REMAPPING THE TERRITORY – VII Edition 2023-2024 – ONLINE
OBJECTIVES AND PROGRAM
August 2023 marks the 50th anniversary of the introduction – in the scientific arena – of the neologism “neuro-ethics” by Harvard neuropsychiatrist Anneliese Alma Pontius (1921-2018). Since 2009, thanks to the work of the Interdisciplinary Research Group in Neurobioethics (GdN) of the Faculty of Philosophy of the Pontifical Athenaeum Regina Apostolorum (APRA) in Rome, the term has acquired a personalist connotation.
After 15 years of research experience – and since 2017 having delved into the contexts of transhumanism, the so-called “head transplantation” in humans, robotics (roboethics), artificial intelligence (algor-ethics), neurotechnologies and current developments in virtual reality, augmented reality, and the Metaverse, from September 2023 to June 2024, the GDN will be offering a training course on neuroethics with the aim of critically “remapping” this interdisciplinary context of reflection on the neurosciences and their interpretations.
The Course also aims to raise the participants’ awareness about the relevance of neuroethical reflection in the multiple contemporary scenarios in which we live, move, and are. This 7th Advanced Training Course “Neurobioethics: remapping the territory” will offer a package of 10 seminars, round-table discussions, and the conference in March 2024 within the framework of the Brain Awareness Week promoted by the DANA Foundation, through which the historical genesis of the birth of neuroethics and the different paradigmatic models encountered today will be compared. Along the way, various areas of this reflection will be specifically presented: from the context of consciousness to neuroaesthetics, from neurolaw to sexual difference, and even including trans and posthuman backdrops.
The course will be in Italian and English and streamed online. Participants will be able to follow the course in synchronous and asynchronous modes.
Faculty of Philosophy
UNESCO Chair in Bioethics and Human Rights
Institute of Science and Faith
September 29, 2023 to 27-10-2023
The course consists of a monthly two-hour meeting (seminar or round-table), 5-7 p.m.
15/03: World Brain Week Conference
The specific contents and speakers will be communicated month by month and will range from technological, neurological, neurosurgical, psychiatric, psychological, ethical, bioethical, legal and theological aspects related to the concept of “Metaverse”.
WHO SHOULD APPLY?
The program is aimed at all those who wish to learn more about neuroscience and its interpretations to better understand themselves, the advances, and risks. In particular, politicians, engineers, physicians, bioethicists, philosophers, theologians, teachers, and formators. At the end of the Course, participants will be awarded a certificate for the advanced course and 3 ECTS credits will be awarded after the evaluation of a written synthesis paper.
350 euros by 29-09-2023
400 euros by 27-10-2023
Training Course Coordinator:
Prof. Fr. Alberto Carrara, L.C.
For further information
Faculty of Philosophy
Tel.: +39 06 91689913
By Analuisa Ahumada Madrigal, Student, Law School – Universidad Anahuac Queretaro
In Mexico there is a great problem with violence, connected to homicides. Mexico has registered around 91 deaths per day; in the 7 entities which reported such statistics, it is said that 71% of the bodies are set to be unidentified. However, there is an enormous problem concerning the dignity of unrecognized bodies, mainly because a dead person does not have the possibility of expressing wishes, purposes, suffering, or any type of resistance to the violence to which their body may be subjected. In 2019 Mexico had a forensic crisis due to the war against drug trafficking during the six-year term of former President Felipe Calderon. The Forensic Medical Service (SEMEFO), registered the largest number of unidentified corpses ever seen. There were so many that no effort was even made to identify all of them. A study that was carried out on the forensic crisis found that 27,271 unrecognized bodies were taken to the “common grave”, 5,446 remain in SEMEFO and most impressively was that 2,589 bodies were donated to universities for experimentation. Here is where the problem begins.
