By permission of The Gale Group, this article is reprinted (here on-line) from “Nicholas of Cusa,” pp. 122-125, Volume 9 of the Dictionary of the Middle Ages, edited by Joseph R. Strayer (New York: Charles Scribner’s Sons, 1987 ). The short bibliography at the end of the original article has been omitted; and the page numbers of the article are here changed.

Ever since Ernst Cassirer in his epochal book Individuum und Kosmos in der Philosophie der Renaissance1 labeled Nicholas of Cusa “the first modern thinker,” interest in Cusa’s thought has burgeoned. At various times, both before and after Cassirer, Nicholas has been viewed as a forerunner of Leibniz,2 a harbinger of Kant,3 a prefigurer of Hegel,4 indeed, as an anticipator of the whole of..

Like any important philosophical work, De Docta Ignorantia cannot be understood by merely being read: it must be studied. For its main themes are so profoundly innovative that their author's exposition of them could not have anticipated, and therefore taken measures to prevent, all the serious misunderstandings which were likely to arise. Moreover, the themes are so extensively interlinked that a misunderstanding of any one of them will serve to obscure all the others as well. In such case, the mental (...) effort required of the reader-who-interprets must approximate the effort expended by the author-who- instructs. No words are more self-condemning than are those of John Wenck, at the conclusion of whose critique of De Docta Ignorantia we read: “Et sic est finis scriptis cursorie Heydelberg”: “And this is the end to what was written cursorily at Heidelberg.”1 Nicholas has not made his reader's task easy. For in spite of his claim to have explained matters “as clearly as I could” and to have avoided “all roughness of style,” many of his points escape even the diligent reader, since the explanation for them is either too condensed, or else too barbarously expressed, to be assuredly followed. And yet, from out of the vagueness, the ambiguity, the amphiboly, the enthymematic movement of thought, there emerges—for a reader patient enough to solliciter doucement les textes—an internally coherent pattern of reasoning. The present translation of this reasoning aims above all at accuracy.2 To this end the rendering is literal, though with no deliberate sacrifice of literate English expression. Only a literal translation (but not word for word) permits the subtle twists and turns of Nicholas's arguments to shine forth.3 The earlier, radically inaccurate rendering by Germain Heron (1954) distorts Nicholas's arguments— and thus belies history by making the author of De Docta Ignorantia appear as someone mindlessly unable to develop even the semblance of a systematic line of thought.. (shrink)

The title of this present volume tends to be misleading. For it suggests that Nicholas’s didactic sermons are to be distinguished from his non-didactic ones—ones that are, say, more inspirational and less philosophical, or more devotional and less theological, or more situationally oriented and less Scripturally focused. Yet, in truth, all 293 of Nicholas’s sermons are highly didactic, highly pedagogical, highly exegetical.1 To be sure, there are inspirational and devotional elements; but they are subordinate to the primary purpose (...) of teaching. Likewise, only occasionally2 do the sermons show signs of addressing local circumstances that are idiosyncratic to the respective churches in Koblenz, Trier, Mainz, Augsburg, Frankfurt, Brixen, and Rome. Rather, their Scriptural focus more often than not yields up interpretations that are allegorical—or otherwise figurative—in a general way that allows Nicholas to draw inferences about the relationship between the intellect and the senses, about the unity of the virtues, the two natures in Christ, human freedom of will, the gifts of the Holy Spirit, the inter-relationship of faith and reason, the triune nature of God, the role of conscience, the precepts of the natural law, time as the image of eternity, the four stages of a knowledge of God, Christ as Wisdom Incarnate, God as Beauty, the Holy Spirit as Love, … and so on. Each of the sermons contains more than one major theme, so that no sermon dwells at length upon a single topic so as to sound pedantic and inappropriately academic. On the contrary: in a limited measure Nicholas’s sermons tend to entice through their extensive display of original metaphor, of striking imagery, of fresh vocabulary, and of erudite knowledge of earlier writers such as Plato, Aristotle, Augustine, Anselm, Albertus Magnus, and Meister Eckhart. (shrink)

