In a time marked by the development of innovative treatments in healthcare and the need for health professionals to deal with resulting ethical dilemmas in clinical practice, this study was developed to determine the influence of the bioethics teaching on the moral competence of medical and nursing students. The authors conduct a longitudinal study using the Moral Competence Test extended version before and after attending the ethics curricular unit, in three nursing schools and three medical schools of Portugal. In this (...) questionnaire the participant is confronted with three ethical dilemmas and asked to evaluate arguments for and against the attitude of the main character. For both nursing and medical students, C-score was lower after the attendance of the ethics curricular units, with a statistically significant decrease in the total score for nursing students and a decrease not statistically significant for medical students. A multivariate analysis did not find any association between this decrease and gender, course, or age. The phenomenon of moral segmentation was observed, with better performance in the worker and judge dilemma, than in the doctor dilemma. These results highlight the need to reflect on the curricular strategies that can be implemented for health professionals to better develop moral competence and decision-making, allowing for the provision of humanized health care. (shrink)

BackgroundOrgan transplantation represents the most effective and acceptable therapy for end-stage organ failure. However, its frequent practice often leads to a shortage of organs worldwide. To solve this dilemma, some countries, such as Portugal, have switched from an opt-in to an opt-out system, which has raised concerns about respect for individual autonomy. We aimed to evaluate whether young university students are aware of this opt-out system so that they can make informed, autonomous and conscious decisions, as well as to identify (...) the factors that determine a positive attitude toward post-mortem organ donation.MethodsAn observational, cross-sectional study was developed and a questionnaire was administered to first-year students from six faculties of the University of Porto.ResultsOf the 841 participants, 60% were unaware that Portugal had adopted an opt-out system. Among the informed individuals, their main sources of information included social media, internet, and family. Furthermore, only 48% of all participants agreed with the current opt-out system. Female sex (p = 0.049; OR 1.393), knowledge of the law (p < 0.001; OR 4.749) and family being the primary source of information (p < 0.001; OR 2.855) were independent factors associated with a positive attitude toward post-mortem organ donation law.ConclusionsThere is a significant lack of knowledge among young university students regarding the presumed post-mortem organ donation law and how it works. Female sex, having family as a primary source of information and being aware of the presumed post-mortem organ donation law are the strongest independent factors that determine a positive attitude toward the opt-out system. (shrink)

Phronesis is essential for good decision‐making and actions. This literature review shows how phronesis has been discussed and related to elements of the field of administration and organizations. A search in the database systems Scopus, EBSCO, Web of Science, and Scielo, based on eligibility criteria, resulted in 43 theoretical and 14 empirical works. The analysis of these studies showed the most significant empirical contributions, the most cited authors, methods, journals, and central themes addressed in studies on phronesis to understand ethics (...) in business. From a virtue ethics perspective, we discuss the major theoretical and empirical contributions, as well as the implications of a restricted understanding of phronesis when it is treated apart from other elements of the virtue ethics framework. We present a synthesis of the concepts of phronesis, based on dimensions of magnitude and amplitude of the conceptions, ranging from formal to substantive phronesis, and covering individual, organizational, or societal levels of analysis. We argue that a substantive conception of phronesis within virtue ethics may improve our understanding of ethics because it assumes the interdependence of phronesis and moral virtues, integral anthropology, and the common good. We present a future research agenda, considering the study's limitations and findings. (shrink)

ABSTRACT: In this article, we intend to address the role of memory and narrative in the constitution of personal identity, based on Alice Munro’s short story “The Bear Came Over the Mountain” and the theoretical concepts of Paul Ricoeur (especially in Oneself as Another). This movement will allow us to underscore the idea that, contrary to what part of the analytical literature on identity and narrative has held, it is not just what we might call self-narrative that plays a role (...) in maintaining personal identity. Instead, we recover the Ricoeurian idea of a network of narratives or tangled of stories, in which self- and hetero-narratives are entangled, thus providing support to the identities it captures. (shrink)

