This paper historicizes the taken‐for‐granted acceptance of reflection as a fundamental professional practice in nursing. It draws attention to the broad application of reflective practice, from pedagogy to practice to regulation, and explores the epistemological basis upon which the authority of reflective discourse rests. Previous work has provided a series of critiques of the logic and suitability of reflective practice across all domains of nursing. The goal of this paper is to commence a history of nursing's reflective identity. The paper (...) begins with a discussion of Dewey and Schön then focuses on Habermas's Theory of Communicative Action as the epistemological basis of reflective practice's standing as a authoritative discourse in nursing. (shrink)

El presente artículo desarrolla el tema de la formación del tacto. Este tema, que desde las ciencias del espíritu llamaron bildung o formación, pone como una cuestión principal, la estética en la formación para la vida. Respecto a ello, es pertinente analizar las variables ver aquellas acciones o reflexiones que ayudan a sensibilizar y construir espacios de humanización entre los hombres. En el contexto pedagógico, se requieren, de las mismas exigencias del tacto, tanto para la educación superior en la formación (...) docente y, para estudiantes secundarios. Se trata de pensar los procesos pedagógicos desde la estética. Para desarrollar el tema hemos abordado la lectura desde dos autores base: Hans-Georg Gadamer y John Dewey, que desde una lectura hermenéutico pragmática, situamos como un elemento central de la formación estética a la conversación. De este modo, la importancia del tacto nos pone en estrecha relación con la importancia de la estética en la formación profesional docente, como en el propio ejercicio de quienes ejercen el oficio de ser maestros, pues construir el sensus communis es el desafío de un maestro de saber y conocer; que, desde el tacto, abre la oportunidad de encontrar en la conversación, una experiencia que forma y proyecta. (shrink)

Religious naturalism encompasses thinkers from Baruch Spinoza, George Santayana, John Dewey, Henry Nelson Wieman, and Ralph Burhoe to recent writers. I offer a generic definition of religious naturalism and then outline my own version, the “minimalist vision of transcendence.” Many standard issues in the science‐and‐religion dialogue are seen to fade in significance for religious naturalism. I make suggestions for our understanding of science, including the importance of transcognitive abilities, the need for a revised notion of rationality as an (...) alternative to extreme versions of postmodernism, the value of rational dissensus, and the education of appreciation. Finally, I suggest ways to interpret the religious traditions of the world by religious naturalism. (shrink)

An important issue in the development of the American school of philosophy known as critical naturalism was whether the naturalistic vision implied a humanistic or a theistic interpretation of religion. Is the divine a creativity within nature but more than human effort, or is it the human vision of ideal possibilities and the effort to realize them? This issue is clarified through a study of the concept of the divine developed by the leading naturalist John Dewey in A Common (...) Faith, the misunderstanding of this book by Henry Nelson Wieman, and the discussion of this misunderstanding in the pages of Christian Century. The essay concludes that Wieman's misunderstanding of Dewey is instructive in that it reveals unintended possibilities in Dewey's thought. (shrink)

In this pathbreaking book, which includes a powerful new translation of Hesiod's Works and Days by esteemed translator David Grene, Stephanie Nelson argues that a society's vision of farming contains deep indications about its view of the human place within nature, and our relationship to the divine. She contends that both Hesiod in the Works and Days and Vergil in the Georgics saw farming in this way, and so wrote their poems not only about farming itself, but also about (...) its deeper ethical and religious implications. Hesiod, Nelson argues, saw farming as revealing that man must live by the sweat of his brow, and that good, for human beings, must always be accompanied by hardship. Within this vision justice, competition, cooperation, and the need for labor take their place alongside the uncertainties of the seasons and even of particular lucky and unlucky days to form a meaningful whole within which human life is an integral part. Vergil, Nelson argues, deliberately modeled his poem upon the Works and Days, and did so in order to reveal that his is a very different vision. Hesiod saw the hardship in farming; Vergil sees its violence as well. Farming is for him both our life within nature, and also our battle against her. Against the background of Hesiods poem, which found a single meaning for human life, Vergil thus creates a split vision and suggests that human beings may be radically alienated from both nature and the divine. Nelson argues that both the Georgics and the Works and Days have been misread because scholars have not seen the importance of the connection between the two poems, and because they have not seen that farming is the true concern of both, farming in its deepest and most profoundly unsettling sense. (shrink)

The authors regret that there are errors in equation and subsequent discussion. The correct version is as follows.

