This collaborative essay experimentally applies the insights of Mary Shelley's 1818 gothic fantasy Frankenstein to clinical interactions between present-day physicians and the patients they, akin to Shelley's human protagonist, so often seem to bring (back) to life. Because that process is frequently fraught with unspoken elements of ambivalence, disappointment, frustration, and failure, we find in Shelley's speculative fiction less a cautionary tale of overreach than a dynamic parable of the role that the unspoken, the invisible, and the unknown might play (...) in contemporary physician/patient relationships. Playing with that parable, we consider its relevance to four often unacknowledged dynamics that shape physician/patient interaction: commitment to a false binary of life and death; the tyranny of normative aesthetics; shared negative affect; and the ethics of care and care-denial. To "speak with Frankenstein" is, we show, to make space for the otherwise unspeakable. The result is a more complete model of narrative medicine that accommodates to its ideal of open communication and full attention the persistence of what cannot be said, seen, or known--only imagined and approximated. (shrink)

Moral philosophers typically have confronted two distinct kinds of problems. First, they have attempted to discover the supreme principle of morality and show how it should influence our conduct by indicating what specific virtues, obligations, laws, and way of life it would require. Second, they have tried to demonstrate that we ought to live according to its demands and do what is morally right even when our immediate desires pull us in the opposite direction.

In those twenty or so pages of section xi of Part Two of the Philosophical Investigations in which Wittgenstein discusses the concept of noticing an aspect and its place among the concepts of experience, there are three passages which are explicitly concerned with the relations between seeing and interpreting in the experience of noticing an aspect.

A relative value of life dependent on age has been produced from a survey of 721 randomly selected individuals together with other observations of professional practice. The results are presented in diagrammatic form. If two identical people, except for age, present for medical treatment for a life-threatening condition and only one can be treated then the diagram indicates what the choice should be.

This multidisciplinary volume documents the resurrection of the importance of narrative to the study of individuals and groups and argues that narrative may become a lingua franca of future debates in the human sciences.

Romanticism is recognized as a wellspring of modern-day environmental thought and enthusiasm for nature-preservation, but the character of the affinities between the two is less well understood. Essentially, the Romantics realised that nature only becomes a matter for ethical concern, inspiration and love when the mind and sensibility of the human observer/agent are properly attuned and receptive to its meaning. That attunement involves several factors: a more appropriate scientific paradigm, a subtler appreciation of the impact that the setting of human (...) dwelling, especially landscape, may have on character; the discovery of 'life' and spontaneity as a motif in science and art; a deeper and more complex sense of time; and a feel for place drawn from the life-world rather than physics or economics. Romanticism invented a new language and set of descriptions to illuminate all of these things, one we neglect or forget at our peril. (shrink)

Environmental theorists, seeking the origin of Western exploitative attitudes toward nature, have directed their attacks against 'humanism'. This essay argues that such criticisms are misplaced. Humanism has much closer affinities to environmentalism than the latter' s advocates believe. As early as the Renaissance, and certainly by the late eighteenth century, humanists were developing historically-conscious, hermeneutically-grounded modes of understanding, rather than the abstract, mathematical models of nature often associated with them. In its twentieth-century versions humanism also shares much of the mistrust (...) of consumerism, instrumental reason, and 'worldlessness' that marks environmentalist literature. Nevertheless, humanism is indeed committed to the principle that human beings are and ought to be free, and opposes theoretical approaches that suppress freedom. Reconciling humanism and environmentalism thus involves two steps: resisting the former's tendency to treat nature and freedom as metaphysical polarities, and drawing environmental theory away from flirtation with deterministic, biologistic worldviews. The essay concludes by suggesting Aldo Leopold's A Sand County Almanac as the paradigm case of environmental thought with roots in humanist approaches. (shrink)

More than three decades after its advent in political science, rational choice theory has yet to add appreciably to the stock of knowledge about politics. In Pathologies of Rational Choice Theory we traced this failure to methodological defects rooted in the aspiration to come up with universal theories of politics. After responding to criticisms of our argument, we elaborate on our earlier recommendations about how to improve the quality of rational choice applications. Building on suggestions of contributors to this volume, (...) we lay out an empirically based research program designed to delineate the conditions under which rational choice explanations are likely to be useful. (shrink)

Scientia nova veröffentlicht Originalarbeiten bahnbrechender Forscher oder allgemeinverständliche Einführungen in schwierige Spezialgebiete, die für die Philosophie, Logik und Mathematik von ebenso großer Bedeutung sind, wie für die Natur- und Sozialwissenschaften. Scientia nova ist eine Bibliothek des modernen wissenschaftlichen Denkens, die dazu beiträgt, die Zersplitterung der Forschung in Spezialgebiete zu überwinden und einem neuen Denkstil zum Durchbruch zu verhelfen.

Recent developments in themethodology of economics have drawn uponpragmatist and realist philosophies of socialscience. These recent developments areoutlined. It is argued that a specific variantof realist philosophy known as critical realismcan provide the basis for a prescriptiveeconomic methodology that is not susceptible topragmatist criticisms.

