If ever I summon before me my highest ideals of men and medicine, I find them sprung from the spirit of Osler. —Wilder Penfield, M.D. Neuroethics is a recently coined term that is shaping our cultu...

If ever I summon before me my highest ideals of men and medicine, I find them sprung from the spirit of Osler. —Wilder Penfield, M.D. Neuroethics is a recently coined term that is shaping our cultu...

The idea that the brain is a representational organ has roots in the nineteenth century, when neurologists began drawing conclusions about what the brain represents from clinical and experimental studies. One of the earliest controversies surrounding representation in the brain was the “muscles versus movements” debate, which concerned whether the motor cortex represents complex movements or rather fractional components of movement. Prominent thinkers weighed in on each side: neurologists John Hughlings Jackson and F.M.R. Walshe in favor of complex movements, neurophysiologist (...) Charles Sherrington and neurosurgeon Wilder Penfield in favor of movement components. This essay examines these and other brain scientists’ evolving notions of representation during the first eighty years of the muscles versus movements debate (c. 1873–1954). Although participants agreed about many of the superficial features of representation, their inferences reveal deep-seated disagreements about its inferential role. Divergent epistemological commitments stoked conflicting conceptions of what representational attributions imply and what evidence supports them. (shrink)

While neuroethics is generally thought to be a modern addition to the broader field of bioethics, this subdiscipline has existed in clinical practice throughout the course of the 20th century. In this essay, Fins describes an older tradition of clinical neuroethics that featured such physician-humanists as Sir William Osler, Wilder Penfield, and Fred Plum, whose work and legacy exploring disorders of consciousness is highlighted. Their normative work was clinically grounded and focused on the needs of patients, in contrast (...) to modern neuroethics, which is more speculative and distant from the lived reality of the clinic. Using recent developments in the diagnosis and treatment of disorders of consciousness, and the history of the vegetative and minimally conscious states, Fins asks why modern neuroethics has taken this turn and what can be done to restore clinical neuroethics to a more proportionate place in the field. (shrink)

Although the behavioral effects of damage to the frontal lobes date back to at least the late 19th century even midway through the 20th century very little was known about human frontal lobe function and there was a general consensus that the frontal lobe did not play a key role in cognition. This all changed when Brenda Milner published a chapter in a 1964 volume entitled: The Frontal Granular Cortex and Behavior. Milner’s chapter, “Some effects of frontal lobectomy in man,” (...) was the first systematic study of the effect of frontal lobe excisions on cognition in human patients. Milner had access to a unique population of frontal excision patients at the Montreal Neurological Institute that were being treated by Wilder Penfield and his associates for a wide range of neurological disorders, including intractable epilepsy. Milner and her colleagues engaged in a more than 50-year study that has had a formidable impact on our understanding of frontal lobe function. Paralleling studies of frontal lobe function in non-humans they influence on understanding the evolution and function of the prefrontal cortex of mammals. Thus, although Brenda Milner is best known for her studies of human memory, she has had an equally important contribution to our understanding of the frontal lobes. (shrink)

Religiosity is a prominent feature of the Geschwind syndrome, a behavioural pattern found in some cases of temporal lobe epilepsy. Since the 1950s, when Wilder Penfield induced spiritual feelings by experimental manipulation of the temporal lobes, development of brain imaging technology has revealed neural correlates of intense emotional states, spurring the growth of neurotheology. In their secular empiricism, psychiatry, neurology and psychology are inclined to pathologise deviant religious expression, thereby reinforcing the dualism of objective and phenomenal worlds. Considering (...) theological perspectives and the idea of cosmic consciousness, the authors urge a holistic approach to the spiritual events of epileptic aura, potentially leading to a deeper understanding of the mind and its transcendent potential. (shrink)

