Abstract Medical futility is commonly understood as treatment that would not provide for any meaningful benefit for the patient. While the medical facts will help to determine what is medically appropriate, it is often difficult for patients, families, surrogate decision-makers and healthcare providers to navigate these difficult situations. Often communication breaks down between those involved or reaches an impasse. This paper presents a set of practical strategies for dealing with cases of perceived medical futility at a major cancer center. Content (...) Type Journal Article Pages 1-8 DOI 10.1007/s10730-011-9168-3 Authors Colleen M. Gallagher, Section for Integrated Ethics in Cancer Care, Unit 1430, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, TX 77230-1402, USA Ryan F. Holmes, St. Louis University, St. Louis, MO, USA Journal HEC Forum Online ISSN 1572-8498 Print ISSN 0956-2737. (shrink)
Psychology is dead. The self is a fiction invented by the brain. Brain plasticity isn?t all it?s cracked up to be. Our conscious learning is an observation post factum, a recollection of something already accomplished by the brain. We don?t learn to speak; speech is generated when the brain is ready to say something. False memories are more prevalent than one might think, and they aren?t all that bad. We think we?re in charge of our lives, but actually we are (...) not. On top of all this, the common belief that reading to a young child will make her brain more attuned to reading is simply untrue. (shrink)
How the Body Shapes the Mind is an interdisciplinary work that addresses philosophical questions by appealing to evidence found in experimental psychology, neuroscience, studies of pathologies, and developmental psychology. There is a growing consensus across these disciplines that the contribution of embodiment to cognition is inescapable. Because this insight has been developed across a variety of disciplines, however, there is still a need to develop a common vocabulary that is capable of integrating discussions of brain mechanisms in neuroscience, behavioral expressions (...) in psychology, design concerns in artificial intelligence and robotics, and debates about embodied experience in the phenomenology and philosophy of mind. Shaun Gallagher's book aims to contribute to the formulation of that common vocabulary and to develop a conceptual framework that will avoid both the overly reductionistic approaches that explain everything in terms of bottom-up neuronal mechanisms, and inflationistic approaches that explain everything in terms of Cartesian, top-down cognitive states. (shrink)
In this paper, we investigate the role of intention and joint attention in joint actions. Depending on the shared intentions the agents have, we distinguish between joint path-goal actions and joint final-goal actions. We propose an instrumental account of basic joint action analogous to a concept of basic action and argue that intentional joint attention is a basic joint action. Furthermore, we discuss the functional role of intentional joint attention for successful cooperation in complex joint actions. Anika Fiebich is PhD (...) student in Philosophy at the Ruhr-University Bochum, Germany. Shaun Gallagher is Lilian and Morrie Moss Professor of Philosophy at the University of Memphis, USA. (shrink)
Gallagher, S. 2000. Ways of Knowing the Self and the Other. An Introduction to Ipseity and Alterity, a special issue of the online journal _Arobase: Journal des lettres et sciences humaines,_ 4 (1-2). Hardcopy publication: S. Gallagher and S. Watson. (in press). _Ipseity and Alterity: Interdisciplinary Approaches to Intersubjectivity_ . Rouen: Presses Universitaires de.
Preprint of Shaun Gallagher, 2000. Reply to Cole, Sacks, and Waterman Trends in Cognitive Science 4, No. 5 (2000): 167-68. Please cite and quote from the original publication. This is a reply to Cole, Sacks, and Waterman. 2000. "On the immunity principle: A view from a robot." Trends in Cognitive Science 4 (5): 167, which was a reply to Shaun Gallagher, S. 2000. Philosophical conceptions of the self: implications for cognitive science , Trends in Cognitive Science 4 (1):14-21..
