Truth and knowledge are conceptually related and there is a way of construing both that implies that they cannot be solely derived from a description that restricts itself to a set of scientific facts. In the first section of this essay, I analyse truth as a relation between a praxis, ways of knowing, and the world. In the second section, I invoke the third thing—the objective reality on which we triangulate as knowing subjects for the purpose of complex scientific endeavours (...) like medical science and clinical care. Such praxes develop robust methods of “keeping in touch” with disease and illness (like biomarkers). An analysis drawing on philosophical semantics motivates the needed (anti-scientistic) account of meaning and truth (and therefore knowledge) and underpins the following argument: (i) the formulation and dissemination of knowledge rests on language; (ii) language is selective in what it represents in any given situation; (iii) the praxes of a given (sub)culture are based on this selectivity; but (iv) human health and illness involve whole human beings in a human life-world; therefore, (v) medical knowledge should reflectively transcend, where required, biomedical science towards a more inclusive view. Parts three and four argue that a post-structuralist (Lacanian) account of the human subject can avoid both scientism and idealism or unconstrained relativism. (shrink)

The ability to feel pain is a property of human beings that seems to be based entirely in our biological natures and to place us squarely within the animal kingdom. Yet the experience of pain is often used as an example of a mental attribute with qualitative properties that defeat attempts to identify mental events with physiological mechanisms. I will argue that neurophysiology and psychology help to explain the interwoven biological and subjective features of pain and recommend a view of (...) pain which differs in important respects from the one most commonly accepted. (shrink)

In this unique study Fulford combines the disciplines of rigorous philosophy with an intimate knowledge of psychopathology to overturn traditional hegemonies. The patient replaces the doctor at the heart of medicine. Moral theory and the logic of evaluation replace epistemology as the focus of philosophical enquiry. Ever controversial, mental illness is at the interface of philosophy and medicine. Mad or bad? Dissident or diseased? Dr Fulford shows that it is possible to achieve new insights into these traditional dilemmas, insights at (...) once practically relevant and philosophically significant. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy and Literature 29.2 (2005) 269-285 [Access article in PDF] Oedipus The King: Temperament, Character, and Virtue Grant Gillett Robin Hankey University of Otago I Recent discussions of ethics and literature suggest that there is a relationship between reading (or, better, immersing oneself in) literature (in particular, fiction) and the virtues. Nussbaum goes so far as to claim not only that good literature is conducive to moral sense (...) and sensibility but also that "the well-lived life is a work of literary art."1 The character development in most substantial fictional work that aims to engage us through its realism and truth to the human condition suggests that there is such a thing as a quasi-stable character and that an agent's character plays a significant role in the way not only that the person acts but also in the kinds of thing that happen to him or her. For a certain kind of virtue theorist, the internal harmony of character required for a person to do the right thing in a diverse range of situations involves cultivating exactly those skills required to live well. This thesis amounts to a claim that there is a close, indeed conceptual, relationship between right living and good living and that the type of character which results from cultivating the virtues is a character conducive to getting the best out of the situations that life throws in our way, whereas the vicious character reveals itself by causing strife, harm, and even tragedy.Gilbert Harman, criticizing virtue ethics on the basis of some key experiments in social psychology which have led to the idea of a "fundamental attribution error," argues that people do not have enduring character traits of the type required to sustain such a position.2 His critique has itself been attacked on the basis that what the experiments show is not the absence of character traits but their ability [End Page 269] to be influenced by the demands of a situation.3 Our objection is against the conception of virtues being attacked and also his sweeping conclusion about human nature and it has two strands. First we argue that phronesis, as the hallmark of a virtuous character, is a mix of skills, abilities, and attitudes honed in such a way as to allow the person to act fittingly in different life situations. Second, character runs true to type in an individual and even runs in families.We find support for both claims in Sophocles' Oedipus the King. This is, of course, a myth but one that has spoken to human beings across the ages and it recognizes both that different individuals show certain regularities in their modes of relationship and their conduct and that these tendencies are often familial, contributing significantly to the events marking family stories and traditions. Phronesis or practical wisdom is the skill to negotiate the challenges that life produces when fate deals one a hand of this (genetic and genealogical) kind. In the process of making the case we will support the claim that fiction "can significantly contribute to moral understanding by revealing what certain situations amount to" and therefore that it "can bring home to us the force of, for example, moral dilemmas" and indeed moral concepts, and we will use the Oedipus story to reflect on the lessons emerging from one version of virtue ethics.4We approach the Oedipus myth through Sophocles' tragedy in which an oracle about patricide and incest plays itself out in the lives of certain characters. The relevance for virtue ethics arises from the ways in which characters in the play react to their predicament and try to cope with the situations they must face. In moral life, individuals need to find strategies to deal with challenges they face both as individuals and as persons-in-relationships-with-others. The reactions portrayed in Oedipus make vivid not only the idea of character traits but also the role of virtue in moderating what we might do in situations that interact with our characters in potentially disastrous ways. II Harman's challenge begins... (shrink)

