Is it ethical to perform a surgery whose purpose is to make a male look like a female or a female to appear male? Is it medically appropriate? Sexual reassignment surgery (SRS) violates basic medical and ethical principles and is therefore not ethically or medically appropriate. (1) SRS mutilates a healthy, non-diseased body. To perform surgery on a healthy body involves unnecessary risks; therefore, SRS violates the principle primum non nocere, “first, do no harm.” (2) Candidates for SRS may believe (...) that they are trapped in the bodies of the wrong sex and therefore desire or, more accurately, demand SRS; however, this belief is generated by a disordered perception of self. Such a fixed, irrational belief is appropriately described as a delusion. SRS, therefore, is a “category mistake”—it offers a surgical solution for psychological problems such as a failure to accept the goodness of one’s masculinity or femininity, lack of secure attachment relationships in childhood with same-sex peers or a parent, self-rejection, untreated gender identity disorder, addiction to masturbation and fantasy, poor body image, excessive anger, and severe psychopathology in a parent. (3) SRS does not accomplish what it claims to accomplish. It does not change a person’s sex; therefore, it provides no true benefit. (4) SRS is a “permanent,” effectively unchangeable, and often unsatisfying surgical attempt to change what may be only a temporary (i.e., psychotherapeutically changeable) psychological/psychiatric condition. National Catholic Bioethics Quarterly 9.1 (Spring2009): 97–125. (shrink)

When David Lewis ( 1986 ) told us that possible worlds were a ‘paradise for philosophers’, he neglected to add that they are a minefield for decision theorists. Possibilities — be they nomological, metaphysical, or epistemic possibilities — have little to do with subjective probabilities, and it is these latter that matter most to decision theory. Bernard Katz and Doris Olin ( 2007 ) have tried to solve the two-envelope problem by appealing to possible worlds and counterfactual conditionals. In this (...) article, I explain why any such attempt is misguided, and why we, qua decision theorists, must focus on the probable rather than the possible. (shrink)

When David Lewis (1986) told us that possible worlds were a ‘paradise for philosophers,’ he neglected to add that they are a minefield for decision theorists. Possibilities—be they nomological, metaphysical, or epistemic possibilities—have little to do with subjective probabilities, and it is these latter that matter most to decision theory. Bernard Katz and Doris Olin (2007) have tried to solve the two-envelope problem by appealing to possible worlds and counterfactual conditionals. In this paper I explain why any such attempt is (...) misguided, and why we, qua decision theorists, must focus on the probable rather than the possible. (shrink)

In this paper, a new method of quantitatively assessing continuity and discontinuity of visual attention is developed. The method is based on representing narrative information using graph theory. It is applicable to any type of narrative report. Since dream reports are often described as bizarre, and since bizarreness is partially characterized by discontinuities in plot, we chose to test our method on a set of dream data. Using specific criteria for identifying and arranging objects of visual attention, dream narratives from (...) 10 subjects were obtained and mapped onto graphs. The interrater reliabilities were 76% and 91% . Discontinuities in visual attention were quantified by plotting transitions from one part of a graph to another, which provided a spatiotemporal map of attention shifts within a narrative. This procedure was compared with other approaches to discontinuity and also applied to a set of 10 fantasy reports from the same subjects. The results showed that our method includes but transcends other approaches and has the capability to distinguish dream and fantasy reports. To our knowledge, the method provides the most rigorous and reliable measure to date of continuity and discontinuity of attention in narrative reports. (shrink)

To test the notion that shifts in visual imagery and attention are correlated with experiences of emotion, we studied 10 dream reports using an affirmative probe of emotion and a quantitative measure of plot discontinuity. We found that emotion, especially changes in emotion, are correlated with discontinuities in visual imagery. These correlations are quantified using a new graph theoretical method for analyzing narrative reports.

Pancreatitis is a complex, progressively destructive inflammatory disorder. Alcohol was long thought to be the primary causative agent, but genetic contributions have been of interest since the discovery that rare PRSS1, CFTR and SPINK1 variants were associated with pancreatitis risk. We now report two associations at genome-wide significance identified and replicated at PRSS1-PRSS2 and X-linked CLDN2 through a two-stage genome-wide study. The PRSS1 variant likely affects disease susceptibility by altering expression of the primary trypsinogen gene. The CLDN2 risk allele is (...) associated with atypical localization of claudin-2 in pancreatic acinar cells. The homozygous CLDN2 genotype confers the greatest risk, and its alleles interact with alcohol consumption to amplify risk. These results could partially explain the high frequency of alcohol-related pancreatitis in men. © 2012 Nature America, Inc. All rights reserved. (shrink)

A revision of the author's thesis, University of Michigan, 1969. Bibliography: p. [154]-161. Includes index.

