Patrick Olivelle’s two volumes presenting first the four oldest dharmasūtras, in updated and refurbished editions and new translations, and next his critical edition and translation of the Mānavadharmaśāstra are both meticulous works of fundamental scholarship that will stand as the normative forms of these five texts for decades to come. Olivelle’s contributions as an editor in each volume are very different, and these contributions are examined and discussed in some detail, particularly in the case of the critical edition of the (...) Manu, which presents a number of important issues of lower and higher textual criticism. In the case of the sūtra volume, the discussion turns to a general comparison of Olivelle’s translations of the sūtras to Bühler’s and then to a closer examination of Olivelle’s translational policies for the word dharma and two words in particular used by the sūtras to describe the good of doing dharma, kṣema and niḥśreyasa. In the discussion of the edition of Manu, particular attention is given to his assembly, analysis, and presentation of the fifty-three witnesses used for the new edition of the Manu. Following that, there is a discussion of the nature of the tradition that gave rise to the text and used it, a discussion that calls into question some of Olivelle’s basic conclusions about the formation and development of the text of the Manu śāstra. (shrink)

Background -/- Innovative neurosurgical treatments present a number of known risks, the natures and probabilities of which can be adequately communicated to patients via the standard procedures governing obtaining informed consent. However, due to their novelty, these treatments also come with unknown risks, which require an augmented approach to obtaining informed consent. -/- Objective -/- This paper aims to discuss and provide concrete procedural guidance on the ethical issues raised by serious unexpected complications of novel deep brain stimulation treatments. -/- (...) Approach -/- We illustrate our analysis using a case study of the unexpected development of recurrent stereotyped events in patients following the use of deep brain stimulation (DBS) to treat severe chronic pain. Examining these unexpected complications in light of medical ethical principles, we argue that serious complications of novel DBS treatments do not necessarily make it unethical to offer the intervention to eligible patients. However, the difficulty the clinician faces in determining whether the intervention is in the patient's best interests generates reasons to take extra steps to promote the autonomous decision making of these patients. -/- Conclusion and recommendations -/- We conclude with clinical recommendations, including details of an augmented consent process for novel DBS treatment. (shrink)

The word buddhi is an important term of Indian philosophical discourse, but some aspects of its use have caused confusion and continue to occasion difficulties. This paper undertakes a survey of the usage of the word buddhi in general Sanskrit literature from its earliest late Vedic occurrences up to the middle of the first millennium CE. Signifying fundamentally “awareness,” the word “buddhi” is shown to refer often to a being’s persisting capacity or faculty of awareness and also, often, to the (...) content of a being’s awareness. There are also instances where it is hard to determine which of these two kinds of reference are intended in our written sources, and there are other instances where both senses seem present simultaneously. Various examples attest to the use of the word to refer to an affective and volitional capacity in a being—and to affective and volitional content—as well as to a cognitive faculty and cognitive content. One feature that occurs frequently in the word’s use is that this faculty and, or, its content, regularly describe alterations of a subject’s knowledge of the surrounding situation, the transformation of surrounding complexity or multiplicity into a simpler and more manageable mental construct—an understanding, an interpretation, a decision, a plan, etc. As the word buddhi is related to the primary Sanskrit word-family used to describe the concrete experience of awakening—moving from no awareness to clear awareness—it is not surprising that its more abstract usage would often incorporate a similar dynamic, a transition from less clear to more clear knowledge, a rendering of early knowledge to better and more useful knowledge, in short, a faculty of “intellect” that produces refined decisions, resolutions, and determinations. It is suggested that this element of its semantic profile contributed to the word’s eventually becoming the preferred word for the most important of the mental functions of beings in one of the most widespread philosophical psychologies of ancient India, that which ultimately became formally enshrined in the philosophical system “Sāṃkhya.”. (shrink)

The word buddhi is an important term of Indian philosophical discourse, but some aspects of its use have caused confusion and continue to occasion difficulties. This paper undertakes a survey of the usage of the word buddhi in general Sanskrit literature from its earliest late Vedic occurrences up to the middle of the first millennium CE. Signifying fundamentally “awareness,” the word “buddhi” is shown to refer often to a being’s persisting capacity or faculty of awareness and also, often, to the (...) content of a being’s awareness. There are also instances where it is hard to determine which of these two kinds of reference are intended in our written sources, and there are other instances where both senses seem present simultaneously. Various examples attest to the use of the word to refer to an affective and volitional capacity in a being—and to affective and volitional content—as well as to a cognitive faculty and cognitive content. One feature that occurs frequently in the word’s use is that this faculty and, or, its content, regularly describe alterations of a subject’s knowledge of the surrounding situation, the transformation of surrounding complexity or multiplicity into a simpler and more manageable mental construct—an understanding, an interpretation, a decision, a plan, etc. As the word buddhi is related to the primary Sanskrit word-family used to describe the concrete experience of awakening—moving from no awareness to clear awareness—it is not surprising that its more abstract usage would often incorporate a similar dynamic, a transition from less clear to more clear knowledge, a rendering of early knowledge to better and more useful knowledge, in short, a faculty of “intellect” that produces refined decisions, resolutions, and determinations. It is suggested that this element of its semantic profile contributed to the word’s eventually becoming the preferred word for the most important of the mental functions of beings in one of the most widespread philosophical psychologies of ancient India, that which ultimately became formally enshrined in the philosophical system “Sāṃkhya.”. (shrink)

