The epistemic and moral worth of empathy is deeply contested. Some doubt the possibility and sufficiency of empathic knowledge. Others question whether knowing how another feels is causally linked to moral actions. Though some have defended empathy as a form of knowing or an important epistemic endeavor, there is a gap in these responses that weakens their force against empathy’s skeptics. On the one hand, the epistemologists tend to focus on individuals. On the other hand, the moral (...) theorists and moral-epistemologists tend to focus on the social. Here, I contend that the first group could learn from the second and, together, form a stronger defense of empathy’s epistemic import. Namely, if, as epistemologists, we can begin from a conceptualization of empathy as a social epistemic practice within which knowledge is formed and confirmed with others, then we can better allow for possibility in understanding how another feels, reliability in empathic processes, and appropriate sensitivity to variance and degrees of empathic knowing. (shrink)

In this paper, I start by suggesting a new definition of empathy. I go on by answering the question of “Who feels empathy?”. I list some examples of people, illustrating how the level of feeling empathy differs from one category of people to another. It’s actually almost everybody who feels empathy: the baby, the good Samaritan and the other two priests, the tax evader, the psychopath, the judges, juries, lawyers, the politician, the bully adolescent, the therapist, etc.… Then I explain, (...) “Why empathy is experienced/felt differently?”, by drawing on some neuroscience data, and some literature in psychology or philosophy along with some personal suggestions or assumptions. Just to mention one plausible data: we know that the human brain is half developed at birth. It takes twelve to fourteen years for the brain to fully develop. And the frontal lobe continues to develop until the third decade of life! I suggest we must attend to these phases of brain development to learn empathy since that is when the plasticity of the brain and the learning kick-in. Hence, the third section of the paper demonstrates “How can we develop an empathic mind/behaviour given the nature of our empathic brain?”: with some supportive research and studies, I justify the statement that “ideally from early age, and all the way up to adulthood, empathy can be learned through nurturing, education, imitation…, through alternative realities such as mindfulness and awareness, and through therapy, memory improvement, training programs, etc.…” In the conclusion, I assert, using some philosophical thoughts and analogies, that a fully developed empathic behaviour, that embraces all three aspects cognitive, affective and compassionate empathy, being the opposite of indifference, is the vehicle to a peaceful, harmonious and just society. (shrink)

Empathy of pain as a multi-dimensional process includes sharing and understanding the pain of others in relation to oneself. Subjects in such studies are typically members of western, educated, industrialized, rich and democratic societies. In the literature review that we conducted, we observed that little is known about the empathy for pain in people who are not members of societies with these cultural characteristics. We often understand those who are “similar” to us more easily - ones who belong to “our” (...) cultural circle. However, contact with another culture could help prevent such bias. Group characteristics, such as focus on others, hierarchy preference, or cultural differences in self-constructs, can change the activity of brain regions associated with empathy and compassion. Increasing the diversity of the research participants connected with education level, poverty, industrialization, and respect for basic citizen freedoms seem to be necessary to fully understand the mechanisms that influence the development and operation of empathy. (shrink)

Socially extended knowledge has recently received much attention in mainstream epistemology. Knowledge here is not to be understood as wholly realised within a single individual who manipulates artefacts or tools but as collaboratively realised across plural agents. Because of its focus on the interpersonal dimension, socially extended epistemology appears to be a promising approach for investigating the deeply social nature of epistemic practices. I believe, however, that this line of inquiry could be made more fruitful if it is connected with (...) the critical notion of epistemic responsibility, as developed in feminist responsibilism. According to feminist responsibilists, at the core of epistemic responsibility is a critical disposition toward correcting epistemic injustice. This epistemic idea is highly relevant to the epistemological context of illness, where patient testimony is often disregarded. Hence, though restricted to the epistemological context of the experience of illness, this chapter delves into epistemic injustice and its robust mechanisms. I thus explore what responsible epistemic practices should involve in order to redress that injustice and how epistemic responsibility should be socially extended. The discussion proceeds as follows. First, by relying on Arthur Frank’s innovative work on illness narratives, I focus on chaotic bodily messages from patients overwhelmed by suffering and then explain why these messages should count as genuine narratives or testimonies despite their inarticulateness. Second, I elaborate on how epistemic injustice concerning such narratives (i.e., chaos narratives) is produced and reproduced, in particular how both a dominant sociocultural norm and our inherent vulnerability can contribute to its production and reproduction. Finally, I propose an extended form of epistemic responsibility that ameliorates this aspect. Laying particular emphasis on the epistemic role of mature empathy, I characterise the extended epistemic responsibility in terms of extended empathic knowledge. (shrink)

In this article, we aim to evaluate the role of robots’ personality-driven behavioural patterns on users’ intention to use in an entertainment scenario. Toward such a goal, we designed two personalities: one introverted with an empathic and self-comparative interaction style, and the other extroverted with a provocative and other-comparative interaction style. To evaluate the proposed technology acceptance model, we conducted an experiment (N = 209) at a public venue where users were requested to play a game with the support (...) of the TIAGo robot. Our findings show that the robot personality affects the acceptance model and three relevant drivers: perceived enjoyment, perceived usefulness, and social influence. The extroverted robot was perceived as more useful than the introverted, and participants who interacted with it were faster at solving the game. On the other hand, the introverted robot was perceived as more enjoyable but less useful than the extroverted, and participants who interacted with it made fewer mistakes. Taken together, these findings support the importance of designing proper robot personalities in influencing users’ acceptance, featuring that a given style can elicit a different driver of acceptance. (shrink)

Empathy is sometimes so hard to achieve that one may wonder if it is a virtue for caregivers at all. Perhaps a caregiver cannot always know how a patient feels, and perhaps that knowledge is sometimes too painful to possess. A nuanced understanding of what empathy entails and of the conditions for attaining it can help ground its possibility.

Touching Creatures, Touching Spirit illustrates with true stories that we live in an interactive, aware world in which the creatures around us in our neighborhoods know us and sometimes reach across to us, empathically and helpfully. Implications are that all beings live in a possible "common mind" from which our mass culture has disconnected, but which is only a heartbeat and some concentrated attention away. This mind encompasses microbial life and insects as well as creatures and extends to nonmaterial intelligence (...) as well-that is to say, spirit. Creatures as varied as a collaborating dragonfly, ants rescuing each other, a sympathetic lizard, an empathic coyote, gift-giving squirrels, crazed birds, and lots of very mysteriously smart cats inhabit the stories. Precognition, dreams, paranormal experiences with birds, psychic communications with cats, visitations from ghosts with messages, rolling earth spirits-not supernatural, they seem natural enough but not visible to everyone. The intention of this book is to help people catch interactions they themselves experience with nonhuman and even disembodied beings, and who could use some support for recalling since these interactions make clear we live in a sentient world. (shrink)

