According to T.M. Scanlon, the core idea of contractualism consists in the claim that what we are morally required to do is conceptually grounded in the value of living in “relations of mutual recognition” with others. Specifically, Scanlon's contractualist idea of “living in relations of mutual recognition with others” requires that one act only in ways that cannot be reasonably rejected by all of those affected, according to the results of a hypothetical reflection conducted within one's own mind. I claim, (...) however, that Scanlon is mistaken to rely on a single individual's hypothetical reflection (monological reflection) to determine what no one affected could reasonably reject. Instead, following Jürgen Habermas, I claim that we must engage in actual dialogue with all who stand to be affected, in order to live in relations of mutual recognition with others. (shrink)

ABSTRACTFor obvious reasons sentimentalists have been hesitant to offer accounts of moral reasons for action: the whole idea at least initially smacks of rationalist notions of morality. But the sentimentalist can seek to reduce practical to sentimentalist considerations and that is what the present paper attempts to do. Prudential reasons can be identified with the normal emotional/motivational responses people feel in situations that threaten them or offer them opportunities to attain what they need. And in the most basic cases altruistic/moral (...) reasons involve the empathic transfer of one person’s prudential reasons and emotions to another person or persons who can help them. Practical/moral reasons for self-sacrifice also depend on empathic transfer and can vary in strength with the strength of the transfer. (shrink)

Death is an undeniable fact of life. Whether it is a bad or feared thing is an important discussion that can be brought back to the ancient Greek philosophers. This article is primarily concerned with the discussion on what grounds Epicurus's thesis "death, is nothing to us; since when we exist, death is not yet present, and when death is present, then we do not exist," and to what extent satisfactory results are reached. Later, it tries to investigate how Lucretius, (...) who is regarded as the successor of Epicurus, derives the result of meaningless of fear of death from the symmetrical relationship between prenatal and post-mortem non-existences. Finally, it refers to the modern asymmetric approaches which argue that, contrary to Lucretius's claim, the relationship between these two periods of non-existence is not symmetrical, because there are serious differences between the later birth and the later death of people, given their deprivations. This article argues that death has a mystery that raises the anxiety that comes from the nature of death; however, it defends the idea that it makes a significant contribution to the meaning of life. (shrink)

One’s philosophical points of view, which form the bases for assumptions that we bring to management theory and practice matter, and matter deeply, to management thinking and corporate behavior. In this paper I outline three related threads of philosophical conversations and explain how they are important in management theory and practice: the “linguistic turn” in philosophy, deriving from the later writings of Ludwig Wittgenstein, a social constructionist perspective: a set of theories at least implicitly derived from the linguistic turn in (...) philosophy, and the notion of the impartial spectator. I then use these three theories to analyze the idea of the corporation, corporate cultures and corporate mission statements, stakeholder theories and their differences, and the limitations of the popular notion of “corporate social responsibility.” I conclude that how one frames these management ideas makes a difference, a difference in theory and in practice. (shrink)

Moral judgments are typically experienced as being categorically authoritative – i.e. as having a prescriptive force that is motivationally gripping independently of both conventional norms and one's pre-existing desires, and justificationally trumps both conventional norms and one's pre-existing desires. We argue that this key feature is best accommodated by the meta-ethical position we call ‘cognitivist expressivism’, which construes moral judgments as sui generis psychological states whose distinctive phenomenological character includes categorical authoritativeness. Traditional versions of expressivism cannot easily accommodate the justificationally (...) trumping aspect of categorical authoritativeness, because they construe moral judgments as fundamentally desire-like. Moral realism cannot easily accommodate the aspect of inherent motivational grip, because realism construes moral judgments as a species of factual belief. (shrink)

