For decades, physicians, philosophers, theologians, lawyers, and the public considered brain death a settled issue. However, a series of recent cases in which individuals were declared brain dead yet physiologically maintained for prolonged periods of time has challenged the status quo. This signals a need for deeper reflection and reexamination of the underlying philosophical, scientific, and clinical issues at stake in defining death. In this paper, I consider four levels of philosophical inquiry regarding death: the ontological basis, actual states of (...) affairs, epistemological standards, and clinical criteria for brain death. I outline several candidates for the states of affairs that may constitute death, arguing that we should strive for a single, unified ontological definition of death as a loss of integrated functioning as a unified organism, while acknowledging that two states of affairs may satisfy this concept. I argue that the clinical criteria for determining whole-brain death should be bolstered to meet the epistemic demand of sufficient certainty in defining death by adding indicators of cerebro-somatic dis-integration to the traditional triad of loss of consciousness, loss of brainstem function, and absence of confounding explanations. (shrink)

The debate about the ontological innocence of mereology has generally been framed as a debate about the plausibility of Universal Fusion. Ontologically loaded fusions must be more than the sum of their parts, and this seems to violate parsimony if fusion is universal. Less attention has been paid to the question of what sort of emergence mereological fusions must exhibit if they are irreducible to their parts. The philosophy of science literature provides several models of such strong emergence. Examining those (...) models suggests that the difficulty with emergent fusions has at least as much to do with extensionality as it does with Universal Fusion. Some accounts of emergence fail to ensure irreducibility when combined with extensional mereologies. The most promising model for the strong emergence of ontologically loaded fusions fails to validate Anti-Symmetry, which naturally leads to failures of extensionality. These results suggest that the focus on Universal Fusion may have been misplaced. (shrink)

This article, the second of a two-part essay, outlines a solution to certain tensions in Thomist philosophical anthropology concerning the interaction of the human person’s immaterial intellectual or noetic operations with the psychosomatic sensory operations that are constituted from the formal organization of the nervous system. Continuing with where the first part left off, I argue that Thomists should not be tempted by strong emergentist accounts of mental operations that act directly on the brain, but should maintain, with Aquinas, that (...) noetic operations directly interact with psychosomatic operations. I develop a Thomist account of noetic–psychosomatic interactions that expands upon the first part’s rapprochement between the new mechanist philosophy of neuroscience and psychology and hylomorphic animalism. I argue that noetic–psychosomatic interactions are best understood as analogous to the way diverse higher and lower order psychosomatic powers interact by actualizing, coordinating, and directing the operations of other psychosomatic powers. I draw on James Ross’s arguments for the immateriality of intellectual operations as realizing definite pure functions in order to elucidate the way noetic operations uniquely actualize, coordinate, and direct the psychosomatic operations they interact with. I conclude with a conjectural sketch of how this presentation of Thomist philosophical anthropology understands the noetic and psychosomatic deficits brought about by damage to the nervous system. (shrink)

This article, the first of a two-part essay, presents an account of Aristotelian hylomorphic animalism that engages with recent work on neuroscience and philosophy of mind. I show that Aristotelian hylomorphic animalism is compatible with the new mechanist approach to neuroscience and psychology, but that it is incompatible with strong emergentism in the philosophy of mind. I begin with the basic claims of Aristotelian hylomorphic animalism and focus on its understanding of psychological powers embodied in the nervous system. Next, I (...) introduce the new mechanist approach to neuroscience and psychology and illustrate how it can enrich the more abstract ontological framework of Aristotelian hylomorphic animalism. In the third section of this article I establish in detail the many ways Aristotelian hylomorphic animalism is incompatible with strong emergentism in the philosophy of mind. Based on these fundamental differences I show why a criticism leveled against emergentism by the new mechanist philosophy does not hamper my proposed rapprochement between hylomorphism and the new mechanist philosophy. This conclusion, however, leaves untouched the problem I address in the second article, namely, is the new mechanist philosophy compatible with Aristotelian philosophical anthropology’s contention that intellectual operations are immaterial and interact with the psychosomatic operations of the rational animal? (shrink)

