Objective: To assess the psychological distress of healthcare providers working in the field of obstetrics during the coronavirus disease 2019 pandemic and to identify factors associated with psychological distress at the individual, interpersonal, and organizational level.Design: Cross-sectional survey study.Setting: Four University hospitals in Italy.Participants: HCPs working in obstetrics, including gynecologists, residents in gynecology and obstetrics, and midwives.Methods: The 104-item survey Impatto PSIcologico COVID-19 in Ostetricia was created by a multidisciplinary expert panel and administered to HCPs in obstetrics in May 2020 (...) via a web-based platform.Main Outcome Measures: Psychological distress assessed by the General Health Questionnaire-12 included in the IPSICO survey.Results: The response rate to the IPSICO survey was 88.2%, and that for GHQ-12 was 84.4%. Just over half of the GHQ-12 respondents reported a clinically significant level of psychological distress. Psychological distress was associated with either individual, interpersonal, and organizational factors in dealing with the pandemic.Conclusions: Results confirm the need for monitoring and assessing the psychological distress for HCPs in obstetrics. Interventions at the individual, interpersonal, and organizational level may relieve the psychological distress during the COVID-19 pandemic and foster resilience skills in facing emotional distress. (shrink)

_Treating Dissociative and Personality Disorders_ draws on major theorists and the very latest research to help formulate and introduce the Relational/Multi-Motivational Therapeutic Approach, a new model for treating such patients within a clinical psychoanalytic setting. Supported by her fellow contributors, Antonella Ivaldi provides an overview of existing theories and evidence for their effectiveness in practice, sets out her own theory in detail and provides rich clinical detail to demonstrate the advantages of the REMOTA model as applied in a clinical (...) setting. The narratives in this book show how it is possible to integrate different contributions within a multidimensional aetiopathogenic treatment model, which considers the mind as a manifestation of the relationship between body and world. From a conceptual perspective, according to which consciousness emerges and develops in the interpersonal dimension, this book shows how it becomes possible to understand, in the therapeutic space, what stands in the way of sound personal functioning, and how to create the conditions for improving this. Treating Dissociative and Personality Disorders will be highly useful in addressing the particular clusters of symptoms presented by patients, stimulating therapists of different backgrounds to explore the complexity of human nature. On reading this book, it will become clear that theories can truly become useful instruments, if approached with a critical mind and with humbleness, in order to venture into what we do not know and will never know completely: the relationship with the other, unique and irreplaceable. Treating Dissociative and Personality Disorders provides an integrative and comparative new approach that will be indispensable for combining relational clinical knowing and motivational theories. It_ _will appeal to psychoanalysts and psychotherapists, especially those in training, clinicians of different backgrounds interested in comparative psychotherapy, as well as social workers and graduate and postgraduate students. (shrink)

The chapter discusses the issue of how we may achieve knowledge of essence. It offers a critical survey of the main theories of knowledge of essence that have been proposed within contemporary debates, particularly by Lowe, Hale, Oderberg, Elder, and Kment.

The fourteen papers in this collection offer a variety of original contributions to the epistemology of modality. In seeking to explain how we might account for our knowledge of possibility and necessity, they raise some novel questions, develop some unfamiliar theoretical perspectives, and make some intriguing proposals. Collectively, they advance our understanding of the field. In Part I of this Introduction, I give some general background about the contemporary literature in the area, by sketching a timeline of the main tendencies (...) of the past twenty-five years or so, up to the present debates. Next, I focus on four features that largely characterize the latest literature, and the papers in the present collection in particular: (i) an endorsement of the importance of essentialism; (ii) a shift to a “metaphysics-first” approach to modal epistemology; (iii) a focus on metaphysical modality as opposed to other kinds of modality; and (iv) a preference for non-uniform modal epistemology. In Part II, I present the individual papers in the volume. These are organized around the following four chapters, based on their topic: (A) Skepticism & Deflationism; (B) Essentialism; (C) Non-Essentialist Accounts; (D) Applications. -/- LIST OF CONTRIBUTORS: Francesco Berto; Stephen Biggs & Jessica Wilson; Justin Clark-Doane; Philip Goff; Bob Hale; Frank Jackson; Mark Jago; Boris Kment; Antonella Mallozzi; Graham Priest; Gabriel Rabin; Amie Thomasson; Anand Vaidya & Michael Wallner; Jennifer Wang. -/- The volume is dedicated to the memory of Bob Hale. -/- . (shrink)

