This article explores the phenomenon of “phantom pain.” The analysis is based on personal experiences elicited from individuals who have lost a limb or live with a paralyzed body part. Our study reveals that the ways in which these individuals express their pain experience is an integral aspect of that experience. The material consists of interviews undertaken with men who are living with phantom pain resulting from a traumatic injury. The phenomenological analysis is inspired by Zahavi :151–167, 2001) and Merleau-Ponty. (...) On a descriptive level the metaphors these patients invoke to describe their condition reveal immense suffering, such as a feeling of being invaded by insects or of their skin being scorched and stripped from their body. Such metaphors express a dimension of experience concerning the self that is in pain and others whom the sufferer relates to through this pain, as well as the agony that this pain inflicts in the world of lived experience. This pain has had a profound impact on their lives and altered their relationship with self, others and the world. Their phantom pain has become a reminder of their formerly intact and functioning body; they describe the contrast between their past and present body as an ambiguous and disturbing experience. We conclude that these sensitive and personalized experiences of phantom pain illuminates how acts of expression—spoken pain—constitute a fundamental dimension of a first-person perspective which contribute to the field of knowledge about “phantom pain”. (shrink)

In this study we explore how a selection of Norwegian women account for their decision to undergo weight loss surgery. We argue that women’s descriptions of their experiences leading up to this choice of action illuminate issues regarding social norms of bodily appearance and personal responsibility. The starting point is women’s own experiences within a cultural context in which opting for WLS often attracts moral scrutiny. Inspired by Merleau-Ponty’s notion of consciousness as embodied and de Beauvoir’s ideas concerning women’s situation, (...) we argue that bodily as well as socio-cultural aspects intertwine with women’s choice of surgery as a means of losing weight. Although society’s stigmatization of women with obesity has been well challenged by scholars in the field of critical fat studies, women with obesity still experience the bodily hindrances associated with being overweight in an intense and subjective way. The findings suggest that women confronting the option of WLS do so in a context of pain, dysfunction and social stigma, a combination which illuminates the intricate ambiguity of the obese body as both subject and object. (shrink)

Intensive professional testing of children with disabilities is becoming increasingly prominent within the field of children’s rehabilitation. In this paper we question the high quality ascribed to standardized assessment procedures. We explore testing practices using a hermeneutic-phenomenological approach analyzing data from interviews and participant observations among 20 children with disabilities and their parents. All the participating children have extensive experience from being tested. This study reveals that the practices of testing have certain limitations when confronted with the lived experience of (...) those who are being tested. Testing seems to transmit the experts’ view of what is important, correct and admirable, and the way in which an individual child fulfills such requirements and fits in with the predetermined standard. Regular testing may result in insecurity on the part of the tested individual, and possibly to a lack of confidence in their body and the way it functions. For the individual being tested the meaning of testing is primarily related to passing or not passing the test requirements. Given the meaning of testing, children with disabilities may experience repeated testing as an ordeal that they are expected to put up with. By illuminating the experiences of the ones exposed to testing, this paper offers new insight for professionals to gauge more accurately the quality of contemporary testing practice. (shrink)

The aim of this article is to explore bodily changes following weight loss surgery. Our empirical material is based on individual interviews with 22 Norwegian women. To further analyze their experiences, we build primarily on the phenomenologist Drew Leder`s distinction between bodily dis-appearance and dys-appearance. Additionally, our analysis is inspired by Simone de Beauvoir, Merleau-Ponty and Julia Kristeva. Although these scholars have not directed their attention to obesity operations, they occupy a prime framework for shedding light on different dimensions of (...) bodily change. In doing so, we were able to identify two main themes: The felt “inner” body versus the visible “surface” body and the “old” body versus the “new” body. In different, though interconnected ways, these main themes encompass tensions between changes the women experienced as contributing to a more “normal” and active life, feeling more accepted, and changes that generated ambivalence. In particular, their skin became increasingly problematic because it did not “shrink” like the rest of the body. On the contrary, it became looser and looser. Moreover, badsmelling folds of skin that wobbled, sweated and chafed at the smallest movement, aprons of fat hanging in front of their stomachs, batwing arms, thick flabby thighs and sagging breasts were described as a huge contrast to the positive response they received to their changed body shape when they were out and about with their clothes on. At the same time, they expressed ambivalence with regards to removing the excess skin by means of plastic surgery. Through their own and other women`s experiences they learned removing the excess skin by means of surgery could be a double-edged sword. By illuminating the experiences of the ones undergoing such changes our article offers new insight in a scholarly debate predominated by medical research documenting the positive outcomes of weight loss surgery. (shrink)

