PHIL 2020, PHILOSOPHY AND HEALTH ISSUES, Fall 2000
Three credits, Wednesdays 7:00, Hafer 307, Curry College Milton Campus
Alan Anderson; Faculty Building 212; 333-2145
Office Hours: usually a few hours before each class, and by appointment. Messages may be left at 617-333-2145 or 781-828-6965, or by e-mail at alan@neweverymoment.com
COURSE DESCRIPTION
This course deals with basic questions of reality, values, ethics, and the creative process in relation to such topics as health care delivery, abortion, confidentiality, dying, genetic engineering, life prolongation, social justice, and alternative views of healing.
DETAILS
We are concerned with what is possible and what is desirable, what we can do and what we should do in relation to health. What is doable depends on what reality is: how the universe is set up and what we can do in relation to it. The area of philosophy that deals with this is metaphysics. The area of philosophy that deals with what is desirable, what we ought to do, is ethics. This course brings them together in practical as well as theoretical ways. The student can gain many insights that will be of value in relation both to his or her personal life and to understanding such vital questions of public concern as assisted suicide, abortion, and health care systems. Healing systems from numerous times and places are considered.
REQUIRED TEXTS (available at Curry College Bookstore):
Mappes, Thomas A. and David DeGrazia (eds). Biomedical Ethics, 5th edition, 2001. McGraw-Hill. ISBN 0-07-230365-4
Weil, Andrew. Health and Healing, revised edition. Houghton Mifflin Company, 1988. ISBN 0-395-36200-8
SOME BOOKS IN LIBRARY, NOT on reserve, for optional reading:
Borysenko, Joan. Fire in the Soul: A New Psychology of Spiritual Optimism. New York: Warner Books, Inc., 1993.
Dossey, Larry. Healing Words: The Power of Prayer and the Practice of Medicine. New York: HarperSan Francisco, 1993.
Moyers, Bill. Healing and the Mind. New York: Doubleday, 1993.
Sarton, George. Ancient Science Through the Golden Age of Greece. New York: Dover, 1993 (originally 1952).
WORLD WIDE WEB RESOURCES:
Philosophical and Other Resources, at http://websyte.com/alan/phil.htm, provides many relevant links, some of them listed specifically in connection with this course. The associated sites http://websyte.com/alan/phil2.htm and http://websyte.com/alan/phil3.htm provide links to numerous related newspaper and magazine articles.
METHODOLOGY
The class will be conducted primarily by discussion of readings reported on by students who volunteer or are picked for this purpose. The number of times that one reports in class will depend on the size of the enrollment.
Supplementing and updating the schedule given below, as far as possible, I'll announce at each class (1) the next class's topic, (2) the specific readings being dealt with, and (3) the students who are reporting at that next class. In this way each student will be given the immediate opportunity to read the material before it is discussed in class. All students are responsible for having some degree of familiarity with all readings discussed in class by students or by the instructor.
In addition to giving reports, each student is to keep a cumulative journal (not to be confused with class notes) presenting a record of the student’s growth in thought, briefly summarizing the material covered in class and giving the student’s own reaction to it, including comparisons with other material in or out of the course, and any relevant personal experiences. In this, the student should keep in mind that this is a philosophy course, and the journal commentaries should emphasize philosophical issues, although not necessarily exclusively. Similarly, oral reports should include reference to whatever ethical or metaphysical positions are involved with the topic, regardless whether reported-on writings refer to such positions. The adequacy of the journal will be determined largely by the amount and quality of philosophical material--primarily ethical and metaphysical--that it includes. In addition to having currently relevant books and/or handouts in class, students should have their journals, from which they may be required to read aloud at any class. Perhaps the best way to submit journals is to e-mail them to alan@neweverymoment.com; they will be acknowledged even before being graded.
