Routine management of geriatric problems often raises ethical problems, particularly regarding autonomy of the old person. The carers or children may be unaware of the sensitivity of role reversal in dealing with the financial affairs; the need for a residential carer may compromise the old person’s privacy. Attending a day centre confers much benefit, but one must understand the old person’s resistance to change in the proposal of a new daily regimen. Similarly his or her autonomy must be the priority (...) in planning for admittance to an old age home, and not the assumption that the family knows best. A common dilemma is the assessment of an old person’s competency in decision making, either about management of his affairs, or regarding consent to treatment, or participation in research. Because cognitive capacity is not always identical with competency, meaningful tools have recently been developed in which the emphasis is on the specific situation to be investigated. (shrink)

Respecting and encouraging autonomy in the elderly is basic to the practice of geriatrics. In this paper, we examine the practice of cardiopulmonary resuscitation (CPR) and "artificial" feeding in a geriatric unit in a general hospital subscribing to jewish orthodox religious principles, in which the sanctity of life is a fundamental ethical guideline. The literature on the administration of food and water in terminal stages of illness, including dementia, still shows division of opinion on the morality of withdrawing nutrition. We (...) uphold the principle that as long as feeding by naso-gastric (N-G) or percutaneous endoscopic gastrostomy (PEG) does not constitute undue danger or arouse serious opposition it should be given, without causing suffering to the patient. This is part of basic care, and the doctor has no mandate to withdraw this. The question of CPR still shows much discrepancy regarding elderly patients' wishes, and doctors' opinions about its worthwhileness, although up to 10 percent survive. Our geriatric patients rarely discuss the subject, but it is openly ventilated with families who ask about it, who are then involved in the decision-making, and the decision about CPR or "do-not-resuscitate" (DNR) is based on clinical and prognostic considerations. (shrink)

In order to raise the question of a potential compatibility between the awareness of Otherness on the one hand, and a form of universality on the other, some hypotheses should first be formulated and defined. 1) How does moral relativism equate to the rejection of universal discourses? 2) Consequently, how can this rejection be understood as a result of Modernity? 3) How can Modernity be understood as recognition of Otherness? The current paper will attempt to outline some answers to these (...) questions based on a comparative reading between Kelsen and Lefort. Firstly, in order to explicate the main lines of the Kelsenian relativistic axiology it seems crucial to consider his second edition of the Pure Theory of Law, since one can find within it the grounds for a limitation of human cognition. His Farewell Lecture, “What is justice?”, is also relevant to this theme since in it he claims that the human world is a world of relative and conflicting values. The combination of these two ideas leads to the rejection of Universalist discourses – identified with the ones of Natural Law theories – in the name of science. Secondly, three of Lefort’s articles seem to be relevant. The first, “The Image of the Body and Totalitarianism”, enables us to understand his symbolic political philosophy, and more importantly, to introduce his definition of Modernity. “Dissolution of Marks and Democratic Challenge” focuses more on the concept of moral relativism, whilst interpreting it as a consistent reaction to modern indeterminacy. Finally, “Politics and Human Rights” offers a restricted concept of Human Rights, reminiscent of Hannah Arendt’s views, namely that human rights mean the rights to have rights. (shrink)

Claude Lefort is one of the leading social and political theorists in France today. This anthology of his most important work published over the last four decades makes his writing widely accessible to an English-speaking audience for the first time. With exceptional skill Lefort combines the analysis of contemporary political events with a sensitivity to the history of political thought. His critical account of the development of bureaucracy and totalitarianism in the Soviet Union and Eastern Europe is a (...) timely contribution to current debates about the nature and shortcomings of these societies. His incisive analyses of Marx's theory of history and concept of ideology provide the backdrop for a highly original account of the role of symbolism in modern societies. While critical of many traditional assumptions and doctrines, Lefort develops a political position based on a reappraisal of the idea of human rights and a reconsideration of what "democracy" means today. The Political Forms of Modern Society is a major contribution to contemporary social and political theory. The volume includes a substantial introduction that describes the context of Lefort's writings and highlights the central themes of his work. (shrink)

