scholarly journals The role of philosophy and ethics at the edges of medicine

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Bjørn Hofmann

Abstract Background The edge metaphor is ubiquitous in describing the present situation in the world, and nowhere is this as clearly visible as in medicine. “The edge of medicine” has become the title of books, scholarly articles, media headlines, and lecture series and seems to be imbued with hype, hope, and aversion. In order better to understand what is at stake at “the edge of medicine” this article addresses three questions: What does “the edge of medicine” mean in contemporary debates on modern medicine? What are the challenges “on the edge of medicine” (in these various meanings of “on the edge”)? How can philosophy and ethics contribute with addressing these challenges? Methods Literature searches in PubMed and Google Scholar are used to identify uses of the phrase “the edge of medicine” while conventional content analysis is used to analyze meanings of and challenges with “the edge of medicine.” These results are then investigated with respect to how philosophy and ethics can address the identified challenges. Results The literature reveals that “the edge of medicine” has many meanings, such as: Border; Margin (of life); Frontier; Forefront; Fringes; Plunge (abyss); Brink (verge); Conflict; and Balancing. In general, the various meanings address four basic challenges: setting limits, keeping control, make meaning, and handling conflicts or aporias. The analysis of each of the meanings of “the edge of medicine” identifies a wide range of important and urgent tasks for the humanities in general, and for philosophy and ethics in particular: 1) clarifying concepts; 2) clarifying assumptions and premises of arguments, methods, advice, and decisions; 3) elaborate new concepts and new theories; 4) conceptualize and handle uncertainty, moral regret, and residue; 5) reveal “the emperor’s new clothes;” 6) identify trends and reflect on their implications; 7) demarcation; and 8) reflecting on goodness in medicine. Conclusion The phrase “the edge of medicine” expresses a wide range of challenges for modern health care. Together with other disciplines philosophy and ethics can and should make crucial contributions at “the edge of medicine,” which is where the future of human beings and societies is created and formed.

Author(s):  
Samuel Torvend

Luther not only wrote about charity and social ethics throughout much of his life; he also experienced the conditions that were the object of Christian generosity and ethical reflection. This essay suggests that his study of the Bible and Church Fathers was not the only source of Luther’s writings and revolutionary programs. His experience of deprivation as a child and a monk, his encounters with the homeless poor of Wittenberg, and his observation of corrupt business practices and failed political leadership played significant roles in his sensitivity to the scriptures and the history of ecclesial care for the poor. The rise of social history and the use of social scientific methods have drawn attention to the economic, political, and social context in which Luther lived and to which he responded throughout his life. The reformer’s works on charity and social ethics did not emerge in a vacuum. His initial public foray focused on the “spiritual economy” of the late medieval church, which discriminated against many of Luther’s poor parishioners. While the Ninety-Five Theses raised serious questions about the sacrament of penance, the role of indulgences, and the authority of the pope, the text also reveals Luther’s early concern for the poor, who were frightened into buying spiritual favors for themselves or their dead relatives. In addition to theological problems, Luther recognized the ethical dimension of this large-scale sales campaign that benefited archbishops and the Vatican treasury. Luther’s rediscovery of the Pauline teaching on justification by grace alone reoriented Christians toward life in this world. Rather than spend effort or money on spiritual exercises that might win one God’s favor in the afterlife, human energies could be directed toward alleviating present suffering. A dialectical thinker, Luther insisted on holding together two seemingly irreconcilable claims, two disparate texts, two discordant images in order to raise the question: How is one related to the other? His teaching on justification claims that God always advances toward a suffering humanity first and that this advance is revealed with utter clarity in the person and work of Jesus Christ, who incarnates God’s desire to free human beings from the deathly presence of anxious religion and give them “life, health, and salvation.” But such freedom must be used for the good of one’s neighbor who suffers within the economic, political, and social fabric of life. The advance of God, who is mercy and grace, continues into the world through Christ and his body. This essay suggests that while Luther animated significant contributions to biblical studies and theology, a body of ethical teaching has been harder to discern among his followers. Perhaps this hesitancy arose out of fear that an emphasis on ethics would be construed as a lapse into what Luther called “works righteousness.” This essay considers a number of the ethical questions and crises that faced Luther, which have not subsided and ask for contemporary investigation. A remarkable achievement of Luther’s reform was a revolutionary change in social assistance. The monastic communities of western Europe had long served as centers of hospitality and charity, and the order in which the young Luther made his vows was a reforming order committed to austerity of life and care for the urban poor. For theological reasons, Luther promoted the suppression of the monasteries and vilified the mendicant orders, but this left a gap in care for the growing population of homeless peasants seeking work in urban centers. The reform of social assistance undertaken in the small “Lutheran” town of Leisnig, Germany, in the early 16th century would become the model for many church orders throughout Germany and Scandinavia, influencing today’s state-run and tax-funded assistance to needy families. Recently, ethicists and Luther scholars have reassessed his reform of charity to ask how the reformer’s social teaching might support engagement with a wide range of present-day social movements. Increased study of Luther’s social writings and the study of evangelical “church orders,” previously marginalized in the academy, offers promising avenues for continued research. This essay also compares three forms of charity—Lutheran, Roman Catholic, and Reformed—illustrating the symbiotic relationship between social ethics and theology and underscoring the role of theological priorities in the conceptualization of social assistance. Finally, this essay considers Luther’s writings on social ethics. Frequently, interpreters of this focus on “faith active in love,” or the utility of his distinction between two kingdoms or governments. Such studies offer a biblical or theological grounding for Lutheran ethics yet frequently overlook the actual crises or practices he encountered. Luther was not a “systematic” theologian, and one must search through his many writings to discover his “ethical” teachings. Luther scholars and historians of social ethics are increasingly interested in the specific ethical questions he was asked to discuss by those who had accepted his reform. The growing popularity of his reform movement and the seismic shift in Christian thought and practice it animated left Luther little time to construct a well-ordered corpus of social teaching, yet many of his concerns are vitally alive in the world today albeit within a different context. Many of his concerns were enlightened by his study of scripture, in which he recognized a mirror of his own turbulent era.