The purpose of this paper is to show problems encountered in the clinical setting by analyzing a case of a senile demented patient and to reexamine the validity of existing ethical principles and procedures. It will be argue that although existing ethical guidelines and procedures are ordinarily quite useful, ethical decisions based on them could sometimes be inconclusive because unknowabililty and uncertainty inherent to real life situations such as the care of the demented elderly patient exist. It will also be (...) claimed that in the face of uncertainty and unknowability all we can do is try to be a virtuous person on behalf of the patient although it is unknown about what the virtuous clinician who are imaginative, compassionate, benevolent, empathic, trustworthy, fair, altruistic, moderate, and modest would do for the demented patient. In the situation where we cannot surely know what is right or what is good, arrogance could be the worst character that clinicians, ethicists, and philosophers could have. Therefore, what is left to us is, I would argue, keeping listening to others, keep thinking what is good with humility and keep questioning the ethical validity of what we have done and what we will do in the name of the patient’s benefits. No one can be modest without recognizing unknowability in reality and one’s own limitations in ability to judge about what is good for patients. (shrink)

Illuminated by the writings of Edith Stein, this paper presents a model of empathy as a very particular intersubjective understanding. This is commonly a view absent from psychology literature. For Stein, empathy is the experience of experientially and directly knowing another person’s experience, as it unfolds in the present, together with the awareness of the ‘otherness’ of that experience. It can be conceptually distinguished, in terms of process and experience, from current models that propose that empathic understandings are (...) ‘intellectual’ experiences or sympathetic experiences. As such, she provides an additional or alternative aspect to understanding other people’s experiences. Our paper provides a summary of Stein’s key analytic claims about three key facets of empathy. Her views are discussed in the light of debates relevant for contemporary psychology and social cognition. (shrink)

Abstract: This chapter examines the role of the virtuous agent in the acquisition of virtue. It rejects the view of the virtuous agent as a direct model for imitation and instead focuses on recent research on the importance of phronesis. Phronesis is understood as a type of moral ‘know how’ expertise that is supported by a variety of abilities, from emotional maturity, to self-reflection, to an empathic understanding of what moves others, to an ability to see beyond the surface (...) and understand the complexities of human behaviour. If we want to acquire virtue instead of focusing on the virtuous agent as such we should be trying to understand the abilities exemplified by his phronesis. As part of this project, I also consider philosophers who seek inspiration from the empirical sciences to shed light on how phronetic expertise is developed and what relevance this may have for moral education. (shrink)

Abstract“I'm a six,” Freddy Lowell says after a thoughtful pause. Seven milligrams of Dilaudid, a potent narcotic pain reliever, is already being pushed into a port in his chest by a visibly busy nurse. She registers his pain score with a grunt. She will be back in two hours to ask for an updated number. At some point during this time, his pain will creep back, so strong it will render him mute. When the nurse next inquires, he will respond (...) with seven fingers, his face buried in his pillow.The Numerical Rating Scale has been a mainstay of clinical care since the late 1990s, when pain came to be referred to as the “fifth vital sign” alongside temperature, blood pressure, heart rate, and respiratory rate. But while the first four are measured with precise objectivity, pain is nuanced, complex, and personal, so much so that Freddy will quickly chastise anyone who tries to empathize with his plight. “Nobody knows what it's like,” he says decisively. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:From Children's Perspectives:A Model of Aesthetic Processing in TheatreJeanne Klein (bio)Since the children's theatre movement began, producers have sought to create artistic theatre experiences that best correspond to the adult-constructed aesthetic "needs" of young audiences by categorizing common differences according to age groups. For decades, directors simply chose plays on the basis of dramatic genres (e.g., fairy tales), as defined by children's presupposed interests or "tastes," by subscribing to (...) Winifred Ward's broad descriptions of the "imaginative period" (ages six to nine), the "heroic period" (ages nine to twelve), and the "romantic period" (over age thirteen).1 Years later, Moses Goldberg elaborated upon these generalized divisions while cautioning that "no individual fits exactly into any set of categories."2 In his position paper on aesthetic development, he argued for individual access to aesthetic techniques, processes, and products for all ages, paralleled by four stages of cognitive capabilities, based on exposure to (1) arena-style participation theatre (for ages five to eight), which emphasizes story enactments; (2) a wide range of proscenium-style theatrical conventions; (3) relevant play content that directly relates characters' problems to spectators' lives and growing self-awareness; and (4) social issue plays that pose ethical dilemmas as cultural reflections.3 Meanwhile, Jed Davis compiled Age Group Profiles, organized by cognitive, spatial, emotional, and moral/ethical development, from his review of Piagetian literature; and Johnny Saldaña summarized stages of young interpretations of theatre from his seven-year longitudinal study.4Suffice it to say, the field of developmental psychology has come a long way since Piaget formulated his four constructivist stages. Since the mid-1950s, the cognitive revolution has spurred more integrated theories of information processing and depth-of-processing models that explain and predict how people construct schematic frameworks of knowledge and [End Page 40] assimilate and accommodate new information as a function of perception, attention, emotion, comprehension, memory, and social and moral behaviors. Although masculinist metaphors of hierarchical "staircases" and linear networks of associative learning still dominate computational models, feminist perspectives, which engender social cognitive, co-relational negotiations of narratives in situated contexts, have gained more widespread acceptance—by including theatre as an apt metaphor for development.5 Over the past twenty years or more, cognitive psychologists have finally discovered what dramatic theorists have known about narrative structures since Aristotle's Poetics: Powerful stories contain universal themes about the human condition through characters' conflicting actions. The most successful dramas are those that allow spectators to enter into a protagonist's psychological consciousness or "inner" vision in order to empathize with her "outer" reality.6While several developmental models of aesthetic understanding, experience, and appreciation exist in the realms of visual art and music education, few examples have been proposed in regard to theatre, particularly for child audiences.7 Instead, producers of Theatre for Young Audiences (TYA) tend to romanticize its social and moral "effects" upon youth by believing passionately that viewing one remarkable performance has the potential (the operative word) to "cause" positive, social changes in children's minds, hearts, and behaviors, given the presumed "power of human imagination."8 This obsession with progressive change foregrounds adults' desires to control human destiny by predicting "causes and effects" located in children's responses to live performances. However, this "folk theory" fails to explain how young imaginations actually function aesthetically from the contextual evidence of reception studies with child audiences. Just as feminists have argued for a distinctive "feminist aesthetics," based on women's alternative ways of knowing,9 I argue that children gaze upon theatre in differential ways by including age as a variable factor. "Children's aesthetics," their perceived interpretations of theatre, differ from that of adults' theorized postulations, based in part on their shorter life experiences with this medium. To this end, over the course of my career, I have sought to understand theatre from children's perspectives by focusing my research in the social cognitive theories and social science methods of child development, primarily through the vast literature of television and mass media studies conducted with young people over the past forty years. In particular, medium-specific studies that parse theatrical forms from dramatic content... (shrink)