This new introduction by Shaun Gallagher gives students and philosophers not only an excellent concise overview of the state of the field and contemporary debates, but a novel way of addressing the subject by looking at the ways in which phenomenology is useful to the disciplines it applies to. Gallagher retrieves the central insights made by the classic phenomenological philosophers (Husserl, Heidegger, Merleau-Ponty, Sartre, and others), updates some of these insights in innovative ways, and shows how they directly (...) relate to ongoing debates in philosophy and psychology. Accounts of phenomenological methods, and the concepts of intentionality, temporality, embodiment, action, self, and our ability to understand other people are integrated into a coherent contemporary statement that shows why phenomenology is still an active and vital philosophical approach. Each chapter begins with a discussion of the classic analyses and then goes on to show their relevance to contemporary debates in philosophy about embodied, enactive and extended approaches to our understanding of human experience. Along the way Gallagher introduces some novel interpretations that suggest how phenomenology can both inform and be informed by the terms of these debates. (shrink)
We argue that theory-of-mind (ToM) approaches, such as “theory theory” and “simulation theory”, are both problematic and not needed. They account for neither our primary and pervasive way of engaging with others nor the true basis of our folk psychological understanding, even when narrowly construed. Developmental evidence shows that young infants are capable of grasping the purposeful intentions of others through the perception of bodily movements, gestures, facial expressions etc. Trevarthen’s notion of primary intersubjectivity can provide a theoretical framework for (...) understanding these capabilities and his notion of secondary intersubjectivity shows the importance of pragmatic contexts for infants starting around one year of age. The recent neuroscience of resonance systems (i.e., mirror neurons, shared representations) also supports this view. These ideas are worked out in the context of an embodied “Interaction Theory” of social cognition. Still, for more sophisticated intersubjective interactions in older children and adults, one might argue that some form of ToM is required. This thought is defused by appeal to narrative competency and the Narrative Practice Hypothesis (or NPH). We propose that repeated encounters with narratives of a distinctive kind is the normal route through which children acquire an understanding of the forms and norms that enable them to make sense of actions in terms of reasons. A potential objection to this hypothesis is that it presupposes ToM abilities. Interaction Theory is deployed once again to answer this by providing an alternative approach to understanding basic narrative competency and its development. (shrink)
Although philosophical approaches to the self are diverse, several of them are relevant to cognitive science. First, the notion of a 'minimal self', a self devoid of temporal extension, is clarified by distinguishing between a sense of agency and a sense of ownership for action. To the extent that these senses are subject to failure in pathologies like schizophrenia, a neuropsychological model of schizophrenia may help to clarify the nature of the minimal self and its neurological underpinnings. Second, there is (...) good evidence to suggest that although certain aspects of the minimal self are primitive and embodied, other aspects may be accessed only in reflective consciousness. Employing a modified concept of the minimal self, it may be possible to construct a robotic form of non-conscious self-reference that depends on an interaction between the robotic body and its environment. In contrast to the minimal self, the narrative self involves continuity over time and is directly relevant to discussions of memory and personal identity. There is growing consensus among philosophers and cognitive scientists about the importance of narrative and its relation to episodic memory and left-hemisphere functions. There are, however, at least two different views of how the narrative self is structured. On one model it is nothing more than an abstract point. On a more extended view, proposed here, the self is a rich amalgam of narratives that allows for the equivocations, contradictions, and self-deceptions of personal life. Even in this case, however, neurocognitive models contribute to our understanding of how narrative identity is structured. (shrink)
Clark and Chalmers  introduced the concept of the extended mind, in part to move beyond the standard Cartesian idea that cognition is something that happens in a private mental space, "in the head." In this paper I want to pursue a liberal interpretation of this idea, extending the mind to include processes that occur within social and cultural institutions. At the same time I want to address some concerns that have been raised about whether such..
Merleau-Ponty developed a phenomenology of the body that promoted a non-dualistic account of human existence. In this paper I intend to develop Merleau-Ponty's analysis further by questioning his account of the body on the issues of body perception, and the body's relation to its environment. To clarify these issues I draw from both the phenomenological tradition and recent psychological investigations.
