Personal autonomy is often lauded as a key value in contemporary Western bioethics. Though the claim that there is an important relationship between autonomy and rationality is often treated as uncontroversial in this sphere, there is also considerable disagreement about how we should cash out the relationship. In particular, it is unclear whether a rationalist view of autonomy can be compatible with legal judgments that enshrine a patient's right to refuse medical treatment, regardless of whether the reasons underpinning the choice (...) are known and rational, or indeed whether they even exist. Jonathan Pugh brings recent philosophical work on the nature of rationality to bear on the question of how we should understand personal autonomy in contemporary bioethics. In doing so, he develops a new framework for thinking about the concept of autonomy, one that is grounded in an understanding of the different roles that rational beliefs and rational desires have to play in it. Pugh's account allows for a deeper understanding of d the relationship between our freedom to act and our capacity to decide autonomously. His rationalist perspective is contrasted with other prominent accounts of autonomy in bioethics, and the revisionary implications it has for practical questions in biomedicine are also outlined. (shrink)

Is there an epistemic analogue of moral motivational internalism? The answer to this question has implications for our understanding of the nature of epistemic normativity. For example, some philosophers have argued from claims that epistemic judgement is not necessarily motivating to the view that epistemic judgement is not normative. This paper examines the options for spelling out an epistemic analogue of moral motivational internalism. It is argued that the most promising approach connects epistemic judgements to doxastic dispositions, which are related (...) to motivation in a fairly tenuous sense. It is also argued that this approach currently lacks a plausible and informative account of the nature and workings of these doxastic dispositions, and, hence, an explanation of the range of phenomena internalist theses typically set out to explain. The most promising route for developing such an account, based on recent expressivist work, is investigated and found inadequate for the task. (shrink)

Why do we engage in folk psychology, that is, why do we think about and ascribe propositional attitudes such as beliefs, desires, intentions etc. to people? On the standard view, folk psychology is primarily for mindreading, for detecting mental states and explaining and/or predicting people’s behaviour in terms of them. In contrast, McGeer (1996, 2007, 2015), and Zawidzki (2008, 2013) maintain that folk psychology is not primarily for mindreading but for mindshaping, that is, for moulding people’s behavior and minds (e.g., (...) via the imposition of social norms) so that coordination becomes easier. Mindreading is derived from and only as effective as it is because of mindshaping, not vice versa. I critically assess McGeer’s, and Zawidzki’s proposal and contend that three common motivations for the mindshaping view do not provide sufficient support for their particular version of it. I argue furthermore that their proposal underestimates the role that epistemic processing plays for mindshaping. And I provide reasons for favouring an alternative according to which, in social cognition involving ascriptions of propositional attitudes, neither mindshaping nor mindreading is primary but both are complementary in that effective mindshaping depends as much on mindreading as effective mindreading depends on mindshaping. (shrink)

In this paper I articulate a view of doxastic control that helps defend the legitimacy of our practice of blaming people for their beliefs. I distinguish between three types of doxastic control: intention-based, reason-based, and influence-based. First I argue that, although we lack direct intention-based control over our beliefs, such control is not necessary for legitimate doxastic blame. Second, I suggest that we distinguish two types of reason-responsiveness: sensitivity to reasons and appreciation of reasons. I argue that while both capacities (...) are necessary for satisfying the control condition, neither is sufficient. Finally, I defend an influence-based view of doxastic control according to which we have the capacity to execute intentions to engage in reflection that causally influences our beliefs in positive epistemic ways. This capacity is both necessary and sufficient for satisfying the control condition for legitimate doxastic blame. I end by defending the view from two objections: that reflection is not necessary for meeting the control condition, and that it is not sufficient. (shrink)

Descartes appears to hold that everything we believe is the product of a voluntary choice. Scholars have been reluctant to take this particularly radical version of doxastic voluntarism as Descartes’ considered position. I argue that once Descartes’ compatibilist conception of free will as well as his position on the ‘freedom of indifference’ are taken into account, the primary motivations for the rejection of the aforementioned radical version of doxastic voluntarism lose their force. Consequently, we may take Descartes at his word (...) when he maintains that everything we believe, we believe freely – even if we cannot believe anything we wish. (shrink)