Perception is often analysed as a process in which causal events from the environment act on a subject to produce states in the mind or brain. The role of the subject is an increasing feature of neuroscientific and cognitive literature. This feature is linked to the need for an account of the normative aspects of perceptual competence. A holographic model is offered in which objects are presented to the subject classified according to rules governing concepts and encoded in brain function (...) in that form. This implies that the analysis of perception must consider not only the fact that there is an interaction between the perceiving subject and the perceived object but also that the interaction is shaped by a system of concepts which the subject uses in thought and action. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 12.1 (2005) 23-24 [Access article in PDF] Schechtman's Narrative Account of Identity Grant Gillett Keywords personal identity, narrative self, memory I have long been an admirer of Schechtman's sensitive and psychologically realistic account of personal identity. In the present piece, she addresses the issues surrounding personal identity through Locke's view and problems attending that view and the psychological continuity theories descended from it.She examines (...) the claim that the person is more extensive than the conscious mind and includes aspects of nonconscious mental activity. Schechtman argues that one must have a self-conception that includes a trajectory where present experience unfolds meaningfully out of one's past replete with implications for what one does and how one does it. She locates, in current writing on the self, the idea of a perceiver or narrator self who tries to make sense out of herself as a human being with certain thoughts and feelings and is sometimes at a loss to do so. To this potentially very rich starting point we need only add the fact that a person draws on discursive and narrative skills that have been inscribed in her being to do this narrative, editorial, and judicial task and that many of these skills have been imbibed with mother's milk (and father's voice). From this discursively inscribed set of resources and orientations arise guilt, shame, pride, aspiration, vulnerability, and that crucial sense of who one is as a person among others.It follows that here we might also find the source of the discontents that induce a person to apply to a psychiatrist or counselor for help with the narrative work required to fashion a liveable self. If Schechtman is right, the cognitive capacities contributing to memory and "keeping track of oneself"(in a deep and satisfying way) are to be found in part in the nonconscious domain rather than the thin layer of consciousness and propositional attitude psychology that enters the mind of an analytic philosopher or a psychiatrist uninterested in depth.I think she is right and that this paper and her more extensive work on the constitution of self represent a fertile point at which psychiatrists and psychotherapists can begin the task of understanding the nature of identity and the challenges involved in finding one that will serve the unfolding project of understanding and forming the self. I believe that the resources that individuals need for this task are derived from one's rootedness in culture and human relationships where the levels of self that support consciousness can be nurtured according to what Michel Foucault calls the techniques proper to the care of the self. Schechtman has done us a favor in taking the debates surrounding neo-Lockean [End Page 23] views of personal identity and outlining a perspective on identity and memory that can lead us to develop our understanding of the complexity of the human psyche as it roams through the jungle/jumble of discursive life and tries to nourish itself on what it finds there.Grant Gillett is a Professor of Medical Ethics at the University of Otago in Dunedin, New Zealand. He is also a practicing neurosurgeon. His philosophical work is in philosophy of mind and psychiatry, continental philosophy, and bioethics. His most recent books are The Mind and Its Discontents (Oxford University Press) and Bioethics in the Clinic (Johns Hopkins University Press). He works on postmodern and traditional analytic approaches to mind, language, and psychiatry. He can be reached at Dunedin Hospital and Otago Bioethics Centre, University of Otago Medical School, PO Box 913, Dunedin, New Zealand, or via e-mail at grant.gillett@stonebow.otago.ac.nz.... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 9.2 (2002) 123-125 [Access article in PDF] The Self as Relatum in Life and Language Grant Gillett THE STUDY REPORTED by van Staden is extremely interesting to any psychological theorist influenced by Jacques Lacan because of Lacan's insistence that the unconscious is not only structured like a language but actually reflects and is produced by linguistic interactions between the subject and others.The distinction he (...) draws, on the basis of Frege's analysis of logical and grammatical structure, is not straightforwardly evident on a superficial inspection of the sentences concerned. It is also less clear than the agent-patient or subject-object distinction that one might look for on the basis of considering the action being performed. van Staden makes both of these points in the course of illustrating the relevant deep grammatical property on which the study turns. In doing so he engages with the subtle work on subject and object by Strawson (1959) who was one of the first, in the "descriptive metaphysics" of Individuals, to explore the resonance between what we might call (after Frege) "logical grammar" and the deep metaphysical structure of our thought. Strawson noted that the position of grammatical subject in a sentence was typically occupied by a particular or individual substance rather than the accident or property of a substance so that the subject predicate structure of language reflects a basic feature of our world picture whereby the world is seen to be populated by particular objects that instance universal features.Chomsky is the other player whose thought is important in this area in that he argues that we have an innate sense of deep structure, which allows us to disambiguate any sentence so as to reveal the state of affairs that is being represented. Thus we discern that what is denoted by "John loves Mary" is the same thought as that conveyed by "Mary is loved by John." van Staden focuses on something more general—the deep structure that expresses semantic relations or positions. This is not the same as the agent or the simply grammatical subject and van Staden calls it the owner of the relation involved as distinct from the accident of that relation. The terms are well chosen because ownership is a term a la mode in postmodern thought to express the relationship of a human being to the events and attributes associated with him or her. When we look at this subtle grammatological or semantic feature of language we see that the linguistic feature in question is the kind of thing that could easily be overlooked were it not for a post-Fregean analysis of the type van Staden offers.The content that van Staden identifies in relation to what is signified or represented by an utterance is difficult to characterize. It is not what Frege would call logical content in that it does not contribute to the truth value of any of the propositions concerned. It is also problematic to call it psychological content because it is not part of the conscious message conveyed by the utterance. Nevertheless, the study concerned raises [End Page 123] the possibility that it is psychic in a very significant way, which is best approached by considering the relationships between language and the unconscious.Chomsky is regarded as having defined a number of linguistic operations that take propositional or meaningful content and transform it into the form in which it is uttered. The relevant cognitive operations are usually regarded as being performed by the cognitive unconscious, which in some sense applies the rules of grammar to yield well-formed utterances on the basis of speaker intentions. In any event, nobody would seriously question the idea that there are unconscious operations that underpin the production of grammatically structured utterances.If we add to this the possibility that a more dynamic aspect to the unconscious has a role to play in the semantic content of our utterances, then a fruitful line of thought begins to emerge. The dynamic unconscious has to do with self-image and those influences that form the psyche... (shrink)

