The Nature of Suffering underscores the change that is taking place in medicine from a basic concern with disease to a greater focus on the sick person. Cassell centers his discussion on the problem of suffering because, he says, its recognition and relief are a test of the adequacy of any system of medicine. He describes what suffering is and its relationship to the sick person: bodies do not suffer, people do. An exclusive concern with scientific knowledge of the body (...) and disease, therefore, impedes an understanding of suffering and diminishes the care of the suffering patient. The growing criticism that medicine is not sufficiently humanistic does not go deep enough to provide a basis for a new understanding of medicine. New concepts in medicine must have their basis in its history and in the development of ideas about disease and treatment. Cassell uses many stories about patients to demonstrate that, despite the current dominance of science and technology, there can be no diagnosis, search for the cause of the patient's disease, prognostication, or treatment without consideration of the individual sick person. Recent trends in medicine and society, Cassell believes, show that it is time for the sick person to be not merely an important concern for physicians but the central focus of medicine. He addresses the exciting problems involved in such a shift. In this new medicine, doctors would have to know the person as well as they know the disease. What are persons, however, and how are doctors to comprehend them? The kinds of knowledge involved are varied, including values and aesthetics as well as science. In the process of knowing the experience of patient and doctor move to center stage. He believes that the exploration of the person will engage medicine in the 21st century just as understanding the body has occupied the last hundred years. (shrink)

Why does Scheler reject the possibility of reconciling phenomenological personalism and Scholastic metaphysics? Mohr claims that Scheler's rejection is in part related to the meaning of moral development. For Scheler, personal value is not grounded in metaphysical capacities of a shared nature, but in the value of individuality. This paper interprets and clarifies Scheler's positions on the content of personal individuality, how this content is value-bearing, and whether this value is original or derivative, absolute or conditional. Traditional ways of attempting (...) to account for personal uniqueness, via either formal or empirical criteria, prove insufficient. If individuality is intrinsic to the person, and individuality is value-bearing, then there is a social responsible for assisting in disclosing personal individuality. (shrink)

" Dr. Cassell discusses the world of the sick, the healing connection and healer's battle, the role of omnipotence in the healer's art, illness and disease, and...

This paper draws upon phenomenological value theory and conceptions of love and hatred (especially Max Scheler) for understanding dehumanization and forms of socio-political violence. Mohr argues that dehumanization cannot sufficiently be explained psychologically, i.e., as conceiving others as having a subhuman essence (in the view of David Livingstone Smith). The phenomenon is more deeply rooted within preconceptual devaluation, or regarding others as bearing negative value, whose destruction is regarded as value-positive. Such devaluation arises on account of attitudes of hatred. Mohr (...) claims that love, as the movement toward the appreciation of value and the realization of higher possibilities of value, is the emotive counter to hatred and its dehumanizing effects. (shrink)

The organization of the modern police is a contingent social choice about how to engage in the process of governance when regulating public order on the street. The police are the agency authorized to act upon the state’s duty to govern in response to public emergencies. The duty to govern exists when there is some urgent social need that could be resolved by acting, and some person or institution has the resources and ability to do that act. The duty is (...) impersonal: anybody with the relevant skill set is obligated to act to address the relevant need. Problems can arise, however, when too few individuals respond or too many compete to resolve the need. A core feature of governance, then, is to create publicly recognized institutions with special authority, resources, and abilities to address the demand for public services when someone needs to step in and do something to the exclusion of ordinary members of the public. Police agencies are further characterized by various powers and duties. These powers are normative powers to change the legal status of the people with whom the police interact, rather than physical powers to use some amount of violence to coerce individuals to comply with police demands. The core powers of the police include the powers to make authoritative determinations about how to respond to an emergency, to detain individuals, and to trespass upon their person or property, along with conjoined duties to govern, to protect, and to intervene at risk to themselves. The dominant approach attempts to distinguish the police from other institutions using the police ability to use violent to respond to public emergencies. On the governance based model of the police, however, the ability to use force is simply one of the resources available to the police, and does not mark them off as different from other public governance agencies. (shrink)

Medicine and ethics alike must learn properly to attend to suffering. We can never truly experience another's distress. We can, however, learn to recognize the particular purposes, values, and aesthetic responses that shape the sense of self whose integrity is threatened by pain, disease, and the mischances of life.

The theory and practice of history and its relevance to the modern world, by Britains greatest radical historian.

Like the broom in “The Sorcerer's Apprentice,” technologies take on a life of their own. To bring them under control, doctors must learn to tolerate ambiguity, resist the lure of the immediate, cease fearing uncertainty, and rechannel their response to wonder.

