Despite an expansive literature on communication in medicine, the role of language is dealt with mostly indirectly. Recently, narrative medicine has emerged as a strategy to improve doctor-patient communication and integrate patient perspectives. However, even in this field which is predicated on language use, scholars have not specifically reflected on how language functions in medicine. In this theoretical paper, the authors consider how different models of language use, which have been proposed in the philosophical literature, might be applied to communication (...) in medicine. In particular, the authors contrast the traditional, indexical thesis of language with new models that focus on interpretation instead of standardization. The authors demonstrate how paying close attention to the role of language in medicine provides a philosophical foundation for supporting recent changes in doctor-patient communication. In particular, interpretive models are at the foundation of new approaches such as narrative medicine, that emphasize listening to patient stories, rather than merely collecting information. Ultimately, debates regarding the role of language which have largely resided in non-medical literatures, have important implications for describing communication in medicine. In particular, interpretive models of language use provide an important rationale for facilitating a more robust dialogue between doctors and patients. (shrink)

Although scholars have thoroughly assessed American Evangelical Protestants’ beliefs about government intervention in addressing socioeconomic stratification and racial discrimination, they have paid considerably less attention to interpretations of health care reform. Especially important is that American Evangelicalism in recent years has incorporated personal accountability in such a way that makes this group distinctive when considering social responsibility toward others. Whereas earlier Evangelicals were instrumental in furthering the social gospel, American Evangelicals today prioritize matters of personal accountability ahead of social action. (...) The cultural toolkit available to Evangelicals includes a rationale for caring for others, but an emphasis on personal accountability shapes how they evaluate government health care interventions. This paper employs qualitative methods to understand how Evangelicals link such individualism with strategies for caring for others in the context of health care. The findings suggest that Evangelicals emphasize personal accountability, especially when evaluating government programs. However, personal accountability is accompanied by a conflicting ethical responsibility to provide care to others. The priority given to personal accountability or an ethic of care, however, varies according to the situational context or social location of white Evangelicals. These findings may be helpful in framing future health policies to draw Evangelical support. (shrink)

The move to patient-centered medical practice is important for providing relevant and sustainable health care. Narrative medicine, for example, suggests that patients should be involved significantly in diagnosis and treatment. In order to understand the meaning of symptoms and interventions, therefore, physicians must enter the life worlds of patients. But physicians face high patient loads and limited time for extended consultations. In current medical practice, then, is narrative medicine possible? We argue that engaging patient perspectives in the medical visit does (...) not necessarily require a lengthy interview. Instead, a new orientation to this process that emphasizes dialogue between practitioners and patients should be considered. In this new model, the purpose of the visit is to communicate successfully and develop a mutual understanding of illness and care. (shrink)

Social planners have begun to recognize that communities are an important resource for solving many problems. Understanding local norms and values is thought to provide insight into how issues are defined and what interventions might be considered practical. Communities in this framework are not just the physical locations at which programs are targeted, but are actively constructed spaces that must be properly understood. In many ways, the field of public health has been sensitive to this understanding and has elevated the (...) community in importance, thus emphasizing that significant features are variable and locally defined. Even in the new public health, however, empirical indicators are still often relied on, thereby leading to the increasing standardization of communities, rather than to openness to neighborhood particularities. For this reason, a community-based focus should guide future public health endeavors. Most important, this strategy underscores the importance of getting to know the communities in which symptoms, illness and care are defined, and allows for full participation by community members that make interventions both relevant and sustainable. (shrink)

Introduction In 1709 George Berkeley published his first substantial work, An Essay towards a New Theory of Vision. As a contribution to the theory of ...

In the Introduction to the Treatise concerning the Principles of Human Knowledge, Berkeley attacks the “received opinion that language has no other end but the communicating our ideas, and that every significant name stands for an idea” (PHK, Intro §19). How far does Berkeley go in rejecting this ‘received opinion’? Does he offer a general theory of language to replace it? If so, what is the nature of this theory? In this chapter, I consider three main interpretations of (...) Berkeley's view: the modified ideational theory, the speaker intentions theory, and the use theory. I argue that the use theory does, and its competitors do not, make sense of Berkeley's remarks on language in both the earlier and later works. (shrink)

