Volume 24, Issue 7, July 2024, Page 6-12.

Background The COVID-19 pandemic has influenced the approach to the health-disease system, raising the question about the principles of bioethics present in physician–patient relations. The principles while widely accepted may not be sufficient for a comprehensive ethical analysis. Therefore, the aim of this study was to explore the perception of these principles and the physician–patient relationship during a hospital stay through a qualitative approach. Method Sixteen semi-structured interviews took place to know the patients’ perception during their 2020 hospitalization for COVID-19. (...) The data was analyzed through the constant comparison method, creating categories and comparing them. In the end, seven categories were established and were grouped in three: bioethical principles (dignity, charity, vulnerability, autonomy), doctor-patient relationship (participant commitment, informed consent, health staff-patient relationship) and the experience of the disease (illness, the role of the family). Results The research found that most patients described a positive experience, with the feeling of having been well cared for with no sense of discrimination or injustice done. The majority also reported that their autonomy was respected in the treatment decisions. The evaluation of these attitudes is an area of opportunity, especially when the patients' vulnerability is at risk. Conclusions The ethics of virtue offers a better reflection of how human beings manifest themselves by emphasizing the development of virtuous character and behaviors that allow them to realize their values in life. Authorized by the Research Ethics Committee with registration: DI/18/105-B/3/308. (shrink)

Objective: The study was designed to substantiate the obligations to the human embryo that can be established from the standpoint of autonomy, by showing the human embryo to be a subject of rights. Materials and Methods: Documentary research was done, supplemented with content from in-depth interviews conducted with a team of leading experts in medicine, law and philosophy. A script was used as a research tool, but with the freedom to expand on some of the issues with new questions suggested (...) by the person being interviewed or by the research team, as relevant to each interview. Results: Eight experts were interviewed: two in medicine, three in rights and three in philosophy. The interviews clearly showed there is an objective basis for the human rights of the embryo, which now are being violated by so-called legal abortion, through decriminalization via exceptions and decriminaliza-tion based on terms. Conclusion: We live in a society that has lost sight of the very foundation of common sense when it comes to protecting the unborn, especially in its embryonic stage, appealing to the bioethical principles of dignity, integrity and vulnerability. (shrink)

The COVID-19 pandemic has impacted medical care in many ways; previously, a patient would enter a hospital and had an approximate idea of what would happen upon his admission, the physician informed them about it, but in the last two years this scenario has changed. Therefore, our aim was to identify if bioethical principles are present in the physician–patient relationship and the effect of these in the health care provided, through an observational and descriptive study where patients answered the validated (...) ReMePaB questionnaire that measures the presence of bioethical principles in the physician–patient relationship, on the seventh day of their hospital stay and 24 h after discharge, during the period from 1 August to 5 November 2020. In autonomy, an improvement in the score was observed in the second application compared to the first measurement; in the principle of non-vulnerability, the same scenario was observed for the first and second measurements, respectively. In the principles of beneficence, dignity, and justice, no statistically significant differences were observed. Considering the presence or absence of bioethical aspects in health care in this pandemic creates an area of opportunity to know the feelings of the patient during the care received and to maintain what is done well and improve those aspects that can be improved. (shrink)

La causa de la metafísica como filosofía primera, que parece sentenciada desde Kant, revela hoy nuevas facetas desde el punto de vista de una filosofía de la técnica. Un discurso universal y analógico sobre el ser en todas sus acepciones aparece como horizonte de racionalidad técnica compartido, de hecho, por argumentaciones tan dispares y representativas como las de Ortega, Dessauer, Heidegger y García Bacca. A propósito de sus planteamientos, se alumbra en este trabajo la transformación, que la técnica impone, de (...) la clásica cuestión kantiana: ¿es posible la metafísica como ciencia?, en esta otra cuestión, -es posible una ciencia de lo artificial? (shrink)

Ketamine is a dissociative drug that has been used medically since the 1970s primarily as an anesthetic agent but also for various psychiatric applications. Anecdotal reports and clinical research suggest substantial potential for ketamine as a treatment in conjunction with psychological interventions. Here, we review historical and modern approaches to the use of ketamine with psychotherapy, discuss the clinical relevance of ketamine’s acute psychoactive effects, propose a unique model for using esketamine with Acceptance and Commitment Therapy, and suggest considerations for (...) moving medication-assisted psychotherapy forward as a field. (shrink)

