Experiences of Depression is a philosophical exploration of what it is like to be depressed. In this important new book, Matthew Ratcliffe develops a detailed account of depression experiences by drawing on work in phenomenology, philosophy of mind and psychology, and several other disciplines.

Paul, L. A. (2014. Transformative Experience. Oxford University Press) argues that one cannot rationally decide whether to have a transformative experience by trying to form judgments, in advance, about (i) what it would feel like to have that experience, and (ii) the subjective value of having such an experience. The problem is if you haven’t had the experience then you cannot know what it is like, and you need to know what it is like to assess its value. However, in (...) earlier work I argued that ‘what it is like’-knowledge comes in degrees, and I briefly suggested that, consequently, some instances of Paul’s argument schema might commit a fallacy of equivocation. The aim of this paper is to further explore and strengthen this objection by, first, offering a new argument – the modelling argument – in support of it, and then by evaluating a range of replies that might be given to this objection on Paul’s behalf. I conclude that each reply either fails or, at best, only partially succeeds in defending some but not all instances of Paul’s argument schema. In closing, I consider how we might revise Paul’s concepts of transformative experiences and choices in response to this conclusion. (shrink)

Some experiences are transformative in that it is impossible to imagine experiencing them until one experiences them. It has been argued that pregnancy and parenthood are like that, and that therefore one cannot make a rational decision whether to become a mother. I argue that pregnancy and parenthood are not like that; but that if even if they are, a woman can still make a rational decision by relying on testimony about the value of these experiences. I (...) then discuss an objection that such testimony will be unreliable because parents will reflect on their being glad that their children exist, and will not realize that it’s reasonable to be glad their children exist even if the parents’ lives are thereby worse. I argue that despite this possible route to unreliable testimony, in general it is reasonable to rely on others’ testimony about the value of their lives. (shrink)

There is empirical evidence suggesting a positive link between direct experiences in nature and people’s environmental attitudes (EA) and behaviors (EB). This has led researchers to encourage more frequent contact with nature, especially during childhood, as a way of increasing pro-environmentalism (i.e., pro-EA and pro-EB). However, the association between experiences in nature and EA/EB is complex, and specific guidelines for people’s everyday contact with nature cannot be provided. This article offers an overview of the research conducted until know (...) about the relation between experiences in nature and pro-environmentalism, and opens up new inquiries for future research. We begin with an introduction to people’s current tendency toward an alienation from the natural world and set out the objectives of the article. It is followed by three main sections. The first one reports on what experiences in nature refer to, how and where they occur. The second section describes the different approaches used to investigate and interpret the experiences in nature-EA and EB relation. The last section provides suggestions for future research. We close by making some final remarks about the importance of (re)stablishing a greater interaction with nature for people’s pro-EA and EB. (shrink)

Most philosophers believe that we have experiences as of temporally extended phenomena like change, motion, and succession. Almost all theories of time consciousness explain these temporal experiences by subscribing to the doctrine of the specious present, the idea that the contents of our experiences embrace temporally extended intervals of time and are presented as temporally structured. Against these theories, I argue that the doctrine is false and present a theory that does not require the notion of a (...) specious present. Furthermore, I argue that the different aspects of temporal experiences arise from different mechanisms operating separately. If the theory is true, then temporal experiences do not tell us anything special about the nature of consciousness and its temporal properties per se. (shrink)

How can we make rational decisions that involve transformative experiences, that is, experiences that can radically change our core preferences? L. A. Paul (2014) has argued that many decisions involving transformative experiences cannot be rational. However, Paul acknowledges that some traumatic events can be transformative experiences, but are nevertheless not an obstacle to rational decision-making. For instance, being attacked by hungry sharks would be a transformative experience, and yet, deciding not to swim with hungry sharks is (...) rational. Paul has tried to explain why decisions involving ‘sharky’ outcomes are an exception to the rule. However, her putative explanation has been criticized by Campbell and Mosquera (2020). In this paper, I offer a different solution to this problem. Roughly, I argue that transformative experiences give rise a problem for rational decision-making only if the decision can lead to satisfying some of our (new) core preferences, but can also frustrate other (new) core preferences. I also argue that agents can partially project what traumatic transformative experiences are like. (shrink)

