Christopher Boorse’s bio-statistical theory of health and disease argues that the central discipline on which theoretical medicine relies is physiology. His theory has been much discussed but little has been said about its focus on physiology or, conversely, about the role that other biomedical disciplines may play in establishing a theoretical concept of health. Since at least the 1950s, epidemiology has gained in strength and legitimacy as an independent medical science that contributes to our knowledge of health and disease. Indeed, (...) it not only provides important information about disease distribution and aetiology, but the risk-factor approach it employs seems to challenge BST’s binary conception of health and disease. The objective of the article is to show, firstly, how important information deriving from descriptive and analytical epidemiology forms part of our contemporary medical concepts of health and disease, and secondly, that these elements are not taken into account by BST in a satisfactory way. The article’s central contention, therefore, is that if the project of defining the theoretical concept of health is to be maintained, more importance should be accorded to the contribution made by epidemiology—alongside physiology—in defining health. (shrink)

Plusieurs aspects du modèle biopsychosocial promeuvent une approche humaniste en médecine. Cependant, Engel a explicitement rejeté un humanisme médical qui s’opposerait à la science. En adoptant une approche fondée sur la science des systèmes pour étudier les êtres humains, la santé et la maladie, Engel défend une approche scientifique pour améliorer la qualité des soins cliniques, ou autrement dit, une approche qui se prête à un examen scientifique de cette question.

Canguilhem criticized the concept of “public health”: health and disease are concepts that only apply to individuals, taken as organic totalities. Their extension to a different level of organization is purely metaphorical. The importance assumed by epidemiology in the construction of our knowledge of the normal and the pathological does, however, call for reflection on the role and the status of the population level of organization in our approach to health phenomena. The entanglement of the biological and the social in (...) human life and in contemporary societies justifies this level of analysis for better understanding the complexity and the interaction of health determinants both at the level of individuals and their interactions and at that of the population. But is this population level just a useful level of analysis that makes it possible to bring to light the social determinants of health at the individual level, or does it rest instead on characteristics of the population that are irreducible to individual characteristics, but which are nevertheless important for understanding and taking action with respect to both population and individual health? Defending this second alternative, I show how the epidemiological point of view, and in particular that of social epidemiology, leads us to rethink the possibility of a concept of “population health” that is not reducible to the sum of individual instances of health. (shrink)

La possibilité d’une définition naturaliste de la santé et d’une distinction entre le normal et le pathologique qui ne repose pas sur des normes culturelles, sociales ou subjectives est au cœur des débats en philosophie de la médecine. Or le concept statistique de la normalité, fondamental pour une définition objective de la santé, soulève d’importantes difficultés. Christopher Boorse défend une « théorie bio-statistique » qui, en articulant ce concept à une notion non normative de fonction biologique, résoudrait ces difficultés. L’identification (...) de la santé et de la normalité au sens statistique demeure toutefois centrale dans sa définition. Après avoir précisé le rôle que joue la normalité statistique dans la BST, nous dégageons, à partir de l’épidémiologie contemporaine, un certain nombre de problèmes et questions que cette définition naturaliste soulève.The liability for a naturalist definition of health and for a value-free distinction between the normal and the pathological is at the core of discussions on health and disease in philosophy of medicine. But the statistical concept of normality, a central one for any objective definition of health, raises numerous problems. Christopher Boorse argues for a « biostatistical theory » which aims at solving these difficulties by articulating a statistical concept of normality and a non-normative concept of biological function. However the BST is still based on identifying normality and health with the most frequent. After analyzing in details the true role of statistical normality in BST, I will show how results and data from modern epidemiology can be mobilized to reveal several limits and difficulties with respect to this naturalist definition of health and disease. (shrink)

This article presents a comparative analysis between Georges Canguilhem’sEssay on Some Problems Concerning the Normal and the Pathological, published in 1943 and the English language debate that started in the 1970s between the naturalists and the normativists. Seemingly, this comparison illustrates the opposition between the French historical epistemology and the Anglo-American philosophy of sciences. However, I put into perspective what is generally considered an opposition between the two traditions by analyzing certain conceptual similarities.

