Recognition that the Principle of Respect for Autonomy fails to work in family-centric societies such as Singapore has recently led to the promotion of relational autonomy as a suitable framework within which to place healthcare decision making. However, empirical data, relating to patient and family opinions and the practices of healthcare professionals in Confucian-inspired Singapore, demonstrate clear limitations on the ability of a relational autonomy framework to provide the anticipated compromise between prevailing family decision-making norms and adopted Western led atomistic (...) concepts of autonomy. Evidence suggests that despite a growing infusion of Western influence, there is still little to indicate any major shift to individual decision making, particularly in light of the way society and healthcare are structured. Similarly, the lack of employing a shared decision-making model and data that discredit the notion that the complex psychosocial and cultural factors that affect the decision making may be considered “content neutral” not only prevents the application of relational autonomy but questions the viability of the values behind the Principle of Respect for Autonomy. Taking into account local data and drawing upon a wider concept of personhood that extends beyond prevailing family-centric ideals along with the complex interests that are focused upon the preservation of the unique nature of personhood that arises from the Ring Theory of Personhood, we propose and “operationalize” the employing of an authoritative welfare-based approach, within the confines of best interest decision making, to better meet the current care needs within Singapore. (shrink)

This is an exploratory paper of the ethical implications for genomic research and mental illness with specific reference to Singapore. Singapore has a unique context due to its social and political systems, and although it is a relatively small country, its population is religiously and culturally diverse. The issues that we identify here, therefore, will offer new perspectives and will also shed light on the existing literature on psychiatric genomics in society. We contextualise issues such as risk and stigma in (...) the identification and diagnosis of psychosis in the way they relate to Singaporean society, and use a current study as a case example. Genomic research has the potential to change significantly he practice of clinical medicine if, as expected, fast and inexpensive sequencing becomes a reality. It will likely also change how society thinks and acts in respect to multi-factorial diseases, conditions, traits, and syndromes that have a genetic component. Genomic research already raises a number of ethical concerns relating to the privacy of individuals, including the disclosure of research results and incidental findings, surreptitious tests, third party access to data, and the re-emergence of genetic determinism. These issues are potentially exacerbated when genomics - the study of whole genomes to understand complex illness and behavioural traits - is applied to psychiatric research, because of the stigma that is often attached to mental illness. In this paper, we discuss some of the issues that have arisen in the context of a study in Singapore that is currently investigating the genomics and biomarkers of psychosis. We argue that although a genomic study rarely creates data that is directly useful to the participant, it can have incidental benefits to the individual who is identified during the study as being at high risk of developing psychosis and its related states. Understanding these potential benefits requires us to examine the implications that this type of research may have on public understandings of genomic data and risk. (shrink)

If mysticism, as Coventry Patmore defines it, is 'the science of ultimates,' in what way would mysticism explain the possibility of a profound relationship between ultimate reality as infinite and proximate reality as finite ? This paper attempts to address that question through the lens of Evelyn Underhill’s philosophy of mysticism. The paper fundamentally works at framing two of Hegel’s triadic patterns of dialectic against the being-becoming binary as engaged by Underhill. This application helps unveil the relation of transcendence with (...) immanence, a relation that is crucial for a structuring of the infinite-finite mystical intimacy. (shrink)

Hegel's Philosophy of Right holds in high regard the form of a constitutional monarchy with the executive, judiciary, and legislature having overlapping boundaries. The Malaysian governmental structure reflects this configuration. The fundamental premise of this paper is that the interpretive lens of Hegelian metaphysics offers a unique critique of Malaysia's political lineament. In applying Hegel to assess the general form of the Malaysian constitutional monarchy, two specific terrains traversed would be the state-religion liaison and the ramification of government into the (...) crown, executive, judiciary, and legislature. (shrink)

Embedded in the Daodejing and the Zhuangzi is a unique concept that lends itself to the formulation of a distinct system of ethics. The distinctiveness that wu-wei infuses into the realm of ethics resides in its principal constituent, spontaneity. Implicit in wu-wei is spontaneity and its dialectical opposite, the nonspontaneous elements that are essential to the integrity of any system of ethics. This paper attempts to bring to the fore this implicit dialectic of spontaneity and non spontaneity through wu-wei's relation (...) to the Dao as harmony of opposites, its imperative of enlightened response, and its congeniality to the case for libertarianism. (shrink)

This paper endeavours to unravel the dialectical structure embedded within St. John of the Cross’ delineation of the phase of purgation in the economy of mysticism. Two correlative opposites that figure prominently in some systems of theistic mysticism are infinite-finite and grace-effort. The premise of this paper is that those pairings are not dichotomous contraries but are opposites that are amenable to some form of reconciliation. With the aid of a triadic dialectical scheme it is possible to map out the (...) dialectical relations between relevant concepts within mystical purgation, characterized as ‘night’ by St. John, and perhaps achieve some advance in the elucidation of the pairings’ constitutive elements. (shrink)

This paper intends to append the frame of dialectic upon St. John of the Cross’ delineation of mysticism. Its underlying hypothesis is that the dialectical structuring of St. John’s mystical theology promises to unravel the web of relational concepts embedded within his immense writings on this unique phenomenon. It is hoped that as a consequence of this undertaking, relevant pairs of correlative opposites that figure prominently in mysticism can be elucidated and perhaps come to some form of resolution.

The wealth of scholarship on Christian mysticism attests an enduring interest in this subject matter. Amidst the immense collection of commentaries on Christian mysticism lies this valuable book by Nelstrop, Magill, and Onishi. Their book, far from merely offering a survey of current theories on Christian mysticism, does make significant inroads in teasing out logical connections amongst interpretive theories and interpreted themes.Four different theories on mysticism, namely, perennialist, contextualist, performative language, and feminist, are set to work on examining themes within (...) the Christian tradition such as Neoplatonic influences, apophatic language, erotic imagery, scriptural symbolism and exegesis, self-introspection, church hierarchy, female mysticism, and imaginative meditations. The first two parts of the book range over the readings of these themes through the lenses of the four mentioned theoretical approaches. The last chapter of part two presents viewpoints of the four. (shrink)