Marie was 15 when her abdominal pain began. After two years of negative work-ups, countless visits to gastroenterologists, and over 70 days of high school missed, she found herself readmitted to the hospital. “Refractory abdominal pain” was her ostensible diagnosis; “troubled teen” who was “going to be difficult” was embedded in the emergency department’s sign-out. When the medical team arrived to meet Marie, she was huddled in the corner of her hospital bed, silent and withdrawn. Her intern noted the numerous (...) scars cutting across her forearms as she felt for her radial pulses. Marie squirmed in pain when the intern palpated her abdomen.The ED’s work-up had been negative for abdominal pathology. When the... (shrink)

This article presents a radical claim: American medical ethics is broken, and it needs love to be healed. Due to a unique set of cultural and economic pressures, American medical ethics has adopted a mechanistic mode of ethical reasoning epitomized by the doctrine of principlism. This mode of reasoning divorces clinicians from both their patients and themselves. This results in clinicians who can ace ethics questions on multiple‐choice tests but who fail either to recognize a patient's humanity or to navigate (...) the ethical quandaries into which they are frequently thrown. Drawing on personal experience as well as the philosophical work of Augustine of Hippo, Simone Weil, and Iris Murdoch, we propose a novel ethical approach grounded in a conception of neighbor love, specifically, the virtue of love understood as attention to a sufferer's humanity. We conclude with five practical recommendations for reimagining medical ethics education oriented around the virtue of love. (shrink)

In this paper I aim to show why pediatric suffering must be understood as a judgment or evaluation, rather than a mental state. To accomplish this task, first I analyze the various ways that the label of suffering is used in pediatric practice. Out of this analysis emerge what I call the twin poles of pediatric suffering. At one pole sits the belief that infants and children with severe cognitive impairment cannot suffer because they are nonverbal or lack subjective life (...) experience. At the other pole exists the idea that once child suffering reaches some threshold it is ethical to eliminate the sufferer. Concerningly, at both poles, any particular child vanishes from view. Second, in an attempt to identify a theory of suffering inclusive of children, I examine two prominent so-called experiential accounts of suffering. I find them both wanting on account of their absurd entailments and their flawed assumptions regarding the subjective experiences of people who cannot communicate expressively. Finally, I extend arguments found in Alastair MacIntyre’s Dependent Rational Animals to argue that child suffering can be understood only as a set of absences—absences of conditions such as love, warmth, and freedom from pain. An evaluation of these absences reveals the exquisite dependency of children. It also discloses why pediatric suffering is necessarily a social and political event. Unlike adults, children will never be either the authors or the mitigators of their own suffering. Rather, children must rely wholly on others in order to resist suffering, grow, and flourish. (shrink)

Previously diagnosed by symptoms alone, Alzheimer's disease is now also defined by measures of amyloid and tau, referred to as “biomarkers.” Biomarkers are detectible up to twenty years before symptoms present and open the door to predicting the risk of Alzheimer's disease. While these biomarkers provide information that can help individuals and families plan for long-term care services and supports, insurers could also use this information to discriminate against those who are more likely to need such services. In this article, (...) we evaluate whether state laws prohibit long-term care insurers from making discriminatory or unfair underwriting and coverage decisions based Alzheimer's disease biomarkers status. We report data demonstrating that current state laws do not provide meaningful protections from discrimination by long-term care insurers based on biomarker information. (shrink)

The Covid‐19 pandemic has created a clinical environment in which health care practitioners are experiencing moral distress in numerous and novel ways. In this narrative reflection, a pediatric palliative care physician explores how his hospital's strict visitation policy set the stage for moral distress when, in the early months of the pandemic, it prevented two parents from being together at the bedside of their dying child.

The naturephilosophical challenge can be posed not merely to postkantian philosophy as an episode in the history of philosophy, but to the postkantianism that remains foundational for contemporary...

"I hope that in this book you find inspiration and encouragement to follow any urges you have had to make photographs that capture the spirit of a child." — GINNY FELCH Learn to trust your instincts and your own unique vision Discover how ...

