Summary:

In Rethinking Life and Death: The Collapse of Our Traditional Values, Peter Singer argues that "the traditional western ethic has collapsed" as we enter "a period of transition in our attitude to the sanctity of life" (pp. 1). The book begins with the tale of Trisha Marshall, a twenty-eight year old woman, who in 1993 was seventeen weeks pregnant when a gunshot to her head left her in an intensive care unit, her body warm, her heart beating, a respirator supporting her breathing. However, she was brain dead.

Her boyfriend and her parents wanted the hospital to do everything possible so that the baby would be born. The ethics committee of the hospital supported the decision. For the next 100 days, Trisha Marshall continued to be supported in the ICU until her baby was delivered by cesarean birth. After a blood test showed that the boyfriend was not the father, and after three weeks in the intensive care unit, the baby went to live with Marshall's parents.

Singer uses this introduction to pose the many ethical questions that are raised because of medicine's ability to keep a "brain dead" body warm for an extended period of time. "How should we treat someone whose brain is dead, but whose body is still warm and breathing? Is a fetus the kind of being whose life we should make great efforts to preserve? If so, should these efforts be made irrespective of their cost? Shall we just ignore the other lives that might be saved with the medical resources required?

Should efforts to preserve the fetus be made only when it is clear that the mother would have wanted this? Or when the (presumed?) father or other close relatives ask for the fetus to be saved? Or do we make these efforts because the fetus has a right to life which could only be overridden by the right of the pregnant woman to control her own body--and in this case there is no living pregnant woman whose rights override those of the fetus?" (pp. 17-18).

In the chapters that follow, Singer argues that whether western society will acknowledge it or not, we have, in our actions and decisions, moved to an ethic where "quality of life" distinctions trump "sanctity of life" positions. Yet, many continue to raise the "sanctity of life" position when it is clear that our legal and ethical positions in western society have embraced the "quality of life" stance. For Singer, this paradox results in an incoherent and illogical approach to the ethical challenges presented by modern medicine.

Throughout his book, Singer presents evidence for his argument through ethical and historical analysis of brain death, abortion, physician assisted suicide and euthanasia, organ donation, and the nature of persons. For those uncomfortable with Singer's position on "infanticide," this book allows one to follow Singer's argument and his recommendations in the last chapter for a coherent approach to these "quality of life" decisions.

He closes his book with the recommendation that a new ethic should embrace five new commandments to replace the old "sanctity of life" commandments. His commandments are: 1) Recognize that the worth of human life varies; 2) Take responsibility for the consequences of our decisions (in end of life care); 3) Respect a person's desire to live or die; 4) Bring children into the world only if they are wanted; and 5) Do not discriminate on the basis of species.

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The play takes place over a several-year period in the provincial town in which the Prozorov sisters and their brother Andrei live. Olga, the oldest, is a high school teacher; Masha is unhappily married to a teacher in the same school; and Irina and Andrei have dreams of moving back to Moscow. Vershinin, the new Army commander, joins the group of military hangers-on around the Prozorov home, a group that also includes the ineffectual doctor, Chebutykin, who lets everyone know that he has forgotten all the medicine he ever knew.

As time passes, Andrei marries Natalya and devotes himself to gambling, while Natalya has babies and takes over the household. Masha has a romantic affair with Vershinin; Natalya commits adultery with the school administrator. A fire rages through the town, but Chebutykin is drunk and unable to help the victims. In the end, just before the Army contingent moves to another post, Irina's fiancee is killed in a duel.

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The film opens with a bird's-eye sweep over the frieze of a post-engagement battlefield--mud, strewn with bodies and shards of machinery, all iron grey and relieved only by rare patches of crimson blood. Psychiatrist William Rivers (Jonathan Pryce) treats shell-shocked soldiers in the converted Craiglockhart Manor. He is obliged to admit the poet and decorated war hero, Siegfried Sassoon (James Wilby), because his military superiors prefer to label the much-loved Sassoon's public criticism of the war as insanity rather than treason. Rivers is supposed to "cure" the very sane poet of his anti-war sentiments.

