Main Response Topics ? Introduction ? Open display and public evaluation ? Publicity versus patient privacy ? Facial tissue donation ? Validity of Louisville Instrument for Risk Acceptance ? Patients' understanding of risk ? Face versus hand transplantation ? Rejection rates/risks ? Patient compliance ? Exit strategy ? Functional recovery ? Societietal implications ? Psychological implications ? Conclusion: Uncertainty likely to persist.

Jennifer Hornsby has defended the Reasons-Knowledge Thesis : the claim that \-ing because p requires knowing that p, where the ‘because’ at issue is a rationalising ‘because’. She defends by appeal to the thought that it provides the best explanation of why the subject in a certain sort of Gettier case fails to be in a position to \ because p. Dustin Locke and, separately, Nick Hughes, present some modified barn-façade cases which seem to constitute counterexamples to and undermine Hornsby’s (...) way of motivating it by rendering their alternative Reasons-Explanation Thesis a better explanation of Hornsby’s datum. This paper defends and Hornsby’s argument for it against those objections. First, I point out that their supposedly intuitive verdict about the relevant barn-façade cases is not as intuitive as they think. Second, I point out that even if we share the intuition: we have strong reason to doubt the verdict anyway. And finally, I point out that since is independently implausible, the two problems can be tackled anyway. (shrink)

For over three decades, clinical ethicists in the United States have recorded their consulting activities to supplement documentation in the medical record, often using locally developed instrument...

Leading Frankfurt School theorist, Herbert Marcuse, possessed an intricate relationship with higher education. As a professor, Marcuse participated in the 1960s student movements, believing that college students had potential as revolutionary subjects. Additionally, Marcuse advocated for a college education empowered by a form of praxis that extended education outside the university into realms of critical thought and action. However, the more pessimistic facet of his theory, best represented in the canonical One Dimensional Man, now seems to be the dominant ideology (...) in the contemporary college experience. With the rise of the corporate university, knowledge is commodified and praxis is supplanted by rampant consumerism. Once a haven for critical theory, the college experience has been overtaken by capitalism, substantially limiting the revolutionary potential for college students in favour of an institutionalised, one dimensional university. (shrink)

This essay examines the significance of John Wesley’s moral pneumatology in relation to virtue. Although recent scholars have identified this connection, the present work offers a more integrated exploration of righteousness, peace, joy, and love—gifts/virtues inseparable from the Holy Spirit’s work in the economy of salvation according to Wesley’s practical theology. We will see that, for Wesley, believers become participants in God’s nature as the conjoined τέλος of happiness and holiness shapes the soul with respect to outward moral expression. Righteousness, (...) peace and joy tempered by love are core spiritual fruits in Wesley’s pneumatology and collectively an elemental feature of his theological ethics. (shrink)

The fundamental issues raised by Gertrude Stein in her "radical language experiment" bear a remarkable resemblance to the problems posed by Ludwig Wittgenstein in his later philosophy of language . Wittgenstein's philosophy is an important meta-view infusing our perception of modern and postmodern literature with his contention that philosophy is concerned most centrally with the description of the use of language, his notion of language as practice. Stein was the first writer who fully incorporated the idea of universal indeterminacy into (...) her work. Carefully utilizing such stylistic devices as repetition, her exploitation of both the axis of selection and that of combination, and rejection of logical relations and formal systems, she questioned traditional notions of meaning-making. She accepted readily the vagueness of meaning inherent in language, and by molding language through associative meaning and context, she set stage for much of the writing that we now call post-modern. For Stein meaning arises not in terms of rules of interpretation, but in ways in which language is used: in the form of her composition. ;This dissertation examines ways in which exploring connections between the work of the two can refine our understanding of each in turn. In the context of a general introduction to the conceptual connections between Stein and Wittgenstein, Chapter I concludes with a presentation of the key biblio-bigraphical facts about the careers of both and rejection of any possible direct contact or influence. Chapter II focuses on the related biographical connections of Stein and conceptual connections of Wittgenstein to Pragmatism and the ways in which relations can be demonstrated between the ideas of all three. In Chapters III, IV and V, stressing intertextuality rather than indebtedness, I give close readings of the work of Stein and Wittgenstein, identifying the major contentions that they share, and showing how Stein's creative works put Wittgensteinian theories into practice. Throughout, my major concern will be to demonstrate how connections between the two writers can help to clarify our understanding of each and enable us to appreciate their mutual contributions to notions in the philosophy of language. (shrink)

