In Socrates among Strangers, Joseph P. Lawrence reclaims the enigmatic sage from those who have seen him either as a prophet of science, seeking the security of knowledge, or as a wily actor who shed light on the dangerous world of politics while maintaining a prudent distance from it. The Socrates Lawrence seeks is the imprudent one, the man who knew how to die. The institutionalization of philosophy in the modern world has come at the cost of (...) its most vital concern: the achievement of life wisdom. Those who have ceased to grow (those who think they know) close their ears to the wisdom of strangers—and Socrates, who stood face to face with death, is the archetypal stranger. His avowal of ignorance, Lawrence suggests, is more needed than ever in an age defined by technical mastery and expert knowledge. (shrink)

The philosophy of Schelling has for too long been lost in the shadows of Fichte and Hegel. While one might dispute Martin Heidegger’s judgment that Schelling was actually the most creative and far-reaching thinker of German Idealism, it betrays both ignorance and intellectual indolence to simply deny his importance. Schelling was not only a significant co-author of “Hegelian” idealism, he was also its first and perhaps most penetrating critic. He outlived Hegel by over 20 years and, as Manfred Frank demonstrates (...) in one of the following essays, developed the arguments against Hegel that were subsequently taken up by Feuerbach, Marx, and Kierkegaard. (shrink)

The philosophy of Schelling has for too long been lost in the shadows of Fichte and Hegel. While one might dispute Martin Heidegger’s judgment that Schelling was actually the most creative and far-reaching thinker of German Idealism, it betrays both ignorance and intellectual indolence to simply deny his importance. Schelling was not only a significant co-author of “Hegelian” idealism, he was also its first and perhaps most penetrating critic. He outlived Hegel by over 20 years and, as Manfred Frank demonstrates (...) in one of the following essays, developed the arguments against Hegel that were subsequently taken up by Feuerbach, Marx, and Kierkegaard. (shrink)

The problem of the relationship between art and philosophy is deeply rooted in the philosophical tradition. When Plato excluded artists from the philosophers’ mythical republic, he seemed to be assuming a strict opposition between art and philosophy. Artists do not know what they are saying. Because their creation is grounded in the madness of inspiration, they would be unable to give accounts for their doctrines even if doctrines could be gleaned from their works. Philosophers, on the other hand, must be (...) able to provide such accounts. They commit themselves to providing reasons for their conclusions. (shrink)

Environmental philosophers tend to be particularly wary of the language of “transcendence.” From Heidegger to contemporary feminism, we find the idea that the failure to respect nature is grounded in Platonism and Abrahamic religion. The denial of earth began, we are told, with the separation of the intelligible form from the actual thing, or, even worse, of the creator from the created. From this point of view what we need is a restored pantheistic sense, a new and revitalized paganism. I (...) counter this assertion by a reading of Plato’s Phaedrus that shows that respect itself is grounded in the recognition of transcendence. With the Bookof Job, I maintain that the voice of the transcendent God is what enables Job not only to see past his sufferings but for the first time to encounter the beauty of nature. Overcoming anthropocentrism requires a relationship to transcendence as such. (shrink)

If Lewis prefers the political Plato to the apolitical Socrates, I take my stand with Socrates. I also regard Plato as having been more profoundly invested in establishing a philosophical religion than in establishing a philosophical politics. Cultivating trust in the Good is ultimately of more importance than arming a state against potential enemies. Courage is a virtue greater than prudence. Plato’s Laws, on my reading, is less concerned with maintaining the order of the state than with civilizing its inhabitants. (...) In light of this contention, I understand Plato as being more Socratic—more open to question and thus more flexible—than Lewis’s reading seems to allow. This is why I think Plato provides more attention to his extended preambles to the laws than to the laws themselves. As seriously as Plato took the quest for true law, he realized that any positive code of law has to be subject to constant revision. (shrink)

This paper explores Schelling's life-long fascination with Spinoza. Through moments of ambivalence and enthusiasm, one aspect of the latter's thought remains central for Schelling: the intellectual intuition of God/Nature. While he consistently emphasizes the non-objectifiable nature of the intuition (as constituting the ground of freedom), the influence of Spinoza is still apparent in what Schelling calls the Ullvordellklichkeit des Seills. Freedom is a response to an ungroundable necessity that consciousness lives out of, but behind which it can never penetrate. This (...) insight provokes a reading of Spinoza that departs from the conventional rationalist interpretation and gestures to an a-theological, yet mystical, understanding, which awakens a feeling not only for the sublime in nature, but for the sublime that lies at "the heart of what is." In the ensuing silence of the self, substance reveals itself as living spirit. Through this interpretation, the Neoplatonic truth of Spinoza becomes visible. (shrink)

