In the scenario of growing polarization of promises and dangers that surround artificial intelligence (AI), how to introduce responsible AI and robotics in healthcare? In this paper, we develop an ethical–political approach to introduce democratic mechanisms to technological development, what we call “Caring in the In-Between”. Focusing on the multiple possibilities for action that emerge in the realm of uncertainty, we propose an ethical and responsible framework focused on care actions in between fears and hopes. Using the theoretical perspective of (...) Science and Technology Studies and empirical research, “Caring in the In-Between” is based on three movements: the first is a change of focus from the world of promises and dangers to the world of uncertainties; the second is a conceptual shift from assuming a relationship with robotics based on a Human–Robot Interaction to another focused on the network in which the robot is embedded (the “Robot Embedded in a Network”); and the last is an ethical shift from a general normative framework to a discussion on the context of use. Based on these suggestions, “Caring in the In-Between” implies institutional challenges, as well as new practices in healthcare systems. It is articulated around three simultaneous processes, each of them related to practical actions in the “in-between” dimensions considered: monitoring relations and caring processes, through public engagement and institutional changes; including concerns and priorities of stakeholders, with the organization of participatory processes and alternative forms of representation; and making fears and hopes commensurable, through the choice of progressive and reversible actions. (shrink)

In the scenario of growing polarization of promises and dangers that surround artificial intelligence (AI), how to introduce responsible AI and robotics in healthcare? In this paper, we develop an ethical–political approach to introduce democratic mechanisms to technological development, what we call “Caring in the In-Between”. Focusing on the multiple possibilities for action that emerge in the realm of uncertainty, we propose an ethical and responsible framework focused on care actions in between fears and hopes. Using the theoretical perspective of (...) Science and Technology Studies and empirical research, “Caring in the In-Between” is based on three movements: the first is a change of focus from the world of promises and dangers to the world of uncertainties; the second is a conceptual shift from assuming a relationship with robotics based on a Human–Robot Interaction to another focused on the network in which the robot is embedded (the “Robot Embedded in a Network”); and the last is an ethical shift from a general normative framework to a discussion on the context of use. Based on these suggestions, “Caring in the In-Between” implies institutional challenges, as well as new practices in healthcare systems. It is articulated around three simultaneous processes, each of them related to practical actions in the “in-between” dimensions considered: monitoring relations and caring processes, through public engagement and institutional changes; including concerns and priorities of stakeholders, with the organization of participatory processes and alternative forms of representation; and making fears and hopes commensurable, through the choice of progressive and reversible actions. (shrink)

In this paper, we explore how the definition of life takes on an essential character in the ethical debates around health technologies, with life thus being manufactured in the tensions and conflicts around the use of such artefacts and devices. We introduce concepts from science and technology studies (STS) to approach bioethics, overcoming the dualistic conception that separates the natural and the technological and questioning the dominant rationality that divides life into dualities. Drawing on two research projects in which we (...) have been involved in recent years, one regarding biobanks and the other regarding social care robots, we explore how the ethical discussions about biobanks and robots imply particular notions of life. We argue that the contemporary epistemic category of life is a manufactured life in which various rationalities coexist: one rationality based on a separation between the technological and the human, focused on pragmatism and functionalities that tend towards a dualized notion of life divided into qualified and non-qualified life, and another rationality based on a non-essentialist ontology, focused on the mediating role of health technologies, that entails a distributed life appearing as a precarious effect of a network. Each of these rationalities allows the emergence of different issues and ethical concerns, thus enriching the bioethical debate. (shrink)

The fast–slow paradigm of life history focuses on how individuals grow, mate, and reproduce at different paces. This paradigm can contribute substantially to the field of personality and individual differences provided that it is more strictly based on evolutionary biology than it has been so far. Our study tested the existence of a fast–slow continuum underlying indicators of reproductive effort—offspring output, age at first reproduction, number and stability of sexual partners—in 1,043 outpatients with healthy to severely disordered personalities. Two axes (...) emerged reflecting a double-track pathway to fast strategy, based on restricted and unrestricted sociosexual strategies. When rotated, the fast–slow and sociosexuality axes turned out to be independent. Contrary to expectations, neither somatic effort—investment in status, material resources, social capital, and maintenance/survival—was aligned with reproductive effort, nor a clear tradeoff between current and future reproduction was evident. Finally, we examined the association of LH axes with seven high-order personality pathology traits: negative emotionality, impulsivity, antagonism, persistence-compulsivity, subordination, and psychoticism. Persistent and disinhibited subjects appeared as fast-restricted and fast-unrestricted strategists, respectively, whereas asocial subjects were slow strategists. Associations of LH traits with each other and with personality are far more complex than usually assumed in evolutionary psychology. (shrink)