Transplantation continues to push the frontiers of medicine into domains that summon forth troublesome ethical questions. Looming on the frontier today is human facial transplantation. We develop criteria that, we maintain, must be satisfied in order to ethically undertake this as-yet-untried transplant procedure. We draw on the criteria advanced by Dr. Francis Moore in the late 1980s for introducing innovative procedures in transplant surgery. In addition to these we also insist that human face transplantation must meet all the ethical requirements (...) usually applied to health care research. We summarize the achievements of transplant surgery to date, focusing in particular on the safety and efficacy of immunosuppressive medications. We also emphasize the importance of risk/benefit assessments that take into account the physical, aesthetic, psychological, and social dimensions of facial disfiguration, reconstruction, and transplantation. Finally, we maintain that the time has come to move facial transplantation research into the clinical phase. (shrink)

First published in 1992. Routledge is an imprint of Taylor & Francis, an informa company.

Social epistemologists should be well-equipped to explain and evaluate the growing vulnerabilities associated with filter bubbles, echo chambers, and group polarization in social media. However, almost all social epistemology has been built for social contexts that involve merely a speaker-hearer dyad. Filter bubbles, echo chambers, and group polarization all presuppose much larger and more complex network structures. In this paper, we lay the groundwork for a properly social epistemology that gives the role and structure of networks their due. In particular, (...) we formally define epistemic constructs that quantify the structural epistemic position of each node within an interconnected network. We argue for the epistemic value of a structure that we call the (m,k)-observer. We then present empirical evidence that (m,k)-observers are rare in social media discussions of controversial topics, which suggests that people suffer from serious problems of epistemic vulnerability. We conclude by arguing that social epistemologists and computer scientists should work together to develop minimal interventions that improve the structure of epistemic networks. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:354 BOOK REVIEWS (continuously) revisable character, he falls back on an account of theology as rhetoric so as to make the best of a bad job. For persuasion is what we use when we know demonstration is hopeless. As a result, Professor Cunningham's study, which could most usefully have "placed" a variety of theologies of past, present, and, prospectively, future on the spectrum of (onto-) logic, poetic, and (...) rhetoric, concludes instead that theology must regard itself as rhetorical or perish! This inevitably narrows the several services theologies of different kinds can perform for the Church. Imagine how biblical studies would be reduced were the exegete only to treat his text as paraenesis, and never as history or as a symbolic world. Nonetheless, on the way from its (as I find) unsatisfactory startingpoint and to its depressing conclusion, Faithful Persuasion has worthwhile points to make about a number of authors (of various periods) and topics, though it might have made them more persuasively (its author's key term) had the intended audience (middle-brow or academic?) been more clearly viewed in advance. AIDAN NICHOLS, O.P. Blackfriars Cambridge, England Church and Culture: German Catholic Theology, 1860-1914. By THOMAS FRANKLIN O'MEARA, O.P. Notre Dame/London: University of Notre Dame Press, 1991. Pp. x + 260. $35.95 (cloth). " In 1925, Baden's Kultusminister, a Protestant, began an address to the Gorresgesellschaft in Heidelberg by describing this era: ' Brave men like Hertling, Schell, Julius Bachem, and Carl Muth, shook the German Catholic world in order to lead it out of its fortress, to lead it again into the midst of the life and activity of the entire people, even when this seemed at first strange and uncomfortable ' " (pp. 159f.). Even to many theologians, the era in question-the last four decades of the nineteenth century through the outbreak of the "Great War"is comparatively unknown. There has been, of course, renewed interest in prominent theological figures like John Henry Newman, but his German-speaking contemporaries are for the most part strangers to the English-speaking world. And this is the first reason why this book is important: it describes a forgotten world of a century or so ago, yet one whose theological problematic was strikingly similar to our own. The " contours " of this period, deftly described in the first part of this book, were both varied and complex. Politically speaking, during the nineteenth century, " Germany " changed from an assortment of BOOK REVIEWS 355 geographically contiguous minor and medium-sized states to an Empire dominated by Prussia. Such a political re.arrangement had ecclesiastical implications: Roman Catholics, who previously had been the majority in places like Bavaria found themselves a persecuted minority during the Kulturkampf under Bismarck. And like many other victims of persecution, Roman Catholics adopted a "fortress mentality"fearful of Berlin, which was influenced by both the Lutheran Reformation and the Enlightenment, and mesmerized by Rome, which was coming under the increasing influence of neoscholasticism in doctrine and ultramontanism in discipline. German Catholic theologians found themselves in a quandary: what direction should they take? Many, like Joseph Kleutgen, took refuge in Rome; a few, like Joseph Schnitzer, found the appeal of Berlin more attractive; still others, however, tried to steer an independent course in dialogue with the culture of their day. The second and major part of this book focuses on five such theologians: Matthias Joseph Scheeben, Alois Schmid, Paul Schanz, Herman Schell, and Carl Braig. Scheeben (1835-88), "the best known and the most read in the first half of the twentieth century " (p. 53), pursued an independent route in seeking a " transcendent synthesis " incorporating both patristic and idealist thought; indeed, his lengthy Mysteries of Christ"ianity continued to enjoy a certain popularity up till the time of Vatican II, though more as a resource for spiritual reading than as a work of systematic theology. Like Newman, Scheeben's thought was sui generis, "and inspired the most divergent evaluations " (p. 65) ; unlike Newman, Scheeben has few disciples today. In contrast to Scheeben, the other four theologians attempted to emerge from the " fortress " of Roman Catholic defensiveness and to engage the historical and philosophical currents of their age. The... (shrink)

