According to many of its proponents, shared decision making ("SDM") is the right way to interpret the clinician-patient relationship because it respects patient autonomy in decision-making contexts. In particular, medical ethicists have claimed that SDM respects a patient's relational autonomy understood as a capacity that depends upon, and can only be sustained by, interpersonal relationships as well as broader health care and social conditions. This paper challenges that claim. By considering two primary approaches to relational autonomy, this paper argues that (...) standard accounts of SDM actually undermine patient autonomy. It also provides an overview of the obligations generated by the principle of respect for relational autonomy that have not been captured in standard accounts of SDM and which are necessary to ensure consistency between clinical practice and respect for patient autonomy. (shrink)

The relationship between feminism and metaphysics has historically been strained. Metaphysics has until recently remained dismissive of feminist insights, and many feminist philosophers have been deeply skeptical about any value that metaphysics might have when thinking about advancing gender justice. Nevertheless, feminist philosophers have in recent years increasingly taken up explicitly metaphysical investigations. Such feminist investigations have expanded the scope of metaphysics in holding that metaphysical tools can help advance debates on topics outside of traditional metaphysical inquiry. Moreover, feminist philosophers (...) typically bring new methodological insights to bear on traditional ways of doing philosophy. Feminist metaphysicians have also recently begun interrogating the methods of metaphysics and they have raised questions about what metaphysics as a discipline is in the business of doing. In discussing such methodological issues, Elizabeth Barnes has recently argued that some prevalent conceptions of metaphysics rule out feminist metaphysics from the start and render it impossible. This is bad news for self-proclaimed feminist metaphysicians in suggesting that they are mistaken about the metaphysical status of their work. With this worry in mind, the paper asks: how does feminist metaphysics fare relative to ‘mainstream’ metaphysics? More specifically, it explores how feminist and ‘mainstream’ debates intersect, on what grounds do they come apart, and whether feminist metaphysics qualifies as metaphysics ‘proper’. (shrink)

Over the past few decades, feminist philosophy has become recognised as a philosophical sub-discipline in its own right. Among the ‘core’ areas of philosophy, metaphysics has nonetheless until relatively recently remained largely dismissive of it. Metaphysics typically investigates the basic structure of reality and its nature. It examines reality's putative building blocks and inherent structure supposedly ‘out there’ with the view to uncovering and elucidating that structure. For this task, feminist insights appear simply irrelevant. Moreover, the value-neutrality of metaphysics seems (...) prima facie incompatible with feminism's explicitly normative stance in that feminist philosophy involves advocacy: speaking on behalf of some group on political grounds. The prospects of feminist metaphysics thus look grim. Nonetheless, feminist philosophers have in recent years increasingly taken up explicitly metaphysical investigations. The basic ideas behind such investigations can be summed up as follows: feminist metaphysics is about negotiating the natural and going beyond the fundamental. In so doing, feminist investigations have expanded the scope of metaphysics. Further, feminist philosophers typically bring new methodological insights to bear on traditional ways of doing philosophy. With this in mind, the article considers the following questions: when thinking about philosophical methodology, how does feminist metaphysics fare relative to ‘mainstream’ metaphysics? More specifically, is feminism's political advocacy inconsistent with apparent objectivity that some prominent contemporary versions of metaphysics are committed to? (shrink)

Sandra Harding is working on the reconstruction of scientific objectivity. Lorraine Daston argues that objectivity is a concept that has historically evolved. Her account of the development of "aperspectival objectivity" provides an opportunity to see Harding's "strong objectivity" project as a stage in this evolution, to locate it in the history of migration of ideals from moral philosophy to natural science, and to support Harding's desire to retain something of the ontological significance of objectivity.

: The article first develops an account of autonomy, explaining individual autonomy by means of three normative components and then discussing two objections. The first objection claims that autonomy has to be thought of as essentially relational; this objection is refuted. The second objection, labeled the skeptical objection, claims that we simply do not live autonomously, nor could we ever. Reference is made to novels by Iris Murdoch to present a skeptical solution to this objection.

: How much power does emotional dismissal have over the oppressed's ability to trust outlaw emotions, or to stand for such emotions before others? I discuss Sue Campbell 's view of the interpretation of emotion in light of the political significance of emotional dismissal. In response, I suggest that feminist conventions of interpretation developed within dialogical communities are best suited to providing resources for expressing, interpreting, defining, and reflecting on our emotions.

