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"The work is on an important topic that has been oft debated but rarely systematically studied – the political, cultural, and moral effects of distant news coverage of suffering. [The book] is extremely well steeped in the relevant literature, including semiotics, discourse analysis, meda and social theory and makes a fresh methodological contribution by looking at the codes and formats of news about suffering. It has a fresh vision and answer to some of the stickiest moral and media (...) problems of our time … and deserves to find its place among important books about the moral aspects of media and society in our times." —John D. Peters, F. Wendell Miller Distinguished Professor, University of Ohio This book is about the relationship between the spectators in countries of the west, and the distant sufferer on the television screen; the sufferer in Somalia, Nigeria, Bangladesh, India, Indonesia, but also from New York and Washington DC. How do we relate to television images of the distant sufferer? The question touches on the ethical role of the media in public life today. They address the issue of whether the media can cultivate a disposition of care for and engagement with the far away other; whether television can create a global public with a sense of social responsibility towards the distant sufferer. (shrink)
In this work, Jamie Mayerfeld undertakes a careful inquiry into the meaning and moral significance of suffering. Understanding suffering in hedonistic terms as an affliction of feeling, he claims that it is an objective psychological condition, amenable to measurement and interpersonal comparison, although its accurate assessment is never easy. Mayerfeld goes on to examine the content of the duty to prevent suffering and the weight it has relative to other moral considerations. He argues that the prevention of (...)suffering is morally more important than the promotion of happiness, and that the duty to relieve suffering is much stronger than most of us acknowledge. (shrink)
This paper argues that it is possible for suffering to occur in the absence of phenomenal consciousness – in the absence of a certain sort of experiential subjectivity, that is. (Phenomenal consciousness is the property that some mental states possess, when it is like something to undergo them, or when they have subjective feels, or possess qualia.) So even if theories of phenomenal consciousness that would withhold such consciousness from most species of non-human animal are correct, this neednt mean (...) that those animals dont suffer, and arent appropriate objects of sympathy and concern. (shrink)
SUFFERING HUMAN AND DIVINE INTRODUCTION I KNEW when I asked Dr. H. Wheeler Robinson to write this volume on Suffering that I was giving him the most difficult ...
Recent years have witnessed a growing concern that terminally illpatients are needlessly suffering in the dying process. This has ledto demands that physicians become more attentive in the assessment ofsuffering and that they treat their patients as `whole persons.'' Forthe most part, these demands have not fallen on deaf ears. It is nowwidely accepted that the relief of suffering is one of the fundamentalgoals of medicine. Without question this is a positive development.However, while the importance of treating (...) class='Hi'>suffering has generally beenacknowledged, insufficient attention has been paid to the question ofwhether different types of terminal suffering require differnt responsesfrom health care professionals. In this paper we introduce a distinctionbetween two types of suffering likely to be present at the end of life,and we argue that physicians must distinguish between these types if theyare to respond appropriately to the suffering of their terminally illpatients. After introducing this distinction and explaining its basis,we further argue that the distinction informs a (novel) principle ofproportionality, one that should guide physicians in balancing theircompeting obligations in responding to terminal suffering. As weexplain, this principle is justified by reference to the intereststerminally ill patients have in restoration, as well as in therelief of suffering, at the end of life. (shrink)
In two recent articles in this journal, David Basinger and Nathan Nobis raise objections to my characterization of infant suffering and the problem that it presents to theism. My main theses were that infant suffering to death is not ‘horrendous’ in the technical sense defined, and that a good God need only balance off rather than ‘defeat’ such suffering. Basinger, on the other hand, claims that some infant suffering should be considered horrendous, while Nobis suggests that (...) such suffering must be defeated by God rather than merely balanced off. In this response I will briefly summarize my view and then respond to Basinger and Nobis. (shrink)
This paper provides an analysis of suffering and compassion in the work of Emmanuel Levinas. Levinas describes compassion as ‘the nexus of human subjectivity’ and the ‘supreme ethical principle’. In his early texts, suffering discloses the burden of being, the limits of the self, and thus the approach of alterity. Levinas’s later phenomenology of suffering as passive, meaningless, and evil, functions as a refutation of rational explanations of suffering. I argue that Levinasian substitution, the traumatic election (...) to an excessive responsibility, is the compassionate suffering that Levinas terms the nexus of human subjectivity. For Levinas, ethics is the compassionate response to the vulnerable, suffering Other. (shrink)
This essay explores the experience of suffering in order to see to what extent it can be understood within the context of the human condition without diverting the reality of suffering or denying the meaning of human existence and divine reality. Particular attention is given to describing and interpreting what I call the transcendent dimensions of suffering with the intent of showing that in the experience of suffereing persons come up against the limits of what can be (...) accounted for in ordinary terms and point towards transcendent reality. In religious faith the transcendent dimensions of suffering may be understood to come together with other transcendent dimensions of experience in a more distinctive or focused encounter with transcendent reality. The conception of God that is suggested by the transcendent dimensions of suffering, however, differs from the model of God in western theism as an absolutely transcendent, all powerful, immutable and impassible being. (shrink)