At the hospital, Sassoon meets another poet, Wilfred Owen (Stuart Bunce), equally horrified by the war although he, like Sassoon, believes himself not to be a pacifist. A secondary plot is devoted to the mute officer Billy Pryor (Jonny Lee Miller) who recovers his speech, his memories, and a small portion of his self-respect through the patience of his doctor and his lover, Sarah (Tanya Allen). Vignettes of other personal horrors and the brutal psychological wounds they have caused are presented with riveting flashbacks to the ugly trenches. Sassoon, Owen, and Pryor return to active service. The film closes with a dismal scene of Owen's dead body lying in a trench.

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The Longhettis are an Italian-American working class family. Nick (Peter Falk) is a construction worker. He and his wife Mabel (Gena Rowlands) have three children. Mabel is unusual, perhaps mentally ill, maybe with a bipolar or borderline disorder, but diagnosis is not really the point. She is warm, spontaneous, beautiful, and an affectionate if inconsistent mother. Because Mabel is so eccentric and unpredictable, the Longhetti family seems to function at a kind of delicate equilibrium.

This stability is disrupted when Nick fails to get away from work on a night he and Mabel had planned to spend alone together. The children are with her mother, and Mabel finds it intolerable to be alone, so she gets drunk, goes out, and picks up someone in a bar. The next morning Nick brings a crowd of work mates home with him after the night shift and Mabel copes with the invasion by cooking up a spectacular spaghetti breakfast and flirting outrageously with one of Nick's friends.

Later when a neighbour brings his children to play, Mabel again behaves inappropriately. Nick, under pressure from his mother and Mabel's physician, is persuaded to have his wife institutionalized. She is taken away. Nick angrily rejects the concern of his friends, but struggles terribly to manage the children.

The film ends with the evening of Mabel's return from hospital. Nick and his mother have arranged a dinner party to celebrate her recovery, but it is quickly clear that, despite electroconvulsive therapy, Mabel is unchanged. It also becomes more evident than ever that her "madness" is rooted as much in the family's social network, her uncomprehending parents, judgmental mother-in-law, and volatile husband, as it is in her own brain or personality. But, after an appalling evening, Mabel and Nick put the children to bed and then go about cleaning up the house as usual, their fragile normality restored for now.

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This is a story of a day in the life of 12-year-old Albert Abrams in Brownsville, Brooklyn, during the Depression summer of 1934. Albert’s father is an irascible middle-aged general practitioner whose practice is getting smaller and smaller. Most of his patients can’t pay; and many have left Dr. Abrams to go to younger doctors, or to specialists. Albert’s mother is a refined literary-type lady who never complains about their life in the deteriorating neighborhood, even though all of their middle-class friends have moved elsewhere.

Albert is a brilliant young man ("the highest IQ in the school"), but his greatest desire is to be "one of the boys." He is small, skinny, and poor at sports. The other kids make fun of him because of his "rich" father. The novel describes a long day of verbal and physical harassment; its highlights are a critical punchball game between the white kids, mostly Jewish, and black kids of Longview Avenue, and a fistfight in which Albert actually "beats" one of his perennial nemeses. In the evening there is a fire in which Yussel Melnick, an old Talmudic scholar, is burned to death.

Peeking out from behind his son’s story is the image of Dr. Abrams, a man who once was the star of his medical school class, but whose career long ago failed to "take off" because of his bluntness, bad-temper, and general difficulty getting along with other professionals. He is portrayed as a man truly committed to his patients, but also prone to yelling at them and hounding them for payment. As the day progresses, it becomes evident that Dr. Abrams has been losing his grip; he has episodes of confusion and appears to be on the verge of a nervous breakdown. In the end, stimulated by love for his son, he rouses himself from suicidal ruminations.

