Facial expressions of pain may be best conceptualized as an example of an evolved propensity to communicate distress, rather than as a distinct category of facial expression. The operant model goes beyond the evolutionary account, as it can explain how the (facial) expression of pain can become maladaptive as a result of its capability to elicit attention and caring behavior in the observer.

Written in the years from 1792 to 1795 while Thomas Paine was in prison, The Age of Reason shocked 18th-century readers with its attack on the conventions of Christianity. Based on years of study and reflection by the author, the work is written from the deist point of view and questions Christian beliefs and the role of religion in society. Its resonance remains undiminished after two centuries, and it continues to influence thinkers around the world.

. As Gregory Peterson's book Minding God illustrates, an ongoing encounter between theology and the cognitive sciences can provide rich insights to both disciplines. Similarly, reflection on recent advances in pain research can prove to be fertile ground in which further theological insights might take root. Pain researchers remind us that pain is both a sensory and an emotional experience. The emotional component of pain is critically important for the clinical management of people in pain, (...) as it serves a communicative function-human connection occurs more readily through the expression of and response to emotion than through the sterile exchange of "objective" descriptions of sensory phenomena. But emotion, pain and communication also figure prominently in Christian theology. For example, doctrines of incarnation and eschatology raise questions about suffering, healing, and hope as well as about the nature of the divine-human relationship. In addition, there seems to be scientific evidence for (admittedly subtle) gender differences in the perception of and response to pain. Several feminist theologians have noted that a habitual theological emphasis on God's rationality tends to reinforce masculine images of God and demeans the validity of emotion in the divine-human relationship. Potential theological implications of the emotional and communicative aspects of pain and how this might affect women's religious experience-with a particular focus on Teresa of Avila-are explored. (shrink)

This essay concerns what people should do in conflict situations when a doubt of fact bears on settling whether an alternative under consideration is legitimate or not. Its principal audience are those who believe that abortion can be legitimate when not having an abortion gives rise to serious harms that can be avoided by having one, but who are concerned that fetuses might feel pain when being aborted, and who believe that causing unnecessary pain should be avoided when (...) doing so would not pose an undue burden. The essay remains neutral on the substantive questions of the moral status of the unborn and the morality of abortion. The question of fetal pain has taken center stage in the last few years in the .. (shrink)

I describe a thought experiment in which an agent must choose between suffering a greater pain in the past or a lesser pain in the future. This case demonstrates that the ‘temporal value asymmetry’ – our disposition to attribute greater significance to future pleasures and pains than to past – can have consequences for the rationality of actions as well as attitudes. This fact, I argue, blocks attempts to vindicate the temporal value asymmetry as a useful heuristic tied (...) to the asymmetry of causation. Since the two standard arguments for the rationality of the temporal value asymmetry appeal to causal asymmetry and the passage of time respectively, the failure of the causal asymmetry explanation suggests that the B-theory, which rejects temporal passage, has substantial revisionary implications concerning our attitudes toward past and future experience. (shrink)

For decades, Christiane Northrup has been helping women navigate their lives with grace and joy. This elegant, compact volume offers her trademark wisdom in a fresh form, filled with pointed reminders "to help you develop a deeper respect for, and connection to, your own body and its exquisite guidance system [to] create a vibrantly healthy body, mind, and spirit." Each beautifully designed black-and-white page carries a quote that touches on a topic of deep significance: everything from heart-listening to epigenetics to (...) the importance of knowing that your decisions about medical treatment are not irreversible. Examples include:You are an ever-renewing, ever-changing, ever-growing being, born with an inner guidance that helps you create and maintain vibrant health and happiness. / When faced with a dilemma, take a moment to sit with the issue. Don't rush to decide what to do. Intend to let Divine inspiration flow to you, and it will be so! The next time you get an ache or a pain, soften the area around it with compassion. Ask your body what it needs. Listen deeply for the answer. (shrink)

This investigation develops in three steps. First, we seek to complexify the opioid crisis in a way that helps us to see how the issues of misguided desire and misplaced attachments are fundamentally important for a theological account of opioid addiction.1 Second, acknowledging the connections between pain and opioid addiction, we explore some of the ways in which our understanding of pain can influence our understanding of and responses to opioid use. Finally, we offer some tentative reflections on (...) the theological and ecclesial dimensions of the opioid crisis which hold the potential to influence the nature of a Christian response to the issues. Having laid out these steps, we argue for the church’s calling, where she complexifies the narratives about the opioid crisis and provides individuals suffering from opioid use “homeful” encounters with God and the community. (shrink)

Different views of life documented for discussion. For 14-16 year-olds.

