Social theory has paid little attention to air, despite its centrality to bodily existence and air pollution being named the world’s biggest public health crisis. Where attention to air is found, the body is largely absent. On the other hand, conceptualizing the body without life-sustaining breath fails to highlight breathing as the ongoing metabolic bodily act in which the materiality of human and more-than-human intermingle and transmute one another. Political ecology studies how unequal power structures and knowledge production reproduce human–environment (...) relations, including a nascent focus on the body and air – but as separate issues. This article argues that a political ecology of air would productively fuse with a political ecology of the body to bring the visceral realm into intersectional analysis of air’s contemporary materialities. A feminist political ecology situates explicitly air-and-breathing-bodies, their intimately posthuman, relational, elemental and corpomaterial intra-action, at the heart of such analysis. (shrink)

La relación médico-paciente (RMP) es una relación profesional-interpersonal base para la gestión de la salud. Nuestro objetivo fue desarrollar un instrumento que permitiera evaluar la presencia de los principios bioéticos en la atención médica recibida en la consulta externa de una institución hospitalaria. El instrumento quedó constituido por 21 reactivos para evaluar su confiabilidad y consistencia. El coeficiente de correlación intraclase fue de 0,81 (_p_.

BackgroundFor many decades, the debate on children’s competence to give informed consent in medical settings concentrated on ethical and legal aspects, with little empirical underpinnings. Recently, data from empirical research became available to advance the discussion. It was shown that children’s competence to consent to clinical research could be accurately assessed by the modified MacArthur Competence Assessment Tool for Clinical Research. Age limits for children to be deemed competent to decide on research participation have been studied: generally children of 11.2 (...) years and above were decision-making competent, while children of 9.6 years and younger were not. Age was pointed out to be the key determining factor in children’s competence. In this article we reflect on policy implications of these findings, considering legal, ethical, developmental and clinical perspectives.DiscussionAlthough assessment of children’s competence has a normative character, ethics, law and clinical practice can benefit from research data. The findings may help to do justice to the capacities children possess and challenges they may face when deciding about treatment and research options. We discuss advantages and drawbacks of standardized competence assessment in children on a case-by-case basis compared to application of a fixed age limit, and conclude that a selective implementation of case-by-case competence assessment in specific populations is preferable. We recommend the implementation of age limits based on empirical evidence. Furthermore, we elaborate on a suitable model for informed consent involving children and parents that would do justice to developmental aspects of children and the specific characteristics of the parent-child dyad.SummaryPrevious research outcomes showed that children’s medical decision-making capacities could be operationalized into a standardized assessment instrument. Recommendations for policies include a dual consent procedure, including both child as well as parents, for children from the age of 12 until they reach majority. For children between 10 and 12 years of age, and in case of children older than 12 years in special research populations of mentally compromised patients, we suggest a case-by-case assessment of children’s competence to consent. Since such a dual consent procedure is fundamentally different from a procedure of parental permission and child assent, and would imply a considerable shift regarding some current legislations, practical implications are elaborated. (shrink)

For decades, the discussion on children’s competence to consent to medical issues has concentrated around normative concerns, with little progress in clinical practices. Decision-making competence is an important condition in the informed consent model. In pediatrics, clinicians need to strike a proper balance in order to both protect children’s interests when they are not fully able to do so themselves and to respect their autonomy when they are. Children’s competence to consent, however, is currently not assessed in a standardized way. (...) Moreover, the correlation between competence to give informed consent and age in children has never been systematically investigated, nor do we know which factors exactly contribute to children’s competence. (shrink)

Although law is established on a strong presumption that persons younger than a certain age are not competent to consent, statutory age limits for asking children’s consent to clinical research differ widely internationally. From a clinical perspective, competence is assumed to involve many factors including the developmental stage, the influence of parents and peers, and life experience. We examined potential determining factors for children’s competence to consent to clinical research and to what extent they explain the variation in competence judgments.

