The profound changes in personality, mood, and other features of the self that neural interventions can induce can be disconcerting to patients, their families, and caregivers. In the neuroethical debate, these concerns are often addressed in the context of possible threats to the narrative self. In this paper, I argue that it is necessary to consider a dimension of impacts on the narrative self which has so far been neglected: neural interventions can lead to a loss of meaning of actions, (...) feelings, beliefs, and other intentional elements of our self-narratives. To uphold the coherence of the self-narrative, the changes induced by neural interventions need to be accounted for through explanations in intentional or biochemical terms. However, only an explanation including intentional states delivers the content to directly ascribe personal meaning, i.e., subjective value to events. Neural interventions can deprive events of meaning because they may favor a predominantly biochemical account. A loss of meaning is not inherently negative but it can be problematic, particularly if events are affected one was not prepared or willing to have stripped of meaning. The paper further examines what it is about neural interventions that impacts meaning by analyzing different methods. To which degree the pull towards a biochemical view occurs depends on the characteristics of the neural intervention. By comparing Deep Brain Stimulation, Prozac, Ritalin, psychedelics, and psychotherapy, the paper identifies some main factors: the rate of change, the transparency of the causal chain, the involvement of the patient, and the presence of an acute phenomenological experience. (shrink)

An accessible yet rigorous introduction to the influential French philosopher Gilbert Simondon's philosophy of individuation. Gilbert Simondon, one of the most influential contemporary French philosophers, published only three works: L'individu et sa genèse physico-biologique and L'individuation psychique et collective, both drawn from his doctoral thesis, and Du mode d'existence des objets techniques. It is this last work that brought Simondon into the public eye; as a consequence, he has been considered a “thinker of technics” and cited often in pedagogical reports (...) on teaching technology. Yet Simondon was a philosopher whose ambitions lay in an in-depth renewal of ontology as a process of individuation—that is, how individuals come into being, persist, and transform. In this accessible yet rigorous introduction to Simondon's work, Muriel Combes helps to bridge the gap between Simondon's account of technics and his philosophy of individuation. Some thinkers have found inspiration in Simondon's philosophy of individuation, notably Gilles Deleuze and Félix Guattari. Combes's account, first published in French in 1999, is one of the only studies of Simondon to appear in English. Combes breaks new ground, exploring an ethics and politics adequate to Simondon's hypothesis of preindividual being, considering through the lens of transindividual philosophy what form a nonservile relation to technology might take today. Her book is essential reading for anyone who wants to understand Simondon's work. (shrink)

Le récit du siège et de la prise d'Amid, place-forte de Mésopotamie, en 502, constitue un exemple intéressant de la manière dont se transmet un récit historique de la tradition grecque au domaine syriaque et au-delà. Présent dans l'historiographie grecque (Évagre, Procope, Malalas, Théophane) comme un épisode de la brève période d'affrontement entre Perses et Romains dans les années 502–507, ce récit connaît un succès particulier dans les textes syriaques où il passe du domaine de l'histoire à celui de la (...) légende. Cet épisode apparaît dans l'Histoire d'Édesse de 506 du pseudo-Josué, dans l'Histoire ecclésiastique du pseudo-Zacharie et dans toutes les chronographies importantes: celle de Zuqnin, du pseudo-Denys, dans celle d'Édesse de 1234 et dans celle de Michel le Syrien. Il est par ailleurs mentionné dans toutes les petites chroniques, qui indiquent la date, la durée, le nombre de victimes du siège. La similitude entre la version de Procope et celle du pseudo-Zacharie a déjà été relevée mais n'a jamais fait l'objet d'une enquête qui permette d'élucider les liens qui les unissent et d'établir par quelle voie ce texte est passé du grec au syriaque où il a été retravaillé pour répondre à des besoins apologétiques. La chute de la ville aux mains des Perses est en effet présentée à partir de l'Histoire ecclésiastique du pseudo-Zacharie comme une punition pour les chrétiens infidèles, livrés au roi perse Kavadh à qui le Christ serait apparu et aurait donné la victoire. Le récit est dès lors utilisé pour exhorter les communautés chrétiennes à persévérer dans la foi « orthodoxe ». Cette version du siège est ensuite traduite de manière inattendue en arabe puis en géorgien, dans ce qui semble être le reste d'une chronique. (shrink)

