6 resultados para voluntary work

em Archivo Digital para la Docencia y la Investigación - Repositorio Institucional de la Universidad del País Vasco


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Eguíluz, Federico; Merino, Raquel; Olsen, Vickie; Pajares, Eterio; Santamaría, José Miguel (eds.)

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Background: This study aimed to examine factors associated with treatment adherence in first-episode psychosis (FEP) patients followed up over 8 years, especially involuntary first admission and stopping cannabis use. Methods: This prospective, longitudinal study of FEP patients collected data on symptoms, adherence, functioning,and substance use. Adherence to treatment was the main outcome variable and was categorized as ‘good’ or ‘bad’. Cannabis use during follow-up was stratified as continued use, stopped use, and never used. Bivariate and logistic regression models identified factors significantly associated with adherence and changes in adherence over the 8-year follow-up period. Results: Of the 98 FEP patients analyzed at baseline, 57.1% had involuntary first admission, 74.4% bad adherence,and 52% cannabis use. Good adherence at baseline was associated with Global Assessment of Functioning score (p = 0.019), Hamilton Depression Rating Scale score (p = 0.017) and voluntary admission (p < 0.001). Adherence patterns over 8 years included: 43.4% patients always bad, 26.1% always good, 25% improved from bad to good. Among the improved adherence group, 95.7% had involuntary first admission and 38.9% stopped cannabis use. In the subgroup of patients with bad adherence at baseline, involuntary first admission and quitting cannabis use during follow up were associated with improved adherence. Conclusions: The long-term association between treatment adherence and type of first admission and cannabis use in FEP patients suggest targets for intervention to improve clinical outcomes.

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It is not hard to see how two visions of nature are intertwined in Darwin’s Journal of Researches: one vision, the province of romantic authors depicting the sentiments awakened by certain landscapes, the other, the domain of natural scientists describing the world without reference to the aesthetic qualities of the scenery. Nevertheless, analyses of this double perspective in Darwin’s work are relatively rare. Most scholars focus on Darwin, the scientist, and more or less ignore the aesthetic aspects of his work. Perceiving the gradual transformation of Darwin’s world view, however, depends on analyzing the two different modes in which Darwin approached and perceived the world. While one can, on occasion, find commentaries on the beauty of the natural world in Darwin’s early work, the passage of time produces a modification in the naturalist’s manner of perceiving nature. This does not, however, mean that Darwin ceases to find beauty in nature; on the contrary, the disenchantment, in Max Weber’s words, that Darwin’s theory produces should not be understood in a pejorative, but rather in a literal sense. The theory of evolution, in effect, divests nature of its magical character and begins to explain it in terms of natural selection, according it, in the process a new and more intense attraction. In the present work, the metaphysical implications of this new vision of the world are analyzed through the eyes of its discoverer.

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The past years have seen an increasing debate on cooperation and its unique human character. Philosophers and psychologists have proposed that cooperative activities are characterized by shared goals to which participants are committed through the ability to understand each other’s intentions. Despite its popularity, some serious issues arise with this approach to cooperation. First, one may challenge the assumption that high-level mental processes are necessary for engaging in acting cooperatively. If they are, then how do agents that do not possess such ability (preverbal children, or children with autism who are often claimed to be mind-blind) engage in cooperative exchanges, as the evidence suggests? Secondly, to define cooperation as the result of two de-contextualized minds reading each other’s intentions may fail to fully acknowledge the complexity of situated, interactional dynamics and the interplay of variables such as the participants’ relational and personal history and experience. In this paper we challenge such accounts of cooperation, calling for an embodied approach that sees cooperation not only as an individual attitude toward the other, but also as a property of interaction processes. Taking an enactive perspective, we argue that cooperation is an intrinsic part of any interaction, and that there can be cooperative interaction before complex communicative abilities are achieved. The issue then is not whether one is able or not to read the other’s intentions, but what it takes to participate in joint action. From this basic account, it should be possible to build up more complex forms of cooperation as needed. Addressing the study of cooperation in these terms may enhance our understanding of human social development, and foster our knowledge of different ways of engaging with others, as in the case of autism.

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[Pentsio-sistema honela antolatzen da: lehen maila, kotizaziopeko pentsioak jasotzen ez dituztenei pentsioak ordaintzera bideratzen da; bigarren maila, Gizarte Segurantza edo kotizaziopeko pentsioena da; hirugarren maila, borondatezko gizarte-aurreikuspen osagarriari dagokio Euskal Autonomia Erkidegoan eta pentsio-planei Espainian. Bigarren mailan, Gizarte Segurantza banaketa-sisteman oinarritzen da. 2050ean erretiro-pentsioak finantzatzeko arazoak egotea espero da. Etorkizuneko egoerari aurre egiteko, 27/2011 Legearen eta 5/2013 Errege Lege Dekretuaren bitartez, erreformak burutu dira. Hirugarren mailan, Euskal Autonomia Erkidegoan gizarte-aurreikuspen osagarria Eusko Jaurlaritzaren esku dago eta Borondatezko Aurreikuspen Sozialeko Erakundeen (BASE) aurreikuspen-planak bertako pentsio-plan propioak dira. Lan honetan, batez ere, pentsio-sistemaren bigarren eta hirugarren mailak aztertuko ditut. Lehenengo marko teorikoa, ondoren alde praktikoa, eta azkenean datuetan oinarrituz proposamen batzuk eman eta ondorioak aterako ditut.]