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Writing the self through service, a Dietetic Ethics.


Abstract

In this paper, the writer offers an approach to writing ethical arguments that depends on service-learning. Ethical thinking and writing are often associated with pure theory, dogmatism dog·ma·tism  
n.
Arrogant, stubborn assertion of opinion or belief.


dogmatism
1. a statement of a point of view as if it were an established fact.
2.
, and the enforcement of normative morality; however, in the view presented here, ethics is only possible through constantly situational and dialectical engagement between the practical and theoretical, the philosophical and the material, the subject and the object. Thus, writers in a medically focused service-learning composition course are in a rewarding but challenging educational position. In order to adequately learn in such an environment and to succeed as an ethical writer, the writing student puts into practice certain habits or techniques: she or he engages in a dietetics dietetics /di·e·tet·ics/ (-iks) the science of diet and nutrition.

di·e·tet·ics
n.
The branch of therapeutics concerned with the practical application of diet in relation to health and disease.
, a mode of self-production in the midst Adv. 1. in the midst - the middle or central part or point; "in the midst of the forest"; "could he walk out in the midst of his piece?"
midmost
 of frequently contradictory cultural materials and practices. This approach aligns experientially based composition with the ancient medicinal ethics of Hippocrates and a more recent ethical theory, technologies of the self, as described by Michel Foucault Michel Foucault (IPA pronunciation: [miˈʃɛl fuˈko]) (October 15, 1926 – June 25, 1984) was a French philosopher, historian and sociologist. .

**********

A Dietetic dietetic /di·e·tet·ic/ (di?ah-tet´ik) pertaining to diet or proper food.

di·e·tet·ic
adj.
1. Of or relating to diet.

2.
 Ethics

I will apply dietetic measures for the benefit of the sick according to according to
prep.
1. As stated or indicated by; on the authority of: according to historians.

2. In keeping with: according to instructions.

3.
 my ability and judgment; I will keep them from harm. [1]

Thus reads what is effectively the third tenet of the Hippocratic Oath Hippocratic oath

ethical code of medicine. [Western Culture: EB, 11: 827]

See : Medicine
, in its classical incarnation. To twenty-first-century eyes and ears, the passage quoted above probably seems a little estranged es·trange  
tr.v. es·tranged, es·trang·ing, es·trang·es
1. To make hostile, unsympathetic, or indifferent; alienate.

2. To remove from an accustomed place or set of associations.
, out of place, anachronistic a·nach·ro·nism  
n.
1. The representation of someone as existing or something as happening in other than chronological, proper, or historical order.

2.
. Some perhaps come across the word "dietetic" and then repeat it to themselves to make sure that they have heard or read correctly. At least this is the case when many freshman composition students study the Oath in an argumentative Controversial; subject to argument.

Pleading in which a point relied upon is not set out, but merely implied, is often labeled argumentative. Pleading that contains arguments that should be saved for trial, in addition to allegations establishing a Cause of Action or
 composition classroom. Certainly, nurses, general practitioners, and family doctors are concerned about what a patient eats, but we arguably sense, when hearing the third tenet, that Hippocrates had something even more substantial in mind. Such is the case with most of the Oath, even the modern version, and with most of Hippocrates' writings: one feels temporarily displaced or encounters a conceptual gap and then recalibrates one's thinking. Take for instance the deep ambiguity in the following phrase from Hippocrates' Epidemics: "Do no harm." [2] It is a dialectic of the affirmative and negative. It tells us to progress through reflection. It calls for intervention and restraint, as does the Hippocratic Oath. The Oath's profundity indeed lies in the energy created by its contradictory nature and its impracticality--as is the case with most moral philosophy, [3] and as is the case, most pertinent here, with ethical argumentative writing.

It is because of the medicinal arts' problematic aura, as indicated in the Oath and elsewhere in Hippocrates' work, that one might use medicine as a window through which to have students enter into ethical writing. Composition students in a service-learning course at Louisiana State University Louisiana State University and Agricultural and Mechanical College, generally known as Louisiana State University or LSU, is a public, coeducational university located in Baton Rouge, Louisiana and the main campus of the Louisiana State University System.  encounter and research topical medical issues and take part in experiential learning--or service-learning--in order to write ethical arguments. Many of the students who enroll in this course intend to pursue medically related professions; they are typically wary of the English curriculum. Consequently, the course is geared toward students not necessarily interested in the humanities, while at the same time covertly introducing them to the humanities--i.e., rhetoric and ethics. Instead of learning ethics through extensive lecture, students delve into the fray of societal and cultural problems by volunteering in a local hospital, by making a number of journal entries, and by writing in multiple phases and in multiple genres on a medically related topic they have chosen.

