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What Pain Asymbolia Really Shows

Mind 124 (494):493-516 (2015)

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  1. Is pain asymbolia a deficit or a syndrome? Historical reflections on an ongoing debate.Colin Klein & Alexandre Duval - 2023 - Belgrade Philosophical Annual 36 (2):41-57.
    Nikola Grahek's influential book Feeling Pain and Being in Pain introduced philosophers to the strange phenomenon of pain asymbolia. Subsequent philosophical debate around asymbolia has been partly taxonomic: the deep question is whether it is best understood as a specific neurological deficit or part of a broader syndrome. This paper looks to the history of asymbolia, positioning the origin of the term within broader historical trends. It shows that strange phenomena about pain and motivation have always presented interpretive challenges, and (...)
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  • Grahek-style imperativism.Manolo Martinez - 2023 - Belgrade Philosophical Annual 36 (2):59-70.
    I explore some of the connections between Grahek's model of asymbolic pain, as developed in Feeling Pain and Being in Pain, and the contemporary intentionalist discussion over evaluativist and imperativist models of pain. I will sketch a Grahekian version of imperativism that is both true to his main insights and better at confronting some of the challenges that his theory has faced since its publication.
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  • Representation and Regulation in Emotional Theory.Philip Gerrans - 2024 - Journal of Philosophy of Emotion 5 (2):36-43.
    The case of pain asymbolia is a case study that provides evidence of the mechanisms underlying the relationship between bodily experience, affective experience, and self-awareness. On one account pain asymbolia is the result of an affective deficit. Sensory signals of bodily damage are not associated with characteristic negative affect. Cochrane endorses this account as part of his version of a “conceptual act” theory of affective experience. In contrast, I propose an active inference account of affect in general and pain asymbolia (...)
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  • Metaethical Experientialism.Andrew Y. Lee - forthcoming - In Geoffrey Lee & Adam Pautz (eds.), The Importance of Being Conscious. Oxford University Press.
    I develop and defend "metaethical experientialism," the thesis that phenomenal facts explain certain kinds of value facts. I argue, for example, that anyone who knows what it’s like to feel extreme pain is in a position to know that that kind of experience is bad. I argue that metaethical experientialism yields genuine counterexamples to the principle that no ethical conclusion can be derived from purely descriptive premises. I also discuss the prospects for a pluralistic metaethics, whereby different metaethical theories hold (...)
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  • Digital suffering: why it's a problem and how to prevent it.Bradford Saad & Adam Bradley - 2022 - Inquiry: An Interdisciplinary Journal of Philosophy.
    As ever more advanced digital systems are created, it becomes increasingly likely that some of these systems will be digital minds, i.e. digital subjects of experience. With digital minds comes the risk of digital suffering. The problem of digital suffering is that of mitigating this risk. We argue that the problem of digital suffering is a high stakes moral problem and that formidable epistemic obstacles stand in the way of solving it. We then propose a strategy for solving it: Access (...)
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  • History of Serbian Philosophy. Essays and contributions IV.Irina Deretić & Aleksandar Kandić (eds.) - 2019 - Faculty of Philosophy University of Belgrade.
    Зборници Историја српске филозофије. Прилози истраживању представљају главни резултат рада на пројекту „Историја српске филозофије“ (евиденциони број 179064) који од 2011. године подржава Министарство просвете, науке и технолошког развоја Републике Србије. Пројекат, чији је носилац Филозофски факултет Универзитета у Београду, успешно се реализује у сарадњи са готово десет научно-истраживачких институција широм земље, укључујући и Аутономну Покрајину Косово и Метохија. Иако је првобитно планирано да пројекат траје само четири године, он се тренутно налази у десетој години постојања, а уз то је (...)
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  • Drug-Induced Alterations of Bodily Awareness.Raphaël Millière - 2022 - In Adrian J. T. Alsmith & Andrea Serino (eds.), The Routledge Handbook of Bodily Awareness. Routledge.
    Philosophical and empirical research on bodily awareness has mostly focused so far on bodily disorders – such as anorexia nervosa, somatoparaphrenia, or xenomelia (body integrity dysphoria) – and bodily illusions induced in an experimental setting – such as the rubber hand illusion, or the thermal grid illusion. Studying these conditions can be illuminating to investigate a broad range of issues about the nature, function, and etiology of bodily experience. However, a number of psychoactive compounds can also induce a remarkably wide (...)
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  • A case of shared consciousness.Tom Cochrane - 2020 - Synthese 199 (1-2):1019-1037.
