Tuesday, August 19, 2025

What is the ‘way of the warrior’? Students investigate the arts of war and peace in this course about virtue and the ethics of violence

 

A painting by Yoshifusa Utagawa shows the famous samurai Miyamoto Musashi, left, fighting Sasaki Kojiro. Artelino via Wikimedia Commons

Title of course:

The Way of the Warrior

What prompted the idea for the course?

I am a lifelong martial artist who grew up training in both taekwondo and karate. During a pivotal point in graduate school, I realized that the study of martial arts helped me better understand political philosophy – and that revelation inspired this course.

Southern California contains a unique hub of martial artists, many of whom studied with Bruce Lee. When I was working on my doctorate at The Claremont Colleges, I discovered an exceptional school just down the street from campus and began to study Filipino martial arts, Lee’s Jeet Kune Do, and Rickson Gracie Jiu Jitsu. My teacher, Guro Jason Cruz, refined the method of training the body with the training of the mind in a way that is still unmatched.

At the time, I was studying political philosophy and education in ancient Greece, including the significance of the “palaestra” and the “gymnasia,” which were sites for boxing, wrestling and the pankration – a practice akin to mixed martial arts today – but also intellectual cultivation.

The intensity of my own training helped me gain a deeper understanding not only of Greek warrior culture but also for the study of martial arts and its relationship to philosophy: physical and intellectual development were both indispensable in a virtuous life.

After I started teaching at Hamilton, I created this course to compare different views of warrior ethics.

What does the course explore?

Our class investigates the ways of life for warriors and the ethical codes that emerge in their political communities. We compare themes such as virtue, or human excellence, justice, life and death, while looking at Western and non-Western views in dialogue.

Aristotle, for example, emphasized the truly noble and good human being: someone who had achieved complete virtue and deserved the greatest goods, such as honor. Yamamoto Tsunetomo, when describing “Bushido” – the code of the Japanese samurai – prioritized being prepared to die and serving one’s lord in the pursuit of honor.

One crucial issue we examine is whether the true “way of the warrior” really involves destruction or is finally about something akin to the power of love. One might presume that the warrior way requires killing, but we challenge that assumption and consider whether there are higher principles at stake. To paraphrase Morihei Ueshiba, the founder of aikido, in injuring others, do you injure yourself?

Why is this course relevant now?

The use of violence and the ethics of war are perennial issues. In particular, conflicts are oftentimes initiated, prolonged or supported by people who have no experience with battle, fighting or even sparring.

One way people can take debates over the use of violence more seriously, and whether force is justified when responding to injustice, is by paying close attention to the writings of these experienced warriors and philosophers.

What will the course prepare students to do?

Ultimately, the course connects back to the overarching concept of liberal education: Are the principles we discuss in class universal? Are the arts of war and peace useful in other pursuits?

For example, the works of Sun Tzu, the ancient Chinese general, and Miyamoto Musashi, the undefeated samurai, are frequently read in economics and business.

Musashi stated that the way “is based on excelling others in anything and everything,” a character made “possible by the power of martial arts.” We discuss whether that is how we should approach our entire lives.

Finally, the class reflects on whether engaging with these texts from other times and places can liberate us – whether this learning process can expand our horizons beyond popular ideas today.The Conversation

Kenneth Andrew Andres Leonardo, Postdoctoral Fellow and Visiting Assistant Professor of Government, Hamilton College

This article is republished from The Conversation under a Creative Commons license. 

Friday, August 15, 2025

3 things to learn about patience − and impatience − from al-Ghazali, a medieval Islamic scholar

 

Al-Ghazali’s book ‘Alchemy of Happiness,’ held in the Bibliothèque nationale de France. Al-Ghazali - Bibliothèque nationale de France via Wikimedia Commons

From childhood, we are told that patience is a virtue and that good things will come to those who wait. And, so, many of us work on cultivating patience.

