Obviously medicine should be evidence-based. The issues lie in the details: what exactly counts as evidence? Do certain kinds of evidence carry more weight than others? (And if so why?) And how exactly should medicine be based on evidence? When it comes to these details, the evidence-based medicine (EBM) movement has got itself into a mess – or so it will be argued. In order to start to resolve this mess, we need to go 'back to basics'; and that means (...) turning to the philosophy of science. The theory of evidence, or rather the logic of the interrelations between theory and evidence, has always been central to the philosophy of science – sometimes under the alias of the 'theory of confirmation'. When taken together with a little philosophical commonsense, this logic can help us move towards a position on evidence in medicine that is more sophisticated and defensible than anything that EBM has been able so far to supply. (shrink)

We will next speak of Liberality. Now this is thought to be the mean state, having for its object-matter Wealth: I mean, the Liberal man is praised not in the circumstances of war, nor in those which constitute the character of perfected self-mastery, nor again in judicial decisions, but in respect of giving and receiving Wealth, chiefly the former. By the term Wealth I mean all those things whose worth is measured by money.

Loneliness in medicine is a serious problem not just for patients, for whom illness is intrinsically isolating, but also for physicians in the contemporary condition of medicine. We explore this problem by investigating the ideal physician-patient relationship, whose analogy with friendship has held enduring normative appeal. Drawing from Talbot Brewer and Nir Ben-Moshe, we argue that this appeal lies in a dynamic form of companionship incompatible with static models of friendship-like physician-patient relationships: a mutual refinement of embodied virtue that draws (...) both persons together. The ideal physician-patient relationship has a dialectical character that fosters each member's improvement of phenomenologically recognizing and embodying moral virtues. A key component of this dynamic is a commitment to the common goal of the patient's health, realized through joint interactivities and conversations over time. The physician's presence to the patient's suffering—understood best as an alienating phenomenological condition for the patient—orients and discloses possibilities for virtuous caregiving by structuring the meanings of the goals, conversations, and joint narrative constitutive of their relationship. Presence to suffering, paradoxically, is perhaps an important prerequisite for this dynamic partnership. These activities dialectically build an interpretive horizon of understanding through which moral goods and character refinement—in and for the other—may become revealed for both persons in their shared being-in-the-world. This analysis of suffering, mood, and revealing of (possible) moral goods has implications for addressing the modern problem of loneliness for patients and physicians, who are increasingly inhibited from building flourishing relationships with each other. (shrink)

This article examines the emergence of casuistical case analysis as a methodological alternative to more theory-driven approaches in bioethics research and education. Focusing on The Abuse of Casuistry by A. Jonsen and S. Toulmin, the article articulates the most characteristic features of this modernday casuistry (e.g., the priority allotted to case interpretation and analogical reasoning over abstract theory, the resemblance of casuistry to common law traditions, the ‘open texture’ of its principles, etc.) and discusses some problems with casuistry as an (...) ‘anti-theoretical’ method. It is argued that casuistry so defined is ‘theory modest’ rather than ‘theory free’ and that ethical theory can still play a significant role in casuistical analysis; that casuistical analyses will encounter conflicting ‘deep’ interpretations of our social practices and institutions, and are therefore unlikely sources of increased social consensus on controversial bioethical questions; that its conventionalism raises questions about casuistry's ability to criticize norms embedded in the societal consensus; and that casuistry's emphasis upon analogical reasoning may tend to reinforce the individualistic nature of much bioethical writing. It is concluded that, notwithstanding these problems, casuistry represents a promising alternative to the regnant model of ‘applied ethics’ (i.e., to the ritualistic invocation of the so-called ‘principles of bioethics’). The pedagogical implications of casuistry are addressed throughout the paper and include the following recommendations: (1) use real cases, (2) make them long, richly detailed and comprehensive, (3) present complex sequences of cases, (4) stress the problem of ‘moral diagnosis’, and (5) be ever mindful of the limits of casuistical analysis. Keywords: casuistry, interpretation, methodology, pedagogy CiteULike Connotea Del.icio.us What's this? (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Ideas 62.1 (2001) 99-119 [Access article in PDF] Animism and Empiricism: Copernican Physics and the Origins of William Gilbert's Experimental Method John Henry In the second year of this journal's run, way back in 1941, appeared Edgar Zilsel's classic and still widely cited paper on The Origins of William Gilbert's Experimental Method. 1 Focusing on Gilbert's De magnete of 1600, undoubtedly a seminal (...) text in the history of the experimental method, 2 Zilsel argued that Gilbert borrowed his methodology from elite craftsmen, artisans, and other manual workers involved in mining, smelting, smithing, compass making, navigation, sailing, and other activities which involved working with iron or with magnets. 3 On its appearance the paper contributed to a growing and still continuing debate in the history of science about the relative importance of scholars and craftsmen in the origins of modern science. Although Zilsel's general thesis has been critically evaluated in terms of that wider debate, 4 his very specific claims about the [End Page 99] role of elite craftsmen in providing Gilbert with a ready-made experimental method, have never been properly considered. This paper attempts to reassess Zilsel's claims about the origin of Gilbert's experimental method and, in so doing, to arrive at a richer understanding of what Gilbert was trying to do in De magnete and to suggest an alternative source for his experimentalism.The first thing to note about Zilsel's argument is that it had two strands. 5 One of these pointed to actual experimental techniques used by Gilbert and showed that they can all be found in earlier writings on magnets. To be more specific, the techniques in question are to be found either in the thirteenth-century "Letter on the Magnet" written by Petrus Pergrinus or Pierre de Maricourt, first published in 1558, or in The Newe Attractive, a work on the magnetic compass written by a retired mariner, Robert Norman, first published in 1581 but reprinted three times before 1600. 6 The second strand did not involve experiments at all, with one notable exception, but simply implied or suggested that Gilbert's experimental techniques must have been inspired by miners and foundrymen, or navigators and instrument makers. The problem here, as others have objected, 7 is that it is by no means clear that elite craftsmen were engaged in performing experiments in anything like the sense of the word required for the argument to cut any ice. For Zilsel, however, "we cannot doubt that many of [the miners and foundrymen of the period], stimulated to improvements by economic competition, were wont to try new techniques and to observe natural processes." 8 A few sentences later we are told that it is "obvious" that "among such manual labourers there were experimentalists, though experimentalists with practical aims only and without theoretical knowledge." 9 [End Page 100]The philosopher of science at this point might legitimately want to suggest that an experiment is not an experiment unless it is testing a theory, but we do not have to enter into such arguable niceties. 10 We can see that there is something profoundly tendentious in Zilsel's claims simply by reading on. At this point Zilsel mentioned the only experiment specifically referred to in this strand of his argumentation. Quoting Gilbert, Zilsel showed that Gilbert himself must have descended into a mine in order, as Zilsel says, "to verify the hypothesis" that the polarity of a magnet derives from the polarity of the earth: We had a twenty pounds' heavy loadstone dug and hauled out after having first observed and marked its ends in its vein. Then we put the stone in a wooden tub on water, so that it could turn freely. Immediately the surface which had looked to the North in the mine turned itself to the North on the water. 11Zilsel did not make the absurd claim that Gilbert must have seen miners doing this kind of experiment, but he did all he could to... (shrink)

