The Brentanian idea that every state of consciousness involves a consciousness or awareness of itself (Brentano 1874), which has been a central tenet of the phenomenological school, is a current topic in contemporary philosophical debates about consciousness and subjectivity, both in the continental and the analytic tradition. Typically, the self-awareness that accompanies every state of consciousness is characterized as pre-reflective. Most theorists of pre-reflective self-awareness seem to converge on a negative characterization: pre-reflective self-awareness is not a kind (...) of reflective awareness. Whereas reflective self-awareness is attentive and descriptive, pre-reflective self-awareness is non-attentive and non-descriptive. This paper aims to show that the reflective/pre-reflective dichotomy overlooks a finer-grained distinction. The first part is devoted to arguing that the typical use of the adjective ‘pre-reflective’ conflates two properties (non-attentiveness and non-descriptiveness), which are in fact separable. Accordingly, not only can there be non-descriptive and non-attentive self-consciousness (i.e. pre-reflective self-awareness), but also non-descriptive but attentive self-consciousness. I call the latter primitive introspection. The second part of the paper is devoted to arguing that, whereas both pre-reflective self-awareness and primitive introspection enable the subject to apprehend the phenomenology of their experience, the kind of apprehension each allows for is different. By analyzing the notion of apprehension in terms of information acquisition and personal-level availability of information, it is proposed that, although both pre-reflective self-awareness and primitive introspection allow for acquisition of the maximal amount of information about the experience, only primitive introspection makes all such information personal-level available. (shrink)

The Brentanian idea that every state of consciousness involves a consciousness or awareness of itself (Brentano 1874), which has been a central tenet of the phenomenological school, is a current topic in contemporary philosophical debates about consciousness and subjectivity, both in the continental and the analytic tradition. Typically, the self-awareness that accompanies every state of consciousness is char­acterized as pre-reflective. Most theorists of pre-reflective self-awareness seem to converge on a negative characterization: pre-reflective self-awareness is not a kind (...) of reflective awareness. Whereas reflective self-awareness is attentive and descriptive, pre-reflective self-awareness is non-attentive and non-descriptive.This paper aims to show that the reflective/pre-reflective dichotomy overlooks a finer-grained distinction. The first part is devoted to arguing that the typical use of the adjective ‘pre-reflective’ conflates two properties (non-attentiveness and non-descriptiveness), which are in fact separable. Accordingly, not only can there be non-descriptive and non-attentive self-consciousness (i.e. pre-reflective self-awareness), but also non-descriptive but attentive self-consciousness. I call the latter primitive introspection. The second part of the paper is devoted to arguing that, whereas both pre-reflective self-awareness and primitive introspection enable the subject to apprehend the phenomenology of their experience, the kind of apprehension each allows for is different. By analyzing the notion of apprehension in terms of information acquisition and personal-level availability of information, it is proposed that, although both pre-reflective self-awareness and primitive introspection allow for acquisition of the maximal amount of information about the experience, only primitive introspection makes all such information personal-level available. (shrink)

There is ample evidence that the success or failure of language learning is influenced by psychological processes in learners' minds. This review attempted to review the related studies on the relationship between English as a Foreign Language learners' emotional intelligence, communication apprehension, and self-efficacy. Few studies have been done on the correlation between self-efficacy and emotional intelligence. A positive significant correlation between emotional intelligence and self-efficacy has been confirmed in the literature. Studies have shown that interpersonal (...) relationships, self-awareness, problem-solving skills, self-adequacy, self-confidence, self-actualization, and stress tolerance can act as mediator variables in the correlation between self-efficacy and emotional intelligence among EFL learners. Moreover, the related studies have shown that emotional intelligence is significantly correlated with communication apprehension. The investigations have accentuated the mediating role of learners' willingness to communicate and academic achievement in the correlation between emotional intelligence and communication apprehension. The correlation between communication apprehension and self-efficacy has been verified in the related literature. Finally, the pedagogical implications are expanded to foster language learning quality. This review also provides some suggestions for further research to elucidate our viewpoints over emotional variables and their interactions with each other. (shrink)

Richard Sorabji presents a brilliant exploration of the history of our understanding of the self, which has remained elusive and mysterious throughout the spectacular development of human knowledge of the outside world. He ranges from ancient to contemporary thought, Western and Eastern, to reveal and assess the insights of a remarkable variety of thinkers. On this basis he rejects the common idea that the self is an illusion, and develops his own original conception of the self as (...) essential to our ownership of our experience and our apprehension of the world. (shrink)