    If we were to connect two individuals’ brains together, how would this affect the individuals’ conscious experiences? In particular, it is possible for two people to share any of their conscious experiences; to simultaneously enjoy some token experiences while remaining distinct subjects? The case of the Hogan twins—craniopagus conjoined twins whose brains are connected at the thalamus—seems to show that this can happen. I argue that while practical empirical methods cannot tell us directly whether or not the twins share conscious (...)
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  • Pain, Amnesia, and Qualitative Memory: Conceptual and Empirical Challenges.Sabrina Coninx - 2020 - Journal of Consciousness Studies 27 (11-12):126-133.
    Barbara Montero considers whether or not we are able to remember what pain feels like. In order to properly answer this question, she introduces a new type of memory called 'qualitative memory', which seems common to exteroceptive sensations. Having concluded that there is arguably no qualitative memory for pain and other bodily sensations, Montero considers possible philosophical implications for areas including rational choice-making and empathy. In addressing the relationship between pain and memory, the paper raises an issue that has not (...)
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  • The badness of pain.Gwen Bradford - 2020 - Utilitas 32 (2):236-252.
    Why is pain bad? The most straightforward theory of pain's badness,dolorism, appeals to the phenomenal quality of displeasure. In spite of its explanatory appeal, the view is too straightforward to capture two central puzzles, namely pain that is enjoyed and pain that is not painful. These cases can be captured byconditionalism, which makes the badness of displeasure conditional on an agent's attitude. But conditionalism fails where dolorism succeeds with explanatory appeal. A new approach is proposed,reverse conditionalism, which maintains the explanatory (...)
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  • The unpleasantness of pain.Abraham Sapien - 2018 - Dissertation,
    In this thesis I provide an account of the unpleasantness of pain. In doing this, I shed light on the nature of pain and unpleasantness. I propose to understand the unpleasantness of pain based on the determinable-determinate distinction. Unpleasantness is a determinable phenomenal property of mental states that entails badness. I propose that an unpleasant pain experience has two phenomenal properties: i) the phenomenal property of being a pain, and ii) a phenomenal determinate property (u1, u2, u3, etc.) of the (...)
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  • The Feeling of Bodily Ownership.Adam Bradley - 2019 - Philosophy and Phenomenological Research (2):359-379.
    In certain startling neurological and psychiatric conditions, what is ordinarily most intimate and familiar to us—our own body—can feel alien. For instance, in cases of somatoparaphrenia subjects misattribute their body parts to others, while in cases of depersonalization subjects feel estranged from their bodies. These ownership disorders thus appear to consist in a loss of any feeling of bodily ownership, the felt sense we have of our bodies as our own. Against this interpretation of ownership disorders, I defend Sufficiency, the (...)
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  • The Microstructure of Experience.Andrew Y. Lee - 2019 - Journal of the American Philosophical Association 5 (3):286-305.
    I argue that experiences can have microphenomenal structures, where the macrophenomenal properties we introspect are realized by non-introspectible microphenomenal properties. After explaining what it means to ascribe a microstructure to experience, I defend the thesis against its principal philosophical challenge, discuss how the thesis interacts with other philosophical issues about experience, and consider our prospects for investigating the microphenomenal realm.
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  • The unpleasantness of pain.Abraham Sapién-Córdoba - 2018 - Dissertation, University of Glasgow
    Pain is unpleasant. Given that pain is the paradigmatic example of an unpleasant experience, I aim to shed light on what pain and unpleasantness are by trying to understand what it means for a pain to be unpleasant, what the structure of unpleasantness is, and by tackling several problematic aspects of the relation between pain and unpleasantness. By doing this, I will also provide a general account of what it means for an experience that might not be a pain to (...)
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  • Evaluativist Accounts of Pain's Unpleasantness.David Bain - 2017 - In Jennifer Corns (ed.), The Routledge Handbook of Philosophy of Pain. New York: Routledge. pp. 40-50.
    Evaluativism is best thought of as a way of enriching a perceptual view of pain to account for pain’s unpleasantness or painfulness. Once it was common for philosophers to contrast pains with perceptual experiences (McGinn 1982; Rorty 1980). It was thought that perceptual experiences were intentional (or content-bearing, or about something), whereas pains were representationally blank. But today many of us reject this contrast. For us, your having a pain in your toe is a matter not of your sensing “pain-ly” (...)
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  • Why Take Painkillers?David Bain - 2019 - Noûs 53 (2):462-490.
