St. Augustine, pictured by Western painters holding in his hand his heart blazing with passionate love, consistently and repeatedly insisted―from his earliest writings until close to his death―that the essential characteristic of God is “God is love” (1 John 4:16). Yet he also insisted on the doctrines of original sin and everlasting punishment for the massa damnata. This article will not explore the rationale or semantics of his arguments, nor the detail and nuance of the doctrines of predestination and perseverance. (...) Rather, I seek to understand, from Augustine’s last writings, how he reconciled his strong conviction that God is love with doctrines requiring belief in a God who determined the fate of individuals to eternal reward or punishment “before the foundation of the world” (Eph. 1:4), a God indifferent to individuals’ actions, struggles, or longings. My primary interest is not on Augustine’s ability to render these two apparently opposing ideas of God intellectually compatible, but rather on his feeling, gathered from his last sermons, as he approached death. In brief, how could Augustine love the God in whom he believed? (shrink)

The recent Minnesota case of In re Emergency Guardianship of Albert Barnes illustrates an emerging class of cases where a dispute between a family proxy and a hospital over “medical futility” requires legal resolution. The case was further complicated by the patient’s spouse who fraudulently claimed to be the patient’s designated health care proxy and who misrepresented the patient’s previously expressed treatment preferences. Barnes demonstrates the degree of significant administrative and institutional support to the health care team, ethics consultants, and (...) futility committees that is required when a futility dispute escalates to the need for judicial resolution. An institutional futility policy, especially one that is endorsed by other regional medical centers and organizations, is an important foundation for a hospital that seeks judicial support in a dispute over medical futility in end of life care. (shrink)

In his last years, St. Augustine became impatient with the doctrinal questions and requests for advice on practical matters of ecclesiastical discipline frequently referred to in correspondence of his last decade. Scholars have often attributed his uncharacteristic reluctance to address these matters to the diminishing competence and energy of old age. This article demonstrates that his evident unwillingness to respond at length to such queries relates rather to his desire to sequester increased time for meditation. Throughout his Christian life, he (...) described and refined his practice of meditation; it gathered urgent importance as he neared death. Augustine’s lifelong search for “God and the soul,” articulated in his first writings, evolved through his meditation, changing from an intellectual effort to achieve a vision of God by the use of reason to a search for the truth of his own life. In meditation he sought to recall in detail God’s loving leading within the chaos and pain of his youthful desires and throughout his life. I explore his understanding of “God is love” from his earliest (extant) treatise, De beata uita (386 CE), his Easter sermons on First John (415 CE), to his Enchiridion (421 CE) as the core of his developing understanding of God’s activity in himself. (shrink)

In St. Augustine’s society, men’s tears were not considered a sign of weakness, but an expression of strong feeling. Tears might be occasional, prompted by incidents such as those Augustine described in the first books of his Confessiones. Or they might accompany a deep crisis, such as his experience of conversion. Possidius, Augustine’s contemporary biographer, reported that on his deathbed Augustine wept copiously and continuously. This essay endeavors to understand those tears, finding, primarily but not exclusively in Augustine’s later writings, (...) descriptions of his practice of meditation suggesting that a profound and complex range of emotions from fear and repentance to gratitude, love, rest in beauty, and delight in praise richly informed Augustine’s last tears. (shrink)

Futility disputes are increasing and courts are slowly abandoning their historical reluctance to engage these contentious issues, particularly when confronted with inappropriate surrogate demands for aggressive treatment. Use of the judicial system to resolve futility disputes inevitably brings media attention and requires clinicians, hospitals, and families to debate these deep moral conflicts in the public eye. A recent case in Minnesota, In re Emergency Guardianship of Albert Barnes, explores this emerging trend and the complex responsibilities of clinicians and hospital administrators (...) seeking to replace an unfaithful surrogate demanding aggressive therapy. Use of the courts requires the coordinated commitment of significant institutional resources, management of intense media scrutiny and individual and organizational courage to enter the unpredictable world of litigation. Given the dearth of legislative guidance on medical futility, individual clinicians and institutions will continue to bear the difficult responsibility for resolution of individual futility disputes. The Barnes case illustrates how one institution successfully used the judicial system to replace an unfaithful surrogate, cease the provision of inappropriate aggressive care, and stimulate a community dialogue about appropriate care at the end of life. (shrink)

Miles brings Plotinus' thought alive for the twenty-first century by relating it to present day concerns.