In this paper we discuss expected and reported effects on care provider-patient relations of the introduction of electronic patient records (EPRs) in consultation settings by reviewing exemplary studies and literature on the subject from the past decade. We argue that in order for such assessments to be meaningful, talk of effects of “the” EPR needs to be replaced by an “unpacking” of EPR systems into their constituent parts and functionalities, the effects of which need to be assessed individually. Following from (...) this principle, the paper discusses EPR systems ranging from simple data entry and retrieval systems to more sophisticated multi-user and multifunctional on-line systems. On a second level, our analysis of the literature is informed by the question which model of ideal patienthood underlies the assessment of effects of EPRs. To this end, we identify three “models of patienthood” implicit in writing about benefits and drawbacks of EPRs for patients: the autonomy, the consumer, and the holistic models, and argue that assumptions concerning these models need to be reflected upon more critically to improve understanding of what exactly EPR use does to the doctor-patient relationship. (shrink)

Essays on The Soul's Logical Life in the Work of Wolfgang Giegerich: Psychology as the Discipline of Interiority is the second collection of essays dedicated to the study and application of Psychology as the Discipline of Interiority - a new 'wave' within Analytical Psychology which pushes off from the work of C. G. Jung and James Hillman. Reflecting upon the notion of psychology developed by German psychoanalyst Wolfgang Giegerich, whose Hegelian turn sheds light on the notion of soul, or the (...) objective psyche, and its inner logic and 'thought', forming a radical new basis from which to ground a modern psychology with soul. The book explores the theme of "the soul's logical life" as it displays itself in various modern phenomena, from overwhelming anxiety, cryptocurrency, the dreams of Japanese college students, and contemporary psychoanalysis, to myth, music, social movements, and the question and relevance of truth in psychology and consciousness. The authors, comprising clinical psychologists, teachers, Jungian analysts, and international scholars, aim to reveal and convey the dialectical inner workings and speculative logic of the modern soul. Essays on The Soul's Logical Life in the Work of Wolfgang Giegerich: Psychology as the Discipline of Interiority will be essential reading for depth and clinical psychologists, Jungian psychoanalysts, and academics and students of post-Jungian studies, and for all those interested in what it means to think in the highly sophisticated and technological world of the twenty-first century. (shrink)

"What does it really mean to "be undocumented," particularly in the contemporary United States? Political philosophers, policymakers and others often define the term "undocumented migrant" legalistically-that is, in terms of lacking legal authorization to live and work in one's current country of residence. Socially Undocumented: Identity and Immigration Justice challenges such a pure "legalistic understanding" by arguing that being undocumented should not always be conceptualized along such lines. To be socially undocumented, it argues, is to possess a real, visible, and (...) embodied social identity that does not always track one's actual legal status in the United States. By integrating a descriptive/phenomenological account of socially undocumented identity with a normative/political account of how the oppression with which it is associated ought to be dealt with as a matter of social justice, this book offers a new vision of immigration ethics. It addresses concrete ethical challenges associated with immigration, such as the question of whether open borders are morally required, the militarization of the Mexico-U.S. border, the perilous journey that many Mexican and Central American migrants undertake to get to the United States, the difficult experiences of many socially undocumented women who cross U.S. borders to seek prenatal care while visibly pregnant, and more"--. (shrink)

Throughout history, schools of economic thought have defined political economy—or economics—and its object of study in multiple ways. This paper reflects on the definitions of economics by schools of economic thought and also proposes the concepts of value and scarcity as key concepts to explain the differences between them. The most important findings of the paper are: (a) the ontological and epistemological characteristics of the concept of value and scarcity have shaped the definitions of economics; (b) the boundaries of the (...) study object of economics have been expanded since today’s mainstream economics deals with multiple topics as diverse as crime, education, development, health, etc. However, the methodological tools used in mainstream economics have been narrowed since approaches such as the philosophical, ethical, historical, and institutional approaches have been left behind; (c) the part of reality that mainstream economics can grasp have left behind important issues of the contemporary world, such as gender, social, and environmental issues. A clear understanding of the scope and boundaries of economics could help to define more realistic research questions for economic science, and it would help to define new economic paradigms that address the contemporary issues. (shrink)

Revisión del libro Violencia, espionaje y represión estatal. Seis estudios de caso sobre el pasado reciente argentino por D. D´Antonio (comp.).

