In view of recent research can we continue to argue for a superiority over other animals that justifies dominating and exploiting them? This question, now “in the center of ethical discussion,” invites us to “radically reconsider the terms of ethical inquiry” (Rolston 1993, 382). Those terms now include the feelings biophilia and biophobia as well as compassion, sympathy, and empathy. Are we prepared to value not only reason but also emotions that connect us to other animals? If we are to (...) save ourselves and our planet, we need a more interdisciplinary model of ethics that includes “emotive” as well as analytic ethics. Derrida’s “L’Animal que donc je suis (ti suivre)” (1997) combines them, citing literature to demonstrate the role of feelings in situation-specific ethics. Though he does not use E.O Wilson’s terminology, Derrida suggests that what blocks biophilia is an apparently instinctive, superstitious fear of animals that has expanded into what we now call biophobia. Ultimately, Derrida focuses on a new experience of compassion that can bring about the political change needed to save our planet. (shrink)

There is public support in the United States and Europe for accounting for animal welfare in national policies on food and agriculture. Although an emerging body of research has measured animals’ capacity to suffer, there has been no specific attempt to analyze how this information is interpreted by the public or how exactly it should be reflected in policy. The aim of this study was to quantify Americans’ preferences about farming methods and the suffering they impose on different species to (...) generate a metric for weighing the trade-offs between different approaches of promoting animal welfare. A survey of 502 residents of the United States was implemented using the online platform Mechanical Turk. Using respondent data, we developed the species-adjusted measure of suffering-years, an analogue of the disability-adjusted life year, to calculate the suffering endured under different farming conditions by cattle, pigs, and chickens, the three most commonly consumed animals. Nearly one-third of respondents reported that they believed animal suffering should be taken into account to a degree equal to or above human suffering. The 2016 suffering burden in the United States according to two tested conditions was approximately 66 million SAMYs for pigs, 156 million SAMYs for cattle, and 1.3 billion SAMYs for chickens. This calculation lends early guidance for efforts to reduce animal suffering, demonstrating that to address the highest burden policymakers should focus first on improving conditions for chickens. (shrink)

Health equity matters, but there is no universally accepted definition of this or associated terms, such as inequities, inequalities, and disparities. Given the flexibility of these terms, investigating how policymakers understand them is important to observe priorities and perhaps course correct. Accordingly, this study analyzed the perceptions high-level policymakers within the WHO African Region. An online survey was distributed to attendees of the WHO’s Fifth Health Sector Directors’ Policy and Planning Meeting for the WHO African Region by email. After responses (...) were collected, both inductive and deductive coding were applied. Inductive coding was undertaken to glean central concepts from free-form responses on understandings of health equity and deductive coding was used to assess alignment with four theories of distributive justice using a coding framework. In analyzing central concepts, three became apparent: access to health services and/or health care, financial protection, and recognizing subgroups. And when we investigated alignment with theory, most respondents’ understandings of health equity aligned with Rawls’ ‘Theory of Justice’ (95%). Of these responses, 70% were exclusively aligned with Rawls’ ‘Theory of Justice’ and 30% aligned also with another theory (this 30% was split 55% utilitarianism and 45% Sen’s Capabilities Approach). Respondent understandings of health equity showed limited alignment with other theories of distributive justice, which were: utilitarianism (n = 7/39; 17.95%), Sen’s Capabilities Approach (n = 5/39; 12.82%), and libertarianism (n = 2/39; 5.13%). Our study demonstrates that alignment with certain theories is tied to specific themes (i.e., theoretical underpinnings may guide policymakers to favour certain policy approaches). For instance, a utilitarian-minded policymaker may be focused on a widespread vaccination campaign, whereas a Rawlsian-aligned policymaker may focus on a targeted approach to reach communities that have lower vaccination rates, and a Senian-aligned policymaker may focus on health literacy programs targeted at addressing vaccine-hesitant individuals within communities with lower vaccination rates. These findings can guide high-level policymakers and international organizations to optimize decision-making by clarifying ethical alternatives. (shrink)

The realm of non-rational influence, which includes nudging, is home to many other morally interesting phenomena. In this paper, I introduce the term bumping, to discuss the category of unintentional non-rational influence. Bumping happens constantly, wherever people make choices in environments where they are affected by other people. For instance, doctors will often bump their patients as patients make choices about what treatments to pursue. In some cases, these bumps will systematically tend to make patients’ decisions worse. Put another (...) way: doctors will sometimes harm their patients by bumping them in systematic (although still unintentional) ways. I use the case of medical overuse, the provision of medical services where the likely harm outweighs the likely benefit to the patient, as a touchstone for arguing that doctors who systematically bump their patients towards harm can be blameworthy for their unwitting influence. (shrink)

Roads to Reference offers a highly valuable contribution to the theory of reference. The arguments in this book are quite convincing and the overall picture presented in it is quite attractive. In what follows I would like to present some critical comments regarding the first chapter of the book, Demonstratives and Conflicting Intentions.

