Objectives To develop and test two educational programmes (interactive and passive) aimed at improving family doctors' (FD) prescribing practices and patient's knowledge and use of non-opioid analgesics (NOA).Methods The educational programmes were conducted in two family medicine clinics by using a three-stage approach: baseline evaluation, design, and implementation of educational activities, and post-programme evaluation. An interactive educational programme (IEP) was compared with a passive educational programme (PEP); both were participated by FDs and patients. The IEP for FDs comprised of workshops, (...) discussion groups, in-service training and guidelines, while for patients the IEP consisted of an interactive session with a video, leaflets and a discussion. The PEP consisted in delivering the guidelines to the FDs and the leaflets to patients. The effect of the programmes on the FDs was measured through the appropriateness of prescriptions and analysed using the differences-in-differences estimator (D-in-D), and on patients through changes in self-medication and in their knowledge about the proper use and adverse events by analysing the inter- and intra-group differences before and after the programmes.Results The IEP obtained better results to improve appropriate FDs prescription of NOA than PEP (D-in-D = 15%). Regarding the patients, the PEP group reached higher reduction of self-medication than the IEP group (13.4% vs. 9.1%); the knowledge of proper NOA use increased by 8.5% in both groups, whereas knowledge of NOA-related adverse events was better in the IEP (39.6%) than in the PEP group (9.2%).Conclusions The IEP was better to improve the doctors' abilities to prescribe NOAs, and both programmes improved patients' knowledge. (shrink)

On a widely held characterization, triadic joint attention is the capacity to perceptually attend to an object or event together with another subject. In the last four decades, research in developmental psychology has provided increasing evidence of the crucial role that this capacity plays in socio-cognitive development, early language acquisition, and the development of perspective-taking. Yet, there is a striking discrepancy between the general agreement that joint attention is critical in various domains, and the lack of theoretical consensus on how (...) to account for it. This paper pursues three interrelated aims: (i) it examines the contrast between reductive and non-reductive views of (triadic) joint attention, by bringing into focus the notion of recursive mindreading; (ii) it assembles, advances, and discusses a number of arguments against reductive views; (iii) finally, in dialogue with some prominent non-reductive views, it outlines the case for a non-reductive view that gives pride of place to the idea that co-attenders relate to one another as a ‘you’. (shrink)

We are walking too quickly down the road to physical and psychological utopia without pausing to assess the potential damage to our humanity from this brave new ...

There has been a recent push to offer more food assistance programs at farmers markets. Yet, as more programs are developed for farmers markets, little input has been sought from those who are ultimately responsible for their implementation. This ethnographic study explores the experiences of farmers markets that have been early adopters of federal food assistance programs. Participant observation and in-depth interviews were used in six early-adopting markets to understand staff perspectives on the challenges and benefits of administering food assistance (...) programs. The results show that even markets with strong organizational capacity experienced significant burdens while operating food assistance programs. In addition, most worried about the sustainability of these programs due to the level of resources needed for their support. The findings suggest that calls to expand food assistance programs to all farmers markets will continue to be met with challenges as many markets will not have the capacity to operate them. Targeting farmers markets with strong organizational capacity may increase the probability of successful implementation, but building the organizational capacity of farmers markets may be necessary for widespread adoption. The study has implications for other sectors of civil society that are increasingly taking on the work of providing government programs. (shrink)

What are the problems that teaching encounters today? In what way today is teaching spoken of? The words that speak of the school today, which words are they and where do they come from? What rationality more generally informs them? The Essay tries to answer these questions by employing a critical-theoretical perspective. Starting from the presupposition that teaching has principally to do with the knowledges deposited in the disciplinary contents, the first step, following Lyotard, considers the conditions of knowledge in (...) the more developed societies, examining in particular what knowledge is expected to be and who takes this decision. Then the Essay moves further critically examining the hegemonic advent of neo-liberalism and the paradigmatic horizon of connections and economical-political presuppositions that follows. The analysis continues by focusing on the words that characterize the Neo-Language that today insists on education and teaching, proposing the practice of a ‘foreignizing’ translation as a premise to rethink the emancipatory education. (shrink)

Even if the term bioethics is used all over the world, its meanings are multiple and different, especially between American and European countries, depending on local cultural and medical contexts. These differences concern the issues discussed or the institutional form bioethics takes. In France, bioethics was used from the end of the 1970s and focused on research ethics and issues at the beginning of life. At the national level, a permanent commission, the was created by President François Mitterrand in 1983. (...) Its recommendations dealt essentially with procreative medicine and biomedical research ethics. (shrink)

