Regenerative Medicine promises to develop treatments to regrow healthy tissues and cure the physical body. One of the emerging developments within this field is regenerative implants, such as jawbone or heart valve implants, that can be broken down by the body and are gradually replaced with living tissue. Yet challenges for embodiment are to be expected, given that the implants are designed to integrate deeply into the tissue of the living body, so that implant and body become one. In this (...) paper, we explore how regenerative implants may affect the embodied experience of implant recipients. To this end, we take a phenomenological approach. First, we explore what insights the existing phenomenological and empirical literature on embodiment offers regarding the experience of illness and of living with regular (non-regenerative) implants and organ transplants. Second, we apply these insights to better understand how future implant recipients might experience living with regenerative implants. Third, we conclude that concepts and considerations from the existing phenomenological literature do not sufficiently address what it might be like to live with an implantable technology that, over time, becomes one with the living body. We argue that the interwovenness and intimate relationship of people living with regenerative implants should be understood in terms of ‘entanglement’. Entanglement allows us to explore the complexities of human-technology relations, acknowledging the inseparability of humans and implantable technologies. Our theoretical foundations regarding the role of embodiment may be tested empirically once more people will be living with regenerative implants. (shrink)

L’affaire Weinstein et le mouvement #MeToo ont mis la question des violences sexuelles au premier plan. Depuis, le consentement renvoie naturellement au consentement sexuel et amoureux, envisagé comme un sésame de l’égalité entre femmes et hommes. Pourtant, il est bien difficile à définir, et soulève trois problèmes. Le problème juridique, bien connu de celles et ceux qui suivent l’actualité, peut être résumé ainsi: que faire pour que les cas de viol, d’agression et de harcèlement sexuels soient efficacement punis ? Le (...) deuxième problème est moral : comment penser des relations amoureuses et sexuelles qui ne soient pas fondées sur des normes sociales sexistes et inégalitaires ? Enfin, le problème politique : comment ne pas reconduire les injustices de genre qui se manifestent dans les rapports amoureux et sexuels ? La magistrale analyse du consentement que propose Manon Garcia revisite notre héritage philosophique, plongeant au cœur de la tradition libérale, mettant à nu ses impensés et ses limites. De John Locke aux théoriciennes féministes françaises et américaines, en passant par Michel Foucault et les débats sur la pratique du BDSM, c’est une nouvelle cartographie politique de nos vies privées que dessine cet essai novateur. Au terme de ce livre, il s’agira en somme, pour reprendre la formule de Gloria Steinem, d’« érotiser l’égalité » plutôt que la domination : en ce sens, le consentement sexuel, conçu comme conversation érotique, est sans doute l’avenir de l’amour et du sexe. (shrink)

Interaction in French as a Foreign Language: From the Concept Itself to Methodological Challenges. This paper proposes a theorisation of interaction anchored in the framework of sociodidactics, as a ‘linking concept’, and the different issues that arise from this position. This epistemological reflection focuses on interaction as a concept that allows to bring together several aspects of research. Thus, interaction as a concept allows us to weave links between different disciplinary traditions, between different theories and ways of analysing human interactions. (...) As an object and a tool, it makes it possible to link and considers the different participants in the research, their points of view, their imaginaries. This brings many challenges (relational, interpretive among others) to be met. (shrink)

English Title: From Oppression to Independence: the Philosophy of Love in The Second Sex -/- Beauvoir’s philosophy of love has been studied in a few papers but these papers focus mainly on a description of the forms of love that are analyzed in The Second Sex without questioning the role that Beauvoir’s philosophy of love plays in her general argument on women’s oppression. Although one could think that philosophy of love plays a minor role in The Second Sex, this paper (...) argues that for Beauvoir the transformation of heterosexual love may well be the main way to convert oppression in emancipation at the individual level. Beauvoir’s philosophy of love is this crucial to link her analysis of women’s oppression with her proposing paths towards emancipation. (shrink)

Cet article étudie les délimitations morphosyntaxiques des noms propres en s’inspirant de la sémantique de la syntaxe. Les propriétés typographiques, morphologiques et syntaxiques des noms propres sont mises en lien et se répondent parfois iconiquement afin de faire émerger une nouvelle description des noms propres en tant que nominaux – et non plus simples noms ou syntagmes nominaux. Les noms propres sont des unités de rang « nominal » qui cherchent à intégrer des formes potentiellement marginales au sein du domaine (...) nominal, par une double action 1) de préservation d’une altérité formelle et linguistique et 2) d’imitation du comportement morphosyntaxique du nom commun. L’analyse s’appuie principalement sur le corpus commun en anglais mais reste transposable en majeure partie aux exemples du corpus en français. (shrink)

