In this paper I will give some provisional answers to the questions how one can be a Christian philosopher rather than just a philosopher who happens to be a Christian, how one can be a Reformation philosopher rather than just a Christian philosopher whohappens to be a Reformation Christian, and how one can be a Baptist philosopher rather than just a Reformation philosopher who happens to be a Baptist. A good way to be a philosopher is to, like Socrates, seek (...) wisdom concerning spiritual good. A good wayto be a specifically Christian philosopher is to, like Augustine, seek that wisdom in Jesus Christ. A good way to be a specifically Reformation philosopher is to recognize and reflect on a distinction between two inseparable spiritual goods on which we are seeking wisdom: justification and sanctification. A good way to be a specifically Baptist philosopher, taking some inspiration from the likes of Locke and Kierkegaard, is to also recognize and reflect on some signs of these spiritual goods which Baptists emphasize: resistance to the idea of a state church and believer’s baptism. -------------------------- Received: 20/03/2023. Reviewed: 18/04/2023. Accepted: 24/04/2023. (shrink)

Each of the degenerating constitutions in Book VIII of Plato's Republic is the result of the disappearance of one of the four cardinal virtues. The failure of wisdom creates a timocracy; the failure of courage, an oligarchy; the failure of moderation, a democracy; the failure of justice, a tyranny. The degeneration shows that the disunited virtues are imperfect, though they have some power to stave off vice. Thus Book VIII implies a unity of the virtues thesis according to which perfect (...) virtues can only exist in a united state, but imperfect simulacra of virtue can exist in a disunited state. -/- Published 2011 in Apeiron: A Journal for Ancient Philosophy and Science. (Please note that the pagination in the uploaded document is not the same as the pagination in the published edition.). (shrink)

THIS IS A PRE-PUBLICATION VERSION OF THE PAPER. The New Testament speaks of our having faith rather than sight. This distinction is not made to distinguish faith from knowledge. Rather, it is to distinguish one kind of knowledge from another. We may know by trust in reliable authority; this knowledge is necessarily secondhand, but it is knowledge all the same. This, I argue, is the New Testament idea of faith. Another way of knowing is firsthand. Sight in the New Testament, (...) I argue, is a metonym for firsthand knowledge. In this article I consider the meaning of faith and sight in the relevant New Testament passages, with an extended exegesis of 2 Cor. 5:7 and Heb. 11:1. (shrink)

J. L. Mackie distinguished himself in twentieth-century philosophy by presenting an important objection to the traditional free will explanation for why God would allow evil: If evil is due to the free choice of creatures, why wouldn’t an omnipotent God simply create free creatures who would choose better? Alvin Plantinga, in turn, distinguished himself with his critique of Mackie. Plantinga’s main point is that Mackie made a mistake in assuming that it is within the power of omnipotence fully to create (...) just any possible world. However, Mackie made a second questionable assumption which Plantinga does not critique, and which I aim to clarify in this article. Mackie assumes that a God, as construed by classical theistic belief, who could create either of two people—one of whom would freely choose right and the other of whom would freely choose wrong—must create the one who would freely choose right. This assumption motivates Plantinga’s own account of trans-world depravity, which suggests that every free creature God might have created would have sinned had God created them. I consider Plantinga’s suggestion highly improbable. More importantly, under Mackie’s assumption, if there is at least one possible creature who would choose rightly, then there is no possibility of God ever allowing any other creature to sin, which would seem to be incompatible with their having any free will. -/- This version of the paper does have the same pagination as the published version. Permission has been granted from the Editor of Philosophia Christi to upload this contribution according to Philosophy Documentation Center terms of use. Learn more about the Journal by going to wwwepsociety. org/philchristi. (shrink)

