Introduction: Congruence, understood as the agreement between the patient's preferred place of death and their actual place of death, is emerging as one of the main variables indicating the quality of end-of-life care. The aim of this research was to conduct a systematic literature review on levels and determinants of congruence in palliative patients over the period 2010–2021.Method: A systematic review of the literature in the databases of PubMed, Scopus, Web of Science, PsycINFO, CINAHL, Cuiden, the Cochrane Library, CSIC Indexes, (...) and IBECS. Information was extracted on research characteristics, congruence, and associated factors.Results: A total of 30 studies were identified, mainly of retrospective observational design. The congruence values varied substantially between the various studies, ranging from 21 to 100%. The main predictors of congruence include illness-related factors, individual factors, and environmental factors.Conclusion: This review, in comparison with previous studies, shows that treatment-related factors such as physical pain control, marital status, having a non-working relative, age, discussing preferred place of death with a healthcare professional, and caregiver's preference have been associated with higher levels of congruence. Depending on the study, other factors have been associated with either higher or lower congruence, such as the patient's diagnosis, gender, or place of residence. This information is useful for designing interventions aimed towards greater congruence at the end of life. (shrink)

This book is dedicated to clarify ambiguous concepts from the world of creativity and innovation. One of the initial triggers for the development of the book was the perceived ambiguity of the binomials Design vs. Design Thinking and Innovation vs. Invention. Frequently, designers and innovation consultants are questioned by their clients about the relationships between these kind of concepts. Has the second emerged through the first, or vice-verse? Is one part of the other? Where are the similarities and which are (...) the differences? This conceptual incomprehension makes itself noticeable between many ambiguous concepts in the world of innovation and creativity. What is the difference between Radical and Disruptive Innovation? Or is Social Innovation the same as Social Intervention? And regarding Creativity, are Creativity and Creative Thinking the same? In this book the reader will find answers to these kinds of questions and doubts. 28 authors from 10 different countries and cultural backgrounds are questioning current definitions and perceptions, by comparing different sources and ideas, or simply by giving their personal opinions. Some of the authors have an academic background, others a practical one, being either entrepreneurs, working with innovation in companies, or being innovation/design consultants. (shrink)

En el presente artículo se tratará de reflexionar acerca del estatus ontológico del concepto de identidad personal a partir de las así denominadas propuestas «narrativistas» de los filósofos Daniel Dennett y Clément Rosset. No se pretende tanto abordar la pregunta sobre la existencia última de dicha identidad cuanto hacerse cargo de cómo se nos aparece, las similitudes que presenta el proceso de construcción identitaria con el proceso narrativo y el papel activo tanto de uno mismo como de los demás en (...) su edificación. (shrink)

This article explores universal normative bases that could help to shape a workable legal construct that would facilitate a global use of advance directives. Although I believe that advance directives are of universal character, my primary aim in approaching this issue is to remain realistic. I will make three claims. First, I will argue that the principles of autonomy, dignity and informed consent, embodied in the Oviedo Convention and the UNESCO Declaration on Bioethics and Human Rights, could arguably be regarded (...) as universal bases for the global use of advance directives. Second, I will demonstrate that, despite the apparent consensus of ethical authorities in support of their global use, it is unlikely, for the time being, that such consensus could lead to unqualified legal recognition of advance directives, because of different understandings of the nature of the international rules, meanings of autonomy and dignity which are context‐specific and culture‐specific, and existing imperfections that make advance directives either unworkable or hardly applicable in practice. The third claim suggests that the fact that the concept of the advance directive is not universally shared does not mean that it should not become so, but never as the only option in managing incompetent patients. A way to proceed is to prioritize work on developing higher standards in managing incompetent patients and on progressing towards the realization of universal human rights in the sphere of bioethics, by advocating a universal, legally binding international convention that would outlaw human rights violations in end‐of‐life decision‐making. (shrink)