Presentism faces a familiar objection from truthmaker theory. How can propositions about the past be made true if past entities do not exist? In answering this question, there are, broadly, two roads open to the presentist. The easy road to presentism proceeds by capitulating to the demands imposed by truthmaker theory and finding truthmakers for claims about the past. This road typically involves the invocation of controversial metaphysical posits that must then be defended. The hard road to presentism resists the (...) demands of truthmaker theory by denying that all truths must be truth-made. The road is hard as it requires providing a principled restriction on the scope of truthmaker theory. In this paper, I argue that the hard road collapses back into the easy road; there is no hard road to presentism. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Commentary on “Lumps and Bumps”Kathleen Wallace (bio)Reason/Emotion Distinction in PhilosophyI would like to use Radden’s interesting exploration of the historical roots of a split between affect and thought as an occasion for reflecting on the distinction itself and some of the philosophical reasons for its appeal. There is a range of presuppositions in philosophical theories about knowledge, judgment, moral judgment and the like that have disposed us, at least (...) in the West, to accept a split between emotion or affect and reason or thought. At least in the modern tradition (from the seventeenth century on), judgment has been identified with “reason” and conceived of as the making of logical, evidential, “impartial,” or “legislative” inferences or the asserting and applying of universal principles and rules. 1 Feelings might provide content or data for reasoning but do not themselves judge.A brief review of recurrent assumptions about feelings will be indicative of possible rationales for their subordination to “reason.” Some of these assumptions are that feelings (1) are untransformable; (2) are incompatible with autonomy because they are not self-caused but are part of a deterministic causal chain; (3) are noncognitive; (4) are unreliable; (5) are demeaning because associated with the animal, sensual, or “natural” side of human nature; (6) have no moral content; and (7) have only an accidental relation to action and choice. 2In his thought Kant, who had such a strong influence on the development of Kraepelin’s theory, reflects several of these assumptions. Emotions are part of the sensible world and subject to the strict law of causality. The only exception to the deterministic view of emotion is the moral feeling of respect for the moral law. The feeling of respect “is not one received through an outside influence but is, rather, one that is self-produced by means of a rational concept.” 3Most of these accounts presuppose that feeling is a reactive or passive state or that it “expresses” or reveals an inner state over which one has no control. If feeling also tends to be viewed as noncognitive, then it has no value for knowledge. Given these assumptions, actions and judgments that are based on, motivated by, or formed with reference to feeling are viewed as suspect with regard to their objectivity.ImplicationsThe split between reason and emotion has had interesting consequences in the assessment of behaviors that are thought of as gendered. For example, moral deliberation that seems to be based on feeling or emotion is assessed as inferior to that which is allegedly based on reason, and the [End Page 17] former tends to be associated with women. For example, an “epistemic lean” of the moral commitment to care (Bartky 112) involves “a displacement of interest from my own reality to the reality of the other” (Noddings 14). 4 But if the perspective into which a female caregiver enters is one that is structured in terms of a presumed supremacy of the male, then a woman, through caregiving, could participate in her own social (and personal) demotion (Bartky 109). Yet she may thereby be caught in an interesting bind: “Tenderness requires compassion and forgiveness,... virtues under some circumstances and... excellences in a caregiver. But there are situations in which [such] virtues... can lead to moral blindness or outright complicity” (Bartky 112). Bartky cites the example of Teresa Stangl, wife of Fritz Stangl, Kommandant of Treblinka, who, although appalled by what she knew of her husband’s activity, supported him at home and never publicly challenged his moral outlook (Bartky 1990, 113). Thus a woman is caught in a doublebind. If she is “forgiving” and “tender,” she may be identified as “complicitous,” “unprincipled,” or morally “weak-willed,” but if she were to assert her [other] principles she would fail to be “virtuous” as a caregiver, her designated, but subordinate, moral role. 5 Thus, a traditional association of judgment with “reason” may support the inference that the affectively motivated person does not count as a moral agent, or is at best an inferior one.What this suggests is not only that a sharp split between reason and emotion or thought and affect may lead to a distorted understanding... