It has been claimed that beneath the government rhetoric of patient choice, no real choice exists either in law or in National Health Service policy. Thus, choice is considered to be a fallacy in that patients are not able to demand specific treatment, but are only able to express preferences amongst the available options. This article argues that, rather than considering choice only in terms of patient autonomy or consumer rights, choice ought to be seen as serving other functions: Choice (...) serves as a mechanism of destabilisation, i.e., as a lever for change. This is apparent at the level of patient and doctor, and at the level of patient and health authority, but even more so, at the level of government. Patient choice, rather than benefiting the individual, can have effects on a wider scale. It encourages change and reform in healthcare practices and in the NHS institutions. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Truth in Tragedy:When are we Entitled to Doubt a Character's Words?A. Maria Van Erp Taalman KipIn Sophocles' Electra 563–76 Electra explains what happened at Aulis. Because Agamemnon had shot a stag in Artemis' grove and boasted of his deed, the goddess demanded the sacrifice of his daughter. If he refused, the Greeks would not be allowed to leave Aulis, either to go home or to sail to Troy. (...) Thus, Electra assures her mother, he was forced to make the sacrifice, "under sore constraint and with sore reluctance" (tr. Jebb, Sophocles ad loc).The same version of the story is found in the Cypria(Davies, Fragmenta 32, 55–63), but Sophocles adds a new detail: the impossibility of going home. This is a significant addition. According to the Cypria, Agamemnon could have renounced the war in order to save Iphigeneia, but this solution was not open to his Sophoclean namesake, since refusal meant the Greeks were doomed to remain at Aulis, more or less as prisoners. In this way, we are given to understand that for Sophocles' Agamemnon there was in effect no alternative. This considerably lessens his guilt, while Clytaemnestra is largely deprived of what might have been a righteous motive for her deed. The other motive, her adulterous love, now carries all the weight. But is what Electra says true? Or, to be more precise: are the audience meant to accept her information as true?A number of scholars have answered this question in the negative and it may be useful to begin by examining their arguments. In his article with the telling title "A Defence of Sophocles" J. T. Sheppard asks: "What if the story... were false? 'They tell me...,' she says (566). But what if it were not true? What if Agamemnon was a criminal?" (7). J. H. Kells (Electra), in his general introduction to 566–633, ridicules the whole story as recounted by Electra: "This was the popular belief as to how such unpleasantnesses as Ajax's madness and the Greeks' detention at Aulis came about. But did Sophocles expect an intelligent person to believe it? I do not think so, since in Ajax, in which such causes of Ajax's madness are ventilated, we are also given a behind–the–scenes picture [End Page 517] of the goddess concerned in action (Ajax 1–133), and there we see that the madness of Ajax was in fact inspired by no such divine jealousy: it was simply to prevent Ajax from killing the Greek leaders (51)—an aim which he conceived through no divine infatuation, but because he was angry over the bestowal of the arms of Achilles (41)."Kells' comment on 573 is also noteworthy: : did any intelligent Greek really believe this?" and on 566ff: " 'as I am told.' Does not she know why her father sacrificed her sister?" In the same vein R. P. Winnington–Ingram (Sophocles 220) says that "Electra's account of Aulis, admittedly second–hand ( 566), is the story she would like to believe; and we can hardly suppose that Sophocles wishes us to take it too seriously as an explanation of events." In a note he refers to Kells and adds: "If Sophocles had been concerned to give a serious account of Agamemnon's dilemma, he would hardly have trivialized it in the way he does. The fact remains that Agamemnon did kill his daughter."1On closer inspection, these arguments are not actually arguments at all. Both Kells and Winnington–Ingram appear to be very certain about Sophocles' intentions and expectations, but neither of them presents any convincing reason to disbelieve Electra's account. Sophocles does not give them what they want and therefore they assume that he is not serious. Winnington–Ingram may consider Agamemnon's dilemma trivial, but it makes no sense to say that Sophocles trivialized it, as if it were something real that existed outside of myth. For the purpose of this play, the reason for Artemis' demand was not relevant, but the sanction was. And what about Kells' rhetorical questions? He does not explain why an "intelligent person" or an "intelligent Greek" would disbelieve what Electra says. Because it is... (shrink)

