La Città Inclusiva. Educazione, democrazia e giustizia sociale: la ricerca di una prospettiva e di strategie che promuovano umanizzazione e inclusione

L'interrogativo da cui nasce la ricerca riguarda la possibilità di individuare, in controtendenza con la logica neoliberista, strategie per l'affermarsi di una cultura dello sviluppo che sia sostenibile per l'ambiente e rispettosa della dignità delle persone, in grado di valorizzarne le differenze e di farsi carico delle difficoltà che ognuno può incontrare nel corso della propria esistenza. Centrale è il tema del lavoro, aspetto decisivo delle condizioni di appartenenza sociale e di valorizzazione delle risorse umane. Vengono richiamati studi sulla realtà in cui siamo immersi, caratterizzata dal pensiero liberista diventato negli ultimi decenni dominante su scala globale e che ha comportato una concezione delle relazioni sociali basata su di una competitività esasperata e sull’esclusione di chi non sta al passo con le leggi di mercato: le conseguenze drammatiche dell'imbroglio liberista; la riduzione delle persone a consumatori; la fuga dalla comunità ed il rifugio in identità separate; il tempo del rischio, della paura e della separazione fra etica e affari. E gli studi che, in controtendenza, introducono a prospettive di ricerca di uno sviluppo inclusivo e umanizzante: le prospettive della decrescita, del business sociale, di una via cristiana verso un'economia giusta, della valorizzazione delle capacità delle risorse umane. Vengono poi indagati i collegamenti con le esperienze attive nel territorio della città di Bologna che promuovono, attraverso la collaborazione fra istituzioni, organizzazioni intermedie e cittadini, occasioni di un welfare comunitario che sviluppa competenze e diritti insieme a responsabilità: l'introduzione delle clausole sociali negli appalti pubblici per la realizzazione professionale delle persone svantaggiate; la promozione della responsabilità sociale d'impresa per l'inclusione socio-lavorativa; la valorizzazione delle risorse delle persone che vivono un’esperienza carceraria. Si tratta di esperienze ancora limitate, ma possono costituire un riferimento culturale e operativo di un modello di sviluppo possibile, che convenga a tutti, compatibile con i limiti ambientali e umanizzante.

The Social Principles of Jesus: A Critical Re-examination of Walter Rauschenbusch’s Social Gospel

It has been nine decades since Walter Rauschenbusch (1861-1918) published a slim volume entitled The Social Principles of Jesus. Though today less well known than his other works Christianity and the Social Crisis (1907) and Theology for the Social Gospel (1917), it is Social Principles that most adeptly summarizes the theological ethics of Rauschenbusch’s “social gospel.” Taking the form of a pedagogical treatise, Social Principles reads as both a finely tuned analysis of the modern relevance of the teachings of Jesus, and an impassioned plea on the part of its author for an end to the folly of interpreting Christianity solely in “individualistic” terms. It is Rauschenbusch’s expressed aim to resurrect the core teachings of Jesus, which are social and ethical, and apply these to a renewed, socially conscious liberal democracy, establishing a grand harmony between religion, ethics, and social evolution. How far this vision was from the burgeoning “fundamentalism” of his day (and ours) is more than evidenced by the critical reaction of many of his more conservative peers, but also indicates the continuing relevance of his work for theologians and others looking for alternative paths. The following exposition is supplemented with appreciative and critical comments.

Liberation as Revolutionary Praxis: Rethinking Buddhism Materialism

While it is only in recent decades that scholars have begun to reconsider and problematize Buddhist conceptions of “freedom” and “agency,” the thought traditions of Asian Buddhism have for many centuries struggled with questions related to the issue of “liberation”—along with its fundamental ontological, epistemological and ethical implications. With the development of Marxist thought in the mid to late nineteenth century, a new paradigm for thinking about freedom in relation to history, identity and social change found its way to Asia, and confronted traditional religious interpretations of freedom as well as competing Western ones. In the past century, several attempts have been made—in India, southeast Asia, China and Japan—to bring together Marxist and Buddhist worldviews, with only moderate success (both at the level of theory and practice). This paper analyzes both the possibilities and problems of a “Buddhist materialism” constructed along Marxian lines, by focusing in particular on Buddhist and Marxist conceptions of “liberation.” By utilizing the theoretical work of Japanese “radical Buddhist” Seno’o Girō, I argue that the root of the tension lies with conceptions of selfhood and agency—but that, contrary to expectations, a strong case can be made for convergence between Buddhist and Marxian perspectives on these issues, as both traditions ultimately seek a resolution of existential determination in response to alienation. Along the way, I discuss the work of Marx, Engels, Gramsci, Lukàcs, Sartre, and Richard Rorty in relation to aspects of traditional (particularly East Asian Mahāyāna) Buddhist thought.