Recent studies in developmental psychology have found evidence to suggest that there exists an innate system that accounts for the possibilities of early infant imitation and the existence of phantom limbs in cases of congenital absence of limbs. These results challenge traditional assumptions about the status and development of the body schema and body image, and about the nature of the translation process between perceptual experience and motor ability.
Theory of mind explanations of how we know other minds are limited in several ways. First, they construe intersubjective relations too narrowly in terms of the specialized cognitive abilities of explaining and predicting another person's mental states and behaviors. Second, they sometimes draw conclusions about secondperson interaction from experiments designed to test third-person observation of another's behavior. As a result, the larger claims that are sometimes made for theory of mind, namely, that theory of mind is our primary and pervasive (...) means for understanding other persons, go beyond both the phenomenological and the scientific evidence. I argue that the interpretation of "primary intersubjectivity" as merely precursory to theory of mind is inadequate. Rather, primary intersubjectivity, understood as a set of embodied practices and capabilities, is not only primary in a developmental sense, but is the primary way we continue to understand others in second-person interactions. (shrink)
We propose to extend Clark and Chalmer’s concept of the extended mind to consider the possibility that social institutions (e.g., legal systems, museums) may operate in ways similar to the hand-held conveniences (notebooks, calculators) that are often used as examples of extended mind. The inspiration for this suggestion can be found in the writings of Hegel on “objective spirit” which involves the mind in a constant process of externalizing and internalizing. For Hegel, social institutions are pieces of the mind, externalized (...) in their specific time and place. These institutions are the products of shared mental processes. We then use these institutions instrumentally to do further cognitive work, for example, to solve problems or to control behavior. (shrink)
On the phenomenological view, a minimal form of self-consciousness is a constant structural feature of conscious experience. Experience happens for the experiencing subject in an immediate way and as part of this immediacy, it is implicitly marked as my experience. For the phenomenologists, this immediate and first-personal givenness of experiential phenomena must be accounted for in terms of a pre-reflective self-consciousness. In the most basic sense of the term, selfconsciousness is not something that comes about the moment one attentively inspects (...) or reflectively introspects one's experiences, or in the instant of self-recognition of one's image in the mirror, or in the proper use of the first-person pronoun, or in the construction of a self-narrative. Rather, these different kinds of self-consciousness are to be distinguished from the pre-reflective self-consciousness which is present whenever I am living through or undergoing an experience, i.e., whenever I am consciously perceiving the world, whenever I am thinking an occurrent thought, whenever I am feeling sad or happy, thirsty or in pain, and so forth. (shrink)
Recent significant research in a number of disciplines centers around the concept of the sense of agency. Because many of these studies cut across disciplinary lines there is good reason to seek a clear consensus on what ‘sense of agency’ means. In this paper I indicate some complexities that this consensus might have to deal with. I also highlight an important phenomenological distinction that needs to be considered in any discussion of the sense of agency, regardless of how it gets (...) defined, and I offer some critical comments on some current models tied to the notion that the sense of agency has an ambiguous phenomenology. (shrink)
The term phenomenology can be used in a generic sense to cover a variety of areas related to the problem of consciousness. In this sense it is a title that ranges over issues pertaining to first-person or subjective experience, qualia, and what has become known as "the hard problem" (Chalmers 1995). The term is sometimes used even more generally to signify a variety of approaches to studying such issues, including contemplative, meditative, and mystical studies, and transpersonal psychology.(1) Within the disciplines (...) of philosophy and psychology, however, phenomenology has a more specialized meaning. In this case it refers to the methodology and philosophy initiated by the philosopher Edmund Husserl at the beginning of the twentieth-century and developed in various ways by theorists such as Heidegger, Sartre, Merleau-Ponty, and Schutz. I restrict the scope of this review to phenomenology in this more specialized sense. In the light of several recent publications, the general questions I address are: What is and what ought to be the relationship between phenomenology and cognitive science? and What, if any, recent contributions has phenomenology made to the science of consciousness? (shrink)
The embodied, embedded, enactive, and extended approaches to cognition explicate many important details for a phenomenology of perception, and are consistent with some of the traditional phenomenological analyses. Theorists working in these areas, however, often fail to provide an account of how intersubjectivity might relate to perception. This paper suggests some ways in which intersubjectivity is important for an adequate account of perception.