Newcomers and more experienced feminist theorists will welcome this even-handed survey of the care/justice debate within feminist ethics. Grace Clement clarifies the key terms, examines the arguments and assumptions of all sides to the debate, and explores the broader implications for both practical and applied ethics. Readers will appreciate her generous treatment of the feminine, feminist, and justice-based perspectives that have dominated the debate.Clement also goes well beyond description and criticism, advancing the discussion through the incorporation of a broad range (...) of insights into a new integration of the values of care and justice. Care, Autonomy, and Justice marks a major step forward in our understanding of feminist ethics. It is both direct and helpful enough to work as an introduction for students and insightful and original enough to make it necessary reading for scholars. (shrink)

This article explores universal normative bases that could help to shape a workable legal construct that would facilitate a global use of advance directives. Although I believe that advance directives are of universal character, my primary aim in approaching this issue is to remain realistic. I will make three claims. First, I will argue that the principles of autonomy, dignity and informed consent, embodied in the Oviedo Convention and the UNESCO Declaration on Bioethics and Human Rights, could arguably be regarded (...) as universal bases for the global use of advance directives. Second, I will demonstrate that, despite the apparent consensus of ethical authorities in support of their global use, it is unlikely, for the time being, that such consensus could lead to unqualified legal recognition of advance directives, because of different understandings of the nature of the international rules, meanings of autonomy and dignity which are context-specific and culture-specific, and existing imperfections that make advance directives either unworkable or hardly applicable in practice. The third claim suggests that the fact that the concept of the advance directive is not universally shared does not mean that it should not become so, but never as the only option in managing incompetent patients. A way to proceed is to prioritize work on developing higher standards in managing incompetent patients and on progressing towards the realization of universal human rights in the sphere of bioethics, by advocating a universal, legally binding international convention that would outlaw human rights violations in end-of-life decision-making. (shrink)

In his book Modal Logic as Metaphysics, Timothy Williamson defends first-order necessitism using simplicity as a powerful argument. However, simplicity is decomposed into two different, even antagonistic, sides: elegance and parsimony. On the one hand, elegance is the property of theories possessing few and simple principles that allow them to deploy all their theoretical power; on the other hand, parsimony is the property of theories having the fair and necessary number of ontological entities that allow such theories give an account (...) of themselves. Since necessitism endorses Barcan Formulae for the sake of elegance, it is committed to a vast number of contingently non-concrete objects, so one may think that it is not qualitatively parsimonious. I argue that necessitism could be viewed as an additive case in the sense that Alan Baker characterizes the adjective so quantitative parsimony should be considered when it comes to necessitism instead of qualitative parsimony. (shrink)

In November 1996, Catherine Clément and Julia Kristeva began a correspondence exploring the subject of the sacred. In this collection of those letters Catherine Clément approaches the topic from an anthropologist's point of view while Julia Kristeva responds from a psychoanalytic perspective. Their correspondence leads them to a controversial and fundamental question: is there anything sacred that can at the same time be considered strictly feminine? The two voices of the book work in tandem, fleshing out ideas and blending together (...) into a melody of experience. The result is a dialogue that delves into the mysteries of belief -- the relationship between faith and sexuality, the body and the senses -- which, Clément and Kristeva argue, women feel with special intensity. Although their discourse is not necessarily about theology, the authors consider the role of women and femininity in the religions of the world, from Christianity and Judaism to Confucianism and African animism. They are the first to admit that what they have undertaken is "as impossible to accomplish as it is fascinating." Nevertheless, their wide-ranging and exhilarating dialogue succeeds in raising questions that are perhaps more important to ask than to answer. (shrink)

This article analyses Chimamanda Ngozi Adichie’s most recent novel, Americanah (2013), which brings to the fore the complex issues faced by female migrants in a globalized world. Given the centrality of digital platforms in Americanah and their impact and ubiquity in modern societies, the essay examines cyberspace as a tool for identity formation, specifically of Ifemelu, the novel’s Nigerian female protagonist, and as a platform that enhances transnational solidarity by offering female migrants the opportunity to be heard and gain agency. (...) By examining different forms of social discrimination Ifemelu encounters during her long stay in America, and the agency she gains by setting up a blog to openly express her views and those of her readers, my analysis shows the importance of an intersectional approach for understanding and encompassing the multidimensionality of women’s experiences in today’s interconnected world. The article concludes that Americanah is a representative example of transmodern fiction that captures both the challenges and the opportunities created by the mobility, transnational and transcultural reality of our times. (shrink)

