Several recent publications in biomedical ethics argue that organ donation is generally morally obligatory and failure to do so is morally indefensible. Arguments for this moral conclusion tend to be of two kinds: arguments from fairness and arguments from easy rescue. While I agree that many of us have a duty to donate, in this article I criticize these arguments for a general duty of organ donation and their application to organ procurement policy. My concern is that these arguments neglect (...) the role that trust plays in contemporary organ transplant policies and in differential rational attitudes toward donation. Recognizing donation as an achievement of trust, and acknowledging the warrant of many people's rational distrust or withheld trust in medicine, I argue, should have significant implications for the ethics of organ procurement. (shrink)

Walter Sinnott-Armstrong argues, on the relationship between individual emissions and climate change, that “we cannot claim to know that it is morally wrong to drive a gas guzzler just for fun” or engage in other inessential emissions-producing individual activities. His concern is not uncertainty about the phenomenon of climate change, nor about human contribution to it. Rather, on Sinnott-Armstrong’s analysis the claim of individual moral responsibility for emissions must be grounded in a defensible moral principle, yet no principle withstands scrutiny. (...) I argue thatthe moral significance of individual emissions is obscured by this critique. I offer a moral principle, the threshold-contribution principle, capable of withstanding Sinnott-Armstrong’s criticisms while also plausibly explaining what’s wrong with gas-guzzling joyrides and other gratuitous emissions-producing individual acts. (shrink)

The evidence most of us have for our beliefs on global climate change, the extent of human contribution to it, and appropriate anticipatory and mitigating actions turns crucially on epistemic trust. We extend trust or distrust to many varied others: scientists performing original research, intergovernmental agencies and those reviewing research, think tanks offering critique and advocating skepticism, journalists transmitting and interpreting claims, even social systems of modern science such as peer-reviewed publication and grant allocation. Our personal experiences and assessments of (...) evidential indicators themselves may be buttressed significantly by trust, not just in. (shrink)

Recent works by feminist and social epistemologists have carefully mapped the contours of epistemic injustice, including gaslighting and prejudicial credibility deficits, prejudicial credibility excesses, willful hermeneutical ignorance, discursive injustices, contributory injustice, and epistemic exploitation. As we look at this burgeoning literature, attention has been concentrated mainly in four areas in descending order of emphasis: phenomena of epistemic injustice themselves, including the nature of wrongdoings involved, attendant consequences and repercussions, individual and structural changes for prevention or mitigation, and restorative, restitutive, or (...) retributive responses. This project urges greater attention to the last of these, and to that end offers a relational approach to epistemic justice drawing upon Margaret Walker’s work on moral repair and reparative justice. In developing and enacting better epistemic practices, how can such practices be made meaningfully restorative: not only recognizing the prospects for epistemic improvement, but responding to the perpetration and experience of epistemic injustice with effective epistemic amelioration? (shrink)

Social epistemologists often operationalize the task of indirectly assessing experts’ trustworthiness to identifying whose beliefs are more reliably true on matters in an area of expertise. Not only does this neglect the philosophically rich space between belief formation and testimonial utterances, it also reduces trustworthiness to reliability. In ethics of trust, by contrast, explicitly relational views of trust include things like good will and responsiveness. One might think that relational aspects can be safely set aside for social epistemology of trust (...) in experts, that such considerations may be relevant for personal relationships but not for expert trustworthiness. Against these claims I argue for the social-epistemic relevance of relational aspects of trust in experts, and to that end I discuss three sorts of considerations – responsively positive, neutral, and negative factors – that can make a difference for expert trustworthiness. (shrink)

I propose that a feminist analysis of contemporary conversations on normalfunctioning and functional-diversity approaches to understanding disability can locate in some people’s resistances to disability an attitude compatible with respect for functional diversity. The history of feminist work in collaboration with transgender work offers an evocative model for an approach to disability that enables solidarity with those seeking functional alteration. This approach provides one way to understand how a critical analysis is compatible with respecting bodily functional desires, such that one (...) may seek physical change while working for social change alongside those successfully functioning otherwise. (shrink)

