This article argues that alienation should be understood as a particular form of individual and social heteronomy that can only be overcome by a dialectical combination of individual and collective autonomy, recovering a deontological sense of normative authority. If we think about alienation in Kantian terms, the main source of alienation is a denial of standing or, in the extreme, losing a sense of oneself as a rational normative authority equal to all others. I call the former kind of alienation, (...) where persons deny others equal standing as a normative authority in moral or political terms, first order noumenal alienation, as there is no proper mutual cognition and recognition of each other in such a social context. I call the latter kind of alienation, where a subject does not consider themselves an equal normative authority – or an ‘end in oneself’ – second order noumenal alienation. In this sense, alienation violates the dignity of humans as moral and political lawgivers – a dignity seen by Rousseau, Kant and Marx as inalienable: It can be denied or violated, but it cannot be lost. (shrink)

The relation between the concepts of the subject of apperception, the phenomenal self, and the noumenal self has long puzzled commentators on Kant’s theoretical account of the self. This paper argues that many of the puzzles surrounding Kant’s account can be resolved by treating the subject of apperception and other transcendental predicates of thinking as a dimension of the noumenal self. Yet this interpretation requires a clarification of how the transcendental predicates of thinking can (...) be attributed to the noumenal self without violating the thesis of noumenal ignorance. The clarification is achieved through a careful analysis of the meaning of the latter thesis. The paper’s interpretation is then shown to be consistent with Kant’s rejection of traditional ontology and with the dual-aspect view. The paper’s final section argues that transcendental predicates are properly construed as logical predicates but must be distinguished from ordinary examples of the latter. (shrink)

The relation between the concepts of the subject of apperception, the phenomenal self, and the noumenal self has long puzzled commentators on Kant’s theoretical account of the self. This paper argues that many of the puzzles surrounding Kant’s account can be resolved by treating the subject of apperception and other transcendental predicates of thinking as a dimension of the noumenal self. Yet this interpretation requires a clarification of how the transcendental predicates of thinking can (...) be attributed to the noumenal self without violating the thesis of noumenal ignorance. The clarification is achieved through a careful analysis of the meaning of the latter thesis. The paper’s interpretation is then shown to be consistent with Kant’s rejection of traditional ontology and with the dual-aspect view. The paper’s final section argues that transcendental predicates are properly construed as logical predicates but must be distinguished from ordinary examples of the latter. (shrink)

In this paper, my aim is to furnish a possible interpretation of “independence” in terms of “self-dependence or dependence on our proper self” in the context of Kant’s philosophy. In order to do this, I will primarily focus on the concept of independence as based on the human being’s noumenal personality and as expression of the human being’s “proper self” (_eigentliches Selbst_). This concept will be contrasted with the one of dependence upon the human being’s animality (...) (_Tierheit_). In this way, I will present independence in terms of the human being’s independence from its sensible, animal nature, but nonetheless as a form of _dependence_: namely, the human being’s dependence on its rational nature. (shrink)

This chapter explores the notion of some philosophers that the self is a mysterious thing. It has been associated with a number of concepts, such as the souls of Christian theology, the essential natures that are passed along in reincarnation, or as noumenal objects that exist beyond normal space and time, outside of the causal realm, and join, in some Kantian way, with the primordial structure of reality to create the world as we know it. Hume, on the (...) other hand, believes that a bundle of perceptions serves as the self. This leads to two thoughts regarding the self: Hume’s bundle theory and the self as a person, thought of under the relation of identity. This chapter will delve into these two thoughts. (shrink)

In recent years there has been a general attempt – inspired by P. F. Strawson – to naturalise Kant's notion of the transcendental self. The argument being that self-consciousness should refer to neither a kind of noumenal nor mental self but that the self-conscious subject must conceive of itself as an embodied entity, a person among persons that regards itself as an element of the objective order of the world. While Kant does not make room (...) for the notion of an embodied transcendental self, this is where we need to go as our bodily awareness is central both for self-knowledge and the possibility of cognition and thus a transcendental condition for knowledge claims. In this paper I should like to single out Quassim Cassam's work Self and World to see whether such a position is tenable. Cassam's main claim is that we can only become aware of ourselves as subjects if we are at the very same time aware of ourselves as objects located in the spatio-temporal world. We could not be self-conscious and ascribe experiences to ourselves unless we are also aware of ourselves as a physical object among other physical objects in the world. The central claim is that when we self-refer we do not refer to two distinct entities, one possessing only mental, and the other possessing only physical features, rather we refer to a subject that is both mental and physical at the very same time. Awareness of ourselves qua subject is just awareness of ourselves qua object. This paper will focus on this claim alone and will ask whether it is tenable. The answer will be negative. Drawing on the work of Edmund Husserl, I shall argue that there is an inherent flaw in Cassam's position which he has inherited from Gareth Evans’ depiction of the self. The contention will be that our awareness of ourselves qua subject is not compatible with the awareness of ourselves qua object. (shrink)

