Case studies and first-person stories about decision-making, written by professionals in the field, bring a uniquely personal touch to this valuable text.

“Brain death,” the determination of human death by showing the irreversible loss of all clinical functions of the brain, has become a worldwide practice. A biophilosophical account of brain death requires four sequential tasks: agreeing on the paradigm of death, a set of preconditions that frame the discussion; determining the definition of death by making explicit the consensual concept of death; determining the criterion of death that proves the definition has been fulfilled by being both necessary and sufficient for death; (...) and determining the tests of death for physicians to employ at the patient's bedside to demonstrate that the criterion of death has been fulfilled. The best definition of death is “the cessation of functioning of the organism as a whole.” The whole-brain criterion is the only criterion that is both necessary and sufficient for death. Brain death tests are used only in the unusual case in which a patient's ventilation is being supported. Brain death critics have identified weaknesses in its formulation. But despite its shortcomings, the whole-brain death formulation comprises a concept and public policy that make intuitive and practical sense and that has been well accepted by many societies. (shrink)

The study of human intelligence was once dominated by symbolic approaches, but over the last 30 years an alternative approach has arisen. Symbols and processes that operate on them are often seen today as approximate characterizations of the emergent consequences of sub- or nonsymbolic processes, and a wide range of constructs in cognitive science can be understood as emergents. These include representational constructs (units, structures, rules), architectural constructs (central executive, declarative memory), and developmental processes and outcomes (stages, sensitive periods, neurocognitive (...) modules, developmental disorders). The greatest achievements of human cognition may be largely emergent phenomena. It remains a challenge for the future to learn more about how these greatest achievements arise and to emulate them in artificial systems. (shrink)

Notwithstanding these wise pronouncements, my project here is to characterize the biological phenomenon of death of the higher animal species, such as vertebrates. My claim is that the formulation of “whole- brain death ” provides the most congruent map for our correct understanding of the concept of death. This essay builds upon the foundation my colleagues and I have laid since 1981 to characterize the concept of death and refine when this event occurs. Although our society's well-accepted program of multiple (...) organ procurement for transplantation requires the organ donor first to be dead, the concept of brain death is not merely a social contrivance to permit us to obtain the benefits of organ procurement. Rather, the concept of whole- brain death stands independently as the most accurate biological representation of the demise of the human organism. (shrink)

In this interview, James L. McClelland responds to questions regarding connectionist models of cognition, a theory inspired by information processing in the brain. McClelland explains the distinction between symbolic and non-symbolic processing for a better understanding of mental processes. He argues that connectionist models can perform the computations which we know the brain can perform. In addition, he responds to several general questions on the perspectives of computational models of cognition.

I consider the role of cognitive modeling in cognitive science. Modeling, and the computers that enable it, are central to the field, but the role of modeling is often misunderstood. Models are not intended to capture fully the processes they attempt to elucidate. Rather, they are explorations of ideas about the nature of cognitive processes. In these explorations, simplification is essential—through simplification, the implications of the central ideas become more transparent. This is not to say that simplification has no downsides; (...) it does, and these are discussed. I then consider several contemporary frameworks for cognitive modeling, stressing the idea that each framework is useful in its own particular ways. Increases in computer power (by a factor of about 4 million) since 1958 have enabled new modeling paradigms to emerge, but these also depend on new ways of thinking. Will new paradigms emerge again with the next 1,000‐fold increase? (shrink)

Abstract:Disturbing cases continue to be published of patients declared brain dead who later were found to have a few intact brain functions. We address the reasons for the mismatch between the whole-brain criterion and brain death tests, and suggest solutions. Many of the cases result from diagnostic errors in brain death determination. Others probably result from a tiny amount of residual blood flow to the brain despite intracranial circulatory arrest. Strategies to lessen the mismatch include improving brain death determination training (...) for physicians, mandating a test showing complete intracranial circulatory arrest, or revising the whole-brain criterion. (shrink)

The publicity surrounding the recent McMath and Muñoz cases has rekindled public interest in brain death: the familiar term for human death determination by showing the irreversible cessation of clinical brain functions. The concept of brain death was developed decades ago to permit withdrawal of therapy in hopeless cases and to permit organ donation. It has become widely established medical practice, and laws permit it in all U.S. jurisdictions. Brain death has a biophilosophical justification as a standard for determining human (...) death but remains poorly understood by the public and by health professionals. The current controversies over brain death are largely restricted to the academy, but some practitioners express ambivalence over whether brain death is equivalent to human death. Brain death remains an accepted and sound concept, but more work is necessary to establish its biophilosophical justification and to educate health professionals and the public. (shrink)