The adopted approach reflects and is influenced by Edward Zlotkowski's stress on "linking practice to theory," helping students "develop more fully their moral imaginations," assisting students in their ability to "demonstrate a grasp of basic ... concepts and procedures"--or a blend of these. [4] On its face, such an approach is extremely common-sensical or practical. In the immediate, without splitting hairs too much when it comes to terminology, one might consider such a characterization to be a positive one. What could be more practical, particularly for the composition classroom, than writing about what one is immediately experiencing in a hospital and writing about current socio-cultural issues? Nevertheless, looks can be deceiving, and depending strictly on experience can be a dubious, limiting, and even dangerous practice. This is what philosophers and theorists have been telling us for some time. [5]

Often in our post-Enlightenment, late-capitalist world, the practical is understood to be what is applicable, immediately usable, profitable, and thereby ready for instant consumption or experience. Experience itself has been subsumed under the bourgeois rubric RUBRIC, civil law. The title or inscription of any law or statute, because the copyists formerly drew and painted the title of laws and statutes rubro colore, in red letters. Ayl. Pand. B. 1, t. 8; Diet. do Juris. h.t.  of performativity. [6] Like that deemed practical, experience is only valuable insofar in·so·far  
adv.
To such an extent.

Adv. 1. insofar - to the degree or extent that; "insofar as it can be ascertained, the horse lung is comparable to that of man"; "so far as it is reasonably practical he should practice
 as it produces something consumable, something immediate, something happy, or something good. [7] To boil things down even further, the more we perform our duty or produce for the greater good, according to bourgeois logic, the more we will experience happiness. In such a brilliant, highly efficient system, which it most definitely is, the performative per·for·ma·tive  
adj.
Relating to or being an utterance that peforms an act or creates a state of affairs by the fact of its being uttered under appropriate or conventional circumstances, as a justice of the peace uttering
 has very little time for theory. [8] The practical and theoretical become separated, thus allowing activity and thought to become estranged from each other. And as has been indicated up to this point, the presently dominant connotation attached to practicality implies that things move better with less thought the performative could do even better with even further curtailmem of philosophy. Or could it?

A system that stresses performativity without deeper engagement--theoretical engagement--might actually prove to be quite immoral and thus ultimately impractical. Both Utilitarians and Kantians would probably have a problem with the morality driving medical activities dominated primarily by the West's superrich su·per·rich  
adj.
1. Of, relating to, or being the wealthiest.

2. Containing the richest ingredients: superrich chocolate ice cream.

n. (used with a pl.
. In fact, students in this course often initially identify with one major ethical camp or the other but come to similar conclusions about a moral drought in the current medical environment. On the basic Utilitarian side, the current habits of healthcare industries are not benefiting the greater good, as it were. Accordingly, if the majority of human beings are not receiving adequate health coverage and care, then the current route is immoral. From the basic Kantian perspective, because individuals are not being treated as if they are ends in themselves or according to an overarching principle of respect, then the activities of the majority of our medical institutions are ethical failures.

Those reading are most probably well aware that ethics cannot be reduced to a battle between Consequentialists and Kantians; moreover, there are many factors affecting why medical treatment and research proceed the way they do. Nevertheless, one must keep in mind that freshman composition students--most of whom have not been deliberately exposed to medicine, economics, politics, and ethics--have discussed and written themselves to fairly rigorous positions. College composition students have found through their writing that the human being is forgotten in much of today's practicality, and equally as significant, they are asserting the human being into their conception of their world through their writing.

These student writers do not reach such depthful analyses and academic arguments by merely reading articles, listening to lectures, and then writing a formulaic five-paragraph research paper. Key to their ethical practice or practice in ethics (this is practical activity) are their intimate involvement in a community hospital, their subsequent reflection exercises, and a gradually produced and multi-genre ethical argument.

Students in service-learning courses are not volunteers in the generally understood sense. There is much to be said for such civic activities as volunteerism, but service-learning students do not stop there. They serve their community in a more complex, dialectical way. They are asked to read their community as a text inside of a larger context, reaching below socially enforced appearances to the deeper cultural currents that compose the body of our collective life. When a student observes nurses and doctors speaking badly of each other or of patients, she or he begins to glimpse a whole dimension of the medical world that no amount of supposed scientific objectivity can disguise. When a student witnesses an African-American patient's insurance status being greatly scrutinized while a Euro-American patient of comparable socio-economic standing is admitted with nothing more than the usual bureaucratic inconvenience, that student observes firsthand one of the deepest cultural problems in the U.S. A student who realizes that institutions such as hospitals and universities might exploit volunteers and service-learners for economic and academic profit is a student engaging the very conflicted nature of the so-called good in our society: Is one doing good, or is one in service to a system of exchangeable goods? These are just some of the topics service-learning students have brought forward in the last few years.

Student experiences--or practical activities--in the community are anything but removed from academic work--or theoretical practice--in the university, and vice versa VICE VERSA. On the contrary; on opposite sides. . (One might notice the blurring of lines between practical and theoretical activity, which is indicated by mixing terminology. Moreover, we will proceed henceforth with the term "production" in place of "activity" so that a notion of production countervails the typically implied bourgeois usage.) Refocusing on student writing assignments will perhaps demonstrate how theoretical and practical production are not merely interconnected but are interimplicated, to borrow a term from a Lacanian theorist. [9]

What students are asked to do is probably going to again sound rather practical, except of course to students, at least initially. In their journals, students write twenty or more entries. Each entry is supposed to be at least two handwritten hand·write  
tr.v. hand·wrote , hand·writ·ten , hand·writ·ing, hand·writes
To write by hand.



