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Chapter 4, ‘Ethics and the Everyday’, demonstrates how letter-writing creates a porous space where questions in ethics, ethnography, and everyday living intersect with cultures of friendship, citizenship, and reciprocity in ways that anticipate our late modern fascination with the experiential. Intersubjective sense-making, solidarity, hospitality, and the gift are approached through perspectives drawn from the thought of Jacques Derrida, and from care studies, material culture studies, and eudaimonics. The chapter begins with an investigation of the epistolary encounter with both ordinary and exceptional things, asking how particular objects – the proximate and palpable – inscribe the epistolary imaginary and create a sense of material thickness in letter-writing. Curiosity, attentiveness, and the investment of care in things reveal a sustained commitment to the world of objects, repositories of ethical, eudaimonic, and heuristic value. This ethical commitment informs letter-writing around cultures of gifting. If the sharing of benefits is a major conduit of friendship, modes of calibration temper and regulate relations of power and influence in letter-writing.
The Introduction, ‘Thinking Letterworlds’, makes the case for reading the letter-writing of major modern artists and authors through the prism of their everyday lived experience. Whilst the creativity of Mallarmé, Van Gogh, Morisot, Cézanne, and Zola reaches deep into our cultural imaginary, their letter-writing on matters of physical and mental health, daily habits, community, leisure, solitude, ethics, and material culture is rarely studied in its own right. The book’s aims are thus outlined: to develop an integrative and comparative approach to reading letters through selected approaches in modern critical thought; to explore the deeper narrative of everyday preoccupations in letter-writing; to bring fresh critical attention to the expressivity of everyday letters by examining modes of realism, irony, metaphoricity, and fantasy; to advance a critical redistribution of literary value that recognises the creativity of everyday letter-writing; to consider how letter-writing of the past resonates with readers today in its concerns with the lived body, with subjectivity and social relations, with pressures of work, and with the intermittences of private life.
Chapter 1 introduces the challenges of trusting public cooperation without monitoring and coercion, considers current research on the relationship between concepts such as cooperation and honesty, and examines the effectiveness of voluntary compliance.
This chapter moves from examining institutional changes to the cultural history of morals and emotions, by examining how the evolution of the idea of the self came to supplant the institutional mediation of local law courts. It traces how three concepts – self-love, happiness, and interest – were developed and disseminated as religious and interpersonal ethics, all related to the development of the self within the singular mind. This was a crucial move that allowed the idea and practice of savings to move from taking the form of a debt owed, to the interest-bearing capital described above. It also validated the crucial concept of interest within religion, and this was related to the increasing moral acceptance of the interest rate. Although a legal interest rate had existed from the Elizabethan Act of 1571, interest rates are difficult to find mentioned explicitly in the seventeenth century. By the eighteenth, however, they had become commonplace.
In this radical reinterpretation of the Financial Revolution, Craig Muldrew redefines our understanding of capitalism as a socially constructed set of institutions and beliefs. Financial institutions, including the Bank of England and the stock market, were just one piece of the puzzle. Alongside institutional developments, changes in local credit networks involving better accounting, paper notes and increased mortgaging were even more important. Muldrew argues that, before a society can become capitalist, most of its members have to have some engagement with 'capital' as a thing – a form of stored intangible financial value. He shows how previous oral interpersonal credit was transformed into capital through the use of accounting and circulating paper currency, socially supported by changing ideas about the self which stressed individual savings and responsibility. It was only through changes throughout society that the framework for a concept like capitalism could exist and make sense.
I begin by highlighting three characteristics that ancient elites imagined that enslaved persons ought to have: usefulness, loyalty, and property. I start by noting how discourses of enslavement and utility are intertwined. The Shepherd’s concern for utility is most clearly expressed in its two visions of a tower under construction, in which enslaved believers are represented as stones who will be useful (or not) for the construction of the tower before the eschaton. Second, I turn to the concept of loyalty (pistis), suggesting that the Shepherd uses such language in a way that encourages God’s enslaved persons to exhibit loyalty to God at all costs. Finally, I point to how enslaved persons in antiquity were often characterized as commodified by placing the Shepherd alongside inscriptions about enslaved people from Delphi and documentary correspondence. Not only does the Shepherd portray its protagonist Hermas as lacking bodily autonomy while being exchanged between divine actors, but the text also calls on God’s enslaved persons to purchase other enslaved people who are imagined to be their physical property (e.g., as houses, fields) when they arrive in God’s city.
