This paper attempts to analyze the performance of 57 memberstates of the Organization of Islamic Cooperation based on selectedindicators of some sectors namely demography, economics, educationand technology and innovation. Specifically, it aims at firstly portraying anoverview of OIC performance based on six selected indicators followed byanalyzing the relationship between selected development variables withliteracy and exploring the state of OIC performance as indicated by theirachievement based on selected indicators. The study was undertaken vis-àvisthe prevailing theories on modernization and development as well (...) as thewidely asserted underdevelopment of the contemporary Muslim ummah asclaimed by numerous contemporary Muslim scholars. The data were solicitedamong others from the World Bank Database, Statistical, Economic, and SocialResearch and Training, Centre of Islamic Countries of OIC andsome previous studies. They were then analyzed using SPSS with the resultsbeing generated mainly through the use of descriptive statistics. Among others,the study found that there is a positive correlation between Muslim countries’urban population growth and literacy rate, there is a steady decline in thenumber of OIC countries as they are categorized from lower to higher incomecategory placement and the percentage of the scientific publications of all 57OIC countries is far below that of any one single developed nation. (shrink)

This paper is about human rights and policing in Bangladesh, with special focus on the role of National Human Rights Commission. The protection and promotion of human rights in Bangladesh has become difficult as the law enforcement agencies, particularly the police and the Rapid Action Battalion, are involved in human rights violations. An overall culture of impunity for human rights violations exists in Bangladesh. The National Human Rights Commission appears to have failed to break the culture of impunity in Bangladeshi (...) politics. This paper explains the reasons why the National Human Rights Commission in Bangladesh largely fails to make the political system in particular law enforcement agencies accountable. (shrink)

This paper aims to introduce a robust framework for forecasting demand, including data preprocessing, data transformation and standardization, feature selection, cross-validation, and regression ensemble framework. Bagging ), boosting and extreme gradient boosting regression ), and stacking are employed as ensemble models. Different machine learning approaches, including support vector regression, extreme learning machine, and multilayer perceptron neural network, are adopted as reference models. In order to maximize the determination coefficient value and reduce the root mean square error, hyperparameters are set using (...) the grid search method. Using a steel industry dataset, all tests are carried out under identical experimental conditions. In this context, STACK1 and STACK2 models provided better performance than other models. The highest accuracies of R2 of 0.97 and 0.97 are obtained using STACK1 and STACK2, respectively. Moreover, the rank according to performances is STACK1, STACK2, XGBR, GBR, RFR, MLP, ELM, and SVR. As it improves the performance of models and reduces the risk of decision-making, the ensemble method can be used to forecast the demand in a steel industry one month ahead. (shrink)

Taking the idea of waste as an in-use phenomenon, we developed amatrix to explain four categories of waste which result from users’ failure touse a resource properly. These categories were illustrated by examples built onpractical food waste measurements, surveys, theses formatting requirementsand newspaper reports. We have categorized different facets of waste from abusiness perspective; thus, contributed to have improved waste managementpractices. We also showed that parsimony was also a wasteful behaviour.Parsimony was shown to be a waste by its effects on (...) others’ need of fulfilmentand other-worldly consequences for the miser. (shrink)

AimThe aim of this study was to determine the presence of depressive symptoms and understand the potential factors associated with these symptoms among physicians in Bangladesh during the COVID-19 pandemic.MethodsA cross-sectional study using an online survey was conducted in between April 21 and May 10, 2020, among physicians living in Bangladesh. Participants completed a series of demographic questions, COVID-19-related questions, and the Patient Health Questionnaire-9. Descriptive statistics, test statistics were performed to explore the association between physicians’ experience of depression symptoms (...) and other study variables. Stepwise binary logistic regression was followed while conducting the multivariable analysis.ResultA total of 390 physicians completed the survey. Of them, 283 were found to be experiencing depressive symptoms. Predictors which were significantly associated with depressive symptoms were gender, the presence of sleep disturbance, being highly exposed to media coverage about the pandemic, and fear around COVID-19 infection, being assaulted/humiliated by regulatory forces and by the general public, while traveling to and from the hospital and treating patients during the countrywide lockdown.ConclusionThe findings of this study demonstrate that there is a high prevalence of depressive symptom among physicians especially among female physicians in Bangladesh during the COVID-19 pandemic. Immediate, adequate and effective interventions addressing gender specific needs are required amid this ongoing crisis and beyond. (shrink)

Concerning the ubiquity of social media, this research tried to examine the impacts of using Telegram on Iranian EFL learners’ foreign language motivation, foreign language anxiety, and attitude toward learning. To achieve these purposes, 60 Iranian EFL learners at the intermediate level were selected and randomly divided into two groups: experimental and control. After that, both groups were pretested on motivation and anxiety variables. After pretesting, the participants in the experimental class received treatmentviausing the Telegram application, and the control students (...) were trained traditionally without using any social media. After an 18-session instruction, a post-test of motivation and a post-test of anxiety were given to both groups, and also an attitude questionnaire was distributed among the experimental group to inspect their attitudes toward the Telegram application in language learning. The results of using two one-way ANCOVA tests showed significant differences between the post-tests of the control and experimental groups in favor of the experimental group. The findings demonstrated that using the Telegram application increased the motivation of the experimental group and decreased their level of foreign language anxiety. Also, the results of one sample t-test showed that the participants of the experimental group held positive attitudes toward using the Telegram application in English language learning. The implications of this research can encourage both teachers and learners to use social media-based instruments in English teaching and learning. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Ethics & the Enviornment 6.2 (2001) 114-118 [Access article in PDF] Book Review Child versus Childmaker: Future Persons and Present Duties in Ethics and the Law Child versus Childmaker: Future Persons and Present Duties in Ethics and the Law. Melinda A. Roberts. Lanham, Md.: Rowman & Littlefield, 1998. Pp. 235. ISBN 0-8476-8901-8 (Paperback) This book will provide the reader with a systematic examination of some of the most difficult (...) philosophical issues involved in procreation, and most notably those raised by wrongful life claims and the non-identity problem. Can an action without which a given child would not even exist be simultaneously said to harm this very child? This is the key question addressed in this book. It is relevant not only to bioethicists, but also to those concerned with the possibility of harming members of future generations in general. The author proceeds with remarkable clarity in three steps. First, she unveils the core intuition and unfolds the key implications of what is standardly referred to as the person-affecting view. Second, she focuses on the now famous non-identity problem that is supposed to raise a serious challenge to the plausibility of the person-affecting view. Third, wrongful life and human cloning are taken as illustrations of the problem.The starting point is thus the person-affecting or personalist view. The author argues that what is at stake in such a view is not only a concern for [End Page 114] persons (as opposed to plants or stones), but also for definite persons. The core intuition that "what is bad must be bad for someone" (Derek Parfit) implies a comparison between two states of the same person. As she puts it, "the pairwise comparisons of worlds appealed to within personalism are always in respect of particular people" (6). This does not necessarily imply consequentialism, contrary to what Roberts claims (e.g., 1), at least if we understand the latter, for example, as Philip Pettit does. 1 Moreover, one may very well argue that what is at the heart of the person-affecting intuition is a sense that an action needs to be assessed on the basis of its effect on persons, which would not necessarily imply that such effects require a comparison between two states of the same person. Nevertheless, the extent to which a person-affecting conception--as defined by Roberts--will be in trouble depends on the extent to which comparisons between the same person's states cannot operate. This is precisely where to introduce the idea of a non-identity context, that is, a situation in which not committing an allegedly harmful act would or could also have meant the nonexistence of the allegedly harmed person. For example, had a medical doctor not committed this preconceptional diagnostic mistake (or a father taken a slower or faster means of transportation to come back home), this child would or could not have existed. Can we thus say that the practitioner harmed the child who turned out to be heavily handicapped due, for example, to a genetically transmissible disease (or that the father harmed his child by leaving him with a very polluted environment due to his use of big cars as a means of transportation)?One key feature of Roberts's approach is that she restricts the scope of the non-identity problem to cases where not committing the allegedly harmful action would have made it impossible for this child to have existed ("two-alternative" cases) (26, 319, 325). This entails that whenever this very child could still have come to existence in the allegedly harmful action's absence, whatever the likelihood of such a coming to existence, we would fall outside a non-identity context ("three-alternative" cases) (27; 94-95). What matters to Roberts is whether or not the same child could have been born better than he is, not whether he would, as a matter of fact, have been born at all. The consequence is that in cases where the same child could have been born, say, unhandicapped, the author remains... (shrink)

