Even though medics in the present day may think that clinical pathology is derived from normal physiology, I argue here that this is not necessarily the case. Historically, physiology may have been derived from clinical pathology. After deriving physiological knowledge like this, medics can reverse the conceptual priority, to make believe that physiological knowledge is at the foundation of medical practice. This implies that supposedly objective physiological knowledge can be influenced by the evaluative judgements made to define practical concepts of (...) clinical pathology. I argue for this view using the history of the disease heart failure, drawing on an argument made by Georges Canguilhem. (shrink)

Psychedelic drugs such as psilocybin, LSD and DMT are known to induce powerful alterations in phenomenology. Perhaps of most philosophical and scientific interest is their capacity to disrupt and even “dissolve” one of the most primary features of normal experience: that of being a self. Such “peak” or “mystical” experiences are of increasing interest for their potentially transformative therapeutic value. While empirical research is underway, a theoretical conception of the mechanisms underpinning these experiences remains elusive. In the following paper, psychedelic-induced (...) ego-dissolution is accounted for within an active inference framework, as a collapse in the “temporal thickness” of an agent’s deep temporal model, as a result of lowered precision on high-level priors. The argument here is composed of three moves: first, a view of the self-model is proposed as arising within a temporally deep generative model of an embodied organism navigating an affordance landscape in the service of allostasis. Next, a view of the action of psychedelics as lowering the precision of high-level priors within the generative model is unpacked in terms of a high Bayesian learning rate. Finally, the relaxation of high-level priors is argued to cause a “collapse” in the temporal thickness of the generative model, resulting in a collapse in the self-model and a loss of the ordinary sense of being a self. This account has implications for our understanding of ordinary self-consciousness and disruptions in self-consciousness present in psychosis, autism, depression, and dissociative disorders. The philosophical, theoretical and therapeutic implications of this account are touched upon. (shrink)

Most authors who discuss willpower assume that everyone knows what it is, but our assumptions differ to such an extent that we talk past each other. We agree that willpower is the psychological function that resists temptations – variously known as impulses, addictions, or bad habits; that it operates simultaneously with temptations, without prior commitment; and that use of it is limited by its cost, commonly called effort, as well as by the person's skill at executive functioning. However, accounts are (...) usually not clear about how motivation functions during the application of willpower, or how motivation is related to effort. Some accounts depict willpower as the perceiving or formation of motivational contingencies that outweigh the temptation, and some depict it as a continuous use of mechanisms that interfere with re-weighing the temptation. Some others now suggest that impulse control can bypass motivation altogether, although they refer to this route as habit rather than willpower.It is argued here that willpower should be recognized as either or both of two distinct functions, which can be calledresolveandsuppression. Resolve is based on interpretation of a current choice as a test case for a broader set of future choices, which puts at stake more than the outcome of the current choice. Suppression is inhibiting valuation of (modulating) and/or keeping attention from (filtering) immediate alternatives to a current intention. Perception of current choices as test cases for broader outcomes may result in reliable preference for these outcomes, which is experienced as an effortlesshabit– a successful result of resolve, not an alternative method of self-control. Some possible brain imaging correlates are reviewed. (shrink)

The realities and myths of long-term care and the challenges it poses for the ethics of autonomy are analyzed in this perceptive work. The book defends the concept of autonomy, but argues that the standard view of autonomy as non-interference and independence has only a limited applicability for long term care. The treatment of actual autonomy stresses the developmental and social nature of human persons and the priority of identification over autonomous choice. The work balances analysis of the ethical concepts (...) associated with autonomy with discussion of the implications of the ethical analysis for long term care. A central chapter involves a phenomenological analysis of four general features of everyday experience (space, time, communication, and affectivity) and explores their practical implications for long term care. This work concludes with a discussion of the advantages associated with a phenomenologically-inspired treatment of actual autonomy for the ethics of long-term care. (shrink)

A number of commentators on the work of berkeley have maintained that berkeleyan minds are related to ideas by the relation of inherence. Thus, Ideas are taken to inhere in minds in something like the way that accidents were supposed to inhere in substances for the aristotelian. This inherence account, As I call it, Is spelled out in detail and critically evaluated. Ultimately it is rejected despite its considerable initial plausibility.

This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be (...) preserved, reproduced, and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

American healthcare -- Bioterror and bioart -- State of emergency -- Licensed to torture -- Hunger strikes -- War -- Cancer -- Drug dealing -- Toxic tinkering -- Abortion -- Culture of death -- Patient safety -- Global health -- Statue of security -- Pandemic fear -- Bioidentifiers -- Genetic genocide.

Me, You, Us addresses a range of issues in moral and political philosophy and moral psychology, but are unified by their starkly individualistic view of the moral subject. They challenge recent tendencies to conceptualize normative issues in terms of relationships, collectivities, and social meanings.

