Grant Gillett

In lieu of an abstract, here is a brief excerpt of the content:Philosophy and Literature 29.2 (2005) 269-285 [Access article in PDF] Oedipus The King: Temperament, Character, and Virtue Grant Gillett Robin Hankey University of Otago I Recent discussions of ethics and literature suggest that there is a relationship between reading (or, better, immersing oneself in) literature (in particular, fiction) and the virtues. Nussbaum goes so far as to claim not only that good literature is conducive to moral sense and sensibility but also that "the well-lived life is a work of literary art."1 The character development in most substantial fictional work that aims to engage us through its realism and truth to the human condition suggests that there is such a thing as a quasi-stable character and that an agent's character plays a significant role in the way not only that the person acts but also in the kinds of thing that happen to him or her. For a certain kind of virtue theorist, the internal harmony of character required for a person to do the right thing in a diverse range of situations involves cultivating exactly those skills required to live well. This thesis amounts to a claim that there is a close, indeed conceptual, relationship between right living and good living and that the type of character which results from cultivating the virtues is a character conducive to getting the best out of the situations that life throws in our way, whereas the vicious character reveals itself by causing strife, harm, and even tragedy.Gilbert Harman, criticizing virtue ethics on the basis of some key experiments in social psychology which have led to the idea of a "fundamental attribution error," argues that people do not have enduring character traits of the type required to sustain such a position.2 His critique has itself been attacked on the basis that what the experiments show is not the absence of character traits but their ability [End Page 269] to be influenced by the demands of a situation.3 Our objection is against the conception of virtues being attacked and also his sweeping conclusion about human nature and it has two strands. First we argue that phronesis, as the hallmark of a virtuous character, is a mix of skills, abilities, and attitudes honed in such a way as to allow the person to act fittingly in different life situations. Second, character runs true to type in an individual and even runs in families.We find support for both claims in Sophocles' Oedipus the King. This is, of course, a myth but one that has spoken to human beings across the ages and it recognizes both that different individuals show certain regularities in their modes of relationship and their conduct and that these tendencies are often familial, contributing significantly to the events marking family stories and traditions. Phronesis or practical wisdom is the skill to negotiate the challenges that life produces when fate deals one a hand of this (genetic and genealogical) kind. In the process of making the case we will support the claim that fiction "can significantly contribute to moral understanding by revealing what certain situations amount to" and therefore that it "can bring home to us the force of, for example, moral dilemmas" and indeed moral concepts, and we will use the Oedipus story to reflect on the lessons emerging from one version of virtue ethics.4We approach the Oedipus myth through Sophocles' tragedy in which an oracle about patricide and incest plays itself out in the lives of certain characters. The relevance for virtue ethics arises from the ways in which characters in the play react to their predicament and try to cope with the situations they must face. In moral life, individuals need to find strategies to deal with challenges they face both as individuals and as persons-in-relationships-with-others. The reactions portrayed in Oedipus make vivid not only the idea of character traits but also the role of virtue in moderating what we might do in situations that interact with our characters in potentially disastrous ways. II Harman's challenge begins...

Free will seems to be part of the romantic echo of a world view which predates scientific psychology and, in particular, cognitive neuroscience. Findings in cognitive neuroscience seem to indicate that some form of physicalist determinism about human behavior is correct. However, when we look more closely we find that physical determinism based on the view that brain events cause mental events is problematic and that the data which are taken to support that view, do nothing of the kind. In fact that view meets some substantial objections which turn on the role of the contents of our thoughts and experiences in explaining our behavior. When we look at mental or psychological content we find it is governed by rules and not just causal laws. Rule-following is an activity which invokes the role of the thinker as rational agent and this is not a causal type of explanation. The fact that the thinker as agent is important means that when we invoke the way that a subject thinks about the world, we conceive of that subject as located in a socio–cultural context. This in turn requires that we recognize an explanatory circle according to which neither brain science nor social science can claim priority in explaining human behavior and it follows that, for the purposes of psychological explanation and the understanding of the brain as an organ subserving a system of representation, we are bound to regard human beings as reasoning beings who exert some control over their own behavior and not just as physical systems. This defeats the causal determinist position

