Ernest Mas-Herrero , Antoni Rodriguez-Fornells , Robert Zatorre y Josep Marco-Pallarés Grupo de Cognición y Plasticidad Cerebral … Read More →.

The COVID-19 pandemic has generated an imbalance between the clinical needs of the population and the effective availability of advanced life support (ALS) resources. Triage protocols have thus become necessary. Triage decisions in situations of scarce resources were not extraordinary in the pre-COVID-19 era; these protocols abounded in the context of organ transplantation. However, this prior experience was not considered during the COVID-19 outbreak in Spain. Lacking national guidance or public coordination, each hospital has been forced to put forth independent (...) and autonomous triage protocols, most of which were, nonetheless, based on common ethical principles and clinical criteria. However, controversial, non-clinical criteria have also been defended by Spanish scientific societies and public institutions, including setting an age cut-off value for unilaterally withholding ALS, using ‘social utility’ criteria, prioritising healthcare professionals or using ‘first come, first served’ policies. This paper describes the most common triage criteria used in the Spanish context during the COVID-19 epidemic. We will highlight our missed opportunities by comparing these criteria to those used in organ transplantation protocols. The problems posed by subjective, non-clinical criteria will also be discussed. We hope that this critical review might be of use to countries at earlier stages of the epidemic while we learn from our mistakes. (shrink)

Approaches to Nietzsche’s political philosophy abound. In this article, however, we explore the possibility of identifying not only a political philosophy, but also a political-theological reading in Nietzsche’s texts. In fact, such a political-theological reading already has something of a genealogy. In the 1960s, “radical theology” appropriated the Nietzschean topic of the death of God, which engendered a transferred radical political theology consisting in radical democracy. The first part of this article explores twentieth-century political theologies surrounding the death of God. (...) We ask herein if this is the only possible political-theological reading of Nietzsche’s texts. The second part argues that, in fact, we can ascribe to Nietzsche a “theological” intention that is transferable to his political theory in a way that differs from the attempts of radical political theology and other political theologies surrounding the death of God. We conclude that, in any case, Nietzsche’s political theology aims to counterbalance St. Paul’s nihilism more than to constitute a determined political view. (shrink)

Background In Spain, there has been great effort by lawmakers to put Advance Directives into practice since 2002. At the same time, the field of bioethics has been on the rise, a discipline that has spurred debate on the right of patients to exercise their autonomy. Despite all this, the implementation of ADs can be said to have failed in Spain, because its prevalence is very low, there is a great lack of knowledge about them and they have very little (...) impact on clinical decisions. The purpose of this article is to analyze and discuss the main reasons for the failure of ADs in Spain. Main body The main reasons why ADs have no impact on clinical practice in Spain have been fundamentally four: the training of health professionals about the end of life and AD is lacking; there has been no public process to increase awareness about AD, and therefore people know little about them; the bureaucratic procedure to document and implement ADs is excessively complex and cumbersome, creating a significant barrier to their application; in Spain, the remnants of a paternalistic medical culture continue to exist, which causes shared decision-making to be difficult. Conclusion Due to the four reasons mentioned above, AD have not been a useful tool to help honor patients’ autonomous decisions about their future care and, therefore, they have not achieved their objective. However, despite the difficulties and problems identified, it has also been observed that health care professionals and the Spanish public have a very positive view of AD. Having identified the problems which have kept AD from being successful, strategies must be developed to help improve their implementation into the future. (shrink)

