Society has historically not taken a benign view of genetic disease. The laws permitting sterilization of the mentally re tarded~ and those proscribing consanguineous marriages are but two examples. Indeed as far back as the 5th-10th centuries, B.C.E., consanguineous unions were outlawed (Leviticus XVIII, 6). Case law has traditionally tended toward the conservative. It is reactive rather than directive, exerting its influence only after an individual or group has sustained injury and brought suit. In contrast, state legislatures have not been (...) inhibited in enacting statutes. Many of their products can be characterized as hasty, unnecessary, ill-conceived, and based on the heart rather than the head. Moreover the lack of expert consultation sought has also been remarkable. One state legislature, for example, has advocated immunization for sickle cell anemia! Many others have enacted laws for the screening of inborn errors of metabolism, e.g., phenylketon uria, but have poorly defined the lines of responsibility to secure compliance. A spate of specific disease-related bills has emerged in the u.S. Congress, each seeking recognition and appropriations. Sickle cell anemia, hemophilia, Cooley's anemia and Tay-Sachs disease have been among the front-runners for support. Finally, in 1975, Congress has begun to examine an omnibus bill concerning all forms of genetic disease. The bill, termed the National Genetic Diseases Act is, however, still far from being enacted. (shrink)

Philosophy and Medicine in the Formative Period of Islam. Edited by Peter Adamson and Peter Pormann. Warburg Institute Colloquia, vol. 31. London: The Warburg Institute, 2017. Pp. vi + 308. $80.

This edited volume provides a biosemiotic analysis of the ecological relationship between food and medicine. Drawing on the origins of semiotics in medicine, this collection proposes innovative ways of considering aliments and treatments. Considering the ever-evolving character of our understanding of meaning-making in biology, and considering the keen popular interest in issues relating to food and medicines - fueled by an increasing body of interdisciplinary knowledge - the contributions here provide diverse insights and arguments into the larger ecology (...) of organisms’ engagement with and transformation through taking in matter. Bodies interpret molecules, enzymes, and alkaloids they intentionally and unintentionally come in contact with according to their pre-existing receptors. But their receptors are also changed by the experience. Once the body has identified a particular substance, it responds by initiating semiotic sequences and negotiations that fulfill vital functions for the organism at macro-, meso-, and micro-scales. -/- Human abilities to distill and extract the living world into highly refined foods and medicines, however, have created substances far more potent than their counterparts in our historical evolution. Many of these substances also lack certain accompanying proteins, enzymes, and alkaloids that otherwise aid digestion or protect against side-effects in active extracted chemicals. Human biology has yet to catch up with human inventions such as supernormal foods and medicines that may flood receptors, overwhelming the body’s normal satiation mechanisms. This volume discusses how biosemioticians can come to terms with these networks of meaning, providing a valuable and provocative compendium for semioticians, medical researchers and practitioners, sociologists, cultural theorists, bioethicists and scholars investigating the interdisciplinary questions stemming from food and medicine. (shrink)

Buddhism and Medicine: An Anthology of Premodern Sources, edited by C. Pierce Salguero. Columbia University Press, 2017. 728 pp.; Hb $150. ISBN-13: 9780231179942.

During the last three decades there has been a wave of interest in narrative and narrativity in the humanistic and the social sciences. This “narrative turn” has spilled over to medicine, where narrative medicine has gained a considerable influence. However, there have also appeared second thoughts on the role of narratives in our lives, as well as on what narratives may mean in relation to clinical medicine. This article presents some influential voices in this debate and scrutinizes (...) the assumptions of narrative medicine in the light of these. It is concluded that there are sound reasons to tread this path with some caution and avoid the too far reaching ambitions on behalf of narrativity in relation to clinical medicine. However, narrative medicine should still be seen as a promising attempt within the broader scope of medical humanities to emphasize the importance of human subjectivity in clinical medicine. (shrink)

SECTION I THE PRE-HIPPOCRATICS AND PLATO So far as is known Ionian philosophy was not connected with medicine in any way. It was, in fact, a thing apart, ...