Evidence-Based Medicine (EBM) and Personalized Medicine (PM) share a common goal: reducing the gap between the results of biomedical research and their clinical application. PM is, however, often presented as a “new paradigm” for medicine, just as EBM was in the 1990s. It covers a wide variety of projects but the core idea that generally unites them is the ambition of better taking account of individual specificities than did EBM with its statistical and population-centred approach. In this article, I concentrate (...) on PM in cancerology, the essence of which is to target treatments based on the molecular profile of the patient. This targeting is made possible by gaining better knowledge about the molecular mechanisms of cancers. The classification of patients as a function of their molecular profile entails the creation of patient sub-groups. This creates a problem for the traditional evaluation of therapeutic treatment promoted by EBM, in particular the use of randomized trials using sizeable cohorts. But a better understanding of the mechanisms and the greater precision of treatments could reduce the need for these trials. Does PM thus represent the revenge of a physio-pathological and mechanistic culture in clinical research against the statistical and empirical one of EBM? My objective is to show how current practices of PM leads to epistemological changes in our estimation of what count as relevant types of information and proof in medicine, in particular in the field of therapeutic evaluation. I defend the idea that PM, far from obviating the need for statistical approaches and the search for correlations, ultimately poses new challenges for EBM. PM drives EBM to strengthen the articulation and the integration of statistical and mechanistic data with a view to providing a better service for each patient. (shrink)

L’exposome réfère à un domaine émergent de recherche qui a pour visée de développer une science intégrée de l’ensemble des expositions auxquelles est soumis un individu tout au long de sa vie et qui influencent sa santé. Deux principales orientations se font jour. L’une se concentre sur l’étude de l’exposome interne qui permettrait d’identifier l’essentiel des expositions impactant la santé en mesurant avec précision les effets au niveau de l’environnement biochimique du corps. L’autre entend intégrer les expositions sociales, écologiques et (...) les expositions biologiques et internes, ou autrement dit, faire davantage de place à l’étude de l’exposome externe et ainsi développer un modèle holiste de la santé environnementale. À partir de l’examen de la littérature scientifique, de l’analyse de la première génération d’études exposomiques (2010-2020) et d’entretiens menés auprès d’épidémiologistes engagés dans ces recherches, cet article propose un état des lieux des promesses et réalisations de ce domaine émergent quant à l’intégration des expositions, tout en ayant l’ambition d’apporter un regard critique sur ces dernières. Après avoir présenté l’exposome et ses diverses interprétations, nous examinerons quel type d’intégration est en jeu dans chacune de ces deux orientations et nous en questionnerons l’intérêt et la pertinence. Notre analyse se concentre plus particulièrement sur la seconde orientation : quels gages cette tendance la plus holiste donne-t-elle en vue d’un renouvellement de nos manières d’intégrer les facteurs environnementaux et génétiques, sociaux et biologiques, dans notre approche des expositions et de l’explication des maladies? (shrink)

English summary: Based on the famous essay by Georges Canguilhem on what is normal and pathological (originally published in 1943), extensive philosophical literature (mainly Anglo-Saxon) has attempted to define these concepts and analyze their status. The main discussion focuses on the following question: can you describe health and illness as natural phenomena or are they states that are determined by values? French text. French description: Depuis le celebre essai de Georges Canguilhem sur le normal et le pathologique publie initialement en (...) 1943 et dont l'un des objectifs etait la clarification des concepts de sante et de maladie, une litterature philosophique abondante, principalement anglo-saxonne, s'est attachee a definir ces concepts et a analyser leur statut. Le principal debat de ce domaine emergent de la philosophie de la medecine porte sur la question: peut-on decrire la sante et la maladie comme des phenomenes naturels ou s'agit-il d'etats qui sont determines par des valeurs? Tous les textes presentes dans ce volume ont participe de cette controverse. Ceux de la premiere section accordent une part importante a la composante biologique. Ceux de la seconde donnent le primat a la notion d'action. Ceux de la derniere section mettent en question l'utilite ou la possibilite meme de definir les deux concepts. (shrink)

