The medicalization of mental health remains a point of contention for bioethicists, especially as it concerns the epistemic capabilities of those diagnosed with an illness or disorder. Gosselin (2019) argues that biomedicalization commits epistemic injustices against these persons and consequently entraps them in a “cycle of vulnerability”; in response, she proposes principles of justice to defend them from such affronts. This paper builds off of her work and responds particularly to the demand for a “sociocentric view of the self as (...) essentially relational.” I present a theory of interdependent agency and affiliation that I contend conceptually bolsters her normative principles. I explain how an expanded use of relational epistemologies, united with a non-ideal theory of mental health, can enrich our hermeneutical resources with respect to those with mental illnesses/disorders. My account introduces normative considerations premised on interdependency, most notably from care theory. Concepts such as vulnerability, relational autonomy, attentiveness, and responsiveness ground a relationally-situated approach that (1) improves the epistemic positionalities of patients, (2) informs more suitable dynamics of care/treatment, and (3) unites groups of mutually interested actors against harm and injustice. I thus use a framework of care to promote affiliations of similarly disadvantaged persons under shared causes and initiatives. I refer to these assemblages as “caring affinity networks.”. (shrink)

Shaun Nichols offers a naturalistic, psychological account of the origins of the problem of free will. He argues that our belief in indeterminist choice is grounded in faulty inference and therefore unjustified, goes on to suggest that there is no single answer to whether free will exists, and promotes a pragmatic approach to prescriptive issues.

A Polish group G is tame if for any continuous action of G, the corresponding orbit equivalence relation is Borel. When [Formula: see text] for countable abelian [Formula: see text], Solecki [Equivalence relations induced by actions of Polish groups, Trans. Amer. Math. Soc. 347 (1995) 4765–4777] gave a characterization for when G is tame. In [L. Ding and S. Gao, Non-archimedean abelian Polish groups and their actions, Adv. Math. 307 (2017) 312–343], Ding and Gao showed that for such G, the (...) orbit equivalence relation must in fact be potentially [Formula: see text], while conjecturing that the optimal bound could be [Formula: see text]. We show that the optimal bound is [Formula: see text] by constructing an action of such a group G which is not potentially [Formula: see text], and show how to modify the analysis of [L. Ding and S. Gao, Non-archimedean abelian Polish groups and their actions, Adv. Math. 307 (2017) 312–343] to get this slightly better upper bound. It follows, using the results of Hjorth et al. [Borel equivalence relations induced by actions of the symmetric group, Ann. Pure Appl. Logic 92 (1998) 63–112], that this is the optimal bound for the potential complexity of actions of tame abelian product groups. Our lower-bound analysis involves forcing over models of set theory where choice fails for sequences of finite sets. (shrink)

Williams (1970) argues that our intuitions about personal identity vary depending on how a given thought experiment is framed. Some frames lead us to think that persistence of self requires persistence of one's psychological characteristics; other frames lead us to think that the self persists even after the loss of one's distinctive psychological characteristics. The current paper takes an empirical approach to these issues. We find that framing does affect whether or not people judge that persistence of psychological characteristics is (...) required for persistence of self. Open-ended, abstract questions about what is required for survival tend to elicit responses that appeal to the importance of psychological characteristics. This emphasis on psychological characteristics is largely preserved even when participants are exposed to a concrete case that yields conflicting intuitions over whether memory must be preserved in order for a person to persist. Insofar as our philosophical theory of personal identity should be based on our intuitions, the results provide some support for the view that psychological characteristics really are critical for persistence of self. (shrink)

The everyday capacity to understand the mind, or 'mindreading', plays an enormous role in our ordinary lives. Shaun Nichols and Stephen Stich provide a detailed and integrated account of the intricate web of mental components underlying this fascinating and multifarious skill. The imagination, they argue, is essential to understanding others, and there are special cognitive mechanisms for understanding oneself. The account that emerges has broad implications for longstanding philosophical debates over the status of folk psychology. Mindreading is another trailblazing (...) volume in the prestigious interdisciplinary Oxford Cognitive Science series. (shrink)