El proceso de despoblación rural en el Valle del Genal se ha visto agravado en las últimas décadas, provocado en parte por el éxodo de sus habitantes en la búsqueda de oportunidades laborales o mejores servicios y equipamientos. La proximidad de la Costa del Sol, en continuo crecimiento turístico desde los años 60, ha sido un fuerte atractor de población activa, favoreciendo esta dinámica. La interrelación entre ambos territorios supone una temática de sumo interés y una oportunidad como laboratorio de (...) estudio e investigación en el marco de la asignatura “Patrimonio, Turismo y Territorio” de la Escuela de Arquitectura de Málaga. (shrink)

The commodification of health care, particularly primary care, presents challenges to care and knowledge development. The purpose of this study is to examine how nurses perceive and develop their knowledge in a commodified context. A mixed‐methods study was conducted that included a closed‐question survey and in‐depth interviews with nurses in public primary care in Catalonia. There were 104 valid responses to the questionnaire and 10 in‐depth interviews. The main findings of the survey were related to workload and limited time for (...) nursing care. Six themes emerged from the in‐depth interviews: (1) limited time for nursing, (2) feelings of burnout, (3) awareness of patient and family satisfaction, (4) organizational factors that favor nurses' needs, (5) organizational factors that hinder nurses' needs, and finally (6) public administration requirements. Participants perceive excessive workload and time constraints and feel that this affects their nursing care and their physical and mental health. However, nurses purposefully use knowledge patterns to cope with the problems associated with commodification. Nurses have multidimensional, contextualized, and integrated knowledge that allows them to optimize their care based on the needs of their patients. This research examines many challenges related to nursing practice and the nursing discipline and opens the door for further research that encompasses all areas of nursing. (shrink)

Among the many applications of artificial intelligence (AI), virtual assistants are one of the tools most likely to grow in the future. The development of these systems may play an increasingly important role in many facets of our lives. Therefore, given their potential importance and present and future weight, it is worthwhile to analyze what kind of challenges they entail. In this chapter, we will provide an overview of the ethical aspects of artificial virtual assistants. First, we provide a conceptual (...) clarification of the term ‘virtual assistant’, including different types of interfaces and recommender systems. Second, we address three ethical issues related to the deployment of these systems: their effects on human agency and autonomy and the subsequent cognitive dependence they would generate; the human obsolescence that may cause a generalized extension of the dependence problem; and the invasions of privacy that virtual assistants may cause. Finally, we outline the debates about the use of virtual assistants to improve human moral decisions and some areas in which these systems can be applied. (shrink)

Resumo: O corpo está por toda parte: ele é aquele que «está irreparavelmente aqui» onde estou, eu que não «posso me deslocar sem ele», já disse o filósofo. Talvez por isso mesmo seja tão antigo e tão insistente o movimento que, multiplicando as metáforas para dizer sua presença, visa de fato a maior parte do tempo seu ocultamento. Assim, se é possível falar aqui de uma cartografia, ela sem dúvida designará o intenso movimento filosófico de ocultamento do corpo, que paradoxalmente (...) dá a ver o que tanto se buscou evitar: é que o corpo sempre resiste, insistindo em se fazer disponível aos «mundos múltiplos e divergentes» que a cada vez a arte aproxima. Palavras-chave: Corpo. Movimento. Formação humana. Cartography of the body and unmanageability: The body is everywhere: he is «is irreparably here» where I am, for «I cannot move without him», as the philosopher said. Perhaps it is why this ancient and persistent movement that multiplies the metaphors to tell its presence seeks in fact its concealment most of the time. Thus, if it is possible to speak about a cartography, it will undoubtedly designate the intense philosophical movement of body concealment, which paradoxically hints at what it has sought so much to avoid: is that the body always resists, insisting on making itself available to « multiple and divergent worlds» which art approaches each time. Keywords: Body. Mouvement. Human Formation. Cartographies du corps et de l’ingovernabilité Résumé: Le corps est partout: « il est ici irréparablement» où je suis, car «je ne peux pas me déplacer sans lui», comme le philosophe l’a dit. Et c’est peut-être là la raison par laquelle, à force de multiplier les métaphores pour signaler as présence, ce que lui vise, finalement, la plupart du temps est bien son effacement. Ainsi, s’il nous est permis de parler de cartographie, elle devra sans doute désigner cet intense mouvement philosophique d’oubli du corps, qui finalement révèle ce qui l’on a tellement voulu éviter : car le corps résiste, à chaque fois, et qu’il insiste de se faire disponible aux «mondes multiples et divergents» que, à chaque fois, l’art rend présent. Mots-clés: Corps. Mouvement. Formation humaine. (shrink)

