Even in the Netherlands, where the practice of physician-assisted death (PAD) has been legalized for over 20 years, there is no such thing as a ‘right to die’. Especially patients with extraordinary requests, such as a wish for PAD based on psychiatric suffering, advanced dementia, or (a limited number of) multiple geriatric syndromes, encounter barriers in access to PAD. In this paper, we discuss whether these barriers can be justified in the context of the Dutch situation where PAD is (...) legally permitted for those who suffer unbearably and hopelessly as a result of medical conditions. Furthermore, we explore whether there are options to address some of the barriers or their consequences, both within the Dutch legal framework or by adjusting the legal framework, and whether these options are feasible. We conclude that although there are insufficient arguments to overrule the doctor’s freedom of conscience in the Netherlands, there are ways to address some of the barriers, mainly by offering support to doctors that would be willing to support a request. Moreover, we believe it is morally required to reduce or mitigate where possible the negative consequences of the barriers for patients, such as the long waiting time for those who suffer from psychiatric disorders, because it is unlikely the adjustments suggested to the system will ensure reasonable access for these patient groups. (shrink)

All that remains of Western Philosophy is the History of Ideas. 1 Ulrich de Balbian Meta-Philosophy Research Center ( Meta-Philosophy) Death of Philosophy Part 1 (essays on philosophy, it subject-matter, methods, omtology, metaphysics, episetemology, art, religion and other topics).

Philosophers debate the death of philosophy as much as they debate the death of God. Kant claimed responsibility for both philosophy's beginning and end, while Heidegger argued it concluded with Nietzsche. In the twentieth century, figures as diverse as John Austin and Richard Rorty have proclaimed philosophy's end, with some even calling for the advent of "postphilosophy." In an effort to make sense of these conflicting positions—which often say as much about the philosopher as his (...) subject—Isabelle Thomas-Fogiel undertakes the first systematic treatment of "the end of philosophy," while also recasting the history of western thought itself. Thomas-Fogiel begins with postphilosophical claims such as scientism, which she reveals to be self-refuting, for they subsume philosophy into the branches of the natural sciences. She discovers similar issues in Rorty's skepticism and strands of continental thought. Revisiting the work of late-nineteenth and early-twentieth-century philosophers, when the split between analytical and continental philosophy began, Thomas-Fogiel finds both traditions followed the same path—the road of reference—which ultimately led to self-contradiction. This phenomenon, whether valorized or condemned, has been understood as the death of philosophy. Tracing this pattern from Quine to Rorty, from Heidegger to Levinas and Habermas, Thomas-Fogiel reveals the self-contradiction at the core of their claims while also carving an alternative path through self-reference. Trained under the French philosopher Bernard Bourgeois, she remakes philosophy in exciting new ways for the twenty-first century. (shrink)

In 1968, the Harvard criteria equated irreversible coma and apnea with human death and later, the Uniform Determination of Death Act was enacted permitting organ procurement from heart-beating donors. Since then, clinical studies have defined a spectrum of states of impaired consciousness in human beings: coma, akinetic mutism, minimally conscious state, vegetative state and brain death. In this article, we argue against the validity of the Harvard criteria for equating brain death with human death. Brain (...) death does not disrupt somatic integrative unity and coordinated biological functioning of a living organism. Neurological criteria of human death fail to determine the precise moment of an organism’s death when death is established by circulatory criterion in other states of impaired consciousness for organ procurement with non-heart-beating donation protocols. The criterion of circulatory arrest 75 s to 5 min is too short for irreversible cessation of whole brain functions and respiration controlled by the brain stem. Brain -based criteria for determining death with a beating heart exclude relevant anthropologic, psychosocial, cultural, and religious aspects of death and dying in society. Clinical guidelines for determining brain death are not consistently validated by the presence of irreversible brain stem ischemic injury or necrosis on autopsy; therefore, they do not completely exclude reversible loss of integrated neurological functions in donors. The questionable reliability and varying compliance with these guidelines among institutions amplify the risk of determining reversible states of impaired consciousness as irreversible brain death. The scientific uncertainty of defining and determining states of impaired consciousness including brain death have been neither disclosed to the general public nor broadly debated by the medical community or by legal and religious scholars. Heart-beating or non-heart-beating organ procurement from patients with impaired consciousness is de facto a concealed practice of physician-assisted death, and therefore, violates both criminal law and the central tenet of medicine not to do harm to patients. Society must decide if physician-assisted death is permissible and desirable to resolve the conflict about procuring organs from patients with impaired consciousness within the context of the perceived need to enhance the supply of transplantable organs. (shrink)

Motivated by a conviction that mass incarceration and state execution are among the most important ethical and political problems of our time, the contributors to this volume come together from a diverse range of backgrounds to analyze, critique, and envision alternatives to the injustices of the U.S. prison system, with recourse to deconstruction, phenomenology, critical race theory, feminism, queer theory, and disability studies. They engage with the hyper-incarceration of people of color, the incomplete abolition of slavery, the exploitation of prisoners (...) as workers and as "raw material" for the prison industrial complex, the intensive confinement of prisoners in supermax units, and the complexities of capital punishment in an age of abolition. -/- Contents -/- Introduction: Death and Other Penalties Geoffrey Adelsberg, Lisa Guenther, and Scott Zeman -/- Part I. Legacies of Slavery -/- Excavating the Sedimentations of Slavery: The Unfinished Project of American Abolition Brady Heiner -/- From Commodity Fetishism to Prison Fetishism: Slavery, Convict-leasing, and the Ideological Productions of Incarceration James Manos -/- Maroon Philosophy: An Interview with Russell Maroon Shoatz Russell Maroon Shoatz -/- Part II. Death Penalties -/- In Reality-from the Row Derrick Quintero -/- Inheritances of the Death Penalty: American Racism and Derrida's Theologico-Political Sovereignty Geoffrey Adelsberg -/- Making Death a Penalty: Or, Making "Good" Death a "Good" Penalty Kelly Oliver -/- Death Penalty Abolition in Neoliberal Times: The SAFE California Act and the Nexus of Savings and Security Andrew Dilts -/- On the Inviolability of Human Life Julia Kristeva (translated by Lisa Walsh) -/- Part III. Rethinking Power and Responsibility -/- Punishment, Desert, and Equality: A Levinasian Analysis Benjamin S. Yost -/- Prisons and Palliative Politics Ami Harbin -/- Sovereignty, Community, and the Incarceration of Immigrants Matt S. Whitt -/- Without the Right to Exist: Mass Incarceration and National Security Andrea Smith -/- Prison Abolition and a Culture of Sexual Difference Sarah Tyson -/- Part IV. Isolation and Resistance -/- Statement on Solitary Confinement Abu Ali Abdur'Rahman -/- The Violence of the Supermax: Toward a Phenomenological Aesthetics of Prison Space Adrian Switzer -/- Prison and the Subject of Resistance: A Levinasian Inquiry Shokoufeh Sakhi -/- Critical Theory, Queer Resistance, and the Ends of Capture Liat Ben-Moshe, Che Gossett, Nick Mitchell, and Eric A. Stanley. (shrink)

