Gils-Schmidt and Salloch recognise that human and climate health are inextricably linked, and that mitigating healthcare-associated climate harms is essential for protecting human health.1 They argue that physicians have a duty to consider how their own practices contribute to climate change, including during their interactions with patients. Acknowledging the potential for conflicts between this duty and the provision of individual patient care, they propose the application of Korsgaard’s neo-Kantian account of practical identities to help navigate such scenarios. In this commentary, (...) we argue that by focusing attention on this physician–patient level, the authors overlook the complexity of climate change, both within the healthcare sector and beyond. We recognise the importance of individual agency in tackling this issue, and we also recognise that the authors do briefly acknowledge the importance of considering these broader complexities; however, we emphasise the need for climate and health discussions/action to be situated in a wider framework of systemic change. Our concern is that overemphasis on patient-level interactions risks normalising the prioritisation of individual-level approaches to addressing climate change, detracting from such a broader approach. Physician training emphasises the need for trust, confidentiality and shared decision-making in the doctor–patient relationship. …. (shrink)

NOVO CÓDIGO DE PROCESSO CIVIL: REFLEXÕES SOBRE LIBERDADE, IGUALDADE E MUDANÇAS DE PARADIGMAS.

Although organizational and situational factors have been found to predict burnout, not everyone employed at the same workplace develops it, suggesting that becoming burnt out is a complex, multifaceted phenomenon. The aim of this study was to elucidate perceptions of conscience, stress of conscience, moral sensitivity, social support and resilience among two groups of health care personnel from the same workplaces, one group on sick leave owing to medically assessed burnout (n = 20) and one group who showed no indications (...) of burnout (n = 20). The results showed that higher levels of stress of conscience, a perception of conscience as a burden, having to deaden one’s conscience in order to keep working in health care and perceiving a lack of support characterized the burnout group. Lower levels of stress of conscience, looking on life with forbearance, a perception of conscience as an asset and perceiving support from organizations and those around them (social support) characterized the non-burnout group. (shrink)

This article is an attempt to present Gödel's discussion on concepts, from 1944 to the late 1970s, in particular relation to the thought of Frege and Russell. The discussion takes its point of departure from Gödel's claim in notes on Bernay's review of ?Russell's mathematical logic?. It then retraces the historical background of the notion of intension which both Russell and Gödel use, and offers some grounds for claiming that Gödel consistently considered logic as a free-type theory of concepts, called (...) intensions, considered as the denotations of predicate names. (shrink)

Ethical dilemmas in critical care may cause healthcare practitioners to experience moral distress: incoherence between what one believes to be best and what occurs. Given that paediatric decision-making typically involves parents, we propose that parents can also experience moral distress when faced with making value-laden decisions in the neonatal intensive care unit. We propose a new concept—that parents may experience “moral schism”—a genuine uncertainty regarding a value-based decision that is accompanied by emotional distress. Schism, unlike moral distress, is not caused (...) by barriers to making and executing a decision that is deemed to be best by the decision-makers but rather an encounter of significant internal struggle. We explore factors that appear to contribute to both moral distress and “moral schism” for parents: the degree of available support, a sense of coherence of the situation, and a sense of responsibility. We propose that moral schism is an underappreciated concept that needs to be explicated and may be more prevalent than moral distress when exploring decision-making experiences for parents. We also suggest actions of healthcare providers that may help minimize parental “moral schism” and moral distress. (shrink)

Internationally recognized logicians present current thinking on the understanding of the role of deduction in human reasoning.

The Affective grounding hypothesis suggests that affective experiences play a crucial role in abstract concepts’ processing (Kousta et al. 2011). Vigliocco and colleagues test the role of affective experiences as well as the role of language in learning words denoting abstract concepts, comparing children with typical and atypical development. They conclude that besides the affective experiences also language plays a critical role in the processing of words referring to abstract concepts.

