IntroductionRheumatologists are the primary healthcare professionals responsible for patients with rheumatic diseases and should acquire medical ethical competencies, such as the informed consent process. The objective clinical structured examination is a valuable tool for assessing clinical competencies. We report the performance of 90 rheumatologist trainees participating in a station designed to evaluate the ICP during the 2018 and 2019 national accreditations.MethodsThe station was validated and represented a medical encounter in which the rheumatologist informed a patient with systemic lupus erythematosus with (...) clinically active nephritis about renal biopsy. A trained patient–actor and an evaluator were instructed to assess ICP skills in obtaining formal informed consent, delivering bad news and overall communication with patients. The evaluator used a tailored checklist and form.ResultsCandidate performance varied with ICP content and was superior for potential benefit information but significantly reduced for potential complications and biopsy description. Only 17.8% of the candidates mentioned the legal perspective of ICP. Death was omitted by the majority of the candidates ; after the patient–actor challenged candidates, only 57.1% of them gave a clear and positive answer. Evaluators frequently rated candidate communications skills as superior, but ≥1 negative aspect was identified in 69% of the candidates.ConclusionsEthical competencies are mandatory for professional rheumatologists. It seems necessary to include an ethics competency framework in the curriculum throughout the rheumatology residency. (shrink)

El duelo anticipado es un tema al que la filosofía ha prestado muy poca atención, a diferencia de lo que ocurre con el duelo que sigue a la muerte. Una peculiaridad obvia del primero es que sucede mientras todavía existe una relación interpersonal entre el doliente y aquel por quien se duele. En este artículo examino el impacto que el duelo anticipado puede tener en dicha relación, particularmente con respecto a las actitudes reactivas de sanción, propias del conflicto interpersonal.

Cancer is a chronic disease that causes the most deaths in the world, being a public health problem nowadays. Even though breast cancer affects the daily lives of patients, many women become resilient after the disease, decreasing the impact of the diagnosis. Based on a positive psychology approach, the concept of co-vitality arises understood as a set of socio-emotional competencies that enhance psychological adaptation. In this sense, emotional intelligence is one of the main protective factors associated with resilience. However, it (...) is not always as beneficial as it seems, and can lead to collateral effects on psychological adjustment. Given this controversy, this study aims to find the specific processes through which the dimensions of Perceived Emotional Intelligence can act as a risk or protective factor in the development of resilience. The total sample was 167 women, 46.7% were breast cancer survivors, and 53.3% were healthy controls. The selection of women with breast cancer carries out randomly, recruited through the Oncology Units. The sample completed measures of resilience and PEI, through Resilience Scale and TMMS-24. The results showed that breast cancer survivors showed higher age and greater levels of resilience and mood repair than healthy women. The mediation analysis revealed that breast cancer survival and PEI predicted 28% of the variance of resilience. The direct effects showed that emotional clarity and mood repair increased resilience levels. Although breast cancer did not predict resilience directly, it does through mood repair by an indirect process. Besides, the analysis showed that emotional attention played a role in vulnerability, decreasing mood repair, and resilience. These research support theories that point to a possible dark side of PEI, thus, a great level of emotional attention makes dark the positive effect of mood repair and personal growth if a clear perception of emotions does not complement it. These results provide empirical support concerning the need to work complementary each dimension of PEI to avoid unwanted effects on intrapersonal adjustment. (shrink)

