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Slow Cures and Bad Philosophers uses insights from the philosophy of Ludwig Wittgenstein to rethink bioethics. Although Wittgenstein produced little formal writing on ethics, this volume shows that, in fact, ethical issues permeate the entirety of his work. The scholars whom Carl Elliott has assembled in this volume pay particular attention to Wittgenstein's concern with the thick context of moral problems, his suspicion of theory, and his belief in description as the real aim of philosophy. Their aim is not to examine Wittgenstein's personal moral convictions but rather to explore how a deep engagement with his work can illuminate some of the problems that medicine and biological science present.As Elliott explains in his introduction, Wittgenstein's philosophy runs against the grain of most contemporary bioethics scholarship, which all too often ignores the context in which moral problems are situated and pays little attention to narrative, ethnography, and clinical case studies in rendering bioethical judgments. Such anonymous, impersonal, rule-writing directives in which health care workers are advised how to behave is what this volume intends to counteract. Instead, contributors stress the value of focusing on the concrete particulars of moral problems and write in the spirit of Wittgenstein's belief that philosophy should be useful. Specific topics include the concept of "good dying," the nature of clinical decision making, the treatment of neurologically damaged patients, the moral treatment of animals, and the challenges of moral particularism.Inspired by a philosopher who deplored "professional philosophy," this work brings some startling insights and clarifications to contemporary ethical problems posed by the realities of modern medicine.Contributors. Larry Churchill, David DeGrazia, Cora Diamond, James Edwards, Carl Elliott, Grant Gillett, Paul Johnston, Margaret Olivia Little, James Lindemann Nelson, Knut Erik Tranoy
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29 juin 2001

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0

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9780822381266

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English

Slow Cures and Bad Philosophers
Slow Cures and Bad Philosophers
Essays on Wittgenstein, Medicine, and Bioethics
Edited by Carl Elliott
Duke University Press
Durham and London 2001
2001 Duke University Press All rights reserved Printed in the United States of America on acid-free paper Typeset in Stone Serif by Wilsted & Taylor Publishing Services Library of Congress Cataloging-in-Publication Data appear on the last printed page of this book.
In philosophizing we may notterminatea disease of thought. It must run its natural course, andslowcure is all important. (That is why mathematicians are such bad philosophers.)—Ludwig Wittgenstein,Zettel
Contents
Acknowledgments viii Abbreviations ix 1 Introduction: Treating Bioethics Carl Elliott1 2 Religion, Superstition, and Medicine James C. Edwards16 3 Patient Multiplicity, Medical Rituals, and Good Dying: Some Wittgensteinian Oberservations Larry Churchill33 4 ‘‘Unlike Calculating Rules’’? Clinical Judgment, Formalized Decision Making, and Wittgenstein James Lindemann Nelson48 5 Wittgenstein’s Startling Claim: Consciousness and the Persistent Vegetative State Grant Gillett70 6 Attitudes, Souls, and Persons: Children with Severe Neurological Impairment Carl Elliott89 7 Why Wittgenstein’s Philosophy Should Not Prevent Us from Taking Animals Seriously David DeGrazia103 8 Injustice and Animals Cora Diamond118 9 Bioethics, Wisdom, and Expertise Paul Johnston149 10 Wittgensteinian Lessons on Moral Particularism Margaret Olivia Little161 11 Wittgenstein: Personality, Philosophy, Ethics Knut ErikTranöy181
Notes on Contributors Index 195
193
Acknowledgments. I am very grateful for the excellent research assistance of Robert Crouch and Dale Turner in preparing this book, which was supported by a grant from Fonds pour la Formation de Chercheurs et l’Aide à la Recherche (Quebec).
Abbreviations
The following conventional abbreviations have been used to refer to Witt-genstein’s works in the text and notes. BBPreliminary Studies for the ‘‘Philosophical Investigations’’ Generally Known as ‘‘The Blue and Brown Books.’’Oxford: Basil Blackwell, 1958. CVCulture and ValueH. von. Translated by Peter Winch. Edited by G. Wright. Chicago: University of Chicago Press, 1980. LE‘‘Wittgenstein’s Lecture on Ethics.’’Philosophical Review74 ( Jan. 1965): 3–12. LFMWittgenstein’s Lectures on the Foundations of Mathematics, Cambridge, 1939. Ithaca, N.Y.: Cornell University Press, 1976. NBNotebooks, 1914–1916. Translated by G. E. M. Anscombe. Edited by G. H. von Wright and G. E. M. Anscombe. Chicago: University of Chicago Press, 1979. OCOn Certainty. Translated by Denis Paul and G. E. M. Anscombe. Ox-ford: Basil Blackwell, 1969; New York: Harper and Row, 1972. PIPhilosophical InvestigationsE. M. Anscombe. Ox-. Translated by G. ford: Basil Blackwell, 1953, 1958, 1968. POLudwig Wittgenstein: Philosophical Occasions, 1912–1951. Edited by James Carl Klagge and Alfred Nordmann. Indianapolis: Hackett, 1993. RFMRemarks on the Foundations of Mathematics. Translated by G. E. M. Anscombe. Oxford: Basil Blackwell, 1956. RPPRemarks on the Philosophy of Psychology. 2 vols. Translated by G. E. M. Anscombe. Edited by G. E. M. Anscombe and G. H. von Wright. Chi-cago: University of Chicago Press, 1980.
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