Background: Serious games have shown positive results in increasing motivation, adherence to treatment and strengthening the therapeutic alliance in multiple psychiatric disorders. In particular, patients with impulse control disorders and other disorders in which the patient suffers from inhibitory control deficits have been shown to benefit from serious games.Aim: The aim of this study was to describe the characteristics and to evaluate the usability of a new serious videogame, e-Estesia. This serious videogame was designed to improve emotion regulation in patients (...) with gambling disorder. Preliminary results from a pilot sample are also reported.Method: A pilot sample of 26 patients undergoing treatment for GD was recruited. Participants used e-Estesia on a tablet, which was connected to a thoracic band that sent heart rate and heart rate variability data to the videogame platform in order to provide biofeedback. The System Usability Scale was completed by patients to determine the usability of e-Estesia.Results and Discussion: e-Estesia performed comparatively well for all the explored groups. Around 84.6% of the patients endorsed that it was easy to use. Female patients with GD presented higher HRV during the use of the serious videogame compared to men. (shrink)

La reparación de víctimas en Colombia ha tomado cada vez más importancia no solo en el ámbito jurídico-político, sino también en el económico, siendo este último el que hace posible gobernar a las víctimas. Con el fin de develar las tecnologías de gobierno desarrolladas alrededor del sujeto-víctima, este artículo analiza a la víctima no sólo como sujeto de derecho sino también como sujeto económico, permitiendo así, la tasación del valor de la vida misma. Para ello, se han tomado como referentes (...) algunos conceptos foucaultianos acordes a la noción de gubernamentalidad neoliberal. (shrink)

El escrito continúa una discusión mantenida por Macarena Marey, María Julia Bertomeu y Nuria Sánchez Madrid en torno a la capacidad de los principios del republicanismo kantiano para transformar el espacio social en un ámbito en el que la autosuficiencia material constituya una de las condiciones fundamentales para que la igualdad formal ante la ley y la libertad política puedan actualizarse. En estas coordenadas se manifiestan también algunas discrepancias en lo concerniente a la percepción kantiana de las injusticias (...) sociales y políticas propias de su tiempo, si bien se alcanza el acuerdo de que el diseño institucional del republicanismo kantiano constituye un dispositivo conceptual suficiente para eliminar la desigualdad económica que comporta pasividad civil y política. (shrink)

El presente número especial de Circe reúne trabajos inspirados en exposiciones realizadas en el “III Workshop Internacional de Filosofía Antigua” en el marco del PIP “La concepción de philosophía en Platón y sus desarrollos en el pensamiento helenístico”, Instituto de Filosofía dirigido por la Dra. María Angélica Fierro.

The current globalization process excludes a significant part of humanity, but organizations can contribute to a more inclusive form by means of dialogue with other organizations to create economic and social value. This article explores the main leadership traits (visions, roles and virtues) necessary for this dialogue. This exploration consists of a comparison between two theoretical approaches and their illustration with two cases. The theoretical approaches compared are Responsible Leadership, a management theory focused on the contribution of business leaders to (...) create a better society as developed by Maak and Pless; and the Work of Translation, a sociological theory which stresses the need for dialogue between organizations to build an alternative to hegemonic or the so-called neo-liberal globalization as formulated by Santos. Both approaches, in what seems an unlikely pairing at first, are compared in terms of their perspectives, diagnoses of the present situation, the main task to be performed by leaders, styles of this task and leadership outcomes. The illustrative cases include a federation of co-ops in Nicaragua and an employer organization in the Democratic Republic of the Congo. We contend that, although these economic development organizations are not private firms, the leadership characteristics of their respective leaders are highly valuable and inspiring for business leaders and multinational corporations wishing to act responsibly at the local and global levels, thus contributing to this more inclusive form of globalization. (shrink)

This paper explores the nature of the relationship between corporate social responsibility (CSR) and competitiveness. We start with the commonly held view that firm competitiveness is defined by the market. That is, the question of what are the critical competitiveness factors is answered by looking at how companies and financial analysts describe and evaluate a firm. To analyze this, we review the current state of the art on the relationship between CSR and competitiveness. Second, CSR criteria used by financial analysts (...) is identified and compared with company valuation methods. Third, the results of a multi-stakeholder dialogue on CSR and competitiveness of the European financial sector are presented. As a conclusion, we argue that CSR and competitiveness relate through a learning and innovation cycle, where corporate values, policies and practices are permanently defined and re-defined. Thus, we propose that learning takes place as CSR is embedded in business processes, and that once it has been integrated, in turn, it generates innovative practices, and finally, competitiveness. At the end of the paper, we propose that CSR in practice consists of managing inherent paradoxes generated by the tension between CSR and business policies. (shrink)

