Drawing on insights from causal theories of reference, teleosemantics, and state space semantics, a theory of naturalized mental representation. In A Mark of the Mental, Karen Neander considers the representational power of mental states—described by the cognitive scientist Zenon Pylyshyn as the “second hardest puzzle” of philosophy of mind. The puzzle at the heart of the book is sometimes called “the problem of mental content,” “Brentano's problem,” or “the problem of intentionality.” Its motivating mystery is (...) how neurobiological states can have semantic properties such as meaning or reference. Neander proposes a naturalistic account for sensory-perceptual representations. Neander draws on insights from state-space semantics, causal theories of reference, and teleosemantic theories. She proposes and defends an intuitive, theoretically well-motivated but highly controversial thesis: sensory-perceptual systems have the function to produce inner state changes that are the analogs of as well as caused by their referents. Neander shows that the three main elements—functions, causal-information relations, and relations of second-order similarity—complement rather than conflict with each other. After developing an argument for teleosemantics by examining the nature of explanation in the mind and brain sciences, she develops a theory of mental content and defends it against six main content-determinacy challenges to a naturalized semantics. (shrink)

In this paper, I want to show that the so-called intentionalist programme, according to which the qualitative aspects of the mental have to be brought back to its intentional features, is doomed to fail. For, pace Brentano, the property that constitutes the main part of such intentional features, i.e., intentionality, is not the mark of the mental, neither in the proper Brentanian sense, according to which intentionality is the both necessary and sufficient condition of the mental, (...) nor in its ‘watered down’ counterpart recently defended by Tim Crane, according to which intentionality is just the necessary condition of the mental. However, this does not mean that being mental is just a heterogenous category. For there may be another mark of the mental, i.e., consciousness, in the phenomenological sense of the property of being experienced. (shrink)

This is a short introduction to the puzzling -- even mysterious -- subject that there is a place for minds in a material world.

A Mark of the Mental, by NeanderKaren. Cambridge, MA: MIT Press, 2017. Pp. xv + 327.

‘It is of the very nature of consciousness to be intentional’ said Jean-Paul Sartre, ‘and a consciousness that ceases to be a consciousness of something would ipso facto cease to exist’.1 Sartre here endorses the central doctrine of Husserl’s phenomenology, itself inspired by a famous idea of Brentano’s: that intentionality, the mind’s ‘direction upon its objects’, is what is distinctive of mental phenomena. Brentano’s originality does not lie in pointing out the existence of intentionality, or in inventing the terminology, (...) which derives from scholastic discussions of concepts or intentiones.2 Rather, his originality consists in his claim that the concept of intentionality marks out the subject matter of psychology: the mental. His view was that intentionality ‘is characteristic exclusively of mental phenomena. No physical phenomenon manifests anything like it’.3 This is Brentano’s thesis that intentionality is the mark of the mental. Despite the centrality of the concept of intentionality in contemporary philosophy of mind, and despite the customary homage paid to Brentano as the one who revived the terminology and placed the concept at the centre of philosophy, Brentano’s thesis is widely rejected by contemporary philosophers of mind. What is more, its rejection is not something which is thought to require substantial philosophical argument. Rather, the falsity of the thesis is taken as a starting-point in many contemporary discussions of intentionality, something so obvious that it only needs to be stated to be recognised as true. Consider, for instance, these remarks from the opening pages of Searle’s Intentionality: Some, not all, mental states and events have Intentionality. Beliefs, fears, hopes and desires are Intentional; but there are forms of nervousness, elation and undirected anxiety that are not Intentional.... My beliefs and desires must always be about something. But my nervousness and undirected anxiety need not in that way be about anything.4 Searle takes this as obvious, so obvious that it is not in need of further argument or elucidation. (shrink)

This paper presents an original interpretation of the fourteenth-century debate over whether every volitio is a cognitio. This debate, I argue, was at its heart a debate about what constitutes the mark of occurrent mental states. Three participants in this debate – Adam Wodeham, Richard FitzRalph, and John of Ripa – articulated three distinct accounts of the mark of the mental. In doing so, they also developed several philosophical accounts of the intentionality of occurrent affective states.