Cette étude qualitative propose une modélisation multimodale des constructions subordonnées en conversation spontanée, à partir de leur action sur les cadres interprétatifs. Les subordonnées ont longtemps été décrites en linguistique comme des éléments dépendants qui complètent des éléments primaires. Cependant, la Grammaire Cognitive a remis en question ce point de vue en montrant que l'emboîtement syntaxique ne reflète souvent que le point de départ choisi par les locuteurs pour véhiculer leur message. Les subordonnées sont des pratiques interactionnelles qui offrent une (...) reconstruction interprétative du discours. Les différents types syntaxiques de subordonnées font référence à différents cadres interprétatifs dans l'expérience du locuteur. La sélection de ces différents cadres est exprimée par le nombre différent d'indices de frontière prosodiques et gestuels produits en co-occurrence avec chaque type syntaxique de subordonnée. (shrink)

Patronizing the Public is the first detailed and comprehensive examination of how American philanthropy has transformed culture, communication, and the humanities. Drawing on an impressive range of archival and secondary sources, the chapters in the volume shed light on philanthropic foundations have shaped numerous fields, including film, television, radio, journalism, drama, local history, museums, as well as art and the humanities in general.

La gestation pour autrui ( gpa ) est une des méthodes de procréation médicalement assistée qui pose aujourd’hui le plus question. En effet, sa légitimité est discutée tant elle bouscule toutes les représentations classiques de la famille et la parentalité. Afin de mieux comprendre ce phénomène, l’étude reprise dans cet article s’est penchée sur la motivation des mères porteuses à offrir leurs services à un couple souhaitant avoir un enfant en recourant à la gpa. Quatre femmes ont été rencontrées à (...) qui il a été proposé de raconter la manière dont elles ont vécu cette « expérience ». La méthodologie est qualitative et comprend un entretien semi-structuré complété par deux génogrammes. Seront présentés dans cet article les principaux résultats concernant la motivation de la mère porteuse. Deux aspects ont particulièrement retenu l’attention : leur haut niveau d’empathie et la présence d’une dette au fondement de la motivation des mères porteuses. (shrink)

La déshumanisation à l’œuvre dans le projet génocidaire et l’héritage d’un tel événement traumatique entraîne une catastrophe de la transmission et de la filiation. S’ensuit une impasse des processus d’identification et de différenciation sur plusieurs générations. Dans cette contribution, on interroge la nature des obstacles entravant le processus de deuil, de séparation et l’investissement de la vie après une catastrophe sociale. Il s’agit pour cela de rendre compte du travail de subjectivation nécessaire à l’appropriation de sa propre histoire et de (...) celle de sa propre famille de manière à pouvoir engager un processus de séparation/différenciation. À travers une étude de cas, l’article montre la pertinence d’une rencontre clinique « médiatisée » pour la compréhension et la perlaboration du vécu traumatique d’une famille survivante qui vit entre-soi. Nous discuterons, en particulier, l’apport de la photographie comme une première tentative de figuration des affects et de mise au travail des processus intermédiaires garants de leur symbolisation. (shrink)

D'après le philosophe Pierre Hadot, la vocation de la philosophie, à son origine, est celle d'une conversion, autrement dit d'une transformation radicale de nous-mêmes et de notre rapport au monde. L'exemple donné pour un tel changement intérieur est la pensée de Bergson, dont l'intuition fondamentale de la durée implique non seulement un élargissement métaphysique de la perception, mais suppose aussi une reconsidération éthique de notre engagement dans l'existence. Ce livre, né d'une épreuve personnelle, cherche à montrer comment cette conversion bergsonienne (...) du regard peut devenir une philosophie de vie qui nous ouvre à nous-mêmes et nous unit au-delà."--Page 4 of cover. (shrink)