After considering the main theses of Alain Richardson's analysis of Carnap's Aufbau, and in particular Richardson's motivation for criticising the Quinean naturalisation of epistemology, we focus on the alleged neo-kantian influence on Carnap work. There is something lacking in Richardson rational reconstruction of Camap's work before 1939: the German logical tradition of Frege and Hilbert which Carnap was evidently confronted with. The themes of this tradition appear and disappear here and there in Richardson's book, but the real weight of its (...) epistemological consequences on the nature of logic and mathematics seems misplaced. (shrink)

The aggregation of individual judgments on logically interconnected propositions into a collective decision on the same propositions is called judgment aggregation. Literature in social choice and political theory has claimed that judgment aggregation raises serious concerns. For example, consider a set of premises and a conclusion where the latter is logically equivalent to the former. When majority voting is applied to some propositions (the premises) it may give a different outcome than majority voting applied to another set of propositions (the (...) conclusion). This problem is known as the discursive dilemma (or paradox). The discursive dilemma is a serious problem since it is not clear whether a collective outcome exists in these cases, and if it does, what it is like. Moreover, the two suggested escape-routes from the paradox—the so-called premise-based procedure and the conclusion-based procedure—are not, as I will show, satisfactory methods for group decision-making. In this paper I introduce a new aggregation procedure inspired by an operator defined in artificial intelligence in order to merge belief bases. The result is that we do not need to worry about paradoxical outcomes, since these arise only when inconsistent collective judgments are not ruled out from the set of possible solutions. (shrink)

Psychology, no less, than Psycho-Analysis claims to be a science. Notwithstanding that, its explanations are more probably characterized by its aesthetic nature. Moreover, the compelling dimension belongs intrinsically to the Freudian theory. This, however, doesn't argue against a systematical study of its concepts.Tanto a psicologia como a psicanálise têm a pretensão de serem ciências. Contudo, suas explicações parecem ser mais estéticas do que científicas. Em Freud, a dimensão da persuasão é parte inerente de sua teoria. O que não impede, contudo, (...) que se possam determinar com precisão os movimentos internos dos seus conceitos. (shrink)

This essay analyses the specific rhetoric of degeneration which was observable in the antisemitic polemic discourse of the last decades of 19th century. It provides an overview of the representation of Jewish art und artists as it took shape in the antisemitic literature of the Wilhelminian epoch. The growing emphasis placed by psychiatrists and racial theorists on the pathologies of the,,Jewish race“, such as hysteria or degeneration, resulted in the tendency to pathologize Jewish art and artists, which were deemed responsible (...) for the alleged decline of German culture. Mere aesthetic categories underwent a process of reduction and ideologization and were finally used for defamatory purposes, as shown in the case of the antisemitic denigration of Heinrich Heine. In order to demonstrate this, the analysis outlines the strict dichotomic logic of these argumentations, as the definition and consolidation of an ideal German essence was usually based on the construction of a degenerated Jewish identity. (shrink)

The collection Guarigioni, rinascite, metamorfosi is part of Sandro Barbera’s project to compile two volumes containing updated versions of his most incisive essays on Goethe and Schopenhauer. Unfortunately, his untimely passing left us preparatory material, but no drafts of new work. In his introduction, Stefano Busellato explains that the initial project had to be shelved in favor of a collection of essays that, to Barbera’s mind, were all but ready for publication. Four essays, each marking a major step in his (...) thought, have been added to his original selection.One of this collection’s many strengths is the wide range of themes that Barbera’s shrewd analysis explores in works by Goethe, Schopenhauer, and... (shrink)

Carl Schmitt's friend/enemy principle is exposed to in-depth philosophical analysis and historical examination with the aim of showing that the political follows hostility, violence and terror as form follows matter. The book argues that the partisan is an umbrella concept that includes the national and global terrorist.

Au Moyen Âge, la théorie médicale de la complexio n’est pas confinée dans le domaine restreint de la théorie ou de la pratique de la médecine. Elle implique une anthropologie déterminée, qui ne concerne pas seulement la santé et le bien-être de l’homme, mais, dans certaines limites, la nature même de celui-ci ou, pour mieux dire, la manière dont la nature spécifique de l’homme s’articule avec la variété et la différence des tempéraments et des dispositions individuelles : ce qu’est chaque (...) individu dépend de la complexion qui lui est propre. Cette anthropologie médicale dépasse les limites de sa discipline et pénètre aussi la théologie, par une série d’implications, pas toujours prévisibles, qui concernent la place de l’homme dans l’univers, l’eschatologie, la démonologie et aussi la christologie. Le but de cette étude est de rendre compte de certaines de ces implications en regard de la pensée de Thomas d’Aquin. Les différents lieux où Thomas étudie la complexion corporelle – il en considère les implications dans les domaines intellectuel et moral – montrent une sorte d’assimilation de l’anthropologie médicale (indirectement galénique, mais surtout avicennienne) à l’intérieur de son horizon de pensée, constitué par la philosophie naturelle aristotélicienne et par les exigences propres à sa théologie. (shrink)