While for Brentano it is a mark of the mental that any mental state is an object of inner awareness, this suggestion is notably rejected by the Higher-Order Thought Theory (HOTT) of consciousness that posits non-conscious inner awareness, which isn’t an object of inner awareness, and yet is mental. I examine an objection against the HOTT, according to which inner awareness is phenomenally present in ordinary consciousness. To assess the objection, I investigate arguments of Chalmers and (...) Montague in favor of this phenomenal presence. I argue that while these arguments may show that experience is not transparent, they crucially fail to demonstrate that ‘inner transparency’ must be false too, i.e. that inner awareness is phenomenally present. I conclude that non-conscious inner awareness is an open possibility and Brentano’s posit of inner awareness as a mark of the mental thus looks unpromising. (shrink)

Intentionality and phenomenal consciousness are the main candidates to provide a ‘ mark of the mental’. Rorty, who thinks the category ‘mental’ lacks any underlying unity, suggests a challenge to these positions: to explain how intentionality or phenomenal consciousness alone could generate a mental-physical contrast. I argue that a failure to meet Rorty’s challenge would present a serious indictment of the concept of mind, even though Rorty’s own position is untenable. I then argue that both intentionalism (...) and proposals such as Searle’s ‘Connection Principle’ fail to satisfy this explanatory burden. I conclude with the suggestion that only introspectibility may be able to unite intentional and phenomenal states whilst meeting Rorty’s challenge. (shrink)

[written in 2005/2006 while I was a graduate student at CUNY. This version was awarded The Southwestern Philosophical Society Presidential Prize for an outstanding paper by a graduate student or recent PhD and was subsequently published in Southwest Philosophy Review] The idea that there is something that it is like to have a thought is gaining acceptance in the philosophical community and has been argued for recently by several philosophers. Now, within this camp there is a debate about which component (...) of the, say, the belief, is qualitative? Is the qualitative component part of the content of the belief, or part of the mental attitude that we take towards the content? Some argue that the qualitative character is had by the content of the thought; others argue that it belongs to the attitude type itself. I examine the two answers and argue that the quality of thought is best understood as taking a qualitative mental attitude towards some representational content. Each propositional attitude is distinguished by a unique quality and it is having that quality with respect to the content that makes it a belief, fear (etc.) that p. (shrink)

The mental realm seems different to the physical realm; the mental is thought to be dependent on, yet distinct from the physical. But how, exactly, are the two realms supposed to be different, and what, exactly, creates the seemingly insurmountable juxtaposition between the mental and the physical? This review identifies and discusses five marks of the mental, features that set characteristically mental phenomena apart from the characteristically physical phenomena. These five marks (intentionality, consciousness, free will, (...) teleology, and normativity) are not presented as a set of features that define mentality. Rather, each of them is something we seem to associate with phenomena we consider mental, and each of them seems to be in tension with the physical view of reality in its own particular way. It is thus suggested how there is no single mind-body problem, but a set of distinct but interconnected problems. Each of these separate problems is analyzed, and their differences, similarities and connections are identified. This provides a useful basis for future theoretical work on psychology and philosophy of mind, that until now has too often suffered from unclarities, inadequacies, and conflations. (shrink)

Karen Neander's A Mark of the Mental is a noteworthy and novel contribution to the long-running project of naturalizing intentionality. The aim of the book is to “solve the part of Brentano’s problem that is within reach” (3). Brentano's problem is the problem of explaining intentionality; the part of this problem that is supposedly within reach is that of explaining nonconceptual sensory-perceptual intentionality; and Neander aims to solve it via an informational teleosemantic theory. In this review, we provide (...) a chapter-by-chapter summary followed by some discussion. We argue that Neander's theory yields incorrect predictions in some cases, that the methodological argument for informational teleosemantics does not succeed, and that it is not clear that the book makes contact with its initial target, the everyday phenomenon of intentionality. (shrink)

Volume 97, Issue 3, September 2019, Page 628-631.

