Those who have discussed hopefulness as a general quality of character have tended to regard it as something importantly different from the maintenance of particular hopes about the future. I contend that this approach is mistaken and that we should instead regard one as hopeful to the degree that one nurtures a specific hope, namely, the hope that the future will be good. Thus, rather than attempting to locate hopefulness in personality traits that do not directly concern the maintenance of (...) particular hopes, I instead argue that nurturing the hope for a good future is sufficient to ground many of the other qualities that we associate with hopeful people. (shrink)

Despite the frequent invocation of ‘false hope’ and possible related moral concerns in the context of assisted reproduction technologies, a focused ethical and conceptual problematisation of this concept seems to be lacking. We argue that an invocation of ‘false hope’ only makes sense if the fulfilment of a desired outcome (eg, a successful fertility treatment) is impossible, and if it is attributed from an external perspective. The evaluation incurred by this third party may foreclose a given perspective from being an (...) object of hope. However, this evaluation is not a mere statistical calculation or observation based on probabilities but is dependent on several factors that should be acknowledgeable as morally relevant. This is important because it allows room for, and encourages, reasoned disagreement and moral negotiation. Accordingly, the object of hope itself, whether or not based on socially embedded desires or practices, can be a topic of debate. (shrink)

It is widely supposed that it is important to ensure that patients undergoing medical procedures hope that their treatments will be successful. But why is hope so important, if indeed it is? After examining the answers currently on offer in the literature, we identify a hitherto unrecognized reason for supposing that it is important that patients possess hope for a successful treatment, which draws on prospect theory, Kahneman and Tversky’s hugely influential descriptive theory about decision-making in situations of risk and (...) uncertainty. We also consider some concerns about patient consent and the potential manipulation of patients that are raised by our account. (shrink)

False hope is costly for individuals, their loved ones, and society. Scholars have defined false hope as one that involves an epistemically unjustified belief. In this paper, I argue that this account of false hope is incomplete and that false hope should be conceptualized in terms of the way in which the agent attends to or focuses on a highly desired but unlikely outcome. I explain how this account better captures the distinctiveness of false hope.

:Long-term patient outcomes after severe brain injury are highly variable, and reliable prognostic indicators are urgently needed to guide treatment decisions. Functional neuroimaging is a highly sensitive method of uncovering covert cognition and awareness in patients with prolonged disorders of consciousness, and there has been increased interest in using it as a research tool in acutely brain injured patients. When covert awareness is detected in a research context, this may impact surrogate decisionmaking—including decisions about life-sustaining treatment—even though the prognostic value (...) of covert consciousness is currently unknown. This paper provides guidance to clinicians and families in incorporating individual research results of unknown prognostic value into surrogate decisionmaking, focusing on three potential issues: Surrogate decisionmakers may misinterpret results; Results may create false hope about the prospects of recovery; There may be disagreement about the meaningfulness or relevance of results, and appropriateness of continued care. (shrink)

This paper develops an account of faith as a global trait of character, and explores how it relates to trust and hope. This account is developed in terms of the functional role faith occupies: what it is that global faith does in our lives. Global faith is taken to be a disposition to persevere in seeing the good in situations, events, circumstances, and people. This trait is explored through real and fictionalised situations of difficulty and strife, and when looking back (...) at one’s past experiences and challenges. The paper locates global faith within the broader family of faith-attitudes, contrasts it with similar accounts, and shows how it contributes to valuable trustfulness and hopefulness. (shrink)