Hermeneutics is usually defined as the theory and practice of interpretation. As a discipline it involves a long and complex history, starting with concerns about the proper interpretation of literary, sacred, and legal texts. In the twentieth century, hermeneutics broadens to include the idea that humans are, in Charles Taylor’s phrase, ‘self-interpreting animals’ (Taylor, 1985). In contrast to the narrowly prescriptive questions of textual interpretation, philosophical hermeneutics, as developed by thinkers like Heidegger, Gadamer, and Ricoeur, raises questions about the conditions (...) of possibility for human understanding — not how we should interpret or understand something, but what interpretation and understanding are and how they work. For the nineteenth-century philosopher Wilhelm Dilthey, the hermeneutical disciplines were very different from the disciplines of science, including the newly emerging science of psychology. In contrast to psychology, which, in part, attempts to explain the natural behaviour of human animals in causal terms, Dilthey (1926) thinks of the hermeneutical disciplines as attempting to under- stand the behaviour of human persons in terms of their experience and inner motivation. Inner life is not composed of a series of mechanistic starts and stops, but is woven together into a continuity (Zusammenhang) that has a structure, by.. (shrink)
In this chapter I plan to situate the concept of situated cognition within the framework of antecedent philosophical work. My intention, however, is not to provide a simple historical guide but to suggest that there are still some untapped resources in these past philosophers that may serve to enrich current accounts of situated cognition.
Theory theorists conceive of social cognition as a theoretical and observational enterprise rather than a practical and interactive one. According to them, we do our best to explain other people's actions and mental experience by appealing to folk psychology as a kind of rule book that serves to guide our observations through our puzzling encounters with others. Seemingly, for them, most of our encounters count as puzzling, and other people are always in need of explanation. By contrast, simulation theorists do (...) their best to avoid the theoretical stance by using their own experience as the measure of everyone else's. When it comes to explaining how we understand other people some of the very best contemporary philosophers, psychologists, and neuroscientists are simulationists. For example, Vittorio Gallese, Alvin Goldman, Robert Gordon, Jane Heal, Susan Hurley, and Marc Jeannerod. This short list of simulationists, however, already involves some problems. Not everyone on this list understands simulation in the same way. In effect, there are different simulation theories, and although it is important to distinguish them, and I will do so before I go much further, I will in the end argue against all of them. For several reasons I don't think that the concept of simulation explains our primary and pervasive way of understanding others, any more than theory theory does. (shrink)
I present arguments against both explicit and implicit versions of the simulation theory for intersubjective understanding. Logical, developmental, and phenomenological evidence counts against the concept of explicit simulation if this is to be understood as the pervasive or default way that we understand others. The concept of implicit (subpersonal) simulation, identified with neural resonance systems (mirror systems or shared representations), fails to be the kind of simulation required by simulation theory, because it fails to explain how neuronal processes meet constraints (...) that involve instrumentality and pretense. Implicit simulation theory also fails to explain how I can attribute a mental or emotion state that is different from my own to another person. I also provide a brief indication of an alternative interpretation of neural resonance systems. (shrink)
In this paper I defend interaction theory (IT) as an alternative to both theory theory (TT) and simulation theory (ST). IT opposes the basic suppositions that both TT and ST depend upon. I argue that the various capacities for primary and secondary intersubjectivity found in infancy and early childhood should not be thought of as precursors to later developing capacities for using folk psychology or simulation routines. They are not replaced or displaced by such capacities in adulthood, but rather continue (...) to operate as our ordinary and everyday basis for social cognition. I also argue that enactive perception rather than implicit simulation is the best model for explaining these capacities. (shrink)