    Accounts of the nature of unpleasant pain have proliferated over the past decade, but there has been little systematic investigation of which of them can accommodate its badness. This paper is such a study. In its sights are two targets: those who deny the non-instrumental disvalue of pain's unpleasantness; and those who allow it but deny that it can be accommodated by the view—advanced by me and others—that unpleasant pains are interoceptive experiences with evaluative content. Against the former, I argue (...)
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  • The Double Intentionality of Emotional Experience.Tom Cochrane - 2017 - European Journal of Philosophy 25 (4):1454-1475.
    I argue that while the feeling of bodily responses is not necessary to emotion, these feelings contribute significant meaningful content to everyday emotional experience. Emotional bodily feelings represent a ‘state of self’, analysed as a sense of one's body affording certain patterns of interaction with the environment. Recognising that there are two sources of intentional content in everyday emotional experience allows us to reconcile the diverging intuitions that people have about emotional states, and to understand better the long-standing debate between (...)
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  • Pains that Don't Hurt.David Bain - 2014 - Australasian Journal of Philosophy 92 (2):305-320.
    Pain asymbolia is a rare condition caused by brain damage, usually in adulthood. Asymbolics feel pain but appear indifferent to it, and indifferent also to visual and verbal threats. How should we make sense of this? Nikola Grahek thinks asymbolics’ pains are abnormal, lacking a component that make normal pains unpleasant and motivating. Colin Klein thinks that what is abnormal is not asymbolics’ pains, but asymbolics: they have a psychological deficit making them unresponsive to unpleasant pain. I argue that an (...)
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  • Weakness of will and motivational internalism.Voin Milevski - 2017 - Philosophical Psychology 30 (1-2):44-57.
    The unconditional version of motivational internalism says that if an agent sincerely judges that to φ in circumstances C is the best option available to her, then, as a matter of conceptual necessity, she will be motivated to φ in C. This position faces a powerful counterargument according to which it is possible for various cases of practical irrationality to completely defeat an agent’s moral motivation while, at the same time, leaving her appreciation of her moral reasons intact. In this (...)
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  • Reasons and Theories of Sensory Affect.Murat Aydede & Matthew Fulkerson - 2018 - In David Bain, Michael Brady & Jennifer Corns (eds.), Philosophy of Pain. London: Routledge. pp. 27-59.
    Some sensory experiences are pleasant, some unpleasant. This is a truism. But understanding what makes these experiences pleasant and unpleasant is not an easy job. Various difficulties and puzzles arise as soon as we start theorizing. There are various philosophical theories on offer that seem to give different accounts for the positive or negative affective valences of sensory experiences. In this paper, we will look at the current state of art in the philosophy of mind, present the main contenders, critically (...)
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  • The Two Selves: Their Metaphysical Commitments and Functional Independence.Stan Klein - 2014 - Oxford University Press.
    The Two Selves takes the position that the self is not a "thing" easily reduced to an object of scientific analysis. Rather, the self consists in a multiplicity of aspects, some of which have a neuro-cognitive basis (and thus are amenable to scientific inquiry) while other aspects are best construed as first-person subjectivity, lacking material instantiation. As a consequence of their potential immateriality, the subjective aspect of self cannot be taken as an object and therefore is not easily amenable to (...)
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  • Disinterested Pleasure and Beauty: Perspectives from Kantian and Contemporary Aesthetics.Larissa Berger (ed.) - 2023 - Boston: De Gruyter.
    The conception of disinterested pleasure is not only central to Kant’s theory of beauty but also highly influential in contemporary philosophical discourse about beauty. However, it remains unclear, what exactly disinterested pleasure is and what role it plays in experiences of beauty. This volume sheds new light on the conception of disinterested pleasure from the perspectives of both Kant scholarship and contemporary aesthetics. In the first part, the focus is on Kant’s theory of beauty as grounded on the conception of (...)
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  • Neo-Cartesianism and the expanded problem of animal suffering.Phil Halper, Kenneth Williford, David Rudrauf & Perry N. Fuchs - 2023 - International Journal for Philosophy of Religion 94 (2):177-198.
    Several well-known theodicies, whatever their merits, seem to make little sense of animal suffering. Here we argue that the problem of animal suffering has more layers than has generally been acknowledged in the literature and thus poses an even greater challenge to traditional Judeo-Christian Theism than is normally thought. However, the Neo-Cartesian (NC) defence would succeed in defanging this Expanded Problem of Animal Suffering. Several contemporary philosophers have suggested that recent evidence either supports the NC view or at least should (...)
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  • Subjectivists Should Say Pain Is Bad Because of How It Feels.Jennifer Hawkins - 2022 - Midwest Studies in Philosophy 46:137-164.
