Responsibility as accountability is normally taken to have stricter control conditions than responsibility as attributability. A common way to argue for this claim is to point to differences in the harmfulness of blame involved in these different kinds of responsibility. This paper argues that this explanation does not work once we shift our focus from other-directed blame to self-blame. To blame oneself in the accountability sense is to feel guilt and feeling guilty is to suffer. To blame oneself in the (...) attributability sense, it will be argued, is to feel shame and feeling shame is also to suffer. The different control conditions cannot be explained by a difference in the harm of blame. Instead, this paper argues that accountability and attributability are governed by different kinds of appropriateness: an agent S is accountability blameworthy for X only if S deserves to feel guilty; an agent S is attributability blameworthy for X only if it is fitting that S feels shame for X. (shrink)

It is often assumed that we are only blameworthy for that over which we have control. In recent years, however, several philosophers have argued that we can be blameworthy for occurrences that appear to be outside our control, such as attitudes, beliefs and omissions. This has prompted the question of why control should be a condition on blameworthiness. This paper aims at defending the control condition by developing a new conception of blameworthiness: To be blameworthy, I argue, is most fundamentally (...) to deserve to feel guilty. Being blamed by someone else is not necessarily harmful to the wrongdoer. The blame might not be expressed, or the wrongdoer might not care. But to blame oneself necessarily involves suffering. This conception of blameworthiness explains why the control condition should obtain: We are morally blameworthy for A only if A was under our control because to be blameworthy is to deserve to feel guilty, to feel guilty is to suffer, and one deserves to suffer for A only if A was under one’s control. (shrink)

I argue against the intellectualist view of love according to which we (must) love for reasons so that love is rational. Engaging primarily with the quality appraisal view of love, I concede that qualities can cause love but insist that it is misguided to think of love as having reasons. A number of features of human psychology complicate the issue of how lover relates to beloved's qualities. (a) The lover may be attracted to a quality without appraising that quality reflectively. (...) (b) Personal qualities are not perceived in isolation; rather, our assessment of one quality will affect how we perceive another. In fact, we tend to posit essences in persons, and these guide our interpretation of their other qualities. (c) We do not see persons as bundles of qualities but as unique wholes. This is due to our capacity to fetishize particulars, and it dispels the problem of fungibility. (d) We have a tendency to see meaning in things retrospectively—philosophers have mistaken this sense of meaning for rationality. The philosophical movement to incorporate love into rationality fails to recognize that there is a folk metaphysics built deep into our psyches that does not correspond to the worldview of contemporary philosophers. (shrink)

According to Kantian ethics, immoral actions convey disrespect. This negative attitude makes injuries inflicted by other persons worse than injuries caused by nature, ceteris paribus. As Strawson would later put it, the perpetrator’s attitude of disregard prompts in the victim the reactive attitude of resentment. But, I point out, we harbour and display plenty of other negative attitudes toward people aside from disrespect. What, if any, reactive attitudes are natural and appropriate in response to these? In unrequited love, for example, (...) the beloved denies the lover a certain kind of recognition that she desires. I claim that this often prompts resentment in the lover, despite the fact that she has suffered no moral wrongdoing—that her injury is, as I term it, ‘tragic’. If this is so, we must reconceive the meaning of resentment, distinguishing it sharply from indignation. After offering such a reinterpretation of resentment and indignation, I show how ‘tragic resentment’ might be warranted despite lacking a moral claim. If the beloved bears a deep responsibility for not reciprocating the love, then he is subject to negative reactive attitudes for it, despite the fact that he cannot choose whom to love and has no obligation to love. (shrink)

According to linguistic conventionalism, necessities are to be explained in terms of the conventionally adopted rules that govern the use of linguistic expressions. A number of influential arguments against this view concerns the ‘Truth-Contrast Thesis’. This is the claim that necessary truths are fundamentally different from contingent ones since they are not made true by ‘the facts’. Instead, they are supposed to be something like ‘true in virtue of meaning’. This thesis is widely held to be a core commitment of (...) the conventionalist position, and the view is frequently rejected on the grounds that this thesis is untenable. I argue that this line of reasoning is mistaken. While the thesis should be rejected, it is not, I argue, entailed by linguistic conventionalism – nor was it invariably accepted by the paradigmatic conventionalists. (shrink)

