Cette étude préliminaire avait pour objectif de documenter les besoins d’information des familles ayant un enfant avec une déficience du point de vue des parents et des professionnels de la santé impliqués auprès d’eux. Trois groupes de discussion ont été réalisés: deux auprès de parents d’enfant ayant une trisomie 21 ou une déficience motrice cérébrale et un autre auprès de professionnels de la santé impliqués auprès d’eux. Les résultats montrent que l’information recherchée par les parents concerne (...) le problème de santé, les soins et les ressources disponibles. Les parents consultent entre autres sources les professionnels de la santé, d’autres parents, les médias et l’Internet. L’information obtenue par les parents a un impact sur leur adaptation à la situation de santé et sur leur relation avec les professionnels. Enfin, des recommandations sont proposées par les parents et les professionnels en regard des interventions. (shrink)

Osoba odnosno osobni identitet kao izvorno filozofski pojmovi nalaze primjenu i u medicinskim diskursima. Usto se njihova tumačenja ne izvode isključivo iz historijskog konteksta filozofijskih i teologijskih predodžbi, već poprimaju etičku dimenziju na razini ljudskog ponašanja. Njihovo osebujno značenje dosežu u interakciji između liječnika i pacijenta, interakciji koja se manifestira u tjelesno-fenomenalnoj interpretaciji personaliteta: isti se proteže od autonomije i svojevoljnosti refleksivno ustrojene svijesti do prividne disocijacije tijela i osobe u okviru pojma moždane smrti. Razumijevanje čovjeka kao osobe pritom je (...) dio one antropološke paradigme koja u medicinskim kriznim situacijama predstavlja temelj etički opravdanog ophođenja s njime. Deficit izazvan gubitkom osobne autonomije time postaje smjernicom k onoj deficijentnoj tjelesnosti koju je medicina definirala kao predmet vlastita istraživanja.Person and personal identity, originally philosophical concepts, find its application also in medical discourses. Moreover, their interpretations are not derived exclusively from historical context of philosophical and theological ideas, but acquire an ethical dimension on the level of human behaviour. Their special meaning is obtained in the patient-physician interaction, which is manifested in the bodily-phenomenal interpretation of personality: this ranges from autonomy and purposiveness of a reflectively structured consciousness to the apparent dissociation of the body and the person in the concept of brain death. The understanding of the human being as person is thereby a part of the anthropological paradigm that presents the basis for ethically acceptable action in medical crisis situations. The deficiency caused by the loss of personal autonomy is therefore an indication of a deficient corporeality, which medicine has chosen as its research object..La personne et l’identité personnelle, en tant que concepts à l’origine philosophiques, trouvent également leur application dans les discours médicaux. Ce faisant leurs inteprétations ne sont pas tirées uniquement du contexte historique des représentations philosophiques et théologiques, mais gagnent une dimension éthique à l’échelle du comportement humain. Ils prennent leur signification particulière dans l’interaction entre le médecin et le patient, laquelle se manifeste dans l’interprétation physico-phénoménale de la personnalité : celle-ci s’étend de l’autonomie et de l’arbitraire d’une conscience organisée de manière réflexive jusqu’à la dissociation apparente du corps et de la personne dans le cadre de la notion de mort cérébrale. La compréhension de l’homme en tant que personne fait en même temps partie de ce paradigme anthropologique qui dans des situations médicales de crise représente la base d’un rapport avec lui éthiquement justifié. Le déficit subi par la perte de l’autonomie personnelle est ainsi également une indication de ce physique déficient que la médecine a désigné comme objet de sa recherche.Person und personale Identität finden als ursprünglich philosophische Begriffe auch in medizinischen Diskursen Anwendung. Dabei leiten sich ihre Deutungen nicht allein aus dem historischen Kontext philosophischer und theologischer Vorstellungen ab, sondern gewinnen eine ethische Dimension auf der Ebene menschlichen Verhaltens. Ihre besondere Bedeutung erlangen sie in der Auseinandersetzung zwischen Arzt und Patient, die sich in einer leiblich-phänomenalen Interpretation der Personalität offenbart: diese reicht von der Autonomie und Willentlichkeit eines reflexiven geordneten Bewusstseins bis zur scheinbaren Dissoziierung von Leib und Person im Begriff des Hirntodes. Das Verständnis des Menschen als Person ist dabei Teil jenes anthropologischen Paradigmas, das die Grundlage eines ethisch verantwortbaren Umganges mit diesem in medizinischen Krisensituationen darstellt. Der im Verlust personaler Autonomie erlebte Mangel ist damit auch ein Hinweis auf jene defiziente Leiblichkeit, welche sich die Medizin zum Forschungsgegenstand erkoren hat. (shrink)