Background During the first weeks of March 2020 in Spain, the cases of severe respiratory failure progressively increased, generating an imbalance between the clinical needs for advanced life support (ALS) measures and the effective availability of ALS resources. To address this problem, the creation of triage committees (TC) was proposed, whose main function is to select the best candidates to receive ALS. The main objective of our study is to describe the clinical characteristics of the patients evaluated by the TC (...) of the Alcorcón Foundation University Hospital (AFUH) during the first wave of SARS CoV-2. Other objectives are to determine if there are differences between the patients considered candidates / not candidates for ALS and to analyze the functioning of the TC. Methods Retrospective observational study of all patients assessed by the AFUH TC. Results There were 19 meetings, in which 181 patients were evaluated, 65.4% male and with a mean age of 70.1 years. 31% had some degree of functional dependence, the Barthel median was 100 and Charlson 4. 58.5% were not considered a candidate for ALS at that time. The patients considered candidates to receive ALS were younger (72 vs 66; _p_ Conclusions The patients evaluated by the TC had a mean age of 70 years, high comorbidity and almost a third had some degree of functional dependence. More than half were not considered candidates for ALS at that time, these patients being older, with more comorbidity and a worse previous functional situation. TC decisions, based on objective clinical criteria, were almost always respected. Public institutions must get involved in triage procedures, which should and in our opinion must include the creation of TC in health centers. The implementation of Anticipated Decision programs (ADP) would help enable patients affected by triage decisions to participate in them. (shrink)

Around the Council of Basel, and opposing the nominalism renewal, in the University of Salamanca a whole new movement of humanistic renewal is promoted from the field of philosophy and theology, having in Pedro Martinez de Osma one of its most significant representatives. In this paper the meaning of his work, with influences from L. Bruni and L. Valla, is shown and two of his most significant texts are rescued from that fight which confronted the humanism against the nominalism.

Taking Nietzsche's II Untimely Meditations and the uses of history he proposes, the aim is to show how history and philosophy of history become constituded as knowledge and genealogical method in the transition from the Medieval Philosophy to the Renaissance, particularly and principally from W Rolewinck to Erasmus of Rotterdam.

Las relaciones entre la UE y la ASEAN constituyen uno de los ejemplos más significativos de los esfuerzos acometidos por la Unión Europea para consolidarse como un actor global desde la década de los noventa. Tales relaciones han discurrido, no sin altibajos, por diferentes canales no completamente independientes, pero tampoco relacionados de forma estructurada. También han contribuido en mayor o menor medida, además de a hacer posible el diálogo, la cooperación y los intercambios entre las dos regiones, a fomentar la (...) institucionalización del sistema internacional, el multilateralismo y las dinámicas de gobernanza global. En una coyuntura difícil como la actual, caracterizada por el auge de las grandes potencias cabe preguntarse por la situación y razón de ser de estas relaciones. Todo parece indicar que, pese a las dificultades, viven un momento de relanzamiento. Las relaciones entre la UE y la ASEAN constituyen uno de los ejemplos más significativos de los esfuerzos acometidos por la Unión Europea para consolidarse como un actor global desde la década de los noventa. Tales relaciones han discurrido, no sin altibajos, por diferentes canales no completamente independientes, pero tampoco relacionados de forma estructurada. También han contribuido en mayor o menor medida, además de a hacer posible el diálogo, la cooperación y los intercambios entre las dos regiones, a fomentar la institucionalización del sistema internacional, el multilateralismo y las dinámicas de gobernanza global. En una coyuntura difícil como la actual, caracterizada por el auge de las grandes potencias cabe preguntarse por la situación y razón de ser de estas relaciones. Todo parece indicar que, pese a las dificultades, viven un momento de relanzamiento. (shrink)

Since 2002, legislation in Spain has allowed for the creation and documentation of end-of-life decisionmaking. Over the intervening years, the actual implementation of such documents is very low. Through extensive analysis of the literature, this article explores the current status of the use of and attitudes toward advance directives in Spain and then proposes strategies for improvement in their implementation.

Eight focus groups were conducted in four public hospitals in Madrid to explore healthcare professionals’ perceptions of advance directives in order to improve the understanding of their lack of success among physicians and patients. A purposive sample of sixty healthcare professionals discussed ADs and reasons for their infrequent use. Three main themes were identified: perceptions about their meaning, appraisals of their use in clinical practice, and decision-making about them. Healthcare professionals perceived a lack of clarity about their definition and implementation. (...) There is insufficient awareness of their efficacy in improving the quality of clinical relationships and decision-making, and they are often perceived only as a bureaucratic procedure. Advance directives are not integrated in the clinical practice of Madrid’s healthcare specialist services because their application is exceedingly complex, because of insufficient education about them, and because of lack of procedural clarity. Consequently, healthcare professionals are not aware of how ADs could improve clinical decision-making, of when and for whom their use is appropriate, and of who has responsibility for providing ADs-related information to patients. These circumstances contribute to patients’ lack of interest in completing these documents and to physicians’ sceptical views about their usefulness. (shrink)