Bioethics, Volume 36, Issue 1, Page 63-70, January 2022.

The goals of medicine -- A story about a patient with aortic stenosis -- What are facts in medicine? -- Clarify the chain of events that led to the present state : the case as a narrative -- The case of Myra Manner -- Examine your presuppositions and preconceptions -- Separate and examine the values at issue -- A question of judgment -- The patient, the doctor, and the relationship -- Observation, prognosis, and prognosticating -- Thinking in medicine -- Accepting (...) the challenge. (shrink)

Suffering is the unique distress of persons whose intactness or integrity is disrupted or destroyed. The first lesson of suffering is that bodies do not suffer, persons suffer. It follows that a loss of dignity may incite suffering, as do other injuries to the person. Three cases are cited in this chapter of persons who suffer at least in part because of disruption of their dignity. These cases allow us to go further into the nature of persons, human dignity, and (...) the relation of suffering to dignity. Since the mid-twentieth century, the ideas and ideals of science became universal in medicine and then spread out to the entire culture, where they are present in great strength and wider influence. These ideas include the belief that only objective data have validity. But objectivity in the absence of subjectivity renders persons as one-dimensional and robs medicine of the compassion and human relationships that have defined it in history and in the care of an individual sick person. (shrink)

Although written primarily for medical research, the Belmont principles have permeated clinical medicine as well. In fact, they are part of a broad cultural shift that has dramatically reworked the relationship between doctor and patient. In the early 1950s, medicine was about making the patient better and maintaining optimism when the patient could not get better. By the 1990s, medicine was about the treatment of specific physiological systems, as directed by the patient, but as limited by the society's concern for (...) justice. (shrink)

Patients with a life-threatening illness can be confronted with various types of loneliness, one of which is existential loneliness (EL). Since the experience of EL is extremely disruptive, the issue of EL is relevant for the practice of end-of-life care. Still, the literature on EL has generated little discussion and empirical substantiation and has never been systematically reviewed. In order to systematically review the literature, we (1) identified the existential loneliness literature; (2) established an organising framework for the review; (3) (...) conducted a conceptual analysis of existential loneliness; and (4) discussed its relevance for end-of-life care. We found that the EL concept is profoundly unclear. Distinguishing between three dimensions of EL—as a condition, as an experience, and as a process of inner growth—leads to some conceptual clarification. Analysis of these dimensions on the basis of their respective key notions—everpresent, feeling, defence; death, awareness, difficult communication; and inner growth, giving meaning, authenticity—further clarifies the concept. Although none of the key notions are unambiguous, they may function as a starting point for the development of care strategies on EL at the end of life. (shrink)

Patients with a life-threatening illness can be confronted with various types of loneliness, one of which is existential loneliness (EL). Since the experience of EL is extremely disruptive, the issue of EL is relevant for the practice of end-of-life care. Still, the literature on EL has generated little discussion and empirical substantiation and has never been systematically reviewed. In order to systematically review the literature, we (1) identified the existential loneliness literature; (2) established an organising framework for the review; (3) (...) conducted a conceptual analysis of existential loneliness; and (4) discussed its relevance for end-of-life care. We found that the EL concept is profoundly unclear. Distinguishing between three dimensions of EL—as a condition, as an experience, and as a process of inner growth—leads to some conceptual clarification. Analysis of these dimensions on the basis of their respective key notions—everpresent, feeling, defence; death, awareness, difficult communication; and inner growth, giving meaning, authenticity—further clarifies the concept. Although none of the key notions are unambiguous, they may function as a starting point for the development of care strategies on EL at the end of life. (shrink)

The Prudence of Love focuses upon the intersection of philosophical, theological, and psychological issues related to love. Eric Silverman defends an account of love derived from the views of Thomas Aquinas and argues that love provides numerous psychological and relational benefits that increase the lover's happiness. Furthermore, he argues that love is beneficial according to all major contemporary accounts of happiness.

