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Starts with phenomena patients report and discusses the interpretative challenge. Addresses two meanings of phenomenology: one from philosophy and one from descriptive psychopathology in medicine. Discusses the use some romantic psychiatrists have made of philosophical phenomenology to understand ‘the worlds’ of patients.
Psychiatry is medicine's most multi-disciplinary specialty and arguably its most intellectually and emotionally demanding. It has long attracted dual interpretations from cool, detached perspectives valuing objectivity (classic) to hotter, embodied and more political perspectives valuing subjectivity (romantic). Professor Owen argues that psychiatry should become more aware of classic and romantic threads that run through it. He approaches core topics in psychiatry and throughout the book both research and case material are used to animate the concepts. The author relates psychiatry to questions in philosophical anthropology and ethics. He presents human nature, mental disorder, and human freedom as inherently inter-related. This is a book of broad appeal to anyone interested in psychiatry and why this branch of medicine has ethical, legal and political significance.
In this opinion article, we discuss the application of critical realism as an alternative model to the biopsychosocial model in the understanding of psychiatric disorders. Critical realism presents a stratified view of reality and recognises mental disorders as emergent phenomena; that is, their full explanation cannot be reduced to explanations at any lower level of biological processes alone. It thus underscores the significance of the depth of ontology, the interaction between agency and structure, and the context dependency and complex nature of causality. Critical realism provides the conceptual and epistemological basis for a more subtle understanding of the aetiology of psychiatric conditions, which is polyfactorial and includes biological, psychological and social dimensions. Through the realisation of the conceptual and applicative shortcomings in the biopsychosocial model, critical realism promises to advance the understanding of mental disorders and enable a more holistic approach to the problem of people with mental disorders.
This paper offers a critique of war from an existentialist-phenomenological perspective. Drawing on Martin Heidegger’s theory of ontology and Maurice Merleau-Ponty’s theory of perception, it develops a framework which integrates war and the body – and thus ontology and embodiment – in Critical War Studies. Two arguments are advanced: first, that war is in so far as we embody it (implying that the way in which we embody it determines the way in which it is); second, that the embodiment of war is essentially an agential activity. Thereby, this paper provides impetus for an ontological and moral re-avowal of war in critical academic discourse (for understanding war not primarily as a tragic fate but as our shameful doing). This, in turn, facilitates new perspective for interpretation and critique – to the extent, for example, that understanding the logic of war’s agential embodiment discloses what would constitute, and be necessary for, its disembodiment. Moreover, the paper points to clear possibilities for future research – for clarifying, for instance, the ontological upheaval latent in the prospect of future war.
Vanishing twin syndrome is a miscarriage of multiples where one or more fetuses ‘vanishes’ (i.e., partial or full resorption or via calcification) during pregnancy, often before detection via ultrasound. It affects 30−50% of multifetal pregnancies, with most cases resulting in full resorption within the first trimester. Despite its recognition since 1945 and rising occurrence in both natural and assisted pregnancies, standardized clinical guidelines remain inadequate, leading to inconsistent diagnosis, counseling, and communication from healthcare providers. This study examines the experiences of mothers and gestational carriers diagnosed with VTS, focusing on patient-provider communication, risks, and symptom disclosure. A global online survey collected qualitative and quantitative data from 153 participants across 17 countries. Results show that most patients with formal diagnoses experienced negative interactions with healthcare providers, with an average sentiment score of −0.7 (on a scale from −2 to 2). Over 53.4% rated their communication experience as −1, and the average satisfaction score for the amount of information received was 3.5/10. Additionally, 43% of respondents were not informed about chorionicity, a key factor affecting fetal outcomes. Significant discrepancies in care were observed across different countries. The findings highlight major gaps in patient-provider communication and inconsistent clinical practices regarding VTS. Addressing these issues through improved education, clearer protocols, and standardized guidelines could enhance patient experiences and decision-making. Future research should focus on provider training and evidence-based strategies to improve the management of VTS and other types of miscarriage and death of multiples during pregnancy and postpartum.
There is an ongoing debate in bioethics regarding the nature of suffering. This conversation revolves around the following question: What kind of thing, exactly, is suffering? Specifically, is suffering a subjective phenomenon—intrinsically linked to personhood, personal values, feelings, and lived experience—or an objective affair, amenable to impersonal criteria and existing as an independent feature of the natural world? Notably, the implications of this determination are politically and ethically significant. This essay attempts to bring clarity to the subjective versus objective debate in suffering scholarship by examining the history of the concept of “objectivity,” and putting that history in conversation with physician Eric Cassell’s famous theory of suffering. It concludes with a novel, albeit tentative, definition of suffering: suffering is the experience of a gap between how things are and how things ought to be.
This chapter discusses the clinical approach to a patient with a movement disorder, based on the phenomenology of that particular disorder. It summarizes the definitions of the most prevalent movement disorders and highlights particular clinical aspects that may help narrow down the differential diagnosis.
