BackgroundMoral distress (MD) is the psychological damage caused when people are forced to witness or carry out actions which go against their fundamental moral values. The main objective was to evaluate the prevalence and predictive factors associated with MD among health professionals during the pandemic and to determine its causes.MethodsA regional, observational and cross-sectional study in a sample of 566 professionals from the Public Health Service of Andalusia (68.7% female; 66.9% physicians) who completed the MMD-HP-SPA scale to determine the level (...) of MD (0-432 points). Five dimensions were used: i) Health care; ii) Therapeutic obstinacy-futility, iii) Interpersonal relations of the Healthcare Team, iv) External pressure; v) Covering up of medical malpractice.ResultsThe mean level of MD was 127.3 (SD=66.7; 95% CI 121.8-132.8), being higher in female (135 vs. 110.3; p<0.01), in nursing professionals (137.8 vs. 122; p<0.01) and in the community setting (136.2 vs. 118.3; p<0.001), with these variables showing statistical significance in the multiple linear regression model (p<0.001; r2=0.052). With similar results, the multiple logistic regression model showed being female was a higher risk factor (OR=2.27; 95% CI 1.5-3.4; p<0.001). 70% of the sources of MD belonged to the dimension "Health Care" and the cause "Having to attend to more patients than I can safely attend to" obtained the highest average value (Mean=9.8; SD=4.9).ConclusionsFemale, nursing professionals, and those from the community setting presented a higher risk of MD. The healthcare model needs to implement an ethical approach to public health issues to alleviate MD among its professionals. (shrink)

Volume 20, Issue 9, September 2020, Page W1-W4.

Building upon the insights of scholars attuned to story, narrative, and myth, this article explores the relationship between myth, science, and religion. After clarifying the interplay of the three terms—story, narrative, and myth—and the preference for the term myth, this article will argue that myth can serve as a medium through which religion, neuroscience, and mental well‐being interact. Such an exploration will cover the role of myths in religion, the neurological basis of myth, and the practices of narrative psychology and (...) bibliotherapy. The article will conclude with suggestions for understanding and utilizing the relationship between myth and the scholarly study of the relationship between science and religion. This article ultimately suggests that myth can operate as a methodological aid to the science‐and‐religion field. (shrink)

This article is a response to Josh Reeves's recent book Against Methodology in Science and Religion: Recent Debates on Rationality and Theology that welcomes Reeves's proposal for an anti‐essentialist future for the field of science‐and‐religion, particularly because it has the potential to move the field beyond current, well‐worn methods: the dominance of Christian theology and doctrine, the importance of credibility strategies, and the dependence upon philosophical discourses. Reeves’ proposal has the potential to open the science‐and‐religion field to other topics, problems, (...) and methods, such as studying lived science‐and‐religion. One way of doing this is to study popular culture and its artifacts such as literature, which portrays a co‐mingling of religion and science at the level of day‐to‐day experiences and practices of characters. For at the level of lived experience, religion and science are not well‐defined disciplines neatly compartmentalized into separate academic departments. (shrink)

Climate change exacts a devastating toll on health that is rarely incorporated into the economic calculus of climate action. By aligning health and environmental policy and collaborating across borders, governments and industries can develop powerful initiatives to promote both environmental and human health.

Comparative thanatologists study the responses to the dead and the dying in nonhuman animals. Despite the wide variety of thanatological behaviours that have been documented in several different species, comparative thanatologists assume that the concept of death is very difficult to acquire and will be a rare cognitive feat once we move past the human species. In this paper, we argue that this assumption is based on two forms of anthropocentrism: an intellectual anthropocentrism, which leads to an over-intellectualisation of the (...) CoD, and an emotional anthropocentrism, which yields an excessive focus on grief as a reaction to death. Contrary to what these two forms of anthropocentrism suggest, we argue that the CoD requires relatively little cognitive complexity and that it can emerge independently from mourning behaviour. Moreover, if we turn towards the natural world, we can see that the minimal cognitive requirements for a CoD are in fact met by many nonhuman species and there are multiple learning pathways and opportunities for animals in the wild to develop a CoD. This allows us to conclude that the CoD will be relatively easy to acquire and, so, we can expect it to be fairly common in nature. (shrink)

