In this paper we offer an appreciation and critique of patient-led care as expressed in current policy and practice. We argue that current patient-led approaches hinder a focus on a deeper understanding of what patient-led care could be. Our critique focuses on how the consumerist/citizenship emphasis in current patient-led care obscures attention from a more fundamental challenge to conceptualise an alternative philosophically informed framework from where care can be led. We thus present an alternative interpretation of patient-led care that we (...) call ‘lifeworld-led care’, and argue that such lifeworld-led care is more than the general understanding of patient-led care. Although the philosophical roots of our alternative conceptualisation are not new, we believe that it is timely to re-consider some of the implications of these perspectives within current discourses of patient-centred policies and practice. The conceptualisation of lifeworld-led care that we develop includes an articulation of three dimensions: a philosophy of the person, a view of well-being and not just illness, and a philosophy of care that is consistent with this. We conclude that the existential view of well-being that we offer is pivotal to lifeworld-led care in that it provides a direction for care and practice that is intrinsically and positively health focused in its broadest and most substantial sense. (shrink)

In their recent debate, Hubert Dreyfus rejects John McDowell’s claim that perception is permeated with "mindedness" and argues instead that ordinary embodied coping is largely "nonconceptual." This argument has important, yet largely unacknowledged consequences for normative social theory, which this article demonstrates through a critique of Charles Taylor’s Verstehen thesis. If Dreyfus is right that "the enemy of expertise is thought," then Taylor is denied his defense against charges of relativism, which is that maximizing the interpretive clarity of social practices (...) unequivocally makes for better practices. Verstehen social theory, I argue, must consider both the gains and losses of the attempt to make the meaning of our practices explicit. (shrink)

This paper attempts to clarify Merleau-Ponty’s later work by tracing a hitherto overlooked set of concerns that were of key consequence for the formulation of his ontological research. I argue that his ontology can be understood as a response to a set of problems originating in reflections on the intersubjective use of language in dialogue, undertaken in the early 1950s. His study of dialogue disclosed a structure of meaning-formation and pointed towards a theory of truth (both recurring ontological topics) that (...) post-Phenomenology premises could not account for. A study of dialogue shows that speakers’ positions are interchangeable, that speaking subjects are active and passive in varying degrees, and that the intentional roles of subjects and objects are liable to shift or ‘transgress’ themselves. These observations anticipate the concepts of ‘reversibility’ and ‘narcissism’, his later view of activity and passivity, and his later view of intentionality, and sharpened the need to adopt an intersubjective focus in ontological research. (shrink)

Enactivist accounts of language use generally treat concrete words in terms of motor intentionality systems and affordances for action. There is less consensus, though, regarding how abstract words are to be understood in enactivist terms. I draw on Merleau-Ponty’s later philosophy to argue, against the representationalist paradigm that has dominated the cognitive scientific and philosophical traditions, that language is fundamentally a mode of participation in our world. In particular, language orients us within our milieus in a manner that extends into (...) the depth of the idea-endowed world. This conceptualization of language allows us to see that abstract words orient us bodily just as surely as concrete words do, albeit in a manner that is more diffuse across the entirety of given situations, as I will show with an example of abstract language use in Don DeLillo’s novel Underworld. These insights are applied to some of the recent enactivist discourse to suggest some ways in which representationalism maintains a latent presence in this discourse. I conclude by pointing to developments in conceptual metaphor theory that can enrich our sense of how abstract language is involved in embodied understanding. (shrink)

This paper explores the problem of how we perceive built space and the ways that we relate to its abstract representations. Poincaré presented the problem that space poses for the 20th century in his essay ‘The Relativity of Space’, in which the human body and technics are already a part of our spatial perceptions. Merleau-Ponty, the “philosopher of the body”, and Don Ihde, a philosopher of technology, ground their work on the phenomenology of Edmund Husserl and Martin Heidegger (to different (...) degrees). For Merleau-Ponty, our primordial perception is general, pre-reflective, and ambiguous. One’s own body (body-subject) is the means of having an already inter-subjective world. Merleau-Ponty explicates our irreducible relation to the world by showing that bodily motility, the spatiality of one’s body, and habit acquisition inform our spatial experiences, as well as the syntheses of our perceptions and the unity of the world. Merleau-Ponty describes the constitution of embodiment relations (by means of habit acquisition) with artefacts that mediate our interaction and perceptions in the world. Ihde poses his intentional human-technology (artefactual) relations that transform our perceptions of the world and ourselves. These relations are ever-present in our everyday lifeworld of which built space forms the background or foreground of our projects and actions. In this paper, I provide a phenomenological explication of a specific space to test how both philosophers’ work compare to and/or supplement each other. (shrink)