The potential of memory modification techniques (MMTs) has raised concerns and sparked a debate in neuroethics, particularly in the context of identity and authenticity. This paper addresses the question whether and how MMTs influence authenticity. I proceed by drawing two distinctions within the received views on authenticity. From this, I conclude that an analysis of MMTs based on a dual-basis, process view of authenticity is warranted, which implies that the influence of MMTs on authenticity crucially depends on the specifics of (...) how memory modification would eventually work. Therefore, I continue with a systematic analysis of possible properties of MMTs in which I distinguish between the dimensions of memories and the kinds of experiences that can be modified as well as the properties of the process of memory modification. The impact of MMTs on authenticity is analyzed regarding the possible properties of MMTs and based on a narrative approach to authenticity which fulfills the requirements of a dual-basis, process view of authenticity. Lastly, I explore the potential of MMTs to shift the balance between self-discovery and self-creation within authenticity and thereby alter the concept itself as well as the value of authenticity. (shrink)

This is a new kind of anthology. More conversation than collection, it locates the psychic and the social in clinical moments illuminating the analyst's struggle to grasp a patient's internal life as voiced through individual political, social, and material contexts. Each chapter is a single detailed case vignette in which aspects of race, gender, sexual orientation, heritage, ethnicity, class – elements of the sociopolitical matrix of culture – are brought to the fore in the transference-countertransference dimension, demonstrating how they affect (...) the analytic encounter. Additionally, discussions by three senior analysts further deconstruct patients' and analysts' cultural embeddedness as illustrated in each chapter. For the practicing clinician as well as the seasoned academic, this highly readable and intellectually compelling book clearly demonstrates that culture saturates subjective experience – something that all mental health professionals should keep in mind. (shrink)

Marx the Humanist presents Marx’s writings in a different light. Instead of malicious demagnification, which makes him responsible for everything done in his name after his death, it is recognised that he was not a prophet and could not have foreseen the changes that have occurred since then. His early writings reflect his humanism, and represent his long-term revolutionary appeal. Although the focus is on Marx’s humanism, the first two parts initiate the reader and provide an introduction to basic Marxist (...) ideas, both philosophical and economic. This provides the context for his condemnation of the dehumanising impact of capitalism on workers through exploitation. (shrink)

Novel technological devices, applications, and algorithms can provide us with a vast amount of personal information about ourselves. Given that we have ethical and practical reasons to pursue self-knowledge, should we use technology to increase our self-knowledge? And which ethical issues arise from the pursuit of technologically sourced self-knowledge? In this paper, I explore these questions in relation to bioinformation technologies (health and activity trackers, DTC genetic testing, and DTC neurotechnologies) and algorithmic profiling used for recommender systems, targeted advertising, and (...) technologically supported decision-making. First, I distinguish between impersonal, critical, and relational self-knowledge. Relational self-knowledge is a so far neglected dimension of self-knowledge which is introduced in this paper. Next, I investigate the contribution of these technologies to the three types of self-knowledge and uncover the connected ethical concerns. Technology can provide a lot of impersonal self-knowledge, but we should focus on the quality of the information which tends to be particularly insufficient for marginalized groups. In terms of critical self-knowledge, the nature of technologically sourced personal information typically impedes critical engagement. The value of relational self-knowledge speaks in favour of transparency of information technology, notably for algorithms that are involved in decision-making about individuals. Moreover, bioinformation technologies and digital profiling shape the concepts and norms that define us. We should ensure they not only serve commercial interests but our identity and self-knowledge interests. (shrink)

With the passage by virtually every state legislature of healthcare proxy laws, the medical profession increasingly can expect to rely on the participation of surrogates in making decisions on behalf of incompetent patients. Several concerns about the legitimacy of proxy decision making have been discussed in the ethical and general medical literature: the lack of concordance between the views of patients and their surrogates have been documented on multiple occasions, and cases of abuse by proxies or potential conflict of interest (...) have been reported. Another dilemma that deserves discussion arises when proxies demand withdrawal of treatment that physicians and nurses regard as essential to the wellbeing of the patient. The following case highlights this dilemma. (shrink)

