In lieu of an abstract, here is a brief excerpt of the content:Anthropological Perspectives in Psychiatric NosologyJuan J. López-Ibor Jr. (bio) and María-Inés López-Ibor (bio)KeywordsDSM, etiology, Aristotelian causes, social dramasPsychiatry and clinical psychology, as we learn in this paper, are disciplines in need of an ontological perspective. Very few branches of contemporary learning share this characteristic. Probably only theoretical physic and theology—as the rest have long ago given up trying to define and understand the essence of their object, for example, (...) life in the case of biology or mind in psychology. Consequently, the paper by Pérez-Álvarez, Sass and García-Montes, “The Ontology of Mental Disorders in Constructivist Perspective,” (2008) should be welcomed and indeed included in the reading lists for trainees in psychiatry and clinical psychology.The authors propose an approach to the understanding of mental disorders that is extremely attractive and well articulated, and which also has practical implications for clinicians. It is not just another “philosophical divertimento” devoid of scientific and practical importance. Let us analyze the article in an orderly way.Less DsmThe authors of the target paper disapprove of the Diagnostic and Statistical Manual of Mental Disorders (DSM)-III/IV approach to defining illnesses by starting from the symptoms that are present—on the grounds that this may lead clinicians to assume that their sole role is to identify, fight, and suppress the symptoms by whichever procedure. They propose an alternative that is dear to myself because it follows the path of the so-called “anthropological” psychiatry of Binswanger, von Gebsattel, Erwin Strauss, Zutt, López-Ibor, Sr., and others. In essence, this is a phenomenological approach to the meaning of mental diseases, one that emphasizes how the illness is revealed to the patient him- or herself.The target article’s criticism of DSM should be considered in the context of the abuses committed on its behalf. The DSM is not a textbook of psychiatric disorders, nor does it contain a definition of the diseases. The DSM does not tell what a disease is (Klerman et al. 1984)—something that is impossible with a classification system based on the manifestations of the diseases, the signs and symptoms. The DSM, as its title states, is just a diagnostic and statistical manual, which does not contain anything about the origin of [End Page 259] any disease nor an explanation of why it exists or what it means. The DSM is, in fact, just a tool to determine whether a disease is present, and therefore to facilitate communication between professionals and with other individuals, without saying anything about the disease’s aitia—a key term (associated with notions of essence as well as cause) to be discussed below. In theory, most clinicians should understand these limitations; it may be, however, that this is not really the case for many who read or use the DSM. In the world there are around 200,000 psychiatrists; since 1980 the number of DSM copies sold is in the order of several hundred thousand.The misuse of a classification system is even more noticeable in the International Classification of Diseases (ICD)-10 Research Version. The instructions for the use of this version recommend that the first step is to make an inventory of all the symptoms present, and then to construct a diagnosis based on them. This how all computer-assisted systems work. This procedure can, however, only be valid if the clinician has already reached a diagnostic conclusion by other means—a diagnosis then to be confirmed for research purposes. It may be that this is one of the reasons why the ICD-10 Research Version has almost never actually been used for research.Furthermore, the concept of symptoms in psychiatry applies only to organic mental disorders (Schneider 1959), conditions in which the patient’s attitude and way of experiencing the symptoms do not play the kind of role that they play in schizophrenia and other mental disorders. The quotation from the important paper by Sass and Parnas in this context is most appropriate. It is indeed that case that “subjective experience can play an important causal role in the progressive experiential transformations of a developing schizophrenic illness... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Creativity Belongs to the Person, not to DiseaseJuan J. López-Ibor Jr. (bio) and María-Inés López-Ibor (bio)Keywordscreativity, patho-biography, Saint Teresa, visionsIn the paper, “From the Visions of Saint Teresa of Jesus to the Voices of Schizophrenia,” Cangas, Sass, and Pérez-Álvarez (2008) take an original approach to patho-biography that is very welcome.The temptation to designate historical individuals or characters of fiction as suffering from mental disease has always produced disagreeable feelings (...) in me. This sort of abuse of psychiatry and of the people in question is parallel to the abuse by the media or lay citizens when they describe, say, an especially violent murderer as a schizophrenic—forgetting that the vast majority of people with schizophrenia are not in the least violent. Having read Santa Teresa’s writings during my adolescence, well before I even considered entering medicine, I reacted to comments about her alleged psychiatric illnesses with uneasiness, to put it mildly. The Santa Teresa of La Vida de la Santa Madre Teresa de Jesús (her autobiography), of the Camino de Perfección, and of the El Castillo Interior was surely not a mental patient, it seemed to me. The same would apply to San Juan de La Cruz, Jean D’Arc, Don Quijote, Sancho Panza, Edipus, and Clitemnestra, to mention a few. Even van Gogh’s paintings did not seem to me the productions of a patient with schizophrenia or epilepsy. Of course all of them may have suffered, at certain periods of life, symptoms attributable to a mental disorder, but their creativity rested elsewhere, and was often manifest during healthy periods of their lives. After years spent fighting the stigma of mental diseases, and after organizing several exhibitions of works of art of people with mental diseases, we came to the conclusion that creativity and singularity belong to the person, not to the illness. Some of the diseases of these individuals may have being accidents (van Gogh’s hallucinations and psychotic symptoms, for example, were most probably due to intoxications with absinthe, then rich in hallucinogenic alkaloids such as tujone), or, together with other life circumstances, may have had unspecific influences on the person’s condition. In contrast with many other psychiatric disorders that are represented in ancient Greek and Roman literature, there are no descriptions of individuals with schizophrenia in the Greek and Roman literature dating from the fifth century bc to the beginning of the second century Ad (Evans et al. 2003), and several authors have speculated that schizophrenia did not exist before the eighteenth century (Ellard 1987).Caution is important when dealing with mental health and religious issues in contrast with creativity. The creativity of people suffering from bipolar disorders is well recognized (Jamison 1993) and [End Page 277] the same applies to alcohol and drug intoxication. Tellenbach (1986) has also written on the creativity of depressed persons, although he refers more to the disposition of mood (Schwermut) than to clinical depression as such. The link between melancholia and genius put forward by Aristotle has often been misinterpreted. The philosopher was considering the melancholic temperament and not the melancholic illness as we would understand it today. Of the four temperaments, it is in his view only the melancholic that is gifted with creativity. The sanguine person seeks the immediate pleasures of life, the choleric one considers himself powerful and dedicates himself to manifesting this power, and the phlegmatic individual is disconnected from life and seeks to live without effort or pleasure. The melancholic temperament leads to creativity because of the predominance of doubt, reflection, and dissatisfaction with the miseries of life.Freud’s notion of religiosity as a collective obsessive neurosis is totally mistaken, in my view. The three main themes of obsessions are cleanliness, order, and guilt. In none of these cases is the theme the goal of the action; rather, it is a strategy to contain anxiety. As a consequence, patients with obsessions and compulsions about dirt and cleanliness tend to be dirty themselves, because the real purpose of their compulsions is not in fact to be clean but rather to satisfy a ritual. When order... (shrink)

