The comorbidity of chronic pain and opioid addiction is a serious problem that has been growing with the practice of prescribing opioids for chronic pain. Neuroimaging research has shown that chronic pain and opioid dependence both affect brain structure and function, but this is the first study to evaluate the neurophysiological alterations in patients with comorbid chronic pain and addiction. Eighteen participants with chronic low back pain and opioid addiction were compared with eighteen age- and sex-matched healthy individuals in a (...) pain-induction fMRI task. Unified structural equation modeling (SEM) with Lagrange multiplier (LM) testing yielded a network model of pain processing for patient and control groups based on 19 a priori defined regions. Tests of differences between groups on specific regression parameters were determined on a path-by-path basis using z-tests corrected for the number of comparisons. Patients with the chronic pain and addiction comorbidity had increased connection strengths; many of these connections were interhemispheric and spanned regions involved in sensory, affective, and cognitive processes. The affected regions included those that are commonly altered in chronic pain or addiction alone, indicating that this comorbidity manifests with neurological symptoms of both disorders. Understanding the neural mechanisms involved in the comorbidity is crucial to finding a comprehensive treatment, rather than treating the symptoms individually. (shrink)

This book is a philosophical exploration of disorientation and its significance for action. Disorientations are human experiences of losing one's bearings, such that life is disrupted and it is not clear how to go on. In the face of life experiences like trauma, grief, illness, migration, education, queer identification, and consciousness raising, individuals can be deeply disoriented. These and other disorientations are not rare. Although disorientations can be common and powerful parts of individuals' lives, they remain uncharacterized by Western philosophers, (...) and overlooked by ethicists.Disorientations can paralyze, overwhelm, embitter, and misdirect moral agents, and moral philosophy and motivational psychology have important insights to offer into why this is. More perplexing are the ways disorientations may prompt improved moral action.Ami Harbin draws on first person accounts, philosophical texts, and qualitative and quantitative research to show that in some cases of disorientation, individuals gain new forms of awareness of political complexity and social norms, and new habits of relating to others and an unpredictable moral landscape. She then argues for the moral and political promise of these gains. A major contention of the book is that disorientations have 'non-resolutionary effects': they can help us act without first helping us resolve what to do. In exploring these possibilities, Disorientation and Moral Life contributes to philosophy of emotions, moral philosophy, and political thought from a distinctly feminist perspective. It makes the case for seeing disorientations as having the power to motivate profound and long-term shifts in moral and political action. A feminist re-envisioning of moral psychology provides the framework for understanding how they do so. (shrink)

Neglect of the moral promise of disorientation is a persistent gap in even the most sophisticated philosophies of embodiment. In this article, I begin to correct this neglect by expanding our sense of the range and nature of disoriented experience and proposing new visions of disorientation as benefiting moral agency. Disorientations are experienced through complex interactions of corporeal, affective, and cognitive processes, and are characterized by feelings of shock, surprise, unease, and discomfort; felt disorientations almost always make us unsure of (...) how to go on. I argue that experiences of disorientation can strengthen the moral agency of individuals. I begin by clarifying experiences of felt ease and orientation. I then characterize disoriented embodiment by investigating select experiences that often involve or accompany disorientation, focusing throughout on how disorientation prompts changes in motivation and action. I conclude by charting how disoriented embodiments can help individuals become better moral agents overall, in part by challenging norms that restrict embodiment and undermining dualistic conceptions of the self. (shrink)

Rajabʻalī Tabrīzī, -1669 or 1670 -- Philosophical thoughts -- Islamic philosophy - Iran.

