It is well documented that people with moderate-to-severe traumatic brain injury (TBI) can undergo personality changes, including becoming more impulsive in terms of how they behave. Legal guidance and academic commentary support the view that impulsiveness can render someone decisionally incompetent as defined by English and Welsh law. However, impulsiveness is a trait found within the healthy population. Arguably, impulsiveness is also a trait that gives rise to behaviours that should normally be tolerated even when they cause (...) harm to the person enacting the behaviours. The purpose of this paper is to show why both of these considerations present as significant challenges to the law in England and Wales. (shrink)

Until recently, the problem of traumatic brain injury in sports and the problem of performance enhancement via hormone replacement have not been seen as related issues. However, recent evidence suggests that these two problems may actually interact in complex and previously underappreciated ways. A body of recent research has shown that traumatic brain injuries, at all ranges of severity, have a negative effect upon pituitary function, which results in diminished levels of several endogenous hormones, such (...) as growth hormone and gonadotropin. This is a cause for concern for many popular sports that have high rates of concussion, a mild form of TBI. Emerging research suggests that hormone replacement therapy is an effective treatment for TBI-related hormone deficiency. However, many athletic organizations ban or severely limit the use of hormone replacing substances because many athletes seek to use them solely for the purposes of performance enhancement. Nevertheless, in the light of the research linking traumatic brain injury to hypopituitarism, this paper argues that athletic organizations’ policies and attitudes towards hormone replacement therapy should change. We defend two claims. First, because of the connection between TBI and pituitary function, it is likely many more athletes than previously acknowledged suffer from hormone deficiency and thus could benefit from hormone replacement therapy. Second, athletes’ hormone levels should be tested more rigorously and frequently with an emphasis on monitoring TBI and TBI-related issues, rather than simply monitoring policy violations. (shrink)

Traumatic brain injury is the leading cause of death in children. Children with severe TBI are in need of neurointensive care where the goal is to prevent secondary brain injury by avoiding secondary insults. Monitoring of cerebral blood flow (CBF) and autoregulation in the injured brain is crucial. However, there are limited studies performed in children to investigate this. Current studies report on age dependent increase in CBF with narrow age range. Low initial CBF (...) following TBI has been correlated to poor outcome and may be more prevalent than hyperemia as previously suggested. Impaired cerebral pressure autoregulation is also detected and correlated with poor outcome but it remains to be elucidated if there is a causal relationship. Current studies are few and mainly based on small number of patients between the age of 0–18 years. Considering the changes of CBF and cerebral pressure autoregulation with increasing age, larger studies with more narrow age ranges and multimodality monitoring are required in order to generate data that can optimize the therapy and clinical management of children suffering TBI. (shrink)

We have begun work on two separate but related ontologies for the study of neurological diseases. The first, the Neurological Disease Ontology (ND), is intended to provide a set of controlled, logically connected classes to describe the range of neurological diseases and their associated signs and symptoms, assessments, diagnoses, and interventions that are encountered in the course of clinical practice. ND is built as an extension of the Ontology for General Medical Sciences — a high-level candidate OBO Foundry ontology that (...) provides a set of general classes that can be used to describe general aspects of medical science. ND is being built with classes utilizing both textual and axiomatized definitions that describe and formalize the relations between instances of other classes within the ontology itself as well as to external ontologies such as the Gene Ontology, Cell Ontology, Protein Ontology, and Chemical Entities of Biological Interest. In addition, references to similar or associated terms in external ontologies, vocabularies and terminologies are included when possible. Initial work on ND is focused on the areas of Alzheimer’s and other diseases associated with dementia, multiple sclerosis, and stroke and cerebrovascular disease. Extensions to additional groups of neurological diseases are planned. The second ontology, the Neuro-Psychological Testing Ontology (NPT), is intended to provide a set of classes for the annotation of neuropsychological testing data. The intention of this ontology is to allow for the integration of results from a variety of neuropsychological tests that assay similar measures of cognitive functioning. Neuro-psychological testing is an important component in developing the clinical picture used in the diagnosis of patients with a range of neurological diseases, such as Alzheimer’s disease and multiple sclerosis, and following stroke or traumatic brain injury. NPT is being developed as an extension to the Ontology for Biomedical Investigations. (shrink)

Objectives: To explore individuals’ perception of the personal, family and societal educational needs following a spinal cord injury. Methods: Sixty-one patients who sustained a traumatic SCI between March 2015 and June 2016 referred to Brain and Spinal Cord Injury Research Center were included in a cross sectional study and completed an online survey containing open-and closed-ended questions, in Iran. Participants’ responses were analyzed i using a qualitative approach with a thematic analysis. Results: Following a thematic analysis (...) of the patient’s perceived educational needs, 3 themes and 14 subthemes were identified. The 3 themes included personal, family, and societal educational perceived needs. Within personal educational needs, there were 7 subthemes which included personal independence and transportation, financial independence, life skills modification, knowledge about SCI, prevention of SCI complications, relationships and sexual function, and psychological adjustments. Among family educational needs, the 3 subthemes were caregiver skills and communication, first aid and emergency skills, and emotional and psychological support. For societal educational needs, the 4 subthemes described were social integration, interpersonal communication skills, SCI awareness and injury prevention, sympathize while avoiding pity. Conclusion: According to our findings, people with SCI have various needs that need to be addressed. Educational support should be a part of a comprehensive rehabilitation program and geared towards addressing the patients’ personal and family needs, while educating the community about SCI in order to allow for reintegration into society. (shrink)

The high prevalence of brain injury incidents in adolescence and adulthood demands effective models for re-learning lost cognitive abilities. Impairment in brain injury survivors’ higher-level cognitive functions is common and a negative predictor for long-term outcome. We conducted two small-scale interventions (N = 12; 33.33% female) with persons with acquired brain injuries in two municipalities in Sweden. Age ranged from 17 to 65 years (M = 51.17, SD = 14.53). The interventions were dialogic, inquiry-based, and (...) inspired by the Philosophy for Children Programme, a participatory thinking skills approach with documented higher-order cognitive outcomes, such as developed argumentation skills, in other target groups. Philosophical dialogues were conducted once a week in the two groups, totalling 12 dialogues per group. Group argumentation development was measured through compared scores from structured observations of filmed dialogues early and late in the intervention. Large positive changes in mean scores from early to late in the intervention, together with constantly high facilitator quality, suggest argumentation development in the sample due to the intervention. (shrink)

Trauma and traumatization have arguably always been part of the human experience yet have in the last few decades come to occupy a prominent place in various popular and academic contexts. This chapter offers an interdisciplinary and comparative investigation of trauma and traumatization in different historical contexts. More specifically, my aim is to discuss whether the rich bodies of research in trauma and traumatization in Holocaust survivors and their descendants yield relevant insights for post-slavery contexts. It has been shown that (...) children of Holocaust survivors suffer from stress and other symptoms related to their parents’ traumatization which influence the interactions with their environments. Such results made me wonder whether the traumatic impact of chattel slavery—which has been abolished some 160 years ago—might have a similar impact, yet now across several generations. Issues of the transmission and current persistence of trauma are inherently linked to questions of social justice, recognition and reparations. This chapter is meant, however, as an exploration of interdisciplinary connections that should be studied in concert to account for the traumatic impact of historical and present day experiences. It starts by discussing the concepts of trauma and post-traumatic stress disorder. Continuing by exploring the phenomenon of the inter- and transgenerational transmission of trauma, it relies in part on the important body of research conducted on families of Holocaust survivors. I then turn to the much less researched ‘post-traumatic slave syndrome’ (DeGruy) and discuss two factors that might contribute to the transgenerational transmission of trauma in the families of former enslaved: epigenetics and the continuation of traumatization even after the abolition of slavery as articulated in Historical Trauma theory. Drawing upon these insights, I conclude that it is plausible that a continuing transgenerational transmission of trauma might occur in some families of slavery survivors, the knowledge of which might help to break the chains of such traumatization across generations. (shrink)

This chapter conceptually analyzes the post-traumatic stress injuries called moral injury, moral fatigue or exhaustion, and broken spirit. It then identifies two puzzles. First, soldiers sometimes sustain moral injury even from doing right actions. Second, they experience moral exhaustion from making decisions even where the morally right choice is so obvious that it shouldn’t be stressful to make it; and even where rightness of decision is so murky that no decision could be morally faulted. The injuries result (...) of mistaken moral self-evaluation. Methods of preventing and treating these injuries are defended, including training in self-forgiveness, moral off-loading of actions and decisions to persons and devices less likely to feel inappropriate guilt, and the use of drugs to prevent such guilt. The foregoing has been about moral injury erroneously resulting from the non-violation of a correct moral code. But the chapter then introduces the concept of moral pseudo-injury—felt moral injury that has in reality resulted from violation of a false moral code, so that no one has really been morally injured. This can be used as a method in warfighting. And since the injuries it produces are illusory, this would be morally superior to physical violence. For it causes less injury to its victims, and should cause less guilt in those who must inflict it. Historical precedents are considered. Finally, our enemies often use moral pseudo-injury against us, in the form of terrorist violence against civilians. Terrorism causes comparatively few harms, yet we mistakenly see it as more morally horrific than conventional combat that causes much worse loss of life among armed forces members. Here we need the nuancing and clarifying power of philosophy to restore a sense of proportion, thence to prevent or therapize the moral pseudo-injury we may experience from these sorts of attacks. (This is a pre-penultimate version of the published version, available from OUP at the external link, which contains minor variances. The paper was earlier known as "PTSD Weaponized: A Theory of Moral Injury"; that now superseded version is archived under "past conferences" on the Center for Ethics and the Rule of Law website.). (shrink)

In recent decades, investigation of brain injuries associated with amnesia allowed progress in the philosophy and science of memory, but it also paved the way for the hubris of assuming that memory is an exclusively neural phenomenon. Nonetheless, there are methodological and conceptual reasons preventing a reduction of the ecological and contextual phenomenon of memory to a neural phenomenon, since memory is the observed action of an individual before being the simple output of a brain (or, at least, (...) so we will argue), and there is no good reason to suppose that it is necessary to postulate a more basic reality to memory lying behind the mere individual actions. (shrink)