An historical review of authorship definitions and publication practices that are embedded in directions to authors and in the codes of ethics in the fields of psychology, sociology, and education illuminates reasonable agreement and consistency across the fields with regard to (a) originality of the work submitted, (b) data sharing, (c) human participants’ protection, and (d) conflict of interest disclosure. However, the role of the professional association in addressing violations of research or publication practices varies among these fields. Psychology and (...) sociology provide active oversight with sanction authority. In education, the association assumes a more limited role: to develop and communicate standards to evoke voluntary compliance. With respect to authorship credit, each association’s standards focus on criteria for inclusion as an author, other than on the author’s ability to defend and willingness to take responsibility for the entire work. Discussions across a broad range of research disciplines beyond the social sciences would likely be beneficial. Whether improved standards will reduce either misattribution or perceptions of inappropriate attribution of credit within social science disciplines will likely depend on how well authorship issues are addressed in responsible conduct of research education (RCR), in research practice, and in each association’s ongoing efforts to influence normative practice by specifying and clarifying best practices. (shrink)

This paper presents a functional genealogy of essentialist authenticity. The essentialist account maintains that authenticity is the result of discovering and realizing one’s ‘true self’. The genealogy shows that essentialist authenticity can serve the function of supporting continuity in one’s individual characteristics. A genealogy of essentialist authenticity is not only methodologically interesting as the first functional genealogy of a contingent concept. It can also deepen the functional understanding of authenticity used in neuroethics, provide a possible explanation for the prevalence of (...) the idea of an essentialist true self and justify the use of the ideal of authenticity. First, essentialist authenticity is defined and explained through the work of Jean-Jacques Rousseau. Second, a general need to have steady characteristics is derived from basic human practices. Third, circumstances that make it more challenging to steady oneself are identified and shown to have become more prevalent in the age of modernity when the ideal of authenticity emerged. Finally, it is shown how essentialist authenticity helps to steady the self. (shrink)

Dans le cadre de la collecte des corpus oraux et multimodaux en Sciences Humaines et Sociales (SHS), le respect de l’application du nouveau Règlement Général sur la Protection des Données à caractère personnel provoque un profond bouleversement dans l’organisation et les méthodes de travail des chercheurs. C’est aussi le cas de la Loi Jardé, relative aux recherches impliquant la personne humaine, qui a étendu la notion de protection des personnes au-delà du champ de la recherche biomédicale. Ces deux importants changements (...) de cadre législatif obligent aujourd’hui la communauté scientifique à s’interroger à la fois sur la protection de la personne et sur la protection des données à caractère personnel.En définitive, avant d’initier un travail de recherche, un important travail de réflexion et d’actions est à mettre en place pour collecter des données dans le respect de la réglementation de protection des données et du cadre législatif de protection de la personne humaine. Identifier les difficultés pour envisager les solutions les plus adaptées est la mission que s’est fixée le groupe de réflexion constitué autour de la question « éthique » au Laboratoire Parole et Langage (LPL 2020). Nous proposerons dans cet article les réflexions argumentées de notre groupe sur l’impact de ces nouvelles réglementations sur les recherches en linguistique. (shrink)

Par la publication de ces Lettres d’un inverti allemand, Philippe Artières poursuit l’entreprise amorcée avec le Livre des vies coupables (2000) :en éditant ces « archives mineures » il nous invite à une plongée dans l’infâme ordinaire et donne, surtout, la parole aux « grands absents » de l’histoire, « les invertis du xixe siècle », qui partagent en cela le destin de bien des femmes, longtemps absentes du discours historique, quoi qu’ils aient, comme elles, laissé de nombreuses traces. Les (...) l... (shrink)

La question à laquelle ce livre veut répondre sonne comme un avis de recherche : « Entre sexe et genre, où est le corps? ». Et la réponse que lui apportent les sept auteurs dont les contributions sont publiées est à l’image des concepts mis en avant : plurielle, souvent complexe, forcément passionnante. Publié à la suite d’une journée d’étude organisée à l’initiative du CEDREF, dans le prolongement du séminaire « Genre et science » organisé entre 2000 et 2003, l’ouvrage (...) se place résolument s... (shrink)

