This paper contains an attempt at constructing a semantic framework for the field of health enhancement. The latter is here conceived as an extremely general category covering the whole area of health care and health promotion. With this framework as a basis I attempt to define the place of medicine within the enterprise of health enhancement. I finally indicate some normative issues for the future, in particular problems and possible developments for medicine as a species of health enhancement.

The Hippocratic Oath, the Hippocratic tradition, and Hippocratic ethics are widely invoked in the popular medical culture as conveying a direction to medical practice and the medical profession. This study critically addresses these invocations of Hippocratic guideposts, noting that reliance on the Hippocratic ethos and the Oath requires establishingwhat the Oath meant to its author, its original community of reception, and generally for ancient medicine what relationships contemporary invocations of the Oath and the tradition have to the original meaning of (...) the Oath and its original reception what continuity exists and under what circumstances over the last two-and-a-half millenniums of medical-moral reflections what continuity there is in the meaning of professionalism from the time of Hippocrates to the 21st century, and what social factors in particular have transformed the medical profession in particular countries. This article argues that the resources for a better understanding of medical professionalism lie not in the Hippocratic Oath, tradition, or ethos in and of themselves. Rather, it must be found in a philosophy of medicine that explores the values internal to medicine, thus providing a medical-moral philosophy so as to be able to resist the deformation of medical professionalism by bioethics, biopolitics, and governmental regulation. The Oath, as well as Stephen H. Miles' recent monograph, The Hippocratic Oath and the Ethics of Medicine, are employed as heuristics, so as to throw into better light the extent to which the Hippocratic Oath, tradition, and ethics can provide guidance and direction, as well as to show the necessity of taking seriously the need for a substantive philosophy of medicine. (shrink)

On the centenary of Max Weber’s “Science as a Vocation,” his essay still performs interpretative work. In it, Weber argues that the vocation of a scientist is to produce specialized, rationalized knowledge that will be superseded. Weber says this vocation is a rationalized version of the Protestant conception of calling or vocation (Beruf), tragically disenchanting the world and leaving the idea of calling as a worthless remains (caput mortuum). A similar trajectory can be seen in the physician William Osler’s writings, (...) especially his essay “Internal Medicine as a Vocation,” in which the calling of a physician is described as both rational and noble. While Osler’s conception of the physician’s vocation has been formative for contemporary medicine, physicians are reporting burnout and leaving medical practice at escalating rates. As physicians abandon their noble vocations, an alternative conception of a physician’s vocation is needed. From the worthless remains of the physician’s rational and noble vocation, the labor of a physician can find grounding in humility. (shrink)

Jean Fernel and William Harvey were leading medical practitioners of their respective generations, but they also worked in natural philosophy, and, in particular, were well known for their works on...

This article addresses how the sophistic-style analysis in Philostratus' Gymnasticus gives expression to the physical and social complexities involved in ancient athletic training. As a case in point, the article provides a close reading of Philostratus' description and criticism of the Tetrad, a four-day sequence of training, which resulted in the death of an Olympic athlete. To make physiological sense of the Tetrad, this method of training is compared to the role of periodization in ancient medicine and modern kinesiology. At (...) the same time, Philostratus' own critique of the Tetrad is compared to Foucauldian models of discipline and bodily attention. Ultimately, it is argued that the Tetrad fails because it does not incorporate καιρός, a theme common to athletics, medicine, and rhetoric. Overall, therefore, Philostratus' critique of the Tetrad helps us to appreciate the underrepresented role that γυμναστική occupied in the larger debates on bodily knowledge in antiquity. (shrink)

Personalised nutrition (PN) has emerged over the past twenty years as a promising area of research in the postgenomic era and has been popularized as the new big thing out of molecular biology. Advocates of PN claim that previous approaches to nutrition sought general and universal guidance that applied to all people. In contrast, they contend that PN operates with the principle that “one size does not fit all” when it comes to dietary guidance. While the molecular mechanisms studied within (...) PN are new, the notion of a personal dietary regime guided by medical advice has a much longer history that can be traced back to Galen’s “On Food and Diet” or Ibn Sina’s (westernized as Avicenna) “Canon of Medicine”. Yet this history is either wholly ignored or misleadingly appropriated by PN proponents. This (mis)use of history, we argue helps to sustain the hype of the novelty of the proposed field and potential commodification of molecular advice that undermines longer histories of food management in premodern and non-Western cultures. Moreover, it elides how the longer history of nutritional advice always happened in a heavily moralized, gendered, and racialized context deeply entwined with collective technologies of power, not just individual advice. This article aims at offering a wider appreciation of this longer history to nuance the hype and exceptionalism surrounding contemporary claims. (shrink)

