Unshared Minds, Decaying Worlds: Towards a Pathology of Chronic Loneliness.

IF 1.3 3区 哲学 Q3 ETHICS Journal of Medicine and Philosophy Pub Date : 2024-07-11 DOI:10.1093/jmp/jhae020
Ian Marcus Corbin, Amar Dhand
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Abstract

The moment when a person's actual relationships fall short of desired relationships is commonly identified as the etiological moment of chronic loneliness, which can lead to physical and psychological effects like depression, worse recovery from illness and increased mortality. But, this etiology fails to explain the nature and severe impact of loneliness. Here, we use philosophical analysis and neuroscience to show that human beings develop and maintain our world-picture (our sense of what is true, important, and good) through joint attention and action, motivated by friendship, in the Aristotelian sense of "other selves" who share a sense of the true and the good, and desire the good for each other as much as for themselves. The true etiological event of loneliness is the moment one's world-picture becomes unshared. The pathogenesis is a resultant decay of our world-picture, with brain and behavior changes following as sequelae.

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不共享的思想,衰败的世界:迈向慢性孤独病理学》(Unshared Minds, Decaying Worlds: Towards a Pathology of Chronic Loneliness)。
当一个人的实际人际关系与期望的人际关系相差甚远时,通常被认为是慢性孤独的病因时刻,它会导致抑郁、疾病恢复更差和死亡率上升等生理和心理影响。但是,这种病因学无法解释孤独的本质和严重影响。在这里,我们通过哲学分析和神经科学来说明,人类是在友谊的驱使下,通过共同的关注和行动来发展和维护我们的世界图景(我们对什么是真、什么是重要、什么是好)的。孤独的真正病因是一个人的世界图景变得不可共享。其发病机理是我们的世界图景随之衰落,大脑和行为也随之发生变化,成为后遗症。
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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
30
期刊介绍: This bimonthly publication explores the shared themes and concerns of philosophy and the medical sciences. Central issues in medical research and practice have important philosophical dimensions, for, in treating disease and promoting health, medicine involves presuppositions about human goals and values. Conversely, the concerns of philosophy often significantly relate to those of medicine, as philosophers seek to understand the nature of medical knowledge and the human condition in the modern world. In addition, recent developments in medical technology and treatment create moral problems that raise important philosophical questions. The Journal of Medicine and Philosophy aims to provide an ongoing forum for the discussion of such themes and issues.
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