EVALUATION OF STUDENT PERFORMANCE
Grading will be based on in-class reports and cumulative journals (see above), to be handed in before mid-term and at the end of the semester. Outstanding oral participation in class will be taken into consideration, particularly in cases in which there is some question about the worth of other work. The Sept. 27 oral presentations do not count as in-class reports referred to below, but students who are late in doing this work will lose credit as if they were late to the class, for each class when not ready with this work. This work is simply a prerequisite to the earning of credit as indicated below.
In each case below, note that the grading is subject to possible loss of credit for absences and tardiness, as stated below, and subject to being raised for exceptionally good class participation.
If you write no journal and give no oral report, you will receive a course grade of F.
If you write (preferably on a computer or typewriter) a poor journal and give a poor oral report, or write a satisfactory journal (indicating significant understanding of what was covered in assignments and in class) journal but give no oral report, or give a satisfactory oral report but write no journal, you will receive a grade in the D range.
If you write a satisfactory journal and give a satisfactory report, you will receive a course grade in the C range.
If you write a satisfactory or outstanding journal and give an outstanding oral report in class, you will receive a course grade in the B range.
If you write an outstanding journal and give two or more oral reports, at least one of which is outstanding, you will receive a course grade in the A range.
In connection with each of these, class participation other than in the giving of oral reports will be taken into consideration, especially with regard to plus and minus additions to letter grades.
If time allows, if you give an unsatisfactory oral report, you may give additional oral reports on other topics until you give a satisfactory one.
There will be no examinations.
Each unexcused absence after the first one will result in loss of one grade (such as B+ to C+) in the course grade. Two instances of tardiness (lateness) will equal one absence, and there will be no exemption of a week, which is found in the case of absences. It is the responsibility of the student seeking an excused absence to notify the instructor before or not later than the class next after the absence. Students who are late should call the instructor's attention to their presence at the end of the class in order to be sure of being counted as present. Students who leave class early without permission may be considered absent from the class. Students who notify the instructor in advance of an absence to be excused should check upon returning to confirm that the absence was so recorded.
TIPS ON APPROACHING PHILOSOPHY AND RELIGION
The term journal is used in this course because it is to be a cumulative record of your own reading, listening, thinking, and deciding about topics throughout the course, and you are invited to share your own reactions in it. However, in order to get a good grade, you must include much more than a record of your feelings and preferences. You will be safe if you consider the journal largely a collection of little philosophical papers, with appropriate indications of their connections. To get additional guidance in philosophical writing, you should consult the Web, including the University of California, Irvine, "Philosophical Writing Manual" at http://e3.uci.edu/programs/philoswr/long.htm, of which the following is a small excerpt:
Philosophy papers are graded on how great an understanding of the selected topic is demonstrated in them. If your paper demonstrates that you understand your topic well, you get a good grade. If it doesn't, you don't. Mastery is the condition of knowing some particular topic backwards, forwards, inside out and sideways. If you haven't mastered a topic, you can't write well about it. You can't master a whole field in a few weeks, but you can master some tiny part of it. Even that takes a lot of work, which is why lower division philosophy papers tend to be short.
Pick the topic you're most interested in.
Mastery is the opposite of memorization. When you have mastery of a topic you can go beyond the texts, make up your own descriptions and arguments and explain things in your own words and own examples. Amazing as this may seem in light of what you read in the opinion columns of our major news media, it is necessary to actually know something about a topic before you can write well about it. No matter how long you spend polishing a paper, even the most elegant expression of ignorance is only worth an F. This is the reason that most philosophy papers are written about very narrowly defined topics. Only when what is being written about is a very small part of something does it become possible (I won't say easy) to learn that thing inside out and through and through in a very short time. Since philosophy is the art of understanding, philosophy papers are graded on how great an understanding of the selected topic is demonstrated in them. If your paper demonstrates that you understand your topic well, you get a good grade. If it doesn't, you don't.
There is also a shorter version of the UCI "Philosophical Writing Manual," at http://e3.uci.edu/programs/philoswr/short.htm.