We have a striking ability to alter our psychological access to past experiences. Consider the following case. Andrew “Nicky” Barr, OBE, MC, DFC, (1915 – 2006) was one of Australia’s most decorated World War II fighter pilots. He was the top ace of the Western Desert’s 3 Squadron, the pre-eminent fighter squadron in the Middle East, flying P-40 Kittyhawks over Africa. From October 1941, when Nicky Barr’s war began, he flew 22 missions and shot down eight enemy planes in his (...) first 35 operational hours. He was shot down three times, once 25 miles behind enemy lines while trying to rescue a downed pilot. He escaped from prisoner of war camps four times, once jumping out of a train as it travelled from Italy into Austria. His wife Dot, who he married only weeks before the war, waited for him at home. She was told on at least three occasions that he was missing in action or dead. For 50 years, Nicky Barr never spoke publicly, and rarely privately, of his war-time experiences. He was very much a forgotten and forgetting hero (for further details, see Dornan, 2002). In his first public interview in 2002 on the Australian documentary program “Australian Story”, Nicky explained his 50 year silence by saying. (shrink)

I will be arguing that a subject’s belief that p is justified if and only if he knows that p: justification is knowledge. I will start by describing two broad classes of allegedly justified beliefs that do not constitute knowledge and which, hence, cannot be what they are often taken to be if my view is correct. It is far from clear what my view is until I say a lot more about the relevant concept or concepts of justification that (...) concern me. The following section describes several concepts of justification that epistemologists have employed, and, in particular, identifies the two concepts of justification that I claim are coextensive with the concept of knowledge. One of those is the deontological conception of justification: I will be arguing that one ought not believe that p unless one knows that p. I imagine that the major opposition to my view will be that it is simply obvious that there are justified false beliefs, a feeling that I try to dispel in the lengthy section on concepts of justification before I finally get around to giving the main arguments in favor of my view. A view as unorthodox as mine demands more than a single argument: I offer four in the third section. Everyone allows that many people have many unjustified beliefs, and everyone has some unjustified beliefs, but such beliefs appear to be far more prevalent on my view than on more orthodox views. In the last section, I argue that unjustified beliefs, although widespread, are not quite as common as they might appear to be on my view. (shrink)

1. The restless mind[1] Like us, early modern philosophers, both natural and moral, didn’t always understand the springs of their own actions. They didn’t want to feel everything they felt, and couldn’t trace the sources of all their thoughts and imaginings. Events from past experience come to mind again unwilled: abstract thought is interrupted by fantastical images, like the ‘winged horses, fiery dragons, and monstrous giants’ by which Hume exemplified ‘the liberty of the imagination’[2]. Then, as now, a failure to (...) keep a train of thought on track could be blamed for both personal and social ills, for wasted lives and erratic policies. The ongoing struggle to distinguish the deliverances of reason from what Hume called ‘the loose and indolent reveries of a castle-builder’ (1739/ 1978, p.624) thus required scrutiny of daydream and fancy as much as belief and knowledge (see also Tierney- Hynes 2007 on the ‘castle-builder’). The mind’s tendencies to float and to roam were of great interest to early modern philosophers as well as to others concerned with medicine, mental health, morals, education, and taste. This paper sketches one local line of thinking and theorizing about ‘mind-wandering’ and its bodily causes in British philosophy over the first decades of the 18th century, as a small exemplar of a form of cognitive history intended to illuminate independent historical and contemporary concerns about our understanding of mental life. The dual aim is to see problems in our historical material that we might otherwise miss, and to use history to explore phenomena more or less marginalized by modern psychology[3]. (shrink)

The Psychological Study of Social Memory Phenomena Very often our memories of the past are of experiences or events we shared with others. And “in many circumstances in society, remembering is a social event” (Roediger, Bergman, & Meade, 2000, p.129): parents and children reminisce about significant family events, friends discuss a movie they just saw together, students study for exams with their roommates, colleagues remind one another of information relevant to an important group decision, and complete strangers discuss a crime (...) they happened to witness together. Psychology is at the heart of recent interdisciplinary efforts to understand the relationships between an individual remembering alone, an individual remembering in a group, and the group itself remembering. (shrink)

I am justified in believing that my lottery ticket—call it t1—will not win, on statistical grounds. Those grounds apply equally to any other ticket, so I am justified in believing of any other ticket ti (let i take values from 2 to 1000000) that it will not win. I am not, however, justified in believing the giant conjunctive proposition that t1 will not win & t2 will not win & . . . & t1,000,000 will not win. On the contrary, (...) I am justified in believing that some ticket will win, hence that one of those conjuncts is false. Suggested solution: justified belief is not closed under conjunction. It does not follow from the fact that I am justified in believing p and justified in believing q that I am justified in believing p & q. (shrink)

