In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 10.3 (2003) 265-266 [Access article in PDF] Definition Is Limited and Values Inescapable Richard Mullen THIS IS A welcome paper that lays bare some of the presumptions of those who seek to determine the status of psychiatric disorder. At different times debate on the subject reflects stigma, prejudice, needs for coherent categorization, and occasionally just antipsychiatric resentment. As Pickering hints, much philosophical argument may (...) be selected to support a position already chosen.The article illustrates that the likeness argument is insufficient to demonstrate that mental disorders are or are not disorders in any other more profound sense. Similarly perhaps, if a debate were conducted about whether or not a bony fracture, hypertension, obesity, or bacterial infection were real illnesses, the likeness argument might be unfruitful. This is perhaps unsurprising; notions of health and illness, mental or physical, are largely abstractions. In psychiatry, so-called symptoms are themselves abstract classifications of incompletely articulated mental phenomena far more diverse than the definitions and criteria to be found in a diagnostic manual.Argument by analogy is always limited. If my car has a flat tire, the car will be dysfunctional or disordered. Its loss of performance will be the symptoms of the flat tire, which is the lesion. It is a problem quickly diagnosed and treated. If convenient, I suppose my car could have been said to be ill, but this would not lead to any particular insights into the nature of cars, mechanics, health, or anything else.A variety of concepts can be contained within terms such as illness,disease, and disorder. They include the clinicopathological approach (the disease is the organic lesion), the disease is deviance approach, disease as distress, and approaches that consider disease—particularly mental disorder—as largely socially constructed. None may resolve the questions that Pickering raises, but recognizing that our terms are not always precise or used consistently is part of formulating the problem more clearly. For the most part clinical psychiatry (and the rest of medicine) has no difficulty in properly identifying most of our patients as disordered or ill. The fact that there are some borderline instances, difficult to classify either way, does not invalidate the classification.Consideration of whether or not the features of a disorder can in themselves determine whether or not a person is disordered is timely for two reasons. As stigma about (some) psychiatric disorder lessens, and opportunities for complaint and compensation expand, an era of self-definition as mentally disordered has arrived. How are mental health practitioners to respond to someone whose mental distress appears not to be clinically significant, but who demands access to the sick role? Also of current concern for clinical psychiatry is widespread pressure to define as disordered those persons whose antisocial behavior brings them into conflict with society. Professional recognition that definitions of mental disorder are inadequate, or rather incomplete, [End Page 265] may be valid. Worryingly, there are others who are willing to define it for us.Both major international systems of classification of mental disorder offer definitions of mental disorder that turn on what is to be meant by clinical significance or clinically recognizable. In the current Diagnostic and Statistical Manual, mental disorder implies "clinically significant impairment or distress," and criteria for specific disorders mostly including a comment about "clinically significant distress or impairment in social, occupational, or other important areas of functioning" (APA 2000, 8). In the International Classification of Disease, disorder is used to imply "existence of a clinically recognizable set of symptoms or behavior associated in most cases with distress and with interference with personal function" (WHO 1992, 5). It seems that no definition of mental disorder is adequate for all purposes. Seeking to improve existing definitions by further defining the terms used quickly becomes an exercise in pedantry, far removed from practical utility.Pickering mentions as an example the "symptom" of delusions. Available definitions are widely recognized as incomplete or otherwise unsatisfactory (David 1999). This leads to debate about what the individual elements within the definition precisely mean. However in practice delusions are identified with remarkably high reliability (WHO 1973... (shrink)

Enduring disparities in choice of college major constitute one of the most significant forms of gender inequality among undergraduate students. The existing literature generally equates major choice with career choice and overlooks possible variation across student populations. This is a significant limitation because gender differences in major choice among liberal arts students, who attend college less for specific career training and more for broader learning objectives, are just as great as among those choosing pre-professional majors. This study addresses this gap (...) by examining how privileged men and women at an elite, liberal arts university select their fields of study. Drawing on in-depth interviews, findings contradict the prevailing assumption of a unitary model of major choice as career choice by revealing a plurality of gendered meanings around choosing a field of study. Majors may play an important part in the construction of an intellectual identity as much as a means of career preparation. How students approach the choice relates to both gender and social background. For privileged students, traditional gendered associations with bodies of knowledge hold salience in their decision making as well as expectations of reproducing future elite family roles. This research also illuminates how gendered processes of choosing fields of study take place in relationship to particular institutional contexts. (shrink)

