A growing number of small fashion entrepreneurs seek to offer an alternative to the mainstream fashion industry, which, in its obsession with novelty and growth, often ignores the costs to society and the environment. There is a need to develop a deeper understanding of how these fashion entrepreneurs may be agents for change in their industry. Using rich data from an in-depth study of 27 UK-based entrepreneurs, we offer such analysis, drawing on a novel framework that combines MacIntyre’s (...) virtue ethics scheme and Jonas’s responsibility imperative. We identify key virtues—passionate commitment, authenticity, humility, sharing and empowering, and temperance—which shape the entrepreneurs’ practices in line with their accepted and perceived responsibility for sustainability. These virtues shape the entrepreneurial processes that seek an active negotiation and harmonisation of sustainability and the demands of business. In particular, we pay attention to the different ways in which fashion entrepreneurs take responsibility for sustainability which ranges from a ‘growth for impact’ strategy to staying small and seeking impact through influence and replication. Conclusions are drawn on conceptualising the varieties of ‘postgrowth entrepreneurship’ that aligns the virtues of a deep-rooted sense of responsibility with business goals. This shows what can be possible and prefigures an alternative fashion industry. (shrink)

A growing number of small fashion entrepreneurs seek to offer an alternative to the mainstream fashion industry, which, in its obsession with novelty and growth, often ignores the costs to society and the environment. There is a need to develop a deeper understanding of how these fashion entrepreneurs may be agents for change in their industry. Using rich data from an in-depth study of 27 UK-based entrepreneurs, we offer such analysis, drawing on a novel framework that combines MacIntyre’s (...) virtue ethics scheme and Jonas’s responsibility imperative. We identify key virtues—passionate commitment, authenticity, humility, sharing and empowering, and temperance—which shape the entrepreneurs’ practices in line with their accepted and perceived responsibility for sustainability. These virtues shape the entrepreneurial processes that seek an active negotiation and harmonisation of sustainability and the demands of business. In particular, we pay attention to the different ways in which fashion entrepreneurs take responsibility for sustainability which ranges from a ‘growth for impact’ strategy to staying small and seeking impact through influence and replication. Conclusions are drawn on conceptualising the varieties of ‘postgrowth entrepreneurship’ that aligns the virtues of a deep-rooted sense of responsibility with business goals. This shows what can be possible and prefigures an alternative fashion industry. (shrink)

During the past decade some of the most provocative and controversial disputes concerning the philosophy and history of science have centered about the work of Thomas Kuhn and Sir Karl Popper. One, therefore, looks with anticipation to this volume which is based on a symposium held in July, 1965 where Kuhn, Popper and several of Popper's former students met for an intellectual confrontation. But the result is depressing. The volume is an editorial mess. Two of the main scheduled speakers never (...) appeared at the symposium, although papers by them are published here. Some of the remarks published here seem to be those spoken on the day the symposium was held while others, like Kuhn's answer to his critics, were written four years after the symposium. The result is a confusing and distracting editorial unevenness. While Kuhn's fair-minded opening paper raises some of the most important issues to be confronted, one quickly senses that the Popperians are not really very much interested in discussing Kuhn's work but rather in pushing their own pet theses. Kuhn puts this rather generously when he labels it an example of "talking-through-each-other." Most of the Popperians seem to be obsessed with Kuhn's understanding of normal science and neglect the much more interesting questions concerning his views on scientific revolutions, the sense in which science does and does not make progress, the criteria involved in adjudicating among competing theories. It is almost with relief that one reads Margaret Masterman's remark that it is a "crashingly obvious fact" that there is normal science. Ironically, Masterman's article which is basically sympathetic to Kuhn's work is the most illuminating and the most critical. More successfully than any of other contributors she shows the ambiguities involved in Kuhn's idea of a paradigm. One's wishes that the Popperians would take a good hard look at themselves and what they are doing as it is so disastrously illustrated here. Although ostensibly dedicated to serious critical rationalism, they seem more eager to score points than to understand what they are criticizing. Although they supposedly abhor clubiness, they are rapidly forming themselves into a scholastic circle where the object seems to be to show how brilliant or how stupid some other student of Popper is. Although they scorn the quest for origins, they are almost compulsive in attempting to show that anything worthwhile was previously said by Sir Karl. This book illustrates the faults of the Popperians at their worst and few of their virtues. There is much heat and wit, but little light.--R. J. B. (shrink)