Berkeley’s appeal to a posteriori arguments for God’s existence supports belief only in a God who is finite. But by appealing to an a priori argument for God’s existence, Berkeley emphasizes God’s infinity. In this latter argument, God is not the efficient cause of particular finite things in the world, for such an explanation does not provide a justification or rationale for why the totality of finite things would exist in the first place. Instead, God is understood as (...) the creator of the total unity of all there is, the whole of creation. In this a priori argument, we should not focus on the specific objects that God creates, for that requires that we think that God knows each finite thing as distinct from every other. Rather, we should recognize how God creates all things in creating the complex, infinite totality of finite perceivings, each of which exists in virtue of the distinctions and relations it expresses. (shrink)

This chapter explores the relationship between the views of Leibniz and Berkeley on the fundamental nature of the created universe. It argues that Leibniz concurs with Berkeley on three key points: that in the final analysis there are only perceivers and their contents (subjective idealism), that there are strictly speaking no material or corporeal substances, and that bodies or sensible things reduce to the contents of perceivers (phenomenalism). It then reconstructs his central argument for phenomenalism, which rests on (...) his belief in the infinite division of matter, his doctrine of the ideality of relations, and the traditional principle of the convertibility of being and unity. Finally, it explores Leibniz’s belief that a body having its being in one perceiver can be “founded” on other perceivers, and considers Berkeley’s reasons for opposing such a view. (shrink)

George Berkeley, Bishop of Cloyne, was one of the great philosophers of the early modern period. He was a brilliant critic of his predecessors, particularly Descartes, Malebranche, and Locke. He was a talented metaphysician famous for defending idealism, that is, the view that reality consists exclusively of minds and their ideas. Berkeley's system, while it strikes many as counter intuitive, is strong and flexible enough to counter most objections. His most studied works, the Treatise Concerning the Principles of (...) Human Knowledge Principles, for short) and Three Dialogues between Hylas and Philonous Dialogues), are beautifully written and dense with the sort of arguments that delight contemporary philosophers. He was also a wide ranging thinker with interests in religion (which were fundamental to his philosophical motivations), the psychology of vision, mathematics, physics, morals, economics, and medicine. Although many of Berkeley's first readers greeted him with incomprehension, he influenced both Hume and Kant, and is much read (if little followed) in our own day. (shrink)

The dissertation is a detailed analysis of Berkeley's writings on mathematics, concentrating on the link between his attack on the theory of abstract ideas and his philosophy of mathematics. Although the focus is on Berkeley's works, I also trace the important connections between Berkeley's views and those of Isaac Barrow, John Wallis, John Keill, and Isaac Newton . The basic thesis I defend is that Berkeley's philosophy of mathematics is a natural extension of his views on (...) abstraction. The first chapter is devoted to a consideration of Berkeley's treatment of abstraction, including his arguments against the doctrine of abstract ideas and his own account of how the explanatory ideas traditionally assigned to abstract ideas can be filled by a non-abstractionist account of human knowledge. In chapter two I investigate the details of Berkeley's proposed new foundations for geometry, showing how his rejection of abstract ideas led him to a critique of the traditional conception of geometry . Of particular importance in this context is Berkeley's denial of infinite divisibility and his attempts to show that a satisfactory account of geometry does not require that geometric magnitudes be infinitely divisible. Chapter three is concerned with Berkeley's treatment of arithmetic and algebra. Here I argue that Berkeley's denial of the claim that arithmetic is the science of abstract ideas of number ultimately results in his advocacy of a strongly nominalistic conception of arithmetic which has strong similarities to modern fomalism. In chapter four I discuss Berkeley's famous critique of the calculus in The Analyst and other works, concluding that his criticism of the calculus is essentially correct, although his attempted explanation of the success of infinitesimal methods is unconvincing. (shrink)

George Berkeley (1685-1753) is, with John Locke and David Hume, one of the three major figures in the British empiricist school of philosophy. He has been the centre of much attention recently and his philosophical profile has gradually changed. In the 20th century he was almost exclusively known for his denial of the existence of matter (as this term was defined in those days), but today it is no longer reasonable to confine an account of Berkeley to the (...) challenging philosophical inventions that he published when he was a young fellow at Trinity College in Dublin. This is a welcome trend. It shows Berkeley as a contributor not only to epistemology, metaphysics and moral and social philosophy, but also to a wide range of subjects including mathematics, philosophy of science, empirical psychology, political economy and monetary policy. The present collection aims at meeting this new trend by presenting a broad and comprehensive picture of Berkeley's works in their historical context. The contributors are some of the finest international experts in the field. The editors hope that this collection will show George Berkeley as he was: a wide-ranging, widely influential and courageous philosophical innovator. This volume has been published to celebrate the 300th anniversary of George Berkeley's Principles. (shrink)