O jogo é entendido enquanto um fenômeno complexo, em que a ação do jogador se caracteriza pela eticidade, uma vez que, além de expressar sua subjetividade, visa à boa vida (no caso do jogo, o prazer e a vitória). Assim, o caráter ético da ação do jogador se constitui em um ambiente de jogo, local que a imprevisibilidade, a dinâmica e as novas organizações estão presentes. Dessa maneira, faz parte da função do jogador compreender o ambiente em que ele se (...) encontra, ou seja, entender como as organizações do jogo ocorrem. De modo semelhante, o conceito chamado de “absurdo”, criado por Albert Camus, filósofo franco-argelino, assemelha-se a essa demanda do entendimento do meio em que se vive, ao exaltar a tomada de consciência. Como consequência, segundo ele, o único movimento possível, posterior à compreensão do absurdo é a revolta, ação pautada na expressão do sujeito, com vistas à justiça, à coletividade e à unidade, baseando-se em limites que não devem ser ultrapassados. A partir disso, portanto, pensa-se na possibilidade de entender o jogador enquanto um homem revoltado no jogo, buscando, dada a identificação do meio em que se está, o sucesso de sua equipe, através de suas ações. (shrink)

Las feministas han reconocido la importancia de defender la capacidad de pensar de las mujeres y de pensarse a sí mismas; es necesario ir más allá: sólo logramos devolver el respeto a las dominadas duraderas producidas por el machismo patriarcal en el que aún vivimos, al establecer que su facultad de juzgar radica en el uso del diálogo que comparte con los hombres, además de su diferencia de sexo y que sólo podemos disipar todas las presuntas dudas planteadas por violadores (...) e intelectuales que se han mantenido machistas respecto a su facultad femenina de juzgar mostrando su origen en una segunda naturaleza común del lenguaje así como su eficacia. Apoyaremos nuestro análisis con un caso que fue noticia en los medios televisivos de Francia. (shrink)

In this paper we look at a few of the most prominent ways of articulating Kant’s critical argument for Noumenal Ignorance — i.e., the claim that we cannot cognize or have knowledge of any substantive, synthetic truths about things-in-themselves — and then provide two different accounts of our own.

A inicios del siglo XX, Albert Einstein y Hendrik Lorentz produjeron explicaciones diferentes acerca de los mismos fenómenos. Sin embargo, rápidamente se produjo un consenso, en favor de Einstein, que ha sido difícil de comprender para historiadores y filósofos de la ciencia. La literatura reciente explica ese éxito señalando conflictos entre algunas ideas de Lorentz y la temprana física cuántica. Sin negar que esos factores pudieron contribuir en la aceptación de la relatividad especial, propongo una explicación complementaria en la que (...) atribuyo el éxito de Einstein al uso de la estabilidad de la medición de la velocidad de la luz. (shrink)

In the article, I examine Hélène Cixous's play La Ville parjure ou le Réveil des Erinyes as a political contribution to the debate over memory and justice. The focus is on the question of how the telling of a story of atrocities may be therapeutic to both the victim and to society. I stress Cixous's alternative way of addressing justice: through forgiveness instead of criminal prosecution or other forms of retribution or reconciliation. Referring to Jacques Derrida's work, the main argument (...) revolves around the question of whether forgiveness for unspeakable crimes should be unconditional or conditional. Instead of seeing Cixous's play as an unequivocal stance on restorative justice in general, and on conditional forgiveness in particular, I stress that the main protagonist, the Mother, is not willing to forgive the crime itself because of its unforgivable nature. (shrink)

Diese Situation wird als eine Kumulation aller Ungleichheiten beschrieben, die einen Menschen treffen können: soziale Klassenungleichheit, sexuelle Ungleichheit und Ungleichheit aufgrund der Rasse. Durch die Zuspitzung dieser Ungleichheiten lässt sich die große Zahl afrikanischer Migrantinnen erklären. Die Suche nach sozialer, ziviler und bürgerlicher Gleichheit, die nach dem Modell der von Männern propagierten und zur Schau gestellten Selbstbeherrschung gedacht ist, kann in dem Maße nicht erfolgreich sein, wie sie versucht, sich einem Macho-Modell zu unterwerfen, das der Natur des Menschen widerspricht. Weil (...) die zeitgenössische Anthropologie uns lehrt, dass dieser die Sprache erfinden musste, um sich das Leben zu ermöglichen und es jedes Mal neu zu harmonisieren, wenn er in eine Sackgasse gerät, weil die dialogische Vorstellungskraft, die den Dialog der Seele mit sich selbst antreibt, den Platon entdeckt hatte, durch das Gesetz der Wahrheit geregelt wird, müssen afrikanische Frauen erkennen, dass sie die Objektivität der ihnen auferlegten und der von ihnen selbst erfundenen Lebensbedingungen beurteilen müssen, um ihre Wahrheitsurteile mit ihren männlichen Partnern teilen zu können und um sich von jeglicher Herrschaft zu emanzipieren, unabhängig von ihrer Geschlechtszugehörigkeit. (shrink)