Presenting the key concept of 'ovular space' as opposed to 'rectilinear' spatial concepts as a new paradigm for social analysis, the authors put forward a wide-ranging social and cultural critique based on a utopian vision of a new social organization. They argue for a reversal of the 'masculinism' that has predominated throughout human history to date. They analyze the origins and structures of this predominant cultural form and describe phenomena that indicate that this pattern is shifting with changes in gender (...) roles. They emphasize that their approach is not biologistic or essentialist and that their argument is based on the psychosocial reaction to biological factâ??based on a fundamental opposition between 'formal-rational thinking, prototypical of the male mind' and 'female, ovular thinking, expressing itself in empathy', which they regard as a key component of social change in contemporary society. Gender Space and Power discusses the problems relating to 'masculinist' bias in these subject areas and indicate some possible new approaches. (shrink)

The prologue of the Sophistici elenchi is as close an Aristotelian text gets to dealing with language as a subject matter in its own right, only in reverse. Language and its features bear consideration to the extent that they account for some major predicaments discursive reasoning is prone to, both as a separate and as a common endeavour. That being said, the linguistic pitfalls that trick us into thinking that whatever is the case for words and word-compounds is also the (...) case for the things and facts linguistic items stand for reveal as much about good linguistic habits and sound argumentation as they themselves are revealed by the principles and rules our argumentation goes by. In this connection, Aristotle resorted to a curious (or not so curious) analogy between words and counters which played a major role in explaining why language is such a powerful source of illusion and deception. As it happens, Aristotle accounting analogy is a case in point for showcasing the level of sophistication medieval Latin literature on fallacies achieved as early as the first half of the twelfth century. As a matter of fact, Western commentators managed to build compelling cases both in favour of and against the understanding that was to become and still is the standard story – which, of course, speaks volumes about their exegetical proficiency and technical expertise. On the one hand, trusting implicitly Boethius’ translation and well aware of his views on disputational hazards as opposed to computational reliability, they usually understood Aristotle’s comparison as if it was an analogy in name only. On the other hand, despite Boethius’ translation put them at a considerable disadvantage, Latin commentators were able to construe Aristotle’s analogy as bringing together two sets of symbolic variables (words and counters) that are neither entirely free nor entirely bound – which expose them to subtle but critical shifts in value and meaning. (shrink)

The Hungry Soul is a fascinating exploration of the natural and cultural act of eating. Kass brilliantly reveals how the various aspects of this phenomenon, and the customs, rituals, and taboos surrounding it, relate to universal and profound truths about the human animal and its deepest yearnings. "Kass is a distinguished and graceful writer. . . . It is astonishing to discover how different is our world from that of the animals, even in that which most evidently betrays that we (...) too are animals--our need and desire for food."--Roger Scruton, Times Literary Supplement "Yum."--Miss Manners. (shrink)

Niniejszy artykuł podejmuje dwie zasadnicze kwestie. Pierwsza to zagadnienie recepcji filozofii Schellinga w Polsce po drugiej wojnie światowej. Druga to pytanie, w jaki sposób należy rozumieć abstrakcje filozoficzne Schellinga. Za podstawę interpretacji przyjęto kontekstualne rozumienie filozofii, na jakim opierał się w swoich badaniach Ryszard Panasiuk. Z tych dwóch założeń podstawowych wynika struktura artykułu: część pierwsza dotyczy sposobu, w jaki ideologia marksistowsko-leninowska, wychodząc z klasowo-dialektycznego i „partyjnego” rozumienia filozofii, uznała idealizm filozoficzny za wroga. Punktem odniesienia będzie koncepcja Georga Lukácsa „Die Zerstörung (...) der Vernunft” oraz wykładnia filozofii Schellinga jako irracjonalizmu. Część druga skupia się na tym, dlaczego zaprzestano badań nad Schellingiem oraz idealizmem po drugiej wojnie światowej, oraz w jakich warunkach i kiedy pojawiły się pierwsze opracowania monograficzne. Część trzecia jest historyczno-krytyczną i kontekstualną interpretacją filozofii przyrody Schellinga. Filozofię Schellinga można rozumieć jako nową antropologię, integralnie łączącą człowieka i przyrodę. W tym sensie jest ona antytezą racjonalistycznego redukcjonizmu. (shrink)

As part of a research project, sponsored by the French Ministry of Health, comparing the role and function of French hospital ethics committees as compared to those in the United States, I was intrigued by differences that emerged. Particularly, why should it be that professional ethicists, such prominent figures in America, have no counterpart in France?

