K L Kahlbaum published in 1874 the first recorded description of catatonia. Akinetic catatonia is now defined as a neuropsychiatric syndrome principally characterised by akinesia, mutism, stupor, and catalepsy. 1 Even if some advances have been made in the recognition of catatonia, in particular by the development of different rating scales, 1 the pathophysiology of this syndrome is not clearly established. A right handed 14 year old girl presented with akinetic catatonia during an episode of depression in the context of (...) a bipolar type I disorder. Her catatonic status was characterised by akinesia with brief episodic spontaneous stereotyped movements, mutism, no spontaneous oral intake, catalepsy, waxy flexibility, and stupor with brief occasional eye contacts. This corresponded to a total score of 19 on the Northoff Catatonia Scale.1 Electroencephalogram performed one day after onset of symptoms showed diffuse theta activity with sporadic diffuse delta activity. Cerebral magnetic resonance imaging was normal. Brain positron emission tomographies (PET) were obtained on a CTI-Siemens HR+ tomograph. A first PET (PET1) using (18F(- fluorodeoxyglucose (FDG) was performed on day 2 in a drug free state. Thereafter, intramuscular injection of 2 mg of lorazepam induced rapid clinical remission of the akinetic phase. Oral lorazepam was then given (3.75 mg/day) during five days. On day 8, a second PET with FDG was performed while the patient was treated by olanzapine (15 mg/day) and presented hyperactivity, logorrhoea, and disinhibition characterised by uncontrolled social interactions and physical contacts. Neuropsychological testing performed some days after remission revealed no apraxia or language disturbances but dysfunction of executive tasks manifested in the revised Wisconsin card sorting, the Tower of London, Stroop, and Trailmaking tests. Voxel based analyses comparing patient’s cerebral glucose metabolism with that of 29 right handed healthy controls (16 women and 13 men, mean age 32) were performed using Statistical Parametric Mapping (SPM99) (Wellcome Department of Cognitive Neurology, London, UK).. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The National Commission on AIDSDonald S. Goldman (bio) and Jeff Stryker (bio)A decade after the first cases were recognized in the United States, AIDS continues to vex policymakers and fascinate the public. It has been said that AIDS acts as a prism, refracting a spectrum of controversial topics. For bioethicists, these topics include: equity in the allocation of resources for treatment and research; forgoing life-sustaining care and proxy (...) decision making; informed consent in the context of HIV testing and screening; the ethical duties of health care workers to provide care for persons with HIV disease; and competing obligations of health care professionals to patients and to third parties who may be put at risk.The Role of CommissionsIf AIDS is the quintessential case study for bioethicists, it is a potential quagmire for politicians. The association of HIV disease with drug use and sexual behavior makes it a topic that all but the most courageous (or the most homophobic) politicians shy away from. A frequent political response is to form a commission.Alexander Capron, who was executive director of the President's Commission for the Study of Ethical Problems in Medicine, has described some roles commissions play: a watchdog, overseeing the work of particular government agencies; a crucible, providing a means for "publicly hammering out conclusions on controversial issues when consensus, both in the public and in the relevant disciplines, is not yet apparent"; and "a lightning rod for public concern—or viewed less charitably, dumping ground for an issue that is too difficult for the ordinary political process to handle" (Capron 1983, p. 9).Nearly every state has created a gubernatorial-level task force or commission on AIDS. The National Commission on AIDS was established under the Health Omnibus Program Extension (HOPE) Act of 1988, which was signed by President Reagan on November 4, 1988. The official charter of the commission was approved August 2, 1989 and its original two-year term was extended for a third year. The mission statement crafted by the commission to reflect its Congressional mandate reads: [End Page 339]The National Commission on Acquired Immune Deficiency Syndrome is an independent body of 15 members created to advise the President and Congress. The Commission seeks to build a broad public understanding on the magnitude, scope and urgency of the HIV/AIDS epidemic; provide and inspire leadership at all levels of both the public and private sectors; empower individuals and communities; and advocate for effective, cooperative and non-discriminatory resources required for prevention, comprehensive care, and the research necessary to halt the epidemic.As the mission statement implies, the National Commission on AIDS has viewed itself from the outset not only as a crucible for policy analysis, but also as a forum for those affected by HIV disease. In site visits and hearings the commissioners have met with hundreds of people living with HIV disease, and with caregivers on the front lines. This odyssey has taken the commission on visits to homeless shelters in New York City; to "shooting galleries" where intravenous drug users congregate in Seattle; to Native American communities in four states; to private homes in rural Georgia; and to hospitals, HIV antibody testing centers, drug treatment clinics, and hemophilia treatment centers throughout the nation. It quickly became clear during the commission's travels that HIV disease cannot be understood outside the context of the racism, homophobia, poverty and unemployment that provide the medium that fosters its spread. It also became apparent that issues of HIV prevention, care and treatment, and clinical research are inextricably intertwined and must be dealt with as such.Early InitiativesUnder the leadership of Chairperson June Osborn and Vice-chairperson David Rogers, the commission decided that the problems it saw in its first few meetings were too urgent to await a full-length annual report. Hence the commission entered the fray with a series of brief interim reports on particular aspects of AIDS. These reports enabled the commission to draw attention to urgent problems of limitations in access to health care and to underscore the plight of people with HIV disease who might otherwise garner little media attention, such as prisoners and drug users (National Commission... (shrink)