Background Health care workers (HCWs) are susceptible to moral stress and distress when they are faced with morally challenging situations where it is difficult to act in line with their moral standards. In times of crisis, such as disasters and pandemics, morally challenging situations are more frequent, due to the increased imbalance between patient needs and resources. However, the concepts of moral stress and distress vary and there is unclarity regarding the definitions used in the literature. This study aims to (...) map and analyze the descriptions used by HCWs regarding morally challenging situations (moral stress) and refine a definition through conceptual analysis. Methods Qualitative data were collected in a survey of 16,044 Swedish HCWs who attended a COVID-19 online course in autumn 2020. In total, 643 free-text answers with descriptions of moral stress were analyzed through content analysis. Results Three themes emerged from the content analysis (1) “Seeing, but being prevented to act; feeling insufficient/inadequate and constrained in the profession,” (2) “Someone or something hindered me; organizational structures as an obstacle,” and (3) “The pandemic hindered us; pandemic-related obstacles.” The three themes correspond to the main theme, “Being prevented from providing good care.” Discussion The main theme describes moral stress as various obstacles to providing good care to patients in need and acting upon empathic ability within the professional role. The themes are discussed in relation to established definitions of moral stress and are assessed through conceptual analysis. A definition of moral stress was refined, based on one of the established definitions. Conclusions On the basis of the study results and conceptual analysis, it is argued that the presented definition fulfils certain conditions of adequacy. It is essential to frame the concept of moral stress, which has been defined in different ways in different disciplines, in order to know what we are talking about and move forward in developing prevention measures for the negative outcomes of this phenomenon. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:A Note on Being Ability–different, Atypically–bodied... Criptastic?Emily HutcheonIn being prompted to write about my experiences with disability [alternatively written: (dis)ability, dis/ability, “disability,” disAbility], I am confronted with more questions than I have answers. Am I to reflect on that small window of time, one so small that I don’t actually remember it, when I did not know that I was different? My mom [End Page 196] has recounted vivid (...) moments where I seem to come to this realization—for example, at the age of three, when I see my twin sister and friends scrambling on a playground and I process that I am unable to join them. Realization of my differentness (my different body, my different way of moving, my different abilities) continued into my youth and adulthood (Can’t skate—check. Can’t ride a two–wheeled bike—check. Usually walk behind others, destined to be the last in a group—check. Was the smart kid in class, aka smartass–in–training—check).Eventually, I realized that my differentness was not contained to my body or my abilities. Were my mind, my self, and my relationships different as well? I seemed to empathize when others didn’t or couldn’t. I saw that certain things were just wrong, and was confused when others didn’t share my concern. I seemed to see, feel, and experience things that others did not. For instance, I had two invasive operations before the age of eleven, a handful of minor procedures and countless physiotherapy sessions. Some memories of these times are horrific. Some I cherish, including the genuine care of the health care staff. Some are hilarious, like being doped–up before invasive surgery at the age of ten and calling my favorite surgeon “So cute!!” But always, there was physical pain, pain, pain. At times, I was completely dependent on others to help me to the bathroom, the shower, to move around, and to recover. I received such tender and exquisite care from my mom during these times. The dependency, which I had no choice but to experience, the dependency that is feared by almost everyone I know (“If I am ever a burden to my family, shoot me”) is something that my mom and I constantly joke about (“Em, I will take care of you now, only if you change my diapers when I’m old, kay?”). I have come to learn that this dependency, along with those other shades of vulnerability, are an inevitable consequence of being human, and to deny this is to relinquish our capacity to connect with others.I had, and continue to have, relationships with strangers, friends and family, which are, in my best estimation, atypical. I am the recipient of staring, laughing, pointing, sympathy, disgust, empathy, tender care, curiosity, hostility, resentment, and ambivalence. While in the gym, complete strangers approach me to say, with all the kindness, enthusiasm, and obliviousness in the world: “Glad to see you out and about. Good for you!” For some, I am to be protected; for others, I am to be tiptoed around; and for others, I am to be congratulated for “overcoming my circumstance” and for being oh–so–valuable to society because of my smarts and productivity.It is a rare few who accept what Cerebral Palsy and epilepsy offer to my life and to their own, with all of their accompanying complexities, possibilities, and contradictions.It is ironic that the excellent health care and services I have received, which have probably changed my life for the better, are only made possible because of the “disability” label, which I have come to heartily dislike. I have always felt ill–at–ease with this word and concept. In my mind, it just does not describe me or others around me. Perhaps more accurately, the definitions and associations that stubbornly accompany the term (e.g., the disabled person as asexual, passive and in need of protection, the disabled person as the conquering hero) would never accurately describe me. Undoubtedly, the term is negative in its connotations. And, of course, the concept of disability relies on certain notions of “normal.” By most accounts in... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 10.3 (2003) 225-226 [Access article in PDF] Travelers in the Land of Sickness Eric J. Cassell THE PROBLEM OF knowing another person and the world in which that person lives, particularly someone with major mental illness, is addressed in this interesting and rich essay. The number of different metaphors and concepts Potter employs to describe the task of crossing into and then understanding the (...) thoughts, emotions, symptoms, constraints, context, and perspectives of another testifies to the difficulties involved.Yet, as I read the essay, it was not clear what the clinician world traveler, moral tourist, empathizer (and other categories) is supposed to do on the journey to another person. Why do we reach out to the sick person? What is it that we want to know or do that makes this trip necessary? Potter is primarily concerned with mental illness—the examples she cites are patients with schizophrenia—while my experience has in the main been with persons with physical illness, but for the moment, the differences are less important than the central lesson. The illness that the patient presents—the experience of the symptoms, the impairments, disability, and disruptions of the emotional and social existence that happen because of the disease result from an amalgam of the disease process with the specific nature of the sick person. There is no disease in pure form; there is no disease in abstract for clinicians. There is only this sick person. She correctly quotes me, because of all this, as pointing out the importance of integrating knowledge of this particular patient with the abstract knowledge of disease to understand the illness as it is expressed in this person. All to form a basis for the treatment of the patient and especially to help relieve suffering because suffering is always personal, particular, and individual. (It is important in thinking about this topic to remember that most serious diseases, psychiatric and otherwise, are chronic and take place over significant lived time. The acute schizophrenic symptoms or the acute infectious diseases, as dramatic as they are, distract attention from the importance of the place of the sick person.)In physical disease, our long (and continuing) history of separating human beings from nature and the body, and the importance medicine places on objectivity and the objective, have made the inevitable personalization of the disease and symptoms virtually invisible. After ages of explaining psychiatric diseases as the alienation of the person, and a long psychoanalytic period of finding their origins in the person, in the last 30 years these diseases have become increasingly objectified. The place of the person has been diminished as psychiatry has entered the DSM, neurotransmitter, and effective psychotropic drug era. For both physical and mental disease, however, and whatever the current ideology, the nature of person is crucial in determining the onset, diagnosis, course, treatment, and outcome of each illness. It is in order to have an impact on these crucial aspects of sickness that clinicians must come to know their patients to the degree possible. [End Page 225]But there is something more. Nancy Potter quotes a woman with schizophrenia as saying, "All that was my former self has crumbled and fallen together and a creature has emerged of whom I know nothing. She is a stranger to me... She is not real—she is not I... She is I—and because I still have myself on my hands, even if I am a maniac, I must deal with me somehow." (Potter, 2003, p. 215)Must she deal with this crazy self alone? Is that not what her doctors and caregivers are for? But how can they take care of her, protect her, keep what is left intact, and sustain her until she is (hopefully) better without knowing who she is? She makes clear in those few phrases that inside her there is a person with a past, a family, a world, a culture, a role(s) in life, relationships, a body, dreams for the future, things she does, and all the other things that make up a person. It is in... (shrink)