Augustine and William James both argue that religious faith can be both practical and rational even in the absence of knowledge. Augustine argues that religious faith is trust and that trust is a normal, proper, and even necessary way of believing. Beginning with faith, we then work towards knowledge by means of philosophical contemplation. James’ “The Will to Believe” makes pragmatic arguments for the rationality of faith. Although we do not know (yet) whether God exists, faith is a choice between (...) the risk of believing something false and the risk of not believing something true, and in the absence of convincing evidence we may decide for ourselves which risk we prefer. We may be able to experience God in the future and thereby gain knowledge, yet this may be contingent on our willingness to believe. There are key differences, however. Augustine is a Christian with a neo-Platonic bent, James an empiricist defending the religion of your choice. These differences may be less significant than they first appear. After explaining Augustine and then James I draw out the major points of comparison and contrast and suggest a few reasons their insights might be at least partially synthesized. -/- This is the accepted version of the following article: Mark J. Boone, “Augustine and William James on the Rationality of Faith,” The Heythrop Journal (online edition December 2018), which has been published in final form at [See First URL]. This article may be used for non-commercial purposes in accordance with the Wiley Self-Archiving Policy [See Second URL]. (shrink)

This paper is the submitted version. The published version of the paper is available using the DOI number 10.1111/heyj.14007.

Scholars have devoted considerable attention to the discovery by Justin D’Arms and Daniel Jacobson of a distinction between the fittingness of an emotion and the propriety of the same. Meanwhile, Christian theology has long been attentive to the relevance of Christian theology to the emotions. Although it seems that never so far have the twain discussions met, they should meet. A fitting emotion accurately construes a situation. Christian theology tells us something about the importance—or the lack thereof—of emotional fit for (...) the emotions involved in love. It is a desideratum for the emotions that they are fitting. But other desiderata for the emotional life sometimes overrule the desideratum of fit. Moreover, emotions sometimes have an effect on their own fittingness. As Kierkegaard shows, love construes its object as better than he presently is, but it also makes the object better. We should cultivate a disposition to loving emotions that are occasionally unfitting yet help to bring about better fit. I explain these things and consider how someone might go about cultivating loving emotions which are sometimes unfitting yet also restorative of fit. (shrink)

Augustine′s conversion to Christianity in A.D. 386 is a pivotal moment not only in his own life, but in Christian and world history, for the theology of Augustine set the course of theological and cultural development in the western Christian church. But to what exactly was Augustine converted? Scholars have long debated whether he really converted to Christianity in 386, whether he was a Platonist, and, if he adhered to both Platonism and Christianity, which dominated his thought. The debate of (...) the last thirteen decades spans an immense body of literature in multiple languages. In this literature, four major views on Augustine′s conversion may be discerned. The first view is associated with Gaston Boissier and Adolph von Harnack, and was famously championed by Prosper Alfaric: that Augustine in 386 converted to neo-Platonism but not to Christianity. Second, there is the view recently promoted by Catherine Conybeare: that Augustine in 386 converted to Christianity and rejected neo-Platonism. Third, there is the view that he converted to Christianity and was also a neo-Platonist; the most famous adherents of this view are Robert J. O′Connell and Pierre Courcelle. Finally, there is the view recently promoted by Carol Harrison: that Augustine committed to Christianity in 386, yet did not utterly reject neo-Platonism; rather, he aimed to develop a Christian faith that was informed by neo-Platonic insight. In this article, I first explain and distinguish these four general views, and then I explain why I prefer the fourth view. -/- More Info: This is the pre-peer reviewed version of Boone, Mark, "The Role of Platonism in Augustine's 386 Conversion to Christianity," Religion Compass 9.5 (May 2015), 151-61. This article has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/rec3.12149/abstract. (shrink)

American Pragmatist philosopher William James and subcontinent Islamic philosopher Allama Iqbal both believe that religious experiences are an important class of those experiences with which empiricism is concerned. They both explain and defend religious belief on empirical grounds and argue that the ultimate empirical justification of a religious belief must come by looking at its fruits. This is no accident, for James influenced Iqbal on this very point. -/- However, they diverge in some matters. James defends the right to diverse (...) religious belief and eventually articulates his own account based on religious experience—an account which is intentionally philosophical and not reliant on any religious authority. Iqbal, however, reconsiders and defends Islam understood along largely traditional lines. -/- I compare and contrast James’ and Iqbal’s religious epistemologies in order to understand both of them better and, hopefully, enrich contemporary reflection on faith and reason through a better awareness of the past dialogue on the subject. -/- This is the accepted version of the following article: “William James and Allama Iqbal on Empirical Faith;” The Heythrop Journal 61.5 (2020): 775-787, which has been published in final form at the URL provided. This article may be used for non-commercial purposes in accordance with the Wiley Self-Archiving Policy [see second URL]. (shrink)