‘Critical realism’ is to some extent an equivocal term, although its ambiguity has rarely been noticed. The reason for this ambiguity is that the term has constantly been reinvented. Nevertheless, the identity of the label and many family resemblances between its uses allowed for a transfer of thought between these different, although similar concepts, bearing the same name. The purpose of this article is to highlight the similarities and differences between the Barbour family of critical realism in science and religion (...) and Roy Bhaskar's understanding of critical realism, and also to show the existing connections between both approaches. (shrink)

This article outlines a method of collaboration that will manifest a high probability of cumulative and progressive results in science. The method will accomplish this through a division of labour grounded in the order of occurrence of human cognitional operations. The following article explores the possibility of a method known as functional specialization, distinct tasks presently operative in neuroscience. Functional specialization will enhance collaboration within a science as well as initiate implementation of generalized empirical method. Implementation of generalized empirical method (...) will be achieved through the focus of individual specialties on specific mental operations. (shrink)

Applying Bernard Lonergan's (1957/1992, 1972) analysis of intentional consciousness and its concomitant epistemology, this paper highlights epistemological confusion in contemporary consciousness studies as exemplified mostly in David Chalmers's (1996) position. In ideal types, a first section outlines two epistemologies-sensate-modeled and intelligence-based-whose difference significantly explains the different positions. In subsequent sections, this paper documents the sensate-modeled epistemology in Chalmers's position and consciousness studies in general. Tellingly, this model of knowing is at odds with the formal-operational theorizing in twentieth-century science. This paper (...) then links this epistemology with functionalism and its focus on descriptive efficient causality in external behaviors and its oversight of explanatory formal causality; highlights the theoretical incoherence of the understanding of science in the functionalist approach; connects it with the construal of consciousness as primarily intentional (i.e., directed toward an object) to the neglect of consciousness as conscious (i.e., constituted by a non-objectified self-presence); and relates this outcome to the reduction of human consciousness to animal-like perception and mechanistic interactions. A brief conclusion summarizes these multiple, subtle, and interconnected considerations and suggests how only an intellectual epistemology would be adequate to the intellectual nature of human consciousness and the world of meaning, not of mere bodies, in which humans exist. (shrink)

The fundamental claim that the practice of medicine is essentially a moral enterprise remains highly contentious, not least among the dominant traditional moral theories. The medical profession itself is today characterized by multicultural pluralism and moral relativism that have left the Hippocratic moral tradition largely in disarray. In this paper, I attempt to clarify the ambiguity about practicing medicine as a moral enterprise and echo Pellegrino’s call for a phenomenologically and teleologically derived philosophy of medicine. I proffer a realistic trifocal (...) matrix in which the virtuous moral agency and the teleologically derived moral imperative of the physician are comprehensively integrated with an action-guiding practical analytical framework for the resolution of ethical dilemmas in medicine. I argue that this trifocal perspective points us towards an authentic philosophy of medicine that is not only verifiable through Lonerganian self-appropriation, but also authentically objective through the possible moral self-transcendence of the good physician. (shrink)

Nursing as a profession has a social mandate to contribute to the good of society through knowledge-based practice. Knowledge is built upon theories, and theories, together with their philosophical bases and disciplinary goals, are the guiding frameworks for practice. This article explores a philosophical perspective of nursing's social mandate, the disciplinary goals for the good of the individual and society, and one approach for translating knowledge into practice through the use of a middle-range theory. It is anticipated that the integration (...) of the philosophical perspective and model into nursing practice will strengthen the philosophy, disciplinary goal, theory, and practice links and expand knowledge within the discipline. With the focus on humanization, we propose that nursing knowledge for social good will embrace a synthesis of the individual and the common good. This approach converges vital and agency needs described by Hamilton and the primacy of maintaining the heritage of the good within the human species as outlined by Maritain. Further, by embedding knowledge development in a changing social and health care context, nursing focuses on the goals of clinical reasoning and action. McCubbin and Patterson's Double ABCX Model of Family Adaptation was used as an example of a theory that can guide practice at the community and global level. Using the theory-practice link as a foundation, the Double ABCX model provides practising nurses with one approach to meet the needs of individuals and society. The integration of theory into nursing practice provides a guide to achieve nursing's disciplinary goals of promoting health and preventing illness across the globe. When nursing goals are directed at the synthesis of the good of the individual and society, nursing's social and moral mandate may be achieved. (shrink)

