This paper discusses the accounts of self-cultivation and self-denial of Archibald Campbell (1691–1756). It analyses how he attempts to make room for moral self-improvement and for the control of the passions in a thoroughly egoistic psychological framework, and with a theory of moral motivation that focuses on a specific kind of self-love, namely the desire for esteem. Campbell's views are analysed in the context of his criticisms of both Francis Hutcheson's benevolence-based moral philosophy and of (...) Bernard Mandeville's version of an egoistic psychology. The paper explores the key role of Campbell's distinction between true and mistaken self-love, and it discusses how his account of self-cultivation reflects both his optimistic view of human nature as being naturally disposed to virtue and his moral rehabilitation of self-love – two points on which he is in conflict with the period's orthodox Calvinism. (shrink)

Pragmatic self-refutation is when one asserts something but one’s act of assertion refutes the content of that assertion. In this paper, I consider whether Donald Davidson is guilty of this when arguing against the possibility of alternative conceptual schemes.

Nowadays, the question about the possibility of speaking about “art” in the context of a massive evolution of audiovisual technologies, and their comprehensive influence in a globalized world, is at stake. In this sense, contemporary art, despite its similarities with technique’s modus operandi, does not work with the goal to facilitate humankind access to natural and artificial resources. On the contrary, art fosters the viewing of the indisposition, opacity and retractability of those very same materials of which the works are (...) made. In summary, while technique opens new spaces, designates places and creates networks of meaning, contemporary art however, shows how those opening processes are tangled with the creation of marginality, within and against the ideological investments on certain political axis of power. (shrink)

This paper aims to establish the meaning of Dharma as the principle of self-denial and emptiness. Dharma, a key concept in the religious thought of India, has the literal meaning of "supporter.” Something that supports something else does not exist for itself. Just as the truth supporting the universe is Dharma, so the four pillars supporting the roof of the house to prevent it from collapsing are also Dharma. The four pillars supporting the house do not exist for (...) themselves, but create an empty space in the house. In this respect, the essence of Dharma is self-denial, self-sacrifice. The traditional ascetic practices and religions in India is referred to as sanatana dharma, and the core is the complete extinction of I-ness. When individual consciousness is completely lost, mokṣa is achieved. The moment the eternal truth is achieved, the individual consciousness becomes zero, and this position can be likened to the center where the x- and y-axes meet in the coordinates of mathematics. Just as the center in the coordinates of mathematics is a place where the value of the x-axis is zero and the value of the y-axis is zero, the center of the universe, that is, nirvāṇa is achieved when individual consciousness is completely lost. Dharma is the path of becoming nothing to reach the zero point, and the process of self-denial is bound to entail pain. The pain involving voluntary self-denial can be rather a positive nourishment for the realization of Dharma. In fact, we can say that the core of the Hindu ethics of Aśrama-dharma and Varṇa-dharma is voluntary renunciation for the complete extinction of individual consciousness and renunciation concerning that which is possible. (shrink)

Simone Weil and the Politics of Self-Denial delivers what no other book on Weil has -- a comprehensive study of her political thought.

The theories of cultural anthropologist Ernest Becker arise from an existential and psychological analysis of the death terror/anxiety deep in the unconscious of every human. Becker details how this anxiety governs the ideologies and behaviors of our species—something now confirmed by thousands of experiments performed by psychologists engaged in contemporary terror management theory (TMT). Humans manage their anxiety through what Becker terms “hero systems”—concepts, beliefs, and myths we create to give us a sense of significance and meaning during, and even (...) beyond our mortal lives. Today, many dominant economic, technological, and religious hero systems seek to confirm our significance by denying that we are—like all other species—animals who must exist in a decaying, mortal body. Becker shows how this attempt to deny our “creatureliness” (basic biological nature) causes humans to stand against the natural world we are embedded in, leading to an assault on the planet and nonhuman animals. As a result, Becker believed pacifism was the only hero system capable of keeping humankind from destroying itself and the earth. Pacifism is the precursor to the more encompassing ethical concept of “reverence for life,” advocated by Dr. Albert Schweitzer. By respecting the will-to-live in all sentient beings, reverence for life transcends concern for humans alone and extends moral and physical safeguards to life as such. Confronting the fact that humans are increasingly alienated from their commodified world and their own being, reverence for life stands as a vital solution to many of our modern problems. And following contemporary TMT research, reverencing life can also expand one’s self-esteem, which research shows lowers death anxiety, reduces aggression, and offers authentic meaning to life itself. (shrink)

