Discussions surrounding patient engagement and empowerment often use the terms “patient” and “consumer” interchangeably. But do the two terms hold the same meaning, or is a “patient” a passive actor in the health care arena and a “consumer” an informed, rational decision-maker? Has there been a shift in our usage of the two terms that aligns with the increasing commercialization of health care in the U.S. or has the patient/consumer dynamic always been a part of the buying and selling of (...) health care in the American system? Recent discussions of the issue exist in the popular press and in social media forums such as TEDMED, but few direct analyses of the ethical, legal, and policy ramifications of this possible shift in terminology are available in the academic literature. This paper analyzes our usage of the terms and any recent changes in the dynamic and discusses the ethical, legal, and policy implications of this simple terminology for the physicianpatient relationship. (shrink)

Elected politicians—legislators and, in some systems, members of the executive—can choose to exercise authority themselves or to delegate that authority to any number of agencies. Such delegation of power can occur at the constitutional stage, but is most common at the post-constitutional stage. Two categories of delegation can be distinguished: domestic delegation to agencies within the legislators’ jurisdiction, and international delegation to supranational or international bodies. While some research has been done on domestic delegation, especially in the context of delegation (...) to administrative agencies in the U.S., as well as on delegation to supranational bodies, especially with regard to the E.U., these activities have not been analyzed within a unified framework. This paper attempts to inquire into these issues and provide a general picture of the decision-making process regarding whether to delegate authority and to which body to transfer the authority. The past decade has been a period of rapid change in Central and Eastern Europe. Almost all of these countries have either passed entirely new constitutions or substantially modified the old ones. This is a unique situation in which constitutional delegation of powers can be performed almost simultaneously with post-constitutional delegation. The constitutional process in Israel is very different. It has been underway for fifty years. However, it can also be characterized by simultaneous constitutional and post-constitutional choices. In this paper, we examine such delegation choices in nine countries. We describe the main differences among these countries with regard to delegation of power, try to trace their origins and analyze their effects on delegation of powers. One question raised is what are the ramifications of a quasi-simultaneous constitutional and post-constitutional choice? Have constitutional rules been chosen in anticipation of the necessary compatibility with the rules of international organizations that one wants to join? Has membership in international organizations led to a boost in credibility of those governments concerned? (shrink)

In the present article we consider general anesthesia as a means of exploring questions regarding unconscious influence. The primary questions addressed in the research are whether surgical patients who are under adequate general anesthesia unconsciously perceive auditory information and whether they can benefit from such information. In addition, we consider the relevance of individual hypnotic ability for perceptual processing in this context. Ninety-six adult patients, undergoing elective abdominal hysterectomy, were randomly allocated to one of four tape-recorded conditions: therapeutic suggestions, melodies, (...) suggestions-plus-melodies, or silence. Double-blind conditions were satisfied in every respect. Patients received a standardized, but typical, "balanced" anesthetic, and level of anesthesia was adequately monitored. Following surgery, all patients received their analgesic medication from a patient-controlled device. Patients who were played therapeutic suggestions used a significantly smaller dose of morphine than patients who were not played suggestions. Although hypnotic ability was not significantly associated with therapeutic outcome, high but not low hypnotizable patients accurately guessed whether they were played suggestions. No compelling evidence for memory of melodies was obtained. (shrink)

Interpretations abound about Husserl’s understanding of the relationship between veridical perceptual experience and hallucination. Some read him as taking the two to share the same distinctive essential nature, like contemporary conjunctivists. Others find in Husserl grounds for taking the two to fall into basically distinct categories of experience, like disjunctivists. There is ground for skepticism, however, about whether Husserl’s view could possibly fall under either of these headings. Husserl, on the one hand, operates under the auspices of the phenomenological reduction, (...) abstaining from use of any epistemic commitments about mind-transcendent reality, whereas conjunctive and disjunctive accounts of perceptual experience, on the other hand, are both premised on some form of metaphysical realism. There seems to be a basic incompatibility between the former approach and the latter. I examine this line of thinking and argue that the incompatibility is only apparent. (shrink)

Despite extensive discussion of naïve realism in the wider philosophical literature, those influenced by the phenomenological movement who work in the philosophy of perception have hardly weighed in on the matter. It is thus interesting to discover that Edmund Husserl’s close philosophical interlocutor and friend, the early twentieth-century phenomenologist Johannes Daubert, held the naive realist view. This article presents Daubert’s views on the fundamental nature of perceptual experience and shows how they differ radically from those of Husserl’s. The author argues, (...) in conclusion, that Daubert’s views are superior to those of Husserl’s specifically in the way that they deal with the phenomenon of perceptual constancy. (shrink)