RESUMENEste artículo constituye un estudio sobre el concepto de la intuición en el pensamiento de Ortega y Gasset, referido a los tres órdenes de “cosas” en los que es requerida como forma de conocimiento: intuición sensible, intuición de valores e intuición del prójimo. Como intuición sensible se analiza la diversidad de significados presentes en su obra, así como una determinación genérica de dicho concepto, en conexión con el “yo ejecutivo”, que sirve de base para determinar los niveles en el proceso (...) perceptivo, y los modos de relación del hombre con las “cosas”. En la intuición de valores, e intuición del prójimo, se determina que el planteamiento “superador” de Ortega es desplegado desde una inicial adscripción al pensamiento de Scheler, hasta posiciones más personales, que le llevan a proponer una problemática facultad “estimativa”, mediante la cual “asimila” la intuición de valores, o la “perspicacia”, y la “experiencia” como intuición del prójimo.PALABRAS CLAVEINTUICION – VALORES – PERCEPCION – ALTERIDADABSTRACTThe paper deals with the concept of intuition in Ortega y Gasset’s thought, where its reference to “things” reveals it as a form of cognition: sensible, intuition, value intuition and intuition of the other. In the first case, the different meanings of sensible intuition will be discussed and its very concept, as connecetd with the “yo ejecutivo”, wich is the base to determining the levels of the perception process and the ways man deals with “things”. Concerning the issues of value intuition and intuition of the other, from an initial assumption of Scheler’s thesis, Ortega moves on to advance a problematical “estimative” faculty, under wich value intuition, or “sharpeness”, and “experience” as intuition of the other are “assimilated”.KEYWORDSINTUITION – VALUES – PERCEPTION – OTHERNESS. (shrink)

The aim of this study was to describe how patients’ participation in the care they received was documented in their health care records during the last three months of their lives. Two hundred and twenty-nine deceased adult persons were randomly identified from 12 municipalities in a Swedish county and their records were selected from different health care units. Content analysis was used to analyse the text. Four categories of patient participation were described: refusing offered care and treatments; appealing for relief; (...) desire for everyday life; and making personal decisions. The most common way for these patients to be involved in their care at the end of their life was by refusal of the treatment and care offered. Characteristic of the different ways of participation were the diverse activities represented. The description of patients’ involvement in their life situation at this time indicated their dissociation from the health care offered more than consenting to it. (shrink)

El presente texto contiene los resultados de una revisión bibliográfica realizada con el objetivo de establecer la importancia de desarrollar competencias emocionales durante el proceso de formación de los profesionales de la salud, especialmente del área de odontología, atendiendo a que la especialidad está registrada como una de las profesiones más estresantes, situación que podría originarse durante el proceso educativo, ya que sus alumnos experimentan altos niveles de ansiedad o estrés durante su formación. Se entiende por competencia emocional el conjunto (...) de conocimientos, capacidades, habilidades y actitudes necesarias para comprender, expresar y regular los fenómenos emocionales. Como conclusión, esta revisión permitió demostrar como la inclusión de estas competencias en el plan de estudios repercutiría significativamente en el bienestar psicológico de estos estudiantes. This paper contains the results of a bibliographical review which was carried out aiming at establishing the importance of developing emotional competence in health professionals' training, especially on the dentistry area; providing that this specialty is one of the most stressful. The educational process might be at the root of this situation, since students experience high levels of anxiety or stress during their training. Emotional competence is understood as the group of knowledge, abilities and attitudes needed to understand, express and regulate emotional phenomena. In conclusion, this review enabled to demonstrate how the inclusion of emotional competence in dentistry major's syllabus would have an influence on student's psychological well-being. (shrink)

