Worries about mental causation are prominent in contemporary discussions of the mind and human agency. Originally, the problem of mental causation was that of understanding how a mental substance (thought to be immaterial) could interact with a material substance, a body. Most philosophers nowadays repudiate immaterial minds, but the problem of mental causation has not gone away. Instead, focus has shifted to mental properties. How could mental properties be causally relevant to bodily behavior? How (...) could something mental qua mental cause what it does? After looking at the traditional Problem of Interaction, we survey various versions of the property-based problem and look at proposed solutions to them. (shrink)

In this surprising book, Allan V. Horwitz argues that our current conceptions of mental illness as a disease fit only a small number of serious psychological conditions and that most conditions currently regarded as mental illness are cultural constructions, normal reactions to stressful social circumstances, or simply forms of deviant behavior.

Here is an overview of what is to come. In Sections I and II, I will sketch two of the projects frequently pursued by moral philosophers, and the methods typically invoked in those projects. I will argue that these projects presuppose (or at least suggest) a particular sort of account of the mental representation of human value systems, since the methods make sense only if we assume a certain kind of story about how the human mind stores information about (...) values. The burden of my argument in Section III will be that while the jury is still out, there is some evidence suggesting that this account of mental representation is mistaken. If it is mistaken, it follows that two of the central methods of moral philosophy have to be substantially modified, or perhaps abandoned, and that the goals philosophers have sought to achieve with these methods may themselves be misguided. I fear that many of my philosophical colleagues will find this a quite radical suggestion. But if anything is clear in this area, it is that the methods we will be considering have not been conspicuously successful, though it certainly has not been for want of trying. So perhaps it is time for some radical, empirically informed rethinking of goals and methods in these parts of moral philosophy. (shrink)

A perceptual learning experiment provides evidence that the mental lexicon cannot consist solely of detailed acoustic traces of recognition episodes. In a training lexical decision phase, listeners heard an ambiguous [f–s] fricative sound, replacing either [f] or [s] in words. In a test phase, listeners then made lexical decisions to visual targets following auditory primes. Critical materials were minimal pairs that could be a word with either [f] or [s] (cf. English knife–nice), none of which had been heard in (...) training. Listeners interpreted the minimal pair words differently in the second phase according to the training received in the first phase. Therefore, lexically mediated retuning of phoneme perception not only influences categorical decisions about fricatives (Norris, McQueen, & Cutler, 2003), but also benefits recognition of words outside the training set. The observed generalization across words suggests that this retuning occurs prelexically. Therefore, lexical processing involves sublexical phonological abstraction, not only accumulation of acoustic episodes. (shrink)

The aim of this paper is to elucidate Franz Brentano's concept of immanent object through his own words and from his own perspective. The prevalent account of Brentano's revival of intentionality, his initial failure to distinguish between object and content, and his wrong‐headed immanentism, is largely derived from his students. Brentano's objection to it, although well known, is seldom heeded. In fact, plenty of guidelines have been provided by Brentano himself in his writings on how his concept of immanent object (...) is to be understood. I begin with his distinction between two senses of “object,” which, I argue, must be clearly set apart from distinction between two modes of object. I then examine three different interpretations of the term “in‐existence”: the locative, the inherentist, and the objective interpretation. In the end, after dismissing the first two interpretations, I argue that Brentano is best understood as maintaining an objective and deflationary account of mental in‐existence. (shrink)

While the general topic of agency has been collaboratively explored in philosophy and psychology, mental action seems to resist such an interdisciplinary research agenda. Since it is difficult to empirically access mental agency beyond externally measurable behavior, the topic is mainly treated philosophically. However, this has not prevented philosophers from substantiating their arguments with psychological findings, but predominantly with those which allegedly limit the scope and conscious controllability of mental action in favor of automated subpersonal processes. By (...) contrast, the call for a methodological extension through introspective access is particularly noticeable among proponents of a wider significance of mental action. Taking this up, it is shown how an empirical-introspective methodology can obtain a differentiated structure of mental activities occurring in directed thought. The empirical results gained under replicable conditions with 32 participants lead to insights about mental activity regarding (1) immanent causation, (2) content-free intention, (3) active receptivity and (4) its selective openness to mental content, and (5) different levels of observational awareness. These arguments speak for assigning an agentive status to the activities studied and hence for a more significant role of mental action in cognitive processes. (shrink)

Knowledge is standardly taken to be belief that is both true and justified (and perhaps meets other conditions as well). Timothy Williamson rejects the standard epistemology for its inability to solve the Gettier problem. The moral of this failure, he argues, is that knowledge does not factor into a combination that includes a mental state (belief) and an external condition (truth), but is itself a type of mental state. Knowledge is, according to his preferred account, the most general (...) factive mental state. I argue, however, that Gettier cases pose a serious problem for Williamson’s epistemology: in these cases, thesubject may have a factive mental state that fails to be cognitive. Hence, knowledge cannot be the most general factive mental state. (shrink)