Nowadays, students are experiencing difficult and stressful situations due to the Global Pandemic Alert. This changing world can evoke negative emotions that have been traditionally linked to higher anxiety. Researches have been focused on the positive outcomes of trait emotional intelligence preventing psychological disorders. However, the possibility that TEI might have a dark side has been neglected. Hence, this study aimed to explore the mediating effect of the three dimensions of TEI in the relationship between negative affect and anxiety symptoms (...) among college students. Participants of this research were 467 undergraduates who completed an online self-reported questionnaire including the Positive and Negative Affect Schedule, the State-Trait Anxiety Inventory, and Trait Meta-Mood Scale. The global serial mediation model showed that the total amount of variance explained by the global model was 30.8%. Negative affectivity and age accounted for the 15.1% of state anxiety variance while 15.7% of the variance of state anxiety was attributed to the direct or indirect effect of the three dimensions of TEI. Five indirect effects presented statistical significance. The contrast analyses between mediators showed that three indirect effects had higher statistical weigh; the ability of negative affect to increase state anxiety through emotional attention; emotional clarity, and serially through emotional clarity and mood repair. Our results indicated that students’ negative emotions lead to higher emotional attention which in turn may enhance state anxiety in two ways: by a direct effect of emotional attention on state anxiety and by a serial effect through emotional clarity. Moreover, when negative affect is associated with lower emotional clarity, anxiety symptoms may also arise. However, when attention and clarity are connected, the negative effect is reversed into a positive one, decreasing state anxiety. (shrink)

This essay develops a loosely understood Marxist notion of material conditions in light of the Caribbean plantation complex. The racial order endemic to the plantation and its continuation in post-emancipation contexts undermines any spurious base/superstructure distinction at work in an understanding of material conditions even in some accounts of racial capitalism. Material conditions are as ideological as they are “infrastructural” (Sylvia Wynter) in being ongoingly articulated by anti-black coordinates of sense. The ongoing actualization of the racial order of slavery is (...) understood not as required by altered material conditions, but rather as altering material conditions. The essay considers the continuity of the racial order of the plantation through the contract in a specific site, namely, post-emancipation Puerto Rico. (shrink)

Critical theory must add to its agenda “disrupt[ing] the easy passage from critique [to] its neoliberal double”, Nancy Fraser recently argued. Emancipatory movements have not only been transformed by neoliberalism. They have, “unwittingly”, provided powerful “ingredients” for the transition to neoliberalism. This essay examines Axel Honneth and Nancy Fraser’s assessment of and normative proposal for addressing the paradoxes of neoliberalism. The constraints of neoliberalism, I argue, bring into focus the structural challenge of immanent critique as understood within second and third (...) generation Critical Theory. Normative ambivalence within neoliberalism, I maintain, calls for a shift in the way that critical and justificatory practices are understood within the Frankfurt School. (shrink)

A reforma trabalhista vem sendo normalmente apresentada como uma ruptura neoliberal com a tradição de protecionismo da Justiça do Trabalho e da legislação referente ao tema. Existe, todavia, um elemento de continuidade, que é a persistência na promessa da paz perpétua. A CLT apresenta a fraternidade entre as classes como imposição cristã. A Reforma Trabalhista insiste na superação dos conflitos como imposição da democracia, uma vez removida a intervenção estatal representada pela justiça do trabalho. Trata-se de uma utopia, uma vez (...) que as classes antagonistas disputam recursos limitados na luta pela sobrevivência. (shrink)

The current study analyzed how trait emotional intelligence (trait EI) mediates the relationship between self-esteem and state anxiety (STAI-S) and trait anxiety (STAI-T). The sample was composed of 153 undergraduate students from the University of Cádiz, Spain (71.9% women and 28.1% men). Students completed measures of self-esteem, STAI-S, STAI-T, and trait EI. Mediation analyses were completed with three trait EI dimensions (emotional attention -EA-, emotional clarity -EC-, and mood repair -MR) as mediating variables, self-esteem as the independent variable, and STAI-S (...) and STAI-T as the dependent ones. Our results confirmed that self-esteem scores explained and predicted both, STAI-S and STAI-T values (13% for STAI-S and 21% for STAI-T). This explanatory capacity is increased by 8% when accounting for all trait EI dimensions. Considering STAI-S, the results of the direct effects showed that a decrease in their levels is predicted through the increases in the levels of both, self-esteem and MR. Regarding STAI-T, the results of the direct effects showed that a decrease in their levels is predicted, in addition to an increment of self-esteem and MR values, by an increase of EC and a decrease of EA. Conversely, indirect effects revealed that higher levels of self-esteem were associated with worse scores in EA and worse MR, which in turn would enhance both STAI-S and STAI-T levels. Moreover, regarding STAI-T higher levels of self-esteem were associated with worse scores in EA and worse EC, therefore increasing STAI-T levels. As shown, the negative association found between self-esteem and EA becomes a key element. The effect of self-esteem on EA and the influence that the latter had on EC and MR exerts an indirect mediated effect with the power to invert the influence that self-esteem wields on both types of anxiety. In this sense, the apparent protective role of self-esteem changed, turning into a risk factor that promotes higher anxiety values. (shrink)

