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Editor's
Note--
As a way of coming to grips with the terrorist attacks in September, this
issue of MHR departs from its usual focus on issues in health care, looking
instead at how individuals in the health care Colleges at MSU are responded
to these events. Our hearts and thoughts are with everyone who has suffered
from this tragedy.
Listening After
September 11
By Judith Andre, PhD
On September 11, 2001, I took a small private vow. I promised myself to
speak up against false absolutes. Sitting in front of the television,
unable to move, unable almost to think or feel, I nevertheless understood
one thing. The perpetrators of the destruction lived in a world of absolutes.
They had created, with encouragement from others, a picture of themselves
as good and others-us-as evil. During the day I heard various world leaders
keep the image and reverse the polarity: "This is a moment of moral
clarity," said one. "This is good versus evil."
I do believe that what was done was evil, and I have no interest in explaining
it away, condoning it, justifying it, or mitigating it. But the horror
of the attack does not insure that we, the victims, will automatically
be forces of good. That it does is such an easy mistake to make; the self-induced
blindness of the attackers tempts every human being, at some time, to
some degree. Fanaticism is, to use a medical metaphor, the hypertrophy
of something quite ordinary and often good: the human attraction to clarity.
Uncomplicated worldviews supply emotional and often intellectual satisfaction.
When Newton formulated the laws that explained the motions of the heavenly
bodies - when he captured thousands of observed facts in three simple
principles - he transformed our mental worlds in a deeply satisfying way.
The moral world does not admit of such a reduction, but most of us would
be comforted if it did. There is where the danger lies.
Trying to comprehend what was happening on September 11, my first reaction
was that we had been sucked into a river of hatred and blood, from whose
current we could never escape. I knew that our foreign policy was part
of the context for the attacks. I also knew that we had to respond to
them, but I could imagine no response that did not feed the river until
it became a torrent. I ended the day and the week in despair.
In retrospect, I think that my image of an inescapable torrent depended
on an assumption of high, steep banks. However, between the attackers'
pathology and Newton's brilliance is a vast graduated landscape. Even
a thesaurus suggests how varied it is: synonyms for "simple"
(as in oversimplify) include crude, graceful, callow, rudimentary, and
tasteful. Simplicity can be ugly, it can be beautiful, it can corrupt,
it can redeem.
What haunted me on September 11 were memories of the too many simplistic
and angry conversations to which I had listened over the years. As it
happens, the people I love span a wide spectrum of political, religious,
and ethnic identities: Byzantine Catholic, Shiite Muslim, atheist; right-wing
and left-wing; Jew and Arab. I remembered an Arab woman widowed by the
Gulf War chanting rage to her grandchildren; a Christian pastor who told
his congregation that Muslims believed they would go to heaven if they
killed a Christian; a cousin who suggested that the United States government
had bombed the federal building in Oklahoma City; left-wing friends who
believe that everyone on the right is stupid or pathological. On that
Tuesday I remembered all this, and my own frequent silence in the face
of it.
I had recently been writing on the virtue of intellectual honesty, a virtue
upon which medicine, the life sciences, and the humanities depend. An
honest person, philosopher Linda Zagzebski reminds us, does more than
avoid telling lies. She "is careful with the truth. She respects
it and does her best to find it out, to preserve it, and to communicate
it," choosing ways to communicate that permit hearers not only to
understand and accept it, but also to be justified in accepting it. [1]
This is much more demanding than avoiding falsehood, but it is what academia
is all about. It is part of what the best clinical encounters are about.
On the Tuesday of the attacks I was revising a manuscript in which I argue
that the medical humanities, as a professional field, can be understood
as a participation in moral development: deepening, in ourselves and in
clinicians, scientists, and the public, an ability to see the moral dimensions
of health care, health policy, and health science; the ability to reflect
upon what we see, to reason about it, and to act (that is, to help make
things correspondingly better). Progress in seeing, reflecting, and reasoning,
I believe, necessarily includes progress toward cognitive complexity.
Cognitive complexity is not what the Queen in Alice in Wonderland achieves
(believing impossible things "for half an hour a day," sometimes
managing to believe "as many as six impossible things before breakfast.")
Nor is it the nihilism of some forms of post-modernism. It is a recognition
that understanding is always limited, perspectival, contingent - and capable
of growing.
Hence, on September 11, my small vow to speak up. To complicate, or at
least resist, oversimplifications, especially political ones and those
entangled with anger.
Not surprisingly, I soon heard some oversimplifications, as well as the
pure fabrications that narrow worldviews permit. I heard of emails circulating
within a Jewish community to the effect that patrons in a local Middle
Eastern restaurant cheered as they watched the World Trade Center collapse.
I heard of Arabs who believed that Israel was behind the attacks, and
4,000 Jews having been warned left the twin towers early. Some on the
left attributed ultimate responsibility for the attacks to U.S. foreign
policy; some on the right found any criticism of U.S. foreign policy treasonous.
Among the militant there was joyful anger: surfing radio stations one
morning I heard "What's the difference between Christmas and Afghanistan?
Come December, Christmas will be here."
Extreme reactions to extreme events are not surprising. Sometimes I kept
my small vow, sometimes not. Much more important than what I said was
what I heard. For soon, in fact almost immediately, I began to hear other
voices. They were voices not only of intellectual responsibility but of
compassion; for the problem is not just oversimplification but an accompanying
hardness of heart.
Already on the 12th I heard Norma Baptista describe a group of students
who groped their way through pain toward a renewed commitment to medicine.
