Los desafíos del transhumanismo a la bioética

Este artículo explora los desafíos que presenta a la bioética la emergencia del transhumanismo en Occidente. La exploración es abordada desde una perspectiva de investigación genealógica, que tiene por objetivo preguntarse por las condiciones de inteligibilidad del transhumanismo y a partir de allí analizar sus impactos en la actualización de un debate central en bioética, a saber, los límites a la manipulación de la vida humana. El transhumanismo, habitando la crisis del humanismo que le antecede y compele, reactualiza la cuestión de la condición humana presentando una línea argumental que al menos autoriza a formular de nuevo la pregunta límite: ¿podemos, o acaso debemos, ir más allá de lo humano?.

This article explores the challenges presented to bioethics by the emergence of transhumanism in the West. The exploration is approached from a genealogical research perspective. A genealogical investigation aims to question the conditions of intelligibility of transhumanism and from there analyze its impacts on the updating of a central debate in bioethics, namely: the limits to the manipulation of human life. Transhumanism, inhabiting the crisis of humanism that precedes and compels it, updates the issue of the human condition by presenting a line of argument that at least authorizes to formulate again the limit question: can we/should we go beyond the human?.

Este artigo explora os desafios apresentados à bioética pela emergência do transumanismo no Ocidente. A exploração é abordada a partir de uma perspectiva de pesquisa genealógica. Uma investigação genealógica visa indagar sobre as condições de inteligibilidade do transumanismo e a partir daí analisar seus impactos na atualização de um debate central na bioética, a saber: os limites à manipulação da vida humana. O transumanismo, habitando a crise do humanismo que o precede e o compele, atualiza a questão da condição humana ao apresentar uma linha de argumentação que ao menos nos autoriza a formular novamente a questão límite: podemos ou devemos ir além do que é humano?.

Violence, Misrecognition, and Place: Legal Envelopment and Colonial Governmentality in the Upper Skeena River, British Columbia, 1888.

This paper is concerned with exploring legal atmospheres during colonial expansionism and the early period of confederation of British Columbia. By describing the theatrical and performative aspects of legal colonialism, the archival documents from this time represent interesting, yet oft-overlooked, significances that attention to sensory and affective experiences captures. Examining "affective atmospheres" disclosed in such colonial settings reveals ways that the colonial regime promulgated its influence in non-rational, non-legal manners. As well, drawing out the material conditions of topography shows how the environment acts more than just a backdrop for the staging of legal expansionism, as it acts also as a constitutive force in the development of colonial legal arrangements. At the same time, the colonial regime was forgetful of these same contextual, topographical, and atmospheric origins of law insofar as it promulgated myths of the universality, objectivity, and superiority of English law.

Cuerpos desgener[iz]ados: rescatando las experiencias de personas intersex como usuarias del sistema de salud público Chileno / Corpos desgener[iz]ados: resgatando as experiências de pessoas intersexuais como usuárias do sistema público de saúde chileno / Desgener[iz]ated bodies: rescuing the experiences of intersex people as users of the Chilean public health system

Introducción: La intersexualidad comprende condicionesinfrecuentes donde una persona nace con una anatomíasexual diferente del binario hombre-mujer; esto suponehabitar un cuerpo fuera de lo inteligible y estigmatizado.Históricamente, desde la heteronorma, el modelo biomédicoha buscado normalizarles quirúrgicamente para asignarprecoz y arbitrariamente un sexo-género armónico con lagenitalidad. Desde los Derechos Humanos, estas prácticasson cuestionadas por colectivos Intersex.Materiales y método: Estudio de caso, entre años 2019 y2020; técnica de entrevista en profundidad a dos usuariosadultos de los Policlínicos de Urología y Endocrinología de unhospital público en Santiago, Chile; se utilizó la fenomenologíade Husserl para comprender la experiencia en el sistema desalud de las personas intersex. El análisis de la informaciónse basó en la propuesta de Colaizzi.Resultados: Se reconocieron unidades de significado principalese imbricadas, cuyas esencias permitieron describir el fenómenode: ser niño y habitar el espacio hospitalario, vivir con lacondición actualmente, y la experiencia de utilizar el sistemade salud siendo adulto.Conclusiones: Se identificaron diversas estrategias de agenciatanto en el espacio hospitalario como el cotidiano, medianteun proceso personal y silencioso de aprendizajes sobre lasimplicancias de ser intersexual.(AU)

