Descartes with his sharp separation of the mental and the physical set the stage for the philosophy of mind for the next 350 years. Philosopher Patrick T. Mackenzie finds in the later writings of Wittgenstein the suggestion that Descartes got off on the wrong foot. Following Wittgenstein's lead, Mackenzie argues that instead of analyzing our human nature as a composite of mind and body, we should view ourselves as whole persons. One of the dividends of this approach to the (...) mind-body problem is that it provides us with a resolution to the problem of human freedom—i.e., how can a human being be free if his or her body (including the brain) belongs to a deterministic world? Mackenzie here argues that the person is largely free even though the movements of the body are determined by neurophysiological events. He takes the same approach to the philosophy of mind as that taken by M.R.Bennett and P.M.S.Hacker in their recent and controversial book, The Philosophical Foundations of Neuroscience. Mackenzie's approach is, however, much more accessible. Students of philosophy and philosophers interested in the problem of human freedom will welcome Mackenzie's fresh approach, especially those disenchanted by the present list of mind-body "isms.". (shrink)

Health care in the United States, being a microcosm of the broader society in which it developed, possesses a sordid legacy concerning racial prejudices, biases, and the perpetuation of health and...

McCarthy, Homan, and Rozier’s article seeks to bridge a gap between theological and secular bioethics. It should be noted that the “theological” emphasis in the a...

Collaboration between the arts and health sectors is gaining momentum. Artists are contributing significantly to public health efforts such as vaccine confidence campaigns. Artists and the arts are well positioned to contribute to the social conditions needed to build trust in the health sector. Health professionals, organizations, and institutions should recognize not only the power that can be derived from the insights, artefacts, and expertise of artists and the arts to create the conditions that make trust possible. The health sector (...) must also recognize that, while it can gain much from partnership with artists, artists risk much—namely, the public's trust—when they are in such partnerships. This essay unpacks these claims and considers the care and ethical considerations that must be brought to these partnerships to yield constructive pathways for ethical collaboration as well as for both establishing public trust and continuing to hold the health care profession accountable for becoming more trustworthy. (shrink)

Political theorists have traditionally grappled with laughter by posing a simple, normative question: ‘What role, if any, should laughter play in the polis?’ However, the outsized presence of laughter in contemporary politics has rendered this question increasingly obsolete. What good does determining laughter’s role in the polis do when the polis itself is to a large extent shaped by laughter? The present essay argues that Kant’s aesthetic investigations of laughter in the Critique of Judgment and Anthropology from a Pragmatic Point (...) of View offer a much needed alternative to the normative discourse. Kant theorizes laughter as an intensely dialectical experience — at once an aesthetic judgment and an affect. Laughter in Kant enacts dissensus: it disrupts and transforms sensus communis, or the ways subjects see and hear the world in common that organize and structure a political community. The essay illustrates the advantages of a Kantian conception of the politics of laughter over the normative discourse by examining Dave Chappelle’s controversial 2019 stand-up comedy special Sticks & Stones. It concludes that the dissensus enacted by laughter, while not necessarily democratic, provides a privileged opening for democratic politics. (shrink)

Ramsey sees life as a gift and a trust given to people by God. This theological understanding of human life frames his judgment of the immorality of euthanasia in its many forms. Assuming Ramsey’s theological insights and framing of this issue, I highlight a particular way of thinking about euthanasia that both seems to capture the essence of the debate and does not necessarily build the moral evaluation into its description. I aim to identify and unpack the description most consistent (...) with the claims made by Ramsey of how other end-of-life (EOL) care options are seen as life choices in order to die well enough. If this project is right-headed, it can be used as a backdrop for assessing how many of the currently accepted and perhaps developing options in EOL and palliative care may or may not be morally distinct from euthanasia. Therefore, those who oppose euthanasia while wanting also to maintain the appropriateness of many of other EOL care options in certain situations are not acting inconsistently. This primarily conceptual work is done in service to those who take Ramsey’s theological framework seriously. (shrink)