The article explores the complex experiences and positions of migrant women in the `nursing profession' in a southern European country, Greece. It looks at ways in which a rudimentary welfare state and a large informal economy have created the demand for les infirmières exclusives and for `quasi-nurses'. The supply and use of their services, on the one hand, helps perpetuate this informal welfare system and, on the other, has implications for migrant women themselves as, inter alia, it contributes to their (...) deskilling, exploitation, marginalization and exclusion. The multifarious degrees and forms that these processes take, to a large extent, depend on the cross-cutting of gender, ethnicity and class, as sexism intersects with different forms of `othering' and racialization processes in the destination country. The position of these women is also located in terms of ethnic and national boundaries. (shrink)

In the ideological construction of colonialism and, more widely, of any hierarchy of human communities, a crucial role is played by discourse on language. English nationalism and imperialism, in particular, developed extensive argumentations on language as an interpretation of the encounter with the other, on the basis of internal cultural developments that assigned to language the role of social discriminator. The paper investigates a strand of such argumentations during the period from the seventeenth to the nineteenth century: the concept of (...) “primitive” languages, described in a positive or, more often, in a negative light. The former arguments employ tones related to the idea of the “good savage” and stand in connection with narratives on the “language of Adam” and of the “Welsh Indians”, the latter uses a rhetoric extolling “progress” and “civilization” against the “immaturity” and “backwardness” of primitive languages, a perspective that was later to influence Darwinism. (shrink)

In The Leviathan in the state theory of Thomas Hobbes, Carl Schmitt puts forward the claim that there is a ?barely visible crack? in Hobbes's theory of the state that opened the door to liberal constitutionalism. This essay claims that Schmitt's ?thesis of the crack? is composed of two elements: first, Schmitt argues that Hobbes makes a concession to individual conscience in his discussion of miracles; second, Schmitt points out that Hobbes's individualism undermines his notion of the absolute state. As (...) Schmitt relies on an unconvincing critique of Hobbes's discourse on miracles in order to justify his more general claim against Hobbes's authoritarianism, this essay suggests that Schmitt's ?thesis of the crack? is untenable in the form that Schmitt presented it in 1938. An attempt, however, is made to salvage ?the thesis of the crack? by turning to concepts found in Schmitt's Concept of the political and in Political theology. Although Schmitt openly approved of the so?called protection/obedience principle, this essay claims that there are a number of crucial differences between Schmitt's formulation of that principle and Hobbes's own version; an examination of these differences enables us (i) to appreciate the consequences of Hobbes's individualism on his theory of the state and (ii) to shed new light on Howard Warrender's famous claim that Hobbes's sovereign is inherently weak. The essay concludes that in spite of Schmitt's fallacious formulation of the ?thesis of the crack? of 1938, his political theory affords us a rare vantage point from which we can clearly see a case against the association of Hobbes with authoritarianism. (shrink)

This article concentrates on the rapid growth of trafficking in women from Eastern and Central Europe who end up working in the sex industry in Athens. Such movement of people is constituted around global networks of female labour. The social processes and mechanisms that produce and reproduce the somatic and social exploitation of female migrants caught in the web of the sex industry are analysed. These processes are responsible for a continuation and accentuation of women’s loss of power to represent (...) their interests, to seek viable economic alternatives. The living and working spaces of these women rest upon their isolation and individuation and total control of their everyday activities. Ethnicity, age and racialized exclusions all intersect with sexist relations and practices within Greek society and the ethnic communities under study. The interplay of these processes operates differently within different ethnic groups of women to produce different outcomes. (shrink)

Hobbes's philosophical discourse is deconstructed as the interplay of the drama of individual behavior as perceived by rational agents and the detached analysis of conflict a by a political geometer . The author solves some long-standing problems in Hobbesian political philosophy (e.g., the role of glory, Hobbes' pessimism) and shows the consistency of Hobbes's attempt to derive absolutism as the only stable political association.

