. Accordingly, every man, by reason of his work or merits, rightly deserves the use and enjoyment of the (...) material goods he has produced, or of the good reputation he has won, etc. That formulation, however, does not exhaust the full sense of Marx’s idea of ‚justice’. Man in his capacity as a human being rightfully deserves over and above all that, a chance to draw on the full stock of human achievement, in order to develop and satisfy his manifold needs, inclinations and talents. (shrink)

Heidegger’s Kant and the Problem of Metaphysics controversially claims that the A deduction is superior to the B deduction because the imagination, as the“common root” of understanding and sensibility, opens the first Critique to metaphysical ground. Drawing on Dieter Henrich, this paper reinterprets Heidegger’sreading by moving beyond the Analytic and taking the Dialectic into account. This suggests a continuity between the A and B deductions, namely that the imagination, as more than an ontic faculty, remains a basic power that keeps (...) open a metaphysics of being in Kant—a metaphysics whose site is a radicalized unity of transcendental apperception. Revisiting Heidegger in this way shows how Kant is both linked to and differentiated from German Idealism’s debate about the imagination, a position suggested in both Heidegger and recent scholarly discussion. (shrink)

Rise of populist politics in the 21s century calls scholars and politicians alike to reflect upon the question of how politics and democracy have been understood. Drawing on the theory of hegemony, this article establishes a distinction between democracy and ‘demography’ as a key line of conceptualization in politics. It highlights a central misunderstanding at the core of the demonization of populism: For radical democratic theory, ‘the people’ is not a demographic, socio-economic, or historically sedimented category tied to some characteristics, (...) but a performative process of ‘being’ and ‘becoming’ ‘the people’ as a self-consciously enacted polity. This statement challenges the taken-for-granted status of subjectivities of political struggle and links this approach to other contemporary discussions of politics, democracy, and populism. After discussing how anti, neo and post-foundational theoretical accounts on populism reveal a dimension of politics and representation, this article emphasizes action and performativity over static categories and models characteristic of political realism and political system approaches. (shrink)