Clinical assessments of mental capacity have long been guided by four basic cognitive criteria (understanding, appreciation, ability to reason, communication of decision), distilled directly from widespread legal precedent in common law cases of informed consent and refusal. This article will challenge the sufficiency of these legal criteria at the bedside on the assertion that clinicians and bioethicists who evaluate decisional capacity face questions far deeper than the mere presence or absence of a patient’s informed consent. It will then present an (...) additional standard beyond the existing cognitive criteria – to be called the Narrative Coherence Standard – that may begin to bridge the gap between the existing legal standards and higher-order bioethical priorities. This standard will be treated with a philosophical argument for its use, as well as a detailed exploration of its technical components and conceptual underpinnings. (shrink)

As the rates of intravenous opioid use have increased, so have its associated medical complications, such as endocarditis, and known interventions, such as heart‐valve replacements. For many patients, including Jacob, whose case was brought to my psychiatric consult service and to my colleagues in the clinical ethics service, relapse increases the risk of repeat endocarditis and the need for repeat surgical interventions. Previous works have posed the bioethical quandary regarding the responsibilities of a surgeon in these repeat procedures and whether (...) a surgeon may ethically refuse to perform a repeat intervention in a patient who has relapsed. Notions of futility are commonly used to navigate this complex terrain, and they were the focus of the ethics consideration given to Jacob's case, in which surgeons were reluctant to perform valve replacements. In this narrative essay, I interrogate the concept of futility by appealing to its history and variable meanings, and I argue against its relevance in cases like Jacob's. I propose that a more suitable bioethical approach in such cases would consider resource allocation, the sociocultural stigma of addiction, and the interpersonal and narrative factors that make each case unique. (shrink)

The contributors to this special issue of _Tikkun_ seek to redefine the boundaries of political and ethical responsibility by crediting a worldview in which we are held to account for the well-being of everyone who has “passed through our city,” if only momentarily. Their conclusions challenge the ethos of materialism that _Tikkun_ believes is at the root of globalized capitalism and, alternatively, articulate a social justice ethos derived from the Jewish tradition of “accompaniment,” the call to take care of those (...) who enter our common space. Contributors from Christian, Muslim, and Jewish traditions bring an interfaith perspective to the foundations of social responsibility, laying the groundwork for a new global notion of justice. Drawing on a model from Rabbinic Judaism, one contributor discusses homelessness in Los Angeles, calling us to adopt a new, radical sense of obligation in relation to our neighbors. Another offers challenging insights from the point of view of one who grew up homeless. An essay from the Christian tradition expands this model by comparing our mutual relationships to body parts that all belong to the same whole. Another essay extracts from medieval Islamic texts a vision of the state as a caregiver and then compares this vision to life in Vancouver, where citizens’ taxes underwrite robust social services for those in need. Contributors:_ _Rumee Ahmed, Aryeh Cohen, Estelle Frankel, Jill Goldberg, Lisa “Tiny” Gray-Garcia, Peter Laarman, Ana Levy-Lyons, Alexia Salvatierra Michael Lerner is editor of _Tikkun_ and rabbi of Beyt Tikkun; his writings have appeared in many national publications. Alana Yu-lan Price is managing editor of _Tikkun_. Aryeh Cohen is a contributing editor to _Tikkun_. (shrink)

Understanding “what something is” has long occupied philosophers, and no Western thinker has had more influence on the nature of being than Aristotle. Focusing on a reinterpretation of the concept of energeia as “activity,” Aryeh Kosman reexamines Aristotle’s ontology and some of our most basic assumptions about the great philosopher’s thought.

Plato and Aristotle on the vocation of the philosopher -- Halevi's Kuzari as a platonic dialogue -- Maimonides and the imagination -- Elia del Medigo, Averroes and Averroism -- Paduan Averroism reconsidered -- Philosophy and mysticism -- Maimonides and Spinoza on good and evil -- A note on natural right, nature and reason in Spinoza -- Spinoza and Luzzatto : philosophy and religion -- On the interpretation of Maimonides: the cases of Samuel David Luzzatto and Ahad Haxam -- Harry a. (...) Wolfson as interpreter of medieval thought -- On the limitations of human knowledge. (shrink)

Sanford C. Goldberg presents a novel account of the speech act of assertion. He argues that this type of speech act is answerable to an epistemic, context-sensitive norm. On this basis he shows the philosophical importance of assertion for key debates in philosophy of language and mind, epistemology, and ethics.