The American philosopher Thomas Nagel famously argued that no matter how many objective facts we may know about bats, we cannot know what it is like to be a bat. There is an irreducible subjectivity to the experience of being a bat. I can only imagine what it would be like for a subject like me to be a bat but never what it is like for the actual bat to be a bat.In her book, Benvenuti demonstrates extraordinary sensitivity to (...) the subjectivity of the nonhuman animals she discusses. In addition to being an organic farmer in southern Italy, Benvenuti is also a licensed psychologist. Her training and interest in neurobiology is evident throughout the work. She walks the middle path between human exceptionalism (the “old meme” as she puts it of humans being “distinct from” and “superior to” all other animals, p. 15) on the one side and collapsing the differences on the other. While she might agree with the thrust of Nagel's claim (she never mentions him in the book) that we cannot truly know what it is like to be a bat, we are not so different to bats that we cannot empathetically understand something of a bat's experiences. We are, after all, kin. Kinship, she argues, rather than “distinct and superior” is the more correct scientific understanding (p. 18).Her work is clearly influenced by that of her mentor, Jaak Panksepp, on affective neurobiology. Like the biologist and ethologist Marc Bekoff, Benvenuti argues that it is possible to be “biocentrically anthropomorphic and do rigorous science” (p. 66). Of course, kinship does not entail sameness. “The central core of my life's work,” Benvenuti writes, “is to articulate the grounds for real relationships between humans and other animals. This implies the capacity to empathize accurately and to be able to communicate across species differences, but also the capacity to recognize that the other is not ‘just like me’” (p. 82). Importantly for her, it is not just our learning about other animals but our learning from them and they from us. It is the complex—and it is very complex—relationship that matters.Kindred Spirits is a beautifully written book, part travelogue, part personal anecdotes, with a nice mixture of scientific and philosophical musings. It begins in her own backyard (in the United States at the time) with a friendship struck up with a crow named Jason and then transports us to destinations around the world and species including bees, dogs, elephants, cheetahs, whales, and rescued farmed animals. Benvenuti spends much of her time with people trying to research, rescue, and rehabilitate endangered species. Above all, she intends it as a hopeful book. She finds great inspiration and hope in the fact that so many people around the world care about animals. She finds hope in the decline of circuses that merely use and abuse animals for human entertainment. She points to the growing understanding of animal studies and general interest in animals’ internal lives and feelings.The book makes a useful contribution to the growing literature of cognitive ethology. It is along similar lines as the works of Marc Bekoff and Jeffrey Moussaieff Masson. For those of us already convinced of our kinship and similarity with nonhuman animals, there are inspiring stories of others engaged in trying to save the world, or at least the part of it they can. One of the real strengths of the book is the constant questioning of the animal's experience. While we all appreciate those “animal ambassadors” who come to represent their kind and educate us, Benvenuti raises the important ethical question as to whether those animals want to be ambassadors at all. Sometimes a quick bite, as she once received from an African gray parrot, is enough to remind us to mind our manners around other species. It was a lesson in respecting differences and boundaries. The book does in the end inspire hope that if enough European and American scientists continue to advance the study of animal intelligence and emotion, we might one day come to the understanding that our indigenous brothers and sisters around the world have had since the beginning—that we, human and nonhuman, are all kin. (shrink)

Dear Professor Heller . . . Your paper had started out superbly. It was a great aesthetic and cognitive pleasure to follow you as you guided us through the intellectual history of the main idea of Kleist's essay, from Plato through the biblical Fall of Man, to Schiller, and Kierkegaard, and Kafka. Indeed the perceptive listener's experience was so satisfying that his disappointment was doubled when he came to realize that all this erudition and beauty had been displayed only in (...) order to serve as a contrast-providing background for the sharp delineation of a reductionistic explanation which you consider to be characteristic of psychoanalysis: the interpretation of the disturbance of man's naive, unselfconscious pre-Fall state as nothing more than a portrayal of sexual impotence—the reduction of a deep existential preoccupation to a case of phimosis. I am certain that the relief I felt when you then took up Freud's demonological-neurosis paper was not an idiosyncratic response on my part but an experience shared by many open-minded listeners in your psychoanalytic audience. Let us, therefore, disregard the "text" of your sermon and consider the substantial questions that you raised after you turned to Freud; these are to my mind the most central ones that you undertook to examine in your—despite its disappointing aspects—splendid address to us. Put into my own words, your most important question was this: What is the purpose of the psychoanalyst's efforts outside the clinical setting, in particular when his contributions take the form of a pathography? That is, To what end do analysts study the psychopathology of the creators of great works? I, too, have asked myself this question, and since you read my old essay "Beyond the Bounds of the Basic Rule" , you know some of my answers. But important basic questions are hardly ever answered once and for all; and I will, therefore, under the impact of your lecture, respond as if I had heard the question for the first time. Heinz Kohut, M.D., is Professorial Lecturer in Psychiatry at the University of Chicago and a teacher and training analyst at the Chicago Institute for Psychoanalysis. His works include The Restoration of the Self, The Analysis of the Self: A Systematic Approach to the Psychoanalytic Treatment of Narcissistic Personality Disorders—which has appeared in German, French, and Italian translations—, The Restoration of the Self and collection of his essays, Scientific Empathy and Empathic Science. His "A Reply to Margret Schaefer"" was published in the Spring 1978 issue of Critical Inquiry. See also: "Psychoanalysis and the Marionette Theater: Interpretation is Not Depreciation" by Margret Schaefer in Vol. 5, No. 1. (shrink)

Naturalism does not necessarily imply an exclusive emphasis on the notoriously fickle empathic emotions. Contemporary neurobiological emotion research strongly suggests that the search for moral meaning, like any other everyday truth-seeking activity, is motivated not only by altruistic instincts or social conditioning, but also and more importantly it is motivated by a basic exploratory drive that makes us want to know what the truth is, independently of whether we happen to feel altruistic or nurturing in a particular instance. This (...) innate biological drive is not socially learned or developed through reinforcement, yet it motivates us to try to find out what we really ought to do. That the love of truth is innate has survival value, yet does not lead to the naturalistic fallacy, as do the more frequently cited “moral” emotions such as sympathy and fellow-feeling. The endogenous love of truth, qua natural emotion, does not lead to the vacuous conclusion that “We ought to act morally because we naturally feel altruistic in a given situation.”. (shrink)

