Emotion-processing impairment represents a risk factor for the development of somatic illness, affecting negatively both health-related quality of life and disease management in several chronic diseases. The present pilot study aims at investigating the associations between alexithymia and depression, anxiety, and HRQoL in patients with Hashimoto’s thyroiditis ; examining the association between these three psychological conditions together with HRQoL, and thyroid autoantibodies status as well as thyroid echotexture in patients with HT; and comparing the intensity of all these clinical psychological (...) features in patients with HT versus controls. Twenty-one patients with serologically or ultrasonographically verified HT and 16 controls with non-toxic goiter or postsurgical hypothyroidism were recruited for this study. Serum thyrotropin and free thyroxine, as well as thyroid autoantibodies, were assayed. Alexithymia, depression, anxiety, and HRQoL were assessed with Toronto Alexithymia Scale; Beck Depression Inventory, second edition; Hamilton Anxiety Rating Scale; and Health Survey Short-Form 36, respectively. A negative relationship between the difficulty to describe feelings and the cognitive component of depression was found. Besides, patients with seronegative HT had lower somatic anxiety than patients with HT who tested positive. Besides, no statistically significant difference was found between patients with HT and controls with regard to somatic anxiety. The present study suggests the relevance of alexithymia in patients suffering from HT, which may be intertwined with a possible state of underreported depression that is mainly expressed through physical complaints. Promoting the capability to describe and communicate feelings could contribute to psychological elaboration and coping with the disease and, consequently, to the improvement of self-management and perceived HRQoL. (shrink)

In this article we present the bases for a computational theory of the cognitive processes underlying human communication. The core of the article is devoted to the analysis of the phases in which the process of comprehension of a communicative act can be logically divided: (1) literal meaning, where the reconstruction of the mental states literally expressed by the actor takes place: (2) speaker's meaning, where the partner reconstructs the communicative intentions of the actor; (3) communicative effect, where the partner (...) possibly modifies his own beliefs and intentions; (4) reaction, where the intentions for the generation of the response are produced; and (5) response, where an overt response is constructed. The model appears to be compatible with relevant facts about human behavior. Our hypothesis is that, through communication, an actor tries to exploit the motivational structures of a partner so that the desired goal is generated. A second point is that social behavior requires that cooperation be maintained at some level. In the case of communication, cooperation is, in general, pursued even when the partner does not adhere to the actor's goals, and therefore no cooperation occurs at the behavioral level. This important distinction is reflected in the two kinds of game we introduce to account for communication. The main concept implied in communication is that two agents overtly reach a situation of shared mental states. Our model deals with sharedness through two primitives: shared beliefs and communicative intentions. (shrink)

Although organizational and situational factors have been found to predict burnout, not everyone employed at the same workplace develops it, suggesting that becoming burnt out is a complex, multifaceted phenomenon. The aim of this study was to elucidate perceptions of conscience, stress of conscience, moral sensitivity, social support and resilience among two groups of health care personnel from the same workplaces, one group on sick leave owing to medically assessed burnout (n = 20) and one group who showed no indications (...) of burnout (n = 20). The results showed that higher levels of stress of conscience, a perception of conscience as a burden, having to deaden one’s conscience in order to keep working in health care and perceiving a lack of support characterized the burnout group. Lower levels of stress of conscience, looking on life with forbearance, a perception of conscience as an asset and perceiving support from organizations and those around them (social support) characterized the non-burnout group. (shrink)

