Introduction Hospital delirium is a frequent, serious, costly, and underrecognized acute disorder of attention and cognition. Therefore, the prevention of hospital delirium is not only desirable for patients, caregivers, healthcare professionals, and the health system itself, but also a moral duty. Objective To identify and synthetize the main ethical aspects that arise related to the prevention of hospital delirium in patients 65 years and older. Methods A scoping review was carried out in Embase, Medline, and Web of Science. Articles published (...) in English or Spanish analyzing any pharmacologic, non-pharmacologic, or multicomponent intervention for prevention of delirium in hospitalized patients aged 65 years and over were included. Results Twenty-seven studies were included. Based on the frequency of appearance and the relevance, our findings were organized into three main areas. The first one was related to the principle of nonmaleficence and collected findings about the iatrogenic causes of hospital delirium and the use of restraints systems. The second area analyzed the impact of delirium in patients, families, and healthcare professionals from a relational ethics perspective, and addressed the family presence as a factor to prevent delirium. Finally, the third area is related to the quality of care. Conclusion Prevention of delirium in hospitals is essential to avoid the discomfort and potential clinical complications of patients, as well as the suffering of their relatives, caregivers, and healthcare professionals. Policymakers and healthcare managers are encouraged to make the required efforts to prevent delirium in hospitalized older patients. (shrink)

As aesthetic appreciators of the environment, we often encounter cases where our environmental commitments and our aesthetic responses do not seem to match. Some highly altered or contaminated environments may occasion powerful and insightful aesthetic experiences. In this article, I discuss some arguments that have been offered in favor of the view that this mismatch is not possible when we appreciate a particular environment with full awareness of its damaged or altered condition. I show that these arguments are not conclusive (...) and that there is room for valuable experiences of damaged or highly altered environments. Our knowledge of the damaged condition of an environment, while perceptually significant, does not necessarily make the resulting aesthetic experience to be negative. Finally, I show that these cases do not necessarily diminish the role that aesthetics can play in shaping our environmental sensibility and commitments. (shrink)

The relationship between aesthetic value and other moral and cognitive values has been a key theme within contemporary aesthetic discussion. In this article, I explore once again the implications of this relationship, but from what I think might be a different angle. With few exceptions, notably Dominic Lopes, most of the contributions to this issue have dealt with the impact that moral or cognitive values could possibly have on the overall aesthetic value of a work of art. In this article, (...) I explore instead how aesthetic properties or merits could play a role in explaining moral and cognitive properties. To do so, I first offer some examples that I think may reasonably exemplify the phenomenon we are considering. Second, I argue that a proper account of interactionism should meet at least two constraints: the relevance constraint and the autonomy constraint. Finally, I try to clarify how it is possible that aesthetic properties substantially contribute to other values by appealing to the notions of expression and the affective character of aesthetic properties. (shrink)

La alteridad y la interculturalidad son realidades inherentes a la existencia misma de la humanidad; sin embargo, como conceptos, han adquirido especial relevancia en los últimos cuarenta años debido a las complejas realidades socioculturales. No obstante, personajes de otras épocas, como Francisco de Asís, lo habían experimentado y referenciado en su vivencia; por ello, cobra importancia reflexionar en torno a estos conceptos actuales en la vida de un santo que ha sido el emblema del ser humano diverso a partir de (...) un análisis hermenéutico de las fuentes hagiográficas y documentales. Este estudio permite evidenciar que la alteridad estuvo presente en la vida del santo de Asís en su acto cristiano de la hermandad y en el encuentro con los otros diferentes, especialmente en su vivencia con el leproso, los pobres, las mujeres excluidas del culto y la Creación. Por otro lado, la interculturalidad se hizo realidad en su vida en el diálogo con los otros diferentes. En este sentido, se resalta el hecho histórico del encuentro que él tuvo con el sultán de Marruecos, Malik al-Kamil, hacia el año 1219, el cual fue conmemorado en el año 2019 por el papa Francisco como una invitación a los diferentes líderes para promover el diálogo interreligioso y la paz en el mundo. (shrink)

El aprendizaje de la Historia en Educación Secundaria se relaciona con un proceso memorístico y conceptual que dificulta la formación del pensamiento crítico y reflexivo en el alumnado de esta etapa educativa. Por este motivo, con esta experiencia y desde un enfoque investigativo, hemos fomentado la curiosidad y el interés de los alumnos de 1º de Secundaria por las prácticas religiosas y funerarias que profesaron los romanos. El método de enseñanza-aprendizaje fue activo y participativo, lo que facilitó la indagación y (...) la experimentación del taller “Funus romanorum”. Los resultados mostraron las ventajas de trabajar la arqueología experimental para comprender mejor los hechos acaecidos en la Antigüedad y adquirir contenidos históricos a través de talleres experienciales. (shrink)

