TORTUROUS AMBIVALENCE: Judaic Struggles with Torture

A surprising lack of consensus exists among contemporary Jewish scholars about Judaism's position vis‐à‐vis torture. Some claim that Judaism condones torture while others insist that Judaism condemns it. These diverging opinions on such a troubling practice suggest an ambivalence deep within the Judaic textual tradition about torturing bodies. This brief essay critiques both perspectives for twisting the textual tradition and offers some preliminary suggestions for a more robust Judaic approach to torture.     

PERSPECTIVES ON TORTURE: Reports from a Dialogue Including Christian,Judaic, Islamic,and Feminist Viewpoints

Torture continues to be a pressing political issue in North America, yet religious scholarly reflection on the ethics of torture remains all but sidelined in public discourse for a variety of complex reasons. These reasons are explored—and critiqued—in this collection of reflections by Christian, Jewish, Muslim, and feminist religious ethicists. These scholars find that historical amnesia, forced if not twisted readings of classical texts and contemporary human rights instruments, and sociological factors are but a few of the factors challenging contemporary religious ethical discourse on torture.     

青年医师循证医学应用现状及影响因素分析

通过调查青年医师循证医学的培训和应用情况,以专家医师为对照,探讨青年医师循证医学应用现状及影响因素。青年医师主动阅读文献和针对临床问题阅读文献的比例均低于专家医师,且青年医师对循证医学数据库的使用显著低于专家医师。影响文献阅读的主要因素是缺乏对各类数据库的了解。青年医师直接应用指南或评价后应用指南的比例略低于专家医师,主要影响因素是不确定能否独立正确应用。青年医师是否接受循证医学培训在文献阅读和应用的差异无显著性。青年医师的循证医学培训覆盖率低,培训质量有待提升,且要重视理念与实践相结合。

     

Mind, Body, and Spirit: Family Physicians’ Beliefs, Attitudes, and Practices Regarding the Integration of Patient Spirituality into Medical Care

This study used a qualitative approach to explore family physicians’ beliefs, attitudes, and practices regarding the integration of patient spirituality into clinical care. Participants included family medicine residents completing training in the Southwest USA. The qualitative approach drew upon phenomenology and elements of grounded-theory. In-depth interviews were conducted with each participant. Interviews were recorded, transcribed and coded using grounded-theory techniques. Four main themes regarding physicians’ attitudes, beliefs, and practices were apparent from the analyses; (1) nature of spiritual assessment in practice, (2) experience connecting spirituality and medicine, (3) personal barriers to clinical practice, and (4) reflected strengths of an integrated approach. There was an almost unanimous conviction among respondents that openness to discussing spirituality contributes to better health and physician–patient relationships and addressing spiritual issues requires sensitivity, patience, tolerance for ambiguity, dealing with time constraints, and sensitivity to ones “own spiritual place.” The residents’ voices in this study reflect an awareness of religious diversity, a sensitivity to the degree to which their beliefs differ from those of their patients, and a deep respect for the individual beliefs of their patients. Implications for practice and education are discussed.Michael M. Olson, Ph.D., is a member of the Department of Family Medicine, University of Texas Medical Branch in Galveston.M. Kay Sandor, Ph.D., R.N., is in the School of Nursing.Victor Sierpina, M.D., is in the Department of Family Medicine.Harold Vanderpool, Ph.D., Th.M., represents the Institute for Medical Humanities at the university and Patricia Dayao, M.A., is a graduate student there.Funding for this study provided in part by the John G. and Marie Stella Kenedy Foundation and the George Washington Institute for Spirituality and Health/John Templeton Foundation. Correspondence to Michael M. Olson, mmolson@utmb.edu.     

The Protestant Ethic in Hungary

While in the 16–17th centuries about two thirds of Hungarians belonged to the Reformed Church, the presence of the ‘spirit of capitalism’ and the ‘Protestant ethic’ is rather questionable. The Calvinists did not play a different or decisive role in the capitalization process of Hungary at the end of the 19th century. This study is a summary of a much longer analysis of the ‘Hungarian Protestant ethic’ of the 17th century. The historical analysis focuses on the Puritan doctrines which can be found in conduct-books as well as the practical religiosity of Hungarian Puritans and Reformed people in that age. The ‘Hungarian Protestant ethic’ differs from Weber's ideal-type in two respects: the Hungarian version is more pietistic, less activist; and it seems to have less practical influence in everyday life because of weak religiosity. The Hungarian case does not refute Weber's thesis, but it does call attention to two important parts of historical analysis: the reinterpreting, selecting procedure in social context, and the intensity of religiosity.     