Delusions, a key feature of psychosis, are usually thought of as a type of belief, as in the definition of the American Psychiatric Association: A false belief based on incorrect inference about external reality that is firmly sustained despite what almost everyone else believes and despite what constitutes incontrovertible and obvious proof or evidence to the contrary. The belief is not one ordinarily accepted by other members of the person’s culture or subculture (e.g. it is not an article of religious (...) faith). This characterization is often criticized, but other definitions typically comprise similar elements. For some, delusions are only loosely considered as beliefs (Jaspers 1963; Moor and Tucker .. (shrink)

DAVID WARD, in his interesting essay, advances a number of propositions: -/- That moral (including evil) behavior must be governed by a principle. That the principles involved in evil actions are unconscious. That these unconscious evil principles may be the product of malignant narcissism. And somewhat tentatively, that evil is driven "independent of any conscious desires" and by implication the evil person may be stripped of moral responsibility for their behavior. -/- To begin with common ground: Those who act in (...) an evil manner, in my experience, do not usually acknowledge that they acted on an evil principle (nor do those who commit good acts, excepting the terminally self-righteous, usually explain their behavior in terms of adherence to principles). Among serious offenders, self-justification in terms of having no choice is more common or the hapless claim that "I don't know why I did that" or even "I can't believe I did that" (which all too often becomes "I can't remember doing that" for as Nietzche (1886) wrote "I have done that—says my memory. I could not have done that—says my pride and remains inexorable. Eventually memory gives in"). Those who do appeal to principle to justify their evil actions almost inevitably cite value systems that have considerable, if not universal, acceptance. I have encountered men who proudly declared their killings to be part of the pursuit of righteous aims, such as protecting children from pedophiles, stopping the killing of the unborn child, reducing AIDS, and cleansing their city of vice. Interestingly the combination of dreadful, and in many cases repeated, violence with self-righteous superiority often attracts from fellow prisoners and prison staff a label of evil. (shrink)

The second season of True Detective portrays the relationship between law and justice cynically; law and its enforcement seem to be divorced from any conception of justice. Austrian legal theorist Hans Kelsen jurisprudence explicitly refers to official norms, such as legal order imposed by the state. True Detective, deals largely with unofficial legal norms, such as those of a corrupt city and of criminal organizations. A central conflict in True Detective's second season is the tension between the impulse for revenge (...) and the impulse for the more noble retributive justice. The series' presentation of law and justice and the conflict between a retrograde system of justice that is the norm and a newer virtue ethic driven by moral reasoning is what brings about the inevitable tragedies of the finale— the violent deaths of Velcoro and Semyon, and the exile of Bezzerides. True Detective is, particularly in its finale, a good illustration of Hegel's vision of tragedy. (shrink)

Christian responses to the developing field of evolutionary psychology tend to be defensive, focusing on the task of showing that Christians have not beenpresented with any reason to abandon any central beliefs of the Christian faith. A more positive response would seek to show that evolutionary psychologycan provide some sort of epistemic support for one or more distinctively Christian doctrines. This paper is an attempt to supply such a response by focusing on the distinctively Christian doctrine of original sin, which (...) presents itself as an especially likely candidate for support from evolutionary psychology. I consider five versions of the doctrine in order of increasing content, arguing that all but the last can receive such support. However, in order to argue for the fourth version (which includes the doctrine traditionally described as “original guilt”), I enlist the aid of a Molinist understanding of divine providence. A consequence of this application of Molinism is that God holds us morally accountable, not only for what we actually do, but also for what we would do in any non-actual conditions, and that He acts on His knowledge of what we would do in such conditions. Because many may find this consequence problematic, I also argue that it is both morally acceptableand necessary for the perfection of the relationship between God and human beings. The last version of original sin that I consider insists that it must be thecausal product of the first sin of the first human being(s), but I argue that this is not a reasonable alternative if original sin is to be equated with behavioraltendencies inherited from an evolutionary ancestry. (shrink)

