This work examines the concept of trust in the light of virtue theory, and takes our responsibility to be trustworthy as central. Rather than thinking of trust as risk-taking, Potter views it as equally a matter of responsibility-taking. Her work illustrates that relations of trust are never independent from considerations of power, and that asking ourselves what we can do to be trustworthy allows us to move beyond adversarial trust relationships and toward a more democratic, just, and peaceful society.

This article critically examines Louis Charland’s claim that personality disorders are moral rather than medical kinds by exploring the relationship between personality disorders and virtue ethics. We propose that the conceptual resources of virtue theory can inform psychiatry’s thinking about personality disorders, but also that virtue theory as understood by Aristotle cannot be reduced to the narrow domain of ‘the moral’ in the modern sense of the term. Some overlap between the moral domain’s notion of character-based ethics and the medical (...) domain’s notion of character-based disorders is unavoidable. We also apply a modified version of John Sadler’s “moral wrongfulness test” to borderline and narcissistic personality disorders. With respect to both diagnoses, we argue that they involve negative moral evaluations, but may also have indispensable nonmoral features and, therefore, classify legitimate psychiatric disorders. (shrink)

This chapter sets out several views of empathy that draw not only on psychology's literature but on philosophical and psychiatric writings. Empathy is a set of complex concepts involving perception, emotion, attitudinal orientation, and other cognitive processes as well as an activity that expresses character traits and, hence, one of the virtues. In other words, an examination of the philosophical and clinical literature reveals empathy to be not one unified concept but instead a set of related characteristics and qualities needed (...) to be an ethical and therapeutically effective clinician. To this end, the chapter offers reasons as to why empathy is important to clinical work: empathy is both epistemically and ethically necessary to good social relations and, in particular, clinical relations. It then distinguishes empathy from a related concept called "world"-traveling and situates its relevance to therapeutic relations. Finally it brings these ideas together by highlighting Iris Murdoch's ideas of "just vision" and "loving attention.". (shrink)

This paper raises questions about who counts as a knower with regard to his or her own memories, what gets counted as a genuine memory, and who will affirm those memories within an epistemic community. I argue for a democratic epistemology informed by an understanding of relations of power. I investigate implications of the claim that knowledge is both social and political and suggest ways it is related to trust. Given the tendency of epistemology to draw lines that discriminate unfairly (...) against some, it is vital that efforts to create democratic epistemologies be sensitive to the potential for exploitation. Standards of credibility often favor members of dominant groups, and our ontological commitments may intersect with patterns of domination. While acknowledging difficulties in evaluating what counts as credible claims to memories, I argue that one’s engagement with clients must be mapped onto the larger moral and political domain. (shrink)

Furman and Tuminello raise a central question about people living with mental illness: What kind of life is possible for them? Can one live a flourishing life even when struggling with a mental disorder? The authors draw on research studies to argue that a technique called Applied Behavioral Analysis can improve the lives of children with autism. One study, from 1987, found that 47% of children exposed to ABA attained normal IQ levels, adaptive skills, and social skills, and other studies (...) replicated these results. This is a promising avenue for those living with autism.Furman and Tuminello focus on autism, but their claims, if true, might be extended to other disorders as well; as they note, people... (shrink)

We will consider alternative ways that Kant’s philosophical views on ethics generally and on punishment more particularly could be brought into harmony with the present near consensus of opposition to the death penalty. We will make use of the notion of the contemporary consensus about certain issues, particularly equality of the sexes and the death penalty, found in widespread agreement, though not unanimity. Of course, it is always possible that some consensuses are wrong, or misguided, or mistaken. We should not (...) put too much philosophical weight on the notion of a consensus here. If there is a consensus for the equality of women as citizens, and against the death penalty, this will simply suggest to us that we will want to reconsider Kant’s views on such topics. In both instances mentioned, his views lie outside the current consensus. We will consider how to revise Kant’s views to bring them into accord with these current consensuses, within a theory that is still, in as significant a sense as possible, Kantian. Since the use of the idea of a consensus is a sort of short-cut, there will not be much direct discussion of arguments for or against the equality of women as citizens, or for or against the advisability of using the death penalty. Yet the discussions of these issues will illuminate certain facts about the structure of Kant’s moral and political theories, and about how the basic principles within those theories relate to particular moral applications or topics. If we can still end up with a thoroughly Kantian view on the death penalty, that also will tell us something about the relation of Kantian ethical and legal principles to the death penalty as that issue is discussed today. Opposition to the death penalty in present day circumstances is not at variance with the basic principles of Kantian ethical, political, and legal theory, including his retributivism in the justification of punishment. Indeed, there is a way of revising Kant’s views to bring them into harmony with abolition. (shrink)