Written by three experts in the field, this book explores the understanding of human wellness and disease as fostered through the collaborative contributions of ...

Through close analysis of texts, cultural and civic communities, and intellectual history, the papers in this collection for the first time, propose a dynamic relationship between rhetoric and medicine as discourses and disciplines of cure in early modern Europe. Although the range of theoretical approaches and methodologies represented here is diverse, the essays explore various ways in which the interventionist disciplines and practices of medicine, moral philosophy and rhetoric were thought consanguine in early modernity.

The Presbyterian and Reformed tradition, as one representation of Biblical theology and ethics, has considerable application to physical health. This perspective is effectively embodied in the Westminster Confession of Faith which includes “the moral law,” especially as illustrated in the Larger Catechism Questions and Answers on the Ten Commandments. The WCF has many Biblical principles that promote health and prevent disease, for example, the Seventh Commandment can be “extensively demonstrated empirically” that violations promote morbidity and mortality. This result markedly contrasts (...) with the evolutionary and politically correct foundation of modern medicine that essentially promotes disease and death. Sexual “freedom” has become “slavery” to its disastrous results. Further, the modern attempt to define and treat “mental illness” does not begin to address the needs of patients and their families. By excluding the spiritual dimension of men and women, psychology and psychiatry has no moral answers by the naturalistic fallacy, and thus their various cognitive and pharmaceutical approaches mostly make “mental” problems worse. In this essay I present what the Bible claims through the WCF, and using modern medicine’s own “evidence-based medicine,” demonstrate how this approach has a strategic advantage in promoting health over contemporary medical ethics and practices. (shrink)

A chief aim of this resource is to rekindle interest in seeing health care not solely as a set of practices so problematic as to require ethical analysis by philosophers and other scholars, but as a field whose scrutiny is richly rewarding for the traditional concerns of philosophy.

Contributing Authors Include Otis Rice, Erich Lindemann, Paul Tillich And Many Others.

Francis Collins had an impressive track record as a gene hunter (cystic fibrosis, neurofibromatosis, Huntington’s disease) when he was appointed Director of the Human Genome Project (HGP) in 1993. In June 2000, together with Craig Venter and President Bill Clinton, he presented the draft version of the human genome sequence to a worldwide audience during a famous press conference. And in 2009, President Barack Obama nominated him as director of the National Institutes of Health (NIH), the largest Tfunding agency for (...) biomedical research in the world. s The In 2006, Collins published his book The Language of God,3 an autobiographical account of the HGP and its scientific, historical, and societal significance, with special attention paid to the impact of the human sequence on the way we see our world and ourselves.4 Now, by way of a sequel, he has written The Language of Life. Wherea Language of God focused on the genome sequence of mankind in general, and on the HGP as a “revolution” in biomedicine, the new book, as indicated by its subtitle, is oriented towards “the revolution in personalized medicine”, the impact of the genomics revolution on the personal lives of individuals. Before subjecting Collins’ book to a closer reading, I first of all would like to explain how I will read it and from what perspective. Why is genomics in general, and the HGP and its aftermath in particular, a subject of interest to a philosopher like me? Why did I become interested in assessing the HGP and in studying the work and views of some of its key contributors? (shrink)

This article challenges the widespread assumption that Plato’s valuation of medicine remains steady across the corpus. While Plato’s opposition to poetry and sophistry/rhetoric endures, in the Laws he no longer views medicine as a rival concerning phusis and eudaimonia. Why is this dispute laid to rest, even as the others continue? This article argues that the Laws’ developments with a bearing onmedicine stem ultimately from the philosopher-ruler’s disappearance. The deeper appreciation of good medical practice that ensues, combined with (...) an array of sociopolitical mechanisms for detecting injustice, means that the health care setting is no longer—as in the Republic—the crossroads where judgments of the whole person must be made. For the first time, by Plato’s lights, medicine may be a truly self-standing technē. (shrink)

This volume considers the many areas where medicine intersects with the law. Advances in medical research, reproductive science and genetics have given rise to unprecedented ethical and legal quandaries. These are reflected in chapters on cloning, organ donation, choosing genetic characteristics, and the use of Viagra.

