In the last few decades, assisted reproduction has introduced new challenges to the way people conceive and build their families. While the numbers of donor-conceived individuals have increased worldwide, there are still many controversies concerning access to donor information. Is there a fundamental moral right to know one’s genetic background? What does identity in DC families mean? Is there any relationship between identity formation and disclosure of genetic origins? These questions are addressed by analysing core regulatory discourse. This analysis shows (...) that the notion of narrative identity is suitable for defining and answering these questions. This review analyses the meaning of resemblance in DC families and the way donors are selected following affinity-ties and discusses disclosure strategies and agreements. As a preliminary conclusion, it could be said that, in the field of third-party reproduction, knowing about the donor conception significantly contributes towards the development of a narrative identity and also serves as a moral basis for the child’s right to know. (shrink)

« Nos sentiments ne sont perceptibles qu’en s’enfermant dans les mots ». Dès son introduction Georges Vigarello, professeur à l’Université de Paris-V et directeur d’étude à l’École des Hautes Études en Sciences Sociales, rappelle cette phrase de Jean-Louis Flandrin pour à son tour s’essayer à ce terrain difficile que sont les mots, afin de penser une histoire de la beauté. Les mots, significatifs du point de vue de leurs auteurs comme de leurs époques, traduisent les prises de conscience et...

El trabajo se propone identificar los principales objetivos y fundamentos a partir de los cuales el estoicismo antiguo ha comprendido el concepto de educación, en su ineludible vínculo con los ámbitos ético y político. Teniendo presente dicho objetivo, será nuestro propósito analizar la paideía esto..

Le livre fait partie d’une série de travaux publiée par un réseau d’historiens urbains qui cherchent à montrer comment l’expérience urbaine européenne, voire la forme même des villes ont été façonnées par le genre, du milieu du xviie au milieu du xxe siècle. Le prisme choisi pour étudier ces liens entre genre et ville est ici le luxe, parce qu’il touche à la fois à la société et à l’économie, à la politique et à la culture urbaines, ouvrant sur une (...) large investigation, comme l’exposent les tr... (shrink)

Résumé Quoique les rapports amoureux soient le point névralgique de La Maman et la Putain, Mes petites amoureuses et Une sale histoire, c’est la rencontre manquée entre les sexes qui s’y fait jour, tandis que la question du corps, comme celle du désir, s’y révèle problématique et paradoxale. Les corps sont occultés ou n’apparaissent que dans une intermittence, mis à distance par une parole insatiable ou un regard qui tient séparé. Le véritable corps amoureux tel que les films le dessinent (...) est d’une part celui du cinéaste en tant que cinéphile, et d’autre part celui du spectateur. (shrink)

In this article, I argue that gender is a primary cultural frame for coordinating behavior and organizing social relations. I describe the implications for understanding how gender shapes social behavior and organizational structures. By my analysis, gender typically acts as a background identity that biases, in gendered directions, the performance of behaviors undertaken in the name of organizational roles and identities. I develop an account of how the background effects of the gender frame on behavior vary by the context that (...) different organizational and institutional structures set but can also infuse gendered meanings into organizational practices. Next, I apply this account to two empirical illustrations to demonstrate that we cannot understand the shape that the structure of gender inequality and gender difference takes in particular institutional or societal contexts without taking into account the background effects of the gender frame on behavior in these contexts. (shrink)

Graphical displays of simple moving geometrical figures have been repeatedly used to study the attribution of animacy in human observers. Yet little is known about the relevant movement characteristics responsible for this experience. The present study introduces a novel parametric research paradigm, which allows for the experimental control of specific motion parameters and a predictable influence on the attribution of animacy. Two experiments were conducted using 3D computer animations of one or two objects systematically introducing variations in the following aspects (...) of motion: directionality, discontinuity and responsiveness. Both experiments further varied temporal kinematics. Results showed that animacy experience increased with the time a moving object paused in the vicinity of a second object and with increasing complexity of interaction between the objects . The experience of animacy could be successfully modulated in a parametric fashion by the systematic variation of comparably simple differential movement characteristics. (shrink)