Do experiences with nature –– from wilderness backpacking to plants in a preschool to a wetland lesson on frogs, promote learning? Until recently, claims outstripped evidence on this question. But the field has matured, not only substantiating previously unwarranted claims but deepening our understanding of the cause-and-effect relationship between nature and learning. Hundreds of studies now bear on this question, and converging evidence strongly suggests that experiences of nature boost academic learning, personal development, and environmental stewardship. This brief (...) integrative review summarizes recent advances and the current state of our understanding. The research on personal development and environmental stewardship is compelling although not quantitative. Report after report –– from independent observers as well as participants themselves –– indicate shifts in perseverance, problem-solving, critical thinking, leadership, teamwork, and resilience. Similarly, over fifty studies point to nature playing a key role in the development of pro-environmental behavior, particularly by fostering an emotional connection to nature. In academic contexts, nature-based instruction outperforms traditional instruction. The evidence here is particularly strong, including experimental evidence; evidence across a wide range of samples and instructional approaches; outcomes such as standardized test scores and graduation rates; and evidence for specific explanatory mechanisms and active ingredients. Nature may promote learning by improving learners’ attention, levels of stress, self-discipline, interest, and enjoyment in learning, and physical activity and fitness. Nature also appears to provide a calmer, quieter, safer context for learning; a warmer, more cooperative context for learning; and a combination of “loose parts” and autonomy that fosters developmentally beneficial forms of play. It is time to take nature seriously as a resource for learning — particularly for students not effectively reached by traditional instruction. (shrink)

Ecological grief is a widely experienced response to the world’s rapidly intensifying environmental crises and motivates people to take environmental action. Experiences of ecological grief vary, however, depending on the wider values and attitudes of the groups experiencing it. This paper describes, for the first time, the experiences of ecological grief amongst environmental activist Christians. The paper draws on findings from a survey (n=319) and recent qualitative interviews (n=62) with Christian environmental activists from six organisations in the UK. (...) Research with these environmental activists shows that they understood ecological grief in relation to four main theological themes: (1) damaging creation, (2) wrecking a gift, (3) failing to steward well, and (4) harming divinity. This paper argues that these four areas can be gathered under the single theme of breaches in relationship with God and with extrahuman life. That is, ecological grief, for these environmental activists, involves a sense of rupture in relationship to God and other non-human lifeforms. This argument is developed and framed through theological and philosophical literature concerning gift-giving, environmental stewardship, creation theology, and divine immanence. The resulting account is a unique and relationally-focused description of the experience of ecological grief. (shrink)

Within a state-space approach endowed with a generalized potential function, mental states can be systematically characterized by their stability against perturbations. This approach yields three major classes of states: (1) asymptotically stable categorial states, (2) marginally stable non-categorial states and (3) unstable acategorial states. The particularly interesting case of states giving rise to exceptional experiences will be elucidated in detail. Their proper classification will be related to Metzinger’s account of self-model and world-model, and empirical support for this classification will (...) be surveyed. Eventually, it will be outlined how Metzinger’s discussion of intentionality achieves pronounced significance within a dual-aspect framework of thinking. (shrink)

What happens when we consider transformative experiences from the perspective of gender transitions? In this paper I suggest that at least two insights emerge. First, trans* persons’ experiences of gender transitions show some limitations to L.A. Paul’s (forthcoming) decision theoretic account of transformative decisions. This will involve exploring some of the phenomenology of coming to know that one is trans, and in coming to decide to transition. Second, what epistemological effects are there to undergoing a transformative experience? By (...) connecting some experiences of gender transitions to feminist standpoint epistemology, I argue that radical changes in one’s identity and social location also radically affects one’s access to knowledge in ways not widely appreciated in contemporary epistemology. (shrink)

Through an in‐depth examination of how male nurses experience and overcome gender‐based challenges in Turkey, where traditional gender norms and patriarchal values influence social perceptions and professional roles, this study aimed to advance larger conversations on workplace equality. In this respect, a qualitative descriptive design was used to conduct semi‐structured interviews with 10 male nurses. The findings showed that most participants selected nursing for job security and financial stability over a career in caregiving. Some nurses advanced faster due to their (...) perceived male authority, even though they often face social skepticism, gender‐based discrimination, and isolation at work. The conflict between social acceptance and professional advancement is brought on by these dynamics. To eliminate preconceptions and attain gender equality in nursing, this study highlights the need for inclusive policies and cultural change by examining the experiences of male nurses in a conservative setting where women predominate. (shrink)

The supervision of teachers is essential for ensuring effective teaching methods, ongoing professional growth, and student success. This study explored the experiences of program heads in supervising teachers. It was conducted in a local college in Tangub City, Misamis Occidental. The phenomenological design was used in the study. Eleven program heads served as the participants selected through the purposive sampling technique. The Interview Guide was used as the research instrument. Moustakas' transcendental phenomenology of data analysis was utilized to analyze (...) the data gathered. Results revealed the following main themes: the critical role of supervision in advancing teacher development and educational excellence, mutual learning and growth, the role of program heads in teacher supervision, overcoming challenges in teacher supervision, and effective communication strategies. Supervision improves teaching and learning quality, which supports professional development. The complex nature of supervisory roles requires adaptive strategies and strong support networks. It is recommended for program heads and teachers to establish open communication to help address the challenges encountered during supervision. (shrink)

Multisensory Experiences: Where the senses meet technology takes you on a journey that goes from the fundamentals of multisensory experiences, through the relationship between the senses and technology, to what the future of those experiences may look like, and our responsibility in it.