In Heraclitus and Thales’ Conceptual Scheme: A Historical Study Aryeh Finkelberg rejects the teleological interpretation of early Greek thought as targeted at later results, viz. philosophy, and seeks to determine its intended meaning by restoring it to its historical context.

Past research on sanctification has focused on the direct association between domain sanctification and domain satisfaction. This registered-report study focused on the predicted moderating function of sexual sanctification on the association between sexual and relationship satisfaction. An Internet panel sample of 740 women and 872 men, all married Jewish individuals residing in Israel, assessed the levels of their sexual and marital satisfaction, sexual sanctification, religiousness, and social desirability via an anonymous online questionnaire. As expected, sexual and marital satisfaction were highly (...) correlated. As predicted, sexual sanctification was found to moderate the association between sexual and marital satisfaction for women even after controlling for age, religiousness, and social desirability. However, although the positive association between sexual and relationship satisfaction was predicted to be larger at higher levels of sanctification than at lower levels, the moderation analysis revealed a reverse pattern. In addition, the moderation effect was significant for men only after controlling for religiousness. Post hoc analyses for moderated moderation confirmed significant gender differences in the moderation function of sexual sanctification. The importance of examining gender differences in future sanctification studies and the theoretical implications for the independence of sanctification from religiousness is discussed. (shrink)

Sandford C. Goldberg puts forward a theory of epistemic normativity that is grounded in the things we properly expect of one another as epistemic subjects. This theory has far-reaching implications not only for the theory of epistemic normativity, but also for the nature of epistemic assessment itself.

THE PURPOSE OF OUR LIVES is to undergo a gradual transformation. We are born with a self-centered nature, but we can acquire a nature in which the focus is on the other. Through spiritual work, we can slowly learn to overcome our innate desire to find some form of self-gratification in all we do. Union with God is the result of desiring to give to others with no interest in reward of any kind. This is the essential teaching of the (...) Kabbalah as portrayed in these essays by Baal Hasulam. Rabbi Gottlieb’s commentary adds details on the winding road toward spiritual transformation. (shrink)

Sanford Goldberg investigates the role that others play in our attempts to acquire knowledge of the world.

David Theo Goldberg engages Achille Mbembe in a wide-ranging conversation on the key lines of analysis of Mbembe’s book, The Critique of Black Reason. The discussion ranges across a broad swath of key themes: the constitutive feature of racisms in the making of modernity and modern capitalism as conceived through the global black experience; the African and French archives in constituting, resisting, and refashioning ‘black reason’ and its multiple registers; the centrality of slavery to this constitution and resistance; thinghood (...) and humanity; liberalism as the basis for racial pessimism. The discussion closes with Mbembe’s plea for a shared being and an exchange about repair and reparation. (shrink)

Marks individually or in combination constitute images that represent objects. How do those images represent those objects? Marks vary in style, both between and within images. Images also vary in style. How do those styles relate to each other and to the objects that those images represent? Referencing a diverse range of images, we answer the first question with a response-dependence theory of image representation derived from Mark Johnston, differentiating Lockean primary qualities of marks from secondary qualities of images. We (...) answer the second question with a perceptual theory of style derived from Paul Grice, differentiating physical style from image style, and representing conventionally from representing conversationally. (shrink)

El presente artículo pretende realizaruna crítica a la noción del kosmos griegoentendido como mundo ordenado, puesla evidencia textual en los escritorespresocráticos sólo podría soportar unanoci ón como est a en una época muyposterior a la de la filosofía griega temprana.En l os aut ores gri egos t empranos, elconcepto de kosmos no implica esta idea,como se muestra a través de la revisión delas traducciones erradas de sus fragmentos.Finalmente, se explica como hacer unanueva reinterpretación de sus filosofíasThis paper intends to advance (...) a criticism ofthe notion of Greek Kosmos understood as an orderly world, since textual evidence in the Presocratics could only support a notion like that for a period quite far from theearly Greek philosophy. In the early Greek philosophers, the notion of Kosmos does not convey this idea, as it will be shown througha revision of the wrong translation of their fragments. Finally, it will be explained how to do a new reinterpretation of their philosophies. (shrink)

_Compelling account of Strauss's mature Maimonidean writings._.

