We are even less aware of our internal organs and the physiological processes that keep us alive. In this fascinating work, Drew Leder examines all the ways in which the body is absent—forgotten, alien, uncontrollable, obscured.

Bodily pain and distress come in many forms. They can well up from within at times of serious illness, but the body can also be subjected to harsh treatment from outside. The medical system is often cold and depersonalized, and much worse are conditions experienced by prisoners in our age of mass incarceration, and by animals trapped in our factory farms. In this pioneering book, Drew Leder offers bold new ways to rethink how we create and treat distress, (...) clearing the way for more humane social practices. Leder draws on literary examples, clinical and philosophical sources, his medical training, and his own struggle with chronic pain. He levies a challenge to the capitalist and Cartesian models that rule modern medicine. Similarly, he looks at the root paradigms of our penitentiary and factory farm systems and the way these produce distressed bodies, asking how such institutions can be reformed. Writing with coauthors ranging from a prominent cardiologist to long-term inmates, he explores alternative environments that can better humanize—even spiritualize—the way we treat one another, offering a very different vision of medical, criminal justice, and food systems. Ultimately Leder proposes not just new answers to important bioethical questions but new ways of questioning accepted concepts and practices. (shrink)

Pain is far more than an aversive sensation. Chronic pain, in particular, involves the sufferer in a complex experience filled with ambiguity and paradox. The tensions thereby established, the unknowns, pressures, and oscillations, form a significant part of the painfulness of pain. This paper uses a phenomenological method to examine nine such paradoxes. For example, pain can be both immediate sensation and mediated by complex interpretations. It is a certainty for the experiencer, yet highly uncertain in character. It pulls one (...) to the present but also projects one outward to a feared or desired future. Chronic pain can seem located in the body and/or mind; interior to the self, or an alien other; confined to a particular point and/or radiating everywhere. Such fundamental paradoxes, existential and epistemological, can challenge those living with long-term pain. (shrink)

This is the first volume to systematically explore the range of contemporary thought concerning the body and draw out its crucial implications for medicine.

The lived body has structures of ability built up over time through habit. Serious illness, injury, and incapacity can disrupt these capacities, and thereby, one’s relationship to the body, and to time itself. This paper focuses attention on a series of healing strategies individuals then employ on the “chessboard” of possibilities intrinsic to lived embodiment. This can include restoring past abilities (pointing to the future to recreate the past); and/or transforming one’s bodily structure or use-patterns, or the external environment, to (...) compensate. With many conditions, including progressive aging, no full rehabilitation is possible. Nevertheless, one can also seek consolation, richness, or hope by remembering the past; anticipating the future; or presencing, that is, living fully in the now. Insofar as past, present, and future are interwoven in one’s life experience, many also meet adversity by a life-story revision, constructing a new narrative to render events meaningful. Some also access a sense of transpersonal timelessness, whether through anticipation of an afterlife, or a sense of the eternal present. There is a literature on the adaptive coping mechanism used by the chronically ill, but with its diverse patient populations, methodologies, and categories, it has proved difficult to systematize. This article suggests that the structures of lived embodiment, as explored by phenomenology, provide a way to understand the modes of wholeness individuals access over time, and in relation to time—what is here termed chronic healing. (shrink)

I argue that clinical medicine can best be understood not as a purified science but as a hermeneutical enterprise: that is, as involved with the interpretation of texts. The literary critic reading a novel, the judge asked to apply a law, must arrive at a coherent reading of their respective texts. Similarly, the physician interprets the text of the ill person: clinical signs and symptoms are read to ferret out their meaning, the underlying disease. However, I suggest that the hermeneutics (...) of medicine is rendered uniquely complex by its wide variety of textual forms. I discuss four in turn: the experiential text of illness as lived out by the patient; the narrative text constituted during history-taking; the physical text of the patient's body as objectively examined; the instrumental text constructed by diagnostic technologies. I further suggest that certain flaws in modern medicine arise from its refusal of a hermeneutic self-understanding. In seeking to escape all interpretive subjectivity, medicine has threatened to expunge its primary subject — the living, experiencing patient. (shrink)

This paper suggests that the paradigm of the lived-body developed by Straus, Merleau-Ponty and others has important implications for medical practice and theory. Certain recognized flaws in modern medicine, such as its reductionist tendencies and lack of emphasis on preventive measures are shown to be related to the exclusive use of a Cartesian notion of embodiment. Increased attention to the paradigm of the lived-body emphasizing its unity, purposiveness and "enworldment" could help to beneficially reorient practice. Moreover, this portrayal of the (...) body as an intentional entity may provide a better tool than the traditional view for conceptualizing the psychological and psychosocial components of disease etiology, as well as some newly developed modes of treatment. CiteULike Connotea Del.icio.us What's this? (shrink)

