Objetivo: Analizar la importancia de la comunicación en la relación médico-paciente y recopilar información sobre la percepción durante su práctica. Método: Se realiza una revisión bibliográfica y una encuesta (participaron 105 médicos en Argentina). Resultados: Los resultados muestran que la mayoría de los profesionales refiere dificultades en la comunicación y que estas dificultan la atención. Los médicos manifestaron dificultades para comunicar malas noticias, mayormente en las áreas clínicas, y que la habilidad de ponerse en el lugar del paciente es fundamental (...) para la comunicación de dichas noticias. Los jóvenes consideran de manera significativa que la comunicación de malas noticias depende de la práctica. Conclusiones: Las habilidades comunicativas son indispensables. Existe evidencia para sugerir que es necesario profundizar en la adquisición de competencias comunicativas y valores éticos. (shrink)

This paper presents the design and validation process of a set of instruments to evaluate the impact of an informal learning initiative to promote Science, Technology, Engineering, and Mathematics vocations in students, their families, and teachers. The proposed set of instruments, beyond assessing the satisfaction of the public involved, allow collecting data to evaluate the impact in terms of changes in the consideration of the role of women in STEM areas and STEM vocations. The procedure followed to develop the set (...) of instruments consisted of two phases. In the first phase, a preliminary version of the questionnaires was designed based on the objectives of the Girls4STEM initiative, an inclusive project promoting STEM vocations between 6 and 18 years old boys and girls. Five specific questionnaires were designed, one for the families, two for the students and two for the teachers. A refined version of each questionnaire was obtained with evidence of content validity after undergoing an expert judgment process. The second phase was the refinement of the instruments, to ascertain the evidence of reliability and validity so that a final version was derived. In the paper, a high-quality set of good practices focused on promoting diversity and gender equality in the STEM sector are presented from a Higher Education Institution perspective, the University of Valencia. The main contribution of this work is the achievement of a set of instruments, rigorously designed for the evaluation of the implementation and effectiveness of a STEM promoting program, with sufficient validity evidence. Moreover, the proposed instruments can be a reference for the evaluation of other projects aimed at diversifying the STEM sector. (shrink)

Quality of Life Reach in Medical Care Alcance da qualidade de vida no atendimento médico The term quality of life has increasingly widespread use in biomedical practice, especially in end-of-life situations. Experience shows that the expression is often used with very different —and sometimes conflicting— scopes. The present article presents the results of a literature review that show diverse positions, while delimitating the subject. The analysis compares the terms “quality of life,” “human dignity,” and “value of human life.” Para citar (...) este artículo / To reference this article / Para citar este artigo Páez G, López-Gabeiras MP, Moreno-D’Anna M. Alcance de la “calidad de vida” en atención médica. Pers Bioet. 2020;24:14-27. DOI: https://doi.org/10.5294/pebi.2020.24.1.2 Recibido: 06/11/2019 Aceptado: 04/03/2020 Publicado: 07/05/2020. (shrink)

