In lieu of an abstract, here is a brief excerpt of the content:The Trinity by Thomas Joseph White, O.P.:A Model of Living ThomismSerge-Thomas Bonino O.P."The human being naturally seeks wisdom." From the very first line of the magisterial work we are dealing with, Fr. Thomas Joseph White's 2022 The Trinity: On the Nature and Mystery of the One God, it is all about wisdom. Wisdom was already at the heart of a previous work by Fr. White devoted to the natural (...) theology of St. Thomas, his 2009 Wisdom in the Face of Modernity. Wisdom is more than the accumulation of information or the juxtaposition of knowledge. It is an eminent form of knowledge that, on the one hand, involves the person of the thinker in all its dimensions, intellectual, emotional, existential, and on the other, seeks to understand its object in the light of the most fundamental causes, which are simultaneously the most enlightening and explanatory principles because they are the most universal. The Trinity: On the Nature and Mystery of the One God is undoubtedly a work of wisdom. Fr. White grasps the entire Christian mystery from its Trinitarian source, since, as we shall see, the entire Mystery (in the Pauline sense of the economy of salvation in Jesus Christ as the fulfillment of the Father's benevolent purpose) is at the same time rooted in the eternal mystery of the triune God and makes it known to us as it unfolds its truth and saving power in time.But the sapiential nature of the object studied has some effect on the form of the work itself. Indeed, if Fr. White were not Rector Magnificent of the Angelicum, he would be a magnificent architect, because he possesses a sense of order to the highest degree and knows how to introduce unity in diversity. The presentation of The Trinity is perfectly structured, and therefore very [End Page 461] clear and didactic. Among many other factors that create its unity, I was especially interested in the highlighting of what the philosopher André de Muralt calls "structures of thought": similarities of proportionality between the ways in which authors from even very different theological epochs have treated a problem.1 I am thinking for instance of how Fr. White shows the strong structural similarities between contemporary Trinitarian theologies and the three types of medieval Trinitarian theology (the Franciscan, the Thomist, and the Nominalist). "My claim here is that the modern Trinitarian tradition tends to reproduce various elements of the medieval traditions, … albeit in creative and unexpected ways" (399). So it is a conceptually well-unified work, and where there is unity, there is being, goodness and beauty.The introduction, as I said, is placed under the sign of wisdom. Fr. White takes up there the neo-Scholastic theme of the "three wisdoms": philosophical wisdom, theological wisdom, and mystical wisdom.2 The book's perspective is explicitly that of theological wisdom, as a scientific form of the intelligence of faith, but (we shall return to this point in connection with the place given to philosophy) it puts into practice in an exemplary manner the collaboration, without confusion or separation, between the three wisdoms.3My purpose, of course, is not, nor can it be, to "summarize" the contents of a book of more than seven hundred pages, which manages to be both a comprehensive handbook for higher theological education and a true personal theological essay. I will therefore limit myself to highlighting three partial but significant aspects.(1) The first is the explicit and overt Thomistic character of the book (see 6–7). The Trinity is in fact a vibrant plea in favor of the relevance of the theology of St. Thomas, as indicated by the very last sentence:The Church today can and should still have recourse to the theology of Thomas Aquinas, and to the living Thomistic tradition, as a privileged means of interpreting and advancing her own understanding of the mystery of God.(690) [End Page 462]The Trinity is the demonstration in actu exercito of the truth of this concluding statement. I therefore propose to reflect, in the first part of my paper, on the nature of Fr. White's Thomism, which depends, as we... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:From Báñez with Love:A Response to a Response by Taylor Patrick O'NeillJames Dominic Rooney O.P.From where I stand, the traditional options of Molinism and Báñezianism seem logically exhaustive possible accounts of the way in which God can cause people to love him, under the influence of grace, while at the same time being able to affirm that those people remain free. Either God's giving efficacious grace to an individual (...) is such as to cause that individual to act a certain way, merely in virtue of giving that grace to that individual, or it is not. If that grace is not intrinsically efficacious, then you need to explain the way in which God can cause an action by giving grace which does not require grace to be intrinsically efficacious. On the latter front, Molinists aim to affirm that human beings are free even while acting under the influence of God's grace, and hold that God's grace is not such as to make it that one could not have done otherwise. They explain this by appeal to counterfactual truths about what human beings would do, metaphysically prior to and independent of God's subsequent decisions to give or withhold grace. These "counterfactuals of freedom" are central to Molinist accounts of freedom, since the truth of these counterfactuals alone secures the fact that human beings are acting freely even when God gives them grace and causes them to perform certain actions. Those human beings could have acted otherwise. Conversely, since God knows these truths, he can use them in order to give grace to an individual at those times when he knows it will be efficacious.To me, the Molinist view is a non-starter. What these truths consist in, what grounds them, how God uses them—I find the critiques compelling [End Page 675] and Molinist answers to these questions metaphysically problematic.1 I am committed to finding a Báñezian solution, therefore, to the riddle. From my perspective, the mystery of predestination invites confusion ultimately because the issue is a subtle philosophical, not a theological, problem. The resolution to the riddle of grace and free will can come only through an adequate account of the nature of human freedom. And I remain unsatisfied by a lack of philosophical clarity among Báñezian authors on the nature of freedom. In a recent paper, I therefore posed a problem for Báñezianism that resembles what is called the "grounding problem" for Molinism: where do the truths about alternative possibilities come from? And I illustrated the problem in the context of the account of grace given by one famous defender of the view, Fr. Réginald Garrigou-Lagrange, whose work in turn was recently promoted by Taylor Patrick O'Neill.In short, Garrigou-Lagrange appears to accept that there need to be alternative possibilities if human action is to be free. He gives an accounting of those possibilities as follows. On one side, when I sin, Garrigou-Lagrange argues that God's denial of efficacious grace, even though this denial occurs prior to anything I do or could have done, does not necessitate my sin because I performed the sin by means of my normally operating volitional and intellectual capacities (which God merely refrained from interfering in), and I had alternative possibilities provided by the possibility of God providing efficacious grace. Then, on the other, when I do good, he appeals at many points to non-culpable "defects" regarding my intellectual or volitional capacities as grounding those alternative possibilities that I could have sinned even when acting under efficacious grace. In both cases, my acts are still metaphysically contingent. However, neither case provides a sufficient grounding for alternative possibilities (I argued), because I had no relevant control over God's decision to deny efficacious grace, nor were those "defects" in light of which I could have sinned under my control. Instead, I argued that Garrigou-Lagrange's account of humans having alternative possibilities for action would be successful only if there were facts about what I would have done under sufficient grace, truths prior to and independent of God's decision to give efficacious... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Sacramental Character and the Pattern of Theological Life:Medieval Context and Early Modern ReceptionReginald M. Lynch O.P.In question 63 of the tertia pars, Thomas Aquinas defines the so-called character that is conferred by certain sacraments (namely baptism, confirmation, and holy orders), as a secondary effect caused by the sacraments, with grace itself identified as the primary effect. As separated instruments of the humanity of Christ, in his mature work in (...) the Summa theologiae Aquinas argues that all Christian sacraments are perfective instrumental causes of the effect of the Incarnation in the human persons who receive them.1 As instrumental means by which these effects are conferred, therefore, for Aquinas the sapiential intelligibility of the sacraments is found in the larger sweep of sacra doctrina and the Incarnation, wherein the ratio and necessity of these larger theological themes contextualize Aquinas's understanding of the necessity of the sacraments themselves as instrumental extensions of the same.2 Taken in itself, aspects of what would later become the question of sacramental character for Scholastics first emerged as a doctrinal topic in the context of patristic debates over the permanence of the sacrament of baptism.3 In the Latin West, the influence of Augustine's distinction between the permanence of the sacramentum received in baptism and its use in charity proved to be a ubiquitous influence [End Page 1337] for later Latin theology.4 Concerning the metaphysical nature of this character, however, in both his Sentences commentary and Summa theologiae, Aquinas joins an ongoing conversation among thirteenth-century Scholastics about the utility of the Aristotelian categories for describing sacramental character. What is sacramental character specifically, and how should this be understood in relation to the wider speculative complexities of grace, the infused virtues and gifts, and beatitude? Because of continued controversy over the role of Aristotelianism in theology during the second half of the thirteenth century, many Scholastics of Aquinas's generation analyzed the quiddity of sacramental character from an Aristotelian perspective, working to describe the doctrine inherited from the Church's tradition using Aristotelian terminology. As will be shown, although some argued that sacramental character should be understood as a habitus, Aquinas argues that character is better understood as a power.The second and third sections of this article will explore the development of Scholastic accounts of the quiddity of sacramental character during the medieval and early modern periods, and the wider theological implications of these conversations. In the final analysis, it is my aim to show not only that Aquinas's account of sacramental character is intrinsically fitting on theological grounds, but that Aquinas's account of sacramental character as a qualitative power conveys and preserves the received theological tradition more effectively than the options proposed by some of his contemporaries. With these larger objectives in mind, the first section of this article serves as a necessary historical prelude—what, precisely, is at stake from the wider perspective of the Church's theological tradition in these medieval and early modern Scholastic debates? Accordingly, the first section will provide an overview of the historical development of the doctrine of sacramental character, focusing specifically on the way in which certain Augustinian doctrinal concepts and linguistic usages developed in later medieval usage and ultimately came to be incorporated into the framework of Peter Lombard's Sentences—the text that would serve as the common backdrop for the Scholastic conversations about the "quiddity" of this same doctrine.In the following, therefore, this article will begin by examining the origins of the doctrine of sacramental character in Latin theology in Augustine's baptismal theology. Building on this foundation, our attention will turn to Peter Lombard's reception of Augustine's as the context in which [End Page 1338] thirteenth-century Scholastic debates about sacramental character would develop. Although the specific metaphysical questions that Scholastics like Aquinas and Bonaventure would entertain do not form part of Augustine's approach to this issue, Lombard's particular articulation of Augustine's sacramental theology would provide the textual and conceptual backdrop against which these later Scholastic conversations would develop. Accordingly, the second section of this article will build on the first, beginning with a consideration of Aquinas... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Technology and Our Relationship with GodAnselm Ramelow O.P.God's Original Plan and the FallTechnology may appear to be a very secular thing, but to assume that technology can be understood without God would be a mistake. Technology is deeply involved in our relationship with God. This involvement is, moreover, profoundly ambivalent.1To begin with the positive side of this ambivalence: the growing awareness of the dangers of technology should not lead (...) Christians to think that technology is necessarily a bad thing. It is, in fact, not even merely a "necessary evil." Rather, we can find in the use of technology an unfolding of our God-given rational nature. If we believe that God "made us in his image and likeness," then this quite directly implies two things: (1) God is a maker (he made us), and (2) since he made us in his image and likeness, we are makers as well. The making of technology thus reflects our dignity as made in the image and likeness of God.2 Accordingly, the Church has been more positive towards the development of technology than one might expect, and some of our technologies (e.g., agricultural, architectural, and time-keeping technologies) have their roots in medieval monasteries.3 [End Page 159]We should therefore expect that Adam and Eve, had they not fallen, nevertheless would have become makers of technology in some form or other. They would have exhibited inventiveness and tool use, though perhaps not a tool use focused on warding off evil (which did not exist in Eden), but concerned with promoting positive forms life, such as tools of art and communication. Art and communication technologies are, like all tools, means to an end; but these in particular contain their ends in themselves. In Aristotelian terms, their making (poiesis) concerns a praxis (such as "making conversation"). That is why we sometimes forget to list such technologies among our typical examples of technologies. We forget, for example, that, among the technologies of communication, language as a physical tool (sounds or written marks) is an obvious example. And it is a prelapsarian feature: the book of Genesis has Adam naming things before the Fall. In doing so, Adam echoes God's own creative "technique" of speaking or calling things into being.4 Even in its oral form, language is a matter of human making and a technology of communication. In paradise, communication would not have been merely instrumental, not merely a means, but an intrinsic good, embodying knowledge and intersubjective communion.Other forms of prelapsarian technology, however, are a matter of speculation. And whether or not one agrees with Jacques Ellul's thesis that there was no such prelapsarian technology,5 the ambivalence of technology is clear from the very beginning as well. This is at least what we see in the book of Genesis. For, as a matter of biblical record, it was Cain and his descendants who founded cities and developed technology (e.g., Tubal-Cain as the "forger of all instruments of bronze and iron" in Gen 4:22). And the history [End Page 160] of these urban civilizations does not display the best part of human behavior. But if, as we have said, technology is not necessarily a bad thing, then this must be a corruption of technology. What might this corruption consist in?I want to suggest that it consists precisely in the corruption of our relationship with God, from which technology can never abstract and in which it is, for better or for worse, embedded. Unsurprisingly, therefore, as technology progresses, this relationship becomes more and more explicit, and it does so in a paradoxical way: initially, it is an attempt to put humanity in charge and control, to replace our need for reliance on God by allowing us to play God ourselves. But in our current situation, particularly with the emergence of artificial intelligence (AI) and machine learning, the roles appear reversed: rather than putting humanity in charge, technology in turn is increasingly in control—to the point of becoming itself a god or idol that rules human life. As a result, we only end up having replaced one God with another... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Sacramental Wisdom:Humilitatio, Eruditio, Exercitatio in the Scholastics and TodaySr. Albert Marie Surmanski O.P.IntroductionThe relationship between human nature and the sacraments is often characterized in a way that takes away from the beauty and power of the sacraments. Sacraments are sometimes viewed today as something basically irrelevant to human life, an interesting spiritual "option" for those who find comfort in ritual. This view leads to a sacramental practice that is (...) occasional, irregular, or nonexistent. Many young people who fail to grasp religion as important to their reality implicitly embrace this perspective. The difficulty parishes have had in the past few years in convincing parishioners to return to liturgical prayer after each wave of the coronavirus pandemic demonstrates this viewpoint.In another perspective, the sacraments might be viewed precisely as expressions of what it means to be human, or one might say, to be human in a world in which God reveals himself at all times.1 In this view, the sacraments [End Page 1391] are our own graced self-expression as a community. They merely make thematic what already happens each moment. Alternatively, they celebrate who we are, and perhaps can be radically updated to reflect changing categories of social identity. 