In this case report, we describe a woman with advancing dementia who still retained decisional capacity and was able to clearly articulate her request for deactivation of her implanted cardiac pacemaker—a scenario that would result in her death. In this case, the patient had the autonomy to make her decision, but clinicians at an outside hospital refused to deactivate her pacemaker even though they were in unanimous agreement that the patient had capacity to make this decision, citing personal discomfort and (...) a belief that her decision seemed out of proportion to her suffering. We evaluated her at our hospital, found her to have decision-making capacity, and deactivated her pacer resulting in her death about 9 days later. While some clinicians may be comfortable discussing patient preferences for device deactivation in patients who are imminently dying, we can find no reports in the literature of requests for device deactivation from patients with terminal diagnoses who are not imminently dying. (shrink)

This research explores the contextual approach within Christian-Jewish religious education, addressing a notable gap in existing literature and offering fresh insights into the application of the Contextual Teaching and Learning (CTL) model within Christian contexts. Through a qualitative literature study employing a three-step methodology, including an in-depth analysis of Deuteronomy 11:19–20, this study reveals that this biblical text provides both educational guidance and theological significance, serving as a foundational support for the CTL model in Christian-Jewish religious education. The integration of (...) digital media into biblical sources holds promise for future research, while the central challenge lies in harmonising life experiences and empirical phenomena with biblical reflections to seamlessly integrate inquiry processes and pedagogical phases, with potential avenues for further exploration in scripture models endorsing CTL. This research provides valuable insights for educators, parents and policymakers in Indonesia and beyond, advancing educational research in contextualised teaching models within religious education.Contribution: This article demonstrates that the CTL model in the digital era has the potential to revolutionise religious education and profoundly impact learners, making it a significant scientific contribution in the context of Christian-Jewish religious education. (shrink)

With disparate rates of morbidity and mortality among minoritized communities, COVID-19 illuminated the need for equity-informed practices in public health. Pacia et al posit FQHCs as entities that addressed inequity when others failed. This commentary further situates how FQHCs address the public health crisis of institutional racism and related health inequities every day and presents a FQHC-led Ethics and Equity Framework and Workflow Checklist to guide ethical and equitable engagement with FQHCs.

Radical ecology typically brings to mind media images of ecological activists standing before loggers' saws, staging anti-nuclear marches, and confronting polluters on the high seas. Yet for more than twenty years, the activities of organizations such as the Greens and Earth First! have been influenced by a diverse, less-publicized group of radical ecological philosophers. It is their work—the philosophical underpinnings of the radical ecological movement—that is the subject of _Contesting Earth's Future_. The book offers a much-needed, balanced appraisal of radical (...) ecology's principles, goals, and limitations. Michael Zimmerman critically examines the movement's three major branches—deep ecology, social ecology, and ecofeminism. He also situates radical ecology within the complex cultural and political terrain of the late twentieth century, showing its relation to Martin Heidegger's anti-technological thought, 1960s counterculturalism, and contemporary theories of poststructuralism and postmodernity. An early and influential ecological thinker, Zimmerman is uniquely qualified to provide a broad overview of radical environmentalism and delineate its various schools of thought. He clearly describes their defining arguments and internecine disputes, among them the charge that deep ecology is an anti-modern, proto-fascist ideology. Reflecting both the movement's promise and its dangers, this book is essential reading for all those concerned with the worldwide ecological crisis. (shrink)

Self-criticism is a trait associated with increased psychopathology, but self-criticism is also a personality state reflecting an action that people do in moments of time. In the current study, we explored factors associated with heightened self-criticism in daily life. Participants (N = 197) received five random prompts per day for one week on their mobile phones, where they reported their current affect (negative and positive affect), willpower self-efficacy, distress intolerance, degree of support and criticism from others, current context (location, activity, (...) hunger, tiredness) and momentary self-criticism. We first demonstrated that self-criticism varies over time and across contexts, and is associated with heightened trait self-criticism. Then, using multilevel modelling, we explored the contextual factors associated with greater self-criticism. We found that self-criticism was higher when people were at home, and more tired. We also found higher self-criticism to be associated with greater negative and lower positive affect, greater distress intolerance, lower willpower and greater perceived criticism from others. In addition, self-criticism predicted subsequent distress intolerance, willpower and positive affect in lagged analyses. This study provides evidence that both environmental and psychological factors are associated with the dynamics of self-critical thoughts. (shrink)

O presente artigo pretende demonstrar os elementos que compõem a realidade paraguaia que delira, segundo o autor Augusto Roa Bastos, e como incorpora tais elementos ao seu gesto escritural resultando em uma escritura caleidoscópica.