España es un país con una larga tradición católica, Iglesia que ha tenido una influencia significativa en nuestra sociedad, durante siglos, reflejada con claridad, por ejemplo, en su posición conservadora en asuntos de género y sexualidad. A raíz de la Constitución de 1978, se iniciaron algunos cambios en nuestro país en este ámbito, al establecerse en ella la igualdad de género como un principio fundamental. Comenzó con nuestro texto Magno además en España un claro proceso de secularización y modernización, que (...) debilitaría la influencia del catolicismo en la sociedad y fomentaría, en nuestra sociedad laica, un claro desinterés por todo lo religioso, con una evidente disminución de la práctica religiosa, lo que hizo que se empezase a evolucionar significativamente en las actitudes hacia el género y la igualdad de género. A finales del siglo XX surgiría el concepto de la postsecularización y la religión volvería a adquirir relevancia en la esfera pública y en la vida social. En este trabajo se afrontará el desafío jurídico de analizar, en el contexto de diversidad religiosa y de complejidad del fenómeno religioso de esta era postsecular, el papel de la mujer y su posible discriminación o no en dicho ámbito en nuestra España del siglo XXI para estudiar los límites que puede imponer el legislador a la incitación a la violencia contra las mujeres que se fundamente en creencias religiosas y/o culturales relativas al género. (shrink)

The present paper is focused on how the acceptance of the emotional basis of morality can change the way we approach moral problems, concretely the case of moral autonomy. Is it posible to include the role of emotions in moral agency without losing moral autonomy? Simultaneously, it seems hard provide an account on moral agency without accepting as a premise the existence of moral autonomy. Thus, all this lead us to a picture where the assumtion of a premise implies the (...) denial of another one , and viceversa. With regard to this paradox, the question is therefore how these two facts —that we are necessarily emotional and autonomous— can become compatible. In this sense, I will argue that emotions are not an obstacle but a necessary element to moral autonomy. (shrink)

No fictional character is more renowned for his powers of thought and observation than Sherlock Holmes. But is his extraordinary intellect merely a gift of fiction, or can we learn to cultivate these abilities ourselves, to improve our lives at work and at home? We can, says psychologist and journalist Maria Konnikova, and in Mastermind she shows us how. Beginning with the "brain attic"--Holmes's metaphor for how we store information and organize knowledge--Konnikova unpacks the mental strategies that lead to (...) clearer thinking and deeper insights. Drawing on twenty-first-century neuroscience and psychology, Mastermind explores Holmes's unique methods of ever-present mindfulness, astute observation, and logical deduction. In doing so, it shows how each of us, with some self-awareness and a little practice, can employ these same methods to sharpen our perceptions, solve difficult problems, and enhance our creative powers. For Holmes aficionados and casual readers alike, Konnikova reveals how the world's most keen-eyed detective can serve as an unparalleled guide to upgrading the mind. (shrink)

O “programa fiduciário” de Polanyi desafia o ideal da racionalidade moderna de alcançar uma completa justificação de todas as crenças, submetendo-as a uma crítica prévia à sua aceitação. Este requisito é um dos malefícios que está na raiz de preconceitos filosóficos e científicos que Polanyi se propõe superar. Este artigo apresenta o confronto entre o “modelo linear” da justificação do conhecimento, a partir de um princípio absoluto, com a alternativa do “modelo circular” proposto por Polanyi. Não se trata de uma (...) circularidade viciosa, mas do reconhecimento de que os fundamentos do conhecimento radicam no compromisso pessoal e na atitude fiduciária, alicerces inegáveis de qualquer forma de conhecer. A alternativa proposta por Polanyi, de longa tradição filosófica, é, nos nossos dias, uma fonte de inspiração também para a hermenêutica contemporânea, com as suas noções de compreensão e interpretação. (shrink)

O estudo examina um dos modos de realização da formação sanitária empreendida por médicos gaúchos junto a uma escola técnico profissional para trabalhadores, nas primeiras décadas deste século, no Rio Grande do Sul. Busca-se demonstrar que as ações e estratégias desencadeadas pelos médicos conferiram uma forma, uma identidade ao processo de formação, forma essa associada à constituição de sujeitos com consciência sanitária e comportamento higiênico. A investigação volta-se para a extensa rede de saberes e poderes que elegeu a escola como (...) locus privilegiado de atuação de higienistas que associaram a prática da higiene a um ideal de civilidade, urbanidade e progresso. (shrink)

In this article I explore the multiple and at times conflicting public health and folk discourses which shape breast-feeding practices in Punata, Bolivia. I examine why women may cease to breast-feed despite active efforts made by the healthcare system to promote breast-feeding. Breast-feeding practices are saturated with meaning and circumscribed by time and economic constraints as well as numerous cultural factors. These include conceptualizations of the body, emotions and illnesses that affect infants who are breast-fed, as well as constructions of (...) the mother–infant bond and attitudes about what constitutes ‘good mothering’ and its relationship to gender and class expectations. In this locality, the emotions of lactating women are said to find release through their breast milk and are seen to cause illness in their breast-feeding infants. I explore how mothers accepted, challenged or contested such views, and how they negotiated the politics of blame that emerged regarding who was at fault for their infant's illnesses. I demonstrate how breast-feeding is an embodied experience intrinsically linked to ideas about motherhood and show how the deployment of blame for these illnesses can strategically obfuscate or shed light on the numerous social and economic constraints under which women may find themselves. (shrink)