Resumo O fundamentalismo é um fenômeno relativamente recente, pelo menos como posição articulada e autoconsciente. O presente artigo apresenta, de início, uma reflexão sobre o surgimento do termo fundamentalismo, em breve resgate histórico. A seguir, identifica e analisa as características principais dessa atitude, tanto na sua configuração psicológica (subjetivismo fechado), como na sua teoria epistemológica implícita (fideísmo radical, fé ou submissão a uma autoridade religiosa como fonte exclusiva ou predominante de certeza epistemológica), na sua hermenêutica (liberalismo na interpretação de escrituras) (...) e na sua maneira de priorizar um ativismo radical, na perspectiva pragmática (tendência a medidas radicais, à militância e até ao terrorismo no prosseguimento efetivo dos seus fins). Aplicando essa análise, mostra que os debates atuais entre cristãos e "neoateus" parecem frequentemente fundamentalistas, mas não apenas do lado religioso da disputa. Talvez o nome de fundamentalista possa ser reivindicado por alguns que ficariam bem surpresos pela nova titulação. A última parte do artigo discute a religião "usada" e "abusada". Palavras-chave: Ateísmo; Fundamentalismo; Filosofia da religião.Fundamentalism is a relatively recent phenomenon, at least as an articulated and self-conscious position. The present article begins by reflecting on the origin of the term fundamentalism in a brief historical review. Then the principal characteristics of this attitude are identified and analyzed, both in its psychological configuration (a closed subjectivity), as well as in its implicit epistemological theory (radical fideism, faith or submission to a religiou authority as exclusive or predominant source of epistemological certitude), its hermeneutics (literalism in the interpretation of scriptures) and its manner of prioritizing radical activisim in its pragmatic perspective (tendency to radical means, to militancy and even terrorism in the effective persecution of its ends). Applying this analysis, current debates between Christians and "neo-atheists" appear frequently fundamentalist, but not only on the religious side of the dispute. Perhaps the name fundamentalist can be claimed even by some who would be quite surprised by the new christening. The last part of the article discusses "used" and "abused" religion. Key words : Atheism; fundamentalism; philosophy of religion. (shrink)

Two plausible claims seem to be inconsistent with each other. One is the idea that if one reasonably believes that one ought to fi, then indeed, on pain of acting irrationally, one ought to fi. The other is the view that we are fallible with respect to our beliefs about what we ought to do. Ewing’s Problem is how to react to this apparent inconsistency. I reject two easy ways out. One is Ewing’s own solution to his problem, which (...) is to introduce two different notions of ought. The other is the view that Ewing’s Problem rests on a simple confusion regarding the scope of the ought-operator. Then, I discuss two hard ways out, which I label objectivism and subjectivism, and for which G.E. Moore and Bishop Butler are introduced as historical witnesses. These are hard ways out because both of these views have strong counterintuitive consequences. After explaining why Ewing’s Problem is so difficult, I show that there is conceptual room in-between Moore and Butler, but I remain sceptical whether Ewing’s Problem is solvable within a realist framework of normative facts. (shrink)

The encounter between a patient and her surgeon is unique for several reasons. The surgeon inflicts pain upon a patient for the patient’s own good. An operative intervention is irreducibly personal, such that the decisions about and performance of operations are inseparable from the idiosyncrasies of the individual surgeon. Furthermore, there is a chasm of knowledge between the patient and surgeon that is difficult to cross. Hence, training in the discipline of surgery includes the inculcation of certain virtues and (...) practices to safeguard against abuses of this relationship and to make sure that the best interests of the patient are prioritized. The stories in this issue are evidence that in contemporary practice this is not quite enough, as surgeons reflect on instances they felt were ethically challenging. Common themes include the difficulty in communicating surgical uncertainty, patient–surgeon relationships, ethical issues in surgical training, and the impact of the technological imperative on caring for dying patients. (shrink)

Theories of quantum gravity generically presuppose or predict that the reality underlying relativistic spacetimes they are describing is significantly non-spatiotemporal. On pain of empirical incoherence, approaches to quantum gravity must establish how relativistic spacetime emerges from their non-spatiotemporal structures. We argue that in order to secure this emergence, it is sufficient to establish that only those features of relativistic spacetimes functionally relevant in producing empirical evidence must be recovered. In order to complete this task, an account must be given (...) of how the more fundamental structures instantiate these functional roles. We illustrate the general idea in the context of causal set theory and loop quantum gravity, two prominent approaches to quantum gravity. (shrink)

