Published in the American Journal of Bioethics.

Our behavior doesn't always match the beliefs attributed to us, and sometimes the mismatch raises questions about what our beliefs actually are. I compare two approaches to such cases, and argue in favor of the one which allows some belief-attributions to lack a determinate truth-value. That approach avoids an inappropriate assumption about cognitive activity: namely, that whenever we fail in performing one cognitive activity, there is a distinct cognitive activity at which we succeed. The indeterminacy-allowing approach also meshes well with (...) an attractive view of folk-psychology: that ascriptions can help shape the attitudes they report. (shrink)

Some theories of language, thought, and experience require their adherents to say unpalatable things about human individuals whose capacities for rational activity are seriously diminished. Donald Davidson, for example, takes the interdependence of the concepts of thought and language to entail that thoughts may only be attributed to an individual who is an interpreter of others’ speech. And John McDowell's account of human experience as the involuntary exercise of conceptual capacities can be applied easily only to individuals who make some (...) reasonable judgments, because conceptual capacities are paradigmatically exercised in judgments. In both cases, we seem forced towards an error theory about any ordinary understanding of impaired human individuals as minded, or as undergoing human experience. (shrink)

Bortolotti argues that the irrationality of many delusions is no different in kind from the irrationality that marks many non-pathological states typically treated as beliefs. She takes this to secure the doxastic status of those delusions. Bortolotti’s approach has many benefits. For example, it accounts for the fact that we can often make some sense of what deluded subjects are up to, and helps explain why some deluded subjects are helped by cognitive behavioral therapy. But there is an alternative approach (...) that secures the same benefits as Bortolotti’s account while bringing additional benefits. The alternative approach treats both many delusions and many of the non-pathological states to which Bortolotti compares them as in-between states. Subjects in in-between states don’t fully believe the beliefs which it is sometimes convenient to ascribe to them. This alternative approach to belief and belief-ascription fits well with an independently attractive account of the varied purposes of our ordinary attitude ascriptions. It also makes it easier to make fine-grained distinctions between intentional attitudes of different kinds. (shrink)

The imperviousness of delusions to counter-evidence makes it tempting to classify them as imaginings. Bayne and Pacherie argue that adopting a dispositional account of belief can secure the doxastic status of delusions. But dispositionalism can only secure genuinely doxastic status for mental states by giving folk-psychological norms a significant role in the individuation of attitudes. When such norms individuate belief, deluded subjects will not count as believing their delusions. In general, dispositionalism won't confer genuinely doxastic status more often than do (...) competing accounts of belief. (shrink)

Draft of forthcoming article in the Journal of Medical Ethics where I discuss ethical tension between LGBT testimony and testimonial trust of medical professionals.

In this paper, I aim to demonstrate that the consequences of the current United States health insurance scheme on both physician and patient autonomy is dire. So dire, in fact, that the only moral solution is something other than what we have now. The United States healthcare system faces much criticism at present. But my focus is particular: I am interested in the ways in which insurance interferes with physician and patient autonomy. I will argue in favor of an expansion (...) of the traditional conception of what I call “medical autonomy” or “healthcare autonomy” and the usual role it plays in bioethical discussions. More generally, I show that in morally designing or evaluating any healthcare system, serious attention should be paid to how this system helps foster what I call active autonomy. (shrink)

Berry, Daniels, and Ladin make a strong argument for discontinuing the use of, “lack of social support,” as an organ transplantation listing criterion. This argument, however, actually leads to conclusions much stronger than those that the authors’ propose: The argument works equally well against using, (1) any “psychosocial” factors at all as a listing criterion, and, (2) any criteria other than factors that directly relate to empirically established medical need, and/or empirically established survival rate. Moreover, while the authors rightly point (...) to a lack of empirical evidence connecting social support to survivability, they neglect mentioning that the empirical literature on social support provides grounds to favor listing persons who seem to, sadly, lack a social support system. (shrink)

In this chapter I argue that Alexis de Tocqueville describes the virtue of citizenship in a way that is relevant to contemporary virtue ethics. He explains how a group can possess a virtue that is distinct from the virtue of individual members of the group. (this is an unofficial draft).

Populism has become a buzzword within the political arena of the twenty-first century. It is near omnipresent in our discourse, most of the time without being tied to any particularly defined conceptualization. This proliferation of populist and meta-populist discourse results in the meaning of the term populism becoming taken for granted without ever resulting in its user’s need to feel it necessary to expand on its actual meaning. The aim of this paper is to try to shed some light on (...) the definition of the word populism and its usage. I adopt and apply some tools proposed by Wittgenstein’s Philosophical Investigations, namely his idea of family resemblance and meaning as use. Firstly, I will consider populism as a family resemblance term. Instead of trying to entangled populism within a framework of fixed and essential features, populism should be seen as contingent and contextual intertwining of different characteristics which make us immediately recognize a phenomenon as populism. Secondly, I will propose three different uses of populism within academic literature – populism as a classifier, as an admonition and as a descriptor - in order to show how the meaning that we attributed to the term might change according to the usage we make of it. Consequently, each theory of populism advanced should be conceived in light of the scope of the analysis and the specific use we make of the word within political debate. This approach would allow us to maintain the word populism in spite of its lack of a central definition, while allowing a plurality of overlapping and conflictual meanings. (shrink)

