Societal aging raises challenging ethical questions regarding the just distribution of health care between young and old. This article considers a proposal for age-based rationing of health care, which is based on the prudential life span account of justice between age groups. While important objections have been raised against the prudential life span account, it continues to dominate scholarly debates. This article introduces a new objection, one that develops out of the well-established disability critique of social (...) contract theories. I show the implications of this critique for the prudential life span account and for the special case of age-group justice. The result is that age-based rationing based on the prudential life span approach is not supported, and that the prudential life span approach itself is not the best way to think about allocating health care between age groups. I propose an alternative approach that avoids the disability objection, and consider its implications for specific proposals for age-based rationing of health care. (shrink)

Age rationing is a central issue in the health care priority‐setting literature, but it has become ever more salient in the light of the Covid‐19 outbreak, where health authorities in several countries have given higher priority to younger over older patients. But how is age rationing different under outbreak circumstances than under normal circumstances, and what does this difference imply for ethical theories? This is the topic of this paper. The paper argues that outbreaks such as that of Covid‐19 involve (...) special circumstances that change how age should influence our prioritization decisions, and that while this shift in circumstances poses a problem for consequentialist views such as utilitarianism and age‐weighted consequentialism, contractualism is better equipped to cope with it. The paper then offers a contractualist prudential account of age rationing under outbreak circumstances. (shrink)

What is it for something to be good for you? It is for that thing to contribute to the appeal of being in your position or, more informally, “in your shoes.” To be in one’s position or shoes in the broadest possible sense is to have that person’s life. Accordingly, something is good or bad for a person in the broadest possible sense if and only if it contributes to or detracts from the appeal of having her life. What, then, (...) is a prudentially good life, or a life that goes well for the one living it? It is an appealing life. More precisely, it is a life such that having it is worthy of appeal, in and of itself. This dissertation is a defense and exploration of this way of understanding prudential value. I call it the "appealing life analysis." In Chapter I, I argue that this analysis fits well with our ways of talking about prudential value; preserves the relationship between prudential value and the attitudes of concern, love, pity, and envy; yields promising analyses of the concepts of well-being, luck, selfishness, self-sacrifice, and paternalism; and succeeds where three rival analyses fail. I also examine how this analysis bears on the relationship between prudence and morality and the debate between subjectivists and objectivists about prudential value. Chapter II draws upon the appealing life analysis to interpret a long-standing puzzle about prudential value and time. I highlight various ways in which this interpretation is informative and moves us closer to a solution to the puzzle. Chapter III provides a preliminary investigation and defense of an ethical theory that I call "prudentialism," which prescribes maximizing the appeal of having one’s own life. On certain conceptions of the appealing life, this theory has the virtue of avoiding the charge of being either too morally demanding or not morally demanding enough. I examine the structure of this theory, sketch a partial, substantive account of the appealing life, and discuss how the prudentialist can respond to various objections. (shrink)

Recent advances in human genetics suggest that it may become possible to genetically manipulate telomerase and embryonic stem cells to alter the mechanisms of aging and extend the human life span. But a life span significantly longer than the present norm would be undesirable because it would severely weaken the connections between past‐ and future‐oriented mental states and in turn the psychological grounds for personal identity and prudential concern for our future selves. In addition, the collective effects of longer (...) lives might lower the quality of life for all people. These two problems provide reasons against genetic manipulation of cells to alter the length of the human life span. (shrink)

Could age be a valid criterion for rationing? In Just health, Norman Daniels argues that under certain circumstances age rationing is prudent, and therefore a morally permissible strategy to tackle the problem of resource scarcity. Crucial to his argument is the distinction between two problem-settings of intergenerational equity: equity among age groups and equity among birth cohorts. While fairness between age groups can involve unequal benefit treatment in different life stages, fairness between birth cohorts implies enjoying approximate equality in benefit (...) ratios. Although both questions of fairness are distinct, the resolution of the one depends on resolution of the other. In this paper, I investigate whether Daniels’ account of age rationing could be defended as a fair way of setting limits to healthcare entitlements. I will focus on two main points. First, I will consider whether the age group problem could be resolved without appealing to a conception of the good. Second, I will demonstrate that the connection between the age group problem and the birth cohort problem runs deeper than Daniels initially thought—and that it ultimately suggests a method for prioritisation in problem solving strategies. (shrink)

