In lieu of an abstract, here is a brief excerpt of the content:President’s Council on BioethicsEdmund D. Pellegrino (bio) and F. Daniel Davis (bio)Approximately two weeks before what was to have been its final meeting, the White House dissolved the President’s Council on Bioethics by terminating the appointments of its 18 members. The letters of dismissal, dated 10 June 2009, informed the members that their service on the Council would end with the close of business the next day.The Council’s (...) term was set to expire on 30 September 2009. After President Obama’s election in November and during the transition, we were advised to proceed on the assumption that the Council would be permitted to cease on that date. Reasons for the abrupt move to disband the Council are unknown. We have accepted the fact that we Council members served at the pleasure of the President and that he simply exercised his rightful prerogative. No explanation is therefore required.Some observers have speculated that the action was retaliatory. They related to the fact that several members of the Council disagreed with the President’s stem cell policy in a signed statement published in the Hastings Center’s Bioethics Forum. Others have speculated that the move was pre-emptive. At its final meeting, scheduled for 25–26 June, the Council was set to sign-off on two of its final publications. One was a comprehensive report on the ethics of organ transplantation, and the other a white paper entitled Health Care and the Common Good. The aim was immediately to release the latter as a contribution to the intensifying debate about health care reform. Health Care and the Common Good could well have aided rather than impeded the President’s drive to better control health care costs and achieve universal coverage. The Council report attempted to ground both goals in the ethical framework of, as the title indicates, the common good of all Americans.In his letter terminating the members’ appointments, Assistant to the President for Presidential Personnel Don Gips said that the President “recognizes the values of having a commission of experts in bioethical issues to provide objective and non-ideological bioethics advice to his administration.” Gips went on to say that the President is “currently rethinking the purposes and goals of such a bioethics commission, and is carefully considering a revitalized mission and mandate.” And, [End Page 309] responding to media enquiries, White House press officer Reid Cherlin explained that the President’s Council was terminated because it was a “philosophically leaning advisory group” and, according to a New York Times account by Nicholas Wade, “because it favored discussion over developing a shared consensus.” As for the ultimate outcome of the President’s “rethinking,” Cherlin indicated that President Obama will appoint a new commission with the mandate of offering “practical policy options” in bioethics.In the light of our experiences with the Council, we leave it with hopes that certain questions of national importance will be addressed. In light of the nature of federal advisory commissions, what is or are the proper roles of a national bioethics commission? If the aim is to provide advice and counsel to the President or, perhaps to the U. S. Congress, is that advice best rendered as a group consensus or as an in-depth exploration of the inevitably conflicting ethical perspectives on a given issue? How should such a commission be constituted—with what sorts of individuals? And what is the nature of the expertise that they individually and collectively bring to the commission’s functions? If the commission is to promote public debate and discussion, how exactly should it go about that task? And how is the efficacy of a commission to be assessed? Such questions inevitably lead us deep into contested territory, as the experience of this Council has shown: into the intersections of politics, religion, and science and into the relations between practice and theory—between policy and what some seem to deride as “philosophy.” Indeed, policy without an underlying philosophy is an edifice without a foundation; philosophy without policy is a foundation without an edifice.At the last meeting of the Council in March 2009, we launched a discussion of these questions with the... (shrink)

The large body of literature labeled “ethics in nursing education” is entirely devoted to curricular matters of ethics education in nursing schools, that is, to what ought to be the ethics content that is taught and what theory or issues ought to be included in all nursing curricula. Where the nursing literature actually focuses on particular ethical issues, it addresses only single topics. Absent from the literature, however, is any systematic analysis and explication of ethical issues or dilemmas that occur (...) within the context of nursing education. The objective of this article is to identify the spectrum of ethical issues in nursing education to the end of prompting a systematic and thorough study of such issues, and to lay the groundwork for research by identifying and provisionally typologizing the ethical issues that occur within the context of academic nursing. (shrink)

... Geoffrey Underwood (University of Nottingham) Francisco Varela (CREA, Ecole Polytechnique. Paris) Volume 2 Ralph D. Ellis Questioning Consciousness ...

