BackgroundAlthough values have increasingly received attention in psychiatric literature over the last three decades, their role has been only partially acknowledged in psychiatric classification endeavors. The review process of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders received harsh criticism, and was even considered secretive by some authors. Also, it lacked an official discussion of values at play. In this perspective paper we briefly discuss the interplay of some values in the scientific and non-scientific debate around (...) one of the most debated DSM-5 category proposals, the Attenuated Psychosis Syndrome. Then, we point out some ethical consequences of a facts-plus-values perspective in psychiatric classification.DiscussionDifferent stakeholders participated in the APS-debate and for analytical purposes we divided them into four groups: researchers in the field of high-risk mental states; the DSM-5 Psychotic Disorders Work Group; patient, carers and advocacy groups; and external stakeholders, not related to the previous groups, but which also publicly expressed their opinions about APS inclusion in DSM-5. We found that each group differently stressed the role of values we examined in the APS-debate. These values were ethical, but also epistemic, political, economic and ontological. The prominence given to some values, and the lack of discussion about others, generated divergent positions among stakeholders in the debate.SummaryAs exemplified by the APS discussion, although medicine is primarily an ethical endeavor, values of different kinds that take part in it also shape to a large extent the profession. Thus, it may be strategic to openly discuss values at play in the elaboration of diagnostic tools and classificatory systems. This task, more than scientifically or politically significant, is ethically important. (shrink)

Delusion is one of the most intriguing psychopathological phenomena and its conceptualization remains the subject of genuine debate. Claims that it is ill-defined, however, are typically grounded on essentialist expectations that a given definition should capture the core of every instance acknowledged as delusion in the clinical setting.

Although values have increasingly received attention in psychiatric literature over the last three decades, their role has been only partially acknowledged in psychiatric classification endeavors. The review p..

In lieu of an abstract, here is a brief excerpt of the content:Deflating Psychiatric ClassificationClaudio E. M. Banzato (bio)Keywordsnosography, comorbidity, utility, pragmatismSystems of classification bring order into the world. They are a key part of the informational working infrastructure of the world we inhabit (Bowker and Star 1999). Thus, much of the human interaction hinges on these ordering—pattern identifying and creating—systems. Formal or informal, standardized or ad hoc, visible or invisible, enforced or optional, there are a myriad of classifications (...) we necessarily live by.Typically, classifications convey representations of states of affairs to make interventions on them feasible and, to some extent, predictable. In other words, classificatory systems and schemes try to confer intelligibility to the world. By succeeding in such task, they may provide rational grounds to human operation on reality (toward the most diverse ends). This account fully applies to medical classifications, which struggle to sort out all kinds of diseases, ailments, complaints, and sufferings that can possibly be targeted by medical interventions. This means classifications are instrumental to the ends pursued by medicine, quintessential modificatory activity. In sum, classifications are cognitive tools devised to build up knowledge by making relevant distinctions, which may prove helpful to guide human action.By working well, classifications eventually tend to become invisible. They end up looking just natural, as if they were carved by nature itself. But indeed purpose is the touchstone here. Even if a given class of objects fully qualifies as a 'natural kind' and necessary and sufficient criteria for class membership can be definitely established, it does not entail that it constitutes the best way to classify these objects irrespective of the context. Peter Zachar (2002) offers a compelling example from natural sciences, the utmost practical importance of distinguishing between hydrogen and its isotopes (hydrogen, deuterium, and tritium). In this case, the classificatory thrust stretches beyond the shared atomic number. In his words, "A crucial factor in recognizing them as distinct is that they are used in distinct activities and practices. We get a better neutron bounce with heavy water or D2O. Deciding what aspects of internal structure are important therefore cannot be isolated from external factors." (p. 220)In contemporary psychiatry, diagnostic classification has been center stage for several reasons. But before addressing them, however, a brief historical detour is necessary. Back in the nineteenth century, putting forward a new classification of mental diseases was taken somewhat as a token of psychiatric proficiency according to the witty remark by the French physician and publicist Philippe Buchez: "Upon believing that they have [End Page 23] completed their studies, rhetoricians will compose a tragedy and alienists a classification" (Berrios 1999, 152). By the middle of the twentieth century, many psychiatric classifications (based on diverse principles and underlying theoretical orientations) were still used across the world. The British psychiatrist Erwin Stengel (1959), in his influential report on classification of mental disorders, pointed out that the issue of difficulty of communication was then the order of the day for psychiatry, because it was widely perceived as one of the most serious obstacles to the progress in the field.The broad, worldwide survey carried out by Stengel made it clear that classifications of all shapes were used in different contexts, but they were seldom appealing outside the boundaries of the respective centers that generated them. Such diversity of classifications reflected not only different functions or purposes they were meant to serve, but also the role played by the history of a given problem within a particular medical tradition and cultural background. Thus, Stengel's aims for an acceptable statistical international classification were relatively modest: it should simply ground epidemiological work.Stengel's stance on classification was frankly pragmatic and utilitarian. He understood well the difficulties posed by the 'disease entity' assumption in psychiatry and asked the straight question: "Firstly, what do we classify in this field? Are we classifying diseases or people?", to which he offered a compromised answer: "It may be said that the material the psychiatrist has to classify consists neither of diseases nor of people but of a variety of disorders or reactions, a material which does not readily lend itself to classification" (Stengel 1959, 612). For him, the pursued agreement on the... (shrink)

