Medical ethics would be better if people were taught to think more clearly about well-being or the concept of what is good for a person. Yet for a variety of reasons, bioethicists have generally paid little attention to this concept. Here, I argue, first, that focusing on general theories of welfare is not useful for practical medical ethics. I argue, second, for what I call the “theory-without-theories approach” to welfare in practical contexts. The first element of this approach is a (...) focus on examining important and relatively uncontroversial constituents of welfare as opposed to general theories. The second key element is a framework for thinking about choice in relation to welfare, a framework I refer to as “the mild objectivity framework.” I conclude with illustrations of the way in which the “theory without theories approach” can improve thinking in medicine. (shrink)

This paper provides a philosophical assessment of leading theory-based, evidence-based and coherentist approaches to the definition and the measurement of well-being. It then builds on this assessment to articulate a reformed division of labor for the science of well-being and argues that this reformed division of labor can improve on the proffered approaches by combining the most plausible tenets of theory-based approaches with the most plausible tenets of coherentist approaches. This result does not per se exclude the possibility that theory-based (...) and coherentist approaches may be independently improved or amended in the years to come. Still, together with the challenges that affect these approaches, it strengthens the case for combining the most plausible tenets of those approaches. (shrink)

In “Well-Being and Pluralism” (2021), Polly Mitchell and Anna Alexandrova defend conceptual pluralism about well-being. Conceptual pluralism about well-being holds that there are multiple, irreducible concepts of well-being that are employed in different contexts, all equally legitimate as concepts of well-being. Moreover, “Conceptual pluralism about well-being entails that there is no single essence which characterises all and only instances of well-being.” (Mitchell and Alexandrova, 2021, p. 2422) Conceptual monism about well-being, on the other hand, holds, at a minimum, that there (...) is some essence that unites all legitimate uses of ‘well- being’. In this paper, I will argue that there is a version of conceptual monism about well-being, the network theory of well-being defended by Michael Bishop in his book The Good Life (2015), that can secure all of the benefits of Mitchell and Alexandrova’s conceptual pluralism, namely accommodating the wide range of uses of “well-being” in the sciences of well-being and in ordinary language. Mitchell and Alexandrova’s argument for pluralism depends on the inability of a monistic theory of well-being to account for this diversity of conceptions of well-being and the diversity of instruments used to measure well-being in the sciences. Bishop’s network theory, like Mitchell and Alexandrova’s pluralism, is designed to accommodate the scientific study of well-being. Because of this, it avoids the pitfalls of traditional, monistic conceptions of well-being despite its monistic credentials. I conclude with two novel arguments for the network theory. (shrink)

It is a commonly expressed sentiment that the science and philosophy of well-being would do well to learn from each other. Typically such calls identify mistakes and bad practices on both sides that would be remedied if scientists picked the right bit of philosophy and philosophers picked the right bit of science. We argue that the differences between philosophers and scientists thinking about well-being are more difficult to reconcile than such calls suggest, and that pluralism is central to this task. (...) Pluralism is a stance that explicitly drives towards accommodating and nurturing the richness and diversity of well-being, both as a concept and as an object of inquiry. We show that well-being science manifests a contingent pluralism at the level of methodology, whereas philosophy of well-being has largely rejected pluralism at the conceptual level. Recently, things have begun to change. Within philosophy, conceptual monism is under attack. But so is methodological pluralism within science. We welcome the first development, and bemoan the second. We argue that a joined-up philosophy and science of well-being should recognise the virtues of both conceptual and methodological pluralism. Philosophers should embrace the methodological justification of pluralism that can be found in the well-being sciences, and scientists should embrace the conceptual reasons to be pluralist that can be found in philosophical debate. (shrink)