_Simone Weil and the Politics of Self-Denial_ delivers what no other book on Weil has—a comprehensive study of her political thought. In this examination of the development of her thought, Athanasios Moulakis offers a philosophical understanding of politics that reaches beyond current affairs and ideological advocacy. Simone Weil—philosopher, activist, mystic—unites a profound reflection on the human condition with a consistent and courageous existential and intellectual honesty manifest in the moving testimony of her life and her death. Moulakis examines Weil's (...) political thought as an integral part of a lived philosophy, in which analysis and doctrine are inseparable from the articulation of an intensely personal, ultimately religious experience. Because it is impossible to distinguish Weil's life from her thought, her writings cannot be understood properly without linking them to her life and character. By situating Weil's political thought within the context of the intellectual climate of her time, Moulakis connects it also to her epistemology, her cosmology, and her personal experience. _Simone Weil and the Politics of Self-Denial_ presents the unfolding of Weil's philosophical life against the backdrop of the political and social conditions of the last days of the Third French Republic, the Spanish Civil War, and the rise and clash of totalitarian ideologies. The ideological climate of the age—of which Weil herself was not quite free—was indeed the major "obstacle" in the struggle against which she fashioned her critical, intellectual, and moral tools. Weil has been categorized a number of ways: as a saint and a near convert to Roman Catholicism, as a social critic, or as an analytic philosopher. Moulakis examines _all_ aspects of Weil's thought in the indissoluble unity in which she lived them. This thorough investigation pursues the particular intellectual affiliations and the social and political experiential stimuli of Weil's work while simultaneously teasing out the timeless themes that her own timely analysis was intended to reveal. (shrink)

The problem of personal problem in philosophy is mostly handled as an identity or a “self” problem. When handled with the identity problem, personal identity means the identification of a person in a certain time point with a person at another time point. When handled together with the “self” problem; however, personal identity is considered a part of a substantive and metaphysical investigation. Hume’s philosophy includes both aspects of the discussions of personal identity in an opposing manner. In (...) the present study, Hume’s thoughts on the problem of personal identity will be examined. Firstly, the meaning of the idea of the self in his epistemology based on perception will be dealt with. Then, identity will be searched. It will be claimed that the thing that formed the theses of Hume about self and identity is his skepticism; and that Hume reinforces his thoughts on metaphysics with this investigation. In addition, it will be defended that in order to better understand the personal identity, it is necessary to consider his views on the nature of belief. (shrink)

Regulatory offences are a complex phenomenon, presenting problematic aspects both at the level of criminalisation and at the level of enforcement. The literature abounds in works that study the phenomenon. There is, however, an aspect that has remained largely unexplored. It concerns the relationship between the regulatory framework within which the crime occurs and the procedural safeguards that defendants normally enjoy at trial or at the pre-trial stage: defendants tried for regulatory offences are often denied safeguards that are generally considered (...) as important constituents of trial fairness. Relying on a new conceptualisation of regulatory offences, this paper advances a theory that justifies these exceptional rulings. (shrink)

The problem of whether we should love ourselves - and if so how - has particular resonance within Christian thought and is an important yet underinvestigated theme in the writings of Søren Kierkegaard. In Works of Love, Kierkegaard argues that the friendships and romantic relationships which we typically treasure most are often merely disguised forms of 'selfish' self-love. Yet in this nuanced and subtle account, John Lippitt shows that Kierkegaard also provides valuable resources for responding to the challenge of (...) how we can love ourselves, as well as others. Lippitt relates what it means to love oneself properly to such topics as love of God and neighbour, friendship, romantic love, self-denial and self-sacrifice, trust, hope and forgiveness. The book engages in detail with Works of Love, related Kierkegaard texts and important recent studies, and also addresses a wealth of wider literature in ethics, moral psychology and philosophy of religion. (shrink)