This article addresses questions about the sense of agency and its distinction from the sense of ownership in the context of understanding schizophrenic thought insertion. In contrast to “standard” approaches that identify problems with the sense of agency as central to thought insertion, two recent proposals argue that it is more correct to think that the problem concerns the subject’s sense of ownership. This view involves a “more demanding” concept of the sense of ownership that, I will argue, ultimately depends (...) on the sense of agency. In this regard, the sense of agency still appears to be the originating problem. (shrink)

Sentimental Rules is an ambitious and highly interdisciplinary work, which proposes and defends a new theory about the nature and evolution of moral judgment. In it, philosopher Shaun Nichols develops the theory that emotions play a critical role in both the psychological and the cultural underpinnings of basic moral judgment. Nichols argues that our norms prohibiting the harming of others are fundamentally associated with our emotional responses to those harms, and that such 'sentimental rules' enjoy an advantage in cultural (...) evolution, which partly explains the success of certain moral norms. This has sweeping and exciting implications for philosophical ethics. Nichols builds on an explosion of recent intriguing experimental work in psychology on our capacity for moral judgment and shows how this empirical work has broad import for enduring philosophical problems. The result is an account that illuminates fundamental questions about the character of moral emotions and the role of sentiment and reason in how we make our moral judgments. This work should appeal widely across philosophy and the other disciplines that comprise cognitive science. (shrink)

This paper, in opposition to the standard theories of social cognition found in psychology and cognitive science, defends the idea that direct perception plays an important role in social cognition. The two dominant theories, theory theory and simulation theory , both posit something more than a perceptual element as necessary for our ability to understand others, i.e., to “mindread” or “mentalize.” In contrast, certain phenomenological approaches depend heavily on the concept of perception and the idea that we have a direct (...) perceptual grasp of the other person’s intentions, feelings, etc. This paper explains precisely what the notion of direct perception means, offers evidence from developmental studies, and proposes a non-simulationist interpretation of the neuroscience of mirror systems. (shrink)

It is difficult to give a nice succinct précis of The Phenomenological Mind since it is composed of a set of chapters each of which addresses a different topic. The topics are linked in numerous ways. There is one way, however, in which all of the chapters are bound together to constitute a unified whole, and this might be considered something like a framework proposition. Phenomenology, understood as the philosophical approach taken up by Husserl and a number of people who (...) loosely follow his lead, has something important to contribute to philosophy of mind and the cognitive sciences. The proof of this claim is to be found in the details of the various chapters. In some cases it consists of showing that a phenomenological approach provides a genuine alternative to the standard or current approaches to be found in these areas. In other cases, phenomenological methods may provide insights about certain key concepts; or insights that are suggestive for experimental work. To do any of this requires that we take an interdisciplinary approach and recognize that these various investigations do not move on a one-way track. (shrink)

How the Body Shapes the Mind is an interdisciplinary work that addresses philosophical questions by appealing to evidence found in experimental psychology, neuroscience, studies of pathologies, and developmental psychology. There is a growing consensus across these disciplines that the contribution of embodiment to cognition is inescapable. Because this insight has been developed across a variety of disciplines, however, there is still a need to develop a common vocabulary that is capable of integrating discussions of brain mechanisms in neuroscience, behavioural expressions (...) in psychology, design concerns in artificial intelligence and robotics, and debates about embodied experience in the phenomenology and philosophy of mind. Shaun Gallagher's book aims to contribute to the formulation of that common vocabulary and to develop a conceptual framework that will avoid both the overly reductionistic approaches that explain everything in terms of bottom-up neuronal mechanisms, and inflationistic approaches that explain everything in terms of Cartesian, top-down cognitive states. Gallagher pursues two basic sets of questions. The first set consists of questions about the phenomenal aspects of the structure of experience, and specifically the relatively regular and constant features that we find in the content of our experience. If throughout conscious experience there is a constant reference to one's own body, even if this is a recessive or marginal awareness, then that reference constitutes a structural feature of the phenomenal field of consciousness, part of a framework that is likely to determine or influence all other aspects of experience. The second set of questions concerns aspects of the structure of experience that are more hidden, those that may be more difficult to get at because they happen before we know it. They do not normally enter into the content of experience in an explicit way, and are often inaccessible to reflective consciousness. To what extent, and in what ways, are consciousness and cognitive processes, which include experiences related to perception, memory, imagination, belief, judgement, and so forth, shaped or structured by the fact that they are embodied in this way? (shrink)

