Breath is invisible and yet ever present and vital for living beings. The concept of invisibility in relation to breath operates in concrete and metaphorical ways to extend ideas about breath and breathlessness across disciplines, in clinical spaces and in life experience. Using a critical medical humanities approach, I demonstrate that the poverty of narrative accounts and language for breath outside the health context have had a crucial influence enabling clinically mediated interpretations and accounts to dominate. These third-person accounts are (...) important in the articulation of the ‘lived body’, but I balance this with a consideration of the subjective sensation of interoception, which has important implications for the visibility of breathlessness in both clinical and lay contexts. This article illustrates the rich potential of the subjects of breath and breathlessness within body studies and this special issue is a key step in making breath such an emergent topic. (shrink)

Ted Shotter's founding of the London Medical Group 50 years ago in 1963 had several far reaching implications for medical ethics, as other papers in this issue indicate. Most significant for the joint authors of this short paper was his founding of the quarterly Journal of Medical Ethics in 1975, with Alastair Campbell as its first editor-in-chief. In 1980 Raanan Gillon began his 20-year editorship . Gillon was succeeded in 2001 by Julian Savulescu, followed by John Harris and Soren Holm (...) in 2004, with Julian Savulescu starting his second and current term in 2011. In 2000 an additional special edition of the JME, Medical Humanities , was published, under the founding joint editorship of Martyn Evans and David Greaves. In 2003 Jane Macnaughton succeeded David Greaves as joint editor. Deborah Kirklin, under whose auspices MH became an independent journal, took over in 2008, and she was succeeded in 2013 by Sue Eckstein. This short paper offers reminiscences and reflections from the two journals’ various editors.From the start the JME was committed to clearly expressed reasoned discussion of ethical issues arising from or related to medical practice and research. In particular, both Edward Shotter and Alastair Campbell, each a cleric , were at pains to make clear that the JME was not a religious journal and that it had no sort of partisan axe to grind.Campbell's appointment as founding editor was something of a surprise, as the original intention had been to appoint a medical doctor, who could be expected to know medical practice from the inside. However, in 1972 Campbell, a Joint Secretary of the Edinburgh Medical Group, had published Moral dilemmas in medicine. …. (shrink)

Judgement is traditionally seen as applicable in two spheres of human endeavour: the theoretical (or the sphere in which we consider both what must be the case and what is likely to be the case) and the practical (or the sphere in which we consider what we ought to do, either because it is in our interests or because morality requires it). Now insofar as we are speaking of ‘judgement’ two conceptual assumptions are being made. Firstly, we are assuming that (...) there are imponderables and complexity, and secondly, despite the imponderables and complexity, that there is still room for the exercise of reason. Granted this view of judgement we can state our two main theses. Firstly, we shall argue that, despite the pressures of market forces, employee needs, and shareholder interests, there is still room in business practice for judgements so understood. Secondly, we shall argue that these judgements need not inevitably be directed down the single track of the financial interests of the company and its shareholders. The second thesis can be understood as a moral thesis in either of two ways. Either it can be seen as the thesis that companies have broad social responsibilities extending well beyond the immediate interests of the company, or as the thesis that companies share the social interests of the communities to which they belong; they are citizens writ large, to gloss Plato. (shrink)