Staging and stratification are two diagnostic approaches that have introduced a more dynamic outlook on the development of diseases, thus participating in blurring the line between the normal and the pathological. First, diagnostic staging, aiming to capture how diseases evolve in time and/or space through identifiable and gradually more severe stages, may be said to lean on an underlying assumption of “temporal determinism”. Stratification, on the other hand, allows for the identification of various prognostic or predictive subgroups based on specific (...) markers, relying on a more “mechanistic” or “statistical” form of determinism. There are two medical fields in which these developments have played a significant role and have given rise to sometimes profound nosological transformations: oncology and psychiatry. Drawing on examples from these two fields, this paper aims to provide much needed conceptual clarifications on both staging and stratification in order to outline how several epistemological and ethical issues may, in turn, arise. We argue that diagnostic staging ought to be detached from the assumption of temporal determinism, though it should still play an essential role in adapting interventions to stage. In doing so, it would help counterbalance stratification’s own epistemological and ethical shortcomings. In this sense, the reflections and propositions developed in psychiatry can offer invaluable insights regarding how adopting a more transdiagnostic and cross-cutting perspective on temporality and disease dynamics may help combine both staging and stratification in clinical practice. (shrink)

Cancers rely on multiple, heterogeneous processes at different scales, pertaining to many biomedical fields. Therefore, understanding cancer is necessarily an interdisciplinary task that requires placing specialised experimental and clinical research into a broader conceptual, theoretical, and methodological framework. Without such a framework, oncology will collect piecemeal results, with scant dialogue between the different scientific communities studying cancer. We argue that one important way forward in service of a more successful dialogue is through greater integration of applied sciences (experimental and clinical) (...) with conceptual and theoretical approaches, informed by philosophical methods. By way of illustration, we explore six central themes: (i) the role of mutations in cancer; (ii) the clonal evolution of cancer cells; (iii) the relationship between cancer and multicellularity; (iv) the tumour microenvironment; (v) the immune system; and (vi) stem cells. In each case, we examine open questions in the scientific literature through a philosophical methodology and show the benefit of such a synergy for the scientific and medical understanding of cancer. (shrink)

Giroux argues that challenge gives new meaning to the importance of resistance, the relevance of pedagogy, and the significance of political agency.

Athletes’ identity development upon retirement from elite sport was examined through a model of self-reformation that integrates and builds on the theoretical underpinnings of identity development and liminality, while advancing seven propositions and supporting conceptual conjectures using findings from research on athletes’ transition out of sport. As some elite athletes lose a salient athletic identity upon retiring from sport, they experience an identity crisis and enter the transition rites feeling in between their former athletic identity and future identity post-sport life, (...) during which a temporary identity moratorium status is needed for identity growth. Given the developmental challenges encountered in moratorium and psychosocial processes necessary to establish a new, fulfilling identity for life after elite sport, we identified key conditions, triggers, and processes that advance how a journey of identity growth paradox experienced during liminality serves as a catalyst toward identity achievement. Elite athletes must be encouraged to persevere in this challenging identity search and delay commitments for as long as it is necessary to achieve identity growth despite experiencing uncomfortable feelings of confusion, void, and ambiguity during the liminal phase. Reforming into an achieved identity for life after elite sport would corroborate the successful navigation of transition, as elite athletes evolved into a synthesized sense of self by cementing, through a negotiated adaptation pathway, constructed identity commitments that will provide new beginnings and meaningful directions to their life after elite sport. (shrink)

Mindfulness—the awareness of the present moment and experiences in daily life—contributes to genuine intrinsic and social-oriented values and curbs materialistic and hedonistic values. In the context of materialism, money is power. Avaricious individuals take risks and are likely to engage in dishonesty. Very little research has investigated the effects of mindfulness in reducing the avaricious monetary attitudes and enhancing ethical consumer beliefs. In this study, we theorize that mindfulness improves consumer ethics directly and indirectly by lowering avaricious monetary attitudes. To (...) test our theory, we collected data from 523 individuals with the Mindfulness-Based Stress Reduction training and 307 individuals without MBSR. The results of our whole sample support our theory. Three multiple-group confirmatory factor analyses reveal intriguing discoveries. First, with MBSR training, mindfulness excites consumer ethical beliefs directly and indirectly. Without training, trait mindfulness fails to reduce monetary attitudes—mindfulness training matters. Second, the power of MBSR training holds for participants completing the training within 1 year, but wears off after 1 year—the duration after training matters. Finally, after 1 year, the training retains its strength for those who practice mindfulness, but weakens its power for those who do not—practice matters. We shed light on mindfulness, monetary wisdom, and consumer ethics, in particular, and business ethics, in general. (shrink)