Are you a Reluctant Metaphysician? A career change, an upsetting external event, a serious illness, a painful breakup, or an unravelling culture can all be invitations to enter a deeper world behind the world. You may not have chosen to go there, but you evolve thereby. This book weaves together stories and reflections to introduce teachings and practices from ancient wisdom traditions that illuminate our unique life path.The Path of a Reluctant Metaphysician speaks to the importance of a holistic spiritual (...) philosophy in our current times of the "great unraveling" of our political, economic, cultural, and ecological world. Here you will find an approach to finding your life stance in such troubled times. The metaphysical path is an "all vector approach" that incorporates both "spiritual" and "soulful" pathways, traditions of postural initiation such as Tai Chi, mythology, depth psychology, bodymind healing methods, a non-deterministic approach to astrology, and a multi-dimensional approach to the political sphereDr. Mayer transmits stories, teachings, and practices from his multifaceted career that are so captivating, they may lead you to reluctantly take time out of your busy everyday life. Be forewarned if you read this book you too may become a Reluctant Metaphysician! Kirkus Reviews says: "A meaningful contribution to the spiritual self-help library...A psychologist blends spiritual paths from the East, West, and beyond for an innovative approach to healing...an expansive tale told with humility and insight." Larry Dossey, MD says, Dr. Mayer's revelations in various metaphysical domains are a guide for anyone who desires a richer and more fulfilling experience of life. If you think life must contain more juice than you have known so far, this book is for you. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Feminist Studies 41, no. 3. © 2015 by Kathryn Kein 671 Kathryn Kein Recovering Our Sense of Humor: New Directions in Feminist Humor Studies At the 2014 annual meeting of the American Studies Association (ASA), the Humor Studies Caucus held a panel titled “Female Comedians and the Critical Power of Laughter.” After listening to presentations on Gilda Radner, Lily Tomlin, and Black women comedians’ 1960s comedy albums, one audience (...) member asked the panel if the classic theories of humor—Freud’s theory of the joke, Bergson’s thoughts on laughter (all conceived of in relation to the work of men)—applied when analyzing female comedic performers. One panelist immediately responded that she found none of those theories useful to her work on female comedians, and that instead she used queer theory to aid her analysis. This exchange at ASA points to many of the questions that scholars of humor and feminism are currently facing as they work to address a dearth of scholarship dealing with women, feminism, and comedy. The nods in agreement around the room spoke to the notion that scholarship on the topic of women in comedy is not merely filling in gaps, but breaking new ground. With a few notable exceptions, scholars have been relatively silent on topics involving women and/in comedy.1 The meager 1. See Susanne Lavin, Women and Comedy in Solo Performance: Phyllis Diller, Lily Tomlin, and Roseanne (New York: Routledge, 2004); June Sochen, ed., Women’s Comic Visions (Detroit, MI: Wayne State University Press, 1991); John Limon, “Skirting, Kidding: Ellen Degeneres and Paula Poundstone,” in 672 Kathryn Kein scholarly space devoted to feminism and humor is likely shaped by the fraught relationship women and feminism have had with humor in our cultural imagination. Women have long battled a perception that they, as a sex, are biologically not funny. Men have always vastly outnumbered women on stand-up stages and in comedy writers’ rooms. Former Saturday Night Live writer Anne Beatts recalled that star John Belushi, being of the “chicks-aren’t-funny” school, often requested that the women writers be fired.2 In her bestselling Bossypants, Tina Fey recalls that the gender imbalance of the sketch comedy teams at Chicago’s Second City were due to the fact that directors believed “the audience doesn’t want to see a scene between two women.”3 In his 2007 piece in Vanity Fair brashly titled “Why Women Aren’t Funny,” Christopher Hitchens went so far as to call women and humor “antithetical.”4 In particular, feminist women have been painted as humorless and unable to take a joke. In The Promise of Happiness, Sarah Ahmed, defining her figure of the feminist killjoy, observes that “feminists are typically represented as grumpy his Stand-Up Comedy in Theory, or, Abjection in America (Durham, NC: Duke University Press, 2000). 2. For further accounts of women comedy writers’ and performers’ experiences, see Yael Kohen, We Killed: The Rise of Women in American Comedy: A Very Oral History (New York: Sarah Crichton Books, 2012). 3. Tina Fey, Bossypants (New York: Little, Brown, and Company, 2011), 87. 4. Christopher Hitchens, “Why Women Aren’t Funny,” Vanity Fair 557 (2007): 54 Books Discussed in This Essay All Joking Aside: American Humor and Its Discontents. By Rebecca Krefting. Baltimore, MD: Johns Hopkins University Press, 2014. Pretty/Funny: Women Comedians and Body Politics. By Linda Mizejewski. Austin: University of Texas Press, 2014. The Queer Cultural Work of Lily Tomlin and Jane Wagner. By Jennifer Reed. New York: Palgrave Macmillan, 2013. Kathryn Kein 673 and humorless.”5 In a variation of the age-old joke, when a jokester asks, “How many feminists does it take to change a light bulb?” the respondent doesn’t say “How many?” but instead deadpans, “That’s not funny.” In different ways, the three books reviewed in this essay take up the conversation at ASA and tackle these same questions: How do we analyze humor produced by (and for?) women when our understanding of humor is decidedly male? What omissions have the gendered assumptions about humor caused in scholarship on feminism? How does humor work to address these assumptions? And how does the backdrop of these assumptions influence the comedy... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Mental Disorder and Religious ExperienceThe Need for a Humble, Pragmatic PluralismWarren Kinghorn, MD (bio)Mohammed Abouelleil Rashed follows Charles Taylor’s argument that in the “therapeutic turn” of modernity, “certain human struggles, questions, issues, difficulties, problems are moved from a moral/spiritual to a therapeutic register,... from a hermeneutic of sin, evil or spiritual misdirection, to one of sickness” (Taylor, 2007, pp. 619–620). While the project of construing mental disorder in naturalistic, (...) non-religious terms carries the risk of subsuming “the rest of life” into the realm of the medical, it is nonetheless needed in order “to protect a region of illness and incapacity from the reach and excesses of the hermeneutic disciplines with their tendency to over-interpretation, and from cultural traditions, including religious discourse, that can implicate the person in narratives of evil, sin, faithlessness, spiritual misdirection, and moral deviance.” Rashed notes, however, that this medical narrative is challenged not only by religious communities but also by various forms of identity-based activism including the Mad Pride and Neurodiversity movements. He argues that strict illness/purpose, deficit/value, mechanism/meaning dichotomies have become “unstable” and encourages scholars to focus their attention on resolving the apparently contradictory realities that people sometimes demand and require medical forms of care while investing significance in the sociocultural and existential context of their distress and refusing reductionistic constructions of their distress as illness.I agree wholeheartedly with Rashed’s conclusion that clinicians and scholars must move beyond a strict mechanism/meaning dichotomy with respect to unwanted and/or disvalued experience and behavior, and must remain open to the social and contextual interpretations that particular cultural communities—including religious communities—offer. But as a psychiatrist who is also [End Page 215] a Christian theological ethicist, I suggest that this sensible conclusion can be reached more straightforwardly by adopting a more flexible approach to “religious experience” and by abandoning the assumptions that mental disorder is “a fully areligious type of suffering” and that religious experience and mental disorder are “fundamentally separate apprehensions of our experience.”Although Rashed never defines religious experience, he posits a distinction between “psychological distress or anomalous experience that has a religious origin, content, or end (purpose)” and “psychological distress or anomalous experience that has no religious origin, content, or end (purpose).” He then helpfully describes how Islamic tradition narrates psychological suffering as deviation from fitrah and as God’s trial, arguing that in Islamic perspective “mental disorder cannot be disentangled from the person’s religious situation and from the religious origin, content, or end (purpose) of his distress.” I make no claim about Rashed’s interpretation of Islam, but would observe that many voices within Christian tradition resist both the equation of psychological suffering with wrongdoing and the assertion that God is the direct cause of psychological suffering (see, for example, John Paul II, 1984). Suffering may instead have to do with being sinned against (as in the case of war, assault, or oppression), or the experience of living in a fallen world that God will one day make right. When the psalmist cries, “Save me, O God, for the waters have come up to my neck” (Psalm 69:1, NRSVue), many Christians observe that it is the psalmist’s enemies, not God, who are the proximate cause of the psalmist’s distress. That is to say, Christian tradition allows for a broad range of interpretations about the cause of distress, including distress resulting from injury, physical illness, and oppression. Christians are encouraged to regard all of their lives as in some way related to God as the creator, sustainer, and orienting end of life—and so in that sense all experience is “religious” in nature. But at least for Christians this does not preclude more naturalistic or sociological interpretations of distress and suffering.Rashed is right that a “fully areligious type of suffering” with “no religious origin, content, or end (purpose)” can only be invoked from a secular standpoint—if “secularity” is taken in Charles Taylor’s first sense of “public spaces... [that] have been allegedly emptied of God, or of any reference to ultimate reality” (Taylor, 2007, p. 2). This is not because... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Limits of Self-ConstitutionJames Phillips, MD (bio)I am in general agreement with the authors that a psychoanalytic or psychodynamic approach is a good response to simple pruning procedures. That said, however, I do have questions about how they develop their argument.I was surprised at the very notion of pruning, and quite surprised that it is as popular as the authors suggest. The idea that Pete should deal with his (...) inappropriate outbursts by erasing or pruning that aspect of his personality seems so ridiculous that it beggars belief. It leaves one wondering whether Pete, or anyone agreeing with this argument, is credulous enough to think you can just prune away an undesirable part of yourself.The authors write:Importantly, this expulsion is often thought to be a good thing not simply because the undesirable elements are morally wanting but because in some important sense, they are not really a part of the agent proper. This point many seem extravagantly wishful, but is intuitively plausible.Really, “intuitively plausible” that personality traits are not part of the agent? I can understand that the agent may not grasp his or her involvement in the undesirable trait, but to argue that the trait is in reality not part of agent is a very odd claim on the part of the authors.When the authors write that “It would be difficult to exaggerate the prominence of the pruning view of agential self-constitution in philosophy,” they are strongly connecting the notions of pruning and self-constitution. I am aware that self-constitution is a major theme for philosophers like Korsgaard. The authors strongly embrace this principle in drawing out their arguments.In a footnote to their article the authors claim that various notions of a “true self” imply a pruned self. For Winnicott, an originator of the “true self,” this note of pruning does not hold. Winnicott contrasts the true self, a sense of self based on spontaneous authentic experience and a feeling of being alive, with a false self, a defensive veneer without the vivacity of the true self. The notion of pruning simply does not belong in this discussion.What the authors and their supporting philosophers leave out are two limitations to self-constitution. For the first, let me invoke another philosopher, Martin Heidegger, and his notion of “thrownness”—Geworfenheit. We are “thrown” into the world in the particular circumstances of our birth. We do not self-constitute our beginnings; we are plunged into them. The question then becomes what we make of these beginnings. [End Page 209] If they are undesirable, we can brood over them, or we can attempt to overcome them. And as we all know, if the beginnings are bad enough, we may not be able to overcome them.The second limitation to self-constitution resides in the “self.” Does the individual constitute him or her self, or is it more a matter of the self developing out of dialogic relationship of self and other? Here I invoke another philosopher, Paul Ricoeur, who has addressed this issue from a number of perspectives. At a deictic level, the “I” or the self is a shifter that takes on a different meaning depending on its context. At the level of pragmatics, the individual is engaged in illocutionary speech that is addressed to another person, implying, in simple terms, that we live in dialogue. Still more pertinent to this discussion, Ricoeur notes that self-knowledge is not straightforward: “the self does not immediately know itself, but only knows itself indirectly by way of the detour through the cultural signs of all sorts that make us say that action is symbolically mediated” (Ricoeur, 2016, p. 240). And finally, Ricoeur argues for the priority of alterity over reflexivity. “Pushing further yet the primacy of alterity over reflexivity, some will emphasize the dependence of personal identities on identifications with... heroes, emblematic characters, models and teachers” (p. 248). To clarify this statement, Ricoeur is contrasting self-constitution through reflection with a self-other relationship in which the self needs the other to constitute itself—and, of course, he is making a case for the latter.Although I am questioning the authors’ concepts of... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Schopenhauer and the Nature of Philosophy by Jonathan HeadJudith NormanJonathan Head. Schopenhauer and the Nature of Philosophy. Lanham, MD: Lexington Books, 2021. Pp. xviii + 183. Hardback, $95.00.It is a bit strange to read an overview of Schopenhauer's philosophy that does not center on the obvious and attention-grabbing idea of will, but Jonathan Head has brought a fresh and welcome perspective to the topic by focusing instead on (...) Schopenhauer's notion of philosophy itself. This perspective enables Head to paint a more sympathetic picture of Schopenhauer than is often the case—more coherent in his systematic pretensions, more consistent in his philosophical project over the long course of his writings, and (perhaps most surprisingly) more solicitous for the welfare of his readers.Head's thesis is that Schopenhauer analyzed ('diagnosed' might be a better word) the human need for metaphysics and constructed his own philosophy carefully to address this need. "The need for metaphysics," Head explains, "is a natural desire that all human beings have for explanation and consolation, in the face of the recognition of pessimistic truths regarding the world we live in" (xiv), specifically recognition of the "wrongness of the world" (51) and "the illusory nature of the principle of individuation" (70). Several quite specific metaphilosophical insights and methods arise from this seemingly straightforward statement. [End Page 528] For one thing, Head points out that explanation and consolation are rather different goals for philosophy, uniting theoretical and practical concerns in a way that might not be expected from a self-declared Kantian. But he argues for this dual functionality by tracing the notion of "better consciousness" from Schopenhauer's earliest writings to its evolution into a "denial of the will," a form of consciousness with directly salvific consequences (interestingly, according to Head, not just for the individual but intergenerationally), now rooted in a metaphysics of will.The second and more philosophically fruitful peculiarity about Schopenhauer's diagnosis of the human "need for metaphysics" is the manner in which it arises from "the recognition of pessimistic truths" (xiv). There is a lot packed into the notion of recognition here. Schopenhauer has a distinctive philosophical method that grounds philosophical thinking in intuitive apprehension of basic truths. And, as Head argues, while this intuition functions as the ground for truth-seeking, it also hampers philosophy as a discursive discipline, since the concepts in which truth claims are presented cannot capture or communicate the unique proximity to truth characteristic of intuition. Thus, philosophical truths cannot be communicated directly, and the function of philosophical texts is to inspire an intuitive insight on the part of the readers so that they are able to see for themselves what the philosophy purports to say. (Stoicism, for instance, is for Schopenhauer an admirable but ultimately limited philosophical perspective in that it develops a system that relies exclusively on reason without promoting a grounding intuition.) Head argues that insight into the basic nature of the will is the intuition that Schopenhauer spins his philosophy around.This has both metaphysical and metaphilosophical implications. As for the former, it means that metaphysics is possible as a discipline, even in the wake of (and while by and large respecting) the limits Kant imposed on epistemology. Metaphysics has an empirical aspect, relying on empirical cognitive sources to provide a worldview for which it provides a key. Head emphasizes the irreducibility of this "objective" perspective, for offering both understanding as well as consolation (namely, knowledge that we have cognitive resources that other creatures do not). But Head argues that Schopenhauer gives primacy to the (compatible and complementary) subjective standpoint, and in particular our (quasi-speculative) intuition into the thing-in-itself via insight into our own basic essence as will. This peek into a nonrepresentational reality provides the reader with a guiding intuition (and the text with a central thought) that has an "inbuilt [implicitly] inferential structure" (72) from which an extraordinarily fruitful set of implications follows for constructing a metaphysics of will.The implications for metaphilosophy are no less interesting, and the central claim of Head's text is that Schopenhauer carefully constructed his central work, The World as Will and Representation, to guide... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Clinical Ethicists: Can They Help Families in Their Times of Need?Tracy R. WilsonI am a doctorally-prepared nurse practitioner with over 20 years in healthcare, and I am currently pursuing my MS in Bioethics and Medical Humanities at Tulane University, with an anticipated graduation of May 2023. In the fall of 2022, I had the pleasure of taking a Clinical Ethics course. As part of that course, I shadowed a (...) Clinical Ethicist for a week. It was a valuable experience, and I gained some insights about a role I didn’t know about previously. The last two years have been difficult for my family and me. I lost my dad in November 2020 and then a “sister cousin” in May 2021. In both instances, we had the team involved in their care and helping with the decision-making process.The role of the Clinical Ethicist Consultant (CEC) service is to help families process medical decisions—most of those decisions deal with endof-life care. The CEC works as the mediator between the family and the medical team. This is how I saw the CEC role play out in my experience.During my shadowing experience, my preceptor was phenomenal at his role because 1) he listened to the patient and the family, and 2) he consulted with the appropriate team members. My shadowing experience was virtual due to the restrictions of the healthcare facility. However, I was able to attend ethical team meetings. I was able to listen to multiple family calls and consultations. During my experience, my clinical ethicist was very conscientious of taking inventory of the feelings of everyone involved. Before he provided an opinion on a case, he did a deep dive into the patient’s chart to gain the patient’s historical context. He always asked for my opinion while we discussed a case, which made me feel included even as a student. It made me feel like my opinion had some weight, and it did in one of the cases. When I returned the next day, the feelings I had about a patient and her family using her for financial gain turned out to be true. Elder abuse was taking place.My personal experiences were more complicated, in which we didn’t always have a medical team that always heard what we needed for our loved ones. In the case of my sister cousin, she entered the hospital and was diagnosed with COVID-19. Our family never thought she would die from it, so it was shocking to us when she was placed on a ventilator and never came off. When the critical care MD stated that “there was nothing else he could do for her,” I could not understand how that could be when lung transplants were being done all over the US and even less than 100 miles away.We needed a CEC team then. I was the medical expert for my family, and I felt the medical team was not listening to what we wanted. The medical team believed that to continue treatment would be futile and their belief about this exceeded their need to continue treating my sister cousin. However, having a CEC mediate by first understanding the clinical team’s perspective, explaining those considerations to us, and then helping our family relay back our [End Page 23] wants, needs, and values to the clinical team could have helped. Unfortunately, my cousin never got this option. There was a palliative care team implemented but never a Clinical Ethicist. Having faced both, from a student perspective and from a personal experience, I would say that having a CEC present allows a family to have an advocate in the room, someone who knows the medical language and can explain to you and will explain to the medical team your perspective, which can sometimes be lost in translation or not heard.When my father passed away, he did not have a Clinical Ethicist as a part of his medical team either. My dad was a Vietnam Vet and a very prideful man. So, when my dad became ill in 2018 with vascular dementia, it took a toll on me and my sisters. To... (shrink)

