El respeto a las decisiones autónomas de las personas se ha impuesto en la práctica médica diaria como norma reguladora de las relaciones entre profesionales y pacientes, y esto, en opinión de Alfred I. Tauber, ha puesto a la relación asistencial en una encrucijada. La ética basada en la autonomía —que es el producto de un tiempo y lugar determinados: el liberalismo inglés clásico— ha resultado tremendamente exitosa y ha sido crucial en el desarrollo de las democracias occidentales, pero a (...) juicio de Tauber es muy conflictiva en ámbitos como la medicina. El mero «traslado» de esa autonomía jurídica y liberal, casi exclusivamente preocupada por la protección de los derechos individuales, no hace sino originar un sinfín de problemas en ambos polos de la relación asistencial: genera por un lado profesionales sanitarios a la defensiva y, por otro, se convierte en muchos casos en una abstracción de dudosa utilidad para la persona enferma, pues puede hacernos olvidar la situación de desvalimiento y vulnerabilidad en que al individuo le coloca la situación de enfermedad. El objeto de este breve escrito es dejar apuntados algunos de los conflictos que surgen cuando entendemos el encuentro entre doctor y paciente en términos excesivamente «autonomistas». (shrink)

In recent years, several studies have advocated the need to expand the concept of patient autonomy beyond the capacity to deliberate and make decisions regarding a specific medical intervention or treatment (decision-making or decisional autonomy). Arguing along the same lines, this paper proposes a multidimensional concept of patient autonomy (decisional, executive, functional, informative and narrative) and argues that determining the specific aspect of autonomy affected is the first step towards protecting or promoting (and respecting) patient autonomy. These different manifestations of (...) autonomy are not mutually dependent; there may be patients who have problems in one dimension, while at the same time being fully autonomous in others. Nevertheless, a close interaction has been observed between the various dimensions and indeed, a phenomenological analysis shows that damage to or a reduction in one aspect of people’s capacity for self-government generally affects other aspects of their autonomy, which in turn disrupts their identity and the way in which they see themselves and are seen by others. In this paper, I shall examine some of these interactions and show how they may lie at the heart of the problem of poor treatment adherence (where adherence is defined as being the extent to which a patient’s behavior over time coincides with the recommendations made by and agreed with their health professional). One example given is that of psoriasis, a chronic skin disease with a very poor adherence record. In Spain, it is calculated that 85% of patients diagnosed with mild to moderate psoriasis fail to comply properly with their treatment, and figures from other parts of the world are similar. Although there are many possible causes for non-adherence among psoriasis patients, assessing their decisional, executive and narrative capacities and taking appropriate action based on the results may help increase adherence rates. (shrink)

Reseña de Nys, T., Denier, Y., Vandevelde, T. (eds.): 2007, Autonomy and Paternalism. Reflections on the Theory and Practice of Health Care. Lovaina: Peeters.

Filosofoek, ia ahobatez, bi egia moten arteko bereizketa onartu ohi dute. Alde batetik egia beharrezkoak eta egia kontingenteak bereizi eta bereizten dira. Lan honetan aipatutako bereizketaz ari gara, batez ere txanponaren alderdi bat jorratuz, egia beharrezkoak zertan diren aztertuz hain zuzen ere. Irakurleak bereizketaren jarraipen historikoa ere aurkituko du. Horrez gain, hiru testu berri-klasikoen itzulpena burutu dugu: Quineren enpirismoaren bi dogma, Tarskiren egia eta froga eta Kripkeren identitatea eta beharrezkotasuna.

In this paper, we present two proofs of the reciprocal butterfly theorem. The statement of the butterfly theorem is: Let us consider a chord PQ of midpoint M in the circle Ω(O). Through M, two other chords AB and CD are drawn, such that A and C are on the same side of PQ. We denote by X and U the intersection of AD respectively CB with PQ. Consequently, XM = YM. For the proof of this theorem, see [1]. The (...) reciprocal of the butterfly theorem has the following statement: In the circle Ω(O), let us consider the chords PQ, AB and CD which are concurrent in the point M≠O, such as the points A and C are on the same side of the line PQ. Let X and Y respectively be the intersections of the chord PQ with AD and BC respectively. If XM = YM, then M is the middle of the chord PQ. (shrink)

El presente trabajo pretende aportar una serie de recomendaciones prácticas consonantes con el respeto de los derechos humanos para el trabajo periodístico al momento de abordar el fenómeno de la inmigración. Para ello se recogen aportes teóricos y conceptuales acerca del análisis de discurso, la teoría del framing y teoría de los derechos humanos, y con ello evidenciar la importancia que tienen los enfoques periodísticos al momento de exponer noticias relacionadas con el fenómeno de la inmigración.

