Starting from the intuition, shared by many women, that the legal right to an abortion must be defended but that they themselves could never undergo one, I offer an account of why pregnancy is morally valuable and why, nevertheless, it is often permissible to end one. Developing the idea that human pregnancy centrally involves the activity of calling a fetus into personhood, I argue that the permissibility of stopping this activity hinges on the goodness or badness of one's moral luck.

Many political philosophers argue that interference (or vulnerability to interference) threatens a person’s agency. And they cast political freedom in opposition to interpersonal threats to agency, as non-interference (or non-subjection). I argue that this approach relies on an inapt model of agency, crucial aspects of which emerge from our relationships with other people. Such relationships involve complex patterns of vulnerability and subjection, essential to our constitution as particular kinds of agents: as owners of property, as members of families, and as (...) participants in a market for labor. We should construct a conception of freedom that targets the structures of our interpersonal relations, and the kinds of agents these relations make us. Such a conception respects the interpersonal foundations of human agency. It also allows us to draw morally significant connections between diverse species of unfreedom—between, for instance, localized domination and structural oppression. (shrink)

Like the dominant moral philosophers in the Western tradition, Mahatma Gandhi reaches moral conclusions that emphasize universality, impartiality, and detachment. This is in apparent contrast to feminist philosophers who have put forth a scheme for reaching moral conclusions that gives centrality to feeling, experience, and interdependence. In the following, I show that Gandhi shares significant agreement with feminists in spite of the kinds of moral conclusions he reaches. The crucial difference between Gandhi and the feminist critics lies in how the (...) distinctiveness of the other is understood. For Gandhi, I show, that the distinctiveness of others which evokes our affection is significant only in so far as it is a starting point that aides us in reaching the highest form of moral concern—a kind of agape (unselfish love for all). (shrink)

The clinical relationship has been underexplored in dementia care. This is in part due to the way that the clinical relationship has been articulated and understood in bioethics. Robert Veatch’s social contract model is representative of a standard view of the clinical relationship in bioethics. But dementia presents formidable challenges to the standard clinical relationship, including ambiguity about when the clinical relationship begins, how it weathers changes in narrative identity of patients with dementia, and how the intimate involvement of family (...) fits alongside a paradigmatically dyadic relationship. Drawing on work in recent feminist theory, a critique is offered of the standard clinical relationship in bioethics as underwritten by an individualistic conception of autonomy. An alternative view of the clinical relationship in dementia, one that embraces a relational account of autonomy, is put forward. (shrink)

Contemporary industrialized societies have been confronted with the fact and consequences of women's increased participation in paid employment. Whether this increase has resulted from women's desire for equality or from changing economic circumstances, women and men have been faced with a crisis in the organization of work that concerns dependents, that is, those unable to care for themselves. This is labor that has been largely unpaid, often unrecognized, and yet is indispensable to human society.

Is the mammalian embryo/fetus a part of the organism that gestates it? According to the containment view, the fetus is not a part of, but merely contained within or surrounded by, the gestating organism. According to the parthood view, the fetus is a part of the gestating organism. This paper proceeds in two stages. First, I argue that the containment view is the received view; that it is generally assumed without good reason; and that it needs substantial support if it (...) is to be taken seriously. Second, I argue that the parthood view derives considerable support from a range of biological and physiological considerations. I tentatively conclude in favour of the parthood view, and end by identifying some of the interesting questions it raises. (shrink)

This manuscript draws on the moral norms arising from the nuanced accounts of epistemic (in)justice and social identity in relational autonomy to normatively assess and articulate the ethical problems associated with using AI in patient care in light of the Black Box problem. The article also describes how black-boxed AI may be used within the healthcare system. The manuscript highlights what needs to happen to align AI with the moral norms it draws on. Deeper thinking – from other backgrounds other (...) than decolonial scholarship and relational autonomy – about the impact of AI on the human experience needs to be done to appreciate any other barriers that may exist. Future studies can take up this task. (shrink)

My discussion is concerned with how symbolic power constitutively structures our very identities in relation to one another and at the bodily level of lived experience. Although many accounts of the self and of subjectivity as socially situated have difficulties in their explanations of agency, Zaners work suggests a basis upon which the selfs independence from others can be understood. His phenomenology of embodied subjectivity explains how the emerging self presupposes presence with others. At the same time, however, co-presence also (...) reveals the selfs distinct perspective and capacity for circumstantial possibilizing, that is to say, actualizing another possible than the actual. My aim is to examine critically the intersections between Zaners phenomenology and other theoretical accounts of the socially situated self. I also show how Zaners work contributes to these discussions a way of understanding the possibility of agency that is rooted in embodied experience. (shrink)

