Clean Hands

In the sixteenth century, in what is now modern-day Peru and Bolivia, Andean communities were forcibly removed from their traditional villages by Spanish colonizers and resettled in planned, self-governed towns modeled after those in Spain. But rather than merely conforming to Spanish cultural and political norms, indigenous Andeans adopted and gradually refashioned the religious practices dedicated to Christian saints and political institutions imposed on them,laying claim to their own rights and the sovereignty of the collective. The People Are King shows how common Andean people produced a new kind of civil society over three centuries of colonialism, merging their traditional understanding of collective life with the Spanish notion of the comun to demandparticipatory democracy. S. Elizabeth Penry explores how this hybrid concept of self-rule spurred the indigenous rebellions that erupted across Latin America in the eighteenth century, not only against Spanish rulers, but against native hereditary nobility, for acting against the will of the comuneros. Through the letters and documents of the Andean people themselves, The People Are King gives voice to a vision of community-based democracy that played a central role in the Age of Atlantic Revolutions and continues to galvanize indigenous movements in Bolivia today.People with scrupulosity have rigorous, obsessive moral beliefs that lead them to perform extreme, compulsive moral acts. A waitress with this condition checks and rechecks levels of cleaners and solvents to avoid any risk of poisoning her customers. Another individual asks repeatedly whether he fasted correctly, despite swallowing his own saliva. Those with scrupulosity stretch out their prayers for hours to be sure that they have said nothing incorrectly. Theyworry constantly about cleanliness, sinfulness, and all the ways they could be falling short of perfection. Using a range of fascinating case studies, Jesse S. Summers and Walter Sinnott-Armstrong argue that scrupulosity constitutes a mental illness and not moral sainthood. In doing so, they consider several important philosophical questions: Do the moral beliefs and judgments of those with scrupulosity differ from ours, or are these individuals just stricter in their moral observance? Are they morally responsible for their actions? Should they be pressured into psychiatric treatment, even whentherapy leads them to act in ways they find immoral? Summers and Sinnott-Armstrong illustrate how psychiatric cases can inform the way we think about these and other philosophical issues, particularly those surrounding responsibility, rationality, and the nature of belief, morality, and mental illness. Clean Hands? will fascinate psychiatrists who treat patients with scrupulosity, philosophers who study morality, and anyone who has ever wondered about and struggled with the obligations and limits of morality.