This paper reflects on the challenges of writing long conceptual histories of sexual medicine, drawing on the approaches of Michel Foucault and of Reinhart Koselleck. Foucault’s statements about nineteenth-century rupture considered alongside his later-life emphasis on long conceptual continuities implied something similar to Koselleck’s own accommodation of different kinds of historical inheritances expressed as multiple ‘temporal layers.’ The layering model in the history of concepts may be useful for complicating the historical periodizations commonly invoked by historians of sexuality, overcoming historiographic (...) temptations to reduce complex cultural and intellectual phenomena to a unified Zeitgeist. The paper also shows that a haunting reference to ‘concepts’ among scholars of the long history of sexual medicine indicates the emergence of a de facto methodology of conceptual history, albeit one in need of further refinement. It is proposed that reading Koselleck alongside Foucault provides a useful starting-point for precisely this kind of theoretical development. (shrink)

In this extended review essay we discuss the lectures on sexuality which Foucault delivered in the 1960s, published in a single volume in 2018. The first part of the volume comprises five lectures given at the University of Clermont-Ferrand in 1964 to psychology students. The second part is Foucault’s course ‘The Discourse of Sexuality’, given at the experimental University of Vincennes in 1969 in the philosophy department. We explore both the themes of the lectures, and the important editorial materials provided (...) by Claude-Olivier Doron which situate these themes in relation to recent developments in the history and philosophy of biology, gender and sexuality. These lectures provide some important and surprising additions to Foucault’s more familiar interest in sexuality, with discussion of plant and animal biology, sex differentiation, the question of sexual behaviour, perversion and infantile sexuality. (shrink)

This article discusses the term erotology, which was applied to medieval Islamicate ‘ilm al-bah (the science of coitus), as well as other world traditions of sexual knowledge, by European sexologists of the late 19th and early 20th centuries, who contrasted it with their own forms of inquiry into sexual matters in the modern field of sexual science. It argues that the homogenisation and minimisation of all ancient and non-European forms of medical knowledge about sex, even one as substantial as the (...) ‘ilm al-bah tradition, supported a particular story about the origins of sexology's own emergence as a new and unprecedented biomedical and scientific way of knowing, characterised by an opposition assumed between sexuality and religion, by a view of sexual variations as perversions or pathologies, and by a view of Arabs and Muslims as sexually excessive. The article focusses on French, English, German, Austrian, and Italian sources of the 19th century that discussed the history of sexual medicine, relating these accounts to recent attempts to historicise sexology. It considers how forms of colonial hierarchy and exoticist views of non-European cultures impacted the dismissal of ‘ilm al-bah among European sexual scientists and how they may continue to exert an influence on forms of modern historical inquiry that are not attentive to scholarship on medieval Islamicate sexual medicine. (shrink)

Alternative food movements work to create more environmentally and economically sustainable food systems, but vary widely in their advocacy for social, racial and environmental justice. However, even those food justice activists explicitly dedicated to equity must respond to the unintended consequences of their work. This paper analyzes the work of activists in Oakland, CA, who have increasingly realized that their gardens, health food stores and farm-to-table restaurants play a role in what scholars have called green gentrification, the upscaling of neighborhoods (...) through the creation of environmental amenities. Gentrification has had grave consequences for the low-income communities of color that food justice activists seek to serve. Activists are reflexive about this dynamic, and have developed strategies to push back against displacement. Most commonly, non-profit organizations and individual social entrepreneurs found businesses that seek to raise the profile of people of color in the trendy Oakland food scene while employing long-term residents in well-paying, green jobs. However, while these efforts are an essential component of a broader agenda to create both food justice and development without displacement, even these relatively high paying “good food jobs” cannot keep up with escalating rents. For this reason, we also highlight the direct action and policy-oriented strategies engaged by a smaller number of food justice activists, and argue that these are necessary compliments to a market-based approach. (shrink)

(2009). Recovering Difference in the Deleuzian Dichotomy of Masochism-Without-Sadism. Angelaki: Vol. 14, shadows of cruelty sadism, masochism and the philosophical muse – part one, pp. 27-43.

