Sensory symptoms are common in autism spectrum disorder. Previous studies have shown a positive correlation between sensory symptoms and internalizing problems; however, the role of the suffering due to sensory symptoms is not well understood. In the present study, we hypothesized that the relationship between sensory symptoms and internalizing problems in children is mediated by children’s and surrounding people’s suffering due to sensory symptoms. Parents of 113 students aged 6–15 years with and without ASD completed questionnaires about their (...) children’s autistic traits, sensory symptoms, suffering due to sensory symptoms, and internalizing problems. The results showed that autistic traits and sensory symptoms were distributed as a continuum throughout children with and without ASD. Therefore, we investigated the relationship among variables in children with and without ASD attending regular classes. Structural equation modeling indicated that those who scored higher on sensory symptoms demonstrated greater suffering due to sensory symptoms as predictors of internalizing problems. Our findings provide evidence for developing a support system that specifically reduces suffering due to sensory symptoms, especially for students in regular classes. (shrink)

In a diverse and innovative selection of new essays by cutting-edge theologians and philosophers, _Suffering Religion_ examines one of the most primitive but challenging questions to define human experience - why do we suffer? As a theme uniting very different religious and cultural traditions, the problem of suffering addresses issues of passivity, the vulnerability of embodiment, the generosity of love and the complexity of gendered desire. Interdisciplinary studies bring different kinds of interpretations to meet and enrich each other. (...) Can the notion of goodness retain meaning in the face of real affliction, or is pain itself in conflict with meaning? Themes covered include: *philosophy's own failure to treat suffering seriously, with special reference to the Jewish tradition *Martin Buber's celebrated interpretations of scriptural suffering *suffering in Kristevan psychoanalysis, focusing on the Christian theology of the cross *the pain of childbirth in a home setting as a religiously significant choice *Gods primal suffering in the kabbalistic tradition *Incarnation as a gracious willingness to suffer. (shrink)

For many, the Holocaust made thinking about ethics in traditional ways impossible. It called into question the predominance of speculative ontology in Western thought, and left many arguing that Western political, cultural and philosophical inattention to universal ethics were both a cause and an effect of European civilization's collapse in the twentieth century. Emmanuel Levinas, Elie Wiesel and Richard Rubenstein respond to this problem by insisting that ethics must be Western thought's first concern. Unlike previous thinkers, they locate humanity's (...) source of universal ethical obligation in the temporal world of experience, where human suffering, rather than metaphysics, provides the ground for ethical engagement. All three thinkers contend that Judaism’s key lesson is that our fellow human is our responsibility, and use Judaism to develop a contemporary ethics that could operate with or without God. _Ethics and Suffering since the Holocaust_ explores selected works of Levinas, Wiesel, and Rubenstein for practical applications of their ethics, analyzing the role of suffering and examining the use each thinker makes of Jewish sources and the advantages and disadvantages of this use. Finally, it suggests how the work of Jewish thinkers living in the wake of the Holocaust can be of unique value to those interested in the problem of ethics in the twentieth and twenty-first centuries. Presenting a thorough investigation of the work of Levinas, Wiesel and Rubinstein, this book is of key interest to students and scholars of Jewish studies, as well as Jewish ethics and philosophy. (shrink)

As ever more advanced digital systems are created, it becomes increasingly likely that some of these systems will be digital minds, i.e. digital subjects of experience. With digital minds comes the risk of digital suffering. The problem of digital suffering is that of mitigating this risk. We argue that the problem of digital suffering is a high stakes moral problem and that formidable epistemic obstacles stand in the way of solving it. We then propose (...) a strategy for solving it: Access Monitor Prevent (AMP). AMP uses a ‘dancing qualia’ argument to link the functional states of certain digital systems to their experiences—this yields epistemic access to digital minds. With that access, we can prevent digital suffering by only creating advanced digital systems that we have such access to, monitoring their functional profiles, and preventing them from entering states with functional markers of suffering. After introducing and motivating AMP, we confront limitations it faces and identify some options for overcoming them. We argue that AMP fits especially well with—and so provides a moral reason to prioritize—one approach to creating such systems: whole brain emulation. We also contend that taking other paths to digital minds would be morally risky. (shrink)

I respond to two sets of objections to my characterization of infant suffering and the problem that it presents to traditional theism. My main theses were that infant suffering to death is not ‘horrendous’ in the technical sense defined, but that a good God still needs to "balance off" rather than "defeat" such suffering. David Basinger, on the other hand, claims that some infant suffering should be considered horrendous, while Nathan Nobis suggests that such (...) class='Hi'>suffering must be defeated rather than merely balanced off. -/- . (shrink)

The Visiting Scholars Programme talk for high school students on the question of why God allows suffering. The Exemplarist Theodicy is proposed in this talk as a solution to the problem.

Children are the real victims of world hunger: at least 70% of the malnourished people of the world are children. By best estimates forty thousand children a day die of starvation (FAO 1989: 5). Children do not have the ability to forage for themselves, and their nutritional needs are exceptionally high. Hence, they are unable to survive for long on their own, especially in lean times. Moreover, they are especially susceptible to diseases and conditions which are the staple of undernourished (...) people: simple infections and simple diarrhea (UNICEF 1993: 22). Unless others provide adequate food, water, and care, children will suffer and die (WHO 1974: 677, 679). This fact must frame any moral discussions of the problem. And so it does — at least pre-philosophically. When most of us first see pictures of seriously undernourished children, we want to help them, we have a sense of responsibility to them, we feel sympathy toward them (Hume 1978: 368-71). Even those who think we needn't or shouldn't help the starving take this initial response seriously: they go to great pains to show that this sympathetic response should be constrained. They typically claim that assisting the hungry will demand too much of us, or that assistance would be useless and probably detrimental. The efforts of objectors to undermine this natural sympathetic reaction would be pointless unless they saw its psychological force. We want to explain and bolster this sympathetic reaction — this conviction that those of us in a position to help are responsible to the.. (shrink)

This article examines the account of the relationship between sin and suffering provided by J. L. A. Garcia in “Sin and Suffering in a Catholic Understanding of Medical Ethics,” in this issue. Garcia draws on the (Roman) Catholic tradition and particularly on the thought of Thomas Aquinas, who remains an important resource for Catholic theology. Nevertheless, his interpretation of Thomas is open to criticism, both in terms of omissions and in terms of positive claims. Garcia includes those elements (...) of Thomas that are purely philosophical, such as natural law and acquired virtue, but neglects the theological and infused virtues, the gifts and fruits of the Holy Spirit, and the beatitudes. These omissions distort his account of the Christian life so that he underplays both the radical problem posed by sin (and suffering), and the radical character of the ultimate solution: redemption in Christ through the grace of the Holy Spirit. (shrink)

Most people believe that suffering is intrinsically bad. In conjunction with facts about our world and plausible moral principles, this yields a pro tanto obligation to reduce suffering. This is the intuitive starting point for the moral argument in favor of interventions to prevent wild animal suffering. If we accept the moral principle that we ought, pro tanto, to reduce the suffering of all sentient creatures, and we recognize the prevalence of suffering in the wild, (...) then we seem committed to the existence of such a pro tanto obligation. Of course, competing values such as the aesthetic, scientific or moral values of species, biodiversity, naturalness or wildness, might be relevant to the all-things-considered case for or against intervention. Still, many argue that, even if we were to give some weight to such values, no plausible theory could resist the conclusion that WAS is overridingly important. This article is concerned with large-scale interventions to prevent WAS and their tractability and the deep epistemic problem they raise. We concede that suffering gives us a reason to prevent it where it occurs, but we argue that the nature of ecosystems leaves us with no reason to predict that interventions would reduce, rather than exacerbate, suffering. We consider two interventions, based on gene editing technology, proposed as holding promise to prevent WAS; raise epistemic concerns about them; discuss their potential moral costs; and conclude by proposing a way forward: to justify interventions to prevent WAS, we need to develop models that predict the effects of interventions on biodiversity, ecosystem functioning, and animals’ well-being. (shrink)

