The Good Doctor: A Father, a Son, and the Evolution of Medical Ethics


Barron H. Lerner - 2014
    Barron Lerner thought he had heard it all. But in the mid-1990s, his father, an infectious diseases physician, told him a stunning story: he had physically placed his body over an end-stage patient who had stopped breathing, preventing his colleagues from performing cardiopulmonary resuscitation, even though CPR was the ethically and legally accepted thing to do. Over the next few years, the senior Dr. Lerner tried to speed the deaths of his seriously ill mother and mother-in-law to spare them further suffering.These stories angered and alarmed the younger Dr. Lerner—an internist, historian of medicine and bioethicist—who had rejected physician-based paternalism in favor of informed consent and patient autonomy. The Good Doctor is a fascinating and moving account of how Dr. Lerner came to terms with two very different images of his father: a revered clinician, teacher and researcher who always put his patients first, but also a physician willing to “play God,” opposing the very revolution in patients' rights that his son was studying and teaching to his own medical students.But the elder Dr. Lerner’s journals, which he had kept for decades, showed his son how his outdated paternalism had grown out of a fierce devotion to patient-centered medicine that was rapidly disappearing in a world of managed care, spiraling costs and health care reform. And they raised questions: Are paternalistic doctors just relics or should their expertise be used to overrule patients and families that make ill-advised choices? Does the growing use of personalized medicine—in which specific interventions may be best for specific patients—change the calculus between autonomy and paternalism? And how can we best use technologies that were invented to save lives but now too often prolong death? In an era of high-technology medicine, spiraling costs and healthcare reform, these questions could not be more relevant. As his father slowly died of Parkinson’s disease, Dr. Lerner faced these questions both personally and professionally. He found himself being pulled into his dad’s medical care, even though he had criticized his father for making medical decisions for his relatives. Did playing God—at least in some situations—actually make sense? Did doctors sometimes “know best?” A timely and compelling story of one family’s engagement with medicine over the last half century, The Good Doctor is an important book for those who treat illness—and those who struggle to overcome it.

Truth: A Guide


Simon Blackburn - 1999
    Now Blackburn offers a tour de force exploration of what he calls the most exciting and engaging issue in the whole of philosophy--the age-old war over truth.The front lines of this war are well defined. On one side are those who believe in plain, unvarnished facts, rock-solid truths that can be found through reason and objectivity--that science leads to truth, for instance. Their opponents mock this idea. They see the dark forces of language, culture, power, gender, class, ideology and desire--all subverting our perceptions of the world, and clouding our judgement with false notions of absolute truth. Beginning with an early skirmish in the war--when Socrates confronted the sophists in ancient Athens--Blackburn offers a penetrating look at the longstanding battle these two groups have waged, examining the philosophical battles fought by Plato, Protagoras, William James, David Hume, Hans-Georg Gadamer, Jacques Derrida, Michel Foucault, Richard Rorty, and many others, with a particularly fascinating look at Nietzsche. Among the questions Blackburn considers are: is science mere opinion, can historians understand another historical period, and indeed can one culture ever truly understand another.Blackburn concludes that both sides have merit, and that neither has exclusive ownership of truth. What is important is that, whichever side we embrace, we should know where we stand and what is to be said for our opponents.

Sick From Freedom: African-American Illness and Suffering during the Civil War and Reconstruction


Jim Downs - 2012
    But the war produced the largest biological crisis of the nineteenth century, and as historian Jim Downs reveals in this groundbreaking volume, it had deadly consequences for hundreds of thousands of freed people.In Sick from Freedom, Downs recovers the untold story of one of the bitterest ironies in American history--that the emancipation of the slaves, seen as one of the great turning points in U.S. history, had devastating consequences for innumerable freed people. Drawing on massive new research into the records of the Medical Division of the Freedmen's Bureau-a nascent national health system that cared for more than one million freed slaves-he shows how the collapse of the plantation economy released a plague of lethal diseases. With emancipation, African Americans seized the chance to move, migrating as never before. But in their journey to freedom, they also encountered yellow fever, smallpox, cholera, dysentery, malnutrition, and exposure. To address this crisis, the Medical Division hired more than 120 physicians, establishing some forty underfinanced and understaffed hospitals scattered throughout the South, largely in response to medical emergencies. Downs shows that the goal of the Medical Division was to promote a healthy workforce, an aim which often excluded a wide range of freedpeople, including women, the elderly, the physically disabled, and children. Downs concludes by tracing how the Reconstruction policy was then implemented in the American West, where it was disastrously applied to Native Americans.The widespread medical calamity sparked by emancipation is an overlooked episode of the Civil War and its aftermath, poignantly revealed in Sick from Freedom.