This paper deals with the methodological role played by the term «motivation» in young Heidegger’s early hermeneutic transformation of phenomenology. To that effect, I shall start analyzing the concept of motivation in Husserl’s phenomenology so as to better understand its hermeneutical variation in young Heidegger’s philosophy. Subsequently, I will pay special attention to the relevance exhibited by motivation in the emergence of the most important methodological notions of hermeneutical phenomenology as «destruction», «formal indication» and «preconception». To conclude, I shall explore (...) the possibility of reshaping the phenomenological problem of the motivation to reduction in hermeneutical terms. That is to say: a motivation to reduction in factical life experience is always needed to access to the primordial sphere of meaning. Accordingly, I will finally suggest that the philosophical basic experience of radical questioning can be read as a hermeneutical epoche, which is, however, directly linked to the concern for one’s own existence. (shrink)

Grounding refers to expressions that establish a connection between the ground and the content evoked by a nominal or finite clause. In this paper we report on two grammatical implementations of nominal grounding in Argentine Sign Language: pointing and placing. For pointing constructions, we also examine distal-proximal pointing and directive force. We introduce the concept of placing, in which a sign is produced at a specific meaningful location in space. Two types of placing are discussed: Placing-for-Creating, in which a new (...) meaningful location is created, and Placing-by-Recruiting, which recruits an existing meaningful location. We suggest that our analysis of pointing and placing provides an account of nominal grounding unified by general cognitive principles as described within the theory of Cognitive Grammar. Pointing is known to occur in all signed languages studied to date. Although previously undocumented, we suggest that placing is also common to many, perhaps all, signed languages. (shrink)

En el duelo frecuentemente rememoramos con pesar los sufrimientos que le causamos a la persona fallecida, pero algunos de esos apesadumbrados recuerdos nos desconciertan y hasta pueden hacernos dudar de la sinceridad de nuestro amor por ella porque, aunque lamentamos profundamente haberla hecho sufrir, no nos arrepentimos de haber actuado como actuamos. En este artículo examino las características, tipos y naturaleza de la emoción a la que Bernard Williams llamó «_agent-regret»_ (lamentación o pesadumbre del agente), para sostener que aquella experiencia (...) del doliente puede entenderse como una instancia particular de esta emoción. Además, hago algunas consideraciones acerca de cómo el proceso mismo del duelo complica la de por sí difícil experiencia de lamentarse como agente. (shrink)

El encargo que recibe la escuela de gestionar las emociones para producir indicadores, mejorar la convivencia o desarrollar las competencias, es solo una de las aristas que tiene la educación escolarizada. En este artículo, y a partir de las vivencias en algunas instituciones educativas de la ciudad de Medellín, se busca indicar otra ruta posible para las emociones en la escuela; aquella que está referida no a su gestión, sino a la comprensión de su componente cognitivo para, por la vía (...) de la formación, contribuir a la transformación creativa de sí. * Este artículo recoge algunas reflexiones del proyecto de investigación Educación global/pedagogía planetaria y espacio social. Una relación colaborativa entre Suiza y Colombia, que desarrollamos en convenio con la Universidad Pedagógica de Berna, con un equipo binacional. En Berna: Angela Stienen y Katryn Oester; en Colombia: Jesús Alberto Echeverri, Juan Camilo Estrada, Juan Carlos Vásquez García. (shrink)