This paper draws on findings from qualitative interviews with queer and trans patients and with physicians providing care to queer and trans patients in Halifax, Nova Scotia, Canada, to explore how routine practices of health care can perpetuate or challenge the marginalization of queers. One of the most common “measures” of improved cultural competence in health care practice is self-reported increases in confidence and comfort, though it seems unlikely that an increase in physician comfort levels with queer and trans patients (...) will necessarily mean better health care for queers. More attention to current felt discomfort in patient–provider encounters is required. Policies and practices that avoid discomfort at all costs are not always helpful for care, and experiences of shared discomfort in queer health contexts are not always harmful. (shrink)

This chapter argues that some disorientations prompt individuals to gain new awareness in politically and morally important ways, even when they do not prompt capacities for decisive moral judgment or confidence. It investigates disorientations of experiencing racism, white privilege, consciousness-raising, and critical education, drawing on first-person, philosophical, and empirical accounts of double consciousness, white anti-racism, moral shock, double ontological shock, gaslighting, outlaw emotions, and feminist pedagogy. It demonstrates how, in some cases, these disorientations generate awareness of contingent oppressive norms and (...) of political complexity, and it then argues for the moral and political significance of such awareness. Even as it does not help individuals resolve how to act, such awareness can generate epistemic humility, allow individuals to relate differently to their histories and communities of origin, and clarify the necessity of collaborative rather than individual action. (shrink)

As a text in use by mental health practitioners, policy makers, and ordinary individuals, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) categorizes a variety of mental, psychological, and emotional experiences on a wide spectrum of disorders. Many common experiences are described there as symptoms, chiefly for the purposes of identifying, diagnosing, and treating disorders. “Disorientations” are not (yet) categorized as a stand-alone disorder in the DSM, but involve a cluster of experiences that border on and overlap with experiences (...) already categorized as symptoms of other disorders. Where experiences of disorientation appear in the DSM, they are, for the most part, still understood as.. (shrink)

The 2018 eligibility regulation for female competitors with differences of sexual development (DSD) issued by World Athletics requires competitors with DSD with blood testosterone levels at or above 5 nmol/L and sufficient androgen sensitivity to be excluded from competition in certain events unless they reduce the level of testosterone in their blood. This paper formalises and then critically assesses the fairness-based argument offered in support of this regulation by the federation. It argues that it is unclear how the biological advantage (...) singled out by the regulation as an appropriate target for diminishment, is relevantly different from other biological advantages that athletes may enjoy, and specifically that Sigmund Loland’s recent attempt to drive a wedge between heightened levels of blood testosterone and other biological advantages fails. The paper also suggests that even if heightened blood testosterone levels do differ relevantly from other types of biological advantage, the regulation is further challenged by studies indicating that athletes with blood testosterone at the high end of the normal range have a competitive advantage over athletes with blood testosterone levels at the low end of it. Finally, the paper contends that the premises of the fairness-based argument do not unequivocally support the conclusion that DSD athletes with heightened levels of testosterone should diminish those levels, since, just as powerfully, they support allowing athletes with normal levels of testosterone to use performance-enhancing drugs in the name of fairness. (shrink)

The aim of this paper is to prove strengthenings of three theorems appearing in Jensen [1].

I defend the Received View on scientific theories as developed by Carnap, Hempel, and Feigl against a number of criticisms based on misconceptions. First, I dispute the claim that the Received View demands axiomatizations in first order logic, and the further claim that these axiomatizations must include axioms for the mathematics used in the scientific theories. Next, I contend that models are important according to the Received View. Finally, I argue against the claim that the Received View is intended to (...) make the concept of a theory more precise. Rather, it is meant as a generalizable framework for explicating specific theories. (shrink)

Fearing is a central part of how we relate to each other and the unpredictable world. Fearing badly is a key part of many of our moral failures, and fearing better a central part of our moral repair. We might think that fearing is undesirable and should be avoided whenever possible. In fact, Fearing Together shows that the avoidance of fear causes some of our greatest threats. By understanding fear as a relational practice, we see that our relationships with other (...) fearers shape what we fear, what fear feels like, how we identify and understand our fears, and how we cope with them. Growing as moral agents involves coming to grips with what kinds of fearers we want to be and become, and with what we owe each other when facing what we cannot control. At the heart of this book are the moral quandaries and complexities of relational fearing: the ethics of fearing together. (shrink)

