This paper surveys three controversial new directions in research about the nature of science and briefly summarizes both the intellectual and sociological impact of this work. A bibliographic introduction to the major literature is provided and some fruitful directions for future research are proposed. Philosophers of science are also exhorted to perform 'community service' by correcting misunderstandings of the methods of science fostered by these new approaches.

In lieu of an abstract, here is a brief excerpt of the content:Medicine-Based Values?Åge Wifstad (bio)KeywordsEthics committees, judgment, common moralityToulmin's DiagnosisIn his classical article with the unforgettable title "How medicine saved the life of ethics" (Toulmin 1982), Stephen Toulmin claims that medicine saved ethics by giving the philosophers a positive reality check through medical challenges: (1) Ethics in medicine is a serious topic, not just something to discuss at seminars. If, for example, both A and B need treatment and there (...) are only enough resources for one, the fundamental interests of these two people compete against each other. (2) In clinical medicine, the individual case might demand a different approach than that suggested by theory. Similarly, an ethicist who is confronted by a diversity of medical cases becomes aware of the fact that solutions drawn from ethical theory can be irrelevant in practice. (3) The moral philosopher has often focused on the individual and his or her universal commitments. The fact that ethical dilemmas can have deep roots in practical challenges and must be understood within a certain context has been "forgotten." (4) In clinically relevant ethics, it is important to find solutions that all involved parties find reasonable. This revitalizes central Aristotelian schools of thought on, for example, ethical judgment and situational understanding.Today, there is a common understanding that in both the education of doctors and in the implementation of medical knowledge and technology there needs to be ethical guidelines and control. Toulmin wants us to see that the background for this agreement is multifaceted. It was not just the ethicists who saved the doctors. The doctors helped the ethicists to escape their academic isolation.Ethics CommitteesThe establishment of ethics committees is perhaps the most interesting example of this. Here it is especially clear how ethical judgment establishes a basis for decision making: Each case presented to an ethics committee is special because one cannot reference decisions made in similar cases. At the same time, we are expected to handle similar cases equally. Consideration of the concrete, individual case must be balanced with the principle of similar treatment. Second, as a committee member, one must interpret and respect ethical principles that cannot be easily defined. Every principle must be interpreted and implemented within a specific and concrete context. Third, one must consider the law, but seen isolated, the implications of relevant rules can be difficult to determine. Fourth, the status of principles and rules are open for interpretation. The most important example of this is the Declaration of Helsinki, which was established through cooperation between the worlds' doctors unions. The strength and end result of such a document can be discussed. Fifth, multiple but partly conflicting juridical and ethical considerations can be [End Page 179] relevant at the same time. An example: Decisions about confidentiality can prevent data gathering that is crucial in ensuring that a research project is scientifically acceptable. Two important ethical considerations are then put up against one another. As a sixth and final point, it can be mentioned that the ethics committee is expected to make a qualitative, scientific judgment. But what kind of quality judgment and how detailed it should be is up for discussion.Two Definitions of Ethical JudgmentThe fact that the committee must base their holistic decision on ethical judgment means that the committee, in an important sense of the word, stands freely: It can be difficult to refer to specific ethical rules or laws when making an external review of the committee's decision. Unless the committee has clearly not followed known principles and rules, then the committee is able to confront criticism by replying that the decision is based on holistic considerations, where many views have been taken into account. In this way, the usage of ethical judgment makes sure that the committee has freedom to act. The catch here is that the committee's responsibility becomes even more obvious. One cannot simply say that the decision is made based on rules and principles formulated by others, such as the state. The committee must, as a unit, be able to defend their decision.The complexity of the work of the committee can, however, make it more tempting to think about ethics in... (shrink)

A certain kind of externalism—"the view from nowhere"—lies at the heart of evidence-based medicine (EBM). As a consequence, the individual case glides out of focus. However, to judge to what extent external knowledge is applicable to an individual case, the clinician has to rely on some sort of knowledge of the case at hand. The article focuses on the tension between the externalism of EBM and the "internal evidence" one has to presuppose when making clinical judgments.

How and why should hope play a key role in a twenty-first century democratic politics? Alan Mittleman offers a philosophical exploration of the theme, contending that a modern construction of hope as an emotion is deficient. He revives the medieval understanding of hope as a virtue, reconstructing this in a contemporary philosophical idiom. In this framework, hope is less a spontaneous reaction than it is a choice against despair; a decision to live with confidence and expectation, based on a rational (...) assessment of possibility and a faith in the underlying goodness of life. In cultures shaped by biblical teaching, hope is thought praiseworthy. Mittleman explores the religious origins of the concept of hope in the Hebrew Scriptures, New Testament, rabbinic literature and Augustine. He traces the roots of both the praise of hope, in Jewish and Christian thought, and the criticism of hope in Greco-Roman thought and in the tradition of philosophical pessimism. Arguing on behalf of a straightened, sober form of hope, he relates hope-as-a-virtue to the tasks of democratic citizenship. Without diminishing the wisdom found in tragedy, a strong argument emerges in favour of hope as a way of taking responsibility for the world. Drawing on insights from scriptural and classical texts, philosophers, and theologians - ancient and modern, Mittleman builds a compelling case for placing hope at the centre of democratic political systems. (shrink)

