Since 2002, legislation in Spain has allowed for the creation and documentation of end-of-life decisionmaking. Over the intervening years, the actual implementation of such documents is very low. Through extensive analysis of the literature, this article explores the current status of the use of and attitudes toward advance directives in Spain and then proposes strategies for improvement in their implementation.

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)

Este libro identifica las tendencias generales de la pol tica internacional en la posguerra fr a, mira la regi n y algunas de las estrategias particulares de la pol tica exterior y econ mica de M xico. De esta forma contribuye a explicar la complejidad de los cambios y las continuidades en la pol tica internacional y en la mexicana.

Esta obra está organizada en tres partes, en las que se indaga la plausibilidad del discurso de la Bioética y Teológica. En la primera de ellas, se estudia el vínculo que existe entre esta disciplina científica, el mensaje evangélico y la tradición cristiana, punto de partida y origen de todo este entramado bioético que aspira a sal-vaguardar valores humanos fundamentales. En la segunda, se trata de la relación que debe regir entre esta rama de la Teología y el polifacético mundo (...) científico (biomedicina, bioderecho, etc.). Por su parte, en la tercera, se analiza el estatuto epistemológico que configura a la Bioética Teológica, es decir, sus señas de identi-dad; asimismo, en esta sección, se indaga igualmente acerca del papel que, por derecho propio, corresponde en la vida pública a esta disciplina científica. (shrink)

La Bioética actual, que colabora en la búsqueda de nuevos horizontes para el desarrollo humano y hunde sus raíces en el progreso científico y en el saber ético, no debería olvidar que existe una gran diversidad de planteamientos. De fondo está la doble alternativa del «deontologismo» y del «teleologismo»... A partir de esos dos planteamientos generales se configuran las orientaciones en el campo de la Bioética actual. El prevalente, sobre todo en el mundo anglosajón, es el llamado «principialismo». LA BIOÉTICA (...) Y EL PRINCIPIO DE SOLIDARIDAD contribuye a consolidar la teoría de los principios bioéticos desde una óptica cristiana. Este trabajo intenta promover una praxis ética basada en argumentos de fe y de razón, que reivindica el derecho y el deber de todo ser humano a tener una vida digna, a partir de los cauces epistemológicos que identifican Bioética y desarrollo solidario. (shrink)

Multisensory Experiences: Where the senses meet technology takes you on a journey that goes from the fundamentals of multisensory experiences, through the relationship between the senses and technology, to what the future of those experiences may look like, and our responsibility in it.

This chapter introduces and discusses the concepts that are in-depth articulated in the volume. International migration is presented here as a test bench where the normative limits of institutional order, its contradictions and internal tensions are examined. Migrations allows to call into question classical political categories and models. Pointing at walls and fences as tools that reproduce enormous inequalities within the globalized neo-liberal system, this chapter presents the conceptual tensions and contradictions between migration policies and global justice. We challenge the (...) conceptualization of justice as a relationship between citizens of the same country and the State and argue that, in our globalized world, nation-state cannot constitute the basic unit of the theories of justice. We argue that an integral approach that includes the complex and interconnected forms of structural inequalities and transcends the borders of national sovereign states is required. Avoiding the methodological nationalism and the exclusionary biases that inform current migration and border control policies, this chapter finally places attention on the most marginalized subjects of the migration chain: migrant women workers. We point out the importance of addressing transnational structural inequalities and bringing social reproduction to the center of global justice theories. (shrink)

The objective of this paper is to reflect on the proper way for Christians to do philosophy, in respect of which I have been inspired by a phrase attributed to Cardinal Newman: “We do not need Christian philosophy. We need Christians making good philosophy.” This sentence can appear controversial, but I believe it is not, if its content is made explicit in an appropriate way. To better develop what I understand Newman to be proposing here, I have added another category (...) to his statement, with the consequence that my own text falls into three sections: 1) on Christian philosophy; 2) on Christian philosophers; 3) on Christians who do philosophy. This is the scheme that we will use to position ourselves as regards the complex issue of the relationship between philosophy and Christianity. (shrink)

