Freedom and Judgment, Part 2, by Sean Agius

Brain illustration from The Principles and Practice of Medicine…’ by W Osler, 1904, public domain via Wikimedia Commons

Within the conclusion of a previous article titled ‘Freedom and Judgement,’ I implied that certain factors such as mental health, culture, and family, knowledge, and so on play a decisive role in determining the actions that one chooses to perform. In this article (which will be very creatively titled ‘Freedom and Judgement Part II’), I shall further expand upon this notion – concluding that the said factors, though singularly acting only as behavioural influences, in unison act as determiners – ultimately rendering one’s actions equally as determined as those of a rabies sufferer, consequentially demanding a rethink of the manner in which we judge other people’s moral value.

(Please note that since this article shall be utilising a case study described within the first article, it is highly recommended that one reads the said article before this one; otherwise, you may expend the majority of your mental energy trying to figure out who this ‘Paul’ character is.)

The first and most obvious factor in this regard, besides physical illness, is mental illness. Returning to the case study, let Paul suffer from schizophrenia instead of rabies. Having neglected to take his medication, he became convinced that everyone was prepared to murder him and thus acted in what was, in his mind, self-defense. Guessing again, I would say that, based on this information, our judgment of Paul has again become significantly more lenient since, due to his mental illness, he is not deemed fully responsible for his actions.

The mental illness variable also, however, begs a re-analysis of the sociopathic version of Paul. At face value, the cases may seem distinct, but the concept is at its core identical – how brain chemistry (which one usually bears little control over) influences actions. In essence, Paul did not choose to suffer from either schizophrenia or sociopathy. In the case of the latter, Paul has no choice but to suffer from brain dysfunctions that force him to thirst for blood.

Now one may still criticise this version of Paul, arguing that in spite of his lack of freedom from his desire, his actions were still his own. The vast majority of those people, though, probably never suffered from mental illness. As those who have or do suffer could tell you that the abstract possibility of doing or not doing something does not necessarily translate to an actual ability to do so. An illness (both physical and mental) by definition implies the lack of freedom from that which one suffers from, whether that be due to cholesterol in the case of somebody who suffers from heart disease or brain functions for somebody who suffers from mental illnesses. This is why someone with depression cannot just get out of the bed, or an OCD-sufferer just stop washing their hands. They suffer from a disease, caused by external forces outside of their realm of control, which compels them to act in the manner that they do. Sociopathy is similarly classified as a mental illness within the Diagnostic and Statistical Manual of Mental Disorders (DSM) and therefore like OCD or depression equally influential in compelling the sufferer (in this case Paul) to act in the manner that he does.

(Important note: the inclusion of mental illnesses such as schizophrenia, depression and OCD is in no way meant to liken sufferers from such disorders to murderers, but only to highlight the role that brain chemistry plays in determining actions.)

The point, however, still stands that such dispositions are not alone sufficient to render an action as determined. Not all sociopaths, after all, go on violent rampages. Furthermore, even if we do concede that certain actions are influenced by brain function, what about the first scenario – Paul the gangster? The case is seemingly rather clear-cut. Surely his action were not determined as he held full control over both his mental and physical capacities! There may however be one determining aspect which Paul (or anybody else for that matter) holds no control over – his circumstances, which though alone acting simply as influencers, in unison morph into determiners.

The first factors that come into play in this regard are cultural and familial backgrounds. That is how culture and family play a role in influencing aspects of an individual. For example, South Americans are significantly more likely to be football fans than North Americans for whom the sport is not as ingrained within the culture. The same can be said about individuals whose family either love or hate
the sport. It is somewhat absurd to conceive of the majority of North and South Americans choosing such disparate tastes independent of influential factors such as familial and cultural sensibilities which affect joys and annoyances.

If there are any North American football fan readers right now they are probably clutching on their LA Galaxy shirts screaming I’m North American and I’m a football fan! I don’t even call it soccer!’ The angry North American fan makes a salient point, not about the football/soccer argument, that I remain agnostic upon. The point here is that although culture and family could influence behaviour, they are not strict determinants.

Prior to tackling said issue however, I would like to highlight a few more influencing factors, the first of which being one’s life experiences. Life experience plays a significant influential role in our decision-making process – a dog-attack victim is for example significantly less likely to choose to enter a dog park than a non-victim.

