There are many different oughts. There is a moral ought, a prudential ought, an epistemic ought, the legal ought, the ought of etiquette, and so on. These oughts can prescribe incompatible actions. What I morally ought to do may be different from what I self-interestedly ought to do. Philosophers have claimed that these conflicts are resolved by an authoritative ought, or by facts about what one ought to do simpliciter or all-things-considered. However, the only coherent notion of an ought simpliciter (...) has preposterous first-order normative commitments. It is more reasonable to reject the ought simpliciter in favor of the form of normative pluralism advocated in (Tiffany 2007). (shrink)

Mark Schroeder has argued that all reasonable forms of inconsistency of attitude consist of having the same attitude type towards a pair of inconsistent contents (A-type inconsistency). We suggest that he is mistaken in this, offering a number of intuitive examples of pairs of distinct attitudes types with consistent contents which are intuitively inconsistent (B-type inconsistency). We further argue that, despite the virtues of Schroeder's elegant A-type expressivist semantics, B-type inconsistency is in many ways the more natural choice in developing (...) an expressivist account of moral discourse. We close by showing how to adapt ordinary formality-based accounts of logicality to define a B-type account of logical inconsistency and distinguish it from both semantic and pragmatic inconsistency. In sum, we provide a roadmap of how to develop a successful B-type expressivism. (shrink)

This paper discusses varieties of normative phenomena, ranging from morality, to epistemic justification, to the rules of chess. It canvases a number of distinctions among these different normative phenomena. The most significant distinction is between formal and authoritative normativity. The prior is the normativity exhibited by any standard one can meet or fail to meet. The latter is the sort of normativity associated with phenomena like the "all-things-considered" ought. The paper ends with a brief discussion of reasons for skepticism about (...) authoritative normativity. (shrink)

A number of philosophers have offered quasi-perceptual theories of desire, according to which to desire something is roughly to “see” it as having value or providing reasons. These are offered as alternatives to the more traditional Humean Theory of Motivation, which denies that desires have a representational aspect. This paper examines the various considerations offered by advocates to motivate quasi-perceptualism. It argues that Humeanism is in fact able to explain the same data that the quasi-perceptualist can explain, and in one (...) case the Humean explanation is superior. Quasi-perceptual accounts of desire, the paper concludes, are for the most part unmotivated. (shrink)

This paper argues that, with certain provisos, predicting one's future actions is incompatible with rationally deliberating about whether to perform those actions. It follows that fully rational omniscient agents are impossible, since an omniscient being could never rationally deliberate about what to do . Consequently, theories that explain practical reasons in terms of the choices of a perfectly rational omniscient agent must fail. The paper considers several ways of defending the possibility of an omniscient agent, and concludes that while some (...) of these may work, they are inconsistent with the aim of explaining practical normativity by appeal to such an agent. (shrink)

Human life has special importance. Human decisions must be granted special respect. It is natural to see these claims as connected. It seems likely that human life has value because human beings possess a unique capacity for self-determination. David Velleman’s argument that the nature of autonomy provides us with a prima facie case against the morally permissibility of suicide, at least in most cases, rests on highly questionable premises. Nonetheless, it does point to the importance of a proper understanding of (...) seemingly arcane notions like the self and autonomy in giving principled and systematic answers to practical moral dilemmas. I will argue here that his case against suicide relies on a Kantian understanding of the nature of the self, and consequently of the nature of autonomy and how it should be respected. (shrink)

Deliberation often begins with the question ‘What do I want to do?’ rather than the question of what one ought to do. This paper takes that question at face value, as a question about which of one’s desires is strongest, which sometimes guides action. The paper aims to explain which properties of a desire make that desire strong, in the sense of ‘strength’ relevant to this deliberative question. Both motivational force and phenomenological intensity seem relevant to a desire’s strength; however, (...) accounting for the strength of a desire in these terms opens up significant indeterminacy about what we want. The paper argues that this indeterminacy is often resolved simply by posing the question ‘What do I want to do?’ to oneself: there is reason to believe that one’s answer will play a verdictive role, partially determining what the agent most wants. Self-reflective beliefs can play a self-fulfilling role, and surprisingly this seems to follow from basic platitudes about the belief-desire model. (shrink)

