his article develops a set of recommendations for the psychiatric and medical community in the treatment of mental disorders in response to the recently published fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, that is, DSM-5. We focus primarily on the limitations of the DSM-5 in its individuation of Complicated Grief, which can be diagnosed as Major Depression under its new criteria, and Post-Traumatic Stress Disorder (PTSD). We argue that the hyponarrativity of the descriptions of these disorders (...) in the DSM-5, defined as the abstraction of the illness categories from the particular life contingencies and personal identity of the patient (e.g., age, race, gender, socio-economic status), constrains the DSM-5's usefulness in the development of psychotherapeutic approaches in the treatment of mental disorders. While the DSM-5 is useful in some scientific and administrative contexts, the DSM's hyponarrativity is problematic, we argue, given that the DSMs are designed to be useful guides for not only scientific research, but also for the education of medical practitioners and for treatment development. our goal therefore is to offer suggestions for mental health practitioners in using the DSM-5, so that they can avoid or eliminate the problems that may stem from the limitations of hyponarrativity. When such problems are eliminated, we believe that effective psychotherapeutic strategies can be developed, which would be successful in repairing the very relationships that are strained in mental disorder: the patient's relationship to herself, her physical environment, and her social environment. (shrink)

The purpose of this chapter is to describe what we see as several important new directions for philosophy of medicine. This recent work (i) takes existing discussions in important and promising new directions, (ii) identifies areas that have not received sufficient and deserved attention to date, and/or (iii) brings together philosophy of medicine with other areas of philosophy (including bioethics, philosophy of psychiatry, and social epistemology). To this end, the next part focuses on what we call the “epistemological turn” in (...) recent work in the philosophy of medicine; the third part addresses new developments in medical research that raise interesting questions for philosophy of medicine; the fourth part is a discussion of philosophical issues within the practice of diagnosis; the fifth part focuses on the recent developments in psychiatric classification and scientific and ethical issues therein, and the final part focuses on the objectivity of medical research. (shrink)

Philosophers and psychologists have advanced a plethora of explanations of the self in relation to narratives, positing varying degrees of connection between them. For some, narratives created by a subject about herself shape her self-constitution (Flanagan 1991; Fivush 1994). For others, they help the subject to participate in social cognition (Hutto 2008). Some represent narratives as merely one basis of personal identity and consider them cognitive tools used by the subject to construct self-concepts (Neisser 1997; Tekin 2011); others render (...) narratives the basis for self-constitution (Dennett 1992; MacIntyre 1981; Schechtman 1996). Some require that the subject create her ‘whole life narrative’ unifying her .. (shrink)

, Looping Effects, the Self, Psychopathology.

This paper explores how the diagnosis of mental disorder may affect the diagnosed subject’s self-concept by supplying an account that emphasizes the influence of autobiographical and social narratives on self-understanding. It focuses primarily on the diagnoses made according to the criteria provided by the Diagnostic Statistical Manual of Mental Disorders (DSM), and suggests that the DSM diagnosis may function as a source of narrative that affects the subject’s self-concept. Engaging in this analysis by appealing to autobiographies and memoirs written by (...) people diagnosed with mental disorder, the paper concludes that a DSM diagnosis is a double-edged sword for self- concept. On the one hand, it sets the subject’s experience in an established classificatory system which can facilitate self-understanding by providing insight into subject’s condition and guiding her personal growth, as well as treatment and recovery. In this sense, the DSM diagnosis may have positive repercussions on self-development. On the other hand, however, given the DSM’s symptom-based approach and its adoption of the Biomedical Disease model, a diagnosis may force the subject to make sense of her condition divorced from other elements in her life that may be affecting her mental- health. It may lead her frame her experience only as an irreversible imbalance. This form of self-understanding may set limits on the subject’s hopes of recovery and may create impediments to her flourishing. (shrink)

In this paper, the scientific realism/anti-realism debate, which is one of the most popular topics in the metaphysics of science, will be examined in supporting the realistic wing. In this respect, the discussion will be conducted by keeping the subjects of ‘existence of an external mind-independent world’ and ‘unobservable entities’ at the center of this paper. In the context of understanding the world, ‘Science’ activity is not the sum of the research carried out only by considering empirical data; on the (...) contrary, it will be claimed that it is an endeavor that pursues unknown but interesting things (such as protons, photons, or viruses) and tries to give meaning to the world. Thus, against the empirical rigid attitude of anti-realism –bearing in mind the views of logical positivists; it will be illustrated that scientific realism is an understanding based on metaphysics and has a philosophical basis. (shrink)