Operationalizing Professionalism: A Course in Ethical Decision Making

All U.S. medical schools require some medical ethics education and must now ensure that their graduates, residents, and faculty exhibit competence in the area of professionalism and professional medical ethics. However, there remain many challenges to implementing formal ethics and professionalism education into medical school curricula. [See PDF for complete abstract]

A discourse-theoretic perspective on the bioethical-legal framework of genetic counseling

The reflexive nature of reason and the unique relationship reason shares with autonomy in Kant's philosophy is the theoretical basis of this dissertation. The principle of respect for autonomy undergirds the two main legal and ethical tenets of genetic counseling, an emerging profession trying to accommodate the sweeping changes that have occurred in clinical genetics, clinical ethics, and case law applicable to medicine. These two tenets of the counseling profession, informed consent and nondirectiveness, both share a principlist interpretation of autonomy that I argue is flawed due to its connection to: instrumental forms of reasoning, empirical theories of action supporting rational choice, and a liberal paradigm of law. I offer an alternative bioethical-legal framework that is based in the Kantian tradition in law and ethics through the complex theories of Jurgen Habermas. Following Habermas's reconstruction of the mutually constituting notions of private and public autonomy, I will argue for a richer conceptualization of autonomy that can have significant implications for the legal and bioethical concepts supporting the profession of genetic counseling, and which can ultimately change counseling practice. ^

Treatment of optic neuritis with erythropoietin (TONE): a randomised, double-blind, placebo-controlled trial-study protocol.

INTRODUCTION Optic neuritis leads to degeneration of retinal ganglion cells whose axons form the optic nerve. The standard treatment is a methylprednisolone pulse therapy. This treatment slightly shortens the time of recovery but does not prevent neurodegeneration and persistent visual impairment. In a phase II trial performed in preparation of this study, we have shown that erythropoietin protects global retinal nerve fibre layer thickness (RNFLT-G) in acute optic neuritis; however, the preparatory trial was not powered to show effects on visual function. METHODS AND ANALYSIS Treatment of Optic Neuritis with Erythropoietin (TONE) is a national, randomised, double-blind, placebo-controlled, multicentre trial with two parallel arms. The primary objective is to determine the efficacy of erythropoietin compared to placebo given add-on to methylprednisolone as assessed by measurements of RNFLT-G and low-contrast visual acuity in the affected eye 6 months after randomisation. Inclusion criteria are a first episode of optic neuritis with decreased visual acuity to ≤0.5 (decimal system) and an onset of symptoms within 10 days prior to inclusion. The most important exclusion criteria are history of optic neuritis or multiple sclerosis or any ocular disease (affected or non-affected eye), significant hyperopia, myopia or astigmatism, elevated blood pressure, thrombotic events or malignancy. After randomisation, patients either receive 33 000 international units human recombinant erythropoietin intravenously for 3 consecutive days or placebo (0.9% saline) administered intravenously. With an estimated power of 80%, the calculated sample size is 100 patients. The trial started in September 2014 with a planned recruitment period of 30 months. ETHICS AND DISSEMINATION TONE has been approved by the Central Ethics Commission in Freiburg (194/14) and the German Federal Institute for Drugs and Medical Devices (61-3910-4039831). It complies with the Declaration of Helsinki, local laws and ICH-GCP. TRIAL REGISTRATION NUMBER NCT01962571.

Cognitive-Behavioural Analysis System of Psychotherapy (CBASP), a drug, or their combination: differential therapeutics for persistent depressive disorder: a study protocol of an individual participant data network meta-analysis.

INTRODUCTION Despite important advances in psychological and pharmacological treatments of persistent depressive disorders in the past decades, their responses remain typically slow and poor, and differential responses among different modalities of treatments or their combinations are not well understood. Cognitive-Behavioural Analysis System of Psychotherapy (CBASP) is the only psychotherapy that has been specifically designed for chronic depression and has been examined in an increasing number of trials against medications, alone or in combination. When several treatment alternatives are available for a certain condition, network meta-analysis (NMA) provides a powerful tool to examine their relative efficacy by combining all direct and indirect comparisons. Individual participant data (IPD) meta-analysis enables exploration of impacts of individual characteristics that lead to a differentiated approach matching treatments to specific subgroups of patients. METHODS AND ANALYSIS We will search for all randomised controlled trials that compared CBASP, pharmacotherapy or their combination, in the treatment of patients with persistent depressive disorder, in Cochrane CENTRAL, PUBMED, SCOPUS and PsycINFO, supplemented by personal contacts. Individual participant data will be sought from the principal investigators of all the identified trials. Our primary outcomes are depression severity as measured on a continuous observer-rated scale for depression, and dropouts for any reason as a proxy measure of overall treatment acceptability. We will conduct a one-step IPD-NMA to compare CBASP, medications and their combinations, and also carry out a meta-regression to identify their prognostic factors and effect moderators. The model will be fitted in OpenBUGS, using vague priors for all location parameters. For the heterogeneity we will use a half-normal prior on the SD. ETHICS AND DISSEMINATION This study requires no ethical approval. We will publish the findings in a peer-reviewed journal. The study results will contribute to more finely differentiated therapeutics for patients suffering from this chronically disabling disorder. TRIAL REGISTRATION NUMBER CRD42016035886.