This paper explores Schelling's life-long fascination with Spinoza. Through moments of ambivalence and enthusiasm, one aspect of the latter's thought remains central for Schelling: the intellectual intuition of God/Nature. While he consistently emphasizes the non-objectifiable nature of the intuition (as constituting the ground of freedom), the influence of Spinoza is still apparent in what Schelling calls the Ullvordellklichkeit des Seills. Freedom is a response to an ungroundable necessity that consciousness lives out of, but behind which it can never penetrate. This (...) insight provokes a reading of Spinoza that departs from the conventional rationalist interpretation and gestures to an a-theological, yet mystical, understanding, which awakens a feeling not only for the sublime in nature, but for the sublime that lies at "the heart of what is." In the ensuing silence of the self, substance reveals itself as living spirit. Through this interpretation, the Neoplatonic truth of Spinoza becomes visible. (shrink)

The metaphysics of presence has led not only to the closure of rationalized systems that define modernity, but also to what can appear as its opposite, the freely flowing movement of information (and of capital) characteristic of the post-modern “de-centered” world. Ideas, after all, require a depth dimension that ultimately proves irreconcilable with the one-dimensionality of the purely present. It is for this reason that the rejection of metaphysics (which is only the final consequence of the metaphysics of presence) fails (...) to solve our dilemma. An alternative strategy is to attempt the recovery of the living heart of metaphysics, its open and ecstatic gaze, rather than its final consequence, the constrictive will to closure, determination, and power. This is the genuinely Socratic possibility, a metaphysics not of presence but of radical transcendence. To clarify that possibility, it is necessary to show how Socrates himself was characterized less by practical and political concerns than by a metaphysical vision directed not to presence but to the unknowable region that opens with death. Socrates’ irony and courage have the same source, what I call a metaphysics of “silence.”. (shrink)

Recent empirical work has offered strong support for ‘biased pluralism’ and ‘economic elite’ accounts of political power in the United States, according a central role to ‘business interest groups’ as a mechanism through which corporate influence is exerted. Here, we propose an additional channel of influence for corporate interests: the ‘policy-planning network,’ consisting of corporate-dominated foundations, think tanks, and elite policy-discussion groups. To evaluate this assertion, we consider one key policy-discussion group, the Council on Foreign Relations. We first briefly review (...) the origins of this organization and then review earlier findings on its influence. We then code CFR policy preferences on 295 foreign policy issues during the 1981–2002 period. In logistic regression analyses, we find that the preferences of more affluent citizens and the CFR were positive, statistically significant predictors of foreign policy outcomes while business interest group preferences were not. These findings are discussed with a consideration of the patterns of CFR ‘successes’ and ‘failures’ for the issues in our dataset. Although a full demonstration of a causal connection between corporate interests, the policy-planning network and policy outcomes requires further research, we conclude that this has been shown to be a plausible mechanism through which corporate interests are represented and that ‘biased pluralism’ researchers should include it in their future investigations. (shrink)

Pancreatitis is a complex, progressively destructive inflammatory disorder. Alcohol was long thought to be the primary causative agent, but genetic contributions have been of interest since the discovery that rare PRSS1, CFTR and SPINK1 variants were associated with pancreatitis risk. We now report two associations at genome-wide significance identified and replicated at PRSS1-PRSS2 and X-linked CLDN2 through a two-stage genome-wide study. The PRSS1 variant likely affects disease susceptibility by altering expression of the primary trypsinogen gene. The CLDN2 risk allele is (...) associated with atypical localization of claudin-2 in pancreatic acinar cells. The homozygous CLDN2 genotype confers the greatest risk, and its alleles interact with alcohol consumption to amplify risk. These results could partially explain the high frequency of alcohol-related pancreatitis in men. © 2012 Nature America, Inc. All rights reserved. (shrink)

Approaches to clinical ethics dilemmas that rely on basic principles or rules are difficult to apply because of vagueness and conflict among basic values. In response, casuistry rejects the use of basic values, and specification produces a large set of specified rules that are presumably easily applicable. Balancing is a method employed to weigh the relative importance of different and conflicting values in application. We argue against casuistry and specification, claiming that balancing is superior partly because it most clearly exhibits (...) the reasoning behind moral decision-making. Hence, balancing may be most effective in teaching bioethics to medical professionals. (shrink)

This book is a comprehensive introduction to the many ethical and legal issues that arise in the practice of nursing. Ethical analysis is supplemented with the rigorous discussion of precedents from the American legal system as well as the requirements of professional codes operating at the national and state levels. Topics include informed consent, end-of-life treatment, impaired decisional capacity, privacy and confidentiality, and much more.

