Joseph Clair

This article presents a radical claim: American medical ethics is broken, and it needs love to be healed. Due to a unique set of cultural and economic pressures, American medical ethics has adopted a mechanistic mode of ethical reasoning epitomized by the doctrine of principlism. This mode of reasoning divorces clinicians from both their patients and themselves. This results in clinicians who can ace ethics questions on multiple‐choice tests but who fail either to recognize a patient's humanity or to navigate the ethical quandaries into which they are frequently thrown. Drawing on personal experience as well as the philosophical work of Augustine of Hippo, Simone Weil, and Iris Murdoch, we propose a novel ethical approach grounded in a conception of neighbor love, specifically, the virtue of love understood as attention to a sufferer's humanity. We conclude with five practical recommendations for reimagining medical ethics education oriented around the virtue of love.

Discerning the Good in the Letters and Sermons of Augustine turns to the vast collection of moral advice found in Augustine's letters and sermons, mining these neglected and highly illuminating texts for examples of Augustine's application of his own moral concepts. It focuses on letters and sermons in which Augustine offers concrete advice on how to interact with the various goods relevant to social and political life. A special set of goods reappears throughout the letters and sermons, namely sexual intimacy and domestic life, power and public office, and wealth and private possessions. Together, these goods form the central topics of this book. Joseph Clair highlights that the most revealing cases are those in which an individual must choose between competing goods, and cases in which an individual's role and role--specific obligations inform their decisions. Such cases uncover the nimbleness of Augustine's moral reasoning in action--an artful blend of scriptural interpretation, virtue theory, and sensitivity to the circumstances of individual lives. He reveals that Augustine's understanding of the goods constitutive of social and political life is deeply indebted to the Stoic and Peripatetic doctrine of oikei=osis, or "social appropriation". The colorful, personal, and practical details found in these writings provide a window onto Augustine's moral reasoning not available in his more theoretical treatments of the good, and the concrete cases often illustrate the human significance of properly discerning the good. Beyond providing one of the first analyses of these ethical writings, this work contributes a new sense of Augustine's ethics--both in terms of the range of questions he addresses and the manner in which he treats them.

In Justice in Love, Nicholas Wolterstorff argues for a unique ethical orientation called “care-agapism.” He offers it as an alternative to theories of benevolence-agapism found in Christian ethics on the one hand and to the philosophical orientations of egoism, utilitarianism, and eudaimonism on the other. The purported uniqueness and superiority of his theory lies in its ability to account for the conceptual compatibility of love and justice while also positively incorporating self-love. Yet in attempting to articulate a “bestowed worth” account of human dignity—in which dignity is given by divine love and respected in acts of justice—Wolterstorff leans on an unstable characterization of how love and the good are conceptually interwoven. As a result, his reader cannot be sure about the theoretical superiority of care-agapism. Moreover, Wolterstorff's attempt to value self-love and at the same time reject eudaimonism depends on a dubious interpretation of Augustine carried over from Justice: Rights and Wrongs, which itself further depends on a mischaracterization of the possible varieties of eudaimonism. This mistake is unfortunate because, on a closer reading of Augustine, one finds an agapistic account of eudaimonism that could have significantly helped Wolterstorff's overall account of the complementary relation of love and justice