This paper develops an analysis of the relationship between politics and suffering in the writings of Friedrich Hölderlin (1770-1843) and Friedrich Nietzsche (1844-1900). Both thinkers uphold the tragic idea of suffering as a crucible in which the uniquely human powers of self-creation - having reached, apparently, their lowest point - are revealed in all of their grand majesty. Yet they diverge dramatically when it comes to working out the political implications of this idea. Whereas Hölderlin deploys the tragic (...) revaluation of suffering on behalf of democracy, Nietzsche deploys this same revaluation against democracy. My argument suggests that the differences between Hölderlin and Nietzsche refer more to their different points in the development of the modern age than to any substantive difference in the structure of their thinking, and that unearthing Nietzsche's origins in Hölderlin enables us to retrieve the wider compass of the idea of suffering on which Nietzsche relies in developing his critique of modern democratic politics, and so also a wider compass for settling some of the debates that have arisen around his political thought. Key Words: democracy • Hölderlin • Nietzsche • suffering • tragedy. (shrink)
Animal production, especially pork production, is facing growing international criticism. The greatest concerns relate to the environment, the animals’ living conditions, and the occupational diseases. But human and animal conditions are rarely considered together. Yet the living conditions at work and the emotional bond that inevitably forms bring the farm workers and the animals to live very close, which leads to shared suffering. Suffering does spread from animals to human beings and can cause workers physical, mental, and also (...) moral suffering, which is all the more harmful due to the fact that it is concealed. The conceptual tools used to conceal suffering (“animal welfare,” stress, pain) suggest that the industrial system can be improved, whereas for farmers it is by definition incompatible with animal husbandry. (shrink)
Inasmuch as unmitigated pain and suffering areoften thought to rob human beings of theirdignity, physicians and other care providersincur a special duty to relieve pain andsuffering when they encounter it. When pain andsuffering cannot be controlled it is sometimesthought that human dignity is compromised.Death, it is sometimes argued, would bepreferred to a life without dignity.Reasoning such as this trades on certainpreconceptions of the nature of pain andsuffering, and of their relationships todignity. The purpose of this paper is to laybare (...) these preconceptions. The duties torelieve pain and suffering are clearly mattersof moral obligation, as is the duty to respondappropriately to the dignity of other persons.However, it is argued that our understanding ofthe phenomena of pain and suffering and theirrelationships to human dignity will be expandedwhen we explore the aesthetic dimensions ofthese various concepts. On the view presentedhere the life worth living is both morally goodand aesthetically beautiful. Appropriate``suffering with'''' another can help to maintainand restore the dignity of the relationshipsinvolved, even as it preserves and enhances thedignity of patient and caregiver alike. (shrink)
It is the persistence of social suffering in a world in which it could be eliminated that for Adorno is the source of the need for critical reflection, for philosophy. Philosophy continues and gains its cultural place because an as yet unbridgeable abyss separates the social potential for the relief of unnecessary human suffering and its emphatic continuance. Philosophy now is the culturally bound repository for the systematic acknowledgement and articulation of the meaning of the expanse of human (...)suffering within technologically advanced societies that are already committed to liberal ideals of freedom and equality. (shrink)
: The suffering of creatures experienced throughout evolutionary history provides some conceptual difficulties for theists who maintain that God is an all-good loving creator who chose to employ the processes associated with evolution to bring about life on this planet. Some theists vexed by this and other problems posed by the interface between religion and science have turned to process theology which provides a picture of a God who is dependent upon creation and unable to unilaterally intervene in the (...) affairs of the world and avert suffering. In the present paper I seek to critique process theism, focusing on divine action and the aforementioned problem posed by evolutionary suffering. I show that the promise of a more compelling account of a loving God who suffers with creation advanced by the process theist is illusory. Rather, the process God is less dynamic than promised. And on such an account the freedom of both God and the world are significantly more circumscribed than one may find in other forms of theism. (shrink)
The problem of infant suffering and death is one of the most difficult versions of the problem of evil, especially when we consider how God can be thought good to the infant victims by the infant victims. In the first portion of this paper, I examine two theodicies that aim to solve this problem but fail. In the final section, I argue that the problem can be better dealt with by maintaining not that God must redeem the suffering (...) of such children, but that such children are not the sort of beings whose suffering God can or must redeem. God is good, God is just, God is almighty: only a madman doubts this… Doubtless when their elders suffer these afflictions we are wont to say either that their goodness is being tested…or that their sins are being punished. But these are older people. Tell me what we are to answer about children! St Augustine, in a letter to Jerome. (shrink)
A major argument for vegetarianism is that eating animals causes unjustified suffering. While this argument has been articulated by several people, it has received surprisingly little attention. Here I restate it in a way that I believe is most convincing, considering and rejecting the two main justifications for causing suffering in order to eat animals. I compare it to some other prominent arguments for vegetarianism, and discuss a major objection to the argument which focuses on whether the animals (...) would not exist if not bred to be eaten. (shrink)
Book Information Suffering and Moral Responsibility. Suffering and Moral Responsibility Meyerfeld Jamie New York Oxford University Press ix + 237 Hardback £35 By Meyerfeld Jamie. Oxford University Press. New York. Pp. ix + 237. Hardback:£35.