En los círculos ortodoxos kantianos suelen disculparse las incoherencias del maestro diciendo que era un "hijo de su tiempo". Ciertamente, en su época aún se excluía en toda Europa a las mujeres de la ciudadanía activa, privándolas de ser sujetos políticos y, con ello, sujetos éticos, de derecho, e incluso, históricos. Pero también es verdad que en ese momento está emergiendo un movimiento en defensa de la igualdad de género (querelle des femmes), en el que lamentablemente Kant no participa. En (...) el presente artículo, tras un preámbulo histórico en el que se confronta al Kant crítico con sus predecesores y coetáneos en lo tocante al tema de la igualdad de las mujeres, se defiende la tesis de que la verdadera moralidad no es pensable sin una idea de universalidad real o, lo que viene a ser lo mismo, de igualdad de género, porque solo a partir de ella es pensable la individualidad y la autonomía. Orthodox Kantian circles tend to excuse the philosopher's inconsistencies by saying that he was a "child of his time". It is true that in his time women throughout Europe were excluded from active citizenship, depriving them of the right to be political and, consequently, ethical and even historical subjects. But it is also true that in that same period a movement was emerging in defense of gender equality (querelle des femmes), in which Kant regrettably did not participate. After a historical introduction that contrasts the critical Kant with his predecessors and contemporaries regarding the issue of women's equality, the article goes on to defend the thesis that true morality is unthinkable without an idea of genuine universality, that is, without gender equality, since only on that basis can individuality and autonomy be thought. Nos círculos ortodoxos kantianos, as incoerências do mestre ao dizer que era um "filho de seu tempo" costumam ser desculpadas. Certamente, em sua época ainda se excluía em toda a Europa as mulheres da cidadania ativa e privava-as de serem sujeitos políticos e, com isso, sujeitos éticos, de direito, e inclusive, históricos. Mas também é verdade que, nesse momento, está emergindo um movimento em defesa da igualdade de gênero (querelle des femmes), do qual lamentavelmente Kant não participa. No presente artigo, após um preâmbulo histórico no qual se confronta o Kant crítico com seus predecessores e coetâneos no que tange ao tema da igualdade das mulheres, defende-se a tese de que a verdadeira moralidade não é pensável sem uma ideia de universidade real ou, o que vem a ser a mesma coisa, de igualdade de gênero, porque só a partir dela é pensável a individualidade e a autonomia. (shrink)

Neste texto, discutimos disposições teórico-metodológicas do Grupo de Estudos sobre Numeramento (GEN), na busca de compreender os modos como pessoas, em suas singularidades, mas como sujeitos sociais, se apropriam de práticas matemáticas, tomadas como práticas discursivas. A pesquisa, a formação docente e a atuação do GEN em contextos educativos diversos inserem-se nos campos da Educação Matemática e do Letramento, pois buscam conhecer sujeitos da Educação (crianças, adolescentes, jovens, pessoas adultas e idosas), que, vivendo em sociedades ‘grafocêntricas’ e ‘quanticratas’, movidos por (...) intenções pragmáticas e parametrizados por referências culturais, forjam usos dos sistemas linguísticos relacionados à quantificação, mensuração, ordenação, classificação e organização de formas e espaços. A esses usos chamamos práticas de numeramento. As situações em que as identificamos – os eventos de numeramento –, em seu caráter histórico, são tomadas como unidades da análise das intenções dos usos, dos efeitos de sentido que logram produzir e, principalmente, de como sujeitos se constituem nas interações por eles mediadas, ao produzirem e tensionarem significados. Na seção ‘Compreendendo práticas matemáticas como práticas discursivas: foco, perspectiva e referenciais teórico-metodológicos do Grupo de Estudos sobre Numeramento (GEN)’: explicitamos o propósito do Programa de Pesquisa do Grupo (conhecer sujeitos e grupos sociais que protagonizam práticas de numeramento); justificamos sua base teórica (os Estudos do Letramento como Prática Social; a Pedagogia da Liberdade e da Autonomia; a compreensão da cognição como processo social; e a abordagem sociológica da Linguagem); assumimos a etnografia como lógica de investigação; e propomos a análise de interações como principal tratamento do material empírico. Apontamos também, dadas as especificidades dos sujeitos, a necessidade do diálogo com diversos campos: Educação de Pessoas Jovens, Adultas e Idosas (EJA), Sociologia da/s Infância/s; Estudos da/s Juventude/s; Educação do Campo; Educação Indígena; Educação de Pessoas Surdas; Formação Docente, entre outros. Na seção ‘Compreendendo práticas de numeramento como práticas de letramento: fertilidade analítica e pedagógica das escolhas teóricas’, esclarecemos como nossos estudos se inserem numa perspectiva Etnomatemática, porque contribuem para conhecermos os sujeitos que vemos protagonizar práticas matemáticas ao assumirem posições discursivas – portanto, sociais, culturais e políticas. Na seção ‘Compreendendo a aprendizagem matemática como apropriação de práticas de numeramento: desdobramentos da concepção de práticas matemáticas como práticas discursivas’, apresentamos como o conceito de apropriação de práticas de numeramento, de inspiração vigostskiana, usado para contemplar múltiplos sentidos das ações dos sujeitos em eventos de numeramento, disponibiliza uma ferramenta teórica para compreender a aprendizagem matemática não como experiência cognitiva individual, mas como ação social. Na seção ‘Interlocuções teóricas e disposições analíticas dos estudos mais recentes do GEN’, indicamos como uma análise tridimensional do discurso (do texto, da situação discursiva e da prática social), adotada para conhecer melhor os sujeitos e reconhecê-los como sujeitos sociais, tem-nos conduzido às considerações de Paulo Freire sobre sujeito de cultura, sujeito de conhecimento, sujeito dialógico e sujeito do processo, que compõem o sujeito histórico, protagonista de eventos de numeramento. Na ‘coda’ (‘Reiterando’), reafirmamos o foco de nossa linha de investigação no campo da Educação Matemática: pessoas constituindo-se como sujeitos sociais, enquanto se apropriam de práticas de numeramento. (shrink)