I propose that we approach the epistemology of modality by putting modal metaphysics first and, specifically, by investigating the metaphysics of essence. Following a prominent Neo-Aristotelian view, I hold that metaphysical necessity depends on the nature of things, namely their essences. I further clarify that essences are core properties having distinctive superexplanatory powers. In the case of natural kinds, which is my focus in the paper, superexplanatoriness is due to the fact that the essence of a kind is what causes (...) all the many properties and behaviors that are typically shared by all the instances of the kind. Accordingly, we know what is necessarily true of kinds by knowing what is essential to them in the sense of actually playing such causal-explanatory roles. Modal reasoning aimed at discovering metaphysical necessity thus proceeds via essentialist deduction: we move from essentialist truths to reach necessary truths. (shrink)

Epstein et al.'s “full access to Universal Grammar” position is conceptually and empirically problematic. Its shortcomings are illustrated through a brief discussion of the following issues: (1) initial versus final states of grammatical knowledge in a second language, (2) knowledge of gradience of grainmaticality, (3) optionality and retention in non-native grammars, and (4) the empirical measurement of syntactic knowledge.

Temporal binding is the phenomenon in which events related as cause and effect are perceived by humans to be closer in time than they actually are). Despite the fact that temporal binding experiments with humans have relied on verbal instructions, we argue that they are adaptable to nonhuman animals, and that a finding of temporal binding from such experiments would provide evidence of causal reasoning that cannot be reduced to associative learning. Our argument depends on describing and theoretically motivating an (...) intermediate level of representations between the lower levels of associations of sensory features and higher symbolic representations. This intermediate level of representations makes it possible to challenge arguments given by some comparative psychologists that animals lack higher-level abstract and explicit forms of causal reasoning because their cognitive capacities are limited to learning and reasoning at the basic level of perceptual associations. Our multi-level account connects time perception with causal reasoning and provides a philosophically defensible framework for experimental investigations that have not yet been pursued. We describe the structure of some possible experiments and consider the implications that would follow from a positive finding of temporal binding in nonhuman animals. Such a finding would provide evidence of explicit awareness of causal relationships and would warrant attribution of intermediate representations that are more abstract and sophisticated than the associations allowed by the lower level of the two-level account. (shrink)

The paper explores the project of an ambitious modal epistemology that attempts to combine the a priori methods of Chalmers’ 2D semantics with Kripke’s modal metaphysics. I argue that such a project is not viable. The ambitious modal epistemology involves an inconsistent triad composed of (1) Modal Monism, (2) Two-Dimensionalism, and what I call (3) “Metaphysical Kripkeanism”. I present the three theses and show how only two of those can be true at a time. There is a fundamental incompatibility between (...) Chalmers’ Modal Rationalism and Kripke’s modal metaphysics. Specifically, Chalmers’ conceivability entails possibilities that a Kripkean rejects as genuinely metaphysical. However, three positive stances in modal epistemology emerge from the combinations that the triad allows. One of those offers a promising way forward for 2D modal epistemologies. But it comes with a cost, as it requires abandoning modal monism and reshaping the scope of what a priori conceivability can give us access to. (shrink)

I discuss several problems for Williamson’s counterfactual-theory of modal knowledge and argue that they have a common source, in that the theory neglects to elucidate the proper constraints on modal reasoning. Williamson puts forward an empirical hypothesis that rests on the role of counterfactual reasoning for modal knowledge. But he overlooks central questions of normative modal epistemology. In order for counterfactual reasoning to yield correct beliefs about modality, it needs to be suitably constrained. I argue that what is needed is, (...) specifically, information concerning the nature or essence of things. By integrating this information, essentialist deduction arguably provides a better account of our knowledge of modality. Furthermore, I argue that essences have distinctive causal and explanatory powers—indeed, essences are superexplanatory for how things are. Compared to Williamson’s counterfactual-theory, superexplanatory essentialism clarifies what the proper constraints on modal reasoning are, and why they have such a special status. (shrink)

