ABSTRACT In this analysis of his thought on friendship, I begin first by arguing that for Nietzsche friendship is undesirableor impossible with or between four human types. Insight on this point is valuable, because it provides clear vision of what friendship is not. Second, I will argue that Nietzsche takes superior friendship to be possible but rare, since itrequires its participants to balance three pairs of opposing qualities that are difficult to keep in equilibrium. Third, I will show that Nietzsche (...) takes friendship in its highest form to aim at a goal, appropriately named “truth.” Here I draw upon both “middle-period” texts and Beyond Good and Evil, the latter to show that a concern for friendship pervadesNietzsche’s oeuvre. Fourth, I show that Nietzsche differs most from ancient authors in his uncompromising insistence that if friendship is to serve truth rather than comfort or illusion, it is necessarily agonistic. A final section argues that if true friendship is to be nourished rather than destroyed by opposition, the virtue of “sympathy” must be present. Sympathy in Nietzsche’s sense cannot be conflated with pity, since it is related to the “shared joy” that he identifies as the crown of friendship. (shrink)

In the Questions on charity in the ST, Aquinas considers at length the vices opposed to charity, omitting altogether any Question on a vice opposed to mercy. What does the omission reveal about mercy and its difficulties? First, I reject ready-to-hand explanations of the omission. Second, I consider the relation between mercy and compassion, showing that for Thomas the primary impediments to compassion are less vices than psychological forces irreducible to any single vice. Third, I turn to a different set (...) of obstacles to mercy – acts that can arise from compassion, but do not help the person in need. Given these difficulties, how can Thomas take the practice of virtuous mercy to be generally possible? I conclude with a discussion of suffering and the gift of wisdom. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Verum-factum and Practical Wisdom in the Early Writings of Giambattista VicoRobert C. MinerAs several contemporary writers have noted, Giambattista Vico defends the idea of practical knowledge, a type of knowledge that cannot be fully expressed by propositions and defies reductions to method. 1 The defense of practical knowledge, against Descartes and the rise of objectifying science, is most clearly articulated in a group of Vico’s early writings: the oration (...) De nostri temporis studiorum ratione (1709), the metaphysical book De antiquissima Italorum sapientia ex linguae latinae originibus eruenda (1710), and two rejoinders (Prima and Seconda risposte) to critics of the De antiquissima. In these texts Vico criticizes Cartesian method in terms that remind us of Aristotle, or at least the Aristotle of the Nicomachean Ethics and Politics. “If you were to import the geometrical method into practical life, you would do no more than exhaust yourself in becoming a rational lunatic” (A 7.5). 2This comment and many others like it seem to suggest that Vico is an “Aristotelian,” but any simple classification is problematic. In the same text in which Vico defends the Aristotelian topos he also announces that “the true and the made are convertible” (verum et factum convertuntur). The emphasis on the [End Page 53] role of “making” in truth seems incompatible with the Aristotelian idea of phronesis, whose knowledge is associated with praxis and cannot be reduced to techne. It would be simpler if Vico distinguished between a realm in which the verum-factum principle applied and one in which prudentia was supreme. However, Vico not only situates mathematics and experimental science within the metaphysical framework governed by verum-factum, but also implies strong connections between making and ethics. The prominence Vico assigns to making in all areas of human endeavor gives him a distinctly modern appearance in the fashion of Bacon, Galileo, and Hobbes.This gives rise to both hermeneutical and philosophical problems. Is Vico simply hesitating between the old and new? Does he coherently balance an Aristotelian perspective with the “modern” emphasis on artifice? 3 Perhaps Vico is caught in the middle of the querelle des anciens et modernes, somewhat like John Dunn’s version of Locke, a “tragic figure” who cannot reconcile his epistemological discoveries with a noninstrumentalist view of practical reason. 4 The purpose of this essay is to provide a sympathetic interpretation of Vico’s early writings on prudentia and its links to both verum-factum and rhetoric.Vico contra Rule-based EthicsThe denial that ethics is well understood as a matter of following or justifying general rules has become a commonplace among contemporary Aris-totelians and Wittgensteinians. 5 Against the Enlightenment ambition to construct a universally valid moral science, recent virtue ethics has emphasized the irreducibly contingent aspects of human life, aspects which resist the clutches of “method.” Although Descartes wrote little about morals directly, his influence can be detected in the ethical writings of Hobbes, Kant, Mill, and Sidgwick. These examples of modern moral philosophy presuppose the correctness of the Cartesian diagnosis of ancient and medieval writing on virtue. In the Discourse on Method Descartes compares previous moral teaching to “the most proud and magnificent palaces built on nothing but sand or mud.” 6 Descartes himself did not provide a rational justification of ethics, but he has had no shortage of successors who have tried to complete his foundational project. Jusnaturalism, Kantian deontology, and utilitarianism, as different as they are from one another, share the desire to ground ethics in principles as universal and certain as [End Page 54] those of mathematics. Each of these variants of post-Cartesian ethics claim to have discovered and justified such a principle or set of principles. Maxims deduced from the principle, if not the principle itself, will arguably enable moral agents to discover the right course of action in a particular situation.Vico did not live to witness the most articulate expressions of a Cartesian approach to ethics, but he did apprehend the shift in focus from prudence to method. In the De nostri temporis studiorum ratione, an oration delivered at the University of Naples in 1708 and published the following year, Vico criticizes approaches that locate... (shrink)

