Traz depoimentos dirigidos de filósofos brasileiros sobre temas clássicos e contemporâneos da filosofia, processos de formação intelectual e a vida cultural brasileira. Ao final, apresenta breve biografia do depoente e lista das suas principais publicações.

The evolution of medical reasoning is deeply intertwined with philosophical thought, beginning with Aristotle’s foundational work in deductive logic. Aristotle’s principles significantly influenced early medical practice, shaping the works of Galen and Avicenna, who made empirical observations that expanded clinical knowledge. During the Enlightenment, both inductive reasoning, as advocated by Francis Bacon, and deductive methods, as stressed by René Descartes, significantly advanced medical reasoning. These approaches proved insufficient when it came to handling uncertainty and variability in medical outcomes. Nineteenth-century figures (...) like William Osler advanced a probabilistic understanding of medicine. Karl Popper’s 20th-century hypothetico-deductive method, which introduced the concept of falsifiability and transformed scientific inquiry into a rigorous process of hypothesis testing, is a fundamental aspect of evidence-based medicine (EBM). EBM emerged as the dominant paradigm, combining empirical research, clinical expertise, and statistical inference to guide medical decisions. Looking forward, Bayesian reasoning offers a further refinement in medical reasoning. By incorporating prior knowledge and continuously updating probabilities with new evidence, Bayesianism addresses the limitations of frequentist methods and offers a more dynamic and adaptable framework for clinical decision making. As medical reasoning evolves, understanding this philosophical lineage is essential to navigating the future of patient care, where evidence must be both rigorously tested and individually tailored. (shrink)

In Brazil, induced abortion in adolescents has been frequent in less-advantaged socioeconomic classes, and the vulnerability of these adolescents has not been addressed. Given this context, the present study sought to investigate the relationship between the practice of abortion and vulnerability in adolescents. This was a descriptive cross-sectional study of 201 adolescents who completed a structured questionnaire that allowed the analysis of variables with respect to intent to abort. The profile of the pregnant adolescents in the sample studied was the (...) following: average age, 16.1 years; stable partner; mulatas; did not use condoms during sexual relations; precocious with respect to their first sexual relations; and did not plan the pregnancy. According to the classification of the World Health Organization, 81.59% of the subjects‘ abortions were known to be induced. Twenty-one were vulnerable to induced abortion; of these, 13 reported forced sexual intercourse, of whom 8 reported that they had suffered associated violence. These results indicate that sexual violence and unwanted pregnancy subject adolescents to a context of greater vulnerability to induced abortion. Thus, it is suggested that this relationship should be considered from the perspective of bioethics and human rights, but always respecting the cultural values of the society in which the adolescents live, as well as their human dignity. (shrink)

Resumo: o artigo apresenta de forma seminal a noção de cartossonografia, um modo de considerar a música por suas regiões sonoras. Para tanto, tenta estabelecer uma relação de proximidade entre Nietzsche e Debussy. Do filósofo, procura compreender a ideia de um Sul da música, enquanto do compositor se investiga as formas pelas quais ele estabeleceu um novo caminho para a música numa busca por sonoridades francesas. Além disso, ambos têm em comum um percurso que vai da adesão ao rompimento com (...) Wagner.: The article presents, in a seminal way, the notion of a cartsonography, amannerof considering music by its sonorous regions. For this purpose, it intends to establish a relationship of proximity between Nietzsche and Debussy. Regarding the philosopher, it seeks to comprehend the idea of a South in music, and regarding the composer, in turn, it investigates the ways in which he laid down a new direction for music in a search for French sonorities. Furthermore, both have in common a route that leads from adherence to rupture with Wagner. (shrink)

A proveniência de dados e a inteligência artificial são cruciais na saúde, garantindo a integridade e a transparência das informações. A proveniência possibilita a rastreabilidade dos dados em diagnósticos, promovendo confiança nas decisões clínicas, enquanto a inteligência artificial analisa grandes volumes de dados, facilitando a identificação de padrões e a personalização de tratamentos. É relevante abordar a proveniência de dados e a inteligência artificial no contexto da saúde, enfatizando seus desafios e implicações éticas, com o objetivo de fornecer orientações a (...) pesquisadores e profissionais da área. Este estudo teve como objetivo apresentar os desafios e implicações éticas evidenciadas nas publicações científicas encontradas sobre a proveniência de dados e a inteligência artificial no contexto de saúde. Realizamos uma revisão integrativa utilizando como estratégia de busca os termos Data Provenance and Artificial Intelligence and Health. Após analisar os resultados obtidos e revisar os textos completos, identificamos e selecionamos 2 artigos internacionais relevantes para a temática em questão. Nossa pesquisa evidencia a escassez de estudos sobre a proveniência de dados e a inteligência artificial em saúde, especialmente no que tange aos desafios e implicações éticas relacionados a esses processos. Nesse contexto, este trabalho constitui uma contribuição relevante para o campo da Ciência da Informação. Para pesquisas futuras sobre a temática aqui em questão, é fundamental desenvolver frameworks e diretrizes que integrem considerações éticas e práticas de governança de dados, abordando a proteção da privacidade, a transparência dos algoritmos e a mitigação de viés, além de aprofundar a pesquisa em estudos interdisciplinares. (shrink)

