Tom Sorell

Seventeenth-century philosophy scholars come together in this volume to address the Insiders--Descartes, Spinoza, Leibniz, Locke, and Hobbes--and Outsiders--Pierre Gassendi, Kenelm Digby, Theophilus Gale, Ralph Cudworth and Nicholas Malebranche--of the philosocial canon, and the ways in which reputations are created and confirmed. In their own day, these ten figures were all considered to be thinkers of substantial repute, and it took some time for the Insiders to come to be regarded as major and original philosophers. Today these Insiders all feature in the syllabi of most history of philosophy courses taught in western universities, and the papers in this collection, contrasting the stories of their receptions with those of the Outsiders, give an insight into the history of philosophy which is generally overlooked.

Patients have not been entirely ignored in medical ethics. There has been a shift from the general presumption that ‘doctor knows best’ to a heightened respect for patient autonomy. Medical ethics remains one–sided, however. It tends (incorrectly) to interpret patient autonomy as mere participation in decisions, rather than a willingness to take the consequences. In this respect, medical ethics remains largely paternalistic, requiring doctors to protect patients from the consequences of their decisions. This is reflected in a one–sided account of duties in medical ethics. Duties fall mainly on doctors and only exceptionally on patients. Medical ethics may exempt patients from obligations because they are the weaker or more vulnerable party in the doctor–patient relationship. We argue that vulnerability does not exclude obligation. We also look at others ways in which patient responsibilities flow from general ethics: for instance, from responsibilities to others and to the self, from duties of citizens, and from the responsibilities of those who solicit advice. Finally, we argue that certain duties of patients counterbalance an otherwise unfair captivity of doctors as helpers.