The scientific community has debated the importance of “return” activities after ethnobiological studies. This issue has provoked debate because it touches on the ethics of research and the relationships with the people involved in these studies. This case study aimed to investigate community perception of an ethnobotany research project that was carried out in the semi-arid region of northeastern Brazil. Furthermore, we reported how the residents of this rural community felt about participating in the activities of “return” that arose from (...) the projects. Our findings demonstrate that “return” activities should be planned from the design phase of the research until its closure as a lifelong process that allows the communities involved to gradually take ownership of the information and actions that are being generated. Similarly, we argue that such activities must be negotiated with the people of the community so that they have decision-making power and autonomy to decide what is most relevant to their lives. (shrink)

The scientific community has debated the importance of “return” activities after ethnobiological studies. This issue has provoked debate because it touches on the ethics of research and the relationships with the people involved in these studies. This case study aimed to investigate community perception of an ethnobotany research project that was carried out in the semi-arid region of northeastern Brazil. Furthermore, we reported how the residents of this rural community felt about participating in the activities of “return” that arose from (...) the projects. Our findings demonstrate that “return” activities should be planned from the design phase of the research until its closure as a lifelong process that allows the communities involved to gradually take ownership of the information and actions that are being generated. Similarly, we argue that such activities must be negotiated with the people of the community so that they have decision-making power and autonomy to decide what is most relevant to their lives. (shrink)

A comunicação busca encontrar o que seria o salão literário de Dona Leonor de Almeida, Marquesa de Alorna. Nesta revisitação, constatamos a emergência de uma sociabilidade heterossexual onde a conversação se eleva a arte.Elegemos o Palácio Fronteira como o salão em português. Propomos que o emblemático Palácio Fronteira, em São Domingos de Benfica, subsuma todos os outros salões que sabemos terem existido – sem esquecermos nunca da iniciática função dos outeiros de Chelas.Conhecemos Alcipe romanticamente “épica” cuja vida mergulhada na caótica (...) época de transição histórica é evocada pelos mais diversos testemunhos da elite que a frequenta. Contactamo-la sobretudo no discurso directo em que a sua palavra poética fala. No salão de Benfica também se assiste ao declínio do discurso normativo-eclesiástico e se constata a emergência da afirmação da mulher enquanto ser de beleza, pensamento, vontade e poder. Alcipe não se afirma apenas enquanto uma culta aglutinadora de gente de espírito da sua geração, mas como alguém que, além de ter sabido impor a opinião poética vanguardista do seu tempo, possui igualmente ideias políticas próprias e, pese embora os mal-entendidos do seu tempo, pretende partilhar da solução dos problemas. (shrink)

Duas hipóteses guiaram o desenvolvimento deste trabalho. A primeira afirma o _status_ necessariamente epistêmico e, portanto, não ontológico, do espaço e do tempo na filosofia transcendental. A segunda é a de que o espaço e o tempo como formas _a priori_ da intuição sensível apresentam uma dimensão essencialmente não conceitual da experiência perceptiva. Em vista disso, neste artigo, nossa intenção é trilhar o caminho argumentativo da constituição da idealidade transcendental do espaço e do tempo a fim de compreender esse estatuto (...) epistêmico e não conceitual da intuição. O objetivo é o de analisar as consequências dessas duas hipóteses para a filosofia neo kantiana contemporânea que tenta compatibilizar os argumentos kantianos com os de uma posição não conceitualista. Para tanto, vamos analisar o desenvolvimento das noções de espaço e tempo, no chamado período de transição da filosofia kantiana, da fase pré-crítica à fase crítica, bem como no próprio período crítico, que culmina na doutrina da idealidade transcendental do espaço e do tempo. (shrink)

Changes in modern societies originate the perception that ethical behaviour is essential in organization’s practices especially in the way they deal with aspects such as human rights. These issues are usually under the umbrella of the concept of social responsibility. Recently the Report of the International Bioethics Committee of UNESCO on Social Responsibility and Health has addressed this concept of social responsibility in the context of health care delivery suggesting a new paradigm in hospital governance. The objective of this paper (...) is to address the issue of corporate social responsibility in health care, namely in the hospital setting, emphasising the special governance arrangements of such complex organisations and to evaluate if new models of hospital management (entrepreneurism) will need robust mechanisms of corporate governance to fulfil its social responsiveness. The scope of this responsible behaviour requires hospitals to fulfil its social and market objectives, in accordance to the law and general ethical standards. Social responsibility includes aspects like abstention of harm to the environment or the protection of the interests of all the stakeholders enrolled in the deliverance of health care. In conclusion, adequate corporate governance and corporate strategy are the gold standard of social responsibility. In a competitive market hospital governance will be optimised if the organization culture is reframed to meet stakeholders’ demands for unequivocal assurances on ethical behaviour. Health care organizations should abide to this new governance approach that is to create organisation value through performance, conformance and responsibility. (shrink)