ABSTRACT:While the literature on psychedelic medicine emphasizes the importance of set and setting alongside the quality of subjective drug effects for therapeutic efficacy, few scholars have explored the therapeutic frameworks that are used alongside psychedelics in the lab or in the clinic. Based on a narrative analysis of the treatment manual and post-session experience reports from a pilot study of psilocybin-assisted treatment for tobacco smoking cessation, this article examines how therapeutic frameworks interact with the psychedelic substance in ways that can (...) rapidly reshape participants' identity and sense of self. We identified multiple domains relating to identity shift that appear to serve as smoking cessation mechanisms during psilocybin sessions, each of which had an identifiable presence in the manualized treatment. As psychedelic medicine becomes mainstream, consensual and evidence-based approaches to psychedelic-assisted identity shift that respect patient autonomy and encourage empowerment should become areas of focus in the emergent field of psychedelic bioethics. (shrink)

Ésta es una contribución al debate originado por Guillermo Hurtado y proseguido por Manuel García-Carpintero y Horacio Luján Martínez, con relación al sentido y a los objetivos de la filosofía analítica, especialmente en Iberoamérica. En ella se defiende que las tesis de Hurtado también se pueden aplicar al cultivo de filosofías no analíticas, pues en realidad conciernen a la filosofía profesional que se practica dentro y fuera de Iberoamérica. Se sostiene, además, que si bien la profesionalización y la masificación de (...) la filosofía son fenómenos en sí mismos positivos, tienen consecuencias colaterales negativas respecto de la calidad de la filosofía que se produce. También se aduce que el que una propuesta filosófica no tenga una inmediata relevancia existencial o política no la hace menos importante, siempre que en algún sentido amplíe las fronteras del conocimiento. This is a commentary on a debate originated by Guillermo Hurtado and followed up by Manuel García-Carpintero and Horacio Luján Martínez, in regards to the meaning and objectives of analytic philosophy, especially in Latin America. This paper holds that Hurtado's theses are also true about non analytic philosophy, since they are about professional philosophy, as practiced both inside and outside Latin America. Professionalization and popularization of philosophy, while positive phenomena in themselves, have negative collateral consequences on the quality of philosophy produced in the present moment. it is also held that the fact that a given philosophical proposal has no immediate existential or political relevance doesn't make it less important, as long as in some sense it widens the frontiers of knowledge. (shrink)

The use of the circle to signify wine was common medieval logicians. The author of this article studies the true sense in which those masters used it, making use of literature and the work of great logicians, such as Albert of Saxony and William of Ockham, to do so.

This article examines the account of the relationship between sin and suffering provided by J. L. A. Garcia in “Sin and Suffering in a Catholic Understanding of Medical Ethics,” in this issue. Garcia draws on the (Roman) Catholic tradition and particularly on the thought of Thomas Aquinas, who remains an important resource for Catholic theology. Nevertheless, his interpretation of Thomas is open to criticism, both in terms of omissions and in terms of positive claims. Garcia includes those (...) elements of Thomas that are purely philosophical, such as natural law and acquired virtue, but neglects the theological and infused virtues, the gifts and fruits of the Holy Spirit, and the beatitudes. These omissions distort his account of the Christian life so that he underplays both the radical problem posed by sin (and suffering), and the radical character of the ultimate solution: redemption in Christ through the grace of the Holy Spirit. (shrink)

El presente texto ofrece un examen sobre la correspondencia que existe entre el deterioro moral y el comportamiento hostil. Con este propósito, la reflexión transita por la querella de carácter ético que tiene lugar en La peste de Albert Camus y por el desvelamiento de una violencia contemporánea que se viste bajo el aspecto de una apremiante autoafirmación de sí, un destape que Byung-Chul Han lleva a cabo en su Topología de la violencia. La llamada que ambos autores lanzan (...) sobre la disposición del espíritu humano que resulta capaz de confirmar este sombrío vínculo o de emanciparnos de él, se convierte en un cometido ante el que el juicio crítico necesita responder. (shrink)

El pensamiento filosófico de Camus coloca al tema de la vida y su sentido en el centro de toda reflexión pertinente para el existir humano. Efectivamente, la vida y lo que hace de ella un suceso valioso ocupa al entendimiento para responder ante los hechos que parecen reducir la existencia humana a un evento inquietantemente insignificante. Esto es precisamente lo que produce la experiencia de lo absurdo, cuyo proceder comporta un aspecto deshumanizador que logra ponerse de manifiesto a través de (...) acontecimientos muy puntuales que alertan y miden el alcance de nuestra comprensión. En Camus, la referencia a vivencias como la del totalitarismo moderno advierten un modo peculiar, y hasta entonces desconocido, de violentar la vida humana hasta un punto en el que, frente a lo descabellado de los hechos, el pensamiento queda como acallado. No obstante, el juicio crítico se vuelve más urgente, sobre todo, cuando notamos que la psicología que subyace a estas prácticas se reproduce en nuestra época bajo otras formas igual de brutales y preocupantemente alarmantes, como lo es el caso de la tortura institucionalizada. En este sentido, es posible que la crítica de Camus sea tan efectiva ahora como en su tiempo, particularmente, cuando la práctica de la vida comporta un aspecto hostil que a la vez pone a prueba a nuestro discernimiento y a nuestra capacidad de coexistir. (shrink)