English summary: In "Also Spoke Zarathustra," Nietzsche referred to, considerably more than in his other writings, the sum-total of the western tradition and condensed within it our cultural heritage in a stupendous synthesis, which he configured in a curious space of citations, parodies, and echoes. Already the colorful singularity makes the text an important bearer and filter of tradition and a model case, on which literary and philosophical approaches, confronted with the question of cultural memory and Nietzsche's reassessment of it, (...) are able to mutually compliment and illuminate each other. This anthology documents a spectrum of possible avenues into Nietzsche's chief work, into his characteristic dynamic of recreation, and to the specific forms in which he actualized the compression of western tradition in "Zarathustra." The pathos of "Zarathustra," Nietzsche's parody, and the concept of cryptomnesia (the forgotten memory), in which the transvaluation of tradition is placed within the horizon of productive forgetting, are therefore special challenges for literary studies as well as the thinking of the present. German description: In 'Also sprach Zarathustra' bezieht sich Nietzsche weit mehr als in anderen Schriften auf den Fundus der abendlandischen Uberlieferung und verdichtet mithin unser kulturelles Erbe in einer riesigen Synthese, die sich als eigentumlicher Spielraum von Zitaten, Parodien und Anklangen konfiguriert. Gerade die schillernde Singularitat dieser Synthese macht den Text zu einem bedeutenden Trager und Filter der Tradition und somit zu einem Modellfall, an dem sich literaturwissenschaftliche und philosophische Zugangsweisen, die sich mit der Frage nach dem kulturellen Gedachtnis und dessen Umwertungspraxis bei Nietzsche konfrontieren, erganzen und gegenseitig beleuchten konnen. Der Sammelband dokumentiert ein Spektrum moglicher Zugange zu Nietzsches Hauptwerk, zu seiner charakteristischen Dynamik der Neuschopfung und zu den spezifischen Formen, in denen sich die Verdichtung der Tradition im 'Zarathustra' artikuliert. Das Pathos Zarathustras, Nietzsches Parodie und der Kryptomnesie-Begriff, der die Umwertung der Tradition in den Horizont eines produktiven Vergessens stellt, werden dabei zu besonderen Herausforderungen der Literaturwissenschaft sowie des Denkens der Gegenwart. (shrink)

Human beings frequently attribute anthropomorphic features, motivations and behaviors to animals, artifacts, and natural phenomena. Historically, many interpretations of this attitude have been provided within different disciplines. What most interpretations have in common is distinguishing children’s manifestations of this attitude, which are considered “natural”, from adults’ occurrences, which must be explained by resorting to particular circumstances. In this article, I argue that anthropomorphism is not grounded in specific belief systems but rather in interaction. In interaction, a nonhuman entity assumes a (...) place that generally is attributed to a human interlocutor, which means that it is independent of the beliefs that people may have about the nature and features of the entities that are anthropomorphized. This perspective allows us to explain the problems that emerge if we consider anthropomorphism as a belief: (i) adults under certain circumstances may anthropomorphize entities even if they perfectly know that these entities have no mental life; (ii) according to the situation, the same entity may be anthropomorphized or treated as an object; (iii) there is no consistency among the entities that are anthropomorphized; (iv) there is individual variability in anthropomorphization, and this variability derives from affective states rather than from different degrees of knowledge about the entity that is anthropomorphized or greater or lesser naivety of the person who anthropomorphizes. From this perspective, anthropomorphism is a basic human attitude that begins in infants and persists throughout life. The difference between adults and children is not qualitative but rather a matter of complexity. (shrink)

The report gives a survey of the Hungarian philosophy of science after 1973. The report throws some light on the history of Hungarian philosophy in the context of the political circumstances of the late sixties and seventies. It starts with the not so well-known history of 'persecution of philosophers' in 1973. Then it treats the emergence of the philosophy of science focussing on the most significant representatives of this branch of philosophy, which was up to that time almost unknown in (...) Hungary. Due to the fact that the important results in Hungarian philosophy of science run parallel with the reception and translation of the significant products of Western philosophy, such as Wittgenstein's, Popper's, Kuhn's, or Polanyi's works, the report gives relatively significant room to treat these achievements. The last part of the report presents a survey of the younger generation of the philosophers of science, concentrating on the most important insights. (shrink)

Hobbes's philosophical discourse is deconstructed as the interplay of the drama of individual behavior as perceived by rational agents and the detached analysis of conflict a by a political geometer . The author solves some long-standing problems in Hobbesian political philosophy (e.g., the role of glory, Hobbes' pessimism) and shows the consistency of Hobbes's attempt to derive absolutism as the only stable political association.

Il y a trente ans, évoquant la gynécologie dans l’Antiquité, Giulia Sissa écrivait que l’utérus, « dépositaire insensé et irritable de la reproduction sociale, est le seul organe qui a forcé la connaissance médicale hippocratique à définir en son sein une véritable spécialité ». L’ouvrage de Monica H. Green reprend, en les contextualisant dans un paradigme méthodologique beaucoup plus complexe, ses études précédentes sur la figure historique et littéraire de Trotula et sur la médecine féminin...

