En la Revolución Francesa, la extensión del ideal de una comunidad política de ciudadanos libres e iguales va acompañada de una nueva concepción del trabajo. El trabajo se convierte en el principal medio de integración social, sea a través del esfuerzo individual que conduce a la propiedad, sea a través de la asistencia a los pobres. Esta transición de una sociedad feudal a otra basada en la libertad de trabajo y el Estado asistencial sienta las bases para el surgimiento de (...) la noción del derecho al trabajo. En 1848, este derecho es entendido inicialmente como condición indispensable para el disfrute de cualesquiera otros derechos, pero la marcha descendente de la Revolución acaba provocando su expulsión de la Constitución. La importancia de este recorrido histórico reside en que nos ayuda a entender mejor el significado del derecho al trabajo en el constitucionalismo contemporáneo. Nos permite comprender que, a pesar de su imposible configuración como derecho subjetivo, su reconocimiento jurídico no es un brindis al sol, sino un recordatorio del vínculo existente, en toda sociedad democrática, entre la libertad política y las actividades productivas. (shrink)

Resumen: Marx lleva a cabo dos críticas a los derechos. Por un lado, muestra las limitaciones emancipatorias de los derechos de ciudadanía, resultado de la (no reconocida) subordinación del Estado con respecto a la sociedad civil. Por otro, desvela el egoísmo que se esconde detrás de los llamados derechos humanos (libertad, propiedad, igualdad y seguridad), los cuales son en realidad una forma de naturalizar la forma de vida de la sociedad burguesa. Termina por relacionar una crítica con otra, señalando que (...) la emancipación política (el reconocimiento de los derechos de ciudadanía) y el egoísmo sin trabas de la sociedad civil (sancionado a través de los derechos humanos) son dos procesos que tienen lugar a la vez, en el momento en que el ascenso de la burguesía rompe con los mecanismos de la vieja sociedad feudal.Abstract: Marx carries out two critiques of rights. On the one hand, he shows the emancipatory limitations of citizenship rights, resulting from the (unrecognized) subordination of the State in relation to civil society. On the other hand, he reveals the selfishness that hides behind the so-called human rights (liberty, property, equality and security), which are actually a form of naturalizing bourgeois society lifestyle. He ends up connecting this two critiques, noting that political emancipation (the recognition of citizenship rights) and unfettered selfishness of civil society (sanctioned through human rights) are two processes taking place simultaneously, at the moment when the bourgeoisie social climbing breaks with the mechanisms of old feudal society.Palabras clave: Marx, crítica, derechos humanos, ciudadanía, emancipación.Keywords: Marx, critique, human rights, citizenship, emancipation. (shrink)

This paper analyses empirical evidence of efforts to enable Spanish micro and small manufacturing companies to boost their labour productivity rates through the development of the main pillars of their corporate social responsibility policies. This study aims to develop new approaches and sensibilities towards work from an ethical, values and CSR perspective, showing how internal dimensions of CSR, such those related to relationships with employees and responsibility in processes and product quality, can improve labour performance and labour efficiency, thereby contributing (...) to a better society. The results of a sample of 929 small businesses indicate that the social responsibility policies that most contributed to a short-term increase in labour productivity are those related to internal aspects of the company, in particular its involvement in the quality of processes and products, promotion of innovation and employee care. However, the impact on labour productivity of CSR policies related to external factors, such as relationship with stakeholders and environmental concern, could not be empirically proven in this paper. (shrink)

The wide presence of the right to work in national and international legal texts contrasts with a lack of agreement about the concrete content of this right. According to the hegemonic interpretation, it consists of two elements: extension of wage labour and significant improvement of working conditions. However, if we study the history of right to work claims, especially from the French Revolution to 1848, we can notice that the meaning of this right was rather wider in the past. Rescuing (...) the historical significance of the right to work may help to face the problem of the future of work. In particular, and unlike what might seem at first sight, the claim that everyone should have his or her right to work guaranteed can be a way of articulating and concretizing issues such as workplace democracy, the organization of domestic work or the transition to a sustainable society. (shrink)