A partir del análisis del ambientalismo desde las perspectivas que brindan diferentes discursos sobre desarrollo sostenible, los autores argumentan que, en un nivel de aplicación local, en comunidades y proyectos específicos, se pueden generar nichos de sostenibilidad, pese a que reconocen la extrema dificultad de este desafío; comparan viejas y nuevas propuestas para alcanzar la sostenibilidad, tales como: el desarrollo sostenible, el capitalismo natural, el decrecimiento sostenible o el ecologismo de los pobres. Por último, presentan dos casos con particularidades diferentes, (...) en los que comunidades pobres se resisten a la Raubwirtschaft o economía industrial de rapiña dominante, al buscar la construcción de nichos de sostenibilidad desde una perspectiva local y de comunalidad, mediante el ordenamiento comunitario territorial, la gobernanza democrática y la planeación participativa. (shrink)

RESUMEN El concepto heterotopía, definido por Michel Foucault como espacio otro, es retomado en este artículo, desde un enfoque crítico, para analizar los procesos de construcción, gestión y puesta en marcha del Museo Itinerante de la Memoria y la Identidad de Los Montes de María, El Mochuelo. Bajo la premisa de que el desarrollo de los procesos de memorialización debe atenderse más allá del cumplimiento normativo por parte del Estado, puesto que estas prácticas de memoria territoriales en El Mochuelo (...) subvierten el estatismo y la homogeneidad con los cuales se instauran las verdades oficiales. ABSTRACT Heterotopia concept, defined by Michel Foucault as another space, is taken up in this article to analyze the processes of construction, management, and implementation of the Museo Itinerante de la Memoria y la Identidad de Los Montes de María, El Mochuelo (Itinerant Museum of Memory and Identity of Los Montes de María, El Mochuelo). Under the premise that the development of memorialization processes must be addressed beyond regulatory compliance by the State since these territorial memory practices in El Mochuelo subvert the statism and homogeneity with which official truths are established. (shrink)

La educación emocional como tema de investigación tiene una amplia tradición con diferentes autores tanto a nivel internacional y nacional. Estos estudios afirman que la educación integral del alumnado requiere la inclusión de aspectos de carácter tanto cognitivo como de aquellos que involucran habilidades relacionadas con el autocontrol, el autoconocimiento, o la colaboración con los demás, entre otros. En las próximas líneas se plantea el análisis de la legislación educativa de los Reales Decretos de enseñanzas mínimas redactados a partir de (...) la LOMLOE, a fin de comprobar si se contempla su inserción y de qué forma. (shrink)

Research Ethics Committees have the responsibility to protect the participants involved in researches and to guarantee the ethical behavior of researchers. In some institutions, such committees also review scientific projects of non-pharmaceutical areas, Public Health and Health Economics. Within this framework, the article analyzes what it means to be part of a Research Ethics Committee in a hospital or university based on personal experience as a community representative. By means of the convenience sampling technique, implemented in four Colombian cities that (...) have GCP-certified committees by INVIMA –National Institute for the Control of Medications and Food–, and by means of content analysis, based on fixed and emergent categories; the experience, perception, participation, representation, and ethical aspects are described as well as the learning process and personal contributions. Findings prove that representatives interviewed have been benefited by learning clinic and epidemiological aspects without necessarily being “experts in the community”. However, they seem not to recognize clearly the population they represent, which might lead these communities to being affected by certain particular studies. The article suggests to work on the minimal common elements that a community representative should possess to appropriately protect participants. (shrink)