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Summary:

Nikolai Stepanovich, a famous professor of medicine, narrates his own story. An elderly man, he believes he will die in a few months, although he refuses to consult a doctor about his illness. He knows his wife to be a fat, old busybody, but he remembers her as a young beauty. His daughter Lisa is engaged to Gnekker, an ugly young man who seems to have neither talent nor employment. The professor's only enjoyment is to spend hours talking with Katya, his young ward, who once ran off to join the theater in Moscow, but later returned to become an indolent do-nothing.

Although he is not cynical, Nikolai Stepanovich decries the poverty of medical education and he seriously questions the ability of graduating physicians to care for their patients. He finds himself beset by negative thoughts: "Feelings I never felt before have built a nest in my heart. I hate, I despise, I am filled with indignation."

He encourages Katya to go back to Moscow and become an actress, but she admits that she has no talent. After much urging by his wife, Stepanovich agrees to go to Kharkov to investigate Gnekker's background. When he gets there, however, he receives a message that Lisa and Gnekker were secretly married on the day before.

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Summary:

Kutcherov is the engineer in charge of building a bridge across the river two miles from the village of Obrutchanovo. He decides he likes the countryside so much that he buys some land and builds a house (the new villa) for his family near the village. The engineer and his wife attempt to befriend the local people, but the villagers continually complain about their own poverty and misuse the newcomers' good will.

Some villagers, led by Volodka, the blacksmith's son, act out their anger and desperation by insulting the engineer's wife and allowing their animals to graze around the new villa. These peasants complain that they never wanted the bridge in the first place; it only represents governmental interference.

Other villagers, represented by Rodion, the blacksmith, advise the Kutcherovs to be patient--in the long run, the peasants will learn to accept them. Eventually, after several incidents of vandalism, Kutcherov gets fed up and moves his family back to Moscow. The new villa lies empty.

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Summary:

Pyotor Mihailitch Ivashin and his mother are plunged into despair; Ivashin's young sister Zina has just left home to live with Vlassitch, an unhappy man who is separated from his wife. Pyotor doesn't know why he feels so outraged at this development; after all, he is a progressive and free thinking person, and Vlassitch is a neighbor. Yet, Pyotor worries that people will think he should do something about his sister's scandalous behavior.

Finally, he resolves to ride over to Vlasslitch's estate and express his anger. However, when he arrives, he is charmed by Vlassitch's gentleness and saddened by his sister's apparent unhappiness, despite her determination to carry through with her chosen path. As he leaves them, it seems that all three are unhappy: "And so the whole of life seemed to him as dark as this water in which the night sky was reflected . . . And it seemed to him that nothing could ever set it right."

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Summary:

Burkin and Ivan Ivanovich seek shelter from the rain in Alehin's country home. As they sit having their tea, Ivan Ivanovich tells the story of his brother, Nikolay, who worked as a government functionary and always dreamed of saving enough money to buy his own country home with a garden and gooseberries. He skimped and saved and finally, after his wife's death, bought an estate.

When Ivan Ivanovich visited him many years later, Nikolay was no longer the self-doubting clerk he once was, but had become a confident (and corpulent) landowner, who was obviously happy with his life and with the delicious gooseberries from the bushes he had planted. Ivan Ivanovich realized then that he, too, was a happy man, despite all the pain and evil in the world.

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Summary:

Nadya Shumin is engaged to be married to Andrey Andreitch, the son of a local priest. Nadya lives on her grandmother's estate with her mother, "a fair-haired woman tightly laced in, with a pince-nez, and diamonds on every finger." While Nadya is a woman with a great desire for education and independence, Andrey is a friendly but rather vacuous and totally unmotivated man.

Sasha, an ill and impoverished young man who is spending the summer on the estate has long been considered part of the family. Sasha implores Nadya to follow her heart--to go to Petersburg and attend the University. She resolves to do so and secretly accompanies Sasha when he returns to Moscow. She then goes on to begin her own life in Petersburg.

After the school term, Nadya returns for the summer, but she is aware that things will never be the same. The family receives word that Sasha has died of tuberculosis. At the end of the story, Nadya is packing to leave the estate "as she supposed forever."

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