Introduction The Brazilian national curriculum guidelines for undergraduate medicine courses inspired and influenced the groundwork for knowledge acquisition, skills development and the perception of ethical values in the context of professional conduct. Objective The evaluation of ethics education in research involving human beings in undergraduate medicine curriculum in Brazil, both in courses with active learning processes and in those with traditional lecture learning methodologies. Methods Curricula and teaching projects of 175 Brazilian medical schools were analyzed using a retrospective historical and (...) descriptive exploratory cohort study. Thirty one medical schools were excluded from the study because of incomplete information or a refusal to participate. Active research for information from institutional sites and documents was guided by terms based on 69 DeCS/MeSH descriptors. Curriculum information was correlated with educational models of learning such as active learning methodologies, tutorial discussions with integrated curriculum into core modules, and traditional lecture learning methodologies for large classes organized by disciplines and reviewed by occurrence frequency of ethical themes and average hourly load per semester. Results Ninety-five medical schools used traditional learning methodologies. The ten most frequent ethical themes were: 1 – ethics in research (26); 2 – ethical procedures and advanced technology (46); 3 – ethic-professional conduct (413). Over 80% of schools using active learning methodologies had between 50 and 100 hours of scheduled curriculum time devoted to ethical themes whereas more than 60% of traditional learning methodology schools devoted less than 50 hours in curriculum time to ethical themes. Conclusion The data indicates that medical schools that employ more active learning methodologies provide more attention and time to ethical themes than schools with traditional discipline-based methodologies. Given the importance of ethical issues in contemporary medical education, these findings are significant for curriculum change and modification plans in the future of Brazilian medical education. (shrink)

BackgroundChronic pain has serious medical and social consequences and leads to economic burden that threatens the sustainability of healthcare services. Thus, optimized management of pain tools to support CP patients in adjusting to their condition and improving their quality of life is timely. Although acceptance and commitment therapy is considered an evidence-based psychological approach for CP, evidence for the efficacy of online-delivered ACT for CP is still scarce. At the same time, studies suggest that self-compassion mediates the change in disability (...) and psychopathological symptoms in ACT interventions for CP, although self-compassion is not a specific target in ACT. Thus, an explicit focus on self-compassion might increase the efficacy of ACT interventions for CP, although this hypothesis has not been tested. This study aims to develop an eHealth ACT and compassion-based self-management intervention for CP, the iACTwithPain, and to compare its efficacy in improving health outcomes to a similar ACT-only intervention and a medical TAU group.MethodsThe eHealth platform that will host the interventions will be developed using a flat design identity and will be interactive. The iACTwithPain intervention will comprise eight weekly self-management sessions and will be developed taking into consideration the psychological flexibility model applied to CP, with the addition of explicit compassion-based components. To analyze whether the iACTwithPain intervention will present superiority in improving CP’s impact and related health markers over the two other conditions, this study will follow an RCT design with three arms. CP patients will be recruited through direct contact with patient associations and healthcare services and a national press release in Portugal. Outcome measurement will be conducted at baseline, post-intervention and at 3- and 6-month follow-ups. The interventions’ acceptability will also be assessed.DiscussionThe iACTwithPain intervention is expected to improve CP patients’ psychosocial functioning, quality of life, and empowerment, by promoting adaptive disease management and regulation of pain-related internal experiences. Results will contribute to a better understanding on the pertinence of adding compassion elements to ACT for CP and to reach an optimized intervention for CP.Clinical Trial RegistrationThis trial has been registered at ClinicalTrials.Gov. The current manuscript comprises the first version of this clinical trial’s protocol. (shrink)

