Background:A growing number of frameworks for the practice of clinical ethics are described in the literature. Among these, hermeneutical frameworks have helped highlight the interpretive and contextual nature of clinical ethics practice.Objectives:The aim of this article is to further advance this body of work by drawing on the ideas of Charles Taylor, a leading hermeneutical philosopher.Design/Findings:A Hermeneutical Rapprochement Framework is presented for clinical ethics practice, based on Taylor’s hermeneutical “retrieval” and “rapprochement.” This builds on existing hermeneutical approaches for the practice (...) of clinical ethics by articulating a framework with interpretive and reconciliatory scope that extends beyond the presenting “local” context. A Hermeneutical Rapprochement Framework considers broader socio-historical horizons and imaginaries grounded on Taylor’s expansive work in epistemological, ontological, political, and moral philosophy.Discussion:The framework is discussed in terms of how it can be operationalized for clinical practice as well as normative development. Implications for the educational preparation of clinical ethicists are also discussed. Although this work is directly relevant for clinical ethicists, it can also help inform the ethical practice of all clinicians. (shrink)

Spingersi ai confini dell'esperienza del corpo - amore, sofferenza, vecchiaia, morte - attraverso la letteratura, la filosofia, le arti figurative, eventi etico-politici e personali, frammenti di racconto.

1. La filosofia antica-India, Cina, Grecia -- 2. La filosofia tardo-antica e medioevale: ebraismo, cristianesimo, islamismo -- 3.1. La filosofia moderna: umanesimo, Riforma, rivoluzione scientifica (1350-1715) -- 3.2. La filosofia moderna: illuminismo, criticismo, idealismo (1715-1815) -- 4.1. La filosofia contemporanea: scientismi, sroticismi, irrazionalismi -- 4.2. La filosofia contemporanea: filosofie analitiche e continentali.

In this article I argue for an interpretive approach to bioethics with critically ill children. I begin by highlighting the dominant Anglo-American bioethical framework that defines standards for ethical care in critically ill children and then outline a critique of this framework. Drawing predominantly on the ideas of Charles Taylor, Michael Walzer and Richard Zaner, I call for a reconception of bioethics and propose an interpretive ‘thick’ framework that is centred on culture and context. Finally, I illustrate this interpretive approach (...) through a comparative study of two cases in pediatric intensive care: the narratives of Marc and Larry. These case studies reveal that ethical dilemmas in pediatric critical care can be traced to relational tensions over respect, trust and power rooted in the disparity of moral horizons among the persons involved. (shrink)

The integration of artificial intelligence into bioethics education represents a new pedagogical approach that addresses complex moral issues in healthcare. The use of AI-driven platforms like ChatGPT in bioethics education can enhance critical thinking and decision-making skills among students by providing a diverse range of perspectives and solutions. To assess the ability of ChatGPT-4 to understand and resolve ethical dilemmas using validated clinical case vignettes, thereby determining its suitability as a teaching aid in bioethics. Ten clinical scenarios, each with inherent (...) ethical issues, were presented to ChatGPT-4. These scenarios were expert-validated to ensure relevance and complexity. ChatGPT's responses were evaluated by two blinded external raters to eliminate bias. The assessment criteria included identification of bioethical principles, recognition of stakeholders and their outcomes, and comprehension of ethical and legal frameworks. Additionally, the quality of responses was scored on a scale of 1–10. ChatGPT showed proficiency in identifying the pertinent bioethical principles and stakeholders involved in the ethical dilemmas presented. It achieved an overall score of 84.5%, with high marks for its analytical capabilities in complex scenarios. However, the study identified areas for improvement, particularly in proposing comprehensive solutions and alternative actions. ChatGPT demonstrates potential as an effective tool for bioethics education, capable of guiding learners through the resolution of ethical issues in clinical practice. However, to fully integrate ChatGPT into bioethics education, it requires enhancements in delivering detailed, actionable guidance in ethical decision-making. Future development should focus on refining ChatGPT’s ability to offer nuanced solutions aligned with patient values and clinician needs. (shrink)

ABSTRACTThis paper analyses the discourses produced on their websites by the two organisations that conducted the official ‘leave’ and ‘remain’ campaigns in the Brexit referendum. The analysis, whi...