The article discusses the main features of the Russian philosophy of war that developed in the first third of the 20th century. The author shows that in Russia, the philosophy of war did not develop as a separate broad line of research but limited itself to only a few meaningful, but rather brief, experiments. Nevertheless, many Russian philosophers left deep, well-founded reasoning about war, which can be reconstructed as a consistent system of views. One of its features is the shift (...) in the focus of considering armed violence from the sociological and political to the anthropological and ethical; the focus is not on war as a social phenomenon, but on the human’s position in war. In this regard, the attitude to war in Russian philosophy is paradoxical. On the one hand, war brings a lot of evil in the form of death of many people and destruction, but, on the other hand, it promotes to the manifestation of the best moral qualities in people, up to selflessness and heroism. Armed violence seems to be a tragedy of the Christian conscience, and each participant must independently find a justification for his participation in the war. Based on the conditions of a difficult moral choice, personal, existential justification may come from the idea that people cannot commit violence with a clear conscience. In this case, the person choosing to participate in a war perceives the battle as his own guilt that should be expiated. (shrink)

This view encouraged theorists to consider artistic geniuses the high-priests of humanity, creators of works that reveal the invisible essence of the world."--BOOK JACKET.

Does atrocity age? What I mean to ask is, does time heal wounds that were genocidal or otherwise broad, deep, and caused by a fatal combination of human depravity and widespread indifference? Jean Améry famously refused to let the past be past in his essay “Resentments.” He argued that even if, with regard to the Holocaust, logically speaking, what happened is in the past, there is no moral sense to that. Morality requires of us that we refuse to let the (...) past be whenever we are faced with a past that should have been otherwise. For him, writing 20 years after he was freed from the camps, time had not healed all wounds. Atrocity was not aging gracefully. (shrink)

This is a sweeping and provocative work of aesthetic theory: a trenchant critique of the philosophy of art as it developed from the eighteenth century to the early twentieth century, combined with a carefully reasoned plea for a new and more flexible approach to art.Jean-Marie Schaeffer, one of France's leading aestheticians, explores the writings of Kant, Schlegel, Novalis, Hegel, Schopenhauer, Nietzsche, and Heidegger to show that these diverse thinkers shared a common approach to art, which he calls the "speculative theory." (...) According to this theory, art offers a special kind of intuitive, quasi-mystical knowledge, radically different from the rational knowledge acquired by science. This view encouraged theorists to consider artistic geniuses the high-priests of humanity, creators of works that reveal the invisible essence of the world. Philosophers came to regard inexpressibility as the aim of art, refused to consider second-tier creations genuine art, and helped to create conditions in which the genius was expected to shock, puzzle, and mystify the public. Schaeffer shows that this speculative theory helped give birth to romanticism, modernism, and the avant-garde, and paved the way for an unfortunate divorce between art and enjoyment, between "high art" and popular art, and between artists and their public.Rejecting the speculative approach, Schaeffer concludes by defending a more tolerant theory of art that gives pleasure its due, includes popular art, tolerates less successful works, and accounts for personal tastes."[A] remarkable work.... [Schaeffer's] writing is governed by... the ideals of clarity and consequence, the ideas of logic, truth, and evidence.... Schaeffer is so precise and unrelenting a philosophical critic that one wonders how some of the philosophies he anatomizes here can possibly survive the operation."--From the foreword by Arthur C. Danto. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Alzheimer's Disease, Aging, Chance, and RaceAtwood D. Gaines (bio)KeywordsAlzheimer’s disease, chance, mild cognitive impairment, racism, social constructionsThomas Kirkwood's comments are a welcome, articulate detailing of how and why we age with special reference to the brain. As well, his paper indicates clearly that processes reified as pathology and disease, such as Alzheimer's disease (AD), are in fact common and inevitable as the human brain ages. Doubtless, this is (...) the reason that aging is by far the greatest risk factor for the development of AD. A key notion, briefly mentioned by Kirkwood, is that of chance. He points out that, "cells (will be) burdened with protein aggregates and similar materials that will increase with aging. Once again, which cells will experience this fate and which will continue to function healthily is strongly influenced by chance" (Kirkwood 2006, 80–81). This mention of chance is most important for our paper, "Building a Mystery," and for an understanding of science as well. In "Building a Mystery," Peter Whitehouse and I sought to show that the history of AD was not inevitable and demonstrates a variety of chance and singular decisive occurrences of encounters, interpretations, social movements, government initiatives, and technological developments. Such decisive moments do not occur by virtue of some (natural) lawful process that is unfolding, but rather, these are chance events that could have happened in other ways. Indeed, science has been viewed as human attempts to "tame chance" (Hacking 1990). However, it often does so by sleight of hand, misinterpretation, and the biomedical discourse of hope. Increasingly, we are learning that chance is a commonality, not a rarity, in social and biological domains. The biomedical approach assumes the opposite. For example, it seeks to tame the chance appearance of AD in the case of Auguste D, and does so in part by reifying differences that exist, as Kirkwood notes, along a continuum rather than as the discrete entities implied by the labels Alzheimer's disease or mild cognitive impairment (MCI).We thus stand with Kirkwood's bold recognition of chance (see also Kirkwood 2003) in the biological domain and have applied the same idea to the social domain in which we consider the practice of biomedical science. We have elsewhere emphasized consensus statements in the making of AD (Gaines and Whitehouse 1998). In the present article, we add a number of other chance, decisive sociocultural moments to the mix of social processes producing AD and MCI. We have not considered in detail here a host of cultural features in the theory and practice of biomedicine with respect to AD. These include implicit, yet highly [End Page 83] implicative, cultural notions of bilateral kinship employed in genetic research on AD considered elsewhere (Gaines 1998).Bavidge's comments are cogent as well. With respect to the notion of my concept of the local biology of "race" (Gaines 2005), it is germane to point out here that such culturally constructed biologies are relevant to a discussion of AD and other dementias. Such constructions represent culture in science. We used the dramatic example of "race" in US biomedicine because it is experiencing a resurgence as an explanatory tool. For example, recently Haiman et al. (2006) presented research that suggests that "Among cigarette smokers, African Americans and native Hawaiians are more susceptible to lung cancer than whites, Japanese Americans and Latinos." The authors assert, as have many US studies, that their findings show differences relate to the alleged biology of the social groups concerned. Their problem and that of others, is that the groups are social, not biological, and most have mixed ancestry and do not stem from distinct groups. This is particularly true of African Americans and Latinos; both groups are substantially composed of individuals with European, West African, and Native American ancestry in widely varying proportions (Gaines 2005). Thus, they are different only in terms of their classification. Such work regularly overlooks influences, such as environmental racism, discrimination, poverty, and a lack of medical care, as well as other practices. These might include, in a study of smoking, pakalolo smoking (local marijuana) among Hawaiians, who themselves are usually part Portuguese, Japanese, Chinese, and or European... (shrink)