En el presente artículo analizaremos el estilo de vida atribuido a Sócrates por Jenofonte. El trabajo parte de la definición de conceptos propios de la medicina como _díaita _o _dýnamis _desde los pitagóricos y los presocráticos hasta el _Corpus Hippocraticum_. A continuación, estudiaremos la influencia de estas ideas en la construcción de un modelo universal de virtud y liderazgo en torno a Sócrates y otras figuras.

This paper offers a caution that emphasis upon the importance of mathematics in recent historiography is in danger of obscuring the historical fact that, for the most part, mathematics was not seen as important in the pre-modern period. The paper proceeds by following a single case study, and in so doing offers the first account of the mathematical writings of Jean Fernel (1497–1558), better known as a leading medical innovator of the 16th century. After establishing Fernel's early commitment to mathematics, (...) and attempt to forge a career as a cosmographer, it goes on to explain his abandonment of mathematics for a career in medicine. The ‘mathematization of the world picture’ is usually explained in terms of the perceived usefulness of mathematics, but Fernel's case shows that for many pre-modern thinkers mathematics was not regarded as a useful pursuit. The paper should serve as a reminder, therefore, that the take-up of mathematics by natural philosophers was by no means inevitable, but had to be carefully managed by early modern mathematical practitioners. The case of Fernel indicates that perhaps he was not the only would-be mathematical practitioner to abandon mathematics in favour of a calling that was more appreciated by contemporaries. (shrink)

The ArgumentIn this paper I try to analyze the fate of a new medical model that was developed in the thirteenth and fourteenth centuries in European Latin society, particularly in the southern parts of Latin Europe. This model won the approval of the communities in which it was developed as part of an incipient network of medical care and attention. The new healer (Christian and male )that emerged from this model, whether physician or surgeon, based his practice on his knowledge (...) of Aristotelian natural philosophy. He was an intellectual and a social product fashioned and supported by traditional and new urban leader groups, whether civil or ecclesiastic, Christian or Jewish. Health and healers were considered part of the urban social organization both in large cities and in smaller towns.Full social acceptance of this new model was achieved only after heated debate. In practice, the new way of conceiving of medicine did not begin to become socially accepted outside intellectual circles until the new healer was able to offer specific solutions for the maintenance or restoration of health, both at an individual and at a collective level, and according to the criteria and feelings of the leader groups of the society of that time.Progress in research allows us to identify nene factors, at least, that were involed in the construction of these novelties in late medieval Latin society. (shrink)

The Hellenic medical ideas have found appreciation among people over centuries. Though the initial concept remained the same, methods or ways to achieve desired aims have changed. Since Hippocrates, new generations of physicians have worked hard to find more powerful types of therapies to relieve their patients and make treatment less burdensome. The struggle of medicine is very specific and requires, apart from practical skills, a clear personal commitment to help people wisely. From the Early Antiquity, both medicine and medical (...) ethics go together. Wherever Hippocratic medicine is practiced, an appropriate moral pattern accompanies it because the Hellenic doctor offered purely clinical data and his art should not be separated from anthropology, ethics and religion. (shrink)

After describing the disorder of psychopathy, I examine the theories and the evidence concerning the psychopaths’ deficient moral capacities. I first examine whether or not psychopaths can pass tests of moral knowledge. Most of the evidence suggests that they can. If there is a lack of moral understanding, then it has to be due to an incapacity that affects not their declarative knowledge of moral norms, but their deeper understanding of them. I then examine two suggestions: it is their deficient (...) practical reason or their stunted emotions that are at fault. The evidence supports both explanations. I conclude with an overview of the debate concerning whether they are morally or legally responsible for their actions. (shrink)