Translated by Drew S. Burk and Anthony Paul Smith. Excerpted from Struggle and Utopia at the End Times of Philosophy , (Minneapolis: Univocal Publishing, 2012). THE END TIMES OF PHILOSOPHY The phrase “end times of philosophy” is not a new version of the “end of philosophy” or the “end of history,” themes which have become quite vulgar and nourish all hopes of revenge and powerlessness. Moreover, philosophy itself does not stop proclaiming its own death, (...) admitting itself to be half dead and doing nothing but providing ammunition for its adversaries. With our sights set on clearing up this nuance, we differentiate philosophy as an institutional entity, and the philosophizability of the World and History, of “thought-world,” which universalizes the narrow concept of philosophy and that of “capital.” We also give an eschatological and apocalyptical cause to this end, of “times” or “ages” rather than those of philosophical practice. Last but not least, it is the Future itself in the performativity of its ultimatum that determines this end times, reversing these times from the Identity the Future accorded to it, withdrawing the thought-world from the lie of its death. Why this style of axioms and oracles, these more or less subtle distinctions, old and debased, with an appeal to the ultimata , to end times and last words? We fight to give, parallel to the concept of Hell, its new theoretical position, for its philosophical return and its non-philosophical transformation. No more so than any other word, Hell is not a metaphor here, just the Principle of Sufficient World. Every man, no doubt, has his “hell” readily available, connivance, control, conformism, domestication, schooling, alienation, extermination, exploitation, oppression, anxiety, etc. We have our little list that the Contemporaries established in the previous century in the same way one used to construct lists of virtues and vices or honors and wealth. They invented it for us without knowing it, for us-the-Futures who have as our responsibility to invent its use. In the Christian and Gnostic tradition, the struggle of the End Times takes place “on earth.” The most sophisticated of believers have it taking place in Heaven as well, above all in Heaven. The various kinds of gnosis imagine infinite falls and vertiginous highs, the vertigo of salvation. On Earth as in Heaven, a hell is available. The Marxists have the law of profit and the control of production, the class struggle Capital imposes on man. The Nietzscheans, the dull grumble of the struggle in the foundations of World and History, the domestication of man, the society of control. The phenomenologists, the capture of being, the most superficial amongst them, the age of suspicion. But all of these “hells” are taken from World, History, Society, and Religion. What we call Hell is no longer of the order of these specific and total intra-worldly generalities, it is both more singular and more universal, no longer being at all of the same order, it is the determinant Identity of these small hells strung out through history but unified here in the name of the last Humaneity. It is even found within the French idiom for hell [ enfer ], en-fer literally means “in-irons.” We are as much “in-irons” as we are “alive” [ en-Vie ]. We believe in Hell but as non-philosophers and it is even because we are non-philosophers that we can believe in it outside of any sort of religion. Hell is less mythological than ideological, it combines philosophizability with universal capital. Under what form? A single term could work for them without being a metaphor or something they would participate in by analogy, a more innovative and conjectural term than control, more universal than profit. It would denote the growing and permanent extortion of a surplus-value of communication, of speed and of urgency in change, in productivity and in work, in the pressure of images and slogans. It would be worse than solicitation, more tenacious than capture, more active and persecutory than control, softer and more insidious than a frontal attack, just as perverse as questioning and accusation, less brutal and offensive than extermination, less ritualized than inquisition, it would be soft and dispersed, instantaneous and vicious, it would be a crime without declared violence. Collusion and conformism, it would be afraid to show itself. Related to rumor, from which it borrows its infinite and tortuous ways. It is harassment. As a modernized form of Hell, perhaps harassment has a long future in front of it, of innocent torture, slow assassination, in short the fall, but radical with no way of recovering and which tolerates only salvation. THE PHILOSOPHICAL PAST OF NON-PHILOSOPHY Non-philosophy is thus Man as the utopian identity of the philosophical form of the World, a utopia destined to transform it. We still have to understand these equations, in particular that of the being-uni-versed from Man, and this book adheres to this by re-exposing non-philosophy in a different way via one of its new possibilities. It uses this opportunity to once again take up formulations that lead to objections answering certain external critics, as well as revisiting diverging interpretations specific to non-philosophers. A portion of this book is devoted to going through these theories via a strict or “lengthy” presentation of non-philosophy, and its defense against more expeditious solutions. This work of rectification is the occasion, merely the occasion, for refocusing non-philosophy on Man (the “Man-in-person,” “Humaneity”), and in a more innovative manner, on its utopian vocation established since the book Future Christ . As for this “occasion,” it is quite obvious. A school of posture, not to say a school of thought, supposes a minimum of closure from the most liberating of knowledge, a heritage, its utilization, and its no less certain dispersal. Within its development, a variety of interpretations will no doubt appear, deviations that are as much normalizations, and a struggle against this multiplication of divergent tendencies. These are perhaps not inevitable evils, especially here, merely a normal development according to the twisting paths of history. But the problem is made worse by the fact that this school of non-philosophers is that of utopia. Not the former attempts devoted to commenting on the worst authoritarian and criminal forms of the past and the present, but utopia as the determinant principle for human life, or to put it another way, of the Future as an irreducible presupposition of (for) thinking the World and History. Non-philosophers are engaged in an aleatory navigation between the respect for the most rigorous utopia, whose rules are not that of the reproductive imagination but those from the Future determining imagination itself, as well as the temptations, diversions, and remorse of history. Little by little, we will begin to understand that the Future as we understand it no longer has any temporal consistency or positive content, without being an empty form or a nothingness, but that it is foreclosed to past and present History, just as it is foreclosed to the place of places, the World, and that it is the only method for establishing the practice of thinking in a non-imaginary instance. Because it is the World and History that are imaginary and have a terrible materiality, it is not necessarily utopia. We will overlap two objectives here: the defense of non-philosophy against the (non-) philosophers that we are, only occasionally, and the introduction of philosophy to a rigorous future. Together they set out to definitively render, without any possible return to philosophical conformism or towards the facilities of the past and present, the non-philosophical enterprise understood as utopia or uchronia. Imagination and speculation, left to themselves and thus undistinguished, are quite good for participating in the grand game of History but have little value or worse for the Future which is unimaginable and unintelligible and must be maintained as such. MAN-IN-PERSON AS SUSPENSION OF THE PHILOSOPHICAL CHORA The point where philosophical resistance is concentrated is without a doubt the invention of the Name-of-Man, first name, oracular as much as axiomatic, of the determining cause for the non-philosophical posture. And that which concentrates the differends is the style of non-philosophy as identity that possesses the dual aspect, of discipline and of the oeuvre, of the theorem and of the oracle. But the real difficulty in understanding the simplicity of non-philosophy is profoundly hidden in the depths of philosophy itself. Because philosophy, from Parmenides to Derrida, even Levinas, continues to be a divided gesture, without a veritable immanence, transforming its thematic contents of transcendence in also forgetting to transform the operative transcendence in the element from which the ontology of surface is established which we will call, in memory of Plato, the chorismos. The general effect of the chora literally gives place to philosophy, demanding binding and sutures to which we will once and for all “oppose” the Man-in-person, his power of cloning, and his future being. All philosophy contains a hinter-philosophy in which it deploys its operations and weaves its tradition like an understudy of a topographical nature and in the best of cases being itself topological. Philosophy as well consists of two levels, its pre-ontological operative conditions on the one hand, and its superficial theme on the other, it too has its presupposed, but is not aware of it or erases it within the unity of appearance named Logos. Rightly, the Logos, and its flash or lightning nature, possesses a “dark precursor,” the chora, which is as much a virtual image, and philosophy, dazzled by its own lightning flash, seems to completely forget about it at the same time it sets itself up within it. Non-philosophy risks taking this same path, of confusing what it believes to be the real with its phantom double, contenting itself to working on the thematic level of philosophy, not its surface objects and its idle chatter (we stopped talking about this a long time ago and in any case they are merely simple materials for inducing a work of transformation), but the transcendence-form of its objects. In the end it risks, through precipitation, taking back up the heritage of philosophy, a heritage of a misunderstood presupposed, even more profound than the play of transcendences. This is what the imperative of the radicality of immanence meant, to treat immanence in an immanent manner, not to make a new object out of it. And from here we get non- (philosophy) and its refusal of the Platonic chorismos , symbol of all abstraction, and thus all transcendental appearance. There are no illusions. The message will leave a heritage in tattered pieces and interpretations. But it was difficult not to dispute the differend to its core. There will be complete confusion of the multiple, possible, and necessary effectuations of non-philosophy with its interpretations. The non-philosophical or human freedom of philosophical effectuation and the philosophical freedom of interpretation. Effectuations demand non-philosophy to return to zero from the point of view of its philosophical material and thus also but within these limits the formulation of its axioms , but in no way providing from the outset divergent interpretations of the aforementioned axioms. They are divergent because they do not take into account the material from which these axioms are derived within non-philosophy, and because they do not see themselves as symptoms of another vision of the World. The utterances of non-philosophy are not mathematical theorems and pure axioms, they merely have a mathematical aspect . They are, by their extraction or origin, mathematical and transcendental. And by their determined function in-Real, within non-philosophy, they are identically in-the-last-Humaneity entities which have an aspect of an axiom and an aspect of interpretation (or an oracular aspect as we say) that attempts (sometimes it is ourselves who provide the occasion) to isolate and transform, in complete freedom of interpretation. There will be an opportunity to complain about the complex character of the language of non-philosophy, an idiom saturated with classical references, sophisticated in a contemporary way. Its freedom of decision up against the whole of philosophy demands these effects of “complication” and “privatization,” as the saying goes. But it also demands fighting against the drift [ dérive ] of the pedagogical-all and the mediatic-all that leads philosophy into the shallow depths of opinion, which is the site of its impossible death. The noble idealism of “pop-philosophy” has been consumed into a “philo-reality;” against this we propose philo-fiction. Parricide, which is at the bottom of these interpretations and which we can judge as being quite fertile, although it has informed tradition, only takes place once or within one lone meaning. In regards to Parmenides, it was possible; Plato introduced the Other as non-being and language, bringing into existence the philosophical system of the World, but is it possible to repeat it again with the same fecundity in regards to non-philosophy, this time in introducing (non) religion or (non) art, still mixing them without taking into account this mixture, alternatively as a philosophical or religious resentment? If philosophy begins via a crime, it is no doubt obliged to continue down similar pathways, to the effect that the crimes of philosophy, once the founding crime has been committed, are a reaction of self-defense. It is undoubtedly from this that we get Marx’s declaration that history begins by tragedy and repeats itself or ends in farce. The preservation of rigor and fecundity is, in every respect, a psychologically difficult task within a theory such as non-philosophy. Having posited an essential objective of liberation in regards to philosophy and its services, one has often understood this objective as an authorization of providing particular interpretations of its axioms and ends up obliterating their scope. This ends up confusing, on one hand, two kinds of freedoms in regards to non-philosophy, the freedom of its interpretations and the freedom of its effectuations. On the other hand, any defense of “principles” against precipitated interpretations is immediately taxed with a will to orthodoxy, a prohibitive objection when we are dealing with, as is the case here, a heretical theory of thought. Nevertheless, it is time to stop confusing heresy as the cause of thought with an ideology of heresies, which is certainly not at all our object, but rather a form of normalization. As for the “disciplinary” aspect, which is not the only aspect, it demands something other than philosophical “answers to objections,” a precision in the definition and use of its procedures in the formation of utterances, since non-philosophy is neither a supplementary doctrine interior to philosophy nor a vision of the world but one whose priority is a “vision of Man,” or rather Man as “vision” that implies a theory and a practice of philosophy. In the end, struggle is only one aspect of non-philosophy, not its whole or telos, struggle coming only from its materiality. In particular, if the discipline of non-philosophy is inseparable from struggle, it is not a question of reducing the monomaniacal obsession of its “marching orders.” This would reduce its complexity and kill its indivisibility, deploying it in a “long march” and a form of Maoization whose philosophical presuppositions no longer have any pertinence here, a case of the One and the Two, which are now cloned and no longer tied together. More generally, non-philosophy is a complex thought composed of a multitude of aspects, which is to say, unilateral interpretations, of a philosophical origin but reduced by their determination in-the-last-instance . The “liberalism” of non-philosophy is merely one of the aspects of which it is capable, not an essence. Similarly, it is only capable of having a “Maoist” aspect. Let us generalize. The weakness of non-philosophy is due to a specific cause, the determination-in-the-last-Humaneity of a subject for the World. Everything that has a right to the philosophical city can be said about it in turn and in a retaliatory mode since Man contributes nothing of himself that Man takes from the World. We can consider non-philosophy as being pretentious, absurd, idealistic, empty, materialistic, formalistic, contradictory, modern, post-modern, Zen, Buddhist, Marxist; it endures or tolerates, perhaps “appeals” to, or at least renders possible, sarcasms, ironies, and insults without even talking about the misunderstandings, partly for the same reason as psychoanalysis. All of this goes beyond simple “deviations.” They are its aspects, which is to say, its “unilateral” philosophical interpretations in both senses of the word, being either sufficient coming from the mouth of philosophers, or reduced to their absolute dimension of sufficiency and totality in the mouths of non-philosophers, and both times due to the weakness and strength of Man-in-person as their determination only in-the-last-instance. The non-philosopher is certainly not a Saint Paul fantasizing about a new Church. The non-philosopher is either a (Saint) Sebastian whose flesh is pierced with as many arrows as there are Churches, or a Christ persecuted by a Saint Paul. What is engaged in here is the practice of retaliation. A negative rule of the non-philosophical ethics of outlawed discussion by way of argumentation (the sufficient is you, the orthodox one is always you, you are the fashionable one, and when a master you are someone else) that is founded on the confusion of effectuations of non-philosophy and of its overall interpretations. Retaliation is the law but as with any too-human law, it must acquire a dimension that displaces it, or rather emplaces it and takes away its authority but not all of its effectiveness. If the non-philosopher is only authorized by himself, which is to say by philosophy but limited by the Real-of-the-last-instance, its critique of other non-philosophers can merely be retaliatory under the same conditions, only by the Real limited in-the last-instance. THE TREE OF PHILOSOPHICAL SAINTLINESS The thematic horizon or material of these debates is in the relationships between philosophy, religion as gnosis, and non-philosophy. It is inevitable, regarding non-philosophers in general (whether they are non-philosophers by name or simply its neighbors) that we often end up evoking Marx’s Holy Family and imagining, arranged on the neighboring branches of the tree of philosophy and annexed, sometimes abusively, to non-philosophy, authors who would quite evidently and quite rightly refuse this label. So it is that we find, for example, a Saint Michel, a Saint Alain, a Saint Gilles 1 without even mentioning the youngest who aspire as well to the freedom of “saintliness” and who make their muted voices heard here. If there is a Holy Family of non-philosophers, it extends completely beyond these three, provided that the sectarian spirit can save us. This book is organized in the following manner: To begin, in order to recall the essential part of the problematic, we have organized a Summary of Non-Philosophy , a vade-mecum of notions and basic problems, in a classical style. Secondly, there is Clarifications On the Three Axioms of Non-Philosophy , designed to posit their proper use as much as to elucidate their meaning. Thirdly, an analysis of Philosophizability and Practicity , both being extreme constituents of philosophical material or the contents of the third axiom. Fourthly, the heart of this work: Let us Make a Tabula Rasa of the Future or of Utopia as Method . Fifthly, we have a theoretical outline of a non-institutional utopia, The International Organization of Non-Philosophy, L’Organisation Non-Philosophique Internationale, (ONPHI) already created in practice but under the conditions of possibility and functioning from which here we put into question “de jure,” thus not without a perplexity concerning “facts,” in any case, without the capability of “getting to the bottom of things.” Sixthly, an essay characterizing The Right and the Left of Non-Philosophy , a brief topology of several philosophizing and normalizing positions of proponents or tenants of this problematic. Seventhly, Rebel in the Soul: A Theory of Future Struggle , a systematic discussion starting from a confrontation of non-philosophical gnosis and non-religious gnosis to the extent that they pose, posed or perhaps still will pose themselves as rivals to non-philosophy in a mixture of fidelity and infidelity. Despite the fact that it can also be read as putting non-philosophy into perspective: it pits against a standard Platonism two contemporary appropriations of Gnosticism. On the basis of the paradigm of Man who never ceases to come as the Future-in-person, each one of these moments strives to reestablish not the “true” non-philosophy and its orthodoxy, but the minimal conditions to respect in order to allow for its maximum fecundity. And in order to bring about one of the last possibilities of its development, making explicit Humaneity as a utopia-for-the-World. In introducing these considerations in the form of a “testament” and “ultimatum,” we want to indicate two things: First, that this is the last time we will intervene in order to caution non-philosophers against the temptation of returning and looking backwards towards philosophy. Only a disillusioned nostalgia for the former World and its traditions barely remain permissible to us.… Secondly, that non-philosophy is also a sort of ultimatum for considering one’s life and transforming one’s thought from the perspective of a uni-version rather than a conversion. Man as future is this ultimatum in action, not an impatient self-proclaimed genius, and philosophy is his testament. It is obviously the ultimatum that determines this testament as “old” with a view towards a life that is, itself, non-testamentary. In and of itself, the “old” can never bear a veritable eschaton. Thus, this book intersects according to the logic of this paradigm, under the sign of the ultimate or “last” as future, philosophy as testament and cautionary note for maintaining the non-philosophical oeuvre as “future” or “utopian.” We will see that between these two dimensions it cradles a theory of struggle. In the end, this book envisions non-philosophers in multiple ways. It inevitably sees them as subjects of knowledge, most often academics insofar as life in the world demands, but above all as close relatives of three great human types. The analyst and political militant are quite obvious, for non-philosophy is close to psychoanalysis and Marxism insofar as it transforms the subject in transforming philosophy. Here again, one must have a sense not of certain nuances but of aspects (of the interpretations, albeit unilateralized) and not in order to construct a simple proletarization or militarization of thought as theory. To be rigorous, rather than authoritarian or spiteful, is its task. And lastly, non-philosophy is a close relative of the spiritual but definitely not the spiritualist. Those who are spiritual are not at all spiritualists, for the spiritual oscillate between fury and tranquil rage, they are great destroyers of the forces of Philosophy and the State, which are united under the name of Conformism. They haunt the margins of philosophy, gnosis, mysticism, science fiction and even religions. Spiritual types are not only abstract mystics and quietists; they are heretics for the World. The task is to bring their heresy to the capacity of utopia, and their utopia to the capacity of the paradigm. NOTES We will recognize allusions, and sometimes references, to closely related or distant themes, but which are related, in the work of Michel Henry, Alain Badiou and via the representative of “non-religious” gnosis of a Platonic origin, in Gilles Grelet. It goes without saying that these discussions are current and local, neither concerning the ensemble of doctrines nor prejudging the eventual evolution of certain amongst them. This concerns defining certain proximities with non-philosophy (rather than adversaries which in some sense they are) and typological and emblematic differends (rather than conflicts with a certain author). (shrink)

