Is medicalization always harmful? When does medicine overstep its proper boundaries? The aim of this article is to outline the pragmatic criteria for distinguishing between medicalization and over-medicalization. The consequences of considering a phenomenon to be a medical problem may take radically different forms depending on whether the problem in question is correctly or incorrectly perceived as a medical issue. Neither indiscriminate acceptance of medicalization of subsequent areas of human existence, nor criticizing new medicalization cases just because they are medicalization (...) can be justified. The article: (i) identifies various consequences of both well-founded medicalization and over-medicalization; (ii) demonstrates that the issue of defining appropriate limits of medicine cannot be solved by creating an optimum model of health; (iii) proposes four guiding questions to help distinguish medicalization from over-medicalization. The article should foster a normative analysis of the phenomenon of medicalization and contribute to the bioethical reflection on the boundaries of medicine. (shrink)

Celem artykułu jest podsumowanie filozoficznego sporu na temat autentyczności emocji wywoływanych przez środki psychofarmakologiczne. Praca jest głosem w szerszej bioetycznej dyskusji na temat ulepszania ludzi, a w szczególności ulepszania nastroju. W pierwszej części pracy przedstawiono dwa przeciwstawne bioetyczne stanowiska: wrogich idei ulepszania ludzi biokonserwatystów oraz entuzjastycznych transhumanistów. W drugiej części artykułu wykazano, w jaki sposób nieporozumienie między obydwoma stanowiskami może wynikać z innego sposobu definiowania pojęcia autentyczności. W trzeciej części problem autentyczności emocji rozpatrzono na hipotetycznym przykładzie przyjemności wywoływanej przez „pigułkę (...) szczęścia”. (shrink)

Relationships between physicians and pharmaceutical sales representatives (PSRs) often create conflicts of interest, not least because of the various benefits received by physicians. Many countries attempt to control pharmaceutical industry marketing strategies through legal regulation, and this is true in Poland where efforts are underway to eliminate any practices that might be considered corrupt in medicine. The present research considered Polish medical students’ opinions about domestic laws restricting doctors’ acceptance of expensive gifts from the industry, the idea of compulsory transparency, (...) and the possibility of introducing a Polish Sunshine Law. A qualitative, focus group-based, interview method was used. Data were gathered from nine focus groups involving 92 medical students from three universities located in major Polish cities. The article presents a classification of opposing student views with regard to the consequences of introducing different legal solutions; this should be useful for policy makers deliberating on how to optimally regulate pharmaceutical marketing. The study’s results are discussed in the context of the public bioethical debate in Poland. (shrink)

The pharmaceutical industry and drugs advertisements are sometimes accused of “creating diseases”. This article assesses and describes the role of that industry in fostering medicalization. First, the notions of medicalization and pharmaceuticalization are defined. Then, the problem of distinguishing between harmful overmedicalization and well-founded medicalization is presented. Next, the phenomenon of disease mongering is explained and illustrated by the case analysis of medicalizing pain and suffering in three contexts: (1) the general idea of medicalizing physical pain, (2) the medicalization of (...) grief and (3) disease mongering of pseudoaddiction—a condition promoted in order to increase the demand for opioid pain relievers. (shrink)

The goal of the text is to show which actions of the modern pharmaceutical industry are morally controversial. There are several burning issues that we need to face on this field, such as: How to deal with the conflict of interests within the medicine? How to mark the vanishing boundaries between information and advertisement concerning the pharmaceutical education? How does the drug advertisement lead to the pharmaceuticalization of society? In the text all of these problems will be briefly analysed. The (...) article has an introductory character, it may serve as an overview of the burning issues in the pharmaceutical industry ethics – all questions that are posed in the text need further examination. (shrink)