In Kant’s Transcendental Idealism, Henry Allison argues that Kant’s theoretical treatment of the self presents both an incoherent “official view” and a coherent “alternative view.” In this paper, I argue that Kant’s genuine position on the self can be reconstructed as a coherent unity by examining the flaws in Allison’s analysis. It is shown that Allison’s objections to Kant’s official view are based on unwarranted metaphysical assumptions and unjustified conceptual identifications. Allison’s own dual-aspect view of the transcendental distinction (...) between phenomena and noumena is used to correct these misconceptions. Thus, the official view as described by Allison is not Kant’s genuine position. Rather, it is shown that Kant treats the noumenal self as the ground or support of the activity of thinking and the subject of apperception, and that this grounding function is essential to Kant’s view but overlooked by Allison’s analysis. (shrink)

In Kant’s Transcendental Idealism, Henry Allison argues that Kant’s theoretical treatment of the self presents both an incoherent “official view” and a coherent “alternative view.” In this paper, I argue that Kant’s genuine position on the self can be reconstructed as a coherent unity by examining the flaws in Allison’s analysis. It is shown that Allison’s objections to Kant’s official view are based on unwarranted metaphysical assumptions and unjustified conceptual identifications. Allison’s own dual-aspect view of the transcendental distinction (...) between phenomena and noumena is used to correct these misconceptions. Thus, the official view as described by Allison is not Kant’s genuine position. Rather, it is shown that Kant treats the noumenal self as the ground or support of the activity of thinking and the subject of apperception, and that this grounding function is essential to Kant’s view but overlooked by Allison’s analysis. (shrink)