Alvin Plantinga’s Warrant and Proper Function gives two major definitions of warrant. One states that reliable cognitive faculties aimed at true belief and functioning properly in the right environment are necessary and sufficient for warrant; the other definition only states that they are necessary. The latter definition is the more important one. There are different kinds of knowledge, and justification is necessary for some beliefs to be warranted. Even a belief warranted by proper function can receive a higher degree of (...) warrant by justification. This implies that natural theology has a useful role within the contours of a Plantingian epistemology. (Please note that the pagination here does not match the pagination in the published edition.). (shrink)

Traditional Christianity teaches that the Bible's primary referent is Jesus Christ, the Messiah, and Christians have long looked for ways to connect every passage in the Bible to the Christ. One venerable strategy is the allegorical or figurative approach of creatively interpreting any unit of biblical meaning, sometimes down to the individual words, as referencing Christ. Alternatively, we might take the biblical narrative itself as referencing Christ and find the connection of smaller units of meaning to Christ through their place (...) in that narrative. My article clarifies this topic through interaction with an exemplary practitioner of the strategy of figurative reading, the Church Father Augustine. I will first explain Augustine's reasons for his hermeneutics, which stem largely from his focus on smaller units of reference such as the word and the sentence. Then I will argue that his reasons are not persuasive if indeed the Bible does refer to Christ at a broader level, the level of narrative. (shrink)

While some scholars neglect the theological component to William James’s ethical views in “The Moral Philosopher and the Moral Life,” Michael Cantrell reads it as promoting a divine command theory (DCT) of the foundations of moral obligation. While Cantrell’s interpretation is to be commended for taking God seriously, he goes a little too far in the right direction. Although James’s view amounts to what could be called (and what Cantrell does call) a DCT because on it God’s demands are necessary (...) and sufficient for the highest obligations, this is a view with characteristics unusual for a DCT. It only holds for some obligations; on it moral obligation does not derive from God’s authority; it is not obvious that James believes the God required by it even exists; we do not know what God’s demands are; and, finally, since we do not know them, we cannot act on them. -/- (Lest there be any confusion, the titular phrase "taking God seriously, but not too seriously" describes William James' view of God and morality, not my own view.). (shrink)

The general idea of strong foundationalism is that knowledge has a foundation in well warranted beliefs which do not derive any warrant from other beliefs and that all our other beliefs depend on these foundational ones for their warrant. Although inerrancy posits Scripture as a solid foundation for theology, the idea that the doctrine of biblical inerrancy involves a strong foundationalist epistemology is deeply problematic. In fact, inerrancy does not require any particular view of the structure of knowledge, and notable (...) sources on inerrancy tout it in ways inconsistent with most forms of strong foundationalism. (shrink)

Although current educational priorities tend to avoid strong moral positions, one of the world's most venerable yet persistently influential moral traditions not only lays out a number of major moral principles but also incorporates them into its pedagogy. Confucius teaches us about the importance of seeking knowledge, learning how to learn, applying ancient wisdom to contemporary situations, valuing virtue over material gain, following the Golden Rule, and living by our principles. He also has ways of assessing his own students' progress (...) in these matters. Confucius' pedagogy is an interesting model to consider and contrast with contemporary models. This chapter introduces these principles and assessments from the Analects and draws out some comparisons to and contrasts with two alternative theories in western moral thought, Augustine and John Dewey. -/- The accepted version of the paper is included here. Pagination does not match the published version. (shrink)

At the heart of two recent theological traditions are hermeneutical principles which are not only consistent but are integrated in the hermeneutics of Augustine. According to the doctrine of biblical inerrancy as it has been recently articulated by Evangelicals, Scripture has an original meaning, and that meaning is not open to the possibility of error. According to some thinkers in postmodern theology, including Jean-Luc Marion, the meaning of Scripture transcends its original meaning. After examining postmodernism and inerrancy, I consider their (...) harmony in the writings of Augustine, who takes original meaning as a guide for understanding that biblical meaning which transcends it. An Augustinian hermeneutic consistent with inerrancy is thus an alternative to the more typical non-inerrantist postmodern theologies. (shrink)

