Within bioethics, Kant’s conception of autonomy is often portrayed as excessively rationalistic, abstract, and individualistic, and, therefore, far removed from the reality of patients’ needs. Drawing on recent contributions in Kantian philosophy, we argue that specific features of Kantian autonomy remain relevant for medical ethics and for patient experience. We use contemporary end-of-life illness narratives—a resource that has not been analyzed with respect to autonomy—and show how they illustrate important Kantian themes, namely, the duty to know oneself, the interest in (...) elaborating universalizable principles, and the emphasis on ideals as points of orientation that guide behavior without ever being fully realized. As Kant does, the patient-authors discussed here perceive the end of life as a moment to reflect on the constitutive principles which have governed that life, thereby offering a privileged moment to pursue self-knowledge. We argue that bioethical conceptions of autonomy stand to gain if they revise their conception of Kantian moral philosophy as too formal, abstract, and detached from emotions and personal relationships to be helpfully applied. (shrink)

This paper explores the neglected relationship between conservatism as a political theory, and conservatism as political practice, using the example of recent immigration to Europe. A cursory glance at how European politicians have responded to migration challenges suggests that they roughly divide into a leftist ‘liberal’ and a rightist ‘conservative’ camp, between those that favour some form of an open-arms policy and those who prefer to close borders. The situation, however, is more complex. This article engages with the resources of (...) conservative theory to argue that there are many distinct conservative-theoretical positions for any one policy point. Using contemporary migration patterns as a case-study, we suggest that Conservative parties have not borrowed much from conservative theory in its variety of incarnations. In fact, conservative theory can buttress a course of action that is generous toward migrants and at odds with the claims of right-wing populist movements. While certain strands of conservatism imagine a homogenous people, there are others that are no less propluralization than liberal theory, and sometimes more so. (shrink)

Liberalism is a critically important topic in the contemporary world as liberal values and institutions are in retreat in countries where they seemed relatively secure. Lucidly written and accessible, this book offers an important yet neglected Russian aspect to the history of political liberalism. Vanessa Rampton examines Russian engagement with liberal ideas during Russia's long nineteenth century, focusing on the high point of Russian liberalism from 1900 to 1914. It was then that a self-consciously liberal movement took shape, followed by (...) the founding of the country's first liberal (Constitutional-Democratic or Kadet) party in 1905. For a brief, revelatory period, some Russians - an eclectic group of academics, politicians and public figures - drew on liberal ideas of Western origin to articulate a distinctively Russian liberal philosophy, shape their country's political landscape, and were themselves partly responsible for the tragic experience of 1905. (shrink)

This article explores the relationship between medicine’s history and its digital present through the lens of the physician-patient relationship. Today the rhetoric surrounding the introduction of new technologies into medicine tends to emphasize that technologies are disturbing relationships, and that the doctor-patient bond reflects a more ‘human’ era of medicine that should be preserved. Using historical studies of pre-modern and modern Western European medicine, this article shows that patient-physician relationships have always been shaped by material cultures. We discuss three activities (...) – recording, examining, and treating – in the light of their historical antecedents, and suggest that the notion of ‘human medicine’ is ever-changing: it consists of social attributions of skills to physicians that played out very differently over the course of history. (shrink)

This essay argues that both the normative worth and practicality of conservatism depend on how much there is to enjoy and value in actual historical circumstances. I use examples from Russian history in the Tsarist period to show that if they live in times of great hardship, or under arbitrary political rule, political actors and thinkers with conservative sympathies (such as respect for tradition, and predilection for slow, gradual improvements) will face painful moral dilemmas, and perhaps even be justified in (...) renouncing conservative behaviors altogether. For this reason, the Russian example helps us to better understand why being conservative can sometimes be impossible. (shrink)