The goal of this text is to elaborate the notion of pricelessness. The issue of pricelessness is distinguished from other important points in the Moral Limits of Markets debate. The proposition of the meaning of pricelessness is presented and discussed. I argue that the notion of pricelessness should not be identified with the notion of dignity or the highest value. The value which is a basis for the pricelessness claim does not have to be a moral value, the notion of (...) pricelessness functions at the crossroads between different kinds of values (moral, aesthetic, scientific, sentimental, commercial etc.). I argue that the core intuition associated with pricelessness refers to the incomparability of values. It is expressed as being price-less because money is seen as a universal comparator - it has a potential to translate any other values. Further, I distinguish three models of relation between commercial and priceless realms, named as: 1) contamination model, 2) contractual model, and 3) contextual model, in order to show that the attitudes toward the intuition that pricing itself may corrupt intrinsic values, depends on the presuppositions one shares. I argue that the conviction about corrupting force of money might be also explained by the intuitive concerns related to purity and degradation under Moral Foundations Theory. Using Radin's concepts, I claim that both non-commodities and incomplete commodities might be meaningfully called priceless. Finally, I recognize the limits of the argument from pricelessness and admit that it is rarely strong enough in itself to justify prohibition of commodification. (shrink)

The article reviews the book Hannah Arendt: An Intellectual Biography, by Michelle-Irene Brudny.

The article reviews the book Hannah Arendt: An Intellectual Biography, by Michelle-Irene Brudny.

El estudio reflexiona sobre la relación entre la mística y la política a través del discurso de una serie de pensadoras contemporáneas que comprometieron su vida con la causa de los oprimidos y de las víctimas. Dorothy Day, Etty Hillesum, María Skobtsov, Edith Stein, Simone Weil y María Zambrano, con su escritura humanizadora y de resistente, nos proporcionan un mensaje con el que construir un pensamiento compasivo y poético para iluminar un mundo desencantado.

In this paper, we argue that our moral concern for future well-being should reduce over time due to important practical considerations about how humans interact with spacetime. After surveying several of these considerations (around equality, special duties, existential contingency, and overlapping moral concern) we develop a set of core principles that can both explain their moral significance and highlight why this is inherently bound up with our relationship with spacetime. These relate to the equitable distribution of (1) moral concern in (...) a universe that we can only causally affect in one temporal direction; (2) access to the benefits from using spacetime as a resource; and (3) the burdens of care given (1) and (2). We conclude by considering the practical implications of our argument and find that, while it is often assumed that a preference for present over future well-being weakens the case for existential risk mitigation, this likely is not the case. (shrink)

The aim of this article is to explore how metaphor is mobilized to frame and describe the lived experience of dementia in a corpus of illness narratives compiled from 10 blogs initiated and maintained by individuals diagnosed with early-onset dementia. The article is set against the background of contemporary healthcare practices and discourse around chronic illness and focuses on the metaphors that patients use to communicate about their dementia experience in relation to three basic psychological needs: autonomy, competence and relatedness, (...) which are essential for human well-being and are heavily challenged in complex medical situations. Results are discussed in terms of the framing metaphors provide of the emotional, psychological impact of dementia and their implications for patient-centered care. This study expands prior work by researching metaphors used for a condition that has been scarcely explored from this point of view and by focusing on the patient’s perspective exclusively. (shrink)

Today, scientific research is seen as being largely dominated by the short-term, and by the constant need to gain legitimacy in the eyes of society. This text analyzes the existing literature on the concept of future and seeks to explore some of the main meanings it has for scientists. Based on interviews with researchers working on different projects in Portuguese research centers, the authors scrutinize some of the implications of the recurrent reference to the future in their research agendas. Starting (...) with a review of the literature on the relations between science, time, and future, they show that nowadays, scientists experience some difficulty when dealing with the long-term in science, mostly due to the pressure of the market on innovation. In view of their profiles and discourses, what must be stressed are the risks and challenges playing out in the conflict between the short and the long term in scientific research. (shrink)

