In this article, we examine the ethical implications of randomised control trials (RCTs) as a practice of quantification in international development. Often referred to as the “gold standard” for the evaluation of development interventions, RCTs are lauded for their ability to generate supposedly objective, unbiased, and rigorous evidence to inform policy decisions for poverty alleviation. At the same time, critiques of quantification within and beyond development challenge claims of objectivity and neutrality, raising epistemological and ethical questions regarding the role of (...) quantitative research, the numbers they produce, and the processes triggered by practices of quantification. Building on these critiques, this study develops a decolonial analysis of the RCT methodology. We argue that RCTs, by enacting the coloniality of being, knowledge, and power, serve to perpetuate global coloniality, and its core organising principle, namely colonial difference. The study contributes to ongoing conversations addressing the ethical stakes of knowledge production and (de)coloniality. (shrink)

One of the many drastic changes caused by Covid-19 was the quick implementation of distance learning which represented a great technological challenge to many teachers and students. In fact, Italy ranks 24th amongst the 27-EU member countries in digital competitiveness which testifies to the significant delays and gaps in basic digital skills amongst the population. Based on the difficulties encountered in organizing distance learning, we assumed that teachers' perceived stress increased. Given that transversal skills can be associated with this relationship, (...) we hypothesized that among these skills, self-efficacy mediated the relationship between the difficulties in organizing distance learning and perceived stress. Since we targeted teachers from Italy and other European countries, we also hypothesized that this mediator effect would be different for both samples. Our sample was composed of a total of 366 primary/middle school teachers of which 86% female. After doing a mediation analyses with Process, Hayes' Model 4, we confirmed H1 but not H2: resulting in a partial mediation effect of self-efficacy for each individual group of teachers. Since difficulties of distance learning can affect the perception of stress, we believe that the promotion of transversal skills, such as self-efficacy, can better equip teachers when facing stressful situations. (shrink)

In his remarks on L’Homme, La Forge aims at a rigid separation of the functions of the body from the activity of the soul. This project looks authentically Cartesian, but some critical issues reveal how difficult it is taking away any activity of the soul in sensitive experience. In the Traité de l’esprit de l’homme, La Forge explicitly limits the cognitive capability of the memory without the active presence of the mind.

Contemporary societies are riddled with moral disputes caused by conflicts between value claims competing for the regulation of matters of public concern. This familiar state of affairs is relevant for one of the most important debates within liberal political thought: should institutions seek to realize justice or peace? Justice-driven philosophers characterize the normative conditions for the resolution of value conflicts through the establishment of a moral consensus on an order of priority between competing value claims. Peace-driven philosophers have concentrated, perhaps (...) more modestly, on the characterization of the ways in which competing value claims should be balanced, with a view to establishing a _modus vivendi _aimed at containing the conflict. _Interactive Justice _addresses an important question related to this debate: on what terms should the parties interact _during_ their conflict for their interaction to be morally acceptable to them? Although largely unexplored by political philosophers, this is a main area of concern in conflict management. Building on a proceduralist interpretation of "relational" concerns of justice, the author develops a liberal normative theory of interactive justice for the management of value conflict in politics grounded in the fundamental values of fair hearing and procedural equality. This book innovatively builds a bridge between works in political philosophy and peace studies to propose a fresh lens through which to view the normative responses liberal institutions ought to give to value conflict in politics, and moves beyond the apparent dichotomy between pursuing end-state justice through conflict resolution or peace through conflict containment. (shrink)

In Italy in recent years, an exponential increase in the frequency of medical malpractice claims relating to the issue of informed consent has substantially altered not only medical ethics, but medical practice as well. Total or partial lack of consent has become the cornerstone of many malpractice lawsuits, and continues to be one of the primary cudgels against defendant physicians in Italian courtrooms. Physicians have responded to the rising number of claims with an increase in ‘defensive medicine’ and a prevailing (...) preoccupation with the purely formal aspects of consent. The result is a plethora of consent forms, believed to be a guarantee of ‘informed consent’, as well as a growing reliance on informed consent as a shield against judicial action brought by the patient. Physicians ‘inform’ patients without really sharing information, often delegating the task of communication to other professionals who are not doctors. Italian judges always condemn the physician when information to the patient has been inadequate, thus leading insurance companies to consider the lack of valid informed consent as the total responsibility of the physician and/or the hospital. It is necessary to change tack, to remove this idea of consent which permeates the defensive culture of medical practice. Italian physicians need to be trained, first of all, to become aware that information and consent are two distinct processes, albeit closely connected. Valid communication demands a higher level of professionalism from physicians. (shrink)

