In the context of the end of life, many authors point out how the experience of identity is crucial for the well-being of patients with advanced disease. They define this identity in terms of autonomy, control, or dependence, associating these concepts with the sense of personal dignity. From the perspective of the phenomenology of embodiment, Kay Toombs and other authors have investigated the ways disease can impact on the subjective world of patients and have stressed that a consideration of this (...) personal world can promote understanding and recognition of their experience. Based on the findings of qualitative studies of the perception of dignity and autonomy in patients at the end of life, this analysis assesses concepts such as being-in-the-world in illness, embodiment, lived body versus objective body or the gaze of the other from a Toombsian phenomenological perspective. (shrink)

Studies that have explored the wish to hasten death (WTHD) in patients with advanced illness have found that the feeling of being a burden may trigger WTHD. Research suggests that both the feeling and the wish are indicators of multidimensional suffering whose meaning may depend on the patient's biographical background. Therefore, we carried out a systematic review and meta‐ethnography. Fourteen qualitative studies, reported in 16 articles, met the inclusion criteria. The analysis identified two themes: the personal and social dimensions that (...) could help to explain the feeling of being a burden in these patients. These dimensions reveal how this feeling is linked to physical, psychological/emotional, existential and social factors. The feeling of being a burden cannot be understood without considering patients’ personal interpretation of their dependency or care needs, and hence it is also necessary to understand their biographical background. Such an understanding is crucial to inform clinical policies based on the moral duty to provide all patients with humane care. (shrink)

En este artículo se parte de la distinción aristotélica de cuatro formas fundamentales de acción: enérgeia-kínesis (de la Metafísica) y praxis—poiesis (de la Ética) y de las aportaciones de L. Polo en sus obras de Teoría del Conocimiento y de Ética, especialmente, de sus conceptos de operación inmanente y movimiento transitivo, para establecer una tipología con las cuatro formas fundamentales de un dinamismo: proceso (kinesis), operación (enérgeia), acción (praxis) y producción (poiesis).

It is not uncommon for patients with advanced disease to express a wish to hasten death. Qualitative studies of the WTHD have found that such a wish may have different meanings, none of which can be understood outside of the patient’s personal and sociocultural background, or which necessarily imply taking concrete steps to ending one’s life. The starting point for the present study was a previous systematic review of qualitative studies of the WTHD in advanced patients. Here we analyse in (...) greater detail the statements made by patients included in that review in order to examine their moral understandings and representations of illness, the dying process and death. We identify and discuss four classes of assumptions: assumptions related to patients’ moral understandings in terms of dignity, autonomy and authenticity; assumptions related to social interactions; assumptions related to the value of life; and assumptions related to medicalisation as an overarching context within which the WTHD is expressed. Our analysis shows how a philosophical perspective can add to an understanding of the WTHD by taking into account cultural and anthropological aspects of the phenomenon. We conclude that the knowledge gained through exploring patients’ experience and moral understandings in the end-of-life context may serve as the basis for care plans and interventions that can help them experience their final days as a meaningful period of life, restoring some sense of personal dignity in those patients who feel this has been lost. (shrink)

The problem of deviant causation has been a serious obstacle for causal theories of action. We suggest that attending to the problem of deviant causation reveals two related problems for causal theories. First, it threatens the reductive ambitions of causal theories of intentional action. Second, it suggests that such a theory fails to account for how the agent herself is guided by her reasons. Focusing on the second of these, we argue that the problem of guidance turns out to be (...) related to a number of other issues in the literature on action explanation, and that it is much more general: it threatens not only causal theories but any theory of action. Finally, we suggest that a certain version of the view that acting has a constitutive or formal aim can overcome this problem. (shrink)

A significant part of perception, especially in visual perception, is characterized by particularity (roughly, the view that in such cases the perceiver is aware of particular objects in the environment). The intuition of particularity, however, can be made precise in at least two ways. One way (proposed by Searle) is consistent with the view that the content of perception is to be thought of as existentially quantified. Another way (the “demonstrative element” view championed by Evans, Campbell and others in diverse (...) ways) is not. This paper reconstructs the argumentative context in which these views are put forward, and, after mentioning some drawbacks of both views, as these have been advanced to date, suggests a new view that may be regarded as a compromise between the contenders. (shrink)