Bilimcilik, bilgi edinmenin tek yolunun bilimsel yöntem olduğu görüşünü içeren felsefî bir yaklaşımdır. Bilimsel yöntemin uygulanmasında yalnızca maddî gerçekliğin varsayılması nedeniyle bilimcilik metafiziği ve a priori bilgiyi reddeden materyalist ve natüralist bir felsefedir aynı zamanda. İnanışın gerekçelendirilmesinde geleneksel epistemolojide başvurulan normların deneysel olmamaları nedeniyle reddedildiği epistemolojik natüralizmde, gerekçelendirme yerine inanç oluşum sürecinin psikolojik bir betimlemesi yeterli görülür. İnanç oluşumunun dayanaklarının yeterince uygun olup olmadığı endişesini ifade eden “epistemik kaygı”, bilimcileri bilgi için somut bir zemin arayışına itmiştir. Gerçeklikle bilgi arasındaki ilişkide (...) söz konusu zemine bağlı olarak güvenilirlik ve nesnellik nitelikleri öne çıkar. Bilimcilik savunucuları, sorunun çözümü için geliştirilen içselci yaklaşımlarda gerekçelendirme için üst standartlar belirlenmesinin epistemik kaygıyı gidermeyip epistemik geri gitme sorununa yol açtığını düşünürler. İçselci yaklaşımlarda olduğu gibi bilgi için öznenin bilişsel unsurlara erişimini gerekli görmeyen bilimciler, deneysel yöntemin yeterli sayıldığı dışsalcı tutumu benimserler. Bilgi için somut bir zemin arayışını ifade eden epistemik kaygının giderilmek istendiği dışsalcılıkta özellikle normlar, metafizik yargılar ve a priori önermelerden oluşan sorunlar öne çıkmaktadır. Bilginin standartlarının deneyle sınırlandırıldığı bilimciliğin normatiflikten kaçınamaması, bilimsel faaliyetin metafizik varsayımlarla başlaması ve çelişmezlik ilkesinden hareketle a priori bir doğru ortaya konulabilmesi, dışsalcı epistemolojinin somut zemin arayışına engel teşkil eder. Bu durum, epistemik kaygının dışsalcı tutumla aşılamadığı ve yanı sıra epistemoloji özelinde felsefenin bilimselleştirilmesi çabasının da başarılı olmadığı sonuçlarını verir. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Poetics of Consent: Collective Decision Making and the Iliad by David F. ElmerWilliam G. ThalmannDavid F. Elmer. The Poetics of Consent: Collective Decision Making and the Iliad. Baltimore, Md.: Johns Hopkins University Press, 2013. x + 313 pp. Cloth, $55.In this book, David Elmer takes a fresh approach to some large questions that have occupied Homeric scholarship: how and under what conditions the epics took shape, the (...) political dynamics and relations of authority in the society they depict, the relation (if any) of that society to historical Greek society, the nature of performances of the poems and the relations between performer and audience, and, within the Iliad, how human action is related to decisions of the gods and the political and social implications of various characters’ conduct, particularly that of Agamemnon and Achilles. Any one of these questions is usually enough for a full-length study. But, drawing on such recent work as that of Gregory Nagy, Johannes Haubold, and Elton Barker, as well as on speech act theory and Indo-European linguistics, Elmer brings these questions together in a fresh and illuminating examination of the Iliad and its performative context.The basis for his study is the observation that, whereas ainein / -os can have various meanings in and outside Homer (“praise,” “[coded] story”), in the Iliad the compound epainein (the noun does not occur in Homer but he uses it for convenience) is limited to contexts of collective deliberation. There it describes the approving response of the community to a proposal by a leader that normally translates the proposal into action. Such a scenario represents the formation of a speech act; one distinctive feature of the book is that it draws attention away from enunciation to its reception by an audience, which is crucial to the completion of a speech act and especially to its effectiveness in shaping reality. This usage of the verb, Elmer argues in an excellent chapter (2), is a vestige of the importance of speech to the creation and maintenance of social order (a prominent theme of the book) in Indo-European societies. It thus refers to socially efficacious and constructive speech. Conversely, the cognate anainesthai and apēnēs are associated with verbal behavior that is socially destructive.The consent signaled by epainos results from consensus, which (following Egon Flaig) Elmer carefully distinguishes from majority rule, and which, he says in connection with the Thersites episode, seems egalitarian but is consistent with social hierarchy. Scholars have often depicted the role of the people (laos) in Homeric assembly scenes as limited to ratifying decisions actually made by their leaders (basilēes), but Elmer makes a strong case that the people’s epainos is necessary for a proposal to become action. The evidence is negative but telling: the many instances in which epainos does not occur and decisions are either [End Page 281] not made or lead to failure. On the other hand, Elmer might have been more explicit about the relation between the authority of the basilēes and the need for consensus. Is a tension between them one of the fault lines of Iliadic society exposed by the narrative? Is the role of a good leader to see that both are somehow accommodated? At any rate, Elmer’s argument that a basileus cannot set aside the opinion of the community, and in particular that Agamemnon’s rebuff of Chryses, despite the people’s support of him at the beginning of the poem, cannot be taken as the norm is persuasive and welcome.Strangely but significantly, an explicit statement of the norm of epainos comes only late in the poem, at Il. 23.539–42, when the Achaeans “express an epainos” at Achilles’ proposal to award the second-prize mare to Eumelos; this response would have been the basis of his doing so if not for Antilochos’s objection. These lines, Elmer argues, show the need for community approval to enact a proposal. The lines also show the power given to individual dissent in a system of consensus. It is a key point in Elmer’s overall argument that in the episode which shows the norm most clearly... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Hume Studies Volume 30, Number 2, November 2004, pp. 265-296 A Symposium on Louis E. Loeb, Stability and Justification in Hume's Treatise The Unity of Hume's Philosophical Project MICHAEL WILLIAMS 1. Introduction In both his Treatise of Human Nature and Enquiry concerning Human Understanding, Hume presents a protean figure.1 By turns, he appears as a naturalistic theorist of the mind, a proto-Positivist critic of speculative metaphysics, and an utter (...) skeptic. Can these various characters be seen to work together? On the whole, Hume's interpreters seem to think not. The typical approach is to pick a dominant personality, leaving Hume's other philosophicalpersonae to be squeezed in as an afterthought, deprecated, or simply ignored. Louis Loeb is a shining exception.2 His new book, subtle and densely argued, offers an account of Hume's epistemology that makes a sustained effort to come to terms with its multi-faceted character. However, while Loeb's interpretation marks a real advance in our understanding of Hume, it is not one that I find ultimately persuasive. As I shall try to show, for all his insights, Loeb too fails to provide a satisfyingly unified account of Hume's philosophical pro j ect. In the course of explaining why I think this, I shall indicate how I think a better account ought to go. 2. Varieties of Skepticism The key to understanding Hume is to come to terms with the ways in which Hume is and is not a skeptic. So before going farther it will be useful to distinguish the Michael Williams is Krieger-Eisenhower Professor of Philosophy at The Johns Hopkins University, 347 Gilman Hall, Baltimore, MD 21218, USA. e-mail: [email protected] 266 Michael Williams various forms that skepticism takes, or might be thought to take, in Hume's epistemological writings. The distinctions I shall introduce will also make it easier to characterize different ways of reading Hume, Loeb's included. First, we must distinguish between epistemological skepticism, which has to do with knowledge and belief, and conceptual skepticism which has to do with meaning. So for example, where an epistemological skeptic may wonder whether beliefs of a certain broad kind can be justified, a conceptual skeptic will wonder whether the words we use to express such purported beliefs are so much as meaningful. It seems clear that both kinds of skepticism figure in Hume's theory of the understanding. However, commentators differ sharply over their relative importance. Second, we must distinguish two forms of epistemological skepticism: theoretical (or Academic) skepticism and suspensive skepticism (or Pyrrhonism). As its name suggests, theoretical skepticism is a thesis (or family of theses) about the epistemic status of human beliefs: for example, the thesis that such and such beliefs do not amount to knowledge or are not justifiable. It is important to note that one can entertain such a thesis in a purely speculative or theoretical way, without becoming inclined to relinquish any fundamental beliefs. By contrast, Pyrrhonism involves an actual breakdown in belief. Again, though we seem to be able to find both Academic and Pyrrhonian elements in Hume's epistemological outlook, commentators are seriously at odds over how to put them together. Third, both theoretical and suspensive skepticism can be either qualified (Hume says "mitigated") or unqualified (we can say "radical"). The most important form of qualified theoretical skepticism is anti-Rationalism. Anti-Rationalism embraces such theses as that our beliefs never amount to knowledge, or are not supportable by (what we can show to be) truth-conducive reasons. By contrast, theoretical skepticism in its most radical form is the claim that no beliefs are in any sense more reasonable than others: i.e., that normative-epistemological distinctions between beliefs are completely indefensible. We can make an analogous distinction with respect to suspensive skepticism. A qualifiedly skeptical outlook might take the form of anti-Dogmatism: we hold beliefs, but in an open-minded, fallibilist spirit, taking nothing to be altogether certain, suspending final judgment. Alternatively, we might suffer a complete breakdown of belief. Once more, we find serious differences of opinion among commentators. In what way is Hume's skepticism mitigated, or qualified, if indeed it is qualified... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:FINALITY AND INTELLIGIBILITY IN BIOLOGICAL EVOLUTION ANTONIO MORENO, O.P. Graduate Theological Union Berkeley, California I N SCIENCE AND philosophy the final cause has always..,been controversial. To biologists the problem is complicated, but many believe that it is impossible fo give a complete description of the phenomenon of life without taking into oonsideration the teleological aspect of it. Thus Rensch: A special feature of all living organisms is the fact (...) that biological processes in general appear to be: 'meaningful.' They are not only appropriate to the immediate conditions, but also seem to be directed to some purpose which in individual development is only achievE:d at a relatively late stage and after many modications of form.1 Simpson's approach to this problem is shaped by the conviction that biology should attempt to answer all the questions, one of whioh is the reason for a living being's activity: "Here, ' What for '-the dreadful teleological question-not only is legitimate but also must eventually be asked about every vital phenomenon." 2 To understand how finality is realized in biology, let us first turn briefly to the nature of the final cause. The Nature of the Final CaU8e Aristotle deals with causes in the seeond book of his Physics: It is through the causes that scientific conclusions about mobile heings are demonstrated. Movement is intelligible when we discover the causes that produce it. Among the 1B. Rensch, Biophilosophy (New York: Columbia University Press, 1971), p. 107. 2 G. Simpson, Th,is Vi.ew of Life (New York: Ifarcourt, 1964),.pp. 104-108. l ANTONIO MORENO, O.P. causes, the first and most important is the final cause, which is defined as "that for the sake of which a thing is done." 3 The final cause is the motive or reason which impels the agent to operate. Motion is the vehicle by whioh the goal is attained and, consequently, the other causes exercise their causality in dependence on the final cause. Hence, Aquinas says: " The final cause is called the cause of causes, because it is the cause of the causality of all the causes. For it is the cause of the efficient ca:usality; and the efficient cause is the cause of the causality of both the matter and the form.".j, The final cause directs, inclines, and attracts; impelled by this attraction, the efficient pushes and exercises its action. Aquinas asserts that those who reject the final cause destroy the intelligibility of science, inasmuch as they suppress the motive or first reason which justifies motion. The final cause is not the cause that executes the adion, for this is the agent's function, the efficient cause. The final cause is the reason why the agent acts. Therefore, the efficient cause presupposes the final: "The end is not the cause unless it moves the agent to act. If there is no action the final cause does not exist." 5 It is interesting to note that many biologists believe that the existence of finality destroys causality, when actually the opposite is true. For example, Simpson says: " The finalist was often the man who made a liberal use of ignaV'a ratio,... when you failed to explain a, thing by the ordinary process of causality, you could ' explain ' it 1by reference to some purpose of nature." 6 A simple desirn or attraction is not a cause unless it is fol3 Aristotle, Ph&sias (Trans. W. D. Ross) Book II, 3, 194b34. (Oxford, 1962). 4 Thomas Aquinas, In V Metaph., Iect. 3, n. 782. Of. Summa Theol., I, q. 105, a.5. 5 Thomas Aquinas, On the Power of God, trans. English Dominican Fathers (Westminster, Md.: Newman Press, 1952), q.5, a. l. 6 G. Simpson, The Meaning of Evolution (New Haven: Yale University Press, 1967), p. 274. FINALITY IN BIOLOGICAL EVOLUTION 3 lowed by the activity of the agent. The desire to attain the goal is called the " intention " of the action, even when the goal is not achieved, as happens in many of our actions. Failure does not destroy finality; inactivity does. For that which is first in the intention is the last to be achieved as the effect. The intention does not... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Minding Psychiatric PracticePaul B. Lieberman, MD (bio)In recent discussions of what makes or should make something 'a psychiatric disorder' (if anything does; Lange, 2007), attention and contention have mostly involved problems distinguishing disorder from normal life, expectable suffering, neurological disease, criminality, prejudice, error, religious experience and effects of injustice, but the question of what makes or should make something psychiatric is also important and difficult to answer. It's important (...) because general conceptions of what kinds of things we treat (e.g., disorders of the heart, brain, or mind) guide practice by specifying what constitutes, nurtures or poisons them, ways they may break apart or be repaired and processes that produce change, as well as by helping to draw appropriate boundaries between psychiatry and other fields. It's difficult because psychiatry comprises many kinds of objects, theories and forms of practice (primarily biomedical, psychodynamic and cognitive behavioral), and we don't know which, if any, are 'natural' or valid. It's also not established whether or why all or any should be called, 'psychiatric,' what explains their being so-called (if it is correct to do so), or which may be fundamental or constitutive and which derivative and potentially eliminable.One appealing answer (the Diagnostic and Statistical Manual of Mental Disorders [DSM] an swer; American Psychiatric Association, 2013) to the question of what makes something psychiatric is that it is mental in some essential way. But few psychiatrists could explain what that might mean, nor would many be able to say what a mental disorder is or defend the idea that the conditions they work with are (always?) such things (though many probably wouldn't deny it either; they wouldn't know what to say and most wouldn't think it mattered). But if the idea that 'psychiatric disorders are essentially mental' seems obvious yet unclear to psychiatrists, what's the alternative? And if no alternative leaps to mind, then are psychiatrists practicing without knowing what they're treating?In "What makes a disorder 'mental'? A practical treatment of psychiatric disorder," Joseph Gough (2023) addresses these problems with two bold proposals: first, that we abandon altogether using 'mental' (assuming we understand its meaning) in the definition of 'psychiatric disorder,' and, second, that we, instead, define psychiatric disorders as those conditions best treated by psychiatrists (including psychologists, social workers, nurses and other practitioners).To a psychiatrist, these proposals seem, both, a welcome validation of our work ("At last, someone appreciates us!"), but also a troubling destabilization of how we understand that work ("That can't be right: it's backwards!") In Gough's [End Page 37] wide-ranging and carefully reasoned defense of his two proposals, he offers many novel and provocative insights relevant to problems defining psychiatric disorders. I will consider only a few of the issues he raises, which I think are especially worth emphasis and further thought.Gough initially rejects mentality in the definition of psychiatric disorder by reminding us that it is neither sufficient nor necessary for inclusion in the DSM. Vision is mental but blindness is not in the manual; caffeinism and erectile dysfunction are not mental but are included. Later, he offers two additional reasons for abandoning mentality: it promotes stigma and encourages dualism. I think all these arguments are correct. (Although blindness is not the best example because DSM defines mental disorders as disturbances of "thought, feeling and behavior" and blindness is none of these. But many other examples (e.g., encephalopathies) could make the point.)But Gough passes over this issue too quickly: we should pause and consider more carefully possible reasons to keep or even privilege the mental in psychiatry as well as the losses we might suffer if we gave it up. The examples and arguments he offers for abandoning the mental could be contested if one were motivated to do so. For example, one could argue, as Gough does elsewhere, that the DSM is just wrong sometimes and should be revised. Perhaps, as Gough briefly considers, there is a subset of 'mental' disorders that are properly psychiatric (where, e.g., certain favored features such as meaning, agency, narrative, or connection of 'self and world' are preserved, and... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:AQUINAS ON THE ROLE OF EMOTION IN MORAL JUDGMENT AND ACTIVITY JUDITH BARAD Indiana State University Terre Haute, Indiana MONG PHILOSOPHERS who have discussed the role of emotion in morality there is much disagreement. At one extreme there is a tradition of ethical thinkers, represented by David Hume, who juxtapose reason and emotion and hoM that the choice of ultimate va:1ues is always made by the emotional side of (...) our natul'e. Insisting that emotion, not reason, is the foundation of moral philosophy, Hume says "Reason is, and ought to he, the slave of the passions, and can never pretend to any office other than to serve and obey them." 1 Conv:erseily, Immanuel Kant adamantly insists that reason must be the sole determinant of morality. Since morality is stricrtly a rational endeavor, the emotions (or what he more generrully called the incJinations), whethei!.' beneficent or ma1e:fiicent, should never be alilowed to intrude into our moral judgments. Each extreme claims that a part of our nature, respectiv 'e,ly reason or emotion, is not essentirul to the moral life. Hut the be1lief that we shouM sev;er any part of our nature from swch a pervasive area of our lives leads to unfortunate consequen1ces. If we base our understanding of morality on Hume's call for the slavish submission of reason, we can justify all kinds of social exploitation and sensuous indulgence. On the other hand, if we follow Kant's ideal of suppressing our emotions, then bodi1ly desires can appear ba:d to us, and we may irrationaHy disaJfow many human needs, both to ourselv;es and to others. i David Hume, A Treatise of Human Nature, 3, 3. 397 398.TUDITH BARAD But on this question of the role of emotion in mol'lwl judgment, Aquinas oiooupies a position intermediate between Kant and Hume. He neither dismisses reason as a guide to practical affairs nor regards emotions as mere obstacles to be overcome in form.mating a moral judgment. For Aquinas even though e&ch of the human £acmlties has a unique role to perform, an individual £unctions in his entirety in the moral sphere. This essay will focus on how our emotions can support as well as impruir our moraJ conduct. The purpose of this study is to show thrut emotion may be either 1an impediment or a usefuJ srtimu1us to obj·ectiv;e moral decision malcing, obscuring our morrul judgments or 11einfol'lcing our commitments. Obviously, Hume's argument ·that reason cannot judge or criticize the emotions is very foreign to Aquinas's thought, and no one has yet ruttemp ;!Jed 1to subsume one •ruooount under the other. Afan Donagan, however, has clwimed that Aquinas's moll"al theory " anticipates Kant's metaphysics of morals," because of what " both ~are] found to 1say about motiViation." 2 But, contrary to Donagan 's claim, this study will make clear rlihat in the area of how emotions a:ffrect our moral life ·the two g11eat thinkers pal'lt company. To understand how emotion :liun:ctions mthe moral judgment, we must fust examine what Aquinas means by "emotion." 3 He describes :emotion as a spontaneous.feeling consisting of both a phy;siofogical 1and an affective response to an object.4 He observes that emotion involves virtually ithe en2 Alan Donagan, " Teleology and Consistency in Theories of :Morality as Natural Law," in Georgetown Symposium on Ethics, edited by Rocco Porreca (Lanham, :Md.: University Press of America, 1984), p. 96. a Throughout this paper I will use the word "emotion " for the Latin passia, since " passion" has a more intense connotation in contemporary English than the term employed by Aquinas. "Thomas Aquinas, Summa theologica, (Westminster, :Md.: Christian Classics, 1981), I-II, q.22. In the first article of this question, Aquinas says that " Passion... is only in respect of a bodily transmutation." Quoting Damascene in the third article, he says " Passion is a movement of the sensi· tive appetite when we think of good or evil." I have combined both passages to arrive at Aquinas's description of emotion. AQUINAS ON EMOTIONS AND MORALS 399 tire human being: intd1ect, sense cognition, spontaneous volition, and bodily changes. Aquinas bases this position on his hylomorphic... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Editorial changes at PPPWelcomes and ThanksJohn Z. Sadler, MDAfter 30 years of co-editing (with Bill Fulford) and editing Philosophy, Psychiatry, & Psychology, I thought it was time for me to step down, and last fall the Association for the Advancement of Philosophy and Psychiatry Executive Council assembled an international search team to select a new Editor-in-Chief. This thoughtful and efficient group, led by Robyn Bluhm, completed the search and (...) selection in a matter of a few months! All of us in the field are grateful to the search committee members for their congenial, disciplined, and fruitful work: Derek Bolton, David Crepaz-Keay, Anthony Fernandez, Brent Kious, Guilherme Messas, and Michael Wong. We are excited about the future of the journal with our new Editor-in-Chief, Professor Werdie van Staden. Briefly, Werdie is the Nelson Mandela Professor of Philosophy and Psychiatry and Director of the Centre for Ethics and Philosophy of the Health Sciences, the University of Pretoria, South Africa.Students, trainees, and early career scholars in our field often ask about how senior scholars found their way to, and through, the field of philosophy/psychiatry. The reading of Werdie's biography, in chronological order, would befuddle a reader trying to predict where he would end up by 2024. In the youth of his adulthood, Werdie was heading toward a career in music, collecting several degrees in music theory, composition, and performance. Indeed, music would occupy a big piece of his life over the decades. Dr. van Staden has continued his musical career as a composer of two symphonies, a concerto, as well as multiple choral and chamber works. He has performed as a flautist for the Pretoria Symphony Orchestra since 2006, and was the Principal for 8 years.However, he was also an individual directed toward service to his fellow human beings. He completed his MBChB medical degree in 1990 and went on to several degree qualifications in medicine, psychiatry, and philosophy. Most significant for us was his early experience with Bill Fulford's master's degree program in the Philosophy of Mental Health at the University of Warwick, later completing a doctoral degree. His Mandela Professorship at Pretoria was the first endowed Professorship in our philosophy/psychiatry multidisciplinary field. Since then his intellectual work has ranged over clinical and research ethics, philosophy of language and psychopathology, Ubuntu virtue theory, person-centered medicine, medical education, and many more areas, making him a most versatile scholar. Over the past three [End Page 91] decades he has functioned as a practicing clinician, a department chair, a clinical trialist, a partner to Bill Fulford in developing and disseminating the Values-Based Practice approach to clinical medicine, a leader in many professional organizations, an editor of the South African Journal of Psychiatry, not to overlook serving as an author, reviewer, and Senior Editor at PPP at various points since the journal's inception. His professional and intellectual activities and accomplishments are too numerous to recount; suffice to say we are delighted to have him bring his vision, creativity, and vigor to us by adding PPP to his to-do list!We congratulate and thank Professor Nancy Potter on her retirement from academia as well as one of our first Senior Editors of PPP. Nancy's path to philosophy/psychiatry was by way of work in the correctional system in her youth, followed by philosophical field work in the emergency psychiatry department at the University of Louisville Hospital, with her psychiatrist colleague Rafi El-Mallakh, MD. However, philosophy has been her first priority, with work in feminist theory, philosophy of peace, virtue theory, and standpoint/social epistemology over her career. Never satisfied with armchair philosophy, Dr. Potter has immersed herself in settings, traditions, and practices to understand them from inside as well as out. As a PPP Senior Editor, Nancy was instrumental in developing the service-user voice, as well as diversifying our authorship in many other ways. I will miss her even-tempered, yet rigorous editorial voice in the journal.My last appointment of a Senior Editor turned out to be one of Dr. van Staden's students. I welcome Dr. Mohammed Abouelleil Rashed as our newest... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:On the Importance of Conceptual ContrastsMadness, Reason, and Mad PrideAwais Aftab, MD (bio)Garson (2023) offers an engaging historical and philosophical discussion around the importance Late Modern thinkers assigned to the task of differentiating madness from idiocy (or more specifically, to the tripartite distinction of sanity, madness, and idiocy). Based on this analysis, Garson’s identifies the need to offer a positive account of mental illness—one that does not define the (...) essence of mental illness exclusively as the absence, lack, or failure of the power of reasoning. Following the Late Modern thinkers (Locke, Kant, Wigan, and Heinroth), Garson concludes that madness is infused with reason, and what characterizes madness is the presence of reason in an altered and mutated form. This is all worth taking seriously. My own assessment of this historical and philosophical material nonetheless differs from that of Garson. To recognize madness as possessing reason within it in an altered form may be of less profound significance than he thinks it is. Garson’s discussion commendably highlights the importance of making conceptual contrasts explicit in definitional debates, and this should indeed lead us to search for contrasts that are more philosophically illuminating (what is better will depend on the context of inquiry). However, in my view, the recognition of madness as altered reason neither reframes the project of defining “mental disorder” nor does it provide an intellectual scaffolding for mad activism.The significance of “madness contains reason within in but in an altered or perverse form” is difficult to translate into contemporary scientific terms, and the fuzziness and historical baggage around the terms “madness,” “reason,” and “perversion” does not make it easy. “Mental disorder” or “psychopathology” means to us something quite different than what madness meant to Late Modern thinkers, and while “madness” remains a popular term in philosophical literature, there is no clarity on the nature of overlap between the domain of madness and the domain of conditions currently classified by the diagnostic manuals. Mental disorders, as currently conceptualized, include a motley of conditions that were previously characterized using terms such as idiocy, madness, neuroses, and psychopathic personalities. [End Page 297]From our contemporary vantage point, to compare idiocy and madness is to make a distinction within the domain of psychopathology. We are comparing two groups of psychiatric conditions. The lessons we derive from this comparison do not necessarily extrapolate well to a comparison of mental disorders with something outside the domain of psychopathology. To the extent that psychopathology is inclusive of both idiocy and madness, psychiatric disorders both contain and do not contain “reason” within them. The domain is heterogenous in this regard, and broad generalizations about the nature of reason in the mental disorders would be simplistic at best and inaccurate at worst. Other distinctions that we have made within the domain of psychopathology have included organic versus functional, neurosis versus psychosis, categories versus continua, and distinctions used within nosology have included operationalized criteria versus phenomenology, idiographic versus nomothetic, medical versus non-medical, description versus explanation, and so on (Aftab & Ryznar, 2021; Zachar, Banicki, & Aftab, 2023), all of which have the potential to offer a positive account of some aspect of psychopathology.It is worth nothing that the distinction between “absence of reason” versus “perversion of reason” is analogous to the common distinction between absence of function and altered function in patho-physiology. Such a distinction exists for almost every function that exists. Consider vision: absence of vision (blindness) and altered vision (illusions, distortions, hallucinations). Consider hypoesthesia (reduced sense of touch) and paraesthesia (altered sense of touch—tingling, pricking, burning, etc.). Garson alludes to diminished sexual capacity versus paraphilia as an analogy, but he does not seem to appreciate that the analogy applies much more broadly. Is the distinction between absence of reason versus perversion of reason of any greater significance than the distinction between blindness and hallucination? If we were to say, “What distinguishes hallucination from blindness is not the failure, absence, or lack of sight, but its presence—albeit in a perverse and mutated form,” how profound would it really be for our notions of disorder? Or imagine some Late Modern physician saying that a disturbance of speech and... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:What Can (and Cannot) Be Said About the Distinction Between Religious Experience and PsychopathologyMohammed Abouelleil Rashed, MD, PhDThe distinction between religious experience and psychopathology as a puzzle to be pondered, debated, clarified, and analyzed is an example of a thoroughly modern problem. It is modern in that the distinction can only make sense if our starting assumption is the existence of unique and separate types of experience that might (...) overlap phenomenologically but are ultimately different entities that should be distinguished from each other. And it can only have this sort of sense in a secular worldview where the possibility of a fully areligious type of psychological suffering is on the table and widely accepted. By framing the matter in this way, the debate presupposes, rather than argues for, the existence of unique and separate types of experience. This is a major presupposition, and its coherence cannot be assumed, nor can we ignore the impact of our standpoint in the debate on whether or not we can actually make that distinction let alone resolve it. In the original paper (Rashed, 2024), I deconstruct the distinction by examining what can, and cannot, be said about it given the standpoint that we adopt. In what follows, I respond to Awais Aftab’s and Warren Kinghorn’s thoughtful commentaries on my paper and in the process clarify my thesis further.What We Believe and the limits of What We Can ArgueAwais Aftab (2024) perceptively points out that the way I define the terms renders the distinction between religious experience and psychopathology an instance of the broader distinction between the religious worldview and the scientific worldview. Accordingly, my approach deviates from the usual [End Page 219] approach in these debates, which tend to focus on specific areas of phenomenology (delusion, hallucinations, low mood, etc.). This focus then directs the debate toward distinguishing these states from each other, and not toward asking if there is a distinction that needs to made at all, and, if there is, what the distinction is really about. In order to overcome this potential blind spot, we need to step back and examine our assumptions about the possibility and the nature of the allegedly competing conceptions of religious experience and psychopathology. And to do so, we need to apprehend the distinction in the broadest possible sense, as it is there that we can identify our assumptions about those ‘things’ we are trying to distinguish from each other.The first step in deconstructing this debate is to identify our stance towards the categories of religious experience and mental disorder, and what this stance enables us to say and prohibits us from saying. On an ontological stance, we would be dealing with two distinct categories of experience out there in the world for us to identify, study, and differentiate; there is a truth of the matter as to the origin of the experience, a truth that we can get hold of if we can get to the essence of the respective phenomena. On a constructivist stance, there is no sense to this claim, and what we have are two possible interpretations of experience that cannot be differentiated from each other from a natural or a supernatural standpoint; they do not reflect distinct types of experience, merely the attribution of meaning, which can always go the other way depending on the social situation and the cultural context. And so, our initial stance as to an ontological or constructivist understanding will constrain from the outset what can and cannot be said about the distinction between religious experience and psychopathology. The issue is further complicated by the fact that we can hold a range of positions: we can, at the same time, adopt an ontological view of religious experience and a constructivist view of mental disorder, or vice versa, and in each case we might end up in a different place.For philosophers, theologians, and others writing from a religious standpoint, we can assume that they are adopting an ontological reading of religious experience. In other words, they take it to be true that some experiences have a divine origin, connect the person to non... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Ethics and Time: Ethos of Temporal Orientation in Politics and Religion of the Niger DeltaMelissa BrowningEthics and Time: Ethos of Temporal Orientation in Politics and Religion of the Niger Delta Nimi Wariboko Lanham, Md.: Lexington Books, 2010. 193 pp. $60.00In Ethics and Time: Ethos of Temporal Orientation in Politics and Religion of the Niger Delta, Nimi Wariboko offers a new definition of temporal orientation, arguing that this new (...) understanding of time can help us rethink social ethics, particularly economic ethics. He begins by citing literature showing that temporal orientation has always been used to speak about how a sociocultural group sees itself in light of a “time or origin” (such as a sacred past) or “time preference” (such as a preference for past, present, or future). Wariboko proposes a third way, redefining temporal orientation as a break or clearing in time between the past and the future—a kairos event. He goes on to say that understanding how members of a sociocultural group understand time is essential to understanding how they see themselves and their moral sources.Wariboko speaks of temporal orientation in terms of “time gaps,” contending that freedom and new beginnings are found within these gaps. Suggesting that these gaps are important to the process of defining subjectivity—since human beings live in a time-defined gap between birth and death—he coins the term “chronomethics” to refer to a new methodology where ethics is studied [End Page 213] through the lens of temporal orientation with attention to the analysis of cultural forms.Wariboko provides an exemplar of this methodology by doing an in-depth analysis of the Kalabari community of the Niger Delta in southern Nigeria. Through the use of ethnography, Wariboko explores politics, religious imagination, apocalypticism, and the philosophy of history in Kalabari beliefs and practices—setting African studies in dialogue with Western philosophy and theology. Here, and throughout the book, he draws heavily on the work of Hannah Arendt in his analysis.Although this ethnographic analysis makes an important contribution to ethical reflection, it is not without problems. Wariboko focuses almost exclusively on the chiefs of the Kalabari community, using both male language and male concepts. When Wariboko moves to a discussion of traditional Kalabari religion, he speaks mainly of the male or neuter aspect of God (which is called So, or so) and only briefly mentions the female aspect (Teme-órú). This leaves the reader to wonder whether the actors and agents Wariboko refers to include women. In sum, his descriptive analysis of Kalabari culture lacks a critique of patriarchy, which should be present in any analysis that seeks to make a contribution to Christian ethics.Perhaps the most significant contribution of the book is found in its chapter on imagination. Here Wariboko examines the ways in which the Kalabari people imagine their own society and construct a moral imagination. He pays significant attention to African conceptions of community and the ways in which individuals relate to their communities. Although Wariboko contributes an important original voice to this dialogue, this voice could be strengthened by incorporating the voices of other African philosophers and theologians rather than relying primarily on Western sources in his analysis of Kalabari culture.The book concludes by relating the newly proposed methodology (and to some extent the ethnography) to concrete applications within the realm of economic development. Here Wariboko focuses on the “kairos-ordering of society,” arguing that economic development will only be attained when the state maintains the rules of just conduct, nurtures kairos, develops human capabilities, embraces pluralism, and uses social practices to disperse knowledge. Although this final section is brief, it invites further reflection by delineating how temporal orientation could be used as a new methodology for Christian ethics. [End Page 214]Melissa BrowningLexington Theological SeminaryCopyright © 2012 The Society of Christian Ethics... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Editors’ NoteJames M. DuBois, Ana S. Iltis, and Heidi A. WalshFrom childhood, David Slakter had undergone tests and invasive procedures to monitor his nephritis. It was not a surprise when in 2015, doctors told him he needed a kidney transplant. The wife of a childhood friend was a close match and gave him one of her kidneys. Before his transplant, aerobic exercise was difficult; a few months after transplant, (...) Slakter could ride his bike, hike, and work out with a personal trainer. He no longer had to weigh food or gauge his potassium consumption, a concern for people with kidney failure. For Slakter, “life post-transplant has been a significant improvement.”Individuals or family members of those who have received an organ transplant from a living or deceased donor share their stories in this issue of Narrative Inquiry in Bioethics. The symposium is titled “Receiving the Gift of Life: Stories from Organ Transplant Recipients.” Organ transplantation can extend an individual’s life by decades. It can also greatly improve an individual’s quality of life, as was Slakter’s experience. At the same time, organ transplantation is expensive and stressful. Recipients can experience complications, including organ rejection, and there are few appealing alternatives.After her heart transplant, author Leilani R. Graham required four open-heart surgeries, ECMO, and an intra-aortic balloon pump. She experienced delirium, necrotizing pneumonia, and severe muscular atrophy that required her to re-learn how to walk. She struggled with weight gain, explosive mood swings, hair loss, and was terrified that her body would reject the new heart. For Graham, “[Transplant] was not the miracle [she] was hoping for.” Graham says she felt unprepared for and inadequately informed about what to expect after her transplant, which left her “battered, beaten, and bruised” with a 12-inch line from neck to navel and “bullet holes” up and down her torso from the chest tubes. When reflecting on her experience post-transplant, Graham says, “It wasn’t the physical trauma that hurt the most. It was that no one seemed surprised [by the aftereffects of transplant].” Seemingly no one, that is except Graham, who calls on transplant providers to “prioritize empathy.”The symposium editors are Jason T. Eberl and Tristan McIntosh. Three commentary articles, written by Macey Leigh Levan, Heather Lannon, and Vidya A. Fleetwood, Roslyn B. Mannon & Krista L. Lentine, offer important insights into the authors’ stories. The editors thank Mid-America Transplant, the UCSF Lung Transplant Program, Donor Connect, William L. Freeman, MD, MPH, MJIL, CIP, Janet Monk, and the individuals who gave anonymous donations to support the publication of this issue, an open-access VOICES edition of the symposium, and accompanying teaching guides.The research article in this issue, “‘A Shell of My Former Self’: Using Figurative Language to Promote Communication about Patient Suffering,” was written by Tyler Tate, Elizabeth Stein, and Robert A. Pearlman. The relief of suffering is a primary goal of medicine. However, the authors note that clinicians often miss or ignore suffering because they focus on the causes rather than the experience of suffering, or the subjective nature of suffering makes it difficult to discuss. The authors believe that “the key to communicating about suffering lies in finding [End Page vii] the right kind of words to describe the experience” and say that figurative language offers a promising approach. In their research, the authors performed qualitative analysis on 52 works of literature and identified 254 excerpts of figurative language with themes of non-physical or psychological suffering. The authors found 13 salient themes: brokenness, diminishment, disorientation, drowning, emptiness, imprisonment, battle, darkness, isolation, invisibility, lifelessness, punishment, and torture. The authors reiterate that developing a shared language of suffering could foster a therapeutic patient-clinician relationship and improve clinicians’ ability to recognize and address a patient’s experience of suffering.María Susana Ciruzzi wrote the first of two case studies included in this issue. “The Sword of King Solomon” addresses a tragic and difficult subject—how to navigate the situation posed by conjoined twins when “any decision will produce damage and suffering.” The case involves two infant male patients born at 37 weeks gestation as omphalo-ischiopagus conjoined twins... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Christian Social Ethics by Elmar NassAndrzej Dominik KucińskiChristian Social Ethics by Elmar Nass (Lanham, MD: Rowman & Little-field, 2022), 512 pp.In his extraordinarily comprehensive work, Elmar Nass, professor for Christian social sciences and societal dialogue at the Academy for Catholic Theology of Cologne, Germany, delivers with what he promises [End Page 302] in the title of this great opus: it is a real guide to Christian social ethics, (...) including both its foundations and numerous fields of current application. Although the book was first published in Germany and some application parts refer rather to specific discussions in the Teutonic area, as the author himself says in the preface, his general intention to provide a "universal socio-ethical basis for argumentation" and the ambitious attempt to "make this work a starting point for globally effective Christian social ethics" (xiv) are fulfilled, as the book undoubtedly speaks to the universal questions of social ethics, while it invites a search for concrete solutions to regional problems by implementing the corresponding criteria and basic principles. Indeed, the original German perspective, in which the growing emphasis on the ultimate authority of human sciences in theology often leads to a Cinderella-like existence of genuine Christian traditions and proposals based on Revelation, may be understood as a productive challenge which incentives Nass's efforts to re-create a "substantive ethics" that is marginalized in the postmodernity (xviii). However, these efforts are not destined to flow into a kind of restoration or a mere archaeological appreciation of former Catholic propositions. Nass struggles rather for adequate answers corresponding to the present, but answers deeply rooted in the conviction that Christians still have something to say to the world based on their own timeless knowledge.Hence, it is understandable that, in the short introduction, the author first sets out the postmodern contexts of ethical tasks and, while dealing with secular orientations of the present, calls for an ethics that derives from respective views of humanity and society. For Nass, there is no reason to exclude the religious point of view from this dialogue. On the contrary, his anti-secularist programmatic statement—"Imagine there is a God" (xix)—is both courageous and provocative in a scientific world that forbids theology to give orientations to all the people, with the excuse of alleged lack of universalizability In doing this, Nass complies with Jesus's mandate to the disciples to be "leaven" in Matt 13:33 and light and salt of the earth in Matt 5:13 and following (xx). The rationale for addressing and advocating "substantive Christian social ethics" is its rationality and the author's trust in the "healthy democratic culture of debate" (xx), which is, however, understood in terms of dialogue around common values and positions rather than based on mere rules of secular discourse ethics. The chosen Catholic perspective is thereby situated in an ecumenical context and directed to a real dialogue with other competing ethics, both religious and secular, including the disposition to better understanding of one's own views. Out of this approach, Nass will propose some applications of Christian principles of social action. [End Page 303]These purposes determine the clear structure of the work, consisting of three main parts, divided in thirteen singular chapters. Part 1 ("The Mission") revives a concept which—at least under this specific term—is almost completely removed from mainstream theological debates in Germany, especially in ethical context. "Christians are in the world, but not of the world" (1)—that is how Nass begins his argumentation in favor of an indispensable missionary calling within Christianity. In my opinion, it is this part of the volume that deserves the most attention, as it expresses a sound, self-confident Christian awareness of being enabled and invited to do something good for the rest of the world, while starting from one's own metaphysical basis. Nass presents Christian social ethics without any inferiority complex, as if it were something to be hidden in the twenty-first-century world or as if Christians were compelled to merely repeat what the secular world permits them to say. Consequently, Nass addresses from a Christian perspective the question of goodness as... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Could Understanding Harm?Iskra Fileva, PhD (bio) and Linda A.W. Brakel, MD (bio)We would like to thank the editors for organizing this symposium and our commentators—Marga Reimer and James Phillips—for the thought-provoking feedback. Although we had thought about the ideas we discuss from many different angles, our commentators raised several interesting issues we had not considered. We are grateful for the opportunity to continue the conversation.Reply to ReimerAs Professor Reimer (...) notes, we advocate an approach to self-constitution that we dub “understanding first.” On this approach, non-moral and non-normative understanding of the origin of maladaptive traits must precede moral evaluation and attempts to free oneself—or as we say “prune”—undesirable traits. Professor Reimer presents several interesting cases meant both to extend and test the limits of our proposal. We appreciate this approach and respond to each case in turn.Genes and AlcoholismSuppose Alejandro, an adult raised by adoptive parents, struggles with alcohol addiction. He learns that his biological parents died of alcoholic liver disease and comes to believe that his alcohol problem is caused by a genetic propensity toward alcohol abuse. One can ask: “Does an understanding first approach have the potential to undermine the sense of agency that is necessary for the effective treatment of maladaptive traits?”Answer: It can be explained to Alejandro that genetic proclivities are just that—proclivities—that can be overridden. In fact, behavior can alter our very genes—although not at the sequence level— changes known as “epigenetic.” And the liver disease of the biological parents can serve as a cautionary tale. If even in light of these considerations, Alejandro’s tendency to see genetic propensities as deterministic persists, it is worth asking why. There is no evidence that “genes are destiny,” so the disposition to see them that way must have a psychological explanation. What is the explanation? A self-destructive desire? Fear of freedom? This exploration can itself be empowering. [End Page 211]Adaptive ForgettingSuppose Beata, who has an eating disorder, was molested by her own father when she was a child. Subsequently, her father shot himself and now she has no recollection of the molestation. However, Beata’s eating disorder is largely a result of those experiences. It is quite possible that if Beata were to recall being molested, that would do more harm than good. In this connection, one can ask together with Reimer: “Does an understanding first approach have the potential to undermine an adaptive ‘forgetting’ of root causes of maladaptive traits?”Answer: Here, understanding the history, instead of forgetting it, might allow Beata to gain insight into and empathize with possible motives that may have led to becoming obese. For example, she might have the phantasy that if she had been obese and unattractive, she could have prevented the molestation—hence, become that way now to prevent it from happening again, and more wishfully reverse it. (In unconscious goings-on time is thought to be in the “unexamined present” (Brakel 2009, p. 63; 2015, p. 131; 2022, p. 4; 2023, p. 404.) One benefit of this is that in gaining this type of recognition, Beata might find it easier to change her behavior that she otherwise would not have; it was never her responsibility to prevent her own molestation, and there is no reason whatsoever for her to now make herself unattractive to her deceased father, and very little reason to remain obese in an attempt to deter current day men.Ego-Syntonic Maladaptive TraitsClaire is a concert pianist and alcoholic. Importantly, Claire does not see her own desire for alcohol as destructive but rather, as something constitutive of her own identity. “I wouldn’t be myself without alcohol,” she says. Reimer asks whether our approach would “work for cases where the agent sees a maladaptive trait as constitutive of their identity?”Answer: Although no approach can guarantee success, our claim is that our approach has a better chance than the main alternative known as the pruning view. Since Claire, by stipulation, is not inclined to see her own drinking as a problem, a... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Can The Psychopathologized Speak?Notes on Social Objectivity and Psychiatric ScienceAwais Aftab*, MD (bio)In "Exclusion of Psychopathologized Standpoints Due to Hermeneutical Ignorance Undermines Psychiatric Objectivity" (2022), Bennett Knox offers a compelling argument that failure of psychiatric community to engage with the "psychopathologized" in processes such as the revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM) constitutes a form of epistemic injustice and threatens the social objectivity of (...) psychiatric science. I find myself in agreement with the central thesis and I am glad to see it articulated so well by Knox. While it is clear that the exclusion of psychopathologized standpoints in psychiatric science cannot be justified, there are issues that arise that require further clarification, and may generate disagreements, when we consider the complexities of how this inclusion is to take place, what requirements can be imposed on this process of inclusion, and the relationship between the DSM and psychiatric science broadly when it comes to social objectivity.The Methodological Objectivity of the DSM Does Not Exhaust the Methodological Objectivity of Psychiatric ScienceThe DSM is a nosological project within a particular historical context, operating with a certain set of assumptions (Aftab & Ryznar, 2021). The DSM has limitations in terms of what sorts of perspectives it can meaningfully incorporate, but the limitations of the DSM are not the limitations of psychiatric science. This is because psychiatric science is a pluralistic domain and includes many different methodologies and perspectives (Jerotic & Aftab, 2021). As one example, the DSM is poorly equipped to capture the phenomenology of psychiatric conditions. It is not something that it sets out to do. This, however, only becomes a serious problem if we adopt the attitude "if it's not in the DSM then it doesn't really count." Unfortunately, many in the psychiatric community have [End Page 267] adopted this sort of attitude, at least implicitly, resulting in a serious neglect of phenomenology (and various other perspectives, including those of the psychopathologized), leading Nancy Andreasen to bemoan the "death of phenomenology." (Andreasen, 2007) The DSM is methodologically limited by design; there are things that it will fail to do. The appropriate response is to acknowledge these inherent limitations. Other perspectives such as neurodiversity or Hearing Voices Movement also bring their own sets of assumptions and limitations. The DSM is simply one element, one perspective, one methodology in a scientific field that is capable of and ought to adopt a plurality of perspectives and methodologies. This is worth pointing out because Knox appears to assume that if it proves difficult or impossible for the DSM to include radically diverse perspectives, then "all the worse for psychiatry's objectivity." If it is impossible for the DSM, that does not mean that it is also impossible for psychiatric science.1In Determining What Counts as Inappropriate Exclusion, What Is the Role of Scientific Expertise?Longino herself brings up this question: "in determining what counts as inappropriate exclusion of dissenting perspectives, does it matter what kind of issue is involved? Are the duties of inclusion different when the question is, Should we be trying to learn about such and such, for example, atomic fission? than when it is, Is atomic fission a controllable or uncontrollable process?" (Longino, 2002, p. 133) The danger that needs to be averted here is that of trivializing expertise and placing experts on an equal footing with non-experts, a danger that is strikingly illustrated by our social response to the coronavirus disease 2019 pandemic.Take an example from medicine. Individuals with lung cancer have a lot to offer when it comes to the treatment of lung cancer, including their experiences of care, and choice of, say, aggressive chemotherapy vs palliative comfort care, etc. but how much do they have to contribute on the matter of the histopathological classification of lung cancer? Consider the Hierarchical Taxonomy of Psychopathology (HiTOP) (Kotov et al., 2021). This quantitative nosological project has a very specific aim: to determine the patterns of covariation among psychiatric symptoms using statistical techniques such as factor analysis. This... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Two Different “Religious Experience vs Psychopathology” DistinctionsAwais Aftab, MD (bio)Mohammed Rashed’s analysis of the distinction between “religious experience” and “psychopathology” challenges the assumptions that underlie traditional efforts to make such a distinction and he arrives at a provocative and memorable conclusion: “The distinction between religious experience and mental disorder can only be invoked from a secular standpoint but can only be clarified from a religious standpoint. In other words: (...) if you have the grounds to invoke it, you cannot have the tools to clarify it; and if you have the tools to clarify it, you do not have the grounds to invoke it” (Rashed, 2024). (For another recent discussion that challenges underlying assumptions of this dichotomy, see Gipps and Clark (2024) on the distinction between religious delusion and religious belief.)There is great merit in Rashed’s analysis, and I am in agreement with many aspects of the discussion. In particular, I admire Rashed’s ability here, as well as elsewhere (Rashed, 2021), to break the impasse of definitional debates by deconstructing and destabilizing the distinctions involved. In this commentary I’d like to note some points of disagreement and qualification that I hope can move Rashed’s analysis forward in a constructive way.The first thing I want to bring up is that Rashed defines religious experience very broadly: “Psychological distress or anomalous experience that has a religious origin, content, or end (purpose).” This effectively turns the distinction between religious experience and psychopathology into an instance of the general distinction between the religious worldview and the secular worldview. “Mental disorder” is understood by Rashed to be an exclusively secular concept. I am not sure this way of framing the dichotomy is entirely correct. If our notion of “religious experience” include any anomalous experiences believed to serve a religious purpose, then Rashed is correct that for the religious no anomalous experience would be excluded. And if “mental disorder” requires giving up on the idea of a divine purpose for our [End Page 211] suffering, then indeed the religious do not have the grounds to invoke it.I’d suggest that a better approach may be to think of two different “religious experience vs psychopathology” distinctions, one within the context of the religious worldview and one within the context of the secular worldview. Both are fuzzy and present demarcation problems of their own; both can be and ought to be destabilized.Rashed recognizes that the religious worldview does make space for illness and disease; it’s just that he says even these concepts are understood within a broader religious view of suffering:the proposal is not that religious traditions have no category of distress that is somatic in nature—of course they do—but that even with those categories, religion is never far off the horizon and will make an appearance at some point, if not in the origin or content of distress, then in terms of its broader purpose and so the recommended interventions.(Rashed, 2024, pp. 201)A vital implication of this is that the distinction between religious experience and a secular view of somatic illness would pose the same problem as the distinction between religious experience and mental illness; the religious would not have grounds to invoke it, for no illness is devoid of religious significance. And yet, the religious do meaningfully talk of “illnesses” and “diseases,” and they do meaningfully talk of “madness” (if not mental illness), and many often do meaningfully differentiate between madness and mysticism. This shows that the religious worldview has its own notions of disease and psychopathology, which differ from their secular counterparts in the sense that suffering involved is imbued with a divine purpose. The religious scholars interested in differentiating between the anomalous nature of the mystical experience and the anomalous nature of madness are interested, in part, in marking out abnormalities of thought and behavior so severe that they come to resemble the effects of somatic illness. Madness is where the internal coherence of the mystical experience breaks down, and becomes an instance of suffering at par with somatic illness.The secular worldview recognizes the phenomenology of religious experience—there is religious or mystical content—but... (shrink)

