Ce livre [...] semble être écrit dans le langage d'un vent de dégel : on y trouve de la pétulance, de l'inquiétude, des contractions et un temps d'avril, ce qui fait songer sans cesse au voisinage de l'hiver, tout autant qu'à la victoire sur l'hiver, à la victoire qui arrive, qui doit arriver, qui est peut-être déjà arrivée... La reconnaissance rayonne sans cesse, comme si la chose la plus inattendue, ce fut la guérison. " Gai savoir " : qu'est-ce sinon (...) les saturnales d'un esprit qui a résisté patiemment, sévèrement, froidement,, sans se soumettre, mais sans espoir, - et qui maintenant, tout à coup, est assailli par l'espoir de guérison, par l'ivresse de la guérison? [...] " Incipit tragaedia " - est-il dit à la fin de ce livre d'une simplicité inquiétante : que l'on soit sur ses gardes! Quelque chose d'essentiellement malicieux et méchant se prépare : incipit parodia, cela ne laisse aucun doute... Friedrich Nietzsche Ecrit entre 1881 et 1887, publié une première fois en 1882, dans une version incomplète, repris et parachevé ensuite. Le Gai Savoir confirme et conforte le radicalisme nietzschéen. Les grands thèmes de sa réflexion sont désormais parvenus à leur pleine maturité. L'idéal, la nécessité de l'héroïsme en philosophie, l'analyse de la décadence, mais aussi le principe de l'éternel retour, le mythe de Zarathoustra, la connaissance, la religion c'est un véritable bréviaire du " nietzschéisme " qui apparaît au fil des pages. (shrink)

Book reviewed in this article: Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine. By Albert R. Jonsen, Mark Siegler, and William J. Winslade.

Since the time, about a century ago, when DeMorgan, Boole and Jevons, inaugurated the study of the logic of numerically definite reasoning, no one has been concerned to establish the validity rules for a very general type of numerically definite inference which is a strong analogue of the classical syllogism. The reader will readily agree that the traditional rules of syllogistic inference cannot even begin to decide whether the following proportionally quantified syllogism is a valid argument: at most 4/7 p (...) are at most 2/3 not-m and at least 3/5 s are precisely 7/8 m, hence, at most 1/3 s are p. Likely reasons, of broad methodological interest, why this readily definable type of formal inference has been neglected will presently be proposed. Among the masters of twentieth century logic, Hilbert and Bernays have, to be sure, meticulously shown how such numerically definite propositions as “at least 7 individuals have the property p” can be expressed in the predicate calculus with the use of the identity relation. They do not, since their concern with such propositions is indirect, proceed to establish a systematic calculus of classes whose “size” or extent is numerically definite. As we shall always notice, traditional logic and even ordinary Boolean algebra prefer to generalize about the laws governing the interrelationship of classes in inference systems without making any hypotheses concerning class “size” or extent except by the classical quantifier “some”, which quantifier admits the measure or extent of a class only in terms of the proposition that a given class contains or does not contain at least one member. Such a restricted admission of the relevance for inference of class size is among the fundamental reasons for the neglect of proportional quantifiers, i.e., quantifiers where numerical value is any rational number r such that 0/100 ≤ r ≤ 100/100. It can, of course, also be pointed out that the traditional syllogism and ordinary Boolean algebra do not i.e. measure, numerically define, the degree of inclusion of one class in another. Inclusion is taken either as total or partial, with no discrimination of the degree of partial inclusion. (shrink)

PART ONE THE "FOUR IN PARADISE" ANTI-EPICUREAN STEREOTYPE, BIOGRAPHY, AND PARODY Scholarship on Epicureanism, always lively and abundant, ...