This often starts by learning to wait for a turn with a coveted toy. As adults, it becomes trying to remain patient with long lines at the Department of Motor Vehicles, misbehaving kids or the slow pace of political change. This hard work can have mental health benefits. It is even correlated with per capita income and productivity.

But it is also about trying to become a good person.

It’s clear to me, as a scholar of religious ethics, that patience is a term many of us use, but we all could benefit from understanding its meaning a little better.

In religious traditions, patience is more than waiting, or even more than enduring a hardship. But what is that “more,” and how does being patient make us better people?

The writings of medieval Islamic thinker Abu Hamid al-Ghazali can give us insights or help us understand why we need to practice patience – and also when not to be patient.

Who was al-Ghazali?

Born in Iran in 1058, al-Ghazali was widely respected as a jurist, philosopher and theologian. He traveled to places as far as Baghdad and Jerusalem to defend Islam and argued there was no contradiction between reason and revelation. More specifically, he was well known for reconciling Aristotle’s philosophy, which he likely read in Arabic translation, with Islamic theology.

Al-Ghazali was a prolific writer, and one of his most important works – “Revival of the Religious Sciences,” or the “Iḥyāʾ ʿulūm al-dīn” – provides a practical guide for living an ethical Muslim life.

This work is composed of 40 volumes in total, divided into four parts of 10 books each. Part 1 deals with Islamic rituals; Part 2, local customs; Part 3, vices to be avoided; and Part 4, virtues one should strive for. Al-Ghazali’s discussion of patience comes in Volume 32 of Part 4, “On Patience and Thankfulness,” or the “Kitāb al-sabr waʾl-shukr.”

He describes patience as a fundamental human characteristic that is crucial to achieving value-driven goals, and he provides a caveat for when impatience is called for.

1. What is patience?

Humans, according to al-Ghazali, have competing impulses: the impulse of religion, or “bāʿith al-dīn,” and the impulse of desire, or “bāʿith al-hawā.”

Life is a struggle between these two impulses, which he describes with the metaphor of a battle: “Support for the religious impulse comes from the angels reinforcing the troops of God, while support for the impulse of desire comes from the devils reinforcing the enemies of God.”

A black and white sketch of a man wearing a headdress and a loose garment.
Muslim scholar Abū Ḥāmid Muḥammad ibn Muḥammad al-Ghazālī. From the cover illustration of 'The Confessions of Al-Ghazali,' via Wikimedia Commons

The amount of patience we have is what decides who wins the battle. As al-Ghazali puts it, “If a man remains steadfast until the religious impulse conquers … then the troops of God are victorious and he joins the troops of the patient. But if he slackens and weakens until appetite overcomes him … he joins the followers of the devils.” In other words, for al-Ghazali, patience is the deciding factor of whether we are living up to our full human potential to live ethically.

2. Patience, values and goals

Patience is also necessary for being a good Muslim, in al-Ghazali’s view. But his understanding of how patience works rests on a theory of ethics and can be applied outside of his explicitly Islamic worldview.

It all starts with commitments to core values. For a Muslim like al-Ghazali, those values are informed by the Islamic tradition and community, or “umma,” and include things like justice and mercy. These specific values might be universally applicable. Or you might also have another set of values that are important to you. Perhaps a commitment to social justice, or being a good friend, or not lying.

Living in a way that is consistent with these core values is what the moral life is all about. And patience, according to al-Ghazali, is how we consistently make sure our actions serve this purpose.

That means patience is not just enduring the pain of a toddler’s temper tantrum. It is enduring that pain with a goal in mind. The successful application of patience is measured not by how much pain we endure but by our progress toward a specific goal, such as raising a healthy and happy child who can eventually regulate their emotions.

In al-Ghazali’s understanding of patience, we all need it in order to remain committed to our core principles and ideas when things aren’t going our way.