Many real-world agents recognise that they impose harms by choosing to emit carbon, e.g., by flying. Yet many do so anyway, and then attempt to make things right by offsetting those harms. Such offsetters typically believe that, by offsetting, they change the deontic status of their behaviour, making an otherwise impermissible action permissible. Do they succeed in practice? Some philosophers have argued that they do, since their offsets appear to reverse the adverse effects of their emissions. But we show that (...) they do not. In practice, standard carbon offsetting does not reverse the harms of the original action, nor does it even benefit the same group as was harmed. Standard moral theories hence deny that such offsetting succeeds. Indeed, we show that any moral theory that allows offsetting in this setting faces a dilemma between allowing any wrong to be offset, no matter how grievous, and recognising an implausibly sharp discontinuity between offsettable actions and non-offsettable actions. The most plausible response is to accept that carbon offsetting fails to right our climate wrongs. (shrink)

The Human Condition is a response to the growing disenchantment in the Western world with contemporary life. John Kekes provides rationally justified answers to questions about the meaning of life, the basis of morality, the contingencies of human lives, the prevalence of evil, the nature and extent of human responsibility, and the sources of values we prize. He offers a realistic view of the human condition that rejects both facile optimism and gloomy pessimism; acknowledges that we are vulnerable to (...) contingencies we cannot fully control; defends a humanistic understanding of our condition; recognizes that the values worth pursuing are plural, often conflicting, and that there are many reasonable conceptions of well-being. Kekes emphasizes the importance of facing the fact that man's inhumanity to man is widespread. He rejects as simple-minded both the view that human nature is basically good and that it is basically bad, and argues that our well-being depends on coping with the complex truth that human nature is basically complicated. Finally, Kekes argues that the scheme of things is indifferent to our fortunes and that we can rely only on our own resources to make what we can of our lives. (shrink)

My critics in this symposium illustrate one principle and three fallacies of disability studies. The principle, which we all share, is that all persons are equal and none are less equal than others. No disability, however slight, nor however severe, implies lesser moral, political or ethical status, worth or value. This is a version of the principle of equality. The three fallacies exhibited by some or all of my critics are the following: Choosing to repair damage or dysfunction or to (...) enhance function, implies either that the previous state is intolerable or that the person in that state is of lesser value or indicates that the individual in that state has a life that is not worthwhile or not thoroughly worth living. None of these implications hold. Exercising choice in reproduction with the aim of producing children who will be either less damaged or diseased, or more healthy, or who will have enhanced capacities, violates the principle or equality. It does not. Disability or impairment must be defined relative either to normalcy, “normal species functioning”, or “species typical functioning”. It is not necessarily so defined. (shrink)

This paper discusses the role of consent in decision making generally and its role in end of life decisions in particular. It outlines a conception of autonomy which explains and justifies the role of consent in decision making and criticises some misapplications of the idea of consent, particular the role of fictitious or “proxy” consents.Where the inevitable outcome of a decision must be that a human individual will die and where that individual is a person who can consent, then that (...) decision is ethical if and only if the individual consents. In very rare and extreme cases such a decision will be ethical in the absence of consent where it would be massively cruel not to end life in order to prevent suffering which is in no other way preventable.Where, however, the human individual is not a person, as is the case with abortion, the death of infants like Mary , or in the very rare and extreme cases of those who have ceased to be persons like Tony Bland, such decisions are governed by the ethics of ending the lives of non-persons. (shrink)

