Background Regionalised models of health care delivery have important implications for people with disabilities and chronic illnesses yet the ethical issues surrounding disability and regionalisation have not yet been explored. Although there is ethics-related research into disability and chronic illness, studies of regionalisation experiences, and research directed at improving health systems for these patient populations, to our knowledge these streams of research have not been brought together. Using the Canadian province of Ontario as a case study, we address this gap (...) by examining the ethics of regionalisation and the implications for people with disabilities and chronic illnesses. The critical success factors we provide have broad applicability for guiding and/or evaluating new and existing regionalised health care strategies. Discussion Ontario is in the process of implementing fourteen Local Health Integration Networks (LHINs). The implementation of the LHINs provides a rare opportunity to address systematically the unmet diverse care needs of people with disabilities and chronic illnesses. The core of this paper provides a series of composite case vignettes illustrating integration opportunities relevant to these populations, namely: (i) rehabilitation and services for people with disabilities; (ii) chronic illness and cancer care; (iii) senior's health; (iv) community support services; (v) children's health; (vi) health promotion; and (vii) mental health and addiction services. For each vignette, we interpret the governing principles developed by the LHINs – equitable access based on patient need, preserving patient choice, responsiveness to local population health needs, shared accountability and patient-centred care – and describe how they apply. We then offer critical success factors to guide the LHINs in upholding these principles in response to the needs of people with disabilities and chronic illnesses. Summary This paper aims to bridge an important gap in the literature by examining the ethics of a new regionalisation strategy with a focus on the implications for people with disabilities and chronic illnesses across multiple sites of care. While Ontario is used as a case study to contextualize our discussion, the issues we identify, the ethical principles we apply, and the critical success factors we provide have broader applicability for guiding and evaluating the development of – or revisions to – a regionalised health care strategy. (shrink)

1. In Authority and Estrangement, Richard Moran shows us with marvelous clarity how our capacity for avowal is constitutive of our freedom as rational agents. But philosophers also need to acknowledge that avowal plays a crucial role in keeping us unfree. This eludes Moran’s attention, I suspect, because he uses the therapeutic situation as a contrasting paradigm to our ordinary capacity for avowal.

" Here Jonathan Lear argues that irony is one of the tools we use to live seriously, to get the hang of becoming human.

But if, with Jonathan Lear, we scrutinize these thinkers' attempts to explain human behavior in terms of a higher principle--whether happiness or death--the ...

Explores the relationship between philosophers' and psychoanalysts' attempts to discover how man thinks and perceives himself.

In this brilliant book, Jonathan Lear argues that Freud posits love as a basic force in nature, one that makes individuation -- the condition for psychological health and development -- possible.

After this, nothing happened -- Ethics at the horizon -- Critique of abysmal reasoning.

This is a 1988 philosophical introduction to Aristotle, and Professor Lear starts where Aristotle himself starts. The first sentence of the Metaphysics states that all human beings by their nature desire to know. But what is it for us to be animated by this desire in this world? What is it for a creature to have a nature; what is our human nature; what must the world be like to be intelligible; and what must we be like to understand (...) it systematically? Through a consideration of these questions Professor Lear introduces us to the essence of Aristotle's philosophy and guides us through the central Aristotelian texts - selected from the Physics, Metaphysics, Ethics, Politics and from the biological and logical works. The book is written in a direct, lucid style which engages the reader with the themes in an active, participatory manner. (shrink)

We just lived through a global pandemic, and we are entering a period in which the alarming impacts of anthropogenic climate change are becoming increasingly ha.

Aristotle was the first and one of the greatest logicians. He not only devised the first system of formal logic, but also raised many fundamental problems in the philosophy of logic. In this book, Dr Lear shows how Aristotle's discussion of logical consequence, validity and proof can contribute to contemporary debates in the philosophy of logic. No background knowledge of Aristotle is assumed.