As moral injury is a still-emerging concept within the area of military mental health, prevalence estimates for moral injury and its precursor, potentially morally injurious events (PMIEs), remain unknown for many of the world’s militaries. The present study sought to estimate the prevalence of PMIEs in the Canadian Armed Forces (CAF), using data collected from CAF personnel deployed to Afghanistan, via logistic regressions controlling for relevant sociodemographic, military, and deployment characteristics. Analyses revealed that over 65% of CAF members (...) reported exposure to at least one event that would be considered a PMIE. The most commonly PMIEs individuals reported included seeing ill or injured women and children they were unable to help (48.4%), being unable to distinguish between combatants and non-combatants (43.6%), and finding themselves in a threatening situation where they were unable to respond due to the rules of engagement under which they were required to operate (35.4%). These findings provide support for both the presence of exposure to PMIEs in CAF members and the need for formal longitudinal data collection regarding PMIE exposure and moral injury development. (shrink)

Background We investigated the personal philosophies of eight persons with a tetraplegic condition (four male, four female), all living in Sweden with a chronic spinal cord injury (SCI) and all reporting a good life. Our purpose was to discover if there is a philosophical mindset that may play a role in living a good life with a traumatic SCI. Methods Two rounds of in-depth qualitative interviews were performed by the same interviewer, a philosophical practitioner by training (de Miranda). (...) The second round systematically covered the following elements: bodily sense, sense of self, sense of belonging, sense of the possible, sense of purpose and philosophical sense. This six-step method developed by de Miranda is called SMILE_PH, an acronym for Sense-Making Interviews Looking at Elements of Philosophical Health. Results All the interviewees, as a consequence of their trauma, reported having gone through a reinvention of themselves which implied questioning the meaning and purpose of their life in particular and life in general. A philosophical rather than realistic sense of the possible was abstracted toward teleological growth. All interviewees developed a sense of purpose based on self-interested altruism and solidarity with disabled peers. Conclusions To reinvent a good life with SCI, in addition to physical training and willpower, one needs to consider philosophical questions about the self and life, what Kant called the cosmic interests of reason: What may I hope? What must I do? What can I know? Our results indicate that we should, in the future, explore what the philosophical health approach may bring to rehabilitation processes in the months or years that follow the trauma. (shrink)

In this article, we engage with a theory of management advanced by MacIntyrean scholars of business ethics and organization studies to develop an account of “chronic moral injury” in the workplace. In contrast to what we call “acute moral injury,” which focuses on grave, traumatic events, chronic moral injury results from poor institutional form—when an individual desiring excellence must function within a vicious institution that impedes the acquisition of virtues and marginalizes practices. In other words, chronic (...) moral injury occurs when practitioners who pursue excellence in their practice work within corrupt or malformed organizations. To demonstrate this point, we recount the events associated with the rise and fall of the biotech company, Theranos. This case study advances an empirical contribution to MacIntyrean studies by demonstrating how chronic moral injury can happen under such conditions and what the negative consequences may entail for workers. (shrink)

This paper discusses a dialectic whereby the law not only influenced medical thinking in late nineteenth-century Germany, but also underwent medicalization of its own initiative. At the end of the 1880s, social legislation was crucial in initiating the German discourse on traumatic nervous disorders. By employing doctors as medical experts in court, the law also created a new experiential realm for doctors, altering their behavior toward patients and shifting their focus from therapy to investigation. However, in the wake of (...) their experiences in court, doctors developed a dual etiology of traumatic symptoms, which included the law itself as a pathogenic element with the power to aggravate symptoms. Two medical views of law can be distinguished: some doctors claimed that it was the desire to receive the pensions offered under social legislation that induced workers to perpetuate and exaggerate their symptoms; others argued that since pension claims embroiled claimants in intimidating legal proceedings, the pathogenic effect of social legislation stemmed from fear rather than greed. (shrink)

Some patients, following brain injury, do not outwardly respond to spoken commands, yet show patterns of brain activity that indicate responsiveness. This is “cognitive-motor dissociation” (CMD). Recent research has used machine learning to diagnose CMD from electroencephalogram (EEG) recordings. These techniques have high false discovery rates, raising a serious problem of inductive risk. It is no solution to communicate the false discovery rates directly to the patient’s family, because this information may confuse, alarm and mislead. Instead, we (...) need a procedure for generating case-specific probabilistic assessments that can be communicated clearly. This article constructs a possible procedure with three key elements: (1) a shift from categorical “responding or not” assessments to degrees of evidence; (2) the use of patient-centred priors to convert degrees of evidence to probabilistic assessments; and (3) the use of standardized probability yardsticks to convey those assessments as clearly as possible. (shrink)

After severe brain injury, one of the key challenges for medical doctors is to determine the patient’s prognosis. Who will do well? Who will not do well? Physicians need to know this, and families need to do this too, to address choices regarding the continuation of life supporting therapies. However, current prognostication methods are insufficient to provide a reliable prognosis. -/- Functional Magnetic Resonance Imaging (MRI) holds considerable promise for improving the accuracy of prognosis in acute brain (...) injury patients. Nonetheless, research on functional MRI in the intensive care unit context is ethically challenging. These studies raise several ethical issues that have not been addressed so far. In this article, Prof. Charles Weijer and his co-workers provide a framework for researchers and ethics committees to design and review these studies in an ethically sound way. (shrink)

This paper addresses five questions: First, what is trajectory of Western liberal ethics and politics in defining life, rights and citizenship? Second, how will neuro-remediation and other technologies change the definition of death for the brain injured and the cryonically suspended? Third, will people always have to be dead to be cryonically suspended? Fourth, how will changing technologies and definitions of identity affect the status of people revived from brain injury and cryonic suspension? I propose that Western (...) liberal thought is working towards a natural end, a “telos.” In response to a variety of biotechnologies, law and public opinion in liberal democracies will be forced to make explicit that the rights of a living thing are determined by its level of consciousness. I discuss the way that technology will force three clarifications about the value of consciousness, at the beginning, the end and boundaries of human life. Sentience and personhood will become the basis of moral concern, regardless of its media. Just as human rights have become independent of race, gender and property, rights will become independent of being a breathing human being. But even as we make this transition, the cryonically preserved are still likely to be considered dead for pragmatic reasons, albeit with gradually increasing rights as technology makes their reanimation increasingly probable. I suggest that it could be acceptable to cryonicists that the frozen continue to be defined as dead if assisted suicide can be legalized. Under a liberal assisted suicide policy cryonicists might be allowed to carry out suspension before a declaration of death, preserving the maximum amount of neural information. The gradual redefinition of life and personal identity in terms of psychological continuity will also have consequences for the legal status of the reanimated. If, due to information loss, the reanimated do not meet a threshold of psychological continuity, they may be considered new persons. Cryonicists may therefore wish to specify ahead of time whether they are still interested in being reanimated if pre-animation assessment suggests that the result will not meet the necessary threshold of continuity. Finally, I touch on the way that neural technology will fundamentally problematize the separate, autonomous self on which liberal democratic values are based, leading to a legal and political Singularity. It is this looming neural Singularity that makes the proposed liberal democratic telos a final stage in humanistic thought, before it is superceded by something radically different. (shrink)

Background: Many people with aphasia and people without brain injury talk to themselves in their heads, i.e., have “inner speech.” Inner speech may be more preserved compared with spoken speech for some people with aphasia and may serve a variety of functions (e.g., emotion regulation), which motivates us to provide a high-fidelity characterization of it. Researchers have used multiple methods to measure this internal phenomenon in the past, which we combine here for the first time in a single (...) study. -/- Aims: We compare performance between individuals with and without aphasia on inner speech tasks that assess inner speech “inthe- moment” to general subjective impressions of inner speech to tease apart the relationship of aphasia severity to inner speech. Methods and Procedures: Twenty people with mild-moderate aphasia and twenty neurotypical controls completed several inner speech tasks, including objective silent rhyme judgements (picture, written, and auditory), subjective reports of inner speech during naming, and subjective rating scales about inner speech experience more generally. -/- Outcomes and Results: In-the-moment inner speech during silent rhyming tasks was associated with aphasia severity only for picture and written rhyming but not auditory rhyming. In-the-moment inner speech reports during silent naming were not associated with aphasia severity, nor were the subjective ratings about general inner speech experience. Individuals with and without aphasia demonstrated a variety of subjective general inner speech experiences, demonstrating heterogeneity of this phenomenon more broadly. -/- Conclusions: Methods of measuring inner speech complement each other and speak to different facets of the inner speech phenomenon, and clinicians and researchers must carefully choose the method(s) that will provide the information about inner speech that they desire. (shrink)

Persons with aphasia suffer from a loss of communication ability as a consequence of a brain injury. A small strand of research indicates effec- tiveness of dialogic interventions for communication development for persons with aphasia, but a vast amount of research studies shows its effectiveness for other target groups. In this paper, we describe the main parts of the hitherto technological development of an application named Dialogica that is (i) aimed at facilitating increased communicative participation in dialogic settings (...) for persons with aphasia and other communication disorders, (ii) based on comput- er game technology as well as on theory in dialogic education and argumenta- tion theory, and (iii) designed for mobile devices with larger screens. (shrink)

Models of discourse and narration elaborated within the classical compositional framework have been characterized as bottom-up models, according to which discourse analysis proceeds incrementally, from phrase and sentence local meaning to discourse global meaning. In this paper we will argue against these models. Assuming as a case study the issue of discourse coherence, we suggest that the assessment of coherence is a top-down process, in which the construction of a situational interpretation at the global meaning level guides local meaning analysis. (...) In support of our hypothesis, we explore the role of executive functions (brain functions involved in planning and organization of goal-oriented behaviors) in coherence’s establishment, discussing the results of several studies on narrative abilities of patients with brain injuries. We suggest that, compared to other models of discourse processing focused on comprehension, our model is a viable candidate for an integrated account of discourse comprehension and production. (shrink)

Can octopuses feel pain and pleasure? What about crabs, shrimps, insects, or spiders? How do we tell whether a person unresponsive after severe brain injury might be suffering? When does a fetus in the womb start to have conscious experiences? Could there even be rudimentary feelings in miniature models of the human brain, grown from human stem cells? And what about AI? These are questions about the edge of sentience, and they are subject to enormous, disorienting uncertainty. (...) The stakes are immense, and neglecting the risks can have terrible costs. We need to err on the side of caution, yet it’s often far from clear what ‘erring on the side of caution’ should mean in practice. When are we going too far? When are we not doing enough? The Edge of Sentience presents a comprehensive precautionary framework designed to help us reach ethically sound, evidence-based decisions despite our uncertainty. (shrink)

