In an international survey of rationing we have found that European physicians encounter scarcity-related ethical difficulties, and are dissatified with the resolution of many of these cases. Here we further examine survey results to explore whether ethics support services would be potentially useful in addressing scarcity related ethical dilemmas. Results indicate that while the type of help offered by ethics support services was considered helpful by physicians, they rarely referred difficulties regarding scarcity to ethics consultation. We propose that ethics consultants (...) could assist physicians by making the process less difficult, and by contributing to decisions being more ethically justifiable. Expertise in bringing considerations of justice to bear on real cases could also be useful in recognising an unjust limit, as opposed to a merely frustrating limit. Though these situations are unlikely to be among the most frequently referred to ethics support services, ethics consultants should be prepared to address them. (shrink)

This article concerns sound aesthetic preferences for European foreign languages. We investigated the phonetic-acoustic dimension of the linguistic aesthetic pleasure to describe the “music” found in European languages. The Romance languages, French, Italian, and Spanish, take a lead when people talk about melodious language – the music-like effects in the language (a.k.a., phonetic chill). On the other end of the melodiousness spectrum are German and Arabic that are often considered sounding harsh and un-attractive. Despite the public interest, limited research has (...) been conducted on the topic of phonaesthetics, i.e., the subfield of phonetics that is concerned with the aesthetic properties of speech sounds (Crystal, 2008). Our goal is to fill the existing research gap by identifying the acoustic features that drive the auditory perception of language sound beauty. What is so music-like in the language that makes people say “it is music in my ears”? We had 45 central European participants listening to 16 auditorily presented European languages and rating each language in terms of 22 binary characteristics (e.g., beautiful – ugly and funny – boring) plus indicating their language familiarities, L2 backgrounds, speaker voice liking, demographics, and musicality levels. Findings revealed that all factors in complex interplay explain a certain percentage of variance: familiarity and expertise in foreign languages, speaker voice characteristics, phonetic complexity, musical acoustic properties, and finally musical expertise of the listener. The most important discovery was the trade-off between speech tempo and so-called linguistic melody (pitch variance): the faster the language, the flatter/more atonal it is in terms of the pitch (speech melody), making it highly appealing acoustically (sounding beautiful and sexy), but not so melodious in a “musical” sense. (shrink)

The usual completeness theorem for first-order logic is extended in order to allow for a natural incorporation of real analysis. Essentially, this is achieved by building in the set of real numbers into the structures for the language, and by adjusting other semantical notions accordingly. We use many-sorted languages so that the resulting formal systems are general enough for axiomatic treatments of empirical theories without recourse to elements of set theory which are difficult to interprete empirically. Thus we provide a (...) way of applying model theory to empirical theories without tricky detours. Our frame is applied to axiomatizations of three empirical theories: classical mechanics, phenomenological thermodynamics, and exchange economics. (shrink)

Background: Ethics support services are growing in Europe to help doctors in dealing with ethical difficulties. Currently, insufficient attention has been focused on the experiences of doctors who have faced ethical difficulties in these countries to provide an evidence base for the development of these services.Methods: A survey instrument was adapted to explore the types of ethical dilemma faced by European doctors, how they ranked the difficulty of these dilemmas, their satisfaction with the resolution of a recent ethically difficult case (...) and the types of help they would consider useful. The questionnaire was translated and given to general internists in Norway, Switzerland, Italy and the UK.Results: Survey respondents ranged in age from 28 to 82 years, and averaged 25 years in practice. Only a minority reported having access to ethics consultation in individual cases. The ethical difficulties most often reported as being encountered were uncertain or impaired decision-making capacity , disagreement among caregivers and limitation of treatment at the end of life . The frequency of most ethical difficulties varied among countries, as did the type of issue considered most difficult. The types of help most often identified as potentially useful were professional reassurance about the decision being correct , someone capable of providing specific advice , help in weighing outcomes and clarification of the issues . Few of the types of help expected to be useful varied among countries.Conclusion: Cultural differences may indeed influence how doctors perceive ethical difficulties. The type of help needed, however, did not vary markedly. The general structure of ethics support services would not have to be radically altered to suit cultural variations among the surveyed countries. (shrink)

Hegel's very first acknowledged publication was, among other things, an attack on Fichte. In 1801, Hegel was still laboring in almost complete obscurity, while Fichte was an international sensation, though already somewhat past the peak of his meteoric career. In the 1801 Differenzschrift, Hegel cut his teeth by criticizing Fichte's already widelycriticised Wissenschaftslehre, and by demonstrating that Schelling's philosophical system was not simply to be equated with it. Fichte himself never bothered to respond to Hegel's criticisms; indeed he never publicly (...) acknowledged their existence. This was not because he was unconcerned with criticisms of his views; quite the contrary. But at the time he had bigger fish to fry. He responded to Jacobi's criticisms, and to Schelling's; he replied in great detail to critical questions raised by Reinhold, and with vituperative intensity to objections raised by skeptics and purportedly loyal Kantians. But Hegel's Differenzschrift was left without a Fichtean rebuttal. This is a pity, both because of the missed opportunity to illuminate by controversy central issues at stake in the post-Kantian period, but also because it made it easier for Hegel simply to reiterate his youthful criticism as if it were the last word. And reiterate it he did: in one form or another Hegel's early criticisms of Fichte reappear at every subsequent stage of his career: in the Phenomenology, in the Science of Logic, in the Encyclopaedia, as the final chapter in Hegel's History of Philosophy, and in countless other minor works and documents from the Nachlass and correspondence. (shrink)

