Interpersonal sensitivity, particularly threat of potential exclusion, is a critical condition in borderline personality disorder (BPD) which impairs patients’ social adjustment. Current evidence-based treatments include group components, such as mentalization-based group therapy (MBT-G), in order to improve interpersonal functioning. These treatments additionally focus on the therapeutic alliance since it was discovered to be a robust predictor of treatment outcome. However, alliance is a multidimensional factor of group therapy, which includes the fellow patients, and may thus be negatively affected by the (...) exclusion-proneness of BPD patients. The aim of this pilot study was to examine the predictive value of threat of social exclusion for the therapeutic alliance in MBT-G. In the first part of the study, social exclusion was experimentally induced in 23 BPD inpatients and 28 healthy subjects using the Cyberball paradigm, a virtual ball tossing game. The evoked level of threat was measured with the Need-Threat Scale (NTS) which captures four dimensions of fundamental human needs, i. e. the need for belongingness, for self-esteem, for control, and for a meaningful existence. In the second part of the study, therapeutic alliance was measured on three dimensions, the therapists, the fellow patients and the group as a whole, using the Group-Questionnaire (GQ-D). BPD patients scored higher in their level of threat according to the NTS in both, the inclusion and the exclusion condition. The level of threat after exclusion predicted impairments of the therapeutic alliance in MBT-G. It was associated with more negative relationships, lower positive bonding and a lower positive working alliance with the fellow patients and lower positive bonding to the group as a whole whilst no negative prediction of the alliance to the therapists was found. Consequently, our translational study design has shown that Cyberball is an appropriate tool to use as an approach for clinical questions. We further conclude that exclusion-proneness in BPD is a critical feature with respect to alliance in group treatments. In order to neutralize BPD patients’ exclusion bias, therapists may be advised to provide an “inclusive stance”, especially in initial sessions. It is also recommendable to strengthen patient to patient relations. (shrink)

Experiences of thought-insertion are a first-rank, diagnostically central symptom of schizophrenia. Schizophrenic patients who undergo such delusional mental states report being first-personally aware of an occurrent conscious thought which is not theirs, but which belongs to an external cognitive agent. Patients seem to be right about what they are thinking but mistaken about who is doing the thinking. It is notoriously difficult to make sense of such delusions. One general approach to explaining the etiology of monothematic delusions has come to (...) be known as the endorsement model. This model claims that the patient holds her delusional belief because she simply trusts her bizarre experience and takes it at face value. The content of the bizarre experience thus plays a central role in the etiology of delusions. Despite being widely discussed with respect to delusions like Capgras and Cotard, an endorsement model of thought-insertion has not yet been formulated. This article seeks to fill this void by fleshing out and defending the endorsement approach to delusions of inserted thoughts. It aims to show that such an approach can be defended against objections that have been raised in the literature. In particular, it will be argued that there is nothing wrong with the idea of being first-personally aware of a thought which is presented in consciousness as being someone else's. The upshot is that with respect to delusions of thought-insertion, the endorsement model turns out to be a viable account of why patients come to believe that someone else is inserting thoughts into their minds. (shrink)

Current orthodoxy in the philosophy of perception views indirect realism as misguided, wrongheaded or simply outdated. The reasons for its pariah status are variegated. Although it is surely not unreasonable to speculate that philosophical fashion is one factor that contributes to this situation, there are also solid philosophical arguments which put pressure on the indirect realist position. In this paper, I will discuss one such main objection and show how the indirect realist can face it. The upshot will be a (...) defence of a new structural account of indirect realism which is immune to a number of objections that have been traditionally levelled at such theories of perceptual consciousness. (shrink)

Synesthetes are people who report having perceptual experiences that are very unusual, such as ?seeing? sounds as colors or ?smelling? colors as odors. It is commonly assumed these days that such synesthetic experiences must be instances of misperceptions. Against this widespread assumption, I will highlight that there is reason to think that at least some synesthetic experiences can be viewed as truly veridical perceptions, and not as illusions or hallucinations. On this view, which I will back up by conceptual arguments (...) and empirical data, synesthesia does sometimes enable the individual to truly pick up on worldly features. In failing to take this possibility on board, the participants in this debate have thus unduly restricted the scope of dialectical options. Finally, the reassessment of synesthetic experiences that I defend in this paper will turn out to have important ramifications not just for synesthesia research, but also for perception theories more generally. (shrink)