- First book to describe what pain means in vulnerable or special groups of people - Clinical applications described in each chapter - Provides insight into the nature of pain experience across the lifespan -/- This book, the third and final volume in the Meaning of Pain series, describes what pain means to people with pain in “vulnerable” groups, and how meaning changes pain – and them – over time. -/- Immediate pain warns of harm or injury to the (...) person with pain. If pain persists over time, more complex meanings can become interwoven with this primitive meaning of threat. These cognitive meanings include thoughts and anxiety about the adverse consequences of pain. Such meanings can nourish existential sufferings, which are more about the person than the pain, such as loss, loneliness, or despair. -/- Although chronic pain can affect anyone, there are some groups of people for whom particular clinical support and understanding is urgently needed. This applies to “vulnerable” or “special” groups of people, and to the question of what pain means to them. These groups include children, women, older adults, veterans, addicts, people with mental health problems, homeless people, or people in rural or indigenous communities. Several chapters in the book focus on the lived experience of pain in vulnerable adults, including black older adults in the US, rural Nigerians, US veterans, and adults with acquired brain injury. The question of what pain experience could mean in the defenceless fetus, neonate, pre-term baby, and child, is examined in depth across three contributions. -/- This book series aspires to create a vocabulary on the “meanings of pain” and a clinical framework with which to use it. It is hoped that the series stimulates self-reflection about the role of meaning in optimal pain management. -/- Meanings of Pain is intended for people with pain, family members or caregivers of people with pain, clinicians, researchers, advocates, and policy makers. Volume I was published in 2016; Volume II in 2019. (shrink)