_ Source: _Page Count 19 This paper offers an account of practical decisions. The author argues that decisions do not need to be conscious, nor do they need to be settled by deliberation. Agents can be mistaken about what they decided and agents can decide by doing some intentional action besides deliberating. The author argues that the functional role of a decision is to put an end to practical uncertainty. A mental event is a decision to the extent that it (...) ends practical uncertainty and to the extent that awareness of this causal role tends to reinforce that fact. This role is causal, but has systematic connections to consciousness. (shrink)

Während Nietzsche in der Debatte um Anerkennung bisher vorwiegend in Bezug zur Verkennungslinie interpretiert wird, geht es in dem Beitrag dagegen um die Abgrenzung Nietzsches zu dieser vorwiegend französisch geprägten Verkennungslinie. Dies soll an der sozialen Praktik der Scham als distinktes Beispiel für eine konkrete Situation von Anerkennungsbeziehungen im Lebenszusammenhang gezeigt werden. Für die Verkennungslinie wird exemplarisch Jean Paul-Sartres Verständnis von Scham aus Das Sein und das Nichts als Anerkennungsbeziehung herangezogen. Dazu kontrastierend soll auf Nietzsches Beschreibung des „Scham-Ersparens“ als konkrete (...) Form von Anerkennungsverhältnissen eingegangen werden. Hierbei geht es Nietzsche um eine grundsätzliche Fragilität, durch die das Anerkennungsgeschehen stets in eine Form von Verletzung und Verkennung umzuschlagen droht. Dabei soll gezeigt werden, dass Nietzsche nicht Sartres Weg einschlägt, in dem der Andere sein Gegenüber immer schon durch seinen Blick verdinglicht und dadurch die Freiheit des Anderen verunmöglicht. Wie schwierig die Umsetzung im konkreten Fall bei Nietzsche auch sein mag, so gesteht Nietzsche ihr dennoch grundlegend eine gelingende Möglichkeit im ‚Scham-Ersparen’ zu, oder anders gewendet: Es geht Nietzsche um ein Anerkennen im Angesicht der wechselseitigen Verletzlichkeit. (shrink)

This comment on Frodeman and Briggle’s Socrates Tenured raises questions about the project of applying philosophy or philosophical skills to wicked problems such as terrorism. By definition, these problems cannot be solved by appeal to principles, but involve conflicting values and goals. The societal problems to which the book refers are of this kind. The argument of the book vacillates between recognizing this and asserting some sort of special disciplinary authority for philosophy in the face of these problems. Examples illustrate (...) the dilemma. (shrink)

For the past two decades, philosophers of religion have paid close attention to the debates on public reason taking place within the context of political philosophy. Some thinkers claim that religious arguments should play a very limited role in political discourse, as this would amount to a politically sanctioned imposition of religious beliefs on people with different religious or non-religious worldviews. Others claim that excluding religious reasons would lead to an unfair exclusion of religious citizens from democratic processes. Underlying these (...) positions is a highly problematic idea of what it means to be a religious citizen. On the one hand, religious citizens are conceptualized as highly self-reflective theologians. Others instead imagine religious citizens to be wholly incapable of such self-reflection and of distinguishing between public and non-public spheres. In my article I attempt to criticize these underlying assumptions and point towards a more nuanced conception of the religious citizen. (shrink)

This essay contrasts the notions of charity employed by Traditional Christianity and by liberal cosmopolitan bioethics, arguing that: (1) bioethics attempts to reconstruct the notion of charity in a manner that is caustic to the Traditional Christian moral vision, (2) Christians are, on the whole, more charitable than proponents of bioethics' reconstructed view (even given the standards of the latter), and (3) the theistically oriented conception of charity employed by Traditional Christianity cannot be expressed in bioethics' purportedly neutral public vocabulary. (...) The upshot is that, in the name of neutrality and pluralism, liberal cosmopolitan bioethicists seek to impose an impoverished moral vocabulary that reflects liberal cosmopolitan ideology while excluding input from Traditional Christianity and other non-liberal-humanistic moral visions. (shrink)

This paper argues (a) that to any agent‐relative value maker there will correspond an agent‐neutral value maker, and the latter explains the former; and (b) that to each agent‐relative constitutive ground there corresponds a neutral one, and the latter explains the former. It follows from (b), if not from (a), that agent‐neutral value exists if agent‐relative value does.

