Au début du mois d'août 1934, Husserl fut invité par Emanuel Radl à prendre part au huitième Congrès international de philosophie qui devait se tenir à Prague du 2 au 7 septembre de la même année. La situation politique allemande interdisait que Husserl et d'autres philosophes se rendissent à l'étranger, aussi Radl demanda-t-il à Husserl de lui envoyer une communication épistolaire destinée à être lue lors des débats. Husserl rédigea donc une lettre, la « Lettre pragoise » — qu'on lut (...) en séance et qui fut publiée d'abord dans le quotidien Prager Tageblatt, puis dans les Actes du colloque² —, mais, outre cela, un texte plus long consacré au même thème : la tâche actuelle de la philosophie. C'est ce texte dont on lira ici la traduction. De multiples péripéties et des circonstances diverses ont empêché que Husserl envoie à temps ce texte plus achevé; quelques indications données par lui-même dans sa correspondance³, avec Patocka notamment, montreni qu'il n'en était pas entièrement satisfait et qu'il souhaitait revoir au moins le début. Ces remaniements vont peu à peu déboucher sur la célèbre conférence de 1935 (Vienne) sur la crise des sciences européennes, qui est fort proche du présent texte bien que le point de départ n 'en soit plus désormais l'interrogation sur le rôle de la philosophie, mais la critique des sciences. Quoi qu'il en soit, la « conférence de Prague » inaugure la série des textes qui aboutiront à la dernière grande œuvre de Husserl, La Crise des sciences européennes et la phénoménologie transcendantale dont l'essai qu'on va lire est, en quelque sorte, la toute première esquisse. (shrink)

Au début du mois d'août 1934, Husserl fut invité par Emanuel Radl à prendre part au huitième Congrès international de philosophie qui devait se tenir à Prague du 2 au 7 septembre de la même année. La situation politique allemande interdisait que Husserl et d'autres philosophes se rendissent à l'étranger, aussi Radl demanda-t-il à Husserl de lui envoyer une communication épistolaire destinée à être lue lors des débats. Husserl rédigea donc une lettre, la « Lettre pragoise » — qu'on lut (...) en séance et qui fut publiée d'abord dans le quotidien Prager Tageblatt, puis dans les Actes du colloque² —, mais, outre cela, un texte plus long consacré au même thème : la tâche actuelle de la philosophie. C'est ce texte dont on lira ici la traduction. De multiples péripéties et des circonstances diverses ont empêché que Husserl envoie à temps ce texte plus achevé; quelques indications données par lui-même dans sa correspondance³, avec Patocka notamment, montreni qu'il n'en était pas entièrement satisfait et qu'il souhaitait revoir au moins le début. Ces remaniements vont peu à peu déboucher sur la célèbre conférence de 1935 sur la crise des sciences européennes, qui est fort proche du présent texte bien que le point de départ n 'en soit plus désormais l'interrogation sur le rôle de la philosophie, mais la critique des sciences. Quoi qu'il en soit, la « conférence de Prague » inaugure la série des textes qui aboutiront à la dernière grande œuvre de Husserl, La Crise des sciences européennes et la phénoménologie transcendantale dont l'essai qu'on va lire est, en quelque sorte, la toute première esquisse. (shrink)

At the core of Presenting the Past is the dramatic and troubling case of a woman who during the course of her analysis began to recall scenes of her own ...

In response to national trends calling for increasing accountability and an emerging dialogue within bioethics, we describe an effort to credential clinical ethicists at a major academic medical center. This effort is placed within the historical context of prior calls for credentialing and certification and efforts currently underway within organized bioethics to engage this issue. The specific details, and conceptual rationale, behind the New York-Presbyterian Hospital’s graduated credentialing plan are shared as is their evolution and ratification within the context of (...) institutional policy. While other programs will design their credentialing schema consistent with their local context and demographics, the description of one such effort is offered to be instructive to others who want to bring additional standardization to the assessment of the readiness and credentials of those who will engage in the practice of clinical ethics case consultation. (shrink)

The COVID-19 pandemic swept through New York City swiftly and with devastating effect. The crisis put enormous pressure on all hospital services, including the clinical ethics consultation team. This report describes the recent experience of the ethics consultants and Columbia University Irving Medical Center during the COVID-19 surge and compares the case load and characteristics to the corresponding period in 2019. By reporting this experience, we hope to supplement the growing body of COVID-19 scientific literature and provide details of the (...) human toll the virus took on our hospitals and communities. We also aim to highlight the role of the clinical ethics consultant as well as areas of policy and law that may need to be addressed in order to be better prepared for a future public health crisis. (shrink)

