Transplantation programs commonly rely on clinicians’ judgments about patients’ social support (care from friends or family) when deciding whether to list them for organ transplantation. We examine whether using social support to make listing decisions for adults seeking transplantation is morally legitimate, drawing on recent data about the evidence-base, implementation, and potential impacts of the criterion on underserved and diverse populations. We demonstrate that the rationale for the social support criterion, based in the principle of utility, is undermined by its (...) reliance on tenuous evidence. Moreover, social support requirements may reinforce transplant inequities, interfere in patients’ personal relationships, and contribute to biased and inconsistent listing procedures. As such, accommodating the needs of patients with limited social support would better balance ethical commitments to equity, utility, and respect for persons in transplantation. We suggest steps for researchers, transplantation programs, and policymakers to improve fair use of social support in transplantation. (shrink)

Many health care organizations made public commitments to become antiracist in the wake of George Floyd's murder. These actions raise questions about the appropriateness of health care's engagement in racial justice and social justice movements generally. We argue that health care organizations can be usefully thought of as having two roles: a functional role to care for the sick and a meta‐role as an organizational citizen. Fulfilling the role of citizen may require participating in the pursuit of social justice, including (...) efforts to achieve racial equity. The demands of these two roles will need to be balanced, but the role of organizational citizen has been largely ignored and merits serious attention. (shrink)

The impact of Nietzsche's engagement with the Greek skeptics has never before been systematically explored in a book-length work - an inattention that belies the interpretive weight scholars otherwise attribute to his early career as a professor of classical philology and to the fascination with Greek literature and culture that persisted throughout his productive academic life. Jessica N. Berry fills this gap in the literature on Nietzsche by demonstrating how an understanding of the Pyrrhonian skeptical tradition illuminates Nietzsche's own (...) reflections on truth, knowledge, and ultimately, the nature and value of philosophic inquiry. This entirely new reading of Nietzsche's epistemological and ethical views promises to make clear and render coherent his provocative but often opaque remarks on the topics of truth and knowledge and to grant us further insight into his ethics-since the Greek skeptics, like Nietzsche, take up the position they do as a means of promoting well-being and psychological health. In addition, it allows us to recover a portrait of Nietzsche as a philologist and philosophical psychologist that has been too often obscured by commentaries on his thought. "The book addresses a number of central issues in Nietzsche's philosophy, including perspectivism and his conception of truth. The idea that his views in these areas owe much to the ancient Pyrrhonists casts them in an important new light, and is well supported by the texts. A lot of people from a lot of different areas in philosophy will have good reason to take notice." - Richard Bett, Johns Hopkins University. (shrink)

Human genomics is a translational field spanning research, clinical care, public health, and direct-to-consumer testing. However, law differs across these domains on issues including liability, consent, promoting quality of analysis and interpretation, and safeguarding privacy. Genomic activities crossing domains can thus encounter confusion and conflicts among these approaches. This paper suggests how to resolve these conflicts while protecting the rights and interests of individuals sequenced. Translational genomics requires this more translational approach to law.

Over the past twenty-five years, thirty-seven states and the US Congress have passed mental health and substance use disorder (MH/SUD) parity laws to secure nondiscriminatory insurance coverage for MH/SUD services in the private health insurance market and through certain public insurance programs. However, in the intervening years, litigation has been brought by numerous parties alleging violations of insurance parity. We examine the critical issues underlying these legal challenges as a framework for understanding the areas in which parity enforcement is lacking, (...) as well as ongoing areas of ambiguity in the interpretation of these laws. We identified all private litigation involving federal and state parity laws and extracted themes from a final sample of thirty-seven lawsuits. The primary substantive topics at issue include the scope of services guaranteed by parity laws, coverage of certain habilitative therapies such as applied behavioral analysis for autism spectrum disorders, credentialing standards for MH/SUD providers, determinations regarding the medical necessity of MH/SUD services, and the application of nonquantitative treatment limitations under the 2008 federal parity law. Ongoing efforts to achieve nondiscriminatory insurance coverage for MH/SUDs should attend to the major issues subject to private legal action as important areas for facilitating and monitoring insurer compliance. (shrink)