Multiple self approaches purport that to have equal concern about all stages of one’s life is not a requirement of rationality. This poses a challenge to the prudential lifespan account which Norman Daniels advocates in Just health: meeting health needs fairly. Daniels has criticised the multiple self approach in earlier works, most extensively in Am I my parents keeper? In Just health, he only takes up the issue except in one footnote, presumably because he is convinced that his (...) preceding discussions settled the matter. This article argues that Daniels underestimates the force of the multiple self objection to prudential lifespan account. (shrink)

In this dissertation, I argue that all extant theories of prudential value are either a) enumeratively deficient, in that they are unable to accommodate everything that, intuitively, is a basic constituent of prudential value, b) explanatorily deficient, in that they are at least sometimes unable to offer a plausible story about what makes a given thing prudentially valuable, or c) both. In response to the unsatisfactory state of the literature, I present my own account, the Disjunctive Hybrid (...) Theory or DHT. DHT answers to and remedies each of the above inadequacies in a way that no other approach can. This account has the following general structure:Disjunctive Hybrid Theory (DHT): Thing x is basically good for person P if and only if x is either a) cared about (sufficiently and in the right way) by P, b) a bearer of (the right kind of) attitude-independent value, or c) both.Although it follows other recent accounts in combining elements from objective and subjective theories, DHT is a hybrid theory of a quite new kind. This is because it denies both subjective necessity (the constraint that, if thing x is to be basically good for person P, P must have some pro-attitude toward x) and objective necessity (the constraint that, if thing x is to be basically good for person P, x must have some attitude-independent value). I argue that the rejection of both necessity claims is called for if we are to move beyond the enumerative and explanatory limitations of existing accounts.I begin by outlining the general structure of DHT. I then argue, against various recent authors, that desire-satisfactionism remains the most appealing subjectivist approach to prudential value, in that it is best able to capture the central subjectivist insight. This insight is that a person can confer prudential value upon things by caring about them (sufficiently and in the right way). The subjectivist strand of DHT will thus be a version of desire-satisfactionism, which must be interpreted in line with what I call the object, as opposed to the combo, view. I move on to further motivate and develop the second, objectivist strand of DHT. This part of the theory involves a commitment to robustly attitude-independent prudential goods. I close by addressing some puzzles for the theory, and considering some of its more specific applications. (shrink)

Until recently, the nature of children’s well-being or prudential value remained all but unexplored in the literature on well-being. There now exists a small but growing body of work on the topic. In this chapter, I focus on a cluster of under-explored issues relating to children’s well-being. I investigate, in specific, three distinct (and to my mind puzzling) positions about it, namely, that children’s lives cannot on the whole go well or poorly for them, prudentially speaking; that the (...) class='Hi'>prudential goods of childhood count for less than the same goods of adulthood towards the prudential value of an individual’s life as a whole; and that children’s prudential goods (or goods more generally) are (at least in some cases) in some way special. This chapter is divided into four main sections. In the first section, I briefly describe some accounts of the nature of children’s well-being. In the next three sections, I address the three somewhat puzzling positions mentioned above. (shrink)

Quality-Adjusted Life Years (QALYs) and Disability-Adjusted Life Years (DALYs) are two of the most commonly used health measures to determine resource prioritization and the population burden of disease, respectively. There are different types of problems with the use of QALYs and DALYs for measuring health benefits. Some of these problems have to do with measurement, for example, the weights they ascribe to health states might fail to reflect with exact accuracy the actual well-being or health levels of individuals. But even (...) if these weights represent accurately the well-being levels of individuals, there is room for questioning whether these measures capture everything that we care about in these cases, or whether there are important issues that they leave out, including considerations of fairness or equality. In this regard, the measures have been criticized for treating the aggregation of small benefits as greater than the aggregation of fewer but bigger benefits,1for disregarding fair chances in favor of utility maximization,2and for raising problems when applied in the context of variable population size.3Perhaps one of the most pervasive ethical issues that has been associated with the use of these measures is the fact that they seem to discriminate against disabled people.4Since the measures assume that disabled people have lower well-being and a shorter life span, treating a disabled person’s medical condition contributes less to the maximization of years of life with good health than treating a non-disabled patient’s medical condition. (shrink)