This article explores the surprisingly decisive role that Kant’s “incongruity theory” of laughter plays in his aesthetic and broader critical philosophy. First, laughter constitutes a highly specific form of aesthetic judgment in Kant. Laughter involves a discordant relation between the cognitive faculties characteristic of the sublime, but this relation obtains between the understanding and the imagination, the two faculties at play in judgments of taste on the beautiful. Second, laughter is the transcendental condition of possibility for both the beautiful and (...) the sublime. While most commentators dismiss laughter as an afterthought of Kant’s aesthetics, laughter in fact constitutes the most basic aesthetic judgment in Kant. Third, an account of aesthetic judgment that begins with laughter transforms how we understand Kant’s argument that judgment unites nature and freedom. Namely, it reveals how an empirical world at odds with the subject’s purposes can nevertheless advance the subject’s rational vocation to think and act beyond the empirical. I conclude by arguing that Kantian critical philosophy is itself a philosophy of laughter. (shrink)

The acidic (leucine‐rich) nuclear phosphoprotein 32 kDa (ANP32) family is composed of small, evolutionarily conserved proteins characterized by an N‐terminal leucine‐rich repeat domain and a C‐terminal low‐complexity acidic region. The mammalian family members (ANP32A, ANP32B, and ANP32E) are ascribed physiologically diverse functions including chromatin modification and remodelling, apoptotic caspase modulation, protein phosphatase inhibition, as well as regulation of intracellular transport. In addition to reviewing the widespread literature on the topic, we present a concept of the ANP32s as having a whip‐like (...) structure. We also present hypotheses that ANP32C and other intronless sequences should not currently be considered bona fide family members, that their disparate necessity in development may be due to compensatory mechanisms, that their contrasting roles in cancer are likely context‐dependent, along with an underlying hypothesis that ANP32s represent an important node of physiological regulation by virtue of their diverse biochemical activities. (shrink)

This essay highlights an argument for the moral impermissibility of physician-assisted death based on the prohibition of killing innocents that unfolds in four phases. First, I identify the operative moral principle and then develop a moral argument based upon it. Second, I raise challenges to such an argument designed to mitigate the force of the conclusion. Third, I sketch out a potential defense of the argument in light of these counter-responses for those who want to maintain moral opposition to physician-assisted (...) death based upon the prohibition of killing innocents. Finally, I conclude with a brief postscript that highlights the limits of the philosophical approach taken in this essay in conversation with the role of moral psychology in moral judgment. (shrink)

J. L. Schellenberg has provided a rigorous and robust philosophical defense of religious skepticism through various modes of reasoning and employs an epistemic defeat strategy that appeals to unrecognized evidence. He contends on this framework that reason requires religious skepticism. This essay focuses on Schellenberg’s basic epistemic defeat strategy. I argue that his methodology is problematic because his key skeptical argument rests on an equivocation on the notion of total evidence, which makes it difficult to implement his epistemic defeat strategy (...) in favor of his claim that reason requires us to be religious skeptics. (shrink)

This essay claims that one can consistently maintain a sanctity of human life principle that is explicitly grounded in theology, while making a kind of quality-of-life judgment regarding withholding or discontinuing life-sustaining treatments for those with advanced illnesses. For those who embrace them, resources that are specific to the Christian tradition delineate the parameters of responsibility for people dying with advanced illness and those who care for them. Those who embrace the sanctity of human life for the theological reasons provided (...) in this essay are under no moral obligation to continue merely to sustain life at the end of life—that is, when, in view of our best available judgment, the human being (who remains inherently valuable nonetheless) will not ever be able to exemplify other human values that contribute to human flourishing, theologically understood. (shrink)