Foundationalist, Coherentist. Skeptic etc., have all been united in one respect—all accept epistemic justification cannot result from an unending, and non‐repeating. chain of reasons. Peter Klein has recently challenged this minimal consensus with a defense of what he calls “Intinitism”—the position that justification can result from such a regress. Klein provides surprisingly convincing responses to most of the common objections to Infinitism, but I will argue that he fails to address a venerable metaphysical concern about a certain type of regress. (...) My conclusion will be that until Klein answers these metaphysical worries he will not have restored Infinitism as a viable option in epistemology. (shrink)

Part I -- Scientific Composition and the New Mechanism. - 1. Laura Franklin-Hall: New Mechanistic Explanation and the Need for Explanatory Constraints. - 2. Kenneth Aizawa: Compositional Explanation: Dimensioned Realization, New Mechanism, and Ground. - 3. Jens Harbecke: Is Mechanistic Constitution a Version of Material Constitution?. - 4. Derk Pereboom: Anti-Reductionism, Anti-Rationalism, and the Material Constitution of the Mental. Part II -- Grounding, Science, and Verticality in Nature. - 5. Jonathan Schaffer: Ground Rules: Lessons from Wilson. - 6. Jessica Wilson: (...) The Unity and Priority Arguments for Grounding. - 7. Carl Gillett: The Metaphysics of Nature, Science, and the Rules of Engagement. - 8. Andrew Melnyk: Grounding and the Formulation of Physicalism. - 9. Alyssa Ney: Grounding in the Philosophy of Mind: A Defense. (shrink)