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Commentary on “Lumps and Bumps”Katherine Arens (bio)“Lumps and Bumps” offers a fresh look at nosological classifications in terms of their genesis in eighteenth-century philosophy by acknowledging the proximity of philosophy to the sciences of the mind in the eighteenth and nineteenth centuries, especially in Germany. Today, strict borders are drawn between these fields by mainstream practitioners, but work like Radden’s makes a strong case for acknowledging not only multiculturalism, (...) but also the historicity of science. As such, it is exemplary interdisciplinary work tracing a set of concepts (here, a taxonomy of mental illness) back to its sources. Yet Radden tacitly raises other questions significant for the interrelationships between psychology/psychiatry and philosophy in the nineteenth and twentieth centuries.First, Radden quite rightly points to the fact that taxonomies defining mental illness will differ across cultures (e.g., that Scottish and German “faculty psychologies” differed). Yet her question can be inverted to ask a historical question: how can taxonomies of mental illness be used to interrogate the very construct of “the European Enlightenment” itself (in a sense, offering a variant on Michel Foucault’s Birth of a Clinic). This question is significant, since the “Enlightenment” has an internationalist contour in the history of philosophy that it may well not have had in medicine.In what way, for example, can Hume and Locke be considered more direct references for Kant than his philosophical nemesis, Johann Gottfried Herder, or physiologists La Mettrie (French) and Albrecht von Haller (Swiss)? Today, these two questions seem to lie on opposite sides of acknowledged disciplinary boundaries, across discourses of the various sciences, and they are not generally asked by intellectual historians, since they lie in different cultural traditions. Yet the German Idealist tradition that came out of the Enlightenment in the generation between Wolf and Kant had different boundaries between philosophy and the natural sciences than did its English equivalent. In this sense, then, Radden has made an argument that could be used to indicate how far the British empiricists actually influenced Kant, as an index of how science crosses both disciplinary and national boundaries.Second, Radden’s work raises a methodological issue for interdisciplinary work on the emergence of psychology: how one can trace the rapid mutation of critical terminology within the evolution of a single discipline across time. Even if some differentiation between affect and cognition was in place from the time of Kant all the way through to the DSM, for instance, the historical and cultural behavioral phenomena to which that distinction refers need to be specified in each context in which they occur, in different [End Page 15] times and places. Psychology between Kant and Kraepelin exemplifies this “interdisciplinarity” of an evolving field. Was psychology to be institutionalized as part of philosophy departments, or of physiology, or of education? The research in these three fields was carried out in almost identical terms in the early nineteenth century, but what that research means needs to be further historicized.For example, “reason” and “passion” occur as reference concepts in Goethe’s Sorrows of Young Werther, just as they do in Rousseau’s Nouvelle Heloise and Confessions, and in Richardson’s Pamela. Yet the behaviors that are identified as “passionate” differ across cultures, and so need to be defined today in ways that acknowledge chains of influence as they existed at that time, not as reconstructed for other purposes.The third issue raised by Radden’s study and needing further study is the question of power politics in science. Each use of terms has its own strategic importance, and every act of classification is potentially political. When classification schema are exported, imported, rejected, or upheld, the practitioner/professional not only makes a scientific statement, but a social one as well, by adhering to a set of professional organizations, institutions, and other power configurations in which the schema appear. In the case of Kant’s taxonomy of mind, one might ask what the significance was when he added “will” to the reason/passion dichotomy that pervaded his sources. What has he gained or lost by using these terms in the context of faculty psychology?Similarly, what is the cultural significance of that third... (shrink)