Berkeley is popular in the philosophical tradition as the philosopher who denied the existence of matter in favor of spiritual substance. His esse est percipi thesis is understandably seen as a recipe for subjective idealism. While there is a point to this reading of Berkeley, it remains to be seen whether it does justice to the full significance of Berkeley’s philosophy. In Berkeley’s scholarship consequently the traditional understanding of Berkeley as a subjective idealist has been (...) challenged by scholars such as Jessop and Ardley who argue that Berkeley is better understood as a common sense realist. In approaching Berkeley’s Immaterialism from the standpoint of the philosophical issues raised by the emergence of modern science, this book is a sympathetic reconstruction of Berkeley’s philosophy. The contention is that if approached in this manner, Berkeley’s opposition to philosophical materialism not only emerges as an attempt to overcome false abstractions but it also becomes possible to make sense of Berkeley’s claimed alliance with common sense in his battle against philosophical materialism. While the realist portrait of Berkeley that emerges from this exercise is not free of difficulties, it arguably offers us a fuller conspectus of Berkeley’s immaterialism. (shrink)

Berkeley argues that claims about divine predication (e.g., God is wise or exists) should be understood literally rather than analogically, because like all spirits (i.e., causes), God is intelligible only in terms of the extent of his effects. By focusing on the harmony and order of nature, Berkeley thus unites his view of God with his doctrines of mind, force, grace, and power, and avoids challenges to religious claims that are raised by appeals to analogy. The essay concludes (...) by showing how a letter, supposedly by Berkeley, to Peter Browne ("discovered" in 1969 by Berman and Pittion) is, in fact, by John Jackson (1686-1763), controversial theologian and friend of Samuel Clarke. (shrink)

This new introduction to the main themes of Berkeley′s philosophy assumes no previous knowlege of philosophy and will be accessible to first-year students and to the interested general reader. It also offers and defends its own interpretation of Berkeley′ position. Jonathan Dancy argues that we understand Berkeley′s idealism best if we take seriously his claim that realism (the view that material things have an existence independent of the mind) derives from a mistaken use of abstraction. Stress is (...) laid on Berkelye′s determination to use idealism to bring his God as close to us as possible. Instances of this are his claims that the world we live in is a collection of ideas in God′s mind, and that natural events are divine utterances which science is the attempts to interpret. Dancy also discusses Berkelye′s attack on the distinction between primary and secondary qualities, and his views on perception and knowledge. There is an account of his theory of the mind and of the nature of human action, and a final chapter contrasts the interpretation offered here with others. Students who have read this book will be well equipped to understand and assess the frequent references to Berkeley in current literature. (shrink)

Presents a concise and comprehensive analysis of George Berkeley’s thought and the impact of his intellectual contributions to philosophy In this latest addition to the Blackwell Great Minds series, noted scholar of early modern philosophy Margaret Atherton examines Berkeley’s most influential work and demonstrates the significant conceptual impact of his ideas in metaphysics and the philosophy of religion. A concise and rigorous primer on Berkeley’s essential writings and contributions to modern philosophy Written by a leading scholar of (...) early modern philosophy Offers insight into the foundations of modern metaphysical and religious philosophy Equips readers to find firm footing in Berkeley’s wider body of published work in the canon of Western philosophy. (shrink)

For Berkeley, minds are not Cartesian spiritual substances because they cannot be said to exist (even if only conceptually) abstracted from their activities. Similarly, Berkeley's notion of mind differs from Locke's in that, for Berkeley, minds are not abstract substrata in which ideas inhere. Instead, Berkeley redefines what it means for the mind to be a substance in a way consistent with the Stoic logic of 17th century Ramists on which Leibniz and Jonathan Edwards draw. This (...) view of mind, I conclude, is definitely not the bundle theory that some critics have portrayed it as being. (shrink)