Psychopathy fascinates. Modernist writers construct out of it an image of alienated individualism pursuing the moment, killing they know not why, exploiting in passing, troubled, if troubled at all, not by guilt, but by perplexity (Camus 1989; Gide 1995; Mailer 1957; Musil 1996). Psychiatrists and psychologists—even those who should know better—are drawn by it to take off into philosophical speculation about morality, evil, and the beast in man (Mullen 1992; Simon 1996). Philosophers succumb to the temptation of attempting to (...) ground speculation in the supposed facticity of psychopathy. -/- Psychopathy is a cultural construct with roots going back to the eighteenth century, but which only came to full flower over the last fifty years (Hare 1998; Lewis 1974). The currently fashionable constructions of psychopathy find wide acceptance among clinicians and academics. The problem is, however, whether the concept has connections that have been established to the behavior, psychopathology, or the structure and function of brain worthy of according even a modest level of scientific status. There is little point in basing an argument on some supposed scientific gold standard if what glitters is iron pyrites (fools' gold). -/- Neil Levy's opening paragraph contains the statement "Yet in other respects they seem quite irrational; so much so that the term moral insanity has sometimes been applied to them" (p. 129). This both asserts that there is a category "them," namely the psychopaths, and connects them to "moral insanity." Moral insanity entered the language of psychiatry when Pritchard chose to use the term to translate Pinel's category of mania sans deliré (Pritchard 1836). Pinel was attempting to conceptualize a range of disorders that bordered on insanity in the sense of severe disturbances of affect, judgment, and behavior, but that were not accompanied by hallucinations or delusions (Pinel 1798/1964). In today's terminology, the cases he described would probably fall into diagnostic groups, including major depression, bipolar disorder, epilepsy, and a range of personality disorders. A number of his more striking case histories involved antisocial and even murderous behavior, which probably reflected Pinel's role in assessing offenders for the criminal courts of Paris. Pritchard's use of the English word "moral" reflected an appeal first to its use at the time to designate something which was like or similar, but not identical (a usage the OED labels "vulgar"), and second moral in the sense of ethical, conforming to virtuous behavior. Anglophones seized on the latter meaning, although Pinel emphasized the former. Forty years later, Henry Maudsley, the most widely read psychiatrist of his generation, could assert that moral insanity was as real as Colour blindness, some people being Colour blind and some moral blind (Maudsley 1879). Moral insanity became connected variously to phrenology with its own bump over the underlying moral cortex, with the twisted genetics of degeneration, with atavistic theories of criminality, and with a range of disorders of brain from epilepsy to frontal lobe damage (Combed 1853; Ellis 1890; Pick 1989). Although it is anachronistic to use the terms "psychopathy" and "moral insanity" together, it is clear they occupied a similar social and psychiatric space, albeit in different era. This should caution against too ready acceptance of psychopathy which may turn out to be as empty and dangerous a conceptualization as moral insanity. Why dangerous? Dangerous to those labeled, because the morally insane and the moral imbeciles were placed in preventive detention in asylums and prisons, and even sterilized in some jurisdictions. Dangerous to society, because it gave a spurious scientific justification for viewing crime not as reflecting the social evils of deprivation, ignorance, and inequality but as the ravages of the born criminals. -/- Psychopaths are not, as Levy asserts, "(causally) responsible for … more than fifty percent of violent crime" (p. 129). A proportion of violent offenders, which varies widely between observers, are labeled psychopaths. This is often on the basis of Hare's psychopathy checklist, which is a subjective, albeit through training aspiring to be reproducible, and to some extent self-sustaining, evaluation system (Hare 1980, 2003). Part of the checklist gathers data on prior antisocial behavior; part constrains the examiner to subjectively estimate such matters as glibness and callousness, part requires judgments about whether the... (shrink)

Stressing the importance of understanding the grounds and the consequences of ethical or normative decision making, this collection of classic essays compiled by Pierce and VanDeVeer, examines disputes surrounding animals, ecosystems, the land, and their own proper place in the ongoing network of lives on this planet. A central question is "how can we live lives that are both personally satisfying but which are also ecologically sound and responsible?".