In “Incorrigibility as the Mark of the Mental,” Richard Rorty argues that although there is no characteristic that marks off everything that is mental, the contents of the stream of consciousness may be considered as that which is paradigmatically mental, and they are distinguished by the fact that sincere first-person reports about them are currently treated as incorrigible. He adds that “beliefs, desires, moods, emotions, intentions, etc.“ are also taken to be mental because reports about (...) them are almost incorrigible. (shrink)

Starting from the discussion on the original set of criteria advanced by Clark and Chalmers (1998) meant to avoid the overextension of the mind, or the so-called “cognitive bloat”, we will sketch our solution to the problem of criteria evaluation, by connecting it to the search for a mark of the mental. Our proposal is to argue for a “weak conscientialist” mark of the mental based on transparent access, which vindicates the role of consciousness in defining (...) what is mental without, however, identifying the mental with the conscious. This renovated link between mind and consciousness, spelled out through the concept of transparency, further develops some of our previous work on the topic (Di Francesco 2007; Di Francesco and Piredda 2012) and is partially inspired by Horgan and Kriegel (2008). (shrink)

Brentano’s suggestion that intentionality is the mark of the mental is typically spelled out in terms of the thesis that all and only mental states are intentional. An influential objection is that intentionality is not necessary for mentality. What about the idea that only mental states are intentional? In his 2008 paper published in Analysis, Nes shows that on a popular characterization of intentionality, notably defended by Crane, some non-mental states come out as intentional. Crane (...) replies that the concept of representation solves the problem. In this paper, I argue that no representational account of intentionality meets Nes’s challenge. After distinguishing between two notions of representation, I contend that there are two versions of Crane’s representational account, but neither of them is able to solve the problem posed by Nes. (shrink)

Perhaps the philosophical thesis most commonly associated with Brentano is that intentionality is the mark of the mental. But in fact Brentano often and centrally uses also what he calls ‘inner perception’ to demarcate the mental. In this paper, I offer a new interpretation of Brentano’s conception of the interrelations between mentality, intentionality, and inner perception. According to this interpretation, Brentano took the concept of mind to be a natural-kind concept, with intentionality constituting the underlying nature of (...) the mental and inner-perceivability serving as the concept’s reference-fixer. (shrink)

In this paper I argue against the view, defended by some philosophers, that it is part of the meaning of mental that being mental is incompatible with being physical. I call this outlook metalinguistic dualism, and I distinguish it from metaphysical theories of the mind-body relation such as Cartesian dualism. I argue that MLD is mistaken, but I don't try to defend the contrary view that mentalistic terms can be definitionally reduced to nonmental ones. After criticizing arguments by (...) certain philosophers which purport to establish MLD, I formulate a criterion for a phenomenon's being mental. I then show that this criterion is neutral between monistic and dualistic theories of the mind-body relation. Since if MLD were true it should be impossible to construct such a criterion, I conclude that it is false. The significance of my paper is that if I am right then I remove one important type of objection to aposteriori, noneliminative forms of the identity theory of mind, namely that such theories ought to be rejected merely on the basis of semantical considerations about the word mental. Beyond that, I believe that my criterion of mental phenomena correctly captures our intuitions about the nature of the distinction between mental and nonmental phenomena. (shrink)

In this paper I argue that an adequate and coherent account of Descartes’ concepts of mental representation, ideas, clarity and distinctness, obscurity and confusion, and material falsity requires that one takes Descartes seriously whenever he makes a distinction between what an idea appears to represent and what it actually represents, and that one understands an idea’s representing a thing in terms of the objective existence in the mind of the essence of that thing. The paper also contains a logical (...) articulation of most of these views, in a manner which shows overall coherence. (shrink)

This paper is an explanation of how the intentionality of perception is due to specific associations of sensations. It describes the intentionality of the mental and the problem that intentionality poses for accounts of the mind. The concept of "direction of fit" or "fulfillment of the act" is central to this description. An amalgamation of various recent interpretations of intentionality into a unified theory is presented along with an account of why even such a unified theory fails to account (...) for direction of fit. The direction of fit of perceptual intentionality is then elucidated as a function of patterns of association of sensations. Objections to this associational manner of conceiving of intentionality are responded to and evidence in support of the overall conception is provided. The paper concludes with a brief explanation of how this characterization of direction of fit applies to other domains of mental activity that exhibit intentionality. (shrink)

Brentano held that every mental phenomenon has an object and is conscious (the dual relation thesis). The dual relation thesis faces a number of well-known problems. The paper explores how Brentano tried to overcome these problems. In considering Brentano's responses, the paper sheds light on Brentano's theory of judgement that underpins his philosophy of mind.