There are two widespread beliefs about the use of metaphors in clinical medicine. The first is that military metaphors are harmful to patients and should be discouraged in medical practice. The second is that the metaphors of clinical practice can be judged by and standardized in reference to neutral criteria. In this article, I evaluate both these beliefs, exposing their shared flawed logic. This logic underwrites the false empiricist assumptions that metaphorical language and literal language are fundamentally distinct, play separate (...) roles in communication, and therefore can be independently analyzed, systematized, and prescribed. Next, using the resources of ordinary language philosophy, I lay out a theoretical view of medical metaphors that is grounded in metaphor use within clinician‐patient relationships. Finally, drawing on the work of philosopher Max Black, I diagram a practical conceptual framework for clinicians to use when they consider whether a metaphor is appropriate for a specific patient encounter. (shrink)

There is an ongoing debate in bioethics regarding the nature of suffering. This conversation revolves around the following question: What kind of thing, exactly, is suffering? Specifically, is suffering a subjective phenomenon—intrinsically linked to personhood, personal values, feelings, and lived experience—or an objective affair, amenable to impersonal criteria and existing as an independent feature of the natural world? Notably, the implications of this determination are politically and ethically significant. This essay attempts to bring clarity to the subjective versus objective debate (...) in suffering scholarship by examining the history of the concept of “objectivity,” and putting that history in conversation with physician Eric Cassell’s famous theory of suffering. It concludes with a novel, albeit tentative, definition of suffering: suffering is the experience of a gap between how things are and how things ought to be. (shrink)

As I stood outside of Carlos's room, I felt caught on the horns of a dilemma. It seemed impossible to truly “be there” for Carlos without sacrificing my other intern duties. This tension pervaded much of my residency training, as I often found myself spending more time completing chart notes, answering pages, and giving sign out than I did at the bedside with my patients. I knew I had a duty to “do my job”—I could not let my team down. (...) But what about my duty to Carlos, a duty to act on my intuition and try to “get to the bottom” of his illness, if that was even possible? And what about my thirteen other patients? Wasn't I was their doctor as well? I have spent countless hours studying the ethical frameworks for medical rationing. And yet no framework could have told me how to weigh my intuition in that crucial moment of decision-making, or when it was okay to leave a few notes unfinished in order to have the time to talk with Carlos. Suddenly, I knew what I had to do. (shrink)

The purpose of this article is to substantiate Agamben’s thesis that the originary experience of language as a performative speech-act, i.e. as an oath that guarantees the veridicality or efficacy of the speech-act, exposes the ethical relation to language as the origination of the human qua human, despite Agamben’s disenchantment rather than re-enchantment of language. This task first requires the elucidation of the seemingly magical and intimate connection between words and things, which will be proposed under the rubric of ”tautegory’. (...) Finally, I will seek to show how Agamben’s analysis of language as performative and anthropogenic is not just ethical, but also opens the space for a profane Messiah. Agamben’s profane messianism will be elucidated through an analysis of the Voice as the witness to the pre-linguistic. (shrink)

Tyler Burge presents an original study of the most primitive ways in which individuals represent the physical world. By reflecting on the science of perception and related psychological and biological sciences, he gives an account of constitutive conditions for perceiving the physical world, and thus aims to locate origins of representational mind.

