Because no single person or group holds knowledge about all aspects of research, mechanisms are needed to support knowledge exchange and engagement. Expertise in the research setting necessarily includes scientific and methodological expertise, but also expertise gained through the experience of participating in research and/or being a recipient of research outcomes. Engagement is, by its nature, reciprocal and relational: the process of engaging research participants, patients, citizens and others brings them closer to the research but also brings the research closer (...) to them. When translating research into practice, engaging the public and other stakeholders is explicitly intended to make the outcomes of translation relevant to its constituency of users. In practice, engagement faces numerous challenges and is often time-consuming, expensive and ‘thorny’ work. We explore the epistemic and ontological considerations and implications of four common critiques of engagement methodologies that contest: representativeness, communication and articulation, impacts and outcome, and democracy. The ECOUTER methodology addresses problems of representation and epistemic foundationalism using a methodology that asks, “How could it be otherwise?” ECOUTER affords the possibility of engagement where spatial and temporal constraints are present, relying on saturation as a method of ‘keeping open’ the possible considerations that might emerge and including reflexive use of qualitative analytic methods. This paper describes the ECOUTER process, focusing on one worked example and detailing lessons learned from four other pilots. ECOUTER uses mind-mapping techniques to ‘open up’ engagement, iteratively and organically. ECOUTER aims to balance the breadth, accessibility and user-determination of the scope of engagement. An ECOUTER exercise comprises four stages: engagement and knowledge exchange; analysis of mindmap contributions; development of a conceptual schema ; and feedback, refinement and development of recommendations. ECOUTER refuses fixed truths but also refuses a fixed nature. Its promise lies in its flexibility, adaptability and openness. ECOUTER will be formed and re-formed by the needs and creativity of those who use it. (shrink)

What should knowledge first theorists say about the value of knowledge? In this paper I approach this issue by arguing for a single ‘modest knowledge first claim’ about the value of knowledge. This is that the special value of knowledge isn’t merely instrumental value relative to true belief. I show that MKF is inconsistent with the version of the Platonic stability theory that Williamson defends in Knowledge and its Limits. I then argue in favour of MKF by arguing that Williamson’s (...) stability theory fails for reasons that plausibly generalise to any theory of the value of knowledge that is inconsistent with MKF. Crucial to this argument is a putative adequacy condition on philosophical theories of the value of knowledge: that, in order to fully explain the special value of knowledge, a theory must identify respects in which knowledge is more valuable than true belief that give enquirers adequate reason for preferring knowledge to true belief. I conclude by suggesting that this adequacy condition is the source of a more general dilemma for proponents of philosophical theories of the value of knowledge. (shrink)

Lucretius' Epicurean poem De Rerum Natura made a fundamental and lasting contribution to the language of Latin philosophy. In this book Barnaby Taylor offers an in-depth reconstruction of core features of Epicurean linguistic theory, and a new understanding of Lucretius' linguistic innovation and creativity.

Psychiatry has witnessed a new wave of approaches to clinical phenotyping and the study of psychopathology, including the National Institute of Mental Health’s Research Domain Criteria, clinical staging, network approaches, the Hierarchical Taxonomy of Psychopathology, and the general psychopathology factor, as well as a revival of interest in phenomenological psychopathology. The question naturally emerges as to what the relationship between these new approaches is – are they mutually exclusive, competing approaches, or can they be integrated in some way and used (...) to enrich each other? In this opinion piece, we propose a possible integration between clinical staging and phenomenological psychopathology. Domains identified in phenomenological psychopathology, such as selfhood, embodiment, affectivity, etc., can be overlaid on clinical stages in order to enrich and deepen the phenotypes captured in clinical staging (‘high resolution’ clinical phenotypes). This approach may be useful both ideographically and nomothetically, in that it could complement diagnosis, enrich clinical formulation, and inform treatment of individual patients, as well as help guide aetiological, prediction, and treatment research. The overlaying of phenomenological domains on clinical stages may require that these domains are reformulated in dimensional rather than categorial terms. This integrative project requires assessment tools, some of which are already available, that are sensitive and thorough enough to pick up on the range of relevant psychopathology. The proposed approach offers opportunities for mutual enrichment: clinical staging may be enriched by introducing greater depth to phenotypes; phenomenological psychopathology may be enriched by introducing stages of severity and disorder progression to phenomenological analysis. (shrink)

