This article addresses the integration problem in psychiatry: the explanatory problem of integrating such heterogeneous factors as cause or contribute to the problems at hand, ranging from traumatic experiences, dysfunctional neurotransmitters, existential worries, economic deprivation, social exclusion, and genetics. In practice, many mental health professionals work holistically in a pragmatic and eclectic way. Such pragmatic approaches often function well enough. Yet an overarching framework provides orientation, treatment rationale, a shared language for communication with all those involved, and the means to explain treatment decisions to health insurers and to society at large. It also helps to relate findings from different areas and types of research. In this article, I introduce an enactive framework that supports holistic psychiatric practice by offering an integrating account of how the diverse aspects of psychiatric disorders relate. The article starts with a short overview both of the four main dimensions of psychiatric disorders and of the currently available models. I then introduce enactivism and the enactive notion of sense-making. Subsequently, I discuss how this enactive outlook helps explicate the relation between the four dimensions and what that implies regarding the causality involved. The article concludes with an overview of treatment implications.
The enactive naturalization of normativity: from self-maintenance to situated interactions
The autopoietic enactive account of cognition explains the emergence of normativity in nature as the norm of self-maintenance of life. The autonomous nature of living agents implies that they can differentiate events and regulate their responses in terms of what is better or worse to maintain their own precarious identity. Thus, normative behavior emerges from living organisms. Under this basic understanding of normativity as self-maintenance, autopoietic enactivism defends a continuity between biological, cognitive, and social norms. The self-maintenance of an agent’s sensorimotor identity establishes the cognitive norms that regulate its behavior, and the self-maintenance of its social identity determines the social norms. However, there is no clear explanation of how individuals, who by their very constitution are primarily moved to interact with the world under the norm of self-maintenance, could interact with the world driven by non-individual norms. Furthermore, understanding all normativity as self-maintenance makes it unclear how agents establish genuine social interactions and acquire habits that have no implication for their constitution as individuals. So, to face these challenges, I propose an alternative notion of normativity grounded on a Wittgensteinian, action-oriented, and pragmatic conception of meaning that distinguishes between an agent with a normative point of view and external normative criteria. I defend that a normative phenomenon is an interaction that is established by an individual point of view as defined by autopoietic enactivism and that is part of a self-maintaining system. The latter establishes the external normative criteria to evaluate the interaction, and it may or may not coincide with the identity of the interacting agent. Separating external normative criteria from the self-constitution of the interactant agent not only solves the challenge but potentially explains the situated and relational character of agency.
Needs, Moral Demands and Moral Theory
In this article we argue that the concept of need is as vital for moral theory as it is for moral life. In II we analyse need and its normativity in public and private moral practice. In III we describe simple cases which exemplify the moral demandingness of needs, and argue that the significance of simple cases for moral theory is obscured by the emphasis in moral philosophy on unusual cases. In IV we argue that moral theories are inadequate if they cannot describe simple needs-meeting cases. We argue that the elimination or reduction of need to other concepts such as value, duty, virtue or care is unsatisfactory, in which case moral theories that make those concepts fundamental will have to be revised. In conclusion, we suggest that if moral theories cannot be revised to accommodate needs, they may have to be replaced with a fully needs-based theory.
Needs and Moral Necessity
Needs and Moral Necessity analyses ethics as a practice, explains why we have three moral theory-types, consequentialism, deontology and virtue ethics, and argues for a fourth needs-based theory.
Logic isn’t Normative
Some writers object to logical pluralism on the grounds that logic is normative. The rough idea is that the relation of logical consequence has consequences for what we ought to think and how we ought to reason, so that pluralism about the consequence relation would result in an incoherent or unattractive pluralism about those things. In this paper I argue that logic isn’t normative. I distinguish three different ways in which a theory – such as a logical theory – can be entangled with the normative and argue that logic is only entangled in the weakest of these ways, one which requires it to have no normativity of its own. I use this view to show what is wrong with three different arguments for the conclusion that logic is normative.
