ObjectiveCo-morbid insomnia and sleep apnea is a common and debilitating condition that is more difficult to treat compared to insomnia or sleep apnea-alone. Emerging evidence suggests that cognitive behavioral therapy for insomnia is effective in patients with COMISA, however, those with more severe sleep apnea and evidence of greater objective sleep disturbance may be less responsive to CBTi. Polysomnographic sleep study data has been used to predict treatment response to CBTi in patients with insomnia-alone, but not in patients with COMISA. (...) We used randomized controlled trial data to investigate polysomnographic predictors of insomnia improvement following CBTi, versus control in participants with COMISA.MethodsOne hundred and forty five participants with insomnia and sleep apnea [apnea-hypopnea index ≥ 15] were randomized to CBTi or no-treatment control. Mixed models were used to investigate the effect of pre-treatment AHI, sleep duration, and other traditional, and novel [quantitative electroencephalography ] polysomnographic predictors of between-group changes in Insomnia Severity Index scores from pre-treatment to post-treatment.ResultsCompared to control, CBTi was associated with greater ISI improvement among participants with; higher AHI, less wake after sleep onset, and less N3 sleep. No quantitative electroencephalographic, or other traditional polysomnographic variables predicted between-group ISI change.DiscussionAmong participants with COMISA, higher OSA severity predicted a greater treatment-response to CBTi, versus control. People with COMISA should be treated with CBTi, which is effective even in the presence of severe OSA and objective sleep disturbance. (shrink)

This paper offers an analysis of Kant’s account of the mathematical sublime with reference to his claim that ‘Nature is thus sublime in those of its appearances the intuition of which brings with them the idea of its infinity’. In undertaking this analysis I challenge Paul Crowther’s interpretation of this species of aesthetic experience, and I reject his interpretation as not being reflective of Kant’s actual position. I go on to show that the experience of the mathematical sublime is necessarily (...) connected with the progression of the imagination in its move towards the infinite. View HTML Send article to KindleTo send this article to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle. Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply. Find out more about the Kindle Personal Document Service.Kant’s Mathematical Sublime and the Role of the Infinite: Reply to CrowtherVolume 20, Issue 1Simon D. Smith DOI: https://doi.org/10.1017/S1369415414000302Your Kindle email address Please provide your Kindle [email protected]@kindle.com Available formats PDF Please select a format to send. By using this service, you agree that you will only keep articles for personal use, and will not openly distribute them via Dropbox, Google Drive or other file sharing services. Please confirm that you accept the terms of use. Cancel Send ×Send article to Dropbox To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Dropbox. Kant’s Mathematical Sublime and the Role of the Infinite: Reply to CrowtherVolume 20, Issue 1Simon D. Smith DOI: https://doi.org/10.1017/S1369415414000302Available formats PDF Please select a format to send. By using this service, you agree that you will only keep articles for personal use, and will not openly distribute them via Dropbox, Google Drive or other file sharing services. Please confirm that you accept the terms of use. Cancel Send ×Send article to Google Drive To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Google Drive. Kant’s Mathematical Sublime and the Role of the Infinite: Reply to CrowtherVolume 20, Issue 1Simon D. Smith DOI: https://doi.org/10.1017/S1369415414000302Available formats PDF Please select a format to send. By using this service, you agree that you will only keep articles for personal use, and will not openly distribute them via Dropbox, Google Drive or other file sharing services. Please confirm that you accept the terms of use. Cancel Send ×Export citation. (shrink)

This edited volume of original contributions deals with the economic and political thought of Michael Polanyi. Requiring little prior knowledge of Polanyi, this volume further develops a somewhat neglected side of Polanyi's work. In particular it examines the 'tacit integration', of subsidiary details into focal objects or actions as central to all knowing and action. It traces ontological counterparts in the structures of comprehensive entities and complex actions, and a multi-level universe in which lower levels have their boundary conditions, the (...) extents to which they apply, determined by those of the next higher level, whilst each possessing its own laws or operative principles. This schema of 'dual control' preserves the reality and relative autonomy of each level, and its interactions with others, against the various reductions. The essays in this volume also employ and develop important additional concepts and distinctions such as: 'corporate' and 'spontaneous' order; 'public' and 'private' liberties; 'general' and 'specific authority'; and 'moral inversion'; which, as the essays show, are necessary for understanding and maintaining a free society and the freedom of institutions within it. Among the topics treated with them are: more of the prerequisites of freedom in public liberties dedicated to principles and transcendent values; totalitarianism and society as spontaneous order; the balance of general and specific authority in society and particular institutions; reductionism, totalitarianism and consumption in consumer societies, as moral inversions; the mutual interactions of economics and politics as distinct and autonomous but interacting levels; the sociological aspects of economics; and Polanyi's own contributions to sociology. Although, as indicated, Polanyi has his special terms, the essays in this volume, like his works, give them meaning with concrete examples and so avoid merely shuffling a mass of abstractions. Together the essays show that his work is a rich seam of ideas and inspiration for yet further extension and application--Publisher. (shrink)