Most countries are facing the societal challenging need for a new quarantine period due to the increasing number of COVID-19 infections, indicating a second or even third wave of disease. The COVID-19 pandemic has brought to the surface existential issues that are typically less present in people's focal attention. The first aim of this study was to identify some of these existential struggles such as increased feelings of loneliness, death obsession, and preoccupation with God. Secondly, we explored the association of (...) these factors with the increased fear of coronavirus during the quarantine. Data was collected from 1,340 Romanian adults using a cross-sectional web-based survey design in the midst of the national lockdown period of COVID-19. Participants completed measures of COVID-19 related loneliness, death obsession, and preoccupation with God twice; first, thinking about the period before the pandemic, and second, for the current situation during the quarantine. Then, they completed a fear of COVID-19 measure. Participants perceived an increase in the feelings of loneliness, death obsession, and preoccupation with God during the confinement. Furthermore, gender, knowing someone diagnosed with COVID-19, loneliness, death obsession, and preoccupation with God predicted fear of COVID-19. Interestingly, days in isolation did not predict fear of COVID-19 nor were associated with feelings of loneliness. In line with existential positive psychology, these results highlight the importance of policies and interventions targeting the experience of loneliness, spiritual beliefs, and particularly those aimed to promote death acceptance, in order to alleviate intense fear of COVID-19. (shrink)

Legal acts of the Republic of Lithuania establish several types of material liability of workers engaged in labour (professional) relations: material liability applied pursuant to the Labour Code of the Republic of Lithuania (hereinafter referred to as the LC) and material liability applied pursuant to the Law on Public Service of the Republic of Lithuania (hereinafter referred to as the LPC). In the present article, theoretical and practical aspects of material liability of Lithuanian public servants for material damage caused are (...) analysed. The authors of the article study the conditions for the application of the material liability and identify the main circumstances that must be determined in applying this type of legal compulsion. Furthermore, the authors investigate the relation between the material and disciplinary liabilities, study the limits of the application of labour law norms (that regulate material liability of employees) and civil law norms (regulating personal civil liability) in professional legal relations, identify the means and procedure for solving disputes arising in the application of the material liability. Practical mistakes in the application of the material liability of public servants and violations are analysed on the basis of a rather sparse case-law of the Supreme Administrative Court of Lithuania related to the material liability. (shrink)

Through the use of such "folk" concepts as belief, desire, intention, and expectation, Daniel Dennett asserts in this first full scale presentation of...

Thanks to his unsurpassed eye and his fearless willingness to take a stand, Clement Greenberg (1909 1994) became one of the giants of 20th century art criticism a writer who set the terms of critical discourse from the moment he burst onto the scene with his seminal essays Avant Garde and Kitsch (1939) and Towards a Newer Laocoon (1940). In this work, which gathers previously uncollected essays and a series of seminars delivered at Bennington in 1971, Greenberg provides his most (...) expansive statement of his views on taste and quality in art, arguing for an esthetic that flies in the face of current art world fashions. Greenberg insists despite the attempts from Marcel Duchamp onwards to escape the jurisdiction of taste by producing an art so disjunctive that it cannot be judged that taste is inexorable. He argues that standards of quality in art, the artist's responsibility to seek out the hardest demands of a medium, and the critic's responsibility to discriminate, are essential conditions for great art. The obsession with innovation the epidemic of newness leads, in Greenbergs view, to the boringness of so much avant garde art. He discusses the interplay of expectation and surprise in aesthetic experience, and the exalted consciousness produced by great art. Homemade Esthetics allows us particularly in the transcribed seminar sessions, never before published to watch the critics mind at work, defending (and at times reconsidering) his theories. His views, often controversial, are the record of a lifetime of looking at and thinking about art as intensely as anyone ever has. (shrink)

Barbara Vetter, Potentiality. From Dispositions to Modality, Oxford University Press, Oxford, 2015, 321pp., ISBN: 978–0–19–871431–6.