2Both of these viewpoints overlook the fallen state of human nature that cries out for healing from God. The first view does not preclude knowledge of human violence and fragility, but fails to recognize the sacraments as a medicine needed for the remedy of human ills. The second viewpoint, while professing a need for Christ, looks to the human person or community for healing rituals. This approach risks being enmeshed with human nature in a disordered state in such a way that it celebrates human disorder instead of healing it. Alternatively, the viewpoint may lead to the abandonment eschatological hope and wither into inanity.There are profound metaphysical and anthropological issues that play out in these two opposite but strangely united viewpoints. Rather than directly analyze these errors, this paper would like to propose the recovery of a medieval viewpoint that offers another perspective. This is Hugh of St. Victor's explanation that the sacraments fit and heal human nature through offering humanity humility, instruction, and exercise. 3 This paper will briefly survey Hugh's contribution, analyze its reception by several of the thirteenth-century Scholastics, shows its deep rootedness in biblical wisdom, and then show how it fruitfully opposes current-day challenges.Hugh of St. VictorHugh of St. Victor was a twelfth-century canon of the Parisian Abbey of St. Victor. The most influential writer of the Victorine school, his work is characterized by an Augustinian concern for the re-formation of the image of God in man, a sense of the wise ordering of salvation history, and an emphasis on both virtue and liturgical practice. In his masterwork, De Sacramentis Christianae Fidei, Hugh of St. Victor divides the works of God into two main periods: the work of creation and the work of restoration. Within the [End Page 1392] work of restoration, there are three periods: the period of the natural law, that of the Mosaic or written law, and that of grace, inaugurated by Christ.4 His book's division into two parts cuts across these distinctions: Part 1 of Hugh's text covers creation, the restoration in general, faith, sacraments in general, as well as particulars of the sacraments of the periods of the natural and written law. Part 2 includes the Incarnation, the Church, various Christian rituals, and the final restoration of Christ's return.Hugh is writing around the time when theologians began to list the number of the sacraments of the Church as seven. Emerging from the wider use of the term, Hugh uses the word "sacrament" in a wide sense, but distinguishes several categories of sacraments. Following Dominique Poirel, scholars recognize that Hugh uses the word sacramentum in five main ways.5 The first is a general definition: (1) any sign of anything sacred. The second through fourth are more specific usages, to which we do not commonly give the term "sacrament" today: (2) Scripture, which signifies sacred realities both through its text and the... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Locating Heaven:Modern Science and the Place of Christ's Glorified BodyThomas Davenport O.P.It seems only fitting to respond to mysteries of faith with awe and astonishment, but there is something dangerous about being embarrassed by them. Unfortunately, when it comes to the mystery of the Ascension, Christians sometimes cannot help but gravitate toward the latter response. There are those nagging "why" questions, as we wonder if things would not have (...) been better off if Christ had stayed on earth. On top of that, there are the dumbfounded "where" questions by which we wonder where Christ went when he left the Apostles' sight and where he actually is right now, if anywhere. These are not new questions, of course, and the tradition of the Church offers a great deal of reflection to guide us, reflection which seems quite apt at answering the "why" questions, but which can appear inadequate to answer the "where" question.1Every Sunday, Catholics profess: "He ascended into heaven and is seated at the right hand of the Father." The Church has always been clear that the "right hand of the Father" should not be understood physically, for the [End Page 93] Father has no body, no physical hands; but does that mean we should understand everything about the Ascension in some non-physical sense, too?2 If Christ is "in heaven" only in a sort of spiritual sense, not a physical one, is he somehow non-physical too? If so, is he still human? If not, where is this body of his? It is hard—arguably impossible—to conceive of any physical body that is not in some place, let alone a living human body that is not in a place. What would it mean for a body to exist completely disconnected from any relation to other physical things? These would seem to be pressing questions for the mystery of the Ascension, but they are questions that, like the Ascension itself, are little talked about by theologians. A recent scholar has summed it up curtly by saying of the Ascension: "Once it was seen as the climax of the mystery of Christ.... Today it is something of an embarrassment."3Doubt and embarrassment about where Christ's glorified human body is breeds doubt and embarrassment about the present existence of Christ's human body, and there are a whole host of theological problems which arise if we deny the present existence of that body. In this paper I will first look at the theological importance of Christ's glorified body, from Scripture, the theological tradition, and particularly from the mystery of the Eucharist. Then, I will consider where ancient and medieval theologians thought Christ's glorified body was and point out the contemporary difficulties of their positions. Finally, I will argue that contemporary physics presents new avenues for a reasonable imagining of where the glorified body of Christ could be.The Importance of the Glorified BodyThe Scriptures make it quite clear: even though there was something new about Christ's body after the resurrection, it really was a human body, and specifically the same human body he had before his death, identifiable most [End Page 94] especially by the very wounds of his crucifixion.4 "While the senses could be fooled in the resurrection appearances, the sense of touch in particular was used to confirm both the reality of his body and its identity, most memorably when he told Thomas to probe his wounds.5 Aquinas argues in the Summa theologiae [ST] that, for a "true resurrection of Christ, it was necessary for the same body of Christ to once more be united to the same soul."6 If these resurrection appearances are not a manifestation of the continuity between the body that was crucified and the one in this new glorified state, then they seem to be mere parlor tricks used to assuage the disciple's fears or, worse, mislead them.While Christ took pains to manifest that he had the same human body, it clearly operated under different rules from the corruptible physical world we are so familiar with, disappearing from sight, entering locked rooms, even ascending into the... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Christ Who Meets Us in the Sacraments:The Influence of St. Ambrose on the tertia pars of St. Thomas's Summa theologiaeDamian Day O.P.IntroductionThe recent increased interest in St. Thomas Aquinas and the Fathers of the Church has produced a number of excellent studies of the Angelic Doctor's understanding of the authority of the Fathers and his use of them.1 In this article, I hope to contribute to the ongoing (...) study of Aquinas and the Fathers by examining how Thomas employs St. Ambrose in the tertia pars of his Summa theologiae [ST]. Thomas's use of Ambrose has received little detailed [End Page 103] attention. One of Leo Elders's last contributions to the study of Aquinas and the Fathers provided an overview of Ambrose's presence in Thomas's writings.2 I hope to expand upon Elders's work of cataloging and describing Thomas's numerous citations of Ambrose—Thomas names Ambrose over eleven hundred times in his writings3—by making a particular argument about Thomas's Christological and sacramental use of Ambrose. While Elders gives an excellent summary of where Ambrose appears in Thomas's corpus, he does not connect Thomas's use of Ambrose in his treatises on Christ and the Eucharist. I argue that Thomas's citations of Ambrose in the tertia pars help him develop an understanding of the Incarnation that supports his sacramental realism, especially emphasizing contact with Christ in the Eucharist.4Much recent reflection on the Eucharist has sought to deemphasize the substantial presence of Christ and emphasize