An experiment investigated the relationship between the ability to encode verbal stimuli during an attentional lapse. The task employed a variation on the sustained attention to response task which involved the detection of an infrequent target against a background of words. As a manipulation, participants were either instructed to encode the stimuli or were merely exposed to the stimuli. Retrieval was measured using process dissociation. Irrespective of the instructions given to the participants during the task, participants were more likely to (...) retrieve information on the basis of recollection after an error was made than before, whilst the likelihood of retrieving information on the basis of familiarity remained invariant over the same period. The implications of this result for methods of investigating subjective experience are discussed. (shrink)

Emotion drives all cognitive processes, largely determining their qualitative feel, their structure, and in part even their content.

The object of this study is to find a coherent theoretical approach to three problems which appear to interrelate in complex ways: (1) What is the ontological status of consciousness? (2) How can there be 'un conscious,' 'prereflective' or 'self-alienated' consciousness? And (3) Is there a 'self' or 'ego' formed by means of the interrelation of more elementary states of consciousness? The motivation for combining such a diversity of difficult questions is that we often learn more by looking at interrelations (...) of problems than we could by viewing them only in isola tion. The three questions posed here have emerged as especially prob lematic in the context of twentieth century philosophy. 1. The question of the ontological status of consciousness The question 'What is consciousness?' is one of the most perplexing in philosophy-so perplexing that many have been motivated to proceed as though consciousness did not exist. If William James was speaking rhetorically when he said "Consciousness does not exist," 1 many behaviorists of the recent past were not. 2 James meant only to imply that consciousness is not an independently existing soul-substance, along side physical substances. He did not mean that we do not really 'have' consciousness, and he did not provide final resolution for the problem of the causal interrelations between consciousness and the physical realm (e. g. , our bodies). Many recent philosophers and psychologists, however, try to proceed as though these problems did not exist. (shrink)

Ralph D. Ellis interviewed by Samuel Maruszewski / Ralph D. Ellis, one of the strongest advocates of the enactivist approach to consciousness and cognitive theory, began his academic career as a phenomenologist, earning a Ph.D. at Duquesne University under Andre Schuwer, John Sallis and Amedeo Giorgi, and has taught at Clark Atlanta University since 1985. He subsequently received a post-doctoral M.S. in Public Affairs at Georgia State University, and worked also as a social worker in both Pittsburgh and (...) Atlanta. Partly as a result of those experiences, as well as being a life-long practitioner of Gene Gendlin’s focusing method, he gravitated toward emotion research and the intersection of philosophy, psychology and the brain sciences from the enactivist perspective, arguing that action, as opposed to mere reaction, has to be emotionally motivated, and that the understanding of all modalities of consciousness should include that perspective. The author of many books and articles on these topics, he is interested in integrating the social sciences with phenomenology, ethics, and philosophy of mind. He is now trying to integrate enactive consciousness theory with moral and social philosophy, with relevance to our current world-wide crisis of internet disinformation. The Moral Psychology of Internal Conflict (Cambridge University Press 2018) is an attempted beginning in that direction. His latest book, Action, Embodied Mind, and Life-World (SUNY Press 2022) is a continuation of that project. His various books in these areas are listed at the Ralph D. Ellis page of Amazon. (shrink)

Introduction: Searching for the covert agent of consciousness -- The devil's pact (or, why the hard problem is now so hard) -- Action at the macro level : an agent-based theory of intentionality -- Action imagery and representation of the external world -- Do we need an emergency metaphysician? : action versus reaction at the micro level -- Herding neurons : the causal structure of self-organizing systems -- The paradoxes of phenomenal consciousness -- The self-organizing imagination : addressing the mind-body (...) problem -- Introspection and private access -- Action imagery and the role of efference -- Connecting physiology with phenomenology. (shrink)

Any physical explanation of consciousness seems to leave unresolved the ‘explanatory gap': Isn't it conceivable that all the elements in that explanation could occur, with the same information processing outcomes as in a conscious process, but in the absence of consciousness? E.g. any digital computational process could occur in the absence of consciousness. To resolve this dilemma, we propose a biological-process-oriented physiological- phenomenological characterization of consciousness that addresses three ‘paradoxical’ qualities seemingly incompatible with the empirical realm: The dual location of (...) phenomenal properties ‘out there’ yet ‘in here’ in consciousness; the mysterious ‘thickness’ of the specious present; the feeling of ‘free agency', that we can voluntarily direct our actions, including the act of conscious attention, while at the same time attention and the emotions that direct it seem responsive to physiological substrates with physical causes. These paradoxes are then resolved by relating three elements of consciousness: organismically interested anticipation; sensory and proprioceptive imagery generated by the interested anticipation rather than by sensory input; resonating of these activities with activity stimulated by sensory data, where the interested anticipation precedes the processing of the input. Each of these elements is bridged to physiological processes such that, if they occur in a certain relation to each other, we can understand why they would inevitably be accompanied by the corresponding elements of conscious experience. (shrink)

