Although typically implicit, clinicians face an inherent conflict between their roles as medical healers and as providers of technical biomedicine (Scott et al. in Philos Ethics Humanit Med 4:11, 2009). This conflict arises from the tension between the physicalist model which still predominates in medical training and practice and the extra-physicalist dimensions of medical practice as epitomised in the concept of patient-centred care. More specifically, the problem is that, as grounded in a "borrowed" physicalist philosophy, the dominant "applied scientist" model (...) exhibits a number of limitations which severely restrict its ability to underwrite the effective practice of care. Moreover, being structural in character, these problems cannot be resolved by piecemeal modifications of the existing model, nor by an appeal to evidence-based medicine (Miles in J Eval Clin Pract 15(6):887-890, 2009; Miles in Folia Med 55(1):5-24, 2013; Miles et al. in J Eval Clin Pract 14(5):621-649, 2008). Hence, the need for medical theorists to "partner with experts in the humanities to build a sui generis philosophy of medicine" (Whatley in J Eval Clin Pract 20(6):961-964, 2014, p. 961). In response, the present paper seeks to vindicate the merits of hermeneutically-informed template in providing the requisite grounding. While capable of correcting for the limitations of the applied scientist model, a hermeneutically-informed template is a "both/and" approach, which seeks to complement rather than exclude the physicalist dimension, and thereby aspires to reconcile technical mastery with patient-centred care, rather than eschew one in favour of the other. As such, it can provide a cogent philosophical template for current best practice, which does justice to the art as well as the science of medical care. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Eucharistic Form of God: Trinity, Incarnation, and Sacrament in the Theology of Hans Urs von Balthasar by Jonathan Martin CirauloNicholas J. HealyThe Eucharistic Form of God: Trinity, Incarnation, and Sacrament in the Theology of Hans Urs von Balthasar. By Jonathan Martin Ciraulo. Notre Dame, Ind.: University of Notre Dame Press, 2022. Pp. xiii + 297. $50.00 (hardcover). ISBN: 978-0-268-20223-1.In Fides et Ratio 93, under the heading “current (...) tasks for theology,” John Paul II writes:The chief purpose of theology is to provide an understanding of Revelation and the content of faith. The very heart of theological enquiry will thus be the contemplation of the mystery of the Triune God. The approach to this mystery begins with reflection upon the mystery of the Incarnation of the Son of God: his coming as man, his going to his Passion and Death.... From this vantage-point, the prime commitment of theology is seen to be the understanding of God’s kenosis, a grand and mysterious truth for the human mind, which finds it inconceivable that suffering and death can express a love which gives itself and seeks nothing in return. In this light, a careful analysis of texts emerges as a basic and urgent need: first the texts of Scripture, and then those which express the Church’s living Tradition. On this score, some problems have emerged in recent times, problems which are only partially new; and a coherent solution to them will not be found without philosophy’s contribution.These words about the mystery of Jesus Christ’s life and death as a revelation of the Triune God—and about the emergence of new difficulties and questions—underscore the importance of a dialogue between St. Thomas Aquinas and the great twentieth-century theologian Hans Urs von Balthasar. As two recent books written from a Thomistic perspective have shown (Aidan Nicholas, Balthasar for Thomists [San Francisco: Ignatius Press, 2020]); [End Page 715] Matthew Levering, The Achievement of Hans Urs von Balthasar [Washington, D.C.: The Catholic University of America Press, 2019]), Balthasar’s profound indebtedness to the metaphysics of Aquinas provides a solid foundation for dialogue. And yet a number of difficulties remain. What is the relationship between the so-called real distinction of esse and essence and the hypostatic union of two natures in the person of the Son? How and in what sense does the paschal mystery of Jesus’s death and Resurrection presuppose and express the mystery of the Father’s eternal generation of the Son? In the words of Joseph Ratzinger, “in the pierced heart of the Crucified, God’s own heart is opened up—here we see who God is and what he is like” (Spirit of the Liturgy [San Francisco: Ignatius Press, 2000], 48). How does the mystery of Christ’s Eucharist reveal the heart of God?This last question about the Eucharist and the nature of God is explored in depth in Jonathan Martin Ciraulo’s monograph, The Eucharistic Form of God: Hans Urs von Balthasar’s Sacramental Theology. Despite the expansive title, the primary aim of this book is fairly straightforward: to present Balthasar’s theology of the Eucharist and to show the significance of his thought for contemporary sacramental theology. Anyone who seeks to offer a systematic account of Balthasar’s theology of the Eucharist is confronted with at least two basic obstacles or challenges. First, his reflections on the