This study examines the relationship between thought and language by considering the views of Kant and the later Wittgenstein along with many strands of contemporary debate in the area of mental content. Building on an analysis of the nature of concepts and conceptions of objects, Gillett provides an account of psychological explanation and the subject of experience, offers a novel perspective on mental representation and linguistic meaning, looks at the difficult topics of cognitive roles and singular thought, and concludes (...) with an outline of certain considerations relevant to skeptical arguments and the nature of perception. The resulting synthesis demonstrates interesting correlations with current work in cognitive and developmental psychology, and is directly relevant to continuing work in epistemology, philosophy of mind, and philosophical psychology. (shrink)

One of the main early forms of “functionalism,” developed by writers like Jerry Fodor and William Lycan, focused on “mechanistic” explanation in the special sciences and argued that “functional properties” in psychology were continuous in nature with the special science properties posited in such mechanistic explanations. I dub the latter position“Continuity Functionalism” and use it to critically examine the “Standard Picture” of the metaphysics of functionalism which takes “functional” properties to be second-order properties and claims there are two metaphysical forms (...) of “functionalism,” in so-called “role” and “realizer” functionalism. Looking at mechanistic explanations, I show that the “functional properties” posited in the special sciences are not second-order properties and that Continuity Functionalism is a distinctive metaphysical version of functionalism not covered by the Standard Picture. My conclusion is that the Standard Picture offers us a false dichotomy of ways to be a “functionalist” and that “functionalists” thus need to look once more to the special sciences to configure their views, thus eschewing the machinery inherited from “analytic” philosophers. (shrink)

One of the main early forms of “functionalism,” developed by writers like Jerry Fodor and William Lycan, focused on “mechanistic” explanation in the special sciences and argued that “functional properties” in psychology were continuous in nature with the special science properties posited in such mechanistic explanations. I dub the latter position“Continuity Functionalism” and use it to critically examine the “Standard Picture” of the metaphysics of functionalism which takes “functional” properties to be second-order properties and claims there are two metaphysical forms (...) of “functionalism,” in so-called “role” and “realizer” functionalism. Looking at mechanistic explanations, I show that the “functional properties” posited in the special sciences are not second-order properties and that Continuity Functionalism is a distinctive metaphysical version of functionalism not covered by the Standard Picture. My conclusion is that the Standard Picture offers us a false dichotomy of ways to be a “functionalist” and that “functionalists” thus need to look once more to the special sciences to configure their views, thus eschewing the machinery inherited from “analytic” philosophers. (shrink)

Grant Gillett argues that it is consciousness which makes a human or other being the 'locus of ethical value'. Since cortical functioning is, in Gillett's view, necessary for conscious activity, an individual whose neocortex is permanently non-functional is no longer a locus of ethical value and cannot be benefited or harmed in a morally relevant sense. This means that there is no obligation to continue treating those who have suffered neocortical death.

There is a fairly closed circle between culture, language, meaning, and truth such that the world of a given culture is a world understood in terms of the meanings produced in that culture. Medicine is, in fact, a subculture of a powerful type and has its own language and understanding of the range of illnesses that affect human beings. So how does medicine get at the truth of people and their ills in such a way as to escape its own (...) limited constructions? There is a way out of the closed circle implicit in the idea of a praxis and the engagement with reality that is central to it and the further possibility introduced by Jacques Lacan that signification is never comprehensive in relation to the subject's encounter with the real. I will explore both of these so as to develop a conception of truth that is apt for the knowledge that arises in the clinic. (shrink)

This open access book is a systematic update of the philosophical and scientific foundations of the biopsychosocial model of health, disease and healthcare. First proposed by George Engel 40 years ago, the Biopsychosocial Model is much cited in healthcare settings worldwide, but has been increasingly criticised for being vague, lacking in content, and in need of reworking in the light of recent developments. The book confronts the rapid changes to psychological science, neuroscience, healthcare, and philosophy that have occurred since the (...) model was first proposed and addresses key issues such as the model’s scientific basis, clinical utility, and philosophical coherence. The authors conceptualise biology and the psychosocial as in the same ontological space, interlinked by systems of communication-based regulatory control which constitute a new kind of causation. These are distinguished from physical and chemical laws, most clearly because they can break down, thus providing the basis for difference between health and disease. This work offers an urgent update to the model’s scientific and philosophical foundations, providing a new and coherent account of causal interactions between the biological, the psychological and social. (shrink)