The intellectual history of Germany in the late eighteenth and nineteenth centuries is sometimes compared to the philosophical achievement of Athens at the very height of the classical age. Both were tremendously fruitful periods, which saw the birth of revolutionary philosophical systems that inspired a fantastic intellectual commerce among new and rival schools of thought. The plenitude of references to Greek mythology in literary works from Goethe and Lessing to Schiller, Novalis, and Hölderlin; the burgeoning interest in classical philology and (...) the translation and transmission of works of antiquity; and the growing interest in the history of skepticism in ancient Greece; all are instances of a widespread preoccupation with Hellenic thought and culture that persisted throughout the nineteenth and into the twentieth century. The intellectual associations between many seminal thinkers during this time make it easy to trace the transmission of this enthusiasm from one figure or group to another. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Pyrrhonian Revival in Montaigne and NietzscheJessica N. BerryMichel de Montaigne occupies a unique place in Nietzsche's history of ideas. He is one of a very few figures for whom Nietzsche expresses deep admiration and about whom he has virtually nothing critical to say. This is a rare enough mark of distinction; but contrary to what it might lead us to expect, the relationship between Montaigne and Nietzsche has (...) seldom been carefully examined. There has yet to be a book-length study devoted solely to Montaigne and Nietzsche,1 and article-length treatments of the relationship between their works and thought have been surprisingly scarce. What discussions there have been tend to locate the connections between Nietzsche and Montaigne mainly in matters of either literary or personal style,2 but studies that examine Montaigne's influence on Nietzsche with an eye toward philosophical rather than literary or stylistic issues have been almost non-existent.3 This dearth of treatments can be explained, at least in part, by the fact that, while Montaigne is rightly recognized for the literary merits of his work and for its subsequent influence on later prose stylists (and not only in French), his work on the whole has seldom been appreciated as having any philosophical value in its own right. Small wonder, then, that the connection between Montaigne and Nietzsche has [End Page 497] appeared more significant to commentators on Montaigne who are interested in tracing his influence on later thinkers than to scholars of Nietzsche—even those Nietzsche scholars who take an acute interest in his intellectual heritage. What I will argue here is that Montaigne makes a more concrete and philosophically more substantive contribution to Nietzsche's thought than has generally been appreciated; specifically, by giving impetus to the naturalism that develops in Human, All Too Human as an antidote to Schopenhauer's pessimistic metaphysics of will.In this essay, I present a two-fold thesis about Montaigne's influence on Nietzsche's early work. First, I will argue that the "naturalistic turn" in Human, All Too Human reflects Nietzsche's engagement with Montaigne during a crucial moment in the development of his thought. Second, I will demonstrate that the naturalism Nietzsche adopts from Montaigne has roots in the tradition of Pyrrhonian skepticism that Montaigne carries forward into the Renaissance. In the end, a better understanding of the skeptical ancestry of Nietzsche's naturalism should help us make better sense of Human, All Too Human and its immediate successors in Nietzsche's oeuvre, which cultivate what otherwise seems to be an uneasy partnership between naturalism and skepticism.I. It is by now widely accepted that Nietzsche's estimation of the value of the techniques and methods of the natural sciences undergoes radical revision in the period culminating in the first volume of Human, All Too Human (HAH),4 a book sometimes described as inaugurating a "positivist" phase in Nietzsche's work. From the first of its nine major sections, "Of First and Last Things," HAH narrates a struggle between science on the one hand and philosophy on the other. It is important to note the breadth of the extension of the term "science" (Wissenschaft), which includes not only what we think of as the "hard" or physical sciences (physics, chemistry, and the like) but also areas of inquiry we now consider "behavioral sciences" such as psychology and sociology—and, Nietzsche would say, philology as well. "Philosophy," by contrast is specified more narrowly. As Nietzsche uses the term throughout HAH, "philosophy" is usually shorthand for "metaphysical philosophy" and singles out for criticism the discourse of metaphysics that has dominated the philosophical landscape at least since Plato.In the sense in which Nietzsche worries about it "metaphysical philosophy" promotes speculation about such supra-sensible entities as Platonic forms, Descartes's "immaterial substances," and Kantian things-in-themselves. That its contributions include, for instance, theories about the existence and immortality of the soul accounts for Nietzsche's grouping "metaphysical philosophy" [End Page 498] together with religion and art as "arts of narcosis."5 Consciously or not they endeavor to comfort us by assuaging our fear of death, our existential anxieties about the purposelessness of... (shrink)

The authors conducted a baseline survey of baccalaureate and graduate degree health humanities programs in the United States and Canada. The object of the survey was to formally assess the current state of the field, to gauge what kind of resources individual programs are receiving, and to assess their self-identified needs to become or remain programmatically sustainable, including their views on the potential benefits of program accreditation. A 56-question baseline survey was sent to 111 institutions with baccalaureate programs and 20 (...) institutions with graduate programs. Respondents were asked about three areas: (1) program administration (managing unit, paid director, faculty lines, paid staff, funding sources); (2) educational program (curricular structure, CIP code usage, completion rates); and (3) views on accreditation for the field. A clear majority of respondents agreed that some form of accreditation or consultation service could address resource and sustainability issues. Overall, the survey responses to staffing, curricular structure, and support suggest the need for developing a sustainable infrastructure for health humanities. (shrink)