Husserl’s theory of passive experience first came to systematic and detailed expression in the lectures on passive synthesis from the early 1920s, where he discusses pure passivity under the rubric of affection and association. In this paper I suggest that this familiar theory of passive experience is a first approximation leaving important questions unanswered. Focusing primarily on affection, I will show that Husserl did not simply leave his theory untouched. In later manuscripts he significantly reworks the theory of affection in (...) terms of instinctive intentionality and a passive experience of desire aimed at satisfaction and enjoyment. This paper will show that the theory of affection and the theory of instincts in Husserl are really one and the same, differing only in the superior theoretical apparatus with which Husserl treats the phenomenon in his more considered theory of the instincts. I demonstrate the connection between the two theories by showing how what he generically calls “affection” in earlier texts is the same phenomenon he calls “curiosity” in later texts. The connection is further supported by the way curiosity does the same work as affection in its function within Husserl’s theory of association, serving as the basic connective tissue linking diverse experiences. In closing, I deal with the problem of how to integrate the experience of the body into the theory of instincts, displaying in another way how Husserl improves his theory of affection by making it more concrete when he recasts it as a theory of instincts. (shrink)

Levinas is usually discussed as a philosopher wrestling with the nature of our experience of others, ethical obligation, and the divine. Unlike other phenomenologists, such as Husserl and Heidegger, he is not often mentioned in discussions about issues in philosophy of mind. His work in that area, especially on perception, is underappreciated. He gives an account of the nature of perceptual experience that is remarkable both in how it departs from that of others in the phenomenological tradition and for how (...) it fits in among presently available views about the nature of perceptual experience, namely, as a form of naïve realism. (shrink)

We apply Benacerraf’s distinction between mathematical ontology and mathematical practice to examine contrasting interpretations of infinitesimal mathematics of the seventeenth and eighteenth century, in the work of Bos, Ferraro, Laugwitz, and others. We detect Weierstrass’s ghost behind some of the received historiography on Euler’s infinitesimal mathematics, as when Ferraro proposes to understand Euler in terms of a Weierstrassian notion of limit and Fraser declares classical analysis to be a “primary point of reference for understanding the eighteenth-century theories.” Meanwhile, scholars like (...) Bos and Laugwitz seek to explore Eulerian methodology, practice, and procedures in a way more faithful to Euler’s own. Euler’s use of infinite integers and the associated infinite products are analyzed in the context of his infinite product decomposition for the sine function. Euler’s principle of cancellation is compared to the Leibnizian transcendental law of homogeneity. The Leibnizian law of continuity similarly finds echoes in Euler. We argue that Ferraro’s assumption that Euler worked with a classical notion of quantity is symptomatic of a post-Weierstrassian placement of Euler in the Archimedean track for the development of analysis, as well as a blurring of the distinction between the dual tracks noted by Bos. Interpreting Euler in an Archimedean conceptual framework obscures important aspects of Euler’s work. Such a framework is profitably replaced by a syntactically more versatile modern infinitesimal framework that provides better proxies for his inferential moves. (shrink)

I present and critically examine Dan Zahavi's view that minimal selfhood and self-awareness per se do not have a social character. I argue that Zahavi's conception of the minimal self as fundamentally asocial makes it hard to comprehend the unity of the self and that it is partly the result of an overly narrow conception of what it might mean for the self to be social.

A number of philosophers have held that we visually experience objects’ occluded parts, such as the out-of-view exterior of a voluminous, opaque object. That idea is supposed to be what best explains the fact that we see objects as whole or complete despite having only a part of them in view at any given moment. Yet, the claim doesn’t express a phenomenological datum and the reasons for thinking we do experience objects’ occluded parts, I argue, aren’t compelling. Additionally, I anticipate (...) and reply to attempts to salvage the idea by appeal to perceptual expectation and amodal completion. Lastly, I address potential concerns that the only way to capture the phenomenal character of perceiving voluminous objects is to say experience outstrips what’s in view, providing a description of such experience without any implication of that idea. (shrink)