Introduction: Intersexuality includes extremely rareconditions where a person is born with a sexual anatomydifferent from the male-female binary; this supposesinhabiting a body outside the intelligible, configuringa stigma. Historically and from the heteronorm, thebiomedical model has sought to surgically normalizethem in order to precociously and arbitrarily assigna gender in harmony with genitality. From HumanRights, these practices have been questioned byIntersex groups.Materials and method: During the years 2019 and2020, case studies were carried out through in-depthinterviews with two adult users of the Urology andEndocrinology Polyclinics of a public hospital atSantiago, Chile; Husserl's phenomenology was usedto visualize the phenomenon according to how it isexperienced by the subjects who carry it, using theprocedure described by Colaizzi as an informationanalysis plan.Results: Main and overlapping units of meaning wererecognized, whose essences allowed describing thephenomenon of: being a child and inhabiting thehospital space, currently living with the condition,and the experience of using the health system as anadult, with new and own meanings.Conclusions: Various agency strategies were identifiedboth in the hospital space and in everyday life, througha personal and silent process of learning about theimplications of being intersex.(AU)

Introdução: Intersexo compreende condições rarasem que uma pessoa nasce com uma anatomia sexualdiferente do binário masculino-feminino; Isso significahabitar um corpo fora do que é inteligível e estigmatizado.Historicamente, a partir da heteronormação, o modelobiomédico buscou normalizá-los cirurgicamente paraatribuir precoce e arbitrariamente um sexo-gêneroharmônico com a genitalidade. A partir dos DireitosHumanos, essas práticas são questionadas por gruposintersexuais.Materiais e método: Estudo de caso, entre os anos de2019 e 2020; técnica de entrevista em profundidadecom dois usuários adultos das Policlínicas de Urologiae Endocrinologia de um hospital público de Santiago,Chile; A fenomenologia de Husserl foi utilizada paracompreender a experiência de pessoas intersexuaisno sistema de saúde. A análise das informações foibaseada na proposta de Colaizzi.Resultados: Reconheceram-se unidades de significadoprincipais e sobrepostas, cujas essências permitiramdescrever o fenômeno de: ser criança e habitar oespaço hospitalar, viver atualmente com a condição e aexperiência de usar o sistema de saúde na fase adulta.Conclusões: Foram identificadas várias estratégiasde agenciamento tanto no hospital como na vidaquotidiana, através de um processo pessoal e silenciosode aprendizagem sobre as implicações de ser intersexo.(AU)

Scientific supremacy: How do genetic narratives relate to racism?

Recent research suggests that contemporary American society is marked by heightened hostile racial rhetoric, alongside increasing salience of White nationalists who justify an ideology of racial hierarchy with claims of biological superiority. Media coverage of such genetics research has often emphasized a deterministic (or causal) narrative by suggesting that specific genes directly increase negative outcomes and highlighting reported genetic differences between racial groups. Across two experimental studies, we examine the effect of the media's portrayal of scientific findings linking genes with negative health and behavioral outcomes on measures of racism. We find that deterministic genetic attributions for health and behavioral outcomes can lead to more negative racial out-group attitudes. Importantly, we also investigate potential interventions in the presentation of genetic science research. Our research has implications for understanding racial attitudes and racialized ideology in contemporary American politics, as well as for framing scientific communication in intergroup contexts.

The public you want, the public you get: Exploring the relationship between the public and science in the debate on xenotransplantation.

The debate that followed the first-in-human cardiac transplantation of a genetically modified pig organ emerged as a discussion of social justice when the patient's criminal record was revealed. This article aims to make sense of this debate by understanding the role of the 'public' today, particularly in relation to the governance of biotechnology. The relationship between the public and science is increasingly mediated through citizen participation. However, the public debate that unfolded on matters of social justice can be seen as an unmediated public discourse, which carries the risk of producing unpredictable outcomes. The content of the debate gains significance due to the functional differentiation of society. The medical subsystem does not consider the patient's history in terms of their involvement in the legal sphere, that is, their criminal record. Nevertheless, normative judgements are transferred across functional systems, allowing for the influence of public opinion and the potential for public scorn.

Fertility Fails to Predict Voter Preference for the 2020 Election: A Pre-Registered Replication of Navarrete et al. (2010).