Between his calling into question, on the one hand, the apparently unquestionable value of compassion itself, and his refusal, on the other hand, to concede that suffering is unconditionally bad, Nietzsche has been understood by many as expressing a callous indifference, or worse, to most human suffering. This article aims to show that this interpretation relies on an oversimplified characterization of the relevant moral emotions. Compassion (or pity, either of which word can be used to translate the German das Mitleid) (...) is ‘a polyphonous being’, as Nietzsche insists in Daybreak (1881). A closer look at some key passages in Nietzsche’s text, and some help from Greek thinkers Nietzsche points us toward, will demonstrate that this term has meanings that have been lost to us. Recovering those meanings will shed light both on Nietzsche’s critique of compassion (or pity) and on his own attitude toward suffering. (shrink)

For the North American Nietzsche Society group meeting at the 2013 Eastern Division Meeting of the APA in Baltimore, the program committee invited Professor Jesse Prinz to deliver remarks on the contribution and the uniqueness of Nietzsche’s genealogical method. At the panel, chaired by R. Lanier Anderson on December 28, 2013, Rahul Chaudhri and Mark Migotti commented on his presentation, “Genealogies of Morals: Nietzsche’s Method Compared.” We are pleased to present Professor Prinz’s essay and both commentaries in this issue. Also (...) included here are the winning selections from the annual North American Nietzsche Society call for... (shrink)

Do dissociations imply independent systems? In the memory field, the view that there are independent implicit and explicit memory systems has been predominantly supported by dissociation evidence. Here, we argue that many of these dissociations do not necessarily imply distinct memory systems. We review recent work with a single-system computational model that extends signal-detection theory (SDT) to implicit memory. SDT has had a major influence on research in a variety of domains. The current work shows that it can be broadened (...) even further in its range of application. Indeed, the single-system model that we present does surprisingly well in accounting for some key dissociations that have been taken as evidence for independent implicit and explicit memory systems. (shrink)

On behalf of the Program Committee of the North American Nietzsche Society, I am pleased to be able to introduce in this issue three papers from an Author-Meets-Critics session devoted to Paul Katsafanas’s recent book, Agency and the Foundations of Ethics: Nietzschean Constitutivism. In a group meeting chaired by R. Lanier Anderson and held on December 28, 2014, in conjunction with the American Philosophical Association Eastern Division Meeting in Philadelphia, Professors Bernard Reginster and Jorah Dannenberg addressed their comments and criticisms (...) to Professor Katsafanas, whose thoughtful replies are... (shrink)

Nietzsche's Antichrist is subtitled "A Curse on Christianity." In its last numbered section, he pronounces his "eternal indictment" of two millennia of tradition: —Now I have come to the end and I pronounce my judgment. I condemn Christianity, I indict the Christian church on the most terrible charges an accuser has ever had in his mouth. I consider it the greatest corruption conceivable, it had the will to the last possible corruption. [...] I want to write this eternal indictment of (...) Christianity on every wall, wherever there are walls,—[...] I call Christianity the one great curse, the one great innermost corruption, the one great instinct of revenge that does not consider any method to be poisonous... (shrink)

Three papers included in this issue were presented to the North American Nietzsche Society (NANS) in San Francisco during the Pacific Division Meeting of the American Philosophical Association. Participants were invited by the NANS program committee to address the theme, “Nietzsche and Antiquity.” The session, held on March 31, 2010 and chaired by R. Lanier Anderson (Stanford), included papers by Nickolas Pappas (CUNY), who proposes to shed new light on BT by examining some peculiar distortions in Nietzsche’s presentation of the (...) god Apollo; Joel E. Mann (St. Norbert College), who delves insightfully into Nietzsche’s “medical posture” and his allusions to Hippocrates and ancient medicine in D; and Wilson H. Shearin .. (shrink)