Eucharist are scattered throughout (and often hidden within) an immense and complex corpus of writings. Second, the most distinctive feature of Balthasar’s theology of the Eucharist is the inseparability of his sacramental theology from his speculative account of the central mysteries of the Christian faith—Trinity, Incarnation, Cross and Resurrection, Church, and eschaton.The Eucharistic Form of God represents a thoughtful, well-written, and original response to this twofold challenge. Regarding the first point: Ciraulo demonstrates an intimate familiarity with the whole of Balthasar’s corpus. He draws together Balthasar’s early writings on German literature, his monographs on Origen, Gregory of Nyssa, and Maximus the Confessor, his engagement with Karl Barth, his interpretation of twentieth-century French Catholic literature... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Freedom, Truth, and Human Dignity: The Second Vatican Council’s Declaration on Religious Freedom: A New Translation, Redaction History, and Interpretation of “Dignitatis humanae.” by David L. Schindler and Jr. Nicholas J. HealyBarrett H. TurnerFreedom, Truth, and Human Dignity: The Second Vatican Council’s Declaration on Religious Freedom: A New Translation, Redaction History, and Interpretation of “Dignitatis humanae.” By David L. Schindler and Nicholas J. Healy, Jr. Grand Rapids, (...) Mich.: Eerdmans, 2015. Pp. xiv + 477. $45.00 (paper). ISBN: 978-0-8028-7155-8.“I fear that you are going to give the inaccurate impression that this document was exclusively the work of the Americans at the Council, or nearly so,” wrote Ernest Primeau, an American bishop who helped revise Dignitatis humanae (DH) at Vatican II, to a priest-journalist. “The truth is... that many others from other nations played an important role in the writing and passage of the declaration.” Despite Primeau’s warning, popular and scholarly interpretations of DH have often hewed closely to John Courtney Murray’s juridical approach, usually in contrast to the integralism of Cardinal Alfredo [End Page 309] Ottaviani and the Spanish episcopate. Yet “many others” did not fit into those two groups, for a large contingent of bishops favorable to religious liberty nonetheless sought to undergird the juridical reasoning for the right with an ontological foundation.David L. Schindler and Nicholas Healy promote these other voices in Freedom, Truth, and Human Dignity. Indeed, they argue that the other voices—the “French” or “ontological” school comprised of bishops such as Alfred Ancel and Karol Wojtyła—provide the true key to DH’s meaning and significance. The book thus responds from the perspective of Communio theology to Murray-ite political theologies that are critical of John Paul II’s emphasis on truth as the basis for freedom. Accompanying Schindler’s and Healy’s essays are conciliar texts charting the origin and influence of this ontological school: the six conciliar drafts, the oral and written interventions of Wojtyła, and an oral intervention of Ancel. These texts, transcribed from the Acta Synodalia Sacrosancti Concilii Oecumenici Vaticani II (AS), have been translated by Patrick T. Brannon, S.J., and Michael Camacho. Also included is a side-by-side comparison of the third and sixth drafts that displays the changes made to the juridical position in response to the ontological school.Schindler’s 170-page essay, “Freedom, Truth, and Human Dignity: An Interpretation of Dignitatis Humanae on the Right to Religious Freedom,” is the heart of the work. Schindler recapitulates in a fresh way themes from his prior analyses of liberalism and Murray. In section 1, he summarizes how Wojtyła’s interventions influenced the evolution of DH such that Murray’s juridical approach became subordinated to an emphasis on truth as the foundation and telos of freedom. He conveys Wojtyła’s concern that DH not divide reason and revelation, but that reason be presented as capable of knowing that religion is “nature’s crown and summit” (50). Section 2 outlines Murray’s postconciliar objections to DH’s final version, namely, that it assumes that the American juridical approach leads to relativism and that its insistence on truth as religious liberty’s foundation undermines the universality of the right by degrading the liberty of those in error. To the first, Schindler replies (in section 3) that Murray’s juridical approach necessarily entails what Servais Pinckaers, O.P., called the “freedom of indifference,” Murray’s denials of relativism notwithstanding. The juridical approach leads to the conception of civil space as something neutral to truth-claims about God, but finally results in a state-enforced indifferentism that limits the religious liberty of those who hold that all of existence, prior to human freedom, is intrinsically ordered to God. “The human act, considered from the perspective of the juridical order, is first empty; and truth thus becomes, from that same juridical perspective, adventitious, something that, as such, cannot but logically burden the free-intelligent human act by arbitrarily limiting and closing what is considered by government, for legal purposes, to be simply open, or abstracted from all (metaphysical-religious) content... (shrink)