© 2015 NATCO, The Organization for Transplant Professionals.Despite the known benefits of kidney transplant, less than 30% of the 615 000 patients living with end-stage renal disease in the United States have received a transplant. More than 100 000 people are presently on the transplant waiting list. Although the shortage of kidneys for transplant remains a critical factor in explaining lower transplant rates, another important and modifiable factor is patients' lack of comprehensive education about transplant. The purpose of this article (...) is to provide an overview of known best practices from the broader literature that can be used as an evidence base to design improved education for ESRD patients pursuing a kidney transplant. Best practices in chronic disease education generally reveal that education that is individually tailored, understandable for patients with low health literacy, and culturally competent is most beneficial. Effective education helps patients navigate the complex health care process successfully. Recommendations for how to incorporate these best practices into transplant education design are described. Providing more ESRD patients with transplant education that encompasses these best practices may improve their ability to make informed health care decisions and increase the numbers of patients interested in pursuing transplant. (shrink)

The aim of the present study was to provide support for the validation of the Teammate Burnout Questionnaire. Athletes from a variety of team sports completed the TBQ and the Athlete Burnout Questionnaire. Confirmatory factor analysis revealed acceptable fit indexes for the three-dimensional models of the TBQ and the ABQ. Multi-trait multi-method analysis revealed that the TBQ and ABQ showed acceptable convergent and discriminant validity. The preliminary validation of the TBQ indicates the utility of the scale to reflect athletes’ perceptions (...) of their teammates’ burnout and offers researchers the opportunity to quantitatively assess an important aspect of the social environment in the development of athlete burnout. (shrink)

CHAPTER 1 Integrating the Physiological and Phenomenological Dimensions of Affect and Motivation Ralph D. Ellis Clark Atlanta University A neglected but ...

Despite its attraction for journalists and others, communitarianism corrupts a liberal democracy and denies a community the ability to make reason-based decisions by becoming highly rule oriented and static with self-protection as the driving motive. Civic or public journalism that retains its pluralistic characteristics may still encourage moral development of individuals, particularly journalists, to assure a dynamic society. Communitarian journalism, however, devalues truth in favor of community loyalty and conformity at the expense of individual moral development.

Mack and Rock show evidence that no consciousperception occurs without a prior attentiveact. Subjects already executing attention taskstend to neglect visible elements extraneous tothe attentional task, apparently lacking evenbetter-than-chance ``implicit perception,''except in certain cases where the unattendedstimulus is a meaningful word or has uniquepre-tuned salience similar to that ofmeaningful words. This is highly consistentwith ``enactive'' notions that consciousnessrequires selective attention via emotional subcortical and limbic motivationalactivation as it influences anterior attentionmechanisms. Occipital activation withoutconsciousness suggests that motivated search,enacted through the organism's (...) subcorticalmotivational functions, is needed beforevisual stimulation engenders consciousness.This enactive view – that searching for,rather than receiving or processing input isthe basis of consciousness – was slow ingaining acceptance lacking empirical evidenceof this kind, combined with thestimulus-response assumption that brain eventssubserving perceptual consciousness must resultfrom transformation of perceptual input ratherthan from the organism's self-regulatedactivity as manifested through subcorticalactivity. Implicit perception occurring withword priming is ``paradoxical'' according to Mackand Rock, suggesting late selection forattention after extensive unconsciousprocessing, while most trials involvingnonverbal rather than verbal images mightsuggest earlier selection, sinceunattended objects are unseen, apparently evenimplicitly. This paper argues that anteriorand subcortical motivational mechanisms play animportant role in early selection; posteriormechanisms then unconsciously enhance signals;if data survive early gating andcorticothalamic enhancement, then still further anterior-limbic loops motivatedlyactivate ``image schemas'' resonating withposterior nonconscious processing; at thatpoint, consciousness occurs. (shrink)