Hegel's very first acknowledged publication was, among other things, an attack on Fichte. In 1801, Hegel was still laboring in almost complete obscurity, while Fichte was an international sensation, though already somewhat past the peak of his meteoric career. In the 1801Differenzschrift, Hegel cut his teeth by criticizing Fichte's already widelycriticisedWissenschaftslehre, and by demonstrating that Schelling's philosophical system was not simply to be equated with it. Fichte himself never bothered to respond to Hegel's criticisms; indeed he never publicly acknowledged their (...) existence. This was not because he was unconcerned with criticisms of his views; quite the contrary. But at the time he had bigger fish to fry. He responded to Jacobi's criticisms, and to Schelling's; he replied in great detail to critical questions raised by Reinhold, and with vituperative intensity to objections raised by skeptics and purportedly loyal Kantians. But Hegel'sDifferenzschriftwas left without a Fichtean rebuttal. This is a pity, both because of the missed opportunity to illuminate by controversy central issues at stake in the post-Kantian period, but also because it made it easier for Hegel simply to reiterate his youthful criticism as if it were the last word. And reiterate it he did: in one form or another Hegel's early criticisms of Fichte reappear at every subsequent stage of his career: in thePhenomenology, in theScience of Logic, in theEncyclopaedia, as the final chapter in Hegel'sHistory of Philosophy, and in countless other minor works and documents from theNachlassand correspondence. (shrink)

Hegel’s very first acknowledged publication was, among other things, an attack on Fichte.1 In 1801, Hegel was still laboring in almost complete obscurity, while Fichte was an international sensation, though already somewhat past the peak of his meteoric career. In the 1801 Differenzschrift, Hegel cut his teeth by criticizing Fichte’s already widely-criticized Wissenschaftslehre, and by demonstrating that Schelling’s philosophical system was not simply to be equated with it. Fichte himself never bothered to respond to Hegel’s criticisms; indeed he never publicly (...) acknowledged their existence. This was not because he was unconcerned with criticisms of his views; quite the contrary. But at the time he had bigger fish to fry. He responded to Jacobi’s criticisms, and to Schelling’s; he replied in great detail to critical questions raised by Reinhold, and with vituperative intensity to objections raised by skeptics and purportedly loyal Kantians. But Hegel’s Differenzschrift was left without a Fichtean rebuttal. This is a pity, both because of the missed opportunity to illuminate by controversy central issues at stake in the post-Kantian period, but also because it made it easier for Hegel simply to reiterate his youthful criticism as if it were the last word. And reiterate it he did: in one form or another Hegel’s early criticisms of Fichte reappear at every subsequent stage of his career: in the Phenomenology, in the Science of Logic, in the Encyclopaedia, as the final chapter in Hegel’s History of Philosophy, and in countless other minor works and documents from the Nachlass and correspondence. (shrink)

A broad exploration of Irigaray’s philosophy of life and living. Featuring a highly accessible essay from Irigaray herself, this volume explores her philosophy of life and living. Life-thinking, an important contemporary trend in philosophy and in women’s and gender studies, stands in contrast to philosophy’s traditional grounding in death, exemplified in the work of philosophers such as Socrates, Plato, and Schopenhauer. The contributors to Thinking Life with Luce Irigaray consider Irigaray’s criticisms of the traditional Western philosophy of death, including its (...) either-or dualisms and binary logic, as well as some of Irigaray’s “solutions” for cultivating life. The book is comprehensive in its analyses of Irigaray’s relationship to classical and contemporary philosophers, writers, and artists, and produces extremely fruitful intersections between Irigaray and figures as diverse as Homer and Plato; Alexis Wright, the First-Nations novelist of Australia; and twentieth-century French philosophers like Sartre, Badiou, Deleuze, and Guattari. It also develops Irigaray’s relationship to the arts, with essays on theater, poetry, architecture, sculpture, and film. “This is a very timely text; it places Irigaray scholarship in conversation with the lively field of feminist philosophies of life, and this is a really wonderful, fruitful match. The collection itself contains many marvelous pieces. Luce Irigaray’s essay is strong and pithy—she reiterates a number of her important ideas, in accessible language, and places them in the context of pertinent questions in feminism.” — Sabrina L. Hom, coeditor of Thinking with Irigaray. (shrink)

It has become almost commonplace to recognise that teaching is an embodied practice. Most analyses of teaching as embodied practice focus on the embodied nature of the teacher as subject. Here, we use Butler's concept of performativity to analyse the reiterated acts that are intelligible as—performatively constitute—teaching, rather of the teacher as subject. We suggest that this simultaneously helps explain the persistence of teaching as a narrow repertoire of actions recognisable as ‘teaching’, and the policing of conformity to teaching thus (...) embodied. However, like performatively accomplished subjectivity, this repertoire is unstable and ambiguous, and thus open to change and disruption. Moreover, teacher subjectivities may lead them to mobilise these possibilities of disruption. (shrink)

Bioethical arguments conceal the coercion underlying the choice between poverty and selling ones organsIn mid-May 2006, three Palestinian prisoners detained in Israel applied to the Israeli Prison Service for permission to sell their kidneys in order to send money to their children for food. Whether truly sincere or merely propagandistic, the request was made against the background of Israel’s decision to suspend the transfer of Palestinian tax moneys to the Hamas-led Palestinian Authority, and the subsequent increasing poverty and famine in (...) the Gaza Strip.1An official decision was yet to be made when this paper was written. However, the IPS chief medical officer had already made it clear that the request is likely to be rejected. Aside from emphasising that the cost of the pertinent treatment of the prisoners could not be imposed on the IPS, especially as it would greatly exceed the sum to be obtained by the sellers , he asserted that the IPS “won’t lend a hand to endangering the prisoner”. He also reiterated the official IPS policy, according to which the prisoners’ consent to such transaction could not be valid, since they might have been threatened by people from inside or outside the prison.1This is ironic. While the IPS’ professed concerns for the welfare and best interests of the prisoners are commendable, they conceal and hence reaffirm the real coercion implicit in the dilemma the prisoners face: to sell their kidney or let their children starve. Interestingly, approval of their request would have equally concealed the coercion, this time behind concerns for either their autonomy, or the welfare of their children, or both.At present, it is unlikely that Israel will acknowledge the role of national oppression and poverty in producing this dilemma. Rather, the debate will remain focused on …. (shrink)