THIS IS A PRE-PUBLICATION VERSION OF THE PAPER and does not have the same pagination as the published version. -/- It is sometimes said that religious belief and empiricism are different or even incompatible ways of believing. However, William James and notable twentieth-century philosophers representing Buddhism, Hinduism, Islam, Judaism, and Christianity have argued that there is a high degree of compatibility between religious faith and empiricism. Their analyses suggest that there are three characteristics of empiricism—that an empiricist bases his beliefs (...) on past experience, that he seeks to test his beliefs in future experience, and that he holds his beliefs with a degree of tentativeness in case future experience should uncover evidence against them. The epistemological insights of these philosophers, along with Augustine, show that Christian theology is consistent with empiricism. Indeed, reliance on faith fails to distinguish Christianity from science, and Christian theology is even to a significant extent both verifiable and falsifiable. (shrink)

Two ancient sages show how even the most salacious fiction can be spiritually beneficial, for it shows our need for virtue and for grace. The first is the Roman philosopher Plutarch. Among ancient moral philosophers who were concerned with the effects of bad behavior in fiction, Plutarch distinguishes himself by showing how we can benefit morally from such stories. To do so we must approach them with a critical mind and from the right perspective; only then will we have the (...) discernment to separate the good from the bad, to learn to embrace and imitate virtue but flee from vice. The second is Augustine. A comparison of his writings with Plutarch’s produces not only a valuable theological extension of Plutarch’s thought, but also a valuable Christian perspective on the arts. According to Augustine, the pursuit of virtue only gets us so far, and on its own it cannot get us to a happy life. In particular, fiction such as this shows us that we need virtue; but it also shows us that we are not virtuous; so it also shows us that we need grace. -/- I first expound the concerns of ancient philosophers with the epic fiction of their own day. Then I consider Plutarch’s advice on how to benefit from bad behavior portrayed in fiction. Next, I apply his advice to the reimagined Battlestar Galactica. Finally, I show that Galactica illustrates Augustine’s argument in The City of God that happiness cannot be found in this life and how it thus points to our need for grace. -/- Note: The attached file does not have the same pagination as the published article. If you need to cite this article by page number, please consult Volume 2, Issue 1 of Imaginatio et Ratio. (shrink)

Original meaning generally and authorial intent specifically are relevant to textual meaning. The author is not dead—a reasonable common-sense view in the absence of extremely good contrary evidence. If anyone should offer such evidence, they will not be able to take credit for it—at least not for writing it down! Accordingly, humanities teachers should train students to understand original meaning and authorial intent. This is one reason the humanities will continue to be relevant to other fields of study. Finally, this (...) is one reason to support a critical thinking pedagogy. I also connect these considerations to some of the major textual and cultural issues in South Asia. THE VERSION AVAILABLE HERE IS THE ACCEPTED MANUSCRIPT, NOT THE SAME AS THE FINAL PUBLISHED VERSION. (shrink)

A warranted belief may derive inferential warrant from warranted beliefs which support it. It may possess what I call coherential warrant in virtue of beingconsistent with, or lacking improbability relative to, a large system of warranted beliefs. Finally, it may have foundational warrant, which does not derive from other beliefs at all. I define and distinguish these sources of warrant and explain why all three must be included in the true and complete account of the structure of knowledge, and why (...) the first two sources are significant at all levels of knowledge. Only foundherentism and a weak version of foundationalism can satisfy this criterion. My analysis has significant, and happy, consequences for the epistemological tradition. The project of describing the structure of knowledge is nearly complete. Those who have pronounced the death of epistemology are partially correct, not because epistemology has failed, but because it has been so successful. (shrink)

NOW OPEN-ACCESS! In Reason, Authority, and the Healing of Desire in the Writings of Augustine, Mark Boone explains Augustine’s theology of desire in a cross-section of his writings. He shows that Augustine's writings consistently teach a Platonically informed, yet distinctively Christian, theology of desire.

