In this paper, I propose a principle of doxastic rationality based on Bernard Williams's argument against doxastic voluntarism. This principle, I go on to show, undermines a number of notions of epistemic duty which have been put forth within the framework of virtue theory. I then suggest an alternative formulation which remains within the bounds of rationality allowed for by my principle. In the end, I suggest that the failure of the earlier formulations and the adoption of the latter tend (...) to vindicate the initial grounding of virtue epistemology in reliabilist intuitions. (edited). (shrink)

Virtue epistemology construes intellectual virtue as a reliable ability to form true beliefs. Responsibilist versions seek to substitute for the passive, reliabilist model of the knower, that of an active subject who deliberately and purposefully exercises traits of character which tend to result in true beliefs. On these views, the disposition to exercise these epistemic virtues gives rise to notions of epistemic duty.In this paper, I propose a principle of doxastic rationality based on Bernard Williams’argument against doxastic voluntarism. This principle, (...) I go on to show, undermines a number of notions of epistemic duty which have been put forth within the framework of virtue theory. I then suggest an alternative formulation which remains within the bounds of rationality allowed for by my principle. In the end, I suggest that the failure of the earlier formulations and the adoption of the latter tend to vindicate the initial grounding of virtue epistemology in reliabilist intuitions. (shrink)

Whether God exists is a metaphysical question. But there is also a neglected evaluative question about God’s existence: Should we want God to exist? Very many, including many atheists and agnostics, appear to think we should. Theists claim that if God didn’t exist things would be far worse, and many atheists agree; they regret God’s inexistence. Some remarks by Thomas Nagel suggest an opposing view: that we should want God not to exist. I call this view anti-theism. I explain how (...) such view can be coherent, and why it might be correct. Anti-theism must be distinguished from the argument from evil or the denial of God’s goodness; it is a claim about the goodness of God’s existence. Anti-theists must claim that it’s a logical consequence of God’s existence that things are worse in certain respects. The problem is that God’s existence would also make things better in many ways. Given that God’s existence is likely to be impersonally better overall, anti-theists face a challenge similar to that facing nonconsequentialists. I explore two ways of meeting this challenge. (shrink)

I apply recent research on the links between belief, truth and pragmatism based on Williams statement that “beliefs aim at truth,” to the phenomenon of pluralistic ignorance, in which agents act contrary to their private beliefs because they believe that other agents believe the contrary. I consider three positions; an epistemic position, a pragmatic position, and a third position coordinating the first two. I apply them to pluralistic ignorance while considering the recent study of Bjerring, Hansend and Pedersen. I conclude (...) that a purely epistemic approach is better for understanding pluralistic ignorance. (shrink)

Journal of Social Philosophy, EarlyView.

Journal of Social Philosophy, EarlyView.

Journal of Social Philosophy, EarlyView.

Associated with Bayesianism is the claim that insofar as thereis anything like scientific theory-commitment, it is not a doxastic commitment to the truth of the theory or any proposition involving the theory, but is rather an essentiallypractical commitment to behaving in accordance with a theory. While there are a number of a priori reasons to think that this should be true, there is stronga posteriori reason to think that it is not in fact true of current scientific practice.After outlining a (...) feature that distinguishes doxastic from practical commitment, I presentempirical evidence that suggests that, like perhaps all other theoretical commitment,scientific theory-commitment is doxastic. (shrink)

This study deals specifically with one of the most relevant issues in neuro-ethics, namely the philosophical classification of so-called memory dampening, which refers to the attenuation of traumatic memories with the help of medication. Numerous neuroethical questions emerge from this issue. For example, how is a person’s identity affected by using such drugs? Does one still remain the same person? Would propranolol, for example, as a memory-dampening agent lead to a fundamental change in one’s identity? Are not a person’s negative (...) memories also part of their identity and present personality? These questions are examined from the perspective of the seventeenth-century Islamic philosopher, Mullā Ṣadrā. The goal is to shed light on the neuroethical foundations of memory dampening and personal identity from an Islamic philosophical perspective. (shrink)

Epistemic permissivism is the thesis that the evidence can rationally permit more than one attitude toward a proposition. Pascal’s wager is the idea that one ought to believe in God for practical reasons, because of what one can gain if theism is true and what one has to lose if theism is false. In this paper, I argue that if epistemic permissivism is true, then the defender of Pascal’s wager has powerful responses to two prominent objections. First, I argue that (...) if permissivism is true, then permissivism is true about theistic belief. Second, I show how epistemic permissivism about theistic belief dispels two objections to Pascal’s wager: the objection that wagering is impossible, and the objection that wagering is epistemically impermissible. (shrink)

