This paper tries to understand the phenomenon that humans are able to empathize with robots and the intuition that there might be something wrong with “abusing” robots by discussing the question regarding the moral standing of robots. After a review of some relevant work in empirical psychology and a discussion of the ethics of empathizing with robots, a philosophical argument concerning the moral standing of robots is made that questions distant and uncritical moral reasoning about entities’ properties and that recommends (...) first trying to understand the issue by means of philosophical and artistic work that shows how ethics is always relational and historical, and that highlights the importance of language and appearance in moral reasoning and moral psychology. It is concluded that attention to relationality and to verbal and non-verbal languages of suffering is key to understand the phenomenon under investigation, and that in robot ethics we need less certainty and more caution and patience when it comes to thinking about moral standing. (shrink)

Problems of and explanations for evil -- Neo-cartesianism -- Animal suffering and the fall -- Nobility, flourishing, and immortality : animal pain and animal well-being -- Natural evil, nomic regularity, and animal suffering -- Chaos, order, and evolution -- Combining CDs.

Mental health care providers increasingly confront challenges posed by the introduction of new neurotechnology into the clinic, but little is known about the impact of such capabilities on practice patterns and relationships with patients. To address this important gap, we sought providers’ perspectives on the potential clinical translation of functional neuroimaging for prediction and diagnosis of mental illness. We conducted 32 semi-structured telephone interviews with mental health care providers representing psychiatry, psychology, family medicine, and allied mental health. Our results suggest (...) that mental health providers have begun to re-conceptualize mental illness with a neuroscience gaze. They report an epistemic commitment to the value of a brain scan to provide a meaningful explanation of mental illness for their clients. If functional neuroimaging continues along its projected trajectory to translation, providers will ultimately have to negotiate its role in mental health. Their perspectives, therefore, enrich bioethical discourse surrounding neurotechnology and inform the translational pathway. (shrink)

ZusammenfassungDas Lindern von Leiden ist eine zentrale Aufgabe der Medizin. Seit einigen Jahren ist eine verstärkte Inanspruchnahme des Leidensbegriffs im medizinischen Kontext zu beobachten. Eine Reflexion und Klärung dessen, was mit dem Begriff „Leiden“ und Begriffen wie „unerträgliches Leiden“ gemeint ist, bleibt aber weitgehend aus. Diese Tatsache wirft eine Reihe von theoretischen und praktischen Problemen auf, die im vorliegenden Beitrag identifiziert und diskutiert werden. Dazu werden zunächst die Schwierigkeiten bei der Anwendung des Leidensbegriffs in der medizinischen Praxis am Beispiel der (...) Indikationsstellung für eine tiefe und kontinuierliche palliative Sedierung dargestellt. Anschließend wird das Problem auf theoretischer Ebene angegangen. Es wird sich zeigen, dass im medizinischen Kontext mit einem Konzept des Leidens operiert wird, das a) eine starke normative Valenz hat, b) bei dem primär der subjektive Charakter des Leidens im Vordergrund steht und das c) inhaltlich nicht ausreichend differenziert ist. Anschließend werden zwei Konzepte des Leidens vorgestellt und im Hinblick auf ihre Operationalisierbarkeit im medizinischen Kontext befragt. Auf dem Hintergrund anthropologischer Vorannahmen, werden schließlich in einem letzten Abschnitt Perspektiven zum Umgang mit dem Leidensbegriff in der Medizin entwickelt. (shrink)

Avi Mintz (2008) has recently argued that Anglo-American educators have a tendency to alleviate student suffering in the classroom. According to Mintz, this tendency can be detrimental because certain kinds of suffering actually enhance student learning. While Mintz compellingly describes the effects of educator’s desires to alleviate suffering in students, he does not examine one of the roots of the desire: the feeling of compassion or pity (used as synonyms here). Compassion leads many teachers to unreflectively alleviate student struggles. While (...) there are certainly times when compassion is necessary to help students learn, there are other times when it must be overcome. Compassion in the classroom is a two-edged sword that must be carefully employed; and yet it is often assumed that it is an unequivocal good that ought to trump all other impulses. In this article I hope to raise awareness concerning the promises and pitfalls of compassion in education by examining the theories of two historical figures who famously emphasised compassion in their philosophical writings: Jean-Jacques Rousseau and Friedrich Nietzsche. Rousseau and Nietzsche argue that compassion is a powerful educational force but that it must be properly employed. For Rousseau and Nietzsche, compassion is necessary to develop self-mastery in human beings—the ultimate goal of education—but it is a compassion that must hurt in order to help. My hope is that Rousseau’s and Nietzsche’s ideas on compassion will encourage thoughtful reflection on the uses and abuses of compassion in education. (shrink)

This book conducts a timely inquiry into contemporary conscience and politics.

