To understand why autistic people are misperceived in the way Jaswal & Akhtar suggest, we should embrace concepts like the “double empathy problem” and camouflaging and recognize the negative consequences these have for mental health in autism. Moreover, we need to value expertise from experience so that autistic people have a voice and indeed a stake in research into autism.

Early Greek philosophers doubled as natural scientists; that is a common-place. It is equally true, though less often remarked, that numerous historical philosophers doubled as cognitive scientists. They constructed models of mental faculties in much the spirit of modern cognitive science, for which they are widely cited as precursors in the cognitive science literature. Today, of course, there is more emphasis on experiment, and greater division of labor. Philosophers focus on theory, foundations, and methodology, while cognitive scientists are absorbed by (...) experimental techniques and findings. Nonetheless, there are sound reasons for massive communication between philosophy and cognitive science, which happily proceeds apace. On this occasion I shall not try to enumerate or delineate these lines of communication in any comprehensive fashion. I just wish to illustrate the benefits to philosophy in two domains: the theory of mind and moral theory. Though this may sound like an ambitious agenda, I shall in fact examine just a single phenomenon: empathy. Using that term first broadly and later narrowly,I shall argue that empathy may be the key to one sector of the philosophy of mind and to several sectors of moral theory. But whether empathy can in fact unlock any doors depends heavily on the outcome of empirical research in cognitive science. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 23 (2003) 67-76 [Access article in PDF] Double Religious Belonging:A Process Approach Jay McDaniel Hendrix College Increasingly, Christians in the United States are turning to Buddhism for spiritual insight and nourishment. Many are reading books about Buddhism, and some are also meditating, participating in Buddhist retreats, and studying under Buddhist teachers. As they do so, they approach what might be called "dual religious belonging."The phrase itself (...) can suggest at least three metaphors. We can imagine them (1) as people crossing a bridge into the world of Buddhism and who then return to Christianity with fresh insights; or (2) as people with two intravenous tubes in their arms, one providing fluid from a Buddhist lineage and one providing fluid from a Christian lineage, for the sake of a more complete life; or, shifting to a more organic metaphor, (3) as people with primary roots in Christian soil but with secondary roots in Buddhist soil, who receive anchorage and sustenance from both kinds of soils.Shortly I will draw upon the third metaphor to suggest the desirability of a "taproot" as opposed to a "fibrous" approach for such double belonging, at least in its initial stages. First, a word is in order about the philosophical backdrop for my approach, which draws upon the philosophy of Alfred North Whitehead and its theological counterpart, process theology. Toward this end, I will draw upon the first metaphor: the bridge. A Bridge for Double Belonging Process theology emerged in the 1930s at the University of Chicago and has since been used by many Christians and some Buddhists, mainly but not exclusively Pure Land Buddhists, to interpret their respective religious perspectives. I myself have used this theology in several books to try to show how Christians can draw deeply from the wells of Buddhist insight and practice in ways that enrich and deepen Christian life.Process theology draws upon the "philosophy of organism" developed by the late philosopher and mathematician Alfred North Whitehead. Whitehead's philosophy is unique in that it has deep similarities with numerous Buddhist points of view even as it also offers a rich way of interpreting and appreciating core Christian insights. [End Page 67] It is no accident that process theologians such as John Cobb suggest that process theology is a way of seeing things—a theological bridge—that can help a Christian cross over into Buddhism, learn from it in deep ways, and return with fresh insights that enrich a walk with Christ; and that can also help Buddhists cross over into Christianity, learn from it in deep ways, and return with fresh insights for practicing the dharma.What, then, are the core teachings of process theology? If we imagine process theology as a wooden bridge, here would be ten of its planks:There are many worlds beyond words, which can be known in many ways, including prayer and meditation, empathy and imagination, intuition and mindful perception.Human life consists of a series of moments of experience, each of which includes, and is dependent on, the whole of the universe.The universe is an unfolding process that is never the same at two instants.Humans and other living beings have no substantial or permanent self that separates them from the surrounding world.Ultimate reality is a nonstatic and nondualistic Emptiness of which all things are manifestations: with Emptiness referring to (a) the emptiness of words and concepts as adequate descriptions of things as they are, (b) the sheer presence of things as they are in their suchness, (c) the absence of a self-contained substantiality or "own being" within things, (d) the sheer interconnectedness of all things, (e) the pure becoming of all things.There is a womblike presence—God—who shares in the joys and sufferings of each living being, and who is herself an example of no-self, interdependence, pure becoming, of the Emptiness described above.God is present within each living being an in-dwelling lure toward wisdom and compassion.God's presence is also found between humans, when they live in community with one another in a... (shrink)

What does it mean for an actor to empathize with the character she is playing? We review different theories of empathy and of acting. We then consider the notion of “twofoldness”, which has been used to characterize the observer or audience perspective on the relation between actor and character. This same kind of twofoldness or double attunement applies from the perspective of the actor herself who must, at certain points of preparation, distinguish between the character portrayed and her (...) own portrayal effected in her craft. We argue that this concept helps us to understand how the actor can empathize with her character. For the actor who must study and rehearse her character, empathy may begin with higher-order processes that provide a contextualized understanding of the character. This understanding eventually integrates with more basic empathic processes in her actual performance. (shrink)