The collection presents a variety of promising new directions in Royce scholarship from an international group of scholars, including historical reinterpretations, explorations of Royce's ethics of loyalty and religious philosophy, and contemporary applications of his ideas in psychology, the problem of reference, neo-pragmatism, and literary aesthetics.

Nowadays, a general agreement exists that European culture suffers from a severe type of economic and cultural crisis. In the first section of my contribution I intend to provide a comparison between Husserl's diagnosis of European crisis developed in the Vienna Lectures and Henry's account of barbarism in his book La barbarie. If, on the one hand, Husserl argues that such a critical condition compels Europe to choose between the sunset of its culture and its rebirth through a new foundation (...) of rationality, on the other hand Henry maintains that the barbarism prefigured by Husserl actually is the cultural horizon of our time. Under these premises, my core argument is that both Husserl and Henry suggest that Europe has the opportunity of overcoming its crisis through a new reflection about intersubjectivity, empathy, and social interaction. (shrink)

Super-substantivalism (of the type we’ll consider) roughly comprises two core tenets: (1) the physical properties which we attribute to matter (e.g. charge or mass) can be attributed to spacetime directly, with no need for matter as an extraneous carrier “on top of” spacetime; (2) spacetime is more fundamental than (ontologically prior to) matter. In the present paper, we revisit a recent argument in favour of super-substantivalism, based on General Relativity. A critique is offered that highlights the difference between (various accounts (...) of) fundamentality and (various forms of) ontological dependence. This affords a metaphysically more perspicuous view of what super-substantivalism’s tenets actually assert, and how it may be defended. We tentatively propose a re-formulation of the original argument that not only seems to apply to all classical physics, but also chimes with a standard interpretation of spacetime theories in the philosophy of physics. (shrink)

The œuvre of Portuguese photographer Jorge Molder can be construed as a series of series. These series are filled with a wealth of absent presences, of possibilities that arise and fade without ever reaching actualization or confirmation, thereby contributing to create a ‘detective-story’ atmosphere. This also proves to be true as regards Molder’s own body. Indeed, his face, his hands are recurrent “subjects” running through his 40 years of work. Even so, when we ask who the man is that we (...) see in Molder’s series, the answer is problematic. On the one hand, we know it is “him”, insofar as he himself is the model for his iconic “constructions”. On the other hand, Molder’s images are not “self-portraits” aiming to reveal the essence of his self, but rather “self-representations” creating a peculiar “character” who is and yet is not him: a double. (shrink)