The first fruits of the literary career of St. Augustine, the great theologian and Christian philosopher par excellence, are the dialogues he wrote at Cassiciacum in Italy following his famous conversion in Milan in 386 AD. These four little books, largely neglected by scholars, investigate knowledge, ethics, metaphysics, the problem of evil, and the intriguing relationship of God and the soul. They also take up the ancient philosophical project of identifying the principles and practices that heal human desires in order (...) to attain happiness, renewing this philosophical endeavor with insights from Christian theology. Augustine's later books, such as the Confessions, would continue this project of healing desire, as would the writings of others including Boethius, Anselm, and Aquinas. -/- Mark Boone's The Conversion and Therapy of Desire investigates the roots of this project at Cassiciacum, where Augustine is developing a Christian theology of desire, informed by Neoplatonism but transformed by Christian teaching and practices. (shrink)

The Enarrationes in Psalmos is the collection of Augustine’s commentaries and sermons on the Psalms. Although Augustine is often at his philosophical best here, bearing various resemblances to the Platonists and other philosophers, he also articulates a distinctively Christian view on what we should desire, on how desire has gone wrong, and on how it is healed. The renewal of desire takes place as a result of and through the unity of Christ and the church, which is the guiding theme (...) of the Enarrationes. Augustine’s Preaching and the Healing of Desire in the Enarrationes in Psalmos traces this theology of desire as it connects to Augustine’s Christology, his ecclesiology, his account of happiness and well-being, and his eschatology. The book closes with some suggestions on what the church can learn today from the Enarrationes in the areas of psychology and wellbeing, biblical exegesis, and homiletics. (shrink)

Plantinga’s God and Other Minds, Reformed Epistemology articles, and Warrant Trilogy are all part of the same epistemological project. Although the project develops in phases focusing progressively on anti-theism, evidentialism, and internalism, the epistemology is consistently a Reidian particularism. It follows Roderick Chisholm’s famous particularist strategy for finding an epistemic criterion, uses principles of common sense from Thomas Reid as clear cases of beliefs satisfying that criterion, and applies that criterion to belief in God in order to show that this (...) belief is epistemically respectable. Understanding this will help to clarify Plantinga’s philosophical contributions to our understanding of religious belief. In my article I introduce Plantinga’s epistemological sources, explain the structure of his project, overview its development in these three phases, and correct some misunderstandings of Plantinga that arise from inattention to his Reidian particularism. I also show how Reidian particularism itself suggests an improvement to Plantinga’s epistemology which his critics often recommend: that we recognize that evidence for the existence of God, even if it is not necessary for theistic belief to be warranted, may yet be valuable. (shrink)

Dr. David K. Naugle is widely regarded as a leading thinker in the area of Christian worldview formation. As Distinguished University Professor Emeritus at Dallas Baptist University, he has drawn accolades and admiration. -/- This collection in his honor demonstrates that intellectual pursuits are inherently spiritual, that no area of life is separate from the lordship of Christ, and that true Christian faith is in fact the deep fulfillment of the human experience. On topics ranging from linguistics to gardening and (...) everything in between, these essays represent the depth and breadth of the idea that all goodness is God's goodness, all truth is God's truth, and all beauty is God's beauty. (shrink)

The Abolition of Man, C. S. Lewis's masterpiece in ethics and the philosophy of science,warns of the danger of combining modern moral skepticism with the technological pursuit of human desires. The end result is the final destruction of human nature. From Brave New World to Star Trek, from Steampunk to starships, science fiction film has considered from nearly every conceivable angle the same nexus of morality, technology, and humanity of which C. S. Lewis wrote. As a result,science fiction film has (...) unintentionally given us stunning depictions of Lewis's terrifying vision of the future. In Science Fiction and the Abolition of Man: Finding C. S. Lewis in Sci-Fi Film and Television, scholars of religion, philosophy, literature, and film explore the connections between sci-fi film and the three parts of Lewis's book:how sci-fi portrays "Men Without Chests" incapable of responding properly to moral good, how it teaches the Tao or "The Way," and how it portrays "The Abolition of Man.". (shrink)