This article tells an intellectual history of Mammaṭa Bhaṭṭa’s Kāvyaprakāśa in the Benares-Centered Network of Sanskrit Learning from c. 1600–1750 CE. The core narrative proposed herein is that the discourse on Sanskrit Poetics reaches a bifurcated state by the 1400s and 1500s: the Kāvyaprakāśa commentarial tradition constitutes a distinct domain, wherein commentators debate exclusively among themselves on lower-order issues. This period of normalcy is ruptured by Appayya Dīkṣita, who effectively destabilizes the discourse, overhauling the conventional wisdom via his empiricist polemics (...) and via the importation of a new doxographical methodology from Vedānta in his magnum opus on Sanskrit Poetics, the Citramīmāṃsā. Shortly thereafter, Jayarāma Nyāyapañcānana, the Benares-based Naiyāyika from the East, substantially defends Mammaṭa’s system of poetic ornaments against Appayya’s polemics within his Kāvyaprakāśa commentary, marking the beginning of the bifurcation’s erosion. The tension of how to resolve Appayya’s system with Mammaṭa’s dominates the literature for the ensuing century, and commentators such as Kamalākara Bhaṭṭa, Bhīmasena Dīkṣita, and Nāgeśa Bhaṭṭa all champion defenses of the Kāvyaprakāśa’s authoritative and conservative system against Appayya. This tension culminates in the discourse’s last major treatise, the Alaṅkārakaustubha of Viśveśvara Paṇḍita, wherein Viśveśvara situates himself on a continuum with Jayarāma and defends the core contours of Mammaṭa’s system against Appayya and Jagannātha Paṇḍitarāja. Viśveśvara systematically utilizes the most up-to-date frameworks and positions of Nyāya, entailing radical transformations for the core terminology, standards of debate, and philosophical underpinnings in Sanskrit Poetics. The article concludes by way of contextualizing Jagannātha Paṇḍitarāja within this new narrative. (shrink)

Torbjörn Tännsjö has argued that the practice of palliative, or terminal, sedation can be distinguished from the practice of euthanasia in a morally relevant way. He seeks to develop a coherent conceptual model for those who accept the sanctity-of-life doctrine, affirm the ethical permissibility of palliative/terminal sedation, and reject various forms of euthanasia. The author argues that Tännsjö has not sufficiently distinguished the practices of palliative/terminal sedation and euthanasia in a morally relevant way for those who accept sanctity-of-life values in (...) end-of-life health care. His argument is a philosophical critique of the soundness of Tännsjö’s conceptual model. With respect to moral theology, the author claims that, in Tännsjö’s attempt to make his case, he uses the wrong conceptual tools, and the tools he does use, he uses wrongly. National Catholic Bioethics Quarterly 15.2 : 287–301. (shrink)

During his encounter with Lethaeus Amor in theRemedia amoris, in which he discusses techniques to forget a former lover, Ovid writes the following:quisquis amas, loca sola nocent: loca sola caveto;quo fugis? in populo tutior esse potes.non tibi secretis est opus; auxilio turba futura tibi est.tristis eris, si solus eris, dominaeque relictaeante oculos facies stabit, ut ipsa, tuos.This passage has been discussed in Hardie's treatment of Lethaeus Amor, and, while he directly addresses Ovid's use oflociin this passage as I shall below, (...) his focus is on the rich intertextuality – textual remembrances – within theRemediarather than the use oflociin thears memoriaeproper. Hardie points out numerous intertexts in theRemedia, using the character of Lethaeus Amor to highlight the paradox of a learned reader of love poetry being unable to forget the poetry he has read, despite this specific oblivion being a precondition for curing oneself of love. In this case, theloca solaOvid warns against are ‘topics of solitude’ which ‘conjure up for the experienced reader scenes of erotic despair’, thus calling to mind the lover's own lovelorn state. (shrink)

Modern readers appalled by Abraham's unquestioning obedience to a divine command to slaughter his son on the altar of sacrifice readily and repeatedly comply with governmental calls to sacrifice their own and others' children on the battlefield. But the God who interrupts the sacrifice of Isaac awakens Abraham and modern readers from the idolatrous nightmare of a patriotism that commands and blesses the sacrificial slaughter of our children.