We cannot rethink the ethical and political dimensions of memory—especially its role in constituting persons and identities—without rethinking the nature of memory itself. I first describe a traditional epistemological view of memory, according to which memory is a faculty for preserving knowledge of the past, and then juxtapose a relational theory of memory developed by Sue Campbell. The relational theory is represented in terms of a distinction between actions and achievements; this distinction enables us to both clarify and defend the (...) shift from an epistemological to a political conception of memory. On the resulting view, accuracy, not truth, is the appropriate norm for evaluating memory, and remembering is no longer conceived as an interior process. In the penultimate section I confront an objection to a relational theory of memory—and to relational theories of cognition generally—and suggest a strategy of response. (shrink)

Eighteenth-century disputes in moral theory seem to offer an opportunity to scepticism about moral theory and about morality. Twentieth-century theorists have tried to forestall a sceptical argument from disagreement in moral theory to doubts about morality, by appeal to a division between first-order and second-order questions. This division, however, does not answer the sceptical argument. A better reply appears in Butler's treatment of disagreement through his strategies of consensus and comprehension. These strategies are illustrated by his discussion of utilitarianism and (...) of the relation between conscience and self-love. (shrink)

Kathryn Morgan has introduced us to a typology of ‘the ways in which women’s moral voice and her sense of moral integrity are twisted and destroyed by patriarchal ideology and lived experience.’ She claims that this experience can induce in women ‘a sense of confusion and genuine moral madness.’I am in agreement with much of what Morgan says. However, I suspect that some others might find her case less convincing than I for the reason that she supports her claims by (...) an appeal to classical philosophical literature and what we might loosely call ‘sociological observations.’ One can imagine the easy retort—‘Yes, well, it’s true that Aristotle, Aquinas, Rousseau and Kant did say those silly things about women, but their remarks were mere asides and no one takes them seriously in this matter any more anyway. (shrink)

In this paper I argue that the lack of interest, among analytic moral philosophers, in the contingencies of our moral present, produces an impoverished moral philosophy, unable to address the moral problems and quandaries of ordinary people. What is needed to remedy this is a broadening of the scope of the moral philosopher’s thought to include a rich attention to moral phenomena of the present. One such phenomenon, attended to by sociologists and critical journalists over the past few decades, is (...) the contemporary proliferating genre of psychologically oriented self-help literature. I display a range of sociological responses to self-help in order to point out aspects of morality that are made visible in these discussions, whereas they often remain invisible in standard moral philosophy. The aim is not to suggest a specific methodology for including such material into philosophical discussions, but rather to urge philosophers to reconsider the range of materials they attend to in their work, in order to produce a more lively engagement with and understanding of contemporary morality. (shrink)

Consistency is usually seen as one of the hallmarks and a cardinal virtue of moral theory, as well as of any defensible real-life moral perspective. In everyday life a consistent set of moral beliefs is conductive to moral clarity, communicability, responsibility and responsiveness. But this is just one side of the story. In this paper I argue that inconsistency, properly understood, is a productive and constructive aspect of both moral philosophy and our moral lives. After an introductory glance at Ralf (...) Waldo Emerson and Hannah Arendt, the argument proceeds in three main steps. First, I discuss the philosophical importance of paying heed to inconsistencies in our moral lives, which often are prematurely pruned from moral philosophy. Second, I discuss the positive moral roles of inconsistency in terms of responsiveness to different situations, values, needs and concerns that call upon our attention in everyday life. Third, I argue that moral inconsistencies contribute to the necessary adaptability of our moral understandings to changing conditions. Fourth, in the place of a conclusion, I revisit the issue of consistency, clarity and accountability. (shrink)

In this paper I discuss the viability of the claim that at least some forms of moral theory are harmful for sound moral thought and practice. This claim was put forward by e.g. Elisabeth Anscombe ( 1981 ( 1958 )) and by Annette Baier, Peter Winch, D.Z Phillips and Bernard Williams in the 1970’s–1980’s. To this day aspects of it have found resonance in both post-Wittgensteinian and virtue ethical quarters. The criticism has on one hand contributed to a substantial change (...) and broadening of the scope of analytic moral philosophy. On the other hand it is, at least in its most strongly anti-theoretical formulations, now broadly considered outdated and—to the extent that it is still defended—insensitive to the changes that have occurred within the field in the last 20–30 years. The task of this paper is to relocate the anti-theoretical critique into the field of analytic ethics today. (shrink)

This essay critically examines a suggestion proposed by some Confucianists that Confucianism and Care Ethics share striking similarities and that feminism in Confucian societies might take “a new form of Confucianism.” Aspects of Confucianism and Care Ethics that allegedly converge are examined, including the emphasis on human relationships, and it is argued that while these two perspectives share certain surface similarities, moral injunctions entailed by their respective ideals of ren and caring are not merely distinctive but in fact incompatible.