What causes adolescents to develop consumer’ ethical beliefs? Prior research has largely focused on the negative influence of peers and negative patterns of parent–child interactions to explain risky and unethical consumer behaviors. We take a different perspective by focusing on the positive support of parents and peers in adolescent social development. An integrative model is developed that links parental and peer support with adolescents’ self-worth motives, their materialistic tendencies, and their consumer ethical beliefs. In a study of 984 adolescents, we (...) demonstrate support for a sequential mediation model in which peer and parental support is positively related to adolescents’ self-esteem and feelings of power, which are each associated with decreased materialism as a means of compensating for low self-worth. This reduced materialism is, in turn, associated with more ethical consumer beliefs. (shrink)

A well-known common wisdom asserts that strong social bonds undermine delinquency. However, there is little empirical evidence to substantiate this assertion regarding adolescence academic cheating across cultures. In this study, we adopt social bonding theory and develop a theoretical model involving four social bonds and adolescence self-reported academic cheating behavior and cheating perception. Based on 913 adolescents in France and China, we show that parental attachment, academic commitment, and moral values curb academic cheating; counterintuitively, peer involvement contributes to cheating. We (...) test our theoretical model across culture and gender, separately, using multi-group analyses. For French teens, peer involvement encourages and moral values undermine cheating; for Chinese adolescents, all four social bonds contribute to cheating, similar to the whole sample. For girls, parental attachment deters, but peer involvement enhances cheating. For boys, parental attachment is the only social bond that does not affect cheating. We treat social integration as a mediator of the relationship between peer involvement and social bonds that construct, in turn, is related to cheating and ask: Considering popularity, who are likely to cheat? Our answers provide an interesting paradox: Popularity matters, yet popular French girls and unpopular Chinese boys are likely to cheat. Social sharing is a positive pro-social behavior in consumer behavior. However, academic cheating and rule breaking, reflecting self-serving altruism and the red sneakers effect, at a very young age may have the potential to grow into the Enron Effect later in their lives as executives in organizations. We shed new lights on both the bright and dark sides of social bonds on cheating, demonstrate bad company corrupts good morals, differently, across culture and gender, and provide practical implications to social bonding, business ethics, and cheating. (shrink)

Physician empathy is considered essential for good clinical care. Empirical evidence shows that it correlates with better patient satisfaction, compliance, and clinical outcomes. These data have nevertheless been criticized because of a lack of consistency and reliability. In this paper, we claim that these issues partly stem from the widespread idealization of empathy: we mistakenly assume that physician empathy always contributes to good care. This has prevented us from agreeing on a definition of empathy, from understanding the effects of its (...) different components and from exploring its limits. This is problematic because physicians’ ignorance of the risks of empathy and of strategies to manage them can impact their work and wellbeing negatively. To address this problem, we explore the effects of the potential components of empathy and argue that it should be conceived as a purely descriptive and wide term. We end by discussing implications for medical education. (shrink)

Adolescents have increasing discretionary income, expenditures, and purchasing power. Inventory shrinkage costs $123.4 billion globally to retail outlets. Adolescents are disproportionately responsible for theft and shoplifting. Both parents and peers significantly influence adolescents’ monetary values, materialism, and dishonesty as consumers. In this study, we develop a theoretical model involving teenagers’ social attachment and their consumer ethics, treat adolescents’ money attitude in the context of youth materialism as a mediator, and simultaneously examine the direct and indirect paths. Results of 1018 adolescents (...) illustrate that social attachment discourages unethical beliefs directly, but encourages it indirectly through monetary values. Our multi-group analyses demonstrate a novel paradox: The correlation between parental and peer attachments is smaller in France than in China, but similar across gender. Parents contribute more than peers to social attachment in France, but both carry equal weight in China. There is a negative direct path for the Chinese sample and for girls. Indirectly, parental attachment prevents French teenagers’ unethical beliefs, whereas peer attachment promotes boys’ unethical intention, supporting the notion—bad company corrupts good morals. Across both culture and gender, monetary attitude excites dishonesty consistently for all adolescents. A negative direct path exists for Chinese boys only. Overall, social attachment reduces unethical beliefs. Parental and peer supports shape teenagers’ monetary intelligence and ethical or unethical decision making, differently, across culture and gender. We provide theoretical, empirical, and practical implications to ethical parenting, peer attachment, monetary values, and business ethics. (shrink)