Is there any such thing as the Cusan view of the relationship between faith and reason? That is, does Nicholas present us with clear concepts of fides and ratio and with a unique and consistent doctrine regarding their interconnection? If he does not, then the task before us is surely an impossible one: viz., the task of finding, describing, and setting in perspective a doctrine that never at all existed. For even with spectacles made of beryl stone or through (...) the looking glass of Lewis Carroll, we could not descry the totally nonexistent. Four lines of argument purport to show that the task before us is fundamentally impossible. 1. First of all, it may be argued (a) that Nicholas of Cusa can have a coherent doctrine of faith and reason only if he has a generally coherent theory of knowledge and (b) that since his theory of knowledge is generally incoherent, so too must be the aforesaid doctrine, which is an intrinsic part of the theory of knowledge. Let us grant—for the sake of the argument—the disputable logic of this reasoning, and let us focus on the question of whether Nicholas does or does not have a viable general theory of knowledge. Many philosophers judge the theory to be unviable. For example, the philosopher Hans Blumenberg writes: “I will not make what I believe would have to be a futile attempt at a unitary interpretation of the Cusan theory of knowledge. Here in particular the inner consistency of his philosophical accomplishment is doubtful. The reason for this can be specified: it lies, again, in the inability to deal with or successfully to evade the consequences of nominalism.”2 Other philosophers are quick to agree that Cusa’s epistemology consists of a host of glaring contradictions: Cusa’s theory of representative perception is said to be incompatible with his doctrine of homo mensura—i.e., with his doctrine that man is the measure of the reality that is perceived and conceived by him. Cusa’s notion that empirical concepts are abstracted from perceptual and imaginative images is asserted to be contradicted by his further claim that all concepts are derived a pri- ori from the mind itself.. (shrink)

Although the dimness of my intelligence is already known to Your Paternity,1 nonetheless by careful scrutiny you have endeavored to find in my intelligence a light. For when during the gathering of herbs there came to mind the apostolic text in which James indicates that every best gift and every perfect gift is from above, from the Father of lights,2 you entreated me to write down my conjecture about the interpretation of this text. I know, Father, that you have a (...) firm grasp of that which has been written by the most learned theologians but that I have read very little of their writings. Thus, I would rightly be ashamed were I to be unaware of the soundness of your mind. Read, then, with a suitable interpretation what my view is. (shrink)

regions of Constantinople, was inflamed with zeal for God as a result of those deeds that were reported to have been perpetrated at Constantinople most recently and most cruelly by the King of the Turks.2 Consequently, with many groanings he beseeched the Creator of all, because of His kindness, to restrain the persecution that was raging more fiercely than usual on account of the difference of rite between the [two] religions. It came to pass that after a number of days—perhaps (...) because of his prolonged, incessant meditation—a vision was shown to this same zealous man. Therefrom he educed the following: the few wise men who are rich in the experiential knowledge of all such differences as are observed throughout the world in the [different] religions can find a single, readily-available harmony ; and through this harmony there can be constituted, by a suitable and true means, perpetual peace within [the domain of ] religion. Hence, in order that this vision might one day become known to those who have a say in these especially important matters, he wrote down plainly, in what follows, as much of it as he recalled. For he had been caught up to an intellectual height where, as it. (shrink)

Taken from the Great Philosphers, Volume II.

Nicholas of Cusa’s Coniectura de Ultimis Diebus contains Nicholas’s attempt to specify a time-frame within which the world will come to an end. His inferences are speculative and are based largely on passages from the Bible. In assessing Nicholas’s proposal, one needs to keep in mind nine key considerations.