This essay highlights an alternative tradition of understanding value conflicts in early Confucian thought. In contrast to a prominent position among interpreters that argues for the resolvability or harmonization of conflicting values, I argue that some early Confucians conceptualized value conflicts as irresolvable. In other words, when meaningful aspects of a situation come into tension with each other and values are threatened to be either left unfulfilled or harmed, early Confucians put forth a variety of views. Some believed that all (...) values could be tended to as long as one had the moral imagination of a sage, whereas others saw the world as a place where irreconcilable conflicts between values could occur for even the most profound people. Within this diversity, I take up a view about irresolvable value conflicts where the confrontation with a deep value conflict leaves behind a moral remainder that can mar even the character of a sage. (shrink)

Superstition and confabulation are extremely pervasive in our cognitive lives. Whilst both these phenomena are widely discussed in the recent psychological literature, however, the relationship between them has not been the object of much explicit attention. In this paper, I argue that this relationship is actually very close, and deserves indepth consideration. I argue that superstitious and confabulatory attitudes share several key features and are rooted in the same psychological mechanisms. Moreover, some of the key features that superstitious and confabulatory (...) attitudes share reveal such attitudes to be non-doxastic in nature, with important implications for our assessment of their epistemic rationality. Many instances of what we call superstitious and confabulatory ‘beliefs’ are not, in fact, beliefs; hence, entertaining them may be less irrational than it prima facie seems to be. (shrink)

I defend the view that we should not overintellectualize the mind. Nonhuman animals can occupy islands of practical rationality: they can have contextbound reasons for action even though they lack full conceptual abilities. Holism and the possibility of mistake are required for such reasons to be the agent's reasons, but these requirements can be met in the absence of inferential promiscuity. Empirical work with animals is used to illustrate the possibility that reasons for action could be bound to symbolic or (...) social contexts, and connections are made to simulationist accounts of cognitive skills. (shrink)

In the Insanity Defence Woody Allen claims that when we say humans are mortal we are obviously not complimenting them. It is difficult to contradict great comedy, of course, but if what I argue holds, Allen is wrong on this account. Mortality is a compliment – or at least something for which we should be grateful – since life without it threatens with disaster. To live without death also means living in the universe in its more hostile stages under conditions (...) where there can be no meaningful life. In this way, immortality is worse than death. In addition, I argue that no matter how carefully we qualify the conditions that make up immortality the old problem of death resurface. I therefore conclude, with a nod towards Voltaire, that if death did not exist, it would have been necessary to invent it. (shrink)

Jeff McMahan appeals to what he calls the “Time-relative Interest Account of the Wrongness of Killing ” to explain the wrongness of killing individuals who are conscious but not autonomous. On this account, the wrongness of such killing depends on the victim’s interest in his or her future, and this interest, in turn, depends on two things: the goods that would have accrued to the victim in the future; and the strength of the prudential relations obtaining between the victim at (...) the time of the killing and at the times these goods would have accrued to him or her. More precisely, when assessing this interest, future goods should be discounted to reflect reductions in the strength of such relations. Against McMahan’s account I argue that it relies on an implausible “actualist” view of the moral importance of interests according to which satisfactions of future interests only have moral significance if they are satisfactions of actual interests. More precisely, I aim to show that the Time-relative Interest Account does not have the implications for the morality of killing that McMahan takes it to have, and implies, implausibly, that certain interest satisfactions which seem to be morally significant are morally insignificant because they are not satisfactions of actual interests. (shrink)

In some recent theological writing, imagination is presented as a power of the mind with crucial importance for religion, but one whose role has often suffered neglect. Its fuller acknowledgment has become a live issue today. ‘Theologians’, wrote Professor J. P. Mackey, ‘have recently taken to symbol and metaphor, poetry and story, with an enthusiasm which contrasts very strikingly with their all-but-recent avoidance of such matters’. As well as relevant writings by Eliade and Ricoeur, there have been treatments of religious (...) imagination by Professor John Mclntyre in his Faith, Theology and Imagination and in J. P. Mackey's composite volume entitled Religious Imagination. (shrink)

