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VOLUME 11 , ISSUE 1 ( January-April, 2022 ) > List of Articles


Aplana La Curva Del Trauma: Reflexiones Filosóficas Sobre La Violencia

Manuel A Medina, Adriana G García Canseco

Keywords : Philosophy, Prevention, Public health, Violence

Citation Information : Medina MA, Canseco AG. Aplana La Curva Del Trauma: Reflexiones Filosóficas Sobre La Violencia. Panam J Trauma Crit Care Emerg Surg 2022; 11 (1):45-50.

DOI: 10.5005/jp-journals-10030-1381

License: CC BY-NC 4.0

Published Online: 24-05-2022

Copyright Statement:  Copyright © 2022; The Author(s).


At this moment in the history of humanity, we have witnessed a restriction of our individual freedoms justified by a common good: the limitation of contagion by infection of the SARS-CoV-2 virus (COVID-19) in the context of this health emergency. In this article I propose to address the consequences of a stricter health policy in order to face a disease that has plagued us for more than 3 decades: violence. Through a brief historical review, it is intended to carry out a philosophical reflection on the theoretical foundations of decisions in bioethics and public health, as well as to understand the complex panorama of the increase in violence and its media and cultural apology in Mexico. Finally, a review is made of the work of Dr Gary Slutkin and his team of collaborators in Chicago who, through studies in the area of neuroscience, defend a shocking thesis: violence behaves like an infectious disease. The conclusions that emerge from this thesis depend on the reader, but we should ask ourselves: if violence is an infectious disease, what freedoms are we willing to give up to contain this public health problem?