Since antiquity, individuals have attempted to relate mental processes to circumscribed areas of the brain. In 1935 the neurologist Wilder Penfield purported to know, “the humming of the mind's machinery, and where words come from,” after he electrically stimulated areas of the exposed human cortex. Recent theories have suggested a functional separation of the dominant and the nondominant hemispheres, the right brain/left brain concept of thought and personality. One author has even proposed that human consciousness and modern civilization (...) developed when the bicameral mind broke down, and the left brain achieved mastery over the right nondominant temporal lobe.Compared to these mechanistic approaches to brain function and human personality, the Russian neurologist, Alesandr Romanovich Luria, and his American follower, Oliver Sacks, have developed a more intellectually satisfying and clinically useful approach which relies on a fuller understanding of the doctor-patient dialogue and the clinical tale. An analysis of Luria's writing about language reveals that mechanistic approaches to language are inadequate; a review of the work of several well-known poets confirms that knowing what a poem means involves more than a recital of its localized contents. Similarly, an examination of three of Sack's clinical tales suggests that even those patients who are grossly awry on a synaptic level can be understood on a personal level to be worthy of respect and even honor. “Man is to himself the most wonderful object in nature; for be cannot conceive what the body is, still less what the mind is, and least of all how a body should be united to a mind. This is the consummation of his difficulties, and yet it is his very being.”Blaise Pascal,Pensees, (11,72)1. (shrink)

Explores the biographical, historical and philosophical connections between Jacques Derrida and Michel FoucaultBetween Foucault and Derrida explores the notorious Cogito debate and includes: the central articles, an important piece by Jean-Marie Beyssade, along with a letter Foucault wrote to Beyssade in response both these pieces available for the first time in English translation. In the second part of the book, 10 essays written by some of the most well-known scholars working in contemporary continental philosophy address the various philosophical intersections and (...) divergences of these two profoundly important thinkers.Key FeaturesThe first collection of the central essays involved in the Cogito debate between Foucault and DerridaIncludes the first English translations of Jean-Marie Beyssades important 1973 article on the debate and Foucault's letter in responseSome of the best-known scholars working in continental philosophy today examine where Foucault and Derrida converge and diverge, and how they ultimately shaped each others projectsContributorsAmy Allen, Penn State University, Pennsylvania, USA.Ellen Armour, Vanderbilt Divinity School, Tennessee, USA. Yubraj Aryal, University of Montreal, Canada and New York University, USA. Jean-Marie Beyssade, University of Paris IV, France.Vernon W. Cisney, Gettysburg College, Pennsylvania, USA.Fred Evans, Duquesne University, Pennsylvania, USA.Peter Gratton, Memorial University of Newfoundland, Canada.Leonard Lawlor, Penn State University, Pennsylvania, USA.Edward McGushin, Stonehill College, Massachusetts, USA.Nicolae Morar, University of Oregon, Oregon, USA. Jeff Nealon, Penn State University, Pennsylvania, USA.Christopher Penfield, Purdue University, Indiana, USA.Arkady Plotnitsky, Purdue University, Indiana, USA. Paul Rekret, Richmond, The American International University in London, UK. Alan Schrift, Grinnell College, Iowa, USA. (shrink)

When shared decision making breaks down and parents and medical providers have developed entrenched and conflicting views, ethical frameworks are needed to find a way forward. This article reviews the evolution of thought about the best interest standard and then discusses the advantages of the harm principle (HP) and the zone of parental discretion (ZPD). Applying these frameworks to parental refusals in situations of complexity and uncertainty presents challenges that necessitate concrete substeps to analyze the big picture and identify key (...) questions. I outline and defend a new decision-making tool that includes three parts: identifying the nature of the disagreement, checklists for key elements of the HP and ZPD, and a “think list” of specific questions designed to enhance use of the HP and ZPD in clinical decision making. These tools together will assist those embroiled in complex disagreements to disentangle the issues to find a path to resolution. (shrink)