Art perception offers action affordances for the self-generated movement of the eyes, the mind, and the emotions; thus some scenes are ’easy to look at', and evoke different kinds of moods depending on what kind of affordances they present for the eyes, the brain, and the action schemas that further the dynamical self-organizing patterns of activity toward which the organism tends, as reflected in its ongoing emotional life. Art can do this only because perception is active rather than passive, and (...) begins with efferent activity in emotional brain areas (e.g. hypothalamus, amygdala, hippocampus and anterior cingulate) which then motivates afferent processing (parietal imaging activity which finally, after a 1/3-second motivational/selective process is complete, resonates with occipital patterns, resulting in perceptual consciousness). The limbic system ’categories’ that motivate the ’looking-for’ of selective attention are categories of utility, to be understood in terms of emotional affordances and whole-organism affective meanings. Art plays with this looking-for, using it to make us engage in different afforded actions that relate to different limbic (emotional) categories. The drawings of children and of the artistically untutored reveal this structure when we fail to ’draw what we see’, drawing instead what we conceptualize that we ought to be seeing. Art teaches us to get beyond this almost complete dominance of habitual categories, and to see things more freshly -- both in the perceptual and in the emotive sphere. Rather than reinforcing our preconceptions, it forces us to see how they affect our view of reality. -/- Because neither perceptions nor emotional responses are really passive ’responses’ at all, art does not cause us to feel a certain way. Instead, we ’use’ art for the purpose of symbolizing our emotions. Our most important feelings are not directly ’about’ the perceptual objects that trigger them. The object in conscious attention during the feeling of an emotion is normally not the intentional object of the emotion, i.e., it is not the object in relation to which our actions could serve the purpose of the emotion. Emotions are not even triggered by simple ’stimuli’, but rather by the meaning for us of a stimulus in a total context determined by ongoing and dynamical organismic purposes. Emotions arise from the total life process, which is a dynamical system -- not as an isolated chemical event or a causal result of a simple stimulus. For this reason, emotions call not just for satiation or pleasure, but for explication; this is why art is different from entertainment or pretty decoration. Visual art affords not only a meaningful, self-directed dance of the eyes, but also a meaningful dance of this emotional explicating process. (shrink)

Enactivism has the potential to provide a sense of teleology in purpose-directed action, but without violating the principles of efficient causation. Action can be distinguished from mere reaction by virtue of the fact that some systems are self-organizing. Self-organization in the brain is reflected in neural plasticity, and also in the primacy of motivational processes that initiate the release of neurotransmitters necessary for mental and conscious functions, and which guide selective attention processes. But in order to flesh out the enactivist (...) approach in a way that is plausible and not merely an epiphenomenon, it is necessary to confront the problem of causal closure in a serious way. Atoms and molecules in the brain do not violate the normal causal principles that govern them in other contexts. The theory of self-organizing dynamical systems must be developed in a way that is compatible with causal closure rather than contradicting it. (shrink)

Pushing back against the potential trivialization of moral psychology that would reduce it to emotional preferences, this book takes an enactivist, self-organizational, and hermeneutic approach to internal conflict between a basic exploratory drive motivating the search for actual truth, and opposing incentives to confabulate in the interest of conformity, authoritarianism, and cognitive dissonance, which often can lead to harmful worldviews. The result is a new possibility that ethical beliefs can have truth value and are not merely a result of ephemeral (...) altruistic or cooperative feelings. It will interest moral and political psychologists, philosophers, social scientists, and all who are concerned with inner emotional conflicts driving ethical thinking beyond mere emotivism, and toward moral realism, albeit a fallibilist one requiring continual rethinking and self-reflection. It combines 'basic emotion' theories with hermeneutic depth psychology. The result is a realist approach to moral thinking emphasizing coherence rather than foundationalist theory of knowledge. (shrink)

Phenomenology and physiology become commensurable through a self-organizational physiology and an "enactive" view of consciousness. Self-organizing processes appropriate and replace their own needed substrata, rather than merely being caused by interacting components. Biochemists apply this notion to the living/nonliving distinction. An enactive approach sees consciousness as actively executed by an agent rather than passively reacting to stimuli. Perception does not result from mere stimulation of brain areas by sensory impulses; unless motivated organismic purposes first anticipate and "look for" emotionally relevant.stimuli, (...) brain-sensory processing is not accompanied by perceptual consciousness. To see a soccer ball requires looking for it in the right place. The sell-organizing, emotionally motivated agent instigates this looking-for activity. (shrink)