It has become almost commonplace to recognise that teaching is an embodied practice. Most analyses of teaching as embodied practice focus on the embodied nature of the teacher as subject. Here, we use Butler's concept of performativity to analyse the reiterated acts that are intelligible as—performatively constitute—teaching, rather of the teacher as subject. We suggest that this simultaneously helps explain the persistence of teaching as a narrow repertoire of actions recognisable as ‘teaching’, and the policing of conformity to teaching thus (...) embodied. However, like performatively accomplished subjectivity, this repertoire is unstable and ambiguous, and thus open to change and disruption. Moreover, teacher subjectivities may lead them to mobilise these possibilities of disruption. (shrink)

This paper offers some comments on bioethical debates about resource allocation in healthcare. It is stimulated by Rosalind McDougall’s argument that it is an affront to the human dignity of people with below “liberties-level” health to fund human reproductive cloning. McDougall is right to underline the relevance of resource prioritisation to the ethics of research and provision of new biomedical technologies. This paper argues that bioethicists should be careful when offering comments about such issues. In particular, it emphasises the need (...) to represent accurately the reality of the situation—especially when we are passing judgement on technologies that are in their infancy and whose practical application is yet to be confirmed. The paper also emphasises the importance of the actual context to bioethical debate, and note that it would be better to talk about resource expenditure rather than resource allocation when it comes to discussing the rights and wrongs of how money is spent. It also reiterates the claims made by other writers that social and political philosophy need to have a transparent and considered role in debates about resources. (shrink)

Knowledge of the ethical and legal basis of medicine is as essential to clinical practice as an understanding of basic medical sciences. In the UK, the General Medical Council requires that medical graduates behave according to ethical and legal principles and must know about and comply with the GMC’s ethical guidance and standards. We suggest that these standards can only be achieved when the teaching and learning of medical ethics, law and professionalism are fundamental to, and thoroughly integrated both vertically (...) and horizontally throughout, the curricula of all medical schools as a shared obligation of all teachers. The GMC also requires that each medical school provides adequate teaching time and resources to achieve the above. We reiterate that the adequate provision and coordination of teaching and learning of ethics and law requires at least one full-time senior academic in ethics and law with relevant professional and academic expertise. In this paper we set out an updated indicative core content of learning for medical ethics and law in UK medical schools and describe its origins and the consultative process by which it was achieved. (shrink)

How might experimental media art help theorise what falls by the wayside in the digital public sphere? Working in the years immediately following the launch of YouTube in 2005, some media artists centred their creative praxis towards the end of that decade upon rescuing, revalorising, and placing back into digital circulation audiovisual media formats and technologies that appeared aged or obsolete. Although there may be a degree of nostalgia behind such practices, these artworks articulate a cogent critique of the drive (...) towards constant innovation that was responsible for the invention and global expansion of cinema, but in recent decades has been responsible for its decay—or, perhaps more accurately, for its perpetual transformation. The article explores this 'media-archaeology' sensibility as a way of thinking about AI more widely: an approach that sees histories of media not as a linear, chronological search for origins, but as a critical recovery of artefacts lodged discontinuously in multiple layers of the past. Although digital technologies form a central part of the creative process of the artists considered in this article, their works also act as a critical conscience about digital change, asking what the so-called digital revolution is leaving out, and leaving behind. In so doing, it illuminates some potential positive and negative impacts of digital technologies' mediation of new forms of public engagement, whether in art, archives, or on social media. (shrink)

How might experimental media art help theorise what falls by the wayside in the digital public sphere? Working in the years immediately following the launch of YouTube in 2005, some media artists centred their creative praxis towards the end of that decade upon rescuing, revalorising, and placing back into digital circulation audiovisual media formats and technologies that appeared aged or obsolete. Although there may be a degree of nostalgia behind such practices, these artworks articulate a cogent critique of the drive (...) towards constant innovation that was responsible for the invention and global expansion of cinema, but in recent decades has been responsible for its decay—or, perhaps more accurately, for its perpetual transformation. The article explores this 'media-archaeology' sensibility as a way of thinking about AI more widely: an approach that sees histories of media not as a linear, chronological search for origins, but as a critical recovery of artefacts lodged discontinuously in multiple layers of the past. Although digital technologies form a central part of the creative process of the artists considered in this article, their works also act as a critical conscience about digital change, asking what the so-called digital revolution is leaving out, and leaving behind. In so doing, it illuminates some potential positive and negative impacts of digital technologies' mediation of new forms of public engagement, whether in art, archives, or on social media. (shrink)