Lucy Osler's piece, "Controlling the noise: A phenomenological account of Anorexia Nervosa and the threatening body," lays out an important new interpretation of anorexia. Anorexia Nervosa is no longer viewed as primarily a perceptual distortion of body-image, an obsession with thinness, or an attempt to dematerialize—to free the subject from its inert thing-like body. Rather, the body itself, and the visceral body in particular, takes on a "voice" which the anorexic experiences as demanding and threatening. Anorexic monitoring and self-starvation beckons (...) as a way to regain power over this renegade viscerality. Unfortunately, this strategy of self-empowerment is doomed to backfire; hunger, illness, and body/food... (shrink)

Encounters with illness, impairment, and aging can disrupt one’s experiential relationship with self, body, others, and world. “Healing” takes place when the individual is able to re-integrate his or her world, even if the condition is not medically curable. Drawing on work in the phenomenology of the body, this article examines a series of eight “healing strategies” individuals employ, each representing a different way of orienting toward the painful or impaired body. One may lean into freeing oneself from the body, (...) through strategies of “refusing,” “ignoring,” “objectifying,” or “transcending” its problems. Conversely, one may choose to embrace the body, through strategies such as “accepting,” “listening,” “befriending,” or “witnessing.” It can be beneficial to have a good number of such coping strategies at one’s disposal, enhancing flexible response to chronic challenges. They also are often used in synergistic or complementary combinations. (shrink)

The thesis of "token identity" or "token physicalism" advanced by fodor and others attempts to reconcile materialism with a non-Reductionist view of the special sciences. However, I argue that since the individual events or "tokens" of any science are only designated according to its general types, The former cannot be specified physicalistically while the latter are not. Though attempting to combat a positivistic view of the sciences, Fodor's thesis rests on a positivistic opposition of token and type.

Philosopher and physician Drew Leder shows how a phenomenology of lived embodiment reveals a series of healing strategies available in the face of the bodily breakdowns and challenges that are a part of the human condition.

This article explores the cultural and philosophical foundations of factory farming. Modes of capitalist production play a role: Marx’s analysis of the fourfold alienation of labor can be applied to animal-laborers. However, the harshness with which animals are treated exceeds the harshness directed toward human workers. At root is a cultural anthropocentrism that prohibits viewing animals as moral subjects, removing ethical restraints. Ultimately, the modernist ways in which animals are treated as both like and unlike human workers are related to (...) the rise of Cartesian mechanism. The categories of “human” and “animal” are reconfigured by the image of the “machine.”. (shrink)

This paper explores the ability and desire of the embodied self to “shape-shift”—to experience from within the capacities of animals, or natural phenomena like trees and mountains. Shape-shifting is discussed insofar as it manifests in a broad range of cultural domains, including children’s play, mythico-religious iconography, spiritual practice, sports, the performing arts, and so on. This potential for shape-shifting is grounded not simply in our evolutionary history and biological kinships, but in the phenomenology of the lived-body. Our own powers are (...) explored, expanded, and transformed through our communion with the non-human world. (shrink)

This paper explores the ability and desire of the embodied self to “shape-shift”—to experience from within the capacities of animals, or natural phenomena like trees and mountains. Shape-shifting is discussed insofar as it manifests in a broad range of cultural domains, including children’s play, mythico-religious iconography, spiritual practice, sports, the performing arts, and so on. This potential for shape-shifting is grounded not simply in our evolutionary history and biological kinships, but in the phenomenology of the lived-body. Our own powers are (...) explored, expanded, and transformed through our communion with the non-human world. (shrink)

Case examples are studied in order to ascertain what best characterizes the work of consultation-liaison (C-L) psychiatrists. Such practitioners play the role of "inter-interpreter": they are able and called upon to mediate between different conceptual worlds. In certain instances this may involve reconciling or choosing between physicalistic and mentalistic interpretations of the case. At other times it is the opposing world-views of patient and staff that must be reconciled. The mediating position of the C-L psychiatrist is thus found to be (...) clinically valuable, and illustrative of the differing discourses that characterize modern medicine. Keywords: hermeneutics, mind-body relations, clinical interpretation CiteULike Connotea Del.icio.us What's this? (shrink)

The Soul Knows No Bars compiles all of the authors' reactions to texts by Foucault, Nietzsche, Heidegger, and others.