ABSTRACT In the close to medium future, the life sciences might permit a vast extension of the human life span. I will argue that this is a very desirable development for the individual person. The question whether death is a harm to the dying is irrelevant here. All it takes is that being alive is good for the living person and not being alive is not good for anyone. Thus, living persons who expect to live on happily are rationally required (...) to want to stay alive. Eventual uncertainty whether it will be possible to be happy in the future provides no objection, but rather an incentive to try. This view, however, may be naive in assuming that persons are unchanging entities that exist separately from their psychological information. Objections have been derived from reductionistic views that value our future experiences in a way that declines with time, so that there will be a future point beyond which only negligible value accrues. If we adopt such a view, then we cannot now be concerned to have experiences beyond that point. I argue that these arguments fail to take into account all the reasons we might have to be concerned for the future and all the kinds of such concern that come from them. The adoption of a plausible reductionistic account can arguably weaken our concern for the future and certainly change its quality in important ways. But this provides no objection to the desire to live forever, nor to live at all. (shrink)

It has become commonplace to hold the view that virtual surrogates for the things that are good in life are inferior to their actual, authentic counterparts, including virtual education, virtual skill-demanding activities and virtual acts of creativity. Virtual friendship has also been argued to be inferior to traditional, embodied forms of friendship. Coupled with the view that virtual friendships threaten to replace actual ones, the conclusion is often made that we ought to concentrate our efforts on actual friendships rather than (...) settle for virtual replacements. The purpose of this paper is to offer a balanced and empirically grounded analysis of the relative prudential value of actual and virtual friendship. That is, do actual and virtual friendships differ when it comes to enhancing our subjective well-being? In doing so, I will discuss a number of presuppositions that lie behind common criticisms of virtual friendship. This will include, among other considerations, their potential for replacing actual friendship, as well as the possibility for self-disclosure, trust, sharing and dynamic spread of happiness in virtual worlds. The purpose is not to arrive at a firm, normative conclusion, but rather to introduce a number of considerations that we should take into account in our individual deliberations over which role virtual friendships ought to have in our unique life situations. (shrink)

Based on a psychobiographical approach, this study addresses magical thinking across the life span of Paulo Coelho. Paulo Coelho, who was born in Brazil in the 1940s, has become one of the most sold and famous contemporary authors in the world. In his life, as well as in his books, which are mainly autobiographical accounts, magic and magical thinking, spirituality, meaningfulness, and the living of one’s dream, are key themes. The aim of this study was to explore magic and magical (...) thinking in Paulo Coelho’s life and creative works. The study uses a psychobiographical single case study approach within the methodological frame of Husserl’s phenomenology. The author, Paulo Coelho, was chosen as the subject of research. Documents providing both first person and third person perspectives were subjected to content analysis. The findings show that magical thinking played an important role in Coelho’s creative works and in his life, in the form, for example, of ascriptions of magic to key situations in his life, the performance of daily rituals, mystic interpretations of life events, and his deep religious faith. Magical thinking is usually regarded as indicative of pathological and inappropriate cognitive and psychological behaviour, especially when found in adults in a westernised culture. However, the analysis of Coelho’s life and works shows that magical thinking can be utilised creatively and be integrated into one’s life to enable personal development and growth while simultaneously providing fertile ground for creative production. In Paulo Coelho’s case, the intertwining of religion and magical thinking provided deep meaning that guided his personal development. (shrink)

In Almost Over: Aging, Dying, Dead, Frances Kamm seeks to make sense of people’s widely variant choices about which lives they would choose to continue living. She does this by defending the Prudential Prerogative, which, in analogy to the Moral Prerogative, holds that in a fairly wide range of conditions we are under no intrapersonal rational obligation to choose either to die or to live on. I argue against Kamm's case for the Prudential Prerogative in favor of Life (...) Holism, the view that you ought to live the life that would be best for you as an individual when each potential life is considered as a whole. I argue that the features of the Moral Prerogative that make it an attractive principle do not transfer to the Prudential Prerogative, and that Life Holism can better account for the perspectival and non-summative features of the normative phenomena Kamm wants to capture while retaining a tight connection between reasons and goodness. (shrink)