Talk of metaphysical modality as “absolute” is ambiguous, as it appears to convey multiple ideas. Metaphysical possibility is supposedly completely unrestricted or unqualified; metaphysical necessity is unconditional and exceptionless. Moreover, metaphysical modality is thought to be absolute in the sense that it’s real or genuine and the most objective modality: metaphysical possibility and necessity capture ways things could and must have really been. As we disentangle these ideas, certain talk of metaphysical modality qua “absolute” turns out to be misguided. Metaphysical (...) possibility isn't completely unrestricted or most inclusive compared to the other modalities; metaphysical necessity, like all kinds of necessities, is relative to or conditional upon a specific framework of reference. Still, metaphysical modality captures how things could and must have really been most generally because it deals with reality and the nature of things or their essence. That’s the chief interest of metaphysics. Arguments against the alleged absoluteness of metaphysical modality may not thereby undermine its philosophical significance. (shrink)

Is imagination a source of knowledge? Timothy Williamson has recently argued that our imaginative capacities can yield knowledge of a variety of matters, spanning from everyday practical matters to logic and set theory. Furthermore, imagination for Williamson plays a similar epistemic role in cognitive processes that we would traditionally classify as either a priori or a posteriori, which he takes to indicate that the distinction itself is shallow and epistemologically fruitless. In this chapter, I aim to defend the a priori-a (...) posteriori distinction from Williamson’s challenge by questioning his account of imagination. I distinguish two notions of imagination at play in Williamson’s account – sensory vs. belief-like imagination – and show that both face empirical and normative issues. Sensory imagination seems neither necessary nor sufficient for knowledge. Whereas, belief-like imagination isn’t adequately disentangled from inference. Additionally, Williamson’s examples are ad hoc and don’t generalize. I conclude that Williamson’s case against the a priori-a posteriori distinction is unconvincing, and so is the thesis that imagination is an epistemic source. (shrink)

This paper reports two studies investigating the role of culture on the design and personalisation of virtual spaces. The first study was a systematic analysis of 60 MSN virtual spaces belonging to British and Chinese students. The analysis concentrated on design patterns and communication style. The second study was an on-line survey designed to compare the relative importance of cultural values and personality traits on self-reported behaviour with, and preferences for, virtual space design. Results highlighted the importance of culture on (...) design and communication in virtual spaces. Implications for interaction design are discussed. (shrink)

According to Amie Thomasson's Modal Normativism (MN), knowledge of metaphysical modality is to be explained in terms of a speaker’s mastery of semantic rules, as opposed to one’s epistemic grasp of independent modal facts. In this chapter, I outline (MN)'s account of modal knowledge (§1) and argue that more than semantic mastery is needed for knowledge of metaphysical modality. Specifically (§2), in reasoning aimed at gaining such knowledge, a competent speaker needs to further deploy essentialist principles and information. In response, (...) normativists might contend that a competent speaker will only need to appeal to specific independence counterfactuals, on analogy with quasi-realism about morality. These conditionals fix the meaning of our terms at the actual world, independently of the particular context in which a statement is evaluated. However, I show that this strategy causes several problems for the account (§3). While those problems might perhaps be avoided by endorsing a certain picture of modal metaphysics (Modal Monism), such a picture involves notorious issues that normativists will have to address (§4). It is thus doubtful that (MN) can explain knowledge of metaphysical modality. Still, it may explain some modal knowledge without committing to Modal Monism. As I show (§5), semantic mastery may suffice for gaining knowledge of logical-conceptual modality or analyticity. (shrink)

In the current opinion paper, we provide a comparative perspective on specific aspects of primate empathic abilities, with particular emphasis on the mirror neuron system associated with mouth/face actions and expression. Mouth and faces can be very salient communicative classes of stimuli that allow an observer access to the emotional and physiological content of other individuals. We thus describe patterns of activations of neural populations related to observation and execution of specific mouth actions and emotional facial expressions in some species (...) of monkeys and in humans. Particular attention is given to dynamics of face-to-face interactions in the early phases of development and to the differences in the anatomy of facial muscles among different species of primates. We hypothesize that increased complexity in social environments and patterns of social development have promoted specializations of facial musculature, behavioral repertoires related to production and recognition of facial emotional expression, and their neural correlates. In several primates, mirror circuits involving parietal-frontal regions, insular regions, cingulate cortices, and amygdala seem to support automatic forms of embodied empathy, which probably contribute to facial mimicry and behavioural synchrony. In humans these circuits interact with specific prefrontal and temporo-parietal cortical regions, which facilitates higher order cognitive functions such as cognitive empathy and mental state attribution. Our analysis thus suggests that the evolution of higher forms of empathy, such as mentalizing, is also linked to the coupling between the perceptual and motor system related to face processing, which may have undergone a process of exaptation during primate phylogeny. (shrink)