Peter Abelard (1079–1142 ce) was the most wide‐ranging philosopher of the twelfth century. He quickly established himself as a leading teacher of logic in and near Paris shortly after 1100. After his affair with Heloise, and his subsequent castration, Abelard became a monk, but he returned to teaching in the Paris schools until 1140, when his work was condemned by a Church Council at Sens. His logical writings were based around discussion of the “Old Logic”: Porphyry's Isagoge, aristotle'S Categories and (...) On Interpretation and boethius'S textbook on topical inference. They comprise a freestanding Dialectica (“Logic”; probably c.1116), a set of commentaries (known as the Logica [Ingredientibus], c. 1119) and a later (c. 1125) commentary on the Isagoge (Logica Nostrorum Petititoni Sociorum or Glossulae). In a work Abelard called his Theologia, issued in three main versions (between 1120 and c.1134), he attempted a logical analysis of trinitarian relations and explored the philosophical problems surrounding God's claims to omnipotence and omniscience. The Collationes (“Debates,” also known as “Dialogue between a Christian, a Philosopher and a Jew”; probably c.1130) present a rational investigation into the nature of the highest good, in which the Christian and the Philosopher (who seems to be modeled on a philosopher of pagan antiquity) are remarkably in agreement. The unfinished Scito teipsum (“Know thyself,” also known as the “Ethics”; c.1138) analyses moral action. (shrink)

The title of this present volume tends to be misleading. For it suggests that Nicholas’s didactic sermons are to be distinguished from his non-didactic ones—ones that are, say, more inspirational and less philosophical, or more devotional and less theological, or more situationally oriented and less Scripturally focused. Yet, in truth, all 293 of Nicholas’s sermons are highly didactic, highly pedagogical, highly exegetical.1 To be sure, there are inspirational and devotional elements; but they are subordinate to the primary purpose (...) of teaching. Likewise, only occasionally2 do the sermons show signs of addressing local circumstances that are idiosyncratic to the respective churches in Koblenz, Trier, Mainz, Augsburg, Frankfurt, Brixen, and Rome. Rather, their Scriptural focus more often than not yields up interpretations that are allegorical—or otherwise figurative—in a general way that allows Nicholas to draw inferences about the relationship between the intellect and the senses, about the unity of the virtues, the two natures in Christ, human freedom of will, the gifts of the Holy Spirit, the inter-relationship of faith and reason, the triune nature of God, the role of conscience, the precepts of the natural law, time as the image of eternity, the four stages of a knowledge of God, Christ as Wisdom Incarnate, God as Beauty, the Holy Spirit as Love, … and so on. Each of the sermons contains more than one major theme, so that no sermon dwells at length upon a single topic so as to sound pedantic and inappropriately academic. On the contrary: in a limited measure Nicholas’s sermons tend to entice through their extensive display of original metaphor, of striking imagery, of fresh vocabulary, and of erudite knowledge of earlier writers such as Plato, Aristotle, Augustine, Anselm, Albertus Magnus, and Meister Eckhart. (shrink)

Volume 2 presents the great metaphysicians of West and East, the substance and character of their ideas, and their historical position in philosophy, including Anaximander, Plotinus, Spinoza, Heraclitus, Anselm, Lao-Tzu, Parmenides, Nicholas of Cusa, and Nagarjuna.

ABBOT:1 You know that we three, who are engaged in study and are permitted to converse with you, are occupied with deep matters. For [I am busy] with the Parmenides and with Proclus’s commentary [thereon]; Peter [is occupied] with this same Proclus’s Theology of Plato, which he is translating from Greek into Latin; Ferdinand is surveying the genius of Aristotle; and you, when you have time, are busy with the theologian Dionysius the Areopagite. We would like to hear whether or (...) not there occurs to you a briefer and clearer route to the points which are dealt with by the aforenamed [individuals]. NICHOLAS: In our respective directions we are busy with deep mysteries. And it seems to me that no one can speak of these matters more briefly and clearly than those whom we are reading. Nonetheless, I have sometimes thought that we have neglected a [point] which would lead us closer to what is sought. PETER: We ask that this [point] be made known [to us]. (shrink)

