This article brings out ethical aspects arising in Plato’s classical critique of narrative and imitative art in The Republic, especially when it comes to reading stories about the past. Socrates’s and Glaucon’s most important suggestion, I argue, is to cultivate an ethical consciousness where one ought to see the distinctions between how the real and the imaginary in narratives are to be conceived, and what that insight ethically demands of the reader. Taken as an ethical insight for the reader when (...) engaging in narrative understanding, this should be to resist the temptation to think that past suffering and misery as told in a story can be read analogously to narratives having a tragic plot. The article clarifies the meaning of Plato’s critique through the ideas of Simone Weil, Emmanuel Lévinas and Iris Murdoch. These existential moral philosophers work towards having an ethical consciousness in one’s personal relationship with stories of our lifeworld. (shrink)

This book conducts a timely inquiry into contemporary conscience and politics.

The Nature of Suffering underscores the change that is taking place in medicine from a basic concern with disease to a greater focus on the sick person. Cassell centers his discussion on the problem of suffering because, he says, its recognition and relief are a test of the adequacy of any system of medicine. He describes what suffering is and its relationship to the sick person: bodies do not suffer, people do. An exclusive concern with scientific knowledge (...) of the body and disease, therefore, impedes an understanding of suffering and diminishes the care of the suffering patient. The growing criticism that medicine is not sufficiently humanistic does not go deep enough to provide a basis for a new understanding of medicine. New concepts in medicine must have their basis in its history and in the development of ideas about disease and treatment. Cassell uses many stories about patients to demonstrate that, despite the current dominance of science and technology, there can be no diagnosis, search for the cause of the patient's disease, prognostication, or treatment without consideration of the individual sick person. Recent trends in medicine and society, Cassell believes, show that it is time for the sick person to be not merely an important concern for physicians but the central focus of medicine. He addresses the exciting problems involved in such a shift. In this new medicine, doctors would have to know the person as well as they know the disease. What are persons, however, and how are doctors to comprehend them? The kinds of knowledge involved are varied, including values and aesthetics as well as science. In the process of knowing the experience of patient and doctor move to center stage. He believes that the exploration of the person will engage medicine in the 21st century just as understanding the body has occupied the last hundred years. (shrink)

Suffering is a ubiquitous yet elusive concept in health care. In a field devoted to the pursuit of objective data, suffering is a phenomenon with deep ties to subjective experience, moral values, and cultural norms. Suffering’s tie to subjective experience makes it challenging to discern and respond to the suffering of others. In particular, the question of whether a child with profound neurocognitive disabilities can suffer has generated a robust discourse, rooted in philosophical conceptualizations of personhood (...) as well as the academic and experiential expertise of practiced health-care professionals. The issue remains unresolved because it is difficult, perhaps impossible, to ever truly know an infant’s lived experience. But what if this is not the best question? What if instead of asking “can this infant suffer?” the discourse is broadened to ask “is there suffering here?” This latter question demands attention to patients’ subjective experiences of suffering, but also to the web of relationships that envelop them. Without losing sight of the importance of patients’ experiences, consideration of their relationships may elucidate the presence of suffering when the patients themselves are unable to provide the same clarity. In this essay, care ethics frames an examination of how suffering manifests in the loving and caring relationships that surround an infant with profound neurocognitive disabilities, changing those relationships and affecting the individuals within them. Exploring suffering through these relationships may offer clarity on the presence and content of suffering for infants with profound cognitive disabilities, in turn offering moral guidance for responding to suffering and supporting flourishing in this context. (shrink)

Suffering Art Gladly is concerned with the ostensibly paradoxical phenomenon of negative emotions involved in the experience of art: how can we explain the pleasure felt or satisfaction taken in such experience when it is the vehicle of negative emotions, that is, ones that seem to be unpleasant or undesirable, and that one normally tries to avoid experiencing? The question is as old as philosophical reflection on the arts, beginning with Plato and Aristotle, and subsequently addressed by Hume, Burke, (...) Diderot, Kant, and Schopenhauer, among others. Moreover, it is still an important and unresolved question in contemporary philosophy of art, where the discussion has been notably enlivened by recent research on the nature of imagination, cognition, and the emotions. Suffering Art Gladly comprises essays of two kinds, though the division between them is not airtight. The first kind are essays with a primarily historical focus, examining the problem of negative emotion from art as treated by important figures in the history of aesthetic thought, including Aristotle, Hume, Diderot, Kant, and Schopenhauer. The second kind are essays with a primarily contemporary focus, in which the methods and tools of contemporary analytic philosophy are much in evidence. In addition to the thirteen essays forming the heart of the book there is a general introduction by the editor, motivating the basic problem with which the essays are variously concerned and identifying the presuppositions or assumptions that are involved in different solutions to the problem. The individual essays are wide-ranging, dealing with a variety of artforms, negative emotions, and specific works of art, and the contributors, all recognized scholars in the field of aesthetics, are a mixture of junior and senior figures representing seven nationalities. (shrink)

Does an affirmation of theistic evolution make the task of theodicy impossible? In this article, I will review a number of ancient and contemporary responses to the problem of evil as it concerns animal suffering and suggest a possible way forward which employs the ancient Jewish insight that evil—as resistance to God's will that results in suffering and alienation from God's purposes—precedes the arrival of human beings and already has a firm foothold in the nonhuman animal world long (...) before humans are ever tempted to go astray. This theological intuition is conferred renewed relevance in light of the empirical reality of evolutionary gradualism and continuity and in view of the recent findings of cognitive ethology. Consequently, I suggest that taking biological evolution seriously entails understanding “moral evil” as a prehuman phenomenon that emerges gradually through the actions and intentions of “free creatures” which—as evolutionary history unfolded—increasingly possessed greater levels of freedom and degrees of moral culpability. (shrink)

