So, let us begin in the middle of things. There are two senses in which I think that philosophy must begin in the middle of things: The first is epistemological: I think that the Cartesian ideal of finding an absolute starting point without any presuppositions is illusory. The most that we can do is to be aware of our presuppositions; we cannot eliminate them. Wherever we choose to start, we are in the middle of things epistemologically. The second way in (...) which I think that philosophy must begin in the middle of things is ontological: The objects of my interest at least initially are medium-sized things—primarily people, but also nonhuman organisms and other natural objects, and artifacts, and artworks. These are the kinds of things that populate the world that we all unavoidably contend with and care about. And it is that world—the everyday life world—that I am ultimately interested in understanding. (shrink)

The book also includes extensive discussions of the nature and purpose of political theorizing, and it asks whether theories of justice should take only social ...

Previous edition, 1st, published in 1971.

Book Information A Theory of Justice: Revised Edition. By John Rawls. Oxford University Press. Oxford. 1999. Pp. xxii + 538. Hardback, £25.00. Paperback, £12.99.

After distinguishing two different meanings of the notion of a morality internal to medicine and considering a hypothetical case of a society that relied on its surgeons to eunuchize priest/cantors to permit them to play an important religious/cultural role, this paper examines three reasons why morality cannot be derived from reflection on the ends of the practice of medicine: (1) there exist many medical roles and these have different ends or purposes, (2) even within any given medical role, there exists (...) multiple, sometimes conflicting ends, and, most critically, (3) the ends of any practice such as medicine must come from outside the practice, that is, from the basic ends or purposes of human living. The paper concludes by considering whether these ends external to medicine are universally part of the moral reality or whether they are socially constructed. The paper argues that, even if various cultural accounts of the common, universal morality are socially constructed, they may, nevertheless, be reflections, however, imperfect, of a more universal common morality that should be thought of as real. Therefore, the morality of medicine must come from a more fundamental morality external to medicine. That external morality will be socially constructed, but may nevertheless reflect an underlying common morality. (shrink)

Gerald Dworkin has argued that it is inconsistent with the proper ends of medicine for a physician to participate in an execution by lethal injection. He does this by proposing a principle by which we are to judge whether an action is consistent with the proper ends of medicine. I argue: (a) that this principle, if valid, does not show that it is inconsistent with the proper ends of medicine for a physician to participate in an execution by lethal injection; (...) and (b) that this principle is not valid, and this is because it mistakenly views the promotion of patient autonomy as one of the proper ends of medicine. Rather, I propose, we should view respect for a patient's autonomy as a constraint on the pursuit of the proper ends of medicine, rather than as one of the proper ends itself. With this revised understanding of the proper ends of medicine, we can conclude that it is inconsistent with the proper ends of medicine for a physician to participate in an execution by lethal injection. (shrink)

How should philosophy be pursued? I want to defend a conception of philosophy in mediis rebus—philosophy in the middle of things. The more familiar Latin phrase is ‘in medias res,’ but Latin distinguishes two readings of ‘in the middle of things.’ There’s the middle of things from which one starts, and there’s the middle of things into which one jumps. ‘In medias res’ is the middle of things into which one jumps; I, however, mean to invoke the middle of things (...) from which one starts. Thus, risking an accusation of pedantry, I use ‘in mediis rebus.’. (shrink)

The United States Supreme Court recently ruled that execution by a commonly used protocol of drug administration does not represent cruel or unusual punishment. Various medical journals have editorialized on this drug protocol, the death penalty in general and the role that physicians play. Many physicians, and societies of physicians, express the opinion that it is unethical for doctors to participate in executions. This Target Article explores the harm that occurs to murder victims' relatives when an execution is delayed or (...) indefinitely postponed. By using established principles in psychiatry and the science of the brain, it is shown that victims' relatives can suffer brain damage when justice is not done. Conversely, adequate justice can reverse some of those changes in the brain. Thus, physician opposition to capital punishment may be contributing to significant harm. In this context, the ethics of physician involvement in lethal injection is complex. (shrink)

Plato on Knowledge and Forms brings together a set of connected essays by Gail Fine, in her main area of research since the late 1970s: Plato's metaphysics and epistemology. She discusses central issues in Plato's metaphysics and epistemology, issues concerning the nature and extent of knowledge, and its relation to perception, sensibles, and forms; and issues concerning the nature of forms, such as whether they are universals or particulars, separate or immanent, and whether they are causes. A specially written introduction (...) draws together the themes of the volume, which will reward the attention of anyone interested in Plato or in ancient metaphysics and epistemology. (shrink)

An argument against the participation of physicians in capital punishment by means of lethal injection.