    What is the best way to account for the badness of pain and what sort of theory of welfare is best suited to accommodate this view? I argue that unpleasant sensory experiences are prudentially bad in the absence of contrary attitudes, but good when the object of positive attitudes. Pain is bad unless it is liked, enjoyed, valued etc. Interestingly, this view is incompatible with either pure objectivist or pure subjectivist understandings of welfare. However, there is a kind of welfare (...)
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  • Passé Pains.Ben Bramble - 2022 - Midwest Studies in Philosophy 46:21-32.
    Why are pains bad for us? A natural answer is that it is just because of how they feel (or their felt-qualities). But this answer is cast into doubt by cases of people who are unbothered by certain pains of theirs. These pains retain their felt-qualities, but do not seem bad for the people in question. In this paper, I offer a new response to this problem. I argue that in such cases, the pains in question have become “just more (...)
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  • Awful noises: evaluativism and the affective phenomenology of unpleasant auditory experience.Tom Roberts - 2020 - Philosophical Studies 178 (7):2133-2150.
    According to the evaluativist theory of bodily pain, the overall phenomenology of a painful experience is explained by attributing to it two types of representational content—an indicative content that represents bodily damage or disturbance, and an evaluative content that represents that condition as bad for the subject. This paper considers whether evaluativism can offer a suitable explanation of aversive auditory phenomenology—the experience of awful noises—and argues that it can only do so by conceding that auditory evaluative content would be guilty (...)
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  • Not Only a Messenger: Towards an Attitudinal‐Representational Theory of Pain.Hilla Jacobson - 2018 - Philosophy and Phenomenological Research 99 (2):382-408.
    The main goal of this paper is to present a theory of the most salient aspect of the phenomenal character of pain – namely, the painfulness of pain or its negative affective quality. This task involves developing an account of the evaluative structure of pain, according to which painfulness is constituted by a frustrated conative attitude that is directed towards the bodily condition the obtaining of which the pain represents. The argument for the proposed Attitudinal-Representational Theory of Pain proceeds by (...)
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  • Conscious Thought and the Cognitive Fine-Tuning Problem.Philip Goff - 2018 - Philosophical Quarterly 68 (270):98-122.
    Cognitive phenomenalism is the view that occurrent thoughts are identical with, or constituted of, cognitive phenomenology. This paper raises a challenge for this view: the cognitive fine-tuning problem. In broad brushstrokes the difficulty is that, for the cognitive phenomenalist, there is a distinction between three kinds of fact: cognitive phenomenal facts, sensory phenomenal facts, and functional facts. This distinction gives rise to the challenge of explaining why, in actuality, these three phenomena tend to be matched together in ways that respect (...)
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  • Pain (Oxford Bibliographies Online).David Bain - 2015 - Oxford Bibliographies Online.
    Philosophers think of pain less and less as a paradigmatic instance of mentality, for which they seek a general account, and increasingly as a rich and fruitful topic in its own right. Pain raises specific questions: about mentality and consciousness certainly, but also about embodiment, affect, motivation, and value, to name but a few. The growth of philosophical interest in pain has gone hand-in-hand with the growth of pain science, which burgeoned in the 1960s. This is no accident: developments in (...)
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  • Pain and Bodily Care: Whose Body Matters?Frederique de Vignemont - 2015 - Australasian Journal of Philosophy 93 (3):542-560.
    Pain is unpleasant. It is something that one avoids as much as possible. One might then claim that one wants to avoid pain because one cares about one's body. On this view, individuals who do not experience pain as unpleasant and to be avoided, like patients with pain asymbolia, do not care about their body. This conception of pain has been recently defended by Bain [2014] and Klein [forthcoming]. In their view, one needs to care about one's body for pain (...)
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  • A Contemporary Account of Sensory Pleasure.Murat Aydede - 2018 - In Lisa Shapiro (ed.), Pleasure: A History. New York, NY: Oxford University Press, Usa. pp. 239-266.
    [This is the penultimate version, please send me an email for the final version]. Some sensations are pleasant, some unpleasant, and some are neither. Furthermore, those that are pleasant or unpleasant are so to different degrees. In this essay, I want to explore what kind of a difference is the difference between these three kinds of sensations. I will develop a comprehensive three-level account of sensory pleasure that is simultaneously adverbialist, functionalist and is also a version of a satisfied experiential-desire (...)
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  • Depersonalization Disorder, Affective Processing and Predictive Coding.Philip Gerrans - 2019 - Review of Philosophy and Psychology 10 (2):401-418.