dolce, the first top-level ontology to be axiomatized, has remained stable for twenty years and today is broadly used in a variety of domains. dolce is inspired by cognitive and linguistic considerations and aims to model a commonsense view of reality, like the one human beings exploit in everyday life in areas as diverse as socio-technical systems, manufacturing, financial transactions and cultural heritage. dolce clearly lists the ontological choices it is based upon, relies on philosophical principles, is richly formalized, and (...) is built according to well-established ontological methodologies, e.g. OntoClean. Because of these features, it has inspired most of the existing top-level ontologies and has been used to develop or improve standards and public domain resources. Being a foundational ontology, dolce is not directly concerned with domain knowledge. Its purpose is to provide the general categories and relations needed to give a coherent view of reality, to integrate domain knowledge, and to mediate across domains. In these 20 years dolce has shown that applied ontologies can be stable and that interoperability across reference and domain ontologies is a reality. This paper briefly introduces the ontology and shows how to use it on a few modeling cases. (shrink)

This is the text of the Claudio Rozzoni's interview with Jorge Molder that took place in Portuguese on June 21, 2018, at the artist's atelier in Lisbon. English translation by Claudio Rozzoni.

Given two (positive) equivalence relations ∼ 1 , ∼ 2 on the set ω of natural numbers, we say that ∼ 1 is m-reducible to ∼ 2 if there exists a total recursive function h such that for every x, y ∈ ω, we have $x \sim_1 y \operatorname{iff} hx \sim_2 hy$ . We prove that the equivalence relation induced in ω by a positive precomplete numeration is complete with respect to this reducibility (and, moreover, a "uniformity property" holds). This (...) result allows us to state a classification theorem for positive equivalence relations (Theorem 2). We show that there exist nonisomorphic positive equivalence relations which are complete with respect to the above reducibility; in particular, we discuss the provable equivalence of a strong enough theory: this relation is complete with respect to reducibility but it does not correspond to a precomplete numeration. From this fact we deduce that an equivalence relation on ω can be strongly represented by a formula (see Definition 8) iff it is positive. At last, we interpret the situation from a topological point of view. Among other things, we generalize a result of Visser by showing that the topological space corresponding to a partition in e.i. sets is irreducible and we prove that the set of equivalence classes of true sentences is dense in the Lindenbaum algebra of the theory. (shrink)

Se busca establecer una relación, no satisfactoriamente explorada, entre la fenomenología merleaupontiana del tiempo y un problema central de la “theory of time” analítica, la paradoja de McTaggart. Al clarificar, en polémica con Priest (1998), el auténtico sentido del “subjetivismo” merleaupontiano con respecto al tiempo, se señala cómo establecer una confluencia entre el acercamiento fenomenológico y las tesis desarrolladas por Michael Dummett como respuesta a la mencionada paradoja. Con los señalamientos de Dummett y la interpretación de Bimbenet acerca del “perspectivismo” (...) merleaupontiano, se intenta una solución “situacional” a la paradoja. (shrink)

Este artigo apresenta considerações sobre possíveis infl uências teóricas de Theodule A. Ribot sobre S. Freud por ocasião de suas formulações teóricas iniciais sobre o psiquismo. Infl uências a partir de noções como memória e consciência, mas especialmente de cerebração inconsciente. Essas serão investigadas especialmente nas obras Les maladies de la mémoire e Projeto de psicologia, respectivamente. Destacamos que essa influência se deu pela contribuição e mediação de J. M. Charcot, tal como apresentada em Leçons sur les maladies du système (...) nerveux faites a la Salpêtrière – Tome III, 1887), dedicada à abordagem da histeria psíquica/ideativa. Apresentaremos as duas primeiras obras destacando o que entendemos como infl uências, heranças e inclusive divergências entre os autores, mas especialmente destacando uma linha de continuidade entre eles, para a qual Charcot teve papel fundamental. Esperamos que nossa pesquisa proporcione melhor esclarecimento sobre o estatuto inicial do psiquismo concebido por Freud bem como sobre a emergência de uma explicação alternativa que propiciou a introdução de uma instância psíquica inconsciente tal como a conhecemos. (shrink)

