pour l'autre en nous et parmi nousAn apologia seeks to cover up the revolutionary moments in the course of history. The establishment of continuity is dear to its heart. It only gives importance to those elements of a work that have already generated an after-effect. It misses those points at which the transmission breaks down and thus misses those jags and crags that offer a handhold to someone who wishes to move beyond them.I am all the same convinced that these (...) notes [in Culture and Value] can be properly understood and appreciated only against the background of Wittgenstein’ s philosophy and, furthermore, that they make a contribution to our understanding of that philosophy. (shrink)

Decisions must be justified. In medical ethics various grounds are given to justify decisions, but ultimate justification seems illusory and little considered. The philosopher Wittgenstein discusses the problem of ultimate justification in the context of general philosophy. His comments, nevertheless, are pertinent to ethics. From a discussion of Wittgensteinian notions, such as 'bedrock', the idea that 'ultimate' justification is grounded in human nature as such is derived. This discussion is relevant to medical ethics in at least five ways: it shows (...) generally what type of certainty there is in practical ethics; it seems to imply some objective foundation to our ethical judgements; it squares with our experience of making ethical decisions; it shows something of the nature of moral arguments; and, finally, it has implications for teaching medicine and ethics. (shrink)

I am grateful to the four reviewers of The Territories of Science and Religion for their careful and insightful readings of the book, and their kind words about it. They all got the central arguments pretty much right, and thus any critical comments are not the result of fundamental misunderstandings. While there are some common themes in the assessments, each reviewer, happily, has offered a distinct perspective on the book. For this reason I will deal with their comments in turn, (...) but with a focus throughout on a generally expressed concern about the broader implications of the book's historical analysis, and what positive or concrete proposals might follow from it. (shrink)