Journal of Social Philosophy, EarlyView.

A quick tour through an average U.S. hospital gives pause to anyone with even a rudimentary concern for environmental issues. To a careful observer, the typical U.S. hospital presents an array of challenges to the health of ecosystems. For example, hospitals consume vast quantities of natural resources. The most obvious of these are fossil fuels, which form the basic building blocks of the industrialized medical care industry. Aside from the worry that our healthcare systems are technologically and functionally dependent upon (...) nonrenewable, relatively scarce, and politically volatile resources, our heavy reliance on fossil fuels has important ill effects, including unfavorable health outcomes for humans. For example, the combustion of fossil fuels is the driving force behind global warming, which will likely result in increasing heat-related mortality and morbidity and may contribute to the spread and resurgence of infectious diseases around the world. Also, the combustion of coal and oil releases pollutants such as sulfur oxides, nitrogen oxides, and ground-level ozone that contribute to various respiratory ailments. In addition to being energy intensive, the modern hospital uses a great deal of water, wood, paper, metals, minerals, plastics, chemicals, food, and land. (shrink)

Psychopathology has two styles. On the one hand, a tradition of phenomenological inquiry, associated in particular with the work of Karl Jaspers, that may be considered as the continental way of approaching psychopathology. On the other hand, an empirical approach more associated with the English-speaking world, which emphasizes the need for objectivity of measurement, and is as close as psychiatry gets to dustbowl empiricism. Stanghellini’s book, Disembodied Spirits and Deanimated Bodies (2004), is undoubtedly in the first tradition. It is part (...) of the growing International Perspectives in Philosophy and Psychiatry series, the success of which suggests some recognition that much of importance in .. (shrink)

In the undergraduate Philosophy of Religion classroom, a primary topic of discussion is the attributes of God. Personal experience as a teacher has shown that Śamkara's concept of Brahman without attributes {nirguna), a contrast to traditional Western ideas of the Divine, facilitates the learning process and broadens general conceptualizations of the Divine or Ultimate Reality. The teaching pedagogy associated with the use of this concept is explored here. Some basic questions are key. How can the concept of Brahman without attributes (...) be presented to a novice western audience? How can the discussion of the concept be integrated practically in a Philosophy of Religion course? The nirguna concept is invaluable for the constructive broadening of perspective and thorough treatment of the general topics at hand in Philosophy of Religion. It is by incorporating a cross-cultural understanding of Śamkara's absolute that the semester-long exploration of "alternate" views on divinity or ultimate reality can culminate in a greater grasp of not only Śamkara-based views on Brahman the Absolute, but also of Western views on a monotheistic God.When requested to prepare this paper for publication, I realized that my own request to the audience at the SIPR Calcutta conference would have to be translated from the intimate and immediate context of a room filled with friendly faces to the distanced context of readers. The request I made was simple, however, and I trust the reading audience will be as helpful as my colleagues in the conference room were. This paper is meant to stimulate discussion. Presented here is a collection of suggestions for the Philosophy of Religion classroom, and as improving one's teaching skills is an ongoing, never-ending process, I do hope all readers will add any opinions or criticisms to the discourse and regard this piece not as a final statement but as a starting point for useful lesson planning. My aim is simply to offer some pedagogical starting points, centering on the use of Śamkara on an introductory level, in the specific course context of Philosophy of Religion.In the undergraduate. Western Philosophy of Religion classroom, a primary topic of discussion is the attributes of God. Personal experience as a teacher has shown that Śamkara's concept of nirguna Brahman ("without attributes") facilitates the learning process and general conceptualizations of the Divine and Ultimate Reality. The teaching pedagogy associated with the use of this concept is the focus here. Some basic questions are key. How can the concept of Brahman without attributes be presented to a novice Western audience? How can the discussion of the concept be integrated practically in a Philosophy of Religion course? What specific teaching methods can be employed successfully in this context? The nirguna concept is invaluable for the cultivation of analytical skills, for the constructive broadening of perspective, and for a thorough treatment of the general topics at hand in Philosophy of Religion. Foremost among these topics is "Describing the Divine." I draw upon current works on teaching pedagogy, primary and secondary works dealing with Śamkara's Advaita Vedānta and personal teaching experience in the Philosophy of Religion classroom. (shrink)

