Medical interventions are usually categorized as “invasive” when they involve piercing the skin or inserting an object into the body. Beyond this standard definition, however, there is little discussion of the concept of invasiveness in the medical literature, despite evidence that the term is used in ways that do not reflect the standard definition of medical invasiveness. We interviewed psychiatrists, patients with depression, and members of the public without depression to better understand their views on the invasiveness of several psychiatric (...) electroceutical interventions (treatments that involve electrical or magnetic stimulation of the brain) for the treatment of depression. Our study shows that people recognize several kinds of invasiveness: physical, emotional, and lifestyle. In addition, several characteristics of therapies influence how invasive they are perceived to be; these include the perceived capacity of an intervention to result in harm; how localized the effects of the intervention are; the amount of control retained by the person receiving the intervention; how permanent its effects are perceived as being; and how familiar it seemed to participants. Our findings contribute to a small literature on the concept of invasiveness, which emphasizes that categorizing an intervention as invasive, or as noninvasive, evokes a variety of other normative considerations, including the potential harm it poses and how it compares to other potential therapies. It may also draw attention away from other salient features of the intervention. (shrink)

Abstractabstract:This article examines Harold Ramis’s 2005 noir comedy The Ice Harvest as the critically dystopian counter-panel to his beloved 1993 film Groundhog Day, a film frequently discussed within the paradigm of utopia. While starkly different in genre, tone, and reception, the two films comprise a dialectical dyad that registers the historical transition from the utopian cultural effervescence of the early 1990s to the tragic foreclosure of imaginative horizons and the dystopian transformation of economic, political, and social landscapes in the new (...) millennium. In The Ice Harvest, the author argues, this is achieved through a strategic reactivation of film noir as a variant of the critical dystopia. (shrink)

Background Psychiatric electroceutical interventions (PEIs) use electrical or magnetic stimulation to treat mental disorders and may raise different ethical concerns than other therapies such as medications or talk therapy. Yet little is known about stakeholders’ perceptions of, and ethical concerns related to, these interventions. We aimed to better understand the ethical concerns of a variety of stakeholder groups (patients with depression, caregivers of patients, members of the public, and psychiatrists) regarding four PEIs: electroconvulsive therapy (ECT), repetitive transcranial magnetic stimulation (rTMS), (...) deep brain stimulation (DBS), and adaptive brain implants (ABI).Methods We conducted a national survey of these four stakeholder groups, using an embedded video vignette experiment depicting a patient with treatment-resistant depression and her psychiatrist discussing the possibility of treatment with one of the four PEIs.Results Participants’ ethical concerns varied by stakeholder group, by PEI, and by the interaction of the two. The three non-clinician groups tended to have similar ethical concerns, but to differ from psychiatrists. Similar concerns were raised with regard to the two implantable technologies, DBS and ABI. Overall, there was relatively little concern about the involuntary use of PEIs, though some expressed concern about the adequacy of information provided during the consent process. There was also significant concern that patients may not receive helpful therapies.Conclusions To our knowledge, this is the first national survey that includes multiple stakeholder groups and multiple PEI modalities. A better understanding of the ethical concerns of stakeholders can help to shape clinical practice and health care policy regarding PEIs. (shrink)

Living labs are interdisciplinary and participatory initiatives aimed at bringing research closer to practice by involving stakeholders in all stages of research. Living labs align with the principles of participatory research methods as well as recent insights about how participatory ways of generating knowledge help to change practices in concrete settings with respect to specific problems. The participatory, open, and discussion‐oriented nature of living labs could be ideally suited to accompany ethical reflection and changes ensuing from reflection. To our knowledge, (...) living labs have not been explicitly trialed and reported in ethics literature. In this discussion paper, we report and discuss four initial issues that marked the process of setting up a living lab in ethics: (1) determining the goals and expected outcomes of an ethics living lab; (2) establishing operational procedures; (3) selecting communities and defining pilot projects; and (4) adopting a lens to tackle emerging questions and challenges. We explain these four issues and present the paths taken based on the novel and specific orientation, that is, living ethics, at the basis of this project. In alignment with living ethics and É‐LABO, we approach challenges as learning opportunities to ask not only “how” questions but also “why” questions. We hope that this discussion paper informed by our experience helps to clarify the theoretical, methodological, and practical approaches necessary to successfully adopt and employ living labs in ethics. (shrink)

