Recently, British Prime Minister Theresa May made a bold anti-cosmopolitan claim: ‘If you believe you are a citizen of the world, you are a citizen of nowhere. You don’t understand what citizenship...

I argue that Lisa Shapiro’s rational reconstruction of Descartes’s provisional moral code in terms of a broad conception of morality supplies us with an interpretative framework that make historiographical sense of the reception of Descartes’s moral philosophy in an Anglophone context on three occasions: the appeal to Descartes made by Henry More, Henry Sidgwick’s abrupt dismissal, and the ensuing reaction to Sidgwick found in Grace Neal Dolson. This case shows, I maintain, how reception history can be utilized to inform and (...) support rational reconstruction of philosophical texts. (shrink)

Notions such as ‘guilt’ and ‘forgiveness’ can be defined in objective terms, but more normally have an emotional dimension that cannot be experienced by the institutions examined in this collection of articles. Nevertheless, analogs to these emotions can be discerned in the behaviour of states — and exploring these reveals important insights into what are more (and less) effective ways of responding to, and making amends for, institutional failure. In the 1990s the Western powers were engaged in dealing with a (...) sequence of crises which appeared to call for some kind of intervention — Bosnia 1991/95, Somalia 1992/3, Haiti, 1993/4, Rwanda 1994, Kosovo 1998/9 — and this essay explores the extent to which it can be said that action/inaction in one case can be related back to moral judgements of behaviour in earlier cases. What emerges is not a single narrative of guilt and rectificatory action, but two narratives focusing on different referent objects: obligations towards one's own citizens and toward the putative common good. The picture is complex, yet some significant lessons can be drawn from this analysis. One is the counter-intuitive point that a ‘guilty conscience’ may actually be more effective when the guilt in question is not attributable to the individual whose behaviour is affected, but rather is seen to be borne by the institution that he or she represents. Assuming that guilt is generated by ignorance rather than ill-will, another, more general, lesson is that better intelligence in the broadest sense of the term — including intelligence of the past moral failures of institutions — may be of more value than a (probably difficult to achieve) theory of institutional guilt. (shrink)

There is renewed interest in what can be called an experimentist approach to education research. The claim is that if researchers would focus on experiments and evidence-based policies and practices, irreversible progress in education can be achieved. This experimentist approach cannot provide the understanding of knowledge and human beings needed for meaningful progress in education. Lacking is adequate appreciation for the role of theory, particularly ethical and other philosophical theory. We especially need a theory of our human condition and a (...) keen awareness for how some conceptions of scientific work can influence, and distort, our conceptions of human beings and worthwhile lives. As paradoxical as it might seem at first, to move ahead in education and our service to persons? welfare, we need to look backward to revisit old truths. (shrink)

In this article, I analyze the role of Heracles' famous body in the representation of madness and its aftermath in Euripides' Heracles. Unlike studies of Trachiniae, interpretations of Heracles have neglected the hero's body in Euripides. This reading examines the eruption of that body midway through the tragedy as a part of Heracles that is daemonic and strange, but also integral to his identity. Central to my reading is the figure of the symptom, through which madness materializes onstage. Symptoms were (...) contested sites of interpretation in the late fifth century, supporting both conventional narratives about human suffering and new stories advanced by contemporary medicine and ethics. In exploring the imaginative possibilities of these new stories, I do not privilege a “secular” over a “divine” reading. Rather I aim to offer a model of interaction between medicine and tragedy that sees the cross-breeding of worldviews as productive of innovative drama. (shrink)

Epicurus is one of the first social contract theorists, holding that justice is an agreement neither to harm nor be harmed. He also says that living justly is necessary and sufficient for living pleasantly, which is the Epicurean goal. Some say that there are two accounts of justice in Epicurus -- one as a personal virtue, the other as a virtue of institutions. I argue that the personal virtue derives from compliance with just social institutions, and so we need to (...) attribute only one account of justice to Epicurus. I show how this interpretation makes sense of claims about justice by Epicurus and his followers, including Hermarchus, Lucretius, and Diogenes of Oinoanda. (shrink)