3. When impatience is called for

One critique of the idea of patience is that it can lead to inaction or be used to silence justified complaints. For instance, scholar of Africana studies Julius Fleming argues in his book “Black Patience” for the importance of a “radical refusal to wait” under conditions of systemic racism. Certainly, there are forms of injustice and suffering in the world that we should not calmly endure.

Despite his commitment to the importance of patience to a moral life, al-Ghazali makes room for impatience as well. He writes, “One is forbidden to be patient with harm (that is) forbidden; for example, to have one’s hand cut off or to witness the cutting off of the hand of a son and to remain silent.”

These are examples of harms to oneself or to loved ones. But could the necessity for impatience be extended to social harms, such as systemic racism or poverty? And as Quranic studies scholars Ahmad Ismail and Ahmad Solahuddin have argued, true patience sometimes necessitates action.

As al-Ghazali writes, “Just because patience is half of faith, do not imagine that it is all commendable; what is intended are specific kinds of patience.”

To sum up, not all patience is good; only patience that is in service of righteous goals is key to the ethical life. The question of which goals are righteous is one we must all answer for ourselves.The Conversation

Liz Bucar, Professor of Philosophy and Religion, Northeastern University

This article is republished from The Conversation under a Creative Commons license.

Sunday, August 3, 2025

IN MEMORY OF OUR FARMERS - SOUTH AFRICA

 

 

 WATCH THE VIDEO!!!

 

Farm murders in South Africa refer to violent attacks, often involving torture or murder, that occur on farms and rural smallholdings. These crimes affect both white and black farmers, farmworkers, and their families. While the motives vary—from robbery to labor disputes—these attacks are often brutal and have sparked national and international concern. The issue is complex and highly politicized, with debates around race, land reform, crime, and rural safety. Data on the exact number and nature of these attacks can be inconsistent, but farm murders remain a significant rural security issue in South Africa.

Saturday, August 2, 2025

What the ancient Indian text Bhagavad Gita can teach about not putting too much of our identity and emotions into work

 

This famous scene from the Bhagavad Gita, featuring the god Krishna with his cousin, Prince Arjuna, on a chariot heading into war. Pictures From History/Universal Images Group via Getty Images

A 2023 Gallup poll found that U.S. employees are generally unhappy at work. The number of those who feel angry and disconnected with their organization’s mission is climbing.

An analysis of data from 60,000 employees by BambooHR, an HR software platform, also found that workplace morale was getting worse: “Employees aren’t experiencing highs or lows — instead, they are expressing a sense of resignation or even apathy.”

As a scholar of South Asian religions, I argue that a mindfulness technique called “nishkama karma” – acting without desire – described in an ancient but popular Indian text called the “Bhagavad Gita,” may prove useful for navigating the contemporary world of work.

The Gita presents a variety of “yogas,” or disciplined religious paths. One such path suggests adopting an attitude of righteous resignation – a kind of Stoic equanimity or even-mindedness. In the workplace, this might mean performing one’s professional duties to the best of one’s ability – but without being overly concerned about the results for one’s personal advancement.

The Gita and action

The “Bhagavad Gita,” or “Song of the Lord,” is an 18-chapter dialogue between Krishna, the Lord of the Universe, and the warrior-hero Arjuna. Found in the sixth book of the world’s longest epic poem, the “Mahabharata,” the Gita was likely composed between the third century B.C.E. and the third century C.E.

The Gita opens on a battlefield where Arjuna, the beleaguered champion of the Pandavas, is set to fight his cousins, the Kauravas, along with his uncles and former teachers, for the rightful control of the ancestral kingdom.

Arjuna is faced with the moral ambiguity of internecine warfare. He is stuck in a dilemma between obligations to his kin and former teachers and obligations to his “dharma” – religious and social duty – as a warrior to fight against them. Arjuna is therefore understandably reluctant to act.