The valencies of the lanthanides vary more than was once thought. In addition to valencies associated with a half-full shell, there are valencies associated with a quarter- and three-quarter-full shell. This can be explained on the basis of Slater’s theory of many-electron atoms. The same theory explains the variation in complexing constants in the trivalent state. Valency in metallic and organometallic compounds is also discussed.

The authors regret that there are errors in equation and subsequent discussion.

This selection of articles by Lewis E. Hahn addresses the philosophical school of contextualism and four contemporary American philosophers: John Dewey, Henry Nelson Wieman, Stephen C. Pepper, and Brand Blanshard. Stressing the relatively recent contextualistic worldview, which he considers one of the best world hypotheses, Hahn seeks to achieve a broad perspective within which all things may be given their due place. After providing a brief outline, Hahn explains contextualism in relation to other philosophies. In his opening chapter, (...) as in later chapters, he expresses contextualism as a form of pragmatic naturalism. In spite of Hahn’s high regard for contextualism, however, he does not think it would be good if we were limited to a single worldview. “The more different views we have and the more different sources of possible light we have, the better our chances that some of these cosmic maps will shed light on our world and our place in it.”. (shrink)

Kant’s notion of autonomy is not only a central concept in pure moral philosophy; it is also a key organizing concept in applied moral philosophy. Across the whole spectrum of human endeavors, there are helping relationships wherein some helpers (e.g., doctors, teachers, social workers, advisors, managers, or organizers) try to help their counterparts (e.g., patients, students, clients, workers, and so forth) to help themselves. But there is a fundamental “helping self-help conundrum” in the very idea of helpers giving external assistance (...) to others to become more autonomous, i.e., to become independent of external assistance. This conundrum makes genuine autonomy-enhancing help very subtle, difficult, and scarce. There is, however, a golden thread in applied moral philosophy running from Socrates, Stoics, and Augustine down to modern philosophers such as John Dewey, Leonard Nelson, David Hawkins, and Gilbert Ryle. This tradition appreciates the limitations highlighted by the fundamental conundrum and which argues that genuine help must be indirect to create the preconditions and catalyze the processes of the others taking an active and constructive role in helping themselves. The analysis also highlights the “yin and yang” of unhelpful help as social engineering (yang) and “rapacious benevolence” (yin). Iven Illich in particular developed a general critique of the “helping profession,” with their professional cartels always finding more “needs” and “disabilities” that need to attended to, that thereby generate more learned disabilities and disabling help. (shrink)

Telling Our Lives explores how three working-class women-from Jewish, African-American, and Irish-American backgrounds connect across their differences through storytelling and conversation.

The majority of traditional students enrolled at most colleges and universities are a part of what has been termed the Millennial Generation, also known as Generation Y, which typically describes the group of individuals born in most of the 1980s and 1990s. This cohort’s life has been shaped by corporate scandals, economic instability, and worldwide tragedies. Concurrently, business ethics has become a popular topic in the news within the last 2 decades due to the increase in the number of high-profile (...) business scandals. Unfortunately, this trend has also been accompanied by an increased number of reported incidents of academic dishonesty at many major universities. Two underresearched factors that may be related to academic dishonesty and cheating behavior are religiosity and spirituality. This article attempts to shed more light on the relationship between religious beliefs and unethical behavior, with a focus on millennial college students. It is posited that religiosity and spirituality influence an individual’s attitudes, views, decisions, and ultimately behaviors. The results of this study indicate that religiosity but not spirituality is a predictor of students’ attitudes toward cheating and cheating behavior. (shrink)