Furthermore, since one attains knowledge predominantly through their life experiences (nobody is after all born knowing how to walk, talk, calculate complex sums or philosophise the concept of determinism), life experience plays an additional influencing role in this regard. Let us consider weight loss as an example, though weight-loss requires a large amount of will power from the loser’s end, it is nonetheless influenced by circumstances outside of one’s realm of control. Perhaps one was influenced to lose weight after learning about a new type of diet that motivated their interest, or by a personal trainer who proved the utility of exercise, or even by one’s knowledge of the simplest dietary concept of diets in/out, which though obvious to most is not an innately knowable concept. This, therefore, highlights the influential role that knowledge attained through life experience plays in influencing behaviour (as well as providing some half-decent dietary advice).

Another factor that was already touched upon but deserves further discussion is the role that neural chemistry plays in influencing decisions. Science has already proven what a major influential role the brain in general plays. Baba Shiv, a neural researcher, has shown that neuromodulators such as dopamine, serotonin, cortisol and so on have a significant effect upon who we are and the choices we make, even to the extent that one may be bound by said neuromodulators to make alternative decision in the morning and evening of the same day. The famous case of Phineas Gage further sustains this idea. After suffering a devastating head injury, Gage, a previously polite and respectful individual, began to display personality shifts – exhibiting animalistic behaviours such as irritability, impatience and so on. This was, it was hypothesised, due to the said brain injury which mainly affected his prefrontal cortex (the part of the brain associated with behavioural control).

Though the neurobiological link between the brain/neuromodulators and decision making seems concrete, there remain two apparent flaws to the deterministic argument: firstly, the fact that the discussed factors are influencers, not determinants; and secondly, the presence of choice. I shall begin by tackling the latter; the choice-based counterargument to determinism is a particularly pertinent one because it proves the theoretical possibility of a series of alternative end results occurring due to choices made by the agent, the term choice being the supposed checkmate. Whilst I accept this concept, I nonetheless sustain that one may bare the capacity for choice and yet conversely still not be free, even though it may initially sound like an oxymoron.

The theoretical capacity to choose to perform an action does not necessarily equate to free will. Whilst it is true that we make conscious decisions every day, we are often unaware of the forces that negate our freedom to act alternatively, thus producing alternative results.

To properly explain this distinction an analogy would be appropriate; if Tim makes a conscious choice to walk right rather than left, he may initially seem like a free being. Imagine, however, that unbeknownst to Tim, a stealthy sniper stalked him from a rooftop with strict orders to shoot on sight as he began to walk left. In this scenario, whilst it is true that Tim does possess the capacity to choose, he is in no way free. The sniper’s presence relegates alternative actions strictly within the abstract realm – although Tim theoretically bore the ability to choose to walk left instead of right, concretely he was never truly free to do so, only to choose to try and do so. Freedom, therefore, equates to not only the presence of choice but simultaneously the concrete possibility of an alternative result being possible.

Dominoes waiting to fall… by Enoch Lai at the English language Wikipedia, free to share under Creative Commons Licence CC BY-SA 3.0

This smoothly brings us back to the first objection to the deterministic world view, that the aforementioned factors (culture, family, knowledge, neuromodulators and so on) influence rather than determine our choices. Choice and freedom do not, however, equate to one another; whilst it is therefore true that one’s capacity to make choices is not eliminated, said factors do nonetheless serve to inhibit alternative results strictly within the realm of the abstract in the same manner (albeit less overt) as the sniper. The choices one makes are ultimately attributable to an intricate causal chain consisting of factors which, in their singularity, serve simply as influencers but in their aggregate bare a similar deterministic effect to that of a domino push.

The result of a domino-effect is fully attributable to circumstance – the positioning of the dominoes, the velocity of the push, the angle of contact and so on. Said factors alone only influence the push’s result but when added together form a causal pattern which absolutely and infinitely determines its results. Identically, an action is equally as causally determined by context, this context being the sum total of one’s circumstance – culture, family, life experience, neuromodulators and so on which together form the same type of deterministic chain of causality as that of the domino push. Whilst it was therefore theoretically possible for Paul to have gone on a peaceful stroll rather than a mass murder spree, said possibility is a strictly abstract one. No less relevant than the abstract possibility of an alternative domino push result. If one were to somehow accurately replicate Paul’s circumstances it would, like the domino push, produce the identical determined results in infinitum.