THE JUST WAR THEORY OBLIGES CITIZENS OF A DEMOCRACY TO OPPOSE war unless it is being waged as a last resort and their nation possesses a just cause, the right intent, legitimate authority, and the probability of success without inflicting disproportionate harm. However, several contemporary Hollywood combat films suggest that the only real moral duties in wartime belong to soldiers, who are to defend and protect their comrades in arms. At the same time, by consistently presenting the obligation to "support (...) the troops" as the public's principal wartime duty and as the final answer to any criticism of the war, proponents of the Bush administration's war in Iraq have exported this "warrior's ethic" home from the battlefield and substituted it for the just war theory. As a result, citizens are no longer expected to critique their government's call to arms but are instead expected to exhibit loyalty to the troops by supporting the war. (shrink)

International tourism has grown twenty-eight-fold since 1950, bringing one-fifth of its 698 million annual arrivals to developing nations. The industry is the second largest source of foreign exchange for the world's poorest forty-nine nations, and developing nations account for 65 percent of the 200 million jobs created annually by tourism. But half of tourist dollars leak back to the developed world, and tourism workers earn 20 percent less than employees in other sectors. Meanwhile, a flood of First World tourists threatens (...) to exhaust local resources, and sex tourism enslaves millions of women and children. Before hospitality was a $4 trillion industry, it was a biblical mandate to aid the needy. Yahweh commanded Israel to extend hospitality to the alien. Jesus demanded a radical hospitality to outcasts. And the early church saw hospitality as basic to discipleship. In a setting where contemporary travelers have much more wealth and power than their hosts, the "good sojourner" is called to practice a hospitality that preserves and sustains the environment while protecting the rights, culture, and heritage of indigenous peoples. (shrink)

IN RESPONSE TO A SPREADING RECRUITMENT CRISIS AMONG THE ARMY, National Guard, and Army Reserve during the first half of 2005, the Pentagon sought to bolster combat volunteers for Iraq by offering a wide array of enlistment and reenlistment bonuses. This use of financial incentives to recruit bodies for the Iraq war echoed earlier White House efforts to induce nations to join the "coalition of the willing" by offering aid and trade packages, and paralleled the Pentagon's decision to outsource twenty (...) thousand military jobs in Iraq to private military firms. When democratic nations seek to garner support for unpopular wars by offering financial incentives to those who serve in combat, they run the risk of exploiting the poor and undermining the moral legitimacy of their authority to wage war. (shrink)

This essay challenges the prevailing view among critical theorists that laughter’s emancipatory power stems from its ability to speak the truth. The disparate accounts of laughter offered by Plato, Hobbes, and Nietzsche exemplify an alternative strategy for theorizing laughter as a performance of deception, or an experience that mystifies rather than enlightens. While a view of laughter as deceptive may at first appear to reduce laughter’s critical leverage over ideology, I argue that this approach offers a stronger account of its (...) emancipatory power. Speaking the truth does little more than reveal the falsity of ideology, and laughter’s capacity to actually transform society hinges on how it deceives differently – namely, in such a way that prompts the imagination and construction of more democratic institutions and modes of relating. The essay concludes by considering the implications of this argument for how we understand the role of truth in critical theory today. (shrink)

This essay challenges the prevailing view among critical theorists that laughter’s emancipatory power stems from its ability to speak the truth. The disparate accounts of laughter offered by Plato, Hobbes, and Nietzsche exemplify an alternative strategy for theorizing laughter as a performance of deception, or an experience that mystifies rather than enlightens. While a view of laughter as deceptive may at first appear to reduce laughter’s critical leverage over ideology, I argue that this approach offers a stronger account of its (...) emancipatory power. Speaking the truth does little more than reveal the falsity of ideology, and laughter’s capacity to actually transform society hinges on how it deceives differently – namely, in such a way that prompts the imagination and construction of more democratic institutions and modes of relating. The essay concludes by considering the implications of this argument for how we understand the role of truth in critical theory today. (shrink)