Se ha realizado una revisión sistemática siguiendo el protocolo PRISMA para caracterizar la producción científica de la didáctica de la higiene alimentaria en Educación Primaria. Se analizan indicadores bibliométricos y metodologías de investigación utilizadas. La búsqueda se realizó en la base de datos Web of Science. Solo 12 artículos cumplían con todos los criterios de inclusión. Hay escasas publicaciones sobre higiene alimentaria en la etapa, tratándose de estudios cualitativos, autoría conjunta y en su mayoría pertenecen al sector sanitario. Es necesario (...) aumentar las investigaciones especialmente en el ámbito educativo e introducir la higiene alimentaria en la formación del profesorado. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Creativity Belongs to the Person, not to DiseaseJuan J. López-Ibor Jr. (bio) and María-Inés López-Ibor (bio)Keywordscreativity, patho-biography, Saint Teresa, visionsIn the paper, “From the Visions of Saint Teresa of Jesus to the Voices of Schizophrenia,” Cangas, Sass, and Pérez-Álvarez (2008) take an original approach to patho-biography that is very welcome.The temptation to designate historical individuals or characters of fiction as suffering from mental disease has always produced disagreeable feelings (...) in me. This sort of abuse of psychiatry and of the people in question is parallel to the abuse by the media or lay citizens when they describe, say, an especially violent murderer as a schizophrenic—forgetting that the vast majority of people with schizophrenia are not in the least violent. Having read Santa Teresa’s writings during my adolescence, well before I even considered entering medicine, I reacted to comments about her alleged psychiatric illnesses with uneasiness, to put it mildly. The Santa Teresa of La Vida de la Santa Madre Teresa de Jesús (her autobiography), of the Camino de Perfección, and of the El Castillo Interior was surely not a mental patient, it seemed to me. The same would apply to San Juan de La Cruz, Jean D’Arc, Don Quijote, Sancho Panza, Edipus, and Clitemnestra, to mention a few. Even van Gogh’s paintings did not seem to me the productions of a patient with schizophrenia or epilepsy. Of course all of them may have suffered, at certain periods of life, symptoms attributable to a mental disorder, but their creativity rested elsewhere, and was often manifest during healthy periods of their lives. After years spent fighting the stigma of mental diseases, and after organizing several exhibitions of works of art of people with mental diseases, we came to the conclusion that creativity and singularity belong to the person, not to the illness. Some of the diseases of these individuals may have being accidents (van Gogh’s hallucinations and psychotic symptoms, for example, were most probably due to intoxications with absinthe, then rich in hallucinogenic alkaloids such as tujone), or, together with other life circumstances, may have had unspecific influences on the person’s condition. In contrast with many other psychiatric disorders that are represented in ancient Greek and Roman literature, there are no descriptions of individuals with schizophrenia in the Greek and Roman literature dating from the fifth century bc to the beginning of the second century Ad (Evans et al. 2003), and several authors have speculated that schizophrenia did not exist before the eighteenth century (Ellard 1987).Caution is important when dealing with mental health and religious issues in contrast with creativity. The creativity of people suffering from bipolar disorders is well recognized (Jamison 1993) and [End Page 277] the same applies to alcohol and drug intoxication. Tellenbach (1986) has also written on the creativity of depressed persons, although he refers more to the disposition of mood (Schwermut) than to clinical depression as such. The link between melancholia and genius put forward by Aristotle has often been misinterpreted. The philosopher was considering the melancholic temperament and not the melancholic illness as we would understand it today. Of the four temperaments, it is in his view only the melancholic that is gifted with creativity. The sanguine person seeks the immediate pleasures of life, the choleric one considers himself powerful and dedicates himself to manifesting this power, and the phlegmatic individual is disconnected from life and seeks to live without effort or pleasure. The melancholic temperament leads to creativity because of the predominance of doubt, reflection, and dissatisfaction with the miseries of life.Freud’s notion of religiosity as a collective obsessive neurosis is totally mistaken, in my view. The three main themes of obsessions are cleanliness, order, and guilt. In none of these cases is the theme the goal of the action; rather, it is a strategy to contain anxiety. As a consequence, patients with obsessions and compulsions about dirt and cleanliness tend to be dirty themselves, because the real purpose of their compulsions is not in fact to be clean but rather to satisfy a ritual. When order... (shrink)

La transgresión que supone la asociación de la violencia con las mujeres se revela en el tratamiento político y mediático que han recibido las mujeres de ETA, frecuentemente asociadas con una feminidad pervertida. Este artículo analiza la identificación del cuerpo de la mujer de ETA con la sexualidad desviada de los modelos normativos nacionalistas, explora las conflictivas relaciones de las mujeres con la violencia y se detiene en las figuras políticas y el liderazgo de Yoyes y de Idoia López Riaño. (...) En el primer caso se analiza la transgresión representada por la presencia inasimilable de una líder de ETA tras su abandono de la actividad terrorista y tras su maternidad. En el segundo se explora su representación y la negociación política y mediática de su identidad. Si Yoyes ocupa un espacio simbólico en el imaginario político vasco, López Riaño constituye un testimonio vivo en el proceso de esta militancia femenina en ETA. (shrink)

Probablemente no son los mejores tiempos para tomar una foto de nuestra ya no tan joven democracia, pero sí que puede resultar interesante reflexionar cómo ha evolucionado durante estos años la imagen de España tanto ad intra como ad extra, teniendo en cuenta que siempre va acompañada de una cierta distorsión marcada por los estereotipos, algunos inventados y otros reales pero exagerados. Es importante, por lo tanto, reflexionar no sólo en cómo han visto los demás desde fuera la suerte de (...) la puesta en práctica de los principios marcados por la Constitución de 1978, sino también cómo hemos vivido nosotros ese proceso desde dentro durante estas tres décadas. (shrink)