This article critically explores the tension between perceptions of weight loss surgery as a last resort and as a tool. This tension stems from patients’ doubt and insecurity whether expectations for a healthy life will come through. Thus, even after surgery, traditional weight loss methods, including diets and exercise, are considered paramount. Drawing on a series of interviews with Norwegian women, we argue that the commercialization of weight loss surgeries as well as the moral stigmas attached to such operations serve (...) to perpetuate this tension. More specifically, the women were advised to leave their old habits behind, and embrace a healthier and more active lifestyle. In such a climate, we argue that undergoing surgery without subsequently embodying dietary and exercise norms is hardly an option. On the contrary, these become a moral obligation that modern women need to relate to—and perhaps negotiate—in order to repudiate stigmas attached to weight loss surgeries as a quick fix for those incapable of losing weight in the “proper” manner. (shrink)

Educating for Civic Dialogue in an Age of Uncivil Discourse addresses an urgent challenge-to help students learn the skills of civic engagement-by offering a framework for authentic cosmopolitan education. As an invitation to ongoing civil dialogue with diverse voices in the classroom, the book aims to foster the skills of democratic and global citizenship that allow students to find their voice as local, national, and global citizens outside of the classroom. It suggests practical ways that teachers can promote the skills (...) of attentive listening, intelligent questioning, reasonable positioning, and responsible dialogue in order to encourage authentic civic discourse. It also outlines specific pedagogical strategies designed to foster students' cosmopolitan competencies as democratic and global citizens. (shrink)

Essays previously published between 1987 and 2012.

Cosmopolitanism and Its Discontents seeks to address the kinds of challenges that cosmopolitan perspectives and practices face in a world organized increasingly in relation to a proliferating series of global absolutisms--religious, political, social, and economic. While these challenges are often used to support the claim that cosmopolitanism is impotent to resist such totalizing ideologies because it is either a Western conceit or a globalist fiction, Gunn argues that cosmopolitanism is neither. Situating his discussion in an emphatically global context, (...) class='Hi'>Gunn shows how cosmopolitanism has been effective in resisting such essentialisms and authoritarianisms precisely because it is more pragmatic than prescriptive, more self-critical than self-interested and finds several of its foremost recent expressions in the work of an Indian philosopher, a Palestinian writer, and South African story-tellers. This kind of cosmopolitanism offers a genuine ethical alternative to the politics of dogmatism and extremism because it is grounded on a new delineation of the human and opens toward a new, indeed, an "other," humanism. (shrink)

Conducting research on adolescents raises a number of ethical issues not often confronted in research on younger children. In part, these differences are due to the fact that although assent is usually not an issue, given cognitive and social competencies, the life situations and behavior of youth make it more difficult to balance rights and privacy of the adolescents. In this article, the three ethical principles of beneficence, justice, and respect for persons are discussed in terms of their application to (...) the study of adolescents. Then, seven vignettes are presented to illustrate how these principles apply to real-life situations. How to balance the rights of adolescents and their parents is discussed, using adolescent girls and their parents for illustrative purposes. (shrink)

This paper expands the model of rational action by introducing a new concept. rational laziness, to better understand actors’ decision making. In addition to rational information processing, human beings often rely on automatic and lion-cognitive mental capacities, and I use the term mental laziness to account for information processing based on these capacities. When time is limited, supply abundant, and decisions have to be made, mental laziness might be a rational decision device. Actors’ choice of rational-calculating or automatic-spontaneous mental decision (...) devices is contingent on their locations within an opportunity structure. The empirical case studied is employers’ hiring processes, and employers’ activation of these action generating mechanisms are expected to cause discrimination of job applicants categorized as out-groups members. (shrink)

It is difficult within the space of an article such as this to do more than indicate the principal features of Renouvier's philosophy, and it is, of course, impossible to give in detail a discussion of the immense wealth of thought and argument contained in his writings. Of his thought before 1854, the most important piece of work was the article on “Philosophie” written for the Encyclopédic Nouvelle. This in some respects shows his own thought developing in the direction.