Arthur Caplan has argued that the presumptive naturalness, universality, and inevitability of aging are no obstacles to conceptualizing aging as a disease since those traits are themselves merely contingent. Moreover, aging lends itself to discussion in terms of diagnostic symptomatology and etiology. Is aging therefore a disease? I argue that aging need not be shown to be unnatural or a disease in order to make it the subject of biomedical interest. I suggest that rather than (...) ask "Is aging a disease?", the better point of philosophical departure would be to ask "Is aging objectionable such that its prevention and cure ought to be sought?". In this way, the moral issues at stake emerge more clearly. Chief among these issues are the potential results of curing aging and the implications for the prospect of meaningful human life without the de facto limitations that aging (and perhaps death) put upon it. A convincing argument that aging should be cured, therefore, would need to show that human significance warrants and possibly seeks such a cure and that the social costs of curing aging are morally acceptable. Keywords: aging, disease, cure, immortality CiteULike Connotea Del.icio.us What's this? (shrink)

This book redraws the intellectual map and sets the agenda in philosophy for the next fifty or so years. By making the theory of signs the dominant theme in Four Ages of Understanding, John Deely has produced a history of philosophy that is innovative, original, and complete. The first full-scale demonstration of the centrality of the theory of signs to the history of philosophy, Four Ages of Understanding provides a new vantage point from which to review and reinterpret the development (...) of intellectual culture at the threshold of "globalization". Deely examines the whole movement of past developments in the history of philosophy in relation to the emergence of contemporary semiotics as the defining moment of Postmodernism. Beginning traditionally with the Pre-Socratic thinkers of early Greece, Deely gives an account of the development of the notion of signs and of the general philosophical problems and themes which give that notion a context through four ages: Ancient philosophy, covering initial Greek thought; the Latin age, philosophy in European civilization from Augustine in the 4th century to Poinsot in the 17th; the Modern period, beginning with Descartes and Locke; and the Postmodern period, beginning with Charles Sanders Peirce and continuing to the present. Reading the complete history of philosophy in light of the theory of the sign allows Deely to address the work of thinkers never before included in a general history, and in particular to overcome the gap between Ockham and Descartes which has characterized the standard treatments heretofore. One of the essential features of the book is the way in which it shows how the theme of signs opens a perspective for seeing the Latin Age from its beginning with Augustine to the work of Poinsot as an indigenous development and organic unity under which all the standard themes of ontology and epistemology find a new resolution and place. A magisterial general history of philosophy, Deely's book provides both a strong background to semiotics and a theoretical unity between philosophy's history and its immediate future. With Four Ages of Understanding Deely sets a new agenda for philosophy as a discipline entering the 21st century. (shrink)

This paper argues that we can see our lives as a snapshot happening now or as a moving picture extending across time. These dual ways of seeing our lives inform how we conceive of the problem of age group justice. A snapshot view sees age group justice as an interpersonal problem between distinct age groups. A moving picture view sees age group justice as a first-person problem of prudential choice. This paper explores these different ways of thinking about age group (...) justice and illustrates them using a principle of respect for human dignity, understood in terms of reasonable support for floor level central human capabilities at each stage of life. I argue that different frames are suitable for different kinds of decisions, and each provides a true, but partial, picture of aging and age group justice. (shrink)

In this volume Jean-Marie Schaeffer offers a detailed and polemical analysis of some of the most important modern aesthetic theories in the German tradition, those of Novalis, Schlegel, Hegel, Schopenhauer, Nietzsche, and Heidegger. His thesis is that, despite their great differences, all these theories belong to the same paradigm. He calls it the “speculative theory of art” and claims that it has become the predominant framework according to which spectators and artists have been thinking about the arts for the last (...) two centuries. One should also include in this paradigm Marxist theories and avant-garde movements, which Schaeffer mentions in the conclusion. In addition, this book contains an interesting chapter on Kant showing how his theory “resists the temptation” of becoming a speculative one. (shrink)

As a leader of the crusade to defeat aging, working to demonstrate both its feasibility and its desirability, I am often seen as an implacable opponent of all arguments that defend aging and criticize this crusade. This is an oversimplification.