In Religion and the Obligations of Citizenship Paul J. Weithman asks whether citizens in a liberal democracy may base their votes and their public political arguments on their religious beliefs. Drawing on empirical studies of how religion actually functions in politics, he challenges the standard view that citizens who rely on religious reasons must be prepared to make good their arguments by appealing to reasons that are 'accessible' to others. He contends that churches contribute to democracy by enriching political (...) debate and by facilitating political participation, especially among the poor and minorities, and as a consequence, citizens acquire religiously based political views and diverse views of their own citizenship. He concludes that the philosophical view which most defensibly accommodates this diversity is one that allows ordinary citizens to draw on the views their churches have formed when voting and offering public arguments for their political positions. (shrink)

Like nature itself, modern economic life is driven by relentless competition and unbridled selfishness. Or is it? Drawing on converging evidence from neuroscience, social science, biology, law, and philosophy, Moral Markets makes the case that modern market exchange works only because most people, most of the time, act virtuously. Competition and greed are certainly part of economics, but Moral Markets shows how the rules of market exchange have evolved to promote moral behavior and how exchange itself may make us more (...) virtuous. Examining the biological basis of economic morality, tracing the connections between morality and markets, and exploring the profound implications of both, Moral Markets provides a surprising and fundamentally new view of economics--one that also reconnects the field to Adam Smith's position that morality has a biological basis. Moral Markets, the result of an extensive collaboration between leading social and natural scientists, includes contributions by neuroeconomist Paul Zak; economists Robert H. Frank, Herbert Gintis, Vernon Smith, and Bart Wilson; law professors Oliver Goodenough, Erin O'Hara, and Lynn Stout; philosophers William Casebeer and Robert Solomon; primatologists Sarah Brosnan and Frans de Waal; biologists Carl Bergstrom, Ben Kerr, and Peter Richerson; anthropologists Robert Boyd and Michael Lachmann; political scientists Elinor Ostrom and David Schwab; management professor Rakesh Khurana; computational science and informatics doctoral candidate Erik Kimbrough; and business writer Charles Handy. (shrink)

This collection of papers makes a step towards increased dialogue among philosophical liberals and their theological, sociological and legal critics. The text should be significant for those concerned with the place of religion within a liberal society.

Through a detailed re-reading of Saussure's work in the light of contemporary developments in the human, life and physical sciences, Paul Thibault provides us with the means to redefine and refocus our theories of social meaning-making. Saussure's theory of language is generally considered to be a formal theory of abstract sign-types and sign-systems, separate from our individual and social practices of making meaning. In this challenging book, Thibault presents a different view of Saussure. Paying close attention to the original (...) texts, including the Cours de Linguistic Generale, he demonstrates that Saussure was centrally concerned with trying to formulate a theory of how meanings are made. In addition to demonstrating the continuing viability of Saussure's thinking through a range of examples, Re-reading Saussure makes an important intervention in contemporary linguistic and semiotic debate. (shrink)

Clinical ethicists encounter the most emotionally eviscerating medical cases possible. They struggle to facilitate resolutions founded on good reasoning embedded in compassionate care. This book fills the considerable gap between current texts and the continuing educational needs of those actually facing complex ethics consultations in hospital settings. 28 richly detailed cases explore the ethical reasoning, professional issues, and the emotional aspects of these impossibly difficult consultations. The cases are grouped together by theme to aid teaching, discussion and professional growth. The (...) cases inform any reader who has a keen interest in the choices made in real-life medical dilemmas as well as the emotional cost to those who work to improve the situations. On a more advanced level, this book should be read by ethics committee members who participate in ethics consultations, individual ethics consultants, clinicians who seek education about complex clinical ethics cases, and bioethics students. (shrink)

Probabilistic predictions of future risk govern much of society: healthcare, genetics, social media, national security, and finance. Both policy-makers and private companies are increasingly working to design institutional structures that seek to manage risk by controlling the behavior of citizens and consumers, using new technologies of predictive control that comb through past data to predict and shape future action. These predictions not only control social institutions but also shape individual character and forms of practical reason. Risk-based decision theory shifts people's (...) relationships to the future through knowledge of possible dangers and foregone opportunities, thus inspiring anxious solicitude and deceptive hopes for total security. This book uses virtue ethics to analyze these problems and to suggest ways to enjoy these technologies' positive benefits while constraining their dangerous aspects through a better understanding of practical reasoning and a theological analysis of our responsibility for future risks. (shrink)

