Accounts of adaptive preferences are of two kinds: well-being accounts fully theorized for their own sake and political accounts theorized to facilitate the political project of reducing oppression and marginalization. Given their practical role, the latter are often less fully theorized, and are therefore less robust to theoretical criticism. In this paper, I first draw on well-being accounts to identify the well-theorized elements that political accounts should want to adopt in order to strengthen their project and avoid common criticisms. Second, (...) I appeal to the political project to show the shortcomings of the well-being accounts on which I draw. (shrink)

Theories of well-being purport to identify the features of lives, and of intervals within lives, in virtue of which some people are high in well-being and others are low in well-being. They also purport to identify the properties that make some events or states of affairs good for a person and other events or states of affairs bad for a person. This article surveys some of the main theories of well-being, with an emphasis on work published since the turn of (...) the century. (shrink)

Philosophy Compass, Volume 17, Issue 2, February 2022.

Adaptation to illness, and its relevance for distribution in health care, has been the subject of vigorous debate. In this paper I examine an aspect of this discussion that seems so far to have been overlooked: that some illnesses are difficult, or even impossible, to adapt to. This matters because adaptation reduces suffering. Illness severity is a priority setting criterion in several countries. When considering severity, we are interested in the extent to which an illness makes a person worse-off. I (...) argue that no plausible theory of well-being can disregard suffering when determining to what extent someone is worse-off in terms of health. We should accept, all else equal, that adapting to an illness makes the illness less severe by reducing suffering. Accepting a pluralist theory of well-being allows us to accept my argument, while still making room for the possibility that adaptation is sometimes, all things considered, bad. Finally, I argue that we should conceptualize adaptability as a feature of illness, and thereby account for adaptation on a group level for the purposes of priority setting. (shrink)

There is little agreement among moral and political philosophers when it comes to determining what it is that makes adaptive preferences problematic. The large number of competing explanations offered by philosophers illustrates the absence of any consensus. The most prominent versions of these explanations have recently come under attack by Dale Dorsey, who argues that adaptive preferences are a red herring: the problematic nature of adaptive preferences is not explained by the fact of adaptation but by an appeal to some (...) other normative consideration. In this article I offer an account of adaptive preferences that both accommodates the thought that only some of our adaptive preferences are problematic and responds to the skeptical challenge pressed by Dorsey. I argue that some adaptive preferences are prima facie irrational as they exhibit a peculiar error in reasoning where individuals change the semantic content of the reasons underpinning the new preference. (shrink)

If preference-based freedom rankings are based on all-things-considered preferences, they risk judging phenomena of adaptive preferences as freedom enhancing. As a remedy, it has been suggested to base preference-based freedom rankings on reasonable preferences. But this approach is also problematic. This article argues that the quest for a remedy is unnecessary. All-things-considered preferences retain information on whether the availability of an option contributes to the value that freedom has for a person’s self-expression. If preference-based freedom rankings use all-things-considered preferences to (...) evaluate whether an option contributes to a person’s self-expression, they are immune to the problem posed by adaptive preferences. (shrink)