This classic and controversial book examines the roots of the idea of virtue, diagnoses the reasons for its absence in modern life, and proposes a path for its recovery.

" Here Jonathan Lear argues that irony is one of the tools we use to live seriously, to get the hang of becoming human.

After distinguishing two different meanings of the notion of a morality internal to medicine and considering a hypothetical case of a society that relied on its surgeons to eunuchize priest/cantors to permit them to play an important religious/cultural role, this paper examines three reasons why morality cannot be derived from reflection on the ends of the practice of medicine: (1) there exist many medical roles and these have different ends or purposes, (2) even within any given medical role, there exists (...) multiple, sometimes conflicting ends, and, most critically, (3) the ends of any practice such as medicine must come from outside the practice, that is, from the basic ends or purposes of human living. The paper concludes by considering whether these ends external to medicine are universally part of the moral reality or whether they are socially constructed. The paper argues that, even if various cultural accounts of the common, universal morality are socially constructed, they may, nevertheless, be reflections, however, imperfect, of a more universal common morality that should be thought of as real. Therefore, the morality of medicine must come from a more fundamental morality external to medicine. That external morality will be socially constructed, but may nevertheless reflect an underlying common morality. (shrink)

To set medicine within the context of a good or faithful life requires virtues that give physicians and patients the skills to understand and practice the kind of care medicine is capable of giving. We begin with a prayer that names some of these virtues. We then show how the language of medicine impedes these virtues by fostering the illusion that medicine will free us from illness and mortality. While Aristotle’s account of virtue and happiness seems capable of telling us (...) how to live with finitude, Jonathan Lear shows how it involves another fantasy of escape from it. We then show how Karl Barth’s account of health offers physicians and patients a language by which both the capabilities and the limitations of medicine may serve rather than undermine a good life. 1. (shrink)