This analysis presents an epistemological and moral examination of suffering. It addresses the specific questions: (1) What is suffering? (2) Can one's suffering be assessed by another? and (3) What is the moral significance of suffering? The epistemological analysis is orientated by Peter Hacker's framework for the investigation of emotions, demonstrating that suffering is an emotion. This leads to a discussion of whether suffering is a phenomenon that can be evaluated objectively by another person who is not experiencing the suffering, (...) questioning the validity of some decisional models for limiting life-sustaining therapies with the aim of preventing suffering. This analysis highlights that understandings of suffering are value laden. It is conventionally implied that suffering is `bad' and that it should be eliminated. Suffering is commonly regarded as a moral wrong that needs to be made right by health care. This article concludes with a recommendation for a paradigm shift in how suffering can be better understood, through the practice of empathic attunement. (shrink)

This paper presents the Futurium platform used by Digital Futures, a foresight project launched by the European Commission's Directorate General for Communications Networks, Content and Technology (DG CONNECT). Futurium was initially developed with the primary purpose of hosting and curating visions and policy ideas generated by Digital Futures (Digital Futures was launched in July 2011 by DG CONNECT's Director General Robert Madelin following a prior DG CONNECT exercise called Digital Science.). However, it has turned into a platform on which to (...) experiment with new policymaking models based on scientific evidence and stakeholder participation, referred to in this paper as ‘Policy Making 3.0’. The platform hosts an online foresight toolkit to facilitate the joint creation of ideas to help design future policies. It leverages the potential of social networks, open data, semantic and knowledge mining technologies as well as participatory brainstorming techniques to engage stakeholders and harness their views and creativity to better inform policies that matter to them. The Futurium distinguishes between different variables, reflecting the emotional vs. rational mindsets of the participants, and offers the possibility to frame the engagement and co-creation process into multiple phases of a workflow. Futurium was developed to support Digital Futures, but its open architecture makes it easily adaptable to any policymaking/decision-making context where thinking ahead, participation, scientific evidence and agility are needed. Futurium is an early prototype implementation of the Policy Making 3.0 model, which is a long-term vision requiring further investigation and experimentation. The Futurium production website can be seen here: ec.europa.eu/digital-agenda/futurium. (shrink)

We characterize the sets of all Π2 and all equation image theorems of IΠ−1 in terms of restricted exponentiation, and use these characterizations to prove that both sets are not deductively equivalent. We also discuss how these results generalize to n > 0. As an application, we prove that a conservation theorem of Beklemishev stating that IΠ−n + 1 is conservative over IΣ−n with respect to equation image sentences cannot be extended to Πn + 2 sentences. © 2011 WILEY-VCH Verlag (...) GmbH & Co. KGaA, Weinheim. (shrink)

Volume 16, Issue 4, September 2019, Page 381-388.

L’Autore di questo libro è noto per le sue vitrioliche critiche al web e in generale alla comunicazione elettronica. Ma questo libro è la prova che non si tratta di neo-luddismo, vale a dire di una opposizione a priori all’innovazione tecnologica. L’Autore semplicemente richiama il dovere di valutare le “ricadute” del progresso tecnico, sia sociali che psicologico-individuali. L’eccesso delle informazioni, rapide e varie, può determinare una grave de-concentrazione, ansia immotivata, disorientamento. In questo libro si indicano le condizioni per un progresso (...) tecnico non alienante, in cui l’equilibrio fra ragione ed emotività sia garantita, in vista di un nuovo umanesimo. (shrink)