Krishna, who has assumed the humble guise of Arjuna’s charioteer in the story, advises Arjuna that it is impossible for anyone to refrain entirely from all action: “There is no one who can remain without action even for a moment. Indeed, all beings are compelled to act by their qualities born of material nature” (3.5).

Even choosing not to act is itself a kind of action. Krishna instructs Arjuna to perform his duties as a warrior regardless of how he feels about the prospect of fighting against family and friends: “Fight for the sake of duty, treating alike happiness and distress, loss and gain, victory and defeat. Fulfilling your responsibility in this way, you will never incur sin” (2.38).

Given the inevitability of action, Krishna advises Arjuna to cultivate an attitude of nonattached equanimity or even-mindedness toward the results of his actions. Unlike feeling detached from the work process itself, cultivating an attitude of detachment from the results of one’s work is presented in the Gita as a method for gaining a clear and stable mind.

‘Nishkama karma,’ or nonattached action

The term that the Gita uses, variously rendered as “work” or “action,” is “karma.” Derived from the Sanskrit root “kri” – to do, to act or to make, karma has a range of meanings in Hindu literature. In early Vedic thought, karma referred to the performance of a sacrifice and the results that followed.

By the time of the composition of the Gita, over a 1,000 years later, the concept of karma had expanded considerably. From the sixth century B.C.E. onward, Hindu texts typically describe karma as any thought, word or deed, and its consequences in this or a future lifetime.

Statues of two seated men, with one of them talking to the other who appears despondent.
Carved statues of Lord Krishna and Arjuna seated on their chariot at the Viswashanti Ashram, Bengaluru, India. Wirestock/iStock via Getty Images plus

Krishna explains to Arjuna that his actions or karma should follow dharma, the religious and social obligations inherent in his role as a warrior of the Pandavas. And the proper dharmic attitude toward the results of action is nonattachment.

The word that describes this nonattachment is “nishkama,” or without desire – the proper spirit in which karma is to be undertaken. From the perspective of the Gita – a perspective shared widely in traditional Indian thought – desire is inherently problematic due to its insistent preoccupation with the self. By reducing desire, however, one can perform one’s work or action without the constant distraction of seeking praise or avoiding blame.

Furthermore, since knowing the outcome of one’s actions is impossible, the Gita advises performing one’s duties without a sense of ego in a spirit of service to the world. “Therefore, without attachment, always do whatever action has to be done; for it is through acting without attachment that one attains the highest state,” as Krishna says to Arjuna (3.19).

The flow state

In his modern classic “Flow: The Psychology of Optimal Experience,” psychologist Mihaly Csikszentmihalyi writes about the optimal mental state that may be experienced while performing an engaging task. Csikszentmihalyi describes “flow” as a mental state where one is fully immersed in the task at hand. In such a state, attention is focused on the work being done without any self-conscious concerns about performance or outcome.

By way of example, Csikszentmihalyi asked readers to consider downhill skiing. He noted that while one is fully engaged in the process itself, there is no place for distraction. For a skier, he said, “There is no room in your awareness for conflicts and contradictions; you know that distracting thought or emotion might get you buried face down in the snow.”

Csikszentmihalyi’s research suggests that problems like distraction, feeling detached from one’s work, and job dissatisfaction can arise when people lose sight of the action of work itself. As Csikszentmihalyi writes, “The problem arises when people are so fixated on what they want to achieve that they cease to derive pleasure from the present. When that happens, they forfeit their chance of contentment.”

Acting without attachment

A fragmented mind that approaches work or action with an agenda of gaining power, wealth or fame cannot perform at its best. The Gita suggests that the secret to success at work is cultivating a balanced state of mind that isn’t fixated on ego inflation and self-promotion.

It is impossible to be fully present during the performance of a task if one is speculating about unknowable future contingencies or ruminating about past outcomes. Likewise, for Csikszentmihalyi, cultivating the “flow state” means actively remaining present and engaged while performing a task.

