Purpose The search for cause of death is important to improve knowledge and provide answers for the relatives of the deceased. Medical autopsy following unexplained death in hospital is one way to identify cause of death but is difficult to carry out routinely. Post mortem sampling (PMS) of tissues via thin biopsy needle or ‘mini incisions’ in the skin may be a useful alternative. A study was undertaken to assess how this approach is perceived by intensive care doctors and also (...) to evaluate how this practice is considered in ethical terms in France. Methods A study of PMS practices immediately after death in 10 intensive care departments was performed. The medical director of each centre was interviewed by telephone and asked to describe practices in their unit and to outline the questions raised by this practice. Results PMS is routinely performed in 70% of the units which responded, without systematically obtaining formal consent and without precise rules for communicating results. Approaches to PMS differed between centres, but all physicians felt that PMS is useful for the scientific information it gives and also for the information it provides for relatives. All physicians regret the lack of standards to structure PMS practices. Conclusion Information from post mortem examinations is important for society to inform about causes of death, for doctors to improve practices and for decision-makers responsible for organising care. Debate persists regarding the balance between individual rights and community interests. It is suggested that an approach for identifying cause of death could easily be integrated into the relationship between carers and relatives, provided full transparency is maintained. (shrink)

Several studies have explored differences between North American and European doctor patient relationships. They have focused primarily on differences in philosophical traditions and historic and socioeconomic factors between these two regions that might lead to differences in behaviour, as well as divergent concepts in and justifications of medical practice. However, few empirical intercultural studies have been carried out to identify in practice these cultural differences. This lack of standard comparative empirical studies led us to compare differences between France and the (...) USA regarding end-of-life decision-making. We tested certain assertions put forward by bioethicists concerning the impact of culture on the acceptance of advance directives in such decisions. In particular, we compared North American and French intensive care professional's attitudes toward: (1) advance directives, and (2) the role of the family in decisions to withhold or withdraw life-support. (shrink)

Le parcours de Maurice Merleau-Ponty ne peut se comprendre sans le fil rouge de la Psychanalyse : dès sa thèse, il restaure le primat de la perception et du corps sexué à la lumière de Freud et de Binswanger. A la Sorbonne, il renouvelle la Psychologie de l'enfant en y intégrant M. Klein, J. Lacan et F. Dolto. Au Collège de France plusieurs cours font des rêves et de la libido une dimension inéluctable de l'humain. De nombreux psychanalystes et psychiatres (...) se sont " laissés interroger par lui " : citons : H. Ey, A. Hesnard, P. Fédida, A. Green, J. Laplanche, J.-B. Pontalis, Luce Irigaray...Š. (shrink)

La médecine personnalisée expérimente dans le cadre du cancer, ou thérapies ciblées, ou encore médecine prédictive, voire médecine de précision. toutes ces appellations sous-entendent un domaine qui s'ébauche tant au niveau de la recherche qu'à celui de la clinique. Ce domaine se constitue de pratiques, de normes qui s'élaborent et de règles qui établissent de véritables limites. Ce volume présente ce que les disciplines du droit, de la biologie, de la médecine et de la philosophie ont à dire conjointement sur (...) ce nouvel objet qui déjà intéresse au-delà du cancer toutes les maladies chroniques. Ce volume rassemble ainsi les réflexions de tous les pionniers de ce domaine sous la coordination de Michèle Jean-Stanton du Centre de Recherche de Droit Public (CRDP) de l'Université de Montréal et de Christian Hervé de l'Université Sorbonne Paris Cité. Leurs expressions, ainsi exposées à la suite d'un séminaire qu'ils ont tous suivi consciencieusement, affirment ainsi une certaine idée, une éthique même de ces nouvelles pratiques non encore totalement réglementées. (shrink)

