When is it permissible to allow a newborn infant to die on the basis of their future quality of life? The prevailing official view is that treatment may be withdrawn only if the burdens in an infant's future life outweigh the benefits. In this paper I outline and defend an alternative view. On the Threshold View, treatment may be withdrawn from infants if their future well-being is below a threshold that is close to, but above the zero-point of well-being. I (...) present four arguments in favor of the Threshold View, and identify and respond to several counterarguments. I conclude that it is justifiable in some circumstances for parents and doctors to decide to allow an infant to die even though the infant's life would be worth living. The Threshold View provides a justification for treatment decisions that is more consistent, more robust, and potentially more practical than the standard view. (shrink)

First-person reports are central to the study of subjective well-being in contemporary psychology, but there is much disagreement about exactly what sort of first-person reports should be used. This paper examines an influential proposal to replace all first-person reports of life satisfaction with introspective reports of affect. I argue against the reasoning behind this proposal, and propose instead a new strategy for deciding what measure is appropriate.

You may not know me well enough to evaluate me in terms of my moral character, but I take it you believe I can be evaluated: it sounds strange to say that I am indeterminate, neither good nor bad nor intermediate. Yet I argue that the claim that most people are indeterminate is the conclusion of a sound argument—the indeterminacy paradox—with two premises: (1) most people are fragmented (they would behave deplorably in many and admirably in many other situations); (2) (...) fragmentation entails indeterminacy. I support (1) by examining psychological experiments in which most participants behave deplorably (e.g., by maltreating “prisoners” in a simulated prison) or admirably (e.g., by intervening in a simulated theft). I support (2) by arguing that, according to certain plausible conceptions, character evaluations presuppose behavioral consistency (lack of fragmentation). Possible reactions to the paradox include: (a) denying that the experiments are relevant to character; (b) upholding conceptions according to which character evaluations do not presuppose consistency; (c) granting that most people are indeterminate and explaining why it appears otherwise. I defend (c) against (a) and (b). (shrink)

Many philosophers deny that happiness can be equated with pleasurable experiences. Nozick introduced an experience machine thought experiment to support the idea that happiness requires pleasurable experiences that are “in contact with reality.” In this thought experiment, people can choose to plug into a machine that induces exclusively pleasurable experiences. We test Nozick’s hypothesis that people will reject this offer. We also contrast Nozick’s experience machine scenario with scenarios that are less artificial, and offer options which are less invasive or (...) disruptive than being connected to a machine, specifically scenarios in which people are offered an experience pill or a pill that improves overall functioning. (shrink)

This paper critically assesses existing accounts of the nature of difficulty, finds them wanting, and proposes a new account. The concept of difficulty is routinely invoked in debates regarding degrees of moral responsibility, and the value of achievement. Until recently, however, there has not been any sustained attempt to provide an account of the nature of difficulty itself. This has changed with Gwen Bradford’s Achievement, which argues that difficulty is a matter of how much intense effort is expended. But while (...) this account captures something important about the relationship between difficulty and achievement, it fails to account for the fact that part of what makes achievements great is that they are difficult in a moderately agent-neutral kind of way. Nor is this thought captured by any other extant account. I argue that to fill this gap we should think of difficulty in terms of low probability of success. (shrink)

The purpose of this paper is to offer an account of ‘flourishing’ that is relevant to health care provision, both in terms of the flourishing of the individual patient and carer, and in terms of the flourishing of the caring institution. It is argued that, unlike related concepts such as ‘happiness’, ‘well-being’ or ‘quality of life’, ‘flourishing’ uniquely has the power to capture the importance of the vulnerability of human being. Drawing on the likes of Heidegger and Nussbaum, it is (...) argued that humans are at once beings who are autonomous and thereby capable of making sense of their lives, but also subject to the contingencies of their bodies and environments. To flourish requires that one engages, imaginatively and creatively, with those contingencies. The experience of illness, highlighting the vulnerability of the human being, thereby becomes an important experience, stimulating reflection in order to make sense of one’s life as a narrative. To flourish, it is argued, is to tell a story of one’s life, realistically engaging with vulnerability and suffering, and thus creating a framework through which one can meaningful and constructively go on with one’s life. (shrink)

Deep ethical interpretivism has been the standard view of the nature of sport in the philosophy of sport for the past seventeen years or so. On this account excellence assumes the role of the foundational, ethical goal that justice assumes in Ronald Dworkin’s interpretivist model of law. However, since excellence in sports is not an ethical value, and since it should not be regarded as an ultimate goal, the case for the traditional account fails. It should be replaced by the (...) shallow interpretivist model that I begin to sketch out and defend here. (shrink)