The COVID-19 pandemic that struck New York City in the spring of 2020 was a natural experiment for the clinical ethics services of NewYork-Presbyterian (NYP). Two distinct teams at NYP’s flagship academic medical centers—at NYP/ Columbia University Medical Center (Columbia) and NYP/ Weill Cornell Medical Center (Weill Cornell)—were faced with the same pandemic and operated under the same institutional rules. Each campus used time as an heuristic to analyze our collective response. The Columbia team compares consults during the pandemic with (...) the same period during the year prior. The Weill Cornell service describes the phases of the pandemic to depict its temporal evolution and subsequent ethical challenges. Both sites report that the predominant ethical challenges centered around end-of-life decision making, setting goals of care, and medical futility, all complicated by resource allocation questions and the ambiguity of state law under crisis standards of care. The Columbia campus saw a statistically significant increase in ethics consultations provided to Hispanic patients, perhaps reflective of the disproportionate burden of COVID-19 suffered by this demographic. While Weill Cornell and Columbia saw a surge in clinical ethics consultations, the two services assumed a more expansive role than one normally played in institutional life. Serving as intermediaries between frontline clinicians and senior hospital administrators, consultants provided critical intelligence to hospital leadership about the evolution of the pandemic, disseminated information to clinicians, and attended to the moral distress of colleagues who were asked to provide care under truly extraordinary circumstances. The COVID-19 surge in New York City revealed latent capabilities in ethics consultation that may prove useful to the broader clinical ethics community as it responds to the current pandemic and reconceptualizes its potential for future service. (shrink)

Almaatouq et al. argue that an “integrative experiment design” approach can help generating cumulative empirical and theoretical knowledge. Here, we discuss the novelty of their approach and scrutinize its promises and pitfalls. We argue that setting up a “design space” may turn out to be theoretically uninformative, inefficient, and even impossible. Designing truly diagnostic experiments provides a better alternative.

From mid-March through May 2020, New York City was the world’s epicenter of the COVID-19 pandemic, and its hospitals faced an unparalleled surge of patients who were critically ill with the virus. In addition to putting an enormous strain on medical resources, the pandemic presented many ethical issues to emotionally and physically stressed clinicians and hospital administrators. Analyses of the challenges faced by the ethics consultation services of the two campuses of New York Presbyterian Hospital, and how they assisted their (...) clinician and administrative colleagues, is the subject of the following four articles. (shrink)

Substituted judgement is often used in the absence of advanced directives to guide decision-making when patients lack decisional capacity. We present a remarkable case of family members exercising substituted misjudgement for a 42-year-old man hospitalized with multiorgan failure on life support. Feeling that their loved one would rather die than face severe disability, they elected to withdraw life support. Although this was done, the patient remained alive and recovered enough to clearly indicate his preference for life, even with severe disability. (...) This case suggests that in instances of unusual quality-of-life judgements where the patient's wishes cannot be known with reasonable certainty, families and physicians should be very wary using substituted judgement to refuse life support. Unless there are strong considerations based on the patient's prior statements, actions and values to decline life support, it would seem ethically appropriate to continue treatment, even with substantial disability the likely outcome. (shrink)

This research explores the experiences of UK NHS healthcare professionals working with asylum applicants housed in contingency accommodation during the COVID-19 pandemic. Using a critical understanding of the concept of moral resilience as a theoretical framework, we explore how the difficult circumstances in which they worked were navigated, and the extent to which moral suffering led to moral transformation. Ten staff from a general practice participated in semistructured interviews. Encountering the harms endured by people seeking asylum prior to arrival in (...) the UK and through the UK’s ‘Hostile Environment’ caused healthcare staff moral suffering. They responded to this in several ways, including: (1) feeling grateful for their own fortunes; (2) defining the limitations of their professional obligations; (3) focusing on the rewards of work and (4) going above and beyond usual care. Although moral resilience is reflected in much of the data, some participants described how the work caused ideological transformations and motivated challenges to systems of oppression. We show how current moral resilience theory fails to capture these transformative political and social responses, warning of how, instead, it might encourage healthcare staff to maintain the status quo. We caution against the widespread endorsement of current formulations of moral resilience in contemporary social and political climates, where the hostile and austere systems causing suffering are the result of ideological political decisions. Future work should instead focus on enabling working conditions to support, and developing theory to capture, collective resistance. (shrink)

Some 30 years ago the role of the clinical ethics consultant (CEC) was formalized. At the time, the perception of the role differed between two groups serving in that capacity, clinicians and nonclinicians. Differences in their roles reflected their training and experience.These divergent views were resolved semantically by designating the role of the CEC as “ethics facilitation.” In practice the different perspectives have remained. However, the subsequent published literature on clinical ethics consultation has not adequately reflected the activity of the (...) clinician as a CEC.There have been recurring unanswered calls for the acquisition of empirical data on the nature of the problems that prompt ethics consultation requests and the functions required to address them. The authors introduce a template that provides a means to acquire such data for clinician ethicists. A similar instrument could be constructed to reflect the role of the nonclinician ethicist serving in that capacity. (shrink)