Image has been considered an influential factor in tourists’ perceptions and evaluations of a destination. This paper analyzes the formation of the tourist destination image of Segóbriga Archaeological Park, a cultural destination of great heritage value, located in the province of Cuenca (Spain). The image is analyzed using a multidimensional approach, considering not only its cognitive and affective components, but also the unique-image component. The latter has received less attention in the literature and is a novelty in the context of (...) this type of cultural destination. The results show that this component is essential to the overall image of an archaeological destination and that it is not influenced by information sources. PLS-SEM was used. (shrink)

RESUMENLa Carta de Derechos Fundamentales de la Unión Europea contribuye a desarrollar la ciudadanía europea, basada en valores comunes, como la justicia y la dignidad. La Carta se refiere al consentimiento libre e informado en Medicina y Biología, prohibiendo la clonación reproductiva y las prácticas eugenesicas. El artículo considera el papel de los temas de Bioética en la expansión de los derechos de los ciudadanos; los debates recientes han demostrado que los derechos han de estar garantizados y, además, que las (...) buenas practicas profesionales sólo pueden desarrollarse dentro de buenas instituciones. El artículo analiza el papel de los principios de gobernanza (transparencia, eficiencia, participación, rendición de cuentas), así como la relación interna entre éstos y la integración de las políticas publicas: las cuestiones de Bioética ejemplifican el proceso de «europeanización».PALABRAS CLAVEBIOÉTICA, UNIÓN EUROPEA, GOBERNANZA, BUENAS PRACTICAS, EUROPEANIZACIÓNABSTRACTThe Charter of Fundamental Rights of the European Union contributes to develop European citizenship based on common values like justice and dignity. The Charter refers to free and informed consent in Medicine and Biology, and prohibits reproductive cloning and eugenic practices. This article considers the role of bioethical topics in the expansion of citizens’ rights; in fact, recent debates not only have proved that rights have to be guaranteed but that good professional practice could only develop within good institutions. The article also analyzes the role of the principles of governance (transparency, efficiency, participation, accountability), and the internal relationship between these principles and the integration of social policies; bioethical issues could exemplify the process of Europeanization.KEY WORDSBIOETHICS, EUROPEAN UNION, GOVERNANCE, GOOD PRACTICES, EUROPEANIZATION. (shrink)

A partir de las reflexiones que en su O cosmopolitismo do pobre desarrolla Silviano Santiago, propondremos un enfoque alternativo al actual modelo de enseñanza nacional, o nacionalista (cuya sinonimia asumimos), de las literaturas, las culturas e incluso de las lenguas. Para ello, procedemos a problematizar-deconstruir la estructura ideológica nacionalista (Anthony Smith, Hobsbawm, Anderson), defendiendo las ventajas científicas y políticas de un enfoque transterritorial de los estudios culturales, lingüísticos y literarios.

Wittgenstein's examination of Private Language Argument and Solipsism in the Philosophical Investigations implies no critics to his earlier theory maintained in the Tractatus. On the contrary, both are inspired by the same idea, namely, the impossibility of finding a thinking subject merely on the ground of thought itself.

