The diagnostic moment is a moment replete with drama. As Suzanne Fleischmann has written, hearing the announcement of a serious diagnosis draws an indelible line to demarcate before and after, which will be evermore imposed on an individual’s narrative construction of her life story. We can imagine this moment, considering with apprehension the “what if?” as we attend our doctor’s appointments for the verdict on what ails us. Belief in its transformative power is impressive. That we can imagine it is (...) not surprising, as it is represented so widely in various creative work. In this paper, I turn to the presence of the diagnostic moment in fiction. I love to read. This... (shrink)

It would be hard to imagine medical care without diagnosis, so pivotal is it to how Western medicine is practiced. Diagnosis is one of medicine’s principle tools, bringing with it as it does an explanation for what ails the sick person, an idea of what the treatment options might be, a prognosis, and much more. It assigns responsibility for illness, within medicine and outside. It will determine which specialty or sub-specialty can take care of which disorders. It also explains causation, (...) pointing the finger variably at the patient for what she ought to have done, or to the gene for what one can do little about. Diagnosis structures and explains relationships as it provides the impetus for the sick.. (shrink)

ABSTRACT:This illustrated essay describes the graphic diagnosis memoir as a form of illness narrative that uses a different way of telling stories than standard prose. A cartoon is broken into sequenced segments that ask the reader to jump across the gaps between the panels at the same time as they bridge the images and text assembled in each panel. To be successful in presenting a graphic story, the artist must be able to express an idea, but also must be able (...) to project, or imagine, how readers will be able link ideas, images, and words. The cartoon diagnosis story makes the diagnosis relevant and visible. It does so by recognizing what reader and artist share, then adding, between the spaces, what separates them. (shrink)

Disease-mongering, or the medicalisation of aspects of daily life in an attempt to generate commercial profit for a party other than the person whose complaint is medicalised, is a newly recognized and legitimate source of concern for both consumers and deliverers of health care. The interest brought to this area by the academy has the potential to acknowledge and address the consequences of the practice. However, before disease-mongering can establish itself firmly as an area of scholarly concern, researchers must understand (...) that the critique is not just about identifying commercial intent, but also about naming the mechanism through which discourses of health, cure and self-management are positioned. In this paper, I argue that a critical reflection on the construction of disease concepts and the mongering of their cure must include discussions of the foundations of health and the clinical encounter. I identify a number of pivotal issues within these themes that should be explored in order to ensure an unambiguous and productive discussion of disease-mongering and its correlates. (shrink)

Classification shapes medicine and guides its practice. As clinicians classify symptoms and illnesses, they trigger a range of actions and consequences. The assignment of particular disease labels is linked to both therapeutic and social responses. However, the classifications of medicine, natural though they may seem, contain significant social content, and are arrived at via a number of cultural framing devices (Aronowitz 2008). This article will explore the social intent and construction of classification and their embodiment in medical diagnosis.Effective classification recognizes (...) difference as well as similarity. By classifying, we are putting items together that have more in common with one another than they .. (shrink)

When we first started thinking about this Special Issue in our home country of New Zealand, we had little sense of what the future might hold. Emerging from a very strict lockdown—where one of us found herself in an isolated rural community, unable to return home, and the other was confined to a small suburban space with a dog, two children under the age of five, and a husband, and both of us with doubts as to what our jobs would (...) look like when we were "released"—our minds were strictly focused on the pandemic and its immediate impact on our day-to-day lives.At the same time, in the unfamiliar context of isolation, we connected with a colleague from Edinburgh, Michael Kelly—someone Annemarie knew from sabbatical... (shrink)