El primer día que llegué a mi trabajo, una prisión, no sabía qué me iba a encontrar. Pensaba que tras los muros, las rejas y aquella enorme alambrad habría criminales y monstruos dispuestos a cualquier cosa. Sin embargo, cuando atravesé la puerta me encontré jardines, magníficos dibujos en la pared y personas al otro lado. Sí, personas comos las que te encuentras en tu vida diaria. No llevaban pendientes, ni tatuajes, ni un cuchillo en la mano. Me saludaban cordialmente y (...) se dirigían a mí de usted. (shrink)

Indigenous psychologies are informed by their cosmogonies and cosmologies, philosophies, spirituality and religions, traditions and customs, and knowledge and praxis systems. This paper reviews some conceptions of consciousness, psyche, spirit, mental and physical health, relations to all Earth Beings (human and nonhuman), ancestors, nature, and altered states of consciousness among the Nahua and Maya of Mexico. Colonization has threatened these rich legacies by imposing the conquerors' cosmologies. However, these Indigenous communities continue to use plants, mushrooms, and some animals to generate (...) altered states of consciousness, enacting sacred rituals and healing. The conclusion recommends learning from these knowledge and praxes systems and their related consciousness and spiritual states to expand the emergence of decolonial psychology that may offer alternatives to address the challenges of our time. (shrink)

Across the European research area and beyond, efforts are being mobilized to align research and innovation processes and products with societal values and needs, and to create mechanisms for inclusive priority setting and knowledge production. A central concern is how to foster a culture of “Responsible Research and Innovation” (RRI) among scientists and engineers. This paper focuses on RRI teaching at higher education institutions. On the basis of interviews and reviews of academic and policy documents, it highlights the generic aspects (...) of teaching aimed at invoking a sense of care and societal obligation, and provides a set of exemplary cases of RRI-related teaching. It argues that the Aristotelian concept of phronesis can capture core properties of the objectives of RRI-related teaching activities. Teaching should nurture the students’ capacity in terms of practical wisdom, practical ethics, or administrative ability in order to enable them to act virtuously and responsibly in contexts which are often characterized by uncertainty, contention, and controversy. (shrink)

BackgroundDiagnosis and treatment of differentiated thyroid carcinomas cause anxiety and depression. Additionally, these patients suffer hormonal alterations that are associated with psychological symptoms. This study aims to evaluate the effectiveness of a psycho-oncological intervention based on counseling to reduce anxiety and depression related to the treatment in patients with DTC.MethodsA non-randomized controlled study, with two groups [experimental group, n = 37, and control group, n = 38] and baseline and posttreatment measures, was designed. Patients in the EG received a psycho-oncological (...) intervention based on counseling in addition to the standard treatment. The independent variable was the assigned group and the dependent one was the evolution of anxiety and depression, which were analyzed separately, and both were evaluated using the Hospital Anxiety and Depression Scale. Other relevant covariables related to the quality of life were also analyzed using Short Form-36 Health Survey and Psychological General Wellbeing Index scales.ResultsThe difference of the posttreatment-baseline variation showed a statistically significant reduction in anxiety and depression in the EG in relation to the CG. The mean of the Psychological General Wellbeing Index scales score increased significantly in the EG and decreased significantly in the CG. All the baseline and the posttreatment scores of the variables evaluated showed a statistically significant improvement in the EG vs. the CG.ConclusionThis study demonstrates significant benefits of psycho-oncological intervention based on counseling in anxiety, depression, QoL, and wellbeing of the patient with differentiated thyroid carcinomas. (shrink)

Este trabajo se centra en la gestión de los bienes naturales comunes, y desarrolla brevemente dos enfoques sobre el ambiente y su cuidado; destaca las ventajas de un enfoque interdisciplinario en la gestión comunal de los bienes naturales y en la consiguiente elaboración de políticas ambientales. Se analiza la gestión comunal de estos bienes comunes partiendo de la noción de responsabilidad fuerte, que cuestiona la concepción de las personas como agentes autointeresados, y se identifican requisitos ineludibles: adecuación a las condiciones (...) sociales y ecológicas de cada lugar, información completa y relevante, procesos democráticos de decisión y reconocimiento por parte de los gobiernos de la capacidad y el derecho de los usuarios de elaborar sus propias normas y monitorear su cumplimiento. (shrink)