Les notions d'identite et de difference recoupent celles de l'un et du multiple, du meme et de l'autre, de l'etre et du devenir. La pensee de Nicolas de Cues les a analysees avec une profondeur inegalee dans une oeuvre qui demeure meconnue et qui est, cependant, d'une actualite etonnante. Dans la Docte ignorance, le Cusain enseigne que Dieu est unite, egalite de l'unite avec l'unite et connexion de l'unite et de l'egalite. Que serait, en effet, une unite differente de l'unite, (...) une unite qui ne serait plus une? Nicolas de Cues repond qu'il ne peut y avoir d'egalite sans unite. Dans son opuscule De aequalitate, il developpera la these qu'il n'y a pas d'unite parfaite sans egalite. Des lors, quelle place donner... la difference, s'il ne peut y avoir une autre unite que l'unite? Si l'unite se donne... soi dans une repetition de soi, comment cette repetition peut-elle se distinguer de la differenciation? Telle est la problematique abordee dans les Actes du colloque qui s'est tenu... Rennes sous la direction de Herve Pasqua publies dans notre collection. (shrink)

English summary: Nicolas Cusanus' position on Islam is not easily discerned. While in De Pace Fidei he seems to present an Irenic vision of the different religions and the dialog that could be established amongst them, in the Cribratio Alkorani, according to numerous interpretations, he seems more rigid, precluding any constructive dialog between Christianity and Islam. However, as this volume shows, matters are not quite that black and white: the contributions allow us to form a better idea of the coherence (...) of Cusanus' position on dialog and the relationship between the Cribratio Alkorani and his general theological views. French description: La position de Nicolas de Cues sur l'islam n'est pas facile... cerner. Dans le De Pace Fidei, il semble presenter une vision irenique des differentes religions et du dialogue qui pourrait s'etablir entre elles et ce discours general vaut en particulier pour l'islam, tandis que dans la Cribratio Alkorani, Nicolas, aux dire de nombreux interpretes, se montrerait beaucoup plus incisif, au point que ce livre ne pourrait absolument pas constituer le fondement d'un dialogue constructif entre le christianisme et l'islam. Mais un certain nombre de travaux du present volume, montre que les choses ne sont pas si tranchees. Certes, Nicolas de Cues ignorait pas mal de choses sur l'Islam et les documents qu'il utilise l'induisent dans un certain nombre de cas en erreur. Mais, par de l... la lettre, il ressort qu'il a remarquablement compris l'esprit coranique et que ces textes meritent... cet egard plus d'attention qu'ils n'en ont generalement recue. Le present recueil permet de se faire une idee plus precise de la coherence de la position de Nicolas de Cues sur le dialogue entre christianisme et islam et des liens entre les theses de la Cribatio Alkorani et la pensee globale du grand cardinal. Le livre est issu d'un Colloque tenu sur ce theme... l'Universite de Rennes le 9 avril et rassemble des contributions de Walter Andreas Euler, Tom Kerger, Genevieve Gobillot (deux textes), Susan Gottlober, Graziella Federici Vescovini Herve Pasqua.et Jean-Michel Counet. (shrink)

Restituer la pensée d'Aristote c'est retrouver les problèmes qu'il s'était lui-même posés, sans avoir le souci de ce que la postérité pourrait y trouver par la suite pour éclairer ses propres problèmes. Le Corpus de l'œuvre d'Aristote est constitué de notes de cours inédits, qui furent probablement corrigées et augmentées tout au long d'une carrière d'un enseignant chercheur. Elles n'étaient pas destinées à la publication. Quand on les étudie aujourd'hui, il faut donc s'armer de la conviction qu'Aristote, même s'il a (...) dépassé son temps, puisque son œuvre a été exhumée presque trois siècles après sa mort, appartient néanmoins à son époque, à la fois par sa formation et par les auditeurs ou lecteurs qu'il pouvait y trouver. Son œuvre, élaborée dans un climat platonicien qu'elle critique, propose une réforme de la pensée, qui est intéressante en elle-même, même si elle s'est trouvée reprise ou, au contraire, rejetée au cours des âges qui l'ont suivie. Pour l'apprécier vraiment, il faut se garder de tout anachronisme, c'est-à-dire de la projection des problèmes d'un temps sur un temps antérieur, où ces problèmes n'étaient pas apparus. Si un auteur est grand, c'est sans doute parce que la postérité peut s'y instruire, mais on se ferait une fausse idée de cette grandeur si on la réduisait à l'usage qu'on a pu déjà en faire ou qu'on peut en faire aujourd'hui. La vraie grandeur réside dans les pas que cet auteur a accomplis en son temps, et qui ne dispensent pas d'en fournir d'autres, même si l'exemple ancien est digne d'être retenu. (shrink)

Le droit, l'économie, la gestion, l'histoire, la linguistique, la sociologie abordent la question des règles à leur manière propre. Une confrontation de leurs approches apparaît nécessaire et féconde.