The Use of Rituals in Grieving for a Miscarriage or Stillbirth

Abstract

Preparation for their changing roles in family and society, as well as readying their intimate space for the arrival of an infant, totally engage expectant parents. Miscarriage or stillbirth may bring on a grief storm that strips away many tender roots and branches of new life in the community that the parents have been nurturing. Creation and participation in a grief ritual can bring the grieving parents to a healing resolution. This article describes the healing efficacy of ritual, its elements, and how a compassionate therapist can create one in collaboration with grieving clients.     

Fearfully Wonderfully Made: The Interconnectedness of Body-Mind-Spirit

This article describes the interconnection of body-mind, mind-spirit, and body-spirit from scientific, theological, and pastoral perspectives, and also from a Christian viewpoint, as exemplified in the words and actions of Jesus Christ. Using this background, the author, a physician, theologian, and lay pastoral minister, describes a course which she has developed for the ecumenical evening session of a local seminary.     

A Lesson from My Father

Simple acts can heal. And God is present in those simple and humble acts. The following is a true story that illustrates these truths, told from the perspective of eyewitness, son, and physician.     

Medical education: The training of ethical physicians

This paper suggests that medical education be revised to assist in diffusing potential ethical dilemmas that arise during health care provision. A revised medical education would emphasize the role of the humanities in the training of physicians, especially in light of recent critiques of the canonical scientific model in general, and more specifically in the use of that model for medical training and practice.I wish to thank Dr. Mary Ann Cutter and Melissa M. Amaro for their critical suggestions.     

The Possibilities of Forgiveness

Perhaps the best way to challenge anodyne popular conceptions of forgiveness is to highlight the ways in which “forgiveness,” like “justice” and “freedom,” is a rich and deeply contested term that relies for its content on divergent convictions about who we are and who we should seek to be. The essays in this focus issue articulate some of the many possibilities for practicing and thinking about forgiveness.     

An epistemologically arrogant community of contending scholars: A pre-socratic perspective on the past, present, and future of the Pavlovian Society

The paper begins with a statement of the Society’s purpose and its pre-Socratic roots. The Society differs from other contemporary scientific and scientific-professional societies in that it is thoroughly apolitical, unusually open to discussion and debate, and has had a restricted scholarly written impact. I then suggest and interpret six phases in the Society’s history: (1) the pre-Socratic roots; (2) Pavlov and the young Gantt; (3) the Society’s Gantt score of years; (4) the Joe McGuigan decade; (5) the Stewart Wolf era; (6) reforming the Society. I conclude with the hope that even if the content of the Society’s interests changes, it will preserve the pre-Socratic approach against the various forms of intellectual barbarism that continue to arise. “People who love wisdom must be acquainted with many things indeed”,fragment from Heraclitus, www.forthnet.grll/presocratics/heracln.htm.     

Pantagruelism: A Rabelaisian inspiration for Understanding Poisoning,Euthanasia and Abortion in The Hippocratic Oath and in Contemporary Clinical Practice

Contrary to the common view, this paper suggests that the Hippocratic oath does not directly refer to the controversial subjects of euthanasia and abortion. We interpret the oath in the context of establishing trust in medicine through departure from Pantagruelism. Pantagruelism is coined after Rabelais' classic novel Gargantua and Pantagruel. His satire about a wonder herb, Pantagruelion, is actually a sophisticated model of anti-medicine in which absence of independent moral values and of properly conducted research fashion a flagrant over-medicalization of human problems. Ultimately this undermines the therapeutic core of medicine itself. We contend that PAS is a case of such over-medicalization and that its institution creates medicophobia. This article does not express an opinion about euthanasia in general. Rather, we claim that physicians should learn from the oath and from Rabelais that they should keep their practice to medical care and not to exploit their expertise and social privileges for the sake of ulterior motives, even when their patients desire those goals.     