summaryMartin and Pfeifer have claimed“that the most typical characterizations of intentionality… all fail to distinguish … mental states from …dispositional physical states.”The evidence they present in support of this thesis is examined in the light of the possibility that what it shows is that intentionality is the mark, not of the mental, but of the dispositional. Of the five marks of intentionality they discuss a critical examination shows that three of them, Brentano's inexistence of the intentional object, (...) Searle's directedness and Anscombe's indeterminacy, are features which distinguish T‐inten Tional/dispositional The other two are either, as in the case of Chisholm's permissible falsity of a propositional attitude ascription, a feature of linguistic utterances too restricted in its scope to be of interest, or, as in the case of Frege's indirect reference/Quine's referential opacity, evidence that the S‐intenSional locution is a quotation either of what someone has said in the past or might be expected to say, if the question were to arise at some time in the future. (shrink)

There is a new way of thinking about the mind that does not locate mental processes exclusively "in the head." Some think that this expanded conception of the mind will be the basis of a new science of the mind. In this book, leading philosopher Mark Rowlands investigates the conceptual foundations of this new science of the mind. The new way of thinking about the mind emphasizes the ways in which mental processes are embodied, embedded, enacted, and (...) extended. The new way of thinking about the mind, Rowlands writes, is actually an old way of thinking that has taken on new form. Rowlands describes a conception of mind that had its clearest expression in phenomenology -- in the work of Husserl, Heidegger, Sartre, and Merleau-Ponty. He builds on these views, clarifies and renders consistent the ideas of embodied, embedded, enacted, and extended mind, and develops a unified philosophical treatment of the novel conception of the mind that underlies the new science of the mind. (shrink)

Conceptual integration—“blending”—is a general cognitive operation on a par with analogy, recursion, mental modeling, conceptual categorization, and framing. It serves a variety of cognitive purposes. It is dynamic, supple, and active in the moment of thinking. It yields products that frequently become entrenched in conceptual structure and grammar, and it often performs new work on its previously entrenched products as inputs. Blending is easy to detect in spectacular cases but it is for the most part a routine, workaday process (...) that escapes detection except on technical analysis. It is not reserved for special purposes, and is not costly.In blending, structure from input mental spaces is projected to a separate, “blended” mental space. The projection is selective. Through completion and elaboration, the blend develops structure not provided by the inputs. Inferences, arguments, and ideas developed in the blend can have effect in cognition, leading us to modify the initial inputs and to change our view of the corresponding situations.Blending operates according to a set of uniform structural and dynamic principles. It additionally observes a set of optimality principles. (shrink)

Mark Textor presents a critical study of the work of Franz Brentano, one of the most important thinkers of the nineteenth century. His work has influenced analytic philosophers like Russell as well as phenomenologists like Husserl and Sartre, and continues to shape debates in the philosophy of mind. Brentano made intentionality a central topic in the philosophy of mind by proposing that 'directedness' is the distinctive feature of the mental. The first part of the book investigates Brentano's intentionalism (...) as well as attempts to improve or develop it. Textor argues that there is no plausible version of this doctrine, and rejects it in favour of a mark of the mental proposed by Brentano's student Husserl: mental phenomena have no appearances. The second part of the book develops and defends Brentano's view about the structure of perceptual awareness. Awareness of a mental activity and this mental activity are not distinct mental acts, the first representing the second. They are one and the same activity that has several objects. Textor shows that Brentano held that intentionality is plural - directedness is directedness on some objects - and shows how the plural conception solves thorny problems. The third part of the book is devoted to Brentano's view of pleasure and pain. Textor draws out parallels between enjoying an activity and awareness of it and argues that enjoying an activity and the activity enjoyed are not distinct. The final part of the book extends the plural view to the conscious mental life of a thinker at a time (the unity of synchronic consciousness): it is one mental act with many objects. (shrink)