The problem of measurement is often considered an inconsistency inside the quantum formalism. Many attempts to solve it have been made since the inception of quantum mechanics. The form of these attempts depends on the philosophical position that their authors endorse. I will review some of them and analyze their relevance. The phenomenon of decoherence is often presented as a solution lying inside the pure quantum formalism and not demanding any particular philosophical assumption. Nevertheless, a widely debated question is to (...) decide between two different interpretations. The first one is to consider that the decoherence process has the effect to actually project a superposed state into one of its classically interpretable component, hence doing the same job as the reduction postulate. For the second one, decoherence is only a way to show why no macroscopic superposed state can be observed, so explaining the classical appearance of the macroscopic world, while the quantum entanglement between the system, the apparatus and the environment never disappears. In this case, explaining why only one single definite outcome is observed remains to do. In this paper, I examine the arguments that have been given for and against both interpretations and defend a new position, the “Convivial Solipsism”, according to which the outcome that is observed is relative to the observer, different but in close parallel to the Everett’s interpretation and sharing also some similarities with Rovelli’s relational interpretation and Quantum Bayesianism. I also show how “Convivial Solipsism” can help getting a new standpoint about the EPR paradox providing a way out of the seemingly unavoidable non-locality of quantum mechanics. (shrink)

Eigenfeatures are created by the principal component approach (PCA) used on objects described by a low-level code (i.e., pixels, Gabor jets). We suggest that eigenfeatures act like the flexible features described by Schyns et al. They are particularly suited for face processing and give rise to class-specific effects such as the other-race effect. The PCA approach can be modified to accommodate top-down constraints.

L'oeuvre de Pascal livre un problème majeur : l'homme se sauvera-t-il à l'aide de ses seules forces, ou son salut se réalisera-t-il avec le secours de Dieu, à savoir la grâce? Dans ses ¤¤Ecrits sur la grâce¤¤, il se révèle être le penseur de la grâce qui, face au défi de la modernité, opppose à la conception anthropocentrique de l'homme la vision christocentrique, héritée de saint Augustin.

Le Colloque international, qui s'est tenu dans le cadre du laboratoire de recherche (CRHI) du Département de Philosophie de l'Université de Nice Sophia Antipolis, en avril 2013, s'est proposé d'étudier le rapport entre infini et altérité dans l'œuvre de Nicolas de Cues (1401-1464). Les spécialistes réunis ont circonscrit la thèse, qui traverse tout l'œuvre du Cusain, selon laquelle rien ne peut être en dehors de l'infini. Les contributions rassemblées dans ce volume en révèlent la pertinence et montrent l'actualité d'une pensée (...) qui soulève l'intérêt croissant des chercheurs"--Page v. (shrink)

Examinant la pertinence des travaux d’Edgar Morin dans la gestion des organisations productives et, plus particulièrement pour l’accroissement de l’efficacité collective, cet article propose des outils de réflexion opérationnels aux responsables d’organisations, s’appuyant sur six notions de la pensée complexe exposée dans La Méthode : les principes hologrammatique, d’auto-organisation, de la variété requise, de co-évolution, dialogique et de récursivité.Examining the relevance of the work of Edgar Morin in the management of productive organizations, and in particular for increasing collective efficacy, this (...) article proposes tools for reflection operational managers of organizations, based on six concepts complex thinking outlined in Method: hologrammatic principles, self-organization, requisite variety, co-evolution, dialogic and recursion. (shrink)

Cognitive sciences and neurology finally put the stress on olfaction and its dysfonctionalities. Their researches may explain linguistic phenomenoms (insuitability between language and odors) or litterary issues (proustian memory). Neurology and anthropology apparently conclude that there is a fundamental inadequation between human language and odors, opposed to language and colors’s subtle and narrow links.

