Gerrit Glas

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 12.1 (2005) 49-54 [Access article in PDF] In Search for Normativity of Unconscious Reasoning Gerrit Glas Keywords emotion, practical reason, reasoning, normativity, unconscious, appropriation Puzzles Church Is "deeply" puzzled by "the idea that we can be ignorant of our own rea-sons" (2005, 31). I was, at first sight, puzzled by this puzzlement.There is no question that we, indeed, are ignorant of many of our reasons. In cases of routine behavior, for instance, we are often not, or only dimly, aware of the reasons for doing something. When I use the indicator when taking a turn to the left with my car, I have no conscious reason for doing so. It has become routine behavior, acquired during my lessons in car driving. My non-awareness may even be considered as sign of my excellence as a driver. This non-awareness is most noteworthy in all those cases in which we, again routinely, withdraw from a particular action. Education and training not only teach us how and why to perform certain activities, they also give us reasons to refrain from all sorts of other actions. There are many reasons to do certain things; there seem to be many more reasons for not doing other things. To suppose that having reasons would by necessity involve conscious awareness of these reasons would life make impossible to live.So, ignorance seems to be very common, not to say trivial. This raises the question whether there is anything nontrivial in the attempt to make sense of ignorance of our reasons. What element or aspect of ignorance is it that may evoke philosophical interest? Jennifer Church seems to have in mind different overlapping concerns. In the first part of her paper, she addressesthe issue of legitimacy; that is, the specification of conditions under which attributions of unconscious content are legitimate or illegitimate; andthe issue of normativity; that is, the question how and why unconscious reasons can be normative for me.The first question can be discussed without reference to a self; the second question cannot. In the second part of the paper there arise new concerns:the issue of having reasons that can not be recognized as reasons by oneself, "strange reasons" so to say, with spatial reasoning as a paradigm case; andthe issue of being moved by ones reasons through the visceral connection between desires and beliefs on the one hand and motor activity (external or internal) on the other hand; this connection is secured by our emotions.[End Page 49] Recapitulation Let me try to recapitulate some of the main issues. Church makes, first, a distinction between having access to one's reasons and recognizing one's reasons as reasons. She proceeds by discussing the no-access problem in terms of a functionalist metaphysics of mental states. Then she suggests that ascribing unconscious content (or reason) to a person, in fact, boils down to the evaluation of the appropriateness of the ascription of a specimen of practical reasoning to the subject. Practical reasoning involves the structured connection and interaction between beliefs and desires. This structure can be studied at the level of animal psychology; however, there are some important differences between humans and animals: humans can withhold assent, they can lie, and they may recognize mistakes, whereas animals cannot. The possibility of being mistaken about one's reasons leads from the issue of legitimacy to the issue of normativity. For a reason to become my reason, the belief–desire network should make sense, I should feel normatively compelled in some way. So the issue of normativity cannot be studied apart from the possibility of recognition. To recognize a reason as one's reason, one has—at some level of understanding—to assent with its content, even if this occurs implicitly.In the second part the conditions for recognition are investigated in the form of an analysis of unconscious reasons that are strange. Strange reasons are not recognized because they function in some different way compared to normal conscious reasoning. Strangeness is defined here in terms of a different way of...

I tend to agree with Hillel Braude’s thesis that alleviation of suffering is not an aim, at least not the primary aim, of medicine. However, this thesis needs to be refined and reformulated, because it at best expresses half the truth. The other half is that it is not justifiable for doctors to pay no attention to suffering. In other words, the thesis I would have liked Braude to defend is that it is true that doctors are no experts in existential issues and concerns and that it is equally true that they cannot ignore these existential issues and concerns without harming the relationship with their patients. After having read “Affecting the Body and Transforming Desire” (Braude 2012) another time, however, I ..

Which moral consequences are implied in conceiving mental health care delivery as a market? It is argued that the market, as a term, does not function as a description of what actually occurs, but as a metaphor, albeit an effective one, which structures the behavior of managers and administrators. Three models of mental health care are described, including the moral principles, which prevail in each of them. In the Dutch situation there, in fact, appears to be a mix of these models. Competition between health care providers according to the principles of the free market burdens the patient-physician relationship, as relation of trust; it offers a potential threat to the principles of justice and solidarity; and to the autonomy of the medical profession. These hazards are illustrated by focusing on different types of markets.