Theories of distributive justice are often criticised for either excluding people with disabilities from the domain of justice altogether, or casting them as deficient in personal attributes. I argue that the capabilities approach to justice is largely immune to these flaws. It has the conceptual resources to locate most of the causes of disadvantage in the interaction between a person and her environment and in doing so can characterise the disadvantages of disability in a way that avoids the imputation of (...) natural deficiency. However, I also argue that the capabilities approach cannot accommodate some of the stronger claims advanced by some disability scholars. No plausible capabilities approach can guarantee that social change will always be the just or fair remedy for disadvantage, and there is a small number of severe cases of disability where capability shortfalls will be attributed to the person’s ‘deficient’ physical and mental impairments. (shrink)

En el siglo XXI nace la neurociencia de la ética con la pretensión de ser un nuevo saber , capaz de descubrir las bases cerebrales de la conducta moral. Desde ellas algunos neurocientíficos se proponen fundamentar una ética universal. El artículo 1) analiza críticamente ese proceso de fundamentación, 2) recurre para profundizar en él a la paradoja de la cooperación humana, y 3) hace un balance de las aportaciones de la neurociencia a la ética y de sus posibilidades de fundamentar (...) una ética universal. (shrink)

Jennifer Lackey presents a puzzle to which she argues there is no current solution. Lackey's claim is that testimonial knowledge can have something conspicuously wrong with it and still be knowledge. Testimonial knowledge can be ‘deficient’. Given that knowledge is a normative category, that it describes what it is for a belief to go right, there is a puzzle that comes with accounting for how a testimonial belief could be knowledge and yet go wrong in the ways Lackey has in (...) mind. In this paper, I argue that the deficiency is one of teamwork, and that Lackey's puzzle offers one a window into the respect in which testimony is a kind of team achievement. (shrink)

Plato seems to have been pessimistic about how most people stand with regard to virtue. However, unlike the Stoics, he did not conclude that most people are vicious. Rather, as we know from discussions across several dialogues, he countenanced decent ethical conditions that fall short of genuine virtue, which he limited to the philosopher. Despite Plato's obvious interest in this issue, commentators rarely follow his lead by investigating in detail such conditions in the dialogues. When scholars do investigate what kind (...) of virtue, if any, Plato thinks is open to non-philosophers, they typically look to the Republic. But in the Republic Plato sets out an ideal city; therefore, the virtue available to non-philosophers there is likely different from what he thinks is available to them in the real world. If we want to determine Plato's thoughts about the virtue of actual non-philosophers, we must look elsewhere. In this paper, I set my sights on the Phaedo. (shrink)

Scientific research is supposed to acquire or generate knowledge, but such a purpose would be severely undermined by instances of research misconduct (RM) and questionable research practices (QRP). RM and QRP are often framed in terms of moral transgressions by individuals (bad apples) whose aberrant acts could be made conducive by shortcomings in regulatory measures of organizations or institutions (bad barrels). This notion presupposes, to an extent, that the erring parties know exactly what they are doing is wrong and morally (...) culpable, but had nonetheless proceeded to commit wrongful acts. However, a confession of intent to deceived is often not readily admitted by perpetrators of RM. I posit that beyond the simplistic notion of conscious moral transgression, deficits in epistemic virtues and/or the prevalence of epistemic vices have important roles to play in initiating and driving RM/QRP. For the individual perpetrator, deficits in epistemic virtues could lead to or amplify errors in one’s desperate attempt to be accomplished or to excel, and pushes one across the ethical line or down the slippery slope of misconduct. Likewise, a lack of epistemic virtue within perpetrators’ institution or organization could make it conducive for deceitful acts and suppress indications and warning signs for the former. Furthermore, epistemic vices exhibited by reviewers, editors and journals could also promote RM/QRP. In this view, epistemic failings, rather than widespread moral deficiencies of individuals within the research ecosystem, may underlie the prevalence of RM/QRP. (shrink)