Over the last 20+ years, multinational corporations have been confronted with accusations of abuse of market power and unfair and unethical business conduct especially as it relates to their overseas operations and supply chain management. These accusations include, among others, worker exploitation in terms of unfairly low wages, excessive work hours, and unsafe work environment; pollution and contamination of air, ground water and land resources; and, undermining the ability of natural government to protect the well-being of their citizens. MNCs have (...) responded to these accusations by creating voluntary codes of conduct which commit them to specific standards for addressing these issues. These codes are created at both the industry-wide and the individual company level. Unfortunately, these codes have generated little credibility and public trust because their compliance claims cannot be independently verified, and they lack transparency and full public disclosure. In this article, we present a case study of the voluntary code of conduct by Mattel, Inc., the world’s largest toy company. The code, called the Global Manufacturing Principles, confronts the general criticism leveled against voluntary codes of conduct by creating detailed standards of compliance, independent external monitoring of the company’s compliance with its code of conduct, and making full, and uncensored public disclosure of the audit findings and company’s response in terms of remedial action. We present a detailed account of how Mattel’s voluntary code of conduct was created, implemented, and ultimately abandoned over 9 years. We provide an evaluative analysis of the company’s GMP compliance throughout its life span, which suggests a bell-shaped curve, where early top management commitments were met with pockets of resistance from operational groups, who were concerned about balancing GMP compliance efforts with traditional performance criteria. The early stage response from Mattel’s top management was quick and supported with the requisite resources. As a result, the compliance process accelerated, becoming increasingly more robust and effective. The success of code compliance and increased transparency in public disclosure energized field managers with a sense of professional satisfaction and publicly recognized accomplishments. The decline in GMP compliance was equally steep. When all the easily attainable targets had been reached at the company-operated plants, addressing vendor plants’ compliance presented a new set of challenges, which taxed corporate resources and management commitment. It would seem that value-based and ethics-oriented considerations, i.e., doing the right thing for the right reason, were no longer the driving force for Mattel’s management. Mattel did not see any economic benefit from its proactive stance, when competitors did not seem to suffer adverse consequences for not following suit. The final contributing factor to the code’s abandonment was a widely publicized series of product recalls which absorbed top management’s attention. (shrink)

In seeking an account of the good life we are looking for what philosophers sometimes term a theory of wellbeing, welfare or prudential good. Philosophical theories of prudential value are often parsed according to a tripartite distinction: hedonism, desire satisfactionism, and objective list theories. This chapter defends the objective list theory. The author argues that repeated application of the method of difference results in a very big objective list of prudential values. The resulting theory termed the (...) “big objective list” theory of wellbeing includes the two main contemporary competitors to objective list theories — hedonism and desire satisfactionism — as well as athleticism, autonomy, beauty, creativity, friendship, happiness, health, knowledge, love, truth, and wealth. The author considers objections to the big objective list as well as objections to the method of difference. (shrink)

If it is possible to think that human life is temporal as a whole, and we can make sense of Wittgenstein’s claim that the psychological phenomena called ‘dispositions’ do not have genuine temporal duration on the basis of a distinction between dispositions and other mental processes, we need a compelling account of how time applies to these dispositions. I undertake this here by examining the concept of expectation, a disposition with a clear nexus to time by the temporal point (...) at which the expectation is satisfied. However, it seems that we cannot always identify the beginning of an expectation, and in a few cases, its end. If so, the reduction of expectations to neural events or accompanying feelings which spread over time in the usual way seems a hard enterprise, because these processes, much as other physical processes, have a definite and largely measurable time span. Only at a higher level, that is, as part of human life, expectation can be said to be temporal. (shrink)

An examination of the philosophical issues surrounding prudential value: what it is for something to be good for a person; and well-being: what it is for someone's life to go well. It critically analyzes competing approaches, and proposes a new subjective account that addresses key weaknesses of existing theories.

Over the last 20+ years, multinational corporations (MNCs) have been confronted with accusations of abuse of market power and unfair and unethical business conduct especially as it relates to their overseas operations and supply chain management. These accusations include, among others, worker exploitation in terms of unfairly low wages, excessive work hours, and unsafe work environment; pollution and contamination of air, ground water and land resources; and, undermining the ability of natural government to protect the well-being of their citizens. MNCs (...) have responded to these accusations by creating voluntary codes of conduct which commit them to specific standards for addressing these issues. These codes are created at both the industry-wide and the individual company level. Unfortunately, these codes have generated little credibility and public trust because their compliance claims cannot be independently verified, and they lack transparency and full public disclosure. In this article, we present a case study of the voluntary code of conduct by Mattel, Inc., the world's largest toy company. The code, called the Global Manufacturing Principles (GMP), confronts the general criticism leveled against voluntary codes of conduct by (a) creating detailed standards of compliance, (b) independent external monitoring of the company's compliance with its code of conduct, and (c) making full, and uncensored public disclosure of the audit findings and company's response in terms of remedial action. We present a detailed account of how Mattel's voluntary code of conduct was created, implemented, and ultimately abandoned over 9 years. We provide an evaluative analysis of the company's GMP compliance throughout its life span, which suggests a bellshaped curve, where early top management commitments were met with pockets of resistance from operational groups, who were concerned about balancing GMP compliance efforts with traditional performance criteria. The early stage response from Mattel's top management was quick and supported with the requisite resources. As a result, the compliance process accelerated, becoming increasingly more robust and effective. The success of code compliance and increased transparency in public disclosure energized field managers with a sense of professional satisfaction and publicly recognized accomplishments.The decline in GMP compliance was equally steep. When all the easily attainable targets had been reached at the company-operated plants, addressing vendor plants' compliance presented a new set of challenges, which taxed corporate resources and management commitment. It would seem that value-based and ethicsoriented considerations, i. e., doing the right thing for the right reason, were no longer the driving force for Mattel's management. Mattel did not see any economic benefit from its proactive stance, when competitors did not seem to suffer adverse consequences for not following suit. The final contributing factor to the code's abandonment was a widely publicized series of product recalls which absorbed top management's attention. (shrink)

