Moral injury emerged in the healthcare discussion quite recently because of the difficulties and challenges healthcare workers and healthcare systems face in the context of the COVID-19 pandemic. Moral injury involves a deep emotional wound and is unique to those who bear witness to intense human suffering and cruelty. This article aims to synthesise the very limited evidence from empirical studies on moral injury and to discuss a better understanding of the concept of moral injury, its importance in the healthcare (...) context and its relation to the well-known concept of moral distress. A scoping literature review design was used to support the discussion. Systematic literature searches conducted in April 2020 in two electronic databases, PubMed/Medline and PsychInfo, produced 2044 hits but only a handful of empirical papers, from which seven well-focused articles were identified. The concept of moral injury was considered under other concepts as well such as stress of conscience, regrets for ethical situation, moral distress and ethical suffering, guilt without fault, and existential suffering with inflicting pain. Nurses had witnessed these difficult ethical situations when faced with unnecessary patient suffering and a feeling of not doing enough. Some cases of moral distress may turn into moral residue and end in moral injury with time, and in certain circumstances and contexts. The association between these concepts needs further investigation and confirmation through empirical studies; in particular, where to draw the line as to when moral distress turns into moral injury, leading to severe consequences. Given the very limited research on moral injury, discussion of moral injury in the context of the duty to care, for example, in this pandemic settings and similar situations warrants some consideration. (shrink)

Within the domain of public health, vector-borne diseases are among the most vehemently discussed issues. Recent scientific breakthroughs in genome editing technology provided a solution to this issue in the form of a gene drive that might decrease and even eradicate vector-borne diseases. Gene drives are engineered, and designed genes that can break typical inheritance rules and be passed to almost all of the carrier’s offspring. This genome editing and gene drive technology has become a powerful tool for ecological and (...) environmental engineering, through which man can manipulate his surroundings, adjusting it to himself and directly mastering evolution and the ecosystem. Although the gene drive technology has been perceived as promising in the public health domain, ecological implications of its use are not to be underestimated. The primary aim of this paper is to overcome the ongoing discussion which mostly focuses on whether priority should be given to the environment or to public health, and to find an adequate answer and solution. In this quest to find the proper answer and solution, Pierre Teilhard de Chardin’s thought might be useful, especially his concepts of the biosphere and the noosphere which may provide some clarifications as to why we are at the moment so cautious with gene drive technology and how we need to move towards a better common future on earth. (shrink)

The primary intention of Ren and Canavero's article (2017) is to respond to various criticisms raised by their proposal of the head anastomosis venture (HEAVEN) procedure. Before we launch a deeper analysis of Ren and Canavero's article, I would like to draw attention to a sentence, “Unfortunately, humility is not a part of medical lore,” where they refer to the arrogance and unsuccessfulness of medical science to recognize the importance and breakthrough of the HEAVEN procedure. Interestingly, with this repeated citation, (...) they acknowledge a familiar criticism of medical lore, so that we would expect that they provide a good example of the appreciation of humility in their present article. (shrink)

Many authors have already observed that the Tractatus Theologico-Politicus of Baruch Spinoza was, in its time, the most discussed and most vehemently refuted book. Indeed, at the dawn of the Enlightenment, and almost until the end of the nineteenth century, Spinoza's Theological-Political Treatise was an assertive and powerful appeal to freedom of expression and thought, a bold claim of religious tolerance and freedom of conscience in a Europe that was unaccustomed to the exercise of free thought. But, what is after (...) all the subject of the Theological-Political Treatise, a book maligned for so long and by so many as ultra pestilential and immoral? The present volume, collecting essays by notable European scholars, attempts to address some of the problems created by the broad spectrum of topics included in Spinoza's Theological-Political Treatise. (shrink)