En su discurso del 10 de mayo de 1793 sobre la Constitución, Robespierre combina una concepción fiduciaria de los representantes públicos con una defensa de las virtudes de la democracia, el único sistema político en el que los gobernantes, al ser parte del pueblo, tienen los mismos intereses que este. Es esta defensa de la soberanía popular, así como de la primacía del poder legislativo, lo que constituye la esencia de su “economía política popular”, una expresión que toma de Rousseau. (...) Para Robespierre, solamente esta clase de economía es compatible con una República cuyo primer objetivo sea la garantía de los derechos naturales del hombre. In his 10th May 1793 speech on the Constitution, Robespierre combines a fiduciary conception of public representatives with a defence of the virtues of democracy, the only political system in which the rulers, being part of the people, have the same interests as the latter. It is this defence of popular sovereignty, as well as of the primacy of the legislative power, what constitutes the essence of his “popular political economy”, an expression he takes from Rousseau. For Robespierre, only this kind of economy is compatible with a Republic whose first objective is to guarantee the natural rights of man. (shrink)

This study examines the relationship between cooperative business relations in small businesses and environmental protection, one of the most important policies of social responsibility in manufacturing. We reviewed the literature and carried out an empirical study of 930 small manufacturing firms in Spain. Results indicate that small businesses that maintain and improve their cooperative relations through business networking with universities, competitors, suppliers and customers spend more on environmental protection. The managerial, practical, research and policy implications of the obtained research findings (...) are discussed. (shrink)

Background In Spain, there has been great effort by lawmakers to put Advance Directives into practice since 2002. At the same time, the field of bioethics has been on the rise, a discipline that has spurred debate on the right of patients to exercise their autonomy. Despite all this, the implementation of ADs can be said to have failed in Spain, because its prevalence is very low, there is a great lack of knowledge about them and they have very little (...) impact on clinical decisions. The purpose of this article is to analyze and discuss the main reasons for the failure of ADs in Spain. Main body The main reasons why ADs have no impact on clinical practice in Spain have been fundamentally four: the training of health professionals about the end of life and AD is lacking; there has been no public process to increase awareness about AD, and therefore people know little about them; the bureaucratic procedure to document and implement ADs is excessively complex and cumbersome, creating a significant barrier to their application; in Spain, the remnants of a paternalistic medical culture continue to exist, which causes shared decision-making to be difficult. Conclusion Due to the four reasons mentioned above, AD have not been a useful tool to help honor patients’ autonomous decisions about their future care and, therefore, they have not achieved their objective. However, despite the difficulties and problems identified, it has also been observed that health care professionals and the Spanish public have a very positive view of AD. Having identified the problems which have kept AD from being successful, strategies must be developed to help improve their implementation into the future. (shrink)

Nota crítica sobre PornoXplotación: la explosión de la gran adicción de nuestros tiempos, de Mabel Lozano y Pablo J. Conellie, Barcelona, Editorial Alrevés, 2020, 286 pp.

Across languages, we find indefinites that trigger modal inferences. This article contributes to a semantic typology of these items by contrasting Spanish algún with indefinites like German irgendein or Italian uno qualsiasi. While irgendein-type indefinites trigger a Free Choice effect (Kratzer and Shimoyama 2002; Chierchia 2006), algún simply signals that at least two individuals in its domain are possibilities. Additionally, algún, but not irgendein, can convey that the speaker does not know how many individuals satisfy the existential claim in the (...) world of evaluation. We contend that the two types of indefinites impose different constraints on their domain of quantification: irgendein and its kin are domain wideners (Kratzer and Shimoyama 2002), whereas algún is an ‘anti-singleton’ indefinite (its domain cannot be restricted to a singleton). This, together with the fact that algún does not require uniqueness, allows us to derive the contrast between irgendein and algún by using the pragmatic reasoning presented by Kratzer and Shimoyama. (shrink)

What should our theorizing about social justice aim at? Many political philosophers think that a crucial goal is to identify a perfectly just society. Amartya Sen disagrees. In The Idea of Justice, he argues that the proper goal of an inquiry about justice is to undertake comparative assessments of feasible social scenarios in order to identify reforms that involve justice-enhancement, or injustice-reduction, even if the results fall short of perfect justice. Sen calls this the “comparative approach” to the theory of (...) justice. He urges its adoption on the basis of a sustained critique of the former approach, which he calls “transcendental.” In this paper I pursue two tasks, one critical and the other constructive. First, I argue that Sen’s account of the contrast between the transcendental and the comparative approaches is not convincing, and second, I suggest what I take to be a broader and more plausible account of comparative assessments of justice. The core claim is that political philosophers should not shy away from the pursuit of ambitious theories of justice (including, for example, ideal theories of perfect justice), although they should engage in careful consideration of issues of political feasibility bearing on their practical implementation. (shrink)