This issue introduces or reintroduces readers to a discussion of bioethics, moral responsibility, and sin. A discussion around similar topics engaged readers of this journal two decades ago, and so this issue provides an opportunity to revisit those—many now classic—papers on the subject. This issue offers diverse perspectives on ethical considerations at the nexus of three (potentially) overlapping ideas: sin, bioethics, and moral responsibility. The description of ideas is intentional, leaving open sufficient space for authors to share interpretations of how (...) they understand each without prejudicing one conception over another. To describe bioethics as a field of inquiry that began in the late 1960s, moral responsibility is an understanding of what one might be held accountable in light of the fact that one performed or failed to perform certain actions when one possessed the ability to do otherwise, or sin as a privation of a particular kind would have yielded an undoubtedly interesting but different set of papers and a much more narrow discussion. The reader finds here four articles that comprise this issue, engaging different Christian traditions and different bioethical topics. (shrink)

Advances in medical technology raise new ethical and legal questions which are in turn forcing a reassessment of medical practices and the goals of legislation. This book pays close attention to these questions, bringing together leading scholars to explore a range of topics in this wide ranging collection covering persistent vegetative state, control of fertility, reproductive technologies and the autonomy in the context of medical research practice.

Evaluation of a volume of English renderings of Akkadian-language texts con- cerning treatment of illness in ancient Assyria and Babylonia.

Some of Michel Foucault’s work focusses on an archeological and genealogical analysis of certain aspects of the medical episteme, such as ‘Madness and Civilization’ (1964/2001), ‘The Birth of the Clinic’ (1973) and ‘The History of Sexuality’ (1978/2020a). These and other Foucauldian works have often been invoked to characterize, but also to normatively interpret mechanisms of the currently existing medical episteme. Writers conclude that processes of patient objectification, power, medicalization, observation and discipline are widespread in various areas where the medical specialty (...) operates and that these aspects have certain normative implications for how our society operates or should operate. The Foucauldian concepts used to describe the medical episteme and the normative statements surrounding these concepts will be critically analyzed in this paper.By using Foucault’s work and several of his interpreters, I will focus on the balance between processes of subjectification and objectification and the normative implications of these processes by relating Foucault’s work and the work of his interpreters to the current medical discipline. Additionally, by focusing on the discussion of death and biopower, the role of physicians in the negation and stigmatization of death is being discussed, mainly through the concept of biopower. Lastly, based on the discussion of panopticism in the medical discipline, this paper treats negative and positive forms power, and a focus will be laid upon forms of resistance against power. The discussed aspects will hopefully shed a different and critical light on the relationship between Foucault’s work and medicine, something that eventually can also be deduced from Foucault’s later work itself. (shrink)

Recently the view that Plato moves from optimism to pessimism concerning the best sociopolitical condition has come under attack. The present article concurs that this disjunction is too simplistic and finds emphasis on the regulative status of the Republic’s ideal of unity to be salutary. It diverges, however, on how to interpret it thus construed and the implications of its status as regulative for the Republic’s tie to the Laws where human governance is concerned. While unity through aretē remains the (...) guiding telos of Magnesia, the route through which it is sought diverges substantially from that of Kallipolis. This article demonstrates that it stretches the notion beyond all reasonable limits to call the Laws’ unity an approximation of the Republic’s and its infrastructure for communal maintenance, above all, the nocturnal council, the approximation of philosopher-rulers for which the earlier dialogue calls. (shrink)

The article’s aim is to explore human hand allograft recipients’ postoperative experience of disownership and their gradual experience of their new hand as theirs, with the aid of the work of the French phenomenologist Maurice Merleau-Ponty. Many have used a Merleau-Pontinian perspective in the analysis of embodiment. Far fewer have used it in medico-ethical analysis. Drew Leder’s phenomenologically based ethics of organ donation and organ sale is an exception to this tendency. The article’s second aim is to examine Leder’s phenomenologically (...) based ethics of organ donation and organ sale. Though I find parts of Leder’s approach promising, I also elaborate a line of reasoning that draws on Merleau-Ponty, that does allow us to argue for certain kinds of organ donation and against organ sale—and that avoids some of the problems with Leder’s approach. This alternative route builds on the concept of the integrity of the body-subject. (shrink)