In their target article, Mikhalevich & Powell (M&P) argue that we should extend moral protection to arthropods. In this commentary, we show that there are some unforeseen obstacles to applying the sort of individualistic welfare-based ethics that M&P have in mind to certain arthropods, namely, insects. These obstacles have to do with the fact that there are often many more individuals involved in our dealings with insects than our ethical theories anticipate, and also with the fact that, in some sense, (...) some insects count as more than an individual and, in another sense, they sometimes count as less than an individual. (shrink)

Dijkstra and Scholten have proposed a formalization of classical predicate logic on a novel deductive system as an alternative to Hilbert's style of proof and Gentzen's deductive systems. In this context we call it CED . This deductive method promotes logical equivalence over implication and shows that there are easy ways to prove predicate formulas without the introduction of hypotheses or metamathematical tools such as the deduction theorem. Moreover, syntactic considerations have led to the "calculational style," an impressive array of (...) techniques for elegant proof constructions. In this paper, we formalize intuitionistic predicate logic according to CED with similar success. In this system , we prove Leibniz's principle for intuitionistic logic and also prove that any valid formula of predicate logic can be proved in I-CED. (shrink)

Current methods of obtaining an informed consent leave much to be desired. Patients rarely read consent forms or understand all of the risks, benefits, or alternatives associated with their treatment. Evaluating the advantages and disadvantages of treatment options often presents a more significant challenge for patients with lower levels of health literacy. This article reviews the evidence of shortcomings in our informed consent system and then explores the potential for a new approach to engage patients at all levels of health (...) literacy in their treatment decisions. Specifically, the article will examine the potential of shared decision-making to bridge gaps in knowledge, increase patient adherence to treatment, and improve health outcomes in low health literacy patient populations. Leveling barriers to treatment information for disadvantaged populations should be a public health imperative, especially if it can be shown to improve health outcomes and reduce health disparities. (shrink)

Current methods of obtaining an informed consent leave much to be desired. Patients rarely read consent forms or understand all of the risks, benefits, or alternatives associated with their treatment. Evaluating the advantages and disadvantages of treatment options often presents a more significant challenge for patients with lower levels of health literacy. This article reviews the evidence of shortcomings in our informed consent system and then explores the potential for a new approach to engage patients at all levels of health (...) literacy in their treatment decisions. Specifically, the article will examine the potential of shared decision-making to bridge gaps in knowledge, increase patient adherence to treatment, and improve health outcomes in low health literacy patient populations. Leveling barriers to treatment information for disadvantaged populations should be a public health imperative, especially if it can be shown to improve health outcomes and reduce health disparities. (shrink)

Thirty years ago Richard Rorty detected the similarities between Wittgenstein's Philosophical Investigations (1953) and the philosophical framework of Charles S. Peirce (1839-1914), the founder of pragmatism. Rorty tried to show that Peirce envisaged and repudiated in advance logical positivism and developed insights and a philosophical mood very close to the analytical philosophers influenced by the later Wittgenstein (Rorty 1961). In spite of that, the majority of scholars have considered both thinkers as totally alien. Some scholars have attributed the pragmatist flavor (...) of the Philosophical Investigations to the influence of Frank P. Ramsey, who awoke Wittgenstein from the dogmatic slumber of the Tractatus. Nevertheless, the real scope of the influence of American pragmatist philosophy in Wittgenstein's later thought is not clearly known. The purpose of my paper is not to describe the common themes between Wittgenstein and Peirce, but the way in which recent scholarship has established some links between both philosophers. -/- . (shrink)

A partir de los análisis que Edith Stein realiza de la empatía y la solidaridad se arriba a la necesidad de indagar fenomenológicamente por la constitución esencial de las estructuras de la comunidad, la sociedad y el Estado. Desde esta perspectiva este trabajo se propone mostrar que el objeto de la indagación de Edith Stein es substancialmente la relación entre el individuo-asociación humana. En su minucioso análisis, no condicionado por ningún presupuesto, el sujeto es tomado en su singularidad. El ser (...) humano no puede vivir aislado, sino que es considerado como un microcosmos abierto y en cuya abertura se encuentran la empatía y la solidaridad como trazos fundamentales para la investigación de nuestra filósofa, que no considera ni lo particular ni la totalidad como absolutos, sino que apela a la importancia del individuo en un contexto más amplio. (shrink)