Gene editing tools are ‘revolutionizing’ microbiological research. Much of the public debate focuses on the possibility of human germ line applications. The use of genome editing to alter non-human animals, however, will have more immediate impacts on our daily lives. Genome edited animals are used for basic biological and biomedical research and could soon play a role in the livestock industry and ecosystem management. Genome editing thus provides an occasion to rethink societal narratives about the relationships between humans and other (...) animals. Even though the technique can be easily incorporated as an example into a conventional storyline about the development of the modern life sciences as striving for control over nature, it can also help to highlight the anthropocentric biases expressed in these narratives and demonstrate the continuities between humans and other animals. (shrink)

La première lettre de Paul aux Corinthiens (11/2-16) est le premier écrit issu des religions monothéistes à avoir lié le voile des femmes à leur relation à Dieu. Ce passage, comparé à d'autres textes de Paul et aux coutumes païennes de son temps, permet de distinguer deux courants : la tradition théologique de Paul et les coutumes du monde. Le voile des femmes étant le signe visible de leur subordination, Paul n'a pas réussi àconcilier sa tradition théologique d'égalité fondamentale entre (...) les baptisés avec la coutume du voile. (shrink)

La première lettre de Paul aux Corinthiens (11/2-16) est le premier écrit issu des religions monothéistes à avoir lié le voile des femmes à leur relation à Dieu. Ce passage, comparé à d'autres textes de Paul et aux coutumes païennes de son temps, permet de distinguer deux courants : la tradition théologique de Paul et les coutumes du monde. Le voile des femmes étant le signe visible de leur subordination, Paul n'a pas réussi àconcilier sa tradition théologique d'égalité fondamentale entre (...) les baptisés avec la coutume du voile. (shrink)

_Murdered Father, Dead Father: Revisiting the Oedipus Complex_ examines the progressive construction of the notion of paternal function and its central relevance in psychoanalysis. The distinction between the _murdered father _and the _dead father_ is seen as providing a paradigm for the understanding of different types of psychopathologies, as well as works of literature, anthropology and historical events. New concepts are introduced, such as "_a father is being beaten_", and a distinction between the _descriptive après coup_ and the _dynamic après (...) coup_ that provides a model for a psychoanalytic understanding of temporality. The book includes a reflection on how the concepts of the _death instinct_ and the _negative_, in their connection with that which is at the limits of representability, are an aid to an understanding of Auschwitz, a moment of rupture in European culture that the author characterizes as " the murder of the dead father". Perelberg’s book is an important clinical and intellectual marker, and will be required reading for psychoanalysts, psychotherapists, anthropologists, and historians, as well as students in all these disciplines. (shrink)

Although there is a vast literature on aggression, comparatively little has been written on the issue of violence and even fewer clinical discussions have been published on the violent patient. This pioneering book presents a collection of case studies on the intensive psychoanalytic treatment of patients who have committed serious acts of violence against themselves or others. Each detailed clinical account demonstrates the effectiveness of the psychoanalytic treatment and furthers our understanding of the nature of violence. _The Psychoanalytic Understanding of (...) Violence and Suicide _also contains a comprehensive review of the existing literature on aggression and violence from America, England and France, presenting major themes contained in this literature which will be of interest to all those working with violent and suicidal patients. (shrink)

_Time, Space, and Phantasy_ examines the connections between time, space, phantasy and sexuality in clinical practice. It explores the subtleties of the encounter between patient and analyst, addressing how aspects of the patient’s unconscious past are actualised in the present, producing new meanings that can be re-translated to the past. Perelberg’s analysis of Freud’s Multi-dimensional model of temporality suggests that he always viewed the constitution of the individual as non-linear. In Freud’s formulations, the individual is decentred and ruled by different (...) temporalities, most of which escape their consciousness. Perelberg identifies the similarities between this and Einstein’s theory of relativity which states that rather than being absolute, time depends on the relative position and speed of the observing individual suggesting that rather than being a reality, time is an abstraction, connecting objects and events. Throughout this text, Perelberg draws together connections between time, mental space, and phantasy showing how time is constantly reshaped in the light of new events and experiences. This book will be of interest to psychoanalysts, psychotherapists, psychologists, and social workers. (shrink)