Discovered in 1995, the remarkable thirteenth-century frescoes in the great hall, or Aula Gotica, of Rome's Santi Quattro Coronati complex are among the most important vestiges of medieval Italian painting. In this volume, Marius Hauknes offers a thorough investigation of the fresco cycle, which includes allegorical representations of the liberal arts, the virtues and vices, the seasons, the signs of the zodiac, and the months of the year. Hauknes relates these subjects to the papacy's growing interest in fields of worldly knowledge, such as music, time, astrology, and medicine. He argues that the Santi Quattro Coronati frescoes function as a large-scale, interactive encyclopedia that not only represented secular knowledge but also produced philosophical speculation, stimulating beholders to draw connections between pictorial motifs across architectural space. Integrating medieval intellectual history with close attention to multi-sensory and architectural conditions of fresco Hauknes' study offers new insights into religion, art, science, and spectatorship in medieval Italy.
Chapter 4 turns to the philosophical investigation into the nature of temporal experience, particularly whether the dynamic content of our temporal experience can be reconciled with the block universe model of temporal reality. Qureshi-Hurst argues that the supporter of the block universe has options, and the A-theorist’s argument from experience is not as powerful as they claim.
Augustinian accounts of ‘primal sin’ face a dilemma: either ‘Lucifer’s’ fall is arbitrary, or it results from God creating a flawed creature. Augustine and others hold that an omnipotent God faces unavoidable limits in creating creatures. In particular, creatures cannot enjoy God’s own first-person awareness of God’s goods, but must experience them second-personally. The resulting qualitative phenomenological difference between (1) the first-person awareness Lucifer had of the goods of his own being, and (2) his second-person awareness of the goods of God means that self-regarding goods would ‘light up’ for Lucifer very differently than other-regarding goods. This opens a psychologically resonant and metaphysically potent account of how the pre-Fall Lucifer could have faced a genuine value conflict – a conflict for which God is not culpable – in which Lucifer might come to love the goods presented first-personally (his own) over the goods presented second-personally (God’s).
Iain D. Thomson is renowned for radically rethinking Heidegger's views on metaphysics, technology, education, art, and history, and in this book, he presents a compelling rereading of Heidegger's important and influential understanding of existential death. Thomson lucidly explains how Heidegger's phenomenology of existential death led directly to the insights which forced him to abandon Being and Time's guiding pursuit of a fundamental ontology, and thus how his early, pro-metaphysical work gave way to his later efforts to do justice to being in its real phenomenological richness and complexity. He also examines and clarifies the often abstruse responses to Heidegger's rethinking of death in Levinas, Derrida, Agamben, Beauvoir, and others, explaining the enduring significance of this work for ongoing efforts to think clearly about death, mortality, education, and politics. The result is a powerful and illuminating study of Heidegger's understanding of existential death and its enduring importance for philosophy and life.
Throughout his career, Heidegger explored the religious sides of life in ways that had far-reaching impacts on the thought of his contemporaries and successors. This Element examines three important stops along Heidegger's ways of thinking about religion as the risky performance of life in new spaces of possibility. Section 1 examines Heidegger's 1920–1921 lectures on Paul, while Section 2 turns to the darker period of the late 1930s, exploring how Heidegger reconfigures religion in the context of his “new inception” of thought beyond metaphysics. Finally, Section 3 takes up Heidegger's challenging discussions of the divine in several postwar addresses and essays. In each case, Heidegger argues that we must suspend, bracket, or rescind from our tendencies to order, classify, define, and explain things in order to carry out a venture into a situation of indeterminacy and thereby recast religion in a new light.
This chapter endeavors to explain Heidegger’s intertwined thinking about death and “the nothing” and explore the ontological significance of this connection. As we have seen, “death” (Tod) is Heidegger’s name for a stark and desolate phenomenon in which Dasein (that is, our world-disclosive “being-here”) encounters its own end, the end “most proper” to the distinctive kind of entity that Dasein is. Being and Time’s phenomenology of death is primarily concerned to understand Dasein’s death ontologically. Heidegger is asking what the phenomenon of our own individual deaths reveals to us all about the nature of our common human being, that is, our Dasein (and what that discloses, in turn, about the nature of being in general). Understood ontologically, “death” designates Dasein’s encounter with the end of its own world-disclosure, the end of that particular way of becoming intelligible in time that uniquely “distinguishes” Dasein from all other kinds of entities (BT 32/SZ 12).
Despite R. G. Collingwood’s relation to British Idealism, a close reading of his subtle descriptions of imagination and expression reveals important points of contact with the phenomenological tradition. In the first section, I bring together Collingwood’s exploration of the role of imagination in art with Merleau-Ponty’s concepts of intentionality and expression. This provides insights into both thinkers’ attempts to describe lived experience and action, highlighting important aspects of their work overlooked by readers. In the second section, I explore how Collingwood and Merleau-Ponty both describe communication as an open and evolving movement of understanding that does not fall back upon a supposedly isolated consciousnesses, thereby eluding the threat of solipsism. In the third section, I outline the connection between Husserl’s identification of a “crisis” in the European sciences and Collingwood’s invocation against what he calls the “corruption of consciousness,” a particularly modern shirking of our responsibilities as expressive and active members of the community.