Physicalism entails that a possible world which is a minimal physical duplicate of the actual world be a duplicate simpliciter of the actual world. Because what I really am is not a particular human being, there exists a minimal physical duplicate of the actual world which is not a duplicate simpliciter of the actual world. Therefore, physicalism is false.

In a previous paper, I argued that the later Wittgenstein did not endorse a realist account of ethics, where a realist account is understood to involve a claim to truth as well as objectivity. In this paper, I respond to a number of critical questions that Benjamin De Mesel raises about that interpretation. I agree with him that just as there are uses for expressions such as “truth”, “fact” and “reality” in ethics, there are uses for expressions such as “objectivity” (...) that do not involve a deeper realist commitment. But I uphold and reinforce my claim that objectivity in ethics as the realist conceives it is ruled out by Wittgenstein, who describes the correspondence between ethical expressions and reality in an entirely different way. (shrink)

I distinguish three kinds of other minds problems—conceptual, epistemological and empirical. I argue that while Merleau-Ponty believes embodiment helps with tackling the conceptual and epistemological problems, he suggests that it is of no clear use in solving the empirical problem. I sketch some considerations that could lend support to Merleau-Ponty’s claims about the conceptual and epistemological problems, without claiming that these are conclusive. I then proceed to argue that Merleau-Ponty’s take on the empirical problem is essentially correct.

Moral nihilism maintains that value judgments cannot be justified. In this paper I argue against two prominent nihilistic theories: error theory and expressivism. First I present a meta-valuation thesis, which holds that it would be more valuable if at least some value judgments were justified. Second I argue for a value-justification thesis, which holds that the greater value of value-justifying theories warrants a rejection of nihilistic theories. This latter thesis requires a pragmatist premise: justified beliefs are the most valuable of (...) possible beliefs. With this premise and a critique of meta-ethical theory choice, I argue that meta-ethical justification proceeds via an atypical form of the method of reflective equilibrium. Since this particular method cannot produce a justification for error theory or expressivism, I conclude that these two forms of moral nihilism should be rejected in favor of more valuable meta-ethical theories. (shrink)

Though not myself a physicalist, I develop a new argument against antiphysicalist positions that are motivated by zombie arguments. I first identify four general features of phenomenal states that are candidates for non-physical types; these are used to generate different types of zombie. I distinguish two antiphysicalist positions: strict dualism, which posits exactly one general non-physical type, and pluralism, which posits more than one such type. It turns out that zombie arguments threaten strict dualism and some pluralist positions as much (...) as they threaten physicalism—indeed, more so, since such positions need zombies to motivate them as alternatives to physicalism—and that the only pluralist position that escapes zombie arguments has a radically inflated ontology. (shrink)

As persons, beings with a capacity for autonomy, we face a certain practical task in living out our lives. At any given period we find ourselves with many desires or preferences, yet we have limited resources, and so we cannot satisfy them all. Our limited resources include insufficient economic means, of course; few of us have either the funds or the material provisions to obtain or pursue all that we might like. More significantly, though, we are limited to a single (...) life and one of finite duration. We also age, and pursuits that were possible at earlier points within a life may become impossible at later stages; we thus encounter not only an ultimate time limit but episodic limits as well. Because we must live our lives with limited resources—material and temporal—we are pressed to choose among and to order our preferences. Without some selection and ordering, few if any of them would be satisfied, and we would be unable to live lives that are recognizably good at all. Moreover, we would be unable to function well as the autonomous beings that we are. Our practical task then is to form a coherent, stable, and attractive ordering of aims—to develop a conception of our good. (shrink)