Could computers ever be conscious? Will they ever have ideas that one could attribute to them and not to the programmer? Will robots be able to 'feel pain', instead of processing bits from sensors informing about danger? Will they have true emotions? These questions may never be answered, but it makes sense to ask whether humans will ever attribute mind to artifacts. This paper suggests introducing a third level of claims regarding artificial intelligence (AI), which is in between 'weak (...) AI' and 'strong AI', the so-called 'attributed AI'. This level requires more than weak AI ('behave as if', which could be said of any desktop calculator), but is less presumptuous than strong AI ('computers that think', a claim that is hard to prove). Attributed AI can be measured. This paper discusses behavioral paradigms for measurements of attributed AI and presents first experimental data. (shrink)

We address the moral importance of fish, invertebrates such as crustaceans, snails and insects, and other animals about which there is qualified scientific uncertainty about their sentience. We argue that, on a sentientist basis, one can at least say that how such animals fare make ethically significant claims on our character. It is a requirement of a morally decent (or virtuous) person that she at least pays attention to and is cautious regarding the possibly morally relevant aspects of such animals. (...) This involves having a moral stance, in the sense of patterns of perception, such that one notices such animals as being morally relevant in various situations. For the person who does not already consider these animals in this way, this could be a big change in moral psychology, and can be assumed to have behavioural consequences, albeit indeterminate. Character has been largely neglected in the literature, which focuses on act-centred approaches (i.e. that the evidence on sentience supports, or does not support, taking some specific action). We see our character-centred approach as complementary to, not superior to, act-centred approaches. Our approach has the advantage of allowing us to make ethically interesting and practically relevant claims about a wider range of cases, but it has the drawback of providing less specific action guidance. (shrink)

Pain perception is influenced by several factors, and among them, affect, sex, and perception of bodily signals are assumed to play a prominent role. The aim of the present study is to explore how sex, cardiac interoceptive accuracy, and the interaction of the latter two influence the perception of experimentally induced pain. We investigated a large sample of young adults, assessing current positive and negative affective state with the Positive and Negative Affect Schedule, cardiac interoceptive accuracy with the (...) mental heartbeat tracking task, and pain sensitivity with electrical stimulation on the back of the dominant hand, applying a repeated-measures staircase protocol. Males showed a significantly higher pain threshold and tolerance level than females, whereas cardiac interoceptive accuracy was not associated with pain sensitivity. The impact of sex × cardiac interoceptive accuracy interaction was significant for pain threshold only, while pain tolerance was predicted only by sex. According to these findings, the associations between pain sensitivity, cardiac IAc, and sex might be more complicated than it was supposed in previous studies. Interactions between factors impacting pain perception appear worthy of further investigation. (shrink)

Research documents that many chronic non-malignant pain patients experience existential, spiritual and religious needs; however, research knowledge is missing on if and how physicians approach these needs. We conducted a systematic review to explore the extent to which physicians address these needs in their communication with chronic non-malignant pain patients and to explore the facilitators and challenges of this communication. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, searching Embase, Medline, Scopus and PsycINFO. The (...) quality of the included articles was assessed based on design-specific screening tools. We included four of 2337 screened articles and found the quality to be good. Physicians’ communication about existential, spiritual and religious needs was given low priority and depended on the patients’ own initiative, except when clinicians were interested in holistic care. Patient dissatisfaction with the physician’s attention to these needs was related to higher pain and depression. Physicians’ challenges for addressing these needs were their tendency to prioritize physiological aspects and close further elaboration of existential needs when addressed by the patients. The main facilitator was the individual physician’s willingness to listen with openness and empathy to the patients’ existential concerns. A tentative conclusion is that physicians rarely meet the existential, spiritual and religious needs of their chronic non-malignant pain patients. This might be due to higher priority of physical aspects, lack of time and a lack of knowledge about the importance of and training in the ability to address these needs. Further research is needed on physicians’ communication about existential, spiritual and religious needs and on their training in here. (shrink)

Postural reflexes are essential for locomotion and postural stability, and may play an important role in the etiology of chronic back pain. It has recently been theoretically predicted, and with the help of unilateral perturbations of the trunk experimentally confirmed that the sensorimotor control must lower the reflex amplitude for increasing reflex delays to maintain spinal stability. The underlying neuromuscular mechanism for the compensation of postural perturbations, however, is not yet fully understood. In this study, we applied unilateral and (...) bilateral sudden external perturbations to the trunk of healthy subjects and measured the muscular activity and the movement onset of the trunk. We found that the onset of the trunk muscle activity is prior to, or coincident with, the onset of the trunk movement. Additionally, the results of our experiments imply that the muscular response mechanism integrates distant sensory information from both sides of the body. These findings rule out a simple monosynaptic stretch reflex in favor of a more complex polysynaptic postural reflex mechanism to compensate postural perturbations. Moreover, the previously predicted negative correlation between reflex delay and reflex gain was also confirmed for bilateral perturbations. (shrink)