RESUMEN El objetivo de este artículo fue analizar cómo es subsumido el sentido de lo transmoderno por el filósofo colombiano Santiago Castro-Gómez para proponer una política emancipatoria. La transmodernidad es un proyecto decolonial planteado por Enrique Dussel en 1994. La modernidad, definida como mito sacrificial -eurocéntrica, colonizadora y capitalista- sería superada desde el momento en que se pueda afirmar la alteridad de las culturas universales -analéctica-. Tal proyecto de la Filosofía de la Liberación se puede concebir como un método que (...) tomaría lo mejor de la modernidad -su carácter racional-, pero en sentido contrario a la dominación política, cultural y económica. Castro-Gómez asume este método para proponer un republicanismo transmoderno. En este texto se establece como hilo conductor el posible diálogo modernidad/colonialidad establecida por estos dos filósofos para determinar cómo es posible plantear una nueva forma de entender la ontología de la política emancipatoria que presenta el filósofo colombiano. ABSTRACT This article seeks to analyze how the sense of transmodernity is subsumed in philosopher Santiago Castro-Gómez, to propose an emancipatory policy. Transmodernity is a decolonial project proposed by Enrique Dussel in 1994. Modernity, defined as a sacrificial myth -eurocentric, colonizing, and capitalist- would be overcome from the moment in which it is possible to affirm the otherness of the universal cultures -ana-lectic-. Such a project of the Philosophy of Liberation can be conceived as a method that would take the best of modernity -its rational character-, but in an opposite sense to political, cultural, and economic domination. Gastro-Gómez assumes this method to propose a transmodern republicanism. In this text, the possible modernity/ coloniality dialog, corroborated by these two philosophers, will be established as the guiding thread to determine how a new way of understanding the ontology of emancipatory politics, presented by the Colombian philosopher, is possible. (shrink)

Most of the Latin American population, including in places like Mexico and Brazil, is becoming extremely poor, slipping in the last ten years from poverty to extreme poverty. Native communities are in this condition: to live only to survive, lacking any opportunity to improve or at least meet their basics needs of food and shelter. I practiced P4C in the multicultural community of Juchitán, Oaxaca, to find if P4C overcame the limitations of extreme poverty, respecting the cultural diversity while obtaining (...) positive results. (shrink)

Este repertorio registra información de Husserl en la Internet, una breve historia sobre los Nachlaß, el índice de la Husserliana, un listado de las publicaciones de y sobre Husserl disponibles en la Biblioteca Central de la Pontificia Universidad Católica del Perú, y los artículos sobre Husserl que se encuentran en la Hemeroteca. El listado abarca las publicaciones existentes hasta el año 1997.

AimThe functional prognosis of patients after coma following either cardiac arrest or acute structural brain injury is often uncertain. These patients are associated with high mortality and disability. N20 and N70 somatosensory evoked potentials are used to predict prognosis. We evaluated the utility of SSEP as an early indicator of long-term prognosis in these patients.MethodsThis was a retrospective cohort study of patients admitted to the intensive care unit with a diagnosis of coma after CA or ABI. An SSEP study was (...) performed, including N20 and N70 at 24–72 h, after coma onset. Functional recovery was assessed 6–12 months later using the modified Glasgow scale. The study was approved by our local research ethics committee.ResultsIn the CA and ABI groups, the absence of N20 or N70 was a strong indicator of poor outcome. Conversely, the presence of N70 was an indicator of a good outcome.ConclusionSomatosensory evoked potentials are useful early prognostic markers with high specificity and sensitivity. Moreover, N70 has additional potential value for improving the prediction of good long-term functional outcomes.Clinical Trial Registration:[https://clinicaltrials.gov/], identifier [2018/01/001]. (shrink)

Introduction: Clinical policies control several aspects of clinical practice, including individual treatment and care, resource management and healthcare professionals’ etiquette. This article presents Clinical Policy Ethics Assessment Tool, an ethical assessment tool for clinical policies that could be used not only by clinical ethics committees but also by policy committees or other relevant groups. Aim: The aim of this study was to find or create a tool to identify ethical issues and/or confirm ethical validity in nursing practice policies, protocols and (...) guidelines. Methodology: The development of Clinical Policy Ethics Assessment Tool involved first a literature review, followed by modification of the Research Protocol Ethics Assessment Tool, which was created to identify research protocols’ ethical issues, and finally, a trial of Clinical Policy Ethics Assessment Tool to ensure its reliability and validity. Ethical consideration: The policies analysed trialling Clinical Policy Ethics Assessment Tool were in the public domain and did not contain any confidential information. Despite that, Clinical Policy Ethics Assessment Tool also had the approval of a research ethics committee. Results: Research Protocol Ethics Assessment Tool was chosen as the template for a Clinical Policy Ethics Assessment Tool, to which several modifications were added to adapt it to work within a nursing practice context. Clinical Policy Ethics Assessment Tool was tested twice, which resulted in a general test–retest reliability coefficient = 0.86, r = 0.84, α1 = 0.817, α2 = 0.824 and interclass correlation coefficient = 0.874. Discussion: Contemporary nursing practice in a developed country is often ruled by clinical policies. The use of Clinical Policy Ethics Assessment Tool could confirm the ethical validity of those clinical practice policies, impacting on nurses’ education, values and quality of care. Conclusion: Clinical Policy Ethics Assessment Tool has the potential to detect ethical issues and facilitate the correction and improvement of clinical policies and guidelines in a structured way. This is especially so as it has shown reliability in detecting issues in clinical policies involving human participants and in encouraging policymakers to consider common ethical dilemmas in nursing practice. (shrink)