Every kind of exploration is touched in some way by a philosophy of persons; touched and often vitally enhanced. This collection sets out to mine this rich seam of influence, bringing together authors keen to strike new developments and applications. Together, they have put their philosophy of persons to work in fields as wide-ranging as the moral and the metaphysical, the practical and the political, the cultural and the cosmological. In doing so, they have drawn on and illustrated the depth (...) and breadth of modern Personalist thought, demonstrating its crucial relevance to debates across the entire philosophical spectrum. (shrink)

This article describes the covert seeding by political parties of forums and blogs hosted by one of the leading Slovak daily newspapers, and the techniques developed by journalists, administrators, bloggers and discussants to defend these ‘public spheres’ against perceived colonisation by professional political communicators acting under false identities. We follow a trajectory of accusatory forms and registers—a collective inquiry which gathered and evaluated evidence to support public accusations. The episode demonstrates the vulnerability of the sociotechnical systems used by the media (...) to host e-participation as well as their capacities for self-regulation. It shows how citizens, journalists and party political communicators are engaged in complex boundary struggles for the appropriation and regulation of these new spaces of sociability in order to qualify the forms of knowledge that emerge there, agree conventions for the expression of disquiet and negotiate practically enforcable definitions distinguishing political marketing from free public debate. (shrink)

The aim of this paper is to consider how well equipped philosophy is to meet the logical and epistemologicaldemands of religious belief. That this belief is a response to questions both practical and urgent – the nature ofone’s existence, the reality of salvation – frequently seems quite unimportant in a field dominated by rationalismand theistical realism. To properly understand both the response and the questions that give rise to it, I want toreturn to the foundations of religious thought. These foundations, (...) I suggest, are not found in pure intuitions ofdivine reality, or in objective perceptions of divine handiwork. Religious thought begins with religiouseducation. That is where we will find the conceptual tools to make sense of talk about God. More importantly,perhaps, that is where we will find a criterion of knowledge.Education embodies the creative involvement of one mind in the development of another. The philosophicalimport of this is two-fold. First, it provides a model for conceiving Creation and the Agent of Creation. Thisresolves the conflict between classical and neo-classical ontologies, offers instead a chastened transcendence:otherness without isolation, involvement without equiprimordiality. Second, it instantiates providence in action,God at work in the believer’s life. Our criterion of knowledge, then, is a matter of impact: the ‘experiencabledifference’ providence makes to the believer’s life. Together, model and instance underpin a realignment ofpraxis and theoria. Religious praxis stands upon its claim to truth; without praxis embodied by the connection ofdeveloping minds, truth cannot be ascertained. (shrink)

This article concerns two of the last great metaphysical thinkers: Austin Farrer and Alfred North Whitehead. It also concerns a fundamental cosmological question: does the world point inexorably to God? Often, attempts to formulate and answer this question still stand firm on the Aristotelian categories of scholastic theology. Confronting these head-on, Farrer and Whitehead offered an antidote to Aristotle’s outdated metaphysics. They re-conceived being in active terms. This deployment of action-concepts was designed to overcome the logical and ontological inertia of (...) divine Ipseity and so heal the breach between God and Creation. By exploring the ways Farrer and Whitehead addressed these matters, I hope to remind readers of a fertile alternative to realist/anti-realist conflicts currently dominating philosophical theology. (shrink)

John Searle's Making the Social World addresses a question that is as central to philosophy in general as it is to Social Ontology. It concerns the involvement of human beings in the creation of seemingly objective facts. The facts in which Searle is interested are ‘institutional’ facts. Such facts are objective; they are also, Searle argues, ‘created by human subjective attitudes’. It is my contention that this apparent paradox arises from a misconception of 'subjective' and 'objective'. For Searle, these terms (...) are synonymous with 'mind-dependent' and 'mindindependent'. Following the scientist and philosopher, Michael Polanyi, I argue that 'objectivity' is better understood as 'theoretical' and therefore worthy of universal recognition by rational agents. Being a matter of reason, objectivity contrasts, not with mind-dependence, but immediate experience. It follows that Searle's paradox is a function of the contradictory terms in which it is stated. (shrink)