Birthing feminist pragmatist epistemologies -- Feminist epistemologies -- Embodiment -- Project overview -- Quine's naturalized epistemology -- A brief history of objectivity in western philosophy -- Quine's empiricism -- Holism -- Ontological and epistemological impact -- Antony's analytic feminist empiricism -- Objectivity and the bias paradox -- Quine's naturalized epistemology solves bias paradox -- Anti-quinean realism -- Nelson's holistic feminist empiricism -- Nelson's holism -- Communities as knowers -- Facts/values -- Dewey's theory of inquiry -- Epistemology and (...) inquiry -- Biological and cultural matrices -- Habits and embodiment -- Feminist pragmatist inquiry -- OB/GYN and midwifery models -- Time -- Technology -- Spatial presence -- Tacit knowledge as feminist. (shrink)

SUMMARYThe Machiavellian Moment was largely responsible for establishing what remains the dominant understanding of American Revolutionary ideology. Patriots, on this account, were radical whigs; their great preoccupation was a terror of crown power and executive corruption. This essay proposes to test the whig reading of patriot political thought in a manner suggested by Professor Pocock's pioneering first book, The Ancient Constitution and the Feudal Law. The whig tradition, as he taught us, located in the remote Saxon past an ‘ancient constitution’ (...) of liberty, in which elected monarchs merely executed laws approved by their free subjects in a primeval parliament. This republican idyll, whigs believed, was then tragically interrupted by the Norman Conquest of 1066, which introduced feudal tenures and monarchical tyranny. Did patriot theorists accept this narrative? The answer, I shall argue, is strikingly mixed. By the early 1770s, appeals to the ‘ancient constitution’ had become less common in patriot writing. And by the end of the 1770s, many patriots had absorbed a completely different understanding of the feudal past—one pioneered by Royalist historians of the seventeenth century and then adapted by Scottish historians of the eighteenth. This shift reflects a broader transformation in patriot political and constitutional theory. (shrink)

Christie, Brusse, et al. argue that selected effects are insufficient to explain the prevalence of traits when selection is heterogeneous. One could object that it’s useful to ground functions in selected effects so long as selected effects are necessary to explain the prevalence of traits. This raises a challenging question: what justifies singling out selected effects from other factors that are necessary to explain the prevalence of traits when selection is heterogeneous? I consider three answers: selected effects are the only (...) factors that explain the prevalence of traits and (a) can plausibly ground functions; (b) enable biological generalization; and (c) enable representational explanation. I argue that none of these answers is satisfactory. Only the third answer might be able to justify singling out any selected effects at all (when selection is heterogeneous): the small share of selected effects that ground representations of causal particulars. Thus, I agree with Christie, Brusse, et al. that heterogeneous selection is a serious problem for selected effects theories of function. (shrink)

This paper explores why ethical issues associated with mental illness have been generally neglected in the literature and texts of the discipline of bioethics. I argue that the reasons for this are both philosophical and structural, involving the philosophical framework of principlism in bioethics, in particular the privileging of the principle of autonomy, and the institutional location and disciplinary boundaries of bioethics as a profession. Other contributing factors include developments outside of bioethics, in medicine and law and in the delivery (...) patterns and funding sources of mental health services, and above all the pervasive stigma that attaches to mental illness. My goal is to show both how the attention bioethics could bring would benefit this neglected area of health care, and why attending to the issues surrounding mental illness would benefit bioethics in meeting its professional obligations as the public voice on matters of ethical significance in health care. (shrink)

On the usual account of moral reasoning, social science is often seen as able to provide “just the facts,” while philosophy attends to moral values and conceptual clarity and builds formally valid arguments. Yet disciplines are informed by epistemic values—and bioethics might do well to see social scientific practices and their attendant normative understandings about what is humanly important as a significant part of ethics generally.