This paper offers an exploration of the socialist principle “From each according to their abilities, to each according to their needs.” The Abilities/Needs Principle is arguably the ethical heart of socialism but, surprisingly, has received almost no attention by political philosophers. I propose an interpretation of the principle and argue that it involves appealing ideas of solidarity, fair reciprocity, recognition of individual differences, and meaningful work. The paper proceeds as follows. First, I analyze Marx’s formulation of the Abilities/Needs Principle. Second, (...) I identify the principle’s initial plausibility, but show that it faces serious problems that cannot be addressed without developing a fresh interpretation of it. Third, I provide an interpretation of the principle that highlights demands concerning opportunities for self-realization in work, positive duties of solidarity, sensitivity to individual differences, and mechanisms of fair reciprocity. Fourth, I discuss a possible institutional implementation of the Abilities/Needs Principle. Finally, I identify some normative puzzles about the transition from capitalism to socialism, and suggest how the Abilities/Needs Principle might gain motivational traction by mobilizing the powerful idea of human dignity. (shrink)

To be justifiable, the demands of a conception of human rights and global justice must be such that (a) they focus on the protection of important human interests, and (b) their fulfilment is feasible. I discuss the feasibility condition. I present a general account of the relation between moral desirability, feasibility and obligation within a conception of justice. I analyse feasibility, a complex idea including different types, domains and degrees. It is possible to respond in various ways if the fulfilment (...) of basic socioeconomic human rights against severe poverty seems at first to be infeasible. (shrink)

In World Poverty and Human Rights, Thomas Pogge argues that the global rich have a duty to eradicate severe poverty in the world. The novelty of Pogges approach is to present this demand as stemming from basic commands which are negative rather than positive in nature: the global rich have an obligation to eradicate the radical poverty of the global poor not because of a norm of beneficence asking them to help those in need when they can at little cost (...) to themselves, but because of their having violated a principle of justice not to unduly harm others by imposing on them a coercive global order that makes their access to the objects of their human right to subsistence insecure. In this paper, I claim that although Pogge is right in arguing that negative duties are crucial in an account of global justice, he is wrong in saying that they are the only ones that are crucial. Harming the global poor by causing their poverty provides a sufficient but not a necessary condition for the global rich to have a duty of justice to assist them. After engaging in a critical analysis of Pogges argument, I conclude by suggesting the need for a robust conception of cosmopolitan solidarity that includes positive duties of assistance which are not mere duties of charity, but enforceable ones of justice. (shrink)

Burnout is characterized by emotional exhaustion and caused by exposure to excessive and prolonged stress related to job conditions. Moreover, burnout is highly prevalent among health care professionals. The aim of this study is, first, to examine the mediating role of social support over the effect of burnout in health care professionals and, second, to explore potential gender differences. A convenience sample of 1,035 health professionals from Ecuador, including 608 physicians and 427 nurses, was surveyed using the Maslach Burnout Inventory, (...) Social Support Survey, and General Health Questionnaire as measures of burnout, social support, and general health, respectively. Social support was found to mediate the negative effects of burnout on health regardless of gender. Differences across the three dimensions of burnout and health are further discussed, along with their implications for designing effective burnout interventions for health care professionals in Ecuador. (shrink)

The current legal and political practice of human rights invokes entitlements to freely chosen work, to decent working conditions, and to form and join labor unions. Despite the importance of these rights, they remain under-explored in the philosophical literature on human rights. This article offers a systematic and constructive discussion of them. First, it surveys the content and current relevance of the labor rights stated in the most important documents of the human rights practice. Second, it gives a moral defense (...) of these rights arguing that their support involves an appropriate response to important human interests and to the human dignity of workers. Finally, it explores central normative issues about the relation between labor rights and human dignity. It responds to some objections about the importance of work, explains why labor human rights may not exhaust the demands of dignity regarding labor and arbitrates a common tension between independence and solidarity within our practical affirmation of human dignity. (shrink)