La realización del sí mismo representa un cometido que interpela a nuestra propia identidad humana. La heterogeneidad y riqueza de las voces que hablan sobre el cómo responder a ello demandan una deliberación atenta y mesurada. Para algunos, esta tarea supone un alto costo intersubjetivo que eventualmente nos vemos orillados a pagar. Para otros, es apremiante establecer un límite a tal importe para, precisamente, salvaguardar al sí mismo. En esta escena, la propuesta reflexiva de Albert Camus nos ofrece un (...) sensato balance que nos permite situar las coordenadas en las que la conducción de la particular existencia se traduce en una realización compartida. (shrink)

La tarea que supone elaborarse a sí mismo conlleva un desafío que constantemente nos pone a prueba, pero cuando el costo de este cometido se deposita en la espalda de alguien más, hasta desvalorizarlo, menoscabarlo y anularlo, tiene lugar la inquietante experiencia de la humillación. El presente texto se propone indagar sobre esta manera de proceder, en la que un deformado anhelo de la consecución de sí reclama la humillación del otro. De la mano de Albert Camus, Cornelius Castoriadis (...) y Richard Rorty, el trabajo ofrece una mirada que insiste en el mérito de una constitución de sí sin disminuir al otro, pues, ante una escena de esta naturaleza, el juicio crítico se ve comprometido a dar una respuesta que sea capaz de reivindicar el valor de nuestra condición humana, frente a las iniciativas que pretenden desestimarla. (shrink)

La riqueza de una dimensión humana como la libertad merece el compromiso de cuidar de ella, y nuestra manera de atender a esta tarea pone a prueba el valor que le conferimos a nuestro propio ser. El pasar por alto este cometido se traduce en una experiencia de atropello, que termina por enrolarnos a todos en un interminable ciclo de hostilidad. Albert Camus nos ofrece una mirada que nos permite reconocer el mérito de ocuparnos de nuestro ser libre, sin (...) atribuirle a nuestra libertad un carácter absoluto bajo el que se esconde la intención de obtener un provecho sobre los demás. De manera que nuestra libertad se realiza en la medida en que nos proporciona un bien que no es monopolio de ninguno, al contrario, beneficia a cada quién en tanto que lo hemos alcanzado en conjunto. (shrink)

The Averroistic Monopsychism could not be incorporated to the Christian thought to darken the idea of the immortality of the personal soul. Albert the Great, tries to make a synthesis of the Arab doctrines and the Doctrine of Divine Illumination. The conclusion is a proposal -not systematize- but where it is possible to found the distinction at personal level between intellect agent and possible intellect, in analogous way to the distinction essence/act of being.

Blending social analysis and philosophy, Albert Borgmann maintains that technology creates a controlling pattern in our lives.

_Time_'s 'Man of the Century', Albert Einstein is the unquestioned founder of modern physics. His theory of relativity is the most important scientific idea of the modern era. In this short book Einstein explains, using the minimum of mathematical terms, the basic ideas and principles of the theory which has shaped the world we live in today. Unsurpassed by any subsequent books on relativity, this remains the most popular and useful exposition of Einstein's immense contribution to human knowledge.

Al considerar el tratamiento que realiza Juan David García Bacca de Process and Reality de Alfred North Whitehead, el articulo busca apreciar la afinidad entre ambos autores en su caracterización de las deficiencias de la ontología clásica y en su invención de conceptos para un nuevo enfoque de la ontología; a saber, una metafísica de la creación y la novedad.

In this paper we study proofs of some general forms of the Second Incompleteness Theorem. These forms conform to the Feferman format, where the proof predicate is fixed and the representation of the set of axioms varies. We extend the Feferman framework in one important point: we allow the interpretation of number theory to vary.

« Qu'est-ce qu'un homme révolté? Un homme qui dit non. Mais s'il refuse, il ne renonce pas : c'est aussi un homme qui dit oui, dès son premier mouvement. »[réf. nécessaire] D'apparence, il existe une limite à la révolte. Cependant, la révolte est un droit. La révolte naît de la perte de patience. Elle est un mouvement et se situe donc dans l'agir. Elle se définit par le « Tout ou Rien », le « Tous ou Personne ». En premier, (...) elle soumet l'idée d'égalité : position d'égal à égal entre le maître et l'esclave. Mais le révolté finit par imposer cette égalité qui se traduit souvent par une inversion des rôles (dialectique hégélienne). Suivant le raisonnement de Scheler, l'homme révolté n'est pas l'homme du ressentiment, c'est-à-dire qu'il ne baigne ni dans la haine ni dans le mépris. La révolte enfante des valeurs. De fait, « pour être, l'homme doit se révolter ». La révolte extirpe l'homme de la solitude puisqu'elle est collective, c'est l'« aventure de tous ». Néanmoins, faire l'expérience de la révolte, c'est faire l'expérience de l'ascèse. Les mythes de Prométhée, d'Achille (avec Patrocle), d'OEdipe et d'Antigone, sont des archétypes de révoltes antiques au même titre que la révolte de Spartacus. La révolte est souvent légitime, elle est l'expression la plus pure de la liberté et semble revêtir le visage de l'espoir. De surcroît, la révolte impose une tension, elle refuse donc formellement le confort de la tyrannie ou de la servitude. Le révolutionnaire a la volonté de « transformer le monde » (Marx) alors que le révolté veut « changer la vie » (Rimbaud). (shrink)