In a 2020 paper, 37 authors, all researchers and students in aging biology, pointed out a general lack of consensus in their field, “even on the most fundamental questions”. They evoked a “problem”, for which a solution has yet to be found. But what exactly does this lack of consensus specifically refer to and why should it be inherently problematic? Here, I would like to explore three distinct philosophical reactions when dealing with this issue. First, I will assess the (...) extent to which this lack of consensus can be taken as evidence that science, in a sense, needs philosophy. Then, I will examine how it may be related to the particular nature of the aging phenomenon, which both science and philosophy can help describe and understand. Finally, I will show that this lack of consensus could also be considered, not as a problem, but as an opportunity to question the role of pluralism and the importance of ambiguity in science in general, and in aging biology in particular. (shrink)

Both older persons and those who havedisabilities can encounter discrimination whenthey seek medical care. Just as ageism andstereotypes about older persons mayinappropriately limit medical care for theelderly, limits may be placed on medical carefor those who are disabled simply because ofthe presence of a disability. At the sametime death is the natural end of the lifespanfor all individuals and there are situationswhen aggressive medical care is not indicated. It is not right to always insist on ``doingeverything'' for a person even (...) if that personmay be at risk otherwise for discrimination. Using the example of the elderly, this paperexamines the risks of discrimination and thedangers of overtreatment in caring for olderpersons and suggests parallels in theappropriate care of those who havedisabilities. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:DisaffiliationsBeauvoir and Gorz on Masculinity as AgingPenelope DeutscherThe same drama of flesh and spirit, and of finitude and transcendence, plays itself out in both sexes; both are eaten away by time, stalked by death.The Second Sex, 763Simone de Beauvoir wrote her second large theoretical work in 1970, La Vieillesse (V), some nine years after André Gorz published a two-part article, “Le Vieillissement,” in Les Temps Modernes, in 1961 and (...) 1962. These were essays in which Gorz did not hesitate to refer to the “conflict between generations.” He found unremarkable the constant transitions involved in what he saw as a combat between younger and older age groups, unremarkable that the young would resent the domination of the aged and find themselves resented in turn. The aged would bear heavily on the young, but eventually find themselves demeaned if not subordinated by them.Since Gorz was one of the many references in La Vieillesse, Beauvoir was using resources that could have prompted her to think of youth and aging as a further domain of group-based conflict and hostility. Instead, she preferred a different language. Stories that might have seemed to be those of inter-generational conflict were present in her work—she mentions a story from the Brothers Grimm of three generations: son, father, and grandfather. The father treats the grandfather abusively until he learns that his son accordingly anticipates repeating the same treatment toward him. But Beauvoir does not narrate the story as one of conflict between groups who should be understood as “generations.”1 For Gorz, by contrast, such relations seem inevitable. He writes [End Page 88] of young men frustrated by their disenfranchisement by older men, who are in turn disenfranchised as young men eventually manage to usurp them.Just as the language of group-based conflict seems to Gorz obvious to describe such relations, so does the tacit (though not overtly noted) masculinity of their experience. But because he does not directly note that the conflict, on his own account, occurs between the younger and older generations of males, it is not clear how a vision of generational conflict might be inflected by a sense that such relations are also those of sexual difference. How might that affect relations between the sexes or relations among women of different ages?For her part, Beauvoir did refer to tensions between younger and older women, both in The Second Sex (SS) and Old Age(OA), but these were largely references to relations between mothers and daughters. They were familial stories. Certainly, they were refracted through structure and social context: It is the impoverished status and history of women that, in Beauvoir’s view, inhibits their lives to the point that mothers and daughters resent each other. But describing such tensions, Beauvoir does not present them as competition between groups. Her visions are those of individual experiences occurring in family contexts, not those of a generation of women of a particular age group, understanding each other as engaged in some kind of potentially conflictual group relations with a group of women understood as generationally younger or older. This is not to say that Beauvoir ought to have preferred the language of generational conflict in considering aging. But in understanding that she turned away, without saying so, from a model that might well have seemed most plausible, we can think further about the interpretation that did seem more plausible to her.How, then, do aging and sex interact for Beauvoir? Her presentation of aging in The Second Sex is characteristically ambivalent. She describes middle-aged women who have bet on the norms of femininity—“She has counted on her sexual attributes far more than man has” (SS, 620)—only to be confronted with the dilemmas of the transformation brought by time. Beauvoir takes this transformation to be largely negative—comprehended in terms of loss rather than possible gain. She describes the physical transformation of aging in terms of degeneration and the passing of youth, beauty, health, innovation, capacity. She also claims, albeit with an important exception, that it is experienced by the woman negatively, with accompanying effects of shock, discontinuity, crisis, anxious concern, denial... (shrink)