Cet article se propose de montrer comment un crime de masse tel que le génocide entraîne des répercussions psychiques sur plusieurs générations, ce que l’on peut considérer comme une catastrophe de la filiation. Comment s’inscrire dans un lien de filiation pour écrire son propre roman des origines lorsque l’horreur vécue musèle à jamais la vie de la mémoire, de la parole et de la transmission? C’est à travers la médiation projective de la libre réalisation de l’arbre généalogique que l’article tentera (...) d’explorer ces questions par une étude de cas. Dans l’espace intermédiaire de la rencontre, tout en respectant les aménagements défensifs du sujet, le travail de perlaboration se rend possible. L’article montre comment la dimension médiatrice et projective du dispositif se met au service du travail d’historicisation et de remémoration de l’histoire familiale et collective chez un descendant d’un survivant de la Shoah. (shrink)

Le travail de Maria Goupil-Travert clôt, de façon sans doute définitive, le sujet des combattantes de la Révolution et de l’Empire. Les Républicaines sont privilégiées puisque la jeune chercheuse s’est principalement appuyée sur vingt-huit dossiers du service historique de la Défense, constitués par ces dernières pour appuyer leur demande de pension auprès du ministère de la Guerre. Certes, leur nombre est faible, mais Manon Pignot, pour sa part, n’a pu travailler de façon approfondie que sur...

A fenomenologia de Michel Henry e Jean-Luc Marion caracteriza-se por uma redefiniçāo da filosofia que nos introduz num universo de conceitos de interesse crescente para as ciências da saúde. A consignaçāo do ego ao corpo dotado de sentidos inverte a ordem lógica dos pnncípios da filosofia de Descartes - ciência; fundaçāo das ciências; metafísica; moral/moral; metafísica; fundaçāo da ciência; ciências - de tal modo que vemos substituídas, em Jean-Luc Marion, as Meditações Metafísicas pelas Meditaçōes Eróticas. É neste processo que Michel (...) Henry se torna, para Jean-Luc Marion, determinante: a declinaçāo do ego à fenomenologia do sentir abre-nos a um novo futuro fenomenològico. Nele a ética revela-se como a verdade da forma de vida daquele que vive num corpo dotado de sentidos. Michel Henry and Jean-Luc Manon's phenomenology has re-defined philosophy and has opened us to an universe of increasingly interest concepts of health sciences. The declination of the ego in a body endowed by senses has reversed the logical order of Descartes's philosophical principles - science, foundation of science, metaphysic, ethics/ethics, into metaphysic, foundation of science and sciences - in such a way that Jean-Luc Marion ended to replace the Metaphysics Meditations by the Erotic Meditations. It is why Michel Henry was so determinant to Jean-Luc Marion: the declination of the ego to the phenomenology of feelings is leading us to a new phenomenological future. In it, ethics reveals to be a real and true way of life of those who live in a body endowed by senses. (shrink)

Indem dieser Band sich auf das Verhältnis von Naturerkennen und Natursein konzentriert, thematisiert er einen wesentlichen Ausschnitt aus dem weiten Spektrum von Böhmes philosophischer Arbeit. Um die Naturthematik möglichst breit zu entfalten und für Querverbindungen offenzuhalten, ist der vorliegende Band in drei Abschnitte gegliedert. Im ersten Abschnitt stehen Charakter und Reichweite der wissenschaftlichen Erkenntnis von Natur im Mittelpunkt. Der zweite Teil des Bandes stellt alternative Perspektiven auf Natur vor. Im dritten Teil schließlich stehen der Mensch und sein Verhältnis zu sich (...) selbst im Mittelpunkt der Untersuchungen. Inhaltsverzeichnis Krohn, Wolfgang: Wissenschaftsentwicklung zwischen Dezentrierung und Dekonstruktion. Stehr, Nico: Von den Grenzen der Macht wissenschaftlicher Erkenntnis. Schäfer, Wolf: Zweifel am Ende des Baconschen Zeitalters. Kamper, Dietmar: Wissen ist Ohnmacht. Macht ist Unwissen. Gamm, der Technik. Janich, Peter: Zeit und Natur. Kimmerle, Heinz: »Es ist Zeit, daß es Zeit wird«. Wie kann Zeit Zeit werden? Schiemann, Gregor: Natur auf dem Rückzug. Zur Relevanz der aristotelischen Unterscheidung von Natur und Technik. Hauskeller, Michael: Ist Schönheit eine Atmosphäre?. Zur Bestimmung des landschaftlich Schönen. Schmitz, Hermann: Situationen und Atmosphären. Zur Ästhetik und Onthologie bei Gernot Böhme. Rehmann-Sutter, Christoph: Über Relationalität. Was ist das »Ökologische« in der Naturästhetik? Meyer-Abich, Klaus Michael: Erinnerung an die natürliche Mitwelt. Andreas-Griesebach, Manon: Idee plus Erfahrung. Goethes Begründung eines neuen Typs von Naturwissenschaft. Engelhardt, Dietrich von: Madame de Stael über Naturphilosophie, Naturwissenschaft und Medizin in De l'Allemagne. Deneke, Michael: Schramm, Engelbert: »Soziale Naturwissenschaft«. Zwischen Sozialwissenschaften und Naturwissenschaften. Böhme, Hartmut: Enthüllen und Verhüllen des Körpers. Biblische, mythische und künstlerische Deutungen des Nackten. Lippe, Rudolf zur: Eine Logik des gestischen Wissens. Müller, Rudolf Wolfgang: Gernot Böhme - Anima naturaliter japonica. Hoffmann, Gisbert: Das menschliche Sein als mediales. Martens, Ekkehard: »Natürlich« denken?. Heideggers Pseudosokratismus als Irrationalismus. Fleischer, Helmut: Naturalität ohne Naturalismus. Zum lebensweltlichen Fundus jeder höheren Erkenntnis-Artistik. Gerhard: Technik als Medium. Grundlinien einer Philosophie. (shrink)