In his critical philosophy, Kant considers the 'subject' to be the source and ground of the a priori conditions of experience, but says exasperatingly little to elucidate this crucial notion. Kant's express view in the first Critique is that the self, like other objects of experience, can be considered either through the conditions of experience as a phenomenon, or as it is independently of these conditions as a noumenon. According to this view, the 'subject' that serves as the ground (...) of the a priori conditions of experience must therefore be understood either as the phenomenal or noumenal self. Commentators such as Henry Allison reject Kant's express view as inconsistent with the awareness of oneself as 'thinking subject', however, since the latter is an awareness of the activity of thinking, while 'phenomena' and 'noumena' are concepts of things. ;The dissertation presents an interpretation and defense of Kant's express view of the self against commentators such as Allison. The defense begins by applying the dual-aspect reading of the phenomena/noumena distinction to the self, which is necessary to give the view initial plausibility. It is then argued that the activity of thinking, which is represented by the 'transcendental unity of apperception' or 'I think', is attributable to the noumenal self in the negative sense, or transcendental subject. The activity of thinking is thus conceptually distinct from, but ontologically dependent upon, the transcendental subject to which it belongs. Kant's express view therefore does not, pace Allison, require the identification of the thinking subject, with the 'phenomenal' or 'noumenal' selves. ;The final two chapters of the dissertation consist of closer studies of the concepts of the 'phenomenal' and 'noumenal' selves respectively. The former examines the notions of 'inner sense' and 'self-affection' as they pertain to the phenomenal self. The latter considers the noumenal self as it functions in Kant's practical philosophy. It is seen that the results of both chapters are consistent with the previous defense of Kant's express view of the self. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Kant’s Theory of SelfApaar KumarArthur Melnick. Kant’s Theory of Self. New York-London: Routledge, 2009. Pp. viii + 186. Cloth, $118.00.Melnick interprets the Kantian self from the first-person perspective as real abiding intellectual action. It unfolds in time but does not arise in inner or outer attending. Hence, it is neither a noumenal entity nor Kantian intuitable substance. Melnick thinks that his interpretation not only clarifies (...) Kant’s arguments in the Paralogisms of the first Critique, but also illuminates Kant’s positive theory of self.Melnick argues that a thought is inchoate, unformed, and unsettled until the thinking self as intellectual marshaling action brings it into focus and “coalesces” around it a series of related but out-of-focus thoughts ready to replace the focal thought if necessary. This marshaling action is temporal because it shifts/adjusts (“accompanies”) progressive attending but cannot be intuited in time. Its shifting/adjusting constitutes its only reality, for it would have to be in objective time if it were intrinsically real, which Kant’s transcendental idealism does not allow.As intellectual marshaling action, the thinking self cannot know itself as simple substantial entity. Instead, it knows itself as always-subject-and-never-predicate because it is constant and never swallowed up by particular thoughts, and as indivisible because its self-awareness as marshaling action in a whole thought is not the sum of its self-awareness in each part of that thought. Self-consciousness is a structural possibility of this marshaling action. It occurs when the subject has to report its thoughts, which it does by distancing-itself-from-but-still-encompassing its thought/s in reflection.The same marshaling action makes for the identity of the cognizing subject by constantly regulating thinking. Thinking is “proneness” to standardize or regulate. If I am unifying/regulating a synthesis of outer apprehension (empirical-object-dog) through my prior grasp of a thought or rule (empirical-dog-concept), I am self-identical in empirical apperception. If I am unifying/regulating outer or inner attending per se according to pure rules of space and time in a synthesis of outer apprehension, then I am self-identical in pure apperception.In the synthesis of inner apprehension, I can be self-identical only if I, as intellectual marshaling action, set representations of inner sense in time. Personal identity is the extension of this identity. It is to be construed as a “thin” capacity contingent upon the fulfillment of its activation conditions, rather than as a metaphysical entity. Given that time-consciousness [End Page 535] demands outer bodily representations in Kant, and bracketing his abstraction from the body, self-identical persons must necessarily be construed as embodied. Finally, contra the rationalists, intellectual marshaling action is neither material nor separable from material reality, and our capacity for such action relates immediately to the capacity of material things to affect us.The problem with this argument, which Melnick admits Kant himself never articulated, is that at key moments, it is neither a comprehensive interpretation of Kant (especially since Melnick relies principally on the first Critique, but not exhaustively so: for instance, he does not discuss the important distinction between the analytic and synthetic unity of apperception, etc.), nor a stand-alone first-person account of the self.First, Melnick’s use of several Kant-independent spatial analogies to explain crucial mental concepts is disconcerting: to some extent, self as “marshaling” action, consciousness as “awning” that envelops affection from outside, and (most obscurely) self-conscious subjects ostensibly require reflection to “mirror” a thought into a verbal report (56–57), but it remains unclear what mirroring into involves.Second, Melnick uncritically accepts Kant’s obscure equation of the unities of act and consciousness (7–8, 97), and hence sidesteps the thorny problem of relating/distinguishing activity and consciousness. Since he categorically interprets self as activity, Melnick appears to presuppose the priority of activity over consciousness. But this needs justification, which, in turn, requires further investigating the relationship between attention, consciousness, and intellectual marshaling action.Finally, although Kant never says this, Melnick offers a two-step argument that we possess a capacity for personhood, which seems rather unconvincing... (shrink)

Melnick interprets the Kantian self from the first-person perspective as real abiding intellectual action. It unfolds in time but does not arise in inner or outer attending. Hence, it is neither a noumenal entity nor Kantian intuitable substance. Melnick thinks that his interpretation not only clarifies Kant’s arguments in the Paralogisms of the first Critique, but also illuminates Kant’s positive theory of self.Melnick argues that a thought is inchoate, unformed, and unsettled until the thinking self as (...) intellectual marshaling action brings it into focus and “coalesces” around it a series of related but out-of-focus thoughts ready to replace the focal thought if necessary. This marshaling action is temporal because it shifts/adjusts progressive attending but cannot be intuited in time. Its shifting/adjusting constitutes its only reality, for it would have to be in objective time if it were intrinsically real, which Kant’s transcendental idealism does not allow.As intellectual marshaling action, the thinking self cannot know itself as simple substantial entity. Instead, it knows itself as always-subject-and-never-predicate because it is constant and never swallowed up by particular thoughts, and as indivisible because its self-awareness as marshaling action in a whole thought is not the sum of its. (shrink)