This paper pursues precise information on the use of the Sanskrit word buddhi, “the intellect,” in the context of epic adhyātma discourse. The term buddhi makes its debut in this genre of discourse in texts of the Mahābhārata’s Mokṣadharmaparvan before going on to become a central term of classical Sāṃkhya philosophy. This paper examines closely the presence and role of the “intellect” in the argument of the Manubṛhaspatisaṃvāda, a text that is unusually rich in its theorizing and description of the (...) intellect. But this text is not primarily about the intellect, even if that organ plays a prominent role in the three main phases of the text’s teaching. The Manu-Bṛhaspati is a major, deliberately constructed body of teaching on ethics, ontology, and psychology, and what it says regarding the buddhi is embedded in those teachings, usually, but not always, incidentally. This paper tries to grasp those teachings in their particular idiom and present Manu’s teachings on the buddhi in the natural progression and settings of the overall argument. A number of points comparing the buddhi in this text to the adhyātma text-pair of MBh 12.187/239–41 are made and a striking contrast between Manu’s buddhi and the ‘saving buddhis’ of the early Mokṣadharma is discussed briefly. The main points regarding the buddhi in Manu’s teachings turn out to be: First, and most importantly, the buddhi has the ability not only to see and “resolve” current sensory experience coming from the senses and the mind, but to store those sensations and re-arrange and re-interpret them outside of ‘real time’. This ‘trans-temporal depth’ of the buddhi may be the reason for the second major fact about it, that the buddhi is the locus in a person from which that person’s residual energy from past deeds operates; the buddhi transmits that energy and its qualitative differentiations into the mind and the senses, entities that derive from it and operate “below” it. Third, the buddhi’s ability to select and arrange past perceptions and imagine not previously observed arrangements among them is the source of its fatefully erroneous substitution of the immediately present, phenomenal self of experience for the transcendent true Self. Fourth, the buddhi’s ability to imagine and re-interpret experience makes it the principal faculty for determining the truth of things that are not immediately apparent to the senses. Establishing the existence of the transcendent soul is the most important such truth, for that serves as the foundation for one’s eventually coming to see the true Self. Fifth, the buddhi works with the main perceptual organ, the mind, to clarify and then neutralize the operation of the senses, allowing yoga meditation to go forward. In the course of yoga meditation, when the buddhi is emptied of karma energy, the buddhi becomes “tantamount to the manas” and the ultimate reality is “seen, as if it were a streak of gold on a touchstone,” undoing the buddhi’s fateful error. Sixth, a point stressed in several places in the text, is that the entire embodied soul, which is basically led by the buddhi, is tremendously energetic in its rush down to the physical reality. It is not clear whether some of this energy is part of the original emanation of the principle of the embodied soul from the Absolute, but it is clear that some of it is the energy of karma stored in the “intellect.”. (shrink)

The “greatness” of the Mahābhārata, its mahat/mahā quality, refers primarily to its intended dynamism as a powerful engine generating the spread of Brahminic teaching throughout the world, casting “heathen” (nāstika) teachings and their patrons into shadow for all time. The Brahmin authors worked to accomplish this end in two main ways. First, they devised a tremendously engaging tale that depicted the decisive victory of a king (Yudhiṣṭhira Pāṇḍava) who accepted Brahmin claims to deserve monopoly-control over teaching the norms of society. (...) Second, they made this tale an extensive magisterium of Brahmin ideology and philosophy, affording to all in society, women and śūdras as well as Aryan men, encouragement to seek the forgiveness of past wrongs at tīrthas and access to the teachings of mokṣa without Vedic initiation. (shrink)

Background Since the UK Abortion Act (1967), women have travelled from Ireland to the UK for legal abortion. In 2011 >4000 women did so. Knowledge and attitudes of medical students towards abortion have been published, however, this is the first such report from Ireland. Objective To investigate medical students’ attitudes towards abortion in Ireland. Methods All medical students at the University of Limerick, and physicians who graduated from the university within the previous 12 months, were invited via email to complete (...) an anonymous online survey. The questionnaire comprised 17 questions. Quantitative and qualitative analyses were performed. Results Response rate was 45% (n=169; 55% women; 88.2% <30 years of age; 66.7% Irish; 29.2% North American). Outcomes were: abortion should not be legally available (7.1%), abortion should be allowed in limited circumstances only (35.5%), abortion should be legally available upon request (55%). 72.8% of respondents were moderately/strongly prochoice (74% of women/71% of men/72% and 76% of Irish and North American respondents, respectively). Students aged >30 years were less likely to be prochoice (55%). While 95.2% believed that education on abortion should be offered within medical school curricula, 28.8% stated that they would decline to terminate pregnancies even if legally permitted. While 58.8% indicated that they might perform legal abortions once qualified, 25.7% would do so under limited circumstances only. Conclusions The majority of participants wanted education regarding abortion. Despite being predominantly prochoice, considerably fewer students, irrespective of nationality, indicated that they would perform abortions. (shrink)

The dorsal anterior cingulate cortex is a key node in the human salience network. It has been ascribed motor, pain-processing and affective functions. However, the dynamics of information flow in this complex region and how it responds to inputs remain unclear and are difficult to study using non-invasive electrophysiology. The area is targeted by neurosurgery to treat neuropathic pain. During deep brain stimulation surgery, we recorded local field potentials from this region in humans during a decision-making task requiring motor output. (...) We investigated the spatial and temporal distribution of information flow within the dACC. We demonstrate the existence of a distributed network within the anterior cingulate cortex where discrete nodes demonstrate directed communication following inputs. We show that this network anticipates and responds to the valence of feedback to actions. We further show that these network dynamics adapt following learning. Our results provide evidence for the integration of learning and the response to feedback in a key cognitive region. (shrink)