The skeptical solution is based on two assumptions — the rejection of semantic facts and the denial of semantic nihilism. On the basis of the non-factualist interpretation of this solution, these two assumptions are reconciled by stating that meaning ascriptions possess non-descriptive function. Nonetheless, Alexander Miller argues that this position is self-refuting since, as despite its non-descriptivism, by rejecting any kind of semantic facts, it inevitably leads to semantic nihilism. In this text, I demonstrate that Miller’s argument is (...) not sound. I argue that a coherent non-factualist way of formulating the conditions of correct use of meaning ascriptions may be performed by rejecting the closure principle of assertibility of meaning ascriptions. On this basis, I demonstrate that argument formulated against non-factualist interpretation by Miller may be refuted. What is more, I argue that rejection of the closure principle should be regarded as the central aspect of Kripke’s skeptical solution. (shrink)

The ability to distinguish between our own actions and those of an external agent is a fundamental component of normal human social interaction. Both low- and high-level mechanisms are thought to contribute to the sense of movement agency, but the contribution of each is yet to be fully understood. By applying small and incremental perturbations to realistic visual feedback of the limb, the influence of high-level action intentions and low-level motor predictive mechanisms were dissociated in two experiments. In the first, (...) participants were induced to claim agency over movements that were subject to large perturbations and to deny agency over self-produced unperturbed movements despite the application of motor corrections by low-level mechanisms. A control experiment confirmed that if reaches met with their intended goal then they were more likely to be attributed to the agent, regardless of the discrepancy between the actual and seen positions of the limb. (shrink)

This article explores situational determinants and psychological consequences of counterfactual excuse-making - denying responsibility by declaring `I couldn’t have known.’ Participants who were made accountable for a stock investment decision that resulted in an outcome caused by unforeseeable circumstances were particularly likely to generate counterfactual excuses and, as a result, to deny responsibility for the outcome of their choices and minimize their perceptions of control over the decision process. The article discusses the implications of these findings for structuring accountability reporting (...) relationships in business and, more generally, stresses the benefits of counterfactual denials of responsibility for maintaining self-esteem and a desired self-identity. (shrink)

Self-abandonment and self-denial are, respectively, Catholic and hyper-Calvinist analogues of each other. Roughly, each requires the surrendering of a person to God's will and providence through faith, hope, and love. Should the self-abandoning/self-denying individual accept his or her own damnation if that be God's will? This article, which is virtually alone in discussing the Catholic and Reformed Protestant traditions together, answers "No." The unqualified self-abandonment present in quietism and the radical self-denial of (...) Samuel Hopkins are perverse and irrational responses to the prospect of hell because they run counter to the Christian's deepest need to spend eternity with God. However, a qualified self-abandonment is intellectually defensible and offers a viable Christian piety. (shrink)

The not-self teaching is one of the defining doctrines of Buddhist philosophical thought. It states that no phenomenon is an abiding self. The not-self doctrine is central to discussions in contemporary Buddhist philosophy and to how Buddhism understood itself in relation to its Brahmanical opponents in classical Indian philosophy. In the Pāli suttas, the Buddha is presented as making statements that seem to entail that there is no self. At the same time, in these texts, the (...) Buddha is never presented as saying explicitly that there is no self. Indeed, in the one discourse in which he is asked point blank whether there is a self, he refuses to answer. Thus, the suttas present us with a fundamental philosophical and interpretive problem: if the Buddha denies the existence of the self, why does he not state this denial explicitly? This paper resolves the problem by explaining why and how the Buddha can argue in a way that entails metaphysical anti-realism about the self while also refusing to state explicitly that there is no self. (shrink)

A puzzling feature of paradigmatic cases of dehumanization is that the perpetrators often attribute uniquely human traits to their victims. This has become known as the “paradox of dehumanization.” We address the paradox by arguing that the perpetrators think of their victims as human in one sense, while denying that they are human in another sense. We do so by providing evidence that people harbor a dual character concept of humanity. Research has found that dual character concepts have two independent (...) sets of criteria for their application, one of which is descriptive and one of which is normative. Across four experiments, we found evidence that people deploy a descriptive criterion according to which being human is a matter of being a Homo sapiens; as well as a normative criterion according to which being human is a matter of possessing a deep-seated commitment to do the morally right thing. Importantly, we found that people are willing to affirm that someone is human in the descriptive sense, while denying that they are human in the normative sense, and vice versa. In addition to providing a solution to the paradox of dehumanization, these findings suggest that perceptions of moral character have a central role to play in driving dehumanization. (shrink)

"Articulating a fresh vision for teaching, one that focuses on ensuring justice, believing people, and believing in people, this how-to offers evidence-based insights and draws from the author's own rich experiences as a professor to provide practical tips for reshaping syllabi, assessing student performance, and creating trust and belonging in the classroom"-Provided by publisher.