This paper pursues precise information on the use of the Sanskrit word buddhi, “the intellect,” in the context of epic adhyātma discourse. The term buddhi makes its debut in this genre of discourse in texts of the Mahābhārata’s Mokṣadharmaparvan before going on to become a central term of classical Sāṃkhya philosophy. This paper examines closely the presence and role of the “intellect” in the argument of the Manubṛhaspatisaṃvāda, a text that is unusually rich in its theorizing and description of the (...) intellect. But this text is not primarily about the intellect, even if that organ plays a prominent role in the three main phases of the text’s teaching. The Manu-Bṛhaspati is a major, deliberately constructed body of teaching on ethics, ontology, and psychology, and what it says regarding the buddhi is embedded in those teachings, usually, but not always, incidentally. This paper tries to grasp those teachings in their particular idiom and present Manu’s teachings on the buddhi in the natural progression and settings of the overall argument. A number of points comparing the buddhi in this text to the adhyātma text-pair of MBh 12.187/239–41 are made and a striking contrast between Manu’s buddhi and the ‘saving buddhis’ of the early Mokṣadharma is discussed briefly. The main points regarding the buddhi in Manu’s teachings turn out to be: First, and most importantly, the buddhi has the ability not only to see and “resolve” current sensory experience coming from the senses and the mind, but to store those sensations and re-arrange and re-interpret them outside of ‘real time’. This ‘trans-temporal depth’ of the buddhi may be the reason for the second major fact about it, that the buddhi is the locus in a person from which that person’s residual energy from past deeds operates; the buddhi transmits that energy and its qualitative differentiations into the mind and the senses, entities that derive from it and operate “below” it. Third, the buddhi’s ability to select and arrange past perceptions and imagine not previously observed arrangements among them is the source of its fatefully erroneous substitution of the immediately present, phenomenal self of experience for the transcendent true Self. Fourth, the buddhi’s ability to imagine and re-interpret experience makes it the principal faculty for determining the truth of things that are not immediately apparent to the senses. Establishing the existence of the transcendent soul is the most important such truth, for that serves as the foundation for one’s eventually coming to see the true Self. Fifth, the buddhi works with the main perceptual organ, the mind, to clarify and then neutralize the operation of the senses, allowing yoga meditation to go forward. In the course of yoga meditation, when the buddhi is emptied of karma energy, the buddhi becomes “tantamount to the manas” and the ultimate reality is “seen, as if it were a streak of gold on a touchstone,” undoing the buddhi’s fateful error. Sixth, a point stressed in several places in the text, is that the entire embodied soul, which is basically led by the buddhi, is tremendously energetic in its rush down to the physical reality. It is not clear whether some of this energy is part of the original emanation of the principle of the embodied soul from the Absolute, but it is clear that some of it is the energy of karma stored in the “intellect.”. (shrink)

Ariane Lewis provided an insightful review of several controversial cases of death by neurologic criteria (“brain death”) in the UK, focusing on Archie Battersbee, a boy whose tragic illness provok...

Thomas Hurka has recently proposed a utilitarian theory which would effect a compromise between Average and Total utilitarianism, the better to deal with issues in population ethics. This Compromise theory would incorporate the principle that the value which an extra happy person contributes to a possible world is a decreasing function of the total population of that world: that happy people are of diminishing marginal value. In spite of its initial plausibility I argue against this principle. I show that the (...) Compromise theory is actually no improvement over the two original versions of utilitarianism; in particular, it is subject to almost all the objections which are fatal to Average utilitarianism, and more besides. And I attempt to dispell the appearance that intuition supports the Compromise theory as against Total utilitarianism, by arguing that the latter's Repugnant Conclusion, when properly understood, is not intuitively unacceptable. Total utilitarianism remains a plausible ethical theory, while both the Average and the Compromise theories should be definitely rejected. (shrink)