In this paper, we distinguish between a number of different phenomena that have been called imitation, and identify one form—a high fidelity mechanism for social learning—considered to be crucial for the development of language. Subsequently, we consider a common claim in the language evolution literature, which is that prior to the emergence of vocal language our ancestors communicated using a sophisticated gestural protolanguage, the learning of some parts of which required manual imitation. Drawing upon evidence from recent work in neuroscience, (...) primatology, and archeology, we argue that while gestural communication undoubtedly played a crucial role in language evolution, the grounds for thinking that manual imitation did are currently unconvincing. (shrink)

This chapter offers a brief review of theories on mirror neuron development, highlighting different models. These models focus on either the role of genetic mechanisms or the contributions of experience and of learning processes in shaping the brain circuits involved in action–perception coupling. As an alternative, the chapter proposes an epigenetic model for mirror neuron development, explaining how such a model can help to elucidate, within a unifying explanatory framework, the emergence, diversity, and functional reuse of mirror neurons. Lastly, a (...) related evolutionary scenario is sketched in which epigenetic regulation, genetic assimilation/the Baldwin effect, and niche construction play crucial roles in mirror neuron evolution. (shrink)

The changes and general alarm of the current COVID-19 pandemic have amplified the sense of precariousness and vulnerability for family members who, in addition to the emotional trauma of the cancer diagnosis, add the distress and fear of the risks associated with infection. The primary objectives of the present study were to investigate the psychological impact of the COVID-19 pandemic on the parents of pediatric cancer patients, and the level of stress, anxiety, and the child’s quality of life perceived by (...) the parents during the COVID-19 epidemic. The parents of 45 consecutive children with solid and hematological tumors were enrolled. Four questionnaires were administered to the parents at the beginning of the pandemic lockdown. A 75% of parents exhibited remarkable levels of anxiety, with 60 subjects in state scale and 45 subjects in trait scale having scores that reached and exceeded the STAI-Y cut off. The bivariate matrix of correlation found a significant positive correlation between the IES-R and PSS scores. There was a positive correlation between the PSS and PedsQL scale and a negative correlation between IES-R and STAI-Y. The results confirm that parents of pediatric cancer patients have a high psychological risk for post-traumatic symptoms, high stress levels, and the presence of clinically significant levels of anxiety. (shrink)

During the century of colonial expansion by the Iberian monarchies, the presence of the Church alongside the colonizers was not just a logical continuation of the medieval idea of the good prince who was advised and accompanied by men of faith. It also underlined the political dimension of the ‘spiritual conquest’ and the equally political dimension of the cultural practices accompanying it. There are numerous works that have emphasized this with regard to the American continents in particular, where the connection (...) between the forces present, which quickly led to the destruction and subjugation of the local populations, brought about Spanish colonial domination over large swathes of the ‘West Indies’. Those scholars who have concentrated on the ‘East Indies’, and China in particular, have emphasized acculturation or accommodation, highlighting the cultural rather than the political dimension of contact. This article explores the significant asymmetries in the understanding of humankind developed by the missionaries in their analyses of the Americas and the East Indies. These asymmetries stemmed largely from their distinct roles and functions in the process of colonial or imperial contact. I argue that these asymmetries obscure our understanding of what missionaries contributed to the global circulation of knowledge of lands and peoples new to Europeans in the 16th and 17th centuries, in part by defining ‘savagery’ and locating it mostly in the ‘West Indies’. (shrink)