Children are the real victims of world hunger: at least 70% of the malnourished people of the world are children. By best estimates forty thousand children a day die of starvation (FAO 1989: 5). Children do not have the ability to forage for themselves, and their nutritional needs are exceptionally high. Hence, they are unable to survive for long on their own, especially in lean times. Moreover, they are especially susceptible to diseases and conditions which are the staple of undernourished (...) people: simple infections and simple diarrhea (UNICEF 1993: 22). Unless others provide adequate food, water, and care, children will suffer and die (WHO 1974: 677, 679). This fact must frame any moral discussions of the problem. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Ecological Suffering:From a Buddhist PerspectiveSulak Sivaraksa“There will be great suffering caused by our human-created climate change, but we may need to go through this process in order to see the ‘light.’”—Nigel Crawhall (IUCN, CEESP representative, South Africa)Ecological suffering is the result of centuries of abuse of our Earth and environment. It is the effects of numerous overlapping developments that are unsustainable for the most part. It (...) results from violent actions, whether in the shape of colonialism, industrial development, wars, economic growth, the arms race, or capitalist competition between states. More importantly, it is a flaw inherent in the global capitalist system—which is nevertheless seen as the best system to organize human life—and will bring down both capitalism and human survival if we act as if we don’t know about it. I explicitly name capitalism because without doing so any critique will be simply abstract, moralistic, and toothless—such as blaming greed in general or on particular greedy individuals, on human nature, on civilization, and so on. No. Ecological suffering is the result of systemic violence rooted in the global political economy. Although our world cherishes diversity and choice, it is increasingly intolerant of any form of living that resists free market fundamentalism. Ecological suffering is happening on a daily level even if we feel that nothing is happening. Ecological suffering sustains the normalcy of our everyday life as we drive to work, eat our lunch, talk on our mobile phones, connect to the Internet, and so on. It is woven into our daily existence. As such, we don’t want our daily life to be disturbed and often act as if we don’t know about ecological suffering. But it is also experienced unevenly: the poor majority more so than the rich minority, who for now could still buy their way out of the problem; developing societies more than developed ones; and so on.One thing is certain: Our ecosystem is crashing. What should be a circle of life, of interconnected life forms, has already started to work as individual parts going in different directions, leading to malfunctions and negative consequences in many parts [End Page 147] of the system. At the Inter-Religious Dialogue on Climate Change and Biodiversity Conservation in September 2012, a conclusion that was arrived at the conference was a simple but profound one: It is all connected; we are all connected. As I mentioned in my latest book, Wisdom of Sustainability,1 our world and nature works in the same way as the wheel of Dhamma. The wheel of Dhamma can be used to countenance the wheels of state and systemic violence. This is why tackling the environmental problem needs a religious or spiritual dimension.Below, I will reflect on the problems and challenges we face in coping with the impending ecological catastrophe. I link the postponement of the crisis and sustainability with the cultivation of spirituality in ourselves—that is, to search for what has been uprooted and what we need to reclaim or retrieve. Bringing in Buddhist ethics, I will tease out how an interfaith approach to problem solving can benefit our environment by pointing to some concrete suggestions.The starting points of this talk are drawn from The Wisdom of Sustainability and the conference overview of the Inter-Religious Dialogue on Climate Change and Biodiversity Conservation, and I will alternate between these two points, which also structure my talk. The dialogue was held in Sri Lanka in September 2012, at the Islander Center. It was organized by the International Network of Engaged Buddhists (INEB), the Sewalanka Foundation, International Union for the Conservation of Nature (IUCN) Sri Lanka National Office, and Commission on Environmental Economic and Social Policy (CEESP). At this conference faith leaders, environmental and climate scientists, conservationists, and social activists from all over the world gathered to collaboratively explore the scientific foundations of climate change and biodiversity loss; its social, political, and economic drivers; the impacts of climate change on human societies and the environment; and the underlying human behaviors that contribute to climate change.2The conference used three levels of engagement to frame the creation of a roadmap for action... (shrink)

Fyodor Dostoyevsky expressed a strange and surprising sentiment through one of the characters of The Brothers Karamazov. A dying young man named Markel declares: Every one of us has sinned against all men, and I more than others." He later says: "...every one of us is answerable for everyone else and for everything." Markel's absurd claims have engendered many reflections on the nature of suffering and what it means to be responsible for someone else's suffering. The world has (...) no shortage of pain and evil; what exactly is the relationship between suffering and responsibility? Markel's declarations press forward a question that drives this essay collection: how responsible should we consider ourselves for the suffering of the world? This volume is a collection of essays that struggle in various ways to understand and respond to several philosophical, theological and practical problems. In each case the authors grapple with issues surrounding suffering, immorality, evil, exploitation and oppression. The contributors share a clear concern for the ways that philosophers and theologians should respond to the problems of suffering and evil. They also share a conviction that these remain intense and central problems for philosophy and theology. Evil is an obstacle for belief, for morality, for hospitality, and for hope. This book struggles to address the particular and strong sense of responsibility that falls on Christians when it comes to understanding and, more importantly, responding to the problems of suffering and evil in the world. (shrink)

In the current debate on theodicy, the problem of animal suffering is becoming increasingly relevant, as demonstrated by some recent books devoted to this topic. Such a problem is particularly challenging for a theistic theodicy, as its traditional arguments do not seem able to deal with it. In the first instance, the article aims to provide a brief overview of the main arguments sustained by theists regarding animal suffering, and secondly to provide an evaluation of such (...) arguments which might be useful for further research on this topic. (shrink)

Ethical problems are continuing to expand in health care due to conflicts of technology and value. This study investigated what kind of ethical problems nurses face in clinical situations and what process they use in deciding on actions to take. Ethical theories in justice and caring were explored. Qualitative research was used and ethnographic analysis was conducted with six staff nurses from three clinical areas. An analysis of the data yielded an overarching theme of ‘Suffering and ethical caring: incompatible (...) entities’. Six domains were identified: informant definitions, preceding conditions, actions taken, intervening variables, risks and recommendations. Future research is needed in the field of client and family suffering and pain. (shrink)

This article explores Simone Weil’s account of the relationship between human suffering and intellectual life, with reference to the issues raised by the allegation that as an enterprise theodicy evinces a failure to ‘take suffering seriously’. The article shows how Weil’s understanding of the relationship between suffering and attention gives a clear and powerful account of the way that compassion—which involves an uncompromising acceptance of suffering—can be discerned in patterns of thought. Nevertheless, it is less clear (...) in her work how these convictions might serve as a guide for theological statements. Weil’s understanding of the Christian conception of life is centred on the experience of finding God present in and through suffering, and this leaves her with the problem of how to reconcile her commitment not to ‘sweeten what is bitter’ with consolations or compensations with her intuition that the truth of creaturely existence is made available through suffering. Through an analysis of the inner contours of this conflict, it is argued that Weil’s central problem is of how to articulate spiritual reality in such a way as to encourage undivided attention, which is the only ground for the hope that truthful, compassionate thought about suffering might be possible. (shrink)

Transhumanism seeks to transgress the human, regarding finitude and suffering to be fundamental problems that must be overcome by radical bioenhancement technologies. Christianity and transhumanism have been compared as competing deifications via grace and technology, respectively. I argue that the grace of deification is partly accomplished in union with Christ by way of suffering unto divine filiation. First, I explore how the grace of deification is accomplished through suffering, looking at Maximus the Confessor’s dyothelitism. Christ in Gethsemane (...) expresses the fulfilment of divine filiation, aligning Christ’s human will with the divine will. Second, I examine deification in light of Luther’s theologia crucis and how suffering leads to ‘Christosis’. A human’s divine mode of existing is filial and cruciform and thus Christoform. Third, I look at deification and Augustine’s totus Christus. The Church is transfigured into Christoformity as the members of the body suffer with one another in compassion. Taken together, dyothelitism critiques transhumanist exaltation of the will, theologia crucis critiques transhumanist power ontology, and totus Christus as shared suffering critiques transhumanist individualism. I conclude that suffering is transfigured: suffering, not transhumanism, is the way to true human enhancement. (shrink)