Let T be a second-order arithmetical theory, Λ a well-order, λ < Λ and X ⊆ ℕ. We use $[\lambda |X]_T^{\rm{\Lambda }}\varphi$ as a formalization of “φ is provable from T and an oracle for the set X, using ω-rules of nesting depth at most λ”.For a set of formulas Γ, define predicative oracle reflection for T over Γ ) to be the schema that asserts that, if X ⊆ ℕ, Λ is a well-order and φ ∈ Γ, then$$\forall \,\lambda (...) < {\rm{\Lambda }}\,.$$In particular, define predicative oracle consistency ) as Pred–O–RFN{0=1}.Our main result is as follows. Let ATR0 be the second-order theory of Arithmetical Transfinite Recursion, ${\rm{RCA}}_0^{\rm{*}}$ be Weakened Recursive Comprehension and ACA be Arithmetical Comprehension with Full Induction. Then,$${\rm{ATR}}_0 \equiv {\rm{RCA}}_0^{\rm{*}} + {\rm{Pred - O - Cons\ }}\left \equiv {\rm{RCA}}_0^{\rm{*}} + \,{\rm{Pred - O - Cons\ }}\left \equiv {\rm{RCA}}_0^{\rm{*}} + \,{\rm{Pred - O - RFN}}\,_{{\bf{\Pi }}_2^1 } \left.$$We may even replace ${\rm{RCA}}_0^{\rm{*}}$ by the weaker ECA0, the second-order analogue of Elementary Arithmetic.Thus we characterize ATR0, a theory often considered to embody Predicative Reductionism, in terms of strong reflection and consistency principles. (shrink)

This article discusses changes in post-apartheid South Africa’s economy and society in relation to the country’s re-insertion in the Empire. South Africa ’s specificity in the African context is largely related to the crucial role played in this case by the factory proletariat in defining the collapse of apartheid. Therefore, neoliberalism and the entry in the Empire in this case have to be understood in terms of state responses to a class composition that starting from workplace organisation has expressed a (...) resistance to the imposition of wage labour discipline. While the government of the African National Congress has successfully recodified its nationalist discourse to suit the requirements of capitalist globalisation and liberalization, this process has also been very contradictory. The adoption of a neoliberal agenda has, in particular, emphasized the ANC’s abdication from state sovereignty as a vehicle of strategies of control based on social citizenship. New movements, largely made of multitudes left out of waged employment, have therefore emerged to challenge the ANC’s pro-Empire choice. However, these movements are not based on a « souverainniste » agenda, or on delegation to the state of resistance to the Empire. Rather, in their conscious departure from nationalist and wage-based mythologies, they clarify the biopolitical nature of current processes of contestation and are able to combine grassroots struggles with cognitive abilities of reappropriation. (shrink)

The author publishes the initial fragment of an unknown treatise by Leon Battista Alberti on the casting of statues written around 1455 and preserved in cod. Ottob. lat. 1870. The fragment contains a discussion on the nature of light and the element of fire.

Aunque el entorno supone una fuente de orden para la organización de sus propios componentes, su amplitud y generalidad mantiene siempre abierta la posibilidad de transgredir la trayectoria histórica de decisiones que en última instancia dan forma y constitución a cada uno de sus componentes. En este sentido, el entorno no es un espacio pasivo e independiente donde se reproducen simplemente los acontecimientos, sino un sistema activo que fluye y se transforma en función de las relaciones que se producen en (...) él. A través de una aproximación hermenéutica a la filosofía especulativa de Alfred N. Whitehead, el presente artículo analiza, desde un punto de vista cosmológico, las relaciones que constituyen el entorno en el que devienen las sociedades y los individuos. No obstante, y aunque una sociedad funge como el entorno de éstos últimos, se verá que la propia sociedad es también una entidad individual inmersa en un entorno –cada vez– más amplio y general en el que interacciona con otras sociedades más o menos heterogéneas. Desde esta perspectiva, la influencia del entorno podrá entenderse como el principio de orden que justifica el proceso mediante el cual evoluciona toda entidad, tanto social como individual. _Palabras clave:_ Whitehead - Cosmología del proceso – Orden – Entorno – Relación – Generalidad __. (shrink)