Beyond the Centaur questions the accuracy and usefulness of the virtually unquestioned ancient consensus that persons are composed of unequally valued, hierarchically stacked antagonistic components, usually soul or mind and body. Part I explores the gradual historical development of this notion of person. Part II consists of a thought experiment, examining an understanding of persons, not as stacked components, but as intelligent bodies -- one entity. It explores how a new understanding of persons can affect in important and fruitful ways (...) how we live: how we move, feel, think, believe, and die. (shrink)

The perennial human need to ground the self in something greater than itself takes many forms. This article explores several values that are often considered worth dying for, from one’s country or religion, to—among the many that are often advocated in contemporary Western societies—one’s sexuality. Given the recent level of interest in Augustine’s early sexuality, I argue that, for Augustine, sex, when compulsively pursued, was a failed value. His experience revealed to him that the ultimate object with which the self (...) can be identified is God: “You [God] have made us for yourself, and our hearts are restless until they rest in you”. Augustine’s Confessiones narrate the long process by which his lust problem was transmogrified into the love project: “My weight is my love; by it I am carried wherever I am carried”. (shrink)

Though much progress has been made on inclusion of non-pregnant women in research, thoughtful discussion about including pregnant women has lagged behind. We outline resulting knowledge gaps and their costs and then highlight four reasons why ethically we are obliged to confront the challenges of including pregnant women in clinical research. These are: the need for effective treatment for women during pregnancy, fetal safety, harm from the reticence to prescribe potentially beneficial medication, and the broader issues of justice and access (...) to benefits of research participation. Going forward requires shifting the burden of justification from inclusion to exclusion and developing an adequate ethical framework that specifies suitable justifications for excluding pregnant women from research. (shrink)

In this book philosophers, scholars of religion, and activists address the theme of responsibility. Barbara Darling-Smith brings together an enlightening collection of essays that analyze the ethics of responsibility, its relational nature, and its global struggle.

U.S. researchers and scholars often point to two legal factors as significant obstacles to the inclusion of pregnant women in clinical research: the Department of Health and Human Services’ regulatory limitations specific to pregnant women's research participation and the fear of liability for potential harm to children born following a pregnant woman's research participation. This article offers a more nuanced view of the potential legal complexities that can impede research with pregnant women than has previously been reflected in the literature. (...) It reveals new insights into the role of legal professionals throughout the research pathway, from product conception to market, and it highlights a variety of legal factors influencing decision-making that may slow or halt research involving pregnant women. Our conclusion is that closing the evidence gap created by the underrepresentation and exclusion of pregnant women in research will require targeted attention to the role of legal professionals and the legal factors that influence their decisions. (shrink)

Stewart Duncan’s excellent book Materialism from Hobbes to Locke offers an insightful study of the debates concerning materialism during the seventeenth century. When we hear the expression ‘materialism’, we often associate with it the question of whether the human mind is an entirely material entity. Although the question of whether the human mind is material plays an important role throughout the seventeenth-century debates examined in this book, Duncan offers a broader understanding of materialism that is not restricted to the human (...) mind. According to Duncan, materialism is ‘a view about some object or a group of objects. Often that object is the human mind’ (2), but materialism can also concern other objects such as animal minds or God. This leads Duncan to introduce materialism as ‘the view that the thing in question is wholly material, and has no immaterial part’ (2). He deliberately leaves open what it means to be material, because different philosophers featured in his book disagree about this question. (shrink)

On August 28, 2008, Michael Marmot, Chair of the Commission on Social Determinants of Health, formally handed over the Commission’s Final Report to Margaret Chan, the Director-General of the World Health Organization, at the Palais des Nations in Geneva. It was a significant moment. Dr. Chan addressed a hall packed with representatives of the world’s communications media in a speech that was remarkably direct. Dr. Chan reiterated the Commission’s position that to improve health and health equity action needs to (...) be taken not just across the health sector but across all social and economic policy areas, and stated, “Social deprivation is not a matter of fate. It is a marker of policy failure.” This was a bold statement from one of the world’s leading diplomats. Policy failure! The phrase echoes the Commission’s assertion that “a toxic combination of poor social policies, unfair economic arrangements and bad politics is killing people on a grand scale.” The Commission’s messages are far reaching. (shrink)

Ruth Boeker’s Locke on Persons and Personal Identity is a tightly argued and illuminating account, containing much to ponder. The presence of both terms, ‘persons’ and ‘personal identity’, in the t...

