This paper proposes that being able to feel self-pity is important to be resilient against injustices because it enables self-transformation. The suggestion for this reassessment of self-pity as a crucial self-conscious emotion for a more humanistic world aims to be an example of how philosophical reflection can be insightful for emotion research. The first part of the paper outlines a general introduction of philosophy of emotions and a description of how Hume’s analysis of pride (...) changed its meaning and pertinently linked it to human agency. The second part of the paper is devoted to self-pity and aims to offer a modified interpretation of its experience, ultimately suggesting that it is a way to cultivate resistance and endure injustices in the world. It begins by putting forward the generally accepted take on self-pity and then suggests that dismissing self-pity may increase its duration, and ultimately work as a type of denial of the world’s injustices. After describing how self-pity can be seen as a tour de force where the self is in a relationship of pity with itself, it further elaborates how self-pity may be taken as a type of calibration similar to how sleep works for the functioning organism. This makes it possible to interpret self-pity as a way to resiliently resist injustices while not dismissing them and keeping up the struggle to make the world a better place. Finally, the concluding remarks point out some consequences for the education of emotions and possible future research directions to be explored. Analogously to the undeniable way by which Hume changed the meaning of the emotion of pride, the conclusion hopes that a new way to understand self-pity is available. The overall goal is to amplify the already existing psychological descriptions showing the complementary role of philosophical research for the development of emotion research in general. (shrink)

The altruistic emotions of pity and compassion are discussed in the context of Aristotle's treatment of the former in the Rhetoric, and Nussbaum's reconstruction of that treatment in a recent account of the latter. Aristotle's account of pity does not represent it as a virtue, the context of the Rhetoric rather rendering his account one of a peculiarly self-centred emotion. Nussbaum's reconstruction builds on the cognitive ingredients of Aristotle's account, and attempts to place the emotion of compassion (...) more squarely in the moral sphere. It is argued that Nussbaum's reconstruction nevertheless falls short of capturing the altruism which is central to the virtue of compassion, and which therefore explains its role as a ‘basic social emotion’. (shrink)

Scholarly accounts of the training of pity in Jean-Jacques Rousseau's Emile focus on how Emile's tutor activates the psychological mechanisms necessary for the feeling of pity in book 4 of the text. This account is inadequate, for it fails to show how Emile acquires the evaluative ability to make the judgment about who deserves pity as well as the willingness to adjudicate his own and others' interests. In this article, Wing Sze Leung argues that books 1 through (...) 3 lay the foundation by developing in Emile the attitudes and dispositions that guide him in his judgment-making about which kind of life he should pursue. Books 4 and 5 then develop Emile's ability to make interpersonal judgments of pity through habituated practice. By gradually cultivating Emile's sensitivity to the potential conflict between his self-interests and others' well-being, as well as the resolution to refrain from infringing on others' interests and to pursue the common good, Rousseau's long-term educational project molds Emile's disposition to act as justice demands. The article concludes with a brief response to some criticisms about Rousseau's educational project. (shrink)

This reflection essay examines the poem “My own heart,” one of Gerard Manley Hopkins’ Terrible Sonnets, to inspect Hopkins’ articulation of his changed attitude in how he talks to himself. After introducing the concept of self-talk as it figures in Psalms 42 and 43 and identifying its place in the Ignatian tradition, this essay offers a close reading of the poem to see how Hopkins learns to talk to himself more graciously during the spiritual phase of desolation. His desire (...) to “have more pity on” himself expresses a desire to surrender to God's compassion and timing. Hopkins’ ability to render this human experience of struggle and surrender, without any real change in circumstance or without the arrival of consolation, helps us understand both why this faculty of gracious self-talk is so life giving and how we can practice it ourselves. (shrink)

