Autonomy and the Normativity Question: Framing Considerations

Abstract

An initial interest in the question of whether one can autonomously choose to be non-autonomous has developed into the broader question of whether there are any normative commitments that necessarily attend being autonomous. This paper argues that reflection on this issue has been systematically hampered by a failure to realize that the normativity question does not delineate a single line of inquiry, but rather several different such lines; and that these differences depend on how certain key concepts embedded in the question are understood. The paper concludes by noting several lines of future research suggested by the present work.     

The illness perception questionnaire: A new method for assessing the cognitive representation of illness

Abstract

The Illness Perception Questionnaire (IPQ) is a new method for assessing cognitive representations of illness. The IPQ is a theoretically derived measure comprising five scales that provides information about the five components that have been found to underlie the cognitive representation of illness. The five scales assess identity - the symptoms the patient associates with the illness, cause - personal ideas about aetiology, time-line - the perceived duration of the illness, consequences - expected effects and outcome and cure control - how one controls or recovers from the illness. The IPQ has a specific number of core items but allows the user to add items for particular patient groups or health threats. Data is presented supporting the reliability and validity of the IPQ scales in different chronic illness populations.     

Developmental trajectories of multisite musculoskeletal pain and depressive symptoms: The effects of job demands and resources and individual factors

Objective: To investigate developmental paths in multisite musculoskeletal pain (MPS) and depressive symptoms (DPS) and the effects of job demands (JD), job resources (JR), optimism and health-related lifestyle on these paths. We expected to find four trajectories – Low Symptoms, High Pain, High Depression and High Symptoms – and hypothesised that high JDs, low JRs, low optimism and adverse lifestyle predict belonging to trajectories with high symptom levels.

Design: Data on Finnish firefighters (N = 360) were collected in 1996, 1999 and 2009. The effects of JDs (mental and physical workload), JRs (supervisory relations, interpersonal relations, task resources), optimism and lifestyle (alcohol consumption, smoking, physical exercise, sleeping) on MPS and DPS were assessed. Latent class growth modelling and multinomial logistic regression were applied.

Results: Three trajectories emerged: Low Symptoms; High Pain; and High Depression. In a multivariable model, high mental workload (OR 2.9, 95% CI 1.5–5.5), poor interpersonal relations (2.6, 1.4–5.0), sleeping problems (2.7, 1.4–5.2) and low optimism (2.0, 1.0–3.7) predicted belonging to High Depression. Alcohol consumption (2.4, 1.4–4.1) and sleeping problems (2.1, 1.3–3.6) were related to High Pain.

Conclusions: Different developmental paths in MPS and DPS are possible. Partly different factors predict the development of pain and depressive symptoms.     

Rationality and Synchronic Identity

Many requirements of rationality rely for their application on facts about identity at a time. Take the requirement not to have contradictory beliefs. It is irrational if a single agent believes P and believes ～P, but it is not irrational if one agent believes P and another believes ～P. There are puzzle cases, however, in which it is unclear whether we have a single agent, or instead two or more. I consider and reject possible criteria of identity at a time before proposing a pluralist alternative on which there are vastly more agents than we might have thought. This pluralist thesis is analogous to mereological universalism, on which there are all sorts of strange disconnected objects of which we don’t usually take note. I conclude by giving a pragmatic account of which of these rational agents it makes sense to attend to, by appealing the purposes that we have in employing rationally evaluative language.     

Authoritarian reactions to terrorist threat: Who is being threatened,the Me or the We?

Endorsement of authoritarian attitudes has been observed to increase under conditions of terrorist threat. However, it is not clear whether this effect is a genuine response to perceptions of personal or collective threat. We investigated this question in two experiments using German samples. In the first experiment (N = 144), both general and specific authoritarian tendencies increased after asking people to imagine that they were personally affected by terrorism. No such effect occurred when they were made to think about Germany as a whole being affected by terrorism. This finding was replicated and extended in a second experiment (N = 99), in which personal and collective threat were manipulated orthogonally. Authoritarian and ethnocentric (ingroup bias) reactions occurred only for people highly identified with their national ingroup under personal threat, indicating that authoritarian responses may operate as a group‐level coping strategy for a threat to the personal self. Again, we found no effects for collective threat. In both studies, authoritarianism mediated the effects of personal threat on more specific authoritarian and ethnocentric reactions. These results suggest that the effects of terrorist threat on authoritarianism can, at least in part, be attributed to a sense of personal insecurity, raised under conditions of terrorist threat. We discuss the present findings with regard to basic sociomotivational processes (e.g., group‐based control restoration, terror management) and how these may relate to recent models of authoritarianism.     