Workplace ostracism is a prevalent and painful experience. The majority of studies focus on negative outcomes of ostracism, with less work examining employees’ potential adaptive responses to it. Further, scholars have suggested that such responses depend on employee attributions, yet little research has taken an attributional perspective on workplace ostracism. Drawing on sociometer theory and attribution theory we develop and test a model that investigates why and under what circumstances ostracized employees engage in adaptive responses to ostracism. Specifically, we argue (...) that ostracized employees feel greater levels of shame and, in turn, are motivated to engage in greater ingratiation behavior toward their ostracizers. However, we predict that perceptions of ostracizers’ competence and warmth shape different attributional processes, which influence the degree to which the ostracized employee experience shame and, in turn, is motivated to engage in ingratiation behavior. Results of a three-wave, time-lagged survey support our prediction that shame mediates the relationship between coworker ostracism and ingratiation behavior. Moreover, results support our three-way interaction, such that coworkers who report higher levels of ostracism and who perceive their coworkers as more (vs. less) competent and more (vs. less) warm report higher shame, and, in turn, ingratiation behavior. Theoretical and practical implications, as well as avenues for future research, are discussed. (shrink)

The topic of pain and suffering is complex and requires a holistic vision. This article begins by clarifying concepts to understand pain as a biological, psychological, and social phenomenon that has an evolutionary history whose maximum expression arises in humans. Established this common ground, it explores altruism and animal cooperation as incipient phenomena of care for the other, though contextual. Then it points out that the difference with humans is that they perceive caring for the weak, innocent, and (...) marginalized as a moral duty and a path of personal flourishing. Finally, in the face of human weakness and from Christian theology, God shows with deeds a path of care for the weak by making himself weak, suffering and remaining innocent. (shrink)

All else being equal, most of us typically prefer to have positive experiences in the future rather than the past and negative experiences in the past rather than the future. Recent empirical evidence tends not only to support the idea that people have these preferences, but further, that people tend to prefer more painful experiences in their past rather than fewer in their future (and mutatis mutandis for pleasant experiences). Are such preferences rationally permissible, or are they, as time-neutralists contend, (...) rationally impermissible? And what is it that grounds their having the normative status that they do have? We consider two sorts of arguments regarding the normative status of future-biased preferences. The first appeals to the supposed arbitrariness of these preferences, and the second appeals to their upshot. We evaluate these arguments in light of the recent empirical research on future-bias. (shrink)

This paper shows how self-inflicted pain enabled the expression of love for God among Christian monastic flagellant ascetics in medieval central Europe. As scholars have shown, being in a state of pain leads to a change in or a destruction of language, an essential attribute of the self. I argue that this transformation allows the self to transcend its boundaries as a conscious object, even if only in part, in a limited manner and temporarily, thereby enabling the expression (...) of love for God, a non-object. To substantiate my argument, I show that the self’s transcendence of its boundaries as a conscious object and its consequent experience of being a non-object enable the imitation of God: not solely in the sense of imitatio Christi, of the physical and visual representations of God incarnate in the flesh of His son Christ, but also in the sense of the self’s experience of being a non-object, just like God, the telos of the self’s love. (shrink)

Taking regular walks when living with Parkinson’s disease has beneficial effects on movement and quality of life. Yet, patients usually show reduced physical activity compared to healthy older adults. Using auditory stimulation such as music can facilitate walking but patients vary significantly in their response. An individualized approach adapting musical tempo to patients’ gait cadence, and capitalizing on these individual differences, is likely to provide a rewarding experience, increasing motivation for walk-in PD. We aim to evaluate the observance, safety, tolerance, (...) usability, and enjoyment of a new smartphone application. It was coupled with wearable sensors and delivered individualized musical stimulation for gait auto-rehabilitation at home. Forty-five patients with PD underwent a 1-month, outdoor, uncontrolled gait rehabilitation program, using the BeatWalk application. The music tempo was being aligned in real-time to patients’ gait cadence in a way that could foster an increase up to +10% of their spontaneous cadence. Open-label evaluation was based on BeatWalk use measures, questionnaires, and a six-minute walk test. Patients used the application 78.8% of the prescribed duration and enjoyed it throughout the program. The application was considered “easy to use” by 75% of the patients. Pain, fatigue, and falls did not increase. Fear of falling decreased and quality of life improved. After the program, patients improved their gait parameters in the six-minute walk test without musical stimulation. BeatWalk is an easy to use, safe, and enjoyable musical application for individualized gait rehabilitation in PD. It increases “walk for exercise” duration thanks to high observance.Clinical Trial Registration: ClinicalTrials.gov Identifier: NCT02647242. (shrink)

