CONSEQUENTIALISM, GROUP ACTS, AND TROLLEYS

Abstract: Multiple‐Act Consequentialism specifies that one should only defect from a group act with good consequences if one can achieve better consequences by the defecting act alone than the entire group act achieves. It also holds that when different valuable group agents of which one is part specify roles which conflict, one should follow the role in the group act with more valuable consequences. This paper develops Multiple‐Act Consequentialism as a solution to the Trolley Problem.     

ENCOUNTERS WITH PSYCHOSIS

This essay offers a personal account of one physician's attempt to engage with psychotic patients in an inner‐city hospital. It considers some of the obstacles to psychoanalytic work with psychotic patients, including anxiety in the psychotherapist, anxiety in the patient, institutional resistances, and paradigmatic errors. A discussion of paradigmatic errors in Western mental health care is expanded upon. Rorty's ( 1979 ) critique of objectivity and Kuhn's ( 1962 ) work on scientific paradigm shifts are discussed in an attempt to demonstrate how we might better understand psychosis as an illness and connect with patients across the entire diagnostic spectrum.