This chapter revisits three key disagreements between Locke and Berkeley. The disagreements relate to abstraction, the idea of substance, and the status of the primary/secondary quality distinction. The goal of the chapter is to show that these disagreements are rooted in a more fundamental disagreement over the nature of ideas. For Berkeley, ideas are tied very closely to perceptual content. Locke adopts a less restrictive account of the nature of ideas. On his view, ideas are responsible for both (...) perceptual content and non-perceptual mental content. Recognizing this allows for the following analysis of their disputes. Berkeley often appeals to introspection to suggest that we do not have some particular idea. But Locke’s arguments that we have a particular idea often appeal to the functional role the idea has in our cognitive economy rather than to facts about our immediate phenomenology. (shrink)

This book is a study of the philosophy of the early 18th century Irish philosopher George Berkeley in the intellectual context of his times, with a particular focus on how, for Berkeley, mind is related to its ideas. It does not assume that thinkers like Descartes, Malebranche, or Locke define for Berkeley the context in which he develops his own thought. Instead, he indicates how Berkeley draws on a tradition that informed his early training and that (...) challenges much of the early modern thought with which he is often associated. Specifically, the book indicates how Berkeley's distinctive treatment of mind (as the activity whereby objects are differentiated and related to one another) highlights how mind neither precedes the existence of objects nor exists independently of them. This distinctive way of understanding the relation of mind and objects allows Berkeley to appropriate ideas from his contemporaries in a manner that transforms the issues with which he is engaged. The resulting insights--for example, about how God creates the minds that perceive objects--are only now starting to be fully appreciated. (shrink)

This paper propounds a new reading of Berkeley's account of the activity of finite spirits. Against existing interpretations, the paper argues that Berkeley does not hold that we causally contribute to the movement of our bodies. In contrast, our volitions to move our bodies are but occasions for God to cause their movement. In answer to the question of wherein then consists our activity, the paper proposes that our activity consists in the dual powers to produce (1) our (...) volitions ? the acts of willing ? and (2) our ideas of imagination. (shrink)

Deux innovations caractérisent la philosophie de Berkeley : il met la perception au centre de sa théorie de l'être (esse est percipi out percipere) et il lie étroitement vision et langage, en affirmant que les idées de la vue constituent un " langage universel de l'Auteur de la nature ". Ces deux innovations continuent à nourrir la philosophie contemporaine, en particulier certains aspects de la philosophie analytique. C'est pourquoi, il est essentiel d'examiner à nouveaux frais les questions concernant l'hétérogénéité (...) des champs sensoriels, la nature de la suggestion, le rôle de l'imagination et celui de l'idée médiate dans la construction de l'objet. Le présent ouvrage vise donc à éclairer le tournant philosophique et sémantique instauré par Berkeley dans l'étude de la perception et de la vision. Une comparaison avec Locke met en valeur la spécificité des thèses du philosophe irlandais. Un examen précis des textes concernés permet de réévaluer la place et le rôle des thèses sur la vision dans l'économie générale de l'œuvre. Textes de Margaret Atherton, Bertil Belfrage, Geneviève Brykman, Richard Glauser, Philippe Hamou, Jean-Michel Vienne. (shrink)

David Hume wrote that Berkeley's arguments `admit of no answer but produce no conviction'. This book aims at the kind of understanding of Berkeley's philosophy that comes from seeing how we ourselves might be brought to embrace it. Berkeley held that matter does not exist, and that the sensations we take to be caused by an indifferent and independent world are instead caused directly by God. Nature becomes a text, with no existence apart from the spirits who (...) transmit and receive it. Kenneth P. Winkler presents these conclusions as natural consequences of Berkeley's reflections on such topics as representation, abstraction, necessary truth, and cause and effect. In the closing chapters Proefssor Winkler offers new interpretations of Berkeley's view on unperceived objects, corpuscularian science, and our knowledge of God and other minds. (shrink)

Since nothing about God is passive, and the perception of pain is inherently passive, then it seems that God does not know what it is like to experience pain. Nor would he be able to cause us to experience pain, for his experience would then be a sensation (which would require God to have senses, which he does not). My suggestion is that Berkeley avoids this situation by describing how God knows about pain “among other things” (i.e. as something (...) whose identity is intelligible in terms of the integrated network of things). This avoids having to assume that God has ideas (including pain) apart from his willing that there be perceivers who have specific ideas that are in harmony or not in harmony with one another. (shrink)

Berkeley is one of the most influential and yet most misunderstood of eighteenth-century philosophers. In this new, revised edition of his classic introduction, G.J. Warnock examines all Berkeley's major philosophical works and discusses his most original and interesting contributions to questions still debated by philosophers today. The aim of the book is to help the reader learn not so much about Berkeley, but rather, through Berkeley, something about philosophy itself.