Whilst legitimacy is often thought to concern the processes through which coercive decisions are made in society, justice has been standardly viewed as a ‘substantial’ matter concerning the moral justification of the terms of social cooperation. Accordingly, theorization about procedures may seem appropriate for the former but not for the latter. To defend proceduralism as a relevant approach to justice, I distinguish three questions: (1) Who is entitled to exercise coercive power? (2) On what terms should the participants to a (...) scheme of cooperation interact? (3) How should the costs and benefits produced by cooperation be distributed? Legitimacy concerns (1), whereas justice applies to (2) and (3). Although the appropriateness of proceduralism is debatable in relation to (3), it seems well equipped to address the justice-related question in (2). And it does so by focusing on the inherent moral acceptability of the way in which persons are treated by the procedures through which they interact. (shrink)

Austerity politics, war in the Middle East and at other borders of the European Union, the rise of nationalisms, the emergence of populist parties and politicians, Islamophobia and the refugee crisis are amongst the recent developments suggesting the need for discussions about the theories and concepts that academic disciplines provide for making sense of societal, cultural and political transformations. In this article, we focus on the capacities of feminist political theories to undertake this task. By assessing different feminist approaches to (...) political analysis that range from focusing on women and men, to analysing gender, to doing intersectionality and to adopting post-structural and new materialist approaches, we explore the contributions and the limitations of each framework. This allows us to consider where feminist theoretical debates on gender and politics currently are, to assess old and new developments and to address lacunae in the debate. Our argument is that dominant approaches in political science influence the emergence and marginalisation of particular feminist frameworks for political analysis, but also that feminist theorising of gender and politics, in striving for recognition within mainstream political science, reproduces its own hegemonies and marginalisations. (shrink)

This article aims to investigate the way in which a political theory of justice should respond to the endorsement of pluralism. After offering reasons in support of the necessity for such a theory to take pluralism seriously, an argument is put forward for its characterization in minimal and procedural terms. However, taking issue with the straightforward relationship of implication identified by a number of scholars between pluralism and procedural justice, this article contends that a direct relation can only be established (...) between pluralism and the need to define a minimal theory of justice, i.e. a theory that assumes as little as possible in terms of values and views of the world. Its procedural formulation is seen, instead, as a consequence of the limited predictive power of theory facing the heterogeneous situations with which it is expected to deal. (shrink)

This paper aims to outline the essential structural traits that a procedural theory of justice for the management of conflicts about values should display in order to combine open-endedness and cogency. To this purpose, it offers an investigation into the characteristics of procedural justice through a critical assessment of John Rawls‟s taxonomy of proceduralism, in terms of perfect, imperfect and pure procedural justice. Given the concessions the two former kinds of proceduralism make to substantive theories, and the potentially misleading characterisation (...) Rawls gave of pure procedural theories of justice, it reformulates the latter category in terms of impure proceduralism. In this case, the theory is required not to pose substantive constraints on the qualities of just outcomes, but is, rather, expected to provide a trans-contextually applicable account of the qualities of just procedures on the basis of an independent criterion of justice. (shrink)

Systematically addresses the philosophical implications of the postcolonial. In this book, Emanuela Fornari systematically examines the philosophical implications of postcolonial studies. She considers postcolonial critique not as a school or a current of thought but rather as a multiform constellation that—from the celebrated Orientalism of Edward Said to the contributions of authors like Homi Bhabha, Gayatri Spivak, Ranajit Guha, and Dipesh Chakrabarty—has called into question the assumptions that underlie key concepts in the history of philosophy. Fornari addresses themes such (...) as history and memory, borders, the subject, and translation, engaging classical authors such as Kant, Hegel, and Marx alongside more contemporary theorizations by authors such as Walter Benjamin, Michel Foucault, Jacques Derrida, Étienne Balibar, and Jacques Rancière. “Fornari’s book is purposeful in its construction, framed by themes she puts into motion and in which each considered thinker is set. The result is an investigation of philosophy and the postcolonial that does not rely on familiar associations and gestures, but rather rigorous, original theorizing of key concepts. This is a compelling book that displays mature, important thinking on some of our most pressing philosophical issues.” — John E. Drabinski, coeditor of Between Levinas and Heidegger. (shrink)