Aim: To improve clinical and ethical understanding of patient preferences for information and involvement in decision making.Objectives: To develop and evaluate a clinical tool to elicit these preferences and to consider the ethical issues raised.Design: A before and after study.Setting: Three UK hospices.Participants: Patients with advanced life-threatening illnesses and their doctors.Intervention: Questionnaire on information and decision-making preferences.Main outcome measures: Patient-based outcome measures were satisfaction with the amount of information given, with the way information was given, with family or carer information, (...) and confidence about future decision making. Doctor-based outcome measures were confidence in matching information to patient preference, matching family or carer communication to patient preference, knowing patient preferences and matching future decision making with patient preference.Results: Of 336 admissions, 101 patients completed the study . Patient satisfaction with the way information was given and family communication improved after introduction of the tool. Doctor confidence improved across all outcome measures .Conclusions: Patient satisfaction and doctor confidence were improved by administering the questionnaire, but complex ethical issues were raised by implementing and applying this research. The balance of ethical considerations were changed by advanced life-threatening illness, because there is increased risk of harm through delivery of information discordant with the patient’s own preferences. The importance of truly understanding patient preferences towards the end of life is highlighted by this study. (shrink)

Meta chronicles the journey of Andrew Murtagh and Adam Lee in their uncommon exchange turned friendship. Why is there something rather than nothing? Does God exist? What of goodness, free will, and consciousness – what is the ultimate nature of reality and how does that extend into the public square? In this treatise, two young passionate truth seekers aim to change the way the discussion is being had from the vantage points of Christianity and atheism. Is theism or atheism (...) more compelling? If theism, why Christianity? Did Jesus even exist? After theism/atheism, then what? What is the good life? Is morality objective? What does abortion, education, and healthcare look like in the just city? Embarking on a quest for truth on the big questions, their worldviews clash in a philosophical tour de force. In their discord, a blossoming friendship; in their agreement, vows to change the world…. (shrink)

_The Freudian Exodus_ redefines the traumatic experience that Freud argued was the origin of Judaic monotheism, the murder of Moses. Focusing on the Babylonian Exile, the study explores a series of topics understood as the aftershocks of that cultural trauma.

Advances in reproductive technologies continue to present ethical problems concerning their implementation and use. These advances have preoccupied bioethicists in their bid to gauge our moral responsibilities and obligations when making reproductive decisions. The aim of this discussion is to highlight the importance of a sensibility to differences in moral perspective as part of our ethical inquiry in these matters. Its focal point is the work of John Harrisi, who has consistently addressed the ethical issues raised by advancing reproductive technologies. (...) The discussion is aimed at a central tenet of Harris’s position on reproductive decision-making—namely, that in some instances, giving birth to a worthwhile life may cause harm and will therefore be morally wrong. It attempts to spell out some of the implications of Harris’s position that the author takes to involve a misplaced generality. To support this claim, some examples are explored that demonstrate the variety of ways in which concepts may manifest themselves as moral considerations within the context of reproductive decision-making. The purpose is to demonstrate that Harris’s general conception of the moral limits of reproductive autonomy obscures the issues raised by particular cases, which in themselves may reveal important directions for our ethical inquiry. (shrink)

In “Bloody Mary,” a statue of the Virgin Mary is depicted as bleeding, apparently “out its ass.” The author wonders whether Parker and Stone were doing something morally wrong by using blasphemy for comic effect. The author had an intuition that some moral boundary was crossed. But, though moral philosophy can sometimes begin with intuitions, it can't end with them. A philosophy that proclaims an action moral or immoral has to be grounded in good reasons and solid evidence along with (...) intuitions. The author examines this through the lens of utilitarianism. From a utilitarian perspective, it may be that blasphemous humor is morally acceptable on grounds that it makes a lot of people happy; or, it may be immoral on grounds that it causes a lot of shock, anger, and displeasure. An important part of morality involves being concerned with the consequences of actions and refraining from hurting others pointlessly. (shrink)

