The traditional distinction between ordinary, i.e., obligatory means to preserve life and extraordinary, non-obligatory means is an especially useful tool for HECs in today's secular pluralist health care system, because it gives factors that can override the prima facie good of preserving the patient's life. I first indicate the need for such a tool. I then demonstrate the present misunderstanding of the distinction and give its proper understanding. Finally, I show the applicability of the distinction for HEC deliberations about three (...) important types of cases: the conscious, irreversibly but not terminally ill patient who requests cessation of curative treatment; the provision of artificial nutrition and hydration to permanently vegetative patients; and the allotment of intensive care and other scarce medical resources. (shrink)

In 1675, Burchard de Volder (1643–1709) was the first professor to introduce the demonstration of experiment into a university physics course and built the Leiden Physics Theatre to accommodate this new pedagogy. When he requested the funds from the university to build the facility, he claimed that the performance of experiments would demonstrate the “truth and certainty” of the postulates of theoretical physics. Such a claim is interesting given de Volder’s lifelong commitment to Cartesian scientia. This chapter will examine de (...) Volder’s views on experiment and show that they are not Newtonian or inductivist, as is sometimes claimed. While de Volder thinks we need deductive reasoning from first principles to provide evidence of the certainty of the content of our physical theories, he also contends that we need experiment to provide evidence of the certainty of the existence of the particular bodies those theories discuss. This approach to experiment is based on a distinction between rational certainty and the certainty of material bodies in the actual world. While this account is deeply influenced by Descartes, it is importantly different than Descartes’ distinction between absolute and moral certainty. De Volder’s “Cartesian Empiricism” is best understood as a continuation and further development of a long tradition of teaching through observation at Leiden. (shrink)

Descartes is usually taken to be a strict reductionist, and he frequently describes his work in reductionist terms. This dissertation, however, makes the case that he is a nonreductionist in certain areas of his philosophy and natural philosophy. This might seem like simple inconsistency, or a mismatch between Descartes's ambitions and his achievements. I argue that here it is more than that: nonreductionism is compatible with his wider commitments, and allowing for irreducibles increases the explanatory power of his system. Moreover, (...) Descartes depends on nonreductionist knowledge and on irreducibles in order to maintain his epistemology and metaphysics. That is, there is more in the Cartesian world than mind, matter, and God. (shrink)

As a practicing physician (psychiatrist), scientist (neurologist) and philosopher, Erwin Straus developed a body of writing which, falling within the phenomenological tradition, is highly original and insightful. His unusual combination of work from these three areas constitutes one of the most important attempts to provide what has been called a new Paideia. Regarding this unique blend of perspectives and concerns as quite natural, he conceived his work variously as a medical anthropologyrdquo; or phenomenological psychology. In the end, he was both (...) a pioneer and a rebel: starting from psychiatry, he proceeded boldly straight into phenomenological philosophy, illuminating significant aspects of human life: if we would understand the norm, we must begin with the disruptions, as failures of existential projects; that is, as forms of human life - which was ultimately at the heart of his life-long epistemic and therapeutic concerns. (shrink)

El presente texto trata de analizar la crítica que Antonio Damasio realiza a René Descartes (el error de Descartes) desde el empleo de una racionalidad neurocientífica. Damasio cae en un neurorreduccionismo para combatir la filosofía cartesiana. La crítica de Damasio al dualismo cartesiano olvida el nivel ontológico y epistemológico para abordar exclusivamente la cuestión antropológica. Este texto propone una defensa de Descartes y un rechazo a un dualismo absoluto a partir de la lectura de Las pasiones del alma.The present text (...) tries to analyze the criticism that Antonio Damasio does to René Descartes (the error of Descartes) from the use of a neuroscientific rationality. Damasio falls into a neuroreductionism to combat Cartesian philosophy. Damasio’s critique of Cartesian dualism neglects the ontological and epistemological level to address exclusively the anthropological question. This text proposes a defense of Descartes and a rejection of an absolute dualism based on the reading of Passions of soul. (shrink)

The ArgumentMedicine is only a cultural system of its own. It also performs specific roles in the broader culture of society at large. This article examines the role of medical arguments in the critique of“enthusiasm” on the eve of the Enlightenment. The enthusiasts, who claimed to prophesy and to have direct divine inspiration, were increasingly see in the seventeenth century as melancholics. With the decline of humoral medicine, however, the account of melancholic disturbances – including enthusiasm – that was offered (...) tended to be chemical, mechanistic, and clearly corpuscular. Protestant ministers, in adopting such an account of enthusiasm, also adopted a strict distinction between the realm of the mind (to which true prophecy belonged) and that of the body (in which they located the phenomena of enthusiasm). Such a distinctions served in turn to demarcate more specifically the limits between the clerical and medical professions. Yet in relegating the treatment of enthusiasts to the physicians, rather than seeing the enthusiasts as heretics, the ministers stood in danger of relying too much on a secular profession and secular arguments, thus paving the way to a more general secularization of the ideological basis of the social order. (shrink)