Can associative learning take place without awareness? We explore this issue in a sequence learning paradigm with amnesic and control participants, who were simply asked to react to one of four possible stimuli on each trial. Unknown to them, successive stimuli occurred in a sequence. We manipulated the extent to which stimuli followed the sequence in a deterministic manner (noiseless condition) or only probabilistically so (noisy condition). Through this paradigm, we aimed at addressing two central issues: first, we asked whether (...) sequence learning takes place in either condition with amnesic patients. Second, we asked whether this learning takes place without awareness. To answer this second question, participants were asked to perform a subsequent sequence generation task under inclusion and exclusion conditions, as well as a recognition task. Reaction times results show that amnesic patients learned the sequence only in the deterministic condition. However, they failed to be able to reproduce the sequence in the generation task. In contrast, we found learning for both sequence structures in control participants, but only control participants exposed to a deterministic sequence were successful in performing the generation task, thus suggesting that the acquired knowledge can be used consciously in this condition. Neither amnesic nor control participants showed correct old/new judgments in the recognition task. The results strengthen the claim that implicit learning is at least partly spared in amnesia, and the role of contextual information available for learning is discussed. © 2006 Elsevier Ltd. All rights reserved. (shrink)

America is aging. But even more striking than the rise in the proportion of the population over age 65 is the unprecedented number of individuals who are living into their eighties and nineties. While many people remain robust well into advanced age, the dramatic increase in the number of the oldest old has brought with it an epidemic of Alzheimer’s disease and other dementias. Dementia is a highly prevalent condition — currently 5.4 million Americans have Alzheimer’s disease, a number which (...) may rise to 16 million by 2050 if there is no breakthrough in the prevention or treatment of the disease — but it disproportionately affects those over age 85, striking between one-third and one-half of this cohort. Developing a reasonable approach to the medical care of older people with dementia will be essential in the coming decades. (shrink)

Que peut-on attendre d'un « citoyen du monde » dans l'espace européen à venir? Que représente le cosmopolitisme en Europe? Voici quelques-unes des questions posées par cet ouvrage qui présente les réflexions de chercheurs européens et non européens sur le cosmopolitisme. Les regards des spécialistes sur la question sont variés et la réalité est analysée à partir de différentes disciplines. Ainsi, science politique, histoire, droit, langues, littérature et civilisation se conjuguent pour présenter une vision toujours évolutive, parfois idéale, du cosmopolitisme. (...) On considère souvent le cosmopolitisme comme obsolète. N'est-ce pas, au contraire, une des réponses possibles à la crise que traverse l'Union européenne en ce début de XXIe siècle? (shrink)

Como consecuencia de la crisis económica, inmobiliaria y financiera experimentada en España en los últimos años, muchos deudores hipotecarios no pueden hacer frente a sus cuotas y corren el riesgo de perder sus viviendas, en ocasiones conservando una deuda imposible de afrontar. El sobrendeudamiento y la morosidad hipotecaria abocan así a ciertas economías domésticas a situaciones insostenibles que pueden llevar a una reordenación de los gastos y necesidades, entre los que las cuotas hipotecarias dejan de tener prioridad. La legitimación de (...) la condición de moroso que puede observarse en esos casos es un fenómeno con importantes implicaciones antropológicas, en la medida en que constituye un cuestionamiento de la obligación de devolver el préstamo. Desde el punto de vista de los deudores y de quienes les brindan apoyo, caer en el impago, lejos de constituir una transgresión moralmente reprobable, puede entenderse como un acto de responsabilidad que tiende al sostenimiento de la vida. (shrink)