Court cases involving sexual assault and police violence rely heavily on victim testimony. We consider what we call the “Traumatic Untrustworthiness Argument (TUA)” according to which we should be skeptical about victim testimony because people are particularly liable to misremember traumatic events. The TUA is not obviously based in mere distrust of women, people of color, disabled people, poor people, etc. Rather, it seeks to justify skepticism on epistemic and empirical grounds. We consider how the TUA might appeal to the (...) psychology and neuroscience of memory for empirical support. However, we argue that neither support the TUA. (shrink)

Doctors routinely refuse donation offers from prospective living kidney donors with certain comorbidities such as diabetes or obesity out of concern for donor wellbeing. This refusal occurs despite the ongoing shortage of kidney transplants and the superior performance of living donor kidney transplants compared to those from deceased donors. In this paper, we argue that this paternalistic refusal by doctors is unjustified and that, within limits, there should be greater acceptance of such donations. We begin by describing possible weak and (...) strong paternalistic justifications of current conservative donor acceptance guidelines and practices. We then justify our position by outlining the frequently under-recognised benefits and the routinely overestimated harms of such donation, before discussing the need to respect the autonomy of willing donors with certain comorbidities. Finally, we respond to a number of possible objections to our proposal for more liberal kidney donor acceptance criteria. We use the situation in Australia as our case study, but our argument is applicable to comparable situations around the world. (shrink)

What did Leibniz have to contribute to the philosophy of mind? To judge from textbooks in the philosophy of mind, and even Leibniz commentaries, the answer is: not much. That may be because Leibniz’s philosophy of mind looks roughly like a Cartesian philosophy of mind. Like Descartes and his followers, Leibniz claims that the mind is immaterial and immortal; that it is a thinking thing ; that it is a different kind of thing from body and obeys its own laws; (...) and that it comes stocked with innate truth-tracking intellectual ideas and an epistemically troubling habit of forming confused sensory ideas on the occasion of external corporeal events. Nothing is new. Of course, Leibniz adds unconscious perceptions to the mind in the form of his famous petites perceptions, and he offers a unique solution to the problem of mind-body interaction in the form of his infamous pre-established harmony. In the overall scheme of things, however, these look like minor alterations in a philosophy of mind that the Cartesians had been advocating for some fifty years. Or so it appears. (shrink)

Descartes revolutionized our conception of the mind by identifying consciousness as the mark of the mental: all and only thoughts are conscious. Today the idea that all thoughts are conscious seems obviously wrong. Worse, however, Descartes himself seems to posit a whole host of unconscious thoughts. Something is not as it seems. Either Descartes is remarkably inconsistent, or his claim that all thought is conscious is more nuanced than it appears. In this paper I argue that while Descartes was indeed (...) unwavering in his commitment to the conscious mark, he had the resources to distinguish different types and degrees of consciousness that make for a richer cognitive psychology than he is typically credited with. (shrink)

Dementia has rapidly become a major global health crisis. As the aging population continues to increase, the burden increases commensurately on both individual and societal levels. The behavioral and psychological symptoms of dementia are a prominent clinical feature of Alzheimer’s disease and related dementias. BPSD represent a myriad of manifestations that can create significant challenges for persons living with dementia and their care providers. As such, BPSD can result in detriments to social interaction with others, resulting in harm to the (...) psychosocial health of the person with dementia. While brain deterioration can contribute to BPSD as the disease progresses, it may be confounded by language and communication difficulties associated with ADRD. Indeed, when a person with dementia cannot effectively communicate their needs, including basic needs such as hunger or toileting, nor symptoms of pain or discomfort, it may manifest as BPSD. In this way, a person with dementia may be attempting to communicate with what little resources are available to them in the form of emotional expression. Failing to recognize unmet needs compromises care and can reduce quality of life. Moreover, failing to fulfill said needs can also deteriorate communication and social bonds with loved ones and caregivers. The aim of this review is to bring the differential of unmet needs to the forefront of BPSD interpretation for both formal and informal caregivers. The overarching goal is to provide evidence to reframe the approach with which caregivers view the manifestations of BPSD to ensure quality of care for persons with dementia. Understanding that BPSD may, in fact, be attempts to communicate unmet needs in persons with dementia may facilitate clinical care decisions, promote quality of life, reduce stigma, and foster positive communications. (shrink)