[Back-formation from handwritten.]

Adj. 1.
 pages in length. Approximately one-third of the entries are prompt-driven. These usually consist of reflections on reading, concepts, or class discussion. The other two-thirds of the entries are experience-driven, the majority of which are specifically related to service work at the hospital. Student writers are encouraged to take risks and express "crazy thoughts" in their journals, and they must somehow connect what they observe at the hospital--no matter how mundane it might seem--to the larger socio-cultural context. To use the idiom of Walter Benjamin Walter Bendix Schönflies Benjamin (July 15, 1892 – September 27, 1940) was a German Marxist literary critic, essayist, translator, and philosopher. He was at times associated with the Frankfurt School of critical theory and was also greatly inspired by the Marxism of Bertolt  and Theodor Adorno, the journal should be the place where they build constellations. [10] This extensive and ongoing writing activity has proved to build writers' confidence and to assist them in the three formal writing assignments.

The first formal paper is an analysis of an op-ed writer's article on a medical topic of each student's choosing. To prepare for this paper, students study the Socratic process of maieusis, conduct trial analyses in small groups, and practice such analyses in their journals. They judge an argument strictly on its rhetorical merits, avoiding reference to their own or the author's position on the topic at hand. Through this method, the students become sensitive to biases, fallacies, and the like in other people's writing. For the second paper, students write what is popularly called a dialectical argument, based on the format used in the essay portion of the Medical College Admission Test (MCAT MCAT
abbr.
Medical College Admissions Test


MCAT Medical college admission test, pronounced, EM-cat A preadmission exam administered by the Psychological Corp., required in the US before entrance to medical school.
): the writer presents binary views concerning the topic, writing each position as "a believer," and then ultimately presents a compromise or produces a new solution. Students thereby encounter the concepts of thesis, antithesis, and synthesis. Effectively, the so-called synthesis of the second paper becomes the thesis of the third and final paper, which is the standard academic term paper. All three assignments involve some amount of research, so none of the papers is an exercise in Unhindered unhindered
Adjective

not prevented or obstructed: unhindered access

Adverb

without being prevented or obstructed: he was able to go about his work unhindered 
 subjectivity. The papers lead one into the other, demonstrating a graduated approach to argumentative writing and together forming an ethical argument. So, once more, such assignments seem relatively practical, at least as far as pedagogy is concerned.

When bringing into relation their experiences at their service sites, their reflections in twenty-plus journal entries and in class discussions, their analyses of other writers, their research, and their composition of formal writing assignments, something magical for these student writers does seem to occur. Perhaps we should not say "magical"; maybe "illuminating" would be a better term.

On the level of academic writing, students themselves tend to increase the amount of rigor rigor /rig·or/ (rig´er) [L.] chill; rigidity.

rigor mor´tis  the stiffening of a dead body accompanying depletion of adenosine triphosphate in the muscle fibers.
 they apply to each assignment, and they begin to enjoy writing. Enjoyment, though, must be qualified: Students have indicated that they feel something akin to what an athlete might experience in a competition. The harder they push themselves, the more euphoric they become. The production of writing is not always comfortable, but it takes them to the brink of something that they did not expect. When it comes to the study of topical medical issues, the students believe they have a stake in the topics they have chosen, and they feel that the political, economic, and cultural forces that intersect in a given topic require closer scrutiny. More significantly, issues are no longer merely issues but are connected to bodies, to human beings.

Finally, on the ethical dimension, writing students have indicated that they become more comfortable with ethics. Most are initially frightened, confused, or indifferent when they find out the course has an ethics focus. Indeed, discussing HMOs seems less daunting daunt  
tr.v. daunt·ed, daunt·ing, daunts
To abate the courage of; discourage. See Synonyms at dismay.



[Middle English daunten, from Old French danter, from Latin
 to some than discussing morality. This is due in large part to the fact that many students have been raised to believe that ethics is dogma. Some have indicated relief when they discover that ethics, at least in how they are asked to approach it, actually resists dogmatism. Admittedly, others are not pleased at all when they find out that ethical thought might actually raise more questions than it answers, break down more laws than it proffers. During the course, though, students typically come to the conclusion that ethical reasoning or writing through ethics opens up a space for them in what many of them otherwise believe to be a daunting, suffocating suf·fo·cate  
v. suf·fo·cat·ed, suf·fo·cat·ing, suf·fo·cates

v.tr.
1. To kill or destroy by preventing access of air or oxygen.

2. To impair the respiration of; asphyxiate.

3.
, totally colonized Colonized
This occurs when a microorganism is found on or in a person without causing a disease.

Mentioned in: Isolation
, hyper-competitive, and cynical world.

In the pedagogical ped·a·gog·ic   also ped·a·gog·i·cal
adj.
1. Of, relating to, or characteristic of pedagogy.