Pam is an eighteen-year-old with a history of depression. She has been hospitalized for the past six months for severe weight loss and dehydration. When admitted, she was diagnosed with acute inflammation of the pancreas and gall bladder, but it became clear that these issues were secondary to a diagnosis of anorexia nervosa. Her weight upon admission was seventy-six pounds. Pam refuses to accept this diagnosis and will not cooperate with any provider who refers to “anorexia” or attempts to discuss (...) her eating disorder. As a pragmatic strategy for providing care, the medical team has largely avoided referring to anorexia or eating disorders when treating her. But Pam is not the only problem. Pam’s.. (shrink)

1. In the Essay, Locke’s most controversial claim, which he slipped into Book IV almost as an aside, was that matter might think (Locke1975:IV.iii.6;540-1).i Either because he was genuinely pious, which he was, or because he was clever, which he also was, he tied the denial that matter might think to the claim that God’s powers are limited, thus, attempting to disarm his critics. It did not work. Stillingfleet and others were outraged. If matter can think, then for explanatory (...) purposes the immaterial soul might be dispensable. But throughout the eighteenth century explanatory purposes were at the top of the agenda. And what had always made the soul so handy for proving immortality - that it is non-composite, static, and inaccessible to empirical examination - is also what made it so useless for investigating human nature. By contrast, consciousness is multifaceted, dynamic, and open to empirical investigation. Early in the century a Clarke might take the high road and resist descent into the merely probable and contingent. But when it came to investigating persons, the emerging science of human nature was the only game in town. One either played it or took oneself out of the action. (shrink)

Many philosophers have criticized John Rawls’s Law of Peoples. However, often these criticisms take it for granted that the moral conclusions drawn in A Theory of Justice are superior to those in the former book. In my view, however, Rawls comes to many of his 'conclusions' without too many actual inferences. More precisely, my argument here is that if one takes Rawls’s premises and the assumptions made about the original position(s) seriously and does in fact think them through to their (...) logical conclusions, both 'A Theory of Justice' and 'The Law of Peoples' have abysmally counterintuitive and immoral implications. To wit, if the members in the original position think, as Rawls suggests,that their society is closed and they will have no interaction with outsiders, and if, furthermore, they are self-interested and concerned with the basic structure of their own society, than there is absolutely no reason for them to use the terms “persons” or “least advantaged” in the formulation of the two principles. Rather, they will use the terms “citizens of our society” and “least advantaged of our society” instead. But thus revised, the principles of justice imply that the genocide or the enslavement of outsiders is unobjectionable. I will consider attempts to block this conclusion and demonstrate that they all fail. The Law of Peoples, moreover, faces similar problems. (shrink)

This volume is a wide-ranging examination of denial and ideological denialism. It offers a readable overview of the psychology and social science of bias, self-deception, and denial, and examines the role of ideological denialism in conflicts over science and public policy, politics, and culture.

It has become a common-place to read the ‘no-self’ theory of the Buddhist philosophers as a reductionist account of persons. In Reasons and Persons, Derek Parfit himself seemed to endorse the association, having learned of the Buddhist theory from his colleague at All Souls College, Bimal Krishna Matilal. The Buddha’s denial that there are real selves metaphysically distinct from continuous streams of psycho-physical constituents lends itself, to be sure, to a reductionist interpretation. I believe, nevertheless, that there are (...) good grounds for scepticism, and I think it is time for scholars of Buddhism to be more cautious about the identification than they have been up until now. Different Buddhist schools, not to mention different thinkers within particular schools, have given widely varying philosophical construals of the Buddha’s claim about ‘no-self’, and, while some thinkers and some schools might favor a reductionist reading of the claim, others, I would argue, do not. In this paper, I will examine the theory of persons of one such, the Mādhyamika Buddhist Candrakīrti. Candrakīrti’s interpretation of the “no self” slogan is, I believe, anti-reductionist but irrealist: persons are not reducible to psycho-physical streams, nor are they real existents distinct from the stream. How is it possible for him to say both these things? Let us see. (shrink)