The Dignity of the Children according to the New Testament teaching should be a landmark for modern era. New Testament raised the dignity of the unborn child, from a simple mass of cells to a child who has the right to be born and live. The child born has the value of a person that to enjoy family and society not only for economic potential but for the soul value as they bear the image of God. Children of different ages (...) have the right to be baptized, have access to the grace of the Sacraments and become saints. In fact the true dignity of man is his power to become a saint. And the child is the image of the saint, heir of the Heaven. (shrink)

MĂDĂLINA DIACONU, Tasten, Riechen, Schmecken. Eine Ästhetik der anästhesierten Sinne, 2005 ; SILVIA STOLLER, VERONICA VASTERLING,LINDA FISHER, Feministische Phänomenologie und Hermeneutik, 2005 ; KARL SCHUHMANN, Karl Schuhmann: Selected Papers on Phenomenology. Edited by CEES LEIJENHORST and PIET STEENBAKKERS, 2004 ; HIROSHI GOTO, Der Begriff der Person in der PhänomenologieHusserls. Ein Interpretationsversuch der Husserlschen Phänomenologie als Ethik im Hinblick auf den Begriff der Habitualität, 2004 ; GÜNTER FIGAL, Lebensverstricktheit und Abstandsnahme. „Verhalten zu sich“ im Anschluss an Heidegger, Kierkegaard und Hegel, 2001 (...) ; JACQUES DERRIDA, Le toucher, Jean-Luc Nancy, 2000. (shrink)

David Wong has introduced the notion of moral ambivalence in the philosophical debate. In this paper, we focus on the nature of moral ambivalence and on its interpretation. We hold that moral ambivalence is not a phenomenon that provides evidence for relativism, as Wong claims, and as relativism is usually understood. Rather, ambivalence denotes a pluralist attitude, an attitude characterized by the thought that two different, even incompatible, courses of action can both be permissible when considered from a single perspective. (...) We distinguish pluralism from relativism and argue that it is more appropriate to consider Wong’s position as an objectivist pluralism. We also highlight the similarity between Wong and Hume’s accounts. (shrink)

En la primera parte de esta conferencia veremos el contexto en el quedesarrolla Ryle su concepto de errores categoriales aplicado al problema de la mente. Examinaremos luego la propiedad del mismo, especialmente encontraste con las críticas que se le han dirigido. Finalmente, introduciremosalgunos comentarios, respecto de esta problemática y de la filosofía analítica.

Nuestro objetivo es examinar el tratamiento que ofreció Ludwig Wittgenstein en Sobre la certeza al problema escéptico del mundo externo, el cual consiste en la imposibilidad de conocer el mundo empírico. Reconstruiremos este problema a partir del argumento del sueño de René Descartes. Wittgenstein responde que la existencia de un mundo circundante al observador forma parte de las asunciones de los juegos del lenguaje, de modo que el problema es inadmisible. Evaluaremos el abordaje wittgensteiniano y lo entenderemos como una propuesta (...) contextualista que disuelve el problema mediante una reconsideración de sus presupuestos. La lectura contextualista que ofreceremos defiende que los estándares de atribución de verdad, significado y sentido son sensitivos a un contexto de enunciación, que en la obra wittgensteiniana toma el nombre de juego de lenguaje. (shrink)

ResumenEn este trabajo tratamos de esclarecer en qué sentido Hume es relativista con relación a la ética y a la estética. El sentimentalismo inherente a su ética y estética hace que, desde el punto de vista de algunos intérpretes, Hume sea un relativista radical con respecto a dichos ámbitos. Sin embargo, tanto el innegable sentimentalismo de Hume como su supuesto relativismo requieren un profundo estudio. Nos valdremos del concepto de regla general para analizar las relaciones entre sentimentalismo y relativismo, y (...) finalmente argumentaremos que si bien tiene sentido calificar a Hume como relativista, su relativismo es moderado y sensato.Palabras claveRelativismo, Hume, regla general, Ética, EstéticaAbstractIn this paper we will try to elucidate in what sense Hume is a relativist concerning ethics and aesthetics. According to some interpreters’ views, Hume’s sentimentalism with respect to ethics and aesthetics implies that Hume is what we could call a radical relativist. However, both Hume’s sentimentalism and his alleged relativism need a deep analysis. We will analyze the relationship between sentimentalism and relativism based on the concept of general rule. Finally we will argue that, even though Hume may be labelled as a relativist, his relativism is moderate and sensible.Keywords Relativism, Hume, general rule, Ethics, Aesthetics. (shrink)

This article examines the changing landscape of public service provision in the UK during austerity. Austerity is presented through the notions of retrenchment, decentralisation and shifts in governance. The analysis shows that retrenchment and decentralisation eroded the capacity of public institutions to protect the provision of vital public services. This is revealed through the reduced provision of non-statutory services and the reinforcement of inequalities in service provision. Shifts in governance have led to mixed outcomes in the quality of services. This (...) article also addresses how austerity influenced many of the problems observed in service provision during the COVID-19 pandemic. Vital public services in the UK faced the pandemic with a diminished resource base, heightened inequalities and significant fragmentation in service provision. (shrink)