As part of the Systematizing Confidence in Open Research and Evidence (SCORE) program, the present study reassesses the claim made in Navarrete et al. (2010) Study 1, that women's voter preference for male candidates who demonstrate cues of strong genetic fitness increases across the reproductive cycle as a function of conception risk. We report an attempt to conceptually replicate these findings, modifying the outcome variables for voter preference to reflect the 2020 election rather than the 2008 election, while maintaining fidelity to the original study by including Barack Obama as a candidate. Contrary to the original findings, conception risk did not predict greater voter support for Obama as a younger, more attractive alternative to Donald J. Trump, nor was conception risk a significant factor in other matchups we presented to participants. Candidate intelligence and participant psychopathy scores on the Dark Triad were found to be factors in preference for Obama/Biden or Trump, respectively. We discuss these results in the context of evolutionary and political psychology, suggesting the need for further research that takes political factors into account.

The specter of race in global Covid-19 responses: the future is decolonial.

The Covid-19 pandemic reified pre-existing inequalities predicated on anti-Black racism, imperial geographical cartography, and the violent language of biomilitarism. In this reflective essay I deploy tools of historical sociology to underscore the importance of race, racism, racialization, and global responses to pandemics. I considerer the following questions. First, how can world society develop ideas and concepts for the imagination of a post-imperial global health regime? Second, can alternative futures be imagined if the monopolistic control of power, global scientific processes and knowledge regime is framed around a problematic lexicography of a Eurocentric totalizing project of being human? Lastly, if there is a scientific consensus that we need alternative futures, what kinds of knowledge is needed to bring about a post-imperial liberated order? The future of global health regime is a decolonial one predicated on a new biopolitics. I provide four paradigmatic approaches to subvert imperial global health: (i) pivoting ecocide in the imperial global health regime; (ii) abandonment of a Eurocentric conceptualization of racial hierarchy and modernity; (iii) disbanding the commodification of public health; and (iv) organizing a new world order through health reparations.

The discourse of delivering person-centred nursing care before, and during, the COVID-19 pandemic: Care as collateral damage.

The global COVID-19 pandemic challenged the world-how it functions, how people move in the social worlds and how government/government services and people interact. Health services, operating under the principles of new public management, have undertaken rapid changes to service delivery and models of care. What has become apparent is the mechanisms within which contemporary health services operate and how services are not prioritising the person at the centre of care. Person-centred care (PCC) is the philosophical premise upon which models of health care are developed and implemented. Given the strain that COVID-19 has placed on the health services and the people who deliver the care, it is essential to explore the tensions that exist in this space. This article suggests that before the pandemic, PCC was largely rhetoric, and rendered invisible during the pandemic. The paper presents an investigation into the role of PCC in these challenging times, adopting a Foucauldian lens, specifically governmentality and biopolitics, to examine the policies, priorities and practical implications as health services pivoted and adapted to changing and acute demands. Specifically, this paper draws on the Australian experience, including shifting nursing workforce priorities and additional challenges resulting from public health directives such as lockdowns and limitations. The findings from this exploration open a space for discussion around the rhetoric of PCC, the status of nurses and that which has been lost to the pandemic.

Depression and Global Mental Health in the Global South: A Critical Analysis of Policy and Discourse.

Over the past two decades, depression has become a prominent global public health concern, especially in low- and middle-income countries (LMICs). The World Health Organization (WHO) and the Movement for Global Mental Health have developed international guidelines to improve mental health services globally, prioritizing LMICs. These efforts hold promise for advancing care and treatment for depression and other mental, neurological, and substance abuse disorders in LMICs. The intervention guides, such as the WHO's mhGAP-Intervention Guides, are evidence-based tools and guidelines to help detect, diagnose, and manage the most common mental disorders. Using the Global South as an empirical site, this article draws on Foucauldian critical discourse and document analysis methods to explore how these international intervention guides operate as part of knowledge-power processes that inscribe and materialize in the world in some forms rather than others. It is proposed that these international guidelines shape the global discourse about depression through their (re)production of biopolitical assumptions and impacts, governmentality, and "conditions of possibility." The article uses empirical data to show nuance, complexity, and multi-dimensionality where binary thinking sometimes dominates, and to make links across arguments for and against global mental health. The article concludes by identifying several resistive discourses and suggesting reconceptualizing the treatment gap for common mental disorders.