Die Welt ist alles, was wir in unseren naturwissenschaftlichen Theorien beschreiben konnen so eine weit verbreitete Uberzeugung, die seit den Tagen des Positivismus unser Weltbild bestimmt. Aber reicht das tatsachlich schon aus? Wer sich am Ideal der wissenschaftlichen Erkenntnis orientiert, neigt dazu, viele nicht-begriffliche Erfahrungsformen zu unterschlagen, die uns aus dem Alltag vertraut sind: Symbolsysteme wie Musik, Literatur oder Bilder, Instanzen der unmittelbaren Erfahrung wie Anschauung, Wahrnehmung oder Gefuhl und den Bereich des praktischen Konnens. In der Regel sind wir nicht (...) in der Lage, den Gehalt dieser Phanomene vollstandig begrifflich wiederzugeben. Dennoch ist das weite Feld des Nichtbegrifflichen eine unverzichtbare Voraussetzung unserer Satze und Gedanken: Ohne Kunst, Wahrnehmung und Handeln gibt es kein Denken, keine Wissenschaft, keine Philosophie. Der Band geht der Vielfalt des Nicht-Begrifflichen in asthetischen, symboltheoretischen und semantischen Untersuchungen nach. Aus ihnen ergibt sich ein umfassender systematischer Uberblick uber eines der spannendsten und offensten Problemfelder der aktuellen philosophischen Debatte. Mit Beitragen von: Andreas Bartels, Uwe Baumann, Volker Beeh, Gottfried Boehm, Olaf Breidbach, Joachim Bromand, Gottfried Gabriel, Markus Gabriel, Ernest Wolf Gazo, Annemarie Gethmann-Siefert, Jurgen Goldstein, Jens Halfwassen, Thomas Soren Hoffmann, Wolfgang Harms, Jochen Horisch, Peter Janich, Guilherme F. R. Kisteumacher, Jakub Kloc-Konkolowicz, Imi Knoebel, Theo Kobusch, Klaus-M. Kodalle, Sibylle Kramer, Guido Kreis, Wolfgang Kubin, Sonke Lorenz, Antonio Cota Marcal, Aliasghar Mosleh, Theodoros Penolidis, Dominik Perler, Hans-Joachim Pieper, Andrzej Przylebski, Birgit Sandkaulen, Matthias Schmoeckel, Oswald Schwemmer, Josef Simon, Pirmin Stekeler-Weithofer, Dieter Teichert, Kai Vogeley, Gottfried Willems und Gereon Wolters". (shrink)

Die Welt ist alles, was wir in unseren naturwissenschaftlichen Theorien beschreiben können – so eine weit verbreitete Überzeugung, die seit den Tagen des Positivismus unser Weltbild bestimmt. Aber reicht das tatsächlich schon aus? Wer sich am Ideal der wissenschaftlichen Erkenntnis orientiert, neigt dazu, viele nicht-begriffliche Erfahrungsformen zu unterschlagen, die uns aus dem Alltag vertraut sind: Symbolsysteme wie Musik, Literatur oder Bilder, Instanzen der unmittelbaren Erfahrung wie Anschauung, Wahrnehmung oder Gefühl und den Bereich des praktischen Könnens. In der Regel sind wir (...) nicht in der Lage, den Gehalt dieser Phänomene vollständig begrifflich wiederzugeben. Dennoch ist das weite Feld des Nichtbegrifflichen eine unverzichtbare Voraussetzung unserer Sätze und Gedanken: Ohne Kunst, Wahrnehmung und Handeln gibt es kein Denken, keine Wissenschaft, keine Philosophie. Der Band geht der Vielfalt des Nicht-Begrifflichen in ästhetischen, symboltheoretischen und semantischen Untersuchungen nach. Aus ihnen ergibt sich ein umfassender systematischer Überblick über eines der spannendsten und offensten Problemfelder der aktuellen philosophischen Debatte. Mit Beiträgen von: Andreas Bartels, Uwe Baumann, Volker Beeh, Gottfried Boehm, Olaf Breidbach, Joachim Bromand, Gottfried Gabriel, Markus Gabriel, Ernest Wolf Gazo, Annemarie Gethmann-Siefert, Jürgen Goldstein, Jens Halfwassen, Thomas Sören Hoffmann, Wolfgang Harms, Jochen Hörisch, Peter Janich, Guilherme F. R. Kisteumacher, Jakub Kloc-Konkolowicz, Imi Knoebel, Theo Kobusch, Klaus-M. Kodalle, Sibylle Krämer, Guido Kreis, Wolfgang Kubin, Sönke Lorenz, Antonio Cota Marçal, Aliasghar Mosleh, Theodoros Penolidis, Dominik Perler, Hans-Joachim Pieper, Andrzej Przylebski, Birgit Sandkaulen, Matthias Schmoeckel, Oswald Schwemmer, Josef Simon, Pirmin Stekeler-Weithofer, Dieter Teichert, Kai Vogeley, Gottfried Willems und Gereon Wolters. (shrink)

Under what conditions would an artificially intelligent system have wellbeing? Despite its clear bearing on the ethics of human interactions with artificial systems, this question has received little direct attention. Because all major theories of wellbeing hold that an individual’s welfare level is partially determined by their mental life, we begin by considering whether artificial systems have mental states. We show that a wide range of theories of mental states, when combined with leading theories of wellbeing, predict that certain existing (...) artificial systems have wellbeing. Along the way, we argue that there are good reasons to believe that artificial systems can have wellbeing even if they are not phenomenally conscious. While we do not claim to demonstrate conclusively that AI systems have wellbeing, we argue that there is a significant probability that some AI systems have or will soon have wellbeing, and that this should lead us to reassess our relationship with the intelligent systems we create. (shrink)