In Every Thing Must Go James Ladyman and Don Ross argue for a radical version of naturalistic metaphysics and propose that contemporary analytic metaphysics is detached from science and should be discontinued. The present article addresses the issues of whether science and metaphysics are separable, intuitions and understanding should be excluded from scientific theory, and Ontic Structural Realism satisfies the criteria of the radical version of naturalism advanced by Ladyman and Ross. The point underlying those topics is that successful scientific (...) research presupposes metaphysics, and that basic epistemic virtues common to metaphysics and science may allow us—as opposed to what Ladyman and Ross suggest—to increase our understanding of the world and to put constraints on allowable metaphysical theories. (shrink)

In this article I aim at developing a phenomenology ofillness through a critical interpretation of the worksof Sigmund Freud and Martin Heidegger. The phenomenonof ``Unheimlichkeit'' – uncanniness and unhomelikeness– is demonstrated not only to play a key role in thetheories of Freud and Heidegger, but also toconstitute the essence of the experience of illness.Two different modes of unhomelikeness – ``The minduncanny'' and ``The world uncanny'' – are in thisconnection explored as constitutive parts of thephenomenon of illness. The consequence I draw (...) fromthis analysis is that the mission of health careprofessionals must be not only to cure diseases, butactually, through devoting attention to thebeing-in-the-world of the patient, also to open uppossible paths back to homelikeness. This mission canonly be carried out if medicine acknowledges the basicimportance of the meaning-realm of the patient's life– his or her life-world characteristics. (shrink)

This article is an attempt to analyse the experience of embodiment in illness. Drawing upon Heidegger' sphenomenology and the suggestion that illness can be understood as unhomelike being-in-the-world, I try to show how the way we live our own bodies in illness is experienced precisely as unhomelike. The body is alien, yet, at the same time, myself. It involves biological processes beyond my control, but these processes still belong to me as lived by me. This a priori otherness of the (...) body presents itself in illness in an uncanny and merciless way. The unhomelike breakdown of our everyday being-in-the-world suffered in illness is explored through Heidegger's notion of the world being a “totality of relevance”, a pattern of meaning played out between different “tools”. The lived body is compared to a broken tool that alters and obstruct sour way of being “thrown” and “projecting” ourselves in the meaning patterns of the world through feelings,thoughts and actions. The similarities and differences between this unhomelikeness of illness and the specific unhomelikeness of authentic understanding,reached according to Heidegger in existential anxiety,are discussed. In order to illustrate how the lived body can present itself as “broken” and “other” to its owner, and in what way this unhomelike experience calls for help from health-care professionals, I make use of a clinical example of a severe and common disease: stroke. (shrink)

A large slice of contemporary phenomenology of medicine has been devoted to developing an account of health and illness that proceeds from the first-person perspective when attempting to understand the ill person in contrast and connection to the third-person perspective on his/her diseased body. A proof that this phenomenological account of health and illness, represented by philosophers, such as Drew Leder, Kay Toombs, Havi Carel, Hans-Georg Gadamer, Kevin Aho, and Fredrik Svenaeus, is becoming increasingly influential in philosophy of medicine (...) and medical ethics is the criticism of it that has been voiced in some recent studies. In this article, two such critical contributions, proceeding from radically different premises and backgrounds, are discussed: Jonathan Sholl’s naturalistic critique and Talia Welsh’s Nietzschean critique. The aim is to defend the phenomenological account and clear up misunderstandings about what it amounts to and what we should be able to expect from it. (shrink)

For several decades, there have been increased requests to allow euthanasia in Sweden. The issue is a hot topic of debate among medical people, theologians, philosophers and parliamentarians. The authors in this book argue against the legalization of euthanasia.