The law establishes that for the use of corpses of unknown persons, educational institutions may obtain them from establishments that provide medical care or social assistance services, but this becomes a problem for the dignity of the unidentified body, as well as causing violence to the family of the deceased person. Before death, the person did not consent to having his body donated to educational institutions where he could be subjected to experiments and various situations. In addition to that, his family will definitely no longer have the opportunity to find their relative. In Mexico, there is a “General Law of Victims” which establishes that victims have the right to know the truth and to receive specific information about crimes and violations of rights that had directly affected them. If the corpse did not have post-mortem dignity, the law would not have to legislate against incorrect use of corpses. In the Mexican Federal Penal Code, it speaks about violations of rights in the privacy of the body, its image and its honor. In 2009 in Mexico, one of the largest cases of femicide – the campo algodonero case, which had occurred in 2001, was brought to the Inter-American Court of Human Rights. In this case 8 women were found dead, but only three were identified. No effort was made to identify the other five bodies. The authorities dealt out the remaining bodies to the families with no assurance that they were actually members of those families. Another clear example of the lack of dignity accorded to unidentified bodies and the seriousness of donating unidentified corpses to educational institutions is that in 2014, Mexico once again suffered one of the most controversial cases it has ever seen, the disappearance of 43 students from Ayotzinapa, Guerrero.
Another very important issue that must be touched on is organ or tissue donation, whether a body is identified or not, it could be the victim of organ extractions for donation or sale. In Mexico this arises from a socio-cultural issue. Even despite having holidays like the Day of the Dead, death is not really something accepted and above all it may be felt to be terrifying. Organ donation can occur from brain death, which will include head trauma from a motor vehicle accident, falls, gunshot wounds, haemorrhages in the brain from aneurysms and seizures, drug overdose, drowning, and poisoning. among others. Therefore, if the cause of death was a homicide by gunshot wound, people will be able to organ-poaching or illegally sell these organs. For such reasons, there is a brisk market in illegal organ sales on the part of organised crime in Mexico. Besides selling organs, these criminals go to extreme lengths to erase any link to the people that have been kidnapped and murder to obtain these organs. Sick people and their relatives do not readily accept death. This fear is often due to not knowing what happens after death, worry about surviving loved ones and the fact of not knowing if the process will be painful or not. I previously mentioned that a person is most vulnerable at the moment of death, since he can be the object of violence, modifications and extractions perpetrated on his body, and above all his last wishes regarding his body are not really fulfilled by the simple fact that he is no longer able to protest. Many people come to use the corpse as a mere object without that being the true desire of the person. Post-mortem dignity includes the times when the media take and use photos of the body and use them in publications, since they should not be exposed to the public. What we really need to consider is that even though the person has already died, their body still has dignity, and the family should be given respect and support. Finally, I believe that it is important to establish new regulations regarding unidentified bodies and, above all, to train the SEMEFO authorities so that they can have sufficient means to identify the massive number of bodies that need to be
 Deutsche Welle (www.dw.com). (n.d.). México registró menos homicidios en 2022. DW.COM. https://www.dw.com/es/m%C3%A9xico-registr%C3%B3-menos-homicidios-en-2022/a-64430440
 El Economista. (2022, December 1). En siete entidades, 71% de los cuerpos sin identificar. https://www.eleconomista.com.mx/politica/En-siete-entidades-71-de-los-cuerpos-sin-identificar-20221201-0004.html
 La Dignidad Post-Mortem en el Sistema Jurídico Mexicano. (2022). Comisión Estatal De Derechos Humanos Jalisco. Retrieved March 26, 2023, from https://cedhj.org.mx/revista%20DF%20Debate/articulos/revista_No18/ADEBATE-18-art2.pdf
 Tzuc, E. (2020, September 25). Crisis forense en México: un país rebasado por sus muertos. CIPER Chile. https://www.ciperchile.cl/2020/09/25/crisis-forense-en-mexico-un-pais-rebasado-por-sus-muertos/
 Ley general de víctimas. (2013, January 9). https://www.diputados.gob.mx/LeyesBiblio/pdf/LGV.pdf. Retrieved July 9, 2023, from https://www.diputados.gob.mx/LeyesBiblio/pdf/LGV.pdf
 “Campo Algodonero”: Caso González y otras vs. México | Comisión Nacional de los Derechos Humanos – México. (n.d.). https://www.cndh.org.mx/noticia/campo-algodonero-caso-gonzalez-y-otras-vs-mexico
 Muerte Cerebral. (2021). The National Kidney Foundation. Retrieved March 26, 2023, from https://www.kidney.org/sites/default/files/docs/braindeath_sp.pdf
MD Barrio-Rentería M. T, Galván-López J. M., MD Hernández-Fernández D., Maldonado-Moreno K. A.