In this book – the first of three volumes – Franco Archibugi sets out to create an epistemology of economics, arguing for a radical overturning of the conventional analysis from a “positive” approach to a “programming” approach. This overturning leads to a reappraisal of the foundations of Economics itself, and to an improved integration of Economics as an autonomous discipline alongside Sociology, Political Science, Operational Research, Social Engineering and Physical or Spatial Planning. The author interrogates how scientific the social (...) sciences really are before proposing a new scientific paradigm for the social sciences, a political preference function and a general programming approach. The chapters revisit hitherto neglected economists like Gunnar Myrdal, Ragnar Frisch, Vassili Leontief, and Leif Johansen, using their theory to overturn the epistemological approach of the entire science of economics. Volume II explores oppositions to the traditional and conventional teaching of economics, whilst Volume III presents a concrete and practical example of how to build a Planning Accounting Framework, as associated with Frisch’s ‘plan-frame’, to demonstrate the extent to which decisions and negotiations can be routed in the social sciences. (shrink)

This trilogy deals with an epistemology of economics, arguing for a radical overturning of conventional analysis and providing an alternative to political economy and social sciences, based not on positivism, but on a normative and programming paradigm. Volume III furthers and concludes work presented in Volume I and Volume II, and introduces a concrete and practical example of how to build a Planning Accounting Framework, as associated with Frisch's 'plan-frame', to demonstrate the extent to which decisions and negotiations can be (...) routed in the social sciences. The PAF is an instrument of the programming approach that can be used to verify the compatibility of decisions and their effects. The author builds on Frisch's classical PAF to maximise the phenomenology of economic systems, and assure a consistent and effective implementation of decision making. (shrink)

This trilogy deals with an epistemology of economics, arguing for a radical overturning of conventional analysis and providing an alternative to political economy and social sciences, based not on positivism, but on a normative and programming paradigm. Volume II builds on the work presented in Volume I to explore oppositions to the traditional and conventional teaching of economics, and presents testimonies that are favourable to a trend towards a programming approach, thereby giving substance to the epistemological 'overturning' of conventional analysis. (...) Such oppositions studied include the work of Ludvig von Mises and his theory of praxeology; Ian Tinbergen and Wassily Leontif's preference for 'planning' over 'forecasting science'; Bruno de Finetti and Daniel Bell's support for the base of 'utopia' in economics; the trend from the 'theory of planning' towards the 'methodology of planning, by Andreas Faludi; neoclassic curiosity about the 'multi-purposes approach' and 'non-economic commodities' as investigated by Walter Isard, as well as theories expressed by Herbert Simon, Robert Lucas, George Soros and Mark Blaug. Volume III takes studies further and presents a concrete and practical example of how to build a Planning Accounting Framework, as associated with Frisch's 'plan-frame', to demonstrate the extent to which decisions and negotiations can be routed in the social sciences. (shrink)

This article reviews empirical evidence and ethical norms in cross-linguistic nursing. Empirical evidence highlights that linguistic barriers between nurses and patients can perpetuate discrimination and compromise nursing care. There are significant organizational and relational challenges involved in ensuring adequate use of interpreters by nurses. Some evidence suggests that linguistic barriers are particularly problematic for nurses when compared with physicians. A comparative analysis of nursing ethical norms for cross-linguistic nursing was conducted using the codes of ethics of the American Nurses Association, (...) the Canadian Nurses Association, and the International Council of Nurses. Five principal ethical norms for cross-linguistic nursing were identified: (1) respect for the patient as a unique person; (2) respect for the patient’s right to self-determination; (3) respect for patient privacy and confidentiality; (4) responsibility for one’s own competence, judgment, and action; and (5) responsibility to promote action better to meet the needs of patients, families, and groups. (shrink)