Research studies demonstrate wide variation in how physicians diagnose and treat patients with similar medical conditions and suggest that at least some of the variation reflects inefficiencies and unnecessary medical costs. Health care researchers are actively examining ways to reduce variations in practice through standardization of medicine to reduce the cost of treatment and ensure the quality of outcomes. The most widely accepted form of this standardization is Evidence Based Best Practices. Furthermore, financial health care providers such as hospitals (...) and managed care organizations are investigating methods to tie resource usage to medical protocols in their efforts to monitor and control health care costs. Such proposals are contentious because they report on physicians' medical practice behaviors and such reports could potentially be used to influence their clinical behaviors. The intent of this exploratory study was to examine physicians' perceptions about linking a standard costing system to EBBP guidelines. The authors interviewed nine practicing physicians asking each physician to respond to the question, 'As a physician working in a hospital environment, what are your reactions to and concerns with combining standard costing techniques with EBBP?' The interviews were in-depth and free form in nature. The physicians' responses were recorded and analyzed using Grounded Theory Methodology. Using this methodology the field data was categorized into two major themes. The most important theme centered on ethics and the second theme was concerned with the implementation and use of a standard cost system in regard to EBBP. If physicians' worries about ethical dilemmas and implementation issues are not resolved, then it is likely that doctors would be unwilling to participate in any efforts to develop or use a standard cost-reporting system in medicine. While this study was exploratory in nature, it should provide future guidance to accountants, health care researchers and health care providers about physicians' issues with the use of standard costing methods in medicine. (shrink)

In the fourth book of Achilles Tatius' romance the young and beautiful heroine Leucippe collapses suddenly. When she is approached by the hero Clitophon she leaps to her feet, strikes his face, kicks his friend, and has to be overpowered and tied up. Several chapters later we learn that this behaviour had in fact been caused by an overdose of an unnamed aphrodisiac. In the meantime, however, bystanders, consisting of members of an Egyptian military force, have decided thatμανία τιςis the (...) trouble, and proceed to diagnose with all the confidence of laymen the cause of her madness.Their diagnosis takes the form of an ostensibly straightforward physiological explanation in carefully ordered phrases and employing technical terms. (shrink)

The thirteen titles in this mini-set include works by some of the most well-known scientists and medical professionals of the twentieth century: Daedalus by J B S Haldane, Eos, or the Wider Aspects of Cosmogony by J H Jeans, Archimedes, or the Future of Physics by L L Whyte and the The Conquest of Cancer by H W S Wright to name but a few. Ground breaking in their day, some of the works remain controversial nearly 100 years after their (...) original publication. (shrink)

Described as one of the two fathers of medical law, Professor Peter Skegg has been a leading figure in the study of law and medicine. Over a 46 year academic career at the University of Auckland, University of Oxford, and the University of Otago, Professor Skegg has helped develop the field of medical law into a burgeoning academic discipline and has provided intellectual guardianship for the practice of law and medicine. This collection brings together contemporaries, colleagues, and former (...) students of Professor Skegg to celebrate his enduring contribution to the study of medical law. This edited collection contains twelve essays written by a range of internationally recognised medical lawyers. The topics cover the regulation of medical practitioners, consent, rights in bodily material, euthanasia, compensation and ethical approval for medical research, treatment orders for mental health conditions, and surrogacy laws. Whilst some of the essays return to territory that has been initially surveyed by Peter s research and analysis, others touch upon some wider medical law topics, illustrating Peter s lasting contribution to medical law as well as mapping out some of the new frontiers for the discipline of medical law. Academics, students and practitioners, from a range of jurisdictions, who are interested in how the law governs the provision of healthcare will benefit reading the various essays contained here. In addition, anyone who has had the good fortune of working with, or learning from, Professor Skegg will also enjoy the opportunity to return to the field of study that he founded. (shrink)