This essay reconsiders David Hume’s thinking on the fate of the British Empire and the future of established religion. It provides a detailed reconstruction of the development of Hume’s views on Britain’s successive attempts to impose or regain its authority over its North American colonies and compares these views with the stance taken during the American Crisis by Adam Smith and Josiah Tucker. Fresh light is shed on this area of Hume’s later political thought by a new letter, appended to (...) the essay, which at the same time provides an illuminating glimpse of his abiding preoccupation with the future of established religion. It is argued that this evidence of Hume’s privately held views belies the notion that his thinking on political and religious matters was fundamentally opposed to that of his friends among the philosophes. It is consequently misleading to regard Hume as an opponent of the more radical wing of the Enlightenment. (shrink)

The Philosopher at the End of the Universe demonstrates how anyone can grasp the basic concepts of philosophy while still holding a bucket of popcorn. Mark Rowlands makes philosophy utterly relevant to our everyday lives and reveals its most potent messages using nothing more than a little humor and the plotlines of some of the most spectacular, expensive, high-octane films on the planet. Learn about: The Nature of Reality from The Matrix, Good and Evil from Star Wars, Morality (...) from Aliens, Personal Identity from Total Recall, The Mind-Body dilemma from Terminator, Free Will from Minority Report, Death and the Meaning of Life from Blade Runner, and much more. A search for knowledge about ourselves and the world around us with a star-studded cast that includes: Tom Cruise, Plato, Harrison Ford, Immanuel Kant, Arnold Schwarzenegger, Friedrich Nietzsche, Sigourney Weaver, René Descartes, and Keanu Reeves. Rowlands anchors his discussions in easily understood everyday terms and relates them in a manner easy to identify with. Interspersed with a ready joke or two, he wonderfully explains why those SciFi movies we love so much are much deeper than they appear to be on the surface. Mark Rowlands's entertaining and stimulating guide is perfect for anyone searching for knowledge of the world around us. If Keanu can understand Descartes surely everyone can. (shrink)

"Three Ends of the Absolute" discusses Schelling's notion of inhibition in the philosophy of nature, Hölderlin's notion of separation in his "Seyn, Urtheil, Modalität," and Novalis' notion of the density of God in his late scientific notes. All three thinkers can be contrasted with Hegel on the basis of their attacks on philosophical absolutes. Schelling, in his First Projection of a Philosophy of Nature, reflects on the conundrum of absolute inhibition in nature, an inhibition of absolute freedom that (...) is necessary if there is to be a procession of natural products. Inhibition conditions all putative absolutes. Hölderlin argues that absolute separation is essential to consciousness of any kind. Whereas he advances no "doctrine" of the end of the absolute as such, he does emphasize the tragic separation and dissolution to which all intellectual intuition comes. The absolute "original" suffers from an irremediable "debility." Novalis, in his Universal Sketchbook, continues the work of his early Fichte Studies by resisting the notion of the absolute ego. "Everything pure is... a deception." For Novalis, the absolute can only be our absolute inability to think or act in conformity with an absolute. The article ends with a reflection on Goethe's opposition between "relative" and "absolute" death. (shrink)

The idea that we human beings have souls that can continue to have conscious experiences after the deaths of our bodies is controversial in contemporary academic bioethics; this idea is obviously present whenever questions about harm at the end of life are discussed, but this idea is often ignored or avoided because it is more comfortable to do so. After briefly discussing certain types of experiences that lead some people to believe in souls that can survive the deaths of their (...) bodies, I begin to answer the question, "If personal postmortem survival of some sort is real, then how should this alter the way we approach our bioethical discussions about death, the harm of death, and harming the dead?" The bioethics issues I briefly discuss in the remaining two sections are the debate about defining death and the decision whether to forego life-prolonging treatments. (shrink)

An analysis of Derrida’s early work engaging Plato, Hegel, and the life sciences. Germs of Death explores the idea of genesis, or dissemination, in the early work of Jacques Derrida. Looking at Derrida’s published and unpublished work from “Force and Signification” in 1963 to Glas in 1974, Mauro Senatore traces the development of Derrida’s understanding of genesis both linguistically and biologically, and argues that this topic is an overlooked thread that draws together Derrida’s readings of Plato and Hegel. Demonstrating (...) how Derrida’s analysis liberates the understanding of genesis from Platonic and Hegelian presupposition, Senatore also highlights Derrida’s engagement with the biological thought of his day. Senatore also shows that the implications of Derrida’s insights extend into contemporary ethical and political questions relating to postgenomic conceptions of life. “Senatore here demonstrates with stunning insight, clarity, and economy that Derrida’s work of the 1960s and ’70s needs to be understood as a radical critique or deconstruction of both the philosophical concept of life (from Plato to Hegel) and the prevailing biological model of heredity as a ‘genetic program.’ It will be impossible henceforth to read Derrida on questions of the trace, dissemination, life, and so on, without coming to terms with ‘the germs of death.’” — Michael Naas, author of The End of the World and Other Teachable Moments: Jacques Derrida’s Final Seminar “The book represents a major contribution to the field of Derrida studies and phenomenology, particularly its attention to the concept of genesis that formed the basis of Derrida’s earliest study of Husserl and the origin of his concept of writing. The unique contribution is the inclusion of the works from the periods of the mid-1970s, which have been neglected in the mainstream scholarship on Derrida.” — Gregg Lambert, author of Philosophy after Friendship: Deleuze’s Conceptual Personae. (shrink)

The emergency department (ED) is a fast-paced, highly stressful environment where clinicians function with little or suboptimal information and where time is measured in minutes and hours. In addition, death and dying are phenomena that are often experienced in the ED. Current end-of-life care models, based on chronic illness trajectories, may be difficult to apply in the ED. A philosophical approach examining end-of-life care may help us understand how core medical and nursing values are embodied as care practices and (...) as ethical comportment. The integration of Aristotle's notions of phronesis and praxis with Merleau-Ponty's ontological notions of intentional arc and maximum grip in the context of the culture and practices of the ED offers a unique view of clinical and ethical practice at the end-of-life in the emergency setting. Caring for people at the end-of-life calls us to act virtuously based on previous experience, meanings and local practices. The maximum grip of the ultimate particulars of the situation combined with one's experiential and theoretical knowledge opens up situated possibilities for the expert clinician. (shrink)

This essay juxtaposes the death of the moral god in Christian Europe (Nietzsche) with the demise of al-millah or the theologico-political community in Islam. This comparative engagement allows for a local (Arab Muslim) and universal rethinking of, inter alia, faith, freedom, and transcendence beyond terrorism and methodological atheism.

