Is Responsible Essentially Impossible

Part 1 reviews the general question of when elimination of an entity orproperty is warranted, as opposed to revision of our view of it. Theconnections of this issue with the distinction between context-drivenand theory-driven accounts of reference and essence are probed.Context-driven accounts tend to be less hospitable to eliminativism thantheory-driven accounts, but this tendency should not be overstated.However, since both types of account give essences explanatory depth,eliminativist claims associated with supposed impossible essences areproblematic on both types of account.Part 2 applies these considerations to responsibility in particular. Theimpossibility of regressive choice or control is explained. It is arguedthat this impossibility does not support the claim that no one is everresponsible on either context-driven or theory-driven accounts of`responsibility'.     

IMPROVING SOCIAL SKILLS AND DISRUPTIVE BEHAVIOR IN CHILDREN WITH AUTISM THROUGH SELF-MANAGEMENT

The literature suggests that children with autism typically are unresponsive to verbal initiations from others in community settings, and that such unresponsiveness can lead to problematic social interactions and severely disruptive behavior. The present study assessed whether self-management could be used as a technique to produce extended improvements in responsiveness to verbal initiations from others in community, home, and school settings without the presence of a treatment provider. The results showed that children with autism who displayed severe deficits in social skills could learn to self-manage responsivity to others in multiple community settings, and that such improvements were associated with concomitant reductions in disruptive behavior without the need for special intervention. The results are discussed in terms of their significance for improved development of social skills in children with autism.     

The effects of commercial interruption of violent and nonviolent films on viewers' subsequent aggression

Aggressive responses following the viewing of violent and nonviolent films were studied. Groups of subjects saw one of three full-length films: (1) a staged violent film, (2) a realistic violent film, or (3) a nonviolent film. For half of the groups of subjects, films were interrupted periodically by sets of commercials. Results confirmed predictions that aggressive responses will be greater after viewing aggressive films than nonaggressive films, and that aggressive responses will be greater if films are interrupted by commercials than when not interrupted. A hypothesis predicting an interaction such that aggressive responses will be maximal when violent films are interrupted by commercials was supported. No differences in aggressiveness following presentation of realistic and staged violent films were found.     

The interacting self: Its developmental and phenomenological aspects in psychotherapy

Though there is increasing knowledge today about self development and self structure, there still remains a lack of clarity about the applications of these to practice. The aim of this article is to present a conceptual refinement of existing self theory in order to make it more accessible to practice. We will clarify the phenomenon of a divided self with the help of developmental and phenomenological ideas. We will then present and illustrate a therapeutic focus which encompasses not only client-therapist interaction, but also self interaction.     

‘Her Majesty the Baby’: narcissistic states in babies and young children

This article considers narcissistic states in babies and young children with some reference to the myth of Narcissus in Ovid’s Metamorphosis. The object-seeking character of babies from the beginning of life is elaborated in connection with selected research from mother–baby interaction. This forms the backdrop to a discussion of withdrawal into illusions of self-sufficiency and denial of dependence in adverse circumstances. Two clinical cases are discussed in some depth. One boy whose superiority, self-reliance and pseudo maturity is prompted by anxieties around separation as he approaches starting school is considered within the parameters of ordinary transient narcissism. The lengthy psychotherapy of another child, who developed entrenched narcissistic defences as a response to traumatic, abusive and neglectful experiences in early life, and who needed considerable help, is described in greater detail. Some links are made with difficulties associated with the emergence from narcissistic functioning and encountering the pain of separation and loss.     

Development of an Interactive Decision Aid for Female BRCA1/BRCA2 Carriers

Shared decision making between patients and providers is becoming increasingly common, particularly when there is no clear preferred course of action. As a result, decision aids are being adopted with growing frequency and have been applied to many medical decision-making issues. One such issue where there is uncertainty is breast cancer risk management among BRCA1/BRCA2 carriers. We present the development of a CD-ROM decision aid to facilitate risk management decision making in this population. Our decision aid was developed with the intention of providing it through a randomized clinical trial. The CD-ROM is a multimedia, interactive intervention which provides information about breast cancer, risks associated with BRCA1 and BRCA2 mutations, risk management options for hereditary breast cancer, and a breast cancer risk management decision aid. The goal of this CD-ROM, offered as an adjunctive intervention, is to reduce decisional conflict and psychological distress and improve comprehension of risk information, decisional satisfaction, medical adherence, and quality of life for this population of women at increased risk for breast cancer.     

Working Passions: Emotions and Creative Engagement with Value

It is now a commonplace that emotions are not mere sensations but, rather, conceptually contentful states. In trying to expand on this insight, however, most theoretical approaches to emotions neglect central intuitions about what emotions are like. We therefore need a methodological shift in our thinking about emotions away from the standard accounts' attempts to reduce them to other mental states and toward an exploration of the distinctive work emotions do. I show that emotions' distinctive function is to engage us with both objective and personal values. Attention to emotions' work reveals that it is precisely their “unruliness” that allows them to play meaningful roles in our lives.     

Desire, Judgment, and Reason: Exploring the Path not Taken

At the outset of The Possibility of Altruism Thomas Nagel charts two paths out of the fundamental dilemma confronting metaethics. The first path rejects the claim that a persuasive account of the motivational backing of ethical judgments must involve an agent’s desires. But it is the second path, a path that Nagel charts but does not himself take, that is the focus of this essay. This path retains the standard account, upon which all motivation involves desire, but denies that desires are given prior to reason. Instead, these attitudes that motivate are themselves open to rational assessment. One reason for this focus is that many philosophers, including Quinn, Raz, and Scanlon, have come to reject the claim Nagel takes to block this path – that desires are somehow given prior to reason, hence are not in the relevant way proper objects of rational assessment. A second reason is that unlike the first path, this second does not require the rejection of the belief-desire theory, only the rejection of one assumption about the nature of conative attitudes. Unlike Nagel’s chosen path, then, the second holds out the prospect of reconciling ethical objectivity, internalism, and the belief-desire theory within a unified account. I argue that the account of desire found in Quinn, Raz, and Scanlon, augmented by aspects of Davidson’s account of propositional attitudes, yields a coherent account of the involvement of reason even in basic desires, an account that is well suited to Nagel’s intriguing path not taken. Earlier versions of this paper were presented at UC Santa Barbara and the University of Michigan. I am grateful to members of those audiences for helpful comments, in particular to Stephen Darwall, David Velleman, Kevin Toh, Voula Tsouna, and Tony Anderson. I have also benefited from helpful discussions of these arguments with Peter Thielke, Ted Hinchman, Dion Scott-Kakures, and Charles Young.