In recent years there has been some hard-won but still limited agreement that phenomenology may be of central importance to the cognitive sciences. This realization comes in the wake of dismissive gestures made by philosophers of mind like Dennett (1991), who mistakenly associates phenomenological method with the worst forms of introspection. For very different reasons, resistance can also be found on the phenomenological side of this issue. There are many thinkers well versed in the Husserlian tradition who do not even (...) want to consider the usefulness of phenomenology for enlightening the sciences of the mind. For them cognitive science is simply too computational or too reductionistic to be seriously considered as capable of explaining experience or consciousness.  This is surprising in light of the fact that a highly respected phenomenologist like Merleau-Ponty was integrating phenomenological analyses with considerations drawn from the empirical sciences of psychology and neurology long before cognitive science was constructed as a framework to include just those aspects of psychology and neurology that focus on cognitive experience. Merleau-Ponty aside, philosophers on both sides of this issue have only gradually come to acknowledge the possibility that phenomenology may be directly relevant for a scientific understanding of cognition. Sometimes the empirical scientists themselves have arrived at this conclusion even before, and in spite of the philosophers. Francisco Varela's work on neurophenomenology provides an important example (Varela, 1996). Even the hardest of hard scientists have made peace offerings to phenomenology. Recently, for example, the neuroscientist Jean-Pierre Changeux declares that his purpose "is not to go to war against phenomenology; to the contrary, [he wants] to see what constructive contribution it can make to our knowledge of the psyche, acting in concert with the neurosciences" (Changeux and Ricoeur, 2000, p. 85). (shrink)
In a majority of situations the normal adult maintains posture or moves without consciously monitoring motor activity. Posture and movement are usually close to automatic; they tend to take care of themselves, outside of attentive regard. One's body, in such cases, effaces itself as one is geared into a particular intentional goal. This effacement is possible because of the normal functioning of a body schema. Body schema can be defined as a system of preconscious, subpersonal processes that play a dynamic (...) role in governing posture and movement (Head, 1920). There is an important and often overlooked conceptual difference between the subpersonal body schema and what is usually called body image . The latter is most often defined as a conscious idea or mental representation that one has of one's own body (for example, Adame, Radell, Johnson, and Cole, 1991; Gardner and Moncrieff, 1988; Schilder, 1935). Despite the conceptual difference many researchers use the terms interchangeably, leading to both a terminological and conceptual confusion. (shrink)
I clarify recently developed phenomenological approaches to social cognition. These are approaches that, drawing on developmental science, social neuroscience, and dynamic systems theory, emphasize the involvement of embodied and enactive processes together with communicative and narrative practices in contexts of intersubjective understanding. I review some of the evidence that supports these approaches. I consider a variety of criticisms leveled against them, and defend the role of phenomenology in the explanation of social cognition. Finally, I show how these phenomenological approaches can (...) solve the “starting problem” of social cognition. (shrink)
A review of several theories and brain-imaging experiments shows that there is no consensus about how to define the sense of agency. In some cases the sense of agency is construed in terms of bodily movement or motor control, in others it is linked to the intentional aspect of action. For some theorists it is the product of higher-order cognitive processes, for others it is a feature of first-order phenomenal experience. In this article I propose a multiple aspects account of (...) the sense of agency. (shrink)
This paper argues that self-consciousness and moral agency depend crucially on both embodied and social aspects of human existence, and that the capacity for practical wisdom, phronesis, is central to moral personhood. The nature of practical wisdom is elucidated by drawing on rival analyses of expertise. Although ethical expertise and practical wisdom differ importantly, they are alike in that we can acquire them only in interaction with other persons and through habituation. The analysis of moral agency and practical wisdom is (...) framed by Dennett's proposal that moral personhood requires satisfaction of six conditions, including self-consciousness. (shrink)