Joseph Agassi is a critic, a gadfly, a debunker and deflater; he is also a constructor, a speculator and an imaginative scholaro In the history and philosophy of science, he has been Peck's bad boy, delighting in sharp and pungent criticism, relishing directness and simplicity, and enjoying it all enormously. As one of that small group of Popper's students (ineluding Bartley, Feyerabend and Lakatos) who took Popper seriously enough to criticize him, Agassi remained his own man, holding Popper's work (...) itself to the criteria of critical refutation. Agassi's range is wide and his publications proliik. He has published serious studies in the historiography of science, applied sociology (on Hong Kong with LC. Jarvie), foundations of anthropology, interpretive scientific biography (Faraday), Judaic studies, philosophy of technology (which Agassi pioneered, particulady in distinguishing it from the philosophy of science), as weIl as the many works on the Iogic, methodoI­ ogy, and history of science. Even as we go to press, Agassi's works are appearing; we append an imperfect and selected bibliography. For Agassi, the test of relevance is whether something is interesting. (shrink)

In the Metaphysics Aristotle explicitly identifies first philosophy, the science of "being qua being," with theology . But the treatise never explains how theology could also be a universal science of being. This dissertation will attempt to provide such an explanation. Its procedure will differ from past approaches by attempting to understand the programmatic remarks of VI.1 in the light of Aristotle's actual conception of god, his theology proper. ;Chapter two examines Aristotle's notion of god as a self-thinker. It argues (...) that the god of Metaphysics XII is not narcissistically engaged in self-contemplation. Rather, Aristotle's statements that god "thinks himself" are meant to express the fact that he is an essentially active mind and therefore a pure actuality. ;Chapter three examines what it means for something to be a pure actuality, and in particular, a purely actual mind. It argues, based on a comparison between god and the fullest actuality of human thought, that the content of the divine thinking is just the principles of "being qua being." ;Chapter four addresses directly Aristotle's conception of first philosophy. It argues that the conception of theology as a universal science of being is grounded in the application of two kinds of priority relations. Substance is the focal meaning ) of being, while god is the first of the series of three kinds of substance. ;In concluding, I first review Aristotle's conception of substance in Metaphysics VII. Following Frede , I contend that Aristotle understands sensible substance in its primary sense to be form. Accordingly, there are two grounds on which Aristotle may consistently and intelligently identify metaphysics with theology. As a pure form god is the first kind of substance. He is therefore the best example of a being, knowledge of which is necessary to understand being in general. As an essentially self-thinking, and therefore purely actual mind, god possesses the most universal knowledge. He is therefore the most appropriate object for a science of being qua being, for one comes to have knowledge of god by coming to know the principles of being qua being. (shrink)

