Rationing in healthcare remains very much a taboo topic. Before COVID-19, it rarely received public attention, even when it occurred in everyday practices, mainly in the form of implicit rationing, as it continues to do today. There are different definitions, types and levels of healthcare rationing, according to different perspectives. With the aim of contributing to a more coherent debate on such a highly emotional healthcare issue as rationing, here are provided a number of reflections from a patient advocate perspective (...) which are specifically focused on bedside rationing, the most troublesome level, both for patients and clinicians, particularly in regard to cancer care. Oncology, with its numerous expensive therapies and increasing number of patients, is undeniably one of the main areas contributing to the increase in healthcare costs. However, the fixed budgets of today's publicly financed health systems cannot allow unlimited access to the potentially beneficial treatments to all patients. Bedside rationing constitutes the last phase of many decision-making processes occurring at different interrelated levels (macro-levels), both inside and outside healthcare systems, which implicitly and inevitably result in a bottleneck determined by the upstream decisions themselves. Shifting from implicit to explicit bedside rationing essentially means moving from a paternalistic to a citizen-before-patient approach; this implies, first of all, a cultural change. Practical bedside rationing is an ethically complex topic, but one that needs to be urgently addressed in a transparent and open debate. In this scenario, the oncological community – patients, patient advocates and clinicians – can and should play an important role. (shrink)

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This study assessed self-reported health-related quality of life and psychological adjustment in 43 adolescents and young adults with congenital melanocytic nevi and examined associations with sociodemographic variables, characteristics of the CMN, perceived social reactions, and cognitive emotion regulation strategies. Outcome measures included the Pediatric Quality of Life Inventory™ 4.0 and the Strengths and Difficulties Questionnaire. Findings suggest impaired psychosocial health and psychological adjustment in youth with CMN compared to community norms. Impairments were associated with higher age of participants, lower socioeconomic (...) status, visibility of the skin lesion, perceived stigmatization, poorer perceived social support, and maladaptive cognitive emotion regulation strategies, but not with sex of participants, extent of the skin lesion, and surgical removal of the nevus. Implications for clinical practice and future research are discussed. (shrink)

In the last thirty years, a relatively large group of cognitive scientists have begun characterising the mind in terms of two distinct, relatively autonomous systems. To account for paradoxes in empirical results of studies mainly on reasoning, Dual Process Theories were developed. Such Dual Process Theories generally agree that System 1 is rapid, automatic, parallel, and heuristic-based and System 2 is slow, capacity-demanding, sequential, and related to consciousness. While System 2 can still be decently understood from a traditional cognitivist approach, (...) I will argue that it is essential for System 1 processing to be comprehended in an Embodied Embedded approach to Cognition. (shrink)

Ce texte a déjà paru dans Tradurre. Pratiche, teorie, strumenti, n° 10, Primavera 2016. F. Scotto, Il senso del suono. Traduzione poetica e ritmo, Roma, Donzelli, 2013, 224 p. Ce mot « rythme » ne m'est pas clair. Je ne l'emploie jamais. Paul Valéry Nel suo vastissimo trattato Critique du rythme. Anthropologie historique du langage, Henri Meschonnic si sofferma sulla scorretta etimologia che fonda il mito del ritmo, ossia quella che ricollega il ῥυθμός al movimento del mare : seguendo - (...) Recensions. (shrink)

The field of consciousness studies has long benefitted from the investigation of non- ordinary states of consciousness, both spontaneous and facilitated by mind-altering agents. In the present study, I look at the implications of spontaneous near-death experiences and experiences facilitated by the dissociative anaesthetic ketamine. These experiences reputedly have similar phenomenologies, such as a feeling of dying, motion through darkness, entering another realm, visions of light, and a sense of separation from the physical body. To assess whether ketamine and near-death (...) experiences really are similar, I undertake a systematic comparison of 36 accounts of NDE-like experiences under ketamine with 36 accounts of NDE that resulted from cardiac arrest or other life-threatening circumstances in which wakefulness was maintained . The results suggest that ketamine and near- death experiences are indeed similar, which might be taken to imply that NDEs have a purely chemical or psychophysiological basis. However, this conclusion is not inevitable, and I draw upon the intriguing 'spatial' or 'situated' characteristic of ketamine and near-death experiences to suggest an alternative to both neuropsychological reductionism and a straightforward post-mortem survival theory. To develop the idea of a dynamic interrelation of consciousness and 'place', I draw on contemporary Japanese philosophies of body-mind. (shrink)

