My aim in this paper is to draw attention to the position of psychoanalysis regarding the opposition between the quest for truth and relativism. It is a conventional opposition of contemporary thought. On one hand, the quest for truth, and on the other, relativism, as the fundament of our intellectual and political life. I do this by means of Lacanian teachings. My objective is to take on the theoretical tools of psychoanalysis and the consequences of clinical facts, in order to (...) enable a critical reflection on this topic. Before proceeding to the precise argument, I briefly introduce the historical ground correlated to modern subjectivity, characterized by the vanishing of the guarantee of both truth and knowledge. Then I then go into the topic by means of a survey of Lacan’s reading of the path of modern logic. Lacan interprets the whole history of logic as a bungled action, “every bungled action is a successful discourse.” In fact, it points to the cardinal place of lack, which is the topic of psychoanalysis. It opens towards a deeper understanding of the role of the signifier of signification – the Bedeutung des Phallus. Lacan’s interpretation of the whole history of logic transforms the achievements of modern logical thought into the writings of a point de capiton for collective rationality. The key here is to focus on the capital role of what I call in conclusion “an inaccessible point” for both individual and collective life. This is the issue I address in the last point. The article is divided into five points: 1. the relativistic drift; 2. the guarantee of knowledge; 3. the guarantee of truth; 4. logic and point de capiton; and 5. the signification (Bedeutung) of the Phallus. (shrink)

Nearly 400 million adults have been vaccinated against COVID-19. Children have been excluded from the vaccination programmes owing to their lower vulnerability to COVID-19 and to the special protections that apply to children’s exposure to new biological products. WHO guidelines and national laws focus on medical safety in the process of vaccine approval, and on national security in the process of emergency authorisation. Because children suffer much from social distancing, it is argued that the harms from containment measures should be (...) factored in a broader perspective on the good of the child. Considering the available knowledge on the disease, vaccine, and coping strategies, the decision about vaccine access to children is a public responsibility. The ultimate choice is a matter of paediatric informed consent. Moreover, jurisdictions that permit non-participation in established childhood vaccination programmes should also permit choice of vaccines outside of the approved programmes. Even if vaccine supply is too short to cover the paediatric population, the a priori exclusion of children is unjust. It may also exacerbate local and global inequalities. The second part of the paper delineates a prudent and ethical scheme for gradual incorporation of minors in vaccination programmes that includes a rigorous postvaccination monitoring. This is a theoretical paper in ethics that uses the Pfizer vaccine as a stock example, without discussing possible differences among existing vaccines. The key purpose is reflection on the good of the child in emergencies and vaccine policymaking. All data relevant to the study are included in the article and in its refernces. (shrink)

Parental decision making is necessary for contracting medical interventions that require personal risk–benefit evaluation, and for overseeing matters of education. In the nineteenth century, exemptions from obligatory vaccination were granted for religious and conscientious reasons. Then and today, religion and moral values play marginal roles in vaccine hesitancy and denialism. Rather, the key values invoked by vaccine hesitants and denialists are liberty and pluralism. Neither is compatible with limiting adolescents’ choice. Because vaccination does not require assessment of personal medical risks, (...) because it does not need to occur within the sphere of the doctor–patient relationship, and because the risk involved is within the range of their daily activities, adolescents have the right to free access to vaccination without legal requirement of parental involvement. Drawing on the development of Common Law, and on the development of respect for personal conscience in the history of ideas, this paper does not promote an argument that grants public health an overriding moral power. Rather, this paper rejects the presumption that vaccination of adolescents might involve a conflict between parental authority and public health. Free access to vaccination is compatible with the law and ethics of adolescents’ evolving autonomy in relation to healthcare. (shrink)

ABSTRACT The paper explores the ethical aspects of introducing cultural circumcision of children into the EU public health system. We reject commonplace arguments against circumcision: considerations of good medical practice, justice, bodily integrity, autonomy and the analogy from female genital mutilation. From the unique structure of patient‐medicine interaction, we argue that the incorporation of cultural circumcision into EU public health services is a kind of medicalization, which does not fit the ethos of universal healthcare. However, we support a utilitarian argument (...) that finds hospital‐based circumcision safer than non‐medicalized alternatives. The argument concerning medicalization and the utilitarian argument both rely on preliminary empirical data, which depend on future validation. (shrink)

Following a discussion of some historical roots of conscience, we offer a systematized version of reflective equilibrium. Aiming at a comprehensive methodology for bioethical deliberation, we develop an expanded variant of reflective equilibrium, which we call ‘triangular reflective equilibrium’ and which incorporates insights from hermeneutics, critical theory and narrative ethics.We focus on a few distinctions, mainly between methods of justification in ethics and the social practice of bioethical deliberation, between coherence in ethical reasoning, personal integrity and consensus formation, and between (...) political and moral deliberation.The ideal of deliberation is explicated as a sharing of conscience within a special commitment to sincerity and openness to persuasion. Personal growth in wisdom is an indirect by-product of the continuous practice of moral deliberation. This is explicated in the light of Sternberg's balance theory of wisdom and in the context of medicine as a profession embodying altruistic responsibilities of care in democratic and pluralistic societies. (shrink)

