The past two decades have been a time of heightened interest in the moral aspects of the practice of medicine. This interest has been reflected in medical education by the establishment of medical humanities programs in both preclinical and clinical education in many medical schools. It has also been reflected in the literature with a dramatic increase in journal articles on medical ethics as well as the development of medical ethics in textbooks. A number of journals have developed that are (...) specifically devoted to medical ethics, including The Journal of Medical Ethics, The Journal of Medicine and Philosophy, The Journal of Medical Humanities, Theoretical Medicine, Cambridge Quarterly of Healthcare Ethics, just to name a few. The literature includes both theoretical foundations and conceptual analyses of particular issues as well as practical advice and general suggestions for how to implement programs in medical humanities. (shrink)

In the wake of a pilot study that indicated that the experience of medical education appears to Inhibit moral development In medical students, increased attention needs to be given to the structure of medical education and the Influence it has on medical students. Interest in ethics and moral reasoning has become widespread in many aspects of professional and public life. Society has exhibited great interest in the ethical issues confronting physicians today. Considerable effort has been undertaken to train medical students, (...) interns, and residents In how to reason through medical-ethical dilemmas. Media attention has focused on Issues such as abortion, euthanasia, care of severely handicapped infants, organ transplantation, and so forth, producing heated debates in both the professional and lay literature over the morality of the various positions. The curriculum of medical education has paralleled and reflected this general Interest in medical ethics. Most medical schools now offer, and frequently require, course work in ethics. However, further research Is needed to better characterize and understand the relationship of medical education to moral development. (shrink)

The prominent call to legalise same-sex marriage in Australia raises questions concerning whether its achievement will result in amplified societal acceptance of lesbian, gay, bisexual, and transgender (LGBT) people, and on what grounds this acceptance will take place. Same-sex marriage may not challenge heteronormative and patriarchal features typically associated with marriage, and may serve to reinforce a hierarchy that promotes traditional marriage as the ideal relationship structure. This may result in only assimilationist acceptance of LGBT people. However, the consequence of (...) inclusion to marriage ought to reflect social acceptance of LGBTs as people worthy of equal treatment in dignity and in rights, regardless of perceived differences or similarities to a supposed majority standard. This article argues that justice would be best served by introducing and promoting a variety of State-sanctioned unions whilst simultaneously introducing same-sex marriage. This ‘pluralisation strategy’ would increase awareness and legitimacy of other relationship-recognition options, promoting respectful acceptance of LGBT and heterosexual people alike. (shrink)

This study investigates the three major educational philosophies behind the medical humanities programs in the United States. It summarizes the characteristics of the Cultural Transmission Approach, the Affective Developmental Approach, and the Cognitive Developmental Approach. A questionnaire was sent to 415 teachers of medical humanities asking for their perceptions of the amount of time and effort devoted by their programs to these three philosophical approaches. The 234 responses constituted a 54.6% return. The approximately 80:20 gender ratio of males to females (...) and other demographic data on age and educational background were consistent with other studies of the field of medical humanities.Reflections on the results in Table II indicate that some changes need to take place in the teaching of the medical humanities if the perceived ideal is to be achieved. In order for the current teachers of the medical humanities to think that the appropriate philosophies behind the teaching of the medical humanities are being implemented as they should be, much less time and effort need to be devoted to the Cultural Transmission Approach. With no other published reports on the educational philosophies behind the medical humanities programs, this study created a new knowledge base about this relatively young and rapidly emerging field. (shrink)

Following a brief consideration of two contrasting purposes for teaching the medical humanities, a description is given of a film discussion elective course. In contrast to the usual teaching of medical ethics which is primarily a cognitive activity emphasizing the development of a code of principles such as justice, autonomy, and beneficence, the film discussion elective was primarily an affective activity emphasizing the development of an ethical ideal of caring, relatedness, and sensitivity to others. The pass/fail elective, offered for one (...) credit each quarter for two quarters, met once a week for one hour for twenty-four weeks. Each week a film was shown followed by a group discussion. A wide variety of social issues were covered. The objective of the course was to increase the ethical sensitivity of the medical students through promotion of introspection and reflection on social issues. A brief discussion is given of the importance and appropriateness of using film to promote the affective focus of medicine on the relief of suffering. Examples are given of how the course achieved its objective. A detailed description of the resource materials is provided. (shrink)