A travers la Vie de Lutgarde d’Aywières (1182/1183-1246) rédigée par Thomas de Cantimpré (1200- v. 1270), il s’agit d’analyser le réseau de relations tissées par cette cistercienne du diocèse de Liège – vraisemblablement une ancienne mulier religiosa – en insistant d’une part sur les tensions qui ont pu émerger dans le saeculum et au cloître et, d’autre part sur les cercles d’amitié tracés par la moniale. L’étude de ces deux types de relations permet de mettre en évidence les rapports de (...) genre à l’œuvre et leurs enjeux (corps et esprit) et conduit à la conclusion que dans ce contexte – cadre monastique et vraisemblablement béguinal du diocèse de Liège au XIIIe siècle – la hiérarchie sociale se construit non pas tant à partir du genre qu’en fonction de la dichotomie science divine révélée/savoir sacré acquis. (shrink)

By the end of the seventeenth century, high culture had banished astrology as a mixture of superstition and imposture. The great astrological treatises of the past - in particular the Ptolemaic Tetrabiblos (whose very authenticity was cast into doubt) - stopped being published; a hodgepodge of minor writings, mostly preserved in manuscript form, lay mouldering in oblivion in the far recesses of libraries. It was only in the latter decades of the eighteenth century that the learned world began once again (...) to pay attention to the ancient art, when historians of ancient religions and science began to realize the impossibility of exploring their subjects without taking into account a presence that could be neither denied nor underestimated. The history of astrology then began to take shape as a specific field of study, and historicophilological research was able to employ it as a tool for penetrating the tie between mythos and logos, at the origin of western civilization. Along with the image of the Greek miracle, an overly simplistic and schematic definition of reason and science began to decline. It was necessary to isolate, as Hermann Usener sought to do, the “wild germ of science” and to acknowledge the fact that logic and magic bloom on the same stem, as Aby Warburg has often reminded us, with reference to Jean Paul. (shrink)

In a letter to Lorenzo di Pierfrancesco dei Medici, dating from 1477 to 1478, the Platonist philosopher Marsilio Ficino develops the classical theme of the correspondence between man and cosmos on the basis of the astrological techniques. The inner heaven, a term of the relationship between macrocosm and microcosm, takes the form of what astrologers call the birth theme: the series of astral positions at the moment of birth and related to its place. Taking up Origen’s theme of the inner (...) heavens, he systematically applies the theory of planet-signs to deciphering underlying themes of individual personality. (shrink)

O artigo apresenta o livro O fogo e o relato. Ensaios sobre criação, escrita, arte e livros, do filósofo italiano Giorgio Agamben, discutindo alguns dos limiares poéticos do seu pensamento político. Parte-se de alguns dos debates subentendidos de Agamben com Jacques Derrida sobre linguagem e literatura, passa-se pelo ato poético como ato de resistência, define-se a potência inoperante presente em gestos de interrupção discursiva e chega-se à discussão sobre vida e obra em contexto biopolítico. Seguindo a ordem dos capítulos, mas (...) sem pretender esgotá-los, o pressuposto do artigo é de que o italiano, que tem a poesia e a literatura geralmente vinculada a uma espécie de “primeira fase” de sua obra, também na série biopolítica nomeada Homo Sacer lançou mão da poesia e da literatura como forte estratégia de resistência e abertura de limiares ante a lógica que se desenha do poder soberano. Se, por um lado, o livro pode ser lido como formando um círculo hermenêutico, os capítulos, por outro lado, permitem ao leitor perceber as principais linhas em que filosofia, literatura, poesia e política se entrecruzam para o pensador italiano. Por isso, também, recorreu-se à relação direta de alguns argumentos expostos em O fogo e o relato tanto com noções e argumentos presentes em outros livros de Agamben, quanto pontualmente com outros interlocutores. (shrink)

The paper aims to investigate the meaning of historicity in the light of Ágnes Heller’s interpretation of history as ‘being-in-common’. By touching on the problem of the modern world’s axiological pluralism, the issue of the legitimation of moral theories and the dilemma of morals, the paper analyses Heller’s conception of human goodness as an incontrovertible, inexplicable and mysterious ‘fact’ that is able to illuminate the path of human life and determine the opening of the individual onto the world with the (...) same wonder that marks the beginning of any philosophical attitude. (shrink)

Dual process theory proposes clusters of features that form two dichotomous groups in cognition. One standing internal issue is defining what the reference of these two dichotomous groups could be in the mind or brain. Does dual process theory speak of two systems, types, minds, modes, kinds or just metaphors? A particular common answer is that differences in clusters of features are evidence of different underlying systems, often called system 1 and system 2. However, the suggestion to abandon the ‘system’ (...) terminology is now common in the literature, but the consequences of doing so need to be addressed. This work reviews and critically discusses previous suggestions. (shrink)