Background The COVID-19 pandemic has forced rapid and widespread change to standards of patient care and nursing practice, inevitably leading to unprecedented shifts in the moral conditions of nursing work. Less is known about how these challenges have affected nurses’ capacity to meet their ethical responsibilities and what has helped to sustain their efforts to continue to care. Research objectives 1) To explore nurses’ experiences of striving to fulfill their ethical responsibilities of care during the COVID-19 pandemic and 2) (...) to explore what has fostered nurses’ capacity to fulfill these responsibilities. Research Design A generic qualitative approach was used incorporating concepts coming from fundamental features of care. Participants Twenty-four Canadian Registered Nurses from a variety of practice settings were interviewed. Ethical Considerations After receiving ethics approval, signed informed consent was obtained before participants were interviewed. Findings Four themes were identified. 1) Challenges providing good care in response to sudden changes in practice. 2) Tensions in juggling the responsibility to prevent COVID-19 infections with other competing moral responsibilities. 3) Supports to foster nurses’ capacity to meet their caring responsibilities. 4) The preservation of nurses’ moral identity through expressions of gratitude and health improvement. Discussion Infection control measures and priorities set in response to the pandemic made at distant population and organizational levels impacted nurses who continued to try to meet the ideals of care in close proximity to patients and their families. Despite the challenges that nurses encountered, the care they received themselves enabled them to continue to care for others. Nurses benefited most from the moral communities they had with their colleagues and occasionally nurse leaders, especially when they were supported in a face-to-face manner. Conclusion: Moral community can only be sustained if nurses are afforded the working conditions that make it possible for them to support each other. (shrink)

According to pure imperativism, pain experiences are experiences of a specific phenomenal type that are entirely constituted by imperative content. As their primary argument, proponents of imperativism rely on the biological role that pain experiences fulfill, namely, the motivation of actions whose execution ensures the normal functioning of the body. In the paper, I investigate which specific types of action are of relevance for an imperative interpretation and how close their link to pain experiences actually is. (...) I argue that, although imperative theories constitute an apparently promising version of strong intentionalism, they cannot provide an imperative content that meets their own criteria of both sufficiency and necessity. I further argue that this issue cannot be solved by impure imperative theories either. (shrink)

The paper develops an objection to the extensional model of time consciousness—the view that temporally extended events or processes, and their temporal properties, can be directly perceived as such. Importantly, following James, advocates of the extensional model typically insist that whole experiences of temporal relations between non-simultaneous events are distinct from mere successions of their temporal parts. This means, presumably, that there ought to be some feature(s) differentiating the former from the latter. I try to show why the extensional (...) models offers no credible ground for positing such a difference. (shrink)

Background Informed consent is considered to be the standard method for respecting the autonomy of individual participants in research and practices and is thought to be based on several conditions: (1) providing information on the purpose of the research or a specific treatment, what it will entail, (2) the participants being mentally competent to understand the information and weigh it in the balance, and (3) the participants to be free from coercion. While there are studies of informed consent in other (...) countries, especially Low and Middle Income Countries (LMICs), this study explored the experiences of clinicians regarding the process of obtaining informed consent to participate in a Randomised Controlled Trial (RCT) in particular and treatment in general in healthcare settings, both general and mental health, specifically focusing on the tension between individualistic concept of autonomy and collectivist values in cultures such as Pakistan. Methods Qualitative interviews with 20 clinicians from healthcare settings in Pakistan who also served as recruiters in a suicide prevention RCT in Pakistan. The interviews were guided by semi-structured topic guide. All interviews were audio-recorded and transcribed verbatim. Results The interviews revealed that shared decision making was more morally important than individual autonomy, the role of the family played a dominant part in the consent-taking procedure, the decision of the elder and/or family patriarch took prominence, and that clinician-researchers encountered significant challenges in consent process in Pakistan, while recruiting patients into the trial as well as during routine treatment processes in healthcare settings. Four distinct themes emerged which were (1) Family deciding for patients, (2) Benefits of involving family in consent process, (3) Gender disparity in consent process, (4) Challenges experienced by clinician-researchers during consent process in Pakistan. Conclusions The concept of consent is generally considered important in many cultures, however, there are two strands of understanding. There seems to be consensus that participant agreement is necessary to protect the participant but with regards to autonomy there are significant cultural differences whether it is the right for autonomy of the individual (individualistic concept) or family, community, or expert authority in other cultures. In Pakistan clinician-researchers sometimes preferred one approach and sometimes the other as they appreciated the interests of the patient to be. (shrink)