ESTUDOS SOBRE O PENSAMENTO LUSO-BRASILEIRO Os estudos que compõem o presente volume, centrados em temas já presentes em colectâneas anteriores, como a metafísica da saudade, a ideia de Deus e a filosofia da religião ou a problemática ontológica e ética, embora, em primeira linha, busquem surpreender e patentear a individualidade e íntima unidade do pensamento de cada um dos filósofos aqui considerados, não deixam de ter, igualmente, em consideração as relações especulativas, expressas ou implícitas, que mantenham com outros pensadores de (...) língua portuguesa, por pensar o autor serem as filosofias portuguesa e brasileira expressões complementares de um mesmo logos, que vem designando por razão atlântica Coordenação de Maria Celeste Natário Grupo de Investigação Raízes e Horizontes da Filosofia e da Cultura em Portugal Instituto de Filosofia da Universidade do Porto. (shrink)

Grice’i algne vahetegemine “‘tähendamise’ naturaalse tähenduse” ja “‘tähendamise’mittenaturaalse tähenduse” vahel osutab loomulikule pingele ‘naturaalse’ ja ‘semantilise’vahel — kui ‘semantilise’ puhul on oluline, et see saab olla väär või ekslik,siis ‘naturaalse’ puhul väärus ja ekslikkus välistatakse. Artikli taotluseks on näidata, et juhul kui naturaalset tõlgendada kui ‘vastavalt füüsikaseadustele’, siis on seevastasseis vältimatu, samas kui tõlgenduse ‘nagu bioloogias’ korral oleneb ebakõlasuurus konkreetsest semantikateooriast, mida ollakse valmis omaks võtma. Viimases punktismööndakse, et kuigi loosung ‘ma suudan eksida’ on immuunne naturalistlikurünnaku vastu kujul ‘sa eksid, (...) kui seda väidad’, saab sellele siiski ette heitaekslikku arusaama ekslikkusest, iseäranis juhul, kui see tugineb ettekujutusele privaatsestkogemusest, nagu antud artiklis. Vastusena tavapärasele kriitikale, nagu eisaaks privaatsed kogemused keeles mingit rolli etendada, esitatakse hüpotees, mis (tuginedes lõdvalt Harry Collinsi eristusele) pakub välja võimaluse, et üksnes interaktiivnekeeleline pädevus ei sõltu privaatsetest kogemustest, samas kui kontributiivne pädevus sõltub. Grice's initial distinction between "natural sense of 'means'" and "nonnatural sense of 'means'" indicates a natural tension between 'natural' and 'semantics'-the former cannot be wrong whereas the latter can. The paper argues that if `natural' is understood as 'according to physics' this opposition is principal, whereas if it is understood as 'like in biology' the degree of discord depends on particular theory of 'semantics' one is ready to adopt. In the last section of the paper it is admitted that, although the slogan 'I am able to be wrong' should be immune to a naturalist refutation of the form 'you are wrong saying this', it may be still criticized for introducing a wrong kind of wrongness, e.g. the one that relies on subject's private episodes (the preferred option in this paper). As a reply to a standard critique against any role of private episodes in language, a preliminary hypothesis is put forward that (relying loosely on Harry Collins' distinction) it is only the interactive linguistic expertise that does not depend on private episodes, whereas the contributive linguistic expertise does. (shrink)

'Livros com ideias dentro' pretende chamar a atenção para obras que correm o risco de ser preteridas em favor de múltiplas temáticas fúteis que cada vez mais parecem ir ao encontro da procura de grande parte de leitores.

A central area of current philosophical debate in the foundations of mathematics concerns whether or not there is a single, maximal, universe of set theory. Universists maintain that there is such a universe, while Multiversists argue that there are many universes, no one of which is ontologically privileged. Often model-theoretic constructions that add sets to models are cited as evidence in favour of the latter. This paper informs this debate by developing a way for a Universist to interpret talk that (...) seems to necessitate the addition of sets to V. We argue that, despite the prima facie incoherence of such talk for the Universist, she nonetheless has reason to try and provide interpretation of this discourse. We present a method of interpreting extension-talk (V-logic), and show how it captures satisfaction in `ideal' outer models and relates to impredicative class theories. We provide some reasons to regard the technique as philosophically virtuous, and argue that it opens new doors to philosophical and mathematical discussions for the Universist. (shrink)