In this paper we give an axiomatisation of the concept of a computability structure with partial sequences on a many‐sorted metric partial algebra, thus extending the axiomatisation given by Pour‐El and Richards in [9] for Banach spaces. We show that every Banach‐Mazur computable partial function from an effectively separable computable metric partial Σ‐algebraAto a computable metric partial Σ‐algebraBmust be continuous, and conversely, that every effectively continuous partial function with semidecidable domain and which preserves the computability of a computably enumerable dense (...) set must be computable. Finally, as an application of these results we give an alternative proof of the first main theorem for Banach spaces first proved by Pour‐El and Richards. (© 2004 WILEY‐VCH Verlag GmbH & Co. KGaA, Weinheim). (shrink)

This article interrogates twelve step practice within Alcoholics Anonymous from the perspective of Foucault’s later work on governance, truth-telling and subjectivity. Recent critical studies of addiction tend to view self-help cultures like that of AA and related twelve step programs as integral parts of contemporary power/knowledge complexes, and thus as agents of the modern “will to knowledge” that Foucault often engages with. In line with the widespread Foucauldian critique of governmentality, addiction self-help culture is thus conceived as one that primarily (...) reproduces abstract, neoliberal norms on health and subjectivity. The argument put forward in this article aims to upset this framework attending to a number of features of twelve step practice that, arguably, bear striking resemblances to Foucault’s later discussions of ethics, care of self and truth-telling. In this, it is suggested that a close study of AA practices, might interrupt assumptions about contemporary addiction discourse and its relationship to issues of truth and power often reproduced in Foucauldian critiques. (shrink)

Psychopharmacological drugs have effects on selfhood in ways that often overlap with the treatment of mental disorders, but the effects also go beyond the domain of disorder into the sphere of enhancement. To what extent this is and will be the case depends, of course, on the definition and understanding of mental disorder. The psychotropic effects on selfhood can be mapped out by distinguishing groups of traits that belong to personality and that form dimensions of selfhood, but they can also (...) be distinguished by acknowledging different layers of selfhood-pre-reflective embodied self, reflective self, and narrative self. The effects of psychopharmacological drugs in some cases normalize the alienating experiences of the breakdown of pre-reflective selfhood, in other cases they rather bring about changes in basic dimensions of selfhood and personality, such as temperament and emotional dispositions. (shrink)

No detailed description available for "Butler's Ethics".

Reviews work on moral judgment motivational internalism from the last two decades.

This article develops a phenomenological exploration of chronic pain from a first-person perspective that can serve to enrich the medical third-person perspective. The experience of chronic pain is found to be a feeling in which we become alienated from the workings of our own bodies. The bodily-based mood of alienation is extended, however, in penetrating the whole world of the chronic pain sufferer, making her entire life unhomelike. Furthermore, the pain mood not only opens up the world as having an (...) alien quality, it also makes the world more lonesome and poor by forcing the sufferer to attend to the workings of her own body. To suffer pain is to find oneself in a situation of passivity in relation to the hurtful experiences one is undergoing. In making the body and the world more unhomelike places to be in, pain also tends to rob a person of her language. Severe pain is hard to describe because it pushes the person towards the borderlines of imaginable experience and because it makes it hard to see any meaning and purpose in the situation one has been forced into. The analysis of chronic pain in the article is guided by the attempts made by Maurice Merleau-Ponty, Jean-Paul Sartre, and Martin Heidegger to understand the nature of human embodiment and existence, and also by descriptions of chronic pain found in the Swedish author Lars Gustafsson’s novel The Death of a Beekeeper. (shrink)

This is a highly ambitious book, defending a long unpopular account of logic and mathematics—namely, conventionalism. Warren’s overall aim is to convince us tha.