ABSTRACT On the traditional picture, accidents must inhere in substances in order to exist. Berkeley famously argues that a particular class of accidents—the sensible qualities—are mere ideas—entities that depend for their existence on minds. To defend this view, Berkeley provides us with an elegant alternative to the traditional framework: sensible qualities depend on a mind, not in virtue of inhering in it, but in virtue of being perceived by it. This metaphysical insight, once correctly understood, gives us the (...) resources to solve a central problem that still plagues the philosophy of perception—the problem of how, given the power of the mind to create phenomenally rich experiences, ordinary perception can nonetheless be said to acquaint us with the mind-independent world. (shrink)

Berkeley, Newton, Explanation, and Causation -/- I argue in this paper that Berkeley’s conception of natural law explanations, which echoes Newton’s, fails to solve a fundamental problem, which I label “explanatory asymmetry"; that the model of explanation Berkeley uses fails to distinguish between explanations and justifications, particularly since Berkeley denies real (efficient causes) in non-minded nature. At the end I suggest Berkeley might endorse a notion of understanding, say in astronomy or mechanics, which could be (...) distinguished from explanation. (shrink)

Although George Berkeley himself made no major scientific discoveries, nor formulated any novel theories, he was nonetheless actively concerned with the rapidly evolving science of the early eighteenth century. Berkeley's works display his keen interest in natural philosophy and mathematics from his earliest writings (Arithmetica, 1707) to his latest (Siris, 1744). Moreover, much of his philosophy is fundamentally shaped by his engagement with the science of his time. In Berkeley's best-known philosophical works, the Principles and Dialogues, he (...) sets up his idealistic system in opposition to the materialist mechanism he finds in Descartes and Locke. In De Motu, Berkeley refines and extends his philosophy of science in the context of a critique of the dynamic accounts of motion offered by Newton and Leibniz. And in Siris, Berkeley's flirtation with neo-Platonism draws inspiration from the fire theory of Boerhaave as well as Newton's aetherial speculations in the Queries of the Optics. In examining Berkeley's critical engagement with the natural philosophy of his time, we will thus improve our understanding of not just his philosophy of science, but of his philosophical corpus as a whole. (shrink)

Instead of interpreting Berkeley in terms of the standard way of relating him to Descartes, Malebranche, and Locke, I suggest we consider relating him to other figures (e.g., Stoics, Ramists, Suarez, Spinoza, Leibniz). This allows us to integrate his published and unpublished work, and reveals how his philosophic and non-philosophic work are much more aligned with one another. I indicate how his (1) theory of powers, (2) "bundle theory" of the mind, and (3) doctrine of "innate ideas" are understood (...) in a way significantly different from that found in the standard account. (shrink)

This original new work takes a sharply focused look at Berkeley's ontology and provides a fuller understanding of the relationship between, on the one hand, Berkeley's nominalism and antiabstractionism and, on the other, his principal arguments for idealism and his attempts to square his idealism with common sense. Drawing heavily on detailed textual analysis, historical context, and careful examination of the work of other scholars, Muehlmann challenges, modifies, rejects, and exploits some well-established interpretations of Berkeley's philosophy.

George Berkeley was born on 12 March 1685 in Ireland, in or near Kilkenny. Berkeley's education began in Kilkenny, at the Duke of Ormonde's school. Berkeley took his BA in 1704 and, while waiting for a fellowship vacancy, worked on some mathematical issues, the results of which he published in 1707 as Arithmetica and Miscellanea Mathematica. In 1709, he published his first significant work, An Essay towards a New Theory of Vision, rapidly followed in 1710 by A (...) Treatise Concerning the Principles of Human Knowledge. In 1724, Berkeley published A Proposal for the Better Supplying of Churches, in which he laid out his plans for his university, to be situated in Bermuda. There are several important lessons to be learned from Berkeley's continued involvement with The Querist throughout the period of his life at Cloyne. Dying at age 68, Berkeley can be said to have lived out close to his allotted three‐score‐and‐ten years. (shrink)