In Postmodernism and Democratic Theory, Aryeh Botwinick is concerned with defining postmodernism and exploring its political-economic dimensions. Previous attempts at definition have foundered because the theory has a built-in incoherence: in their rejection of reasoned argument, postmodernists must rely on reasoned argument to make their case. This issue of "self-referentialism" is pivotal, for example, in Jurgen Habermas's criticism of the postmodernists. But Botwinick shows that postmodernism can be coherently conceived as a "generalized agnosticism," which remains open to all possibilities (...) - including the possibility of its own falsity. In developing this view of postmodernism, the author applies it to the work of a wide range of contemporary political philosophers, from Jurgen Habermas and Jean-Francois Lyotard to Leo Strauss. Botwinick also invokes a "generalized agnosticism" in assessing the ideas of such classic thinkers as Rousseau, Freud, and Wittgenstein. In the second part of the book, Botwinick uncovers and analyzes participatory undercurrents in the thought of both Hobbes and Plato. On the basis of their work, Botwinick tries to plot the transition between modernist and postmodernist democratic society. (shrink)

The scenario of the brain in a vat, first aired thirty-five years ago in Hilary Putnam's classic paper, has been deeply influential in philosophy of mind and language, epistemology, and metaphysics. This collection of new essays examines the scenario and its philosophical ramifications and applications, as well as the challenges which it has faced. The essays review historical applications of the brain-in-a-vat scenario and consider its impact on contemporary debates. They explore a diverse range of philosophical issues, from intentionality, external-world (...) scepticism, and the nature of truth, to the extended mind hypothesis, reference magnetism, and new versions of realism. The volume will be a rich and valuable resource for advanced students in metaphysics, epistemology, and philosophy of mind and language, as well as anyone interested in the relations between language, thought and the world. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:A Case for Hume's Nonutilitarianism ARYEH BOTWINICK IN MANY HISTORIES OF WESTERN THOUGHTI--as well as in those devoted more specifically to the history of Western political thought2--the designation of Hume as a utilitarian in his ethical and political theory is taken for granted. The word "utility" occurs frequently in both the Treatise and the Enquiry concerning the Principles of Morals, and this has led most commentators to posit (...) a natural continuity between Hume's invocation of the term and later philosophical elaboration of it. However, more is involved here than simply a repetition of a key word or phrase. The doctrine of sympathy that plays a crucial role in nineteenth-century utilitarian thought 3 also appears to be central to Hume's ethical and political thought. Moreover, Hume's views on such a fundamental question as political obligation would appear to have been adopted directly by the utilitarians. Bentham, for example, when dealing with the question of the ground of political obligation, cites Hume directly in order to reaffirm his position," which seems to suggest that degree of shared assumptions and insight among thinkers that goes to constitute a particular tradition. Yet, it is my contention s that the historical categorization described in the previous paragraph 6is too facile in that it overlooks important discontinuities separating Hume from utilitarian thought. Although many interpreters have claimed that Hume was not a utilitarian simply because he was a noncognitivist, the theories of morals and politics often attributed to him are extensionally equivalent with I am grateful to Professor Thomas Scanlon of the Department of Philosophy at Princeton for his comments on earlier drafts of this paper. ' See, for instance, J. Bronowski and Bruce Mazlish, The Western Intellectual Tradition (London: Hutchinson & Co., 1960), p. 475. 2 See, for example, George H. Sabine, A History of Political Theory, 3rd ed. (New York: Holt, Rinehart and Winston, 1961), p. 602, where, however, Hume's utilitarianism is regarded as having more in common with John Stuart Mill's than with Bentham's. 3 John Rawls, A Theory of Justice (Cambridge, Mass.: Harvard University Press, Belknap Press, 1971), pp. 183-194. 4 Jeremy Bentham, A Fragment of Government, ed. Wilfrid Harrison (Oxford: Basil Blackwell, 1967), pp. 49-56. 5Rawls, to some extent, supports an interpretation of Hume as a nonutilitarian. See, for instance, how he construes Hume's rejection of an original contract (Theory of Justice, pp. 32-33). Yet on the crucial question of a doctrine of sympathy he posits a continuity between Hume and utilitarian thought, which I find unacceptable. 6 John Plamenatz, in his history of utilitarian thought, specifically supports this categorization (The English Utilitarians [Oxford: Basil Blackwell], pp. 22-45). See below, final pages, for a further discussion of Plamenatz's scheme of categorization. [4231 424 HISTORY OF PHILOSOPHY utilitarianism. 7 It is precisely this claim that I wish to dispute. With regard to the doctrines of utility and sympathy, I shall try to pinpoint the import they carried for Bentham and his followers and compare this with the meanings these doctrines have in the context of Hume's thought. I shall also attempt to relate his thought to the important English philosophers in the social contract tradition--Hobbes and Locke-exploring the possibility that Hume's deepest affinities might lie with his contractarian predecessors, rather than with his utilitarian successors. As a preliminary question we might consider how Hume defines the concept of utility. It seems that for him the term remains a fairly vacuous one to be identified with an unspecified tendency of an action "to the good of mankind. ''8 He does not appear to connect the notion of utility with that of pleasure the way the utilitarians do. 9 Hume's invocation of the concept of utility outside the context of its association with pleasure would not necessarily prevent our considering him a utilitarian if in the structure of his theory of moral judgment (where he supplies some content to the notion of "the good of mankind") the notion of "pleasure" serves as the common denominator in terms of which a balancing process can be carried out. However, an examination of the arguments where Hume makes use... (shrink)