Anthropology is a complex, wide-ranging, and ever changing field. Yet, despite its diversity, certain major themes do occur in the understandings of the world that anthropologists have offered. In this clear, coherent, and well-crafted book, James L. Peacock spells out the central concepts, distinctive methodologies, and philosophical as well as practical issues of cultural anthropology. Designed to supplement standard textbooks and monographs, the book focuses on the premises that underlie the facts that the former kinds of works generally present. (...) Free from unnecessarily abstract theoretical language and based on compelling concrete anecdote and engaging illustration, it is written in terms understandable to the anthropological novice, as well as being of value to the professional. The book's three main concerns are the substance, method, and significance of anthropology. In his discussion of substance, method, and significance of anthropology, such as the concept of culture, as well as holism. In writing about method, he explores the distinctive character of ethnographic fieldwork and raises questions of interpretation and comparison. Finally, he considers the relevance of anthropology with respect to both its practical application and what it contributes to understanding of human affairs. Using the photographic metaphors of 'harsh light' and 'soft focus', Peacock characterizes the anthropological worldview as consisting of two elements: on the one hand, a concern with the basic reality of the human condition, free of cultural influence; on the other, a broadly based holism that attempts to grasp all aspects of that condition, including its relation to the anthropologist. His book will appeal widely to readers interested in anthropology, at all levels. (shrink)

Scepticism about ought simpliciter is the view that there is no such thing as what one ought simpliciter to do. Instead, practical deliberation is governed by a plurality of normative standpoints, each authoritative from their own perspective but none authoritative simpliciter. This paper aims to resist such scepticism. After setting out the challenge in general terms, I argue that scepticism can be resisted by rejecting a key assumption in the sceptic’s argument. This is the assumption that standpoint-relative ought judgments bring (...) with them a commitment to act in accordance with those judgments. Instead, I propose an alternative account of our normative concepts according to which only ought simpliciter judgments commit one to acting in accordance with those judgments. In addition to answering the sceptical challenge, the proposal offers an independently motivated account of what makes a concept normatively authoritative. (shrink)

This article focuses on contemporary work on public knowledge of, information about, and public images and judgments of law and courts. It begins with a brief digression on the nature of the scholarship on public opinion and the operation of courts and postulates that courts are political institutions. In order to highlight the importance of judicial knowledge, democratic theory is explained in the article. The theory of judicial influence is a theory of individual-level attitude change. A great deal more research, (...) however, must be conducted before the hypothesis of attitude change can be accepted. Legitimacy is one of the most highly valued forms of political capital. Available evidence indicates that national high courts differ greatly in the legitimacy they have acquired. Future research should focus on the processes through which courts become salient to ordinary people and how interactions with courts, especially judicial symbols, contribute to institutional legitimacy. (shrink)

A revolutionary approach to rhetoric that asks why audiences need persuading. What is persuasion? For some, it is the ideal alternative to violence. For others, persuasion is simply a neutral instrumentality—a valued source of soft power. Both positions rest on a fundamental belief: persuasion is a power that resides in a speaker acting on an audience. Loving the World Appropriately asks a different, more fundamental, question: why does an audience need persuasion? In shifting our focus, James Kastely delivers a (...) provocative new history of rhetoric and philosophy, one that describes rhetoric as more than a matter of effective communication and recasts persuasion as a philosophical concern central to notions of human subjectivity. Ultimately, Kastely insists, persuasion enables us to love the world appropriately. (shrink)

The overall purpose of this paper is to clarify the physical meaning and epistemological status of the term 'measurement' as used in quantum theory. After a review of the essential logical structure of quantum physics, Part I presents interpretive discussions contrasting the quantal concepts observable and ensemble with their classical ancestors along the lines of Margenau's latency theory. Against this background various popular ideas concerning the nature of quantum measurement are critically surveyed. The analysis reveals that, in addition to internal (...) mathematical difficulties, all the so-called quantum theories of measurement are grounded in unjustifiable, classical presuppositions. (shrink)

Despite the popularity, success, and growth of programs of organ donation after the circulatory determination of death (DCDD), a long‐standing controversy persists over whether the organ donor is truly dead at the moment physicians declare death, usually following five minutes of circulatory and respiratory arrest. Advocates of the prevailing death determination standard claim that the donor is dead when declared because of permanent cessation of respiration and circulation. Critics of this standard argue that while the cessation of respiration and circulation (...) may be permanent, it may not be irreversible at the moment death is declared because, if cardiopulmonary resuscitation were performed, it might succeed. And because irreversibility of cessation of respiration and circulation is required by both the statute and the biological concept of death, the donor must be alive. Who is correct?Making two related distinctions clarifies the cause of the disagreement over whether the DCDD donor is dead and points to a possible resolution. First, in a determination of death, there is an important distinction between the permanent and the irreversible cessation of circulation and respiration—two associated phenomena that are often confounded. Second, there is an important distinction between the medical practice standard for death determination, in which physicians certify the permanent cessation of vital functions as sufficient for death declaration, and the underlying biological concept of death that requires the irreversible cessation of vital functions because death, by definition, is an irreversible event. (shrink)