We present a new modeling framework for recognition memory and repetition priming based on signal detection theory. We use this framework to specify and test the predictions of 4 models: (a) a single-system (SS) model, in which one continuous memory signal drives recognition and priming; (b) a multiple-systems-1 (MS1) model, in which completely independent memory signals (such as explicit and implicit memory) drive recognition and priming; (c) a multiple-systems-2 (MS2) model, in which there are also 2 memory signals, but some (...) degree of dependence is allowed between these 2 signals (and this model subsumes the SS and MS1 models as special cases); and (d) a dual-process signal detection (DPSD1) model, 1 possible extension of a dual-process theory of recognition (Yonelinas, 1994) to priming, in which a signal detection model is augmented by an independent recollection process. The predictions of the models are tested in a continuous-identification-with-recognition paradigm in both normal adults (Experiments 1–3) and amnesic individuals (using data from Conroy, Hopkins, & Squire,2005). The SS model predicted numerous results in advance. These were not predicted by the MS1 model, though could be accommodated by the more flexible MS2 model. Importantly, measures of overall model fit favored the SS model over the others. These results illustrate a new, formal approach to testing theories of explicit and implicit memory. (shrink)

Dear Readers,In this issue, several authors contribute their insights on social and political themes in Nietzsche: Robert Miner looks to the works of the “middle period” to add nuance to Nietzsche’s critical attitude to socialism; Birte Loschenkohl asks again what Nietzsche has in mind with his enigmatic call for “great politics,” arguing that Zarathustra holds the key to understanding his vision; and Sacha Golob looks back to the second Untimely Meditation to analyze Nietzsche’s views on education and the role that (...) exemplary figures like Schopenhauer can and should play in that process. Iain Morrison, too, by focusing on the question of how drives and affects create the systems of value that take hold within... (shrink)

Dear Readers,Nietzsche's familiarity with the anti-Semitic literature of his era and its various tropes—the nature, depth, and extent of that familiarity, his references and appeals to seminal works, and even his employment of those tropes—have long been an object of grim fascination for Nietzsche scholars and casual readers. The mission of this journal is to advance our understanding of Nietzsche's philosophical thought and significance, and discharging that mission successfully requires our coming to terms with what seem to be even the (...) least agreeable, most uncomfortable aspects of his legacy. In this issue, we bring you a symposium on "The Biology of Evil," by Ken Gemes, a study that illuminates... (shrink)

Dear Readers,With this issue of the Journal of Nietzsche Studies, I am particularly pleased to welcome Chris Fowles, formerly an editorial assistant, to the Associate Editorship desk alongside Scott Jenkins. His sharp editorial eye and sound philosophical judgment will help us continue to bring you some of the best recent work on Nietzsche’s philosophical thought.At the same time, I would like to extend my heartfelt thanks to Alexander Prescott-Couch, whose term as Book Reviews Editor will end with this issue. During (...) his time at the reviews desk, he has worked hard to benefit our entire readership by commissioning substantive engagements with a well-curated... (shrink)

Dear Readers,This is a time of many transitions for JNS and of exciting new developments in Nietzsche studies. Since 2011, I have had the pleasure and the privilege of working as an Associate Editor under Christa Davis Acampora, and as I now step into her editorial role, I know you will join me in thanking her for service to the journal, where her wise stewardship has secured its reputation as the preeminent venue for English-language scholarship on Nietzsche’s thought and work. (...) Her efforts have increased submissions, kept acceptances competitive, encouraged scholarly accuracy, consistency, and rigor, and enhanced the visibility of the journal through electronic distribution services that have made it an ever more... (shrink)

Dear Readers,In this issue, we bring you four longer explorations of topics central to Nietzsche’s thought. Alexander Nehamas revives the discussion of “falsification” in Nietzsche’s work, challenging the notion that Nietzsche is committed at any time in his life to the view that all human beliefs “falsify” reality—what has come to be known as the “falsification thesis”— and reopening questions about the value of truth, and of falsehood, for Nietzsche. Professor Nehamas was among the first to draw the attention of (...) scholars interested in Nietzsche to these important issues, and in his contribution he answers many of the voices who have joined this debate over the years. Deeply connected to the themes of truth and... (shrink)

ABSTRACT Nietzsche's texts invite perplexing questions about the justification and objectivity of his ethical views. According to the interpretation suggested here, Nietzsche does not advance a substantive normative ethics, but proposes, based on his ontological idea of will to power, an instrumentalist theory of value. He is not a realist about value—according to him, nothing is intrinsically valuable. However, things, actions, beliefs, and values can be evaluated with reference to their capacities in serving our fundamental quest for power. The central (...) advantage of this interpretation against competing readings is that it attempts to make sense of how an “objective” evaluation fits together with antirealism or nihilism about value, including how the “ethics” of will to power is to be understood alongside the metaphysical and ethical doctrine of eternal recurrence. (shrink)