We introduce generalized quantifiers, as defined in Tarskian semantics by Mostowski and Lindström, in logics whose semantics is based on teams instead of assignments, e.g., IF-logic and Dependence logic. Both the monotone and the non-monotone case is considered. It is argued that to handle quantifier scope dependencies of generalized quantifiers in a satisfying way the dependence atom in Dependence logic is not well suited and that the multivalued dependence atom is a better choice. This atom is in fact definably equivalent (...) to the independence atom recently introduced by Väänänen and Grädel. (shrink)

Kierkegaard's preoccupation with a separation between the ‘inner’ and the ‘outer’ runs through his work and is widely thought to belong to his rejection of Hegel's idealist monism. Focusing on The Concept of Irony and Either/Or, I argue that although Kierkegaard believes in various metaphysical distinctions between inside and outside, he nonetheless understands the task of the philosopher as that of making outside and inside converge in a representation. Drawing on Hegel's philosophy of art, I show that Kierkegaard's project in (...) both of these books is the aesthetic project of revealing the inner essence of something in its outward appearance. Kierkegaard's portrait of Socrates in The Concept of Irony is a phenomenology of the spirit of irony. My interpretation adds a new dimension to our understanding of Kierkegaard's aesthetics and his relation to Hegel; it presents him as a follower of Plato, whom he is usually thought to have dismissed; and it uncovers a deep connection between Kierkegaard's first two books, which are never read in conjunction. (shrink)

This article develops a phenomenology of suffering with an emphasis on matters relevant to medical practice and bioethics. An attempt is made to explain how suffering can involve many different things—bodily pains, inability to carry out everyday actions, and failure to realize core life values—and yet be a distinct phenomenon. Proceeding from and expanding upon analyses found in the works of Eric Cassell and Elaine Scarry, suffering is found to be a potentially alienating mood overcoming the person and engaging her (...) in a struggle to remain at home in the face of loss of meaning and purpose in life. Suffering involves painful experiences at different levels that are connected through the suffering-mood but are nevertheless distinguishable by being primarily about my embodiment, my engagements in the world together with others, and my core life values. Suffering is in essence a feeling , but as such, it has implications for and involves the person’s entire life: how she acts in the world, communicates with others, and understands and looks upon her priorities and goals in life. Suffering-moods are typically intense and painful in nature, but they may also display a rather subconscious quality in presenting things in the world and my life as a whole in an alienating way. In such situations, we are not focused directly upon the suffering-mood—as in the cases of pain and other bodily ailments—but rather, upon the things that the mood presents to us: not only our bodies, but also other things in the world that prevent us from having a good life and being the persons we want to be. Such suffering may in many cases be transformed or at least mitigated by a person’s identifying and changing her core life values and in such a manner reinterpreting her life story to become an easier and more rewarding one to live under the present circumstances. (shrink)

Safety assessment of technologies and interventions is often underdetermined by evidence. For example, scientists have collected evidence concerning genetically modified plants for decades. This evidence was used to ground opposing safety protocols for “stacked genetically modified” plants, in which two or more genetically modified plants are combined. Evidence based policy would thus be rendered more effective by an approach that accounts for underdetermination. Douglas (2012) proposes an explanatory approach, based on the criteria of transparency, empirical competence, internal consistency of explanations, (...) and predictive potency. However, sometimes multiple explanations can satisfy these criteria. We propose an additional criterion based on converse abduction, where explanations are selected on the basis of ontological background assumptions as well as by evidence. We then apply our proposed scheme to the case of the regulation of stacked genetically modified plants. We discuss the implications and suggest follow-up work concerning the generalizability of the approach. (shrink)

The objective of this paper is to balance two major conceptual tendencies in science policy studies, continuity and discontinuity theory. While the latter argue for fundamental and distinct changes in science policy in the late 20th century, continuity theorists show how changes do occur but not as abrupt and fundamental as discontinuity theorists suggests. As a point of departure, we will elaborate a typology of scientific governance developed by Hagendijk and Irwin ( 2006 ) and apply it to new empirical (...) material. This makes possible a contextualization of the governance of science related to the codification of the “third assignment” of the Swedish higher education law of 1977. The law defined the relation between university science and Swedish citizens as a dissemination project, and did so despite that several earlier initiatives actually went well beyond such a narrow conceptualisation. Our material reveals continuous interactive and rival arrangements linking the state, public authorities, the universities and private industrial enterprises. We show how different but coexisting modes of governance of science existed in Sweden during the 20th century, in clear contrast with the picture promoted by discontinuity theorists. A close study of the historical development suggests that there were several periods of layered governance when interactions and dynamics associated with continuity as well as discontinuity theories were prevalent. In addition, we conclude that the typology of governance applied in the present paper is fruitful for carrying out historical analyses of the kind embarked upon in spite of certain methodological shortcomings. (shrink)