The dissertation is a defense of realism about propositions . According to the propositionlist, there is a realm of entities that simultaneously serve as inter-subjectively shareable "objects" or "contents" of assertion and belief, as units of information more generally, as fundamental bearers of truth-values, and as entities capable of having certain modal, logical and epistemological properties. ;In chapter one, I flesh out a traditional concept of proposition, and I sketch a general argument in favor of propositionalism. ;In chapter two, I (...) argue that we cannot do away with propositions by employing other entities--e.g., sentences, utterances, facts--that we may have already admitted into our ontology. And I argue that we cannot explain away the evidence that supports propositionalism by appealing to some "unloaded" notion of existence. ;In chapter three, I go part way towards dispelling the worry that various types of conceptual messiness --indeterminacy, holism and vagueness--pose a problem for propositionalism. ;In chapter four, I take up my central concern: the problem of identity conditions. I argue that the correct theory of identity conditions for propositions may be underdetermined by relevant philosophical considerations. ;In chapter five, I argue that this "underdetermination hypothesis" does not undermine propositionalism, but that it does imply both that propositions are sui generis entities, and that they are "entities without identity". They are sui generis entities in the sense that they cannot be reduced to any entities not already known to be propositions. And propositions are entities without identity in the sense that certain identity statements linking terms for propositions have indeterminate truth-value. This is so because, as the underdetermination hypothesis shows, our concept of proposition is "individuatively vague": when employing the concept we variously slough between several distinct ways of individuating propositions. The indeterminacy of the identity statements is nicely explained by applying a supervaluation semantics over these different schemes of individuation. ;In chapter six, I briefly discuss five lingering questions about the detailed nature of propositions. (shrink)

Prominent in Hellenistic philosophy is the debate over whether the sage is really always happy even if tortured. This doctrine that the tortured sage is happy is important because the Hellenistic philosophers used this case to debate the power of moral virtue in a person's life. Modern pain research shows that it is indeed possible to be happy while being tortured because pain is not purely a sensory phenomenon. Based on this modern research, I investigate the positions of Epicurus, the (...) Cynics, the Aristotelians, the Neoplatonists, the Skeptics and the Stoics concerning the sage's complete happiness even if tortured. I show that the Stoics' position agrees with modern pain research and the Stoics are right that the tortured sage could still be happy. ;This does not show that the Stoic sage is always happy, though. While the common objection to Stoicism, that the Stoic sage is unemotional, is a misinterpretation of Stoic ethics, nevertheless Stoic philosophy cannot prove that the sage is always happy. For the Stoics claim that the sage is happy because of her oneness with God, but the Stoics are unable to demonstrate how a sage realizes this oneness and why this oneness makes a sage happy. ;Indian philosophy, through Pyrrho's visit to India, influenced Greek philosophy about the doctrine of the tortured sage who is indifferent to pain. Furthermore, Indian philosophy is able to modify Stoic philosophy so that we can show how the sage is always happy. For through the Indian technique of meditation a person can realize her oneness with God and experience deep joy and happiness. Modified by Indian philosophy with its technique of meditation, Stoic philosophy is right that the sage is always happy even if tortured. ;Stoic philosophy has two more contributions to our ethical concerns. First, Stoic ethics is a very interesting synthesis of impartialism and partialism. Second, the Stoics' understanding of the emotions and anger is better than our current understanding. (shrink)