This essay challenges the prevailing view among critical theorists that laughter’s emancipatory power stems from its ability to speak the truth. The disparate accounts of laughter offered by Plato, Hobbes, and Nietzsche exemplify an alternative strategy for theorizing laughter as a performance of deception, or an experience that mystifies rather than enlightens. While a view of laughter as deceptive may at first appear to reduce laughter’s critical leverage over ideology, I argue that this approach offers a stronger account of its (...) emancipatory power. Speaking the truth does little more than reveal the falsity of ideology, and laughter’s capacity to actually transform society hinges on how it deceives differently – namely, in such a way that prompts the imagination and construction of more democratic institutions and modes of relating. The essay concludes by considering the implications of this argument for how we understand the role of truth in critical theory today. (shrink)

This essay challenges the prevailing view among critical theorists that laughter’s emancipatory power stems from its ability to speak the truth. The disparate accounts of laughter offered by Plato, Hobbes, and Nietzsche exemplify an alternative strategy for theorizing laughter as a performance of deception, or an experience that mystifies rather than enlightens. While a view of laughter as deceptive may at first appear to reduce laughter’s critical leverage over ideology, I argue that this approach offers a stronger account of its (...) emancipatory power. Speaking the truth does little more than reveal the falsity of ideology, and laughter’s capacity to actually transform society hinges on how it deceives differently – namely, in such a way that prompts the imagination and construction of more democratic institutions and modes of relating. The essay concludes by considering the implications of this argument for how we understand the role of truth in critical theory today. (shrink)

This important work is a wonderful attempt at making the perennial problems of philosophers come alive with meaning for those who are just beginning their journey into the turbulent depths of philosophical reasoning. The attraction of philosophy is its thoughtful yet intensely critical exploration of the fundamental beliefs, concepts, and ideas that shape our understanding and influence our lives. Successful efforts to make such concerns intelligible, let alone captivating or compelling for the uninitiated reader, are extremely rare. Yet Dr. Mackenzie (...) has accomplished this feat through his extraordinary ability to untangle the complexities of ancient and contemporary problems while demonstrating the beauty of philosophical exploration. So often one hears that philosophy is too complicated for beginners to grasp, that contemporary readers are ill-prepared for the rigorous demands that analyses and syntheses of theoretical ideas require. Irrespective of such claims, it is to Dr. Mackenzie's credit that The Problems of Philosophers brings home to receptive minds, both young and old, some of the basic metaphysical questions that have captivated, puzzled, and perplexed intellectuals for centuries. In each case Dr. Mackenzie unravels difficult problems in an engaging style that sustains both the reader's interest and enthusiasm for each new topic encountered. As the text moves from the Pre-Socratics and Plato to critical thinking, informal fallacies, and on to Descartes, readers will emerge with sharpened skills and a keener understanding of method. Later these techniques are directed to special problems: the existence and nature of God, freedom, mind and body, and moral knowledge. Whether the discussion centers on Thales, Zeno, Protagoras, Lucretius, Socrates, Plato, Aquinas, Descartes, Locke, Berkeley, Hume, Bentham, Mill, or Kant, interested readers will come away with a new-found confidence in their own ability to engage in philosophical discourse, and a deeper appreciation not only for critical analysis but also for carefully crafted, well-developed arguments. (shrink)

Hastings Center Report, Volume 52, Issue S1, Page S50-S56, March‐April 2022.

Deep brain stimulation is a well-established therapy for the motor symptoms of Parkinson’s disease, but there remains an opportunity to improve symptom relief. The temporal pattern of stimulation is a new parameter to consider in DBS therapy, and we compared the effectiveness of Temporally Optimized Patterned Stimulation to standard DBS at reducing the motor symptoms of PD. Twenty-six subjects with DBS for PD received three different patterns of stimulation while on medication and using stimulation parameters optimized for standard DBS. Side (...) effects and motor symptoms were assessed after 30 min of stimulation with each pattern. Subjects experienced similar types of side effects with TOPS and standard DBS, and TOPS were well-tolerated by a majority of the subjects. On average, the most effective TOPS was as effective as standard DBS at reducing the motor symptoms of PD. In some subjects a TOPS pattern was the most effective pattern. Finally, the TOPS pattern with low average frequency was found to be as effective or more effective in about half the subjects while substantially reducing estimated stimulation energy use. TOPS DBS may provide a new programing option to improve DBS therapy for PD by improving symptom reduction and/or increasing energy efficiency. Optimizing stimulation parameters specifically for TOPS DBS may demonstrate further clinical benefit of TOPS DBS in treating the motor symptoms of Parkinson’s disease. (shrink)

