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.     

‘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.     

Communal versus individual learning of a math-estimation task: African American children and the culture of learning contexts

The authors compared the performance of 78 African American 5th-grade students who studied a math-estimation task in one of two learning contexts. Learning contexts differed in the degree to which they afforded the expression of communalism. ANCOVA confirmed that posttest performance was best for students who studied in the high communal-learning context. The findings support A. W. Boykin's (1994) contention that the cultural context of learning can be a critical mediator of children's performance.     

To Matrix, Network, or Hierarchy: That Is the Question

The authors present a structural analysis of three spatial diagrams-matrices, networks, and hierarchies-that specifies 10 properties on which these diagrammatic representations are hypothesized to differ: global structure, building block, number of sets, item/link constraints, item distinguishability, link type, absence of a relation, linking relations, path, and traversal. Each property has a "value" for each diagram, and these property values constitute the applicability conditions for the representations. Twenty-three college students (computer science majors and math educators) selected the type of diagram they thought would be most efficient for organizing the information in each of 18 short scenarios and verbally justified the reasons for their selections. The verbal protocols were coded with respect to the structural analysis. Both the representation selection and verbal justification data provided strong support for the structural analysis. Additionally, a factor analysis of students' justifications indicated that the organization of their knowledge is consistent with the structural analysis. Students' use of the structural properties to select appropriate representations and to justify those selections indicates that the structural analysis has psychological force.     

Exploration of Male Attitudes on Partnerships and Sexuality with Female <Emphasis Type="Italic">BRCA1/2</Emphasis> Mutation Carriers

Women with BRCA mutations are inundated with decisions about managing cancer risks and childbearing considerations. Decisions become more complicated when women face disclosing their mutation and risk-reduction options to a romantic partner. This study identifies the concerns and perspectives of male romantic partners regarding these unique decisions. Twenty-five male participants completed an online survey posted to cancer support group message boards. Participants reported relationship changes regarding intimacy levels (n?=?9), attraction (n?=?2), and communication (n?=?22) after mutation disclosure. Participants whose partners had not undergone prophylactic mastectomy (n?=?14) reported concerns regarding sexual relations (n?=?5), post-surgical appearance (n?=?2), post-surgical attraction (n?=?5), and health/lifespan (n?=?9). Participants did not express attitude changes toward childbearing. While mutation disclosure conversations and surgical options are concerns for many BRCA mutation carriers in relationships, male partners share these concerns. Aspects of the relationship may change, but male study participants continued to support their partners. This information can benefit female BRCA mutation carriers, their current or future partners, and genetic counselors working with this particular population.     

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.