In an essay published in 1918, Walter Benjamin sets forth a task that will concern him for the rest of his life: The task of a future epistemology is to find for knowledge the sphere of total neutr...

This paper attempts to draw out the political import of Merleau-Ponty’s ontology of the flesh, by engaging the critique levelled against it by his student and literary executor Claude Lefort. In suggesting a tension in Merleau-Ponty’s work that obscures alterity, Lefort seems to miss the rich political import of Merleau-Ponty’s ontology of the flesh. Founded in his development of the concepts of écart and reversibility, Merleau-Ponty’s ontological position breaks with many of the standard tenets of political thinking, and offers a (...) multifaceted conception of alterity. I will suggest that Lefort’s own claim to alterity buckles under the immanent weight of his critique of Merleau-Ponty, offering at best a conception of otherness limited to a self-relational non-identity. This conception ultimately fails to adequately consider the relations existing between different beings-in-the-world. In thinking being as flesh, Merleau-Ponty offers us an ethico-political optic that attempts to think alterity and ontology in a manner that unhinges us from our closed and autonomous being, opening us to the world, others and to the non-identical becoming that characterizes being as such. (shrink)

Analyses of religious and cultural perspectives on the use of force continue to receive criticism for questionable motives, for insufficient holism, and for exaggerating uniqueness. Claims of recurrent problems educe consideration of interdisciplinary proposals designed to resolve related challenges. Thought together, some suggest that a transversal research program into ethical orientations toward war can facilitate fair and rigorous exploration of crosscultural similarities and differences. Tentative findings emphasizing textual precepts indicate some resonance amid diversity across eleven ethical frameworks including Western just (...) war thinking. Maximizing relevance depends upon expanding the range of orientations and practices studied. Future results might be integrated with knowledge about the influence of other variables to more completely capture the phenomenon of making judgments regarding the use of force in all its manifestations. (shrink)

The main aim of shamanic initiation among the Yanomami people of the Upper Orinoco River region in Venezuela is the metamorphosis of the human body into a cosmic body, or what I term "corporeal cosmogenesis." During the initiatory ordeal, the neophyte undergoes an intense experience of death through dismemberment by the spirits and subsequent rebirth, thus overcoming the human condition and becoming an individual living spirit. But, at the same time, he becomes a "collection" of other spirits who leave their (...) natural habitats—located on the mountaintops and in the forest—and move into the initiate's body, which becomes their abode. As the candidate surrenders his soul and humanness to the spirits, the latter become his personal allies and sources of power while imbuing the shaman's postmortem ego with certain properties that can best be described in holographic terms. After the shaman's biological death, his personal spirits become disembodied again and disperse back into the forest and on the mountaintops. When the shaman dies, his soul multiplies, as each of the disembodied spirits becomes a carrier of the shaman's soul image. In this way, through initiations, the shaman becomes a part of a dynamic cosmic circuity, as his hekura can be called upon to invade the bodies of new shamans, and start a cosmogonic initiatory act anew. (shrink)