In the past dozen years a number of theoretical models of schizophrenic symptoms have been proposed, often inspired by advances in the cognitive sciences, and especially cognitive neuroscience. Perhaps the most widely cited and influential of these is the neurocognitive model proposed by Christopher Frith (1992). Frith's influence reaches into psychiatry, neuroscience, and even philosophy. The philosopher John Campbell (1999a), for example, has called Frith's model the most parsimonious explanation of how self-ascriptions of thoughts are subject to errors of identification. (...) "On reflection, it also seems that this is not just one possible theory; it is the simplest theory which has any prospect of explaining the sense of agency, and we ought to work from it, introducing complications only as necessary" (1999a, p. 612). Not everyone agrees. In their recent analysis of alien voices and inserted thoughts in schizophrenia, Stephens and Graham (2000) offer a critique of Frith. Their criticism, however, although serious, is neither deep nor extensive. They outline three points. First, Frith fails to provide an adequate account of why a subject who experiences thought insertion would misattribute that thought to some other agent. Second, Frith does not clarify the distinction between thought insertion and thought influence. And third, Frith fails to explain how a subject can claim both that he is thinking the thought and that the thought is someone else's thought (Stephens and Graham.. (shrink)
In Action in Perception, Alva Noë provides a persuasive account of the “enactive” approach to perception, according to which perception is not simply based on the processing of sensory information, or on the construction of internal representations, but is fundamentally shaped by the motor possibilities of the perceiving body. As John Dewey put it in 1896, in his essay, “The Reflex Arc Concept in Psychology”.
I want to explore one small corner of the concept of mental causality. It’s the corner where discussions about mind-body interactions and epiphenomenalism take place. My basic contention is that these discussions are framed in the wrong terms because they are infected by a mind-body dualism which defines the question of mental causality in a classic or standard way: How does a mental event cause my body to do what it does? Setting the question in this way has consequences for (...) ongoing interdisciplinary (psychological, neuroscientific, and philosophical) discussions of mental causation, as well as free will, and for our understanding of what we mean by a sense of agency for action. These concepts, in turn, have much to do with our understanding of what goes wrong in certain instances of psychopathology. I’ll try to get to this issue in the final part of my paper. Let me first set the historical scene of what I am calling this standard way of understanding the problem of mental causality. (shrink)
By examining Dainton's account of the temporality of consciousness in the context of long-running debates about the specious present and time consciousness in both the Jamesian and the phenomenological traditions, I raise critical objections to his overlap model. Dainton's interpretations of Broad and Husserl are both insightful and problematic. In addition, there are unresolved problems in Dainton's own analysis of conscious experience. These problems involve ongoing content, lingering content, and a lack of phenomenological clarity concerning the central concept of overlapping (...) experiences. (shrink)
In a New York Times article last month, entitled Cells that read minds, the neuroscience reporter, Sandra Blakeslee (January 10, 2006) provided a list of all the things that mirror neurons can explain. As we know, mirror neurons, discovered by Rizzolattis group in Parma, are neurons that are activated when we engage in action, and when we perceive intentional movement in another person. According to Blakeslee and the scientists she interviewed, mirror neurons explain not only how we are capable of (...) understanding another persons actions, but also language, empathy, how children learn, why people respond to certain types of sports, dance, music and art, why watching media violence may be harmful and why many men like pornography. Let me set aside the controversial questions about whether mirror neurons can explain all of these things, and accept that mirror neurons are clearly smart little cells. But let me ask whether Blakeslee and her scientists are expressing things in the right way. (shrink)
We review the use of introspective and phenomenological methods in experimental settings. We distinguish diﬀerent senses of introspection, and further distinguish phenomenological method from introspectionist approaches. Two ways of using phenomenology in experimental procedures are identiﬁed: ﬁrst, the neurophenomenological method, proposed by Varela, involves the training of experimental subjects. This approach has been directly and productively incorporated into the protocol of experiments on perception. A second approach may have wider application and does not involve training experimental subjects in phenomenological method. (...) It requires front-loading phenomenological insights into experimental design. A number of experiments employing this approach are reviewed. We conclude with a discussion of the implications for both the cognitive sciences and phenomenology. Ó 2006 Published by Elsevier Inc. (shrink)