Pity is an emotion which is intimately connected with virtue. If I were impervious to anger I could still be a paragon of rectitude. My emotional peculiarity might even be explained by moral saintliness. If I had a pitiless heart my entire life would surely be an abject moral failure. The imputation of an inability to pity strikes us as a damning moral criticism; it is one we are likely to make, for example, against those who commit acts (...) of extreme cruelty. Yet pity is hardly ever welcomed by its recipients, and for that reason it differs in a puzzling way from other emotions which are closely associated with virtue, such as gratitude or compassion. The prospect of becoming an object of pity is alarming, and not merely because we fear the misfortune that would evoke pity in others; it is alarming in part because we suspect that being on the receiving end of that emotion could seriously aggravate our plight. We also regard an aversion to being pitied as commendable, perhaps even morally commendable. There is something shameful in wanting to be pitied, just as there is in the indulgence of self-pity. The aged and the physically disabled do not want our pity, as a rule, and we think better of them for not wanting it. Finally, we know that those who give pity are frequently guilty of serious wrongdoing. A pitiless heart may be a terrible thing, but a fondness for dispensing pity is scarcely any better. (shrink)

From the foreword by Steve Schlissel: "Rushdoony sounds the clarion call of liberty for all who remain oppressed by Christian leaders who wrongfully lord it over the souls of God's righteous ones... I pray that the entire book will not only instruct you in the method and content of a Biblical worldview, but actually bring you further into the glorious freedom of the children of God. Those who walk in wisdom's ways become immune to the politics of guilt and (...) class='Hi'>pity." Man has trampled God's law under foot. In doing so, he has misused himself and trampled on the God-given rights of his fellowman. He is conscious of his guilt, and seeks self-justification through self-atonement. The author makes it perfectly clear that there is only one way of escape from present slough and despair. It is in turning in heartfelt repentance to God who has already provided atonement in the sacrifice of His Son. And true repentance includes a return to the doing of God's will as revealed in God's Word, the Bible. (shrink)

For Rousseau, there are only three things he does not reason away apart from reason itself: self-interest, the good and, at least until Emile, pity. This paper argues that it is Rousseau’s original formulation of pity in the Second Discourse that is able to provide the extra-rational conception of ethics that his political and educational philosophy lacks when limited to a reading of the Social Contract and Emile. This paper will also show how the reconceptualisation of these (...) existential predicates is usefully aligned with a reading of Derrida’s conceptions of immunity and autoimmunity. By reconceiving Rousseau’s educational and political thinking in terms of the primacy of pity rather than reason, this paper will present a kind of philosophical prototype for beginning to rethink contemporary educational and political logic in terms of the primacy of pity more generally. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:A Plea for PityRobert H. KimballIntroductionDoes the ability to feel pity toward the unfortunate represent one of humanity's better instincts, on par with the capacity for love, compassion, and forgiveness? Or is pity actually one of our morally baser emotions, like jealousy, envy, or hatred, because pity can include contempt for its object and an attitude of morally reprehensible superiority on the part of the pitier? (...) Surprisingly, there is little philosophical consensus on this issue, with informed opinion nearly equally divided. That the same emotion can elicit such contrary evaluations shows how elusive a clear understanding of pity can be.Furthermore, is there something wrong—either logically or morally—with attempting to arouse the emotion of pity in others when they do not already feel it themselves (or do not feel it as intensely as we want them to)? Should appeals to pity be rejected because any emotion is inimical to clear thinking or simply irrelevant to the justification of action? Or is there something particularly morally reprehensible about trying to manipulate another's emotions and actions specifically on the basis of pity? Alternatively, at least in some cases could an exhortation to pity be an acceptable, even desirable, aspect of moral education or an often-necessary reminder to care about the misfortunes of others and not just to pursue our own self-interests? Surprisingly, opinion (at least in the informal fallacy tradition) is remarkably unanimous about the undesirability of appealing to pity. But I think their reasons can be improved upon.Traditional analyses of appeal to pity do not seriously analyze the emotion being appealed to, and most treatments of pity as an emotion do not address its use in rhetorical manipulation. I claim that what is wrong with appeal to pity can be satisfactorily understood only if pity itself is adequately understood. I propose to proceed by combining these two questions: what is wrong with pity? and what is wrong with appeal to pity? [End Page 301]In answering the second question, the textbook tradition of informal fallacy analysis holds that when a speaker attempts to arouse pity in an audience in order to induce an action, this situation should be interpreted not under the rubric of nonlogical causal influence, manipulation, or rhetorical persuasion but rather as belonging to the domain of (informal) logic, and in particular as a failed attempt at argument in which a descriptive premise that A pities B does not entail the normative conclusion that B deserves A's help (or that A should help B). Thus in the informal fallacy tradition, experiencing the emotion of pity is never a valid justification for action.2 I believe this rigid reason/emotion distinction has little basis in our actual belief-forming and decision-making practices. Nor do I believe that emotion should be excluded from reasoning, since our emotions are often informative and are sometimes more reliable guides to action than argument.In Appeal to Pity, Douglas Walton (1997) presents a nuanced and considerably more subtle alternative to the textbook tradition, in which he evaluates epistemically the effect of the emotional state of pity on practical reasoning. Analyzing such cases as charitable appeals (e.g., for starving people and disaster victims, arguments for hardship exemptions from general rules, and alleged atrocities), he emphasizes especially the particularizing nature of pity and the way it overrides universal principles, especially of justice. Under Walton's epistemic evaluation of pity, it emerges as a reason-clouding emotion under certain conditions. Furthermore, he shows how the occurrence of pity is susceptible to manipulation; he emphasizes especially cases in which pity is not actually deserved or justified but is manipulatively made to seem so.But Walton looks at a very small slice of the landscape of pity and what might be problematic about it. So in order to evaluate pity fully—not just epistemically but also as a moral emotion and its role in a fully flourishing life—we need to expand our concept of pity. In fact, pity is a very difficult and complex emotion to analyze (Solomon 1993).Definition of "pity"In pitying someone, such as a homeless person, a starving child, or a mutilated... (shrink)