Se busca establecer una relación, no satisfactoriamente explorada, entre la fenomenologia merleaupontiana del tiempo y un problema central de la "theory of time" analítica, la paradoja de McTaggart. Al clarificar, en polémica con Priest , el autêntico sentido del "subjetivismo" merleaupontiano con respecto al tiempo, se senala cómo establecer una confluencia entre el acercamiento fenomenológico y las tesis desarrolladas por Michael Dummett como respuesta a la mencionada paradoja. Con los senalamientos de Dummett y la interpretación de Bimbenet acerca del "perspectivismo" (...) merleaupontiano, se intenta una solución "situacional" a la paradoja. The article seeks to establish a relationship that has not yet been explored satisfactorily between Merleau-Ponty's phenomenology of time and a central issue of analytical "theory of time": McTaggart's paradox. By clarifying the authentic meaning of Merleau-Ponty's "subjectivism" regarding time, against Priest's interpretation , the article points out a convergence between the phenom-enological approach and Michael Dummett's theses developed in response to the abovementioned paradox. A "situational" solution to the paradox is attempted on the basis of Dummett's ideas and Bimbenet's interpretation of Merleau-Ponty's "perspectivism". Pretende-se estabelecer uma relação, não satisfatoriamente explorada, entre a fenomenologia merleau-pontiana do tempo e um problema central da "theory of time" analítica, o paradoxo de McTaggart. Ao esclarecer, em polémica com Priest , o autêntico sentido do "subjetivismo" merleau-pontiano a respeito do tempo, indica-se como estabelecer uma confluência entre a aproximação fenomenológica e as teses desenvolvidas por Michael Dummett como resposta ao mencionado paradoxo. Com as indicações de Dummett e a interpretação de Bimbenet sobre o "perspectivismo" merleau-pontiano, tenta-se uma solução "situacional" ao paradoxo. (shrink)

La presencia de Platón y del pensamiento platónico se ha mantenido de manera incesante a lo largo de la historia de la cultura. En esta historia, el siglo XX refleja el rechazo y la aceptación, la recepción, en suma, de un modo inusitado tal vez porque, durante este siglo, la humanidad se vio cara a cara con los infiernos que supo crear: un mundo en ruinas hacía imposible intuir la perfecta quietud de las Formas. La recepción de Platón en el (...) siglo XX bucea en la recepción de Platón en aquel mundo contradictorio: ¿cómo se integra su pensamiento fundacionalmente metafísico con la deconstrucción de la metafísica? ¿Cuáles son los alcances de la crítica que la teoría política hace, desde la época de los totalitarismos, al autor de la República? ¿Qué valor cognoscitivo y pedagógico puede tener en mito platónico para filósofos cristianos que se ocupan del pensamiento platónico? ¿Cómo recibe la poesía hispanoamericana su voz de demiurgo? Estas preguntas, de las que se ofrecen diversas respuestas en este libro, son tratadas con rigor académico y confrontadas doblemente con las fuentes: en primer término, con Platón y luego con quienes son estudiados en el presente volumen, aunque desde ángulos muy diversos: M. Heidegger, H. G. Gadamer, K. Popper, E. Cassirer, L. Marechal. La seguridad del tratamiento metodológico y lingüístico que se refleja en esta obra hace que sea altamente recomendable para alumnos de grado y de posgrado en Filosofía, Teoría Política, Literatura y Humanidades en general. (shrink)