The exceptional pandemic due to the 2019 coronavirus disease has obliged all Italians to stay at home. In the literature, there are evidences that traumatic global events, such as natural catastrophes and pandemic, have negative effects on the physical and psychological health of the population. We carried out a survey to analyze the physical and psychological conditions of Italians during the pandemic. Due to the severe limitations in moving during the phase one lockdown, the survey was administered by internet. Results (...) show that Italians followed the provisions established by the Italian government to avoid contamination, but 43% of them declared to have suffered from physical symptoms, in particular migraine, sleep disorders, persistent exhaustion, and difficulty of concentration. They have great fear to be contaminated or that relatives or friends can be contaminated, and they actively take actions to avoid contamination. Participants declared that they had suffered a lot of inconveniences due to restrictions in their movements, and that their life habits were strongly changed. They spent their time at home in different activities, but their psychological well-being was strongly impaired by the lockdown. The level of anxiety tripled, in relation to the prepandemic period, and 30% of males and 41% of females declared to have severe levels of depression. Participants with high levels of optimism and hopefulness show a stronger resilience against anxiety and depression. In addition, there is a negative correlation between anxiety and depression and the five factors of personality. These results show that psychological diseases must not be neglected, and that people in lockdown do need support for their psychological health, also with the help of internet and communication technologies. (shrink)

El presente artículo centra su atención en dos textos de la producción temprana de Walter Benjamin, Sobre el lenguaje en general y el lenguaje de los humanos y Para una crítica de la violencia, con el fin de detectar ciertas huellas conceptuales vinculadas al pensamiento kantiano. A partir de ellas se bosquejan algunos fragmentos del panorama teórico dentro del cual Walter Benjamin plantea aquella tensión tan particularmente dialéctica mediante la que, a pesar de objetar la ilustración, reivindica la crítica como (...) el modo inexcusable de actualizarse el pensamiento filosófico. (shrink)

El siguiente trabajo tiene como objetivo principal describir y analizar la percepción de Manuel Baldomero Ugarte sobre Estados Unidos. Ugarte fue literato y político, pero también fue un pensador interesado por los asuntos internacionales de América Latina. Evidencia de ello son sus propuestas integracionistas y antiimperialistas, en las cuales la presencia de Estados Unidos era evidente. Debido a lo anterior, se estima conveniente explicar qué pensó Ugarte sobre la nación norteamericana, y desde esa perspectiva, contribuir a la discusión sobre tan (...) trascendental intelectual latinoamericano. The purpose of this work is to describe and analyze the perception of Manuel Baldomero Ugarte about the United States. Ugarte was a writer and a politician, but it was also a thinker interested in the Latin America’s international affairs. Testimony of this are his integrationist and anti-imperialist proposals, in which the U.S. presence was evident. Thus, it is considered advisable to explain what he thought about the American nation, and from this perspective, to contribute to the discussion around this important Latin American intellectual. (shrink)

RESUMEN Walter Benjamin y Theodor W. Adorno elaboran una reflexión en torno a la actualidad y porvenir de la filosofía a raíz de la desavenencia entre verdad y conocimiento que eclosiona en el seno de la modernidad. En este trabajo nos proponemos, en consecuencia, rastrear de qué manera Adorno y Benjamin dirigen sus reflexiones sobre la praxis filosófica hacia la inquietud epistemológica sobre la interpretación de lo inconcluso. El recorrido que proponemos nos permite mostrar, en primer lugar, que ambos pensadores (...) desarrollan una crítica de la racionalidad filosófica atravesada por la advertencia dialéctica acerca de la presencia de lo inacabado. En segundo lugar, que la Teoría crítica gestada por ellos encuentra en la interpretación la vía práctica de la que depende la actualidad filosófica, pues, según exponemos en nuestro análisis, interpretar constituye la posibilidad teórica de reparar lo despreciado en el despliegue dialéctico de la modernidad. ABSTRACT Walter Benjamin and Theodor W. Adorno elaborate a reflection on the actuality of philosophy as a result of the disagreement between truth and knowledge that hatches in the bosom of modernity. Consequently, in this work we propose to trace how Adorno and Benjamin direct their reflections on philosophical praxis towards the epistemological concern about the interpretation of the unclosed. The route that we propose allows us to show, first of all, that both thinkers develop a critique of philosophical rationality crossed by the dialectical warning about the presence of the unfinished. Secondly, that the Critical Theory conceived by them finds in interpretation the practical way on which philosophical actuality depends, because -as we expose in our analisis- to interpret constitutes the theoretical possibility of repairing the despised in the dialectical deployment of modernity. (shrink)