Christiane Bailey | : Distinguant deux sens de « communauté morale », cet article soutient que certains animaux appartiennent à la communauté morale dans les deux sens : ils sont des patients moraux dignes de considération morale directe et équivalente, mais également des agents moraux au sens où ils sont capables de reconnaître, d’assumer et d’adresser aux autres des exigences minimales de bonne conduite et de savoir-vivre. Au moyen de la notion d’« attitudes réactives » développée par Peter F. Strawson, (...) je soutiens que les animaux sociaux qui sont à la fois objets et sujets d’attitudes réactives forment des communautés morales au second sens, dans la mesure où ils se traitent mutuellement comme des individus ayant des obligations et tenus à des exigences de bonne volonté minimale dans leurs interactions interpersonnelles. Distinguant l’agentivité morale du raisonnement moral, je soutiens que la capacité de raisonner abstraitement sur les principes et les conséquences de nos actions nous imposent plus de responsabilités que n’en ont d’autres animaux, mais que cela ne fait pas nécessairement de nous des agents moraux plus compétents que d’autres animaux sociaux. Je termine en donnant un aperçu de quelques implications de ce changement de perspective en éthique animale. | : This article draws the distinction between two meanings of “moral community” and maintains that certain animals belong to moral communities in both senses of the term: these animals are moral patients worthy of direct and equivalent moral consideration, but also moral agents in the sense that they are capable of recognizing and respecting minimal requirements of good conduct and manners as well as expecting and demanding the same from other members of their community. By way of the notion of “reactive attitudes” developed by Peter F. Strawson, I maintain that social animals who are at once objects and subjects of reactive attitudes constitute moral communities in the second sense of the term, in that they treat each other as individuals who have obligations and who are bound by the demand for a minimum of good-will in their interpersonal interactions. Distinguishing between moral agency and moral reasoning, I maintain that the capacity to reason abstractly about the principles and consequences of our actions gives us more responsibilities than other animals have, but that this does not necessarily make us more competent moral agents than other social animals. I conclude with an overview of some of the implications that this change in perspective has for animal ethics. (shrink)

A phenomenological insight in the debate on empathy is that it is possible to directly perceive other people’s emotions in their expressive bodily behaviour. Contrary to what is suggested by many phenomenologists, namely that this perceptual skill is immediately available if one has vision, this paper argues that the perceptual skill for empathy is acquired. Such a skill requires that we have undergone certain emotional experiences ourselves and that we have had the experience of seeing the world differently, (...) which is a form of pretence. By investigating how we retain knowledge of what is real while pretending, that is, how we anchor the experience of pretence in something that is not pretended, the paper argues that we split our experiential perspective into a double perspective, which differs from the cognitive act of understanding what a perspective is. With this notion in hand, we can return to the debate on empathy. It is argued that in order to have the capacity for direct empathic perception, one must have undergone experiences involving a double perspective. (shrink)

This essay discusses critical approaches to culture, difference, and empathy in health care education through a reading of Junot Diaz’s “Wildwood” chapter from the 2007 novel The Brief Wondrous Life of Oscar Wao. I begin with an analysis of the way that Diaz’s narrative invites readers to imagine and explore the experiences of others with subtlety and complexity. My reading of “Wildwood” illuminates its double-edged injunction to try to imagine another’s perspective while recognizing the limits to—or even the (...) impossibility of—that exercise. I draw on post-colonial theory and feminist science studies to illuminate a text that is created and interpreted in a post-colonial context—the Dominican diaspora in the United States. The essay offers a model of historical and critical analysis that health care educators can use to frame the concept of empathy in the classroom and the clinic. (shrink)

_GPs serve in a double role of treatment provider and expert in certain social insurance systems, such as the Norwegian one. Some physicians assert that the ethical obligations of the two roles conflict with each other. The objective of this article is to show that social insurance medical ethics, which are based on recognised principles of medical ethics, unite the physicians’ obligations associated with these roles. The method applied is a medical ethics conceptual analysis. The material consists of literature (...) on normative SIME. The study shows that SIME expands the role of the treatment provider to a wider societal context. Here, physicians should attempt to balance the perspectives of sympathy with empathy, as treatment providers, with the impartiality in their role as experts. Five principles of medical ethics are fundamental. Respect for human dignity is the overarching principle of medical ethics. The four others are nonmaleficence, beneficence, autonomy, and social justice. The article discusses two areas where it is asserted that the roles of treatment provider and expert conflict with each other: the application of beneficence and justice, and the duty of confidentiality versus the duty to provide information to the National Insurance service. The study concludes that there are no basic ethical conflicts between the two roles. The ethical problems that may arise when exercising this duality should be viewed in the same way as other ethical problems in medicine. Actual application and balancing of the principles may necessitate negotiations between patients and physicians. _ _Keywords_: dual roles, professionalism, deliberation, impartiality, medical principle ethics, values of welfare state. (shrink)