This book brings together the work of Ludwig Wittgenstein and Jacques Lacan around their treatments of ‘astonishment,’ an experience of being struck by something that appears to be extraordinarily significant. Both thinkers have a central interest in the dissatisfaction with meaning that these experiences generate when we attempt to articulate them, to bring language to bear on them. Maria Balaska argues that this frustration and difficulty with meaning reveals a more fundamental characteristic of our sense-making capacities –namely, their groundlessness. (...) Instead of disappointment with language’s sense-making capacities, Balaska argues that Wittgenstein and Lacan can help us find in this revelation of meaning’s groundlessness an opportunity to acknowledge our own involvement in meaning, to creatively participate in it and thereby to enrich our forms of life with language. (shrink)

The Drosophila position‐specific antigens are a family of cell‐surface glycoprotein complexes showing spatially restricted patterns of expression. Changes in these distributions correlate with morphogenetic events like compartment‐alization and the formation of grooves and folds during tissue organization. The complexes each contain a common component associated with different variable components. Different tissues, organs and regions of the body express complexes containing different subsets of variable components. The structure of the complexes resembles that of the family of vertebrate receptors for fibronectin, molecules (...) which function in morphogenetic processes involving cell migration and attachment. It is possible that the position‐specific antigens have a similar role in fly development. (shrink)

RESUMO Trata-se de aproximar Hume e Maquiavel, tomando-os como os expoentes de uma certa corrente não jusnaturalista, formada no início da idade moderna, quanto ao modo de pensar a natureza da lei e, num sentido amplo, a normatividade jurídico-política. Apesar de ter sofrido influência da escola moderna de direito natural, Hume rompe com ela num ponto fundamental - na recusa da noção de pessoa como ponto de partida para pensar a gênese social do ordenamento jurídico-político. No lugar disso, ele pensou (...) essa gênese a partir do jogo das forças sociais e da circulação das opiniões na sociedade, para o que Maquiavel se constituiu numa referência imprescindível. ABSTRACT This paper aims to bring together Hume and Machiavelli by taking both of them as exponents of a certain nonjusnaturalistic current, formed at the beginning of the modern age, which had its own way of thinking the nature of law and, in a broad sense, legal-political normativity. Despite being influenced by the modern school of natural law, Hume breaks with it in a fundamental point - in the refusal of the notion of person as a starting point to think the social genesis of the legal-political order. Instead, he thought of this genesis from the game of social forces and the circulation of opinions in society, for which Machiavelli was an indispensable reference. (shrink)

The aim of the present study is to describe the prosodic systems of the Greek and Latin languages and to find out the versification systems which have been realized in the poetical practice. The Greek language belongs typologically among the mora-counting languages and thus provides possibilities for the emergence of purely quantitative verse, purely syllabic verse, quantitative-syllabic verse and syllabic-quantitative verse. There is no purely quantitative or purely syllabic verse in actual Greek poetry; however, the syllabic-quantitative versification systems (the Aeolian (...) tradition) and quantitative-syllabic versification systems (the Aeolian tradition) were in use. The Latin language, on the other hand, has a number of features, which characterize it as a stress-counting language. Since at the same time there exists also the opposition of short and long syllables, there are preconditions for the syllabic, accentual and quantitative principle, as well as for the combinations of these. The Roman literary heritage shows examples of purely accentual, syllabic-quantitative, quantitative-syllabic, as well as of several other combinatory versification systems. (shrink)

Ante el tema constituye necesidad de fuerza mayor apuntar los últimos avances y progresos en el debate liberalismo-comunitarismo.1 El presente artículo pretende llamar la atención sobre la riqueza e interés del mismo, rernitiendo a la bibliografia más reciente. La aparición en los dos últimos anos de obras como las de Rawls, Dworkin y Habermas,4 que prestan una indudable atención a las críticas y propuestas comunitaristas precisan de un proceso de asimilación y de reflexión serena.

Name der Zeitschrift: Der Islam Jahrgang: 94 Heft: 2 Seiten: 322-335.