Introduction: Nurses who work in an emergency department regularly care for acute patients in a fast-paced environment, being at risk of suffering high levels of burnout. This situation makes them especially vulnerable to be accountable for decisions they did not have time to consider or have been pressured into. Research objective: The objective of this study was to find which factors influence ethical, legal and professional accountability in nursing practice in an emergency department. Research design: Data were analysed, codified and (...) triangulated using qualitative ethnographic content analysis. Participants and research context: This research is set in a large emergency department in the Midlands area of England. Data were collected from 186 nurses using participant observation, 34 semi-structured interviews with nurses and ethical analysis of 54 applicable clinical policies. Ethical considerations: Ethical approval was granted by two research ethics committees and the National Health Service Health Research Authority. Results: The main result was the clinical nursing accountability cycle model, which showed accountability as a subjective concept that flows between the nurse and the healthcare institution. Moreover, the relations among the clinical nursing accountability factors are also analysed to understand which factors affect decision-making. Discussion: The retrospective understanding of the factors that regulate nursing accountability is essential to promote that both the nurse and the healthcare institution take responsibility not only for the direct consequences of their actions but also for the indirect consequences derived from previous decisions. Conclusion: The decision-making process and the accountability linked to it are affected by several factors that represent the holistic nature of both entities, which are organised and interconnected in a complex grid. This pragmatic interpretation of nursing accountability allows the nurse to comprehend how their decisions are affected, while the healthcare institution could act proactively to avoid any problems before they happen. (shrink)

Contemporary healthcare practice has been progressively more regulated to increase efficiency, service user safety and practice quality. However, ethical issues in clinical practice that have not been implemented into regulations are undervalued by policymakers and healthcare institutions Considering the issues found by other authors, the use of a simple tool for policymakers to consider recurrent ethical issues could reduce those issues in a policy-driven clinical practice. The lack of tools to support structured ethical assessment of clinical policies was the main (...) reason to create the Clinical Policy Ethics Assessment Tool, but we realised of its possible advantages: limiting ethical dilemmas posed by policies, ensuring ethical practice by the use of policies and developing a consistent process for policymakers, institutions and healthcare professionals. Nonetheless, even if a tool can be implemented and it supports the creation of policies that reduce ethical issues, if the healthcare professionals are not aware of them they will not be implemented and the issues will continue. (shrink)

Contemporary healthcare practice has been progressively more regulated to increase efficiency, service user safety and practice quality. However, ethical issues in clinical practice that have not been implemented into regulations are undervalued by policymakers and healthcare institutions Considering the issues found by other authors, the use of a simple tool for policymakers to consider recurrent ethical issues could reduce those issues in a policy-driven clinical practice. The lack of tools to support structured ethical assessment of clinical policies was the main (...) reason to create the Clinical Policy Ethics Assessment Tool, but we realised of its possible advantages: limiting ethical dilemmas posed by policies, ensuring ethical practice by the use of policies and developing a consistent process for policymakers, institutions and healthcare professionals. Nonetheless, even if a tool can be implemented and it supports the creation of policies that reduce ethical issues, if the healthcare professionals are not aware of them they will not be implemented and the issues will continue. (shrink)