O artigo apresenta algumas das principais idéias de Winnicott sobre a agressividade, particularmente no que diz respeito às suas raízes e à relação entre agressividade e fase intermediária do desenvolvimento emocional. Enfatiza o papel do meio ambiente na transformação do impulso agressivo natural em destrutividade ou em criatividade. É utilizada, como ilustração clínica, a mudança das atitudes destrutivas em atividades construtivas de Boaz, um adolescente de 16 anos, personagem de Caixa preta, livro do escritor israelense Amós Oz.This paper presents some (...) of Winnicott's ideas on aggressiveness, with special attention to its roots and to the relationship between aggression and the intermediate stage of the emotional development. It emphasizes the role of the environment in transforming the natural aggressive impulse into destructibility or creativity. Boaz's - the sixteen-year-old character in "Black Box", a romance by the Israeli writer Amós Oz - change from destructive attitudes to constructive activities is used as a clinical illustration. (shrink)

Do ponto de vista teórico, o trabalho ressalta a originalidade de uma visão das doenças psicossomáticas que aponta, não apenas para os aspectos negativos da cisão psique/soma, mas que leva em conta, igualmente, seus aspectos positivos. Da biografia e da ficção de Samuel Beckett são retirados os elementos para uma ilustração da teoria do adoecer psicossomático e dos bloqueios da criatividade causados por falhas ambientais. Falhas precoces dos cuidados maternos são relacionadas às experiências que se encontram na origem tanto de (...) uma dissociação entre a psique e o corpo, como de uma deficiência no estabelecimento de uma área intermediária de experiência, lugar da criatividade. A noção de espaço potencial como lugar de criatividade e de experiências restauradoras aponta para a originalidade de uma clínica que não se limita à análise das representações do mundo interno do paciente.From the theoretic standpoint, the work points out the originality of a vision of the psychosomatic illnesses that not only points to the negative aspects of the psychic/soma scission, but that also takes into account, equally, its positive aspects. The elements for the illustration of the psychosomatic illness theory and of the creativity block onset by environmental failures are taken from maternal care are related to the experiences found in the origin of a disassociation between the psychic and the body, as well as of a deficiency in the establishment of an intermediate area of experience, the location of creativity. The notion of the potential space as a location of creativity and of restoring experiences points to the originality of a clinic that is not limited to the analysis of the representation of the patient's internal world. (shrink)

A comparação entre Freud e Winnicott, quanto ao término da análise, faz-se na ótica das relações entre o feminino e o masculino. Explora-se o diferencial de conceituação no entendimento dos processos pulsional e identificatório, da natureza da dissociação observada na clínica e da eficácia dos meios terapêuticos utilizados. A contribuição de Winnicott, de uma relação puramente feminina ao seio, dá-se no prolongamento da reflexão freudiana sobre o narcisismo primário, constituindo um instigante deslocamento no que diz respeito às idéias e às (...) práticas da psicanálise clássica. Ressalta-se uma nova visão dos opostos masculino/feminino: ao invés de designarem predicados do sujeito ou de suas condutas, indicam a complementaridade entre dois tipos de relações, levando-se em conta o tempo e o espaço onde elas se dão.This article makes a comparison between Freud and Winnicott, talking about the end of a psicoanalysis process, taking into consideration the relationship between male and female aspects. It explains how to understand the following conceptual differences: driven and identification process; the nature of the dissociation as observed in the clinical practice; the efficiency of the applied therapeutic resources. Winnicott's contribution - the unique connection between a mother and the infant - derives from a reflexion on Freud's primary narcissism, setting up a new approach on the ideas and practices of classic psicoanalysis. It emphasizes a new vision on the male/female opposition, stating that male/female is complementary to each other considering when and where it happens and not only personal qualities or attitudes. (shrink)

A autora examina a relação entre a auto-imagem na terceira idade e a construção de uma identidade pessoal. O papel de espelho da mãe, da família e da sociedade em sentido mais amplo adquire, em determinada etapa do amadurecimento, uma importância relevante na construção de um si-mesmo autêntico e singular. Depoimentos pessoais de duas cineastas e relato clínico são utilizados na aplicação das proposições teóricas de D. W. Winnicott sobre a relação entre ser e ser visto.The author examines the relationship (...) between self-image in old age and the construction of personal identity. The role of mirror played by the mother, the family and the society acquires, in large part, in a certain phase of maturity, an important role in the construction of an authentic and singular I. Personal accounts of two filmmakers and clinical reports are utilized in the application of the theoretical proposals of D. W. Winnicott regarding the relation between being and being seen. (shrink)

