The Use of Narrative in Jewish Medical Ethics

Anne Jones has pointed out that over the last three decades, stories have been important to medical ethics in at least three ways: (1). Stories as cases for teaching principle-based medical ethics (2). Narratives for moral guides on what is considered living a good life (3). Stories as testimonials written by both patients and physicians. A pioneer in this effort, particularly in regard to using narratives as moral guides, has been the ethicist and philosopher Stanley Hauerwas. Heavily influenced by virtue ethics, Hauerwas believes that it is a person’s particular narrative tradition that provides one with convictions that form the basis of one’s morality. Befitting a Protestant theologian, he is particularly concerned with the Christian narrative. From a Jewish perspective, there has been much less written on the use of narrative in medical ethics. However, it is a mistake to think that narrative has little, if any, role in Rabbinic ethical decision making. The purpose of this article is to demonstrate the centrality of narrative in the thought of Orthodox Jewish decisors and the problems inherent in this methodology.     

(My) spirituality in medical education

During these times of the situated, contingent text, it is not unusual for an author to disclose her biases and other sources of potential partiality as a researcher or theorist. That is, an author often discloses her race, class origins, or sexual orientation at the onset, announcing particularities that enable readers to adjust their reading to the subjectivities inherent to knowledge production. One glaring omission to these announcements, especially in medicine, has to do with the spiritual domain. This essay, written as a personal narrative, provides one example of how one's spirituality is connected to what and how one chooses to teach, even in the medical academy. Acknowledging those beliefs and considering how our spirituality (along with our other subjectivities that are known to us) may influence our work is an important process in developing a more reflective practice.     

Did Jesus Discover Forgiveness?

This essay explores Hannah Arendt's claim that Jesus was the “discoverer” of forgiveness. It assesses Charles Griswold's view that person‐to‐person forgiveness is in evidence in Greek culture and practice before Jesus. The essay refines Griswold's view and suggests that person‐to‐person forgiveness is a cultural universal. The essay makes observations about the significance of the different words that denote person‐to‐person forgiveness; it also explores the implications of reading the New Testament writings on person‐to‐person forgiveness in the chronological order in which they were written. From a close reading of the early New Testament documents, the essay makes two suggestions about the Western tradition of forgiveness. First, it suggests that Paul the apostle is the first to identify person‐to‐person forgiveness as a moral virtue. Second, it suggests that in the Synoptic tradition, Jesus is the first to identify person‐to‐person forgiveness as a discrete category of behavior distinct, for example, from pardoning, excusing, waiving, or ignoring the wrongs of others.     

Satire,Analogy, and Moral Philosophy

This article addresses two puzzles, one about the nature of satire and its kinship with moral philosophy and the other about the possibility of practicing philosophy through works of art. While it has long been noted that moral satire and applied ethics share subject matter in common, there has been little attention to the prominence of argument by analogy in satire. This essay shows that satire has a kinship with moral philosophy close enough that it is possible to practice philosophy through satire and thus possible to practice philosophy through works of narrative fiction.     

AN ISLAMIC APPRAISAL OF MINDING THE GAP

The neglect of psycho‐spiritual needs of patients as they traverse the modern healthcare system has been a featured theme in medical literature over the past decade. This literature, which often highlights in‐patient palliative care, as well as acute and critical care settings, influences practice guidelines and protocols of doctors and nurses. In this essay, I review some of the pertinent issues raised in the literature and examine the validity of placing an ethical perspective on this issue. I also compare Islamic theocentric perspectives with secular, non‐theistic perspectives on restoring psycho‐spiritual care for patients. I then develop a framework for pastoral intervention based on aspects of the Islamic tradition and elaborate this framework by addressing clinical contexts and cases. The essay is an exposition based upon a review of the modern medical literature, an analysis of some of the traditional Islamic written sources, and the observations of the investigator, a practicing physician and an American Muslim.     

In Search of Śiva: Mahādēviyakka's V&īraśaivism

Mahādēviyakka was a radical 12th century Karnataka saint of whom surprisingly little has been written. Considered the most poetic of the Vīra?aivas, her vacanas are characterized by their desperate searching for ?iva. I attempt to convey Mahādēvi's epistemology and its struggle to 'know' ?iva, necessitating a lifetime of searching for him; offer an interpretation of the innate presence of ?iva in the world and its consequences for epistemology; and explore the sense of tragic love inherent in devotional searching for ?iva. My primary goal is to offer a powerful and positive, yet critical, interpretation of Mahādēvi's beautiful prose on her relationship with ?iva.     

THE ROLE OF PERCEPTION IN JONATHAN EDWARDS'S MORAL THOUGHT: The Nature of True Virtue Reconsidered

This essay provides an interpretation of Jonathan Edwards's moral thought that calls attention to the motif of perception in his conception of true virtue. The aim is to illumine the extent to which Edwards's virtue ethics can be included in and contribute to prevailing approaches to virtue in contemporary theological ethics. To advance this proposal, this essay attends to the question of moral agency that Edwards's reflections on charity, the new spiritual sense, and religious affections raise. This procedure offers an acute sense of the significance of perception for Edwards's virtue ethics, which in turn allows for a constructive Edwardsean entry into current theological discussions on the narrative character of virtue.     