In this paper, I aim to explore Lewis’s best system analysis and how it can accommodate laws with exceptions. The Best System Account has been introduced to provide an alternative view for both minimalist and counterfactual theories of regularities. Simple regularity theory faces problems in which there is some generalization that seems to be a law or some regularities that are established accidentally. It tries to exclude the accidental generalization from the account. However, the best system analysis can solve the (...) problem of how to distinguish between laws and accidents. (shrink)

XIX. yüzyılın ilk yarısında A.Comte tarafından sistemleştirilen pozitivizm akımı, deneye ve gözleme dayalı bilginin, tek geçerli bilgi türü olacağı varsayımından yola çıkan bir düşünce sistemidir. Pozitivizmi hazırlayan nedenlerin başında Fransız İhtilali ve aydınlanma düşüncesi yer almaktadır. Pozitivizmin Osmanlı düşüncesine girişi, devletin en buhranlı dönemini yaşadığı XIX. Yüzyıla denk gelir. Islahat hareketlerinin hız kazandığı, buna bağlı olarak batıcılık düşüncesinin iyiden iyiye hissedildiği bu yüzyılda, batı kaynaklı düşünce akımları da Osmanlı düşüncesinde kendilerine yer bulmaya başlamışlardır. Batılaşma çerçevesi içerisinde Fransa’ya gönderilen öğrenciler ve (...) tercüme eserler vasıtasıyla kendisini ortaya koyan pozitivizm, dönemin birçok düşünürünü etkilemiştir. Pozitivizmden etkilenen düşünürlerden birisi olarak Abdullah Cevdet, siyasi ve kültürel birçok alanda düşüncelerini bu doğrultuda dile getirmiştir. Cevdet’in düşünceleri başta yaşadığı dönem olmak üzere, kendisinden sonra da günümüze kadar ulaşmış ve pozitivist-materyalist cenahta kendisine yer bulmuştur. Halifelik müessesesini bünyesinde barındıran bir imparatorluk olarak Osmanlı’nın, pozitivist-materyalist görüşleri benimseme eğiliminde çok da istekli bir eğilim sergilemediği düşünülmektedir. Tüm eleştirilere ve kabullenememelere rağmen Abdullah Cevdet ve pozitivist fikirleri son dönem Osmanlı düşüncesinde sağladığı fikri dinamizm sebebiyle, düşünce dünyamız açısından olumlu bir etkiye sahip olmuştur. (shrink)

There are roughly two main understanding in philosophy of science: Epistemology of Science and Metaphysics of Science. It is examined that some concept such as Laws of Nature, Causation, Time and Space into the metaphysics of Science. In this paper, it has been studied laws of nature which is one the most important subjects in metaphysics of science. Let’s think outside the box, there are three significant views about laws of nature; Regularity Theory, Necessitation Theory and Dispositional Essential views. It (...) has been worked the views of David Lewis in regularity theory. In the section of nomic necessitation we have been scrutinised the arguments put forward by David Armstrong and finally the last section; it has been discussed Alexander Bird’s views of dispositional essentialism comparing with the other two aspects. (shrink)

Post-classical period witnessed intense debates on aspects of the Avicennan theory of science. Among them one set of discussions concerned the issue of subject matter (mabāhith al-mawdūʿ) in a science. They were raised by Ṣadr al-Sharīʿa (d. 747/1346) in the introduction of his al-Tawḍīh, a commentary on his legal theory text al-Tanqīḥ. Therein, he raised three questions: (1) whether the subject matter of a science can be multiple, (2) what restricting subject matter of a science means, and (3) whether one (...) thing can be the subject matter of multiple sciences. Taftāzānī (d. 792/1390), a proponent of the Avicennan theory, objected to Ṣadr al-Sharīʿa’s positions in his al-Talwīḥ, the most well-known supercommentary on al-Tawḍīh. The paper analyzes this debate on the issue of subject matter in sciences, and thus sheds light on the reception of an important aspect of the Avicennan theory of science in the postclassical period. (shrink)

In Nicomachean Ethics X.7, Aristotle argues that perfect happiness consists in contemplation alone. The question that I want to take up in this essay is whether the superiority of contemplative life fits with Aristotle’s argument for the self-sufficiency of the political life, according to which politics can lead us to happiness without being guided by philosophical knowledge of the highest sort. My basic argument is that, paradoxical as it may seem, Aristotle is led to acknowledge that contemplative life is superior (...) to political life by the same strand of argumentation which makes him plea for the self-sufficiency of the political life in the first place. In order to show how this argument unfolds, I take my point of departure from Aristotle’s analysis of phronēsis as stated in Nicomachean Ethics VI and bring it to bear on his discussion of the respective virtues of the contemplative and political ways of life in Politics VII. (shrink)