One important aspect of Nussbaum´s thesis on the moral value of literature concerns the power of literature to enhance our ability to empathise with other minds. This aspect will be the focus of the current article. My aim is to reflect upon this question regarding the moral value of our empathy for fictional characters. The article is structured in two main parts. I will first examine the concept of “empathy” and distinguish between empathy for human beings and (...) empathy for fictional characters. I will call the latter “literary empathy”. In the second part of the paper I will examine the arguments for and against the double thesis that reading literature enhances our ability to feel empathy, and that feeling empathy prompts altruistic behaviour. (shrink)

ArgumentThis essay considers the metaphors of projection in Hugo Münsterberg's theory of cinema spectatorship. Münsterberg (1863–1916), a German born and educated professor of psychology at Harvard University, turned his attention to cinema only a few years before his untimely death at the age of fifty-three. But he brought to the new medium certain lasting preoccupations. This account begins with the contention that Münsterberg's intervention in the cinema discussion pursued his well-established strategy of pitting a laboratory model against a clinical one, (...) in this case the “master-trope” of early cinema a spectatorship drawn from hysteria, hypnosis, and related phenomena like double-consciousness. Münsterberg's laboratory-oriented account also flowed from his account of cinema technology as an outgrowth of the apparatus of his own discipline of experimental psycho-physiology, which entailed a model of cinema spectatorship continuous with the epistemological setting of laboratory relations. I argue that inThe Photoplayand related writings projection functioned in three registers: material, psychological, and philosophical. Münsterberg's primary concern was with psychological projection, where he drew upon his own work in experimental aesthetics to articulate an account of how the basic automatisms of cinema produce a state of oscillation between immersion and distraction. I show how Münsterberg's experimental aesthetics drew upon German doctrines of aesthetic empathy, orEinfühlung, which Münsterberg sought to modify in accordance with the dynamic and temporal characteristics of psycho-physiological experiment. Finally, I argue that Münsterberg's cinema theory was enfolded in his action or double-standpoint theory, in which the transcendental self posits the material, objective conditions of laboratory experience as a means to know itself. This philosophical projection explained cinema's uncanny ability to suspend ordinary perceptions of space, time, and causality. It also made cinema uniquely suited for the philosophical emancipation of a popular mass audience. (shrink)

The double empathy problem theory posits that autistic social difficulties emerge from an interpersonal misalignment in social experiences and expectations between autistic and non-autistic people. Supporting this, emerging research reveals better social outcomes in interactions within than across neurotypes among autistic and non-autistic people, emphasizing the need to examine the role of the interpersonal context in autistic social outcomes. However, research on peer relationships among autistic youth primarily focuses on individual characteristics in isolation from the interpersonal context. To (...) address this, this preliminary study explored the effects of student-peer neurotype match on peer relationships among autistic and non-autistic youth in an integrated educational setting. We plotted the peer relationship networks among youth in a school club based on systematic observations of peer interactions over eight 45-min sessions. Descriptive network statistics showed that both autistic and non-autistic youth had more and stronger peer relationships with their same- than cross-neurotype peers. Assortativity coefficients revealed a tendency for youth to connect with peers of the same neurotype, rather than with peers with similar social popularity or activity. We further modeled the effects of student-peer neurotype match on peer relationships using exponential random graph models. The findings suggested that student-peer neurotype match predicted the total strength of peer relationships above and beyond the effects of student neurotype, individual heterogeneity in social popularity and activity, and the tendency of mutuality in social relationships. We discussed the strengths and limitations of this study and the implications for future research and inclusion practice. (shrink)

A central diagnostic and anecdotal feature ofautismis difficulty with socialcommunication. We take the position that communication is a two-way,intersubjectivephenomenon—as described by thedouble empathy problem—and offer uprelevance theory(a cognitive account of utterance interpretation) as a means of explaining such communication difficulties. Based on a set of proposed heuristics for successful and rapid interpretation of intended meaning, relevance theory positions communication as contingent on shared—and, importantly,mutuallyrecognized—“relevance.” Given that autistic and non-autistic people may have sometimes markedly different embodied experiences of the world, (...) we argue that what is most salient to each interlocutor may be mismatched. Relevance theory would predict that where this salient information is not (mutually) recognized or adjusted for, mutual understanding may be more effortful to achieve. This paper presents the findings from a small-scale, linguistic ethnographic study of autistic communication featuring eight core autistic participants. Each core autistic participant engaged in three naturalistic conversations around the topic of loneliness with: (1) a familiar, chosen conversation partner; (2) a non-autistic stranger and (3) an autistic stranger. Relevance theory is utilized as a frame for the linguistic analysis of the interactions. Mutual understanding was unexpectedly high across all types of conversation pairings. In conversations involving two autistic participants, flow, rapport and intersubjective attunement were significantly increased and in three instances, autistic interlocutors appeared to experience improvements in their individual communicative competence contrasted with their other conversations. The findings have the potential to guide future thinking about how, in practical terms, communication between autistic and non-autistic people in both personal and public settings might be improved. (shrink)

