This book offers a broad, systematic philosophical approach to mental disorder. The authors spend the first half of the book presenting their basic philosophical allegiances, and they go on to apply their philosophical approach to mental disorder. As the authors note, psychiatry has been largely neglected by contemporary philosophy of mind, and this book is a laudable attempt to rectify the situation by producing a sustained and clinically well-informed philosophical treatment of mental disorder.

This new edition of Mind, Meaning, and Mental Disorder addresses key issues in the philosophy of psychiatry, drawing on both philosophical and scientific theory. The main idea of the book is that causal models of mental disorders have to include meaningful processes as well as any possible lower-level physical causes, and this propsoal is illustrated with detailed discussion of current models of common mental health problems. First published in 1996, this volume played an important role in bridging the gap between (...) philosophy and psychiatry, and introducing those in psychiatry to philosophical ideas somewhat neglected in their field. Completely updated, the new edition of this acclaimed volume draws on the strengths of the first edition, and will be a central text in the burgeoning field of philosophy of psychiatry. (shrink)

Over the last 50 years, the term professionalism has undergone a widespread expansion in its use and a semantic shift in its meaning. As a result, it is at risk of losing its descriptive and analytical value and becoming instead simply an empty evaluative label, a fate described by C. S. Lewis as ‘verbicide’. This article attempts to rescue professionalism from this fate by down-sizing its extension and reassigning some of its work to two other ethical domains, introduced as the (...) neologisms organizationalism and sur-moralism. Professionalism is defined as a morality based in system of obligations that are assumed by physicians over the course of their professional training and which primarily refer to two groups: patients and colleagues, including trainees. Organizationalism is also a morality, but the obligations are owed to the employing organization and on different grounds. A third ethical domain, here called sur-moralism, comprises actions that are not based in obligations. They are discretionary and potentially meritorious; they cannot be required by the profession or organization. This article presents a conceptual model of the three ethical domains and the shifting borders between them. One practical benefit of this typology is that physicians can more accurately understand the nature and sources of obligations that they are asked to accept, and when necessary prioritize them. Another is that physicians will be able to describe the potential tension between the three domains and understand how and why the borders between them can move. Both should help physicians to be more ethically oriented to their work settings. (shrink)

Just why a patient should trust a particular healer isa question that has not been adequately explored inthe literature on healing. This ethnographiccase-report examines the healing performance of achiropractor and proposes that it contains fourintrinsic claims to trustworthiness: he claims to bea qualified and sincere healer who is inpossession of knowledge and techniques that derivetheir power from their truth content and whichempower him to make beneficial changes in thepatient. Taking each claim in turn I described thenature of the claim, how (...) it might be adequatelyvalidated, ways in which his healing performance mightvalidate it and how he might be assisted by thepatient, and how their actual validation may bedistorted by the healer and patient. It is suggestedthat while unusual in many regards, this unorthodoxhealing performance may be a foil by which toexamine other more orthodox healing performances. (shrink)

This article examines Ian McEwan's script for director Richard Eyre's film, The Ploughman's Lunch, the title of which alludes to a deceptive, post-World War II advertising campaign that promulgated a false narrative about British tradition. McEwan's script, and Eyre's film adaptation of it, offer a prescient exposé of Britain's culture of mendacity in the 1980s in ways that draw on rule-consequentialist ethics to maintain that lying on the personal, professional, and political level has a pernicious effect on society. McEwan's work (...) on the film also marks a crucial turning point in the author's career, one in which he first begins to explore complex ethical and moral conundrums that would figure prominently in his major fiction. (shrink)

This article presents a model for doing clinical ethics consultations. It describes four phases of a consultation: investigation, assessment, action, and review. The consultant must identify the problem and determine whether it is a nonmoral problem (e.g., lack of information) or a moral problem involving uncertainty or conflict. The consultant must be able to identify the types of moral arguments that are used by participants to the situation. A simplified taxonomy of moral arguments is presented. The consultant must then assess (...) the arguments for their cogency and identify where they align and where they conflict. The action phase of the consultation involves finding ways for the arguments to be presented and hopefully reconciled. The normative limitations to the role of the consultant are described. (shrink)