Perhaps more than any philosophy written in the past few centuries, the work of Friedrich Nietzsche has given rise to controversy, misunderstanding, and dissent. Today Nietzsche is remembered as the revolutionary author of such polemical ideas as the death of God, the revaluation of values, the will to untruth, and the Übermensch. Yet is Nietzsche’s philosophy as atheistic, relativistic, nihilistic, and immoral as some commentators have claimed? Or ought we perhaps to give more credence to Nietzsche’s own assertion that one (...) writes books “precisely to conceal what one harbors” (BGE, 9, 289)? If “whatever is profound loves masks” (BGE, 2, 40) then might Nietzsche’s more daring claims be interpreted as clever masks behind which he conceals a deeper philosophy and on which he reveals a hidden truth? Is it not possible that the standard readings of Nietzsche are in fact misreadings—that his work invites misreading, that it is intentionally unclear, deceptive, disguised? The goal of this volume is to reread Nietzsche for all that he shows and all that he hides. It is to dig deeper into his work in order to challenge misreadings of old and invite misreadings anew—as, indeed, his work itself calls for and demands. (shrink)

The first part of this paper proposes a precise definition of what a worldview is, and why there is a necessity to have one. The second part suggests how to construct integrated scientific worldviews. For this attempt, three general scientific approaches are proposed: the general systems theory as the endeavor for a universal language for science, a general problem-solving approach and the idea of evolution, broadly construed. We close with some remarks about limitations of scientific worldviews.

El año 2001 representó un momento de quiebre en la historia reciente argentina. Las repercusiones de la crisis económica, social y de representatividad política se hicieron presentes en todo el espectro cultural. El presente artículo parte de una hipótesis central: la omnipresencia del sonido durante la crisis explica el giro hacia lo sonoro en la producción musical posterior. Nuestro estudio se estructurará en tres partes: en una primera sección, examinaremos los sonidos de la crisis y su historicidad. En las otras (...) dos secciones, analizaremos las obras de compositores y colectivos artísticos durante la crisis y la poscrisis – BAS (Buenos Aires Sonora), Nicolás Varchausky, Juan Pampín y Carmen Baliero, entre otros ejemplos. Este análisis nos permitirá evaluar cómo los sonidos de la crisis y esta particular experiencia de la escucha permearon dentro del campo sonoro y musical. (shrink)

Desde una perspectiva compleja aparecen claros cuestionamientos a los fundamentos y los razonamientos de la Economía Neoclásica (que es lo que se enseña en Chile cuando se enseña Economía), por ejemplo, la noción de emergencia: “el todo es más y menos que la suma de la partes” (Morin, 1981), la sociedad no es sólo un agregado de individuos. El conocimiento es incompleto: no hay información absoluta. Los contextos son determinantes para la comprensión de lo estudiado. Las esferas del conocimiento no (...) están aisladas, surge la necesidad de la transdisciplinariedad. Desde el teorema de la incompletitud de Gödel las demostraciones matemáticas no aseguran la veracidad de los resultados ni la ausencia de subjetividad (además de haber comportamientos, como el humano, que no son reductibles a la lógica matemática). Es necesario replantearse las comprensiones de la Economía y su enseñanza. Diseñar nuevas cátedras de economía que incluyan otros contenidos, metodologías y reflexiones epistemológicas, ya que, dada la complejidad de los tiempos que afrontamos, y la importancia de las decisiones que se toman en nombre de la Economía, no podemos contar con profesionales que cuenten con una visión reduccionista de los fenómenos económicos. (shrink)

En esta investigación se propuso y aplicó una evaluación exploratoria de la sustentabilidad de tres socio-ecosistemas ubicados en el Matorral y Bosque Esclerófilo (MBE) de Chile central: 1. Los Yuyos (75 ha.), Colliguay, V Región; 2. Tantehue (110 ha.), Provincia Melipilla, Región Metropolitana y 3. Panamá (138 ha.), Provincia de Colchagua, VI Región. Sustentabilidad fue definida como la interacción de 3 tipos de sustentabilidades: ecológica, económica y social. La sustentabilidad ecológica fue definida como: 1. Relación entre la Máxima Explotación Sustentable (...) y la Explotación Efectiva, 2. Grado de Naturalidad (Machado, 2004) y 3. Grado de Intervención Antrópica (González, 2000). La sustentabilidad económica fue definida como: 1. Rentabilidad y 2. Sostenibilidad de la Rentabilidad en el Tiempo. Y la sustentabilidad social fue definida como: 1. Nivel Socioeconómico, 2. Traspaso Generacional y 3. Nivel Educativo del núcleo familiar. En Colliguay se encontró un escenario general de “Sustentabilidad” y en Tantehue y Panamá se encontró una situación de “Insustentabilidad”. Se concluye que los socio-ecosistemas estudiados en el MBE de Chile central están en una situación crítica de sustentabilidad por lo que se enfatiza la importancia de conservar este tipo de ecosistema. (shrink)