Research in the field of planarian regeneration on the one hand, and a general survey of embryology on the other, throw doubt upon the reality of supra-cellular controls, which are still at the basis of all modern concepts of morphogenesis. The necessity of referring to such controls, which have never been convincingly demonstrated, is probably due to the fact that two aspects of cell behaviour have been underestimated: 1) the capacity of cells to change their individualities for a time independently (...) of other cells; 2) the social behaviour of cells, which is the consequence of the reciprocal exchange of information. Pattern formation and pattern remodeling in normal development results from readjustments of cell populations to local or global changes. The common responses of cell populations to disturbances are enhanced mitotic activity, cessation of specific syntheses and cell migration. In the young embryo these may promptly restore the unity of the injured primordium, leading to so-called restitution; this is based on a normal sequence of further readjustments in the primordium. In older organisms the same responses give rise to cell interactions which may be the starting point for further sequential readjustments — in some instances these are comparable to those that originally organized the primordium in question during development. The desirability of giving up the notion of morphogenetic field is discussed. (shrink)

The control of pattern formation and the significance of gradients is reconsidered on the basis of the concept of cell sociology (which takes into account continuous exchange of information between cells and the possibility of autonomous progression in differentiation). Not all traits of a pattern are imposed by a single prepattern, which would be an organized molecular framework or a gradient. Patterns are unfolded in steps; these are readjustments of a cell population to intrinsic and extrinsic changes in cell activities. (...) Prepatterns are the various components of the programme of every readjustment and are established by information of various origins, which can be dissociated experimentally: determination (elementary social prepattern), pre-existing organization (antecedent pp.), surrounding cell populations (environmental pp.), position among other tissues (positional pp.) and the organization of inducers (imprinting pp.). Every transitory pattern formed during a readjustment serves as antecedent pp. during the next readjustment. Covert graded patterns result from various aspects of the social behaviour of cells (growth, aggregation, induction, cell renewal) and may serve as antecedent or imprinting prepatterns. They appear as water marks in the final patterns, or generate overt graded patterns. They also manifest themselves in temporal patterns, particularly in gradients of relative growth. (shrink)

Data is essential to governing those emerging matters of concern that confront the agrifood every day. But data is no neutral intermediary. It disrupts, exposes, and creates new social, economic, political, and environmental possibilities, whilst simultaneously hiding, excluding, and foreclosing others. Scholars have become attuned to both the constitutive role of data in creating everyday worlds, and the need to develop critical accounts of the materialities, spatialities and multiplicities of data relationships. Whereas this emerging work develops insight to the capacity (...) for data topologies to reterritorialise the spatial performances of everyday life, it has largely reduced the associated temporal dimensions to matters of fact. The effect of these performances has been to naturalize the temporal quality of speed and elide the multiple temporalities required to enact contemporary data worlds. Applying the lenses of infrastructuring, performativity and ferality, this paper explores temporality and data in the everyday worlds produced through the New Zealand kiwifruit industry’s focus on dry matter. The paper argues that temporalities are deeply embedded in the kiwifruit industry’s data relations. We show that while temporal data relations are critical to the industry, we also highlight ways in which those relations introduce new, potentially destabilizing performances into kiwifruit relations. (shrink)