ArgumentA number of issues related to vaccines and vaccinations in society are discussed in this paper. Our purpose is to merge an analysis of some recent changes in the vaccine market with social science research on the relationship between citizens and authorities. The article has two empirical parts. The first shows how the vaccine market, which for many years has had immense financial problems, nowadays seems to becoming economically vitalized, mostly due to the production of new and profitable vaccines. However (...) prosperous the future may appear, certain reactions from the public regarding vaccination initiatives offer insight into inherent problems of vaccine policies in many Western countries. In the second part of the article, these problems are exemplified with the recent controversy over the MMR (measles, mumps, and rubella) vaccine. We conclude that in spite of the improving profit-margins, the vaccine market remains vulnerable and insecure. Vaccines are permeated bysociety, even more so than pharmaceutics that are used to cure or alleviate illnesses. Radical changes in financial conditions with promises of a more profitable market will not, we argue, solve other even more fundamental problems. (shrink)

By rejecting the old divide between prehistory and history, the group of scholars behind Deep History opens a new window on the problem of the unity and diversity of human experience over the very long run. Their use of kinship metaphors suggests not only a link between modern society and the deep past, but also perhaps a way to imagine the common legacy of the human species. But what emerges from Deep History is hardly a sunny story about the distant (...) origins of social justice and ecological harmony. The other central metaphor of the book—the fractal—uncovers the slow prelude to the Anthropocene. Rather than seeing a sharp break in the Industrial Revolution from an “organic” to a fossil fuel-burning economy, these scholars stress the history of environmental destruction that has accompanied human expansion. My critical reading presents an alternative understanding of deep history as an arena for a new politics of species. Here a cornucopian understanding of human adaptation clashes with a new pessimism about the climatic fragility of Neolithic civilization. (shrink)

According to Paul Boghossian, some truths are knowable a priori because they are expressed by epistemically analytic sentences. In such cases, understanding the sentence is meant to suffice for justified belief in the proposition it expresses. One alleged route from understanding to justification goes via what Boghossian calls ‘the synonymy model’. This article presents a dilemma for this model and argues that although a strategy for avoiding the dilemma is available, this does not vindicate Boghossian's model.

This article offers a new account of the moral substance of shame. Through careful reflection on the motives and intentional structure of shame, I defend the claim that shame is an egocentric and morally blind emotion. I argue that shame is rooted in our desire for social affirmation and constituted by our ability to sense how we appear to others. What makes shame egocentric is that in shame we are essentially concerned about our own social worth and pained by the (...) perception of our self as socially worthless. In itself, shame entails no morally pertinent concern about others or understanding of what is morally significant. I contrast shame with the possibility of relating to others—and to oneself—with love and care. Indeed, I propose that love is essential for moral understanding and motivation. The argument of the article unfolds through critical appraisals of the main strategies for defending the moral value of shame. First, against the claim that shame entails respect for others, I argue that shame's sensitivity to the opinions of others is motivated by egocentric self-concern. Second, against the view that shame over failures to live up to moral values is morally valuable, I argue that regardless of whether the values guiding our shame are moral or not, the perspective of shame is oblivious to their moral meaning. Third, against the claim that shame is crucial for self-understanding, I argue that the desire for affirmation that drives shame is a powerful source of self-deception. (shrink)

In this paper I develop a phenomenology of falling ill by presenting, interpreting and developing the basic model we find in Jean-Paul Sartre's Being and Nothingness. The three steps identified by Sartre in this process are analysed, developed further and brought to a five- step model: pre-reflective experience of discomfort, lived, bodily discomfort, suffered illness, disease pondering, and disease state. To fall ill is to fall victim to a gradual process of alienation, and with each step this alienating process is (...) taken to a new qualitative level. Consequently, the five steps of falling ill have not only a contingent chronological order but also a kind of logical order, in that they typically presuppose each other. I adopt Sartre's focus on embodiment as the core ground of the alienation process, but point out that the alienation of the body in illness is not only the experience of a psychic object, but an experience of the independent life of one's own body. This facticity of the body is the result neither of the gaze of the other person, nor of a reflection adopting the outer perspective of the other in an indirect way, but is a result of the very otherness of one's own body, which addresses and plagues us when we fall ill. I use examples of falling ill and being a patient to show how a phenomenology of falling ill can be helpful in educating health-care personnel about the ways of the lived body. (shrink)