Sanford C. Goldberg explores the source, nature, and scope of the normative expectations we have of one another as we engage in conversation. He examines two fundamental types of expectation -- epistemic and interpersonal -- that are generated by the performance of speech acts themselves.

Reflection on testimony provides novel arguments for anti-individualism. What is anti-individualism? Sanford Goldberg's book defends three main claims under this heading: first, facts about the contents of beliefs do not supervene on individualistic facts about the believers ; second, an individual's epistemic entitlement to accept a piece of testimony depends on facts about her peers ; third, processes by which some humans acquire knowledge from testimony includes activities performed for them by others. Each of these three claims is argued (...) for separately from premises about the ways in which humans, adult and child, succeed in gaining knowledge by testimony. The three arguments provide the structure for Anti-Individualism.Goldberg's argument for the first claim – that the contents of beliefs do not supervene on individualistic facts about the believers – begins from uncontroversial facts about testimony. Gaining knowledge by testimony depends on knowing the meanings of some utterances, and it is possible to know the meaning of a person's utterance while knowing little that would distinguish this person from anyone else. The best explanation of how this is possible involves postulating linguistic norms which entail facts about the linguistic meanings of utterances. Now in some cases of testimony, a hearer acquires a belief whose content is the linguistic meaning of a speaker's utterance, where the linguistic meaning of this utterance is determined by linguistic norms. But linguistic norms might have been different from what they are even while the person's and her audience's non-relational properties remained unaltered. And in such a case, the hearer would have acquired a belief with a different content. Therefore, ‘Psychological facts such as believing that p do not supervene on the individualistic facts regarding the subject’ …. (shrink)

Exploring what two foundational figures, Plato and Aristotle, have to say about the nature of human awareness and understanding, Aryeh Kosman concludes that ultimately the virtues of thought are to be found in the joys and satisfactions that come from thinking philosophically, whether we engage in it ourselves or witness others' participation.