Throughout the 20th century, an enormous amount of intellectual fuel was spent debating the merits of a class of skeptical arguments which purport to show that knowledge of the external world is not possible. These arguments, whose origins can be traced back to Descartes, played an important role in the work of some of the leading philosophers of the 20th century, including Russell, Moore and Wittgenstein, and they continue to engage the interest of contemporary philosophers. (e.g., Cohen 1999, DeRose 1995, (...) Hill 1996, Klein 1981, Lewis 1996, McGinn 1993, Nozick 1981, Schiffer 1996, Unger 1975, Williams 1996) Typically, these arguments make use of one or more premises which the philosophers proposing them take to be intuitively obvious. Beyond an appeal to intuition, little or no defense is offered, and in many cases it is hard to see what else could be said in support of these premises. A number of authors have suggested that the intuitions undergirding these skeptical arguments are universal – shared by everyone (or almost everyone) who thinks reflectively about knowledge. In this paper we will offer some evidence indicating that they are far from universal. Rather, the evidence suggests that many of the intuitions epistemologists invoke vary with the cultural background, socioeconomic status and educational background of the person offering the intuition. And this, we will argue, is bad news for the skeptical arguments that rely on those intuitions. The evidence may also be bad news for skepticism itself – not because it shows that skepticism is false, but rather because, if we accept one prominent account of the link between epistemic intuitions and epistemic concepts, it indicates that skepticism may be much less interesting and much less worrisome than philosophers have taken it to be. (shrink)

There is a large tradition of work in moral psychology that explores the capacity for moral judgment by focusing on the basic capacity to distinguish moral violations (e.g. hitting another person) from conventional violations (e.g. playing with your food). However, only recently have there been attempts to characterize the cognitive mechanisms underlying moral judgment (e.g. Cognition 57 (1995) 1; Ethics 103 (1993) 337). Recent evidence indicates that affect plays a crucial role in mediating the capacity to draw the moral/conventional distinction. (...) However, the prevailing account of the role of affect in moral judgment is problematic. This paper argues that the capacity to draw the moral/conventional distinction depends on both a body of information about which actions are prohibited (a Normative Theory) and an affective mechanism. This account leads to the prediction that other normative prohibitions that are connected to an affective mechanism might be treated as non-conventional. An experiment is presented that indicates that “disgust” violations (e.g. spitting at the table), are distinguished from conventional violations along the same dimensions as moral violations. (shrink)

The Self and its Disorders develops a philosophical and interdisciplinary approach to the formulation of an “integrative” perspective in psychiatry. In contrast to some integrative approaches that focus on narrow brain-based conceptions, or strictly on symptomology, this book takes its bearings from embodied and enactive conceptions of human experience and builds on a perspective that understands self as a self-pattern—a pattern of processes that include bodily, experiential, affective, cognitive-psychological, reflective, narrative, intersubjective, ecological, and normative factors. It provides a philosophical analysis (...) of the notion of self-pattern, framed in terms of dynamical organization. It then draws on phenomenological, developmental, clinical, and experimental evidence to propose a method for studying the effects of psychopathologies on the self-pattern, and includes discussions of network theory, predictive processing models, and the role of narrative. This book explores the hypothesis that psychiatric disorders are self-disorders, and includes specific discussions of schizophrenia, anxiety disorders, depression, borderline personality disorder, obsessive compulsive disorder and autism spectrum disorder, as well as traumatic effects of torture and solitary confinement. Other topics include diagnostic classification, symptom overlap, and transdiagnostic complexity. Several chapters explore a variety of philosophical issues that relate to therapeutic approaches, including deep brain stimulation, meditation-based interventions, and the use of artificial intelligence and virtual reality. (shrink)