The study of the contrast between fundamental aspects of spatial and temporal awareness offers a good opportunity to bring to light the relation between philosophical and scientific theories of consciousness. In this paper we critically examine important work by Rick Grush on spatial and temporal experience, and we show that while there is a valid claim for the relevant neuroscientific model to be one that supports Gareth Evans's stance on "behavioral space", there is not at present any scientific model that (...) offers comparable support for philosophical theories of temporal experience, despite some claims by Grush that might suggest the contrary. Moreover, we argue that careful attention to the spatial case allows us to locate the point at which even relatively successful cases of neuroscientific modeling and explanation are left wanting when their aim is to show that phenomenal features of experience are a function of the representational structures produced by our neural information-processing machinery: an aim widely shared by the predominant programmatic stance in current neuroscience research. (shrink)

It has been argued that philosophical theories in the philosophy of mind necessarily require empirical theories in cognitive science or cognitive neuroscience to be validated. This is indeed an unexpected relation between philosophy and science, since it is widely assumed nowadays – quite apart from Quinean qualms – that philosophical claims are largely a priori just in that their justification proceeds along paths which are independent of empirical investigations. I will defend that the case of attention provides further confirmation of (...) a position which is similar to Davies’s, but it shows at the same time that we should subscribe to a weaker version that has to do with the possibility of an eliminativist attitude towards the philosophical theory and the entities postulated in it. However, I will try to show that the case studies concerning attention show that this possibility, though it should not be excluded, is rather remote due to the fact that philosophical theories of mental phenomena are typically related to one in a set of different possible empirical theories. I will also try to show that this relation arises in at least one rather interestingly different way, in addition to the one involved in the case studies discussed by Davies. (shrink)

Victor Hugo a soutenu : « Dieu, cela n’est pas tant que ce n’est pas en pierre / Il faut une maison pour mettre la prière. » L’histoire de l’incarnation christique suffit-elle à expliquer la place de la pierre dans l’imaginaire des sociétés culturellement issues du christianisme? En quoi l’Église – la communauté et l’institution nées de l’enseignement du Christ – poursuit-elle ce projet d’inscription de la chair dans la pierre? Dans quelle mesure la parole de Jésus à l’un de (...) ses apôtres, Pierre – « tu es Pierre et sur cette pierre je bâtirai mon Église » (Mt. xvi, 18) – est-elle fondatrice non seulement de la « pétrification » de l’Église, mais plus généralement du poids donné à l’architecture et au bâti dans les mille et une façons occidentales de penser la société et de faire communauté? (shrink)

'We desire all and only those things we conceive to be good; we avoid what we conceive to be bad.' This slogan was once the standard view of the relationship between desire or motivation and rational evaluation. Many critics have rejected this scholastic formula as either trivial or wrong. It appears to be trivial if we just define the good as 'what we want', and wrong if we consider apparent conflicts between what we seem to want and what we seem (...) to think is good. In Appearances of the Good, Sergio Tenenbaum argues that the old slogan is both significant and right, even in cases of apparent conflict between our desires and our evaluative judgements. Maintaining that the good is the formal end of practical inquiry in much the same way as truth is the formal end of theoretical inquiry, he provides a fully unified account of motivation and evaluation. (shrink)

A implementação de tecnologias móveis de informação e comunicação no suporte à Saúde Mental tem atraído a atenção das autoridades. Com a ascensão das Inteligências Artificiais, esse movimento pode ser impulsionado de maneira exponencial. Nesse cenário, esta revisão tem como objetivos verificar a aplicabilidade das Inteligências Artificiais (IAs) na Saúde Mental e analisar os aspectos que favorecem a relação entre IAs e usuários. Para tanto, realizou-se uma revisão sistemática nas bases de dados PubMed e Biblioteca Virtual em Saúde, no período (...) de 25 de maio a 23 de junho de 2023. Selecionamos os 100 primeiros artigos mais relevantes com as palavras-chave: “Inteligência Artificial”, “Saúde Mental”, “Chatbots”, “Psicoterapia”, “Psicologia” e suas equivalentes em inglês. Os critérios de inclusão foram: acesso aberto, publicação a partir de 2018, em português ou inglês e menção à atuação de IAs no âmbito da Saúde Mental. Para reduzir o risco de viés, excluímos os estudos que não mensuraram o impacto das intervenções por meio de métodos experimentais ou quase-experimentais. Para a síntese dos dados, delimitaram-se alguns pontos específicos de análise, como “Resultado da intervenção”, “Aspectos que favorecem a relação”, entre outros. Atenderam aos critérios de inclusão 24 estudos, dos quais 17 apresentaram resultados positivos em suas intervenções. O uso de IAs na Saúde Mental possui grande potencial de expansão e os resultados obtidos neste trabalho podem guiar a implementação dessas práticas e futuras pesquisas na área. (shrink)

