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The final chapter entitled Conclusions contains a summary of the findings of the study, explaining the key motivations and claims behind the Galenic understanding of bodily unity.
Clinical placements are essential in healthcare education, offering practical experience and skill development under experienced supervision. However, little research has explored the characteristics of effective psychiatry placements. Understanding the factors considered vital by psychiatry core trainees for a successful placement is crucial amid concerns about trainee attrition in psychiatry programmes.
Aims
This study aims to identify key elements that contribute to a successful psychiatric placement, as perceived by final-year core trainees.
Method
This qualitative study uses one-hour, semi-structured interviews with 15 core trainees in their final placement within the South London and Maudsley Training Programme. Interviews were guided by appreciative inquiry principles, and two independent researchers employed a classic thematic analysis method while maintaining appropriate reflexivity throughout.
Results
A central theme emerges regarding the importance of a well-designed learning environment, which includes a robust training infrastructure, psychological safety, active learning opportunities, access to role models and structured feedback. The supervisor–supervisee relationship is emphasised, with the ideal supervisor being both knowledgeable and empathetic and offering mentorship and pastoral support. These factors are key to professional growth, well-being and job satisfaction, and they are strongly linked to retention in the field.
Conclusion
Core trainees value placements that address foundational training needs and cultivate psychological safety while facilitating experiential learning. Addressing these aspects in training programmes enhances the educational experience and improves retention. Future research should explore supervisors’ perspectives and examine how to balance ideal and practical supervisory roles.
Musical form is a central issue in the discussion between Boulez and Stockhausen. This discussion, through a dense correspondence and essays, reflects the changes the notion of musical material underwent in European serial music up to its culmination in the mid 1960s. This mutation is examined in three steps. From the basic formulation of integral serial music in Boulez’s Structures and Stockhausen’s Studie I; through a reconsideration of the hierarchy between the parameters of pitch and rhythm in Boulez’s Le Marteau sans maître and Stockhausen’s Gesang der Jünglinge and Gruppen; to a shift in the notion of material from production to placing as a consequence of reflections on the treatment and perception of sound and their incidences on the shaping of time in Stockhausen’s Mikrophonie I and Boulez’s Éclat.
Ce numéro spécial est le résultat de la collaboration entre les membres du Groupe de recherche interuniversitaire sur la normativité (GRIN) durant l’année 2023-2024. Principalement situé dans les universités de l’île de Montréal, ce groupe a pour objectif d’explorer le thème de la normativité en philosophie selon trois axes principaux : normativité et société, normativité et affectivité, normativité et connaissance. Une visée commune s’est progressivement révélée au fil de nos rencontres : dévoiler de manière critique les différentes sortes de normativité qui ont été soit oubliées, soit ignorées. Cela nous a donc laissé croire que certaines normes pourraient avoir été perdues de vue, et c’est de là que nous sont venus le titre et le thème de ce numéro spécial : « À la recherche des normes perdues ». La présente introduction donne un aperçu des huit articles qui forment le numéro.
The topic of absences and their ontological status has long been the focus of intense philosophical debate. Recent years have witnessed the burgeoning of a related discussion concerning the phenomenon of experiencing absences. A lot of this discussion revolves around the question of whether such experiences are best construed as literal perceptions or as some other kind of mental state. Rather than try to settle that ongoing debate, I take as my starting point a claim that seems to be granted by virtually all of the participants in that debate, namely, that experiences of absence are capable of representing reality accurately and of misrepresenting reality. But if they can represent reality accurately, they can do so in a manner that is merely a lucky coincidence and they can do so in a way that is noncoincidental, and I offer reasons for thinking that the latter is more valuable than the former. The burden of this paper, then, is to try to offer an account of the conditions under which absence experiences can be noncoincidentally accurate representations of reality – something that only one other author in the current literature has thus far attempted. To begin with, Section 1 outlines various kinds of experiences of absence and singles out the kind that will be my focus throughout the rest of the paper. In Section 2, I survey the current debate over whether experiences of absence are best construed as perceptual or as something else, and I outline several assumptions I shall be making in the remainder of the paper. Section 3 motivates the project of trying to understand the conditions in which experiences of absence are noncoincidentally accurate, and Sections 4–5 develop an account of those conditions. Finally, in Section 6, I discuss the connections between experiences of absence and justifiedly believing and knowing that a given object is absent from a given location.