Background The field of bioethics examines the moral and ethical dilemmas that arise in the biological sciences, healthcare, and medical practices. There has been a rise in medical negligence cases, complaints against healthcare workers, and public dissatisfaction with healthcare professionals, according to reports from the Indian Medical Council and other healthcare associations. We intend to assess the level of knowledge, attitude, and practice of bioethics among the registered healthcare professionals (HCPs) of Maharashtra, India. Methods A State-level online survey was conducted (...) among the registered HCPs (n = 2143) casing all five regions of the Maharashtra state using a pre-tested self-administered questionnaire. The responses were expressed as mean, and proportions with their standard deviation and 95% CI respectively. Binary logistic regression and a multivariate logistic model were used to determine factors associated with knowledge, attitude, and practice of bioethics. Results Of the 2143 registered HCPs in Maharashtra included in this study, most of them (65.2%) had adequate knowledge of bioethics. Adequate knowledge was associated with lower age, profession (nurses and dentists), employment in the private sector, HCPS at Marathwada and Pune, and higher educational attainment. About 3 in 5 HCPs (59.4%) had a favorable attitude towards the ethical practice of bioethics, and was associated with profession, place of work, region of practice, and work experience. The distribution of unethical bioethics practices among 10 items was proportionally high, and only 34.4% reported good/fair practice. The common unethical practices in the state were allowing patients to be examined by interns, and not informing them about professional misconduct to the regulatory bodies. Conclusion Most HCPs had adequate knowledge of bioethics, which is encouraging and would favor the laying foundation for forming a good bioethics framework. Only 3/5 HCPs demonstrated a favorable attitude, and the observed unethical practice is alarmingly common. A serious consideration to evaluate the compliance level of bioethics practice periodically and measures to educate, sensitize, and train bioethics among HCPs in Maharashtra is warranted. (shrink)

This paper analyses the gender pay determinants between top and lower level of Portuguese employees. A relatively large data pool, for 2003, covering business functions hitherto neglected, sheds a new light into the factors that lead to the earnings of men and women. Our analysis combines human capital with internal-labour-markets theories. Our findings allow the identification of jobsegregation as one important source of the gender pay gap. Moreover, they confirm that earnings are determined by different factors and suggest a reasonable (...) opportunity for women to combine career and family. (shrink)

O texto discute o apelo de Foucault aos corpos e prazeres como instância de resistência aos efeitos do dispositivo da sexualidade. Primeiro, abordamos a descoberta foucaultiana do dispositivo da sexualidade. Depois, discutimos a análise de Judith Butler sobre o modo como Foucault retratou o caso de Herculine Barbin, tomando-o como estratégico para a sua própria crítica à concepção foucaultiana da resistência. Para Butler, ao recorrer aos corpos e aos prazeres Foucault entraria em contradição com sua própria análise genealógica, pois sua (...) sugestão implicaria assumir a potência vital do corpo e do prazer como sendo anterior ou alheia ao dispositivo de poder-saber que produziu os sujeitos da sexualidade. No terceiro momento discorreremos criticamente sobre a análise proposta por Butler e argumentaremos que Foucault não tomou o caso de Herculine Barbin como modelo de resistência válido para nós, pois o entendeu como relativo ao dispositivo do poder pastoral. Finalmente, afirmamos que ao dissociar as práticas sexuais, os corpos e os prazeres do império do “sexo-desejo”, Foucault enfatizou o exercício de condutas sexuais como campo de experiências voltadas à transformação de si e dos outros, por meio da ampliação das relações entre os sujeitos. (shrink)

A presente coletânea é resultado de cooperação de pesquisadores brasileiros e portugueses, envolvidos com a docência no ensino superior e a consequente formação continuada dos professores universitários. A frequência no ensino superior é vista como uma conquista social dos ideais democráticos modernos e teria trazido novos públicos aos bancos escolares, o que tornaria esse ensino uma realidade de maneira qualitativa distinta com a qual decisores políticos, gestores, professores e estudantes devem aprender a lidar. Essas preocupações pretenderam motivar e nortear os (...) temas abordados nesta obra. (shrink)