We attempt to bring the concepts of pain, suffering, and anxiety into sufficient focus to make them serviceable for empirical investigation. The common-sense view that many animals experience these phenomena is supported by empirical and philosophical arguments. We conclude, first, that pain, suffering, and anxiety are different conceptually and as phenomena, and should not be conflated. Second, suffering can be the result — or perhaps take the form — of a variety of states including pain, anxiety, fear, (...) and boredom. Third, pain and nociception are not equivalent and should be carefully distinguished. Fourth, nociception can explain the behavior of insects and perhaps other invertebrates (except possibly the cephalopods). Fifth, a behavioral inhibition system associated with anxiety in humans seems to be present in mammals and most or all other vertebrates. Based on neurochemical and behavioral evidence, it seems parsimonious to claim that these animals are capable of experiencing anxious states. (shrink)
Avi Mintz (2008) has recently argued that Anglo-American educators have a tendency to alleviate student suffering in the classroom. According to Mintz, this tendency can be detrimental because certain kinds of suffering actually enhance student learning. While Mintz compellingly describes the effects of educator's desires to alleviate suffering in students, he does not examine one of the roots of the desire: the feeling of compassion or pity (used as synonyms here). Compassion leads many teachers to unreflectively alleviate (...) student struggles. While there are certainly times when compassion is necessary to help students learn, there are other times when it must be overcome. Compassion in the classroom is a two-edged sword that must be carefully employed; and yet it is often assumed that it is an unequivocal good that ought to trump all other impulses. In this article I hope to raise awareness concerning the promises and pitfalls of compassion in education by examining the theories of two historical figures who famously emphasised compassion in their philosophical writings: Jean-Jacques Rousseau and Friedrich Nietzsche. Rousseau and Nietzsche argue that compassion is a powerful educational force but that it must be properly employed. For Rousseau and Nietzsche, compassion is necessary to develop self-mastery in human beings—the ultimate goal of education—but it is a compassion that must hurt in order to help. My hope is that Rousseau's and Nietzsche's ideas on compassion will encourage thoughtful reflection on the uses and abuses of compassion in education. (shrink)
The ethical problems surrounding voluntary assisted suicide remain formidable, and are unlikely to be resolved in pluralist societies. An examination of historical attitudes to suicide suggests that modernity has inherited a formidable complex of religious and moral attitudes to suicide, whether assisted or not. Advocates usually invoke the ending of intolerable suffering as one justification for euthanasia of this kind. This does not provide an adequate justification by itself, because there are (at least theoretically) methods which would relieve (...) class='Hi'>suffering without causing the physical death of the suffering person. Carried to extremes, these methods would finish the life worth living, but leave a being which was technically alive. Such acts, however, would provide no moral escape, since they would create beings without meaning. Arguments seeking to justify ending the lives of others need some grounding in concepts of the meaning of a life. The euthanasia discourse therefore needs to take at least some account of the meaning we construct for our lives and the lives of others. (shrink)
§3-1. Being in Pain.............................................................................................................................................. 1 §3-2. Why does Persistent Pain lead to Suffering?.............................................................................................. 2 §3-3. The Machinery of Suffering....................................................................................................................... 4..
Problems of and explanations for evil -- Neo-cartesianism -- Animal suffering and the fall -- Nobility, flourishing, and immortality : animal pain and animal well-being -- Natural evil, nomic regularity, and animal suffering -- Chaos, order, and evolution -- Combining CDs.
Welfare biology is the study of living things and their environment with respect to their welfare (defined as net happiness, or enjoyment minus suffering). Despite difficulties of ascertaining and measuring welfare and relevancy to normative issues, welfare biology is a positive science. Evolutionary economics and population dynamics are used to help answer basic questions in welfare biology: Which species are affective sentients capable of welfare? Do they enjoy positive or negative welfare? Can their welfare be dramatically increased? Under plausible (...) axioms, all conscious species are plastic and all plastic species are conscious (and, with a stronger axiom, capable of welfare). More complex niches favour the evolution of more rational species. Evolutionary economics also supports the common-sense view that individual sentients failing to survive to mate suffer negative welfare. A kind of God-made (or evolution-created) fairness between species is also unexpectedly found. The contrast between growth maximization (as may be favoured by natural selection), average welfare, and total welfare maximization is discussed. It is shown that welfare could be increased without even sacrificing numbers (at equilibrium). Since the long-term reduction in animal suffering depends on scientific advances, strict restrictions on animal experimentation may be counter-productive to animal welfare. (shrink)
It is a commonly held view, buttressed by utilitarian considerations, that pain and suffering are valueless and not to be borne. Moreover, it is this thought, that they are valueless, which is often deployed in arguing for euthanasia for the terminally ill or those with mental or physical disability. This essay argues that suffering is inextricably part of the human condition and that it is our response to it that determines whether we are ennobled or degraded by it. (...) While it is not sought for itself, suffering provides human beings with the opportunity to be ennobled, to be given unexpected experiences of love and to gain improbable sources of strength and so it can have a use which can make it valuable. (shrink)