Truth in the Making represents a sophisticated effort to map the complex relations between human knowledge and creative power, as reflected across more than half a millennium of philosophical enquiry. Showing the intimacy of this problematic to the work of Nicholas of Cusa, Bacon, Galileo, Descartes, Hobbes, Leibniz, Vico and David Lachterman, the book reveals how questions about creation apparently diluted by secularism in fact retain much of their potency today. If science could counterfeit or synthesize nature precisely from its (...) smallest nuts and bolts, as Descartes and Hobbes implied and as modern science increasingly suggests, would it create an identical world to that we live in now Robert C. Miner offers a precise genealogy of modern thought on truth and creation: from medieval theology's identification of human creativity with divine initiative to the radical Leibnizian contention that human ideas are 'not little copies of God's', and may at once exceed mimesis and produce things new, unpredictable and unseen. He considers how the theological importance given to creation interacts historically with the secularisation and instrumentalisation of modes of discovery and method, and asks how knowledge is understood between different disciplines, from the allegorical discipline of poetry to the constructible field of mathematics. The book is an eloquent reminder of the ways in which theology continues to fling a wild card at philosophical understandings of reality, countering theories of metaphysical equivalence of the 'real' and 'artificial' with theologies in which human making is always fallible, and strives only for approximate participation in divine truth. As a strenuous and informative breakdown of leading theories of knowledge, Truth in the Making shows the continuing influence of theological questions upon philosophical, scientific and aesthetic disciplines, whilst raising topical questions about the ultimate nature of our reality and our freedom to modify and define it. (shrink)

In this analysis of his thought on friendship, I begin first by arguing that for Nietzsche friendship is undesirable or impossible with or between four human types. Insight on this point is valuable, because it provides clear vision of what friendship is not. Second, I will argue that Nietzsche takes superior friendship to be possible but rare, since it requires its participants to balance three pairs of opposing qualities that are difficult to keep in equilibrium. Third, I will show that (...) Nietzsche takes friendship in its highest form to aim at a goal, appropriately named "truth." Here I draw upon both "middle-period" texts and Beyond Good and Evil, the latter to show that a concern for friendship pervades Nietzsche's oeuvre. Fourth, I show that Nietzsche differs most from ancient authors in his uncompromising insistence that if friendship is to serve truth rather than comfort or illusion, it is necessarily agonistic. A final section argues that if true friendship is to be nourished rather than destroyed by opposition, the virtue of "sympathy" must be present. Sympathy in Nietzsche's sense cannot be conflated with pity, since it is related to the "shared joy" that he identifies as the crown of friendship. (shrink)

A fresh translation of _quaestiones_ from the _Summa theologiae _of Thomas Aquinas, edited by Robert Miner. This volume provides direct access to the medieval theologian’s deepest thinking about the supreme goal of human life—blessedness—and the virtue most intimately related to this goal—charity. The edition also contains Aquinas’s treatment of charity’s effects—love, joy, peace, and mercy—and the vices opposed to them, such as hatred, envy, and war. Featuring five supplementary essays by noted Aquinas scholars, the volume will enable readers (...) to engage more thoroughly with the thought of Thomas Aquinas. (shrink)

