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Confidentiality and Its Discontents

Dilemmas of Privacy in Psychotherapy

Paul W. Mosher, and Jeffrey Berman

Freud promised his patients absolute confidentiality, regardless of what they revealed, but privacy in psychotherapy began to erode a half-century ago. Psychotherapists now seem to serve as “double agents” with a dual and often conflicting allegiance to patient and society. Some therapists even go so far as to issue Miranda-type warnings, advising patients that what they say in therapy may be used against them. Confidentiality and Its Discontents explores the human stories arising from this loss of confidentiality in psychotherapy. Addressing different types of psychotherapy breaches, Mosher and Berman begin with the the story of novelist Philip Roth, who was horrified when he learned that his psychoanalyst had written a thinly veiled case study about him. Other breaches of privacy occur when the so-called duty to protect compels a therapist to break confidentiality by contacting the police. Every psychotherapist has heard about “Tarasoff,” but few know the details of this story of fatal attraction. Nor are most readers familiar with the Jaffee case, which established psychotherapist-patient privilege in the federal courts. Similiarly, the story of Robert Bierenbaum, a New York surgeon who was brought to justice fifteen years after he brutally murdered his wife, reveals how privileged communication became established in a state court. Meanwhile, the story of New York Chief Judge Sol Wachtler, convicted of harassing a former lover and her daughter, shows how the fear of the loss of confidentiality may prevent a person from seeking treatment, with potentially disastrous results. While affirming the importance of the psychotherapist-patient privilege, Confidentiality and Its Discontents focuses on both the inner and outer stories of the characters involved in noteworthy psychotherapy breaches and the ways in which psychiatry and the law can complement but sometimes clash with each other.

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Controversies in Science and Technology

From Maize to Menopause

Edited by Daniel Lee Kleinman, Abby J. Kinchy, and Jo Handelsman

Written for general readers, teachers, journalists, and policymakers, this volume explores four controversial topics in science and technology, with commentaries from experts in such fields as sociology, religion, law, ethics, and politics:

* Antibiotics and Resistance: the science, the policy debates, and perspectives from a microbiologist, a veterinarian, and an M.D.

* Genetically Modified Maize and Gene Flow: the science of genetic modification, protecting genetic diversity, agricultural biotech vesus the environment, corporate patents versus farmers' rights

* Hormone Replacement Theory and Menopause: overview of the Women's Health Initiative, history of hormone replacement therapy, the medicalization of menopause, hormone replacement therapy and clinical trials

* Smallpox: historical and medical overview of smallpox, government policies for public health, the Emergency Health Powers Act, public resistance vs. cooperation.

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Cosmic Apprentice

Dispatches from the Edges of Science

Dorion Sagan

In the pursuit of knowledge, Dorion Sagan argues in this dazzlingly eclectic, rigorously crafted, and deliciously witty collection of essays, scientific authoritarianism and philosophical obscurantism are equally formidable obstacles to discovery. As science has become more specialized and more costly, its questing spirit has been constrained by dogma. And philosophy, perhaps the discipline best placed to question orthodoxy, has retreated behind dense theoretical language and arcane topics of learning.

Guided by a capacious, democratic view of science inspired by the examples set by his late parents—Carl Sagan, who popularized the study of the cosmos, and Lynn Margulis, an evolutionary biologist who repeatedly clashed with the scientific establishment—Sagan draws on classical and contemporary philosophy to intervene provocatively in often-charged debates on thermodynamics, linear and nonlinear time, purpose, ethics, the links between language and psychedelic drugs, the search for extraterrestrial intelligence, and the occupation of the human body by microbial others. Informed by a countercultural sensibility, a deep engagement with speculative thought, and a hardheaded scientific skepticism, he advances controversial positions on such seemingly sacrosanct subjects as evolution and entropy. At the same time, he creatively considers a wide range of thinkers, from Socrates to Bataille and Descartes to von Uexküll, to reflect on sex, biopolitics, and the free will of Kermit the Frog.

Refreshingly nonconformist and polemically incisive, Cosmic Apprentice challenges readers to reject both dogma and cliché and instead recover the intellectual spirit of adventure that should—and can once again—animate both science and philosophy.

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Data, Instruments, and Theory

A Dialectical Approach to Understanding Science

Robert John Ackermann

Robert John Ackermann deals decisively with the problem of relativism that has plagued post-empiricist philosophy of science. Recognizing that theory and data are mediated by data domains (bordered data sets produced by scientific instruments), he argues that the use of instruments breaks the dependency of observation on theory and thus creates a reasoned basis for scientific objectivity.

Originally published in 1985.

The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

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Divine Machines

Leibniz and the Sciences of Life

Justin E. H. Smith

Though it did not yet exist as a discrete field of scientific inquiry, biology was at the heart of many of the most important debates in seventeenth-century philosophy. Nowhere is this more apparent than in the work of G. W. Leibniz. In Divine Machines, Justin Smith offers the first in-depth examination of Leibniz's deep and complex engagement with the empirical life sciences of his day, in areas as diverse as medicine, physiology, taxonomy, generation theory, and paleontology. He shows how these wide-ranging pursuits were not only central to Leibniz's philosophical interests, but often provided the insights that led to some of his best-known philosophical doctrines.