An Impartial Collection of the Great Affairs of State was published in London, in two volumes, between 1682 and 1683. Its author John Nalson was a fervent believer in the twin pillars of the monarchy and the Anglican Church. In An Impartial Collection he holds up the internecine conflict of the 1640s as an example not to be followed during the 1680s, a period of further religious and political upheaval. Nalson’s text is anything but neutral, and its perspective is neatly (...) summarised in the engraved frontispiece which prefaces the first volume. This article examines how this illustration, depicting a weeping Britannia accosted by a two-faced clergyman and a devil, adapts and revises an established visual vocabulary of ‘otherness’, implying disruption to English lives and liberties with origins both foreign and domestic. Such polemical imagery relies on shock value and provocation, but also contributes to a sophisticated conversation between a range of pictorial sources, reshaping old material to new concerns, and raising important questions regarding the visual literacy and acuity of its viewers. (shrink)

In recent years, and especially in the wake of Barack Obama's reelection, projections that whites will soon become a minority have proliferated. In this essay, I will argue that such predictions are misleading at best, as they rest on questionable philosophical presuppositions, including the presupposition that racial concepts like ‘whiteness’ are static and unchanging rather than fluid and continually being reconstructed. If I am right about these fundamental inaccuracies, one must wonder why the myth of the white minority persists. I (...) will argue that by reenvisioning whites as a minority culture struggling against a hostile dominant group, and by promoting white solidarity as a response to a crisis, such predictions actually serve to defend and legitimize white supremacy. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy and Literature 27.1 (2003) 151-163 [Access article in PDF] Defining "Poetry" Robert B. Pierce SINCE TERMS ARE THE TOOLS of literary study, it is important to keep these tools in good condition, above all by having clear and functional meanings for them. Notoriously, many critical arguments about texts are in fact differences about terminology, and many confused arguments are built on vague or arbitrarily used terms. Few (...) have been the subject of more critical worrying and infighting than "poetry," 1 and few are more disparately defined. Definitions that are fuzzy or tendentious confuse many a discussion of poetry, and in particular they often narrow our response to the rich variety of the texts in front of us by silently imposing a view of what poetry ought to be. I would like to suggest that a Wittgensteinian approach to meaning can cut through a lot of the difficulty that surrounds the term. The refined understanding of the term "poetry" will result in a certain demystification, but it will dissipate only a false mystery based on confusion, not the real mystery of depth and richness that poetry can offer.What does it mean to approach this issue as a Wittgensteinian? The main principle is that the meaning of a term is its use, the way people deploy it in their speaking and writing, the work that it does. 2 A word does not have an essential core of meaning of which the various social uses are approximations; rather those social uses are the meaning. Thus meaning is a social phenomenon, and the way to determine it is to [End Page 151] look outward at how people use a term, not inward for some presumed mental essence that the term designates. Meaning is conventionally divided into reference and sense. What the term "poetry" refers to is a group of publicly visible things in the social world that we call poems, but there is no distillation in the mind that is the essence of poetry, the sense of the term. Of course we have a sense of the term that controls its range of reference. That sense is made up of our bases for calling one thing poetry and not another: the qualities that incline us to see a text as a poem. Wittgenstein would call these defining qualities criteria. The crucial fact is that they are determined by social processes and so are available to public inspection, not hidden away to be discovered only by introspection.Another observation about what it is to assign meaning to a term is important here. If someone asserts that "poetry" means X, he or she can appropriately be asserting that in fact the offered definition describes how people use the term, or else he or she can be suggesting how the term should or will be used in a specific discourse, that is, offering a definition proposal or stipulative definition. In the latter case the proposer needs to show the utility of the change from ordinary speech for his or her purposes. That is of course what literary critics do when they specify meanings for a term like "tragedy" or "irony" that are different from common usage. It is not that Wayne Booth's way of talking about irony uses the real meaning (both his and the ordinary senses are perfectly real since both are socially used), but that his is more useful for literary criticism than the general usage because it is more precise and nuanced. 3Thus it would make sense to begin defining "poetry" by looking at how people use the term and in particular how it is used in literary discourse. However, though I will pay some attention to what critics actually say and write, I would like primarily to offer certain proposals for refining our use of the term so as to avoid confusion and vagueness. It is not that this investigation will be approaching the real meaning of "poetry," which I have suggested is an imaginary goal, but that it will propose a use of the term constituting a vehicle for talking and writing about poetry that... (shrink)