ExcerptAfter emigrating to the United States, Leo Strauss taught political philosophy for thirty years, first at the New School for Social Research in New York and then at the University of Chicago, before retiring at St. John's College. Richard Wolin observes that he “seems to have deeply mistrusted day-to-day politics—a very strange stance, to be sure, for someone who made his living teaching political philosophy.”1 But is it really so strange? What in his German Gymnasium education, or his participation in (...) the Zionist movement, would have prepared him for the peculiarities of day-to-day American politics? Strauss did not underestimate the…. (shrink)

Can God be the efficient cause of himself (causa sui,)? It is well known that Descartes answers this question in the affirmative, but it is considerably less clear why. The main contention of the essay is that Descartes advances the causa sui doctrine because he came to think that the ontological proof of Meditation V required it. We argue these contentions through a close analysis of Descartes' initial articulation of causa sui in response to Caterus, followed by attention to the (...) reformulation of the doctrine in response to the logical objections posed by Arnauld. Our understanding of causa sui as a move made within the horizon of the ontological proof not only illuminates why Descartes would have defended a doctrine as conceptually problematic as causa sui, but also provides an alternative to Jean-Luc Marion's view that causa sui constitutes a third, distinct proof for the existence of God. /// Pode Deus ser a causa eficiente de si mesmo (causa sui,)? É bem sabido que Descartes responde aflrmativamente a esta questão, mas é consideravelmente menos claro porquê. O principal conteúdo do ensaio é que Descartes apresenta a doutrina da causa sui porque pensou que a prova ontológica da Meditação V precisava dela. Demonstramos estas afirmações através de uma análise rigorosa da articulação inicial de Descartes da causa sui em resposta a Caterus, seguida de uma atenção à reformulação da doutrina em resposta às objecções logicas apresentadas por Arnauld. A nossa compreensão da causa sui como proposta feita no horizonte da prova ontológica não ilumina apenas porque é que Descartes teria defendido uma doutrina conceptualmente tão problemática como a causa sui, mas também providencia uma alternativa ao ponto de vista de Jean-Luc Marion de que a causa sui constitui a terceira, prova distintapara a existência de Deus. (shrink)

We can describe certain actions as defective in a particular virtue, for example, as “unjust” or “intemperate.” We can take the additional step of describing such actions as “morally wrong” or “contrary to moral obligation.” A key claim of Elizabeth Anscombe's “Modern Moral Philosophy” is that if we choose to describe virtue-defective actions as “morally wrong,” because we are “obliged” or “bound” or “required” not to do them, we are in fact taking an additional step and that this step stands (...) in need of explanation. Just what, if anything, is added to the description of an action as “unjust” when we say there is an obligation not to do it? Anscombe thinks “the answer is in history: between Aristotle and us came Christianity, with its law conception of ethics.” 1 In this paper, I shall confront this question in two parts. First, I will consider the possibility, argued for by Simon Blackburn, that Anscombe's historical explanation cannot answer this question because her history is based on the false premise that the Greeks do not possess the “moral ought.” Describing an action as contrary to obligation may still add something to “unjust,” but historical genealogy of Anscombe's sort will not shed any light on the question. Since I think that Blackburn's arguments, although important, are not conclusive, I will proceed to consider the implications of Anscombe's own view of what talk about obligation adds to descriptions of actions as defective in virtue. This will require elaboration of her cryptic Wittgensteinian remark that “it really does add something to the description ‘unjust’ to say there is an obligation not to do it; for what obliges is the divine law—as rules oblige in a game.” 2. (shrink)

Do not be put off by the cumbersome title of this book. Underneath a huge mass of erudition lies a simple yet powerful thesis. The thinkers of the high Middle Ages did not imagine themselves as contributors to metaphysics, epistemology, logic, ethics, or any of the autonomous but interconnected “spheres of philosophical inquiry” that most post-Enlightenment historians of medieval philosophy take for granted. In very different ways, Aquinas, Scotus, and Ockham use the materials of philosophy to describe and illuminate the (...) movement of the human creature in via. The result may occasionally remind us of “doing philosophy,” but Inglis suggests that the similarities are mostly superficial. If we care about understanding medieval thought on its own terms, we will pay attention to the differences between the projects of modern philosophy and those of medieval theology—differences that are no less marked even when the latter self-consciously appropriates the insights of pagan philosophy. (shrink)

This book is of great service to anyone who desires to think historically about ethics, but particularly to those wanting to learn more about the forms assumed by Aristotelian moral discourses during the Renaissance. For it is these forms that are typically overlooked and neglected, even by contemporary theorists who have persuasively argued that we should pay attention to the historical tradition of Aristotelian ethics.