2. Characterized by pedantic formality: a haughty, pedagogic manner.
 environment described thus far, the actual teaching and learning occur during the writing process, of which the students quickly take charge. If we scratch below the surface of what seems practical, one finds an arguably impractical but no less educational process. Now, to clarify the view of composition promoted in this course, let us follow the lead of Jean-Franqois Lyotard and broaden the definition of writing to include any deliberate thought event, which is, says Lyotard:
   to question everything including thought, and question, and the
   process. To question requires that something happen that reason has
   not yet known. In thinking, one accepts the occurrence for what it
   is: 'not yet' determined. One does not prejudge it, and there is no
   security. Peregrination in the desert. One cannot write without
   bearing witness to the abyss of time in its coming. [11]


But to honor Hippocrates and his negative and affirmative dialectical thinking, and to better reflect on the conception of writing discussed here, we should adjust Lyotard's thinking a bit, at least as it is reflected in the above passage. The writer is not just bearing witness, which is the negative current of the dialectic, but the writer also enters into the openings of what is not yet, which is the affirmative or positive current. Such sites or events are arguably where one enters into ethics, where life occurs, where the ethical self or subject can emerge. [12] But such moments of production, to reassert the word, are only possible if the human being engages the physical, social, and philosophical material in which she or he is rooted. Only by working through the extant, and recognizing one's place in it, can the ethical subject exceed the extant. This working through requires a diet, regime, or habit of being.

Indeed, when it comes down to it, all a teacher can do in such a context is suggest a diet or regimen. Let us return for a moment to our passage from the Hippocratic Oath. "I will apply dietetic measures for the benefit of [human beings] according to my ability and judgment; I will keep them from harm." [ 13] As noted earlier, Hippocrates writes in such a way that one cannot just adopt outright any of his stated principles. One must wrestle with them and their ambivalent nature. Granted, a doctor--or teacher [14]--will apply or prescribe a certain set of habits: "I will apply dietetic measures for the benefit" of human beings. When we read what first appears to be a straightforward prescription, we are, nevertheless, effectively stopped in our tracks.

Hippocrates' directive in the first clause of the passage seems clear enough. Yet we should not gloss over Verb 1. gloss over - treat hurriedly or avoid dealing with properly
skate over, skimp over, slur over, smooth over

do by, treat, handle - interact in a certain way; "Do right by her"; "Treat him with caution, please"; "Handle the press reporters gently"
 the latter part of this clause. Any application must not occur without reflecting on one's own applied and speculative knowledge: a person must scrutinize one's own "ability and judgment." Here again, we are reminded of the conflicting attributes of Hippocrates' ethics and, by extension, moral philosophy in general. Before moving on, let us parse the second clause of the tenet. On the one hand, we have what initially seems to be an affirmative movement of the subject, "I will." We nevertheless come immediately to the actual verb, object, and adverbial ad·ver·bi·al  
adj.
Of, relating to, or being an adverb.

n.
An adverbial element or phrase.



ad·verbi·al·ly adv.
 qualifier of the clause, "keep them from harm." Now we are in the realm of the negative, but even here, the predicate In programming, a statement that evaluates an expression and provides a true or false answer based on the condition of the data.  by itself morphs into another case of contradictory semantics: "keep them from harm" becomes another interaction of the positive and negative. As with the statement "Do no harm" in Hippocrates' Epidemics, what seems simple, prescriptive, and normative in the Oath is really anything but simple, prescriptive, and normative, at least not in the sense that some might desire.

Indeed, the physician--or teacher or writer--must follow a dialectical diet or regime in order to best serve her or his patients. If one follows the implications of this analysis of the Oath, neither the doctor nor the patient--neither the teacher nor student, neither the writer nor reader--is or should be in complete control of the situation. Any knowledge and any health can only be obtained through rigorous dialectical processes. Therefore, if we may carry the logic further, ethics, if not life, is a result of techniques [15] that feed into and come out of constant engagement with the self and the other, with the subjective and objective materials flowing in and around us.

This technical view has recently come to the fore Verb 1. come to the fore - make oneself visible; take action; "Young people should step to the fore and help their peers"
come forward, step forward, step to the fore, step up, come out
 greatly because Michel Foucault in his later work called attention to such an ethic or, to use his appellation ap·pel·la·tion  
n.
1. A name, title, or designation.

2. A protected name under which a wine may be sold, indicating that the grapes used are of a specific kind from a specific district.

