In the discussion of the responsibilities of society to the HIV infected and uninfected, a serious question seems to have been left out of the picture: To what extent are people who are not infected, have no special relationship to the infected and have no professional responsibilities for the care of AIDS patients under an obligation to come to the aid of people with the HIV? In this paper, I shall examine our responsibilities, as members of society, for the welfare (...) of others to whom we may or may not have a special relationship. I shall argue that those responsibilities flow from the conditions that structure our transactions with others; conditions that make such transactions possible. (shrink)

Psychoanalysis is often divided into two parts: the clinical theory and the metapsychology. Recent historical and philosophical work has led some psychoanalysts to argue that the metapsychology is a cryptic biology and not a psychological theory at all. Evidence for this view is largely that metapsychological concepts can be traced to Freud's "Project for a Scientific Psychology", in which he seems to argue that systems of neurons perform both psychological and neuro-physiological functions. The conclusion these writers have drawn is that (...) Freud's metapsychology represents an attempt to unify two putatively incommensurable conceptual frameworks: the psychological and the physiological. ;In the first chapter I review the dispute between Wernicke and Freud on the issue of aphasia and place it in the context of 19th century psychological explanatory traditions. One of these traditions, developed by Franz Joseph Gall, predominates in Wernicke's work. The other tradition, associationism as developed by John Stuart Mill and Alexander Bain, predominates in Freud's critique of Wernicke. I suggest that Wernicke's cerebral localization strategy amounts to a type-type identity theory, and that Freud presented both empirical and conceptual reasons for rejecting this commitment. ;In the second chapter I explicate Freud's "Project" and chapter VII of The Interpretation of Dreams. In the latter, I argue, Freud develops a version of functionalism. His break with his neurological background is exemplified by his insistence that psychology is autonomous. ;In the third chapter I evaluate critically the arguments presented by Merton Gill, George Klein, and Roy Schaffer that purport to show Freud's metapsychology is not a psychology at all, but a neuro-biology. Against this view I suggest that Freud describes mental structures that serve various design functions. These structures, attributed to persons by the metapsychology of infantile wishes and regression, are cognitively impenetiable. The notion that the design or functional architecture of a system is cognitively impenetiable is used to account for the protracted nature, perhaps interminability, of psychoanalytic therapy. Freud's therapeutic pessimism has its roots in theory rather than therapeutic failure. (shrink)