Empathy is often described as an evolutionary tool that helps humans manoeuvre between the complexities of our social hierarchy. As it allows us to understand other people's intentions, it is often categorized as an element of social cognition that can lead to a form of know-how. This paper will argue that empathy can lead to more than know-how. Using data from psychology and neuroscience, I will sketch empathizing as a reliable process. On the assumption of reliabilism, I will show that (...) empathizing as a generally reliable process can produce justified beliefs and thus that the empathizing process can lead to propositional knowledge. In passing I shall reveal some flaws in an influential line of research on empathy in psychology, which in turn exposes a more fundamental, conceptual, problem with empirical research on. (shrink)

In this essay on epistemological development in college students, I argue that “subjectivism” (a.k.a. “multiplism;” often identified in female undergraduates) should be understood and treated not as amanifestation of a primitive, irrational notion of knowing that must be exterminated and replaced by the more impersonal, detached, objective procedures embodied in scientific method and critical thinking. Rather, it should be regarded as a point of departure for moving into more reflective modes of thought when approached via, and encouraged into, the (...) more personal, empathic procedure made known in Women’s Ways of Knowing as “connected knowing.” Along the way, I develop further the difference between “connected knowing” and “separate knowing” (the latter being the dominant academic paradigm of knowing), bringing out how connected knowing is an important and at times indispensable complement to separate knowing in achieving an objectivity integrated with subjectivity. (shrink)

Scritto in forma di risposta estesa a saggi di Norman Malcolm e di John Cook, il testo di Cavell tematizza la necessità di introdurre una particolare area del concetto di conoscenza denominata riconoscere. Cavell prende le mosse dalla relazione tra filosofia del linguaggio ordinario e scetticismo, spiegando perché l’appello a ciò che diciamo ordinariamente non possa rappresentare una confutazione delle preoccupazioni scettiche sulla conoscibilità delle menti altrui. Il limite dell’antiscetticismo esemplificato dalle analisi grammaticali di Malcolm e Cook, è che in (...) esse si sorvola su un aspetto essenziale: la nostra risposta al comportamento di dolore . Conoscere il dolore degli altri significa non tanto determinare in quale stato effettivamente si trovino, ma nel rispondere alla pretesa che il comportamento di chi soffre esercita su di noi. La tesi di Cavell non è normativa, come se occorresse prestare sempre una risposta empatica. Il concetto di ri-conoscimento è piuttosto una categoria nei termini della quale una data risposta alla presenza altrui può essere analizzata.Cavell’s text was written as an extensive reply to Norman Malcolm’s and John Cook’s essays. Here Cavell looks at the need to introduce a new area within the concept of knowledge, known as acknowledgement. Starting from the relationship between ordinary language philosophy and scepticism, he tries to explain why the appeal to ordinary language is not enough to refute sceptical worries about the knowability of other minds. The anti-sceptical position, illustrated by Malcolm and Cook with the grammatical analysis , has a significant limit: it passes over our reply to other’s pain behaviour, which is an essential aspect instead. To know other people’s pain doesn’t mean to determine exactly their state of mind, but to reply to the claim we receive from their pain behaviour. Cavell’s theory is a non-normative one, so there’s no need to see the empathic reply as something we’re obliged to accomplish. The concept of acknowledgement is rather a kind of category, in which we can analyse our reply to other people’s pain behaviour. (shrink)

Previous work has shown that concerns of breast cancer patients after finishing radiotherapy are responsive to conversations with radiographers during the treatment period. This study seeks to further understand radiographer and patient experiences, determine shared priorities for improvement in clinical interaction and develop communication guidelines and training to help radiographers support patients.Methods: Using the principles of Experience-Based Co-Design, semi-structured interviews were held with N = 4 patients and N = 4 radiographers, followed by feedback events to validate findings. Patients and (...) radiographers exchanged experiences in a joint co-design session, agreed with shared priorities and generated ideas for further support. A survey was conducted for process evaluation. To scale up findings, UK-wide representatives from patient networks and radiographers and managerial staff provided consultative input utilizing an iterative, adaptive procedure.Results: Radiographers expressed a need for support with “difficult conversations,” especially those on Fear of Cancer Recurrence, and their appropriate management. Important pointers for reassuring communication were identified, including: being treated like a person, knowing what to expect, and space to ask questions. The co-design process was rated positively by both staff and patients. Thematic collation of findings and mapping these on literature evidence resulted in the “KEW” communication guidelines for radiographers: Know, Encourage, Warmth. National stakeholder consultations validated and helped fine-tune the training model. The resulting training package, included: trigger videos, a simulated patient scenario and interactive handouts on fears of cancer recurrence and the patient pathway.Conclusions: The co-design process captured good practice to help standardize quality in empathic communication in the radiotherapy service. The resulting KEW: Know, Encourage, Warmth guidelines, and training package are user-centered as well as evidence-based. Supplementing single-site co-design with national consultative feedback allows for the development of interventions that are relevant to the clinical practice, even in detail, and helps to generate appropriate buy-in for roll out on a wider scale after evaluation.Trial Registration:www.ClinicalTrials.gov ID: NCT03468881. (shrink)

Here is something puzzling. Still Lifes can be expressive. Expression involves movement. Hence, (some) Still Lifes move. This seems odd. I consider a novel explanation to this ‘static-dynamic’ puzzle from Mitchell Green (2007). Green defends an analysis of artistic expressivity that is heavily indebted to work on intermodal perception. He says visual stimuli, like colours and shapes, can elicit experienced resemblances to sounds, smells and feelings. This enables viewers to know how an emotion feels by looking at the picture. The (...) hypothesis is intriguing, but I show that his suggestion that we empathize with the pictorial content is implausible and that this exposes a flaw in the way his argument moves from experiential mappings to experiential-affective mappings. Consequently, I register some reservations about the way Green supposes we detect these cross-modal qualities. (shrink)

"A blab droid is a robot with a body shaped like a pizza box, a pair of treads, and a smiley face. Guided by an onboard video camera, it roams hotel lobbies and conference centers, asking questions in the voice of a seven-year-old. "Can you help me?" "What is the worst thing you've ever done?" "Who in the world do you love most?" People pour their hearts out in response. This droid prompts the question of what we can hope from (...) social robots. Might they provide humanlike friendship? Philosopher John Campbell doesn't think so. He argues that, while a social robot can remember the details of a person's history better than some spouses can, it cannot empathize with the human mind, because it lacks the faculty for thinking in terms of singular causation. Causation in Psychology makes the case that singular causation is essential and unique to the human species. From the point of view of practical action, knowledge of what generally causes what is often all one needs. But humans are capable of more. We have a capacity to imagine singular causation. Unlike robots and nonhuman animals, we don't have to rely on axioms about pain to know how ongoing suffering is affecting someone's ability to make decisions, for example, and this knowledge is not a derivative of general rules. The capacity to imagine singular causation, Campbell contends, is a core element of human freedom and of the ability to empathize with human thoughts and feelings"--. (shrink)