In this article I start by assuming that positive aesthetic experiences of damaged nature are possible and I argue for the idea that the aesthetic pleasure derived from that contemplation might reveal something of the environment’s overall character. I hope to show that positive aesthetic experiences sometimes help to promote emotional attitudes that can lead to insight into the configuration of other non-aesthetic attitudes. In order to do so, I critically appeal to some of the thoughts Kant articulated about the (...) notion of aesthetic experience and its relationship to cognition and morality. I think that the sort of experience I am after in this article cannot be easily accommodated within a Kantian framework and that the possibility of positive aesthetic experience of damaged nature will show that the relationships between the aesthetic and the cognitive or the moral are more complex and enriching than they have so far been acknowledged to be. (shrink)

El artículo tiene como objetivo fundamental presentar el concepto de repetición bajo tres aspectos. El primero es su ubicación en el contexto de la existencia individual; el segundo, su carácter de exigencia de búsqueda de la libertad; y, finalmente, la consideración de la repetición como acontecimiento de la existencia. El recorrido del artículo revela así el tránsito que se emprende desde la importancia de la figura del lector en su profunda soledad; lector de la vida, de la prueba, de la (...) circunstancia, de lo ineludible; hasta la revelación de la existencia revestida en un acto mimético. Este recorrido aparece evidenciado porque se pone de relieve la preocupación humana no sólo por la existencia, sino por el sentido que ella adquiere frente a la posibilidad del mal desde lo particular, desde lo individual. En este orden de ideas, tras un seguimiento del concepto de repetición se pretende hacer evidente un interés que puede llamarse interés existencial y por ello filosófico: volver la cara hacia el individuo. (shrink)

In this paper I present an overview of the doctrine known as Positive Aesthetics regarding aesthetic judgements about nature. According to this view, all pristine nature is always beautiful and, generally, although not necessarily, human intervention tends to introduce ugliness in nature. One of the strong practical motivations behind this claim is an attempt to ground our reasons to preserve natural environments in aesthetic reasons. Positive Aesthetics has been defended within contrary approaches to nature appreciation such as the cognitivists and (...) the anti-cognitivist. Recently, the possibility of real ugliness in nature has been defended; at the same time, it is argued that the presence of ugly items in nature does not lead necessarily to the idea that they are not aesthetically valuable. Hence, natural ugliness can be a reason to preserve nature. In this sense, the denial of the Positive Aesthetics claim is shown to be compatible with the appeal to aesthetic negative qualities as a source of reasons for preserving natural environments. (shrink)

Recent debates on the validity of Aesthetic Testimony and the centrality of the so-called Acquaintance Principle suggest that there is more to the proper exercise of aesthetic judgement than mere endorsement of allegedly correct aesthetic judgements. For example, although it is reasonable to follow experts’ judgements in certain matters of fact, it seems less acceptable to simply endorse or adopt experts’ judgements in the aesthetic domain. That reliance on testimony, by contrast to some other areas of judgement, is not sufficient (...) for aesthetic judgement has encouraged scholars to focus in turn on the importance of the personal involvement and autonomy of the aesthetic agent. This special issue focuses on phenomena related to failed exercises of aesthetic judgement. The choice of the theme is motivated by the belief that a careful analysis of failures in aesthetic judgement can reveal significant aspects of the nature of aesthetic experience itself as well as the roles that perception, imagination, and learning have in its proper exercise. (shrink)

El propósito del artículo es explicar el genocidio de la Unión Patriótica en clave de la economía nacional y su ubicación estratégica a partir de una aproximación teórica desde algunos elementos propuestos por Antonio Negri y Michael Hardt. Como conclusión se destaca que el genocidio de la up fue consecuencia de su poderío local, que ponía en riesgo la continuidad de las clases políticas dominantes en razón de sus propuestas como colectivo político. Así mismo, este hecho produjo que a raíz (...) de su origen se construyera sobre ellos un relato negativo de enemigos de la sociedad civil. Por último, las propuestas de memoria que se identificaron son consecuencia de la conquista y de la lucha social por parte de las víctimas. (shrink)