Traditional interpretations of Aristotle’s theory of perception mainly focus on uncovering the underlying mechanisms that are at stake when perceivers are affected by sensible qualities. Investigating the nature of sense perception is one of Aristotle’s main worries and one that he explicitly relates to the question of its causes (e. g.Sens. 436a16–17, 436b9) and its ends (e. g.de An. 434a30 ff.). Therefore I suggest that, in order to fully explain Aristotle’s view of perceptual phenomena, the possibilities, the constraints, and the (...) goals defined by the embodied and situated engagement of perceivers with the external world must be taken into account. Accordingly, in this paper, I provide an affective reading of Aristotle’s theory of perception. I shall ask what, in addition to functioning sense organs and appropriate response mechanisms, the perceiver contributes to perceptual content. Specifically, I propose to shed light on the significance of perceptual experience for the perceiver and I aim to show that, according to Aristotle, one’s biological and personal qualities are perceptually relevant, meaning that they underpin perception, rather than coming into play after perception has occurred and its objects have been discerned. The paper is divided into two parts, respectively dealing with sensory affections and more complex affective phenomena. As regards the domain of primal sense perception, I will focus on smell as a representative example: since Aristotle identifies it as the least developed of human sensory faculties, it will serve as a revealing illustration of how sense perception is informed and qualified by what, drawing on contemporary philosophical terminology, I will call ‘perceptual interests’, viz. the affective sense of what is at stake in the living being’s interaction with the environment. I will then proceed to consider the way more complex affective phenomena underpin perception by examining the case of emotions and that of virtues of character. By showing how perception is affectively inflected and how emotion is rooted in perception’s bodily nature, I aim to sketch out the general lines along which I believe that the Aristotelian theory of perception should be approached. (shrink)

En este artículo analizaré algunos aspectos específicos de la obra de Filodemo de Gadara desde la perspectiva de la dimensión retórica del discurso filosófico con el fin de mostrar que el empleo que hace este pensador de ciertos dispositivos retóricos: i) no implica necesariamente un rompimiento con las normativas epicúreas respecto del uso legítimo de la retórica, ii) ni debe leerse como un abandono del proyecto racionalista epicúreo, sino que iii) puede interpretarse como expresión de una concepción sumamente rica y (...) compleja de la racionalidad humana que incorpora las capacidades descriptivas del lenguaje como herramientas esenciales en la transmisión de la información relevante para la toma de decisiones. -/- I aim to examine certain specific aspects of the work of Philodemus of Gadara from the point of view of the rhetorical dimension of philosophical speech in order to show that Philodemus’ use of certain rhetorical devices i) does not necessarily entail a break with Epicurean norms on the correct usage of rhetoric, ii) cannot be read as an abandonment of the Epicurean rationalist project, but iii) may be interpreted as an expression of a rich and complex conception of human reason, a conception that incorporates the descriptive capacities of human language as essential tools for the transmission of relevant information in decision procedures. (shrink)

I try to show that Seneca’s Medea provides us with two elements -which, as far as I am aware, have not received proper attention- that complement his approach to the phenomenon of anger, and which can improve our understanding of the Stoic psychology of action defended in De ira. The first element is linked to the question of whether the angry person is responsive to reasons or not; the second one concerns the question of indifference, tolerance and forgiveness, and addresses (...) the issue of Medea's inability to conceive of a more appropriate or desirable reaction to Jason’s offense than anger. (shrink)

The question of what constitutes human flourishing elicits an extraordinary variety of responses, which suggests that there are not merely differences of opinion at work, but also different understandings of the question itself. So it may help to introduce some clarity into the question before starting work on one answer to it.