Bioethics conjures images of dramatic healthcare challenges, yet everyday clinical ethics issues unfold regularly. Without sufficient ethical awareness and a relevant working skillset, clinicians can feel ill-equipped to respond to the ethical dimensions of everyday care. Bioethicists were interviewed to identify the essential skills associated with everyday clinical ethics and to identify educational case scenarios to illustrate everyday clinical ethics. Individual, semi-structured interviews were conducted with a convenience sample of bioethicists. Bioethicists were asked: (1) What are the essential skills required (...) for everyday clinical ethics? And (2) What are potential educational case scenarios to illustrate and teach everyday clinical ethics? Participant interviews were analyzed using qualitative content analysis. Twenty-five (25) bioethicists completed interviews (64% female; mean 14.76 years bioethics experience; 80% white). Five categories of general skills and three categories of ethics-specific skills essential for everyday clinical ethics were identified. General skills included: (1) Awareness of Core Values and Self-Reflective Capacity; (2) Perspective-Taking and Empathic Presence; (3) Communication and Relational Skills; (4) Cultural Humility and Respect; and (5) Organizational Understanding and Know-How. Ethics-specific skills included: (1) Ethical Awareness; (2) Ethical Knowledge and Literacy; and (3) Ethical Analysis and Interaction. Collectively, these skills comprise a Toolbox of Everyday Clinical Ethics Skills. Educational case scenarios were identified to promote everyday ethics. Bioethicists identified skills essential to everyday clinical ethics. Educational case scenarios were identified for the purpose of promoting proficiency in this domain. Future research could explore the impact of integrating educational case scenarios on clinicians’ ethical competencies. (shrink)

Stereotypes of girls having weaker mathematical abilities than boys are one factor reducing women’s representation in mathematics. Teachers, as powerful socializers, often hold math-gender stereotypes. Reducing math-gender stereotypes in teachers thus may foster women’s representation in mathematics. Yet knowing the stereotypes’ underlying assumptions is crucial to reducing it. Do math-gender stereotypes reflect elaborate, disproven theories about gender differences in math, meaning math-gender misconceptions? And if so, which math-gender misconceptions are behind math-gender stereotypes? This is the focus of the present (...) research. The relevant literature implies the existence of three distinct misconceptions: empathizing-systemizing, girls’ compensation, and girls’ non-compensability. We assessed these misconceptions in a student teacher sample using our newly developed Math-Gender Misconceptions Questionnaire. Our results offer support for the expected three-factor structure of math-gender misconceptions. All three math-gender misconceptions showed good to acceptable scale reliabilities. On average, preservice teachers did not hold math-gender misconceptions. But a subgroup of 48.2% of preservice teachers held at least one of the three misconceptions. The empathizing-systemizing misconception was the most prevalent among the three misconceptions. Descriptively, endorsing the math-gender stereotype correlated most strongly with the empathizing-systemizing and the girls’ compensation misconception. This may indicate that especially these two misconceptions partly underlie math-gender stereotypes. As a consequence, refutation instructions designed to reduce these misconceptions may be a promising method to weaken math-gender stereotypes. Further research is needed to investigate to what degree reducing the present misconceptions is related to reducing math-gender stereotypes. Hence, this study is the first one of a planned series of studies on the relation between math-gender misconceptions and math-gender stereotypes. (shrink)

Hui Tzu said to Chuang Tzu, “. . .Your words ... are too big and useless, and so everyone alike spurns them!”Chuang Tzu said, “Maybe you’ve never seen a wildcat or a weasel. It crouches down and hides, watching for something to come along. It leaps and races east and west, not hesitating to go high or low—until it falls into the trap and dies in the net. Then again there’s the yak, big as a cloud covering the sky. It (...) certainly knows how to be big, though it doesn’t know how to catch rats.” 1 One could perhaps understand, if not empathize with, Hui Tzu’s impatience in the dialogue above. Hui Tzu, after all, is not alone in finding Chuang Tzu’s philosophy, which would be the thinking of the Way .. (shrink)

This paper offers an account of how to engage one phenomenologically orientated version of relational research based on ideas from existential phenomenological philosophy as well as Gestalt theory, relational psychoanalysis, intersubjectivity theory and feminist methodology. Relational dynamics (both conscious and unconscious) between researcher and co-researcher are explored reflexively using illustrations from various phenomenological projects in which the author has been involved. The relational approach to phenomenology described involves attending to four interlinked dimensions: open presence, embodied intersubjectivity, dialogic co-creation and entangled (...) selves. The paper aims to show the importance of retaining an open, empathic, embodied presence to another's personhood while acknowledging the power of dialogue to bring to life new realities. Data is seen to emerge out of the researcher/co-researcher relationship and is mutually co-created in this encounter as each touches and impacts on the other. What we can learn and know about another arises within the intersubjective space between. In this zone of ambiguity and uncertainty, the unforeseen hovers and layered meanings invite discovery. (shrink)

I will return to the second point in a different context later; at this moment I will discuss only the issue raised by my pointing up the fact that the essay in question was written by someone in Professor Heller's field. What motivated me to make the statement was not my belief that the use of psychoanalysis in the interpretation of art should be restricted to certified psychoanalysts—indeed, I have always been a staunch advocate of the opposite view. My motive (...) for this, I assumed harmless, and not, of course, irrelevant, indiscretion was that I wanted to show that Professor Heller's critique of psychoanalysis was not broadly based, that his representative example was a piece that happened to have crossed his way, that he was not using the work of an established writer in the field that he was condemning. My statement that your essay is an unacceptable text in a sermon preaching against applied analysis is unrelated to the value of your article. Even if in the future it should turn out that your essay—as far as I know your first contribution to applied psychoanalysis—was the forerunner of a significant oeuvre that would put you into the class of the great contributors of psychoanalytic interpretations of literature, it is at this point not an acceptable text for a sermon against our field. Heinz Kohut, M.D., is Professorial Lecturer in Psychiatry at the University of Chicago, teacher and training analyst at the Chicago Institute for Psychoanalysis, and author of many influential works on the psychology of the self. His works include The Restoration of the Self, The Analysis of the Self: A Systematic Approach to the Psychoanalytic Treatment of Narcissistic Personality Disorders - which has appeared in German, French, and Italian translations - and a collection of his essays, Scientific Empathy and Empathic Science. His "Psychoanalysis and the Interpretation of Literature: A Correspondence with Erich Heller" was published in the Spring 1978 issue of Critical Inquiry. (shrink)

Most psychological and philosophical theories assume that we know what we feel. This general view is often accompanied by a range of more specific claims, such as the idea that we experience one emotion at a time, and that it is possible to distinguish between emotions based on their cognition, judgment, behaviour, or physiology. One common approach is to discriminate emotions based on their motivations or ultimate goals. Some argue that empathic distress, for instance, has the potential to motivate (...) empathic concerns; personal distress, on the other hand, is self-oriented and motivates egoistic concerns. In this paper, I argue against this and similarly teleological views of emotions and affect. Through a close study of the emotional breakdown of an American drone operator, I make the case that understanding our emotions entails much more ambiguity than dominant theories assume. In our emotional lives, disorientation and confusion are often the norm. (shrink)