It is generally assumed that existing artificial systems are not phenomenally conscious, and that the construction of phenomenally conscious artificial systems would require significant technological progress if it is possible at all. We challenge this assumption by arguing that if Global Workspace Theory (GWT) — a leading scientific theory of phenomenal consciousness — is correct, then instances of one widely implemented AI architecture, the artificial language agent, might easily be made phenomenally conscious if they are not already. Along the way, (...) we articulate an explicit methodology for thinking about how to apply scientific theories of consciousness to artificial systems and employ this methodology to arrive at a set of necessary and sufficient conditions for phenomenal consciousness according to GWT. (shrink)

Bohmian mechanics, which is also called the de Broglie-Bohm theory, the pilot-wave model, and the causal interpretation of quantum mechanics, is a version of quantum theory discovered by Louis de Broglie in 1927 and rediscovered by David Bohm in 1952. It is the simplest example of what is often called a hidden variables interpretation of quantum mechanics. In Bohmian mechanics a system of particles is described in part by its wave function, evolving, as usual, according to Schrödinger's equation. However, the (...) wave function provides only a partial description of the system. This description is completed by the specification of the actual positions of the particles. The latter evolve according to the.. (shrink)

In the last quarter of the nineteenth century, Ludwig Boltzmann explained how irreversible macroscopic laws, in particular the second law of thermodynamics, originate in the time-reversible laws of microscopic physics. Boltzmann’s analysis, the essence of which I shall review here, is basically correct. The most famous criticisms of Boltzmann’s later work on the subject have little merit. Most twentieth century innovations – such as the identification of the state of a physical system with a probability distribution on its phase space, (...) of its thermodynamic entropy with the Gibbs entropy of , and the invocation of the notions of ergodicity and mixing for the justification of the foundations of statistical mechanics – are thoroughly misguided. (shrink)

Recent philosophical literature on epistemic harms has paid little attention to the difference between deliberate and non-deliberate harms. In this paper, I analyze the “Curare Case,” a case from the 1940’s in which patient testimony was disregarded by physicians. This case has been described as an instance of epistemic injustice. I problematize this description, arguing instead that the case shows an instance of “epistemic disadvantage.” I propose epistemic disadvantage indicates when harms result from warranted asymmetric relations that justifiably exclude individuals (...) from hermeneutical participation. Epistemic disadvantage categorizes harms that result from justifiable exclusions, are non-deliberate, and result from poor epistemic environments. This analysis brings out a meaningful difference between accidental and deliberate harms in communicative exchanges. (shrink)

In this paper I argue that there is a preface paradox for intention. The preface paradox for intention shows that intentions do not obey an agglomeration norm, requiring one to intend conjunctions of whatever else one intends. But what norms do intentions obey? I will argue that intentions come in degrees. These partial intentions are governed by the norms of the probability calculus. First, I will give a dispositional theory of partial intention, on which degrees of intention are the degrees (...) to which one possesses the dispositions characteristic of full intention. I will use this dispositional theory to defend probabilism about intention. Next, I will offer a more general argument for probabilism about intention. To do so, I will generalize recent decision theoretic arguments for probabilism from the case of belief to the case of intention. (shrink)

In Bohmian mechanics elementary particles exist objectively, as point particles moving according to a law determined by a wavefunction. In this context, questions as to whether the particles of a certain species are real---questions such as, Do photons exist? Electrons? Or just the quarks?---have a clear meaning. We explain that, whatever the answer, there is a corresponding Bohm-type theory, and no experiment can ever decide between these theories. Another question that has a clear meaning is whether particles are intrinsically distinguishable, (...) i.e., whether particle world lines have labels indicating the species. We discuss the intriguing possibility that the answer is no, and particles are points---just points. (shrink)

We consider the possibility that all particles in the world are fundamentally identical, i.e., belong to the same species. Different masses, charges, spins, flavors, or colors then merely correspond to different quantum states of the same particle, just as spin-up and spin-down do. The implications of this viewpoint can be best appreciated within Bohmian mechanics, a precise formulation of quantum mechanics with particle trajectories. The implementation of this viewpoint in such a theory leads to trajectories different from those of the (...) usual formulation, and thus to a version of Bohmian mechanics that is inequivalent to, though arguably empirically indistinguishable from, the usual one. The mathematical core of this viewpoint is however rather independent of the detailed dynamical scheme Bohmian mechanics provides, and it amounts to the assertion that the configuration space for N particles, even N “distinguishable particles,” is the set of all N -point subsets of physical 3-space. (shrink)