We read with interest the extended essay published from Riisfeldt and are encouraged by an empirical ethics article which attempts to ground theory and its claims in the real world. However, such attempts also have real-world consequences. We are concerned to read the paper’s conclusion that clinical evidence weakens the distinction between euthanasia and normal palliative care prescribing. This is important. Globally, the most significant barrier to adequate symptom control in people with life-limiting illness is poor access to opioid analgesia. (...) Opiophobia makes clinicians reluctant to prescribe and their patients reluctant to take opioids that might provide significant improvements in quality of life. We argue that the evidence base for the safety of opioid prescribing is broader than that presented, restricting the search to palliative care literature produces significant bias as safety experience and literature for opioids and sedatives exists in many fields. This is not acknowledged in the synthesis presented. By considering additional evidence, we reject the need for agnosticism and reaffirm that palliative opioid prescribing is safe. Second, palliative sedation in a clinical context is a poorly defined concept covering multiple interventions and treatment intentions. We detail these and show that continuous deep palliative sedation is a specific practice that remains controversial globally and is not considered routine practice. Rejecting agnosticism towards opioids and excluding CDPS from the definition of routine care allows the rejection of Riisfeldt’s headline conclusion. On these grounds, we reaffirm the important distinction between palliative care prescribing and euthanasia in practice. (shrink)

Are there cases in which agents ought to give up on satisfying an obligation, so that they can avoid a temptation which will lead them to freely commit an even more significant wrong? Actualists say yes. Possibilists say no. Both positions have absurd consequences. This paper argues that common-sense morality is committed to an inconsistent triad of principles. This inconsistency becomes acute when we consider the cases that motivate the possibilism–actualism debate. Thus, the absurd consequences of both solutions are unsurprising: (...) any proposed solution will have consequences incompatible with common moral practice. Arguments for denying one of the principles are considered and rejected. The paper then suggests that the inconsistent moral commitments originate in an inconsistent picture of human agency. Revisionary pictures of human agency are considered. It is argued that a quasi-Platonic picture of agency, similar to that advocated by Gary Watson 1977, is the most promising. (shrink)

Joseph Raz and Sergio Tenenbaum argue that the Guise of the Good thesis explains both the possibility of practical reason and its unity with theoretical reason, something Humean psychological theories may be unable to do. This paper will argue, however, that Raz and Tenenbaum face a dilemma: either the version of the Guise of the Good they offer is too strong to allow for weakness of will, or it will lose its theoretical advantage in preserving the unity of reason.

Attitudinal embeddings, such as ‘I hope that murder is wrong’ or ‘she is glad that eating meat is not wrong’ are a less substantial problem for expressivists than is standardly thought. If expressivists are entitled to talk of normative beliefs, they can explain what it is to for an attitude to be semantically related to a normative content in terms of being functionally related to a belief with a normative content.

Normative discourse frequently involves explanation. For example, we tell children that hitting is wrong because it hurts people. In a recent paper, Selim Berker argues that to account for this kind of explanation, expressivists need an account of normative grounding. Against this, I argue that expressivists should eschew grounding and stick to a more pragmatic picture of explanation, one that focuses on how we use explanatory speech acts to communicate information. I propose that the standard form of a normative explanation (...) is a generalizing explanation, one which shows a particular moral injunction to follow from a more general injunction. I use Marc Lange’s account of unifying explanations in mathematics as a model for the canonical form of a normative explanation, but also to establish that logical entailment can be explanatory, so long as premises entailing the conclusion answer appropriately to our interests. An additional upshot of the resulting view is that it paves the way for a purely metaphysical solution to the problem of creeping minimalism. Quasireal properties are those that, unlike real properties, stand outside of the metaphysical hierarchy of grounding relations. (shrink)

Qualitative and quantitative research on the impact of medical and health humanities teaching in baccalaureate education is sparse. This paper reviews recent studies of the impact of medical and health humanities coursework in pre-health professions education and describes a pilot study of baccalaureate students who completed semester-long medical humanities courses in the Division of Medical Humanities & Bioethics at the University of Rochester. The study format was an email survey. All participants were current or former baccalaureate students who had taken (...) one or more courses in literature and narrative in medicine, bioethics, history of medicine, and/or visual arts and healthcare during the past four years. The survey gathered numerical data in several areas: demographic information, career plans, self-reported influence of coursework on educational and career plans, and self-reported influence of coursework on intellectual skills and abilities. It also gathered narrative commentary that elaborated on students’ responses to the numerically-based questions. Notable findings from preliminary analysis of the data include higher scores of self-reported impact of the coursework on specific habits of mind and on preparedness for intended career rather than on gaining admission to future educational programs. Discussion of the results focuses on several potential future directions this type of study might take, including multi-center, longitudinal, and sequential approaches. (shrink)