A presença de Kant e possível influência na filosofia de Nietzsche é motivo de muita controvérsia. Se em seus primeiros escritos Nietzsche é claramente influenciado por Kant, os textos do período maduro não deixam perceber com clareza o teor do diálogo que neles se estabelece, uma vez que Nietzsche assume uma postura radical contra Kant. Essa postura esconde justamente que, em meio aos rompimentos diante do idealismo transcendental, Nietzsche permanece devedor de Kant. Um aspecto dessa dívida é a noção de (...) ficção regulativa. Pretendemos, assim, mostrar, primeiramente, que a concepção de Nietzsche de que a falsidade de um juízo não constitui uma objeção contra ele é um traço decisivo de seu pensamento antidogmático e, em seguida, defender que esse antidogmatismo tem ascendência na concepção de Kant de princípios regulativos. The presence of Kant and its possible influence in Nietzsche's philosophy is a controversial issue. If in his early writings Nietzsche is clearly influenced by Kant, his mature period texts no longer allow anyone to see clearly the content of the dialog established therein, once Nietzsche assumes a radical view against Kant. This view hides that, regardless the disruptions done in face of the transcendental Idealism, Nietzsche remains debtor to Kant. An aspect of this debt is the notion of regulative fiction. We intend, thus, to show: first, that Nietzsche's conception that the falsity of a judgment does not constitute an objection to itself is a decisive trace of his anti-dogmatic thought and, secondly, to argue that this anti-dogmatism has ascendancy in Kant's conception of regulative principles. (shrink)

O presente trabalho tem como objetivo apresentar uma abordagem daquilo que o filósofo alemão Friedrich Nietzsche entende por “Corpo”. A partir de uma crítica endereçada ao pensamento moderno, sobretudo pelas noções de sujeito e objeto formuladas por Descartes, Nietzsche elabora sua crítica levando em consideração o conceito do corpo, não como algo puramente sensível e fisiológico, mas, como um acontecimento originário da vida, uma afecção, um modo particular de percepção, capaz de perceber vida em seu próprio processo de constituição. A (...) partir da análise dos textos foi possível perceber que Nietzsche se contrapõe ao modo como a tradição filosófica moderna compreendia o corpo. Diferentemente da concepção cartesiana, sua reflexão parte da noção de Corpo como uma “grande razão”, como uma afecção originária a partir da qual o homem vem a se constituir como um determinado eu. (shrink)

O presente trabalho tem por finalidade analisar o pensamento de Friedrich Nietzsche como ponto de inflexão na entrada da pós-modernidade segundo a análise apresentada por Jürgen Habermas no quarto capítulo de sua obra “O discurso filosófico da modernidade”. De acordo com o texto, Habermas discute os aspectos estruturantes do pensamento moderno colocando a filosofia nietzschiana como uma espécie de ruptura entre o moderno e o pós-moderno, mostrando sua crítica à modernidade e suas relações com o romantismo alemão. Neste contexto, tentaremos (...) tecer considerações sobre o conceito de arte na filosofia de Nietzsche e evidenciar sua participação nos desdobramentos da filosofia contemporânea. (shrink)

Tendo como ponto de partida a obra de René Girard, o presente artigo pretende apresentar a dimensão antropológica presente na obra deste autor, destacando a sua originalidade e novidade ao pensar o homem como animal socialmente desejante. A teoria mimética, como Girard a formula, pretende ser uma teoria que, colocando no centro da sua reflexão o desejo e a imitação, permita compreender como se estruturam as sociedades arcaicas e actuais, partindo de mecanismos marcadamente antropológicos, para afirmar que as sociedades se (...) estruturam a partir do desejo, do sacrifício e da necessidade de existência de «bodes expiatórios». A partir deste pressuposto, o sacrifício é a primeira instituição humana, com a capacidade farmacológica de preservar a sociedade e de permitir a sua subsistência no tempo. A cultura, por seu lado, emerge a partir do desejo mimético; e o mecanismo do bode expiatório, mecanismo vitimário por excelência, regula a sociedade ao solucionar as suas tensões internas. Considerando estes três conceitos – sacrifício, desejo mimético e mecanismo do bode expiatório – este artigo expõe o modo como se relacionam estes conceitos. Apesar de constatar a sua presença e eficácia na história, Girard não os legitima de jure, desvelando o segredo da sua eficácia – a ignorância inocente das vítimas – que, paradoxalmente, persiste mesmo depois de denunciada nas suas escusas razões. Posto isto, perguntemo-nos: como proteger o homem da sua própria violência? (shrink)