Three ethics program components, a code of ethics, ethics training initiatives and ethics-oriented performance appraisal content, were examined for their relationship to ethical intent using a sample of 525 employees from the Spanish financial services industry. As expected, all three components contributed to the prediction of ethical intent. Importantly, clusters of employees who reported experiencing distinct combinations of the program components were identified and compared for their level of ethical intent. Employees who perceived all three components to be strongly implemented (...) reported significantly higher levels of ethical intent relative to those who viewed the components as either all weakly implemented or not present. Combinations including training initiatives plus one other element had a similar impact to the fully implemented approach. Contrary to expectations, ethics-oriented performance appraisal content did not relate more strongly to ethical intent than codes of ethics. (shrink)

The aim of this paper is to propose a model for understanding the relation between substance and procedure in discourse ethics and deliberative democracy capable of answering the common charge that they involve an ‘empty formalism’. The expressive-elaboration model introduced here answers this concern by arguing that the deliberative practical rationality presupposed by discourse ethics and deliberative democracy involves the creation of a practical medium in which certain general basic ideas of solidarity, equality and freedom are expressed and elaborated in (...) the context of widespread moral disagreement. In the course of this paper I propose an elucidation of these ideas and argue for the thesis that they are internally related to the endorsement of deliberative practical rationality. The three basic substantive ideas contribute to the determination of the existence, the form, the topics and intended outcomes, and the effects of the practice of public deliberation. This amounts to an elucidatory defense of deliberative practical rationality by explicating its substantive significance or point. Key Words: critical theory • deliberative democracy • discourse ethics • equality • freedom • Jürgen Habermas • practical reason • John Rawls • solidarity • substance and procedure. (shrink)

The purpose of this study was to extend the knowledge about why procedural justice (PJ) has behavioral implications within organizations. Since prior studies show that PJ leads to legitimacy, the author suggests that, when formal regulations are unfairly implemented, they lose their validity or efficacy (becoming deactivated even if they are formally still in force). This "rule deactivation," in turn, leads to two proposed destructive work behaviors, namely, workplace deviance and decreased citizenship behaviors (OCBs). The results support this mediating role (...) of PJD, thus suggesting that it forms part of the generative mechanism through which unfair procedures influence (un) ethical behavior within organizations. The author ends the article by discussing behavioral ethics and managerial implications as well as suggestions for future research. (shrink)

Spain is one of the most advanced European countries in terms of the legislative and administrative development of ADs. Article 11 of Law 41/2002, concerning Patient Autonomy, regulates ‘advance directives’ and has prompted various Autonomous Regions to develop legislation in this area. Nevertheless, whilst the variety of legislations in different territories presents advantages, the disparity of criteria also presents problems.Despite significant legislative development, only 23,000 Spanish citizens have filled in an AD. Clearly, AD use is confined to a minority. Several (...) surveys, however, show that the Spanish population views these documents in a positive light. Thus, we must analyse this discrepancy between attitude and practice. A similar situation exists amongst health professionals. Whilst they generally feel that the use of ADs is positive and necessary, they are frequently unwilling to employ them.Bioethical literature and research on ADs has significantly increased in Spain over the last six years. It is likely that this trend will continue in the foreseeable future; but more resources and effort are required if ADs are to become consolidated. (shrink)

When engaging with magic, we are moved by seemingly impossible events that contradict what we believe to be possible in the real world. We are surprised, curious, and baffled when we cannot explain how the magic we are witnessing is possible. We generally understand the events to be illusions. But how is it possible to be moved by something we know to be unreal? This problem is related to the paradox of fiction in aesthetics. Here, we introduce the problem in (...) the domain of theatrical magic, discuss possible solutions, and present a tentative account that allows us to accommodate inconsistent, seemingly incompatible beliefs at different representational levels in the viewers’ mind. (shrink)

The problems and issues arising from globalization are difficult to resolve, in part because our ways of conceptualizing the conflicts and responding to them are inadequate. This book fills this gap, conceiving of globalization as a consequence of economic, political, technological, scientific, and cultural changes. A. Pablo Iannone provides a taxonomy of globalization processes, investigates the consequences of each, and formulates a comprehensive approach for dealing with them. While his emphasis is philosophical, this is not a single-discipline book. Rather, (...) it belongs at the intersection of philosophy, economics, political science, and technology. Its discussions address issues concerning globalization and correlate the processes of fragmentation and dislocation in a realistic manner. Iannone focuses on concrete and current cases, from the global economic and financial issues posed by the multi-centered nature of contemporary business and technology, through the pressures of ever increasing information overload across the planet. He explores the environmental and social challenges associated with current Amazonian development and its significance to weather patterns on Earth. He considers the issues surrounding the use of robots in war from Pakistan through Mexico, and the militarization of space. In short, the approach, while based on theoretical concerns, is solidly grounded in highly practical applications, which are global in their implications. (shrink)