Definiciones de epistemología hay muchas, al igual que clases y estilos. Sin embargo, más allá de esta diversidad, es necesario contar con una definición básica que guíe nuestra comprensión del tema. Dos serán las preguntas que nos ayuden a ello en este artículo: a) ¿qué es la epistemología? y b) ¿para qué le sirve al científico?

The COVID‐ 19 pandemic is a critical test for the already overburdened and mostly underfunded public healthcare systems of Latin America. In a region that suffers from severe inequalities, public healthcare systems are the only source of medical care for a large sector of the population who work in the informal economy or are unemployed. State‐run hospitals and clinics are already overstressed by continuous demand for treatment of vector‐borne diseases and community‐acquired infections as well as high rates of non‐communicable diseases. (...) Ideological misconceptions and denial among Latin America’s political leaders prevented timely preparations for the pandemic and added to chronic governance problems. As ethical expertise in Latin America focuses on research ethics, few hospitals in the region have functioning clinical ethics committees or clinical ethics policy, forcing healthcare personnel to make excruciating treatment decisions in an environment dominated by material scarcity and public distrust. This essay examines the emergence of COVID‐19 in Latin America and the serious challenge that it poses for Latin America's public healthcare systems. (shrink)

This article tries to establish the scopes and limits of the main interpretations on Newton during the 20th century, highlighting on the one hand the textual evidence at disposal, and on the other hand the philosophical and epistemological currents that defines the main features of those interpretations. It will be shown that the rejection of positivism is not sufficient condition for establishing an adequate interpretation and, together with the strengthening of the research from Newton’s manuscript, it is necessary a wider, (...) and more detailed model that those established by some of the most outstanding scholars like Alexandre Koyré, I. Bernard Cohen, Betty Dobbs, and Richard Westfall. (shrink)

Scientists have always attempted to explain the world in terms of a few unifying principles. In the fifth century B.C. Democritus boldly claimed that reality is simply a collection of indivisible and eternal parts or atoms. Over the centuries his doctrine has remained a landmark, and much progress in physics is due to its distinction between subjective perception and objective reality. This book discusses theory reduction in physics, which states that the whole is nothing more than the sum of its (...) parts: the properties of things are directly determined by their constituent parts. Reductionism deals with the relation between different theories that address different levels of reality, and uses extrapolations to apply that relation in different sciences. Reality shows a complex structure of connections, and the dream of a unified interpretation of all phenomena in several simple laws continues to attract anyone with genuine philosophical and scientific interests. If the most radical reductionist point of view is correct, the relationship between disciplines is strictly inclusive: chemistry becomes physics, biology becomes chemistry, and so on. Eventually, only one science, indeed just a single theory, would survive, with all others merging in the Theory of Everything. Is the current coexistence of different sciences a mere historical venture which will end when the Theory of Everything has been established? Can there be a unified description of nature? Rather than an analysis of full reductionism, this book focuses on aspects of theory reduction in physics and stimulates reflection on related questions: is there any evidence of actual reduction? Are the examples used in the philosophy of science too simplistic? What has been endangered by the search for (the) ultimate truth? Has the dream of reductionist reason created any monsters? Is big science one such monster? What is the point of embedding science Y within science X, if predictions cannot be made on that basis? (shrink)

Rational Powers in Action presents a conception of instrumental rationality as governing actions that are extended in time with indeterminate ends. Tenenbaum argues that previous philosophical theories in this area, in focusing on momentary snapshots of the mind of idealized agents, miss central aspects of human rationality.