In this commentary, I will argue that the componential and emergent views of cognitive control as defined by Cooper (2010) do not necessarily oppose each other, and I will try to make a case for their interdependence. First, I will use the construct of cognitive inhibition—one of the main componential control functions mentioned in the target articles—to illustrate my line of reasoning. Then, I will comment on how some of the target articles, each from a different perspective, bring arguments in (...) favor of this integrative view. (shrink)

Violence is signaled by a mark of discontinuity, interruption, rupture. The tripartite temporality of violence, with its strong focus on the present, points to the originary violence. Moreover, the violent event is structuring the order of the action sequences in an actual violent (embodied) interaction. The interactional dynamics in violent encounters between co-present actors shapes the specific forms of the experiencing in (and of) the violent interaction. Based on how violence is experienced in an interactive situation, the phenomenon of violence (...) articulates itself according to three coordinates: directedness, co-performativity and de-capabilisation. The outlining of the structure of the lived experience of violence is revealing something irreducible in it. To understand the experience of violence as such, I propose that we accept the idea of violence per se and depart from the idea that the acts of violence are essentially moral actions. The core of the ethical-moral discussion concerning violence should be grounded instead on the moment of conversion identifiable when we take into account the reaction to violence. (shrink)

In this paper, we argue for an objectivist pluralist interpretation of Hume’s moral philosophy. We begin by approaching the pluralist/relativist distinction in aesthetics. Then we move to ethics, and present some reasons which justify considering Hume a normative pluralist, and, in particular, an objectivist pluralist. Our argument will make use of Hume’s idea that there are foru sources of value, and of his notion of artificial lives/moralities.

The present study aims to carry out an analysis of the relation between the Bibles of Samuil Micu and Andrei Șaguna from an isagogic perspective, with a particular focus on the canon and canonicity of the books of the Holy Scripture. We believe that, through such an analysis, we can observe what they have in common, but also what differentiates the two Transylvanian editions of the Holy Scripture so that we can help those interested in understanding the reasons behind the (...) current controversies as to the relation between them. Although these controversies refer to the biblical text of the two Scriptural editions, the fact that the attitude towards it was caused by denominational factors, whose doctrinal background is represented by two different traditions of understanding the biblical canon, has been overlooked. This is why we find that the evaluation of how the two Romanian editions of the Holy Scripture (the Bible of Samuil Micu, 1795, and the Bible of Andrei Șaguna, 1856-1858) relate to the canonical tradition of each Church and cultivate their isagogics is fundamental for the establishment and understanding of the relation between them. (shrink)

There are many ways of interpreting the behaviours related to substance misuse and addiction, which can be sort out as three basic models: biomedical, legal, and social. They are corresponding to approaches built in different epistemic and professional frameworks, such as medicine, law, and social work. Confronted with the experience of addiction, these models appear as pre-determined by a specific scientific or professional ideology; they presuppose a pre-understanding of the phenomena. I directed, therefore, my investigation on those phenomenological paths that (...) might lead to, and circumscribe the experience of addiction and I propose an analytical framework based on three major phenomenological perspectives: descriptive, genetic, and inter-relational. This paper argues in favour of defining addiction without making reference to a form of failure, psycho-somatic or existential. On the contrary, it concludes that there is a need to adopt a definition of addiction which holds at its core the idea of empowering addicted persons, of re-constructing their capacity to take decisions about their own lives. (shrink)

This study was conducted with the purpose of analyzing the combined and mediating effect of actor’s withdrawal–partner’s demand conflict resolution strategies between avoidance attachment dimension and relationship satisfaction. We conducted a dyadic study with 175 heterosexual couples who filled in the questionnaires. Six hypotheses were tested using the actor–partner interdependence model with mediation analysis. Results showed that the avoidance dimension of attachment was more strongly associated with actor’s withdrawal strategy than with demand/aggression strategy. Furthermore, avoidance attachment was negatively associated with (...) both actor’s and partner’s relationship satisfaction, the actor effect being higher. Withdrawal strategy was a mediator between actor’s avoidance and actor’s relationship satisfaction, but it was not a mediator for partner’s relationship satisfaction. The interactive pattern of actor’s withdrawal–partner’s demand/aggression was associated with low levels of both actor’s and partner’s relationship satisfaction. These results point out to the need of discerning the interactive pattern of conflict-solving strategies as well as their intertwined effect on relationship satisfaction. (shrink)