This paper considers an area of research in clinical psychology that focuses on the resilience of members of marginalized groups who have experienced traumas directly related to their social identities. The paper describes these as social group-based traumas and outlines three effects of social group-based traumas that can make the experiences of them, as well as experiences of recovery following them, distinct from those involved in other kinds of traumas. In cases where resilience frameworks are useful for understanding such recoveries, (...) the paper proposes three methodological strategies for designing research to address the characteristics of social group-based trauma. (shrink)

A core commitment of meta-ethical expressivism is that ordinary descriptive judgements are representational states, while normative judgements are non-representational directive states. Traditionally, this commitment has been understood as a psychological thesis about the nature of normative judgements, as the view that normative judgements consist in certain sorts of conative propositional attitudes. This paper’s aim is to challenge this reading and to show that changing our view on how this commitment is to be understood opens up space for attractive forms of (...) expressivism. The paper argues this by example: by presenting one of the possible expressivist views that can be developed on this reading and by arguing that this view has distinctive advantages over forms of expressivism that endorse the traditional interpretation of expressivism. (shrink)

This book argues that we can only develop a proper grasp of Kant s practical philosophy if we appreciate the central role played in it by the notion of the interests of reason. While it is generally acknowledged that Kant does not regard reason as a purely instrumental faculty, this book is the first to show how his notion of reason as guided by its own interests offers the key to some of the most puzzling aspects of his practical philosophy.".

This paper proposes the use of an argumentation framework with recursive attacks to address a trust model in a collaborative open multi-agent system. Our approach is focused on scenarios where agents share information about the credibility (informational trust) they have assigned to their peers. We will represent informants’ credibility through credibility objects which will include not only trust information but also the informant source. This leads to a recursive setting where the reliability of certain credibility information depends on the credibility (...) of other pieces of information that should be subject to the same analysis. Credibility objects are maintained in a credibility base which can have information in conflict. In this scenario, we will formally show that our proposal will produce a partially ordered credibility relation; such relation contains the information that can be justified by an argumentation process. (shrink)

This paper critically investigates a possible tension between beliefs about the usefulness of police and prisons and awareness of the harms some communities face at the hands of criminal justice systems. If a person feels well-served by police and prison systems but becomes aware of the ways they are endangering some communities, they may feel they have a responsibility to work to transform or dismantle criminal justice systems, potentially sacrificing the safety they have gained from them. This paper considers more (...) closely the understanding of safety underlying such a perceived ‘responsibility to sacrifice’. It clarifies an understanding of safety motivating both current systems of policing and incarceration and the idea of a responsibility to sacrifice: namely, the idea that safety is an exchangeable good, that is, that one person’s safety could be guaranteed by compromising another’s. It considers an available alternative understanding of safety as a shared good. The paper concludes by arguing that individuals do not have a ‘responsibility to sacrifice’ but instead have responsibilities to (a) understand that feelings of/beliefs about safety are deeply racialized, (b) cultivate habits and practices that build capacity for responding to harm, danger, and our perceptions of harm and danger; and (c) transform the realities of structural racism that protect white people and endanger others. (shrink)

This paper offers an ethical consideration of how fear can be a tool of agents, used to deliberately shift people away from existing beliefs, commitments, or habits, or towards new ones. It contends that properly understanding the ethical dimensions of such uses of fear depends in part on a clear understanding of the dynamics of disorientation that can be involved in such uses. Section two begins with a clarification of the connections between fear, orientation, and disorientation. It suggests that experiences (...) of fear are in some cases either orienting or disorienting, and that the disorienting aspects of fear are in need of more attention. Section three shows how experiences of fear can be tools—they can be cultivated and wielded by agents deliberately for multiple reasons, including sometimes in order to disorient or re-orient others. Section four turns to a moral evaluation of these uses of fear, attending specifically to why the dynamics of disorientation and orientation often involved in experiences of fear are important for understanding the moral status of uses of fear. (shrink)

One worry about metaethical expressivism is that it reduces to some form of subjectivism. This worry is enforced by subjectivists who argue that subjectivism can explain certain phenomena thought to support expressivism equally well. Recently, authors have started to suggest that subjectivism can take away what has often been seen as expressivism's biggest explanatory advantage, namely expressivism's ability to explain the possibility of moral disagreement. In this paper, I will give a response to an argument recently given by Frank Jackson (...) to this conclusion that will show that it is false that subjectivism could explain disagreement as well as expressivism. (shrink)