Bangladesh continues to experience stubbornly high levels of rural malnutrition amid steady economic growth and poverty reduction. The policy response to tackling malnutrition shows an overwhelmingly technocratic bias, which depoliticizes the broader question of how the agro-food regime is structured. Taking an agrarian and human rights-based approach, this paper argues that rural malnutrition must be analyzed as symptomatic of a deepening agrarian crisis in which the obsession with productivity increases and commercialization overrides people’s democratic right to culturally appropriate, (...) good, nutritious food. Using qualitative insights from a case study of three villages, this research illustrates how agricultural modernization and commercialization reproduce rural malnutrition by degrading local biodiversity and the rural poor’s access to nutrient-rich diets. In so doing, it undermines the official discourse’s simplistic and literal reading of malnutrition as a pathological health condition resulting from the mere absence of certain micronutrients in the human body, and thus questions the adequacy of the proposed solutions. Instead, this research suggests that solving malnutrition in large part involves facilitating the rural poor’s access to nutritious diets through democratizing and reorganizing the agriculture sector in a manner that is eco-friendly and unconstrained by market imperatives. It cautiously advances agroecology and food sovereignty as possible alternatives, while recognizing that overcoming the challenges agrarian class conflict, gender disparity and urban–rural divide pose would not be easy. (shrink)

_A leading thinker asks why “faster” is synonymous with “better” in our hurried world and suggests how to take control of our runaway lives_ We live in an ever-accelerating world: faster computers, markets, food, fashion, product cycles, minds, bodies, kids, lives. When did everything start moving so fast? Why does speed seem so inevitable? Is faster always better? Drawing together developments in religion, philosophy, art, technology, fashion, and finance, Mark C. Taylor presents an original and rich account of a great (...) paradox of our times: how the very forces and technologies that were supposed to free us by saving time and labor now trap us in a race we can never win. The faster we go, the less time we have, and the more we try to catch up, the farther behind we fall. Connecting our speed-obsession with today’s global capitalism, he composes a grand narrative showing how commitments to economic growth and extreme competition, combined with accelerating technological innovation, have brought us close to disaster. Psychologically, environmentally, economically, and culturally, speed is taking a profound toll on our lives. By showing how the phenomenon of speed has emerged, Taylor offers us a chance to see our pace of life as the product of specific ideas, practices, and policies. It’s not inevitable or irreversible. He courageously and movingly invites us to imagine how we might patiently work towards a more deliberative life and sustainable world. (shrink)

In this paper we have two main goals. The first is to challenge two key elements of reductionist thinking concerning human work inherited from the Information and Communication Technology revolution that have significantly shaped current concepts of work at both the individual and institutional level: the ‘flexible man’ model and the obsession with the objective function of economic productivity. We show how, combined with the logic of productivity as a means for continuous economic growth, these elements justify the (...) overlapping of value and price. This overlap characterizes current meritocratic paradigms. Our second goal is to show how and why an emerging integrated paradigm is a more suitable model for taking into consideration the specifically human dimensions of work. These dimensions encompass the sphere of caring and are mostly buried in the functionalist-mechanistic system. In this context, we argue that the COVID-19 pandemic can work as an exogenous shock useful to boost the rise of this new paradigm of human work. (shrink)