Interdisciplinary in approach, this book combines philosophy, sociology, history and psychology in the analysis of contemporary forms of suffering. With attention to depression, anxiety, chronic pain and addiction, it examines both particular forms of suffering and takes a broad view of their common features, so as to offer a comprehensive and parallel view both of the various forms of suffering and the treatments commonly applied to them. Highlighting the challenges and distortions of the available treatments and (...) identifying these as contributory factors to the overall problem of contemporary suffering, Empty Suffering promises to widen the horizon of therapeutic interventions and social policies. As such, it will appeal to scholars across the social sciences and humanities with interests in mental health and disorder, social theory and social pathologies. (shrink)

World history suffers from a paucity of clearly articulated, convincing explanations. While the rise of postmodernism and challenges to Eurocentrism did lead to some important correctives, the pendulum has swung too far the other direction, with a corresponding danger of 'throwing the baby out with the bathwater'. We need careful, theoretically informed debates about ways of organizing world history. What constitutes a good historical explanation? What should guide historians to choose relevant facts? Which theoretical schools could be made (...) useful, and to what ends? These questions are especially relevant to the main topic of this book: the 'great divergence' between the west and the rest of the world, and how this historical rupture is to be explained. The book provides extensive critical analyses of some of the key claims in world history, analyzing their strengths as well as their major weaknesses--too often rooted in insufficient familiarity of historians with theories they discard. It also historicizes the field and the debates to partly account for what caused some theories to become more influential and others to fall into oblivion--despite the fact that the more influential frameworks are seriously flawed and some of the more marginalized ideas are more coherent and plausible. The book offers insights regarding the theoretical and political relevance of older debates about the transition to capitalism and historical materialism. Three major schools of thought in world history are critically examined through an in-depth theoretical and comparative analysis that has not been undertaken elsewhere: the so-called 'California School', World Systems Analysis, and Marxist theories of history, capitalism, and the transition from feudalism to capitalism. Murphy argues that, despite some of the more recent criticisms of older approaches to world history, the older theories remain indispensable for the writing of world history and for coming to terms with issues of global poverty, inequality and eco-catastrophe. (shrink)

An intellectual history of the philosophers who grappled with the problem of evil, and the case for why pessimism still holds moral value for us today In the seventeenth and eighteenth centuries, philosophers engaged in heated debates on the question of how God could have allowed evil and suffering in a creation that is supposedly good. Dark Matters traces how the competing philosophical traditions of optimism and pessimism arose from early modern debates about the problem of evil, and (...) makes a compelling case for the rediscovery of pessimism as a source for compassion, consolation, and perhaps even hope. Bringing to life one of the most vibrant eras in the history of philosophy, Mara van der Lugt discusses legendary figures such as Leibniz, Hume, Voltaire, Rousseau, Kant, and Schopenhauer. She also introduces readers to less familiar names, such as Bayle, King, La Mettrie, and Maupertuis. Van der Lugt describes not only how the earliest optimists and pessimists were deeply concerned with finding an answer to the question of the value of existence that does justice to the reality of human suffering, but also how they were fundamentally divided over what such an answer should look like. A breathtaking work of intellectual history by one of today's leading scholars, Dark Matters reveals how the crucial moral aim of pessimism is to find a way of speaking about suffering that offers consolation and does justice to the fragility of life. (shrink)

Social researchers have long known that playing music to people can evoke memories of their pasts and bring people into a different relationship with themselves as the sounds move them to make connections with an earlier period in their lives. It has been discovered in patients with dementia that it could revive people to hear songs they have loved, which can help to bring them back from a state of inner withdrawal. Some researchers have given people portable music listening devices (...) so that they can listen to music that evokes memories from particular moments that they might be willing to share as part of an oral history or ethnographic project. This is to invoke processes that we can acknowledge ourselves as we realize the very special relationship we seem to have with music from our teenage years ‐ processes that have helped to shape a generational experience and sensibility. Hearing old tracks from the past can move us to make connections and can invoke emotions and feelings in us that we might not have felt for years. It can restore memories of times past as we feel the presence of the past through the mediation of the sounds. This article explores the significance of sound and voice memory for traumatic suffering in the form of an autoethnographic study of Amy Berg’s documentary Janis: Little Girl Blue (2015), transgenerational trauma, sexual trauma, feminism, therapy and the truths of memory. (shrink)

This paper outlines an interpretation of Ludwig Wittgenstein’s remark in the _Big Typescript_ in which he compares the philosopher bewitched by the workings of language to “the suffering of an ascetic”. The interpretation takes as its starting point Friedrich Nietzsche’s terse account of the philosopher, the history of philosophy, and his diagnosis of ascetic self-misunderstanding, from the Third Essay, “What do ascetic ideals mean?”, in _On the Genealogy of Morality_. In its assumption of an affinity between Wittgenstein’s remark (...) and Nietzsche’s descriptions, and in its analysis, this paper introduces a “method of voice borrowing” to approach the question: “Wittgenstein and Nietzsche?” The juxtaposition of Wittgenstein’s conception of the philosopher’s linguistic self-misunderstanding with Nietzsche’s notion of the ascetic self-misunderstanding leads finally to the question of what is gained by introducing this method, and hence by reading Wittgenstein’s remark on the suffering of an ascetic with the help of Nietzsche’s voice. (shrink)