The goal of this article is to examine the incardination of the critical notion "limit of reason" and the dialectical notion "threshold" within the framework of Walter Benjamin's philosophy. To this end, in the first place, this article investigates Benjamin's determination of rational limits according to the correlation between the weakening of the mimetic experience and the instrumentalization of language. Then, based on an analysis of the dialectic of the media, it indicates why Benjamin's philosophy can be conceived as the (...) attempt to dialectically transform the "limits of reason" into "thresholds" open to another rational experience. In this way, it is hoped to show one aspect of Walter Benjamin's thought: the updating of the critique of reason as one of the foundations of his program for a coming philosophy. (shrink)

Este artigo tem por objetivo ampliar a compreensão daquilo que Michel Foucault definiu como a “função-psi” e suas influências na instauração do poder. Esse poder se refere ao desenvolvimento de um saber sobre o comportamento humano, cujo conhecimento foi e vem sendo utilizado pelo que Foucault chamou de “normalização” da sociedade. É também objeto deste trabalho buscar o entendimento do “poder disciplinar”, surgido a partir dos estudos do comportamento humano pela Psicologia, para entender como esses estudos promoveram a patologização das (...) experiências individuais. Assim, nasce o que Foucault denominou biopoder: um poder concentrado na figura do Estado e voltado para o gerenciamento da vida e do corpo da população. Um poder disciplinador e normalizador, exercido por meio de tecnologias políticas destinadas a inserir os indivíduos no aparelho de produção. (shrink)

The phenomenon of femicide is a social tragedy, keeping on being perpetrated across time. Its consequences are deeply traumatic for children and adolescents, becoming motherless, by their father or by their agent of fatherly care. It represents a serious trauma, still needing to be adequately addressed, by the different human sciences and, especially, involving pedagogy in a careful reflection, in order to facilitate full development processes for a subject in a childhood and adolescence age. The reference, here, is to a (...) pedagogy of bereavement, grounded in attentive categories of analysis and in educative methodologies, able to strengthen life value and to activate an existential planning. It should act in the purpose of allowing each orphaned subject — due to femicide —being capable of building his/her own meaningful future, worthy to be wished and towards which addressing the own search of meaning. (shrink)

This article postulates that the criticality of epistemology elaborated by Walter Benjamin and Theodor W. Adorno is based not so much on the reformulation of a philosophical praxis against modern reason, but mainly on the metamorphosis of the concept of truth. Specifically, it is affirmed that the critique of modern reason carried out by both thinkers is associated with the determination of the temporal nucleus of truth as negativity and mourning. In the context of a rational crisis, Benjamin and Adorno (...) open the possibility of a relationship with objectivity in the form of a critical interpretation of that temporal nucleus. This, linked to the dialectic of modern catastrophe, deals with exposing the fragments produced by the subjectivist super-determination governed by the logic of identity. To justify this, first, we explain the identification made by both philosophers between the temporal nucleus of truth and the concept of sad-negative truth; imbrication that tries to condense the consequences of the subjectivist constitution of reason. Then, we point out the conjugation of this definition of truth with the production of suffering. Next, we determine in what sense the negativity of the truth opens up the dialectical character of the modern catastrophe. Finally, we indicate the necessary association of such a critical epistemology with the historical apocatastasis. (shrink)

Following Berwick and Chomsky, parameters are degrees of freedom open at the externalization of syntactico-semantic structures by sensorimotor systems. Within this framework, in Section 2 I focus on a case study concerning Northern Italian subject clitics, also raising the well-known question how to reconcile observable microvariation with the desideratum of a reduced number of parameters. Sections 3 reviews recent relevant models of parameterization, the Rethinking Comparative Syntax model and the Parameters & Schemata model. Sections 4–5 return to the case study, (...) taking the reductionist view that parameters may be just categorial cuts, such as the 1/2P vs 3P split, interacting with externalization and other general principles of grammar. (shrink)