One key difference between perceptual experience and thought is the distinctly sensory way perception presents things to us. Some philosophers nevertheless suggest this sensory phenomenal character does not exhaust the way things are made manifest to us in perceptual experience. Edmund Husserl maintains that there is also a significant non‐sensory side to perception's phenomenal character. We may experience, for instance, an object's facing surface in a sensory mode and, as part of the same perceptual experience, also that object's out‐of‐view surface (...) in a non‐sensory mode. To the extent that perceptual experience makes things available to us in a non‐sensory mode, Husserl calls it inadequate. Here, I reconstruct four arguments for the conclusion that perceptual experience is inadequately found in various of Husserl's writings and critically evaluated them. My aim is both to showcase the variety and sophistication of Husserl's reasons for thinking perceptual experience is inadequate and to problematize that idea. (shrink)

European Journal of Philosophy, Volume 30, Issue 2, Page 755-777, June 2022.

This editorial, introducing the Journal for Theoretical & Marginal Mathematics Education, is historically situated in a moment when the field of mathematics education research is on the precipice of acknowledging that the old world is dying. That is to say, the way research has been done before is no longer adequate for operating within the White, Colonial, cis-hetero Patriarchal, Abled Capitalist dystopia we find ourselves. This inadequacy is, however, not a reason for despair but instead for celebration. Instead of directing (...) our resources towards reifying existing norms and structures, towards adopting exhausted methods and theories—as is the way of the old world—we can instead foster a ‘new aesthetics’ of mathematics education research, wherein we remake the very material that constitutes mathematics education research itself. In doing so, we engage with the politics of the margins of mathematics education research. We discuss the critical, philosophical, and psychoanalytic as three potential, but non-exhaustive, departures from mathematics education research as it has been. Each of these marginal approaches, in their own way, points to the ways that presuming a fixed mathematics education research enacts exclusionary politics and precludes change. Let this be our manifesto, written from the margins, for a more root-grasping, more self-reflective, and freer mathematics education research. (shrink)

There is widespread agreement in neuroscience and psychology that the visual system identifies objects and faces based on a pattern of activation over many neurons, each neuron being involved in representing many different categories. The hypothesis that the visual system includes finely tuned neurons for specific objects or faces for the sake of identification, so‐called “grandmother cells”, is widely rejected. Here it is argued that the rejection of grandmother cells is premature. Grandmother cells constitute a hypothesis of how familiar visual (...) categories are identified, but the primary evidence against this hypothesis comes from studies that have failed to observe neurons that selectively respond to unfamiliar stimuli. These findings are reviewed and it is shown that they are irrelevant. Neuroscientists need to better understand existing models of face and object identification that include grandmother cells and then compare the selectivity of these units with single neurons responding to stimuli that can be identified. (shrink)

Braitenberg et al.'s proposal, like most previous theories of cerebellar function (see Bower 1997, for review), is fundamentally based on the striking geometric relationship between parallel fibers and Purkinje cells. As in previous models, the current theory assumes that the activation of granule cells results in a of activated Purkinje cells, although it adds the new requirement that the granule cell layer itself have a particular spatial/temporal pattern of activation. I believe there is clear evidence that parallel fibers do (...) not have the type of excitatory effects on Purkinje cells required by this theory. (shrink)

There is clearly some area of thematic overlap between the subject matter of Edmund Husserl's genetic phenomenology and studies of cognitive development. I aim in this paper to clarify the extent of this overlap. This will, I hope, serve as an indicator about whether genetic phenomenology might be able to shed some light on actual cognitive-development phenomena. To begin with, I differentiate two strands within Husserl's genetic phenomenology, an idealized and a concrete approach. After providing a schematic outline of the (...) former I argue that its application to actual, empirical cases of cognitive development faces serious challenges. I then set out the concrete approach, in two stages. First, I explain the importance of bodily experience on the concrete approach and note some affinities it has with the work of Piaget and embodied approaches to cognitive development. Second, I introduce the notion of affect as the engine of the developmental process on the concrete approach, an idea that, moreover, helps clarify how the concrete approach overcomes the problems facing the idealized approach. Finally, I propose that Vygotsky's notion of the 'zone of proximal development' can serve as a bridge between Husserl's concrete approach and contemporary scaffolded and extended accounts of cognitive development. (shrink)