Suffering evokes moral and metaphysical reflection, the bioethics of suffering concerns the proper ethos of living with suffering. Because empirical and philosophical explorations of suffering are imprisoned in the world of immanent experience, they cannot reach to a transcendent meaning. Even if religious and other narratives concerning the meaning of suffering have no transcendent import, they can have aesthetic and moral significance. This understanding of narratives of suffering and of their custodians has substantial ecumenical (...) implications: chaplains can function as general custodians of narratives and sustainers of a generic religious meaning. This understanding is contrary to traditional Christianity, which discloses a transcendent significance of human suffering found in a very particular history involving particular persons: Christ as the second Adam through the submission of the second Eve has taken on our nature so that we can be united with God. Human suffering is tied to human sin, not simply as a punishment for sin, much less as an opportunity to discharge a supposed temporal punishment due to sin. Human suffering is the result of our rebellious free choices. It provides an opportunity for humility and submission, so that, united to the cross of Christ, sin can be forgiven and suffering set aside in the Resurrection. Knowledge of this framing context for all human suffering is accessible not through rational argument. It is a knowledge garnered through repentance, purification of the heart, illumination by God's grace, and unification with God. Christian bioethics is embedded in the narrative of suffering, which is part of the history of salvation and which encompasses and places all of medicine in its terms. (shrink)

Through their discussions, the history and diversity of the traditions are also revealed. In this volume, editor Jacob Neusner address the topic from the standpoint of Judaism, Bruce Chilton presents the perspective of Christianity.

In a recent article, Tyler Tate argues that the suffering of children — especially children with severe cognitive impairments — should be regarded as the antithesis of flourishing, where flourishing is relative to one’s individual characteristics and essentially involves receiving care from others. Although initially persuasive, Tate’s theory is ambiguous in several ways, leading to significant conceptual problems. By identifying flourishing with receiving care, Tate raises questions about the importance of care that he does not address, giving rise to (...) a bootstrapping problem. By making flourishing relative to an individual’s circumstances, Tate is forced to confront questions about exactly how relative it can be, suggesting the possibility that, on his view, to flourish is simply to be however one is. In an attempt to surmount these problems, I offer a revision and restatement of Tate’s view that defines the relationship between individualized flourishing and the more conventional, species-relative concept, and describe more clearly the role that care should play with respect to flourishing — one that is instrumental and not merely constitutive. Even this restated view, however, fails to answer difficult questions about how one should respond to the medical needs of some children, highlighting the fact that a conceptual analysis of suffering may do little, in the end, to untangle ethical dilemmas in the care of severely ill children. (shrink)

History is not the record of humanity’s progress through otherwise empty time. It is rather to be conceived messianically, i.e., in terms of God’s eschatological promises and the interruptive capacity of dangerous memories of human suffering. This insight is contained in both the historical philosophy of Walter Benjamin and the political theology of Johann Baptist Metz. Metz’s theological categories also contribute an understanding of messianic history that avoids the dualism of Benjamin’s description of history in both (...) messianic and materialist terms. (shrink)

Was the crisis of historicism an exclusively German affair? Or was it a “narrowly academic crisis,” as is sometimes assumed? Answering both questions in the negative, this paper argues that crises of historicism affected not merely intellectual elites, but even working-class people, not only in Germany, but also in the Netherlands. With an elaborated case study, the article shows that Dutch “neo-Calvinist” Protestants from the 1930s onward experienced their own crisis of historicism. For a variety of reasons, this religious subgroup (...) came to experience a collapse of its “historicist” worldview. Following recent German scholarship, the paper argues that this historicism was not a matter of Rankean historical methods, but of “historical identifications,” or modes of identity formation in which historical narratives played crucial roles. Based on this Dutch case study, then, the article develops two arguments. In a quantitative mode, it argues that more and different people suffered from the crisis of historicism than is usually assumed. In addition, it offers a qualitative argument: that the crisis was located especially among groups that derived their identity from “historical identifications.” Those who suffered most from the crisis of historicism were those who understood themselves as embedded in narratives that connected past, present, and future in such a way as to offer identity in historical terms. (shrink)

Susan Sontag once remarked that since the invention of the camera, photography has “kept company with death.” And indeed, images of suffering human beings and devastated landscapes appear regularly in the popular media and even in contemporary art. This volume explores these painful images from the past few decades of photography, weighing in on the intense critical debate that has arisen in recent years around depictions of acute human suffering—especially those that are beautifully rendered. Drawing on works from (...) advertising, photojournalism, art photography, and conceptual art, Beautiful Suffering features reproductions of all the pieces in the Williams College Museum of Art exhibition that shares its name—including portrayals of AIDS sufferers, Abu Ghraib prisoners, refugees, and casualties of war. It also includes five critical essays that engage the works themselves as well as the larger issues the exhibition confronts: Is it inherently problematic to seek aesthetic pleasure in a rendering of pain? And if so, why? These essays, composed by scholars in fields as diverse as art history and political science, are perfect complements to the powerful images of suffering that probe some of the most pressing issues we face today. (shrink)