The essay examines the impact of thought insertion on typical conceptions of self-consciousness. Stephens and Graham have recently argued that thought insertion is compatible with the inseparability thesis, which maintains that with regard to self-consciousness subjectivity is a proper part of introspection--introspection and subjectivity are inseparable. They argue that thought insertion is an error of agency and not an error of subjectivity. The essay contends that even if they are correct in their interpretation that thought insertion is an error of (...) agency rather than subjectivity, which is unlikely, they are incorrect to maintain that it is not also an error of subjectivity. Evidence is put forth to indicate that thought insertion is, at best, a mistake of agency and subjectivity. It is concluded that thought insertion is incompatible with the inseparability thesis, and a new inseparability thesis is thereby postulated. (shrink)

Treatments of the moral doctrine of René Descartes found in the Cartesian scholarship do not typically regard the Cartesian philosophy as being devoted to moral instruction. In this essay, it is argued that the moral philosophy of Descartes involves the connection of the method enunciated in the Discourse on the Method with the „morale par provision” articulated in that work. The affinity between morals and method is found in the fact that moral dispositions are to be adapted to the progress (...) achieved in scientific technology. Accordingly, it is the advance of science that determines the good of man. And it is concluded that the Cartesian moral teaching amounts to this: That which man can do is good or moral to do. (shrink)

First published in 2000. Routledge is an imprint of Taylor & Francis, an informa company.

Elevations in brain stimulation reward (BSR) thresholds have been observed in rats undergoing nicotine withdrawal and have been proposed as a sensitive measure of the negative affective state associated with nicotine withdrawal. mGluR are presynaptic autoreceptors that decrease glutamate release when stimulated. The aim of this study was to examine the role of glutamate neurotransmission in nicotine dependence. The mGluR agonist LY314582 (2.5–7.5 mg/kg) precipitated nicotine withdrawal as measured by elevations in BSR thresholds in nicotine-treated rats but not in controls. (...) It was hypothesized that LY314582 precipitated nicotine withdrawal by decreasing glutamatergic tone at postsynaptic glutamate receptors. Therefore, the effects of MPEP (0.5–2 mg/kg), an mGluR antagonist, and MK-801 (0.01–1 mg/kg), an NMDA receptor antagonist, were examined. MPEP elevated BSR thresholds by an equal magnitude in control and nicotine-treated rats. At low doses, MK-801 (0.01–0.2 mg/kg) lowered BSR thresholds to a similar extent in control and nicotine-treated rats. At higher doses, MK-801 (0.25–1 mg/kg) disrupted performance in nicotine-treated and control rats. These data indicate that mGluR and NMDA receptors regulate BSR in opposite directions in non-dependent animals, and chronic nicotine treatment does not alter these effects. Most importantly, the data demonstrate that the mGluR is involved in nicotine dependence, but mGluR and NMDA receptors do not mediate mGluR actions in nicotine dependence. (shrink)

In Moral Leadership>, Paul J. Olscamp shows how college presidents and trustees can use basic ethical principles to help make moral decisions. Olscamp describes the nature of the college presidency and provides a summary view of western ethical theory, outlining a series of principles relating to morality and obligation.

In his essay "Natural Law, Property, and Justice," B. Andrew Lustig argues for what he calls "significant correspondences" between John Locke's theory of property and scholastic theories of property on the one hand, and between Locke's theory and contemporary Catholic social teaching on the other. These correspondences, Lustig claims, establish an intellectual "tradition of property in common." I argue that linking Aquinas--even via Locke--to the redistributivism of contemporary Catholic social teaching requires distorting his political theory. This distortion, I argue, obscures (...) the possibility of using Aquinas's political theory as a basis for radical social criticism. (shrink)

Examining the philosophical, theological, and political teachings of the Tractatus theologico-politicus, this book proposes that Benedict Spinoza fashions a ...

Operating as a machine upon the terrain of theoretical truth procedures, philosophy's radical potential describes a militant cartography: interpretation, demarcation, clarification, and demystification.

In 1971 John Rawls's A Theory of Justice transformed twentieth-century political philosophy, and it ranks among the most influential works in the history of the subject. This volume marks the 50th anniversary of the book's publication by offering a multi-faceted exploration of this important work.

Liberal political theorists are often accused of "privatizing" religion; the work of philosopher John Rawls has been especially subject to this criticism. I begin by examining what is meant by "privatization." I then consider the criticisms of Rawls advanced by Timothy Jackson, David Hollenbach, and John Langan. I argue (1) that Rawls does not privatize religion to the extent that his critics believe and (2) that criticisms of what privatization of religion Rawls does defend cannot be sustained.