In his later works, Merleau-Ponty proposes the notion of ‘the flesh’ (la chair) as a new ‘element’, as he put it, in his ontological monism designed to overcome the legacy of Cartesian dualism with its bifurcation of all things into matter or spirit. Most Merleau-Ponty commentators recognise that Merleau-Ponty's notion of ‘flesh’ is inspired by Edmund Husserl's conceptions of ‘lived body’ (Leib) and ‘vivacity’ or ‘liveliness’ (Leiblichkeit). But it is not always recognised that, for Merleau-Ponty, the constitution of the world (...) of perception, the problem of embodiment or incarnation, is at the very same time one with the problem of the experience of others in what Husserl called Einfühlung or Fremderfahung and indeed one with the problem of the constitution of the commonly shared world ‘for all’. As Merleau-Ponty put it in his late essay ‘The Philosopher and His Shadow’ in Signs, ‘the problem of Einfühlung, like that of my incarnation, opens on the meditation of sensible being, or, if you prefer, it betakes itself there’. In other words, the problem of the apprehension of the other is part of the overall apprehension of the transcendent world. In this paper I want to meditate on the relations between embodiment, experience of others, and experience of the world in Merleau-Ponty's philosophy. I will take particular note, as in the title of this presentation, of the claim made by Merleau-Ponty in The Visible and the Invisible that ‘there is no brute world, only an elaborated world’ (il n'y a pas de monde brut, il n'y a qu'un monde élaboré). (shrink)

It is now generally accepted that human beings are naturally, possibly even essentially, intersubjective. This chapter offers a robust defence of an enhanced and extended intersubjectivity, criticising the paucity of individuating notions of agency and emphasising the community and reciprocity of our affective co-existence with other living organisms and things. I refer to this modified intersubjectivity, which most closely expresses the implicit intricacy of our pre-reflective neuro-muscular experiential entanglement, as ‘enkinaesthesia’. The community and reciprocity of this entanglement is characterised as (...) dialogical, and in this dialogue, as part of our anticipatory preparedness, we have a capacity for intentional transgression, feeling our way with our world but, more particularly, co-feeling our way with the mind and intentions of the other. Thus we are, not so much ‘mind’-reading, as ‘mind’-feeling, and it is through this enkinaesthetic ‘mind’-feeling dialogue that values-realising activity originates and we uncover the deep roots of morality. (shrink)

Thinking the origin in a radical way amounts to thinking the movement by which what does not proceed from something else - what does not have its origin elsewhere - comes to itself, has within itself precisely the ontological energy to detach itself from itself and to exist as origin. In its primordial sense, then, origin is self-origin: it is, becomes, and is known starting from itself. This self-presupposition of the origin constitutes the very advent of Being, its unmotivated and (...) permanent upsurge, which has to be thought in terms of creation. Human creation responds to this ontological genesis, to its indeterminacy and to its incompletion - and, consequently, to its temporality. At once individual and collective - that is, both psychical and social - human creation alone can give meaning to ontological genesis. (shrink)

The present article aims at investigating the political aspects of Wittgenstein’s later philosophy, focusing mainly on the Philosophical Investigations. This theme remains rather marginal within Wittgensteinian scholarship, facing the key challenge of the sparsity of explicit discussions of political issues in Wittgenstein’s writings. Based on the broader anthropological and synecdochic character of Wittgenstein’s later philosophy, the main objective of the article is to make explicit the implicit political import of some of the main themes of the Philosophical Investigations. This is (...) done by correlating them with certain political concepts and issues, such as reification, mystification, emancipation, self-institution and the common. In such a way, a new light is shed on Wittgenstein’s influence on and his relevance to contemporary political theory, while at the same time the first steps are taken for the enrichment of the discussion regarding personal and social autonomy and the critique of late capit... (shrink)

This essay examines contemporary liberal theory in light of the 12 cartoons of the Prophet Muhammad, first published in the Danish newspaper Jyllands-Posten. The objective is both to show the limits of liberal theory, in particular with regard to constituents who do not share liberalism's view of acceptable harm, and to discuss how these limits give us reason to supplement liberal theory with other recourses from critical theory and phenomenology. The essay warns against a bifurcation of law and harm, and (...) instead argues for a pluralization of the possible links between them. To this end, the essay foregrounds what T.M. Scanlon dubs a certain ‘creative instability’, which works to energize liberalism's practice of free speech. The essay tracks this possibility in relation to the plurality and energy intrinsic to the 12 Jyllands-Posten cartoons, and suggests that liberal theory can learn from thinkers such as Merleau-Ponty and Deleuze who focus on the variable impacts and framings of free speech. The upshot is a self-critical theory of free expression, one that links harmful speech to the affirmation of mutual contestation, social equality and respect for difference. (shrink)