This paper charts the course of Deleuze and Foucault’s philosophical friendship or ‘block of becoming,’ showing the series of reciprocal determinations through which each philosopher’s thought develops in response to the other’s. Specifically, I will argue that the concept of transversal resistance is fundamental for the political thought of both Foucault and Deleuze, allowing us to reconstruct the basis and trajectory of a shared political theory. This concept emerges in Deleuze and Guattari’s schizo-politics, which advances the central aim of Foucault’s (...) earlier History of Madness while accounting for why Foucault’s particular politics of literary transgression had failed. The question then becomes one of conceiving and creating transversal forms of struggle that would respond to the problem of capitalism—a question which Deleuze poses to Foucault, and which prompts and orients the latter’s micro-political analytic of power. In turn, Foucault’s analysis of the anti-transversal operation and economico-political function of power provides the critical groundwork for a theory of transversal politics. Such an affirmative project takes form in Foucault’s late ethico-politics. (shrink)

This book investigates the Ancient Stoic thinkers’ views on gender and sexuality. A detailed scrutiny of metaphysics, ethics and political philosophy reveals that the Stoic philosophers held an exceptionally equal view of men and women’s rational capacities. In its own time, Stoicism was frequently called ‘ the manly school’ of philosophy, but this volume shows that the Stoics would have also transformed many traditional notions of masculinity. Malin Grahn-Wilder compares the earlier philosophies of Plato and Aristotle to show that (...) the Stoic position often stands out within Ancient philosophy as an exceptionally bold defense of women’s possibilities to achieve the highest form of wisdom and happiness. The work argues that the Stoic metaphysical notion of human being is based on strikingly egalitarian premises, and opens new perspectives to Stoic philosophy on the whole. (shrink)

Three public lectures delivered in the Chemistry Lecture Hall of the Rice Institute, April 9, 10, and 11, 1928, by Wilder D. Bancroft, Ph.D., D.Sc., World War Memorial Professor of Physical Chemistry at Cornell University.

ABSTRACT Gilles Deleuze’s monograph on Michel Foucault has often been construed as a “metaphysical fiction,” to use Frédéric Gros’s sympathetic phrase. This article takes a different approach, arguing that Foucault’s microphysics of power and Deleuze’s metaphysics of the virtual in fact share a common ontology of forces. In addition to enriching understanding of the two thinkers’ philosophical relation, the article argues that this virtual force ontology clarifies the continuity between Foucault’s earlier and later formulations of power, from microphysics to governmentality. (...) Reading Foucault in this way not only challenges the dominant view in Foucault studies but also suggests the continued relevance of his work for grasping the contemporary exercise of power. By acting on the conditions of possible action, power performs an anticipatory function, intervening, as Foucault puts it, “at the point when the virtual is becoming real.” This is precisely how techniques like algorithmic policing function today. (shrink)

Treating mathematical science as a distinct cultural entity subject to environmental factors which influence its evolution, the author examines the creation and development of its major concepts since early times.

Treating mathematical science as a distinct cultural entity subject to environmental factors which influence its evolution, the author examines the creation and development of its major concepts since early times.

This article proposes a locative function as a defining feature of situated art. All artworks orient their beholders, but situated art is characterized by this context-sensitive orientation entering the work’s content. In so doing, it facilitates ‘here’- and ‘now’-thoughts, not only towards the “real” situation encountered (the work’s outer orientation) but to the work’s “virtual” or “bracketed” realm (its inner orientation). These orientations overlap, but do not necessarily align; indeed, situated works often construct a tension through a deliberate miscalibration of (...) these orientations. But what is the mechanism by which such works afford indexical thought towards their worlds? Drawing upon Gareth Evans’s account of demonstrative content, I contend that sensory imagination—conceived in Evans’s terms as an additional conceptual component—plays a necessary role in negotiating demonstrative thought towards two (or more) separate spaces conceived as “here.” This is something the beholder brings to the work. (shrink)