In his paper "Undecidability without arithmetization," Andrzej Grzegorczyk introduces a theory of concatenation $\mathsf{TC}$. We show that pairing is not definable in $\mathsf{TC}$. We determine a reasonable extension of $\mathsf{TC}$ that is sequential, that is, has a good sequence coding.

¿Cuál es la mejor imagen para representar la actividad filosófica? García Morente analiza tres esculturas: Le penseur de Rodin, Il pensieroso de Miguel Ángel y la escultura de El doncel de Sigüenza que se encuentra en la catedral de esta ciudad. Esta última, afirma Morente, refleja mejor que ninguna otra la naturaleza de la filosofía. En este ensayo se rechaza esta opinión de Morente y se proponen otras dos representaciones de la actividad filosófica, en este caso pinturas, que simbolizan más (...) adecuadamente el acto de filosofar, entendido como un diálogo socrático inacabable. (shrink)

La belleza ha sido, desde tiempo de los griegos, el tormento de los filósofos; conformarse tal idea apresándola bajo una definición a la que se niega ha ocupado, siempre en vano, la tarea de no pocos pensadores hasta la actualidad. La hermosura no deja racionalizarse y hace así de la razón una sinrazón; ni es cognoscible, ni posee estructura lógica. Es por ello que a través de la percepción estética aprehendemos lo que en sí no es perceptible; es la experiencia (...) de apertura de una interioridad que hasta el momento había permanecido oculta a los ojos de lo cotidiano y adquiere ahora un rango de primer orden. (shrink)

This essay focuses on how casuistry can become a useful technique of practical reasoning for the clinical ethicist or ethics consultant. Casuistry is defined, its relationship to rhetorical reasoning and its interpretation of cases, by employing three terms that, while they are not employed by the classical rhetoricians and casuists, conform, in a general way, to the features of their work. Those terms are (1) morphology, (2) taxonomy, (3) kinetics. The morphology of a case reveals the invariant structure of the (...) particular case whatever its contingent features, and also the invariant forms of argument relevant to any case of the same sort: these invariant features can be called topics. Taxonomy situates the instant case in a series of similar cases, allowing the similarities and differences between an instant case and a paradigm case to dictate the moral judgment about the instant case. This judgment is based, not merely on application of an ethical theory or principle, but upon the way in which circumstances and maxims appear in the morphology of the case itself and in comparison with other cases. Kinetics is an understanding of the way in which one case imparts a kind of moral movement to other cases, that is, different and sometimes unprecedented circumstances may move certain marginal or exceptional cases to the level of paradigm cases. In conclusion, casuistry is the exercise of prudential or practical reasoning in recognition of the relationship between maxims, circumstances and topics, as well as the relationship of paradigms to analogous cases. (shrink)

In this paper we show how to interpret Robinson’s arithmetic Q and the theory R of Tarski, Mostowski, and Robinson as theories of cardinals in very weak theories of relations over a domain.

What exactly do we do when we try to make sense of other people e.g. by ascribing mental states like beliefs and desires to them? After a short criticism of Theory-Theory, Interaction Theory and the Narrative Theory of understanding others as well as an extended criticism of the Simulation Theory in Goldman's recent version (2006), we suggest an alternative approach: the Person Model Theory . Person models are the basis for our ability to register and evaluate persons having mental as (...) well as physical properties. We argue that there are two kinds of person models, nonconceptual person schemata and conceptual person images , and both types of models can be developed for individuals as well as for groups. (shrink)

Introduction Watching the Doctor In some cultures, it is said, villagers cluster around a healer and a patient, eagerly listening to their conversation and ...

En la primera parte de este artículo, presentamos una visión de conjunto de la sociología del neonietzscheanismo español. Consideramos este movimiento intelectual como un “hecho filosófico” (Martin Kustch) inserto en el campo filosófico español en la década de los setenta. En la segunda parte utilizamos el modelo de las “cadenas rituales de interacción” (Randal Collins) para explicar la entronización filosófica de Eugenio Trías.