How to mobilize a traumatic national history on behalf of a less fractured polity? How to gain closure over a past that bifurcates the nation and establishes (at least) two national histories — history as told by the victims and by the perpetrators, now to be replaced by a history, as Mark Sanders (2003: 79) describes it, not of `bare facts but, at a crucial level, a history judged, and thus shaped, according to norms of universal human rights'. How to (...) engineer through politics the creation of new national selves, no longer pathologically attached to old and circumscribed forms of identification? These are now the critical questions confronting many elites: the overcoming of traumatic memory through various publicly mandated `technologies of the self'. To heal the nation requires the curing of the self. The politics of social repair understands itself largely through a psychologically inflected vocabulary of regret, apology, and forgiveness — the language of reconciliation. `Social cure', or reconciliation is understood as a process of social healing. In the face of traumatic ruptures in the body politic, in short, governments have sought to repair past wrongs and to heal an emotionally infirmed community. Such politics imply that societies have the capacity to repair themselves, to overcome traumatic pasts, just as an individual possesses the potential to overcome his or her own psychic trauma and fragmentation. But what evidence is there to support the claim that trauma — even for the individual — can be overcome, that history can be overridden, that forgiveness is possible? Psychoanalysis offers the most fully developed systematic body of work embracing a concept of the healing of the self. The article's aim, based upon an empirically derived (case-based) psychoanalysis, is to move toward a more robust theory of self-transformation and political reconciliation in post-traumatic communities. Thus, the article considers contemporary psychoanalytic evidence and asks of it the following questions: How is traumatic experience in the past recovered, and disabled, in the present? Is it necessary through memory to `return to the scene of the crime', in order to move beyond it? What features in the present-day therapeutic setting and in the therapeutic relationship promote healing? The objective is a grounded theory of reconciliation that includes discussion for whole societies of the role of historical recovery in social repair, the relation of the present to the past in self-constitution, and the requisite structure of the present-day reparative community to promote self-transformations. (shrink)

It's a mistake to endow the Holocaust or any other massive case of crimes against humanity with cosmic significance. We want to do it because we think the moral enormity of the events should be balanced by an equally grand theory. But it's not. The attempt to do so is poignant.Alain FinkielkrautSavage ethnonationalism, dating back to the end of the eighteenth century, and violent ethnic conflict, as ancient as history, are sometimes viewed as if for the first time in the (...) post-Cold War era. Still, it is the case that the end of the discipline imposed by the bipolar international system has permitted temporarily repressed ethnic and nationalist passions to reassert themselves. In response, a vast literature has sprung up discussing what states should do about genocide and ethnic cleansing, the gravest human rights abuses. In what follows I will consider barbarous nationalism in the context of the liberal international order put into place at the end of the Second World War, the roles of politics, law and morality forming a sub text to that discussion. (shrink)

Two peculiarities of the film The Passion of Joan of Arc are explored in this essay: its unusual close-ups and its strongly expressive character. We start from the idea that both characteristics are closely related and we seek to clarify this relationship making use of Gilles Deleuze’s affection-image and Georges Didi-Huberman’s dialectical image.

In Les Blank's documentary Werner Herzog Eats His Shoe , director Werner Herzog eats pieces of his own sturdy looking footwear in order to settle a bet that he made with the filmmaker Errol Morris. While dining on his shoe, which he has cooked in garlic and duck fat, Herzog responds to the question, “What is the value of films for society?” Initially, he answers the question with a question: “Whose society?” . It appears that he has finished responding and (...) is returning to the business of eating, but Herzog is hardly known for keeping his answers…. (shrink)

We respond to commentaries on our article, “The Clinician as Clinical Ethics Consultant: An Empirical Method of Study,” that appeared in the summer 2019 issue of The Journal of Clinical Ethics.

BOOK REVIEWS 149 cannot be denied: volumes 2o-2 3 are, in their present form, less than perfect. There- fore, it would be very good if they could be revised. Stark makes a convincing case for this. Yet, it would be a mistake if one were to see the significance of his Nachforschungen just in this negative result. It may ultimately be important for the positive contributions it makes to a better understanding of Kant's extant manuscript materials. It does indeed go (...) some way towards supplying some of the materials that Adickes meant to supply, and it thus represents indeed a first step towards a better edition of Kant's works. I do not see any reasons that would speak against a revised edition of the Academy edition as a whole. MANFRED KUEHN Purdue University Andrew Bowie. ScheUing and Modern European Philosophy: An Introduction. London and New York: Routledge Press, 1993. Pp x + 21 i. Cloth, $65.oo. Paper, $16.95. Andrew Bowie devotes much of his instructive and well-researched text, as the title promises, to locating Schelling on the map of contemporary theory and simultaneously questioning the relevance of that map. Bowie situates Schelling historically within the context of the pantheism debate and his relationship with Fichte . He explores, in detail, questions of Schelling's natural philosophy, makes a brief excursion into Schelling's philosophy of art, looks closely at his identity philosophy and finally at his response to.. (shrink)