Today, scientific research is seen as being largely dominated by the short-term, and by the constant need to gain legitimacy in the eyes of society. This text analyzes the existing literature on the concept of future and seeks to explore some of the main meanings it has for scientists. Based on interviews with researchers working on different projects in Portuguese research centers, the authors scrutinize some of the implications of the recurrent reference to the future in their research agendas. Starting (...) with a review of the literature on the relations between science, time, and future, they show that nowadays, scientists experience some difficulty when dealing with the long-term in science, mostly due to the pressure of the market on innovation. In view of their profiles and discourses, what must be stressed are the risks and challenges playing out in the conflict between the short and the long term in scientific research. (shrink)

An eye-tracking while listening study based on the blank screen paradigm was conducted to investigate the processing of literal and metaphorical verbs of motion. The study was based on two assumpti...

This article examines the topic of protest mapping during the rise of Occupy Wall Street in the United States in 2011–2012. It focuses on various practices of protest mapping, including a con­sideration of how space (public, urban, or of the protest camp) is represented in the visual sources discussed. It also addresses the qualitative difference between protest mapping and other mapping practices, as well as the categorization of protest mapping terms. Using the method of source analysis and online research, the (...) article adopts, as its key concept for studying protest as a multi-threaded phenomenon, the notion of détournement. This concept was first described in 1957 by Gil Wolman and Guy Debord, and from the early 1960s was used as a creative method and also a revolutionary strategy by the avant-garde artistic group, the Situationist International. The categories of stasis, dynamism, and spatiality will also be important points of reference. (shrink)

Heidegger’s Kant and the Problem of Metaphysics controversially claims that the A deduction is superior to the B deduction because the imagination, as the“common root” of understanding and sensibility, opens the first Critique to metaphysical ground. Drawing on Dieter Henrich, this paper reinterprets Heidegger’sreading by moving beyond the Analytic and taking the Dialectic into account. This suggests a continuity between the A and B deductions, namely that the imagination, as more than an ontic faculty, remains a basic power that keeps (...) open a metaphysics of being in Kant—a metaphysics whose site is a radicalized unity of transcendental apperception. Revisiting Heidegger in this way shows how Kant is both linked to and differentiated from German Idealism’s debate about the imagination, a position suggested in both Heidegger and recent scholarly discussion. (shrink)

The feeling of being alive still constitutes a major blind spot of contemporary affective sciences research. The mainstream view accepts it as an ‘umbrella notion’ comprising different states, such as M. Ratcliffe’s «feelings of being», T. Fuchs’s «feeling of being alive», E.M. Engelen’s «Gefühl des Lebendigseins», etc. In contrast, I argue for an account of the feeling of being alive as a unique feeling that can be described in several ways. Empirical support for this view comes mainly from Carvalho and (...) Damasio’s hypothesis of the distinctiveness of the interoceptive system as the physiological underpinning of this feeling. This account is also in line with many other approaches recognizing the role of interoception proper in mind and subjectivity grounding, collected by Tsakiris and De Presteer. Over recent decades, Damasio’s organic descriptions have been widely acknowledged as neurophysiological counterparts of philosophical/psychological concepts. However, in my view they have been often misinterpreted, especially due to the mainstream Ratcliffian interpretation mediating his ideas amongst philosophers. Throughout the paper, a critical inquiry into Damasio’s conceptualization is provided, by means of conceptual analysis and an overall taxonomy of the several affective states he has proposed over the past few decades. Ultimately, a critical discussion of his own account of the feeling of being alive is offered from a philosophical viewpoint. (shrink)