Este artículo tiene un doble propósito. Por un lado, realizar un balance de la recepción, temas y problemas que ocuparon a los filósofos peruanos que se interesaron por la fenomenología de Edmund Husserl durante el siglo XX, con la finalidad de señalar las continuidades y rupturas que han ido conformando nuestra incipiente tradición fenomenológica. Por el otro lado, realizar un necesario ajuste de cuentas con esa tradición a fin de abrir las perspectivas de nuevas líneas de investigación en la fenomenología (...) husserliana, es decir, reapropiarnos de ella para establecer los necesarios vasos comunicantes que nos permitan instituirnos como una comunidad. (shrink)

Several aspects of the personality, thought and work of Don Vasco de Quiroga are known today, but a deeper awareness of his legal thinking would enable us to understand better the motives for his actions in New Spain and the Michoacán region. In order to do this we need to place him in the conceptual, institutional and legal context in which he was educated and where he developed throughout his life. Well versed in the different legal systems in use at (...) the time, he absorbed Roman laws, which he respected as the work of esteemed scholars, while at the same time basing his evangelical mission in Mexico on the canons of the Church. And the legal system that was to govern the villages he created according to a new model would be based on custom coming from the grassroots. (shrink)

POLITICS is a system of computer programs which simulates humans in comprehending and responding to world events from a given political or ideological perspective. The primary theoretical motivations were: (1) the implemention of a functional system which applies the knowledge structures of Schank and Abelson (1977) to the domain of simulating political belief systems; (2) the development of a tentative theory of intentional goal conflicts and counterplanning. Secondary goals of the POLITICS project include developing a representation for belief systems, investigating (...) cognitive processes such as goal‐directed inferencing, and the integration of several types of knowledge representations into a functional system. (shrink)

The American Journal of Bioethics, Volume 12, Issue 7, Page 32-33, July 2012.

The role of academic satisfaction on persistence and successful academic behavior has been the focus of research for decades. Nevertheless, driven by positive educational psychology, subjective well-being has been highlighted as another central feature in the academic path of students. Studies aimed at identifying the variables that contribute to explain different aspects of academic performance have been widely investigated, although studies aimed at identifying the determinants of subjective well-being are still limited. The present paper examined the contribution of AS judgments (...) on subjective well-being. To this end, it was hypothesized that SWB levels depend on the balance between positive/negative emotions and life satisfaction judgments. Furthermore, it was stipulated that AS has an indirect contribution on SWB, through life satisfaction, whereas the balance of emotions influences both AS judgments and life satisfaction. Using an analysis strategy based on structural equation modeling, the results indicated that the model fitted satisfactorily, explaining 32% of the variance of SWB. Particularly, it was observed that AS judgments contributed to life satisfaction judgments. Although no direct contribution of AS on SWB was reported, a total contribution partially mediated by life satisfaction judgments was revealed. These findings support the importance of academic satisfaction judgments, not only because of their importance in academic terms, but also because of their impact on university students’ subjective well-being and health. (shrink)

Previous studies have explored the impact of magic tricks on different basic cognitive processes yet there is a need of examining effectiveness of a cognitive training program through magic tricks for children with attention deficit hyperactivity disorder. The present study examines the effectiveness and feasibility of the MAGNITIVE program, a manualized intervention for cognitive training through the learning of magic tricks. A total of 11 children with ADHD participated in separated groups of two different community settings, and were assessed at (...) pre-treatment, post-treatment, and a 3-month later follow-up in different tasks involving processing speed, sustained attention, selective attention, and mental flexibility. Using non parametric statistical analyses and Reliable Change Index, the results showed that these children receiving MAGNITIVE particularly improved their performance in sustained attention, shifting attention, and mental flexibility, changes were also observed in processing speed performance yet further research is needed in terms of selective attention and inhibition, given the great individual differences within this sample. Changes were maintained when the program was finished. In terms of viability, the study proved a good treatment integrity in different contexts, adherence to the curriculum, and high levels of engagement satisfaction. In this second clinical trial, MAGNITIVE program appears to be a feasible training program for children with ADHD, as an alternative for medication when possible. (shrink)

The history of Latin American societies since their beginnings has been marked by popular revolts. It is a history written the majority of the time with violence which claims the right to life. It is the history of a community that refuses and resists the loss of its spaces. It has always been..