I discuss pedagogical issues that concern incest survivors. As teachers, we need to understand the ways in which the legacy of incest variously affects survivors' educational experiences and to be aware that the interplay of trust, knowledge, and power may be particularly complex for survivors. I emphasize the responsibility teachers have to create classrooms that are inclusive of survivors, while raising concerns about the practice of personal disclosure and assumptions about trust and safety in the classroom.

Authors James Wilson and David Hunter (2010) take on the critics of research “overregulation,” defending institutional review boards (IRBs) and their role in research in three ways. According to Wi...

In most areas of medicine, the physician's primary task is to diagnose the patient's presenting problem by correctly identifying the underlying pathology causing that problem. Diagnoses are established through a process of correlating the information obtained from an interview with the patient about his history of illness and circumstances, with additional evidence of the underlying disease derived from physical examination findings and/or the results of laboratory investigations and diagnostic imaging. In contemporary health care, various movements that call for a shift (...) in clinical care away from underlying disease pathology toward understanding people and their experience of disease are receiving growing... (shrink)

In the past 25 years or so, the issue of ethical universalizability has figured prominently in theoretical as well as practical ethics. The term, 'universaliz ability' used in connection with ethical considerations, was apparently first introduced in the mid-1950s by R. M. Hare to refer to what he characterized as a logical thesis about certain sorts of evaluative sentences (Hare, 1955). The term has since been used to cover a broad variety of ethical considerations including those associated with the ideas (...) of impartiality, consistency, justice, equality, and reversibility as well as those raised in the familar questions: 'What if everyone did that?' and 'How would you like it if someone did that to you? But this recent effloresence of the use of the term 'universalizability' is something that has deep historical roots, and has been central in various forms to the thinking about morality of some of the greatest and most influential philosophers in the western tradition. While the term is relatively new, the ideas it is now used to express have a long history. Most of these ideas and questions have been or can be formulated into a principle to be discussed, criticized, or defended. As we discuss these ideas below this prin ciple will be stated on a separate numbered line. The concepts of justice and equality were closely linked in Greek thought. These connections between these two concepts are apparent even in two authors who were hostile to the connection, Plato and Aristotle. (shrink)

Drawing on metaphors of travel and tourism, I distinguish between epistemological stances that clinicians can adopt when attempting to understand how patients experience their world and their illness. I argue for a particular stance, called world traveling, that involves a shift in clinicians' own commitments, perceptions, and values. I identify barriers to this model but also suggest ways a version of world traveling may be implemented.

This paper explores the relationship between the bonds of practitioner/patient trust and the notion of a justified lie. The intersection of moral theories on lying which prioritize right action with institutional discretionary power allows practitioners to dismiss, or at least not take seriously enough, the harm done when a patient's trust is betrayed. Even when a lie can be shown to be justified, the trustworthiness of the practitioner may be called into question in ways that neither theories of right action (...) nor contemporary discourse in health care attends to adequately. I set out features of full trustworthiness along Aristotelian lines. (shrink)

Kant gives four examples to illustrate the application of the categoricaI imperative immediately after in troducing its “universal Iaw” formulation in Chapter Two his Groundwork of the Metaphysics of Morals. These examples have been much discussed to gain an understanding of how the categorical imperative applies to derive specific duties. It is argued that the discussions found in these examples do not accord well with Kant’s fuller account of that application in his Iater work The Metaphysics of Morals. That [Iater] (...) work has quite different, sometimes better, arguments for the same moral conclusions, and never mentions the argument against making a lying promise (the second example). Giving exclusive or excessive altention to these four examples has distorted our understanding of Kant’s moral philosophy. (shrink)