In the present paper, I shall argue that disjunctively construed naïve realism about the nature of perceptual experiences succumbs to the empirically inspired causal argument. The causal argument highlights as a first step that local action necessitates the presence of a type-identical common kind of mental state shared by all perceptual experiences. In a second step, it sets out that the property of being a veridical perception cannot be a mental property. It results that the mental nature of perceptions must (...) be exhausted by the occurrence of inner sensory experiences that narrowly supervene on the perceiver. That is, empirical objects fail directly to determine the perceptual consciousness of the perceiver. The upshot is that not only naïve realism, but also certain further forms of direct realism have to be abandoned. (shrink)

In this paper, I will ask whether naïve realists have the conceptual resources for meeting the challenge stemming from the causal argument. As I interpret it, naïve realism is committed to disjunctivism. Therefore, I first set out in detail how one has to formulate the causal argument against the background of disjunctivism. This discussion is above all supposed to work out the key assumptions at stake in the causal argument. I will then go on to sketch out several possible rejoinders (...) on behalf of naïve realism. It will be shown that they all fail to provide a satisfying account of how causation and perceptual consciousness fit together. Accordingly, the upshot will be that the causal argument provides good reason to abandon disjunctivism and, instead, to promote a common factor view of perception. (shrink)

Defending a form of naïve realism about visual experiences is quite popular these days. Those naïve realists who I will be concerned with in this paper make a central claim about the subjective aspects of perceptual experiences. They argue that how it is with the perceiver subjectively when she sees worldly objects is literally determined by those objects. This way of thinking leads them to endorse a form of disjunctivism, according to which the fundamental psychological nature of seeings and hallucinations (...) is distinct. I will oppose their central claim by defending a version of the so-called ‘causal argument’, which dwells on ideas about causation and explanation in perception. The aim of this discussion is to highlight that the subjective aspects of perceptual experiences cannot be explained in naïve realist terms. Instead, it will be argued that one needs to appeal to a mental factor which does not involve worldly objects as constituents, and which is common to seeings and hallucinations. (shrink)

In the present commentary on Jaegwon Kim's Laws, Causation, and Explanation in the Special Sciences, I first give a short summary of the global problem. In a second step, I go on to sum up and comment on the three arguments which Kim gives to the disadvantage of 'strict' special-science laws. In so doing, I shall focus on the question whether ceteris paribus laws can still apply in special sciences.

The aim of the present paper is to sketch a new structural version of the Representative Theory of Perception which is supported both by conceptual and empirical arguments. To this end, I will discuss, in a first step, the structural approach to representation and show how it can be applied to perceptual consciousness. This discussion will demonstrate that perceptual experiences possess representational as well as purely sensational properties. In a second step, the focus will switch to empirical cases of synaesthesia. (...) In particular, I will stress that certain synaesthetic experiences are well-suited to corroborating a structural account of the perceptual mind. The overall picture that emerges in this paper prompts a new view of perceptual consciousness that is ruthlessly structural. (shrink)

The traditional epistemological problem of other minds seeks to answer the following question: how can we know someone else's mental states? The problem is often taken to be generated by a fundamental asymmetry in the means of knowledge. In my own case, I can know directly what I think and feel. This sort of self-knowledge is epistemically direct in the sense of being non-inferential and non-observational. My knowledge of other minds, however, is thought to lack these epistemic features. So what (...) is the basic source of my knowledge of other minds if I know my mind in such a way that I cannot know the minds of others? The aim of this paper is to clarify and assess the pivotal role that the asymmetry in respect of knowledge plays within a broadly inferentialist approach to the epistemological problem of other minds. The received dogma has always been to endorse the asymmetry for conceptual reasons and to insist that the idea of knowing someone else's mental life in the same way as one knows one's own mind is a complete non-starter. Against this, I aim to show that it is at best a contingent matter that creatures such as us cannot know other minds just as we know a good deal of our own minds and also that the idea of having someone else's mind in one's own introspective reach is not obviously self-contradictory. So the dogma needs to be revisited. As a result, the dialectical position of those inferentialists who believe that we know about someone else's mentality in virtue of an analogical inference will be reinforced. (shrink)

This is a welcome reprint of a book that continues to grow in importance.