In his recent work, Leonard Lawlor draws attention to the problem of “violence,” which is the “problem that provides the most food for thought.” This emphasis on the problem of violence and its connections to metaphysics understood as philosophy has been remarkably consistent over his career, and thinking through responses to “violence” has sustained Lawlor’s continued effort to think about what he calls “violent” relations between event and repeatability and ground these upon a critical phenomenology. This contribution to the discussion (...) of Lawlor’s work focuses on his most recent book, From Violence to Speaking Out (2016), so as to suggest three important directions for this project and for philosophy’s response to violence. I first briefly trace the theme of violence in From Violence to Speaking Out, contextualizing it against the rest of his work, so as to draw out what he means by violence and its provocation to philosophy, with special attention to the way that the violence in question is figured as disrupting the transcendental and confronting philosophy with what Lawlor calls the “ultratranscendental.” Second, I link it to the theme of time by tracing Lawlor’s point about violence in relation to the breaking up of the transcendental subject from Kant into Heidegger. Third, I link these points to the negative movement of the dissolution of modes of repeatability. This dissolution is captured in a kind of “speaking‐out” that Lawlor detects in Foucault, Derrida, and Deleuze and Guattari, involving an excess over and above expression, which Deleuze calls “hyperbologic.”. (shrink)

Purpose:Human navigation skills are essential for everyday life and rely on several cognitive abilities, among which visual-spatial competences that are impaired in subjects with cerebral palsy. In this work, we proposed navigation tasks in immersive virtual reality to 15 children with CP and 13 typically developing peers in order to assess the individual navigation strategies and their modifiability in a situation resembling real life.Methods:We developed and adapted to IVR an application based on a 5-way maze in a playground that was (...) to be navigated to find a reward. The learning process, navigation strategies, and adaptation to changes were compared between participants with CP and their TD peers and correlated with visual-spatial abilities and cognitive competences.Results:Most participants with CP needed more attempts than TD participants to become proficient in navigation. Furthermore, the learning phase was correlated to visual-spatial memory but not with cognitive competences. Interestingly, navigation skills were comparable between groups after stabilization. While TD participants mainly relied on allocentric strategies based on environmental cues, egocentric strategies based on body motion prevailed in participants with CP. Furthermore, participants with CP had more difficulties in modifying their navigation strategies, caused by difficulties in executive processes beyond the visual-perceptual impairment, with an inefficient shift between implicit and explicit competences.Conclusions:The navigation abilities in participants with CP seem to be different from their TD peers in terms of learning and adaptation to new conditions; this could deeply affect their everyday life and ultimately participation and inclusion. A regular assessing and focused rehabilitative plans could help to better navigate the environment and affect self-perception. (shrink)

We could ask: how national could be a culture or another? The modernist or postmodernist perspectives seems to be unilateral here. Could be transmodernism the right sollution? The distictions between modernism, postmodernism and transmodernism are actually a pretext to set into discussion again the old dispute between Culture, regarded as a humanity universal feature and national cultures, perceived as a human community tradition symbol (community that claims a territory, a language, a religious belief and a certain government form).

As one of the characteristics of the nowadays postmodernism, the multiculturalism and the globalization seems to be profoundly related to the heterogenity and to the heteronomy. Globalization is going with the multiculturalism, but in an opposite direction: globalization towards the standardization and multiculturalismtowards fragmentation. Is the Global Village also the Postmodern Village?

Axiomatic classes of algebras of a given type which are closed with respect to direct limits are studied in this paper.

Our interpretive resources enable us to make sense of, navigate, and communicate about our shared world. These resources not only carve the world up into categories, but also guide how we, individually and collectively, are oriented towards it. In this thesis, I examine how these resources, and the dispositions they guide, may be harmful. A vital kind of interpretive resources are frames, which equip us with unified perspectives on the world. Perspectives are suites of open-ended interpretive (inquisitive, attentional, inferential, evaluative, (...) and affective) dispositions. Frames thereby guide how we interpret, respond to, and navigate the world. I show that these perspectives are epistemically powerful and indispensable. I argue that flawed perspectives, and the distorting frames that produce them, are deeply pernicious and I examine their relationship to oppression. (shrink)