This collection includes essays by contemporary scholars on a range of seventeenth-and eighteenth-century thinkers.

—The main claim of this book is that if we situate Nietzsche’s thought within the historical context of nineteenth-century theories of evolution and degeneration, our comprehension of Nietzsche will significantly improve. Moore begins by questioning Heidegger’s dismissal of Nietzsche’s “alleged biologism.” He contends that Heideggerian approaches not only rest upon a false dichotomy between the metaphysical and the biological, but that they also can never make sense of “why Nietzsche mobilizes a wide array of biological metaphors, and from an early (...) stage in his intellectual development, consistently situates his thought within the dominant discourse of the second half of the nineteenth century”. (shrink)

The abstract structure of inquiry - the process of acquiring and changing beliefs about the world - is the focus of this book which takes the position that the "pragmatic" rather than the "linguistic" approach better solves the philosophical problems about the nature of mental representation, and better accounts for the phenomena of thought and speech. It discusses propositions and propositional attitudes (the cluster of activities that constitute inquiry) in general and takes up the way beliefs change in response to (...) potential new information, suggesting that conditional propositions should be understood as projections of epistemic policies onto the world.Robert C. Stalnaker is a professor in the Sage School of Philosophy at Cornell University. A Bradford Book. (shrink)

Friedrich Nietzsche is one of the most popular and controversial philosophers of the last 150 years. Narcissistic, idiosyncratic, hyperbolic, irreverent--never has a philosopher been appropriated, deconstructed, and scrutinized by such a disparate array of groups, movements, and schools of thought. Adored by many for his passionate ideas and iconoclastic style, he is also vilified for his lack of rigor, apparent cruelty, and disdain for moral decency. In Living with Nietzsche, Solomon suggests that we read Nietzsche from a very different point (...) of view, as a provocative writer who means to transform the way we view our lives. This means taking Nietzsche personally. Rather than focus on the "true" Nietzsche or trying to determine "what Nietzsche really meant" by his seemingly random and often contradictory pronouncements about "the Big Questions" of philosophy, Solomon reminds us that Nietzsche is not a philosopher of abstract ideas but rather of the dazzling personal insight, the provocative challenge, the incisive personal probe. He does not try to reveal the eternal verities but he does powerfully affect his readers, goading them to see themselves in new and different ways. It is Nietzsche's compelling invitation to self-scrutiny that fascinates us, engages us, and guides us to a "rich inner life." Ultimately, Solomon argues, Nietzsche is an example as well as a promulgator of "passionate inwardness," a life distinguished by its rich passions, exquisite taste, and a sense of personal elegance and excellence. (shrink)

The Atlas of Reality: A Comprehensive Guide to Metaphysics presents an extensive examination of the key topics, concepts, and guiding principles of metaphysics. Represents the most comprehensive guide to metaphysics available today Offers authoritative coverage of the full range of topics that comprise the field of metaphysics in an accessible manner while considering competing views Explores key concepts such as space, time, powers, universals, and composition with clarity and depth Articulates coherent packages of metaphysical theses that include neo-Aristotelian, Quinean, Armstrongian, (...) and neo-Humean Carefully tracks the use of common assumptions and methodological principles in metaphysics. (shrink)