Humans have long been characterized as poor probabilistic reasoners when presented with explicit numerical information. Bayesian word problems provide a well-known example of this, where even highly educated and cognitively skilled individuals fail to adhere to mathematical norms. It is widely agreed that natural frequencies can facilitate Bayesian reasoning relative to normalized formats (e.g. probabilities, percentages), both by clarifying logical set-subset relations and by simplifying numerical calculations. Nevertheless, between-study performance on “transparent” Bayesian problems varies widely, and generally remains rather unimpressive. (...) We suggest there has been an over-focus on this representational facilitator (i.e. transparent problem structures) at the expense of the specific logical and numerical processing requirements and the corresponding individual abilities and skills necessary for providing Bayesian-like output given specific verbal and numerical input. We further suggest that understanding this task-individual pair could benefit from considerations from the literature on mathematical cognition, which emphasizes text comprehension and problem solving, along with contributions of online executive working memory, metacognitive regulation, and relevant stored knowledge and skills. We conclude by offering avenues for future research aimed at identifying the stages in problem solving at which correct versus incorrect reasoners depart, and how individual difference might influence this time point. (shrink)

Situates Pseudo-Dionysius the Areopagite as a Neoplatonic philosopher in the tradition of Plotinus and Proclus.

DISCUSSIONS OF THE ONTOLOGICAL STATUS of Plato’s forms too often take for granted that immanence and transcendence are opposed to each other: if the forms are in instances then they are not separate from them, while if the forms are separate then they are not in instances. This assumption is sometimes associated with the theory that there is a change in Plato’s thought between the early or Socratic dialogues, in which forms are regarded as immanent, and the middle dialogues and (...) Timaeus, in which they are seen as separate. I will argue, however, that immanence and transcendence are not opposed but that, on the contrary, the former implies the latter. That is to say, precisely in that the forms are present in their instances, they are ipso facto also separate from them in all the senses which Plato claims. The idea of sensibles as images of the forms, in turn, is an expression not of transcendence alone, but rather of the conjunction of immanence and transcendence: the paradigm is at once transcendent to and immanent in the image. The movement from the early to the middle dialogues, then, is not the rejection of one position and the adoption of another, but simply the express articulation of what was implicit in the original position. Thus we find, not a fundamental change in Plato’s thought from one period to another, but a single consistent and coherent theory of forms which is developed throughout these dialogues. (shrink)

Randomization is the “gold standard” design for clinical research trials and is accepted as the best way to reduce bias. Although some controversy remains over this matter, we believe equipoise is the fundamental ethical requirement for conducting a randomized clinical trial. Despite much attention to the ethics of randomization, the moral psychology of this study design has not been explored. This article analyzes the ethical tensions that arise from conducting these studies and examines the moral psychology of this design from (...) the perspectives of physician-investigators and patient-subjects. We conclude with a discussion of the practical implications of this analysis. (shrink)

In 1987, George Soros introduced his concepts of reflexivity and fallibility and has further developed and applied these concepts over subsequent decades. This paper attempts to build on Soros's framework, provide his concepts with a more precise definition, and put them in the context of recent thinking on complex adaptive systems. The paper proposes that systems can be classified along a ‘spectrum of complexity’ and that under specific conditions not only social systems but also natural and artificial systems can be (...) considered ‘complex reflexive.’ The epistemological challenges associated with scientifically understanding a phenomenon stem not from whether its domain is social, natural, or artificial, but where it falls along this spectrum. Reflexive systems present particular challenges; however, evolutionary model-dependent realism provides a bridge between Soros and Popper and a potential path forward for economics. (shrink)

Bioethics, Volume 36, Issue 3, Page 318-327, March 2022.

This paper defends Plotinus’ reading ofSophist248e-249d as an expression of the togetherness or unity-in-duality of intellect and intelligible being. Throughout the dialogues Plato consistently presents knowledge as a togetherness of knower and known, expressing this through the myth of recollection and through metaphors of grasping, eating, and sexual union. He indicates that an intelligible paradigm is in the thought that apprehends it, and regularly regards the forms not as extrinsic “objects” but as the contents of living intelligence. A meticulous reading (...) ofSophist248e-249d shows that the “motion” attributed to intelligible being is not temporal change but the activity of intellectual apprehension. Aristotle’s doctrines of knowledge as identity of intellect and the intelligible, and of divine intellect as thinking itself, are therefore in continuity with Plato, and Plotinus’ doctrine of intellect and being is continuous with both Plato and Aristotle. (shrink)

This project is, in part, motivated by my contention that one cannot adequately answer the question regarding the proper justification for human rights until one has answered the metaphysical question regarding the fundamental nature of human rights and the ontological question regarding the proper status of human rights. I offer a sustained analysis of metaphysical, ontological, and justificatory questions regarding human rights with the purpose of illustrating the point that theories that fail to engage in such analyses are inadequate. In (...) particular, this essay argues that Michael Ignatieff’s theory of human rights, as articulated in Human Rights as Politics and Idolatry, is philosophically inadequate because it fails to connect his justificatory arguments for human rights with metaphysical and ontological conceptions of and arguments for human rights. (shrink)