A prevailing view is that while human communication has an ‘ostensive-inferential’ or ‘Gricean’ intentional structure, animal communication does not. This would make the psychological states that support human and animal forms of communication fundamentally different. Against this view, I argue that there are grounds to expect ostensive communication in non-human clades. This is because it is sufficient for ostensive communication that one intentionally address one’s utterance to one’s intended interlocutor – something that is both a functional pre-requisite of successful communication (...) and cognitively undemanding. Furthermore, while ostension is an important feature of intentional communication, the inferences required in Gricean communication may be minimal: ostension and inference may come apart. The grounds for holding that animal communication could not be Gricean are therefore weak. I finish by defending the idea that a ‘minimally Gricean’ model of communication is a valuable tool for characterising the communicative interactions of many animal species. (shrink)

Descartes is often thought to bifurcate sensory experience into two distinct cognitive components: the sensing of secondary qualities and the more or less intellectual perceiving of primary qualities. A closer examination of his analysis of sensory perception in the Sixth Replies and his treatment of sensory processing in the Dioptrics and Treatise on Man teIls a different story. I argue that Descartes offers a unified cognitive account of sensory experience according to which the senses and intellect operate together to produce (...) a fundamentally imagistic representation of the world in both its primary and secondary quality aspects. At stake here is not only our understanding of the cognitive structure of sensory experience but the relation of sense and intellect more generally in the Cartesian mind. The deep bifurcation in the Cartesian mind is not between the sensory perception of primary and secondary qualities but between sensory perception and purely intellectual perception. (shrink)

Attentional bias to threat has been almost exclusively examined after participants experienced repeated pairings between a conditioned stimulus (CS) and an aversive unconditioned stimulus (US). This study aimed to determine whether threat-related attentional capture can result from observational learning, when participants acquire knowledge of the aversive qualities of a stimulus without themselves experiencing aversive outcomes. Non-clinical young-adult participants (N = 38) first watched a video of an individual (the demonstrator) performing a Pavlovian conditioning task in which one colour was paired (...) with shock (CS+) and another colour was neutral (CS−). They then carried out visual search for a shape-defined target. Oculomotor measures evidenced an attentional bias toward the CS+ colour, suggesting that threat-related attentional capture can ensue from observational learning. Exploratory analyses also revealed that this effect was positively correlated with empathy for the demonstrator. Our findings extend empirical and theoretical knowledge about threat-driven attention and provide valuable insights to better understand the formation of anxiety disorders. (shrink)

In the last few years, conference programs and publications have begun to appear that reflect a growing interest, among North American archaeologists, in research initiatives that focus on women and gender as subjects of investigation. One of the central questions raised by these developments has to do with their "objectivity" and that of archaeology as a whole. To the extent that they are inspired by or aligned with explicitly political (feminist) commitments, the question arises of whether they do not themselves (...) represent an inherently partial and interest-specific standpoint, and whether their acceptance does not undermine the commitment to value neutrality and empirical rigor associated with scientific approaches to archaeology. I will argue that, in fact, a feminist perspective, among other critical, explicitly political perspectives, may well enhance the conceptual integrity and empirical adequacy of archaeological knowledge claims, where this is centrally a matter of deploying evidential constraints. (shrink)

According to orthodox representationalism, perceptual states have constitutive veridicality or accuracy conditions. In defense of this view, several philosophers—most notably Tyler Burge—employ a realist strategy that turns on the purported explanatory ineliminability of representational posits in perceptual science. I argue that Burge’s version of the realist strategy fails as a defense of orthodox representationalism. However, it may vindicate a different kind of representationalism.