The object of a critical theory of society is Man [_Menschen_] in her historically specific forms of life. The article argues against ontological conceptions of social labour and of economy. Instead it insists that historical materialism far from being a materialism of nature and history, is fundamentally a critique of the objectivity of the capitalist economic categories. For a critical theory of society, the economic concept, capital as a process of the valorisation of value, is not a natural thing (...) but a social relationship between persons that is mediated through things. The fetishism of commodities is real. In the mediated world the social individuals appear as personifications of the economic object; and yet there would be nothing without their social practices—of self-preservation. Human suffering is objectively mediated. The article concludes that suffering is the non-conceptual content of the concept of society as a process of valorisation. The sheer unrest of life is the social constituent of the economic object. (shrink)

This paper has two aims. The first is to defend a recent critique of the leading medical theory of suffering, which alleges too narrow a focus on violent experiences of suffering. Although sympathetic to this critique, I claim that it lacks a counterexample of the kinds of experiences the leading theory is said to neglect. Drawing on recent clinical cases and the longer intellectual history of suffering, my paper provides this missing counterexample. I then answer some (...) possible objections to my defence, before turning to my second aim: an expansion of my counterexample into a spectrum of suffering that varies according to the selves and purposes that suffering affects. Next, I connect this spectrum to the tolerability of suffering, which I distinguish from its affective intensity. I conclude by outlining some applications of this distinction for the psychometric reliability of assessment instruments that measure suffering in clinical contexts. (shrink)

What is hermeneutics? -- The suffering stranger and the hermeneutics of trust -- Sandor Ferenczi : the analyst of last resort and the hermeneutics of trauma -- Frieda Fromm-Reichmann : incommunicable loneliness -- D.W. Winnicott : humanitarian without sentimentality -- Heinz Kohut : glimpsing the hidden suffering -- Bernard Brandchaft : liberating the incarcerated spirit.

The problems of evil and suffering have been extensively discussed in Jewish philosophy, and much of the discussion has centred on the Book of Job. In this study Oliver Leaman poses two questions: how can a powerful and caring deity allow terrible things to happen to obviously innocent people, and why have the Jewish people been so harshly treated throughout history, given their status as the chosen people? He explores these issues through an analysis of the views of (...) Philo, Saadya, Maimonides, Gersonides, Spinoza, Mendelssohn, Hermann Cohen, Buber, Rosenzweig, and post-Holocaust thinkers, and suggests that a discussion of evil and suffering is really a discussion about our relationship with God. (shrink)

Once the preserve of philosophy and theology, what Weber called `the problem of theodicy' - the problem of reconciling normative ideals with the reality in which we live - recurs in the social sciences in the secular form of `sociodicy'. Within a functionalist framework, sociodicies have offered legitimizing rationalizations of social adversities, inequalities and injustice, but seldom address the existential meaning and ethical implications of human affliction and suffering in social life. We suggest that an apparent indifference to these (...) questions in social theory reflects a deeper tension between modernity's millennial expectations of moral progress and the escalating history of violence, exploitation and suffering in the modern world. The task of sociodicy, we argue, should be reconstructed as a critique of the decivilizing implications of this tension, not just to document the consequences of suffering on people's lives, but in order to reassess the experience of modernity at the end of one of the most disturbed and violent centuries the world has known. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:540 BOOK REVIEWS automatically without requiring the intervention of human beings who are convinced of its validity" (p. 356). If, however, a representative legislature, acting according to proper constitutional procedures, should decide to effect a strict egalitarian redistribution of property, then on Kant's theory this decision of the general will would be perfectly rightful and legitimate. The wealthy could not complain that their rightful property was being taken from (...) them because their actual or peremptory right to any property whatever is conditional on submitting themselves to the general will and to whatever laws of distribution it might choose to give. The state's only responsibility here would be to make sure that each citizen's right to freedom, equality, and independence is pro· tected; and Kant was even aware to some extent (if not as much as he might have been) that under a genuinely republican system, it is always the unequal distribution of property in society which poses the most serious threat to these rights. In spirit, therefore, Kant's theory is at the very opposite end of the political spectrum from theories of the minimal or nightwatchman state. Cornell University Ithaca, New York ALLEN W. Wooo History Making History: The New Historicism in American Religious Thought. By WILLIAM DEAN. Albany: State University of New York Press, 1988. Pp. xiv + 175. $57.50 (hardcover) ; $18.95 (paper). This hook sets out to explicate, not historicism generally, hut a particular local and American variety thereof. Indeed one of Dean's major points concerns the importance of " local knowledge." He is addressing readers located, for better or worse, in American institutions, in a time and space shaped by American experience. These, he argues, need to cultivate a distinctively American way of knowing in philosophy and religion, a way of knowing that will be historicist, pragmatic, and empirical in character; adopting it would require important revisions in how we conceive and practice theology. Like all good historicists, Dean presents his argument by telling a story, creating a narrative context for the understanding of ideas. The story is most immediately about a group of contemporary thinkers that includes secular philosophers (Richard Bernstein, Nelson Goodman, Hilary Putnam, Richard Rorty), philosophers of religion and ethics (Jeffrey Stout, Corne! West), theologians (Gordon Kaufman, Mark C. Taylor), and a lone literary critic, Frank Lentriccia. By treating these writers together as " the new American historicists," Dean hopes to BOOK REVIEWS 541 show that they exemplify a distinctive style of thought that is both locally valid (because rooted in American traditions and practices) and religiously interesting. At the same time, the new historicists suffer from an ironic case of intellectual amnesia. While they consistently stress the inevitability of tradition and context in shaping thought, these writers often seem oblivious to the uniquely American tradition in which they stand. Thus Dean reaches back to recover elements of an older American historicism with roots in pragmatism, religious naturalism, and the liberal Protestantism of the prewar " Chicago School." The thought of these illustrious precursors, he argues, can help save today's historicists from the formalism that is their constant temptation. But what is historicism? Dean makes an emphatic distinction be· tween the historicism that grows out of the German idealist tradition and the historicism that " can be traced to the classical era in Ameri· can philosophy," e.g., to the thought of the pragmatists (p. 2). When Dean speaks of the older, idealist-influenced historicism he does not mean simply Ernst Troeltsch's famous proposal for a form of cultural and religious relativism; he is painting with a much broader brush. " Continental " historicism means for him something more like the idealist conviction concerning the " historicity " of the subject. After Kant, we do not simply apprehend the world, we construe it; and ever since Kant we have become more and more aware that we do so from particular, contingent perspectives. " Historicism" in this wide sense might be taken as a thesis about the inevitability of hermeneutics. But belief in the necessity of interpretation or hermeneutics is com· patible with affirming the reality of certain universal anthropological structures, e.g., of "reason" or "subjectivity" or "understanding". It is just such structures, Dean argues... (shrink)

