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Neil Levy’s Posts

Belgian coma confusion

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By now most readers will have heard about the case of the Belgian man, Rom Houben, apparently misdiagnosed as in a persistent vegetative state for 23 years. Rather than being unconscious, as persistent vegetative state patients are thought to be, he was apparently in the ‘locked-in state’. The locked-in state is not a disorder of consciousness at all; instead it is a state of paralysis. Because the patient is unable to give the behavioral manifestations of consciousness, they are often misdiagnosed. Genuine disorders of consciousness are notoriously hard to tell apart; the possibility of locked-in syndrome makes the diagnostic task even more difficult.

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Authenticity and Enhancement

David Velleman, in the only paper of which I am aware that makes a defensible case against euthanasia, suggests that sometimes expanding our range of options is a bad thing, even if we choose wisely from our options. Velleman gives the example of dueling: I may be better off for lacking (by law) the option of dueling, because were the option available to me, I might be better off accepting a challenge than losing face, but I am better off still if I am never challenged. Velleman’s utilizes this claim in arguing against the legalization of the right to die: if I have the option of dying, then I may feel that I am required to justify my existence, especially when my continuing life is an emotional and financial burden on my family.

What interests me, here, is how an existentialist might respond to this argument and might urge its generalization. Existentialists, in the mould of Jean-Paul Sartre, might say that policies that lead me to think that I must justify my existence are a good thing; they lead me to recognize what was in any case always true. It is bad faith, or inauthenticity, not to face squarely the fact that I implicitly choose, and therefore am responsible for, my existence.

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Placebos as cognitive enhancers?

A recent study on the efficacy of selective serotonin reuptake inhibitors (SSRIs) – antidepressants like Prozac – has been widely reported in the media. Unfortunately it has not been reported very well. Headlines like ‘Antidepressant drugs don’t work’ (The Independent) are misleading. What the study actually found is that the efficacy of SSRIs varies with… Read More »Placebos as cognitive enhancers?

The Daily Mail reports on a helmet that supposedly ‘could reverse the symptoms of Alzheimer’s disease within weeks of being used’. The helmet uses near infrared light, which can penetrate the skull of patients. According to the Mail: Its creators believe it could reverse the symptoms of dementia – such as memory loss and anxiety… Read More »

Race, IQ and James Watson

A couple of months ago, James Watson – who, together with Francis Crick, was awarded the Nobel Prize for deciphering the double helix structure of DNA – claimed that black people are less intelligent that white  He invoked the authority of science to make his claim. Of course, if the claim had simply been that on average (say) African-Americans had lower scores on IQ tests than White Americans (and that this difference was reflected in educational achievement and other socioeconomic indicators), Watson would simply have been citing facts. The controversial part of Watson’s claim was that the difference was rooted in the genes of blacks and whites and therefore fixed. The first part of the claim is (probably) false – the genetic differences between blacks and white are largely skin deep. But even were it true it would be irrelevant to the real question. Watson calls himself ‘gloomy about the prospect of Africa’, because he thinks that ‘genetic’ means ‘fixed’. But ‘genetic’ does not mean ‘fixed’; the fact that the differences between two individuals are explained by differences in their genes has no implications whatsoever about how hard or easy it is to eliminate the difference. Differences rooted in environmental factors (to the –limited – extent to which it even makes sense to separate environmental factors from genetic) may be easier to eliminate than those rooted in the genes, or they may be harder. Genes work like sets of switches, under the control of other genes and environmental factors. These sets can be configured differently to produce very different results; changing a few triggers thereby produces very different products from much the same genes. In any case, the evidence strongly suggests that this particular IQ deficit is remediable.

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