RESUMEN Las concepciones de salud mental son variadas y se han ido sucediendo de manera que cada una ha ido aportando nuevos matices a las anteriores, generando una nueva visión cada vez, donde las necesidades de la propia sociedad, han ido conformando una conceptualización de la salud mental de acuerdo con el contexto histórico, la disciplina y su modelación según las exigencias y particularidades de la sociedad y la cultura vigentes. Por consiguiente, se hace necesario replantear los conceptos desde los (...) que se interpreta la idea de salud mental, si guardan o no relación con definiciones universales o a concepciones construidas a partir de los diferentes planteamientos de salud-enfermedad. En consecuencia, es importante el aporte que se puede realizar desde la investigación para llegar a una construcción del concepto de Salud Mental que considere la multidisciplinariedad. Bajo esta perspectiva, se contextualiza el concepto de salud mental desde lo multidisciplinario. ABSTRACT There are several mental health conceptions which have been followed by others in such a way that each one of them has contributed to the previous ones, generating a different view each time, where the needs of society itself have made a conceptualization of mental health according to the historical context, discipline and model according to the requirements and particular features of society and the current culture. Therefore, it’s necessary to rethink the concepts from which the idea of mental health is interpreted, if it’s related to universal definitions or not, or to conceptions made from different approaches on health-disease. As a result, the contributions that can be made from research to achieve the construction of a multidisciplinary Mental Health concept are important. From this perspective, the concept of mental health is contextualized from a multidisciplinary point of view. (shrink)

RESUMEN Introducción: Son escasos los servicios en salud mental dentro del contexto escolar que permitan una integración intersectorial para superar la brecha de falta de asistencia en salud mental en la población infanto - juvenil, aun cuando, es en la escuela donde se detectan mayoritariamente los problemas de salud mental. Objetivo: Comentar el uso de servicios de salud mental en el ambiente escolar en relación con los trastornos mentales y trastornos subumbrales. Método: El presente resultado se obtiene a partir del (...) “Estudio de Prevalencia Comunitaria de Trastornos Psiquiátricos y Utilización de Servicios de la Población Infanto-Juvenil Chilena”. La muestra estuvo representada por sujetos entre 4 y 18 años. La información sobre el uso de servicio de salud mental se recogió con una versión modificada de la Escala Service Assesment for Children and Adolescent. Se realizó un modelo de regresión logística para analizar cinco áreas del uso de servicios en el ambiente escolar, las cuales se correlacionaron con diagnósticos de trastorno mentales y trastorno subumbral de ansiedad, disruptivo y depresión en el último año. Resultados: Las escuelas se enfrentan a grandes desafíos sobre cómo proporcionar apoyo efectivo de salud mental para los estudiantes, que presentan algún tipo de trastorno mental o trastorno subumbral. Discussión: Las instituciones educativas requieren ser visualizadas como una entidad que podría satisfacer las necesidades que se advierten de manera urgente en atención, prevención y promoción de problemas mentales en la población infanto- juvenil, si se vinculan de forma más directa con los servicios de salud mental. ABSTRACT Introduction: Mental health services are scarce within the school context that allow intersectoral integration to overcome the gap in mental health care in the child and adolescent population, being the school where mental health problems are mostly detected. Objective: to know the use of mental health services in the school environment in relation to mental disorders and subthreshold disorders. Method: The present secondary study is carried out from the "Study of Community Prevalence of Psychiatric Disorders and Utilization of Services of the Chilean Child-Youth Population". The sample was represented by subjects between 4 and 18 years old. Information on the use of mental health service was collected with a modified version of the Service Assessment Scale for Children and Adolescents. A logistic regression model was performed to analyze five areas of the use of services in the school environment, which were correlated with diagnoses of mental disorders and subthreshold anxiety, disruptive and depression disorder in the last year. Results: Schools face great challenges on how to provide effective mental health support for students, who present some type of mental disorder or subthreshold disorder. Discusion: Educational institutions need to be visualized as an entity that could meet the needs that are urgently noticed in attention, prevention and promotion of mental problems in the child and adolescent population, if it is linked more directly with health services. (shrink)

Classical verse work expounding early Vedantic approach in Hindu philosophy.

This paper shows a full description of Spanish inflectional morphology. We have chosen a paradigmatic approach instead of one based on phonological/spelling changes, i.e., the typical two-level model. Such morphological description has been written in the DATR formalism. The result is a network of nodes that makes use of the information inheritance mechanisms – orthogonal node inheritance and default path inheritance – that DATR allows. Some lexical coverage and corpus occurrence figures that support our approach are also given.