From Sole Learning to Soul Learning

Abstract. Is it effective or even possible to teach an introductory course in religious studies that not only provides first‐year university students with the fundamental vocabulary, concepts, and critical tools of religious inquiry but also invites and stimulates the transformation of the religious imagination? In what kind of teaching and learning method could the process of personal transformation occur and how might one assess it? These are the questions that led to an experiment in teaching religion the objective of which was to prepare beginning students for the academic approach to religion and, at the same time, transmit the experience of learning as an embodied process that engages personal narrative within a community context. This essay is based on a three‐year project that has made considerable progress in meeting these goals and answering these questions. (Supplementary materials for this essay are available on the Wabash Center for Teaching and Learning in Theology and Religion web site http://www.wabashcenter.wabash.edu/journal/baldwin.html .)     

Religious Ethics and the Environment

This essay discusses three recent books which each offer an integrative account of religious ethics and the environment. Religious environmental ethics is an area of inquiry within the larger field of religion and ecology. After a narrative that contextualizes the development of religious environmental ethics in relation to the environmental social movement, I describe the formation of the field including its focus on worldview, the “cosmological turn,” and its engagement with science, the “cosmic turn.” Elizabeth Johnson exemplifies the cosmic turn by developing a Christian theology of life in nature which explicitly accepts Darwin's theory of evolution. Willis Jenkins advocates a prophetic pragmatism and critiques a focus on worldview that is abstracted from practice and defers moral responsibility. Larry Rasmussen joins analysis of worldview with reflection on cross‐cultural resources for “anticipatory communities” of moral formation to catalyze change. I argue with Rasmussen that religious environmental ethics needs multiple approaches and should allow room for methodological pluralism.     

Liberating Moral Traditions: Saga Morality and Aristotle's Megalopsychia

It is a matter for both surprise and disappointment that so little has been written from a philosophical perspective about the moral tradition enshrined in Europe's oldest living literature, the Icelandic sagas. The main purpose of the present essay is to start to ameliorate this shortcoming by analysing and assessing the moral code bequeathed to us by the saga literature. To do so, I draw attention to the striking similarities between saga morality and what tends to be called an 'ancient moral outlook' (with special reference to Aristotle's much-maligned virtue of megalopsychia) and then try to defend the credentials of both outlooks in so far as they clash, or seem to clash, with certain aspects of a 'modern moral outlook.'     

Ethical Resonance

This essay defines ethical resonance through an ethnographic interlude that paves the way for a broader theorization of the concept. It begins by contextually recounting the story of an individual who had stayed at Sevagram, Mahatma Gandhi’s last ashram in 1944, shadowing Gandhi for some 20 days. The young man’s brief meeting with Gandhi in which Gandhi uttered only one sentence transformed him for his lifetime. I reflect on the experience and its narrative qualities to explore the broader question of why one is moved, and moved enough to be altered. I propose that the theorization of resonance in modern physics, in phenomenology, and in 11th‐century Sanskrit poetics is productive for understanding the subjective and the trans‐subjective elements that underlie ethical persuasion. I argue that the idea of resonance helps bridge the affective and the aesthetic in moral self‐formation that occurs in everyday life.     

Morality

ABSTRACT— Moral psychology is a rapidly growing field with two principle lineages. The main line began with Jean Piaget and includes developmental psychologists who have studied the acquisition of moral concepts and reasoning. The alternative line began in the 1990s with a new synthesis of evolutionary, neurological, and social-psychological research in which the central phenomena are moral emotions and intuitions. In this essay, I show how both of these lines have been shaped by an older debate between two 19th century narratives about modernity: one celebrating the liberation of individuals, the other mourning the loss of community and moral authority. I suggest that both lines of moral psychology have limited themselves to the moral domain prescribed by the liberation narrative, and so one future step for moral psychology should be to study alternative moral perspectives, particularly religious and politically conservative ones in which morality is, in part, about protecting groups, institutions, and souls.     

The moral orientations of Finnish peacekeepers

This article examines the moral orientation of Finnish peacekeepers in the field of civil and military cooperation. This aim is studied through identifying different voices in peacekeepers’ narratives. Following previously published research on the ethics of justice, the ethics of care and the ethics of empowerment related to moral orientation, peacekeepers’ ethical and religious voices are identified. Religious beliefs are introduced as important values that contribute to moral orientation. The method is qualitative and the approach is narrative. The data include in‐depth interviews of six key interviewees, with whom I served as a peacekeeper in Bosnia in 2000 and 2001. The data analysis concentrates on identifying the voices of moral orientation through narratives that create a logical narrative synthesis. The study reveals three types of moral orientations and three types of empowerment: (1) justice orientation and challenge‐empowerment; (2) care orientation and community‐empowerment; (3) voices of self‐empowerment connected with ethical and religious contemplation. Peacekeeping intensifies interconnections with religion and ethics and self‐empowerment.     