This article, focusing on America, analyses the way in which Baudrillard uses aphoristic statements in order to propose a response, in the form of parody both of America and of its mediatization, to the proliferation of signs and loss of referentiality which characterize hyperreality. The text in question might be among the most controversial by its author due partly to its non-discursive style and the way in which it offers a punchy critique of America. It raises the question of legitimacy (...) that the aphorism bears at its heart as a self-sufficient authoritative statement, as well as the use of irony. This article analyses the way in which Baudrillard's use of the name ‘America’ both refers to a place and functions as the title of a book. This allows us to question the notion of identity both in terms of identification and of sharing, thereby enabling us to reconsider the notion of contemporaneity. (shrink)

Cet article vise à développer de quelles manières et pour quelles raisons le franglais, en règle générale décrié, est utilisé dans les tabloïdes français qui ont également mauvaise presse. Via un corpus constitué de gros titres, titres, et extraits d’articles provenant des magazines en ligne de presse à scandale français Closer, Gala, Grazia, Paris Match, Public, Purepeople, et Voici, nous débutons notre analyse par une première partie consacrée aux spécificités du franglais appliquées à la presse à sensation française, à savoir (...) l’aspect codé et ciblé de ce lexique ainsi que la notion de « quantité ». Puis, dans une seconde partie, nous traitons des principales raisons justifiant l’utilisation du franglais dans ce type de presse en abordant les notions clés d’ « économie du langage » et d’ « identité de groupe ». (shrink)

Cet article vise à développer de quelles manières et pour quelles raisons le franglais, en règle générale décrié, est utilisé dans les tabloïdes français qui ont également mauvaise presse. Via un corpus constitué de gros titres, titres, et extraits d’articles provenant des magazines en ligne de presse à scandale français _Closer_, _Gala_, _Grazia_, _Paris Match_, _Public_, _Purepeople_, et _Voici_, nous débutons notre analyse par une première partie consacrée aux spécificités du franglais appliquées à la presse à sensation française, à savoir (...) l’aspect codé et ciblé de ce lexique ainsi que la notion de « quantité ». Puis, dans une seconde partie, nous traitons des principales raisons justifiant l’utilisation du franglais dans ce type de presse en abordant les notions clés d’ « économie du langage » et d’ « identité de groupe ». (shrink)

Dans cet ouvrage-hommage à Michèle Riot-Sarcey, les travaux et la pensée de l’historienne sont mis en perspective au travers de dix-huit articles organisés autour des thèmes « Genre », « Utopies et discontinuités », « Révolution, république et démocratie », et « Se situer dans son propre présent ». L’ensemble de l’ouvrage constitue une invitation à lire ou relire les œuvres de l’auteure et à prendre avec elle le parti de se confronter en toute conscience aux enjeux de l’écriture de (...) l’histoire... (shrink)

Timothy Verhoeven, de l’université de Monash en Australie, est spécialiste de l’histoire contemporaine de la France et des États-Unis. Son ouvrage Sexual Crime, Religion and Masculinity in Fin-de-Siècle France: the Flamidien affair se situe à la croisée de deux thématiques qu’il avait déjà étudiées auparavant, l’anticléricalisme et les relations entre Église et États d’un côté, et l’histoire des masculinités à partir des sexualités cléricales de l’autre. À partir d’un fait divers propice à me...

Marketing research on adolescents’ ethical predispositions and risky behaviors has focused primarily on individual difference variables. The present study, in contrast, examines the social network positions that an adolescent occupies within a group. A survey of 984 adolescents demonstrates that EP and RB stem from a balance between assimilation and individuation. In particular, we show that adolescents with close first-degree relationships within a specific peer group and/or high need for uniqueness have lower EP and engage in more RB, while adolescents (...) that are more central to the entire network have higher EP. The theoretic and practical implications of these findings are discussed. (shrink)

La première loi envisageant de mobiliser les femmes en cas de guerre est mise en application en 1939 en France et des femmes s’engagent pour la première fois dans l’Armée française au début de la Seconde Guerre mondiale. De 1939 à 1962, la France est en guerre sans discontinuer et les effectifs militaires féminins ne cessent d’augmenter. Cette présence féminine dans un bastion masculin, par excellence, engendre de nombreux débats et questionnements. Ces femmes doivent affronter de lourdes critiques et briser (...) les préjugés dont elles sont l’objet. Peinant à être reconnues comme militaires à part entière, les pionnières de la féminisation de l’Armée intriguent. Les médecins, les politiques mais aussi la presse et la société portent sur elles un regard très contrasté. Générant mythes et fantasmes, leur identité féminine et sexuelle est souvent remise en question. (shrink)