Despite more than 40 years of human rights and feminist advocacy, gender equality still has a long way to go and remains a complex issue; specially in health and science environments. The central matter in this essay is gender-based discrimination in medicine, more specifically against women, nonetheless the concept of gender needs to be defined: “Gender” is an evolving social construct that refers to the sociological and cultural behaviours, attitudes or feelings associated with masculinity or femininity (Brown, 2021). The WHO Global Health Workforce Network Gender Equity Hub, reports that women in the health and social care workforce are under-represented in management, leadership, and governance. Gender-based discrimination is present in every level and includes, belittling remarks, inappropriate jokes, denial of opportunities, behaviours or conducts (Brown, 2021).
Approximately 75% of the global health workforce is female but they only hold a small fraction of leadership positions. Women remain a minority in surgical specialties and the wage gap is reported through all specialties (Shannon, 2019). The UN Educational, Scientific and Cultural Organization’s Women in Science data shows that less than 30% of the world´s researchers are women, comprising 45% in Latin America and 32% in North America, even though the proportion of female researchers is increasing worldwide, women still publish fewer research papers than men and are less likely to collaborate internationally (Shannon, 2019).
In medicine, women are paid 8% less, this being attributed to “domestic responsibilities” given that female physicians take lighter schedule because they tend to be the primary caregivers of their children, they´re also less likely to hold positions of power, and when they achieve those positions, they are paid less than the men in equivalent roles due to implicit biases that result from gender schemas that are culturally ingrained (Kowalski, 2020 & Kuo, 2020). Unconscious biases are also present, a study conducted by the University of Nebraska examined linguistic choice and gender disparities in letters of recommendation for surgery residents; where men tend to be described as future leaders using terms such as dominant, confident and intelligent whereas women tend to be described as compassionate, calm and family centered (Hoffman, 2019 & Brown 2021). In 2015, 85% of females in surgical fields recall having suffered at least one form of gender-based discrimination throughout medical school, residency and professional practice, not only from colleagues and superiors. The two more common sources reported were patients and nursing staff; the majority of the participants reported having to work “twice as hard” to earn the respect their male counterparts automatically receive from nurses and patients (Brown, 2021).
Differences between male and female practitioners have been well established; female practitioners are more likely to follow guidelines, use more patient-centered communication, provide psychosocial counselling and preventive care more often than male counterparts (BDJ, 2017). A study investigating mortality rates in women with acute myocardial infarction found that there were higher mortality rates in women treated by male doctors than in the group of females treated by female doctors. Also, several studies have shown that patients treated by female physicians have lower rates of complications, ER department visits, lower rates of morbidity and mortality, stating that gender is an important asset in healthcare, and these differences found between male and female physicians should be investigated to replicate positive behaviour that leads to better outcomes in patient care, medical training, etc. (Tsugawa, 2017)
It is important to mention that many individuals, men and women; including those in power or leadership positions don´t consider this to be an ongoing issue in the residency training programmes or a problem worth improving, yet in a study including 7 surgical programmes in Calgary, 55% of women and 40% of men agreed that it is an issue in residency training programmes. Identification of gender-biased behaviours is the first step towards its eradication (Brown, 2021).
In the article “Nevertheless they persisted: how women experience gender-based discrimination during postgraduate surgical training”, Brown suggests that women become desensitized to gendered-biased behaviours by using coping strategies involving denial and minimization of these experiences which leads to underreporting the frequency and severity of discrimination contrary to the one experienced by men that tends to be more memorable due to its infrequency. Immediate action, such as the continuous investigation on the topic, promoting collection of empirical and objective data, the promotion of institutional-level discussions between teachers and administrators, examining the local culture and climate for students and faculty members, as well as allyship and anti-oppression training in the core curriculum is needed.
Identifying, dismantling and restructuring the system along with increasing the number of women in medicine will change the environment, given that an imbalance in sex representation promotes a culture where women are unlikely to pursue academic and personal goals, damaging well-being, medical training and ultimately healthcare.