What does it take to see how autistic people participate in social interactions? And what does it take to support and invite more participation? Western medicine and cognitive science tend to think of autism mainly in terms of social and communicative deficits. But research shows that autistic people can interact with a skill and sophistication that are hard to see when starting from a deficit idea. Research also shows that not only autistic people, but also their non-autistic interaction partners can (...) have difficulties interacting with each other. To do justice to these findings, we need a different approach to autistic interactions—one that helps everyone see, invite, and support better participation. I introduce such an approach, based on the enactive theory of participatory sense-making and supported by insights from indigenous epistemologies. This approach helps counteract the homogenising tendencies of the “global mental health” movement, which attempts to erase rather than recognise difference, and often precludes respectful engagements. Based in the lived experiences of people in their socio-cultural-material and interactive contexts, I put forward an engaged—even engaging—epistemology for understanding how we interact across difference. From this perspective, we see participatory sense-making at work across the scientific, diagnostic, therapeutic, and everyday interactions of autistic and non-autistic people, and how everyone can invite and support more of it. (shrink)

Contemporary perspectives on delusions offer valuable neuropsychiatric, psychoanalytic, and philosophical explanations of the formation and persistence of delusional phenomena. However, two problems arise. Firstly, these different perspectives offer us an explanation “from the outside”. They pay little attention to the actual personal experiences, and implicitly assume their incomprehensibility. This implicates a questionable validity. Secondly, these perspectives fail to account for two complex phenomena that are inherent to certain delusions, namely double book-keeping and the primary delusional experience. The purpose of (...) this article is to address both problems, by offering an understanding “from the inside”. Our phenomenological approach is a form of “radical empathy”, and crosses the Jaspersian limits of understanding. It compares delusional experiences with variations of reality experience in everyday life, and makes use of the structure of imagination. Six factors influencing the experience of reality are discussed and illustrated by clinical and non-clinical examples. These factors are: continuity, materiality and resistance, multiplicity of sensations and perceptions, intensity, the sense of authorship, and the complex role of intersubjectivity. I suggest that experiences of hypo- and hyperreality are not restricted to pathology, but have their place in everyday life as well. Delusional phenomena can be better understood by investigating the interplay of these six factors. With this framework, the two complex phenomena consequently prove to be better understandable to us. Our approach remains within the phenomenal experience and might thereby contribute to the validity of psychopathology. (shrink)

Classical aesthetics cherishes the image of a self‐contained author who expresses himself by creating a work of art. This definition is markedly challenged by authors who create their work in co‐operation with a congenial partner. Twin authors are a rare phenomenon but they show that it is possible to split up a literary project and to write novels in tandem. In 1997 I approached some joint authors, questioning them on their common experience, on the distribution of their work load and (...) the harmonisation of the style and content of their novels, as well as the individual steps of production. The material I accumulated was complemented by investigations on late writers such as the brothers Goncourt and the double author Ellery Queen. The project made it evident that twin authors display a number of common features which are characteristic of their trade. All authors asked reported that writing in tandem required a pervasive internal harmony and mutual calculability. A close personal relationship appears to be vital, in the sense that the partners complement each other in their skills and views. When they assemble the material for their plots, most twin authors draw on journalistic research rather than on inspiration and empathy. Their novels normally appeal to a down‐to‐earth taste and avoid digressions into poetry or copious descriptions of feelings and moods. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:MATERNAL COMPASSION IN THE THOUGHT OF RENÉ GIRARD, EMIL FACKENHEIM, AND EMMANUEL LÉVINAS Ann W. Astell Purdue University l;ike empathy, compassion is a word that seldom occurs in the /writings of René Girard,' who prefers to answer to Martin Heidegger's "anxiety" [Die Sorge] before death by speaking instead of a "concern for victims" [le souci des victims].2 Maternal corn-passion does enter Girardian analysis directly, however, in his discussion (...) ofthe biblical good harlot, a compassionate mother whom Girard calls "the most perfect figura Christi that can be imagined" (1978, 241). In this paper I focus on the neglected theme of maternal compassion in the writings of Girard, letting them enter into conversation, first, with Emil Fackenheim's reflections on the plight and actions of Jewish mothers during the Holocaust and, second, with themes sounded in the philosophy of Emmanuel Lévinas. I argue that maternal compassion is actually central to Girard's understanding of the unveiling of the victimage mechanism, because it sees goodness in the very life of every potential victim, regardless ofwhat that person has done or is capable ofdoing, simply because he or she exists, has a face. The "innocence" of every victim is reducible to the innocence of the infant, because an infant within a sacrificial system can substitute for every other possible victim. The infant and, even more, the unborn bring us back to the very origins of life, to the Creator. There 1 On empathy and Girard, see my "Saintly Mimesis, Contagion, and Empathy." " See James William's comment on this topic in René Girard, ISee Satan Fall Like Lightning (177, note 4). The locus classicus for Martin Heidegger's "anxiety" is his Being and Time, sections 39-42. 16Ann W. Astell is, as Plato asserts and Lévinas reminds us, a "Good beyond being" that, on a transcendent plane, constitutes the "innocence" ofevery human being that lives, protesting against any one's murder. To illustrate the triangulation of desire, the rivalry of doubles, the mimetic crisis, and its possible outcome in victimage, René Girard turns to the famous biblical story ofthe judgment of Solomon in 3 Kings 3:16-28. In that story two women, two harlots, approach the king, each claiming to be the mother ofa single, living infant, over whom they are fighting. "The symmetry is obvious," Girard writes, "and it represents the very essence of human conflict" (1978, 238). Unable to determine the truth ofthe case on the basis of their conflicting testimonies, the wise king tests them by proposinga sacrificial solution that parodies distributivejustice. He decides to cut the baby in half, giving each woman an equal share, the symmetrical division ofthe victim mirroring the symmetry between the litigants. "The Latin word decidere," Girard notes, "mean etymologicalIy to divide by the sacrificial knife, to cut the throat of a victim" (1978, 238). The proposed sacrifice is averted because its horrific promise of an equal apportionment of parts of the baby's body—a sameness that would confirm the two as doubles—reveals a significant difference between the two women. According to the usual reading of the passage, one of the mothers, having (either deliberately or accidentally) killed her own baby by smothering him, lacks any genuine love for the other woman's infant. As Girard explains, "The only thing that counts for her ispossessing what the other onepossesses. In the last resort, she is ready to accept being deprived ofthe child as long as her opponent is deprived of it in the same way.... All that counts is her fascination with her hated model and rival" (1978, 239). The other woman, however, filled with yearning for the life ofthe child to whom she has given birth, reveals herself to be its true mother by renouncing her maternal rights in a passionate plea: "I beseech thee, my lord, give her the child alive, and do not kill it" (3 Kings 3:26). Commenting on the passage, Girard characterizes the values of the false mother as sacrificial, those ofthe good mother as anti-sacrificial. With reference to the child whose fate hangs in the balance, the distinction is clear enough. The true mother begs for the baby... (shrink)