In people with chronic low back pain, maladaptive structural and functional changes on a cortical level have been identified. On a functional level, somatosensory cortical excitability has been shown to be reduced in chronic pain conditions, resulting in cortical disinhibition. The occurrence of structural and/or functional maladaptive cortical changes in people with CLBP could play a role in maintaining the pain. There is currently no measurement protocol for cortical excitability that employs stimulation directly to the lower back. (...) We developed a protocol for the measurement of single pulse somatosensory evoked potential waveforms and paired-pulse behavior generated from sensory nerves of the lower back and quantified its test–retest reliability in a sample of 30 healthy individuals to gain insights into the normal variability of cortical responses, which could then be compared to results from people with CLBP. We investigated cortical excitability by measuring SEPs and PPB. PPB was defined as the ratio of the amplitude of the second cortical response divided by the first cortical response. A2s was determined by subtracting the response to single-pulse stimuli from the paired pulse stimuli response to account for linear superposition effects. The test–retest reliability of the protocol was very poor with no evidence of systematic bias but a high amount of random variability between sessions. There was no significant difference in the right side PPB for session 1 and session 2 ; mean session difference [ = −0.44 ; t = −1.17, p = 0.26]. The ICC3.1 for the outlier-removed right side PPB were 0.19 and 0.43 for left side PPB. This finding potentially has wider implications for PPB protocols. If these findings were replicated in other groups and other nerves, it would question the validity of this measure more generally. However, these findings are restricted to healthy people and sensory nerves of the lower back and may not be generalizable. (shrink)

Contrary to the commonly assumed opinion that Christianity sees pain as intrinsically evil – where evil is defined as the lack of something good – Aquinas defines pain not as a privation but rather a passion of the soul, i.e., an emotion that depends on sensual and/or intellective cognition of something evil, is good in itself, and may serve a purpose. This article offers a formalized version of the Thomistic definition of pain and related negative (unpleasant) (...) emotions experienced by humans. It also compares and contrasts this view with some contemporary scientific and philosophical models of pain. (shrink)

His authority is always grounded in the very authority he deposes, with the result that his voice is little more than a theatrical performance that unwittingly re-enacts the rhetorical maneuvers of deposed father figures.

Eliminating pain is problematic when it comes to caring for people with disabilities or chronic pain. This paper locates the drive to completely eliminate pain as a project of the Enlightenment and contrasts it with the tradition of interpreting suffering throughout the Christian tradition. I introduce Jane Austen’s novel Mansfield Park as a way to continue the tradition of interpretative suffering after the Enlightenment. Using textual analysis of Jane Austen’s Mansfield Park, I demonstrate how the novel’s heroine, (...) Fanny Price, is able to resist the drive to eliminate pain through her contemplative reflection on suffering which allows her to participate in right relationships with others and God. Finally, I offer twenty-first century applications of Mansfield Park by addressing changes we can make in the church and the clinic to understand better the role pain plays in Christian life and community. (shrink)

Postcolonialism and decolonising campaigns are expressions of human pain on the level of identity confusion (inferiority), ideological abuse (cultural discrimination) and structural oppression (imperialistic exploitation). The slogan ‘Black Pain is a White Commodity’ in the #MustFall campaigns is critically analysed within the framework of postcolonial theory and imperialistic power categories. The basic hypothesis of the article is that in early Christianity, pantokrator images of God were influenced by iconography stemming mostly from the Roman Emperor cult and Egyptian (...) mythology. The power (omnipotence) and dominiumship of God directly and indirectly played a role in Christian imperialistic thinking regarding the expansion of the Kingdom of God and missio Dei strategies during times of European and colonial expansionism. In order to address the quest for ‘moving beyond’ in postcolonial theory, the impact of pantokrator-images of God on ecclesial thinking is researched. In order to contribute to sustainability and stability within the complexity of cultural diversity and current civil unrest on campuses in South Africa, the paracletic notion of compassionate being-with is developed within the framework of practical theological thinking. Instead of a Caesar-depiction, the theological notion of passio Dei is proposed: the decolonialising (post-imperialising) God. (shrink)