This rich book, the best I’ve read in consciousness studies, offers more at each encounter. It was a brilliant idea to evaluate Hurlburt’s Descriptive Experience Sampling method through concrete sceptical enquiry by Schwitzgebel, whose role as open-minded but hard-nosed interlocutor makes the debate an intriguing, even gripping read. The radically different views about introspective reports held by the two authors are put to the test in the concrete context of ‘an examination, in unprecedented detail, of random moments of one person’s (...) experience ’.1 In addition to the ongoing central pursuit of the general question ‘Can we believe people’s reports about their inner experience?’, a raft of more specific issues are addressed as they arise in the sampling interviews. The book’s excellent organization, using in-text boxes linked by detailed crossreferencing into indexed threads, reinforces the thrilling sense that our access to the inner life of one person, ‘Melanie’, is bringing real progress on a number of fronts at once. Eric’s robust scepticism remains, but is tempered somewhat by being forced to confront the real constraints and opportunities of gathering information from a live subject. By the end of the project, he accepts that Russ’s ‘beep-andinterview methods’ deserve a central role in introspective science (p. (shrink)

Rhetoric and domination generally are considered to be exclusionary phenomena. In the case of women and the suffrage movement in the USA for example, rhetoric is regarded as a neutral art that women used to overcome masculine domination. There is another less considered phenomenon however. Drawing upon phenomenological insights of M. Merleau-Ponty and M. M. Bakhtin’s chronotope, this essay constructs a theoretical apparatus out of classical rhetoric and P. Bourdieu’s writings, particularly Masculine Domination. It displays the relation between domination and (...) rhetoric and explores the question of authority as it pertains to the female/feminine body in concrete terms. (shrink)

Rhetoric and domination generally are considered to be exclusionary phenomena. In the case of women and the suffrage movement in the USA for example, rhetoric is regarded as a neutral art that women used to overcome masculine domination. There is another less considered phenomenon however. Drawing upon phenomenological insights of M. Merleau-Ponty and M. M. Bakhtin’s chronotope, this essay constructs a theoretical apparatus out of classical rhetoric and P. Bourdieu’s writings, particularly Masculine Domination. It displays the relation between domination and (...) rhetoric and explores the question of authority as it pertains to the female/feminine body in concrete terms. (shrink)

Very often our memories of the past are of experiences or events we shared with others. And ‘‘in many circumstances in society, remembering is a social event’’ (Roediger, Bergman, & Meade, 2000, p. 129): parents and children reminisce about significant family events, friends discuss a movie they just saw together, students study for exams with their roommates, colleagues remind one another of information relevant to an important group decision, and complete strangers discuss a crime they happened to witness together. Psychology (...) is at the heart of recent interdisciplinary efforts to understand the relationships between an individual remembering alone, an individual remembering in a group, and the group itself remembering. (shrink)

In the closing chapter of his recent bestseller The Blank Slate, Steven Pinker attributes what he dislikes in modern literature to the influence of poor empiricist psychology. The modernist ‘denial of human nature’ resulted, Pinker informs us sadly, in the replacement of ‘omniscient narration, structured plots, the orderly introduction of characters, and general readability’ by ‘a stream of consciousness, events presented out of order, baffling characters and causal sequences, subjective and disjointed narration, and difficult prose’ (p.410). And, worse still, ‘in (...) postmodernist literature, authors comment on what they are writing while they are writing it’ (p.411). Pinker doesn’t mention the intense pleasure which rather large numbers of readers find in the novels of Thomas Pynchon or Paul Auster, for example: but I suspect this would be ascribed to a disavowed hunger for status fostered by pretentious and unintelligible critics (compare pp.412-6). (shrink)

In telling the story of Thomas Willis and the collective investigations of body and brain in 17th-century England with tremendous energy and enthusiasm, journalist Carl Zimmer has written one of the best recent books of popular history of science. The full range of readers will be rewarded by Zimmer’s synthetic scholarship and his evident pleasure in the language of the primary texts. While he owes much to the work of Robert Frank and Robert Martensen in particular, Zimmer has negotiated a (...) vast secondary literature on the major figures of early modern natural philosophy. His decision not to discuss scholarly controversy directly, but rather ‘to give accounts of these people that were consistent with the current consensus’ (p.304) is understandable given the mass market at which he has successfully aimed: yet such a voice would bring a welcome freshness to specialists’ debates. (shrink)