French philosopher Helene Cixous stressed the importance of feminine writing. She believes that women should take part in sharing their experiences from their own novel points-of-view. We discuss that while pregnancy is an experience unique to women, it has been misappropriated by patriarchal structures throughout the years. The pregnancy bump, which is more than just evidence of the uterus stretching to accommodate the fetus, is a symbol of a woman's triumphs and struggles all throughout conception, pregnancy, and childbirth. We (...) show that women have already gone beyond the bump and challenged existing patriarchal systems through different means, as Cixous has enjoined women to do. With this, it is asserted that the philosophy of pregnancy be reconceived as well, in order to escape existing boundaries that constrict the discourse to ethical issues of rape, abortion, and medical interventions, making it face issues that surround women's experience of pregnancy, as well as deeper meanings the pregnant body itself represents. (shrink)

Open peer commentary on the target article “Who Conceives of Society?” by Ernst von Glasersfeld. First paragraph: Here I underline two features of radical constructivism that render it more difficult to “cross-over” into the “social.” Firstly, the fact that we, as observers, do not have any privileged access to “external objective reality,” and secondly, that we do not have any privileged access to what we call our “internal subjective reality” either.

In a series of recent papers, Jonathan Schaffer presents a novel framework for understanding grounding. Metaphysical laws play a central role. In addition, Schaffer argues that, contrary to what many have thought, there is no special 'explanatory gap' between consciousness and the physical world. Instead, explanatory gaps are everywhere. I draw out and criticize the methodology for metaphysics implicit in Schaffer's presentation. In addition, I argue that even if we accept Schaffer's picture, there remains a residual explanatory gap between consciousness (...) and the physical. The residual gap does most of the same philosophical work as the original. Schaffer has introduced a troublesome metaphysical methodology that fails to follow through on its biggest promise: to deflate the explanatory gap. (shrink)

Because other cultures classify mental disorders very differently from ours, it behooves us to inquire into the philosophical and cultural sources of our own guiding nosological categories. This paper is a philosophical exploration into the historical and theoretical bases of the late nineteenth-century, Kraepelinian division between disorders of mood or affect, and schizophrenia, in which our present day nosological categories are rooted. By tracing the early nosologists’ divisions into eighteenth-century and Kantian faculty psychology, and following the fate of faculty psychology (...) through the nineteenth century, we discover genealogical elements of our taxonomy likely to affect clinical diagnosis and understanding. (shrink)

This article seeks to understand the social and cultural factors that led to the introduction of music and art education in public schools, a process that began in the middle decades of the nineteenth century. Based on archival material, including institutional catalogues, school board reports, magazine articles, and tracts, I demonstrate that music and art held varied meanings in this period, one of the most important of which was denominational competition. One major element in a nationwide promotion of the arts (...) in the mid-nineteenth century was the revitalized Protestant contest for religious adherents in the wake of Catholic immigration. A second important, and often overlooked, aspect of music and art education was its vocational implications. Although some historians have relegated women's study of music and art to the reproduction of elite status, a significant aspect of these studies was vocational. In a world in which limited occupations were open to women, skill in music and art expanded women's options and, for some, made financial independence possible. In addition, although many of the factors involved in the rise of music and art education?such as nationalism, refinement, and health?were nongendered and applied to both women and men, the repercussions of these programs were quite gendered and may add to our understanding of the process by which the teaching force was feminized. (shrink)

Psychologists providing services to pregnant individuals using substances face a number of complicated ethical dilemmas, however guidance in this area is sparse. This article presents the ethical and legal issues that may arise in working with this population within the framework of the American Psychological Association’s (APA) Ethical Principles of Psychologists and Code of Conduct (2017). The recommendations made are designed to assist psychologists with understanding factors that contribute to substance use during pregnancy, navigating punitive policies and liability risk, and (...) methods to increase access to care for this vulnerable group. (shrink)

The purpose of this paper is to clarify the meaning and position of the private language controversy known as Wittgenstein's later philosophy. Several existing positions on the private language have largely focused on exploring its possibilities, and morever it has neglected why Wittgenstein is dealing with the discussion and what role it plays in language-play. In other words, the argument is not 'to shew the fly the way out of the fly-bottle', but rather to provoke philosophical questions. This is not (...) what Wittgenstein ultimately intended. Wittgenstein says that the occurrence of all philosophical problems arises from a misunderstandings of the logic of our language. In order to solve the problems of philosophy, Wittgenstein investigates thoroughly ‘the logic of our language' which are the causes of the philosophical problems. He says, the results of the investigations are 'some piece of plain nonsense and the bumps'. However, it means that the discovery of nonsense is not worthless to us but rather it recognizes us as 'worthy' through 'some piece of plain nonsense and the bumps'. That is because it clearly reveals 'sense' as 'nonsense' through the logic of language. (shrink)

