Medical humanities purchases its presence on the medical side of university campuses by adopting as its own the ends of medicine and medical ethics. It even justifies its presence by asserting promotion of those ends as an ethical imperative, most of all to improve the caring in medical care. As unobjectionable, even praiseworthy, as this imperative appears, it actually constrains the possibilities for interpersonal relationship in the context of medical practice. Development of those possibilities requires openness of self to the (...) existentially challenging ethical imperative to care also literally for nothing at all. (shrink)

Widely regarded as the most influential proponent of the truth of original sin in the twentieth century, Reinhold Niebuhr worked hard to excise any "literalistic" element from his interpretation of the doctrine. In his attempt to "correct" the Augustinian tradition on original sin by purging it of all "literalistic errors," however, Niebuhr assumed as his starting point the most characteristically modern objection to the doctrine: that birth is a thoroughly natural, animal, and morally meaningless event. As a result, Niebuhr unnecessarily (...) constrained his vision of the dimensions of human freedom, and hence his description of the dynamic of anxiety and freedom that energizes sin. Through a careful reading of Reinhold Niebuhr's writings on original sin, in light of the truth that the end of human life is inseparable from its origins, a reappraisal and recovery of the meaningfulness of the assertion of original sin as a literal inheritance is possible. The result of such a reappraisal and recovery is an amplified insight into the existential anxiety that Niebuhr otherwise described so convincingly. (shrink)

In theological discourse of sexuality, queer theory has often been regarded as an extension of the project of gay and lesbian liberation, when it actually challenges an organizing value of the entire discourse, because it challenges any ascription of ultimate value to "sex," an imaginative formation of power relations. Rather than appeal to God to authorize the privileged status of sex, queer commentary suggests that theological writers should refuse assertions of the absolute importance of any particular formation of human imagination (...) as a basis of relation between self and God. The goal is to recognize the violence—symbolized and real—that enforces the worth of certain imaginations of intelligibly sexed personal identity and stunts the formation of alternative imaginations of intelligible personal identity. Critical account of this violence as sentimental-homicidal-suicidal opens space to confess a theological discourse of personal identities that is entirely beyond sex. (shrink)

Each time patients and their families are asked to make a decision about resuscitation, they are also asked to engage the political, social, and cultural concerns that have shaped its history. That history is exemplified in the career of Claude S. Beck, arguably the most influential researcher and teacher of resuscitation in the twentieth century. Careful review of Beck’s work discloses that the development and popularization of the techniques of resuscitation proceeded through a multiplication of definitions of death. CPR consequently (...) remains unique among medical treatments, because it is indicated precisely when a person dies, depending always on how each event of death becomes defined practically by patients, families, and medical professionals present at the time. It is therefore as an occasion to manage a surplus of definitions of death, and not as an occasion to determine the physiological efficacy of resuscitation, that one should approach analysis of contemporary challenges in decision-making about resuscitation. (shrink)

AMONG THEOLOGICAL WRITERS, MANY HAVE SUSPECTED THAT JOHN Rawls's writings on justice add up to a de facto manifesto of secularism. His writings especially provoke anxiety about the potential exclusion of theological affirmations from public political discourse. Much of this anxiety focuses on his concept of the "original position" from which principles of justice are negotiated. Consideration of the anxiety provoked by this concept, however, suggests that it is theologically richer than Rawls's critics allow. A turn to Søren Kierkegaard's The (...) Concept of Anxiety enables interpretation of the original position as a device of representation that identifies every individual with the fact of original sin. Crucial to this interpretation is Kierkegaard's description of original sin in terms of anxiety that arises from the innocence that is ignorance in the comparable original position of Adam. Where anxiety arises, sin follows. Where sin arises, the need for justice follows. Reading Rawls and Kierkegaard together consequently offers insight into the relevance of the history of the doctrine of original sin to contemporary theorization of justice. (shrink)

Although the clinical and the sexual are commonly treated as antithetical realms of experience, queer commentary teaches that the clinic is a positively sexual space and that clinical intimacy is a creative form of sexual intimacy. Contrary to writers such as Engelhardt, the clinic is a space where queer publics are forged, and the barriers between moral friends and moral strangers potentially dissolve, but only to the extent that one is disposed to allow oneself to enjoy experiences of identification that (...) confound the ideals of human dignity typically invoked in writings about sexual ethics on the one hand and clinical medical ethics on the other hand. (shrink)

Each time patients and their families are asked to make a decision about resuscitation, they are also asked to engage the political, social, and cultural concerns that have shaped its history. That history is exemplified in the career of Claude S. Beck, arguably the most influential researcher and teacher of resuscitation in the twentieth century. Careful review of Beck’s work discloses that the development and popularization of the techniques of resuscitation proceeded through a multiplication of definitions of death. CPR consequently (...) remains unique among medical treatments, because it is indicated precisely when a person dies, depending always on how each event of death becomes defined practically by patients, families, and medical professionals present at the time. It is therefore as an occasion to manage a surplus of definitions of death, and not as an occasion to determine the physiological efficacy of resuscitation, that one should approach analysis of contemporary challenges in decision-making about resuscitation. (shrink)