In some recent theological writing, imagination is presented as a power of the mind with crucial importance for religion, but one whose role has often suffered neglect. Its fuller acknowledgment has become a live issue today. ‘Theologians’, wrote Professor J. P. Mackey, ‘have recently taken to symbol and metaphor, poetry and story, with an enthusiasm which contrasts very strikingly with their all-but-recent avoidance of such matters’. As well as relevant writings by Eliade and Ricoeur, there have been treatments of religious (...) imagination by Professor John Mclntyre in his Faith, Theology and Imagination and in J. P. Mackey's composite volume entitled Religious Imagination. (shrink)

Deliberation incompatibilism is the view that an agent being rational and deliberating about which of (mutually excluding) actions to perform, is incompatible with her believing that there exist prior conditions that render impossible the performance of either one of these actions. However, the main argument for this view, associated most prominently with Peter van Inwagen, appears to have been widely rejected by contemporary authors on free will. In this paper I argue first that a closer examination of van Inwagen's argument (...) shows that the standard objections are based on a misunderstanding of the notion of ‘deliberation’ presupposed in this argument. Second, I attempt to strengthen the case for deliberation incompatibilism by offering a different argument in its support. (shrink)

This paper addresses the plausibility of practical apatheism: an attitude of apathy or indifference about philosophical questions pertaining to God’s existence grounded in the belief that they lack practical significance. Since apatheism is rarely discussed, we begin by clarifying the position and explaining how it differs from some of the other positions one may take with regard to the existence of God. Afterward, we examine six distinct objections to practical apatheism. Each of these objections posits a different reason for thinking (...) that belief in God is practically significant. Five of these objections prove unsuccessful. The sixth, which appeals to the practical significance of belief in God with respect to our fates in the afterlife, is more promising but nonetheless encounters significant obstacles. Since the success of this objection is controversial, whether we have good grounds to reject practical apatheism should be similarly controversial, and the view should be given further examination. (shrink)

This essay develops the epistemic challenge to non-naturalist moral realism. While evolutionary considerations do not support the strongest claims made by ‘debunkers’, they do provide the basis for an inductive argument that our moral dispositions and starting beliefs are at best partially reliable. So, we need some method for separating truth from falsity. Many non-naturalists think that rational reflection can play this role. But rational reflection cannot be expected to bring us to truth even from reasonably accurate starting points. Reflection (...) selects views that are coherent and conflict-free, yet there is no reason to think that the non-natural moral truth must be like this. Inasmuch as we seek coherent, conflict-free, ethical viewpoints, that suggests that our goal is not non-natural truth at all. (shrink)

Marušić & Schwenkler (Analytic Philosophy, 59, 309) offer a simple and elegant defense of strong cognitivism about intention: the view that an intention to φ is a form of belief that one will φ. I show that their defense fails: however simple and elegant, it fails to account for various aspects about intention and its expression, and faces distinctive challenges of its own, including a dilemma and counterexample. These also undermine Marušić & Schwenkler's claim to a best-explanation type of account (...) and recommend alternatives to strong cognitivism altogether. (shrink)

Abstract:There is good reason to take a virtue-based approach to business ethics. Moral principles are fairly useful in assessing actions, but understanding how moral people behave and how they become moral requires reference to virtues, some of which are important in business. We must go beyond virtues and refer to character, of which virtues are components, to grasp the relationship between moral assessment and psychological explanation. Virtues and other character traits are closely related to (in technical terms, they supervene on) (...) personality traits postulated by personality psychologists. They may therefore be featured in respectable psychological explanations. But good character fits no familiar psychological pattern. A person of good character is sufficiently self-aware and rational that his or her virtues are not accompanied by the vices that psychologists find usually associated with them. A course in business ethics can help develop this self-awareness, which a good life in business requires. (shrink)

Two of the most orthodox ideas in epistemology are fallibilism and purism. According to the fallibilist, one can know that a particular claim is true even though one’s justification for that claim is less than fully conclusive. According to the purist, knowledge does not depend on practical factors. Fallibilism and purism are widely assumed to be compatible; in fact, the combination of these views has been called the ‘ho-hum,’ obvious, traditional view of knowledge. But I will argue that fallibilism and (...) purism are incompatible. The best explanation for fallibilism requires one to reject purism, while maintaining purism should lead one to reject fallibilism. It follows that the orthodox view of knowledge is deeply mistaken. (shrink)