Separate from the question of whether our patients believe us as doctors is the question of whether we ourselves believe in our healing ‘performances’. Borrowing from Bernard Williams’ model of truth based on the two irreducible virtues of sincerity and accuracy, this article describes a spectrum of states of self-belief, from the quack who does not believe in his acts to the fanatic who does not ‘dis-believe’, with ranges of pious fraud and bad faith in between and on either side (...) of a variable range of justified self-belief. I describe how as practitioners we move and are moved up and down this range throughout our careers and as a result of the behaviors of others. The model provides the basis for a critique of the marketing efforts of industries related to medical practice. (shrink)

How should one understand knowledge-wh ascriptions? That is, how should one understand claims such as ‘‘I know where the car is parked,’’ which feature an interrogative complement? The received view is that knowledge-wh reduces to knowledge that p, where p happens to be the answer to the question Q denoted by the wh-clause. I will argue that knowledge-wh includes the question—to know-wh is to know that p, as the answer to Q. I will then argue that knowledge-that includes a contextually (...) implicit question. I will conclude that knowledge is a question-relative state. Knowing is knowing the answer, and whether one knows the answer depends (in part) on the question. (shrink)

This title presents a comprehensive guide to interpretative phenomenological analysis (IPA) which is an increasingly popular approach to qualitative inquiry taught to undergraduate and postgraduate students today.

This article explores the promises of critical hermeneutics as an innovative method and philosophy within the human sciences. It is argued that its success depends on its ability to articulate a theory of meaning with one of action and experience as well as its capacity to renew our understanding of the problem of ideology. First, critical hermeneutics must explain how cultural messages ‘show and hide’; that is, how the ambiguity of meaning always allows for a group to represent itself while (...) opening the door for distortion and domination. Second, critical hermeneutics ought to show how action can be best understood as opposing performances driven by ideological-moral views. Through an analysis of social movements, for instance, it is shown that any attempt to do justice could also and easily create exclusion. Third, critical hermeneutics has to clarify how tension and dualism within meaning and action are not to be dissociated from the self-interpretation of concrete individuals. A theory of experience is thus required in order to explain why the autonomy of the subject is finally at stake with regard to the problem of ideology. (shrink)

Causal claims are context sensitive. According to the old orthodoxy (Mackie 1974, Lewis 1986, inter alia), the context sensitivity of causal claims is all due to conversational pragmatics. According to the new contextualists (Hitchcock 1996, Woodward 2003, Maslen 2004, Menzies 2004, Schaffer 2005, and Hall ms), at least some of the context sensitivity of causal claims is semantic in nature. I want to discuss the prospects for causal contextualism, by asking why causal claims are context sensitive, what they are sensitive (...) to, and where they are sensitive to it. (shrink)

This article gives an overview of some recent debates about the relationship between reasons and rational requirements of coherence - e.g. the requirements to be consistent in our beliefs and intentions, and to intend what we take to be the necessary means to our ends.

Various scientists and philosophers have heavily criticized what they see as problematic forms of ‘nutritional reductionism’ or ‘nutritionism’ whereby studying food–health interactions at the level of isolated food components produces largely misguided science and misleading interpretations. However, the exact target of these diverse criticisms remains elusive, and its implications are overstated, which may hinder scientific understanding. To better identify the types of flaws supposedly hindering reductionist research, we disentangle three types of reductionist claims to better determine what the debate is (...) about and to propose ways to move it forward. We then present a qualified defence of the reductionist programme that hinges on the ability to identify nutritional causes that make a difference, which we illustrate through central examples in the history of nutrition. This defence is taken further by using insights from the philosophy of mechanisms to analyse how the field of nutritional ecology offers a synthetic framework to explain, generate, and test predictions about nutrient–organism interactions, which is premised on the biological mechanisms of nutrient-specific appetite regulation. The result, which we call ‘synthetic reductionism’, avoids many, though perhaps not all, of the challenges raised by anti-reductionists, and also highlights the potential of reductionism to identify nutritional difference makers. (shrink)

The idea of public reason is at the center of John Rawls's political philosophy. Public reason is a standard by which we measure laws and political institutions. This chapter discusses the practice of public reason, the moral basis of public reason, and the challenge posed by religious critics of public reason. It provides three possible answers to the question: What is the moral basis for endorsing this particular conception of democratic politics – public reason? It is Rawlsian concept of justice (...) – the ideal of a fair system of social cooperation between free and equal citizens – which provides the moral basis for public reason. Given this basis, citizens then engage in the practice of public reason with one another. (shrink)