Five years ago, a new three volume edition of Eugen Rosenstock- Huessy In the Cross of Reality: A Post-Goethean Sociology appeared in Germany. As with the two prior editions of the work it met with almost no critical response. This is perhaps not surprising - and it barely mentions any other sociologists, its approach is highly idiosyncratic, it is as much anthropology and history as it is sociology. Indeed, the second and third volumes mainly focus on the social formations (...) of antiquity, and the role of Christianity and the messianic revolutions of the last millennium in creating a universal history. In this paper I take the relationship between speech, time and suffering as the key to Rosenstock-Huessy?s argument for why a theoretical grasp of Christianity as a social power is so important for social theory, and why he sees Sociology as a post-Christian form of knowledge. I also make the case for why Rosenstock-Huessy is an interesting and important social theorist. nema. (shrink)

Two essential periods may be identified in the early stages of the history of vitamin D-resistant rickets. The first was the period during which a very well known deficiency disease, rickets, acquired a scientific status: this required the development of unifying principles to confer upon the newly developing science of pathology a doctrine without which it would have been condemned to remain a collection of unrelated facts with very little practical application. One first such unifying principle was provided by (...) the notion of hygiene; while the blanket explanations provided by this notion alone were much too general to enable rickets to achieve scientific status, it did point out the need to look for specific external causes for the disease and to examine the life-style and dietary habits of the patients. The second phase of the conceptualization of the disease was the assumption of a specific cause — that is, using concepts developed in the area of infectious diseases. This was made possible by fundamental similarities between deficiency and infectious diseases, in spite of their apparent differences. Both types of illness have some of the characteristics of what Georges Canguilhem calls the ontological representation of disease as opposed to dysharmonic representations, which primarily concern the endocrine diseases. It is precisely this shift from one to the other manner of perceiving ill health that enabled the identification of the vitamin D-resistant rickets. Conceptualization of the notion of vitamin D resistancy required that the conditions causing the disease be looked for within the organism rather than outside it; this was thus the first time that endocrine concepts were applied to studying the physiology of vitamin D.The history of resistant rickets therefore represents an interesting model for understanding the growth of biomedical knowledge. It allows the development of a number of more general ideas on the question of the relationship between biology and medicine and on the thorny problem of specificity in medical thinking. As far as this topic is concerned it can be seen that there was an ongoing exchange between medical and biological thinking during the initial period up until 1937, and that one could deny any such specificity in medical thinking during this same period. Albright, for example, used human diseases as spontaneously produced models for experimental biology. It was also more feasible for an experimental biologist to administer toxic doses than for a clinician to do so.What, then, if any, is the place of the specificity of medical thinking in this history? The fact that medicine is characterized not only by it ccognitive content78 but also by its final aim, which is to restore health, makes it necessary to take factors other than objective knowledge into consideration. This is particularly evident in two aspects of medicine, therapeutics and nosology, and in approaching the notion of pathological individuality.Therapeutic activity has a largely empirical approach. Many drugs, such as cod-liver oil, were discovered empirically. Treatment often in the past, and still now, has proceeded by trial and error, upon no established theoretical basis. At this level the relationship between biology and medicine is roughly comparable to that between science and technology79 \3- that is, it is impossible to reduce either therapeutics or technical activities to the simple application of basic science. In this sense, the application of vitamin D to vitamin-resistant rickets is quite typical. Further-more, in the case studied here, the therapeutic activity heralds a definite breaking away from the medicatrix naturae of conventional medicine dating back to ancient times, and it embodies a new concept of the organism and of disease: no longer can the diseased organism be thought of as merely having a perturbed equilibrium requiring restoration by means of a natural style of medicine. On the contrary, vitamin D resistance is an obstacle that indicates profound biological dysfunction, to be rectified only by means of an extremely aggressive and therefore dangerous therapy. The therapy thus serves to reveal the severity of the dysfunction, thereby leading inevitably to conceptual innovation. This sheds light on the theoretical innovations of which the therapeutic activity is capable.Therapeutic activity is also influenced by notions of health and illness, normal and pathological states, none of which may be determined entirely objectively. For example, the term healing as used by Albright in the case of resistant rickets that he described may be discussed in this light.Nosology, or the classification of diseases, depends largely on the description of clinical syndromes, which are themselves mainly based on subjective elements (discomfort, disability, or the extent of a patient's suffering). The advent of pathological anatomy at the beginning of the nineteenth century disrupted classification by introducing the concept of localized anatomical lesions81-and, hence, an element of material objectivity \3- into nosology. Radiological examination further complicated matters by enabling the equivalent of an autopsy on living matter. Lastly, biological examination complicated nosology by showing that biological anomalies may exist in human beings without necessarily leading to a pathological condition. Medical thinking can choose to combine all these elements to describe a disease, but can also separate them and retain only a few, or a single one, according to requirements - as did Albright.The notion of biological and pathological individuality is fundamental to the development of medical thinking. Whatever its theoretical origin, medical thinking has since ancient times incorporated the idea that each individual reacts differently to the same treatment and his own specific pathological tendencies. I mentioned earlier that in the history of vitamin D-resistant rickets the notion of rachitic tendency reflected this type of thinking. After 1937, this history progressed by successively separating new individual entities, affecting smaller and smaller groups of individuals in each case. In other words, the need to understand and to define individual illness more closely required the development of new concepts and the construction of new individual categories of disease linking these concepts to older clinical, radiological, and biochemical elements. (shrink)