Engaging in unethical consumption behaviors is an acute societal problem that can have severe consequences for adolescents, and businesses in particular have been accused of making such consumption particularly appealing and accessible. However, the causes of unethical behaviors are not well understood and research on the causes has been mixed. In this research, we investigate the effects of coping strategies for loneliness on adolescents’ adoption of unethical behaviors, a topic that business ethics research has not explored. In a large-scale study (...) of adolescents, we show that whether loneliness leads to the adoption of unethical behaviors depends on the strategies adolescents use to cope with their loneliness: active coping strategies are associated with fewer unethical behaviors, whereas passive coping strategies are associated with more unethical behaviors. In addition, we show that active and passive coping strategies can be executed through consumption practices. We show that the relation between active coping and fewer unethical behaviors is mediated by sharing of possessions, whereas the relation between passive coping strategies and more unethical behaviors is mediated by product acquisition. Finally, we also show that these mediated relations differ as a function of age cohort. The indirect effect of active coping on fewer unethical behaviors via sharing holds only for middle school adolescents, whereas the indirect effect of passive coping on more unethical behaviors via product acquisition holds only for high school adolescents. We shed new light on both the bright and dark sides of materialism and unethical behaviors and provide practical implications for research on loneliness, business ethics, and unethical behaviors. (shrink)

On trouve sous la plume de Bayle des rapprochements étonnants qu’il théorise lui-même comme un art de faire de « belles applications » ; nous nous interrogeons sur l’affinité qu’il décèle entre épicurisme et augustinisme et proposons de réévaluer sous cet angle la portée de la thèse baylienne de l’athée vertueux par rapport à la thèse de la vertu des païens défendue par La Mothe Le Vayer.

The actions of the average participant in Milgram’s experimental system (1963) in continuing to administer electric shocks to the subject may seem incomprehensible as regards the reasons for this obedient behaviour, given the moral reasons which conversely would justify disobedience. Milgram invokes the “climate of authority” among other explanatory factors for this behavior and I propose to investigate this line of thought. An affective atmosphere or mood recruits and favors the manifestation of a specific network of beliefs and desires. The (...) formation of beliefs, via the formation of conscious or unconscious judgments, may have generated this affective climate in the first place. These beliefs in turn cause actions (conduct), along with the desires also recruited by the affective climate. Beliefs also cause specific mental states to occur (emotions and judgments in particular) which explains why the latter are congruent with the affective climate. Obedient behavior therefore follows specific reasons stemming from the beliefs that are recruited and prompted to manifest themselves by the “climate of authority”. The decision to disobey can then be explained by a change in affective climate, following the formation of new beliefs that are not part of the specific obedience network. The formation of these beliefs in the face of new contextual elements like the subject expressing pain generates a new affective climate. The initial climate of complete obedience, of “submission to authority", becomes a tense climate engendered by the formation of opposing beliefs. Enough of these beliefs that are opposed to obedient behavior are recruited and driven to manifest themselves by the affective climate, leading to disobedience. The aim of this article is to make the dynamics of obedience and disobedience in this experimental protocol more intelligible, and perhaps also in the institutions it mimics by taking into account the affective climate as suggested by Milgram. (shrink)

Le concept de « civilisation écologique » a initialement été développé par des intellectuels chinois, à la fin des années 1980, comme une critique de la modernité industrielle et du système capitaliste face à la catastrophe écologique planétaire en cours. À partir du milieu des années 2000, et suite à l’accentuation des contestations environnementales dans les grandes villes du pays, le Parti Communiste Chinois (PCC) a décidé de faire de cette notion un de ses slogans politiques phares, mais au prix (...) de vider ce concept de sa dimension critique pour l’instrumentaliser au service de la propagande d’État, de la croissance verte et du contrôle numérique des écosystèmes. La Chine serait-elle en train d’inventer de nouvelles normes de gouvernance? (shrink)

L’auteure trace l’historique des réflexions sur la médiation en France depuis 30 ans. Elle tire de ces analyses des propositions sur la notion de certification de la médiation, ses modalités possibles et la manière dont celle-ci pourrait répondre aux dimensions originales de la médiation sans les réduire à d’autres formes de régulation des conflits.