In this paper we explore the relation between health-care needs and patients’ desires within shared decision-making in a context of priority setting in health care. We begin by outlining some general characteristics of the concept of health-care need as well as the notions of SDM and desire. Secondly we will discuss how to distinguish between needs and desires for health care. Thirdly we present three cases which all aim to bring out and discuss a number of queries which seem to (...) arise due to the double focus on a patient’s need and what that patient desires. These queries regard the following themes: the objectivity and moral force of needs, the prediction about what kind of patients which will appear on a micro level, implications for ranking in priority setting, difficulties regarding assessing and comparing benefits, and implications for evidence-based medicine. (shrink)

In this paper, I concentrate on two themes: to what extent numbers bear on an agent's duties, and how numbers should relate to social policy. In the first half of the paper I consider the abstract case of a choice between saving two people and saving one, and my focus is on the contrast between a duty to act and a reason which merely makes an action intelligible. In the second half, I turn to the issue of social policy and (...) investigate how if at all numbers can have a bearing there, if there is no obvious duty on individuals to save the greater number. My proposal is that it is not the bare numbers themselves which explain our intuitions in such cases, but rather considerations of the extent to which each of us can make a reasonable claim on others. In short, I argue: numbers don't count, people do. (shrink)

In this paper, we consider the question of whether there exists an essential relation between emotions and wellbeing. We distinguish three ways in which emotions and wellbeing might be essentially related: constitutive, causal, and epistemic. We argue that, while there is some room for holding that emotions are constitutive ingredients of an individual’s wellbeing, all the attempts to characterise the causal and epistemic relations in an essentialist way are vulnerable to some important objections. We conclude that the causal and epistemic (...) relation between emotions and wellbeing is much less strong than is commonly thought. (shrink)

Ethics, Policy & Environment, Volume 14, Issue 3, Page 313-327, October 2011.

Life is so wretched that it would be impossible to endure were it not for the luminous beams of illusion that guide us through its darkest moments. Many argue, perhaps not to this degree, that were it not for some modest illusions about the world and ourselves we would experience a serious decline in quality of life. On those not-so-good days, this claim strikes me as irresistible. How would I endure life and maintain my sanity if I had to embrace (...) each and every disgusting and disheartening fact about the world? Perceiving the world in a way that is neither clear-eyed nor complete may not be without its advantages. But even if being mistaken about the world or self-deceived causes one to be healthier or more comfortable, it is worth asking whether there is something to be said against a life of this kind. Might there not be some knowledge about ourselves or the world that we ought to have? Do not these ‘positive illusions,’ or flattering but inaccurate beliefs that people have about themselves and the world, interfere with their ability to live the good life? In the first part of this paper, I will briefly review the psychological literature which suggests that mild self-deception in the positive direction contributes to, rather than compromises, a person’s well-being. I will then, in the second part of the paper, examine what three thinkers, Joseph Butler, Immanuel Kant, and W.K. Clifford, have said about the wrongfulness of self-deception. While their arguments call attention to various reasons for thinking that some cases of self-deception might give rise on balance to negative consequences, they fail to show that all cases must have this effect. In the final part of the paper, I will consider whether our interest in autonomy might provide us with a better explanation of the supposed wrongfulness of self-deception. I will try to show that in virtue of being mistaken alone, the self-deceiver generally experiences some loss of a particular kind of autonomy. Nevertheless, my analysis will leave open the following two possibilities: that the loss of autonomy was autonomously brought about, and that the loss of autonomy in question may result on balance in an increase in the self-deceiver’s autonomy. (shrink)

Our society is obsessed with health. At every second, everywhere, we are surrounded and overwhelmed by distressing calls on how vital it is to adopt a healthy lifestyle. While incorporating a healthy diet and physical exercise into our routines are the foremost commandments, everything from tobacco to refined sugars, trans fat, excessive alcohol, caffeine, and even eggs are declared public evils. Yet there is hope: medicines will save us! And indeed medicines exist available for all kinds of human afflictions. There (...) are pills to help you relax and forget about stress, while some others, on the contrary, can keep you miraculously alert. There are pills that heal your most unbearable pains, physical or emotional, wherever their location — the head, back, quadriceps, heart, or soul. Though they may cause your stomach to burn, that is easily remedied by taking a complementary pill that will neutralize your stomach acidity with only some minor and negligible side effects elsewhere. There are also magic pills that promise you happiness, by giving you the power to thrive and the endurance to conquer the world. They ignite your hunger for achievement, but also for extra sugar and saturated fat. (shrink)

That death is not a welfare issue appears to be a widespread view among animal welfare researchers. This paper demonstrates that this view is based on a mistaken assumption about harm, which is coupled to ‘welfare’ being conceived as ‘welfare at a time’. Assessments of welfare at a time ignore issues of longevity. In order to assess the welfare issue of death, it is necessary to structure welfare assessment as comparisons of possible lives of the animals. The paper also demonstrates (...) that excluding the welfare issues of being deprived of life from the ethical assessment of killing distorts the ethical considerations. (shrink)