RESUMENEl argumento indirecto en favor de la salud y el bienestar de los animales considera la analogía entre derechos humanos y derechos de los no humanos. En tal sentido, los “derechos” de los animales pueden ser considerados “deberes” o responsabilidades de los seres humanos; el artículo defiende entonces una perspectiva antropocéntrica moderada sobre este tema. De hecho, los avances en material de protección de otras especies y del medio ambiente suelen estar relacionados con el interés por proteger la salud de (...) los consumidores. Un análisis de la regulación autonómica, nacional y europea puede mostrar hasta que punto varía la consideración del bienestar animal en áreas como la investigación científica con no humanos, los animales de granja y las normas que regulan el transporte. Por tanto, la situación real de los derechos de los animales demostraría las limitaciones prácticas de actitudes compasivas hacia otras especies que no vayan acompañadas de responsabilidades claras y de deberes de los humanos.PALABRAS CLAVEDERECHOS DE LOS ANIMALES, BIENESTAR ANIMAL, éTICA DE LA INVESTIGACIÓN, DERECHOS HUMANOSABSTRACTThe indirect argument in favour of animal health and welfare explores the analogy between human rights and animal rights. In that sense, the “rights” of non-humans could be considered “duties” or responsibilities of human beings; so, the article defends an anthropocentric point of view; a moderate anthropocentric perspective. Indeed, the protection of other species and the environment is usually connected with the interest in health and consumers’ protection. The analysis of the regional, national, and European regulation regarding these issues would prove how different the consideration of animal welfare could be in areas like research on non-humans for scientific purposes, animals for production, and transport norms. Therefore, the present situation of animal rights would demonstrate the practical limitations of compassion towards other species without clear responsibilities and duties on the part of humans.KEYWORDSANIMAL RIGHTS, ANIMAL WELFARE, RESEARCH ETHICS, HUMAN RIGHTS. (shrink)

RESUMENEl argumento indirecto en favor de la salud y el bienestar de los animales considera la analogía entre derechos humanos y derechos de los no humanos. En tal sentido, los “derechos” de los animales pueden ser considerados “deberes” o responsabilidades de los seres humanos; el artículo defiende entonces una perspectiva antropocéntrica moderada sobre este tema. De hecho, los avances en material de protección de otras especies y del medio ambiente suelen estar relacionados con el interés por proteger la salud de (...) los consumidores. Un análisis de la regulación autonómica, nacional y europea puede mostrar hasta que punto varía la consideración del bienestar animal en áreas como la investigación científica con no humanos, los animales de granja y las normas que regulan el transporte. Por tanto, la situación real de los derechos de los animales demostraría las limitaciones prácticas de actitudes compasivas hacia otras especies que no vayan acompañadas de responsabilidades claras y de deberes de los humanos.PALABRAS CLAVEDERECHOS DE LOS ANIMALES, BIENESTAR ANIMAL, éTICA DE LA INVESTIGACIÓN, DERECHOS HUMANOSABSTRACTThe indirect argument in favour of animal health and welfare explores the analogy between human rights and animal rights. In that sense, the “rights” of non-humans could be considered “duties” or responsibilities of human beings; so, the article defends an anthropocentric point of view; a moderate anthropocentric perspective. Indeed, the protection of other species and the environment is usually connected with the interest in health and consumers’ protection. The analysis of the regional, national, and European regulation regarding these issues would prove how different the consideration of animal welfare could be in areas like research on non-humans for scientific purposes, animals for production, and transport norms. Therefore, the present situation of animal rights would demonstrate the practical limitations of compassion towards other species without clear responsibilities and duties on the part of humans.KEYWORDSANIMAL RIGHTS, ANIMAL WELFARE, RESEARCH ETHICS, HUMAN RIGHTS. (shrink)

El presente artículo determina cómo una empresa ética, convertida en escuela de virtudes morales, puede contribuir a mejorar la sociedad. La empresa sólo puede mejorar la sociedad y generar un impacto positivo en la misma desde la ejemplaridad de todas y cada una de sus personas. Se entiende la empresa como una comunidad de personas en la que ha de existir un equilibrio esencial entre lo individual y lo colectivo. Se parte de la premisa de que la empresa es, también, (...) un espacio ético que puede llegar a convertirse en una escuela de valores y virtudes en la que los profesionales desarrollen sus capacidades humanas en interrelación con los demás. Se argumenta la relevancia de la virtud empresarial, desde la perspectiva de la transformación del ethos individual, de los hábitos de las personas que forman la organización. Se considera que la empresa puede llegar a convertirse en una “escuela de valores y virtudes”. La forja del ethos ético y virtuoso de los profesionales es, a su vez, la esencia de la construcción del ethos ético de la empresa que tendrá su correspondiente impacto en el ethos de una buena sociedad. A partir de estas aseveraciones nos hacemos las siguientes preguntas en nuestra investigación: ¿De qué manera puede influir el ethos de la empresa en la configuración de los ethos particulares de los profesionales que forman parte de ella? y ¿cómo puede la empresa contribuir al desarrollo de las virtudes morales de sus personas? Asumiendo estas dos cuestiones como base de la investigación, se argumenta que la empresa puede llegar a ser, a través del trabajo, una ‘escuela’ para el desarrollo de las virtudes morales y, desde ahí, contribuir a la construcción de una sociedad más humana. (shrink)