The Killing of Karen Silkwood: The Story Behind the Kerr-McGee Plutonium Case


Richard Rashke - 1981
    Silkwood was a union activist concerned about health and safety issues at the plant, and her death at age twenty-eight was considered by many to be highly suspicious. Was it Kerr-McGee's revenge on a troublesome whistle-blower? Or was it part of a much larger conspiracy reaching from the Atomic Energy Commission to the FBI and the CIA? Richard Rashke leads us through the myriad of charges and countercharges, theories and facts, and reaches conclusions based solely on the evidence in hand.Originally published in 1981, his book offers a vivid, edgy picture of the tensions that racked this country in the 1970s. However, the volume is not only an important historical document. Complex, fascinating characters populate this compelling insider's view of the nuclear industry. The issues it explores—whistle-blowers, worker safety, the environment, and nuclear vulnerability—have not lost relevance today, twenty-six years after Silkwood's white Honda Civic was found trapped in a concrete culvert near Oklahoma City. For this second edition, Rashke has added a preface and three short chapters that explore what has been learned about Silkwood since the book's original publication, explain what happened to the various actors in the drama, and discuss the long-term effects of the events around Silkwood's death.

God's Own Party: The Making of the Christian Right


Daniel K. Williams - 2010
    But, as God's Own Party demonstrates, they shouldn't have been. The Christian Right goes back much farther than most journalists, political scientists, and historians realize. Relying onextensive archival and primary source research, Daniel K. Williams presents the first comprehensive history of the Christian Right, uncovering how evangelicals came to see the Republican Party as the vehicle through which they could reclaim America as a Christian nation. A fascinating andmuch-needed account of a key force in American politics, God's Own Party is the only full-scale analysis of the electoral shifts, cultural changes, and political activists at the movement's core--showing how the Christian Right redefined politics as we know it.

Treatise on Tolerance and Other Writings


Voltaire - 2000
    Originating in Voltaire's campaign to exonerate Jean Calas, they are works of polemical brilliance, informed by his deism and humanism and by Enlightenment values and ideals more generally. The issues that they raise, concerning questions of tolerance and human dignity, are still highly relevant to our own times.

Losing Matt Shepard: Life and Politics in the Aftermath of Anti-Gay Murder


Beth Loffreda - 2000
    The crime resonated deeply with America's bitter history of violence against minorities, and something about Matt Shepard himself struck a chord with people across the nation. Although the details of the tragedy are familiar to most people, the complex and ever-shifting context of the killing is not. Losing Matt Shepard explores why the murder still haunts us--and why it should.Beth Loffreda is uniquely qualified to write this account. As a professor new to the state and a straight faculty advisor to the campus Lesbian Gay Bisexual Transgender Association, she is both an insider and outsider to the events. She draws upon her own penetrating observations as well as dozens of interviews with students, townspeople, police officers, journalists, state politicians, activists, and gay and lesbian residents to make visible the knot of forces tied together by the fate of this young man.This book shows how the politics of sexuality--perhaps now the most divisive issue in America's culture wars--unfolds in a remote and sparsely populated area of the country. Loffreda brilliantly captures daily life since October 1998 in Laramie, Wyoming--a community in a rural, poor, conservative, and breathtakingly beautiful state without a single gay bar or bookstore. Rather than focus only on Matt Shepard, she presents a full range of characters, including a panoply of locals (both gay and straight), the national gay activists who quickly descended on Laramie, the indefatigable homicide investigators, the often unreflective journalists of the national media, and even a cameo appearance by Peter, Paul, and Mary.Loffreda courses through a wide ambit of events: from the attempts by students and townspeople to rise above the anti-gay theatrics of defrocked minister Fred Phelps to the spontaneous, grassroots support for Matt at the university's homecoming parade, from the emotionally charged town council discussions about bias crimes legislation to the tireless efforts of the investigators to trace that grim night's trail of evidence. Charting these and many other events, Losing Matt Shepard not only recounts the typical responses to Matt's death but also the surprising stories of those whose lives were transformed but ignored in the media frenzy.