Ghostwriting in its various forms has received critical scrutiny from medical ethicists, journal editors, and science studies scholars trying to explain where ghostwriting goes wrong and ascertain how to counter it. Recent analyses have characterized ghostwriting as plagiarism or fraud, and have urged that it be deterred through stricter compliance with journal submission requirements, conflict of interest disclosures, author-institutional censure, legal remedies, and journals' refusal to publish commercially sponsored articles. As a supplement to such efforts, this paper offers a critical (...) assessment of medical ghostwriting as contrary to good patient care, on the grounds that it contradicts established general principles guiding clinical ethics. Specifically, I argue that ghostwriting undermines trust relationships between authors and their readers, and between these readers and their trusting patients, and in so doing contradicts the duty of respect for patient autonomy by obstructing informed consent. For this reason, complicity in ghostwriting practices should be understood as a violation of the professional ethical duties of physicians and other healthcare workers. (shrink)

As a moral foundation for vegetarianism and other consumer choices, act consequentialism can be appealing. When we justify our consumer and dietary choices this way, however, we face the problem that our individual actions rarely actually precipitate more just agricultural and economic practices. This threshold or individual impotence problem engaged by consequentialist vegetarians and their critics extends to morally motivated consumer decision-making more generally, anywhere a lag persists between individual moral actions taken and systemic moral progress made. Regan and others (...) press just this point against Singer's utilitarian basis for vegetarianism; recently Chartier criticizes act-consequentialist vegetarianism by identifying many factors weakening the connection between individual meat purchases and changes in animal production. While such factors are relevant to act-consequentialist moral reasoning, I argue, they need not defeat the act-consequentialist case for vegetarianism and consumer ethics. This is shown by offering a probabilistic account of the threshold issue and discussing the positive and negative role-modelling effects of our morally motivated dietary and consumer choices. (shrink)

Does expertise have a place in ethics? As this question has been raised in moral philosophy and bioethics literatures over the past twenty years, skepticism has been a common theme, whether metaphysical (there is no such thing as ethics expertise), epistemological (we cannot know who has ethics expertise) or social-political (we should not treat anyone as having ethics expertise). Here I identify three common, contestable assumptions about ethics expertise which underwrite skepticism of one form or another: (1) a singular conception (...) of ethics expertise constituted by a core property or unity among multiple properties, (2) equivocation of ethics expertise and ethicists’ expertise, and (3) priority of moral deference as an unavoidable implication of ethics expertise. Taken separately, each assumption can have unpalatable implications for ethics expertise that make skepticism seem more attractive; taken together, the resulting picture of ethics expertise is that much worse. Each of these assumptions is vulnerable to criticism, however, and jettisoning them enables a pluralist approach to ethics expertise less prone to skepticism and better suited for the ranging functions of ethics expertise in healthcare and other contexts. (shrink)

Throughout his work on the rationality of epistemic dependence, John Hardwig makes the striking observation that he believes many things for which he possesses no evidence (1985, 335; 1991, 693; 1994, 83). While he could imagine collecting for himself the relevant evidence for some of his beliefs, the vastness of the world and constraints of time and individual intellect thwart his ability to gather for himself the evidence for all his beliefs. So for many things he believes what others tell (...) him, as we all do. Epistemic dependence is the responsible choice, he argues, because he can be reasonably sure that those on whom he depends know more about the subject than he does. Epistemic dependence on experts is a smarter bet than epistemic autonomy: after all, Hardwig reasons, “if I were to pursue epistemic autonomy across the board, I would succeed in holding relatively uninformed, unreliable, crude, untested, and therefore irrational beliefs” (1985, 340) [...] In this paper I argue against what I call Hardwig’s no-evidence thesis: that knowledge and belief based on testimony are knowledge and belief for which the knower possesses no evidence. Against the no-evidence thesis, I propose we recognize that layperson B’s good reason to believe that expert A has good reason to believe proposition p constitutes evidence for B for p. I argue that the reasons Hardwig gives for the no-evidence thesis are inconclusive at best; at worst the no-evidence thesis coupled with his recognition of expert interdependence exposes him to recent criticisms by Stella Gaon and Stephen Norris. By rejecting the no-evidence thesis, we can recognize with Hardwig the importance of expert epistemic interdependence while avoiding the paradoxical implications of his position. (shrink)