The author presents and defends three theses: (1) "the first is that it is not profitable for us at present to do moral philosophy; that should be laid aside at any rate until we have an adequate philosophy of psychology." (2) "the second is that the concepts of obligation, And duty... And of what is morally right and wrong, And of the moral sense of 'ought', Ought to be jettisoned if this is psychologically possible...." (3) "the third thesis is that (...) the differences between the well-Known english writers on moral philosophy from sidgwick to the present day are of little importance." (staff). (shrink)

The relations between reason, motivation and value present problems which, though ancient, remain intractable. If values are objective and rational how can they move us and if they are dependent on our contingent desires how can they be rational? E. J. Bond makes a bold attack on this dilemma. The widespread view among philosophers today is that judgements contain an irreducible element of personal commitment. To this Professor Bond proposes an account of values as objective and value judgements as true (...) or false, employing a distinction between grounding and motivating reasons to establish their connection with action. He defines and tests his position against a number of recent theories, providing in the process forceful criticism of Williams, Wiggins, Foot, Narveson and Nagel, among others. A distinctive contribution to the subject, it will stimulate interest and worthwhile debate among philosophers, while also serving as an introduction to this vital topic. (shrink)

Derek Parfit’s view of personal identity raises questions about whether advance decisions refusing life-saving treatment should be honored in cases where a patient loses psychological continuity; it implies that these advance decisions would not be self-determining at all. However, rather than accepting that an unknown metaphysical ‘further fact’ underpins agential unity, one can accept Parfit’s view but offer a different account of what it implies morally. Part II of this article argues that contractual obligations provide a moral basis for honoring (...) advance decisions refusing life-saving and/or life-sustaining medical treatment; advance decisions have similarities to contracts, such as life insurance policies and will-contracts, that come into effect when the psychological discontinuity is through death. (shrink)

The aim of this study is to explore how nurses perceive patient participations of patients over 75 years old undergoing hemodialysis treatment in dialysis units, and of their next of kin. Ten nurses told stories about what happened in the dialysis units. These stories were analyzed with critical discourse analysis. Three discursive practices are found: (1) the nurses’ power and control; (2) sharing power with the patient; and (3) transferring power to the next of kin. The first and the predominant (...) discursive practice can be explained with an ideology of paternalism, in which the nurses used biomedical explanations and the ethical principle of benefice to justify their actions. The second can be explained with an ideology of participation, in which the nurses used ethical narratives as a way to let the patients participate in the treatment. The third seemed to involve autonomous decision-making and the ethical principle of autonomy for the next of kin in the difficult end-of-life decisions. (shrink)

Arguing that psychologists and their predecessors have invariably relied on metaphors in articulation, the contributors to this volume offer a new "key" to understanding a critically important area of human knowledge by specifying the major metaphors.

Released in 1984, Steven E. Rhoads' classic was considered by many to be among the best introductions to the economic way of thinking and its applications. This anniversary edition has been updated to account for political and economic developments - from the greater interest in redistributing income and the ascendancy of behaviorism to the Trump presidency. Rhoads explores opportunity cost, marginalism, and economic incentives and explains why mainstream economists - even those well to the left - still value free markets. (...) He critiques economics for its unbalanced emphasis on narrow self-interest as controlling motive and route to happiness, highlighting philosophers and positive psychologists' findings that happiness is far more dependent on friends and family than on income or wealth. This thought-provoking tour of the economist's mind is a must read for our times, providing a clear, lively, non-technical insight into how economists think and why they shouldn't be ignored. (shrink)