The Self-Overcoming of Nihilism
In May of this year I had the opportunity to give several talks on the topic of nihilism. Initially I intended to focus on the three themes of Nietzsche, Dostoevsky, and Buddhism. When I was twenty, the figures of Nietzsche and Dostoevsky burned a lasting impression deep into my soul-as I suppose they may still do to many young people even today-and the tremors I experienced at that time have continued to make my heart tremble ever since. The final theme, of Buddhist “emptiness,” came to capture my interest more gradually. The connections among these three topics are not merely arbitrary or external. The nihilism that Dostoevsky plumbed so deeply has important connections with that of Nietzsche, as a number of critics have pointed out; and Nietzsche considers what he calls European nihilism to be the European form of Buddhism. Even though there may be in Nietzsche a radical misunderstanding of the spirit of Buddhism, the fact that he considered it in relation to nihilism shows how well attuned he was to the real issue. It was considerations such as these that inclined me toward these three themes in my discussion of nihilism.
What is a Conspiracy Theory?
In much of the current academic and public discussion, conspiracy theories are portrayed as a negative phenomenon, linked to misinformation, mistrust in experts and institutions, and political propaganda. Rather surprisingly, however, philosophers working on this topic have been reluctant to incorporate a negatively evaluative aspect when either analyzing or engineering the concept conspiracy theory. In this paper, we present empirical data on the nature of the concept conspiracy theory from five studies designed to test the existence, prevalence and exact form of an evaluative dimension to the ordinary concept conspiracy theory. These results reveal that, while there is a descriptive concept of conspiracy theory, the predominant use of conspiracy theory is deeply evaluative, encoding information about epistemic deficiency and often also derogatory and disparaging information. On the basis of these results, we present a new strategy for engineering conspiracy theory to promote theoretical investigations and institutional discussions of this phenomenon. We argue for engineering conspiracy theory to encode an epistemic evaluation, and to introduce a descriptive expression—such as ‘conspiratorial explanation’—to refer to the purely descriptive concept conspiracy theory.
Fetuses, Orphans, and a Famous Violinist: On the Ethics and Politics of Abortion
In this paper, I urge feminists to re-center fetal moral status in their theorizing about abortion. I argue that fundamental feminist normative commitments are at odds with efforts to de-emphasize fetal moral status: The feminist commitment to ensuring care for dependents supports surprising conclusions with regard to the ethics of abortion, and the feminist commitment to politicizing the personal has surprising conclusions regarding the politics of abortion. But these feminist insights also support the conclusion that, conditional on fetal moral status, care for unwanted fetuses would be a social obligation that only derivatively falls to women who are unwillingly pregnant.
Xenophobia and Kantian Rationalism
The purpose of this discussion is twofold. First, I want to shed some light on Kant’s concept of personhood as rational agency, by situating it in the context of the first Critique’s conception of the self as defined by its rational dispositions. I hope to suggest that this concept of personhood cannot be simply grafted onto an essentially Humean conception of the self that is inherently inimical to it, as I believe Rawls, Gewirth, and others have tried to do. Instead I will try to show how deeply embedded this concept of personhood is in Kant’s conception of the self as rationally unified consciousness. Second, I want to deploy this embedded concept of personhood as the basis for an analysis of the phenomenon of xenophobia.
Hatata [I] (1667)
Translating to ‘an investigation’, this is the first of two 17th century ethical and rational treatises from present-day Ethiopia. Zera Yacob (Zär’a Ya’eqob, Wärqe) is most noted for his philosophy surrounding the principle of harmony. He asserted that an action’s morality is decided by whether it advances or degrades overall harmony in the world. While he did believe in a deity, whom he referred to as God, he criticised several sets of religious beliefs. Rather than deriving beliefs from any organized religion, Yacob sought the truth in observing the natural world. In Hatata, Zera Yacob applied the idea of a first cause to produce a proof for the existence of God, thus proposing a cosmological argument. “If I say that my father and my mother created me, then I must search for the creator of my parents and of the parents of my parents until they arrive at the first who were not created as we [are] but who came into this world in some other way without being generated.” However, the knowability of God does not depend on human intellect, but “Our soul has the power of having the concept of God and of seeing him mentally. God did not give this power purposelessly; as he gave the power, so did he give the reality.” Yacob’s work was continued in a second Hatata by his pupil and patron’s son, Walda Heywat (Wäldä Hewat).