In 2016, the Atlanta Community Food Bank launched the Stabilizing Lives project to develop programs and policies that could better address clients’ needs as well as including clientele as part of the planning process. The ACFB partnered with a research team at the University of Georgia to conduct a participatory research project aimed at developing deeper insights into the factors contributing to both instability and stability in the lives of pantry clientele. This article describes the outcomes this research, offering both (...) a substantive contribution to scholarship on food insecurity and emergency food systems and a methodological innovation through a staged mixed-method participatory research project. Through use of a culture-centered approach, this project created discursive spaces within which to outline emergency food models that support informal networks of care. We used a range of methods, including photo elicitation, concept mapping, individual interviews, and focus groups, to facilitate conversation among agency staff, volunteers, and clientele about the effectiveness of current program models and potential new ideas. Specifically, we suggest that through such practices, food pantries and local agencies may help inform new program models that contribute to household stability, and push back against the sometimes alienating and atomizing paradigm found in current emergency food programs. (shrink)

Routledge is now re-issuing this prestigious series of 204 volumes originally published between 1910 and 1965.

Annotation Routledge is now re-issuing this prestigious series of 204 volumes originally published between 1910 and 1965. The titles include works by key figures such asC.G. Jung, Sigmund Freud, Jean Piaget, Otto Rank, James Hillman, Erich Fromm, Karen Horney and Susan Isaacs. Each volume is available on its own, as part of a themed mini-set, or as part of a specially-priced 204-volume set. A brochure listing each title in theInternational Library of Psychologyseries is available upon request.

BackgroundAn editorial expression of concern (EEoC) is issued by editors or publishers to draw attention to potential problems in a publication, without itself constituting a retraction or correction.MethodsWe searched PubMed, PubMed Central (PMC), and Google Scholar to identify EEoCs issued for publications in PubMed and PMC up to 22 August 2016. We also searched the archives of the Retraction Watch blog, some journal and publisher websites, and studies of EEoCs. In addition, we searched for retractions of EEoCs and affected articles (...) in PubMed up to 8 December 2016. We analyzed overall historical trends, as well as reported reasons and subsequent editorial actions related to EEoCs issued between August 2014 and August 2016.ResultsAfter screening 5076 records, we identified 230 EEoCs that affect 300 publications indexed in PubMed, the earliest issued in 1985. Half of the primary EEoCs were issued between 2014 and 2016 (52%). We found evidence of some EEoCs that had been removed by the publisher without leaving a record, and some were not submitted for PubMed or PMC indexing. A minority of publications affected by EEoCs had been retracted by early December 2016 (25%). For the subset of 92 EEoCs issued between August 2014 and August 2016, affecting 99 publications, the rate of retraction was similar (29%). The majority of EEoCs were issued because of concerns with validity of data, methods, or interpretation of the publication (68%), and 31% of cases remained open. Issues with images were raised in 40% of affected publications. Ongoing monitoring after the study identified another 17 EEoCs to year’s end in 2016, increasing the number of EEoCs to 247 and publications in PubMed known to be affected by EEoCs to 320 at the end of 2016.ConclusionsEEoCs have been rare publishing events in the biomedical literature, but their use has been increasing. Most have not led to retractions, and many remain unresolved. Lack of prominence and inconsistencies in management of EEoCs reduce the ability of these notices to alert the scientific community to potentially serious problems in publications. EEoCs will be made identifiable in PubMed in 2017. (shrink)