Giovanni Santinello in his insightful analysis and Italian translation2 of Nicholas of Cusa’s sermon “Tota Pulchra Es, Amica Mea” rightly points out that this sermon is the only work in which Nicholas deals systematically with the theme of beauty. Yet, he also points out that this theme pervades Nicholas ’s other works, even though it does not surface in them extensively. Santinello goes on to exhibit the direct borrowings that Nicholas makes from Pseudo-Dionysius’s De Divinis Nominibus (...) and from Albertus Magnus’s commentary Super Dionysium De Divinis Nomin- ibus. Santinello then explores the issue of Nicholas ’s originality and concludes that “il pensiero estetico del Cusano ha una sua notevole originalità, e … il concetto albertista del bello … trova la sua giustificazione nel sistema filosofico e nelle convinzioni estetiche che sono proprie del Cusano.”. (shrink)

During this sexcentenary of the birth of Nicholas of Cusa, there is an almost ineluctable temptation to super-accentuate Cusa’s modernity—to recall approvingly, for example, that the Neokantian Ernst Cassirer not only designated Cusa “the first Modern thinker”1 but also went on to interpret his epistemology as anticipating Kant’s.2 In this respect Cassirer was following his German predecessor Richard Falckenberg, who wrote: “It remains a pleasure to see, on the threshold of the Modern Age, the doctrine already advanced by Plotinus (...) and Scotus Eriugena, received [by Cusanus] so forcefully that time, numbers, spatial figures, and all categories ... are brought forth out of the creative power of the mind.”3 Others have proclaimed Nicholas to be a forerunner of Spinoza,4 of Leibniz,5 of Hegel,6 and, indeed, of German Idealism generally. (shrink)

This critique presents important textual, epistemological, and metaphysical considerations that serve to correct Pauline Watts' account of Nicholas of Cusa's "fifteenth-century vision of man.".

Is there any such thing as the Cusan view of the relationship between faith and reason? That is, does Nicholas present us with clear concepts of fides and ratio and with a unique and consistent doctrine regarding their interconnection? If he does not, then the task before us is surely an impossible one: viz., the task of finding, describing, and setting in perspective a doctrine that never at all existed. For even with spectacles made of beryl stone or through (...) the looking glass of Lewis Carroll, we could not descry the totally nonexistent. Four lines of argument purport to show that the task before us is fundamentally impossible. 1. First of all, it may be argued that Nicholas of Cusa can have a coherent doctrine of faith and reason only if he has a generally coherent theory of knowledge and that since his theory of knowledge is generally incoherent, so too must be the aforesaid doctrine, which is an intrinsic part of the theory of knowledge. Let us grant—for the sake of the argument—the disputable logic of this reasoning, and let us focus on the question of whether Nicholas does or does not have a viable general theory of knowledge. Many philosophers judge the theory to be unviable. For example, the philosopher Hans Blumenberg writes: “I will not make what I believe would have to be a futile attempt at a unitary interpretation of the Cusan theory of knowledge. Here in particular the inner consistency of his philosophical accomplishment is doubtful. The reason for this can be specified: it lies, again, in the inability to deal with or successfully to evade the consequences of nominalism.” 2 Other philosophers are quick to agree that Cusa’s epistemology consists of a host of glaring contradictions: Cusa’s theory of representative perception is said to be incompatible with his doctrine of homo mensura—i.e., with his doctrine that man is the measure of the reality that is perceived and conceived by him. Cusa’s notion that empirical concepts are abstracted from perceptual and imaginative images is asserted to be contradicted by his further claim that all concepts are derived a pri- ori from the mind itself. (shrink)

Volume 2 presents the great metaphysicians of West and East, the substance and character of their ideas, and their historical position in philosophy, including Anaximander, Plotinus, Spinoza, Heraclitus, Anselm, Lao-Tzu, Parmenides, Nicholas of Cusa, and Nagarjuna.

