Pain, suffering and positive emotions in patients in vegetative state/unresponsive wakefulness syndrome (VS/UWS) and minimally conscious states (MCS) pose clinical and ethical challenges. Clinically, we evaluate behavioural responses after painful stimulation and also emotionally-contingent behaviours (e.g., smiling). Using stimuli with emotional valence, neuroimaging and electrophysiology technologies can detect subclinical remnants of preserved capacities for pain which might influence decisions about treatment limitation. To date, no data exist as to how healthcare providers think about end-of-life options (e.g., withdrawal of artificial nutrition (...) and hydration) in the presence or absence of pain in non-communicative patients. Here, we aimed to better clarify this issue by re-analyzing previously published data on pain perception (Prog Brain Res 2009 177, 329–38) and end-of-life decisions (J Neurol 2010 258, 1058–65) in patients with disorders of consciousness. In a sample of 2259 European healthcare professionals we found that, for VS/UWS more respondents agreed with treatment withdrawal when they considered that VS/UWS patients did not feel pain (77%) as compared to those who thought VS/UWS did feel pain (59%). This interaction was influenced by religiosity and professional background. For MCS, end-of-life attitudes were not influenced by opinions on pain perception. Within a contemporary ethical context we discuss (1) the evolving scientific understandings of pain perception and their relationship to existing clinical and ethical guidelines; (2) the discrepancies of attitudes within (and between) healthcare providers and their consequences for treatment approaches, and (3) the implicit but complex relationship between pain perception and attitudes toward life-sustaining treatments. (shrink)

Pain, suffering and positive emotions in patients in vegetative state/unresponsive wakefulness syndrome (VS/uws) and minimally conscious states (MCS) pose clinical and ethical challenges. Clinically, we evaluate behavioural responses after painful stimulation and also emotionally-contingent behaviours (e.g., smiling). Using stimuli with emotional valence, neuroimaging and electrophysiology technologies can detect subclinical remnants of preserved capacities for pain which might influence decisions about treatment limitation. To date, no data exist as to how healthcare providers think about end-of-life options (e.g., withdrawal of artificial nutrition (...) and hydration) in the presence or absence of pain in non-communicative patients. Here, we aimed to better clarify this issue by re-analyzing previously published data on pain perception (Prog Brain Res 2009 177, 329–38) and end-of-life decisions (J Neurol 2010 258, 1058–65) in patients with disorders of consciousness. In a sample of 2259 European healthcare professionals we found that, for VS/uws more respondents agreed with treatment withdrawal when they considered that VS/uws patients did not feel pain (77%) as compared to those who thought VS/uws did feel pain (59%). This interaction was influenced by religiosity and professional background. For MCS, end-of-life attitudes were not influenced by opinions on pain perception. Within a contemporary ethical context we discuss (1) the evolving scientific understandings of pain perception and their relationship to existing clinical and ethical guidelines; (2) the discrepancies of attitudes within (and between) healthcare providers and their consequences for treatment approaches, and (3) the implicit but complex relationship between pain perception and attitudes toward life-sustaining treatments. (shrink)

There are methodological problems with the new techniques reviewed by Posner & Raichle. Some brain mechanisms are not detected by the temporal and spatial resolution. Questions are also raised by the stimulation paradigms.

He is the darling of naturalism or the bogeyman of scepticism, a friend to virtue or an unwitting party to incipient nihilism. He is politically conservative, or a liberator from old views. He is a fideist, an advocate of faith over reason, or a precursor of Richard Dawkins.

This article analyses the conception of virtue and vice in early modern Europe. It explains that there were two movements in conceptions of virtue during this period. The first is the Cartesian tradition wherein virtue is intimately related to the control of the passions and the other is the continuation of this theme in Britain in a more aesthetic version. This article describes how the concepts of virtue and vice were softened by an awakening interest in the social emotions and (...) in the relationship between moral goodness and happiness. (shrink)

This is a very informative and lucid account of the career of a central philosophical topic in eighteenth‐century Britain, the debate between libertarians and necessitarians, from Locke to Dugald Stewart. The work has many strengths, and I learnt much from it. It will be of great interest to historians of the period, but the readership should be wider than that. Those working on the debate today should also read this book. Harris (quite legitimately) does not see his task as that (...) of a historian of philosophy, mining old texts in pursuit of contemporary discussion. Instead he seeks to understand the philosophers and their problems on their own terms. In doing so, however, he offers an alternative perspective that may be enlightening to those in the thick of present‐day trench warfare. He not only discusses some neglected figures but also changes our understanding of those with whom we are familiar, especially Hume. I begin by laying out the main themes of the book and its contents. I then discuss Harris' treatment of Hume in more detail. (shrink)

Limits to Action: The Allocation of Individual Behavior presents the ideas and methods in the study of how individual organisms allocate their limited time and energy and the consequences of such allocation. The book is a survey of individual resource allocation, emphasizing the relationships of the concepts of utility, reinforcement, and Darwinian fitness. The chapters are arranged beginning with plants and general evolutionary considerations, through animal behavior in nature and laboratory, and ending with human behavior in suburb and institution. Topics (...) discussed include operant conditioning; the principle of diminishing returns; and issues in relation to mating strategies. Biologists, sociologists, economists, and psychologists will find the book interesting. (shrink)

What are physical quantities, and in particular, what makes them quantitative? This book presents an original answer to this question through the novel position of substantival structuralism, arguing that quantitativeness is an irreducible feature of attributes, and quantitative attributes are best understood as substantival structured spaces.