This paper explores how the purpose of the concept of knowledge affects knowledge ascriptions in natural language. I appeal to the idea that the role of the concept of knowledge is to flag reliable informants, and I use this idea to illuminate and support contextualism about ‘knows’. I argue that practical pressures that arise in an epistemic state of nature provide an explanatory basis for a brand of contextualism that I call ‘practical interests contextualism’. I also answer some questions that (...) contextualism leaves open, particularly why the concept of knowledge is valuable, why the word ‘knows’ exhibits context-variability, and why this term enjoys such widespread use. Finally, I show how my contextualist framework accommodates plausible ideas from two rival views: subject-sensitive invariantism and insensitive invariantism. This provides new support for contextualism and develops this view in a way that improves our understanding of the concept of knowledge. (shrink)

I acquired many intellectual debts while writing What’s the Point of Knowledge?, but I am especially indebted to my three symposiasts. David Henderson’s work helped me to appreciate the value of thinking about the point of epistemic evaluation; Catherine Elgin’s writings prompted me to investigate the purpose of the concept of understanding; and Krista Lawlor’s 2013 book revealed important connections between three of my primary epistemological interests: the role of epistemic evaluation, the semantics of knowledge claims and the work of (...) J.L. Austin. It is therefore an honour to have such personally influential scholars engage with my work. Their thoughtful, generous and philosophically rich comments have provided yet another opportunity to clarify my thinking and develop some ideas further. (shrink)

This paper defends the epistemological doctrine of fallibilism from recent objections. In “The Myth of Knowledge” Laurence BonJour argues that we should reject fallibilism for two main reasons: first, there is no adequate way to specify what level of justification is required for fallible knowledge; second, we cannot explain why any level of justification that is less than fully conclusive should have the significance that makes knowledge valuable. I will reply to these challenges in a way that allows me to (...) make progress on a number of important issues in contemporary epistemology: epistemic value, the functional roles of knowledge attributions, experimental epistemology, skepticism, the Gettier problem, and the lottery paradox. My argument is motivated by appealing to various insights derived from the method of ‘practical explication’, particularly the idea that a central purpose of the concept of knowledge is to flag reliable informants. My conclusion is that various practical and theoretical considerations derived from the method of practical explication support the fallibilist conception of knowledge. (shrink)

Are we justified in keeping the demented in prison for crimes they committed when they were still healthy? The answer to this question is an issue of considerable practical importance. The problem arises in cases where very aged criminals exhibit symptoms of dementia while serving their sentence. In these cases, one may wonder whether lodging these criminals in penal institutions rather than in normal caretaking facilities is justifiable. In this paper, I argue that there are justificatory reasons for punishing the (...) demented for their past crimes. In part 2, I examine three theories of punishment—retributivism, prevention theories and expressivism—with regard to the question of whether they provide justificatory reasons for punishing the demented. I argue that only expressivism provides these reasons. In part 3, I defend the view that expressivism, though not convincing as a general theory of punishment, is plausible if applied only to a specific subclass of punitive actions. More precisely, expressivism, or so I argue, is plausible with regard to those acts of punishment that consist in intending to inflict suffering without actually inflicting suffering. Since the punishment of demented patients falls within this class, it can be justified on an expressivist basis. In part 4, I discuss six objections to my view and rebut them. (shrink)

Is personal moral inconsistency a challenge to overcome or embrace? This paper opts for the latter and argues for the Virtue of Encompassing the Contrary (VEC). According to VEC, an individual can balance and realize opposite values or virtues through time virtuously. This paper discusses critically various explanations given for moral inconsistency: Circumstantial Relativism, Moral Opportunism, the Consequentialist Solution, Moral Ambivalence, Kant’s Imperfect Duty and Dancy’s Moral Particularism. The paper argues that VEC fares better in answering the moral challenge of (...) inconsistent behavior. (shrink)

Critical-Range Utilitarianism is a variant of Total Utilitarianism which can avoid both the Repugnant Conclusion and the Sadistic Conclusion in population ethics. Yet Standard Critical-Range Utilitarianism entails the Weak Sadistic Conclusion, that is, it entails that each population consisting of lives at a bad well-being level is not worse than some population consisting of lives at a good well-being level. In this paper, I defend a version of Critical-Range Utilitarianism which does not entail the Weak Sadistic Conclusion. This is made (...) possible by a fourth category of absolute value in addition to goodness, badness, and neutrality. (shrink)