We are thankful for the opportunity to reflect more on the difficult problem of the relationship between moral evaluations and the construct of personality disorders in response to the commentaries by Mike Martin and Louis Charland. We begin by emphasizing to readers that this important problem is complicated by the different perspectives of the various disciplines involved, especially, philosophy, psychiatry, and psychology. Incredulity, anger, and dismay are among the reactions we encountered in discussions of these issues, especially with some mental (...) health professionals. Strong reactions on either side of a disciplinary divide occasionally present barriers to a dispassionate discussion of the topic. .. (shrink)

Kant gives four examples to illustrate the application of the categoricaI imperative immediately after in troducing its “universal Iaw” formulation in Chapter Two his Groundwork of the Metaphysics of Morals. These examples have been much discussed to gain an understanding of how the categorical imperative applies to derive specific duties. It is argued that the discussions found in these examples do not accord well with Kant’s fuller account of that application in his Iater work The Metaphysics of Morals. That [Iater] (...) work has quite different, sometimes better, arguments for the same moral conclusions, and never mentions the argument against making a lying promise (the second example). Giving exclusive or excessive altention to these four examples has distorted our understanding of Kant’s moral philosophy. (shrink)

Ethics, including medical ethics, has historically paid insufficient attention to epistemic rights and wrongs. This neglect fails to recognize the ways ethics and epistemology are intertwined. In the past fifteen years or so, there has been an interest in epistemic issues in medical practices, relationships with patients, and what is called epistemic injustice. Miranda Fricker identifies a kind of epistemic wrong as an injustice and a harm because it diminishes the speaker's capacity of a knower and treats her as uncredible (...) on the basis of prejudice due to their social identity as a member of a group. Scott Waterman inquires into the status of a rejection of unscientific methodologies... (shrink)

This essay examines the relationship between nonviolence and trustworthiness. I focus on questions of accountability for people in midlevel positions of power, where multiple loyalties and responsibilities create conflicts and where policies can push people into actions that reinstate hegemonic relations. A case study from crisis counseling is presented in which the management of the case exacerbated previous violence done to a biracial female. The importance of resistance to dominant ideology is scrutinized.