Professional providers of mental health services are motivated to help people, including, or especially, vulnerable people. We analyse the ethical implications of mental health providers accepting employment at detention centres that operate out of the normal regulatory structure of the modern state. Specifically, we examine tensions and moral harms experienced by providers at the Australian immigration detention centre on the island of Nauru. Australia has adopted indefinite offshore detention for asylum-seekers arriving by boat as part of a deterrence strategy that (...) relies on making detainment conditions harsh. This has known deleterious mental health effects. As a token to fiduciary care obligations, Australia employs mental health professionals to work on Nauru. These providers are often motivated to make a positive difference for detainees’ lives. We examine the overall impact of the providers’ work with detainees and the implications of their presence. The strongest evidence supports that the small mitigation of harms offered by these providers does not outweigh the harms of supporting a system designed to perpetuate human suffering. For mental health professionals considering working in offshore detention, we offer specific topics to scrutinise and weigh prior to employment. Because optimising detainee’s mental health is beyond the capacity of individual providers, we call for the organisations standardising and supporting mental health professionals to oppose employment of their associates in offshore detention. Lessons from this case study are generalisable to other jurisdictions to help inform organisations that licence and support mental health providers and individual providers considering work in similar settings. (shrink)

Downie and Schuklenk1 provide a clear narrative of the development of Canadian policy on medically assisted dying. This is very helpful for considering specific aspects of the continuing deliberations in Canada. This commentary presents an alternative perspective on the authors’ argument that narrow eligibility criteria for medical assistance in dying are discriminatory and unjustified. I argue that disability or mental illness as sole reason for accessing MAiD removes protections for all people who have times in their life when they have (...) mental illness or disability combined with intolerable suffering. I claim that individuals do not make their best, self-actualising decisions at those times and the supposed protections of vague terms such as incurable, advanced and decline are not clinically useful for evaluating eligibility for individuals with chronic health conditions. Within discussion of the impact of social determinants of health on access to MAiD, the authors present the argument that decisionally capable people with mental illness or disabilities as their sole underlying condition should be allowed to access MAiD. The authors state that opposing this access sacrifices patient rights and strips people of their agency. To support their argument, they embrace the idea that people with mental illness or disabilities belong to an identifiable cohort. They claim that …. (shrink)

Research ethics education has taken many forms since federal funding agencies issued regulatory guidance directing those supported by these agencies to complete required training. In the absence of a standard training approach among institutions such as universities, the design and content of courses, workshops, and seminars varies widely. Here we describe a southwestern United States research university program that employed six teaching strategies to assist students in deep learning of ethical principles and behavior. Our purpose was to determine how these (...) strategies impact understanding and empowerment among an interdisciplinary group of graduate students. Results suggested that deep learning design can result in learning that requires students not only to remember and understand key ethics concepts but also to analyze and apply them in a broader ethical domain. Key findings inform design and delivery of future research ethics courses for instructional designers and instructors in higher education. (shrink)

Intermedial art, as it emerged in the 1960s and 70s, constituted a threat not only to the medium specificity of modernism, but to the artwork as self-contained autonomous object. Both supporters and critics of intermedia drew a contrast between, on the one hand, modernism’s aesthetic engagement with a medium-specific ‘object’, and on the other new non-aesthetic ‘practices’ engaging the ‘literal spectator’ within her own space, such that the space of the gallery is drawn into the situational encounter. In her 2003/12 (...) book Aesthetics of Installation Art Juliana Rebentisch challenges this binary characterization of autonomous/non-autonomous art. She argues that aesthetic autonomy is not something that can be guaranteed by production, but rather is explicable only with reference to the structure of the aesthetic experience. And for Rebentisch, while installation art has not led to fundamentally different conditions of reception, it has led to an ideological rejection of the notion of context-independent art. Aesthetic autonomy is here not abandoned, but rather reconfigured as a dynamic operational with respect to the ethical and political situation where we encounter the artwork. Sympathetic to the broad remit of Rebentisch’s argument, this article investigates the role of the beholder’s share within the context of such situated art. I draw specifically on Wolfgang Iser’s transformation of a negative aesthetics from binaries of negation/affirmation into an enabling structure where the organization of signifiers serve not the designation of a signified object, but rather designate instructions for the production of the signified. This requires work of the situated beholder, who must negotiate access to the work’s content by bringing her orientation into play. Installation art, thus conceived, constitutes a space that while virtualized – removed from functional imperatives – compels acts of imagination/ideation by problematizing our habitual dispositions. (shrink)

