The main causes of suicide and how suicide could and should be prevented are ongoing controversies in the scientific literature as well as in public media. In the bill on public health from 2008, the Swedish Parliament adopted an overarching “Vision Zero for Suicide” and nine strategies for suicide prevention. However, how the VZ should be interpreted in healthcare is unclear. The VZ has been criticized both from a philosophical perspective and against the background of clinical experience and alleged empirical (...) claims regarding the consequences of regulating suicide prevention. This study is part of a larger research project in medical ethics with the overarching aim to explore whether the VZ is ethically justifiable. The aim is to enrich the normative discussion by investigating empirically how the VZ is perceived in healthcare. Interviews based on a semi-structured interview guide were performed with 12 Swedish psychiatrists. The interviews were analysed with descriptive qualitative content analysis aiming for identifying perceptions of the Vision Zero for Suicide as well as arguments for and against it. Though most of the participants mentioned at least some potential benefit of the Vision Zero for Suicide, the overall impression was a predominant skepticism. Some participants focused on why they consider the VZ to be unachievable, while others focused more on its potential consequences and normative implications. The VZ was perceived to be impossible to realize, nonconstructive or potentially counterproductive, and undesirable because of potential conflicts with other values and interests of patients as well as the general public. There were also important notions of the VZ having negative consequences for the working conditions of psychiatrists in Sweden, in increasing their work-related anxiety and thwarting the patient-physician relationship. (shrink)

BackgroundInvoluntary treatment is a key issue in healthcare ethics. In this study, ethical issues relating to involuntary psychiatric treatment are investigated through interviews with Swedish psychiatrists.MethodsIn-depth interviews were conducted with eight Swedish psychiatrists, focusing on their experiences of and views on compulsory treatment. In relation to this, issues about patient autonomy were also discussed. The interviews were analysed using a descriptive qualitative approach.ResultsThe answers focus on two main aspects of compulsory treatment. Firstly, deliberations about when and why it was justifiable (...) to make a decision on involuntary treatment in a specific case. Here the cons and pros of ordering compulsory treatment were discussed, with particular emphasis on the consequences of providing treatment vs. refraining from ordering treatment. Secondly, a number of issues relating to background factors affecting decisions for or against involuntary treatment were also discussed. These included issues about the Swedish Mental Care Act, healthcare organisation and the care environment.ConclusionsInvoluntary treatment was generally seen as an unwanted exception to standard care. The respondents’ judgments about involuntary treatment were typically in line with Swedish law on the subject. However, it was also argued that the law leaves room for individual judgments when making decisions about involuntary treatment. Much of the reasoning focused on the consequences of ordering involuntary treatment, where risk of harm to the therapeutic alliance was weighed against the assumed good consequences of ensuring that patients received needed treatment. Cases concerning suicidal patients and psychotic patients who did not realise their need for care were typically held as paradigmatic examples of justified involuntary care. However, there was an ambivalence regarding the issue of suicide as it was also argued that risk of suicide in itself might not be sufficient for justified involuntary care. It was moreover argued that organisational factors sometimes led to decisions about compulsory treatment that could have been avoided, given a more patient-oriented healthcare organisation. (shrink)

Decision-making capacity is a key concept in contemporary healthcare ethics. Previous research has mainly focused on philosophical, conceptual issues or on evaluation of different tools for assessing patients’ capacity. The aim of the present study is to investigate how the concept and its normative role are understood in Swedish psychiatric care. Of special interest for present purposes are the relationships between decisional capacity and psychiatric disorders and between health law and practical ethics.