The rare case of the patient unwilling to disclose genetic data to his or her family provides an opportunity to expand the atomistic conception of the autonomous individual in medical decision-making. Medical practitioners naturally avoid violating patient autonomy and privacy. However, unwilling disclosure can damage the health of people other than the patient. In this situation, professionals must weigh the principle of autonomy against the nature of relationships, duties, and confidentialities between patient, professional, and family. The paradigm case studied is (...) that of a patient with a potentially dangerous heart condition, Long QT Syndrome 3. Patients with Long QT 3 are at high risk for dying of ventricular tachycardia during rest, especially from ages 40–60. Once familial genetic testing was completed, the proband's mother, who was positive for the mutation, chose not to inform her estranged sister of the diagnosis. This paper examines the ethical duties of the physician to inform a patient's extended family of a serious genetic diagnosis, with a focus on the emotional and psychological effects of genetic testing. The need to adapt the process of violating confidentiality around considerations for the patient's emotional state and narrative will be addressed. This approach considers the patient’s narrative, standpoint, and relationships as a way to develop a support plan and will present a guideline for cases where the probability of significant harm to others supersedes the patient’s preference of non-disclosure as well as the physician’s respect of confidentiality. The paper seeks to expand the conversation on genetic testing and autonomy beyond principles by considering all parties involved and emphasizes the use of the varied resources available to medical practitioners, especially to provide the best help possible without overburdening physicians with duties. (shrink)

In societies that have failed to confront past injustice, the most common justifications for the inclusion of history education within the school curriculum invoke the idea that those who cannot learn from the past are doomed to repeat it; or they appeal to goals such as reconciliation, or to the importance of recognizing and morally redressing the harm done to victims. These justifications are all sound and important. However, they must be supplemented with a justification of a different kind, one (...) that appeals to a different kind of value, namely that of personal and political autonomy. When historical injustice is left unaddressed in school, so this paper argues, all children and adolescents are wronged, including those who were not involved in, or were directly affected by, past injustice. This is not simply because as a result they run the risk of repeating, or of being the victims of, behavior that caused past violence; or because without history education the harm done to their predecessors is left unacknowledged. They are wronged because ignorance of past injustice curtails the full exercise of their autonomous agency. It does so by denying them access to information that is crucial for evaluating their values and commitments. History education in schools can avoid this scenario, promoting autonomy instead. (shrink)

: Care theorists have made significant gains over the past twenty-five years in establishing caring as a viable moral and political concept. Nonetheless, the concept of caring remains underdeveloped as a basis for a moral and political philosophy, and there is no fully developed account of our moral obligation to care. This article advances thinking about caring by developing a definition of caring and a theory of obligation to care sufficient to ground a general moral and political philosophy.

Care theorists have made significant gains over the past twenty-five years in establishing caring as a viable moral and political concept. Nonetheless, the concept of caring remains underdeveloped as a basis for a moral and political philosophy, and there is no fully developed account of our moral obligation to care. This article advances thinking about caring by developing a definition of caring and a theory of obligation to care sufficient to ground a general moral and political philosophy.

Stakeholder theory, as a method of management based on morals and behavior, must be grounded by a theory of ethics. However, traditional ethics of justice and rights cannot completely ground the theory. Following and expanding on the work of Wicks, Gilbert, and Freeman (1994), we believe that feminist ethics, invoking principles of caring, provides the missing element that allows moral theory to ground the stakeholder approach to management. Examples are given to support the suggested general principle for making business decisions (...) under feminist moral theory. (shrink)

The concept of self - respect is often invoked in feminist theorizing. But both women's too-common experiences of struggling to have self - respect and the results of feminist critiques of related moral concepts suggest the need for feminist critique and reconceptualization of self - respect. I argue that a familiar conception of self - respect is masculinist, thus less accessible to women and less than conducive to liberation. Emancipatory theory and practice require a suitably feminist conception of self - (...) respect ; I propose one such conception. (shrink)