This book is Jasper Hopkins' eighth study of the thought of the fifteenth-century German philosopher Nicholas of Cusa Through these publications he has established himself as an internationally respected translator, editor, and incisive critic on matters relating to disparate areas of Cusanus studies. Roughly following the pattern of the earlier works, Hopkins includes in this volume four critical analyses of scholarship, four English translations, and two extended book reviews.

This chapter approaches the question of the possibility/impossibility of a ‘science of the soul’ and suggests that its impossibility coincides with its highest ‘possibility’. A series of objections is address to the idea of ‘comprehension’ that Dilthey and Jaspers adopted against positivistic psychology and philosophy—not so much to return to the positivistic viewpoint, as to promote the idea that only an ‘un-comprehensive’ science could be adequate to that object which is not an object: human singularity, maybe singularity itself. I use (...) Nicholas of Cusa’s theology ‘against’ the Dilthey-Jaspers theory of comprehension to suggest that a whole landscape of ‘human’ sciences become human by becoming ‘in-human’, ‘un-comprehensive’, and at the same time becoming practical, concrete techniques: Blanchot’s literary critique, Lacan’s psychoanalysis, Mauss’ economics, and Bataille’s sociology. (shrink)

The book surveys the key metaphysical contributions of the Cambridge Platonist, Henry More (1614–1687).

BACKGROUND: Delusions in schizophrenia are commonly approached as empirical false beliefs about everyday reality. Phenomenological accounts, by contrast, have suggested that delusions are more adequately understood as pertaining to a different kind of reality experience. How this alteration of reality experience should be characterised, which dimensions of experiential life are involved, and whether delusional reality might differ from standard reality in various ways is unclear and little is known about how patients with delusions value and relate to these experiential alterations. (...) This study aimed to investigate the nature of delusional reality experience, and its subjective apprehension, in individuals with lived experience of delusions and a schizophrenia-spectrum diagnosis. METHODS: In this qualitative phenomenological study, we recruited individuals with lived experience of delusions and a schizophrenia-spectrum diagnosis from two psychiatric-hospital services in Belgium using homogenous sampling. Criteria for participation were having undergone at least one psychotic episode with occurring delusional symptoms, present at least 1 year before participation, on the basis of clinical notes assessed by the attending psychiatrist; a schizophrenia-spectrum diagnosis, ascertained through clinical interview by the attending psychiatrist upon admission; being aged between 18 years and 65 years; and having the capacity to give informed consent. Exclusion criteria included worries concerning capacity to consent and risk of distress caused by participation. We did phenomenologically driven semi-structured interviews with the participants to explore the nature of delusional reality experience and their subjective valuation of these experiences. We used interpretative phenomenological analysis, a qualitative method tailored to the in-depth exploration of participants’ first-person perspective, to analyse their accounts. FINDINGS: Between March 2, 2020, and Sept 30, 2020, 18 adults participated in the interview study. The findings suggest that delusions are often embedded in wide-ranging alterations of basic reality experience, involving quasi-ineffable atmospheric and ontological qualities that undermine participants’ sense of the world as unambiguously real, fully present, and shared with others. We also found that delusional reality experience can differ from standard reality in various ways, across multiple dimensions, and that participants are often implicitly or explicitly aware of the distinction between delusional and standard reality. Delusional experience can have an enduring value and meaning that is not fully captured by a strictly medical perspective. INTERPRETATION: Increased awareness and recognition of the distinctive nature of delusional reality experience, in both clinical and research settings, can improve diagnostic accuracy, explanatory models, and therapeutic support for individuals with delusions whose lived realities are not always evident from an everyday perspective. FUNDING: FWO Flanders. TRANSLATION: For the Dutch translation of the abstract see Supplementary Materials section. (shrink)