Aus dem Inhalt: Views from the North: Hans Petter Graver: Law, Justice and the State: Nordic Perspectives u Jacob Dahl Rendtorff: The Danish Welfare State: Philosophical Ideals and Systemic Reality u Sigri!Dur *orgeirsdottir: Feminist Ethics and Feminist Politics u Kuellike Lengi: The Situation of Human Rights in Estonia u Einar Palsson: Pythagoras and Early Icelandic Law u Law, Discourse and Rationality: Mats Flodin: Internal and External Rationality of Legal Systems u Logi Gunnarsson: A Discourse About Discourse u Hjordi!s Hakonardottir: (...) Legal Language: A Tool of Justice u Ghita Holmstrom-Hintikka: On the Use of Expert Witness in Legal Reasoning and Inquiry u Law, State and Nation: Agust H. Ing*orsson: Democracy, Bureaucracy and Marginalization of the State u Aleksander Peczenik: Law-State, Legal Certainty and Legitimacy of Law u Ove K. Pedersen/Sverre Raffnsoe: Reorganizing Society u Juha Raikka: Mill on National Sentiment u Pall Skulason: Concepts of the State and Classes of Value u Problems of Law and Rights: Britt-Mari Blegvad: How to Cope With Uncertainty: Trust and Law u Jon Wetlesen: Animal Rights or Human Duties?. (shrink)

It is a contradictory argument to say on the one hand that social systems are always open and that there is nothing between closed and open systems, and on the other that there are pseudo-closed systems. Further, Petter Næss has shown that multivariate regression analysis can be used to help uncover mechanisms, something that should be impossible if social systems were always open. He has in addition found that the meaningful activity of urban planning requires for its existence the (...) possibility to make crude, qualitative predictions, which should also be impossible for the same reason. Critical realists therefore need to rethink the whole question of closed and open social systems. (shrink)

A fundamental assumption of theories of decision-making is that we detect mismatches between intention and outcome, adjust our behavior in the face of error, and adapt to changing circumstances. Is this always the case? We investigated the relation between intention, choice, and introspection. Participants made choices between presented face pairs on the basis of attractiveness, while we covertly manipulated the relationship between choice and outcome that they experienced. Participants failed to notice conspicuous mismatches between their intended choice and the outcome (...) they were presented with, while nevertheless offering introspectively derived reasons for why they chose the way they did. We call this effect choice blindness. (shrink)

Background Person-centred care is based on ethical principles, and it is regarded as high-quality care. Care of older persons should embrace person-centredness. During the pandemic, older persons were highlighted as a vulnerable group at risk of developing serious illness and/or suffering death from COVID-19. Several pandemic-related measures were introduced in residential care facilities (RCFs) to reduce this risk, which influenced the possibilities to lead and provide a person-centred care. Aim This study’s aim was to explore ethical challenges in relation to (...) person-centredness during the COVID-19 pandemic, from the perspective of leaders in RCFs. Research design The study had a qualitative descriptive design. Participants and research context Semi-structured interviews were conducted with 26 leaders working in RCFs in Sweden. Data were analysed using conventional content analysis. Ethical considerations The study was approved by the Swedish Ethical Review Authority. The participants received oral and written information about the study and gave written consent. The study was conducted in accordance with the Declaration of Helsinki. Findings The overarching ethical challenge was Having to disregard the individual needs of the person in order to protect the group and society. This included (a) Protecting the group versus promoting the older person’s autonomy; (b) Being forced to lead care based on uncertainty instead of evidence; (c) Striving to provide dignified care but lacking opportunities; and (d) Going far beyond ordinary duty and endangering one’s own and the staff’s health. Discussion The ethical challenges meant being torn between the person’s individual needs and protecting the group and society, with clashing ethical principles as a consequence. Conclusions The leaders faced ethical situations resulting in undignified and compromised person-centred care, which has implications for stakeholders and management who need to address the work conditions in RCFs. (shrink)

The distinction between acting and suffering underlies any theory of agency. Among contemporary writers, Fred Dretske is one of the few who has attempted to explicate this distinction without restricting the notion of action to intentional action alone. Aristotle also developed a global account of agency, one which is deeper and more detailed than Dretske's, and it is to Aristotle's account (with some modifications) that the bulk of this paper is devoted. Dretske's sketchier theory faces at least two ground-level problems. (...) It is shown in the course of the paper how these can be handled by the Aristotelian account, in a way which is friendly to Dretske's approach. (shrink)