Will I die? As a hypothesis, in my natural scientific understanding, the psyche, is nothing more than, and exclusively just some states of my living brain – I will die as a result of his death. -/- In presented answer, psyche – itself own immediate reality itself, that is – undoubted. -/- This work was performed in reality “in the first person” (“subjective reality”, “phenomenal consciousness”). To realize, how, what it is the reality of the “in the first person” (...) let’s imagine ourselves as an experimenter, who does not replace reality with reasoning about it. – Now for us, as experimenters, how (what it is) psychic is an immediate and undoubted reality. And the awareness of “I am” is a direct reality, and not knowledge about it, which is always doubtful. That is, in psychic reality, nothing prevents us from answering undoubtedly and definitively the question, asked by this psychic reality itself about itself. The author acts from the position of “being in reality – not going beyond its limits, for example, into philosophy” (philosophy, including methodology, is the replacement of reality itself with always dubious reasoning about reality) – explores phenomenal consciousness (“psychic”) directly and as an immediate reality. That is, this work is the mastery of psychic reality through subjective-psychical experimentation – don’t philosophize, but experiment! -/- For example, Descartes, introspectively experimenting in his own psyche reality with his own psyche, informed us about the immutability of the “mind” and proposed to understand this immutability as our own immortality: “the mind does not represent any combination of accidents, it is a pure substance, and although all its accidents are subject to change, it understands some things, it desires others or feels others, etc. – nevertheless, in itself it does not change; and as for the human body, it changes, if only because they are subject to a change in the shape of some of its parts. It follows from this that the body perishes very easily, while the mind, by its very nature, is immortal” (Декарт Р., p. 13). Note that, Descartes did not realize that he was immortal, but logically deduced his own immortality from the immutability of the mind. However, Descartes’ unchanging “mind” itself is such that there is something to die. And in my natural scientific understanding, the immutability of the mind does not imply its immortality – it will die without changing in its subjective self-perception, while instantly fading away as a result of brain death. Psyche (psychical) – a designation of the fact that this is one’s own immediate reality (that is, undoubtedly) – how (what) I myself am immediately, undoubtedly, and that immediate reality of mine, how and through which I myself and everything in general for me there is, and which is exclusively the only one for me. It should be noted that while I am unconscious (brain injury or dreamless sleep), there is nothing at all. -/- But this does not mean that “I”, having completely gone into oblivion, I'll die. This does not exclude that, I will disappear completely into oblivion and does not exist, but (at the same time) “I” – am. So, let’s define immortality as the impossibility of dying because there is nothing to die (psychic, but is such that there is nothing to die – is immortal) and will make a conclusion important for this work: if I am, as psyche, exclusively only is such that there is something to die and nothing else, then, therefore, my death is not excluded. But am I like that? The idea of this work is that I, as a psyche can to manifest (reveal) and realize myself as such (I such), that there is nothing to die, but (at the same time) I – am. I will realize of myself as immortal – such that to die (to decease) nothing. In other words, if I will approach with a bias and, acting purposefully, will reveal the subjective reality “I (psyche) such is that to die (to decease) nothing, but I – am”, that is – I am immortal, that the hypothesis “I will die” will falsified and excluded. -/- To realize this in the work, it is proposed to use the subject-object model, shift the boundary of “I” to the pole of the subject and become objectless, manifesting (revealing) oneself as such that there is nothing to die. Therefore, the aim (goal) of the work – to realize: I – am, but such that there is to die (decease) nothing. To become objectless and wondering about the possibility to dying, as a result, or I will exclude the immortality of the manifested state, or I will manifest (will reveal) immortal undoubtedly and definitively. -/- At the same time, I, as a subject, am “a necessary pole of subject-object relations. … An object is what the activity of … a subject is directed at. … In fact, everything that exists can become an object. … it is important to keep in mind the fundamental fact that the object is always outside the subject, does not merge with it. This externality also takes place when the subject deals with the states of his own consciousness, his Self ... it is important to emphasize that the relation of the subject and the object is not the relation of two different worlds, but only two poles as part of some unity” (Лекторский В.А., p. 6-7). That is, everything that I find existing in myself, this (such) is as an object. “The subject always refers to all “objects”, but it can never become an object for itself” (Титлин Л.И., p. 23). “… you will not be able to see the seeing vision ...” (Титлин Л.И., p. 40), and in this model this implies the “limit” of the subject. As the limit of the subject, I am “objectless”. And, therefore, in its own pole the subject is “ideal” – in its (own) limit (as its own limit, its own limit), I do not exist for myself (non-existent). -/- Using the “fact of the mobility of the boundaries of the subject” (for example, Тхостов А.Ш., p. 16), I have the opportunity to “pull” the boundary of the “I” into myself and become my own limit. At the same time, it is necessary to realize and accept that “inside” the limit of the subject and behind – “beyond of the subject”, and in general the very “inside” and “behind” in this version – unreality. In such a subject limit, the required paradoxical subjective state is assumed – I exist and see, but at the same time I am such that I do not exist for myself, that is, I am, but (subjectively such that) there is nothing to die (“immortality”). -/- Accordingly, the following tasks are indicated in the experiment: 1. In the object-subject sphere of visual perception, shift (and shift) the boundary of “I” into oneself –» to run into one’s own limit and become one’s own limit (without thickness: without depth, without “from within” and without reverse side) –» 2. Having become your own limit, which in its own limit is, but for myself I do not exist (non-existent), realize: • Myself – I am and this is real; • Will I die? – or there is nothing to die, which of the options is to me, as a psyche (as itself the psychic “I”), is applicable: • or I am such that it is not impossible that I will die, and the realized state is not immortal; • or “I” am such that “I” – am (is reality), but such that myself “I” to die nothing, that is, my own immortality – I am immortal; • Is this real? -/- Instruction for reproducing the target result: sequence of actions and results in a subjective-psychic experiment (hereinafter referred to as SPE) -/- At a distance of 25-40 cm from the wall (so that the wall occupies the entire field of view or its overwhelming part), • Here and now, focus on your face: “I am” – reality (and not is the knowing about it). • In yourself step back and look out of yourself at this wall. • Without moving your head, cover the field of vision with your attention as wide as possible and at the same time perceive everything at once (all this) as a single whole. • Perceive a high and wide wall (option: look up at an angle of 135-150 degrees in front of you) in such a way that the space (volume) surveyed by you without turning your head is a closed asymmetrical “lens” • limited in a circle in the periphery of the field of view, • convex in you; You – the beholder, rearwards concave in self (“subject”) – which one of you are watching? • Without moving your head, perceive the field of view as a single whole –» • Into yourself “draw in” –» “backing away” –» step back from everything –» • lean back into yourself –» up to dead-end limit –» • become a dead end itself – a concave (reflector-like) limit-plane. • You – into yourself – backward concave – a perceiving visual screen (limit-dead end), plane –» • lean back and press –» • something in general somehow inside the dead-end plane and behind the dead-end plane, as well as “inside” and “behind”, “behind the dead-end plane” – unreality; • myself – a dead-end plane without thickness (depth), without “inside”, without a reverse side for oneself. • –» That is, as a psychic reality (what is it psychically) will I die? –» or • Something there is, and that is I will die (it is possible); or • I am such that there is nothing to die, but I – am. or • Subjective-psychic experiment is incomplete… • –» Realize that this is reality (realize the reality of it) and emphasize (answer). -/- As a result, “I” am, but there is nothing to die/not to die, that is, the hypothesis “I will die” is unrealistic. -/- Remarks -/- • Each completed SPE is completed with the target result: “I am such that there is nothing to die, but I – am”. And the that what I will die (not excluded) does not correspond to this, that is unreality and is excluded by this. • But I am not such that I will not die. The concepts “I will die/ I will not die” to me, as a psyche are not applicable. That is, I, as a psyche, is immortal, but I am not eternal (not eternal – endlessly lasting, such that there is something to last) – to last, to be eternal and to end there is nothing. This is “immortality”. • In the target result of this work, I – am, but such that there is nothing to die/not die (“immortality”). And such a “I” is not the Atman of the Hindu schools of Nyaya, Vaisheshika and Purva Mimamsa, which E.A. Torchinov. Since the “I” – psychic, and not a substance with the psyche as an attributes. • According to illusionism, what I am as a result of the experiment given in the work is an illusion. And the impression of immortality is a product of the brain. But in reality I am such that I will die (it is not excluded). However, it is necessary to realize that illusionism is a detached reasoning about the “I”, but not is the self itself. And to what I am (as psiche), reasoning and questions about the reality of the “I” (for example, question: am I really like this, what am I like as psyche?) and other expressing illusionism do not correspond. That is, subjectively (psychic, in the psychic reality of the “first person”, in first person perspective), the illusionism of the “I” is unreality. Subjectively (psychic, in the psychic reality of the “first person”, in first person perspective), this is undeniable and final. • Reasoning about what such a “I” is in this (mine) or not in this brain, as well as (for example, holding a real skull in my hands), questions like “how (or, but now where is it here) such “I” – how is it after brain death?” – To the fact that is such an “I” these questions do not correspond and is falsified by this. • After being unconscious, the impression remains that I'm is not and that there is nothing at all. That is, my “unconsciousness” is psychic indistinguishable from my non-existence. However, science has not shown, but and it is not excluded that before and after I exist physically (there is something to die), I still or I no longer exist, there is still or nothing to die as a soul, substance, or otherwise. But what I am in the target result of this work is what I – am, and not “died and already now or still unreality” and I am such that there is nothing to die, this is – reality. That is, I will die? – there is nothing (to die), but I – am (reality), even if I am not (don’t exist). Or I do not exist as something. • I am such that there is nothing to be and die, but I am. And subjectively (psychic, in the psychic reality of the “first person”, in first person perspective), this immortality is – reality. But this reality eludes my rational explanation. -/- Conclusion -/- Will I die? – In the target result the I am, but at the same time I am such that there is nothing to die. That is, I am immortal, but at the same time, I am not eternal (“I” not something eternal (endlessly continuing)) – I am such that to be eternal there is nothing. And, if we accept the subjective (psychic, “first person”, in first person perspective) reality without trying to understand it rationally, then I am exactly like that – I realize that this is my undoubted nature. That is, “I will die / I will not die” is an unreality. Subjectively (psychic, in the psychic reality of the “first person”, in first person perspective), it is undoubted and final. Despite the unscientific nature, this work is a way of mastering reality. The author would be grateful for the identified and shown unreality of the fact that the “I” – am, but such that there is nothing to die, and ideally, the awareness: “I will die (not excluded).” -/- Bibliography -/- Декарт Р., Размышления о первой философии //Декарт Р. Соч.: В 2 т. Т. 2. М., 1994. Лекторский В.А. Субъект в истории философии: проблемы и достижения // Методология и история психологии. 2010. Том 5. Выпуск 1. С. 5-18. Титлин Л.И. Проблема субъекта в индийской философии («Пудгалавинишчая» Васубандху) [Текст] / [Л. И. Титлин]; Федеральное государственное бюджетное учреждение науки Институт философии Российской академии наук. – Москва: ОнтоПринт: Сделано-Сказано, 2018. – 361, [1] с. Тхостов A. Ш. Культурно-историческая патопсихология: монография, – М.: Канон+ РООИ «Реабилитация», 2020. – 320 с. Торчинов Е.А. «Словарик индуизма» (Дата написания: 2003; дата файла: 15.06.2007). Торчинов Е.А. Пути философии Востока и Запада: познание запредельного — СПб.: «Азбука-классика», «Петербургское Востоковедение», 2005. — 480 с. ISBN 5-352-01371-5 (Азбука-классика) ISBN 5-85803-258-3 (Петербургское Востоковедение). -/- Скончаюсь? – я бессмертен (как осознать бессмертие «от первого лица») -/- Скончаюсь? В качестве гипотезы в моем естественно-научном понимании психическое (каково психически), это не более чем, и исключительно только всего лишь некоторые состояния моего живого мозга – скончаюсь в результате его смерти. -/- В представленном ответе психическое – сама собственная непосредственная реальность, то есть, то, каково психически, это – несомненно. -/- Данная работа выполнена в реальности «первого лица» («субъективная реальность», «феноменальное сознание»). Чтобы осознать то, как, каково это, представим себя экспериментатором, который не подменяет реальность рассуждениями о ней. – Теперь для нас, как экспериментаторов, то, как (каково) психически, это непосредственная и несомненная реальность. И осознание «я есть», это непосредственная реальность, а не знание об этом, которое всегда сомнительно. То есть, в психической реальности, на вопрос, заданный самой этой психической реальностью самой себе о себе самой, нам ничто не запрещает ответить несомненно и окончательно. Автор действует с позиции «быть в реальности – не выходить за ее пределы, например, в философию» (философия, включая методологию, это подмена самой реальности всегда сомнительными рассуждениями о реальности) – исследует феноменальное сознание («психическое») непосредственно и в качестве непосредственной реальности. То есть, данная работа, это овладение психической реальностью посредством субъективно-психического экспериментирования – не философствуй, а экспериментируй! -/- Например Декарт, интроспективно экспериментируя в собственной психической реальности с собственным психическим, сообщил нам о неизменности «ума» и предложил эту неизменность понять в качестве нашего собственного бессмертия: «ум не представляет какого-то соединения акциденций, являет собой чистую субстанцию и, хотя все его акциденции подвержены изменению — он то понимает какие-то вещи, то желает другие или чувствует третьи и т.д.,— тем не менее сам по себе он не изменяется; а что касается тела человека, то оно изменяется хотя бы уже потому, что подвержены изменению формы некоторых его частей. Из этого следует, что тело весьма легко погибает, ум же по самой природе своей бессмертен» /Декарт Р., стр. 13. Заметим, Декарт не осознавал себя бессмертным, а логически вывел собственное бессмертие из неизменности ума. Однако, неизменный «ум» Декарта таков, что скончаться есть чему. А в моем естественно-научном понимании из неизменности ума не следует его бессмертие – он, не изменяясь в своем субъективном само-восприятии, при этом мгновенно угаснув в результате смерти мозга, скончается. Психически (психическое) – обозначение того, что это сама собственная непосредственная реальность (то есть – несомненно) – то, как (каково) я сам непосредственно, несомненно, и та моя непосредственная реальность, как и посредством чего я сам и всё вообще для меня есть, и которое для меня исключительно единственное. Следует заметить, что пока бываю без сознания (травма мозга или сон без сновидений), ничего и никак нет вообще. -/- Но это не значит, что «я» ушедши в небытие окончательно – скончаюсь. Этим не исключено, что таковой ушедший в небытие «я» не существую, но (при этом) есть. Итак, определим бессмертие, как невозможность скончаться потому, что скончаться нечему (например, если «умерший» психически есть, но уже таков, что скончаться больше нечему, то теперь он бессмертен) и сделаем важный для данной работы вывод: если психически я исключительно только таков, что скончаться есть чему и ни каков иначе, то, следовательно, то, что скончаюсь, это не исключено. Но таков ли я? Идея данной работы в том, что мне удастся проявить (выявить) и осознать себя таковым (я таков), что скончаться нечему, но (при этом) я есть. Иначе выражаясь, если я подойду предвзято и действуя целеустремленно, выявлю субъективную реальность «я есть, но таков, что скончаться нечему» – то смерть мне, как психическому несвойственна, то есть, я бессмертен – гипотеза возможности субъективно скончаться («я скончаюсь») будет фальсифицирована и исключена. -/- Чтобы это реализовать в работе предлагается воспользоваться субъект-объектной моделью, сдвинуть границу «я» в полюс субъекта и стать безобъектным, проявившись (выявившись) собой таковым, что скончаться нечему. Следовательно, цель работы – осознать: я таков, что есть, но скончаться нечему. Стать безобъектным и задаваясь вопросом о возможности скончаться, или исключу бессмертие проявленного состояния, или проявлюсь (выявлюсь) бессмертным несомненно и окончательно. -/- При этом, я, как субъект, являюсь «необходимым полюсом субъектно-объектных отношений. … Объект – то, на что направлена активность … субъекта. … В действительности объектом может стать все, что существует. … важно иметь в виду тот принципиальный факт, что объект всегда внеположен субъекту, не сливается с ним. Эта внеположность имеет место и тогда, когда субъект имеет дело с состояниями собственного сознания, своим Я … важно подчеркнуть, что отношение субъекта и объекта – это не отношение двух разных миров, а лишь двух полюсов в составе некоторого единства» /Лекторский В.А., стр. 6-7. То есть, всё, что нахожу в себе существующим, это (таковое) есть в качестве объекта. «Субъект – всегда относится ко всем «объектам», но он никогда не может стать объектом для самого себя» /Титлин Л.И., стр. 23. Иначе это выражая – «ты не сможешь увидеть видящего видение…» /Титлин Л.И., стр. 40, и в данной модели таковое предполагает «предел» субъекта. Как предел субъекта я «безобъектен». То есть, «идеален» – своим (собственным) пределом (в качестве собственного предела) самим для себя не существую (несуществующий). -/- Используя «факт подвижности границ субъекта» /например, Тхостов А.Ш., стр. 16, я имею возможность границу «я» в себя-назад «втянуть» и стать собственным пределом. При этом необходимо осознать и принять, что внутри предела субъекта и сзади – «за пределом субъекта», и вообще само «внутри» и «сзади» в этой модели – нереальность. Таким субъектным пределом предполагается требуемое парадоксальное субъективное состояние – я есть и вижу, но при этом я таков, что для себя не существую, то есть, я есть, но (психически таков, что) умереть нечему («бессмертие»). -/- Соответственно, в эксперименте обозначаются следующие задачи: 1. В объект-субъектной сфере зрительного восприятия сдвинуть (и сдвинув) границу «я» в себя-назад –» упереться в собственный предел и стать самим собственным пределом (без толщены: без глубины, без «внутри» и без обратной стороны) –» 2. Став собственным пределом, которым есть, но для себя не существую (несуществующий), осознать: • Себя – я есть и это реально; • Скончаюсь? – есть ли чему скончаться или скончаться нечему, какой из вариантов мне (как психическому «я») свойственен: • или я таков, что то, что скончаюсь не исключено, и реализованное состояние не бессмертно; • или я есть, но таков, что скончаться нечему, то есть, собственное бессмертие – я бессмертен; • Реальность ли это. -/- Инструкция воспроизведения целевого результата: последовательность действий и результатов в субъективно-психическом эксперименте (далее СПЭ) -/- На расстоянии 25-40 см от стены (так, чтобы стена занимала всё поле зрения или его подавляющую часть), • Здесь и сейчас сосредоточьтесь на своём лице: «я есть» – реальность (а не знание об этом). • В себе отстранитесь назад и смотрите из себя на эту стену. • Не двигая головой, охватите поле зрения вниманием предельно широко и одновременно всё сразу (всё это) воспримите единым целым. • Высокую и широкую стену (вариант: смотрите вверх под углом 135-150 градусов перед собой) воспримите так, что обозреваемое вами без поворота головы пространство (объем), это – ограниченная по окружности в периферии поля зрения замкнутая несимметричная «линза» • плоская с противоположной вам стороны • и выпуклая в вас; Вы – вогнутый в себя-назад смотрящий («субъект») – каков? – кто из вас сейчас на всё это смотрит? • Не двигая головой, поле зрения воспримите единым целым –» • В себя-назад «втянитесь» –» и «пятьтесь» –» «за мысли» и за всё вообще –» из этого всего назад вытесняясь –» от всего вообще взад отстранитесь –» • собой в себя-назад подайтесь и упершись в собственный (себя) задний к объектному обращённый (развернутый) тупиковый предел –» • станьте самим пределом-тупиком – в себя-назад вогнутой (рефлектор-подобной) пределом-плоскостью смотрящей – воспринимающим зрительным экраном –» станьте плоскостью-тупиком –» • «проскользните» по себе – плоскости-тупику и охватите вниманием целиком –» • собой – самим плоскостью-тупиком назад надавить, нажать –» • осознать: что-то как-то внутри плоскости-тупика и сзади за плоскостью-тупиком, и там вообще «что-то как-то», а также само «внутри» и «сзади», «за плоскостью-тупиком» и вообще «там» – нереальность; • самого себя – плоскости-тупика без толщины (глубины), без «внутри», без обратной стороны для себя нет. • –» То есть – в качестве психической реальности (каково психически) я скончаюсь? –» или • скончаться есть чему – скончаюсь (не исключено). или • я таков, что скончаться нечему, но я есть. или • субъективно-психический эксперимент не завершён. • –» Осознайте, что это – реальность (осознать реальность этого) и подчеркните (ответ). -/- В результате я есть, но скончаться/не скончаться нечему, то есть гипотеза «скончаюсь» – нереальность. -/- Замечания -/- • Каждый завершённый СПЭ завершён целевым результатом: «я таков, что скончаться нечему, но я есть». И тому, каков я в результате СПЭ, то, что скончаться есть чему – скончаюсь (не исключено) не соответствует, то есть нереальность и этим исключено. • То есть, я и не таков, что не скончаюсь. «Я скончаюсь/не скончаюсь» ко мне, как к психике, неприменимо. Иначе это выражая, тому, каков я, смерть несвойственна. То есть, я, как психика (психическое), бессмертен, но я не вечен (не вечный – бесконечно длящийся, таковой, что есть чему длиться) – длиться, быть вечным и не скончаться нечему. Таково «бессмертие». • В целевом результате данной работы я есть, но таков, что скончаться/не скончаться нечему («бессмертие»). И таковой «я» не Атман индуистских школ ньяя, вайшешика и пурва-миманса, о котором сообщает Е.А. Торчинов. Так как «я» психичен, а не субстанция с психическим в качестве атрибута. • Согласно иллюзионизму, то, каков я в результате данного в работе эксперимента, это иллюзия. И впечатление бессмертия, это порождение мозга. А реально я таков, что скончаюсь (не исключено). Однако, необходимо осознать, что иллюзионизм, это отстраненные рассуждения о «я», но не сам я непосредственно. И тому, каков я психически (каково психически), рассуждения и вопросы о реальности «я» (например, таков ли я реально, каков психически?) и другие выражающие иллюзионизм «я» не соответствуют. То есть, каково психически, иллюзионизм «я» – нереальность. Психически, это несомненно и окончательно. • Рассуждения о том, что таковой «я» в этом (моем) или не в этом мозге, а также (например, держа в руках реальный череп), вопросы, типа «а как же (или, но теперь где же здесь) таковой «я» – как это после смерти мозга?» тому, каков таковой «я» эти вопросы не соответствуют. • После пребывания без сознания остается впечатление, что без сознания меня нет и ничего никак нет вообще. То есть, моё «бессознание» психически неотличимо от моего несуществования (небытия). Однако, наукой не показано и не исключено то, что до и после того, как я есть физически (скончаться есть чему), меня ещё или уже нет, скончаться ещё или уже нечему в качестве души, субстанции или как-то иначе. Но, то, каков я в целевом результате данной работы, таковой я есть, а не «скончался и уже теперь или ещё нереальность» и я таков, что скончаться нечему – реален (реалия). То есть, скончаюсь? – нечему (скончаться), но я есть, даже если меня нет (не существую). • Я таков, что быть и скончаться нечему, но я есть. И то, как (каково) психически, это бессмертие – реальность. Но эта реальность ускользает от моего рационального её объяснения. -/- Заключение -/- Скончаюсь? – в целевом результате я есть и вижу, но при этом я таков, что умереть (скончаться) нечему. То есть, я бессмертен, но при этом я не вечен (не нечто вечное (бесконечно длящееся)) – быть вечным нечему. И, если принять психическое реальностью не пытаясь понять это рационально, то я именно таков – осознаю, что такова моя несомненная для меня природа. То есть, «скончаюсь/не скончаюсь» – нереальность. Психически, это несомненно и окончательно. Несмотря на ненаучность, данная работа – способ овладения реальностью. Автор был бы признателен за выявленную и показанную нереальность целевого результата данной работы, а в идеале, за осознание: «скончаюсь (не исключено)». -/- Annex 2. The key essence of this work (only in Russian to convey the nuances without distortion) -/- Performed, expressed and transmitted initially by means of Russian, the native language of the author, and, in order to avoid distortions in the correspondence of the linguistic nuances of the reproduced subjective reality, it assumes an independent translation into the language of the experimenter by the experimenter himself in the process of reproducing the target result of this work. -/- «Я» скончаюсь? – нечему (скончаться), но «Я» есть. Will “I” die (decease)? – to die (decease) nothing, but “I” am. -/- Заметить: • Выполнено, выражено и передано изначально посредством русского – родного для автора языка и, чтобы избежать искажений соответствия языковых нюансов воспроизводимой психической реальности, предполагается самостоятельный перевод на язык экспериментатора самим экспериментатором в процессе воспроизведения целевого результата данной работы. • В «кавычки» взяты слова и выражения, требующие «субъективного» приведения в соответствие психическому содержанию. Подготовка: • Вам потребуется уединённое место (там, где вас не отвлекут). • На первоначальном этапе понадобится некоторое (возможно длительное) время для того, чтобы усвоить предложенный алгоритм действий в психической реальности в процессе реализации и воспроизвести целевой результат впервые. • Возможно, результату поспособствует отклонение от предложенного алгоритма «психических действий», импровизация в направлении целевого результата. • В процессе эксперимента количество попыток не ограничено и затраченное на это время не имеет значения. Необходим исключительно только именно целевой результат. Реализация: • В уединении встать перед плоской широкой и высокой (достаточно большой, чтобы её границы были на периферии вашего поля зрения) стеной, например, покрытой однородной светлой (но не белой) керамической, не глянцевой (не отражающей на вас свет или отвлекающих внимание изображений, не дающей бликов) плиткой с лёгким текстурным рисунком (позволяющим глазам «зацепиться» за стену и отчётливо воспринимать перед собой поверхность, а не «утонуть» в однородном (монотонном) пространстве), на расстоянии 25-40 см от неё (так, чтобы стена занимала всё поле зрения или его подавляющую часть) –» • Скончаюсь (1)? – каково психически (психическое), в моем естественно-научном понимании – это (я) не более чем и исключительно только некоторые состояния функционирующего (живого) мозга – скончаюсь, как и уже скончался каждый умерший мозг – того каждого, кто скончался, как реальности (реального, реалии) (2) уже теперь нет окончательно. Теоретически, если психически я исключительно только таков, что скончаться есть чему и ни каков иначе, то, следовательно, что (я) скончаюсь, это не исключено. • Глядя на стену, здесь и сейчас сосредоточиться на своём лице (и осознать): «я есть» – реальность (а не знание об этом) –» • В себе «отстраниться» назад – смотрю из себя на эту стену –» • Не двигая головой, охватить поле зрения вниманием предельно широко (поднять (вздернуть) брови, если это расширит поле зрения) и одновременно всё сразу (всё это) воспринять единым целым –» • Высокую и широкую стену (вариант: смотреть вверх под углом 135-150 градусов перед собой) воспринять так, что обозреваемое без поворота головы пространство (объем), это – ограниченная по окружности в периферии поля зрения замкнутая несимметричная «линза» • плоская (ограниченная стеной) с противоположной мне стороны • и «выпуклая в меня» –» • Я – «вогнутый» в «себя-назад» смотрящий, каков? – кто из меня сейчас на всё это смотрит? –» • Не двигая головой, поле зрения воспринять единым целым –» • в себя-назад «втянуться» –» и «пятиться» –» «за мысли» и за всё вообще –» из этого всего назад «вытесняясь» –» от всего вообще «взад отстраниться» –» • «собой» в себя-назад «податься» и «упершись» в «собственный (себя) задний к объектному обращённый (развернутый)» «предел тупиковый» («тупо-уперто») –» • «стать» самим «пределом-тупиком» – «в себя-назад вогнутой (рефлектор-подобной)» «пределом-плоскостью» смотрящей – воспринимающим «зрительным экраном» –» стать «плоскостью-тупиком» –» • «проскользнуть» по себе – плоскости-тупику и охватить вниманием целиком –» • собой — самим плоскостью-тупиком «назад надавить, нажать»: • осознать: «что-то как-то внутри плоскости-тупика» и «сзади – за плоскостью-тупиком», и «там вообще» «что-то как-то», а также само «внутри» и «сзади», «за плоскостью-тупиком» и вообще «там» – нереальность; • самого себя – плоскости-тупика без толщины (глубины), без «внутри», без обратной стороны для себя нет –» Собой – плоскостью-тупиком: • без глубины (толщины), без «внутри», без обратной стороны таков, что скончаться есть чему – скончаюсь (не исключено) –» • смотрю –» смотря –» «Непосредственно-психически» -/- Заметить: • Специфику используемых в данной работе слов (терминов), названий и выражений необходимо осознать в соответствии с (4.1.) (данный пункт смотрите ниже). • Необходимо от себя – (как) «смотрящего плоскости-тупика», такового, что скончаться есть чему, оттождествиться собой — «самим психическим» (каково психически) (3) –» • –» «отличить (4)» «Я» –» «Я-лик». • Отличив, и себя такового обозначая, но не имея в языке отличающего местоимения, именую «Я» (5). • «Соединённое-через-дефис-в-кавычках» реализовать и/или воспринять «одним-единым-целостным»; • Последовательность слов и знаков предполагает последовательность психических действий (алгоритм действий в собственном психическом); • Вопросительность слова, фразы или отдельной её, именно вопросительной части задаётся знаком «?» расположенным перед и после них. Требование к действию задаётся знаком «!» расположенным перед и после слова (фразы); • Субъективно-психический эксперимент завершён, если воспроизведен (4.1.), иначе субъективно-психический эксперимент не завершён. -/- Собой – плоскостью-тупиком … смотрю –» смотря –» -/- «Психически» (6) 1. ?кто? видит –» !отличить «Я»! –» 2. –» !«Я-видящий-лик»! –» 3. –» !«Я-лик»! –» 4. –» !«Я-ликом» всем «психически-назад-надавить(нажать)»: «Я» ?скончаюсь?! –» !«Я-ликом» всем «психически-назад-давить(жать)»: (4.1.) – нечему (7), но «Я» есть.! -/- Признательность: Согласно иллюзионизму, то, каков «Я» (как (каково) «скончаться нечему, но «Я» есть.»), реально, это не так (не таково). То есть, таковой «Я» нереален (нереальность), а реально – таков, что скончаюсь (не исключено). Однако, необходимо осознать, что это «отстраненные» от «Я» рассуждения о «Я», но не сам «Я» непосредственно. И тому, каков «Я» (как (каково) скончаться нечему, но «Я» есть.) таковое (рассуждения) не соответствует. То есть, эти рассуждения о «Я» – заблуждение. Это (как осознание) несомненно и окончательно. Не так? – за выявленную и показанную нереальность (того, что) «Скончаюсь? – нечему (скончаться), но «Я» есть.», за показанную реальность того, что скончаться не исключено, а в идеале, за осознание: «скончаюсь (не исключено)» я был бы признателен. -/- (Сноски) (1) Именно «скончаюсь, скончался», то есть – как реальности (реального, реалии) нет окончательно. (2) Реалия, реально, реален, реальность, реальное – само то, что (каково это) непосредственно, как само таковое – само то, каково познаваемое и как-либо моделируемое вне его познания и иного (вообще) моделирования. То есть, само само-осознание себя реальностью, например, «я-реалия», «я есть» или «скончаться – нечему, но «Я» есть.» – реальность. То есть – нам ничто не запрещает ответить на вопрос «скончаюсь?» несомненно и окончательно. (3) Психически (психическое) – то, как (каково) я сам непосредственно, несомненно, и та моя непосредственная реальность, как и посредством чего я сам и всё вообще для меня есть, и которое для меня исключительно единственное. Следует заметить, что пока бываю без сознания (травма мозга или сон без сновидений), ничего и никак нет вообще. Также само обозначение того, что это сама собственная непосредственная реальность (то есть – несомненно). И чтобы её осознать, представьте себя экспериментатором, который не подменяет реальность рассуждениями о ней. – Теперь для вас, как экспериментатора, то, как (каково) психически, это – несомненно (непосредственная несомненная реальность). Не философствуй (не рассуждай, не моделируй её), а экспериментируй! (4) «Я-Лик» – специфическое выражение, соответствующее психическому в данный момент СПЭ. (5) «Я» – целевой (конечный, «предельный») и «ключевой» результат данной работы. «Я» в данной работе не склоняется, выделено полужирным подчеркнутым шрифтом и заключено в кавычки. (6) «Каково психически» – то, как (каково) «Я» сам непосредственно, несомненно – само «первое лицо» (субъект психического), а также обозначение принятия позиции «первого лица» и сообщения «от первого лица». (7) Пока я бываю без сознания («бессознание», например, сплю без сновидений), моего сознания нет (оно сведено на нет, угасло) – ничего и никак нет вообще (это моё абсолютное небытие) – (каково) психически, мне скончаться нечем. А в целевом результате данной работы, психически (то есть – непосредственно), «Я» таков, что скончаться не нечем, а именно нечему, но при этом «Я» есть. (shrink)