Although higher education understands the need to develop critical thinkers, it has not lived up to the task consistently. Students are graduating deficient in these skills, unprepared to think critically once in the workforce. Limited development of cognitive processing skills leads to less effective leaders. Various definitions of critical thinking are examined to develop a general construct to guide the discussion as critical thinking is linked to constructivism, leadership, and education. Most pedagogy is content-based built on deep knowledge. Successful critical (...) thinking pedagogy is moving away from this paradigm, teaching students to think complexly. Some of the challenges faced by higher education moving to a critical thinking curricula are discussed, and recommendations are offered for improving outcomes. (shrink)

I give a brief overview of Albert Casullo’s Essays on A Priori Knowledge and Justification, followed by a summary of his diagnostic framework for evaluating accounts of a priori knowledge and a priori justification. I then discuss Casullo’s strategy for countering deficiency arguments against empiricism. A deficiency argument against empiricism can be countered by mounting a parallel argument against moderate rationalism that shows moderate rationalism to be defective in a similar way. I argue that a particular deficiency argument put forth (...) by George Bealer in “The Incoherence of Empiricism” can withstand a parallel challenge mounted by Casullo.I then consider Casullo’s preferred analysis of the concept of a priori justification, which identifies a belief’s being justified by some nonexperiential source as the feature by virtue of which it is justified a priori. On the analysis, an apriori-justfied belief that is justified to a degree that is sufficient for knowledge is not taken to be empirically indefeasible. I argue that Casullo could avail himself of an empirical indefeasibility requirement that is consistent with his minimal and fallibilist conception of a priori knowledge. Doing so would capture a feature of the concept of a priori knowledge that is of particular interest and significance. (shrink)

Sono discusse le principali argomentazioni medico-biologiche che costituiscono il nucleo della teoria secondo la quale la morte cerebrale totale corrisponde alla morte dell'essere umano. Speciale attenzione è riservata alla normativa che disciplina l’applicazione dei criteri per l'accertamento di morte e alle critiche che hanno mostrato come attualmente la teoria che fa da sostegno a quella normativa sia stata radicalmente messa in discussione.

As the world's literary, religious, and philosophical traditions attest, deficiency in the world is a matter of perennial human concern. Ontologically speaking deficient existence is a problem that has occupied metaphysical thinking from Heraclitus to Heidegger. What is it to exist deficiently? ;This dissertation addresses the question, first, through a survey of answers given by six ancient philosophers. Parmenides describes deficient existence as changing multiplicity; Plato, as being in an inferior world; Plotinus, as mis-seeing; Augustine, as disorderedness; Gregory of Nyssa, (...) as "nothingification" &parl0;`h e ,xoud e&d12;nwsi v&parr0; ; Dionysius, as failed participation. The dissertation then gives a more systematic answer through close study of the metaphysics of John Scotus Eriugena , who builds on the foundation established by these thinkers. ;The Eriugenian cosmos is a "theophanic" one. To be is to be the showing or expression of God. What exists, then, is divine and good. Furthermore, all deficiencies, such as they are, must be characterized as privations or impoverishments. ;What can deficient existence be in such a world? Eriugena's first answer is that it is existence on an inferior level of reality. This dualistic view must be rejected, however, because it is not consistent with the fundamental metaphysical principles that reality is an ontological unity and every being is divine. ;Two better descriptions of deficient existence can be found in his metaphysics. First, to be deficiently is to see the world deficiently; that is, deficient existence is a misunderstanding of reality. Second, deficient existence is metaphysically incomplete existence. Being as a whole is an ontological work in progress, a creatio ex nihilo that is a creatio ex nihilo hic et illuc et ubique ---here, there, and everywhere. ;Such a creation depends in part on human choice and is subject to the destructive influences of non-being. But rather than a fall from some primordial perfection, creation is a movement towards perfection. Hence the existence that it constitutes is an existence in the theophanic world. Moreover, creation is theophanic to the extent that it does exist, even though, as deficient, it does not yet fully exist. (shrink)