En Chile se ha otorgado importancia al aprendizaje del inglés en la enseñanza superior, y en la mayoría de las universidades se ha incorporado, en los perfiles de egreso, una competencia relacionada con el idioma inglés. Las mediciones actuales según, la escala del Marco Común Europeo indican un logro de nivel A1 o A2 de este idioma. La motivación es reconocida como una variable psicológica multifacética que impacta, entre otros aspectos, en el proceso de aprendizaje de una segunda lengua. En (...) este sentido, el objetivo de este estudio es analizar la relación entre la variable motivación y rendimiento académico de estudiantes universitarios en una asignatura de inglés. Se realizó un estudio descriptivo-correlacional, con un diseño no experimental de carácter transversal. Se aplicó el instrumento Attitude/Motivation Test Battery (AMTB) de Sandoval Pineda (2011) a una muestra de 53 estudiantes pertenecientes a la carrera de Pedagogía Media en Inglés de una universidad regional en Chile. Los resultados demostraron que la subdimensión de la variable motivación que obtuvo el promedio más alto fue la _Orientación Integrada_ (OINT) (M = 6.712; _DE_ = 0.456). El promedio obtenido por la variable rendimiento académico es M= 5.117 y la desviación estándar DE= 0.917. De acuerdo con la rúbrica de evaluación, el nivel de desempeño de los estudiantes es _Good_, que se describe como: _Student utilizes topic-related vocabulary in an accurate manner for the situation given__,_ aunque los resultados muestran una alta dispersión. En relación con el análisis de la correlación entre las subdimensiones de la variable motivación y rendimiento académico, no se observó una relación significativa (r = 0.072 y un p-valor de 0.610). Algunos de los hallazgos muestran que, los estudiantes reflejaron altos niveles de motivación hacia el aprendizaje del inglés, aunque no se demostró una relación significativa entre la motivación y las calificaciones. (shrink)

In response to recent work on the nature of human aggression, and to shed light on the proximate, as opposed to ultimate, causes of tribal warfare, we present a record of events leading to a fatal Waorani raid on a family from another tribe, followed by a detailed first-person observation of the behavior of the raiders as they prepared themselves for war, and upon their return. We contrast this attack with other Waorani aggressions and speculate on evidence regarding their hormonal (...) underpinnings. On-the-ground ethnographic observations are examined in light of the neuroendocrinological literature. The evidence suggests a chain of causality in launching lethal violence, beginning with a perceived injury, culminating in a massacre, and terminating in rejoicing. Although no blood or saliva samples were taken at the time of this raid, the behaviors were consistent with a deliberate initiation of the hormonal cascade characterizing the “fight-or-flight” response, along with other hormonal changes. We conclude with observations on the stratified interrelationships of the cognitive, social, emotional, and neuroendocrinological causes of aggression leading to coalitional male homicide. (shrink)

In “Violence and Metaphysics” Jacques Derrida suggests that “the only effective position to take in order not to be enveloped by Hegel would seem to be…to consider false-infinity…irreducible.” Inversely, refuting the charge of logocentrism associated with Hegelian true infinity ( wahrhafte Unendlichkeit ) would involve showing that Hegel’s speculative logic does not establish the infinity of being exempt from the negativity of the finite. This paper takes up Derrida’s challenge, and argues that true infinity is crucial to Hegel’s understanding of (...) ideality as a question of normative authority, which does not fall prey to logocentrism. Through an exposition of the dialectic of the finite and the infinite in Hegel’s Science of Logic , I argue that true infinity is not an ontological category that eliminates division, but rather refers to the metalogical standpoint involved in a philosophical account of determinacy. Although fully achieved at the end of the Logic , the metalogical standpoint that Hegel elaborates in the Seinslogik under the banner of the true infinite already clarifies that determinacy is a product of normative authority that is itself precarious. (shrink)

La trata de personas con fines de explotación sexual es un delito que se encuentra vinculado a las desigualdades de género y sociales, a la alta demanda de prostitución, a la inmigración irregular y al crimen organizado internacional. Es una vulneración de los derechos de las personas víctimas, especialmente la dignidad y la libertad. Aunque se han realizado importantes avances normativos y políticos tanto en el ámbito internacional como nacional, en los países donde las mujeres son explotadas, suelen ser detenidas, (...) tratadas como delincuentes y deportadas, sin que hubiesen sido identificadas, protegidas y atendidas, tal como lo establecen la normativas internacionales. En este sentido, el artículo presenta la experiencia de APRAMP como organización especializada en la lucha contra la trata, que ofrece un modelo de atención integral desde una perspectiva de derechos humanos y género para garantizar los derechos de las mujeres y menores de edad víctimas de este delito. (shrink)