Cette etude est une lecture, une interpretation feministe de trois romans des Lumieres - Les Illustres Francaises de Challe (la sixieme histoire) (1713), L'Histoire du chevalier des Grieux et de Manon Lescaut de Prevost (1731), et Le Diable amoureux de Cazotte (1772) - notamment du theme de la vertu feminine et de ses transgressions, sur le plan sexuel, a une epoque de transformation profonde dans le domaine de l'ethique et des moeurs. Pris au piege entre la tradition et les (...) nouvelles valeurs de la Philosophie, les trois auteurs - dans des recits narres a la premiere personne par des protagonistes masculins - presentent la femme obliquement. Leur approche frappe la lectrice par son essentielle ambiguite. Tout d'abord consideree comme coupable - accusee d'adultere et de perfidie, ou de seduction diabolique - la femme apparait progressivement innocente, et meme sainte, sur l'archetype de Marie-Madeleine, ou tout simplement chimerique, produit de l'imaginaire masculin. Son existence marginale, evoquee par le biais du souvenir, est symptomatique d'une absence effective en tant que sujet autonome.Simple objet, spectrale, a la fois exclue, en fin de compte, du bien et du mal, elle apparait dans l'incertitude, en quete d'une identite, d'un nouveau role et d'une place dans un monde en voie de transformation. (shrink)

Bernat argues for a unified brain-based determination of death (UBDD), noting that it “conceptually justifies” death determination both in Donation after Circulatory Determination of Death (DCDD) a...

It remains unclear what patient advocacy actually entails and what values it ought to embody. It will be useful to ascertain whether advocacy means supporting any decision the patient makes, or if the advocate can claim to represent the patient by asserting well-intentioned paternalistic claims on the patient's behalf. This is especially significant because the position of advocate brings with it certain privileges on the basis of of presumed insight into patient-perceived interests, namely, entitlement to take part in clinical decision (...) making and increased professional standing. Three issues related to patient advocacy will be explored: are patient advocates necessary; what does advocacy entail, and who ought to represent patients in this way—arguments for and against prospective candidates will also be covered. The paper considers whether advocates are necessary since not only can they be dangerously paternalistic, but the salutary values advocacy embodies are already part of good professional health care. (shrink)

Concussion is a common, serious injury in youth ice hockey, affecting up to 25% of players per season by one estimate. • Bodychecking is a major cause of injury and concussion in hockey, yet some Canadian provinces allow players as young as nine years to engage in bodychecking. • Reducing rates of concussion requires eliminating bodychecking for all except elite hockey players aged 16 years and older, as per the recommendations of the Canadian Academy of Sports and Exercise Medicine.