RESUMO:A hipótese apresentada neste texto é a de que a piedade, que Rousseau também denomina “segundo princípio”, encontrado por ele “ao meditar nas primeiras e mais simples operações da alma humana”, não é um princípio antagônico ao amor de si. Pretende-se mostrar como o dualismo radical dos princípios se renderia diante da evidência de uma unidade representada por um duplo movimento: o de fixar-se ou aderir-se em si e o de expansão, que seria a expressão da piedade. Desse ponto de (...) vista, o segundo princípio teria um status complementar do amor de si e não opositivo a ele, como algumas interpretações propõem. Entretanto, é uma discussão complexa, uma vez que nela estão implicadas as controvérsias entre os intérpretes de Rousseau em relação à possível divergência da noção de piedade, no Segundo Discurso, no Emílio e no Ensaio sobre a Origem das Línguas, além das discussões em torno da datação do Ensaio. ABSTRACT:The hypothesis presented in this article is that pitié, or the “second principle”, which Rousseau claims to have found by “contemplating the first and simplest operations of the human soul”, is not antagonistic to the first principle. I intend to show how the radical dualism of the principles can yield before the evidence of a unity represented by a double movement: rentrer sur soi and self-expansion. From this point of view, the “second principle” has a complementary status to love of self, and not an opposing one as some interpretations propose. However, this is a complex discussion involving controversies among the interpreters of Rousseau, a discussion which concerns the possible divergence of the concept of compassion in the Discourse on Inequality, Émile, and the Essay on the Origin of Languages, and also involves questions about the date of the writing of the latter work. (shrink)

Self-compassion is considered to be a healthy and adaptive attitude towards oneself, occurring both as a feature, as well as a state. Self-compassionate attitude towards oneself is composed of: a) kindness and understanding given to oneself b) mindfulness of one’s own experiences and c) a sense of community of experiences with humanity. Compassion towards oneself is structurally and functionally distinct from the self-commiseration and self-pity that lead to worse adaptation. Research shows that self-compassion is (...) associated with better regulation of negative emotions. Neff in her theoretical assumption states that due to more effective emotion regulation, people with a higher level of selfcompassion can generally cope better with reality. Therefore a question arises as to what the relationship is between a compassionate attitude towards oneself and social functioning of people. This article is a review of research that has been conducted so far regarding relations between self-compassion and the various dimensions of social functioning. (shrink)

Origins. environment. first influences. the Russian gentry -- Solitude. anguish. freedom. revolt. pity. doubts and wrestlings of the spirit. reflections on eros -- First conversion. search for the meaning of life -- The domain of philosophical knowledge. philosophical sources. existentialism and romanticism -- Conversion to socialism. the domain of revolution. Marxism and idealism -- The russian cultural renascence of the early twentieth century. encounters -- The movement towards christianity. the drama of religion -- The domain of creativity. the meaning (...) of the creative act. the creative act as ecstasy -- The russian revolution and the domain of communism -- Russian and the west -- My final philosophical outlook. confession of faith. the domain of eschatology. time and eternity -- Concerning self-knowledge. the limits of self-knowledge. auto-biographical conclusion. years of ordeal. (shrink)