El objetivo de este artículo es ofrecer una perspectiva histórico-filosófica del idealismo y el Romanticismo. La estrategia que emplearemos en esta investigación consiste en analizar dichas corrientes intelectuales a partir del problema, propio de la Modernidad filosófica, de incorporar la libertad dentro de la estructura de la subjetividad humana. El idealismo y el Romanticismo surgieron gracias a la influencia que ejerció el espíritu libre de la Revolución francesa. El espacio donde se desarrolló esta revolución cultural alemana fue el Círculode Jena, (...) un grupo que concentró a muchos de los intelectuales más influyentes en la historia de la filosofía y la literatura. Y fueron las ideas de Immanuel Kant —en específico, con los temas referentes a la apercepción (Yo pienso), la libertad y el genio— la influencia más determinante para los idealistas y losrománticos. (shrink)

The aim of this paper is to argue in favor of the idea that it is possible not only to give a special place to reason in our life and in society, but also to offer an integrative rational framework, in in which human ends and goals find their rational expression. The text has three parts. The first describes Alfred Schutz's practical-hermeneutical approach to law and normativity, while making room for a subjective practice of reason. The second proposes to reveal, (...) through the description of knowledge in the world of ordinary life, a form of rationality which offers us practical but consistent ways of making a decision. Ultimately, the third aims at the practical-hermeneutical reconstruction of the law, in order to integrate into the core of legal reasoning references to ends and purposes without prejudicing the objectivity of the reasoning itself. The study aims to make a contribution to the problem of dedifferentiation and positivism of practice in the modern world. Le but de ce papier est d’argumenter en la faveur de l’idée qu’il est possible non seulement de donner une place particulière à la raison dans notre vie et dans la société, mais aussi d’offrir un cadre rationnel intégratif, dans lequel les fins et buts humains trouvent leur expression rationnelle. Le texte comporte trois parties. La première décrit l’approche pratique-herméneutique d’Alfred Schutz à l’égard de la loi et de la normativité, tout en faisant place à une pratique subjective de la raison. La deuxième se propose de dévoiler, à travers la description de la connaissance dans le monde de la vie ordinaire, une forme de rationalité qui nous offre des voies pratiques mais consistantes de prendre une décision. En fin de compte, la troisième vise la reconstruction pratique-herméneutique de la loi, afin d’intégrer dans le noyau du raisonnement légal des références à des fins et buts sans porter préjudice à l’objectivité du raisonnement lui-même. L’étude veut apporter une contribution au problème de la dédifférenciation et du positivisme pratique dans le monde moderne. (shrink)

This paper tries to show that the naturalistic view of addiction is mired in contradictions that stem from reducing the addict to a weak-willed subject who loses control over his or her body. From a phenomenological perspective, addiction reveals itself to be a habit which eventually becomes harmful, but has its primary sources in the embodied needs of a worldly subject. The aim of this paper is to uncover the dimensions of the lived addiction that are neglected in the contemporary (...) naturalistic discourse: the lived-body and the worldly context of the addict. Firstly, we try to do justice to the variety of addictions by underlying that their new and surprising forms are determined by the intersubjective tissue wherein the subject operates. Secondly, the loss of control in addiction, how the subject deals with the tendency to satisfy a need, is experienced as powerlessness, as expressed in the accounts of ecstasy addicts regarding altered states of mind. The last section of this paper will argue that this sense of powerlessness cannot be equated with a weakness of the will because a strong, forceful will engenders the same vertigo of being prey to strange powers. The embodied aspect of addiction and the spontaneous, bodily need it saturates will clarify further this claim. (shrink)

(Introduction) The question of heterogeneity does not appear at first glance to be a genuinely phenomenological problem and not even a problem in general. It seems to go without saying that there is “coupling” (Paarung), association, fusion, synthesis or in general any form connection between different data of consciousness, all as it seems obvious (at least from Husserl) that there must be objectities so that we can talk about knowledge and truth. After Kant we got so used to synthetic formations (...) that we hardly think of their possibilities in principle and the problems that these are called upon to resolve. Phenomenology does nothing else but describing the synthetic process, starting with its most elementary (pre-reflective) levels, aiming thus to completely elucidate the constitution of the objectity and, by that, the functioning and the rights of reason. Now, such elucidation does not only involve an approach aimed at the how, but also, the why of this process. In other words, our attention and our theoretical interest must be directed not only towards the course of the constitutive synthesis, but also on what motivates her intrinsically. Questions like "why should he be there in general an objectity? " or "is it principally possible to associate in one form or another data belonging to to the same class or to different classes? ”, questions which are de jure and which therefore refer rather to the legality of the constitution than its more or less contingent functioning, cannot in any way be excluded from the scope of the phenomenological questioning. As much as the epistemological ideal of phenomenological description required above all that it avoid any form of abstraction and idealization, this class of questions is, if not excluded, at least left in shadow. (shrink)