Proponents of the problem of animal suffering state that the great amount of animal death and suffering found in Earth’s natural history provides evidence against the truth of theism. In particular, philosophers such as Paul Draper have argued that regardless of the antecedent probability of theism and naturalism, animal suffering provides positive evidence for the truth of naturalism over theism. While theists have attempted to provide answers to the problem of animal suffering, almost none have (...) argued that animal suffering and death can be seen as positive evidence for theism. This essay will discuss several arguments from the writings of Thomas Aquinas that can be used to show that animal suffering and death are to be expected in theistic universes. In the first section, I discuss evidential arguments for naturalism from animal suffering. Next, I provide an overview of Aquinas’ arguments, particularly in Book II of the Summa Contra Gentiles. After this, I discuss the implications these arguments have for theistic universes. Finally, I conclude that these arguments refute evidential arguments for naturalism from animal suffering and also provide evidence that favors theism. (shrink)

Talmudic history, understood as how events are organized and narrated to teach, cannot be said to deal with great affairs; it simply tells what those responsible for compiling it thought about the world around them. But if manifest history is scarcely present, a rich and complex world of latent history does lie ready at hand. The Talmud and related literature contain two sorts of historical information: stories about events within an estate of clerks, and data on the (...) debates of those who produced the Talmud. The authors of the Mishnah found no reason to narrate history because what was important in Israel's existence was sanctification, an ongoing process. Its framers recognized the pastness of the past and hence, by definition, laid out a conception of the past that constitutes an historical doctrine. The Talmud of the Land of Israel, spurred by the story of the suffering of Israel and efforts to explain the tragedy, moves toward an interest in the periodization of history and a willingness to include events of far greater diversity than the Mishnah. A teleology lacking all eschatological dimension - the Mishnah - here gives way to an explicitly messianic statement that the purpose of the law is to attain Israel's salvation -the Talmud of the Land of Israel. (shrink)

: The suffering of creatures experienced throughout evolutionary history provides some conceptual difficulties for theists who maintain that God is an all-good loving creator who chose to employ the processes associated with evolution to bring about life on this planet. Some theists vexed by this and other problems posed by the interface between religion and science have turned to process theology which provides a picture of a God who is dependent upon creation and unable to unilaterally intervene in (...) the affairs of the world and avert suffering. In the present paper I seek to critique process theism, focusing on divine action and the aforementioned problem posed by evolutionary suffering. I show that the promise of a more compelling account of a loving God who suffers with creation advanced by the process theist is illusory. Rather, the process God is less dynamic than promised. And on such an account the freedom of both God and the world are significantly more circumscribed than one may find in other forms of theism. (shrink)

The 1979 partial nuclear reactor meltdown at Three Mile Island was simultaneously hyper-visible and hidden from public view. It was the subject of non-stop media attention, but its causes and consequences required expert explanation. No fire or explosion marked the moment when insensible radionuclides escaped the facility. Yet, residents recalled a variety of troubling sights, sounds, odors, tastes, and sensations. Public distrust percolated in the interstices between government assertions that little radiation had escaped the facility and residents’ sense memories of (...) the incident. This article traces intertwined networks of activists from Japan and Pennsylvania as they mobilized legally, politically, and scientifically to develop evidence about the offsite effects of Three Mile Island. Exploring the distinct cosmology of evidence that activists marshaled, the article shows how they placed the messy, contingent, dynamic living world at the center of inquiries about the meltdown’s consequences. Activists developed new practices of biological witness that reconfigured the interplay between scientific, legal, and moral authority, while concurrently reformulating sufferers’ subjectivities and notions of scientific objectivity. In the process, they suggested that environmental justice entailed epistemic justice. Their cosmology of evidence served as an argument and a material proof that the beloved but suffering living world, and the sciences used to understand it, could and should frame the governance of industrial society’s invisible harms. (shrink)

One of the mantras of progressive education is that genuine learning ought to be exciting and pleasurable, rather than joyless and painful. To a significant extent, Jean-Jacques Rousseau is associated with this mantra. In a theme of Emile that is often neglected in the educational literature, however, Rousseau stated that “to suffer is the first thing [Emile] ought to learn and the thing he will most need to know.” Through a discussion of Rousseau's argument for the importance of an education (...) in suffering, Avi Mintz contends that the reception of Rousseau by progressives suggests a detrimental misstep in the history of educational thought, a misstep that we should recognize and correct today. We ought to revive the progressive tradition of distinguishing the valuable educational pains from the harmful ones, even if we disagree with the particular types of pain that Rousseau identified as educationally valuable. (shrink)