Ayn Rand, née Alise Rosenbaum en URSS en 1905 et disparue en 1982 à New York, est aux antipodes de la pensée critique européenne : son éthique de l'égoïsme, son culte de la rationalité doublé d'une ode à la liberté, sa pensée capitaliste intransigeante, sa brutalité intellectuelle en font un personnage controversé. Anticonformiste radicale, elle reste aussi une curiosité en Amérique, puisqu'elle parvient tout à la fois à fustiger l'interventionnisme économique de Roosevelt et Kennedy, condamner la guerre du Vietnam, défendre (...) l'avortement, critiquer la religion et tailler en pièces le racisme. S'il importe de comprendre son œuvre, c'est au moins à double titre. D'abord pour saisir sa popularité aux États-Unis, où son roman La Grève reste considéré comme un des ouvrages les plus influents après la Bible. Ensuite, pour opérer un droit d'inventaire sur une pensée de l'émancipation qui exalte la confiance en l'individu, acteur de son propre destin. Elle réhabilite ainsi la notion d'héroïsme, à la croisée des idées et d'une passion pour le cinéma qui imprègne toute son œuvre. Mathilde Berger-Perrin s'essaie avec brio et empathie à ce difficile exercice d'admiration et de distanciation."--Page 4 of cover. (shrink)

Classical aesthetics cherishes the image of a self‐contained author who expresses himself by creating a work of art. This definition is markedly challenged by authors who create their work in co‐operation with a congenial partner. Twin authors are a rare phenomenon but they show that it is possible to split up a literary project and to write novels in tandem. In 1997 I approached some joint authors, questioning them on their common experience, on the distribution of their work load and (...) the harmonisation of the style and content of their novels, as well as the individual steps of production. The material I accumulated was complemented by investigations on late writers such as the brothers Goncourt and the double author Ellery Queen.The project made it evident that twin authors display a number of common features which are characteristic of their trade. All authors asked reported that writing in tandem required a pervasive internal harmony and mutual calculability. A close personal relationship appears to be vital, in the sense that the partners complement each other in their skills and views. When they assemble the material for their plots, most twin authors draw on journalistic research rather than on inspiration and empathy. Their novels normally appeal to a down‐to‐earth taste and avoid digressions into poetry or copious descriptions of feelings and moods. (shrink)

Listening and responding to patients’ stories for over 20 years as an emergency physician has strengthened my appreciation for the many ways that the skills and principles drawn from writing fiction double as necessary clinical skills. The best medicine doesn’t work on the wrong story, and the stories patients tell sometimes feel like first drafts—vital and fragile works-in-progress. Increasingly complex health challenges compounded by social, financial, and psychological burdens make for stories that are difficult to articulate and comprehend. In (...) this essay, I argue that healthcare providers need to think like creative writers and the skills and sensitivities necessary to story construction deserve a vital space in medical education. A thorough understanding of story anatomy and the imaginative flexibility to work stories into open spaces serve as antidotes to the reductive nature of clinical decision making and have implications as patient safety and risk management strategies. The examples that I have selected demonstrate how thinking like a creative writer functions at the bedside, providing tools for clinical excellence and empathy. This approach asks that we re-imagine the importance of story in clinical care: from a vehicle to a diagnosis to its place as a critical destination. (shrink)