Almost abashedly, they affirmed the nobility of their chosen profession.
(Dr. Baptista tells her own story in "InkLinks", p. 5.) My own
profession is of less immediate and physical use, but the health of the
mind matters as much as the health of the body. I was able to use my own
professional setting - a bioethics classroom - to deal with the moral
dimensions both of what had happened and the United States' response to
it.
In the week after the 11th I heard from friends as well. To my description
of a river of hatred and blood one replied immediately, "There's
a far wider river of compassion." And of course she was right. There
is nothing sentimental about her observation; we would not survive as
a species unless this was true. The evidence was every-where, from my
student late for class because he was giving blood, to the memorials on
campus that Friday, to the national outpouring of help for victims on
the East Coast. Within hours of the attacks email went out: we must protect
our American Muslim neighbors.
So I rather quickly became convinced that love and compassion are far
more widespread than hatred; they are also more fundamental than intellectual
complexity. Yet I was soon becoming aware that the latter was also clearly
evident. On September 11th itself, for instance, the media was careful
not to attribute responsibility prematurely; it even refrained from estimating
casualties. (Not so one national figure, who thought the day was probably
the bloodiest in American history. Someone reminded him of Antietam.)
From the beginning political leaders distinguished between the Islamic
mainstream and the fanatic hatred of particular men. The Jewish community
I mentioned called itself to task: Arab-Americans in that restaurant had
of course not rejoiced, and some of those who received the electronic
rumor made sure the truth was published (literally: a newspaper story
covered both the rumor and its halting). The grandson of the Gulf War
widow I mentioned earlier resisted her rage: he flooded me one evening
with stories of mercy and love from the Islamic canon, and especially
of compassion toward one's oppressors.
As I listened, the complexity grew. People became able to say that while
this was not Islam versus Christianity, or Islam versus the West, nevertheless
religion is part of the story. We are dealing with religious, not just
political, extremism, and religion deepens the intensity of whatever it
touches. As for the role and responsibility of the West, it is becoming
common knowledge that our Middle Eastern policy has often been disastrous,
morally as well as practically, yet most people understand that what began
on September 11th has other roots as well: a crisis of modernity in the
Middle East (see the columns of Karen Armstrong in Britain's The Guardian,
October 13); political expediency among leaders there; individual psychopathology
(see the personal history of Osama bin Laden). Dealing with these tangled
roots while in no way absolving the perpetrators of full responsibility
is a complex task. It resembles in some ways the recent attention to error
in medicine: emphasis on systemic causes (i.e., non-standardized equipment;
overworked residents and nurses; foolish reliance on short-term memory,
a faculty we know to be highly fallible) has to be juxtaposed with continuing
high standards of individual accountability. The two kinds of
causes are not mutually exclusive, but under-standing their compatibility
demands a certain degree of sophistication.
As I was listening through late September and October, I paid attention
above all to the way the Bush administration approached its terrible new
responsibility: to respond, to take action, to bring about death. I have
not appreciated the metaphor of war. In health care our efforts have often
been undercut by such language: the "war on drugs" did more
to put people in prison than to cut down drug abuse; the war on cancer
arguably diverted huge sums from riper lines of research. In spite of
the administration's language, however, I noticed the nuanced and careful
steps with which it prepared before taking action: its search for alliances,
its constant distinguishing between Muslims in general and the terrorists
in particular, its differentiation between the people of Afghanistan and
the terrorist network, its provision of humanitarian aid. The day I finally
put aside my despair was the day I heard that "Operation Infinite
Justice" had been renamed, because Islamic scholars pointed out that
infinite justice is the province of Allah. This administration understands
that more is at stake than eliminating Al Qaeda; that what comes next
in Afghanistan will have implications for our children's children. I tried
mightily not to give credit for any of this to George W. Bush until finally
someone reminded me that his was the final word, and that he chose from
competing advice given by advisors he had himself chosen. One of my own
comfortable simplifications of the world has gone, and I am glad to find
this unexpected opening of my own heart.
It is still early days, of course, and the situation treacherous. This
morning's paper spoke of the frustrating silence of the suspects who have
been arrested. We will not turn to torture - but perhaps we could export
them temporarily to countries that do? No. Please, no. Another article
describes Afghans as savage and deceitful during war. On the other hand,
still another article struggles for rationality and sense in the face
of possible biological weapons. "Cures" and "prevention"
might well be worse than the diseases.
Perhaps my listening has been selective, but the compassion and complexity
I have heard are really not uncommon. I am convinced that our country
has matured. Playwright and novelist Arthur Miller agrees; he finds parallels
today with the America of 1940, but "this time around . . . silence
is out of fashion, and a lot of us find our-selves struggling very consciously
with our fears."[2]
A shared public struggle is far better than a private reinforcement of
rigid minds and hardened hearts. September 11th did not, as I feared it
would, harden us still further. Or if it did in some cases, it also greatly
increased its opposite in others. If I may shift my metaphor from listening
to looking, let me close by quoting novelist Dorothy Sayers. In Gaudy
Night she offers the following prayer: "Lord, teach us to take our
hearts and look them in the face, however difficult it may be." Listening
to my friends, family, and country after September 11th, I believe we
are learning to do just that.
Notes
1 Zagzebski, 158.
2 "Shattering the Silence, Illuminating the Hatred,"
Writers on Writing, The New York Times on the Web, October 22, 2001.
Judith Andre is a Professor of Philosophy
and Faculty at the Center for Ethics, MSU
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