Shaftesbury’s major work Characteristicks of Men, Manners, Opinions, Times was one of the most influential English works in the eighteenth century. This paper focuses on his contributions to debates about persons and personal identity and shows that Shaftesbury regards metaphysical questions of personal identity as closely connected with normative questions of character development. I argue that he is willing to accept that persons are substances and that he takes their continued existence for granted. He sees the need to supplement metaphysical (...) debates of personal identity and believes that we have to turn to the character that is realized by a substance if we want to understand who we are. For Shaftesbury persons have a particular character, can act, and govern themselves. I propose that Shaftesbury’s approach to persons has a developmental dimension, which is meant to encourage personal development and improvement of character. The developmental dimension can be understood as an intellectual journey that invites us to search for our true self, to develop our character, and to seek happiness, which ultimately involves understanding our place as persons in the order of the universe. I show that my developmental interpretation is preferable to other existing interpretations. (shrink)

Research on ethical dilemmas in health care has become increasingly salient during the last two decades resulting in confusion about the concept of moral distress. The aim of the present paper is to provide an overview and a comparative analysis of the theoretical understandings of moral distress and related concepts. The focus is on five concepts: moral distress, moral stress, stress of conscience, moral sensitivity and ethical climate. It is suggested that moral distress connects mainly to a psychological perspective; stress (...) of conscience more to a theological–philosophical standpoint; and moral stress mostly to a physiological perspective. Further analysis indicates that these thoughts can be linked to the concepts of moral sensitivity and ethical climate through a relationship to moral agency. Moral agency comprises a moral awareness of moral problems and moral responsibility for others. It is suggested that moral distress may serve as a positive catalyst in exercising moral agency. An interdisciplinary approach in research and practice broadens our understanding of moral distress and its impact on health care personnel and patient care. (shrink)

The term “altruism” is used in many ways. In this thesis, I discuss altruism as a motivation, which is an influential notion in philosophy and the social sciences. Questions about the nature and the possibility of altruistic motivation have inspired much debate, both in academia and in everyday conversations. How can we know when we are truly altruistic and when we are merely helping others as a means to some egoistic goal? Are humans even capable of genuine altruistic motivation or (...) are we always egoistic deep down? Before answering questions like these, however, we need to ask a more fundamental question: how should we define altruistic motivation? The standard account of altruistic motivation in the literature defines it as an ultimate desire to increase the welfare of others. The central claim I will argue for in this thesis is that this standard account is intrinsically flawed and should be abandoned. -/- The problem with the standard account of altruistic motivation, in short, is its reliance on the notion of “ultimate desire”, which is a limited and unfruitful way of conceptualizing altruistic motivation. The criticism I propose is based on an interdisciplinary analysis of many aspects of the standard account, discussing its philosophical basis, its use in scientific research, its historical development, and its relation to common sense and morality. -/- This thesis is divided into four parts, each composed of two chapters. Part I presents the many technical accounts of altruism present in the scientific literature, distinguishing the standard account of altruistic motivation from alternative accounts of altruism. I discuss the hypotheses of psychological altruism, which states that some of our ultimate desires aim to increase the welfare of others, and psychological egoism, which states that all of our ultimate desires are egoistic. In this first part, I discuss some of the central philosophical concepts underlying the standard account of altruistic motivation, showing their implications for the debate about psychological altruism. -/- Part II discusses the main arguments for the existence of altruistic motivation. I argue that the main arguments in the scientific literature fail in making a defense of psychological altruism and that the definition of altruistic motivation makes the solution to the debate on psychological altruism virtually impossible. I conclude that the standard account makes altruistic motivation an unverifiable and unfruitful notion for scientific research. -/- Part III discusses the history of altruism and egoism, focusing particularly on early modern philosophy. I argue that the modern accounts of altruism and egoism diverge from the contemporary standard account of altruistic motivation. Reading the debates in modern philosophy through the lens of psychological altruism and psychological egoism oversimplifies and impoverishes the modern debate. I argue that the standard account also fails in representing the original use of “altruism”, proposed by Auguste Comte. In this third part, I show how the use of the standard account of altruistic motivation cannot be based on its historical foundations. -/- Finally, Part IV addresses the normative character of altruism and discusses some alternative ways of conceptualizing altruism. I argue that the standard account of altruistic motivation does not reflect the ordinary use of the term “altruism” and fails in accounting for its normative character. As an alternative, I propose an alternative account of altruism, virtue altruism. I claim that this account better reflects the ordinary intuitions about altruism, accommodates the descriptive and normative dimensions of altruism, is at home with most of the historical accounts of altruism, and may promote the active promotion of altruistic actions. (shrink)

Ruth Boeker offers a new perspective on Locke’s account of persons and personal identity by considering it within the context of his broader philosophical project and the philosophical debates of his day. Her interpretation emphasizes the importance of the moral and religious dimensions of his view. By taking seriously Locke’s general approach to questions of identity, Boeker shows that we should consider his account of personhood separately from his account of personal identity over time. On this basis, she argues that (...) Locke endorses a moral account of personhood, according to which persons are subjects of accountability, and that his particular thinking about moral accountability explains why he regards sameness of consciousness as necessary for personal identity over time. In contrast to some Neo-Lockean views about personal identity, Boeker argues that Locke’s account of personal identity is not psychological per se, but rather his underlying moral, religious, metaphysical, and epistemic background beliefs are relevant for understanding why he argues for a consciousness-based account of personal identity. Taking his underlying background beliefs into consideration not only sheds light on why many of his early critics do not adopt Locke’s view, but also shows why his view cannot be as easily dismissed as some of his critics assume. -/- . (shrink)

The interconnection between moral distress, moral sensitivity, and moral resilience was explored by constructing two hypothetical scenarios based on a recent Swedish newspaper report. In the first scenario, a 77-year-old man, rational and awake, was coded as “do not resuscitate” (DNR) against his daughter’s wishes. The patient died in the presence of nurses who were not permitted to resuscitate him. The second scenario concerned a 41-year-old man, who had been in a coma for three weeks. He was also coded as (...) “do not resuscitate” and, when he stopped breathing, was resuscitated by his father. The nurses persuaded the physician on call to resume life support treatment and the patient recovered. These scenarios were analyzed using Viktor Frankl’s existential philosophy, resulting in a conceivable theoretical connection between moral distress, moral sensitivity, and moral resilience. To substantiate our conclusion, we encourage further empirical research. (shrink)