The aim of this essay is to consider both Schmitt’s polemical and his analytical claims in dealing with a concept which is central to his theory and yet strangely overlooked by the secondary literature: the concept of friendship. The essay proceeds in three steps; first it makes some textual claims about the meaning and role of friendship in Schmitt’s writings; secondly its puts forward an interpretation of the significance of friendship in Schmitt’s political thought; finally, it tries to disentangle polemics (...) from diagnostics in Schmitt’s discourse and draws some tentative conclusions. (shrink)

This paper is an investigation into the logic of information flow. The basic perspective is that logic flows in virtue of constraints and that constraints classify channels connecting particulars In this paper we explore some logics intended to model reasoning in the case of idealized information flow, that is, where the constraints involved are exceptionless. We look at this as a step toward the far more challenging task of understanding the logic of imperfect information flow, that is where the constraints (...) admit of exceptional connections. This paper continues and amplifies work presented by the same authors in [10]. (shrink)

In this article we present the bases for a computational theory of the cognitive processes underlying human communication. The core of the article is devoted to the analysis of the phases in which the process of comprehension of a communicative act can be logically divided: (1) literal meaning, where the reconstruction of the mental states literally expressed by the actor takes place: (2) speaker's meaning, where the partner reconstructs the communicative intentions of the actor; (3) communicative effect, where the partner (...) possibly modifies his own beliefs and intentions; (4) reaction, where the intentions for the generation of the response are produced; and (5) response, where an overt response is constructed. The model appears to be compatible with relevant facts about human behavior. Our hypothesis is that, through communication, an actor tries to exploit the motivational structures of a partner so that the desired goal is generated. A second point is that social behavior requires that cooperation be maintained at some level. In the case of communication, cooperation is, in general, pursued even when the partner does not adhere to the actor's goals, and therefore no cooperation occurs at the behavioral level. This important distinction is reflected in the two kinds of game we introduce to account for communication. The main concept implied in communication is that two agents overtly reach a situation of shared mental states. Our model deals with sharedness through two primitives: shared beliefs and communicative intentions. (shrink)

Various methods have been employed to investigate different aspects of the brain activity modulation related to the performance of a cycling task. In our study we examined how functional connectivity and brain network efficiency varied during an endurance cycling task. To this purpose, we reconstructed EEG signals at source level: we computed current densities in 28 anatomical regions of interest (ROIs) through the eLORETA algorithm, then we calculated the Lagged Coherence of the 28 current density signals to define the adjacency (...) matrix. To quantify changes of functional network efficiency during an exhaustive cycling task, we computed three graph theoretical indices: local efficiency (LE), global efficiency (GE) and Density (D) in two different frequency bands, Alpha and Beta bands, that indicate alertness processes and motor binding/fatigue respectively. This analysis was conducted for six different task intervals: pre-cycling, initial, intermediate and final stages of cycling, active recovery and passive recovery. Fourteen participants performed an incremental cycling task with simultaneous EEG recording and RPE monitoring to detect participants’ exhaustion. LE remained constant during the endurance cycling task in both bands. Therefore, we speculate that fatigue processes did not affect segregated neural processing. We observed an increase of GE in the Alpha band only during cycling, that could be due to greater alertness processes and preparedness to stimuli during exercise. Conversely, although D did not change significantly over time in the Alpha band, its general reduction in the Beta bands during cycling could be interpreted within the framework of the neural efficiency hypothesis, which posits a reduced neural activity for expert/automated performances. We argue that the use of graph theoretical indices represents a clear methodological advancement in studying endurance performance. (shrink)

This manuscript presents a demonstration study of Quiet Time, a classroom-based Transcendental Meditation intervention. The aim of the study is to assess the feasibility of implementing and evaluating QT in two pilot settings in the United Kingdom and Ireland. This study contributes to the field by targeting middle childhood, testing efficiency in two settings operating under different educational systems, and including a large array of measures. First, teacher and pupil engagement with QT was assessed. Second, the feasibility of using a (...) quasi-experimental design and a wide range of instruments to measure changes in pupil outcomes before and after the intervention was assessed. This allows us to obtain information about which instruments might be feasible to administer and most sensitive to change. The first setting included 89 students from a primary school in the United Kingdom: those in sixth grade received the QT intervention, while those in fifth grade practiced meditation using the Headspace application. The second setting included 100 fifth- and sixth-grade students from two schools in Ireland: one received the QT intervention, the other served as a control. Recruitment and retention rates were high in both settings, and the intervention was feasible and accepted by students, parents and teachers. Implementation fidelity was lower in the United Kingdom setting where delivery started later in the school year and the practice was affected by preparation for the Standard Assessment Tests. These results show that QT may be feasibly delivered in school settings, and suggest the use of a compact battery of tests to measure impact. We find suggestive evidence that the intervention affected executive function as children who practiced QT showed improved working memory in both settings. In the Irish setting, pupils in the QT group had improved ability to control responses. These results have implications for future studies by a) demonstrating that implementation fidelity is highly context dependent and b) providing suggestive evidence of the malleability of children’s skills in middle childhood. The results of this demonstration study will be used to inform a larger RCT of the QT intervention. (shrink)