The principles of automation (automatism and programming) in the unfolding of spatio-temporal patterns during animal development are deduced from experimental data reconsidered from the point of view of cell sociology. The developmental programme in the egg is not part of the genetic information but a part of the cytoplasmic information. Throughout development cells store extra-cellular information released by their neighbours in the form of cytoplasmic information. Successive determinations cannot be considered as successive reprogrammings of cells: each one consists of a (...) selection of one specific programme from the total information previously stored. This programme specifies cell interactions in the determined population as a whole; it is very imprecise and is progressively completed during the course of further differentiation by information released by neighbouring cell populations. Complicated patterns may emerge from only two homogeneous populations involved in distinct differentiation pathways and confronting each other. Consequently the egg developmental programme provides gene effectors and specific physico-chemical conditions necessary for the starting of at least two distinct differentation pathways. Experimental data suggest that there are two components in this programme. One is a molecular machinery which starts at fertilization in the whole cytoplasm. It yields two programmes of differentiation, typically first an endodermal and then an ectodermal one. The other component of the egg developmental programme, which does not require specific information, allows the interception of the first (endodermal) programme. The application of informatics to developmental automatism is discussed in the latter part of the paper. (shrink)

This article is concerned with the problem of the relation between the genetic information contained in the DNA and the emergence of visible structure in multicellular animals. The answer is sought in a reappraisal of the data of experimental embryology, considering molecular, cellular and organismal aspects. The presence of specific molecules only confers a tissue identity on the cells when their concentration exceeds the threshold of differentiation. When this condition is not fulfilled the activity of the genes that code for (...) the specific molecules in question only confers on them a histogenetic potency, i.e. the capacity to form the corresponding tissue in further development (or to transdifferentiate to that tissue). The progressive restriction of histogenetic potencies during development reflects the irreversible repression of more and more genes. The establishment of a given tissue identity under the influence of an inducing tissue (or a morphogenetic hormone) is only possible when the cells have acquired the competence to respond. Tissue differentiation proceeds progressively during development thanks to the cytoplasmic memory that cells retain collectively (or sometimes individually) of the items of information successively registered by their ancestors cells. The increasing complexity of visible structure emerging during development results only from the progression of tissue differentiation. This involves continual exchange of information among the cells and leads to (1) cell displacements and rearrangements, particularly during organogenesis and (2) extreme diversification of cell individualities within tissues, particularly during postembryonic growth. A mutation (just as a teratogenic factor) evokes an anomaly that is localized in both space and time because it alters a certain aspect of cell behaviour (particularly cell surface adhesiveness or mitotic activity) at the time when this is involved in the establishment of a particular structural trait. Neither the organization of the adult nor the modalities of development are encoded in the DNA. The automatic concatenation of cell interactions in the embryo and the structural amplification it entails is conditioned by the specific biochemical composition of the cytoplasm of the egg and by the heterogeneous distribution of its inclusions. (shrink)

Embryonic and adult field do not exhibit the same properties because they are formed by cell populations whose activities cannot be compared in all respects. Dominant cells are not distributed in the same manner; the same mechanisms are not involved for remodelling of the field, especially after an amputation.In adult organisms, cell equilibrium is disturbed a first time by elimination of differentiated tissues which provokes dedifferentiation and proliferation, and a second time by healing, which restores cell equilibrium of a distal (...) end. Undifferentiated cells begin to differentiate immediately after their production and they reform the missing levels, following a sequence either basipetal or basifugal according to the place of their production . The differentiating regenerate temporarily exhibits embryonic field properties in various experimental conditions which suppress the dominance of the stump or supplies additional undifferentiated material. (shrink)

The principles of automation in animal development, as previously inferred from the concept of Cell Sociology do not fit in well with the current concept of sequential gene derepression. A more adequate explanation for those principles has been found in the literature dealing with the biochemical aspects of differentiation. Since oocytes and embryonic cells contain a greater variety of mRNAs than differentiated cells, as well as many tissue-specific (luxury) substances, it is concluded that the diversification of tissues consists of a (...) progressive selection of specific metabolic strategies, mediated by cell-to-cell contacts, from a broad range of pre-existing strategies. For each tissue, prior to its final determination, one luxury metabolic strategy is progressively intensified and becomes dominant. The others are either suppressed or maintained as latent metabolic strategies. The latter may on occasion become dominant again (transdifferentiation). These phenomena require a theory which considers gene regulation as the activation of otherwise repressed genes by specific activator RNAs. The high (apparently maximal) transcriptional activity on the lampbrush chromosomes may represent the synthesis of all the kinds of activator RNAs which are required for the reactivation of the genes during early development. A general conception is propounded of the automatism and programming of animal development, as inferred from the confrontation of these ideas with the concept of Cell Sociology. (shrink)