The deeply entrenched, sometimes heated conflict between the disability movement and the profession of bioethics is well known and well documented. Critiques of prenatal diagnosis and selective abortion are probably the most salient and most sophisticated of disability studies scholars’ engagements with bioethics, but there are many other topics over which disability activists and scholars have encountered the field of bioethics in an adversarial way, including health care rationing, growth-attenuation interventions, assisted reproduction technology, and physician-assisted suicide. -/- The tension between (...) the analyses of the disabilities studies scholars and mainstream bioethics is not merely a conflict between two insular political groups, however; it is, rather, also an encounter between those who have experienced disability and those who have not. This paper explores that idea. I maintain that it is a mistake to think of this conflict as arising just from a difference in ideology or political commitments because it represents a much deeper difference—one rooted in variations in how human beings perceive and reason about moral problems. These are what I will refer to as variations of moral psychology. The lived experiences of disability produce variations in moral psychology that are at the heart of the moral conflict between the disability movement and mainstream bioethics. I will illustrate this point by exploring how the disability movement and mainstream bioethics come into conflict when perceiving and analyzing the moral problem of physician-assisted suicide via the lens of the principle of respect for autonomy. To reconcile its contemporary and historical conflict with the disability movement, the field of bioethics must engage with and fully consider the two groups’ differences in moral perception and reasoning, not just the explicit moral and political arguments of the disability movement. (shrink)

It may seem obvious that causing disability in another person is morally problematic in a way that removing or preventing a disability is not. This suggests that there is a moral asymmetry between causing disability and causing non-disability. This chapter investigates whether there are any differences between these two types of actions that might explain the existence of a general moral asymmetry. After setting aside the possibility that having a disability is almost always bad or harmful for a person (a (...) view that we have critiqued at length elsewhere), seven putative differences are considered. Ultimately, it is concluded that none of these seven factors can ground a general moral asymmetry between causing disability and causing non-disability, though each factor can provide some moral reason to avoid causing disability in certain particular cases. (shrink)

One vexed philosophical question that once enjoyed great esteem is this: in the Beatific Vision that the saints enjoy in heaven, does happiness (beatitudo) consist in the vision of God, in delight in God, or in a combination of the vision and the delight? The answer that one gives to this question apparently commits one to a view about what happiness is ultimately about. It has long been thought that Aquinas holds that happiness consists in the vision of God alone. (...) In this essay, I argue that, on this important issue, Aquinas actually maintains that happiness consists both in the vision of God and delight in God, but that—unlike some of his contemporaries—Aquinas unequivocally affirms that the vision is more important in happiness than the delight. After arguing for this interpretation, I consider the quite compelling account of perfect and imperfect happiness that seems to follow from it. (shrink)

In this second edition, Joseph Rychlak has retained his analysis of the philosophical antecedents of psychology and, at the same time, has considerably revised more complicated material illustration rigorous humanism to make the book more accessible for students. Rychlak here offers an analysis of the philosophical traditions underlying the social sciences and shows how functionalism came to dominate the modern science of psychology in America.

In the late 1970s and the 1980s, a number of radical left political theorists focused their philosophical attention on the relevance of ancient atomism, revitalizing a tradition that went back to Karl Marx's work on his dissertation. This essay looks at the uses of atomism by two thinkers in particular, Jacques Rancière and Alain Badiou, in order to see how their discussions of and references to ancient materialism help to shed light on their fundamental disagreements about the nature of community (...) and equality. First, this paper argues that what Badiou and Rancière most obviously share in their assessments of atomism is a negative judgment regarding the post-swerve constitution of the world, while what most obviously distinguishes their positions is their differing judgments regarding the preswerve rain of the atoms in the void. Becoming clear both about how Badiou and Rancière respond to what comes before and after the atomistic swerve helps to clarify an implicit response on Rancière’s part to what has become Badiou’s chief objection to Rancière’s political theory. Second, this paper argues that the fact that Badiou assesses both what comes before and what comes after the swerve as negative, while Rancière assesses only what comes after the swerve as negative, makes clear that their most essential point of difference concerns the status of the swerve that mediates between before and after. Working through the complexities of Badiou’s analysis of the swerve and uncovering Rancière’s extremely subtle analysis of the swerve helps to clarify a major aspect of what has become Rancière’s chief criticism of Badiou’s conception of philosophy. (shrink)