This chapter discusses reasons why we have no prospect of knowing whether or not matter thinks. It focuses on the mechanist hypothesis, its purported explanatory scope, and John Locke's commitment to it. The chapter then demonstrates God's immateriality and its implications for the possibility that God has given perception and thought to some material things. It addresses the notion of divine superaddition elaborated in letters to Stillingfleet and considers how thinking, extension, solidity, and motion are connected in case they do (...) coexist in the same substance. The whole difference between Locke and his opponents on the epistemic possibility of thinking matter comes down to this. He maintains, and they deny, that we know the fixed nature of substances of various kinds, a constituent of a substance that determines the powers it necessarily has and those it necessarily lacks. (shrink)

The larger philosophical world has on the whole turned from a mix of averted gaze and outright antipathy toward x‐phi, to a mix of grudging acceptance and enthusiastic embrace. This chapter explains that the experimental philosophy is relevant, and that it is dangerous, and explains some ways that people can do more to remain both. Experimental philosophy's semi‐official sigil of the burning armchair has advertised its dangerousness for the past decade and a half as well. The chapter explains that it (...) is a threat that is every bit as potently present in positive program x‐phi as it is in negative program work. To explore the idea that experimental philosophy's positive contributions will still be primarily negative in nature, the chapter interrogates the passage from Timothy Williamson. It focuses on the wheat‐from‐chaff project of separating signal from noise in the evidence produced by intuitions and the like. (shrink)

Two debates in contemporary philosophical moral psychology have so far been conducted almost entirely in isolation from one another despite their structural similarity. One is the debate over the importance for virtue ethics of the results of situational manipulation experiments in social psychology. The other is the debate over the ethical implications of experiments that reveal gender and race biases in social cognition. In both cases, the ethical problem posed cannot be identified without first clarifying the cognitive structures underlying the (...) problematic phenomena. In this chapter, I argue that the two kinds of phenomena share a basic cognitive structure, which is well articulated by the findings of the empirical psychology of attitudes, especially if these findings are understood in the context of the cognitive-affective system theory of personality. On the basis of this joint construal of situationism and implicit bias, I argue that the negative programme of ethical improvement that many philosophers recommend in response to one or other problem is unrealistic. Instead, we should consider more seriously the prospects of the positive programme of ethical improvement recommended by Aristotle, the direct aim of which is to instil deeply in ourselves the values at the heart of each of the virtues. (shrink)

Ross Cameron proposes to reconcile presentism and truth-maker theory by invoking temporal distributional properties, instantiated by present entities, as the truth-makers for truths about the past. This chapter argues that Cameron's proposal fails because objects can change which temporal distributional properties they instantiate and this entails that the truth-values of truths about the past can change in an objectionable way.

We aim to introduce presentism and to consider the question that presentism is supposed to answer. That is, if “only present objects exist” (or some appropriate precisification of the slogan) is the answer to a philosophical question, then (i) what is the question? And (ii) is it the right question to ask? We suggest that the question presentists are answering is not a good one to ask. We aim to articulate a question that presentists, or the heirs of presentism, should (...) try to answer. In pursuing these aims, we provide the reader with a sense of how we have reached the current position in the literature, as well as how we might move it along. (shrink)

Written by leading theorists and empirical researchers, this book presents new ways of addressing the old question: Why did religion first emerge and then continue to evolve in all human societies? The authors of the book--each with a different background across the social sciences and humanities -- assimilate conceptual leads and empirical findings from anthropology, evolutionary biology, evolutionary sociology, neurology, primate behavioral studies, explanations of human interaction and group dynamics, and a wide range of religious scholarship to construct a deeper (...) and more powerful explanation of the origins and subsequent evolutionary development of religions than can be currently found in what is now vast literature. While explaining religion has been a central question in many disciplines for a long time, this book draws upon a much wider array of literatures to develop a robust and cross-disciplinary analysis of religion. The book remains true to its subtitle by emphasizing an array of both biological and sociocultural forms of selection dynamics that are fundamental to explaining religion as a universal institution in human societies. In addition to Darwinian selection, which can explain the biology and neurology of religion, the book outlines a set of four additional types of sociocultural natural selection that can explain fill out the explanation of why religion first emerged as an institutional system in human societies, and why it has continued to evolve over the last 200,000 years of societal evolution. These sociocultural forms of natural selection are labeled by the names of the early sociologists who first emphasized them; and these can be seen as a necessary supplement to the type of natural selection theorized by Charles Darwin. Explanations of religion that remain in the shadow cast by Darwin's great insights will, it is argued, remain narrow and incomplete when explaining a robust sociocultural phenomena like religion. (shrink)

