What, for Galen, are powers, and how are they to be properly individuated? The notion of a power or capacity does a great deal of work in Galen. As in Aristotle, the concept of a dunamis is tightly linked with that of an energeia, but these are not simply logical abstractions. Rather the natural energeiai are the basic functional activities of the animal body and its parts, and just as health consists in proper functioning, so disease is defined as ‘damage (...) to one of the natural energeiai of the body’, and these activities are damaged when something interferes with its related dunamis. Here I try to make sense of the apparently very different things Galen says regarding dunameis. For example, he says that they do not inhabit our bodies as we do our houses; that is, presumably, they are not substantial or hypostasized; rather they are properties of us. Equally, he is perfectly clear that they are relational items: a power is a power for affecting something determinate in some determinate way. They. (shrink)

This paper focuses on Galen’s views about the formal cause against the wider background of his account of causation. In his works on the pulse, Galen provides an in-depth discussion of issues such as the theory of causes and the problem of definition. While Galen is inclined to incorporate Peripatetic doctrines and vocabulary, he neglects Aristotle’s formal cause both in his account of causes and in that of definition. Further parallels outside the corpus on the pulse confirm Galen’s reserved attitude (...) towards the (Peripatetic) formal cause. In his work That the Faculties of the Soul Follow the Mixtures of the Body, however, Galen refers favourably to the Peripatetic theory of hylomorphic form. More precisely, Galen equates the Peripatetic en-mattered form with the mixture of homoeomerous bodies (the ratio or proportion of the elementary qualities in them). Here I will attempt to provide an explanation of Galen’s mixed attitude towards the formal cause and I will argue that his general position is consistent after all. In addition to this, I will try to set Galen’s position against the background of the Peripatetic debates on the status of form. (shrink)

Contemporary sociology mirrors Western society in its general aversion and sensitivity to pain, and in its view of pain as an unproductive threat to cultures and identities. This highlights the deconstructive capacities of pain, and marginalizes collectively authorized practices that embrace it as constitutive of cultural meanings and social relationships. After exploring the particularity of this Western orientation to pain — by situating it against processes of instrumentalization and medicalization, and within a broader context of other social developments conducive to (...) a heightening of affect control — this article builds on Mauss’s analysis of ‘body techniques’ in suggesting that the cultural, physiological and psychological dimensions of pain can be combined in various ways. In examining this point further, we then compare contrasting religious engagements with pain as a way of detailing how it can be positively productive of cultural meanings and identities, and conclude by using these comparisons to illuminate the relationship between the current Western approach to pain and the Christian traditions that shaped the West historically. (shrink)

In this paper, I examine the conflicts between autonomy and justice. The problem of justice in healthcare concerns both micro-allocation and macro-allocation. The latter has to do with distributive justice: who should get what healthcare resources at whose expense. The current debate about healthcare reform brings up two competing models of distributive justice from political philosophy. The libertarian theory holds to the ideal of individual responsibility and choice, viewing taxation for the purpose of providing goods to those who cannot afford (...) them as a form of unjustified coercion. The liberal theory holds that society should ensure that all members are provided with basic goods that correct for inequalities that deprive them of human dignity. Even though both theories value individual choice, these theories provide opposing answers to the question of whether taxes should be collected and used for the purpose of ensuring universal access to healthcare. In my paper, I show that neither theory can respect patient choice in healthcare and achieve distributive justice. Libertarians ignore the realities of the healthcare system and why a free market where patients choose and pay for what they want cannot exist. Liberals face the problem that the choices that patients make can lead to over-consumption of healthcare at the expense of other goods important to society. (shrink)

Entender la dimensión moral de la dietética en la antigüedad exige investigar los avances de las investigaciones médicas gracias a las cuales se establecen las bases de la psicología moral. Por esta razón en este artículo se exploran algunos pasajes de Sobre las opiniones de Hipócrates y Platón, escrito por el médico alejandrino Galeno de Pérgamo (I-II d. C). Según los hallazgos de su investigación sobre la naturaleza del alma, aun cuando ésta tuviera una sustancia propia, ajena a las mezclas (...) humorales del cuerpo, es preciso admitir que sus facultades, incluida la racional, pueden ser ayudadas o impedidas por el equilibrio o por el desequilibrio de los humores del cuerpo. Esta es la tesis que defenderá en su escrito de madurez titulado Las facultades del alma siguen los temperamentos del cuerpo. Para Galeno, como antes para Platón y Aristóteles, la forma de vida, que incluye la nutrición, incide en la salud y en la enfermedad del alma. En la tradición que le antecede ya se aceptaba la dimensión moral de la dietética, pero nuestra tesis es que en las investigaciones de Galeno sobre la fisiología de las facultades del cuerpo, encontramos el fundamento empírico para la afirmación según la cual el cuidado del cuerpo influye en la salud del alma. (shrink)

La extensa obra de Galeno de Pérgamo, médico del estoico Marco Aurelio, incluye diversos tratados de corte filosófico, especialmente éstos en que analiza las causas de las pasiones y de los errores del alma, cuyo objetivo general es comprender de un modo amplio la naturaleza humana y plantear pautas apropiadas para su mejoramiento moral. Galeno divide la exposición de las cuestiones referentes al diagnóstico y tratamiento de las pasiones y los errores del alma de cada uno, porque su tesis principal, (...) que la estructura del alma es tripartita (racionalidad, emociones vehementes o pasiones y deseos), así se lo exige. En su opinión, el tratamiento de las pasiones difiere del tratamiento de las fallas cognitivas a que se refieren los errores del alma; cuya causa pueden ser pasiones y deseos inmoderados y falsas opiniones sobre bienes y males; que median, finalmente, en la elección de una vida mesurada o, por el contrario, inmoderada. El hilo que une el tratado sobre las pasiones y el tratado sobre los errores del alma son precisamente las falsas opiniones, que incrementan la violencia ejercida por nuestras pasiones cuando no hemos revisado las causas (creencias y deseos) de nuestra conducta excesiva, ni los juicios de valores con que estamos acostumbrados a juzgar las circunstancias cotidianas de la propia vida. El poder de las opiniones consiste en incrementar, precisamente, el cuantum de fuerza de las emociones, haciéndolas inmoderadas e indómitas, o moderables. (shrink)

The paper examines the conception of health of the Graeco-Roman medical and philosophical author Galen. On the basis of a range of texts, especially Matters of Health and Thrasybulus, the most significant and influential characteristics of this conception are considered: the twofold definition of health in terms of balance of elements and of organic function; the notion of a latitude within health; the extent to which health is conceived as a specialist expertise, and against this the possible role of the (...) patient in understanding his/her own health. Galen's health writings are also considered in their social-historical context and in relation to their intellectual predecessors – Hippocrates, Plato, Aristotle and a range.. (shrink)

This study traces the notion of the internal senses in three ancient authors, namely Nemesius, Plotinus and Galen. It begins with Nemesius, and then by going backward ends with Galen. The textual evidence investigated in this study shows clearly that Galen, after acknowledging the Platonic tripartite soul, locates the various dunameis of the soul in the brain. The “localization” theory of Galen plays a crucial role in paving the way for the foundation of the internal senses, which both Plotinus and (...) Nemesius adapted. Just as with the external senses one can locate various sense-organs in different parts of the body, viz., touch, smell, sight etc., so too with the internal senses, thanks to Galen, one is able to locate them in various organs of the body. Thus philosophers are able to explain the role of all these different senses in their account of sense-perception. (shrink)