BackgroundIn the last 2 weeks of January 2021, Portugal was the worst country in the world in incidence of infections and deaths due to COVID-19. As a result, the pressure on the healthcare system increased exponentially, exceeding its capacities and leaving hospitals in near collapse. This scenario caused multiple constraints, particularly for hospital medical staff. Previous studies conducted at different moments during the pandemic reported that COVID-19 has had significant negative impacts on healthcare workers’ psychological health, including stress, anxiety, depression, (...) burnout, post-traumatic stress symptoms, and sleep disturbances. However, there are many uncertainties regarding the professional quality of life of hospital nurses and physicians. To address gaps in previous research on secondary traumatic stress, we focused on healthcare workers working in hospitals affected by a major traumatic event: the third wave of COVID-19.ObjectivesThe aim of the present study was to identify the contribution of personal and work-related contextual variables on professional quality of life of healthcare workers.MethodsCross-sectional study with a web-based questionnaire given to physicians and nurses working in a hospital setting. A total of 853 healthcare professionals participated in the survey assessing professional quality of life compassion satisfaction, secondary traumatic stress, and burnout. Factors of professional quality of life were assessed using regression analysis.ResultsMost of the participants showed moderate or high levels of compassion satisfaction, whereas the majority of them experienced moderate levels of burnout and secondary traumatic stress. The analyzed variables demonstrated no differences between professionals who were directly or not involved in the care of COVID-19 patients. Parental status was found to be a significant factor in compassion satisfaction. Female gender was significantly associated with more susceptibility to secondary traumatization. Factors that may potentially contribute to burnout include years of professional experience and the number of work hours per week.ConclusionThe COVID-19 pandemic has created a new challenge for the healthcare system. Burnout and secondary traumatic stress can lead to medical errors and impact standards of patient care, particularly compromising compassionate care. It is therefore recommended that hospitals develop psychoeducational initiatives to support professionals in dealing with barriers to compassion. (shrink)

Dispositivos da Formação Teórica Queer: contribuições de Michel Foucault e Jacques Derrida Resumo: O presente artigo busca discutir as contribuições de Michel Foucault e Jacques Derrida para a formulação da teoria queer, apresentando algumas de suas propostas teóricas que passeiam e incorporam movimentos políticos e acadêmicos, bem como corpos em constante construção de si, incorporados por enunciados de gênero, suas oposições, mas também por suas Diferanças. Para isso, apresentamos inicialmente os itinerários históricos dos movimentos políticos queer, ou seja, uma pragmática (...) que se dará ao longo da sua construção, base para o pensamento teórico. A seguir, apresentamos o pensamento desses autores como pressupostos para a potencialização, tanto dessa pragmática, como de dispositivos que compõem a analítica das normalizações dos gêneros e para além deles, constitutivas da Teoria Queer. Palavras-chave: Gênero; Teoria Queer; Michel Foucault; Jacques Derrida. Devices of Queer Theoretical Formation: contributions from Michel Foucault and Jacques Derrida Abstract: This article aims to discuss the contributions of Michel Foucault and Jacques Derrida to the formulation of queer theory, presenting some of their theoretical proposals that walk and incorporate political and academic movements, as well as bodies in constant construction of themselves, incorporated by statements of gender, its oppositions, but also for its Differances. For this, we initially present the historical itineraries of queer political movements, that is, a pragmatics that will take place throughout their construction, the basis for theoretical thinking. In sequence, we present the thought of these authors as presuppositions for the potentializing of both this pragmatics and devices that make up the analysis of the normalizations of genres and beyond them, which are constitutive of the Queer Theory. Keywords: Gender; Queer Theory; Michel Foucault; Jacques Derrida. Dispositivos de Formación Teórica Queer: aportes de Michel Foucault y Jacques Derrida Resumen: Este artículo busca discutir los aportes de Michel Foucault y Jacques Derrida a la formulación de la teoría queer, presentando algunas de sus propuestas teóricas que caminan e incorporan movimientos políticos y académicos, así como cuerpos en constante construcción de sí mismos, incorporados por declaraciones de género, sus oposiciones, pero también por sus Diferancias. Para eso, presentamos inicialmente los itinerarios históricos de los movimientos políticos queer, o sea, una pragmática que se irá dando a lo largo de su construcción, base del pensamiento teórico. La continuación, presentamos el pensamiento de estos autores como presupuestos para la potencialización tanto de esta pragmática como de los dispositivos que componen el análisis de las normalizaciones de géneros y más allá de ellos, que son constitutivos de la Teoría Queer. Palabras clave: Género; Teoría Queer; Michel Foucault; Jacques Derrida. Data de registro: 16/09/2021 Data de aceite: 19/01/2022. (shrink)

Esta investigación implementó un modelo multicomponente para promover competencias prosociales y prevenir la violencia escolar. Se desarrolló en once escuelas primarias marginadas en Sonora y Chiapas. Se utilizó un protocolo mixto, la fase cuantitativa se efectuó mediante un cuasiexperimento; la cualitativa recurrió a la investigación-acción participativa. Algunos resultados muestran un aumento en la práctica de competencias prosociales en los participantes; el índice de prosociabilidad estudiantil aumentó en ambas ciudades, y hubo una reducción en la violencia escolar. Las estrategias incidieron en (...) el mantenimiento de climas escolares de cordialidad, mayor participación y cohesión, desarrollo de la empatía, asertividad, mejor manejo de emociones y de resolución pacífica de conflictos, lo que en suma coadyuvó a la mejora del aprovechamiento educativo y al aumento de redes de amistad. (shrink)