Some other sources of help are:
http://www.wvu.edu/~lawfac/jelkins/course/evaluation.html, writing tips and forms of citation as well as links to related sites
http://osu.orst.edu/Dept/philosophy/resources/guide/TOC.html, "Writing Philosophy Papers: A Student Guide," Oregon State University
http://www.utexas.edu/courses/hilde/Philhandouts/Writing_Philosophy%28Myers%29.html, "Writing a Philosophical Essay," Birmingham-Southern College
Some students have the misconception that in philosophy and in religion there are no right or wrong answers, that one answer is as good as another. Although there is disagreement about which, if any, of the answers that people have reached over the centuries ought to be accepted, there is no problem about what you can know with certainty about the content of a course that objectively examines these matters. You can and should know about any topic under consideration:
1. what is the problem being dealt with,
2. what are the competing answers that have been proposed,
3. what are the arguments for and against various possible positions, and
4. which answers you consider most satisfactory and why you think so.
Throughout the course you should be asking yourself how any material encountered relates to the major branches of philosophy:
• metaphysics: the branch of philosophy that deals, in ontology, with the nature of reality—what anything visible or invisible has to be in order to be at all—and, in cosmology, with the patterns and operations of the universe. See "Metaphysics: Multiple Meanings," http://websyte.com/alan/metamul.htm.
Is the world as your senses report it, or is basically different? Are mind and matter distinct or is one an expression of the other, and how—if at all—do they interact, and what has this to do with immortality? Is there a God, and, if so, is God timeless and aloof or temporal, growing, and involved in everything that occurs? In the words of Alfred North Whitehead, metaphysics (although he used the term speculative philosophy) is "the endeavour to frame a coherent, logical, necessary system of general ideas in terms of which every element of our experience can be interpreted."
• epistemology: the branch of philosophy that is theory of knowledge—exploring how we know anything and what are the nature and tests of truth?
Do we acquire knowledge through our senses, through reason, through intuition, or through some combination of them? Is truth correspondence of a statement with an external situation, or a coherent collection of statements, or an intuitive insight?
• axiology: the branch of philosophy that is theory of value, including aesthetics (dealing with art and beauty) and ethics (dealing with what is good and bad and how one ought to live).
Should you put yourself or others first? Is the greatest good pleasure, virtue, self-realization, wisdom, or something else? Should the ethical status of our actions be based on your intent or on the actual or likely outcome of your actions? Do you have a sense of obligation to do what you consider best, a feeling that can be distinguished from desire? Are there any ethical or aesthetic standards that exist independently of what any human person or community agrees on, and, if so, what is their origin?
Work will be graded largely on the degree to which it deals with these topics in relation to the topic at hand; to the extent that you put your observations into this larger context, your grade will be higher.
Since philosophy deals with many interrelated problems, the more you know about any of them, the more likely you are to understand others more easily as they arise. So a philosophy course is somewhat like a jigsaw puzzle, in which it becomes easier as you proceed. It is natural to be confused at the start, and considerable confusion may remain at the end, but with increasing clarity about numerous terms and problems as different pieces fit together. You may find that suddenly much becomes clarified at some point. You should keep working at it, confidently expecting to understanding it.
GENERAL RULES
The old rule of two hours of preparation for each hour in class remains a helpful one.
Plagiarism, by intent or oversight, and other forms of cheating to help oneself or others, are serious offenses. Identical or nearly identical wording in written work (except in listing or quoting) will result in no credit given for the answers in questions for anyone submitting these answers, and may result in disciplinary action.
In accordance with the policy of the Department of Humanities, all work written outside of class must be accurate in grammar and spelling. Work that does not meet these standards will be returned to the student for correction before credit is given, or credit may be reduced for inadequacy in this regard, irrespective of other standards employed.
Illegible journals will be returned without being graded; if at all possible, journals should be word-processed or typewritten.
