La doctrine du conatus chez Spinoza est formulée de façon si radicale que le suicide apparaît comme incompréhensible. Cela contraste avec la référence importante aux actes suicidaires dans ses ouvrages. Pour résoudre ce contraste et défendre la compatibilité entre le suicide et le conatus, nous proposons une lecture nouvelle de la proposition 5 de l’Éthique III sur la contrariété. Nous dégageons la complexité de chaque individu, la conflictualité entre ses parties, et enfin le conatus de chacune de ces parties, qui (...) jouit, en fonction des relations avec les choses extérieures, d’une certaine indépendance par rapport au conatus de l’individu dans son ensemble. (shrink)

Institutional discrimination matters. The purpose of this longitudinal community‐based participatory research study was to examine institutional procedural discrimination, institutional racism, and other institutional discrimination, and their relationships with participants' health during a maternal and child health program in a municipal initiative. Twenty participants from nine multilingual, multicultural community‐based organizations were included. Overall reported incidences of institutional procedural discrimination decreased from April 2019 (18.6%) to November 2019 (11.8%) although changes were not statistically significant and participants reporting incidences remained high (n = (...) 15 in April and n = 14 in November). Participants reported experiencing significantly less “[when] different cultural ways of doing things were shared, the project did not support my way” from April 2019 (23.5%, n = 4) to November 2019 (0%, n = 0), Wilcoxon signed‐rank test Z = −2.00, p < 0.05. Some participants reported experiencing institutional racism (29.4%, n = 5) and other institutional discrimination (5.9%, n = 1). Participants experiencing institutional racism, compared to those who did not, reported a higher impact of the Initiative's program on their quality of life (t = 3.62, p < 0.01). Participatory survey designs enable nurse researchers to identify hidden pathways of institutional procedural discrimination, describe the impacts experienced, and examine types of institutional discrimination in health systems. (shrink)