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 10.3 (2003) 225-226 [Access article in PDF] Travelers in the Land of Sickness Eric J. Cassell THE PROBLEM OF knowing another person and the world in which that person lives, particularly someone with major mental illness, is addressed in this interesting and rich essay. The number of different metaphors and concepts Potter employs to describe the task of crossing into and then understanding the (...) thoughts, emotions, symptoms, constraints, context, and perspectives of another testifies to the difficulties involved.Yet, as I read the essay, it was not clear what the clinician world traveler, moral tourist, empathizer (and other categories) is supposed to do on the journey to another person. Why do we reach out to the sick person? What is it that we want to know or do that makes this trip necessary? Potter is primarily concerned with mental illness—the examples she cites are patients with schizophrenia—while my experience has in the main been with persons with physical illness, but for the moment, the differences are less important than the central lesson. The illness that the patient presents—the experience of the symptoms, the impairments, disability, and disruptions of the emotional and social existence that happen because of the disease result from an amalgam of the disease process with the specific nature of the sick person. There is no disease in pure form; there is no disease in abstract for clinicians. There is only this sick person. She correctly quotes me, because of all this, as pointing out the importance of integrating knowledge of this particular patient with the abstract knowledge of disease to understand the illness as it is expressed in this person. All to form a basis for the treatment of the patient and especially to help relieve suffering because suffering is always personal, particular, and individual. (It is important in thinking about this topic to remember that most serious diseases, psychiatric and otherwise, are chronic and take place over significant lived time. The acute schizophrenic symptoms or the acute infectious diseases, as dramatic as they are, distract attention from the importance of the place of the sick person.)In physical disease, our long (and continuing) history of separating human beings from nature and the body, and the importance medicine places on objectivity and the objective, have made the inevitable personalization of the disease and symptoms virtually invisible. After ages of explaining psychiatric diseases as the alienation of the person, and a long psychoanalytic period of finding their origins in the person, in the last 30 years these diseases have become increasingly objectified. The place of the person has been diminished as psychiatry has entered the DSM, neurotransmitter, and effective psychotropic drug era. For both physical and mental disease, however, and whatever the current ideology, the nature of person is crucial in determining the onset, diagnosis, course, treatment, and outcome of each illness. It is in order to have an impact on these crucial aspects of sickness that clinicians must come to know their patients to the degree possible. [End Page 225]But there is something more. Nancy Potter quotes a woman with schizophrenia as saying, "All that was my former self has crumbled and fallen together and a creature has emerged of whom I know nothing. She is a stranger to me... She is not real—she is not I... She is I—and because I still have myself on my hands, even if I am a maniac, I must deal with me somehow." (Potter, 2003, p. 215)Must she deal with this crazy self alone? Is that not what her doctors and caregivers are for? But how can they take care of her, protect her, keep what is left intact, and sustain her until she is (hopefully) better without knowing who she is? She makes clear in those few phrases that inside her there is a person with a past, a family, a world, a culture, a role(s) in life, relationships, a body, dreams for the future, things she does, and all the other things that make up a person. It is in... (shrink)

The legal and ethical asymmetry between honoring positive claims of conscience versus negative claims of conscience was recently analyzed by several articles in this journal. The first author of this article (ALB) identified unique but defeasible reasons against honoring positive claims of conscience, such as the greater threat they post to institutional values and institutional resources than negative claims of conscience. However, ALB wrote, when these reasons can be overcome, positive claims of conscience should enjoy the same ethical and legal (...) respect as negative claims of conscience. This article argues that the prescription of birth control by non-Roman Catholic physicians in Roman Catholic institutions is an example of a positive claim of conscience that can overcome concerns of institutional values and resources, and therefore ought to receive the same ethical respect and legal protection as negative claims of conscience. In making this argument, this article also responds to several of the thoughtful comments raised by Alberto Giubilini and Dominic Wilkinson. (shrink)

Various, albeit largely incongruent, attempts have been made at demonstrating the critical force of phenomenology. Mohr seeks to rekindle the project by accentuating the critical potential hidden within a core phenomenological presupposition: the discrepancy between conceptual and intuitive meaning (logos and phenomenon). Phenomenological attention on the discrepancy itself as an experienced phenomenon constitutes the starting point of critical phenomenology. While Adorno famously rejects intuition as a viable candidate for grounding critique, Mohr argues that reflection on lived experiences and the nonformal (...) meanings they yield provide a robust source for critical self-reflection. As such, ideology may be most effectively unmasked by means of a proper attitudinal orientation to the intuitive meanings within one’s lived social experiences. (shrink)

Extracorporeal membrane oxygenation (ECMO) is currently reserved predominantly for bridging patients to a different destination therapy, but the use of ECMO as a destination therapy itself (ECMO-DT...