The thesis of this article is that engagement and suffering are essential aspects of responsible caregiving. The sense of medical responsibility engendered by engaged caregiving is referred to herein as clinical phronesis, i.e. practical wisdom in health care, or, simply, practical health care wisdom. The idea of clinical phronesis calls to mind a relational or communicative sense of medical responsibility which can best be understood as a kind of virtue ethics, yet one that is informed by the exigencies of (...) moral discourse and dialogue, as well as by the technical rigors of formal reasoning. The ideal of clinical phronesis is not (necessarily) contrary to the more common understandings of medical responsibility as either beneficence or patient autonomy — except, of course, when these notions are taken in their disengaged form (reflecting the malaise of modern medicine). Clinical phronesis, which gives rise to a deeper, broader, and richer, yet also to a more complex, sense than these other notions connote, holds the promise both of expanding, correcting, and perhaps completing what it currently means to be a fully responsible health care provider. In engaged caregiving, providers appropriately suffer with the patient, that is, they suffer the exigencies of the patient's affliction (though not his or her actual loss) by consenting to its inescapability. In disengaged caregiving — that ruse Katz has described as the silent world of doctor and patient — provides may deny or refuse any given connection with the patient, especially the inevitability of the patient's affliction and suffering (and, by parody of reasoning, the inevitability of their own. When, however, responsibility is construed qualitatively as an evaluative feature of medical rationality, rather than quantitatively as a form of calculative reasoning only, responsibility can be viewed more broadly as not only a matter of science and will, but of language and communication as well — in particular, as the task of responsibly narrating and interpreting the patient's story of illness. In summary, the question is not whether phronesis can save the life of medical ethics — only responsible humans can do that! Instead, the question should be whether phronesis, as an ethical requirement of health care delivery, can prevent the death of medical ethics. (shrink)
One of the requirements in the Dutch regulation for euthanasia and assisted suicide is that the doctor must be satisfied 'that the patient's suffering is unbearable, and that there is no prospect of improvement.' In the notorious Chabot case, a psychiatrist assisted a 50 year old woman in suicide, although she did not suffer from any somatic disease, nor strictly speaking from any psychiatric condition. In Seduced by Death, Herbert Hendin concluded that apparently the Dutch regulation now allows physicians (...) to assist anyone in suicide simply because he or she is unhappy. In this paper, I reject Hendin's conclusion and in particular his description of Mrs Boomsma as someone who was 'simply unhappy.' After a detailed narration of her lifestory, I turn to the American philosopher Harry Frankfurt's account of volitional incapacity and love for a more accurate characterization of her suffering. Having been through what she had, she could only go on living as another person than the one she had been when she was a happy mother. That would have violated her integrity, and that she could not bring herself to do. (shrink)
Here is a thoroughly updated edition of a classic in palliative medicine. Two new chapters have been added to the 1991 edition, along with a new preface summarizing where progress has been made and where it has not in the area of pain management. This book addresses the timely issue of doctor-patient relationships arguing that the patient, not the disease, should be the central focus of medicine. Included are a number of compelling patient narratives. Praise for the first edition "Well (...) written. . .should be read by everyone in medical practice or considering a career in medicine."---JAMA. "Memorable passages, important ideas, and critical analysis. This is a book that clinicians and educators should read."---New England Journal of Medicine. (shrink)
The focus falls within the boundaries of what happens to persons and to a person's sense of identity when confronted by pain, suffering, and death. ...
“Great pain urges all animals, and has urged them during endless generations, to make the most violent and diversified efforts to escape from the cause of suffering. Even when a limb or other separate part of the body is hurt, we often see a tendency to shake it, as if to shake off the cause, though this may obviously be impossible.” —Charles Darwin[1].
The existence and extent of animal suffering provides grounds for a serious evidential challenge to theism. In the wake of the Darwinian revolution, this strain of natural atheology has taken on substantially greater significance. In this essay we argue that there are at least four neo-Cartesian views on the nature of animal minds which would serve to deflect this evidential challenge.
No adequate evidence exists for the evolution of facial pain expression and detection mechanisms, as opposed to social-learning processes. Although brain affective/emotional processes, and resulting whole body action patterns, have surely evolved, we should also aspire to monitor human suffering by direct neural measures rather than by more indirect indices.
Cruelty does not emerge from a single emotional system of the brain. Its many cognitive aspects are intermeshed inextricably with the nature of negative affects ranging from fear to suffering. The rewards of cruelty may be counteracted by a variety of neurochemical factors as well as novel social policies.
Dutch euthanasia legislation states that an act of euthanasia is only permissible if it is based on a voluntary request made in a situation of unbearable suffering to which there are no alternatives.The central question of this article is whether these criteria can be satisfied simultaneously. In an analysis of several (partly overlapping) definitions of voluntariness it is argued that there are circumstances in which this question should be answered negatively.The possible incompatibility of the criteria reveals a tension between (...) different defences of the permissibility of euthanasia. (shrink)
Believing in God requires not only a leap of faith but also an extension of people’s normal capacity to perceive the minds of others. Usually, people perceive minds of all kinds by trying to understand their conscious experience (what it is like to be them) and their agency (what they can do). Although humans are perceived to have both agency and experience, humans appear to see God as possessing agency, but not experience. God’s unique mind is due, the authors suggest, (...) to the uniquely moral role He occupies. In this article, the authors propose that God is seen as the ultimate moral agent, the entity people blame and praise when they receive anomalous harm and help. Support for this proposition comes from research on mind perception, morality, and moral typecasting. Interestingly, although people perceive God as the author of salvation, suffering seems to evoke even more attributions to the divine. (shrink)
It is widely recognized that our social and moral environments influence our actions and belief formations. We are never fully immune to the effects of cultural membership. What is not clear, however, is whether these influences excuse average moral agents who fail to scrutinize conventional norms. In this paper, I argue that the lack of extensive public debate about factory farming and, its corollary, extreme animal suffering, is probably due, in part, to affected ignorance. Although a complex phenomenon because (...) of its many manifestations, affected ignorance is morally culpable because it involves a choice not to investigate whether some practice in which one participates in might be immoral. I contend further that James Montmarquet’s set of intellectual virtues can provide a positive account of what it means to act as a responsible moral agent while immersed in a meat eating culture; they also represent the moral and epistemic framework for the kind of public discourse that should be taking place. (shrink)