Dispelling the Darkness: A Jesuit’s Quest for the Soul of Tibet, by Donal S. Lopez Jr. and Thupten Jinpa. Harvard University Press, 2017. 320 pp. Hb and e-book. £23.95. ISBN- 13: 9780674659704.

The Lotus Sutra: A Biography, by Donald S. Lopez, Jr. Princeton University Press, 2016. 272pp. Hb. £24.95. ISBN-13: 9780691152202. E-book. £18.99. ISBN: 9781400883349.

ABSTRACT The present article aims at setting the issue of the relationship between Buddhism and science in a historical and philosophical frame wider than that one taken into account by the international scholarship so far. The historical point of view allows us to conclude that the narrative that connects Buddhism with science is not based on features intrinsic to Buddhist thought. In fact, such narrative prospered thanks to the development of a dialectic, typical of the 18th and 19th centuries, between (...) science and religion. The philosophical point of view allows us to conclude that such narrative is backed by a metaphysical-like thought that denies the specificity of both science and Buddhism. RESUMO O presente artigo pretende enquadrar a questão do relacionamento entre budismo e ciência num âmbito histórico e filosófico mais amplo do que foi levado em consideração até agora pela scholarship internacional. A perspectiva histórica permite concluir que a narrativa que liga budismo e ciência não é baseada em características intrínsecas ao pensamento budista, mas floresceu em dependência do desenvolvimento da dialética religião-ciência dos séculos XVIII e XIX. A perspectiva filosófica, em contrapartida, permite concluir que essa mesma narrativa é sustentada por um pensamento de cunho metafísico e cientista, que nega a especificidade tanto da ciência quanto do budismo. (shrink)