This chapter examines Edmund Husserl’s notion of idea in the Kantian sense with the aim of clarifying the distinction between ideas and essences. In particular, the chapter focuses on the occurrences of the notion of idea in the Kantian sense in Ideas I, identifies its core features, and explains why the notion of idea should not to be conflated with the phenomenologically relevant notion of essence. The chapter then points to doubts about the givenness of ideas in the Kantian sense (...) and argues that, once the notions of essence and of idea are disentangled, those doubts have no bearing on whether essences merit a place within phenomenology. (shrink)

Scholars and international organizations engaged in institutional reconstruction converge in recognizing political corruption as a cause or a consequence of conflicts. Anticorruption is thus generally considered a centrepiece of institutional reconstruction programmes. A common approach to anticorruption within this context aims primarily to counter the negative political, social, and economic effects of political corruption, or implement legal anticorruption standards and punitive measures. We offer a normative critical discussion of this approach, particularly when it is initiated and sustained by external entities. (...) We recast the focus from an outward to an inward perspective on institutional action and failure centred on the institutional interactions between officeholders. In so doing, we offer the normative tools to reconceptualize anticorruption in terms of an institutional ethics of ‘office accountability’ that draws on an institution’s internal resources of self-correction as per the officeholders’ interrelated work. (shrink)

“Whistleblowing” has entered the scholarly and the publicdebate as a way of describing the exposure by the memberof an organization of episodes of corruption, fraud, or generalabuses of power within the organization. We offer acritical survey of the main normative theories ofwhistleblowing in the current debate in political philosophy,with the illustrative aid of one of the epitomic figures of awhistleblower of our time: Edward Snowden. After conceptuallyseparating whistleblowing from other forms ofwrongdoing disclosures, we introduce and discuss two familiesof normative views (...) of this practice: the “Extrema Ratio”and the “Deontic” views. We show how the two views canbe usefully considered in tandem to offer an all-roundassessment of the moral justification of whistleblowingeither as an extraordinary individual conscientious act ofindictment or as an ordinary dutiful organizational practiceof answerability that enables the capacity of self-correctionof an organization. (shrink)

The paper discusses the normative grounds for recognizing a watchdog role to the news media as concerns the dissemination of information about an institutional failure menacing a well-ordered society. This is, for example, the case of the news media’s role in the diffusion of whistleblowers’ disclosures. We argue that many popular justifications for the watchdog role of the news media (as a ‘fourth estate’; a trustee of the people’s right to know; expert communicator) fail to ground that role in some (...) unique feature that makes the news media special as concerns the performance of the role. We offer an alternative argument that shows how the watchdog role of the news media shares a justificatory ground with the role that any member of a well-ordered society has in terms of a general duty of answerability in the face of institutional failures. Although this duty does not bear only on the news media, we concede that in some contingent circumstances the news media might be better positioned to discharge it and, therefore, to initiate corrective actions of institutional failures effectively and conscientiously. However, the establishment of the news media’s responsibility in this sense is an empirical, not a conceptual or a normative matter. (shrink)

This essay undertakes a reexamination of the notion of the receptacle/chōra in Plato's Timaeus, asking what its value may be to feminists seeking to understand the topology of the feminine in Western philosophy. As the source of cosmic motion as well as a restless figurality, labile and polyvocal, the receptacle/chōra offers a fecund zone of destabilization that allows for an immanent critique of ancient metaphysics. Engaging with Derridean, Irigarayan, and Kristevan analyses, Bianchi explores whether receptacle/chōra can exceed its reduction to (...) the maternal-feminine, and remain answerable to contemporary theoretical concerns. (shrink)