L’art pariétal du Paléolithique supérieur présente, à côté d’un extraordinaire répertoire animalier bien diversifié, un grand nombre de signes qui ne trouvent pas d’équivalents dans la perception de la réalité sensible. Tandis que les images des humains ou des créatures mi-humaines mi-animales sont très rares, ces formes aniconiques, souvent géométrisantes et aisément classifiables, sont globalement plus nombreuses que les animaux. Si saisir l’intentionnalité qui a poussé les premiers artistes à peindre sur les parois représente un défi pour nos compétences interprétatives, (...) les « signes » constituent l’aspect le plus énigmatique de ce défi. Il y a trente ans, en 1988, dans la revue Current Anthropology, a été publié un article de James D. Lewis-Williams et Thomas A. Dowson, « The Signs of All Times. Entoptic Phenomena in Upper Paleolithic Art », ouvrant une nouvelle perspective sur l’origine des signes. En appliquant le modèle neuropsychologique à l’imagerie bidimensionnelle de l’art des grottes, il est possible d’identifier à des signes à valeur universelle, selon les auteurs, les apparitions entoptiques présentes, avec leurs diverses modalités combinatoires, dans l’art rupestre de « tous les temps ». Cette interprétation de l’art des sociétés préhistoriques, qui resitue la naissance des images dans les territoires visionnaires des cultures chamaniques, a soulevé en France des perplexités et des polémiques innombrables, parfois acerbes. Il est prioritaire alors de voir si le modèle neuropsychologique est effectivement en mesure d’offrir un cadre explicatif des données archéologiques des grottes ornées et de ses « constructions symboliques », en mesure d’intégrer tous les indices disponibles dans une construction théorique cohérente. The parietal art of the Upper Paleolithic shows, alongside with an extraordinary and highly diversified animalistic repertoire, a large number of signs which cannot be found in the perception of sensible reality. While images of humans or of anthropo-zoomorphic creatures are very rare, these aniconic forms—while often geometric and appropriate for classification—are globally more copious than animals. If understanding the intentions that prompted the first artists to paint on the walls represents a challenge for our interpretative skills, then the “signs” constitute the most enigmatic aspect of this challenge. Thirty years ago, in 1988, an article written by James D. Lewis-Williams and Thomas A. Dowson, and entitled “The Signs of All Times. Entoptic Phenomena in Upper Paleolithic Art”, was published in the Current Anthropology journal. This article opened up new perspectives on the origin of signs. According to its authors, by applying the neuropsychological model to the two-dimensional imagery of cave art, it is possible to identify universal signs ascribable to the entoptic appearances that can be found—in their different combined modes—in the rock art of all times. This interpretation of the art of prehistoric societies, which has led to the emergence of images within the visionary territories of shamanic cultures, has provoked countless—and sometimes harsh—disputes in France. It has therefore become a priority to evaluate whether the neuropsychological model is actually able to provide an explanatory picture of the archaeological evidence of historiated caves and their constructions symboliques that would be capable of integrating all the clues available into a coherent theoretical structure. (shrink)

In the first part of this article we survey the concept of human rights from a philosophical perspective and especially in relation to the “right to healthcare”. It is argued that regardless of meta-ethical debates on the nature of rights, the ethos and language of moral deliberation associated with human rights is indispensable to any ethics that places the victim and the sufferer in its centre. In the second part we discuss the rise of the “right to privacy”, particularly in (...) the USA, as an attempt to make the element of personal free will dominate over the element of basic human interest within the structure of rights and when different rights seem to conflict. We conclude by discussing the relationship of human rights with moral values beyond the realm of rights, mainly human dignity, free will, human rationality and response to basic human needs. (shrink)

Although both codes of practice and virtue ethics are integral to the ethos and history of “medical professionalism”, the two trends appear mutually incompatible. Hence, in the first part of the paper we explore and explicate this apparent conflict and seek a direction for medical education. The theoretical and empirical literature indicates that moral deliberation may transcend the incompatibilities between the formal and the virtuous, may enhance moral and other aspects of personal sensitivity, may help design and improve other parts (...) of the curricula, and may foster self-awareness and clarification of the professional role. Not only are these goals essential for good and conscientious doctoring, but they may also reduce physicians’ “burn-out”. We argue that medical education should focus on the ubiquitous practice of deliberation in contemporary medicine, and especially the practice of moral deliberation. (shrink)

Le cannabis est envisagé ici comme un instrument de la politique d’aménagement des territoires, au sens où R. Neuburger évoque les territoires de l’intime. Ceci permet la création de nouvelles narrations qui permettent de sortir de l’impasse où le cannabis est le problème pour les parents alors que c’est la solution pour le jeune. Deux vignettes cliniques illustrent cette métaphore et les opportunités qu’elle offre pour la thérapie.

BackgroundPerinatal bereavement is an event that greatly impacts the emotional, psychological, and psychosocial aspects of those who want to have a child.ObjectivesSince there are few studies on the psychological impact of the COVID-19 pandemic on couples grieving for perinatal loss, this research aimed to survey this experience.ParticipantsBetween 2020 and 2021, in Italian provinces highly affected by the COVID-19 pandemic, 21 parents participated: 16 mothers and 5 fathers, among which there were 4 couples.MethodsA mixed-method design was used through self-report questionnaires and (...) in-depth interviews. Accompanied by a sociodemographic form, the following questionnaires were administered: Prolonged Grief-13, the Parental Assessment of Paternal Affectivity, the Parental Assessment of Maternal Affectivity, the Dyadic Adjustment Scale short version, the Daily Spiritual Experiences Scale, and the Impact of Event Scale-Revised. The texts obtained through the in-depth interviews underwent thematic analysis.ResultsFifty per cent of participants suffered from Post-Traumatic Stress Disorders symptoms and 20% suffered from relational dyadic stress. Four areas of thematic prevalence emerged: psychological complexity of bereavement, the impact of the COVID-19, disenfranchisement vs. support, and spirituality and contact with the lost child. Participants interpreted their distress as related to inadequate access to healthcare services, and perceiving the pandemic restrictions to be responsible for less support and lower quality of care. Furthermore, they needed psychological help, and most of them were unable to access this service. Spirituality/religiosity did not help, while contact with the fetus and burial did.ConclusionIt is important to implement psychological services in obstetrics departments to offer adequate support, even in pandemic situations. (shrink)