Csikszentmihalyi’s writings about the “flow state” resonate with the advice of Krishna in the Gita: “As ignorant people perform their duties with attachment to the results, O scion of Bharat (an epithet for Arjuna), so should the wise act without attachment, for the sake of leading people on the right path” (3.25).

Nishkama karma and the “flow state” are not identical ideas. However, they share at least one fundamental assumption: Focusing on the task at hand, with no thought of gain or loss, is necessary for achieving our best, most satisfying work.The Conversation

Robert J. Stephens, Principal Lecturer in Religion, Clemson University

This article is republished from The Conversation under a Creative Commons license. 

Friday, August 1, 2025

Too many em dashes? Weird words like ‘delves’? Spotting text written by ChatGPT is still more art than science

 

Language experts fare no better than everyday people. Aitor Diago/Moment via Getty Images

People are now routinely using chatbots to write computer code, summarize articles and books, or solicit advice. But these chatbots are also employed to quickly generate text from scratch, with some users passing off the words as their own.

This has, not surprisingly, created headaches for teachers tasked with evaluating their students’ written work. It’s also created issues for people seeking advice on forums like Reddit, or consulting product reviews before making a purchase.

Over the past few years, researchers have been exploring whether it’s even possible to distinguish human writing from artificial intelligence-generated text. But the best strategies to distinguish between the two may come from the chatbots themselves.

Too good to be human?

Several recent studies have highlighted just how difficult it is to determine whether text was generated by a human or a chatbot.

Research participants recruited for a 2021 online study, for example, were unable to distinguish between human- and ChatGPT-generated stories, news articles and recipes.

Language experts fare no better. In a 2023 study, editorial board members for top linguistics journals were unable to determine which article abstracts had been written by humans and which were generated by ChatGPT. And a 2024 study found that 94% of undergraduate exams written by ChatGPT went undetected by graders at a British university.

Clearly, humans aren’t very good at this.

A commonly held belief is that rare or unusual words can serve as “tells” regarding authorship, just as a poker player might somehow give away that they hold a winning hand.

Researchers have, in fact, documented a dramatic increase in relatively uncommon words, such as “delves” or “crucial,” in articles published in scientific journals over the past couple of years. This suggests that unusual terms could serve as tells that generative AI has been used. It also implies that some researchers are actively using bots to write or edit parts of their submissions to academic journals. Whether this practice reflects wrongdoing is up for debate.

In another study, researchers asked people about characteristics they associate with chatbot-generated text. Many participants pointed to the excessive use of em dashes – an elongated dash used to set off text or serve as a break in thought – as one marker of computer-generated output. But even in this study, the participants’ rate of AI detection was only marginally better than chance.

Given such poor performance, why do so many people believe that em dashes are a clear tell for chatbots? Perhaps it’s because this form of punctuation is primarily employed by experienced writers. In other words, people may believe that writing that is “too good” must be artificially generated.

But if people can’t intuitively tell the difference, perhaps there are other methods for determining human versus artificial authorship.

Stylometry to the rescue?

Some answers may be found in the field of stylometry, in which researchers employ statistical methods to detect variations in the writing styles of authors.

I’m a cognitive scientist who authored a book on the history of stylometric techniques. In it, I document how researchers developed methods to establish authorship in contested cases, or to determine who may have written anonymous texts.

One tool for determining authorship was proposed by the Australian scholar John Burrows. He developed Burrows’ Delta, a computerized technique that examines the relative frequency of common words, as opposed to rare ones, that appear in different texts.

It may seem counterintuitive to think that someone’s use of words like “the,” “and” or “to” can determine authorship, but the technique has been impressively effective.

Black-and-white photographic portrait of young woman with short hair seated and posing for the camera.
A stylometric technique called Burrow’s Delta was used to identify LaSalle Corbell Pickett as the author of love letters attributed to her deceased husband, Confederate Gen. George Pickett. Encyclopedia Virginia

Burrows’ Delta, for example, was used to establish that Ruth Plumly Thompson, L. Frank Baum’s successor, was the author of a disputed book in the “Wizard of Oz” series. It was also used to determine that love letters attributed to Confederate Gen. George Pickett were actually the inventions of his widow, LaSalle Corbell Pickett.