This article challenges the consensus that silences about mental disorders are there to be broken. While silence in mental disorders can be painful, even deadly, the consensus rests on an oversimplified understanding of silence. Drawing upon accounts from depression and bipolar memoirs, this article names and analyses some salient experiences of silence in mood disorders. It does so with two goals in mind. The first is to show that mood disorders may involve several different kinds of lived experiences (...) of silence. This is important because even though silence is considered a promising objective symptom of depression, little has been written about lived experiences of silence in disorders that involve depression. The second is to argue against the fetishisation of breaking silence and the concomitant understandings of silence as an externally imposed and inherently negative phenomenon. This is important because some silences are not experienced as external and are even felt to be valuable, meaning that efforts to break them may be counterproductive. (shrink)

This book brings together perspectives on predictive processing and expected experience. It features contributions from an interdisciplinary group of authors specializing in philosophy, psychology, cognitive science, and neuroscience. Predictive processing, or predictive coding, is the theory that the brain constantly minimizes the error of its predictions based on the sensory input it receives from the world. This process of prediction error minimization has numerous implications for different forms of conscious and perceptual experience. The chapters in this volume explore these implications (...) and various phenomenon related to them. The contributors tackle issues related to precision estimation, sensory prediction, probabilistic perception, and attention, as well as the role predictive processing plays in emotion, action, psychotic experience, anosognosia, and gut complex. Expected Experiences will be of interest to scholars and advanced students in philosophy, psychology, and cognitive science working on issues related to predictive processing and coding. (shrink)

This paper considers the cognitive penetrability of our experiences of the durations of everyday events. I defend an account of subjective duration based in contemporary psychological and neurobiological research. I show its philosophical adequacy by demonstrating its utility in explain-ing the phenomenology of duration experiences. I then consider whether cognitive penetrability is a problem for these experiences. I argue that, to the contrary, the problem presupposes a relationship between perception and belief that duration perceptions and beliefs do (...) not exhibit. In-stead, the assignment of epistemic features to particular processing stages appears to answer to pragmatic needs, not psychological facts. (shrink)

In The Performance of Reading, Peter Kivy introduces, on a purely phenomenological basis, an interesting and potentially fruitful analogy between the experience of silently reading literary texts and the experience of silently reading musical scores. In Kivy’s view, both mental experiences involve a critical element of auditory mental imagery, consisting in having a performance “in the head” or the mind’s ear. This analogy might have significant implications for the ontological status of literary works, as well as for the theoretical (...) relations between music and language. Nevertheless, Kivy’s hypothesis has never been investigated and discussed in its empirical merits. In the present paper, we shall claim that neuroscience data support, at least in part, Kivy’s phenomenological observations about the relation between reading musical scores and reading texts. Despite being functionally and anatomically dissociated at the cognitive level, the two reading experiences both involve an auditory simulation of the content, which seems to be functionally critical for a deep and rich experience of literary texts and musical scores. (shrink)

In the last seven years, philosophers have discussed the topic of transformative experiences. In this paper, we contribute to a crucial issue that is currently under-researched: transformative experiences' influence on cognitive modelling. We argue that cognitive modelling can be operationalized as affective forecasting, and we compare transformative and non-transformative experiences with respect to the ability of affective forecasting. Our finding is that decision-makers’ performance in cognitively modelling transformative experiences does not systematically differ from decision-makers’ performance in (...) cognitively modelling non-transformative experiences. This claim stands in strict opposition to L.A. Paul’s main argument. (shrink)