In lieu of an abstract, here is a brief excerpt of the content:To Nurse BetterJaime HenselWhen things were quiet again I asked him what training he’d had to become the director of hospital security. “I worked for 20 years in corrections,” he answered proudly, and I was saddened but not surprised.In September 2010 I started an accelerated graduate entry nurse practitioner program to become a family nurse practitioner. Accelerated programs leave little time for preamble, since the idea is to take (...) a total novice and turn her first into a nurse and then into a nurse practitioner in just three years. While the classroom information was vital, it was our clinical experiences that really initiated us into the profession. In just the second week of school, we were divided into small groups and assigned to clinical preceptors—hands–on teachers who introduced us to our first patients, curbed our mistakes, quelled our fears, and pushed and pulled and cajoled us into being nascent healthcare providers. In showing us how to give bed baths, suction secretions, insert Foley catheters, and hang IV bags, our preceptors really began showing us how to use our hands as healers.In that first semester my patients also proved to be invaluable instructors. Talking to them, administering their medication, washing their bodies made me keenly aware of the delicate balance of vulnerability and power and trust and respect and intimacy that underlies all healthcare relationships. I hope, wherever those patients are now, they know how deeply I appreciate their patience and good humor and their collusion in my education.In December, the first semester and the first clinical rotations ended. Four months into nursing school I had a basic understanding of what it means to be a nurse. Frankly, most days I still felt like an impostor in blue pajamas sporting a stethoscope I didn’t really know how to use and new Dansko clogs that squeaked with every step. But in an accelerated program, fast and furious is the name of the game. We went away for winter break—a much needed breather—and came back to something completely different: psychiatric nursing.In preparation for these new clinicals, we were taught in class that we should not wear dangly jewelry or stethoscopes. That we should never let the patient get between us and the door. That psychiatric (psych) patients could escalate quickly; psych patients could have surprising triggers; psych patients could be very unpredictable. And psych patients could be violent. We were taught about physical and chemical restraints, and about show of force. We were cautioned, as students, to stay out of the way if things got tense on the floor. In stark contrast to medical patients, psych patients were made to sound less like people who had diseases and more like adversaries. I drove to my first day on the floor with trepidation.My new preceptor had spent her entire career in psych. She loved her job, loved the care of psychiatric patients. She set up a rotation because she wanted our entire clinical group to get full exposure to the breadth of psychiatric services offered by this medium–sized community hospital. We would each get to spend shifts on the locked psych floor, observing outpatient group therapy sessions, and in the psych emergency department (ED).I rotated to the psych ED for the first time on a Friday night. The first couple hours of the shift were very slow. I started talking to the mustachioed guard on duty, who looked as bored as I felt. He told me about his kids, I told him about nursing school. He seemed nice.When our conversation flagged, I explored the psych ED. It didn’t take long—just a short hallway with a bathroom, the social workers’ office, and two patient rooms without doors. The majority of the designated psych beds were actually around the corner in the main room of the medical ED—stretchers lined against the wall, without curtains or any [End Page 98] other attempt at privacy. I noticed that from where the guard stood at the corner of the psych hall he had a pretty good view of all the beds. Then again, so did most of the other patients... (shrink)

Recognizing that GLBTI individuals are often barred from visiting their partners in hospitals or from acting as health care surrogates for incapacitated partners, President Obama directed the Department of Health and Human Services to address these issues. In response, the department amended its rules to prohibit hospitals from restricting, limiting, or denying visitation privileges on the basis of gender identity or sexual orientation. But the changes do not affect the designation of a health care surrogate, a matter largely governed by (...) state law. Therefore, subject to state law, same-sex partners can still be legally barred from making health care decisions for their incapacitated partners, and it remains essential that they execute advance directives and appoint one another as their health care proxies. (shrink)