Georges Bataille was a regular attendee in Alexandre Kojève’s seminars on Hegel between 1933 and 1939. Bataille developed a lifelong friendship with the Russian philosopher, with whom he corresponded, and whose numerous unpublished drafts came to his possession after Kojève’s death. Initially, Bataille accepts the Kojèvian starting point of humanity and history, as desire and discourse, action and negativity, a vision which culminates in the apocalyptic end of history. However, progressively, Bataille comes to question the identification of negativity with (...) human history or historical action. Bataille speaks of a ‘negativity without use’; an excess of negativity and death which does not disappear after history has ended. Grappling with Kojève’s suffocating vision of the end of history, Bataille emerges as a profound thinker who attempts to make sense of the post-historical and post-human horizon, and the return to animality, where there is neither desire, nor action and there is ‘nothing else to do’. In this eclipse of sense and historical action, the only endeavours available to humanity seem to be art, death, eroticism and play. Thus, for Bataille, the end of history is an exclusively human condition, in which humanity is brought resolutely to confront its own negative excess. (shrink)

In this book, Kas Saghafi argues that the notion of "the end the world" in Derrida's late work is not a theological or cosmological matter, but a meditation on mourning and the death of the other. He examines this and several other tightly knit motifs in Derrida's work: mourning, survival, the phantasm, the event, and most significantly, the term salut, which in French means at once greeting and salvation. An underlying concern of The World after the End of the (...) World is whether a discourse on salut (saving, being saved, and salvation) can be dissociated from discourse on religion. Saghafi compares Derrida's thought along these lines with similar concerns of Jean-Luc Nancy's. Combining analysis of these themes with reflections on personal loss, this book maintains that, for Derrida, salutation, greeting, and welcoming is resistant to the economy of salvation. This resistance calls for what Derrida refers to as a "spectro-poetics" devoted to and assigned to the other's singularity. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:HAPPINESS: THE NATURAL END OF MAN? KEVIN M. STALEY St. Anslem Oollege Manchester, New Hampshire I AONG THE QUESTIONS the philosopher considers, none perhaps ris more important than that of ' the good life.' This question looks for the distinguishing marks of a. life which is fully human and which constitutes the actualization of one's uniquely human potential. For the ancient philosophers, such a life was considered the highest (...) good that one could achieve, the end and the raison d' etre of one's activity. This end was known as happiness. As a Christian theologian well versed in the writings of the ancients, Thomas Aquinas also had occasion to reflect on the nature of happiness. His inquiry possessed a dimension which was completely lacking to the ancients, namely, the belief that man is destined to enjoy the ' face to face ' vision of God. Thomas left no doubt that this, man's most ultimate end, was to be possessed after death through the gifts of grace. On the other hand, in his Sententia Libri Ethicorum he gives Aristotle his due, commenting with approval on many 0£ Aristotle's conclusions. In his discussion of happiness in the Summa Theo~ logiae, one can also find the Philosopher's doctrine of happiness, here distinguished from ·supernatural beatitude as imperfect from perfect beatitude. Are we to assume then that inquiry rinto the nature of happiness is twofold, admitting of a. theological and philosophical dimension? A philosopher would, on this showing, be concerned ·with the natural, albeit imperfect, end and the theologian with the supernatural end of man. Many philosophers within the Thomistic tradition have ~15 216 KEVIN M. STALEY been comfortable with this assumption. Recently, for example, John Finnis has stated, St. Thomas very plainly says, the task of ' considering and determining the ultimate end of human life and human affairs' belongs to the principle practical science; Aristotle called it ethics and Thomas moral philosophy.1 Others do not share Finnis' confidence in this regard. Alan Dona.gan, for example,,argues to the contrary that Thomas' final word on the end of man was that Aristotle was simply mistaken. According to Donagan, Thomas saved Aristotle's thesis that the ultimate end of human life is eudaimonia by two drastic amendments. First, he reinterpreted eudaimonia as what he called beatitudo: the total satisfaction of desires of an intellectual creature by a vision of God's essence.... Secondly, he denied that human beings could either attain beatitudo, or even learn what it really is, except by grace.2 If Donagan is correct, then the philosopher is clearly not competent to discuss the end o£ man, since the consideration of supernatural beatitude lies beyond the power of unaided.reason. Finnis recognizes the distinction between perfect and imperfect beatitude, and his position need only entail that it is the latter which is the concern of philosophy proper. However, although the notion of 'imperfect beatitude' served well Thomas' purpose of integrating the thought of the Philosopher within the framework of Christian theology, the fact remains that Thomas did not disengage this notion from its theological context. That is rto say, he did not carry out 'an explicit treatment of imperfect beatitude as the natural end of man. In itself, this need not imply that such an inquiry is impossible or ill-conceived. Nevertheless, the notion of ' imperfect beatitude ' (construed as some sort of natural end of man 1" Practical Reasoning, Human Goods, and the End of Man", Proceedings of the American Catholic Philosophical Society, v. 58, 1984, p. 26. 2 Human lilnds and Human Actions (Milwaukee: Marquette University Press, 1985), p. 38. HAPPINESS: THE NATURAL END OF MAN? 217 amenable to philosophical treatment), is still quite problematic ; and Finnis himself has recognized the difficulty. Happiness signified, even for Aristotle, a good which is perfect and in every way final.3 Finnis observes that "the 'perfect,' the 'fully satisfactory,' is what the concept of eudaimooia /bemitudo is about; an 'imperfect beatitude' is, by definition, a state which is not ' adequate to the aspira.tion of human nature '." 4 Thus, the very concept of ' imperfect happiness ' appears at best to be paradoxical, at worst self-contradictory -at least to the philosopher. This... (shrink)

Decisions regarding the end-of-life of minor patients are amongst the most difficult areas of decision-making in pediatric health care. In this field of medicine, such decisions inevitably occur early in human life, which makes one aware of the fact that any life—young or old—cannot escape its temporal nature. Belgium and the Netherlands have adopted domestic regulations, which conditionally permit euthanasia and physician-assisted suicide in minors who experience hopeless and unbearable suffering. One of these conditions states that the minor involved must (...) be legally competent and able to express an authentic and lasting wish to die. This contribution is different from other legal texts on end-of-life decisions in modern health care. Foremost, it deals with the role time-bound components play in our views on the permissibility of such decisions with regard to minor patients. While other disciplines provide profound reflections on this issue, from a legal point of view this side has hardly been explored, let alone examined with regard to its relevance for the legal permissibility of end-of-life decisions in pediatrics. Therefore, the manuscript inquires whether there are legal lessons to be learned if we look more closely to temporality-related aspects of these end-of-life decisions, particularly in connection to a minor patient’s assumable ability to choose death over an agonizing existence. (shrink)

Kant's over‐reliance on universal reason and his subjection of free will to the moral law can be seen as normalising a particular and restrictive view of autonomous human existence—a view implicit in liberal accounts of education. Drawing on Nietzsche's critique of Kantian thought, this paper argues that the transcendental and unattainable realm of Kantian reason is insufficient as a sole basis for moral thought and action or as the basis of respect for others as ‘ends‐in‐themselves’. For Nietzsche, the possibility for (...) each individual goes well beyond compliance with any imposed system of values, his metaphorical ‘death of God’ leaving room for creativity and difference. (shrink)

End-of-life decision making constitutes a major challenge for bioethical deliberation and political governance in modern democracies: On the one hand, it touches upon fundamental convictions about life, death, and the human condition. On the other, it is deeply rooted in religious traditions and historical experiences and thus shows great socio-cultural diversity. The bioethical discussion of such cultural issues oscillates between liberal individualism and cultural stereotyping. Our paper confronts the bioethical expert discourse with public moral attitudes. The paper is based (...) on a qualitative study comprising 12 focus group discussions with religious and secular persons in the USA, Germany, and Israel. Considering the respective socio-political and legal frameworks, the thematic analysis focuses on moral attitudes towards end-of-life decision making and explores the complex interplay between individual preferences, culture, and religion. Our findings draw attention to the variety and complexity of cultural and religious aspects of end-of-life decision making. Although there is local consensus that goes beyond radical individualism, positions are not neatly matched with national cultures or religious denominations. Instead, the relevance of the specific situatedness of religious beliefs and cultural communities becomes visible: Their status and role in individual situations, for example, as consensual or conflicting on the level of personal perspectives, family relationships, or broader social contexts, e.g., as a majority or minority culture within a political system. As the group discussions indicate, there are no clear-cut positions anchored in “nationality,” “culture,” or “religion.” Instead, attitudes are personally decided on as part of a negotiated context representing the political, social and existential situatedness of the individual. Therefore, more complex theoretical and practical approaches to cultural diversity have to be developed. (shrink)

As illustrated in Goethe's famous novel of the same name, elective affinities are powerful relationships that crystallize under changing conditions. In this new book, Lydia Goehr focuses on the history of elective affinities between philosophy and music from German classicism, romanticism, and idealism to the modernist aesthetic theory of Theodor W. Adorno and Arthur C. Danto. Aesthetic theory, she argues, depends on a dynamic philosophy of history centered on tendencies, yearnings, needs, and potentialities. With this in mind, she (...) recasts the theses of Adorno and Danto regarding the death or end of philosophy, art, music, and human experience as arguments for continuation and survival. _Elective Affinities_ tracks the migration of aesthetic and critical theory from Germany to the United States following the catastrophic period of the twentieth century marked by the Second World War. (shrink)