When parents see their children’s problems as opportunities to build the relationship instead of as a negative, burdensome irritation, it totally changes the nature of parent-child interaction.... When a child comes to them with a problem ... their paradigm is, “Here is a great opportunity for me to really help my child and to invest in our relationship.”... [S]trong bonds of love and trust are created as children sense the value parents give to their problems and to them as individuals (...) .Many of us will know the scenario: sitting peacefully in a chair after a hard day’s work, reading a novel and listening to some music, when in comes a teenager with a tale to tell, perhaps a burden to share. Our relaxed restfulness is interrupted, a problem is presented: how do we respond? Parents such as Covey describes focus on building the bonds of trust: they choose to know the situation as ethically-qualified; they are responsive to the “pedagogical moment” . While entering empathically into their child’s concerns, they continue to attend to the norms of faithfulness that obtain in such a situation with a special force. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:IntroductionCarolyn J. Dean (bio)... even since he [Nietzsche] became famous has he ever been anything but an occasion for misunderstanding?—Georges Bataille, The Accursed ShareAt the current juncture in the history of studies “on Bataille,” admiration and indebtedness have given way to admiration constrained by ambivalence and indebtedness complicated by a desire for accountability. This special issue provides an opportunity to work through these inevitable critical shifts, symptoms of an (...) immeasurable debt to a writer from whom we have necessarily taken distance. It is also an occasion to ask about our own investments in the renewed production of Bataille.During his lifetime (1897–1962), Georges Bataille was called many names, including a “pornographer” and a fascist, and when he died he became a cult figure among some intellectuals, for whom he represented an eclectic and unappreciated thinker. Since his untimely death, Bataille has become very famous. Now, according to Jürgen Habermas, this former librarian at the Bibliothèque Nationale, editor of Critique, author of covertly circulated erotic books and other works that did not sell well, stands first in a line of French intellectuals leading from “Bataille via Michel Foucault to Jacques Derrida” [Habermas 14]. 1 Bataille’s remains are located in the posthumanist pantheon: his work is joined to the giants of the French philosophical, psychoanalytic, and literary heritage, including Jean-Paul Sartre, Jacques Lacan, and Maurice Blanchot; he has been the subject of countless literary exegeses and even of a prizewinning biography [see Surya]. Bataille no longer has the merit of being unknown.But who is the Bataille we pretend to know? He is the one with whom many critics identify, yet his work is necessarily misunderstood, sometimes (but not always) in the interests of preserving its insights. Critical work on Bataille naturally emphasizes his theory of dépense (expenditure), his mysticism, his attraction to the sacrificial, sadomasochistic erotics of fascist politics, and tends, viscerally if implicitly, to identify with Bataille’s refusal to be hard in the conventional sense—his repudiation of impermeable, phallic masculinity and its association with moral resolve. In 1945, Bataille wrote that he was the “contrary of him who tranquilly watches the dismasted vessels from the shore, because in fact... I cannot imagine anyone so cruel that he could notice the one who is dismasted with such carefree laughter. Sinking is something altogether different, one can have it to one’s heart’s content...” [OC 6:358]. In 1966, a sensitive critic wrote: “Bataille’s cogito, thus, reads: ‘I sink therefore I am’” [Hollier 138]. In other words, Bataille was no proponent of a sink-or-swim philosophy, but of “the hard desire to endure”—words he wrote to describe Vincent Van Gogh, whose self-mutilation was, from Bataille’s perspective, the necessary precondition of his art. This hard desire is paradoxically the hard labor of unbinding the self, a project that entails yet moves beyond empathizing with those caught in the storm: Bataille insisted that creation required symbolic castration rather than the phallic virtue of the moral man or the swollen pride of those who volunteer heroically for the rescue mission (“Heroism,” he said, “is an [End Page 3] attitude of flight” [OC 5: 347]). As countless critics have demonstrated, even Bataille’s most relentlessly hard-core texts use sexuality as an allegory for the self-shattering of the phallic body.The sacrificial constitution of the man who would sink—for this Bataille was giddily embraced after his death. By 1990, when Yale French Studies devoted a special issue to him, the embrace was equally enthusiastic, but giddiness had given way to some defensiveness. Those theorists who did not admire Bataille equated his repudiation of phallic virtue with the ego-dissolving sublimity of fascism. After all, some of his friends and intellectual heirs had been subjected to public scrutiny for their anti-Semitic, often fascist sympathies. Implicitly defending Bataille, the editor of that special issue insisted on Bataille’s “ethics” of sacrifice. He claimed that Bataille held “onto the possibility of an ethics” through a paradoxically “incessant repositing of the ethical” [Stoekl 2, 5]. This account of Bataille’s ethics avoids the problem that the ethics of sacrifice in... (shrink)

In bringing together this special edition we wish to contribute to a conversation concerning the meaning of 'evidence-based practice'. We are nurses and phenomenological researchers interested in lifeworld approaches and in the many ways of knowing that are relevant to everyday caring practice. In the context of the ever-increasing specialisation of knowledge, we wish to widen the embrace of current notions of evidence and point to ways of knowing that are inclusive of the 'head, hand and heart'. This (...) wider embrace of evidence does not excessively exclude kinds of knowledge that include the aesthetic, empathic, embodied and relational dimensions of understanding. (shrink)

Volume 23 of _The Annual of Psychoanalysis _departs from its predecessors in offering three lengthy studies of unususal interest. Fred Levin's three-part examination of psychoanalysis and knowledge is a simulating, timely effort to relate "a psychoanalyst's thinking about knowledge" to both the clinical situation and what is now known about learning, memory, and knowledge formation in the neurosciences. The late Roy R. Grinker, Sr.'s history of analysis in Chicago was solicited by _The Annual_ in 1975 but declined for publication at (...) the time as too abrasive in tone and too critical in content. It is published here in unexpurgated form, and emerges as both a provocative historical document and a valuable commentary on the state of psychoanalytic education 20 years ago. Finally, in a fascinating contribution to applied analysis, Carol M. Ravenal reexamines Matisse's artwork in the context of the painter's arrested development and subsequent adult conflicts in "Henri Matisse: Love as Art - A Psychobiographical Study." These major contributions are supplemented by clinical and theoretical papers of characteristic excellence. John Gedo's probing evaluation of the "pragmatics of empathy" highlights how empathic responsiveness obliges analysts "to tailor our manner of discourse to the specific requirements of the analysand's current state." Michael Hoit argues that the hermeneutic point of view is an important addition to clinical theory, allowing analysts to understand phenomena outside the boundaries of specific schools and theories. Otto Kernberg examines the psychoanalytic psychotherapy of eating-disorder patients with borderline personality organization. Alice Rosen Soref proffers a revised understanding of the etiology and treatment of narcissistic pathology on the basis of three decades of infant research. And Samuel Weiss discusses the resistance to child analysis of parents who know their children need help but balk at the actual recommendation for treatment. In all, Volume 23 is a worthy response to the ferment of the present time. Encompassing a key period in psychoanalytic history, a scholarly investigation in applied analysis, and a thoughtful assessment of psychoanalysis and brain research, it offers a fine overview of the major tributaries of contemporary analytic scholarship. Supplement these monographic efforts with a careful selection of clinical and theoretical studies and you have an exemplary contribution to the literature. (shrink)