Background Intensive care is essential for critically ill patients who experience loss of personal identity and restricted physical and emotional expression. However, patient privacy in Intensive Care Units (ICUs) remains inadequately protected, with both patients and healthcare professionals (HCPs) reporting breaches. Cultural backgrounds and individual perspectives of patients and HCPs significantly shape their views on privacy. In China, discourse on ICU patient privacy is still in its early stages. Research aim This study aims to explore the experiences of HCPs (...) and patients regarding the patient privacy in ICU under the Chinese background. Research design A qualitative study was conducted using purposive sampling methods for semi-structured, face-to-face, in-depth interviews, followed by thematic analysis to identify key themes. Participants and research context Six focus-group interviews (with a total of 33 nurses) were conducted, while seven doctors and 10 patients were interviewed individually from March to July 2024 at a tertiary hospital in China. Ethical considerations This study was approved by the hospital’s Ethics Committee (reference number: 2024-L-158). Informed consent was obtained from all participants, and data confidentiality was ensured through anonymization and encrypted storage. Findings Four themes were identified: (1) the coexistence of consensus and disagreement regarding privacy scope; (2) the paradoxical perception of privacy protection; (3) conflicting responses to privacy violation and (4) much has been done, but more is needed. Conclusions Minimizing exposure of ICU patients’ private areas and protecting their information are essential to safeguarding privacy. Education and training in bioethics can enhance HCPs’ sensitivity to ethical issues and improve practices regarding privacy protection. Teaching resilience and stress management can help mitigate psychological distress associated with privacy violations in ICU patients. Additionally, promoting HCPs’ privacy awareness, limiting visits by opposite-sex family members, and enhancing HCPs’ empathy are key strategies in this context. (shrink)

The introduction of generative AI (GenAI) tools has created a significant disruption in the design professions as they become increasingly integrated into creative processes. Whilst there is an abundance of case-specific, applied studies testing how to integrate AI-supported tools into design workflows, little work has holistically examined their role and impact on the industrial design profession. This paper investigates human–AI co-creation, focussing specifically on the experiences and perspectives of industrial designers through a series of workshops and focus group discussions. (...) In these workshops, industrial designers reflected on incorporating GenAI into their workflows via hands-on experiences with selected AI-based image generators. We conducted five workshops and focus group discussions with 32 industrial designers and design students, providing valuable insights into how the role and impact of GenAI for product design is perceived. Thematic analysis of the data collected from the discussions was triangulated with observation notes and AI-generated works collected during the workshop, offering a comprehensive view of the performance of said tools, their pragmatic uses, impacts on design performance and creativity, and anticipated effects on professional practise. Through designers’ elicited motivations and concerns, we outline the perceived professional opportunities, barriers, and risks of image generation. Drawing on these insights, we map the factors influencing GenAI adoption in the industrial design profession, framing the interplay of communication, automation, and designerly autonomy, and offer recommendations for the development of designer-friendly GenAI systems. (shrink)

Due to the Covid-19 pandemic, employees from around the world were compelled to work remotely from home and, in many cases, without much preparation. A substantial body of international research has been conducted on the experiences and attitudes of remote workers as well as the implications of this phenomenon for organisations. While New Zealand research evidence is growing, most existing inquiry is qualitative. This paper provides a quantitative snapshot of remote working using survey data from participants whose jobs can (...) be done from home (n=415). Data collection took place when the country was facing Covid-related measures. -/- Based on descriptive and inferential statistics, it was found that, not only was remote working common, but that hybrid working arrangements were also more prevalent. While half of the participants wanted to work from home more frequently, age, but not gender, was significantly associated with this preference. Another relevant finding is that perceived change in the workplace culture due to flexible work arrangements was significantly associated with preference for working remotely more often. Finally, the most common perceived barriers to working from home were slow internet speed, the need to attend face-to-face meetings, and limited space at home to work. The implications of the results are discussed and some directions for future research are proposed. (shrink)

Drawing on interview data from the international project ‘Pregnant Men: An International Exploration of Trans Male Experiences & Practices of Reproduction’ this article explores embodied experiences of transmasculine and nonbinary pregnancy. Moving beyond the spectacle of the ‘pregnant man’, our analysis builds on existing literature on gendered embodiment to develop a deeper understanding of corporeality and the lived, bodily complexities of trans pregnancy. We consider the strategies trans men and nonbinary people engage in to manage gender presentation during (...) pregnancy and the degree to which pregnancy disrupts the ability to control the presentation of gender. Our analysis contributes to the deconstruction of normative readings of the relationship between gender and embodiment within a sociology of the body and feminist scholarship on the body. (shrink)