In lieu of an abstract, here is a brief excerpt of the content:Memory and the Instituting Social ImaginaryNancy Nyquist Potter*, PhD (bio)Emily Walsh's Article on the way that colonialism is perpetuated in psychiatry through dominant collective memory is simultaneously exciting and challenging, and merits active engagement toward making changes (Walsh, 2022). This presents a challenge to clinicians to address entrenched, often subconscious, ways of being with and helping racialized people with historical memories and current experiences.Such changes are necessary in that (...) dominant collective memory is contributory to mental illness, as Walsh writes. It also contributes to what Walsh calls a traumatic loop, whichinvolves feeling unwell due to racist abuse or the effects racialization has on the psyche, then being unable to voice these concerns to the practitioners who desire to help you. Not having the opportunity to voice these concerns can make patients feel as though these memories are not important, thereby invalidating their own negative experiences of racialization.(Walsh, 2022, p. 232)For these reasons, it is crucial that psychiatrists fully understand the harm they can do by reproducing dominant collective memories and work to change this in themselves and in the institutional systems in which they see patients/service users.I focus on one question briefly and then turn to the heart of active engagement.The question concerns what the content of dominant collective memory is and how it might play out in a particular interaction in psychiatry. This is important for clinicians who want to learn what sorts of changes need to be made in order not to continue to enact colonialism and to avoid doing harm. Walsh does a fine job setting out forms of memory and how Fanon (and she) suggest that clinicians can assist patients toward liberation from dominant collective memory. Yet I am left with uncertainty about what sorts of dominant memory serve to deny the violence in the colonized. A bit of filling out on this idea would help the motivated to move toward change.A pressing question is how to facilitate such changes. Both the limitations and the possibilities of the social imaginary can help us understand why change is so difficult and yet how it nevertheless is possible and, in fact, necessary. The social imaginary, as Code explains it, "refers to implicit but effective systems" of values, meanings, interpretations of reality, norms for living, what counts as knowing and who can be knowers, that are found in a social-political order in ways that shape our sense of self, our ways of relating to others, our responsibilities, and a sense of place (Code, 2008, pp. 31–32). The instituted social imaginary, then, tells us what sorts of persons we should be and [End Page 241] how we should see and treat others. It shapes memories and limits which memories—and whose memories—get acknowledged and which ones and whose memories are erased or ignored. It is difficult to see for what it is because it is implicit and assumed to be fixed and natural. However, this is the instituted social imaginary, where the content of the imaginary is taken as given and is naturalized. It trades in stereotypes of Black and Indigenous and other people of color as well as stereotypes of queers, people living with disabilities, the homeless, and others. It is harmful in that it perpetuates those stereotypes, controls patients/ service users, negates their own personal and community identities, and erases episodic memory. It is difficult to change because it is entrenched and often not questioned. Nevertheless, the instituted social imaginary is not totalizing. There is hope, and energy, and excitement to be found in active engagement with an instituting social imaginary. Here, we find people and communities working to critique the given, the naturalized, and even ourselves: "Imaginatively initiated counterpossibilities interrogate the social structure to destabilize its pretensions to naturalness and wholeness, to initiate a new making" (Code, 2008, pp. 34–35). In the final section, I begin to fill out these moves in relation to Walsh's work on memory and psychiatry.Clinicians are trained to be good listeners, and many of them already practice good listening skills in interacting with their patients/service users. However, many patients' experiences... (shrink)

We are pleased with the thought-provoking discussion that our article has stimulated. All of the discussants agree that the state of education and infusion of ethical principles and practices into psychiatric decision making is currently suboptimal. The ethical questions raised by the discussants, writ large, have been analyzed, reduced to a seemingly manageable 'core,' or expanded to capture nuance and subtlety, and it is invaluable for clinicians, patients, and others to explore them together.In modern times, where the prevailing Western ethical (...) theories were developed, the aim of ethics was to do the right thing. For example, we ought to aim to maximize overall usefulness based on consequences of actions, or to... (shrink)

This chapter contains section titled: Seinfeld Waiting to Exhale Ellen Special News Broadcasts Radio Programs Outlaw Communities Talk Shows Conclusion.