In this paper, I offer substantial philosophical and pragmatic analyses of slavery, apprenticeships, and segregation in the United States and British West Indies. I do so to illustrate the extent to which American and British philosophy, politics, law, and economics were entwined with the oppression of African-Americans and African-Caribbeans. I argue that, as the institution of slavery collapsed and abolitionists began calling for reparations, judges and politicians ignored the claims of abolitionists and thereby perverted justice. As a result, we now (...) have the debts of slavery, apprenticeships, and segregation to settle. I conclude that as long as we fail to settle these debts we are complicit in allowing their perversions of justice to continue. For this reason, I argue in favor of granting reparations to African-Americans and African-Caribbeans. (shrink)

In this paper we compare the propositional logic of Frege’s Grundgesetze der Arithmetik to modern propositional systems, and show that Frege does not have a separable propositional logic, definable in terms of primitives of Grundgesetze, that corresponds to modern formulations of the logic of “not”, “and”, “or”, and “if…then…”. Along the way we prove a number of novel results about the system of propositional logic found in Grundgesetze, and the broader system obtained by including identity. In particular, we show that (...) the propositional connectives that are definable in terms of Frege’s horizontal, negation, and conditional are exactly the connectives that fuse with the horizontal, and we show that the logical operators that are definable in terms of the horizontal, negation, the conditional, and identity are exactly the operators that are invariant with respect to permutations on the domain that leave the truth-values fixed. We conclude with some general observations regarding how Frege understood his logic, and how this understanding differs from modern views. (shrink)

Abstract: Giorgio Agamben's recent works have been preoccupied with a certain obscure passage from St. Paul's 'Second Epistle to the Thessalonians,' which describes the portentous events that must occur before the Second Coming of Jesus Christ can take place---specifically, the appearance of a 'man of lawlessness' (the Antichrist?) and the exposure of who or what is currently restraining the 'man of lawlessness' from being exposed as the Antichrist: a mysterious agency called the 'katechon.' In 'The Mystery of Evil: Benedict XVI (...) and the End of Days,' this obscure passage is connected with the abdication of Pope Benedict XVI through certain equally obscure references to the fourth century theologian, Tyconius, although the precise connection between these apocalyptic events and their mysterious agents remains obscure. This review attempts to shed some critical light upon this cryptic subject, both by considering the world-historical context of St. Paul's epistle, and by asking what role these apocalyptic figures play in Agamben's political theology. But, to begin with, the review also asks: Who, really, is the Antichrist? a scarcely rhetorical question that demands a sardonic answer. Although various candidates from contemporary politics are proposed, the review finally argues that the Antichrist and the katechon are not specific individuals or worldly institutions, but rather refer to world-historical trends within Western European Christian civilization itself that have resulted in what Friedrich Nietzsche called 'the devaluation of all higher values' and 'the desecration of the Christian moral world-view': an apocalyptic turn of events which Nietzsche equally sardonically referred to in 'The Antichrist.'. (shrink)

Aramaic and Hebrew Inscriptions from Mt. Gerizim and Samaria between Antiochus III and Antiochus IV Epiphanes. By Jan Dušek. Culture and History of the Ancient Near East, vol. 54. Leiden: Brill, 2012. Pp. xviii + 200, illus. $135.

Fifteen years after the September 11th terror attacks, the United States still exists in a state of exception or state of emergency, in which the executive branch claims extraordinary powers to carry out bombing strikes or drone attacks in foreign nations and to engage in surveillance against its citizens outside the boundaries of international and constitutional law. This blog-piece argues for a restoration of the constitutional limiuts on sovereign executive powers and a cessation of the war on terrorism.

This chapter contains sections titled: God beyond being Creation as theophany Goodness, beauty, and love Evil Hierarchy Knowledge Symbolism Christological consummation.

The distinction between persons and things reflects the opposition between reason and nature that is characteristic of modern thought: persons are constituted by rationality, self-consciousness, free will, and moral agency; things are taken to be merely natural or material beings, devoid of reason and the products of entirely mechanistic forces. Persons, as ends in themselves, alone deserve moral consideration; things (including all plants and animals) deserve no moral consideration. Accordingly in much modern thought, nature, including the human body, becomes a (...) mere object to be manipulated for human use. This paper challenges this narrowly anthropocentric idea by outlining a view, grounded in classical philosophical and Christian thought, called the “analogy of personhood.” This view offers a hierarchical but non-dichotomous approach to reality that rejects any radical opposition between reason and nature. The philosophical basis of this approach is developed as found in Aristotle, Plotinus, Proclus, and finally, the Christian Neoplatonist Pseudo-Dionysius. (shrink)