The final chapter explores the problems of agency and conformity among the enslaved at both individual and communal levels. I situate the Shepherd among ancient Mediterranean writers who understood enslaved persons to function as extensions of their own personae, as well as in conversation with Africana, feminist, postcolonial, and slavery studies on the agency of enslaved and possessed individuals. I suggest that God’s enslaved persons, as possessed instrumental agents of God, are imagined to be empowered by the enslaver to take particular actions and acquire particular virtues that contribute both to their enslaved obedience and their salvation. I then turn to the construction of a tower, the most lengthy visionary account in the Shepherd. Placed alongside Vitruvius’s On Architecture and Sara Ahmed’s scholarship, I argue that the Shepherd portrays the bodies of the enslaved as (ideally) uniformly shaped pieces of a monolithic ecclesiastical whole. Being “useful for the construction of the tower” is made manifest by how the various stones are shaped, reshaped, or rejected from being used to build a tower that is said to represent both God’s house and the Christian assembly itself.
In the eighteenth century, the practice of law was not a self-governing profession in the modern sense. Many lawyers and judges lacked specialized knowledge and formal training, and only a few were subject to regulation or oversight. This chapter examines how Henry Fielding grapples with the consequences of this undisciplined, undereducated, and ethically unmoored legal culture in Tom Jones (1749). Fielding derides the inadequacies of the period’s legal order by featuring magistrates and attorneys whose primary characteristics are intellectual incompetence, poor judgment, and moral corruption. Yet he also proposes a remedy to the law’s limitations. Drawing from moral philosophies circulating in the mid eighteenth century, Fielding implicitly advocates for a professional system that fosters its representatives’ innate moral virtues and enforces a stable but flexible code of ethics. His proposal has relevance for today’s legal profession, which is likewise susceptible to charges of ineffectiveness, injustice, and unfairness.
The book concludes by pointing out two major shifts that my reading of the Shepherd produces: one focused on how the centrality of slavery in the Shepherd that complicates earlier treatments of the text as most invested in baptism and/or repentance, and the other focused on the ethical and historical anxieties that emerge from the enslaved–enslaver relationship being so deeply embedded in early Christian literature, ethics, and subject formation. Additionally, I point to how my findings reveal why the Shepherd would be appealing to late ancient Christians: its visionary, dialogical, parabolic, and ethical content are aimed toward crafting obedient enslaved believers who were unified in their ecclesiastical vision. The work of feminist, womanist, Africana, and slavery studies scholars offer an intellectual and ethical scaffolding upon which I contend with the centrality in early Christian thought of God as an enslaver and believers as enslaved persons, as well as the continuations and challenges of the embeddedness of slavery in Christian vocabulary into the twenty-first century.
In different parts of the world the claim is increasingly being made that continuous confinement of pet cats (Felis catus) is beneficial for both wildlife conservation and cat welfare. The first part of the claim is almost incontrovertible, but the second is misleading. The assertion that confined animals have superior welfare is rooted in thinking pre-dating the 1960s that equates welfare with physical health. By contemporary accounts of animal welfare, confinement of animals presents major welfare risks, and this recognition has been a major driver of refinement in livestock industries, e.g. moves towards free-range systems. Yet, these risks have not been widely acknowledged in debates over pet cat management. We argue that the current pervasive rhetoric from conservationists and some regulators that cat confinement is beneficial for wildlife and cats is, at best, confusing health with welfare. At worst, it is a deliberate attempt to mislead the public through portraying a win-win scenario where, instead, a trade-off must be navigated. Failure to recognise this trade-off undermines conservation goals three-fold. First, it limits the efficacy of behaviour change interventions to increase confinement. Second, it erodes public trust in organisations perceived as knowingly misleading the public. Finally, it reduces the incentive to make the one decision yielding long-term benefits for both cats and ecosystems; ceasing to own cats at all. Policy-makers should be wary of the allure of false win-win narratives when tackling contentious issues that require trade-offs to be made.