If we are searching, over the past half-century or so, for the finest articulation of the Augustinian vision of God as the One who satisfies the deepest desire of our heart by way of uprooting desires that more often than not feel like our deepest desires, we would do well to sit at the feet of Gilbert Meilaender. Meilaender rightly suggests that it is only when we see as God does that we can fully recognize what in our created and/or (...) fallen nature is in need of transformation. That said, even where God is not known as the deepest desire of the heart, happiness can be grasped as coming by way of the painful upending of desires. This is what eudaemonist virtue ethics should lead us to expect, even if it is not Christian—as this article seeks to illustrate by way of reflection on ancient Stoic oikeiosis on the one hand, and modern ecological consciousness on the other. (shrink)

Pain was one of the issues debated between Julian of Aeclanum and Augustine of Hippo. For Augustine pain was an evil caused by original sin. Julian argued that, in the context of creation as a whole, pain can be treated as a good, since its moderate forms are creational. Only in excess are they evil. This article aims at presenting Julian's position in detail, not only in the context of the debate with Augustine, but in the wider (...) context of late ancient philosophy and early Christian doctrine. Julian is well acquainted with philosophical and medical texts and with the biblical and patristic tradition. He rejects Augustine's attempt to work all these into a universal theological theory of pain and thereby deny, in Julian's view, philosophy and medicine their relative autonomy. Julian's plea—as a theologian—for a rational and empirical approach to pain draws as much upon ancient sources as it anticipates an attitude towards natural science and philosophy usually associated with much later periods in history. (shrink)

It seems that animal pain is an obstacle to belief in a good God, though Christianity has not been much concerned with the issue. A systemic approach to pain is not a complete answer, nor is there any merit in denying that God is subject to moral appraisal. Marilyn McCord Adams recommends that such investigations be located in the specifics of a religious tradition. Her advice eliminates a couple of radical solutions but there appear to be a (...) number of ways in which progress might be made without doing violence to the tradition that is in need of a theodicy. (shrink)

Christian divorce is construed as letting go of past sin in repentance and seeking new life in faithfulness and forgiveness; this painful crisis is seen as a confrontation with God's judgment and as an opening up to God's grace; one is urged to maintain an awareness of temptations to continue in sin and of opportunities for reconciliation and cooperation. This view is developed through an analysis of the concepts of covenant, infidelity and adultery, as well as a comparison of civil, (...) contractual marriage and the Christian sacrament and covenant of marriage. "Practical Postscripts" discuss the issues of the nurture of children of divorced persons and remarriage. "From the beginning of creation, 'God made them male and female.' For this reason a man shall leave his father and mother and be joined to his wife, and the two shall become one flesh.' So they are no longer two but one flesh. What therefore God has joined together, let not man put asunder." (Mark 10:6-9). (shrink)

Contemporary sociology mirrors Western society in its general aversion and sensitivity to pain, and in its view of pain as an unproductive threat to cultures and identities. This highlights the deconstructive capacities of pain, and marginalizes collectively authorized practices that embrace it as constitutive of cultural meanings and social relationships. After exploring the particularity of this Western orientation to pain — by situating it against processes of instrumentalization and medicalization, and within a broader context of other (...) social developments conducive to a heightening of affect control — this article builds on Mauss’s analysis of ‘body techniques’ in suggesting that the cultural, physiological and psychological dimensions of pain can be combined in various ways. In examining this point further, we then compare contrasting religious engagements with pain as a way of detailing how it can be positively productive of cultural meanings and identities, and conclude by using these comparisons to illuminate the relationship between the current Western approach to pain and the Christian traditions that shaped the West historically. (shrink)

In his incarnation as ‘Morus’ in Utopia, Thomas More asserts his profound disagreement with his fictional character, Raphael Hythlodaeus. Whereas Hythlodaeus extols the merits of commonality and the moral value of pleasure, Morus dismisses the whole project as absurdity, or hopeless wishful thinking. This divergence has been variously interpreted, but mostly played down. This paper argues that the civilized, amicable, and yet genuine discord between Raphael Hythlodaeus and Morus is the key to Utopia. We can appreciate its importance only if (...) we understand who Hythlodaeus is, and what the purpose of the dialogue is. We also have to do justice to Thomas More’s politics, which were grounded on the authority of the Christian tradition, in the Old and the New Testament. Over the years, Thomas More maintained a very clear and consistent line of thought on the legitimacy of worldly wealth, the responsibilities inherent in its management, the imperative to curb their enjoyment, the temptation of ‘business’ and greed, the duty of charity, and the value of penance, remorse, prayer, and other kinds of self-inflicted suffering. In A Dialogue of Comfort against Tribulation, Anthony, the wiser character, conveys Thomas More’s relentless praise of pain. Anthony has the last word. So, too, does Morus. (shrink)