In this article I analyse current efforts in cognitive neuroscience to explore the organic and cognitive processes involved in problem-solving. This analysis highlights a problem with assuming that cognitive processes can be wholly explained once one has explained organic processes. Reflection on scientific performance suggests how this problem can be evaded. This reflection on performance can also provide a paradigm for future neuroscientific research leading to a more detailed account of how brain locales and activities can be correlated with conscious (...) cognitive acts. (shrink)

Inter-religious education has become a major concern as globalization proceeds. To develop a satisfactory model for it remains a challenge. This article proposes a paradigm based on the notion of self-transcendence as articulated by the philosopher-theologian, Bernard Lonergan. The approach provides a standpoint where the learner achieves a level of freedom by which he/she is enabled to decide responsibly what religious or non-religious viewpoint to adopt.

In Deceit, Desire, and the Novel, René Girard interprets a phenomenon he dubs “metaphysical desire” in which “metaphysical” signifies objects of attraction that are not physical things but rather intangible bi-products of mimetic entanglement—such as prestige or fame or social status. These “metaphysical objects” fuel the sometimes frenzied rivalry between the actors in their grip. Desire in the mimetic theory is always subject to mediation, and Girard distinguishes two modes of mediation: external and internal. In external mediation, the model stands (...) outside the field of play of the imitator; in such cases there can be imitation but not the mutually amplified rivalry that leads to violence and scapegoating. In internal mediation, however, the model/imitators become antagonists. In Girard’s exposition, this difference between mediators provides a first litmus test of violent potential. But Girard’s dichotomy is limited to types of mediation, and another dichotomy is possible, one that distinguishes between types of metaphysical objects: those that are essentially sharable and those inherently not so. This extension of Girard’s mimetic theory can potentially cast great light on Plato’s dialogues. My essay will argue both that Plato understood the double-bind of mimetic entanglement and that his “forms” (at least in the ethical/political realm) can best be understood as metaphysical objects of the sharable kind. My points of reference will be primarily Plato’s Phaedrus and Book IX of the Republic (with pointers to Aristotle’s analysis of philia in Book VIII of the Nicomachean Ethics). (shrink)

According to the received view of scientific theories, a scientific theory is an axiomatic-deductive linguistic structure which must include some set of guidelines (“correspondence rules”) for interpreting its theoretical terms with reference to the world of observable phenomena. According to the semantic view, a scientific theory need not be formulated as an axiomatic-deductive structure with correspondence rules, but need only specify models which are said to be “isomorphic” with actual phenomenal systems. In this paper, I consider both the received and (...) semantic views as they bear on the issue of how a theory relates to the world (Section 1). Then I offer a critique of some arguments frequently put forth in support of the semantic view (Section 2). Finally, I suggest a more convincing “meta-methodological” argument (based on the thought of Bernard Lonergan) in favor of the semantic view (Section 3). (shrink)

This article initially discusses reasons why Freud researchers turn to critical realism since this is what led me to compare causality in the two traditions in the first place. Three arguments on causality follow. First, it is argued that Freud's analyses of unconscious processes merit closer attention by critical realists, focusing on the relation between causal unconscious processes and rationality, and causal unconscious processes and social change. It may be objected that this does not concern the discussion of causality proper, (...) to which I would reply that what we consider to be causally efficacious ultimately is relevant to our conception of causality. The second argument, which is the centrepiece, outlines Freud's conception of causality, his idea of overdetermination and his treatment of motives and reasons as causes. His notions of causality are compared to those of critical realism. Freud's idea of retroactive causality is discussed in relation to delayed causality in critical realism and the idea of disembedded space-time components. Finally, Freud's concept of determinism and the related concepts of repetition and chance are discussed and compared to ubiquity determinism in critical realism and the distinctions between causal and non-causal correlations and necessary and accidental sequences of events. While the first argument concerns presuppositions for the discussion of causality in psychoanalysis and its relevance for critical realism, the third concerns implications and/or applications of the two views on causality. It is my contention that the second argument needs to be placed in context of the other two in order for the two conceptions of causality to be understood adequately and most revealingly compared. (shrink)