Reflecting on strategies to promote change, medical schools and training hospitals could benefit from examining their local culture and climate as well as student, teachers, and faculty members’ perspectives. All individuals must be encouraged to be allies who continuously advocate for an inclusive environment and zero tolerance against gender discrimination and harassment policies. It is crucial that implemented strategies allow the report of inappropriate behaviour with confidence and without fear of consequences, and that those will be adequately addressed. This is an era of gender reckoning, challenging and changing times, there is no doubt that gender equality is a human right. Gender equality in healthcare and science holds the promise and potential to lead to economic, scientific, and social transformation.
Brown, A., Bonneville, G., & Glaze, S. (2021). Nevertheless, they persisted: How women experience gender-based discrimination during postgraduate surgical training. Journal of Surgical Education, 78(1), 17–34. https://doi.org/10.1016/j.jsurg.2020.06.027
Comparison of hospital mortality and readmission rates for Medicare patients treated by male vs female physicians. (2017). British Dental Journal, 222(3), 170–170. https://doi.org/10.1038/sj.bdj.2017.116
Hoffman, A., Grant, W., McCormick, M., Jezewski, E., Matemavi, P., & Langnas, A. (2019). Gendered differences in letters of recommendation for transplant surgery fellowship applicants. Journal of Surgical Education, 76(2), 427–432. https://doi.org/10.1016/j.jsurg.2018.08.021
Is there a gender disparity in the residency training programme? Perspectives of trainees from a tertiary hospital in Nigeria. (n.d.).
Jena, A. B., Olenski, A. R., & Blumenthal, D. M. (2016). Sex differences in physician salary in US public medical schools. JAMA Internal Medicine, 176(9), 1294. https://doi.org/10.1001/jamainternmed.2016.3284
Kowalski, A. (2020). The impacts of gender disparity in residency matching. JAMA Network Open, 3(11), e2028161. https://doi.org/10.1001/jamanetworkopen.2020.28161
Kuo, L. E., Lyu, H. G., Jarman, M. P., Melnitchouk, N., Doherty, G. M., Smink, D. S., & Cho, N. L. (2020). Gender disparity in awards in general surgery residency programs. JAMA Surgery. https://doi.org/10.1001/jamasurg.2020.3518
Ruzycki, S. M., Freeman, G., Bharwani, A., & Brown, A. (2019). Association of physician characteristics with perceptions and experiences of gender equity in an academic internal medicine department. JAMA Network Open, 2(11), e1915165. https://doi.org/10.1001/jamanetworkopen.2019.15165
Shannon, G., Jansen, M., Williams, K., Cáceres, C., Motta, A., Odhiambo, A., Eleveld, A., & Mannell, J. (2019). Gender equality in science, medicine, and global health: where are we at and why does it matter? Lancet, 393(10171), 560–569. https://doi.org/10.1016/S0140-6736(18)33135-0
Tsugawa, Y., Jena, A. B., Figueroa, J. F., Orav, E. J., Blumenthal, D. M., & Jha, A. K. (2017). Comparison of hospital mortality and readmission rates for Medicare patients treated by male vs female physicians. JAMA Internal Medicine, 177(2), 206–213. https://doi.org/10.1001/jamainternmed.2016.7875
On May 14, 2023, Prof. Fr. Michael Baggot, LC, Chair Research Scholar and Professor of the Faculty of Bioethics, was one of the speakers during the two-days conference “Technology, Art and the Posthuman: The End or a New Beginning for Humanism?” at John Cabot University, Rome.
He presented the following book: Enhancement Fit for Humanity: Perspectives on Emerging Technologies – (routledge.com) This book explores what constitutes an enhancement fit for humanity in the age of nanotechnologies, biotechnologies, information technologies, and technologies related to the cognitive sciences. It considers the influence of emergent technology upon our understanding of human nature and the impact on future generations. Drawing on the Catholic tradition, in particular, the book gathers international contributions from scientific, philosophical, legal, and religious perspectives. Together they offer a positive step in an ongoing dialogue regarding the promises and perils of emergent technology for man’s integral human development.