The problem of ascertaining whether there is a justification for the imposition of suffering and premature death on nonhuman animals is important in itself. Examination of the problem also promises to force philosophers to rethink widespread assumptions about what is proper treatment of less than normal human beings, the basis for attributing rights to humans, the value of life, the “intrinsic worth of all human beings,” and certain egalitarian principles. In what follows my primary concern will concern (...) the justification of imposing suffering on animals. In particular I shall try to sort out and examine some arguments set forward by Tom Regan in a recent essay. (shrink)

Contra the prevalent way of thinking about the dirty-hands problem, this article suggests that dirty hands need not necessarily entail suffering and that a politician who does not suffer for his dirty-handed acts should not be cast as a bad politician. In so doing, the article: argues that the connection between DH and suffering is unsatisfactorily totalising and rests on a contentious conception of conflict as a dysfunction and develops an alternative account of the good dirty-handed politician, (...) which is associated with what proponents of the prevalent view of the problem find impossible: calm acceptance of – even indulgence in – one’s dirt. This recognition has important implications for our contemporary culture of contrition and for the way we evaluate the characters of our politicians. (shrink)

Suffering and evil in the world provide the basis for the most difficult challenge to monotheistic belief. This Element discusses how the three great monotheisms – Judaism, Christianity, and Islam – respond to the problem of suffering and evil. Different versions of the problem, types of answers, and recurring themes in philosophical and religious sources are analyzed. Objections to the enterprise of theodicy are also discussed as are additional objections to the monotheistic God more broadly. This (...) treatment culminates in a recommendation for how monotheism can best respond to the most serious formulation of the problem, the argument from gratuitous evil. (shrink)

My paper challenges an influential distinction between pain and suffering put forward by physician-ethicist, Eric Cassell. I argue that Cassell’s distinction is philosophically untenable because he contrasts suffering with an outdated theory of pain. In particular, Cassell focuses on one type of pain, the interpretation of nociception induced by noxious stimuli such as heat or sharp objects; yet since the late 1970s, pain scientists have rendered both nociception and noxious stimuli unnecessary for pain. I argue that this discrepancy (...) between Cassell’s distinction and pain science produces three philosophical problems for his distinction: first, he frames his distinction too generally, concentrating on only one type of pain (interpreted nociception) to the neglect of others, such as neuropathy; second, it is possible that Cassell’s understanding of pain may include suffering; and third, Cassell gives examples of pain and suffering manifesting independently of each other, but it is possible that these cases may instead exemplify differences between nociceptive and non-nociceptive types of pain. Due to these problems, I conclude that Cassell’s distinction currently lacks a difference. I call for new efforts to articulate the differences, if any, between pain and suffering. (shrink)

Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, reflecting the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish experienced in response to various forms of moral adversity including moral harms, wrongs or failures, or unrelieved moral stress. Confronting moral (...) adversity challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. Recent interest has expanded to include a more corrosive form of moral suffering, moral injury. Moral resilience, the capacity to restore or sustain integrity in response to moral adversity, offers a path designing individual and system solutions to address moral suffering. It encompasses capacities aimed at developing self- regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Moral resilience has been shown to be a protective resource that reduces the detrimental impact of moral suffering. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum Response, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all. (shrink)

Humans live by experiencing various types of sufferings, directly or indirectly. For this reason, it is evident that one of the topics of great interest in congregations is the question of suffering. This study aims to present redemptive-historical narrative preaching as a homiletical strategy for preaching on suffering. Redemptive-historical narrative preaching can be a homiletical alternative for preaching on suffering because it improves the weaknesses of the traditional homiletic and new homiletic and further develops their strengths. In (...) this study, we will identify the main problems of preaching on suffering in Korean churches. Then, we will discuss redemptive-historical preaching and narrative preaching, which form the foundation of redemptive-historical narrative preaching. Finally, we will propose and explain the redemptive-historical narrative preaching in detail and why it is suitable to respond to contexts of suffering within congregations.CONTRIBUTION: Redemptive-historical narrative preaching has greater significance, not only in terms of overcoming the limitations of redemptive-historical preaching and narrative preaching but also in maximising the advantages of both. This research would contribute to the field of homiletics of the Hervormde Teologiese Studies journal. (shrink)

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)

Jon Sobrino and Jean-Marc Éla provide unique contributions for theological ethics in reflecting suffering as mystery of evil (mysterium iniquitatis) and suffering as the driving force for liberation (mysterium salutis). As a proponent of liberation theology, Sobrino focuses on structural problem of evil. In this regard, Éla gives his unique voice by analyzing suffering from its socio-cultural perspectives. Putting Sobrino and Éla in dialog shows the need for interdisciplinary approach in doing theological ethics. This interdisciplinary reflection (...) on suffering on the one hand will bring a more holistic view on the complexity of the problem of suffering. On the other hand, it brings a more contextual understanding on the meaning of discipleship in a violent world. Keywords: Saffering, evil, liberation, resocialization, structural & socio- cultural approach, discipleship. Abstrak: Jon Sobrino dan Jean-Marc Éla memberikan sumbangan yang khas bagi refleksi teologis etis tentang kompleksitas problem penderitaan sebagai misteri kejahatan (mysterium iniquitatis) namun sekaligus menawarkan daya dorong bagi kesetiaan menapaki jalan pembebasan (mysterium salutis). Sobrino yang menekankan analisa struktural atas kejahatan membutuhkan analisa sosio-kultural dari Éla sehingga aneka upaya “memberi nama” dan melawan problem kejahatan mendapatkan pijakannya pada praktik-praktik kultural dalam komunitas lokal. Dialog Sobrino dan Éla juga menunjukkan bahwa teologi mesti membuka diri pada kajian interdisipliner dengan ilmu lain sehingga, di satu sisi, misteri penderitaan dapat didekati secara lebih utuh dan, di sisi lain, jalan kemuridan yang muncul karena tanggapan atasnya menjadi lebih kontekstual. Kata-kata kunci: Penderitaan, kejahatan, pembebasan, resosialisasi, pendekatan struktural, pendekatan sosio-kultural, kemuridan. (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)

This chapter contains sections titled: Kant's Logocentrism Kant's Justification for Our Duties (with Regard) to Nonrational Animals Implications of Kant's View for Our Treatment of Animals Kantians Revising Kant: Wood and Korsgaard Problems with Wood and Korsgaard Kant's Response to Wolff: The Difference between Animal Choice and Moral Agency Evaluating Pain and Pleasure Kant's Practical Appeal Final Thoughts for the Nonanthropocentrist.

Die Welt ist voller Leid. Gott ist entweder unfähig, es zu verhindern – dann ist Er nicht allmächtig –, oder Er will es nicht verhindern – dann ist Er nicht vollkommen gut. Seit Generationen wird dies als das schlagendste Argument gegen den Glauben angesehen, daß ein allmächtiges und allgütiges Wesen existiert. Natürlich haben Theisten sich die größte Mühe gegeben, eine angemessene Erwiderung vorzubringen. ... Selbst wenn nur ein einziges Individuum unnötigerweise für einen kurzen Moment eine leichte Unannehmlichkeit zu ertragen hätte, (...) wäre das Problem logisch ebenso real – obwohl es nicht so schmerzhaft wäre oder möglicherweise sogar unbemerkt bliebe. (shrink)

One can readily conceive of worlds of horrendous, gratuitous suffering. Moreover, such worlds seem possible. For classical theists, however, God, amongst other things, is perfectly good. So, the question arises: for classical theists are such evil worlds possible? Many classical theists have said no. This is the modal problem of evil. Herein, I discuss a related problem: the problem of evil worlds for Lewisian theism. Lewisian theism is the conjunction of Lewis’s modal realism and classical theism, (...) and a leading Lewisian theist, Almeida, thinks that Lewisian theists should admit the existence of on-balance evil worlds. I do not. Herein, I present a dilemma for Almeida: either give up God’s sovereignty and the reductionist account of modality or make God blameworthy for evil. (shrink)