Based on promising preliminary results from clinical trials, it seems likely that psychedelic substances (classic serotonergic psychedelics, such as psilocybin, and entactogens, such as MDMA) will be introduced into psychiatry as psychedelic-assisted therapy. This also raises a range of ethical questions that urgently need to be addressed before widespread roll-out in society. This scoping review fills a gap in the literature by providing an overview of these ethical issues using a systematic search, presentation, and descriptive analysis of ethical issues in psychedelic-assisted treatments. It includes peer-reviewed studies pertaining to human study participants and psychiatric patients (population), which discuss ethical issues (concept) of psychedelic treatments (context) in clinical trials and other clinical applications. The systematic search included several databases: MEDLINE, PsycInfo, CINAHL, HeinOnline, and PsycArticles. The search strategy, including all identified keywords and index terms, was adapted for each included database. The search was completed in June 2025 and studies published until then in any language were included. After an iterative process of inductive and deductive coding of ethical issues, the scoping review comprises seven themes related to the ethics of psychedelic-assisted treatments: (1) safety and patient well-being, (2) therapeutic relationships, (3) informed consent, (4) equity and access, (5) research ethics, (6) special contexts, and (7) societal and cultural implications. The results can be used to inform and stimulate further discussion and in-depth research on the ethics of psychedelic-assisted treatments, possibly leading to more nuanced debate surrounding a safer and more ethical implementation of psychedelic-assisted treatments in the future.
High-quality teachers and teaching are essential for quality educational outcomes, and ultimately Australia’s economic and social wellbeing. This is recognised globally and has resulted in the development, implementation and enforcement of teacher standards to improve teacher quality and teacher professionalisation. The Australian Professional Standards for Teachers (APST) (Australian Institute for Teaching and School Leadership and the Initial Teacher Education Program Standards were developed to enhance and regulate teacher preparation and the quality of graduates. The standards are used by state and territory regulators to describe minimum levels of competence for teacher registration in Australia. Initial teacher education (ITE) programs now have specified entry requirements, including levels of academic achievement and dispositional attributes. However, the focus on preservice education to improve teacher quality is one-sided, overlooking the inservice issues that impact teacher quality, such as teacher shortages, pay and employment conditions.
Chapter 4 considers ethical issues in healthcare communication research through two case studies. The first case study looks at a relatively straightforward situation involving a study of the Pain Concern online forum. Data from the forum was provided by Health Unlocked, a company that runs a large number of online communities related to health. One advantage of using their service was that Health Unlocked took care of relevant legal requirements concerning ethics and only shared data from contributors to the forum who had agreed for their posts to be used for research purposes. The second case study relates to the study of dementia and brings into focus the difficulties of working with multiple datasets and a range of stakeholders. The data collection for this project involved public health communication in terms of news media and external communications from support services, including social media. As such, it presents scenarios that are common to studies of health communication and thereby offers instruction in how to navigate related ethical concerns.
The law underwent significant changes in eighteenth-century Britain as jurists and legislators adapted doctrines to fit the needs of an increasingly commercial, industrial, and imperial society. This volume reveals how legal developments of the period shaped and were shaped by imaginative writing. Reading canonical and lesserknown texts from the Restoration to the Romantic era, the chapters explore literary engagements with libel law, plague law, marriage law, naturalization law, the poor laws, the law of slavery and abolition, and the practice of common-law decision-making. The volume also considers the language and form of legal treatises and judicial decisions, as well as recent appropriations of the period's literature and legal norms by the Christian right. Through these varied case studies, the volume deepens our knowledge of law and literature's mutual entanglements in the long eighteenth century while shedding light on legal and ethical questions that remain of concern to this day.
Rebecca Haw Allensworth (Vanderbilt Law) argues that the legal services regulatory scheme perversely both over- and under-regulates the legal services marketplace – licensing too few lawyers on the front end and then, on the back end, taking insufficient steps to ensure adequate quality. According to Allensworth, the current system of lawyer regulation bars nonlawyer providers from the system and simultaneously shunts the lowest-quality lawyers into the system’s lower precincts, where the consequences of poor representation are most sharply felt. Allensworth’s lightning bolt of a chapter shows that the challenge of regulatory reform is not just opening the system to new providers but also rethinking how to allocate – and police – the providers already there.