This is a review of a book by the physician Uwe-Christian Arnold pleading for the right to assisted suicide. Arnold who has accompanied several patients to their end opens his book with several case studies. In the second part A. discusses the arguments against assisted suicide. One of the arguments is based on a reading of the Hippocratic Oath which is shared also by A. As against this reading, I argue that in this text the doctor is not committed to (...) withholding a poison from his patient, but rather to be no part as an accomplice in a poisoning ordered or wished for by a third party. Given the very painful dying caused by the poisons known in antiquity it is in itself rather unlikely that a patient wanting to commit suicide did asked his doctor for a poison. In the third part of the book, A. argues against the slippery slope argument brought forward by people like the catholic philosopher R. Spaemann. Pointing to empirical evidence from US-states as Oregon, A. insists that allowing assisted suicide has helped to enhance palliative medical care and reduced the number of suicides. (shrink)

For most of the past generation, clinicians have been taught to treat patients' pain until the patient says it is relieved. The opioid crisis has forced both clinicians and patients to reconsider that approach. This essay considers how Christians in particular might assume and seek to overcome their experiences of persistent pain. Wise and faithful responses to pain, especially chronic pain, can take their bearings from how early Christians made sense of the place of both medicine (...) and suffering in a faithful life. This results in not asking medicine to resolve persistent pain, especially not through the use of opioids. Resisting the impulse to medicalize chronic pain will require patience on the part of those who suffer, and both patience and fortitude on the part of the clinicians to whom they present. (shrink)

Evolutionary studies have provided several explanations about how pain and suffering can be fitted into that framework, which tries to make sense of every biological and human feature in terms of evolution, survival, and fitness. These explanations point usually to how such apparently negative aspects become useful and contribute to an evolution that after all has delivered good outcomes. Such an approach might eventually render the theodicy question less sharp and critical for believers who are trying to cope with (...) the scandal of so great suffering in our world and history. Theologically we can welcome such new insights, less noticed in former tradition, but at the same time we need to be cautious before a development which could render less clear the message of Christian salvation. In any case, the new data and knowledge clearly invite to revise and reformulate the Christian salvific message, to better answer before the mystery of evil and suffering. (shrink)

Ortega y Gasset’s old lament that no one had so far attempted a rigorous phenomenology of pain no longer holds since the appearance of Christian Grüny’s recent monograph Zerstörte Erfahrung. Eine Phänomenologie des Schmerzes. Grüny argues for the use of phenomenological categories from Merleau-Ponty in order to understand physical pain as a “blocked escape-movement” , concluding that corporeal suffering makes impossible both a clean distinction and a pure identification between the lived body and the physical body that I (...) am. In my paper, I would like to suggest some improvements to Grüny’s approach through the utilization of the category of self-affection, as the material phenomenology of Michel Henry has developed it. In addition to the radical immanence in which hyle, noesis, and noema are unified into a “carnal cogito,” however, I argue that it is necessary to describe the painful self-affection not only in terms of any sensitive excess whatever , as Grüny posits, but also in terms of a mutation of the sensitive excess into the intra-tactile sphere of sensibility. Thus I endorse the Husserlian insight that makes tactility the primordial structure of sensibility. (shrink)

I consider the implications of two globally influential love-centred value systems for how to respond to painful memories that are a consequence of large-scale social conflict. More specifically, I articulate a moral-philosophical interpretation of the sub-Saharan worldview of ubuntu, and consider what it entails for responding to such trauma. According to this ethic, one should strive to become a real person, which one can do insofar as one honours those capable of communal (or broadly loving) relationships, ones of identity and (...) solidarity with others. I compare the implications of this ubuntu ethic with those of prominent Christian principles such as the golden rule and the commandment to love one's neighbour, noting some similarities between them, but emphasizing differences. Salient topics addressed are reconciliation with others, reconciliation to one's situation, punishment and forgiveness. (shrink)