The article examines Wittgenstein’s thought on the language of pain in first and third person. Relevant grammatical differences, according to the typical analytical method of this philosopher, are highlighted not only in relation to the two perspectives, but also regarding the use of cognitive verbs such as ‘feeling’ and ‘knowing’. The exam of many texts suggests some issues concerning the relationship between personal experiences, empathic grasping of other’s feelings and their conceptual translation. A brief comparison with some Thomas (...) Aquinas’ texts complements the proposal of the existence of non intentional knowledge. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 10.1 (2003) 29-31 [Access article in PDF] On the Border:Reflections on the Meaning of Self-Injury in Borderline Personality Disorder Robert L. Woolfolk Keywords borderline personality disorder, values, psychotherapy, diagnosis IT IS A PLEASURE to comment on Nancy Potter's elegantly written, provocative paper. Professor Potter raises important and intriguing issues that have not only clinical implications for practitioners, but also are of theoretical significance for those (...) who ponder the conceptual status of mental illnesses and their manifestations.Borderline personality disorder (BPD) is the mental health professional's bête noire. In the diagnostic context, borderline is an adjective that is evocative, albeit imprecise. Persons with BPD tend to the worst of multiple pathological worlds, to fall through the diagnostic cracks, to occupy the boundaries of decorum and safety. Even such intrepid and astute folk as Marsha Linnehan and Otto Kernberg, who have devoted careers to understanding and treating those with BPD, have acknowledged the limited state of current knowledge. Justice Stewart's theory of natural concepts seems to apply to patients to whom we give the label borderline personality disorder: we cannot define the disorder readily, but we know one when we see one. And when we see such a patient it is costly in time and stress and corrosive of one's sense of professional efficacy. So with these patients, any assistance in conceptualizing the problem or in modification of therapeutics is welcome.Professor Potter's phenomenological formulation of self-injury is cogent and helpful in a number of ways. Self-injurious behavior is, when conventionally interpreted, a prototype for irrationality and affliction. It is also dramatic, graphic, and often repugnant. Professor Potter's analysis brings us face to face with what most of us know but sometimes forget or fail to apply: Psychotherapy is a value-laden endeavor. Early on, both Max Weber and Carl Jung were eloquent on this point and we have been reminded often enough of it in the last four decades (Rieff 1966; Woolfolk 1998; Woolfolk and Murphy, in press). Usually it is the moral values residing in the underlying ideologies of treatment and diagnosis that are brought to our attention. The axiological underpinnings of psychotherapy, however, are aesthetic as well as ethical. Professor Potter successfully argues that, as therapists, we may be in the thrall of a parochial aesthetic that produces [End Page 29] a kind of tunnel vision inimical to therapeutic effectiveness and to the ethical treatment of the human beings who are our patients. She has impeccable advice for therapists on this topic: Although none of us can step outside of culture altogether, we can evaluate our attitudes, beliefs, and values from a second-order level (Taylor 1989; Frankfurt 1971). Complete objectivity is an unlikely ideal. But clinicians can, and should, think critically about ways in which prevailing norms and values may be influencing their understanding of the world and their ways of being in it. (Potter 2003, 11) Professor Potter also quite effectively persuades that a comprehensive understanding of disorders that occur mostly in women (e.g., somatization disorder) must effectively comprehend feminist scholarship and the sociocultural realities of gender. The concept of the commodification of the female body has been informative in both the epidemiology and treatment of yet another woman's disorder, anorexia nervosa. And although the linkages of somatic commodification to self-injurious behavior may not appear to be so straightforward, the paper points the way to deeper and possibly richer explanations of phenomena that seem at first glance to be inexplicable.The introduction of the concept of uptake into clinical contexts is also a valuable contribution. Those of us familiar with the traditions of psychotherapy recognize a concept both familiar and central. Uptake has family resemblance to the empathic attitude so extensively discussed by both Rogers and Kohut. Those with hermeneutic leanings will recognize affinities with Verstehen and the Gadamerian anticipation of completeness (Vorgriff der Vollkommenheit). Any truly humanistic approach to treatment or diagnosis must encompass the lived experience of the patient. This is not to... (shrink)

Many philosophers believe that there is a fundamental distinction between knowing that something is the case and knowing how to do something. According to Gilbert Ryle, to whom the insight is credited, knowledge-how is an ability, which is in turn a complex of dispositions. Knowledge-that, on the other hand, is not an ability, or anything similar. Rather, knowledge-that is a relation between a thinker and a true proposition.

In this paper I develop three different arguments against the thesis that knowledge-how is a kind of knowledge-that. Knowledge-that is widely thought to be subject to an anti-luck condition, a justified or warranted belief condition, and a belief condition, respectively. The arguments I give suggest that if either of these standard assumptions is correct then knowledge-how is not a kind of knowledge-that. In closing I identify a possible alternative to the standard Rylean and intellectualist accounts of knowledge-how. This alternative view (...) illustrates that even if the arguments given here succeed it might still be reasonable to hold that knowing how to do something is a matter of standing in an intentional relation to a proposition other than the knowledge-that relation. (shrink)

There is a social or collective sense of ‘knowledge’, as used, for example, in the phrase ‘the growth of scientific knowledge’. In this paper I show that social knowledge does not supervene on facts about what individuals know, nor even what they believe or intend, or any combination of these or other mental states. Instead I develop the idea that social knowing is an analogue to individual knowing, where the analogy focuses on the functional role of social and (...) individual knowing. (shrink)

Because of the difficulty posed by the contrast between the search for truth and truth itself, Michael Polanyi believes that we must alter the foundation of epistemology to include as essential to the very nature of mind, the kind of groping that constitutes the recognition of a problem. This collection of essays, assembled by Marjorie Grene, exemplifies the development of Polanyi's theory of knowledge which was first presented in Science, Faith, and Society and later systematized in Personal Knowledge. Polanyi believes (...) that the dilemma of the modern mind arises from the peculiar relation between the positivist claim for total objectivity in scientific knowledge and the unprecedented moral dynamism characterizing the social and political aspirations of the last century. The first part of Knowing and Being deals with this theme. Part two develops Polanyi's idea that centralization is incompatible with the life of science as well as his views on the role of tradition and authority in science. The essays on tacit knowing in Part Three proceed directly from his preoccupation with the nature of scientific discovery and reveal a pervasive substructure of all intelligent behavior. Polanyi believes that all knowing involves movement from internal clues to external evidence. Therefore, to explain the process of knowing, we must develop a theory of the nature of living things in general, including an account of that aspect of living things we call "mind." Part Four elaborates upon this theme. (shrink)

Argues from the possibility of basic intentional action to a non-propositional theory of knowing how. The argument supports a broadly Anscombean conception of the will as a capacity for practical knowledge.