The two remaining masochistically-inclined readers may at this point be wondering what the point of this article is. Is it to claim that terrorists, murderers, and the like should be left to roam the streets uninterrupted, spreading their destruction in any manner they see fit? To any concerned citizen, I assure you that this is not the case. The rejection of freedom does not equate to the rejection of consequence. Take the multiple faces of Paul as an example – regardless of the determining factors behind the violent outbreak, Paul’s consequential physical detainment serves an obvious and practical function, whether that be to prevent further harm upon others or to deter similar actions. Though the rejection of freedom does not equate to a consequence-free world it should equate to a judgment-free one.

Justice et Inégalité – Les Plateaux de la Balance, by Frachet, 2010, public domain via Wikimedia Commons

To be clear, what I refer to as a judgement-free world does not translate to a nihilistic one in which everybody is trapped in a prison of meaninglessness, unable to judge something as good, or bad or anything else for that matter. Indeed judging the world around us is as natural as breathing, impossible not to do. The ability to judge murder as bad and charity as good is, for example, an integral facet of a healthy outlook which should be maintained for the benefit of society as a whole. Whilst determinism does not render judging the action of murder as fruitless it does render the judgment of the person performing the action to be.

If we are to adopt a deterministic worldview – postulating that actions are determined by a context outside of one’s scope of control, the line of difference that we draw between the rabid version of Paul and its alternatives is a false one. Due to the aforementioned factors which determine one’s choices, the sociopathic or gangster versions of Paul are no less victims of circumstance than the rabid one or anybody else for that matter. Whilst it is therefore proper to condemn the act of killing, one holds no basis for judging the person performing the action (or any other action for that matter). If there is one effect that I hope this article has upon the readers it would be to compel them to think twice before passing judgment upon others, as all other factors being equal they themselves would be determined to act identically. In many ways, everybody is simply a victim of circumstance, determined by context. Who knows perhaps this shift in mentality may even produce some positive effects – forming a more accepting and just society in which one is not defined by their mistakes or punished for them eternally.

– Sean Agius

~ Ordinary Philosophy is a labor of love and ad-free, supported by patrons and readers like you. Any support you can offer will be deeply appreciated!

*All views and opinions expressed by guest writers are their own and do not necessarily reflect those of Ordinary Philosophy’s editors and publishers

Freedom and Judgment, Part 1, by Sean Agius

Brain illustration from The Principles and Practice of Medicine…’ by W Osler, 1904, public domain via Wikimedia Commons

“Man being held by authorities after mass murder spree”

Imagine that the above was to be today’s primary news headline. Had this been the case, what would you assume your reaction to be? Presumably – shock, terror, sorrow and everything in between (or at least I hope so). Now if I were to ask you what your thoughts on the perpetrator would be, for the sake of the example let us call him Paul, how would you answer? This may seem like a stupid question (an adjective that I’ve become highly accustomed to over the years), the answer of which I suppose will be quite unitary. If you are in fact like most people you consider Paul to be an evil, malicious, repugnant, sinister, vile (insert other negative labels here) individual who should be locked away in prison for the rest of his life or worse.

Let us, however, merge this hypothetical with a few other hypotheticals, creating a nice little hypothetical soup. If I were to inform you that the attack was crime-related and that Paul is a gangster holding a series of affiliations with multiple criminal groups, would it alter your opinion? I assume not – you most likely still hold Paul in passionate detestment, wishing the law to cross the proverbial knockout blow upon his freedom or perhaps even life. Now imagine I informed you that Paul was a psychopath, the type who thirsts for blood in the same manner as the villain in a horror movie; does this in any manner alter your frame of mind? Perhaps for some, in a sense; if I were to imitate the role of the mind-reader however, I would presume that most people still hold little sympathy for our hypothetical man, irrespective of this new information.

Let me provide you with one final hypothetical though (this will be the last, I promise). Paul has recently just returned from a trip outside the continent in which he lived out his dream of trekking through a rainforest for an extended period of time. The journey was a fulfilling one, the peak moment arriving during the last week of the trip. As Paul was stumbling through the rainforest, searing in the potent sun and carefully navigating to avoid the snakes and tarantulas, he stumbled upon a cave, a cave so beautiful that Paul was left awe-struck.