Western philosophy’s relationship with prisons stretches from Plato’s own incarceration to the modern era of mass incarceration. Philosophy Imprisoned: The Love of Wisdom in the Age of Mass Incarceration draws together a broad range of philosophical thinkers, from both inside and outside prison walls, in the United States and beyond, who draw on a variety of critical perspectives (including phenomenology, deconstruction, and feminist theory) and historical and contemporary figures in philosophy (including Kant, Hegel, Foucault, and Angela Davis) to think about (...) prisons in this new historical era. All of these contributors have experiences within prison walls: some are or have been incarcerated, some have taught or are teaching in prisons, and all have been students of both philosophy and the carceral system. The powerful testimonials and theoretical arguments are appropriate reading not only for philosophers and prison theorists generally, but also for prison reformers and abolitionists. (shrink)

Marx admirait grandement Aristote. En aurait-il pour autant accepté l'étrange réactualisation de l'ontologie, cette proto-science de "l'être en tant qu'être"? Toute son oeuvre atteste au contraire qu'elle relevait à ses yeux de "l'ancienne philosophie", conçue à une époque où se confondaient encore toutes les branches du savoir et dont il fallait "sortir d'un bond". L'élaboration par lui et ses continuateurs de cette logique supérieure qu'est la dialectique matérialiste offrait désormais la clé d'une connaissance positive d'un monde s'expliquant par lui-même, sans (...) adjonction d'aucune sorte. On peut s'étonner qu'au soir de sa vie, Georges Lukacs (1885-1971), une des figures les plus marquantes du marxisme contemporain, se soit lancé dans l'impossible tentative de réanimer cette antiquité philosophique. Riche en développements sur le travail et l'aliénation, sa monumentale Ontologie de l'être social n'en révèle pas moins un significatif écartèlement entre le penseur marxiste et l'homme de la Mitteleuropa qu'il ne dépouilla sans doute jamais complètement en lui. (shrink)

Should there be a female age limit on public funding for assisted reproductive technology (ART)? The question bears significant economic and sociopolitical implications and has been contentious in many countries. We conceptualise the question as one of justice in resource allocation, using three much-debated substantive principles of justice—the capacity to benefit, personal responsibility, and need—to structure and then explore a complex of arguments. Capacity-to-benefit arguments are not decisive: There are no clear cost-effectiveness grounds to restrict funding to those older women (...) who still bear some capacity to benefit from ART. Personal responsibility arguments are challenged by structural determinants of delayed motherhood. Nor are need arguments decisive: They can speak either for or against a female age limit, depending on the conception of need used. We demonstrate how these principles can differ not only in content but also in the relative importance they are accorded by governments. Wide variation in ART public funding policy might be better understood in this light. We conclude with some inter-country comparison. New Zealand and Swedish policies are uncommonly transparent and thus demonstrate particularly well how the arguments we explore have been put into practice. (shrink)

We would like to thank […] for their thoughtful engagement with our paper. In the end, we do not think that they have demonstrated substantive tensions in our view, but explaining why this is so gi...

This chapter sets out to distinguish the sorts of claims have been advanced under the rubric of “moral particularism,” and to sort through the insights and costs of each. In particular, it distinguishes those who are animated by suspicion of theory itself from those who aim to reconfigure — sometimes radically — the nature of theory. It defends as key the particularist insight that exceptions to substantive moral explanations are ubiquitous. It argues that the lesson of this insight is not (...) to abandon moral generalizations, but to change the picture of what they must look like to do their work. (shrink)

Recent research on the metaethical beliefs of ordinary people appears to show that they are metaethical pluralists that adopt different metaethical standards for different moral judgments. Yet the methods used to evaluate folk metaethical belief rely on the assumption that participants interpret what they are asked in metaethical terms. We argue that most participants do not interpret questions designed to elicit metaethical beliefs in metaethical terms, or at least not in the way researchers intend. As a result, existing methods are (...) not reliable measures of metaethical belief. We end by discussing the implications of our account for the philosophical and practical implications of research on the psychology of metaethics. (shrink)

ABSTRACTIn this paper, I question the orthodox position that true belief is a fundamental epistemic value. I begin by raising a particularly epistemic version of the so-called “value problem of knowledge” in order to set up the basic explanandum and to motivate some of the claims to follow. In the second section, I take aim at what I call “bottom-up approaches” to this value problem, views that attempt to explain the added epistemic value of knowledge in terms of its relation (...) to a more fundamental value of true belief. The final section is a presentation of a value-theoretic alternative, one that explains the value problem presented in the first section while also doing justice to intuitions that may cause us to worry about bottom-up approaches. In short, knowledge and not mere true belief is a fundamental epistemic value as it is the constitutive goal of propositional inquiry. (shrink)