Remembering seems, to philosophers and scientists, one of the most mystifying of human activities. Yet natural language users have no problem understanding what is meant by ‘memory’. Memory is simply the ability to recall personally experienced events and certain kinds of information such as facts, names, or faces; or how to perform certain actions, like riding a bike or playing chess. It is on this basis that people sometimes make claims about themselves or others having a good or bad memory, (...) especially for things like names, numbers, or faces. Why then is memory such a mystery? Because, firstly, of its diversity: memory enables us to perform a plethora of different tasks, including the continuous interpretation of every moment of consciousness. Secondly, different forms of memory have different standards of accuracy, and often dramatically different criteria for success. (shrink)

Cadaver organs should be automatically availableThe shortage of donor organs and tissue for transplantation constitutes an acute emergency which demands radical rethinking of our policies and radical measures. While estimates vary and are difficult to arrive at there is no doubt that the donor organ shortage costs literally hundreds of thousands of lives every year. “In the world as a whole there are an estimated 700 000 patients on dialysis . . .. In India alone 100 000 new patients present (...) with kidney failure each year” . Almost “three million Americans suffer from congestive heart failure . . . deaths related to this condition are estimated at 250 000 each year . . . 27 000 patients die annually from liver disease . . .. In Western Europe as a whole 40 000 patients await a kidney but only . . . 10 000 kidneys”1 become available. Nobody knows how many people fail to make it onto the waiting lists and fail to register in the statistics. “As of 24th November 2002 in the United Kingdom 667 people have donated organs, 2055 people have received transplants, and 5615 people are still awaiting transplants.”2Conscious of the terrible and unnecessary tragedy that figures like these represent I have been advocating for more than 20 years now some radical measures to stem this appalling waste of human life. The measure which is the subject of Hamer and Rivlin’s paper 3 concerns the automatic availability of all cadaver organs—a measure, which I first advocated publicly in 1983.4THE AUTOMATIC AVAILABILITY OF DONOR ORGANSWe need to begin by being clear about just what it is I propose and why. At the moment in the United Kingdom we …. (shrink)

Moderate scientism is the view that empirical science can help answer questions in nonscientific disciplines. In this paper, we evaluate moderate scientism in philosophy. We review several ways that science has contributed to research in epistemology, action theory, ethics, philosophy of language, and philosophy of mind. We also review several ways that science has contributed to our understanding of how philosophers make judgments and decisions. Based on this research, we conclude that the case for moderate philosophical scientism is strong: scientific (...) practice has promoted significant progress in philosophy and its further development should be welcomed and encouraged. (shrink)

This paper challenges the recommendation of 1981 President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research that all jurisdictions in the United States should adopt the Uniform Determination of Death Act, which endorses a whole-brain, rather than a higher-brain, definition of death. I argue that the Commission was wrong to reject the "personhood argument" for the higher-brain definition on the grounds that there is no consensus among philosophers or the general population as to what (...) constitutes "personhood". I claim that philosophers agree that some potential for cognitive function is necessary for personhood and that, when this is absent in cases of anencephaly and persistent vegetative state (PVS), the individual should be considered dead. I further argue that the lack of consensus among the general population is due in large measure to misunderstandings about the medical reality of PVS and beliefs influenced by feelings for a specific individual in PVS. I also examine and reject two tutiorist arguments which have been used to support the Commission's position: that the higher-brain definition would threaten the severely senile and severely retarded, and that there are not currently adequate medical techniques for determining when all higher-brain activities have ceased. Keywords: death, personhood, persistent vegetative state, anencephaly CiteULike Connotea Del.icio.us What's this? (shrink)

In lieu of an abstract, here is a brief excerpt of the content:New Insights on Young PopperJohn R. WetterstenSeven essays that Popper wrote from 1925 to 1932–33 show Popper's transition from a fresh student of pedagogy into a serious philosopher of science ten years later. His first essay was published in 1925, and in 1934–35 he presented a revolutionary philosophy. These essays led first to Die beiden Grundprobleme der Erkenntnistheorie (written between 1930 and 1933 but first published in 1979) and (...) culminated in Logik der Forschung.1. Students as IndividualsIn his first published essay Popper argued that each student should be treated as an individual as much as possible.1 It is evident that Popper held this attitude throughout his life, but this essay plays no interesting role in his intellectual development.2. HeimatIn his second essay Popper developed an idea that was important not only for his pedagogy, but also for his psychology and his theory of the open society: because humans tend quite naturally to be dogmatic, they have to learn to overcome dogmatism in order to be rational.2 Following a perspective [End Page 603] heavily indebted to Eduard Burger,3 Karl Bühler,4 and Charlotte Bühler,5 Popper proposed that all aspects of learning begin with the beliefs and attitudes that one learns at "home." Teachers, Popper says, should not ignore the cultural background of their students. This background derives from their home, from their parents or village, and so forth. Teachers should accept the students' dogmatic acceptance of the views and attitudes of home as a necessary, even useful stage in any child's development. The teacher's central task is to help children move away from this dogmatic stage to broader perspectives. How to do this well, he says, poses a, if not the, central pedagogical problem. He discusses the movement from home to aesthetics, to art, to ethics, to law, to the theory of knowledge and science, and to culture. In each case he finds something in the heritage of home that each child possesses, which may be used as a starting point to expand the child's horizons.The problem of how teachers can sympathetically help children move away from the views of their home to broader perspectives is severe, Popper thought, due to the innate need of children to think dogmatically. When children learn the culture of their home they are given certainties that they cling to. As individuals mature, dogmatic thinking has to be overcome: a crucial task for teachers is to help children to set aside their innate dogmatic attitude to engage in critical thinking.At this time Popper was groping for a good philosophical approach. He said that the concept of "Heimat" had to be analyzed because, even though it was at the center of pedagogical concerns, it was a confused concept. This analytical method was quickly abandoned. It is only a historical curiosity that shows how far he had to go in order to develop a new philosophical method. Yet his use of it did bring him to adopt, or he used it to defend, views that he held throughout his life.3. Gewohnheit und Gesetzerlebnis in der ErziehungIn the same year (1927), in Gewohnheit und Gesetzerlebnis in der Erziehung, Popper turned to the task of providing a psychological explanation of the child's need for dogmatism. This third essay was submitted to the Pedagogic Institute, but only became available after Popper's death. Popper was ambivalent about it. When I visited him at his home in Penn in 1973 or 1974, I asked him for a copy. It was then listed in his bibliography, but there were no copies at the University of Vienna. His wife began to say she knew where it was, but he interrupted her before her sentence was completed. But he did not throw it away. The reason for his reluctance to show scholars his essay is [End Page 604] now clear: the essay endorses a philosophy of science—Hans Vaihinger's—with a strong inductivist component, even though its methodology is deductivist. He tried to apply this method in his own psychological investigation of dogmatism in children.Dogmatism was, he thought, a psychological... (shrink)