Among the old and new controversies over brain death, none is more fundamental than whether brain death is equivalent to the biological phenomenon of human death. Here, I defend this equivalency by offering a brief conceptual justification for this view of brain death, a subject that Andrew Huang and I recently analyzed elsewhere in greater detail. My defense of the concept of brain death has evolved since Bernard Gert, Charles Culver, and I first addressed it in 1981, a development that (...) paralleled advances in intensive care unit treatment. The century‐old concept of the organism as a whole provides the fundamental justification for the equivalency of brain death and human death. In our technological age, in which increasing numbers of components and systems of an organism can be kept alive, and for longer intervals, the permanent cessation of functioning of the organism as a whole is the phenomenon that best corresponds to its death. (shrink)

Over the past quarter century, organ donation after the circulatory determination of death (DCD) has grown in acceptance and prevalence throughout the world (Domínguez-Gil et al. 2021). Notwithstan...

This portion of the essay concludes a two-part paper, Part I of which appeared in an earlier issue of this Journal. Part II begins with a careful study of the quantum description of real experiments in order to motivate a proposal that two distinct quantum theoretical measurement constructs should be recognized, both of which must be distinguished from the concept of preparation. The different epistemological roles of these concepts are compared and explained. It is then concluded that the only possible (...) type of "quantum measurement theory" is one of little metaphysical interest and that quantum measurement seems problematical only when viewed from an overly narrow classical perspective. (shrink)

After his father passed away, James Nolan's mother gave him a box of materials that his dad had kept private. To Nolan's complete surprise, the contents revealed the role his grandfather had played as a doctor in the Manhattan Project. Dr. Nolan, it turned out, had been a significant figure. A talented radiologist, he cared for the scientists on the Project, helped organize the safety and evacuation plans for the Trinity Test at Alamogordo, escorted the "Little Boy" bomb from (...) Los Alamos to Japan, and was one of the first Americans to enter the irradiated ruins of Hiroshima and Nagasaki. The documents set Nolan on a hunt for more information about his grandfather and more generally about the conflicted role that medical personnel played in the early years of atomic testing. The result is a compelling history of the dawn of the atomic age as seen through the eyes of men and women torn between their duty and desire to win the war and their oath to protect life. Nolan follows his grandfather and medical colleagues as they seek to maximize safety while serving leaders determined to minimize delays, and as they consider the ethics of ending the deadliest of all wars with the most lethal of all weapons. The result, Nolan shows, was a very human pattern of caution, co-optation, and complicity. A vital and vivid account of a largely unknown chapter in atomic history, Delivering Little Boy is also a profound meditation on the professional and moral dilemmas that ordinary people face in extraordinary times. (shrink)

Lonergan in the World compares and applies Lonergan's principles to major trends in contemporary philosophy, including phenomenology, hermeneutics, postmodernism, analytic philosophy, and Marxism.

The leaders of many prominent health and mental health organizations have issued policy statements about the appropriateness of members of their professions being involved in assisted suicide, whether assisted suicide is ever an acceptable option for people, and what roles a professional can or should play when a client is considering assisted suicide. This article argues that only the latter focus-providing suggestions about how a professional can assist a person considering hastening death-is appropriate for an organization whose members are clinical (...) practitioners rather than theorists. The former 2 positions, it is contended, are merely political posturing and are counterproductive to providing proper care to clients in need. (shrink)

To students and practitioners of anamorphic art, the name of Jean-François Niceron is more than preeminent; it has become iconic. La Perspective Curieuse was first published in 1638. An augmented version was then translated into Latin by Mersenne in 1646. A newly amended and augmented version was retranslated into French by Roberval in 1652. This book is an English translation of the 1652 text, with reference to the 1638 and 1646 versions. Considering the continued high reputation of the book, the (...) mathematics have been checked for correctness and consistency, and the authors have provided a full commentary, pointing out the most difficult turns of the 17th-century French, the respective contributions of Niceron, Mersenne and Roberval, and explaining Niceron's greatest insights and weaknesses. (shrink)