Health Recommender Systems are promising Articial-Intelligence-based tools endowing healthy lifestyles and therapy adherence in healthcare and medicine. Among the most supported areas, it is worth mentioning active aging. However, current HRS supporting AA raise ethical challenges that still need to be properly formalized and explored. This study proposes to rethink HRS for AA through an autonomy-based ethical analysis. In particular, a brief overview of the HRS’ technical aspects allows us to shed light on the ethical risks and challenges they (...) might raise on individuals’ well-being as they age. Moreover, the study proposes a categorization, understanding, and possible preventive/mitigation actions for the elicited risks and challenges through rethinking the AI ethics core principle of autonomy. Finally, elaborating on autonomy-related ethical theories, the paper proposes an autonomy-based ethical framework and how it can foster the development of autonomy-enabling HRS for AA. (shrink)

This paper examines how Japan has embraced advanced technologies to address the challenges of an aging society and shrinking labor markets. Using Japan as a case study, this paper explores the relationship between human dignity, the intrinsic value of work, and the fourth industrial revolution. The paper is divided into four sections. The first section describes the scale of aging and shrinking labor markets in Japan, and the measures that the Japanese government has used to tackle these problems. (...) The second section offers a selection of five mini cases that show how advanced technologies are used in different sectors of the Japanese economy. The third section outlines some ethical concerns that go beyond utilitarian benefits of using advanced technologies to address the problem of aging. The perspective of Catholic Social Teaching (CST) is adopted as a main advocate of a person-centered social ethics. The fourth section offers an assessment of Japan’s experiment and outlines further research opportunities. (shrink)

Cette édition numérique a été réalisée à partir d'un support physique, parfois ancien, conservé au sein du dépôt légal de la Bibliothèque nationale de France, conformément à la loi n° 2012-287 du 1er mars 2012 relative à l'exploitation des Livres indisponibles du XXe siècle. Pages de début Préface Présentation Introduction Première partie. Jusqu'à Maïmonide Les mutakalimoun et autres penseurs juifs inspirés des mouvements théologiques musulmans Les néo-platoniciens Juda ha-Lévi et le dépassement de la philosophie Abu-l-Barakat : Une philosophie hors des (...) courants Les aristotéliciens Deuxième partie. La fin du Moyen Âge Le treizième siècle Le quatorzième siècle Le quinzième siècle Tableau Chronologique des principaux philosophes juifs du Moyen âge BibliographiePages de fin. (shrink)