Prominent thinkers such as Jurgen Habermas and Michael Sandel are warning that biomedical enhancements will undermine fundamental political values. Yet whether biomedical enhancements will undermine such values depends on how biomedical enhancements will function, how they will be administered and to whom. Since only few enhancements are obtainable, it is difficult to tell whether these predictions are sound. Nevertheless, such warnings are extremely valuable. As a society we must, at the very least, be aware of developments that could have harmful (...) consequences. Indeed, if important values were to be jeopardized, we should take appropriate measures to protect them. This paper focuses on four central values: solidarity, personal responsibility, equality and autonomy. It delineates the conditions under which biomedical enhancements would undermine these values. It also details the circumstances under which these values would be unaffected by enhancements as well as those under which they would be promoted. Specifying these conditions is valuable; it would enable society to prepare appropriate ethical guidelines and policy responses in advance. (shrink)

South Africa has the highest rate of foetal alcohol syndrome (FAS) in the world. The problem of alcohol abuse in pregnancy has very deep historical roots that are intertwined with the injustices of both apartheid and pre-apartheid colonialism. Much of the research that is being done in these communities is focused on identifying the epidemiological variables associated with these patterns of alcohol abuse. The underlying reasons as to why these patterns continue seem to remain largely obscured from view. In this (...) article, I apply the theory proposed by Powers and Faden of social justice as a ‘moral foundation for public health and health policy’ to the problem of FAS in South Africa. The objective of this application is two-fold: first, to critically explore the additional insights and alternative perspectives to the problem of FAS that this approach may provide and second, to assess the utility of the theory when applied directly to a specific public health problem. I conclude by noting that although this approach could result in the kind of ‘public health scope creep’ that has been criticized by various authors, it does provide fresh insights to the problem of FAS in South Africa. (shrink)

Recalcitrant disputes among health care providers and patients or their families may signal deep cultural differences about what interventions are needed or about clinicians’s professional duties. These issues arose in relation to a mother’s request for hymenoplasty or revirgination for her minor daughter to enable an overseas, forced marriage and protect her from an honor killing. The American College of Obstetrics and Gynecology committee recommends against members performing a hymenoplasty or other female genital cosmetic surgeries due to a lack of (...) data concerning their safety and efficacy. A key issue in such cases is how to determine what is in the minor’s best interest and the scope of health care moral or professional’s duties. The Best Interests Standard can serve as a powerful moral tool for resolving cross-cultural disputes and identifying needed policy. (shrink)

What role do women play in the perpetuation of patriarchy? On the one hand, popular media urges women to be independent, outspoken, and career-minded. Yet, this same media glorifies a specific, sometimes voluntary, female submissiveness as a source of satisfaction. In philosophy, even less has been said on why women submit to men and the discussion has been equally contradictory—submission has traditionally been considered a vice or pathology, but female submission has been valorized as innate to women’s nature. Is there (...) a way to explore female submission in all of its complexity—not denying its appeal in certain instances, and not buying into an antifeminist, sexist, or misogynistic perspective? -/- We Are Not Born Submissive offers the first in-depth philosophical exploration of female submission, focusing on the thinking of Simone de Beauvoir, and more recent work in feminist philosophy, epistemology, and political theory. Manon Garcia argues that to comprehend female submission, we must invert how we examine power and see it from the woman’s point of view. Historically, philosophers, psychoanalysts, and even some radical feminists have conflated femininity and submission. Garcia demonstrates that only through the lens of women’s lived experiences—their economic, social, and political situations—and how women adapt their preferences to maintain their own well-being, can we understand the ways in which gender hierarchies in society shape women’s experiences. Ultimately, she asserts that women do not actively choose submission. Rather, they consent to—and sometimes take pleasure in—what is prescribed to them through social norms within a patriarchy. -/- Moving beyond the simplistic binary of natural destiny or moral vice, We Are Not Born Submissive takes a sophisticated look at how female submissiveness can be explained. (shrink)

À plusieurs reprises, Heidegger a présenté sa pensée comme inachevée et seulement préparatoire. Comme le signale l'exergue même de la Gesamtausgabe - "Des chemins, pas des oeuvres", il s'agit d'un cheminement et non pas d'une oeuvre aboutie. Or, Heidegger nous invite, semble-t-il, bel et bien par là, à essayer de prolonger sa démarche et finalement à tenter de le comprendre mieux qu'il ne s'est compris lui-même. Ce bref essai, qui s'efforce de mettre en relation sa pensée, non seulement avec celle (...) de Kant, mais aussi avec celles de Bataille et de Lacan, afin que les unes soient éclairées par les autres, tente d'accomplir, précisément, cette démarche périlleuse qui consiste à essayer de comprendre la philosophie heideggérienne en dépassant sa lettre et en montrant qu'on peut ainsi parfois la "traduire" dans un autre langage que le sien (ce qui permettrait d'en finir avec le "jargon heideggérien"). Ainsi éclairée par cette intersection entre sa propre démarche et celles des trois auteurs convoqués dans cet essai, la pensée heideggérienne permettra alors de comprendre, de manière renouvelée et novatrice, le sens ontologique secret de l'existence humaine en tant qu'elle a affaire avec ce que Lacan a nommé la jouissance comme ouverture à la "Chose". Par là, on le verra, la signification de notre histoire occidentale, qui débouche sur le règne de la technique planétaire, apparaîtra sous un jour tout à fait nouveau."--Page 4 of cover. (shrink)