Many contexts of injustice demand resolute action—action that is purposeful, decisive, confident, and unwavering—but this chapter argues that in some contexts of injustice, irresolute actions can be called for. The chapter begins by identifying what characterizes irresolute action in such contexts. It then introduces three kinds of irresolute action against injustice and defends their effectiveness in some contexts of injustice and activism, taking as examples contexts of heterosexism, mass incarceration, North American colonialism, and post-industrial poverty. It differentiates such contexts from (...) other cases of structural injustice, oppression and moral dilemmas where one can fulfill one’s responsibilities resolutely. Finally, it argues that we need to understand the importance of irresolute action against injustice in order to further understand the position of disorientation in moral life. (shrink)

This chapter argues that some disorientations prompt morally beneficial shifts in habits of relating to other people and to unpredictable moral contexts. It investigates disorientations of illness, trauma, queerness, and migration, drawing on first-person, philosophical, and empirical accounts of cancer, chronic illness, fatal disease, sexual violence, coming out, queer activism, migrant life, and “world-travelling”. It shows how, in some cases, these disorientations generate capacities for living unprepared, sensing vulnerabilities, “in-this-togetherness,” and living against the grain of norms, and argues for the (...) moral and political benefit of these capacities. In coming to live unprepared, sense vulnerability, relate to others as though we are in-this-together and live partly against the grain of oppressive norms, individuals demonstrate shifted expectations which more accurately reflect the conditions of oppressive society and prepare individuals to function within conditions of unpredictability, vulnerability, and interdependence. (shrink)

European Journal of Philosophy, Volume 29, Issue 3, Page 624-633, September 2021.

Whistleblowing is an effective tool against fraud and corruption in organizations. However, as researchers have struggled to acquire data on actual whistleblowers, research relies on hypothetical intention data and student samples, which is seen as a major limitation. Using a field study of 1,416 employees from China, Germany, and Russia, the purpose of this article is to identify differences and similarities between intention and actual whistleblowing decisions, thus aiding research and interpretation of prior and future studies. I also contribute by (...) analyzing whether findings can be generalized across different cultures and whether status and power influence the whistleblowing process. My results reveal that the key difference between hypothetical and real decisions is not in variables that affect the process, but in effect sizes: Employees underestimate the effect of situational (retaliation) and organizational (compliance measures) variables in hypothetical compared to actual whistleblowing. Thus, reliance on intention research is not inherently problematic, when effect sizes are interpreted with caution. I also find that results are similar across countries and that status and power may not be decisive factors in whistleblowing. My findings should also be of interest to practitioners and policymakers, as they assist in designing effective whistleblowing systems and environments in organizations. (shrink)

This chapter defines disorientations as temporally extended, major life experiences that make it difficult for individuals to know how to go on, often involving feeling out of place, unfamiliar, or not at home. It canvasses how disorientations have been of interest in sub-disciplines of philosophy as well as present in philosophers’ own first-person accounts, and relevant for researchers in clinical psychology. The chapter then defends disorientations as a family resemblance concept, highlighting how different instances of disorientation are related by overlapping (...) similarities. It concludes by outlining the book’s feminist methodological approach to claims about: what disorientations are; the effects some disorientations have; the moral and political status of those effects; and disorientations’ position in contexts of oppression. (shrink)

In this paper I will give a systematic account of Husserl's notion of the natural attitude in the development from its first presentation in Ideas I (1913) until Husserl's last years. The problem of the natural attitude has to be dealt with on two levels. On the thematic level, it is constituted by the correlation of attitude and horizon, both stemming from Husserl's theory of intentionality. On the methodic level, the natural attitude is constituted by three factors: naturalness, naivety and (...) normality. I shall conclude by sketching out a possible motivation for leaving the natural attitude and thus for entering the sphere of phenomenology. (shrink)

Accounts of human beings as essentially social have had a long history in philosophy as reflected in the Ancient Greeks; in African and Asian philosophy; in Modern European thinkers such as Mary Wo...

