We thank the commentators for the dialog and discussion they have proposed. We begin by remarking that telling and listening to stories are not an original thesis, especially if interpretive hermeneutics and phenomenology are central references. Academic and institutional settings are diverse if we consider the universe of empirical research grounded on philosophical methods and the teaching universe of practical and clinical disciplines, like psychiatry. The teaching of these disciplines frequently presents them merely as technics. A double reduction is performed: (...) the philosophical dimension of any and every technic is removed, and those who would benefit from this knowledge are presented as simple data... (shrink)

The end of the 1990s witnessed the development of evidence-based medicine, which proposed to screen, organize, and classify knowledge production in the health sciences. In this period, an increasing number of scientific publications started to incorporate the digital format and became easily accessible through the Internet. Since then, we have become used to the idea that there is a hierarchy in medical evidence. Its upper stratum, the gold standard of evidence, contains systematic reviews and meta-analyses of randomized clinical trials. The (...) base of such hierarchy contains case studies, clinical cases, and personal opinions.This knowledge hierarchy is not harmless. It has practical influences on... (shrink)

Trata-se de uma resenha de: PERICÁS, Luiz Bernardo. Caio Prado Júnior - uma biografia política..

Disasters and public health emergencies raise a variety of ethical dilemmas, often including those that require balancing the best interests of individuals against those of groups or communities. The on-going COVID-19 pandemic provides examples of these ethical conflicts, as do other recent outbreaks. Decisions and actions in this context must address different ethical issues, ranging from those directly related to autonomy, consent, privacy and confidentiality to those related to interventions and technologies, such as efficacy, effectiveness, safety and fair access. This (...) paper aims to identify ethical conflicts with complex resolutions involving aspects related to values, rights and needs of individuals and the collective, and to suggest how such challenges could lead to more positive experiences and outcomes when confronted in future emergencies. (shrink)

Over the turn of the 21st century, the use of data from large electronic corpora has changed research on Spanish historical syntax, spurring interest in long-range evolutions and the shape of the correspondent diachronic curves. However, general reflections on diffusion and the factors that drive and influence it are still pretty much lacking. In this paper, I reflect on the research possibilities laid open by the availability of such large masses of data, focusing particularly on new knowledge on syntactic change (...) brought about by the study of low-frequency phenomena and of recessive changes, as well as on the exploration of changes conditioned by dialect contact and textual traditions. I conclude with some remarks on the general typology of diffusion in syntactic change. (shrink)

Neste trabalho, procuro explorar o significado filosófico da chamada hipótese do continuum de Darwin e a possibilidade de atribuir mente ou mentalidade a criaturas não-humanas: de um lado, temos o chamado problema de ‘distribuição dos fenômenos mentais’ na recente Etologia Cognitiva; e, de outro, o problema filosófico ‘outras mentes’. Assim, o trabalho procurar indicar uma possível ponte conceitual entre problemas em Filosofia da Mente e estudos em Etologia Cognitiva. Esta é, portanto, uma abordagem interdisciplinar entre filosofia e biologia tendo em (...) vista uma concepção ampla de mente ou mentalidade. (shrink)

USO MEDICINAL DA MACONHA: UMA ALTERNATIVA AO DIREITO À SAÚDE.

Background No studies have been conducted in Mexico to ascertain what ethical problems doctors working at hospitals deal with. This article aims to describe the ethical conflicts most commonly identified by Mexican internists and the importance they attribute to each of these conflicts. Methods Voluntary survey to the members of the Internal Medicine Association of Mexico. Results Responses were submitted by 347 internists. Half of those face ethical conflicts almost always or frequently. The most commonplace and relevant conflicts are those (...) resulting from the clinical relationship (communication, confidentiality, informed consent, assessment of mental capacity, decisions involving incapacitated patients, and conflicts with family members), and secondly those problems related with the end of life (palliative care, withholding or withdrawing treatment, and “No CPR orders”). To resolve conflicts they seek support through protocols, Institutional Ethics Committees (IECs), and consultations with colleagues and, occasionally, with bioethics experts. Protocols and IECs are the tools most in demand among them. Conclusions 1) the most frequent and relevant conflicts are those caused by the clinical relationship, above all those due to doctor–patient communication, and secondly those due to problems which arise at the end of life; 2) though nearly all of them have doubts about how to resolve conflicts, the vast majority are satisfied with the way in which they do so; 3) to deal with conflicts, they seek support mainly in protocols, IECs, and consultation with colleagues; and 4) in order to resolve them better, what they most demand are protocols and IECs, but also bioethics consultants. (shrink)

La filosofía alcanza reflexivamente al conjunto de las actividades que se dan en la enseñanza. Este libro demuestra que lejos de ser un saber superior, la filosofía se limita a ser un saber impertinente que fuerza a continuar reflexionando. La obra se organiza en torno a tres núcleos; qué es el saber filosófico, en qué consiste el hecho de educar y qué dirección imprimir a la actividad educadora.