3. The act of naming.
, technologies of the self. One can see Foucault's deliberate move into moral philosophy in his study of sexual practice, particularly in the second volume of his history of sexuality, The Use of Pleasure. [16] In the books, articles, interviews, and lectures of his later years, Foucault focuses more and more on a re-envisioned, non-aristocratic, and positive askesis that defies the forms of asceticism asceticism (əsĕt`ĭsĭzəm), rejection of bodily pleasures through sustained self-denial and self-mortification, with the objective of strengthening spiritual life.  emerging near the end of classical Greece Classical Greece, the classical period of Ancient Greece, corresponds to most of the 5th and 4th centuries B.C. (i.e. from the fall of the Athenian tyranny in 510 BC to the death of Alexander the Great in 323 BC).  and Rome and throughout Christian history. [17] From a Nietzschean perspective, he revisits the ethical concepts and practices of such classical thinkers as the Socratics, Aristotle, the Sophists Sophists (sŏf`ĭsts), originally, itinerant teachers in Greece (5th cent. B.C.) who provided education through lectures and in return received fees from their audiences. The term was given as a mark of respect. , as well as Seneca and the Stoics. He does this not to recover them but to work through what the ancients did in order to understand what worked and what did not, to engage the present, and most importantly Adv. 1. most importantly - above and beyond all other consideration; "above all, you must be independent"
above all, most especially
, to construct or compose subjectivity. Of particular interest is the value that Foucault finds in and places on writing as one of the primary technologies of the self. He is drawn to a production of the ethical self through hupomnemata.

Classical thinkers often conducted the process of hupomnemata, which today might be compared to composing a commonplace book commonplace book
n.
A personal journal in which quotable passages, literary excerpts, and comments are written.

Noun 1. commonplace book - a notebook in which you enter memorabilia
. In such writing, a person would record memorable ideas, passages, or comments he or she had read or heard. This process, though, was not simply a matter of copying or regurgitating information; in fact, the procedure was supposed to transform both the person writing such passages and the materials encountered. As a consequence, the learner emerged through but exceeded what was studied, and the student reengaged with her- or himself. What the ancients were up to is instructive; nonetheless, the ancient modes of production are only part of the historical or material fabric through which we as selves arise or are produced. Our emergence or production consequently opens up history, adds to it, reconnects to it, and exceeds it time and time again. All told, the ethic described here is probably impractical, immoral, and even evil, which arguably makes it all the more ethical and educable educable /ed·u·ca·ble/ (ej´u-kah-b'l) capable of being educated; formerly used to refer to persons with mild mental retardation (I.Q. approximately 50–70). . This is not a cavalier celebration of heterogeneity; nor is this a bourgeois-liberal case that epicurean atomism atomism, philosophic concept of the nature of the universe, holding that the universe is composed of invisible, indestructible material particles. The theory was first advanced in the 5th cent. B.C. by Leucippus and was elaborated by Democritus.  or radical relativism is sacred. (A deeper awareness of and a dialectical interaction between heteronomy Het`er`on´o`my

n. 1. Subordination or subjection to the law of another; political subjection of a community or state; - opposed to autonomy.
2. (Metaph.
 and autonomy are nonetheless useful.) Indeed, nothing but a rigorous ethical attitude has been espoused here, even if what has been presented is not a coherent, easily exchangeable ethical code Noun 1. ethical code - a system of principles governing morality and acceptable conduct
ethic

system of rules, system - a complex of methods or rules governing behavior; "they have to operate under a system they oppose"; "that language has a complex system
 or moral good.

Ethics, as alluded, is a genre of human production that is integrally situated in history, politics, economics, and culture, but it does not accept the given as given, the given as predetermined pre·de·ter·mine  
v. pre·de·ter·mined, pre·de·ter·min·ing, pre·de·ter·mines

v.tr.
1. To determine, decide, or establish in advance:
, or the given as final. Ethics is a technique of entering into the multifarious multifarious adj., adv. reference to a lawsuit in which either party or various causes of action (claims based on different legal theories) are improperly joined together in the same suit. This is more commonly called "misjoinder." (See: misjoinder) , often contradictory currents of human existence, locating intersections and gaps in that living textile, and emerging through it. Such an ethical attitude has very little interest in perpetuating contradictions, such as interior-exterior, practical-theoretical, academic-civic, subject-object, mind-body, and so forth. Yes, the contradictions do provide dialectical energy, and they will probably always exist; nevertheless, contrary to what some interested in mainstream moral philosophy, politics, and education might demand, the aporias of the human condition do not necessitate elision e·li·sion  
n.
1.
a. Omission of a final or initial sound in pronunciation.

b. Omission of an unstressed vowel or syllable, as in scanning a verse.

2. The act or an instance of omitting something.
 or foreclosure of ambivalence in the name of practicality, efficiency, and performativity.

As our close reading of the third section of the Hippocratic Oath demonstrated, the materialization of the ethical moment and the human being transpires as a result of entering into and learning from the contradictory impulses circulating in and around us. Such is also, by the way, what effective service-learning curricula show us time and time again. Medicine, the Hippocratic Oath, and writing in their purview The part of a statute or a law that delineates its purpose and scope.

Purview refers to the enacting part of a statute. It generally begins with the words be it enacted and continues as far as the repealing clause.
 remind us how the hard work of reflective production is indispensable for human health, broadly defined. Moreover, what the medicinal arts, Hippocrates, and ethical composition show us--whether in the classroom, in the operating room operating room
n. Abbr. OR
A room equipped for performing surgical operations.
, or on the sidewalk--is that human life is not a matter of bringing together theory and practice but is a matter of composing ourselves from their vital interactions and amalgamations. At least this is what service-learning students have demonstrated in this course.