Phillips & Singer (P&S) extend ideas derived from the observation eight years ago that the coherence (synchronization) of cortical oscillations can be modulated by the structure of visual stimuli. As described in the target article, a large part of the continued interest in this finding is related to independent theoretical work suggesting that synchronized cell firing could help solve the problem of binding together within cortex neuronal activity associated with different attributes of visual stimuli. The authors present an abstract “proof (...) of concept” model describing how their cortical processing scheme could work, but our biologically realistic models of cortical relationships suggest that the proposal is biologically implausible. Our realistic models lead to a very different interpretation of the significance of cortical oscillations. (shrink)

The relation of genetic phenomenology and the project of phenomenological reduction is the primary concern of this paper. Despite Husserl’s occasional loose references to “the” reduction, performing the reduction actually refers to numerous interrelated techniques. I want here to delve into these intricacies with the aim of determining the place of genetic phenomenology within the whole of phenomenological technique. It will be necessary to both state in general terms what the aim of the reduction is and what the different “ways” (...) to the reduction are before highlighting their inadequacy for dealing with genetic matters, which then brings us face to face with the underexplored possibility that there might be a peculiar novel from of reduction or transformation of the reduction that is needed to deal with genesis on properly transcendental ground. Following this line of thought, I attempt to elaborate a way into genetic phenomenology, which, I suggest, begins to appear most clearly in Husserl’s later reflections on “abnormal” forms of consciousness. (shrink)

Contemporary approaches to adolescent development are framed by positive youth development models. A key outcome of these models is that healthy and positively developing youth are more likely to contribute to their family, schools, and communities. However, little work on contribution and its antecedents has been conducted with youth of color. As high achieving youth of color often become leaders in their communities, it is important to consider malleable predictors of contribution within this population. Therefore, through a cross-sectional design, we (...) examined the relations between youth critical reflection, hopeful future expectations, and mentoring relationship quality and youth contribution in a sample of 177 youth of color (60% Black, 40% Latinx) attending an afterschool college preparation program at six sites around the U.S. Results indicated that youth critical reflection, hopeful future expectations, and mentoring relationship quality significantly predicted contribution. Exploratory analyses suggested that these relations were significant for Black youth but not Latinx youth. Implications of these findings for future scholarship are discussed. (shrink)

The primary assumption made in this series of target articles is that the cerebellum is directly involved in motor control. However, in my opinion, there is ample and growing experimental evidence to question this classical view, whether or not learning is involved. I propose, instead, that the cerebellum is involved in the control of data acquisition for many different sensory systems, [CRÉPEL et al., HOUK et al., SMITH, THACH].

Open peer commentary on the article “Towards a PL-Metaphysics of Perception: In Search of the Metaphysical Roots of Constructivism” by Konrad Werner. Upshot: I disclaim the need for a metaphysics for perception, in the sense of a general metaphysics, and suggest that the motivations for embarking on that project can be satisfied in an interesting way without any general metaphysical stock-taking, by appeal to phenomenological and enactive accounts of perception.

Ketamine, a dissociative anesthetic commonly used by US physicians, has recently been shown to be a powerful anti-depressant and is also capable of eliciting transpersonal experiences that can be transformative. Although currently approved in the US only for use as an anesthetic, physicians there can legally prescribe it off-label to treat various psychological/ psychiatric problems and it has been used for these non-anesthetic purposes in Argentina, Iran, Mexico, Russia, and the UK, as well as in the US. The literature on (...) using ketamine psychotherapeutically is reviewed and two case studies using ketamine-enhanced psychotherapy for treating death anxiety in terminally-ill people are reported. The potential importance of beginning formal research on using KEP during end-of-life for those suffering death anxiety is emphasized. (shrink)

This 1990 collection explores one recurrent theme connecting philosophy and politics: the relation between the nature of man and the structure of society. It does so by concentrating on the topical issue of the market economy as an attempt to resolve the clash between individual autonomy and collective action. Beginning with a historical and personal recollection by Enoch Powell and a response by Robert Skidelsky, the volume then provides a forum for political theorists and philosophers to take issue on the (...) fundamental topics of markets and morals; liberal man; and equality and libertarianism. It succeeds equally as a stimulating textbook and a book for the general reader who wishes to understand the philosophical issues arising in a market economy. (shrink)

Written in debate format, this book covers developing fields such as social cognition, as well as classic areas such as memory, learning, perception and categorization. The links between emotion and memory, learning, perception, categorization, social judgements, and behavior are addressed.