This article examines the phenomenon of women barristers' denials of the existence of discrimination against women at the Bar, against a backdrop of widespread evidence of sex discrimination and gender bias in this branch of the legal profession. Using interview transcripts from a research study of the status of women at one of the independent Bars in Australia, the article analyses the various stories told by senior women barristers to the interviewers about their gender and experiences at the Bar. It (...) argues that structural and psychological explanations of denials of discrimination are inadequate to account for the range and public nature of the stories told by these women. Rather, the evidence suggests that the women's interview responses were part of the active constitution of themselves as (non/gendered) subjects of the Bar. (shrink)

Journal of Human Values, Volume 28, Issue 3, Page 247-258, September 2022. Recently, there has been increasing growth in the use of substance amongst the youth especially in higher education institutions of Pakistan. Literature indicates the existence of self-deception in substance users through self-reports. However, a dearth of qualitative exploration leads us to investigate self-deception through lived experiences of students who use the substance. The aim of the current study is to explore the phenomenon of self-deception (...) through in-depth semi-structured interviews. Smith et al. interpretative phenomenological analysis was utilized as a method for data collection. The investigators deployed semi-structured interview guide designed through the interview protocol framework. Four themes that emerged from the data were denial, where users exhibited persistent denial from negative effects of the substance; overconfidence, an illusionary aspect of substance users through elevated self-esteem; rationalization, where substance users frequently rationalized their usage through multiple attributions, such as family environment, cultural beliefs and common practices. Moreover; and awareness about positive and negative consequences of substance use, which highlighted paradoxical nature of substance users that move to and from between negative and positive aspects of substance use. Findings suggest a progressive advancement towards the understanding of the phenomenon of self-deception through its prevalent forms in university students who use the substance. (shrink)

Law’s claim of mastery over past political violence is frequently undermined by reversals of that relationship of mastery, so that the violence of the law, and especially its symbolic violence, becomes easily incorporated into longues durées of political violence, rather than mastering them, settling them, or providing closure. Doing justice to the past, therefore, requires a political and theoretical attunement to the ways in which law, in purportedly attempting to address past political violence, inscribes itself into contemporary contexts of violence. (...) While this may be limited to an analysis of how law is an effect of and affects the political, theoretically this attunement can be further refined by means of a critique of dynamics that are internal to law itself and that have to do with how law understands its own historicity, as well as its relationship to history and historiography. This article aims to pursue such a critique, taking as its immediate focus the ECHR case of Perinçek v Switzerland, with occasional forays into debates around the criminalisation of Armenian genocide denialism in France. The Perinçek case concerned Switzerland’s criminalisation of the denial of the Armenian genocide, and concluded in 2015 after producing two judgments, first by the Second Chamber, and then by the Grand Chamber of the ECHR. However, although they both found for the applicant, the two benches had very different lines of reasoning, and notably different conceptions regarding the relationship between law and history. I proceed by tracing the shifting status of ‘history’ and ‘historians’ in these two judgments, and paying attention to the deferrals, disclaimers and ellipses that structure law’s relation to history. This close reading offers the opportunity for a critical reappraisal of the relationship between law, denial and violence: I propose that the symbolic violence of the law operative in memory laws is a product of that which remains unresolved in law’s understanding of historicity (including its own), its self-understanding vis-à-vis the task of historiography, and its inability to respond to historical violence without inscribing itself into a history of violence, a process regarding which it remains in denial. (shrink)

This article argues that alienation should be understood as a particular form of individual and social heteronomy that can only be overcome by a dialectical combination of individual and collective autonomy, recovering a deontological sense of normative authority. If we think about alienation in Kantian terms, the main source of alienation is a denial of standing or, in the extreme, losing a sense of oneself as a rational normative authority equal to all others. I call the former kind of (...) alienation, where persons deny others equal standing as a normative authority in moral or political terms, first order noumenal alienation, as there is no proper mutual cognition and recognition of each other in such a social context. I call the latter kind of alienation, where a subject does not consider themselves an equal normative authority – or an ‘end in oneself’ – second order noumenal alienation. In this sense, alienation violates the dignity of humans as moral and political lawgivers – a dignity seen by Rousseau, Kant and Marx as inalienable: It can be denied or violated, but it cannot be lost. (shrink)