From the stony streets of Boston to the rail lines of California, from General Relativity to Google, one of the surest truths of our history is the fact that America has been built by immigrants. The phrase itself has become a steadfast campaign line, a motto of optimism and good will, and indeed it is the rallying cry for progressives today who fight against tightening our borders. This is all well and good, Philip Cafaro thinks, for the America of the (...) past—teeming with resources, opportunities, and wide open spaces—but America isn’t as young as it used to be, and the fact of the matter is we can’t afford to take in millions of people anymore. We’ve all heard this argument before, and one might think Cafaro is toeing the conservative line, but here’s the thing: he’s not conservative, not by a long shot. He’s as progressive as they come, and it’s progressives at whom he aims with this book’s startling message: massive immigration simply isn’t consistent with progressive ideals. Cafaro roots his argument in human rights, equality, economic security, and environmental sustainability—hallmark progressive values. He shows us the undeniable realities of mass migration to which we have turned a blind eye: how flooded labor markets in sectors such as meatpacking and construction have driven down workers’ wages and driven up inequality; how excessive immigration has fostered unsafe working conditions and political disempowerment; how it has stalled our economic maturity by keeping us ever-focused on increasing consumption and growth; and how it has caused our cities and suburbs to sprawl far and wide, destroying natural habitats, driving other species from the landscape, and cutting us off from nature. In response to these hard-hitting truths, Cafaro lays out a comprehensive plan for immigration reform that is squarely in line with progressive political goals. He suggests that we shift enforcement efforts away from border control and toward the employers who knowingly hire illegal workers. He proposes aid and foreign policies that will help people create better lives where they are. And indeed he supports amnesty for those who have, at tremendous risk, already built their lives here. Above all, Cafaro attacks our obsession with endless material growth, offering in its place a mature vision of America, not brimming but balanced, where all the different people who constitute this great nation of immigrants can live sustainably and well, sheltered by a prudence currently in short supply in American politics. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Putting French Studies on the MapTom Conley (bio)A good deal of work accomplished in new historicism over the last decade has opened new perspectives on the relations of literature to cartography. If new historicism tends to be affiliated with Shakespearean scholars who reconstruct the world of the Globe Theatre in the context of London and the Elizabethan world picture, it almost goes without saying that cartography, whose mobilization and (...) rapid growth occur from the beginnings of the printing press to the middle of the seventeenth century, plays a significant role in the analysis of print-culture in general. 1 The convergence of the two disciplines has shown that Renaissance authors, obsessed with the beginnings of writing, valorize both its geographical and spatial virtues and the ways that its pictogrammar constitutes “a grid for comprehension of the world” [Martin 14]. Humanists discovered that it simulated divisions of land in transactions devoted to their negotiation. What early archeologists of writing discovered is comparable today to what we gather about the meaning of the crosshatched rectangles and insignia we admire on the great prehistoric petroglyph of Bedolina standing over its arable valley below [Jacob 41–48; Thrower 4–5]. In the early modern age cartographical issues are central to broader inquiry about the power of writing.New historicists take up early modern cartography not just to assess the impact of Ptolemy on humanism but to develop agendas that concern how a sense of habitus was conceived, projected, and betrayed at a time of tumultuous change. They ask how the “world” could be both imagined and experienced when its boundaries were expanding at exponential rates. Cartographic studies have shown where the unknown, vital for any definition of consciousness or even the drives of life itself, was located and bracketed. 2 The unknown was an integral part of cartography prior to the eighteenth century. But to assert, as many have, that cartography sought to contain the unknown within the terrae incognitae it indicated on its maps does not solve the relation of the discipline with the [End Page 23] unknown. Evidence shows how much in the early modern age the unknown inhabits most written and schematic representations of the world. 3 Unnamed patches that we retrieve on maps printed in the sixteenth century prompt reverie of spaces that can be fancied as unknown by virtue of the maps themselves. The cartographical impulse in early modern studies cannot be dissociated from our own drive to find spots that can remove us from the regnum of nonplaces that define our world, that is, other places, whether heterotopical or “anywhere out of this world,” valorized when the “nonplace” has come to define contemporary human geography [see Augé 1992].Concurrently, the history of cartography remains one of the most immediate modes of access for what we can understand about the imagination of power, control, statecraft, and economy at a time when maps figured with increasing regularity in matters of administration. In broader terms, we can say that the unforeseen growth of map production and the consequent stress laid on fantasies of power that accompanied cartographic representations from the beginning of print culture to the establishment of “state reason” under Louis XIV bore witness to a greater spatialization of knowledge. What in the study of literature goes by the name of discourse is seen through a cartographical lens as patterns of utterances and exchanges that owe much to the influence of Ramism, monocular perspective, and diagrammatical logic. It is a truism to note that when the world became a function of cartographical representations made accessible to a public at large, the ways it was configured bore great impact on communication in general. 4In this issue of Diacritics, where the current plight and uncertain future of French studies is being pondered, it also goes without saying that many teachers and scholars are wondering what can be done to invigorate one of the richest of all literary canons. The assault that American media have led on French culture (among others, articles in the New Times by Roger Cohen and Craig Whitney) would lead us to believe that literature has [End Page 24] become equivalent to freeze-dried croissants, a... (shrink)

Perhaps no myth is more misunderstood than the story of Narcissus, who is erroneously thought to be self-absorbed, egotistical, and vain. Adding to the confusion, a growth industry on narcissism has emerged in academic circles. case in point: Professor Daniel Ames of columbia business School devised a brief personality test with sixteen binary choices such as “I am going to be a great person” or “I hope I am going to be successful.”1 One student did so “well” that he (...) boasted of his perfect score—a clear manifestation of disturbing egotism!2 In his way, Freud set the stage for this modern obsession with the self. He theorized that narcissists love either what they are, what they were, what they’d like to be, or... (shrink)

Based on Vallerand’s dualistic model of passion, this study theorizes and empirically examines the temporal dynamics of two types of entrepreneurial passion in female entrepreneurs, harmonious entrepreneurial passion and obsessive entrepreneurial passion, and examines the mechanisms by which entrepreneurial effort0 and fear of failure influence the temporal dynamics of entrepreneurial passion. Using data collected from a three-wave, lagged survey of female entrepreneurs, we employed Mplus to build a latent growth model for entrepreneurial passion and built a cross-lag model of (...) the relationship between entrepreneurial passion, entrepreneurial effort, and fear of failure. We found that female entrepreneurs’ HmEP and ObEP present different temporal dynamics. Furthermore, the temporal dynamics of HmEP are achieved through changes in entrepreneurial effort, whereas the temporal dynamics of ObEP are achieved through changes in current entrepreneurial effort and fear of failure in the next stage. Therefore, due to traditional gender stereotypes and varying motivations to engage in entrepreneurship, the two entrepreneurial passions have different dynamic evolution processes. Our results underscore the importance of effort and fear of failure in stimulating the dynamics of female entrepreneurial passion. (shrink)