Die Welt ist voller Leid. Gott ist entweder unfähig, es zu verhindern – dann ist Er nicht allmächtig –, oder Er will es nicht verhindern – dann ist Er nicht vollkommen gut. Seit Generationen wird dies als das schlagendste Argument gegen den Glauben angesehen, daß ein allmächtiges und allgütiges Wesen existiert. Natürlich haben Theisten sich die größte Mühe gegeben, eine angemessene Erwiderung vorzubringen. ... Selbst wenn nur ein einziges Individuum unnötigerweise für einen kurzen Moment eine leichte Unannehmlichkeit zu ertragen hätte, (...) wäre das Problem logisch ebenso real – obwohl es nicht so schmerzhaft wäre oder möglicherweise sogar unbemerkt bliebe. (shrink)

We develop a new perspective on various forms of psychological suffering – including attachment issues, burn-out, and fatigue complaints – by drawing on the construct of learned helplessness. We conceptualise learned helplessness in operant terms as the behavioural effects of a lack of reinforcement and in goal-directed terms as the dysregulation of goal-directed behaviour. Our central claim is that if one fails to reach a goal (e.g. the goal to secure a job), then not only this goal but also (...) other related goals (e.g. the goal to maintain social relationships) may lose their motivating effects. The similarity relation between goal stimuli can therefore shed light on how failure in one life domain can come to affect various other life domains. We detail the relation between our proposal and existing theories and discuss new research and clinical directions. (shrink)

Medical advances prolong life. They also sometimes prolong suffering. Should we protect life or alleviate suffering? This dilemma formed the foundation for a powerful right-to-die movement and a counterbalancing concern over an emerging culture of death. What are the qualities of a life worth living? Where are the boundaries of tolerable suffering? This book is based on a hugely popular undergraduate course taught at the University of Texas, and is ideal for those interested in the social construction (...) of social worth, social problems, and social movements. This book is part of a larger text, Who Lives, Who Dies, Who Decides?, http://www.routledge.com/9780415892476/. (shrink)

This article provides a critical review of literature on ‘social suffering’. Analytical attention is focused upon the ways in which writers struggle to bring ‘meaning’ to this topic. All sense that there is always something in events of extreme suffering that resists conceptualisation and defies analysis. This problem of establishing a language for ‘thinking with suffering’ is explored with reference to the works of Hannah Arendt, Paul Ricoeur and Max Weber. An agenda for sociological research is (...) proposed which focuses on the struggle to make sense out of the phenomenon of suffering as a force of cultural innovation. In this context, it is suggested that what is most interesting here is the evidence to suggest that, when faced with the ‘brute fact’ of a world where there appears to be too much suffering, people are always moved to make this phenomenon productive for thought and action. (shrink)

The problem of suffering crucially focuses on meaninglessness. Meaningful suffering—suffering having some “point” or function—is not as problematic as absurd suffering that cannot be rendered purposeful. This issue is more specific than the problem of the “meaning of life” (or “meaning in life”). Human lives are often full of suffering experienced as serving no purpose whatsoever – indeed, suffering that may threaten to make life itself meaningless. Some philosophers—e.g., D.Z. Phillips and John (...) Cottingham—have persuasively argued that the standard analytic methods of philosophy of religion in particular ought to be enriched by literary reading and interpretation, especially when dealing with issues such as this. The problem of evil and suffering can also be explored from a perspective entangling literary and philosophical approaches (Kivistö & Pihlström, 2016). This double methodology is in this paper applied to the problem of evil and suffering by considering an example drawn from Holocaust literature: Primo Levi’s work is analyzed as developing an essentially ethical argument, with a philosophical-cum-literary structure, against theodicies seeking to render suffering meaningful. By means of such a case study, I hope to shed light on the problem of meaningless suffering, especially regarding the moral critique of “theodicist” attempts to interpret all suffering as meaningful. (shrink)

Metaphysical determinism argues that God divinely predetermines everything, including human suffering. Contrary to metaphysical determinism, free will or libertarianism argues that not everything is predetermined by God. Therefore, evil does not serve any divine purpose. Libertarianism argues that metaphysical determinism is simply incoherent because it holds that God can predetermine an action and, at the same time, holds that He could stop such an action. This study seeks to find out which of these two views might be promising in (...) responding to the problem of suffering. Contrary to these two positions, this study argues that suffering must be understood contextually. The above-stated responses do not always provide viable answers to the problem of suffering because they are often generalised and conceived from the God-eye view without considering the sufferers’ perspectives.Contribution: Although there are a plethora of publications on metaphysical determinism and freewill, this study re-examined both and sheds a nuance for a further development of these two competing views. The article argues that none of these two responses offers the best response to the problem; rather, each has its strengths and weaknesses because they seem to focus on God rather than the sufferer. (shrink)

From a theoretical standpoint, the problem of human suffering can be understood as one formulation of the classical problem of evil, which calls into question the compatibility of the existence of a perfect God with the extent to which human beings suffer. Philosophical responses to this problem have traditionally been posed in the form of theodicies, or justifications of the divine. In this article, I argue that the theodical approach in analytic philosophy of religion exhibits both (...) morally and epistemically harmful tendencies and that philosophers would do better to shift their perspective from the hypothetical “God’s-eye view” to the standpoint of those who actually suffer. By focusing less on defending the epistemic rationality of religious belief and more on the therapeutic effectiveness of particular imaginings of God with respect to suffering, we can recover, (re)construct, and/or (re)appropriate more virtuous approaches to the individual and collective struggle with the life of faith in the face of suffering. (shrink)

This paper aims to clarify Schopenhauer’s a priori argument for pessimism and, to an extent, rescue it from standard objections in secondary literature. I argue that if we separate out the various strands of Schopenhauer’s pessimism, we hit upon problems and counterexamples stemming from psychology. For example, instances where striving does not appear to equate to suffering, which puts pressure on the Schopenhauerian claim that human life, qua instantiation of the will, is painful. Schopenhauer’s sensitivity to the complexities of (...) human psychology means that he may be able to stave off such concerns. However, this reveals that true force of Schopenhauer’s argument lies in the manner in which he combines an a priori formulation with empirical observation. I conclude that, though not unproblematic, Schopenhauer’s argument in its most refined forms offers a deep articulation of the human condition, and warrants serious consideration. (shrink)

The suffering of nonhuman animals has become a noted factor in deciding public policy and legislative change. Yet, despite this growing concern, skepticism toward such suffering is still surprisingly common. This paper analyzes the merits of the skeptical approach, both in its moderate and extreme forms. In the first part it is claimed that the type of criterion for verification concerning the mental states of other animals posed by skepticism is overly (and, in the case of extreme skepticism, (...) illogically) demanding. Resting on Wittgenstein and Husserl, it is argued that skepticism relies on a misguided epistemology and, thus, that key questions posed by it face the risk of absurdity. In the second part of the paper it is suggested that, instead of skepticism, empathy together with intersubjectivity be adopted. Edith Stein’s take on empathy, along with contemporary findings, are explored, and the claim is made that it is only via these two methods of understanding that the suffering of nonhuman animals can be perceived. (shrink)

In his recent writings, Jürgen Habermas asks how the liberal constitutional principle of separation between church and state, religion and politics, should be understood. The problem, he holds, is that a liberal state guarantees equal freedom for religious communities to practise their faith, while at the same time shielding the political bodies that take collectively binding decisions from religious influences. This means that religious citizens are asked to justify their political statements independently of their religious views, resulting in a (...) burden that secular citizens do not experience. To compensate, Habermas demands from secular citizens that they open their minds to the possible truth content of religion, enter into dialog and contribute to the translation of religious reasons into generally acceptable reasons. This article focuses on Habermas’s assumption that religious citizens suffer an asymmetrical cognitive burden that should be compensated, and his claim that his approach to religion in the public sphere is less restrictive than that of John Rawls. (shrink)