Health justice seeks, both conceptually and in practice, to strengthen community engagement and empowerment as an integral means of addressing health disparities. In this essay, we explore the nature of communities and their roles in health care/public health. We propose that an ethical principle of respect for communities is a requisite part of health justice. It is this respect for communities that ethically grounds health justice’s calls for greater community engagement and empowerment. Conceptions of health justice, we claim, will gain (...) ethical power and coherence as this principle is more clearly recognized and further developed. (shrink)

Hastings Center Report, Volume 52, Issue S1, Page S3-S11, March‐April 2022.

ObjectiveOverweight and obesity [body mass index ≥ 25 kg/m2] are associated with poorer prognosis among women with breast cancer, and weight gain is common during treatment. Symptoms of depression and anxiety are also highly prevalent in women with breast cancer and may be exacerbated by post-diagnosis weight gain. Altered brain function may underlie psychological distress. Thus, this secondary analysis examined the relationship between BMI, psychological health, and resting state functional connectivity among women with breast cancer.MethodsThe sample included 34 post-menopausal women (...) newly diagnosed with Stage 0-IIa breast cancer who were enrolled in a 6-month randomized controlled trial of aerobic exercise vs. usual care. At baseline prior to randomization, whole-brain analyses were conducted to evaluate the relationship between BMI and seed-to-voxel rsFC of the hippocampus and amygdala. Connectivity values from significant clusters were then extracted and examined as predictors of self-reported depression and anxiety.ResultsMean BMI was in the obese range. For both seeds examined, higher BMI was associated with lower rsFC with regions of prefrontal cortex, including ventrolateral PFC, dorsolateral PFC, and superior frontal gyrus. Hippocampal connectivity with the vlPFC was negatively correlated with self-reported anxiety.ConclusionHigher BMI was associated with lower hippocampal and amygdala connectivity to regions of PFC implicated in cognitive control and emotion regulation. BMI-related differences in hippocampal and amygdala connectivity following a recent breast cancer diagnosis may relate to future worsening of psychological functioning during treatment and remission. Additional longitudinal research exploring this hypothesis is warranted. (shrink)

Professional identity and competent ethical behaviors of nursing students are commonly developed through curricular inclusion of professional nursing values education. Despite the enactment of this approach, nursing students continue to express difficulty in managing ethical conflicts encountered in their practice. This descriptive correlational study explores the relationships between professional nursing values, self-esteem, and ethical decision making among senior baccalaureate nursing students. A convenience sample of 47 senior nursing students from the United States were surveyed for their level of internalized professional (...) nursing values (Revised Professional Nursing Values Scale), level of self-esteem (Rosenberg’s Self-Esteem Scale), and perceived level of confidence in ethical decision making. A significant positive relationship (p < 0.05) was found between nursing students’ professional nursing values and levels of self-esteem. The results of this study can be useful to nursing educators whose efforts are focused on promoting professional identity development and competent ethical behaviors of future nurses. (shrink)

After a review of terminology, I identify—in addition to Margaret Battin’s list of five primary arguments for and against aid-in-dying—the argument from functional equivalence as another primary argument. I introduce a novel way to approach this argument based on Bernard Lonergan’s generalized empirical method. Then I proceed on the basis of GEM to distinguish palliative sedation, palliative sedation to unconsciousness when prognosis is less than two weeks, and foregoing life-sustaining treatment from aid-in-dying. I conclude that aid-in-dying must be justified on (...) its own merits and not on the basis of these well-established palliative care practices; and that societies must decide, in weighing the merits of aid-in-dying, whether or not to make the judgment that no life is better than life-like-this part of their operative value structure. (shrink)