We agree with van der Pijl et al that the question of how to ensure consent is obtained for procedures which occur during labour and childbirth is vitally important, and worthy of greater attention.1 However, we argue that the modified opt-out approach to consent outlined in their paper may not do enough to protect the choice and agency of birthing people. Moreover, while their approach reflects a pragmatic attempt to facilitate legal clarity and certainty in this context, this is not (...) necessarily responsive to the messy realities of decision-making during labour (and beyond). We outline some of our concerns with their proposals and demonstrate how these illuminate some broader, longstanding tensions around consent and medical law. The authors place significant focus on the particularities of labour, outlining six ways in which maternity care is ‘unlike the usual healthcare setting’ (van der Pijl M et al,1p4). We support the need for attentiveness to these particularities and the problematic nature of consent in this context. Recent scholarly attention on the possible ‘political, ethical and theoretical implications and meanings of birthing embodiment’ (Chadwick R,2p2) has invited more nuanced conversation about consent, agency and decision-making during labour. However, while recognising the embodied particularities of labour, we must also avoid essentialising the differences of labouring bodies and thereby reinforcing exclusionary norms of consent. This points to a long-standing tension in feminist theory between the universal and the particular; between recognising and responding to the powerlessness of individuals without …. (shrink)

Descartes held that practicing mathematics was important for developing the mental faculties necessary for science and a virtuous life. Otherwise, he maintained that the proper uses of mathematics were extremely limited. This article discusses his reasons which include a theory of education, the metaphysics of matter, and a psychologistic theory of deductive reasoning. It is argued that these reasons cohere with his system of philosophy.

Democracy and the state are two political notions that have come under considerable duress in late modernity. This paper considers a prominent critic of both, Sheldon Wolin. The paper examines three elements that figure in Wolin's analyses of democracy and the modern state in a central way: community, memory, and the culture of history. A theorisation of these elements can illuminate what is at stake in the articulation of political conceptions that yield communal forms through the constitution of political space. (...) Wolin's analyses of democracy, the state, and modern power can be of help, first, in elucidating the political valences of the three elements themselves; second, in specifying relationships of mutuality among them; and third, in theorising what is at issue in the transposition of these elements from the domestic sphere to the international. The paper speaks mainly to the first and second concerns. A path is explored for thinking what is at stake in the third, namely, locating in and then transposing from the domestic sphere a ‘we’ which does not enjoy a precise ontology, but which is nonetheless capable of giving collaborative efforts in world-political spheres another political ground. (shrink)

In the initial wave of the opioid crisis, uninformed prescribing practices and lax oversight were the drivers of opioid addiction and death. Although opioid prescriptions have decreased by 44.4 percent between 2011-2020,1 the number of deaths linked to prescription opioids has decreased only marginally.2 The marked fall in opioid prescribing without a concomitant reduction in opioid-related deaths suggests that an at-risk population continued to receive prescription opioids, whether directly or indirectly, from a medical professional. Currently, illicitly manufactured fentanyl (IMF) is (...) the culprit for the majority of the approximately 81,000 annual opioid-related deaths.3 This finding has been misleadingly used to suggest that prescription opioids for chronic pain are no longer (and never were) a relevant concern,4 while the reality is that their lethal consequences are simply dwarfed by the marked rise in IMF deaths.5. (shrink)

The concept of God's acting in the world has been seen to be problematic in light of the claims of scientific knowledge that the regularity of a law like universe rules out divine action. There are resources in both scientific knowledge and religion that can render meaningful and credible divine action. The new physics, chaos theory, cognitive psychology, and the concept of top‐down causation are used to understand how God acts in the world. God's action is not an intervention, but (...) is understood on the model of how the mind influences the brain in a downward causative manner. Suggestions for imagining God's actions are discussed. (shrink)

Cross-domain representations provide the foundation for language and are not its unique product. Modularity of a limited kind is confined to early infancy in humans and is succeeded by domain-general thinking and speaking. Representational language becomes accessible to the cognitive system during the preschool years as a supplement to experientially based conceptual processing, resulting in a dual-process system.