What is the appropriate relation of human reason to the human psyche--indeed, to human life--taken as a whole? The essays in this volume range over literature and ethics, psychoanalysis, social theory, and ancient Greek philosophy. But, from different angles, they all address this question. Wisdom Won from Illness probes deep into the heart of psychoanalysis to understand how it illuminates the human condition. At the same time it goes back to the origins of psychological thinking in ancient Greece--and the effort (...) to understand the ethical life of human beings. It examines the continuing travails of the Crow Nation in its efforts to find ways to live after cultural catastrophe. It probes the deep meaning of Kierkegaard's irony. It also considers two of the great writers of our time--John Coetzee and Marilynne Robinson--and their use of literature to change the human mind. Socrates thought reason should rule over the whole psyche; but much hangs on what we might mean by this claim. We humans have inflicted unimaginable suffering on each other, justified by arrogant conceptions of reason, and of ruling. The same is true of our treatment of other animals. False images of reason regularly blind us to the claims and reality of others. One way to react to all this pain and destruction is to denounce the very idea of reason as nothing more than an ideological tool of power. This book argues that is the wrong way to go. We should not be too quick to dismiss our real human capacities just because they have so often been put to such poor uses. The essays in this book aim to offer a philosophical anthropology and psychology that is adequate to who we are--and who we might legitimately hope to become.--. (shrink)

Whether aristotle wrote a work on mathematics as he did on physics is not known, and sources differ. this book attempts to present the main features of aristotle's philosophy of mathematics. methodologically, the presentation is based on aristotle's "posterior analytics", which discusses the nature of scientific knowledge and procedure. concerning aristotle's views on mathematics in particular, they are presented with the support of numerous references to his extant works. his criticism of his predecessors is added at the end.

In this fully updated second edition, Jonathan Lear clearly introduces and assesses all of Freud's thought, focusing on those areas of philosophy on which Freud is acknowledged to have had a lasting impact. These include the philosophy of mind, free will and determinism, rationality, the nature of the self and subjectivity, and ethics and religion. He also considers some of the deeper issues and problems Freud engaged with, brilliantly illustrating their philosophical significance: human sexuality, the unconscious, dreams, and (...) the theory of transference. Lear’s approach emphasizes the philosophical significance of Freud’s fundamental rule – to say whatever comes to mind without censorship or inhibition. This binds psychoanalysis to the philosophical exploration of self-consciousness and truthfulness, as well as opening new paths of inquiry for moral psychology and ethics. The second edition includes a new Introduction and Conclusion. The text is revised throughout, including new sections on psychological structure and object relations and on Freud’s critique of religion and morality. One of the most important introductions and contributions to understanding this great thinker to have been published for many years, _Freud, second edition_ will be essential reading for anyone in the humanities, social sciences and beyond with an interest in Freud or philosophy. (shrink)

Jonathan Lear; XII*—Aristotelian Infinity, Proceedings of the Aristotelian Society, Volume 80, Issue 1, 1 June 1980, Pages 187–210, https://doi.org/10.1093/aris.

This paper considers Cora Diamond's conception of the difficulty of reality. It asks how one might think of this experience of difficulty in relation to Aristotle's conception of happiness (and unhappiness). It then takes up the phenomena of mourning and our conceptions of how to live more or less well with death and loss. It investigates whether a “revolt against mourning” might be understood in terms of the difficulty of reality.

This chapter contains section titled: I II III IV V VI.

Aristotelian theory of virtue and of happiness assumes a moral psychology in which the parts of the soul, rational and non-rational, can communicate well with each other. But if Aristotle cannot give a robust account of what communicating well consists in, he faces Bernard Williams's charge that his moral psychology collapses into a moralizing psychology, assuming the very categories it seeks to vindicate. This paper examines the problem and proposes a way forward, namely, that Freudian psychoanalysis provides the resources for (...) the development of a satisfying Aristotelian moral psychology. (shrink)

1. In Authority and Estrangement, Richard Moran shows us with marvelous clarity how our capacity for avowal is constitutive of our freedom as rational agents. But philosophers also need to acknowledge that avowal plays a crucial role in keeping us unfree. This eludes Moran’s attention, I suspect, because he uses the therapeutic situation as a contrasting paradigm to our ordinary capacity for avowal.

Timothy Smiley has made ground-breaking contributions to modal logic, free logic, multiple-conclusion logic, and plural logic. He has illuminated Aristotle’s syllogistic, the ideas of logical form and consequence, and the distinction between assertion and rejection, and has worked to debunk the theory of descriptions. This volume brings together new articles by an international roster of leading logicians and philosophers in order to honour Smiley’s work. Their essays will be of significant interest to those working across the logical spectrum—in philosophy of (...) language, philosophical and mathematical logic, and philosophy of mathematics. (shrink)

Der Beitrag entwickelt aus verschiedenen Perspektiven Überlegungen dazu, was Dankbarkeit ist, wie sie sich zur Freiheit verhält, vor dem Hintergrund von welchen Kontexten sie zu sehen ist, welche Emotionen in ihr eine Rolle spielen können und wie sie sich in der psychoanalytischen Behandlung und überhaupt im Sozialen auswirkt.