We argue that theory-of-mind (ToM) approaches, such as “theory theory” and “simulation theory”, are both problematic and not needed. They account for neither our primary and pervasive way of engaging with others nor the true basis of our folk psychological understanding, even when narrowly construed. Developmental evidence shows that young infants are capable of grasping the purposeful intentions of others through the perception of bodily movements, gestures, facial expressions etc. Trevarthen’s notion of primary intersubjectivity can provide a theoretical framework for (...) understanding these capabilities and his notion of secondary intersubjectivity shows the importance of pragmatic contexts for infants starting around one year of age. The recent neuroscience of resonance systems (i.e., mirror neurons, shared representations) also supports this view. These ideas are worked out in the context of an embodied “Interaction Theory” of social cognition. Still, for more sophisticated intersubjective interactions in older children and adults, one might argue that some form of ToM is required. This thought is defused by appeal to narrative competency and the Narrative Practice Hypothesis (or NPH). We propose that repeated encounters with narratives of a distinctive kind is the normal route through which children acquire an understanding of the forms and norms that enable them to make sense of actions in terms of reasons. A potential objection to this hypothesis is that it presupposes ToM abilities. Interaction Theory is deployed once again to answer this by providing an alternative approach to understanding basic narrative competency and its development. (shrink)

Shaun Gallagher's The Inordinance of Time develops an account of the experience of time at the intersection of three approaches: phenomenology, cognitive ...

A BSTRACT: I argue that theory theory approaches to autism offer a wholly inadequate explanation of autistic symptoms because they offer a wholly inadequate account of the non-autistic understanding of others. As an alternative I outline interaction theory, which incorporates evidence from both developmental and phenomenological studies to show that humans are endowed with important capacities for intersubjective understanding from birth or early infancy. As part of a neurophenomenological analysis of autism, interaction theory offers an account of interpersonal problems that (...) is fully consistent with the variety of social and nonsocial symptoms found in autism. (shrink)

Shaun Gallagher presents a ground-breaking interdisciplinary account of action. He shows that in order to understand human agency and the aspects of mind that are associated with it, we need to grasp the crucial role of context or circumstance in action, and the normative constraints of social and cultural practices.

I review three answers to the question: How can phenomenology contribute to the experimental cognitive neurosciences? The first approach, neurophenomenology, employs phenomenological method and training, and uses first-person reports not just as more data for analysis, but to generate descriptive categories that are intersubjectively and scientifically validated, and are then used to interpret results that correlate with objective measurements of behaviour and brain activity. A second approach, indirect phenomenology, is shown to be problematic in a number of ways. Indirect phenomenology (...) is generally put to work after the experiment, in critical or creative interpretations of the scientific evidence. Ultimately, however, proposals for the indirect use of phenomenology lead back to methodological questions about the direct use of phenomenology in experimental design. The third approach, 'front-loaded' phenomenology, suggests that the results of phenomenological investigations can be used in the design of empirical ones. Concepts or clarifications that have been worked out phenomenologically may operate as a partial framework for experimentation. (shrink)

One promising way to investigate the genealogy of norms is by considering not the origin of norms, but rather, what makes certain norms more likely to prevail. Emotional responses, I maintain, constitute one important set of mechanisms that affects the cultural viability of norms. To corroborate this, I exploit historical evidence indicating that 16th century etiquette norms prohibiting disgusting actions were much more likely to survive than other 16th century etiquette norms. This case suggests more broadly that work on cultural (...) evolution should pay greater attention to the role of emotion systems in cultural transmission. (shrink)

_The Phenomenological Mind_ is the first book to properly introduce fundamental questions about the mind from the perspective of phenomenology. Key questions and topics covered include: • what is phenomenology? • naturalizing phenomenology and the cognitive sciences • phenomenology and consciousness • consciousness and self-consciousness • time and consciousness • intentionality • the embodied mind • action • knowledge of other minds • situated and extended minds • phenomenology and personal identity. This second edition includes a new preface, and revised (...) and improved chapters. Also included are helpful features such as chapter summaries, guides to further reading, and a glossary, making _The Phenomenological Mind_ an ideal introduction to key concepts in phenomenology, cognitive science and philosophy of mind. (shrink)