Illustrations for the Book of Job


William Blake - 1826
    Also presented here are 11 additional watercolors, plus 28 black-and-white illustrations, including 21 extraordinary engravings based on the watercolors. All reproduced from a rare, limited facsimile edition published by The Pierpont Morgan Library. New introductory essay. 60 illustrations.

Zoopolis: A Political Theory of Animal Rights


Sue Donaldson - 2011
    Most animal rights theory focuses on the intrinsic capacities or interests of animals, and the moral status and moral rights that these intrinsic characteristics give rise to. Zoopolis shifts the debate from the realmof moral theory and applied ethics to the realm of political theory, focusing on the relational obligations that arise from the varied ways that animals relate to human societies and institutions. Building on recent developments in the political theory of group-differentiated citizenship, Zoopolisintroduces us to the genuine political animal. It argues that different types of animals stand in different relationships to human political communities. Domesticated animals should be seen as full members of human-animal mixed communities, participating in the cooperative project of sharedcitizenship. Wilderness animals, by contrast, form their own sovereign communities entitled to protection against colonization, invasion, domination and other threats to self-determination. Liminal animals who are wild but live in the midst of human settlement (such as crows or raccoons) should beseen as denizens, resident of our societies, but not fully included in rights and responsibilities of citizenship. To all of these animals we owe respect for their basic inviolable rights. But we inevitably and appropriately have very different relations with them, with different types ofobligations. Humans and animals are inextricably bound in a complex web of relationships, and Zoopolis offers an original and profoundly affirmative vision of how to ground this complex web of relations on principles of justice and compassion.

Damned Women: Sinners and Witches in Puritan New England


Elizabeth Reis - 1997
    She finds in those intersections the basis for understanding why women were accused of witchcraft more often than men, why they confessed more often, and why they frequently accused other women of being witches. In negotiating their beliefs about the devil's powers, both women and men embedded womanhood in the discourse of depravity.Puritan ministers insisted that women and men were equal in the sight of God, with both sexes equally capable of cleaving to Christ or to the devil. Nevertheless, Reis explains, womanhood and evil were inextricably linked in the minds and hearts of seventeenth-century New England Puritans. Women and men feared hell equally but Puritan culture encouraged women to believe it was their vile natures that would take them there rather than the particular sins they might have committed.Following the Salem witchcraft trials, Reis argues, Puritans' understanding of sin and the devil changed. Ministers and laity conceived of a Satan who tempted sinners and presided physically over hell, rather than one who possessed souls in the living world. Women and men became increasingly confident of their redemption, although women more than men continued to imagine themselves as essentially corrupt, even after the Great Awakening.

How to Talk about Videogames


Ian Bogost - 2015
    Games are part art and part appliance, part tableau and part toaster. In How to Talk about Videogames, leading critic Ian Bogost explores this paradox more thoroughly than any other author to date.Delving into popular, familiar games like Flappy Bird, Mirror’s Edge, Mario Kart, Scribblenauts, Ms. Pac-Man, FarmVille, Candy Crush Saga, Bully, Medal of Honor, Madden NFL, and more, Bogost posits that videogames are as much like appliances as they are like art and media. We don’t watch or read games like we do films and novels and paintings, nor do we perform them like we might dance or play football or Frisbee. Rather, we do something in-between with games. Games are devices we operate, so game critique is both serious cultural currency and self-parody. It is about figuring out what it means that a game works the way it does and then treating the way it works as if it were reasonable, when we know it isn’t.Noting that the term games criticism once struck him as preposterous, Bogost observes that the idea, taken too seriously, risks balkanizing games writing from the rest of culture, severing it from the “rivers and fields” that sustain it. As essential as it is, he calls for its pursuit to unfold in this spirit: “God save us from a future of games critics, gnawing on scraps like the zombies that fester in our objects of study.”