Objective: Eye injuries are one of the leading causes of disabling ocular morbidity. The objective of this bibliometric study was to evaluate the top 100 cited articles on ocular trauma published between 1975 and 2018 via multidimensional citation analysis. Methods: We analyzed the top 100 cited articles among 3,768 ocular trauma articles published between 1975 and 2018; these articles were obtained from the databases in Web of Science and PubMed based on their citation rates per article, publication years, countries of (...) origin, institutions or organizations, the most common subjects, funding status, article types, and levels of evidence. The data obtained were analyzed with the SPSS® 20.0 software package program. Results: In the top 100 cited articles on ocular trauma, the total number of authors was 420 and the average authorship was 4.20±2.23 (range: 1–14). In our study, 70 of the top 100 cited articles were published in journals with an impact factor (IF) of ≥2.00 (range: 2.016–8.806), and Q index or quartile score of these journals was mostly Q1. Although the most preferred journal was Ophthalmology according to the total number of citations and articles (n=2,183 and n=23, respectively), Eye was the most preferred journal according to the mean number of citations per article. Besides, the three most common topics among the top 100 cited articles were mechanical eyeball injury (40 articles), epidemiology of ocular trauma (19 articles), and traumatic eye infection (17 articles). The average level of evidence was found to be 3.14±0.66 (range: 1–4), and the mean number of citations per article was the highest level at 2. Moreover, we also found that the most commonly preferred article type by authors was clinical research (92 articles), and most of them were in the B level of evidence group (70 articles). Conclusion: Analysis of the top 100 most cited articles on ocular trauma as an update study can provide us scientific contributions and vital current data in clinical implementations. (shrink)