Resumen Proponer una ontología de lo político implica preguntarse por la relación que se establece entre ontología e historia. Si ambos términos se presentan como opuestos y excluyentes entre sí, entonces tendríamos que aceptar la posibilidad de que lo político pueda concebirse con plena autonomía de un contexto histórico determinado. Aquí, por el contrario, se trata de pensar una ontología de lo político que mantenga con la historia una relación distinta o, en otras palabras, una ontología política materialista. Para abordar (...) esta problemática partimos de la obra de Nicos Poulantzas, para dar cuenta con ella de las dificultades que enfrentaba un marxismo en crisis a la hora de pensar la autonomía de la política. El posmarxismo enfrenta estos dilemas y elabora algunas respuestas sobre la relación entre ontología e historia. Para exponer lo que muchos de estos desarrollos comparten, recurrimos a la interpretación de Oliver Marchart sobre lo que él denomina el pensamiento político posfundacional (Cf. Lefort, Badiou, Laclau, Rancière). Luego recurrimos a los postulados de Gilles Deleuze, porque con ellos podemos desplazar de otra forma la tradicional antinomia entre ontología e historia. Entonces, asumiendo que el Ser de lo político es un ser que siempre se dice de la diferencia, nos abocamos a analizar críticamente las teorizaciones de Ernesto Laclau sobre la política y su forma hegemónica. Finalmente, la relación que propone Benjamín Arditi entre espectro y populismo permite pensar nuevas relaciones entre la ontología y la historia, lo político y la diferencia, dinamizando los conceptos. (shrink)

As critical research has revealed, climate change scepticism and inaction are not about science but ideas, and specifically the ideas that conform our worldview. Drawing on key theoretical approaches to climate change denial from the social sciences and humanities, this paper discusses the ideological dimension and, more especially, the anthropocentric denial underlying our failure to respond to climate change. We argue that the speciesist anthropocentrism inherent in the current dominant ethics is what prevents humanity from reacting to the main human-induced (...) drivers of global warming. Encouraged to do so by current mainstream ethics, humans overpopulate the planet, grow at the expense of other species, and indulge in cruel, unhealthy and unsustainable practices. We counterpose this ethics against the egalitarian, non-speciesist approach of the animal ethics movement, positing that it represents the next radical reflexive movement and could be used to break the climate deadlock. Animal ethics allows links with inegalitarianism and privilege that may help address climate contrarianism and climate inaction much more effectively. (shrink)

Political Constructivism is concerned with the justification of principles of political justice in the face of pluralism. Contemporary accounts of multiculturalism, pluralism and diversity have challenged the capacity of political theory to impartially justify principles of justice beyond the boundaries of particular communities. In this original account, Peri Roberts argues that political constructivism defends a conception of objective and universal principles that set normative limits to justifiable political practice. _Political Constructivism_ explores this understanding in two ways. Firstly, by engaging with (...) constructivist thinkers such as John Rawls and Onora O’Neill in order to lay out a basic understanding of what constructivism is. Secondly, the author goes on to defend a particular account of political constructivism that justifies a universal primary constructivism alongside the many secondary constructions in which we live our everyday lives. In doing so he outlines an understanding of principled pluralism which accepts diversity whilst at the same time recognising its limits. This volume will be of particular interest to students and researchers of political theory and political philosophy. (shrink)

Ian Rumfitt (2000) developed a bilateralist account of logic in which the meaning of the connectives is given by conditions on asserted and rejected sentences. An additional set of inference rules, the coordination principles, determines the interaction of assertion and rejection. Fernando Ferreira (2008) found this account defective, as Rumfitt must state the coordination principles for arbitrary complex sentences. Rumfitt (2008) has a reply, but we argue that the problem runs deeper than he acknowledges and is in fact related to (...) the challenge of establishing proof-theoretic harmony. We motivate a distinctively bilateral criterion for harmony and show how the bilateralist can meet it. This also resolves Ferreira's complaint. (shrink)

Es un placer para nosotros, flamantes nuevos editores de la sección multilingüe de la EJPAP, estrenar esta sección con el dossier monográfico “Jane Addams en español.” El monográfico ha conseguido la hazaña de poder unir por primera vez textos de las todavía pocas personas que escriben en lengua castellana y que están familiarizadas con la obra de Jane Addams (1860-1935). El desconocimiento de la vida y obra de Jane Addams entre el público hispanohablante no se debe, de ningún modo, al (...) hecho... (shrink)