The study focuses on the debates on self-love in early 18th - century British moral philosophy. It examines the intricate relations of these debates with questions concerning human nature and morality in five central authors : Anthony Ashley Cooper the 3rd Earl of Shaftesbury, Bernard Mandeville, Francis Hutcheson, Joseph Butler and Archibald Campbell. One of the central claims of this study is that a distinction between five different concepts of self-love is necessary to achieve a clear understanding of (...) the debates on self-love. Thus, egoistic self-love, self-love as love of praise, self-love as self-esteem, self-love as excessive pride and self-love as self-respect are distinguished. The role of these different concepts is analysed in the mentioned authors ’ theories of human nature and morality, and the relations between the concepts of self-love and other essential concepts of moral philosophy such as benevolence, pity and virtue are examined. This study highlights the importance of the widely discussed claim that self-love is the only motive for human agents and shows that the moral rehabilitation of self-love becomes an important issue for the period. Commentators generally agree on the importance of the notion of self-love for the period’s moral philosophy, yet little attention has been paid to the different concepts of self-love. Present-day philosophy’s tendency to equate self-love with egoism is too simplistic, and the insufficient recognition of the vagueness of the notion of self-love is shown to be an impediment to an appropriate reconstruction of important arguments in the debates on self-love. The framework suggested in this study thus enables a better comprehension of the different accounts of self-love in the selected authors ’ moral psychologies, and of their views of the moral value of self-love. This facilitates the shedding of light on central aspects of moral philosophy at the beginning of the 18th century. (shrink)

The premier volume in the _Progress in Self Psychology_ Series was completed two years after Heinz Kohut's death in 1981. Hence, this volume has a unique status in the history of self psychology: it bears the imprint of Kohut while charting a course of theoretical and clinical growth in the post-Kohut era. Biographical reminiscences about Kohut and commentaries on Kohut's "The Self-Psychological Approach to Defense and Resistance" [chapter seven of _How Does Analysis Cure?_] are juxtaposed with a (...) section of self-psychological reassessments of interpretations. Clinical papers cover the selfobject transferences, patient compliance, and the "self-pity response", while theoretical contributions present ideas of Stolorow, Bacal, White, and Detrick that are foundational to their subsequent writings. This volume helped to shape the theoretical and clinical agenda of self psychology in the decades following Kohut's death. (shrink)

This paper is devoted to explicating Dai Zhen’s defense of self-interested desires, over and against a tradition that sets strict limits to their range and function in moral agency. I begin by setting the terms of the debate between Dai and his opponents, noting that the dispute turns largely on the moral status of directly self-interested desires, or desires for one’s own good as such. I then consider three of Dai’s arguments against views that miscategorize or undervalue directly (...) self-interested desires. I begin with the most widely recognized line of defense, which holds that the suppression of such desires makes those in positions of authority less sensitive to the mistreatment of those with whose interests they are entrusted. I call this the “Pity for the Powerless” argument. I then explore an argument that Dai offers in the form of a multi-faceted metaphor, which likens the suppression of desires to attempts to block or dam natural waterways. I call this is the “Damming the Desires” argument. I conclude with a brief summary of a third and fundamental defense implied by structural features of ethics as Dai understands them. On my reading, Dai thinks ethics is concerned first and foremost with the character traits and resultant behavior that allow us to participate in relationships, and the relationships in question are mutually beneficial, not one-sided or reciprocal. I call this the “Argument from Mutual Fulfillment.” On the view spelled out here, directly self-interested desires are not just morally tolerable, nor is the possession of them merely a necessary condition for the possession of moral virtue; instead, moral virtue is constituted in part by self-interested desires. This is the strong position that Dai endorses when he characterizes the Confucian path as the “way of mutual fulfillment.”. (shrink)