In The Context of Laws of Nature Structural Humeanism vs. Classical Humeanism -/- In the context of the laws of nature, philosophers of science have developed some views in order to adopt an attitude towards recurring events in nature. In this respect, it has been discussed whether there is any driving force underlying the regular behaviours and movements we encounter in nature, and two approaches have emerged as a result of the discussion: A view that there are certain driving forces (...) or causal relations in the ground, and an opposing view that claims that there are no causal relations in the ground, but there are regularities in nature. Views such as the latter are generally described as the Humean view. Such views are also called regularity theories. Throughout this article, the statements referred to as regularity are characterised as the Humean view. Since the article will be centred on the Humean view, views such as the first view, such as dispositional essentialism or structural realism, are not the concern of this article. The article favours the Structural Humean approach over the classical Humean approach. The classical Humean approach is centred on the views of David Lewis and is concerned with distinguishing between laws of nature seen as accidental generalisations and regularities. While it tries to make such a distinction by constructing nature through a mosaic, the Structural Humean approach is an approach that develops Lewis’s claims and tries to shape nature with the concept of structure rather than mosaic. Thus, it is seen as an approach that provides more information than the Classical Humean approach in terms of creating a philosophical infrastructure for explaining nature in terms of modern physics. Through Psillos, Structural Humeanism tried to place the concept of natural pattern into the structure in order to gain metaphysical solidity and tried to bring the Structural Humean approach closer to the Structural Realism camp. Thus, the classically epistemologically important Humean approach has made a significant progress in positioning it on the realist wing. As a result of all these studies, the Structural Humean approach has been defended as a philosophical approach that offers useful arguments for modern physics compared to the Classical Humean approach. -/- Keywords: Humeanism, Regularity, Laws of Nature, Best System Account, Structural Humeanism, Natural Patterns. (shrink)

Johan van der Walt offers a modest conception of liberal democratic law as a groundless modus vivendi, while at the same time backing up this conception with an ambitious inquiry into the long history of Western metaphysics and the ways in which it shaped legal imagination. There are two main dimensions to my criticism of Van der Walt’s work, and they exactly divide between its modesty and ambition. I contend that the understanding of liberal democratic law as a modus vivendi (...) is too modest insofar as it avoids normative justification, whereas the philosophical storyline is too ambitious insofar as it amplifies the extent to which questions of legal and political theory are embedded in questions of ontology. (shrink)

XIX. yüzyılın ilk yarısında Auguste Comte tarafından sistemleştirilen pozitivizm akımı, deneye ve gözleme dayalı bilginin, tek geçerli bilgi türü olacağı varsayımından yola çıkan bir düşünce sistemidir. Pozitivizmi hazırlayan nedenlerin başında Fransız İhtilali ve aydınlanma düşüncesi yer almaktadır. Pozitivizmin Osmanlı düşüncesine girişi, devletin en buhranlı dönemini yaşadığı XIX. Yüzyıla denk gelir. Islahat hareketlerinin hız kazandığı, buna bağlı olarak batıcılık düşüncesinin iyiden iyiye hissedildiği bu yüzyılda, batı kaynaklı düşünce akımları da Osmanlı düşüncesinde kendilerine yer bulmaya başlamışlardır. Batılaşma çerçevesi içerisinde Fransa’ya gönderilen öğrenciler (...) ve tercüme eserler vasıtasıyla kendisini ortaya koyan pozitivizm, dönemin birçok düşünürünü etkilemiştir. Pozitivizmden etkilenen düşünürlerden birisi olarak Abdullah Cevdet, siyasi ve kültürel birçok alanda düşüncelerini bu doğrultuda dile getirmiştir. Cevdet’in düşünceleri başta yaşadığı dönem olmak üzere, kendisinden sonra da günümüze kadar ulaşmış ve pozitivist-materyalist cenahta kendisine yer bulmuştur. Halifelik müessesesini bünyesinde barındıran bir imparatorluk olarak Osmanlı’nın, pozitivist-materyalist görüşleri benimseme eğiliminde çok da istekli bir eğilim sergilemediği düşünülmektedir. Tüm eleştirilere ve kabullenememelere rağmen Abdullah Cevdet ve pozitivist fikirleri son dönem Osmanlı düşüncesinde sağladığı fikri dinamizm sebebiyle, düşünce dünyamız açısından olumlu bir etkiye sahip olmuştur. (shrink)