Proximity and interpersonal contact are prominent components of social connection. Giving affective touch to others is fundamental for human bonding. This brief report presents preliminary results from a pilot study. It explores if exposure to bonding scenes impacts the activity of specific muscles related to physical interaction. Fingers flexion is a very important component when performing most actions of affectionate contact. We explored the visuo-motor affective interplay by priming participants with bonding scenes and assessing the electromyographic activity of the fingers (...) flexor muscle, in the absence of any overt movements. Photographs of dyads in social interaction and of the same dyads not interacting were employed. We examined the effects upon the electromyographical activity: during the passive exposure to pictures, and during picture offset and when expecting the signal to perform a fingers flexion task. Interacting dyads compared to matched non-interacting dyads increased electromyographic activity of the fingers flexor muscle in both contexts. Specific capture of visual bonding cues at the level of visual cortex had been described in the literature. Here we showed that the neural processing of visual bonding cues reaches the fingers flexor muscle. Besides, previous visualization of bonding cues enhanced background electromyographic activity during motor preparation to perform the fingers flexion task, which might reflect a sustained leakage of central motor activity downstream leading to increase in firing of the respective motor neurons. These data suggest, at the effector level, an implicit visuo-motor connection in which social interaction cues evoke intrinsic dispositions toward affectionate social behavior. (shrink)

Demographic growth is a major element that hampers the sustainable future and at the same time it is proportionally associated with the human suffering. The demographic control is a way to promote the well-being, reduce the human suffering and make our planet more sustainable. In this paper we analyze from the ethical point of view the human decisions associated with the procreation, birth control, adoption and anti-natalism.

O objetivo deste artigo é discutir o tratamento dos direitos humanos nos dois momentos de autoritarismo vividos no Brasil, na ditadura do Estado Novo e durante a ditadura militar. A partir de uma breve historicização do tratamento de questões relativas aos direitos fundamentais nas constituições de 1824 e 1891, demonstraremos como os regimes de exceção arquitetaram um conjunto jurídico que visava garantir a ação repressiva do Estado mantendo um conjunto significativo da população sob vigilância.

In Older Adults (OAs), Electroencephalogram (EEG) slowing in frontal lobes and a diminished muscle atonia during Rapid Eye Movement sleep (REM) have each been effective tracers of Mild Cognitive Impairment (MCI), but this relationship remains to be explored by non-linear analysis. Likewise, data provided by EEG, EMG (Electromyogram) and EOG (Electrooculogram)—the three required sleep indicators—during the transition from REM to Non-REM (NREM) sleep have not been related jointly to MCI. Therefore, the main aim of the study was to explore, with (...) results for Detrended Fluctuation Analysis (DFA) and multichannel DFA (mDFA), the Color of Noise (CN) at the NREM to REM transition in OAs with MCI vs. subjects with good performances. The comparisons for the transition from NREM to REM were made for each group at each cerebral area, taking bilateral derivations to evaluate interhemispheric coupling and anteroposterior and posterior networks. In addition, stationarity analysis was carried out to explore if the three markers distinguished between the groups. Neuropsi and the Mini-Mental State Examination (MMSE) were administered, as well as other geriatric tests. One night polysomnography was applied to 6 OAs with MCI (68.1 ± 3) and to 7 subjects without it (CTRL) (64.5 ± 9), and pre-REM and REM epochs were analyzed for each subject. Lower scores for attention, memory and executive funcions and a greater index of arousals during sleep were found for the MCI group. Results confirmed that EOGs constituted significant markers of MCI, increasing the CN for the MCI group in REM sleep. The CN of the EEG from the pre-REM to REM was higher for the MCI group vs. the opposite for the CTRL group at frontotemporal areas. Frontopolar interhemispheric scaling values also followed this trend as well as right anteroposterior networks. EMG Hurst values for both groups were lower than those for EEG and EOG. Stationarity analyses showed differences between stages in frontal areas and right and left EOGs for both groups. These results may demonstrate the breakdown of fractality of areas especially involved in executive functioning and the way weak stationarity analyses may help to distinguish between sleep stages in OAs. (shrink)

O presente texto narra uma experiência de formação de alfabetizadores de jovens e adultos: uma alfabetização filosófica de 40 horas com 300 alfabetizadores em julho de 2022, como primeira etapa do Programa “Supera RN” em Pau dos Ferros, dentro da Política de Superação do Analfabetismo do Estado do Rio Grande do Norte (RN). O texto tematiza em que sentido a experiência de Alfabetização filosófica se inspira e ao mesmo tempo se diferencia do curso de Alfabetização oferecido por Paulo Freire em (...) Angicos em 1963. Inspirado na curiosidade e no compromisso de Paulo Freire com os esfarrapados do mundo, o conceito “alfabetização filosófica” propõe uma formação experiencial sustentada nas seguintes disposições: escutar atentamente o mundo humano e não humano que nos rodeia; pensar juntos com cuidado e calma; relacionarmo-nos cooperativa e não competitivamente com as ideias das outras pessoas; perguntarmo-nos, colocando em questão, nossa vida e a maneira como nos relacionamos com ela, num tempo especial, singular, suspendido; conversar como iguais na busca de enfrentar as exigências de nossa comunidade; inventar novas formas de estar com outras e outros. O texto apresenta como essas disposições foram pensadas e praticadas durante a alfabetização filosófica em Pau dos Ferros, RN, através de cinco princípios (perguntar; escutar; tempo de infância; igualdade; pensar juntos) e lança algumas perguntas sobre possíveis desdobramentos da alfabetização filosófica no campo de formação de professores. (shrink)