Businesses and societies face increasingly complex problems. Collaborative relationships are needed to leverage the differences among participants and to balance stakeholder concerns. The article takes a discursive, constructionist approach in exploring the relations of five factions involved in resolving a town-gown conflict. The case data are narratives collected during a pivotal community-wide meeting in which the town-gown factions participated. The findings underscore the characteristics and roles of language in constructing and organizing meanings. In particular, the focal data reveal the influence (...) of “contraversation”—that is, dialectical and dialogical conversation particularly and publicly directed against one faction, in constructing antagonisms and thwarting collaboration. The focal findings added insight into the demographic and historical characteristics of the factions, the socially embedded understandings, and the role of conversations in developing discursive resources that create collective identities and translate them into integrating rather than disintegrating intergroup performance in facing problematic concerns. (shrink)

A recuperação da memória histórica em escritos biográficos e autobiográficos já não está mais restrita a um campo de pesquisa exclusivo. Autores como Georges Bataille, John Hersey e Beatriz Sarlo perscrutaram as correlações entre História e memória na literatura, avaliando questões éticas e de natureza social. A partir de tais estudos, este artigo comenta alguns excertos de Assombrações do Recife Velho, do sociólogo Gilberto Freyre e Baú de ossos, do memorialista Pedro Nava. O objetivo é expor como elementos ficcionais e (...) históricos se articulam nessas duas obras. Palavras-chave: literatura, ficção, memória, história. (shrink)

We aimed to analyze personality-related determinants of physical activity among Polish and Spanish physical education students. The study was conducted among 219 Polish and 280 Spanish PE students, using the International Physical Activity Questionnaire and the NEO-FFI Personality Inventory. Compared with Spanish PE students, their Polish counterparts are characterized by a higher level of extraversion and conscientiousness and a lower level of neuroticism. The level of total physical activity for all students was 8,697.21 METs, and this value was higher among (...) Polish students. Among Polish and Spanish PE students, the level of total, vigorous, and moderate physical activity increased along with the increase in extraversion, while a decrease occurred along with the increase in neuroticism. The level of each domain of physical activity also increased in line with the intensification of student conscientiousness. In moderation analyses, it was shown that the home country of students may be considered a moderator of the relationship between conscientiousness and total exercise in such a way that the physical activity increased along with the increase in conscientiousness only among the Polish students. In addition, the country is a moderator of the correlation between moderate physical activity and neuroticism, openness, and conscientiousness, with moderate activity only decreasing among Polish students and increasing along with the increase in openness and conscientiousness. Positive correlations among physical activity, extraversion, and conscientiousness, as well as negative ones with neuroticism, were demonstrated among Polish and Spanish students, and also the moderating impact of the country on the correlation between personality-related dimensions and physical activity. (shrink)

Hacia fines del siglo XIX y principio del XX se desarrolla en la Argentina un importante debate en torno al derecho penal, en el que muchos intelectuales, formados bajo la influencia del biologicismo darwiniano, intervienen para cuestionar el Código Penal, vigente desde 1887. En nuestro trabajo analizamos los desarrollos de José Ingenieros sobre el tema, profundizando el estudio de los conceptos que propone y atendiendo a la transformación radical que éstos implican en lo que hace a la comprensión del derecho, (...) de la delincuencia y de su tratamiento. A lo largo del trabajo reconocemos en las formulaciones de Ingenieros una renovación del campo conceptual en el tratamiento del delito, de acuerdo con un nuevo esquema de estudio e investigación de la delincuencia, una nueva clasificación de los sujetos criminales y nuevo sentido para la institución jurídica. A partir de allí analizamos sus consecuencias en términos de un nuevo mapa disciplinar para el tratamiento de la delincuencia, en el que la psicología pasaría a ocupar un rol protagónico, poniendo de manifiesto sus potencialidades para la intervención normalizadora del campo social. In the end of 19th Century and the beginning of the 20th it develops in Argentine an important discussion around penal law, in which many intellectuals, under the influence of Darwinian biologicism, query the Penal Code, current since 1887. In our article we analyze Jose Ingenieros' explanations about this topic, studying the concepts that he proposes and attending to the radical transformation that they imply for the understanding of law, of crime and of its treatment. In this paper we recognize in Ingenieros' formulations a renovation of the conceptual field in the treatment of crime, according with a new outline of the study and investigation of crime, a new criminal's classification and a new sense for the legal institution. We also analyze its consequences in terms of a new disciplinary map for crime's treatment, in which psychology assumes a central place, showing its potentialities for the normalizing intervention in the social field. (shrink)

At head of title: Sociedade Científica da Universidade Católica Portuguesa.