It seems that Heidegger's thought is subject to the dubious destiny of inspiring fat commentaries. However, Colombo's has this advantage over many of its counterparts, viz., it is more a true study than a reiteration. This is so in three important respects. First, a systematization of the thought of Heidegger is attempted, and, in so far as this is possible, rather successfully achieved. The book is divided into five parts, whose continuity follows only in part the development of Heidegger. Happily, (...) the author, unimpressed by the superficial schema of a Kehre, articulates a treatment which is independent from any simple genetic explanation. The five parts are: Design and Depth of Finitude, Beyond Form, Manifestation of Being, Man and Nothingness, and The Impotence of Thought. The systematization rests on an excellent discernment of themes in the thought of Heidegger. Instead of being content with the proposition that Heidegger is but a single theme thinker, Colombo rescues a variety of themes from the web of Heidegger's thought. This he does not by formulating such themes in classical or purely technical terms, but by showing their import and relevance relative to other historical themes in Western thought. Surprisingly enough, the result is not an absorption of Heidegger by the tradition, but rather a deepening of classical themes, and a freeing of shades missing in the Heideggerian synthesis. However this is done with such care that the focused topics are not taken out of context, or even hermeneutically overcome. On the contrary, they are very properly accented in their own contours. As befits a good study of this type, footnotes are the best part of the work. Colombo discourses with a multitude of authors, clearing lines of interpretation, and, more importantly, bringing forth ideas generated by Heidegger's philosophy. By being free from the poetic spell that the German philosopher casts upon those who study him, Colombo has written a philosophical book showing more clearly than others the scope and the idiosyncrasies of his subject-author. The results are impressive, and they place this young Italian professor, together with Pöggeler and Birault, at the top of the list of Heidegger's interpreters.—A. M. (shrink)

Cultural competence, a clinical skill to recognise patients' cultural and religious beliefs, is an integral element in patient‐centred medical practice. In the area of death and dying, physicians' understanding of patients' and families' values is essential for the delivery of culturally appropriate care. Dementia is a neurodegenerative condition marked by the decline of cognitive functions. When the condition progresses and deteriorates, patients with advanced dementia often have eating and swallowing problems and are at high risk of developing malnutrition. Enteral tube (...) feeding is a conventional means of providing artificial nutrition and hydration to meet nutritional needs, but its benefits to the frail population are limitedly shown in the clinical evidence. Forgoing tube feeding is ethically challenging when patients are mentally incompetent and in the absence of an advance directive. Unlike some developed countries, like the United States of America, death and dying is a sensitive issue or even a taboo in some cultures in developing countries that forgoing enteral tube feeding is clinically and ethically challenging, such as China and Malaysia. This article in three parts 1) discusses the clinical and ethical issues related to forgoing tube feeding among patients with advanced dementia, 2) describes how Hong Kong Chinese, North American, and Malaysian Islamic cultures respond differently in the decision‐making patterns of forgoing tube feeding for patients with advanced dementia, and 3) reiterates the clinical implications of cultural competence in end‐of‐life care. (shrink)

Although there has been consistent interest in Marx and Marxism there has been little sustained interest in the origins of Marx’s ethical thought and his relation to the German philosophical tradition as a whole. Work has been done linking Marx to Fichte, and a great deal more linking him to Hegel. However, the fundamental concept joining them all is recognition, or interpersonal relations in general. In this regard, none of the German thinkers can be understood withoutfirst grasping their understanding of (...) the human person as one among many. This article begins this process for Marx. Although some literature has been devotedto the explication of Marx’s notion of species-being it is sparse and dated. In this article I proceed to reiterate how important species-being is as the foundationto Marx’s ethical philosophy. However, my main focus is on simply how to understand the concept itself. I, therefore, devote the majority of the article to ananalysis of Marx’s use of the concept in his early work as well as his critique of Ludwig Feuerbach’s use of it. This account provides the basis for understandingMarx’s concept of human essence and is the beginning of a project of rephrasing Marxian ethics around the concept of recognition thus reconnecting him to theGerman philosophical tradition. (shrink)

1. The Tractatus doctrine of saying and showing In a letter to Russell dated 19.4.1919, written shortly after he had finished the Tractatus, Wittgenstein told Russell that the main contention of the book, to which all else, including the account of logic, is subsidiary, ‘is the theory of what can be expressed (gesagt) by prop[osition]s -- i.e. by language -- (and, which comes to the same, what can be thought) and what cannot be expressed by prop[osition]s, but only shown (gezeigt); (...) which I believe is the cardinal problem of philosophy’ (CL 68). This was emphasized in both preface and conclusion of the book. The preface observes that the whole sense of the book can be summed up in the following words: ‘what can be said at all can be said clearly, and what we cannot talk about we must pass over in silence’ (TLP p.3). The conclusion of the book (TLP 7) simply repeats this. The preceding three remarks, however, are noteworthy. They make three claims. First, ‘There are, indeed, things that cannot be put into words. They make themselves manifest. They are what is mystical’ (TLP 6.522). This reiterates the leitmotif of the book, namely that there are things that cannot, by the very nature of representation, be said. But though they cannot be said, they are shown by features of the relevant system of representation. Secondly, the correct method in philosophy would really be to say nothing except what can be said, i.e. empirical propositions that have nothing to do with philosophy, and then, when someone wanted to say something metaphysical, to demonstrate to him that he had failed to give meaning to certain signs in his propositions (TLP 6.53). This method, of course, is not the method that has been followed throughout the book, which consists almost exclusively of modal assertions concerning what must, can or cannot be thus and so in reality, in language and in the relation between language and reality.. (shrink)