ObjectiveHead and neck cancer treatments are known to significantly affect functionality and appearance, leading to an increased risk for body image disturbances. Yet, few longitudinal studies exist to examine body image in these patients. Based on a conceptual model, the current study aimed to determine, in patients newly diagnosed with HNC: the prevalence, level, and course of body image concerns; correlates of upon cancer diagnosis body image concerns; predictors of immediate post-treatment body image concerns; and association between body image concerns (...) and levels of anxiety, depression, suicidal ideation, support, and alcohol and drug misuse.MethodsTwo hundred and twenty-three, newly diagnosed with a primary HNC were assessed using structured clinical interviews and psychometric measures at three, and 6 months after diagnosis. Primary outcome was 3-month, as it was most salient to body image disturbance. Multiple linear regression analyses were conducted on the potential body image predictors, based on the model.ResultsSixty-eight percent of patients with HNC presented some level of body image concerns. Body image concerns at baseline and post-treatment were significantly related and significantly increased from pre- to post-treatment. Immediately post-treatment, 89% presented some level of body image concerns. Correlates of body image concerns in patients with HNC at baseline included: physical symptom burden, difficulties with communication and eating, coping with the cancer diagnosis using denial, suicidal ideation, and having had a past anxiety diagnosis. When controlling for sociodemographic and medical variables, body image concerns in patients with HNC in the immediate post-treatment were predicted by: baseline body image, physical symptom burden, and neuroticism.ConclusionThis longitudinal study helps identify patients more susceptible to experience body image disturbance following head and neck cancer. Clinicians ought to pay special attention to body image concerns upon cancer diagnosis, physical symptom burden, and neuroticism, and may want to target these factors in future preventive interventions. (shrink)

The primary aim of the current study was to examine whether depleted cognitive resources might have ramifications for the formation of neutral and negative spontaneous false memories. To examine this, participants received neutral and negative Deese/Roediger–McDermott false memory wordlists. Also, for half of the participants, cognitive resources were depleted by use of an ego depletion manipulation . Our chief finding was that depleted cognitive resources made participants more vulnerable for the production of false memories. Our results shed light on how (...) depleted cognitive resources affect neutral and negative correct and errant memories. (shrink)

Human self-consciousness operates at different levels of complexity and at least comprises five different levels of representational processes. These five levels are nonconceptual representation, conceptual representation, sentential representation, meta-representation, and iterative meta-representation. These different levels of representation can be operationalized by taking a first-person-perspective that is involved in representational processes on different levels of complexity. We refer to experiments that operationalize a first-person-perspective on the level of conceptual and meta-representational self-consciousness. Interestingly, these experiments show converging evidence for a (...) recruitment of medial cortical and parietal regions during taking a first-person-perspective, even when operating on different degrees of complexity. These data lend support for the speculative hypothesis, that there exist a neural signature for human self-consciousness that is recruited independent from the degree of representational complexity to be performed. (shrink)

A major challenge to von Hippel & Trivers's evolutionary analysis of self-deception is the paradox that one cannot deceive oneself into believing something while simultaneously knowing it to be false. The authors use biased information seeking and processing as evidence that individuals knowingly convince themselves of the truth of their falsehood. Acting in ways that keep one uninformed about unwanted information is self-deception. Acting in selectively biasing and misinforming ways is self-bias.

Whether ethics is too important to be left to the experts or so important that it must be is an age-old question. The emergence of clinical ethicists raises it again, as a question about professionalism. What role clinical ethicists should play in healthcare decision making – teacher, mediator, or consultant – is a question that has generated considerable debate but no consensus.

Throughout his writings, Hume extols the benefits of an attribute he calls “Strength of Mind,” which he defines as the “prevalence of the calm passions over the violent” (T 2.3.3.10). But there is some question as to how he thought a person could attain this important trait. Contemporary scholars have committed Hume to the view that only indirect and social methods, such as state punishment or sympathetic pressure, could effectively cultivate it. Yet a closer examination of Hume’s corpus reveals a (...) more direct approach applicable at the individual level. Though rarely achieved and difficult to execute, self-government of the passions is possible according to Hume. The key to success lies in harnessing the power of habit. In its most sophisticated form, the process centrally involves cultivating a certain transformative connoisseurship, the ability to appreciate regularities in one’s own mental activity and thereby alter it. (shrink)