A concepção plotiniana de discurso é complexa e multi-facetada. Na "Enéada" I, 2, Plotino pensa o lógos prophorikós como uma imagem do lógos na alma. Na "Enéada" VI, 9, como um modo imperfeito de falar sobre o Um e um instrumento para exortar e instruir o filósofo no seu caminho de ascensão. Neste artigo, investigo quais são as relações entre discurso e ascensão da alma nas "Enéadas", tentando determinar quais são, de acordo com Plotino, as possibilidades e limites do discurso (...) no seu uso filosófico. The plotinian conception of discourse is a complex and manifold one. In "Ennead" I, 2, Plotinus thinks the lógos prophorikós as an image of the the lógos in the soul. In "Ennead" VI, 9, he thinks it as a fallible way to talk about the One and an instrument to exort and instruct the philosopher in his way of ascension. In this paper, I investigate what the relations of discourse and ascension of the soul are in the "Enneads", in an attempt to determinate what are, according to Plotinus, the possibilities and limits of language in its philosophical use. (shrink)

The paper aims to clarify some features of Epictetus ' specific usage of the concept of proairesis throughout his Discourses. This will be done by suggesting that a number of problematic expressions concerning proairesis and its freedom should be understood as rhetorical-pedagogical expressions of Epictetus ' intellec-tualism. I will mainly focus on a series of problematic passages that have been discussed by several commentators concerning the concept of proairesis, and I will suggest that those passages are best interpreted as rhetorical (...) or, better, pedagogical expressions of Epictetus ' strictly intellectualist approach to the psychology of action. The interpretation I will propose does away with the need to resort to certain interpretations of those passages that threaten to obscure the otherwise clear picture of human action offered by Epictetus ' intellectualism concerning the psychology of action. El articulo tiene por objetivo clarificar algunos aspectos del uso especifico que realiza Epicteto a lo largo de las Dissertationes del concepto de proairesis. Esto se realizara sugiriendo que ciertas expresiones problematicas referidas a la proairesis y su libertad deben ser entendidas como expresiones retorico-pedagogicas del intelectualismo de Epicteto. Me concentrare fundamentalmente en una serie de pasajes problematicos que han sido discutidos por varios comentadores en relacion con el concepto de proairesis, y sugerire que esos pasajes deben ser interpretados como expresiones retoricas o, mejor, pedagogicas de enfoque estrictamente inte-lectualista de la psicologia humana que propone Epicteto. La interpretacion que propondre hace innecesario el recurso a ciertas interpretaciones de esos parajes que amenazan con oscurecer el panorama claro de la accion humana ofrecido por la concepcion intelectualista de la psicologia humana defendida por Epicteto. (shrink)

This article questions the assumption, held by several philosophers, that the Epicurean argument for death's being ?nothing to us? must be fallacious since its acceptance would undermine the principle that killing is (in general) wrong. Two possible strategies are considered, which the Epicurean-sympathizer might deploy in order to show that the non-badness of death (for the person who dies) is compatible with killing's being wrong. One of these is unsuccessful; the other is more promising. It involves arguing that the wrongness (...) of killing is a ?basic moral certainty? and hence requires no underpinning by the judgement that death is bad. Problems for this proposal, and possible responses to those problems, are considered. Though the strategy is not decisive, it is deemed to be one that the Epicurean could plausibly adopt. (shrink)

This paper identifies two possible versions of the Epicurean 'Symmetry argument', both of which claim that post mortem non-existence is relevantly like prenatal non-existence and that therefore our attitude to the former should be the same as that towards the latter. One version addresses the fear of the state of being dead by making it equivalent to the state of not yet being born; the other addresses the prospective fear of dying by relating it to our present retrospective attitude to (...) the time before birth. I argue that only the first of these is present in the relevant sections of Lucretius (DRN 3.832-42, 972-5). Therefore, this argument is not aimed at a prospective fear of death, or a fear of 'mortality'. That particular fear is instead addressed by the Epicureans through the additional premise (found in the Letter to Menoeceus 125) that it is irrational to fear in prospect an event which is known to be painless when present. This still leaves unaddressed the related fear of 'premature death', which is to be removed through the acceptance of Epicurean hedonism. (shrink)

ABSTRACT A growing body of research suggests that political polarization in the United States is at a forty-year high, and that it is rooted less in disagreements over policy than in hostile attitudes toward political opponents. Such attitudes explain the manifest increase of intolerant behavior in American culture and politics in recent years. But what explains the attitudes themselves? One significant contributor may have been the rise of scientism in the early twentieth century, which undermined the metaphysical, epistemic, and institutional (...) foundations of the type of morality required to transcend our instinctual tribalism. (shrink)