Resumen En este artículo se examina el papel de la enseñanza de la filosofía de la educación en la formación inicial docente, tomando como punto de partida la tensión que es posible notar entre, por un lado, el discurso de la mayoría de las facultades encargadas de preparar profesores, que rescatan la necesidad de formar docentes críticos y reflexivos, y, por otro lado, la praxis de la formación docente que parece tener un acento marcadamente técnico. Ante este escenario, se argumenta (...) para mostrar que la filosofía de la educación sí resulta atingente en el contexto de la formación inicial docente, que lejos de desempeñar una función meramente complementaria en dicha formación, ésta debe cumplir un papel fundamental y, por tanto, articulador de los diversos saberes y competencias propios de un profesor, y que de nada sirve defender el valor fundamental de la filosofía de la educación, si éste no es comprendido como tal por los futuros profesores, por lo que resulta vital pensar cuidadosamente los contenidos, metodologías y momentos adecuados para impartir esta materia.This paper examines the role of the teaching of the philosophy of education in the initial teacher training, taking as a starting point the tension that can be noted between, on the one hand, the discourse of most of the faculties in charge to prepare teachers, who rescue the need to train critical and reflective teachers, and, on the other hand, the praxis of teacher training that seems to have a markedly technical accent. Given this scenario, it is argued to show that the philosophy of education is relevant in the context of initial teacher training, far from playing a purely complementary role in such training, it must play a fundamental role that lets it organize the diverse knowledge and competences of a teacher, and that it is useless to defend the fundamental value of the philosophy of education, if it is not understood as such by prospective teachers, so that it is crucial to think carefully about the contents, methodologies and appropriate moments to impart this subject. (shrink)

In recent years, the stakeholder approach has been widely applied in the debate on corporate social responsibility (CSR). Although many authors of this approach have reviewed many elements of the model, they have unconditionally accepted several criteria assumed by Freeman ( 1984 ) to identify stakeholders. In general, stakeholder authors have assumed that (a) the company establishes dyadic relationships with other agents, and (b) decisions made by a company only have foreseen and direct effects on other agents. These criteria have (...) enabled researchers to understand simple processes. However, they have also prevented researchers from explaining how action comes about, and how responsibility is shared, in many complex processes taking place in contemporary societies. Such complex processes involve many agents, and each decision can generate unexpected effects which accumulate or disseminate. Furthermore, the normative structure governing these processes can affect and/or be affected by the actions of agents. In this study, we propose new criteria to expand the stakeholder model and facilitate the study of CSR in such processes. (shrink)

Con el fin de mostrar la importancia de la consideración de la "verdad práctica" como un concepto clave a la hora de dar cuenta de la teoría aristotélica de la acción, se procederá a dilucidar el sentido y alcance de este concepto mediante un análisis de la conexión estructural existente entre la parte racional e irracional del alma (razón y deseo) en la psicología moral de Aristóteles. Luego se pasará a examinar el breve pasaje de Ética Nicomaquea VI 2, en (...) el que Aristóteles señala los requerimientos para que se dé la "verdad práctica", lo cual quedará mucho más claro si se lo revisa a la luz del análisis de la estructura formal de la acción que Aristóteles elabora en el llamado "silogismo práctico". En este artículo se abordará principalmente el problema del sentido de la sintética declaración de Aristóteles de que, para que haya "verdad práctica", "el lógos debe ser verdadero". Esto se encuentra vinculado al problema del papel de la prudencia para determinar los medios conducentes al fin de la acción, pero también para establecer su fin mismo. (shrink)