In philosophy of religion, there are few more frequently visited topics than the problem of evil, which has attracted considerable interest since the time of Epicurus. It is well known that the problem of evil involves responding to the apparent tension between 1) belief in the existence of a good, all powerful, all knowing God and 2) the existence of evil—such as personal suffering embodied in the experience of cancer. While a great deal has been written concerning abstract philosophical theories (...) that academics use to explain the existence of evil, much less has been written about how religious lay people make sense of evil and suffering. What explanations, meanings, and perceptions do they hold concerning the religious significance of evil? What can theologians and philosophers learn from these lay experiences? Our interdisciplinary team designed an experiment to identify the religious significance that personal suffering held for a group of religious cancer sufferers. We interviewed twenty-nine self-identified evangelical Christians who had received a cancer diagnosis at some point in their lives for our experiment. Since all interviewees identified as Christians, it was expected that they would assent to belief in a theistic God. It was also expected that each interviewee would assent the existence of evil and see their cancer experience as a dramatic and personal instance of an evil event. The explicit existential threat of cancer guarantees that the individual has much at stake in the experience. Furthermore, the pain and suffering that typically accompanies either the cancer itself or cancer treatments make it a compelling example of evil experienced in a very personal way. Finally, even when successfully treated, the ongoing threat of potentially fatal recurrence looms over the sufferer for years to come. We asked 17 questions related to the religious significance of their cancer experience in each interview and coded these interviews looking for five distinct types of explanations for/meaning of evil: trusting God in mystery, free will, moral development, spiritual growth, and growth in human relationships/community. These categories were meant to correspond loosely to five philosophical responses to the existence of evil.Our interviews included several important results. First, 79% of interviewees had at least one answer that fit into the ‘trust God in mystery’ category of responses with 48% using this category of responses as their most frequently cited theme. This result could be interpreted as a kind of generic theodical response: God has a good, but unknown reason for allowing evil/suffering. Alternatively, another possible interpretation is that at least some of these interviewees intuited something similar to skeptical theism, since it claims that if one understands the type of God proposed by theism and possesses an accurate view of human cognitive capacities, it is apparent that there is no real tension to be resolved between theism and the existence of evil. Some of our interviewees seemed to believe not only that the answer to why evil exists is mysterious, but that they simply could not have the necessary perspective to judge what kinds of purposes God might have for allowing this painful episode in their lives.While it was unsurprising that religious sufferers would find it important to trust God in ambiguous difficult circumstances, more surprisingly, we found that 52% of our respondents did not judge that their cancer experience was at all in tension with their religious beliefs. Whereas a broad range of philosophers and theologians acknowledge that there is at least an apparent conflict between the existence of a good, all-powerful God and the existence of evil, most of our interviewees did not even perceive an apparent tension between theistic beliefs and their painful cancer experiences that would be in need of additional reconciliation.There are at least two ways this result might be interpreted. First, our interviewees might hold additional beliefs that make the existence of evil easier for them to accept. After all, these interviewees were not ‘bare theists’ who held only to the existence of God, but presumably held a broad range of religious beliefs which may already serve to reconcile the existence of evil: that growing closer to God is more important than earthly life itself, that in evil in this life allows us a greater appreciation of a blessed eternity, or simply that ‘God works for our good in mysterious ways.’ Thus, a fully developed Christian worldview may already accommodate the existence of evil in a way not fully appreciated by philosophers.Another possible interpretation is that at least some of our interviewees were not adequately reflective to perceive the tension between their religious beliefs and their experience of suffering. There is at least some reason to doubt this explanation as an overarching interpretation of this result since our interviewees were generally well educated with the median participant holding at least a Bachelor’s degree, and most were ongoing participants in a cancer support group ensuring long-term ongoing engagement with their cancer experience.A final significant finding is that a high portion of our interviewees, 83% reported specific examples of beneficial personal growth—moral, spiritual, or relational— that resulted from their cancer experience. When asked about their cancer experience’s broad effect upon their lives in these areas they volunteered at least one example of a benefit they received in these areas. Depending on one’s accompanying value theory and whether such benefits might have been otherwise achieved, they might provide a morally sufficient reason for the existence of suffering. Our interviewees frequently described experiencing the kind of benefits at the heart of John Hick’s soul making theodicy and Eleonore Stump’s ‘spiritual growth’ theodicy, providing at least some corroborating evidence for such views. Experiences common to our interviewees were similar to what such theodicies would predict. (shrink)

Women’s pain remains underappreciated, undertheorized, and undertreated in both medicine and theology. The ascetic practices of women in pain, however, can help Christians understand and navigate their own pain and suffering, particularly because they are experienced in the context of chronic illness and disability. In what follows, I argue that Christians would do better to view the pain that accompanies disability and chronic illness as a potential resource for spiritual practice rather than an example of sin (...) or evil. I begin with a brief overview of the most common theological explanations for the relationship between disability and sin within contemporary Christian writings on disability. What is often neglected in these conversations is the acknowledgment of pain in the disability experience. Likewise, discussions of evil often attempt to explain the existence of pain and suffering, but rarely address the practical realities of pain. As a way to begin to remedy the lack of attention to the experience of chronic pain for those living with illness and disability, I consider what it would mean to live faithfully with pain by examining the lives of three holy women who provide examples of what it means to interpret, manage, and share their pain within the body of Christ. (shrink)