The distinction between acting and suffering underlies any theory of agency. Among contemporary writers, Fred Dretske is one of the few who has attempted to explicate this distinction without restricting the notion of action to intentional action alone. Aristotle also developed a global account of agency, one which is deeper and more detailed than Dretske's, and it is to Aristotle's account (with some modifications) that the bulk of this paper is devoted. Dretske's sketchier theory faces at least two ground-level problems. (...) It is shown in the course of the paper how these can be handled by the Aristotelian account, in a way which is friendly to Dretske's approach. 1 An earlier, and fuller, version of this paper was presented at the international conference “Supervenience, Causality, Mind and Action”, Université de Provence (Aix-Marseille 1), Aix-en-Provence, 9-11 May 1999. I would like to thank Thorsteinn Gylfason, Logi Gunnarsson, Torfi Sigurdsson, Andri Björnsson and Lynne Rudder Baker for their helpful comments and criticisms. My research on causality and explanation, which forms the background for this paper, has been supported by the Icelandic Council of Science and the Research Fund of the University of Iceland. (shrink)

Clinical ethics support, in particular Moral Case Deliberation, aims to support health care providers to manage ethically difficult situations. However, there is a lack of evaluation instruments regarding outcomes of clinical ethics support in general and regarding Moral Case Deliberation (MCD) in particular. There also is a lack of clarity and consensuses regarding which MCD outcomes are beneficial. In addition, MCD outcomes might be context-sensitive. Against this background, there is a need for a standardised but flexible outcome evaluation instrument. The (...) aim of this study was to develop a multi-contextual evaluation instrument measuring health care providers’ experiences and perceived importance of outcomes of Moral Case Deliberation. (shrink)

The legacy of Nisbett and Wilson’s classic article, Telling More Than We Can Know: Verbal Reports on Mental Processes , is mixed. It is perhaps the most cited article in the recent history of consciousness studies, yet no empirical research program currently exists that continues the work presented in the article. To remedy this, we have introduced an experimental paradigm we call choice blindness [Johansson, P., Hall, L., Sikström, S., & Olsson, A. . Failure to detect mismatches between intention and (...) outcome in a simple decision task. Science, 310, 116–119.]. In the choice blindness paradigm participants fail to notice mismatches between their intended choice and the outcome they are presented with, while nevertheless offering introspectively derived reasons for why they chose the way they did. In this article, we use word-frequency and latent semantic analysis to investigate a corpus of introspective reports collected within the choice blindness paradigm. We contrast the introspective reasons given in non-manipulated vs. manipulated trials, but find very few differences between these two groups of reports. (shrink)

Exceptions are often cited as a counterargument against formal causation. Against this I argue that Aristotle explicitly allows for exceptions to essences in his biological writings, and that he has a means of explaining them through formal causation – though this means that he has to slightly elaborate on his general case theory from the Posterior Analytics, by supplementing it with a special case application in the biological writings. Specifically for Aristotle an essential predication need not be a universal predication. (...) Rather an essential predication is where a property belongs essentially to a species or genus. This essential predication serves a causal and explanatory role, and is not dependent on a corresponding universal predication. (shrink)

This paper reviews the contemporary discussion on the epistemological and ontological effects of Big Data within social science, observing an increased focus on relationality and complexity, and a tendency to naturalize social phenomena. The epistemic limits of this emerging computational paradigm are outlined through a comparison with the discussions in the early days of digitalization, when digital technology was primarily seen through the lens of dematerialization, and as part of the larger processes of “postmodernity”. Since then, the online landscape has (...) become increasingly centralized, and the “liquidity” of dematerialized technology has come to empower online platforms in shaping the conditions for human behavior. This contrast between the contemporary epistemological currents and the previous philosophical discussions brings to the fore contradictions within the study of digital social life: While qualitative change has become increasingly dominant, the focus has gone towards quantitative methods; while the platforms have become empowered to shape social behavior, the focus has gone from social context to naturalizing social patterns; while meaning is increasingly contested and fragmented, the role of hermeneutics has diminished; while platforms have become power hubs pursuing their interests through sophisticated data manipulation, the data they provide is increasingly trusted to hold the keys to understanding social life. These contradictions, we argue, are partially the result of a lack of philosophical discussion on the nature of social reality in the digital era; only from a firm metatheoretical perspective can we avoid forgetting the reality of the system under study as we are affected by the powerful social life of Big Data. (shrink)