Photo ID 71252867© Stepan Popov| Dreamstime.com Abstract While Medical Assistance in Dying (MAiD) has been legalized in Canada since 2016, it still excludes eligibility for persons who have mental illness as a sole underlying medical condition. This temporary exclusion was set to expire on March 17th, 2024, but was set 3 years further back by the Government of Canada to March 17th, 2027. This paper presents a critical appraisal of the case of MAiD for individuals with mental illness as the (...) sole underlying medical condition through the analysis of three ethical theories: principlism, deontology, and utilitarianism. Through evidence and discussion, it will be demonstrated that MAiD, in this context, may be ethically justifiable on the grounds of upholding human rights, protecting dignity, and minimizing suffering. Introduction In June of 2016, Medical Assistance in Dying (MAiD) was legalized in Canada.[1] Throughout the first six years, a temporary exclusion of eligibility for persons suffering solely from mental illness was extended.[2] The exclusion of mental illness as a sole underlying medical condition was set to expire on March 17, 2024.[3] However, on February 1, 2024, just over a month before the set expiration, the Government of Canada once again extended the exclusion, this time setting it back three years to March 17, 2027. There are currently several countries that allow MAiD for mental illness, including Belgium, the Netherlands, and Luxembourg.[4] Some countries, like Spain,[5] do not give specific guidance, leaving the matter under discussion by ethicists and courts. In these countries, there are specific (although different) requirements for the process; overall, for mental illness, the illness must be verifiable and not simply related to a perception of satisfaction with the length of life. This extension ignited discussion on whether MAiD for persons who have mental illness as a sole underlying medical condition in Canada is ethically acceptable. As a complex, multi-faceted, and interdisciplinary issue, ethicists assessing MAiD must take into account various moral obligations and considerations. This paper analyses MAiD in this context through the application of three ethical theories: principlism, deontology, and utilitarianism. This paper concludes that, based on the current evidence and knowledge of this developing situation, MAiD for persons with mental illness in Canada may be ethically justified on the grounds of upholding human rights, labour obligations, and dignity. Through the exploration of research and discussions, it will be demonstrated that society at large ought to protect liberty and act towards relieving suffering, thereby supporting the potential eligibility of MAiD for persons who have mental illness. Principlism: The Capacity and Ability to Assess and Decide for One’s Own Life Principlism is the application of four principles: autonomy, beneficence, non-maleficence, and justice. Principlism supports permitting MAiD for mental illness due to the importance of autonomy in decision-making, equitable and just practices for MAiD assessors, and reducing suffering for patients and their family member(s) and/or friend(s). Carter v. Canada, the Canadian Supreme Court ruling of 2015—which changed Canadian law to allow for MAiD—held that the prohibition of MAiD infringed on Canadians’ right to “life, liberty, and the security of the person.” In a unanimous decision, the Supreme Court of Canada decided that the criminal prohibition of MAiD violates the Canadian Charter of Rights and Freedoms.[6] The Court concluded that the criminal law prohibiting MAiD interfered with people’s autonomy and dignity, which are protected by the rights of liberty and security of the person.[7] The ruling emphasized that Canada’s constitution reflects the fundamental importance of individual autonomy in personal decision-making. Research provides evidence that MAiD improves autonomy: A study among psychiatric patients found that 8 of 48 psychiatric patients said the mere option of accessing MAiD was enough to assess their future options for living wholly.[8] These findings complement a study entailing interviews with 30 adults who have mental illness, which emphasized that the ability to access MAiD allows individuals to analyze their quality of life, envision their desired future, and make decisions accordingly.[9] Although not all participants agreed that mental illness as the only underlying medical condition was appropriate for MAiD eligibility, many participants agreed that patient autonomy in decision-making was paramount and should be respected. However, autonomy as an ethical principle does not immediately grant all persons with mental illness the option to access MAiD. There are multiple eligibility criteria for those who wish to receive MAiD, which still must be approved and assessed. Currently, eligibility criteria for MAiD states that individuals must “give informed consent to receive MAiD, meaning that the person has consented to receiving MAiD after they have received all information needed to make this decision.”[10] Consent requires capability or capacity, which is the ability to understand relevant information, appreciate its potential consequences, and make an informed decision for oneself.[11] Like for many other diseases, disabilities, and conditions, patient capability is determined on a case-by-case basis.[12] Given the stigma surrounding those struggling with mental health, this thorough case-by-case examination of an individual patient’s capability and capacity without prejudice or partiality should lead to equitable and fair treatment. Without appropriate testing, those with mental illness could be wrongly stripped of their decision-making power. Arguments against MAiD for those with mental illness have raised concerns about the potential for individuals to harm themselves and others. A survey of MAiD providers demonstrated that physicians believed that the bereavement experience following MAiD is challenging and profoundly distinct and that bereavement support for all members involved should be required.[13] However, while watching one die (of MAiD) may cause harm to their families, friends, and support system at large, it is also important to recognize that watching someone suffer and struggle through their mental health journey also poses significant harm. Qualitative studies in Ontario, Canada, have interviewed family members of persons with mental illness as a sole medical condition, and interviewees shared that witnessing the illness and its impacts on their close one's lives was a very difficult experience.[14] As it relates to MAiD, participants emphasized that those living with mental illness are in the best position to understand their own pain and suffering and, in turn, make their own decisions about relief.[15] In an interview, a MAiD provider stated that MAiD may provide less suffering and more peace, and that, although it “depends on the family,... usually the family is more prepared and at peace.”[16] On the contrary, a person who has mental illness may perceive choosing MAiD as beneficial to their family member(s) and/or friend(s). Among those who died by MAiD in 2021, 35.7 percent reported that they perceived themselves as a burden on their family and friends.[17] While some authors report their concerns regarding such social burden as a potential driving factor for MAiD requests, others report that there are other additional burdens associated with requesting MAiD that may be financial, societal, and personal.[18] As such, the extension of MAiD eligibility to those with mental illness will likely only allow a small number of people to be granted MAiD.[19] Many others will be diverted to appropriate services and treatments. Patients’ decision to choose MAID noted their ability to make choices about their own care, reflecting the value of autonomy.[20] Although it is difficult to determine what is good for families in individual cases, MAiD presents an option that is both beneficent and non-maleficent. Therefore, these arguments satisfy the principles which do not necessarily conflict with MAiD. Deontology: The Duty to Recognize Vulnerability and Relieve Suffering The argument here begins with the fundamental focus of deontology—that moral duty lies in an action rather than in its consequences. Further discussion is required to analyze the impact of MAiD on healthcare workers. The Canadian Medical Association (CMA) Code of Ethics and Professionalism requires physicians to abide by virtues, commitments, and responsibilities in delivering health care and service.[21] The code states that “a compassionate physician recognizes suffering and vulnerability, … and alleviate[s] the patient’s suffering.”[22] In the context of MAiD for persons with mental illness as a sole underlying medical condition, vulnerabilities could be wide in range. Many Canadians are concerned with the interaction between mental health and other social determinants of health, such as the lack of medical, disability, financial, housing, and social support and resources.[23] As a result, another layer to the ethical issue arises: Does permitting MAiD for mental illness treat the symptoms of the issue rather than the root problem itself (social, economic, and systemic inequities)? Some argue against MAiD, stating that the nation should first focus on developing better quality care and service.[24] Others support MAiD as a potential harm reduction approach, given that most of these unjust conditions require a higher level of long-term structural and public policy overhaul.[25] The CMA Code also calls upon physicians to recognize and alleviate patients’ suffering. Some argue that while physicians and medical professionals do work to relieve suffering, they are trained to do so through a primary care-based diagnose-and-treat approach.[26] Studies that have captured Canadian physicians’ experiences providing MAiD report that, although physicians stated that the work was rewarding, it came with many challenges, including strained relationships with coworkers, increased workload, and inadequate compensation.[27] Physicians report that a part of the problem is that MAiD rules are written by lawyers and experts who are removed from its reality in medical practice. As a result, there is a lack of clarity surrounding practice norms and a lack of support for physicians.