Bilimcilik farklı disiplinlerde doğa bilimleri yöntemlerinin kullanılması gerektiğinin ileri sürüldüğü felsefî bir yaklaşımdır. Güvenilir bilgiyi sağlayabilecek yegâne yolun doğa bilimlerinin yöntemi olduğu iddiası nedeniyle bilimcilik metodolojik bir yaklaşımdır ve ontolojik önkabulleri içerir. Ancak bilimci argümanın zaman yönünden başlangıcı epistemik inanışların oluşumudur, bu nedenle bilimciliğe yönelik değerlendirme ve eleştirinin epistemolojiden başlaması makuldür. Zira bilimcilik öncelikle belirli bir konu hakkındaki inanışın neye dayandırılması gerektiği sorusunun bir cevabı olmak bakımından epistemolojik bir iddiadır. Bilimciliğin epistemik ilkesi bilgi kavramının sadece bilimsel bilgiden ibaret olduğudur. Bu (...) ilkenin kabulü ile kişi doğruya sadece doğa bilimleri aracılığıyla ulaşılabileceğini önvarsayar. Ancak doğa bilimlerinin konu edindiği olgu dünyası ile insan zihni arasındaki bilgi için temel sayılan ilişki, felsefî kabuller ve kavramlar tarafından biçimlendirilmiştir. Kesin doğru olarak kabul edilebilecek zorunlu önermelerin aksine bilimsel önermeler aklın zorunlu doğruları gibi görünmemektedirler. Bu çalışmada epistemik kesinlik dikkate alınarak bilimciliğin temeline yerleştirilebilecek epistemik ilkesi eleştirilmekte ve onun neden doğru olmadığı ortaya konulmaktadır. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Dialectical Tension Between Gloomy and Rosy Prospects of Behavioral GeneticsAwais Aftab, MD (bio)Turkheimer and Greer’s article “Spit for Science and the Limits of Applied Psychiatric Genetics” (2024) offers a devastating critique of the state of psychiatric genetics, using Spit for Science (S4S) as a case study. I have read the paper many times in the process of writing this commentary, and each time I am left inarticulate. Nonetheless, I (...) hope that my comments, from the point of view of a practitioner who operates at the intersection of clinical psychiatry, psychiatric science, and philosophy of psychiatry, will be of some value to the discussion. I have no substantial disagreements with Turkheimer and Greer. The main point I wish to convey is that there is reason to hope that findings from genetic research will contribute to clinical progress in psychiatry in an incremental and iterative manner, but because psychiatric genetics has overpromised and underdelivered, we find ourselves vacillating between bullish and bearish moods.Some critics may say that the choice to selectively focus on S4S is unfair, or that it gives a misleading impression of the current state of psychiatric genetics. The launch and implementation of S4S captures a particular moment in the history of psychiatric genetics when it was known that individual associations will be small and that large samples will be needed for significant associations, but it was not appreciated exactly how small and how large respectively. Initial estimates of sample sizes needed for successful genetic associations turned out to be wildly inadequate. Progress occurred only with unprecedented international collaboration and extremely large sample sizes. For example, a 2022 genome-wide association study (GWAS) of schizophrenia included more than 76,000 people with schizophrenia and 240,000 controls (Trubetskoy et al., 2022)! S4S is one project from one institution. It is understandable in retrospect that a sample of 10,000 freshmen could only have delivered so much. It may be argued that whatever the promise of psychiatric genetics as a field, it is not constrained by the success or failure of S4S.On the one hand, it is true that S4S did not have the requisite sample size. On the other hand, the contemporary understanding of the genetics of alcohol use has not improved on insights from S4S by that much (Deak et al., 2019). SNP-based heritability estimate of problematic alcohol use [End Page 451] is close to 10% based on a GWAS of 435,000 individuals (Zhou et al., 2020), consistent with statistically non-significant estimates from S4S. The same GWAS has identified 29 risk variants, and genetic correlations with more than a hundred other phenotypes. Transcriptomic analysis has revealed that implicated genes are expressed in the brain but also in gastrointestinal, adipose, and liver tissue, pointing toward pathways of protection and vulnerability. A polygenic risk score (PRS) derived from associated variants is consistently and significantly associated with alcohol dependence, with variance explained ranging from 0.77% to 2.12% in different samples (Zhou et al., 2020).At present, PRS for problematic alcohol use has little predictive value at the individual level and is practically worthless from the standpoint of clinical practice. There are hints that genetic associations can point toward brain mechanisms involved in alcohol use disorder, but we have little to show for it yet. That PRS will achieve clinical utility is not guaranteed but neither is it impossible. A PRS for externalizing behavior explains approximately 10% of the variance, which is on par with factors such as socioeconomic status and neighborhood disadvantage (Karlsson Linnér et al., 2021). And even if PRS does not become a common part of clinical practice, it can still be a useful tool in clinical research. With regard to understanding mechanisms, the trivial effect size of the genetic association is by itself irrelevant. This point is made eloquently by Steven HymanWhen used as a tool to associate a trait with biology, the effect size of the allele on the ultimate phenotype does not matter… what makes a gene product a good drug target is not the effect size of the associated allele, but its overall role in biology… Once a pathway is shown to... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:688 JOURNAL OF THE HISTORY OF PHILOSOPHY 33:4 OCTOBER 1995 ters by Robert Payne and Gilbert Sheldon. (To my knowledge the only library in the United States that has The Theologian and Ecclesia.,tic is The Newbury Library in Chicago.) There are also letters in A Collection of Letters Illustrative of the Progress of Science, ed. J. Halliwell (London, 1840. Scholars in recent years have complained, usually justifiably, about the (...) cost of the books they need for their research. While $78.00 per volume is a lot of money, it would be well spent by anyone with a serious interest in the person or the philosophy of Thomas Hobbes. These volumes, judiciously building upon the great labors of previous scholars, are the single most important contribution to Hobbes scholarship in the twentieth century. A. P. MARTINICH University of Texas at Austin Jeff Jordan, editor. Gambling on God: Essays on Pascars Wager. Lanham, MD: Rowman and Littlefield, 1994. Pp. viii + 164. Cloth, $49.oo. Paper, $19.95. Jeff Jordan has put together nine essays which give those who want to gamble on God something to think about. Though only three of them are really about Pascalk wager, all of them are worth reading. The most entertaining paper is Roy A. Sorensen's "Infinite Decision Theory." Sorensen confronts the St. Petersburg Paradox, which stems from the fact that there are available wagers with a potentially infinite payoff on which no one would bet $ao. Suppose you are offered $2n for each throw of a standard balanced coin until a head turns up. N = the number of tosses. It could be a long time--forever--before heads turns up. By the time n = loo you would have a bag of gold bigger than the sun. But Sorensen says the right bet is at least $23,but not much more. It is also true that since we don't know which actions God will reward, any human action has a possible infinite payoff and since all such actions have the same potential payoff none is better than the others. (Some god was moved to save Coleridge's Ancient Mariner, who had kindly thoughts about water-snakes.) Sorensen also notes that it is often said (Pascal would have agreed) that persons can be of infinite worth. If so, is rescuing one drowning person as good as rescuing five? The total worth seems to be the same. (Luckily, if Cantor is to be believed, there are larger and smaller infinities.) Sorensen ends inconclusively, but he is right that decision theory needs to address the infinite. Pascal would have had something to say. He thought that his bet was morally good. To bet on God is to act as if God exists. One who treats everyone as saved behaves as if God exists. (You don't know who is saved, but if you treat the saved as damned God will be annoyed whereas if you treat the damned as saved you won't detract from their ultimate penalty.) You don't have to bet $3, you only have to do what you ought to do anyway. The incremental cost of the bet appears to be zero. Anyhow, Pascal thought that it was not the infinite payoff (in the sense of a life of bliss) which provided the main motive for the bet but the fact that the required action was one's moral duty. Moreover, nook REVIEWS 689 if everyone behaves as if everyone is saved the result is a world in which God could appear and not be crucified. To be sure, there is a chance of an infinite life. Pascal believed human beings are potentially infinite--as is shown by our capacity for extending our knowledge to the infinite--but we are also potentially nothing, as is shown by the fact that the person never really appears in our scientific accounts. It is through God that our infinity is to be achieved, and so betting on God is also betting on ourselves in a perfectly intelligible way. This involw~s a notion of infinity not explored in any of these essays, which makes it possible to share with God without changing the divine nature... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 41.3 (2003) 424-425 [Access article in PDF] Martin Beck Matustík. Jürgen Habermas: A Philosophical-Political Profile. Lanham, MD: Rowman & Littlefield Publishers, 2001. Pp. xxxvii + 341. Cloth, $85.00. Paper, $29.95.Martin Beck Matustík's Jürgen Habermas is arguably the most exciting contribution to critical theory debates and scholarship in the last decade. Not only does it provide an original and convincing portrayal of Habermas's life (...) and work to date, it shows Matustík as one of the pre-eminent twenty first-century critical theorists in his own right. And it confirms for radical social theorists that a confrontation with Habermas remains a productive encounter, for as with all of the greatest figures in the history of philosophy, we learn as much from his mistakes as from his successes.Matustík's brilliant innovation is to literally invent a new genre of philosophical biography. Studying the relationship between Habermas's life and his writings, Matustík distinguishes between authoring (the dramatic situations of one's life) and authorship (one's theoretical and political oeuvre). Taken separately, both Habermas's authoring and authorship demonstrate huge, sometimes culpable, blindnesses and aporias. Combined, they show him to be one of the most nuanced and provocative intellectuals of our age.Habermas's authorship is quite well known and academically influential, resulting recently in what some have called a critical theory industry. (Matustík previously explored this authorship in Postnational Identity: Critical Theory and Existential Philosophy in Habermas, Kierkegaard, and Havel [Guilford, 1993].) Through a fascinating account of his well-known major works combined with many lesser known (and untranslated) ones such as the Kleine Politische Schriften, Matustík convincingly describes Habermas's oeuvreas an integration of "the constitutional needs of 1945 with the revolutionary core of 1968, while searching for an audience and the procedurally supported life forms that would receive this historical integration" (91). Matustík's reconstruction of the existential dimension of Habermas's communicative turn continues to challenge more conservative third-generation critical theorists as well as those discontents who merely focus on his formalistic and legalistic turn since the publication of the monumental Theorie des Kommunikativen Handelns. Left here, Jürgen Habermas would already constitute a major contribution.But all is not left here; the bulk of the text engages the dramatic, generational profiles that comprise Habermas's heretofore underthematized authoring, including:his "existentially motivated philosophical birthday," May 8, 1945;his 1953 public break with Heidegger, publishing "Mit Heidegger gegen Heidegger denken";his participation in the anti-nuclear movement of the late 1950s;his "break" with the student movement after Benno Ohnesorg's murder by Berlin police in 1967;his involvement in the controversies around the German Autumn in 1977; andhis qualified support for the Gulf War in 1991, and then again for the 1999 NATO intervention in Kosovo/a.In the connection between authoring and authorship, Habermas's true richness as an intellectual emerges. For he has been involved in an intricate dance between what Matustík calls "learning by disaster" and "blindness by disaster" that captures the true heart of communicative ethics and critical social theory for a skeptical age. First his blindness: [Habermas] says yes only to those aspects of the student movement that fit within his horizon.... He misses the core of the worldwide student movements, the core inspired by the postcolonial turn and its constitutive liberation struggles by various oppressed gender, sex, race, and economic classes. His partial no to the student movement expresses his own blindness to this main student challenge. His no is born from his blindness by disaster—his blindness by the light of liberation in 1945. (252, italics in original) Still, from as early as 1945 Habermas's life is also marked by a constantly recurring struggle with "learning by disaster," for he is indeed cognizant of the possible invasion of communication by the "monstrously" or "traumatically" unspeakable (Auschwitz). Matustík sees Habermas's writings and profile as a form of witnessing to the disasters of the traumatic past... (shrink)

