The practice of covertly administering medication is controversial. Although condemned by some as overly paternalistic, others have suggested that it may be acceptable if patients have permanent mental incapacity and refuse needed treatment. Ethical, legal, and clinical considerations become more complex when the mental incapacity is temporary and when the medication actually serves to restore autonomy. We discuss these issues in the context of a young man with schizophrenia. His mother had been giving him antipsychotic medication covertly in his soup. (...) Should the doctor continue to provide a prescription, thus allowing this to continue? We discuss this case based on the “four principles” ethical framework, addressing the conflict between autonomy and beneficence/non-maleficence, the role of antipsychotics as an autonomy restoring agent, truth telling and the balance between individual versus family autonomy. (shrink)

The ego-focus of pioneer women on the South African frontier, 1760–1860, reflects distinct traits of mystical spirituality. The pioneer spirituality of women on the borders increasinglycame to expression in ego-texts with experiential inclinations. The leaning towards Jesuscentredmystical spirituality developed parallel to pietistic tendencies in Holland and Germany,and allegorical and tropological applications of the bridal metaphors in the Song of Songsformed a distinct element of female pietism on the frontier. Women believers in the interiorfavoured tropological applications of bridal metaphors in the (...) Song of Songs. The popularity ofsuch tropological applications can firstly be attributed to the physical conditions under whichpioneer women found themselves. Secondly, the availability of German pietistic workscontributed towards the religious culture of mystical and individualistic readings of bridalmetaphors in the Song of Songs. Tropological readings of the Song of Songs’ bridal metaphorsare traced to the theology of Bernard of Clairvaux particularly and other pre-reformationalmystical sources. (shrink)

This paper discusses the debate over whether emotional expressions are spontaneous or intentional actions. We describe a variety of empirical evidence supporting these two possibilities. But we argue that the spontaneous-intentional distinction fails to explain the psychological dynamics of emotional expressions. We claim that a complex systems perspective on intentions, as self-organized critical states, may yield a unified view of emotional expressions as a consequence of situated action. This account simultaneously acknowledges the embodied status of environment, evolution, culture and mind (...) in theories of emotion. (shrink)

We argue that an approach that treats short-term memory as activated long-term memory is not inherently in conflict with information recycling in a limited-capacity or working-memory store, or with long-term storage based on the processing in such a store. Language differences aside, real model differences can only be assessed when the contrasting models are formulated precisely.

The student of Spinoza is faced by a peculiar difficulty. On opening the Ethics —Spinoza's chief work, completed for publication shortly before his death in 1674—he finds a system of metaphysics set forth in geometrical form, starting from definitions, axioms, and postulates, and advancing synthetically from first principles to a detailed interpretation of the universe. The difficulty lies not in the language— Spinoza's Latin is easy to construe, and there are translations—nor in the lack of literary graces; his style indeed (...) is singularly impressive in its austere dignity. It lies rather in this, that the method of exposition conveys a misleading suggestion of dogmatism and finality, and conceals almost all traces of the patient inquiries that issued in the finished structure. If once the principles of the system are admitted, the rest appears to follow by logical necessity. But by what processes of thought was Spinoza led to those principles? This is the problem that besets the reader: in order to understand the Ethics, he must penetrate behind the text of the propositions to their significance as answers to the questions that were stirring in Spinoza's mind. (shrink)

We have been led by our preliminary survey to acknowledge the autonomy of the moral life. The Tightness of an action is something that is sui generis and ultimate. It is vain to seek a reason for the rightness other than the Tightness itself. To the question, “Why ought I to do what I ought?” the only answer is, “Because I ought to do it.” 1 It is with rightness as with truth: Vera idea est norma sui et falsi. In (...) any moral situation, we intuitively judge what it is right to do, and in judging recognize that the obligation to do it is unconditional. That we possess this capacity is what is meant by saying that we are moral beings. (shrink)