We propose a synthetic description of Merleau-Ponty’s phenomenology with the aim of providing physicists and philosophers with an alternative linguistic and conceptual framework to address the logical and ontological problematics emerged in quantum mechanics. Phenomenology’s cognitive devices such as the dynamical relationship between object and horizon, the presumptive synthesis and the constitution of an ontology based on the indivisibility of object and subject, not only show hermeneutic efficacy when applied to the study of human perception, but may prove to be (...) sufficiently innovative to lead to novel insights towards the understanding of the quantum mechanical theoretical structure: the traditional tenet of quantum physics being in discontinuity with the major characteristics of classical physics is shaken at its fundaments and a new perspective of continuity between the two worlds is opened. (shrink)

The present article aims to inquire the negativity implied in the relation between man and nature in Kant’s early philosophy. This negativity will be treated from the realm of the theodicy as the dimension from where human fate can be posed. The characterization of this fate will be possible via ethical and aesthetic dimensions set out by Kant in his works dedicated to the subject of theodicy and philosophy of nature; i.e. Über Optimismus, which dates back to the 1750´s. Followingly, (...) we will discuss certain aspects of the author´s Universal History of Nature and Theory of Heaven, and thereafter we will refer ourselves to three minor works concerning earthquakes. In the last chapter we will point out how the comprehension of the aforementioned works are essential in order to define the sentiment of the sublime. In conclusion we will define the sublime as incompatible with optimism. (shrink)

The _Dictionary of World Philosophy_ covers the diverse and challenging terminology, concepts, schools and traditions of the vast field of world philosophy. Providing an extremely comprehensive resource and an essential point of reference in a complex and expanding field of study the _Dictionary_ covers all major subfields of the discipline. Key features: * Cross-references are used to highlight interconnections and the cross-cultural diffusion and adaptation of terms which has taken place over time * The user is led from specific terms (...) to master entries which provide valuable historical and cultural context * Each master entry is followed by at least two suggestions for further reading on the subject, creating a substantial bibliography of world philosophy * References extend beyond philosophy to related areas such as cognitive science, computer science, language and physics Subdisciplines covered include:* aesthetics * ethics * sociopolitical philosophy * the philosophy of law * epistemology * logic * the philosophy of science * the philosophy of mind * the philosophy of culture and history * metaphysics * the philosophy of religion Entries are drawn from West Africa, Arabic, Chinese, Indian, Japanese, Jewish, Korean, Latin American, Maori and Native American philosophy including the important and so far largely neglected instance of Pre-Hispanic thought: Nahua philosophy. (shrink)

Este artículo sugiere que los derechos humanos existen, que requieren fundamentación y que esa fundamentación debe ser objetiva para tener validez y legitimidad (debe ser verdadera). La clave para la fundamentación de los derechos humanos, aquí se propone, descansa en el concepto metafísico de naturaleza. El artículo concluye señalando el valor del diálogo, la comunicación y el consenso, si no para decidir cuál es la verdad, al menos para avanzar, a través de las contribuciones de todos, hacia el desvelamiento de (...) la verdad sobre la naturaleza humana. Los derechos humanos se ligan después al problema de la identidad política a través de la hermenéutica analógica. (shrink)

La dimensión científica del Proyecto Genoma Humano (PGH) remite a un conjunto de entidades de orden biológico: bases nitrogenadas, genes, enzimas, SNP’s1, etc., sobre las cuales se ejercitan las operaciones tecnológicas que dan lugar a la secuenciación del genoma. Un examen más atento muestra que todos los cuerpos, morfologías y estructuras que forman parte constituyente del PGH pueden circunscribirse al campo de la biología molecular, con lo cual están dados a la misma escala, lógicamente. Esta primera suposición, que habrá que (...) constatar en la reconstrucción ulterior, permite regresar hacia el curso de la constitución de la biología molecular, como factor del contexto histórico determinante del PGH, sin tener que retrotraerse a procesos anteriores de la historia de la biología para dar razón de la conformación y conexión de los trazos que forman parte de la figura de referencia. (shrink)