In this theoretical and explorative essay, two issues are discussed, which are based on personal experiences of teaching ethics. The first is what educational purpose does it serve to challenge students as ethical subjects while teaching a class? This issue is mainly discussed through an analysis of Gert Biesta’s works. He argues that an essential purpose for teachers is to enable students to appear as subjects. For this to happen, the teacher must “interrupt” the students by presenting that which challenges (...) his or her basic ethical preconceptions, which in turn forces the student to choose as a subject. However, if the teacher gives priority to such interruptions, s/he risks a conflict with his or her students. That gives rise to the second issue raised in the essay, whether the teacher should express his or her ethical perspectives while teaching ethics. The issue is discussed by analyzing Bruno Latour’s political philosophy. He argues that conflict is an essential feature in any democratic society where everyone’s concerns are presented. For that reason, he argues for the need of public “diplomats,” whose function is to enable an endeavor for peace. As diplomats, both their ethical agency and ability to judge what is worth highlighting is recognized. Thus, the essay concludes that a diplomatic teacher is someone who has the judgement to decide whether his or her ethical perspectives should be highlighted while teaching a class, or if it would disrupt an endeavor for peace. (shrink)

Fredrik Svenaeus' book is a delight to read. Not only does he exhibit keen understanding of a wide range of topics and figures in both medicine and philosophy, but he manages to bring them together in an innovative manner that convincingly demonstrates how deeply these two significant fields can be and, in the end, must be mutually enlightening. Medicine, Svenaeus suggests, reveals deep but rarely explicit themes whose proper comprehension invites a careful phenomenological and hermeneutical explication. Certain philosophical approaches, (...) on the other hand - specifically, Heidegger's phenomenology and Gadamer's hermeneutics - are shown to have a hitherto unrealized potential for making sense of those themes long buried within Western medicine. Richard M. Zaner, Ann Geddes Stahlman Professor of Medical Ethics, Vanderbilt University. (shrink)

It is often thought that a notion of general term rigidity could help explain the particular behavior of natural kind terms in modal contexts. An influential strategy for developing a non-trivial account of general term rigidity appeals to essential properties of the things to which such terms apply. I show that essentialism cannot underpin a notion of rigidity that can play the expected explanatory roles. Essentialists are committed to presuppositions that themselves play those roles without implying essentialism.

The paper presents an account of suffering as a multi-level phenomenon based on concepts such as mood, being-in-the-world and core life value. This phenomenological account will better allow us to evaluate the hardships associated with dying and thereby assist health care professionals in helping persons to die in the best possible manner. Suffering consists not only in physical pain but in being unable to do basic things that are considered to bestow meaning on one’s life. The suffering can also be (...) related to no longer being able to be the person one wants to be in the eyes of others, to losing one’s dignity and identity. These three types of suffering become articulated by a narrative that holds together and bestows meaning on the whole life and identity of the dying person. In the encounter with the patient, the health-care professional attempts to understand the suffering-experience of the patient in an empathic and dialogic manner, in addition to exploring what has gone wrong in the patient’s body. Matters of physician assisted suicide and/or euthanasia—if it should be legalized and if so under which conditions—need to be addressed by understanding the different levels of human suffering and its positive counterpart, human flourishing, rather than stressing the respect for patient autonomy and no-harm principles, only. In this phenomenological analysis the notions of vulnerability and togetherness, ultimately connecting to the political-philosophical issues of how we live together and take care of each other in a community, need to be scrutinized. (shrink)

We characterize the expressive power of extensions of Dependence Logic and Independence Logic by monotone generalized quanti ers in terms of quanti er extensions of existential second-order logic.