El texto desarrolla -a modo de ensayo- un recorrido por el cuerpo como lugar, discurso y objeto de control, taxonomía a partir de lo cual se proponen tres operaciones posibles de desarrollar: el estudio de la memoria del cuerpo a partir de sus indicios; la comprensión histórica del ejercicio del cuerpo a partir de sus prolongaciones, y el análisis de las condiciones para el ejercicio del poder en medio de la tensión dominación-libertad. El autor plantea que las tres dimensiones desarrolladas (...) (cuerpo como lugar, como discurso y como poder) no son independientes entre sí, ya que componen un complejo sistema de relaciones que explican y encubren los significados de los vínculos del cuerpo a nivel social. Finalmente, el artículo plantea que el escenario del cuerpo constituye el punto de paso de todas las políticas con independencia de su origen, ya que en él se instala y proyecta la totalidad de la red social, siendo el principal objeto del gobierno y sus decisiones. (shrink)

Professor [H.W.] Sheldon's critique of contemporary naturalism as professed in the volume Naturalism and the Human Spirit consists of one central "accusation": naturalism is materialism pure and simple. This charge is supported by his further claim that since the scientific method naturalists espouse for acquiring reliable knowledge of nature is incapable of yielding knowledge of the mental or spiritual "nature" for the naturalist is definitionally limited to "physical nature." He therefore concludes that instead of being a philosophy which can settle (...) age-old conflicts between materialism and idealism, naturalism is no more than a partisan standpoint, and contributes no new philosophical synthesis. ... (shrink)

In his preface to Wittgenstein: Language and World, Canfield briefly explains the plan of the work. Feeling that "Wittgenstein's later work remains, after decades of study, in significant part poorly grasped or misinterpreted," and that "to make Wittgenstein's thought available, what is needed are in-depth examinations of his major concepts," he proposes to undertake a part of that task by examining in detail the "two connected ideas, that of a 'criterion', or standard by which one judges truth, and that of (...) a 'grammatical' proposition or remark." These are connected ideas because "statements of criteria are themselves grammatical remarks." In the same place Canfield claims that the positions he will set forth on criteria and grammatical remarks are not intended "to be of exegetical interest only" but to represent the truth in these matters. (shrink)

Explanations in behavioural neuroscience are often said to be mechanistic in the sense that they explain an organism’s behaviour by describing the activities and organisation of the organism’s parts that are “constitutively relevant” to organism behaviour. Much has been said about the constitutive relevance of working parts (in debates about the so-called “mutual manipulability criterion”), but relatively little has been said about the constitutive relevance of the organising relations between working parts. Some New Mechanists seem to endorse a simple causal-linking (...) account: organising relations are constitutively relevant to organism behaviour if and only if (and because) they are causal relations that link the working parts that are constitutively relevant to organism behaviour. In this paper, I argue that the causal-linking account is inadequate because it neglects the constitutive relevance of anatomical relations that organise the working parts of a behaving organism. I demonstrate this by considering a case study where the anatomical organisation of the barn owl (Tyto alba) is constitutively relevant to their mechanism for sound localization. The anatomical organisation of this mechanism is best understood as the back-and-forth flow of task information across 7 “levels of anatomy” (a notion that I distinguish from levels of mechanism). A further implication, I conclude, is that at least some of the interlevel structure of neuroscientific explanation is accounted for by levels of anatomy, not levels of mechanism. (shrink)

John Dewey ranks as the most influential of America's philosophers. That in fluence stems, in part, from the originality of his mind, the breadth of his in terests, and his capacity to synthesize materials from diverse sources. In addi tion, Dewey was blessed with a long life and the extraordinary energy to express his views in more than 50 books, approximately 750 articles, and at least 200 contributions to encyclopedias. He has made enduring intellectual contributions in all of (...) the traditional fields of philosophy, ranging from studies primarily of interest for philosophers in logic, epistemology, and metaphysics to books and articles of wider appeal in ethics, political philosophy, religion, aesthetics, and education. Given the extent of Dewey's own writings and the many books and articles on his views by critics and defenders, it may be asked why there is a need for any further examination of his philosophy. The need arises because the lapse of time since his death in 1952 now permits a new generation of scholars to approach his work in a different spirit. Dewey is no longer a living partisan of causes, sparking controversy over the issues of the day. He is no longer the advocate of a new point of view which calls into question the basic assump tions of rival philosophical schools and receives an almost predictable criticism from their entrenched positions. His works have now become classics. (shrink)