People diagnosed with Borderline Personality Disorder (BPD) may engage in what are called self-injurious acts. This paper situates self-injury within a larger cultural context in which body modifications are differently evaluated according to inscribed meanings. To provide a framework for ethical interactions with people diagnosed as BPD who self-injure, I draw on two concepts from theories of meaning: signification and uptake. I suggest possible significations of self-injury, but argue that clinicians have a duty to give uptake to the patient's own (...) interpretations of her behavior. Proper giving of uptake, which involves responding to others' communications such that the communicator's integrity is preserved, is crucial to ethical practices for clinicians, and uptake is never simply neutral or objective. This analysis suggests that sense-making about a client's self-injurious acts involves an understanding not only of the client's own interpretation of her behavior and its meaning, but also of the discursive production and function of such signs in our culture. I offer five maxims to guide the therapeutic process for clinicians working with self-injurious behavior in BPD patients. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 10.1 (2003) 33-35 [Access article in PDF] In the Spirit of Giving Uptake Nancy Nyquist Potter IT IS BOTH WONDERFUL and daunting to now be in the middle of a dialogical exchange on the messy and difficult topic of self-injury and how ethically to interact with patients who self-injure. It is wonderful that authors such as Carolyn Sargent have contributed very helpful examples from the (...) discipline of anthropology that expand the ideas I have been grappling with. And it is daunting to begin to sharpen and correct my thoughts along the lines that the commentators suggest. In the spirit of giving uptake both to the praise and the criticism I have received, I first situate the "Commodity/Body/Sign" article in the context of my larger project and then focus on one problem area: my claim that giving uptake is necessary to ethical healing practices. Giving Too Much Uptake to the Dsm Rob Woolfolk is right that borderline is diagnostically imprecise. But what initially caught my interest in this personality disorder was its pejorative connotations. I will mention my favorite example, which comes from a past chairman of the psychiatry department at New York University that "borderliners are the patients you think of as PIAs—pains in the ass," (Medical World News 1983). Why are the patients who exhibit the behaviors associated with borderline personality disorder (BPD) so disliked, I wondered? Who are these patients, and what are they doing that brings upon themselves such rejection? My investigation, in other words, has been focused on behaviors and their meanings, using a philosophical lens to examine underlying assumptions. I completely agree with Woolfolk and Carolyn Sargent that much more analysis needs to be done on BPD, and I am eager to do it. It is true that I do not take up larger questions about the gendered nature of this diagnosis in general (Sargent, Woolfolk), nor do I challenge the validity of the diagnosis in this article (Woolfolk). In my view, that larger project must be held in abeyance until more philosophical probing on a number of other issues is done. Hopefully, my book-length project will benefit from continuing guidance from these authors.I focus first on self-injury for two reasons. First, it is the most common symptom for which people with BPD come to clinical attention (Gunderson 2001, 22). Second, of all the behaviors associated with BPD, self-injurious behavior is the kind that people most tend to dig in their heels about when its status as pathological is questioned. Gunderson cautions that "because the diagnosis of BPD underscores a serious, long-standing mental health problem, the diagnosis should not be offered too readily to anyone who cuts or otherwise self-mutilates" (2001, 23). I add to that caution that we ought not too readily assume that self-injury is pathological: Lynne Cox (2003) swam to the Antarctic Peninsula in water temperatures of 32° Fahrenheit and with 25 foot waves; she suffered nerve damage and numbness in her extremities. Self-injurious behavior? [End Page 33] Pathological? Cox trained for two years to accomplish this feat. In problematizing self-injury, I raise questions about some associations and assumptions we make. Calling into question the whole taxonomy requires looking at symptoms, behaviors, and criteria as a whole, and that cannot be done until systematic analysis of concepts such as self-injury, impulsivity, identity disturbance, and manipulativity are undertaken. To put things in terms of Woolfolk's reasonable criticism that he wishes I would "give less uptake to the framers of the DSM-IV," I appreciate that point. But I do think that those of us who are not ourselves clinicians must do our research carefully and proceed conservatively rather than attempting to tear a house down that may not need to be condemned. Methods and Morals Woolfolk says that the concept of uptake is "familiar and central" to therapy; Katherine Morris says it is "simple and uncontroversial"; Sargent says it is "unexceptionable"; and Christa Krüger says it may be "very difficult if not more or less doomed... (shrink)