The paper compares the two components of the Stoic definition ofpathos, the logico-linguistic component and the physiological, ‘pneumatic’ one, in order to examine the role that each of them plays in the onset ofpathos, its persistence in the human soul, its possible eradication. The analysis is focused on anger (ὀργή) which reveals some peculiarities, especially as regards its logical structure, due to the fact that this passion seems to be the combination of two different feelings. The anger indeed is classified (...) as a species of desire but the description of its onset also includes pain. (shrink)

This paper offers a critical response to the claims of Sivin and Lloyd and Mattice to the effect that Greek and Roman philosophy was characterised by a predominance of combat metaphors. Drawing on Plato and Plutarch, as well as contemporary studies led by Nussbaum, I argue that a host of different metaphors was demonstrably used in the Greek tradition to describe philosophy and its subjects, led by the therapeutic or medicinal metaphor of philosophy as ‘therapy of desire’ or of desiderative (...) opinion. I propose that it was the sophists like Protagoras, at least as they are depicted by Plato, who sought to conceive of philosophising as a strategic, warlike activity. In conclusion, I reflect on the invisibility of the medicinal metaphor, outside of certain dedicated studies in the history of ideas, in contemporary thinking about Western philosophy and its past. (shrink)

A comprehensive account of human kindness.

According to a traditional account, moral cognition is an achievement gained over time by sharing a practice under the guidance and the example of the wise, in analogy with craft and apprenticeship. This model captures an important feature of practical reason, that is, its incompleteness, and highlights our dependence on others in obtaining moral knowledge, coherently with the socially extended mind agenda and recent findings in empirical psychology. However, insofar as it accords to exemplars’ decisive authority to determine the standard (...) of correctness for moral cognition, the model does not offer protection against arbitrariness and discrimination. The article argues that to understand the socially distributed nature of practical knowledge, we have to discard the notion of exemplars and reconceive of others as having equal normative standing. This claim allows us to revisit the conception of autonomy as key to distributed practical knowledge. While autonomy does not amount to selfsufficiency and self-reliance, it does demand independence of judgement and stands in contrast to servility, submission, and other sorts of defective ways of relying on others. The requirement of equal standing provides the basis for distinguishing between proper and improper reliance on others. Keywords: autonomy, Aristotle, exemplarism, extended mind, constructivism, practical knowledge, equal standing. (shrink)

En 1938 Max Horkheimer publicaba un artículo titulado “Montaigne y la función del escepticismo” en el que intentaba clarificar y criticar la función del escepticismo en su tiempo, cercano a la II Guerra Mundial. Según Horkheimer, dos son los rasgos esenciales del escepticismo: el carácter reaccionario y la defensa radical del individuo; ambos fueron elementos claves en el ascenso de la sociedad burguesa en los tiempos de Montaigne y, en ese sentido, su actitud escéptica fue progresista. Sin embargo, en la (...) época de Horkheimer estos rasgos eran, como la propia posición escéptica, reaccionarios y la única alternativa válida frente al peligro de los estados autoritarios sería la Teoría Crítica, que recogía y superaba el momento escéptico. Nuestro artículo pretende cuestionar el carácter esencial de ambos rasgos y por ese camino la interpretación que del escepticismo brinda en su artículo Horkheimer. (shrink)

I argue in this essay that Stoic philosophers in the late Greco-Roman period utilized philosophical exercises and spiritual technologies similar in form to a meditative exercise currently practiced in Buddhism. I begin with an in-depth discussion of moral development in the late Stoa, focusing particularly on their theories of cosmopolitanism and oikeiōsis. These theoretical commitments, I argue, necessitated the adoption of exercises and practices designed to guide practitioners toward the goal of universal moral concern. Using insights gained from Buddhist practice, (...) I identify passages in Stoic texts that call for and prescribe moral exercise. While much work in comparative philosophy compares the content of diverse philosophical theories, the form that these theories take can also be compared. Stoic philosophy was viewed as a “way of life” by many ancient philosophers, and thus their philosophical views share several formal characteristics with Buddhist religious practices. The primary good realized by this comparison, I conclude, is to outline the ways in which Greco-Roman philosophies can be enriched by reading these theories in light of the lived, practical traditions that characterize Buddhist thought. (shrink)