It stood at something like twelve feet tall and a mile wide; its shapely limestone enough to render the most hard-bitten cynic into a nature lover’s blissfulness. The mass of the limestone dispersed in a unique yet symmetrical manner which could not be replicated by the most skilled of sculptors. Its color palate was mesmerizing, the traditionally withering effects of Time substituted with Mother Nature’s divine hand – gifting the stone with a rainbow-like pattern; some parts of it yellow, others red, others green, others a glorious mixture of the lot.

Paul was captivated! He had hoped to see something that would spark his interest but he did not expect this. He just had to take a closer look! With every step that he took the colors turned brighter, the pattern more pronounced, the stone more shapely; leaving him in a quasi-trance until he arrived at the cave’s entrance. His aesthetic palate still not satisfied, he entered the cave; instantly the darkness engulfed him leaving him as blind as a bat, yet still he wondered what image the unwrapped darkness would provide. Were the colors as radiant? The form as ideal?

A cave in the Lewis and Clark Caverns, Montana, USA, photo 2017 by Amy Cools

Defeated by his curiosity he reached into his pocket – pulling out his flashlight and aiming it at the ceiling. The picture the light uncurtained was not, however, a pleasant one. Clearly annoyed by the light, the bats hanging upon the rooftop begun to disperse in panic. Paul was not generally a fearful man but this would leave anybody shook. Out of pure instinct, he flailed his arms, unintentionally swatting a fleeing bat. It too acted on instinct, sinking its tiny, sharp teeth into Paul’s flesh before disappearing back into the darkness alongside the rest of the flurry of critters. Then as Paul’s adrenaline begun to dwindle he too fled the cave, having lost all interest in his exploratory quest. The bite burnt, but only minimally, it was barely even bleeding. He wiped away the blood and sighed.

“Maybe I’m better served admiring the cave from afar,” he thought to himself.

The final week passed as rapidly as the bats, the encounter nothing more than a distant memory. On his departure, Paul cursed himself for indulging in airport food as he felt tired, nauseated and dizzy during the plane ride. To his surprise, he woke up the next day feeling worse in spite of waking up in his bed for the first time in months.

“Still nothing to worry about,” he thought to himself, ascribing his illness to the jet-lag. Yet as the days passed, his condition worsened significantly. He should have gone to a hospital, a doctor, a nurse, anything! Yet he did nothing!

Finally, the day of the attack arrived. Paul was feeling violently ill that day, enough to finally recognize that he was in urgent need of medical care. His final mistake was to opt to walk towards the hospital rather than call an ambulance. The short walk strained him a hundred times harder than any of his multiple mile-long treks and gradually he began to lose control of his senses; his sanity slipping away like a leaf in a waterfall, until finally his conscious awareness fully disintegrated and his whole being was consumed with red.

You might be wondering a few things at the moment – what happened to Paul? What was the point of the story? Which continent did Paul go to? Is he Batman? Who is this wannabe Charles Dickens writer and why is he so keen on wasting my time? Unfortunately, however, I can only provide an answer to the first question.

Needless to say that in the aftermath of the tragedy the general public was in shock. Though mass murder sprees are not unfortunately unheard of, the events of this one truly were – Paul committing the attack not with weapons but his bare hands and teeth instead, his behavior comparable only to that of a wild beast – the foaming of the mouth, the ear-piercing roars, the mindless aggression. It was only after the investigation that the confused public finally attained some much-needed clarity to the situation. As it turns out the bat bite which Paul shrugged off as a small meaningless sting turned out to be anything but. The gradual deterioration of Paul’s health was the result of the rabies virus, contracted through the bat’s bite, gradually invading his nervous system until it finally attained full control of his body, hijacking even his brain – on the day of the attack, causing him to strike with the ferocity that only a rabid beast could muster, tragically causing the deaths of multiple innocents.

In light of this new information, has your opinion of Paul changed? Venturing a guess, I would say that it has. The prevailing opinion regarding Paul has shifted from that of an aggressor deserving of our spite to that of a victim deserving of our pity. This perspective shift is an interesting one as it highlights that even an action as radical as killing others may be morally excused within certain circumstances. Yet what is it that truly distinguishes the latter circumstance from the former two?