Former Prime Minister Koizumi's surprising victory within the Liberal Democratic Party in 2001 and his subsequent popularity as prime minister led to increased interest in the study of populism in Japan. In addition to Ōtake Hideo's prominent contributions, several others have also employed populism as a prism to study Japanese politics. Compared to the major debates on populism and particularly on the populist radical right in Western Europe over the last two decades, however, the study of Japanese populism seems to (...) be at a less mature stage. Lessons may be learned from the European literature for the community studying Japanese populism. This paper first summarizes the studies on Japanese populism. Then, the main discussions and arguments presented in the academic literature on the PRR in Europe are discussed. Next, this study evaluates how arguments found in studies of European populism can be exploited in further research on populist politicians and parties in Japan. The author recommends further studies on conceptual definitions, on the classifications of politicians and parties, and on explaining the emergence and persistence of these parties and politicians. The findings in this paper encourage and support further research on populism in the Japanese political system. (shrink)

This article examines how one of the most striking differences between the central doctrines of the Catholic Church and the secular context of Swedish society, attitudes to abortion, is managed by the Swedish church hierarchy and commentators in the official newsletter of the Catholic Church of Sweden. Using Foucauldian concepts of power, the article concludes that in its marginal position, the Catholic Church in Sweden mixes the traditional pastoral and sovereign power of the church with the way pastoral power is (...) exerted in modern society, in its efforts to continue asserting its influence over the possible courses of action for pregnant women. While traditionally abortion has been a woman’s crime, in the Swedish Catholic context it becomes rather the crime of the secular society. This means also that the image of woman as being responsible for her decisions and in need of forgiveness gives way to an image of woman as a victim in need of understanding. (shrink)

I argue that Aristotle’s account of scientific demonstrations in the Posterior Analytics is centred upon formal causation, understood as a demonstration in terms of essence (and as innocent of the distinction between form and matter). While Aristotle says that all four causes can be signified by the middle term in a demonstrative syllogism, and he discusses at some length efficient causation, much of Aristotle’s discussion is foremost concerned with the formal cause. Further, I show that Aristotle had very detailed procedures (...) for identifying the formal cause, and that he is aware of several problems which might lead one to erroneously identify the wrong form as the cause of a property. Finally, I show that Aristotle’s account can easily be adapted to material causation, and through some modifications (introduction of process universals related through parthood), hinted at in II 11-12 and 16-17, to efficient and final causation. (shrink)

SummaryOverweight and obesity constitute a major and increasing health and welfare problem throughout the world. Assessing the multifaceted mechanisms – biological, environmental and behavioural – behind this development is a crucial task in medical, social and economic sciences. We are, therefore, grateful to have been given the opportunity to, once again, discuss whether the risk of divorce may be one of the factors influencing the incentives of becoming overweight or obese and, hence, ultimately the physical appearance among the married. In (...) this Debate, colleagues Schneider and Grimps present the results of a multilevel analysis, in which they could not identify any statistically significant association between body mass index and divorce risk among married people. Thus, they question the findings, previously published in this Journal. The Schneider and Grimps arguments are not convincing, however. So, we still claim that the statistical material at hand does, indeed, imply that divorce risk at the national level may well influence the weight of the married. (shrink)

The classical view of the gene prevailing during the 1910s and 1930s comprehended the gene as the indivisible unit of genetic transmission, genetic recombination, gene mutation and gene function. The discovery of intragenic recombination in the early 1940s led to the neoclassical concept of the gene, which prevailed until the 1970s. In this view the gene or cistron, as it was now called, was divided into its constituent parts, the mutons and recons, materially identified as nucleotides. Each cistron was believed (...) to be responsible for the synthesis of one single mRNA and concurrently for one single polypeptide. The discoveries of DNA technology, beginning in the early 1970s, have led to the second revolution in the concept of the gene in which none of the classical or neoclassical criteria for the definition of the gene hold strictly true. These are the discoveries concerning gene repetition and overlapping, movable genes, complex promoters, multiple polyadenylation sites, polyprotein genes, editing of the primary transcript, pseudogenes and gene nesting. Thus, despite the fact that our comprehension of the structure and organization of the genetic material has greatly increased, we are left with a rather , open and general concept of the gene. This article discusses past and present contemplations of genes, genomes, genotypes and phenotypes as well as the most recent advances of the study of the organization of genomes. (shrink)