2015 ◽  
Vol 1 (1) ◽  
pp. 27-36
Author(s):  
Saman Salah ◽  
Yus’Aiman Jusoh Yusoff

This study examines Shelley's idealism with respect to his concept of love and the role of nature played in his love poems. The study describes Shelley's believe in the force of love to transform the world into a better place where freedom and justice prevails. The ideal imaginary world of Shelley's mind shows how love dominates, while contempt achieves devastation. As a poet of the romantic era, he strongly believes in the power of nature, which ultimately reforms the world into a new order of peace, freedom and justice. His optimism, love and freedom longs to bring betterment in society for the perfectibility of human beings. His optimism depends upon the eradication of a wide range of oppression and persecution to lead to a compassionate universe. It can be seen that the world of Shelley's imagination is administered with equity and affection, therefore, kindness triumphs over malice when man's heart is ruled by the power of love.


2021 ◽  
Author(s):  
Henk-Jan Dekker

In an effort to fight climate change, many cities try to boost their cycling levels. They often look towards the Dutch for guidance. However, historians have only begun to uncover how and why the Netherlands became the premier cycling country of the world. Why were Dutch cyclists so successful in their fight for a place on the road? Cycling Pathways: The Politics and Governance of Dutch Cycling Infrastructure, 1920-2020 explores the long political struggle that culminated in today’s high cycling levels. Delving into the archives, it uncovers the important role of social movements and shows in detail how these interacted with national, provincial, and urban engineers and policymakers to govern the distribution of road space and construction of cycling infrastructure. It discusses a wide range of topics, ranging from activists to engineering committees, from urban commuters to recreational cyclists and from the early 1900s to today in order to uncover the long and all-but-forgotten history of Dutch cycling governance.


Islamology ◽  
2019 ◽  
Vol 9 (1-2) ◽  
pp. 195
Author(s):  
Saidakbar Mukhammadaminov

The article is dedicated to the manuscript heritage of Tatar scholars held in Abu Rayhan Beruni Institute of Oriental Studies of the Academy of Sciences of Uzbekistan, one of the richest manuscript repositories in the world. Works of manuscripts of Tatar theologians such as Abdurahim Utyz-Imyani, Abu al-Nasr Qursawi, Shihabaddin Mardjani, and Hisam al-Din b. Sharaf al- Din al-Bulgari, Kamal al-Din b. Siraj al-Din al-Uribfori al-Kazani, ̒Ayn al-Din b. Jalal al-Din al-Kazani, Abu al-Sharaf Husain b. Abu Umar al- Bulgari, Muhammad Latif b. Abdulislam al-Bulgari are analyzed. Based on a review of the manuscripts, it is established that some of them have not yet been catalogued. It is argued that the works of Tatar scholars were mainly devoted to religious subjects. The role of Tatar scholars in the creation of commentaries and works on legal, medical and Sufi terms is analyzed in order to make the works accessible to a wide range of people seeking knowledge.


1985 ◽  
Vol 7 (6) ◽  
pp. 169-175
Author(s):  
George A. Nankervis

The role of cytomegalovirus in human disease is a still-evolving story. Hanshaw presented an excellent review article on the subject in 1981 in this publication; this current review is an update, with particular emphasis on new concepts in the epidemiology and prevention of cytomegaloviral infection and disease. Historically, evidence of infection with cytomegalovirus was first reported by pathologists in many parts of the world. They noted the presence of giant cells with intranuclear inclusions while examining a diversity of organs microscopically. Isolation of the virus and development of serologic techniques eventually enabled a definitive study of the agent, its pathogenesis and epidemiology. Biologically, it is one of the herpesviruses and, as such, is a DNA virus. Other members of the group include varicella-zoster, herpes simplex, and Epstein-Barr virus. Several different strains of cytomegalovirus exist, and they have specific characteristics which are of interest. The virus is cell associated and tends to be very labile; it has a tendency to become latent and may possibly have malignant potential. EPIDEMIOLOGY Prevalence Infection with cytomegalovirus is found throughout the world. Studies of prevalence in a number of diverse populations have indicated that cytomegaloviral infection is ubiquitous. The major differences in prevalence between populations are related to the speed of acquisition of infection in various geographic and socioeconomic settings.