In a recent article, J. Angelo Corlett criticises what he takes to be the ‘offensiphobic’ practices characteristic of many universities. The ‘offensiphobe’, according to Corlett, believes that offensive speech ought to be censured precisely because it offends. We argue that there are three serious problems with Corlett’s discussion. First, his criticism of ‘offensiphobia’ misrepresents the kinds of censorship practiced by universities; many universities may in some way censure speech which they regard as offensive, but this is seldom if ever a (...) manifestation of ‘offensiphobia’. Second, we attempt to reconstruct Corlett’s criticism of ‘offensiphobia’ as a criticism of the practice of censuring hate speech, and show that this argument is unsuccessful. Third, we offer some brief reflections on how labelling universities as ‘offensiphobic’ is especially problematic in light of the current climate of political interference in university research and teaching. (shrink)

Sartre maintains that “all consciousness is consciousness of something.” Idiosyncratically, he also understands this “intentionality principle” to entail that what consciousness is “of” is necessarily distinct from it (or “outside of” it, or “transcendent to” it). Nonetheless, he also maintains that all consciousness is necessarily conscious of—or rather, “(of)”—itself in a non‐intentional (in his terms: “non‐positional/non‐thetic”) manner. Given that this non‐positional/thetic self‐consciousness is not intentional, it is evidently immune to the “difference” principle, but this is less clear with respect to (...) self‐reflection (which Sartre simply calls “reflection”). It seems impossible for reflection to be “intentional” because intentionality entails difference—yet it also seems problematic to consider reflection “non‐intentional” because it then becomes difficult to distinguish reflection from non‐positional/thetic self‐consciousness as such (which is inherently “unreflective”). This can be called Sartre's “dilemma of reflection.” While Sartre seems to alternate between portraying reflection as intentional and as non‐intentional (it generally appears like the former), this paper argues that it should be conceived as both according to different respects. By piecing together various passages of Sartre's texts and drawing out their implications, Sartre can be shown to have the resources for an answer to his own dilemma. (shrink)

_Self-Reflection for the Opaque Mind_ attempts to solve a grave problem about critical self-reflection. Psychological studies indicate not just that we are bad at detecting our own "ego-threatening" thoughts; they also suggest that we are ignorant of even our ordinary thoughts. However, self-reflection presupposes an ability to know one’s own thoughts. So if ignorance is the norm, why attempt self-reflection? While admitting the psychological data, this book argues that we are infallible in a limited range of self-discerning judgments—that in some (...) cases, these judgments are self-fulfilling or self-verifying. Even so, infallibility does not imply indubitability, and the author does not wish to provide a "foundation" for empirical knowledge. The point is rather to explain how self-reflection as a rational activity is possible. The book will be of interest to scholars working on the issue of self-reflection across a wide range of disciplines, including philosophy, psychology, and cognitive science. (shrink)

Current accounts suggest that self-referential thought serves a pivotal function in the human ability to simulate the future during mind-wandering. Using experience sampling, this hypothesis was tested in two studies that explored the extent to which self-reflection impacts both retrospection and prospection during mind-wandering. Study 1 demonstrated that a brief period of self-reflection yielded a prospective bias during mind-wandering such that participants’ engaged more frequently in spontaneous future than past thought. In Study 2, individual differences in the strength of self-referential (...) thought — as indexed by the memorial advantage for self rather than other-encoded items — was shown to vary with future thinking during mind-wandering. Together these results confirm that self-reflection is a core component of future thinking during mind-wandering and provide novel evidence that a key function of the autobiographical memory system may be to mentally simulate events in the future. (shrink)

Many blame politicians, governments, and markets for the technically-driven problems the world faces. But why is it that there are almost always engineers and corporations willing to design and build the technologies that cause those problems, many times in spite of knowing about the negative consequences of those technologies? I offer in this paper practical guidance on how to engage in activist engineering, the goal of which is to get engineers to step back from their work and be able to (...) ask and have a conversation about the question, “What is the real problem, and does this problem ‘require’ an engineering solution?” Building on research in the history and philosophy of engineering, and engineering ethics and education, as well as current events—all of which highlight important issues of debate within engineering practice—I provide a list of questions that engineers can start with for self-reflection to better understand their motivations for doing engineering work, and to better understand the implications of their work. The questions relate to considerations engineers must make regarding the social, environmental, economic, and peace implications of their work, and relate to alternative and non-technical interventions to the problem at hand. I believe that each engineer should, in the end, be able to answer the questions: Why am I an engineer? For whose benefit do I work? What is the full measure of my moral and social responsibility? (shrink)