Perception is often analysed as a process in which causal events from the environment act on a subject to produce states in the mind or brain. The role of the subject is an increasing feature of neuroscientific and cognitive literature. This feature is linked to the need for an account of the normative aspects of perceptual competence. A holographic model is offered in which objects are presented to the subject classified according to rules governing concepts and encoded in brain function in that form. This implies that the analysis of perception must consider not only the fact that there is an interaction between the perceiving subject and the perceived object but also that the interaction is shaped by a system of concepts which the subject uses in thought and action

It has been argued that 'brain bisection' data leads us to abandon our traditional conception of personal identity. Nagel has remarked: The ultimate account of the unity of what we call a single mind consists of an enumeration of the types of functional integration that typify it. We know that these can be eroded in different ways and to different degrees. The belief that even in their complete version they can be explained by the presence of a numerically single subject is an i1lusion.l Parfit has adopted a similar position, contending that patients with 'split brains' become two separate 'streams of consciousness' and thus that our normal sense of personal identity, or at least 'what matters' about personal identity is constituted by psychological relations between connected conscious experiences2 It is claimed that in 'split brain' patients certain of the relations are disrupted and that we thus see clearly that the nature of the unity that is normally present does not reside in a single subject with a given identity, but in the connectedness and continuity that normally obtains. Parfit draws on two sources of support for these contentions: the first is the actual events that transpire after a human being is submitted to the operation of sectioning the corpus callosum (or 'brain bisection'), and the second is the imaginative consideration of various scenarios involving graded mental and physical discontinuity, and the 'fission' and 'fusion' of persons. I shall do little more than argue that the actual data will not sustain the interpretation put on them

We view a human being as a mental and spiritual entity and also as having a physical nature. The essence of a person is revealed in our thinking about personal identity, quality of life, and personal responsibility. These conceptions do not fare well in a Cartesian or dualist picture of the person as there are deep problems with the idea that the mind is an inner realm. I argue that it is only as we see the thoughts, actions, and interactions of persons as necessarily involving physical entities in the world whose nature is not completely captured in scientific descriptions that we can understand our existence as mental and spiritual beings.

Medea killed her children to take away the smile from her husband's face, according to Euripides, an offence against nature and morality. What if Medea had still been carrying her two children, perhaps due to give birth within a week or so, and had done the same? If this would also have been morally reprehensible, would that be a judgment based on her motives or on her action? We argue that the act has multiple and holistic moral features and that, in fact, there is no absolute principle, such as the right of the fetus to life, which governs our moral judgments about fetal-maternal conflicts. We suggest that they illustrate a pervasive feature of human moral discourse and can only be addressed by attending to a range of negotiable moral considerations which depend on particular features of each situation

The concept of futility is sometimes regarded as a cloak for medical paternalism in that it rolls together medical and value judgments. Often, despite attempts to disambiguate the concept, that is true and it can be applied in such a way as to marginalize the real interests of a patient. I suggest we replace it with a conceptual toolkit that includes physiological futility, substantial benefit (SB), and the risk of unacceptable badness (RUB) in that these concepts allow us to articulate what is at stake in ethical judgments where outcomes are crucial in determining what should be done

Libet's experiments, supported by a strict one-to-one identity thesis between brain events and mental events, have prompted the conclusion that physical events precede the mental events to which they correspond. We examine this claim and conclude that it is suspect for several reasons. First, there is a dual assumption that an intention is the kind of thing that causes an action and that can be accurately introspected. Second, there is a real problem with the method of timing the mental events concerned given that Libet himself has found the reports of subjects to be unreliable in this regard. Third, there is a suspect assumption that there are such things as timable and locatable mental and brain events accompanying and causing human behaviour. For all these reasons we reject the claim that physical events are prior to and explain mental events