As a preliminary step to beginning to assess the usefulness of clinical vignettes to measure ethical sensitivity in undergraduate medical students, five clinical vignettes with seven to nine ethical issues each were created. The ethical issues in the vignettes were discussed and outlined by an expert panel. One randomly selected vignette was presented to first, second and third year students at the University of Toronto as part of another examination. The students were asked to list the issues presented by the (...) patient problem. Responses from 281 students were obtained. These students identified an average of 2.72 ethical issues per vignette. Each response was classified under the domains of autonomy, beneficence and justice. Comparisons were made between classes and between vignettes. There was considerable variation between classes and the responses to different vignettes seem to indicate that different vignettes measure the various domains in different ways. It does appear that the use of vignettes is one way to measure aspects of ethical sensitivity in medical students but more study is required to clarify exactly what is being measured. (shrink)

An instrument to assess 'ethical sensitivity' has been developed. The instrument presents four clinical vignettes and the respondent is asked to list the ethical issues related to each vignette. The responses are classified, post hoc, into the domains of autonomy, beneficence and justice. This instrument was used in 1990 to assess the ethical sensitivity of students in all four medical classes at the University of Toronto. Ethical sensitivity, as measured by this instrument, is not related to age or grade-point average. (...) Sensitivity increases between the 1st and 2nd year and then decreases throughout the rest of undergraduate medical training, such that the 4th-year students identify fewer issues than those entering medical school. Students expressing a career choice of family medicine identify more issues than their peers. Several problems with the use of the instrument and the interpretation of the data were found. Nonetheless, these findings, if reproducible, are important and their meaning needs further discussion. (shrink)

We say that A ≤LR B if every B-random number is A-random. Intuitively this means that if oracle A can identify some patterns on some real γ. In other words. B is at least as good as A for this purpose. We study the structure of the LR degrees globally and locally (i.e., restricted to the computably enumberable degrees) and their relationship with the Turing degrees. Among other results we show that whenever α in not GL₂ the LR degree of (...) α bounds $2^{\aleph _{0}}$ degrees (so that, in particular, there exist LR degrees with uncountably many predecessors) and we give sample results which demonstrate how various techniques from the theory of the c.e. degrees can be used to prove results about the c.e. LR degrees. (shrink)

Prior research has demonstrated that antisocial behavior, substance-use disorders, and personality dimensions of aggression and impulsivity are indicators of a highly heritable underlying dimension of risk, labeled externalizing. Other work has shown that individual trait constructs within this psychopathology spectrum are associated with reduced self-monitoring, as reflected by amplitude of the error-related negativity (ERN) brain response. In this study of undergraduate subjects, reduced ERN amplitude was associated with higher scores on a self-report measure of the broad externalizing construct that links (...) these various indicators. In addition, the ERN was associated with a response-locked increase in anterior theta (4–7 Hz) oscillation; like the ERN, this theta response to errors was reduced among high-externalizing individuals. These findings suggest that neurobiologically based deficits in endogenous action monitoring may underlie generalized risk for an array of impulse-control problems. (shrink)

In the history of the Indian grammatical tradition, Bhartṛhari (about fifth century C.E.) is the fourth great grammarian - after Pāṇini, Kātyāyana and Patañjali - and the first to make the philosophical aspects of language and grammar the main subject of an independent work. This work, the Vākyapadīya (VP), consists of about 2000 philosophical couplets or kārikās. Since the latter half of the nineteenth century, the VP has been known to Western Sanskritists, but its language-philosophical contents have started to receive (...) serious attention only in the last few decennia. The subject matter of the VP resonates strongly with crucial themes in twentieth-century Western thought, although the background and the way the issues are elaborated are quite different. Scholars have compared and contrasted Bhartṛhari's ideas with those of de Saussure, Wittgenstein and Derrida. A theme which, as a leitmotiv, pervades the entire VP is the relation between language, thought and reality. In several Indian traditions, a proper insight into this relation was (and still is) held to be of importance for attaining 'liberation'. (shrink)

We say that A≤LRB if every B-random set is A-random with respect to Martin–Löf randomness. We study this relation and its interactions with Turing reducibility, classes, hyperimmunity and other recursion theoretic notions.