Self-reflection plays a key role in healthy human adaptation. Self-reflection might involve different capacities which may be impaired to different degrees relatively independently of one another. Variation in abilities for different forms of self-reflection are commonly seen as key aspects of many adult mental disorders. Yet little has been written about whether there are different kinds of deficits in self-reflection found in mental illness, how those deficits should be distinguished from one another and how to characterize the extent to which (...) they are interrelated. We review clinical and experimental literature and suggest four different forms of deficits in self-reflection: sense of ownership of one’s own thoughts and actions, emotional awareness, distinction between fantasy and reality and the integration of a range of different views of oneself and others. We propose how these different impairments in self-reflection are linked with one another. (shrink)

Reflective processing is a joint social action that develops in interaction. Using conversation analysis and discursive psychology, this article focuses on self-reflective turns of talk in group counselling for adults at risk of type 2 diabetes. We show how reflective processing unfolds in patterns of interaction, wherein group members take an observing, evaluating or interpreting position towards their own actions and experiences. Self-reflective talk is neither exclusively dependent on counsellors’ actions nor limited to the niches the counselling programme structure offers. (...) Self-reflective talk is one method of generating joint reflective processing. Such talk makes a topic available for discussion by connecting details of counselling with individuals’ experiences and enabling sharing. Self-reflective talk thus serves as a way for group members to participate in constructing a lifestyle problem, to invite or provide sharing of experiences and to display their orientation to the institutional task at hand. (shrink)

Idiosyncratic responses as more strictly personal responses to fiction film that vary across individual spectators. In philosophy of film, idiosyncratic responses are often deemed inappropriate, unwarranted and unintended by the film. One type of idiosyncratic response is when empathy with a character triggers the spectator to reflect on his own real life issues. Self-reflection can be triggered by egoistic drift, where the spectator starts imagining himself in the character’s shoes, by re-experiencing memories, or by unfamiliar experiences that draw the spectator’s (...) attention. Film may facilitate self-reflection by slowing down narrative development and making the narrative indeterminate. Such scenes make idiosyncratic responses, such as self-reflection, appropriate and intended. Fiction film is a safe context for the spectator to reflect on personal issues, as it also affords him with distancing techniques if the reflection becomes too painful or unwanted. The fictional context further encourages self-reflection in response to empathy, as the spectator is relieved from real life moral obligations to help the other. (shrink)

Some engineering educators recognize the necessity and challenges of teaching students moral sensitivity. As recently pointed out by some scholars, along with moral sensitivity, promoting “self-knowledge” is significantly lacking in engineering curricula. We suggest that the “ethics autobiography” employed in some health and psychological science programs can serve as a useful tool for helping engineering students develop moral sensitivity and self-reflective competencies. First, this paper briefly discusses some unique potential strengths of introducing ethics autobiography as a tool for moral pedagogy (...) to engineering education. Second, this paper provides five specific examples on how to implement ethics autobiography in the classroom. Among the five examples, two are directly related to engineering education and the other three can easily be adapted to meet the needs of engineering education. Finally, this paper concludes with some discussion of the implications of ethics autobiography for engineering ethics education reform and the limitations and ethical considerations of using autobiography in moral pedagogy. (shrink)

This chapter speculatively addresses the nature and effects of metaphorical views that a mind can intermittently use in thinking about itself and other minds, such as the view of mind as a physical space in which ideas have physical locations. Although such views are subjective, it is argued in this chapter that they are nevertheless part of the real nature of the conscious and unconscious mind. In particular, it is conjectured that if a mind entertains a particular (metaphorical) view at (...) a given time, then this activity could of itself cause that mind to become more similar in the short term to how it is portrayed by the view. Hence, the views are, to an extent, self-fulfilling prophecies. In these ways, metaphorical self-reflection, even when distorting and inaccurate, is speculatively an important aspect of the true nature of mind. The chapter also outlines a theoretical approach and related implemented system (ATT-Meta) that were designed for the understanding of metaphorical discourse but that have principles that could be at the core of metaphorical self-reflection in people or future artificial agents. (shrink)

Critical Social Theory's search for a normative ground of its engagement in the critique of contemporary societies is essentially founded on a reflexive way of thinking. Arguably, this can be traced back from modernity - specifically to Kant, Hegel, and Marx. This paper will demonstrate how the Kantian, Hegelian, and Marxian practices of self-reflection inform the concept of social critique. By an adequate understanding of self-reflection, we secure the methodological foundation of critical social theory.