_Sunto_ __L’obiettivo di questo studio è di riflettere su alcune questioni che ruotano intorno alla rappresentazione dell’Intelligenza artificiale, e che riguardano l’impatto della tecnologia sulla sfera esistenziale e sulla condizione umana. In questo quadro mi soffermerò, attraverso un close reading, sul film Her di Spike Jonze, analizzandone in particolare i dialoghi, con l’intento di evidenziare anche la presenza di quei fili che tracciano una continuità con le questioni poste da Alan Turing nel celebre articolo “Computing Machinery and Intelligence” pubblicato sulla (...) rivista Mind nel 1950. Se la domanda al centro dello studio di Turing è Can Machines Think?, e viene ripresa in seguito da Asimov e Dick con la variante Can Machines Lie?, nel film di Spike Jonze la declinazione più stringente dell’interrogativo è Can Machines Feel? Parole chiave: Intelligenza artificiale; solitudine; emozioni; reale/virtuale; modi di amare; trascendenza. _Abstract_ The purpose of this study is to tackle some of the issues that revolve around the representation of Artificial Intelligence and that concern the impact of technology on the existential sphere and the human condition. Within this framework, I will focus on Spike Jonze’s film Her, in particular through a close reading of its dialogues. The aim is also to highlight the presence of threads tracing a continuity with the issues raised by Alan Turing in the famous article “Computing Machinery and Intelligence” published in the journal Mind in 1950. If the question at the heart of Turing’s study is ‘Can Machines Think?’ – later turned into ‘Can Machines Lie?’ in Asimov and Dick’s variant – in Spike Jonze’s film the point at issue becomes ‘Can Machines Feel?’. (shrink)

This essay undertakes a reexamination of the notion of the receptacle/chōra in Plato's Timaeus, asking what its value may be to feminists seeking to understand the topology of the feminine in Western philosophy. As the source of cosmic motion as well as a restless figurality, labile and polyvocal, the receptacle/chōra offers a fecund zone of destabilization that allows for an immanent critique of ancient metaphysics. Engaging with Derridean, Irigarayan, and Kristevan analyses, Bianchi explores whether receptacle/chōra can exceed its reduction to (...) the maternal-feminine, and remain answerable to contemporary theoretical concerns. (shrink)

This article offers a conceptual framework for discussing the role of envy within processes of transitional justice. Transitional justice importantly includes the transformation of intergroup dynamics of interaction in the aftermath of societal conflicts and upheavals. Such transformation aims to realise “interactive” justice in transitional justice by reshaping belief and value systems, and by moulding emotional responses between the involved parties. A nuanced understanding of the emotions at play in intergroup antagonistic dynamics of interaction is thus essential to transitional justice. (...) Among the many emotions that we could address in such scenarios, we target envy. Envy, in its various forms, features prominently in many societal conflicts and upheavals, and has, therefore, the potential to undermine or, conversely, support just intergroup interactions. However, the ambivalent role of this emotion has been scantly analysed in the philosophical literature on transitional justice. We make a start on filling this lacuna by developing a conceptual framework which is necessary to appreciate how envy and its varieties are epistemically and practically relevant to realising interactive justice in transitional justice processes. (shrink)

What makes public institutions normatively distinctive, if anything? Is there a sense in which the privatisation of the public function corrupts such distinctiveness? If such a sense is there, what...

The radical changes deriving from the COVID-19 emergency have heavily upset some of the most familiar routines of daily work life. Abruptly, many workers have been forced to face the difficulties that come with switching to remote working. Basing on the theoretical framework proposed by the Job Demands-Resources model, the purpose of this paper was to explore the effect of work overload, on behavioral stress, meant as an outcome linked to the health impairment process. Furthermore, the aim of the study (...) was to explore the mediating role of job crafting, considered as a second-order construct consisting of two dimensions in the abovementioned relation. Participants were 530 workers experiencing remote working or work-from-home during the first COVID-19 lockdown in Italy. Hypotheses were explored by using three different latent variables, measured reflexively through indicators on a 5-point scale, extracted from validated questionnaires. Data analysis was performed through Structural Equation Modeling; to test the mediation, bootstrap validation was computed. Results showed that the mediation of job crafting was partial. More specifically, the direct effect between work overload and behavioral stress was positive; moreover, the indirect, negative effect through the mediation of job crafting was also significant. Therefore, results showed that job crafting can play a crucial role as a protective factor supporting the activation and adjustment of suitable resources; these resources can be useful to deal with the negative effects of work overload, particularly under the condition of heavy remote working and use of technologies, on individual outcomes. Starting from the current global scenario of the pandemic that has not yet ceased its effects, the study suggested decisive theoretical and practical implications. Accordingly, findings extended the current trends in occupational health psychology research, with special reference to the mainstream topic “work and COVID-19” in the Italian context. Finally, results can give suggestions to companies engaged in managing change, recommending that they build a collaborative workplace at the individual and collective level to implement job crafting interventions and enrich the personal and organizational resources of workers, which is useful cope with the current demands. (shrink)