Objectives: Inferior oblique muscle overaction (IOOA) is a common ocular motility disorder. Ocular Vestibular Evoked Myogenic Potentials (oVEMP) are tests that evaluate the reflex pathway between the utricular macula and the inferior oblique muscle to detect vestibular diseases. Our study is of great importance as it is the first study in the literature to evaluate the effect of inferior oblique muscle overaction on oVEMP parameters. -/- Methods: Thirty-five patients with unilateral inferior oblique muscle overaction (IOOA group) and 18 healthy volunteers (...) without any neurological or vestibulocochlear disease were included in this study. All patients and healthy volunteers were evaluated with oVEMP. -/- Results: No statistically significant difference was found between the n1 latency, p1 latency, n1-p1 latency measurement values of the participants included in the study (p>0,05). A statistically significant difference was found between the n1-p1 amplitude measurement values of the participants in patient groups (non-squint eyes, squint eyes) and control groups (p-value was 0.038). -/- Conclusion: In IOOA patients, vestibulo-ocular reflex pathway may be affected, vestibular symptoms may develop thus o-VEMP responses may be affected. A careful anamnesis should be taken in IOOA patients, and it should be kept in mind that n1-p1 amplitudes and asymmetries may be significantly higher when o-VEMP is performed. (shrink)

Objective: The coronavirus disease 2019 (Covid-19) has significantly affected human health around the world, causing many complications. However, it is not fully understood how the body compositions of individuals affected in the short or long term after disease. In this study, we aimed to show the effects of Covid-19 on body composition and phase angle values, using Bioelectrical Impedance Analayser. -/- Methods: Subjects were selected from individuals in the 18-60 age group, who had survived COVID-19 disease. 33 individuals who had (...) survived it 1-3 months ago, and 30 individuals who had survived it 3-6 months ago were included in the study. -/- Results: Effects of COVID-19 on basal metabolism and body composition and the ratio of damaged cells in the body after the disease were determined. Basal metabolic rate, lean body mass, body cell mass, total body fluid, intracellular fluid, and phase angle values were found to be significantly changed in the 3-6 months range compared to that of 1-3 months. -/- Conclusion: These results indicate that the basal metabolism and body composition parameters of the body become better, and the proportion of damaged cells decreases as time goes on after suffering COVID-19, reaching values close to normal in 1-3 months and quite better values in 3-6 months. It can be concluded that, although covid-19 influences body composition parameters and cell integrity in survivors of Covid 19 disease, these effects are limited to 3-6 months. (shrink)

In this volume, leading philosophers of psychiatry examine psychiatric classification systems, including the Diagnostic and Statistical Manual of Mental Disorders, asking whether current systems are sufficient for effective diagnosis, treatment, and research. Doing so, they take up the question of whether mental disorders are natural kinds, grounded in something in the outside world. Psychiatric categories based on natural kinds should group phenomena in such a way that they are subject to the same type of causal explanations and respond similarly to (...) the same type of causal interventions. When these categories do not evince such groupings, there is reason to revise existing classifications. The contributors all question current psychiatric classifications systems and the assumptions on which they are based. They differ, however, as to why and to what extent the categories are inadequate and how to address the problem. Topics discussed include taxometric methods for identifying natural kinds, the error and bias inherent in DSM categories, and the complexities involved in classifying such specific mental disorders as "oppositional defiance disorder" and pathological gambling. -/- Contributors George Graham, Nick Haslam, Allan Horwitz, Harold Kincaid, Dominic Murphy, Jeffrey Poland, Nancy Nyquist Potter, Don Ross, Dan Stein, Jacqueline Sullivan, Serife Tekin, Peter Zachar. (shrink)

Normal 0 false false false EN-CA X-NONE X-NONE The purpose of this paper is to reconstruct Hilary Kornblith’s argument for excluding conceptual analysis from epistemological inquiry, and then provide three objections to it. More specifically, Kornblith argues that epistemological properties such as ‘knowledge’ reduce to natural kinds which can only be discovered and investigated using the a posteriori methods of the natural sciences. Thus, he continues, conceptual analysis can’t properly illuminate the target domain. The three objections to Kornblith’s argument which (...) I present are as follows: Multiple Realizeability, Psychological Explanation, Starting Points. On strength of these objections, I conclude that Kornblith’s brand of a posteriori epistemology both eliminates our ability to make epistemic evaluations in general, and also implies a strong form of scepticism. /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}. (shrink)

Primitive awareness leading to consciousness can be explained as a manifestation of internal forces between charge and mass. These internal forces, related to the weak and strong forces, balance the external forces of gravity-inertia and electricity-magnetism and thereby accommodate outside influences by adjusting the internal structure of material from which we are composed. Such accommodation is the physical implementation of a model of the external physical world and qualifies as Vitiello's double held inside ourselves. We experience this accommodation as the (...) conscious experience in front of our noses. Neural pulse traffic is interpreted as unconscious signal processing activity happening between this internal accommodation and our external interface of sensors and actuators. Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}. (shrink)