Lucretius' primary didactic aim in De Rerum Natura is to teach his readers to interpret the world around them in such a way as to avoid the formation of false beliefs. The price of failure is extremely high. Someone who possesses false beliefs is liable to experience fear, and so will not be able to attain the state of tranquillity that, for Epicureans, constitutes the moral end. Equipping readers with sufficient knowledge always to form true beliefs about the phenomena they (...) encounter thus serves no less a purpose than the enabling of their future happiness. This paper is concerned with how Lucretian intertextuality contributes to this primary didactic aim. For reasons to be explained below, I will focus on Lucretian engagement with the texts of Greek and Roman drama. I will show that allusions to drama in DRN, rather than functioning simply as ‘honey on the rim of the cup’, make a direct contribution to Lucretius' ethical project, teaching readers how to respond rationally to the full variety of their cultural experience. (shrink)

In this paper I challenge the orthodox view of the significance of Platonic value problems. According to this view, such problems are among the central questions of epistemology, and answering them is essential for justifying the status of epistemology as a major branch of philosophical enquiry. I challenge this view by identifying an assumption on which Platonic value problems are based – the value assumption – and considering how this assumption might be resisted. After articulating a line of thought that (...) supports the assumption, I highlight one way of undermining it, which is to deny that we desire knowledge and not just (e.g.) true belief because we prefer knowledge to true belief. I then consider an attempt to undermine the value assumption in this way, inspired by Bernard Williams. I contend that Williams's argument fails, but also that seeing why it fails is instructive for future attempts to resist the value assumption. (shrink)

I argue that Descartes is not a reductionist about life, but dissolves or eliminates the category entirely. This is surprising both because he repeatedly refers to the life of humans, animals, and plants and because he appears to rely on the category of life to construct his physiology and medicine. Various attempts have been made in the scholarship to attribute a principled concept of life to Descartes. Most recently, Detlefsen has argued that Descartes “is a reductionist with respect to explanation (...) of life phenomena but not an eliminativist with respect to life itself”. I show that all these attempts either result in arbitrariness or force Descartes's wider philosophical project into incoherence. I argue that Descartes's ontological commitments make a principled concept of life impossible, that he does not need such a concept, and that his project ends up more coherent without one. (shrink)

I argue that Descartes explains physiology in terms of whole systems, and not in terms of the size, shape and motion of tiny corpuscles (corpuscular mechanics). It is a standard, entrenched view that Descartes’ proper means of explanation in the natural world is through strict reduction to corpuscular mechanics. This view is bolstered by a handful of corpuscular–mechanical explanations in Descartes’ physics, which have been taken to be representative of his treatment of all natural phenomena. However, Descartes’ explanations of the (...) ‘principal parts’ of physiology do not follow the corpuscular–mechanical pattern. Des Chene has identified systems in Descartes’ account of physiology, but takes them ultimately to reduce down to the corpuscle level. I argue that they do not. Rather, Descartes maintains entire systems, with components selected from multiple levels of organization, in order to construct more complete explanations than corpuscular mechanics alone would allow. (shrink)

Eye-tracking techniques were used to measure men’s attention to back-posed and front-posed images of women varying in waist-to-hip ratio (WHR). Irrespective of body pose, men rated images with a 0.7 WHR as most attractive. For back-posed images, initial visual fixations (occurring within 200 milliseconds of commencement of the eye-tracking session) most frequently involved the midriff. Numbers of fixations and dwell times throughout each of the five-second viewing sessions were greatest for the midriff and buttocks. By contrast, visual attention to front-posed (...) images (first fixations, numbers of fixations, and dwell times) mainly involved the breasts, with attention shifting more to the midriff of images with a higher WHR. This report is the first to compare men’s eye-tracking responses to back-posed and front-posed images of the female body. Results show the importance of the female midriff and of WHR upon men’s attractiveness judgments, especially when viewing back-posed images. (shrink)

At the outset of The Democracy of Suffering, Canadian philosopher Todd Dufresne suggests that we should stop worrying about the indifference of those ignoring the environmental plight of the world...