Proponents of linguistic philosophy hold that all non-empirical philosophical problems can be solved by either analyzing ordinary language or developing an ideal one. I review the debates on linguistic philosophy and between ordinary and ideal language philosophy. Using arguments from these debates, I argue that the results of experimental philosophy on intuitions support linguistic philosophy. Within linguistic philosophy, these experimental results support and complement ideal language philosophy. I argue further that some of the critiques of experimental philosophy are in fact (...) defenses of ideal language philosophy. Finally, I show how much of the current debate about experimental philosophy is anticipated in the debates about and within linguistic philosophy. Specifically, arguments by ideal language philosophers support experimental philosophy. (shrink)

In Disorientation and Moral Life, I consider disorientations as experiences of not knowing how to go on following serious life events and experiences like those involved in traumas, grief, illness, education, consciousness raising, and migration. I challenge a history of moral philosophy that I claim has been preoccupied by a focus on the best moral agents as those who are most decisive, wholehearted, and clear about how they ought to act. In this piece, I respond to three commentaries on Disorientation (...) and Moral Life. In particular, I offer reflections on how disorientations might be useful in contexts of disability studies, prison abolitionism, professional philosophy, anti-racist action, and political organizing. (shrink)

There was a time when meta-ethical expressivism seemed to be the only game in town for meta-ethical non-representationalists. In recent years, though, meta-ethical inferentialism has emerged as a promising non-representationalist alternative. So far, however, inferentialists lack something that would really allow them to draw level with expressivists. This is an explanation for the distinctive difference between normative and descriptive vocabulary when it comes to disagreement—something expressivists can explain in terms of the difference between representational and desire-like states and which constitutes (...) one of the primary motivations for expressivism. This paper develops a novel and distinctive account for this difference on behalf of inferentialists, based on the different functions of these two vocabularies. Not only does this account help inferentialists, it also shows how non-representionalist accounts can capture the relevant disagreement phenomena without appealing to the sorts of desire-like states expressivists tend to appeal to. (shrink)

Many philosophers have attempted to answer the ‘ethical question’: can the ethical value of an artwork ever contribute to its aesthetic value, and if so, how? In this paper, I consider a methodological question that arises out of this discussion: should attempts to address the ethical question use analytic tools found in contemporary philosophical literature, art criticism, or some combination of the two? I concur with arguments proposed elsewhere, which suggest that art criticism has an important role to play in (...) addressing the ethical question. However, I argue that any fruitful attempt to answer the question must defend some particular way of understanding the ethical value of artworks, which suggests that we should address what I label the ‘art question’: what is the role and importance of art? This question, I suggest, is one with which philosophers can usefully engage. This division of labour offers a way forward in addressing this important issue. (shrink)

The present paper is an attempt at the investigation of the nature of polarity contrast in natural languages. Truth conditions for natural language sentences are incomplete unless they include a proper definition of the conditions under which they are false. It is argued that the tertium non datur principle of classical bivalent logical systems is empirically invalid for natural languages: falsity cannot be equated with non-truth. Lacking a direct intuition about the conditions under which a sentence is false, we need (...) an independent foundation of the concept of falsity. The solution I offer is a definition of falsity in terms of the truth of a syntactic negation of the sentence. A definition of syntactic negation is proposed for English. (shrink)

This chapter introduces the concept of moral resolve: when a person acts on the basis of a moral judgment about what to do and how to do it, and with feelings of confidence about the action, herself as agent, or both, she acts with moral resolve. The assumption that moral resolve is the best or only evidence of successful moral motivation has been dominant in moral psychology and in philosophical and empirical ethics, including in accounts of moral development, dual-systems theories (...) of moral judgment, and accounts of ambivalence. Taking grief as a case study, the chapter offers an account of how experiences can have morally significant effects without generating moral resolve. This account clears the way for understanding how experiences like disorientations may be morally productive, even when they fail to generate, or directly compromise, moral resolve. (shrink)