Yirminci yüzyıl Türk düşüncesinin Anadolucu milliyetçiliğinin önemli bir figürü olan Nurettin Topçu’nun ahlak, din ve irade ve eğitim konusundaki görüşleri oldukça sık irdelenmiş ve bu alanda düşüncesinin özgünlüğünü ortaya koyan pek çok çalışma olmasına rağmen onun parlamenter demokrasi fikrine yönelik görüşlerini ele alan çalışma sayısı pek fazla değildir. Topçu’nun benimsediği Anadoluculuk fikri 20. Yüzyılın başında ortaya çıkmış bir düşünsel akımdır ve farklı Anadoluculuk ekollerinin varlığından söz edilebilir. Topçu’nun ruhçu milliyetçi sosyalist bir Anadoluculuk fikrini savunması, onu diğer milliyetçi yaklaşımlardan farklı kılmaktadır. (...) Özellikle Topçu’daki kapitalizm eleştirisi onun parlamenter demokrasi fikrine de eleştirel yaklaşmasına neden olmuştur. Nurettin Topçu geliştirdiği devlet anlayışı çerçevesinde demokrasiyi milliyetçiliğe aykırı bir sistem olarak görür ve bu yönden eleştirir. Bu eleştirinin sonucu olarak da parlamenter demokrasiye dayalı çoğulcu bir siyasal yapı yerine; korporatif otoriter bir siyasal sistemi önerir. Bu makalede düşünürün milliyetçilik anlayışı diğer milliyetçilik anlayışlarından ayrıldığı noktaları ortaya koyarak, kapitalizm eleştirisine dayalı olarak parlamenter demokrasi fikrine getirdiği eleştirileri ele alacağız ve parlamenter demokrasi yerine otoriter bir korporatizmi önerdiğini göstermeye çalışacağız. Bu çerçevede yazarın demokrasi kavramına getirdiği eleştirinin de popülist bir romantizm temelinde getirilen bir eleştiri olduğu gösterilmeye çalışılacaktır. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:TRANSIENT NATURES AT THE EDGES OF HUMAN LIFE: A THOMISTIC EXPLORATION PHILIP SMITH, O.P. Providence College Providence, R.I. T:HE CONCEPT OF human nature as the intrinsic and wdical source of characteristic human a;ctivity has great mportanoe for natural law ethics. But olosely allied to the concept of human nature is the possibility of there being tmnsient natures in humans, and this rpossirbility has implications for human life at its (...) outer edges. What transient natures are wiill he discussed 1in detail below. Let us,say for now that they are the life principles of entities transition from one state of being to another. These forms enjoy only a temporary existence before they disappear and are replaced by other emerging forms.1 When applied to the outer limits of human existence, such transient natures offer useful insights for addressing the difficult problems of when personhood begins and when death occurs. Thomistic philosophy defines a human person a;s a combination of mrutte1· and,form, more oommorrly referred to as a unity of hody and soul.2 Relativie to the beginning of Jife and the 1 Such natures are discussed in William A. Wallace, 0.P., "Nature and Human Nature as the Norm in Medical Ethics,'' in Catholic Perspectives on Medical Morals, ed. E.D. Pellegrino et al., Philosophy and Medicine Series, Vol. 24 (Dordrecht-Boston: D. Reidel Publishing Co., 1989). This essay was originally presented at an international conference held at the Joseph and Rose Kenned,y Institute of Ethies of Georgetown UniYersity, October 13-16, 1986. For further background against which Wallace's discussion should be situated, see his "Nature as Animating: The Soul in the Human Sciences,'' The Thornist 49 (l985) : 612-6'18, and "The Intelligibility of Nature: A Neo-Aristotelian View," Rev,iew of Metaphysics 38 (1984): 33-56. 2 Thomas Aquinas, St., Surnrna Theologiae, I, q.29, a.4. 191 19Q PHILIP SMITH, O.P. onset of death, this philosophy of person raises the question of w:hen tihe soul is infused into the body and when :it is 1separated from it. Is the newly-fortiilized zygote capable of :receiving and sustaining the rational soul as its,substantirul form? Or must the genetic materials be informed by one or more transient natures before they achieve ithe internal unity and stability necessary :for personhood? At the end of life, the person dies when the soul leaves the body. Does personail death coincide with the death of the human organism as a whole? Or can the destruction of only an essential part of the body, e.g. tihe cerebral cortex, cause personal death by damaging the body so severely that it is simply incapable of supporting a :rational soul, even though the rest of the body remains intact and spontaneously alive? If so, is the remaining organism informed by a succession of transient substantiail forms that maintain its existence but at ever lower levels of life as it gradually declines toward total death? In examining these questions posed by the possibility of transient natures, my point of departure will be an analysis of transient natures themselves. Recently, William A. Wallace, O.P., has 'begun to eX!plore the philosophical meaning and implications of transient natures for issues such as these.a His findings will he summarized here. The insights gathered from the exploration of transient natures will next he applied to the questions of when personhood begins and when death occurs. This will necessarily employ a fraiilework embracing both tihe empirical and the philosophical, with the empirical looking to the available biological data and the philosophical inquiring about the impact o.f these data for determining the status of human life at its outer edges. Since Aquinas's natural philoss Wallace, "Nature and Human Nature...," pp. 23-51. Additional background for his researches, apart from the essays cited in note l above, will be found in his "The Reality of Elementary Particles," Proceedings of the American Catholic Philosophical Association 38 (1964): pp. 154-166, and "Elementarity and Reality in Particle Physics," Boston Studies in the Philosophy of Science, 2nd ed. (Lanham, Md.: University Press of America, 1983), pp. 171-183 and pp. 185-212. TRANSIENT... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Reinhold Niebuhr and Paul Ramsey: Idealist and Pragmatic Christians on Politics, Philosophy, Religion, and WarBradley BurroughsReinhold Niebuhr and Paul Ramsey: Idealist and Pragmatic Christians on Politics, Philosophy, Religion, and War Kevin Carnahan Lanham, Md.: Lexington Books, 2010. 302 pp. $75.00.In a time when the “war on terror” and the polarization of American political culture have raised acute questions about politics, war, and the use of power, Kevin Carnahan (...) believes ethicists could benefit from the legacies of Reinhold Niebuhr and Paul Ramsey. During a similarly vexed period, Niebuhr and Ramsey found themselves at odds over the morality of the Vietnam War. Carnahan’s project seeks to elucidate the underlying sources of this disagreement, examining in turn how each thinker construes the task of moral theology, the nature of political society, and the moral status of war. Throughout these treatments, Carnahan illustrates how Niebuhr and Ramsey elaborated “overlapping but divergent” positions profoundly influenced by their respective encounters with pragmatism and idealism.Even as he shows how Niebuhr modified the pragmatist inheritance and Ramsey the idealist, Carnahan highlights how both were shaped especially by the way in which these traditions sought to counter specific moral dangers. For pragmatists, the key danger lay in the kind of moral fanaticism that blithely assumes its own righteousness. Sensitized to this threat, Niebuhr articulated a moral theology centered upon an understanding of love as an ideal that is always relevant yet never fully realizable in history, a construal that subverts all pretensions to righteousness. Idealism, on the other hand, sets itself against the danger of atomistic individualism, which Ramsey opposed by depicting social institutions in their essential forms as “‘garments of skin’... with which God... clothed naked human relations” (129) and by characterizing love as fundamentally a matter of upholding the covenants implied in such institutions. Ultimately, Niebuhr’s opposition to fanaticism predisposed him to focus upon the idolatries at play in political society and war and allowed him rather early on to descry the pretentiousness of the Vietnam War. Meanwhile, Ramsey’s thought included a presumption in favor of supporting the policies developed by social and political leaders that led him to defend American intervention in Vietnam until sometime around 1973. [End Page 218]The book’s expository work is generally surefooted and illuminative, although it at times falls into redundancy, baldly reiterating its thesis. Nonetheless, it complements existing scholarship on Niebuhr and Ramsey with an investigation of the philosophical premises of their ethical thought that each was eager to conceal. Such work will benefit scholars of Niebuhr and Ramsey as well as advanced students seeking to grasp the general architecture of their thought. Moreover, many will find Carnahan’s interpretations of Niebuhr and Ramsey impressive. For example, Carnahan portrays Niebuhr as a more Barthian and ecclessially minded thinker than most accounts. Although Carnahan understandably does not treat such indictments in detail, his rendering undercuts charges leveled by many of Niebuhr’s critics, including Bennett, Yoder, and Hauerwas. Unfortunately, though, Carnahan’s arguments on some of these disputed points are predicated upon a relatively narrow selection of essays. Still, the book unsettles assumptions and suggests further possibilities for inquiry.In addition to his expository work, Carnahan also makes a further contribution as he subjects both Niebuhr and Ramsey to constructive criticism that exposes—and identifies ways of reinforcing—some of the weaknesses of pragmatism and idealism. Eschewing a synthesis, Carnahan instead offers a mutually constructive dialogue capable of helping thinkers of both stripes think through the issues that confront contemporary America. Even if he does not elaborate on a more precise application of his insights to contemporary politics, he offers advice helpful to pragmatists and idealists alike and leaves many of us hoping that he has more to say on such matters. [End Page 219]Bradley BurroughsEmory UniversityCopyright © 2012 Society of Christian Ethics... (shrink)