The last century has witnessed a succession of revolutionary transformations in the discipline of biology. The rapid expansion of our understanding of life and its nature has however had curiously little impact on the way that questions about life and its significance have been discussed by philosophers. This paper explores the answers that biology provides to central questions about our existence, and examines why the substitution of causal explanations for teleological ones appears natural and satisfying in the case of physical (...) theory, but meets widespread resistance in the case of biology. (shrink)

Among moralists and social critics of several stripes, it is not enough that the right thing be done: they also insist that it be done, and be seen to be done, for the right reasons. They are anxious to know whether we are sending food to starving Africans out of genuinely altruistic concern, or merely to clear domestic commodity markets, for one particularly topical example. Or, for another example, critics of the Brandt Commission’s plea for increased foreign aid more generally (...) say, in stinging rebuke: ‘Many of those who support the proposal... do so out of genuine humanitarian concern about... poverty. But it is doubtful whether this is the main concern of its authors, and it certainly is not their only concern.... They are, instead, primarily concerned with the preservation of the existing world economic order.’What is common to all such cases is an attempt at motive differentiation. Any particular piece of behavior might have sprung from any of a number of different underlying motives; commentators want to know which was the real motive. Here I shall show that this characteristic quest for motive differentiation is misguided. In most of the standard social situations, it makes no material difference to agents’ actions whether they act from one sort of motive or another. And in such circumstances, pressing the motivational issue will usually lead only to mischief, of both a pragmatic and a moral sort. (shrink)

This essay addresses recent claims about the compatibility of the sociobiological theory of reciprocal altruism with standard Western formulations of the Golden Rule. Derek Parfit claims that the theory of reciprocal altruism teaches us to be “reciprocal altruists,” who benefit only those people from whom we can reasonably expect benefits in the future. The Golden Rule, on the other hand, teaches us to benefit anyone regardless of their intention or ability to return the favor, or as Parfit puts it, the (...) Golden Rule teaches us to be “suckers.” I argue that this distinction is founded on a misconception of the nature of the theory of reciprocal altruism, which is sociobiological as opposed to moral, and that this distinction accordingly confuses is with ought. Sociobiological theories may explain underlying psychological motivations in individuals (and perhaps even in populations), but these theories do not prescribe any sort of moral behavior. Furthermore, the theory of reciprocal altruism does not imply mental states of which agents are aware. The unconscious motivations assumed by this theory are in fact compatible with certain formulations of the Golden Rule; I will accordingly argue for the view that certain words with moral content related to the Golden Rule—such as “altruism” and “selfishness”—exist only insofar as they are social tools, which can further the self-interests of an individual in any group. (shrink)

ABSTRACT Anti-normativists have advanced the view that the involvement of content in norms is not an essential feature of content, but a contingent feature or side effect of the normativity governing attitudes. In this paper, we argue that, in its original formulation, this view puts too much weight on the idea that belief is the fundamental, and perhaps the only, source of content-involving normativity. In its more refined formulation, however, the view does not make justice to a neutral and encompassing (...) characterization of what it is for content to be essentially normative. (shrink)

The answer to the title question is “No.” The first section argues, using the example of Huckleberry Finn, that rational agents need not be motivated by their explicit judgments of rightness and wrongness. Section II rejects a plausible argument to the conclusion that rational agents must have some moral concerns. The third section clarifies the relevant concept of irrationality and argues that moral incoherence does not equate with this common relevant concept. Section IV questions a rational requirement for prudential concern (...) and whether a requirement for moral concern would follow from it. Section V examines the rationality of amoralists and partial amoralists, and Sect. VI closes with speculation on why there might seem to be a rational requirement to be morally motivated. (shrink)

I propose that paradigmatic cases of self-deception satisfy the following conditions: (a) the person who is self-deceived about not-P pretends (in the sense of makes-believe or imagines or fantasizes) that not-P is the case, often while believing that P is the case and not believing that not-P is the case; (b) the pretense that not-P largely plays the role normally played by belief in terms of (i) introspective vivacity and (ii) motivation of action in a wide range of circumstances. Understanding (...) self-deception in this way is highly natural. And it provides a non-paradoxical characterization of the phenomenon that explains both its distinctive patterns of instability and its ordinary association with irrationality. Why, then, has this diagnosis been overlooked? I suggest that the oversight is due to a failure to recognize the philosophical significance of a crucial fact about the human mind, namely, the degree to which attitudes other than belief often play a central role in our mental and practical lives, both by "influenc[ing our]... passions and imagination," and by "governing.. .our actions.". (shrink)

I introduce and argue for the importance of a cognitive state that I call alief. An alief is, to a reasonable approximation, an innate or habitual propensity to respond to an apparent stimulus in a particular way. Recognizing the role that alief plays in our cognitive repertoire provides a framework for understanding reactions that are governed by nonconscious or automatic mechanisms, which in turn brings into proper relief the role played by reactions that are subject to conscious regulation and deliberate (...) control. (shrink)

Philosophers have given much attention to belief and knowledge. Here I introduce an epistemic category close to but different from belief, that I call ‘ersatz’belief. Recognition of this category refines our catalogue of epistemic attitudes in an important way.