To say that an object is beautiful or ugly is seemingly to refer to a property of the object. But it is also to express a positive or negative response to it, a set of aesthetic values, and to suggest that others ought to respond in the same way. Such judg- ments are descriptive, expressive, and normative or prescriptive at once. These multiple features are captured well by Humean accounts that analyze the judgments as ascribing relational properties. To say that (...) an object is beautiful is to say, in part, that it is such as to elicit a response expressing pleasure in certain observers. The observers in question must not be ignorant, biased, insensitive, or of poor taste, and they must not base their evaluations on aesthetically irrelevant properties of the objects they judge. The reference to the object's "being such . . ." captures the objective side of the relation; refer- ence to the pleasurable response captures the expressive function of these judgments; and the ideal properties of the observers suggest that others ought to judge in the same way. (shrink)

Against the traditional view, Alvin Goldman argues that logic, probability theory, and linguistic analysis cannot by themselves delineate principles of rationality or justified belief. The mind's operations must be taken into account.

But the dangers to abnormal discourse do not come from science or naturalistic philosophy. They come from the scarcity of food and from the secret police. Given leisure and libraries, the conversation which Plato began will not end in self‐objedification ‐ not because aspects of the world, or of human beings, escape being objects of scientific inquiry, but simply because free and leisured conversation generates abnormal discourse as the sparks fly upward.

But the dangers to abnormal discourse do not come from science or naturalistic philosophy. They come from the scarcity of food and from the secret police. Given leisure and libraries, the conversation which Plato began will not end in self‐objedification ‐ not because aspects of the world, or of human beings, escape being objects of scientific inquiry, but simply because free and leisured conversation generates abnormal discourse as the sparks fly upward (Rorty 1979, 389).

This Festschrift seeks to honor three highly distinguished scholars in the Department of Philosophy, University of Michigan: William K. Frankena, Charles L. Stevenson, and Richard B. Brandt. Each has made significant con­tributions to the philosophic literature, particularly in the field of ethics. Michigan has been fortunate in having three such original and productive moral philosophers serving on its faculty simultaneously. Yet they stand in a long tradition of excellence, both within the Department and in the University. Let us trace that (...) tradition briefly. The University of Michigan opened in 184l. lts Department of Literature, Science, and the Arts at first resembled a typical American college of that period, with religious and ethical indoctrination playing a central role in course offerings. But when Henry Tappan, a Presbyterian clergyman and Professor of philosophy, became President in 1852, he succeeded in shifting the emphasis from indoctrination to inquiry and scholarship. Though he was dismissed for his policies in 1863, Tappan's efforts to establish a broad and liberal curriculum prevailed. Michigan was to take its place among the leading educational institutions in this country, and to achieve an international reputation as a research center. Several past philosophers are worthy of mention here. George Sylvester Morris, an absolute idealist, joined the Department in 1881, having served from 1870 as Chairman of the Department of Modern Languages and Literature. He assumed the Chairmanship of Philosophy in 1884. (shrink)

This paper presents a partial analysis of perceptual knowledge, an analysis that will, I hope, lay a foundation for a general theory of knowing. Like an earlier theory I proposed, the envisaged theory would seek to explicate the concept of knowledge by reference to the causal processes that produce (or sustain) belief. Unlike the earlier theory, however, it would abandon the requirement that a knower's belief that p be causally connected with the fact, or state of affairs, that p.

It is always possible to construct a real function φ, given random quantities X and Y with continuous distribution functions F and G, respectively, in such a way that φ(X) and φ(Y), also random quantities, have both the same distribution function, say H. This result of De Finetti introduces an alternative way to somehow describe the `opinion' of a group of experts about a continuous random quantity by the construction of Fields of coincidence of opinions (FCO). A Field of coincidence (...) of opinions is a finite union of intervals where the opinions of the experts coincide with respect to that quantity of interest. We speculate on (dis)advantages of Fields of Opinion compared to usual `probability' measures of a group and on their relation with a continuous version of the well-known Allais' paradox. (shrink)

Since Edmund L. Gettier reminded us recently of a certain important inadequacy of the traditional analysis of "S knows that p," several attempts have been made to correct that analysis. In this paper I shall offer still another analysis (or a sketch of an analysis) of "S knows that p," one which will avert Gettier's problem. My concern will be with knowledge of empirical propositions only, since I think that the traditional analysis is adequate for knowledge of nonempirical truths.