This paper explores the comparative dynamics of self-mutilation among young, contemporary, female self-cutters, and the holy stigmatics of the Middle Ages. It addresses the types of personalities that engage in self-mutilation and how some manipulate their self-inflicted pain into a method for healing and empowerment. The similarities between teenage cutters and female stigmatics are striking in their mutual psychoanalytical need for self-alteration as a means of escaping their own disassociative identities; and offers evidence of how their mutual bricolage of pain, (...) imagining, languaging, and subsequent self-mutilation often provide a transformation from bodies under siege to a resemblance of health and transformation. (shrink)

This book shows how environmental decline relates to human health and to health care practices in the U.S. and other industrialized countries. It outlines the environmental trends that will strongly affect health, and challenges us to see the connections between ways of practicing medicine and the very environmental problems that damage ecosystems and make people sick. In addition to philosophical analysis of the converging values of bioethics and envrionmental ethics, the book offers case studies as well as a number of (...) practical suggestions for moving health care toward sustainability. (shrink)

Beyond Subjectivity and Representation extensively explores a connection in the thinking of Nietzsche, Heidegger, and Merleau-Ponty in relation to the interconnections among perception, creation, truth, and value in a way that allows the work of each author to shed light upon the others' ideas. Deborah Carter Mullen develops a non-dualistic notion of truth and value rooted in embodied, earthly existence, and considers them as ongoing happenings of metamorphosis rather than as static ideas. This idea of metamorphosis leads to an (...) understanding of the relationships among self, other, and world as temporal happenings of the flesh. In an intertwining relationship with one another, I and other, I and world, past, present, and future are considered occurrences of the moment that are redefined in each perception and in each expression, as each questions and responds to the other, creating a "mirror-play of flesh." Mullen proposes that reversibility and metamorphosis give rise to an aesthetic sense of truth and values that are not absolute, but truths that happen as they are expressed and values that occur as they are lived. (shrink)

In an article in this journal [2], A. C. Michalos, while arguing for the normative and empirical inadequacy of the Von Neumann and Morgenstern postulates of rational preference, completely misconstrued the concept of simple additivity contained in the postulates. As a result, the following argument is a non-sequitur.

Ethics involves an organized, reasoned approach to gathering and processing data in order to arrive at decisions about what to do, what to value, and/or what virtues to cultivate. A model is proposed for conceptualizing this complex dynamic, which incorporates elements of both rule-and-principle ethics and the ethic of care. The model suggested here has two levels. The first level identifies the components that comprise philosophical reasoning; the second contextualizes and operationalizes the model in relation to the processor’s philosophical stance (...) on the nature of knowing. Three philosophical stances are identified and described: science-dominant, person-dominant, and science-person equilibrium. Physicians tend to process patients from first perspectives, nurses from second. Hence, health team collaboration in moral problem solving is critically important. (shrink)

This article analyzes positions on pornography using Q-methodology. Eighty-five respondents sorted a sample of 86 opinion statements on definitions of pornography, personal reactions to it, its causes and effects, and social policy recommendations. Factor analysis was used to identify clusters of individuals in the United States who share common subjectively defined points of view on pornography. The three patterns of responses that emerged from the analysis were labeled Religious-Conservative, Liberal, and Antipornography Feminist. Using the empirical data, we examine the logical (...) and ethical structures of these points of view and their political and legal implications. We conclude that the viewpoints are too incompatible to sustain stable and effective political alignments among the adherents. (shrink)

This essay argues, drawing from both philosophical and scientific work on disgust, that since disgust is a universal human emotion with roots in evolutionary adaptation, and since capitalism inevitably produces disgusting food, a critique of capitalism based upon the category of disgust and centered on the food system may be more practically effective than traditional critiques of capitalism. This critique forms the basis of what I call a critical theory of food.