Untreated depression at the end of life may affect treatment and raise ethical concerns. Patients with a major depressive disorder may desire a hastened death, may refuse reasonable and beneficial medical care, or may present with cognitive distortions that hinder their ability to make decisions about care. Treating depression can avert or minimize these problems in many cases. For a patient who does not respond to antidepressant medications and other interventions, however, the unrelieved depression could tip the balance and (...) make additional medical treatments burdensome. In such cases, a proposed medical treatment might be considered extraordinary. National Catholic Bioethics Quarterly 14.4 : 697–710. (shrink)

Culture creates the context within which individuals experience life and comprehend moral meaning of illness, suffering and death. The ways the patient, family and the physician communicate and make decisions in the end-of-life care are profoundly influenced by culture. What is considered as right or wrong in the healthcare setting may depend on the socio-cultural context. The present article is intended to delve into the cross-cultural perspectives in ethical decision making in the end-of-life scenario. We attempt to address the (...) dynamics of the roles of patient, family and physician therein across two countries from East and West, namely, India and Germany. In India, where illness is more a shared family affair than an individual incident, a physician is likely to respect the family’s wishes and may withhold the ‹naked truth’ about the diagnosis of a fatal disease to the patient. In Germany, a physician is legally required to inform the patient about the disease. In India, advance directive being virtually non-existent, the family acts as the locus of the decision-making process, taking into account the economic cost of available medical care. In Germany, advance directive is regarded as mandatory and healthcare is covered by insurance. Family and the physician appear to play larger roles in ethical decision making for patients in India than for those in Germany, who place greater emphasis on autonomy of the individual patient. Our study explicates how culture matters in ethical decision-making and why the bioethical discourse is necessary in the concrete realities of the socio-cultural context. To explore the possibility of finding a common ground of morality across different cultures while acknowledging and respecting cultural diversity, thus remains a formidable challenge for the bioethicists. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Historiography of Philosophy by Michael FredeClaude PanaccioMichael Frede. The Historiography of Philosophy. Edited by Katerina Ierodiakonou, with a postface by Jonathan Barnes. Oxford: Oxford University Press, 2022. Pp. 256. Hardback, $80.00.From the 1970s until his tragic death in 2007, Michael Frede was one of the most prominent scholars in ancient Greek philosophy, with landmark contributions to the study of Aristotle and of Hellenistic (...) thought in particular. This volume contains his theoretical reflections on the work of historians of philosophy. The main part of the book reproduces with minor corrections the previously unpublished text of the Nellie Wallace Lectures that Frede gave in 1989–90 in Oxford (1–135). Then come three papers that he published on pretty much the same topic between 1987 and 1992 (137–88). Jonathan Barnes's postface, finally, launches an exciting discussion of Frede's proposals by raising a number of questions and critical remarks about them (189–230).Frede's main claim throughout the book is that there is, and should be, a distinctively historical approach to the history of philosophy that has not yet been sufficiently recognized as such in the academic world. This is not to say that he considers more philosophical approaches to be illegitimate. His point is that we have to be clear about the distinction and what it involves in terms of requirements and methods. What Frede calls the "historical history of philosophy" is thus contrasted by him with two varieties of philosophical approaches. One of them he identifies as the "philosophical history of philosophy." It consists in retrospectively studying the past of philosophy as a kind of maturation toward some more recent doctrinal stage, as Aristotle or Hegel saliently did with their respective predecessors. Frede takes this to be "a perfectly intelligible and legitimate, though perhaps not particularly interesting or fruitful, enterprise" (41). Most of the time, he thinks, it would be led by its own philosophical presuppositions to be too selective and to provide a badly distorted picture of past philosophy.Frede is much more sympathetic to the other philosophical approach to the history of philosophy he acknowledges, the one he calls "doxography." This is the study of past philosophers with the aim of finding something of interest in them for ongoing philosophical discussions—a familiar practice, indeed, in the philosophical discipline as we know it. There is an inevitable amount of anachronism in such endeavors, according to Frede, insofar as the commentators will have to reformulate the old views in contemporary terms to a certain extent and to look at them in connection with the questions that are currently debated in the field. But Frede deems this kind of anachronism acceptable as long as sufficient care is taken to correctly identify the views of the past we are interested in and to report them in the best available way. He strongly insists, however, that there are inherent risks of distortion in this approach. This might not be a problem if we are prepared to deal, as philosophers, with views that were not exactly those of the past; but we then run the risk of leaving out something of great philosophical interest, even to us, since "as a rule the philosopher subjected to doxographical treatment was a much better philosopher than the doxographer" (34). If we turn to the past for philosophical inspiration, we should also do it seriously, and this presupposes a historical study of past authors that is pursued for its own sake. [End Page 317]The latter is what Frede is really interested in, and he wants this historical approach to be "as independent as possible from philosophy and not just an ancilla to philosophy" (60). Its practitioners must have a strong philosophical training, of course, in order to understand the views they study and the arguments that were adduced in support of them, but Frede insists that they nevertheless are historians first and foremost: they strive to provide a correct account of "the actual, historical evolution of these views and positions" (14) and of how new doctrines actually grew out of previous ones given the historical context. Insofar as this is what they are doing, historians of... (shrink)

Research shows that the physician’s personal attributes and social characteristics have a strong association with their end-of-life decision making. Despite efforts to increase patient, family and surrogate input into EOL decision making, research shows the physician’s input to be dominant. Our research finds that physician’s social values, independent of religiosity, have a significant association with physician’s tendency to withhold or withdraw life sustaining, EOL treatments. It is suggested that physicians employ personal social values in their EOL medical coping, because they (...) have to cope with existential dilemmas posed by the mystery of death, and left unresolved by medical decision making mechanisms such as advanced directives and hospital ethics committees. (shrink)

The article’s purpose is to illustrate ways in which renowned philosophers, statesmen, and poets—as well as family members and friends of this author—utilized humor to express fearlessness of or contempt for death, or indeed to mock others’ fears of dying or tendencies to treat death too seriously. If Sigmund Freud was correct in hypothesizing that humor is the ego’s defense against life’s affronts, and if death poses the greatest possible affront to life, then jokes about death (...) are the strongest protests we can lodge against our own mortality. (shrink)

DEATH is one of the central themes of existentialist writing. This is to be expected since the focal point of all its reflection is human existence. Existentialism explores the innermost depths of experienced selfhood. Inevitably, the authentic self must face the problem of man’s origin and destiny or, in Heideggerian terms, the beginning and ending of his Being-in-the-world. Death is a profoundly human problem, inseparably bound up with the psychological and ontological structure of the human mode of being (...) or Dasein. (shrink)

A friend once told me I was wasting my time writing about cross-cultural perspectives on the beginnings of life. “Your work is interesting for its curiosity value,” he said, “but fundamentally worthless. What happens in other cultures is totally irrelevant to what is happening here.” Those were discouraging words, but as I followed the American debates about the beginnings and ends of life, it seemed he was right. Anthropologists have written a great deal about birth and death rites in (...) other societies and about non-western notions of personhood, but to date our findings have had little impact on American policy, ethics, or law. The recognized experts on contentious topics such as abortion and euthanasia tend to come from the fields of philosophy, bioethics, theology, law, and biology, but rarely from the social sciences. I was a bit surprised, therefore, to be invited to address the Thomas A. Pitts Memorial Lectureship on “Defining the Beginning and the End of Human Life.”. (shrink)

BackgroundThe ageing of the population and the increased number of chronic diseases are associated with an increased frequency of end of life care in hospital settings. Residents rotating in hospital wards play a major part in their care, regardless of their specialty. General practitioner (GP) residents are confronted to such activities in hospital settings during their training. Our aim was to know how they feel about taking care of dying patients, as end-of-life care are very different from the clinical activity (...) they are trained to.MethodsWe surveyed all GP trainees of “Ile de France”. The survey was made of 41 questions regarding advanced directives divided in 7 sections about patients’ care, communication, mentoring and repercussion on personal life. The survey was done one time, during two pre-specified days.Results525 residents (53.8%) accepted to fulfill the survey. 74.1% of the residents thought that palliative care could have been better. Possible ways of improvements were: a reduction of unreasonable obstinacy (or therapeutic overkill, two terms defined in French law as curative treatment without reasonable hope of efficiency) (59.6%), patient’s (210 answers, 40%) and relative’s communication (information of patients and relatives about the severity of the disease and risk of death) (199 answers 37.9%). Residents also reported a lack of knowledge regarding end-of-life care specific treatments (411 answers, 79.3%) and 298 (47.2%) wished for better mentoring. Those difficulties were associated with repercussion on their private life (353 answers, 67.2%), particularly with their close relatives (55.4%). Finally, 56.2% of trainees thought that a systematic psychologic follow up should be instituted for those working in “at risk” hospital settings.ConclusionSelf-perception management of dying patients by GP resident emphasize their lack of training and supervision. The feeling of suboptimal care is associated with consequences on personal life. (shrink)

The notion of "relevance" in philosophy is ultimately determined by a notion of "utility" that has been present in American culture from very early on. In Democracy in America, Tocqueville stated that "Democratic nations... prefer the useful to the beautiful, and... require that the beautiful should be useful". Today, the issues of utility and relevance are motivations for a congress which threatens to drastically cut funding for humanities programs around the country. At a time when employment in the academy (...) is sporadic at best, how might one respond philosophically in light of the current congressional threat? John Lachs responds by criticizing what he calls, "the professionalization of philosophy". Rather than focusing inquiries on the problems and concerns of everyday life, philosophers "linger over abstract details of technique". Ultimately, Lachs' concern is that such hyperspecialization will only alienate the practice of philosophy from the rest of society: "so long as philosophers talk about philosophical texts to other philosophers in a mysterious philosophical language, they cannot keep faith with their mission. Isolated and irrelevant, we will become the butt of jokes, and our departments will be marked... for eradication". In contrast to such "professionalization," Lachs provides us with a book of essays that are "united by the belief that philosophical reflection can yield results and by the desire to harness them to the service of improving life". Lest the reader too quickly assume the facile distinction between "history of philosophy" and "original philosophy," it must be noted that Lachs brings a wealth of knowledge regarding historical figures to bear on the problems which he addresses. One finds Aristotle, Hegel, Mill, James, Peirce, Santayana, Dewey and others, all being invoked in the interest of elucidating and understanding issues such as dogmatism, violence, alienation, technology, education, law, and euthanasia Lachs' overriding concern, however, is that of "mediating relations" "in which individuals perform actions on behalf of others". While such relations may be necessary in order to allow people to perform specialized societal roles more efficiently, they also separate people from the other specialized roles in which they do not take part. The unfortunate consequence is that most people do not have "even an elementary understanding of social life, economic reality, the interplay of activity and happiness, or the structure and needs of our bodies," because "the mediated world denies them the opportunity to learn by direct experience". Relevant philosophy must clear away the abstract and specialized language, which alienates the normal reader and draws philosophers away from learning by direct experience. It is not surprising, therefore, that Lachs' prose is extremely clear and accessible. Such prose works exceptionally well in "Life And Death", where Lachs engages the difficult questions regarding the constitution of a human life, the viewing of death as "a natural and appropriate end to a satisfying life", and the termination of the "lives" of beings who--like the hydroencephalic child --cannot develop into actual human beings, but remain only as "human forms". Whether one agrees with Lachs' positions on these issues or not, his straightforward and unmediated prose bespeaks a courage which is admirable. (shrink)