This chapter has three principal aims. Firstly, to promote interest in the question of the function, or utility, of judgements of modality. Secondly, to endorse an alternative to orthodox contemporary methodology, advocating that we prioritize the question of function in modal philosophy. Thirdly, to consider among our modal judgements exactly which are the proper and exact source of various different kinds of substantial philosophical commitments in ontology, epistemology, and elsewhere. An illustration is offered, in the de dicto case, of how (...) minimal a philosophical theory of modality might be if constructed properly, and carefully, according to functional methodology. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Ideas 62.4 (2001) 665-683 [Access article in PDF] Locke's Man John W. Yolton Much attention has been paid to Locke's discussion of personal identity, his concept of person, the distinction between man and person. In fact, in that discussion there are four terms or concepts: man, self, person, and agent. Around those terms a number of themes, aspects of Locke's thought, are clustered, (...) some more directly related to those terms, others more tangential but still important for our understanding of the thought of Locke. If possible, some sorting out of those four terms could be helpful in reaching an appreciation of the nature and function of man in Locke's account. If we can determine who the agent of action is, find the locus of agency in acting, the source of the power, that nature may be explicated. There are some similarities between the body-mind relation and the man-person relation, similarities which may raise some question of materialism. I think we can say that Locke's man is not born a person, that the man can become a person, develop into one. The boy, the child, grows into a man through education, acquiring the necessary attributes of virtue and rationality. There is a rough analog between the education of a child and the emergence of personhood from a man. Also in Locke's discussion of man there is a firm suggestion of an underlying constitution from which the properties come as their causal source, an intriguing parallel between the constitution of man and the corpuscular structure of body.I propose in this paper to explore these various topics, trusting that the nature of man, of a human being in Locke's account, may become a little bit more clear. Person has perhaps received too much attention; it is man's turn now. 1. Action and Agency Man is a biological organism. "Same man" designates "a participation of the same continued Life, by constantly fleeting particles of Matter [biological matter], in succession vitally united to the same organized Body." 1 We might say [End Page 665] man consists of two materialities, corporeal particles and a biological body, but Locke says elsewhere that by the term "man" we mean "a corporeal, rational Creature." 2 The term "rational" clearly adds a non-corporeal property to the corporeal, biological body. Since Locke characterized "person" as having reason, "rational" added to "man" indicates that man and person are not separated or distinct; same reference for "I" but different contributions to the combination of man and person. Person adds something important to man: rationality is added to corporeality. The properties of a person--intelligence, rationality, consciousness--are not identified with or reduced to neurobiological properties nor to material particles.Several questions can be raised: how do man and person work together, how does agency pertain to the man-person, what is the locus of agency? To say, "I did it," e.g., repayment of a debt, is to say I performed that action in a certain way, with arm or hands or by instructing my banker, etc. Actions require a body, a physical body. As actor, I am both a person and a man. Thus, I am the agent of my actions. We need to ask whether the agency pertains to the unit of man and person, or are there aspects of agency ascribed to the man, others ascribed to the person? Agency involves power, on Locke's account. If we consult the main chapter of the Essay where Locke discusses agency and action (2.21), we find that the majority of actions locate the power of acting and deciding with the man. One section at least locates that power with the person: Liberty belongs "to the Person having the Power of doing, or forbearing to do." 3 Several sections give the mind some power relevant to acting. Other passages just refer to "the agent." Frequently references to man and agent occur in the same passage.Essay 2.21.8 credits the man with the power to think and to... (shrink)