BackgroundThe potential contribution of community engagement to addressing ethical challenges for international biomedical research is well described, but there is relatively little documented experience of community engagement to inform its development in practice. This paper draws on experiences around community engagement and informed consent during a genetic cohort study in Kenya to contribute to understanding the strengths and challenges of community engagement in supporting ethical research practice, focusing on issues of communication, the role of field workers in 'doing ethics' (...) on the ground and the challenges of community consultation.MethodsThe findings are based on action research methods, including analysis of community engagement documentation and the observations of the authors closely involved in their development and implementation. Qualitative and quantitative content analysis has been used for documentation of staff meetings and trainings, a meeting with 24 community leaders, and 40 large public and 70 small community group meetings. Meeting minutes from a purposive sample of six community representative groups have been analysed using a thematic framework approach.ResultsField workers described challenges around misunderstandings about research, perceived pressure for recruitment and challenges in explaining the study. During consultation, leaders expressed support for the study and screening for sickle cell disease. In community meetings, there was a common interpretation of research as medical care. Concerns centred on unfamiliar procedures. After explanations of study procedures to leaders and community members, few questions were asked about export of samples or the archiving of samples for future research.ConclusionsCommunity engagement enabled researchers to take account of staff and community opinions and issues during the study and adapt messages and methods to address emerging ethical challenges. Field workers conducting informed consent faced complex issues and their understanding, attitudes and communication skills were key influences on ethical practice. Community consultation was a challenging concept to put into practice, illustrating the complexity of assessing information needs and levels of deliberation that are appropriate to a given study. (shrink)

Background: Suffering in a suicidal crisis includes feelings such as despair, loneliness, anxiety, fear, shame, guilt and hopelessness. This study highlights the experiences of patients in the aftermath of suicide attempts. The research question was, what do suicidal patients see as meaningful help in care and treatment situations? Methodology: The methodology is inspired by Gadamer’s hermeneutics, where the parts are understood in light of the whole, and the whole is understood in light of the parts. Qualitative interviews were employed. (...) Participants and research context: A total of 10 persons, 4 women and 6 men 21–52 years old, were informed and asked to participate by specialists in psychology at two emergency psychiatric wards and by one crisis resolution team. Nine of the participants had experienced one or more suicide attempts using drugs and alcohol. Forced hospitalization prevented one of the 10 participants from attempting suicide. Ethical considerations: Before the participants signed an informed consent form, the interviewer met all participants to provide the written information, talking about the interview. A meeting to terminate contact was arranged after the participants had read their own interviews. Findings: Three themes were generated by the methodology we applied: (1) experiencing hope through encounters, (2) experiencing hope through the atmosphere of wisdom and (3) experiencing a ray of hope from taking back responsibility. Discussion: The findings are discussed in the light of Eriksson’s suffering theory and Lindström’s theory about psychiatric care, as well as earlier research and theories about suicidality. Conclusion: The study reinforces possibilities that hope in suicidal patients can be inspired in encounters with healthcare personnel and within caring cultures. Through dialogue and cooperation, patients’ safety and ability to cope with suffering is created and thereby the hope and will to struggle for life. (shrink)

Self-transcendent experiences (STEs) represent profound shifts in cognition and consciousness, possessing significant transformative potential. With growing scientific interest in these phenomena, we propose the cognitive continuum as a unifying framework. Grounded in enactive cognitive science and complex dynamic systems perspectives, this approach takes the embodied person, embedded within their world, as the appropriate unit of analysis. The continuum illustrates how STEs, such as flow states and mystical experiences, reflect an enhancement of relevance realization, the organism’s active engagement with (...) its environment to adaptively frame its world, across increasingly global levels of cognitive organization. We identify destabilization and complexification as central processes in this enhancement and propose entropy as their metric. We introduce the Entropy-Fluency hypothesis, which posits that increased entropy signals destabilization followed by increased fluency, thereby conceptually bridging first-person subjective experiences with third-person scientific observations of STEs. The cognitive continuum reveals STEs as dynamic, person-specific, and context-dependent phenomena emerging from person-world coupling, requiring idiographic and transdisciplinary methodological approaches. This framework provides conceptual tools for understanding these profound experiences, contributing to a comprehensive science of human flourishing. (shrink)

This article presents and discusses transcripts of some 270 explanations subjects provided subsequently for recognition memory decisions that had been associated with remember, know, or guess responses at the time the recognition decisions were made. Only transcripts for remember responses included reports of recollective experiences, which seemed mostly to reflect either effortful elaborative encoding or involuntary reminding at study, especially in relation to the self. Transcripts for know responses included claims of just knowing, and of feelings of familiarity. These (...) transcripts indicated that subjects were often quite confident of the accuracy of their decisions, compared with those for guess responses. Transcripts for decisions associated with guess responses also expressed feelings of familiarity but additionally revealed various strategies and inferences that did not directly reflect memory for studied items. The article concludes with a historical and theoretical overview of some interpretations of the states of awareness measured by these responses. (shrink)