Originalism as Faith presents a comprehensive history of the originalism debates. It shows how the doctrine is rarely used by the Supreme Court, but is employed by academics, pundits and judges to maintain the mistaken faith that the Court decides cases under the law instead of the Justices' personal values. Tracing the development of the doctrine from the founding to present day, Eric J. Segall shows how originalism is used by judges as a pretext for reaching politically desirable results. (...) The book also presents an accurate description and evaluation of the late Justice Scalia's jurisprudence and shows how he failed to practice the originalism method that he preached. This illuminating work will be of interest to lawyers, law students, undergraduates studying the Court, law professors and anyone else interested in an honest discussion and evaluation of originalism as a theory of constitutional interpretation, a political weapon, and an article of faith. (shrink)

Sound is key to our lives, and is the most accessible portal to the vibratory universe. This book takes you there.

When addressing the burdens borne by victims of police wrongdoing, we often overlook moral harms in focusing on the physical and psychological harms that they suffer. These moral harms undermine the moral status of the victim, her ability to consistently pursue the values she endorses, and her character. Victimhood is a morally significant social role. Victimhood imposes normative standards that measure the moral or political status of victim. Conforming to these standards affects our assessment of the conduct of the victim (...) and her moral standing. Considering the victims’ role provides important insights into contemporary practices of policing in the United States. The physical and verbal acts of the police often force race-based degradation upon racially subordinated groups. There is often no morally good way out of racially discriminatory encounters when the choice is to degrade oneself or suffer violence or even death. Worse, how we respond to the threat of police violence morally undermines our relationships with those we would keep safe from police violence. (shrink)

Debates concerning the relationship between Tridentine Catholicism and Catholicism after Vatican II dominate theological conversation today, particularly with regard to understandings of the Church and its engagement with the world. Current historical narratives paint ecclesiology after the Council of Trent as dominated by juridical concerns, uniformity, and institutionalism. Purportedly neglected are the spiritual, diverse, and missional aspects of the Church. This book challenges such narratives by investigating the Spanish Jesuit Francisco Suárez's theology of ecclesial unity and catholicity. Analyzing standard as (...) well as overlooked sources of Suárez's ecclesiology, the author shows how Suárez wrestles with the new demands of his time and anticipates later ecumenical developments in twentieth-century Catholic ecclesiology. Early modern expansion prompted theologians after Trent to reckon with the ecclesial status of baptized Protestants, the Greek Orthodox, and non-believers in the New World. It further prompted reflection on the universality, or catholicity, of the Church, and how the Church's mission to the nations serves her greater unity in Christ. Throughout this exposition, the author reveals Suárez's vision of the Church to be deeply spiritual, diverse, and missional-not at the expense of the institutional, but as it's necessary and life-giving source. The Church, for Suárez, is primarily a way of life. This book explores not only Suárez's speculative ecclesiology, but how the unity and catholicity of the body of Christ is lived out in practice, that is, in the worship and works of the faithful, and, most notably, in the charism of his own religious order, the Society of Jesus. Suárez thus shows his readers what the spiritual dynamic between Christic unity and missional catholicity should look like in the Church. (shrink)

This small but important English translation of Theodor Adorno’s public lectures (Lectures 1949-1968, Volume 2) is essential reading for lay audiences interested in developing a critical understanding of the interconnected issues of urban design and social structures, the liberatory implications of sociological research, political education and schooling, the deep psychology of authoritarianism, research and teaching in the modern university, the role of superstition in seeding fascism, and the persistence of right-wing extremism in western democracies. For readers who are unfamiliar with (...) Adorno, these lectures are a perfect introduction to both his method of critical analysis as well as to the conclusions—often counterintuitive—it reveals about the individual’s unconscious but formative relationship to the socio-political sphere. In the 21st century, the call to unfreedom from the podium of authoritarianism grows more insistent every day. In these lectures, Adorno shows us how our ability to disentangle truth from social structures powerfully articulates with our ability to transform them. (shrink)

This chapter examines Max Scheler’s and Edith Stein’s shared commitment to two core tenets of phenomenological personalism: (1) the person’s irreducibility to nature, and (2) the person as the source of individuality. While individuality implies irreducibility, it does not simply follow from it; Scholastic metaphysics and Kantian formalism are both examples of adequate philosophical irreducibility with inadequate foundations for personal individuality. Stein’s later philosophy incorporates features of scholasticism so extensively that it warrants considering whether those features compromise a sense of (...) individuality. I argue that Stein’s later work does indeed adequately ground personal individuality though primarily through Schelerian vestiges in her philosophy. (shrink)