This article reassess Rorty’s contribution to human rights theory. It addresses two key questions: (1) Does Rorty sustain his claim that there are no morally relevant transcultural facts? (2) Does Rorty’s proposed sentimental education offer an adequate response to contemporary human rights challenges? Although both questions are answered in the negative, it is argued here that Rorty’s focus on suffering, sympathy, and security, offer valuable resources to human rights theorists. The article concludes by considering the idea of a dual (...) approach to human rights, combining Rorty’s emphasis on sentiment with an analysis of patterns of responsibility for the underfulfilment of human rights. (shrink)
The order and harmony of the universe can be much more easily reconciled with the iniquity of nature (incomprehensible natural calamities) if we consider that the universe is accidental and not something responding to a deliberate creative project. The exercise of free will, however, is possible only in the presence of a certain measure of indeterminacy, and this necessarily entails the possibility of unpredictable disaster. It must be said, then, in the light of the Anthropic Principle, that if man were (...) to exist as a subject endowed with free will, then the iniquity of nature, pain and suffering would also have to exist. The latter are profoundly related to free will, not only because they may stem from an evil use of it, but also because they are the sine qua non for its very existence. (shrink)
Although many of us deny it, it is not uncommon to feel pleasure over the suffering of others, particularly when we feel that suffering has been deserved. The German word for this concept- Schadenfreude -has become universal in its expression of this feeling. Drawing on the teachings of history's most prominent philosophers, John Portmann explores the concept of Schadenfreude in this rigorous, comprehensive, and absorbing study. Citing examples from literature and popular culture-from the works of Toni Morrison, Umberto (...) Eco and Baudelaire to physical comedy and cartoons-Portmann lays bare an important distinction in our understanding of Schadenfreude , the difference between taking pleasure in the suffering of others and relishing the execution of justice. His study of Schadenfreude contrasts Kant and Schopenhauer's rejection of the concept to Nietschze's and Freud's embrace of this all-too-human tendency. Most importantly, he confronts the debates over institutional punishment, violence in our culture, and our current hunger for media images of punishment and betrayal. Almost encyclopedic in its survey of scholarship on understanding and evaluating Schadenfreude , this groundbreaking and highly accessible examination of a neglected topic will make a vital contribution to the study of human ethics, as it compels us to reexamine our own feelings about suffering, sympathy, and the morality of justice. (shrink)
: The "major Islamic philosophers," writes Deborah Black, "produced no works dedicated to aesthetics, although their writings do address issues that contemporary philosophers might study under that heading." The emergent theme in this essay is that classical Islamic philosophy may be studied within a framework of aesthetics. To achieve this goal, the metaphysics of Abu Hamid al-Ghazālī (1058–1111) and the aesthetics of Arthur Schopenhauer (1788–1860) will be brought together.
Estimating the financial value of pain informs issues as diverse as the market price of analgesics, the cost-effectiveness of clinical treatments, compensation for injury, and the response to public hazards. Such costs are assumed to reflect a stable trade-off between relief of discomfort and money. Here, using an auction-based health market experiment, we show the price people pay for relief of pain is strongly determined by the local context of the market, determined either by recent intensities of pain, (...) or their immediately disposable income, but not overall wealth. The absence of a stable valuation metric suggests that the dynamic behaviour of health markets is not predictable from the static behaviour of individuals. We conclude that the results follow the dynamics of habit formation models of economic theory, and as such, the study provides the first scientific basis for this type of preference modelling. (shrink)
With the rise of modern medicine, spiritual approaches to cop- ing with pain and understanding distress have been largely aban- doned. However, there is sufficient empirical evidence available that shows the importance of spiritual experiences, beliefs and practices for self- and pain perception as well as coping. Hence, this paper ar- gues that the assessment of patients' spirituality, acknowledgment of the effects of and e_ects upon pain, and utilization of pluralist resources to accommodate patients' spiritual needs reflect our most current (...) understanding of the physiological, psychological and socio- cultural aspects of spirituality and spiritual experiences (regardless of religious or secular expression). (shrink)
Not long ago, an issue of my local paper reminded its readers of Susan Smith, the Carolinan mother who rolled her Mazda into a lake, drowning her two little sons strapped inside. It also reported the abduction and gang rape of an eleven-year old girl by eight teenage members of Angelitos Sur 13, and the indictment of the "Frito Man" on 68 counts of sexual abuse, a fortyfive year old man who handed out corn chips to neighborhood children in order (...) to lure them to a secluded location. More recently, the headlines announced the untimely death of Ashley Jones, a twelve-year old girl from nearby Stanwood, Washington--she was raped and bludgeoned to death while babysitting her neighbor's kids. (shrink)
Perhaps almost all non-theists will agree that ‘the problem of evil’ has some role in their reasons for rejecting traditional Western theism. When they consult their intuitions, non-theists typically do not find it credible to suppose that this is the kind of world which could have been created by an all-powerful, all-knowing, all-good being. Moreover, when they review their reasons for non-belief, non-theists typically find that a catalogue of the amounts and kinds of evils which are to be found in (...) the world adds some weight to the case against the existence of such a being. (shrink)
Up to now neither the question, whether all theoretical medical knowledge can at least be described as scientific, nor the one how exactly access to the existing scientific and theoretical medical knowledge during clinical problem-solving is made, has been sufficiently answered. Scientific theories play an important role in controlling clinical practice and improving the quality of clinical care in modern medicine on the one hand, and making it vindicable on the other. Therefore, the vagueness of unexplicit interrelations between medicine''s stock (...) of knowledge and medical practice appears as a gap in the theoretical concept of modern medicine which can be described as Hiatus theoreticus in the anatomy of medicine. A central intention of the paper is to analyze the role of philosophy of medicine for the clarification of the theoretical basis of medical practice. Clinical relevance and normativity in the sense of modern theory of science are suggested as criteria to establish a differentiation between philosophy of medicine as a primary medical discipline and the application of general philosophy in medicine. (shrink)
I shall argue that the way people in relatively affluent countries react to a situation like that in Bengal cannot be justified; indeed, the whole way we look at moral issues—our moral conceptual scheme—needs to be altered, and with it, the way of life that has come to be taken for granted in our society.