The present study aimed to verify the quarantine’s effects during a serious viral outbreak on the cardiovascular and performance associated with the Yo-Yo test in a sample of professional soccer players. 20 high-level soccer players participated in this study. The intermittent Yo-Yo test was performed pre- and post- COVID-19 quarantine in a random order. During each test, the soccer players’ running performance outcomes were monitored using a portable 5-Hz GPS with a 100 Hz accelerometer and a paired t-test was conducted (...) at a p-value of ≤ 0.05. The main results demonstrated significant differences between pre- versus post-COVID-19 quarantine in the following variables: relative distance, maximal speed, acceleration, deceleration, sprints > 19 km/h [0.8 % >0.5 %], and in high intensity running distance [16.48 m > 0.827 m]. We concluded that COVID-19-related restrictions and quarantine COVID-19 demonstrated adverse effects on professional soccer players’ Yo-Yo tests performance. (shrink)

L'histoire de la réception littéraire de l'Utopie de Thomas More au Portugal a été une histoire d'omissions, de censures et de traductions différées qui met en évidence un défaut dans le système culturel portugais. En effet, il est quelque peu ironique qu'une œuvre aussi représentative de la littérature et de la pensée occidentale, historiquement associée à l'ouverture des horizons géographiques du monde, et qui attribue au personnage d'un marin lusitanien, Raphaël Hythlodée, la découverte d'un lieu idéal, n'a été traduite en (...) portugais que dans la seconde moitié du vingtième siècle. Cependant, la première décennie du vingt-et-unième siècle semble annoncer une fortune littéraire plus favorable à l'Utopie de More dans la langue portugaise: non seulement une édition du chef d'œuvre de More a finalement été traduite du latin, mais aussi deux romans ont été publiés en 2004, A lenda de Martim Regos, de Pedro Canais, et Rafael, de Manuel Alegre. Dans le cadre de leurs propres déroulements narratifs, les deux œuvres réaccentuent les traits complexes du personnage du marin portugais et découvreur de l'île idéale. La même réinvention du personnage de Raphaël avait déjà été tentée, en 1998, par José V. de Pina Martins dans son long récit dialogique Utopia III. Dans cet essai, je me concentrerai à la fois sur les sources documentaires liées à la culture portugaise qui sont à la base de l'Utopie de More et sur certains aspects pertinents de la réception du personnage de Raphaël Hythlodée dans les romans susmentionnés. (shrink)

Se realiza una investigación documentada sobre el contenido semántico del concepto "América Latina" en sus orígenes y en su evolución posterior. Se muestra que en sus inicios el concepto tuvo un significado emancipador y descolonizador en el uso que de él hicieron Francisco Bilbao y José María Torres Caicedo. Luego fue utilizado con propósitos recolonizadores en los marcos de la invasión napoleónica a México, a partir de lo cual mantuvo esa polisemia colonizadora-descolonizadora. A propósito de lo anterior el libro (...) realiza una comparación en el significado que le atribuyen al concepto dos autores contemporáneos: Roberto Fernández Retamar y Walter Mignolo. La traducción al portugués corrió a cargo de Altamir Botoso, Andre Rezende Benatti y Márcio Antonio De Souza Maciel. (shrink)

Trata-se de uma resenha do livro História e descrição da febre amarela epidêmica que grassou no Rio de Janeiro em 1850, de José Pereira Rego, publicado pela Chão Editora (SP) em 2020. ISBN: 978-65-990122-4-2.

Este trabalho tem como finalidade mostrar as relações de troca descritas por Marcel Mauss no seu Ensaio sobre a Dádiva e o poder produzido dessas relações. Este estudo toma como texto base o Ensaio de Mauss e toma como caso a ser estudado para se mostrar a relação entre dádiva e poder o romance Menino de Engenho, de José Lins do Rego. A principal conclusão é a de que o poder emana da dádiva por razões que jazem na (...) própria natureza humana remanescentes dos tempos do estado de natureza, como indica Thomas Hobbes, quando ter mais poder significava viver provavelmente um pouco mais. (shrink)

Os capítulos aqui reunidos desdobram as temáticas do “corpo”, da “vida” e da “biopolítica” em assuntos que percorrem a epistemologia das ciências da vida, a arqueologia foucaultiana das ciências empíricas, a crítica de Foucault à psicanálise, a questão da loucura e da psiquiatria em torno da mulher e das questões de gênero, os dispositivos de segurança e biopolíticos envolvendo a noção de população, as relações entre subjetividade e verdade, o problema do governo de si e dos outros e as novas (...) publicações atribuídas a Foucault desde a recente publicação de As Confissões da Carne. Os trabalhos - de Gustavo Caponi (UFSC), José Ternes (UFG), Pedro Cattapan (UFF), Sandra Caponi (UFSC), Regiane Collares (UFCA), Fabio Gesueli (UNICAMP) e Malcom Rodrigues (UEFS/UFBA) contribuem com diversas discussões em torno de Foucault. -/- As contribuições são resultado do I e II Encontro de Estudos sobre Michel Foucault, eventos nacionais ocorridos em 2020-2021 e organizados pelo projeto de extensão da UFF - IHS - RPS intitulado “Introdução ao pensamento de Michel Foucault - Grupo de Estudos Jaguar do Fucô”, coordenado por Alessandra Daflon e Marcio Miotto. Os temas dos dois eventos foram “História da Sexualidade e Biopolítica” e “Corpo e Vida em Foucault”. Elas fomentaram verdadeiros diálogos extensionistas a partir dos estudantes de graduação da UFF. O livro é dedicado a Roberto Machado e Heliana Conde, entusiastas do evento e do grupo de extensão. (shrink)