This dissertation examines the problem of self-awareness with respect to the phenomenological tradition. The problem of self-awareness concerns whether or not the self, the condition of the possibility for experience, can itself be experienced. Unlike Kant, phenomenology must answer this question in the affirmative, but it cannot hold that the self knows itself via an intentional act in the way that it knows other objects in the world. A solution to the problem requires the articulation of (...) an alternative account of awareness that makes possible a description of the self's self-apprehension independently---but not to the exclusion---of intentionality. Any solution to the problem of self-awareness, then, requires: a broadening of the scope of awareness to include epistemic and non-epistemic modes of manifestation beyond the critique of ontological monism, i.e., the disposition in western philosophy that holds there is only one form of awareness, namely object-awareness; an account of the passive, non-epistemic modes of self-givenness found in subjectivity's temporal and bodily modes of givenness; an account of the relation between self- and hetero-affection that marks an immanence, or self-awareness in transcendence; an illustration of that the closing chapter provides by examining subjectivity's moods and emotions as experiences of the world where the self's temporal flow and bodily experience transcends without losing self-awareness or reducing to object-awareness. The author appeals to the work of Descartes, Kant, Husserl, Heidegger, Sartre, Merleau-Ponty and Michel Henry, as well as that of the contemporary phenomenologist, Dan Zahavi, in order to address and support the above criteria. (shrink)

I argue for a basically Sartrean approach to the idea that one's self-concept, and any form of knowledge of oneself as an individual subject, presupposes concepts and knowledge about other things. The necessity stems from a pre-conceptual structure which assures that original self-consciousness is identical with one's consciousness of objects themselves. It is not a distinct accomplishment merely dependent on the latter. The analysis extends the matter/form distinction to concepts. It also requires a distinction between two notions of (...) consciousness: one relates to the employment of already formed concepts, the other to the structures of imaginative apprehension that help to constitute (empirical) concepts from the start. We need to see that (1) so far as objects are only conceptualized appearances, the material through which we apprehend them must be reflected in that apprehension itself; (2) the corresponding material consists of a manifold of pre-conceptually active anticipations and retentions concerning the course of one's own experience. The resultant structure imposes an orientation on the world of appearances that does not derive from a concept of oneself as an individual in it, but that nevertheless provides the only possible basis for such a concept. One's self-concept, at least as empirical subject, is simply that ofwhatever subject is indicated, in an appropriate way, by that orientation. (shrink)

When you are in a joyful mood, how do you know that it is so? On a Cartesian picture, the answer is that you’ve got some immediate, noninferential apprehension of your being joyful, such as this noninferential apprehension is analogous to sense perception, and unlike sense perception, it makes it unquestionable or evident to you that you presently are in a joyful mood. In this paper, I defend this view against some classical objections, arguing that pre-reflective self-consciousness (...) actually is analogous to sense perception. (shrink)

Richard Sorabji presents a brilliant exploration of the history of our understanding of the self, which has remained elusive and mysterious throughout the spectacular development of human knowledge of the outside world. He ranges from ancient to contemporary thought, Western and Eastern, to reveal and assess the insights of a remarkable variety of thinkers. He discusses a set of topics which are at the heart of our understanding of ourselves: personal identity; memory; the importance of seeing one's life as (...) a whole; the relation between self, intellect, will, and agency; self-awareness; the stream of consciousness; embodiment; death and survival. He rejects the view, found in various philosophical and religious writings, that the self is an illusion, and develops his own original conception of the self as essential to our ownership of our experience and our apprehension of the world. (shrink)

The ji 己self is a site, storehouse, or depot of individuated allotment associated with the possession of things and qualities: wholesome and unwholesome desires (yu 欲) and aversions, emotions such as anxiety, and positive values such as humaneness and reverence. Each person's allotment is unique, and its "contents" are collected, measured, reflected on, and then distributed to others. The Analects, Mencius, Xunzi, Daodejing, and Zhuangzi each have their own vision for negotiating the space between self and other. Works as (...) seemingly dissimilar as the Analects and Daodejing both agree that positive qualities located within the self should be shared with others, and that the self can be optimized rather than maximized through sharing, emptying, or clearing. Sommer compares the ji self with other terms for body and person current in classical times. This self is strongly individuated, but it exists primarily in relation to other human beings (ren 人 ). These "others" are almost never one's own kind and are usually people who fall outside one's ascribed familial and social relationships. Negotiations between self and other often reflect apprehension regarding degrees of distance, intimacy, worth, recognition, or understanding (zhi 知) between people. (shrink)