Trabajar en las aulas la memoria histórica, como temática controvertida y que suscita debate social, es un reto de la enseñanza de las ciencias sociales. A nivel global han sido innumerables las acciones desarrolladas para que se recupere la memoria de aquellas personas silenciadas durante décadas, unidas a conflictos sociales y políticos. Sin embargo, existen pocas investigaciones que analicen los recursos didácticos que ofrecen las tecnologías digitales sobre la temática. En este trabajo se identifican cinco apps que tienen como eje (...) el Holocausto y se analizan sus posibilidades educativas y su tratamiento de la memoria histórica. El resultado apunta a que estas apps no presentan una arquitectura didáctica adecuada y proponen una función principalmente informativa, aunque poseen características específicas que permiten su uso en contextos educativos si se hace un buen uso de sus funcionalidades a través de una mediación adecuada. Respecto a la memoria, aunque presentan un tratamiento basado en testimonios y recuerdos individuales, obvian la necesidad de una metodología deliberativa que permita confrontar ideas y fomentar una actitud crítica ante la historia institucionalizada. (shrink)

Esta obra presenta un debate entre Ambrosio Velasco y José Luis Villacañas sobre si los teólogos y juristas defensores de los indios y los pueblos indígenas durante la colonización de América, como Vitoria o Alonso de Veracruz, defendían un concepto político propio de un humanismo republicano, contrario a uno imperial y eurocéntrico. Para ello evalúan también hasta qué punto esos escolásticos defendían un concepto de racionalidad dialógica, basada en la retórica y la dialéctica y distinta a la racionalidad deductiva (...) que triunfaría en la modernidad o, en cambio, se mantenían dentro de esta segunda."--Page 4 of cover. (shrink)

The volume gathers theoretical contributions on human rights and global justice in the context of international migration. It addresses the need to reconsider human rights and the theories of justice in connection with the transformation of the social frames of reference that international migrations foster. The main goal of this collective volume is to analyze and propose principles of justice that serve to address two main challenges connected to international migrations that are analytically differentiable although inextricably linked in normative terms: (...) to better distribute the finite resources of the planet among all its inhabitants; and to ensure the recognition of human rights in current migration policies. Due to the very nature of the debate on global justice and the implementation of human rights and migration policies, this interdisciplinary volume aims at transcending the academic sphere and appeals to a large public through argumentative reflections. Challenging the Borders of Justice in the Age of Migrations represents a fresh and timely contribution. -/- IN A TIME when national interests are structurally overvalued and borders increasingly strengthened, it’s a breath of fresh air to read a book in which migration flows are not changed into a threat. We simply cannot understand the world around us through the lens of the ‘migration crisis’-a message the authors of this book have perfectly understood. Aimed at a strong link between theories of global justice and policies of border control, this timely book combines the normative and empirical to deeply question the way our territorial boundaries are justified. Professor Ronald Tinnevelt, Radboud University Nijmegen, The Netherlands.- -/- THIS BOOK IS essential reading for those frustrated by the limitations of the dominant ways of thinking about global justice especially in relation to migration. By bringing together discussions of global justice, cosmopolitan political theory and migration, this collection of essays has the potential to transform the way in which we think and debate the critical issues of membership and movement. Together they present a critical interdisciplinary approach to international migration, human rights and global justice, challenging disciplinary borders as well as political ones. Professor Phil Cole, University of the West of England, UK.-. (shrink)

Major proponents of both Distributed Cognition and Predictive Processing have argued that the two theoretical frameworks are strongly compatible. An important conjecture supporting the union of the two frameworks is that cultural practices tend to reduce entropy —that is, to increase predictability— at all scales in a cultural cognitive ecosystem. This conjecture connects Distributed Cognition with Predictive Processing because it shows how cultural practices facilitate prediction. The present contribution introduces the following challenge to the union of Distributed Cognition and Predictive (...) Processing: the problem of entropic cultural practices. The problem lies in the existence of multiple cultural practices that tend to increase entropy instead of reducing it. This paper discusses these entropic cultural practices and the nature of the problem at hand. Finally, the paper advances an expanded conception of cultural practices that could unite the two frameworks and explores the difficulties of committing to such a conception. (shrink)