El fracaso de las biopolíticas posmodernas: algunos apuntes sobre las tecnologías y prácticas de embellecimiento travestis / The failure of postmodern biopolitics: some notes on travesti beautification technologies and practices

Resumen Basado en el trabajo etnográfico que realicé junto a un grupo de travestis brasileñas trabajadoras del sexo en Río de Janeiro y Barcelona, en este artículo pretendo analizar las formas en que ellas emplean las tecnologías para transformar y embellecer unos cuerpos que cuestionan el modelo biomédico de nuestra sociedad: sus cuerpos no son leídos como "dóciles", "saludables" ni "productivos" ya que tampoco "encajan", ni pretenden encajar, en el binarismo sexual dominante. Por otro lado, la belleza - en tanto campo político y transformador - es uno de los principales elementos que las travestis tienen para encontrar su lugar en el mundo a partir de sus tránsitos (trans)nacionales: mientras se convierten en bellas travestis, están al mismo tiempo construyéndose como sujetas sociales que reclaman cierta inteligibilidad. Por lo tanto, la belleza para las travestis es un espacio (transitorio) de liberación que, en definitiva, pone en evidencia cómo ciertas tecnologías biopolíticas han fallado al producir cuerpos indisciplinados y bellas travestis que - con su supervivencia - se rebelan frente a un poder heteronormativo que considera que sus cuerpos no son dignos de duelo y, en consecuencia, "merecen morir".

Abstract Based on the ethnographic work I conducted with a group of Brazilian travesti sex workers in Rio de Janeiro and Barcelona, this article aims to analyze how they adopt technologies to transform and beautify their bodies that question the biomedical model of our society: their bodies are not read as "docile", "healthy", or "productive" since they do not "fit into", nor pretend to fit into the dominant sexual binary. On the other hand, beauty - as a political and transformative field - is one of the main elements that travestis have to find their place in the world through their (trans)national displacements: they are self-constructing as social subjects who claim some intelligibility while they become beautiful travestis. Therefore, travestis believe that beauty is a (transitory) space of liberation that, ultimately, reveals how certain biopolitical technologies have failed to produce undisciplined bodies and beautiful travestis who - through their survival - rebel against a heteronormative power that considers that their bodies are not worthy of mourning and, consequently, "deserve to die".

COVID-19 and Biopolitics: An Essay on Iran.

In the intricate tapestry of Iran's geopolitical, cultural, and economic landscape, the COVID-19 pandemic catalysed profound changes. This essay delves into the multifaceted impact of the pandemic on Iranians' lives, dissecting the specific nuances shaped by the complex biopolitical environment. We unravel the subtle imprints of COVID-19 on the biopolitical discourse, exploring how it intricately intertwines with daily life, social interactions, and the nation's health system.

A Colonização da Adolescência e sua Subversão pela Psicanálise / The Colonization of Adolescence and its Subversion by Psychoanalysis / La Colonización de la Adolescencia y su Subversión por el Psicoanálisis

O presente artigo possui o objetivo de, a partir de uma investigação teórica de textos sociais e psicanalíticos, analisar como a adolescência aparece, na modernidade, como um privilegiado produto político da colonização. Associamos à emergência dessa idade da vida, a biopolítica e a necropolítica, sendo a primeira um conceito de Michel Foucault e a segunda, de Achille Mbembe. Igualmente, analisamos como que o significante "adolescência" é interceptado por diferentes significados violentos, os quais deslocam-se inversamente e abaixo da cadeia de significantes, e que aprisionam os adolescentes em sentidos colonizadores, impondo-lhes um processo de destituição subjetiva. Recorremos às contribuições de Glória Anzaldúa e do psicanalista Jacques Lacan, para indicar uma outra identidade adolescente possível a qual prima pela proposição de novos significados e pelo deslocamento metonímico do significante, opondo-se àquela forjada pela colonização. Assim, indicamos como que a Psicanálise pode ser uma opção viável para a subversão da colonização da adolescência, privilegiando o sujeito e o desejo.

This article aims, from a theoretical investigation of social and psychoanalytical texts, to analyze how adolescence appears, in modernity, as a privileged political product of colonization. We associate biopolitics and necropolitics to the emergence of that age of life, the first being a concept by Michel Foucault and the second by Achille Mbembe. Likewise, we analyze how the signifier "adolescence" is intercepted by different violent signifieds, which move inversely and down the chain of signifiers, and which imprison adolescents in colonizing senses, imposing a process of subjective destitution on them. We resorted to the contributions of Glória Anzaldúa and the psychoanalyst Jacques Lacan, to indicate another possible adolescent identity which excels in proposing new signifieds and in the metonymic displacement of the signifier, opposing the identities forged by colonization. Thus, we indicate how Psychoanalysis can be a viable option for the subversion of the colonization of adolescence, privileging the subject and desire.