In using brain stimulation technology to suppress an individual’s fear response to a traumatic memory, we are effectively altering that individual’s identity. In this article, I argue that until we learn more, such technology should be available only to patients with objectively debilitating fear responses who give their informed consent. First, I provide an overview of how the technology works. Second, I analyze the artificial, natural, and clinical changes in memory, and explores the ethical concerns associated with altering (...) an individual’s identity. I conclude by asserting that the benefits of brain stimulation technology outweigh the concerns if the proper administrative procedure is followed. (shrink)

This paper clarifies Merleau-Ponty’s original account of “higher-order” cognition as fundamentally embodied and enacted. Merleau-Ponty’s philosophy inspired theories that deemphasize overlaps between conceptual knowledge and motor intentionality or, on the contrary, focus exclusively on abstract thought. In contrast, this paper explores the link between Merleau-Ponty’s account of motor intentionality and his interpretations of our capacity to understand and interact productively with cultural symbolic systems. I develop my interpretation based on Merleau-Ponty’s analysis of two neuropathological modifications of motor intentionality, the case (...) of the brain-injured war veteran Schneider, and a neurological disorder known as Gerstmann’s syndrome. Building on my analysis of Schneider’s sensorimotor compensatory performances in relation to his limitations in the domains of algebra, geometry, and language usage, I demonstrate a strong continuity between the sense of embodiment and enaction at all these levels. Based on Merleau-Ponty’s interpretations, I argue that “higher-order” cognition is impaired in Schneider insofar as his injury limits his sensorimotor capacity to dynamically produce comparatively more complex differentiations of any given phenomenal structure. I then show how Merleau-Ponty develops and specifies his interpretation of Schneider’s intellectual difficulties in relation to the ambiguous role of the body, and in particular the hand, in Gerstmann’s syndrome. I explain how Merleau-Ponty defends the idea that sensorimotor and quasi-representational cognition are mutually irreducible, while maintaining that symbol-based cognition is a fundamentally enactive and embodied process. (shrink)

Contrary to what many people believe, the fear is not anxiety, it is actually an emotional state that exists only in the presence of a danger. While as anxiety is what one anticipates even when the danger or threat is not present physically. The person suffering from anxiety worries about future events while as fear exists when a threat or fear is actually present before the person. The fear causes symptoms like shakiness and fast heart rate in the affected individual. (...) If the person suffering from fear and anxiety is able to understand how it processed in his/her brain, he/she can easily overcome it. This is the best therapy Los Angeles that all therapists in this city suggest patients suffering from the post traumatic stress disorder to overcome fear and anxiety. (shrink)

Introduction: Traditionally, empathy has been studied from two main perspectives: the theory-theory approach and the simulation theory approach. These theories claim that social emotions are fundamentally constituted by mind states in the brain. In contrast, classical phenomenology and recent research based on enactive theories consider empathy as the basic process of contacting others’ emotional experiences through direct bodily perception and sensation. Objective: This study aims to enrich knowledge of the empathic experience of pain by using an experimental phenomenological method. (...) Method: Implementing an experimental paradigm used in affective neuroscience, we exposed 28 healthy adults to a video of sportspersons suffering physical accidents while practicing extreme sports. Immediately after watching the video, each participant underwent a phenomenological interview to gather data on embodied, multi-layered dimensions (bodily sensations, emotions, and motivations) and temporal aspects of empathic experience. We also performed quantitative analyses of the phenomenological categories. Results: Experiential access to the other person’s painful experience involves four main-themes. Bodily resonance: participants felt a multiplicity of bodily, affective, and kinesthetic sensations. Attentional focus: some participants centered their attention more on their own personal discomfort and sensations of rejection, while others on the pain and suffering experienced by the sportspersons. Kinesthetic motivation: some participants experienced the feeling in their bodies to avoid or escape from watching the video, while others experienced the need to help the sportspersons avoid suffering any injury while practicing extreme sports. Temporality of experience: participants witnessed temporal fluctuations in their experiences, bringing intensity changes in their bodily resonance, attentional focus, and kinesthetic motivation. Finally, two experiential structures were found: one structure is self-centered empathic experience, characterized by bodily resonance, attentional focus centered on the participant’s own experience of seeing the sportsperson suffering, and self-protective kinesthetic motivation; the other structure is other-centered empathic experience, characterized by bodily resonance, attentional focus centered on the sportsperson, and prosocial kinesthetic motivation to help them. Discussion: We show how phenomenological data may contribute to comprehending empathy for pain in social neuroscience. In addition, we address the phenomenological aspect of the enactive approach to the three dimensions of embodiment of human consciousness, especially the intersubjective dimension. Also, based on our results, we suggest an extension of the enactive theory for non-interactive social experience. (shrink)