The interface between mental health services and the criminal justice system presents challenges both for professionals and patients. Both systems are stressed and inherently complex. Section 136 of the Mental Health Act is unusual being both an aspect of the Mental Health Act and a power of arrest. It has a long and controversial history related to concerns about who has been detained and how the section was applied. More recently, Section 136 has had a public profile (...) stemming from the use of police cells as places of safety for young, mentally disturbed individuals. This paper explores the current state of health of this piece of legislation. Specifically, we consider whether alternative approaches are more suitable for those individuals in crisis and/or distress who come into contact with the police. This requires careful thought as to the proper role of both health and criminal justice professionals who are daily grappling with an ethically contentious domain of multiagency work. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:"A Mark ofthe Growing Mind is Veneration of Objects" (Ludwig Wittgenstein) Fay Horton Sawyier Introduction In book 1 of the Treatise,1 Hume directs his attention to two sets of concepts; one of these sets is what I think of as the "basic epistemological set" and the other as the "basic metaphysical or ontological set." Except for the idea of personal identity, the First Inquiry2 addresses the same arrays (...) of concerns. Within the "epistemological set" we find discussions ofknowledge, belief, origin of ideas, etc.; within the "metaphysical set"are seen space, time, identity, cause and effect, uniformity ofnature, external objects and so on.3 For the first (epistemological) set, Hume constructs a mode of analysis which depends crucially on the provenance of an idea or concept. Thatis, asit does forarthistorians today, authenticityortruth depends on how the thingin question came intoyour possession. Hume announces not only that every simple idea depends on and comes from its simple impression, but that the full understandingofa complexidea requires first factoring it into its simple components and then tracing them back to their impressions. Understanding is, so to speak, like displaying the family tree. It turns out that all of the members of the "metaphysical" set have dubious parentage. Even if one grants the accuracy and adequacy of Hume's factoring, we are left facing his demonstrations that for each metaphysical concept there are at least some elements with no clear ancestry from single impressions. In this wayHume directs our attention tohis questforhow suchideas(or such elements withinideas) are ever come by. Why do we attribute identity? Howcanwe assume thereisanecessary connection and apower? What can possibly bring us to imagine, even, that anything can be independent ofour perceptions? And so on. All ofthis is not only at the heart ofthe Humean enterprise inbook 1 ofthe Treatise ami theFirstInquiry butis well-known to anyone even modestly familiar with Hume's writings. The result of his powerful analyses is that these mysterious, illegitimate elements in the metaphysical concepts are generated within subjects exposed to repeated instances of, for example, pairings in time or place, similar sightings after temporal lapses and so on. The processes by which we Volume XVIII Number 2 315 FAY HORTON SAWYIER construct our categories as well as the elements out ofwhich we make them areimportantandin these cases were shown tobe developmental or time-dependent.4 Furthermore, since these processes and these resultant conceptshavebeen shown tohave been generated by us, they are uniquely quaUfied to demonstrate the nature of human nature, which was, after all, the subject ofthe Treatise? Having reminded ourselves ofthese extremely general features of Hume's exposition, I want now to isolate and to highlight some particular and peculiar features. 1.The subject upon whose mind or sensibilities paired and repeated events are presumed to impinge and by whose consequent conditioning these otherwise inexplicable concepts can be understood is always an adult male.6 2.The presentingsituation which is presumed to arise and repeatfor this adult male is always hypothetical and never observed. 3.Thisman'sconstructionofanyoneofthese concepts (like necessary connection) is always as his solution to a logical problem, his way-out ofa mental awkwardness or unease. 4.These adult male concept generators and logical problem solvers neverseem to doanything but sitstill and look around themselves.7 The fundamental character ofmy inquiry can be understood as a search for the (presumably deleterious) consequences of the four particular features noted above. Since the lives and experiences of young children are neglected and since acquisition of the basic metaphysical set is always initiated in early childhood, one may well hypothesize that Hume's results will be damaged or skewed. Intuitively, this would seem to be an obvious inference, but proof is needed that in some cases Hume did indeed misconstrue certain basic concepts and that the central factor in his shortfall was his neglect of the child's experience of concept development and acquisition. By contrast, his contemporary, Thomas Reid, remarked, "Could we obtain a distinct and full history of all that hath passed in the mind ofa child from thebeginning ofUfe and sensation, till it grows to the use ofreason... this would be a treasury of natural history, which would probably give... (shrink)