Although Augustine is rightly associated with the rationalistic epistemology of the Platonist tradition—which holds that knowledge comes from the mind rather than from experience—there is an underappreciated, and significant, empirical aspect to his epistemology, which I aim to clarify in this article. In Augustine’s epistemology, knowledge of God depends on the history of his people, his revelation, and above all his Messiah. However, the empirical aspect of Augustine’s theology does not overrule his rationalism, but rather is integrated into it. Augustine (...) is a Christian representative of a broader epistemological tradition which includes Plato as well as Immanuel Kant and which considers warrant for our beliefs to come from the mind even as experience provides the input necessary for the process to begin. It is, of course, a Christianized version of such a nuanced rationalism: In both its rationalistic core and its empirical aspect, knowledge is explained in Christian terms: in the former because the mind does not have these ideas of its own powers but from God’s indwelling and gracious assistance, in the latter because the experience leading to knowledge is the religious experience that founded the Christian church and Scriptures. (shrink)

What is at stake in the conversation over same-sex marriage is competing definitions of marriage. -/- One good argument for same-sex marriage depends on a definition that came to prominence after the sexual revolution. A different understanding of marriage was prominent in the nineteenth century, and this shows that Obergefell was wrongly decided, at least as far as Originalist understandings of law are concerned. -/- Accordingly, the nature, purpose, and function of marriage, and what people think of them, are important (...) for understanding the requirements of Constitutional law. -/- The teleology of marriage is a topic philosophers and theologians are well suited to study, and thus philosophy and theology have much to contribute to the study of law and to all the other disciplines interested in marriage. (shrink)

Jerry Fodor is one of the most important philosophers of mind in recent decades. He has done much to set the agenda in this field and has had a significant influence on the development of cognitive science. Fodor's project is that of constructing a physicalist vindication of folk psychology and so paving the way for the development of a scientifically respectable intentional psychology. The centrepiece of his engagement in this project is a theory of the cognitive mind, namely, the computational (...) theory of mind, which postulates the existence of a language of thought. Fodor: Language, Mind and Philosophy is a comprehensive study of Fodor's writings. Individual chapters are devoted to each of the major issues raised by his work and contain extensive discussion of his relationships to key developments in cognitive science and to the views of such philosophical luminaries as Dennett, Davidson and Searle. (shrink)

The legal basis of informed consent in Texas may on first examination suggest an unqualified affirmation of persons as the source of authority over themselves. This view of individuals in the practice of informed consent tends to present persons outside of any social context in general and outside of their families in particular. The actual functioning of law and medical practice in Texas, however, is far more complex. This study begins with a brief overview of the roots of Texas law (...) and public policy regarding informed consent. This surface account is then contrasted with examples drawn from the actual functioning of Texas law: Texas legislation regarding out-of-hospital do-not-resuscitate (DNR) orders. As a default approach to medical decision-making when patients lose decisional capacity and have failed to appoint a formal proxy or establish their wishes, this law establishes a defeasible presumption in favor of what the law characterizes as “qualified relatives” who can function as decision-makers for those terminal family members who lose decisional capacity. The study shows how, in the face of a general affirmation of the autonomy of individuals as if they were morally and socially isolated agents, space is nevertheless made for families to choose on behalf of their own members. The result is a multi-tier public morality, one affirming individuals as morally authoritative and the other recognizing the decisional standing of families. (shrink)

Creation of for-profit markets in organs for transplantation ignites in many deep moral repugnance. Proposals to broker organs have been denounced by the US Congress and professional groups alike. Financial incentives are believed to undermine consent, coercing the poor into selling their organs, violating human dignity, and improperly commodifying the human body; such concerns are held to trump the possibility of increasing life-sustaining transplants. While such views summarize the apparent global consensus which marks worldwide prohibition of the sale of human (...) organs, I argue that closer examination reveals significant grounds for concluding that markets would be more successful in preventing exploitation, preserving human dignity, and protecting against improper commodification than governmental bureaucratic procedures for procuring and allocating organs. (shrink)

Perhaps nature is simply a challenge to be addressed, overcome, and set aside.This volume is a critical exploration of natural law theory.