Evolutionary Biology has two principal explananda, fit and diversity (Lewontin 1978). Natural selection theory stakes its claim to being the central unifying concept in biology on the grounds that it demonstrates both phenomena to be the consequence of a single process. By now the standard story hardly needs reiterating: Natural selection is a force that operates over a population, preserving the better fit, culling the less fit, and along the way promoting novel solutions to adaptive problems. Amundson’s historical survey of (...) the concept of adaptation captures the idea succinctly: The phenomenon of adaptation is at the core of modern evolutionary biology. Natural selection, the mechanism universally regarded as the primary causal influence on phenotypic evolutionary change, is first and foremost an explanation of adaptation. (1996: 11) At the same time, it appears that the capacity of natural selection to cause adaptations cannot account for every feature of the nature and distribution of biological form. Reason to believe this devolves from the simple fact that the bearers of biological form are organisms and a salient fact about organisms is that each faces the tribunal of the environment as a corporate entity, not as a loose aggregate of independent traits. One consequence of this fact is that at each stage of its development from egg to adult an organism must be an integrated, functioning whole. Another is that for any form to arise in an organism at a time, it must develop from the materials and processes at the organism’s disposal. The requirement of integration and the processes of development that produce it leave their distinctive marks on form. It seems reasonable, then, to suppose that one might appeal to the processes of development and the principles by which they operate in explaining the nature and distribution of biological form. (See here Gould 1977; Rose and Lauder 1996). (shrink)

The set of 30 stimulating commentaries on our target article helps to define the areas of our initial position that should be reiterated or else made clearer and, more importantly, the ways in which moderators of and extensions to the SIMS can be imagined. In our response, we divide the areas of discussion into (1) a clarification of our meaning of (2) a consideration of our proposed categories of smiles, (3) a reminder about the role of top-down processes in the (...) interpretation of smile meaning in SIMS, (4) an evaluation of the role of eye contact in the interpretation of facial expression of emotion, and (5) an assessment of the possible moderators of the core SIMS model. We end with an appreciation of the proposed extensions to the model, and note that the future of research on the problem of the smile appears to us to be assured. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Editors’ NoteJames M. DuBois, Ana S. Iltis, and Heidi A. WalshFrom childhood, David Slakter had undergone tests and invasive procedures to monitor his nephritis. It was not a surprise when in 2015, doctors told him he needed a kidney transplant. The wife of a childhood friend was a close match and gave him one of her kidneys. Before his transplant, aerobic exercise was difficult; a few months after transplant, (...) Slakter could ride his bike, hike, and work out with a personal trainer. He no longer had to weigh food or gauge his potassium consumption, a concern for people with kidney failure. For Slakter, “life post-transplant has been a significant improvement.”Individuals or family members of those who have received an organ transplant from a living or deceased donor share their stories in this issue of Narrative Inquiry in Bioethics. The symposium is titled “Receiving the Gift of Life: Stories from Organ Transplant Recipients.” Organ transplantation can extend an individual’s life by decades. It can also greatly improve an individual’s quality of life, as was Slakter’s experience. At the same time, organ transplantation is expensive and stressful. Recipients can experience complications, including organ rejection, and there are few appealing alternatives.After her heart transplant, author Leilani R. Graham required four open-heart surgeries, ECMO, and an intra-aortic balloon pump. She experienced delirium, necrotizing pneumonia, and severe muscular atrophy that required her to re-learn how to walk. She struggled with weight gain, explosive mood swings, hair loss, and was terrified that her body would reject the new heart. For Graham, “[Transplant] was not the miracle [she] was hoping for.” Graham says she felt unprepared for and inadequately informed about what to expect after her transplant, which left her “battered, beaten, and bruised” with a 12-inch line from neck to navel and “bullet holes” up and down her torso from the chest tubes. When reflecting on her experience post-transplant, Graham says, “It wasn’t the physical trauma that hurt the most. It was that no one seemed surprised [by the aftereffects of transplant].” Seemingly no one, that is except Graham, who calls on transplant providers to “prioritize empathy.”The symposium editors are Jason T. Eberl and Tristan McIntosh. Three commentary articles, written by Macey Leigh Levan, Heather Lannon, and Vidya A. Fleetwood, Roslyn B. Mannon & Krista L. Lentine, offer important insights into the authors’ stories. The editors thank Mid-America Transplant, the UCSF Lung Transplant Program, Donor Connect, William L. Freeman, MD, MPH, MJIL, CIP, Janet Monk, and the individuals who gave anonymous donations to support the publication of this issue, an open-access VOICES edition of the symposium, and accompanying teaching guides.The research article in this issue, “‘A Shell of My Former Self’: Using Figurative Language to Promote Communication about Patient Suffering,” was written by Tyler Tate, Elizabeth Stein, and Robert A. Pearlman. The relief of suffering is a primary goal of medicine. However, the authors note that clinicians often miss or ignore suffering because they focus on the causes rather than the experience of suffering, or the subjective nature of suffering makes it difficult to discuss. The authors believe that “the key to communicating about suffering lies in finding [End Page vii] the right kind of words to describe the experience” and say that figurative language offers a promising approach. In their research, the authors performed qualitative analysis on 52 works of literature and identified 254 excerpts of figurative language with themes of non-physical or psychological suffering. The authors found 13 salient themes: brokenness, diminishment, disorientation, drowning, emptiness, imprisonment, battle, darkness, isolation, invisibility, lifelessness, punishment, and torture. The authors reiterate that developing a shared language of suffering could foster a therapeutic patient-clinician relationship and improve clinicians’ ability to recognize and address a patient’s experience of suffering.María Susana Ciruzzi wrote the first of two case studies included in this issue. “The Sword of King Solomon” addresses a tragic and difficult subject—how to navigate the situation posed by conjoined twins when “any decision will produce damage and suffering.” The case involves two infant male patients born at 37 weeks gestation as omphalo-ischiopagus conjoined twins... (shrink)