The ability to engage in reflexive thought—in thought about thought or about other mental states more generally—is regarded as a complex intellectual achievement that is beyond the capacities of most nonhuman animals. To the extent that reflexive thought capacities are believed necessary for the possession of many other psychological states or capacities, including consciousness, belief, emotion, and empathy, the inability of animals to engage in reflexive thought calls into question their other psychological abilities. This chapter attacks the idea that (...) reflexive thought is required in this pervasive way and holds that supposing that it is derives from a tendency among philosophers and scientists toward overcomplication. Against this tendency, it recommends an aponoian framework, from apó, “away from” and noûs, “intelligence” or “thought,” arguing that seemingly complex psychological abilities are often not as complex as they seem, and do not require the ability to engage in reflexive thought. (shrink)

In light of concerns about adolescent mental health, there is a need to identify and examine potential pathways to wellbeing in their daily lives. Outdoor environments can offer multiple pathways to wellbeing through opportunities for restoration, physical activity and socialising. However, urbanisation and new lifestyles revolving around the home and the internet are changing young people’s access, use and relationship to the outdoor environment. The authors point out how the research related to adolescents’ outdoor environments is generally not treated (...) with the same level of importance or as comprehensively as that for younger children. The aim of this paper is to pave the way for research and planning initiatives on everyday outdoor environments promoting the wellbeing of adolescents and the authors suggest ways in which perspectives from developmental psychology might inform the study of adolescents’ outdoor environments. The paper concludes by calling for an elevated focus on the role of outdoor environments in adolescents’ everyday lives as a source of wellbeing and more research that makes clear the specific attributes, activities and experiences related to places outdoors which make adolescents feel good. (shrink)

Expressivism - the sophisticated contemporary incarnation of the noncognitivist research program of Ayer, Stevenson, and Hare - is no longer the province of metaethicists alone. Its comprehensive view about the nature of both normative language and normative thought has also recently been applied to many topics elsewhere in philosophy - including logic, probability, mental and linguistic content, knowledge, epistemic modals, belief, the a priori, and even quantifiers. Yet the semantic commitments of expressivism are still poorly understood and have not (...) been very far developed. As argued within, expressivists have not yet even managed to solve the "negation problem" - to explain why atomic normative sentences are inconsistent with their negations. As a result, it is far from clear that expressivism even could be true, let alone whether it is. Being For seeks to evaluate the semantic commitments of expressivism, by showing how an expressivist semantics would work, what it can do, and what kind of assumptions would be required, in order for it to do it. Building on a highly general understanding of the basic ideas of expressivism, it argues that expressivists can solve the negation problem - but only in one kind of way. It shows how this insight paves the way for an explanatorily powerful, constructive expressivist semantics, which solves many of what have been taken to be the deepest problems for expressivism. But it also argues that no account with these advantages can be generalized to deal with constructions like tense, modals, or binary quantifiers. Expressivism, the book argues, is coherent and interesting, but false. (shrink)

A comprehensive collection of the writings of Mark Fisher (1968-2017), whose work defined critical writing for a generation. This comprehensive collection brings together the work of acclaimed blogger, writer, political activist and lecturer Mark Fisher (aka k-punk). Covering the period 2004 - 2016, the collection will include some of the best writings from his seminal blog k-punk; a selection of his brilliantly insightful film, television and music reviews; his key writings on politics, activism, precarity, hauntology, mental health (...) and popular modernism for numerous websites and magazines; his final unfinished introduction to his planned work on "Acid Communism"; and a number of important interviews from the last decade. Edited by Darren Ambrose and with a foreword by Simon Reynolds. (shrink)

A comprehensive collection of the writings of Mark Fisher (1968-2017), whose work defined critical writing for a generation. This comprehensive collection brings together the work of acclaimed blogger, writer, political activist and lecturer Mark Fisher (aka k-punk). Covering the period 2004 - 2016, the collection will include some of the best writings from his seminal blog k-punk; a selection of his brilliantly insightful film, television and music reviews; his key writings on politics, activism, precarity, hauntology, mental health (...) and popular modernism for numerous websites and magazines; his final unfinished introduction to his planned work on "Acid Communism"; and a number of important interviews from the last decade. Edited by Darren Ambrose and with a foreword by Simon Reynolds. (shrink)