his presence in other ways. Michael C. McGuckian, for example, argues that the Western emphasis on Christ's presence in the Blessed Sacrament has damaged the understanding of participation in the heavenly liturgy and obscured other ways in which Christ is present, such as in the bishop presiding and the proclamation of the word. He claims that "those other presences surpass the presence in the elements in their personal quality, their dynamic force and their effect on our [End Page 104] spirits and are not to be undervalued."5 Looking at Thomas and Ambrose, we will see that Christ's substantial presence in the Eucharist is preeminently personal, dynamic, and efficacious for our spirits. Colman O'Neill's masterful work of sacramental realism, Meeting Christ in the Sacraments, provides an entrée into such a study. The title derives from Ambrose. In his work A Defense of the Prophet David to Theodosius Augustus, Ambrose reflects on Psalm 51. Suddenly, in the middle of confessing his sins, David foresees the cleansing sacrament of baptism. In prophetic wonder, he cries out, "face-to-face you have shown yourself to me, Christ; I have discovered you in your sacraments."6 Even prior to their institution, David prophetically glimpses what the sacraments of the Old Law prefigure. In this vision, David sees "no longer in shadow, nor in figure, nor in type," but meets Christ in his sacraments.7 For Ambrose, the sacraments are real encounters with Christ. As O'Neill puts it, "Christ, who was worshipped from afar, comes near and touches the believer; and at his touch power goes out from him."8 For [End Page 105] Thomas, too, one meets Christ in the sacraments.9 While all the sacraments apply the merits of his Passion,10 the Eucharist is the locus par excellence for meeting Christ, since the whole Christ is there contained.11 The encounter is both personal and powerful.While the language of meeting or encountering Christ in the sacraments may seem to echo modern phenomenological philosophy, Thomas grounds the encounter in a realism of the Incarnation.12 His treatment of the encounter with Christ in the sacraments flows from his treatment of the Incarnation.13 Guy-Thomas Bedouelle summed up O'Neill's approach, which reflects Thomas's, as simply stressing, again and again, "that sacramental realism implies that the Church draws its life from the dynamism of the Incarnation itself."14 I argue that Thomas, in drawing his sacramental realism from the Incarnation, employs Ambrose as a key authority. First, I examine Thomas's knowledge and use of Ambrose's works. Second, I... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Scientism, Certitude, and the Recovery of PoliticsChristopher Justin Brophy O.P.In Natural Law and Human Rights, Pierre Manent begins his analysis of the contemporary political situation by discussing the intractable tension between the relativism surrounding moral action and the absolutism surrounding "human rights." Later, drawing heavily from Aristotle's Politics, Manent discusses the necessity of a command-obey structure to resolve the tension such that human beings can fruitfully engage in political (...) life. These two claims, one about the tension between relativism and absolutism and the other about the command-obey structure, are closely linked. If it is true that human beings have an innate need for authority, then it is also the case that the extreme abuses of that need, as they manifest themselves in the political realm, will be either wholesale embrace of such authority (absolutism) or wholesale rejection (relativism). We should be clear that the authority Manent discusses is not arbitrary or autocratic exercise of power, but a legitimate authority towards which citizens can offer rational assent. But any human need or desire can be abused and knowledge of the abuses is necessary to understand the proper object.It is the contention of this piece that Manent, in his explication of command-obey, wrote better than he knew. Manent authored his text before the COVID-19 pandemic. Yet, his analysis provides some of the best explanatory power for understanding the politics surrounding COVID. This politics has significance that transcends the particular crisis of the pandemic and merits serious attention. Specifically, Manent's analysis of the human need for a command-obey structure both offers an explanation for the concurrent tension between relativism and absolutism, at least as it pertains to the relationship between science and politics, and gives explanatory [End Page 239] power for the rise of scientism in contemporary society. The widespread conception that the natural sciences have the potential to answer questions that reside out of their proper purviews leads to abuses of authority in both directions, by both sides—the political left and political right. I will flesh out my argument first by showing the usefulness of Manent's analysis for explaining how easily so many in the United States fall prey to a false conception of "science" that undermines a healthy politics and reveals, at root, a dangerous aversion to ambiguity. I will then explain the implications of the elevation of scientism for the relationship between politics and Christianity. I will conclude with some reflections on the common good and the future of politics in the United States given Manent's important observations. I anticipate that a common criticism of Manent's book will be that it lacks clear prescriptions for the political problems that ail us. I will argue that clear prescriptions cannot follow from the logic of Manent's argument, and ultimately that the lack of prescription is one of the strengths of the book.Before I begin, I wish to make two qualifications. First, Manent's argument ultimately is about the (un)tenability of liberalism without some common conception of the good. He treats several moral and political problems in his book that fall outside of the scope of this short paper. I am not attempting in the analysis that follows to reduce the moral scope of Manent's claims or even to take up the mantle of his argument. I simply wish to show how his analysis is helpful in explaining a contemporary political problem and how the implications of this analysis should affect the way Christians think about political practice in the United States. Second, I want to make clear at the outset that I positively wish to avoid a discussion about the various policies enacted as responses to COVID-19. I also want to avoid any cavalier political discussion of COVID that does not sufficiently respect the over one million persons (given the latest CDC tally) who have lost their lives in this country and the hardships that many more have endured due to the pandemic. It is essential for our purposes here though to treat the political significance of the pandemic. I will attempt to do that now.The Appeal of ScientismNumerous thinkers... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The De Auxiliis Controversy, Molinism, and Physical Premotion:The Christological Implications*Pachomius Walker O.P.From 1582 until 1607, the de Auxiliis controversy consumed much of the attention of Dominicans, Jesuits, and the Papacy.1 The controversy began in 1582 at Salamanca when a Scholastic debate entertained the question of [End Page 607] how Christ's sacrifice was both free and meritorious.2 The Jesuit, Prudencio de Montemayor, claimed that if Christ had been commanded to (...) lay down his life and be crucified, then his action was not free and, therefore, not meritorious.3 The Dominicans, on the other hand, resolved the question of Christ's merit and freedom using what would later come to be known as physical premotion.4 In a word, the de Auxiliis controversy has Christological roots. Even though the controversy quickly engaged other, related questions, a successful adjudication of these conflicting positions must have reference to the Christological truths implicated in the controversy.5 [End Page 608] The goal of this present study, therefore, is to exposit the Christological implications of the de Auxiliis controversy in an effort to reexamine the conflicting proposals about grace.Historically, in order to resolve the confusion about the God-man, the partisans of the debate needed to clarify their differing principles regarding God and man generally. As was soon apparent, however, the parties of the debate had contradictory understandings of basic philosophical principles.6 The participants in the controversy engaged other topics such as man's freedom, God's foreknowledge of future contingents, and predestination.7 It is understandable, therefore, that when Domingo Báñez († 1604), one of Montemayor's principal interlocutors, submitted his list of theses that summarized Montemayor's position, many of them dealt with questions other than those of Christ's merit.8Eventually, the controversy centered upon Luis de Molina's Concordia after its publication in 1588.9 The Concordia became the focus and [End Page 609] touch-point for the debate, since various parties aligned themselves based on their