The arguments advanced in this paper are the following. Firstly, that just as Trevarthen’s three subjective/intersubjective levels, primary, secondary, and tertiary, mapped out different modes of access, so too response is similarly structured, from direct primordial responsiveness, to that informed by shared pragmatic concerns and narrative contexts, to that which demands the distantiation afforded by representation. Secondly, I propose that empathy is an essential mode of intentionality, integral to the primary level of subjectivity/intersubjectivity, which is crucial to our survival as (...) individuals and as a species. Further to this last point, I argue that empathy is not derived on the basis of intersubjectivity, nor does it merely disclose intersubjectivity, rather it is constitutive of intersubjectivity at the primary level. Empathy is a direct, irreducible intentionality separable in thought from the other primary intentional modes of perception, rationality, memory and imagination, but co-arising with these. In regard to the inter-personal level, the concrete relations with others, primary empathy is both the ground for the possibility of the secondary manifestations—pity, sympathy, perspective taking, etc., and motivates them. Thirdly, it is the movement in the core of subjectivity initially generated by shifting attention between the ‘I’ and ‘we’ perspectives and later ‘solidified’ through affect to become shifting identification, which opens up the intersubjective domain. So we can affirm that we are not only born into sociality but our sociality goes to the roots of our being as Husserl, Heidegger and Merleau-Ponty have claimed. (shrink)

Hate speech is one of the most important conceptual categories in anti‐oppression politics today; a great deal of energy and political will is devoted to identifying, characterizing, contesting, and penalizing hate speech. However, despite the increasing inclusion of gender identity as a socially salient trait, antipatriarchal politics has largely been absent within this body of scholarship. Figuring out how to properly situate patriarchy‐enforcing speech within the category of hate speech is therefore an important politico‐philosophical project. My aim in this article (...) is twofold: first, I argue that sexist speech, though oppressive, is not hate speech. Second, I argue that misogynistic speech is hate speech, even when it is intradivisional. This is important because recognizing that the concepthate speechapplies to certain forms of patriarchy‐enforcing speech is another step in clarifying what is wrong with the practice, and how bad it is in relation to other abuses. Consequently, this article provides a more nuanced account of the kinds of expressions that can and should count as instances of hate speech. (shrink)

In this article I analyse two complaints of white vilification, which are increasingly occurring in Australia. I argue that, though the complainants (and white people generally) are not harmed by such racialized speech, the complainants in fact harm Australians of colour through these utterances. These complaints can both cause and constitute at least two forms of epistemic injustice (willful hermeneutical ignorance and comparative credibility excess). Further, I argue that the complaints are grounded in a dual misrecognition: the complainants misrecognize themselves (...) in their own privileged racial specificity, and they misrecognize others in their own marginal racial specificity. Such misrecognition preserves the cultural imperialism of Australia’s dominant social imaginary—a means of oppression that perpetuates epistemic insensitivity.Bringing this dual misrecognition to light best captures the indignity that is suffered by the victims of the aforementioned epistemic injustices. I argue that it is only when we truly recognize difference in its own terms, shifting the dominant social imaginary, that “mainstream Australians”can do their part in bringing about a just society. (shrink)

This book provides a philosophical examination of the extent to which legalizing same-sex marriage can contribute to ending the discrimination and social stigma faced by LGBT men and women in the Western world.

ABSTRACT In this commentary I evaluate what McGowan’s project would conclude with respect to the treatment of professional Australian Football League player Adam Goodes, who was incessantly ‘booed’ by crowds for the final two years of his career. Analysing Goodes’ case in light of McGowan’s argument leads me to two observations. First, McGowan’s norm-enactment approach is incredibly useful because it explains how words like ‘boo’ (with unstable meaning) can constitute actionable discrimination. Second, however, I wonder if a narrow focus on (...) whether such speech is legally actionable might encourage an overestimation of the power of laws to shepherd new g-norms into social practices. (shrink)

This book aims to understand why women are the targets of online hate speech and how we can stop this from occurring.