This paper concludes a special feature of Sustainability Science that explores a broad range of social value theoretical traditions, such as religious studies, social psychology, indigenous knowledge, economics, sociology, and philosophy. We introduce a novel transdisciplinary conceptual framework that revolves around concepts of 'lenses' and 'tensions' to help navigate value diversity. First, we consider the notion of lenses: perspectives on value and valuation along diverse dimensions that describe what values focus on, how their sociality is envisioned, and what epistemic and (...) procedural assumptions are made. We characterise fourteen of such dimensions. This provides a foundation for exploration of seven areas of tension, between: (1) the values of individuals vs collectives; (2) values as discrete and held vs embedded and constructed; (3) value as static or changeable; (4) valuation as descriptive vs normative and transformative; (5) social vs relational values; (6) different rationalities and their relation to value integration; (7) degrees of acknowledgment of the role of power in navigating value conflicts. In doing so, we embrace the 'mess' of diversity, yet also provide a framework to organise this mess and support and encourage active transdisciplinary collaboration. We identify key research areas where such collaborations can be harnessed for sustainability transformation. Here it is crucial to understand how certain social value lenses are privileged over others and build capacity in decision-making for understanding and drawing on multiple value, epistemic and procedural lenses. (shrink)

In this paper, we provide a state-of-the-art overview of the ethical challenges that arise in the context of antimicrobial resistance, which includes an introduction to the contributions to the symposium in this issue. We begin by discussing why AMR is a distinct ethical issue, and should not be viewed purely as a technical or medical problem. In the second section, we expand on some of these arguments and argue that AMR presents us with a broad range of ethical problems that (...) must be addressed as part of a successful policy response to emerging drug resistance. In the third section, we discuss how some of these ethical challenges should be addressed, and we argue that this requires contributions from citizens, ethicists, policy makers, practitioners and industry. We conclude with an overview of steps that should be taken in moving forward and addressing the ethical problems of AMR. (shrink)

This paper concludes a special feature of Sustainability Science that explores a broad range of social value theoretical traditions, such as religious studies, social psychology, indigenous knowledge, economics, sociology, and philosophy. We introduce a novel transdisciplinary conceptual framework that revolves around concepts of ‘lenses’ and ‘tensions’ to help navigate value diversity. First, we consider the notion of lenses: perspectives on value and valuation along diverse dimensions that describe what values focus on, how their sociality is envisioned, and what epistemic and (...) procedural assumptions are made. We characterise fourteen of such dimensions. This provides a foundation for exploration of seven areas of tension, between: (1) the values of individuals vs collectives; (2) values as discrete and held vs embedded and constructed; (3) value as static or changeable; (4) valuation as descriptive vs normative and transformative; (5) social vs relational values; (6) different rationalities and their relation to value integration; (7) degrees of acknowledgment of the role of power in navigating value conflicts. In doing so, we embrace the ‘mess’ of diversity, yet also provide a framework to organise this mess and support and encourage active transdisciplinary collaboration. We identify key research areas where such collaborations can be harnessed for sustainability transformation. Here it is crucial to understand how certain social value lenses are privileged over others and build capacity in decision-making for understanding and drawing on multiple value, epistemic and procedural lenses. (shrink)

Although there is much discussion exploring the potential causes of plagiarism, there is limited research available which provides evidence as to the academic interventions which may help reduce this. This paper discusses a bespoke English for Academic Purposes programme introduced at the university level, aimed at improving the academic writing standards of students, reducing plagiarism, and detecting cases of contract cheating. Results from 12 semesters of academic misconduct data demonstrate a 37.01% reduction in instances of detected plagiarism following the intervention, (...) but due to limited data, cannot demonstrate a direct impact on reducing detected rates of contract cheating. The results also show a lower than expected proportion of plagiarised assignments among submissions. (shrink)