Because the visual system cannot process all of the objects, colors, and features present in a visual scene, visual attention allows some visual stimuli to be selected and processed over others. Most research on visual attention has focused on spatial or location-based attention, in which the locations occupied by stimuli are selected for further processing. Recent research, however, has demonstrated the importance of objects in organizing (or segregating) visual scenes and guiding attentional selection. Because of the long history of spatial (...) attention research, theories of spatial attention are more mature than theories of other visual processes, such as object segregation and object attention. In the present paper, I outline a biased competition account of object segregation and attention, following similar accounts that have been developed for spatial attention (Desimone and Duncan, 1995). In my biased competition account, I seek to understand how some objects can be segregated and selected over other objects in a complex visual scene. Under this account, there are two sources of visual information that allow an object to be processed over other objects: bottom-up information carried by the physical stimulus and top-down information based on an observer's goals. I use the biased competition account to combine many diverse findings from the object segregation and attention literatures into a common framework. (shrink)

One of the central debates in the philosophy of language is that between defenders of the causal-historical and descriptivist theories of reference. Most philosophers involved in the debate support one or the other of the theories. Building on recent experimental work in semantics, we argue that there is a sense in which both theories are correct. In particular, we defend the view that natural kind terms can sometimes take on a causal-historical reading and at other times take on a descriptivist (...) reading. The meaning will shift depending on the conversational setting. The theoretical view has roots in work by Kitcher. We present some original experiments that support the thesis. (shrink)

I clarify recently developed phenomenological approaches to social cognition. These are approaches that, drawing on developmental science, social neuroscience, and dynamic systems theory, emphasize the involvement of embodied and enactive processes together with communicative and narrative practices in contexts of intersubjective understanding. I review some of the evidence that supports these approaches. I consider a variety of criticisms leveled against them, and defend the role of phenomenology in the explanation of social cognition. Finally, I show how these phenomenological approaches can (...) solve the “starting problem” of social cognition. (shrink)

We distinguish between three philosophical views on the neuroscience of predictive models: predictive coding, predictive processing and predictive engagement. We examine the concept of active inference under each model and then ask how this concept informs discussions of social cognition. In this context we consider Frith and Friston’s proposal for a neural hermeneutics, and we explore the alternative model of enactivist hermeneutics.

It is an old philosophical idea that if the future self is literally different from the current self, one should be less concerned with the death of the future self. This paper examines the relation between attitudes about death and the self among Hindus, Westerners, and three Buddhist populations. Compared with other groups, monastic Tibetans gave particularly strong denials of the continuity of self, across several measures. We predicted that the denial of self would be associated with a lower fear (...) of death and greater generosity toward others. To our surprise, we found the opposite. Monastic Tibetan Buddhists showed significantly greater fear of death than any other group. The monastics were also less generous than any other group about the prospect of giving up a slightly longer life in order to extend the life of another. (shrink)

Enactivist Interventions is an interdisciplinary work that explores how theories of embodied cognition illuminate many aspects of the mind, including perception, affect, and action. Gallagher argues that the brain is not secluded from the world or isolated in its own processes, but rather is dynamically connected with body and environment.

The debate over off-line simulation has largely focussed on the capacity to predict behavior, but the basic idea of off-line simulation can be cast in a much broader framework. The central claim of the off-line account of behavior prediction is that the practical reasoning mechanism is taken off-line and used for predicting behavior. However, there's no reason to suppose that the idea of off-line simulation can't be extended to mechanisms other than the practical reasoning system. In principle, any cognitive component (...) can be taken off-line and used to perform some other function. On this view of off-line simulation, such accounts differ radically from traditional information-based accounts of cognitive capacities. And cognitive penetrability provides a wedge for empirically determining whether a capacity requires an information-based account or an off-line simulation account. Stich and Nichols (1992) argued that the simulation theory of behavior prediction was inadequate because behavior prediction seemed to be cognitively penetrable. We present empirical evidence that supports the claim that the behavior prediction is cognitively penetrable. As a result, the simulation account of behavior prediction still seems unpromising. However, off-line simulation might provide accounts of other cognitive capacities. Indeed, off- line simulation accounts have recently been offered for a strikingly diverse set of capacities including counterfactual reasoning, empathy and mental imagery. Goldman, for instance, maintains that counterfactual reasoning and empathy clearly demand off-line simulation accounts. We argue that there are alternative information-based explanations of these phenomena. Nonetheless, the off-line accounts of these phenomena are interesting and clearly worthy of further exploration. (shrink)

An empirical study of people's intuitions about freedom of the will. We show that people tend to have compatiblist intuitions when they think about the problem in a more concrete, emotional way but that they tend to have incompatiblist intuitions when they think about the problem in a more abstract, cognitive way.