Studying disorientation is studying how, through our bodies, culture and technology, we humans are connected to our environment, and what happens when this connection is weakened or severed. What happens, of course, depends again on our environment, bodies, culture and technology: the world around us becomes at times uncanny, unfamiliar or dangerous when we get disoriented. Disorientation can be exciting and refreshing—an invitation to explore, to leave behind nagging desires for control and certainty, and to embrace instead a more spontaneous (...) relationship with our surroundings. Getting lost shapes our consciousness, not only by transforming our perception of the world around us, but by transforming our sense of who we are in that world, and what possibilities are open to us within it.In this chapter, we analyse the phenomenology of disorientation to elucidate the role that emotions play in distributed cognitive processes that involve multiple agents and cognitive artefacts. The feeling of disorientation destabilises our horizon of experience and turns the world around us unfamiliar or alien. This feeling embodies our disconnection to the agents, the cognitive artefacts, and the environment around us. A proper analysis of the phenomenology of both orientation and disorientation uncovers the role feelings play in distributed cognitive processes: emotions serve as a form of evaluative regulation that contributes to, on the one hand, the syncing of the different elements of a distributed cognitive process, and on the other, to the eventual disengagement of the agent from an unreliable distributed cognitive process. (shrink)

RESUMEN Este artículo reconstruye la genealogia arendtiana de las formas extremas de la violencia, tomando como hilo conductor los procesos de desingularización con un doble propósito: por un lado, analizar las (dis)continuidades históricas de dicha genealogia que trasciende la dimensión fisico-instrumental de la violencia y entra conexión con la (des)configuración de la identidad personal; por otro lado, reivindicar la vigencia de la obra de Hannah Arendt para explorar los ecos presentes de esa violencia, sin perder de vista su especificad actual. (...) ABSTRACT This paper reconstructs the Arendtian genealogy of the extreme forms of violence, taking desingularization processes as its guiding thread, with a twofold goal: on the one hand, to analyze the historical (dis)continuities of that genealogy, that goes beyond the physical-instrumental dimension of violence and comes into connection with the (de)configuration of personal identity; on the other hand, to claim the validity of Arendt's work to explore the echoes of that violence, without losing sight of its current specificity. (shrink)

Entre enero y febrero de 1970, el norteamericano Saul Kripke impartió tres importantes conferencias en la Universidad de Princeton que posteriormente se publicaron bajo el titulo de El nombrar y la necesidad. En dichas conferencias el autor, además de hacer una fuerte crítica a las teorías descripcioncitas, abordó temas de primer orden, como son el de los nombres, la referencia, la rigidez, la modalidad y la necesidad. A partir, de sus tres conferencias, y del artículo “Identidad y necesidad” publicado un (...) año después (1971), abordaremos aquí cuatro puntos, a saber: 1) La necesidad e identidad en las teorías de la referencia directa, 2) Designadores rígidos y mundos posibles, 3) Bautizo inicial, 4) el nombrar y la necesidad. (shrink)

En Mi visión de la filosofía, Friedrich Waismann afirma que un verdadero problema filosófico radica, no en darle solución, sino en encontrarle sentido, de modo que la tarea de la filosofía está en suministrar comprensión. Esto no sería posible si quien se hace una pregunta no da un giro en su manera de pensar para ver las cosas de modo distinto. Con esto en mente, para ayudarle a quien pregunta a dar este giro es necesario orientarlo con el fin de (...) que cruce la brecha de la demostración: hay que darle una discusión, no una prueba; es decir, no debe hostigársele pidiéndole que dé una respuesta, sino que debe pedírsele que considere pacientemente su pregunta. La intención no es, pues, resolver un problema, sino cambiar la actitud de quien pregunta, de lo cual se espera que se disuelvan los falsos problemas y, con base en enunciados claros y bien construidos, la filosofía pueda avanzar en sus argumentos de alguna forma. (shrink)

