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This chapter offers an interpretation of early Greek conceptions of divine and human as a coherent constellation of ideas organised around the core notions of human vulnerability, short-sightedness and mutability. Beginning with Achilles’ speech to Priam in Iliad 24, I discuss these key principles and their expressions in genres including epic, elegy, choral lyric, philosophy and historiography. I analyse some of their specific formulations and inflections, with a particular focus on perceptions of the unpredictable and unstable nature of human affairs, the conception of human beings as ephēmeroi (‘creatures of the day’), ideas of divine retribution and the ‘archaic chain’ linking prosperity, greed, arrogance, delusion and disaster. In a second step, I examine the relationship between these ideas and the narratives in which they are embedded, mainly using the examples of the Iliad and Solon’s Elegy to the Muses (fr. 13W).
In this chapter I address the problem of human suffering. After giving an account of the nature of suffering, I argue that suffering does not justify intending death. However, suffering needs to be understood within the larger story of Christ’s redemptive work.
Ethical thinking can be pragmatically framed as striving for impact in improving the world, without relying on traditional moral language. Consciousness or sentience is central to anything mattering, but only suffering has an inherent urgency to be addressed. This call to action applies regardless of species or physical substrate. From a perspective on personal identity that recognizes separateness as an illusion, the most extreme suffering can be considered intolerable per se, not just for the physical being experiencing it. Prioritizing the prevention of such suffering is therefore rational. Strong, potentially competing intuitions, including the desire to thrive, must also be accommodated for an ethical framework to be viable, without the creation of happiness formally balancing out intense suffering that exists elsewhere. A framework termed “xNU+” captures these considerations. Suffering metrics such as Years Lived with Severe Suffering (YLSS) and Days Lived with Extreme Suffering (DLES), used alongside existing health and well-being metrics, would better track what matters, in humans and, using different methodologies, in other species and potential artificial sentient entities. The rapid, potentially irreversible, technology-driven transformations now occurring on our planet make it urgent that we embed a suffering-focused ethical framework in our governance and policy-making.
This paper revisits the longstanding debate over the nature of suffering, focusing on the divide between subjective and objective accounts. I defend a Personalist conception of suffering, rooted in an Aristotelian understanding of human flourishing, that recognizes suffering as both universally human and deeply personal. On this view, suffering is neither a purely sentient, inner experience nor reducible to external conditions, but a disruption of flourishing that arises when love or justice is violated or absent—and that calls for a communal response. Understood through this lens, suffering, I argue, invites a shared practice of meaning-making—not as sentimental optimism but as a form of grounded hope: realistic, responsive, and attuned to the dignity of both the sufferer and those who accompany them. Even when suffering cannot be cured or fully comprehended, it can be met with deeper engagement, mutual responsibility, and a reaffirmation of our commitment to a life lived in relation and shared purpose.
Everyone recognizes that it is, in general, wrong to intentionally kill a human being. But are there exceptions to that rule? In Killing and Christian Ethics, Christopher Tollefsen argues that there are no exceptions: the rule is absolute. The absolute view on killing that he defends has important implications for bioethical issues at the beginning and end of life, such as abortion and euthanasia. It has equally important implications for the morality of capital punishment and the morality of killing in war. Tollefsen argues that a lethal act is morally permissible only when it is an unintended side effect of one's action. In this way, some lethal acts of force, such as personal self-defense, or defense of a polity in a defensive war, may be justified -- but only if they involve no intension of causing death. Even God, Tollefsen argues, neither intends death, nor commands the intentional taking of life.
In this study, we aimed to elucidate the underlying structural mechanisms that generate a desire for hastened death (DHD) in patients with terminal cancer from a whole-person perspective based on insights from palliative-care professionals (PCPs).
Methods
We conducted semi-structured interviews with 36 PCPs experienced in caring for patients with terminal cancer and DHD, followed by a thematic analysis based on Boyatzis’ hybrid approach.
Results
We identified 6 themes that characterize the underlying structural mechanisms of DHD. DHD arises from feelings such as loss of self-control, inability to escape adverse circumstances, confronting death and letting go of life, pain of loneliness, being unable to accept living life as it is, and feeling unable to live with the thought of being an inconvenience to others, in addition to physical and psychological pain. In contrast, certain patients who had built good relationships with family members and/or PCPs found new meaning and value in their current lives, expressing a desire to live in the moment and choosing to continue living until the end.
Significance of results
This study provides the first comprehensive analysis of the underlying structural mechanisms of DHD in patients with terminal cancer from a whole-person perspective. DHD with spiritual pain is linked to the loss of future orientation, autonomy, and meaningful relationships through interconnected structural pathways, leading to feelings of worthlessness and existential meaninglessness. The identified framework demonstrates that these underlying mechanisms operate through an interplay of existential, relational, and autonomy-related factors extending beyond physical and psychological symptoms, reflecting an interconnected human experience across physical, psychological, social, and spiritual dimensions. This study established an evidence-based framework enabling healthcare professionals to implement whole-person approaches to recognize the multidimensional nature of DHD and address existential distress across all dimensions of human experience in end-of-life care.