The feminist literature against the commodification of embryos in human embryo research includes an argument to the effect that embryos are “intimately connected” to persons, or morally inalienable from them. We explore why embryos might be inalienable to persons and why feminists might find this view appealing. But, ultimately, as feminists, we reject this view because it is inconsistent with full respect for women's reproductive autonomy and with a feminist conception of persons as relational, embodied beings. Overall, feminists should avoid (...) claims about embryos’ being inalienable to persons in arguments for or against the commodification of human embryos. (shrink)

This article surveys recent feminist contributions to moral philosophy with an emphasis on those works which engage with debates within mainstream ethics. The article begins by examining a tension said to arise from the two criteria a theory must meet if it is to count as feminist moral theory: the women's experience requirement and the feminist conclusion requirement. Subsequent sections deal with feminist relational theories of rights, feminist work on responsibility and feminist contractarian approaches to ethics. A final section looks (...) at the application of some feminist moral theories to the problem of abortion. (shrink)

This special issue explores the relevance of shame to feminist theory and practice. Across a number of contexts, theoretical frames, and disciplines, the articles collated here provide a stimulating engagement with shame, posing questions and developing analyses that have a direct bearing on feminism. For, the significance of shame to feminists lies in the complex and often troubling implications it holds as a feeling that may be experienced differently by people of certain genders (and none), and in its relation to (...) power. Indeed, as the contributions to this special issue highlight, shame may play a role in our moral development, but given its often readily acknowledged harmful effects, shame is frequently put to politically problematic and morally questionable ends. In patriarchal societies the outgrowths of this regularly entail gendered consequences, as gendered shame may form a disciplining device operating through structures of oppression, such as gender, but also class, race, ethnicity, sexuality, nationality, and related intersectional categories. The question of a politics of shame therefore arises in the context of a consideration of the social and political deployment and manipulation of shame, and the reported divergence in the shame experience itself, which feminists have attributed to its manifestation through, among others, gender. (shrink)

How much power does emotional dismissal have over the oppressed's ability to trust outlaw emotions, or to stand for such emotions before others? I discuss Sue Campbell's view of the interpretation of emotion in light of the political significance of emotional dismissal, in response, 1 suggest that feminist contentions of interpretation developed within dialogical communities are best suited to providing resources for expressing, interpreting, defining, and reflecting on our emotions.

I, for one, am grateful to Peter Ubel, Karen Scherr, and Angela Fagerlin (2017) for their important and illuminating reflections on medical decision making, particularly in the context of preferenc...

Recent years have witnessed a focus on feeling as a topic of reinvigorated scholarly concern, described by theorists in a range of disciplines in terms of a “turn to affect.” Surprisingly little has been said about this most recent shift in critical theorizing by philosophers, including feminist philosophers, despite the fact that affect theorists situate their work within feminist and related, sometimes intersectional, political projects. In this article, I redress the seeming elision of the “turn to affect” in feminist philosophy, (...) and develop a critique of some of the claims made by affect theorists that builds upon concerns regarding the “newness” of affect and emotion in feminist theory, and the risks of erasure this may entail. To support these concerns, I present a brief genealogy of feminist philosophical work on affect and emotion. Identifying a reductive tendency within affect theory to equate affect with bodily immanence, and to preclude cognition, culture, and representation, I argue that contemporary feminist theorists would do well to follow the more holistic models espoused by the canon of feminist work on emotion. Furthermore, I propose that prominent affect theorist Brian Massumi is right to return to pragmatism as a means of redressing philosophical dualisms, such as emotion/cognition and mind/body, but suggest that such a project is better served by John Dewey's philosophy of emotion than by William James's. (shrink)

The article first develops an account of autonomy, explaining individual autonomy by means of three normative components and then discussing two objections. The first objection claims that autonomy has to be thought of as essentially relational; this objection is refuted. The second objection, labeled the skeptical objection, claims that we simply do not live autonomously, nor could we ever. Reference is made to novels by Iris Murdoch to present a skeptical solution to this objection.

An intractable problem that characterizes the contemporary philosophical discussion of emotion is whether emotions are fundamentally cognitive or noncognitive. In this article, I will establish tha...

How much power does emotional dismissal have over the oppressed's ability to trust outlaw emotions, or to stand for such emotions before others? I discuss Sue Campbell's view of the interpretation of emotion in light of the political significance of emotional dismissal, in response, 1 suggest that feminist contentions of interpretation developed within dialogical communities are best suited to providing resources for expressing, interpreting, defining, and reflecting on our emotions.

This article contributes to feminist expositions of emotion and “matters of the heart” by highlighting the gendered nature of the mobilization of shame. It focuses on the role shame plays in state apology and the desire to recover pride. Specifically, it analyzes the state apology offered to the survivors of Magdalen Laundries by Enda Kenny, the Taoiseach of Ireland. By drawing out how the state apology recreates the Irish nation, it traces the deployment of a potentially productive variety of the (...) politics of shame, which comes to be subverted in the service of keeping the virtuous, feeling “heart” of Ireland—the nation's very core—intact across a temporal, moral continuum. (shrink)