Background: The introduction of healthcare AI to society as well as the clinical setting will improve individual health statuses and increase the possible medical choices. AI can be, however, regarded as a double-edged sword that might cause medically and socially undesirable situations. In this paper, we attempt to predict several negative situations that may be faced by healthcare professionals, patients and citizens in the healthcare setting, and our society as a whole. Discussion: We would argue that physicians abuse healthcare (...) AI through their excessive and dependent use of it, and they will focus only on the AI services in their office and patient medical data and information, and forget to observe the patient in their clinical encounters. In the era of AI introduction, data from the wearable terminal or AI advice will become the primary target of the physician’s interest, and could be regarded as a patient surrogate. Paternalism would be paradoxically resurrected by the introduction of state-of-the-art AI. A physician’s conflict of interest related to AI as a commercial product could strongly influence his or her actions in clinical settings. We also worry that the general public will become uneasy and hypersensitive slaves to information, compulsively and uninterruptedly requesting healthcare information concerning their own health and advice from AI. An AI system capable of expressing proper and timely empathy to suffering patients could deprive healthcare professionals of their roles in terms of hospitality and emotional exchange. Finally, entire societies would soon share and consolidate healthcare sensitive information from all in the general public as part of a totalitarian healthcontrolled society where individual privacy and personal secrets could be neglected. The advent of the healthcontrolled society could lead to the metamorphosis of the concept of privacy itself into something completely different. Conclusion: Although AI which surpasses human healthcare professionals may never appear, hoping for the best and preparing for the worst is the best approach to take. To this end, we present some potential countermeasures including conducting clinical research and social investigations concerning problems surrounding the introduction of AI and developing guidelines for its appropriate use. (shrink)

L’herméneutique coranique de Fazlur Rahman (1919-1988) repose sur la recherche méthodique du sens objectif du texte. Inspiré par l’herméneutique romantique, telle qu’on peut la trouver chez E. Betti et qui nécessite pour le lecteur d’établir un lien intérieur avec l’esprit de l’auteur, Rahman considère que c’est l’intention divine qui est garante de l’objectivité du sens du Coran. L’empathie avec l’auteur est rendue possible par une conception historique de la révélation, selon laquelle la parole, qui est amenée par un Esprit intérieur (...) et immatériel, passe par le filtre de la conscience prophétique. La méthode historiciste d’interprétation de Rahman, qu’il appelle herméneutique du « double mouvement », repose sur les deux critères d’objectivité que sont le contexte historique de la révélation et la prise en compte de la totalité du livre sacré. Ainsi, l’interprète doit, dans un premier temps, aller à la période de révélation pour, à partir des circonstances particulières, comprendre les finalités objectives du texte, identifiées à l’intention divine. Puis, il doit appliquer ces principes, qui sont moraux et non juridiques, au présent en s’éloignant du sens littéral. Rahman illustre son propos en essayant de montrer que le souci de l’intention divine permet de voir que le Coran s’oppose à la polygamie et à l’esclavage, qui vont contre le principe moral d’une société juste et égalitaire. (shrink)

Most of us experience the world through competing perspectives. A job or a religion seems important and fulfilling when looked at in one way; but from a different angle they seem tedious or ridiculous. A friend is obtuse from one point of view, wise from another. Continuing to hold both views at once can be unsettling, highlighting conflicts between our own judgments and values, and undermining our ability to live purposefully and effectively. Yet, as Jennifer Church argues in this book, (...) inner conflict can be a good thing, and not just as a temporary road bump on the road to resolution. This book describes several desirable types of "double consciousness"--or being of two minds--and explains why and how they should be maintained. Church looks critically at some common ideas about identity, including a popular belief about narratives that suggests our lives should "make sense" as a story. She also examines how empathy can helpfully cause us to be of two minds, and how various forms of irony and laughter enable us to benefit from holding onto opposing views. Finally, Church shows the merit of acknowledging reality while sometimes being guided by fantasy. Why It's OK to Be of Two Minds is for anyone who's held two opposing views simultaneously, which is to say it's for everyone. Key Features: Argues against a longstanding philosophical idea: that it is important to resolve inner conflicts that result from competing systems of beliefs Examines the role of empathy and friendship in maintaining a valuable form of double consciousness Considers how irony and laughter allow us to dedicate ourselves to our particular projects while acknowledging their ultimate insignificance Shows how fantasies that conflict with our beliefs can make a positive contribution to the way we live our lives. (shrink)

Le concept de " care ", qui désigne tout à la fois une attitude morale - l'attention à l'autre, la sollicitude à son égard - et un ensemble de pratiques destinées à prendre soin des autres, a fait une entrée remarquée dans le débat public au printemps 2010. Tandis que certains y ont vu le pivot d'un projet de société alternatif, d'autres ont immédiatement répliqué que le care ne présentait aucun intérêt politique, voire constituait un concept écran masquant sous une (...) rhétorique en vogue un ensemble de problèmes politiques sérieux, tels que l'accroissement des inégalités ou la permanence des rapports de domination. Face à la polarisation du débat, comme aux malentendus concernant le care auxquels il a donné lieu, cet ouvrage collectif voudrait poser une double question : les théories du care sont-elles dotées d'une portée politique? Et si tel est le cas, en quoi consiste cette dernière? En réunissant les contributions de sociologues et de philosophes qui pensent les pratiques sociales par le biais du concept de care et des théories du care, cet ouvrage souhaite ainsi interroger ce que le care fait au politique et à nos manières de le concevoir, ou autrement dit, comment la prise en compte des activités de care et de l'éthique sociale qui leur est immanente peut faire surgir de nouvelles questions comme de nouvelles perspectives dans notre manière de définir ce que serait une société juste ou décente. (shrink)