The aim of this dissertation is to demonstrate that the very conditions which Kant argues constitute the obligation of each individual to will the actualization of the universal moral law in the world and in one's own personality lead to the overall ruin of the Kantian practical reason. To this end we investigate that feature of persons--the divided self--which gives rise to moral obligation, and the postulates, which allegedly make the fulfillment of obligation possible. ;One of the central problems (...) in Kant's critical ethics is how to account for moral obligation in terms of a self divided into noumenal and phenomenal aspects. This problem leads to a crisis when moral consciousness comes to understand the irreconcilable gulf which lies between its atemporal self and its empirical temporal self. Thus our thesis is that Kant, having established autonomy of the will on the ground of a transcendent self, fails, despite the introduction of the moral postulates, to explain the ultimate harmony of the noumenal and phenomenal aspects of the self. ;Kant attempts to preserve the autonomy of Willkur by placing its possibility in an order not subject to the "mechanism of nature." But while thus preserving the integrity of freedom, Kant makes it difficult to explain the manner in which an atemporal decision can establish virtue in the temporal personality. ;This dissertation examines the Kantian cirtique of heteronomous will and his alternative theory of autonomous will by focusing on the differences between the ethics of Kant and Hume. We then analyze in detail the problem of explaining moral obligation on the basis of a divided self. Here we criticize the Hegelian interpretation of moral consciousness with the aim of articulating the central antithesis within the divided self. ;This dissertation, in conclusion, indicates a path away from, but always in dialogue with, Kant's practical reason. We finally reject the atemporal self and the abstract universal and raise questions about any future metaphysics of morals. (shrink)

Consider the following objection of Bennett to Kant: The least swallowable part of Kant's whole theory of freedom is the claim that the causality of freedom is not in time. This follows from Kant's doctrine that time is an appearance, and anyway the theory of freedom needs it: it is because the noumenal cause of an event is not in time, and thus is not itself an event, that it escapes the causality of nature. Kant is unembarrassed: ‘Inasmuch as (...) it is noumenon, nothing happens in it; there can be no change requiring dynamical determination in time, and therefore no causal dependence upon appearances … No action begins in this active being itself; but we may yet quite correctly say that the active being of itself begins its effects in the sensible world’ [KrV, A541=B569]. That is indefensible. Something in which ‘nothing happens’ cannot be ‘active’ or ‘begin’ a train of events. (shrink)

Hate speech is one of the most important conceptual categories in anti‐oppression politics today; a great deal of energy and political will is devoted to identifying, characterizing, contesting, and penalizing hate speech. However, despite the increasing inclusion of gender identity as a socially salient trait, antipatriarchal politics has largely been absent within this body of scholarship. Figuring out how to properly situate patriarchy‐enforcing speech within the category of hate speech is therefore an important politico‐philosophical project. My aim in this article (...) is twofold: first, I argue that sexist speech, though oppressive, is not hate speech. Second, I argue that misogynistic speech is hate speech, even when it is intradivisional. This is important because recognizing that the concepthate speechapplies to certain forms of patriarchy‐enforcing speech is another step in clarifying what is wrong with the practice, and how bad it is in relation to other abuses. Consequently, this article provides a more nuanced account of the kinds of expressions that can and should count as instances of hate speech. (shrink)

In this article I analyse two complaints of white vilification, which are increasingly occurring in Australia. I argue that, though the complainants (and white people generally) are not harmed by such racialized speech, the complainants in fact harm Australians of colour through these utterances. These complaints can both cause and constitute at least two forms of epistemic injustice (willful hermeneutical ignorance and comparative credibility excess). Further, I argue that the complaints are grounded in a dual misrecognition: the complainants misrecognize themselves (...) in their own privileged racial specificity, and they misrecognize others in their own marginal racial specificity. Such misrecognition preserves the cultural imperialism of Australia’s dominant social imaginary—a means of oppression that perpetuates epistemic insensitivity.Bringing this dual misrecognition to light best captures the indignity that is suffered by the victims of the aforementioned epistemic injustices. I argue that it is only when we truly recognize difference in its own terms, shifting the dominant social imaginary, that “mainstream Australians”can do their part in bringing about a just society. (shrink)

This book provides a philosophical examination of the extent to which legalizing same-sex marriage can contribute to ending the discrimination and social stigma faced by LGBT men and women in the Western world.

