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How does the integration of mixed reality devices into our cognitive practices impact the mind from a metaphysical and epistemological perspective? In his innovative and interdisciplinary article, “Minds in the Metaverse: Extended Cognition Meets Mixed Reality” (2022), Paul Smart addresses this underexplored question, arguing that the use of a hypothetical application of the Microsoft HoloLens called “the HoloFoldit” represents a technologically high-grade form of extended cognizing from the perspective of neo-mechanical philosophy. This short commentary aims to (1) carve up the conceptual landscape of possible objections to Smart’s argument and (2) elaborate on the possibility of hologrammatically extended cognition, which is supposed to be one of the features of the HoloFoldit case that distinguishes it from more primitive forms of cognitive extension. In tackling (1), I do not mean to suggest that Smart does not consider or have sufficient answers to these objections. In addressing (2), the goal is not to argue for or against the possibility of hologrammatically extended cognition but to reveal some issues in the metaphysics of virtual reality upon which this possibility hinges. I construct an argument in favor of hologrammatically extended cognition based on the veracity of virtual realism (Chalmers, 2017) and an argument against it based on the veracity of virtual fictionalism (McDonnell and Wildman, 2019).

This paper offers a novel argument against the phenomenal intentionality thesis (or PIT for short). The argument, which I'll call the extended mind argument against phenomenal intentionality, is centered around two claims: the first asserts that some source intentional states extend into the environment, while the second maintains that no conscious states extend into the environment. If these two claims are correct, then PIT is false, for PIT implies that the extension of source intentionality is predicated upon the extension of phenomenal consciousness. The argument is important because it undermines an increasingly prominent account of the nature of intentionality. PIT has entered the philosophical mainstream and is now a serious contender to naturalistic views of intentionality like the tracking theory and the functional role theory (Loar 1987, 2003; Searle 1990; Strawson 1994; Horgan and Tienson 2002; Pitt 2004; Farkas 2008; Kriegel 2013; Montague 2016; Bordini 2017; Forrest 2017; Mendelovici 2018). The extended mind argument against PIT challenges the popular sentiment that consciousness grounds intentionality.

This paper engages in what might be called anticipatory virtue epistemology, as it anticipates some virtue epistemological risks related to a near-future version of brain-computer interface technology that Michael Lynch (2014) calls 'neuromedia.' I analyze how neuromedia is poised to negatively affect the intellectual character of agents, focusing specifically on the virtue of intellectual perseverance, which involves a disposition to mentally persist in the face of challenges towards the realization of one’s intellectual goals. First, I present and motivate what I call ‘the cognitive offloading argument’, which holds that excessive cognitive offloading of the sort incentivized by a device like neuromedia threatens to undermine intellectual virtue development from the standpoint of the theory of virtue responsibilism. Then, I examine the cognitive offloading argument as it applies to the virtue of intellectual perseverance, arguing that neuromedia may increase cognitive efficiency at the cost of intellectual perseverance. If used in an epistemically responsible manner, however, cognitive offloading devices may not undermine intellectual perseverance but instead allow people to persevere with respect to intellectual goals that they find more valuable by freeing them from different kinds of menial intellectual labor.

Augmented reality (AR) technologies function to ‘augment’ normal perception by superimposing virtual objects onto an agent’s visual field. The philosophy of augmented reality is a small but growing subfield within the philosophy of technology. Existing work in this subfield includes research on the phenomenology of augmented experiences, the metaphysics of virtual objects, and different ethical issues associated with AR systems, including (but not limited to) issues of privacy, property rights, ownership, trust, and informed consent. This paper addresses some epistemological issues posed by AR systems. I focus on a near-future version of AR technology called the Real-World Web, which promises to radically transform the nature of our relationship to digital information by mixing the virtual with the physical. I argue that the Real-World Web (RWW) threatens to exacerbate three existing epistemic problems in the digital age: the problem of digital distraction, the problem of digital deception, and the problem of digital divergence. The RWW is poised to present new versions of these problems in the form of what I call the augmented attention economy, augmented skepticism, and the problem of other augmented minds. The paper draws on a range of empirical research on AR and offers a phenomenological analysis of virtual objects as perceptual affordances to help ground and guide the speculative nature of the discussion. It also considers a few policy-based and designed-based proposals to mitigate the epistemic threats posed by AR technology.

This chapter focuses on AI-based cognitive and perceptual enhancements. AI-based brain enhancements are already under development, and they may become commonplace over the next 30–50 years. We raise doubts concerning whether radical AI-based enhancements transhumanists advocate will accomplish the transhumanists goals of longevity, human flourishing, and intelligence enhancement. We urge that even if the technologies are medically safe and are not used as tools by surveillance capitalism or an authoritarian dictatorship, these enhancements may still fail to do their job for philosophical reasons. In what follows, we explore one such concern, a problem that involves the nature of the self. We illustrate that the so called transhumanist efforts to “merge oneself with AI” could lead to perverse realizations of AI technology, such as the demise of the person who sought enhancement. And, in a positive vein, we offer ways to avoid this, at least within the context of one theory of the nature of personhood.

Background and purpose Community pharmacy practice is transforming from traditional dispensing roles, and advanced pharmacy practice experiences (APPEs) could be a viable mechanism to assist pharmacies during transformation. A new type of APPE is described and the design, outcomes, and feedback from the first students and pharmacies piloting this rotation are discussed. Educational activity and setting A four-week elective APPE was designed to position fourth-year students as facilitators for community pharmacy transformation activities. The first transformation activity was clinical documentation using electronic care plans (eCare plans). Students spent a majority of the rotation in the pharmacy with only the first week and one day a week thereafter at the college of pharmacy. Students assessed current pharmacy workflow, developed an implementation plan, trained pharmacy staff, and created protocols and resources. Findings Four student pharmacists completed the rotation during May, June, and August 2019. Student knowledge was assessed through a 12-question pre- and post-quiz on implementation science and the pharmacist eCare plan. Following orientation activities, students' scores increased from an average 44% to 86%. Course evaluations showed students learned about pharmacy business management and recognized challenges in teaching staff new concepts. All students indicated appreciation for innovative activity involvement and helping a pharmacy advance its practice. Summary Early findings from this elective indicate a successful learning experience for students and pharmacy owners. The students gained skills in teaching, facilitation, and practice management, while pharmacy owners benefitted from staff training and implementation resources.