In this book, public health ethicist Daniel S. Goldberg sets out to characterize the subjective experience of pain and its undertreatment within the US medical establishment, and puts forward public policy recommendations for ameliorating the undertreatment of pain. The book begins from the position that the overwhelming focus on opioid analgesics as a means for improving the undertreatment of pain is flawed, and argues instead that dominant Western models of biomedicine and objectivity delegitimize subjective knowledge of the body and (...) pain in the US. This general intolerance for the subjectivity of pain is part of a specific American culture of pain in which a variety of actors take part, including not only physicians and health care providers, but also pain sufferers, caregivers, and policymakers. Concentrating primarily on bioethics, history, and public policy, the book brings a truly interdisciplinary approach to an urgent practical ethical problem. Taking up the practical challenge, the book culminates in a series of policy recommendations that provide pathways for moral agents to move beyond contests over drug policy to policy arenas that, based on the evidence, hold more promise in their capacity to address the devastating and inequitable undertreatment of pain in the US. (shrink)

Aryeh Botwinick argues for the recovery of a radical democratic tradition that emphasizes the role of individual participation in the development and control of social and political institutions. Such involvement implies philosophical skepticism—the assumption that the truth about what is the best course of action cannot be known with certainty and that, therefore, every person’s opinion has an equal claim to be considered. The crucial stumbling block to reappropriating this radical egalitarian tradition is the supposed unviability of a consistent (...) skepticism. In an effort to chart a new course of philosophical inquiry into political matters, Botwinick grapples with the formulation of a consistent version of skepticism, claiming that it provides "a continually renewing impetus for the expansion of political participation." Twentieth-century philosophers have, for the most part, opted for some version of mitigated skepticism, which, the author argues, "has blinded them to the radical political implications of skepticism." Underscoring a pattern of convergence between Anglo-American and Continental philosophy, Botwinick proposes a number of strategies to rehabilitate the rationality of participatory democratic political institutions by articulating an acceptable version of consistent skepticism. (shrink)

The problem of evil might better be called "the problem of problems." That there is "evil" in the world can be expressed most generally by saying that there are problems with the way things are, that at least something is not the way it should be. I shall propose that the various possible resolutions of the problem of evil correspond to varying approaches that people generally take to the problems in their lives. In this way, a connection can be made (...) between the problem of evil as discussed by professional philosophers - a problem concerning the consistency of beliefs - and the problem as often discussed by other writers - a problem concerning the proper response to the "evil" that we find around and within us. In the course of demonstrating the parallel between the philosophical and the practical problem, I shall elaborate on the contrasting points of view of exoteric and esoteric religion, and I shall conclude with an attempt to explain why the problem remains a problem. (shrink)

Alternatively, we might attend not to the different answers appropriate to different questions asked about the same entity, but to the different answers which result when, about different entities, the same question is asked repeatedly, the question "What is it?" What is Socrates? a man; what is a man? an animal; and so on, branch by branch up the Porphyrian tree, until we reach "substance." Each ultimate answer will signify a supreme and irreducible genus of entity, not a type of (...) predicate, but a predicate, effecting a classification of things into their ultimate types. On the basis of such an account, Ross explains that although. (shrink)

Abstract:This study explores the relationship between beauty and intellect, often represented as diametrical opposites, in Chinese and Jewish texts, particularly with reference to Confucian and rabbinic texts. Four discourses concerning the nexus of beauty and intellect are presented: antagonistic, complementary, authentic, and epistemic. In both traditions, although more so in Confucianism, intellect is sometimes elided with moral virtue, adding another element to the discussion. The comparison of this theme in distant traditions seeks to highlight their shared resistance to a single (...) interpretation or a consistent outlook: while Confucian texts tend to embrace a complementary discourse, along the lines of a physiognomic tradition, competing views can be detected. Likewise, the rabbinic tradition inherits the biblical view that "beauty is vain" but still manifests some cases of a complementary discourse. (shrink)