Öz: Bu makale Neolitik döneme ait ve Anadolu’da inşa edilen ilk tapınak olma özelliğine sahip Göbeklitepe’yi ele almaktadır. Arkeologlara göre burası insanlığın en eski tapınaklarından biridir. Göbeklitepe, yerleşik hayattan ve tarımsal üretimden yoksun olan avcı-toplayıcı toplulukların dinsel inanışları hakkında çok önemli bilgiler sunar. Bu tapınak, arkaik insanların dinden ve inançtan yoksun ilkel bir hayat sürmediklerini, aksine bir inanca sahip olduklarını, inançlarını yaşamak için tapınak inşa ettiklerini ve zengin bir dinî sembol kullandıklarını göstermektedir. Göbeklitepe, insanların yerleşik hayata geçip kendisi için konut (...) yapmadan, hayvanları evcilleştirmeden ve tarımsal üretime başlamadan önce dinî ihtiyaçlarını karşılamak için tapınak yaptığının bir göstergesidir. Özet: Bu makale Neolitik döneme ait ve Anadolu’da inşa edilen ilk tapınak olma özelliğine sahip Göbeklitepe’yi ele almaktadır. Şanlıurfa yakınlarında 1995 yılında başlatılan arkeolojik kazılar, insanlık tarihine bakış açımızı değiştirmiş ve geçmiş hakkında sahip olduğumuz bilgilerin doğruluğunu test etme imkânı sunmuştur. Göbeklitepe, arkaik insanın inanç ve düşünce dünyası hakkındaki bilgilerimizin gerçeği yansıtmadığını göstermiştir. Yaşamını avcı-toplayıcı olarak sağlamaya çalışan, din ve soyut düşünceden yoksun olduğu düşünülen, çanak-çömlek yapmasını bile bilmeyen, tarımı ve yerleşik hayatı keşfetmemiş insanların yoğun ve zengin bir sembolik anlatıma sahip tapınaklar yapması, bilim adamlarını derinden etkilemiştir. Toplamda 20 adet olan ve çapı 10 -30 metre arasında değişen dairesel yapılardan oluşan Göbeklitepe tapınaklarının en ilgi çekici unsuru, T biçiminde olan ve üzerinde soyut sembol ve hayvan kabartmalarını bulunduran dikili taşlardır. Dairesel yapının merkezinde iki adet ve çevresinde 10 ile 12 adet arasında T biçiminde yaklaşık 200 tane dikili taş bulunmaktadır. Bu T biçimindeki dikili taşlar üzerinde kapsamlı bir inceleme yapıldığında ve kadim Anadolu ve Mezopotamya uygarlıklarının dinsel inanışları ve tapınak kültü göz önünde bulundurulduğunda, bu dikili taşların tanrıları sembolize ettiği anlaşılmaktadır. Göbeklitepe, çocukları veya daha küçük dereceli tanrılar tarafından çevrelenen ve bu tanrıların oluşturduğu çemberin merkezinde yer alan tanrı ve tanrıça çiftinin oluşturduğu tanrılar panteonunun kutsal alanıdır. Göbeklitepe bir tapınak olmanın ötesinde karanlıkta kalmış bir inanç sisteminin en önemli temsilcisi olarak karşımızda durmaktadır. Yazılı kaynakların bulunmadığı ve sınırlı arkeolojik verilerin elde edilebildiği Neolitik Dönemin erken evresine ait olan Göbeklitepe, bu dönemde yaşamış arkaik insanın inanç ve düşünce dünyasını bize göstermektedir. Bu megalitik yapının yapısal ve biçimsel özellikleri, arkaik insanın sanıldığı gibi ilkel olmadığını kanıtlamaktadır. Göbeklitepe, dinin doğuşu ve gelişimi konusunda çok önemli bilgiler sunmaktadır. Özellikle evrimci ve pozitivist bakış açılarıyla oluşturulmuş ve dinin büyü, ruh, korku, atalara tapma gibi basit ve asılsız yapılardan doğup zamanla karmaşık ve kurumsal inançlar biçimine dönüştüğünü öne süren teorilerin gerçeği yansıtmadığını göstermiştir. Araştırmacılar, avcı-toplayıcı toplulukların yerleşik hayata ve tarımsal üretime geçtikten sonra toplumsal yaşamla birlikte bazı sorunlarla karşılaştıklarını ve bu sorunlara çözüm arayışının dinlerin doğuşunu hazırladığını düşünüyorlardı. Diğer bir ifade ile kurumsal dinler, karmaşık toplumsal yaşamın bir ürünü ve sonucu olarak görülüyordu. Fakat Göbeklitepe dinsel inanışların düşünülenden çok daha eski dönemlerde, kurumsal olarak ve basit olmayan formlarda bulunduğunu göstermiştir. Göbeklitepe’nin, bilinen en eski ve ilk tapınak yapısı olduğu iddia edilmektedir. Kendisinden önce bilinen antik tapınaklardan en az 5000 yıl eski olan bu megalitik yapı, uygarlığın gelişiminde dinsel inanışların ne kadar etkili ve önemli olduğunu açık bir şekilde göstermektedir. Uzun yıllar kazı başkanlığını yapmış olan arkeolog Klaus Schmidt, Göbeklitepe’nin ortaya çıkmasıyla birlikte “.. önce tapınak kuruldu sonra şehir. ” sözleriyle, insanoğlunun genlerinde bulunan inanma ihtiyacının ne kadar öncelikli olduğunu ifade etmiştir. Göbeklitepe insanoğlunun konut, tarım ve çanak çömlek gibi temel ihtiyaçlardan önce görkemli ve karmaşık tapınaklar yaptığını ve bunun arkaik insan topluluklarının güçlü inanç duygusundan kaynaklandığını göstermiştir. İnsanın genlerinde bulunan inanma ihtiyacı insana her şeyden önce tapınak yapmayı ilham etmiştir. Göbeklitepe ile temsil edilen inanç sistemi ve düşünce dünyasının ne kadar zengin ve etkili olduğunu, aynı bölgede en az 5000 yıl sonra ortaya çıkan Anadolu ve Mezopotamya uygarlıkları üzerindeki etkisinden anlayabiliriz. Bu uygarlıkların tapınak yapıları ve dinsel inanışları, bu megalitik yapı ile dikkate değer bir biçimde uyuşmaktadır. Bu uygarlıkların karanlıkta kalmış yönlerini ortaya çıkarmada, Göbeklitepe kaçırılmayacak bir fırsat sunmaktadır. Bu megalitik yapı ortaya çıktığında büyük ses getirmiş ve bilim insanlarının ilgisini çekmiştir. Hakkında yazılı ve görsel basında çok sayıda haberin çıktığı bu tapınak kompleksinin, Aden bahçesi, Babil Asma Bahçelerinin kalıntısı, Şaman tapınağı ve uzaylıların merkezi olduğu iddiaları ortaya atılmıştır. Göbeklitepe üzerinde yapılan arkeolojik kazıların ilerlemesi ve onun hakkında daha fazla bilgiye ulaşılması, onun bir ritüel merkezi olarak tapınak olduğunu göstermiştir. Göbeklitepe’nin yapısal ve biçimsel özellikleri, bu yapının her şeyden önce bir tapınak olduğunu göstermiştir. Gerek dikili taşlardan oluşan dairesel yapıları ve gerekse yerleşim yerlerinden uzak yüksek bir tepede bulunması bu düşünceyi güçlendirmektedir. Göbeklitepe’yi avcı-toplayıcı toplulukların ibadet ettikleri, tanrılara kurbanlar sundukları, yılın belirli dönemlerinde dinî festival ve şölenler gerçekleştirdikleri, tanrıların yaşadığı kutsal mekânlar olarak gördükleri ve kutsalı tecrübe ettikleri bir tapınak olarak düşünmek daha doğru bir yaklaşımdır. Göbeklitepe’nin, tarih boyunca inanç merkezi olarak kalmış ve peygamberler şehri olarak bilinen Şanlıurfa’da ortaya çıkması ülkemiz için önemli bir ekonomik ve kültürel fırsat oluşturmuştur. Anadolu’nun ne kadar kadim ve zengin bir kültürel dokuya sahip olduğunu kanıtlayan bu megalitik yapı, ortaya çıktığı günden beri birçok yerli ve yabancı araştırmacının akınına uğramıştır. Bilimsel literatürün en eski ve ilk tapınağı olan Göbeklitepe, arkaik insanın günümüz insanına miras olarak bıraktığı ve insanlığın ilk dönem sırlarını taşıyan gizemli bir tapınak kompleksidir. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Kant’s Critique of the Power of Judgment: Critical EssaysTed KinnamanPaul Guyer, editor. Kant’s Critique of the Power of Judgment: Critical Essays. Lanham, MD: Rowman & Littlefield, 2003. Pp. xxiii + 253. Cloth, $75.95. Paper, $27.95.The volume under review is a collection of essays on a wide range of topics concerning Kant's Critique of the Power of Judgment. All the papers included here have been published previously, although many (...) of them in places where they might not be easily accessible to English-speaking philosophers. While some of the articles will be familiar to Kant scholars, this collection should be useful to specialists and valuable to students first delving into the third Critique.One essay in the volume, Guyer's own piece on "Kant's Principles of Reflecting Judgment," will be of particular interest to Kant scholars. Guyer's thesis here is that the account of reflecting judgment Kant offers in the Critique of the Power of Judgment is both continuous with the account of regulative principles of reason in the Critique of Pure Reason and the basis of the unity of the third Critique as a whole. He supports this by demonstrating how each of the sorts of judgment discussed in the work can be seen as an application of the broader account of reflecting judgment in general. Guyer identifies five such applications, and shows that each of them has three features central to regulative principles: they set a goal of constructing a system within a certain specific range of cognitions; they require the suitability of objects for attainment of the goal in question, and thus are transcendental [End Page 499] and not merely logical principles; and they supply heuristic advice for the investigation of nature. Thus every form of judgment can with justice be considered as an instance of the general activity of reflecting, that is, finding a universal for a given particular.Several of the essays included here concern the most prominent issues relating to the Analytic of the Beautiful. Nick Zangwill's piece deals with the disinterestedness of aesthetic judgment, while Christopher Janaway's "Kant's Aesthetics and the Empty Cognitive Stock" debunks what he sees as misguided readings of the role of concepts in judgments of taste. In "The Idealism of Purposiveness," an excerpt from his 1993 book Kantian Aesthetics Pursued (Edinburgh, 1993), Anthony Savile criticizes what he calls the "established reading" of Kant's claim that beautiful objects exhibit "purposiveness without purpose." On this reading, to say that a thing is purposive without purpose is to say that it appears to be designed, but to no particular purpose. Savile argues instead that we should take purposiveness without purpose to indicate that an object is suitable for a function, but not as a result of conscious design. Articles by Eva Schaper (from her well-known book on Kant's aesthetics) and Malcolm Budd discuss the distinction between free and dependent beauty and the account of the sublime, respectively.Some of the other selections in the volume are interesting for their focus on somewhat neglected aspects of the third Critique. One such aspect is the role of the imagination in Kant's account of aesthetic appreciation, and by extension in cognition more generally. In "Imaginative Freedom and the German Enlightenment," Jane Kneller argues that appreciation of the role of imaginative freedom in Kant's account of aesthetic judgment helps to connect Kant to the Enlightenment rationalist tradition that saw the value of art in its ability to educate and improve those who appreciate it. This education cannot, of course, be of the most straightforward nature, since Kant emphatically argues that to judge a thing beautiful is altogether different from judging it morally good. Instead, Kneller argues, our awareness of our own imaginative freedom provides us with evidence of our ability to realize the "highest good" on earth, evidence otherwise denied us in Kant's philosophy. Also addressing the theme of imagination is Donald Crawford's "Kant's Theory of Creative Imagination," in which he points out striking parallels between Kant's account of the imagination's role in mathematics and in the creation of fine art.Another aspect of Kant... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy and Literature 25.2 (2001) 350-353 [Access article in PDF] Book Review The Ways of Naysaying: No, Not, Nothing, and Nonbeing, The Ways of Naysaying: No, Not, Nothing, and Nonbeing, by Eva T. H. Brann; xviii & 249 pp. Lanham, Md.: Rowman & Littlefield Publishers, 2001, $35.00. This, the third of Eva Brann's trilogy on imagination, time, and naysaying respectively, is described by one of her colleagues as her (...) "cradle-to-grave book" (p. xvi). The word "naysaying" plays felicitously on the sound of the English word "nay" and the cognate Indo-European root "ne," which gives Brann a convenient starting-point for discerning what various forms of naysaying have in common. Note that this is saying rather than thinking, being, or doing, although the relations among these acts are a recurring concern in her discussion. Unlike some "postmoderns," Brann does not regard language as a self-contained arena with no reference outside of itself. Rather, for her, language is a convenient medium for thinking about what is extralinguistic, whether in the mind or elsewhere.Nor does she think that a word must necessarily have some underlying unity beneath its various meanings. In fact, heeding Wittgenstein's warning, she admits that "it is a pathologically bad craving to want a word to have one ultimate meaning, worse to look for one meaning over many words, and worst to assume that such a meaning may apply to a something beyond the realm of language." Nevertheless, she suggests, "this craving to look for one truth behind many appearances may be simply irradicable, being nothing less than the philosophical impulse" (p. xiv).Where does her "philosophical impulse" focus, on texts or on things? She explicitly tells us that texts are indispensable (at least for her) to get very far with the things themselves (p. 2). And so, in the course of her investigation, she attends to Parmenides, Plato, Aristotle, Anselm, Kant, Fichte, Hegel, Bergson, Frege, Meinong, Russell, Whitehead, Dewey, Heidegger, and Wittgenstein, among others. Nonetheless, she begins by noticing a sort of willful denial that is pre-linguistic and "speechless" (the contrariness of an infant), and she ends with the nothingness that is void of all language and everything else. These two topics, expressed by the words "No" (Chapter One) and "Nothing" (Chapter Six) respectively, "frame" her inquiry (p. 42). Along the way she always has an eye to what lies behind or beyond language, in the world or in the mind, with a chapter each for "Not," "Nonexistence," "Nonbeing," and "Negativity." She [End Page 350] says that Chapter Four, concerning "Nonbeing," is the center and philosophic focus of her study. Brann's chapters thus represent the six big divisions for organizing her observations. Indeed, for Brann, the plurality of naysayings "seems to fall naturally" into her sixfold division (p. xiv).Thoughtfully pondering this structure takes the reader a long way toward understanding the work (in both senses of "work": the thought itself and the text which records that thought). The chapter divisions progress from the willful, through the logical, the imaginative, the philosophic, and the dialectical, to end, as we noted, in the absolute Nothing, the "antagonist of Being." For instance, the distinction between the first two--the willful and the logical--is the distinction between the personal (denial) and the impersonal (negation). In considering willful denial, Brann understands the will to be a "willingness, inclination, readiness"--usually "determinate," "focused and active" (p. 7). Likewise, negation also has a personal origin: "Negation arises from the human desire and ability to make distinctions; it is (most likely) grounded in the opposition and polarities that belong to beings (of which the first... is surely that of thinking itself to its object, be it ideal or real)" (p. 29f.). Thus, although logical negation seems to originate in the personal subject there is something quite detachable and impersonal about logical formulations, so that Heraclitus "bids people hear his truth 'not listening to me but to the logos,' the cosmic collecting and distinguishing power" (p. 128). So the logos that begins for us as "reason manifested in... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Princess and the Philosopher: Letters of Elisabeth of the Palatine to Rene DescartesRichard A. WatsonAndrea Nye. The Princess and the Philosopher: Letters of Elisabeth of the Palatine to Rene Descartes. Lanham, MD: Rowman & Littlefield, 1999. Pp. xiii + 187. Cloth, $57.95. Paper, $18.95.Princess Elisabeth was an acute, persistent critic of Descartes's philosophy. Because he liked her and she was a princess, Descartes did not dismiss her (...) criticisms as he did those of Gassendi and Hobbes. How can an immaterial mind interact with a material body? How can God determine all our actions and yet give us free will? Elisabeth was dissatisfied with Descartes's answer that an all-powerful God can do anything even if we cannot understand how.Andrea Nye analyzes the correspondence between Elisabeth and Descartes to support the thesis that Elisabeth developed and defended a worldly philosophy of life in opposition to the unworldly rules Descartes offered for living a tranquil and happy life. Descartes said she should focus on the separation of the mind from the body to avoid disturbing the intellect with sensory matters. Think positively about such nice things as birds and flowers and not of bad things that happen to one. Descartes told Elisabeth that "there are no events so dreadful, nor so absolutely bad in the judgments of people, that a person of spirit cannot look on them with a bias that makes them appear favorable" (48). If we do our best to find out the right course of action and act accordingly, then even if the results are bad, we have no reason for remorse or recrimination, but can be happy that we have done the best we can. Descartes even says that a person who follows his rules can view everything that happens to him, even the worst, as though these events were taking place in a theatre, for in the end they do not impinge upon the ultimate happiness of one's immortal soul.Elisabeth, earnestly. sardonically, and sometimes with annoyance responds that this is perhaps possible for a single man of independent means with few civil and personal relationships, but for someone engaged in family affairs, royal politics, and social interaction with other human beings, Descartes's philosophy of life is both impossible and wrong. One never knows what is best; even if one did know, it is difficult to carry it out; and finally, if the results are bad, then one is after all responsible. One would be inhuman to deny fault, monstrous to deny moral responsibility. Above all, Elisabeth says, one should not view one's own life as theatre. One must be responsible for oneself and others.Nye casts this as a difference between Descartes's abstract and Elisabeth's particularist approaches to life, but also as a contrast between those who can live a disengaged life and those who cannot. Some of the amusement in Nye's perceptive discussions comes from her showing how Descartes's passions often run away with him, and how Elisabeth gently turns his own rules back onto him. [End Page 277]Nye's analyses of the correspondence are excellent, but she makes some mistakes about the lives of Descartes and Elisabeth. Nye explains Descartes's coolness by his having suffered from a "motherless infancy" (129), even speaking of "the mother's milk denied him as a child" and calling him an "orphan" (156), which he was not. His mother died thirteen months after his birth, but he had a wet nurse. Descartes may never have tasted his own mother's milk, but he was never deprived of nursing. Children were often sent to live with wet nurses for as long as four years, although Descartes is traditionally said to have been raised by his grandmother. In any event, such psychoanalyzing is off the mark.Nye also says that Descartes was asked by Queen Christina to write a ballet. She cites the wrong ballet and attributes a verse from the right ballet incorrectly, but beyond that, there is no evidence either that Descartes wrote verses for a ballet or that Christina asked him to.Then Nye speaks of Descartes's daughter Francine... (shrink)