Researchers designing a clinical trial may be aware of disputed evidence of serious risks from previous studies. These researchers must decide whether and how to describe these risks in their model informed consent document. They have an ethical obligation to provide fully informed consent, but does this obligation include notice of controversial evidence? With ACCORD as an example, we describe a framework and criteria that make clear the conditions requiring inclusion of important controversial risks. The ACCORD model consent document did (...) not include notice of prior trials with excess death. We develop and explain a new standard labeled risk in equipoise. We argue that our approach provides an optimal level of integrity to protect the informational needs of the reasonable volunteers who agree to participate in clinical trials. We suggest language to be used in a model consent document and the informed consent discussion when such controversial evidence exists. (shrink)

The controversy over the equivalence of continuous sedation until death (CSD) and physician-assisted suicide/euthanasia (PAS/E) provides an opportunity to focus on a significant extended use of CSD. This extension, suggested by the equivalence of PAS/E and CSD, is designed to promote additional patient autonomy at the end-of-life. Samuel LiPuma, in his article, “Continuous Sedation Until Death as Physician-Assisted Suicide/Euthanasia: A Conceptual Analysis” claims equivalence between CSD and death; his paper is seminal in the equivalency debate. Critics contend that sedation follows (...) proportionality protocols for which LiPuma’s thesis does not adequately account. Furthermore, sedation may not eliminate consciousness, and as such LiPuma’s contention that CSD is equivalent to neocortical death is suspect. We not only defend the equivalence thesis, but also expand it to include additional moral considerations. First, we explain the equivalence thesis. This is followed by a defense of the thesis against five criticisms. The third section critiques the current use of CSD. Finally, we offer two proposals that, if adopted, would broaden the use of PAS/E and CSD and thereby expand options at the end-of-life. (shrink)

In 1810, after establishing a reputation as Europe's most prolific philosopher, F. W. J. Schelling embarked on his most ambitious project, The Ages of the World. For over a decade he produced multiple drafts of the work before finally conceding its failure, a "failure" in which Heidegger, Jaspers, Voegelin, and many others have discerned a pivotal moment in the history of philosophy. Slavoj Zizek calls this text the "vanishing mediator," the project that, even while withheld and concealed from view, connects (...) the epoch of classical metaphysics that stretches from Plato to Hegel with the post-metaphysical thinking that began with Marx and Kierkegaard. Although drafts of the second and third versions from 1813 and 1815 have long been available in English, this translation by Joseph P. Lawrence is the first of the initial 1811 text. In his introductory essay, Lawrence argues for the importance of this first version of the work as the one that reveals the full sweep of Schelling's intended project, and he explains its significance for concerns in modern science, history, and religion. (shrink)

Clinical ethics consultants should show bold moral courage in discharging their duties to patients, families, and healthcare providers. Given the corrosive impact on trust, and on the appropriate d...

As currently practiced, the use of continuous sedation until death (CSD) is controlled by clinicians in a way that may deny patients a key choice in controlling their dying process. Ethical guidelines from the American Medical Association and the American Academy of Pain Medicine describe CSD as a “last resort,” and a position statement from the American Academy of Hospice and Palliative Medicine describe it as “an intervention reserved for extreme situations.” Accordingly, patients must progress to unremitting pain and suffering (...) and reach a last-resort stage before the option to pursue CSD is considered. Alternatively, we present and defend a new guideline in which decisionally capable, terminally ill patients who have a life expectancy of less than six months may request CSD before being subjected to the refractory suffering of a treatment of “last resort.”. (shrink)

Neil Levy offers the most prominent moral principles that are specifically and exclusively designed to apply to neuroethics. His two closely related principles, labeled as versions of the ethical parity principle , are intended to resolve moral concerns about neurological modification and enhancement [1]. Though EPP is appealing and potentially illuminating, we reject the first version and substantially modify the second. Since his first principle, called EPP , is dependent on the contention that the mind literally extends into external props (...) such as paper notebooks and electronic devices, we begin with an examination of the extended mind hypothesis and its use in Levy’s EPP . We argue against reliance on EMH as support for EPP . We turn to his second principle, EPP , which is not dependent on EMH but is tied to the acceptable claim that the mind is embedded in, because dependent on, external props. As a result of our critique of EPP , we develop a modified version of EPP , which we argue is more acceptable than Levy’s principle. Finally, we evaluate the applicability of our version of EPP. (shrink)

Some bioethicists have argued in favor of a sliding scale notion of competence, paternalistically requiring greater competence in relation to more significant risk. I argue against a sliding scale notion, taking issue with the positions of Allen E. Buchanan and Dan W. Brock, Ian Wilkes, and Joel Feinberg. Rejecting arguments that a sliding scale is supported by legal cases, by ordinary usage, and by fallible judgments about competence, I argue in favor of greater evidence of competence when risk is greater. (...) Two clinical cases are examined, both involving amputation, to show that my fixed concept of competence, with a requirement of clearer evidence of competence when risk is high, better accounts for good moral decisions in bioethics. (shrink)

Lukas J. Meier et al. offer the promise of a pathway for resolving clinical bioethical problems using an artificial intelligence interface. The ultimate goal, we assume, is...