Deir el-Medina, the village of the workmen who built the royal tombs in the Valley of the Kings, is a uniquely rich source of information about life in Egypt between 1539 and 1075 BC. The abundant archaeological remains are complemented by tens of thousands of texts documenting the thoughts and activities of the villagers. Many of the texts are written on papyrus but most are on flakes of limestone which, being free and readily available, were used for even the most (...) casual and temporary of records. They include private letters, administrative accounts, magic spells, records of purchases, last wills and testaments, laundry lists, and love songs. The value of these rare glimpses of daily life is greatly enhanced by the concentration of texts in one time and place. This book combines translations of over 200 of these texts spanning the entire range of preserved genres with stunning illustrations. The reader will, therefore, be able to experience the life of the villagers through their own words whilst viewing places known to each individual writer. Each text is introduced by a commentary that provides the context and explains the contribution each text makes to our understanding of Egyptian society at this period. (shrink)

p style="text-indent: 0cm; line-height: normal" class="MsoBodyTextIndent3"span style="font-size: 11pt"In this paper, I argue that starting with the organelles that constitute a cellmdash;and continuing up the hierarchy of components in processes and subsystems of an organismmdash;there exist clear instances of emergent biological phenomena that can be considered ldquo;livingrdquo; entities.spannbsp; /spanThese components and their attending processes are living emergent phenomena because of the way in which the components are organized to maintain homeostasis of the organism at the various levels in the hierarchy.spannbsp; /spanI (...) call this view the emhomeostatic organization view/em of biological phenomena, and, as is shown, it comports well with the standard philosophical accounts of nomological emergence and representational emergence.spannbsp; /spanTo proffer HOV, I describe properties of biological entities that include internal-hierarchical data exchange, data selectivity, informational integration, and environmental-organismic information exchange.spannbsp; /spanFurther, a distinction is drawn between particularized homeostasis and generalized homeostasis, and I argue that because the various processes and subsystems of an organism are functioning properly in their internal environments, the organism is able to exist as a hierarchically-organized entity in some environment external to it.spannbsp; /spanStated simply: that components of biological phenomena are organized to perform some function resulting in homeostasis marks them out to be living emergent entities distinguishable, in description and in reality, from the very physico-chemical processes of which they are composed./span/p p style="text-indent: 0cm; line-height: normal" class="MsoBodyTextIndent3"span style="font-size: 11pt"nbsp;/span/p. (shrink)

In The Really Hard Problem , Owen Flanagan maintains that accounting for meaning requires going beyond the resources of the physical, biological, social, and mind sciences. He notes that the religious myths and fantastical stories that once "funded" flourishing lives and made life meaningful have been epistemically discredited by science but nevertheless insists that meaning does exist and can be fully accounted for only in a form of systematic philosophical theorizing that is continuous with science and does not need to (...) invoke myth. He sees such a mode of thought as a new, empirical-normative science, which he labels eudaimonistic scientia , that evades the disenchantment produced by natural scientific accounts of meaning. I argue that such an empirical-normative science does not provide us with a scientific account of meaning but is itself simply another way of making sense of one's life that is open to scientific explanation. Such an explanation will be deflationary in the sense that it presumes no greater scheme of things for meaning beyond the span of human existence (collective and possibly individual) but not disenchanting in that it does not explain away the flourishing lives human persons and communities create for themselves. (shrink)