BackgroundThis pilot study aims to test the usability of the iACTwithPain platform, an online ACT-based intervention for people with chronic pain, to obtain information on which intervention and usability aspects need improvement and on expected retention rates.MethodsSeventy-three Portuguese women with chronic pain were invited to complete the first three sessions of the iACTwithPain intervention assess their quality, usefulness and the platform’s usability. Twenty-one accepted the invitation. Additionally, eight healthcare professionals working with chronic medical conditions assessed the platform and the intervention (...) from a practitioner’s point of view.ResultsThis study presented a considerable attrition rate among chronic pain participants, with six completers. There were no significant differences in demographic or clinical variables between dropouts and completers except for completed education. Reasons for dropout were related to difficult personal events occurring during the time of the intervention, lack of time, or having forgotten. There seemed to be an overall satisfaction with both the intervention, its contents and form of presentation of information, and the platform, concerning its design, appearance, and usability. Real image videos were preferred over animations or audio by chronic pain participants. Healthcare professionals emphasized the appealing and dynamic aspects of the animation format.ConclusionThis study informs the ongoing improvement of the iACTwithPain platform and provides valuable information on aspects researchers should consider while developing online psychological interventions for chronic pain. Further implications are discussed. (shrink)

O texto discute o apelo de Foucault aos corpos e prazeres como instância de resistência aos efeitos do dispositivo da sexualidade. Primeiro, abordamos a descoberta foucaultiana do dispositivo da sexualidade. Depois, discutimos a análise de Judith Butler sobre o modo como Foucault retratou o caso de Herculine Barbin, tomando-o como estratégico para a sua própria crítica à concepção foucaultiana da resistência. Para Butler, ao recorrer aos corpos e aos prazeres Foucault entraria em contradição com sua própria análise genealógica, pois sua (...) sugestão implicaria assumir a potência vital do corpo e do prazer como sendo anterior ou alheia ao dispositivo de poder-saber que produziu os sujeitos da sexualidade. No terceiro momento discorreremos criticamente sobre a análise proposta por Butler e argumentaremos que Foucault não tomou o caso de Herculine Barbin como modelo de resistência válido para nós, pois o entendeu como relativo ao dispositivo do poder pastoral. Finalmente, afirmamos que ao dissociar as práticas sexuais, os corpos e os prazeres do império do “sexo-desejo”, Foucault enfatizou o exercício de condutas sexuais como campo de experiências voltadas à transformação de si e dos outros, por meio da ampliação das relações entre os sujeitos. (shrink)

Este estudo tem como objetivo conhecer as concepções de homem presentes na bibliografia utilizada pelas disciplinas de Psicologia Clínica das universidades gaúchas. Com esse intuito procedeu-se, inicialmente, a uma revisão bibliográfica sobre as formas de concepção de homem ao longo da história da humanidade, chegando-se à Idade Moderna e ao advento da Psicologia como ciência. Através da análise qualitativa dos planos de ensino de 11 universidades gaúchas, pode-se inferir que a concepção de homem predominante na Psicologia Clínica, como disciplina acadêmica, (...) é a concepção própria da Psicanálise.This article aims to know the concepts of man that can be found in the bibliography used in courses of clinical psychology in universities of Rio Grande do Sul. As a first step, we went through a bibliographical survey about the ways man has been comprehended along history up to Modern Age and the advent of Psychology as science. From the qualitative analysis of the teaching plans of eleven universities of Rio Grande do Sul, it is possible to infer that the psychoanalytical concept of man is the predominant conception found in clinical psychology as an academic discipline. (shrink)

We provide a grounded model for analysing formation in cross sector social partnerships to understand why business and nonprofit organizations increasingly partner to address social issues. Our model introduces organizational characteristics, organizational motives and history of partner interactions as critical factors that indicate the potential for social change. We argue that organizational characteristics, motives and the history of interactions indicate transformative capacity, transformative intention and transformative experience, respectively. Together, these three factors consist of a framework that aids early detection of (...) unnecessary partnering efforts and provide indicators of partners' transformative potential. Further we discuss the reciprocal, multi-level nature of change in social partnerships through the interplay between the organizational, individual and social levels of reality. The formation stage of partnerships contributes to the partnership and corporate social responsibility (CSR) literatures a deep understanding of the organisations' early interactions by placing within a historical context that reveals their dynamics and their potential to deliver organisational and social change. (shrink)