I argue that Kant is a key figure in understanding Rorty’s work, by drawing attention to the fact that although he is ostensibly the principal villain of Philosophy and the Mirror of Nature, at the end of that book Kant provides the basis of Rorty's positive proposal that we view the world “bifocally”. I show how this idea was re-worked as “irony” in Continency, Irony, and Solidarity, and became central to Rorty’s outlook. However, by allowing this Kantian influence into his (...) thinking, Rorty made his position untenable. For Rortyan pragmatism undercuts the higher stance required by the concept of irony; and yet without this Kantian influence, Rorty would have been unable to justify his pluralism. Rorty could not live with Kant but could not live without him either. (shrink)

The inference from determinism to predictability, though intuitively plausible, needs to be qualified in an important respect. We need to distinguish between two different kinds of predictability. On the one hand, determinism implies external predictability , that is, the possibility for an external observer, not part of the universe, to predict, in principle, all future states of the universe. Yet, on the other hand, embedded predictability as the possibility for an embedded subsystem in the universe to make such predictions, does (...) not obtain in a deterministic universe. By revitalizing an older result—the paradox of predictability —we demonstrate that, even in a deterministic universe, there are fundamental, non-epistemic limitations on the ability of one subsystem embedded in the universe to predict the future behaviour of other subsystems embedded in the same universe. As an explanation, we put forward the hypothesis that these limitations arise because the predictions themselves are physical events which are part of the law-like causal chain of events in the deterministic universe. While the limitations on embedded predictability cannot in any direct way show evidence of free human agency, we conjecture that, even in a deterministic universe, human agents have a take-it-or-leave-it control over revealed predictions of their future behaviour. (shrink)

This thesis explores the development of Bertrand Russell‘s theory of definite descriptions. It aims at demonstrating the connection between Russell‘s views on the subject of denoting and his attempt, in the period 1903-05, to develop a solution to 'the Contradiction'. The thesis argues that the discovery of the theory of descriptions, and the way in which it works, are best understood against the backdrop of Russell‘s work on the paradoxes. A new understanding of Russell‘s seminal paper 'On Denoting' is presented, (...) including a novel interpretation of the notorious 'Gray‘s Elegy Argument', in which Russell argues against his earlier theory of denoting. That Russell‘s work on denoting is connected to his work on the paradoxes is reasonably well-known: the nature of the connection has not, however, been adequately brought out in the literature. This is addressed through demonstrating the relationship between Russell‘s work on denoting and his development of the 'substitutional theory' of classes and relations. This theory eliminates classes and propositional functions in favour of matrices and substitutions. The role of the theory of descriptions in the development of the substitutional theory is commonly supposed to be merely that the theory of descriptions facilitates the ontological elimination of classes. But this elimination was equally possible on Russell‘s earlier theory of denoting. In the thesis it is suggested that the theory of descriptions brings with it a new conception of analysis, and that it is through the introduction of this new form of analysis—rather than through the elimination of classes—that the theory of descriptions facilitates the substitutional approach. (shrink)

According to what might be described as ‘humanist’ approaches to epistemology, the fundamental task of epistemology is to investigate the nature, scope and origins of human knowledge. Evidently, what we can know depends upon the nature of our cognitive faculties, including our senses and our understanding. Since there may be significant differences between human cognitive faculties and those of other beings, it would seem that an investigation of the nature, scope and origins of human knowledge must therefore concern itself, in (...) the first instance, with uncovering the structure and operations of the human cognitive apparatus. The most influential versions of humanism in epistemology have also been inclined to insist both that it is contingent that our cognitive faculties are as they are, and that an investigation of these faculties must be largely empirical. An empirical investigation is to be understood, very roughly, as one which relies upon observation and experiment, and to describe such an investigation as naturalistic is to draw attention to the fact that it is presupposed by humanism that the faculties being investigated are a part of the natural world, the world of space, time and causal law. (shrink)