In the early 1990s, Microcebus murinus, a small primate endemic to Madagascar, emerged as a potential animal model for the study of aging and Alzheimer’s disease. This paper traces the use of the lesser mouse lemur in research on aging and associated neurodegenerative diseases, focusing on a basic material precondition that made this possible, namely, the conversion of a wild animal into an experimental organism that lives, breeds, and survives in the laboratory. It argues that the “old” mouse (...) lemur model can be considered as an eco-zootechnical acquisition. This is shown by examining how, since the early 1970s, French mouse lemur researchers have articulated colony productivity and viability with the influence of environmental factors on the demographics and physiology of the species. The appearance and maintenance of a growing number of old mouse lemurs in French research facilities are related to three developments: the application of the ecological notion of “social stress” to the understanding and management of the behavior of the captive population; the experimental demonstration that a variety of seasonal physiological changes in the species were influenced by the photoperiod; and the related attempt to accelerate aging in mouse lemurs through the manipulation of annual light conditions. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Ethics and the Elderly: The Challenge of Long-Term Care by Sarah M. Moses, and: Loving Later Life: An Ethics of Aging by Frits de LangeDolores L. ChristieEthics and the Elderly: The Challenge of Long-Term Care Sarah M. Moses maryknoll, ny: orbis, 2015. 206 pp. $38.00Loving Later Life: An Ethics of Aging Frits de Lange grand rapids, mi: eerdmans, 2015. 169 pp. $19.00Today many women and men (...) live beyond the so-called third age of life and enter their eighties, the "fourth age," during which the toll of time and the growing incidence of life-limiting conditions wear down even the best-preserved of the human species. Debilitating disease and normal ebbing of human function become more concentrated in this demographic bubble. As people enter their eighties, their world tends to narrow both physically and mentally, creating a need for increasing care. Often the elderly are rendered passive and dependent, forced to cede both autonomy and dignity. They become objects with little voice, requiring greater care and increasing cash. Likewise, as the baby boom generation enters this group, those living in the fourth age make up an increasing percentage of the population. Additionally, modern models of care for the elderly, often based on efficiency and cost-effectiveness, tend to erode their human dignity. Together these factors demonstrate a growing moral problem.What to do? These two books provide valuable road maps for how to proceed. They detail the reality and moral urgency of the situation. Both offer principles from philosophical and religious traditions that outline a good moral model: one of care, compassion, dignity, and community. They draw insights from Augustine and Thomas Aquinas, Karl Barth, and Dietrich Bonhoeffer, among [End Page 214] others. Both reference the Western biblical tradition, which honors the elderly even in the face of their limitations.Although the authors offer wise and thoughtful suggestions to address this growing moral crisis, they approach the serious moral issue very differently. Sarah Moses outlines a compelling case for a new interventional model for elderly living. While her book plays some muted chords that hint at "dissertation," the melody it conveys is strikingly forte and well worth the read.She presents two concrete examples of what good interaction with the elderly might look like. One draws from the international intentional outreach and residential community (the Community of Sant'Egidio), the other is a brick-and-mortar model (the Green House Project). Using both biblical paradigms and church teaching over the centuries, Moses makes the case for treating all persons with dignity and promoting their involvement in decision making as much as possible. The scriptural message she highlights—both our duty to the elderly and the "disappointment and depression" (105) of growing old—is particularly compelling.In her examples of good long-term care, community development is important. In the Sant'Egidio model, volunteers share a common life "through gathering for prayer and various outreach services to the poor" (39). There is motivation to support elderly in their own homes, but the project promotes small, family-like resident facilities when this is not possible. The physical place is less emphasized than the relationship among various age and economic groups.The Green House Project is based in a new vision of homes for the challenged elderly. Results of the project show that not only did staff remain in their jobs longer (nursing home employment turnover is extensive) but visitation by family members increased. Even such a simple thing as a different physical model for the actual building—replacing long halls and routinization with a more home-like environment—has positive results.Moses calls on leadership in church and community to educate, to designate funds for elder care, and to look beyond the caring and the construction of good facilities. She notes how important it is to work politically to change attitudes and actions.She sees care for all dependent people as a responsibility of both the church community and society in general. This includes fostering awareness, encouraging ongoing participation of the elderly in life—including church life—and allocating public resources. Bottom line: she calls for smaller institutions, meaningful opportunities for the... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Should We Live Forever? The Ethical Ambiguities of Aging by Gilbert MeilaenderCharles L. Kammer IIIShould We Live Forever? The Ethical Ambiguities of Aging Gilbert Meilaender grand rapids, mi: eerdmans, 2013. 135 pp. $18.00.Should We Live Forever? The Ethical Ambiguities of Aging provides a helpful focus on both aging and research being done to extend human life expectancy. As Gilbert Meilaender notes, human beings have (...) always longed for an extended as well as a more generative life span. He raises the question, however, of whether these two desires stand in opposition. Built into our very biology is the “survival instinct,” along with the imaginative ability to transcend our biological limits. Together they generate a religious legacy of imagining life after death. But Meilaender believes we have moved into a different time. Citing John Gray, he asserts that “the hope of life after death has been replaced by the faith that death can be defeated” (xi).Meilaender presents scientific research on antiaging while observing that there is little cultural reflection on its impacts or desirability. This book steps in to provide a reflection on these larger questions from the perspective of the virtues, or what constitutes a truly “good and human” life. As the author notes, our reflections on aging and immortality are tied to our assumptions of what it means to be human. This is evident, for example, among members of the transhumanist movement, which envisions a human brain freed from dependence on a biological body. He surmises that our scientific quest for immortality may have its roots in the human quest to overcome contingency and its associated anxiety; it is in many ways the embodiment of our wish to be “gods” who have total control over our destinies.Meilaender uses classic and modern Western philosophers and theologians (including Aristotle, Augustine, Søren Kierkegaard, and Karl Barth) as well as the work of life-stage theorists (Erik Erikson and Bernard Williams) who contribute to the discussion of what constitutes a “fully human life.” Would biological immortality make a life more fully human, or is it rooted in a crass form of narcissism that makes our own survival more important than the needs and perhaps even the possibility of future generations?The book closes with a brief conversation between three friends who represent different perspectives, a useful discussion tool for raising the deeper issues presented in the book. According to the first view, we are biological organisms with prescribed natural limits; fulfillment therefore comes through accepting and finding provisional fulfillment in each of our life stages. The [End Page 216] second perspective sees human freedom and reason as the fundamental characteristics of being human and so advocates expanding life expectancy and following wherever human creativity leads. The third observes that we are constrained by our biology and yet are also free, both bound and transcendent. This perspective, however, notes that what we truly desire is not an indefinite extension of life but something richer and fuller that transcends any possibility that humans can create. Our longing is not actually a desire for more but a desire for something other than what continued existence can provide.Meilaender’s engagement of the deeper questions presented by the scientific attempt to “cure” aging and extend life indefinitely is, finally, a powerful Christian apologetic that is nevertheless respectful of other positions. If the book has a limitation, it lies in the failure to engage non-Western traditions that perceive and address the issues from much different frameworks. It also does not address the possibility that perhaps being human is to live with the awareness and resignation that, while we have a deep desire for something qualitatively fuller and richer, this is a longing that can never be fulfilled.Charles L. Kammer IIIThe College of WoosterCopyright © 2016 Society of Christian Ethics... (shrink)