In this paper we explore whether or not the use of risk assessment tools in criminal sentencing can be made compatible with a retributivist justification of punishment. While there has been considerable discussion of the accuracy and fairness of these tools, such discussion assumes that one’s recidivism risk is relevant to the severity of punishment that one should receive. But this assumption only holds on certain accounts of punishment, and seems to conflict with retributivist justifications of punishment. Drawing on the (...) broader desert literature, we explain the source of this conflict, and suggest that a retributivist approach on which the severity of punishment partly depends on one’s character in addition to their acts offers some hope of reconciling retributivism with the use of risk assessment tools in considerations of sentencing reduction in particular. Ultimately, however, even this limited attempt at reconciliation fails, so long as risk assessment tools fail to distinguish between risk that one is responsible for, and risk that one is not responsible for. (shrink)

In a post-truth era, taking seriously the assertions of political figures and what other people say on the internet strikes many as irrational and gullible. Let us call this reaction the “incredulous reaction.” In this paper, I consider a common response to the targets of the incredulous reaction: excluding them from activities like debate and discounting their beliefs as relevant to our own. This exclusion is motivated by the assumption that those who continue to place epistemic trust in a post-truth (...) society are acting irrationally. I begin with an argument that we can justifiably exclude irrational persons from our epistemic activities. I then present a conflict that emerges when we take the wellbeing of our epistemic community to be an end in and of itself, and not merely a means for pursuing other epistemic goods. I propose that healthy epistemic communities depend on networks of epistemic trust and on ensuring their members are treated with the epistemic respect they deserve. If we were to adopt the development of a healthy epistemic community as a goal, then excluding others may no longer be a justifiable choice. (shrink)

ABSTRACTIn Against Democracy, Jason Brennan argues that public ignorance undermines the legitimacy of democracy because, to the extent that ignorant voters make bad policy choices, they harm their own and one another’s interests. The solution, he thinks, is epistocracy, which would leave policy decisions largely in the hands of social-scientific experts or voters who pass tests of political knowledge. However, Brennan fails to explain why we should think that these putative experts are sufficiently knowledgeable to avoid making errors as damaging (...) as those made by voters. Given the strong link between political knowledge and ideological dogmatism, as well as the tendency of social scientists to disagree with one another, the case for epistocracy is deeply implausible, at best. Moreover, given that there are important non-instrumental justifications of democracy—justifications of which Brennan appears to be radically ignorant—the epistocratic alternative would be unnecessary even if it were viable. (shrink)

Doctoral learning entails transition from experienced student to stance-defending researcher, exposed to international critique: a disorientation and reorientation into a new identity. Arts and Hum...

Human rights are a central part of a social worker's value base in contemporary practice, but the structures by which social work services are delivered can adversely affect practitioners? abilities to uphold service user rights. This article describes the organizational development of social work services in England and the evolution of a rights focus for the practice of social work. It uses two cases, participation by children and young people looked after by the local authority and parents with learning difficulties, (...) to determine what prevents the delivery of rights at practice level. We argue that the structures which are the product of historical development prevent workers delivering a service that is anti-oppressive and grounded in a rights-based approach to practice. This suggests that the recent changed arrangements for the delivery of social work offer the opportunity to address human rights within practice and reinvigorate the profession. The division of the profession between children's trusts and adult social services within separate local authority departments or care trusts should make dialogue between specialist social workers, which has been suppressed by internal structures, possible. Such a dialogue could contribute to saving the profession from the disintegration that its division threatens, while advancing the human rights agenda. (shrink)

After briefly reviewing some of the empirical and philosophical literature suggesting that there may be an adaptive role for delusion formation, we discuss the results of a recent study consisting of in-depth interviews with people experiencing delusions. We analyse three such cases in terms of the circumstances preceding the development of the delusion; the effects of the development of the delusion on the person’s situation; and the potential protective nature of the delusional belief as seen from the first-person perspective. We (...) argue that the development of the delusional belief can play a short-term protective function and we reflect on the implications that this might have for our understanding of psychotic symptoms, for the stigma associated with mental health issues, and for treatment options. (shrink)

Transitioning from a company of individual contributors to an organization of leaders of leaders can be relatively straightforward. The organization must embrace the idea that leadership resides within every employee and continually cultivate leadership skills and abilities. It must anticipate that individuals will lose their bearings and reassure them that getting back in balance is only a thought away. For many, the shift to leaders of leaders requires daily leaps of faith rooted in wisdom; it also challenges ingrained individual or (...) cultural thinking habits. (shrink)