Linguistic synesthesias combine different senses, as in English smooth melody (touch→sound). For nearly a century, researchers have gathered data that has been interpreted as supporting the notion of a hierarchical ordering of the senses. According to this proposal, expressions map the presumed-to-be 'lower' senses of touch, taste, and smell onto the presumed-to-be 'higher' senses of sound and sight. Here, this proposal is tested in the first-ever meta-analysis of linguistic synesthesias, combining thirty-eight datasets from fourteen different languages. The authors demonstrate that clear patterns emerge from the data, but many such patterns are inconsistent with the notion of a linear hierarchical order or a simple lower/higher divide of the senses. This calls for a shift in what theories are considered to be viable for explaining asymmetries between the senses in linguistic synesthesia.
The art of image restoration and completion has entered a new phase thanks to digital technology. Indeed, virtual restoration is sometimes the only feasible option available to us, and it has, under the name 'inpainting', grown, from methods developed in the mathematics and computer vision communities, to the creation of tools used routinely by conservators and historians working in the worlds of fine art and cinema. The aim of this book is to provide, for a broad audience, a thorough description of imaging inpainting techniques. The book has a two-layer structure. In one layer, there is a general and more conceptual description of inpainting; in the other, there are boxed descriptions of the essentials of the mathematical and computational details. The idea is that readers can easily skip those boxes without disrupting the narrative. Examples of how the tools can be used are drawn from the Fitzwilliam Museum, Cambridge collections.
The chapter develops the question (raised in Chapter 4) about the precise way in which soul is supposed to play the role of the primary explanans of perception. It does so by bringing out the key difficulty that Aristotle faces and by analysing the three possible answers to this difficulty. The problem is that Aristotle seems to commit himself to three jointly inconsistent tenets: (i) the perceptive soul is the primary cause of perception; (ii) perception is passive; and (iii) the perceptive soul is impassive. These claims are inconsistent if it is true that (iv) there is no way for the soul of being the primary cause of φ-ing other than being the proper subject of whatever φ-ing consists in. Two dominant ways of resolving this problem, since antiquity, consist in denying Aristotle’s commitment to either (ii) or (iii). I argue that difficulties, both exegetical and philosophical, faced by each of these strategies are insurmountable. The third possible strategy starts from denying (iv). I trace such a strategy to the medieval idea of a sensus agens and argue that although the existing medieval (and later) versions cannot stand as such, the third strategy is nevertheless the most promising one.
The chapter explores how Aristotle wants to account for perception’s essentially receptive nature. It focuses on Aristotle’s commitment to the passivity of perception, namely, the idea that perception is a certain kind of being affected (paskhein) by perceptual objects. It provides a classification and preliminary critical analysis of existing interpretations of the passivity of perception. I argue that Aristotle’s first general account of perception in An. 2.5 is systematically pre-causal in the sense that makes it impossible to directly infer from it anything specific about the respective roles of the body and the soul (against both Material and Psychic Interpretation). Furthermore, I contend that Aristotle develops a robust conception of passivity here that successfully encapsulates, on the most general level, what perception is (against Deflationary and Aporetic Interpretation). More specifically, I argue that An. 2.5 is centrally aimed at reconciling perception’s passivity and completeness (the perceiver has both seen and is seeing the same object) and that this task is motivated by the need for capturing the difference between genuine (‘continued’) perceiving and mere appearance within an assimilation model of perception.
The chapter starts by outlining the version of direct realism endorsed by Aristotle. I argue that he was committed to uncompromised realism about perceptible qualities and to the view that we immediately perceive the bearers of these qualities without any need of further synthetic acts. These features highlight the difficulty of capturing the explanantia of perception. Two notions key to that endeavour are those of mediation and discrimination. The chapter provides a novel analysis of mediation (for discrimination, see Chapter 6), arguing that, for Aristotle, media are – more or less perfect – qualitative conductors. Furthermore, the chapter addresses the existing debate about what, according to Aristotle, happens in the sense organs when we perceive. I argue that the dilemma governing this debate between spiritualism and materialism (either ‘literalist’ or ‘analogical’) is a false one. Tertium datur, and this alternative turns out to be precisely the view Aristotle embraced: perception consists of a thoroughly material process, but what this process results in must not be a standing material likeness (which would mark the end of perception because like cannot be affected by like), but a dynamic ‘phenomenal’ likeness – the presence of a quality of the perceived object which remains to be precisely a quality of that object.