Analysing film. Distinguishing the filmic contribution to meaning -- Examples of filmic "textual organisation" -- Redrawing boundaries -- Organisation of the book -- Semiotics and documents. Semiotics and its relations to film -- The nature of discourse semantics -- The film as cinematographic document -- A combined view: filmic documents for filmic discourse -- Constructing the semiotic mode of film. Semiotic multimodality -- The internal organisation of semiotic strata -- Composing and combining semiotic modes -- Materiality and "epistemological commitment" -- (...) Christian Metz and the grande syntagmatique of the image track. The original model -- Two examples of analysis with the grande syntagmatique -- Revisions and rebuttals -- Foundations for analysis: filmic units. The basic units of film: preliminaries -- Audiovisual iconic representations -- Perception, perceptual realism and reliable measurement -- Multiplicity: from perception to discourse -- Filmic units revisited: discourse-motivated definitions -- The paradigmatic organisation of film. Beyond Metz: towards a grande paradigmatique -- Capturing discourse dependency structures in film -- The paradigmatic dimensions of projection, taxis and plane -- Two examples of paradigmatic analysis -- Summary and conclusions. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Papirius and the Chickens, or Machiavelli on the Necessity of Interpreting ReligionJohn M. Najemy*No aspect of Machiavelli’s thought elicits a wider range of interpretations than religion, and one may wonder why his utterances on this subject appear to move in so many different directions and cause his readers to see such different things. One reason is of course his famous challenge to conventional piety in the advice to princes (...) (in chapter 18 of The Prince) that, while it is important to appear to be “all compassion, faith, integrity, humanity, and religione, and there is nothing more necessary for a prince than to appear to have the last of these,” these “qualities” can actually be “damaging” if a prince insists on observing them at all times. For it is sometimes necessary to act “against faith, against charity, against humanity, and against religione.” 1 Machiavelli probably never wrote more famous or infamous words than these, even though they express an obvious, and hardly original, truth about all politics. But the world of the later sixteenth- and seventeenth-century reformations and religious absolutisms could not tolerate such honesty, and Machiavelli’s reputation was quickly tarred with accusations of devilish immorality by the very societies that thought it was godly to burn heretics. On the issue of religion Machiavelli became, and to some extent remains, a convenient scapegoat often blamed for the decline of religion in the modern world, all of which has no doubt intensified the polemical and ideological nature of the debates surrounding his views of religion in general and Christianity in particular. [End Page 659]The polar positions in the interpretation of Machiavelli’s ideas about religion are represented by Leo Strauss and Sebastian de Grazia. For Strauss, Machiavelli was a “teacher of evil,” a “blasphemer,” and a purveyor of lessons of a “diabolical” and “soulless character” whose purpose was to sabotage the heritage of thought and morality inherited from both Christianity and Greek philosophy. 2 De Grazia, by contrast, has recently given us a Machiavelli who “discourses about God always in the conventional reverent attitude,” who “never questions that there is good and evil,” and who, “by associating virtuous political action with grace and glory... argues that through this kind of active and political virtue men conform to God’s desire.” “Behind Niccolò’s insistence on political action,” says de Grazia, “stands God. He grants His grace when it is earned—in political coin.” 3 Part of the fascination of Machiavelli scholarship is the mystery of how this most outspoken and direct of political thinkers—a writer who pulled no punches and minced no words—could be the common referent of such wildly different readings. But it is equally curious to observe how uncannily these extreme positions mirror each other. Both give us true believers, one in the Word, the other in the subversion of the Word; and in both cases a believer who is always of a piece, true to himself, and possessed of an unshakeable commitment—whether positive or negative—toward the transcendent truth of Christianity. In short, for all the obvious differences, the similarities between Strauss’s “diabolical” Machiavelli and de Grazia’s reverent “friend of God” remind one of the old myth that devils are after all only fallen angels.The papers in this forum should certainly remove any doubt about the importance of religion in Machiavelli’s thought. They remind us of the prominence of religious language and examples in Machiavelli’s texts: his call for the “redemption” of Italy in the last chapter of The Prince; the esteem in which he holds the heads and founders of religions, whom he declares, in Discourses 1.10, to be the most praised of all famous men; the crucial appeal to the figure of Moses as the prototype of both founders of states and liberators of enslaved peoples; the central role that Machiavelli attributes to religion among the factors responsible for Rome’s power, unity, and political success; and his provocative critique of Christianity, which leads him, in a number of places, to blame the Christian faith for the relative weakness of both modern states and the modern ethic of citizenship. 4 The authors... (shrink)

The contributions in this volume highlight connections between our everyday treatment of animals and other forms of oppression, violence, and domination.