Despite the emphasis on the state in the history of political philosophy, the twentieth century has been characterized by a remarkable lack of philosophical reflection on the concept. Until recently analytical philosophy had eschewed those evaluative arguments about political obligation and the limits of state authority that were typical of political theory in the past in favour of the explication of the meaning of the concept. However, even here the results have been disappointing. Logical Positivist attempts to locate some unique (...) empirical phenomenon which the word state described proved unsuccessful, and indeed led to the odd conclusion that there was nothing about the state that distinguished it from some other social institutions. For example, its coercive power was said to be not unique: in some circumstances trade unions and Churches exercised similar power over their members. Ordinary language philosophers were far more interested in the complexities that surround words such as law, authority and power than in the state. In all this there was perhaps the fear that to concentrate attention on thestatewas implicitly to give credence to the discredited doctrine that it stood for some metaphysical entity; propositions about which could not be translated into propositions about the actions ofindividuals, and which represented higher values than those of ordinary human agents. (shrink)

In this article we frame a set of important issues in the emerging field of Mind, Brain, and Education in terms of three broad headings: methods, models, and morality. Under the heading of methods we suggest that the need for synthesis across scientific and practical disciplines entails the pursuit of usable knowledge via a catalytic symbiosis between theory, research, and practice. Under the heading of models the goal of producing usable knowledge should shape the construction of theories that provide comprehensive (...) accounts of human learning and development spanning multiple levels of analysis. Under the heading of morality usable knowledge must be put to good use: Its application and dissemination ought to be infused with moral considerations gleaned from dialogue among all those potentially affected. Generally, the field should be shaped not only by its constituent scientific disciplines but also by its applications to education and learning. Thus we argue for the adoption of a kind of pragmatism that would be best actualized by building research‐school collaborations between researchers and practitioners. (shrink)

The problem of the “identity of identity and nonidentity”, which haunted German idealism, has two closely related aspects. The first, epistemological aspect concerns the possibility of knowledge of an objective world. The second, transcendental aspect, concerns the question of how thoughts can be directed towards the world. Reconstructing McDowell’s Kantian account of intentionality as a purported resolution of the transcendental aspect of IINI, I pose the following dilemma for McDowell’s account: Either part ways with Kant’s purported resolution of IINI at (...) a crucial point, thereby being driven towards an approach that McDowell firmly opposes, indeed cannot accept, or follow Kant to the letter, and then face, head-on, a deep problem that Kant’s purported resolution of IINI faces. Parting ways, as I show, with Kant’s purported resolution of IINI, McDowell finds himself impaled upon the first horn of this dilemma. Were he, however, to respond by following Kant to the letter, McDowell would find himself impaled upon the second horn. Thus, I conclude, McDowell’s account of intentionality fails. (shrink)

For any normative domain, we can theorize about what is good in that domain. Such theories include utilitarianism, a view about what is good morally. But there are many domains other than the moral; these include the prudential, the aesthetic, and the intellectual or epistemic. In this last domain, it is good to be knowledgeable and bad to ignore evidence, quite apart from the morality, prudence, and aesthetics of these things. This dissertation builds a theory that stands to the epistemic (...) domain as utilitarianism stands to the moral domain. It builds an epistemic value theory. (shrink)

Prioritarianism is supposed to be a theory of the overall good that captures the common intuition of . But it is difficult to give precise content to the prioritarian claim. Over the past few decades, prioritarians have increasingly responded to this by formulating prioritarianism not in terms of an alleged primitive notion of quantity of well-being, but instead in terms of von NeumannPrimitivistTechnicalpriority to the worse offMorgenstern utility is a retrograde step.