Neuroscience and technological medicine in general increasingly faces us with the imminent reality of cyborgs—integrated part human and part machine complexes.If my brain functions in a way that is supported by and exploits intelligent technology both external and implantable, then how should I be treated and what is my moral status—am I a machine or am I a person? I explore a number of scenarios where the balance between human and humanoid machine shifts, and ask questions about the moral status of the individuals concerned. The position taken is very much in accordance with the Aristotelian idea that our moral behaviour is of a piece with our social and personal skills and forms a reactive and reflective component of those skills

The ability to feel pain is a property of human beings that seems to be based entirely in our biological natures and to place us squarely within the animal kingdom. Yet the experience of pain is often used as an example of a mental attribute with qualitative properties that defeat attempts to identify mental events with physiological mechanisms. I will argue that neurophysiology and psychology help to explain the interwoven biological and subjective features of pain and recommend a view of pain which differs in important respects from the one most commonly accepted

The Snark is an intentional object. I examine the general philosophical characteristics of thoughts of objects from the perspective of Husserl's, hyle, noesis, and noema and show how this meets constraints of opacity, normativity, and possible existence as generated by a sensitive theory of intentionality. Husserl introduces terms which indicate the normative features of intentional content and attempts to forge a direct relationship between the norms he generates and the actual world object which a thought intends. I then attempt to relate Husserl's account to Fregean insights about the sense and reference of a term. Neither Husserl nor Frege suggest plausible routes to a naturalistic account of intentionality and I turn to Wittgenstein to provide a naturalistic reading of the crucial terms involved in the analysis of intentional content. His account is normative in a way required by both Husserl and Frege and yet manages a kind of Aristotelian naturalism which avoids crude biologism

The debates about human free will are traditionally the concern of metaphysics but neuroscientists have recently entered the field arguing that acts of the will are determined by brain events themselves causal products of other events. We examine that claim through the example of free or voluntary switch of perception in relation to the Necker cube. When I am asked to see the cube in one way, I decide whether I will follow the command (or do as I am asked) using skills that reason and language give to me and change my brain states accordingly. The voluntary shift of perspective in seeing the Necker cube this way or that exemplifies the top-down control exercised by a human being on the basis of the role of language and meaning in their activity. It also indicates the lived story that is at the centre of each human consciousness. In the third part of this essay, three arguments are used to undermine metaphysical objections to the very idea of top-down self control