This article identifies five genres of anti-queer hate speech found in The Australian’s Facebook comments sections, exposing and analyzing the ways in which such comments are used to derogate cisgender and heterosexual women. One may be tempted to think of cis-het women as third-party victims of queerphobia; however, this article argues that these genres of anti-queer speech are, in fact, misogynistic. Specifically, it argues that these are instances of cis-hetero-misogynistic hate speech. Cis-hetero-misogyny functions as the “law enforcement branch” of a (...) cis-hetero-patriarchal gender order. Given the existence of such an order, it is clear that cis-het women’s liberation is inextricable from queer liberation. This article argues that to facilitate allyship and challenge this gender order—the order that elicits such hate speech acts—we need an epistemological revolution in the way we recognize and re-cognize human difference. (shrink)

Background The fourth section of the 1967 Abortion Act states that individuals (including health care practitioners) do not have to participate in an abortion if they have a conscientious objection. A conscientious objection is a refusal to participate in abortion on the grounds of conscience. This may be informed by religious, moral, philosophical, ethical, or personal beliefs. Currently, there is very little investigation into the impact of conscientious objection on service users in Britain. The perspectives of service users are imperative (...) in understanding the real-world consequences and potential impact of conscientious objection and should be considered when creating and reviewing policies and guidelines. This research provided a platform for women and those who can become pregnant to share their experiences and opinions at a time when these voices are largely excluded in the great tradition of Western political philosophy and law-making processes. Method Five service users were interviewed using a narrative interview approach to uncover their abortion journeys and experiences of conscientious objection. Findings The findings were presented as found poems and uncovered that doctors are not always: informing service users that they have a conscientious objection to abortion, giving service users enough information to access abortion (indirect referral), treating them non-judgmentally, and providing medically correct information. Service users did not experience burdens such as long waiting times and were still able to access legal abortion. However, service users did experience negative emotional effects, as they were often left feeling scared, angry, and hopeless when they were not referred and/or were mistreated. Conclusions Findings indicate that conscientious objection could work in practice. However, it is currently failing some individuals on an emotional level, as not all doctors are adhering to guidelines. Conscientious objection in Britain needs to be addressed, to ensure service users receive fair, impartial, non-judgmental care. (shrink)

The past two decades have been a time of heightened interest in the moral aspects of the practice of medicine. This interest has been reflected in medical education by the establishment of medical humanities programs in both preclinical and clinical education in many medical schools. It has also been reflected in the literature with a dramatic increase in journal articles on medical ethics as well as the development of medical ethics in textbooks. A number of journals have developed that are (...) specifically devoted to medical ethics, including The Journal of Medical Ethics, The Journal of Medicine and Philosophy, The Journal of Medical Humanities, Theoretical Medicine, Cambridge Quarterly of Healthcare Ethics, just to name a few. The literature includes both theoretical foundations and conceptual analyses of particular issues as well as practical advice and general suggestions for how to implement programs in medical humanities. (shrink)

The prominent call to legalise same-sex marriage in Australia raises questions concerning whether its achievement will result in amplified societal acceptance of lesbian, gay, bisexual, and transgender (LGBT) people, and on what grounds this acceptance will take place. Same-sex marriage may not challenge heteronormative and patriarchal features typically associated with marriage, and may serve to reinforce a hierarchy that promotes traditional marriage as the ideal relationship structure. This may result in only assimilationist acceptance of LGBT people. However, the consequence of (...) inclusion to marriage ought to reflect social acceptance of LGBTs as people worthy of equal treatment in dignity and in rights, regardless of perceived differences or similarities to a supposed majority standard. This article argues that justice would be best served by introducing and promoting a variety of State-sanctioned unions whilst simultaneously introducing same-sex marriage. This ‘pluralisation strategy’ would increase awareness and legitimacy of other relationship-recognition options, promoting respectful acceptance of LGBT and heterosexual people alike. (shrink)

In the wake of a pilot study that indicated that the experience of medical education appears to Inhibit moral development In medical students, increased attention needs to be given to the structure of medical education and the Influence it has on medical students. Interest in ethics and moral reasoning has become widespread in many aspects of professional and public life. Society has exhibited great interest in the ethical issues confronting physicians today. Considerable effort has been undertaken to train medical students, (...) interns, and residents In how to reason through medical-ethical dilemmas. Media attention has focused on Issues such as abortion, euthanasia, care of severely handicapped infants, organ transplantation, and so forth, producing heated debates in both the professional and lay literature over the morality of the various positions. The curriculum of medical education has paralleled and reflected this general Interest in medical ethics. Most medical schools now offer, and frequently require, course work in ethics. However, further research Is needed to better characterize and understand the relationship of medical education to moral development. (shrink)

High moral standards and adherence to a moral code have long been strong tenets of the profession of medicine, even though there have been occasional lapses that have led to renewed calls for a revitalization of moral integrity in medicine. Certainly, a moral component has generally been held to be an important aspect of the concept of a physician.

