Maria Carlota Perez

En este artículo nos proponemos dar cuenta del régimen temporal propio del capitalismo tardomoderno y sus consecuencias tanto sociológicas como ontológicas. Para ello, partiremos de las tesis de Hartmut Rosa acerca de la aceleración y la alienación. Posteriormente daremos paso a la indagación ontológica de la mano de Heidegger y la psicología existencial. De ese modo, mostraremos que los análisis sociológicos no pueden prescindir de un estudio ontológico de la cuestión. Por último, concluiremos con el rastreo de los modos temporales de la Grecia clásica aplicada al mundo actual mediante la ontología de Gilles Deleuze, quien, junto a Felix Guattari, tuvo la virtud de analizar el capitalismo como movimiento de axiomatización. Nuestra reflexión quedará atravesada por la necesidad de un diagnóstico de las patologías individuales y colectivas que conectan con los estudios sobre el totalitarismo

It is unknown whether hospital-based medical professionals in Spain educate patients about advance directives. The objective of this research was to determine the frequency of hospital-based physicians’ and nurses’ engagement in AD discussions in the hospital and which patient populations merit such efforts. A short question-and-answer-based survey of physicians and nurses taking care of inpatients was conducted at a university hospital in Madrid, Spain. In total, 283 surveys were collected from medical professionals, of whom 71 per cent were female, with an average age of thirty-four years. Eighty-four per cent had never educated patients about ADs because of lack of perceived responsibility, time, or general knowledge of ADs. Patient populations that warranted AD discussions included those with terminal illnesses, chronic diseases, and elderly patients. Regarding degree of AD understanding in medical professionals: 57 per cent of medical professionals claimed sufficient general knowledge of ADs, 19 per cent understood particulars regarding AD document creation, and 16 per cent were aware of AD regulatory policies. Engagement in AD discussions was considered important by 83 per cent of medical professionals, with 79 per cent interested in participating in such discussions themselves. The majority of hospital physicians and nurses do not educate their patients about ADs, despite acknowledging their importance. Patient populations of highest priority included those with terminal diseases or chronic illness or who are of advanced age.