The reviews of this book which greeted its appearance in America, where it won a Catholic Press Association Religious Book Award, speak for themselves. 'The real core of the book is the question that is raised - the demanding bone-crushing question we all face - alone - at one time - the question of death/life and immortality. In these few pages we set out on a journey - one that winds its way among ancient stories and myths ... one's constant (...) disturbing companion is death - a reality that keeps breaking in upon our imes, our friends, our dreams and hopes and even our changing and becoming. The richness of the book lies in the questioning and some of the answers other men's times have given in attempt to live with this probing. We meet Kazantzakis, Homer, Melville, Hegel, Dante in their humanness in the face of death and in their timeless answers' (National Catholic Reporter). From the Protestant side, Martin Marty commented how John Dunne, 'perhaps the most intuitive and natively talented Catholic around, has cast a new spell', and The Critic remarked: 'As a meditation ought to be, it is simple and profound at once. And it is beautifully done, in some ways the richest of John Dunne's works.' All of which amounts to an invitation to join the author as he poses the timeless dilemma of the human condition and seeks to resolve it through stories of adventures, journeys and voyages inspired by man's encounter with death; stories of childhood, youth, manhood and age; and finally stories of God and of man wrestling with God and the unknown. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Ideas 61.2 (2000) 189-202 [Access article in PDF] Spinoza in Denmark and the Fall of Struensee, 1770-1772 John Christian Laursen * Baruch (Benedict) de Spinoza was the arch-heretic of the late seventeenth and eighteenth centuries. He was denounced in half a dozen languages from the time he began to publish until at least the 1780s, when Lessing's allegiance to Spinoza became the heart (...) of a literary scandal. 1 In time-honored fashion, some of these denunciations led to the burning of books and the imprisonment or banning of authors. The most spectacular case, however, led to the trial of a prime minister, the cutting off of his right hand and of his head, and the drawing and quartering of his body in full public ceremony. The year was 1772, the prime minister was Johann Friedrich Struensee, and the country was Denmark.Late eighteenth-century Denmark was not known for barbarities of the type represented by Struensee's execution. Previously disgraced prime ministers had merely been imprisoned, and other political enemies of the ruling powers had [End Page 189] merely been exiled. 2 Why such harshness with Struensee? What was at stake in the fall of Struensee?The answers to these questions are complex, but an important element of those answers lies in Struensee's public image, which made it seem both necessary and justifiable to treat him with such harshness. In turn, public opinion about Struensee was closely tied to the reputation of Spinoza. This essay will show that charges of Spinozism were part of the campaign that poisoned public opinion against Struensee. This was an unusually clear case of a theological and philosophical debate having direct political effects.Before getting to the role of Spinozism and anti-Spinozism in eighteenth-century Denmark, let us fill in important points of the story. The charge against Struensee was lèse majesté, for plotting the death of the King and for usurping power in violation of the constitution. Behind these charges was a further element which encouraged outrage: sleeping with Queen Caroline Matilda. That much was true, as both the Queen, a sister of George III of England, and Struensee admitted, each in order to save the other. The King knew about it all along but did not care. He did not care because he had become a libertine, going out to whorehouses most nights with rowdy friends, and he figured that what was good for the gander was good for the goose. He was also schizophrenic and easily manipulable by those around him, so that Struensee and the Queen encountered no disapproval from him until he fell under other people's influence. After Struensee and the Queen were taken into custody, the King was forced to divorce the Queen and she was sent to live in a Hannoverian castle in Celle because her brother did not want the embarrassment of having her back in England. She died there a few years later. 3It is an irony that we owe our knowledge of the state of public opinion in Denmark in this period to Struensee. Until shortly before the fatal events mentioned above, the Danish press had been subject to censorship that might have prevented the expression of many of the subsequent attacks on Struensee. But in September 1770 Struensee persuaded the king to declare freedom of the press in all his realms (consisting of the kingdoms of Denmark and Norway, the Duchies of Slesvig and Holsten [Schleswig and Holstein in German], Greenland, Iceland, the Faroes, and colonies in India, Africa, and the Caribbean). 4 It is not widely [End Page 190] known that Denmark was the first country to declare unlimited freedom of the press as official public policy. For much of the century England and the Netherlands had effective freedom of the press, but it had never been declared official policy. The next to do so was rebellious Virginia, in the Virginia Declaration of Rights (1776), followed by other colonies and then the Bill of Rights of the new... (shrink)

This brief paper shows that the idea of benefits to the subject compensating for the harms of disability is at best self defeating and at worst sinister. Equally benefits to third parties while real are dubious as compensating factors. This shows that disabilities are just that, a net loss and not a net gain.

John Dillon presents an English translation of Alcinous' Handbook of Platonism, accompanied by an introduction and a philosophical commentary which explain the ideas in the work and show their intellectual and historical context. The Handbook purports to be an introduction to the doctrines of Plato, but in fact gives us an excellent survey of Platonist thought in the second century AD.

My interlocutor is anyone who denies peisonhood to the embryo on the grounds that a human person can exist only in conscious activity and that in the absence of consciousness a person cannot exist at all. I probe personal consciousness to the point at which the distinction between the being and the consciousness of the human person appears, and argue on the basis of this distinction that the being of a person can exist in the absence of any consciousness. I (...) proceed to argue that it is not only entirely possible for the embryo to be a human person, but that, given the embodied peisonhood of us human beings, this is the only reasonable assumption which we can make. Keywords: human embryo, personhood, being, consciousness, embodiment CiteULike Connotea Del.icio.us What's this? (shrink)

