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The Soul (Put to Work) in Medicine: A Response to Arthur Kleinman

Published online by Cambridge University Press:  30 January 2025

Ashley John Moyse*
Affiliation:
Center for Clinical Medical Ethics, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, USA
Jordan Ashley Mason
Affiliation:
Theology & Ethics Department, Providence St. Joseph Health, Northern California, USA
*
Corresponding author: Ashley John Moyse; Email: ajm2348@cumc.columbia.edu
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Abstract

In his 2019 essay, Arthur Kleinman laments that medicine has become ever-competent at managing illness, yet caring for those who are ill is increasingly out of practice. He opines that the language of ‘the soul’ is helpful to those practicing medicine, as it provides an important counterbalance to medicine’s technical rationality that avoids the existential and spiritual domains of human life. His accusation that medicine has become soulless merits considering, yet we believe his is the wrong description of contemporary medicine. Where medicine is disciplined by technological and informational rationalities that risk coercing attention away from corporealities and toward an impersonal, digital order, the resulting practices expose medicine to becoming not soulless but excarnated. Here we engage Kleinman in conversation with Franco Berardi, Charles Taylor, and others to ask: Have we left behind the body for senseless purposes? Perhaps medicine is not proving itself to be soulless, but rather senseless, bodyless – the any-occupation of excarnated souls. If so, the dissension of excarnation and the recovery of touching purpose seems to us to be an apparent need within the contemporary and increasingly digitally managed and informationally ordered medical milieu.

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Article
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Provincial Council of the English Province of the Order of Preachers.
Figure 0

Figure 1. Referral pathway. From ‘doctor as innovator’ in the advancing medical professionalism report (Tweedie, Hordern, and Dacre 2019, 93).