A major drawback of Burrows’ Delta and similar techniques is that they require a fairly large amount of text to reliably distinguish between authors. A 2016 study found that at least 1,000 words from each author may be required. A relatively short student essay, therefore, wouldn’t provide enough input for a statistical technique to work its attribution magic.

More recent work has made use of what are known as BERT language models, which are trained on large amounts of human- and chatbot-generated text. The models learn the patterns that are common in each type of writing, and they can be much more discriminating than people: The best ones are between 80% and 98% accurate.

However, these machine-learning models are “black boxes” – that is, we don’t really know which features of texts are responsible for their impressive abilities. Researchers are actively trying to find ways to make sense of them, but for now, it isn’t clear whether the models are detecting specific, reliable signals that humans can look for on their own.

A moving target

Another challenge for identifying bot-generated text is that the models themselves are constantly changing – sometimes in major ways.

Early in 2025, for example, users began to express concerns that ChatGPT had become overly obsequious, with mundane queries deemed “amazing” or “fantastic.” OpenAI addressed the issue by rolling back some changes it had made.

Of course, the writing style of a human author may change over time as well, but it typically does so more gradually.

At some point, I wondered what the bots had to say for themselves. I asked ChatGPT-4o: “How can I tell if some prose was generated by ChatGPT? Does it have any ‘tells,’ such as characteristic word choice or punctuation?”

The bot admitted that distinguishing human from nonhuman prose “can be tricky.” Nevertheless, it did provide me with a 10-item list, replete with examples.

These included the use of hedges – words like “often” and “generally” – as well as redundancy, an overreliance on lists and a “polished, neutral tone.” It did mention “predictable vocabulary,” which included certain adjectives such as “significant” and “notable,” along with academic terms like “implication” and “complexity.” However, though it noted that these features of chatbot-generated text are common, it concluded that “none are definitive on their own.”

Chatbots are known to hallucinate, or make factual errors.

But when it comes to talking about themselves, they appear to be surprisingly perceptive.The Conversation

Roger J. Kreuz, Associate Dean and Professor of Psychology, University of Memphis

This article is republished from The Conversation under a Creative Commons license.

Are you really allergic to penicillin? A pharmacist explains why there’s a good chance you’re not − and how you can find out for sure

 

Penicillin is a substance produced by penicillium mold. About 80% of people with a penicillin allergy will lose the allergy after about 10 years. Clouds Hill Imaging Ltd./Corbis Documentary via Getty Images

Imagine this: You’re at your doctor’s office with a sore throat. The nurse asks, “Any allergies?” And without hesitation you reply, “Penicillin.” It’s something you’ve said for years – maybe since childhood, maybe because a parent told you so. The nurse nods, makes a note and moves on.

But here’s the kicker: There’s a good chance you’re not actually allergic to penicillin. About 10% to 20% of Americans report that they have a penicillin allergy, yet fewer than 1% actually do.

I’m a clinical associate professor of pharmacy specializing in infectious disease. I study antibiotics and drug allergies, including ways to determine whether people have penicillin allergies.

I know from my research that incorrectly being labeled as allergic to penicillin can prevent you from getting the most appropriate, safest treatment for an infection. It can also put you at an increased risk of antimicrobial resistance, which is when an antibiotic no longer works against bacteria.

The good news? It’s gotten a lot easier in recent years to pin down the truth of the matter. More and more clinicians now recognize that many penicillin allergy labels are incorrect – and there are safe, simple ways to find out your actual allergy status.