Este artículo tiene como objetivo, a partir de una investigación teórica de textos sociales y psicoanalíticos, analizar cómo la adolescencia aparece, en la modernidad, como un producto político privilegiado de la colonización. Asociamos la biopolítica y la necropolítica al surgimiento de esa edad de la vida, siendo la primera un concepto de Michel Foucault y la segunda de Achille Mbembe. Asimismo, analizamos cómo el significante "adolescencia" es interceptado por diferentes significados violentos, que se mueven en sentido inverso y descendente en la cadena de los significantes, y que aprisionan a los adolescentes en sentidos colonizadores, imponiéndoles un proceso de destitución subjetiva. Recurrimos a los aportes de Glória Anzaldúa y del psicoanalista Jacques Lacan, para señalar otra posible identidad adolescente que sobresale en la propuesta de nuevos significados y en el desplazamiento metonímico del significante, contraponiéndose a las identidades forjadas por la colonización. Así, indicamos cómo el Psicoanálisis puede ser una opción viable para la subversión de la colonización de la adolescencia, privilegiando el sujeto y el deseo.

Deconstructing COVID Time.

This essay explores the problem of trust and truth in states of emergency. Drawing on Giorgio Agamben's theory of biopolitics and his objections to political managerialism I argue that the real problem exposed by the pandemic was not a lack of trust in authority but an unscientific and uncritical attachment to expertise.

Who works on the 'frontline'? comparing constructions of 'frontline' work before and during the COVID-19 pandemic.

This article provides a comparative analysis of how frontline workers were constructed by the UK media prior to and during the COVID-19 pandemic in the UK. Both the News on the Web Corpus and the Coronavirus Corpus, as monitor corpora of web-based new articles, were utilised to identify changes in both the frequency and use of the word front*line from 2010 to 2021. Findings show that, following the outbreak of COVID-19, constructions of frontline work were more frequently associated with medical professions and became more figurative in nature. Our findings provide a counterpoint to claims that the COVID-19 pandemic led to an increased awareness of the critical nature of many types of 'low-skilled' work not previously recognised as essential. The study also extends previous research which has traced changes in language and its deployment during the COVID-19 pandemic.

Nursing in deathworlds: Necropolitics of the life, dying and death of an unhoused person in the United States healthcare industrial complex.

This paper begins with the lived accounts of emergency and critical care medical interventions in which an unhoused person is brought to the emergency department in cardiac arrest. The case is a dramatised representation of the extent to which biopolitical forces via reduction to bare life through biopolitical and necropolitical operations are prominent influences in nursing and medical care. This paper draws on the scholarship of Michel Foucault, Giorgio Agamben, and Achille Mbembe to offer a theoretical analysis of the power dynamics that influence the health care and death care of patients who are caught in the auspices of a neoliberal capitalist healthcare apparatus. This paper offers analysis of the overt displays of biopower over those individuals cast aside as generally unworthy of access to healthcare in a postcolonial capitalist system, in addition to the ways in which humans are reduced to 'bare life' in their dying days. We analyse this case study through Agamben's description of thanatopolitics, a 'regime of death', and the technologies that accompany the dying process, particularly in that of the homo sacer. Additionally, this paper illustrates the ways in which necropolitics and biopower are integral to understanding how the most advanced and expensive medical interventions make visible the political values of the healthcare system and how nurses and healthcare functions in these deathworlds. The purpose of this paper is to develop a greater understanding of biopolitical and necropolitical operations in acute and critical care environments, and to offer guidance to nurses in these spaces as they work to uphold ethical duties in a system that increasingly dehumanises.

Navigating responsible bio-political citizenship: Cross-country comparison of stigma in Covid-19 illness narratives in Germany, Japan, the UK and the USA.

