Robert Pippin

The Persistence of Subjectivity examines several approaches to, and critiques of, the core notion in the self-understanding and legitimation of the modern, 'bourgeois' form of life: the free, reflective, self-determining subject. Since it is a relatively recent historical development that human beings think of themselves as individual centers of agency, and that one's entitlement to such a self-determining life is absolutely valuable, the issue at stake also involves the question of the historical location of philosophy. What might it mean to take seriously Hegel's claim that philosophical reflection is always reflection on the historical 'actuality' of its own age? Discussing Heidegger, Gadamer, Adorno, Leo Strauss, Manfred Frank, and John McDowell, Robert Pippin attempts to understand how subjectivity arises in contemporary institutional practices such as medicine, as well as in other contexts such as modernism in the visual arts and in the novels of Marcel Proust.

Characterizing Hegel’s complex assessment of modernity has always depended on which texts one looks at, and how one understands the “modernity problem.” It is obvious enough that Hegel’s pre-Jena and early Jena writings do indeed partly reflect what Nietzsche called a kind of German “homesickness,” a distaste with Enlightenment “positivity,” and an appeal to the models of the Greek polis and the early Christian communities as ways of understanding, by contrast, the limitations of modern philosophic, religious and political life. In these texts, the Enlightenment victory over religion is portrayed as Pyrrhic, as the idealization of a calculating, fragmenting model of rationality, all in a way that merely transferred an oppressive, alien law-giver from without to within. This Enlightenment is a “hubbub of vanity without a firm core,” a purely “negative” reaction to custom and religion that tries to “turn this nothingness into a system.” On such a familiar view, Hegel represents, together with Schiller, Schelling and others, a “romantic reaction” to modernity continuous with Rouseau’s Second Discourse, united in various attempts to reject the abstract, materialist, “dehumanizing” nature of modern institutions, without a regression into premodern forms of thought.

Questions of medical ethics are often treated as especially difficult casuistical problems or as difficult cases illustrative of paradoxes or advantages in global moral theories. I argue here, in opposition to such approaches, for the inseparability of questions of social history and social theory from any normative assessment of medical practices. The focus of the discussion is the question of the legitimacy of the social authority exercised by physicians, and the insufficiency of traditional defences of such authority in liberal societies (voluntarist, informed consent approaches), as well as traditional attacks on such strategies (ideology critique). Seeing such authority as institution bound and role based, it is argued, can help reframe, more broadly and more adequately, what is an “ethical problem” in medical practice and why