This essay demonstrates that in his 1999–2000 Death Penalty Seminar Jacques Derrida pursues the deconstruction of political theology that he had been pursuing in a more or less explicit fashion for more than two decades. Derrida's interest in the theme of the death penalty can be traced back in large part, it is argued, to the theological and essentially Judeo-Christian origins that Derrida finds in discourses both for and against the death penalty. This emphasis on the theological (...) origins of the death penalty helps explain why Derrida spends much more time questioning the principles, rhetoric, and images of abolitionist discourses than pro–death penalty discourses. For Derrida, this essay concludes, a critique or deconstruction of discourses surrounding the death penalty is never more critical than in a putatively postreligious, secular age. In the end, Derrida hopes to provide what may be the very first philosophical abolitionist discourse, one that argues against the death penalty without relying on the language, tropes, symbols, and images of Judeo-Christian theology. (shrink)

Most legal analyses of selective nontreatment of seriously ill children centre on the question of whether it is in a child’s best interests to be kept alive in the face of extreme suffering and/or an intolerable quality of life. Courts have resisted any direct confrontation with the question of whether the child’s death is in his or her best interests. Nevertheless, representations of death may have an important role to play in this field of jurisprudence. The prevailing (...) class='Hi'>philosophy is to configure death as a release from a futile or painful existence and/or as a dignified end in an objectively hopeless situation. However, there can be disagreement about the meaning of death in these settings. Some parents object that death would be premature or that it represents a culpable neglect of their child. A closer examination of these discordant interpretations allows for a better comprehension of the cultural understandings that underscore clinical and legal accounts of death following end-of-life decisions. (shrink)

I offer a principled objection to arguments in favour of legalizing non-voluntary euthanasia on the basis of the principle of beneficence. The objection is that the status of death as a benefit to people who cannot formulate a desire to die is more problematic than pain management care. I ground this objection on epistemic and political arguments. Namely, I argue that death is relatively more unknowable, and the benefits it confers more subjectively debatable, than pain management. I am (...) not primarily referring to the claim that it is difficult to make comparisons between live and post-mortem states, but rather to the fact that it is epistemically and metaphysically problematic to impute a “life-worse-than-death” or a state of “suffering-calling-for-death” to people who cannot subjectively wish to die, as though this kind of suffering were a medically observable fact rather than a belief- and value-laden notion. On the contrary, people enduring similar causes of pain may have different experiences of suffering and views on how it affects the worthwhileness of their existence or the desirability of death or of continuing their lives. The projection of a “suffering-calling-for-death” onto infants or people with severe intellectual disabilities may not be indefensible, but it is more controversial than judging that pain management will improve their well-being from the perspective of beneficence. My argument also relies on our society’s liberal endeavour to avoid endorsing unverifiable beliefs about life and death or controversial conceptions of the good life. My goal is not to suggest we should not attend the suffering of cognitively disabled people. On the contrary, I only cast doubt on too quick an assumption that ending their lives is the best way of caring for them, when robust palliative treatments are available. Moreover, I express the concern that a lack of attention to distinctions between “pain-calling-for-relief” and “suffering-calling-for-death” may be based on ableist projections and assumptions. I conclude that it is imperative to continue research into the nature of pain and suffering experienced by individuals with mental or cognitive impairments preventing them from expressing autonomous wishes about the kind of treatment that would most benefit them. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Formation of Post-Classical Philosophy in Islam by Frank GriffelRosabel AnsariFrank Griffel. The Formation of Post-Classical Philosophy in Islam. Oxford: Oxford University Press, 2021. Pp. x + 651. Hardback, $135.00.In this monumental work, Frank Griffel provides a wide-ranging and methodologically diverse investigation into the nature and formation of philosophy in the Eastern Islamic world in the twelfth century. Griffel explores institutionally, biographically, and [End Page (...) 502] textually how philosophy continued to be practiced in the century following the death of Abū Ḥāmid al-Ghazālī (d. 1111), a time previously associated with the decline of philosophy in the Islamic world. The astonishing breadth of content is organized with great clarity into three principal sections: (1) “Post-classical philosophy in its Islamic context,” itself divided into three chapters covering the historical context, the meanings and conceptual frameworks of the two Arabic words for ‘philosophy’ (falsafa and ḥikma), and the relation of religious law to philosophy; (2) “Philosophers and philosophies: a biographical history of philosophy in the sixth/twelfth century Islamic East”; and (3) “The formation of ḥikma as a new philosophical genre,” which is subdivided into multiple chapters and subsections to examine key questions and methods of philosophy during this period. The book is encyclopedic in its scope. Researched over a ten-year period, it offers contributions to a vast array of issues, themes, and problematics that have been raised by modern and recent scholarship, both historical and philosophical. Instead of covering the book’s vast content in detail, this review will focus on one aspect of its argumentation.For this reviewer, the book’s most significant and exciting aspect is its metalevel discussions concerning the falsafa tradition (classical Arabic Aristotelianism) and its fate. From the outset, Griffel is careful to argue that philosophy in the Islamic world is much more than falsafa (10), and the reduction of the former to the latter is why Western scholars for so long thought philosophy found its demise after the fateful blow Ghazālī leveled against the practitioners of falsafa. The conflict was not, however, one of faith versus reason. Rather, Griffel surmises, it was a question of two competing perspectives concerning God’s relation to the world: an impersonal deity, or a creator-God. Both positions were philosophical, and both sides understood themselves to be grounded in an interpretation of the Quran (10–13).Moreover, Griffel goes on to demonstrate that falsafa would be conceptualized and discussed as a quasireligion with its own set of doctrines (80–94). It was not, therefore, synonymous with what we today call “philosophy,” but had the limited sense of one school of philosophy associated with Avicenna (d. 1037). The demise of self-identified practitioners of falsafa was not the demise of philosophers; it was the demise of a term that was associated with a particular school that had been discredited for its slavish imitation, as well as the moral shortcomings and impiety of its principal exponent, Avicenna.Yet Griffel’s principal thesis is that irrespective of the decline in use of the term ‘falsafa’ as a self-description, its approach to the nature of God and the relation of God to the world remained and continued to be discussed in the rebranded discipline of ḥikma (“philosophy,” or more broadly, “wisdom”). In fact, Griffel shows that numerous theologians and philosophers wrote and discussed contradictory positions under the guise of different disciplines, composing texts in both kalām (rational theology) and ḥikma, chief among whom was Fakhr al-Dīn al-Rāzī (d. 1210). A large portion of the book is devoted to documenting and unpacking this phenomenon. The value of this investigation lies not only in uncovering the ḥikma tradition and its continuity with falsafa, but in Griffel’s insistence on presenting the two textual traditions of ḥikma and kalām side-by-side as counterparts to philosophical questions, such as the principle of sufficient reason (524–41). The approach is rich in its demonstration of the philosophical stakes in both positions concerning, for example, the status of God’s will.In its conclusion, the book returns to the question of what counts as philosophy. Griffel argues that while... (shrink)

Many books have been published about physician-assisted death. This book offers a comprehensive and in-depth examination of that subject, but it also extends the discussion to a broader range of end-of-life decisions including suicide, palliative care and sedation until death. In every jurisdiction that has laws permitting some kind of physician-assisted death, a central point of controversy is whether such assistance should only be available to dying patients, or to everyone who wants to end his life. The (...) right to determine the manner and time of one's own death, however, does not necessarily mean that physicians should be permitted to cooperate in ensuring a quick and peaceful death. In this book, Govert den Hartogh considers the fundamental and practical matters-including concrete issues of legal regulation-related to end-of life decision making. He proposes a two-tiered system. Everyone should have access to humane means of ending his life, if his decision to end it is voluntary, well-considered and durable. But doctors should only participate in a joint action of ending the patient's life on his request if they also are convinced of acting in the patient's best interests, in particular by ending intolerable and unrelievable suffering. And perhaps there is reason to restrict that second service to dying patients. The whole argument, however, depends on the extent to which, in both tiers of the system, we can design legal safeguards that will enable us to trust judgments about the requesting person's request and about his suffering. The book considers much new evidence in regard to this issue. What Kind of Death will appeal to researchers and advanced students working in bioethics, applied ethics, philosophy of law and health law. (shrink)

“Only a living person can be a dying one,” writes Augustine in De ciuitate dei 13.9. For Augustine, this strange fact offers us an occasion for reflection. If we are indeed racing toward the end on a cursus ad mortem, when do we pass the finish line? A living person is “in life”, while a dead one is post mortem. But as ciu. 13.11 asks: is anyone ever in morte, “in death?” This question must be asked alongside an earlier (...) one, which had motivated Augustine’s struggle in Confessiones 11.14.17 to make sense of time from the very beginning: quid est enim tempus? What is at stake here is whether or not there is such a thing as an instant of death: a moment when someone is no longer alive but not yet dead, a moment when they are “dying” in the present tense. If we want to understand Augustine’s question about the time of death in ciu. 13, then we have to frame it in terms of the interrogation of time proper in conf. 11. (shrink)