A central question in philosophical and sociological accounts of technology is how the agency of technologies should be conceived, that is, how to understand their constitutive roles in the actions performed by assemblages of humans and artifacts. To address this question, I build on the suggestion that a helpful perspective can be gained by amalgamating “actor-network theory” and “postphenomenological” accounts. The idea is that only a combined account can confront both the nuances of human experiential relationships with technology on which (...) postphenomenology specializes, and also the chains of interactions between numerous technologies and humans that actor-network theory can address. To perform this amalgamation, however, several technical adjustments to these theories are required. The central change I develop here is to the postphenomenological notion of “multistability,” i.e., the claim that a technology can be used for multiple purposes through different contexts. I expand the postphenomenological framework through the development of a method called “variational cross-examination,” which involves critically contrasting the various stabilities of a multistable technology for the purpose of exploring how a particular stability has come to dominate. As a guiding example, I explore the case of the everyday public bench. The agency of this “mundane artifact,” as actor-network theorist Bruno Latour would call it, cannot be accounted for by either postphenomenology or actor-network theory alone. (shrink)

There are several important conceptual issues and questions about the practice of healthcare ethics that can, and should, inform the development of any practice standards. This paper provides a relatively short overview of seven of these issues, with the invitation for further critical reflection and examination of their relevance to and implications for practice standards. The seven issues described include: diversity (from the perspective of training and experience); moral expertise and authority/influence; being an insider or outsider; flexibility and adaptability (for (...) local contexts of practice); the relative weighting of procedural and normative aspects of ethics practice; making mistakes or errors; and conflicts of interest in practice. (shrink)

Bumped from a flight? Relax with this defense of the big business practice of deliberately promising more services than one will provide. On a small scale, over‐promising yields a toxic moral dilemma and a lie. At a large scale, the dilemma becomes dilute, and the lie completely disappears. Overbooking is honest because there is a sufficiently high probability of fulfilling each promise. Overbooking is socially beneficial because the promised resources are used more efficiently. There are fewer wasted seats on jumbo (...) jets and hence cheaper tickets with less pollution. Widespread disapproval of overbooking is a fallacious scaling error. Instead of there being too much overbooking, there is too little. (shrink)

As practiced, medicine bumps along with the rest of us, doing its level best to cope with the contingencies of this often heartbreaking world. Yet it's a commonplace that much of medicine's self‐image, and a good deal of its cultural heft, come from its connection with the natural sciences and, what's more, from a picture of science that has a touch of the transcendental, highlighting the unmatched rigor of its procedures, its exacting rationality, and the reliability of its results.In contrast, (...) the very idea of “queer” carries with it a little taste of the uncanny. What we're inclined to label queer resists understanding, not so much because it's too complicated, but because it tends to be too slippery to capture neatly in our conceptual nets—that queer ache in your side, for instance, or your partner's queer notion of doing laundry. The outmoded use of “queer,” as a way to refer disparagingly to gay people, carried similar uncanny connotations: the unnatural, the perverse.One might think, then, that the reclamation of “queer” as an umbrella term referring to the lesbian, gay, bisexual, and transgender spectrum has a pleasing depth to its irony—not only does it wrench the customary direction of evaluation conveyed by the word from condemnation to celebration, but it also hints that what you find comprehensible depends a good deal on who you are and where you're standing. What from the perspective of many heterosexual and cisgendered people may seem opaque, exotic, threatening—erotic love directed toward someone with the same kind of body you have, lives lived in ways that challenge the immutability of birth‐assigned gender—are to LGBT folk not uncanny at all, but as familiar as breathing.I like this conceit, but alas, it is too simple. It slights the variety of difficulties associated with making sense of queerness that can vex deeply thoughtful people of undoubted good will—as I found out some years ago when I first talked about my efforts to understand my own transgender identity with a ferociously intelligent, highly sophisticated friend. (shrink)

ABSTRACTPeople can be moved and overwhelmed, a phenomenon typically accompanied by goose-bumps and tears. We argue that these feelings of being moved are not limited to situations that are appraise...

Focusing on the logistics of perception, this title introduces the author's understanding of 'picnolepsy' - the epileptic state of consciousness produced by speed, or rather, the consciousness invented by the subject through its very absence: the gaps, glitches, and speed bumps lacing through and defining it.