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  1. Trujillo I. (2015). IUSNATURALISMO TRADICIONAL, CLÁSICO, MEDIEVAL E ILUSTRADO. Enciclopedia de Filosofía y teoría del Derecho, (Vol 1), 3–35
  2. Santos, J. (2013). Acerca del concepto de naturaleza en Thomas Hobbes: derecho natural y ley natural en El Leviatán. Espíritu LXII (2013) · no 145 · 95–123.
  3. Los aportes del iusnaturalismo y su recepción en las dos grandes revoluciones del Siglo XVIII por NORBERTO QUINTO MARTÍNEZ DELFA 14 de Noviembre de 2011 Id SAIJ: DACF110182
  4. National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. The Belmont Report: ethical principles and guidelines for the protection of human subjects of research. Washington, DC: US Dept Of Health, Education, and Welfare; April 18, 1979. Available at: Accessed December 8, 2021
  5. Bayer R, Fairchild AL. The genesis of public health ethics. Bioethics (2004);18(6): 473–492.
  6. Mill, John Stuart. Utilitarianism. London, Parker, son, and Bourn, 1863. Web. Retrieved from the Library of Congress,
  7. Savulescu J, Persson I, Wilkinson D. Utilitarianism and the pandemic. Bioethics 2020;34(6):620–632. DOI: 10.1111/bioe.12771. PMID: 32433782; PMCID: PMC7276855.
  8. Kass NE. An ethics framework for public health. Am J Public Health 2001;91(11):1776–1782. DOI: 10.2105/ajph.91.11.1776
  9. The Institute for Economics and Peace. Global Peace Index 2016. Sidney: IEP; 2016. p.10–11, 30–31, 108. [cited 2017]. Available from:
  10. Institute for Economics & Peace. Global Peace Index 2021: Measuring Peace in a Complex World, Sydney, June 2021. Available from: (accessed 2022).
  11. Instituto para la Economía y la Paz. Índice de Paz México 2021: identificacióny medición de los factores que impulsan la paz, Sídney, mayo de 2021. Disponible en (consultado 2022 Enero 12).
  12. Aburto JM, Beltrán-Sánchez H, García-Guerrero VM, et al. Homicides in Mexico reversed life expectancy gains for men and slowed them for women, 2000–10. Health Aff (Millwood) 2016;35(1):88–95. DOI: 10.1377/hlthaff.2015.0068
  13. ORDORICA MELLADO, Manuel; CERVANTES SALAS, Mauricio Pablo. El fin de la esperanza: los homicidios como causa de la expectativa de vida perdida. Pap. poblac, Toluca, v. 26, n. 105, p. 39–68, sept. 2020. Disponible en accedido en 12 enero 2022. Epub 11-Oct-2021.
  14. Instituto Nacional Estadistica y Geografia [base de datos de Internet]. Estadísticas de Mortalidad. Mexico: Instituto Nacional Estadistica y Geografia; 2020. [citado el 12 de enero de 2022]. Disponible en:
  15. Center for Disease Control. (2014). Injury prevention and control. Data and Statistics (WHISQARS). Available at Accessed 17 Aug 2014.
  16. Efraín Tzuc, “México rebasa las 4 mil fosas clandestinas, 40% se encontraron en este sexenio”, A donde van los desaparecidos, 08 de Octubre de 2021.
  17. Gibson, James J. “The contribution of experimental psychology to the formulation of the problem of safety–a brief for basic research.” Behavioral approaches to accident research 1.61 (1961): 77–89.
  18. Haddon Jr W. The changing approach to the epidemiology, prevention, and amelioration of trauma: the transition to approaches etiologically rather than descriptively based. Am J Public Health Nations Health 1968;58(8):1431–1438. DOI: 10.2105/ajph.58.8.1431
  19. Surgeons, ACO. Advanced trauma life support. 7th ed. Chicago (IL): American College of Surgeons; 2004
  20. Jimmy Ortíz Palacios. Algunas instantáneas de ira como afecto creador del espacio político. Anacronismo e Irrupción, Vol. 9, N° 17(Noviembre 2019 – Abril 2020): 67–85
  21. BLAIR TRUJILLO, Elsa. Aproximación teórica al concepto de violencia: avatares de una definición. Polít. cult. [online]. 2009, n.32 [citado 2022-01-16], pp.9-33. Disponible en: ISSN 0188–7742.
  22. Mysterud, Iver, and Dag Viljen Poleszynski. “Expanding Evolutionary Psychology: Toward a Better Understanding of Violence and Aggression.” Social Science Information 42, no. 1 (March 2003): 5–50.
  23. National, Research Council, et al. Contagion of Violence: Workshop Summary, edited by Rachel M. Taylor, et al., National Academies Press, 2013. ProQuest Ebook Central, Created from unam on 2021-12-26 02:48:50
  24. Camacho A, Bouhenia M, Alyusfi R, et al. Cholera epidemic in Yemen, 2016–18: an analysis of surveillance data. Lancet Glob Health 2018;6(6):e680–e690. doi: 10.1016/S2214-109X(18)30230-4. Epub 2018. PMID: 29731398; PMCID: PMC5952990.
  25. Fuentes Flores C, Sánchez Salinas O. Contexto sociodemográfico de los homicidios en México, D.F.: un análisis espacial Rev Panam Salud Publica. 2015;38(6):450–456
