In lieu of an abstract, here is a brief excerpt of the content:Rhetoric, Grief, and the Imagination in Early Modern EnglandStephen PenderIn 1633, the Northampton physician James Hart warned that excessive grief "will to some procure irrecoverable Consumptions," dry the brain and bone marrow, hinder digestion, interrupt rest, and "by consequent prove a cause of many dangerous diseases." The risk was grave: "Galen himself maketh answer that one may dye of these passions, and to this doe all Physicians assent; and (...) experience maketh it so appeare" (1633, 393–95).1 In the sixteenth and seventeenth centuries, physicians routinely treated grief and its effects, since it was commonly held that the passions were realized in matter.2 They applied an ensemble of remedies—bleeding, emetics, laxatives—predicated on sympathetic connection between bodies and souls, for disturbance "in the emotional climate of the body alters its inner temperature and causes in turn dangerous mutations in the balance and composition of the humours" (MacDonald 1981, 182).3 The spirits, too, were enlisted: for "the spirit being either withdrawne from the outwarde parts by vehement passio[n] of griefe," the "outward partes not only faile in their sense and motion, but even nourishment & growth thereby are hindered" (Bright 1586, 60; see also 47, 51–52). But grief also "besieged" the mind, weakened reason, hampered discourse, and impugned the will (Reynolds 1640, 229–30). By affecting mental faculties, passions subvented affliction, and thus physicians offered various prophylactics against fulminant emotion in the sick, most [End Page 54] of which focused on the imagination as potentially harmful faculty that prolonged or intensified suffering. A sufferer, Hart writes, "by reason of his sicknesse, hath sorrow enough, especially, if the party be of a feeble, fearfull and pusillanimous spirit, the phansie still framing unto it selfe new fears of some bad and sinistrous event." As wards against excessive passion, Hart recommends vigilance and circumspection, accommodation and distraction. First, physicians must guard against visitors who "prove the causes of infinite evills to the sicke" by occasioning overweening feeling. Drawing on Paul's distinction between worldly and "godly" sorrow in his second letter to the Corinthians, Hart recognizes that sufferers have just cause for fear, and physicians should not interrupt or retard "true sorrow for sinne," which offers comfort to a "drouping and sorrowfull soule." But the effects of any lenitive passion are endangered by "indiscreetly" compounding fear and grief "at an unseasonable time" (1633, 400). To avoid odium, a counselor's efforts must conform to "time, place, and person" (Wilson 1994, 120). Second, a physician should "accommodate himselfe to the severall dispositions of his patients, and to many particular circumstances concerning them," adjusting therapies and practices to individual sufferers. Finally, if not too fragile, the sick should be distracted with mirth (1633, 400).Those expressing "true sorrow for sinne" should read. Hart recommends one of the "many volumes written by our learned Divines, concerning this subject," Robert Bolton's 1631 Instructions for a Right Comforting Afflicted Consciences with Speciall Antidotes Against Some Grievous Temptations. Bolton, who was rector of Broughton, Northamptonshire, and a popular conformist preacher, insists that divines sometimes held even "godly sorrow" unseasonable, "when it unfitteth the body or minde to good duties" (1641, 587). Excessive grief is particularly foul: of "all other passions of the Soule," he writes, "sadnesse, and grief grates most upon the vitall spirits; dries up soonest the freshest marrow in the bones; and most sensibly suckes out the purest, and refinedst bloud in the heart" (1641, 21). Bolton's remedies are to avoid idleness and solitude, for both render the soul susceptible to disquiet (1641, 582), and to read: the sorrowful and the melancholy find succor in scripture. Although both forms of suffering may be treated medically, one remedy for an afflicted conscience is "Gods blessed Booke" (1641, 211–15). One early seventeenth-century Sussex physician turned to Burton's Anatomy of Melancholy (1621) for assistance.4Like most physicians in the period, both Hart and Bolton differentiate grief occasioned by humoral imbalance from sorrow born of a repentant conscience, and both confirm that the "phantasie" is central to physical and [End Page 55] moral therapy.5 For Bolton, grief, melancholy, and "terror of conscience" dwell chiefly in the imagination (1641, 212... (shrink)

In 1792 Dugald Stewart published Elements of the philosophy of the human mind. In its section on abstraction he declared himself to be a nominalist. Although a few scholars have made brief reference to this position, no sustained attention has been given to the central role that it played within Stewart’s early philosophy of mind. It is therefore the purpose of this essay to unpack Stewart’s nominalism and the intellectual context that fostered it. In the first three sections I aver (...) that his nominalism emanated from his belief that objects of the mind—qualities, ideas and words—were signs that bore no necessary relation to the external objects that they were meant to represent. More specifically, it was these signs that were arranged into systems of thought by the ‘operations of the mind’. The next three sections suggest that his treatment of words as signs most probably originated in his views on language and medicine and that his nominalistic philosophy of mind could also be extended to systems that sought to classify the natural world. I conclude by suggesting several avenues of enquiry that could be pursued by future scholars interested in excavating Stewart’s thought. (shrink)

In their article published in Nanoethics, “Ethical, Legal and Social Aspects of Brain-Implants Using Nano-Scale Materials and Techniques”, Berger et al. suggest that there may be a prima facie moral obligation to improve neuro implants with nanotechnology given their possible therapeutic advantages for patients [Nanoethics, 2:241–249]. Although we agree with Berger et al. that developments in nanomedicine hold the potential to render brain implant technologies less invasive and to better target neural stimulation to respond to brain impairments in the near (...) future, we argue against presenting the development of nanobionic clinical devices in terms of a moral obligation to conduct this research. In the first part of the paper, we consider what a duty to pursue new technologies might mean, and in the second we explore some of the negative consequences of defending such development as a moral obligation based on potential benefit. We argue that promoting the advances available to brain implants through developments in nanotechnology and bionics could contribute to medical rhetoric that indirectly increases the risk of exposing patients to harm when participating in clinical trials. We argue that rather than there being a moral obligation to improve nanobionics implants because of their potential benefit, the pursuit of improved neuro implants must be balanced against the prima facie obligations to protect patients against harm and to promote and protect patient autonomy. (shrink)