Galileo and his fellowers discovered, and subsequent centuries have amply confirmed, that you get much better predictions by thinking of things as masses of particles blindly bumping each other than by thinking of them as Aristotle thought of them — animistically, teleologically, anthromorphically. They also discovered that you get a better handle on the universe by thinking of it as infinite and cold and comfortless than by thinking of it as finite, homey, planned, and relevant to human concerns. Finally, they (...) discovered that if you view planets or missiles or corpuscles as point-masses, you can get nice simple predictive laws by looking for nice simple mathematical ratios. These discoveres are the basis of modern technological civilization. We can hardly be too grateful for them. But they do not, pace Descartes and Kant, point any epistemological moral. (shrink)

Disoriented animals from ants to humans reorient in accord with the shape of the surrounding surface layout: a behavioral pattern long taken as evidence for sensitivity to layout geometry. Recent computational models suggest, however, that the reorientation process may not depend on geometrical analyses but instead on the matching of brightness contours in 2D images of the environment. Here we test this suggestion by investigating young children's reorientation in enclosed environments. Children reoriented by extremely subtle geometric properties of the 3D (...) layout: bumps and ridges that protruded only slightly off the floor, producing edges with low contrast. Moreover, children failed to reorient by prominent brightness contours in continuous layouts with no distinctive 3D structure. The findings provide evidence that geometric layout representations support children's reorientation. (shrink)

This paper looks at phrenological charts as mediators of scientific knowledge to individual clients who used them as a means of self-assessment. Phrenologists propagated the idea that the human mind could be categorized into different mental faculties, with each particular faculty represented in a different area of the brain and by bumps on the head. In the US and the UK popular phrenologists examined individual clients for a fee. Drawing on a collection of phrenological charts completed for individual clients, this (...) paper shows how charts aspired to convey new ideals of selfhood by using the authority of science in tailor-made certificates, and by teaching clients some of the basic practices of that science. Hitherto historians studying phrenology have focused mainly on the attraction of the content of phrenological knowledge for the wider public, but in this paper I show how the charts enabled clients to participate actively in creating knowledge of their own bodies and selves. (shrink)

Given a traditional intuitionist moral epistemology, it is notoriously difficult for moral realists to explain the reliability of our moral beliefs. This has led some to go looking for an alternative to intuitionism. Perception is an obvious contender. I previously argued that this is a dead end, that all moral perception is dependent on a priori moral knowledge. This suggests that perceptualism merely moves the bump in the rug where the reliability challenge is concerned. Preston Werner responds that my (...) account rests on an overly intellectualized model of perception. In this paper, I argue that though Werner may well be correct, my arguments, properly extended, still suggest that perceptualism leaves realists in no better position than intuitionism when it comes to the reliability challenge. (shrink)

A number of formal epistemologists have argued that perfect rationality requires probabilistic coherence, a requirement that they often claim applies only to ideal agents. However, in “Rationality as an Absolute Concept,” Roy Sorensen contends that ‘rational’ is an absolute term. Just as Peter Unger argued that being flat requires that a surface be completely free of bumps and blemishes, Sorensen claims that being rational requires being perfectly rational. When we combine these two views, though, they lead to counterintuitive results. If (...) being rational requires being perfectly rational, and only the probabilistically coherent are perfectly rational, then this indicts all ordinary agents as irrational. In this paper, I will attempt to resolve this conflict by arguing that Sorensen is only partly correct. One important sense of ‘rational’, the sanctioning sense of ‘rational’, is an absolute term, but another important sense of ‘rational’, the sense in which someone can have rational capacities, is not. I will, then, show that this distinction has important consequences for theorizing about ideal rationality, developing an account of the relationship between ordinary and ideal rationality. Because the sanctioning sense of ‘rational’ is absolute, it is rationally required to adopt the most rational attitude available, but which attitude is most rational can change depending on whether we are dealing with ideal agents or people more like ourselves. (shrink)

The primary difference between direct and inferential theories of perception concerns the location of perceptual content, the meaning of our perceptions. In inferential theories of perception, these meanings arise inside animals, based upon their interactions with the physical environment. Light, for example, bumps into receptors causing a sensation. The animal (or its brain) performs inferences on the sensation, yielding a meaningful perception. In direct theories of perception, on the other hand, meaning is in the environment, and perception does not depend (...) upon meaning- conferring inferences. Instead the animal simply gathers information from a meaning- laden environment. But if the environment contains meanings, then it cannot be merely physical. This places a heavy theoretical burden on direct theories of perception, a burden so severe that it may outweigh all the advantages to conceiving perception as. (shrink)