Judith Shklar’s dictum, ‘the worst evil of cruelty’, is well known. What this means for her political theory and how such theory is construed are rarely explored. This article maintains that Shklar’s turn towards cruelty/suffering has a specific role in the development of her political argument. It allows her both to curb her long-standing skepticism, and to use it creatively. This is because suffering must be examined from the perspectives of history and philosophy, which produce two sets (...) of knowledge, each limiting the overbearing tendencies of the other. The way Shklar uses the tension between history and philosophy for progressive purposes, and her idea that politics can mediate between history and philosophy, makes her a very contemporary theorist, similar to those who critically engage foundationalism without wanting to dispose of it completely. Approaching Shklar’s ‘Putting Cruelty First’ through her engagement with history and philosophy, and making use of the concepts of ‘realism’ (Bernard Williams) and ‘weak ontology’ (Stephen White) to do so are a more productive route to understanding her dictum than the usual one of examining it through the prism of her ‘liberalism of fear’. (shrink)

I argue that the blameworthy deserve to suffer in that they deserve to feel guilt, which is the unpleasant experience of appreciating one’s apparent culpability for having done wrong. I argue that the blameworthy deserve to feel guilt because they owe it to those whom they’ve culpably wronged to (a) hold themselves accountable, (b) manifest the proper regard for those whom they’ve wronged, and (c) appreciate their culpability for, and the moral significance of, their wrongdoing. And I argue that the (...) blameworthy must feel guilt to satisfy a–c. What’s more, I argue that, in thinking about whether the blameworthy deserve to feel guilt, we need to compare the world in which the blameworthy feel guilt to the world in which the non-blameworthy feel guilt, for, as I argue, it’s insufficient to compare only the world in which the blameworthy feel guilt to the world in which the blameworthy don’t feel guilt. (shrink)

In this paper I consider the thought of two Jewish existentialists from the first half of the 20th century, showing how their critique of pantheistic and panentheistic thinking grounded novel ideas about politics, history and human thought. In place of a concept of history directed towards a teleological redemption of suffering in the future, Lev Shestov (1866–1938) and Benjamin Fondane (1898–1944) abandoned notions of philosophical rationality in order to avow a ‘reversal’ of history according to which (...) historical suffering could be expiated through the unforeseeable powers of the divine. From here, I look at the work of a contemporaneous philosopher – Walter Benjamin (1892–1940) – for the way in which his own conception of history as ‘rescuing’ the past provides an alternative panentheism, one according to which political responsibility derives from a need to redeem God whose existence has been exiled throughout the mundane world. (shrink)

Engaging the thought of the Danish thinker Søren Kierkegaard, I challenge a tendency within the analytic tradition of philosophy on the subject of meaning in life. Taking as a starting point Kierkegaard's insights about meaning in life, the striving needed to attain an imagined ideal self, and his paradoxical conception of the perfection available to human life, I claim that meaning in life is a function of an individual's striving for an ideal self. This continuous effort to achieve myself is (...) marked by suffering, an indispensable part of Kierkegaard's project of identity formation. The imagined grasp of a possible ideal self is essential to this process but insufficient for it because the imagination can only ever glimpse a kind of static perfection, not the lived perfection that only results from willed actualization of an ideal self. The meaning of a human life, then, consists in the suffering that results from a struggle to actualize the ideal I aspire to become in the process of identity formation. I contrast this view with a tendency shared by many contemporary analytic philosophers of meaning in life, for whom meaning in life is constituted by achievement of valued goods, without much attention to one's relation to the process of achieving them. In that respect, I will focus on the position of Iddo Landau. After clearing a number of his misconceptions about Kierkegaard's philosophy, I claim that, for a life to be meaningful, valued goods in life must be complemented by a conscious enactment of the process of the formation of one's identity that includes striving to attain a kind of perfection. I conclude that Kierkegaard's paradoxical account of perfectionism makes him more of an ally to Landau than an opponent. (shrink)

Sarah is a young deaf woman in revolt, refusing to speak. She marries James, an orthophonist who works in a special school for the deaf. However, what gradually emerges in the course of their relationship is the latent suffering caused by what each of the partners isn't getting. James, tired of acting as Sarah's interpreter, frustrated by the limits of what they can share, shouts out:You want to be independent of me, you want to be a person in your (...) own right, you want people not to pity you … then you [must] learn to read my lips and you [must] learn to use that little mouth of yours for something besides eating and showing me you're better than hearing girls in bed! Come on! Read my lips? What am I saying? Say what I'm saying … You always have to be dependent on someone, and you always will for the rest of your life until you learn to speak. Now come on! I want you to speak to me. Let me hear it. Speak! Speak! Speak! …. (shrink)

"Every culture needs to appropriate the universal truth of human suffering," says Fernando Escalante, ". . . to give its own meaning to this suffering, so that human existence is bearable." Originally published in Spanish as La mirada de Dios: Estudios sobre la cultura del sufrimiento, this book is a remarkable study of the evolution of the culture of suffering and the different elements that constitute it, beginning with a reading of Rousseau and ending with the appearance (...) of the Shoah in the Western consciousness--"The memory endures, and this constitutes a fundamental transition for the Western conscience: we have witnessed." Drawing on writings from the Greeks to Cervantes, Voltaire to Nietzsche, and Freud to William James, Escalante combines his considerable knowledge of politics and political theory with a vast array of literary examples to arrive at an intellectual understanding of the history and meaning of suffering. His investigation encompasses the rise of popular politics, the role of messianism in modern nationalism, and the contemporary implications of the Shoah. This book will appeal to a wide audience: students of political theory, humanism, and philosophy, as well as the general reader interested in a glimpse into the mind of a highly original Latin American thinker. (shrink)