Sympathy (empathic concern) is mainly understood as a feeling for another and is often contrasted with empathy—a feeling with another. However, it is not clear what feeling for another means and what emotions sympathy involves. Since empirical data suggests that sympathy plays an important role in our social lives and is more closely connected to helping behavior than empathy, we need a more detailed account. In this paper, I argue that sympathy is not a particular emotion but a type of (...) emotional experience: those that have another person as focus. I explain what this means and show that this sheds light on why sympathy, rather than empathy, directly motivates altruistic actions. (shrink)

Dans la perspective du second conflit mondial, la Suisse s’est engagée dans la production massive d’armements militaires. Épargnée par la guerre, elle procède à partir de 1948 à la réduction de ses stocks en privilégiant le rejet des munitions dans ses lacs plutôt que de les faire exploser à ciel ouvert ou de les recycler. Malgré le retour sur la scène publique des munitions immergées, aucune controverse n’a éclaté dans un pays pourtant sensible aux questions environnementales. À partir du cas (...) des munitions immergées dans les lacs, le présent article s’interroge sur les manières dont les stratégies du secret conjuguées avec d’autres facteurs, tels que l’oubli ou d’autres priorités politiques, ont retardé toute réflexion sur ce dossier et ont participé au contingentement de tout débat public. À quelles conditions préalables le dépôt des munitions dans les lacs suisses pourrait-il entrer dans le débat public et engager les pouvoirs publics à agir au-delà même d’un risque potentiel non avéré? Pour y parvenir, il s’agira de s’interroger sur le rôle et la fonction même de la controverse écologique comme moyen de mobilisation de la société civile et des acteurs institutionnels. (shrink)

Cette étude se focalise sur différentes méthodes utilisées pour l’analyse phonologique de la parole aphasique. Nous comparons des tâches expérimentales de répétition et de dénomination d’image, des tâches d’élicitation semi-structurées et de la parole naturelle. Nous montrons que le type de mots rencontrés, le type de consonnes ou encore le nombre de productions diffèrent selon la tâche. Si les protocoles expérimentaux permettent d’obtenir toutes les cibles voulues, les tâches d’élicitation semi-structurée permettent d’avoir un plus grand nombre d’occurrences de sons et (...) de mots et des productions subissant des transformations différentes. (shrink)

Nous nous proposons dans cet article de questionner la possibilité d’une action avec et grâce à la philosophie, dans le cadre plus spécifique des écoles d’ingénieurs. Si la philosophie est communément perçue comme détachée du monde, elle peut pourtant servir des métiers comme ceux de l’ingénierie. C’est cette idée que met en avant l’UTC (Université de Technologie de Compiègne) en proposant un parcours hybride et original, appelé HuTech, où les futurs ingénieurs suivent une formation exigeante en sciences humaines et notamment (...) en philosophie. Nous nous appuyons dans cet article sur des entretiens avec des personnes de différents milieux, dont certaines issues de ce parcours. Que leur apporte véritablement cette formation? En font-elles usage une fois qu’elles sont entrées dans le « monde du travail »? L’ambition d’enseigner la philosophie, en voulant la mêler à d’autres domaines habituellement considérés comme plus concrets et plus pratiques, est-elle un vœu pieux ou une nouvelle façon d’envisager le rôle de la philosophie dans le monde contemporain? (shrink)

Empathic concern is essential to our social lives because it motivates helping behavior. It has, however, well-known shortcomings such as its limitation in scope. Here, we highlight a further shortcoming of empathic concern: it contributes little to understanding the relevant features of complex social situations, and unaided by further cognitive inputs, likely fails to produce effective helping. We then elaborate on the conditions needed for an accurate assessment of others’ situations: the ability to pay attention and try to understand others (...) for their own sake. We explain that when combining these abilities with the valuing aspect of empathic concern, we obtain “availability”, an understudied mental state which plays a crucial role in helping motivation. We provide a detailed definition of that notion and show how availability can be trained and exercised by health professionals in order to improve their care and relationships with patients. (shrink)