This paper reports on the Kuhnian revolution now occurring in neuropsychology that is finally supportive of and friendly to phenomenology — the "enactive" approach to the mind-body relation, grounded in the notion of self-organization, which is consistent with Husserl and Merleau-Ponty on virtually every point. According to the enactive approach, human minds understand the world by virtue of the ways our bodies can act relative to it, or the ways we can imagine acting. This requires that action be distinguished from (...) passivity, that the mental be approached from a first person perspective, and that the cognitive capacities of the brain be grounded in the emotional and motivational processes that guide action and anticipate action affordances. It avoids the old intractable problems inherent in the computationalist approaches of twentieth century atomism and radical empiricism, and again allows phenomenology to bridge to neuropsychology in the way Merleau-Ponty was already doing over half a century ago. (shrink)

This book is an attempt to come to grips with problems of the epistemological basis of ethical beliefs by building on criticisms of approaches to this problem which have been attempted in the recent past. Because of the extensive discussions and criticism of these various alternatives, the book is useful to all who are concerned with the epistemology of ethics.

The papers in this volume of Consciousness & Emotion Book Series are organized around the theme of "enaction.

Since Jackendoff has shown that language facilitates abstract and complex thought by making possible subtle manipulations of the focus of attention, and since the kind of attention relevant here is attention to aspects of intentional objects in conscious awareness, it follows that the abstract and complex thinking that language facilitates owes much to the working of a conscious process. This, however, conflicts with Jackendoff's view of consciousness as something which does not play a direct part in thinking, but is only (...) a byproduct of a non-conscious computational process in the brain which does the real thinking. I argue that, since Jackendoff s phenomenology of language shows that attention plays such an important part in thinking, yet language can help us attend only to what we are conscious of consciousness does play an important part in thinking. Moreover, consciousness cannot be merely an epiphenomenal byproduct separable in principle from underlying physical mechanisms, because this would imply that consciousness itself is not physical, which would lead to dualism. But if consciousness is inseparable from its physiological substratum, then it also causes whatever effects the physiological substratum causes. (shrink)

[opening paragraph]: Nicholas Humphrey argues persuasively that consciousness results from active and efferent rather than passive and afferent functions. These arguments contribute to the mounting recent evidence that consciousness is inseparable from the motivated action planning of creatures that in some sense are organismic and agent-like rather than passively mechanical and reactive in the way that digital computers are. Newton calls this new approach the ‘action theory of understanding'; Varela et al. dubbed it the ‘enactive’ view of consciousness. It was (...) endorsed in passing by the early Dennett , although he never followed up on it in his later work. According to Dennett, ‘No afferent can be said to have a significance ‘A’ until it is ‘taken’ to have the significance ‘A’ by the efferent side of the brain’ . Luria also stressed the neurophysiology of efferent processes as correlated with consciousness . Further elaborations of the enactive approach are defended by Ellis , Newton , Ellis and Newton , Watt , Thelen and Smith , Jarvilehto and Gendlin . According to this view, conscious information processing can arise only as the self-regulated action of a self-organizing process that confronts the world as a system of action affordances. While information can be passively absorbed in the form of afferent input, only efferent nervous activity in the interest of a living organism's homeostatic balance can create consciousness of any information, whether perceptual, imagistic, emotional or intellectual. (shrink)

Understanding the role of emotion in reasoned, deliberate choice -- particularly moral experience -- requires three components: Meta-emotion, allowing self-generated voluntary imagery and/or narratives that in turn trigger first-order emotions we may not already have, but would like to have for moral or other reasons. Hardwired mammalian altruistic sentiments, necessary but not sufficient for moral motivation. Neuropsychological grounding for what Hume called 'love of truth,' with two important effects in humans: generalization of altruistic feelings beyond natural sympathy for conspecifics; and (...) motivation to inquire into moral/political/psychological truth without automatic, a priori commitment to specific action tendencies -- to avoid trivializing ethical and social choices. After deliberation, the desired behaviour is then triggered by using meta-emotion and voluntary imagery to 'pull up' and habituate the needed first-order emotions. The neuropsychological basis for Hume's 'love of truth' is traced to Panksepp's 'seeking system' in combination with some prefrontal executive capacities. (shrink)