In this paper, I consider Michael Fried’s recent contribution to the debate around the experience of video art, made in relation to the work of Douglas Gordon. Fried speculates that issues of antitheatricality may in fact be key to specifying the medium of video installation. While Fried’s position offers a useful way of framing the relation with the beholder in video art, in a way that pointedly moves beyond tautological notions of activating spectatorship, I question how theatricality is to be (...) thus defined. Referencing the beholding of painting, I distinguish the implicit beholder from the literal spectator, and claim that the distinction has relevance for video art. However, I welcome what seems to be an explicit acknowledgment from Fried that the position of the spectator is a contributory factor in what he terms empathic projection. I argue that video art as a spatial practice offers a distinct mode of reception by positioning the spectator in relation to two-dimensional figurative space to which she is excluded. (shrink)

The purpose of the article is to evaluate Quine's arguments for the thesis of the indeterminacy of translation. After formulation of the thesis, Quine's four main arguments are described and evaluated. The arguments are: (1) the argument from the underdeterminacy of physical theory, (2) the argument from the inscrutability of terms, (3) the argument from the conjunction of the Peircean notion of meaning and the Duhemian thesis about the interanimation of sentences, and (4-) the argument from the linguist's reliance on (...) sets of analytical hypothesis. It is contended that none of these arguments is successful in supporting the thesis of the indeterminacy of translation, and that Quine has offered no reason to believe that the degree of determinacy of translation is different from that of physical theory. (shrink)

“What happened?”“Tell us a story.”“That's only a story.”“Is that story true?”“Is that the whole story?”.

ABSTRACTIn the past millennium, there have been thousands of polities in Europe and millions of laws. This article contributes to efforts by historians and sociologists to make some sense of this sprawl by constructing common types of law and legal change. Such types constitute distinctive patterns by which historical actors change names, ideas, and applications of rules of law under various circumstances. Three classic forms of change, namely legislation, mutation of custom, and judge‐made law, were described by Max Weber. To (...) Weber's model I add four new types or motifs of change, which I dub legal deeds, voice‐supersession, legal fictions, and anthropological expansion. The major advance of the four motifs is that they each combine what could be called a semantic and a social view of legal change. That is, they take seriously the fact that law is often bound in a self‐conscious tradition of thought and practice. But each motif of change is also characterized by a typified social configuration of legal operators and legal subjects, who apply competing ideas to one another in distinctive ways. The paradigm of law in which the four motifs are embedded is evolutionary, pluralist, and liberal in that it posits creative social organization by multiple, independent, interacting individuals in society, weaving cumulative, complex orders.This theory makes several significant scholarly interventions. First, it attempts to reconcile outstanding semantic and social theories of legal change. Second, it historicizes legal pluralism while giving evolutionary theory a healthy dose of contingency. Third, the four motifs should also be serviceable to intellectual historians as tools for describing how historical actors interact with traditions generally. Tradition need not be viewed as conservative or even overwhelmingly static. This paradigm may help historians and social scientists assess how the force of the status quo balances against the power of individuals to innovate. (shrink)

How do we know what an amoeba looks like? How can doctors see the details of our skeletons and internal organs? All of these things are made possible through the innovations of photography. The author provides a primer on the applications of photography to science as she explores the multiple facets of this complex relationship.