Irigaray’s engagement with Aristotelian physics provides a specific diagnosis of women’s ontological and ethical situation under Western metaphysics: Women provide place and containership to men, but have no place of their own, rendering them uncontained and abyssal. She calls for a reconfiguration of this topological imaginary as a precondition for an ethics of sexual difference. This paper returns to Aristotelian cosmological texts to further investigate the topologies of sexual difference suggested there. In an analysis both psychoanalytic and phenomenological, the paper (...) rigorously traces a teleological and oedipal narrative implicit in the structure of the Aristotelian cosmos, in which desire for the mother is superseded by love for the father. Further, the paper argues that this narrative is complicated by certain other elements in the Aristotelian text—aporias involving the notion of boundary and the relationship between space and time, the fallenness of the feminine, and the ineliminably aleatory qualities of matter. The paper concludes that such elements may provide material for disrupting this teleology of gender, opening onto not merely an ethics of sexual difference, but providing space and place for a proliferation of non-normative, queer, transgender and intersex modes of sexed and gendered subjectivity. (shrink)

In this paper, I focus on Edmund Husserl’s analyses of the act of approval and the role he attributes to it in his ethics. I show that we can deepen our understanding of both if we rely on his critical reflections on Shaftesbury’s theory of affections in his lecture course Einleitung in die Ethik. The sections of this course devoted to Shaftesbury are the only place in Husserl’s later philosophical production where he addresses the need to clarify the nature of (...) approval from a phenomenological point of view and provides precise indications about the role that such emotions play in our life. I thereby examine Husserl’s criticisms of Shaftesbury’s account of reflective emotions, and I compare these criticisms with Husserl’s account of approval in the texts from the Konvolut über Billigung collected in the Studien zur Struktur des Bewusstseins. I argue that, according to Husserl, approval is an essential but not sufficient component in the pursuit of virtue. The upshot is that crucial parts of Husserl’s ethics come from a radical and original reworking of central notions of the early modern sentimentalist tradition. (shrink)

Post-Cartesian Occasionalism argues that the power of causing an effect depends on knowledge of the means by which the effect is produced. The argument is used to deny finite beings the power to act. Arnold Geulincx expresses this thesis in the principle Quod nescis quomodo fiat id non facis. Here, my purpose is to show that: 1. The philosophical problem that is at the origin of the principle Quod nescis quomodo fiat id non facis originates in Galen’s De foetuum formatione, (...) a work translated into Latin only in 1535. 2. Important works of early modern philosophy, such as Campanella’s Del senso delle cose e della magia, discuss Galen’s text. 3. Due to their rejection of teleology, Descartes’ physics and metaphysics are completely foreign to the Quod nescis principle. Comparing the Cartesian theory of animal-machines with the theory of animal behavior of Pierre Chanet, a philosopher who adopts the principle, confirms this claim. (shrink)

Analyzes Aristotle's natural philosophy and metaphysics from a feminist, deconstructive, psychoanalytic perspective, showing that Aristotelian teleology relies on the disparagement of chance and the feminine simultaneously and finding resources therein for contemporary feminist thought.

This paper addresses the problem of the foundation of a procedural and minimalist approach to justice in terms of fair hearing. This approach may be summarised in the ‘principle of adversary argument’ (the idea that each side in a conflict should be heard). In particular, I intend to test whether this principle may provide the bases for a conception of justice applicable to conflicts of value in politics. More precisely, the considerations I shall offer aim to answer the following question: (...) ‘How should fair hearing (and in particular fair hearing qua listening to the other side) be construed and justified in order to provide the bases for addressing value conflicts justly?’. To this end, I contend that previous efforts to argue for the principle of adversary argument, especially those offered by Stuart Hampshire, have failed to provide genuinely universal and normatively cogent foundations for it. However, I submit that such foundations are nonetheless derivable from a basic idea of procedural equality which all participants in conflicts of value could be thought to endorse. (shrink)

The WTO Dispute Settlement System (DSS) has been the object of many studies in politics, law, and economics focusing on institutional design problems. This paper contributes to such studies by accounting for the argumentative nature and sophisticated features of the DSS through a philosophical analysis of the procedures through which it is articulated. Jürgen Habermas's discourse theory is used as a hermeneutic device to disentangle the types of ‘orientations’ (compromise, consensus, and mutual understanding) pertaining to DSS procedures. We show that (...) these latter are oriented primarily to put the parties in a position to reach mutual understanding. Such an orientation is no mere idiosyncrasy of the DSS but is the only one consistently conducive to the WTO's general aims, in response to the various types of disputes that may arise between its Members. Before closing, we bring our procedural considerations to bear on the reform proposals of the DSS. (shrink)

By reference to the illustrative case of the supranational regulation of local systems of food production, we aim to show the importance of identifying issues of international legitimacy as a discrete component – alongside issues of global distributive justice – of the liberal project of public justification of supranational collective decisions. Therefore, we offer the diagnosis of a problem but do not prescribe the therapy to cure it.