At various points in his work on physiology and medicine, Descartes refers to a “principle of life.” The exact term changes—sometimes, it is the “principle of movement and life”, sometimes the “principle underlying all [the] functions” of the body —but the message seems consistent: the phenomena of living bodies are the product of a single, underlying principle. That principle is generally taken to be cardiac heat.1 The literature has, quite reasonably, taken this message at face value. Thus, Shapiro: “Descartes insists (...) again and again that the human body is properly to be described as a machine whose workings are […] driven by the heat in the heart that... (shrink)

This chapter argues that the human perspective is not fully reducible – that is, that something would indeed be lost in the absence of the human perspective. It shows that epistemic subjectivity itself is an irreducible, ineliminable feature of the human standpoint. Subjectivity goes along with substantiality, and to be an epistemic subject is to be a substance with a mind. In E2p13, Spinoza identifies the mind's object with the body, thereby specifying where the multiplicity of epistemic subjects comes from (...) – how, that is, individual epistemic subjects are identified and differentiated. The chapter looks at how the three kinds of knowledge relate to the notions of epistemic subjectivity. These include: imaginative knowledge; reason, or knowledge from common notions; and intuitive knowledge. Imaginative knowledge works straightforwardly on the model of having ideas in the thick sense. (shrink)

The data-driven approach to psychiatric science leverages large volumes of patient data to construct machine learning models with the goal of optimizing clinical decision making. Advocates claim that this methodology is well-placed to deliver transformative improvements to psychiatric science. I argue that talk of a data-driven revolution in psychiatry is premature. Transformative improvements, cashed out in terms of better patient outcomes, cannot be achieved without addressing patient understanding. That is, how patients understand their own mental illnesses. I conceptualize understanding as (...) the possession of adaptive mental constructs through which experience is mediated. I suggest that this notion of understanding serves as a bottleneck which any prospective approach to psychiatry must address to be efficacious. Subsequently I argue that, though the data-driven approach is undoubtedly powerful, it does not have a straightforward means of unblocking the bottleneck of understanding. I suggest that the data-driven approach must be supplemented with significant theoretical progress if it is to transform psychiatry. (shrink)

Smart-home technologies, comprising environmental sensors, wearables and video are attracting interest in home healthcare delivery. Development of such technology is usually justified on the basis of the technology’s potential to increase the autonomy of people living with long-term conditions. Studies of the ethics of smart-homes raise concerns about privacy, consent, social isolation and equity of access. Few studies have investigated the ethical perspectives of smart-home engineers themselves. By exploring the views of engineering researchers in a large smart-home project, we sought (...) to contribute to dialogue between ethics and the engineering community. Either face-to-face or using Skype, we conducted in-depth qualitative interviews with 20 early- and mid-career smart-home researchers from a multi-centre smart-home project, who were asked to describe their own experience and to reflect more broadly about ethical considerations that relate to smart-home design. With participants’ consent, interviews were audio-recorded, transcribed and analysed using a thematic approach. Two overarching themes emerged: in ‘Privacy’, researchers indicated that they paid close attention to negative consequences of potential unauthorised information sharing in their current work. However, when discussing broader issues in smart-home design beyond the confines of their immediate project, researchers considered physical privacy to a lesser extent, even though physical privacy may manifest in emotive concerns about being watched or monitored. In ‘Choice’, researchers indicated they often saw provision of choice to end-users as a solution to ethical dilemmas. While researchers indicated that choices of end-users may need to be restricted for technological reasons, ethical standpoints that restrict choice were usually assumed and embedded in design. The tractability of informational privacy may explain the greater attention that is paid to it. However, concerns about physical privacy may reduce acceptability of smart-home technologies to future end-users. While attention to choice suggests links with privacy, this may misidentify the sources of privacy and risk unjustly burdening end-users with problems that they cannot resolve. Separating considerations of choice and privacy may result in more satisfactory treatment of both. Finally, through our engagement with researchers as participants this study demonstrates the relevance of ethics as a critical partner to smart-home engineering. (shrink)

Descartes is usually taken to be a strict reductionist, and he frequently describes his work in reductionist terms. This dissertation, however, makes the case that he is a nonreductionist in certain areas of his philosophy and natural philosophy. This might seem like simple inconsistency, or a mismatch between Descartes's ambitions and his achievements. I argue that here it is more than that: nonreductionism is compatible with his wider commitments, and allowing for irreducibles increases the explanatory power of his system. Moreover, (...) Descartes depends on nonreductionist knowledge and on irreducibles in order to maintain his epistemology and metaphysics. That is, there is more in the Cartesian world than mind, matter, and God. (shrink)