Volume 20, Issue 7, July 2020, Page 167-169.

Challenges current claims that humans ought to be vegetarians because animals have moral standing.

The intellectual temper of the age.--Modernism and Christianity.--The philosophy of M. Henri Bergson.--The philosophy of Mr. Bertrand Russell.--Shelley: or, The poetic value of revolutionary principles.--The general tradition in American philosophy.

The proliferation of ethics committees and ethics consultation services has engendered a discussion of the issue of the expertise of those who provide clinical ethics consultation services. In this paper, I discuss two aspects of this issue: the cognitive dimension or content knowledge that the clinical ethics consultant should possess and the practical dimension or set of dispositions, skills, and traits that are necessary for effective ethics consultation. I argue that the failure to differentiate and fully explicate these dimensions contributes (...) to the confusion over the issue of expertise and fuels, at least partly, the controversies about expertise (or authority) in ethics and the legitimacy of the use of ethical knowledge in clinical ethics consultation. (shrink)

En 1713, le jeune philosophe irlandais George Berkeley entreprend, avec ses Trois Dialogues entre Hylas et Philonous, de convaincre les intellectuels londoniens et tous les hommes doués de jugement que, loin d'être extravagante et folle, la philosophie immatérialiste est conforme au sens commun, qu'elle est vraie et utile. L'ami de l'esprit, Philonous, est chargé d'abattre les objections et de chasser les scrupules que peuvent concevoir les amis de la matière, les Hylas que nous sommes devenus, pour n'avoir pas compris (...) que seuls existent les esprits et les idées. Hylas, sans le savoir, est sur le mauvais sentier, celui qui nous conduit vers les abîmes du doute le plus désespéré. En trois entretiens matinaux, Philonous le convainc et lui tend la main, le réconciliant avec les certitudes partagées des hommes, lui faisant entrevoir le génie du langage ordinaire, et même la dignité de la religion bien comprise. (shrink)

This paper deals with the recently published work by Hannah Arendt, "Some Questions of Moral Philosophy", which is her most extensive discussion of moral issues. What emerges from this work is a fuller account of what genuine morality is. Writings that she published had prepared her readers for the idea that genuine morality is Socratic morality, which holds that it is better for the person to suffer wrong than to do wrong. That means, in the contexts of resistance to totalitarianism (...) and to tyranny and despotism, that it is better to suffer wrong than to be an accomplice or passive bystander of wrong done to others when one could be safe if one did not resist. On the other hand, Arendt makes it clear that spurious morality in the form of what she calls "the morality of mores" makes people accomplices or passive bystanders. For them, morality is merely conformity to the prevailing norms, and their conformity is underlain by self-love. Thus, morality in one conventional sense sustains political evil, while morality in the real sense impels the individual's effort to resist evil. But this paper also tries to indicate that for Arendt the evil of totalitarianism is not simply the infliction of atrocious suffering and premature death on millions of people. Rather, the worst part of the evil is that atrocious suffering dehumanizes its victims. The loss of humanity is an existential loss: a deprivation of the human status. Correspondingly, the most noteworthy aspect of resistance to evil is to give testimony to the human stature: the unique human capacity to engage in free audacious activity. Status and stature constitute human dignity; and for Arendt human dignity is essentially existential in importance and only secondarily moral. (shrink)

Historian Richard Hofstadter’s observations about American cold-war politics are used to contextualize Thomas Kuhn’s The Structure of Scientific Revolutions and argue that substantive claims about the nature of scientific knowledge and scientific change found in Structure were adopted from this cold-war political culture.

So far as his critical employment of the concept is concerned, the thing in itself is not a second object. The thing in itself is given in its appearances; it is the object which appears. In other words, the object is taken in a twofold sense. There is no contradiction, Kant maintained, in supposing that one and the same will is, as an appearance, determined by the laws of nature and yet, as a thing in itself, is free. He never (...) meant to hold that the self of the theoretical reason and the self of the practical reason are two separate and distinct entities. It is one and the same object considered from two perspectives. In this sense the thing in itself is purely a limiting concept. So far as the critical method is concerned, objects are always considered from a particular and limited perspective, e.g. science, morality, art, et cetera. This is the central meaning of his theory of appearances. In this employment of the concept it is completely meaningless to speak of the thing in itself as a cause of appearances. The critical distinction between appearances and things in themselves is not intended to be a distinction between subjective sense data and public objects, but between public objects as given according to two or more modes. This involves no extension of the category of causality beyond appearances. Moreover, it is not open to the charge that an unknown object is given the attribute of existence. The thing in itself is known as an appearance. By definition that is the only way that it could be known. To say that we know only appearances and not things in themselves is to state an obvious tautology, namely that objects are known only as they are known. (shrink)