It is widely agreed that obsessive-compulsive disorder involves irrationality. But where in the complex of states and processes that constitutes OCD should this irrationality be located? A pervasive assumption in both the psychiatric and philosophical literature is that the seat of irrationality is located in the obsessive thoughts characteristic of OCD. Building on a puzzle about insight into OCD (Taylor 2022), we challenge this pervasive assumption, and argue instead that the irrationality of OCD is located in the emotions that are (...) characteristic of OCD, such as anxiety or fear. In particular, we propose to understand the irrationality of OCD as a matter of harboring recalcitrant emotions. We argue that this account not only solves the puzzle about insight, but also makes better sense of how OCD sufferers experience and describe their condition and helps explain some otherwise puzzling features of compulsive behavior. (shrink)

An influential model holds that obsessive–compulsive disorder is caused by distinctive personality traits and belief biases. But a substantial number of sufferers do not manifest these traits. I propose a predictive coding account of the disorder, which explains both the symptoms and the cognitive traits. On this account, OCD centrally involves heightened and dysfunctionally focused attention to normally unattended sensory and motor representations. As these representations have contents that predict catastrophic outcomes, patients are disposed to engage in behaviors and mental (...) rituals designed to forestall these outcomes or to produce more precise information. The same representations also cause the cognitive traits characteristic of sufferers. (shrink)

Epistemic akrasia is the phenomenon of voluntarily believing what you think you should not. Whether epistemic akrasia is possible is a matter of controversy. I argue that at least some people who suffer from obsessive–compulsive disorder are genuinely epistemically akratic. I advance an account of epistemic akrasia that explains the clinical data and provides broader insight into the nature of doxastic attitude‐formation.

Obsessive fears are unconscious desires. The woman who is obsessively afraid that her phone is tapped actually wants her phone to be tapped; that is, she wants someone to pay attention to her. A neurotic fear of such and such is actually an unconscious desire for such and such, this being the topic of this brutally honest exchange.

Obsessive-compulsive disorder (OCD) is considered to be one of the more common serious mental disorders, with a prevalence rate of about 1% (Heyman et al. 2006). It is characterized by obsessions, or compulsions, or both. According to the DSM-IV (American Psychiatric Association 1994), obsessions are “recurrent and persistent thoughts, impulses, or images that are experienced at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress.” Compulsions, on the other hand, are repetitive behaviors (e.g., (...) hand washing, ordering, checking) or “mental acts that the person feels driven to perform in response to an obsession, or according to rules that must be applied .. (shrink)

Although unsettling to many, Graham Greene's aesthetic obsession is not perverse or morbid but an impressive vision, a faithful intuition of the contemporary religious dilemma.

My concern is this paper is to consider the nature of obsessive thoughts with the aim of getting a clearer idea about the extent to which they are rightly identified as passive or as active. The nature of obsessive thoughts is of independent interest, but my concern with the question is also rooted in a general concern to map the extent of mental activity, and to defend the importance and centrality of a view of self-knowledge that appeals to agency. I (...) hold that much of our mental lives is active, and that the distinctive knowledge we have of our own minds is in many cases best explained by appealing to agency. Along with many others, I take knowledge of our actions and activities to be distinctive. We know our actions and activities in a way that we do not know anything else, and in a way that is distinctively and essentially self-conscious. (shrink)

The present studies were motivated by the hypothesis that attenuated access to internal states in obsessive-compulsive (OC) individuals, which leads to extensive reliance on external proxies, may manifest in a maximizing decision making style, i.e., to seeking the best option through an exhaustive search of all existing alternatives. Following previous research, we aimed to explore the possible relationships between OC tendencies, seeking proxies for internal states, indecisiveness and maximization. In Study 1, we measured levels of OC tendencies, seeking proxies for (...) internal states, indecisiveness, maximization, depression and anxiety in an online Hebrew speaking sample (N = 201). In Study 2, we administrated the same questionnaires to an online English speaking sample (N = 240) and in addition, examined participants’ decision making strategies in a hypothetical situation. The participants in both studies were unscreened adults. Correlational and linear regressions analyses indicated that OC tendencies are related to maximization, even when levels of indecisiveness, depression and anxiety are controlled for. Moreover, the findings suggested that reliance on external proxies may partially account for the aforementioned association. Possible implications and future directions are discussed. (shrink)

Obsessive-Compulsive Disorder and Uncertainty examines the intrapsychic features of the self as it presents within OCD compulsive doubting. Moshe Marcus and Steven Tuber suggest a phenomenological framework through which to consider the interplay between the cognitive as well as affective components required to make judgments.