This article is an assessment of the moral problems that beset cultural relativism, that is, the belief that the nature of human existence and value is strictly dependent on, and therefore autonomously proper to, each particular culture. According to this view, the human experience never transcends its native ground. It is, hence, no use judging one form of the human experience against another since no universal non-local yardstick exists to measure them by. After exposing the flaws and contradictions inherent in (...) this view, the author draws a picture of the consequences of upholding cultural relativism, particularly as it shapes the moral self-understanding of its followers in this instance and, for illustrative purpose, Richard Rorty. Finally, the article sketches an argument for a humanistic understanding of culture, a theory that allows us to hold that human existence does vary according to local and historical communities, and yet holds to a moral centre valid across all human culture. (shrink)

The ArgumentTwo research traditions in immunology, supposedly centered on the same issue of immune identification, have followed different theoretical goals and originated form competing phillosophical foundations. these may be labelled modernist and postmodernist, respectively, thereby applying cultural and philosophical categories to immunology in order to articulate potential scientific resonances with the broader culture. To accept that exercise and important caveat is imposed, namely, this translation is most appropriately discussed at the level of metaphor. In other words, I will structure my (...) treatment of these issues as expressed in the metaphorical language of the disipline, and thus the bulk of this discussion will focus on how the language and modeling of the science draws from the culture-at-large. Scientists seek images from their eveir everyday lives to describe phenomena that may be poorly articulated in their technical discourse; such is the utility and importance of metaphors generally, and thus it is not surprising that we might discern echoes of a postmodernist sentiment in the metaphors borrowed from post–World War II culture. I Will also discuss, to a more limited extent, how postmodernists have sought support for their own ideological arguments in immunology. This last topic server only to illustrate the bidirectionality of scientific discourse with the society in which it is embedded. (shrink)

In what sense do the sciences explain? Or do they merely describe what is going on without answering why-questions at all. But cannot description at an appropriate ‘level’ provide all that we can reasonably ask of an explanation? Well, what do we mean by explanation anyway? What, if anything, gets left out when we provide a so-called scientific explanation? Are there limits of explanation in general, and scientific explanation, in particular? What are the criteria for a good explanation? Is it (...) possible to satisfy all the desiderata simultaneously? If not, which should we regard as paramount? What is the connection between explanation and prediction? What exactly is it that statistical explanations explain? These are some of the questions that have generated a very extensive literature in the philosophy of science. In attempting to answer them, definite views will have to be taken on related matters, such as physical laws, causality, reduction, and questions of evidence and confirmation, of theory and observation, realism versus antirealism, and the objectivity and rationality of science. I will state my own views on these matters, in the course of this essay. To argue for everything in detail and to do justice to all the alternative views, would fill a book, perhaps several books. I want to lead up fairly quickly to modern physics, and review the explanatory situation there in rather more detail. (shrink)

Despite the emphasis on the state in the history of political philosophy, the twentieth century has been characterized by a remarkable lack of philosophical reflection on the concept. Until recently analytical philosophy had eschewed those evaluative arguments about political obligation and the limits of state authority that were typical of political theory in the past in favour of the explication of the meaning of the concept. However, even here the results have been disappointing. Logical Positivist attempts to locate some unique (...) empirical phenomenon which the word state described proved unsuccessful, and indeed led to the odd conclusion that there was nothing about the state that distinguished it from some other social institutions. For example, its coercive power was said to be not unique: in some circumstances trade unions and Churches exercised similar power over their members. Ordinary language philosophers were far more interested in the complexities that surround words such as law, authority and power than in the state. In all this there was perhaps the fear that to concentrate attention on the state was implicitly to give credence to the discredited doctrine that it stood for some metaphysical entity; propositions about which could not be translated into propositions about the actions of individuals, and which represented higher values than those of ordinary human agents. (shrink)

My discussion in this lecture is structured as follows. In section 1 I consider the nature of philosophical enquiry and its affinity to liberalism. In section 2 I lay out some of the basic components of liberal theory and explore their interrelations. In section 3 I discuss two challenges to liberalism: one concerning the conception of liberty which it involves and one concerning the way in which it introduces the idea of legitimate political authority. In section 4 I suggest that (...) these problems, to do with the values of liberalism, arise on the basis of a prior conception of individuals which is in need of modification. In a brief concluding section 5 I indicate the need for a post-liberal political theory. (shrink)