ABSTRACTIn Democratic Reason, Hélène Landemore argues that deliberation and the aggregation of citizens' dispersed knowledge should tend to produce better consequences than rule by the one or the few. However, she pays insufficient attention to the epistemic processes necessary to realize these democratic goods. In particular, she fails to consider the question of where citizens' beliefs and ideas come from, with the result that the democratic decision mechanisms she focuses on are insufficiently powerful to justify her consequentialist defense of mass (...) decision making. If “the few” are technocratic experts, Landemore supplies little reason to resist their rule on epistemic grounds, for she does not secure a knowledge base for the citizens that might compete with the knowledge that is often attributed to such “experts.” Aggregating and deliberating about poor information is no substitute for good information. Her book can therefore be seen as a call for a new phase of epistemic political theory that compares the real-world knowledgeability of ordinary citizens and putative experts, but it does not convincingly deliver on its goal to demonstrate the epistemic superiority of the former. (shrink)

From their interpretation of the Australian Citizens’ Jury on genome editing, Scheinerman (2023) concludes that inclusive and diverse deliberative processes of public engagement have salient benefi...

For most people, the internet is now the most dominant source of socially useful knowledge. Its widespread use has made knowledge more accessible, more widely distributed, and more commonly produced. -/- But the internet is also widely seen—and not just by philosophers—as raising a number of distinct epistemological problems. Some of those problems concern the metaphysics of knowledge—the extent to which knowledge via the internet is understood as outsourced, or even extended, knowledge. Others concern the type of knowledge the internet (...) can give us—whether, for example, the knowledge we gain by using our digital devices is a kind of testimonial knowledge. -/- In this chapter, we will focus on a third issue: how our uses of the internet to gain information affect our epistemic agency—or our capacity to take responsibility for our own epistemically relevant mental states and our wider contributions to our epistemic environment. In the early days of digital technology, the internet was generally seen as increasing our epistemic agency for the simple reason that it made information (and presumably knowledge) more accessible and widespread. But in recent years, such optimism has been tempered due to the rise of fake news, massive amounts of misinformation online, and the average consumer’s seeming credulity with regard to what they read on social media. The chapter will outline these objections and critically examine them, arguing that both our epistemic agency and our ability to responsibly exercise such agency can be undermined by some uses of the internet, even as those same uses increase agency in other ways. (shrink)

Recent reports that human pluripotent stem cells can be captured in a spectrum of states with variable properties has prompted a re‐evaluation of how pluripotency is acquired and stabilised. The latest additions to the stem cell hierarchy open up opportunities for understanding human development, reprogramming, and cell state transitions more generally. Many of the new cell lines have been collectively termed ‘naïve’ human pluripotent stem cells to distinguish them from the conventional ‘primed’ cells. Here, several transcriptional and epigenetic hallmarks of (...) human pluripotent states in the recently described cell lines are reviewed and evaluated. Methods to derive and identify human naïve pluripotent stem cells are also discussed, with a focus on the uses and future developments of state‐specific reporter cell lines and cell‐surface proteins. Finally, opportunities and uncertainties in naïve stem cell biology are highlighted, and the current limitations of human naïve pluripotent stem cells considered, particularly in the context of differentiation. (shrink)

Nursing professionalization is both ongoing and global, being significant not only for the nursing workforce but also for patients and healthcare systems. For this reason, it is important to have an in‐depth understanding of this process and the factors that could affect it. This literature review utilizes a welfare state approach to examine macrolevel structural determinants of nursing professionalization, addressing a previously identified gap in this literature, and synthesizes research on the relevance of studying nursing professionalization. The use of a (...) welfare state framework facilitates the understanding that the wider social, economic, and political system exercises significant power over the distribution of resources in a society, providing a glimpse into the complex politics of health and health care. The findings shed light on structural factors outside of nursing, such as country‐level education, health, labor market, and gender policies that could impact the process of professionalization and thus could be utilized to strengthen nursing through facilitating increased professionalization levels. Addressing gender inequalities and other structural determinants of nursing professionalization could contribute to achieving health equity and could benefit health systems through enhanced availability, skill‐level, and sustainability of nursing human resources, improved and efficient access to care, improved patient outcomes, and cost savings. (shrink)

My aims in this article are threefold. First, I evaluate attempts to drive a wedge between the human and the natural in order to show that destroyed natural environments and extinct species cannot be restored; next, I examine the analogy between aesthetic value and the value of natural environments; and finally, I suggest briefly a different set of analogies with such human associations as families and cultures. My tentative conclusion is that while the recreation of extinct species may be logically (...) impossible, the restoration of natural environments raises only (formidable, no doubt) technical difficulties. Opponents of destructive developments which do not exterminate species, therefore, had better look elsewhere, rather than relying on the claim that restoration is logically impossible. (shrink)

The Bible, a religious text, is also often said to be one of the foundation texts of Western culture. The present volume explores how religious, political and cultural identities, including ethnicity and gender, are embodied, often problematically, in biblical discourse. Following the authors, we read the Bible with new eyes: as a critic of gender, ideology, politics, and culture. We ask ourselves new questions: about God's body, about women's roles, about racial prejudices and about the politics of the written word.