In French-speaking Belgium, the educational system is made particular and complex because of the presence of several educational networks. This structural complexity leads, in particular, to provide multiple programs studies which are used by teachers for the preparation of teaching-learning sequences. Using data from several studies on the analysis of a part of the prescribed and implanted curriculum, the authors point out the complexity of teachers’ task who have to take into account of this plurality of programs studies. Here, it’s (...) shown that this situation is far from generating well-being and self-determination in the professional development of teachers. (shrink)

Malgré le progrès des connaissances de leurs mécanismes étiopathogéniques et la médicalisation de leur prise en charge, les pathologies démentielles restent très invalidantes sur le plan du maintien de l’autonomie dans les actes de la vie quotidienne et des relations interpersonnelles. Le terme de « démence » reste largement utilisé dans une acception évoquant non seulement la perte des fonctions cognitives et ses conséquences fonctionnelles, mais surtout l’altération de la relation perçue comme étrange et privée de sens. L’altération de la (...) dimension intersubjective de la relation nous semble un déterminant central de ces modifications relationnelles. Elle concerne le sens de soi, la relation interpersonnelle et la difficulté pour les proches à octroyer le statut de personne morale. On tente ici de démontrer que, dans les interactions avec les personnes âgées, et plus particulièrement celles souffrant de pathologie démentielle, la modification de la relation intersubjective se situe principalement au niveau de l’altération de l’« accordage affectif » tel que décrit par Daniel N. Stern dans ses travaux sur le développement précoce et la construction du sens de soi. Ces troubles de l’accordage affectif peuvent être rapprochés des risques de perte du statut de personne morale au sens où le phénoménologue Max Scheler le définit. L’article discute également des perspectives de validation expérimentale de ces hypothèses et de leur conséquence pour la pratique clinique. (shrink)

El presente artículo analiza el cuento “La casa de Asterión”, de Jorge Luis Borges, con el objetivo de evidenciar cómo el personaje, prisionero en su casa, se siente cautivo dentro de sí mismo y desea la muerte como posibilidad de liberación. Para ello se utiliza la categoría narratológica del espacio. A partir de esto, se llega a la conclusión de que el cuento puede ser considerado como una ficción dentro de la ficción ya que Borges recrea el mito del Minotauro, (...) no desde una perspectiva exterior, sino desde la concepción que Asterión tiene de sí mismo, otorgándole así una nueva posibilidad de sentido. (shrink)

L’article expose les premiers résultats du programme scientifique « SIG du centre monumental de Thasos. Topographie et architecture » qui, depuis 2015, vise à reprendre les études sur l’agora de Thasos par le biais d’une approche conjointe des inscriptions, de la sculpture et de l’architecture. L’un des objectifs était dans un premier temps la réalisation d’un plan géoréférencé de l’agora et de ses abords, qui puisse également servir d’appui à la construction d’un Système d’Information Géographique (SIG). L’article expose le cadre (...) méthodologique de leur mise en place ainsi que les diverses applications que vise le WebSIG de Thasos. Cette première étape étant désormais achevée, ces outils de recherche ont permis la reconfiguration d’un nouveau programme de recherche intitulé « Archépolis : Archéologie et histoire de l’espace public à Thasos ». (shrink)

Cet article présente un document trouvé dans les fouilles de l’École française à Thasos en 1969. Daté de l’époque classique, ce texte fut inscrit sur une tablette avant cuisson, premier exemple de ce type de support sur ce site. Après une étude du texte et de ses caractéristiques paléographiques et linguistiques, on expose les éléments qui laissent penser que l’on a affaire aux premières lignes d’une lettre. En plus de présenter certaines graphies distinctes de celles de l’épigraphie lapidaire et des (...) anthroponymes nouveaux, ce texte fournit une attestation supplémentaire du culte de Zeus Patrôos à Thasos. (shrink)

1. Properties of mirror neurons in monkeys. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (...) . . . 000 1.1. Action types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 000 1.2. Context effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 000 2. Is there a human ‘mirror neuron system’? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 000 2.1. Monkeys versus humans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 000 2.2. Action understanding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 000 3. The development of mirroring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 000 3.1. Imitation in newborns? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 000 3.2. Effects of experience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 000 3.3. Effects of sensorimotor experience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. (shrink)