The recent Science Wars have brought into sharp focus, in a public forum, contentious questions about the authority of science and what counts as properly scientific practice that have long structured archaeological debate. As in the larger debate, localized disputes in archaeology often presuppose a conception of science as a unified enterprise defined by common goals, standards, and research programs; specific forms of inquiry are advocated (or condemned) by claiming afiliation with sciences so conceived. This pattern of argument obscures much (...) that is most creative in archaeological practice. Archaeologists routinely exploit both integrating and fragmenting relations among the sciences, especially in establishing evidential claim. I will argue that the credibility of these claims is a function, not of scientific status acquired by corporate affiliation, but of the substantive trade in tools and techniques, empirical insights, models, and theories that is made possible by local interactions between archaeology and a wide range of other disciplines. There is much more to be gained by developing a rich critical understanding of the interfield relations that make this trade possible than by appealing to generic ideals of science. (shrink)

According to ‘orthodox’ representationalism, perceptual states possess constitutive veridicality (truth, accuracy, or satisfaction) conditions. Typically, philosophers who deny orthodox representationalism endorse some variety of anti-representationalism. But we argue that these haven’t always been, and needn’t continue to be, the only options. Philosophers including Descartes, Malebranche and Helmholtz appear to have rejected orthodox representationalism while nonetheless endorsing perceptual representations of a fundamentally practical kind not captured by orthodox representationalism. Moreover, we argue that the perceptual science called on by contemporary philosophers to (...) defend orthodox representationalism instead motivates a return to this older view, and we suggest that contemporary philosophers may conceptualize fundamentally practical perceptual representations as _‘de agendo’_ representations, a species of representation that has constitutive appropriateness rather than veridicality conditions. (shrink)

Intellectualists hold that knowledge-how is a species of knowledge-that, and consequently that the knowledge involved in skill is propositional. In support of this view, the intentional action argument holds that since skills manifest in intentional action and since intentional action necessarily depends on propositional knowledge, skills necessarily depend on propositional knowledge. We challenge this argument, and suggest that instructive representations, as opposed to propositional attitudes, can better account for an agent’s reasons for action. While a propositional-causal theory of action, according (...) to which intentional action must be causally produced “in the right way” by an agent’s proposition-involving reasons, has long held sway, we draw on Elizabeth Anscombe’s insights offer a path toward an alternative theory of action. In so doing, we reject the implicitly Cartesian conception of knowledge at the core of the intentional action argument, while hanging on to the idea that mental states are representations of a certain kind. Our argument provides theoretical support for anti-intellectualism by equipping philosophers with an account of non-propositional, practical content. (shrink)

Alzheimer’s disease is an insidious onset neurodegenerative syndrome without effective treatment or cure. It is rapidly becoming a global health crisis that is overwhelming healthcare, society, and individuals. The clinical nature of neurocognitive decline creates significant challenges in bidirectional communication between caregivers and persons with Alzheimer’s disease that can negatively impact quality-of-life. This paper sought to understand how and to what extent would awareness training about the levels of consciousness in AD influence the quality-of-life interactions in the caregiver-patient dyad. A (...) literature review of multiple databases was conducted utilizing a transdisciplinary approach. The sum of findings indicates a positive relationship between enhanced caregiver awareness and training, positive interactions, and improved QOL measures among patients and caregivers. A multidirectional relationship was found among healthcare policies, training and education resources, caregivers, and persons with AD. Specifically, the current lack of policy and inadequate training and educational resources has various detrimental effects on patients and caregivers, while improvements in training and education of caregivers yields positive outcomes in communication and QOL. Furthermore, evidence of preserved consciousness in persons with AD was demonstrated from multiple disciplines, including neurobiological, psychological, and biopsychosocial models. The literature further revealed several methods to access the preserved consciousness in persons with AD and related dementias, including sensory, emotional, and cognitive stimulations. The evidence from the literature suggests a reframed approach to our understanding and treatment of persons with AD is not only warranted, but crucial to address the needs of those affected by AD. (shrink)

ABSTRACT Historically, maternal HIV research has focused on prevention of mother‐to‐child transmission and child outcomes, with little focus on the health outcomes of mothers. Over the course of the HIV epidemic, the approach to including pregnant women in research has shifted. The current landscape lends itself to reviewing the public health ethics of this research. This systematic review aims to identify ethical barriers and considerations for including pregnant and postpartum women living with HIV in treatment adherence and retention research. We (...) completed a systematic literature review following PRISMA guidelines with analysis using a relational ethics perspective. The included studies (n = 7) identified ethical barriers related to (a) women research participants as individuals, (b) partner and family dynamics, (c) community perspectives on research design and conduct, and (d) policy and regulatory implications. These broader contextual factors will yield research responsive to, and respectful of, the needs of pregnant and postpartum women living with HIV. While current regulatory and policy environments may be slow to change, actions can be taken now to foster enabling environments for research. We suggest that a relational approach to public health ethics can best support the needs of pregnant and postpartum women living with HIV; acknowledging this population as systematically disadvantaged and inseparable from their communities will best support the health of this population. (shrink)