The status of risk factors and disease remains a disputed question in the theory and practice of medicine and healthcare, and so does the related question of delineating disease boundaries. I present a framework based on Bernard Lonergan’s account of emergent probability for differentiating (1) generically distinct levels of systematic function within organisms and between organisms and their environments and (2) the methods of functional, genetic, and statistical investigation. I then argue on this basis that it is possible to understand (...) disease in terms of biological or higher intra-level dysfunction, risk factors—including genetic risk factors—in terms of statistical inter-level conditioning of a given stage or developmental sequence of systematic functioning, and the empirical boundaries of disease in terms of the limits of both functional categorization (from an epistemic standpoint) and upper-level integration of lower-level processes and events (from an ontological standpoint). (shrink)

Defining disease and delineating its boundaries is a contested area in contemporary philosophy of medicine. The leading naturalistic theory faces a new round of difficulties related to defining a normal environment alongside normal organismic functioning and to delineating a discrete boundary between risk factors and disease. Normative theories face ongoing and seemingly intractable difficulties related to value pluralism and the problematic relation between theory and practice. In this article, I argue for an integral—as opposed to a hybrid—philosophy of health based (...) on Bernard Lonergan’s notion of generalized empirical method that provides a way to settle these difficulties dynamically and comprehensively, both in theory, by orienting functional and statistical investigation toward an explanatory ecological viewpoint, and in practice, by framing critiques in relation to the normativity intrinsic to all human inquiry. (shrink)

In this introduction to a special subsection of Theoretical Medicine and Bioethics comprising separate reviews of the Springer Handbook of the Philosophy of Medicine, The Routledge Companion to Philosophy of Medicine, and The Bloomsbury Companion to Contemporary Philosophy of Medicine, I compare the three texts with respect to their overall organization and their approach to the relation between the science and the art of medicine. I then indicate two areas that merit more explicit attention in developing a comprehensive philosophy of (...) medicine going forward: health economics and systematic relations within the field as a whole. The reviews that follow speak for themselves. (shrink)

This paper represents a preliminary investigation relating Bernard Lonergan’s thought to health science and the healing arts. First, I provide background for basic elements of Lonergan’s theoretical terminology that I employ. As inquiry is the engine of Lonergan’s method, next I specify two questions that underlie medical insights and define several terms, including health, disease, and illness, in relation to these questions. Then I expand the frame of reference to include all disciplines involved in the cycle of clinical interaction under (...) the heading health science and the healing arts. Finally, I analyze the cycle of clinical interaction in terms of Lonergan’s cognitive theory. I compare and contrast my analysis, based on Lonergan, with that of Pellegrino, Thomasma and Sulmasy as I proceed. In closing, I comment briefly on the next stage of this project regarding Lonergan’s theory of the human good in relation to the practice of the healing arts. (shrink)

Lonergan’s treatment of transcendental method in the first chapter of <Method in Theology> presents a bit of a puzzle. Something about heightening consciousness at the level of experience is different from the reflexive operations by which we objectify this heightened experience. Lonergan’s summary statement of transcendental method makes no explicit reference to what this difference is. In this paper, I work out an interpretation of transcendental method in which I relate the problem of being explicit about heightening consciousness at the (...) level of experience to the problem of objectifying the subject-as-subject: both are a matter of performance. In this regard I identify a performative mode of subjective operation – in addition to the direct and introspective modes that Lonergan identifies in <Insight> – and develop an account of this mode of operation as it is manifested experientially in feelings and existentially in action. I relate the notion of feelings as data of consciousness to Lonergan’s account of the unity-in-tension of human consciousness, various forms and degrees of tension being the primary feeling-states of conscious experience. Finally, I note the significance of transcendental method in action with regard to understanding the subtleties of subject-to-subject communication in the encounter of patient and clinician as part of a philosophy of health on which I am working. (shrink)