Obsessive-compulsive disorder (OCD) and other psychiatric disorders can interfere with a person’s capacity to control the nature of his mental states and how they issue in his decisions and actions. Insofar as this sort of control is identified with free will, and psychiatric disorders can impair this control, these disorders can impair free will. The will can be compromised by dysregulated neural networks that disable the mental mechanisms necessary to regulate thought, motivation, and action. Neural and mental dys-function result in (...) the maladaptive and pathological behaviors associated with these disorders. In “Obsessive-Compulsive Disorder, Free Will, and Control,” Gerben Meynen (2012) rightly .. (shrink)

In this chapter we give an overview of current and historical conceptions of the nature of obsessions and compulsions. We discuss some open questions pertaining to the primacy of the affective, volitional or affective nature of obsessive-compulsive disorder (OCD). Furthermore, we add some phenomenological suggestions of our own. In particular, we point to the patients’ need for absolute certainty and the lack of trust underlying this need. Building on insights from Wittgenstein, we argue that the kind of certainty the patients (...) strive for is unattainable in principle via the acquisition of factual knowledge. Moreover, we suggest that the patients’ attempts to attain certainty are counter-productive as their excessive conscious control in fact undermines the trust they need. (shrink)

Obsessions are internalized compulsions, and compulsions are externalized obsessions.

The present study was motivated by the hypothesis that inputs from internal states in obsessive–compulsive individuals are attenuated, which could be one source of the pervasive doubting and checking in OCD. Participants who were high or low in OC tendencies were asked to produce specific levels of muscle tension with and without biofeedback, and their accuracy in producing the required muscle tension levels was assessed. As predicted, high OC participants performed more poorly than low OC participants on this task when (...) biofeedback was not available. When biofeedback was provided, the difference between the groups was eliminated, and withdrawing the monitor again reversed this effect. Finally, when given the opportunity, high OC participants were more likely than low OC participants to request biofeedback. These results suggest that doubt in OCD may be grounded in a real and general deficiency in accessing internal states. (shrink)

In this paper, I will provide a phenomenological analysis of somatic obsessions at times present in obsessive–compulsive disorder. I will compare two different types of bodily obsessions, which have a different neurological-physiological underpinning: anguishing awareness of one’s own heartbeat and of one’s own breathing. In addition, I will contrast these two with how one experiences one’s own liver. I will use the concepts "tactility obsessions” and "motility obsessions”, which I have coined for the purpose of this comparison. In other words, (...) these are obsessions concerning the felt sense of one’s autonomous organs and obsessions concerning one’s ability to voluntarily move. Ultimately, I claim that the core lived experience in somatic obsessive–compulsive disorder should not only be understood as having to do with intruding and "distorted thoughts” concerning bodily processes, but could also be understood as having to do with a felt sense of our organs interrupting and intruding our daily lives. (shrink)

ABSTRACT In American-British philosophy around the turn of the twentieth century, every philosopher and their dog had something to say on time. Thinkers worried about our experience of time, and the metaphysics of time. This introduction to the special issue, Time in American-British Philosophy 1880s-1930s, investigates that obsession, explaining how its philosophers spilled pints of ink on time, and produced the first-ever surveys of time. I historically contextualise their work and explore some of its driving causes, including experimental psychology (...) of time perception, and theological worries over evolution. This article concludes by surveying the rich, wide-ranging papers within this collection, covering time in Shadworth Hodgson, William James, Mary Calkins, Victoria Welby, Bertrand Russell, G. E. Moore, A. A. Robb, Alfred North Whitehead, Norman Kemp Smith, J. M. E. McTaggart, Karin Costelloe-Stephen, Hilda Oakeley, May Sinclair, and George P. Adams. (shrink)

