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Recensiones Recensions
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2021-10-01 DOI: 10.4067/s1726-569x2021000200299
Lorenzo Agar Corbinos
Sobre los postulados ideológicos del historiador se ha hablado mucho. Xavier Zubiri escribió hace ya medio siglo, que todo quehacer historiográfico es un quehacer situado 1. Si no hubiera tal situación, tampoco habría cosas-para-el-hombre, ni habría realidad historiable. Esta tesiszubiriana no debe interpretarse -desde mi punto de vistacomo una renuncia a·la veracidad histórica .. Implica, por el contrario, la afirmación de que la .. historia objetiva» como tal, es decir, al margen de cualquier interpretación por parte del historiador, es sólo una bella utopía, un arquetipo ideal inalcanzable, aunque no por ello menos deseable.
关于历史学家的意识形态假设,人们谈了很多。泽维尔·祖比里半个世纪前就写道,所有的历史工作都是一项位于1号的工作。如果没有这样的情况,就不会有人的东西,也不会有历史性的现实。从我的角度来看,不应将这一特西苏比主义解释为对历史真实性的放弃。。相反,它意味着断言。。客观历史”本身,也就是说,除了历史学家的任何解释外,它只是一个美丽的乌托邦,一个无法实现的理想原型,尽管并非因此而不可取。
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引用次数: 0
Barriers to Informed Refusal in Korea 韩国的知情拒绝障碍
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2021-10-01 DOI: 10.4067/s1726-569x2021000200173
Claire Junga Kim
: In South Korea, the legal and cultural environment keeps terminally ill patients from making an informed refusal to a treatment the discontinuation of which can cause death. Act on Decisions on Life-Sustaining Treatment for Patients in Hospice and Palliative Care or at the End of Life allows several forms of informed refusal, but it is not enough. There is no explicit guarantee, at least under this law, of the right to refuse a treatment given during a period that has not reached an end-of-life process prescribed in the law. Dori, which the family of a terminal patient feels obligated to follow, makes them commit to doing what they believe is right as a family member without asking the patient’s intention. Because it reduces the family’s motivation to have a difficult talk about death and end-of-life with the patient, the patient is deprived of an opportunity to make a decision based on accurate information. In making a decision for the patient while patient is excluded, the family often ends up choosing a safe decision that puts physical survival first. In conclusion, the culture and the culturally influenced law are making it impractical for terminal patients to make an informed refusal.
在韩国,法律和文化环境使绝症患者无法在知情的情况下拒绝可能导致死亡的治疗。《关于临终关怀和姑息治疗或临终病人维持生命治疗决定的法案》允许几种形式的知情拒绝,但这还不够。至少在这项法律下,没有明确保障拒绝在未达到法律规定的生命终了期间接受治疗的权利。临终病人的家属觉得自己有义务遵循Dori,它让他们承诺做他们认为作为家庭成员是正确的事情,而不问病人的意图。因为它降低了家属与病人艰难地谈论死亡和临终的动机,病人被剥夺了根据准确信息做出决定的机会。在病人被排除在外的情况下为病人做决定,家属往往最终会选择一个安全的决定,把身体生存放在第一位。总之,文化和受文化影响的法律使得晚期患者做出知情拒绝是不切实际的。
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引用次数: 0
Palliative care for Chinese immigrants in New Zealand: experiences and perceptions 新西兰华人移民的姑息治疗:经验与认知
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2021-10-01 DOI: 10.4067/s1726-569x2021000200193
Jin Tian, Shuqiang An, W. Yuan
: Over the past several decades, palliative care has seen tremendous development in Western countries, but there is still inadequate access to palliative care among non-dominant ethnocultural groups. The Chinese have been the largest immigrant group in New Zealand since the 19 th century (1) . They have unique beliefs and practices around illness, death, dying and filial piety (2) . These differ greatly from those in Western cultures and have notable implications for hospice palliative care planning and provision. However, immigrant Chinese community remains a relatively marginalised and under-researched group in palliative care (3-5) . This results in limited knowledge about its culture and people among health professionals, as well as the lack of experience in providing terminal care to Chinese immigrants. Through the introduction of New Zealand Palliative Care Strategy and the analysis of Chinese immigrants’ difficulties and preferences for palliative care, this aims to increase understanding of how cultural values of Chinese affect their acceptance and decision-making with respect to palliative care so that for efficiently providing palliative care to this ethnic minority group in New Zealand.