The value of ecological restoration has seen considerable criticism and defense in environmental ethics over the past thirty years. Proponents stress the human and ecological benefits of restoration projects at their best; critics characterize restoration as impossible, arbitrary, domination or delusional. As ethical debates on ecological restoration developed and sometimes threatened to devolve into scholastic quibbling, pragmatists contributed a welcome perspective, as Light and others urged that those investigating restoration attend to its publicly relevant aspects. Most recently...

This book argues for allyship masculinity as an open-ended, intersectional model for feminist men. It provides a roadmap for navigating between toxic masculinity on one side, and feminist androgyny on the other. Normative visions for what men should be take many forms. For some it is love and mindfulness; for others, wildness and heroic virtue. For still others the desire to separate a healthy manhood from toxic masculinity is a mistake: better to refuse to be men and salvage our humanity. (...) Though I challenge the visions that Mary Wollstonecraft, bell hooks, and others have offered, I share their belief that masculinity can be grounded in feminist values and practices. I argue that we can make sense of relational allyship as practices of feminist masculinity, such that men can make distinctive and constructive contributions to gender justice in the unjust meantime. (shrink)

Reparative Environmental Justice in a World of Wounds examines how we can repair human and biotic relationships damaged by environmental injustice, climate change, animal exploitation, and ecological destruction by arguing for the merits of a reparative approach to environmental justice and critically assessing challenges that come with it.

Bruno Latour is not the only scholar to reflect on his earlier contributions to science studies with some regret and resolve over climate skepticism and science denialism. Given the ascendency of merchants of doubt, should those who share Latour's concerns join the scientists they study in circling the wagons, or is there a productive role still for science studies to question and critique scientists and scientific institutions? I argue for the latter, looking to postpositivist feminist philosophy as exemplified by Alison (...) Wylie and Lynn Nelson, among others, as a guide. Feminist philosophers of science who ground their analysis in a detailed understanding of scientific practice are not science's champions nor its antagonists, but they do stand in a distinct relationship to science. If not merchants of doubt, are they scientific gadflies or perhaps in scientific loyal opposition? Though these notions can underwrite useful approaches to science studies, neither captures the distinctive interdependency and interestedness of feminist philosophers and science. I suggest that we would be better served by the notion of trustworthy science criticism, building on the analyses of trust and trustworthiness by Annette Baier, among others, attendant to the dynamics of interdependency in trust relationships. (shrink)

Environmental philosophies concerning our obligations to each other and the natural world too rarely address the aftermath of environmental injustice. Ideally we would never do each other wrong; given that we do, as fallible and imperfect agents, we require non-ideal ethical guidance. Margaret Walker’s work on moral repair and Annette Baier’s work on cross-generational communality together provide useful hermeneutical tools for understanding and enacting meaningful responses to intergenerational injustice, and in particular, for anthropogenic climate change. By blending Baier’s cross-generational approach (...) with Walker’s emphasis on victim subjectivity and moral repair, I propose that a reparative model of intergenerational justice can provide some much needed direction on non-ideal moral issues comparatively neglected in climate-ethics debates today. (shrink)