The paper gives an account of Rāmakaṇṭha’s (950–1000) contribution to the Buddhist–Brāhmaṇical debate about the existence or non-existence of a self, by demonstrating how he carves out middle ground between the two protagonists in that debate. First three points of divergence between the Brāhmaṇical (specifically Naiyāyika) and the Buddhist conceptions of subjectivity are identified. These take the form of Buddhist denials of, or re-explanations of (1) the self as the unitary essence of the individual, (2) the self (...) as the substance to which mental properties belong, (3) the self as the agent of both physical actions and cognitions. The difference of Rāmakaṇṭha’s position from both Nyāya and Buddhism is then elaborated. He posits a self, but not one that is an eternally unchanging substance, nor one that is anything other than consciousness. Hence his difference from Nyāya. He falls with Buddhism in holding that consciousness does not require anything other than itself to inhere in, but departs from Buddhism in holding that consciousness is not momentary but enduring. The guiding metaphor here is light, but light considered as a dynamic, qualitatively unchanging repetition of the action of illumination. (shrink)

The main purpose of the paper is to examine the question as to whether self-sacrifice is intrinsic to moral action. The conclusion is that though some moral deeds can be free of appreciable self-sacrifice, most of the time some degree of self-sacrifice is called for. The necessity is not conceptual but built into the lives of most people. The paper is especially interested in a person's refusal to go along with or actively cooperate with wrongdoing, even when (...) there is some risk; and positively giving assistance to those who are oppressed or persecuted, and again when there is some risk. Abstaining from violating the rights and entitlements of others is not enough to be moral, indispensable as it is. An important issue is what degree of self-sacrifice is called for, which, when not risked or endured, allows us to think that immorality has been committed. I follow the standard practice of distinguishing between moral heroism and moral obligation. Moral heroism is exemplified by Socrates who at risk to his life refused to cooperate with the unjust command of the Thirty to seize an innocent man and hand him over for execution. The paper holds that one's basic rights set the limits to the extent of self-sacrifice that one can be obliged to risk or endure. The first part of the paper is devoted to Socrates and to the way in which his moral heroism is not a model for the moral person's action, but rather an inspiration to think hard about what self-sacrifice is demanded, short of his. I locate in the golden rule, the precept that urges us "always to treat others as you would like them to treat you" , the best single moral precept. The second part of the paper is on the golden rule. But the precept must be revised somewhat in accordance with the limits on self-sacrifice set by the preservation of one's basic rights. The consequences of the golden rule for political involvement is also discussed. The paper also looks at self-denial, especially as it is taught by Jesus in the Sermon on the Mount. Self-denial in its most extreme form counsels martyrdom or passive non-resistance and even cooperation with one's oppression. Thus, extreme self-denial is perhaps not a moral phenomenon at all, though in its less extreme forms, it is one of the best aspects of civilized life. There are undeniable affinities between self-sacrifice and self-denial. (shrink)

The main purpose of the paper is to examine the question as to whether self-sacrifice is intrinsic to moral action. The conclusion is that though some moral deeds can be free of appreciable self-sacrifice, most of the time some degree of self-sacrifice is called for. The necessity is not conceptual but built into the lives of most people. The paper is especially interested in a person's refusal to go along with or actively cooperate with wrongdoing, even when (...) there is some risk; and positively giving assistance to those who are oppressed or persecuted, and again when there is some risk. Abstaining from violating the rights and entitlements of others is not enough to be moral, indispensable as it is. An important issue is what degree of self-sacrifice is called for, which, when not risked or endured, allows us to think that immorality has been committed. I follow the standard practice of distinguishing between moral heroism and moral obligation. Moral heroism is exemplified by Socrates who at risk to his life refused to cooperate with the unjust command of the Thirty to seize an innocent man and hand him over for execution. The paper holds that one's basic rights set the limits to the extent of self-sacrifice that one can be obliged to risk or endure. The first part of the paper is devoted to Socrates and to the way in which his moral heroism is not a model for the moral person's action, but rather an inspiration to think hard about what self-sacrifice is demanded, short of his. I locate in the golden rule, the precept that urges us "always to treat others as you would like them to treat you", the best single moral precept. The second part of the paper is on the golden rule. But the precept must be revised somewhat in accordance with the limits on self-sacrifice set by the preservation of one's basic rights. The consequences of the golden rule for political involvement is also discussed. The paper also looks at self-denial, especially as it is taught by Jesus in the Sermon on the Mount. Self-denial in its most extreme form counsels martyrdom or passive non-resistance and even cooperation with one's oppression. Thus, extreme self-denial is perhaps not a moral phenomenon at all, though in its less extreme forms, it is one of the best aspects of civilized life. There are undeniable affinities between self-sacrifice and self-denial. (shrink)

