Illness,the mind,and the body: Cancer and immunology: An introduction

From the sixties on it has become clear how the human physical condition could be influenced by human behavior. Although hypothesis were lacking to understand these connections, nursing research especially proved how systematically introduced patient behavior during illness and hospitalization could induce better recovery results and better prognosis for the patient.Information andattitude proved to be crucial elements in these processes of improved patient expectations. It took less than two decades to get to the insights we have in 1994. Recent research shows the interlocking mechanisms of nervous and endocrine systems with the immune system as significantly being influenced by behavior and especially psychic and or psychosocial stress. This special issue of Theoretical Medicine briefly describes the historical development with contributions on the most recent state of the scientific art. These developments are emphasized by discussion on the clinical reality of the (breast) cancer patient and recent findings on the complexity of the prevalence of cancer in epidemiology. An attempt is made to consider practical consequences of the actual knowledge if applied to patient care.     

Theology and narrative: the self,the novel,the Bible

This paper critically evaluates the work of Charles Taylor and Alasdair MacIntyre by comparing their understanding of the narrative structure of selfhood with paradigms derived from three other sources: Heidegger’s conception of human being as Dasein; Rowan Williams’ interpretation of Dostoevsky’s theology of narrative; and Kierkegaard’s project of reading the Old Testament narrative of Abraham and Isaac as part of the Christian God’s autobiography. These comparisons suggest that Taylor and MacIntyre’s own narratives of Western culture lack a certain, theologically required openness to a variety of specific ways in which both individuality and history resist understanding in narrative terms as much as they demand it.     

Perfectionism: The good,the bad,and the creative

The influence of adaptive and maladaptive perfectionism on creativity was examined. Initially, six measures of creativity were administered, including creative self-perceptions, behavior, and performance measures. Adaptive perfectionism was weakly positively related to creativity, whereas maladaptive perfectionism was unrelated to creativity across five of the six measures. A follow-up study assessed whether initial findings could be generalized to an everyday problem-solving task. Results indicated that adaptive perfectionism was related to higher quality but not originality of solutions. Further, a curvilinear relationship in the shape of an inverted “U” occurred between adaptive perfectionism and four of eight creativity measures. Overall, adaptive perfectionism was consistently, albeit weakly, related to creativity across various types of measures, whereas maladaptive perfectionism was not related to creativity.     

Crossing the Divide: Luther, Feminism, and the Cross

Book reviewed:
Crossing the Divide: Luther, Feminism, and the Cross by Deanna A. Thompson (Minneapolis, MN: Fortress Press, 2004) viii + 184 pp. Reviewed by David E. Lauber Department of Biblical and Theological Studies Wheaton College 501 E. College Avenue Wheaton, IL 60187 USA     

Moral affect: the good, the bad, and the ugly

The relations among 3 moral affective personality characteristics--shame-proneness, guilt-proneness, and empathic responsiveness--were examined in 4 independent studies of undergraduates. Results indicate that shame and guilt are distinct affective experiences that have important and quite different implications in the interpersonal realm. There was a substantial positive correlation between shame-proneness and guilt-proneness. Nonetheless, as predicted, other-oriented empathic responsiveness was negatively related to proneness to shame but positively correlated with proneness to guilt. In contrast, an index of more self-oriented personal distress was positively linked to shame-proneness. Taken together, these results add a new dimension to the ugliness of shame but suggest that guilt may not be that bad after all, at least in the interpersonal domain.     

Care and the self: biotechnology,reproduction, and the good life

This paper explores a novel philosophy of ethical care in the face of burgeoning biomedical technologies. I respond to a serious challenge facing traditional bioethics with its roots in analytic philosophy. The hallmarks of these traditional approaches are reason and autonomy, founded on a belief in the liberal humanist subject. In recent years, however, there have been mounting challenges to this view of human subjectivity, emerging from poststructuralist critiques, such as Michel Foucault's, but increasingly also as a result of advances in biotechnology itself. In the face of these developments, I argue that the theoretical relevance and practical application of mainstream bioethics is increasingly under strain. Traditionalists will undoubtedly resist. Together, professional philosopher-bioethicists, public health policymakers, and the global commercial healthcare industry tend to respond conservatively by shoring up the liberal humanist subject as the foundation for medical ethics and consumer decision-making, appealing to the familiar tropes of reason, autonomy, and freedom.     

Reasonability,normativity, and the cosmopolitan imagination: Arendt,Korsgaard, and Rawls

In this essay I consider the normative implications of the notion of reasonability for the construction of an idea of public reason that is cosmopolitan in scope. First, I consider the argument for the distinction between reason and reasonability in the work of Sibley and Rawls. Second, I evaluate the normative implications of reasonability through a consideration of Korsgaard's recent work. Third, I argue for a notion of reasonability that moves us beyond a Kantian concept of autonomy through a consideration of the relationship between reasonability and judgment vis-à-vis Arendt's work on Kant's Third Critique. Finally, I argue for a cosmopolitan appropriation of the notion of reasonability based on Kant's notion of the aesthetic idea. The latter argument relaxes the bonds of public reason, moving us beyond the domain of ethnocentricism.     

Wittgenstein and Nonsense: Psychologism,Kantianism, and the Habitus

This paper is a critical examination of Wittgenstein's view of the limits of intelligibility. In it I criticize standard analytic readings of Wittgenstein as an advocate of transcendental or behaviourist theses in epistemology; and I propose an alternative interpretation of Wittgenstein's view as a social contextualism that transcends the false dichotomy between Kantianism and psychologism. I argue that this social contextualism is strikingly similar to the social account of epistemic practices developed by Pierre Bourdieu. Through a comparison between Wittgenstein's and Bourdieu's view and an analysis of the notion of habitus , I try to show how social contextualism can account for the distinction between sense and nonsense without falling into transcendental constructivism or social behaviourism.