Il libro, diviso in quattro sezioni, mette in luce un'indagine storica del tutto originale di documenti noti e meno noti sulla figura di Gesù in fonti non cristiane del I secolo; su come il cristianesimo fu conosciuto a Roma già nel I secolo; sulle allusioni al cristianesimo nei romanzi e nelle satire pagane del I-II secolo; su alcuni esempi della prima diffusione del cristianesimo dal Vicino Oriente all'India.

ResumoO argumento do milagre afirma que o realismo científico é a melhor explicação para o sucesso da ciência:teorias científicas são bem-sucedidas porque são verdadeiras, e cientistas são bem-sucedidos em encontrarteorias verdadeiras porque se baseiam em normas metodológicas confiáveis. A tese da incomensurabilidademetodológica afirma que teorias científicas não são escolhidas através de um algoritmo neutro de normas epistêmicas. Isso revela uma lacuna na explicação realista: normas epistêmicas confiáveis não são suficientes para conduzir a escolhas de teorias verdadeiras, pois tais escolhas também (...) são determinadas por outros fatores além de normas epistêmicas. A introdução de fatores adicionais como subdeterminando a escolha de teorias engendrou argumentos relativistas e antirrealistas contra o realismo. A explicação realista pode ser reabilitada se postular que os cientistas possuem autoridade epistêmica para aprimorar as normas metodológicas da ciência, sendo aptos a tomar decisões autônomas em vez de regidas por regras.AbstractThe no miracles argument claims that scientific realism is the best explanation to science’s success: scientifictheories are empirically successful because they are truthlike, and scientists are successful in theory-choices because they rely on reliable methodological norms. The methodological incommensurability thesis claims that there is no neutral algorithm for theory-choice. It reveals a gap in the realist explanation: reliable epistemic norms are not sufficient to guarantee successful theory-choices, because theory- choices are also determined by other factors besides epistemic norms. The introduction of additional factors as underdetermining theory-choices motivates relativist and antirealist positions. But the realist explanation can be rehabilitated if it postulates that scientists have epistemic authority to develop methodological norms, being apt to take decisions which are autonomous rather than rule-driven. (shrink)

Para entender la aproximación de Hegel a la filosofía clásica hay que hacer lecturas diferenciadas y restablecer los criterios hermenéuticos de los que echa mano para revisar la historia de la filosofía: cuestiones y aspectos que no siempre se han tomado en consideración para dar cuenta del valor de las interpretaciones hegelianas. Hegel fue un filósofo moderno que reivindicó el estudio de la historia de la filosofía, que brindó claves hermenéuticas de interpretación y que dejó apropiaciones sugerentes que invitan a (...) una renovada lectura de los clásicos. (shrink)

This volume explores the relationship between rationality and happiness from ancient Greek philosophy to early Latin medieval philosophy. What connection is there between human rationality and happiness? This issue was uppermost in the minds of the Ancient Greek philosophers and continued to be of importance during the entire early medieval period. Starting with theSocrates of Plato's early dialogues, who is regarded as having initiated the eudaimonistic ethical tradition, the present volume looks at Plato, Aristotle, the Skeptics, Seneca [Stoicism], Epicurus, Plotinus (...) [neo-Platonism], Augustine, Boethius, Anselm, and ends with Abelard, the final major figure in early medieval philosophy. Special efforts are made to reveal and trace the continuity and development of the views on rationality and happiness among these major thinkers within this period. The book's approach is historical, but the topics it treats are relevant to many discussions pursued in contemporary philosophical circles. Specifically, the book aims to make two major contributions to the ongoing development of virtue ethics. First, contemporary virtue ethics often draws distinctions between ancient Greek ethics and modern moral philosophy [mainly utilitarianism and Kantianism], and seeks to model ethics on ancient ethics. In doing so, however, contemporary virtue ethics often ignores the transition from Greek ethics to the early Latin medieval tradition. Second, contemporary virtue-based ethics, in its efforts to seek insights from ancient ethics, centers on virtue. In contrast, in ancient and medieval ethics, virtue is pursued for the sake of happiness [eudaimonia], and virtue is conceived as excellence of rationality. Hence, the relationship between rationality and happiness provides the framework for ethical inquiry within which the discussion of virtue takes place. Contributors: JULIA ANNAS, RICHARD BETT, JORGE J.E. GRACIA, BRAD INWOOD, WILLIAM MANN, JOHN MARENBON, GARETH B. MATTHEWS, MARK L. McPHERRAN, DONALD MORRISON, C.C.W. TAYLOR, JONATHAN SANFORD, JIYUAN YU. Jiyuan Yu is Assistant Professor of Ancient Philosophy at the State University of New York at Buffalo. Jorge J. E. Gracia is Samuel P. Capen Chair and SUNY Distinguised Professor in the Departments of Philosophy and Comparative Literature at the State University of New York at Buffalo. (shrink)