: The Cartesians have often been read as if they denied spatial presence to incorporeal substances, reserving it for extended things alone. This article explores whether this common interpretation is accurate, examining the cases of both created minds and the divine substance of God Himself. Through scrutiny of the relevant texts of both Descartes himself and his followers, it demonstrates that, in the divine case, this common interpretation is incorrect, and that the Cartesians did believe that God’s own substance really (...) was omnipresent in a literal sense. In the case of created minds, by contrast, the article suggests that the standard reading is probably correct after all, and that these substances were indeed excluded from the spatial world: but it also suggests that, in the hands of at least some of the Cartesians, this position caused certain philosophical tensions and potential inconsistencies within their systems. (shrink)

The goal of this article is to counter a belief, still widely held in the secondary literature, that Anne Conway espoused a theory of monads. By exploring her views on the divisibility of both bodies and spirits, I argue that monads could not possibly exist in her system. In addition, by offering new evidence about the Latin translation of Conway's Principles and the possible authorship of its annotations, I argue that she never even suggested that there could be such things (...) as monads. Alongside this, I explore the theories of monads that did get developed by the philosophers closest to Conway—Henry More, Francis Mercury van Helmont, and Christian Knorr von Rosenroth—thereby further underlining Conway's originality and philosophical daring. (shrink)

In recent years sociological research on social movements has identified emotional dynamics in all the basic processes and phases of protest, and we are only beginning to understand their causal impacts. These include the solidarities of groups, motivations for action, the role of morality in political action, and the gendered division of labor in social movements. Anger turns out to be at the core of many of these causal mechanisms.

This paper explores the ontology of Malebranche's notion of "intelligible extension", the archetypal divine idea of matter which he believed to be the immediate object of our own minds in all of our thoughts about corporeal things. Building on this account of its ontology, and through an examination of a form of isomorphism between intelligible extension and the created spatial world, the paper also attempts to explain the manner in which it could fulfill its epistemological role of representing all possible (...) bodies and supplying us with our abstract knowledge of geometry. (shrink)

The aim of this paper is to establish the existence of a significant difference, in a number of respects, between the style of the narrated portions of Homer and that of the speeches which are recorded in the two epics; and to offer some explanations for this fact. It will require the presentation of some statistics: I suspect that not all of the figures are absolutely accurate, but I feel confident that such inaccuracies as they may contain will not affect (...) the validity of the inferences drawn from them. The mere fact of differences in vocabulary, while not without interest, is not extremely interesting or surprising. The hope of this paper is that patterns will appear, and that the ‘reticence’ or ‘objectivity’ of Homer, more often praised than investigated, will be illuminated by them; that particular passages in the poems will be shown to be stylistically interesting or unusual; and that some general considerations will emerge which suggest that the difficulties confronting the oral theory of Homer are rather more complex than is often supposed. (shrink)

Understanding alterations of selfhood (termed self-disorders or self-disturbances) that are considered typical of the schizophrenia-spectrum is a central focus of phenomenological research. The currently most influential way of phenomenologically conceiving self-disorders in schizophrenia is as disorders of the so-called most basic or “minimal self”. In this paper, we first highlight some challenges for the minimal self-view of self-disorders, focusing on (1) problems arising from the supposedly “essential” or “universal” nature of minimal self with respect to phenomenal awareness and (2) the (...) critical implications of alterations of self-experience in schizophrenia that involve heightened or exaggerated sense of self. In the second part, we tentatively explore how a (non-egological) transparency-view of consciousness may offer an alternative way of understanding the experiential abnormalities involved in self-disorders in schizophrenia. We discuss how such a transparency-view (1) may account for loss-of-self experiences; (2) is compatible with the key notion of “hyper-reflexivity”; and (3) can help explain instances of self-disorder involving increased sense of self. In conclusion, we consider some possible advantages of this alternative view for research on self-disorders and clinical approaches. (shrink)