In recent decades cognitive science has revolutionised our understanding of the workings of the human mind. Philosophy has made a major contribution to cognitive science and has itself been hugely influenced by its development. This dynamic book explores the philosophical significance of cognitive science and examines the central debates that have enlivened its history. In a wide-ranging and comprehensive account of the topic, philosopher M.J. Cain discusses the historical origins of cognitive science and its philosophical underpinnings; the nature and role (...) of representations in cognition; the architecture of the mind and the modularity thesis; the nature of concepts; knowledge of language and its acquisition; perception; and the relationship between the brain and cognition. Cain draws upon an extensive knowledge of empirical developments and their philosophical interpretation. He argues that although the field has generated some challenging new views in recent years, many of the core ideas that initiated its birth are still to be taken seriously. Clearly written and incisively argued, The Philosophy of Cognitive Science will appeal to any student or researcher interested in the workings of the mind. (shrink)

Organ procurement policy from the recently deceased recasts families into gatekeepers of a scarce medical resource. To the frustration of organ procurement teams, families do not always authorize organ donation. As a result, efforts to increase the number of organs available for transplantation often seek to limit the authority of families to refuse organ retrieval. For example, in some locales if a deceased family member has satisfied the legal conditions for first-person prior assent, a much looser and easier standard to (...) satisfy than informed consent, organ retrieval may proceed despite the family’s objections. Some countries have replaced voluntary consent to organ donation with forms of organ conscription. Often referred to under the misnomer “presumed consent,” such policies legalize the harvesting of organs at death, unless individuals exercise official options to opt out. As this article explores, however, there are good grounds for affirming the authority of the family to consent to or to deny organ donation on behalf of recently deceased family members, as well as to reject first-person assent and “presumed consent” policies of organ procurement. Insofar as individuals have failed clearly and competently to provide informed consent to organ donation, moral authorization for the use of the person and his body ought to be grounded on the foundational authority of the family, rather than the state’s supposed interests in obtaining organs for transplantation. (shrink)

This paper challenges the foundational claim that the human family is no more than a social construction. It advances the position that the family is a central category of experience, being, and knowledge. Throughout, the analysis argues for the centrality of the family for human flourishing and, consequently, for the importance of sustaining family-oriented practices within social policy, such as more family-oriented approaches to consent to medical treatment. Where individually oriented approaches to medical decision-making accent an ethos of isolated personal (...) autonomy family-oriented approaches acknowledge the central social and moral reality of the family. I argue that the family ought to be appreciated as more than a mere network of personal relations and individual undertakings; the family possesses a being that is social and moral such that it realizes a particular structure of human good and sustains the necessary conditions for core areas of human flourishing. Moreover, since the family exists as a nexus of face-to-face relationships, the consent of persons, including adults, to be members of a particular family, subject to its own respective account of family sovereignty, is significantly more amply demonstrated than the consent of citizens to be under the authority of a particular state. As a result, in the face of a general Western bioethical affirmation of the autonomy of individuals, as if adults and children were morally and socially isolated agents, this paper argues that social space must nevertheless be made for families to choose on behalf of their own members. (shrink)

This paper critically explores key aspects of the gulf between traditional Christian bioethics and the secular moral reflections that dominate contemporary bioethics. For example, in contrast to traditional Christian morality, the established secular bioethics judges extramarital sex acts among consenting persons, whether of the same or different sexes, as at least morally permissible, affirms sexual freedom for children to develop their own sexual identity, and holds the easy availability of abortion and infanticide as central to the liberty interests of women. (...) Secular bioethics seeks to separate children from the authority of their parents, placing children themselves as in authority to make their own judgments about appropriate lifestyle choices, including sexual behaviors. As I argue, however, absent God, there exists no standpoint outside of our own cultural sociohistorically conditioned understanding from which to communicate any deeper perspective of reality or the bioethics that such a perspective would secure. Consequently, rather than discerning moral truth, secular bioethics merely affirms its own particular cultural sociohistorically conditioned ideological perspective. It is a social and political worldview bereft of definitive moral foundation, independent moral authority, or unambiguous content. (shrink)

