Truth-telling to competent patients is widely affirmed as a cardinal moral and biomedical obligation in contemporary Western medical practice. In contrast, Chinese medical ethics remains committed to hiding the truth as well as to lying when necessary to achieve the family's view of the best interests of the patient. This essay intends to provide an account of the framing commitments that would both justify physician deception and have it function in a way authentically grounded in the familist moral concerns of (...) Confucianism. It reflects on the moral conditions and possibilities for sustaining a Confucian understanding of truth-telling and consent in mainland China. (shrink)

The legal basis of informed consent in Texas may on first examination suggest an unqualified affirmation of persons as the source of authority over themselves. This view of individuals in the practice of informed consent tends to present persons outside of any social context in general and outside of their families in particular. The actual functioning of law and medical practice in Texas, however, is far more complex. This study begins with a brief overview of the roots of Texas law (...) and public policy regarding informed consent. This surface account is then contrasted with examples drawn from the actual functioning of Texas law: Texas legislation regarding out-of-hospital do-not-resuscitate (DNR) orders. As a default approach to medical decision-making when patients lose decisional capacity and have failed to appoint a formal proxy or establish their wishes, this law establishes a defeasible presumption in favor of what the law characterizes as “qualified relatives” who can function as decision-makers for those terminal family members who lose decisional capacity. The study shows how, in the face of a general affirmation of the autonomy of individuals as if they were morally and socially isolated agents, space is nevertheless made for families to choose on behalf of their own members. The result is a multi-tier public morality, one affirming individuals as morally authoritative and the other recognizing the decisional standing of families. (shrink)

Hegel seeks to overturn Kant's conclusion that our knowledge is restricted, or that we cannot have knowledge of things as they are in themselves. Understanding this Hegelian ambition requires distinguishing two Kantian characterizations of our epistemic limits: First, we can have knowledge only within the "bounds of experience". Second, we cannot have knowledge of objects that would be accessible only to a divine intellectual intuition, even though the faculty of reason requires us to conceive of such objects. Hegel aims to (...) drive a wedge between these two characterizations, showing that we can have knowledge beyond Kant's bounds of experience, yet without need of divine intuition. And attention to such knowledge is supposed to show that we have no legitimate need to even conceive of divine intuition and its objects - and no need to conclude that our own knowledge is restricted by comparison, or that we cannot know things as they are in themselves. I focus here on the initial case Hegel uses to introduce this extended argument strategy: we can have more knowledge of natural kinds and laws than would be allowed by Kant's bounds of experience. (shrink)

William Desmond maintains that preserving the difference between God and humanity means retaining the transcendent otherness of God. In this article, by contrast, I argue that Hegel is right to maintain that insisting on God’s transcendent otherness actually turns God into a finite divinity and so eliminates the very difference Desmond wishes to retain. The only way to preserve the genuine difference between God and humanity, therefore, is to give up the idea that God is a transcendent other and to (...) understand him to be immanent in humanity itself. I argue that this Hegelian position is closer to the orthodox Christian understanding of God than Desmond allows. (shrink)

Bioethics is a subject far removed from the Chinese, even from many Chinese medical students and medical professionals. In-depth interviews with eighteen physicians, patients, and family members provided a deeper understanding of bioethical practices in contemporary China, especially with regard to the doctor-patient relationship (DPR) and informed consent. The Chinese model of doctor-family-patient relationship (DFPR), instead of DPR, is taken to reflect Chinese Confucian cultural commitments. An examination of the history of Chinese culture and the profession of medicine in China (...) is used to disclose the deep roots of these commitments. The author predicts that the DFPR model will further develop in China but that it will maintain its Chinese character. (shrink)