In Merleau-Ponty's work there is an intimate and reciprocal involvement of socio-cultural and philosophical concerns, more profound and central than Merleau-Ponty himself acknowledged. This gives rise to productive tensions over the course of his works, between the paradigm of perception and an emerging, more culturalist paradigm: language, history, and culture penetrate to the heart of perception, and at the same time the historicity at the heart of perception offers us new ways of understanding the sense and dynamics of the social, (...) cultural and historical fields. The outcome is an outline of an ontology which allows us to think of both nature and culture in new ways and in new relationships. Particularly fruitful is Merleau-Ponty's development of the paradigms of perception and of the life world in the concept of the World, emerging as an original ontological figure, and offering a way of thinking about meaning from our first opening upon it to the cultural world horizon and beyond. (shrink)

`On the Marxist Imaginary...' is an excerpt from a larger work that uses the history of Socialisme ou Barbarie (1949-67) to examine the role of the problem of praxis in Cornelius Castoriadis's more political writings. The present article examines the schema his revolutionary group Socialisme ou Barbarie developed between 1952 and 1956 to link working-class experience, autonomous strikes, and possibilities for revolution and socialism.

Commentators have claimed that the philosophies of Merleau-Ponty and Deleuze converge upon a spatial field of sensation which is prior to representation. This essay will contest these readings by showing that, for Deleuze, the pre-representational spatial field of intensity is fundamentally split from thought. This “gap” between sensation and thought is, for Deleuze, fundamentally temporal, in that thought is continually open and passive to being violated and transformed by the sensible and the sensible is continually being pushed beyond itself by (...) a certain kind of thought. This violent exchange across the gap between thought and sensibility is found, by Deleuze, in Kant's notion of the aesthetic idea. On the contrary, for Merleau-Ponty, Kant's aesthetics imply a non-conceptual “ground” shared by both thought and sensibility. By contrasting these two readings of Kant's aesthetics, this paper reveals the basic divergence between the philosophies of Deleuze and Merleau-Ponty. (shrink)

The article reviews Suzi Adams’s book on Cornelius Castoriadis, Castoriadis’s Ontology: Being and Creation, by debating the options and possible deficits in Castoriadis’s notion of creativity. While Adams criticizes Castoriadis for neglecting the overarching – and horizontal – worldliness that must ultimately condition creativity in various instances of interpretation, in the most expanded sense as a cosmology, the review ponders an alternative approach which focus on Castoriadis’s creativity seen as a notion of a lateral and emergent positing of the novel, (...) ‘creations ex nihilo – but not in nihilo or cum nihilo’, with the statement in one of the last exposures of his thought (Castoriadis, 1997a: 333). (shrink)

ABSTRACTHusserl's phenomenology of intersubjectivity is often thought to fall into solipsism and thus be a failed project. One of the typical symptoms is the so-called “paradox of incorporation”. The key to avoiding the paradox lies in finding the motives that lead to alien experiences. An important effort in this direction is to extend the so-called phenomenon of “double sensation” limited to the tactile realm to all perceptual realms. However, the legitimacy of the extension is based on the recognition of a (...) pre-subjective, anonymous, and impersonal dimension, which exorcizes, but not answer the question. This article attempts to make a new interpretation of Husserl's fifth Cartesian Meditation. It focuses on the concept of “replacing” and argues that the motivational basis of alien experience is the desire for total naturalization. (shrink)

In this paper I argue that we need to analyze ‘religious violence’ in the ‘post-secular context’ in a twofold way: rather than simply viewing it in terms of mere irrationality, senselessness, atavism, or monstrosity – terms which, as we witness today on an immense scale, are strongly endorsed by the contemporary theater of cruelty committed in the name of religion – we also need to understand it in terms of an ‘originary supplement’ of ‘disengaged reason’. In order to confront its (...) specificity beyond traditional explanations of violence, I propose an integrated phenomenological account of religion that traces the phenomenality of religion in terms of a correlation between the originary givenness of transcendence and capable man’s creative capacities to respond to it. Following Ricœur, I discuss ‘religious violence’ in terms of a monopolizing appropriation of the originary source of givenness that conflates man’s freedom to poetically respond to the appeal of the foundational with the surreptitiously claimed sovereignty to make it happen in a practical transfiguration of the everyday. (shrink)