Presenting the clearest picture yet of the scope of Leibniz's theoretical interest in the life sciences, Divine Machines takes seriously the philosopher's own repeated claims that the world must be understood in fundamentally biological terms. Here Smith reveals a thinker who was immersed in the sciences of life, and looked to the living world for answers to vexing metaphysical problems. He casts Leibniz's philosophy in an entirely new light, demonstrating how it radically departed from the prevailing models of mechanical philosophy and had an enduring influence on the history and development of the life sciences. Along the way, Smith provides a fascinating glimpse into early modern debates about the nature and origins of organic life, and into how philosophers such as Leibniz engaged with the scientific dilemmas of their era.

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Doing Physics, Second Edition

How Physicists Take Hold of the World

Martin H. Krieger

Doing Physics makes concepts of physics easier to grasp by relating them to everyday knowledge. Addressing some of the models and metaphors that physicists use to explain the physical world, Martin H. Krieger describes the conceptual world of physics by means of analogies to economics, anthropology, theater, carpentry, mechanisms such as clockworks, and machine tool design. The interaction of elementary particles or chemical species, for example, can be related to the theory of kinship—who can marry whom is like what can interact with what. Likewise, the description of physical situations in terms of interdependent particles and fields is analogous to the design of a factory with its division of labor among specialists. For the new edition, Krieger has revised the text and added a chapter on the role of mathematics and formal models in physics. Doing Physics will be of special interest to economists, political theorists, anthropologists, and sociologists as well as philosophers of science.

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Drawing Out Leviathan

Dinosaurs and the Science Wars

Keith M. Parsons

"... are dinosaurs social constructs? Do we really know anything about dinosaurs? Might not all of our beliefs about dinosaurs merely be figments of the paleontological imagination? A few years ago such questions would have seemed preposterous, even nonsensical. Now they must have a serious answer."

At stake in the "Science Wars" that have raged in academe and in the media is nothing less than the standing of science in our culture. One side argues that science is a "social construct," that it does not discover facts about the world, but rather constructs artifacts disguised as objective truths. This view threatens the authority of science and rejects science's claims to objectivity, rationality, and disinterested inquiry. Drawing Out Leviathan examines this argument in the light of some major debates about dinosaurs: the case of the wrong-headed dinosaur, the dinosaur "heresies" of the 1970s, and the debate over the extinction of dinosaurs.

Keith Parsons claims that these debates, though lively and sometimes rancorous, show that evidence and logic, not arbitrary "rules of the game," remained vitally important, even when the debates were at their nastiest. They show science to be a complex set of activities, pervaded by social influences, and not easily reducible to any stereotype. Parsons acknowledges that there are lessons to be learned by scientists from their would-be adversaries, and the book concludes with some recommendations for ending the Science Wars.

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The Engineering Project

Its Nature, Ethics, and Promise

Gene Moriarty

We all live our daily lives surrounded by the products of technology that make what we do simpler, faster, and more efficient. These are benefits we often just take for granted. But at the same time, as these products disburden us of unwanted tasks that consumed much time and effort in earlier eras, many of them also leave us more disengaged from our natural and even human surroundings. It is the task of what Gene Moriarty calls focal engineering to create products that will achieve a balance between disburdenment and engagement: “How much disburdenment will be appropriate while still permitting an engagement that enriches one’s life, elevates the spirit, and calls forth a good life in a convivial society?”One of his examples of a focally engineered structure is the Golden Gate Bridge, which “draws people to it, enlivens and elevates the human spirit, and resonates with the world of its congenial setting. Humans, bridge, and world are in tune.” These values of engagement, enlivenment, and resonance are key to the normative approach Moriarty brings to the profession of engineering, which traditionally has focused mainly on technical measures of evaluation such as efficiency, productivity, objectivity, and precision. These measures, while important, look at the engineered product in a local and limited sense. But “from a broader perspective, what is locally benign may present serious moral problems,” undermining “social justice, environmental sustainability, and health and safety of affected parties.” It is this broader perspective that is championed by focal engineering, the subject of Part III of the book, which Moriarty contrasts with “modern” engineering in Part I and “pre-modern” engineering in Part II.

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Enhancing Evolution

The Ethical Case for Making Better People

John Harris

In Enhancing Evolution, leading bioethicist John Harris dismantles objections to genetic engineering, stem-cell research, designer babies, and cloning and makes an ethical case for biotechnology that is both forthright and rigorous. Human enhancement, Harris argues, is a good thing--good morally, good for individuals, good as social policy, and good for a genetic heritage that needs serious improvement. Enhancing Evolution defends biotechnological interventions that could allow us to live longer, healthier, and even happier lives by, for example, providing us with immunity from cancer and HIV/AIDS. Further, Harris champions the possibility of influencing the very course of evolution to give us increased mental and physical powers--from reasoning, concentration, and memory to strength, stamina, and reaction speed. Indeed, he says, it's not only morally defensible to enhance ourselves; in some cases, it's morally obligatory.

In a new preface, Harris offers a glimpse at the new science and technology to come, equipping readers with the knowledge to assess the ethics and policy dimensions of future forms of human enhancement.

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An Introduction to the Theory of Knowledge

Guided by the founding ideas of American pragmatism, Epistemology provides a clear example of the basic concepts involved in knowledge acquisition and explains the principles at work in the development of rational inquiry. It examines how these principles analyze the course of scientific progress and how the development of scientific inquiry inevitably encounters certain natural disasters. At the center of the book’s deliberations there lies not only the potential for scientific progress but also the limit of science as well. This comprehensive introduction to the theory of knowledge addresses a myriad of topics, including the critique of skepticism, the nature of rationality, the possibility of science for extraterrestrial intelligences, and the prospect of insoluble issues in science.

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