ABSTRACT In this commentary I evaluate what McGowan’s project would conclude with respect to the treatment of professional Australian Football League player Adam Goodes, who was incessantly ‘booed’ by crowds for the final two years of his career. Analysing Goodes’ case in light of McGowan’s argument leads me to two observations. First, McGowan’s norm-enactment approach is incredibly useful because it explains how words like ‘boo’ (with unstable meaning) can constitute actionable discrimination. Second, however, I wonder if a narrow focus on (...) whether such speech is legally actionable might encourage an overestimation of the power of laws to shepherd new g-norms into social practices. (shrink)

This book aims to understand why women are the targets of online hate speech and how we can stop this from occurring.

This article identifies five genres of anti-queer hate speech found in The Australian’s Facebook comments sections, exposing and analyzing the ways in which such comments are used to derogate cisgender and heterosexual women. One may be tempted to think of cis-het women as third-party victims of queerphobia; however, this article argues that these genres of anti-queer speech are, in fact, misogynistic. Specifically, it argues that these are instances of cis-hetero-misogynistic hate speech. Cis-hetero-misogyny functions as the “law enforcement branch” of a (...) cis-hetero-patriarchal gender order. Given the existence of such an order, it is clear that cis-het women’s liberation is inextricable from queer liberation. This article argues that to facilitate allyship and challenge this gender order—the order that elicits such hate speech acts—we need an epistemological revolution in the way we recognize and re-cognize human difference. (shrink)

Background The fourth section of the 1967 Abortion Act states that individuals (including health care practitioners) do not have to participate in an abortion if they have a conscientious objection. A conscientious objection is a refusal to participate in abortion on the grounds of conscience. This may be informed by religious, moral, philosophical, ethical, or personal beliefs. Currently, there is very little investigation into the impact of conscientious objection on service users in Britain. The perspectives of service users are imperative (...) in understanding the real-world consequences and potential impact of conscientious objection and should be considered when creating and reviewing policies and guidelines. This research provided a platform for women and those who can become pregnant to share their experiences and opinions at a time when these voices are largely excluded in the great tradition of Western political philosophy and law-making processes. Method Five service users were interviewed using a narrative interview approach to uncover their abortion journeys and experiences of conscientious objection. Findings The findings were presented as found poems and uncovered that doctors are not always: informing service users that they have a conscientious objection to abortion, giving service users enough information to access abortion (indirect referral), treating them non-judgmentally, and providing medically correct information. Service users did not experience burdens such as long waiting times and were still able to access legal abortion. However, service users did experience negative emotional effects, as they were often left feeling scared, angry, and hopeless when they were not referred and/or were mistreated. Conclusions Findings indicate that conscientious objection could work in practice. However, it is currently failing some individuals on an emotional level, as not all doctors are adhering to guidelines. Conscientious objection in Britain needs to be addressed, to ensure service users receive fair, impartial, non-judgmental care. (shrink)

The prominent call to legalise same-sex marriage in Australia raises questions concerning whether its achievement will result in amplified societal acceptance of lesbian, gay, bisexual, and transgender (LGBT) people, and on what grounds this acceptance will take place. Same-sex marriage may not challenge heteronormative and patriarchal features typically associated with marriage, and may serve to reinforce a hierarchy that promotes traditional marriage as the ideal relationship structure. This may result in only assimilationist acceptance of LGBT people. However, the consequence of (...) inclusion to marriage ought to reflect social acceptance of LGBTs as people worthy of equal treatment in dignity and in rights, regardless of perceived differences or similarities to a supposed majority standard. This article argues that justice would be best served by introducing and promoting a variety of State-sanctioned unions whilst simultaneously introducing same-sex marriage. This ‘pluralisation strategy’ would increase awareness and legitimacy of other relationship-recognition options, promoting respectful acceptance of LGBT and heterosexual people alike. (shrink)

The past two decades have been a time of heightened interest in the moral aspects of the practice of medicine. This interest has been reflected in medical education by the establishment of medical humanities programs in both preclinical and clinical education in many medical schools. It has also been reflected in the literature with a dramatic increase in journal articles on medical ethics as well as the development of medical ethics in textbooks. A number of journals have developed that are (...) specifically devoted to medical ethics, including The Journal of Medical Ethics, The Journal of Medicine and Philosophy, The Journal of Medical Humanities, Theoretical Medicine, Cambridge Quarterly of Healthcare Ethics, just to name a few. The literature includes both theoretical foundations and conceptual analyses of particular issues as well as practical advice and general suggestions for how to implement programs in medical humanities. (shrink)

