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)

Some of our motives that we act on are not only of unconstrained origin, but we also take them to express who we are and, thus, to "speak for us." Harry G. Frankfurt has maintained that it is the formation of a hierarchical structure by means of an act of wholehearted identification that makes a given motive genuinely one's own. I argue that wholehearted identifications fail to live up to this task. Instead, I demonstrate that only a subtype of wholehearted (...) identifications, namely core identifications, genuinely "speak for us." In addition, I argue that core identifications help explain the peculiar phenomenology that characterizes some of our crucial choices. (shrink)

The Humean theory of motivation remains the default position in much of the contemporary literature in meta-ethics, moral psychology, and action theory. Yet despite its widespread support, the theory is implausible as a view about what motivates agents to act. More specifically, my reasons for dissatisfaction with the Humean theory stem from its incompatibility with what I take to be a compelling model of the role of motivating reasons in first-person practical deliberation and third-person action explanations. So after first introducing (...) some assumptions about the nature of agency in section one, I will turn to articulating and defending this account of motivating reasons in sections two through four of the paper. Section five then provides some background on the Humean theory before I argue directly against it in section six and critically examine the leading arguments for the view in section seven. Given limitations of space, however, I save the task of developing a positive anti-Humean view for another occasion. (shrink)

We take self‐governance or autonomy to be a central feature of human agency: we believe that our actions normally occur under our guidance and at our command. A common criticism of the standard theory of action is that it leaves the agent out of his actions and thus mischaracterizes our autonomy. According to proponents of the endorsement model of autonomy, such as Harry Frankfurt and David Velleman, the standard theory simply needs to be supplemented with the agent's actual endorsement of (...) his actions in order to make room for our autonomy. I argue that their proposal fails and that a more substantive enrichment of the standard theory is called for. (shrink)

According to Aquinas, the souls in heaven (hereafter, the blessed) are both necessitated (i.e., determined) and free in their choice to love God. But if Aquinas is right, it may seem that we cannot give an incompatibilist account of the freedom of the blessed to love God. Roughly put, incompatibilism is the thesis that free will is incompatible with determinism. In this paper, I take inspiration from Kevin Timpe and Timothy Pawl’s account of the impeccability of the blessed to argue (...) for a more refined view of incompatibilism, consistent with some of the literature, according to which free will is compatible with a certain kind of determinism. I then modify Timpe and Pawl’s account along Thomistic lines, removing a problematic character-based contingency, to argue that anyone, regardless of character, is necessitated to love God in the beatific vision – necessitated in a sense consistent with incompatibilism. (shrink)

Recently, a number of philosophers and psychologists have drawn on neuroscientific and psychological research on the role of affective processes in moral thinking to provide support for moral sentimentalism. Philip Gerrans and Jeanette Kennett criticize such ‘neurosentimentalist’ accounts on the grounds that they focus only on synchronic processes occurring at the time of moral judgement. As a result, these accounts face a dilemma: either they fail to accommodate the connection between moral judgement and agency or they are committed to implausible (...) claims about the moral agency of individuals with damage to the ventromedial prefrontal cortex. I respond to this criticism, arguing that Gerrans and Kennett fail to appreciate the diachronic aspects of affective mechanisms and that they misinterpret the empirical literature on the vmPFC. I argue that neurosentimentalism does have the resources to explain the connection between moral judgement and agency. (shrink)