This article intends to contribute to the science–religion historiography with two topics—philology and the construction of national identities—that can help provide a more complex picture of the relations between science and religion. We use the life and work of the Mallorcan Catholic priest Antoni Maria Alcover (1862–1932) as a case study that puts language, linguistics, and nationalism on the board of science and religion studies. Alcover was the main driving force of the Catalan Dictionary, a collective enterprise that set out (...) to inventory the complete oral and literary lexicon of this language, and which mobilized thousands of people, many of which were clergymen, from all over the Catalan‐speaking territories. In the article, we will explore Alcover's education; the way he established a link between language, religion, and fatherland; the shaping of his identity as a philologist in the image mainly of new German notions and practices; as well as his role in the institutionalization process of the Catalan language as a scientific language, as a language for science and for religion. (shrink)

Este escrito surgió de la lectura del libro de M.ª Isabel Lafuente, Libertad, ley y poder. Bien común y Derechos humanos en la obra de Francisco Suárez (Editorial Académica Española, Berlín, 2022, 482 pp.), que se comenta a continuación. El foco de mi comentario en diálogo con este estudio es triple. Primeramente, señalar la importancia que la obra de Francisco Suárez (1548-1617) tuvo principalmente durante los siglos xvii-xviii y la variación de perspectiva y método que la filosofía moderna introdujo con (...) respecto al hacer de la escolástica y de la propia filosofía iusnaturalista de Suárez. En segundo lugar, indicar la recuperación y actualidad de Suárez en el presente. Y, en último lugar, ofrecer la estructura y los contenidos principales del libro de M.ª Isabel Lafuente con una breve conclusión. (shrink)

This article analyzes whether state repression in post—civil war situations can be explained by dynamics associated with previous civil wars. It claims that in post—civil war situations the state can more easily resort to indiscriminate repression against social groups, relying on information related to the civil war. Two civil war dynamics are tested: preemptive indiscriminate violence to eliminate opposition by the defeated population and retaliation for crimes committed during the war. Using data from the first decade of the Francoist regime (...) in Spain, the author found that civil war dynamics, and not actual dissent, explain most of the country’s postwar violence. (shrink)

En el presente conjunto de poemas, provenientes del libro titulado Vispoiesis, Pliegos de la visión n° 96 (2019), Restrepo se presenta como un operador visual que conjuga acabadamente la vocación experimental y conceptual. Encabalgado sobre preocupaciones políticas diversas, con cada una de sus piezas consigue persuadirnos de que es posible la práctica de una poesía visual que se imbrique profundamente con el contexto y que se arriesgue en un posicionamiento crítico, algo que se impone casi como una urgencia en una (...) realidad que exige el compromiso de todo poeta y artista en la construcción de nuevos horizontes y sentidos. (shrink)

The article addresses the question of whether Derrida in his political theology can be considered an “unfaithful” reader of Schmitt. While Derrida does not quote Schmitt’s Political Theology, some of his assertions are reminiscent of Schmitt’s disciplinary use of political theology. Indeed, Schmitt’s account of the relationship between exception, decision, and sovereignty was abundantly discussed in Derrida’s last seminar, The Beast and the Sovereign. Derrida attempts in this seminar to deconstruct the sovereignty of the nation-state and its onto-theologico-political foundation. The (...) question I raise in this article is whether, in previous years, Derrida himself had not implicitly made a different political theology that, considering the negative theological path, develops an alternative idea of power. The hypothesis explored is that this alternative paradigm is derived from one of the names of the impossible: the gift. (shrink)

El término “ambivalencia” cumple con varias de las funciones teóricas más relevantes tanto para el psicoanálisis como para su tesis fundacional: la del inconsciente. Este artículo se plantea la necesidad de elaborar una revisión somera que sea capaz de enlazar los condicionantes socio-históricos de la disciplina freudiana con los antecedentes teóricos más relevantes de su objeto de estudio. En este nexo surge la historia de la filosofía y sus contribuciones a la constitución de su concepto de inconsciente, comportándose como si (...) se tratara de un “alter ego”, incómodo pero imprescindible, de cuya acechanza Freud nunca se llega a emancipar. (shrink)