In this paper we investigate compassion and its place within mindfulness-based approaches. Compassion is an orientation of mind that recognizes pain and the universality of pain in human experience and the capacity to meet that pain with kindness, empathy, equanimity and patience. We outline how learning to meet pain with compassion is part of how people come to live with chronic conditions like recurrent depression. While most mindfulness-based approaches do not explicitly teach compassion, we describe how the structure of the (...) programme and teachers' embodiment enable participants to cultivate compassion in the landscape of suffering. We describe a case example of how this process unfolded for someone through mindfulness-based cognitive therapy. (shrink)

Even philosophers of religion working on the problem of non-human animal suffering have ignored the suffering of creatures like insects. Sensible as this seems, it’s mistaken. I am not sure whether creatures like these can suffer, but it is plausible, on both commonsensical and scientific and philosophical grounds, that many of them can. If they do, their suffering makes the problem of evil much worse: their vast numbers mean the amount of evil in the world will almost certainly be increased (...) by many, many orders of magnitude, the fact that disproportionately many of them live lives which are nasty, brutish, and short means that the proportion of good to evil in the world will be drastically worsened, and their relative lack of cognitive sophistication means that many theodicies, including many specifically designed to address animal suffering, would apply to their suffering only with much greater difficulty, if at all. Philosophers of religion should therefore more seriously investigate whether these beings can suffer and what, if anything, could justify God in allowing as much. (shrink)

A large part of the debate around the right to refuse life-prolonging treatment of anorexia nervosa sufferers centers on the issue of competence. Whether or not the anorexic should be allowed to refuse life-saving treatment does not depend solely or primarily on competence. It also depends on whether the anorexic’s suffering is bearable or tractable, and on the degree of involvement of the family in the therapeutic process. Anorexics could be competent to refuse lifesaving treatment (Giordano 2008). However, the anorexic’s (...) refusal of life-saving treatment should not be respected purely because it is a competent decision. In fact, anorexia has two characteristics that weaken the strength of the principle .. (shrink)

Avi Mintz (2008) has recently argued that Anglo-American educators have a tendency to alleviate student suffering in the classroom. According to Mintz, this tendency can be detrimental because certain kinds of suffering actually enhance student learning. While Mintz compellingly describes the effects of educator’s desires to alleviate suffering in students, he does not examine one of the roots of the desire: the feeling of compassion or pity (used as synonyms here). Compassion leads many teachers to unreflectively alleviate student struggles. While (...) there are certainly times when compassion is necessary to help students learn, there are other times when it must be overcome. Compassion in the classroom is a two-edged sword that must be carefully employed; and yet it is often assumed that it is an unequivocal good that ought to trump all other impulses. In this article I hope to raise awareness concerning the promises and pitfalls of compassion in education by examining the theories of two historical figures who famously emphasised compassion in their philosophical writings: Jean-Jacques Rousseau and Friedrich Nietzsche. Rousseau and Nietzsche argue that compassion is a powerful educational force but that it must be properly employed. For Rousseau and Nietzsche, compassion is necessary to develop self-mastery in human beings—the ultimate goal of education—but it is a compassion that must hurt in order to help. My hope is that Rousseau’s and Nietzsche’s ideas on compassion will encourage thoughtful reflection on the uses and abuses of compassion in education. (shrink)

In this article I claim that service-learning experiences, wherein students work directly with individuals in need—individuals from whom studentscan learn what they cannot learn elsewhere—are invaluable, and perhaps necessary, for any curriculum with an aim toward the development of ethical understanding, personal moral character and commitment, and/or conscientious citizenship, both local and global. My argument rests on Emmanuel Levinas’s philosophical ethical theory that re-envisions the ethical relation as arising out of revelation from the unique and precious Other, rather than reason (...) and the rational determinations and conceptions of the ethical agent. (shrink)

Recent events around the globe reflect the tensions and ethical dilemmas of the postmodern, postcolonial and neocolonial world that have far reaching implications for health, well-being, and human suffering. As we consider what is at stake, and what this means for local lives and human relationships, we need to examine whether the theories we draw on are adequate to further our understanding of health, and the social and material conditions of human suffering. In this paper I begin to explore the (...) question, ‘Can postcolonial feminist theories provide an inclusive scholarship that would further our understanding of human suffering and open up a path to healing?’ At issue here is whether this scholarship adds another dimension to a praxis-oriented nursing science. (shrink)