A major symptom of “Derealization/Depersonalization Disorder” is derealization. People who experience derealization report a sense of unreality when it comes to their surroundings, yet they still perceive those surroundings. How can this possibly be accommodated by a naive realist theory of experience – a theory on which the real external world is central to explaining the phenomenology of perception? I develop this question into a new problem for naive realism: the problem of derealization. But I argue that the naive realist (...) can respond to this by offering an account of perceptual experiences of derealization. On the account I propose, such experiences are constituted by perceptual relations to external objects, but involve existentially degraded relations. This involves perceiving an object in such a way that one’s perception makes the object available to one without its existence. Perception can become degraded in this way, I suggest, when it is structured by background feelings of unreality. (shrink)

Saṃvega, a moralized emotional state that embodies the Buddha’s teachings on suffering, initiates the beginning of a person’s ethical self-transformation. While existing scholarship focuses on the scripturally prescribed role of saṃvega in deepening aversion to the world and the desire for enlightenment, this textualist perspective overlooks its localized interpretations and lived experiences. This article explores how popular understandings of saṃvega are intertwined with ethical concerns related to everyday life in Myanmar, extending beyond renunciatory impulses to include remorse for unwholesome (...) deeds and empathy for others’ suffering. Focusing on Myanmar’s Free Funeral Service Movement, this article shows how Burmese Buddhists transform encounters with death into opportunities to cultivate these ethical sensibilities. This article contributes to Theravāda studies by demonstrating how embodied moral emotions, like saṃvega, bridge textual traditions and lived religious practices. It also highlights the centrality of an ethnographic approach in understanding Buddhist everyday ethics. (shrink)

In response to the mental health crisis in science, and amid concerns about the detrimental effects of the COVID-19 pandemic on scientists, this study seeks to identify the role of a heretofore under-researched factor for flourishing and eudaimonia: aesthetic experiences in scientific work. The main research question that this study addresses is: To what extent is the frequency of encountering aesthetics in terms of beauty, awe, and wonder in scientific work associated with greater well-being among scientists? Based on a (...) large-scale and representative international survey of scientists in four countries, this study employs sets of nested regressions to model the associations of aesthetic experiences with flourishing while controlling for demographic factors and negative workplace and life circumstances such as burnout, job/publication pressure, mistreatment, COVID-19 impacts, other stressful life events, serious psychological distress, and chronic health conditions. The results show that the frequency of aesthetic experiences in scientific work in the disciplines of biology and physics has a very large and statistically significant association with flourishing and eudaimonia that remains robust even when controlling for demographic factors and negative workplace and life circumstances, including COVID-19 impacts. Aesthetic experiences in scientific work are even as strongly associated with flourishing as the presence of serious psychological distress and are most strongly associated with the flourishing domain of meaning in life, thus pointing to a link with eudaimonic well-being. In line with neurophysiological evidence and positive psychological models of flow, self-transcendence, and intrinsic motivation, aesthetics are a key source of flourishing for scientists in the disciplines of biology and physics. While future research needs to test the causal mechanism, the strength of the findings could encourage leaders of scientific labs and research organizations generally to remove obstacles to experiencing the aesthetic dimensions of science. Fostering cultures in which the aesthetic experiences that are intrinsic to scientific practice are fully appreciated might potentially protect or boost flourishing by reducing the impacts of burnout, job/publication pressure, and mistreatment-related experiences in science. (shrink)

Unarguably, Jean-Luc Marion is the leading figure in French phenomenology as well as one of the proponents of the so-called “theological turn” in European philosophy. In this volume, Kevin Hart has assembled a stellar group of philosophers and theologians from the United States, Britain, France, and Australia to examine Marion's work—especially his later work—from a variety of perspectives. The resulting volume is an indispensable resource for scholars working at the intersection of philosophy and theology. “This is a ground-breaking book by (...) leading continental thinkers on one of the most pioneering and controversial voices to emerge in French thought in decades. This volume addresses the lynch-pin of Marion's thought—the point where philosophy and theology, gift and revelation, impossibility and grace, intersect in fascinating and arresting ways. Kevin Hart, as editor, assembles and conducts a magisterial intellectual orchestra.” —Richard Kearney, Boston College “The collective strength of these exceptionally high-quality essays is the authors’ diversity of reflection on the relation of phenomenology to theology. Readers new to Marion will find their way into the _corpus_ and those already familiar with Marion’s work will encounter stimulating interpretations, challenges, and defenses. Valuable, too, are Hart’s introduction to Marion as phenomenologist and Marion’s defense of the saturated phenomenon that bookend the volume.” —Merold Westphal, Fordham University “As a sophisticated engagement with the question of Marion’s relation to Christian theology specifically, and as a general response to Marion’s work as a whole, _Counter-Experiences_ is an undeniable success. The authors treat Marion’s texts carefully, bring impressive intellectual force to their task, and provide rich documentation in the strongest volume of work on Marion’s thought yet to appear in English.” —Jeffrey Bloechl, College of the Holy Cross. (shrink)