This study explores the effects of two different kinds of text addressed to young Italian students, which convey past in-group war-crimes either in a detailed or in an evasive way. After completing a first questionnaire (and confirming the social amnesia on these crimes) a sample of Italian university students (number: 103; average age: 21.79) read two versions (factual vs. evasive) of a same historical text on Italian invasion of Ethiopia (1935–36). The results show that participants reading a detailed text feel (...) react more emotionally and feel more involved. However, the more negative reactions linked to the detailed text were also associated to a stronger will to repair intergroup relations with the descendents of ancient victims of the in-group crimes. Positive consequences of negative emotions linked to detailed text that challenge a widespread collective amnesia of war crimes are discussed. (shrink)

As a continuation of the work of the third author in [5], we make further observations on the features of Galois cohomology in the general model theoretic context. We make explicit the connection between forms of definable groups and first cohomology sets with coefficients in a suitable automorphism group. We then use a method of twisting cohomology (inspired by Serre’s algebraic twisting) to describe arbitrary fibres in cohomology sequences—yielding a useful “finiteness” result on cohomology sets. Applied to the special case (...) of differential fields and Kolchin’s constrained cohomology, we complete results from [3] by proving that the first constrained cohomology set of a differential algebraic group over a bounded, differentially large, field is countable. (shrink)

Erik Wielenberg recently invoked the parent-child analogy in an argument against Christian theism. The argument relies on the claim that a loving parent would never allow her child to feel abandoned in the midst of what feels like gratuitous suffering. In this paper, I offer three clear counterexamples to Wielenberg’s central premise. At the same time, a successful counterexample does not a robust theology of suffering make. To that end, and with a careful eye towards anti-theodical concerns, I defend the (...) need for a more proactive Christian philosophical examination of the role of suffering in a meaningful life. (shrink)

Excerpt from Les Etapes de la Philosophie Mathematique Nous voudrions indiquer maintenant comment notre enquete historique nous a guide vers les conclusions que nous avons soutenues dans les dernieres pages de notre travail. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the (...) aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works. (shrink)

According to the BD-model of mindreading, we primarily understand others in terms of beliefs and desires. In this article we review a number of objections against explicit versions of the BD-model, and discuss the prospects of using its implicit counterpart as an explanatory model of early emerging socio-cognitive abilities. Focusing on recent findings on so-called ‘implicit’ false belief understanding, we put forward a number of considerations against the adoption of an implicit BD-model. Finally, we explore a different way to make (...) sense of implicit false belief understanding in terms of keeping track of affordances. (shrink)

Son diversos los motivos que justifican analizar, de forma separada, la depresión y los trastornos de ansiedad en personas mayores con respecto a adultos más jóvenes. Podemos enumerar, entre los más relevantes, los siguientes: (1) sintomatología diferencial que puede dificultar el diagnóstico en la vejez; (2) infradeclaración clínica, consecuencia del efecto negativo de los estereotipos de la edad sobre la población mayor y los profesionales que los tratan; (3) mayor cronificación de los síntomas, debido a un posible diagnóstico tardío; (4) (...) mayor impacto funcional, ya que ambos trastornos se pueden asociar a diversas patologías, como anemia o diabetes (en la depresión) o presión arterial, úlcera o problemas cardiovasculares ( en la ansiedad), produciéndose una interacción recíproca entre la sintomatología psicológica y física que exacerba ambos tipos de problemáticas. (shrink)

Que la población mayor está bien ajustada emocionalmente es algo bien constatado en la investigación gerontológico. Este dato, puesto en relación con otros, genera una curiosa consecuencia: la denominada "Paradoja del bienestar en la vejez". Con la edad, junto al aumento de circunstancias relativas a pérdidas (de parientes, amigos, funcionamiento físico y roles sociales) se da una estabilidad en las puntuaciones de diversos indicadores de bienestar psicológico (expresión de emociones positivas, prevalencia de trastornos depresivos o ansiedad). Los aspectos explicativos que (...) se esgrimen para despejar esta paradoja son, entre otros, la mejora de mecanismos de autorregulación emocional y el carácter gradual y normativo de dichas pérdidas (Márquez-González, 2008 y Fernández-Ballesteros, 2009). (shrink)

This article discusses the Australian government’s immigration policies in the context of the global refugee crisis in the years 2015–2016, as reflected and dramatised through the polemical novel b...