There is growing interest in a category of domestic labour frequently termed ‘emotional labour’. I argue that this labour is, in fact, primarily a form of epistemic labour. I argue that domestic epistemic labour is the target of dual erasure. Firstly, as invisible domestic labour, it is underrecognized and undervalued. Secondly, it is not recognized as epistemic, due to women’s epistemic oppression. ‘Emotional labour’, as a catch-all for feminized labour, perpetuates the dominant ideological conception of emotion as feminine and anti-epistemic. (...) Consequently, popular usage of ‘emotional labour’ attempts to address the first layer of erasure but reinforces the second. (shrink)

We believe with the publication of our Lexicon Spinozanum, that we are meeting a need in Spinoza historiography which has been pointed out by scholars, but has never before been satisfied. In the intro duction of his Spinozas philosophische Terminologie (Leipzig, 1913), G. T. Richter promised "a Spinozistic Lexicon in which the meaning of each term is set out on an historical basis in alphabetical order". In 1924, in the Report, i.e., Nachbericht, of his four volume edition of the complete (...) works of Spinoza (Heidelberg), C. Gebhardt promised a complementary volume comprising, among other things, a general index. However, neither the one nor the other were ever published. The hope of seeing this gap quickly filled has been reiterated recently by Di Vona: "The compilation of a Spinozistic index is a task of the history of philosophy, the execution of which would gratify all scholars". (Di V on a, Studi suIt' ontologia di Spinoza, Florence, 1960). We do not know how closely our Lexicon Spinozanum corresponds to what Richter and Gebhardt projected. We believe, however, that there are common requirements at the basis of works of this sort. In our procedure and in the delimitation of our scope, we have set for ourselves two main criteria: that of clarity and that of completeness. We hope we hav:e not deviated from them too much. (shrink)

One of Derek Parfit’s greatest legacies was the search for Theory X, a theory of population ethics that avoided all the implausible conclusions and paradoxes that have dogged the field since its inception: the Absurd Conclusion, the Repugnant Conclusion, the Non-Identity Problem, and the Mere Addition Paradox. In recent years, it has been argued that this search is doomed to failure and no satisfactory population axiology is possible. This chapter reviews Parfit’s life’s work in the field and argues that he (...) provided all the necessary components necessary for a Theory X. It then shows how these components can be combined together and applied to the global challenges Parfit argued matter most: preventing human extinction, managing catastrophic risks, and eradicating global poverty and suffering. Finally, it identifies a number of challenges facing his theory and suggests how these may be overcome. (shrink)

This article focuses on blood donation as a form of bloodletting in a context where donation is commonly seen to alleviate the symptoms of `thick blood'. It deals with the gendered aspects of blood donation, and the parallels drawn between donating blood and menstruating. Women are seen not to need to donate blood as much as men, who, in the absence of menstruation, are more prone to thick blood and require a means to expunge the ensuing excess. While blood donation (...) professionals strive to reconstruct donation as a selfless and ungendered act, counterposing the `facts' of arterial blood circulation to local blood-lore and beliefs, lay understandings challenge this construction in the use they make of blood donation centres or by reiterating the personalistic and gendered dimensions of donation. The article explores cases of patients who use hormonal contraceptives which suppress menstruation and express concerns over the resulting accumulation of blood in the body. It considers how blood donation is adopted by some women as a means of dispelling both the perceived inconveniences of menstrual bleeding and its swelling effects. Such literalized engagements with medical technologies reveal a conception of the body as a permeable, malleable and recipient-like enclosure. These views are often characterized as `ignorance' by medical practitioners, where ignorance is seen to derive not only from the absence of knowledge, but from the presence of the wrong kind of knowledge. (shrink)

Aphantasia is a heterogeneous neuropsychological syndrome consisting of the inability to create mental images. We argue that its progressive form may be a harbinger of dementia. Aphantasia may manifest as the inability to create any mental images or to create complex scenes, inability to spontaneously initiate generation of mental images, and/or inability to visualize a sequence of events.