For most of their respective existences, reliabilism and evidentialism (that is, process reliabilism and mentalist evidentialism) have been rivals. They are generally viewed as incompatible, even antithetical, theories of justification.1 But a few people are beginning to re-think this notion. Perhaps an ideal theory would be a hybrid of the two, combining the best elements of each theory. Juan Comesana (forthcoming) takes this point of view and constructs a position called “Evidentialist Reliabilism.” He tries to show how each theory can (...) profit by borrowing elements from the other. Comesana concentrates on reliabilism’s problems and how it might be improved by infusions from evidentialism. This paper follows a similar tack. My emphasis, however, is the reverse of Comesana’s. I highlight problems for evidentialism and show how it could benefit by incorporating reliabilist themes. I am not sanguine that evidentialists will see it my way. They might even view my proposals as an insidious attempt to convert evidentialists to reliabilism. Well, I won’t debate the best way to formulate this paper’s recipe. At any rate, it began with the idea (which anteceded my reading of Comesana) of creating a synthesis of reliabilism and evidentialism. It retains significant strands of that idea, although the synthesis theme does not pervade the entire paper. What is mentalist evidentialism? Its original formulation was succinct. (shrink)

Stephen Stich and Shaun Nichols advance the debate over folk psychology with their vivid depiction of the contest between the simulation theory and the theory-theory (Stich & Nichols, this issue). At least two aspects of their presentation I find highly congenial. First, they give a generally fair characterization of the simulation theory, in some respects even improving its formulation. Though I have a few minor quarrels with their formulation, it is mostly quite faithful to the version which I have found (...) attractive (Goldman, 1989).Second, I concur with Stich and Nichols in their assertion that the theory-theory and the simulation theory are the only two games in town. Where I disagree, of course, is in Stich and Nichols’s contention that their arguments so dim the prospects of the simulation theory that it should no longer be taken seriously. On the contrary, I shall maintain, the simulation theory remains a very plausible contender, and should receive careful and respectful consideration in the continuing investigation. (shrink)

These essays by a major epistemologist reconfigure philosophical projects across a wide spectrum, from mind to metaphysics, from epistemology to social power. Several of Goldman's classic essays are included along with many newer writings. Together these trace and continue the development of the author's unique blend of naturalism and reliabilism. Part I defends the simulation approach to mentalistic ascription and explores the psychological mechanisms of ontological individuation. Part II shows why epistemology needs help from cognitive science - not only (...) to evaluate cognitive agents but also to illuminate the practices of epistemic evaluators. Parts III and IV explain how philosophical projects can be reshaped through interchange with social science. An epistemological study of scientific activity exploits the economic paradigm, and philosophical tools are applied to analyze power in society. (shrink)

One of the main goals of epistemologists is to provide a substantive and explanatory account of the conditions under which a belief has some desirable epistemic status (typically, justification or knowledge). According to the reliabilist approach to epistemology, any adequate account will need to mention the reliability of the process responsible for the belief, or truth-conducive considerations more generally. Historically, one major motivation for reliabilism—and one source of its enduring interest—is its naturalistic potential. According to reliabilists, epistemic properties can be (...) explained in terms of reliability, which in turn can be understood without reference to any unreduced epistemic notions, such as evidence or knowledge. This article begins by surveying some of the main forms of reliabilism, concentrating on process reliabilism as a theory of justification. It proceeds to review some of the main objections to reliabilism, and some of the responses that have been offered on the reliabilist’s behalf. After canvassing some recent developments in reliabilist epistemology, the article concludes by considering various cousins and spin-offs of reliabilist epistemology, including virtue reliabilism and various evidentialist-reliabilist hybrids. (shrink)

Life's Values offers new analyses of the nature of pleasure, happiness, well-being, and meaning in life. Recognizing how individuals have different priorities, Goldman explains what is of ultimate value in our lives and argues that making our desires rational - relevantly informed of what it's like to satisfy them - maximizes well-being.