Jonathan Aldred shares our desire to promote a reconciliation between social choice theory and deliberative democracy in the interests of a more comprehensive and compelling account of democracy.1 His comments on some details of our analysis – specifically, our use of Arrow’s conditions of universal domain and independence of irrelevant alternatives – give us an opportunity to clarify our position. His discussion of the independence condition in particular identifies some ambiguity in our exposition, and as such is useful. We are (...) less impressed by the way Aldred characterizes the overall terms of the reconciliation we propose. We believe that his argument on this matter should be resisted because it provides deliberative democrats with a bad excuse to dismiss social choice theory altogether, which is surely not what he intends. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Machiavelli’s Moses and Renaissance PoliticsJohn H. GeerkenWithin the almost Dantesque array of humanity that populates the pages of Machiavelli’s canon, Moses occupies a special place. He first appears in chapter six of The Prince concerning those who acquire new princedoms by dint of their own virtù and military self-sufficiency. He last appears in the Discourses as one who was forced to kill a host of envious opponents. There is (...) some irony in these representations: in The Prince, with its tyrannical overtones, Moses appears as God’s friend; but in the Discourses, with its republican associations, Moses is an executioner. Machiavelli captures some of the ambiguity that attends on Moses when he declares that “Moses should not be discussed, since he was a mere executor of things laid down for him by God, nevertheless he ought to be exalted, if only for the grace that made him worthy to speak with God.” 1 Are we to exalt Moses, but not discuss him? Then, too, why bother with either God or Moses? Why complicate the search for the effectual truth of things by invoking metaphysical elements or inimitable biblical figures? How are we to understand these references? Are these ironic as sometimes asserted?But what are the heuristic possibilities in a non-ironic approach? If Moses had so great a teacher, what was his curriculum? Since no other figure in the Machiavellian census is so associated with slavery, was Moses a vehicle for making an assertion about slavery and liberation, or about politics and religion, or about the morality of politics? Then, too, how did Machiavelli’s Moses compare to the Moses who was so prominent in Renaissance iconology? These are the questions which this study addresses.I. Of the several references to Moses, the most telling is the last one in the Discourses. Machiavelli writes: “He who reads the Bible intelligently [sensata-mente] [End Page 579] sees that if Moses was to put his laws and regulations into effect, he was forced to kill countless men who, moved by nothing else than envy, were opposed to his plans.” 2A great deal is compressed into this passage: the confrontation of Moses’ virtù with the necessity imposed by his opposition, the need to use violent means to achieve lawful ends, and the implied sanction of sacred Scripture. But the Bible, Machiavelli asserts pointedly, must be read intelligently—presumably not in a devotional, liturgical, or exegetical manner, but in effect politically. Machiavelli wrote that he himself read in order to learn the reasons for human actions. 3 Indeed, one of his reasons for writing history was to convey his conviction that “[i]f any reading is useful to citizens who govern republics, it is that which shows the causes of the hatreds and factional struggles within the city, in order that such citizens having grown wise through the sufferings of others, can keep themselves united.” 4In a word reading can be political. References to biblical figures in his works indicate that for Machiavelli the Bible was not exempt from a political reading; it, too, could yield the reasons for human actions and the causes of hatred and factionalism. 5 We can assume, therefore, that he read the Book of Exodus with these concerns in mind even as he invited his own readers to read the Bible. What, therefore, can the Book of Exodus show us?II. The Book of Exodus records at least forty-three conversations between God and Moses, thirty-three of which were initiated by God in order to instruct, command, announce, predict, threaten, remind, warn, and legislate. It records God’s determination to rescue his convenanted people despite pharaoh’s sustained resistance. 6 It records as well the instructional conversations dealing with the plagues, the sacrifices, the Passover, the plundering of Egypt, the escape routes and the encampments. 7 And of course there is the account of the crossing of the Red Sea which no Egyptian pursuer survived. 8Noteworthy, too, is the fact that, for his part, Moses initiated ten conversations with God, declaring his personal doubts and inadequacies, offering his excuses, complaining about the hardships of his mission, reporting on the grumbling... (shrink)

This chapter contains sections titled: The Background Why is Science Special from the Epistemic Point of View? Accumulation in Science, Despite “Revolutions”? Other Issues.

Utilizing a contractualist framework for understanding the basis and limits for the use of force by police, this article offers five limiting principles—respect for status as moral agents, proportionality, minimum force necessary, ends likely to be accomplished, and appropriate motivation—and then discusses uses of force that violate or risk violating those principles. These include, but are not limited to, unseemly invasions, strip searches, perp walks, handcuffing practices, post-chase apprehensions, contempt-of-cop arrests, overuse of intermediate force measures, coerced confessions, profiling, stop and (...) frisk practices, and the administration of street justice. (shrink)

When things go wrong with assisted reproduction we should look at what’s best for everyone in the particular circumstancesA RTBs, as we must now call them, are becoming more and more frequent. In the recent United Kingdom case Mr and Mrs A, a “white” couple, gave birth to twins described as “black”. The mix up apparently occurred because a Mr and Mrs B, a “black” couple, were being treated in the same clinic and Mrs A’s eggs were fertilised with Mr (...) B’s sperm. Mr and Mrs A love the twins and wish to keep them and the facts seem to be that Mrs A is the genetic mother of the twins but her partner is not the genetic father. Under English law, in assisted reproduction, the woman who gives birth to the child is the legal mother and this is true also in cases of surrogacy. I think there is no doubt in this case that English law has taken the right path and that it would be unconscionable to contemplate taking a child away from the woman who had undergone the risks and pains of pregnancy and childbirth and the bonding process that goes along with that when she wishes to keep the child particularly when there is no substantial and pressing evidence that she would be an unsafe parent. I argued this in my book The Value of Life4 and I think it is still true. So in this case justice, morality, and decency are served by confirming Mr and Mrs A as the parents of the children. Since in English law there is some ambiguity over paternity and how that is to be assigned and since Mr A is apparently not the genetic father, I think it is important …. (shrink)

The state of science at any given time is characterized, in part at least, by the theories that are accepted at that time. Presently accepted theories include quantum theory, the general theory of relativity, and the modern synthesis of Darwin and Mendel, as well as lower‐level (but still clearly theoretical) assertions such as that DNA has a double‐helical structure, that the hydrogen atom contains a single electron, and so on. What precisely is involved in accepting a theory?