How can we make informed decisions about whom to trust given expert disagreement? Can experts on both sides be reasonable in holding conflicting views? Epistemologists have engaged the issue of reasonable expert disagreement generally; here I consider a particular expert dispute in physics, given conflicting accounts from Harry Collins and Allan Franklin, over Joseph Weber’s alleged detection of gravitational waves. Finding common ground between Collins and Franklin, I offer a characterization of the gravity wave dispute as both social and evidential. (...) While experimental evidence alone may not have forced resolution of the dispute, there were also credibility‐based reasons warranting epistemic trust and distrust. Thus we see how social factors can have evidential significance and how expert disagreement can be reasonable. †To contact the author, please write to: Philosophy Dept., Communication Arts Division, College of Lake County, 19351 W. Washington St., Grayslake, IL 60030; e‐mail: [email protected]. (shrink)

Conflict of interest disclosure has become a routine requirement in communication of scientific information. Its advocates defend COI disclosure as a sensible middle path between the extremes of categorical prohibition on for-profit research and anything-goes acceptance of research regardless of origin. To the extent that COI information is meant to aid reviewer and reader evaluation of research, COIs must be epistemologically significant. While some commentators treat COIs as always relevant to research credibility, others liken the demand for disclosure to an (...) ad hominem attack, impugning integrity when better evidence of research credibility is available. Kevin Elliott has argued for clearer justification of COI relevance to research credibility: some interests may be feared to corrupt research results, while others do not, and Elliott provides criteria to discern which financial COIs are actually relevant to research credibility. In this article, I seek to revise and extend Elliott's proposed criteria to COIs more widely. Specifically, I consider the relevance of financial interests as well as nonfinancial advocacy interests to the credibility of research into environmental equity as funded by industry and community groups, with particular attention to criticism and defence of the 1987 United Church of Christ study on the racial demographics of toxic waste facility siting in the United States. (shrink)

Conflict of interest disclosure has become a routine requirement in communication of scientific information. Its advocates defend COI disclosure as a sensible middle path between the extremes of categorical prohibition on for-profit research and anything-goes acceptance of research regardless of origin. To the extent that COI information is meant to aid reviewer and reader evaluation of research, COIs must be epistemologically significant. While some commentators treat COIs as always relevant to research credibility, others liken the demand for disclosure to an (...) ad hominem attack, impugning integrity when better evidence of research credibility is available. Kevin Elliott has argued for clearer justification of COI relevance to research credibility: some interests may be feared to corrupt research results, while others do not, and Elliott provides criteria to discern which financial COIs are actually relevant to research credibility. In this article, I seek to revise and extend Elliott's proposed criteria to COIs more widely. Specifically, I consider the relevance of financial interests as well as nonfinancial advocacy interests to the credibility of research into environmental equity as funded by industry and community groups, with particular attention to criticism and defence of the 1987 United Church of Christ study on the racial demographics of toxic waste facility siting in the United States. (shrink)

‘Feminist masculinity’ might seem like a contradiction in terms. One might have assumed that we can embrace feminism or embrace masculinity, but not both. If traditional masculinity is contrary to feminist values, a pressing query for feminist men is whether repudiation of traditional masculinity should move one to reject normative masculinity entirely, or to reframe and reclaim it instead. bell hooks and Michael Kimmel each counsel against discarding manhood and masculinity. hooks envisions feminist masculinity as an alternative to patriarchal dominance, (...) with masculinity to be reconstituted in terms of love, integrity, and mutuality; Kimmel advocates moving from immature and traditional masculinities toward justice and democratic manhood, with a new model of masculinity that identifies real men with adulthood and doing the right thing. Neither proposal provides a viable stance for feminist men without collapsing into androgyny or risking erasure of some men’s and women’s identities and experiences. Building on Alcoff’s work on anti-racist whiteness, I suggest that feminist allyship practices ground a normative model of masculinity compatible with, and informed by, feminist values. We may understand allyship masculinities as open-ended feminist approaches to manhood: masculinities predicated on recognizing and responding to, rather than ignoring or accepting, the privileges and expectations distinctive of men under patriarchy. (shrink)

Contemporary public debates about global climate change may be usefully understood as debates on the epistemology of expertise. The scope of this essay is to offer an overview of significant epistemic challenges facing climate experts and those with whom they are epistemically interdependent, with attention to the implications of various accounts of expertise, trust, and credibility for practical and social issues raised in contemporary public debates about climate change.