Author(s):  
Vladimir Korovkin

Digital transformation of business is an increasingly pressing issue for top management of the companies across the world. Appointing dedicated executive is a popular measure undertaken to respond to the challenges of the new era. Many view the role of CDO (Chief Digital Officer) to be “the most exciting strategic role in the coming decade”. There is a wide range of views on the CDO's role, agenda, and competencies. Depending on the nature and the environment of a given business, there are three possible strategic approaches to the digital transformation: “fully digital”, “digitally wrapped”, and “digitally spiced”. Each of these requires a CDO, the digital transformation-focused executive, as an important condition for success, yet the range of tasks such a manager handles is profoundly different in each case. The role of CDO is defined by a diverse and demanding set of requirements; the perfect CDO is a manager with a variety of functions who actively interacts with other executives and has profound knowledge and strong managerial skills.


2018 ◽  
Vol 28 (1) ◽  
pp. 74-81 ◽  
Author(s):  
Brett Q. Ford ◽  
James J. Gross

The world is complicated, and we hold a large number of beliefs about how it works. These beliefs are important because they shape how we interact with the world. One particularly impactful set of beliefs centers on emotion, and a small but growing literature has begun to document the links between emotion beliefs and a wide range of emotional, interpersonal, and clinical outcomes. Here, we review the literature that has begun to examine beliefs about emotion, focusing on two fundamental beliefs, namely whether emotions are good or bad and whether emotions are controllable or uncontrollable. We then consider one underlying mechanism that we think may link these emotion beliefs with downstream outcomes, namely emotion regulation. Finally, we highlight the role of beliefs about emotion across various psychological disciplines and outline several promising directions for future research.


2015 ◽  
Vol 21 (1) ◽  
pp. 123-149
Author(s):  
Gerald Filson

Human beings are conceptual in ways unique to our species, different in kind from animal rationality. Our conceptual capacity goes beyond the cognitive and shapes our emotions, our moral and spiritual capabilities and our perception of the world. That conceptual capacity is formed by culture and language where language plays a central role in how we experience the world. The role of language, especially spiritual or religious language, can inform our perception of the world in ways that represent genuine ‘spiritual perception’ of the material, social and spiritual dimensions of reality. Human beings’ conceptual capabilities are fallible, even in how we use perception as a capacity for knowing the world. Conditions in modernity have increased our vulnerability to fallibility. Consequently, collective exercise of our conceptual capacities in deliberation and coordinated assessments of reality are more necessary than ever. Science and religion are influential models of how collective deliberation, or consultation, enhances our conceptual capabilities and the ways in which perception takes in a world that is both material and spiritual.


Author(s):  
Анастасия Руднева ◽  
Anastasiya Rudneva

The textbook examines the essence, place and role of international trade in the system of modern world economic relations and in ensuring international economic security, as well as forms and methods of international trade. Particular attention is paid to the specifics of pricing and state regulation of this form of MEO, including in the framework of the world trade organization, as well as trends in the development of international trade in the context of the transformation of its geographical and commodity structure, taking into account modern challenges and threats. The textbook is intended for bachelors studying in the direction of "Economics", graduate students, teachers and a wide range of readers interested in the discipline.


2017 ◽  
Vol 21 (1-2) ◽  
pp. 150-175
Author(s):  
David Seamon

In this article, I draw on Gurdjieff’s philosophy to initiate a phenomenology of aesthetic experience, which I define as any intense emotional engagement that one feels in encountering or creating an artistic work, whether a painting, poem, song, dance, sculpture, or something else. To consider how aesthetic experience might be understood in a Gurdjieffian framework, I begin with an overview of phenomenology, emphasizing the phenomenological concepts of lifeworld and natural attitude, about which Gurdjieff said much, though not using phenomenological language. I then discuss Gurdjieff’s “psychology of human beings” as it might be interpreted phenomenologically, emphasizing three major claims: first, that, human beings are “asleep”; second, that they are “machines”; and, third, that they are “three-centered beings.” I draw on the last claim—human “three-centeredness”—to highlight how aesthetic experiences might be interpreted via Gurdjieff’s philosophy. Drawing on accounts from British philosopher and Gurdjieff associate J. G. Bennett, I end by considering how a Gurdjieffian perspective understands the role of the artistic work in contributing to aesthetic experience.


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