The renewed interest in the foundations of quantum statistical mechanics in recent years has led us to study John von Neumann’s 1929 article on the quantum ergodic theorem. We have found this almost forgotten article, which until now has been available only in German, to be a treasure chest, and to be much misunderstood. In it, von Neumann studied the long-time behavior of macroscopic quantum systems. While one of the two theorems announced in his title, the one he calls the (...) “quantum H-theorem,” is actually a much weaker statement than Boltzmann’s classical H-theorem, the other theorem, which he calls the “quantum ergodic theorem,” is a beautiful and very non-trivial result. It expresses a fact we call “normal typicality” and can be summarized as follows: For a “typical” finite family of commuting macroscopic observables, every initial wave function ψ0 from a micro-canonical energy shell so evolves that for most times t in the long run, the joint probability distribution of these observables obtained from ψ is close to.. (shrink)

The earlier volume in this series dealt with two religions of Indian origin, namely, Buddhism and Jainism. The Indian religious scene, however, is characterized by not only religions which originated in India but also by religions which entered India from outside India and made their home here. Thus religious life in India has been enlivened throughout its history by the presence of religions of foreign origin on its soil almost from the very time they came into existence. This volume covers (...) three such religions—Zoraoastrianism, Judaism, and Islam. In the case of Zoraostianism, even its very beginnings are intertwined with India, as Zoroastrianism reformed a preexisting religion which had strong links to the Vedic heritage of India. This relationship took on a new dimension when a Zoroastrian community, fearing persecution in Persia after its Arab conquest, sought shelter in western India and ultimately went on to produce India’s pioneering nationalist in the figure of Dadabhai Naoroji ( 1825-1917), also known as the Grand Old Man of India. Jews found refuge in south India after the destruction of the Temple by the Romans in 70 C.E. and have remained a part of the Indian religious scene since then, some even returning to Israel after it was founded in 1948. Islam arrived in Kerala as soon as it was founded and one of the earliest mosques in the history of Islam is found in India. Islam differs from the previously mentioned religions inasmuch as it went on to gain political hegemony over parts of the country for considerable periods of time, which meant that its impact on the religious life of the subcontinent has been greater compared to the other religions. It has also meant that Islam has existed in a religiously plural environment in India for a longer period than elsewhere in the world so that not only has Islam left a mark on India, India has also left its mark on it. Indeed all the three religions covered in this volume share this dual feature, that they have profoundly influenced Indian religious life and have also in turn been profoundly influenced by their presence in India. (shrink)

Many recent results suggest that quantum theory is about information, and that quantum theory is best understood as arising from principles concerning information and information processing. At the same time, by far the simplest version of quantum mechanics, Bohmian mechanics, is concerned, not with information but with the behavior of an objective microscopic reality given by particles and their positions. What I would like to do here is to examine whether, and to what extent, the importance of information, observation, and (...) the like in quantum theory can be understood from a Bohmian perspective. I would like to explore the hypothesis that the idea that information plays a special role in physics naturally emerges in a Bohmian universe. (shrink)

Non-consensual organ procurement from prisoners in China raises serious questions regarding the ethics of Chinese transplant research. In their article, published in this issue of JME, Higgins and colleagues address these questions through the lens of publication ethics. They argue that, ‘while there are potentially compelling justifications for use [of unethical research] under some circumstances, these justifications fail when unethical practices are ongoing’.1 Consequently, they recommend non-publication of Chinese transplant research and call for a mass retraction of the articles identified (...) in their review.2 To support their argument, Higgins and colleagues appeal to internationally recognised guidelines from the WHO3 and the World Medical Association, which assert that ‘executed prisoners must not be considered as organ and/or tissue donors’ due to the inability to acquire valid consent.4 Failing to declare an immediate publishing moratorium for transplant research involving prisoners in China, they argue, ‘undermines efforts to stop transplant-related human rights abuses, taints the evidence base, and renders those who publish and use the research complicit in the continuing harm’.5 We agree with Higgins and colleagues that non-consensual organ procurement from prisoners in China is a crime against humanity. Ongoing human rights violations in Chinese prisons are well documented and universally condemned. We also agree that the subsequent use of data acquired from unethical research is morally complex. Nonetheless, Higgins and colleagues’ arguments leave us with three …. (shrink)