The distinction between persons and things reflects the opposition between reason and nature that is characteristic of modern thought: persons are constituted by rationality, self-consciousness, free will, and moral agency; things are taken to be merely natural or material beings, devoid of reason and the products of entirely mechanistic forces. Persons, as ends in themselves, alone deserve moral consideration; things (including all plants and animals) deserve no moral consideration. Accordingly in much modern thought, nature, including the human body, becomes a (...) mere object to be manipulated for human use. This paper challenges this narrowly anthropocentric idea by outlining a view, grounded in classical philosophical and Christian thought, called the “analogy of personhood.” This view offers a hierarchical but non-dichotomous approach to reality that rejects any radical opposition between reason and nature. The philosophical basis of this approach is developed as found in Aristotle, Plotinus, Proclus, and finally, the Christian Neoplatonist Pseudo-Dionysius. (shrink)

Recent continental philosophy often seeks to retrieve Neoplatonic transcendence, or the Good, while ignoring the place of intellect in classical and medieval Neoplatonism. Instead, it attempts to articulate an encounter with radical transcendence in the immediacy of temporality, individuality, and affectivity.On the assumption that there is no intellectual intuition (Kant), intellectual consciousness is reduced to ratiocination and is taken to be “poor in intuition” (Marion). In this context, the present paper expounds Plotinus’ phenomenology of intellectual experience to show how intellect, (...) for Plotinus, is rather the richest mode of intuition, coinciding with the intelligible content of reality. This content, however, cannot be ultimate, but is the manifestation and apprehension of the transcendent Good as the condition of intelligibility. The Good, therefore, can be encountered only through the ascent to intellectual apprehension, and the visionof the Good is a transcendent moment within the intellectual apprehension of being, not a repudiation of or alternative to it. (shrink)

Recent continental philosophy often seeks to retrieve Neoplatonic transcendence, or the Good, while ignoring the place of intellect in classical and medieval Neoplatonism. Instead, it attempts to articulate an encounter with radical transcendence in the immediacy of temporality, individuality, and affectivity.On the assumption that there is no intellectual intuition (Kant), intellectual consciousness is reduced to ratiocination and is taken to be “poor in intuition” (Marion). In this context, the present paper expounds Plotinus’ phenomenology of intellectual experience to show how intellect, (...) for Plotinus, is rather the richest mode of intuition, coinciding with the intelligible content of reality. This content, however, cannot be ultimate, but is the manifestation and apprehension of the transcendent Good as the condition of intelligibility. The Good, therefore, can be encountered only through the ascent to intellectual apprehension, and the visionof the Good is a transcendent moment within the intellectual apprehension of being, not a repudiation of or alternative to it. (shrink)

Surgeons who perform sex reassignment surgeries define their goals and evaluate their outcomes in terms of two kinds of results: aesthetic and functional. Since the neogenitals fashioned through sex reassignment surgeries do not enable reproductive function, surgeons must determine what the function of the genitals is or ought to be. A review of surgical literature demonstrates that questions of what constitute genital form and function, while putatively answered in the operating room, are not answerable in the discourses of clinical evaluation (...) used to define them. When the genitals—the word itself derived from the Latin genitas meaning to beget—are not reproductive, the question of their function shifts away from the biological and into other registers: pleasure, intimacy, sociality. As condensed sites of meaning and meaning-making around which selves, affects, resources, anxieties and futures are organized, the genitals signify in excess of the categories of “aesthetic” and “function” that surgeons use to assess them. Not reducible to either aesthetics or function, but constitutive of them both, this excess appears in surgical texts in the form of imagined futures of social and sexual engagement and demonstrates a powerful means by which properly sexed bodies are created. (shrink)

I would like to begin by discussing the legal and administrative framework of the role of the federal government in public health. At the heart of it is, of course, the Constitution. At the Department of Health and Human Services we depend, as does much of the federal government, on our power to regulate interstate commerce. Since the Supreme Court in 1942 removed essentially any restraint from the meaning of interstate commerce in Wickard v. Filburn, the federal government has been (...) regulating with wide latitude, in spite of small and, arguably, equivocal reverses in recent years. However, even though the Supreme Court no longer provides any real constitutional check on the federal government's interstate commerce power, some other restraints persist. For example, many parts of the health system have traditionally been deemed inherently state functions, such as the licensing and disciplining of doctors, nurses, and pharmacists, as well as the practice of medicine itself. (shrink)

I would like to begin by discussing the legal and administrative framework of the role of the federal government in public health. At the heart of it is, of course, the Constitution. At the Department of Health and Human Services we depend, as does much of the federal government, on our power to regulate interstate commerce. Since the Supreme Court in 1942 removed essentially any restraint from the meaning of interstate commerce in Wickard v. Filburn, the federal government has been (...) regulating with wide latitude, in spite of small and, arguably, equivocal reverses in recent years. However, even though the Supreme Court no longer provides any real constitutional check on the federal government's interstate commerce power, some other restraints persist. For example, many parts of the health system have traditionally been deemed inherently state functions, such as the licensing and disciplining of doctors, nurses, and pharmacists, as well as the practice of medicine itself. (shrink)