How do concert pianists commit to memory the structure of a piece of music like Bach’s Italian Concerto, learning it well enough to remember it in the highly charged setting of a crowded performance venue, yet remaining open to the freshness of expression of the moment? Playing to this audience, in this state, now, requires openness to specificity, to interpretation, a working dynamicism that mere rote learning will not provide. Chaffin, Imreh and Crawford’s innovative and detailed research suggests that the (...) key to this skill is a declarative mental roadmap aiding musical performance. This hypothesis is neatly and unintentionally summarized by professional pianist Imreh, who states when learning a new piece of music “My fingers were playing the notes just fine. The practice I needed was in my head. I had to learn to keep track of where I was. It was a matter of learning exactly what I needed to be thinking of as I played, and at exactly what point. . .” (Chaffin & Imreh 1997, p.326). (shrink)

Hobbes' classic work has set the tone for the course of political philosophy through to our own day. This new Broadview edition includes the full text of the 1651 edition, together with a wide variety of background documents that help set the work in context. Also included are an introduction, explanatory notes, and a chronology.

Thomas Hobbes’s _Leviathan_ is the greatest work of political philosophy in English and the first great work of philosophy in English. Beginning with premises that were sometimes controversial, such as that every human action is caused by the agent’s desire for his own good, Hobbes derived shocking conclusions, such as that the civil government enjoys absolute control over its citizens and that the sovereign has the right to determine which religion is to be practiced in a commonwealth. Hobbes’s contemporaries recognized (...) the power of arguments in _Leviathan_ and many of them wrote responses to it; selections by John Bramhall, Robert Filmer, Edward Hyde, George Lawson, William Lucy, Samuel Pufendorf, and Thomas Tenison are included in this edition. This revised Broadview Edition of Hobbes’s classic work of political philosophy includes the full text of Part I (Of Man), Part II (Of Commonwealth), and the Review and Conclusion. The appendices, which set the work in its historical context, include a rich selection of contemporary responses to _Leviathan_. Also included are an introduction, explanatory notes, and a chronology of Hobbes’s life. (shrink)

This Broadview edition of Hobbes's classic work of political philosophy includes the full text of Part I, Part II, and the Review and Conclusion. The appendices, which set the work in its historical context, include a rich selection of contemporary responses to Leviathan. Also included are an introduction, explanatory notes, and a chronology of Hobbes's life. Please note that the Broadview Edition of the complete Leviathan also remains available.

Aristotle's definition of the soul should be interpreted as: 'the soul is the entelechy of a natural body that serves as its instrument'.

This essay lays the groundwork for a novel conception of autonomy that may be called “effective autonomy”—a conception designed to be genuinely action guiding in bioethics. As empirical psychology research on the heuristics and biases approach shows, decision making commonly fails to correspond to people’s desires because of the biases arising from bounded cognition. People who are classified as autonomous on contemporary philosophical accounts may fail to be effectively autonomous because their decisions are uncoupled from their autonomous desires. Accordingly, continuing (...) attempts to value patient autonomy must go beyond existing philosophical conceptions of autonomy to consider the background conditions of human decision making. (shrink)

Epistemic trust is an unacknowledged feature of medical knowledge. Claims of medical knowledge made by physicians, patients, and others require epistemic trust. And yet, it would be foolish to define all epistemic trust as epistemically responsible. Accordingly, I use a routine example in medical practice to illustrate how epistemically responsible trust in medicine is trust in epistemically responsible individuals. I go on to illustrate how certain areas of current medical practice of medicine fall short of adequately distinguishing reliable and unreliable (...) processes because of a failure to systematically evaluate health outcomes. I conclude by articulating the devastating obstacles to the consilience assumption, which takes intellectual character as the standard for epistemic responsibility. (shrink)

This article, written in honor of Fritz Rohrlich, briefly surveys the role of topology in physics.

In 1956, a few writings of Wittgenstein that he didn't publish in his lifetime were revealed to the public. These writings were gathered in the book Remarks on the Foundations of Mathematics (1956). There, we can see that Wittgenstein had some discontentment with the way philosophers, logicians, and mathematicians were thinking about paradoxes, and he even registered a few polemic reasons to not accept Gödel’s incompleteness theorems.

Many of the most serious crimes that fall within the justificatory scope of the harm principle do so constitutively. They do so in the sense that the harm that the crime is designed to prevent is a...

We consider the meaning of the assignment of probabilities to events implied by the kind of model regularly used by Statisticians. Traditional frequentist understandings are reviewed and rejected. It is argued that many statistical models may be justified purely on the basis of the symmetry properties enjoyed by the observables being modelled.

Quantum theories constructed on the noncommutative spacetime called the Groenewold–Moyal plane exhibit many interesting properties such as Lorentz and CPT noninvariance, causality violation and twisted statistics. We show that such violations lead to many striking features that may be tested experimentally. These theories predict Pauli forbidden transitions due to twisted statistics, anisotropies in the cosmic microwave background radiation due to correlations of observables in spacelike regions and Lorentz and CPT violations in scattering amplitudes.