Dennett, a philosopher, and Griffin, an ethologist, have recently presented influential arguments promoting the extended use of intentional language by students of animal behavior. This essay seeks to elucidate and to contrast the claims made by each of these authors, and to evaluate their proposals primarily from the perspective of a practicing comparative psychologist or ethologist. While Griffin regards intentional terms as explanatory, Dennett assigns them a descriptive function; the issue of animal consciousness is central to Griffin's program and only (...) tangentially related to Dennett's. The philosopher's arguments are founded upon a more coherent metaphysics, but Dennett neglects to substantiate his claim that animal competences can be most readily modelled by artificial intelligence specialists when they are described in intentional terms. Both authors assume that some examples of animal behavior should not be given an intentional characterization, but neither provides adequate guidelines for the identification of cases belonging to this negative set. (shrink)

Responding to commentaries from psychologists, neuroscientists, philosophers, and anthropologists, I clarify a central purpose of Cognitive Gadgets – to overcome “cognition blindness” in research on human evolution. I defend this purpose against Brunerian, extended mind, and niche construction critiques of computationalism – that is, views prioritising meaning over information, or asserting that behaviour and objects can be intrinsic parts of a thinking process. I argue that empirical evidence from cognitive science is needed to locate distinctively human cognitive mechanisms on the (...) continuum between gadgets and instincts. Focussing on that requirement, I also address specific challenges, and applaud extensions and refinements, of the evidence surveyed in my book. It has been said that “a writer's idea of sound criticism is ten thousand words of closely reasoned adulation.” I cannot disagree with this untraceable wag, but the 30 commentators on Cognitive Gadgets provided some 30,000 words of criticism that are of much greater scientific value than adulation. I am grateful to them all. The response that follows is V-shaped. It starts with the broadest conceptual and methodological issues and funnels down to matters arising from specific empirical studies. (shrink)

El presente trabajo se propone advertir el momento del proceso cognitivo en el cual la habilidad del sabio de controlar sus asentimientos se haría manifiesta; dicho propósito presenta ciertas dificultades dado el marco de un determinismo radical que caracteriza al pensamiento estoico. Por tanto, y con el objetivo de dilucidar tales problemáticas, conjugaremos la existencia de una cadena de determinaciones (que constituye el destino) con la posibilidad de que un individuo cuente con una facultad que 'esté en su poder'. The (...) present paper proposes to notice the cognitive process' moment in which the sage's ability to control his assents would become apparent; this objective presents some difficulties given the context of a radical determinism that characterizes Stoic thought. Therefore, and with the aim of solving such problems, we will conjugate the existence of a determinations' chain (which constitutes fate) with the possibility that a man has a faculty which 'might be in his power'. (shrink)

L’analyse de la sélection et de l’organisation des notices de la Chronique (dons et épiphanies) au travers des dédicants permet de mieux comprendre la signification de ce document, le public auquel il était destiné, et la culture de ses auteurs. La perspective de cette œuvre est locale, reflétant l’histoire de Lindos – cité-état puis dème –, de son sanctuaire, et le rôle croissant de ses prêtres.

Let f be a function from N to N that can not be computed in polynomial time, and let a be an element of a differential field K of characteristic 0. The problem of large powers is the set of tuples x̄ = (x 1 ,..., x n ) of K so that x 1 = a f(n) , and the problem of large roots is the set of tuples x̄ of K so that x f(n) 1 = a. These (...) are two examples of problems that the use of derivation does not allow to solve quicker. We show that the problem of large roots is not polynomial for the differential field K, even if we use a polynomial number of parameters, and that the problem of large powers is not polynomial for the differential field K, even for non-uniform complexity. The proofs use the polynomial stability (i.e., the elimination of parameters) of field of characteristic 0, shown by L. Blum. F. Cucker. M. Shub and S. Smale, and the reduction lemma, that transforms a differential polynomial in variables x̄ into a polynomial in variables x̄. and their derivatives. (shrink)

A notion of complexity for an arbitrary structure was defined in the book of Poizat Les petits cailloux (1995): we can define P and NP problems over a differential field K. Using the Witness Theorem of Blum et al., we prove the P-stability of the theory of differential fields: a P problem over a differential field K is still P when restricts to a sub-differential field k of K. As a consequence, if P = NP over some differentially closed field (...) K, then P = NP over any differentially closed field and over any algebraically closed field. (shrink)