  26. di Pellegrino G, Fadiga L, Fogassi L, et al. Understanding motor events: a neurophysiological study. Exp Brain Res 1992;91(1):176–180. doi: 10.1007/BF00230027. PMID: 1301372.
  27. Mukamel R, Ekstrom AD, Kaplan J, et al. Single-neuron responses in humans during execution and observation of actions. Curr Biol 2010;20(8):750–756. DOI: 10.1016/j.cub.2010.02.045
  28. Dapretto M, Davies MS, Pfeifer JH, et al. Understanding emotions in others: mirror neuron dysfunction in children with autism spectrum disorders. Nat Neurosci 2006;9(1):28–30. DOI: 10.1038/nn1611
  29. Meltzoff AN, Moore MK. Imitation of facial and manual gestures by human neonates. Science 1977;198(4312):74–8. DOI: 10.1126/science.897687. PMID: 897687.
  30. Meltzoff AN. (2005). Imitation and Other Minds: The “Like Me” Hypothesis. In S Hurley & N Chater (Eds.), Perspectives on imitation: From neuroscience to social science: Vol. 2. Imitation, human development, and culture (pp. 55–77).
  31. Zaki J, Schirmer J, Mitchell JP. Social influence modulates the neural computation of value. Psychol Sci 2011;22(7):894–900. DOI: 10.1177/0956797611411057
  32. Daniel Inclán, et al. La brutalidad utilitaria. Ensayos sobre economía política de la violencia, edited by Universidad Nacional Autónoma de México, Instituto de Investigaciones Económicas, Editorial Akal. Instituto de Investigaciones Económicas. 2021.
  33. Kervyn N, Cavazos Arroyo J, Castillo Villar FR. et al. (2019), “¿Qué hacer cuando tú marca es secuestrada por Narcos? El caso del whisky de Buchanan's”, Emerald Emerging Markets Case Studies, Vol. 9 No. 3.
  34. Gonzalez-Urquijo M. Takeaways from a hundred and fifty years of surgical education: a chief resident's perspective. Educación Médica 2021;22:S514–S516. DOI: 10.1016/j.edumed.2020.11.003
  35. Slama EM, Joseph S, Oakland M, et al. William Stewart Halsted: Father of the model for our current surgical training programs. J Am Coll Surg 2016:65–69.
  36. Milgram S. Behavioral study of obedience. J Abnorm Psychol 1963;67:371–378.
  37. Haney C, Zimbardo P. The past and future of U.S. prison policy: twenty-five years after the Stanford Prison Experiment. Am Psychol 1998;53(7):709–727. DOI: 10.1037//0003-066X.53.7.709
  38. González Álvarez, José Luis, Ibáñez, José, Muñoz, Ana María Introducción al estudio de las sectas. Papeles del Psicólogo [en linea]. 2000, (76), 51–56[fecha de Consulta 16 de Enero de 2022]. ISSN: 0214–7823. Disponible en:
  39. Poder Ejecutivo (México). Norma Oficial Mexicana para la organización y funcionamiento de las residencias médicas. Diario Oficial de la Federación, México: Secretaría de Salud, 1999.
  40. Castro et al.: Violencia en la práctica médica en México: un caso de ambivalencia sociológica. Estudios Sociológicos XXXVI: 2018, (108), 539–569.
  41. A. Porfirio Cervantes-Pérez. La violencia contra trabajadores de la salud. Cir Cir. 2018;86:473–474.
  42. BURGOS MORENO, MÓNICA y PARAVIC KLIJN, TATIANA. VIOLENCIA HOSPITALARIA EN PACIENTES. Cienc. enferm. [online]. 2003, vol.9, n.1 [citado 2022-01-16], pp.9-14. Disponible en: ISSN 0717-9553.
  43. Medina Cascales J, & Prieto MJ. (2019). Incidencia de la práctica de actividad física y deportiva como reguladora de la violencia escolar (Incidence of the practice of physical and sporting activities as a regulator of school violence). Retos, 35, 54–60.
  44. Moore S, Carter L, van Goozen S. Confectionery consumption in childhood and adult violence. Br J Psychiatry 2009;195(4):366–367. DOI: 10.1192/bjp.bp.108.061820
  45. Ana Lilia Rodríguez-Ventura, Ingris Pelaez-Ballestas, Reyna Sámano-Sámano, Carlos Jimenez-Gutierrez, Carlos Aguilar-Salinas, “Barriers to Lose Weight from the Perspective of Children with Overweight/Obesity and Their Parents: A Sociocultural Approach”, Journal of Obesity, vol. 2014, Article ID 575184, 7 pages, 2014.
  46. Springer. Violence, trauma and trauma surgery: ethical issues, interventions, and innovations. Mark Siegler Selwyn O. Rogers Jr. University of Chicado, Chicago Il Chapter 1: Hospital–Based Interventions to Reduce Violence and Recidivism: Wraparound Programs. Pag. 3–15.
  47. Springer. Violence, trauma and trauma surgery: ethical issues, interventions, and innovations. Mark Siegler Selwyn O. Rogers Jr. University of Chicado, Chicago Il Chapter 5: Violence Is a Contagious Disease: Theory and Practice in the USA and Abroad. pag: 67–85.
  48. Bayer R, Fairchild AL. Means, ends and the ethics of fear-based public health campaigns. J Med Ethics 2016;42(6):391–396. DOI: 10.1136/medethics-2016-103621
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