Advocates of active euthanasia and physician-assisted suicide argue that a patient’s intractable pain and suffering are a sufficient justification for his life to end if he autonomously so chooses. Others hold that the non-utilization of life-sustaining treatment, the use of pain-relieving medication that may hasten a patient’s death, and palliative sedation may be morally acceptable means of alleviating pain and suffering. How a patient should be cared for when approaching the end of life involves one’s core religious and moral values, (...) particularly concerning whether pain and suffering can have some sort of instrumental value. The author reasons why a patient who is terminally ill can find his suffering valuable for both religious and nonreligious goals. National Catholic Bioethics Quarterly 12.2 (Summer 2012): 251–261. (shrink)

Suffering, in one form or another, is present in all of our lives. But why do we suffer? On one reading, this is a question about the causes of physical and emotional suffering. But on another, it is a question about whether suffering has a point or purpose or value. In this ground-breaking book, Michael Brady argues that suffering is vital for the development of virtue, and hence for us to live happy or flourishing lives. After presenting a distinctive account (...) of suffering, and a novel account of its core element, unpleasantness, Brady proceeds to focus on three claims that are central to his picture. The first is that forms of suffering, like pain and remorse, can themselves constitute virtuous responses. The second is that suffering is essential for four important classes of virtue - virtues of strength, such as fortitude and courage; virtues of vulnerability, such as adaptability and humility; moral virtues, such as compassion; and the practical and epistemic excellences that make up wisdom. His final claim third is that suffering is vital for the social virtues of justice, love, and trust, and hence for the flourishing of social groups. (shrink)

The existence and extent of animal suffering provides grounds for a serious evidential challenge to theism. In the wake of the Darwinian revolution, this strain of natural atheology has taken on substantially greater significance. In this essay we argue that there are at least four neo-Cartesian views on the nature of animal minds which would serve to deflect this evidential challenge.

This essay recovers the redemptive significance of “sacrifice” as the form of Christian resistance to global capitalism. The argument unfolds by way of a comparison of sacrifice, as presented by Anselm, with one of the most compelling contemporary theological accounts of justice and human rights—that of the Latin American liberationists. After showing how the liberationists' vision is implicated in the capitalist order, I argue that Anselm's account of sacrifice displays the advent of the aneconomic order of divine charity and that (...) it is only the recovery of life in this aneconomic mode of donation and gift that can deliver us from capitalism. (shrink)

This qualitative study examines the childhood experiences of adult animal rights activists regarding their feelings about, and interactions with, nonhuman animals. Central to children's experiences with animals is the act of eating them, a ritual both normalized and encouraged by the dominant culture and agents of socialization. Yet, despite the massive power of socialization, sometimes children resist the dominant norms of consumption regarding animals. In addition to engaging in acts of resistance, some children, as suggested in the biographical narratives of (...) adult vegan animal activists, also possess a predisposition to respond to the perceived suffering of animals. This predisposition is a variant of the trait empathy but is specifically animal-oriented. In open-ended interviews with 30 vegan animal activists about their paths into the movement, this study examined these childhood experiences and the predisposition that may help set the stage for later adoption of a vegan, animal-rights lifestyle. (shrink)

Should we help wild animals suffering negative impacts from anthropogenic climate change? It follows from diverse ethical positions that we should, although this idea troubles defenders of wildness value. One already existing climate threat to wild animals, especially in the Arctic, is the disruption of food chains. I take polar bears as my example here: Should we help starving polar bears? If so, how? A recent scientific paper suggests that as bears’ food access worsens due to a changing climate, we (...) should consider supplementary feeding. Feeding starving bears could meet ethical obligations to help wild animals suffering from climate change. But supplementary feeding may also cause harms, and lead to park-like management of some bear populations – a concern for those who care about the value of wildness. While this situation is in many ways intractable, I’ll make a tentative suggestion of a possible way forward for wildlife managers. (shrink)

Adorno's moral philosophy is famously problematic. One of the main reasons for this is that it revolves around the moral addendum: a physical impulse of solidarity with suffering beings that, he argues, cannot and should not be rationalized. I show that, since this moral addendum remains vague and since Adorno's radical negativity forces him to dismiss as uncritical all other approaches to morality, he deliberately places his thought in danger of relapsing into irrationality. Most commentators therefore disagree about the manner (...) in which Adorno's references to the moral addendum can be translated into a moral theory. In this paper, I bring in some often overlooked material to form a more complete overview of the issues at hand and to adjudicate this contested area. I do this by briefly discussing Schopenhauer's moral observations on Mitleid and by focusing on Adorno's references to animal cruelty and corporeality. Although this interpretation stays close to Adorno's observations on the moral addendum, it forces us to accept that his moral philosophy is rather weak. I conclude, however, that this weakness reflects a disturbing aspect of reality and in that sense has critical value. (shrink)