Cognitive gadgets are distinctively human cognitive mechanisms – such as imitation, mind reading, and language – that have been shaped by cultural rather than genetic evolution. New gadgets emerge, not by genetic mutation, but by innovations in cognitive development; they are specialised cognitive mechanisms built by general cognitive mechanisms using information from the sociocultural environment. Innovations are passed on to subsequent generations, not by DNA replication, but through social learning: People with new cognitive mechanisms pass them on to others through (...) social interaction. Some of the new mechanisms, like literacy, have spread through human populations, while others have died out, because the holders had more students, not just more babies. The cognitive gadgets hypothesis is developed through four case studies, drawing on evidence from comparative and developmental psychology, experimental psychology, and cognitive neuroscience. The framework employed – cultural evolutionary psychology, a descendant of evolutionary psychology and cultural evolutionary theory – addresses parallel issues across the cognitive and behavioural sciences. In common with evolutionary developmental biology and the extended evolutionary synthesis, cultural evolutionary psychology underlines the importance of developmental processes and environmental factors in the emergence of human cognition. In common with computational approaches, it emphasises the power of general-purpose mechanisms of learning. Cultural evolutionary psychology, however, also challenges use of the behavioural gambit in economics and behavioural ecology, and rejects the view that human minds are composed of “innate modules” or “cognitive instincts.”. (shrink)

The procedures for structuring clinical ethics case reflections in a childhood cancer care setting are presented, including an eight-step model. Four notable characteristics of the procedures are: members of the inter-professional health care team, not external experts, taking a leading role in the reflections; patients or relatives not being directly involved; the model explicitly addressing values and moral principles instead of focussing exclusively on the interests of involved parties; using a case-based rather than principle-based method. By discusing the advantages and (...) disadvantages of the proposed procedures, our paper aims to contribute to the literature on models and procedures for ethical analysis that can be used in clinical settings. It is suggested that our proposed procedures have some advantageous features when it comes to promoting health care staff’s learning to structure their thinking about ethical issues. (shrink)

What is the relationship between imitation and culture? This article charts how definitions of imitation have changed in the last century, distinguishes three senses of “culture” used by contemporary evolutionists (Culture1–Culture3), and summarises current disagreement about the relationship between imitation and culture. The disagreement arises from ambiguities in the distinction between imitation and emulation, and confusion between two explanatory projects—the anthropocentric project and the cultural selection project. I argue that imitation gives cultural evolution an inheritance mechanism for communicative and gestural (...) skills (but not technological skills), and cultural selection yields the cognitive mechanisms that make imitation possible. (shrink)

RESUMO Neste artigo, analiso um conjunto de seis cartões comerciais pertencentes a uma duradoura campanha de marketing da Liebig Extract of Meat Co. A análise crítica dos textos promocionais produzidos na virada do século XX oferece insights significativos sobre os mecanismos discursivos que contribuíram para a hegemonização do capitalismo burguês. Diferentemente de outras formas de publicidade, os cartões comerciais não são rapidamente descartados e esquecidos; pelo contrário, eles podem se distanciar dos produtos anunciados para se tornar parte dos discursos populares (...) de instrução em massa. Como produtos e produtores de ideologias capitalistas, os anúncios são um local privilegiado de inscrição do capitalismo e, portanto, se prestam a uma análise crítica. Minha análise mostra como os textos selecionados se baseiam e texturizam os discursos do progresso, impregnados como crenças colonialistas e desencadeando uma cadeia de ações pela qual, mesmo antes de realmente obterem os cartões, são promulgadas ações e crenças capitalistas. ABSTRACT In this paper, I analyze a set of six trading cards belonging to Liebig’s Extract of Meat Co. long-standing marketing campaign. The critical analysis of promotional texts produced at the turn of the 20th century offer meaningful insights on the discursive mechanisms that contributed to the hegemonization of bourgeois capitalism. Unlike other forms of advertising, trading cards are not rapidly discarded and forgotten; on the contrary, they can detach themselves from the advertised products to become part of popular discourses of mass instruction. As both products and producers of capitalist ideologies, ads are a privileged site of inscription of capitalism, and thus lend themselves to a critical analysis. My analysis shows how the selected texts draws on and textures the discourses of progress, inculcated as colonialist beliefs and triggering an actional chain whereby, even before they actually obtained the cards, capitalist actions and beliefs are enacted. (shrink)