Drawing attention to the vexed relationship between feminist theory and philosophy, Is Feminist Philosophy Philosophy? demonstrates the spectrum of significant work being done at this contested boundary. The volume offers clear statements by seventeen distinguished scholars as well as a full range of philosophical approaches; it also presents feminist philosophers in conversation both as feminists and as philosophers, making the book accessible to a wide audience. -/- Table of Contents -/- Opening plenary: Drucilla Cornell, Jacques Derrida, and Teresa Brennan — (...) Discussion / Teresa Brennan ... et al. — Women, identity, and philosophy / Marjorie C. Miller — The personal is philosophical, or teaching a life and living the truth: philosophical pedagogy at the boundaries of self / Ruth Ginzberg — Musing as a feminist and as a philosopher on a postfeminist era / Patricia S. Mann — Essence against identity / Teresa Brennan — Feminist interpretations of social and political thought / Virginia Held — Mothers, citizenship, and independence: a critique of pure family values / Iris Marion Young — Domestic abuse and Locke's liberal (mis)treatment of family / Matthew R. Silliman — Marx, Irigaray, and the politics of reproduction / Alys Eve Weinbaum — The very idea of feminist epistemology / Lynn Hankinson Nelson — Can there be a feminist logic? / Marjorie Hass — Feminism and mental representation: analytic philosophy, cultural studies, and narrow content / David Golumbia — Replies to Hass and Columbia / Nickolas Pappas — Leaping ahead: feminist theory without metaphysics / Leslie A. MacAvoy — Philosophy abandons women: gender, orality, and some literate pre-Socratics / Cornelia A. Tsakiridou. (shrink)

The Italian code of medical deontology recently approved stipulates that physicians have the duty to inform the patient of each unwanted event and its causes, and to identify, report and evaluate adverse events and errors. Thus the obligation to supply information continues to widen, in some way extending beyond the doctor-patient relationship to become an essential tool for improving the quality of professional services.

Keyword essay for "Matter" providing a genealogical account of the concept, its meaning and function in Western philosophy from a feminist perspective.

"This book discusses political corruption and anticorruption as a matter of a public ethics of office. It shows how political corruption is the Trojan horse that undermines public institutions from within via the interrelated action of the officeholders. Even well-designed and legitimate institutions may go off track if the officeholders fail to uphold by their conduct a public ethics of office accountability. Most current discussions of what political corruption is and why it is wrong have concentrated either on explaining and (...) assessing it as a matter of an individual's corrupt character and motives or as a dysfunction of institutional procedures. The book investigates the common normative root of these two manifestations of political corruption as a relationally wrongful practice that consists in an unaccountable use of the power of office by the officeholders in public institutions. From this perspective, political corruption is an internal enemy of public institutions that can only be opposed by mobilizing the officeholders to engage in answerability practices. In this way, officeholders are responsible for working together to maintain an interactively just institutional system"--. (shrink)

BackgroundMultidisciplinary study groups have produced documents in an attempt to support decisions regarding whether to resuscitate "at risk" newborns or not. Moreover, there has been an increasingly insistent request for juridical regulation of neonatal resuscitation practices as well as for clarification of the role of parents in decisions regarding this kind of assistance. The crux of the matter is whether strict guidelines, reference standards based on the parameter of gestational age and authority rules are necessary.DiscussionThe Italian scenario reflects the current (...) animated debate, illustrating the difficulty intrinsic in rigid guidelines on the subject, especially when gestational age is taken as a reference parameter for the medical decision.SummaryConcerning the decision to interrupt or not to initiate resuscitation procedures on low gestational age newborns, physicians do not need rigid rules based on inflexible gestational age and birth weight guidelines. Guidance in addressing the difficult and trying issues associated with infants born at the margins of viability with a realistic assessment of the infant's clinical condition must be based on the infant's best interests, with clinicians and parents entering into what has been described as a "partnership of care". (shrink)