The Norman Rockwell image of the American physician who fixed the broken arm of a child, treated the father for hypertension, and brought an unborn child into this world is now almost nonexistent. Since the time of the Rockwell portrait, a highly technical medical industry has evolved. Now two-thirds of physicians are board certified in subspecialties, and patients visit an average of 3–4 different physicians per year. Today's physicians see themselves less as “benevolent and wise counselors overseeing the patient's welfare (...) and more as objective scientists applying the latest technical methods to bring about the desired end.” The intimate patient-physician relationship that was once the norm in our society is rapidly disappearing. (shrink)

High moral standards and adherence to a moral code have long been strong tenets of the profession of medicine, even though there have been occasional lapses that have led to renewed calls for a revitalization of moral integrity in medicine. Certainly, a moral component has generally been held to be an important aspect of the concept of a physician.

This paper raises a slightly uncomfortable question: are some delusional subjects responsible for their delusions? This question is uncomfortable because we typically think that the answer is pretty clearly just ‘no’. However, we also accept that self-deception is paradigmatically intentional behavior for which the self-deceiver is prima facie blameworthy. Thus, if there is overlap between self-deception and delusion, this will put pressure on our initial answer. This paper argues that there is indeed such overlap by offering a (...) novel philosophical account of self-deception. The account offered is independently plausible and avoids the main problems that plague other views. It also yields the result that some delusional subjects are self-deceived. The conclusion is not, however, that those subjects are blameworthy. Rather, a distinction is made between blameworthiness and ‘attributability’. States or actions can be significantly attributable to a subject—in the sense that they are expressions of their wills—without it being the case that the subject is blameworthy, if the subject has an appropriate excuse. Understanding delusions within this framework of responsibility and excuses not only illuminates the ways in which the processes of delusional belief formation and maintenance are continuous with ‘ordinary’ processes of belief formation and maintenance, it also provides a way of understanding the innocence of the delusional subject that does not involve the denial of agency. (shrink)

Bioethicists often draw sharp distinctions between hope and states like denial, self-deception, and unrealistic optimism. But what, exactly, is the difference between hope and its more suspect cousins? One common way of drawing the distinction focuses on accuracy of belief about the desired outcome: Hope, though perhaps sometimes misplaced, does not involve inaccuracy in the way that these other states do. Because inaccurate beliefs are thought to compromise informed decision making, bioethicists have considered these states to be ones (...) where intervention is needed either to correct the person’s mental state or to persuade the person to behave differently, or even to deny the person certain options. In this article, we argue that it is difficult to determine whether a patient is really in denial, self-deceived, or unrealistically optimistic. Moreover, even when we are confident that beliefs are unrealistic, they are not always as harmful as critics contend. As a result, we need to be more permissive in our approach to patients who we believe are unrealistically optimistic, in denial, or self-deceived—that is, unless patients significantly misunderstand their situation and thus make decisions that are clearly bad for them, we should not intervene by trying to change their mental states or persuade them to behave differently, or by paternalistically denying them certain options. (shrink)

This book provides a philosophical examination of the extent to which legalizing same-sex marriage can contribute to ending the discrimination and social stigma faced by LGBT men and women in the Western world.

The medical ethicist is a fairly recent addition to the clinical setting. The following four potential roles of the clinical ethicist are identified and discussed: consultant in difficult cases, educator of health care providers, counselor for health care providers and finally patient advocate to protect the interests of patients. While the various roles may sometimes overlap, the roles of educator and counselor are viewed as being more congruent with the education and training of medical ethicists than are the roles of (...) consultant and patient advocate. (shrink)