ARAGÃO, Ivan Rêgo. “ Vinde todas as pessoas, e vede a minha dor ”: A Festa/Procissão ao Nosso Senhor dos Passos como Atrativo Potencial Turístico em São Cristóvão-Sergipe-Brasil. 2012. 198f. Dissertação (Mestrado) Cultura e Turismo – Universidade Estadual de Santa Cruz (UESC), Ilhéus-BA. Palavras-chave: Turismo Cultural-Religioso Católico. Religiosidade Popular. Festa do Senhor dos Passos. Keywords: Catholic Religious-Cultural Tourism. Popular Religiosity. Party of Lord of the Steps.

Moral and financial scandals emerging in recent years around the world have created the momentum for reconsidering the role of virtuousness in organizational settings. This empirical study seeks to contribute toward maintaining this momentum. We answer to researchers’ suggestions that the exploratory study carried out by Cameron et al. :766–790, 2004 ), which related organizational virtuousness and performance, must be pursued employing their measure of OV in other contexts and in relation to other outcomes :928–958, 2007 ). Two hundred and (...) sixteen employees reported their perceptions of OV and their affective well-being at work, their supervisors reporting their organizational citizenship behaviors. The main finding is that the perceptions of OV predict some OCB both directly and through the mediating role of AWB. The evidence suggests that OV is worthy of a higher status in the business and organizational psychology literatures. (shrink)

We assess the perceived impact of leaders’ humility on team effectiveness, and how this relationship is mediated by balanced processing of information. Ninety-six leaders participate in the study. The findings suggest that humility in leaders is indirectly related to leaders’ perceived impact on team effectiveness. The study also corroborates literature pointing out the benefits of using other-reports to measure humility, and suggests adding humility to the authentic leadership research agenda.

Through a convenience sample of 260 employees, the study shows how employees’ perceptions about corporate citizenship (CC) predict their affective commitment. The study was carried out in Portugal, a high in-group and low societal collectivistic culture. Maignan et al.’s (1999, Journal of the Academy of Marketing Science27(4), 455–469) construct, including economic, legal, ethical, and discretionary responsibilities was used. The main findings are: (a) contrary to what has been presumed in the literature, the discretionary dimension includes two factors: CC toward employees (...) and toward community; (b) perceptions of CC explain 35% of unique variance of affective commitment; (c) the best predictors are perceptions of economic and legal CC and, mainly, perceptions of discretionary CC toward employees; (d) the perceptions of discretionary CC toward employees are significantly better predictors of affective commitment than are perceptions of economic, ethical, and discretionary CC toward the community; (e) perceived inconsistency of the several CC dimensions is detrimental to employees’ affective commitment. The study questions the four-dimensional model of the CC construct as operationalized by Maignan et al., suggests that culture should be included as a moderating variable in future research, and stresses that affective commitment may decrease when employees perceive that their organizations act upon the several areas of CC inconsistently. (shrink)

Sixty-eight stores of a retail chain were used for testing a model in which perceived authentic leadership predicts stores’ sales achievement through the mediating role of perceived store virtuousness and perceived store potency. Employees reported AL, store virtuousness, and store potency. Sales achievement over a period of four consecutive months subsequent to data collection was considered as dependent variable . The main findings are the following: AL predicts store potency through the mediating role of store virtuousness; store virtuousness predicts sales (...) achievement through the mediating role of store potency; AL predicts sales achievement via the mediating role of both store virtuousness and store potency. By focusing on three positive constructs, whose interrelations have scarcely been explored, and relating them to store performance, the study enriches the Positive Organizational Scholarship movement, and suggests that AL and virtuousness are good in themselves and also potential facilitators of group success. (shrink)