While many have suggested that to withdraw medical interventions is ethically equivalent to withholding them, the moral complexity of actually withdrawing life supportive interventions from a patient cannot be ignored. Utilizing interplay between expository and narrative styles, and drawing upon our experiences with patients, families, nurses, and physicians when life supports have been withdrawn, we explore the changeable character of boundaries in end-of-life situations. We consider ways in which boundaries imply differences – for example, between cognition and performance – and (...) how the encounter with boundaries can generate altered meanings important for understanding decisions and actions in these contexts. We conclude that the reliance on mere roles to support the moral weight of withdrawing medical interventions is inadequate. Roles that lead us to such moments are exceeded by the responsibility encountered in such moments. And here, we suggest, is the momentous character of withdrawal: it presents the grave astonishment, the trembling awe, in the not-being-there of the other in death. (shrink)

This study explores the ways in which adolescents, even so-called “mature minors”, lack adequate development of the intellectual, affective, and emotional capacities necessary morally to consent to medical research on their own behalf. The psychological and neurophysiological data regarding brain maturation supports the conclusion that adolescents are qualitatively different types of agents than mature adults. They lack full adult maturity and personal agency. As a result, in addition to the usual requirements for IRB approval, one or both parents, or a (...) legal guardian, should provide informed consent for minor children to participate in medical research. (shrink)

This essay addresses two growing edges of the just war tradition. First, theorists have been accused of focusing narrowly on justifying war and governing its conduct, neglecting wider considerations that encompass justice during the years prior to and after war. Second, calling a war "just" allegedly makes it seem "good" so that it is easier to fight a war and to bend or set aside the rules. Based on "imperfect justice," we argue for a "justified" war theory, taking all criteria (...) and categories seriously, including jus ante bellum and jus post bellum. (shrink)

Mark Lovas asks to what extent are we all morally blind — and morally wanton? There are other sound reasons to destroy the Social Security system. It is based upon principles that are deeply offensive to the moral values of the political leadership … Social Security is based on the idea that it is a community responsibility to ensure that the disabled widow on the other side of town has food to eat, or that the child across the street (...) should be able to go to a decent school. Such evil ideas have to be driven from the mind. … According to right thinking, it isn't my fault if the widow married the wrong person or if the child's parents made bad investment decisions, so why should I contribute a few cents to a public fund to take care of them? (shrink)

The day-to-day work of clinical ethics consultants and healthcare ethics committees can easily become overly routine. Too much routine, however, comes with a risk that morally important practices will be reduced to mere bureaucratic formalities, while practitioners become desensitized to ethically significant distinctions between cases. Clinical ethics consultation and organizational ethics must be set within the broader social and cultural context of the healthcare environment. This practice requires looking beyond mere legal compliance and the routinely false assumption that there are (...) unambiguous ethical norms that easily govern clinical ethics and hospital policy formation. Together the essays in this issue of HEC Forum challenge readers to rethink taken-for-granted assumptions regarding patient care, physician obligation, clinical ethics consultation, and organizational ethics. (shrink)

Brain transplants have long been no more than the subject of science fiction and engaging thought experiments. That is no longer true. Neuroscientists have announced their intention to transplant the head of a volunteer onto a donated body. Response has been decidedly mixed. How should we think about the moral permissibility of head transplants? Is it a life-saving/life-enhancing opportunity that appropriately expands the boundaries of medical practice? Or, is it a bioethical morass that ought not to be attempted? For the (...) purposes of this paper, I set aside questions regarding the surgical operation’s technological plausibility so as to focus on very basic questions regarding personal identity and the morality of head transplantation. The analysis begins with an exploration of the embodiment of persons. It considers whether persons can be conceptually distinguished from all parts of their body, even if they cannot be physically separated from some parts without loss of personhood. It argues that in most cases replacing body parts with reasonably similar parts will not destroy the conditions for sustaining personhood. However, as I explore, the phenomenology of personhood is such that some physical changes may prove to be too significant to maintain personal identity successfully over time. Given such complexity and the significance of the costs involved, the moral permissibility of head transplantation likely depends on recognizing that persons may give permission to collaborate in common activities, including projects with which others deeply disagree, provided that they only utilize the services and resources of free and consenting others. (shrink)