Motivated by Lord Joffe’s Assisted Dying for the Terminally Ill Bill, but with one eye on any possible future legislation, I consider the justifications that might be offered for limiting assistance in dying to those who are suffering unbearably from terminal illness. I argue that the terminal illness criterion and the unbearable suffering criterion are not morally defensible separately: that a person need be neither terminally ill (or ill at all), nor suffering unbearably (or suffering at (...) all) to have a right to assisted dying. Indeed: I shall suggest that the unbearable suffering criterion undermines the Bill (or any proposal like it) wholesale. On the other hand, the criteria taken together are defensible, and this defence would be built on a concern for the protection of the vulnerable. However, I also claim that this implies that the law might justifiably—and maybe even properly—aim to prevent a person from gaining access to that to which they have a serious moral right. This seems paradoxical, and, towards the end of the paper, I seek to tease apart the paradox. (shrink)
There is a conception of hell that holds that God punishes some people in a way that brings about endless suffering and unhappiness. An objection to this view holds that such punishment could not be just since it punishes finite sins with infinite suffering. In answer to this objection, it is shown that endless suffering, even intense suffering, is consistent with the suffering being finite. Another objection holds that such punishment is contrary to God's love. (...) A possible response to this objection is developed. (shrink)
It is common to talk of wise physicians, but not so common to talk of wise patients. "Patient" is a word derived from the Latin patior - "to suffer," but also "to let be." Suffering has been the universal lot of humanity, and medicine rightly tries to relieve suffering. Medical progress, like all technological progress, leads us more and more to hope that we can control our fate. However, we do well to ask whether our attempts to control (...) our fate are wise. Wisdom played a major role in the philosophy of the ancient Stoics, and so I propose putting these questions into the context of a new stoicism. For the Stoic, happiness consists in living in accord with nature. Stoics are sometimes portrayed as apathetic fatalists, silently accepting whatever misfortune might come their way, but this is a misunderstanding. The Stoic sage, like the common person, wants to preserve life and health. The difference is that the sage's wisdom brings knowledge about what actions are appropriate in the face of suffering. The sage sees suffering not as something that demands immediate control, but as something that might reasonably direct actions. Suffering brings turmoil to the common patient, who will take any possible steps to end the suffering. The wise patient possesses the knowledge that enables a correct assessment of the options in the face of the reality that we ultimately do not control our own fate. (shrink)
Compassion unites people during times of suffering and distress. Unfortunately, compassion cannot take away suffering. Why then, is compassion important for people who suffer? Nurses work in a domain where human suffering is evidently present. In order to give meaning to compassion in the domain of professional care, it is necessary to describe what compassion is. The purpose of this paper is to explore questions and contradictions in the debate on compassion related to nursing care. The paper (...) reviews classical philosophers as well as contemporary scientists' main arguments on compassion. First, I will examine the relationship between compassion and suffering. Second, how does one recognize serious suffering? This issue raises questions about the role of imagination and the need for identification. Third, literature describes compassion as an emotion. Some philosophers consider emotions uncontrollable feelings; others see a clear rational dimension in emotions. In order to determine what compassion is, it is necessary to weigh these contradictional arguments. Fourth, I will discuss motives for compassion. Is compassion an act of altruism or egoism? In this debate Nietzsche and Schopenhauer are well-known opponents. Today, analysis of their arguments leads to some surprising conclusions. Fifth, there is the issue of fault and compassion. Can we only feel compassionate when people who suffer are not to blame for their own suffering? Such a condition faces professional caretakers with a dilemma which needs a thorough analysis if compassion is to be of use in the field of professional care. Finally, I will explore the moral meaning of compassion. Compassion, described as a concept with cognitive as well as affective dimensions, also has volitional and behavioural aspects. These aspects specifically are of importance to nursing care and further research of compassion in the nursing domain. (shrink)
In this essay I first articulate what I take to be an influential and for the most part persuasive model in the western psychoanalytic tradition that is a response to tragic loss, namely, the one that we find in Freud’s little essay entitled ‘Mourning and Melancholia’ (1917). I then use a well-known Buddhist folk tale about the plight of a young woman named Kisagotami to underscore central elements from Buddhist psychology on the subject of suffering that is a consequence (...) of the loss of a young mother’s only child. Fortified by both traditions, I gather together the ingredients for a cross-cultural mental model that serves to explain and to justify as healthy a specific kind of response to a specific form of suffering, namely, the loss of ones’ loved one. I arrive at this model by asking a number of specific questions of both traditions. For instance, what constitutes a non-pathological response to this kind of suffering? What state of mind represents the cessation of such suffering? Is preoccupation with the dead beloved a way of escaping the fact that the person is dead? Is this a form of ignorance that needs to be removed? Is it a form of moral deficiency? Might certain forms and contexts of ignorance, in effect, put one on a path to enlightenment? (shrink)
The title of this paper seeks to identify a thematic barrier to the further advancement of human rights. It argues that moral standards (or to put it another way how we think about the rights of our fellow human beings) plays a fundamental role in the progress of human rights. In the cases of slavery, gender inequality and racism, significant progress only came after the development of new paradigms which extended equality to the previously excluded group. These case studies further (...) offer insights into the processes by which seemingly ineradicable injustices in society are amenable to change. In our current world, much of our behaviour implicitly and explicitly regards discrimination against foreigners as morally acceptable. Implicitly the suffering of human beings who we categorize as non-citizens or foreigners has less value than our own suffering. The implicit acceptance, including in human rights instruments, that foreigners are not entitled to full equality feeds enormous human suffering, which amounts to moral, if not legal, human rights violations. The case studies examined in this paper suggest the importance of challenging discrimination and exclusion on the grounds of foreignness, if the most profound human rights violations of the modern day are to be addressed. (shrink)