Desde la antigüedad la reflexión sobre la imagen del arte se ha erigido como una de las tareas de la filosofía, más aun, desde el arte la filosofía ha tratado temas de gran relevancia para sí misma, como la imitación y el conocimiento, luego la imaginación, el juicio, la verdad, la interpretación. La fotografía surgió como un medio de hacer imágenes que cuestionó los principios fundamentales del arte, su relación con la naturaleza, la tradicional forma de hacer imágenes hasta entonces (...) conocida; puso además en tela de juicio los temas de la representación o géneros establecidos, pero también el arte cuestionó la incursión del nuevo medio en su dominio. (shrink)

It is technically possible to clone a human being. The result of the procedure would be a human being in its own right. Given the current level of cloning technology concerning other animals there is every reason to believe that early human clones will have shorter-than-average life-spans, and will be unusually prone to disease. In addition, they would be unusually at risk of genetic defects, though they would still, probably, have lives worth living. But with experimentation and experience, seriously unequal (...) prospects between cloned and noncloned people should erode. We shall ignore arguments about cloning that focus on the potential for harm to the fetus or resultant human being, where harm is understood solely in terms of physical and mental health. Unless the resultant people would generally have lives worth living there is no positive case for cloning, or any other form of reproduction, for that matter. If the resultant beings will generally have lives worth living there is a prima facie case for allowing cloning. We imagine the case in which the resultant beings will have lives well worth living. (shrink)

Las tecnologías exponenciales generan problemáticas éticas que han sido abordadas desde las tradiciones dominantes (principalismo, deontologismo, utilitarismo), con cierto olvido de las éticas del cuidado. Recuperar estas éticas permitiría pensar otras posibilidades de la IA. Entre ellas: un diseño que involucre elementos de vulnerabilidad o el horizonte de una robótica inclusiva. Pensar la gobernanza de la IA y la robótica no sólo desde estas éticas exige complementar la gobernanza _de _las mismas con la consideración de los horizontes éticos en dicha (...) gobernanza implícitos. Si las éticas dominantes abonan alternativas de solución para los impactos de las tecnologías exponenciales, las éticas del cuidado –por cuanto ponen énfasis en la formación del carácter– son especialmente significativas para pensar la interacción entre tecnologías y la formación de la persona moral. _Palabras clave: _Posibilismo tecnológico, gobernanza, ética del cuidado, gobernanza ética. (shrink)

In a recent opinion paper, it was argued that individuals with multiple retractions or a record of academic misconduct should not serve as editors, including as editors-in-chief, on the editorial boards of scholarly or academic journals. As a first step towards appreciating how such a policy could be applied in practice, the presence of 30 individuals listed on the Retraction Watch Leaderboard on editorial boards was screened. Six cases are highlighted to gain an appreciation of the potential reputational risks that (...) journals and publishers might incur by including individuals with a tainted academic record on editorial boards. Given the reputational, legal and other risks associated with this type of assessment and decision, more formal positioning and guidance are needed by global ethics policy-related bodies such as COPE, the ICMJE, and the CSE, even more so in journals that claim to follow these organizations’ ethical guidelines. (shrink)

Reseña del tratado anticristiano elaborado por el apóstata portugués Christovão Ferreira a partir de la edición anotada y prologada por Bernat Castany Prado.

Name der Zeitschrift: Philologus Jahrgang: 160 Heft: 2 Seiten: 251-262.

Este artículo revisa el modo en que la aparición de objetos críticos, como el Portabotellas de Duchamp, hacen entrar en crisis las nociones tradicionalmente aceptadas respecto de la obra de arte: su manualidad (la “buena factura”, producto de la destreza o habilidad del artista), su función representativa (mímesis) y su valor estético (el ser “bello”, objeto de una contemplación pura y desinteresada). Se plantea, así, que la aparición del ready made configura el momento final de un proceso de disolución de (...) las convenciones artísticas (tanto respecto de la producción como de la valoración de las obras de arte) imperantes hasta el momento. Teniendo en cuenta todo esto, la pregunta que se intenta responder, al final, es: ¿cómo es posible que algo como el Portabotellas pudiera haber sido aceptado como arte, si no cumplía con las condiciones básicas de la noción tal y como se la aceptaba entonces? (shrink)