ObjectiveTo examine health and social care professionals’ understanding of the legislation governing research involving adults lacking mental capacity in England and Wales.MethodsA cross-sectional online survey was conducted using a series of vignettes. Participants were asked to select the legally authorised decision-maker in each scenario and provide supporting reasons. Responses were compared with existing legal frameworks and analysed according to their level of concordance.ResultsOne hundred and twenty-seven professionals participated. Levels of discordance between responses and the legal frameworks were high across (...) all five scenarios. Nearly half of the participants provided responses that were discordant in all scenarios. Only two participants provided concordant responses across all five scenarios.DiscussionParticipants demonstrated a lack of knowledge about the legal frameworks, the locus of authority and the legal basis for decision-making. The findings raise concern about the accessibility of research for those who lack capacity, the ability to conduct research involving such groups and the impact on the evidence base for their care.ConclusionThis is the first study to examine health and social care professionals’ knowledge and understanding of the dual legal frameworks in the UK. Health and social care professionals’ understanding and attitudes towards research involving adults with incapacity may warrant further in-depth exploration. The findings from this survey suggest that greater training and education is required. (shrink)

Medicalization was the theme of the 29th European Conference on Philosophy of Medicine and Health Care that included a panel session on the DSM and mental health. Philosophical critiques of the medical model in psychiatry suffer from endemic assumptions that fail to acknowledge the real world challenges of psychiatric nosology. The descriptive model of classification of the DSM 3-5 serves a valid purpose in the absence of known etiologies for the majority of psychiatric conditions. However, a consequence of the (...) “atheoretical” approach of the DSM is rampant epistemological confusion, a shortcoming that can be ameliorated by importing perspectives from the work of Jaspers and McHugh. Finally, contemporary psychiatry’s over-reliance on neuroscience and pharmacotherapy has led to a reductionist agenda that is antagonistic to the inherently pluralistic nature of psychiatry. As a result, the field has suffered a loss of knowledge that may be difficult to recover. (shrink)

Hobbes emphasized that the state of nature is a state of war because it is characterized by fundamental and generalized distrust. Exiting the state of nature and the conflicts it inevitably fosters is therefore a matter of establishing trust. Extant discussions of trust in the philosophical literature, however, focus either on isolated dyads of trusting individuals or trust in large, faceless institutions. In this paper, I begin to fill the gap between these extremes by analyzing what I call the topology (...) of communities of trust. Such communities are best understood in terms of interlocking dyadic relationships that approximate the ideal of being symmetric, Euclidean, reflexive, and transitive. Few communities of trust live up to this demanding ideal, and those that do tend to be small (between three and fifteen individuals). Nevertheless, such communities of trust serve as the conditions for the possibility of various important prudential epistemic, cultural, and mental health goods. However, communities of trust also make possible various problematic phenomena. They can become insular and walled-off from the surrounding community, leading to distrust of out-groups. And they can lead their members to abandon public goods for tribal or parochial goods. These drawbacks of communities of trust arise from some of the same mecha-nisms that give them positive prudential, epistemic, cultural, and mental health value – and so can at most be mitigated, not eliminated. (shrink)

A revelatory new theory of consciousness that returns emotions to the center of mental life. For Mark Solms, one of the boldest thinkers in contemporary neuroscience, discovering how consciousness comes about has been a lifetime's quest. Scientists consider it the "hard problem" because it seems an impossible task to understand why we feel a subjective sense of self and how it arises in the brain. Venturing into the elementary physics of life, Solms has now arrived at an astonishing (...) answer. In The Hidden Spring, he brings forward his discovery in accessible language and graspable analogies. Solms is a frank and fearless guide on an extraordinary voyage from the dawn of neuropsychology and psychoanalysis to the cutting edge of contemporary neuroscience, adhering to the medically provable. But he goes beyond other neuroscientists by paying close attention to the subjective experiences of hundreds of neurological patients, many of whom he treated, whose uncanny conversations expose much about the brain's obscure reaches. Most importantly, you will be able to recognize the workings of your own mind for what they really are, including every stray thought, pulse of emotion, and shift of attention. The Hidden Spring will profoundly alter your understanding of your own subjective experience. (shrink)