Perhaps nothing so radically changes one’s value perspective as psychosis. In a moving article, writer Mark Lukach describes his wife Giulia’s struggle with an illness presumed to be bipolar disorder. A woman with a “concrete life plan … to become a director of marketing at a fashion company and have three kids by the time she turned 35”, Gulia’s acute psychosis resulted in her ranting “unintelligible babble about heaven, hell, angels, and the devil”. For her husband, Gulia had become a (...) different person; “the person you love is no longer there, replaced by a stranger who’s shocking and exotic”.Yet, change to value systems is ubiquitous and usually far less dramatic than that occurring in... (shrink)

By examining first-person descriptions of thought insertion I show that thought insertion is a complex and heterogeneous phenomenon. People experiencing this phenomenon have huge difficulty explaining what it is like due to the bizarre nature of the experience. Through careful analysis of first-person descriptions I identify some of the characteristics of thought insertion. I then briefly examine some of the philosophical literature regarding agency, ownership and thought insertion and conclude that the standard account of the basic characteristics of thought insertion (...) is inadequate when we consider the phenomenon as it is experienced. First person descriptions suggest that thought insertion is characterised by a lack of personal ownership and not simply by a loss of agency or authorship. This is an important factor that should inform research and therapeutic intervention. We cannot hope to arrive at appropriate therapeutic intervention or identify underlying neuronal mechanisms for the experience if we cannot say what the experience actually is. I further suggest that more analysis of first-person description is required for an improved account of the phenomenology of thought insertion. (shrink)

This book examines the concept of public interest against the background of English politics from the Civil War to the coming of the Hanoverians. These years witnessed both the rise of the modern notion of the public interest as a part of ordinary political language and the growth of a social philosophy of individualism. The new ideas challenged the _status quo_, based on order, reason of state and national power, in the name of legitimate self-interest and respect for the rights (...) of the private person. In presenting a complex set of ideas in their historical context, the author examines both abstract philosophies and the issues of the day as recorded in press, pulpit and law courts. A chapter devoted to economic thought includes a re-assessment of the social assumptions of mercantilism. (shrink)

Hastings Center Report, Volume 52, Issue S1, Page S42-S45, March‐April 2022.

In Neal Stephenson’s fictional novel, Diamond Age (1995), the protagonist Nell acquires a prototype of what we might today recognise as a highly sophisticated e-reader with a voice-assistant. This e-reader, the “Young Lady’s Illustrated Primer”, uses artificial intelli- gence to serve as Nell’s personal teacher. What is key to the Primer is how it is designed to respond to Nell. The Primer has a theory of Nell – her needs, her real-world situation, her abilities – and it tailors its lessons (...) for her. The Primer is a highly personalised artificially intelligent device. For many readers – myself included – the Primer was a utopian vision of the bespoke digital tutors of the future. The appearance of new media and technologies in the early 2000s all pointed to the near-term reality of devices like Primers. The real-life experience of personalised digital media, though, is so far from Stephen- son’s vision that it is hard to imagine we will ever get there. Nell’s time with the Primer develops her intellectually, emotionally, and physically. Our “bespoke” media experience, by contrast, is more likely to turn us in on ourselves rather than guide us to live well in our societies. Personalised media is making us more like Narcissus: our consumption is driven by personal choices and automated algorithms that reflect what we already want to hear, see, and consume, and we are captivated. Central to our understanding of the problems with the personalisation of digital media are filter bubbles and echo chambers. These phenomena are used interchangeably by some, but in distinct ways by others. I take the position that filter bubbles and echo chambers are distinct phenomena, but ones that raise similar epistemic worries. I begin with a general discussion of filter bubbles and echo chambers, and I introduce the concept of “selective exposure” as central to both phenomena. There is minimal uniformity across uses of the terms “filter bubble” and “echo chamber”. Consequently, I divide the later discussion into two more precise topics: homophily and polarisation. I conclude with some future-looking comments about responsibility and the epistemic risks posed by digital personalisation. (shrink)