'ground-breaking anthology... wide array of perspectives on WW1, from both sides of the fighting' -B. Adler, Choice 'a very fine anthology' -Times Literary SupplementThe First World War inspired a huge outpouring of writing that, until recently, was thought to be almost the exclusive preserve of men. Yet the war also acted as a catalyst which enabled women writers to find a literary and political voice. This anthology bears witness to the great variety and scope of women's writing about the war. (...) Covering the years 1914-1930, the book brings together little-known writing from across the world, drawing on a wide spectrum of genres from letters and diary entries to essays, novels, and short stories. Among the celebrated writers featured in this anthology are: Radclyffe Hall, Sylvia Pankhurst, Maud Gonne, Rebecca West, May Sinclair, Olive Schreiner, Colette, Vera Brittain, Gertrude Stein, Katherine Mansfield, HD, and Virginia Woolf. (shrink)

We outline a process, undertaken at a large tertiary children's hospital, intended to provide practical guidance and support for those involved in the management of children with life-limiting conditions. Initial discussions with representatives of clinical and support services identified communication problems and ethical dilemmas as key issues. These were further explored in multidisciplinary hospital meetings, culminating in a conference (Living Well, Dying Well) where individual perspectives - clinical, multi-faith, parental and legal - and cases were presented. Communication problems were found (...) to involve unrealistic expectations, failures of anticipation and difficulties in discussing sensitive issues, while ethical dilemmas arose from balancing burdens and benefits, clinical uncertainty, respecting autonomy and achieving equity and justice in delivery of care. An integrated service has been developed that is intended to provide clinical and spiritual care, psychosocial and ethical support, advice and mediation for children, families and staff, and to address the latter's educational and training needs. (shrink)

This paper supports the basic integrity of the folk psychological conception of consciousness and its importance in cognitive theorizing. Section 1 critically examines some proposed definitions of consciousness, and argues that the folk- psychological notion of phenomenal consciousness is not captured by various functional-relational definitions. Section 2 rebuts the arguments of several writers who challenge the very existence of phenomenal consciousness, or the coherence or tenability of the folk-psychological notion of awareness. Section 3 defends a significant role for phenomenal consciousness (...) in the execution of a certain cognitive task, viz., classification of one's own mental states. Execution of this task, which is part of folk psychologizing, is taken as a datum in scientific psychology. It is then argued that the most promising sort of scientific model of the self-ascription of mental states is one that posits the kinds of phenomenal properties invoked by folk psychology. Cognitive science and neuroscience can of course refine and improve upon the folk understanding of consciousness, awareness, and mental states generally. But the folk-psychological constructs should not be jettisoned; they have a role to play in cognitive theorizing. (shrink)

One possible aim of epistemology is to advise cognizers on the proper choice of beliefs or other doxastic attitudes. This aim has often been part of scientific methodology: to tell scientists when they should accept a given hypothesis, or give it a certain degree of credence. This regulative function is naturally linked to the notion of epistemic justification. It may well be suggested that a cognizer is justified in believing something just in case the rules of proper epistemic procedure prescribe (...) that belief. Principles that make such doxastic prescriptions might thereby "double" as principles of justification. In the first part of this paper I contrast the regulative conception of justification with another, equally tenable, conception. Then, after noting a fundamental worry about the applicability of the regulative conception, I proceed to lay it out in more detail. The regulative justificational status of a doxastic attitude for person S at time t depends upon (a) the right set of doxastic instructions and (b) the states S is in at (or just before) t. (shrink)

This article explores the fit between the lived reality in entrepreneurial organizations and the Buddhist concept of the bodhisattva in order to see whether the juxtaposition of these two very different realities can shed light on the impact of spiritual values in the workplace. Semi-structured interviews were conducted with an array of entrepreneurs who have been practising Buddhists for over three years to see whether they were using core elements of this concept in their daily work and, if so, how (...) they experienced the value and impact of these notions. The interviews showed that it was very much a part of the participants’ daily work lives and seems to be a force in creating a happier, more nourishing work environment. All participants brought up the notion unasked and provided stories describing how their relationships at work were influenced by this and other fundamental aspects of their spiritual practice. The data have implications at the levels of both individual action and societal change. Buddhism has shown a strong ability to retain its core concepts while developing new practices as it moved from one culture to another over the centuries. Perhaps Western societies will prove to be as conducive an environment for the further evolution of Buddhist teachings as was eighth-century Tibet. As Tibet's unique form of aliveness was infused into Buddhism without changing the core constructs or values, perhaps what is alive about Western culture (such as entrepreneurialism) will nourish analogous new forms. (shrink)

How can intuitions be used to validate or invalidate a philosophical theory? An intuition about a case seems to be a basic evidential source for the truth of that intuition, i.e., for the truth of the claim that a particular example is or isn’t an instance of a philosophically interesting kind, concept, or predicate. A mental‐state type is a basic evidential source only if its tokens reliably indicate the truth of their contents. The best way to account for intuitions being (...) a basic evidential source is to interpret their subject matter in psychologistic terms. Intuitions provide evidence about the contents of the intuiter's concept, where “concept” is understood as a psychological structure. (shrink)