The history of mental illnesses is as old as human history. Mental disorders are affected by changing social and cultural factors during the historical process, and have been conceptually restructured and their definitions and classifications have been changed. The evolution of obssessive-compulsive disorders with roots as old as human history into modern concepts took place in the 19th century. The first scientific views on the spiritual origin of OCD belong to S. Freud. Freud observed that mental causes in OCD are (...) different from other mental disorders, and he examined obsession as a separate and specific disorder. Over time, it has been understood that OCD is a very common disorder. The American Psychiatric Association (APA) has classified OCD under an independent title in the latest version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) by removing it from the category of anxiety disorders. OCD is a mental disorder caused by mental actions such as obsessive thoughts (obsessions) and / or repetitive and compulsive behaviors (compulsion). The patient is often aware that such thoughts and behaviors are irrational and absurd. For this reason, he tries to get away obsessive thoughts that he finds contrary to his beliefs, opinions, moral values and logic from his mind. However, as he tries, obsessive thoughts become more and more frequent and create a great anxiety in the person. This time, the patient resorts to compulsions to alleviate the anxiety he feels or to get rid of it completely. As his compulsions repeat, his anxiety increases and he goes into a vicious circle. There are many symptom subgroups of OCD that seriously worsen the quality of life of the individual. One of these, and even the most overwhelming, is religious obsessions. It has been thought that there has been a relationship between religion and OCD for a long time in the psychology literature, and some remarkable studies have been conducted to clarify this relationship. Although there are many research findings showing that religion is an indispensable element in the protection of the mental health integrity of the individual, some forms of religious understanding and some experiences gained as a result of religious experiences may affect the concerns about OCD. This stage of religiosity is closely related to some sub-symptom groups of OCD. The explanations of the founder of the psychoanalytic method, Freud psychoanalytic method, and his followers made a great contribution to the understanding of OCD. However, since the psychoanalytic method exhibits a theoretically reductionist approach to religion, it is possible that the individual's devotion to religion is initially evaluated as a pathology or at least an important obstacle to insight. Today, cognitive behavioral psychotherapies are considered the most effective psychological treatment method for OCD, but their success rates in the treatment of religious OCD are low. Since religious OCD concerns often involve spiritual issues rather than concrete repeatable situations, behavioral methods can be quite difficult to apply in the treatment of religious OCD. Therefore, traditional psychotherapy approaches, even if they are not openly against religions, are insufficient to relieve the suffering in the lives of individuals with religious obsessions, as they generally neglect the religious dimension. Due to the vacuum that arises from restricting spiritual treatments to secular approaches, religious patients are threatened by the illegal practices of people who abuse religious feelings. Clinically, religious obsessions are more worrying and overwhelming. Therefore, their treatment is more difficult than others. Selective approaches that use different scientific disciplines together in the treatment of OCD and can stretch around religious beliefs and values can create more effective treatment models. Thus, the success rate in the treatment of religious OCD can be carried to higher levels thanks to the appropriate cooperation of the disciplines of medicine, psychology and theology. There is a rich religious cultural heritage that can support this collaboration in terms of theological disciplines. As an example, Abū Zayd al-Balkhī (d. 322/934), in his Maṣāliḥ al-abdān wa-l-anfus, probably made a clear distinction between neuroses and psychosis and classified neurotic disorders for the first time about ten centuries before Freud. In this study, the importance of approaching to religious obsessions as both a psychological disorder and a theological problem is emphasized. For this reason, cooperation of psychiatric and psychological approaches with spiritual counseling and guidance is recommended in the treatment of religious OCD. The difficulty in distinguishing whether the symptoms seen in a religious person are normal, natural religious thoughts and behaviors of religious life or abnormal appearances in the religious guise necessitates this interdisciplinary cooperation. (shrink)

Talk.origins has now officially archived Richard Wein's critique of my book No Free Lunch at http://www.talkorigins.org/design/faqs/nfl. Prior to that, the critique went through several revisions. I take it the critique is now substantially finished. In any case, I am responding to Version 1.0 last modified 04.23.02. My response here is copyright © 2002 and may be reprinted only for personal use.