Researchers working on children's moral understanding maintain that the child's capacity to distinguish morality from convention shows that children regard moral violations as objectively wrong. Education in the moral domain. Cambridge: Cambridge University Press). However, one traditional way to cast the issue of objectivism is to focus not on conventionality, but on whether moral properties depend on our responses, as with properties like icky and fun. This paper argues that the moral/conventional task is inadequate for assessing whether children regard moral (...) properties as response-dependent. Unfortunately, children's understanding of response-dependent properties has been neglected in recent research. Two experiments are reported showing that children are more likely to treat properties like fun and icky as response-dependent than moral properties like good and bad. Hence, this helps support the claim that children are moral objectivists. (shrink)

The Phenomenological Mind is the first book to properly introduce fundamental questions about the mind from the perspective of phenomenology. Key questions and topics covered include: What is phenomenology? naturalizing phenomenology and the empirical cognitive sciences phenomenology and consciousness consciousness and self-consciousness, including perception and action time and consciousness, including William James intentionality the embodied mind action knowledge of other minds situated and extended minds phenomenology and personal identity Interesting and important examples are used throughout, including phantom limb syndrome, blindsight (...) and self-disorders in schizophrenia, making The Phenomenological Mind an ideal introduction to key concepts in phenomenology, cognitive science and philosophy of mind. (shrink)

I propose a distinction between two closely related problems: the problem of social cognition and the problem of participatory sense-making. One problem focuses on how we understand others; the other problem focuses on how, with others, we make sense out of the world. Both understanding others and making sense out of the world involve social interaction. The importance of participatory sense-making is highlighted by reviewing some recent accounts of perception that are philosophically autistic -- i.e., accounts that ignore the involvement (...) of others in our perception of the world. (shrink)

Over the last twenty years, a number of central figures in moral philosophy have defended some version of moral rationalism, the idea that morality is based on reason or rationality. According to rationalism, morality is based on reason or rationality rather than the emotions or cultural idiosyncrasies, and this has seemed to many to be the best way of securing a kind of objectivism about moral claims. Consider the following representative statements.

In Political Theology the "Modern Way": The Case of Jacques Almain (d. 1515), Shaun Retallick provides the first monograph on this late medieval philosopher-theologian and conciliarist, and his thought. He demonstrates that Almain's political theology, of which ecclesiology is a sub-discipline, is strongly impacted by the Via moderna. At the heart of his political theology is the individual and his or her will. Yet, the individual is rarely viewed in isolation from others; there is a strong emphasis on community (...) and on the religious and secular bodies through which it is realized. But these bodies, including the Church, are understood in collectivist rather than corporatist terms, which tends to a quite radical form of conciliarism. (shrink)

The topic of self-awareness has an impressive philosophical pedigree, and sustained discussion of the topic goes back at least to Descartes. More recently, selfawareness has become a lively issue in the cognitive sciences, thanks largely to the emerging body of work on “mindreading”, the process of attributing mental states to people (and other organisms). During the last 15 years, the processes underlying mindreading have been a major focus of attention in cognitive and developmental psychology. Most of this work has been (...) concerned with the processes underlying the attribution of mental states to other people. However, a number of psychologists and philosophers have also proposed accounts of the mechanisms underlying the attribution of mental states to oneself. This process of reading one’s own mind or becoming self- aware will be our primary concern in this paper. (shrink)

Clark and Chalmers [1998] introduced the concept of the extended mind, in part to move beyond the standard Cartesian idea that cognition is something that happens in a private mental space, "in the head." In this paper I want to pursue a liberal interpretation of this idea, extending the mind to include processes that occur within social and cultural institutions. At the same time I want to address some concerns that have been raised about whether such..