Dentro de la sociología francesa actual, Gilles Lipovetsky se ha convertido de forma paulatina en uno de los sociólogos con mayor proyección internacional, con sus finos análisis sobre las sociedades postmodernas. En este artículo se plantea una revisión crítica de las principales líneas argumentativas que expone el autor francés. El objetivo es el de reflexionar sobre las limitaciones de su aproximación a los conceptos de postmodernidad, hipermodernidad, y consumo.

Philosophers have debated for millennia about whether moral requirements are always rational to follow. The background for these debates is often what I shall call “the self-interest model.” The guiding assumption here is that the basic demand of reason, to each person, is that one must, above all, advance one's self-interest. Alternatively, debate may be framed by a related, but significantly different, assumption: the idea that the basic rational requirement is to develop and pursue a set of personal ends in (...) an informed, efficient, and coherent way, whether one's choice of ends is based on self-interested desires or not. For brevity I refer to this as “the coherence-and-efficiency model.” Advocates of both models tend to think that, while it is sufficiently clear in principle what the rational thing to do is, what remains in doubt is whether it is always rational to be moral. They typically assume that morality is concerned, entirely or primarily, with our relations to others, especially with obligations that appear to require some sacrifice or compromise with the pursuit of self-interest. (shrink)

Neste artigo, o autor procura explicar os aspectos centrais dos argumentos de Ockham acerca da natureza dos universais, dando atenção à análise das propriedades semânticas de significação e suposição, como foram expostas porOckham na Primeira Parte da sua Summa logicas.Depois de apresentar a doutrina do conhecimento intuitivo e abstrativo, o autor discute as criticas de Ockham ao realismo e o seu modo especifico de conceber universais.

Traduçáo: Normal 0 21 false false false MicrosoftInternetExplorer4 Retirado de Carlos E. Caorsi (Ed.). Ensayos sobre Strawson . Universidad de la República/Faculdad de Humanidades y Ciencias de la Educación, Montevidéo,1992, p. 55-71.

Rights might be regarded as an objectionable and even a dangerous feature of moral, political, and legal arrangements. It is an element of all types of rights that Able's having right X entails requirements or prohibitions for Baker. These restrictions hold against Baker at Able's discretion, that is unless Able excuses Baker from respecting them. Nor are the restrictions merely decorative. We must presume that they are established because of the expectation that Baker would otherwise be disposed to interfere with (...) the action Ms. Able's right warrants her in taking. Thus as writers as early as Spinoza have stressed, rights are powers – one might even say weapons – that Able may use against Baker. Of course, as a practical matter these “weapons” are frequently ineffective. Ms. Baker may willfully ignore her obligations and prevent Ms. Able from enjoying her entitlements. But such occurrences, as common and as unfortunate as they are, do not materially ease the task of justifying rights. It is only insofar as rights are effective, and hence only insofar as anyone will have reason to defend them, that they are weapons in Able's hands. (shrink)

I was recently asked to report on editorial trends in the Hastings Center Report, past and future. What I reported is that HCR has been going in two seemingly contrasting directions. One has to do with moral decision‐making in clinical ethics—the core theme in bioethics for fifty years, but still developing. A second editorial trend is treatment of larger social and political issues that bear on health, such as public health interventions and access to health care. I could also have (...) noted a continuing stream of pieces on emerging technologies, from whole‐genome screening for newborns to artificial intelligence in clinical diagnoses to the so‐called de‐extinction of extinct animals and plants through various genetic and reproductive tricks. This January‐February 2019 issue of HCR reflects all these trends. (shrink)