In the city of Elche, every year, on the 14th and 15th of August, a sacred musical play about the death, the Assumption and the Coronation of the Virgin Mary is held. This event, known as the “Misterio de Elche”, is unique in the world. Since the middle of the 15th century it has been performed in the Basilica of Santa Maria and in the streets of the ancient city of Elche, located in the Valencian Community. In this work, classified (...) as a UNESCO World Heritage Site, the interior of the temple is transformed into 2 main stages, the scaffold, located in the lower part, and the aerial stage, located in the dome at a height of 27 m. The structure and the traction mechanisms located on the aerial stage allow the aerial devices that take part in the play, “El Araceli”, “La Mangrana” and “La Santísima Trinidad”, to be raised and lowered. It should be noted that between 2 and 5 singing actors are embarked on these devices. This article describes the main characteristics of the aerial stage structure, the 3 apparatus and the mechanical systems used. In addition, the age and modifications of “El Araceli” are analysed, as well as the results of a non-destructive test carried out on this device. (shrink)

En este escrito me propongo mantener un diálogo con María Julia Bertomeu a propósito de la lectura sobre la hibridación de liberalismo y republicanismo contenida en una contribución de A. Pinzani y N. Sánchez Madrid y publicada en el volumen Kant and Social Policies. Mi intención principal es esclarecer lo que Kant parece entender en la Doctrina del Derecho como la protección jurídica que el Estado debe conceder a los ciudadanos en su totalidad y señalar la dualidad de (...) perspectivas que este pensador abre para resolver problemas de enorme incidencia social y política como es la pobreza, como un ejemplo de su planteamiento de la injusticia social. Finalmente, se recogen algunas conclusiones sobre la disparidad de ópticas que Kant y nuestro presente adoptan acerca del sufrimiento social y la noción de responsabilidad jurídica y política. (shrink)

It is unknown whether hospital-based medical professionals in Spain educate patients about advance directives. The objective of this research was to determine the frequency of hospital-based physicians’ and nurses’ engagement in AD discussions in the hospital and which patient populations merit such efforts. A short question-and-answer-based survey of physicians and nurses taking care of inpatients was conducted at a university hospital in Madrid, Spain. In total, 283 surveys were collected from medical professionals, of whom 71 per cent were female, (...) with an average age of thirty-four years. Eighty-four per cent had never educated patients about ADs because of lack of perceived responsibility, time, or general knowledge of ADs. Patient populations that warranted AD discussions included those with terminal illnesses, chronic diseases, and elderly patients. Regarding degree of AD understanding in medical professionals: 57 per cent of medical professionals claimed sufficient general knowledge of ADs, 19 per cent understood particulars regarding AD document creation, and 16 per cent were aware of AD regulatory policies. Engagement in AD discussions was considered important by 83 per cent of medical professionals, with 79 per cent interested in participating in such discussions themselves. The majority of hospital physicians and nurses do not educate their patients about ADs, despite acknowledging their importance. Patient populations of highest priority included those with terminal diseases or chronic illness or who are of advanced age. (shrink)

Recensión de Gil Ruíz, Juana María (ed.) (2018). El Convenio de Estambul como marco de derecho antisubordiscriminatorio. Dykinson, Madrid, 398 páginas.

Muchas y diversas son las preguntas que nos hacemos en lo que atañe a la sociedad civil en los complejos tiempos actuales: ¿Qué entendemos por sociedad civil? ¿Puede ella concebirse separadamente de los Estados que la constriñen? ¿Podrá el esfuerzo solidario de una sociedad civil organizada internacionalmente desafiar al mercado capitalista neoliberal? ¿Cuáles son las propuestas que la sociedad civil hoy día presenta para los ciudadanos? Pero además, ¿quiénes conforman la sociedad civil actua..

GABRIEL BELLO REGUERA: Emigración y ética. Humanizar y deshumanizar, Madrid, Plaza y Valdés, 2011, 341 pp.

En un interesante y polémico texto publicado por Alejandro Pinzani y Nuria Sánchez Madrid en 2016, bajo el título “The State Looks Down: Some Reassessments of Kant’s Appraisal of Citizenship”, los autores plantean una pregunta a la que aludo en el título del presente trabajo: Kant ¿liberal? ¿republicano? ¿o ambas cosas?, decantándose finalmente por un “ambas cosas”. Procuro discutir ciertas consideraciones sobre la distinción entre ciudadanía pasiva y activa; y la tesis que afirma que: por su clara aversión ante (...) la intervención del Estado en materia económica –incluso en casos de privación material- Kant podría ser enrolado en una posición liberal clásica en la que el Estado no debe intervenir en el status quo económico, pues se trata de transacciones privadas entre individuos libres. (shrink)