Cost-effectiveness analysis suggests that a society should allocate its health care budget in order to achieve the greatest total health for its budget. However, in ‘rescue’ cases, where an individual’s life is in immediate peril, reasoning in terms of cost-effectiveness can appear inhumane. Hence considerations of cost-effectiveness and of rescue appear to be in tension. However, by attending to the division of labour in medical decision making it is possible to see how cost-effectiveness analysis and rescue-style reasoning are commonly combined (...) in an ethically acceptable fashion. (shrink)

ZusammenfassungDemographischer Wandel und medizinischer Fortschritt haben zur Folge, dass immer mehr Patienten außerstande sind, selbstbestimmt über eine medizinische Behandlung zu entscheiden. Dann sind andere gefordert, unter Berücksichtigung von Wohl und Willen des Patienten stellvertretend zu entscheiden. Dabei bieten sich drei Entscheidungskriterien an: Paternalismus, substitutive Autonomie (mutmaßlicher Wille) und prospektive Autonomie (vorausverfügter Wille). Keines dieser Kriterien garantiert für sich genommen eine optimale Entscheidung. Realistisch ist nur ein integratives Modell, das diese Kriterien pragmatisch verbindet. Je klarer im Einzelfall die Evidenz für den (...) autonomen Patientenwillen ist, desto mehr Gewicht sollte ihm eingeräumt werden. Dabei lassen sich konkrete Schritte benennen, wie die Evidenz für eine autonome Willensbekundung beurteilt werden kann. Obgleich stellvertretende Entscheidungen in der medizinischen Praxis oft von Ärzten, professionellen Betreuern und Richtern getroffen werden, gibt es überzeugende Gründe für die These, dass der nächste Angehörige am besten geeignet ist, prima facie als stellvertretender Entscheidungsträger zu fungieren. (shrink)

The agent-relative/agent-neutral distinction is very well established and widely employed in the metaethical literature. However, I argue that there are actually two different senses of the distinction at large: the hetero-/homogeneous sense and the dependence/independence sense. The traditional, unqualified distinction ought, therefore, to be amended, with each use of the distinction being stipulated as used in either the hetero-/homogeneous sense or the dependence/independence sense. Careful analysis of various metaethics supports that there are these two senses – analysis, in particular, of (...) a neo-Kantian metaethic, according to which reasons are agent-relative in the dependence sense but agent-neutral in the homogeneous sense, and – perhaps surprisingly – of Utilitarianism, according to which reasons are agent-neutral in the independence sense but agent-relative in the heterogeneous sense. (shrink)

There is a sort of scepticism, or, at least, epistemological pessimism, that is generated by appealing to Darwin's theory of evolution. The argument is that nature, that is the selective pressures of evolution, has clearly fitted us for certain sorts of learning and mundane understanding, directly beneficial in point of individual survival and chances for reproduction. Very likely then, it is argued, nature has not fitted us for arcane intellectual accomplishments remote from, or quite disconnected from, those ends. So, it (...) is suggested, perhaps we cannot understand, perhaps never will understand, because we are not made to understand, such matters as consciousness, its nature and causes, the origins of life, the beginning of the universe, or astro-physics in its more finalist pretensions. Sometimes, taken with the claim that manifestly we do understand some of these things, the argument becomes a reductio, and its exponents claim that consequently Darwinism must be false, or of only limited application. More commonly, however, in ‘naturalized epistemology’, it is made the vehicle of a claim about the limits of science, limits imposed by the evolutionarily derived frailty of human understanding. Popper, the late Popper, is one of the progenitors of naturalized epistemology. I want to ask what Popper's response would be, or ought to be, to this epistemological nihilism conjured out of Darwinism. (shrink)