Over the past two decades, the competency movement has been gathering momentum internationally within the ranks of professional nursing. It can be argued that this momentum is in response to government initiatives aimed at improving consistency in workforce training and accreditation, and fostering national and international portability of qualifications. At the same time, the competency movement has provided the opportunity for regulators, service providers and government to develop mechanisms to reconstitute competent nurses as accountable, self‐regulating subjects and to monitor this (...) transformation in particular ways. The ways in which competencies have been taken up to do this transforming work in Canada are unique and deserving of some detailed description and analysis.We argue that Canadian nursing regulatory authorities have chosen to view competence as the rehearsal of ethical attributes consonant with the professional role,as opposed to the enactment of skilled conduct. As a result, reflective practices rather than skill and knowledge have become the cornerstone of nursing competency formulation and review. We argue that this distinctly Canadian approach to competency serves three ends. First, it privileges the ‘attribute’ element of the nursing competency model and side steps the ever‐problematic ‘nursing knowledge’ issue; second, self‐surveillance by nurses shifts the onus for professional development from industry to the individual; and third, it concedes responsibility for skill assessment by the regulatory authorities to industry control, leaving employers free to determine skill base and skill mix requirements for practice. Finally, we argue that the reflective component of the regulatory framework for Canadian nurses radically fails as a tool for auditing quality and assessing competency. Rather, it functions as a governmental practice that furthers the deregulatory and economic rationalist aims of the Canadian health reform agenda. (shrink)

Alexandra Shuford's book is primarily designed to address the following question: "What can Deweyan pragmatism contribute to a feminist empiricist epistemology?" (viii). Her answer is Dewey's conception of habit, and in her final chapter, she illustrates the utility of this conception by comparing what she labels the "medicalized" model of labor and birth to that employed by practitioners of midwifery. Before looking at Shuford's reading of this contrast more closely, however, it needs to be noted at the outset that (...) she also regards her constructive project to be one of "augmenting" or "extending" the efforts of Lynn Hankinson Nelson to formulate a feminist empiricism derived from Quine's naturalized epistemology. .. (shrink)

Although the words “nature” and “ecology” have to be qualified in discussing either Daoism or Heidegger, the author argues that a different and potentially helpful approach to questions of nature, ecology, and environmental ethics can be articulated from the works of Martin Heidegger and the early Daoist philosophers Laozi (Lao-Tzu) and Zhuangzi (Chuang-Tzu). Despite very different cultural contexts and philosophical strategies, they bring into play the spontaneity and event-character of nature while unfolding a sense of how to be responsive to (...) the world through a practice of “non-coercive-activity” (wuwei) and “letting be” (Gelassenheit). Significant ecological implications can be drawn from the recognition of nature reinterpreted as dao (way) and as Sein (being). The openness and receptiveness of experiencing the world as being-under-way suggests what might be called a “pluralistic holism,” involving the recognition of both the interconnectedness and the unique singularity of things, and the possibility of being responsive to the phenomena themselves in their mutuality as wellas in their particular givenness. (shrink)

Biobanks are essential biological database resources for the scientific community, enabling research on the molecular, cellular, and genetic basis of human disease. They are crucial for computational, data‐driven biomedical research, which advances precision medicine and the development of targeted therapies. However, biobanks often lack racial and ethnic diversity, with many data sets predominantly comprising individuals of white, primarily northern European, ancestry. Establishing or enhancing biobanks for the inclusion of historically underrepresented populations requires meticulous ethical and social planning beyond logistical, legal, (...) and economic considerations. This guide provides a roadmap for building and sustaining diverse biobanks, emphasizing ethical guidelines and cultural sensitivity. We highlight the importance of obtaining informed consent from donors, respecting their bodily autonomy, and the economic and research benefits of diverse biobanks to enable precision medicine, drug discovery, and industry‐academic partnerships. Prioritizing key ethical and social considerations allows biobanks to advance scientific knowledge while upholding the rights and autonomy of underrepresented populations. Diversity in biobank sample collection enhances research outcomes by ensuring findings are representative and applicable to various human population groups, fostering trust, promoting inclusivity, and addressing health disparities while informing health policy. This is vital to ensuring biobanking efforts contribute meaningfully to the advancement of health equity. (shrink)