: This article presents a definition of action that links empirical facts with normative reasons to form an explanation of rational agency with predictive capabilities. This idea is developed along the lines of pragmatism which holds that a set of beliefs is a matter of linguistic evaluation from a particular community. This notion is related to the idea of facts as empirical information that is cognitively apprehended. Such information is regarded as an input which is later contrasted to expected behavioral (...) responses from the agent. The deviation of such observed behavior with respect to the expected one represents an evaluative output that is understood as the definition of reasonably expected behavior. Action is, thus, understood as the outcome of such an evaluative process. (shrink)

Bertrand Russell dedicó parte de su obra a la discusión sobre el problema de la referencia y la descripción . Russell, junto Whitehead, elaboró un tratado de lógica matemática, titulado Principia Mathematica en el que retomó el proyecto de Frege tratando de demostrar que la matemática es una rama de la lógica. Russell no sólo tiene este propósito logicista, sino que también quiere concebir un lenguaje lógicamente perfecto , esto es, un lenguaje claro y preciso, en el que se elimina (...) toda ambigüedad y vaguedad. En una palabra el lenguaje de la ciencia. En este escrito desarrollaremos dicho propósito y veremos si tal lenguaje lógicamente perfecto es “aceptable” y conveniente en todos los contextos. (shrink)

Bertrand Russell dedicó parte de su obra a la discusión sobre el problema de la referencia y la descripción . Russell, junto Whitehead, elaboró un tratado de lógica matemática, titulado Principia Mathematica en el que retomó el proyecto de Frege tratando de demostrar que la matemática es una rama de la lógica. Russell no sólo tiene este propósito logicista, sino que también quiere concebir un lenguaje lógicamente perfecto , esto es, un lenguaje preciso, en el que se elimina toda ambigüedad (...) y vaguedad. En una palabra, el lenguaje de la ciencia en el que a todo nombre, por ejemplo, le “corresponde” un objeto. El Wittgenstein de las Investigaciones filosóficas se enfrentará a tal proyecto y a la concepción de un lenguaje cartográfico de la realidad. El autor, propone por el contrario, la reivindicación de un lenguaje sencillo, austero, cotidiano y plural, lejos de toda “estructura oculta”, finalmente, un lenguaje que no trasgreda las prácticas comunes y de paso a un lenguaje filosófico menos “enredado” y “dogmatico”. Pretendemos resaltar cómo la crítica a la búsqueda de un lenguaje perfecto permite que al lenguaje y a la filosofía misma, se les conciba de un modo más abierto, cotidiano y plural, en palabras del mismo Wittgenstein, una filosofía descansada “que ya no se fustigue más con preguntas que la ponen a ella misma en cuestión”. (shrink)

Interpretando a Nietzsche, podríamos afirmar que la embriaguez dionisíaca le posibilita al humano dirigirse afectivamente hacia lo externo, borrando incluso y paradójicamente ese límite que determinaría dónde empieza su ser y dónde aquello a lo que su ser es empujado. Trías recoge esta determinación en un concepto clave de su filosofía al denominarnos “ser del límite”. En ambos filósofos somos radicalmente pasión creadora; somos un animal límite y caótico, sufriente por queriente, y potencialmente feliz por el mismo motivo. Está en (...) nuestras manos investigar, tras el reconocimiento de esta condición estética, sensible e insalvable de lo humano, cómo vivir. (shrink)

The learning process of both students and teachers can be predicted based on the learning mode. Therefore, because of the COVID-19 pandemic, schools must start using online learning and abandon more traditional teaching techniques. Thus, this study investigates the relationship between self-efficacy and academic resilience among 150 senior high school students. Thus, the researchers employed General Self-Efficacy and Resilience Scale. Finally, the statistical analysis reveals that the r coefficient of 0.78 indicates a high positive correlation between the variables. The p-value (...) of 0.00, which is less than 0.05, leads to the decision to reject the null hypothesis. Hence, a significant relationship exists between self-efficacy and resilience among senior high school students. (shrink)