I argue that standard explanationist solutions to the problem of creeping minimalism are largely on the right track, but they fail to correctly specify the kind of explanation that is relevant to distinguishing realism from quasirealism. Quasirealism should not be distinguished from realism in terms of the explanations it gives of why a normative judgment—a normative sentence or attitude—has the semantic content that it has. Rather, it should be distinguished in terms of the explanations it offers of what the semantic (...) content of a normative judgment is. (shrink)

Ambivalence is most naturally characterized as a case of conflicting desires. In most cases, an agent’s intrinsic desires conflict contingently: there is some possible world in which both desires would be satisfied. This paper argues, though, that there are cases in which intrinsic desires necessarily conflict—i.e., the desires are not jointly satisfiable in any possible world. Desiring a challenge for its own sake is a paradigm case of such a desire. Ambivalence of this sort in an agent’s desires creates special (...) problems for the project of reducing all facts about an agent’s desires to facts about his or her preferences over options. If this reductive project fails, there is reason to suspect that the Decision Theory cannot give us a complete theory of Humean rationality. (shrink)

Mark Schroeder’s expressivist program has made substantial progress in providing a compositional semantics for normative terms. This paper argues that it risks achieving this semantic progress at the cost of abandoning a key theoretical motivation for embracing expressivism in the first place. The problem can be summarized as a dilemma. Either Schroeder must allow that there are cases in which agents are in disagreement with one another, or can make valid inferences, but that these disagreements or inferences are not expressible (...) in natural language; or his version of expressivism must abandon one of the key theoretical advantages expressivist theories seemed to possess over cognitivism, the ability to provide a very straightforward explanation of the action- and attitude-guiding role of normative judgments. (shrink)

Byrne offers a novel interpretation of the idea that the mind is transparent to its possessor, and that one knows one’s own mind by looking out at the world. This paper argues that his attempts to extend this picture of self-knowledge force him to sacrifice the theoretical parsimony he presents as the primary virtue of his account. The paper concludes by discussing two general problems transparency accounts of self-knowledge must address.

This paper argues that, with certain provisos, predicting one's future actions is incompatible with rationally deliberating about whether to perform those actions. It follows that fully rational omniscient agents are impossible, since an omniscient being could never rationally deliberate about what to do. Consequently, theories that explain practical reasons in terms of the choices of a perfectly rational omniscient agent must fail. The paper considers several ways of defending the possibility of an omniscient agent, and concludes that while some of (...) these may work, they are inconsistent with the aim of explaining practical normativity by appeal to such an agent. (shrink)

Allan Gibbard () argues that the term ‘meaning’ expresses a normative concept, primarily on the basis of arguments that parallel Moore's famous Open Question Argument. In this paper I argue that Gibbard's evidence for normativity rests on idiosyncrasies of the Open Question Argument, and that when we use related thought experiments designed to bring out unusual semantic intuitions associated with normative terms we fail to find such evidence. These thought experiments, moreover, strongly suggest there are basic requirements for a theory (...) of meaning incompatible with Gibbard's ultimate goal of providing an expressivist account of meaning-related concepts. I conclude by considering a possible way in which meaning could be normative, consistent with the intuitions about disagreement; but this form of normativism about meaning appears incompatible with Gibbard's expressivism. (shrink)

This paper has two related goals. First, we develop an expressivist account of negation which, in the spirit of Alan Gibbard, treats disagreement as semantically primitive. Our second goal is to make progress toward a unified expressivist treatment of modality. Metaethical expressivists must be expressivists about deontic modal claims. But then metaethical expressivists must either extend their expressivism to include epistemic and alethic modals, or else accept a semantics for modal expressions that is radically disjunctive. We propose that expressivists look (...) to Amie Thomasson’s work for a general strategy for offering a unified expressivist account of modality. Modals in general, we propose, are devices for expressing metalinguistic commitments within the object language, with deontic, epistemic, and metaphysical modals all expressing different kinds of metalinguistic commitments. (shrink)

Victor Tadros, in this chapter, draws attention to significant overlap in our practices of providing treatment to irresponsible wrongdoers, on the one hand, and our practices of holding the responsible to account, on the other. Alternately, how little space there is between treatment and holding accountable. This should be surprising. Much of Strawson’s argument presupposes that we have implicit familiarity with the difference, and with how significant it is. We become angry with the responsible; whereas we take a more detached (...) perspective to children, the seriously impaired, or mentally ill, whom we regard as objects of treatment or management. These are supposed to represent two fundamentally distinct forms of engagement. If Tadros is right, this sense of a massive gulf in how it is appropriate to treat the responsible versus the exempt is an illusion. The actual difference is subtle. (shrink)

In the original publication of the article, the Acknowledgement section was not included. The section is given below.