The moral philosophy of Levinas offers a stark prospectus of impossibility for corporate ethics. It differs from most traditional ethical theories in that, for Levinas, the ethical develops in a personal meeting of one with the Other, rather than residing in some internal deliberation of the moral subject. Levinasian ethics emphasises an infinite personal responsibility arising for each of us in the face of the Other and in the presence of the Third. It stresses the imperious demand we experience to (...) be open to, prepared for and impassioned with that which we may not know, or recognise, about ourselves or about the Other. Such a demand transcends our intellectual and/or rational potential; it involves us in a carnal and somatic bodily experience of otherness. If we are to speak of Levinasian ethics in a business context, it cannot be a matter of corporate ethics but only a matter of individual managerial ethics. What such an ethics would be like is yet to be outlined. This paper proposes a series of questions and suggestions that will explicate some key terms of a practice organised around a Levinasian vocabulary of otherness, responsibility, proximity, diachrony and justice. (shrink)

BackgroundAt the start of 2021, oncologists lacked the necessary scientific knowledge to adapt their clinical practices optimally when faced with cancer patients refusing or reluctant to be vaccinated against COVID-19, despite the marked vulnerability of these patients to severe, and even fatal forms of this new viral infectious disease. Oncologists at Foch Hospital were confronted with this phenomenon, which was observed worldwide, in both the general population and the population of cancer patients.MethodsBetween April and November 2021, the Ethics and Oncology (...) Departments of Foch Hospital decided to investigate this subject, through an empirical and interdisciplinary study in bioethics. Our scientific objective was to try to identify and resolve the principal bio-ethical issues, with a view to improving clinical practices in oncology during future major pandemics of this kind, from a highly specific bio-ethical standpoint. We used a mainly qualitative methodological approach based on questionnaires and interviews.ResultsIn April 2021, 29 cancer patients refused or were reluctant to be vaccinated. Seventeen of these patients said that making vaccination mandatory would have helped them to accept vaccination. In October 2021, only 10 cancer patients continued to maintain their refusal. One of the main reasons for the decrease in refusals was probably the introduction of the “pass sanitaire” in July 2021, which rendered vaccination indispensable for many activities. However, even this was not sufficient to convince these 10 cancer patients.ConclusionWe identified a key bio-ethical issue, which we then tried to resolve: vaccination policy. We characterized a major tension between “the recommendation of anti-COVID-19 vaccination” and “free will”, and the duty to “protect each other”. Mandatory vaccination, at least in France, could resolve this tension, with positive effects on quality of life, or survival, in cancer patients initially refusing or reluctant to be vaccinated, but only if collective and individual scales are clearly distinguished. (shrink)

The practice and development of modern medicine requires large amounts of data, particularly in the domain of cancer. The future of personalized medicine lies neither with “genomic medicine” nor with “precision medicine”, but with “data medicine”. The establishment of this DM has required far-reaching changes, to establish four essential elements connecting patients and doctors: biobanks, databases, bioinformatic platforms and genomic platforms. The “transformation” of scientific research areas, such as genetics, bioinformatics and biostatistics, into clinical specialties has generated a new vision (...) of care. Molecular tumor boards are one response to these changes and are now providing better access to next-generation sequencing and new cancer treatments to patients with inoperable or metastatic cancers, and those for whom the usual treatment has failed. However, MTB face a crucial ethical challenge: maintaining and improving the trust of patients, clinicians, researchers and industry in academic medical centers supported by private or public funding rather than providing genetic data directly to private companies. We believe that, in this era of DM, appropriate modern digital communication networks will be required to maintain this trust and to improve the organization and effectiveness of the system. There is, therefore, a need to reconsider the form and content of informed consent documents at all academic medical centers and to introduce dynamic and electronic informed consent. (shrink)