Epilogue

How might one measure the success of eight sections of the course discussed and of service-learning in general? Exceeding any easily quantifiable result is the fact that most of the students in the course have demonstrated through their writing that they are increasingly confident writers and that their writing is directly connected to their lives (professional and private) and to the world. Nevertheless, there are apparently three distinct, somewhat quantitative indicators. First, students in the course have received recognition at the university level, and one received an award for her performance in this course and the service-learning program at LSU LSU Louisiana State University
LSU Large Subunit
LSU La Salle University (Philadelphia, PA)
LSU La Sierra University
LSU Link State Update (OSPF)
LSU Learning Support Unit
. The community partner and instructor have also received such awards. However, awards are typically superficial markers of success. The second, more substantial, and student-driven indicator comes through anonymous course evaluations. The majority of students--many of whom entered the course either frightened of or indifferent to writing--have expressed a heightened interest in writing and a sense of empowerment as writers. They have also indicated that having a thematic focus--which is frequently directly or indirectly related to the students' disciplines--promotes better, more depthful writing. Since teaching this course, the instructor has reached a similar conclusion: student writing is more thoughtful, better researched, and better written in general. Further, students find that otherwise difficult course materials and cultural issues are easier to manage in a focused service-learning environment. Exposure to real-world scenarios and extensive discussion and reflection seem to contribute to this sense of ease. Third, former students have recommended the course to others, have gone on to take other service-learning courses, and have continued to volunteer in their communities, particularly in medical facilities. Some former students have also decided whether or not they will pursue a medical profession because of this course, which is one of the only non-science pre-med courses on campus.

There are, though, problems that the instructor and learning institutions should keep in mind. According to the ethic described above, service-learning courses should not become static--they must adjust to the needs of the students and the community. When the course elaborated here first began, it sometimes proved overwhelming to both the students and the teacher. It was tempting to want to do too much at once; this is why the present instructor, through trial and error, has narrowed even further the focus of the course, has tied writing assignments more tightly to the service performed, and has constructed the writing assignments so that they build on and bleed into one another. To be even more frank, this instructor has grown more attached to the described ethic as a consequence of confronting previous problems in the course. The reading for the course has been dramatically reduced to a small rhetoric, one major philosophical article, and a limited amount of small articles from journals and popular periodicals: Hugh Mercer For the Confederate general, see .

Hugh Mercer (January 17, 1726 – January 12, 1777) was a physician, a brigadier general in the Continental Army and a close friend to George Washington.
 Curtler's Ethical Argument, [18] Harold Schweizer's "To Give Suffering a Language,"[19] opinion columns in newspapers and magazines, and a few small articles from medical publications, such as the Journal of the American Medical Association JAMA: The Journal of the American Medical Association is an international peer-reviewed general medical journal, published 48 times per year by the American Medical Association. JAMA is the most widely circulated medical journal in the world.  and the British Medical Journal The British Medical Journal, or BMJ, is one of the most popular and widely-read peer-reviewed general medical journals in the world.[2] It is published by the BMJ Publishing Group Ltd (owned by the British Medical Association), whose other . As a consequence of curtailing assigned readings and lectures, argumentative writing is no longer just the subject of the course but has effectively become, through its direct connection with service, the predominant mode of instruction. The success of this service-learning course therefore depends on the integrality and flexibility of the subject matter, teacher, and students.

References

[1] Hippocrates (circa 450-350 B.C.). The Hippocratic Oath, The Hippocratic Oath: Text, Translation, and Interpretation, ed. Ludwig Edelstein Ludwig Edelstein (1902-1965) was a classical scholar and historian of medicine. He left Germany in 1933, and took up an appointment at Johns Hopkins University in 1934. Subsequently he taught at the University of Washington, the University of California, and the Rockefeller , (Baltimore: Johns Hopkins Noun 1. Johns Hopkins - United States financier and philanthropist who left money to found the university and hospital that bear his name in Baltimore (1795-1873)
Hopkins

2.
, 1943).

[2] Hippocrates (circa 450-350 B.C.). Epidemics 1 and III Hippocrates, Volume I, Trans. W. H. S. Jones, (Cambridge, Mass. and London, England: Harvard UP, 1995), p. 165.

[3] This is the argument Theodor W. Adorno
For the Italian family see Adorno (Family)


Theodor Ludwig Wiesengrund Adorno (September 11, 1903 – August 6, 1969) was a German sociologist, philosopher, pianist, musicologist, and composer.
 makes concerning Immanuel Kant's moral philosophy and moral philosophy in general: Adomo, Theodor W. (1963). Problems of Moral Philosophy, ed. Thomas Schr0der, trans. Rodney Livingstone, (Stanford: Stanford UP, 2001).

[4] Zlotkowski, Edward (1999). "Pedagogy and Engagement," Colleges and Universities as Citizens, eds. Robert G. Bringle, et. al (Boston: Allyn and Bacon), pp. 104-105.