We have identified a sample of 53 societies outside of the classical Himalayan and Marquesean area that permit polyandrous unions. Our goal is to broadly describe the demographic, social, marital, and economic characteristics of these societies and to evaluate some hypotheses of the causes of polyandry. We demonstrate that although polyandry is rare it is not as rare as commonly believed, is found worldwide, and is most common in egalitarian societies. We also argue that polyandry likely existed during early human (...) history and should be examined from an evolutionary perspective. Our analysis reveals that it may be a predictable response to a high operational sex ratio favoring males and may also be a response to high rates of male mortality and, possibly, male absenteeism. Other factors may contribute, but our within-polyandry sample limits analysis. (shrink)

Big Ideas for Little Kids includes everything a teacher, a parent, or a college student needs to teach philosophy to elementary school children from picture books. Written in a clear and accessible style, the book explains why it is important to allow young children access to philosophy during primary-school education. Wartenberg also gives advice on how to construct a "learner-centered" classroom, in which children discuss philosophical issues with one another as they respond to open-ended questions by saying whether they agree (...) or disagree with what others have said. (shrink)

A dialogue between a foreign philosopher and a powerful statesman outline Plato's reflections on the family, the status of women, property rights, and criminal law.

В статье философия характеризуется на основе дискурсной парадигмы анализа: как текст, интеллектуальная деятельность и коммуникация. Характеризуются два равнозначных аспекта философского дискурса - когнитивный и коммуникативный. Обсуждается феномен философских контроверз, специфика философского спора, выразительные (знаковые) средства философского дискурса, роль мировоззренческого дискурса в современной общественно-политической ситуации в стране.

Background: Despite an increase in health research conducted in Africa, there are still inadequate human resources with research ethics training and lack of local long-term training opportunities in research ethics. A research ethics training program named United States-Mali Research Ethics Training Program (US-Mali RETP) was established through a partnership between the George Washington University Milken Institute School of Public Health (GWSPH), USA and University of Sciences, Techniques & Technologies of Bamako (USTTB), to address the critical need for improved bioethics training, (...) leadership, and policy in Mali. Methods: The aims of the capacity building programme are achieved by leveraging US and Africa-based expertise to strengthen research ethics education and capacity through: (1) intensive faculty development to design ethics training curricula; (2) development of a research ethics specialization within the existing Masters of Public Health program (MPH); and (3) establishing professional development courses through short-term training workshops and webinars to address research and professional needs in ethics. Results: The program will strengthen USTTB’s capacity of research ethics by training at least 15 MPH students over 5 years to prepare the next generation of ethics researchers. During the first two years of the program, a new ethics training curricula was developed, two cohorts of Master’s students were enrolled, and a series of webinars and workshops were conducted with participation of Malian and international researchers. Conclusions: US-Mali RETP will promote a sustainable bioethics enterprise at USTTB, and enable dissemination of research ethics training to increase health research capacity in Mali. (shrink)

Although the equally pervasive and abstract concept of space has generated a vast body of disciplines, time, and the related idea of "becoming" (transforming, ...

About 6% of women in the world live in countries that ban all abortions, and 34% in countries that only allow abortion to preserve maternal life or health. In the USA, over the last decades—even before Dobbs v. Jackson Women’s Health Organization overturned the federal right to abortion—various states have sought to restrict abortion access. Often times, this legislation has been advanced based on legislators’ personal moral values. At the bedside, in contrast, provision of abortion care should adhere to the (...) normative principles of medical ethics and reproductive justice, centreing patients and their individual reproductive intentions and desires. Abortion regulations, through their influence on patients and providers, may facilitate or impede such ethical care at the bedside. In this paper, we present a framework to model how abortion legislation should fit into the patient–provider relationship and to clarify the dynamics by which legislation may affect healthcare encounters. Our proposed framework serves as a tool to analyse the ethical impact of abortion regulations. We propose a model for assessing abortion policies based not on legislators’ or advocates’ individual moral claims, but on the shared, normative framework of clinical medical ethics. Through contrasting case studies, we demonstrate how a robust normative ethical framework can recentre patients and their reproductive needs. Our model is one way to account for—and safeguard—patients’ diverse viewpoints and needs in the development of abortion policy, and it can serve to ground narratives for advocacy by healthcare workers and their professional organisations. (shrink)