The Norman Rockwell image of the American physician who fixed the broken arm of a child, treated the father for hypertension, and brought an unborn child into this world is now almost nonexistent. Since the time of the Rockwell portrait, a highly technical medical industry has evolved. Now two-thirds of physicians are board certified in subspecialties, and patients visit an average of 3–4 different physicians per year. Today's physicians see themselves less as “benevolent and wise counselors overseeing the patient's welfare (...) and more as objective scientists applying the latest technical methods to bring about the desired end.” The intimate patient-physician relationship that was once the norm in our society is rapidly disappearing. (shrink)

The medical ethicist is a fairly recent addition to the clinical setting. The following four potential roles of the clinical ethicist are identified and discussed: consultant in difficult cases, educator of health care providers, counselor for health care providers and finally patient advocate to protect the interests of patients. While the various roles may sometimes overlap, the roles of educator and counselor are viewed as being more congruent with the education and training of medical ethicists than are the roles of (...) consultant and patient advocate. (shrink)

In contrast to theoretical discussions about potential professional liability of clinical ethicists, this report gives the results of empirical data gathered in a national survey of clinical medical ethicists. The report assesses the types of activities of clinical ethicists, the extent and types of their professional liability coverage, and the influence that concerns about legal liability has on how they function as clinical ethicists. In addition demographic data on age, sex, educational background, etc. are reported. The results show that while (...) nearly one third (28.9%) of the ethicists regularly make recommendations about patient care, only 10.8% of them regularly make entries in the medical record; only approximately half (53.0%) of them are covered by professional liability (malpractice) insurance; and the vast majority (84.3%) of them say that concerns about legal liability do not influence the way they function as clinical ethicists. (shrink)

In recent years, the theoretical work of Gilligan in women's psychological development has led to the development of the concept of moral orientation or moral voice in contrast to the concept of moral reasoning or moral judgment developed by Kohlberg. These concepts have been of particular interest in gender studies, especially as applied to adolescence. These concepts of moral orientation and moral reasoning are being increasingly employed in healthcare ethics studies in a wide variety of settings. The recent work has (...) included studies of physicians, nurses, dentists, veterinarians, social workers, teachers of medical ethics, and hospital ethics committees. However, the study of moral development in healthcare providers has been hampered because collecting the necessary data from healthcare workers has been labor intensive and extremely time consuming. More efficient methods are needed. (shrink)

Socialism grew up in opposition to capitalism, just as liberalism developed in reaction to feudalism. Both liberalism and socialism combined potent critiques of the existing socio‐economic order with blueprints for a desirable future society. However, liberalism provides a rather more coherent body of thought than does socialism, and its theories are linked with the emergence of a dominant system combining capitalism and liberal democracy. By contrast, no widespread socio‐economic order has as yet emerged which can be confidently or closely associated (...) with the ideas of socialism. In both cases the relationship between theories and actual systems is a contestable one, but it has been particularly problematic in the history of socialism. (shrink)

This study investigates the three major educational philosophies behind the medical humanities programs in the United States. It summarizes the characteristics of the Cultural Transmission Approach, the Affective Developmental Approach, and the Cognitive Developmental Approach. A questionnaire was sent to 415 teachers of medical humanities asking for their perceptions of the amount of time and effort devoted by their programs to these three philosophical approaches. The 234 responses constituted a 54.6% return. The approximately 80:20 gender ratio of males to females (...) and other demographic data on age and educational background were consistent with other studies of the field of medical humanities.Reflections on the results in Table II indicate that some changes need to take place in the teaching of the medical humanities if the perceived ideal is to be achieved. In order for the current teachers of the medical humanities to think that the appropriate philosophies behind the teaching of the medical humanities are being implemented as they should be, much less time and effort need to be devoted to the Cultural Transmission Approach. With no other published reports on the educational philosophies behind the medical humanities programs, this study created a new knowledge base about this relatively young and rapidly emerging field. (shrink)