The medical ethicist is a fairly recent addition to the clinical setting. The following four potential roles of the clinical ethicist are identified and discussed: consultant in difficult cases, educator of health care providers, counselor for health care providers and finally patient advocate to protect the interests of patients. While the various roles may sometimes overlap, the roles of educator and counselor are viewed as being more congruent with the education and training of medical ethicists than are the roles of (...) consultant and patient advocate. (shrink)

In the wake of a pilot study that indicated that the experience of medical education appears to Inhibit moral development In medical students, increased attention needs to be given to the structure of medical education and the Influence it has on medical students. Interest in ethics and moral reasoning has become widespread in many aspects of professional and public life. Society has exhibited great interest in the ethical issues confronting physicians today. Considerable effort has been undertaken to train medical students, (...) interns, and residents In how to reason through medical-ethical dilemmas. Media attention has focused on Issues such as abortion, euthanasia, care of severely handicapped infants, organ transplantation, and so forth, producing heated debates in both the professional and lay literature over the morality of the various positions. The curriculum of medical education has paralleled and reflected this general Interest in medical ethics. Most medical schools now offer, and frequently require, course work in ethics. However, further research Is needed to better characterize and understand the relationship of medical education to moral development. (shrink)

High moral standards and adherence to a moral code have long been strong tenets of the profession of medicine, even though there have been occasional lapses that have led to renewed calls for a revitalization of moral integrity in medicine. Certainly, a moral component has generally been held to be an important aspect of the concept of a physician.

The Norman Rockwell image of the American physician who fixed the broken arm of a child, treated the father for hypertension, and brought an unborn child into this world is now almost nonexistent. Since the time of the Rockwell portrait, a highly technical medical industry has evolved. Now two-thirds of physicians are board certified in subspecialties, and patients visit an average of 3–4 different physicians per year. Today's physicians see themselves less as “benevolent and wise counselors overseeing the patient's welfare (...) and more as objective scientists applying the latest technical methods to bring about the desired end.” The intimate patient-physician relationship that was once the norm in our society is rapidly disappearing. (shrink)

In recent years, the theoretical work of Gilligan in women's psychological development has led to the development of the concept of moral orientation or moral voice in contrast to the concept of moral reasoning or moral judgment developed by Kohlberg. These concepts have been of particular interest in gender studies, especially as applied to adolescence. These concepts of moral orientation and moral reasoning are being increasingly employed in healthcare ethics studies in a wide variety of settings. The recent work has (...) included studies of physicians, nurses, dentists, veterinarians, social workers, teachers of medical ethics, and hospital ethics committees. However, the study of moral development in healthcare providers has been hampered because collecting the necessary data from healthcare workers has been labor intensive and extremely time consuming. More efficient methods are needed. (shrink)

In contrast to theoretical discussions about potential professional liability of clinical ethicists, this report gives the results of empirical data gathered in a national survey of clinical medical ethicists. The report assesses the types of activities of clinical ethicists, the extent and types of their professional liability coverage, and the influence that concerns about legal liability has on how they function as clinical ethicists. In addition demographic data on age, sex, educational background, etc. are reported. The results show that while (...) nearly one third (28.9%) of the ethicists regularly make recommendations about patient care, only 10.8% of them regularly make entries in the medical record; only approximately half (53.0%) of them are covered by professional liability (malpractice) insurance; and the vast majority (84.3%) of them say that concerns about legal liability do not influence the way they function as clinical ethicists. (shrink)

Socialism grew up in opposition to capitalism, just as liberalism developed in reaction to feudalism. Both liberalism and socialism combined potent critiques of the existing socio‐economic order with blueprints for a desirable future society. However, liberalism provides a rather more coherent body of thought than does socialism, and its theories are linked with the emergence of a dominant system combining capitalism and liberal democracy. By contrast, no widespread socio‐economic order has as yet emerged which can be confidently or closely associated (...) with the ideas of socialism. In both cases the relationship between theories and actual systems is a contestable one, but it has been particularly problematic in the history of socialism. (shrink)

This study investigates the three major educational philosophies behind the medical humanities programs in the United States. It summarizes the characteristics of the Cultural Transmission Approach, the Affective Developmental Approach, and the Cognitive Developmental Approach. A questionnaire was sent to 415 teachers of medical humanities asking for their perceptions of the amount of time and effort devoted by their programs to these three philosophical approaches. The 234 responses constituted a 54.6% return. The approximately 80:20 gender ratio of males to females (...) and other demographic data on age and educational background were consistent with other studies of the field of medical humanities.Reflections on the results in Table II indicate that some changes need to take place in the teaching of the medical humanities if the perceived ideal is to be achieved. In order for the current teachers of the medical humanities to think that the appropriate philosophies behind the teaching of the medical humanities are being implemented as they should be, much less time and effort need to be devoted to the Cultural Transmission Approach. With no other published reports on the educational philosophies behind the medical humanities programs, this study created a new knowledge base about this relatively young and rapidly emerging field. (shrink)