In nursing practice, awareness of ethical inner values and a common understanding of nursing and caring are needed. It is therefore important to highlight ideas of caring in nursing practice. The aim of this paper was to illuminate nursing, caring and ethical inner values in caring and caring in nursing practice. By being attentive, open, respectful and treating the patient as a person, nurses can enhance both their own and the patient's sense of personal meaning in the caring relationship. Nurses (...) can use self‐reflection to create an awareness of nursing, caring and ethical inner values in caring. (shrink)

Sparrows fly because they are birds. This mushroom is poisonous because it is an Amanita muscaria. Pointing out the kind to which things belong explains many of their properties. Jonathan Lowe’s four-category ontology and his account of laws of nature provide a framework to account for the explanatory appeal of referring to kind membership. For Lowe, “Electron has Unit-negative charge” is a typical example for a law of nature: a kind universal characterized by a property universal. We present both Lowe’s (...) original account of laws of nature and later developments, and show how Lowe’s account can help to solve notorious problems of other accounts, namely, the regularity view and the Armstrong-Dretske-Tooley view. We argue that there are two challenges that Lowe’s view cannot master. First, Lowe conflates generics and dispositions, which is a considerable problem for Lowe, because his account of dispositional predication and his account of laws of nature are intimately connected. Second, there is the identification problem of fully specifying and identifying the formal ontological relation of characterization between kind universals and property universals. In order to solve these problems, we develop an account of formal causation inspired by Aristotle’s theory of explanation in his Posterior Analytics. Though very close to Lowe’s own account, our neo-Aristotelian account avoids Lowe’s confusion regarding dispositions, avoids overdetermination through several similar laws of nature, and provides an answer to the identification problem: The characterization of a kind universal by a property universal constitutes the relation of formal causation. By virtue of this relation, the kind Amanita muscaria is the formal cause of this mushroom having the attribute of being poisonous. (shrink)

I present three critical points against G.E.R. Lloyd's ‘The Fortunes of Analogy’. First, I argue that Lloyd unduly criticises Aristotle's view of analogies. Second, I argue that Lloyd needs to discuss the means of limiting the semantic stretch of terms, for instance through the distinction between fiat and bona fide boundaries. Third, I point out some terminological issues in Lloyd's account, especially concerning the applicability of validity, soundness, and fallaciousness to analogies.

The proliferation of digital data has been the impetus for the emergence of a new discipline for the study of social life: ‘computational social science’. Much research in this field is founded on the premise that society is a complex system with emergent structures that can be modeled or reconstructed through digital data. This paper suggests that computational social science serves practical and legitimizing functions for digital capitalism in much the same way that neoclassical economics does for neoliberalism. In recognition (...) of this homology, this paper develops a critique of the complexity perspective of computational social science and argues for a heterodox computational social science founded on the meta-theory of critical realism that is critical, methodological pluralist, interpretative and explanative. This implies diverting computational social science’ computational methods and digital data so as to not be aimed at identifying invariant laws of social life, or optimizing state and corporate practices, but to instead be used as part of broader research strategies to identify contingent patterns, develop conjunctural explanations, and propose qualitatively different ways of organizing social life. (shrink)

It is widely accepted that if a property is essential then it is necessary. Against this I present numerous counterexamples from biology and chemistry, which fall into two groups: (I) A property is essential to a genus or species, yet some instances of this genus or species do not have this essential property. (II) A property is essential to a genus, yet some species of this genus do not have this essential property. I discuss and reject four minor objections. Then (...) I discuss in depth whether a distinction between constitutive essence and consequential essence is able to handle these counterexamples. I conclude that this distinction is better put as one between (1) the essence, which is necessary, and (2) the essential properties, which are not formally necessary. An essence of an object X is the substantial universal expressed by its real definition. An object X has a property P essentially iff the property P is explanatory and non-trivial, and P follows from the essence of X. (shrink)