The paper discusses ten philosophical problems in deontic logic: how to formally represent norms, when a set of norms may be termed ‘coherent’, how to deal with normative conflicts, how contraryto-duty obligations can be appropriately modeled, how dyadic deontic operators may be redefined to relate to sets of norms instead of preference relations between possible worlds, how various concepts of permission can be accommodated, how meaning postulates and counts-as conditionals can be taken into account, and how sets of norms may (...) be revised and merged. The problems are discussed from the viewpoint of input/output logic as developed by van der Torre & Makinson. We argue that norms, not ideality, should take the central position in deontic semantics, and that a semantics that represents norms, as input/output logic does, provides helpful tools for analyzing, clarifying and solving the problems of deontic logic. (shrink)

The aggregation of individual judgments on logically interconnected propositions into a collective decision on the same propositions is called judgment aggregation. Literature in social choice and political theory has claimed that judgment aggregation raises serious concerns. For example, consider a set of premises and a conclusion where the latter is logically equivalent to the former. When majority voting is applied to some propositions (the premises) it may give a different outcome than majority voting applied to another set of propositions (the (...) conclusion). This problem is known as the discursive dilemma (or paradox). The discursive dilemma is a serious problem since it is not clear whether a collective outcome exists in these cases, and if it does, what it is like. Moreover, the two suggested escape-routes from the paradox—the so-called premise-based procedure and the conclusion-based procedure—are not, as I will show, satisfactory methods for group decision-making. In this paper I introduce a new aggregation procedure inspired by an operator defined in artificial intelligence in order to merge belief bases. The result is that we do not need to worry about paradoxical outcomes, since these arise only when inconsistent collective judgments are not ruled out from the set of possible solutions. (shrink)

Carl Schmitt's friend/enemy principle is exposed to in-depth philosophical analysis and historical examination with the aim of showing that the political follows hostility, violence and terror as form follows matter. The book argues that the partisan is an umbrella concept that includes the national and global terrorist.

The Ostrogorski paradox and the discursive dilemma are seemingly unrelated paradoxes of aggregation. The former is discussed in traditional social choice theory, while the latter is at the core of the new literature on judgment aggregation. Both paradoxes arise when, in a group, each individual consistently makes a judgment, or expresses a preference, (in the form of yes or no) over specific propositions, and the collective outcome is in some respect inconsistent. While the result is logically inconsistent in the case (...) of the discursive paradox, it is not stable with respect to the level of aggregation in the case of the Ostrogorski paradox. In the following I argue that, despite these differences, the two problems have a similar structure. My conclusion will be twofold: on the one hand, the similarities between the paradoxes support the claim that these problems should be tackled using the same aggregation procedure; on the other hand, applying the same procedure to these paradoxes will help clarify the strengths and weaknesses of the aggregation method itself. More specifically, I will show that an operator defined in artificial intelligence to merge belief bases can deal with both paradoxes. (shrink)

Is it possible to characterize the notion of proof in terms of acts, without focusing on a specific domain of application and a specific linguistic formalization of it? This is the question that this paper addresses through a comparative analysis between two logicians who reflected on this issue: Kurt Gödel and Jean-Yves Girard. A comparative analysis of their respective theoretical frames, their respective results, the similarities and the differences between their methodological assumptions is proposed. More specifically, the aim of the (...) paper is to compare Gödel’s notion of absolute proof and Girard’s notion of Ludic from their common core: a conception of proof in terms of acts. (shrink)

This paper provides algorithmic options for belief revision of a database receiving an infinite stream of inputs. At stage , the database is ¡£¢ , receiving the input ¤ ¢ . The revision algorithms for moving to the new database ¡ ¢¦¥¨§© ¡ ¢ ¤ ¢ take into account the history of previous revisions actually executed as well as possible revision options which were discarded at the time but may now be pursued. The appropriate methodology for carrying this out is (...) Labelled Deductive Systems. (shrink)

The paper aims at providing an exhaustive analysis of the key concept of glory in Hobbes's works. It is argued that the meaning and role of glory are essentially the same in all Hobbes's writings. The paper claims that in Elements of Law, De Cive, Leviathan, De Homine, Behemoth and in the Correspondence the desire of glory and ambition are given by Hobbes a crucial role in the explanation of human conflict. The paper argues that the status of glory vis-a-vis (...) other passions changes radically in Leviathan and De Homine: whereas in the earlier works glory was the ultimate motivation of most (if not all) individuals, i.e. the genus of all passions; in later works it becomes a species or instance of human passions. In Leviathan no concept is raised to the central position previously occupied by glory. (shrink)