A nivel nacional e internacional los desembarques de pesca se han incrementado cuantiosamente en los últimos decenios generando el colapso de diversas pesquerías. Los testimonios de los miembros de la comunidad de pescadores artesanales de la V región son uno de los ejemplos concretos de este proceso. Se argumentó que estas crisis eran provocadas por la “Tragedia de los Comunes” y que era necesario establecer Cuotas Individuales Transferibles (CIT) para asegurar los derechos de propiedad. La versión nacional, con la ley (...) 19.713, estableció la privatización del acceso a la pesca con los Límites Máximos de Captura por Armador (LMCA), para el sector industrial, y, posteriormente, con la ley 19.849, los Regímenes Artesanales de Extracción (RAE), para el sector artesanal. El 2012 vencen estas leyes y los pescadores artesanales deberían tener un rol significativo en la determinación de la nueva administración pesquera, por cuanto ellos, al depender de los ecosistemas marinos para su subsistencia, tienen genuino interés en la sustentablidad del manejo pesquero. (shrink)

Con el objetivo de contextualizar los aportes intelectuales más contemporáneos de Étienne Balibar, el presente artículo estudia la filosofía de la historia presente en su obra de madurez, es decir, la manera en la que el filósofo interpreta el cambio histórico en el campo político. En primer lugar, se aborda la significación relativamente benjaminiana que adquiere el «momento insurreccional» constitutivo del principio de la igualibertad, estableciendo los puntos de contacto y las diferencias entre la idea de Balibar y la de (...) Benjamin. En un segundo momento, se rastrean los orígenes de dicha concepción del tiempo, que remiten a los trabajos tempranos elaborados junto a Althusser. Por último, y retomando algunos argumentos de la primera parte, se explica el sentido dialéctico del par ciudadanía/democracia y su relevancia en la actualidad. (shrink)

In this paper, we point out that explainability is useful but not sufficient to ensure the legitimacy of algorithmic decision systems. We argue that the key requirements for high-stakes decision systems should be justifiability and contestability. We highlight the conceptual differences between explanations and justifications, provide dual definitions of justifications and contestations, and suggest different ways to operationalize justifiability and contestability.

La Revolución de Octubre vivió debates y posicionamientos cruzados en paralelo a una explosión de vanguardias artísticas que se sumaron a la causa socialista, lo que no estuvo exento de problemas. Este artículo repasa la relación teórica y práctica de algunas de las vanguardias más políticamente comprometidas con la nación soviética y aborda también el otro gran estilo popularizado entonces por críticos y políticos de dicha órbita: el llamado realismo socialista. Así pues, a partir de un análisis comparado de las (...) declaraciones y actuaciones de los principales representantes de sendas corrientes, el texto pretende contribuir al esclarecimiento de la cuestión fundamental: ¿existe un «método artístico socialista»? Y, en tal caso, ¿en qué consiste?; o, por el contrario, ¿se trata de un término difuso del que se apropiaron indistintamente ambas escuelas? (shrink)

El presente artículo razona sobre la construcción de la subjetividad de Emma Bovary, situando en el discurso amoroso enunciado por ella los fundamentos de su individualidad, que son profundamente modernos. En paralelo, se efectúa asimismo una lectura social de la insatisfacción permanente que caracteriza al personaje, analizando los aspectos de su sensibilidad que coinciden con la lógica de acumulación perpetua instaurada, también en el plano de la subjetividad, por el sistema de producción capitalista. El objetivo principal es contextualizar sociohistóricamente las (...) problemáticas planteadas en la obra de Flaubert y estimular la reflexión sobre el papel ambivalente de su protagonista. (shrink)