Philosophy is an exciting and accessible subject, and this engaging text acquaints students with the core problems of philosophy and the many ways in which they are and have been answered. Introducing Philosophy: A Text with Integrated Readings, Eighth Edition, insists both that philosophy is very much alive today and that it is deeply rooted in the past. Accordingly, it combines substantial original sources from significant works in the history of philosophy and current philosophy with detailed commentary and explanation that (...) help to clarify the readings. The selections range from the oldest known fragments to cutting-edge essays in feminism, multiculturalism, and cognitive science. At the end of each chapter is a summary, a list of review questions, a glossary, and a bibliography with suggestions for further reading. Important philosophical terms are carefully introduced in the text and also summarized at the end of each chapter, and brief biographies of the philosophers are provided at the end of the book. New to the Eighth Edition: Addressing the needs of a new generation of students, Robert C. Solomon has included for the first time more than 300 study and review questions. Appearing throughout the text and at the end of each chapter, these questions require immediate feedback from students. They encourage students to articulate the central ideas of what they have just read, instead of just "passing through" on the way to the next reading . New selections expand and update the chapters on religion, knowledge, mind and body, freedom, ethics, justice, and beauty. The selections include work by Charles Hartshorne, Cory Juhl, Friedrich Nietzsche, Jean-Paul Sartre, Sextus Empiricus, Edmund L. Gettier, David Braddon-Mitchell and Frank Jackson, Colin McGinn, Daniel Dennett, Harry Frankfurt, Gilbert Harman, Emma Goldman, and Arthur C. Danto. A companion website at www.oup.com/us/solomon8e features 300 study and review questions (100 multiple-choice, 100 true-or-false, and 100 fill-in-the-blank), discussion questions, chapter overviews and summaries, topical links, suggestions for further reading, and PowerPoint lecture aids. (shrink)

I have been arguing, for almost thirty years now, that emotions have been unduly neglected in philosophy. Back in the seventies, it was an argument that attracted little sympathy. I have also been arguing that emotions are a ripe for philosophical analysis, a view that, as evidenced by the Manchester 2001 conference and a large number of excellent publications, has now become mainstream. My own analysis of emotion, first published in 1973, challenged the sharp divide between emotions and rationality, insisted (...) that we reject the established notion that the emotions are involuntary, and argued, in a brief slogan, that ‘emotions are judgments.’ Since then, although the specific term ‘judgment’ has come under considerable fire and my voluntarist thesis continues to attract incredulousness the general approach I took to emotions has been widely accepted in both philosophy and the social sciences. When Paul Griffiths took on what he misleadingly characterized as ‘propositional attitude’ theories of emotion as the enemy of all that was true and scientifically worthy, I knew that we had made it. Such ferocious abuse is surely a sign that we had shifted, in Kuhnian terms, from being revolutionary to becoming the ‘normal’ paradigm. The current counter-revolution of affect programmes and neuro-reductionism says a lot about who we are and how far we have come. (Progress in philosophy is moved more by this drama of one outrageous thesis after another—once called ‘dialectic’—than by cautious, careful argument.). (shrink)

Many assume that whenever government is entitled to make a law, it is entitled to enforce that law coercively. I argue that the justification of legal authority and the justification of governmental coercion come apart. Both in ideal theory and in actual human societies, governments are sometimes entitled to make laws that they are not entitled to enforce coercively.

This book is of vital interest to anyone who yearns to know how science, theology, ethics, art, and politics do really afford objective truths. Not only that, but how these truths in seemingly clashing areas are interrelated by common sense and rooted in our incontrovertible consciousness of Being itself. Being itself, as the basis for truth, is defended against truth-denying modern philosophers who, having headed in the wrong direction with tragic costs of murderous ideologies, have completely misunderstood the simple origin (...) of truth in the realist tradition of Aristotle, Aquinas, Étienne Gilson, and others. Their profoundness is not bamboozled by the covert and corrupting sophism of today’s teachings. Anyone interested in surmounting these teachings that include political correctness and a false divide of fact from value, which paralyze the very modern ethics that helped to create them, should read this book. The book reveals how ethics, art, and politics can be as true as the sciences that inform them. (shrink)

Introducing Philosophy: A Text with Integrated Readings, Tenth Edition, is an exciting, accessible, and thorough introduction to the core problems of philosophy and the many ways in which they are, and have been, answered. The authors combine substantial selections from significant works in the history of philosophy with excerpts from current philosophy, clarifying the readings and providing context with their own detailed commentary and explanation. Spanning 2,500 years, the selections range from the oldest known fragments to cutting-edge contemporary essays. Organized (...) topically, the chapters present alternative perspectives--including analytic, continental, feminist, and non-Western viewpoints--alongside the historical works of major Western philosophers.PEDAGOGICAL FEATURES:* Discussion questions, a summary, and a bibliography with suggestions for further reading at the end of each chapter* Questions at the end of each subsection* Marginal quotations from the featured readings* Key philosophical terms, boldfaced in the text and collected at the end of each chapter* A glossary at the end of the book. (shrink)

This chapter provides a gentle introduction to contextual emergence and its implications for the structure of the material world as well as implications for meaning in our world.