This study examined narrative identity in a group of 81 patients with schizophrenia and 50 healthy controls through the recall of self-defining memories. The results indicated that patients’ narratives were less coherent and elaborate than those of controls. Schizophrenia patients were severely impaired in the ability to make connections with the self and extract meaning from their memories, which significantly correlated with illness duration. In agreement with earlier research, patients exhibited an early reminiscence bump. Moreover, the period of the (...) reminiscence bump, which is highly relevant for identity development, was characterized by fewer achievements and more life-threatening event experiences, compared with controls. A negative correlation was found between negative symptoms, number of self-event connections and specificity of narratives. Our results suggest that schizophrenia patients have difficulties to organize and extract meaning from their past experiences in order to create coherent personal narratives. (shrink)

It is difficult to wander far in contemporary metaphysics without bumping into talk of possible worlds. And reference to possible worlds is not confined to metaphysics. It can be found in contemporary epistemology and ethics, and has even made its way into linguistics and decision theory. What are those possible worlds, the entities to which theorists in these disciplines all appeal? This paper sets out and evaluates a leading contemporary theory of possible worlds, David Lewis's Modal Realism. I note two (...) competing ambitions for a theory of possible worlds: that it be reductive and user-friendly. I then outline Modal Realism and consider objections to the effect that it cannot satisfy these ambitions. I conclude that there is some reason to believe that Modal Realism is not reductive and overwhelming reason to believe that it is not user-friendly. (shrink)

My thesis is that ‘rational’ is an absolute concept like ‘flat’ and ‘clean’. Absolute concepts are best defined as absences. In the case of flatness, the absence of bumps, curves, and irregularities. In the case of cleanliness, the absence of dirt. Rationality, then, is the absence of irrationalities such as bias, circularity, dogmatism, and inconsistency.

The hermeneutic tradition divides /physical/ discourse, which takes an 'exterior' point of view in /describing/ its subject-matter, from /mental/ discourse, which takes an 'interior' point of view in /expressing/ its subject-matter: a 'metapsychological dualist' or 'metadualist' approach. The analytic tradition, in its attachment to truth-logic and consequently the 'unity of science', is 'metamonist', and thinks all discourse takes the 'exterior' viewpoint: the 'bump in the rug' moves to the disunification of mind into the functional and (big-'C') Consciousness. Assuming the (...) hermeneuts are correct, the literature's twisty path---from Place and Smart's confused metamonist responses to Ryle's crypto-metadualist /Concept of Mind/ to contemporary metamonist 'phenomenal intentionality'---emerges as an attempt to stabilize theory on a fundamentally wobbly platform. (shrink)

Absolutely no one still believes that every physical interactionconsists of material bodies bumping into each other. Those who have tried to work out a completely mechanistic physics have been unable to explain common phenomena like liquidity, gravitation and magnetism. In fact, there is great reason to doubt that such a physics could ever account for attractive forces in general.

It is difficult to wander far in contemporary metaphysics without bumping into talk of possible worlds. And, reference to possible worlds is not confined to metaphysics. It can be found in contemporary epistemology and ethics, and has even made its way into linguistics and decision theory. What are those possible worlds, the entities to which theorists in these disciplines all appeal? Some have hoped that a theory of possible worlds can be used to reduce modality to non-modal terms. This paper (...) sets reductive theories aside, and articulates and applies a framework for evaluating non-reductive theories of possible worlds. I argue that, if we abjure reduction, we should aim for a theory of possible worlds that is user-friendly. I then outline four leading contemporary theories and consider objections to each. My conclusions are negative: every theory we discuss fails to be user-friendly in some significant respect. (shrink)

I argue that Mill's view of individuality also plays an important role in promoting social pluralism and respect for difference. Firstly, I argue that in Mill's theory individuality is not merely an individual good but also a social good. Secondly, I argue that by expressing his appreciation of diversity, Mill's liberalism goes beyond tolerating difference and pluralism. His position is that pluralism should be appreciated rather than merely tolerated. Mill's appreciation of difference resonates with Iris Marion Young's ideal of the (...) unoppressive city. However the structure of Mill's theory does place limits on the exercise of individual liberty. These limits are set down by the Liberty Principle in the essay On Liberty. I look at some cases. First, I examine the tensions between individuality and autonomy as they bump up against the needs of human connection. Second, I look at moral progress, for example the recognition of same‐sex marriage. (shrink)