Dorit Bar-On aims to account for the distinctive security of avowals by appealing to expression. She officially commits herself only to a negative characterization of expression, contending that expressive behavior is not epistemically based in self-judgments. I argue that her account of avowals, if it relies exclusively on this negative account of expression, can't achieve the explanatory depth she claims for it. Bar-On does explore the possibility that expression is a kind of perception-enabling showing. If she endorsed this positive account, (...) her argument would re-gain an explanatory advantage over its rivals. But extending this account to linguistic expressive behavior would bring Bar-On very close to constitutive accounts of first-person authority. (shrink)

We can increase our understanding of expression by considering an analogy to demonstrative reference. The connections between a demonstrative phrase and its referent, in a case of fully successful communication with that phrase, are analogous to the connections between an expressible state and the behavior that expresses it. The connections in each case serve to maintain a certain status for the connected elements: as actions of persons; or as objects, events, or states significant to persons. The analogy to demonstrative reference (...) helps show that a positive account of expression can make conceptual connections between expressed states and expressive behaviors without courting reductive behaviorism. A general account of expression as marked by these connections is compared to accounts of expression offered by Dorit Bar-On and Mitchell Green. Bar-On’s account turns out to be compatible with the account proposed here, once some of its consequences are fully appreciated. Green’s account rules out, as not expressive, some behaviors like crouching (in fear) that intuitively seem expressive. When Green’s account is altered to allow such behaviors back in, the resulting account also fits the one proposed. (shrink)

Flannery’s volume looks in two directions. On the one hand, as Flannery announces in the book’s introduction, the chapters in the volume were intended to shed light on three specific ‘background’ issues in contemporary ethics and the interpretation of Thomas Aquinas, namely, Aquinas’ notion of ethical theory (as articulated especially in Summa Theologica 1-2.6-21), the ramifications of physical actions on moral evaluation in contemporary ethics (for instance, whether the fact that an abortion consists specifically in the crushing of (...) a fetus’ skull rather than some other form of terminating the fetus has moral relevance), and the understanding of Aquinas’ ‘principle of double effect’ (Summa Theologica 2-2.64.7). On the other hand, the eight chapters (and two appendices) are all devoted to the exegesis of passages in Aristotle’s corpus (primarily the ethical treatises, but with substantial discussions of passages from the Prior Analytics, the Physics, and the Metaphysics insofar as they shed light on passages in the eth-ical corpus). Although the exegetical chapters are motivated by contemporary and Thomistic background issues, the exegesis appears entirely grounded in Aristotle’s (rather than Aristotelian) texts. (shrink)

Žižek has argued in his books on Christianity and modernity that institutional Catholic Christianity has placed its members in a double bind by insisting on belief in a nonexistent God of Being. The laws of this God of the Symbolic are perverse in that they impose impossible requirements on all believers. By the mid-twentieth century, however, Catholicism was experiencing the revolutionary reforms of the Second Vatican Council. Dogmatic Law at this time gave way to a renewed emphasis on the community (...) of love associated in early Christianity with the Holy Spirit. This God of the Real is inherently Trinitarian: God-Father-Thing, Spirit as community of believers, and Christ as the imaginary Real gap between them. The American gothic writer Flannery O’Connor in her short story “A Temple of the Holy Ghost” provides a meditation on this Real Trinity. In O’Connor’s story a hermaphroditic circus freak becomes an emblem of the deadlock of sexual difference and a monstrous Christ-figure in the Žižekian sense. Its place is theologically incoherent and represents the passion for the Real emerging out of the perverse situation of mid-century Catholic orthodoxy. (shrink)

Interview with the professor Maura Pardini Bicudo Véras, former dean and current coordinator of the Postgraduate Program in Social Sciences at the Pontifical Catholic University of São Paulo.

Here I reply to the main points raised by the commentators on the arguments put forward in my Delusions and Other Irrational Beliefs (OUP, 2009). My response is aimed at defending a modest doxastic account of clinical delusions, and is articulated in three sections. First, I consider the view that delusions are inbetween perceptual and doxastic states, defended by Jacob Hohwy and Vivek Rajan, and the view that delusions are failed attempts at believing or not-quitebeliefs, proposed by Eric Schwitzgebel and (...) Maura Tumulty. Then, I address the relationship between the doxastic account of delusions and the role, nature, and prospects of folk psychology, which is discussed by Dominic Murphy, Keith Frankish, and Maura Tumulty in their contributions. In the final remarks, I turn to the continuity thesis and suggest that, although there are important differences between clinical delusions and non-pathological beliefs, these differences cannot be characterised satisfactorily in epistemic terms. (shrink)

In this peer commentary on Maura Priest's "Transgender Children and the Right to Transition: Medical Ethics When Parents Mean Well but Cause Harm", I argue against the "mismatch" model of trans identity. On this model, which is prevalent in institutional and medical contexts, to be trans is to have one's gender identity "mismatch" with one's sexed body.

Aristotle’s notion of force seems to be the same as what we mean by “brute force,” or as an example of the Eudemian Ethics puts it, one is “forced” when one’s hand is literally seized by another and used to strike another person. But closer scrutiny suggests something else must be going on if for no other reason than that Aristotle, in his description of force, makes reference to a do-er (o( pra/ttwn [EN III.1.1110a2]). Based on such an insight, (...) class='Hi'>Flannery’s “Force and Compulsion in Aristotle’s Ethics” subjects the account of forced actions, actions done under compulsion, and so called “mixed actions” in Aristotle’s ethical treatises to careful scrutiny. In my comments I focus upon two of his claims: First, that although Aristotle includes a notion of “brute force” in his account of force, he doesn’t limit his account just to that notion; and second, that Aristotle’s account of force presupposes or includes what he calls “a particular anthropology.”. (shrink)