support for or condemnation of the work. The papal Congregation de Auxiliis (1594–1607), initially convoked by Pope Clement VIII, analyzed Molina's work and the positions contained therein. This, again, helped specify the debate. To keep the relevant parties focused and to make clear the lineaments of the controversy, it was helpful to have a standard text to which all parties had reference. Questions about God's grace and man's freedom were concretized through specific questions about Molina's approach to grace, God's knowledge, and predestination and whether his positions agreed with Thomas, Augustine, the Fathers of the Church, and Church councils. Hence, the Controversy de Auxiliis, which began by dealing with questions of Christology, resulted in a debate about the Molinist position as described in the Concordia.The subsequent years of the controversy have retained much of the same breadth: grace, freedom, God's foreknowledge, and predestination.10 The original impetus for the debate—Christology—can many times be overlooked or seen as a historical curiosity11 On one level, passing over the [End Page 610] Christological issues is reasonable: Molina's Concordia was first published after the lines of the debate had already been formed, and thus it is not a work of Christology. In fact, it was only in response to certain objections from Francisco Zumel that Molina included a more explicit treatment of Christ in his second edition.12 While those involved in the debate understood the details of Christ's merit to be a related and important issue, Molina's theological position was no longer seen primarily in terms of Christology.13 Even so, since the action of God in the human soul is nowhere clearer and nowhere more powerful than in the soul of Christ, any attempt to resolve these questions must take the original arena of Christology into account.14 [End Page 611]What follows is an attempt to reexamine the two proposals on grace—that of Molina and that of the Thomists on physical premotion—in Christological terms.15 The main Christological tenets at play are: (1) the fact that the hypostatic union is not of persons, but in the person; (2) that Christ... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Eucharistic Adoration:Veils for VisionEmmanuel Perrier O.P.Translated by Amy Christine DevaudTo the Virgin of the AnnunciationEucharistic adoration is an eminently personal form of prayer.1 Not in the sense that each one of us could fill this time spent in the presence of the Lord with what he or she wants; if this were to be the case, there would be no adoration at all, since it would simply be a (...) matter of meeting oneself and one's ideas about God. Eucharistic adoration is a personal prayer in the sense that the adorer welcomes in his soul the divine person of the eternal Son, through the vision of the human body united to the Son in the womb of the Virgin Mary, just as this body is offered by faith in the sacrament of the Eucharist. Therefore, what is crucial to this meeting is that prayer be guided by the truth of the Eucharistic mystery and not by the feelings of the adorer, even less by the introspection of himself while adoring. In presenting the theological foundations of Eucharistic adoration, the following pages have a threefold goal: to enlighten beginners about the very things which shape this prayer; to help those who are progressing in their adoration to align it to the vision of the Word who became flesh; and [End Page 397] to accompany and support those who are more advanced in putting into words what they are already experiencing.After having specified the foundations of Eucharistic adoration, we will address the themes that sustain it in the same order in which the soul welcomes the mystery of the Word become flesh. This is an order that can be followed as steps to take during a time of adoration. One will then take care to allow enough time for each step. But it may be more relevant to focus on a limited number of themes, or even on a single one. We will be careful to ensure that we do not neglect any of the themes presented throughout the various meditations for adoration.The Hope of VisionEucharistic adoration begins and is consumed in vision, in the gaze toward the Body of Christ in his sacrament. God has accustomed us to listen to him, ever since he began to speak to Abraham, to Moses, to David, through the prophets. The Law begins with this commandment: "Hear now, O Israel!" To hear the Word is to welcome it, to put it into practice, and in doing so, to let it bear fruit within us. But seeing God is quite different.In the days of Christ, the central part of the Temple in Jerusalem, one of the wonders of the world, had two rooms, one called the Holy Place and the other called the Holy of Holies. The entrance to each room was obstructed by a huge curtain (see Exod 26:31–32). The priests usually celebrated their services behind the curtain of the Holy Place. However, they did not enter the Holy of Holies, the dwelling place of God among men (see Exod 29:43–46), which sheltered, before its destruction (probably in 587 BC), the Ark of the Covenant containing the tables of the Law given at Sinai, as well as a relic of the manna, the bread that came down from heaven to feed the people of Israel during the Exodus (see Heb 9:4). Only once a year the High Priest would cross the veil of the Holy of Holies to stand in the presence of God and pronounce the Name above all names, in remembrance of God's encounters with Moses:Whenever Moses went out to the tent, all the people rose up, and every man stood at his tent door, and looked after Moses, until he had gone into the tent. When Moses entered the tent, the pillar of cloud would descend and stand at the door of to the tent, and the Lord would speak with Moses. And when all the people saw the pillar of cloud standing at the door of the tent, all the people would rise up and worship. … The Lord used to speak with Moses... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Toward an East–West Ultramontane Polyphony:On Dogma, Ecclesial Unity, and the FilioqueThomas Joseph White O.P.The book that the contributors to this symposium have commented upon with graciousness and remarkable intellectual acuity is a work consisting of four parts. There are four main claims to the book associated with these four parts, each of which is divided into sub-themes. Thus, one can denote a number of inevitably controversial ideas advanced by (...) the book. In clarifying the nature of these claims, I can initially respond to some of the main points advanced by various of the helpful review essays in this symposium.Framing the Argument of the BookThe first part of the work posits that there is a fundamental developmental continuity between Old and New Testament revelation, wherein God is revealed first to Israel as the one Creator, and subsequently in Jesus Christ as three distinct persons, the eternal Father, Son, and Holy Spirit.1 This revelation is in turn received in the pre-Nicene era of the early Church, principally under a twofold conceptual format, according firstly to a model of God as a single transcendent subject of wisdom who sends his Word into the world in human nature, and inspires the prophets by his Spirit (the apologists' monotheistic model, exemplified by Justin Martyr) and, secondly, to [End Page 569] a model of economic Trinitarian activity, of the Father, Son and Spirit, who are each divine and one in being, active in sacred history (Irenaeus).2 Nicene Trinitarian authors sought in various ways to find a deeper concordance of the two approaches, one of which emphasized more the immanent unity of God (potentially tending toward a danger of Sabellianism) and the other of which emphasized real distinction of persons active in the economy (potentially tending toward the danger of subordinationism).3 Pro-Nicene figures like Athanasius, Gregory of Nazianzus, and Augustine, among others, paved the way for a mature doctrine of immanent Trinitarian life, in which God was understood to be characterized, mysteriously, by eternal processions of the Word and the Spirit who originate from the Father, and receive from him the plenitude of their deity or divine nature, and thus are equally and identically the one God.4 God is mysteriously three persons who are truly one both in essence and being.The second part of the book is concerned with the theological exploration of what it means to speak of God as one, and of the divine nature of God. This determination of Christian theological wisdom stems from a threefold exigency: first, to uncover the inner unity of revelation itself, as indeed the Israelite revelation of the divine unity and the oneness of God the transcendent Creator is thematic to both Testaments;5 second, to consider the preconditions of Nicene orthodoxy, as indeed the claim that the three persons in God are one in essence or nature presupposes that there is a nature of God that is one common to the three persons;6 third, to consider what must be said about the inner life of God as truth and love, as a precondition for thinking about the processional life of the Word and Spirit, who are immanent distinct persons in God who receive and possess this fullness of life but who do not divide this one eternal life in God or cause it to evolve due to their relational proceeding.7I argue that a consideration of God's nature as simple, perfect, good, eternal, immutable, and so forth is essential to any theology that takes the biblical revelation of the unity and transcendence of God seriously, and therefore confesses the revelation of the Trinity integrally.8 Furthermore, regarding [End Page 570] the apophatic contours of this form of reflection, I hold that it is precisely in order to guarantee the kind of circumspect avoidance of "non-biblical speculation" about positive knowledge of God outside of Christ that it is necessary to qualify rightly how God is not identifiable with creation and thus remains unknown in his inner divine nature and eternal life apart from and outside of his divine self-disclosure in the revelation of the Old and New Testaments. Philosophical... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Rediscovering the Imprecatory Psalms:A Thomistic ApproachGabriel Torretta O.P.WHILE DEBATING the structure of the new Liturgy of the Hours, some members of the Consilium for the Implementation of the Constitution on the Liturgy (Consilium ad exsequendam Constitutionem de Sacra Liturgia) drew attention to certain so-called imprecatory psalms1 that contained material they deemed problematic for the modern person of prayer, describing the passages as “offensive to modern sensibilities”2 and arguing that (...) the “spiritual discomfort caused by expressions of anger and revenge... is felt especially by the younger people and by those who say the Office in the vernacular.”3 After a great deal of debate about whether these concerns justified the removal of certain psalms from the Liturgy of the Hours,4 Pope Paul VI decreed that “a selection be made of psalms better suited to Christian prayer and that the imprecatory and historical psalms be omitted,” without further [End Page 23] specification.5 To this end, 120 verses were omitted from the Liturgy of the Hours text,6 comprising three whole psalms and additional verses from nineteen others.7 In explaining the decision, the General Instruction of the Liturgy of the Hours makes the following statement:Three psalms (58[57], 83[82], and 109[108]) have been omitted from the Psalter cycle because of their curses; in the same way, some verses have been omitted from certain psalms, as noted at the head of each. The reason for the omission is a certain psychological difficulty, even though the psalms of imprecation are in fact used as prayer in the New Testament, for example, Rv 6:10, and in no sense to encourage the use of curses.8The concern about the suitability of certain strident verses from the Psalter for contemporary prayer noted in this passage [End Page 24] is not limited to texts for Roman Catholic worship; the current editions of the United Methodist Hymnal, the Revised Common Lectionary, and the Episcopal Sunday Lectionary have also omitted certain of the imprecatory psalms and edited out a number of verses in others.9 A question naturally emerges from this common concern about imprecation in public prayer: Does the “psychological difficulty” raised by certain passages of the Psalter mean that Christians cannot or may not any longer pray the psalms of imprecation publically?This question, pressing as it may be for compilers of liturgical books and those who recite the Psalter as part of their daily lives of prayer, has been surprisingly neglected in the scholarly realm. A handful of articles throughout the twentieth and early twenty-first centuries has addressed different aspects of imprecation in the Scriptures,10 and three short monographs have attempted to provide a theological interpretation of the imprecatory psalms, with an eye to their use in preaching.11 Moreover, in response to Pope Benedict’s discussion of the [End Page 25] “dark” passages of the Bible in Verbum Domini,12 another recent book has attempted to provide a hermeneutic for Scripture’s most difficult passages, although without particularly focusing on the Psalter or imprecation.13 Although often limited in its scope, this body of scholarship has provided many fruitful insights into the historical-critical context and contemporary relevance of the psalms; a notable lacuna, however, is a treatment of major figures from the Christian theological tradition who have engaged seriously with the issue of imprecation.To begin to address this lacuna, this article will examine Thomas Aquinas’s use of the imprecatory psalms and verses that have been omitted from the contemporary Liturgy of the Hours, as a way to understand the place of imprecation in prayer in the concrete practices of the Church today. I argue that Thomas’s multi-layered, literal hermeneutic of imprecation in the Scriptures provides a theological and practical foundation for a much-needed reappropriation of the imprecatory psalms in the public liturgy of the Church. To see why this is so, I will first elaborate the status quaestionis in contemporary scholarship, then I will trace Thomas’s theology of imprecation through his commentary on relevant psalms, and lastly I will address the relevance of Thomas’s theory for the present day.I. Imprecation... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Engaging the Doctrine of Israel: A Christian Israelology in Dialogue with Ongoing Judaism by Matthew LeveringJustin Schembri O.P.Engaging the Doctrine of Israel: A Christian Israelology in Dialogue with Ongoing Judaism by Matthew Levering (Eugene, OR: Cascade, 2021), 547 pp.Engaging the Doctrine of Israel not only presents an interesting take on an old and complex problem but also is intriguing in its basic thesis and overall development. In this (...) book, Levering attempts, and succeeds, to marry a scripturally grounded dialogue with ongoing Judaism with the necessary presuppositions of Christian dogmatics. He does so in order to understand the central realities of God's biblical people Israel and to shine a light on how these realities must inform Christian thought (3).Such a volume fills a gap in research, since Christian dogmatic studies [End Page 1437] often suffer a lack of appreciating just how important understanding "Israel's covenantal life" is for Christian doctrine (3). Thus, while Levering tells us that this book is "the dogmatic sequel" to his Engaging the Doctrine of Marriage (1), the content of the book cannot be divorced from its scriptural foundation, nor from a contemporary dialogue with Israel.After an ample introduction (1–47), Levering begins his treatment of the matter by explaining the necessary hermeneutical framework in which such an engagement can take place (48–109). This foundational chapter not only provides the grounding for the chapters that follow but also examines the pitfalls to avoid in dialoging with ongoing Israel. In particular, Levering finds a balance in the need for both Christians and Jews to retain core beliefs and a recognition that both sides have suffered from unnecessary and painful biases that have hurt dialogue in the past (52–53).Since Levering is writing from the point of view of a Christian, he is right to point out that a healthy and fruitful dialogue with Judaism in the present moment requires both a solid foundation in Christian doctrine and an acknowledgement of how the New Testament has been misused to reject and subject the Jewish people to injustice over the centuries. Thus, in agreement with the author, I too think that Christian–Jewish dialogue plays a vital role not only in healing such biases but also in bridging needless gaps between the two groups (108–109).This crucial chapter is followed by an examination of six different areas (110–443) in which Levering engages with Israel's doctrine through a Christian lens. In each case, a similar format is found in the sense that Levering first introduces the topic and then engages with different Jewish and Christian scholars in order to elicit a more robust space for dialogue to happen. Each topic of study, then, is brought to a conclusion wherein Levering explicates both the pitfalls to be avoided and what truth can Christians glean.The first area to be discussed is creation (110–46). In this chapter, Levering examines why is it important for both Jews and Christians alike to affirm that omnipotent God created creation ex nihilo. The author is right to point out that if God did not create creation out of nothing, then God is not omnipotent but rather merely a "powerful finite being" (111).While I would have like to see a more robust exegetical analysis on Gen 1:1–2 (especially with regards to bǝrē'šît, since it is not so certain that this prepositional phrase should be interpreted temporally), the author is right to move beyond the metaphysical question of creation ex nihilo, to point out that creation is "also rooted in God's speaking, and thus his Word," since creation must be understood as the way in which God establishes "a dialogic communion" (124) with creation. After all, it is the Word which is [End Page 1438] fundamental; God speaks and practically invites creation to take its place amongst the grooves that God has made.What is more is that this Word, as Levering acknowledges, is both divine and human, since it is the Word of God written in human language. Thus, in Scripture, we cannot escape the "divine–human collaboration" (145) that is willed by... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Évangile et Providence: Une théologie de l’action de Dieu by Emmanuel DurandMichael J. Dodds, O.P.Évangile et Providence: Une théologie de l’action de Dieu. By Emmanuel Durand. Paris: Cerf, 2014. Pp. 345. €35.00 (paper). ISBN: 978-2-204-10201-8.Emmanuel Durand offers a refreshing perspective on the question of divine action, so much discussed in recent years in the dialogue between theology and science. While not neglecting the fruit of that discussion, his (...) framing of the question under the headings of “Gospel” and “Providence” opens a new vista that is evident in his opening question: “What theology of Providence is needed today for the Gospel of salvation?” (7).Although contemporary theology readily affirms the biblical proclamation of God’s universal offer of salvation, its account of God’s salvific action on behalf of each person has become “uncertain and problematic.” Discussions of divine “kenosis, self-limitation, retreat, and powerlessness” have led many to the conviction God’s action must somehow be “limited” (8). The result is the paradox of a limited God attempting to offer universal salvation. The remedy lies in the recovery of a correct understanding of “the sovereignty of God”—the God who acts not only in the “intimacy of human hearts” but also in and through the “happy and unhappy contingencies” of human life (8-9).Durand begins by placing the question of divine action in the context of contemporary theology and culture, considering first the relationship between divine and human action, then the question of God’s action in history, and finally the understanding of divine action that has surfaced in the dialogue between theology and science (chap. 1). His next task is to clarify the notion of “action” itself. This entails an account of analogy (chap. 2). The discussion then turns to the “creative reappropriation” (10) of three classical theologies of divine providence, those of St. Augustine, St. Thomas Aquinas, and John Henry Newman. This involves a careful consideration of the Confessions of Augustine, the Summa contra gentiles of Aquinas, and the sermons of Newman (chaps. 3-5).The flip side of the question of divine action is of course the problem of evil and why a God who is capable of overcoming evil does not do so. Durand proposes not to “resolve” (résoudre) such problems here, but simply to help us “press” (serrer) them (11) as a preparation for listening to what revelation may say of them (chap. 6). The question of evil serves as the background for the discussion of Scripture that follows, where aspects of the books of Wisdom, Luke, and John are considered (chap. 7). Durand concludes with a [End Page 133] constructive proposal for understanding Providence in the world as we find it today, afflicted with evil (chap. 8).Durand begins his book with a discussion of the widespread opinion in contemporary philosophy and theology that divine and human action are somehow opposed to or in competition with each other. He traces this notion to Sartre, arguing that it now seems to pervade our culture despite the efforts of theologians such as Sertillanges to refute it. God’s action in the world is thought to diminish as humanity matures historically. The sovereign God gives place to the suffering God, who can act only through the actions of humans. The contemporary notion of history itself poses problems for divine action. It is difficult to affirm God’s saving and directing action in history, when history itself has lost its direction: “The loss of confidence in the intelligibility of history also jeopardizes the representation of God as sovereign, cause, author, director or guarantor of history” (29). Finally, the ability of science to explain natural events has led some to the conviction that there is simply no room for God to act in the world without interfering with the order of scientific laws. Durand presents a fine summary and critique of the responses to this dilemma that have surfaced in the ongoing dialogue between theologians and scientists, especially under the auspices of the Center for Theology and the Natural Sciences at the Graduate Theological Union in Berkeley (31-60).Durand... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Mercy in Aquinas: Help from the Commentatorial TraditionRomanus Cessario O.P. and Cajetan Cuddy O.P.Omnes semitae Domini misericordia et veritas(Psalm 24:10)IN QUESTION 21, article 3 of the first part of the Summa theologiae, St. Thomas Aquinas outlines the dynamics of mercy:A person is said to be merciful [misericors], as being, so to speak, miserable at heart [miserum cor]; being affected with sorrow [tristitia] at the misery of another as though (...) it were his own. Hence it follows that he endeavors to dispel the misery of this other, as if it were his; and this is the effect of mercy.1However, when explaining the mercy of God, Aquinas carefully distinguishes the effective and the affective within mercy: “Mercy is especially to be attributed to God, as seen in its effect, but not as an affection of passion.”2 “It does most properly belong to Him to dispel that misery,” but “to sorrow, therefore, over the misery of others belongs not to God.” How then can one claim that God is merciful? Aquinas locates the formal nature of God’s mercy within his power to relieve the misery of the miserable: “in so far as perfections given to things by God expel defects, it [i.e., the communication of perfection] belongs [End Page 329] to mercy.”3 Aquinas, therefore, situates the divine mercy within the divine perfection—a perfection powerful enough to remove all defects.Contemporary theologians may find this account of the divine mercy somewhat unsatisfying. In our conception, a sharing in the misery of another stands as an essential element of authentic mercy. Hence, our untutored experience may incline us to press Aquinas and to ask, Why, exactly, does sorrow over the misery of others not belong to God? If one seeks clarification regarding this point within the abovementioned passage, one does not find it. Aquinas does not here expound at any length upon the reasons why God does not share the misery of the miserable.Thankfully we are not the first students of theology to approach the writings of Aquinas. Nor are we the first to observe the prima facie oddness of a seemingly impassive God within Aquinas’s consideration of mercy. Throughout history, theologians of profound elegance and insight have sought wisdom from the Angelic Doctor. Some have even devoted their academic lives to the task of studying, expounding, and “commenting” upon the Thomistic text. In this essay, we intend to rely upon—and thereby highlight—a few of the valuable insights into divine mercy these Thomist commentators offer within their commentaries. Because the Thomist commentatorial tradition includes far too many figures to summarize in a few pages, we have decided to draw from only a small handful of the major Thomist commentators within a limited period of theological history, roughly from the sixteenth through the eighteenth centuries.4 Moreover, while the Thomist commentators exhibit a wide range of uniqueness and nuance amongst themselves, we might observe in our analysis a fundamental first principle uniting these major figures: the real distinction between act and potency (as well as between form and matter). [End Page 330] While philosophical in nature, this key Thomistic principle serves as the hermeneutical key for understanding what drew the commentators to Aquinas and the essential unity of their theological project.I. Infinitely Powerful MercyWhy does God’s mercy lack any misery? The sixteenth-century Thomist commentator Thomas de Vio Cardinal Cajetan (1469–1534) explains that “misery” implies some defect in the commiserating subject.5 God is actus purus. His being admits to no potentiality and no passivity within himself. The seventeenth-century Carmelite commentators, the Salmanticenses, note the relevance of the act-potency distinction for understanding the divine mercy: “In God, mercy is not given through the mode of a potency, but through the mode of the highest actuality... which extends to the relieving of all misery.”6 The defect of misery requires some degree of potentiality and passivity within its subject. Therefore, God can experience no misery—or even co-misery.7The seventeenth-century French Dominican Jean-Baptiste Gonet (1616–81) quotes with approval Cardinal Cajetan’s commentary on question... (shrink)

New Blackfriars, Volume 102, Issue 1101, Page 677-693, September 2021.