In lieu of an abstract, here is a brief excerpt of the content:ST. AUGUSTINE'S NOVELISTIC CONVERSION Tyler Graham Syracuse University In his famous biography of St. Augustine, Peter Brown attempts to explainwhat set the Confessions "apart from the intellectual tradition to which Augustine belonged" (Augustine ofHippo 169). While he concedes that "the Confessions are a masterpiece ofstrictly intellectual autobiography" (167), he concludes that it is more important to realize that they "are, quite succinctly, the story of Augustine's 'heart,' or (...) of his 'feelings'—his affectus"(169). He continues to explain that "in the Confessions, however, the evocation of Augustine's feelings forms part of the wider study of the evolution ofhis will" (172). Thus, Brown suggests that Augustine's central anthropological concern is to determine the origin and/or causes ofhuman desire (i.e. the "evolution of will"). Augustine's "exhaustive analysis ofhis motives" (as Brown describes it) is linked to his lifetime struggle to explain the complex interaction between his free will and a divine will (grace) to transform his "sinful" desires and create a "new heart" within him. In Brown's view, the Confessions reflect Augustine's struggle to discover whether desire originates in God or man. We can agree with Brown that this theological agenda is important to Augustine, for it will resurface in all of his theological struggles stretching from his pre-Christian engagement with the Manichees to his final battle with Pelagius. Nevertheless, I will argue in this paper that the Confessions reflect another important dimension to Augustine's morphology ofdesire. Regardless 136Tyler Graham of its divine or human source, Augustine's desires often begin with the imitation of another person. In portraying examples of his life up to and including his famous conversion in the year 386 (Book VIII), Augustine consistently shows that his desires have been copies or imitations ofvarious models whom he has chosen to follow. Writers such as Brown have considered the importance ofdesire (or the will) in the Confessions, and critics like Geoffrey Harpham (whom we will address later) have examined Augustine's interest in mimesis during various scenes in the book. Yet, with the exception ofAvitol Wohlman, no one (to my knowledge) has adequately considered the combination of the two: mimetic desire. In the first book ofthe Confessions, Augustine recounts his childhood, and, by the eighth chapter, he has already introduced a theme which will haunt the entire work: the link between desire and language. My desires were internal; adults were external to me and had no means ofentering into my soul. So I threw my limbs about and uttered sounds, signs resembling my wishes. (1:8) Language is born as a result ofthe need to express desire. For Augustine, words, gestures, and all utterances connect the "internal" wants to the "external" object ofcommunication (in this case, adults). In fact, ifAugustine links desire with the soul (external adults could not "enter his soul"), then language becomes the bridge between souls: it communicates desire from soul to soul. When Augustine reaches boyhood, and he begins to learn the accepted modes of articulation, the link between language and desire remains: "By groans and various sounds and various movements of parts of my body I would endeavor to express the intentions ofmy heart to persuade people to bow to my will" (1:13). Language communicates desire, but it also seeks to transform and generate desire. Beyond simply explaining his wishes, Augustine's language is persuasive, seeking to get others to "bow to my will." Whereas some people would like to remember their childhood as a time of innocence, joy, and peace, Augustine depicts his early life as "sinful," unhappy, and fraught with tears and conflicting interests. For an infant ofthat age, could itbe reckoned good to use tears in trying to obtain what it would have been harmful to get?.. The feebleness of infant limbs is innocent, not the infant's mind. (1:11) St. Augustine 's Novelistic Conversion137 Although he does notrememberbis own infancy, Augustine extrapolates from his analysis ofother children. I have personally watched and studied a jealous baby. He could not yet speak and, pale with jealousy and bitterness, glared at his brother sharing his mother's milk. Who is unaware ofthis fact ofexperience? Envy among infants is universal... (shrink)

Tyler Dalton McNabb and Michael DeVito develop a thoroughly original and Orthodox model for how Christian belief, and, even specifically Eastern Christian belief, can be warranted. They do this by creatively bringing recent work on religious experience, in the context of the Divine Liturgy, into conversation with Alvin Plantinga’s well-known explication of Reformed Epistemology. What emerges is a distinctly Eastern Christian approach to warranted Christian belief, that modifies and, arguably, improves upon Plantinga’s original model.

Tyler conducted a longitudinal study of 1,575 Chicago inhabitants to determine why people obey the law. His findings show that the law is obeyed primarily because people believe in respecting legitimate authority, not because they fear punishment. The author concludes that lawmakers and law enforcers would do much better to make legal systems worthy of respect than to try to instill fear of punishment.