Responsibility is a key theme of recent debates over the ethics of international society. In particular, rising powers such as Brazil, China, and India regularly reject the idea that coercion should be a feature of world politics, and they portray military intervention as irresponsible. But this raises the problem of how a society's norms can be upheld without coercive measures. Critics have accused them of “free riding” on existing great powers and failing to address the dilemma of how to deal (...) with actors undermining societal values. This article examines writing on responsibility and international society, with particular reference to the English School, to identify why the willingness and capacity to use force—as well as creative thinking in this regard—are seen as important aspects of responsibility internationally. It then explores statements made by Brazil, China, and India in UN Security Council meetings between 2011 and 2016 to identify which actors they see as responsible and how they define responsible action. In doing so, it pinpoints areas of concurrence as well as disagreements in their understandings of the concept of responsibility, and concludes that Brazil and India have a more coherent and practical understanding of the concept than China, which risks incurring the label “great irresponsible.”. (shrink)

There is disagreement among contemporary theorists regarding human well-being. On one hand there are “substantive good” views, according to which the most important elements of a person’s well-being result from her nature as a human, rational, and/or sentient being. On the other hand there are “agent-constituted” views, which contend that a person’s well-being is constituted by her particular aims, desires, and/or preferences. Each approach captures important features of human well-being, but neither can provide a complete account: agent-constituted theories have difficulty (...) accounting for the normativity of their claims, and substantive good theories have difficulty accounting for how a person’s actually adopted aims shape what is good for her and hence what she has reason to do. I articulate and defend a hybrid view that equals these approaches in systematicity and completeness of explanation yet seeks to surpass them in coherence with our ordinary judgments about what human well-being consists in. This hybrid view maintains, with agent-constituted theories, that a person’s well-being is (1) significantly constituted by her actually adopted aims; (2) deeply contingent; (3) agent-relative; (4) significantly dependent on spatially and temporally remote events; and (5) significantly independent of her experiences. The hybrid view also maintains, with substantive good theories, that a person’s well-being is (6) in part determined by facts independent of her aims, desires, and preferences; (7) such that all her aims are subject to critical evaluation and revision; and (8) constituted by her aims only if these aims are choiceworthy. (shrink)

This paper addresses a question concerning psycho­logical continuity, i.e., which features preserve the same psychological subject over time; this is not the same question as the one concerning the necessary and sufficient conditions for personal identity. Marc Slors defends an account of psychological continuity that adds two features to Derek Parfit’s Relation R, namely narrativity and embodiment. Slors’s account is a significant improvement on Parfit’s, but still lacks an explicit acknowledgment of a third feature that I call relationality. Because they (...) are usually regarded as cases of radical discontinuity, I start my discussion from the experiences of psychological disruption undergone by victims of severe violence and trauma. As it turns out, the challenges we encounter in granting continuity to the experiences of violence and trauma victims are germane to those we encounter in granting continuity to the experiences of subjects in non-traumatic contexts. What is missing in the most popular accounts of psychological continuity is an explicit acknowledgment of the links that tie our psychological lives to other subjects. A more persuasive notion of psychological continuity is not only embodied and narrative, as is Slors’s notion, but also explicitly relational. (shrink)

Recent results from neuroimaging appear to indicate that some patients in a vegetative state have partially intact awareness. These results may demonstrate misdiagnosis and suggest the need not only for alternative forms of treatment, but also for the reconsideration of end-of-life decisions in cases of disorders of consciousness. This article addresses the second consequence. First, I will discuss which aspects of consciousness may be involved in neuroimaging findings. I will then consider various factors relevant to ethical end-of-life decision-making, and analyse (...) whether and to what extent the above consequence applies to these factors. It will be shown that knowledge of the existence of partial awareness in patients with disorders of consciousness only influences end-of-life decision-making if certain background assumptions are made. (shrink)