Richard Swinburne presents a new edition of the final volume of his acclaimed trilogy on philosophical theology. Faith and Reason is a self-standing examination of the implications for religious faith of Swinburne's famous arguments about the coherence of theism and the existence of God. By practising a particular religion, a person seeks to achieve some or all of three goals - that he worships and obeys God, gains salvation for himself, and helps others to attain their salvation. But not all (...) religions commend worship, and different religions have different conceptions of salvation. Faced with these differences, Richard Swinburne argues that we should practice that religion which has the best goals and is more probably true than the creeds of other religions. He proposes criteria by which to determine the probabilities of different religious creeds, and he argues that, while requiring total commitment, faith does not demand fully convinced belief. While maintaining the samestructure and conclusions as the original classic, this second edition has been substantially rewritten, both in order to relate its ideas more closely to those of classical theologians and philosophers and to respond to more recent views. In particular he discusses, and ultimately rejects, the view of Alvin Plantinga that the 'warrant' of a belief depends on the process which produced it, and John Hick's contention that all religions offer valid paths to salvation. (shrink)

Across the world, socio-economic forces are shifting the locus of long-term care from the family to institutional settings, producing significant moral, not just financial costs. This essay explores these costs and the distortions in the role of the family they involve. These reflections offer grounds for critically questioning the extent to which moral concerns regarding long-term care in Hong Kong and in mainland China are the same as those voiced in the United States, although family resemblances surely exist. Chinese moral (...) values such as virtue and filial piety embedded in a Confucian moral and social context cannot be recast without distortion in terms of modern Western European notions. The essay concludes that the Confucian resources must be taken seriously in order to develop an authentic Chinese bioethics of long-term care and a defensible approach to long-term care policy for contemporary society in general and Chinese society in particular. (shrink)

This review essay examines H. Tristram Engelhardt, Jr.'s The Foundations of Bioethics, a contemporary nonfeminist text in mainstream biomedical ethics. It focuses upon a central concept, Engelhardt's idea of the moral community and argues that the most serious problem in the book is its failure to take account of the political and social structures of moral communities, structures which deeply affect issues in biomedical ethics.

Desmond argues that the God portrayed in Hegel’s philosophy of religion is not the true and real God of Christian faith but an idol, a counterfeit. In this he articulates a critique of Hegel that goes back to Kierkegaard and Feuerbach, both of whom read Hegel as a pantheist and monist. My response is that such a reading is a misinterpretation—indeed, perversely so given Hegel’s repeated critiques of pantheism and atheism. For Hegel, the whole is not simply the one (a (...) philosophy of identity), but the one and the many. Instead of identity, Hegel posits holism. Without genuine difference and otherness, without transcendence as well as immanence, there is no whole, no system of relations, no spiraling into novelty, but simply an eternal repetition of the same. God is this whole, the whole in which everything finite comes into being and passes away, the whole in which time and history transpire and God becomes concretely self-determined. Hegel’s holism offers an alternative to the monism of modern philosophy and the dualism of classical theology. As such, it is an authentic reading of original Christian faith. (shrink)

THIS PAPER is not a piece of "research"; it simply offers a series of reflections on the transcendental method. It is occasioned by the realization that, while this method is interesting and important in the opinion of some, it can count on little familiarity in the United States. And where philosophers and students of philosophy make the effort, they have great difficulty appreciating transcendental philosophy or understanding its proposals. This difficulty is, as I say, largely circumstantial and due to a (...) lack of familiarity with the relevant works, but, viewed less superficially, it is motivated by a positive affiliation to another philosophical tradition. In fact, the positions of this other tradition are, if largely in a modern guise, the very ones against which transcendental philosophy reacted. This historical relationship has also systematic relevance. In many ways, pre-transcendental positions seem to have priority: we need only think of formal logic, certain basic stances in empiricist epistemology, common sense. Accordingly, the subjective difficulty of philosophers and students of such persuasions can be treated "objectively," as the difficulty of ever establishing arguments for the transcendental turn or for what Kant calls the "Copernican revolution." Transcendental philosophy must provide arguments, so it seems, on the pre-transcendental level to establish the transcendental position. Further, supposing this problem can be overcome, there is the genuine difficulty of understanding what the transcendental theory actually says and in what way it does its job. And lastly, supposing we find that it lives up to its program, there may still be difficulty with certain implications such that philosophers and students take refuge in non-transcendental positions rather than calling for improvements of transcendental philosophy. In this paper we cannot, of course, fully discuss to what extent the transcendental position can take care of its critics. The paper is mainly concerned with the difficulty of access or introductory argument to transcendental philosophy. (shrink)