Clues about what Berkeley was planning to say about mind in his now-lost second volume of the Principles seem to abound in his Notebooks. However, commentators have been reluctant to use his unpublished entries to explicate his remarks about spiritual substances in the Principles and Dialogues for three reasons. First, it has proven difficult to reconcile the seemingly Humean bundle theory of the self in the Notebooks with Berkeley's published characterization of spirits as “active beings or principles.” Second, (...) the fact that Berkeley did not publish his Notebooks insights on mind has led some to claim that he later rejected his early views. Third, many of the Notebooks entries on mind have a ‘+’ sign next to them, which has been understood for decades to comprise a Black List of views about which Berkeley had doubts or subsequently rejected. In my dialogue, I describe how Berkeley's “congeries” account of mind (1) differs from Hume's bundle theory in a way that complements Berkeley's published remarks and (2) undercuts the claim that he later rejected his early views. Most importantly, (3) I show how a careful analysis of the British Library manuscript of the Notebooks refutes the Black List hypothesis. (shrink)

Berkeley has been notoriously charged with inconsistency because he held that spiritual substance exists, Although he argued against the existence of material substance. Berkeley is only inconsistent on the assumption that his argument in favor of spiritual substance parallels the rejected argument for material substance. I show that berkeley is relying on quite a different argument, One perfectly consistent with his theory of ideas, Based on presuppositions the germs of which can be found in the thought of (...) his predecessors in the theory of ideas, Descartes and locke. (shrink)

Berkeley's doctrine of archetypes explains how God perceives and can have the same ideas as finite minds. His appeal of Christian neo-Platonism opens up a way to understand how the relation of mind, ideas, and their union is modeled on the Cappadocian church fathers' account of the persons of the trinity. This way of understanding Berkeley indicates why he, in contrast to Descartes or Locke, thinks that mind (spiritual substance) and ideas (the object of mind) cannot exist or (...) be thought of apart from one another. It also hints at why Gregory of Nyssa's immaterialism sounds so much like Berkeley's. (shrink)

Unlike nearly all studies of Berkeley, this book looks at the full range of his work and links it with his life--focusing in particular on his religious thought. While aiming to present a clear picture of his career, Berman breaks new ground on, among other topics, Berkeley's philosophical strategy, his account of immortality, his Jacobitism, his emotive theory of religious mysteries, and the motivation of his Siris (1744). Also distinctive is the attention paid to the Irish context of (...) his thought, his symbolic frontispieces and portraits, and recent discoveries concerning his life and writings. (shrink)

Berkeley holds that vision, in isolation, presents only color and light. He also claims that typical perceivers experience distance, figure, magnitude, and situation visually. The question posed in New Theory is how we perceive by sight spatial features that are not, strictly speaking, visible. Berkeley’s answer is “that the proper objects of vision constitute an universal language of the Author of nature.” For typical humans, this language of vision comes naturally. Berkeley identifies two sorts of objects of (...) vision: primary (light and colors) and secondary (distance, figure, magnitude, and situation). Berkeley also appeals to a third class of a different sort: visible figure, magnitude, and situation, constituting the vocabulary of the language of vision. By considering two perceivers who lack this vocabulary we may better understand this third category and the difference between those who must learn the language of vision and those for whom it is a natural endowment. (shrink)

ABSTRACT Berkeley argues in Passive Obedience that what he calls morality is based on the divine laws of nature, which God gave us and whose validity is like that of the principles of geometry. One of these laws is the categorical demand for loyalty to the supreme political power. This is to say, rebellious action is strictly impermissible and passive obedience is morally required: we may disobey but only in terms of action omission and then we must accept the (...) penalty or punishment. This paper clarifies the logic of Berkeley’s argument and evaluates the acceptability of his results, especially when he considers possible exceptions in the case of a tyrant, usurper, and mad prince. What should one do? We may ‘sit still and pray for better times’ and think of the day of divine judgement; is this enough when a citizen is under a tyrannical political rule? Can we trust the good will of magistrates, or expect God’s help? Berkeley speaks of your moral duty to supreme power but in the last part of his treatise he also mentions the possibility of two competing princes, or no supreme power. (shrink)