Public debate on acceptable farm animal husbandry suffers from a confusion of tongues. To clarify positions of various stakeholder groups in their joint search for acceptable solutions, the concept of animal welfare was split up into three notions: no suffering, respect for intrinsic value, and non-appalling appearance of animals. This strategy was based on the hypothesis that multi-stakeholder solutions should be based on shared values rather than on compromises. The usefulness of such an artificial value distinction strategy was tested (...) in a small series of experiments. The results demonstrate that the chosen concept to distinguish between values is effective in a stakeholder context. Farmers’ views on doing good to animals appeared to be largely based on their value to prevent suffering and predominantly focused on the provision of regular care. Their priority for this value is clearly shared with other stakeholders, providing a basis for joint solutions. The concept of intrinsic value does not play a discernable role in farmers’ considerations. Based on the varying views on welfare, it can be inferred that there is a gradual rather than a principal difference between government legislation and farmers’ values, whereas public perception and acceptance of farm practices remains complicated. Distinction between value groups and focusing on a selected notion (such as no suffering) proved to be effective in bringing representatives of stakeholder groups together, but is unlikely to bridge the emotional gap between commercial farm practices and public ideals. (shrink)
This essay is intended to explore relations between work and subjectivity (that is, what concerns the individual subject: his or her suffering, pleasure, personal development, and so on). To this end, we shall draw on a body of theory and clinical practice that has been developing in France for some twenty years under the name of the `psychodynamics of work' and ask the three following questions. What is work? This question might seem trivial, but the clinical analysis of the (...) relationship between work and subjectivity shows that work is inseparable from suffering. Working inevitably means experiencing failure—in terms of one's know-how, technique and control of the work process. Is suffering simply an unfortunate consequence of work? We shall attempt to show that in fact it is also at the origin of intelligence and ingeniousness. Which subjectivity? Assuming that we recognise what work owes to subjectivity, we must also reverse the question and ask ourselves what subjectivity (individual development) owes to work. We shall attempt to show that work constitutes a decisive challenge for subjectivity, one that can enhance that subjectivity (self-fulfilment) or, conversely, destroy it (mental pathology). Here, we shall evoke the questions raised by mental pathologies generated by the new forms of work organisation. Subjectivity between work and action? Work is not simply an individual experience. We always work for someone. Working always means encountering others in social relations, or in other words, relations of domination and servitude. Under what conditions do men and women who work agree to cooperate with each other? What conditions allow us to ward off the violence threatening to emerge from the social relations of work? Work offers what is perhaps the most ordinary opportunity to learn about living together (in Aristotle's sense) and democracy. But it can also give rise to the worst—the instrumentalisation of human beings and barbarity. (shrink)
Scientists, the medical profession, philosophers, social scientists, policy makers, and the public at large have been quick to embrace the accomplishments of genetic science. The enthusiasm for the new biotechnologies is not unrelated to their worthy goal. The belief that the new genetic technologies will help to decrease human suffering by improving the public’s health has been a significant influence in the acceptance of technologies such as genetic testing and screening. But accepting this end should not blind us to (...) the need for an evaluation of whether a particular means is adequate to achieve it. Lack of such evaluation notwithstanding, discussions of the ethical, legal, and social implications have tended to presuppose that the development and implementation of genetic testing will be an appropriate means to reduce human suffering in significant ways. I argue here that such an assumption is mistaken. In part this is the case because human biology is more complex than sometimes it is made to appear in these debates. But, the idea that human suffering resulting from disease can be reduced in significant ways with the use of genetic testing also ignores the social contexts in which these technologies are being developed and implemented. (shrink)
I argue in this paper that a recovery of the cognitive role of the experiencing subject is the common theme uniting Theodor Adorno's philosophy and Marcel Proust's literary project. This shared commitment is evidenced by the importance given by both thinkers to the expressive dimension of language in relation to its social function as a vehicle for communication. Furthermore, I argue that Adorno and Proust conceive of language's expressive dimension as the expression of suffering. However, whereas, for Proust, this (...) means the private suffering of the artist transforming itself into a work of art, for Adorno it means suffering that is rooted in sociohistorical conditions. It is this thesis, I suggest, that enables Adorno to employ the recovery of the experiencing subject as a form of social criticism. (shrink)
This paper aims to provide an ethical assessment of the shooting of animals for sport. In particular, it discusses the use of partridges and pheasants for shooting. While opposition to hunting and shooting large wild mammals is strong, game birds have often taken a back seat in everyday animal welfare concerns. However, the practice of raising game birds for sport poses significant ethical issues. Most birds shot are raised in factory-farming conditions, and there is a considerable amount of evidence to (...) show that these birds endure extensive suffering on these farms. Considering the fact that birds do have interests, including interests in life and not suffering, what are the ethical implications of using them for blood sports? Indeed, in the light of the suffering that game birds endure in factory farms, it may be that shooting such birds for sport is more morally problematic than other types of hunting and shooting which many people are often fiercely opposed to, for while it seems plausible to say that some animals may be harmed more by death than others (due to, say, their greater capacities), there may be harms that are worse than death (such as a life of intolerable suffering). The objective of this paper is to assess the ethics of shooting animals for sport, and in particular the practice of raising game birds for use in blood sports, by applying principles commonly used in ethics; specifically the principle of non-maleficence and equal consideration of (like) interests. (shrink)
