In 1986, I argued that pains are essentially not phenomenal states. Using a Wittgen-steinian son of argument, I showed that the same sort of phenomena can be had on different occasions, and on one occasion persons be in pain, while on another occasion persons not be in pain. I also showed that very different phenomena could be experienced and, yet, organisms have the same sort of pain. I supported my arguments with empirical data from both laboratory and clinical studies. There (...) is nothing about this thesis I would now retract. However, there was a further thesis that needs to be reconsidered. I argued that phenomenal states are only accompaniments of pains, that pains are essentially a combination of cognitive, affective and behavioural/motivational states. This thesis I do now zaish to retract. I now argue that phenomenal states are necessary for pains, but still not sufficient. There must also be a cognitive state which involves an evaluation of the phenomenon as something like, 'Harm to the body'. The evaluation is a kind of de re belief, regarding the phenomenon as itself representing harm to the body. Besides admitting that phenomenal states are necessary for pains, I also now claim that other relevant belief states, affective states, and behavioural/motivational states are not necessary for pain, but normal consequences of pain. This revised theory is preferable to the 1986 one because it fits better with empirical facts (including providing better explanations for anomalous cases), fits better with certain powerful common-sense intuitions, and fits better with a larger theory of consciousness I have been developing. Among other things, it turns out that being in pain is a quite peculiar conscious state and considering it as a paradigm for consciousness is a serious mistake. (shrink)

When philosophers and psychologists think about consciousness, they generally focus on one or more of three features: phenomenality , intentionality , and introspectibility . Using examples from empirical psychology and neuroscience, I argue that consciousness is not a unitary state, that, instead, these three features characterize different and dissociable states, which often happen to occur together. Understanding these three features as dissociable from each other will resolve philosophical disputes and facilitate scientific investigation.

Individual autonomy is a prominent value in Western medicine and medical ethics, and there it is often accepted that the only way to pay proper respect to autonomy is to let the patients themselves determine what is good for them. Adopting this approach has, however, given rise to some unwanted results, thus motivating a quest for an objective conception of health. Unfortunately, the purportedly objective conceptions of health have failed in objectivity, and if a conception of health is not acceptable (...) for all agents, the threat of offending the patients’ autonomy arises. This article sketches an objective conception of health that is able to respect individual autonomy. (shrink)

Having, in previous papers, distinguished at least three forms of consciousness , I now further examine their differences. This examination has some surprising results. Having argued that neither C1 nor C2 is a phenomenological state?and so different from CN?I now show that CN itself is best thought of as a subclass of a larger state . CS is the set of image?representation states. CN is that set of CS states that we are also C2 about. I argue that CN states (...) should be considered a subset of CS states because they share with other CS states imagistic representational powers as opposed to the sentential ones of C1 and C2. And I argue that there are good reasons to consider any state which utilises imagistic representation as a sensation. I then show that the notion of an unconscious sensation makes sense if we think of it as a CS state that is not C2. More radically, I conclude that either it makes sense to say that there are unfelt sensations or there are felt sensations we are not conscious about. While there are good reasons for saying one or the other of these surprising things, I argue that the second, more radical sounding, alternative is actually better motivated?and not quite so surprising as it sounds. (shrink)