Only by the method of free-association could Sigmund Freud have demonstrated how human consciousness is formed by the repression of thoughts and feelings that we consider dangerous. Yet today most therapists ignore this truth about our psychic life. This book offers a critique of the many brands of contemporary psychoanalysis and psychotherapy that have forgotten Freud's revolutionary discovery. Barnaby B. Barratt offers a fresh and compelling vision of the structure and function of the human psyche, building on the pioneering (...) work of theorists such as André Green and Jean Laplanche, as well as contemporary deconstruction, feminism, and liberation philosophy. He explores how ‘drive’ or desire operates dynamically between our biological body and our mental representations of ourselves, of others, and of the world we inhabit. This dynamic vision not only demonstrates how the only authentic freedom from our internal imprisonments comes through free-associative praxis, it also shows the extent to which other models of psychoanalysis tend to stray disastrously from Freud's original and revolutionary insights. This is a vision that understands the central issues that imprison our psychic lives - the way in which the reflections of consciousness are based on the repression of our innermost desires, the way in which our erotic vitality is so often repudiated, and the way in which our socialization oppressively stifles our human spirit. Radical Psychoanalysis restores to the discipline of psychoanalysis the revolutionary impetus that has so often been lost. It will be essential reading for psychoanalysts, psychoanalytic psychotherapists, mental health practitioners and students and academics with an interest in the history of psychoanalysis. (shrink)

Rooted in the ancient holistic disciplines or energy sciences, and becoming established in the work of early psychodynamic pioneers, this new discipline, with the current growth of its bodymind methodologies, draws from phenomenological philosophies, depth psychologies, and from the latest neuroscience. This unique text explores both the remarkable history and the contemporary burgeoning of somatic psychology, and addresses the theoretical challenges that must be met if it is to realize its impressive potential. --Book Jacket.

How do we know our mental life, and how is our mental life altered by our efforts to know it better? Originally published in 1984, this title attempts an epistemological and ontological discourse concerning the understanding of human mental processes, and it aims toward a definitive thesis on the dialectics of knowing and being in this work of psychological understanding. What this work reconfronts are questions pertaining to all psychology and to all human sciences. Yet much of its focus is (...) on the understanding of unconscious mental contents, on the question of knowing and being in Freud¿s psychology. (shrink)

In this paper the current legislative landscape and the challenges researchers face in obtaining informed consent in acute situations are explored. In such situations, some current guidelines can be difficult or impossible to apply. Capacity should be formally assessed before consent is sought to ensure that vulnerable persons are neither inappropriately recruited to a study nor denied the opportunity to participate. However, there is little guidance in current legislation as to how this should be achieved. When the patient is considered (...) to be unable to provide prospective informed consent, other forms are sometimes permissible, although all have specific drawbacks. First, it is argued that a brief instrument, suitable for the acute situation, is needed to determine whether patients have the capacity to consent to clinical trials. Secondly, it is argued that there are areas of the informed consent process that require review, and ways that improvements could be made are suggested. (shrink)

A familiar theme in Greek philosophy, largely due to the influence of Plato's Cratylus, linguistic naturalism constitutes a major but under-studied area of Roman linguistic thought. Indeed, it holds significance not only for the history of linguistics but also for philosophy, stylistics, rhetoric and more. The chapters in this volume deal with a range of naturalist theories in a variety of authors including Cicero, Varro, Nigidius Figulus, Posidonius, and Dionysius of Halicarnassus. The result is a complex and multi-faceted picture of (...) how language and nature were believed to interrelate in the classical Roman world. (shrink)

The suppression of sexuality is culturally widespread, and women’s sexual promiscuity, activity, and enjoyment are almost always judged and punished more harshly than men’s. It remains disputed, however, to what end people suppress sexuality, and who benefits from the suppression of female sexuality. Different theories predict that women in general, men in general, women’s intimate partners, or parents benefit most. Here we use the lies women and men tell—or imagine telling—about their sexual histories as an indirect measure of who is (...) most involved in the suppression of sexuality. We asked men and women what they would reply if asked questions by their mother, father, current partner, attractive confederate, and various same- or opposite-sex friends and colleagues about their number of previous sex partners, age at first romantic kiss, age at first consensual sex, and cheating on a previous partner or spouse. By comparing the size and direction of the lies that subjects told, we tested competing predictions of several cultural and evolutionary theories concerning why female sexuality is suppressed and who is driving its suppression. We found that men and women told larger and more frequent lies to their parents, with women telling the largest and most frequent lies of all to their fathers. Additionally, the majority of lies by both men and women were in sexually conservative directions. Our findings suggest that mothers, and especially fathers, restrict female sexuality. (shrink)