This article examines the poetry of Raïssa Maritain as a distinctive form of theodicy shaped by prayer, suffering, and the catastrophic violence of the twentieth century. Situating Maritain’s poetic work within the context of debates on suffering, this article places her in dialogue with Johann Baptist Metz’s concept of Leiden an Gott (‘suffering unto God’), as well as with the challenges to theodicy articulated by Elie Wiesel and Emmanuel Levinas. While Wiesel’s refusal of theology after Auschwitz and Levinas’s ethical critique of teleological accounts of suffering underscore the crisis of theodicy, Metz offers a theological response that centres on prayer as anguished address to God rather than rational explanation. I argue that Maritain’s poetry anticipates, embodies and extends this insight by functioning as a form of poetic prayer that confronts evil without aestheticising or prematurely redeeming suffering. Through close engagement with poems written before and during the Second World War, I show how Maritain’s poetic language gives voice to accusation, lament, and solidarity with the suffering other, while nonetheless holding open the possibility of redemption. In doing so, her work offers a humane poetic theodicy that both complements and critically deepens Metz’s political theology.
Suffering is a theme throughout Nietzsche's writings. His views are often controversial and challenging. He explores ways of understanding suffering not as an 'objection to life', but as something that can enhance life. This Element examines Nietzsche's views on suffering from different angles: his early claim that the representation of suffering in the art form of tragedy enabled the ancient Greeks to affirm life, his analysis of cruelty as an expression of will to power, and his critique of 'the morality of compassion' which he claims would impoverish life by removing its suffering. Nietzsche views suffering as necessary for psychological growth and great human achievement. It is neither good nor bad in itself, and its value depends on who suffers and in what context. Although Nietzsche's rhetoric sometimes glorifies suffering and cruelty irresponsibly, his work advances our understanding of suffering by viewing it through different perspectives and affective attitudes.
This chapter traces basic contours of early scholastic Atonement theories from 1150 to 1250, which integrated insights from Augustine and Anselm on the objective work of Atonement with Abelard's attention to the subjective dimensions of Atonement.
This article examines Teresa of Avila’s articulation of and response to spiritual suffering in the Interior Castle. It applies a feminist hermeneutic to the text in order to locate the resources that contribute to Teresa’s resiliency in the face of this suffering. This approach to the text reveals that Teresa’s use of contemplative prayer and interactions with her community facilitate a direct engagement with her suffering so as to make it manageable. Her successful navigation of the spiritual journey allows her the opportunity to share her insights toward resiliency with her community by speaking honestly about her experience in her writings. This article’s approach to reading the Interior Castle lifts up Teresa’s experience as a potential resource for women today who may have difficulty locating a sense of agency in their own experiences of suffering.
If the history of human rights shows anything, it shows that claim-making has no predetermined agents, and this volume nods to the rights of the non-human in a chapter by Jim Davies, who analyzes what might be at stake in the recognition of artificial intelligence not just as an instrumental tool, but a rights-bearing claimant in its own right. Indeed, Davies pursues this possibility through an analogy with the rise of entitlements of non-human nature, especially non-human animals.
While many siblings of children with cancer demonstrate resilient outcomes, they also face their own unique experiences that increase their risk for acute and long-term psychosocial difficulties. It is accepted that children undergoing cancer treatment experience suffering, the alleviation of which is a main goal of palliative care, yet research has not yet explored whether siblings experience their own suffering. This work aimed to determine whether parents perceive that their child(ren) without cancer suffered throughout the illness course and how that suffering would be described.
Methods
Using literature and expert input, a survey was developed to elicit caregivers’ perceptions of suffering in their children with and without cancer and was disseminated through the American Childhood Cancer Organization. Responses regarding sibling suffering were analyzed, considering differences in accounts between bereaved caregivers and those whose child with cancer remains living.
Results
A total of 202 parents (81 bereaved, 121 whose child with cancer remains alive) responded. Themes of sibling suffering include disconnection and/or displacement, lack of stability and certainty, emotional consequences, bearing witness, and lasting impact. One distinct theme, suffering as continued loss, emerged from bereaved parents’ responses.
Significance of results
Both parental groups described sibling suffering similarly despite different outcomes for their child with cancer. The idea of sibling suffering by bearing witness to what the child with cancer experienced is unique and worthy of further understanding. This work highlights the need for sibling and parent psychosocial assessment and palliative intervention throughout cancer treatment. Gaining longitudinal input from siblings and parents regarding the experience of suffering is a critical next step to develop tailored interventions.