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 12.1 (2005) 23-24 [Access article in PDF] Schechtman's Narrative Account of Identity Grant Gillett Keywords personal identity, narrative self, memory I have long been an admirer of Schechtman's sensitive and psychologically realistic account of personal identity. In the present piece, she addresses the issues surrounding personal identity through Locke's view and problems attending that view and the psychological continuity theories descended from it.She examines the claim that the person is more extensive than the conscious mind and includes aspects of nonconscious mental activity. Schechtman argues that one must have a self-conception that includes a trajectory where present experience unfolds meaningfully out of one's past replete with implications for what one does and how one does it. She locates, in current writing on the self, the idea of a perceiver or narrator self who tries to make sense out of herself as a human being with certain thoughts and feelings and is sometimes at a loss to do so. To this potentially very rich starting point we need only add the fact that a person draws on discursive and narrative skills that have been inscribed in her being to do this narrative, editorial, and judicial task and that many of these skills have been imbibed with mother's milk (and father's voice). From this discursively inscribed set of resources and orientations arise guilt, shame, pride, aspiration, vulnerability, and that crucial sense of who one is as a person among others.It follows that here we might also find the source of the discontents that induce a person to apply to a psychiatrist or counselor for help with the narrative work required to fashion a liveable self. If Schechtman is right, the cognitive capacities contributing to memory and "keeping track of oneself"(in a deep and satisfying way) are to be found in part in the nonconscious domain rather than the thin layer of consciousness and propositional attitude psychology that enters the mind of an analytic philosopher or a psychiatrist uninterested in depth.I think she is right and that this paper and her more extensive work on the constitution of self represent a fertile point at which psychiatrists and psychotherapists can begin the task of understanding the nature of identity and the challenges involved in finding one that will serve the unfolding project of understanding and forming the self. I believe that the resources that individuals need for this task are derived from one's rootedness in culture and human relationships where the levels of self that support consciousness can be nurtured according to what Michel Foucault calls the techniques proper to the care of the self. Schechtman has done us a favor in taking the debates surrounding neo-Lockean [End Page 23] views of personal identity and outlining a perspective on identity and memory that can lead us to develop our understanding of the complexity of the human psyche as it roams through the jungle/jumble of discursive life and tries to nourish itself on what it finds there.Grant Gillett is a Professor of Medical Ethics at the University of Otago in Dunedin, New Zealand. He is also a practicing neurosurgeon. His philosophical work is in philosophy of mind and psychiatry, continental philosophy, and bioethics. His most recent books are The Mind and Its Discontents (Oxford University Press) and Bioethics in the Clinic (Johns Hopkins University Press). He works on postmodern and traditional analytic approaches to mind, language, and psychiatry. He can be reached at Dunedin Hospital and Otago Bioethics Centre, University of Otago Medical School, PO Box 913, Dunedin, New Zealand, or via e-mail at [email protected]....

This study examines the relationship between thought and language by considering the views of Kant and the later Wittgenstein along with many strands of contemporary debate in the area of mental content. Building on an analysis of the nature of concepts and conceptions of objects, Gillett provides an account of psychological explanation and the subject of experience, offers a novel perspective on mental representation and linguistic meaning, looks at the difficult topics of cognitive roles and singular thought, and concludes with an outline of certain considerations relevant to skeptical arguments and the nature of perception. The resulting synthesis demonstrates interesting correlations with current work in cognitive and developmental psychology, and is directly relevant to continuing work in epistemology, philosophy of mind, and philosophical psychology.

The psychopathic personality disorder historically has been thought to include an insensitivity to morality. Some have thought that the psychopath's insensitivity indicates that he does not understand morality, but the relationship between the psychopath's defects and moral understanding has been unclear. We attempt to clarify this relationship, first by arguing that moral understanding is incomplete without concern for morality, and second, by showing that the psychopath demonstrates defects in frontal lobe activity which indicate impaired attention and adaptation to environmental conditions which are relevant to the formation of complex intentions. We argue that these frontal lobe defects can help to explain both the psychopath's apparent insensitivity to morality and his characteristic imprudence.

In this unique study Fulford combines the disciplines of rigorous philosophy with an intimate knowledge of psychopathology to overturn traditional hegemonies. The patient replaces the doctor at the heart of medicine. Moral theory and the logic of evaluation replace epistemology as the focus of philosophical enquiry. Ever controversial, mental illness is at the interface of philosophy and medicine. Mad or bad? Dissident or diseased? Dr Fulford shows that it is possible to achieve new insights into these traditional dilemmas, insights at once practically relevant and philosophically significant.

The use of human tissue raises ethical issues of great concern to health care professionals, biomedical researchers, ethics committees, tissue banks and policy makers because of the heightened importance given to informed consent and patient autonomy. The debate has been intensified by high profile scandals such as the “baby hearts” debacle and revelations about the retention of human brains in neuropathology laboratories worldwide. Respect for patient’s rights seems, however, to impede research and development of clinical knowledge in contemporary health care. The Common clinical endeavour argument and a Presumption for beneficial use argument suggest that the use of tissues for research and teaching in contemporary health care can respect patients and their values in multicultural communities where there are provisions for oversight and for opting not to contribute, both of which should respect the diverse views of different ethnic or cultural groups.