Ethical dilemmas in critical care may cause healthcare practitioners to experience moral distress: incoherence between what one believes to be best and what occurs. Given that paediatric decision-making typically involves parents, we propose that parents can also experience moral distress when faced with making value-laden decisions in the neonatal intensive care unit. We propose a new concept—that parents may experience “moral schism”—a genuine uncertainty regarding a value-based decision that is accompanied by emotional distress. Schism, unlike moral distress, is not caused (...) by barriers to making and executing a decision that is deemed to be best by the decision-makers but rather an encounter of significant internal struggle. We explore factors that appear to contribute to both moral distress and “moral schism” for parents: the degree of available support, a sense of coherence of the situation, and a sense of responsibility. We propose that moral schism is an underappreciated concept that needs to be explicated and may be more prevalent than moral distress when exploring decision-making experiences for parents. We also suggest actions of healthcare providers that may help minimize parental “moral schism” and moral distress. (shrink)

The Affective grounding hypothesis suggests that affective experiences play a crucial role in abstract concepts’ processing (Kousta et al. 2011). Vigliocco and colleagues test the role of affective experiences as well as the role of language in learning words denoting abstract concepts, comparing children with typical and atypical development. They conclude that besides the affective experiences also language plays a critical role in the processing of words referring to abstract concepts.

Difficulties and ambiguities of Carnap’s conception of logic and mathematics are the main target of Gödel’s analysis in his famous drafts of “Is mathematics Syntax of Language?”. In a recent article, Gregory Lavers discusses two main recent dismissive analyses of Gödel’s drafts, concluding at a defense of Gödel’s arguments against Carnap’s position in the 1930. Lavers partially integrates in his examination an argument that I presented in a paper published in 2003. Yet, there are three important differences between my understanding (...) of Gödel’s argument and Lavers’s interpretation of it. These differences concern the appreciation of (a) Gödel’s strategy of using, in any critical examination of his opponents, only arguments that can be accepted by them; (b) Gödel’s analysis of Carnap’s position in the 1950s; (c) Gödel’s understanding of Carnap’s philosophical project. The paper aims to argue that, contrary to Lavers’s opinion, Gödel takes seriously the details of Carnap’s original conception and does not overlook the novelty of its solutions in the 1930s and 1950s. In particular, the comparison between Gödel’s arguments in the Gibbs lecture of 1951 and in version III of his draft of ‘Is mathematics Syntax of Language?’ shows how Gödel had in 1953–55 a careful concern with Carnap’s philosophical project of LSL. (shrink)

Kuhn made two attempts at providing an evolutionary analogy for scientific change. The first attempt, in The Structure of Scientific Revolutions , is very brief and unstructured; in this article I discuss some of its weaknesses. Alexander Bird takes this attempt more seriously and provides a criticism based on oversimplified evolutionary assumptions. These assumptions prove to be inadequate for the second, more articulate, evolutionary analogy suggested by Kuhn in “The Road since Structure.” I argue, however, that this second Kuhnian attempt (...) is undermined by his inadequate view of biological progress and by his misunderstanding of the concept of ecological niche. *Received April 2008. †To contact the author, please write to: School of Politics, International Studies, and Philosophy, Queen’s University Belfast, 21 University Square, Belfast, BT7 1PA Northern Ireland; e‐mail: [email protected]. (shrink)

ment on the same propositions, and is plagued by impossibility re- 2. What is the role of independence in judgment aggregation sults. In this paper we study the central notion of independence in..

BackgroundClinical Ethics Support Services have been established to support healthcare professionals in addressing ethically sensitive issues in clinical practice and, in many countries, they are under development. In the context of growing CESS, exploring how healthcare professionals experience and address clinical ethics issues in their daily practice represents a fundamental step to understand their potential needs. This is even more relevant in the context of extremely sensitive diseases, such as cancer. On this basis, we carried out a qualitative study conducting (...) in-depth semi-structured interviews with stakeholders of a major comprehensive cancer centre in Italy, with the twofold aim of investigating what ethical issues arise in the context of clinical oncology and how they are addressed, as well as stakeholders’ expectations about a potential CESS to be implemented within the Institution.MethodsThe study was conducted within the theoretical framework of Grounded Theory. Participants were healthcare professionals and other key stakeholders working within the cancer centre. The semi-structured interview aimed at exploring common ethical aspects of oncology, investigating stakeholders’ professional experience in dealing with clinical ethics issues, their expectations and requests regarding ethics support services. Transcripts of the interviews were coded and analysed according to the principles of Grounded Theory.ResultsTwenty-one stakeholders were interviewed. Our analysis showed a wide consensus on the identification of ethically relevant issues, above all those concerning communication, end-of-life, and resource allocation. The absence of institutional tools or strategies to address and manage ethical issues at the patient bedside emerged, and this is reflected in the widespread request for their development in the future. The ideal support service should be fast and flexible in order to adapt to different needs and clinical cases.ConclusionsThe interviewees showed a limited degree of ‘ethical awareness’: despite having reported many issues in clinical practice, they could hardly identify and describe the ethical aspects, while complaining about a lack of ethical resources in their management. To build a truly effective support service, it therefore seems appropriate to take such context into consideration and address the emerged needs. Ethical sensitivity seems to be key and it becomes even more relevant in critical clinical areas, such as the therapeutic pathways of terminally ill patients. (shrink)