The conjoined themes of mission, migration, and nationalism are central issues in the Gospel of Luke. These essential motifs were amalgamated in a rhetorical composition to persuade implied readers to be mission-focused but accommodate the views of transiting communities or consular decisions and national pride. Luke 9:51–56 has been variedly interpreted on discipleship, media communication, Christological, and Elijah’s spirit tenets. Emphasising individual themes in the interpretation of Luke 9:51–56 is legitimate, but it leaves out a holistic understanding of the text (...) as the opening narrative of Luke’s travel narratives, which concerns multiple issues. This study engages the socio-rhetorical criticism propounded by Vernon K. Robbins to reinterpret Luke 9:51–56. The objective is to respond to the questions: (1) what is the relationship between mission, migration, and nationalism in Luke 9:51–56? and (2) what is the relevance of mission, migration, and nationalism in Luke 9:51–56 for African migrants in the diaspora? Contribution: There is a proximity between mission, migration, and nationalism in Luke 9:51–56. It prioritises mission over migration and nationalism. Mission is the key determinant for migration and nationalism. Migrant Africans emphasise migration for economic fortunes over mission and nationalism. This may be due to personal aspirations. (shrink)

In The Hasidic Moses, Aryeh Wineman invites readers to join him on a journey through various eighteenth- and nineteenth-century Hasidic texts that interpret the life of Moses. Such texts read their own accent on spirituality and innerness along with their conceptions of community and spiritual leadership into the biblical account of Moses. Wineman reveals the ways in which historical Hasidic voices interpreted both the Exodus from Egypt and the scene of Revelation at Sinai as statements concerning what occurs constantly (...) in our lives at all times. In addition, Wineman shows how Hasidic readers embraced the idea that Moses had to die in order that his soul might return to the world in the righteous and holy ones of every generation, and that the presence of Moses actually transcends time and is present in spiritual understanding as it unfolds at any moment in any period. ""Aryeh Wineman has written a clear and accessible book that serves as a delightful entry into the world of Hasidic thought. Using the template of Hasidic interpretations of the life of Moses, he takes the reader carefully through a broad range of Hasidic works, highlighting the Hasidic resistance to the plain meaning of scripture, opting instead for their penchant for devotional and spiritually deepening readings... The impulse toward spiritualizing both deepens the original text of the Torah and transcends it, stimulating the reader to read the Torah as an edifying document, rather than primarily a historical, legal, or even national work."" --Joel Hecker, Reconstructionist Rabbinical College ""Aryeh Wineman's The Hasidic Moses is a triumph on every level... The figure of Moses is brought alive in the words of the classic Hasidic masters and is made available for a new generation of spiritual seekers hungry to find meaning in biblical models and mystical texts. The Bible tells us that no one knows where Moses is buried--but we can say that he lives robustly in Aryeh Wineman's sparking new book!"" --Nehemia Polen, Hebrew College, Newton Centre, Massachusetts ""Aryeh Wineman writes authoritatively as the scholar he is, but addresses himself--like the rabbi he also is--not to other scholars, but to readers and seekers who would like to understand. In this way he lives the humility of the teacher Moses and leads us through his writing into the depths of the Hasidic homily and parable... For those of us who don't have direct access to the hasidic texts he translates, his gentle and careful presentation of The Hasidic Moses is a gift from soul to soul."" --Rodger Kamenetz, author of The Jew in the Lotus and Burnt Books Aryeh Wineman has written many studies in the area of Hebrew literature and Jewish mysticism. (shrink)

Theoretical methods for empirical state determination of entangled two-level systems are analyzed in relation to information theory. We show that hidden variable theories would lead to a Shannon index of correlation between the entangled subsystems which is larger than that predicted by quantum mechanics. Canonical representations which have maximal correlations are treated by the use of Schmidt and Hilbert-Schmidt decomposition of the entangled states, including especially the Bohm singlet state and the GHZ entangled states. We show that quantum mechanics does (...) not violate locality, but does violate realism. (shrink)

This book deals with the dilemmas of “grand theory,” which presents a synoptic view of human nature and society, and with testable hypotheses, which consist of more humble propositions subject to empirical testing. Although Alan Sica finds “no fewer than seven or eight distinct theoretical vantage points” (p. 12) represented in this volume,” for the most part they all share vulnerabilities which become evident when confronted with a common set of philosophical strategies. The dilemmas of grand theory are clear in (...) Robert J. Antonio's treatment of what he calls “epistemological perspectivism” (p. 31), whose advocates adhere to “conditional ideas of…. (shrink)