Corps rebelles. Les tatouages de la collection Lacassagne (1874-1924). À la fin du XIXe siècle, le Docteur Alexandre Lacassagne est médecin militaire en poste en Algérie, auprès des bataillons d’Afrique, ces compagnies disciplinaires où sont envoyés les soldats indisciplinés, aux confins de l’empire colonial français. Dans cette relégation à « régime spécial » où les conditions d’existence sont infernales, le jeune médecin entreprend de relever les marques corporelles dont s’ornent les soldats. Décalquant leurs tatouages à même leur peau pour en (...) faire une étrange collection et tenter d’en comprendre les enjeux et les significations, il s’interroge : pourquoi une telle conduite? C’est la question que nous posons de nouveau dans cet article qui porte plus particulièrement sur les figures féminines ainsi tatouées et sur le rôle que joue cette pratique de « sauvages » dans l’espace clos du bataillon disciplinaire. Réaffirmation d’une virilité outrée dans un espace monosexué, essai identificatoire qui sonne comme un pied de nez à l’institution qui veut contraindre les corps, le tatouage est une pratique performative complexe, à la fois paradigme de la masculinité et de la marginalité. (shrink)

Muriel Briançon | : Afin d’éclairer le sens de la religiosité de la philosophie de Lévinas et d’écarter le soupçon d’une soumission de celle-ci à des dogmes ou à des croyances incompatibles avec un principe de laïcité, notre contribution vise à clarifier le sens de son projet général. L’intention lévinassienne, ambitieuse et visionnaire, consiste en l’explicitation philosophique, métaéthique et phénoménologique, de l’idée cartésienne de l’Infini, transcendance non idolâtrique surgissant de la relation humaine. Cette quête philosophique de l’extrême conscience suppose (...) un athéisme ou du moins une mise en question de l’idolâtrie, du sacré et des dogmes. Cette spiritualité laïque universelle réalisée dans un judaïsme repensé conduit à des questions philosophiques essentielles et à un changement paradigmatique. | : To enlighten the sense of the religiosity of the Lévinas’ philosophy and rule out the suspicion of a submission of this one in dogmae or in incompatible faiths with a principle of secularism, our contribution aims at clarifying the sense of its general project. The Lévinas’ intention, ambitious and visionary, consists of the philosophic explicitation, métaéthique and phenomenological, of the Cartesian idea of Infinity, the not idolatrous transcendence appearing from the human relation. This philosophic quest of the extreme consciousness supposes an atheism or at least a questioning of the idolization, the sacred and the dogmae. This universal laic spirituality realized in a rethought Judaism leads to essential philosophic questions and to paradigmatic change. (shrink)

Several religious traditions are widely believed to advocate the use of life-sustaining treatment in all circumstances. Hence, many believe that these faiths would require the use of a feeding tube in patients with advanced dementia who have lost interest in or the capacity to swallow food. This article explores whether one such tradition—halachic Judaism—in fact demands the use of artificial nutrition and hydration in this setting. Traditional arguments have been advanced holding that treatment can be withheld in persons who are (...) dying, in individuals whose condition causes great suffering, or in the event that the treatment would produce suffering. Individuals with advanced dementia can be considered to be dying, often suffer as a result of their dementia, and are likely to suffer from the use of a feeding tube. Given these observations and the absence of a compelling case for distinguishing between tube feeding and other forms of medical treatment, traditional Judaism appears compatible with withholding artificial nutrition for individuals with advanced dementia. (shrink)

The Family Health Program is characterized as an important space to develop activities related to Nutrition, once the health community agent is a qualified, potential multiplier when performing these actions. The aim of this study was to conduct a qualifying pilot experiment on food and nutrition for health community agents from a family health unit in Botucatu. Fourteen community agents participated and the course presented the following steps: observation of reality, a survey of perceived necessities, devising the main intervention themes, (...) and course development. The main focus was on existing diseases in the attended community like diabetes, hypertension, obesity, dyslepidemia and other themes related to preventing these diseases, for example, food fiber, water physical exercises, and the appropriate use of diet and light products. Besides these themes, there was also a presentation about the food pyramid and how to transmit recommendations for the visited families. The experience was positive with great interest and knowledge enhancement on the part of health community agents. In case there is a positive impact on the nutritional condition of the community attended by these agents, the Project may be extended to other Family Health units in Botucatu. Furthermore, the study also shows that to prepare such courses, it is crucial a nutritionist participation, because of the contribution this Professional may provide to the work group in which he is inserted. (shrink)