The Lost Art of Finding Our Way


John Edward Huth - 2013
    John Huth asks what is lost when modern technology substitutes for our innate capacity to find our way. Encyclopedic in breadth, weaving together astronomy, meteorology, oceanography, and ethnography, "The Lost Art of Finding Our Way" puts us in the shoes, ships, and sleds of early navigators for whom paying close attention to the environment around them was, quite literally, a matter of life and death.Haunted by the fate of two young kayakers lost in a fogbank off Nantucket, Huth shows us how to navigate using natural phenomena the way the Vikings used the sunstone to detect polarization of sunlight, and Arab traders learned to sail into the wind, and Pacific Islanders used underwater lightning and read waves to guide their explorations. Huth reminds us that we are all navigators capable of learning techniques ranging from the simplest to the most sophisticated skills of direction-finding. Even today, careful observation of the sun and moon, tides and ocean currents, weather and atmospheric effects can be all we need to find our way.Lavishly illustrated with nearly 200 specially prepared drawings, Huth s compelling account of the cultures of navigation will engross readers in a narrative that is part scientific treatise, part personal travelogue, and part vivid re-creation of navigational history. Seeing through the eyes of past voyagers, we bring our own world into sharper view."

Rescuing Socrates: How the Great Books Changed My Life and Why They Matter for a New Generation


Roosevelt Montás - 2021
    Many academics attack the very idea of a Western canon as chauvinistic, while the general public increasingly doubts the value of the humanities. In Rescuing Socrates, Dominican-born American academic Roosevelt Montás tells the story of how a liberal education transformed his life, and offers an intimate account of the relevance of the Great Books today, especially to members of historically marginalized communities.Montás emigrated from the Dominican Republic to Queens, New York, when he was twelve and encountered the Western classics as an undergraduate in Columbia University's renowned Core Curriculum, one of America's last remaining Great Books programs. The experience changed his life and determined his career--he went on to earn a PhD in English and comparative literature, serve as director of Columbia's Center for the Core Curriculum, and start a Great Books program for low-income high school students who aspire to be the first in their families to attend college.Weaving together memoir and literary reflection, Rescuing Socrates describes how four authors--Plato, Augustine, Freud, and Gandhi--had a profound impact on Montás's life. In doing so, the book drives home what it's like to experience a liberal education--and why it can still remake lives.

Why Have Children?: The Ethical Debate


Christine Overall - 2012
    In this book, Christine Overall maintains that the burden of proof should be reversed: that the choice to have children calls for more careful justification and reasoning than the choice not to. Arguing that the choice to have children is not just a prudential or pragmatic decision but one with ethical repercussions, Overall offers a wide-ranging exploration of how we might think systematically and deeply about this fundamental aspect of human life. Writing from a feminist perspective, she also acknowledges the inevitably gendered nature of the decision; although both men and women must ponder the issue, the choice has different meanings, implications, and risks for women than it has for men. Overall considers a series of ethical perspectives on procreation, examining approaches that rely on reproductive rights; on fundamental religious, family, or political values; and on the anticipated consequences of the decision for both individuals and society. She examines some of the broader issues relevant to the decision, including population growth, resource depletion, and social policies governing reproduction. Finding the usual approaches to the question inadequate or incomplete, she offers instead a novel argument. Exploring the nature of the biological parent-child relationship--which is not only genetic but also psychological, physical, intellectual, and moral--she argues that the formation of that relationship is the best possible reason for choosing to have a child.

A Brief History of the Paradox: Philosophy and the Labyrinths of the Mind


Roy Sorensen - 2003
     Now Roy Sorensen offers the first narrative history of paradoxes, a fascinating and eye-opening account that extends from the ancient Greeks, through the Middle Ages, the Enlightenment, and into the twentieth century. When Augustine asked what God was doing before He made the world, he wastold: Preparing hell for people who ask questions like that. A Brief History of the Paradox takes a close look at questions like that and the philosophers who have asked them, beginning with the folk riddles that inspired Anaximander to erect the first metaphysical system and ending with suchthinkers as Lewis Carroll, Ludwig Wittgenstein, and W.V. Quine. Organized chronologically, the book is divided into twenty-four chapters, each of which pairs a philosopher with a major paradox, allowing for extended consideration and putting a human face on the strategies that have been taken towardthese puzzles. Readers get to follow the minds of Zeno, Socrates, Aquinas, Ockham, Pascal, Kant, Hegel, and many other major philosophers deep inside the tangles of paradox, looking for, and sometimes finding, a way out. Filled with illuminating anecdotes and vividly written, A Brief History of the Paradox will appeal to anyone who finds trying to answer unanswerable questions a paradoxically pleasant endeavor.