One limitation of medical ethics modeled on ideal moral theory is its relative silence on the aftermath of medical error: not just on the recognition and avoidance of malpractice, wrongdoing, or other such failures of medical ethics, but on how to respond given medical wrongdoing. Ideally, we would never do each other wrong; but given that inevitably we do, as fallible, imperfect agents we require non-ideal ethical guidance. For such non-ideal contexts, Nancy Berlinger’s analysis of medical error and Margaret Walker’s (...) account of moral repair present powerful hermeneutical and practical tools toward understanding and enacting what is needed to restore relationships, trust, and moral standing in the aftermath of medical error and wrongdoing. Where restitutive justice aims to make injured parties whole and retributive justice to mete out punishment, reparative justice, as Walker describes it, “involves the restoration or reconstruction of confidence, trust, and hope in the reality of shared moral standards and of our reliability in meeting and enforcing them.” Medical moral repair is not without its challenges, however, in both theory and practice; the standard ways of holding medical professionals and institutions responsible for medical mistakes or malpractice function retributively and restitutively, either impeding or giving benign inattention to patient-practitioner relationship repair. This paper argues for the value of medical moral repair, while considering some complications of extending and synthesizing Berlinger’s and Walker’s respective accounts on medical error and moral repair. (shrink)

Does expertise have a place in ethics? As this question has been raised in moral philosophy and bioethics literatures over the past twenty years, skepticism has been a common theme, whether metaphysical, epistemological or social-political. Here I identify three common, contestable assumptions about ethics expertise which underwrite skepticism of one form or another: a singular conception of ethics expertise constituted by a core property or unity among multiple properties, equivocation of ethics expertise and ethicists’ expertise, and priority of moral deference (...) as an unavoidable implication of ethics expertise. Taken separately, each assumption can have unpalatable implications for ethics expertise that make skepticism seem more attractive; taken together, the resulting picture of ethics expertise is that much worse. Each of these assumptions is vulnerable to criticism, however, and jettisoning them enables a pluralist approach to ethics expertise less prone to skepticism and better suited for the ranging functions of ethics expertise in healthcare and other contexts. (shrink)

The film's rousing opening is a unifying creation myth every Wakandan child surely knows by heart. The characters in Black Panther are not contemplating justice from behind a veil of ignorance, nor applying ideal principles of justice to govern a nascent Wakandan society. Different approaches to achieving justice given that injustice has already happened vie for our consideration. The case for restitutive justice at the museum is pretty strong, but Eric Killmonger does a poor job of it: like his brief (...) reign as king, his corrective justice begets further injustice. Killmonger is not the only character in Black Panther for whom retribution as corrective justice resonates. In Black Panther, T'Challa, Killmonger, and Nakia offer radically different visions for Wakanda after injustice, visions for our hero – and for us – to reckon with. Killmonger insists on what T'Challa wants to ignore, that the people within Wakanda's borders exist in relation to the people outside them. (shrink)

The role of trust in financial investment has been a matter of some contention, one often obscured by two misconceptions: (1) that financial relationships are fit only for wary predictive reliance where trust has no rational basis, and (2) that in those relationships where trust is operative it must be worth preserving. Following Baier’s contention that trust, like air, is more easily seen when polluted, here I consider Ponzi schemes as exemplars of corrupt and polluted trust. Without attending to the (...) role of trust in financial relationships, I argue, we can not make sense of how Ponzi schemes work, why investors are fooled, what it is that makes Ponzi schemes distinctively wrong, and what differentiates them from structurally similar yet legitimate financial practices. (shrink)