The mind-body problem: background and history -- Dualist theories of mind and body -- Physicalist theories of mind -- Anti-materialism about the mind -- Science and the mind-body problem: consciousness -- Three neutral theories of mind and body -- Neutral monism.

Sociology is experiencing what can only be described as hyperdifferentiation of theories - there are now many approaches competing for attention in the intellectual arena. From this perspective, we should see a weeding out of theories to a small number, but this is not likely to occur because each of the many theoretical perspectives has a resource base of adherents. As a result, theories in sociology do not compete head on with each other as much as they coexist. This seminal (...) reference work was brought together with an eye to capturing the diversity of theoretical activity in sociology - specifically the forefront of theory. Contributors describe what they themselves are doing right now rather than what others have done in the past. The goal of this volume is to allow prominent theorists working in a variety of traditions - who wouldn't usually come together - to review their work. The chapters in this volume represent a mix of theoretical orientations and strategies, but these these theories are diverse and represent the prominent theoretical discussions in sociology today. Some areas included are: Section I: Theoretical Methodologies and Strategies Section II: The Cultural Turn in Sociological Theorizing Section III: Theorizing Interaction Processes Section IV: Theorizing from the Systemic and Macrolevel Section V: New Directions in Evolutionary Theorizing Section VI: Theorizing on Power, Conflict, and Change SectionVII: Theorizing from Assumptions of Rationality This handbook will be of interest to those wanting a broad spectrum and overview of late 20th - early 21st century sociological theory. (shrink)

The epistemological principles underlying randomized, controlled trials and evidence-based medicine generally have not received the attention they require. Broadly speaking, they are the application of work done over several centuries in philosophy and scientific method. The epistemological base is sound, but it also implies internal limitations, having to do with decreasing generality, which particularly affect application to psychological problems. The principles also have nothing to say about values. The question of the 'objective validity' of scientific method is briefly discussed.

Skeptical theists have paid insufficient attention to non-evidential components of epistemic rationality. I address this lacuna by constructing an alternative perspectivalist understanding of epistemic rationality and defeat that, when applied to skeptical theism, yields a more demanding standard for reasonably affirming the crucial premise of the evidential argument from suffering. The resulting perspectival skeptical theism entails that someone can be justified in believing that gratuitous suffering exists only if they are not subject to closure-of-inquiry defeat; that is, a type of (...) defeat that prevents reasonable belief that p even if p is very probable on an agent’s evidence. (shrink)

El presente texto se interroga sobre los efectos performativos del himno de Chile en cuanto éste designa al país en la forma de una "copia feliz del Edén". A partir de ahí, se pregunta ¿cómo podría una copia afirmarse en la originalidad de una soberanía? Para solucionar la distancia entre copia y original y, por tanto, dar lugar al funcionamiento de la soberanía, el himno designa a esa copia como "feliz". El término "feliz" se constituye, así, en el operador que (...) vendría tanto a apuntalar a la constitución de una soberanía como a revelar el límite de su imposibilidad. "Feliz" permite disminuir la distancia entre copia y original, pero a la vez, la conserva irremediablemente. Por eso, decir que el país es la copia "feliz" es lo mismo que decir "infeliz" toda vez que ambos términos no hacen más que corroborar la diferencia ontológica entre copia y original. Se argumenta que el término "feliz" constituye un dispositivo teológico político, toda vez que replica la función angélica destinada a la administración de la creación divina. En estos términos se pregunta: ¿no será el proyecto de la República de Chile un proyecto esencialmente administrativo? A esta luz, el texto plantea la contraposición entre himno con el poema: el himno -se plantea- constituye el operador angélico que hace posible la articulación de una soberanía. El poema, en cambio, constituiría el resto irreductible que le resiste. This essay asks on the performative efects of the chilean hymn, because it names the country as a "happy copy of Eden". Since this problem, the essay asks: how could the copy may posits as the originality of the sovereignity? To solve the distance between the copy and the original and make posible the sovereignity´s operation, the hymn names the copy as "happy". The word "happy" supports the constitution of the sovereignity and reveals the limit of its own imposibility. "Happy" reduce the distance between the copy and the original but, at the same time, absolutely preserve it. That´s why, say that the country is the "happy" copy is the same than to say that is a "unhappy" one, because both words shows the ontological difference between the copy and the original. This essay argues that the word "happy" is a political theological device because repeats the angelical task of manage the divine creation. In theses terms we ask: ¿Is the chilean republican proyect an administrative one? In this light, the essay posits an aporia between the hymn and poem: the hymn constitutes the angelical operator that makes sovereignity posible, the poem constitutes a singular rest that resist it. (shrink)