The terror management function of Orthodox Jewish religiosity: a religious culture approach

Terror management theory proposes that humans, able to envision their inevitable death, develop worldviews opposing this debilitating fear. One TMT implication of considerable interest is its connection with the formation of religious belief. Taking a religious culture approach, this study measured the effect of death reminders on self-reported religiosity among 131 Orthodox Jews, and examined if Baal Teshuva—“returnees” differed from individuals born into Orthodox Judaism. Results showed that death reminders had a varied effect—both Baal Teshuva and those with intra-Orthodox religious change reported higher levels of intrinsic religiosity, while those without change reported lower. Explanations for these intra-faith differences relate to attachment theory and possible “Compensation” among those with religious change.     

Dominance Hierarchies and Health: Constructing Personal Zones of Spiritual Power and Healing in Modern Medicine

Ethological studies of animals in groups and sociobiology indicate that hierarchies of dominance amongst some species ensure the survival of the group. When transferred to human groups, dominance hierarchies suggest a crucial role played by recasting the scope of such hierarchies of dominant and subordinate members to included “hyper-dominant beings.” A recognition of such beings as even more dominant than the socially dominant members of a hierarchy facilitates the empowerment of the socially subordinate members. Religious belief and practice works to establish such hyper-dominant beings (“gods,” “goddesses,” and so forth) as superior members of human groups. Doing so is a means of ensuring the survival of the species and, thus, enhancing healing and human health. The “doctor–patient” relationship is examined from such a point of view, with an emphasis on whether the hierarchy created by the relationship allows consideration of alternative and complementary forms of medical treatment.     

POSSIBILITIES AND LIMITS OF MEDICAL SCIENCE: DEBATES OVER DOUBLE‐BLIND CLINICAL TRIALS OF INTERCESSORY PRAYER

Abstract. This article traces the intellectual history of scientific studies of intercessory prayer published in English between 1965 and the present by focusing on the conflict and discussion they prompted in the medical literature. I analyze these debates with attention to how researchers articulate the possibilities and limits medical science has for studying intercessory prayer over time. I delineate three groups of researchers and commentators: those who think intercessory prayer can and should be studied scientifically, those who are more skeptical and articulate the limits of science around this topic, and those who focus primarily on the pragmatic applications of this knowledge. I analyze these contests as examples of what Thomas Gieryn calls “epistemic authority” as medical researchers engage in what he describes as “boundary‐work” or “the discursive attribution of selected qualities to scientists, scientific methods, and scientific claims for the purposes of drawing a rhetorical boundary between science and some less authoritative residual non‐science.” (Gieryn 1999, 4 (Gieryn 1999, 4)).     

Christian bioethics and the Church's political worship.

Christian bioethics springs from the worship that is the response of the Church to the Gospel of Jesus Christ. Such worship is distinctively political in nature, in that it acknowledges Christ as Lord. Because it is a political worship, it can recognize no other lords and no other prior claims on its allegiance: these include the claims of an allegedly universal ethics and politics determined from outside the Church. However the Church is called not just to be a contrast society, but also to witness to the freeing of the world from salvific pretensions in order that it may embrace its proper temporality. The implications of this for the distinctiveness of Christian bioethics are brought out in three movements: first, the Church's itself learning how it is to conceive bioethics; second, the Church's role in unmasking the idols of secular bioethics; and third, the Church's witnessing to the freeing of medicine from idolatrous aspirations.     

What Do Medical Providers Need to Successfully Intervene with Intimate Partner Violence?

ABSTRACT

Increasingly, medical providers (physicians and mid-level providers) rely on research evidence to inform their medical practice. In order for medical providers to accept their role in diagnosing and intervening with IPV, they need clinical tools and institutional support. This paper explores the tools (prevalence rates, screening questions, intervention strategies) and support (educational, institutional, professional, research) needed to assist medical providers in successfully intervening with IPV. It also looks at the importance of guidelines and expert consensus panel statements to help establish best clinical practices when direct research evidence is lacking or conflicting.     

Science and the Art of Healing: A Contribution to the History of Life Science

In conventional medicine, healing is effected mainly by treating the symptoms of the physical body disease, while in mind–body medicine the cure is performed by the mind itself (thoughts and emotions). In fact, the holographic mind theory claims that the mind could be either the healer or the slayer. Thus, this article is a contribution toward a more in-depth study of this theme of conventional medicine versus mind–body medicine, particularly to understand the gifts of quantum physics to life science and the art of healing, so that we might find an integrative medicine model (a holistic approach to health) that could explain some “incurable” diseases.