O artigo ten como obxectivo facer un percorrido por tres momentos da escritura filosófica no que o fenómeno do límite ou fronteira do pensamento se pon claramente de manifesto no discurso. En primeiro lugar, Kant, como artífice da produtiva noción dunha “fronteira [Grenze]” da razón como condición e límite do pensamento; en segundo lugar, Hegel, como o seu máximo crítico na “asunción [Aufhebung]” da negación da fronteira kantiana; e, finalmente, Kierkegaard, cuxa contribución á discusión dos seus predecesores consiste no “pathos (...) [Lidenskab]” do límite que Kant demarca e Hegel supera, pois no caso do pensador dinamarqués o límite da filosofía é ao mesmo tempo paradoxo, é dicir, algo que non pode ser coñecido senón tan só re-coñecido pola razón e que pon xustamente a razón no seu límite. (shrink)

Telic monism in logic is the thesis that there is one single philosophically primary goal to logic. A different way to put it is that there is only one canonical application to logic. This thesis is widely present—implicitly or more explicitly—in the literature on the philosophy of logic, yet has not been examined nor argued for extensively. In this paper I will present and critically examine telic monism. One prominent candidate for the canonical application of logic, namely the formal codification (...) of logical consequence in natural language, will be challenged directly. The critique will then be generalized by appealing to a practice-based philosophy of logic. The general argument I put forth here claims that we have no principled reason to assume there to be just one primary goal to logic. Rather, I claim that it is more plausible that there actually is a variety of goals, purposes and applications to logic, without one of them enjoying primacy over the others. If this argument succeeds, at least one of the consequences is that it allows for a kind of logical pluralism that has previously been deemed insignificant, namely logical instrumentalism. (shrink)

(2006). A Review of: “Action Inquiry: The Secret of Timely and Transforming Leadership”. World Futures: Vol. 62, No. 5, pp. 404-405.

Research traditions on cognition and depression focus on relatively unconnected aspects of cognitive functioning. On one hand, the neuropsychological perspective has concentrated on cognitive control difficulties as a prominent feature of this condition. On the other hand, the clinical psychology perspective has focused on cognitive biases and repetitive negative patterns of thinking for emotional information. A review of the literature from both fields reveals that difficulties are more evident for mood-congruent materials, suggesting that cognitive control difficulties interact with cognitive biases (...) to hinder cognitive switching, working memory updating, and inhibition of irrelevant information. Connecting research from these two traditions, we propose a novel integrative cognitive model of depression in which the interplay between mood-congruent cognitive control difficulties, cognitive biases, and rumination may ultimately lead to ineffective emotion-regulation strategies to downregulate negative mood and upregulate positive mood. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Changing Human Nature: Ecology, Ethics, Genes, and God by James C. PetersonDolores L. ChristieChanging Human Nature: Ecology, Ethics, Genes, and God James C. Peterson Grand Rapids, Mich.: Eerdmans, 2010. 259 pp. $18.00Grounding himself in the Christian tradition, James Peterson argues for the moral efficacy of human genetic manipulation. Interpreting intentional intervention as part of human stewardship rather than as a wrongful interference with some divine plan, he takes (...) on the sticky questions, making critical distinctions, for example, between cure and enhancement or welcoming children as they come and making them “better.” Not neglecting future implications of current tinkering with human biology, even in such taboo areas as gamete selection, he contends that engineering a baby free of harmful genes (for example, Tay-Sachs or Down syndrome) not only makes that person better, but it also eliminates an ongoing burden to family, to society, and perhaps to future generations. Treading gingerly among the sacred cows of some Christian ethicists, he advocates the implanting of selected embryos free of unwanted genes; in his view, embryos are not yet persons.Peterson considers serious concerns such as eugenics projects and racial bias but offers standards to address them. He contends that intentionally increasing choices for our children is not only acceptable but also praiseworthy. What parents would not optimize the educational and social opportunities for their child, even without the child’s consent? Interventions should be safe, offer genuine improvement, increase the recipient’s capacity, and make the best use of limited resources. Peterson is not so naive that he does not recognize that technology does not always make us better. He recognizes, too, that his standards do not eliminate risk.Fair enough, but the issue of what “improvement” may mean to the individual as well as to the greater community remains somewhat ambiguous. Peterson suggests that broadening the decision making among a variety of professional and individual cohorts would help, but his argument is not totally persuasive. In sum, Peterson’s treatment falls short of offering a totally satisfying standard for determining which characteristics should be manipulated and which should be accepted. Nor does he demonstrate definitively how a [End Page 187] Christian perspective would contribute to sorting out possible choices. Does the deaf parents’ desire for their child to be deaf like them constitute an instance where intervention should not be attempted? Can the disparate cohorts he suggests as arbiters rise above their own biases? Does Christianity and its belief system offer answers? Readers—even readers who call themselves Christian—will likely be persuaded that genetic intervention is a good, and even compatible with their religious perspective. Nonetheless, they will harbor lingering doubts about how the questions can best be solved, who should solve them, and how Christian belief helps sort among the possibilities. In his closing comments Peterson appears to agree.The book is rich in research and in provocative ideas. It is an exciting book. It is a readable and enlightened contribution to the professional conversation on gene therapy. Peterson’s research is extensive, his argumentation balanced. His attempt to locate the question within the Christian tradition is laudable. Happily, Peterson eschews a creationist approach to world and human origins. Unhappily, his approach to the scriptural text is not always nuanced. His assertion that Jesus himself was different biologically from other human beings (132) seems a stretch. If one takes the passages of Jesus’s biological origins literally, as apparently does the author, what happens to the assertion that Jesus is like other human beings “in all things but sin”? And where did Jesus get the Y chromosomes? While he persuades the reader that genetic intervention is compatible with a Christian worldview, Peterson does not offer—at least in this reviewer’s view—an adequate criterion for navigating this new world of the possible.Dolores L. ChristieJohn Carroll UniversityCopyright © 2013 Society of Christian Ethics... (shrink)