The chapter provides a novel account of perceptual discrimination (krinein) in Aristotle. Against the widespread view that the most basic perceptual acts consist in noticing differences between two or more perceived qualities, I argue that discrimination is for Aristotle more like sifting, winnowing on a sieve: it consists in identifying – with an ultimate authority – the quality of an external object as distinct from any other quality of the given range that the object could have. The chapter further explores how the notion of discrimination is embedded by Aristotle within his causal assimilation model of perception. I argue that the central notion of a discriminative mean (mesotēs), introduced in An. 2.11, is intended to capture the role of the perceptive soul as the controlling factor of a homeostatic mechanism underlying perception. As such the notion lays the groundwork for resolving the apparent conflict between the passivity of perception and the impassivity of the soul (as analysed in Chapter 5). The prospect is further explored in Chapter 7. The present chapter concludes by arguing that Aristotle conceives perceptual discrimination as a holistic assessment of the external object acting on the perceiver, including those of its features which are not causally efficacious.
The chapter spells out the homeostatic model of how the soul is involved in perception introduced in Chapter 6, while addressing two main challenges for it. First, I argue that while the physiological details are not easy to tease out, there is no principal reason against Aristotle’s extension of the model from touch to other sense modalities. More importantly, I argue that we can understand the role of the perceptive soul as an extension of the model developed for the nutritive soul in An. 2.4 and based on Aristotle’s art analogy (from Phys. 2 and elsewhere). The upshot is that the basic perceptual acts are underlaid by bodily processes non-cognitively controlled by the soul. But while homeostasis is the aim of nutrition, in perception it only becomes a means for achieving something else, namely discrimination. The chapter closes by showing how the interpretation developed in this book pays off when it comes to understanding Aristotle’s two notoriously difficult concluding accounts: the account of perception as a reception of forms without the matter in An. 2.12 and the summarizing account of the cognitive soul in An. 3.8.
This chapter introduces a fundamental aspect of attention that is beginning to be understood at a deeper level because of neuroscience research. In addition to how attention is allocated at one instant in time, new research is showing that there are temporal limits to attention and that a complete understanding of attention requires understanding the timing of attention. The “attentional blink” phenomenon is discussed, along with neuroscience evidence linking attention and consciousness. The brain mechanisms of attending to time are compared to those involved in attending to space and to static properties of objects. This chapter also explores the relation between attention and memory, highlighting the holding of attention. The factors that determine attentional dwell time, and the brain regions affecting this type of control are introduced. Classic and modern theories of the role of rhythms in the brain are discussed, and evidence from fMRI, ERPs, and single-unit recordings are presented that provide evidence for internally generated versus externally triggered rhythms in the alpha, beta, theta, and gamma frequency bands. The importance of neural entrainment and the synchrony of neural activity within and across brain regions is discussed, in relation to its role in attentional control and conscious processing.
The chapter sheds fresh light on Aristotle’s account of perception by providing a novel analysis of the puzzles that he articulates within his discussion of the predecessors’ views, especially in An. 1. I argue that Aristotle takes the key insight of the traditional view that like is perceived by like to be expressed in the idea that the perceiver is like the perceptual object by which she is being affected. This idea seems inconsistent with the widely shared assumption that only unlike things can act upon each other. Aristotle’s predecessors were unable to resolve this tension (the notion of a generic likeness is of no help), but he believes that precisely this tension must be resolved by any successful account of what perception is. The only predecessor who at least hinted towards a resolution is Anaxagoras with his account of impassive nous (understood by Aristotle as a general account of cognition). But Anaxagoras failed to account for the causal aspects of cognition as a way of being affected by its object. Aristotle’s own account can be seen as an attempt to incorporate the true insights of both the view that in perception like is affected by like and the view that what perceives must be impassive.