[5] Immediately coming to mind are the following: Hume, David Hume, David (hym), 1711–76, Scottish philosopher and historian. Educated at Edinburgh, he lived (1734–37) in France, where he finished his first philosophical work,  (1748). An Enquiry Concerning Human Understanding, ed. Tom L Beauchamp (Oxford, England: Oxford LIP, 1999). Nietzsche, Friedrich Nietzsche, Friedrich (Wilhelm)

(born Oct. 15, 1844, Röcken, Saxony, Prussia—died Aug. 25, 1900, Weimar, Thuringian States) German-Swiss philosopher and writer, one of the most influential of modern thinkers.
 (1886). Beyond Good and Evil, Basic Writings of Nietzsche, ed. and trans. Walter Kaufmann Walter Kaufmann is the name of
  • Walter Kaufmann (physicist) (1871–1947)
  • Walter Kaufmann (composer) (1907–1984)
  • Walter Kaufmann (philosopher) (1921–1980)
 (New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
: Modern Library, 1992), pp. 1912,35. Derrida, Jacques Derrida, Jacques (zhäk` dĕr'rēdä`), 1930–2004, French philosopher, b. El Biar, Algeria. A graduate of the École Normale Supérieure in Paris, he taught there and at the Sorbonne, the École des Hautes  (1972-88). Limited Inc, ed. Gerald Graft, trans. Samuel Weber et al (Evanston, Illinois Evanston is a city on Lake Michigan in Cook County, Illinois directly north of Chicago, east of Skokie, and south of Wilmette. The city was first settled in 1836, and has a total population of 74,239[1]. Evanston is part of Chicago's affluent North Shore region. : Northwestern UP).

[6] Lyotard, Jean-Francois (1979). The Postmodern Condition: A Report on Knowledge, trans. Geoff Bennington and Brian Massumi Brian Massumi is an academic, writer and social critic. He teaches in the Communication Department of the Université de Montréal. Massumi focuses on the philosophies of communication, electronic art, computer-aided design, architecture and the virtual.  (Minneapolis: U of Minnesota P, 1984).

[7] Nietzsche. Adorno, Tbeodor W. (1951). Minima Moralia: Reflections from a Damaged Life, trans. E.F.N. Jephcott (London and New York: Verso ver·so  
n. pl. ver·sos
1. A left-hand page of a book or the reverse side of a leaf, as opposed to the recto.

2. The back of a coin or medal.
, 1974).

Lacan, Jacques Lacan, Jacques (zhäk läkäN`), 1901–81, French psychoanalyst. After receiving a medical degree, he became a psychoanalyst in Paris.  (1959-1960). The Seminar of Jacques Lacan Jacques-Marie-Émile Lacan (French IPA: [ʒak la'kɑ̃]) (April 13, 1901 – September 9, 1981) was a French psychoanalyst, psychiatrist, and doctor, who made prominent contributions to the psychoanalytic movement. , Book VII: The Ethics of Psychoanalysis 19591960, trans. Dennis Porter, ed. Jacques-Alain Miller Jacques-Alain Miller is a prominent French Lacanian psychoanalyst.

As a student at the École Normale Supérieure, he met Lacan in 1964 while attending his seminars at the rue d'Ulm.
 (New York: Norton, 1992), chapter 24.

[8] Karl Marx and Friedrich Engels themselves did not neglect the emancipatory e·man·ci·pate  
tr.v. e·man·ci·pat·ed, e·man·ci·pat·ing, e·man·ci·pates
1. To free from bondage, oppression, or restraint; liberate.

2.
 power and inspired force of the bourgeoisie, characteristics which to a Marxist make countering bourgeois production and value systems all the more challenging and necessary. Marx, Karl Marx, Karl, 1818–83, German social philosopher, the chief theorist of modern socialism and communism. Early Life


Marx's father, a lawyer, converted from Judaism to Lutheranism in 1824.
 and Friedrich Engels (1848-1893). The Communist Manifesto Communist Manifesto

Pamphlet written in 1848 by Karl Marx and Friedrich Engels to serve as the platform of the Communist League. It argued that industrialization had exacerbated the divide between the capitalist ruling class and the proletariat, which had become
, trans. Samuel Moore Samuel (or Sam) Moore may refer to:
  • Samuel B. Moore (1789–1846) governor of Alabama
  • Sam Moore, singer from the soul duo Sam & Dave
  • Samuel J. Moore (1859–1948), Canadian businessman, founder of Moore Business Forms
  • Samuel N.
 (New York: Simon & Schuster Simon & Schuster

U.S. publishing company. It was founded in 1924 by Richard L. Simon (1899–1960) and M. Lincoln Schuster (1897–1970), whose initial project, the original crossword-puzzle book, was a best-seller.
, 1964).

[9] Felman, Shoshana (1987). Jacques Lacan and the Adventure of Insight: Psychoanalysis in Contemporary Culture (Cambridge, Mass. and London, England: Harvard LIP, 1987), p. 49.