The concept of mental disorder is often defined by reference to the notion of mental dysfunction, which is in line with how the concept of disease in somatic medicine is often defined. However, the notions of mental function and dysfunction seem to suffer from some problems that do not affect models of physiological function. Functions in general have a teleological structure; they are effects of traits that are supposed to have a particular purpose, such that, for example, (...) the heart serves the goal of pumping blood. But can we single out mental functions in the same way? Can we identify mental functions scientifically, for instance, by applying evolutionary theory? Or are models of mental functions necessarily value-laden? I want to identify several philosophical problems regarding the notion of mental function and dysfunction and point out some possible solutions. As long as these questions remain unanswered, definitions of mental disorder that rest upon the concept of mental dysfunction will lack a secure foundation. (shrink)

In this paper, I want to show that the so-called intentionalist programme, according to which the qualitative aspects of the mental have to be brought back to its intentional features, is doomed to fail. For, pace Brentano, the property that constitutes the main part of such intentional features, i.e., intentionality, is not the mark of the mental, neither in the proper Brentanian sense, according to which intentionality is the both necessary and sufficient condition of the mental, nor (...) in its ‘watered down’ counterpart recently defended by Tim Crane, according to which intentionality is just the necessary condition of the mental. However, this does not mean that being mental is just a heterogenous category. For there may be another mark of the mental, i.e., consciousness, in the phenomenological sense of the property of being experienced. (shrink)

Conceptual atomists argue that most of our concepts are primitive. I take up three arguments that have been thought to support atomism and show that they are inconclusive. The evidence that allegedly backs atomism is equally compatible with a localist position on which concepts are structured representations with complex semantic content. I lay out such a localist position and argue that the appropriate position for a non-atomist to adopt is a pluralist view of conceptual structure. I show several ways in (...) which conceptual pluralism provides an advantage in satisfying the empirical and philosophical demands on a theory of conceptual structure and content. (shrink)

Inpatient mental health nursing operates with an overarching goal to support people living with mental health challenges by managing risk of harm to self and others, decreasing symptoms, and promoting capacity to live outside of hospital settings. Yet, dominant, harmful stereotypes persist, constructing patients as less than, in need of saving, and lacking self‐control and agency. These dominant assumptions are deeply entrenched in racist, patriarchal, and Othering beliefs and continue to perpetuate and (re)produce inequities, specifically for people with (...) multiple intersecting identities relating to race, class, gender, and culture. This paper explores the relevance of postcolonial feminism, particularly Gayatri Spivak's concept of Subaltern—conceptualized as groups of people who are denied access to power and therefore continue to be systematically oppressed and marginalized—in illuminating the problematic and dominant assumptions about people living with mental health challenges as lacking agency and requiring representation. Through an understanding of Subalternity, this paper aims to decenter and deconstruct dominant colonial, patriarchal narratives in mental health nursing, and ultimately calls for mental health nursing to fundamentally reconsider prevailing assumptions of patients as needing representation and lacking agency. (shrink)

People with mental illness are subjected to stigma and discrimination and constantly face restrictions in the exercise of their political, civil and social rights. Considering this scenario, mental health, ethics and human rights are key approaches to advance the well-being of persons with mental illnesses. The study was conducted to review the scope of the empirical literature available to answer the research question: What evidence is available regarding human rights and ethical issues regarding nursing care to persons (...) with mental illnesses? A scoping review methodology guided by Arksey and O’Malley was used. Studies were identified by conducting electronic searches on CINAHL, PubMed, SCOPUS and Hein databases. Of 312 citations, 26 articles matched the inclusion criteria. The central theme which emerged from the literature was “Ethics and Human Rights Boundaries to Mental Health Nursing practice”. Mental health nurses play a key and valuable role in ensuring that their interventions are based on ethical and human rights principles. Mental health nurses seem to have difficulty engaging with the ethical issues in mental health, and generally are dealing with acts of paternalism and with the common justification for those acts. It is important to open a debate regarding possible solutions for this ethical dilemma, with the purpose to enable nurses to function in a way that is morally acceptable to the profession, patients and members of the public. This review may serve as an instrument for healthcare professionals, especially nurses, to reflect about how to fulfil their ethical responsibilities towards persons with mental illnesses, protecting them from discrimination and safeguarding their human rights, respecting their autonomy, and as a value, keeping the individual at the centre of ethical discourse. (shrink)