Grand debates over reduction and emergence are playing out across the sciences, but these debates have reached a stalemate, with both sides declaring victory on empirical grounds. In this book, Carl Gillett provides new theoretical frameworks with which to understand these debates, illuminating both the novel positions of scientific reductionists and emergentists and the recent empirical advances that drive these new views. Gillett also highlights the flaws in existing philosophical frameworks and reorients the discussion to reflect the new (...) scientific advances and issues, including the nature of 'parts' and 'wholes', the character of aggregation, and thus the continuity of nature itself. Most importantly, Gillett shows how disputes about concrete scientific cases are empirically resolvable and hence how we can break the scientific stalemate. Including a detailed glossary of key terms, this volume will be valuable for researchers and advanced students of the philosophy of science and metaphysics, and scientific researchers working in the area. (shrink)

Abstract: There has recently been controversy over the existence of 'multiple realization' in addition to some confusion between different conceptions of its nature. To resolve these problems, we focus on concrete examples from the sciences to provide precise accounts of the scientific concepts of 'realization' and 'multiple realization' that have played key roles in recent debates in the philosophy of science and philosophy of psychology. We illustrate the advantages of our view over a prominent rival account ( Shapiro, 2000 and (...) 2004 ) and use our work to rebut recent objections to the long-standing claim that psychological properties are multiply realized. For we use scientific evidence, in combination with our more precise theoretical framework, to show that we have strong reason to believe that psychological properties are indeed multiply realized both at the biochemical and neuronal levels. (shrink)

Topics in Cognitive Science, Volume 14, Issue 2, Page 363-387, April 2022.

One of the main early forms of “functionalism,” developed by writers like Jerry Fodor and William Lycan, focused on “mechanistic” explanation in the special sciences and argued that “functional properties” in psychology were continuous in nature with the special science properties posited in such mechanistic explanations. I dub the latter position“Continuity Functionalism” and use it to critically examine the “Standard Picture” of the metaphysics of functionalism which takes “functional” properties to be second-order properties and claims there are two metaphysical forms (...) of “functionalism,” in so-called “role” and “realizer” functionalism. Looking at mechanistic explanations, I show that the “functional properties” posited in the special sciences are not second-order properties and that Continuity Functionalism is a distinctive metaphysical version of functionalism not covered by the Standard Picture. My conclusion is that the Standard Picture offers us a false dichotomy of ways to be a “functionalist” and that “functionalists” thus need to look once more to the special sciences to configure their views, thus eschewing the machinery inherited from “analytic” philosophers. (shrink)

‘Neuroethics’ is a term which has come into use in the last few years, and which is variously defined. In the Preface to his book, Grant Gillett indicates the sense in which he is using it: the central questions in neuroethics, he says, are those of ‘human identity, consciousness and moral responsibility or the problem of the will’. His aim is to offer an account of human identity which can shed light on issues both in general philosophy and in (...) bioethics.The question which this account seeks to answer is stated in various ways in the book, but perhaps the simplest formulation is this: what is the difference between being somebody and being some body? The Cartesian answer, that the difference lies in the possession of an immaterial thinking substance, is rejected on the grounds that a thinking thing cannot be only a thinking thing: to think is to respond to the world in various ways, which requires bodily means of response. But the same argument also applies to the ‘Cartesian materialism’ which would identify ‘mind’ with ‘brain’. Instead …. (shrink)

Delusions, a key feature of psychosis, are usually thought of as a type of belief, as in the definition of the American Psychiatric Association: A false belief based on incorrect inference about external reality that is firmly sustained despite what almost everyone else believes and despite what constitutes incontrovertible and obvious proof or evidence to the contrary. The belief is not one ordinarily accepted by other members of the person’s culture or subculture (e.g. it is not an article of religious (...) faith). This characterization is often criticized, but other definitions typically comprise similar elements. For some, delusions are only loosely considered as beliefs (Jaspers 1963; Moor and Tucker .. (shrink)

Biologists seems to hold two fundamental beliefs: Organisms are organized into levels and the individuals at these levels differ in their properties. Together these suggest that there will be massive multiple realization, i.e. that many human psychological properties are multiply realized at many neurobiological levels. This paper provides some documentation in support of this suggestion.