Adversities in pregnancy, including poor diet and stress, are associated with increased risk of developing both metabolic and mental health disorders later in life, a phenomenon described as fetal programming or developmental origins of disease. Predominant hypotheses proposed to explain this relationship suggest that the adversity imposes direct changes to the developing fetus which are maintained after birth resulting in an increased susceptibility to ill health. However, during pregnancy the mother, the developing fetus, and the placenta are all exposed to (...) the adversity. The same adversities linked to altered offspring outcome can also result in suboptimal maternal care, which is considered an independent adverse exposure for the offspring. Recent key experiments in mice reveal the potential of prenatal adversity to drive alterations in maternal care through abnormal maternal–pup interactions and via alterations in placental signaling. Together, these data highlight the critical importance of viewing fetal programming holistically paying attention to the intimate, bidirectional, and reiterative relationship between mothers and their offspring. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Book Reviews,Shapes oS Philosophical History. By Frank E. Manuel. (Stanford: Stanford University Press, 1965.Pp. 166.$1.95.) Based upon his seven Camp Lectures of 1962 at Stanford, Professor Manuel has issued this taut and recondite volume describing the forms philosophical history has taken in the West. He has performed a difficult task well, giving much scholarly substance to his theme that two archetypal shapes of speculative history-writing have dominated Western thought, (...) one an Augustinian teleological.unitary-procursus view, the other a Polybian, cyclical, Ixionlike, Stoic model. The first is broadly defined as "movement either to a fixed end, or to an indefinite end that defines itself in the course of the progression, history as novelty-creating and always variant"; the second as "circularity, eternal recurrence, return to the beginning of things, sheer reiteration or similar recapitulation." Comte and modem progressists are at the end of the first line, Nietzsehe and Spengler and other cylicists at the end of the second. However, broadly again, amalgamations of the two types are possible, syncretistic variants have often taken shape, and, Protean-hke, both lend themselves to almost infinite interpretive patterns. These typologies are psychological more than logical polarities, both emotional and intellectual alternatives, so they often stand for and serve contradictory purposes. Yet historians tend to betray their preference for one of these opposed conceptions, according to Manuel, as they "select an identity for historic man." Deliberately refraining from taking sides on the issue (thus implicitly casting some doubt on his contention that historians and others "inevitably betray their preference for one of these opposing conceptions"), Manuel addresses himself to the task of illuminating the polarity, exhibiting the multiplicity of its forms through time and focusing upon crucial moments of the debate in the West. Of these exhibits--early Christians vs. pagans, Augustine vs. Joachim, the virtual triumph of cyclicism in the Renaissance (albeit with a split developed between negative and positive, pessimist and optimist cyclicists), the ambivalence of the eighteenth-century Germans on the issue (particularly Kant and Herder), the triumphant optimism of the French perfectibilists, the vacillation of the German academists--Manuel's examination of the French and German writers stands out, although the range of his knowledge and first-hand inspection of archival sources from Augustine's time to Toynbee's demonstrates an admirable scholarship. Of the eighteenth-century Germans, Manuel well illustrates their ambivalent and paradoxical side. Herder, for example, nominally an opponent, debating against "abderite" cyclical theory and apparently concluding in favor of it; Goethe wondering whether the world "will become one great hospital in which we behave toward one another like benign male nurses" if Herder's more optimistic notions triumph; old Kant in his special language rejecting all then current models of world history (moral terrorism, abderitism and eudaemonism ) and opting for what Manuel calls a "mechanism... akin to the cunning of reason" to institute a just civil constitution and estabhsh perpetual peace, yet not really persuaded that his sanguine view of moral progress would prevail. As for the later Germans in and out of the Academy (particularly Hegel, Fichte, Schelling, HSlderlin and Hamann) while youthful enthusiasts of progress (everyone knows the story of the young Hegel and his friends planting the tree of liberty saluting the French revolution), their conceptions of history became more and more Platonic, more and more nostalgic and parochial. On the other hand Manuel's account of the eighteenth and nineteenth-century French relates their boundless energy and dedication to progressist conceptions, a development he holds as quite isolated and isolable from the German movement. Without doubt the French had the most imagination and the most confidence in developing philosophical history to an almost dizzying optimistic pitch. Manuel demonstrates a line from Voltaire through Turgot, Condorcet, Saint-Simon, Fourier and the Saint-Simonians to Auguste Comte, each building on the others in time, each theorizing "man's steady conquest of the external world, beginning in a period when he was still the member of a feeble and isolated band, and culminating in his present high estate." "The Golden Age of the human species is not behind us, it is before [171] 172 HISTORY OF PHILOSOPHY us," Saint-Simon... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Approaching the End: Eschatological Reflections on Church, Politics, and Life by Stanley Hauerwas, and: Without Apology: Sermons for Christ’s Church by Stanley HauerwasLaura M. HartmanApproaching the End: Eschatological Reflections on Church, Politics, and Life Stanley Hauerwas grand rapids, mi: eerdmans, 2013. 251 pp. $24.00Without Apology: Sermons for Christ’s Church Stanley Hauerwas new york: seabury books, 2013. 169 pp. $18.00Stanley Hauerwas is prolific. By my count, there are forty-six (...) books to his name, including these two from 2013. And yet in the preface to Without Apology, he writes, “I am often asked, ‘How many books have you written?’ My truthful answer must be, ‘I have no idea.’ … I could count them, but I have no interest in doing so” (ix). Hauerwas’s reluctance to number his career in books shows his preference for smaller units of measurement (“how some reader may find this sermon, or that sentence or chapter … helpful”), but it also reflects his view that he is not the sole author of his works. To his credit, he mentions two influential women—his wife, Paula Gilbert, an experienced clergywoman, and his assistant, Carole Baker, who gives the sermons a “work-over” after they are written (ix).Those who know Hauerwas know what to expect from these volumes: thoughtful arguments that unflinchingly assert the centrality of Christ and of the Church; a heavy dose of pacifism; major appearances from John Howard Yoder and Karl Barth (as well as multiple cameos from fascinating authors who are now on my to-read list); and accessible, open prose outlining clear, thought-provoking arguments. The two books reviewed here are quite different from one another: Without Apology is a book of sermons; Approaching the End is a book of essays loosely organized around a theme of eschatology. But both contain the hallmarks of “classic Hauerwas”—his signature mix of virtue ethics, communitarian interests, and narrative sensibilities.Without Apology contains recent sermons, primarily in Episcopal churches. Drawing on lectionary readings, Hauerwas brings his own theological interpretation and creates fairly short, satisfying sermons, which he readily describes (in Paula Gilbert’s words) as “tight” (87). This collection also includes four sermons on the topic of priesthood and some other writings of note: the already-classic “An Open Letter to Christians Beginning College” (good for use with Christian undergraduates) and “Sexing the Ministry” (food for thought for [End Page 215] seminarian and clergy alike). Without Apology manifests several major themes, but the biggest of these connects with the title: Hauerwas is “unapologetic” about his Christian faith and doesn’t engage in theology of the “apologetic” style. His emphasis, rather, is on being truthfully present with one another in the church community.Approaching the End promises eschatological reflections and delivers on the promise. Although he is writing about eschatology, Hauerwas strongly maintains that he is not reaching his own “end” and disavows any contention that Approaching the End is a kind of “swan song” (xiv). He addresses politics and war in several chapters. In “The End of Sacrifice: An Apocalyptic Politics,” he makes the case that if Christians believe Jesus’s sacrifice was “the end of all sacrifices,” then we should not “continue to participate in the sacrifice of war” (36). Similar themes emerge in “War and Peace,” later in the volume. In “Church Matters: On Faith and Politics,” Hauerwas writes, “One of the challenges Christians confront is how the politics we helped create has made it difficult to sustain the material practices constitutive of an ecclesial culture to produce Christians” (68). He welcomes the “end” of churches and denominations as we know them because “it means that the church is finally free to be a politics” (86).Hauerwas also discusses the future of churches and denominations. “The End of Protestantism” reiterates that “if the church is to be faithful … then we must recover what it means for the church to be an alternative politics” (92). This chapter’s emphasis on Methodism and his appraisal of Methodists as “free church Catholics” (94) is of note. In “Which Church? What Unity?” Hauerwas discusses the ecumenical movement, prompted by George Lindbeck’s challenge to do so (98). Hauerwas’s... (shrink)