Good explanations are not only true or probably true, but are also relevant to a causal question. Current models of causal explanation either only address the question of the truth of an explanation, or do not distinguish the probability of an explanation from its relevance. The tasks of scenario construction and conversational explanation are distinguished, which in turn shows how scenarios can interact with conversational principles to determine the truth and relevance of explanations. The proposed model distinguishes causal discounting from (...) causal backgrounding , and makes predictions concerning the differential effects of contextual information about alternative explanations on: (a) the kind of mental models constructed; (b) belief revision about probable cause; and (c) the perceived quality of a focal explanation. Four experiments are reported that test these predictions. The significance of the notion of explanatory relevance for research on causal explanation is then discussed. (shrink)

In ?Some Myths about ?Mental Illness'? (Inquiry, Vol. 18 [1975], No. 3), Michael Moore attempts to clarify and refute what he takes to be the radical (existential) position concerning the nature and diagnosis of mental illness. Moore's dissatisfaction with certain formulations and conceptualizations of the radical position is endorsed; as also the need to introduce greater rigor and precision into the discussion of mental illness. But Moore's clarifications are really misunderstandings and, in consequence, his refutations do not (...) succeed. Moore's five?fold interpretative classification of the radical thesis is retained. (shrink)

Rather than eliminate the terms "mental health and illness" because of the grave moral consequences of psychiatric labeling, conservative definitions are proposed and defended. Mental health is rational autonomy, and mental illness is the sustained loss of such. Key terms are explained, advantages are explored, and alternative concepts are criticized. The value and descriptive components of all such definitions are consciously acknowledged. Where rational autonomy is intact, mental hospitals and psychotherapists should not think of themselves as (...) treating an illness. Instead, they are functioning as applied axiologists, moral educators, spiritual mentors, etc. They deal with what Szasz has called "personal, social, and ethical problems in living." But mental illness is real. (shrink)

The aim of this article is to adapt Peirce’s semiotics to the study of media and arts. While some Peircean notions are criticized and rejected, constructive ways of understanding Peirce’s ideas are suggested, and a number of new notions, which are intended to highlight crucial aspects of semiosis, are then introduced. All these ideas and notions are systematically related to one another within the frames of a consistent terminology. The article starts with an investigation of Peirce’s three sign constituents and (...) their interrelations: the representamen, the object, and the interpretant. A new approach to the interrelations of these three sign constituents is then suggested and manifested in a distinction between representation and neopresentation. This is followed by a critical discussion of Peirce’s three types of representation—iconicity, indexicality, and symbolicity—and their interrelations, which sets the stage for a presentation of what is referred to as the material and mental representation model. This model aims to illuminate the problematic relation between material and mental facets of signification triggered by media and art products, and other material things and phenomena. (shrink)

Mental capacity and autonomy are often understood to be normatively neutral? the only values or other norms they may presuppose are those the assessed person does or would accept. We show how mental disorder threatens normatively neutral accounts of autonomy. These accounts produce false positives, particularly in the case of disorders (such as depression, anorexia nervosa and schizophrenia) that affect evaluative abilities. Two normatively neutral strategies for handling autonomy-undermining disorder are explored and rejected: a blanket exclusion of (...) class='Hi'>mental disorder, and functional tests requiring consistency, expression of identity, reflective non-alienation or lack of compulsion. Finally, we suggest ways in which substantivist alternatives to neutrality can be made more promising through increased transparency, democratic contestability of conditions for capacity and autonomy, and a historically sensitive caution concerning restrictions of liberty. (shrink)

I strongly endorse many of the suggestions made by the authors of the extremely useful reviews in this issue. In particular, the need to identify the complex causal mechanisms underlying the major health risk factors requires urgent attention of the research community. I suggest considering the important role of emotional disturbances as contributors to health risks given the empirically established comorbidity between mental and somatic illness. Better knowledge of these mechanisms is an essential prerequisite to develop tailored personalized prevention (...) and intervention programs, including reliable and valid assessment of deficits. (shrink)

This article aims at grounding critical theories with the help of psy discourses. Even if the relationship between the two disciplines has always been a controversial one, the article argues that therapeutic knowledge that accesses empirical forms of social suffering may offer important insights for critical theory. This general argument is demonstrated by complementing the theories of Bourdieu and Habermas with a clinical description of depression. First, the limitations of the capabilities of these influential theories in terms of how they (...) can be used to conceptualize the variety of social suffering are introduced. Second, the psy discourses on depression are reviewed to identify and highlight latent references to the social. Third, by combining models of depressive suffering and various distortions of integration, an extended normative basis is elaborated. Instead of solely criticizing inequalities or distortions of communication, those social constellations are criticized that trap actors by producing a homogenous pattern of suffering. (shrink)

First Published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.