Durante su intercambio epistolar con Spinoza, Tschirnhaus defiende la imposibilidad de deducir la naturaleza de los cuerpos particulares a partir de la sola extensión. El motivo de esta objeción reside en su dificultad para desmarcarse de la concepción sustancial de los cuerpos como partes finitas de la extensión sostenida por Descartes. Esta dificultad inicial, sin embargo, queda ensombrecida por la intervención de Leibniz en un momento clave de la correspondencia que convertirá la disputa de carácter físico en una controversia teológica. (...) Este artículo demuestra que el problema metafísico detectado por Leibniz consiste en la afirmación radical del principio de plenitud contenida en la proposición 16 de la primera parte de la Ética y las consecuencias heréticas que de ésta se desprenden. El examen del papel que la crítica de Leibniz jugó en el desarrollo de la discusión permitirá leer bajo una nueva luz tanto la paradójica actitud de Tschirnhaus como las enigmáticas y elusivas respuestas de Spinoza. (shrink)

Scholars have considered that Spinoza’s difficulties in dealing with the objections raised by Tschirnhaus against his physical approaches were the spur that led the latter to dissociate himself from the former in the field of natural philosophy. The aim of this paper is, on the one hand, to refute this misjudgment and, on the other, to show that the cause of it lies in having dismissed a significant post-Cartesian current of thought, buried in oblivion by the triumph of Newtonian mechanics, (...) which intended to develop a physics in purely relational terms. In turn, this will allow us to read the physical proposals of Spinoza and Tschirnhaus as paradigmatic examples of this relational physics. (shrink)

Resumen Tras su inicial aproximación en los años veinte a la filosofía de Husserl y Heidegger, Levinas inició una década más tarde su propia reelaboración crítica del método fenomenológico. El artículo tiene como objetivo analizar la nueva comprensión de la labor fenomenológica por parte del joven Levinas a partir de sus reflexiones sobre el arte, en diálogo con el pensamiento de Gastón Bachelard, quien en la misma época propuso un intercambio fructífero entre estética y fenomenología.After his initial approach to the (...) philosophy of Husserl and Heidegger in the twenties, Levinas began a decade later his own critical re-elaboration of the phenomenological method. The present article aims to analyze the new understanding of the phenomenological work by the young Levinas from his reflections on art, in dialogue with Gaston Bachelard’s thought, who at the same time proposed a fruitful cross-linking between aesthetics and phenomenology. (shrink)

The cultural, economic and political crisis affecting the European Union (EU) today is manifested in the political community’s lack of enthusiasm and cohesion. An effort to reverse this situation – foster ‘EU identity’ – was the creation of EU citizenship. Citizen- ship implies a people and a polity. But EU citizens already belong to national polities. Should EU citizenship override national citizenship or coexist with it? Postnationalists like Habermas have suggested EU citizenship can overcome nationalisms, grounding political belonging on the (...) body of laws that members of the post- national polity generate in the public sphere. Cosmopolitan communitarianists like Bellamy, by contrast, think that EU citizens should form a mixed commonwealth, with political belonging based on national citizenship. I will argue in favour of the second option, and submit an analogical reading of the ensuing ideas of citizenship, identity and polity. Cosmopolitan communitarianist EU citizenship promises to better foster the great richness of European national cultural, religious, historical, political, legal and linguistic diversity in a ‘mixed’ polity. Its main challenge is how to keep the diverse, mixed polity together. (shrink)

A 68-year-old patient who suffered from gastric cancer diagnosed 8 months earlier presented with multiple peritoneal and hepatic metastasis, despite several rounds of chemo- and radiotherapy. After admission to hospital, his general condition quickly became severely compromised. He was nearly emaciated, despite being on partial parenteral feeding. Four years earlier, due to a cardiac arrhythmia that was refractory to medication, the patient had a cardiac pacemaker implanted, regulated to go off at frequencies of below 70 beats per minute. Given the (...) patient's terminal situation, the team started developing some doubts about the pacemaker's effects during his dying process. The patient had mentioned his intention to donate his pacemaker after his death, but had not asked for its deactivation. The specialists were not sure about the effect of the pacemaker in unnecessarily prolonging the patient's final hour. Nevertheless, they opposed deactivation, which they considered ethically uncertain. The family, who had been initially for the deactivation, decided against it. The patient's condition was progressively deteriorating, as he was falling into a state of sopor and, later, into a coma. (shrink)