Embedded taste predicates

Wide-ranging semantic flexibility is often considered a magic cure for contextualism to account for all kinds of troubling data. In particular, it seems to offer a way to account for our intuitions regarding embedded perspectival sentences. As has been pointed out by Lasersohn [2009. “Relative Truth, Speaker Commitment, and Control of Implicit Arguments.” Synthese 166 (2): 359â374], however, the semantic flexibility does not present a remedy for all kinds of embeddings. In particular, it seems ineffective when it comes to embeddings under operators with truth evaluative adverbs such as ‘correctly believes that’ and ‘incorrectly believes that’ and under factive verbs. This paper takes a closer look at the problematic embedding data with respect to predicates of personal taste. It argues that there is indeed no semantic solution for contextualism but a pragmatic way out.     

A Reply to the Commentaries of Drs DiBenedetto and Pakenham

This commentary addresses some of the cogent responses offered by Drs. DiBenedetto and Pakenham and the idea of an alternative approach to addressing the self‐care needs of our profession.     

Two Jungs. Apropos a paper by Mark Saban

Jung's idea of the ‘personal equation’ amounts to the reflection that theoretical differences between the psychologies that people teach are rooted in their personalities, in other words, that they are due to the psychology each one ‘has’. This concept also applies to different interpretations of Jung's work. The serious difficulties that Mark Saban has with my psychology are a case in point. Recourse to the concept of the personal equation reveals that Saban has his Jung and I have mine. With his insistence on his Talmudic methodological principle of dream interpretation, that ‘the dream is its own interpretation’, according to Saban Jung means nothing but a rejection of Freudian free association. My Jung goes far beyond that. Jung understands this methodological principle above all in terms of what he calls ‘circumambulation’. The main part of this paper is devoted to an elucidation of what circumambulation involves as a mode of dream interpretation. The paper concludes with the distinction Jung himself introduced between two types of reading of his work, either as ‘paper’ and ‘dead nostrums’ or as ‘fire and wind’, and pleads for a reconstruction of Jung's psychology as a whole in terms of his most advanced, deepest insights, instead of a dogmatic reading mainly based on the early Jung, a reading for which his later revolutionary insights are at best negligible embellishments.     

O'NEILL'S JOURNEY

This paper considers some of the processes through which Eugene O'Neill (1888–1953) dramatically shaped his inner life and through which he created his plays. These processes at their finest are evident in his composition of Long Day's Journey into Night (1941a). During its 21‐month composition, the play went through three different versions, as evidenced by the playwright's handwritten and typed materials (O'Neill, unpublished, a, b, c, d). This paper posits that each version reflects O'Neill's changing state of mind as he began to master his instinctual life, developing increasingly rich characters and creating a painful, deeply tragic vision. Thus, this paper shows that O'Neill's great artistic achievement reflected a great psychological one.     

Religious pluralism and processes of individualisation in Hinduism

The paper explores the interconnection between religious pluralisation and processes of individualisation in India by focusing on the emergence of religious alternatives to Vedic ritualism in the centuries around the beginning of the Common Era. Criticism of established religious goals and practices voiced by individuals was accompanied by an increasing interest in the structures of individual existence. The conceptualisation of the individual in the philosophical and religious literature of the period is an important aspect of establishing new religious pathways with ideas of self, agency and personal relatedness being of central concern. On the basis of different doctrines religious options gained acceptance which allow individuals to pursue their religious aspirations either apart from or parallel to the ritual-social obligations in the context of caste-hierarchy. The new religious options gravitate towards institutionalisation in the form of religious communities (sampradāya). These are not only important elements in organising Hindu religious pluralism, but also allow for recurrent processes of religious individualisation.