Writing involves risks—the risk that one will be misunderstood, the risk of being persecuted, the risks of being made a champion for causes in which one does not believe, this risk of inadvertently supporting a reader’s prejudices, to name a few. In trying to give expression to what is true, the writer must “clear a passage within the agitated world of passions,” an undertaking that always to some extent fails: writers are never the master of their own speech. In _Writing: (...) The Political Test, _France’s leading political philosopher, Claude Lefort, illuminates the process by which writers negotiate difficult path to free themselves from the ideological and contextual traps that would doom their attempts to articulate a new vision. Lefort examines writers whose works provide special insights into this problem of risk, both literary artists and political philosophers. Among them are Salman Rushdie, Sade, Tocqueville,m Machiavelli, Leo Strauss, Orwell, Kant, Robespierre, Guizot, and Pierre Clastres. In Tocqueville, for example, Lefort finds that the author’s improvisatory and open-ended expression represents the character of the democratic experience. Orwell’s work on totalitarianism shows up the totalitarian subject’s complicity in this political regime. And Rushdie is remarkable for his solid attack on relativism. With the character and fate of the political forms of modernity, democracy, and totalitarianism a central theme, Lefort concludes with some reflections on the collapse of the Soviet Union. This intriguing and accessible exploration of literature’s political aspects and political philosophy’s literary ones will be welcomed by those who have been stymied by current efforts to bridge these two fields. Taken together, the essays in this volume also stand as an intellectual autobiography of Lefort, making it an excellent introduction to his work for less experience students of political theory or philosophy. (shrink)

L’article interroge l’identité en situation, c’est-à-dire la manière de faire face aux moments historiques en cours en Afrique. La situation précoloniale des sociétés africaines, la colonisation responsable de la crise identitaire des États africains, les Indépendances, la phase post-coloniale qui est celle de l’État moderne, donnent à comprendre qu’il existe maintes approches de l’identité en fonction des réalités socio-historiques de l’Afrique. Citons la négritude comme expression de l’identité nègre, le panafricanisme comme fédération des États africains, l’africanologie comme une didactique de (...) l’Afrique, enfin la promotion de valeurs éthiques transversales. (shrink)

This article questions how contemplative contemporary cinema “sexualize” the landscapes. Through the filmography of four directors, Abbas Kiarostami, Apichatpong Weerasethakul, Lars von Trier and B...

Dans une lettre, Merleau-Ponty décrit ainsi l'intention qu'il a développée dans cet ouvrage, écrit pour l'essentiel en 1952 et resté depuis en chantier : «Toute grande prose est aussi une recréation de l'instrument signifiant, désormais manié selon une syntaxe neuve. Le prosaïque se borne à toucher par des signes convenus des significations déjà installées dans la culture. La grande prose est l'art de capter un sens qui n'avait jamais été objectivé jusque-là et de le rendre accessible à tous ceux qui (...) parlent la même langue. Un écrivain se survit lorsqu'il n'est plus capable de fonder ainsi une universalité nouvelle, et de communiquer dans le risque.»Le philosophe nous livre ici ses réflexions sur le langage en général, mais aussi une théorie de l'expression qui l'engage autant vers les thèmes du dialogue et du rapport à autrui, vers la problématique anthropologique de la communication, que vers l'expressivité dans l'art et dans ses premières manifestations chez l'enfant. (shrink)

Al-Jazeera and other satellite television stations have transformed Arab politics over the last decade.

Por que o nome do um encanta? Não será porque, mesmo ao preço do mais cruel sofrimento, os homens têm nele a ilusão de guardarem sua própria nomeação e, ao mesmo tempo, permanecerem associados? La Boétie parece ensinar, assim, que os homens perdem a liberdade, mas não o desejo de se tornarem livres.