The role of trust in financial investment has been a matter of some contention, one often obscured by two misconceptions: (1) that financial relationships are fit only for wary predictive reliance where trust has no rational basis, and (2) that in those relationships where trust is operative it must be worth preserving. Following Baier’s contention that trust, like air, is more easily seen when polluted, here I consider Ponzi schemes as exemplars of corrupt and polluted trust. Without attending to the (...) role of trust in financial relationships, I argue, we can not make sense of how Ponzi schemes work, why investors are fooled, what it is that makes Ponzi schemes distinctively wrong, and what differentiates them from structurally similar yet legitimate financial practices. (shrink)

Well-Being and Death addresses philosophical questions about death and the good life: what makes a life go well? Is death bad for the one who dies? How is this possible if we go out of existence when we die? Is it worse to die as an infant or as a young adult? Is it bad for animals and fetuses to die? Can the dead be harmed? Is there any way to make death less bad for us? Ben Bradley defends the (...) following views: pleasure, rather than achievement or the satisfaction of desire, is what makes life go well; death is generally bad for its victim, in virtue of depriving the victim of more of a good life; death is bad for its victim at times after death, in particular at all those times at which the victim would have been living well; death is worse the earlier it occurs, and hence it is worse to die as an infant than as an adult; death is usually bad for animals and fetuses, in just the same way it is bad for adult humans; things that happen after someone has died cannot harm that person; the only sensible way to make death less bad is to live so long that no more good life is possible. (shrink)

I argue that extant accounts of harm all fail to account for important desiderata, and that we should therefore jettison the concept when doing moral philosophy.

Some healthcare systems are said to be grounded in solidarity because healthcare is funded as a form of mutual support. This article argues that health care systems that are grounded in solidarity have the right to penalise some users who are responsible for their poor health. This derives from the fact that solidary systems involve both rights and obligations and, in some cases, those who avoidably incur health burdens violate obligations of solidarity. Penalties warranted include direct patient contribution to costs, (...) and lower priority treatment, but not typically full exclusion from the healthcare system. We also note two important restrictions on this argument. First, failures of solidary obligations can only be assumed under conditions that are conducive to sufficiently autonomous choice, which occur when patients are given ‘Golden Opportunities’ to improve their health. Second, because poor health does not occur in a social vacuum, an insistence on solidarity as part of healthcare is legitimate only if all members of society are held to similar standards of solidarity. We cannot insist upon, and penalise failures of, solidarity only for those who are unwell, and who cannot afford to evade the terms of public health. (shrink)

According to hedonism about well-being, lives can go well or poorly for us just in virtue of our ability to feel pleasure and pain. Hedonism has had many advocates historically, but has relatively few nowadays. This is mainly due to three highly influential objections to it: The Philosophy of Swine, The Experience Machine, and The Resonance Constraint. In this paper, I attempt to revive hedonism. I begin by giving a precise new definition of it. I then argue that the right (...) motivation for it is the ‘experience requirement’ (i.e., that something can benefit or harm a being only if it affects the phenomenology of her experiences in some way). Next, I argue that hedonists should accept a felt-quality theory of pleasure, rather than an attitude-based theory. Finally, I offer new responses to the three objections. Central to my responses are (i) a distinction between experiencing a pleasure (i.e., having some pleasurable phenomenology) and being aware of that pleasure, and (ii) an emphasis on diversity in one’s pleasures. (shrink)

This paper defends the view, put roughly, that to think that p is to guess that p is the answer to the question at hand, and that to think that p rationally is for one’s guess to that question to be in a certain sense non-arbitrary. Some theses that will be argued for along the way include: that thinking is question-sensitive and, correspondingly, that ‘thinks’ is context-sensitive; that it can be rational to think that p while having arbitrarily low credence (...) that p; that, nonetheless, rational thinking is closed under entailment; that thinking does not supervene on credence; and that in many cases what one thinks on certain matters is, in a very literal sense, a choice. Finally, since there are strong reasons to believe that thinking just is believing, there are strong reasons to think that all this goes for belief as well. (shrink)