This paper critiques the use of the term ‘evil’ in philosophical discussions of the problem of evil. We argue that what is commonly identified as ‘evil’ in this debate is better as ‘misfortune.’ The division between moral and natural evil equivocates between agentic and non-agentic ‘evil,’ undermining its coherence as a unifying concept. Evil events are necessarily caused by evildoers, which are non-existent in events of natural evil. By contrast, ‘misfortune’ places the focus on the victim regardless of the source, better capturing what philosophers intend with the prior term ‘evil.’ Our more precise definition of ‘evil’ satisfies Jean Nabert’s notion of evil as the unjustifiable while also being sufficiently distinct from badness. What distinguishes ‘evil’ from mere badness is moral erasure, which is the perception of other human beings as objects unworthy of moral consideration. While a bad person causes misfortunes as a trade-off in pursuit of a perceived good, an evil person is either completely indifferent to their victim’s misfortunes, or malicious by deliberately causing misfortunes for pleasure’s sake. Our distinction between ‘misfortune’ and ‘evil’ clarified as (im)moral, indifferent, or malicious challenges the assumption that evil, as traditionally framed, poses a direct contradiction to God’s existence.
To be compassionate is to care about others specifically in opposition to their suffering or deficiency. While the distress of compassion is paradigmatic of the virtue, a wide range of emotion types – gratitude, anger, fear, joy, and so forth – can express it. Aristotle offers an analysis of the emotion of compassion as entailing propositions (1) that the other is suffering, (2) that the other doesn’t deserve the suffering, and (3) that oneself is vulnerable to the kind of suffering one sees in the other. In dialogue with Martha Nussbaum’s exposition and adaptation of Aristotle’s analysis of the emotion of compassion, this chapter compares Aristotelian compassion with the compassion that is commended in the New Testament. Differences between the two turn on differences in the concept of suffering, in the presence of a concept of forgiveness, and in the locus of commonality.
If panpsychism is true then consciousness pervades the cosmos, and there exist many more conscious subjects than other worldviews contemplate. Panpsychism’s explanatory story about how human material composition and complexity grounds human consciousness seems to entail that there exist, notably, various conscious subjects within human organisms. Given the plausibility of the thesis that consciousness confers moral status – a thesis many panpsychists endorse – questions thus arise about the wellbeing of these inner subjects. In this article I raise the possibility that the lives of our inner subjects may not be morally suitable to a sophisticated centre of consciousness of the sort that likely exists, for example, inside various of our brain areas. Panpsychism, indeed, seems on the face of it to generate a good deal more suffering, in this way, than other worldviews. If that is correct, panpsychists who would embrace theism, and theists who would embrace panpsychism – for example pantheists – should be given serious pause. If panpsychism positively compounds the problem of evil, then one may have to choose between panpsychism and theism.
Chapter 6 starts from the insight that, despite international criminal law’s focus on individual responsibility, atrocity crimes are often a result of structural violence and ditto injustices: discrimination, social exclusion, exploitation, and so on. If the violence is structural, the suffering becomes social, that is, inherent in societal structures. The question remains how the legal order can respond to structural injustice and social suffering. The chapter argues that these forms of injustice register as ‘silent claims’ at the brink of the legal order, questioning its boundaries.
These sermons were aimed at inspiring believers to imitate the martyrs, who themselves imitated Christ, their archetype. Christ’s voluntary suffering and self-sacrifice defeated the devil and death, expiated our sins, and restored to believers the possibility of eternal happiness, with God’s grace. Augustine modifies the traditional definition of “martyr” as “witness” to make martyrdom contingent on suffering and self-sacrifice: the essence of martyrdom and mandatory for all who would be Christian. He provides examples of this ideal behavior, such as calmly accepting the loss of one’s property. Suffering proves the cause for which martyrs died is true; otherwise they would have failed their ordeals. Augustine draws on Cyprian, recognizing a literal martyrdom in times of persecution, and in times of peace, a spiritual martyrdom fought daily against temptation and sin. These sermons also document the obstacles Augustine faced when preaching: not only correcting the errors of the Donatists, Manichees, and Pelagians, but also accommodating his flock’s limitations. He thus presents an inclusive church, a concord of different levels of expertise ordered hierarchically.
In this chapter of Complex Ethics Consultations: Cases that Haunt Us, the authors describe a 70-year-old man who is refusing all options available to him and expresses faith that his suffering must have some meaning since it was "God’s will." The team struggled with apparently inconsistent patient expressions of turning down surgery but insisting on attempted resuscitation. The case additionally highlights the uncertainty involved in medical decision making.
In this chapter of Complex Ethics Consultations: Cases that Haunt Us, the author describes a case involving multiple interactions between a patient’s family and the healthcare team surrounding "futile" therapy. Each new team believes that the family does not understand and tries to educate them, leading to exhaustion and lack of trust all around. The case demonstrates the complexity that arises in communication in the current healthcare system.