If we lack the kind of free will required for moral responsibility, what does that entail for the justification of particular punitive practices and punishment generally? Everyone seems to agree that incarceration can still be justified, and that retributive justifications of punishment will be unavailable. Beyond this, however, there is little agreement. In this article, I evaluate Derk Pereboom’s discussion of this issue in Living Without Free Will, and then articulate and defend my own positive position. In my view, significant (...) punishment can be justified on consequentialist grounds by the free will denier without betraying important concerns about justice. (shrink)

Literate Experience argues for the existence of certain shared patterns of intellectual association in the English seventeenth century, patterns that follow the outlines of Bacon’s project of epistemological reform. Bacon’s project offered a theory of how knowing as a private act could be transformed into a public one, an act related to the creation and maintenance of public authority. The question thus becomes, how did thinkers in the period reimagine civil society as a polity of knowledge? This study traces out (...) a variety of answers to that question, ranging from the Royal Society’s communal rhetoric to the work of four literary writers who, in a variety of ways, problematize the notion that political society exists as a community of shared knowledge. (shrink)

According to the author, psychoanalytic theory and practice – which discloses ‘the interminable falsity of the human subject’s belief in the mastery of its own mental life’ – is in part responsible for the coming of the postmodern era. In this title, originally published in 1993, Barratt examines the role of psychoanalysis in what he sees as the crisis of modernism, shows why the modernist position – what he calls the ‘modern episteme’ – is failing, and proposes that psychoanalysis should (...) redefine itself as a postmodern method. In Barratt’s innovative account of psychoanalysis, which focuses on the significance of the free-associative process, Freud’s discovery of the repressed unconscious leads to a claim that is basic to postmodern ideas: ‘that all thinking and speaking, the production and reproduction of psychic reality, is inherently dynamic, polysemous, and contradictorious.’ He argues that subsequent attempts to ‘normalize and systematize’ psychoanalysis are reactionary and antipsychoanalytic efforts to salvage the modern episteme that psychoanalysis itself calls into question. (shrink)

The phenomenology of the creative process has been a neglected area of creativity research. The current study investigated the phenomenology of artistic creativity through semi-structured interviews with 11 artists. The findings consisted of 19 interlinked constituents, with 3 dynamics operating within these constituents: an intuition-analysis dynamic, a union-division dynamic, and a freedom-constraint dynamic. The findings are discussed in relation to the issues of creativity and spirituality, intuition and analysis, the creative synthesis, affective components, and flow. The findings display considerable overlap (...) with previous research into the phenomenology of the artistic creative process, yet place particular emphasis on the shift in sense of self associated with creative experience and the energising effect of a synthesis of disparate elements. (shrink)

In this article, I propose and argue for a conception of inhuman treatment. In the human rights context, I claim, inhuman treatment is that which is grossly degrading. Relative to “cruel,” “inhumane,” and “degrading,” “inhuman” has received little attention from moral philosophers. My aim here is to analyze this concept in greater depth in order to determine what it brings to discussions about punishment and other kinds of treatment. I begin by drawing distinctions between “inhuman,” “inhumane,” and “degrading.” Then, I (...) discuss analyses of “inhuman treatment” proposed by Jeremy Waldron and John Vorhaus. Although I find both conceptions problematic, discussing each helps me to set the stage for my proposal. After articulating and arguing for my own conception, I conclude by briefly explaining some of its implications. (shrink)

Stuart Murray's 'Care and the self: biotechnology, reproduction, and the good life' utilizes Foucault's "care of the self" to examine health domains in its title. The present author discusses three important articulations of concern with the Foucauldian concepts of care of the self that are absent in the work of Murray and others: first, the voluntarism and individualism inherent in ideas about care of the self; second, the absence of the interactional and relational; and, third, the perpetuation of the interpretation (...) of Foucault's concept of governmentality, 'the conduct of conduct', as primarily coercive. (shrink)