Despite the fact that Islam is one of the major religions, the frameworks of this faith are yet to be fully understood. As a consequence, it is being confused with activities contrary to its teachings. Islam has an elaborate treatment for almost every aspect of life including the affairs of business. Business is an acceptable and dignified occupation, which has to be conducted within the given frameworks. Islam encourages the creation, acquisition and consumption of wealth, and the fulfilling of certain (...) conditions in so doing. Wealth is held in trust as a gift from God. The terms of reference of this trust are to be complied with. Ethical principles do play a major role in shaping the behavior of a Muslim, in or out of business. In an era of globalization, the need for a better understanding of the premises of Islamic faith cannot be overemphasized. (shrink)

This paper demonstrates the political perspective of corporate social responsibility disclosures and, drawing on Weber’s notion of traditionalism, seeks to explain what motivates companies to make such disclosures in a traditional setting. Annual reports of 23 banking companies in Bangladesh are analysed over the period 2009–2012. This is supplemented by a review of documentary evidence on the political and social activities of corporations and reports published in national and international newspapers. We found that, in the banking companies over the period (...) of study, apparently neutral, corporate, philanthropic activities disclosed and promoted in CSR reports are inextricably linked to powerful leaders’ personal projects and the ruling party’s agendas. We have demonstrated elements of traditional societies, including personal loyalty and the public display of loyalty, the master–servant relationship, and obedience to personal rather than formal authority, provide an understanding of why banks have employed politically charged CSR disclosure strategies. The paper contributes to disclosure studies where political motivations of corporate disclosure rarely discussed. The paper extends the debate on political CSR by demonstrating that the role of family and familial values at the organisational and national levels may be much more important when it comes to CSR disclosure and activities. (shrink)

This study aims to identify artificial intelligence (AI) technologies that are applied in climate-smart agricultural practices and address ethical concerns of deploying those technologies from legal perspectives. As climate-smart agricultural AI, the study considers those AI-based technologies that are used for precision agriculture, monitoring peat lands, deforestation tracking, and improved forest management. The study utilized a systematic literature review approach to identify and analyze AI technologies employed in climate-smart agriculture and associated ethical and legal concerns. The study findings indicate several (...) ethical concerns for deploying AI in climate-smart agricultural practices pertaining to data inaccuracy, other technical errors based on wrong recommendations or wrongful acts, data ownership and intellectual property issues, and economic issues resulting in digital division and privacy and security related issues. In this study, the ethical concerns were further examined based on criminal law, tort law, privacy and data protection law, and intellectual property law. In this regard, the study finds that the current tort law pattern is more suitable than the criminal law pattern to address some major ethical concerns, such as data inaccuracy and other technical errors based on wrong recommendations or wrongful acts. Finally, the study recommends that at the global level, all countries need to fill up the current gap of international law on climate-smart agriculture through agreeing on a standard set of legal provisions and enhancing collaboration in innovation and deployment of climate-smart agricultural AI. It further recommends that at the local level, countries need to adopt suitable regulations addressing multi-stakeholders’ interests associated with the deployment of climate-smart agricultural AIs. (shrink)

Animals have encountered cruelty and suffering throughout the ages. It is something perpetrated up till this day, particularly, in factory farms, animal laboratories, and even in the name of sports or amusement. However, since the second half of the twentieth century, there has been growing concerns for animal welfare and the protection of animal rights within the discourse of environmentalism, developed mainly in the West. Nevertheless, a recently developed Islamic Ecological Paradigm rooted in the classical Islamic traditions contests the ‘Western’ (...) monopoly of modern environmentalism, sug­gesting that there is much in Islamic traditions dealing with environmental issues in­cluding non-human animal species. IEP asserts that several centuries ago Islamic traditions significantly focused on and strongly advocated for animal welfare and animal rights. This paper explores and examines animal rights within the broader spectrum of Islamic environmentalism or Islamic eco-ethic. While the philosophical roots of IEP concerning animal rights date far back in seventh century, it can potentially make both ethical and educational contributions to the twenty-first century environmentalism and animal rights movements. (shrink)

Organ transplantation from living related donors in Bangladesh first began in October 1982, and became commonplace in 1988. Cornea transplantation from posthumous donors began in 1984 and living related liver and bone marrow donor transplantation began in 2010 and 2014 respectively. The Human Organ Transplantation Act officially came into effect in Bangladesh on 13th April 1999, allowing organ donation from both brain-dead and related living donors for transplantation. Before the legislation, religious leaders issued fatwa, or religious rulings, in favor of (...) organ transplantation. The Act was amended by the Parliament on 8th January, 2018 with the changes coming into effect shortly afterwards on 28th January. However, aside from a few posthumous corneal donations, transplantation of vital organs, such as the kidney, liver, heart, pancreas, and other body parts or organs from deceased donors, has remained absent in Bangladesh. The major question addressed in this article is why the transplantation of vital organs from deceased donors is absent in Bangladesh. In addition to the collection of secondary documents, interviews were conducted with senior transplant physicians, patients and their relatives, and the public, to learn about posthumous organ donation for transplantation. Interviews were also conducted with a medical student and two grief counselors to understand the process of counseling the families and obtaining consent to obtain posthumous cornea donations from brain-dead patients. An interview was conducted with a professional anatomist to understand the processes behind body donation for the purposes of medical study and research. Their narrative reveals that transplant physicians may be reticent to declare brain death as the stipulations of the 1999 act were unclear and vague. This study finds that Bangladeshis have strong family ties and experience anxiety around permitting separating body parts of dead relatives for organ donation for transplantation, or donating the dead body for medical study and research purposes. Posthumous organ donation for transplantation is commonly viewed as a wrong deed from a religious point of view. Religious scholars who have been consulted by the government have approved posthumous organ donation for transplantation on the grounds of necessity to save lives even though violating the human body is generally forbidden in Islam. An assessment of the dynamics of biomedicine, religion and culture leads to the conclusion that barriers to posthumous organ donation for transplantation that are perceived to be religious may actually stem from cultural attitudes. The interplay of faith, belief, religion, social norms, rituals and wider cultural attitudes with biomedicine and posthumous organ donation and transplantation is very complex. Although overcoming the barriers to organ donation for transplantation is challenging, initiation of transplantation of vital organs from deceased donors is necessary within Bangladesh. This will ensure improved healthcare outcomes, prevent poor people from being coerced into selling their organs to rich recipients, and protect the solidarity and progeny of Bangladeshi families. (shrink)

This book discusses Asian medicine, which puts enormous emphasis on prevention and preservation of health, and examines how, in recent decades, medical schools in Asia have been increasingly shifting toward a curative approach. It offers an ethnographic investigation of the scenarios in China and India and finds that modern students and graduates in these countries perceive Asian medicine to be as important as Western medicine. There is a growing tendency to integrate Asian medicine with Western medical thought in the academic (...) curriculum that has led to a gradual decline of Asian medical thought and practices. At the same time, there has been a massive rise in patent drugs, health products and cosmetics being sold under the brand names of Asian medicine or herbal medicine. Most of these drugs and health products do not follow the classical formulas found in the Asian medical texts. The book analyses these texts and concludes that contemporary Asian medicine rarely follows the classical texts, and in fact uses Asian medicine brands to sell Western health products and practices. With a particular focus on the formal and professional sector of Chinese herbal medicine and Indian ayurvedic medicine in urban areas, this book appeals to a broad readership, including undergraduate students and academics as well as non-experts. Md. Nazrul Islam is an Associate Professor in the General Education Office, United International College, Beijing Normal University-Hong Kong Baptist University. He was a Visiting Associate Professor in the School of Population and Public Health, University of British Columbia (2015-16) during which time he completed this book manuscript. (shrink)