Some of the problems associated with the construction of a manifestly covariant relativistic quantum theory are discussed. A resolution of this problem is given in terms of the off mass shell classical and quantum mechanics of Stueckelberg, Horwitz and Piron. This theory contains many questions of interpretation, reaching deeply into the notions of time, localizability and causality. A proper generalization of the Maxwell theory of electromagnetic interaction, required for the well-posed formulation of dynamical problems of systems with electromagnetic interaction is (...) discussed, and some of the significance of recently found (classical) relativistic chaotic behavior is pointed out. Many results of a technical nature have been achieved in this framework; in this paper, some of these are reviewed, but I shall concentrate on a discussion of the basic ideas and foundations of the theory. (shrink)

A linguistic barrier between healthcare professional and patient is a challenging experience for both parties. In many cases, the absence of formally trained medical interpreters necessitates that an informal interpreter, drawn from the immediate environment, be used to facilitate communication. While the presence of an interpreter in a medical interview raises many questions about the effectiveness of the communication between healthcare professional and patient, it also gives rise to new speculations revolving on patient rights, medical ethics and patient privacy. In (...) this article we examine the concept of communication competency in medical interviews, as well as translation theory, and link these theories to Western medical ethics in order to identify potential areas in which informal interpretation could impact on the patient. (shrink)

After discussing the interests that ground the right to democratic political participation, arguments for the disenfranchisement of those who commit serious criminal offenses are examined. The arguments are divided into two groups. The first group consists of arguments that are relatively independent of the justifying aims of punishment. It is conceded that two of these arguments establish that some, though by no means all, serious offenders should lose the vote for a period of time that does not necessarily overlap with (...) the duration of the other sanctions visited upon them. These arguments also imply that the state is justified in attempting to exclude the offenders in question from all forms of political participation, a position that arguably runs afoul of moral limits on punishment. The second group of arguments makes explicit reference to the justifying aims of punishment. None supports the blanket disenfranchisement of felons, though some may justify it in relation to some serious offenders for certain periods of time. All of the arguments supporting the disenfranchisement of serious offenders are most persuasive on the assumption that they live in reasonably just societies that are genuinely democratic. If that assumption is false or questionable, then it is argued that the force of such arguments may be weakened considerably. (shrink)

Study of the social determinants of consciousness is one of the more timely problems of contemporary philosophy. It requires a complex study of various factors determining the social nature of human consciousness and the cultural-historical mediation of humankind's reflection of the world. Esthetics, which studies the phenomenon of esthetic consciousness, has a place among these scientific disciplines.

The 2005 Report on Social Responsibility and Health of the UNESCO International Bioethics Committee (Ibc) proposes a new approach to implementing the right to healthcare and suggests a number of Courses of Action to be followed in various fields. Based on the latest available data, we intend to present an overview of the current state of European health systems in two of those fields—decision-making procedures and quality assurance in health care—and to attempt a comparison of the situation with the Report’s (...) provisions, in order to pave the way for the identification of what still has to be done to bridge international recommendations and the reality of policy and practice in Europe’s health care. (shrink)

In an era of rapidly rising health care costs, physicians and policymakers are searching for new and effective ways to contain health care spending without sacrificing the quality of services provided. These proposals are increasingly articulated in terms of an ethical duty of stewardship. The duty of stewardship in medicine, however, is not at present well understood, and it is frequently conflated with other duties. This article presents a critical analysis of the notion of stewardship, which shows that it has (...) an important and distinctive place in medical ethics. It claims that stewardship in medicine concerns the responsible use of a society’s medical resources and it discusses the extent to which medical professionals are the proper stewards of these resources. The article argues that the duty of stewardship is best understood as a duty that applies in a space between the obligations of health care providers to provide beneficent care to their patients on the one hand and the obligations of citizens to bring about and support a just health care system on the other. Seen with clear eyes, stewardship in medicine is neither a consequence of beneficent medical care nor a substitute for justice. (shrink)