Proposition 67 of Spinoza’s hyper-rationalistic Ethics proudly proclaims that: “A free man thinks of nothing less than of death.” Well, in this book I have thought a great deal about existential death, and a good bit about the “noth-ing of the nothing” that such death discloses. Still, I have probably thought of noth-ing less than of death, so Spinoza might have to count me “free” on a technicality. There are, at any rate, worse things than being freed on a technicality. One can be convicted on a technicality, for example, or even convicted by technicality. Indeed, the later Heidegger suggests that we have all been convicted by technicality, technicity, or technologicity, that is, by “the essence of technology.” According to his view of our late modern age of technological enframing, we have all been thrown by Western history into the prison city-state (or polis) of nihilistic technologicity.
This introductory chapter seeks to answer the question of what Heidegger means by “death” (Tod) in Being and Time – and begin to justify that answer. I take up this weighty topic with some trepidation (if not quite fear and trembling) in part because to say that the meaning of “death” in Being and Time is controversial is to strain the limits of understatement. In addition to the emotionally freighted nature of the topic itself (to which we will return), I think four main factors contribute to and perpetuate this controversy: (1) Heidegger’s confusing terminology; (2) the centrality of the issue to the text as a whole; (3) the demanding nature of what is required to adjudicate the matter; and (4) the radically polarized scholarly literature on the subject. One of my main goals here is to suggest a way to move beyond the controversy that currently divides the field, so let me begin by saying a bit about its four main contributing factors.
Husserl's Philosophy of Mathematical Practice explores the applicability of the phenomenological method to philosophy of mathematical practice. The first section elaborates on Husserl's own understanding of the method of radical sense-investigation (Besinnung), with which he thought the mathematics of his time should be approached. The second section shows how Husserl himself practiced it, tracking both constructive and platonistic features in mathematical practice. Finally, the third section situates Husserlian phenomenology within the contemporary philosophy of mathematical practice, where the examined styles are more diverse. Husserl's phenomenology is presented as a method, not a fixed doctrine, applicable to study and unify philosophy of mathematical practice and the metaphysics implied in it. In so doing, this Element develops Husserl's philosophy of mathematical practice as a species of Kantian critical philosophy and asks after the conditions of possibility of social and self-critical mathematical practices.
The Christian can speak meaningfully of Christ as the ground and norm of this mythopoieic faculty and that mythopoiesis in contemporary secularity is finally judged by the mythos of Christ as both myth and myth-maker. Beginning with an observation of the mythopoieic elements in the fantasy fiction of Tolkien, Rowling, Pratchett, and Le Guin, I have attempted to contextualise their employment of and delight in a ‘mythic sensibility’ within a Christian theology of human participation in divine creativity. The implication of all such mythopoiesis into the mythopoiesis of Christ and in Christ is ultimately a seeking after God, a being-drawn into the Trinitarian return of God to God. Even when this desire has gone astray, it remains bound up in the Trinitarian procession, by virtue of God’s grace in creation, and in the redemption of the world through Jesus Christ. Our mythopoieic faculty remains redeemable because it, like all human endeavour, remains hallowed by the Incarnation and taken up by the risen Christ.
Certain stories act upon us. They shape the way that we see, encounter, and understand the world. A phenomenological approach to a narrative encounter with the world in terms of the mythic helps to illuminate a certain sensibility that mediates the world to human persons such that it is experienced as meaningful. Understanding the mythic in terms of a sensibility rather than in terms of a genre of literature or a form of cultural expression sheds light on how mythopoiesis is not a phenomenon restricted to archaic societies and the tales of either a bygone age or a culture or religion not our own. Among the most visible places of such mythopoiesis is so-called ‘mythopoieic literature’, fantasies that actively play with the sense of the possible, with narratives shaping the lives of characters, and what can be brought to the surface when meaning and being more closely and obviously co-inhere. A phenomenology of play, both in terms of the ludic fancy of the mythic and fantastic and the perception-shaping power of a game’s rules over the players, opens up the way that stories act upon our perception of the world and the meaning that we encounter.
This chapter explores the perceptual acts modelled by John Clare’s poetry, especially in encounters with the more-than-human world. Rather than foregrounding the ways a perceiving ego shapes a landscape, Clare details situations and perspectives readers can imaginatively enter and emphasizes the ways that the situations themselves invite receptivity. He normalizes ecologically attuned modes of perception by presenting them as enabled by the places, plants, and animals his speakers encounter more than the speakers themselves. Focusing on poems that place speakers among or beneath birds and weeds, including ‘To an Insignificant Flower’, ‘The Fens’, and some shorter bird poems, Falke describes the poetic means through which Clare encourages epistemological humility and other-directedness. She then articulates a mode of reading Clare’s poetry based on these same perceptual habits.