This text includes the interventions of Alfred Schutz at the 1955 Conference on Science, Philosophy, and Religion, entitled “Aspects of Human Equality,” to which his paper, later published as “Equality and the Meaning Structure of the Social World,” had been submitted. In Schutz’s reactions to the comments of other conference participants, one can see his views on: the “secularization” of more theoretical philosophical and theological ideas, the need to distinguish levels of abstraction, the importance of self-reflection on one’s own viewpoint, (...) and the significance of common sense. In the end, he recommends that theoreticians return to kindergartens and playgrounds to examine the equality practiced there. (shrink)

This text includes the interventions of Alfred Schutz at the 1955 Conference on Science, Philosophy, and Religion, entitled “Aspects of Human Equality,” to which his paper, later published as “Equality and the Meaning Structure of the Social World,” had been submitted. In Schutz’s reactions to the comments of other conference participants, one can see his views on: the “secularization” of more theoretical philosophical and theological ideas, the need to distinguish levels of abstraction, the importance of self-reflection on one’s own viewpoint, (...) and the significance of common sense. In the end, he recommends that theoreticians return to kindergartens and playgrounds to examine the equality practiced there. (shrink)

This text includes the interventions of Alfred Schutz at the 1955 Conference on Science, Philosophy, and Religion, entitled “Aspects of Human Equality,” to which his paper, later published as “Equality and the Meaning Structure of the Social World,” had been submitted. In Schutz’s reactions to the comments of other conference participants, one can see his views on: the “secularization” of more theoretical philosophical and theological ideas, the need to distinguish levels of abstraction, the importance of self-reflection on one’s own viewpoint, (...) and the significance of common sense. In the end, he recommends that theoreticians return to kindergartens and playgrounds to examine the equality practiced there. (shrink)

This article addresses the debate between Afrocentrists like Martin Bernal and classical scholars such as Mary Lefkowitz and Robert Palter concerning the origins of ancient Greek civilization. Focusing on the first half of Herodotus’ Histories, I argue that, although Greek cultural developments can be attributed to the Greeks themselves, Herodotus indicates that the conditions that made these developments possible were due to the prior Greek absorption of important aspects of Egyptian religion. Herodotus shows that the Greeks learned from the Egyptians (...) to individualize their gods and to appreciate the humanity of women. This Egyptian influence, Herodotus suggests, is what allowed the Greeks, in contrast to the Scythians, to become an object to themselves within the context of stable city life. I conclude that this habit of self-reflection is the source of the uniquely Greek contribution to the art, philosophy, science and politics of the West. (shrink)

This paper addresses the indifference of students in higher education to the importance of self-reflection. As the economic justifications for higher education lose their hold, students display an absence of reasons for getting a college degree. The result of this, their indifference to the task of self-reflection, cannot be tackled from a perspective that presupposes the importance of self-reflection (e.g. traditional courses or coursework). Instead, the author holds that students need texts that demonstrate the path to self-reflection. Turning to literary (...) texts, the author discusses why stories are so capable of speaking to and moving students on a personal level. The author concludes by presenting a number of texts from a course he designed and explaining their philosophical role in the course. (shrink)

The role of narrativity in the constitution of personal identity, a widely discussed topic in recent philosophy, is also an important issue in Robert Musil’s novel “The Man without Qualities.” Apart from a theoretical passage, where the coherence established by life-narratives is explicitly rejected as an illusion, the novel displays various instances of reflection in which characters seek to articulate their identity by narrating parts of their lives. Not all of these self-narratives are presented as flawed; rather, by highlighting the (...) differences between various instances of self-reflection, the novel suggests that a life-narrative has to meet certain standards in order to further self-understanding. The essay seeks to identify these standards by analysing two examples of self-reflection rendered in Musil’s novel. Furthermore, it briefly compares the novel’s dealing with the issue of narrativity and personal identity with recent philosophical approaches, in particular with Charles Taylor’s view that in order to have an identity, human beings have to understand their lives in the form of a narrative that determines their place relative to the good. (shrink)

Constitutivists explicitly emphasize the importance of self-reflection for rational agency. Interestingly enough, there is no clear account of how and why self-reflection plays such an important role for these views. My aim in this paper is to address this underappreciated problem for constitutivist views and to determine whether constitutivist self-reflection is normatively oriented. Understanding its normative features will allow us to evaluate a potential way that constitutivism may meet its purported metaethical promise. I begin by showing why constitutivism, as exemplified (...) by Korsgaard’s and Velleman’s respective views, takes self-reflection to be a constitutive feature of rational agency. Closer examination of this claim suggests three underappreciated problems for the constitutivist’s apparent reliance on self-reflection. First, we have no picture of the specific role that self-reflection plays. Second, it is unclear in what sense it is a requirement for full-fledged agency and, thereby, for self-constitution. Third, it is not clear whether it has any necessary normative features, even given the often cited moral normativity associated with constitutivism. In §1, I will address the first and second questions. §2 will be dedicated to considering the third question. (shrink)