在过去的几十年里,姑息治疗在西方国家取得了巨大的发展,但在非主导民族文化群体中仍然存在着获得姑息治疗的不足。自19世纪以来,中国人一直是新西兰最大的移民群体(1)。他们对疾病、死亡、临终和孝道有着独特的信仰和习俗。这些与西方文化有很大的不同,对临终关怀和姑息治疗的规划和提供有显著的影响。然而,华人移民社区在姑息治疗方面仍然是一个相对边缘化和研究不足的群体(3-5)。这导致卫生专业人员对其文化和人民的了解有限,以及缺乏为中国移民提供临终护理的经验。通过对新西兰姑息治疗策略的介绍,以及对中国移民对姑息治疗的困难和偏好的分析,旨在加深对华人文化价值观如何影响他们对姑息治疗的接受和决策的了解,从而有效地为新西兰的这一少数民族提供姑息治疗。
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引用次数: 0
Legislation for disabled people in Brazil. From human dignity to social inclusion. Advancing capabilities as an ethical imperative 巴西残疾人立法。从人类尊严到社会包容。将提升能力作为一种道德要求
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2021-10-01 DOI: 10.4067/s1726-569x2021000200223
Rosylane Nascimento das Mercês Rocha, Josierton Cruz Bezerra, Francisco Cortes Fernandes, Mónica Correia, Rui Nunes
The study analyzes the ethical and legal basis of Brazilian legislation for people with disabilities and verifies whether the instruments used therein are in line with national and international law. It also investigates the coherence and cohesion of the law and its ethical norms to build an inclusive and just society. Through an exploratory and integrative review, it analyzed the legal pro- visions in force in Brazil published on the official websites of the Brazilian federal government and available on the Internet. It was evaluated whether the definition used for persons with disabilities follows the United Nations Convention on the Rights of Persons with Disabilities. Also, whether it is necessary to evaluate disabilities and who should perform this task professionally. Thirty-three legal norms were found, among which only three laws and two decrees are in line with the recommendations of the UN Convention. It is necessary to review the existing norms and promote the consolidation of laws, decrees, ordinances and normative instructions regarding the rights of persons with disabilities in a uniform manner, on an adequate technical-scientific basis. This review should be consistent with the provisions of the 1988 Federal Constitution, the International Convention on the Rights of Persons with Disabilities and the Brazilian Inclusion Law.
该研究分析了巴西残疾人立法的道德和法律基础,并核实其中使用的文书是否符合国内法和国际法。它还研究了法律及其道德规范的连贯性和凝聚力,以建立一个包容和公正的社会。通过探索性和综合性的审查,分析了巴西联邦政府官方网站上公布的和互联网上可获得的巴西现行法律规定。评估了用于残疾人的定义是否符合《联合国残疾人权利公约》。此外,是否有必要评估残疾,以及谁应该专业地执行这项任务。共有33项法律规范被发现,其中只有3项法律和2项法令符合联合国公约的建议。有必要在适当的技术-科学基础上,以统一的方式审查现有规范,促进巩固有关残疾人权利的法律、法令、条例和规范性指示。这项审查应符合1988年《联邦宪法》、《残疾人权利国际公约》和《巴西包容法》的规定。
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引用次数: 0
SALVADOR, VICENT & SAMPIETRO, AGNESE. Understanding the discourse of aging. A multifaceted perspective 萨尔瓦多,受害者&SAMPIETRO,意大利。理解衰老的话语。多方面的视角
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2021-10-01 DOI: 10.4067/s1726-569x2021000200307
F. Lolas Stepke
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引用次数: 0
Miscelánea 混杂的
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2021-10-01 DOI: 10.4067/s1726-569x2021000200295
F. Lolas Stepke
: Jose Siles writes a review of Fernando Ceballos's book " The asylum: chronicles of a logic that colonizes subjectivities”.