The second volume in the Vancouver Studies in Cognitive Science series, this collection presents recent work in the fields of phonology, morphology, semantics, and neurolinguistics. Its overall theme is the relationship between the contents of grammatical formalisms and their real-time realizations in machine or biological systems. Individual essays address such topics as learnability, implementability, computational issues, parameter setting, and neurolinguistic issues. Contributors include Janet Dean Fodor, Richard T. Oehrle, Bob Carpenter, Edward P. Stabler, Elan Dresher, Arnold Zwicky, Mary-Louis Kean, and (...) Lewis P. Shapiro. (shrink)

This paper is about the similarity between the appreciation of a piece of art, such as a cherished music album, and the loving appreciation of a person whom one knows well. In philosophical discussion about the rationality of love, the Qualities View (QV) says that love can be justified by reference to the qualities of the beloved. I argue that the oft-rehearsed trading-up objection fails to undermine the QV. The problems typically identified by the objection arise from the idea that (...) love-worthy qualities could be coarse-grained, when in fact they must be fine-grained. The analogy with appreciation of aesthetic qualities helps to draw out this point. Once the fine-grained nature of love-worthy qualities is properly understood, it is clear that critics of the QV cannot rely on the trading-up objection to motivate its rejection. Moreover, the paper’s core argument helps to illuminate the persistently aesthetic nature of interpersonal affections. (shrink)

Some reasons are thought to depend on relations between people, such as that of a promiser to a promisee. It has sometimes been assumed that all reasons that are relational in this way are moral obligations. I argue, via a counter example, that there are non-obligatory relational reasons. If true, this has ramifications for relational theories of morality.

This new anthology of early modern philosophy enriches the possibilities for teaching this period by highlighting not only metaphysics and epistemology, but also new themes such as virtue, equality and difference, education, the passions, and love. It contains the works of forty-three philosophers, including traditionally taught figures such as Descartes, Spinoza, Leibniz, Locke, Berkeley, Hume, and Kant, as well as less familiar writers such as Lord Shaftesbury, Anton Amo, Julien Offray de La Mettrie, and Denis Diderot. It also highlights the (...) contributions of women philosophers, including Margaret Cavendish, Anne Conway, Gabrielle Suchon, Sor Juana Inéz de la Cruz, and Emilie Du Châtelet. (shrink)

Although death by neurologic criteria is legally recognized throughout the United States, state laws and clinical practice vary concerning three key issues: the medical standards used to determine death by neurologic criteria, management of family objections before determination of death by neurologic criteria, and management of religious objections to declaration of death by neurologic criteria. The American Academy of Neurology and other medical stakeholder organizations involved in the determination of death by neurologic criteria have undertaken concerted action to address variation (...) in clinical practice in order to ensure the integrity of brain death determination. To complement this effort, state policymakers must revise legislation on the use of neurologic criteria to declare death. We review the legal history and current laws regarding neurologic criteria to declare death and offer proposed revisions to the Uniform Determination of Death Act and the rationale for these recommendations. (shrink)

Praised for its unique combination of accessibility and comprehensiveness, Philosophy: The Quest for Truth provides an excellent selection of ninety-one classical and contemporary readings—on nineteen key problems in philosophy—carefully organized so that they present pro/con dialogues that allow students to compare and contrast the philosophers' positions. Each of the readings is accompanied by study questions, end-of-reading reflective questions, and an individual introduction featuring a biographical sketch of the philosopher. A tutorial on logic and argument, a time line, boldfaced key terms, (...) a detailed glossary, and an appendix on reading and writing philosophy papers further enhance the text's pedagogical value. In addition, each major section opens with a substantial introduction and ends with a short bibliography. NEW TO THIS EDITION * Ten new selections, two of which appear in a new section on same-sex marriage * A completely revised introduction to Part V: Freedom of the Will and Determinism * An updated Instructor's Manual and Test Bank on CD that includes sample syllabi, selection summaries, key terms with definitions, web links, and multiple-choice, true/false, and essay questions * An updated Companion Website at www.oup.com/us/pojman containing all of the material from the Instructor's CD along with student resources—essay questions, interactive quizzes, flashcards, and additional web links. (shrink)

Being able to ask others to do things, and thereby giving them reasons to do those things, is a prominent feature of our interpersonal lives. In this paper, I discuss the distinctive normative status of requests – what makes them different from commands and demands. I argue for a theory of this normative phenomenon which explains the sense in which the reasons presented in requests are a matter of discretion. This discretionary quality, I argue, is something that other theories cannot (...) accommodate, though it is a significant aspect of the relations that people stand in to one another, and the kinds of practical reasons that flow from those relations. (shrink)

Over the past several years, healthcare has been profoundly altered by the growth of managed care. Because managed care integrates the financing and delivery of healthcare services, it dramatically alters the roles and relationships among providers, payers, and patients. While analysis of this change has focused on whether and how managed care can control costs, an increasingly important concern among healthcare providers and recipients is the impact of managed care on the physicianpatient relationship, but little data have been collected and (...) analyzed. We designed a survey for distribution to Wisconsin physicians to analyze the prevalence and types of managed care arrangements in the state, and the impact of these arrangements on physicians and their relationships with patients. (shrink)

The hypothesis that play behavior is more prevalent in larger-brained animals has recently been challenged. It may be, for example, that only certain brain structures are related to play. Here, we analyze social play behavior with regards to the cerebellum: a structure strongly implicated in motor-development, and possibly also in cognitive skills. We present an evolutionary analysis of social play and the cerebellum, using a phylogenetic comparative method. Social play frequency and relative cerebellum size are positively correlated. Hence, there appears (...) to be a link between the evolutionary elaboration of social play and the cerebellum. (shrink)