L’herméneutique coranique de Fazlur Rahman (1919-1988) repose sur la recherche méthodique du sens objectif du texte. Inspiré par l’herméneutique romantique, telle qu’on peut la trouver chez E. Betti et qui nécessite pour le lecteur d’établir un lien intérieur avec l’esprit de l’auteur, Rahman considère que c’est l’intention divine qui est garante de l’objectivité du sens du Coran. L’empathie avec l’auteur est rendue possible par une conception historique de la révélation, selon laquelle la parole, qui est amenée par un Esprit intérieur (...) et immatériel, passe par le filtre de la conscience prophétique. La méthode historiciste d’interprétation de Rahman, qu’il appelle herméneutique du « double mouvement », repose sur les deux critères d’objectivité que sont le contexte historique de la révélation et la prise en compte de la totalité du livre sacré. Ainsi, l’interprète doit, dans un premier temps, aller à la période de révélation pour, à partir des circonstances particulières, comprendre les finalités objectives du texte, identifiées à l’intention divine. Puis, il doit appliquer ces principes, qui sont moraux et non juridiques, au présent en s’éloignant du sens littéral. Rahman illustre son propos en essayant de montrer que le souci de l’intention divine permet de voir que le Coran s’oppose à la polygamie et à l’esclavage, qui vont contre le principe moral d’une société juste et égalitaire. (shrink)

Dear Professor Heller . . . Your paper had started out superbly. It was a great aesthetic and cognitive pleasure to follow you as you guided us through the intellectual history of the main idea of Kleist's essay, from Plato through the biblical Fall of Man, to Schiller, and Kierkegaard, and Kafka. Indeed the perceptive listener's experience was so satisfying that his disappointment was doubled when he came to realize that all this erudition and beauty had been displayed only in (...) order to serve as a contrast-providing background for the sharp delineation of a reductionistic explanation which you consider to be characteristic of psychoanalysis: the interpretation of the disturbance of man's naive, unselfconscious pre-Fall state as nothing more than a portrayal of sexual impotence—the reduction of a deep existential preoccupation to a case of phimosis. I am certain that the relief I felt when you then took up Freud's demonological-neurosis paper was not an idiosyncratic response on my part but an experience shared by many open-minded listeners in your psychoanalytic audience. Let us, therefore, disregard the "text" of your sermon and consider the substantial questions that you raised after you turned to Freud; these are to my mind the most central ones that you undertook to examine in your—despite its disappointing aspects—splendid address to us. Put into my own words, your most important question was this: What is the purpose of the psychoanalyst's efforts outside the clinical setting, in particular when his contributions take the form of a pathography? That is, To what end do analysts study the psychopathology of the creators of great works? I, too, have asked myself this question, and since you read my old essay "Beyond the Bounds of the Basic Rule" , you know some of my answers. But important basic questions are hardly ever answered once and for all; and I will, therefore, under the impact of your lecture, respond as if I had heard the question for the first time. Heinz Kohut, M.D., is Professorial Lecturer in Psychiatry at the University of Chicago and a teacher and training analyst at the Chicago Institute for Psychoanalysis. His works include The Restoration of the Self, The Analysis of the Self: A Systematic Approach to the Psychoanalytic Treatment of Narcissistic Personality Disorders—which has appeared in German, French, and Italian translations—, The Restoration of the Self and collection of his essays, Scientific Empathy and Empathic Science. His "A Reply to Margret Schaefer"" was published in the Spring 1978 issue of Critical Inquiry. See also: "Psychoanalysis and the Marionette Theater: Interpretation is Not Depreciation" by Margret Schaefer in Vol. 5, No. 1. (shrink)

In Joseph Butler, we have an account of human beings as moral beings that is, as this essay demonstrates, being supported by the recently emerging findings of the neurosciences. This applies particularly to Butler's portrayal of our empathic emotions. Butler discovered their moral significance for motivating and guiding moral decisions and actions before the neurosciences did. Butler has, in essence, added a sixth sense to our five senses: this is the moral sense by means of which we perceive what we (...) ought or ought not do. The moral sense yields relatively reliable moral perceptions when we love our neighbors as ourselves, and when our love for ourselves is genuine. Accurate moral perceptions will be thwarted by self-deceit—that is, by a self-partiality devoid of neighbor love, a condition that thwarts genuine self-love. This essay explores the parallels between Butler's understanding of self-deceit and Robert J. Lifton's understanding of "doubling.". (shrink)