How to compute the probability distribution of a detection time, i.e., of the time which a detector registers as the arrival time of a quantum particle, is a long-debated problem. In this regard, Bohmian mechanics provides in a straightforward way the distribution of the time at which the particle actually does arrive at a given surface in 3-space in the absence of detectors. However, as we discuss here, since the presence of detectors can change the evolution of the wave function (...) and thus the particle trajectories, it cannot be taken for granted that the arrival time of the Bohmian trajectories in the absence of detectors agrees with the one in the presence of detectors, and even less with the detection time. In particular, we explain why certain distributions that Das and Dürr (Sci. Rep. 9: 2242, 2019) presented as the distribution of the detection time in a case with spin, based on assuming that all three times mentioned coincide, are actually not what Bohmian mechanics predicts. (shrink)

DNA barcodes, like traditional sources of taxonomic information, are potentially powerful heuristics in the identification of described species but require mindful analytical interpretation. The role of DNA barcoding in generating hypotheses of new taxa in need of formal taxonomic treatment is discussed, and it is emphasized that the recursive process of character evaluation is both necessary and best served by understanding the empirical mechanics of the discovery process. These undertakings carry enormous ramifications not only for the translation of DNA sequence (...) data into taxonomic information but also for our comprehension of the magnitude of species diversity and its disappearance. This paper examines the potential strengths and pitfalls of integrating DNA sequence data, specifically in the form of DNA barcodes as they are currently generated and analyzed, with taxonomic practice. (shrink)

Information technology is considered a potentially transformative element in the field of health care by payers, providers, vendors, and consumers alike. Because of this transformative potential, health information technology adoption is viewed by many as a key component of health system reform. HIT is in its earliest stages, with diffusion of the technology still relatively limited; at the same time, there is growing awareness of its potential to affect the operation of the entire health care system as a result of (...) the vast amount of information that will become available to both health professionals and patients. (shrink)

"The Blackwell Handbook of Perception" is ideal for upper level students looking for succinct overviews and for researchers wanting to know more about current ...

The distinction often made between “ethics of virtue” and “ethics of duty” may have led to the suggestion that the Aristotelian and Kantian conceptions of morality were fundamentally different from each other. This distinction could justify refusing to consider the motives of virtuous action as “moral” motivations in the strict sense. Yet, is it not the same thing to act in a virtuous manner as to act “by seeing”? Rosalind Hursthouse can thus note, as early as the end of the (...) last century, that there is “growing enthusiasm” for the idea that “the ideal Kantian agent” and “the ideal neo-Aristotelian agent” are “not so different from what they were supposed to be”. We would like to examine this thesis by going back to its sources in some temporal interpretations of the Kantian conception of action accomplished “by duty”. (shrink)

In Bohmian mechanics the distribution |ψ|2 is regarded as the equilibrium distribution. We consider its uniqueness, finding that it is the unique equivariant distribution that is also a local functional of the wave function ψ.

The idea of 'holiness' is central to religion, but it is also one of the hardest concepts to define. Is 'holiness' a synonym for Godliness, one of God's attributes, or does it have independent existence? What does it mean to say that both God and man are holy? What is the proper understanding of 'Be holy, because I the Lord your God am holy'? A Theology of Holiness analyzes the meaning of the Hebrew root k-d-sh from ancient sources, throughout Tanakh, (...) the Talmud, Rashi, Maimonides, Nachmanides, Rabbi Samson Raphael Hirsch, and Rabbi Joseph B. Soloveitchik. Ultimately, it is a work of theology, and helps the reader achieve a deeper understanding of holiness"--Page 4 of cover. (shrink)

"An adequate theory of culture," says David Bidney in Theoretical Anthropology, "must explain the origin of culture and its intrinsic relations to the psychobiological nature of man. To insist upon the self-sufficiency and autonomy of culture, as if culture were a closed system requiring only historical explanations in terms of other cultural phenomena, is not to explain culture, but to leave its origin a mystery or an accident of time". Earlier, on the same page, he writes, "Culture is not an (...) 'objective construct' whose existence is independent of man; it depends, rather, upon man's innate equipment and biological inheritance." These formulations reflect both his own interests and his misconstrual of the intentions of other anthropologists. One would suspect from the way he puts it that it was quite common for anthropologists to talk about a self-subsistent entity, culture, really existing independent of human beings. This is simply not the case, but the reasons for his view must be made apparent. (shrink)

Most medical consultations are for self‐limiting conditions. While technical expertise remains necessary, creating therapeutic knowledge in this context is the joint responsibility of physician and patient, and depends upon recognition that the observer, the observation, and the observed form a temporary union.

Expanded from the Chief Rabbi of South Africa's doctoral thesis, Defending the Human Spirit explores the Torah's legal system compared to Western law.