In his text, the author develops the notion of trust as a condition for the possibility of any relational anthropology. Referring to the root associated with trust as the foundation of the relationship, he takes a position in the dispute about the primal nature of trust or perfidy; believes that in the abusive practices of credit and debt there is a reversal of the meaning of what is a necessary element of human life, relationships based on trust. Perfidy is possible (...) precisely because there is trust. On the basis of such concepts, he develops an analysis of events in the global economy at the turn of the 20th and 21th century, especially the financialization, based on the ideas of such authors as Arrighi, Bourdieu, Eichegreen, Pobłocki and Stiegler but also Lacan. (shrink)

Much has been made of the so-called “speculative turn” in contemporary philosophy. For some, this turn marks the “end of phenomenology” and the dawn of a new empiricism in European philosophy. For others, it amounts to nothing more than a renewal of the straw-person accusation of psychologism against phenomenology. In truth, it is neither. Instead, this article argues that while at times mutually critical of one another, speculative materialism and phenomenology are best understood as parallel projects with shared trajectories and (...) aims, common concerns, and even comparable methods. The bene????it of reading these two apparently divergent camps as parallel projects is that it allows phenomenology to understand the diversity of its own history anew and, in light of this, to draw from speculative realism as a resource for rethinking its objectives and methods in its pursuit of a robust post-Kantian realism. (shrink)

The option of being ‘spiritual but not religious’ deserves much more philosophical attention. That is the aim here, taking the work of Robert Solomon as a starting point, with focus on the particular issues around viewing life as gift. This requires analysis of ‘existential gratitude’ to show that there can be gratitude for things without gratitude to someone for providing things, and also closer attention to the role that metaphor plays in cognition. I consider two main concerns with gift and (...) gratitude thinking, that the nonreligious justification is too instrumentalist in its approach and that viewing life as gift, whether in a religious or nonreligious way, is simply too optimistic. (shrink)

Lance Rips describes a unified theory of natural deductive reasoning and fashions a working model of deduction, with strong experimental support, that is capable of playing a central role in mental life.

There is a previously unrecognized coupling which underlies the Western evaluation of aesthetic experiences. By and large, we are taught that for our aesthetic pleasures to have any “value” (i.e. to be good) they must do more than merely entertain, distract, or delight. Instead, they should confront us with some “truth” about the nature of our existence and/or guide us to some “reality” concerning the state of our world. This paper asks: 1) whence this prejudice concerning the value of our (...) aesthetic experiences? 2) What metaphysical and ethical assumptions underlie this epistemological standard? And, finally, 3) how might our expectations concerning the nature and value of aesthetic experiences alter if these assumptions are called into question, as they are, for example, by contemporary metaphysical pessimism? This paper uses the concept of “guilty pleasures” as a site to expose the history of our Western assumptions concerning the evaluation of aesthetic experiences and to explore how a pessimistic revaluation of reality might change our analysis of what comprises “good” art. To this end, this paper traces the origins of our aesthetic assumptions in the West, shows how these assumptions continue to influence our aesthetic expectations today, exposes the hidden metaphysical premises, which underly those expectations, and explores why and how we might call these premises into question through a pessimistic revaluation of existence. All of these supports, in the end, a critical reassessment of the status and value our so-called “guilty pleasures.”. (shrink)

: President Clinton's charge to the Advisory Committee on Human Radiation Experiments included the identification of ethical and legal standards for evaluating government-sponsored radiation experiments conducted during the Cold War. In this paper, we review the traditional account of the history of American research ethics, and then highlight and explain the significance of a number of the Committee's historical findings as they relate to this account. These findings include both the national defense establishment's struggles with legal and insurance issues concerning (...) human experiments, and the medical profession's perspective on human experimentation in the years following the Nuremberg Medical Trials. We conclude that the Committee's work both enriches the traditional view of the history of research ethics and opens important new areas for study. (shrink)

Introduction : a search for icons -- Burke in brief : a "philosophical" primer -- Old seeds, new soil : the land of Paine -- John and J.Q. Adams : federalist persuasions -- Democratic America : the ethos of liberalism -- American Whigs : a conservative response -- The Gilded Age : eclectic interpretations -- Theodore Roosevelt : blazing forward, looking backward -- Woodrow Wilson : confronting American maturity -- Modern times : conjunctions and consensus -- Natural law : a (...) neo-traditionalist revival -- The Cold War : existential threat redux -- Contemporary conservatives : victories and illusions -- Conclusion : a world without fathers. (shrink)