In Brazil, every study involving human beings is required to produce an informed consent form that must be signed by study participants: this is stated in Resolution 196/96. 1 Consent must be obtained through a specific structured process. Objective: To present the opinions of women regarding how the process of obtaining informed consent should be conducted when women are invited to participate in studies on contraceptive methods. Subjects and Methods: Eight focus groups were conducted, involving a total of 51 women (...) living in the metropolitan region of Campinas. The women involved in the study were either participating in a clinical trial in the area of women's health or had participated in such a trial in the previous 12 months. A thematic guide was used to conduct the focus group discussions; the discussions were recorded, transcribed and a thematic analysis performed. Results: In general, the person who invites a woman to participate in a study should be a member of the research team but not the principal investigator. Information relating to the study should be given orally and in writing, both individually and in the group setting. Study volunteers should be informed about, among other things, the risks, possible side effects and discomforts, including long-term effects. The use of audiovisual aids to provide information was suggested. Conclusion: The process for obtaining informed consent was seen as a means of establishing a relationship between the volunteers and the investigator/research team. The information that the study participants expected to be given coincides with the requirements established under Resolution 196/96. The use of audiovisual aids would improve understanding of the information provided. (shrink)

Escuchamos hablar con frecuencia de la importancia de las competencias blandas en la educación y en el mundo laboral. Sería primordial que la educación, en todos sus niveles, se plantee un cambio de paradigma y que las incluya en los planes de estudio, dándole el mismo valor que a las competencias duras. Sería conveniente que el alumnado las desarrolle para que los prepare en el ámbito laboral y en su transitar en este mundo cada vez más cambiante. El Coaching Educativo (...) permite desarrollar estas competencias en el alumnado, un cambio de observador, un modo distinto de ser y de hacer. (shrink)

BackgroundThis pilot study aims to test the usability of the iACTwithPain platform, an online ACT-based intervention for people with chronic pain, to obtain information on which intervention and usability aspects need improvement and on expected retention rates.MethodsSeventy-three Portuguese women with chronic pain were invited to complete the first three sessions of the iACTwithPain intervention assess their quality, usefulness and the platform’s usability. Twenty-one accepted the invitation. Additionally, eight healthcare professionals working with chronic medical conditions assessed the platform and the intervention (...) from a practitioner’s point of view.ResultsThis study presented a considerable attrition rate (71.43%) among chronic pain participants, with six completers. There were no significant differences in demographic or clinical variables between dropouts and completers except for completed education (participants who dropped out presented less education than completers). Reasons for dropout were related to difficult personal events occurring during the time of the intervention, lack of time, or having forgotten. There seemed to be an overall satisfaction with both the intervention, its contents and form of presentation of information, and the platform, concerning its design, appearance, and usability. Real image videos were preferred over animations or audio by chronic pain participants. Healthcare professionals emphasized the appealing and dynamic aspects of the animation format.ConclusionThis study informs the ongoing improvement of the iACTwithPain platform and provides valuable information on aspects researchers should consider while developing online psychological interventions for chronic pain. Further implications are discussed. (shrink)

Background:In their daily practice, Brazilian nurses have been met with complaints from co-workers and patients, as well as bioethical dilemmas intrinsic to the profession, particularly in the cont...

The volume Conceptual Figures of Fragmentation and Reconfiguration is a collection of revised versions of the papers presented at a research seminar which took place at the School of Social Sciences and Humanities, Universidade NOVA de Lisboa, between January and June 2019. The seminar is one of the core activities of the project “Fragmentation and Reconfiguration: Experiencing the City between Art and Philosophy”, based at IFILNOVA – Nova Institute of Philosophy in Lisbon. This volume strives to reassess the relationship between (...) fragmentation and reconfiguration, the contemporary relevance of which can be appreciated by focusing on the experience of the city, in particular the aesthetic experience of the city. Following the structure of the original seminar presentations, and drawing on key philosophical authors such as Goethe, Benjamin, Wittgenstein, Foucault, Deleuze, Joyce, Proust, and Perec, each of the nine contributors focuses on a specific conceptual figure: Catastrophe (Gianfranco Ferraro); Ruins (Maria Filomena Molder); Chaosmopolitanism (Bartholomew Ryan); Morphogenesis (Maurizio Gribaudi); Atlas (Nélio Conceição); Archive (João Duarte); Collection (Maria João Gamito); Panoramic Presentation (Alexandra Dias Fortes); and Aesthetic Experience (Nuno Fonseca). (shrink)