This paper aims to further understanding of discourses of responsible bio-political citizenship during the first year of the Covid-19 pandemic. This was an interview-based qualitative study comparing experiences of 103 people who were ill with Covid for the first time across 2020 in Japan, Germany, the USA and the UK. Comparative thematic analysis explored discussion of responsibility in relation to Covid illness, experiences of social fracture and stigma, and the strategies employed to resist or mitigate stigma. This comparative analysis highlighted significant similarities across countries. We identified three mysteries of Covid illness experiences that impacted the work of navigating biopolitical citizenship. First, the mystery of how people caught Covid. There was an inherent paradox of following guidance yet nonetheless falling ill. Disclosure of Covid to minimise onward transmission was held in tension with accusations of irresponsibility. Second, the mystery of onward transmission. Uncertainty about transmission placed participants in a liminal space of potentially having caused harm to others. Third, the mystery of how long illness should last. Uncertainty about ongoing infectiousness made social re-entry difficult, particularly in instances of persistent symptoms. We demonstrate the instability of certainty in the context of new and emerging forms of biopolitical citizenship. Guidance and emerging scientific evidence sought to demystify Covid through providing certainty that could guide responsible actions, but where citizens experienced paradoxes this had the potential to exacerbate stigma.

Bioética, biopolítica e interculturalidad en salud pública: estudio de caso del Hospital Mama Dominga

Propósito/Contexto. Este artículo da cuenta de los resultados de un proyecto de investigación, cuyo objetivo fue la propuesta de un aporte desde la Bioética y la Biopolítica para la reformulación de un modelo de salud pertinente con las necesidades del contexto sociocultural de la población atendida por el Hospital Mama Dominga en Silvia, Cauca, Colombia. Metodología/Enfoque. El estudio siguió un corte fundamentalmente cualitativo, se privilegiaron las fuentes documentales y de sondeo, así como las observaciones propias del investigador. Resultados/Hallazgos. Los resultados ofrecen un acercamiento a la apreciación del pueblo Misak sobre la salud y su sistema de atención y resaltan la necesidad de apertura de diálogos realmente horizontales en ámbitos de ciencia y cultura, en pro del mejoramiento del bienestar de las comunidades tradicionales en el país. Discusión/Conclusiones/Contribuciones. A partir de la lectura de referentes teóricos y su correlación contextual con el desarrollo histórico de la salud en el Cauca, especialmente en el resguardo de Guambía con la comunidad Misak, se estableció una línea de análisis sobre la pertinencia de los modelos de atención en salud en contextos rurales o tradicionales y las oportunidades de transformación desde experiencias, historia y conocimientos propios de la población.

Purpose/Background. This article presents the results of a research project which objective was to propose a contribution, from bioethics and biopolitics, for the reformulation of a health attention model according with the needs of the community attended by Mama Dominga Hospital in Silvia, Cauca (Colombia) in their own sociocultural context. Methodology/Approach. The study fundamentally followed a qualitative approach, favouring documentary sources, polls, interviews and observations from the researcher. Results/Findings. The results offer an approach to the Misak conception about health and its attention system, and highlight the importance of promoting truly horizontal dialogues in science and culture spaces, in favor of the wellbeing improvement of traditional communities across the country. Discussion/Conclusions/Contributions. Parting from theoretical references and their contextual correlation with the historical development of health policies in Cauca -specially the Guambía Reservation with Misak people-, it was possible to set an analysis line about health attention models and their pertinence in rural and/or traditional contexts, and their adjustment opportunities by listening to experiences, history and knowledge that come from the own community.

Objetivo/Contexto. Este artigo relata os resultados de um projeto de pesquisa cujo objetivo foi propor uma contribuição da Bioética e da Biopolítica para a reformulação de um modelo de saúde relevante para as necessidades do contexto sociocultural da população atendida pelo Hospital Mama Dominga em Silvia, Cauca, Colômbia. Metodologia/Abordagem. O estudo seguiu uma abordagem fundamentalmente qualitativa, dando prioridade a fontes documentais e de pesquisa, bem como às observações do próprio pesquisador. Resultados/Descobertas. Os resultados oferecem uma abordagem da apreciação do povo Misak sobre a saúde e seu sistema de saúde e destacam a necessidade de abrir diálogos verdadeiramente horizontais nos campos da ciência e da cultura, a fim de melhorar o bem-estar das comunidades tradicionais do país. Discussão/Conclusões/Contribuições. Com base na leitura de referências teóricas e sua correlação contextual com o desenvolvimento histórico da saúde no Cauca, especialmente na reserva de Guambía com a comunidade Misak, foi estabelecida uma linha de análise sobre a pertinência dos modelos de atenção à saúde em contextos rurais ou tradicionais e as oportunidades de transformação com base nas experiências, na história e no conhecimento da população.