Locke establishes the primary-secondary quality distinction in two steps. First, he identifies the primary qualities by means of a separability argument that involves transdictive inference about the properties of the minute, imperceptible parts of matter. Second, he identifies the secondary qualities by means of a dispensability argument that relies on the principle that bodies normally act by ‘impulse.’ I suggest this principle is also justified through transdictive inference. This allows us to see Locke’s claims about primary and secondary qualities as (...) unified, fallibilist and rooted in empiricism and the methodology of Newtonian science. (shrink)

When reasoning about deontic rules (what one may, should, or should not do in a given set of circumstances), reasoners adopt a violation‐detection strategy, a strategy they do not adopt when reasoning about indicative rules (descriptions of purported state of affairs). I argue that this indicative‐deontic distinction constitutes a primitive in the cognitive architecture. To support this claim, I show that this distinction emerges early in development, is observed regardless of the cultural background of the reasoner, and can be selectively (...) disrupted at the neurological level. I also argue that this distinction emerged as a result of selective pressure favouring the evolution of reasoning strategies that determine survival within dominance hierarchies. (shrink)

The story of the Vox Populi embodies conflict theory, one popular interpretation of Marx's ideas, portraying a bloody revolution that loses sight of its ideals, turns anarchistic, and becomes the new oppressor. In Columbia, Zachary Hale Comstock and Jeremiah Fink illustrate the way the bourgeoisie may come to create and control the means of production. As the friction builds between the bourgeoisie and the proletariat, historical processes contribute to the inevitable collapse of capitalism. In BioShock Infinite, the simmering friction between (...) the upper and lower classes boils over into the rise of the Vox Populi. The functionalist perspective often casts religion as a social structure that keeps society together despite any negative costs it may have for any particular group. In order for the bourgeoisie to own the means of production and keep the working class oppressed, it uses propaganda and indoctrination as powerful agents of control. (shrink)

Since the late 1980s, in defiance of Sri Lanka’s major monastic fraternities and the government, Buddhist women and men have begun to organize across distinctions of national boundary and Buddhist tradition to reinstate a defunct bhikkhun? ordination lineage for renunciant women. Drawing on fieldwork from the winter of 2015–16, this article considers some of the strategies by which Sri Lanka’s bhikkhun?s and their supporters constitute the burgeoning lineage as both legitimate and necessary for the continued health and vitality of an (...) otherwise ailing Buddhist s?sana. I argue that Sri Lanka’s bhikkhun?s engage in highly-visible forms of adherence to vinaya rules and social expectations for ideal monastic behavior set against a popular discourse about the laxity of male renunciants. Such engagement is both political and soteriological; while it is aimed at fulfilling legitimizing gendered expectations of women’s piety, it is expressed primarily in terms of the eradication of personal and societal suffering through forms of practice that accord with the ideal of a pious monastic. Thus, in contrast to discourses which locate bhikkhun?s as subjects whose presence weakens the s?sana’s duration and strength, in this new discourse Sri Lanka’s bhikkhun?s become virtuous agents of social service and moral restoration. The article concludes by identifying emerging connections between this discourse and an alreadygendered xenophobic Buddhist nationalism. (shrink)

We take canonical theology, in its most minimal form, to be the normative thesis that the final shape of a canon ought to guide how one interprets the texts contained within the canon. Within the Christian tradition, a standard objection to canonical theology goes something like this: Given the diversity of canon lists, whose canon should we endorse? Should we prefer the Masoretic ordering or the LXX? If the Greek tradition, which Greek tradition? Call this the Problem of Canon List (...) Diversity (PCLD). Appealing to scholastic hermeneutics, especially St. Augustine and St. Thomas Aquinas, and recent developments in the theology of inspiration, we develop a successful response to PCLD. (shrink)

Applying a non-developmental evolutionary metatheory to understanding the evolution of psychological capacities leads to the creation of models that mischaracterize developmental processes, misattribute genes as the source of developmental information, and ignore the myriad developmental and contextual factors involved in human decision-making. Using an evolutionary systems perspective, we argue that revenge and forgiveness cannot be understood apart from the development of foundational human psychological capacities and the contexts under which they develop.