Deictic (or pointing) gestures are traditionally known to have a simple function: to supply something as the referent of a demonstrative linguistic expression. I argue that deixis can have a more complex function. A deictic gesture can be used to _say something_ in conversation and can thereby become a full discourse move in its own right. To capture this phenomenon, which I call _rich demonstration_, I present an update semantics on which deictic gestures can indicate situations from a conversation’s context (...) and those situations coherently connect to prior discourse to generate information. (shrink)

Biobanking in Europe has made major steps towards harmonization and shared standards for the collection and processing of data and samples stored in biobanks. Still, biobanks and researchers face substantial legal difficulties in the field of data protection and sample management. Data protection law was harmonized almost 15 years ago while rights in samples fall under the competence of the Member States of the EU. Despite the Data Protection Directive the field of data protection shows a substantial degree of deviation (...) as public health was excluded from the harmonization. Biobanks seem to have substantially fewer difficulties to cope with in terms of the legal requirements in the field of sample management. This paper discusses the legal framework, experiences of different biobanks in Europe and potential ways forward. It also highlights the need for a health economic analysis of the costs and benefits of privacy protection in Europe. At the moment, policymakers seem to build their decisions on an insufficient evidence base which underestimates the potential value of biobanks for European public health. Within the past few years little progress has been achieved with regards to the development of a unified legal framework in Europe, The diversity in the legal system is also reflected in the different approaches of ethics committees towards biobanking. To secure the responsible and effective use of data and samples, more efforts are needed to come up with pathways for a solution. (shrink)

Mathematics educators suggest that students of all ages need to participate in productive forms of mathematical argument (NCTM, 2000). Accordingly, we developed two complementary frameworks for analyzing the emergence of mathematical argumentation in one second‐grade classroom. Children attempted to resolve contesting claims about the “space covered” by three different‐looking rectangles of equal area measure. Our first analysis renders the topology of the semantic structure of the classroom conversation as a directed graph. The graph affords clear “at a glance” visualization of (...) how various senses of mathematics—as imagined, as performed, and as historically rooted—were interrelated. The graph represents the emergence and intercoordination between conceptual and procedural knowledge in the ebb and flow of classroom conversation. The graph has not just descriptive, but also predictive power: Interconnectedness among the nodes of the graph representing the first 40 min of conversation predicted the structure of recall in the final ten minutes by children who had played little overt role in the conversation up to that point. The second, complementary framework draws upon Goffman's expanded repertoire of roles in speech to demonstrate how the teacher orchestrated this classroom conversation to establish coherent argument. In this second analysis, we establish how the teacher mediated between the everyday talk of her students and the discourse of mathematics. Her revoicing of student talk created interstices for identity and participation in the formation of the argument. Together, the two forms of analysis illuminate the emergence of mathematical argument at two levels: as collective structure and concurrently, as individual activity. (shrink)

Prior studies in business ethics highlight the role of philanthropy in shaping stakeholders’ perceptions of a firm’s underlying moral tendencies and values. Scholars argue that philanthropy-based character inferences influence whether and how stakeholders engage with firms. We extend this line of reasoning to examine the impact of philanthropy on firms’ contracting costs in the capital market. We posit that philanthropy-based character inferences reduce investors’ agency concerns, thereby reducing firms’ cost of capital. We also posit that the strength of the philanthropy–cost (...) of capital relationship is contingent on uncertainty regarding a firm’s character, visibility of a firm, and prevailing philanthropic norms. We test and find support for our arguments in a longitudinal study of philanthropy and the cost of capital. Our findings have implications for business ethics research on corporate philanthropy and corporate social performance and for organizational research on social judgment. (shrink)