This paper will explore some of the issues and arguments and offer some critical reflection on the ideas and ways that people have proposed to overcome or uphold the dilemma or conflict between the existence of the God of classical theism and evil and the consequence of evil - suffering. I seek explanation of the plain fact of evil and suffering but I do not seek it in the arrogant belief that I can explain evil away. My Christian faith is (...) not meant to provide complete answers and understanding to all life’s vexing questions. The purpose of my faith is to become aware and share in the life of the infinite and unlimited creator God. My belief provides strength and wisdom to live all of life but does not provide the perfect philosophical apologetic. My faith leaves me with much unsolved mystery and perplexing puzzle, often my faith is accompanied by doubt and existential pain and anxiety. Evil is not a theoretical problem but an existential problem. In the face of evil we are challenged to examine who we are and what we value as well as seeking a deeper insight into the nature and purposes of God. (shrink)

I present ideas about human suffering that are salient among the black peoples of sub-Saharan Africa, reconstruct them in order to make them relevant to an international audience with philosophical interests, and urge that audience to give them consideration as alternatives or correctives to some dominant Western approaches. I first recount views commonly held by sub-Saharans about the nature, causes and cures of suffering, and then draw on them to articulate an account of it qua enervation, which rivals a neuro-physical (...) perspective that friends of Western science would readily adopt. Then, I address the way one morally should respond to suffering, appealing to judgments about the value of community that are influential among Africans. I show that, upon theoretical refinement, an Afro-communitarianism entails an ethical analysis of suffering that seriously competes with those entailed by standard Western moral philosophies. This view instructs moral agents neither to make others suffer because they deserve it, as per Kantian retributivism, nor to do whatever will minimize suffering, à la utilitarianism. Instead, it roughly prescribes responding to suffering out of love, which can require increasing the amount of suffering in the world by taking it upon oneself, instead of leaving it to others to bear on their own. (shrink)

Victims of disaster suffer, not only at the very moment of the disaster, but also years after the disaster has taken place, they are still in an emotional journey. While many moral perspectives focus on the moment of the disaster itself, a lot of work is to be done years after the disaster. How do people go through their suffering and how can we take care of them? Research on human suffering after a major catastrophe, using an ethics of care (...) perspective, is scarce. People suffering from disasters are often called to be in distress and their emotional difficulties ‘medicalised’. This brings them often into a situation of long term use of medication, and one can wonder if medication is of help to them in the long run. In our paper, we will explore another moral perspective, focusing on the importance of the victims’ narrative and their lived experiences. We will use Paul Ricoeur’s phenomenological reflections from ‘Suffering is not the same as pain’ for conceptualizing human suffering and how to apply it to victims of disaster. Ricoeur suggests that suffering is not a quantity that can be measured, but a characteristic that should be studied qualitatively in interpersonal and narrative contexts. Above all, the perspective of care and listening could offer an opportunity to reconcile people from their loss and suffering. (shrink)

Les études sur le corps du siècle des Lumières se sont longtemps appuyées sur les traités de médecine, reprenant ainsi les représentations médicales plutôt que celles des malades. Les écrits ordinaires, parmi lesquels on peut compter les consultations épistolaires, permettent toutefois d’appréhender les perceptions corporelles des femmes du xviiie siècle. Ces lettres, envoyées par les malades à leur médecin, forment de véritables biographies médicales et constituent des sources d’une grande richesse pour explorer les écritures féminines du corps. On peut ainsi (...) mettre en évidence des manières spécifiques d’écrire le corps au féminin tout en soulignant les points communs avec les écritures masculines. (shrink)

The argument presented by Jeffrey Bishop that “tradition” justifies female circumcision is grounded on the assumption that reason is always situated within traditions and that traditions are the foundational source of values. I argue that the concept of tradition is inherently vague and, as such, cannot support the weight of the argument that makes it the final arbiter of moral values. The concept especially does not justify intense pain and suffering inflicted on children.