Two seemingly contradictory aspects have marked art’s appreciation – and aesthetic appreciation in general. While an experience of pleasure seems to ground judgments of aesthetic value, some artworks seem to gain our praise by the very negative – unpleasant – experience they provoke. Known as the paradox of negative emotions, aestheticians have, at least since Aristotle, tried to deal with these cases and offer different explanations of the phenomenon. In this article, María José Alcaraz León does not directly offer an (...) alternative explanation; rather she focuses on the apparent tension between an understanding of aesthetic experience in terms of a certain kind of pleasure and the negative aspect that is necessarily involved in our appreciation of painful art. The purpose of her article is to show that cases of artistic appreciation that involve negative emotions do not need to give up on the idea that aesthetic value is ultimately grounded upon an experience of pleasure. (shrink)

In this paper I would like to address the problem of the aesthetic value of damaged nature. A variety of arguments have been offered in order to ground the view that we cannot perceive damaged nature as beautiful, at least as soon as we are aware of its damaged condition. These arguments are usually offered in tandem with a view about what the correct appreciation of nature involves and, hence, are often supported by this view. I will try to show (...) that none of these arguments are compelling and that there seems to be a way of explaining how damaged nature can be beautiful without disposing of the intuition that the awareness of its damaged condition penetrates our perception. (shrink)

RESUMO:A hipótese desenvolvida nos leva a confrontar três textos do corpusrousseauísta: o Segundo Discurso, Júlia ou A Nova Heloísa e o extrato do Primeiro Diálogo, em que há a ficção do mundo ideal, textos que, apesar do seu estatuto genérico diferente, estão em coerência e convergência teórica. Desejamos evidenciar um aspecto da unidade problemática do pensamento de Rousseau concernente à abordagem crítica da sociedade de seus contemporâneos e sua concepção do papel das Letras e dos Espetáculos. A preocupação do filósofo (...) é de refundar a natureza humana, a fim de lançar as bases de uma nova organização social. Nessa empreitada, a ficção desempenha um papel crucial, o prefácio do Segundo Discurso o comprova: para bem conhecer o homem atual, deve-se supor o que ele não é mais. O homem do estado de natureza, ser de ficção, cujas paixões são retas e naturais, é o modelo teórico que reativa a sociedade dos seres ideais de Júlia. Dessa forma, a ficção é chamada a desempenhar um papel referencial fundamental para o pensamento social e político de Rousseau, aparecendo como um poderoso meio de ação sobre o público. O romance pode reeducar os povos corrompidos, pois, assim como o teatro, como denuncia a Carta a d’Alembert, possui os meios para perverter uma sociedade tida como virtuosa. ABSTRACT:The hypothesis that we will develop leads us to confront three texts of Rousseau’s corpus: the Second Discourse, Julie, and the extract of the First Dialogue that speaks of the pedagogical fiction of the ideal world. These three texts, despite their different types, are theoretically coherent and convergent. We intend to highlight an aspect of the problematic unity of Rousseau’s thought, an aspect which concerns his contemporaries’ critical approach to society and Rousseau’s conception of the role of letters and spectacles. Rousseau’s concern is to refound human nature in order to lay the basis of a new social organization. In this effort, fiction plays a decisive role, as the preface to the Second Discourse affirms: in order to know modern man, we must consider a hypothesis about what he no longer is. Man in the state of nature, a fictional being whose passions are right and natural, is the theoretical model that reactivates the society of ideal beings in Julie. For Rousseau, fiction is called upon to play a fundamental referential role for social and political thought, and it appears as a powerful means of action on the public. The novel can reeducate depraved peoples, because, like the theater, it also has the means to pervert a so-called virtuous society. (shrink)

IntroductionThe prefrontal cortex plays a crucial role in cognition, particularly in executive functions. Cortical reactivity measured with Transcranial Magnetic Stimulation combined with Electroencephalography is altered in pathological conditions, and it may also be a marker of cognitive status in middle-aged adults. In this study, we investigated the associations between cognitive measures and TMS evoked EEG reactivity and explored whether the effects of this relationship were related to neurofilament light chain levels, a marker of neuroaxonal damage.MethodsFifty two healthy middle-aged adults from (...) the Barcelona Brain Health Initiative cohort underwent TMS-EEG, a comprehensive neuropsychological assessment, and a blood test for NfL levels. Global and Local Mean-Field Power, two measures of cortical reactivity, were quantified after left prefrontal cortex stimulation, and cognition was set as the outcome of the regression analysis. The left inferior parietal lobe was used as a control stimulation condition.ResultsLocal reactivity was significantly associated with working memory and reasoning only after L-PFC stimulation. No associations were found between NfL and cognition. These specific associations were independent of the status of neuroaxonal damage indexed by the NfL biomarker and remained after adjusting for age, biological sex, and education.ConclusionOur results demonstrate that TMS evoked EEG reactivity at the L-PFC, but not the L-IPL, is related to the cognitive status of middle-aged individuals and independent of NfL levels, and may become a valuable biomarker of frontal lobe-associated cognitive function. (shrink)