For many employees, ‘work’ is no longer something performed while sitting at a computer in an office. Employees in a growing number of industries are expected to carry mobile devices and be available for work-related interactions even when beyond the workplace and outside of normal business hours. In this article it is argued that a future step will increasingly be to move work-related information and communication technology (ICT) inside the human body through the use of neuroprosthetics, to create employees who (...) are always ‘online’ and connected to their workplace’s digital ecosystems. At present, neural implants are used primarily to restore abilities lost through injury or illness, however their use for augmentative purposes is expected to grow, resulting in populations of human beings who possess technologically altered capacities for perception, memory, imagination, and the manipulation of physical environments and virtual cyberspace. Such workers may exchange thoughts and share knowledge within posthuman cybernetic networks that are inaccessible to unaugmented human beings. Scholars note that despite their potential benefits, such neuroprosthetic devices may create numerous problems for their users, including a sense of alienation, the threat of computer viruses and hacking, financial burdens, and legal questions surrounding ownership of intellectual property produced while using such implants. Moreover, different populations of human beings may eventually come to occupy irreconcilable digital ecosystems as some persons embrace neuroprosthetic technology, others feel coerced into augmenting their brains to compete within the economy, others might reject such technology, and still others will simply be unable to afford it. In this text we propose a model for analyzing how particular neuroprosthetic devices will either facilitate human beings’ participation in new forms of socioeconomic interaction and digital workplace ecosystems – or undermine their mental and physical health, privacy, autonomy, and authenticity. We then show how such a model can be used to create device ontologies and typologies that help us classify and understand different kinds of advanced neuroprosthetic devices according to the impact that they will have on individual human beings. (shrink)

The theoretical underpinnings and practical worth of content-based, intentional, or "folk" psychology have been challenged by three distinct groups of philosophical critics in the past 15 years or so. The first group, comprised by Hilary Putnam, Tyler Burge, and other advocates of "wide" or "externalist" theories of meaning, claims that traditional psychologists have been mistaken in assuming that our beliefs, desires, and other content-laden states supervene on or inhere in our individual minds or brains. The other two groups are both (...) "eliminative materialists," who charge that the intentional approach is inadequate and that it can or will be replaced by a completely non-interpretive discipline: either neuropsychology, in the view of Patricia and Paul Churchland, or a strictly syntactic computational psychology, according to Stephen Stich. ;This dissertation defends "notional world" or narrow intentional psychology against these charges, primarily on the strength of its practical merits, in contrast to the limitations and adverse effects of the proposed alternatives. Psychology is at least partly an applied science with a mandate to help understand and treat concrete psychological problems such as Post Traumatic Stress Disorder and depression, I argue, so any theorist who proposes to reconfigure or phase out existing approaches must be prepared to take over these duties with at least equal facility. However, whereas various "narrow" schools of psychotherapy such as Cognitive Therapy are fairly successful in this regard and show every indication of continuing to be needed for the foreseeable future, the Syntactic Theory seems to show very poor promise of being able to help relieve the distress of people with psychological disturbances, while a purely neurobiological approach is inappropriate in many cases, and tends to cause a variety of untoward and dangerous side-effects. As for the "wide" theorists with their emphasis upon the social and environmental contributions to meaning: they must acknowledge that a good deal of content is in the head; and, more importantly, by focusing on the role of the "experts" in a society's language-game, they miss the whole point of a psychological attribution, which is to understand an individual's reasons--however idiosyncratic--for acting as he or she does. (shrink)

The neurosciences not only challenge assumptions about the mind’s place in the natural world but also urge us to reconsider its role in the normative world. Based on mind-brain dualism, the law affords only one-sided protection: it systematically protects bodies and brains, but only fragmentarily minds and mental states. The fundamental question, in what ways people may legitimately change mental states of others, is largely unexplored in legal thinking. With novel technologies to both intervene into minds and detect mental (...) activity, the law should, we suggest, introduce stand alone protection for the inner sphere of persons. We shall address some metaphysical questions concerning physical and mental harm and demonstrate gaps in current doctrines, especially in regard to manipulative interferences with decision-making processes. We then outline some reasons for the law to recognize a human right to mental liberty and propose elements of a novel criminal offence proscribing severe interventions into other minds. (shrink)

Ontologies formally represent reality in a way that limits ambiguity and facilitates automated reasoning and data fusion, but is often daunting to the non-technical user. Thus, many researchers have endeavored to hide the formal syntax and semantics of ontologies behind the constructs of Controlled Natural Languages (CNLs), which retain the formal properties of ontologies while simultaneously presenting that information in a comprehensible natural language format. In this paper, we build upon previous work in this field by evaluating prospects of implementing (...) International Technology Alliance Controlled English (ITACE) as a middleware for ontology editing. We also discuss at length a prototype of a natural language conversational interface application designed to facilitate ontology editing via the formulation of CNL constructs. (shrink)

Court cases involving sexual assault and police violence rely heavily on victim testimony. We consider what we call the “Traumatic Untrustworthiness Argument (TUA)” according to which we should be skeptical about victim testimony because people are particularly liable to misremember traumatic events. The TUA is not obviously based in mere distrust of women, people of color, disabled people, poor people, etc. Rather, it seeks to justify skepticism on epistemic and empirical grounds. We consider how the TUA might appeal (...) to the psychology and neuroscience of memory for empirical support. However, we argue that neither support the TUA. (shrink)

Deep brain stimulation has been of considerable interest to bioethicists, in large part because of the effects that the intervention can occasionally have on central features of the recipient’s personality. These effects raise questions regarding the philosophical concept of authenticity. In this article, we expand on our earlier work on the concept of authenticity in the context of deep brain stimulation by developing a diachronic, value-based account of authenticity. Our account draws on both existentialist and essentialist approaches to (...) authenticity, and Laura Waddell Ekstrom’s coherentist approach to personal autonomy. In developing our account, we respond to Sven Nyholm and Elizabeth O’Neill’s synchronic approach to authenticity, and explain how the diachronic approach we defend can have practical utility, contrary to Alexandre Erler and Tony Hope’s criticism of autonomy-based approaches to authenticity. Having drawn a distinction between the authenticity of an individual’s traits and the authenticity of that person’s values, we consider how our conception of authenticity applies to the context of anorexia nervosa in comparison to other prominent accounts of authenticity. We conclude with some reflections on the prudential value of authenticity, and by highlighting how the language of authenticity can be invoked to justify covert forms of paternalism that run contrary to the value of individuality that seems to be at the heart of authenticity. (shrink)

The potential to collect brain data more directly, with higher resolution, and in greater amounts has heightened worries about mental and brain privacy. In order to manage the risks to individuals posed by these privacy challenges, some have suggested codifying new privacy rights, including a right to “mental privacy.” In this paper, we consider these arguments and conclude that while neurotechnologies do raise significant privacy concerns, such concerns are—at least for now—no different from those raised by other well-understood (...) data collection technologies, such as gene sequencing tools and online surveillance. To better understand the privacy stakes of brain data, we suggest the use of a conceptual framework from information ethics, Helen Nissenbaum’s “contextual integrity” theory. To illustrate the importance of context, we examine neurotechnologies and the information flows they produce in three familiar contexts—healthcare and medical research, criminal justice, and consumer marketing. We argue that by emphasizing what is distinct about brain privacy issues, rather than what they share with other data privacy concerns, risks weakening broader efforts to enact more robust privacy law and policy. (shrink)

Despite a growing body of research on the sociology of time and, analogously, on the sociology of sport, to date there has been relatively little sports literature that takes time as the focus of the analysis. Given the centrality of time as a feature of most sports, this would seem a curious lacuna. The primary aims of this article are to contribute new perspectives on the subjective experience of sporting injury and to analyze some of the temporal dimensions of (...) sporting “injury time” and subsequent rehabilitation. The article is based on data derived from a 2-year autoethnographic research project on 2 middle/long-distance runners, and concludes with some indicative comments regarding the need for sports physiotherapists and other health-care practitioners to take into account the subjective temporal dimension of injury and rehabilitative processes. (shrink)

The biophilosophic justification for the idea that “brain death” is death needs to support two claims: that what dies in human death is a human organism, not merely a psychological entity distinct from it; that total brain failure signifies the end of the human organism as a whole. Defenders of brain death typically assume without argument that the first claim is true and argue for the second by defending the “integrative unity” rationale. Yet the integrative unity rationale (...) has fallen on hard times. In this article, I give reasons for why we should think of ourselves as organisms, and why the “fundamental work” rationale put forward by the 2008 President’s Council is better than the integrative unity rationale, despite persistent objections to it. (shrink)

The brain in its plasticity and inherent 'sociality' can be proclaimed and projected as a revolutionary organ. Far from the old reactions which opposed the authenticity of political theory and praxis to the dangerous naturalism of 'cognitive science' (with images of men in white coats, the RAND Corporation or military LSD experiments), recent decades have shown us some of the potentiality of the social brain (Vygotsky, and more recently Negri 1995 and Negri 2000, Virno 2001). Is the (...) class='Hi'>brain somehow inherently a utopian topos? If in some earlier papers I sought to defend naturalism against these reactions, here I consider a new challenge: the recently emerged disciplines of neuronormativity, which seek in their own way to overcome the nature-normativity divide. This is the task of a materialist brain theory today. 1. The setup: horns of a dilemma There is a lingering zone of what one might think of as sore cognitive muscle tissue in the area of materialism. It is an area of both contested territory and in some cases, a kind of pathos of distance of the 'Ugh! Keep that thing away from me!' sort. I have in mind the combination of materialism as an emancipatory socio-political project (which need not be construed in strictly Marx-Engels terms, if we think of Lucretius et al.) and as a cold-hearted 'spontaneous philosophy of the men in white coats', e.g. nefarious neurophilosophers. Faced with this rather massive alternative, this choice between two projects, I have stubbornly been saying since some discussions with Negri in the late 90s. (shrink)

This article seeks to describe in general terms what has become the standard way of conceptualizing moral injury in the clinical psychological and psychiatric literature, which is the key source for applications of the concept in other domains. What we call “the standard model” draws on certain assumptions about beliefs, mental states, and emotions as well as an implicit theory of causation about how various forms of harm arise from certain experiences or “events” that violate persons’ moral beliefs and (...) systems. Our analysis makes these assumptions more explicit and subjects them to critical scrutiny. In so doing, we survey the current literature and identify basic features of how moral injuries are defined, how they are thought to occur, and the forms of treatment or repair that appear to be indicated. We caution that it matters how moral experience is characterized and argue that an alternative understanding of what is the moral in moral injury is important for overcoming critical challenges to the standard model. Moreover, recently evolving approaches to moral repair could be more consistent with an alternative model. Our concluding suggestion is that a more robust account of the nature of moral experience and its relations to self-identity and social experience more generally could advance understanding of the etiology of moral injury and promote rehabilitation. (shrink)