The chapter provides a novel detailed analysis of one of the most discussed chapters in the Aristotelian corpus, namely An. 2.5. The central claim is that in An. 2.5 Aristotle lays down his programmatic definition of perception as a complete passive activity. He does so by classing the perceptive capacity with capacities that are already fulfilments (entelekheiai) of their subjects and by showing how this classification is compatible with perception being passive (i.e. a kind of being affected). By working out the concept of complete passive activity Aristotle fills in a conceptual gap left open elsewhere in the corpus (most strikingly in Metaphysics Θ.6), where both completeness and passivity are taken for granted but without showing how the two features can cohere. In An. 2.5, Aristotle, thus, succeeds in capturing how perception differs not only from manifestations of non-passive complete capacities (such as the art of house-building), but also from passive processes (as exhibited in the inexhaustibility of the perceptive capacity and the object-directedness of perception). His definition is programmatic in the sense that it analyses the explananda without, however, yet providing any explanantia.
The Conclusion sums up the main results of the study and their philosophical relevance. It focuses on the notion of complete passive activities; Aristotle’s integration of causal, qualitative, and relational features of perception; his dynamic account of perception, which defies the standard dichotomy between materialism and spiritualism; the central dilemma for Aristotle’s endeavour to explain perception, as well as the prospects of the homeostatic solution; and finally the promise of the present study to also provide the groundwork for a better understanding of Aristotle’s account of intellectual cognition.
The Introduction articulates the central question about the nature of perception and sets it within the explanatory project of Aristotle’s De Anima. What makes Aristotle’s account attractive, I argue, is that it strives to accommodate causal, qualitative, and relational features of perception. A central insight of Aristotle’s account is captured under the notion of perception as a complete passive activity, but that notion has, since late antiquity, appeared paradoxical to readers of De Anima and was, thus, systematically disregarded. The Introduction analyses the historical and philosophical reasons for this disregard. It further articulates the key dilemma pertaining to Aristotle’s view of the role played in perception by the soul: it should be the primary cause of an essentially passive and receptive activity, but it should itself remain unmoved and impassive; how can that be? Although this question has received relatively little attention among recent scholars, it is argued to be more crucial than the much-discussed issue of what happens in the perceiver’s sense organs. The final section of the Introduction outlines the argument of the entire book.
Chapter 1 presents a brief overview of the book and the basics on inpainting, visual perception and Gestalt laws, together with a presentation of the Fitzwilliam Museum dataset of illuminated manuscripts, selected to represent different types of damage and consequent restoration challenges, which will be used throughout the book.
In this book Robert Roreitner offers a fresh interpretation of Aristotle's philosophically intriguing answers to what the nature of perception is, how it can be explained, and how perception is distinguished from mere appearance. He argues that for Aristotle, perception is a complete passive activity, and explains why this notion merely appears self-contradictory to us. He shows how Aristotle succeeds in integrating causal, qualitative, and relational aspects of perception, and explains why he is neither a 'spiritualist' nor a 'materialist'. He presses and resolves an unappreciated dilemma for Aristotle's hylomorphic account of perception and the role of the soul therein. This rich study shows that although Aristotle's understanding of perception may be in many respects outmoded, its core insights remain philosophically engaging. This title is also available as Open Access on Cambridge Core.
Vaping is increasing in popularity. Vape products are offered in a wide variety and promise to reduce harms associated with cigarette smoking, among other claims. The motivations for vaping in patients with substance use disorder are largely unknown.
Aims
To describe perceptions and motivations regarding vaping among patients with opioid use disorder (OUD) who vape.
Method
A convergent mixed-methods study design was used, and individual, semi-structured interviews were conducted with 41 individuals with OUD who were receiving medication for OUD and also vaped. An inductive data-driven approach was employed to characterise perspectives on vaping.
Results
The mean ages at which participants had been introduced to vaping and initiated regular vaping were 33.95 years (s.d. 12.70) and 34.85 years (s.d. 12.38), respectively. Daily vaping (85%) of nicotine, flavoured nicotine or cannabis was common, with 27% reporting vaping both nicotine and cannabis. Qualitative analysis identified 14 themes describing motivations for vaping, including viewing vaping as a smoking cessation tool, convenience and popularity among youth.
Conclusions
Mixed-methods findings indicated that patients with OUD who vape perceived vaping to be healthier, cleaner and more convenient than cigarette and cannabis smoking, without appreciating the health risks. The perspectives reflected the importance of health education, guidelines and screening tools for vaping and could provide direction for healthcare providers and future vaping cessation programmes.