Through a qualitative approach, we explore the perspective of 72 CEOs of companies operating in Portugal about the definition of corporate sustainability and its facilitators, and obtain four main findings. First, most CEOs equate CS with the company’s continuity/viability. Second, the relevance ascribed to different stakeholders differs considerably: while more than 50 % of CEOs cited shareholders/profits, and more than 40 % mentioned the natural environment and employees, very few mentioned customers, society, suppliers, the State, or competitors. Third, the management (...) practices considered as most important to develop CS are the organization’s strategic alignment with a long-term orientation, and developing and energizing people within a positive organizational climate characterized by trust and ethics. Fourth, the leadership characteristics and behaviors considered as most important to foster CS are scrutinizing the future and leading people through a mobilizing vision; energizing and developing employees; and leading by example. While the whole picture is largely consistent with the “sustainable strategic management” approach suggested by Stead and Stead and with recent CS integrative approaches, the great majority of CEOs who participate in the study have not embraced such integrative and coevolutive perspectives. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:In, Out Me, You Mental, Moral Where Do I Begin?Mark D. Rego (bio)I once attended a Buddhist meditation retreat, led by an American meditation teacher. The instructor had studied and practiced is Asia for many years and was well versed in the practices and teachings of Buddhism. Among his opening remarks was something along the line of the following: "One question that is asked on every retreat is, (...) 'if there is no true self, then who is it who has come here to become free of the illusion of a self?' The answer is, I don't know, but we can start anyway."This sense of practicality in the face of unanswerable questions is built into Buddhism, as is the relationship among the particularities of each individual, a process akin to externality, mental well-being, and morality.I raise Buddhism both because of its central interest into the nature of the self (an obviously germane consideration in the papers under discussion) and because of this second feature noted, namely the comfortable integration of individuality, character building, ethical action, and mental well-being (the issue of the true self will, thankfully, have to wait). It is this theme that I raise via the discussion of externality.The commentaries of Talmadge and Graham, unintentionally I think, pull me toward a beguiling observation in my daily practice of psychiatry. Namely, patients commonly report their clinical improvements in terms of how they deal better with others, how they are more thoughtful and even handed (with themselves included), and how they better cope with the demands of their individual lives. In senses both highly individual and highly principled, and in ways both explicit and implicit, when patients feel better they often feel that they are better people (all the kinds of treatment mentioned in my paper equally apply; there is no exclusivity in this result).There is also an interesting consistency in a dual manner in which this is expressed. In one way people report the improved coping, handling, and so on mentioned. In the next breath the same person commonly says, "I feel like myself."The meditation instructor would be pleased; it appears that through a process of becoming aware of and letting go of some form of negativity an individual feels better, acts better, and feels more unified. (As the instructor was psychologically sophisticated, he would not mistake the "like myself" sentiment as a Buddhist heresy. Rather, he would understand it as a reflection of being more at ease with and aware of disparate parts of himself.) And all this without figuring out who the real self is. [End Page 331]I mention these observations about Buddhism and clinical care because when I consider the processes of evaluating, deciding, and forging identity and volition it seems to me that somewhere between the lines the individual is aligning himself with some sense of what is good. The resultant experience of volition and cohesive identity is, often but not always, experienced as good both psychologically and morally.Change, Others, and ValuesIn the two commentaries that follow my paper on Frankfurtian externality and therapeutic change (Rego 2004), Talmadge (2004) and Graham (2004) highlight different aspects of externality and therapeutics. Talmadge, an addiction psychiatrist, expands the theme of volitional change in recovery from addiction. For Talmadge, as for most in the field, the question of when and how an addict has truly committed to change (hitting "rock bottom"? accepting the first of the twelve steps?) is perennially in the air. Such knowledge would be invaluable in guiding addicts along their rocky paths.Although still far short of the mark, Talmadge finds some illustrative guidance in Frankfurt. The shift that takes place within the addict to place him on the road to recovery is not necessarily "rock bottom," or conformity to a program's dictates or a state of new knowledge. Rather, it is a shift in will. By whatever process (and Talmadge is quite aware that there seem to be many paths) the addict has come to care about sobriety in a way he or she did not before. He or she now cares in a way that is part of him or her... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Subjective Knowledge, Mental Disorders, and MedsHow to Parse the EquationMark D. Rego (bio)Keywordspsychopathology, antidepressants, suicidality, subjective experience, pre-reflectiveA few weeks, ago I was walking down the hall to my office when I spotted my brother-in-law coming the other way. This was odd on two accounts. First, he lives in Kentucky (I am in Connecticut) and second, he is at least a foot taller than the man in my (...) hallway. Nonetheless, I struggled to figure out why he was there. The resemblance was so striking it took me a minute or two to convince myself it was not him. Even after such convincing, the feeling that it was him remained.Later, I imagined that had I just returned from a crack cocaine den I would have been hypervigilant, if not paranoid, and consequently would be certain that my brother-in-law had arrived unannounced. Furthermore, I would probably assume that he was up to no good.How did I retain a strong feeling of recognition, the feeling that maybe it was really him, when I already concluded otherwise? And why, were I on crack cocaine, would the obvious facts be useless in rendering a decision about the identity of the man in the hall? Last, why would the post-cocaine man in the hall become a nefarious brother-in-law rather than a benign one?If I just computed some symbols to figure this out, wouldn't the feeling have gone away? If I activated a brother-in-law neural network, how did I come to acquire an evil brother-in-law neural