French scholar Pierre-Simon de Laplace (1749-1827), public domain via Wikimedia Commons

The key element to keep in mind here is the concept of determinism (as coined by the philosopher Pierre-Simon Marquis de Laplace) referring to the lack of ability to freely perform an action. In essence, many people morally excuse Paul for the mass murder spree as he is perceived not free to act otherwise. In this specific case, the physical illness caused by the rabies stripped him of any free will thus relieving him of any form of moral agency or responsibility for his actions that he may have previously possessed. But is it exclusively physical illness that may render one’s actions to be determined and thus morally excusable or may similar non-physical factors also play a role? This question strikes at the heart of one of the most pertinent philosophical debates within the entire history of philosophy – the free will/determinism debate.

The philosophical context of this debate is unsurprisingly significantly further wide-ranging than simply the physical health aspect. It involves a series of determining factors such as mental health, culture, family, knowledge and more. Factors which, according to the advocates of determinism, in unison determine each individual to act in the manner they do, thus rendering the first two versions of Paul no less determined than the third rabid one. These factors each merit a significant portion of attention in themselves – attention which would indubitably render this article too lengthy. I shall, therefore, be concluding this article with a philosophical cliff-hanger of sorts – promising to further expand upon such concepts within a succeeding article.

To be continued….

– Sean Agius

~ Ordinary Philosophy is a labor of love and ad-free, supported by patrons and readers like you. Any support you can offer will be deeply appreciated!

*All views and opinions expressed by guest writers are their own and do not necessarily reflect those of Ordinary Philosophy’s editors and publishers

On Plastic Surgery and Other Cosmetic Interventions

I published this essay about a year ago today. Cosmetic medical intervention is a subject of special interest for me, and problems associated with it, especially those performed for non-functional or non-reconstructive purposes, are often brought to mind at the medical practice I work in.

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I work for a dermatologist who focuses his practice on medical dermatology. While all treat many of the same medical conditions, an ever-increasing percentage of dermatologists devote a substantial portion of their time to performing cosmetic procedures, from Botox and filler injections, chemical peels, and laser treatments to surgeries: facelifts, chin implants, eyelid modifications, and so on. The sign on the door of the medical practice I work for, however, reads ‘Diseases of the Skin’.

To me, this is a reassuring message, as if to say to all who enter ‘We are here to try and cure what ails you.’ It contrasts sharply with the message I get from cosmetic dermatology and surgery ads: ‘We agree that you’re ugly and need to be altered.’

Now, of course, this is only what I read into those ads, especially in my more sensitive moods. I don’t for a moment speak for anyone…

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What is a ‘Natural’ Medicine, Anyway?

I’ve often found that many people aren’t aware of the difference between herbal medicines and homeopathic remedies, perhaps because these terms have come to be used more and more interchangeably. There are many herbal, or ‘natural’, medicines, that are proven to work for many conditions: aspirin, quinine, ginger, marijuana, and so on. Homeopathy refers to nothing of this sort. Rather, homeopathy makes two claims: 1. like cures like (for example, a substance that makes a stomach ache will also cure it) as long as it’s greatly diluted, and 2. water has a ‘memory’, and it can be ‘imprinted’ by adding such a substance to it. Neither of these claims can be substantiated by any scientific means, and to my mind, they’re preposterous.

Homeopathic businesses, just like peddlers of many other ‘natural’ cures, wish to remain immune from demonstrating, through studies and testing, that they actually work and are not harmful. Yet they are both multi-billion dollar industries with the potential to do massive harm. To my mind, their efforts to remain immune from regulation and oversight are just as corrupt as those of some pharmaceutical companies and other industries that seek to shield themselves from public accountability. There are other ‘natural’ medicines which are proven to work, offered by honest practitioners who care enough to demonstrate effectiveness, that the health-conscious consumer can opt for instead.

I use the word ‘natural’ in quotes because I think there’s something odd about qualifying certain medicines as natural, and some as not. Since I don’t believe in anything ‘supernatural’, by default, everything is natural. The difference between all these medicines, then, is whether they’re effective or not, or whether they’re harmful or not.

~ This little essay is a reflection inspired by Jerry Coyne’s article ‘Why Do Liberals Tolerate Pseudoscience at Whole Foods?