The outsourcing of clinical trials to Latin America by the transnational innovative pharmaceutical industry began about twenty years ago. Using archival information and field work in Argentina, Brazil, Costa Rica, Mexico and Peru, the authors discuss the regulatory contexts and the ethical dimensions of human experimentation in the region. More than 80% of all clinical trials in the region take place in these countries, and the European Medicines Agency has defined them as priority countries in Latin America. The authors raise (...) questions about the quality of data obtained from the trials and the violation of human rights during their implementation. Their findings are presented in this volume, the first in-depth analysis of clinical trials in the region.. (shrink)

This paper proposes a teaching alternative that can encourage the ethical reflective sensibility among students of social entrepreneurship. It does so by exploring the possibility of using religious parables as narratives that can be analysed from Ricoeur’s hermeneutics to provoke and encourage ethical discussions in social entrepreneurship courses. To illustrate this argument, the paper makes use of a parable from the New Testament as an example of a religious narrative that can be used to prompt discussions about social entrepreneurs’ ethical (...) dilemmas. The paper adds to the limited works that consider the teaching of ethics within social entrepreneurship education. It also advances studies that seek alternative strategies to teaching ethics in business contexts, making these strategies discernible for discussion within the broader business and management literature. (shrink)

El presente estudio se basa en las colecciones de los manuscritos árabes que se conservan actualmente en España. Para ello se hace un análisis de las colecciones existentes. A continuación se lleva a cabo un estudio de los catálogos e inventarios aparecidos, desde los primeros en el siglo XVI hasta la actualidad, deteniéndose en los más destacados. La segunda parte del estudio se centra en la técnica del análisis documental, que engloba los trabajos de catalogación y descripción bibliográfica. Se repasa (...) la normativa vigente, para terminar con reflexiones personales de los datos que deben aparecer en los catálogos y cómo deben aparecer. (shrink)

BackgroundHIV prevention research in resource-limited countries is associated with a variety of ethical dilemmas. Key amongst these is the question of what constitutes an appropriate standard of health care (SoC) for participants in HIV prevention trials. This paper describes a community-focused approach to develop a locally-appropriate SoC in the context of a phase III vaginal microbicide trial in Mwanza City, northwest Tanzania.MethodsA mobile community-based sexual and reproductive health service for women working as informal food vendors or in traditional and modern (...) bars, restaurants, hotels and guesthouses has been established in 10 city wards. Wards were divided into geographical clusters and community representatives elected at cluster and ward level. A city-level Community Advisory Committee (CAC) with representatives from each ward has been established. Workshops and community meetings at ward and city-level have explored project-related concerns using tools adapted from participatory learning and action techniques e.g. chapati diagrams, pair-wise ranking. Secondary stakeholders representing local public-sector and non-governmental health and social care providers have formed a trial Stakeholders' Advisory Group (SAG), which includes two CAC representatives.ResultsKey recommendations from participatory community workshops, CAC and SAG meetings conducted in the first year of the trial relate to the quality and range of clinic services provided at study clinics as well as broader standard of care issues. Recommendations have included streamlining clinic services to reduce waiting times, expanding services to include the children and spouses of participants and providing care for common local conditions such as malaria. Participants, community representatives and stakeholders felt there was an ethical obligation to ensure effective access to antiretroviral drugs and to provide supportive community-based care for women identified as HIV positive during the trial. This obligation includes ensuring sustainable, post-trial access to these services. Post-trial access to an effective vaginal microbicide was also felt to be a moral imperative.ConclusionParticipatory methodologies enabled effective partnerships between researchers, participant representatives and community stakeholders to be developed and facilitated local dialogue and consensus on what constitutes a locally-appropriate standard of care in the context of a vaginal microbicide trial in this setting.Trial registrationCurrent Controlled Trials ISRCTN64716212. (shrink)

En distintos estudios que se ocupan del eufemismo se ha puesto de relieve la función que desempeñan las expresiones eufemísticas en el discurso político como herramientas de las que se sirve el emisor para ocultarle al destinatario aquellos aspectos desagradables o inoportunos que podrían dañar su imagen. Este artículo se fundamenta en una teoría pragmático-cognitiva del eufemismo y explica los efectos que produce en la mente de los hablantes un conjunto de expresiones eufemísticas empleadas en el discurso político español durante (...) los últimos años. En concreto, se propone la existencia de tres fenómenos que influyen en la representación mental de la realidad que construye el intérprete: el encuadre léxico, la obstrucción del acceso al referente y la estigmatización de conceptos. (shrink)