Informed consent is ethically incomplete and should be redefined as empowered consent. This essay challenges theoretical assumptions of the value of informed consent in light of substantial evidence of its failure in clinical practice and questions the continued emphasis on autonomy as the primary ethical justification for the practice of consent in health care. Human dignity—rather than autonomy—is advanced from a nursing ethics perspective as a preferred justification for consent practices in health care. The adequacy of an ethic of obligation (...) (namely, principlism) as the dominant theoretical lens for recognising and responding to persistent problems in consent practices is also reconsidered. A feminist empowerment framework is adopted as an alternative ethical theory to principlism and is advanced as a more practical and complete lens for examining the concept and context of consent in health care. To accomplish this, the three leading conceptions of informed consent are overviewed, followed by a feminist critique to reveal practical problems with each of them. The need for a language change from informed to empowered consent is strongly considered. Implications for consent activities in clinical practice are reviewed with focused discussion on the need for greater role clarity for all involved in consent—beyond and inclusive of the patient‐physician dyad, as the practice and improvement of consent is necessarily a transdisciplinary endeavour. Specific concrete and practical recommendations for leveraging nursing expertise in this space are presented. Perhaps what is most needed in the discourse and practice of consent in health care is nursing. (shrink)

OBJECTIVE: This article describes a method for investigating attitudes towards prioritisation in medicine. SETTING: University of Kuopio, Finland. DESIGN: The method consisted of a set of 24 paired scenarios, which were imaginary patient cases, each containing three different ethical indicators randomly selected from a list of indicators (for example, child, rich patient, severe disease etc.). The scenarios were grouped into 12 random pairs and the procedure was repeated four times, resulting in 12 scenario pairs arranged randomly in five different sets. (...) SURVEY: This method was tested with four groups of subjects (n = 8, n = 47, n = 104 and n = 36). RESULTS: Children and patients with a severe disease were prioritised in all groups. The aged, patients with a mild disease and patients with a self-acquired disease were negatively prioritised in all groups. Poor or rich patients were prioritised in some groups but negatively prioritised in others. CONCLUSIONS: The validity and reliability of this method are good and it is suitable for investigating attitudes towards medical prioritisation. (shrink)

New Blackfriars, Volume 102, Issue 1101, Page 795-814, September 2021.

Evaluating the role and opportunities of state correction of the functions of religious organizations, it must be recognized that the state is not able to administratively change those trends and forms of activity that express the social purpose of religious associations and organizations.

The Brain Death Reconsidered – Is It a Tenable Concept? Since 1968 it has been recognized in the medical practice that irreversible coma connected with apnea can serve as a criterion of human death. This approach was first introduced in the so called Harvard Protocol. As a result of the work of this commission, the brain-based criteria of human death were quickly legally introduced in America and in most countries in the world. The only symptom on which death can be (...) pronounced is, according to this new definition, the absence of spontaneous brain function. However, the acceptance of the new definition of death did not eliminate the old one completely. In many states both old and new definitions of death are legally valid. Practically, in these countries the alternative definition of death functions alongside the old one and diagnosis of death can be based both on the cardiac/respiratory and brain symptoms. One of the few exceptions proved to be Japan. The law in this country does not provide a uniform answer to the question of what human death is. Instead, it allows people to choose between traditional death and brain death. The law states that if a person wants to be an organ donor after brain death has occurred, he or she must record that intention on a donor card or label beforehand. Those who object to brain death and transplantation do not need donor cards. They are considered to be alive until the heart stops beating. In this way the Japanese law respects the opinion of 20-40% of the society who do not believe in the brain death. The opinion of the same percentage of people in Western societies who oppose BD is ignored by their legal systems. Initially the concept of BD did not cause a lot of controversy but this situation changed in the nineties of the last century. Since then many authors have criticized the validity of the brain-based criteria of death. They maintain that it is impossible to declare the absence of all the functions of the whole brain on the basis of the clinical tests supposed to detect it. There may be present some level of consciousness in brain death (BD) patients and therefore, they may feel pain. It is significant that 27% of the members of the teams which perform the excision of the heart for transplantation think that they are killing a living person and that in many countries during this operation a normal general anesthesia is required because of the vivid reaction of the body of the patient. The opponents of the brain death theory stress that the accurate examination of the so-called brain dead persons shows the persistence of the functions of significant parts of their brains. There are EEG waves recorded in 20-40% of BD patients. Event related potentials (ERP) show the reaction to verbal and non-verbal stimuli and the hormone production by the brain tissue can be detected in many BD people. The proper treatment could not only significantly prolong lives of the BD patients, but around 60% of possible donors with the lowest result of 3 in Glasgow Coma Scale could be restored to normal life if their brain edema is properly treated. This treatment should be based on the therapeutic hypothermia connected with the application of the thyroid hormones, whose level is usually too low in the patients with the brain injury. There is a growing lack of consensus regarding the issue of brain death, especially among physicians. Some regard brain death as a biological one, some as the death of the person but not of the human body, and the rest, as a definition accepted by the society, which doesn’t require other legitimacy than the freely chosen criteria. The brain death concept is also criticized from the philosophical point of view. The strength of the brain death theory was based on the premise that the brain is the integrating center of the body. According to this argument, the death of the brain means that the organism ceases to exist for it is no longer a functioning whole. To this argument the opponents of the brain death concept say that this question is not a question a priori but an empirical one and that the empirical data validate the opposite opinion, which says that the bodies of brain dead patients are alive. Some widely known cases show that even the real death of the entire brain means the death of the body and, therefore, may not signify the death of a human person. The integration of the body is the function of the organism as a whole and not of a single organ, even if this organ is the brain. This point of view can be confirmed by the opinion of St. Thomas Aquinas who says that the soul is primarily and per se connected with the body as a whole as the proportionate perfectible and only secondarily with the parts of the body, according to their ordination to the whole. So, the death of any single organ does not preclude the union of the soul with the rest of the body as a living whole. Moreover, the terms such as “consciousness” and “person” should not be identified. The term such as “human living nonpersons”, proposed by some bioethicists and referring to the people without consciousness has not been accepted in the official documents concerning BD. Bodies of the BD people are alive, therefore, it is not right to use the term “brain death” to describe the state of these patients, but rather the term “brain failure” should be used. As the result, according to some authors, the dead donor rule should be abolished. The Catholic Church stresses the sacredness of the human life from the beginning to the end. Therefore She requires that there be no doubts that the donor in BD is really dead. Because of the lack of consensus among physicians, philosophers and theologians, the popes John Paul II and Benedict XVI decided to continue the scientific research and discussion concerning BD between the representatives of various disciplines. Keywords: brain death, brain edema, global ischemic penumbra, therapeutic hypothermia, consciousness, person, substantial form. (shrink)