The argument of this article is framed by a debate between the principle of humanity and the principle of justice. Whereas the principle of humanity requires us to care about others and to want to help them meet their vital needs, and so to be partial towards those others, the principle of justice requires us to consider their needs without the intrusion of our subjective interests or emotions so that we can act with impartiality. I argue that a deep form (...) of caring lies behind both approaches and so unites them. In the course of the argument, I reject Michael Slote’s sentimentalist form of an ethics of care, and expound Thomas Nagel’s moral theory, which seems to lie at the opposite end of a spectrum ranging from moral sentiments to impersonal objectivity. Nevertheless, Nagel’s theory of normative realism provides unexpected support for the thesis that a deep and subjective form of caring lies at the base of even our most objective moral reasons. (shrink)

Ethical issues in international nursing research are identified and the perspectives of the International Centre for Nursing Ethics are offered in an effort to develop an international consensus of ethical behaviour in research. First, theoretical issues are reviewed, then initial conditions for ethical conduct are defined, and protocol design and procedure considerations are examined. A concerted effort is made to identify and avoid a western bias. Broad guiding principles for designing and reviewing research are offered: (1) respect for persons; (2) (...) beneficence; (3) justice; (4) respect for community; and (5) contextual caring. A collaborative model of the researcher-participant relationship is suggested and discussed. (shrink)

Attempts to philosophize about human knowledge lead inevitably to skepticism. So Hume taught and so some influential contemporary philosophers would have us believe. But what are we to make of this fact, assuming that it is one? Should we treat it as bad news about our chances of obtaining knowledge? Or should we rather see its importance as primarily meta-philosophical? That is, should we take the real significance of skepticism's seeming inevitability to lie in what it tells us about the (...) idea of understanding knowledge philosophically? (shrink)

Living kidney donation provides a promising opportunity in situations where the scarcity of cadaveric kidneys is widely acknowledged. While many patients and their relatives are willing to accept its benefits, others are concerned about living kidney programs; they appear to feel pressured into accepting living kidney transplantations as the only proper option for them. As we studied the attitudes and views of patients and their relatives, we considered just how actively health care professionals should encourage living donation. We argue that (...) active interference in peoples’ personal lives is justified - if not obligatory. First, we address the ambiguous ideals of non-directivity and value neutrality in counselling. We describe the main pitfalls implied in these concepts, and conclude that these concepts cannot account for the complex reality of living donation and transplantation. We depict what is required instead as truthful information and context-relative counselling. We then consider professional interference into personal belief systems. We argue that individual convictions are not necessarily strong, stable, or deep. They may be flawed in many ways. In order to justify interference in peoples’ personal lives, it is crucial to understand the structure of these convictions. Evidence suggests that both patients and their relatives have attitudes towards living kidney donation that are often open to change and, accordingly, can be influenced. We show how ethical theories can account for this reality and can help us to discern between justified and unjustified interference. We refer to Stephen Toulmin’s model of the structure of logical argument, the Rawlsian model of reflective equilibrium, and Thomas Nagel’s representation of the particularistic position. (shrink)

In the western healthcare, shared decision making has become the orthodox approach to making healthcare choices as a way of promoting patient autonomy. Despite the fact that the autonomy paradigm is poorly suited to paediatric decision making, such an approach is enshrined in English common law. When reaching moral decisions, for instance when it is unclear whether treatment or non-treatment will serve a child’s best interests, shared decision making is particularly questionable because agreement does not ensure moral validity. With reference (...) to current common law and focusing on intensive care practice, this paper investigates what claims shared decision making may have to legitimacy in a paediatric intensive care setting. Drawing on key texts, I suggest these identify advantages to parents and clinicians but not to the child who is the subject of the decision. Without evidence that shared decision making increases the quality of the decision that is being made, it appears that a focus on the shared nature of a decision does not cohere with the principle that the best interests of the child should remain paramount. In the face of significant pressures toward the displacement of the child’s interests in a shared decision, advantages of a shared decision to decisional quality require elucidation. Although a number of arguments of this nature may have potential, should no such advantages be demonstrable we have cause to revise our commitment to either shared decision making or the paramountcy of the child in these circumstances. (shrink)