The purpose of this article, which takes the form of a dialogue between a vegetarian and a meat eater, is twofold. On the one hand, we argue for a general characterisation of moral value in terms of well-being and suffering. On the other hand, on the basis of this characterisation, we argue that, in most cases, the moral value attached to the choice of eating meat is negative; in particular, we defend this claim against a number of objections concerning the (...) nature of animal suffering, its moral value, and the moral responsibility of meat eaters. (shrink)

Taking John Paul II's teaching on the Christian meaning of suffering as my main source for a Catholic perspective on suffering, I show how seriously he takes the reality of suffering, and how seriously he takes the question as to the meaning of suffering. I proceed to explore his many-sided teaching on the way in which sin is and is not involved in the meaning of suffering, giving particular attention to his teaching on social dimensions of sin and suffering that (...) are little understood in the individualistic West today. The heart of his teaching on suffering lies in his explication of how it is that we have to be conformed in our suffering to the suffering of Christ so as to share in His resurrection. But it is not the suffering as such but the love that we are called to live when we suffer, that incorporates us into the risen Christ. (shrink)

I want to argue here that certain Buddhist and Jewish thinkers say scandalous things on purpose. More scandalously still, I suggest that these statements are infused with deeply transformative ethical power, intended specifically as a way of relating to the dreadful fact of suffering. As scandals, these special responses to suffering intentionally rupture normal semantic patterns and sequences of thought, often through statements or actions which appear paradoxical. These scandalous statements are, in fact, always communicative in function, structure, and intent, (...) but they are designed to create a kind of 'cognitive dissonance'. The thinkers I consider here say scandalous things in order to cause a breaking-open in the consciousness of the hearer and practitioner, which produces compassion, transformation, and liberation. Counter-intuitively, this rupture highlights intersubjectivity and language. In thus talking about scandal and about ethical responses to suffering, this essay brings into dialogue ideas from two very different source traditions . I engage Mahayana Buddhist ideas in conversation with the modern Jewish philosopher of ethics, Emmanuel Levinas. (shrink)

Patient’s decision making competence is a widely discussed subject. Issues of competence, autonomy, well-being and protection of the patient come up every day. In this article we analyse what role PDMC plays in Dutch legislation and what dilemmas healthcare professionals may experience, notably in patients suffering from Korsakoff’s syndrome. Dilemmas emerge if professionals want to meet the requirements mentioned in Dutch law and the desires of their patients. The autonomy of the patient and the healthcare professionals’ duty to take care (...) of their patient’s best interests, create a tension and lead to uncomfortable situations. Healthcare professionals describe difficulty finding a balance between these issues and assessing the degree of mental competence still present. In long term care situations, quality of the relationship between healthcare professionals and their patients seems to be of much more importance in decision making on minor issues of competence than simply relying on legal or house rules. In being committed to their cases, professionals will be more sensitive to individuals habits, abilities, welfare and dignity, which will make it easier to decide on issues of competence, and to find creative solutions to their dilemmas. (shrink)

This article is designed to focus on the provision of nursing care in general medical wards following the admission of persons who have attempted suicide or who have a previous history of attempting suicide. The authors explore, analyse and synthesize how nurses, as key players in the health care team, may begin by recognizing the uniqueness of the individual, and by cotravelling therapeutically with the person on part of his or her journey towards recovery and healing. Efforts are made to (...) demonstrate how nurses can influence the health gain of this group of people and their families. Professional attitudes and related ethical aspects, such as autonomy, respect for autonomy and paternalism, are also examined within the context of the nursing care of people who have attempted suicide. The need to enhance sensitive and caring communication skills for nurses who work with this group of people is tentatively considered. Some reasoning about why there may be difficulties in specific areas of communication such as empathy are contested and explored. (shrink)

If humans subject animals to painful, damaging, or frightening procedures to achieve scientific progress, then the very least that humankind can do is to insist that regulations be put in place to protect animals and that they be properly implemented and enforced. However, recent practice in the United Kingdom suggests that this is not the case. Europe’s new regime on the protection of animals used for scientific purposes—Directive 2010/63—must act as a catalyst for significant change and is a significant recognition (...) of the intrinsic value of animals. Before this Directive, the cost/benefit analysis undertaken in the United Kingdom allowed for a large margin of error so that animal welfare was an aggregated concept, and any aggregated finding of “adequate” animal welfare was not militated by individual cases of exacerbated animal detriment. The recognition that each animal has value as an individual means that the levels of animal welfare or protection expected of scientific establishments can no longer simply be those that are, in generic terms, appropriate for the aggregated mass of animals. Instead, the welfare standards applied are appropriate and rendered effectual for all individual animals. (shrink)

Le film Coup pour coup de Marin Karmitz met en scène, peu avant la grève, une ouvrière en proie à la « crise de nerfs ». Tout en confrontant les représentations liées à la « crise de nerfs » aux réalités des années 68, il s’agit, dans une approche psychodynamique, d’analyser ce qui se joue dans le passage de la souffrance individuelle que constitue la « crise de nerfs » à l’identification puis à la résistance collective des ouvrières.