Basado en los trabajos del filósofo italiano G. Agamben, el presente ensayo argumenta que la figura del prudente en Aristóteles constituiría el lugar de la soberanía y, en cuanto tal, tendría un carácter estrictamente biopolítico pues, permite “producir” la humanidad del ser vivo hombre, en cuanto zoon politikón (zoon lógon ekhon). Así, el presente texto da cuenta de una aporía inscrita en el seno de la política occidental y su concepto de justicia que, encarnado en la figura aristotélica del prudente (...) –en cuanto lugar de la decisión soberana- ha de producir la propia “humanidad” del ser vivo hombre, separando, al mismo tiempo, algo así como una nuda vida. (shrink)

The theme of this collection of articles by Jonathan Turner is that sociology can be a true science, and it can develop abstract laws explaining the operative dynamics of the social universe. Rather that blindly worshipping sociology's masters, however, Turner attempts to reinvent sociology as a science that learns the valuable lessons of classical theory and then moves on.

Xenophobia is one of the key drivers of marginalisation, discrimination, and conflict, yet many prominent machine learning fairness frameworks fail to comprehensively measure or mitigate the resulting xenophobic harms. Here we aim to bridge this conceptual gap and help facilitate safe and ethical design of artificial intelligence (AI) solutions. We ground our analysis of the impact of xenophobia by first identifying distinct types of xenophobic harms, and then applying this framework across a number of prominent AI application domains, reviewing the (...) potential interplay between AI and xenophobia on social media and recommendation systems, healthcare, immigration, employment, as well as biases in large pre-trained models. These help inform our recommendations towards an inclusive, xenophilic design of future AI systems. (shrink)

The collaboration of Language and Computing nv (L&C) and the Institute for Formal Ontology and Medical Information Science (IFOMIS) is guided by the hypothesis that quality constraints on ontologies for software ap-plication purposes closely parallel the constraints salient to the design of sound philosophical theories. The extent of this parallel has been poorly appreciated in the informatics community, and it turns out that importing the benefits of phi-losophical insight and methodology into application domains yields a variety of improvements. L&C’s LinKBase® (...) is one of the world’s largest medical domain ontologies. Its current primary use pertains to natural language processing ap-plications, but it also supports intelligent navigation through a range of struc-tured medical and bioinformatics information resources, such as SNOMED-CT, Swiss-Prot, and the Gene Ontology (GO). In this report we discuss how and why philosophical methods improve both the internal coherence of LinKBase®, and its capacity to serve as a translation hub, improving the interoperability of the ontologies through which it navigates. (shrink)

In his Natural Theology, the eighteenth-century Anglican theologian William Paley compares a watch with objects in nature, arguing that “every manifestation of design, which existed in the watch, exists in the works of nature…” Charles Darwin read Paley's Natural Theology as a young man and offered natural selection as an alternative, naturalistic explanation of Paley's explanandum: the appearance of design in nature. Many of Paley's successors diverged from him in their approach to the living world. This chapter examines some of (...) these alternative approaches and the extent to which the literature of natural theology had trodden the path between Paley's watchmaker and Darwin's natural selection prior to the publication of the latter's Origin of Species. In particular, it focuses on the Bridgewater Treatises, a series of eight highly popular works published in the 1830s, which illustrate the far-reaching development that took place in natural theology in Britain during the early nineteenth century. (shrink)