Interest among historians, philosophers and sociologists of science in population-based biomedical research has focused on the randomised controlled trial to the detriment of the longitudinal study, the temporally extended, serial observation of individuals residing in the same community. This is perhaps because the longitudinal study is regarded as having played a secondary role in the debates about the validity of populations-based approaches that helped to establish epidemiology as one of the constitutive disciplines of contemporary biomedicine. Drawing on archival data and (...) publications relating to the Baltimore Longitudinal Study of Aging, we argue however that the historical development of the longitudinal study is richer and more significant than has been appreciated. We argue that this history is shaped by the tension between two sets of epistemic practices, devices and norms. On the one side there were those who emphasised randomisation and sampling to evidence claims about, and justify policies with respect to, the aetiology of disease. On the other side there were those who evoked the technical repertoire of physiological research, especially the notion of the ‘model organism’, to argue for a different integration of the individual in modern society. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Alzheimer's Disease, Mild Cognitive Impairment, and the Biology of Intrinsic AgingThomas B. L. Kirkwood (bio)Keywordsaging, Alzheimer’s disease, genetic mutation, mild cognitive impairment, telomereThe article by Gaines and Whitehouse (2006) raises key questions about the uncertain relationship between (i) the intrinsic, "normal" aging process, and (ii) the clinicopathologic states represented by the labels of Alzheimer's disease (AD) and mild cognitive impairment (MCI). This short commentary offers a perspective on (...) this debate that is drawn from a consideration of underlying biological mechanisms.Because age is unquestionably the greatest single risk factor associated with AD and MCI, I begin by asking what we know about the intrinsic processes of aging. The central feature of current understanding of intrinsic aging is that it consists of the gradual, lifelong accumulation of a wide variety of molecular and cellular faults that begins very early in life and eventually leads to overt functional impairments resulting in age-related frailty, disability, and disease (Kirkwood 2005). This is an essentially bottom-up process. A strong consensus has emerged in recent years that there is no active program for aging and that there are no genetic factors that have evolved specifically to cause aging or age-related diseases. Unquestionably, there are genes that influence susceptibility to disease and even length of life, but these genes are genes for maintenance and repair functions, not for aging. It is the limitation in the past evolutionary pressure to invest in greater longevity than was required, within an environment where life was usually truncated by hazards such as starvation, injury, or infection, that means that our maintenance systems—good as they are—are insufficient to keep us going indefinitely. Added to this is the idea that there are probably also genes that program processes that are good for the young organism, but which may in later life have harmful effects. Processes like inflammation and apoptosis, which are seen to occur extensively in aged tissues, including brain, surely evolved to help cope with infection and cellular damage arising earlier in life. That they are called into play in aged tissues is a direct, but secondary, consequence of accumulated damage.With this general framework to understand the intrinsic biology of aging, let us now ask what we might expect a priori for the aging of an organ such [End Page 79] as the brain. Although we cannot pretend complete ignorance of how the brain actually does age, our enquiry can be based entirely on data from other organ systems, so we can develop our predictions about brain aging without prejudice.Aging begins very early during human development, faults accumulating from the first stages of embryonic development. Each time a cell divides, each of the daughter cells is likely to acquire a few new mutations. We know this from the estimates for the error rate in DNA replication and the size of the human genome. It is confirmed by direct evidence that at individual gene loci where mutations have been measured, mutation frequency increases with age (Morley 1998; Vijg 2000). In addition to replication errors, DNA is damaged on a daily basis to a very considerable degree by agents such as reactive oxygen species (free radicals), which are formed as byproducts of normal cellular metabolism. Although most of this damage is corrected by repair, the repair mechanisms themselves are not error free and additional mutations accumulate through this route. If a mutation is lethal to the cell, the cell dies and thus the mutation is eliminated. However, the majority of mutations are nonlethal, either because the mutation is recessive and the cell carries an intact gene copy on the other chromosome, because the gene is not currently required, or because the mutation produces only a delayed deleterious effect. Examples of genes that produce delayed deleterious effects include the genes responsible for familial AD. It is interesting to reflect that on statistical grounds alone, it is almost certain that each of us carries a randomly determined fraction of cells in our brains that bear amyloid precursor protein or presenilin mutations associated with AD. We also carry a heterogeneous array of random mutations that compromise essential cell maintenance functions. How many such... (shrink)

This is the first comprehensive evaluation of Charles Taylor's work and a major contribution to leading questions in philosophy and the human sciences as they face an increasingly pluralistic age. Charles Taylor is one of the most influential contemporary moral and political philosophers: in an era of specialisation he is one of the few thinkers who has developed a comprehensive philosophy which speaks to the conditions of the modern world in a way that is compelling to specialists in various disciplines. (...) This collection of specially commissioned essays brings together twelve distinguished scholars from a variety of fields to discuss critically Taylor's work. The topics range from the history of philosophy, to truth, modernity and postmodernity, theism, interpretation, the human sciences, liberalism, pluralism and difference. Taylor responds to all the contributions and re-articulates his own views. (shrink)