This superbly written and finery argued philosophical essay has potentially revolutionary importance for understanding "human consciousness, " and its author has accordingly been celebrated by the likes of Oliver Sachs and Karl Pribram. Showing the relevance of neuropathology for understanding the unifying processes behind perception, memory, and language, Jason Brown offers an exciting new approach to the mind/brain problem, freely crossing the boundaries of neurophysiology, psychology, and philosophy of mind. Hard science and the study of the nature of mind (including (...) Buddhist perspectives) come together in new ways, and without advocating the reductionist "computational model" for the mind/brain relation which dominates cognitive science today. Brown finds that every event in conscious life passes through highly determinate stages in a fraction of a second. These repeat both the stages of individual growth and of the evolution of the species: Not only does ontogeny recapitulate phylogeny, but the emergence of every moment of awareness recapitulates them both. This process begins deep in the brain stem with the mere awareness of duration, proceeds through concept-formation and image selection, and terminates with the apprehension of an object in the external world. The external object acts as a realistic constraint on consciousness. But in conditions such as brain damage, dream, meditation, as well as creativity, the preconscious stages enter into direct awareness, giving us explicit glimpses of developmental and evolutionary process and presenting a startling reversal of common ideas about the development of mind. Concept and image do not derive from perception and sensation, theycome first. And the principle of consciousness, rather than being a latecomer on the evolutionary and developmental scene, is a potentiality throughout. This lucidly written book will not disappoint the many readers concerned with the great frontier of scientific exploration -- the nature of consciousness. (shrink)

Man, in the analytic of finitude, is a strange empirico-transcendental doublet, since he is a being such that knowledge will be attained in him of what renders all knowledge possible. (Foucault, OT, 318)Man is a mode of being which accommodates that dimension-always open, never finally delimited, yet constantly traversed-which extends from a part of himself not reflected in a cogito to the act of thought by which he apprehends that part; and which, in the inverse direction, extends from that pure (...) apprehension to ... the whole silent horizon of what is posited in the sandy stretches of non-thought .... The question is no longer: How can experience of nature give rise to necessary judgements? But rather: How can man think what he does not think, inhabit as though by a mute occupation something that eludes him, animate with a kind of frozen movement that figure of himself that takes the form of a stubborn exteriority? (pp. 322-3). (shrink)

Finnis claims that his theory proceeds from seven basic principles of practical reason that are self-evidently true. While much has been written about the claim of self-evidence, this article considers it in relation to the rigorous claims of logic and mathematics. It argues that when considered in this light, Finnis equivocates in his use of the concept of self-evidence between the realist Thomistic conception and a purely formal, modern symbolic conception. Given his respect for the modern positivist (...) separation of fact and value, the realism of the Thomistic conception cannot be the foundation for the natural law as Finnis would reconstruct it. Nor can the purely formal modern conception of self-evidence provide a foundation for practical reason. This raises some doubt as to whether there can be self-evident principles of practical reason as Finnis suggests. The article contributes to the analysis of the Finnis reconstruction of the natural law by providing a rigorous analysis of his claim for self-evidence. It frames this analysis historically, suggesting the roles that certainty and mystery play in the apprehension of moral meaning. (shrink)

If I am aware that p, say, that it is raining, is it the case that I must be aware that I am aware that p? Does introspective or object-awareness entail the apprehension of mental states as being of some kind or another: self-monitoring or intentional? That is, are cognitive events implicitly self-aware or is “self-awareness” just another term for metacognition? Not surprisingly, intuitions on the matter vary widely. This paper proposes a novel solution to this (...) classical debate by reframing the problem of self-knowledge in terms of the relation between phenomenal concepts and phenomenal knowledge. Concepts of consciousness such as “introspective awareness” and “reflexive self-awareness” are grounded in phenomenal experiences rather than physical events and processes. As such they yield a different kind of self-knowledge than what can be gained by applying externalist conceptual schemas to understanding the mind. I argue that Dharmakīrti’s theory of content can be seen as endorsing the efficacy of phenomenal experience as a vehicle for self-knowledge. (shrink)