People suffering from Obsessive-Compulsive Disorder (OCD) do things they do not want to do, and/or they think things they do not want to think. In about 10 percent of OCD patients, none of the available treatment options is effective. A small group of these patients is currently being treated with deep brain stimulation (DBS). Deep brain stimulation involves the implantation of electrodes in the brain. These electrodes give a continuous electrical pulse to the brain area in which they are implanted. (...) It turns out that patients may experience profound changes as a result of DBS treatment. It is not just the symptoms that change; patients rather seem to experience a different way of being in the world. These global effects are insufficiently captured by traditional psychiatric scales, which mainly consist of behavioural measures of the severity of the symptoms. In this article we aim to capture the changes in the patients’ phenomenology and make sense of the broad range of changes they report. For that we introduce an enactive, affordance-based model that fleshes out the dynamic interactions between person and world in four aspects. The first aspect is the patients’ experience of the world. We propose to specify the patients’ world in terms of a field of affordances, with the three dimensions of broadness of scope (‘width’ of the field), temporal horizon (‘depth’), and relevance of the perceived affordances (‘height’). The second aspect is the person-side of the interaction, that is, the patients’ self-experience, notably their moods and feelings. Thirdly, we point to the different characteristics of the way in which patients relate to the world. And lastly, the existential stance refers to the stance that patients take towards the changes they experience: the second-order evaluative relation to their interactions and themselves. With our model we intend to specify the notion of being in the world in order to do justice to the phenomenological effects of DBS treatment. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:THE ONTOLOGICAL OBSESSIONS OF RADICAL THOUGHT1 Stephen Gardner University ofTulsa Rather than make an inventory ofthis hodgepodge ofdead ideas, we should take as our starting point the passions that fueled it. François Furet (4) Any synthesis is incomplete which ends in an object or an abstract concept and not a living relationship between two individuals. René Girard (Deceit 178) Karl Marx offers two observations which I take as the (...) point of departure for a critique ofthe anti-liberal historicism in thinkers like Martin Heidegger, Friedrich Nietzsche, and Marx himself. The first is that the modern project of emancipation presupposes that "man is the supreme being for man," and the second is that modern equality gives rise to its own type of relations of /«equality, indeed of "master and slave." I will not interpret these observations as Marx himself did, in economic terms. Instead, I use them as clues to uncover the kind of human relation implicit in but also hidden by the ontology of freedom on which radical historicism rests. By ontology offreedom, I mean the view that "being" is historical and grounded in radical freedom or contingency. For this theory, history is a process ofcreation ex nihilo, a power traditionally reserved for God. Such atheory is advanced in different forms by Heidegger, Nietzsche, ' I thank the Earhart Foundation and the University ofTulsa for their support for the project of which this is a part. I also thank Jim Williams and Jake Howland their comments. 2 The Ontologica! Obsessions ofRadical Thought and Marx, as the key to a radical critique of bourgeois society. Thus the ontological obsessions ofanti-bourgeois ire. I suggest that the fascination ofthe radical critique ofbourgeois society with historical "being" reflects the transformation of human relations by "equality of conditions," in the sense of Alexis de Tocqueville, the French sociologist and student ofthe democratic soul.2 As modern equality subverts the old orthodoxies, human beings tend to seek their gods in each other, as models of "freedom." And so there arises a "master-slave" psychology from the impact of equality, legitimized by romanticism and the modern cult ofEros. This, I suspect, is the effectual truth offreedom in Heidegger, Nietzsche, and Marx.3 René Girard offers a classic description of this psychology in his analysis ofthe modern novel, Deceit, Desire, and the Novel, to which I am indebted throughout this paper. As regards that book, my general thesis—applicable not only to Marx but also to Heidegger and Nietzsche—may be stated as follows.4 Girard's analysis of the literary characters Don Quixote, Julien Sorel, Emma Bovary, Raskolnikov, and others is in effect a devastating if indirect critique of modem radical thought, or the pursuit ofradical freedom. Modern novels, he argues, tend to divide into two types: either "romantic" or "romanesque." The latter reveal the romantic illusions of the modern psyche, rather than merely reflect them like the former. "Romanesque" novelists such as Cervantes, Stendhal, Flaubert, Dostoevsky, and Proust are great because they uncover the human relations behind romantic passions and the theories that legitimate them. The "romanesque" novel is a Socratic labor of selfknowledge in which the author emancipates himself from his own past romantic illusions. In effect, it exposes the fictions associated with the modern novel itself. The "romantic" novel, to the contrary, abandons self2 By "equality of conditions" is meant the de-legitimation of accidents of birth such as aristocratic lineage (or today race, gender, or ethnicity) as limits on one's social ambition or destiny. It is equivalent to the rise of vocational choice. 3 For a development of this theme in the context of early modern thought (Descartes to Hegel) as an indirect critique of the radical critics from Marx to Heidegger and after, see Stephen Gardner, Myths of Freedom- Equality, Modern Thought, and Philosophical Radicalism. 4 Cesareo Bandera, in The Sacred Game The Role ofthe Sacred in the Genesis ofModern Literary Fiction, also makes a "mimetic" critique of Marx, stressing his work as seeking to restore a sacrificial mythology as the bond ofsociety, an attempt at the basis oftotalitarianism (see his Appendix). The Ontologica! Obsessions ofRadical Thought3 knowledge for the platonic pursuit of "authentic being."5 It offers us "romantic... (shrink)

In this article we examine obsessive compulsive disorder (OCD). We examine and reject two existing models of this disorder: the Dysfunctional Belief Model and the Inference‐Based Approach. Instead, we propose that the main distinctive characteristic of OCD is a hyperactive sub‐personal signal of being in error, experienced by the individual as uncertainty about his or her intentional actions (including mental actions). This signalling interacts with the anxiety sensitivities of the individual to trigger conscious checking processes, including speculations about possible harms. (...) We examine the implications of this model for the individual's capacity to control his or her thoughts. (shrink)

Studyholism is a new potential obsessive-compulsive -related disorder recently introduced in the literature. According to its theorization, there are two types of Studyholic: Engaged and Disengaged Studyholics, which are characterized, respectively, by high and low levels of Study Engagement. This study aims to shed light on the role of internalizing and externalizing features as antecedents and outcomes of Studyholism and Study Engagement. Moreover, it aims to analyze the differences in psychopathology and sensation seeking between students demonstrating Disengaged and Engaged Studyholism. (...) We performed four path analyses, MANOVAs, and Mann–Whitney tests on 1,223 Italian college students. Among the main findings, Studyholism is associated with psychological and academic impairment, while Study Engagement predicts better mental health and academic functioning; though, the β values are lower for Study Engagement. Moreover, Studyholism is positively predicted by internalizing symptoms and negatively predicted by externalizing variables. Finally, students showing Engaged Studyholism have lower levels of obsessive-compulsive symptoms than those demonstrating Disengaged Studyholism. In conclusion, this study shows the critical importance of implementing preventive interventions aimed at reducing Studyholism levels in college students. Moreover, it provides support to the conceptualization of problematic overstudying as a new potential OCD-related disorder and to the value of distinguishing between Engaged and Disengaged Studyholics for tailored clinical interventions. Finally, it highlights the need to use two different theorizations and operationalizations for problematic overworking and overstudying. However, the literature on problematic overstudying is too scant to reach any firm conclusion. Hence, future studies should deepen the analysis of problematic overstudying, possibly using longitudinal designs, to unveil its internalizing and/or externalizing nature. (shrink)