Starting with Houtkoop and Mazeland’s study of discourse units, and touching upon recent studies aimed at detailing unit projection in interaction, this article argues that the drive toward abstract and discrete models for units and unit projection is potentially misleading. While it has been established that to engage in talk-in-interaction, as it unfolds in real time, participants rely on projectable units, research aimed at defining units unintentionally backgrounds the contingency inherent in interaction. A central function of language for collaborative action (...) is the management of simultaneously unfolding facets of action, sound production, gesture, and grammar – produced by multiple participants. This article draws upon classic and current data analyses foregrounding linguistic/interactional practices designed to manage local contingencies. It is argued that attention to participants’ regular methods for managing and exploiting contingencies be incorporated from the outset in our descriptions of language and the nature of unit building in interaction. (shrink)

_Material Falsity and Error in Descartes’s Meditations _approaches Descartes’s Meditations as an intellectual journey, wherein Descartes’s views develop and change as he makes new discoveries about self, God and matter. The first book to focus closely on Descartes’s notion of material falsity, it shows how Descartes’s account of material falsity – and correspondingly his account of crucial notions such as truth, falsehood and error – evolves according to the epistemic advances in the Meditations. It also offers important new insights on (...) the crucial role of Descartes’s Third Meditation discussion of material falsity in advancing many subsequent arguments in the Meditations. This book is essential reading for those working on Descartes and early modern philosophy. It presents an independent reading on issues of perennial interest, such as Descartes’s views on error, truth and falsehood. It also makes important contributions to topics that have been the focus of much recent scholarship, such as Descartes’s ethics and his theodicy. Those working on the interface between medieval and modern philosophy will find the discussions on Descartes’s debt to predecessors like Suárez and Augustine invaluable. (shrink)

Background: Previous studies have investigated the effects of dance interventions on Parkinson’s motor and non-motor symptoms in an effort to develop an integrated view of dance as a therapeutic intervention. This within-subject study questions whether dance can be simply considered a form of exercise by comparing a Dance for Parkinson’s class with a matched-intensity exercise session lacking dance elements like music, metaphorical language, and social reality of art-partaking.Methods: In this repeated-measure design, 7 adults with Parkinson’s were tested four times; before (...) and after a Dance for Parkinson’s class, as well as before and after a matched-intensity exercise session. Physiological measures included heart rate and electrodermal activity. Self-reported affect and body self-efficacy were collected. Gait symmetry and dual task cost were analyzed using the 6 min walking test and Timed-Up-and-Go test, respectively.Results: Average heart rate was the same for both conditions, while electrodermal activity was higher during Dance for Parkinson’s. Significant differences were found in body self-efficacy, beauty subscale, symmetry of gait, and dual task performance.Conclusion: Dance, compared to an exercise intervention of matched intensity, yields different outcomes through the means of intrinsic artistic elements, which may influence affective responses, the experience of beauty, self-efficacy, and gait performance. (shrink)

Before the trains of thought have been firmly laid down, we ask in this article about the very nature and histories of the speculative of the speculative-materialist turn. We do this from the intertwined interfaces of curious feminist materialisms, foregrounding sexual difference, post-positivist critique and posthumanist performativity such as is being done in various strands of feminist theory today. The question of speculation plays a constitutive role in feminist critique and in several new or neo-materialist traditions. In fact, many interesting (...) materialisms—Marxism, French feminism—can be named ‘speculative’. We argue that in spite of what the recent ‘speculative turn’ professes, speculative materialisms have a complex genealogy. Speculation functions transversally in a materialist genealogy -connecting the archive of feminist approaches in particular. In order to be able to imagine a different world we need to think through a stifled and sexually differentiated present from which a qualitative shift and political breakthrough can be formulated, and hopefully achieved. However, in what is currently called ‘speculative realism’ or ‘object-oriented ontologies’ neither speculation nor the speculative are reflected upon as a heritage from and alliance with feminist and politically materialist positions. What are the onto-epistemological stakes of this body of work? And what ethico-political horizons are drawn here? We stand speculative before such turn. (shrink)