How philosophy transformed human knowledge and the world we live in Philosophical investigation is the root of all human knowledge. Developing new concepts, reinterpreting old truths, and reconceptualizing fundamental questions, philosophy has progressed—and driven human progress—for more than two millennia. In short, we live in a world philosophy made. In this concise history of philosophy's world-shaping impact, Scott Soames demonstrates that the modern world—including its science, technology, and politics—simply would not be possible without the accomplishments of philosophy. Firmly rebutting the (...) misconception of philosophy as ivory-tower thinking, Soames traces its essential contributions to fields as diverse as law and logic, psychology and economics, relativity and rational decision theory. Beginning with the giants of ancient Greek philosophy, The World Philosophy Made chronicles the achievements of the great thinkers, from the medieval and early modern eras to the present. It explores how philosophy has shaped our language, science, mathematics, religion, culture, morality, education, and politics, as well as our understanding of ourselves. Philosophy's idea of rational inquiry as the key to theoretical knowledge and practical wisdom has transformed the world in which we live. From the laws that govern society to the digital technology that permeates modern life, philosophy has opened up new possibilities and set us on more productive paths. The World Philosophy Made explains and illuminates as never before the inexhaustible richness of philosophy and its influence on our individual and collective lives. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Should We Live Forever? The Ethical Ambiguities of Aging by Gilbert MeilaenderCharles L. Kammer IIIShould We Live Forever? The Ethical Ambiguities of Aging Gilbert Meilaender grand rapids, mi: eerdmans, 2013. 135 pp. $18.00.Should We Live Forever? The Ethical Ambiguities of Aging provides a helpful focus on both aging and research being done to extend human life expectancy. As Gilbert Meilaender notes, human beings have (...) always longed for an extended as well as a more generative life span. He raises the question, however, of whether these two desires stand in opposition. Built into our very biology is the “survival instinct,” along with the imaginative ability to transcend our biological limits. Together they generate a religious legacy of imagining life after death. But Meilaender believes we have moved into a different time. Citing John Gray, he asserts that “the hope of life after death has been replaced by the faith that death can be defeated” (xi).Meilaender presents scientific research on antiaging while observing that there is little cultural reflection on its impacts or desirability. This book steps in to provide a reflection on these larger questions from the perspective of the virtues, or what constitutes a truly “good and human” life. As the author notes, our reflections on aging and immortality are tied to our assumptions of what it means to be human. This is evident, for example, among members of the transhumanist movement, which envisions a human brain freed from dependence on a biological body. He surmises that our scientific quest for immortality may have its roots in the human quest to overcome contingency and its associated anxiety; it is in many ways the embodiment of our wish to be “gods” who have total control over our destinies.Meilaender uses classic and modern Western philosophers and theologians (including Aristotle, Augustine, Søren Kierkegaard, and Karl Barth) as well as the work of life-stage theorists (Erik Erikson and Bernard Williams) who contribute to the discussion of what constitutes a “fully human life.” Would biological immortality make a life more fully human, or is it rooted in a crass form of narcissism that makes our own survival more important than the needs and perhaps even the possibility of future generations?The book closes with a brief conversation between three friends who represent different perspectives, a useful discussion tool for raising the deeper issues presented in the book. According to the first view, we are biological organisms with prescribed natural limits; fulfillment therefore comes through accepting and finding provisional fulfillment in each of our life stages. The [End Page 216] second perspective sees human freedom and reason as the fundamental characteristics of being human and so advocates expanding life expectancy and following wherever human creativity leads. The third observes that we are constrained by our biology and yet are also free, both bound and transcendent. This perspective, however, notes that what we truly desire is not an indefinite extension of life but something richer and fuller that transcends any possibility that humans can create. Our longing is not actually a desire for more but a desire for something other than what continued existence can provide.Meilaender’s engagement of the deeper questions presented by the scientific attempt to “cure” aging and extend life indefinitely is, finally, a powerful Christian apologetic that is nevertheless respectful of other positions. If the book has a limitation, it lies in the failure to engage non-Western traditions that perceive and address the issues from much different frameworks. It also does not address the possibility that perhaps being human is to live with the awareness and resignation that, while we have a deep desire for something qualitatively fuller and richer, this is a longing that can never be fulfilled.Charles L. Kammer IIIThe College of WoosterCopyright © 2016 Society of Christian Ethics... (shrink)

As people age their actions often become entrenched—we might say they are not open to the new; they are less able to adapt; they are stuck in a rut. Indeed, in The Coming of Age (La Vieillesse) Simone de Beauvoir writes that to be old is to be condemned neither to freedom nor to meaning, but rather to boredom (Beauvoir 1996, 461; 486). While in many ways a very pessimistic account of ageing, the text does provide promising moments where her (...) descriptions do capture other possibilities for aged existence. In particular, I turn to Beauvoir’s suggestion that habit can take on a “kind of poetry” since it merges past, present and future in a sense of eternity that the present moment now lacks with its limited futural horizon (468; 492). In this paper, I draw out, delineate, and further explore this phenomenological reconfiguration of the present that she gestures towards through a consideration of the intensification and modification of the present through habit. Drawing as well upon Merleau-Ponty’s insights into the phenomenal body, I argue that poetical habit is an active passivity that allows for the spontaneity of the new out of the sedimentation of corporeal memory, and for the attentive perception of what appears in the present. To disrupt someone’s habitual life is to unanchor that life from the world, from an identity shaped by repetition, by the constancy of a shared reality of things, that is, from the spatial-temporal process of inhabitation, and thus from her ability to engage with others and to disclose the world. (shrink)