This paper takes as its stimulus Adriana Cavarero’s recent investigation of the postures of rectitude and inclination in the Western philosophical tradition. To showcase how this book might catalyse productive interactions between feminist critics in different areas of the humanities, I will bring Cavarero into dialogue with a thinker she mentions in passing who extensively develops ‘rectitude as a general principle’ : Seneca. I argue that a gendered ontology of rectitude is increasingly put under pressure and transformed in Seneca’s Letters, (...) and propose that the Letters are a laboratory for developing a new model of inclination that arises from an urgent need to confront the consequences of political impotence and threats to bodily integrity for Roman aristocratic manhood in the 60sCE. The playful, densely literary Letters offer multiple points of contact with Cavarero’s own philosophical strategies, and emerge as a highly stimulating text for feminist thinkers interested in the ethical and political implications of acknowledging vulnerability. Reading Seneca alongside Cavarero reminds us that such investigations have a history in Roman antiquity whose recovery is itself politically significant. (shrink)

Many of the activities of clinical practice happen to, with or upon vulnerable human beings. For this reason numerous nursing authors draw attention to or claim a significant moral domain in clinical practice. A number of nursing authors also discuss the emotional involvement and/or emotional labour which is often experienced in clinical practice. In this article I explore the importance of emotion for moral perception and moral agency. I suggest that an aspect of being a good nurse is having an (...) emotional sensitivity to other human beings (patients), because this emotional sensitivity allows the nurse to perceive more accurately the context and perspective of the patient. It is thus important to the moral agency of the nurse and to morally sensitive clinical practice. As such education of the emotions should be a feature of the moral education of the nurse. A useful conception of the role of educated emotion in the moral life can be discovered in Aristotelian ethics. (shrink)

Članak analizira Rousseauovu upotrebu pojmova ljubavi prema sebi, samilosti i samoljublja te njihov odnos prema modernim psihoanalitičkim pojmovima. Ljubav prema sebi dovodi se u vezu s Freudovim pojmom samoočuvanja; samoljublje je povezano s narcističkom veličajnošću i bahatošću, dok samilost ukazuje na sličnost s modernim konceptom empatije. Rousseauovo razlikovanje između navedena tri pojma u skladu je s temeljnom rasprom u psihoanalitičkoj teoriji: onoj između nagonskih i objektnih teorija. Rousseauova misao može se, predpsihoanalitički, protumačiti u smislu obuhvaćanja obiju strana: njegovo naglašavanje ljubavi (...) prema sebi blisko je nagonskom individualizmu, dok bi samilost bila oblik objektnog odnosa. U konačnici, Rousseauov pojam ljubav prema sebi preklapa se s Kohutovim pojmom zdravog narcizma koji je središnji za razvoj ličnosti, budući da je odsutnost zdravog narcizma podjednako problematična kao i bilo koji patološki oblik narcizma. (shrink)

In 1938 Max Horkheimer published an article entitled “Montaigne and the Function of Skepticism” trying to clarify and criticize the role of skepticism at his times, close to World War II. According to Horkheimer there are two essential features of skepticism: radical reactionarism and defense of individuals. Following the German philosopher both were key elements in the rise of bourgeois society in Montaigne´s epoch and, in that sense, his skepticism was progressive. However, at the time of Horkheimer both traits were, (...) as the skeptical position, reactionaries, and the only valid alternative to the danger of authoritarian states would be his own Critical Theory. Our paper aims to question the essential character of both traits and, at the same time, the interpretation of skepticism provided in Horkheimer´s article. (shrink)

Although theorists disagree about precisely how to characterize the link between anger and moral judgment, that they are linked is routinely taken for granted in contemporary metaethics and philosophy of emotion. One problem with this assumption is that it ignores virtues like patience, which thinkers as different as Cassian, Śāntideva, and Maimonides have argued are characteristic of mature moral agents. The patient neither experience nor plan to experience anger in response to (at least some) wrongs. Nevertheless, we argue, they remain (...) capable of judging such actions to be wrong. This indicates that a different account of the relationship between anger and moral judgment is required. We conclude by proposing one such account, showing how a metaethicist who was more attentive to the normative ethics of anger might set about reconstructing her position. (shrink)