a single life-span. Philosophers, then, do not see more or know more, and they do not see less or know less. They aim to see less detail and more of the abstract. Their details, if you like, are abstractions. Walking on God’s earth as a pedestrian, as a farmer working his fields or as a passer-by, one’s picture of one’s surroundings is every bit as intelligent as that of the pilot riding the sky. The views of the field are radically (...) different, however. One sees only a specific field and in all lively detail: the exact pattern of the land, or even the exact outline of a given leaf, grasshopper, grain of sand even. Acquaintance with minute detail is not without its price: details may stand in the way of conjuring the big picture. It may be difficult to compare whichever field one happens to be in with far off fields, with respect to their size or shape or any other quality. One may wish to inquire if far off fields were already planted, harvested, or even if they exist. A pedestrian may find it hard or even impossible to do so. The pedestrian view contains fine points that the pilot’s map never would, but it does not necessarily contain more information, for it lacks the general context. After all, there are only so many items that one can observe and account for at a single glance, a single map, a single book, a single life-span. (shrink)

PurposeThe purpose of this paper is to introduce an interpretive approach to examining the relation between information and communication technologies (ICTs) and the good life, based on Michael Walzer's view of (connected) social criticism.Design/methodology/approachThrough a discussion of Michael Walzer's view of social criticism, an interpretive approach to normative analysis of ICTs and the good life is introduced. The paper also offers an additional argument for the indispensability of prudential appraisals of ICTs in normative analysis of ICTs and the good (...) life, which in turn strengthens the basis for the Walzerian approach proposed in the paper.FindingsIt is argued that an interpretive approach to normative analysis of ICTs and the good life, i.e. the Walzerian approach, is as viable as – if not superior to – a theory‐driven approach. It is also argued that actual appraisals of ICTs and the good life must be taken into account in the normative analysis.Originality/valueIt is only recently that “the good life” has become more visible in normative analysis of ICTs. This paper continues this relatively new line of research and proposes an alternative approach – as opposed to a theory‐driven approach – to this research programme. (shrink)

Drawing on Ezekiel Emanuel’s controversial piece ‘Why I hope to die at 75,’ I distinguish two types of concern in ethical debates about extending the human lifespan. The first focusses on the value of living longer from prudential and social perspectives. The second type of concern, which has received less attention, focusses on the value of aiming for longer life. This distinction, which is overlooked in the ethical literature on life extension, is significant because there are features of human (...) psychology and the structure of a life that should give pause when considering how long one should aim to live, but which do not neatly coincide with considerations about how valuable additional life is likely to be. I argue that, while Emanuel’s case for hoping to die at 75 is unconvincing, he nonetheless provides weak pro tanto considerations in favour of taking a moderate life span as a prudential aim around which to base at least some significant life plans. (shrink)

Background Best interests is a ubiquitous principle in medical policy and practice, informing the treatment of both children and adults. Yet theory underlying the concept of best interests is unclear and rarely articulated. This paper examines bioethical literature for theoretical accounts of best interests to gain a better sense of the meanings and underlying philosophy that structure understandings. Methods A scoping review of was undertaken. Following a literature search, 57 sources were selected and analysed using the thematic method. Results Three (...) themes emerged. The first placed best interests within the structure of wider theory, noting relationships with consequentialism, deontology, prudential value theory, rights and political philosophy. The second mapped a typology of processes of decision-making, among which best interests was ambiguously positioned. It further indicated factors that informed best interests decision-making, primarily preferences, dignity and quality of life. The final theme considered best interests from a relational perspective. Conclusions Characterisation of best interests as strictly paternalist and consequentialist is questionable: while accounts often suggested a consequentialist basis for best interests, arguments appeared philosophically weak. Deontological accounts, found in law and Kantianism, and theories of political liberalism influenced accounts of best interests, with accounts often associating best interests with negative patient preferences (i.e. individual refusals). There was much more emphasis on negative interests than positive interests. Besides preference, factors like dignity and quality of life were held to inform best interests decisions, but generally were weakly defined. To the extent that preferences were unable to inform decision making, decisions were either made by proxy authority or by an intersubjective process of diffuse authority. Differing approaches reflect bifurcations in liberal philosophy between new liberalism and neo-liberalism. Although neither account of authority appears dominant, bias to negative interests suggests that bioethical debate tends to reflect the widespread ascendancy of neo-liberalism. This attitude was underscored by the way relational accounts converged on private familial authority. The visible connections to theory suggest that best interests is underpinned by socio-political trends that may set up frictions with practice. How practice negotiates these frictions remains a key question. (shrink)