Background Bioethics and law distinguish between the practices of "physician-assisted death" and "allowing the patient to die." Discussion Advances in biotechnology have allowed medical devices to be used as destination therapy that are designed for the permanent support of cardiac function and/or respiration after irreversible loss of these spontaneous vital functions. For permanent support of cardiac function, single ventricle or biventricular mechanical assist devices and total artificial hearts are implanted in the body. Mechanical ventilators extrinsic to the body are (...) used for permanent support of respiration. Clinical studies have shown that destination therapy with ventricular assist devices improves patient survival compared to medical management, but at the cost of a substantial alteration in end-of-life trajectories. The moral and legal assessment of the appropriateness and permissibility of complying with a patient's request to electively discontinue destination therapy in a life-terminating act in non-futile situations has generated controversy. Some argue that complying with this request is ethically justified because patients have the right to request withdrawal of unwanted treatment and be allowed to die of preexisting disease. Other commentators reject the argument that acceding to an elective request for death by discontinuing destination therapy is 'allowing a patient to die' because of serious flaws in interpreting the intention, causation, and moral responsibility of the ensuing death. Summary Destination therapy with cardiac and/or ventilatory medical devices replaces native physiological functions and successfully treats a preexisting disease. We posit that discontinuing cardiac and/or ventilatory support at the request of a patient or surrogate can be viewed as allowing the patient to die if--and only if--concurrent lethal pathophysiological conditions are present that are unrelated to those functions already supported by medical devices in destination therapy. In all other cases, compliance with a patient's request constitutes physician-assisted death because of the pathophysiology induced by the turning off of these medical devices, as well as the intention, causation, and moral responsibility of the ensuing death. The distinction between allowing the patient to die and physician-assisted death is pivotal to the moral and legal status of elective requests for death by discontinuing destination cardiac and/or ventilatory medical devices in patients who are not imminently dying. This distinction also represents essential information that must be disclosed to patients and surrogates in advance of consent to this type of therapy. (shrink)

The debate on concept possession in animals has moved at a very abstract level, with scant detailed consideration of case studies in animal behaviour. In this paper, we go against this trend by examining a specific prey defence mechanism, thanatosis or death-feigning, in order to determine what it can tell us about the minds of the predators it targets. We argue that thanatosis gives us evidence of conceptual abilities in predators. In particular, we defend that the best available explanation (...) for the evolution of thanatosis comes from positing that the predators whose cognition acted as selection pressure and shaped thanatosis displays satisfy the concept possession requirements of distance, inferentiality, aspectuality, generality, and a minimal semantic net. Moreover, we argue that the semantic content of the concept targeted by thanatosis likely corresponds to a minimal concept of death. We end on a methodological note, by showing how the consideration of case studies can help move this philosophical debate forward, while also generating concrete empirical predictions that can be put to the test, thus favouring interdisciplinary collaborations. (shrink)

Ars moriendi, or The Art of Dying, was a highly influential fifteenth-century text designed to guide dying persons and their loved ones in Catholic religious practices at a time when access to priests and the sacraments was limited. Given recent challenges related to the coronavirus pandemic, there is a heightened need to offer additional forms of guidance related to death and dying. This essay examines the content of the Ars moriendi and considers how key principles from the work apply (...) to the current context. The Ars moriendi, in its direct approach to the salvation of souls and thoughtful treatment of struggles faced by dying persons, offers a much-needed supplement to typical approaches to death and dying today. (shrink)

Despite seeming uniformity in the law, end-of-life controversies have highlighted variations among state brain death laws and their interpretation by courts. This article provides a survey of the current legal landscape regarding brain death in the United States, for the purpose of assisting professionals who seek to formulate or assess proposals for changes in current law and hospital policy. As we note, the public is increasingly wary of the role of organ transplantation in determinations of death, and (...) of the variability of brain death diagnosing criteria. We urge that any attempt to alter current state statutes or to adopt a national standard must balance the need for medical accuracy with sound ethical principles which reject the utilitarian use of human beings and are consistent with the dignity of the human person. Only in this way can public trust be rebuilt. (shrink)

For the first time, full coverage of the intersections of philosophy and law From articles centering on the detailed and doctrinal exposition of the law to those which reside almost wholly within the realm of philosophical ethics, this volume affords comprehensive treatment to both sides of the philosophicolegal equation. Systematic and sustained coverage of the many dimensions of legal thought gives ample expression to the true breadth and depth of the philosophy of law, with coverage of: *The modes (...) of knowing and the kinds of normativity used in the law *Studies in international, constitutional, criminal, administrative, persons and property, contracts and tort law-including their historical origins and worldwide ramifications *Current legal cultures-such as common law and civilian, European, and Aboriginal *Influential jurisprudents and their biographies *All influential schools and methods Coverage of all major historical, cultural, and geographical settings for legal philosophy A thorough understanding of any legal issue necessitates an acquaintance with its antecedents and its corollaries. Thus, added to the consideration of other current legal cultures outside of North America are treatments of other periods significant to legal thinking, such as the Hellenistic, Sixteenth-century, or Federalist. Discussion of the practice of legal philosophy today In every major area where public policy gives rise to philosophical inquiry regarding the law, debates and discussions are covered in full: tort reform, protection of life and death, gay rights, objectives in punishment, non-putative detention, international deterrence, legitimacy of government. And the historical and international dimensions of these issues-how they are resolved in other times and places-are not lost. Contributions from prominent legal and philosophical scholars from around the world The international array of more than 300 contributors from over forty countries complements the volume's international scope. With many contributors being forces in the very debates they write of, some fifty percent of them work in the law-as judges, jurists or jurisprudence-and another half are philosophers in the social sciences and humanities. Their work spans the practice that is taken for philosophy of law today. Special features *Contributions of more than 300 international scholars from more than 40 countires *Extensive bibliographies at the end of each entry *Detailed subject guide for easy access to the main topics covered *Comprehensive, analytical index. (shrink)

Jeffrey Bishop’s The Anticipatory Corpse exposes a functional metaphysics at the root of contemporary medical practice that gives rise to inhumane medicine, especially at the end of life. His critique of medicine argues for alternative spaces and practices in which the communal significance of the body, its telos, can be restored and the meaning of a “good death” enriched. This essay develops an alternative epistemology of the body, drawing from Christian theological accounts of the communal or Eucharistic body and (...) linking liturgical practices to the cultivation of solidarity. It argues for an epistemology of the body that makes visible the invisible bodies at medicine’s margins and illumines the disparate worlds of health care globally. (shrink)

Continental philosophy is in crisis. With the last few decades spent mainly on a “great figures” approach, this tradition is having to come to terms with the fact that most of its luminaries have now passed away. Derrida’s death in 2004 sent shockwaves through the community and seems to have functioned as marker for the generation before my own (I was not yet an undergraduate when it happened). For the rest of us, 2021 will have been a huge (...) year as it marked the loss of Jean-Luc Nancy, one of the few remaining giants of this tradition who was engaged in the task of thinking to the very end. A friend of mine recently ran a seminar with the title “contemporary continental philosophy” in which every single author on the reading list was dead. A strange understanding of “contemporary”! The course was well-received and I have no doubt the students learned a lot, but it illustrates the scale of the problem we face. At some point, the great sequence that began in France in the 1960s will have to be thought of as another period in the history of philosophy, but our tradition does not seem ready to make that transition just yet. For this to happen, philosophy may first have to take another step, or make another beginning. (shrink)