In this paper I argue that the work of the unorthodox Stoic Posidonius - as reported to us by Galen - can be seen as making an interesting contribution to contemporary debates about the nature of emotion. Richard Sorabji has already argued that Posidonius' contribution highlights the weaknesses in some well-known contemporary forms of cognitivism. Here I argue that Posidonius might be seen as advocating a theory of the emotions which sees them as being, in at least some cases, two-level (...) intentional phenomena. One level involves judgments, just as the orthodox Stoic account does. But Posidonius thinks that emotions must also include an element sometimes translated as an "irrational tug". I suggest that we see the "irrational tug" as involving a second level of intentional, but non-conceptual representation. This view satisfies two desiderata: it is a view which would have been available to Posidonius and which is compatible with the views reported to us; and it is a view which is independently attractive. It also makes Posidonius' position less far removed from that of orthodox Stoics than it might otherwise do, while remaining genuinely innovative. (shrink)

There is an increasing interest in publications about the sources of meaning in life; books about the art of living are immensely popular. This article discusses whether one of the ancient predecessors of current 'art of living' theories, the Stoa and more particularly Seneca, can be of interest to educators today. Seneca's explicit writings on education are relatively few, but in his letters to his friend Lucilius we find several ideas as to how educators can assist students to become wise (...) and virtuous adults. The main characteristic of the virtuous sage is his ability to maintain tranquillity of mind. While we disagree with the radicalism of Seneca's view on the extirpation of emotions, we have discovered insights that we believe can be a valuable source for educators and students in their reflections on the meaning of education for the business of life. (shrink)

This article draws out the political implications of some of the avatars of ancient skepticism in modern fiction. It relies on Martha Nussbaum’s claim that fiction can provide some of the best lessons in moral philosophy to refute her claim that ancient skepticism was a bad influence on morals. It surveys references to skepticism from Shakespeare through such diverse writers as Isabel de Charrière, Herman Melville, Mark Twain, Anatole France, and Albert Camus down to recent writers such as Orhan Pamuk (...) and Michel Houellebecq. The most substantial treatment is of Naguib Mahfouz’sCairo Trilogy, which is interpreted in two ways: one, as an example ofisostheniaor equipollence in arguments on both sides of questions about gender in the Islamic world, and two, as the biography of a person who claims to be a self-conscious skeptic. Skepticism emerges as a multi-faceted concept in modern literature, but there are definite references back to the ancient skeptics, including mention of the name Pyrrhonism and knowledge of the writings of Sextus Empiricus. The political implications militate against dogmatic claims to truth and knowledge of a one-dimensional justice. (shrink)

This article examines the storytelling aspect in philosophizing with rehabilitating cancer patients in small Socratic dialogue groups. Recounting an experience to illustrate a philosophical question chosen by the participants is the traditional point of departure for the dialogical exchange. However, narrating is much more than a beginning point or the skeletal framework of events and it deserves more scholarly attention than hitherto given. Storytelling pervades the whole Socratic process and impacts the conceptual analysis in a SDG. In this article we (...) show how the narrative aspect became a rich resource for the compassionate bond between participants and how their stories cultivated the abstract reflection in the group. In addition, the aim of the article is to reveal the different layers in the performance of storytelling, or of authoring experience. By picking, poking and dissecting an experience through a collaborative effort, most participants had their initial experience existentially refined and the chosen concept of which the experience served as an illustration transformed into a moral compass to be used in self-orientation post cancer. (shrink)

Envy and resentment are generally thought to be unpleasant and unethical emotions which ought to be condemned. I argue that both envy and resentment, in some important forms, are moral emotions connected with concern for justice, understood in terms of desert and entitlement. They enable us to recognise injustice, work as a spur to acting against it and connect us to others. Thus, we should accept these emotions as part of the ethical life.