[28] Thus, while healthcare practitioners have a duty to relieve patients’ suffering, they should feel adequately trained and supported in doing so. If physicians and healthcare professionals recognize vulnerability and relieve suffering, then they should act accordingly, regardless of potential associations or outcomes. Making persons with mental illness eligible for MAiD ensures that treatment to relieve their suffering is available. However, it is imperative that there are sufficient resources and support available to healthcare professionals to ensure that they feel prepared and supported to provide MAiD, should they wish to do so. Utilitarianism: Minimizing Intolerable Suffering and Dying with Dignity Overall, utilitarianism is largely concerned with the greatest happiness principle—to increase the amount of happiness for the greatest number of people. So far, this paper has analyzed individual, family, and practitioner-based ethical considerations. But if MAiD were to be extended to those with mental illness as a singular underlying medical condition, what implications would this have for the world and society at large? There is a global drive toward authorizing organized ending of life, with an increasing number of countries legalizing MAiD.[29] The medical system is generally seen as a safe and appropriate system to carry out MAiD, especially when suicide and self-harm are regarded as “alternatives.” Yet despite these worldwide efforts, many argue through the theory of utilitarianism that the inability to see long-term consequences renders MAiD a premature solution, particularly for those who are unable or unwilling to seek other forms of potentially healing treatment or for those who may undergo MAiD only for a technological innovation or biomedical advancement to later come along as a potential cure.[30] While it is true that MAiD does not prevent these “premature deaths,” it is also true that it does not claim to.[31] MAiD provides an option to alleviate intolerable suffering. Some individuals with severe mental illness do describe their condition as intolerable suffering. MAiD is seen as an option to minimize suffering. It can also be seen as a way to die with dignity and relief.[32] While predicting outcomes is difficult, extending MAiD eligibility for persons experiencing mental illness does not undermine its ability to end suffering. It allows eligible individuals to take charge of their health, their life, and their future. Conclusion Based on the current evidence, allowing MAiD for persons with mental illness as their sole underlying medical condition presents as an ethically justifiable action. The right to self-determination and fair accessibility demonstrates that there is more harm done by prohibiting MAiD for mental illness than allowing it. Such liberty is a right, and in the context of relieving suffering, it is a duty that healthcare workers must uphold, although the ability to opt out of providing MAiD is well established. Thus, to recognize vulnerability and relieve suffering means to provide methods, such as MAiD, for those deeply impacted by mental illness. These justifications stand at both the individual level and for society at large. Nevertheless, it remains imperative to take an upstream approach that addresses the social determinants of health and aims to prevent mental illness and promote long-term, beneficial social change for those suffering, struggling, and vulnerable in our communities. - [1] Jaro Kotalik and David W. Shannon, Medical Assistance in Dying (MAID) in Canada Key Multidisciplinary Perspectives, 1st ed. 2023., The International Library of Bioethics, 104 (Cham: Springer International Publishing, 2023), https://doi.org/10.1007/978-3-031-30002-8. [2] Department of Justice Government of Canada, “Canada’s Medical Assistance in Dying (MAID) Law,” February 21, 2024, https://www.justice.gc.ca/eng/cj-jp/ad-am/bk-di.html. [3] Health Canada, “Final Report of the Expert Panel on MAiD and Mental Illness,” transparency - other, May 13, 2022, https://www.canada.ca/en/health-canada/corporate/about-health-canada/public-engagement/external-advi sory-bodies/expert-panel-maid-mental-illness/final-report-expert-panel-maid-mental-illness.html. [4] Federal Public Service (FPS) Health Belgium, “Federal Commission for the Control and Evaluation of Euthanasia,” n.d., https://consultativebodies.health.belgium.be/en/advisory-and-consultative-bodies/federal-commission- control-and-evaluation-euthanasia.; Government of Netherlands, “Is Euthanasia Allowed in the Netherlands?,” n.d., https://www.government.nl/topics/euthanasia/is-euthanasia-allowed.; “Information on Requesting Euthanasia or Assisted Suicide,” n.d., https://guichet.public.lu/en/citoyens/sante/fin-vie/euthanasie/euthanasie-assistance-suicide.html. [5] Luis Espericueta, First official report on euthanasia in Spain: A comparison with the Canadian and New Zealand experiences, Medicina Clínica (English Edition), Volume 161, Issue 10, 2023, Pages 445-447, ISSN 2387-0206, https://doi.org/10.1016/j.medcle.2023.06.021. [6] Government of Canada, “The Canadian Charter of Rights and Freedoms,” March 15, 2021, https://www.justice.gc.ca/eng/csj-sjc/rfc-dlc/ccrf-ccdl/. [7] Supreme Court of Canada, “Carter v. Canada,” Constitutional Law, 2015, https://scc-csc.lexum.com/scc-csc/scc-csc/en/item/14637/index.do.; Kotalik and Shannon, Medical Assistance in Dying (MAID) in Canada Key Multidisciplinary Perspectives. [8] Karandeep Sonu Gaind, “What Does ‘Irremediability’ in Mental Illness Mean?,” Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie 65, no. 9 (September 2020): 604–6, https://doi.org/10.1177/0706743720928656; Lieve Thienpont et al., “Euthanasia Requests, Procedures and Outcomes for 100 Belgian Patients Suffering from Psychiatric Disorders: A Retrospective, Descriptive Study,” BMJ Open 5, no. 7 (July 27, 2015): e007454, https://doi.org/10.1136/bmjopen-2014-007454. [9] Hamer Bastidas-Bilbao et al., “Walking Alongside: Views of Family Members on Medical Assistance in Dying for Mental Illness as the Sole Underlying Medical Condition,” Qualitative Health Research 33 (September 29, 2023), https://doi.org/10.1177/10497323231197365. [10] Government of Canada, “Canada’s Medical Assistance in Dying (MAID) Law.” [11] Commission sur les soins de fin de vie, “Les conditions de l’admissibilité à l’aide médicale à mourir au Québec: la constance dans l’évolution de la loi concernant les soins de fin de vie,” June 9, 2023, https://csfv.gouv.qc.ca/ fileadmin/docs/autres_rapports/csfv_lcsfv_conditions_ amm_2023-06-29.pdf.; Trudo Lemmens, “When Death Becomes Therapy: Canada’s Troubling Normalization of Health Care Provider Ending of Life,” The American Journal of Bioethics 23, no. 11 (November 2, 2023): 79–84, https://doi.org/10.1080/15265161.2023.2265265. [12] Justine Dembo, Udo Schuklenk, and Jonathan Reggler, “‘For Their Own Good’: A Response to Popular Arguments Against Permitting Medical Assistance in Dying (MAID) Where Mental Illness Is the Sole Underlying Condition,” Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie 63, no. 7 (July 2018): 451–56, https://doi.org/10.1177/0706743718766055. [13] Konia Trouton et al., “Attitudes and Expectations Regarding Bereavement Support for Patients, Family Members, and Friends: Findings from a Survey of MAID Providers,” British Columbia Medical Journal 62, no. 1 (2020). [14] Bastidas-Bilbao et al., “Walking Alongside.” [15] Bastidas-Bilbao et al. [16] Trouton et al., “Attitudes and Expectations Regarding Bereavement Support for Patients, Family Members, and Friends: Findings from a Survey of MAID Providers,” 2020. [17] Ramona Coelho et al., “The Realities of Medical Assistance in Dying in Canada,” Palliative & Supportive Care 21, no. 5 (October 2023): 871–78, https://doi.org/10.1017/S1478951523001025; Health Canada, “Third Annual Report on Medical Assistance in Dying in Canada 2021,” report on plans and priorities;transparency - other, July 26, 2022, https://www.canada.ca/en/health-canada/services/publications/health-system-services/annual-report-me dical-assistance-dying-2021.html; Lemmens, “When Death Becomes Therapy.” [18] Coelho et al., “The Realities of Medical Assistance in Dying in Canada,” October 2023.; Bastidas-Bilbao et al., “Walking Alongside.” [19] Olivia Stefanovich, “Opposition Parties Call for Indefinite Pause to MAID Expansion for Mental Illness | CBC News,” Canadian Broadcasting Corporation, January 28, 2024, https://www.cbc.ca/news/politics/special-joint-committee-maid-mental-illness-report-1.7095679; Benjamin Lopez Steven, “Number of Assisted Deaths Jumped More than 30 per Cent in 2022, Report Says | CBC News,” Canadian Broadcasting Corporation, October 27, 2023, https://www.cbc.ca/news/politics/maid-canada-report-2022-1.7009704. [20] Hamer Bastidas-Bilbao et al., “Searching for Relief from Suffering: A Patient-Oriented Qualitative Study on Medical Assistance in Dying for Mental Illness as the Sole Underlying Medical Condition,” Social Science & Medicine 331 (August 1, 2023): 116075, https://doi.org/10.1016/j.socscimed.2023.116075. [21] Canadian Medical Association, “Canadian Medical Association Code of Ethics and Professionalism” (Canada: Canadian Medical Association, December 8, 2018), https://policybase.cma.ca/link/policy13937. [22] Canadian Medical Association. [23] Coelho et al., “The Realities of Medical Assistance in Dying in Canada,” October 2023; Stefanovich, “Opposition Parties Call for Indefinite Pause to MAID Expansion for Mental Illness | CBC News.” [24] John Paul Tasker, “Liberal Government Promoting a ‘culture of Death’ with Medical Assistance in Dying Law, Conservative MP Says | CBC News,” Canadian Broadcasting Corporation, March 6, 2023, https://www.cbc.ca/news/politics/culture-of-death-medical-assistance-in-dying-mental-illness-1.67695 04. [25] Coelho et al., “The Realities of Medical Assistance in Dying in Canada,” October 2023; Kayla Wiebe and Amy Mullin, “Choosing Death in Unjust Conditions: Hope, Autonomy and Harm Reduction,” Journal of Medical Ethics, April 26, 2023, https://doi.org/10.1136/jme-2022-108871. [26] Ramona Coelho et al., “The Realities of Medical Assistance in Dying in Canada,” Palliative & Supportive Care 21, no. 5 (October 2023): 871–78, https://doi.org/10.1017/S1478951523001025. [27] Konia Trouton et al., “Attitudes and Expectations Regarding Bereavement Support for Patients, Family Members, and Friends: Findings from a Survey of MAID Providers,” British Columbia Medical Journal 62, no. 1 (2020), https://bcmj.org/articles/attitudes-and-expectations-regarding-bereavement-support-patients-family-m embers-and.; William Robert Nielsen, “MAiD in Canada: Ethical Considerations in Medical Assistance in Dying,” Canadian Journal of Bioethics 4, no. 2 (December 9, 2021): 93–98, https://doi.org/10.7202/1084456ar. [28] Coelho et al., “The Realities of Medical Assistance in Dying in Canada,” October 2023. [29] Lemmens, “When Death Becomes Therapy.” [30] William Robert Nielsen, “MAiD in Canada: Ethical Considerations in Medical Assistance in Dying,” Canadian Journal of Bioethics 4, no. 2 (December 1, 2021): 93–98, https://doi.org/10.7202/1084456ar. [31] Steven, “Number of Assisted Deaths Jumped More than 30 per Cent in 2022, Report Says | CBC News.” [32] A. Plaisance et al., “Quebec Population Highly Supportive of Extending Medical Aid in Dying to Incapacitated Persons and People Suffering Only from a Mental Illness: Content Analysis of Attitudes and Representations,” Ethics, Medicine and Public Health 21 (April 1, 2022): 100759, https://doi.org/10.1016/j.jemep.2022.100759. (shrink)