Any creature that must move around in its environment to find nutrients and mates, in order to survive and reproduce, faces the problem of sensorimotor control. A solution to this problem requires an on-board control mechanism that can shape the creature’s behaviour so as to render it “appropriate” to the conditions that obtain. There are at least three ways in which such a control mechanism can work, and Nature has exploited them all. The first and most basic way is for (...) a creature to bump into the things in its environment, and then, depending on what has been encountered, seek to modify its behaviour accordingly. Such an approach is risky, however, since some things in the environment are distinctly unfriendly. A second and better way, therefore, is for a creature to exploit ambient forms of energy that carry information about the distal structure of the environment. This is an improvement on the first method since it enables the creature to respond to the surroundings without actually bumping into anything. Nonetheless, this second method also has its limitations, one of which is that the information conveyed by such ambient energy is often impoverished, ambiguous and intermittent. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:It's Not Always Just a RashAdam BossertI looked at the emergency department track board and saw a patient waiting for a provider who was "roomed" in a hallway stretcher with a chief complaint of a rash. I briefly considered his ultimate disposition, "He's probably fine. He can't be that sick if he was triaged as safe for the hallway." I was tired and close to the end of an (...) overnight shift and thought he would be a quick turnaround, likely discharged, since rashes are typically benign. I walked over to his stretcher after a quick chart biopsy that highlighted his mildly increased heart [End Page 24] rate on arrival as well as his history of polysubstance use and homelessness."Hey doc, I don't feel so good.""I'm sorry to hear that. What's specifically bothering you?""I am itching all over with these bumps. My skin is red, and I also think I'm withdrawing since I have body aches and chills."The interview continued.I discovered his last heroin use was approximately eight hours prior to arrival. I thought he was an ideal candidate for buprenorphine since he was actively withdrawing. I was recently licensed to prescribe this medication and excited to use my license for the first time. He declined the suggestion, however, preferring methadone instead. Buprenorphine can precipitate withdrawal if not given long enough after opioid use or if an incorrect dose is given; thus, many patients are hesitant to take it. He also stated he was predominantly here for his rash and did not want rehabilitation placement. I ordered our initiation methadone dose as well as a screening COVID-19 test and a urine drug screen test, which are both needed for rehabilitation placement in case he changed his mind.His rash was highly suspicious for scabies. He was covered with red bumps that spared only his face, some in linear distributions, and was actively scratching his arms and legs during the interview. I prefer oral ivermectin over topical permethrin for the homeless population simply for ease of administration, lower cost, and increased compliance. He received ivermectin for his scabies and knew he could return to the emergency department for a repeat dose if he was unable to fill a prescription.What happened next is, in my experience, an all-too-common scenario.The patient told me that the methadone is "doing nothing." I explained he could no longer take buprenorphine since he already received methadone, which only made him more frustrated. Unfortunately, I am restricted with the amount of methadone I can give in the emergency department, largely due to the drug's long half-life, and thus I was unable to give him more, let alone attempt titrating to his tolerance.Opioid withdrawal is not a life-threatening diagnosis; these patients are not typically admitted to the hospital. The management consists of initiating either methadone or buprenorphine, symptomatic treatment and then outpatient referral or rehabilitation placement. I explained the options to him, and he requested to be discharged since he was deferring rehabilitation. He was discharged. I was able to treat his rash but his chronic illness, opioid use disorder, was not controlled.I discharge a patient in opioid withdrawal or who has opioid use disorder almost every day, and I think most emergency medicine physicians would echo that statement. The disposition is not wrong from the perspective of the individual physician, but it feels like the system has failed these patients when I think of the frequency that they return and their baffling risk of overdose. The latter can be reduced by giving patients Narcan, the drug to reverse opioid overdose, upon discharge but this is just placing a bandage over the problem and not all emergency departments can fund this risk-reduction tool.I saw my patient's COVID-19 result return as I wrapped up my shift. It was positive. And, of course, he was in our department's hallway the whole time, only intermittently using his mask. I suddenly realized that while yes, he was withdrawing, he also may have had a symptomatic COVID-19 infection! I quickly reopened his chart, only to... (shrink)