Introducing Philosophy: A Text with Integrated Readings, Eleventh Edition, is an exciting, accessible, and thorough introduction to the core questions of philosophy and the many ways in which they are, and have been, answered. The authors combine substantial selections from significant works in the history of philosophy with excerpts from current philosophy, clarifying the readings and providing context with their own detailed commentary and explanation. Spanning 2,500 years, the selections range from the oldest known fragments to cutting-edge contemporary essays. Organized (...) topically, the chapters present alternative perspectives--including analytic, continental, feminist, and non-Western viewpoints--alongside the historical works of major Western philosophers. (shrink)

Introducing Philosophy: A Text with integrated Readings, ninth edition, is an engaging introduction to the basic philosophical problems and their potential alternative solutions.

Prime matter plays an indispensable role in Aristotle’s philosophy, enabling him to avoid the pitfalls of both naïve Platonism and nominalism. Prime matter is best thought of as a kind of infinitely divisible and atomless bare particularity, grounding the distinctness of distinct members of the same species. Such bare particularity is needed in symmetrical situations, like a world consisting of indistinguishable Max Black spheres. Bare particularity is especially important in modern physics, given the homogeneity and isotropy of space. With the (...) importance of fields in classical, relativistic, and quantum physics, we have good reason to prefer something like Aristotle’s continuous, infinitely divisible matter over indivisible particles. Mass and energy in relativistic physics also points in the direction of prime matter as the enduring substrate of these quantities. Recent work on Aristotelian interpretations of quantum mechanics, further underscores the contemporary relevance of prime matter. (shrink)

The Joy of Philosophy is a return to some of the perennial questions of philosophy--questions about the meaning of life; about death and tragedy; about the respective roles of rationality and passion in the good life; about love, compassion, and revenge; about honesty, deception, and betrayal; and about who we are and how we think about who we are. Recapturing the heart-felt confusion and excitement that originally brings us all to philosophy, internationally renowned teacher and lecturer Robert C. Solomon (...) offers both a critique of contemporary philosophy and an invitation to engage in philosophy in a different way. He attempts to save philosophy from itself and its self-imposed diet of thin arguments and logical analysis to recover the richness and complexity of life in thought. Solomon defends the passionate life in contrast to the life of thoughtful contemplation idealized by so many philosophers, attempting to recapture the kind of philosophy that Nietzsche celebrated as a "joyful wisdom.". (shrink)

This chapter contains sections titled: Nietzsche on Freedom and Fatalism Fatalism, Determinism, Destiny Nietzsche's Classical Fatalism Nietzsche's Watchword, “Become Who You Are” Nietzsche on “Free Will” Nietzsche on Responsibility.

This book presents translations of three dialogues Xenophon devoted to the life and thought of his teacher, Socrates. Each is accompanied by notes and an interpretative essay that will introduce new readers to Xenophon and foster further reflection in those familiar with his writing. "Apology of Socrates to the Jury" shows how Socrates conducted himself when he was tried on the capital charge of not believing in the city's gods and corrupting the young. Although Socrates did not secure his own (...) acquittal, he profoundly impressed some listeners who then helped to shape the public perception of philosophy as a noble, if highly idiosyncratic, way of life. In "Oeconomicus," Xenophon relates the conversation Socrates had on the day he turned from the study of natural philosophy to that of moral and political matters. "Oeconomicus" is concerned most directly with the character and purpose of Socrates' political philosophy. Xenophon provides entertaining portraits of Socrates' circle of friends in the "Symposium." In the process, he conveys the source of every individual's pride in himself, thus defining for each a conception of human excellence or virtue. The dialogue concludes with Socrates' beautiful speech on love (eros) and its proper place in the good or happy life. (shrink)

Science, philosophy of science, and metaphysics have long been concerned with the question of how novel things emerge. How can order come out of disorder? This book introduces a new account, contextual emergence, seeking to answer such questions."--Back cover.

A comprehensive analysis of ethical topics in palliative care, combining clinical experience and philosophical rigor. A broad array of topics are explored from historical, legal, clinical, and ethical perspectives, offering both the seasoned clinician and interested lay reader a thorough examination of the complex ethical issues facing patients suffering from life-threatening illness.