Mediante un examen crítico de los ensayos publicados en Ideas y Valores acerca de la filosofía de Ludwig Wittgenstein, el escrito busca establecer qué tan rica es nuestra asimilación del pensamiento de uno de los grandes filósofos de la historia, si tal trabajo muestra una evolución a lo largo del devenir de la revista y si el examen que hago aquí puede darnos algún indicio acerca de nuestro desarrollo filosófico. Finalmente, se hacen algunas breves consideraciones acerca de lo que significa (...) hacer filosofía desde la periferia y algunas posibles ventajas que eso tiene, así como señalar la necesidad de realizar una labor más colectiva. (shrink)

El estado actual de competición en el espacio exterior sitúa a las capacidades estratégicas espaciales de los países en el objetivo de la planificación estratégica de todos ellos. Los organismos internacionales están cobrando conciencia de la necesidad de proteger los activos espaciales ante un creciente número de amenazas, lo que requerirá de un esfuerzo adicional en cuanto a medios para mitigar sus efectos. La aproximación entre el espacio y la defensa, para poder actuar en este nuevo escenario, propicia la participación (...) de los organismos de defensa y seguridad y exige a los Estados el aporte de esta dimensión de defensa que se requiere para ello. España, tanto a través del Ministerio de Defensa como en otras iniciativas que requieren de su concurrencia, está preparada para contribuir a esta llamada desde la OTAN, Unión Europea y Naciones Unidas, con los medios disponibles y las medidas que su contexto país le permitan. (shrink)

In Spain before the 1990s there was no clear and explicit comprehensive training for future engineers with regard to social responsibility and social commitment. Following the Spanish university curricular reform, which began in the early 1990s, a number of optional subjects became available to students, concerning science, technology and society (STS), international cooperation, the environment and sustainability. The latest redefinition of the Spanish curriculum in line with the Bologna agreements has reduced the number of non-obligatory subjects, but could lead to (...) improving preparation for social responsibility due to the requirement that the design of curricula and the assessment of students should be based on competencies, some of which include human values and attitudes. (shrink)

RESUMENMoviéndose por caminos siempre complejos, la obra de Georges Bataille perdura como una de las más originales del pensamiento francés del siglo XX, donde su influencia ha sido inmensa. El presente artículo quiere mostrar el importante rol que jugarán en su obra las nociones de lo sagrado y de experiencia interior. Dicha experiencia, elemento central para entender su concepción de la religión, representará para Bataille la puesta en tela de juicio de todo lo conocido, pero también la íntima comunicación, ajena (...) al discurso racional, que se establece entre el mundo profano y el mundo sagrado.PALABRAS CLAVESAGRADO, EXPERIENCIA INTERIOR, COMUNICACIÓN, SACRIFICIO, MUERTE.ABSTRACTThe work of Georges Bataille, moving through complex paths, remains as one of the most original works of the twentieth-century French thought, where his influence has been immense. This article aims to show the important role that the notions of sacred and inner experience will play in his work. This experience, the central element for understanding his conception of religion, will represent to Bataille the putting into question all the known, but also the intimate communication, foreign to rational discourse, which is set between the profane and the sacred world. KEYWORDSSACRED, INNER EXPERIENCE, COMMUNICATION, SACRIFICE, DEATH. (shrink)

Em sua Teoria da AfOO Comumcativa; Jurgen Habermas "distingue" razao instrumental e razio comunicativa e apresenta suas teses sobre 0 estatuto e 0 Iugar da filosofia na roltura contemporiIlea. A partir da analisedos estudos de Habermas sobre a Pragmatica Universal, 0 autor discute a natureza da raziio comunicativa (haveria ai urnacim no interiormesmo da razio?) e questionaasbases dadefini~ habermasianade filosofia (pragmatica au transcendentalismo?).

The present work proposes a critical exploration of the epistemological foundations of modern contractualism, showing how its exclusion criteria operate through language games and the configuration of constitutional order. This critical exercise may improve the understanding of the conditions of possibility for a new social pact sense, in a political context marked by the Chilean popular revolt of 2019. Two consequential effects from above: the resignification of constitutional contents and the beginning of a constituent process.