Evidence shows that changes in the architecture, design, and decor of health care facilities can improve patient care and in the long run reduce expenses. These essays detail the state of the research, look inside two hospitals that put some of these innovations into practice, and consider how design fits into the moral mission ofhealth care.

Baker reviews the book Free will and action explanation: A non-causal combatibilist account, by Scott Sehon.

One of the central debates within contemporary Anglo-American political philosophy concerns how to formulate an egalitarian theory of distributive justice which gives coherent expression to egalitarian convictions and withstands the most powerful anti-egalitarian objections. This book brings together many of the key contributions to that debate by some of the world’s leading political philosophers: Richard Arneson, G.A. Cohen, Ronald Dworkin, Thomas Nagel, Derek Parfit, John Rawls, T.M. Scanlon, and Larry Temkin.

This chapter is a response to Derek Baker’s careful and subtle reading of, and critical engagement with, both my paper, and P F Strawson’s ‘Freedom and Resentment’.

The idea that nurses should be trustworthy seems to be accepted as generally unproblematic. However, being trustworthy as a nurse is complicated because of the diverse range of expectations from patients, relatives, colleagues, managers, peers, professional bodies and the institutions within which nursing takes place. Nurses are often faced with competing demands and an action perceived by some as trustworthy can be seen by others as untrustworthy. In this article some of the reasons for the importance of being trustworthy are (...) offered together with a preliminary discussion about how being a trustworthy nurse is far from straightforward. (shrink)

Scientists often make surprising claims about things that no one can observe. In physics, chemistry, and molecular biology, scientists can at least experiment on those unobservable entities, but what about researchers in fields such as paleobiology and geology who study prehistory, where no such experimentation is possible? Do scientists discover facts about the distant past or do they, in some sense, make prehistory? In this book Derek Turner argues that this problem has surprising and important consequences for the scientific (...) realism debate. His discussion covers some of the main positions in philosophy of science - realism, social constructivism, empiricism, and the natural ontological attitude - and shows how they relate to issues in paleobiology and geology. His original and thought-provoking book will be of wide interest to philosophers and scientists alike. (shrink)

In a recent paper in this journal, Derek Baker (Erkenntnis 83(4):829–852, 2018) raises an objection to expressivism as it has been developed by Mark Schroeder (Being for, Oxford University Press, Oxford, 2008). Baker argues that Schroeder’s expressivist (1) is committed to certain sentences expressing rationally incoherent states of mind, and he objects (2) that the expressivist cannot explain why these states would be rationally incoherent. The aim of this paper is to show that Baker’s argument for (...) (1) is unsound, and that (1) is unlikely to be true. This obviates the need to explain the alleged rational incoherence, and so Baker’s objection to Schroeder’s expressivism is undermined. (shrink)

In addition to treatments of questions of methodology and implications for life and practice, the Handbook includes sections devoted to the major scientific ...

There are two main views about the nature of personal identity. I shall briehy describe these views, say without argument which I believe to be true, and then discuss the implications of this view for one of the main conceptions of rationality. This conception I shall call "C1assical Prudence." I shall argue that, on what I believe to be the true view about personal identity, Classical Prudence is indefensible.

This chapter draws upon the archaeological and philosophical literature to offer an analysis and diagnosis of the popular ‘ancient aliens’ theory. First, we argue that ancient aliens theory is a form of conspiracy theory. Second, we argue that it differs from other familiar conspiracy theories because it does distinctive ideological work. Third, we argue that ancient aliens theory is a form of non-contextualized inquiry that sacrifices the very thing that makes archaeological research successful, and does so for the sake of (...) popular accessibility. Rather than merely dismissing ancient aliens as ‘pseudoarchaeology’ on demarcationist grounds, we offer a more complicated account of how the theory works, and what ideological work it does. (shrink)

In this article we take issue with theory theory and simulation theory accounts of folk psychology committed to (i) the belief-desire (BD) model and (ii) the assumption of universality (AU). Recent studies cast doubt on the compatibility of these commitments because they reveal considerable cross-cultural differences in folk psychologies. We present both theory theory and simulation theory with the following dilemma: either (i) keep the BD-model as an account of the surface properties of specific explicit folk psychologies and give up (...) AU in light of the cross-cultural evidence; or (ii) defend AU with respect to core capacities underlying different culture-specific folk psychologies, and explain why the BD-model will be genuinely explanatory at this level. (shrink)