Many ethical concerns have been voiced about Clinical Decision Support Systems (CDSSs). Special attention has been paid to the effect of CDSSs on autonomy, responsibility, fairness and transparency. This journal has featured a discussion between Rosalind McDougall and Ezio Di Nucci that focused on the impact of IBM’s Watson for Oncology (Watson) on autonomy. The present article elaborates on this discussion in three ways. First, using Jonathan Pugh’s account of rational autonomy we show that how Watson presents its results might (...) impact decisional autonomy, while how Watson produces knowledge might affect practical autonomy. Second, by drawing an analogy with patient decision aids we identify an empirical way of estimating Watson’s impact on autonomy (ie, value-congruence). Lastly, McDougall introduced the notion of value-flexible design as a way to account for the diverging preferences patients hold. We will clarify its relation with the established domain of value-sensitive design. In terms of the tripartite methodology of value-sensitive design, we offer aconceptualclarification using Pugh’s account of rational autonomy, anempiricaltool to evaluate Watson’s impact on autonomy and situate a group oftechnicaloptions to incorporate autonomy in Watson’s design. (shrink)

It is commonplace that care should be patient-centered. Nevertheless, no universally agreed-upon definition of patient-centered care exists. By consequence, the relation between patient-centered care as such and ethical principles cannot be investigated. However, some research has been performed on the relation between specific models of patient-centered care and ethical principles such as respect for autonomy and beneficence. In this article, I offer a detailed case study on the relationship between specific measures of patient-centered care and the ethical principle of respect (...) for autonomy. Decision Quality Instruments (DQIs) are patient-centered care measures that were developed by Karen Sepucha and colleagues. The model of patient-centered care that guided the development of these DQIs pays special attention to the ethical principle of respect for autonomy. Using Jonathan Pugh’s theory of rational autonomy, I will investigate how the DQIs relate to patient autonomy. After outlining Pugh’s theory of rational autonomy and framing the DQIs accordingly (Part I), I will investigate whether the methodological choices made while developing these DQIs align with respect for autonomy (Part II). My analysis will indicate several tensions between DQIs and patient autonomy that could result in what I call “structural paternalism.” These tensions offer us sufficient reasons, especially given the importance of the ethical principle of respect for autonomy, to initiate a more encompassing debate on the normative validity of Decision Quality Instruments. The aim of the present paper is to highlight the need for, and to offer a roadmap to, this debate. (shrink)

The time is long gone when literary men were happy to treat literature, and tragic poetry in particular, as something which exists serenely outside time, high up in the empyrean of unchanging validity and absolute values. Nowadays it is conventional, and seems natural, to insist that literature is produced within a particular society and a particular social setting: even its most gorgeous blooms have their roots in the soil of history. Its understanding requires us to understand the society which appreciated (...) it, and for which it came into existence. In the particular case of the tragic poetry of Athens, the most influential body of recent criticism focuses on the relation of the drama to the realities of political and social life. (shrink)

What might be the value of the often rather abstract theoretical reflections of philosophy for understanding the concrete and lived experience of various forms of madness? And is there something co...

Makins1 formulates a deference principle which states that patients’ attitudes towards the health outcomes associated with different treatment options should drive decision-making and not physicians’ attitudes towards these health outcomes. Although this deference principle is widely agreed on, it is less obvious which role patients’ risk attitudes should play. Makins takes patients’ attitudes towards health outcomes to be sufficiently analogous to patients’ risk attitudes in order to extend his deference principle. His extended deference principle states that patients’ attitudes towards the (...) health outcomes and risks associated with different treatment options should drive decision-making and not physicians’ attitudes towards these health outcomes and risks. This extension is not only taken to be ethically preferable, but also practically realisable as one can reliably trace patients’ (risk) attitudes. Problematic situations arise when patients exhibit risk attitudes they do not reflexively endorse. For instance, patients might systematically make more risky choices than they think they should make. In response to these kinds of situations, Makins proposes to revise his deference …. (shrink)