International meetings such as the G8 Summit have evolved from the sequestered gatherings of the economic elite to full-scale political media events. Dominant approaches to such events are often text-centered, focusing on the media's framing of protest and overlooking the actions and interactions at such sites. However, media events must also be examined from the perspectives of those involved in the event. Accordingly, a mediation approach is proposed to analyze the media practices of the Dissent! Network at the 2005 G8 (...) Summit and specifically, Hori-Zone eco-village. After qualifying the G8 Summit as a media event, Hori-Zone is established as a site inside the media event. Protests launched from the camp are then analyzed, arguing that their position inside the media event transforms them from direct action into spectacular action. The conclusion reiterates the importance and implications of understanding political media events from the perspective of those inside the media event. (shrink)

Microbiologists are transitioning from the study and characterization of individual strains or species to the profiling of whole microbiomes and microbial ecology. Equipped with high-throughput methods for studying the taxonomic and functional characteristics of diverse samples, they are just beginning to encounter the conceptual, theoretical, and experimental problems of comparing taxonomy to function, and extracting useful measures from such comparisons. Although still unresolved, these problems are well studied in macro-ecology and are reiterated here as an historical precautionary for microbial ecologists. (...) Beyond expected and unresolved terminological vagueness, we argue that assessments and comparisons of taxonomic and functional profiles in micro-ecology suffer from theoretically unresolvable arbitrariness and ambiguities. We divide these into problems of scale, individuation, and commensurability. We argue that there is no technically/theoretically “correct” scale, individuation, or comparison of taxonomy and function, but there are nonetheless better and worse methodologies for profiling. (shrink)