Liberal societies are built on a foundation of personal rights, including the right to make decisions about the medical treatment that one will receive or decline to receive. So essential to the liberal project is the power of individual choice that it will be abrogated only in the most extreme situations, in which persons seem to be unable to make rational decisions and thereby to protect their interests. A small number of decision-related abilities have been identified as relevant to the (...) determination of when a person will be deemed decisionally incapable: understanding, appreciation, reasoning, and choice. It would seem prudent to tinker with these standards cautiously—if at all.... (shrink)

CONCLUSION :Whoever wants to pursue just social reforms, breathe new life into political democracy, and improve the welfare of the weak will have to do more than convince people to speak differently about themselves. The first ailment that must be cured is not an improper use of language, but the anxiety that gives rise to that language.Anxiety cannot be removed by socially uninspired philosophies. Anxiety is not a problem of individuals but of society’s consciousness. The individualistic attitude of the dominant (...) group of Anglo-Saxon thinkers has hitherto hindered any consideration of group mentality. There is too little known about the processes at work in this trans-individual domain.If people felt that they were being respected concerning their meaning, then they would probably be easier to reconcile with their finitude and the finitude of those around them. They would be more willing to think about the welfare of the community. Respect, however, is not manipulable like an object that one can give and take. Respect only exists in a context of participation. Improving the quality of that context implies not only that people pay more attention to an honest use of language, but also to craftsmanship, art and culture. If there is anything that allows people to go on in spite of anxiety, it is their participation in the community that gives them courage, whose patterns of expectation give everyone a feeling of self-respect and whose internal solidarity curbs the economic sufferings of backward social groups.I had the impression while writing this that Bellah would agree with many points. Although some of his texts argue that social change will only be achieved through a return to biblical and republican narratives, others seem to indicate that he has a better sense than most Americans of how strong the pre-reflexive influence of the social temperament can be. (shrink)

An attempt to critically analyse the claims of the theory of self-organization of complex systems (synergetics) to the interdisciplinary generalizations and the universal efficacy of its models is made in the paper. The grounds for transfer of synergetic models to different disciplinary fields are under discussion. It is argued that synergetics is a mental scheme or a heuristic approach to exploring the complex behaviour of systems, rather than a universal key to solving concrete scientific problems. The prospects for development and (...) the possible future of synergetics in the coming decades are estimated. Copyright 2002 John Wiley & Sons, Ltd. (shrink)

With “The Zadeh Scenario,” Finder offers us a gift…a rich and thoughtful first-person account of the gradual unfolding of a specific ethics consultation conducted by a specific ethics consultant in a specific context. This is not your average case report, stripped to the bare facts and devoid of the ambiguity of real-time human interactions. It’s also not simply an example of thick description, offering the reader a detailed account of the context out of which an abstract ethical dilemma has emerged, (...) with the ethics consultant describing all from a distance, above the fray. What Finder offers and models for us instead is something entirely new and different. He offers us a case narrative into which he has chosen to place himself squarely and explicitly. And in the spirit of “peer review” he has generously revealed his own inner dialogue in response to twists and turns in the case, sharing his personal reflections as events unfolded, and his musings about various actions he took and choices he made in his role. By inviting us to ponder his story about the story of the case, he generously extends a gift to us: the opportunity to reflect on his—and therefore our own—consultation practice, and the opportunity to try a new kind of peer review. (shrink)

Contemporary social theory has consistently emphasized habitual action, rule-following, and role-performing as key aspects of social life, yet the challenge remains of combining these aspects with the omnipresent phenomenon of self-reflective conduct. This article attempts to tackle this challenge by proposing useful distinctions that can facilitate further interdisciplinary research on self-reflection. To this end, I argue that we need a more sophisticated set of distinctions and categories in our understanding of habitual action. The analysis casts light on the idea that (...) our contemporary social theories of self-reflection are not consistent with everyday notions of agential knowledgeability and accountability, and this conclusion indicates the need to reconceptualize discourse and subjectivity in non-eliminative terms. Ultimately, the assumption of self-reflective subjectivity turns out to be a theoretical necessity for the conceptualization of discursive participation and democratic choice. (shrink)