The traditional disputants in the free will discussion--the libertarian, soft determinist, and hard determinist--agree that free will is a coherent concept, while disagreeing on how the concept might be satisfied and whether it can, in fact, be satisfied. In this innovative analysis, Richard Double offers a bold new argument, rejecting all of the traditional theories and proposing that the concept of free will cannot be satisfied, no matter what the nature of reality. Arguing that there is unavoidable conflict within (...) our understanding of moral responsibility and free choice, Double seeks to prove that when we ascribe responsibility, blame, or freedom, we merely express attitudes, rather than state anything capable of truth or falsity. Free will, he concludes, is essentially an incoherent notion. (shrink)

Philosophers’ intuitions about what constitutes autonomy are largely driven by the exemplars or paradigms that we recognize. There are indefinitely many exemplars, inasmuch as there are relatively private personae that serve as autonomy exemplars such as our parents, third grade teacher, or, for the megalomaniac, oneself. But among Western philosophers there are doubtless some exemplars that are widely shared and broadly influential. Philosophical exemplars include Socrates, Aristotle’s magnanimous man, Kant’s noumenal self that is perfectly attuned to the moral law, Mill’s (...) anti-authoritarian non-conformist, Marx’s manin-society, Nietzsche’s Zarathustra, and Sartre’s authentic youth who must decide whether to join the French resistance or stay at home for the sake of his mother. Exemplars from outside of philosophy include Antigone, Christ, Faust, Ibsen’s Enemy of the People, Winston Churchill, and even figures from popular culture such as the baseball player Ted Williams, the free spirited flower children of the 1960s, and practically any character that John Wayne ever played. (shrink)

Confidence ratings have often been integrated into reasoning and intelligence tasks as a means for assessing meta-reasoning processes. Although it is often assumed that eliciting these judgements throughout reasoning tasks has no effect on the underlying performance outcomes, this is yet to be established empirically. The current study examines whether eliciting CR from participants during a fluid-reasoning task influences their performance and how this effect is moderated by their initial self-confidence in their own reasoning abilities. In a first experiment, we (...) found that participants performing CR during Raven's Progressive Matrices significantly outperformed a control group who did not provide ratings. Additionally, a second experiment demonstrated that CR only facilitated performance in participants who have a high level of initial self-confidence in their reasoning ability, whereas they were detrimental to participants low in self-confidence. (shrink)

Psychiatry is increasingly dominated by the reductionist claim that mental illness is caused by neurobiological abnormalities such as chemical imbalances in the brain. Critical psychiatry does not believe that this is the whole story and proposes a more ethical foundation for practice. This book describes an original framework for renewing mental health services in alliance with people with mental health problems. It is an advance over the polarization created by the "anti-psychiatry" of the past.

The belief that only free will supports assignments of moral responsibility -- deserved praise and blame, punishment and reward, and the expression of reactive attitudes and moral censure -- has fueled most of the historical concern over the existence of free will. Free will's connection to moral responsibility also drives contemporary thinkers as diverse in their substantive positions as Peter Strawson, Thomas Nagel, Peter van Inwagen, Galen Strawson, and Robert Kane. A simple, but powerful, reason for thinking that philosophers are (...) correct in making moral responsibility the prize of the free will problem is this: If we disassociate free will from deserved praise, blame, punishment and reward, reactive attitudes and moral censure, then why care about free will? If free will is not pinned down as that degree of freedom in our choices that we need for moral responsibility, it is difficult to see why anyone would or should care about free will. In this article I argue that some of the most prominent recent writing on free will becomes sidetracked from this key issue. For this reason, a good deal of the literature is so much spilled ink as philosophers misdirect their energies. In section 1 I elaborate just what I believe the key issue in the free will problem is. In section 2 I illustrate what an answer to the key issue requires. In section 3 I suggest motivations for misdirection. In sections 4, 5, and 6 I provide detailed examples of misdirection from compatibilists and libertarians. In sections 7 and 8 I describe some non-misdirected answers to the key question. (shrink)

Psychologists and common sense recognize blaming the victim as a cognitive error (fallacy) that many of us use to support the just-world hypothesis — the view that life is basically fair. In this article Richard Double compares a related phenomenon, blaming the culprit. When we commit the fallacy of blaming the culprit we mistakenly conclude that judging a culprit to deserve blame for an action exonerates everyone else from blame for that action. Double provides several examples of the (...) fallacy. (shrink)

Abstract This paper contrasts two views on the ethics of belief, the absolutist position that adopting self?serving epistemic strategies is always morally wrong, and the holist position that non?epistemic factors may legitimately be consulted whenever we adopt epistemic strategies. In the first section, the absolutist view is shown to be untenable because of the holistic nature of moral questions in general. In the second section, the nagging appeal of the absolutist position is explored. An account of our ambivalence regarding the (...) absolutist view is suggested in terms of the conflict between our acceptance of our psychological needs and wants and a wish to overcome them. Five types of considerations that contribute to this conflict are given. (shrink)

In "Philosophical Functionalism" , Andrew Ward claims that my "The Computational Model of the Mind and Philosophical Functionalism" begs the question against philosophical functionalism by assuming that sensations possess nonrelational characteristics that cannot be explained in functional terms. In this reply I point out that my argument does not claim this, but only the much weaker premise that sensations appear to have such characteristics. I then show how the latter is strong enough to discredit philosophical functionalism.