Timeless wisdom on death and dying from the celebrated Stoic philosopher Seneca "It takes an entire lifetime to learn how to die," wrote the Roman Stoic philosopher Seneca. He counseled readers to "study death always," and took his own advice, returning to the subject again and again in all his writings, yet he never treated it in a complete work. How to Die gathers in one volume, for the first time, Seneca's remarkable meditations on death and dying. (...) Edited and translated by James S. Romm, How to Die reveals a provocative thinker and dazzling writer who speaks with a startling frankness about the need to accept death or even, under certain conditions, to seek it out. Seneca believed that life is only a journey toward death and that one must rehearse for death throughout life. Here, he tells us how to practice for death, how to die well, and how to understand the role of a good death in a good life. He stresses the universality of death, its importance as life's final rite of passage, and its ability to liberate us from pain, slavery, or political oppression. Featuring beautifully rendered new translations, How to Die also includes an enlightening introduction, notes, the original Latin texts, and an epilogue presenting Tacitus's description of Seneca's grim suicide. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Into the Jaws of Yama, Lord of Death: Buddhism, Bioethics, and DeathDamien KeownInto the Jaws of Yama, Lord of Death: Buddhism, Bioethics, and Death. By Karma Lekshe Tsomo. Albany: State University of New York Press, 2006. Pp. 270.An anecdote recounted in this work gives an insight into the present state of Buddhist bioethics. The author relates how she asked the spiritual director of a Tibetan (...) centre in Honolulu whether he thought it was a good idea to donate one’s organs at the time of death. He immediately replied in the affirmative. When asked if the removal of the organs would disturb the dying process, he responded that it would be okay since the doctors could “wait for a few days.” On being informed that the organs had to be removed immediately to save the life of the recipient he “expressed alarm” and changed his mind, advising that for an ordinary Buddhist practitioner organ donation might not be advisable after all (p. 160).The fact that Tibetan lamas are giving ethical advice on organ donation without even a layman’s knowledge of the medical procedures involved suggests that Buddhist teachers have a lot to learn about adapting traditional teachings to modern contexts. If the problem were simply that many lack scientific knowledge, this could probably be resolved in the short to medium term. The deeper problem, however, is that Buddhism as a tradition lacks the ethical infrastructure needed to address moral dilemmas, particularly those of the complex kind presented by contemporary scientific and medical developments. Despite their undoubted acumen in certain branches of philosophy (notably metaphysics), Buddhist thinkers of the past have consistently failed to probe the moral foundations of their teachings or to establish a theoretical foundation in terms of which moral dilemmas can be analyzed. Not a single treatise on moral philosophy was produced by any of the classical scholars cited in this volume as authorities. Not surprisingly, the legacy of this neglect is that the voice of Buddhism has been almost completely silent with respect to the kinds of ethical issues addressed in this book.The present work commendably seeks to remedy this absence of information on Buddhist bioethics. This is only the second book ever to attempt such a task, the first being my Buddhism and Bioethics, published over ten years ago in 1996 (reissued by Palgrave in 2002). In the intervening period there have been many scientific [End Page 157] advances, such as cloning and genetic engineering, both of which receive attention in the volume under review. While my own approach sought to build bridges by translating Buddhist concepts into the vocabulary of contemporary bioethics, the present volume holds more tightly to the traditional teachings of Tibetan Buddhism. Accordingly, while the concepts and terminology used will be familiar to those inside the tradition, I am not sure to what extent it will facilitate dialogue with bioethicists and clinicians, for whom the colorful and somewhat medieval facets of these teachings may at times seem esoteric.Before discussing the ethical issues further, it should be pointed out that less than half of the book (chapters 8–11) is devoted directly to bioethics. The first seven chapters are for the most part an account of topics in Mahayana philosophy (such as no-self, dependent origination, and emptiness) and descriptions of the beliefs and practices of Tibetan Buddhism surrounding death. These include meditational practices relating to death and the notion of the post-mortem intermediate state (bardo). Somewhat oddly, chapter 5, titled “Foundations of Buddhist Ethics,” has almost nothing to say about ethics: after a short but potentially interesting section titled “Buddhist Definitions of Life and Death,” it veers off into a lengthy summary of Madhyamaka, Vijnanavada, and Tathagatagarbha doctrines.Tibetan teachings about death have been summarized in numerous popular volumes in recent years, and it is unclear why such an extended treatment of them is presented again here. The opening sentence of chapter 8 suggests this was necessary to “set the stage for an exploration of bioethical issues from Buddhist points of view,” but the bulk of this material has little connection with bioethics. In particular, it is not clear how it is... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Philosophy of the Yogasūtra: An Introduction. Series: Bloomsbury Introductions to World Philosophies by Karen O’Brien-KopChristopher Key Chapple (bio)The Philosophy of the Yogasūtra: An Introduction. Series: Bloomsbury Introductions to World Philosophies. By Karen O’Brien-Kop. London: Bloomsbury Academic, 2023. Pp. xii + 186, Paper $22.95, ISBN 978-135-02-8616-0.This concise book summarizes key parts of the speculative content of Patañjali’s Yogasūtra, leaning heavily on Gerald Larson’s translation of the (...) commentary attributed to Vyāsa. True to its title, this book emphasizes the philosophical arguments regarding ontology and the origins of things. It explains the firm distinction made in Sāṃkhya and Yoga between an unchanging consciousness or Self (ātman/puruṣa) and an ever-changing realm of actions (karma) and substances (dravya) emanating from primordial matter (prakṛti) and expressed through her three modes (guṇa-s) of heaviness (tamas), passion (rajas), and lightness (sattva). This perspective differs radically from other Indian systems as well as from ancient Greek thought and the European Enlightenment tradition that gave way to analytical and continental philosophy.Sāṃkhya and Yoga proclaim that all manifestation arises from a pre-existent cause (sat-kārya-vāda). This position distinguishes these schools from Buddhism, which proclaims the constant rise and fall of constituents of reality (dharma-s), and the various schools of Vedānta, which aver toward a unified view of reality that tends to dismiss the realm of change as ultimately insignificant or even unreal. O’Brien-Kop deftly summarizes various debates on causation. The book mentions the theological nuance that the inclusion of the existence of Īśvara brings to the Yoga table. However, these explorations are more in the realm of theory than practice. For instance, the book neglects the important reference to one’s chosen deity (iṣṭa-devatā, II:44) and leaves unexplored some decidedly theological, religious and devotional implications of the Yogasūtra.The author could have been more careful in explicating Jainism. Statements such as “all forms of action are morally dubious” and that “only death can bring liberation” (p. 60) repeat tropes often heard about Jain thought that echo Hindu and Buddhist critiques. This position overlooks the nuances contained in Umasvati’s Tattvārthasūtra that delineate the Jain 14-fold progression of ascent (guṇasthāna-s) wherein an individual attains a state of freedom while living in the human body at the 13th stage.This book sets the stage for further research into under-explored areas of the Yogasūtra. The rich celebration of the efficacy of ethical comportment in [End Page 1] the second chapter, though competently summarized in O’Brien-Kop’s chapter seven, calls out for further explication. The details regarding the body and the subtle body found in the third chapter of the Yogasūtra receive scant attention. One would hope that in future works the author will engage interlocutors such as Merleau-Ponty and Luce Irigaray on breath and embodiment. O’Brien-Kop’s chapter nine, “The Aesthetics of Freedom” calls into focus the centrality of the enlightenment process through which Buddhi, the bridge between conscious awareness and the material real, reverts increasingly toward sattva, the most refined and hence most liberating state of being. Brief mention is made here of the body’s perfectibility (p. 148). The discussion of metaphor at the end of the chapter invites a more extended conversation about light, jewels, and steadiness. This book advances conversations long in process about the nature and purpose of Yoga. The Yogasūtra was rediscovered in the 19th century and popularized by Swami Vivekananda, whose book Raja Yoga introduced the Yoga tradition to millions worldwide. Scholars such as Dasgupta, Eliade, Feuerstein, Larson, Barbara Stoler Miller, Rukmini, Whicher, Bryant and many others have helped bring rigor to the study of this important text, complementing the many popular translations by Swamis and teachers of modern postural Yoga.The book includes discussion questions at the end of each of the chapters. It is written in a manner accessible to undergraduate students of philosophy. O’Brien-Kop reminds us that the philosophical rigor of the... (shrink)

Although declarations of the death of God seem to be provocations announcing the end of the era of theology, this announcement is actually central to the Christian revelation in its most classic forms, as well as to its reworkings in contemporary religious thought. Indeed provocative new possibilities for thinking theologically open up precisely in the wake of the death of God. Already Hegel envisaged a revolutionary new realization of divinity emerging in and with the secular world through its (...) establishment of a total order of immanence. However, in postmodern times this comprehensive order aspired to by modern secularism implodes or cracks open towards the wholly Other. A hitherto repressed demand for the absolute difference of the religious, or for “transcendence”, returns with a vengeance. This difference is what could not be stated in terms of the Hegelian System, for reasons that poststructuralist writers particularly have insisted on: all representations of God are indeed dead. Yet this does not mean that they cannot still be powerful, but only that they cannot assign God any stable identity. Nietzsche’s sense of foreboding concerning the death of God is coupled with his intimations of the demise of representation and “grammar” as epistemologically bankrupt, but also with his vision of a positive potential for creating value in the wake of this collapse of all linguistically articulated culture. He points the way towards the emergence of a post-secular religious thinking of what exceeds thought and representation. (shrink)

This essay reflects on the concept of the death of God as part and parcel of modern philosophical theology: a genre of thinking that came into existence with Hegel’s announcement of the “speculative Good Friday” as the most natural expression of die Religion der neuen Zeiten, “the religion of modern times”. In my interpretation, the death of God not only does not spell the end of the era of atheism but, on the contrary, inaugurates a new era of (...) characteristically modern theism that steers away from theological absolutism. The new theos is no longer conceived as the eternal omnipotent Absolute but as the Derridean diminished Infinite: contracted and self-negated—even “unto death”. Such God, however, although coming to the foremost visibly in modernity, is not completely new to the monotheistic religions, which from the beginning are engaged in the heated debate concerning the status of the divine power: is it absolute and unlimited or rather self-restricted and conditioned? I will enter this debate by conducting a comparison between the two traditional models of divine self-restriction—Christian kenosis and Jewish-kabbalistic tsimtsum—and then present their modernised philosophical variants, most of all in the thought of Hegel. (shrink)

Standard views of good death in human and veterinary medicine considerably differ from one another. Whereas the good death ideal in palliative medicine emphasizes the positive aspects of non-induced dying, veterinarians typically promote a quick and painless killing with the aim to end suffering. Recent developments suggest a convergence of both professions and professional attitudes, however. Palliative physicians are confronted with patients wishing to be ‘put to sleep’, while veterinarians have begun to integrate principles and practices from hospice (...) care. We will argue that the discourses on good human and animal deaths are not distinct, but that they interact and influence each other. On the one hand, veterinary medicine adapts techniques like chemotherapy or sedation from palliative end-of-life care. On the other hand, philosophers, veterinarians, pet owners, patients and the general public alike make certain assumptions about the analogy of human and animal dying or killing. Unfortunately, these interactions have only scarcely been reflected normatively, especially on the part of human medicine. Conflicts and misattributions with potential serious negative consequences for the patients’ wellbeing are provoked. For these reasons, palliative physicians and veterinarians are invited to engage in the debate around human and animal end-of-life care. (shrink)

ONE OF THE PECULIARITIES of philosophy is that every attempt to isolate a particular philosophical question, a question about the most familiar aspect of our daily experience, is transformed, the moment we begin to reflect carefully about the meaning of that question, into the universal problem of the nature of philosophy itself. The decision, for example, to concentrate our attention upon the analysis of the "logic" of ordinary linguistic usage, depends, if it is truly philosophical, upon prior decisions (...) concerning the meanings of "logic" and "ordinary," upon a decision concerning a "criterion of significance" or the decision process itself: upon the "meaning of meaning." We cannot ask a philosophical question unless philosophy is already present as a response to the fundamental or universal questions underlying every particular question. Of course, as members of an established philosophical movement, we may beg these universal questions by assuming them to have already been answered, but the moment we do this, we cease to be philosophers, and become technicians instead. Technë is not in itself philosophical, but is an instrument of philosophy; as an instrument, it may be employed by mutually contradictory philosophies, and its significance depends upon the end toward which it is applied. More specifically, a technë is a way of doing, and so there are as many technai as there are ways of doing. In each case, a technë is a skill in doing something which one has previously decided to do, on grounds other than the technë itself. If we decide to do something merely because we are able to do it, then we may be successful, but we shall not be philosophers. In such a case, philosophy is present only when the significance of success is questioned. (shrink)

Objective To assess whether the frequency of end-of-life decisions for children under 1 year of age in the Netherlands has changed since ultrasound examination around 20 weeks of gestation became routine in 2007 and after a legal provision for deliberately ending the life of a newborn was set up that same year. Methodology This was a recurrent nationwide cross-sectional study in the Netherlands. In 2010, a sample of death certificates from children under 1 year of age was derived from (...) the central death registry. All 223 deaths that occurred in a 4-month study period were included. Physicians who had reported a non-sudden death (n=206) were sent a questionnaire on the end-of-life decisions made. 160 questionnaires were returned (response 78%). Findings In 2010, 63% of all deaths of children under 1 year of age were preceded by an end-of-life decision—a percentage comparable to other times when this study was conducted (1995, 2001, 2005). These end-of-life decisions were mainly decisions to withdraw or withhold potentially life-sustaining treatment. In 2010, the percentage of cases in which drugs were administered with the explicit intention to hasten death was 1%, while in 1995 and 2001, this was 9% and in 2005, this was 8%. Discussion and conclusion There has been a reduction of infant deaths that followed administration of drugs with the explicit intention to hasten death. One explanation for this reduction relates to the introduction of routine ultrasound examination around 20 weeks of gestation. In addition, the introduction of legal criteria and a review process for deliberately ending the life of a newborn may have left Dutch physicians with less room to hasten death. (shrink)