Exilic Effects of Illness and Pain in Solzhenitsyn’s Cancer Ward: How Sharpening the Moral Imagination Can Facilitate Repatriation

This essay uses Solzhenitsyn's Cancer Ward to explore the exilic effects of illness and pain. The novel is uniquely suited for such an analysis given the theme of exile that predominates both in the narrative and in the composition of multiple characters within that narrative. I argue that illness, and in particular pain, is a liminal state, an existential hinterlands. The ethical approach to literature and medicine may suggest, as a response to these exilic effects, the need to cultivate connection and empathy by sharpening the moral imagination. If pain and illness exile the sufferer, the imperative to reach out takes on ethical content.     

The Salience of Moral Character

In this essay I review an underappreciated strand of thought according to which the best Kantian moral theory has less in common with paradigmatically deontological theories and more in common with virtue theories than is standardly maintained. I then argue this program should be continued further, to provide not only a virtue‐based account of moral judgment but also a virtue‐based account of moral worth. I make a case that this fusion of Kantian theory with virtue theory provides the best account of moral rules, and I close by suggesting that it generates a promising new understanding of moral rights.     

MORAL THEME COMPREHENSION IN THIRD GRADERS,FIFTH GRADERS,AND COLLEGE STUDENTS

Abstract

Proponents of character education (e.g., Bennett, author of The Book of Virtues) argue that children should hear moral stories in order to develop moral character. But do children necessarily understand the moral message of a narrative? Third and fifth grade students and adults were tested for their ability to apprehend the moral messages in three stories selected from The Book of Virtues and other sources. After listening and reading along with three moral stories, participants were asked to generate the message, select the message from a list of possible messages and select a vignette with the same message from three possible vignettes. Subjects also heard and read a non‐moral story and answered comprehension questions about it. Results indicate a developmental difference in moral theme understanding unexplained by reading comprehension scores alone.     

汉语聋生与健听生口语叙事和书面叙事发展特征的比较研究

以小学3-5年级的汉语聋生为被试,考察其口语叙事与书面叙事的发展特征,并与健听生比较,揭示聋生叙事发展特征的特异性。结果发现：（1）无论口语叙事还是书面叙事,聋生和健听生在宏观结构上表现相当,但聋生在微观结构上表现较差。（2）在宏观结构和平均句长上,无论健听生还是聋生,书面叙事得分均显著好于口语叙事;（3）在词汇密度上,健听生在口语叙事和书面叙事上的表现相当,但聋生的词汇密度在口语叙事下表现较差。（4）在词汇丰富性和词汇密度指标上,聋生和健听生存在年级间发展特征的差异。研究结果对聋生的叙事教学有重要启示。     

TALKING THE WALK AND WALKING THE TALK: Stanley Hauerwas's Contribution to Theological Ethics

Stanley Hauerwas's contribution to the study of Christian ethics is analyzed in the course of offering an overview of his work, including (1) his early reflections on “vision,”“narrative,” and moral agency; (2) his continuing focus on Christian virtues and practices in contrast to the ethos of moral and political liberalism; and (3) his specific attention to the meaning of peaceableness and the rejection of violence. The essay concludes by considering Hauerwas's legacy as a postliberal theologian, a critical participant in American Protestant ethics, and a conversation partner with Roman Catholics.     

Ethical Analysis in Counseling: A Case for Narrative Ethics,Moral Visions,and Virtue Ethics

The author presents an overview of the current content of ethics education in counseling, grouping that content into 3 areas: decision‐making models, principle ethics, and the standard of care. It is argued that as the field of ethics education has grown, so has the need for additional content models, especially ones that enhance moral sensitivity and reduce objectification of client circumstances. The author presents 3 possible approaches to revising the conceptualization of professional ethics that meet the need for new models: moral visions, narrative ethics, and virtue ethics.     

Platonic know‐how and successful action

In Plato's Euthydemus, Socrates claims that the possession of epistēmē (usually construed as knowledge or understanding) suffices for practical success. Several recent treatments suggest that we may make sense of this claim and render it plausible by drawing a distinction between so‐called “outcome‐success” and “internal‐success” and supposing that epistēmē only guarantees internal‐success. In this paper, I raise several objections to such treatments and suggest that the relevant cognitive state should be construed along less than purely intellectual lines: as a cognitive state constituted at least in part by ability. I argue that we may better explain Socrates' claims that epistēmē suffices for successful action by attending to the nature of abilities, what it is that we attempt to do when acting, and what successful action amounts to in the relevant contexts. These considerations suggest that, contrary to several recent treatments, the success in question is not always internal‐success.