The purpose of this chapter is to offer an ethical investigation into whether researchers have a duty to share pre-published bio-medical data with the scientific community. The central questions of the chapter are the following: do researchers have a prima facie duty to share pre-published data? And if so, what stakes and aspects of a concrete situation need to be taken into consideration in order to assess whether and to what extent researchers’ prima facie duty to share data applies? We (...) will argue that based upon their basic duties to benefit society and to promote scientific knowledge, researchers have a prima facie duty to share data. We will also argue that in order to determine whether the prima facie duty applies in practice it is indispensable to take into account the stakes of the persons concerned as well as context dependent aspects. The chapter’s overall goal is to build an analytical and ethical framework that helps to assess with regard to concrete situations whether researchers’ duty to share data applies. To this end we analyse the concept of data sharing and clarify what data sharing might imply in practice. To offer an overview of the different stakeholders’ concerns we will analyse the normative-informational environment in which data producing researchers (to whom the prima facie duty to share data applies) are usually situated. In the last step we focus on the ethically relevant context dependent aspects and illustrate how they affect researchers’ prima facie duty to share data and stakeholders’ potentially conflicting stakes. (shrink)

As practiced, medicine bumps along with the rest of us, doing its level best to cope with the contingencies of this often heartbreaking world. Yet it's a commonplace that much of medicine's self‐image, and a good deal of its cultural heft, come from its connection with the natural sciences and, what's more, from a picture of science that has a touch of the transcendental, highlighting the unmatched rigor of its procedures, its exacting rationality, and the reliability of its results.In contrast, (...) the very idea of “queer” carries with it a little taste of the uncanny. What we're inclined to label queer resists understanding, not so much because it's too complicated, but because it tends to be too slippery to capture neatly in our conceptual nets—that queer ache in your side, for instance, or your partner's queer notion of doing laundry. The outmoded use of “queer,” as a way to refer disparagingly to gay people, carried similar uncanny connotations: the unnatural, the perverse.One might think, then, that the reclamation of “queer” as an umbrella term referring to the lesbian, gay, bisexual, and transgender spectrum has a pleasing depth to its irony—not only does it wrench the customary direction of evaluation conveyed by the word from condemnation to celebration, but it also hints that what you find comprehensible depends a good deal on who you are and where you're standing. What from the perspective of many heterosexual and cisgendered people may seem opaque, exotic, threatening—erotic love directed toward someone with the same kind of body you have, lives lived in ways that challenge the immutability of birth‐assigned gender—are to LGBT folk not uncanny at all, but as familiar as breathing.I like this conceit, but alas, it is too simple. It slights the variety of difficulties associated with making sense of queerness that can vex deeply thoughtful people of undoubted good will—as I found out some years ago when I first talked about my efforts to understand my own transgender identity with a ferociously intelligent, highly sophisticated friend. (shrink)

Despite Heidegger’s critique of ethics, his use of ethically-inflected language intimates an interpretive ethics of encounter involving self-interpreting agents in their hermeneutical context and the formal indication of factical life as a situated dwelling open to possibilities enacted through practices of care, interpretation, and individuation. Existence is constituted practically in Dasein’s addressing, encountering, and responding to itself, others, and its world. Unlike rule-based or virtue ethics, this ethos of responsive encounter and individuating confrontation challenges any grounding in a determinate or (...) exemplary model of reason, human nature, the virtues, or tradition. (shrink)