Tyler Burge presents a collection of his seminal essays on Gottlob Frege (1848-1925), who has a strong claim to be seen as the founder of modern analytic philosophy, and whose work remains at the centre of philosophical debate today. Truth, Thought, Reason gathers some of Burge's most influential work from the last twenty-five years, and also features important new material, including a substantial introduction and postscripts to four of the ten papers. It will be an essential resource for any (...) historian of modern philosophy, and for anyone working on philosophy of language, epistemology, or philosophical logic. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:diacritics 30.2 (2000) 88-112 [Access article in PDF] Milton's Aesthetics Of Eating Denise Gigante It is not a little curious that, with the exception of Ben Jonson (and he did not speak gravely about it so often), the poet in our own country who has written with the greatest gusto on the subject of eating is Milton. He omits none of the pleasures of the palate, great or (...) small. In his Latin poems, when young, he speaks of the pears and chestnuts which he used to roast at the fire with his friend Diodati. Junkets and other "country-messes" are not forgotten in his "Allegro." The simple Temptation in the Wilderness, "Command that these stones be made bread" (which was quite sufficient for a hunger that had fasted "forty days"), is turned, in Paradise Regained, with more poetry than propriety, into the set out of a great feast, containing every delicacy in and out of season. The very "names" of the viands, he says, were "exquisite." And in Paradise Lost, Eve is not only described as being skilful in paradisaical cookery ("tempering dulcet creams"), but the angel Raphael is invited to dinner, and helped by his entertainers to a series of tid-bits and contrasted relishes--Taste after taste, upheld with kindliest change. --Leigh Hunt, "Eating Songs" The title of an old play gives us a direct taste and surmise of its inwards, as the first lines of the Paradise Lost smack of the great Poem. --John Keats, "On 'Retribution, or the Chieftain's Daughter'" That Milton's Romantic readers should invoke the "taste" of his epic poetry suggests an awareness beyond the anecdotal. For as this essay will show, Milton complicates the category of physiological taste in such a manner as to form the ground for the possibility of aesthetic taste, which emerges as a distinct discourse in the early years of the eighteenth century. This is not to say that Milton is the only source for this dubious meaning-in-transition. But precisely how, prior to the interventions of Shaftesbury, Hutcheson, Hume, and the entire tradition of post-Miltonic theorists of taste, is one to read Adam's darkly sardonic postlapsarian remark: "Eve, now I see thou art exact of taste... And Palate call judicious" [PL IX.1017-20]? Critics have observed Milton's "ruthless and relentless pressure on 'taste,'" the fact that the word and its variants appear thirty times in Book IX of Paradise Lost alone [Ricks 69]. What I would like to suggest is that just as Milton is a seminal figure for the eighteenth-century aesthetic preoccupation with the sublime, 1 he is theoretically situated at the origins of the more generic thing called taste as well. [End Page 88]Of course Milton himself was aware of the epistemological implications of taste, whereby the Latin sapere can mean both "to taste" and "to know." 2 The fruit whose "mortal taste" was the source of all our woe did, after all, grow on the tree of knowledge, knowingly described by Satan as "precious of all Trees / In Paradise, of operation blest / To Sapience" [PL I.2, IX.795-97]. So too, when Adam calls Eve "exact of taste," he adds "of Sapience no small part" [PL IX.1018]. Throughout Paradise Lost and Paradise Regained, Milton plays with the epistemological connotation of taste, incorporating it even into the 1671 companion piece of the latter, Samson Agonistes, whose blind hero declares, "The way to know were not to see but taste" [1091]. At the time Milton was writing, however, taste was philosophically connected not only to knowledge and pleasure, but to morality as well. At the origins of the British empirical discourse of taste, Anthony Ashley Cooper, third Earl of Shaftesbury, inheriting this link between epistemology, aesthetics, and ethics, inquires: "Will it not be found... that what is beautiful is... true; and what is at once both beautiful and true is, of consequence, agreeable and good?" [2: 268-69]. For Milton as for Shaftesbury, the beautiful was the true was the good, and access to these ideals was bound up with the philosophic complexity... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Diacritics 31.4 (2001) 41-53 [Access article in PDF] Bad Words Denise Riley Introduction The worst words revivify themselves within us, vampirically. Injurious speech echoes relentlessly, years after the occasion of its utterance, in the mind of the one at whom it was aimed: the bad word, splinterlike, pierces to lodge. In its violently emotional materiality, the word is indeed made flesh and dwells amongst us—often long outstaying its (...) welcome. Old word-scars embody a "knowing it by heart," as if phrases had been hurled like darts into that thickly pulsating organ, but their resonances are not amorous. Where amnesia would help us, we can't forget.This sonorousness of vindictive words might help to characterize how, say, racist speech works on and in its targets. But doesn't such speculation also risk becoming an advocacy for the cultivation of insensitivity on the part of those liable to get hurt—or worse, a criticism of their linguistic vulnerability: "They just shouldn't be so linguistically sensitive"? There's much to be said for studiously practicing indifference. But the old playground chant of "sticks and stones may break my bones, but words can never hurt me" was always notoriously untrue. The success of the tactics of indifference will also depend on the vicissitudes of the words' fate in the world, which is beyond my control. I change, too. As the terrain upon which malevolent accusation falls, I am malleable, while the harsh words themselves undergo their own alterations across time, and so their import for me weakens or intensifies accordingly. At times the impact of violent speech may even be recuperable through its own incantation; the repetition of abusive language may be occasionally "redemptive" through the irony of iteration, which may drain the venom out of the original insult and neutralize it by displaying its idiocy. 1 Yet angry interpellation's very failure to always work as intended (since at particular historical moments, I may be able to parody, to weaken by adopting, to corrode its aim), is also exactly what, at other times, works for it. In any event, interpellation operates with a deep indifference as to where the side of the good may lie, and we can't realistically build an optimistic theory of the eventual recuperability of harm. Here there's no guaranteed rationality, nor any inescapable irrationality. Repetition breeds its own confident mishearing, 2 but its volatile alterations lean towards neither automatic amelioration nor inevitable worsening.This observation, though, leaves us with the still largely uninvestigated forensics of spoken injury. Verbal attacks, in the moment they happen, resemble stoning. Isn't it making heavy weather, then, to ask how they do damage: isn't the answer plain, that they hurt just as stones hurt? At the instant of their impact, so they do. Yet the peculiarity of violent words, as distinct from lumps of rock, is their power to resonate within their target for decades after the occasion on which they were weapons. Perhaps an urge for privacy about being maliciously named may perpetuate the words' remorseless afterlife: [End Page 41] [Begin Page 42] I keep what I was told I was to myself, out of reserve, shame, a wish not to seem mawkish and other not-too-creditable reasons such as guarding the word so it can't slip away to be lost in the broad linguistic flood; yet even if I manage to relinquish this fatal stance of nursing my injury, it may well refuse to let go of me. Why, though, should even the most irrational verbal onslaught lodge in us, and why should it stubbornly resist ejection, and defy its own fading? For an accusation to inhere, must its human target already be burdened with her own prehistory of vulnerability, in the shape of some psychic susceptibility; must it even depend on her anticipating readiness to accept or even embrace the accusation that also horrifies? Maybe, then, there's some fatal attraction from the aggression uttered in the present toward earlier established reverberations within us, so that to grasp this phenomenon, we have to leave a linguistic account and turn instead to a prelinguistic... (shrink)