This book provides a systematic exploration of the relation between knowledge and factual awareness, arguing that knowledge is but one species of factual awareness and that we can understand the possession of objective reasons, the normativity of knowledge, and the nature of knowledge in terms of factual awareness. In this way, the state of factual awareness is, structurally and substantively, a more basic type of state than knowledge. If correct, this undermines a number of ways in which knowledge has been (...) regarded as ‘first’ in recent epistemology. (shrink)

El paradigma de desarrollo humano ha tenido amplia aceptación. Sin embargo ha sido el enfoque blando -restringido a la puesta en marcha de políticas sociales que contribuyen a la expansión de ciertas capacidades básicas- que el enfoque duro -que implica reformas redistributivas- el que más se ha tenido en cuenta. Aunque la equidad en la distribución de los medios (ingreso y riqueza) no es la medida más apropiada de la justicia económica ya que ésta no garantiza la equidad en el (...) logro de los fines de los individuos, eso no quiere decir que no sea una condición necesaria. Una concepción dura del desarrollo humano es necesaria para la expansión de capacidades como la de aparecer en público sin sentimiento de vergüenza (Smith). El carácter extremo de las desigualdades en América Latina hace aún más necesario recuperar la impronta roussoniana del “principio de la diferencia” de Rawls. (shrink)

Este trabajo ha sido seleccionado de entre los participantes en la VI Olimpiada de Filosofía que organiza FICUM en la modalidad de secundaria y bachillerato, para promocionar la filosofía entre los jóvenes.

Partiendo de una comparación entre los primeros museos de objetos naturales surgidos en el siglo XVI y los gabinetes de historia natural del siglo XVIII, el presente trabajo se concentra en la transformación producida en aquel periodo en los modos de «ordenar» y «clasificar» la naturaleza. El gusto por lo exótico y maravilloso que caracterizó a las colecciones e historias, naturales del Renacimiento y del Barroco fue perdiendo fuerza a medida que aumentaba el interés por ordenar la naturaleza según «sistemas». (...) Los nuevos modos de clasificación natural, que tuvieron su momento cumbre con la obra del Linneo, dieron origen a una intensa polémica sobre el carácter natural o artificial de los sistemas naturales y a un debate sobre su sentido y su utilidad. Las críticas de los enciclopedistas del siglo XVIII al espíritu sistemático de Linneo y su convicción en la necesidad de crear una estructura abierta y didáctica del saber se reflejaron también en la disposición y finalidad de los gabinetes naturalistas. (shrink)

Camus's apparent flirtation with Catholicism is rooted in his notion of absurdity. Paradoxically, an absurdity of existence both unites us to the world and alienates us from it. Whereas the alienation was avoided by a traditional philosophy that improperly imposed reason on reality, ultimate reality was construed by religion as a God who passes understanding. And though limitations on understanding are embodied by such things as a paradox of Christ who is both man and not man, Camus's profound insights on (...) man's absurd condition may have been remiss because he imposed an understanding of rational philosophy on religion. (shrink)

Often those attempting to resolve the answering machine paradox appeal to Kaplan's claim that the objects of semantic evaluation are expression-types evaluated with respect to indices, instead of utterances, as part of their solution. This article argues that Dylan Dodd and Paula Sweeney exemplify the kind of mistakes theorists make in applying such expression-based semantic theories in that they conflate what is asserted with semantic content, and they take their approach to utterance interpretation as having semantic significance. In light of (...) these mistakes, we learn two things. First, we learn how expression-based semantic theorists can avoid making these kinds of mistakes. Second, we learn how the limits of expression-based semantics can contribute to what we should expect a semantic theory to explain regarding how semantics fits into a more general theory of linguistic communication and linguistic understanding. (shrink)

The purpose of this paper is, in the context of the distinction between Nietzsche's notions of cultural philistine (Bildungsphilister) and free spirit (Freigeist), to discuss which of these two types we, professors at Brazilian higher education institutions, are more similar. The philistine is the opposite of the genuine man of culture and the artist. The free spirit, on the other hand, is the exception, he is one who is disconnected from the values and habits in force, he doesn't cling to (...) anything and walks freely. In this article, it is a matter of making some reflections, as we bring more questions than answers. (shrink)