As Descartes noted, a proper account of the nature of the being one is begins with a basic self present in first-person experience, a self that one cannot cogently doubt being. This paper seeks to uncover such a self, first within consciousness and thinking, then within the lived or first-person felt body. After noting the lack of grounding of Merleau-Ponty’s commonly referenced reflections, it undertakes a phenomenological investigation of the body that finds the basic self to (...) reside in one’s espoused feelings and striving, both bodily in nature. It then examines the relationship of the lived body to the visual body and to the body studied by science. Two issues concerning that relationship are taken up. It is concluded that on the available evidence neither the apparent agency nor the apparent free will of the lived body is illusory. (shrink)

Self-organization -- Organisms, finalisms, programs, machines -- Spinoza -- Judaism, determinism, and rationalities -- Fabricating the living -- Ethics.

The purpose of this paper is to motivate and defend a recognizable version of N. L. Wilson's "Principle of Charity" Doing so will involve: (1) distinguishing it fromthe significantly different versions of the Principle familiar through the work of Quine and Davidson; (2) showing that it is compatible with, among other things, both semantic externalism and "simulation" accounts of interpretation; and (3) explaining how it follows from plausible constraints relating to the connection between interpretation and self-interpretation. Finally, it will (...) be argued that Charity represents a type of "minimal individualism" that is closely tied to first person authority, and that endorsing Charity in our interpretations of others reflects a commitment to capturing, from the third-person starting point, their first-personal point of view. (shrink)

One of the requirements in the Dutch regulation for euthanasia and assisted suicide is that the doctor must be satisfied ‘that the patient's suffering is unbearable, and that there is no prospect of improvement.’ In the notorious Chabot case, a psychiatrist assisted a 50 year old woman in suicide, although she did not suffer from any somatic disease, nor strictly speaking from any psychiatric condition. In Seduced by Death, Herbert Hendin concluded that apparently the Dutch regulation now allows physicians to (...) assist anyone in suicide simply because he or she is unhappy.In this paper, I reject Hendin's conclusion and in particular his description of Mrs Boomsma as someone who was ‘simply unhappy.’ After a detailed narration of her lifestory, I turn to the American philosopher Harry Frankfurt's account of volitional incapacity and love for a more accurate characterization of her suffering. Having been through what she had, she could only go on living as another person than the one she had been when she was a happy mother. That would have violated her integrity, and that she could not bring herself to do. (shrink)

Economics as a science of human behavior has been grounded in a remarkably parsimonious postulate: that of the self-interested, isolated individual who chooses freely and rationally between alternative courses of action after computing their prospective costs and benefits. In recent decades, a group of economists has shown considerable industry and ingenuity in applying this way of interpreting the social world to a series of ostensibly noneconomic phenomena, from crime to the family, and from collective action to democracy. The “economic” (...) or “rational-actor” approach has yielded some important insights, but its onward sweep has also revealed some of its intrinsic weaknesses. As a result, it has become possible to mount a critique which, ironically, can be carried all the way back to the heartland of the would-be conquering discipline. That the economic approach presents us with too simpleminded an account of even such fundamental economic processes as consumption and production is the basic thesis of the present paper. (shrink)

Although the thesis that equal basic liberties take priority over increases in wealth is one of the two most important theses in the rawlsian theory of justice, The argumentation for it is obscure. This article emphasizes the centrality of self-Respect in rawls' treatment of liberty, Specifies five particular assumptions he makes, And constructs a deductive argument from the rawlsian assumptions to the rawlsian conclusion about liberty. Of special interest are the premises of economic adequacy for the worst-Off man and (...) the incentive value of economic inequality, Which reveal the relation between the difference principle and the priority of liberty. (shrink)

In this paper we examine various requirements on the formalisation choices under which self-reference can be adequately formalised in arithmetic. In particular, we study self-referential numberings, which immediately provide a strong notion of self-reference even for expressively weak languages. The results of this paper suggest that the question whether truly self-referential reasoning can be formalised in arithmetic is more sensitive to the underlying coding apparatus than usually believed. As a case study, we show how this sensitivity (...) affects the formal study of certain principles of self-referential truth. (shrink)