The author responds to a letter by D. Brendan Johnson in the July‐August 2023 issue of the Hastings Center Report concerning his and Joseph Clair's article “Love Your Patient as Yourself: On Reviving the Broken Heart of American Medical Ethics.”.

Tyler Roberts encourages scholars to abandon the conceptual opposition between "secular" and "religious" to better understand how human beings actively and thoughtfully engage with their worlds and make meaning. The artificial distinction between a self-conscious and critical "academic study of religion" and an ideological and authoritarian "religion," he argues, only obscures the phenomenon. Instead, Roberts calls on intellectuals to approach the field as a site of "encounter" and "response," illuminating the agency, creativity, and critical awareness of religious actors. To (...) respond to religion is to ask what religious behaviors and representations mean to us in our individual worlds, and scholars must confront questions of possibility and becoming that arise from testing their beliefs, imperatives, and practices. Roberts refers to the work of Hent de Vries, Eric Santner, and Stanley Cavell, each of whom exemplifies encounter and response in their writings as they traverse philosophy and religion to expose secular thinking to religious thought and practice. This approach highlights the resources religious discourse can offer to a fundamental reorientation of critical thought. In humanistic criticism after secularism, the lines separating the creative, the pious, and the critical themselves become the subject of question and experimentation. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:American Journal of Philology 126.1 (2005) 138-142 [Access article in PDF] Kathy L. Gaca. The Making of Fornication: Eros, Ethics, and Political Reformin Greek Philosophy and Early Christianity. Hellenistic Culture and Society 40. Berkeley and Los Angeles: University of California Press, 2003. xviii + 359 pp. Cloth, $60. As the current attention to same-sex marriage attests, religious communities and politicians today are concerned with sexual activity and rules, viewing (...) [End Page 138] them as correlated with particular kinds of social orders and values. Since second-wave feminism and Foucault, classicists and historians of early Christians have given considerable attention to how ancients themselves were concerned with sexual activity and its bearing on social, political, and religious life. Kathy Gaca's study contributes fresh insights about the saliency of religious ideology to understanding the different kinds of "sexual blueprints" produced by Greek philosophers, biblical authors and their interpreters, and early Christians. The Making of Fornication takes as its starting point a challenge to Foucault's argument for fundamental continuity in sexual morality between Greek and early Christian thought. Gaca argues instead that historically successful forms of Christianity are more discontinuous than continuous with Greek philosophy.Porneia exemplifies the break Gaca charts: "the Greek biblical sense of 'fornication' should not be confused with in the non-biblical Greek sense.... as 'fornication' requires biblical monotheism to be intelligible as a sexual rule, insofar as sexual intercourse and procreation are fornicating, and forbidden, by virtue of not being dedicated to the Lord alone. In the non-biblical Greek sense, however, means 'prostitution' and has nothing to do with worshipping God alone" (20). Sexual activity in non-biblical Greek understandings was nonetheless closely linked to piety, and philosophers crafted their moral sexual visions in accordance with their understandings of how sexual desires, practices, and reproduction relate to the gods and cosmic order. Gaca argues that the combination of Greek biblical ideas and non-biblical Greek associations of sex with the gods led to Christian "practices of intense sexual asceticism among converted Greeks and other gentiles.... Since alien gods such as Aphrodite remained so potent a presence in human sexuality, it seemed critical to put an end to exercising her sexual energy rather than to defy God" (304). She sees this ascetic trend differently expressed in the first-century writings of Philo of Alexandria and Paul of Tarsus and the second-century writings of the Christians Tatian and Clement of Alexandria.This three-part work unfolds as a study of different views about sexual activity, even as it builds a larger argument about "the motivating philosophical and religious principles behind Christian sexual asceticism" (9). In each part's chapters, Gaca charts the range of visions for how sexual activity does and should correlate with social order held by Greek philosophers (Part 1: Platonic, Stoic, and Pythagorean), biblical texts and their interpreters (Part 2: Septuagint, Paul of Tarsus, and Philo of Alexandria), and three second-century Christians (Part 3: Tatian, Clement of Alexandria, and Epiphanes).For Gaca, Tatian and Clement of Alexandria craft their respective Christian ideals in monogamous heteroerotic, reproductive terms adapted from biblical traditions as well as some aspects of Platonic and Pythagorean thought (notably an emphasis on the regulation of sexual desire and procreative ideal for sex, respectively); their two versions of sexual norms (Tatian rejecting all sexual activity, Clement conceding only non-libidinous procreative marital sex) should be understood as a response to the religious associations of sex and sexual desire [End Page 139] among gentiles, especially Greeks (303-304). Epiphanes represents a historically unsuccessful alternative trajectory for early Christian sexual norms, in its basic presuppositions (of egalitarianism as a norm for community which extends to a rejection of marriage), in its relationship to Greek philosophy (in continuity with many early Stoic ideals about egalitarian communalism), and in its interpretation of Paul (using Gal. 3:28 as an interpretive key over 1 Cor. 6:18).In Part 1 Gaca aims to correct for a lack of attention to early Stoic material among classicists and ancient historians... (shrink)