Among those who reject the Epicurean claim that death is not bad for the one who dies, it is popularly held that death is bad for the one who dies, when it is bad for the one who dies, because it deprives the one who dies of the good things that otherwise would have fallen into her life. This view is known as the deprivation account of the value of death, and Fred Feldman is one of its most prominent (...) defenders. In this paper, I explain why I believe that Feldman’s argument for the occasional badness of death fails. While staying within an Epicurean framework, I offer an alternative that adequately accounts for a significant range of widely held intuitions about prudential value. My account implies that death is almost always good for the one who dies, yet often less good than not dying. Finally, I discuss some puzzles that remain for my account and hint at possible ways to address them. (shrink)

While in medicine, comparison of the data supplied by a clinical syndrome with the data supplied by the biological system is used to arrive at the most accurate diagnosis, the same cannot be said of financial economics: the accumulation of statistical results that contradict the Brownian hypothesis used in risk modelling, combined with serious empirical problems in the practical implementation of the Black-Scholes-Merton model, the benchmark theory of mathematical finance founded on the Brownian hypothesis, has failed to change the Brownian (...) representation, which has endured for more than fifty years despite the extent of its invalidation by experience. Without any statistical foundations, one mathematical representation has become the established approach, acting in the minds of practitioners as a “prenotion” in the sense the word is used by Durkheim, i.e. a “schematic, summary representation” which has produced a kind of spontaneous epistemology. The question arises of the persistence of this mathematical representation, which has been the basis for every financial risk modelling approach: how can its long life be explained? How was this spontaneous epistemology formed, and why did it prove to be so persistent? To address this question and offer an answer, I will test the various dynamics of scientific knowledge used with reference to financial modelling. All these dynamics are specific ways of describing the relationship between knowledge of a phenomenon and the phenomenon itself. Observing that it is impossible for the positivist approach to solve the financial puzzle, I turn to the three principal postpositivist dynamics, developed by Kuhn, Lakatos and Quine. I shall try to make to speak these representations of science for financial research, in order to reflect on the dominance of the Brownian representation in finance. We shall see that none of the epistemologies examined can explain why the Brownian representation continues to be used in mathematical finance research. I shall then propose an alternative hypothesis, concerning a significant pervading mental model that has irrigated both academics and practitioners in the financial sector: the “principle of continuity” introduced into economics by Marshall in. I consider that this principle of continuity has become a “persistent idea” in the form of a viral approach to representations, and I give this persistent idea the metaphorical name of the “Brownian virus”. Then, to explain the spread of this Brownian virus through the financial sector, the contamination of financial practices by this mental representation founded on the principle of continuity, I introduce the concept of the “financial Logos”, a discourse that structures practices and organisations, calculations, prudential regulations and accounting standards, leading to a general financialisation of society from the 1980s onwards. (shrink)

The human life span has been extended considerably, and among the very old, women outnumber men by a large margin. Thus, the aging society cannot be adequately addressed without taking into account the experience of women in specific. This article focuses on women as caregivers for aging parents. It critically assesses what some women philosophers are saying about the basis and limits of these caregiving duties.

Jerome's writings constitute one of the earliest and most extensive sources for the development of asceticism in the Latin West. His correspondence and his many other works span the crucial decades of the late fourth and early fifth centuries, a time in which loosely organized and somewhat anomalous groups of ascetics blossomed into coherent, regular monastic communities. Various forms of ascetic literature, each playing a vital role in the milieu in which it arose, came to be read by many of (...) the larger body of believers. Jerome's literary endeavors attest the hunger of many Christians, both ascetic and worldly, for accounts of monks and for articulations of the principles by which they lived. His writings, and particularly the correspondence which spans his long and controversial career, chart the spiritual growth of an individual whose quest for and understanding of the perfect Christian life was influenced by his own experiences and by currents within wider ascetic movements. (shrink)

This article investigates whether Aristotelian practical wisdom could be considered as an advantageous "sense" in management practice and as an alternative rationality to that defended by modern tradition. Aristotelian practical wisdom is re-conceptualised in order to emphasise the intuitive component of practical wisdom, an aspect often sidelined by business ethicists. Levinas' insights are applied to Aristotelian practical wisdom in such a way that the role of emotion in moral action would be reinforced. It is argued that the role of emotion (...) in moral action and wise deliberation requires re-definition in accordance with the indeterminate character of the moral. Moreover, I argue Levinas' approach might be helpful to bring to light the conflictual aspect inherent in being prudential. By reinterpreting the intuitive component of practical wisdom as Levinas' moral impulse, wisdom theory is expanded to include the face, and to better account for the conflictive and the emotional aspects of phronesis. This approach enables practical wisdom to be understood as a human "sense" in ways that assist how we manage and understand contemporary organizations. (shrink)