Metacognition – the ability to represent, monitor and control ongoing cognitive processes – helps us perform many tasks, both when acting alone and when working with others. While metacognition is adaptive, and found in other animals, we should not assume that all human forms of metacognition are gene-based adaptations. Instead, some forms may have a social origin, including the discrimination, interpretation, and broadcasting of metacognitive representations. There is evidence that each of these abilities depends on cultural learning and therefore that (...) cultural selectionmight shape humanmetacognition. The cultural origins hypothesis is a plausible and testable alternative that directs us towards a substantial new programme of research. (shrink)

Brazilian writer Carolina Maria de Jesus (1914–1977) was born in a rural community and spent most of her life in a slum. Despite this, her literary work achieved remarkable editorial success, having its value recognized by critics and academic circles. This paper analyzes Carolina Maria de Jesus’s autobiographical narratives in the light of John Dewey’s aesthetic theory, with the purpose of investigating the factors responsible for the development of her aesthetic sensitivity – intellectual and emotional dispositions favorable to involvement with (...) artistic practices. The results suggest that Carolina Maria de Jesus’s literary skills, which express not only individual but also collective yearnings, resulted from the incentive she received to think about things that do not exist and from her relationship with people who favored the formation of a personality open to varied experiences. Such results are presented as requirements for a democratic and humanist education that aims at the flowering of aesthetic sensitivity and encourages educators and students to believe in their creative potential. (shrink)

The Protein Ontology provides terms for and supports annotation of species-specific protein complexes in an ontology framework that relates them both to their components and to species-independent families of complexes. Comprehensive curation of experimentally known forms and annotations thereof is expected to expose discrepancies, differences, and gaps in our knowledge. We have annotated the early events of innate immune signaling mediated by Toll-Like Receptor 3 and 4 complexes in human, mouse, and chicken. The resulting ontology and annotation data set has (...) allowed us to identify species-specific gaps in experimental data and possible functional differences between species, and to employ inferred structural and functional relationships to suggest plausible resolutions of these discrepancies and gaps. (shrink)

« Dans cet article, nous tenterons d’interpréter la notion controversée de musique populaire brésilienne en tant que concept porteur d’un contenu à la fois utopique et idéologique, en nous appuyant sur le concept d’idéologie dans la pensée de Marx et d’Adorno, ainsi que sur une intuition du philosophe brésilien Vladimir Safatle. Notre hypothèse est la suivante : la musique populaire brésilienne, portée par un mouvement dialectique, a changé de paradigme tout au long du xx e siècle, avec la samba, la (...) bossa-nova et la musique populaire brésilienne ( mpb ) comme paradigmes successifs. Il s’agit alors d’identifier les changements du contenu utopique et idéologique de la musique brésilienne en fonction des mouvements de l’histoire du pays. Enfin, nous conclurons par une hypothèse sur notre époque actuelle, sur la crise de la musique populaire brésilienne et de son concept.». (shrink)

Background The ambulance service provides emergency care to meet the patient’s medical and nursing needs. Based on professional nursing values, this should be done within a caring relationship with a holistic approach as the opposite would risk suffering related to disengagement from the patient’s emotional and existential needs. However, knowledge is sparse on how ambulance personnel can meet caring needs and avoid suffering, particularly in conjunction with urgent and emergency situations. Aim The aim of the study was to explore ambulance (...) nurses’ experiences of relationships with patients in urgent and emergency situations. Methods Data collection was performed using individual open-ended interviews with six ambulance nurses. The data were analyzed using a thematic analysis. Results Relationships with patients during urgent and emergency assignments emerged as three themes: “ Ambiguous silence,” “ Professional competence” and “ Challenging inadequacy” comprising eight sub-themes in total. The result shows that the ambulance nurses found it difficult to prioritize between medical care and establishing a caring relationship with the patient. However, sometimes a wordless relationship was perceived sufficient and considered a first step towards a verbal relationship. Conclusions Ambulance nurses experience that a caring relationship cannot and does not need to be prioritized in the acute stage. This uncovers a dichotomy approach to medical care versus caring relationships that exclude a holistic approach. Thus, patients’ emotional, existential and physical needs are not considered as equally important. Clinical relevance: It is important to stimulate reflection on core ethical nursing values, in training and simulation exercises among clinically active ambulance nurses. (shrink)