SCHEDULE
The following schedule is tentative, and, with advance notice, may be modified greatly, depending largely on special interests of students. Probably not all selections in M&D will be covered in detail, but as much of it as is feasible, and students are responsible for knowing the major issues and alternative possible solutions, in the context of ethics and metaphysics.
Sept. 13 Introductory consideration of philosophy and efficient reading and study, and writing. A book to be discussed is Scheele, Paul R. PhotoReading,3rd ed. Learning Strategies Corporation, 1999. ISBN 0-925480-53-3. It is not required, but it is recommended. See http://www.LearningStrategies.com
Sept. 20 Motion picture "Whose Life Is It Anyway?," followed by discussion.
Handout from Monte, World Medicine.
Handout of Hart and Gaskell charts.
Anderson handouts. See also http://websyte.com/alan/phil.htm.
(Sept. 21 Add/drop deadline, without fee. No adds after this date; "W" and fee for drops)
Sept. 27 Students will read aloud in class their concise, tentative statements, included in their journals, of (1) what the required books and handouts are about (as discovered by reading the tables of contents and sampling the readings) and (2) what the students propose to report on in class and approximately when, which also is to be recorded in the journals before attending this class. In addition to material in the required books, some of these materials are:
Larry Dossey, Healing Words, handout, pp. 37-53 and 197-207.
Adam Blatner, "Why Process Thought is Relevant: A Psychiatrist's Perspective.Anderson and Whitehouse handouts on process thought and healing.
(Sept. 28 Grade/Pass/Fail declaration deadline)
Oct. 4, M&DCh. 1. General Introduction, dealing with ethics (summarized at http://websyte.com/alan/philmed.htm). See also other helpful material on the World Wide Web, linked to the section devoted to ethics at http://websyte.com/alan/phil.htm, including, at http://josephsoninstitute.org/MED/medtoc.htm, Josephson Institute of Ethics, text of a booklet, Making Ethical Decisions, formerly used in printed form in this course.
Oct. 11 Journals to be handed in
Oct. 11 Weil, whole book
George W. Meek, Healers and the Healing Process, handout of pp. 193-235, "Toward a General Theory of Healing."
Oct. 18-Dec. 13
Reports on and discussions of M&D selections as decided on in class. M&D selections, as well as handouts and guest speakers, to be announced.
In the absence of contrary scheduling decided on in class, the follow will be the scheduling of topics, and the corresponding chapters of M&D:
(Oct. 18 Midterm course grades submitted to Registrar)
Oct. 18 Ch. 2. The Physician-Patient Relationship
Oct. 25 Ch. 3. Hospitals, Nurses, Families, and Medical Confidentiality
Nov. 1 Ch. 4. Human and Animal Research
(Nov. 2 Course drop deadline)
Nov. 8 Ch. 5. Death and Decisions Regarding Life-Sustaining Treatment
Nov. 15 Ch. 6. Suicide, Physician-Assisted Suicide, and Active Euthanasia
Nov. 22 Holiday
Nov. 29 Ch. 7. Abortion and Maternal-Fetal Conflicts
Dec. 6 Ch. 8. Genetics and Human Reproduction
Dec. 13 Ch. 9. Social Justice and Health-Care Policy
Fri., Dec. 15 Journals due
No final examination. (Final exams Dec. 15-20)
For your convenience, primarily in using links, this syllabus is on the Web at http://websyte.com/alan/ph2020.htm.
Philosophical and Other Resources, many links to helpful material, some designated specifically for this course
Philosophical and Other Resources, Part 2, links mostly to newspaper articles, Jan.-Aug. 2000
Philosophical and Other Resources, Part 3, links mostly to newspaper articles, begining with Aug. 2000
URL of this page: http://websyte.com/alan/ph2020.htm
Created on Aug. 14, 2000, by Alan Anderson, alan@neweverymoment.com
Latest update Sept. 12, 2000
Visits since Aug. 14, 2000
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