Federal regulation of human embryonic stem cell research

President George W. Bush's 2001 statement, which laid out guidelines for research that uses human embryonic stem cells to qualify for federal funding, intends to prevent new embryonic stem cell lines from being developed, by prohibiting the federal funding of research that uses embryonic stem cell lines other than those that existed at the time of the policy's inception and were approved by the National Institutes of Health. This policy raises questions of medical and technological ethics and the governments' role in making decisions regarding the advancement of science based on moral and political opinions. Federal stem cell usage policy directly affects scientific research efforts that are currently on the path to understanding the mechanisms of cell differentiation and could potentially offer answers and therapies for disabilities and many chronic diseases. By reviewing the current literature on the background information on human embryonic stem cells, including what they are, where they come from, how they are used for research purposes, and the ethical controversy surrounding their use, I have researched and reported the impact of the 2001 policy on medical research. ^ Both those who support the current policy on human embryonic stem cell research and those who are advocates for policy change have relevant arguments and varying opinions on human embryonic stem cell usage itself. The ethical implication of how embryonic stem cells are obtained has led to fierce debate. This paper presents many arguments for and against hESC research in addition to the policy governing their use. This analysis concludes that the current policy on federal funding of human embryonic stem cell research should be revised to allow research using new stem lines to be eligible for federal funding under specific guidelines. Supporting evidence for this recommendation is provided.^

Teorías éticas contemporáneas : cuatro respuestas ante los desafíos sociales y políticos de nuestro tiempo

En estas páginas intentamos llevar adelante una revisión de las principales teorías éticas contemporáneas –las éticas comunicativas, las neocontractualistas, las comunitaristas y las que se originan en el utilitarismo– con el propósito de dilucidar los aportes que ellas ofrecen para orientar decisiones que comprometen a las personas en diferentes dimensiones de sus vidas: en el ámbito de lo cotidiano, en la dimensión pública dada por la condición de ciudadano y/o miembro de una comunidad, y más específicamente, en el campo de la actividad profesional. Tras el ejercicio de la sospecha que puso en tela de juicio a la razón como fundamento último del conocer y el obrar, y tras la crisis de la normatividad que condicionó la reflexión ética durante buena parte del siglo XX, nos preguntamos ¿cuáles son las problemáticas que asumen las teoría éticas contemporáneas? ¿cuál es el sustento teórico de sus reflexiones? ¿qué respuestas ofrecen a los desafíos sociales y políticos contemporáneos? ¿pueden esas respuestas satisfacer requerimientos surgidos de nuestra propia situación socio-histórica?

Aristotle on the economy

From seemingly outdated passages of Aristotle on oikonomikè, this paper tries to select and separate what is old-fashioned from what is valid for today. From these latter elements –which may be abridged in the intrinsic ethical and political character of economics– we can extract useful lessons. These lessons refer to the impact of Ethics and Politics on Economics. They stress the relevance of personal virtues and institutions for a suitable functioning of the economy. From an epistemological point of view, these lessons highlight the inexact character of Economics and the necessity of firm reliance on data. Current economics does not deal with ends, but only with means. The Aristotelian perspective would specially deal with ends. This concern with ends leads to prudential, not technical analysis and decisions. This calls for broadening the scope of Economics and consequently should provoke changes in its instruction. The paper concludes that a closer attention to Aristotle’s thought would have a high impact on current economy and Economics.

Variantes en el uso del concepto de natura en la teoría política medieval a partir de la segunda mitad del siglo XIII : natura multipliciter dicitur

La circulación hacia mediados del siglo XIII de los libri morales de Aristóteles transformó ampliamente la ética y el pensamiento político de la edad media. El conocimiento medieval de la filosofía moral aristotélica produjo un cambio cualitativo en diferentes temas de la filosofía práctica; como consecuencia de ello, a partir del siglo XIII, una parte importante de la teoría política tomó de Aristóteles el concepto de natura y muchos tratados se apoyaron en él y lo utilizaron para fundamentar el nacimiento del orden político que Aristóteles llamó polis, Tomás de Aquino civitas vel provincia y Juan de París communitas civitatis vel regni. Con todo, aunque el concepto aristotélico de natura fue relevante y aunque el modelo aristotélico logró inspirar a los autores de textos políticos medievales, la natura aristotélica no fue la única natura a la que recurrieron los textos políticos al momento de fundamentar teóricamente el surgimiento del orden político. El artículo analiza los diferentes conceptos de natura y reconstruye su lugar dentro de las explicaciones del nacimiento y constitución de las distintas variantes del orden político en la filosofía política medieval.