Este artigo apresenta o resultado de uma pesquisa desenvolvida no Programa de Pós-Graduação em Ensino de História da Universidade Federal de Uberlândia (ProfHistória/UFU). Nos limites do texto o objetivo consistiu em apresentar o processo que culminou na elaboração do Curso intitulado “Por uma educação antirracista: o estudo da história da África, cultura afro-brasileira e relações étnico-raciais” produzido como resultado da pesquisa desenvolvida no mestrado profissional, tendo como base e público alvo estudantes jovens e adultos. O estudo está fundamentado em uma (...) pesquisa qualitativa, com revisão bibliográfica em livros e artigos acadêmicos tendo como principais referências autores que realizaram estudos sobre Educação de Jovens e adultos (EJA) e Educação e relações étnico-raciais. Analisamos documentos que regularizam a educação brasileira e as leis antirracistas dedicando atenção especial à Lei de Diretrizes e Bases da Educação (LDB) 9.394/96 e à Lei 10.639/03, alterada posteriormente pela Lei 11.645/08 que estabelece a obrigatoriedade da temática História e cultura afro-brasileira e indígena. Recorreu também a um questionário diagnóstico aplicado aos jovens e adultos estudantes do Centro Estadual de Educação Continuada (CESEC Uberlândia). Conclui-se que para efetivar uma educação antirracista, o ensino de História da África e Cultura Afro-Brasileira não pode se limitar a ações pontuais. É necessário descolonizar os currículos. (shrink)

Background: Chronic Pain (CP) has serious medical and social consequences, and leads to economic burden that threatens the sustainability of healthcare services. Thus, optimized management of pain tools to support CP patients in adjusting to their condition and improving quality of life is timely. Although Acceptance and Commitment Therapy (ACT) is considered an evidence-based psychological approach for CP, evidence for the efficacy of online-delivered ACT for CP is still scarce. At the same time, studies suggest that self-compassion mediates the change (...) in disability and psychopathological symptoms in ACT interventions for CP, although self-compassion is not a specific target in ACT. Thus, an explicit focus on self-compassion might increase the efficacy of ACT interventions for CP, although this hypothesis has not been tested. This study aims to develop an eHealth ACT and compassion-based self-management intervention for CP, the iACTwithPain, and to compare its efficacy in improving health outcomes to a similar ACT-only intervention and a waiting list group. Methods: The eHealth platform that will host the interventions will be developed using a flat design identity and will be interactive. The iACTwithPain intervention will comprise 8 weekly self-management sessions, and will be developed taking into consideration the psychological flexibility model applied to CP, with the addition of explicit compassion-based components. To analyse whether the iACTwithPain intervention will present superiority in improving CP’s impact and related health markers over the two other conditions, this study will follow a RCT design with three arms. CP patients will be recruited through direct contact with patient associations and healthcare services and a national press release in Portugal. Outcome measurement will be conducted at baseline, post-intervention and at 3- and 6-months follow-ups. The interventions’ acceptability will also be assessed. Discussion: The iACTwithPain intervention is expected to improve CP patients’ psychosocial functioning, quality of life, and empowerment, by promoting adaptive disease management and regulation of pain-related internal experiences. Results will contribute to a better understanding on the pertinence of adding compassion elements to ACT for CP and to reach an optimized intervention for CP. (shrink)

ObjectiveCochlear explantation for purely elective (e.g. psychological and emotional) reasons is not well studied. Herein, we aim to provide data and expert commentary about elective cochlear implant (CI) removal that may help to guide clinical decision-making and formulate guidelines related to CI explantation.Data sourcesWe address these objectives via three approaches: case report of a patient who desired elective CI removal; review of literature and expert discussion by surgeon, audiologist, bioethicist, CI user and member of Deaf community.Review methodsA systematic review using (...) three scientific online databases was performed. Included articles addressed the benefits and/or complications of cochlear implantation in young children, CI explantation with or without revision surgery and the ethical debate between the medical and Deaf communities on cochlear implantation and explantation.ConclusionsThe medical and audiological perspectives identify a host of risks related to implant removal without reimplantation, including risk from surgery, general anaesthesia, cochlear ossification and poor audiometric outcomes. The member of the deaf community and bioethicist argue that physicians need to guide the principles of beneficence, non-maleficence and patient autonomy. Taken together, patient desires should be seen as paramount, if the patient is otherwise fit for surgery and well informed.Implications for practiceSimilar to the case of device implantation, device explantation should be a multidisciplinary and collaborative decision with the patient and the family’s desires at the centre. While every case is different, we offer a CI explantation discussion to assist in clinical decision-making, patient counselling and education. (shrink)

Academic engagement describes students’ involvement in academic learning and achievement. This paper reports the psychometric properties of the University Student Engagement Inventory (USEI) with a sample of 3992 university students from nine different countries and regions from Europe, North and South America, Africa, and Asia. The USEI operationalizes a trifactorial conceptualization of academic engagement (behavioral, emotional and cognitive). Construct validity was assessed by means of confirmatory factor analysis and reliability was assessed using Cronbach’s alpha and McDonald’s omega coefficients. Weak measurement (...) invariance was observed for country/region, while strong measurement invariance was observed for gender and area of graduation. The USEI scores showed predictive validity for dropout intention, self-rated academic performance, and course approval rate while divergent validity with student burnout scores was also evident. Overall, the results indicate that the USEI can produce reliable and valid data on academic engagement of university students across the world. (shrink)