This paper is a critique of NIH guidelines for the care and protection of laboratory animals. It exposes four serious deficiencies in these guidelines: (1) failure to make it dear that the mere pursuit of knowledge does not justify using animals; (2) failure to give any guidance concerning what constitutes human benefit or well-being; (3) failure to countenance trade-offs between human benefit or well-being and animal well-being; (4) failure to clearly specify what constitutes keeping animals in an ‘environment appropriate to (...) the species and its life history.’ It concludes with the suggestion that the construction and revision of these guidelines is too important to be left to the professionals. Keywords: animals, benefit, NIH, research, trade-offs, well-being CiteULike Connotea Del.icio.us What's this? (shrink)

I give a brief overview of Albert Casullo’s Essays on A Priori Knowledge and Justification (2012), followed by a summary of his diagnostic framework for evaluating accounts of a priori knowledge and a priori justification. I then discuss Casullo’s strategy for countering deficiency arguments against empiricism. A deficiency argument against empiricism can be countered by mounting a parallel argument against moderate rationalism that shows moderate rationalism to be defective in a similar way. I argue that a particular deficiency argument put (...) forth by George Bealer in “The Incoherence of Empiricism” (1992) can withstand a parallel challenge mounted by Casullo (2012, Ch.6). -/- I then consider Casullo’s preferred analysis of the concept of a priori justification, which identifies a belief’s being justified by some nonexperiential source as the feature by virtue of which it is justified a priori. On the analysis, an apriori-justfied belief that is justified to a degree that is sufficient for knowledge is not taken to be empirically indefeasible. I argue that Casullo could avail himself of an empirical indefeasibility requirement that is consistent with his minimal and fallibilist conception of a priori knowledge. Doing so would capture a feature of the concept of a priori knowledge that is of particular interest and significance. (shrink)

This paper examines the few, but important legal and coronial cases concerning withdrawing or withholding life-sustaining treatment from severely disabled or critically impaired infants in Australia. Although sparse in number, the judgements should influence common clinical practices based on assessment of “best interests” but these have not yet been adopted. In particular, although courts have discounted assessment of “quality of life” as a legitimate component of determination of “best interests,” this remains a prominent component of clinical guidelines. In addition, this (...) paper highlights the lack of uniform clinical guidelines available to medical professionals and parents in Australia when making end-of-life decisions for severely ill infants. Thus, it is argued here that there is a need for an overarching prescriptive uniform framework or set of guidelines in end-of-life decision-making for impaired infants. This would encourage greater transparency, consistency, and some degree of objectivity in an area that often appears subjective. (shrink)

The contemporary debate on justice is understandably dominated by theories and arguments addressing the problems of justice pertinent to nearly just societies, as virtually all the theorists participating in this debate live in such societies. They are obviously, and rightly so, first and foremost concerned with the philosophical problems of their own societies. Although almost all the contemporary theories of justice were formulated in the context of nearly just societies, why can we not apply them to the issues and problems (...) of radically unjust societies? The view that such a move is permissible and wise is at present no more than an unexamined assumption, an unargued view. Such an unargued view leads to the suspicion that a strong case may be made that radically unjust societies generate problems of social and political justice that should be considered in their own right. This does not imply that theories of justice developed in the context of, and aimed at, those issues current in nearly just societies should be disregarded or discarded. What is required are arguments to indicate to what extent the theoretical insights and wisdom contained in these theories can be utilized in a discussion of the social and political problems of radically unjust societies. I argue for the view that the contemporary debate on justice contains a major deficiency. In this article, I attempt to specify this major deficiency, namely that exclusive attention is given to the problems of nearly just societies while the problems of radically unjust societies are mostly ignored. The strategy will be to raise issues pertinent to radically unjust societies and note the extent to which clear and unambiguous solutions could be provided by participants in the contemporary debate on justice. (shrink)

This paper delves into crucial issues surrounding attempts to make flawless Qur’anic recitation, in Nigeria, a permanent tradition. The paper identifies major militating factors against an error-free recitation of the holy Qur’an in Nigeria as a basis for locating appropriate remedial programmes. The study discovered that factors such as acquisition of deficient typologies, language interference, complexity of the rules, lack of awareness dearth of specialists , dearth of relevant texts , underutilization of orthographic symbols and methodology used in imparting the (...) knowledge constitute major impediments towards achieving ideal recital of the Qur’an. In proffering relevant remedial measures like the teaching of the ideal typologies of Qur’anic recitation supported by a well planned curriculum, the paper concludes that the rectification of diagnosed deficiencies in reciting the Qur’an is feasible, in the long run, provided the intervention strategies proposed are effectively implemented. (shrink)