This volume has 41 chapters written to honor the 100th birthday of Mario Bunge. It celebrates the work of this influential Argentine/Canadian physicist and philosopher. Contributions show the value of Bunge’s science-informed philosophy and his systematic approach to philosophical problems. The chapters explore the exceptionally wide spectrum of Bunge’s contributions to: metaphysics, methodology and philosophy of science, philosophy of mathematics, philosophy of physics, philosophy of psychology, philosophy of social science, philosophy of biology, philosophy of technology, moral philosophy, social and political (...) philosophy, medical philosophy, and education. The contributors include scholars from 16 countries. Bunge combines ontological realism with epistemological fallibilism. He believes that science provides the best and most warranted knowledge of the natural and social world, and that such knowledge is the only sound basis for moral decision making and social and political reform. Bunge argues for the unity of knowledge. In his eyes, science and philosophy constitute a fruitful and necessary partnership. Readers will discover the wisdom of this approach and will gain insight into the utility of cross-disciplinary scholarship. This anthology will appeal to researchers, students, and teachers in philosophy of science, social science, and liberal education programmes. 1. Introduction Section I. An Academic Vocation Section II. Philosophy Section III. Physics and Philosophy of Physics Section IV. Cognitive Science and Philosophy of Mind Section V. Sociology and Social Theory Section VI. Ethics and Political Philosophy Section VII. Biology and Philosophy of Biology Section VIII. Mathematics Section IX. Education Section X. Varia Section XI. Bibliography. (shrink)

The COVID-19 pandemic is an unprecedented event entailing long-term consequences on population health and welfare. Those who contracted the coronavirus may have suffered from both physical and mental health issues that unfold the need for tailored intervention strategies. Hence, our study aims to investigate the psychological and social consequences of COVID-19 on a sample of 86 participants, encompassing 43 patients recruited from Bari University Hospital, 19 of whom were hospitalized due to the disease. The remaining 43 were individuals not fallen (...) ill with COVID-19 to date. The investigation yielded significant gender differences in post-traumatic stress symptoms, depression, and representation of interpersonal distance, evaluated through the IES-R, the BDI-II, and the IVAS task, respectively. This pattern of results was not replicated in the control group. In general, participants who reported having experienced the most intense post-traumatic symptoms also presented a greater mood deflection and, more specifically, within the clinical group women obtained the highest scores on both scales. Women reported higher IES-R and BDI-II scores compared to men, that could indicate that women who have contracted COVID-19 are more exposed to post-traumatic and depressive symptoms. Our results also showed a significant effect of COVID-19 on IPD with a tendency of disease-experienced individuals to increase their preferred IPD from adults, children, and elderly people. Regarding gender differences in mood and proxemic behavior, a correlation between depressive symptoms and probable PTSD and a further correlation between probable PTSD and greater IPD were found in women from both clinical and control group. Overall, these findings might contribute to a better understanding of gender-based implications of the current pandemic on mental health, also leading to the development of integrated yet personalized intervention strategies. (shrink)

There are several lessons to be learned from the COVID-19. The crisis of 2020 not only had exposed the vulnerability of populations but also several unequalities. In this sense, autonomy, equity, equality, and other ethical basic principles define what ought to be done and also the limits of action, “drawing the line”. Equity is a core principle in public health. Justice as fairness could exemplify the normative and cognitive dimensions of principles. Equality defines the line to close the gender gap, (...) dramatically exposed by pandemics. Care práctice and care ethics are basic for health policies. Beyond autonomy, ethical principles allow us to identify the best practices in public health. (shrink)

After the end of their time as a caregiver, former caregivers have needs and feelings that have been subject to little study to date. The aim of the study is to determine and analyse the feelings, perceptions and practices of former caregivers in the reconstruction of their daily lives. This is a qualitative study based on the Grounded Theory developed by Charmaz. The study involved 14 former caregivers who had cared for their relative for more than 2 years and who (...) had stopped caring for them more than 2 years previously. Fourteen in-depth interviews were conducted and data were collected over 13 months between 2015 and 2017. Data were analysed using the Grounded Theory Method. In addition, this study was approved by the ethics committee of the Institut Universitari d’Investigació en Atenció Primària Jordi Gol. The former caregiver experiences a transition, which begins in the days before the death of their relative and may continue for more than 3 years. Three critical moments in the post-caring transition were found: the post-caring emptiness; the end of the period as a caregiver; and the movement towards a new life. Family and professional support is needed during this transition. Former caregivers experience a transition in the rebuilding of their daily lives; furthermore, former caregivers may be a source of support for other caregivers, which is linked to positive mental health factors. Healthcare organisations need to acknowledge the emotional, psychosocial and psychological health of former caregivers. (shrink)