:何塞·希尔斯写了一篇关于费尔南多·塞巴洛斯的书《收容所:殖民主体性的逻辑编年史》的评论。
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引用次数: 5
Las perplejidades éticas del Rey Ludwig II de Baviera: locura, extravagancia y profesión médica 巴伐利亚路德维希二世国王的伦理困惑:疯狂、奢侈和医学职业
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2021-10-01 DOI: 10.4067/s1726-569x2021000200161
G. Figueroa
: 1. Bernhard von Guden diagnosed the Bavarian King Ludwig II with “paranoia” (madness), although Ludwig was not personally evaluated by this expert psychiatrist, a diagnosis that the Bavarian government used to justify removing Ludwig from power. 2. His increasingly abnormal behavior, his multiply building projects, for which he incurred much debt, his conviction that he descended from the Bourbons through “baptism”, his unbridled homosexual life, together formed the basis for the psychiatrist´s diagnosis. 3. According to modern criteria of psychiatry Ludwig displayed traits for schizotypal personality disorder together with an orbitofrontal syndrome, and an extravagance way of existence. 4.Bernhard von Gudden based his psychiatric diagnosis and expertise following the ethical principles of beneficence and primum non nocere , “to help, at least not to harm”
: 1. 伯恩哈德·冯·古登诊断巴伐利亚国王路德维希二世患有“妄想症”(疯狂),尽管这位精神病专家并没有亲自对路德维希进行评估,但巴伐利亚政府利用这一诊断来证明将路德维希赶下台的理由。2. 他越来越反常的行为,他的多个建筑项目,为此他欠了很多债,他相信他是通过“洗礼”从波旁王室传承下来的,他肆无忌惮的同性恋生活,这些共同构成了精神病医生诊断的基础。3.根据现代精神病学的标准,路德维希表现出分裂型人格障碍的特征,并伴有眼窝额叶综合征,以及一种奢侈的生活方式。4.伯恩哈德·冯·古登的精神病学诊断和专业知识遵循仁爱和非真为本的道德原则,即“帮助他人,至少不伤害他人”
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引用次数: 0
La representación del apoyo de la persona con discapacidad. El nuevo esquema de la capacidad jurídica en el Perú 残疾人的支持代表。秘鲁法律能力的新方案
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2021-10-01 DOI: 10.4067/s1726-569x2021000200211
Enrique Varsi Rospigliosi
: Capacity is a subject of transversal interest in Law, it is present in all its fields. It is an attribute that every subject has through which he/she can perform acts that are not prohibited. Since 2018, by Legislative Decree 1384, we have a new treat-ment of capacity in the Civil Code that is in line with the guidelines in favor of the autonomy and full legal capacity of persons with disabilities, aligning national legislation to the International Convention on the Rights of Persons with Disabilities. The regime of substitution of the will of incapable persons is replaced by a social model through supports and safeguards. We are facing an inclusive, democratic model, according to the respect for the human rights of all citizens (dignity and equality), based on the principle that people with disabilities have full exercise capacity in equal conditions in each and every aspect of their lives, recognizing their right to make their own decisions as well as the right to make mistakes. The function of the support in favor of the disabled person is developed, analyzing their powers of representation. We start from the principle that the support does not replace the manifestation of will, it only interprets it and collaborates in an adequate manifestation of will so that the person with disability can exercise his legal capacity, enjoying his rights and freedoms.
行为能力是法律中一个横向关注的主题,它存在于法律的所有领域。它是每个主体都具有的属性,通过它他/她可以执行不被禁止的行为。自2018年以来,根据第1384号法令,我们在《民法典》中对行为能力进行了新的处理,符合有利于残疾人自主和完全法律行为能力的指导方针,使国家立法与《国际残疾人权利公约》保持一致。通过支持和保障,以一种社会模式取代无能力人意志的替代制度。我们面临的是一个包容的民主模式,它尊重所有公民的人权(尊严和平等),基于残疾人在生活的各个方面都能在平等的条件下充分行使能力的原则,承认他们有自己做决定的权利,也有犯错误的权利。在分析残疾人代表权的基础上,发展了残疾人支持职能。我们从这一原则出发,即支持不能取代意志的表现,它只是对意志进行解释,并配合充分的意志表现,使残疾人能够行使其法律行为能力,享受其权利和自由。
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引用次数: 0
Ethical Dilemmas and Principles in Organ Transplantation in China 中国器官移植的伦理困境与原则
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2021-10-01 DOI: 10.4067/s1726-569x2021000200181
Zhen Zhang, Zheng Zang
: In medical clinical practice, organ transplantation is mainly applied to patients with end-stage organ lesions and organ failure. However, with the development of organ transplantation, many ethical issues and controversies have arisen. From the perspective of bioethics, the article compares the relevant ethical and legal regulations of organ transplantation in various countries. Due to the complexity of the real situation, many ethical dilemmas arise in organ transplantation in China. The article analyzes and researches three aspects of organ donation, distribution, and trading, and finds that there are various ethical problems in these three aspects of organ transplantation in China, such as whether the principle of presumed consent is ethical, whether brain death is legalized, the selection and determination of transplant patients, and whether human organ trading is legalized, etc. With the help of the four principles of bioethics and the current development of organ transplantation in China, the article proposes that organ transplantation in China should follow four ethical principles: the principle of respect for life, the principle of do no harm/benefit, the principle of respect for autonomy, and the principle of justice, in order to provide a defense for the legitimacy of organ transplantation.