Human beings frequently attribute anthropomorphic features, motivations and behaviors to animals, artifacts, and natural phenomena. Historically, many interpretations of this attitude have been provided within different disciplines. What most interpretations have in common is distinguishing children’s manifestations of this attitude, which are considered “natural”, from adults’ occurrences, which must be explained by resorting to particular circumstances. In this article, I argue that anthropomorphism is not grounded in specific belief systems but rather in interaction. In interaction, a nonhuman entity assumes a (...) place that generally is attributed to a human interlocutor, which means that it is independent of the beliefs that people may have about the nature and features of the entities that are anthropomorphized. This perspective allows us to explain the problems that emerge if we consider anthropomorphism as a belief: (i) adults under certain circumstances may anthropomorphize entities even if they perfectly know that these entities have no mental life; (ii) according to the situation, the same entity may be anthropomorphized or treated as an object; (iii) there is no consistency among the entities that are anthropomorphized; (iv) there is individual variability in anthropomorphization, and this variability derives from affective states rather than from different degrees of knowledge about the entity that is anthropomorphized or greater or lesser naivety of the person who anthropomorphizes. From this perspective, anthropomorphism is a basic human attitude that begins in infants and persists throughout life. The difference between adults and children is not qualitative but rather a matter of complexity. (shrink)

La clôture des religieuses et les rapports de genre dans les couvents italiens (fin XVIe – début XVIIe siècle). L’article examine les changements dans les rapports de genre introduits par les normes du Concile de Trente sur les religieux, en particulier celles concernant la clôture des moniales. À Florence et Bologne prises comme terrains d’observation, les correspondances de l’archevêque Alessandro de’Medici avec le monastère florentin des Murate (1579-1606) et de l’archevêque de Bologne Ludovico Ludovisi avec ses vicaires (1624-1627) permettent de (...) discuter la “perméabilité” de la clôture, un concept avancé par la critique récente. Les règles de la clôture n’ont interrompu ni les rapports étroits des monastères avec la cité et la société, ni la présence dans les couvents de filles à éduquer, veuves et femmes en rupture de ban conjugal, mais elles ont fortement réduit l’autonomie des religieuses, en déléguant aux évêques et à la Congrégation romaine sur les Religieux le contrôle de l’entrée dans les monastères. Les effets de la clôture tridentine à l’intérieur des monastères se traduisent par des changements significatifs dans la hiérarchie des offices, l’organisation de la communauté par classes d’âge et l’orientation des affects vers des personnes du même sexe. En ce qui concerne les rapports de genre, enfin, le rôle des confesseurs, référents masculins privilégiés des nonnes (que ce soit sur le plan spirituel ou sur celui des équilibres internes du monastère), se renforce. (shrink)

The study aimed to explore the subjective need of healthcare professionals for ethics consultation, their experience with ethical conflicts, and expectations and objections toward a Clinical Ethics Committee. Staff at a university hospital took part in a survey (January to June 2010) using a questionnaire with open and closed questions. Descriptive data for physicians and nurses (response rate = 13.5%, n = 101) are presented. Physicians and nurses reported similar high frequencies of ethical conflicts but rated the relevance of ethical (...) issues differently. Nurses stated ethical issues as less important to physicians than to themselves. Ethical conflicts were mostly discussed with staff from one’s own profession. Respondents predominantly expected the Clinical Ethics Committee to provide competent support. Mostly, nurses feared it might have no influence on clinical practice. Findings suggest that experiences of ethical conflicts might reflect interprofessional communication patterns. Expectations and objections against Clinical Ethics Committees were multifaceted, and should be overcome by providing sufficient information. The Clinical Ethics Committee needs to take different perspectives of professions into account. (shrink)