The main contention of this paper is that our ability to embed a consideration of values into business school curricula is hampered by certain normative parameters that our students have when entering the classroom. If we don’t understand the processes of valuation that underpin our students’ reasoning, our ethics teaching will inevitably miss its mark. In this paper, we analyze one of the most prevalent metaphors that underpin moral arguments about business, and reveal the beliefs and assumptions that underpin it. (...) By revisiting the content of Adam Smith’s “invisible hand” metaphor, we show that the moral content of the metaphor has been significantly misconstrued through its subsequent reception in economic theory. The “Giving Voice to Values” pedagogy aims to enable students to act on their tacit values and address the rationalizations that they may encounter for not acting on these values. We believe our analysis can strengthen the employment of GVV in three ways: understanding tacit blockages to moral action, i.e., how students’ belief in the moral efficacy of the invisible hand could undermine their own sense of moral duty; addressing common rationalizations that may emerge from different assumptions about morally appropriate courses of action in the workplace; and resolving values conflicts on how to act. (shrink)

Ethics consultation in institutions of the healthcare system has been given a standard form based on three pillars: education, the development of guidelines and concrete ethics consultation in case conferences. The spread of ethics committees, which perform these tasks on an organizational level, is a remarkable historic achievement. At the same time it cannot be denied that modern ethics consultation neglects relevant aspects of care ethics approaches. In our essay we present an “ethics of care” approach as well as an (...) empirical pilot project—“Ethics from the bottom up”—which organizes ethics consultation based on this focus. Findings and philosophy of the project will be discussed as far as relevant for ethics consultation in the healthcare system. (shrink)

The objective of this paper is to discuss some of the foundational issues centering around the question of integrating education in human values with professional engineering education: its necessity and justification. The paper looks at the efforts in ‘tuning’ the technical education system in India to the national goals in the various phases of curriculum development. The contribution of the engineering profession in national development and India’s self-sufficiency is crucially linked with the institutionalization of expertise and the role of morality (...) and responsibility. This linkage can be created through a proper understanding of the social role of the profession—what motivates the professionals and what makes professional life meaningful. Value education facilitates the process of moral maturity and the development of a ‘holistic’ mindset. This paper deals with the need to create such a mindset, the human values associated with it and gives examples of efforts to impart such education through ‘action-oriented’ programmes introduced in some institutes of engineering in India. (shrink)

Fifty years ago, in 1961, Feinstein published his first path-breaking articles leading to his seminal work Clinical Judgement and to the establishment of clinical epidemiology. Feinstein had an Aristotelian approach to scientific method: methods must be adapted to the material examined. Feinstein died 10 years ago and few years before his death he concluded that efforts to promote a person-oriented medicine had failed. He criticised medicine for not having recognized that only persons can suitably observe, evaluate and rate their own (...) health status. Feinstein’s position was—as in Clinical Judgement—methodological. He didn’t espouse ethical principles. He pointed to methodological deficiencies in clinical epidemiology and evidence-based medicine. In this article we’ll provide a framework for understanding and justifying Feinstein’s call for a person-oriented medicine which recognizes patients as co-actors in clinical reasoning. It’s argued that craftsmanship and practical wisdom are integrated in clinical judgement and reasoning and that clinical reasoning is not only about means to achieve the end, health. We do also reason and deliberate about ends. The ‘defining end’ of medicine (health) has continuously been negotiated and so been the object of deliberation. For centuries among professionals, in recent years among professionals and patients. These negotiations and deliberations lead to ongoing specifications of health as a ‘guiding end’, i.e. an end guiding clinical reasoning about what to do in particular situations. Feinstein’s self-critical account to clinical epidemiology at the end of his professional career reflects the fact that patients during the last 30–40 years (i.e. in the period after the publication of Clinical Judgement) widely have been recognized as persons with rights to autonomy. Feinstein’s lesson is, however, that espousing and recognizing ethical ideals is not enough. A change of clinical practice and its methods is necessary. His critique also implies that clinical epidemiology and evidence-based medicine as practiced haven’t provided such a turn. (shrink)

Essays in Moral Scepticism, by JoyceRichard. Oxford: Oxford University Press, 2016. Pp. xi + 288.