Zusammenfassung Als Beitrag zur Erforschung der forensischen Praxis und des Einflußes der sog. ‚psy-Disziplinen‘ in den Gerichtssälen des Kaiserreichs werden die Gemütszustandsuntersuchungen am Berliner Amtsgericht untersucht. Die Untersuchungen waren gesetztlich festgeschriebene Bestandteile der Beweisaufnahme im zivilrechtlichen Entmündigungsverfahren. Im Umgang mit sog. ‚Imploraten‘ (meist psychisch kranke oder an Demenz leidende Personen) entfaltete sich unter Richter, Anstalts- und Gerichtsärzte, Staatsanwälte und Protokollisten eine kollaborative Zusammenarbeit, aus der eine juristische Entscheidungen nicht über Zurechnungsfähigkeit, sondern Dispositionsfähigkeit hervorging. Die Organisation dieser gerichtlichen Untersuchungspraxis und die (...) teils divergierende Prioritäten der beteiligten Akteure sind Gegenstand des Aufsatzes. Zunächst wird die Entwicklung der material- und prozessualrechtlichen Voraussetzungen für die Gemütszustandsuntersuchungen behandelt. Darauf folgt einen Überblick über die zeitgenössische Debatten zur Reform der Zivilprozessordnung (1877, 1898) und des Bürgerlichen Gesetzbuches (1900). Vor diesem Hintergrund werden dann die gerichtliche Untersuchungsprotokolle herangezogen, um die forensische Vernehmungspraktiken und -strategien sogenannter ‚Psy-Experten‘ am Berliner Amtsgericht vor dem Ersten Weltkrieg zu analysieren. (shrink)

Let X be an infinite set and let and denote the propositions “every filter on X can be extended to an ultrafilter” and “X has a free ultrafilter”, respectively. We denote by the Stone space of the Boolean algebra of all subsets of X. We show: For every well‐ordered cardinal number ℵ, (ℵ) iff (2ℵ). iff “ is a continuous image of ” iff “ has a free open ultrafilter ” iff “every countably infinite subset of has a limit point”. (...) implies “every open filter on extends to an open ultrafilter” implies “has an open ultrafilter” implies It is relatively consistent with that (ω) holds, whereas (ω) fails. In particular, none of the statements given in (2) implies (ω). (shrink)

Someone telephones the doctor that he has had increasing dull pain in the right side of his abdomen and back for several hours. While not exactly nauseated, he is repelled by the thought of food. He thinks the pain is the same as that of his wife when she had her gallbladder attack. The patient’s complaint is clearly subjective and of the type that most often initiates the medical act. Yet, in its subjectivity, the report lies in a domain of (...) medical practice that is least understood, or more precisely that is least systematized. The deficiencies of medical practice in regard to the subjective are highlighted by the increasing use of the problem-oriented medical record as a tool of medical education. In Medical Records, Medical Education, and Patient Care; The Problem-Oriented Record as a Basic Tool, Lawrence Weed (1969) points out the equal importance of patients’ subjective experience with objective, measurable facts of medicine. Further, Dr. Weed gives excellent examples of the kind of profiles of patients’ personal and social lives that should be included in any complete medical record. (shrink)

We show that if N and M are transitive models of ZFA such that N M, N and M have the same kernel and same set of atoms, and M AC, then N is a Fraenkel-Mostowski-Specker (FMS) submodel of M if and only if M is a generic extension of N by some almost homogeneous notion of forcing. We also develop a slightly modified notion of FMS submodels to characterize the case where M is a generic extension of N not (...) necessarily by an almost homogeneous notion of forcing. (shrink)

Alexander George has put forward a novel interpretation of the Quine-Carnap debate over analyticity. George argues that Carnap's claim that there exists an analytic-synthetic distinction was held by Carnap to be empty of empirical consequences. As a result, Carnap understood his position to be empirically indistinguishable from Quine's. Although George defends his interpretation only briefly, I show that it withstands further examination and ought to be accepted. The consequences of accepting it undermine a common understanding of Quine's criticism of Carnap, (...) and I argue that it is difficult to find a perspective from which Quine can criticize Carnap in a non-question-begging way. (shrink)

During his career, Ronald Dworkin wrote extensively on an impressive range of issues in moral, political, and legal philosophy, but, like many of his contemporaries, international law remained a topic of relative neglect. His most sustained work on international law is a posthumously published article, “A New Philosophy for International Law” (2013), which displays some familiar aspects of his views in general jurisprudence, in addition to some novel (though perhaps surprising) arguments as well. This paper argues that the moralized account (...) of international law we might have expected is conspicuously missing from this posthumous article; with Dworkin advancing an argument based on a form of political realism instead. (shrink)