I want to argue for the importance of the notion human being in ethics. Part I of the paper presents two different sorts of argument against treating that notion as important in ethics. A. Here is an example of the first sort of argument. What makes us human beings is that we have certain properties, but these properties, making us members of a certain biological species, have no moral relevance. If, on the other hand, we define being human in terms (...) which are not tied to biological classification, if we treat as the properties which make us human the capacities for reasoning or for self-consciousness, then indeed those capacities may be morally relevant, but if they are morally significant at all, they are significant whether they are the properties of a being who is a member of our species or not. And so it would be better to use a word like ‘person’ to mean a being that has these properties , to bring out the fact that not all human beings have them and that non-human beings conceivably might have them. (shrink)

In both popular and scholarly discussions, sexual consent is gaining traction as the central moral consideration in how people should treat one another in sexual encounters. However, while the concept of consent has been indispensable to oppose many forms of sexual violence, consent-based sexual ethics struggle to account for the phenomenological complexity of sexual intimacy and the social and structural pressures that often surround sexual communication and behavior. Feminist structural critique and social research on the prevalence of violation even within (...) consensual sex suggest that consent is insufficient to ground responsibility; a more fundamental orientation toward the value of sexual agency provides a better foundation for sexual ethics. Using feminist critical theory, phenomenology, and black feminist thought, this dissertation develops a socially situated and relational notion of sexual agency and diagnoses how such agency is neglected in prevailing discussions of consent in moral philosophy and legal theory. I argue that the ethical question of responsibility to another in a sexual encounter—apart from juridical considerations—should be reframed around the value of each person’s socially situated practices of agency. Preceding and extending beyond the obligation to gain valid consent for an action, responsibility demands adapting one’s intentions and behaviors in response to the wider range of another’s communicative expressions of agency. However, communicative expressions can be ambiguous or overdetermined by social context and cultural norms; they often offer only provisional traces of agency. To address this inherent uncertainty in intimacy, I propose drawing on insights from Emmanuel Levinas about the dynamic, open-ended nature of relationality, responsibility, and communication. Responsibility toward another does not depend on securing certainty about their “yes” or “no,” but requires responding continuously under conditions of uncertainty and ambiguity, adapting behaviors and intentions to make room for another’s agency despite its opacity. (shrink)

In this contribution, I comment on Raffaella Campaner’s defense of explanatory pluralism in psychiatry (in this volume). In her paper, Campaner focuses primarily on explanatory pluralism in contrast to explanatory reductionism. Furthermore, she distinguishes between pluralists who consider pluralism to be a temporary state on the one hand and pluralists who consider it to be a persisting state on the other hand. I suggest that it would be helpful to distinguish more than those two versions of pluralism – different understandings (...) of explanatory pluralism both within philosophy of science and psychiatry – namely moderate/temporary pluralism, anything goes pluralism, isolationist pluralism, integrative pluralism and interactive pluralism. Next, I discuss the pros and cons of these different understandings of explanatory pluralism. Finally, I raise the question of how to implement or operationalize explanatory pluralism in scientific practice; how to structure the “genuine dialogue” or shape “the pluralistic attitude” Campaner is referring to. As tentative answers, I explore a question-based framework for explanatory pluralism as well as social-epistemological procedures for interaction among competing approaches and explanations. (shrink)

This dissertation addresses the following questions: How should epistemologists conceptualize testimony? What do people use testimony to do? And why does ‘what people do’ with testimony matter epistemically? In response to these questions I both define and characterize testimony. While doing so I argue for the following answers, given here very briefly: What do people do when they testify? They tell each other things and avow that those things are true, offering their statements to others as reasons to believe. More (...) importantly, they interact with each other in order to negotiate about significance. Why do these activities matter epistemically? Because by engaging in them people generate understanding, as well as knowledge, that no one involved may have had prior to negotiation. Not only that, but they generate collective hermeneutic resources—conceptual tools with which to interpret and understand. In so doing, they not only learn, they create significance and (re)construct social worlds, living together as epistemic, moral, and political agents. So, how should epistemologists conceptualize testimony? They should treat it as a particular speech act that most often occurs as part of a testimonial exchange—an interactive, interpretive, dialogical activity that people use in order to negotiate about significance and generate understanding. This characterization of testimony is an important contribution because it: reveals some of the distinctively social aspects of testimonial knowledge and understanding; suggests better answers to epistemic questions about testimony than those based on typical characterizations in the literature; leads discussion on the topic in a number of new directions; and it lays a foundation for an ethics of testimony that cannot be separated from epistemic concerns. Neither can those concerns be separated from social, moral, and political considerations. The position thus pushes epistemologists to investigate the intertwining of epistemic, moral, and political agency. (shrink)