El propósito de este texto es tematizar la precariedad con las herramientas de la filosofía política. Buscaremos equilibrar horizontes conceptuales con prácticas políticas para pensar la acción democrática en nuestro contexto. Nuestro argumento se compone de cuatro premisas. Primero, que elfalso dilema entre teoría y práctica nos permite explorar una relación de tensión creativa entre ambas para conceptualizar la precariedad. Segundo, que la construcción teórica de la precariedad responde tanto a ideas y conceptos como a instituciones y discursos que configuran (...) las vidas de quienes la experimentan. Tercero, que los distintos usos del concepto de precariedad permiten reconocer una fuente común de vulneración de derechos relacionada con la configuración del trabajo en el orden neoliberal. Cuarto, que relacionar la conceptualización de lo plebeyo con la de lo precario nos permite pensar prácticas democráticas renovadas. (shrink)

En este trabajo se hace un análisis aproximativo del estudio fenomenológico hermenéutico del dolor en la facticidad del vivir propio. Su objetivo es visualizar el dolor como determinante en la apertura a la existencia del ser, del ser-ahí, en perspectiva heideggeriana. Se expone la experiencia de la vida dolorosa como experiencia fáctica del vivir en sí mismo, y el conflicto ético que plantea la alteridad: la dificultad de comprender el dolor de los otros desde su propio experimentar dolor. Este conflicto (...) ético aparece en la conciencia del médico cuando éste asume el compromiso de ir más allá de la ayuda instrumental e intenta ver el sufrimiento del enfermo desde la realidad del otro como sí mismo. La hipótesis que subyace en este análisis es que el sufrimiento del dolor abre camino a la existencia propia; sin embargo, evidencia el obstáculo de comprensión del otro. Se concluye ratificando la idea de que el dolor tiene carácter de «existenciario» (término de Martin Heidegger, que significa un modo de ser-en-el-mundo). (shrink)

In this paper I explore the metaphilosophical consequences of deep disagree-ments in philosophy. I argue that deep philosophical disagreements imply a challenge for philosophy since deep philosophical disagreements hinder ratio-nal decision between philosophical theories. That makes demanding or offe-ring reasons for philosophical theory useless. To overcome this, I argue that philosophical argument is an end in itself and not a means to rational reso-lution of deep philosophical disagreements. I describe two theories that at-tempt to explain deep disagreements in general. Next, (...) I distinguish between intraphilosophical and interphilosophical disagreement. Thus, interphilosophical disagreements are those that are deep philosophical disagreements, while in-traphilosophical disagreements are disagreements between epistemic peers. Subsequently, I explore the consequences of deep philosophical disagreements and conclude that epistemic and practical reasons fail to provide a rational res-ponse to deep philosophical disagreements. Finally, I respond to two objections about argumentative language in philosophical debates and the impossibility of philosophical progress. (shrink)

La filosofía alcanza reflexivamente al conjunto de las actividades que se dan en la enseñanza. Este libro demuestra que lejos de ser un saber superior, la filosofía se limita a ser un saber impertinente que fuerza a continuar reflexionando. La obra se organiza en torno a tres núcleos; qué es el saber filosófico, en qué consiste el hecho de educar y qué dirección imprimir a la actividad educadora.

En el transcurso de las dos últimas décadas, parte importante de los países andinos ha experimentado un giro político hacia la izquierda. Como ocurre en Venezuela y luego en Bolivia y Ecuador, este giro ha significado redefinir el funcionamiento de las economías y de los sistemas políticos al interior de cada uno de esos países. El presente libro se centra en la experiencia ecuatoriana, tomando como foco de atención el proyecto definido tras la constituyente de 2007. Su título, “buen vivir” (...) a.. (shrink)

En América Latina, la aceptación general de los valores democráticos coexiste con la percepción de que las élites políticas no son responsivas y con la convicción popular de que el enforcement de la ley es diferenciado, conduciendo a la desacralización electoral. El efecto producido es un acervo de sentimientos negativos capitalizado por opciones políticas con discursos esencialistas y excluyentes. Ante esta situación, ¿la democracia directa garantiza que los ciudadanos tomen parte de lo público y dispongan de espacios en los procesos (...) decisionales? Este ensayo compara mecanismos de democracia directa en México y Colombia para ponderar si cumplen las expectativas de hacer más participativa la democracia, o si se trata de modalidades actualizadas de prácticas clientelares, patrimoniales o plebiscitarias. Consideramos que los plebiscitos, las consultas, los referendos y las iniciativas ciudadanas abren un espacio a la formación de redes de acción pública y despliegan un efecto de crear ciudadanía. (shrink)

La igualdad entre hombres y mujeres no será plena mientras que no transformemos el orden patriarcal que sigue sustentando una diferenciación jerárquica entre unos y otras. Ello pasa por revisar la masculinidad tradicional y la racionalidad construida a imagen y semejanza del varón. Un reto que supone a su vez transformar las relaciones entre lo público y lo privado, así como las bases del conocimiento y de una concepción de lo humano basada en los privilegios masculinos y en la negación (...) de la diversidad.Equality will not be full if we don’t transform the patriarchal order that continues to support a hierarchical differentiation between men and women. This calls for reviewing the traditional masculinity and the rationality constructed in the image and the likeness of the male. A challenge which in turn means to transform the relationship between public and private, and the basis of knowledge and a conception of humanity based on male privilege and the denial of diversity. (shrink)