Weakness of will denotes a phenomenon that many would regard as forming part of everyday human experience. I hate to admit to it, but I do sometimes reprimand my children more harshly than I think I should, and similar situations occur daily. This could be an example of weakness of will or incontinence: I will to be constructive and provide a model of calm interaction, but fail to do so because my will is weak and I end up acting against (...) better knowledge. But what is it that happens in such situations? Philosophers, theologians, poets, and other writers have discussed this question as akrasia, as well as under other headings. Weakness of Will from Plato to the Present not only contributes to a growing body of scholarship on the history of akrasia, but is also the first book that attempts to cover the trajectory of this issue through all major periods of Western philosophy. The book invites a broad range of readers, focusing on canonical figures from Plato and Aristotle through Augustine and Aquinas to Descartes, Kant, and Nietzsche. (shrink)

KARLSSON V, LINDAHL B and BERGBOM I. Nursing Inquiry 2012; 19: 247–258 Patients’ statements and experiences concerning receiving mechanical ventilation: a prospective video‐recorded studyProspective studies using video‐recordings of patients during mechanical ventilator treatment (MVT) while conscious have not previously been published. The aim was to describe patients’ statements, communication and facial expressions during a video‐recorded interview while undergoing MVT. Content analysis and hermeneutics inspired by the philosophy of Gadamer were used. The patients experienced almost constant difficulties in breathing and (...) lost their voice. The most common types of communication techniques patients used were nodding or shaking the head. Their expressions were interpreted as stiffened facial expression, tense body position and feelings of sadness and sorrow. Nursing care for patients’ conscious during MVT is challenging as it creates new demands regarding the content of the care provided. In caring for patients undergoing MVT while conscious, establishing a caring relationship, making patients feel safe and helping them to communicate seem to be most important for alleviating discomfort and instilling hope. (shrink)

A Norwegian translation is here offered of Eugenie Ginsberg’s paper «Zur Husserlschen Lehre von den Ganzen und den Teilen» (in Archiv für systematische Philosophie und Soziologie 32, 1929, 108–120). The paper discusses Husserl’s six theorems from Logical Investigations III, §14. Ginsberg provides new proofs for theorems 1 and 3, and also endorses theorem 5. In contrast, a counter example is given to theorems 2, 4, and 6: However, proofs are supplied for a modified version of these theorems. Furthermore, an additional (...) three theorems are defended based upon Ginsberg’s modified theorems. Also, a brief introduction is given discussing Ginsberg’s pioneering role as part of the Lvov-Warsaw school—in spite of her being murdered by the Nazis in 1942—especially her role as the first commentator on Husserl’s third logical investigations, which is a pioneering work on mereology and ontology; but also her later publication from 1931 where she developed several notions of ontological dependence (for instance foreshadowing the work of Roman Ingarden as well as Kit Fine). (shrink)

What follows is a modest example of theorizing an existent theory (Karlsson and Bergman 2017; Swedberg 2014). The theory in question is Margaret S. Archer’s (1995, 2000a) Morphogenesis/Morphostasis...

Experiments on choice blindness support von Hippel & Trivers's (VH&T's) conception of the mind as fundamentally divided, but they also highlight a problem for VH&T's idea of non-conscious self-deception: If I try to trick you into believing that I have a certain preference, and the best way is to also trick myself, I might actually end up having that preference, at all levels of processing.