Being autonomous depends on the kind of relations we enjoy in the different domains of our lives, but the impact of decision-making and the power exercise that takes place in the political sphere, makes political relations crucial to our development and enjoyment of autonomy. This dissertation develops a novel view of political participation by interrogating its connection to our personal autonomy. According to this view, our political relations are partially constitutive of our personal autonomy, which in other words means there (...) is a political aspect of our autonomy. The kind of political relations we should hold to fully enjoy our autonomy is what I call Relations of Mutual Recognition. It is the mutual recognition of each agent’s autonomous standing—translated into a proper distribution of political power— that will face dominating political relations. The basis for that domination comes from our democracies’ power imbalances that condition influence over political decision-making to each individual’s economic, social or cultural standing. Consequently, there are political conditions for our autonomy to thrive. Relations of Mutual Recognition require two main conditions: non-domination and control. I take these two neo-republican ideals and redefine them to shape what a proper distribution of political power amounts to. Political participation comes in precisely to identify a way to challenge power imbalances. Therefore, my definition of political participation, which I call Collective Self-Government, requires a particular sort of implementation. Accordingly, I suggest a deliberative and inclusive arrangement that involves direct and innovative forms of decision-making, and more importantly, grants relevant shares of authority to all actors, i.e., common citizens, legislators, technocrats, etcetera. This project could rightly belong to both a relational approach to autonomy and be labelled as a version of deliberative democracy. However, relational accounts focus on our social relations, whilst I claim that we cannot be “less” or non-autonomous in the political sphere and still enjoy an autonomous life. Likewise, the participatory focus—in the sense of inclusion of all actors—of this proposal more accurately turn it into either a participatory version of deliberative democracy or a deliberative version of participatory democracy. (shrink)

In this dissertation I defend five claims about trust: 1) trusting and trustworthiness are conceptually but not causally connected; 2) trust is risky; 3) trust requires good will; 4) trust is a two-part relation; and 5) trust is an interpretative framework. A concern for trust often appears in discussions about testimony and the expectation of truthfulness; Bentley Glass, John Hardwig, and Jonathan Adler each address the role of trust in science while assuming a necessary connection between trusting and trustworthiness. I (...) argue that this conception is untenable because a justification for one fails to suffice as a justification of the other. I show, instead, that it is our assessment that links trustworthiness to trusting. My second claim, that trust involves risk, is contentious. I argue that the common understanding of risk as harm, which is held by Russell Hardin, contains the more technical understanding of risk as uncertainty, which is suggested by Niklas Luhman. Trust is risky precisely because it is inherently uncertain. Annette Baier argues that failing to recognize a distinction between trusting and action associated with that trust leads us to accept accounts of trust that are too broad. I argue that trust is to believe that another is concerned with your well-being, has good will, because she is concerned about you and not that it will necessarily benefit her in some way. Seeing trust as good will allows me to advance my fourth claim, that trust is a two-part relation, because trust is the assessment of another's good will towards me. Trusting another is believing that the other's good judgment will include concern and consideration for my interests because they are my interests. My fifth point follows naturally once trust is understood to be a risky, two-part relation requiring good will: it is an interpretive framework. Our trust in another sets the tone for understanding her behavior such that we take her actions as either supporting or blocking our interests. This account takes the capacity to trust to be the foundation for, rather than merely an outgrowth of, our judgments. (shrink)

In this article, I follow up on a suggestion made by Josephine Donovan that a Hume-inspired ethic of sympathy would be a better foundation for an animal ethic than more rationalistic approaches of both utilitarianism and deontology. I then expand on Donovan’s suggestion by further suggesting that Hume’s “sentiment of humanity” could easily be expanded to include other animals. Hume’s ethic of sympathy, I argue, answers the need for an ethic that is at once both personal, contextual, and sufficiently universalizable (...) to incorporate the political need for something like justice. I say, “something like justice,” because animals are explicitly ruled out of justice relationships by Hume due to his more narrow definition of that term. What I mean by “something like justice” is a more impersonal and objective element that transcends exclusively personal or private interests. (shrink)