Deontological theories face difficulties in accounting for situations involving risk; the most natural ways of extending deontological principles to such situations have unpalatable consequences. In extending ethical principles to decision under risk, theorists often assume the risk must be incorporated into the theory by means of a function from the product of probability assignments to certain values. Deontologists should reject this assumption; essentially different actions are available to the agent when she cannot know that a certain act is in her (...) power, so we cannot simply understand her choice situation as a “risk-weighted” version of choice under certainty. (shrink)

A guerra civil iniciada no final de 2013 no Sudão do Sul causou, pela primeira vez na história das Nações Unidas, um afluxo gigantesco de deslocados internos para o interior de bases da Missão das Nações Unidas no Sudão do Sul, em busca de proteção. Assim, foram criados os Protection of Civilian Sites. Com a chegada de dezenas de milhares de pessoas em poucas semanas, houve um enorme crescimento nas demandas humanitárias e de segurança. Para prover a necessária proteção, foi (...) necessário o trabalho conjunto de militares, policiais e civis da UNMISS, que será apresentado nesse trabalho. (shrink)

This article sheds light on Hobbes’s concept of the state of nature through a reading of his conception of knowledge, which makes it possible to relate him with the ‘New Science’ or the Scientific Revolution. In consequence, this article describes Hobbes with some problems and traditions of the Scientific Revolution through a fresh reading of his theory of knowledge, whence the concept of the state of nature is redefined in terms of integral cause; this makes it possible to argue the (...) need for Commonwealth, excluding the anthropological pessimism traditionally attributed to Hobbes. (shrink)

. The uniform prior distribution is often seen as a mathematical description of noninformativeness. This paper uses the well-known Three Prisoners Paradox to examine the impossibility of maintaining noninformativeness throughout hierarchization. The Paradox has been solved by Bayesian conditioning over the choice made by the Warder when asked to name a prisoner who will be shot. We generalize the paradox to situations of N prisoners, k executions and m announcements made by the Warder. We then extend the consequences of hierarchically (...) placing uniform and symmetrical priors for the probability p of the Warder naming Prisoner B, say. We prove that breaks of indifference and neutrality caused by assignment of uniform and symmetrical priors in lieu of degenerate indifference probabilities hold in general. Speaking of unknown probabilities or of probability of a probability must be forbidden as meaningless. Bruno de Finetti, 1977 I regard the use of hierarchical chains as a technique helping you to sharpen your subjective probabilities. I. J. Good, 1981. (shrink)

The main purpose of this thesis is to explore de Finetti's ideas and contributions to decision theory. Such ideas are not as well-known as his work on probability. ;The first part of the work is placed in a unisubjective decision-making context. It starts by including a discussion on predictivism, an approach to statistics which de Finetti insisted on and which has only recently been rediscovered and advocated. ;The second part is placed in the context of group, or multisubjective, decision-making. This (...) area is well-known for its negative results, starting with Arrow's impossibility theorem. While being aware of such difficulties, de Finetti made important contributions to this field, which he saw as the appropriate context to approach basic concepts such as "objectivity" and Wald's admissibility theorem. Such concepts, together with exchangeability, illuminate the Bayesian position by also making connection with the non-Bayesian approach. ;The last part of the work starts with a critical discussion of classical methods which are unacceptable for Bayesians. Finally, an important application problem--environmental stress screening--is solved from a Bayesian predictivist point of view. (shrink)

An effective method to increase the number of potential cadaveric organ donors is to make people donors by default with the option to opt out. This non-coercive public policy tool to influence people’s choices is often justified on the basis of the as-judged-by-themselves principle: people are nudged into choosing what they themselves truly want. We review three often hypothesized reasons for why defaults work and argue that the as-judged-by-themselves principle may hold only in two of these cases. We specify further (...) conditions for when the principle can hold in these cases and show that whether those conditions are met is often unclear. We recommend ways to expand nationwide surveys to identify the actual reasons for why defaults work and discuss mandated choice policy as a viable solution to many arising conundrums. (shrink)

In this paper we advance a new solution to Quinn’s puzzle of the self-torturer. The solution falls directly out of an application of the principle of instrumental reasoning to what we call “vague projects”, i.e., projects whose completion does not occur at any particular or definite point or moment. The resulting treatment of the puzzle extends our understanding of instrumental rationality to projects and ends that cannot be accommodated by orthodox theories of rational choice.