The usual way for new cells to come into being is by division of old cells. So the zygote, which is a—new—single cell formed from two, the sperm and ovum, is an exception. Textbooks of human genetics usually say that this new cell is beginning of a new human individual. What this indicates is that they suddenly forget about identical twins.

_Zettel, _ an en face bilingual edition, collects fragments from Wittgenstein's work between 1929 and 1948 on issues of the mind, mathematics, and language.

Is God's foreknowledge compatible with human freedom? One of the most attractive attempts to reconcile the two is the Ockhamistic view, which subscribes not only to human freedom and divine omniscience, but retains our most fundamental intuitions concerning God and time: that the past is immutable, that God exists and acts in time, and that there is no backward causation. In order to achieve all that, Ockhamists distinguish ‘hard facts’ about the past which cannot possibly be altered from ‘soft facts’ (...) about the past which are alterable, and argue that God's prior beliefs about human actions are soft facts about the past. (shrink)

Em Janeiro de 1599 era promulgado o documento que. hoje em dia. se reconhece como constituindo o Sistema Educative) dos Jesuítas. geralmente denominado "Ratio Studiorum". Documento que tern uma historia. que é experiência aplicada e uma inspiração. Para a história contribuiram. de forma mais explícita. pessoas como Inacio de Loiola. com a sua experiencia permanentemente reflectida e partilhada: Jeronimo Nadal por muitos considerado o segundo fundador dos jesuitas. pelo empenho e acerto na fundaçao de colégios para alunos externos: Cláudio Aquaviva, (...) a quern coube promover e coordenar a tarefa de encontrar fõrmula comum para os estudos. já amplamente difundidos. Nesta caminhada cabe ainda referir o Colégio Romano e sua permanente atenção e reflexão em processo tão delicado. É nos Exercicios Espirituais reflexo da peregrinação de Inácio e seus Companheiros que se deve centrar a inspiração e algum método a que náo é alheia a aprendizagem segundo o "modus parisiensis". /// In January 1599 a document was approved, generally called Ratio Studiorum. which is considered today as the basis of the Education System of the Jesuits. This document has a historical background, where both applied experience and inspiration meet. The main contributors were Ignace of Loyola, through his permanently examined and shared experience: Jerome Nadal. who many considered the second founder of the Jesuits, because of his commitment and success in the foundation of colleges for non-jesuit students: Claudio Aquaviva, who promoted and coordinated the work that led to unify the many contributions. The Roman College played also a main role in this difficult process through a permanent attention and reflection. It is in the Spiritual Exercises, which reflect the pilgrimage of Ignace and his companions, that we can find both the inspiration and the method, which was also influenced by the pedagogy of the so called "modus parisiensis". (shrink)

The results of some high-stakes aptitude tests in Austria have revealed sex differences. We suggest that such discrepancies are mediated not principally by differences in aptitudes, skills, and knowledge but gender differences in test takers’ perceptions of the test situation. Furthermore, previous research has indicated that candidates’ evaluations of the fairness of the testing tool are of great importance from an institutional point of view because such perceptions are known to influence an organization’s attractiveness. In this study, we aimed to (...) investigate how women and men perceive and evaluate certain aspects of a high-stakes test situation by using the results and evaluations of an actual medical school aptitude test (753 applicants; 59% women). Test takers voluntarily evaluated the test situation and rated specific aspects of it (e.g., the fairness of the selection tool) and provided information regarding their test anxiety immediately after they completed the 4-hour test. Data analyses indicated small, albeit significant sex differences in participants’ perceptions of the test. Men described the test situation as slightly giving more opportunity to socialize and possessing more opportunity to deceive than women did. Furthermore, the perception of the test situation did not directly predict the test results, but it served as a moderator for the indirect effect of test anxiety on test results. By contrast, there were significant direct effects but no indirect effects of situation perception on evaluations of the fairness of the selection tool: The more the test situation was perceived as a high-pressure situation, the lower the fairness ratings of the testing tool. Results were discussed with reference to gender roles and test fairness. (shrink)