Howard CH Khoe, National Psychiatry Residency Programme, Singapore,Cheryl WL Chang, National University Hospital, Singapore,Cyrus SH Ho, National University Hospital, Singapore
Chapter 55 covers the topic of forensic psychiatry. Through a short answer question format with topical MCQs for consolidation of learning, readers are brought through the more common aspects of forensic psychiatry. Topics covered include the roles of a forensic psychiatrist, typical preamble given prior to the start of a forensic psychaitry consult, expert witness role, fitness to plead, asssessment for criminal responsbilty, the associatiation between mental disorders and crimes and medical malpractice.
Attitudes of mental health professionals toward coercion are a potential tool in reducing the use of coercive measures in psychiatry.
Aims
This study, part of the nationwide Attitudes toward Coercion (AttCo) project, aimed to assess staff attitudes on a nationwide and multiprofessional scale across adult, child and adolescent, and forensic psychiatric departments.
Method
During 9 weeks in 2023, 1702 psychiatric staff members across Germany filled out a survey including gender, age, profession, work experience and setting, and the validated Staff Attitude to Coercion Scale (SACS). Analyses of variance and multivariate regression analysis for SACS mean overall score were computed to assess group differences.
Results
Participants largely supported that coercion could be reduced with more time and personal contact (mean 4.20, range 1–5), and that coercion can harm the therapeutic relationship (mean 4.08); however, they acknowledged that coercion sometimes needs to be used for security reasons (mean 4.10). Regarding group differences, specialisation (P < 0.001) and professional affiliation (P = 0.008) remained significantly associated with SACS mean score (with a higher score in forensic psychiatric staff compared with staff in adult and child and adolescent psychiatry), when controlling for gender, age and work experience.
Conclusions
Differences in attitudes are predominantly linked to professional training and structural surroundings. Professionals in adult psychiatry and child and adolescent psychiatry are more critical than staff in forensic settings, with an emphasis on patients’ rights and individuals’ integrity. Further studies are needed on how mental health professionals view coercion, and how actual use of coercion is influenced by staff attitudes.
In 2018, Hannah Gadsby created a sensation through her stand-up show Nanette. In it she shocked audiences by telling her hard-hitting trauma narrative, revealing the impact of sexual abuse, male violence, and homophobia on her mental health. Controversially, Gadsby also claimed that stand-up as a form and the mainstream stand-up industry itself were significant agents in deepening her psychological harm. This chapter examines Gadsby’s dramaturgical strategies and struggles in attempting to construct a means of speaking about the pain of her lived experience and seeking a therapeutic means of addressing her trauma through stand-up. Luckhurst analyses Gadsby’s interest in ethical story-telling and her notion of educating audiences about laughter and political complicity. Finally, Luckhurst argues that Gadsby draws on therapy models to transform her trauma narrative into a story of healing for herself and her audiences.
The complex relation between a person and their mental disorder is a recurring theme in (reflections on) psychiatric practice. As there is no uncontested concept of ‘self’, nor of ‘mental disorder’, the ‘self-illness’ relation is riddled with ambiguity. In this feature article, we summarise recent philosophical work on the phenomenon of ‘self-illness ambiguity’, to provide conceptual tools for psychiatric reflections on the self-illness relation. Specifically, we argue that the concept of self-illness ambiguity may contribute to patients’ self-understanding and shed light on how paradigms of care and research should be revised in order to help clinicians support that self-understanding. We also suggest that the concept of self-illness ambiguity may improve the understanding of particular mental disorders, and may offer conceptual tools to address various ethical matters (including stigma and responsibility).
It is impossible to understand Kant’s essay “On a Supposed Right to Lie” without a sense of how Kant’s theory of truth and truthfulness developed over time; and it is impossible to trace the development of Kant’s thought without a clear sense of the conceptual framework that he took as his starting point. This chapter examines the early modern debate with its distinction between morally objectionable lies (mendacia) and morally innocent falsified assertions (falsiloquia) and then presents Kant’s thoughts on the topic in his lectures and in his major writings on moral philosophy. He endorses the distinction between unobjectionable and objectionable falsehoods in the early lectures; in his later publications, he rejects it.