Guilt is a moral emotion that plays an important role in some understandings and manifestations of moral injury. In “Ulterior Motives and Moral Injury in War,” I note that soldiers returning from war are often assailed by profound feelings of guilt. Such soldiers might feel irrevocably diminished as persons, which is characteristic of a type of moral injury. I explore how the ulterior motives of the leaders who authorized the war might exacerbate the moral injury of (...) soldiers. According to the argument I develop, civilian and military leaders, by virtue of their practical authority over combatants serving in the military, confer upon those combatants a particular purpose. The ulterior motives that the leaders harbor constitutively determine the content of the purpose they confer. So long as a combatant remains under the practical authority of her leaders, there is nothing she can do to divest herself of the specific purpose conferred upon her. Even if the war and her conduct in it are just by hypothesis, her sense of integrity might demand more: that she helps kill only for scrupulous purposes. It might be impossible to reconcile the demands of integrity with the cynical purpose that her self-serving, career-minded, opportunistic leaders confer upon her. This failure to justify to herself the carnage she helps cause can exacerbate the severity of any psychological trauma she suffers. (shrink)

Deep Brain Stimulation (DBS) is a relatively new, experimental treatment for patients suffering from treatment-refractory Obsessive Compulsive Disorder (OCD). The effects of treatment are typically assessed with psychopathological scales that measure the amount of symptoms. However, clinical experience indicates that the effects of DBS are not limited to symptoms only: patients for instance report changes in perception, feeling stronger and more confident, and doing things unreflectively. Our aim is to get a better overview of the whole variety of changes (...) that OCD patients experience during DBS treatment. For that purpose we conducted in-depth, semi-structured interviews with 18 OCD patients. In this paper, we present the results from this qualitative study.We list the changes grouped in four domains: with regard to (a) person, (b) (social) world, (c)characteristics of person-world interactions, and (d) existential stance. We subsequently provide an interpretation of these results. In particular, we suggest that many of these changes can be seen as different expressions of the same process; namely that the experience of anxiety and tension gives way to an increased basic trust and increased reliance on one’s abilities. We then discuss the clinical implications of our findings, especially with regard to properly informing patients of what they can expect from treatment, the usefulness of including CBT in treatment, and the limitations of current measures of treatment success. We end by making several concrete suggestions for further research. (shrink)

The specific objects are to know the source of income and employment status of the children at work, to investigate the types of injury that affect the working child of the child laborer and to explore the hazardous work places and abuse of the working children. The study conducted with the secondary data of Bangladesh Labor Force Survey (ILO), 2013. SPSS software were used for finding the result. It is found that the predominating income source of the working child (...) was service sector and child labor mostly were self-employed. 18.5% child were engaged with hazardous work, 2.3% working child had experienced various types of injuries and almost 8.5% had subjected to insult, physically or sexually abuse. Most of the child don’t like their work and working environment that have adverse physical and emotional effects on children’s health. Public and private sectors should maintain child labor rules and regulations, arrange awareness program for child safety. (shrink)

This is a public philosophy piece that explores some questions around heroes, trauma, and wrongdoing.

Does a diagnosis of brain dysfunction matter for ascriptions of moral responsibility? This chapter argues that, while knowledge of brain pathology can inform judgments of moral responsibility, its evidential value is currently limited for a number of practical and theoretical reasons. These include the problem of establishing causation from correlational data, drawing inferences about individuals from group data, and the reliance of the interpretation of brain findings on well-established psychological findings. Brain disorders sometimes matter for moral (...) responsibility, however, because they change an individual’s moral psychology in a way that is beyond their control. While control over psychological changes is not an excusing factor, brain disorders can mitigate moral responsibility because they confront individuals with new psychological deficits or urges for which their previous moral education and existing external and internal moral resources have not prepared them. (shrink)

In this paper, we engage in dialogue with Jonathan Pugh, Hannah Maslen, and Julian Savulescu about how to best interpret the potential impacts of deep brain stimulation on the self. We consider whether ordinary people’s convictions about the true self should be interpreted in essentialist or existentialist ways. Like Pugh et al., we argue that it is useful to understand the notion of the true self as having both essentialist and existentialist components. We also consider two ideas from existentialist (...) philosophy – Jean-Paul Sartre and Simone de Beauvoir’s ideas about “bad faith” and “ambiguity” – to argue that there can be value to patients in regarding themselves as having a certain amount of freedom to choose what aspects of themselves should be considered representative of their true selves. Lastly, we consider the case of an anorexia nervosa-patient who shifts between conflicting mind-sets. We argue that mind-sets in which it is easier for the patient and his or her family to share values can plausibly be considered to be more representative of the patient’s true self, if this promotes a well-functioning relationship between the patient and the family. However, we also argue that families are well-advised to give patients room to figure out what such shared values mean to them, since it can be alienating for patients if they feel that others try to impose values on them from the outside. (shrink)

The paper suggests that Samuel Taylor Coleridge’s arguments against sympathy after the French Revolution, Walter Benjamin’s claims against empathy following the traumatic shock of Modernity and the First World War, and Hannah Arendt’s critical take on compassion. after the Holocaust are similar responses to singular historical crises. Reconsidering Arendt’s On Revolution (1963) and its evocation of Hermann Melville’s novella Billy Budd (1891), I show first that the novella bears the traces of an essay by Samuel Taylor Coleridge, “The Appeal (...) to Law” (1809). Then, drawing on Walter Benjamin’s writings on trauma in Illuminations (1968, edited by Arendt), I discuss the political importance Arendt attaches to the proper way of telling a story, at a time when “the communicability of experience is decreasing” (Benjamin, Illuminations, 86). Through the analysis of Benjamin’s “The Storyteller” and Arendt’s “heartless” report on the Eichmann trial (1963), I equally show that, according to Arendt, testimonies must be narrated, or rather performed, in a dispassionate, dry, and compact manner so that they can be historically and politically relevant. (shrink)

People suffering from Obsessive-Compulsive Disorder (OCD) do things they do not want to do, and/or they think things they do not want to think. In about 10 percent of OCD patients, none of the available treatment options is effective. A small group of these patients is currently being treated with deep brain stimulation (DBS). Deep brain stimulation involves the implantation of electrodes in the brain. These electrodes give a continuous electrical pulse to the brain area in (...) which they are implanted. It turns out that patients may experience profound changes as a result of DBS treatment. It is not just the symptoms that change; patients rather seem to experience a different way of being in the world. These global effects are insufficiently captured by traditional psychiatric scales, which mainly consist of behavioural measures of the severity of the symptoms. In this article we aim to capture the changes in the patients’ phenomenology and make sense of the broad range of changes they report. For that we introduce an enactive, affordance-based model that fleshes out the dynamic interactions between person and world in four aspects. The first aspect is the patients’ experience of the world. We propose to specify the patients’ world in terms of a field of affordances, with the three dimensions of broadness of scope (‘width’ of the field), temporal horizon (‘depth’), and relevance of the perceived affordances (‘height’). The second aspect is the person-side of the interaction, that is, the patients’ self-experience, notably their moods and feelings. Thirdly, we point to the different characteristics of the way in which patients relate to the world. And lastly, the existential stance refers to the stance that patients take towards the changes they experience: the second-order evaluative relation to their interactions and themselves. With our model we intend to specify the notion of being in the world in order to do justice to the phenomenological effects of DBS treatment. (shrink)

My aim is to argue that forgiveness may be conceived by analogy to healing. The analogy is not self-evident, but a number of subsidiary analogies will be seen to point in its direction, or so I will argue. In the course of the discussion we shall see how injustice (and wrong-doing) may be compared to physical injury (both change the state of the sufferer to the worse), and how the resentment caused by suffering injustice may be compared to the (...) physical pain caused by injury (both are aversive, action-motivating states). The analogies will be illustrated and supported by concrete examples, ultimately suggesting that, in an important sense, when we forgive, we actually heal. (shrink)

Research by neuroscientists suggests there is a distinction in the BSTc area of the brain between males and females. In transsexual females, those considered male at birth, but who had a strong conviction that they were female, the BSTc region appears to be similar in size to the female BSTc and transsexuals considered female at birth, but who were certain they were male, had a BSTc similar to the male BSTc. This distinction leads to the conclusion that in addition (...) to the recognised markers for gender - genitalia, gonads and chromosomes - we may need to also include the BSTc, given that this current research seems to substantiate what transsexuals are saying about their gender. This paper sets out to challenge our current reliance on the standard gender indicators alone and seeks to address some issues faced by transsexuals. (shrink)

Davis called for “extreme caution” in the use of non-invasive brain stimulation to treat neurological disorders in children, due to gaps in scientific knowledge. We are sympathetic to his position. However, we must also address the ethical implications of applying this technology to minors. Compensatory trade-offs associated with NIBS present a challenge to its use in children, insofar as these trade-offs have the effect of limiting the child’s future options. The distinction between treatment and enhancement has some normative force (...) here. As the intervention moves away from being a treatment toward being an enhancement—and thus toward a more uncertain weighing of the benefits, risks, and costs—considerations of the child’s best interests diminish, and the need to protect the child’s autonomy looms larger. NIBS for enhancement involving trade-offs should therefore be delayed, if possible, until the child reaches a state of maturity and can make an informed, personal decision. NIBS for treatment, by contrast, is permissible insofar as it can be shown to be at least as safe and effective as currently approved treatments, which are themselves justified on a best interests standard. (shrink)

The metaphor of “care drain” has been created as a womanly parallel to the “brain drain” idea. Just as “brain drain” suggests that the skilled migrants are an economic loss for the sending country, “care drain” describes the migrant women hired as care workers as a loss of care for their children left behind. This paper criticizes the construction of migrant women as “care drain” for three reasons: 1) it is built on sexist stereotypes, 2) it misrepresents and (...) devalues care work, and 3) it misses the opportunity for a theoretical change about how skills in migration contexts can be understood. (shrink)