The first two chapters of this book reiterate the results established by Polanyi in his more comprehensive work, Personal Knowledge, and, according to the author, might serve as an introduction to that work. In the third and final chapter Polanyi illustrates his thesis that the study of man is continuous with the study of nature, by interpreting history according to his theory of personal knowledge, thus repudiating Collingwood and other "secessionist" theorists of history. A common ground of natural sciences and (...) humanities is postulated in the appetitive,, perceptive center of man. --J. E. M. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Book Reviews,Shapes oS Philosophical History. By Frank E. Manuel. (Stanford: Stanford University Press, 1965.Pp. 166.$1.95.) Based upon his seven Camp Lectures of 1962 at Stanford, Professor Manuel has issued this taut and recondite volume describing the forms philosophical history has taken in the West. He has performed a difficult task well, giving much scholarly substance to his theme that two archetypal shapes of speculative history-writing have dominated Western thought, (...) one an Augustinian teleological.unitary-procursus view, the other a Polybian, cyclical, Ixionlike, Stoic model. The first is broadly defined as "movement either to a fixed end, or to an indefinite end that defines itself in the course of the progression, history as novelty-creating and always variant"; the second as "circularity, eternal recurrence, return to the beginning of things, sheer reiteration or similar recapitulation." Comte and modem progressists are at the end of the first line, Nietzsehe and Spengler and other cylicists at the end of the second. However, broadly again, amalgamations of the two types are possible, syncretistic variants have often taken shape, and, Protean-hke, both lend themselves to almost infinite interpretive patterns. These typologies are psychological more than logical polarities, both emotional and intellectual alternatives, so they often stand for and serve contradictory purposes. Yet historians tend to betray their preference for one of these opposed conceptions, according to Manuel, as they "select an identity for historic man." Deliberately refraining from taking sides on the issue (thus implicitly casting some doubt on his contention that historians and others "inevitably betray their preference for one of these opposing conceptions"), Manuel addresses himself to the task of illuminating the polarity, exhibiting the multiplicity of its forms through time and focusing upon crucial moments of the debate in the West. Of these exhibits--early Christians vs. pagans, Augustine vs. Joachim, the virtual triumph of cyclicism in the Renaissance (albeit with a split developed between negative and positive, pessimist and optimist cyclicists), the ambivalence of the eighteenth-century Germans on the issue (particularly Kant and Herder), the triumphant optimism of the French perfectibilists, the vacillation of the German academists--Manuel's examination of the French and German writers stands out, although the range of his knowledge and first-hand inspection of archival sources from Augustine's time to Toynbee's demonstrates an admirable scholarship. Of the eighteenth-century Germans, Manuel well illustrates their ambivalent and paradoxical side. Herder, for example, nominally an opponent, debating against "abderite" cyclical theory and apparently concluding in favor of it; Goethe wondering whether the world "will become one great hospital in which we behave toward one another like benign male nurses" if Herder's more optimistic notions triumph; old Kant in his special language rejecting all then current models of world history (moral terrorism, abderitism and eudaemonism ) and opting for what Manuel calls a "mechanism... akin to the cunning of reason" to institute a just civil constitution and estabhsh perpetual peace, yet not really persuaded that his sanguine view of moral progress would prevail. As for the later Germans in and out of the Academy (particularly Hegel, Fichte, Schelling, HSlderlin and Hamann) while youthful enthusiasts of progress (everyone knows the story of the young Hegel and his friends planting the tree of liberty saluting the French revolution), their conceptions of history became more and more Platonic, more and more nostalgic and parochial. On the other hand Manuel's account of the eighteenth and nineteenth-century French relates their boundless energy and dedication to progressist conceptions, a development he holds as quite isolated and isolable from the German movement. Without doubt the French had the most imagination and the most confidence in developing philosophical history to an almost dizzying optimistic pitch. Manuel demonstrates a line from Voltaire through Turgot, Condorcet, Saint-Simon, Fourier and the Saint-Simonians to Auguste Comte, each building on the others in time, each theorizing "man's steady conquest of the external world, beginning in a period when he was still the member of a feeble and isolated band, and culminating in his present high estate." "The Golden Age of the human species is not behind us, it is before [171] 172 HISTORY OF PHILOSOPHY us," Saint-Simon... (shrink)

The article draws a conceptual distinction the (French) structuralism of the 50’s–60’s and the post-structuralism of the 70’s, which are discussed as overlapping in their intellectual paths; their mutual dynamics is defined as a reaction of the intelligence to the pressure of depersonalized unified schemes within the logic of structuralism against free improvisation and loose interpretation instead of total explanations in the post-structuralism interpretation. The article establishes a conceptual identity of the paradoxical nature between post-structuralism (and deconstructionism, which is homogeneous (...) and identical thereto in a number of aspects), on the one hand, and constructionism with its specific process of language dismantling – social/ideological languages, social group dialects, on the other hand, which naturally leads the authors to the analysis of the paradoxicality principles, defined by post-structuralism (five principles of paradoxicality of Gilles Deleuze – paradox of regress, paradox of sterile reiteration, paradox of neutrality, paradox of absurd, paradox of Levi-Strauss); poststructuralists’ paralogisms are examined through paradoxical denotation; the late Roland Barthes’ phenomenon of paradoxicality, becoming a plot-forming principle of narration, is analyzed. Poststructuralism is conceptualized in the article as the first decisive step of post-modernism; the affinity of post-structuralist and postmodernist commitment to parody, game and irony is stated; the theory of language games in post-modern interpretation is explored; one of those games – a game of carnival – is explored within the diachronic retrospective; the affinity of parody and carnival tradition of post-structuralism and post-modernism to the romantic irony of the XIXth century and its inconsistency with the popular culture of laugh is established. The genesis of poststructuralism and post-modernism is connected with the ideological restart of the Western society before the “very end” of the Resistance ideas and the disappointment of the left European intellectuals in the “great legends” and illusions of Marxism. The blurred concepts of relativism are connected with the mutual disproportion of different layers of historical experience. (shrink)

This interdisciplinary volume addresses the tension between illusion and appearance. The starting point is three differentiated forms of "Schein" in German: as a ray of light itself, as in "shine," or appearance as becoming visible or, finally, as an illusion – seeming to be so. The contributions analyze under which cultural-historical conditions and within which concrete forms aesthetic configurations are perceived and evaluated.

"Religiös Wissen, so die Grundannahme des DFG-Graduirtenkollegs "Religiöses Wissen im vormodernen Europa (800-1800)", entsteht in der Auseinandersetzung mit dem in der Bibel offenbarten, aber nicht greifbaren Wissen. Im alltäglichen Umgang der religiösen Experten und Laien wird es jedoch immer wieder transformiert und an die zeitspezifischen Gegebenheiten angepasst. Die dabei entstehenden diskursiven Konkurrenzen zwischen religiösen Wissen und anderen Wissensfeldern stehen im Fokus des interdisziplinär angelegten Sammelbandes. Die Beiträge thematisieren die unterschiedlichen Verfahrensweeisen, durch die religiöses Wissen in den Bereichen der Naturforschung, Kunst (...) oder Literatur adaptiert und modelliert wird, sowie die dabei zu Tage tretenden Spannungen, Konkurrenzen oder Synergien." --. (shrink)

The cinematic Other is interpreted as an unconscious personality, a denied part of the protagonist that appears in his life as a shadowy menace who won't go away. Overall the book aims to show how movies envision the unconscious Other we all too often project on other people.