Obsessive-compulsive disorder (OCD) is a deeply enigmatic psychiatric condition associated with immense suffering worldwide. Efficacious therapies for OCD, like exposure and response prevention (ERP) are sometimes poorly tolerated by patients. As many as 25 percent of patients refuse to initiate ERP mainly because they are too anxious to follow exposure procedures. Accordingly, we proposed a simple and tolerable (immersive yet indirect) low-cost technique for treating OCD that we call “multisensory stimulation therapy.” This method involves contaminating a rubber hand during the (...) so-called “rubber hand illusion” (RHI) in which tactile sensations may be perceived as arising from a fake hand. Notably, Jalal and Ramachandran (2015), showed that such fake hand contamination during the RHI provokes powerful disgust reactions in healthy volunteers. In the current study, we explored the therapeutic potential of this novel approach. OCD patients (n = 29) watched as their hidden real hand was being stroked together with a visible fake hand; either synchronously (inducing the RHI) (i.e., the experimental condition; n = 16) or asynchronously (i.e., the control condition; n = 13). After 5 minutes of tactile stimulation, the rubber hand was contaminated with fake feces, simulating conventional exposure therapy. Intriguingly, results suggested sensory assimilation of contamination sensations into the body image via the RHI: patients undergoing synchronous stimulation did not report greater contamination sensations when the fake hand was initially contaminated relative to asynchronous stroking. But contrary to expectations, they did so after the rubber hand had been contaminated for 5 minutes; as assessed via disgust facial expressions (a secondary outcome) and in vivo exposure (upon discontinuing the illusion). Further to our surprise, synchronous and asynchronous stroking induced an equally vivid and fast emerging illusion, which helps explain why both conditions initially (5 minutes after initiating tactile stimulation) provoked contamination reactions of equal magnitude. This study is the first to suggest heightened malleability of body image in OCD. Importantly, it may pave the way for a tolerable technique for the treatment of OCD—highly suitable for poorly resourced and emergency settings, including low-income and developing countries with minimal access to high-tech solutions like virtual reality. (shrink)

Deep Brain Stimulation (DBS) is a relatively new, experimental treatment for patients suffering from treatment-refractory Obsessive Compulsive Disorder (OCD). The effects of treatment are typically assessed with psychopathological scales that measure the amount of symptoms. However, clinical experience indicates that the effects of DBS are not limited to symptoms only: patients for instance report changes in perception, feeling stronger and more confident, and doing things unreflectively. Our aim is to get a better overview of the whole variety of changes that (...) OCD patients experience during DBS treatment. For that purpose we conducted in-depth, semi-structured interviews with 18 OCD patients. In this paper, we present the results from this qualitative study.We list the changes grouped in four domains: with regard to (a) person, (b) (social) world, (c)characteristics of person-world interactions, and (d) existential stance. We subsequently provide an interpretation of these results. In particular, we suggest that many of these changes can be seen as different expressions of the same process; namely that the experience of anxiety and tension gives way to an increased basic trust and increased reliance on one’s abilities. We then discuss the clinical implications of our findings, especially with regard to properly informing patients of what they can expect from treatment, the usefulness of including CBT in treatment, and the limitations of current measures of treatment success. We end by making several concrete suggestions for further research. (shrink)

The dominant philosophical conceptions of obsessive-compulsive behavior present its subject as having a deficiency, usually characterized as volitional, due to which she lacks control and choice in acting. Compulsions (mental or physical) tend to be treated in isolation from the obsessive thoughts that give rise to them. I offer a different picture of compulsive action, one that is, I believe, more faithful to clinical reality. The clue to (most) obsessive-compulsive behavior seems to be the way obsessive thoughts, which are grounded (...) in an irrational cognitive style in matters of risk, danger, and responsibility, motivate compulsions through bizarre means–end reasoning. I show that the patient with obsessive-compulsive disorder (OCD) is not weak and passive with regard to the compulsive act; rather, the act is voluntary and regarded by the patient as an instrument of control. I also defend the idea that OCD-related cognitions are either beliefs or mental states with relevantly similar functional roles. (shrink)

Philip Kitcher's account of scientific progress incorporates a conception of explanatory unification that invites the so-called 'obsessive unifier' worry, to wit, that in our drive to unify the phenomena we might impose artificial structure on the world and consequently produce an incorrect view of how things, in fact, are. I argue that Kitcher's attempt to address this worry is unsatisfactory because it relies on an ability to choose between rival patterns of explanation which itself rests on the relevant choice having (...) already been made. I also suggest a way of answering the worry that Kitcher is not likely to endorse. (shrink)