Transmission and territory: Urban bordering during COVID-19.

The governance of COVID-19 has involved the proliferation of territorial practices, through border controls designed to regulate movements not only across national and state borders, but also within cities and city regions. We argue that these urban territorial practices have been significant to the biopolitics of COVID-19 and warrant close scrutiny. Focusing on the Australian cities of Sydney and Melbourne, this paper offers critical analysis of the urban territorial practices of COVID-19 suppression, which we categorise as practices of closure, confinement and capacity control. We observe these practices in measures including 'stay at home' orders, residential building and housing estate lockdowns, closure of and capacity limits on non-residential premises, postcode- and municipality-level restrictions on movement, and hotel quarantine. These measures, we argue, have reinforced and at times exacerbated pre-existing social and spatial inequalities. However, we also recognise COVID-19's real and highly uneven threats to life and health, and therefore ask what a more egalitarian form of pandemic governance might look like. We draw on scholarly writing on 'positive' or 'democratic' biopolitics and 'territory from below', in order to outline some more egalitarian and democratic interventions that have been pursued to suppress viral transmission and to reduce vulnerability to COVID-19 and other viruses. This, we argue, is an imperative of critical scholarship as much as the critique of state interventions. Such alternatives do not necessarily reject state territorial interventions per se, but instead point towards a way of addressing the pandemic by recognising the capacity and legitimacy of biopolitics and territory from below. They point towards ways in which we might see a pandemic 'like a city' in a way that prioritises egalitarian care through a politics premised on democratic negotiations among diverse urban authorities and sovereignties.

Pandemic modelling and model citizens: Governing COVID-19 through predictive models, sovereignty and discipline.

Pandemic modelling functions as a means of producing evidence of potential events and as an instrument of intervention that Tim Rhodes and colleagues describe as entangling science into social practices, calculations into materializations, abstracts into effects and models into society. This article seeks to show how a model society evinced through mathematical models produces a model not only for society but also for citizens, showing them how to act in a certain model manner that prevents an anticipated pandemic future. To this end, we analyse political speeches by various Norwegian ministers to elucidate how various model-based COVID-19 responses enact a 'model citizen'. Theoretically, we combine Rhodes et al.'s arguments with Foucault's concepts of law, discipline and security, thus showing what a model society might imply for the model citizen. Finally, we conclude that although the model society is largely informed by epidemiological models and liberal biopolitics that typically place responsibility on individual subjects, sovereign state power remains manifestly present in the speeches' rhetoric.

The ideological roots of Nazi eugenics in pathology and its pioneers Martin Staemmler, Ludwig Aschoff, Robert Rössle, and Georg B. Gruber.

This study examines the ideological roots of Nazi eugenics and racial hygiene in the medical field of pathology and its key figures Martin Staemmler (1890-1974), Ludwig Aschoff (1886-1942), Robert Rössle (1876-1956), and Georg B. Gruber (1884-1977). The focus is on their specific approaches to racial hygiene and its legitimization by pathology and its representatives. The study is based primarily on the scientific works and statements of these four pathologists on the content of racial hygiene and the impact of these contributions on Nazi eugenics and its practical implementation in the Third Reich. The paper provides three key findings: (1) Staemmler, Aschoff, Rössle, and Gruber each had a significant impact on the implementation of Nazi eugenics and the legitimization of the Third Reich's health and population policies. (2) They all proclaimed the superiority of the Volksgemeinschaft ('people's community') over the individual and pursued the major objective of ensuring Volksgesundheit ('national health') by preventing the spread of hereditary diseases through sterilizations. (3) The specific relationship to racial hygiene was different for each of the four pathologists: Staemmler had a direct vision of racial hygiene in a national socialist context, Aschoff was committed to the subject long before 1933 and used the Nazi rise to power to reaffirm and expand his position, Rössle and Gruber adopted racial hygiene ideas not until the mid-1930 s, but later radicalized their views and lent additional legitimacy to Nazi eugenics in theory and practice. (4) Albeit to varying degrees, all four pathologists bear some responsibility for the medical crimes that resulted from Nazi eugenics and the related policies. It can be concluded that Staemmler, Aschoff, Rössle, and Gruber made considerable contributions to the theory of Nazi eugenics and provided the much-needed scientific legitimization for the Third Reich's health and population policies.