Philosophical theorizing is often, either tacitly or explicitly, guided by intuitions about cases. Theories that accord with our intuitions are generally considered to be prima facie better than those that do not. However, recent empirical work has suggested that philosophically significant intuitions are variable and unstable in a number of ways. This variability of intuitions has led naturalistically inclined philosophers to disparage the practice of relying on intuitions for doing philosophy in general (e.g. Stich & Weinberg 2001) and for doing (...) moral philosophy in particular (Appiah 2008; Doris & Stich 2005; Horowitz 1998; Nadelhoffer & Feltz 2008; Sinnott Armstrong 2008). In this paper, we will draw on naturalistic considerations to offer some solace to philosophers who rely on intuitions. We wouldn’t call this a defense of intuitions, exactly, since we are sympathetic with much of the naturalists’ critique. But we want to introduce into the debate some neglected naturalistic reasons to be optimistic about intuitions, focusing especially on ethical intuitions. (shrink)

“Jane” is a mother of two, who was referred for psychotherapy. However, Jane had misgivings about engaging in the offered psychotherapy because of threats made by her domestically violent partner. The therapy sessions are audio recorded for the purpose of professional supervision and clinician reflective practices. Jane’s partner had threatened to subpoena the therapy recordings to legally separate Jane from her children. This article focuses on how three different parts of Jane’s multidisciplinary care exhibit different competing ethical priorities. Psychotherapeutic clinicians (...) private use of audio recordings of the therapy enhances patient care and their own professional development but with the risk of concealing possible unethical behaviour by either party. Medico-legal access to the therapy recordings preserves potentially relevant evidence in the pursuit of justice but risks the interpretation of the psychotherapeutic information outside of the therapeutic context. Policies advocating the inclusion of the therapy recordings in the medical record improves clinician accountability but risks harming the vulnerable patient due to threats to patient-therapist confidentiality. (shrink)

A pesar de que en los estudios sobre el Imperio Mameluco (1250-1517) se ha prestado gran atención a los esclavos blancos del ejército y a los libertos, se ha pasado por alto a los esclavos negros (¿abid). En Egipto la sociedad mameluce, especialmente la sociedad militar, se caracterizaba por un discurso profundamente racial que privilegiaba lo blanco sobre lo negro. Ésta no era la única clasificación étnica/racial de gentes y grupos, ni el único mecanismo de establecer privilegios. Sin embargo, la (...) definición de los esclavos negros como subalternos, tuvo consecuencias sociales, económicas y políticas que no pueden ser ignoradas. Estas definiciones son especialmente evidentes en los relatos sobre esclavos negros que se considera que han violado los límites existentes. Mi propósito en este artículo es explorar los modos con que seis historiadores mamelucos construyen las narraciones, a menudo contradictorias, de los esclavos negros transgresores. (shrink)

Educational pressures such as challenging workload, demanding deadlines and competitiveness among undergraduate dental students erode academic integrity in clinical training. The implementation of honour codes have been associated with the reduction in academic dishonesty.An action research was undertaken to investigate and foster academic integrity through creative pedagogical strategies and the implementation of an honour code within the undergraduate dental programme.Students reported the honour code as relevant and it encouraged the five investigated fundamental values of academic integrity. The students also favoured (...) the annual implementation of the honour code. The creative pedagogical strategy facilitated a change in perception on academic integrity in the clinical scenarios sessions. Most students showed changes in perception of academic integrity. The majority of students’ narratives/responses were positive and the emerging subthemes also espoused the five out of the six ICAI fundamental values of academic integrity. Students indicated the need for inclusion of academic integrity education within the curriculum. They felt that staff also should be guided by an academic integrity policy.Implementation of an honour code coupled with creative pedagogical strategies helped to foster understanding and appreciation for academic integrity. Conversely the honour code implementation was more effective due to the use of supportive creative pedagogical strategies on academic integrity. It is still undetermined whether these change in perception impacted on clinical practice during training and post-graduation. (shrink)