IntroductionThe pelvic floor muscles are active during motor tasks that increase intra-abdominal pressure, but little is known about how the PFM respond to dynamic activities, such as gait. The purpose of this study was to characterize and compare PFM activity during walking and jogging in continent adults across the entire gait cycle.Methods17 able-bodied individuals with no history of incontinence participated in this study. We recorded electromyography from the abdominal muscles, gluteus maximus, and PFM while participants performed attempted maximum voluntary contractions (...) of all muscles and completed 60–70 strides in four gait conditions: slow walk ; regular walk ; transition walk ; jog. We quantified activity throughout the whole gait cycle and during periods of bursting for each participant, and analyzed the timing of PFM bursting periods to explore when the PFM were most active in the gait cycle. We also conducted a phase metric analysis on the PFM and GM burst timings. We performed a Spearman's rank-order correlation to examine the effect of speed on %aMVCGC, %aMVCBR, and phase metric score, and used the Wilcoxon Signed-Rank test to evaluate the effect of gait modality, matched for speed, on these variables.ResultsThe PFM were active throughout the gait cycle, with bursts typically occurring during single-leg support. The PFM and GM were in phase for 44–69% of the gait cycle, depending on condition. There was a positive correlation between gait speed and both %aMVCGC and %aMVCBR. Phase metric scores were significantly higher during jogging than transition walking, but there was no difference between gait modality on %aMVCGC or %aMVCBR. Where possible we disaggregated data by sex, although were unable to make statistical comparisons due to low sample sizes.ConclusionThe PFM are active during walking and jogging, with greater activity at faster speeds and with bursts in activity around single-leg support. The PFM and GM co-activate during gait, but are not completely in phase with each other. (shrink)

ArgumentIn the 1940s–50s, one of the most central questions in psychological research related to the nature of neurosis. In the final years of the Second World War and the following decade, neurosis became one of the most prominent psychiatric disorders, afflicting a high proportion of military casualties and veterans. The condition became central to the concerns of several psychological fields, from psychoanalysis to Pavlovian psychology. This paper reconstructs the efforts of Chicago psychiatrist Jules Masserman to study neurosis in the laboratory (...) during the 1940s and 1950s. Masserman used Pavlovian techniques in a bid to subject this central psychoanalytic subject to disciplined scientific experimentation. More generally, his project was an effort to bolster the legitimacy of psychoanalysis as a human science by articulating a convergence of psychoanalytic categories across multiple species. Masserman sought to orchestrate a convergence of psychological knowledge between fields that were often taken to be irreconcilable. A central focus of this paper is the role of moving images in this project, not only as a means of recording experimental data but also as a rhetorical device. The paper argues that for Masserman film played an important role in enabling scientific observers to see agency and emotion in the animals they observed. (shrink)

Linguists, biological anthropologists, and cognitive scientists come together in this book to explore the origins and early evolution of phonology, syntax, and semantics. They consider the nature of pre- and proto-linguistic communication, the internal and external triggers that led to its transformation into language, and whether and how language may be considered to have evolved after its inception. Evidence is drawn from many domains, including computer simulations of language emergence, the songs of finches, problem-solving abilities in monkeys, sign language, and (...) the structure of languages today. (shrink)

In the past three decades scholars in virtually every humanistic and social scientific research discipline, and in some natural sciences, have drawn attention to quite striking instances of gender bias in the modes of practice and theorizing typical of traditional fields of research. They generally begin by identifying explicit androcentric biases in definitions of the subject domains appropriate to specific scientific fields. Their primary targets, in this connection, have been research that leaves women out altogether, research that ignores women’s contributions (...) or victimization, and research that conceptualizes its subject, male or female, human or non-human, in explicitly gender biased terms. (shrink)