El artículo examina el papel de Crescas y Spinoza en la transición de la concepción medieval a la concepción moderna del universo. Crescas es presentado como ejemplo ilustrativo de la tensión entre aristotelismo y religión revelada y de cómo esta última provoca la disolución del aquel, allanando así el camino a la concepción moderna del universo. A continuación, se muestra cómo la concepción moderna se plasma en el pensamiento de Spinoza, el cual radicaliza algunos de sus rasgos definitorios. Esta radicalización (...) socava la noción tradicional del _Deus absconditus_ y conduce en Spinoza al remplazo de la religión por la filosofía como auténtica revelación divina. (shrink)

El articulo examina la aparente discrepancia en el pensamiento de Spinoza entre su teocentrismo epistemológico, según el cual todo es dudoso mientras desconocemos la existencia de Dios, y el principio verum index sui et falsi, según el cual la mera posesión de ideas verdaderas excluye toda incertidumbre. Lejos de contradecirse, estas dos afirmaciones constituyen en Spinoza dos aspectos correlativos del mismo planteamiento gnoseólogico. Se muestra así que la naturaleza divina no es ajena al intelecto humano y que este es capaz (...) de contemplar la realidad desde una perspectiva omnímoda, idéntica a la de Dios. (shrink)

This paper proposes a reassessment of Hegel’s critical reading of Spinoza and of the charge of acosmism, for which this reading is known. We argue that this charge is actually the consequence of a more fundamental criticism, namely Spinoza’s presumable inability to conceive the unity of the finite and the infinite. According to Hegel, the infinite and the finite remain two poles apart in Spinoza’s metaphysics, which thus fails to be a true monism, insofar as it contains an irreducible duality. (...) Against this reading, we argue that Spinoza’s conception of the causal co-determination of finite modes entails the acknowledgment of their essentially infinite nature. The study of this particular instance of coincidentia oppositorum enables to counter some of Hegel’s criticisms as well as to illuminate a fairly unexplored aspect of Spinoza’s substance monism. (shrink)

This paper proposes a reassessment of Hegel’s critical reading of Spinoza and of the charge of acosmism, for which this reading is known. We argue that this charge is actually the consequence of a more fundamental criticism, namely Spinoza’s presumable inability to conceive the unity of the finite and the infinite. According to Hegel, the infinite and the finite remain two poles apart in Spinoza’s metaphysics, which thus fails to be a true monism, insofar as it contains an irreducible duality. (...) Against this reading, we argue that Spinoza’s conception of the causal co-determination of finite modes entails the acknowledgment of their essentially infinite nature. The study of this particular instance of coincidentia oppositorum enables to counter some of Hegel’s criticisms as well as to illuminate a fairly unexplored aspect of Spinoza’s substance monism. (shrink)

El artículo examina la conexión esencial que existe entre la concepción hegeliana del signo y el funcionamiento del discurso especulativo en la Ciencia de la lógica. Partiendo de la tensión irresuelta en la filosofía kantiana entre la capacidad significativa del discurso y su autorreferencialidad, se somete a consideración el intento hegeliano de resolver dicha tensión en su tratamiento del lenguaje, contenido en la Enciclopedia de las ciencias filosóficas. De esta manera se pone al descubierto el modo sutil en que la (...) concepción hegeliana del signo permite superar las restricciones que Kant impone al discurso filosófico sin contravenir la prescripción básica de la filosofía crítica, según la cual todo pensamiento debe asociarse con una intuición para poder constituir un conocimiento con pretensión de validez. A partir de este resultado y centrándose en la estructura misma del signo tal y como la conceptualiza Hegel, se intenta esclarecer el funcionamiento exacto del discurso lógico y de los momentos básicos que lo constituyen –entendimiento, dialéctica y especulación–, mediante el ejemplo concreto de las tres primeras determinaciones de la Lógica: Ser. Nada y Devenir. (shrink)