Arthur Schopenhauer’s Mirror: the Will, the Suffering, the Compassion as Philosophical Challenges. In philosophy, the celebration of Arthur Schopenhauer has already ended. Only the last year was anniversary (of his birth and of the publication of the first volume of The World as Will and Representation), but the importance of this non-conformist creator is never superfluous to highlight. In this article, there is, certainly, a very limited/selective focus on the thinking of Schopenhauer, and no biographical approach: the goal is (...) only to stress two aspects of his philosophy in their logic. Schopenhauer was an enthusiastic Kantian: first of all, by taking over his maestro’s seminal paradigm, the constructivism (that does not pertain only to the theory of knowledge, but marks the entire existence analysed at different philosophical levels). Secondly, by the ethical focus and accent, continuing Kant’s exceptional emphasis of the ultimate reason of the tableau of the world, the human reason and its power to treat the others in a moral manner. And certainly, Schopenhauer was not an epigone, but a creator, using and at the same time giving other content to the Kantian form of ethical revolution. Schopenhauer had, obviously, contradictory ideas – as that between his constructivism and his metaphysical treatment of the will, i. e. as the only principle explaining the world – and also with disputable significance, including for the actual life and thinking. But he had a bad publicity from the dominant philosophy – namely, some of his ideas (as that of the moral of compassion) were, and still are, absolutely ignored, while other ones were simplified or transformed in the conception of Schopenhauer, reducing this one to some ideas out of context – and even nowadays this tradition is dominant. And it’s pity, because Schopenhauer’s philosophy was and represented a dramatic moment in the history of the 19th century thinking and culture: as it is a strange mirror for the present much graver situation. In order to critique the present it’s not necessary to do it from Schopenhauer’s perspective. However, just his contradictory ideas and pathetic accent on compassion show better than ever that neither philosophy – as theoretical position – nor the urging for moral activism are more than vox clamantis in deserto: if the historical facts, which include this urging and the spring of thinking but are not confined to them, are missing. (shrink)

This analysis explores the phenomenology of suffering and temporal, genetic and social developmental aspects of suffering for seriously ill older adults. A phenomenological account of suffering is advanced using oral history data from in-depth interviews with a seriously ill, frail elderly woman. The analysis evaluates how a phenomenological account of suffering may inform ethics in end-of-life decision making, and may provide a further basis for an integrated ethical and gerontological response to suffering in palliative (...) social work practice with seriously ill older adults at the end of life. Levinas’s ethical philosophy and conceptualizations of the non-totalizing relation of self to other, disinterest, and radical passivity are employed to help reframe an approach to the ethical relation and the nature of obligation in end-of-life care, expanding consciousness of suffering and its meanings in an intersubjectively experienced world. Differences in Husserl’s account of the other and the concept of alterity in Levinas’s ethics are explored in the context of phenomenology as a descriptive science that respond directly to the pragmatic concerns of the analysis. (shrink)

The proper theological response to the problem of reconciling human suffering with the Christian belief in a God of infinite wisdom, power, and goodness is not to try to solve the unsolvable, but to preserve the mystery of God. The concept ‘mystery’ as attributed to God signifies intelligibility — inexhaustible intelligibility — not contradiction. Mystery suggests the range and limits of a human being's knowledge of God. We cannot know why God permits suffering in this particular instance or (...) the character of God's response to someone in the throes of suffering. We can know in a general way the necessary conditions of the possibility for the realization of God's purpose because we know the purpose of God's activity through revelation. This paper argues that if God created the universe so that creatures could share in the fullness of God's life, God could not have achieved God's purpose without any human suffering. This argument upholds the inexhaustible intelligibility of God's activity and thus preserves the mystery of God, for if God could have achieved God's purpose without any suffering, yet willed the suffering of creatures, then the eternal plan of providence and the actual unfolding of salvation history would be arbitrary and irrational. (shrink)

This article is a defense of the history of ideas as traditionally understood. The history of ideas, as originally conceived, attempted to be both historical and philosophical. Its historical dimension consisted in placing ideas in their historical context and understanding the intentions behind the author; its philosophical dimension consisted in criticism, the internal critique of an author according to his own aims. Modern intellectual or philosophical history has separated these two components. There is the analytical history (...) of philosophy which aims to be primarily critical or philosophical, and the historical Cambridge school which aims to be chiefly historical. The article argues that the history of philosophy is best pursued by joining the philosophical and historical approaches; it attempts to show how the attempt to pursue history without philosophy, or philosophy without history, breaks down and suffers from inevitable shortcomings. (shrink)

Theodor Adorno's concept of 'natural history' [Naturgeschichte] was central for a number of Adorno's theoretical projects, but remains elusive. In this essay, I analyse different dimensions of the concept of natural history, distinguishing amongst (a) a reflection on the normative and methodological bases of philosophical anthropology and critical social science; (b) a conception of critical memory oriented toward the preservation of the memory of historical suffering; and (c) the notion of 'mindfulness of nature in the subject' provocatively (...) asserted in Max Horkheimer and Adorno's Dialectic of Enlightenment. These strands are united by the notion of transience and goal of developing a critical theory sensitive to the transient in history. The essay concludes by suggesting some implications of an expanded concept of natural history for issues in the discourse theory of Jürgen Habermas. (shrink)