J. E. J. Altham; XV*—Reproach, Proceedings of the Aristotelian Society, Volume 74, Issue 1, 1 June 1974, Pages 263–272, https://doi.org/10.1093/aristotelian/74.

It is standardly assumed that there are three — and only three — ways to solve problem of temporary intrinsics: (a) embrace presentism, (b) relativize property possession to times, or (c) accept the doctrine of temporal parts. The first two solutions are favoured by endurantists, whereas the third is the perdurantist solution of choice. In this paper, I argue that there is a further type of solution available to endurantists, one that not only avoids the usual costs, but is structurally (...) identical to the temporal-parts solution preferred by perdurantists. In addition to providing a general characterization of this new type of solution, I discuss certain of its anticipations in the literature on bundle theory, as well as provide a detailed development of it in terms of my own preferred metaphysics of ordinary objects — namely, a distinctive form of substratum theory tracing to Aristotle. (shrink)

This study considers Newton's views on space and time with respect to some important ontologies of substance in his period. Specifically, it deals in a philosophico-historical manner with his conception of substance, attribute, existence, to actuality and necessity. I show how Newton links these “features” of things to his conception of God's existence with respect of infinite space and time. Moreover, I argue that his ontology of space and time cannot be understood without fully appreciating how it relates to the (...) nature of Divine existence. In order to establish this, the ontology embodied in Newton's theory of predication is analysed, and shown to be different from the presuppositions of the ontological argument. From the historical point of view Gassendi's influence is stressed, via the mediation of Walter Charleton. Furthermore, Newton's thought on these matters is contrasted with Descartes's and Spinoza's. In point of fact, in his earliest notebook Newton recorded observations on Descartes's version of the ontological argument. Soon, however, he was to oppose the Cartesian conception of the actuality of Divine existence by means of arguments similar to those of Gassendi. Lastly, I suggest that the nature and extent of Henry More's influence on Newton's conception of how God relates to absolute space and time bears further examination. (shrink)

The species of metaphysical speculation known as ontology is as old as philosophy itself. It is encountered in one form or another in all climes and times. In Western philosophy, it is already cultivated in a fairly sophisticated form in Parmenides: Being is positive and does not admit to the possibility of negation. Being is a plenum, etc. The problem which exercised the mind of Parmenides has lost something of its vitality in our time but it has recognizably survived in (...) such contemporary questions as “Are there negative facts?” At the present day, however, the liveliest issues of ontology revolve round a topic which has a different, if no less celebrated, ancestry. It is the problem of universals which, much discussed by Plato, was taken up and made a principal concern by the scholastics. It is being canvassed again in recent times under the heading of abstract entities. What I wish to investigate is the connection between the metaphysics of abstract entities and the discipline of logic as developed in the modern era. (shrink)

This study investigated the use of mobile telephones by males and females in a public bar frequented by professional people. We found that, unlike women, men who possess mobile telephones more often publicly display them, and that these displays were related to the number of men in a social group, but not the number of women. This result was not due simply to a greater number of males who have telephones: we found an increase with male social group size in (...) the proportion of available telephones that were on display. Similarly, there was a positive relationship between the number of visible telephones and the ratio of males to females. Our results further show that the increased display of telephones in groups with more males is not due to the ostensive function of these devices (i.e., the making and receiving of calls), although single males tended to use their phones more. We interpret these results within the framework of male-male competition, with males in larger group sizes functioning in an increasingly competitive environment. This competitive environment is suggested to be akin to a lek mating system in which males aggregate and actively display their qualities to females who assess males on a number of dimensions. We suggest that mobile telephones might be used by males as an indicator of their status and wealth (sensu “cultural ornaments”). (shrink)

This essay explores the role of God’s omnipresence in Newton’s natural philosophy, with special emphasis placed on how God is related to space. Unlike Descartes’ conception, which denies the spatiality of God, or Gassendi and Charleton’s view, which regards God as completely whole in every part of space, it is argued that Newton accepts spatial extension as a basic aspect of God’s omnipresence. The historical background to Newton’s spatial ontology assumes a large part of our investigation, but with attention also (...) focused on the details of Newton’s unique approach to these traditional Scholastic conceptions. (shrink)