IN THINKING ABOUT the wonderfully helpful comments by Eric Cassell, Suzanne Jaeger, and Deborah Spitz, I find myself grappling with three central questions: How reliable a guide is world traveling? What kind of knowledge can be obtained by world traveling? and, What are the goals of treatment such that world traveling might be thought to serve a purpose? These questions arise from the insights, criticisms, and cautions the commentators provide, and I will weave together possible answers from ideas drawn from (...) the commentaries. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 39.1 (2001) 151-153 [Access article in PDF] Allen W. Wood. Kant's Ethical Thought. Cambridge, Cambridge University Press, 1999. Pp. xxiv + 436. Cloth, $54.95. This book by Allen Wood in its first half gives us a state-of-the-art survey of traditional topics in the interpretation of Kant's ethics, and in the second half breaks new ground, and significantly widens the canon of works that (...) need to be taken account of in presenting Kant's ethics as a whole. Wood tells us that his main criticism of previous interpretations of Kant's ethics is that they overemphasize the universal law formulation of the categorical imperative, when the most promising version is the formula of humanity. One of the major contributions of this book is the detailed argument (passim, but especially Chapter IV) that the formula of humanity is the preferable one for understanding Kant's ethics in application, and the one used most in the Metaphysics of Morals.Part I takes the reader on the familiar traversal of the text of Kant's Groundwork of the Metaphysics of Morals. Chapter 1 is a discussion of the topics that come up in Chapter One of the Groundwork. Chapter 2 is a coverage of the first part of Kant's Chapter Two. Chapters 3, 4, and 5, are discussions of what are usually called the first (universal law), second (humanity), and third (autonomy and kingdom of ends) formulations of the categorical imperative. The discussion of Kant's Chapter Three is brief (basically, Wood's pages 171-182).Wood comments that the proper way to expound Kant's views on ethics would be, after (1) an introductory exposition based in the Groundwork, (i.e., his Chapters 1-5) to present (2) Kant's views on "human nature and its consequences for the application of the foundational principles" (13) (his Chapters 6-9). Only then would one be in a position to "provide (3) a systematic exposition of the Metaphysics of Morals as the definitive form of Kant's practical philosophy" (13). But such an undertaking would have been too ambitious for any single book. Hence Wood's book omits part (3), though he makes significant use of the Metaphysics of Morals throughout.Wood urges his readers not to neglect his extensive endnotes (xv), where sometimes [End Page 151] important matters are discussed that could not be accommodated within the main text. In addition, in the notes one can find some fascinating passages, e.g., (1) a significant self-criticism (345, n.12). (2) Another note finds Wood saying that Andrea Dworkin borrows her views of sexuality from Simone de Beauvoir (without acknowledgment), and that Beauvoir and Sartre's views were largely anticipated by Kant. Then he adds this zinger: "These comparisons also shed light on the cogency of the condescending explanations usually offered for Kant's views on sex. For it would not naturally occur to us to attribute the views of Beauvoir or Sartre to their sexual inexperience, to the lingering effects of their excessively religious upbringing or to the puritanical attitudes characteristic of mid-century Parisian intellectuals" (397, n.11).One of the traditional topics Wood discusses is the proper formulation of maxims for evaluation by the universal law formulation. He thinks that there are bound to be some systematic failures to achieve correct results because of inadequacies of this formulation, but he discusses fairly extensively how to minimize such erroneous outcomes by correct formulations of maxims (97-107), and his discussion makes some useful contributions to this once heavily discussed topic. One might add another, almost commonsense suggestion to his: Maxims mention ends of action, as well as proposed action-kinds; since actions are thus described within maxims as means to ends, action-descriptions would include only action characteristics that are causally relevant to the achievement of the ends of actions. This reminder enables us to eliminate many irrelevant action-descriptors.Part II of the Wood book is entitled "Anthropological Applications." In this section he pursues topics that have not been central to... (shrink)