Methodological and philosophical foundations in the anthropology of Ruth Benedict and Margaret Mead.

Moral Repair examines the ethics and moral psychology of responses to wrongdoing. Explaining the emotional bonds and normative expectations that keep human beings responsive to moral standards and responsible to each other, Margaret Urban Walker uses realistic examples of both personal betrayal and political violence to analyze how moral bonds are damaged by serious wrongs and what must be done to repair the damage. Focusing on victims of wrong, their right to validation, and their sense of justice, Walker presents (...) a unified and detailed philosophical account of hope, trust, resentment, forgiveness, and making amends - the emotions and practices that sustain moral relations. Moral Repair joins a multidisciplinary literature concerned with transitional and restorative justice, reparations, and restoring individual dignity and mutual trust in the wake of serious wrongs. (shrink)

Seneca stands apart from other philosophers of Greece and Rome not only for his interest in practical ethics, but also for the beauty and liveliness of his writing. These twelve in-depth essays take up a series of interrelated topics in his works, from his relation to Stoicism, Epicureanism, and other schools of thought; to the psychology of emotion and action and the management of anger and grief; to letter-writing, gift-giving, friendship, and kindness; to Seneca's innovative use of genre, style, and (...) humor. Recalling Socrates's critique of philosophical writing in Plato's Phaedrus, this volume gives particular attention to Seneca's ideas about the techniques of reading, writing, and study that make philosophy beneficial to the individual and to society. Clear explanations and careful translations make the volume accessible to a wide range of readers. (shrink)

The commentary on Plato's Republic by Proclus (d. 485 CE), which takes the form of a series of essays, is the only sustained treatment of the dialogue to survive from antiquity. This three-volume edition presents the first complete English translation of Proclus' text, together with a general introduction that argues for the unity of Proclus' Commentary and orients the reader to the use which the Neoplatonists made of Plato's Republic in their educational program. Each volume is completed by a Greek (...) word index and an English-Greek glossary that will help non-specialists to track the occurrence of key terms throughout the translated text. The second volume of the edition presents Proclus' essays on the tripartite soul and the virtues, female philosopher rulers, and the metaphysics and epistemology of the central books of the Republic. The longest of the essays in Volume II interprets the nature and significance of the 'marriage number' whose miscalculation leads to the degeneration of the ideal city-state. (shrink)

Charles Taylor is one of the most influential and prolific philosophers in the English-speaking world today. The breadth of his writings is unique, ranging from reflections on artificial intelligence to analyses of contemporary multicultural societies. This thought-provoking introduction to Taylor's work outlines his ideas in a coherent and accessible way without reducing their richness and depth. His contribution to many of the enduring debates within Western philosophy is examined and the arguments of his critics assessed. Taylor's reflections on the topics (...) of moral theory, selfhood, political theory and epistemology form the core chapters within the book. Ruth Abbey engages with the secondary literature on Taylor's work and suggests that some criticisms by contemporaries have been based on misinterpretations and suggests ways in which a better understanding of Taylor's work leads to different criticisms of it. The book serves as an ideal companion to Taylor's ideas for students of philosophy and political theory, and will be welcomed by the non-specialist looking for an authoritative guide to Taylor's large and challenging body of work. (shrink)

In a recent series of papers, Matthias Steup has defended doxastic voluntarism against longstanding objections. Many of his arguments center on the following conditional: if we accept a compatibilist notion of voluntary control, then, in most instances, belief-formation is voluntary and doxastic voluntarism the correct view. Steup defends two versions of this conditional. The first is universal, moving from compatibilism considered generally to doxastic voluntarism: if compatibilism is true, then doxastic voluntarism is true. The second is more particular, moving from (...) the specific form of reasons-responsive compatibilism to doxastic voluntarism: if reasons-responsive compatibilism is true, then doxastic voluntarism is true. I argue that Steup’s arguments for both conditionals fail, in which case we lack reason to believe in either of them. In the final section of the paper, I argue that the impossibility of epistemic akrasia provides prima facie reason to think the latter conditional is false. (shrink)