We can look at paintings, listen to music, dance, play instruments, and watch movies, on our own almost anytime, anywhere. That is, we have effortless, on-demand access to an abundance of private aesthetic experiences. Why, then, do we seek out aesthetic experiences together? Indeed, it is not controversial to claim that listening to music, dancing, and watching films are activities that we do together more so than we do on our own. While the significance of interpersonal aesthetic (...) class='Hi'>experiences, and what explains that significance, is not uncharted territory, I claim that more precision regarding the kinds of relations and interactions that modulate and enable different kinds of interpersonal aesthetic experiences is warranted than is offered in extant literature. As such, an enactive approach that not only foregrounds embodiment and intersubjectivity in cognition, but duly explains how variations in them cause variations in cognition, is paramount to my explanation. Here, then, I marshal three ‘varieties’ of interpersonal aesthetic experience that I term aggregative, synchronised, and shared aesthetic experiences. In doing so, I explain what makes them particularly worthwhile, while introducing terminological and explanatory clarity to the literature as a unifying base from which future research can unfold. (shrink)

Emergency care providers regularly deal with ethical dilemmas that must be addressed. In comparison with in-hospital nurses, emergency medical service personnel are faced with more problems such as distance to resources including personnel, medico-technical aids, and information; the unpredictable atmosphere at the scene; arriving at the crime scene and providing emergency care for accident victims and patients at home. As a result of stressfulness, unpredictability, and often the life threatening nature of tasks that ambulance professionals have to deal with every (...) day, ethical decision-making has become an inevitable challenge. The content analysis approach was used to conduct the present qualitative study in Iran. The participants consisted of 14 EMS personnel selected through purposive sampling, which continued until the data became saturated. Data were collected using semi-structured interviews and analyzed concurrently with their collection through the constant comparison method. The process of data analysis resulted in the emergence of 3 main categories “respecting client’s values”, “performing tasks within the professional manner”, “personal characteristic”, and the emergence of eight sub-categories signifying participants’ experiences with regard to EDM. According to the results, when EMS personnel are faced with ethical dilemmas, they consider the client’s values and professional dignity, and perform the assigned tasks within the framework of the regulation. The findings also suggest that pre-hospital care providers assess legal consequences before making any decision. Further studies should be conducted regarding the experiences of the subordinates and other related parties. (shrink)

Psychedelics have shown promise as a treatment for depression. Although there is some debate, a popular view is that psychedelics produce their benefits in an experience-dependent manner. This is the view that a depressed person gets better, inter alia, because of the experience she has had on psychedelics. Among the various questions that treatment for depression with psychedelics raise, one of the most important is: By what mechanism do these drugs reduce symptoms? If the experience-dependent view is correct, the answer, (...) at least on the personal level of explanation, lies in the phenomenology. In this paper, borrowing mainly from Ratcliffe’s account of depression, I offer such an answer. I argue that psychedelic experiences involve a surge of existential feelings, which can revise the depressed person’s diminished sense of possibility and restore their ability to be affected by the world. I explain how this occurs via a change in the sense of reality linked to the subjective effects of psychedelics. This, I suggest, is the personal level mechanism or process behind psychedelic-assisted psychotherapy for depression. (shrink)

Experiences of substitute decision-makers with requests for consent to non-therapeutic research participation during the dying process, including to what degree such requests are perceived as burdensome, have not been well described. In this study, we explored the lived experiences of family members who consented to non-therapeutic research participation on behalf of an imminently dying patient. We interviewed 33 family members involved in surrogate research consent decisions for dying patients in intensive care. Non-therapeutic research involved continuous physiological monitoring of (...) dying patients prior to and for 30 min following cessation of circulation. At some study centres participation involved installation of bedside computers. At one centre electroencephalogram monitoring was used with a subset of participants. Aside from additional monitoring, the research protocol did not involve deviations from usual end-of-life care. Thematic analysis of interviews suggests most family members did not perceive this minimal-risk, non-therapeutic study to affect their time with patients during the dying process, nor did they perceive research consent as an additional burden. In our analysis, consenting for participation in perimortem research offered families of the dying an opportunity to affirm the intrinsic value of patients’ lives and contributions. This opportunity may be particularly important for families of patients who consented to organ donation but did not proceed to organ retrieval. Our work supports concerns that traditional models of informed consent fail to account for possible benefits and harms of perimortem research to surviving families. Further research into consent models which integrate patient and family perspectives is needed. All data relevant to the study are included in the article. (shrink)