[10] Adorao, Theodor W. (1970). Aesthetic Theory, trans, and ed. Robert Hullot-Kentor (Minneapolis: U of Minnnsota P, 1997). Benjamin, Walter (1927-1940). The Arcades Project, trans. Howard Eiland and Kevin McLaughlin (Cambridge, Mass. and London, England: Belknap, 1999).

[11] Lyotard, Jean-Francois (1988). "Time Today," The Inhuman: Reflections on Time, trans. Geoffrey Bennington and Rachel Bowlby (Stanford: Stanford UP, 1991), p. 74.

[12] I owe much to Alain Badiou when it comes to this affirmative modification to negative dialectics: Badiou, Alain (1998). Ethics: An Essay on the Understanding of Evil, trans. Peter Hanward (London and New York: Verso, 2001). Badiou, Alain (1997). "The Political Procedure of Truth," trans. Barbara P. Fulks, Lacanian Ink, 19, pp. 71-81.

[13] I must note at this point that I am Nietzschean enough and Deleuzean enough not to promote a culture of sickness, so I replace "the sick" in the Oath with "human beings." Friedrich Nietzsche bemoans the fact that bourgeois culture privileges, if not celebrates, sickness as its moral foundation: Nietzsche (1887). On the Genealogy of Morals, Basic Writings of Nietzsche, ed. and trans. Walter Kaufmann (New York: Modern Library, 1992), pp. 449-599. Like Nietzsche, Gilles Deleuze and Felix Guattari challenge the wholesale acceptance of and dependence on neurosis neurosis, in psychiatry, a broad category of psychological disturbance, encompassing various mild forms of mental disorder. Until fairly recently, the term neurosis was broadly employed in contrast with psychosis, which denoted much more severe, debilitating mental  in much of Western culture: Deleuze, Gilles and Felix Guattari (1972). Anti-Oedipus: Capitalism and Schizophrenia Capitalism and Schizophrenia is a two-volume theoretical work by the French authors Deleuze and Guattari. Its two volumes, published eight years apart, are Anti-Œdipus and A Thousand Plateaus. , trans. Robert Hurley et al (Minneapolis: U of Minnesota P, 1983). Deleaze and Guattari (1980). A Thousand Plateaus: Capitalism and Schizophrenia, trans. Brian Massumi (Minneapolis: U of Minnesota P, 1987). See also Foucault, Michel (1973). Birth of the Clinic: An Archaeology of Medical Perception, trans. A.M. Sheridan Smith (New York: Pantheon).

[14] One should keep in mind that our current usage of the term "doctor" is an etymological et·y·mo·log·i·cal   also et·y·mo·log·ic
adj.
Of or relating to etymology or based on the principles of etymology.



et
 derivative of the Latin words for teaching and learning: "doctor" and "docere," respectively.

[15] Employing the word technology is an estranging es·trange  
tr.v. es·tranged, es·trang·ing, es·trang·es
1. To make hostile, unsympathetic, or indifferent; alienate.

2. To remove from an accustomed place or set of associations.
 and therefore resistant move. The use of a term popularly associated with machinery and objectivity to study human formation seems to deny humans their vitality and subjectivity. However, as Lyotard finds in the etymology etymology (ĕtĭmŏl`əjē), branch of linguistics that investigates the history, development, and origin of words. It was this study that chiefly revealed the regular relations of sounds in the Indo-European languages (as described  of the word, technique--even at the microbiotic level--is dialectical and perhaps revolutionary. Lyotard writes: "It is perfectly possible to say that the living cell, and the organism with its organs, are [sic] already tekhnai, that 'life', as they say, is already technique ... The history of life on earth cannot be assimilated to the history of technique in the common sense, because it has not proceeded by remembering but by breaching." one should take Lyotard's extremely applicable point; nevertheless, his logic seems a little off, dialectically speaking. Breaching would entail some consciousness of the what-has-been. So, with this minor adjustment (which Lyotard himself effectively makes elsewhere throughout his oeuvre) one may incorporate his insight and proceed. Lyotard (1986). "Logos, Techae, or Telegraphy," The Inhuman: Reflections on Time, trans. Geoffrey Bennington and Rachel Bowlby (Stanford: Stanford LIP, 1991), 52.

[16] Foucault (1984). The Use of Pleasure: The History of Sexuality, vol. 2, trans. Robert Hurley (New York: Vintage, 1990).

[17] Foucault (1954-84). Ethics: Subjectivity and Truth, ed. Paul Rabinow, trans. Robert Hurley et al (New York: New York P, 1997), pp. 109-328.

[18] Curtler, Hugh Mercer (1992). Ethical Argument: Critical Thinking in Ethics (St. Paul: Paragon).

[19] Schweizer, Harold (1995). To Give Suffering a Language. Literature and Medicine, 14(2), 210-221.

Benjamin G. Lanier-Nabors, Luisiana State University

Lanier-Nabors is a doctoral candidate and teacher. His concentrations are ethics, rhetoric, epistemology, postmodernism, and contemporary Scottish literature.
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