A great deal of fascinating research has gone into an attempt to uncover the fundamental criteria that people use when assigning moral responsibility. Nonetheless, it seems that most existing accounts fall prey to one counterexample or another. The underlying problem, we suggest, is that there simply isn't any single system of criteria that people apply in all cases of responsibility attribution. Instead, it appears that people use quite different criteria in different kinds of cases. [This paper was originally circulated under (...) the title 'Strawsonian Variations.']. (shrink)

Bu yazı organ nakli ile ilgili şu soruyu ele almaktadır: Doktorlar sağlıklı bir kişinin organlarını alarak organ nakline gereksinim duyan birden fazla kişinin yaşamını kurtarırlarsa ahlaksal açıdan yanlış bir şey yapmış olurlar mı? Her ne kadar sağlıklı bir insanın organlarını alarak onun ölümüne neden olmak kabul edilemez görünse de bunu yapmamanın daha çok sayıda kişinin ölümüne neden olacağı düşünülürse ortada araştırılmaya değer bir soru olduğu görülür.

Wendell Stephenson argues in this issue of The journal that the National Institutes of Health's standards for the treatment of laboratory animals fail to give any guidance concerning human well-being nor do they balance human well-being and animal well-being. Stephenson fails, however, to demonstrate how such a balance is to be known. In arguing for reform he implies greater state control without showing that such control would improve the situation. Indeed there are good reasons to think that such control may (...) be harmful. Keywords: animal well-being, economics, human well-being, state control, Stephenson CiteULike Connotea Del.icio.us What's this? (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Arthur O. Lovejoy and the Challenge of Intellectual HistoryJohn Patrick DigginsMen and ideas advance by parricide, by which the children kill, if not their fathers, at least the beliefs of their fathers, and arrive at new beliefs.Sir Isaiah Berlin1I was supposed to wind up the study of mine, and become the Lovejoy of my generation—that's the silly talk of scholarly people.Saul Bellow2To become "the Lovejoy," with the implication that (...) each generation could only have one, was the ambition of Moses Herzog in Saul Bellow's novel, written a few years after he had won the Nobel Award for literature. Herzog presents the life of a professor who has as many sexual escapades and as much personal angst as he has scholarly interests, too unfocused to be another Lovejoy. Bellow's novel is full of letters to Nietzsche, Heidegger, and other modernist minds who brought Western intellectual life to a standstill, posing a lasting question mark about the possibilities of knowledge. Bellow taught in the program of the Committee on Social Thought at [End Page 181] the University of Chicago. His colleague and close friend Allan Bloom also taught in that program. But when Bloom wrote the best seller, The Closing of the American Mind, he cited Nietzsche and Heidegger as part of the "German disease" that did so much to subvert academic thought, supposedly turning students into zombies, walking air heads responding only to vacuous visual stimuli and mind-numbing music, with Rock n' Roll blasting through a Walkman and having the effect of a "masturbational fantasy."3While Bellow's epistolary novel interrogated modernist thinkers, Bloom's popular tract of the times cited many classical thinkers as a countervoice to the modernists—Aristotle, Plato, Socrates, Augustine, Aquinas, Dante, Hobbes, Kant, Lessing, Schiller, Locke, and Rousseau. Such minds also figured prominently in the works of Arthur O. Lovejoy. But the recitation of such names leaves the impression that Lovejoy concerned himself only with the main currents of European intellectual history. On the contrary, two of his most important and often neglected books are The Thirteen Pragmatisms and Reflections on Human Nature.4 There one finds profound meditations on two vital episodes in the history of ideas in America: the Enlightenment and the philosophy of pragmatism. Perry Miller, arguably America's greatest intellectual historian, skipped over the Enlightenment as he proceeded to study the Puritans and then the transcendentalists, and he never seemed to have much interest in the pragmatists.5 But what Lovejoy had to write on the Enlightenment and pragmatism is richly ironic.The pragmatists claimed to have liberated modern thought from the easy assumptions of the "Age of Reason," and today's poststructuralists charge that eighteenth-century Enlightenment thinkers deceived themselves in looking to the advent of knowledge as an answer to the presence of power. Lovejoy's books offer a different take entirely, making us aware that it is the modernist thinkers who may be deceiving themselves with the dubious promises of pragmatism and the arrogant conceits of poststructuralism and deconstruction, whose proponents claim to be the first "masters [End Page 182] of suspicion." In many of Lovejoy's works, nothing is resolved and everything is left suspended in a state of honest suspicion.Lovejoy was comfortable with contradiction, and hence more in tune with Augustine, who looked to the depths of human consciousness for spiritual knowledge, than with Aquinas, who believed evidence for God and human freedom could be found in reason alone. Nowhere is Lovejoy's affinity for the emotions of consciousness better seen than in his several essays on romanticism, both English, French, German, and even its origins in Chinese aesthetics and Confucian ethics. It was not reason and the notion of order and regulation that appealed to Lovejoy but the spontaneous promptings of nature springing forth without reflection or design. He delighted in quoting Voltaire against classicists and scholastics. "Worship God and practice justice—this is the sole religion of the Chinese literati.... O Thomas Aquinas, Scotus, Bonaventure, Francis, Dominic, Luther, Calvin, canons of Westminister, have you anything better? For four thousand years this religion, so simple and so noble, has endured in... (shrink)