Dual Process Theory is currently a popular theory for explaining why we show bounded rationality in reasoning and decision-making tasks. This theory proposes there must be a sharp distinction in thinking to explain two clusters of correlational features. One cluster describes a fast and intuitive process, while the other describes a slow and reflective one. A problem for this theory is identifying a common principle that binds these features together, explaining why they form a unity, the unity problem. To solve (...) it, a hypothesis is developed combining embodied predictive processing with symbolic classical approaches. The hypothesis, simplified, states that Type 1 processes are bound together because they rely on embodied predictive processing whereas Type 2 processes form a unity because they are accomplished by symbolic classical cognition. To show that this is likely the case, the features of Dual Process Theory are discussed in relation to these frameworks. (shrink)

This book purports to devise a pattern of the self that accounts for the role that change and identity play in self-shaping. It focuses on the process through which we discover, know and shape ourselves and wonder whether there is a core of our individuality and how we should account for it. The core is described along with its range of possible variations and its constraints. This volume provides arguments on how individual essence – far from being something monolithic – (...) is inherently dynamic. The text delves into the link between change and identity in self-shaping, arguably the fundamental issue of personal individuality. Different theories and standpoints are addressed and scrutinized. Descriptive phenomenology will enter along with Max Scheler’s stance on axiology, as well as the keystones that account for self-shaping. This book appeals to students and researchers working on the implications of phenomenology for self identification and personal individuality. (shrink)

En este ensayo interpretamos algunas de las más complejas páginas de la novela de Cormac McCarthy The Crossing como “parábolas filosóficas”, es decir, como cuentos dentro de un cuento en los que el autor aborda algunas de las más estimulantes cuestiones filosóficas y éticas. Nos referimos a la ambigua relación entre vida humana y animal así como está conceptualizada en la figura del cazador; al complicado entramado de arraigo y andanza, destino y determinismo, sentido y sinsentido de toda vida; a (...) la búsqueda de Dios como garante de una vida llena que nunca se puede alcanzar; a las condiciones de posibilidad de la verdad en la narración y en la historia. Finalmente, consideramos cómo la obra y la filosofía de McCarthy pueden ser interpretadas como parte de la literatura y del pensamiento postmoderno. (shrink)

In the last thirty years, a relatively large group of cognitive scientists have begun characterising the mind in terms of two distinct, relatively autonomous systems. To account for paradoxes in empirical results of studies mainly on reasoning, Dual Process Theories were developed. Such Dual Process Theories generally agree that System 1 is rapid, automatic, parallel, and heuristic-based and System 2 is slow, capacity-demanding, sequential, and related to consciousness. While System 2 can still be decently understood from a traditional cognitivist approach, (...) I will argue that it is essential for System 1 processing to be comprehended in an Embodied Embedded approach to Cognition. (shrink)

A comunicação busca encontrar o que seria o salão literário de Dona Leonor de Almeida, Marquesa de Alorna. Nesta revisitação, constatamos a emergência de uma sociabilidade heterossexual onde a conversação se eleva a arte.Elegemos o Palácio Fronteira como o salão em português. Propomos que o emblemático Palácio Fronteira, em São Domingos de Benfica, subsuma todos os outros salões que sabemos terem existido – sem esquecermos nunca da iniciática função dos outeiros de Chelas.Conhecemos Alcipe romanticamente “épica” cuja vida mergulhada na caótica (...) época de transição histórica é evocada pelos mais diversos testemunhos da elite que a frequenta. Contactamo-la sobretudo no discurso directo em que a sua palavra poética fala. No salão de Benfica também se assiste ao declínio do discurso normativo-eclesiástico e se constata a emergência da afirmação da mulher enquanto ser de beleza, pensamento, vontade e poder. Alcipe não se afirma apenas enquanto uma culta aglutinadora de gente de espírito da sua geração, mas como alguém que, além de ter sabido impor a opinião poética vanguardista do seu tempo, possui igualmente ideias políticas próprias e, pese embora os mal-entendidos do seu tempo, pretende partilhar da solução dos problemas. (shrink)

The Global Workspace Theory (GWT) proposed by Bernard Baars (1988) along with Daniel Dennett’s (1991) Multiple Drafts Model (MDM) of consciousness are renowned cognitive theories of consciousness bearing similarities and differences. Although Dennett displays sympathy for GWT, his own MDM does not seem to be fully compatible with it. This work discusses this compatibility, by asking if GWT suffers from Daniel Dennett’s criticism of what he calls a “Cartesian Theater”. We identified in Dennett 10 requirements for avoiding the Cartesian Theater. (...) We believe that some of these requirements are violated by GWT, but not all, hence there is partial incompatibility with MDM, and it is nonsense to answer if GWT is or is not a Cartesian Theater. However, by asking such question we conclude that the issues around this discussion involve fuzzy claims about degrees of consciousness and we show how the Neuro-Astroglial Interaction Model (NAIM) is fit for solving such conceptual issues. (shrink)