Strategies to increase influenza vaccination rates have typically targeted healthcare professionals and individuals in various high-risk groups such as the elderly. We argue that they should focus on increasing vaccination rates in children. Because children suffer higher influenza incidence rates than any other demographic group, and are major drivers of seasonal influenza epidemics, we argue that influenza vaccination strategies that serve to increase uptake rates in children are likely to be more effective in reducing influenza-related morbidity and mortality than those (...) targeting HCPs or the elderly. This is true even though influenza-related morbidity and mortality amongst children are low, except in the very young. Further, we argue that there are no decisive reasons to suppose that children-focused strategies are less ethically acceptable than elderly or HCP-focused strategies. (shrink)

Several critics of realist theories of political legitimacy have alleged that it possesses a problematic bias towards the status quo. This bias is thought to be reflected in the way in which these...

What is it for a life to be meaningful? In this article, I defend what I call Consequentialism about Meaning in Life, the view that one's life is meaningful at time t just in case one's surviving at t would be good in some way, and one's life was meaningful considered as a whole just in case the world was made better in some way for one's having existed.

The philosophical study of well-being concerns what makes lives good for their subjects. It is now standard among philosophers to distinguish between two kinds of well-being: - lifetime well-being, i.e., how good a person's life was for him or her considered as a whole, and - temporal well-being, i.e., how well off someone was, or how they fared, at a particular moment in time or over a period of time longer than a moment but shorter than a whole life, say, (...) a day, month, year, or chapter of a life. Many theories have been offered of each of these kinds of well-being. A common view is that lifetime well-being is in some way constructed out of temporal well-being. This book argues that much of this literature is premised on a mistake. Lifetime well-being cannot be constructed out of temporal well-being, because there is no such thing as temporal well-being. The only genuine kind of well-being is lifetime well-being. The Passing of Temporal Well-Being will prove essential reading for professional philosophers, especially in moral and political philosophy. It will also be of interest to welfare economists and policy-makers who appeal to well-being. (shrink)

Adaptive preference formation is the unconscious altering of our preferences in light of the options we have available. Jon Elster has argued that this is bad because it undermines our autonomy. I agree, but think that Elster's explanation of why is lacking. So, I draw on a richer account of autonomy to give the following answer. Preferences formed through adaptation are characterized by covert influence (that is, explanations of which an agent herself is necessarily unaware), and covert influence undermines our (...) autonomy because it undermines the extent to which an agent's preferences are ones that she has decided upon for herself. This answer fills the lacuna in Elster's argument. It also allows us to draw a principled distinction between adaptive preference formation and the closely related phenomenon of character planning. (shrink)

Three plausible views—Presentism, Truthmaking, and Independence—form an inconsistent triad. By Presentism, all being is present being. By Truthmaking, all truth supervenes on, and is explained in terms of, being. By Independence, some past truths do not supervene on, or are not explained in terms of, present being. We survey and assess some responses to this.

There is significant controversy over whether patients have a ‘right not to know’ information relevant to their health. Some arguments for limiting such a right appeal to potential burdens on others that a patient’s avoidable ignorance might generate. This paper develops this argument by extending it to cases where refusal of relevant information may generate greater demands on a publicly funded healthcare system. In such cases, patients may have an ‘obligation to know’. However, we cannot infer from the fact that (...) a patient has an obligation to know that she does not also have a right not to know. The right not to know is held against medical professionals at a formal institutional level. We have reason to protect patients’ control over the information that they receive, even if in individual instances patients exercise this control in ways that violate obligations. (shrink)

If musical works are abstract objects, which cannot enter into causal relations, then how can we refer to musical works or know anything about them? Worse, how can any of our musical experiences be experiences of musical works? It would be nice to be able to sidestep these questions altogether. One way to do that would be to take musical works to be concrete objects. In this paper, we defend a theory according to which musical works are concrete objects. In (...) particular, the theory that we defend takes musical works to be fusions of performances. We defend this view from a series of objections, the first two of which are raised by Julian Dodd in a recent paper and the last of which is suggested by some comments of his in an earlier paper. (shrink)