The vagueness view holds that when evaluative comparisons are hard, there is indeterminacy about which comparative relation holds. It is sceptical about whether there are any incommensurate items (in some domain). The sceptical element of John Broome’s version of this view rests on a controversial principle. Robert Sugden advances a similar view which does not depend on this principle. Sugden’s argument fails as a vagueness view because it assumes rather than shows that there are no incommensurate items (in some domain). (...) Nonetheless, I argue that an interpretation of his argument constitutes a defensible vagueness view which is supported by intuition about examples. On this interpretation Sugden’s view can be mapped onto Broome’s application of a supervaluationist view of vagueness. It is also (on this reading) a close relative of James Griffin’s ‘rough equality’ view when this is interpreted in terms of vagueness. On an alternative interpretation Sugden’s view is not sceptical about incommensurateness. On this interpretation he does not defend a vagueness view and is ‘sceptical’ about the contribution of the philosophical literature to our understanding of rational choice. (shrink)

Jeremy Bentham provided a comprehensive list of the sources of pleasure and pain, rather in the manner of modern researchers into human well-being. He explicitly used the term well-being and made both qualitative and quantitative proposals for its measurement. Bentham insisted that the measurement of well-being should be firmly based on the concerns and subjective valuations of those directly concerned, in the context of a liberal society. Those who wished to superimpose other judgements were dismissed as "ipsedixitists." He also addressed, (...) though of course could not solve, some of the measurement problems more recently tackled by "neo-Benthamites." The paper concludes that many of Bentham’s observations about the measurement of well-being are still relevant to issues in current research. Key Words: utilitarianism • Bentham • well-being • capabilities. (shrink)

This paper aims at gaining a better understanding of the inherent paradoxes within sustainability discourses by investigating its basic assumptions. Drawing on a study of the metaphoric references operative in moral language, we reveal the predominance of the ‘well-being = wealth’ construct, which may explain the dominance of the ‘business case’ cognitive frame in sustainability discourses. We incorporate economic well-being variables within a philosophical model of becoming well :221–231, 2005), highlighting the way in which these variables consistently articulate a combination (...) of ‘objective’ and ‘subjective’ concerns. We then compare this broad understanding of well-being with the metaphors operative in the sustainable development discourse and argue that the sustainability discourse has fallen prey to an overemphasis on the ‘business case’. We proceed to draw on Georges Bataille to challenge the predominance of these value priorities and to explore which mindshifts are required to develop a more comprehensive understanding of what is needed to enable ‘sustainable development’. (shrink)

Happiness is currently the topic of a wide range of empirical research, and is increasingly becoming the focus of public policy. The interest in happiness largely stems from its connection with well-being. We care about well-being – how well our lives are going for us. If we are happy it seems that, to some extent, we must be doing well. This suggests that we may be able to successfully measure well-being through measuring happiness. The problem is that both happiness and (...) well-being are elusive and their measurement is far from uncontroversial. What exactly does information about happiness tell us about well-being? Is there more to well-being than happiness? If so, to what extent is happiness connected to well-being? These are controversial questions, but answers to them must be given if we are to make progress in the measurement of well-being. I argue that we should view happiness as an indicator of changes in well-being. I call this the Indicator View. According to this view, someone can be doing badly yet be happy insofar as their well-being is improving (and vice versa). More precisely, the Indicator View is the view that happiness is a defeasible indicator of local changes in well-being. Thus, we can successfully measure an important aspect of well-being through measuring happiness. I argue in favour of this view on the basis of an understanding of well-being that is widely acceptable. The Indicator View, therefore, has the potential to unite divided opinion over what happiness research can tell us about well-being. (shrink)

The point of departure of this paper is the recently emphasised distinction between psychological theories of happiness, on the one hand, and normative theories of well-being, on the other. With this distinction in mind, I examine three possible kinds of relation that might exist between (psychological) happiness and (normative) well-being; to wit, happiness may be understood as playing a central part in (1) a formal theory of well-being, (2) a substantive theory of well-being or (3) as an indicator for well-being. (...) I note that, in the relevant literature, happiness is mostly discussed in terms of either (1) or (2). In this paper, I attempt to motivate a shift of focus away from such accounts of happiness and towards (3), i.e. its epistemic role. When examined in connection to (normative) well-being, (psychological states of) happiness and unhappiness should be understood as psychological states that inform individuals about the contribution of various activities, pursuits, or situations to their well-being or ill-being. (shrink)

I will consider how we can assess the interests of critically ill children who will survive only while aggressive medical support is continued. If aggressive medical support is withdrawn, the child will die shortly afterwards. This is important because when the courts are asked to decide treatments, the standard is that decisions should be made in the best interests of the child. My claim is that this is not a coherent way to consider how some children in this situation should (...) be treated. I will consider two separate aspects of this problem. First, I will argue that there is no objective best interests test and no immediate prospect that we will be able to develop one. Secondly, I will argue that best interests are not a coherent way to consider the interests of children who will die shortly after treatment is withdrawn. To reinforce this claim, I will describe an example of two children where acting in the child's best interests produces counter-intuitive conclusions. (shrink)