This study adapts the theory of reasoned action (Ajzen and Fishbein, 1980) to the behavior of fraudulent reporting on financial statements so as to examine the effects of moral reasoning and self-monitoring on intention to report fraudulently, using structural equation modeling. The paper seeks to investigate two of the red flags for financial statement fraud identified in Loebbecke et al.'s (1989) paper: client management displays a significant lack of moral fiber and client personnel exhibit strong personality anomalies. As expected, high (...) moral reasoners are more influenced than low moral reasoners by their own attitude towards the behavior. Contrary to prior research, low self-monitors are found to be more influenced than high self-monitors by subjective norms. Future research is recommended to investigate the counter-intuitive results for self-monitors, to consider the implications of group decision making as regards the promulgation of fraudulent financial statements, and to examine additional red flags for financial statement fraud. (shrink)

Understanding the 'making-up' relations, to put things neutrally, posited in mechanistic explanations the sciences is finally an explicit topic of debate amongst philosophers of science. In particular, there is now lively debate over the nature of the so-called 'realization' relations between properties posited in such explanations. Despite criticism (Gillett, Analysis 62: 316-323, 2002a), the most common approach continues to be that of applying machinery developed in the philosophy of mind to scientific concepts in what is known as the 'Flat' (...) or 'Subset' model of 'realization' (Kim, Mind in a physical world, 1998; Shapiro, J Philos XCVII: 635-654, 2000; Clapp, J Philos XCVIII: 111-136,2001 ; Wilson, Philos Stud 145: 149-169,2009). My primary goal in this paper is to show in still more detail that the Subset model of realization is inadequate for the descriptive task of describing the 'making-up' relations posited between properties or their instances in mechanistic explanations in the higher sciences. And my secondary goal is to highlight why this critique of the Subset view as a first-order descriptive account also shows there are deep difficulties in using the Subset account to address second-order issues in the philosophy of science as well. (shrink)

ABSTRACT There are a number of arguments that purport to show, in general terms, that there is no difference between killing and letting die. These are used to justify active euthanasia on the basis of the reasons given for allowing patients to die. I argue that the general and abstract arguments fail to take account of the complex and particular situations which are found in the care of those with terminal illness. When in such situations, there are perceptions and intuitions (...) available that do not easily find propositional form but lead most of those whose practice is in the care of the dying to resist active euthanasia. I make a plea for their intuitions to be heeded above the sterile voice of abstract premises and arguments by examining the completeness of the outline form of the pro‐euthanasia argument. In doing so, I make use of Nussbaum's discussion of moral perception and general claims to be found in the literature of moral particularism. (shrink)

In the New Mechanist literature, most attention has focused on the compositional explanation of processes/activities of wholes by processes/activities of their parts. These are sometimes called “constitutive mechanistic explanations.” In this paper, we defend moving beyond this focus to a Pluralism about compositional explanation by highlighting two additional species of such explanations. We illuminate both Analytic compositional explanations that explain a whole using a compositional relation to its parts, and also Standing compositional explanations that explain a property of a whole (...) using a compositional relation to the properties of its parts. We also highlight how adopting a Pluralism about compositional explanations justifies a more Pluralist view of the ontological posits of such explanations and opens up a range of new research questions. (shrink)

In this paper, we analyse how GPS-based navigation systems are transforming some of our intellectual virtues and then suggest two strategies to improve our practices regarding the use of such epistemic tools. We start by outlining the two main approaches in virtue epistemology, namely virtue reliabilism and virtue responsibilism. We then discuss how navigation systems can undermine five epistemic virtues, namely memory, perception, attention, intellectual autonomy, and intellectual carefulness. We end by considering two possible interlinked ways of trying to remedy (...) this situation: [i] redesigning the epistemic tool to improve the epistemic virtues of memory, perception, and attention; and [ii] the cultivation of cognitive diligence for wayfinding tasks scaffolding intellectual autonomy and carefulness. (shrink)

ABSTRACTThere are a number of arguments that purport to show, in general terms, that there is no difference between killing and letting die. These are used to justify active euthanasia on the basis of the reasons given for allowing patients to die. I argue that the general and abstract arguments fail to take account of the complex and particular situations which are found in the care of those with terminal illness. When in such situations, there are perceptions and intuitions available (...) that do not easily find propositional form but lead most of those whose practice is in the care of the dying to resist active euthanasia. I make a plea for their intuitions to be heeded above the sterile voice of abstract premises and arguments by examining the completeness of the outline form of the pro‐euthanasia argument. In doing so, I make use of Nussbaum's discussion of moral perception and general claims to be found in the literature of moral particularism. (shrink)