A steadfast lifesaver

Penicillin, the first antibiotic drug, was discovered in 1928 when a physician named Alexander Fleming extracted it from a type of mold called penicillium. It became widely used to treat infections in the 1940s. Penicillin and closely related antibiotics such as amoxicillin and amoxicillin/clavulanate, which goes by the brand name Augmentin, are frequently prescribed to treat common infections such as ear infections, strep throat, urinary tract infections, pneumonia and dental infections.

Penicillin antibiotics are a class of narrow-spectrum antibiotics, which means they target specific types of bacteria. People who report having a penicillin allergy are more likely to receive broad-spectrum antibiotics. Broad-spectrum antibiotics kill many types of bacteria, including helpful ones, making it easier for resistant bacteria to survive and spread. This overuse speeds up the development of antibiotic resistance. Broad-spectrum antibiotics can also be less effective and are often costlier.

Figuring out whether you’re really allergic to penicillin is easier than it used to be.

Why the mismatch?

People often get labeled as allergic to antibiotics as children when they have a reaction such as a rash after taking one. But skin rashes frequently occur alongside infections in childhood, with many viruses and infections actually causing rashes. If a child is taking an antibiotic at the time, they may be labeled as allergic even though the rash may have been caused by the illness itself.

Some side effects such as nausea, diarrhea or headaches can happen with antibiotics, but they don’t always mean you are allergic. These common reactions usually go away on their own or can be managed. A doctor or pharmacist can talk to you about ways to reduce these side effects.

People also often assume penicillin allergies run in families, but having a relative with an allergy doesn’t mean you’re allergic – it’s not hereditary.

Finally, about 80% of patients with a true penicillin allergy will lose the allergy after about 10 years. That means even if you used to be allergic to this antibiotic, you might not be anymore, depending on the timing of your reaction.

Why does it matter if I have a penicillin allergy?

Believing you’re allergic to penicillin when you’re not can negatively affect your health. For one thing, you are more likely to receive stronger, broad-spectrum antibiotics that aren’t always the best fit and can have more side effects. You may also be more likely to get an infection after surgery and to spend longer in the hospital when hospitalized for an infection. What’s more, your medical bills could end up higher due to using more expensive drugs.

Penicillin and its close cousins are often the best tools doctors have to treat many infections. If you’re not truly allergic, figuring that out can open the door to safer, more effective and more affordable treatment options.

An arm stretched out on an examining table gets pricked with a white needle by the hands of a clinician administering an allergy test.
A penicillin skin test can safely determine whether you have a penicillin allergy, but a health care professional may also be able to tell by asking you some specific questions. BSIP/Collection Mix: Subjects via Getty Images

How can I tell if I am really allergic to penicillin?

Start by talking to a health care professional such as a doctor or pharmacist. Allergy symptoms can range from a mild, self-limiting rash to severe facial swelling and trouble breathing. A health care professional may ask you several questions about your allergies, such as what happened, how soon after starting the antibiotic did the reaction occur, whether treatment was needed, and whether you’ve taken similar medications since then.

These questions can help distinguish between a true allergy and a nonallergic reaction. In many cases, this interview is enough to determine you aren’t allergic. But sometimes, further testing may be recommended.

One way to find out whether you’re really allergic to penicillin is through penicillin skin testing, which includes tiny skin pricks and small injections under the skin. These tests use components related to penicillin to safely check for a true allergy. If skin testing doesn’t cause a reaction, the next step is usually to take a small dose of amoxicillin while being monitored at your doctor’s office, just to be sure it’s safe.

A study published in 2023 showed that in many cases, skipping the skin test and going straight to the small test dose can also be a safe way to check for a true allergy. In this method, patients take a low dose of amoxicillin and are observed for about 30 minutes to see whether any reaction occurs.

With the right questions, testing and expertise, many people can safely reclaim penicillin as an option for treating common infections.The Conversation

Elizabeth W. Covington, Associate Clinical Professor of Pharmacy, Auburn University

This article is republished from The Conversation under a Creative Commons license.