Following a brief consideration of two contrasting purposes for teaching the medical humanities, a description is given of a film discussion elective course. In contrast to the usual teaching of medical ethics which is primarily a cognitive activity emphasizing the development of a code of principles such as justice, autonomy, and beneficence, the film discussion elective was primarily an affective activity emphasizing the development of an ethical ideal of caring, relatedness, and sensitivity to others. The pass/fail elective, offered for one (...) credit each quarter for two quarters, met once a week for one hour for twenty-four weeks. Each week a film was shown followed by a group discussion. A wide variety of social issues were covered. The objective of the course was to increase the ethical sensitivity of the medical students through promotion of introspection and reflection on social issues. A brief discussion is given of the importance and appropriateness of using film to promote the affective focus of medicine on the relief of suffering. Examples are given of how the course achieved its objective. A detailed description of the resource materials is provided. (shrink)

The most important distinction in value theory is the subjective-objective distinction which determines the epistemological status of value judgments about medical intervention. Ethical decisions in medical intervention presuppose one of three structures of justification — namely, an inductive approach, a deductive approach which can be either consequentialist or non-consequentialist, and a uniquely ethical approach. Inductivism and deductivism have been discussed extensively in the literature and are only briefly described here. The uniquely ethical approach which presupposes value objectivism is analyzed in (...) detail. This method involves a purely ethical inference which moves from facts to values directly with an emphasis on reason which involves a non-logical justification (as opposed to illogical). It involves the use of natural practical arguments which have an imperative conclusion but no imperative premise and exhibit a value-requiredness between two states of affairs. (shrink)

A study of physicians and medical students was conducted to determine the various philosophical positions they hold with respect to ethical decision-making in medicine and their epistemological presuppositions in relationship to the subjective-objective controversy in value theory. The study revealed that most physicians and medical students tend to be objectivists in value theory, i.e., believe that value judgements are knowledge claims capable of being true or false and are expressions of moral requirements and normative imperatives emanating from an external value (...) structure or moral order in the world, but that most physicians and medical students are inconsistent in the philosophical foundations of their medical ethical decision-making, i.e., in decision-making regarding values they tend to hold beliefs which are incompatible with other beliefs they hold about values. The study also revealed that most physicians and medical students think more emphasis should be placed upon medical ethics in medical education. (shrink)

A study of nurses and nursing students was conducted to determine the various philosophical positions they hold with respect to ethical decision-making in nursing and their relationship to the subjective-objective controversy in value theory. The study revealed that most nurses and nursing students tend to be subjectivists in value theory, i.e., believe that value judgments are purely personal, private expressions of one's own opinion or inner-feelings and not believe that value judgments are knowledge claims capable of being true or false (...) and therefore not expressions of moral requirements and normative imperatives emanating from an external value structure or moral order in the world. In addition, the study revealed that most nurses and nursing students are inconsistent in the philosophical foundations of their ethical decision-making, i.e., in decision-making regarding values they tend to hold beliefs which are incompatible with other beliefs they hold about values. (shrink)

A study of clinical medical ethicists was conducted to determine the various philosophical positions they hold with respect to ethical decision making in medicine and their various positions' relationship to the subjective-objective controversy in value theory. The study consisted of analyzing and interpreting data gathered from questionnaires from 52 clinical medical ethicists at 28 major health care centers in the United States. The study revealed that most clinical medical ethicists tend to be objectivists in value theory, i.e., believe that value (...) judgments are knowledge claims capable of being true or false and therefore expressions of moral requirements and normative imperatives emanating from an external value structure or moral order in the world. In addition, the study revealed that most clinical medical ethicists are consistent in the philosophical foundations of their ethical decision making, i.e., in decision making regarding values they tend not to hold beliefs which are incompatible with other beliefs they hold about values. (shrink)

On May 11th a round table discussion was held on the subject "The Interactions of Science and Art under the Conditions of the Revolution in Science and Technology ," organized by the editorial boards of the journals Voprosy filosofii and Voprosy literatury.