The ability to feel pain is a property of human beings that seems to be based entirely in our biological natures and to place us squarely within the animal kingdom. Yet the experience of pain is often used as an example of a mental attribute with qualitative properties that defeat attempts to identify mental events with physiological mechanisms. I will argue that neurophysiology and psychology help to explain the interwoven biological and subjective features of pain and recommend a view of (...) pain which differs in important respects from the one most commonly accepted. (shrink)

Physicalism, a topic that has been central to modern philosophy of mind and metaphysics, is the philosophical view that everything in the space-time world is ultimately physical. The physicalist will claim that all facts about the mind and the mental are physical facts and deny the existence of mental events and state insofar as these are thought of as independent of physical things, events and states. This collection of essays, first published in 2001, offers a series of perspectives on this (...) important doctrine and brings depth and breadth to the philosophical debate. A group of distinguished philosophers, comprising both physicalists and their critics, consider a wide range of issues including the historical genesis and present justification of physicalism, its metaphysical presuppositions and methodological role, its implications for mental causation, and the account it provides of consciousness. (shrink)

The Cognitive Integration (henceforth CI) framework posits the existence of integrated cognitive systems (henceforth ICS). In this chapter we outline the nature of ICS and their phylogenetic history. We shall argue that phylogenetically earlier forms of cognition are built upon by more recent cultural innovations. Many of the phylogenetically earlier components are forms of sensorimotor interactions with the environment (Menary 2007a, 2010a, 2016). These sensorimotor interactions are redeployed (or retrained) to service more recent cultural innovations (Dehaene & Cohen 2007). The (...) main aim of this chapter is to give an overview of the CI framework in terms of phylogenetically ancient embodied interactions with the environment and the more recent culturally evolved practices that redeploy our primitive capacities for sensorimotor interactions and manipulations of tools, objects and, in a very recent innovation, public systems of representation. In doing so, we provide a case for the enculturation of our bodies and brains. (shrink)

The first edition of The Mind and its Discontents was a powerful analysis of how, as a society, we view mental illness. In the ten years since the first edition, there has been growing interest in the philosophy of psychiatry, and a new edition of this text is more timely and important than ever. -/- In The Mind and its Discontents, Grant Gillett argues that an understanding of mental illness requires more than just a study of biological models of (...) mental processes and pathologies. As intensely social animals, he argues, we need to look for the causes of human mental disorders in our interactions with others; in social rule-following and its role in the organization of mental content; in the power relations embedded within social structures and cultural norms; in the way that our mental life is inscribed by a cumulative life of encounters with others. Drawing upon work from within the philosophy of mind, epistemology, post-modern continental philosophy, and philosophy of language, he tries to elucidate the nature of psychiatric phenomena involving disorders of thought, perception, emotion, moral sense, and action. Within this framework, a series of chapters analyse important psychiatric disorders such as depression, attention deficiency, autism, schizophrenia, and anorexia. Along the way, Gillett explores the nature of memory and identity; of hysteria and what constitutes rational behaviour; and of what causes us to label someone a psychopath or deviant. -/- Updated, available in paperback, and more accessible than before, the new edition of this fascinating book will provide readers with important insights into the causes and nature of psychosis. In addition, Gillett's arguments have considerable implications for the way in which we understand and treat people suffering from psychiatric disorders. The Mind and its Discontents will be read by researchers and postgraduate students in a range of academic areas, including psychiatry, bioethics, philosophy of mind, social theory, and clinical psychology. It will also be of considerable interest to practising psychiatrists. (shrink)

Examines the relationship between thought and language by considering the views of Kant and Wittgenstein alongside many strands of contemporary debate in the area of mental content.

This collection examines prevalent assumptions in moral reasoning which are often accepted uncritically in medical ethics. It introduces a range of perspectives from philosophy and medicine on the nature of moral reasoning and relates these to illustrative problems, such as New Reproductive Technologies, the treatment of sick children, the assessment of quality of life, genetics, involuntary psychiatric treatment and abortion. In each case, the contributors address the nature and worth of the moral theories involved in discussions of the relevant issues, (...) and focus on the types of reasoning which are employed. 'Medical ethics is in danger of becoming a subject kept afloat by a series of platitudes about respect for persons or the importance of autonomy. This book is a bold and imaginative attempt to break away from such rhetoric into genuine informative dialogue between philosophers and doctors, with no search after consensus.' Mary Warnock. (shrink)