    A flood of new multidisciplinary work on the causes of depersonalization disorder provides a new way to think about the feeling that experiences “belong” to the self. In this paper I argue that this feeling, baptized “mineness” or “subjective presence” : 565–573, 2013) emerges from a multilevel interaction between emotional, affective and cognitive processing. The “self” to which experience is attributed is a predictive model made by the mind to explain the modulation of affect as the organism progresses through the (...)
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  • The Structure of Unpleasantness.Abraham Sapién - 2020 - Review of Philosophy and Psychology 11 (4):805-830.
    A fair amount of the philosophical discussion about pain and unpleasantness has focused on providing a constitutive account of unpleasantness. These theories provide a more fundamental description of what unpleasantness is by appealing to other well-established notions in the architecture of the mind. In contrast, I address the nature of unpleasantness from a structural account. I will argue for how unpleasantness is built, rather than what unpleasantness is made of, as it were. I focus on the heterogeneity of experience, which (...)
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  • Pain, Care, and the Body: A Response to de Vignemont.Colin Klein - 2017 - Australasian Journal of Philosophy 95 (3):588-593.
    Frédérique de Vignemont argues on the basis of several empirical counterexamples that Bain and Klein are wrong about the relationship between pain and bodily care. I argue that the force of the putative counterexamples is weak. Properly understood, the association between pain and care is preserved in a way that is consistent with both de Vignemont's own views and the empirical facts.
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  • Replies to Hatzimoysis, Hufendiek and Sievers, Majeed, Gerrans, and Whiting.Tom Cochrane - 2024 - Journal of Philosophy of Emotion 5 (2):52-61.
    The concerns of each commentary are addressed in turn. I clarify and defend the claims of The Emotional Mind with regards to the plausibility of automatic responses to representational content, the distinction between emotions and bodily feelings, the influence of social contexts upon emotional responses, the complex issue of whether emotions are modular or form natural kinds, the nature of pain asymbolia, and the nature of emotional authenticity.
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  • Transparency About Painkillers: A Remedy for the Evaluativist's Headache.Jonathan A. Simon - 2019 - Pacific Philosophical Quarterly 100 (4):935-951.
    The paradox of pain is that pain is in some ways like a bodily state and in other ways like a mental state. You can have a pain in your shin, but there is no denying that you are in pain if it feels like you are. How can a state be both in your shin and in your mind? Evaluativism is a promising answer. According to evaluativism, an experience of pain in your shin represents that there is a disturbance (...)
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  • Pain Asymbolia as Depersonalization for Pain Experience. An Interoceptive Active Inference Account.Philip Gerrans - 2020 - Frontiers in Psychology 11.
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  • The notorious neurophilosophy of pain: A family resemblance approach to idiosyncrasy and generalizability.Sabrina Coninx - 2021 - Mind and Language 38 (1):178-197.
    Pain continues to be one of the most controversial subjects in neurophilosophy. One focus of current debates is the apparent absence of an ideal brain‐based biomarker that could function as a coherent and distinct indicator for pain. One prominent reaction to this in the philosophical literature is scientific pain eliminativism. In this article, I argue for a non‐eliminative alternative that builds on family resemblances and provides a useful heuristic in the tradeoff between the idiosyncrasy of the neural processes corresponding to (...)
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  • The argument from moral psychology.Voin Milevski - 2015 - Belgrade Philosophical Annual 28 (28):113-126.
    The argument from moral psychology is one of the strongest arguments that non-cognitivists use against cognitivism-the metaethical position according to which our moral judgements express beliefs. According to this argument, once we put together the Humean theory of motivation and motivational internalism, we yield the conclusion that cognitivism cannot represent the correct view about the semantic function of moral discourse. I will first attempt to show that a neurological syndrome, called pain asymbolia (a rare condition caused by lesions to the (...)
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  • Affective experience in the predictive mind: a review and new integrative account.Pablo Fernandez Velasco & Slawa Loev - 2020 - Synthese 198 (11):10847-10882.
    This paper aims to offer an account of affective experiences within Predictive Processing, a novel framework that considers the brain to be a dynamical, hierarchical, Bayesian hypothesis-testing mechanism. We begin by outlining a set of common features of affective experiences that a PP-theory should aim to explain: feelings are conscious, they have valence, they motivate behaviour, and they are intentional states with particular and formal objects. We then review existing theories of affective experiences within Predictive Processing and delineate two families (...)
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  • (1 other version)Recent Work on Pain.Jennifer Corns - 2018 - Analysis 78 (4):737-753.
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