Professional philosophy is overdue for a Pyrrhonian revival. For too long, the skeptic has been either overlooked or regarded as an object of pity (for the feebleness of his arguments) or contempt (for his appearing to thumb his nose at the canons of reason and morality). Even among the most learned and philosophically astute commentators, those who would be best positioned to develop a philosophically sophisticated and compelling interpretation of Pyrrhonism, it has found few defenders, many detractors, and has generally (...) suffered by its having been misunderstood, caricatured, or conflated with contemporary varieties of skepticism. Casey Perin's eloquent little essay is therefore a refreshing contribution to the .. (shrink)

The papers published in this issue were presented at North American Nietzsche Society (NANS) sessions held in conjunction with the divisional meetings of the American Philosophical Association from the end of 2007 through 2009. I would like to thank Richard Schacht and the other members of the program committee for their continued service to Nietzsche studies, and I thank Cameron Smith for invaluable editorial assistance in the production of this issue. The first three papers published here were presented on December (...) 29, 2007 at the Eastern Division Meeting in Baltimore, where NANS held an ‘Author Meets Critics’ session devoted to a discussion of Robert B. Pippin’s Nietzsche, moraliste français: La conception .. (shrink)

The program committee of the North American Nietzsche Society recently elected to suspend their long-standing practice of holding group sessions in conjunction with divisional meetings of the American Philosophical Association, and to organize bi-annual conferences instead. This journal will continue to bring its readers select presentations from those events. In the meantime, the seven articles in this issue represent the last of the complete Proceedings and Addresses of the North American Nietzsche Society.The first two articles, on the affirmation and the (...) denial of life, by Guy Elgat and Daniel I. Harris, were selected by the program committee... (shrink)

For the North American Nietzsche Society group meeting at the 2013 Eastern Division Meeting of the APA in Baltimore, the program committee invited Professor Jesse Prinz to deliver remarks on the contribution and the uniqueness of Nietzsche’s genealogical method. At the panel, chaired by R. Lanier Anderson on December 28, 2013, Rahul Chaudhri and Mark Migotti commented on his presentation, “Genealogies of Morals: Nietzsche’s Method Compared.” We are pleased to present Professor Prinz’s essay and both commentaries in this issue. Also (...) included here are the winning selections from the annual North American Nietzsche Society call for... (shrink)

On April 5, 2012, the North American Nietzsche Society held a session, chaired by myself, at the American Philosophical Association Pacific Division Meeting in Seattle on reading Nietzsche as a figure within the history of philosophy. Paul Loeb commented on papers by Michael Green and Gary Shapiro. Professor Green’s contribution, published in this issue, argues for the importance of Afrikan Spir’s work for understanding the “falsification thesis” about empirical judgments that he attributes to Nietzsche; here, he responds to Nadeem Hussain’s (...) work on Nietzsche and Spir and brings us a closer look at the arguments of Spir’s.. (shrink)

What is the future of Nietzsche studies? What are the most pressing questions its scholars should address? What texts and issues demand our urgent attention? And as we turn to these issues, what methodological and interpretive principles should guide us? The Journal of Nietzsche Studies recently put these questions to some of the most prominent names in Anglophone Nietzsche scholarship. Here, we bring you ten thoughtful responses, as a starting point for shaping discussions in these pages and elsewhere about the (...) most fruitful directions for us to take and the most promising avenues for building on the best recent... (shrink)

Recent findings regarding the cellular biology and immunology of BST‐2 (also known as tetherin) indicate that its function could be exploited as a universal replication inhibitor of enveloped respiratory viruses (e.g., influenza, respiratory syncytial virus, etc.). BST‐2 inhibits viral replication by preventing virus budding from the plasma membrane and by inducing an antiviral state in cells adjacent to infection via unique inflammatory signaling mechanisms. This review presents the first comprehensive summary of what is currently known about BST‐2 anti‐viral function against (...) respiratory viruses, how these viruses construct countermeasures to antagonize BST‐2, and how BST‐2 function might be targeted to develop therapies to treat respiratory virus infections. The authors address the current gaps in knowledge, including the need for mechanistic understanding of BST‐2 antagonism by respiratory viruses, that should be bridged to achieve that goal. (shrink)

A growing literature in recent epistemology leverages the fact of persistent, systematic disagreement among philosophers to reach deeply skeptical conclusions, not just about philosophical propositions, but about the practice of philosophy itself. This article argues that a version of this argument is implicit in Nietzsche’s Beyond Good and Evil, and that Nietzsche is best read as occupying a stance that would be called “conciliationist” today. The only sincere effort to date to attribute to Nietzsche a skeptical position on the basis (...) of disagreement, I argue, both overcommits him in some ways and undercommits him in others. Correctly assessing his target and scope and appreciating the conciliationist strain in Nietzsche’s thought improves our understanding of his philosophical project. (shrink)