El acceso equitativo a la energía y a la vivienda es una preocupación básica de la justicia social. A pesar de los numerosos vínculos entre estos dos bienes esenciales, los marcos teóricos de la justicia y la pobreza energética se han referido casi exclusivamente a la cuestión de la vivienda en términos de la eficiencia energética de los edificios residenciales. En respuesta a esta carencia conceptual, se propone la reintegración del factor vivienda en el marco de la justicia y pobreza (...) energética a lo largo de los siguientes tres ejes: dimensiones materiales y temporales; dimensiones políticas; y dimensiones éticas y legales. Como ejemplo empírico de la importancia del nexo vivienda-energía en la práctica de la justicia social, se presenta el caso de dos movimientos sociales surgidos en Barcelona que trabajan con una perspectiva conjunta de derecho a la vivienda y a la energía: la Plataforma de Afectados por la Hipoteca (PAH) y la Aliança contra la Pobresa Energètica (APE). El artículo subraya la importancia de la vivienda y la energía como fundamentos materiales de una vida digna y su naturaleza conflictiva como necesidades esenciales y bienes de mercado. (shrink)

Las metodologías activas son unas excelentes herramientas para la mejora del desarrollo de competencias, así como del aprendizaje del alumnado. Se recogen las percepciones y el uso que 92 profesores de educación secundaria de la Comunidad Valenciana (España) manifestaron en un cuestionario tras haber realizado una formación en las mismas. Los resultados permiten constatar que, si bien se produce un aumento en el uso y una mejora en las percepciones, sigue habiendo una considerable resistencia al cambio de este colectivo de (...) profesorado. Encuentran desventajas como considerarlas muy exigentes con el tiempo y son escépticos en el aprendizaje real del alumnado. (shrink)

Frank Wilderson: I introduce a semiotic configuration. The point is, at important levels of abstraction, people who are positioned as Black—which is very different from saying people who think of themselves as Black. One of the basic premises of Afropessimism, which makes it resonate with psychoanalysis or Marxism, is that where one is positioned in a paradigm might not be where one thinks one is or where one desires to be. When I teach undergraduates, I say: “Look, I used to (...) study neorealism. In these neorealist films, we have these people who are bona fide fascists, and then you have those people in the Communist Party, so they could not agree on much. They don’t see themselves as having much of a connection. But in a Gramscian sense, they are both positioned as the host of capitalist parasites. Both groups rely on the wage. So, they are both workers.” One of the big points with respect to the narratological question is that I, as a Black person, trained at Columbia University in creative writing, trained at UC Berkeley in critical theory, love narrative, but narrative does not love me. In other words, it is impossible for me to be “emplotted” as a speaking subject. I can only be “emplotted” as an object of narrative. But I am always struggling to attain that love of humanity; and if I were to attain it, the Human would not have a foil against which to know itself. So, what I am saying is that in a book like Red, White & Black, I am just being very categorically clear about the divisions. In Afropessimism, I am actually talking about the desire of a sentient being who cannot be allowed into an arena where people are recognized and incorporated, in Lacanian terms, as “contemporaries” of human beings. So, there is all this back and forth. I don’t think this speaking subject in Afropessimism ever achieves anything in particular. It is always struggling toward being a subject that can actually travel on a narrative arc and yet ultimately is an object that can never travel from dispossession to redemptive recovery. (shrink)

Book reviewed: Freedom and responsibility in Neoplatonist thought.

This presentation analyzes in a general way the relationship between politics and conflict. The main argument is based on Carl Schmitt’s criterion for the definition of politics. In doing so, I introduce the central points of the different articles of this volume.

This book presents the idea of Nomos of the Earth as the key idea that organizes the whole of Schmitt’s discourse about politics.

In the literature, event metonymies have been used to explain how language users produce and interpret utterances in which certain events are understood in terms of their sub-events or the overall/...