Featuring the work of leading contemporary Muslim philosophers and theologians, this book grapples with various forms of evil and suffering in the world today, from COVID-19 and issues in climate change to problems in palliative care and human vulnerability. Rather than walking down well-trodden paths in philosophy of religion which often address questions of evil and suffering by focusing on divine attributes and the God-world relationship, this volume offers another path of inquiry by focusing on human vulnerability, potential, (...) and resilience. Addressing both the theoretical and practical dimensions of the question of evil, topics range from the transformative power of love, virtue ethics in Sufism and the necessity of suffering, to the spiritual significance of the body and Islamic perspectives on embodiment. In doing so, the contributors propose new perspectives based on various pre-modern and contemporary materials that can enrich the emerging field of the global philosophy of religion, thereby radically transforming contemporary debates on the nature of evil and suffering. The book will appeal to researchers in a variety of disciplines, including Islamic philosophy, religious studies, Sufism and theology. (shrink)

In order to defend moderate retributivism Anthony Duff and Christopher Bennett have invoked the idea of the enduring of punishment (including imprisonment) as a form of apologetic penance that is needed to reach atonement. They successfully argue that the concept of penance makes plausible the positive retributivist conviction that the guilty deserve to suffer. Two crucial steps in their argument however still harbor problems. (1) punishments are usually imposed against the will of the offender, which is at odds with the (...) character of penance, even if one stresses the ritual character of apology. Stubbornly unapologetic offenders who are forced to apologize cannot be said to have made an apology and be ‘reconciled’ even though they performed the ritual. (2) The claim that we need to limit offenders’ rights and liberties in order to express withdrawal of our recognition and respect (or as a sign that communal bonds are fractured) may have implications that are unacceptable for liberals. We could also limit offenders’ rights and liberties by forcing them into moralizing, educative or other rehabilitative programs. Suggestions will be given on how Duff and/or Bennett can adapt their approaches to avoid these problems. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Listening to the World:Engagement with Those Who SufferOuyporn KhuankaewBefore talking about listening to the world I would like to review what brought us to the need to listen. Riane Eisler, a thinker and peace activist who authored the book The Power of Partnership, summarizes the main characteristics of dominant culture as authoritarian, men over women, masculinity valued over femininity, hierarchical and centralized power of a few privileged groups, and (...) violence institutionalized and normalized. The culture that we are working toward is partnership, which is about a practice of power sharing, a flat structure for society and institutions that support decentralization, gender equality, justice for all, nonviolence, and love.To work and live in partnership cultures we need to shift, to unlearn, the world-view, skills, and behavior we have internalized from the dominant culture.Dominant culturePartnership culturePreaching or teachingLearning togetherTelling the answerListening with an open heartKnowingHaving a beginner’s mindHelpingWorking togetherFixingBeing a witness, being present with the sufferingOffering solutionsAsking questions: Let people touch their wisdom Click for larger view View full resolutionThe work of International Women’s Partnership for Peace and Justice (IWP) is to train social activists in South and Southeast Asia to deconstruct their worldview, attitude, and behaviors internalized from the dominant culture, to envision and practice skills and behaviors of a partnership culture. The main skill that we practice throughout our five-day to six-week workshops is deep listening with an open heart. Compassionate or mindful listening alone combines all the partnership values, concept, skills, and behavior mentioned above, and even beyond. When we use it with [End Page 59] Buddhists, we recognize deep listening as meditation in action. When we work with Christians, we acknowledge it as a practice of love. And we call deep listening a spiritual practice when we work with people who do not want to identify with religious institutions.Deep listening with an open heart is a way to crack open our numbness, internalized from the dominant culture that trains us to listen with our head. Listening with our head means we listen with a readiness to make comment, to judge, to ask for more information for our curiosity, to give solutions, or to share our stories. We all know this well when our parents, teachers, or persons with authority do this to us. And when we become adults, we automatically do the same thing that we used to oppose.When we listen with our heart open it means we are being present to hear the stories, the emotions, the hope, the joy, and the pains of people who simply only need a witness to their own existence, particularly when working with marginalized people whose power within has been taken away and their voices are not heard in the dominant cultures. Offering deep listening to the suffering of someone or a group of people is the first step to engage with their realities and to create opportunities for people to speak their truths.Often in our ten-day workshop we will have someone who has been living or working with an abusive partner, parents, or boss for many years. Our job as a workshop facilitator is to create a safe environment for such a person to talk about her suffering. We model and encourage other participants to be present without judgment, questions, or suggestions when the person is talking. This is very hard for the first few days because most participants are trained, as a result of the dominant culture, to want to tell the person what to do, or they simply act uncomfortable with the situation by writing a note, going to the toilet, or looking away. This is because they do not know how to be with the suffering of others or do not know how to engaged in the suffering itself. We suggest that participants use the breath and the awareness of their body sitting on a floor to help anchor their mind, which is trying to run away from the unpleasant situation. We share with them that when we can be present without fixing the problem or running... (shrink)

The overarching issue addressed in Catia Faria’s Animal Ethics in the Wild: Wild Animal Suffering and Intervention in Nature is ‘the problem of wild animal suffering in nature: Ought we to prevent,...