Kant's "supreme principle of morality," which he calls the "categorical imperative," is often applied by him to specific cases to reach conclusions about particular moral duties, e.g., to abstain from suicide, to not make lying promises, to render assistance to others. There are a number of such applications in the first part of his Metaphysik der Sitten , entitled the Rechtslehre, that have had less attention paid to them. In the Rechtslehre Kant is concerned with state-created laws enforced by punishment, (...) that will serve to guarantee the rights of citizens. This makes the application process somewhat different from the more familiar examples from Kant's earlier Grundlegung zur Metaphysik der Sitten, which are concerned with the agent's inner decision process and the self-constraint of moral motivation. The present essay examines in some detail Kant's argument to show that there should be no such thing as an hereditary aristocracy, and compares it with the argument against making a lying promise in the Grundlegung. There are significant similarities and differences, and there are also significant connections to the ideas of John Rawls in A Theory of Justice . More briefly discussed are Kant's arguments in the Rechtslehre concerning punishment and the right of property. The whole discussion is intended as an introduction to the issues concerning the application of the categorical imperative in contexts where the result is external state-enforced laws, rather than an internal morally motivated moral decision. The issue in the former is said to be what persons abstractly considered could give their consent to in advance, where Kant makes a key distinction between a priori considerations having to do with agent liberty which lead to a moral decision concerning citizen rights, and empirical considerations having to do with happiness, which do not lead to conclusions concerning citizen rights. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 39.1 (2001) 151-153 [Access article in PDF] Allen W. Wood. Kant's Ethical Thought. Cambridge, Cambridge University Press, 1999. Pp. xxiv + 436. Cloth, $54.95. This book by Allen Wood in its first half gives us a state-of-the-art survey of traditional topics in the interpretation of Kant's ethics, and in the second half breaks new ground, and significantly widens the canon of works that (...) need to be taken account of in presenting Kant's ethics as a whole. Wood tells us that his main criticism of previous interpretations of Kant's ethics is that they overemphasize the universal law formulation of the categorical imperative, when the most promising version is the formula of humanity. One of the major contributions of this book is the detailed argument (passim, but especially Chapter IV) that the formula of humanity is the preferable one for understanding Kant's ethics in application, and the one used most in the Metaphysics of Morals.Part I takes the reader on the familiar traversal of the text of Kant's Groundwork of the Metaphysics of Morals. Chapter 1 is a discussion of the topics that come up in Chapter One of the Groundwork. Chapter 2 is a coverage of the first part of Kant's Chapter Two. Chapters 3, 4, and 5, are discussions of what are usually called the first (universal law), second (humanity), and third (autonomy and kingdom of ends) formulations of the categorical imperative. The discussion of Kant's Chapter Three is brief (basically, Wood's pages 171-182).Wood comments that the proper way to expound Kant's views on ethics would be, after (1) an introductory exposition based in the Groundwork, (i.e., his Chapters 1-5) to present (2) Kant's views on "human nature and its consequences for the application of the foundational principles" (13) (his Chapters 6-9). Only then would one be in a position to "provide (3) a systematic exposition of the Metaphysics of Morals as the definitive form of Kant's practical philosophy" (13). But such an undertaking would have been too ambitious for any single book. Hence Wood's book omits part (3), though he makes significant use of the Metaphysics of Morals throughout.Wood urges his readers not to neglect his extensive endnotes (xv), where sometimes [End Page 151] important matters are discussed that could not be accommodated within the main text. In addition, in the notes one can find some fascinating passages, e.g., (1) a significant self-criticism (345, n.12). (2) Another note finds Wood saying that Andrea Dworkin borrows her views of sexuality from Simone de Beauvoir (without acknowledgment), and that Beauvoir and Sartre's views were largely anticipated by Kant. Then he adds this zinger: "These comparisons also shed light on the cogency of the condescending explanations usually offered for Kant's views on sex. For it would not naturally occur to us to attribute the views of Beauvoir or Sartre to their sexual inexperience, to the lingering effects of their excessively religious upbringing or to the puritanical attitudes characteristic of mid-century Parisian intellectuals" (397, n.11).One of the traditional topics Wood discusses is the proper formulation of maxims for evaluation by the universal law formulation. He thinks that there are bound to be some systematic failures to achieve correct results because of inadequacies of this formulation, but he discusses fairly extensively how to minimize such erroneous outcomes by correct formulations of maxims (97-107), and his discussion makes some useful contributions to this once heavily discussed topic. One might add another, almost commonsense suggestion to his: Maxims mention ends of action, as well as proposed action-kinds; since actions are thus described within maxims as means to ends, action-descriptions would include only action characteristics that are causally relevant to the achievement of the ends of actions. This reminder enables us to eliminate many irrelevant action-descriptors.Part II of the Wood book is entitled "Anthropological Applications." In this section he pursues topics that have not been central to... (shrink)

Tamara Browne argues that many of the controversies that emerge in the process of revising DSMs could be solved by the creation of an Ethics Review Panel, similar to that of a research ethics committee. Members of such a panel would, in Browne's words, "help inform psychiatric classification". Browne's proposal is important on a number of levels, the most significant one being that it affirms the status of ethics as equal to that of science. An Ethics Review Panel would do (...) more than merely make the processes of scientific and ethical judgments parallel: if Browne's suggestions were followed, it would raise ethical considerations to that of second-order status to scientific judgments in the... (shrink)