在医学临床实践中,器官移植主要应用于终末期器官病变和器官衰竭患者。然而,随着器官移植的发展,出现了许多伦理问题和争议。文章从生命伦理学的角度,比较了各国器官移植的相关伦理和法律规定。由于现实情况的复杂性,中国器官移植出现了许多伦理困境。文章对器官捐献、分配、交易三个方面进行了分析研究,发现中国器官移植在这三个方面存在着假定同意原则是否伦理、脑死亡是否合法化、移植患者的选择与确定、人体器官交易是否合法化等各种伦理问题。本文从生命伦理学的四项原则出发,结合中国器官移植的发展现状,提出中国器官移植应遵循尊重生命原则、无害原则、尊重自主原则和公正原则四项伦理原则,为器官移植的合法性提供辩护。
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引用次数: 1
Percepciones de un equipo de cuidados paliativos pediátricos acerca del clown de hospital 儿科姑息护理团队对医院小丑的看法
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2021-10-01 DOI: 10.4067/s1726-569x2021000200201
Victoria Valdebenito Mac Farlane
Resumen : La presente es una síntesis de resultados de una investigación mayor, cuyo objetivo principal fue conocer las perspectivas de familias y equipo de salud respecto de la presencia de clowns de hospital trabajando en cuidados paliativos pediátricos en una unidad en Chile. Guiado por un paradigma interpretativo, estrictos criterios de calidad y éticos, la metodología utilizada fue de tipo cualitativo, aplicando las técnicas de recolección de datos de entrevistas en profundidad, análisis de documentos y grupos de discusión. La sección de datos sobre el equipo aquí presentados, se analizó a través de las técnicas análisis de contenido y análisis crítico del discurso. Los resultados indican que la figura del clown es percibida como un mediador y valorada como terapia complementaria, especialmente por las competencias socioemocionales de esos profesionales y el juego que se utiliza como herramienta de intervención. Las conclusiones señalan que las competencias socioemocionales que promueve el clown de hospital son fundamentales para el trabajo en cuidados paliativos. Abstract : This is a synthesis of results of a major research which main objective was to know the perspectives of families and the health team regarding the presence of hospital clowns working in pediatric palliative care in a unit in Chile. Guided by an interpretivist paradigm, strict quality and ethical criteria, the methodology used was qualitative, applying in-depth interviews, document analysis and discussion groups as data collection techniques. The data section presented here about the health team was analyzed through content analysis and critical discourse analysis techniques. The results indicate that the figure of the clown is perceived as a mediator, valued as complementary therapy, especially due to the socio-emotional competences of these professionals and play used as an intervention tool. The conclusions indicate that the socio-emotional competences promoted by the hospital clown are fundamental to work in palliative care.
摘要:本报告是一项大型研究结果的综合,其主要目的是了解家庭和卫生团队对智利一家单位从事儿科姑息护理的医院小丑存在的看法。在解释范式、严格的质量和道德标准的指导下,所使用的方法是定性的,采用了深入访谈、文件分析和重点小组的数据收集技术。这里介绍的关于团队的数据部分通过内容分析和批判性话语分析技术进行了分析。结果表明,小丑的形象被视为一种中介,并被视为一种补充疗法,特别是因为这些专业人员的社会情感能力和作为干预工具的游戏。结论指出,医院小丑所倡导的社会-社会能力是姑息护理工作的核心。摘要:这是一项主要研究结果的综合,其主要目的是了解家庭和卫生团队对智利一个单位在儿科姑息治疗中工作的医院小丑存在的看法。在解释主义范式、严格的质量和道德标准的指导下,所使用的方法是定性的,应用于深入访谈、文件分析和讨论小组作为数据收集技术。这里介绍的关于卫生团队的数据部分通过内容分析和关键话语分析技术进行了分析。结果表明,小丑的形象被视为调解人,被视为补充疗法,特别是由于这些专业人员的社会情感能力,并被用作干预工具。结论表明,医院小丑促进的社会情感能力对姑息治疗工作至关重要。
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引用次数: 0
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