Which is my body and how do I distinguish it from the bodies of others, or from objects in the surrounding environment? The perception of our own body and more particularly our sense of body ownership is taken for granted. Nevertheless experimental findings from body ownership illusions (BOIs), show that under specific multisensory conditions, we can experience artificial body parts or fake bodies as our own body parts or body respectively. The aim of the present paper is to discuss how (...) and why BOIs are induced. We review several experimental findings concerning the spatial, temporal and semantic principles of crossmodal stimuli that have been applied to induce BOIs. On the basis of these principles, we discuss theoretical approaches concerning the underlying mechanism of BOIs. We propose a conceptualization based on Bayesian causal inference for addressing how our nervous system could infer whether an object belongs to our own body, using multisensory, sensorimotor and semantic information, and we discuss how this can account for several experimental findings. Finally, we point to neural network models as an implementational framework within which the computational problem behind BOIs could be addressed in the future. (shrink)

In this paper, we propose the expression cognitive twists for cognitive mechanisms that result from the coevolution of genes and learning. Evidence is available that at least some cultural learning mechanisms, such as imitation and language, have evolved genetically under the pressure produced by culture, even though they are mostly acquired through domain-general learning during development. Although the existence of these mechanisms is consistent with evolutionary theory, their importance has not been sufficiently emphasized by mind-centered accounts of human cognitive evolution, (...) namely evolutionary psychology and cultural evolutionary psychology. We provide concrete examples of cognitive twists, such as vocal imitation. Genetic changes in action-perception matching circuits suggest that human imitation and perhaps language are cognitive twists, namely plastic, learnable, yet genetically evolved cognitive mechanisms. We conclude that cognitive twists depict plausible evolutionary scenarios for the evolution of cognition in Homo sapiens. (shrink)

In this essay I defend a kind of nonnaturalist normative supervenience, grounded in the essences of things. Essentialist theories, in fact, give us the tools to treat the nexus of normative supervenience as a nexus of metaphysical necessity, holding between the normative and the natural. In this context, essentialist grounding provides an explanation of normative supervenience that allows us to keep together both supervenience and nonnaturalism. Moreover, to achieve this significant result, I do not make use of hybrid properties, which (...) are both normative and natural. Rather, I endeavour to show that the notion of hybrid property is based on an erroneous notion of grounding. (shrink)

The fourteen papers in this collection offer a variety of original contributions to the epistemology of modality. In seeking to explain our knowledge of possibility and necessity, they raise some novel questions, develop some unfamiliar theoretical perspectives, and make some intriguing proposals. In the Introduction (penultimate draft available for download), I give some general background about the contemporary literature in the area, by sketching a timeline of the main tendencies of the past twenty-five years or so, up to the present (...) debates. Next, I focus on four features that largely characterize the latest literature, and the papers in the present collection in particular: (i) an endorsement of the importance of essentialism; (ii) a shift to a “metaphysics-first” approach to modal epistemology; (iii) a focus on metaphysical modality as opposed to other kinds of modality; and (iv) a preference for non-uniform modal epistemology. Then I turn to present the individual papers in the volume, which are organized based on their topic around the following four chapters: (A) Skepticism & Deflationism; (B) Essentialism; (C) Non-Essentialist Accounts; (D) Applications. LIST OF CONTRIBUTORS: Francesco Berto; Stephen Biggs & Jessica Wilson; Justin Clark-Doane; Philip Goff; Bob Hale; Frank Jackson; Mark Jago; Boris Kment; Antonella Mallozzi; Graham Priest; Gabriel Rabin; Amie Thomasson; Anand Vaidya & Michael Wallner; Jennifer Wang. The volume is dedicated to the memory of Bob Hale. (shrink)

We present the set and setting of the velada, the Mazatec ritual of divination and healing. We highlight the subjective experiences of individuals who consumed sacred mushrooms and interpret them from their cultural and community contexts, but also from findings derived from experimental and neuroscientific research. We understand that the experiences connected to sacred mushrooms can be explained by the effects of psilocybin on the neurobiology of emotions, decision making, and visual, auditory, and bodily imagery. But we also understand that (...) experimentation does not consider the individual and collective history of the person, and that the velada can provide guidance for integrating a person’s history and beliefs into experimental designs. The resurgence of psychedelic medicine prompts us into a transdisciplinary dialogue that encompasses both the anthropological perspective and the set and setting of the entheogenic experience during the sacred mushroom ritual. (shrink)