The growing support for voluntary active euthanasia (VAE) is evident in the recently approved Dutch Law on Termination of Life on Request. Indeed, the debate over legalized VAE has increased in European countries, the United States, and many other nations over the last several years. The proponents of VAE argue that when a patient judges that the burdens of living outweigh the benefits, euthanasia can be justified. If some adults suffer to such an extent that VAE is justified, then one (...) may conclude that some children suffer to this extent as well. In an attempt to alleviate the suffering of extremely ill neonates, the University Medical Center Groningen developed a protocol for neonatal euthanasia. In this article, I first present the ethical justifications for VAE and discuss how these arguments relate to euthanizing ill neonates. I then argue that, even if one accepts the justification for VAE in adults, neonatal euthanasia cannot be supported, primarily because physicians and parents can never accurately assess the suffering of children. I argue that without the testament of the patient herself as to the nature and magnitude of her suffering, physicians can never accurately weigh the benefits and burdens of a child’s life, and therefore any such system would condemn to death some children whose suffering is not unbearable. I conclude that because the primary duty of physicians is to never harm their patients, neonatal euthanasia cannot be supported. (shrink)
Depression is often diagnosed in patients nearing the end of their lives and medication or psychotherapy is prescribed. In many cases this is appropriate. However, it is widely agreed that a health care professional should treat sick persons so as to improve their condition as they define improvement. This raises questions about the contexts in which treatment of depression in late life is appropriate. This article reviews a problematic case concerning the appropriateness of treatment in light of the literature in (...) bioethics. Specific attention is paid to the concept of authenticity and the role of suffering. Suffering is often the result of a situation in which one's self is damaged. In some circumstances, this suffering should not be seen as a symptom of illness but as a reflection, in a difficult life context, of the individual's authentic nature. Assessment of depression in the elderly must go beyond a symptom list and must consider both the context of the individual's situation and his or her authentic self. When the symptoms reflect the individual's assessment of the situation in the context of the authentic self, they may be "appropriate." However, even when the symptoms are appropriate, if they interfere with life assessment and adjustment, treatment should be considered. (shrink)
The first part of this paper provides a general theory of moral climates, which incorporates the following three elements: first, the values and limitations of that picture of moral behaviour focused on rules, rule-following and rationality; second, that picture of moral behaviour focused on institutionally-embedded activity; and third, that picture of moral behaviour that urges us to come face to face with our own limitations, i.e., our own ways of orienting ourselves to objects of value, such that we do not (...) neglect the vigilance required in order to see and recognise the great variety and depth of suffering and vulnerability. The moral climate of any particular social environment can be evaluated from the perspective of these three elements. The second part of the paper applies this general theory of moral climates to that of international economic institutions. It is argued that, despite their importance, both human rights discourse and institutional features designed to increase participation from developing countries in decision- and policy-making, are of limited use, partly because of their inherent limitations, and partly because of the emergence of international economic institutions in the context of an already heavily de-politicised and autonomous economic sphere. The necessary transformation of international economic institutions ought not to neglect the continuing domination of the orientation of those institutions towards the value of efficiency, to which all other values tend to be made subordinate. The paper proposes not only vigilance about the limitations of current and proposed normative languages and institutional features, but also urges the consideration of a Community Forum scheme, which is designed to bring to light and thereafter communicate, via the participation of international experts and artists, some of the particularities of suffering and vulnerability within specific communities. Finally, the paper illustrates the need for greater awareness of the particularities of suffering and vulnerability by considering the continuing problem of access to public goods and services amongst the poor in Nigeria. (shrink)
This essay critically evaluates the theodicies of John Hick, Richard Swinburne and process theism regarding animal suffering and evils. Their positions on animals are found to be flawed and/or inadequate because they cannot explain the mass suffering and unnecessary deaths to animals throughout time. I also offer a positive contribution. That is, God’s putative love for all humans and animals does not entail that he loves every single human and animal. It is very possible that God treats humans (...) and animals similarly in regard to evils. This theory partly explains human tragedies such as the Holocaust and much unnecessary animal and human suffering. (shrink)
"Nobis argues that Singer's consequentialist approach is inadequate for defending the moral obligation to become a vegetarian or vegan. The consequentialist case rests on the idea that being a vegetarian or vegan maximizes utility -- the fewer animals that are raised and killed for food, the less suffering. Nobis argues that this argument does not work on an individual level -- my becoming a vegetarian makes no difference to the overall utility of reducing animal suffering in a context (...) of a huge industry and market unaffected by my actions. Nobis merges the insights of virtue ethics with consequentialism to argue that individuals can bring about more goodness if they have the virtues of compassion, care, and sensitivity to unnecessary cruelty and suffering. If one ought to be compassionate, sensitive to cruelty, resist injustice, and be morally integrated, then, Nobis argues, one ought to be a vegetarian or vegan.". (shrink)
AS MANY OF us know, millions of people on this planet are suffering for lack of potable water, basic healthcare, and adequate nutrition. And, as many of us also know, we (the well‐to‐do) could alleviate and/or prevent some of this suffering by making certain sacrifices, e.g., by donating some of our incomes to organizations such as Oxfam and UNICEF. Suppose, then, that we are wondering to what extent each of us is morally obligated to make sacrifices for the (...) sake of helping to alleviate such suffering. Could the answer to this question depend on the existence of beings on some distant planet, call it Zargon, over which we have not had, and will never have, any influence? Suppose that there is nothing that we can do to affect the lives of Zargonians in any way. We can neither harm nor benefit them; we cannot even have the slightest effect on their thoughts or experiences, for their planet is billions of light years away from ours and, consequently, far beyond the reach of our causal powers. We know about them only through the supernatural abilities of an oracle, who we know always tells the truth and who tells us everything about them.1 But although we know about them, they do not know about us, for we have no way to communicate with them, let alone affect their welfares. Given that we can have no effect on their lives and that they can have no effect on our lives beyond whatever little effect our knowledge of their doings has on us, how could their existence possibly affect how much one of us is required to sacrifice for the sake of alleviating some of the suffering here on Earth? It seems absurd to suppose that it could. Yet this is precisely what rule‐. (shrink)