The project of articulating a coherent, canonical, content-full, secular morality-cum-bioethics fails, because it does not acknowledge sin, which is to say, it does not acknowledge the centrality of holiness, which is essential to a non-distorted understanding of human existence and of morality. Secular morality cannot establish a particular moral content, the harmony of the good and the right, or the necessary precedence of morality over prudence, because such is possible only in terms of an ultimate point of reference: God. The (...) necessity of a rightly ordered appreciation of God places centrally the focus on holiness and the avoidance of sin. Because the cardinal relationship of creatures to their Creator is worship, and because the cardinal corporate act of human worship is the Liturgy, morality in general and bioethics in particular can be understood in terms of the conditions necessary, so as worthily to enter into Eucharistic liturgical participation. Morality can be summed up in terms of the requirements of ritual purity. A liturgical anthropology is foundational to an account of the content-full morality and bioethics that should bind humans, since humans are first and foremost creatures obliged to join in rightly ordered worship of their Creator. When humans worship correctly, when they avoid sin and pursue holiness, they participate in restoring created reality. (shrink)

Orthodox Christian theology gives philosophy the same role it played in the Church of the first half-millennium. This article distinguishes among nine senses of philosophy and four senses of theology in order to highlight the characteristic features of Orthodox Christian theology’s use of philosophy and philosophical reasoning. It shows why, given the metaphysics and epistemology of Orthodox Christian theology (e.g., God is recognized as fully transcendent, such thatthere is no analogia entis between created and Uncreated Being, with the result that (...) the experience of the encounter with God can only be recounted apophatically) and its sociology of knowledge (e.g., theology in the strict sense occurs primarily in monasteries, not in the academy), philosophy is regarded as not able to contribute to the development of old doctrines or the fashioning of new doctrines, but only to the clarification of doctrinal statements. As a consequence, Orthodox Christian theology has been committed to severely confining philosophy’s role in theology. (shrink)

While heightening the nihilistic tension underlying the discourse of Richard Kearney, I highlight the positive contribution his book The God Who May Be makes to the debate concerning the need for a postmodern revitalization of religious symbolism. I argue for three qualifications of Kearney's argument, suggesting, in response to Kearney's exclusionary approach to the God who “neither is nor is not but may be,” a God whose possibility for meaningfulness arises as an “eschatological theogony” from out of the chaos (confusion (...) and openness) of contemporary religious symbolism. Arguing that such a radical reenvisioning of God must be tempered and given meaning through reentering and reaffirming onto‐theology in a qualified (hermeneutical) sense, I sketch a possible renewal of meaning for the traditional Christian parousia‐concept as a hermeneutical circle between Hegel's systematic closure of Western metaphysics and Heidegger's deconstructive appropriation of the hidden possibilities of presence within the onto‐theological tradition. (shrink)

This article explains some of the major intentions the author had in writing the book Hegel’s God: A Counterfeit Double? It especially focuses on the question of transcendence, both with respect to the question of God as such, as well as Hegel’s option for a version of holistic immanence. It spells out some of the details of the book itself, and explains the guiding thread of the counterfeit double. The texts of Hegel may be saturated with the word “God,” but (...) in Hegel’s dialectical-speculative reconfiguration of God, what God comes to signify is devoid of the strong transcendence we find in Biblical monotheism. The strengths and deficiencies of Hegel’s position are explored. (shrink)