A defining characteristic of Alzheimer’s disease is difficulty in retrieving semantic memories, or memories encoding facts and knowledge. While it has been suggested that this impairment is caused by a degradation of the semantic store, the precise ways in which the semantic store is degraded are not well understood. Using a longitudinal corpus of semantic fluency data, we derive semantic network representations of patients with Alzheimer’s disease and of healthy controls. We contrast our network-based approach with analyzing fluency data with (...) the standard method of counting the total number of items and perseverations in fluency data. We find that the networks of Alzheimer’s patients are more connected and that those connections are more randomly distributed than the connections in networks of healthy individuals. These results suggest that the semantic memory impairment of Alzheimer’s patients can be modeled through the inclusion of spurious associations between unrelated concepts in the semantic store. We also find that information from our network analysis of fluency data improves prediction of patient diagnosis compared to traditional measures of the semantic fluency task. (shrink)

Has exclusion of Darwin's views on evolution distorted 20c philosophy? Cunningham suggests a reappraisal.

The Heart of What Matters shows that literature has a powerful and unique role to play in understanding life's deepest ethical problems. Anthony Cunningham provides a rigorous critique of Kantian ethics, which has enjoyed a preeminent place in moral philosophy in the United States, arguing that it does not do justice to the reality of our lives. He demonstrates how fine literature can play an important role in honing our capacity to see clearly and choose wisely as he develops (...) a moral philosophy that engages with our intimate emotional concerns. Written in an accessible style and drawing from a provocative body of contemporary literature, this book shows how moral philosophy can reach a far wider audience than it has. -/- In part one of this book, Cunningham sketches out the theoretical basis for a redefined conception of moral philosophy. In part two, he engages in extended analyses of novels that address significant life and character issues, specifically Kazuo Ishiguro's The Remains of the Day, Toni Morrison's Beloved, and Zora Neale Hurston's Their Eyes Were Watching God and Seraph on the Suwanee. Cunningham shows exactly how works like these can inform moral philosophy. Drawing from film, history, psychology, and other social sciences in addition to literature, this book adds to the growing number of works that use literature for ethical analysis and to the growing controversy over Kantian ethics. (shrink)

Nihilism is the logic of nothing as something, which claims that Nothing Is. Its unmaking of things, and its forming of formless things, strain the fundamental terms of existence: what it is to be, to know, to be known. But nihilism, the antithesis of God, is also like theology. Where nihilism creates nothingness, condenses it to substance, God also makes nothingness creative. Negotiating the borders of spirit and substance, theology can ask the questions of nihilism that other disciplines do not (...) ask: Where is it? What is it made of? Why is it so destructive? How can it be made holy, or overcome? Genealogy of Nihilism rereads Western history in the light of nihilistic logic, which pervades two millennia of Western thought and is coming to fruition in our present age in a virulently dangerous manner. From Parmenides to Alain Badiou, via Plotinus, Avicenna, Duns Scotus, Ockham, Descartes, Spinoza, Kant, Hegel, Heidegger, Sartre, Lacan, Deleuze and Derrida, a genealogy of nothingness can be witnessed in development, with devastating consequences for the way we live. Conor Cunningham's elaborate and sophisticated theology, spanning the disciplines of philosophy, science and popular culture, permits us to see not simply how modernity has formulated its philosophies of nothing, but how these philosophies might be transfigures by the crucial difference theology makes, and so be reconcilable with life and the living - with the very gift which being is. (shrink)

This is a reproduction of a book published before 1923. This book may have occasional imperfections such as missing or blurred pages, poor pictures, errant marks, etc. that were either part of the original artifact, or were introduced by the scanning process. We believe this work is culturally important, and despite the imperfections, have elected to bring it back into print as part of our continuing commitment to the preservation of printed works worldwide. We appreciate your understanding of the imperfections (...) in the preservation process, and hope you enjoy this valuable book. (shrink)