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

Like many of their counterparts in the West, Buddhist philosophers realized a long time ago that our linguistic and conceptual practices are rooted in pre-predicative modes of apprehension that provide implicit access to whatever is immediately present to awareness. This paper examines Dignāga’s and Dharmakīrti’s contributions to what has come to be known as “Buddhist epistemology” (sometimes referred in the specialist literature by the Sanskrit neologism pramāṇavāda, lit. “doctrine of epistemic warrants”), focusing on the phenomenological and epistemic role of (...) perception and self-awareness. The central argument is that reliance on accurate observations and on an understanding of the contextual and dispositional factors that constrain, condition, and direct our perceptual and intentional states gives this tradition of epistemic inquiry a pragmatic focus unique in premodern Indian philosophy. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy and Literature 26.1 (2002) 125-142 [Access article in PDF] Hölderlin's Poetic Self-consciousness James H. Donelan Nur ihren Gesang sollt' ich vergessen, nur diese Seelentöne sollten nimmer wiederkehren in meinen unaufhörlichen Träumen. I should forget only her song, only these notes of the soul should never return in my unending dreams. Hölderlin, Hyperion I FOR MANY YEARS, Friedrich Hölderlin has occupied a crucial position in both literary and (...) philosophical history. Well-known literary theorists, such as Walter Benjamin, Peter Szondi, and Paul de Man, have described him as the poet who made the transition from German Classicism to Romanticism. Several major philosophers, including Dieter Henrich and Manfred Frank, claim that Hölderlin's insights into Kantian and Fichtean metaphysics were vital to Schelling's and Hegel's far more famous accounts of subjectivity. Either contribution alone would make Hölderlin an important figure in intellectual history; it is almost miraculous that he managed both, especially when one considers the brevity of his career, a span of only ten or twelve productive years.What accounts for this remarkable dual achievement? Historical accident and tremendous talent give us only a partial answer. Hölderlin was fortunate to have Hegel and Schelling as close friends at the Tübinger Stift, and to move to Jena precisely when it had become a center for new thinking in both literary and philosophical circles. He had enormous ability both for ancient Greek and poetic meter, allowing him to benefit from his predecessors and his contemporaries [End Page 125] in remarkable ways. However, his parallel accomplishments in philosophy and poetry are linked by more than just happenstance and genius. In my view, they represent the continuous development of a solution to a single problem, that of self-consciousness, realized in poetic form through an idea of music. For Hölderlin, making the transition from philosopher to poet required him to establish a connection between Idealist theories of self-consciousness and the material world. To meet this challenge, he constituted himself as a self-conscious poet through both theoretical and actual poetic creations, and constituted a musical-poetic voice, or Gesang, within his poetry as a means of joining the abstractions of philosophy with the concrete voice of the poet.The background of this transformation lies in the complex history of the idea of self-consciousness, or subjectivity. In the early Idealist accounts of self-consciousness of Kant and Fichte, the subject recognizes its existence by juxtaposing itself with an object. However, the nature of this object, and the connection between the abstract, theoretical construction of the subject and the actual, practical experience of the conscious self posed a problem that neither philosopher solved definitively. For Kant, self-consciousness emerges from a pre-reflective sense of the self's existence as the subject of different experiences of phenomena over time; self-consciousness therefore arises from a deduction of empirical experience. However, this formulation contains a surprisingly belated and unmotivated version of the self, with no clear account of its origin.Fichte answered the question about the origin of the self by stating that the self posits itself through its opposition to a material object, a non-self he calls the Nicht-ich, and becomes self-conscious by differentiating the Ich from the Nicht-ich and declaring "I am I." Fichte's explanation of self-consciousness as an act rather than an entity nevertheless relies on a kind of solipsism and still does not sufficiently address the ultimate cause of the process. The Ich that declares its own existence must distinguish itself from the Nicht-ich somehow; the relation between the two terms presupposes a subject that already possesses sensory apprehension to create the distinction between Ich and Nicht-ich necessary for the initial positing of the self.Either explicitly or implicitly, both Kant's and Fichte's versions of subjectivity rely on the category of the aesthetic, defined as the experience of precognitive sensation in general, to mediate the encounter between subject and object. Kant later expanded his inquiry [End Page 126] into... (shrink)

This article examines Richard Rorty's approach to the self in Contingency, Irony, and Solidarity . In spite of their differing philosophical bases, Rorty and Emmanuel Levinas converge methodologically in their treatments of the self by avoiding paradigmatic notions of human nature and a philosophical project of justification. Although Rorty refuses to prioritize a moralist account of the self over its romanticist rivals, his presentation relies on the reader's response to the ethical appeal of the other as depicted (...) by Levinas: Rorty ultimately de-divinizes the moralist self on an ethical basis. Finally, a Levinasian approach would supplement Rorty's view of the self by manifesting: concern for victims of de-moralization, greater appreciation for philosophical rationality and justification, and acceptance of self-critically executed paternalistic interventions. In addition, Rorty's mistrust of universals converges with Kant's apprehension that ethical universalization could treat human beings as less than ends in themselves. Key Words: ethics • Immanuel Kant • Emmanuel Levinas • neopragmatism • phenomenology • postmodernity • psychology • Richard Rorty • the self • solidarity. (shrink)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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