A scientist (for whom the world is the universe) and a theologian (for whom the world is planet Earth) engage in dialogue, not contrived Platonic or Galilean dialogue, but true bidisciplinary dialogue that strives for higher viewpoint. S: Is the preservation of the human species a primary human responsibility? T: It may be a responsibility we share with God. S: The human species has a limited future if confined to the planet Earth. We must diversify our habitat by colonizing space. (...) T: We are responsible for other life on the planet as well. The discussants conclude that besides protecting Earth ecologies, we should create new ecologies in space. (shrink)

Despite the by now historical tendency to demarcate scientific epistemology sharply from virtually all others, especially theological “epistemology,” it has recently been recognized that both enterprises share a great deal in common, at least as far as the epistemology of discovery is implicated. Such a claim is founded upon a psychological analysis of figuration, where, it is argued, metaphor plays a crucial role in the mediation of discovery, in the domains of science and religion alike. Thus, although the conventionally conceived (...) scientific method is crucial to the enterprise, primacy must nonetheless be accorded to discovery, which drives virtually all disciplines. (shrink)

The tension that many early scientists experienced between a reliance on religious tradition as a source of truth and scientific methodology as a guide to truth eventually led to a clash between theists who claimed that the existence of the universe required a creator and non-theists, who insisted that recourse to a creator to explain why there is something perverts scientific methodology. The present paper defends the position that physics and its foreseeable cosmological extensions neither requires nor excludes either opposed (...) contention. Each has the status of an inference to the best explanation. This is developed in three stages. The first uses historical analysis to support the claim that the advancement of physics and cosmology do not rely on an appeal to supernatural forces. The second explains inference to the best explanation. The third shows how this accommodates these conflicting claims. An appendix examines an influential argument that the intelligibility of the universe requires a creator. (shrink)

The status of risk factors and disease remains a disputed question in the theory and practice of medicine and healthcare, and so does the related question of delineating disease boundaries. I present a framework based on Bernard Lonergan’s account of emergent probability for differentiating (1) generically distinct levels of systematic function within organisms and between organisms and their environments and (2) the methods of functional, genetic, and statistical investigation. I then argue on this basis that it is possible to understand (...) disease in terms of biological or higher intra-level dysfunction, risk factors—including genetic risk factors—in terms of statistical inter-level conditioning of a given stage or developmental sequence of systematic functioning, and the empirical boundaries of disease in terms of the limits of both functional categorization (from an epistemic standpoint) and upper-level integration of lower-level processes and events (from an ontological standpoint). (shrink)

Expert nurses, as described by the work of Patricia Benner, are at the peak of clinical nursing practice and vitally important in ensuring the best possible patient care and clinical outcomes. The development of Benner's theory and its relationship with the Dreyfus model of skill acquisition provides context for understanding the progression necessary for expert development. Contemporary healthcare challenges present implications to the development of advancing levels of nursing practice. Engagement has been identified as critical to achieving expert practice. I (...) propose the incorporation of the philosophical framework of self‐appropriation from Benard Lonergan as a strategy to develop internal engagement in nurses to facilitate expert practice. I outline the synergy between Benner's theory and the work of Lonergan, which provide overlap and opportunity to overcome barriers to developing expert nursing practice. In the challenging climate of healthcare, there is an obligation to promote engagement and facilitate expert nurse development, necessary for patient outcomes as well as clinical role models, preceptors, and leaders to guide future nurses. (shrink)

This paper explores whether human proactivity can be considered an expression of free will. The discussion involves two paradigms, which are mutually complementary and encompass psychological proactivity and reactivity. Both paradigms raise the question of linear and non-linear determinism, which inevitably leads to the issue of free will. The analysis attempts to find a compromise between linear and non-linear determinism through the approach of human dialectical complexity (Lebed & Bar-Eli, 2013). This refers to the relationships of two types of complex (...) subsystems within a human: the perceptual-motor dynamic system (PMDS), which is mostly determined by linear impacts and expressed through reactive behavior, and the “free-will”11. The authors employ the term “free will” in a metaphorical sense and do not put forth philosophical arguments for this consideration. complex system (FCS), which is mostly determined by non-linear redundant determinism and expressed through proactive dynamics. In summary, it is concluded that there cannot be a categorical assertion of the permanent existence of free will in human functioning. The human dialectical complexity expressed by both proactivity and reactivity causes the “floating” presence of free will depending on the prevalence of proactive control factors and the non-linear determination of a living human system. (shrink)