The present paper studies adjectives and participles with good or bad meanings used with ἀνήρ and ἄνθρωπος by Attic orators in the fourth century BC. It appears that most of the adjectives and participles used with ἀνήρ give this noun good connotation, whereas most of those used with ἄνθρωπος give it bad connotation. Indeed, the orators often use the commonplace ἀγαθός ἀνήρ and καλὸς κἀγαθός ἀνήρ; other adjectives and participles also confirm that ἀνήρ is perceived as “good man”, whereas ἄνθρωπος (...) is most of the time perceived as “bad man”. Even without such words, ἀνήρ can be most of the time understood as “good man”, whereas ἄνθρωπος alone can be understood more often as “bad individual”. The final part of the paper suggests ways to explain this fact. (shrink)

The question of the oeuvre -- The concept of Machiavellianism -- Reading The prince. First signs -- The logic of force -- The social abyss and attachment to power -- Good and evil, the stable and the unstable, the real and the imaginary -- The present and the possible -- Reading The discourses. From The prince to The discourses -- Rome and the "historical" society -- Class difference -- War, and the difference of times -- Authority and the political subject (...) -- The oeuvre, ideology, and interpretation. (shrink)

There is a tendency today to substitute the affirmation of the absolute value of peace for an earlier, fully-formulated ideal of universal peace. This formula, if I am not mistaken, bears the mark of a new exigency: how to maintain the philosophical task, that is, give a basis to the idea of peace that does not arise solely from circumstantial considerations—however imperious they may be, since they come from the knowledge of the danger that a new world war would bring (...) to entire populations—without again falling under Utopian illusions that have fed the projects of perpetual peace. However, some of the difficulties with which the present consideration will deal give a glimpse of the definition of peace as an absolute value. I think it would be wise to examine this definition briefly in order to clear a way for myself. (shrink)

To investigate the current status of hospital clinical ethics committees (CEC) and how they have evolved in Canada over the past 20 years, this paper presents an overview of the findings from a 2008 survey and compares these findings with two previous Canadian surveys conducted in 1989 and 1984. All Canadian hospitals over 100 beds, of which at least some were acute care, were surveyed to determine the structure of CEC, how they function, the perceived achievements of these committees and (...) opinions about areas with which CEC should be involved. The percentage of hospitals with CEC in our sample was found to be 85% compared with 58% and 18% in 1989 and 1984, respectively. The wide variation in the size of committees and the composition of their membership has continued. Meetings of CEC have become more regularised and formalised over time. CEC continue to be predominately advisory in their nature, and by 2008 there was a shift in the priority of the activities of CEC to meeting ethics education needs and providing counselling and support with less emphasis on advising about policy and procedures. More research is needed on how best to define what the scope of activities of CEC should be in order to meet the needs of hospitals in Canada and elsewhere. More research also is needed on the actual outcomes to patients, families, health professionals and organisations from the work of these committees in order to support the considerable time committee members devote to this endeavour. (shrink)

The aim of this paper is to compare two authors: Hans Kelsen and Leo Strauss. More specifically, it will compare Kelsen’s “What is Justice?”—his Farewell Lecture given at Berkeley in 1952—and Leo Strauss’s Natural Right and History—one of the main works on political philosophy published in twentieth century America. Both are key texts dealing with the same subject, justice. Although the two texts were written around the same time by authors who shared a similar history, they seem to defend radically (...) opposed points of view. However, despite and beyond their otherwise real differences, the two texts articulate the same important idea: if one wants to think about political issues, one has to address the question of justice. This chapter will attempt to illustrate through a comparison of these two texts the importance of addressing the question of justice, especially in our modern democracies. (shrink)

The work that Maurice Merleau-Ponty planned to call _The Prose of the World,_ or _Introduction to the Prose of the World,_ was unfinished at the time of his death. The book was to constitute the first section of a two-part work whose aim was to offer, as an extension of his Phenomenology of Perception, a theory of truth. This edition's editor, Claude Lefort, has interpreted and transcribed the surviving typescript, reproducing Merleau-Ponty's own notes and adding documentation and commentary.