ABSTRACTThe ‘dream of the butterfly,’ which seals the second chapter of the Zhuangzi, is often interpreted as undergirded by the bipolarity of dreaming and awakening or by the elusive interchange of identities between Zhuangzi and the butterfly, dreamer and dreamed. In this paper I argue that the underlying structure of the story may be better interpreted as exhibiting not two, but three stages of development, consistently echoing other tripartite parables in the Zhuangzi. In my reinterpretation I rely on the phenomenology (...) of dreams proposed by the Spanish philosopher María Zambrano, which distinguishes among three states: the primal dream, characterized by atemporality and wholeness; wakefulness, characterized by temporality and analytic thinking; and the creative dream, in which reality discloses itself as a meaningful, holistic unity. I suggest that Zhuangzi’s parable describes a similar self-transformative threefold process culminating in the joyous freedom of a shifting multifaceted subjectivity centered in the timeless pivot of the Dao. (shrink)

This article is an attempt to present Gödel's discussion on concepts, from 1944 to the late 1970s, in particular relation to the thought of Frege and Russell. The discussion takes its point of departure from Gödel's claim in notes on Bernay's review of ?Russell's mathematical logic?. It then retraces the historical background of the notion of intension which both Russell and Gödel use, and offers some grounds for claiming that Gödel consistently considered logic as a free-type theory of concepts, called (...) intensions, considered as the denotations of predicate names. (shrink)

Why is it that the laws of war, or international humanitarian law (IHL), allow no justification for breaking the law even if where such conduct would actually produce less humanitarian harm than following the law? In introducing the concept of a humanitarian necessity justification, and complementing existing work on humanitarian exceptions to the jus ad bellum, this paper suggests that it should. It first addresses the puzzle of IHL's existing absolutist stance with regard to compliance with IHL norms; to demonstrate (...) the implications of this absolutist stance, I use three historical case studies in which actors broke the law under a claim of necessity, or a mixed concern for self and others: The Early Warning Procedure employed by the IDF in the West Bank, the paradigmatic case of interrogational torture, and the atomic bombings of Hiroshima and Nagasaki. I then examine whether the domestic necessity defense in criminal law might be transposed onto the international level, ultimately finding that such transposition is impossible given the different assumptions that operate in domestic criminal law and IHL. In further searching for an account for IHL's absolutist stance and the possibility of mitigating that stance, the paper turns to first-order accounts - deontological, consequential, and institutional. I argue that none of these accounts offers a sufficiently convincing explanation for the exclusion of a humanitarian necessity paradigm, and instead, that room should be made for some humanitarian-driven exceptions. Ultimately, the paper offers a blueprint for a definition for a humanitarian necessity justification that would exculpate an actor who violated the laws of war in the name of a greater humanitarian good. The central component of the definition is a requirement that the greater humanitarian good would be for the benefit of the enemy, rather than for oneself. Under such paradigm, the Early Warning Procedure and perhaps even the atomic bombing of Hiroshima (but not Nagasaki) might be justified, while the paradigmatic case of interrogational torture could not. (shrink)

This article focuses on the relationship between memory, female identity and the history of women: issues and areas of scholarship that have a comparatively recent history, but already present a rich spectrum of contrasting approaches and studies. In the case at hand, interpretations rooted in Foucault’s genealogical approach are contrasted with more recent postcolonial studies, against the backdrop of the political history of European and American feminism, a position that can scarcely be reduced to the more familiar terms of the (...) debate between philosophers and neuroscientists. The writing that springs from female memory is not the function of an alleged specificity of the female brain, but the product of the ability of a specific cultural subject to construct a genealogy from the point of view of its unprecedented reality: a seemingly minor “supplement,” but one that has the power to subvert the main corpus of history and knowledge, as Virginia Woolf already showed in magisterial terms as early as 1929. (shrink)