network? And why wouldn't that go away either?In his article in this issue of Philosophy, Psychiatry, & Psychology, Hadreas looks at questions like these through the prism of before and after effects of people treated with selective serotonin reuptake inhibitors (SSRIs). Hadreas investigates the implications of a straightforward recomputation of self-awareness when treated with these medicines and finds such approaches unsatisfying and incomplete in their explanatory power. (My example looks at a type of awareness, but not specifically self-awareness, as does Hadreas. Furthermore, my paradigm asks about computational conclusions using language more common in psychiatric literature, whereas Hadreas uses standard philosophical terms. Although not isomorphic, I believe the interchange of the two remains true to the issues Hadreas is addressing). [End Page 57]In my example, there is clearly something else going on than the incorrect arrangement of symbols or the misfiring of nodes in a network that influences how I feel and what I think. Neither reason nor empiricism seem to serve me well here. Hadreas utilizes Husserl to begin to unpeel the layers of self-awareness and self-states that intermix to form the shifts and contradictions which are so common in psychiatric treatment (and in common experience as I describe).This is a welcome reckoning; the psychiatric literature is overflowing with unquestioned premises about the neuropsychiatric correlates of reason and empirical approaches (described more as computation and neural networks in the literature—again, not strictly analogous, but the same criticisms apply) Hadreas is critical of. Unfortunately, Hadreas has navigated through a sea of highly questionable assumptions about the psychopharmacology of depression to illustrate his points. This is due in large part to the common practice of consulting literary narratives and critics rather than one of immersion in the literature as a whole and the daily life of patients and active clinicians. He arrived at his destination despite this, because many of these details did not affect his particular analysis. However, to look forward to a continuation of this work and clarify some important issues I devote most of my commentary to these issues. The points I raise are more extensively discussed in a previous edition of this journal (Rego 2005).Affect to Reason ShiftLet's begin with the idea that SSRIs work by dampening emotions. An extension of this idea is that they dampen negative emotions and strengthen positive ones like assertiveness, confidence, and optimism. An even further development in this direction is that, by dampening strong emotions, cognitive enhancement takes place with SSRI treatment. A summary observation then is that SSRIs facilitate... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Surrender Versus Control:How Best Not to DrinkMark D. Rego (bio)Keywordsaddiction, Alcoholics Anonymous, will, St. AugustineI recall as a teenager noticing that some people modified nouns in, what sounded to me, a peculiar way. A friend's mother who was taking an automotive repair course said, " We're going to learn to fix the brakes next week." The same folks would also use the possessive for common nouns in phrases (...) like: "I'll be ready after I take my shower." Although not incorrect, I believe this type of usage reflected a different attitude about brakes, showers, and other things. These tended to be more hands-on people and thus, in my understanding at least, had a more particular relationship with things in their world than others for whom objects were examples of types of things.This brief vignette serves as an introduction to my qualified enthusiasm for the project taken up by Allison Mitchell in her paper, "Taking Mentality Seriously: A Philosophical Inquiry into the Language of Addiction and Recovery" (Mitchell, 2006). Indeed, as a practicing psychiatrist I would be hard pressed not to endorse the use of language as a key to deeper aspects of experience.My following remarks are mostly contra Mitchell's hypothesis, but before beginning I name one more reason I think this project is worthwhile. In spite of much research and recitations of the motto "treatment works," we do not presently have a reliable treatment for addiction. The linguistic portrait painted by Mitchell allows us to view our treatments in vivo and reflect upon what we see. (For the purpose of this commentary, I consider alcoholism and Alcoholics Anonymous [AA] as a general example of addiction and treatment.)Medication treatment remains almost inconsequential except when applied for comorbid psychiatric disorders rather than the primary addiction. Even then it rarely serves to undo some form of self-medication, but instead only offers an important leg up in battling the addiction.Research and much experience has shown AA to be the single best treatment for alcoholism (Vaillant and Hiller-Sturmhofel 1996). Some investigators have proposed underlying mechanisms for its efficacy (some, like "creating dependency" run very counter to Mitchell) (Vaillant 2005). AA's success is highly dependent upon attendance (McCrady et al. 2004), which can of course be a marker for getting better in the first place and not solely a cause of improvement (i.e., people who are doing better attend more meetings not vice- versa). Even within AA, the dropout rate is quite high (Martin et al. 1996). Workers in this area [End Page 223] have raised questions about AA's approach and have proposed other avenues to sobriety, including interpersonal, cognitive–behavioral, and relapse prevention programs (Witkiewitz and Marlatt 2005, 2004; O'Dwyer 2006). Lamentably, some very large studies failed to show any effective ability to match up alcoholics with a particular treatment modality (Church 2004; Read 2004).Given the lack of clarity with which we still work, I think an approach like Mitchell's is a welcome call for serious reflection. The limitations of a linguistic analysis place an unfortunate constriction on implications to be drawn.Mitchell's chief concern is that the language of recovery, as reflected in twelve-step programs, betrays and even fosters a degree of passivity, which leaves the addict without an adequate sense of agency and autonomy with which to combat addiction. From a more philosophical perspective, Mitchell believes this is due to an incomplete philosophical materialism; one that lacks "mentality" (i.e., the sense that part of our physical being is made up of mental activities such as emotions, motivations, beliefs, etc.). This attitude is manifest in a "pretheoretic conception of the self" that leaves the addict with a dearth of self-awareness as a mental agent of action and change.In place of the standard recovery model in use today, Mitchell suggests cultivating a sense of self that values and fosters engaged agency that is both capable of self-control and responsive to external obligations.A Few ConcernsFirst, I will offer a few concerns about premises at work within the paper. Then, I outline an attempt to make sense of the... (shrink)