Socrates’ expert-analogies is frequent both in Plato’s dialogues and in the Socratic writings of Xenophon, and is also ascribed to Socrates by Aristotle and Aeschines. Socrates makes an analogy from a non-controversial expert (or an expertise) like the cobbler or ship-captain, to another (often controversial) expert (or expertise) like the statesman. This paper defends an interpretation of the expert-analogy as valid deductions. It infers from one type of expert (such as the ship-captain) to another type of expert (such as the (...) statesman), and the attribute inferred (for instance ‘should not be selected by lot’) belongs to these types of experts because they are experts. The general logical form, which makes no mention of the expert and which is valid in virtue of its form, infers from one or more species to another species of the same genus, and the attribute inferred is presupposed to belong as such to the genus and only accidentally to the species. (shrink)

Every day, thousands of polls, surveys, and rating scales are employed to elicit the attitudes of humankind. Given the ubiquitous use of these instruments, it seems we ought to have firm answers to what is measured by them, but unfortunately we do not. To help remedy this situation, we present a novel approach to investigate the nature of attitudes. We created a self-transforming paper survey of moral opinions, covering both foundational principles, and current dilemmas hotly debated in the media. This (...) survey used a magic trick to expose participants to a reversal of their previously stated attitudes, allowing us to record whether they were prepared to endorse and argue for the opposite view of what they had stated only moments ago. The result showed that the majority of the reversals remained undetected, and a full 69% of the participants failed to detect at least one of two changes. In addition, participants often constructed coherent and unequivocal arguments supporting the opposite of their original position. These results suggest a dramatic potential for flexibility in our moral attitudes, and indicates a clear role for self-attribution and post-hoc rationalization in attitude formation and change. (shrink)

What kind of a science is psychoanalysis? What constitutes its domain? What truth claims does it maintain? In this unique and scholarly work concerning the nature of psychoanalysis, Gunnar Karlsson guides his arguments through phenomenological thinking which, he claims, can be seen as an alternative to the recent attempts to cite neuropsychoanalysis as the answer to the crisis of psychoanalysis. Karlsson criticizes this effort to ground psychoanalysis in biology and neurology and emphasizes instead the importance of defining the (...) psychoanalytic domain from the vantage point of the character of consciousness. His understanding of the unconscious, the libido and the death drive offer new insights into the nature of psychoanalysis, and he also illuminates and develops neglected dimensions such as consciousness and self-consciousness. Karlsson's approach to psychoanalysis is rigorous yet original, and this book fills an intellectual gap with implications for both the theoretical understanding and clinical issues of psychoanalysis. (shrink)

This thesis is an empirical and theoretical exploration of the surprising finding that people often may fail to notice dramatic mismatches between what they want and what they get, a phenomenon my collaborators and I have named choice blindness. The thesis consists of four co-authored papers, dealing with different aspects of the phenomenon. Paper one presents an initial set of studies using a computerised choice procedure, and discusses the relation of choice blindness to the parent phenomenon of change blindness. Paper (...) two is the most central paper of the thesis. In this study, participants were shown pairs of pictures of female faces, and were instructed to choose which face in each pair they found most attractive. In addition, on some trials, immediately after their choice, they were asked to verbally describe the reasons for choosing the way they did. Unknown to the participants, on certain trials, a double-card ploy was used to covertly exchange one face for the other. On these trials, the outcome of the choice became the opposite of what they intended. Counting across all conditions of the experiment no more than a fourth of all such manipulated trials were detected. But not only were the participants in the experiment blind to the manipulation of their choices, they also offered introspectively derived reasons for preferring the alternative they were given instead. A second major conclusion of this paper is that normal participants may produce confabulatory reports when asked to describe the reasons behind their choices. Paper three applies this form of analysis of introspection and confabulation to a second corpus of reports collected within the choice blindness paradigm. In this paper we use word-frequency and latent semantic analysis to contrast the introspective reasons given in non-manipulated and manipulated trials, but very few differences between these two groups of reports were found. In paper four, passer-by shoppers in a local supermarket were invited to sample two different varieties of jam and tea, and to decide which alternative in each pair they preferred the most. After their choice, the participants were asked to again sample to chosen alternative and describe why that one was preferred. At this point, the content of the sample containers were secretly switched, so that the outcome of the choice became the opposite of what the participants intended. No more than a third of the manipulated trials were detected, thus demonstrating considerable levels of choice blindness for the taste and smell of two different consumer goods. (shrink)