Isn’t there something like an amount and density of horrific suffering whose discovery would make it irrational to think God exists? Use your imagination to think of worlds that are much, much, much worse than you think Earth is when it comes to horrific suffering. Isn’t there some conceivable scenario which, if you were in it, would make you say “Ok, ok. God doesn’t exist, at least in the way we thought God was. We were wrong about that”? (...) Pursuing this question leads to what I call the Problem of Absurd Evil. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 23 (2003) 143-145 [Access article in PDF] Catholic and Buddhist Monastics Focus on Suffering Thomas Ryan Paulist Office for Ecumenical and Interfaith Relations Approximately twenty Benedictine, Trappist, and Camaldolese men and women monastics met from April 13-18 with an equal number of Buddhist monastics at the Trappist Gethsemani monastery in Kentucky for five days of dialogue on the causes of suffering. The encounter, Gethsemani II, (...) was a sequel to a similar 1996 meeting at the monastery made famous by the monk Thomas Merton, a noted twentieth-century contemplative and peace activist who died in 1968. Merton's friendship with the Dalai Lama served as seminal inspiration for these two Buddhist-Christian dialogues. In a ritual at the opening of the Gethsemani II meeting, the participants, joined by a few advisors and observers to the dialogue, hung a wreath of flowers around the cross marking Merton's grave.Each day speakers from both sides initiated a conversation on a particular cause of suffering, such as greed and consumerism, personal and structural violence, sickness and aging. "I do not do well at conferences, and I came prepared to be bored," said John Daido Loori, abbot of the Zen Mountain monastery in Mount Tremper, New York, on day three, "but the level of honesty and depth of sharing in these exchanges has ripped open my heart."It is not possible in this forum to synthesize the penetrating reflections and stories on suffering offered by the participants.What may be even more important is the window offered by this dialogue into the dynamics of interfaith encounter no matter where it takes place.By sharing times of prayer, talk, meals, and rituals appropriate to each tradition, the participants became friends. They came for one thing, to talk about suffering, and in the process found another: an experience of community. They began each conversation with the musical and meditative interlude of a recorder, but the openness and sensitivity of the conversation itself became the real music. They didn't solve a single problem, but they kindled a vital force—friendship—with which to confront problems together in the future. Each brought passion for their own tradition—the gospel on the one hand and the dharma on the other—and each ended by recognizing in the other a powerful resource for healing the world.Evident in this dialogue was the emergence of a Euro-American Buddhist voice, [End Page 143] deeply respectful of the Asian tradition inherited, yet willing to think creatively about possible bridge points of understanding, of comparison, of ways of reformulating set patterns of saying things so as to better get at possible common meanings.One example of this will suffice. Suffering is at the heart of the Buddha's teachings in the Four Noble Truths, the first teachings he gave after his experience of enlightenment. First, all existence is dukkha, unsatisfactory and filled with suffering. Second, dukkha arises from tanha, a craving or clinging, which means a constant effort to find something permanent and stable in a transient world. Third, dukkha can cease totally, and this is Nirvana. Fourth, Nirvana can be reached by following the Eightfold Path described as "right" or samma: right understanding, right directed thought, right speech, right action, right livelihood, right effort, right mindfulness, right concentration. In short, the first three wisdom sayings relate to the existence, the cause, and the cessation of suffering. The fourth offers a clearly laid-out plan for liberation from suffering.The Christian approach could be typified in Pope John Paul II's 1984 Apostolic Letter "On the Meaning of Christian Suffering," which was distributed to all the participants. In reflecting on Jesus nailed to the cross, the pope observes that "in this weakness there is accomplished his lifting up, confirmed by the power of the resurrection. This means that the weaknesses of all human sufferings are capable of being infused with the same power of God manifested in Christ's cross. In such a concept, to suffer means to become particularly susceptible, particularly open, to the working of the salvific powers of God offered... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Gethsemani II:Catholic and Buddhist Monastics Focus on SufferingThomas Ryan, CSPApproximately twenty Benedictine, Trappist, and Camaldolese men and women monastics met 13-18 April 2003 with an equal number of Buddhist monastics at the Trappist Gethsemani monastery in Kentucky for five days of dialogue on the causes of suffering. The encounter, Gethsemani II, was a sequel to a similar 1996 meeting at the monastery made famous by the monk Thomas (...) Merton, a noted twentieth-century contemplative and peace activist who died in 1968. Merton's friendship with the Dalai Lama served as seminal inspiration for these two Buddhist-Christian dialogues. In a ritual at the opening of the Gethsemani II meeting, the participants, joined by a few advisors and observers to the dialogue, hung a wreath of flowers around the cross marking Merton's grave.Each day speakers from both sides initiated a conversation on a particular cause of suffering, such as greed and consumerism, personal and structural violence, sickness and aging. "I do not do well at conferences, and I came prepared to be bored," said John Daido Loori, abbot of the Zen Mountain monastery in Mt. Tremper, NY, on day three, "but the level of honesty and depth of sharing in these exchanges has ripped open my heart." It is not possible in this forum to synthesize the penetrating reflections and stories on suffering offered by the participants. What may be even more important is the window offered by this dialogue into the dynamics of interfaith encounter no matter where it takes place.By sharing times of prayer, talk, meals, and rituals appropriate to each tradition, the participants became friends. They came for one thing—to talk about suffering—and in the process found another: an experience of community. They began each conversation with the musical and meditative interlude of a recorder, but the openness and sensitivity of the conversation itself became the real music. They didn't solvea single problem, but they kindled a vital force—friendship—with which to confront problems together in the future. Each brought passion for their own tradition, the gospel on the one hand and the dharma on the other, and each ended by recognizing in the other a powerful resource for healing the world.Evident in this dialogue was the emergence of a Euro-American Buddhist voice, deeply respectful of the Asian tradition inherited, yet willing to think creatively about possible bridge points of understanding, of comparison, of ways of reformulating set [End Page 249] patterns of saying things so as to better get at possible common meanings. One example of this will suffice. Suffering is at the heart of the Buddha's teachings in the Four Noble Truths, the first teachings he gave after his experience of enlightenment. First, all existence is dukkha, unsatisfactory and filled with suffering. Second, dukkha arises from tanha, a craving or clinging, which means a constant effort to find something permanent and stable in a transient world. Third, dukkha can cease totally, and this is nirvana. Fourth, this can be reached by following the Eightfold Path described as "right" or samma: right understanding, right directed thought, right speech, right action, right livelihood, right effort, right mindfulness, right concentration. In short, the first three wisdom sayings relate to the existence, the cause, and the cessation of suffering. The fourth offers a clearly laid out plan for liberation from suffering.The Christian approach could be typified in Pope John Paul II's 1984 Apostolic Letter "On the Meaning of Christian Suffering," which was distributed to all the participants. In reflecting on Jesus nailed to the cross, the pope observes that "in this weakness there is accomplished his lifting up, confirmed by the power of the resurrection. This means that the weaknesses of all human sufferings are capable of being infused with the same power of God manifested in Christ's cross. In such a concept, to suffer means to become particularly susceptible, particularly open, to the working of the salvific powers of God offered humanity in Christ. In him God has confirmed his desire to act especially through suffering... and wishes to make his power known precisely in this weakness and emptying of self" (p... (shrink)