Within common mental health treatments there exists a paradox, in which personal agency over a problem appears to increase by disownership of the problem. I endeavor to explain this paradox and by doing so, shed light on the relationships among identity, psychopathology, and therapeutic agency. The work of the philosopher Harry Frankfurt, with emphasis on his concept of externality, is used as the model for unraveling the paradox of agency.

La división de las causas en el De principiis naturae 5 de Tomás de Aquino establece de cuántas maneras pueden distinguirse las cuatro clásicas causas aristotélicas. El texto presenta varias dificultades y las principales son la determinación del número de las divisiones y la no necesaria contemporaneidad del ser en potencia de una causa y de su causado. Nuestro objetivo es resolverlas a través de un análisis pormenorizado del texto latino, que resulta en un comentario completo al capítulo, lo cual (...) es un aporte secundario. A través de este análisis resolvemos las dificultades principales. Primero, al descubrir una distinción tácita entre divisiones de causas en cuanto consideradas en sí mismas y en cuanto conocidas y verbalizadas por los seres humanos, el número de las divisiones es finalmente siete (cuatro fundadas en el ser y tres en el modo de conocer). Esta distinción tiene un signo lingüístico en las expresiones ‘item’ y ‘sciendum est quod’. Segundo, la eventual no contemporaneidad entre los estados potenciales de una causa y su causado se puede justificar respetando la predicación singular, al considerar que un arquitecto, una vez construida una casa, está en potencia de reconstruirla, si ésta perdiera las causas internas de su integridad. (shrink)

ResumoO presente artigo inscreve-se numa pesquisa constituída de duas etapas, das quais apenas a primeiraé aqui contemplada. Essa etapa consiste essencialmente num esforço por chamar a atenção para o queconsidero uma dificuldade conceitual relativa à noção de liberdade prática no pensamento de ImmanuelKant. Proponho que Kant trabalha com duas acepções distintas da liberdade que deve caracterizar oarbítrio humano, que são acepções dificilmente conciliáveis e cuja confusão torna problemático o projetofundamental de sua filosofia prática. Uma delas, conquistada argumentativamente nos seus textosfundacionais (...) de filosofia prática, assimila liberdade a moralidade, dando ocasião ao problema da imputabilidadedas escolhas imorais. A outra, aparentemente pressuposta ao longo de todos os seus escritossobre o tema da liberdade e preferida quase unanimemente pelos intérpretes, equivale a uma concepçãomoralmente neutra de livre arbítrio. Contra ela, há de saída a explícita recusa do próprio filósofo quandochamado a se manifestar ex professo sobre sua legitimidade na Metafísica dos Costumes. Mas tento mostrarque, mais grave que isso, se trata de um conceito de liberdade que, a fim de garantir a imputabilidadede escolhas imorais, acaba tornando qualquer escolha inimputável.Palavras-chave: Liberdade, moralidade, imputabilidade, vontade, arbítrio.AbstractIn this paper, corresponding to the first of two parts of my current research, I endeavor to lay out aconceptual difficulty concerning the notion of practical freedom in Kant`s thought. I argue that the philosopherdeals with two distinct and conflicting meanings of the freedom of human choice, which rendersproblematic the fundamental project of his practical philosophy. The one, conceptually rooted in hisgrounding texts on freedom of the will, assimilates freedom and morality and ends up by making, primafacie, unconceivable free choices against morality, hence, renders impossible the imputation of immoralchoices. The other, apparently presupposed throughout most of Kant`s writings on freedom and almostunanimously cheered by the interpreters, amounts to a morally neutral conception of free choice. Againstit raises Kant`s declared refusal when provoked to express himself about it in the Metaphysics of Morals.Moreover, I argue it`s a concept of freedom that, meant to guarantee the accountability of immoral choices,ends up by making all choices unaccountable. (shrink)

Un análisis de las diversas pruebas de la existencia del primer moviente inmóvil, presentes en la Física de Aristóteles, nos permite inferir una serie de cualidades que emergen de aquéllas. Estas cualidades son propias de lo que suele considerarse como una substancia divina. Así, a partir de las diversas pruebas emergen dos tipos de cualidades: por un lado, en relación con la trascendencia del primer moviente inmóvil respecto de la naturaleza, se destaca su inmovilidad, su eternidad, su impasibilidad, su separación (...) con respecto a los restantes entes, su ser inteligencia, su unicidad, su poseer potencia ilimitada, su inmaterialidad, y, por otro lado, en relación con su poder sobre el mundo, se advierte su causalidad sobre el movimiento del mundo, su dominio sobre los entes, su abarcarlos y, en fin, su ser causa del ser y del no ser. Estos atributos encuentran su punto de contacto en aquel atributo, sin nombre, por el cual este agente es un ‘principio no natural que mueve naturalmente’. (shrink)