Qutb al-Din al-Shirazi's life spanned the last two thirds of the seventh/thirteenth centuries. A student of Nasir al-Din al-Tusi, he was involved in the revival of Peripatetic philosophy and science that occurred at Maraghah under his influence. He was significant as a transitional figure, combining Suhrawardi's Illuminative philosophy with the revived Avicennism of his teacher. His commentary on Suhrawardi's Philosophy of Illumination was the main vehicle through which this work was studied by later Iranian philosophers. He was also associated with (...) Ibn Arabi's most important student, Sadr al-Din al-Qunawi. ;Suhrawardi's Philosophy of Illumination contained a new "Science of Light", expressed largely in symbols, intended to provide a reformed basis for physics and metaphysics. Qutb al-Din frequently translated these views into Peripatetic terminology so as to make the relationships between the two systems clearer. Qutb al-Din's Pearly Crown is a popular account of philosophy, incorporating and elaborating much of Suhrawardi's philosophy but omitting or disguising the most controversial and esoteric aspects--especially those related to the World of Image, the Afterlife, and reincarnation. ;Qutb al-Din developed further the notion of the "World of Image." This "fourth world" served both philosophical and religious purposes. His ideas on reincarnation and the cyclical nature of time were especially distinctive and were developed beyond the views found in The Philosophy of Illumination. ;Also included in this dissertation are an annotated bibliography of Qutb al-Din's works and their known manuscripts and an edition and translation of his "Epistle Ascertaining the Reality of the World of Image" {Risalah fi Tahqiq )Alam al-Mithal}. (shrink)

Two broad metaphysical perspectives deriving from Parmenides and Heraclitus have implications for our notion of sustainability. The Parmenidian defends a deepseated orderliness and permanence in things, while the Heraclitian finds only chance and change. Two further outlooks, the nomic (or the big-picture scientific) and the prudential, present differing accounts of our place in the world. While the nomic outlook accepts nothing privileged about the human perspective or even life itself, the prudential outlook is obviously welfare-centered. It is argued (...) that nomic views, whether Parmenidian or Heraclitian, fail to provide any rationale for sustainability measures or concerns. The only such rationale comes from Parmenidian prudentialism, which, I argue, can operate only if it disowns at its peril the nomic point of view and couches sustainability entirely under the rubric of maximizing certain preferred opportunities drawn from collective self-love. But doing so merely evades rather than answers the tension imposed by the nomic Heraclitian for whom nothing lasts and nothing human counts specially in the measure. The liabilities of Parmenidian prudentialism are examined and found to be too great for any consistent notion of sustainability to bear. (shrink)

Two broad metaphysical perspectives deriving from Parmenides and Heraclitus have implications for our notion of sustainability. The Parmenidian defends a deepseated orderliness and permanence in things, while the Heraclitian finds only chance and change. Two further outlooks, the nomic and the prudential, present differing accounts of our place in the world. While the nomic outlook accepts nothing privileged about the human perspective or even life itself, the prudential outlook is obviously welfare-centered. It is argued that nomic views, whether (...) Parmenidian or Heraclitian, fail to provide any rationale for sustainability measures or concerns. The only such rationale comes from Parmenidian prudentialism, which, I argue, can operate only if it disowns at its peril the nomic point of view and couches sustainability entirely under the rubric of maximizing certain preferred opportunities drawn from collective self-love. But doing so merely evades rather than answers the tension imposed by the nomic Heraclitian for whom nothing lasts and nothing human counts specially in the measure. The liabilities of Parmenidian prudentialism are examined and found to be too great for any consistent notion of sustainability to bear. (shrink)

In this paper, I provide an interpretation of the latitude of wide duties by analyzing Kant’s reinterpretation of Horace’s adage insani sapiens nomen habeat; aequus iniqui - ultra quam satis est virtutem si petat ipsam (the wise man has the name of being a fool, the just man of being iniquitous, if he seeks virtue beyond what is sufficient”, MS VI: 404n., 409 and 433n) and his criticism of Aristotle’s doctrine of the mean. In support of my interpretation I also (...) analyze Kant’s distinction between lying and reticence in his correspondence with Maria von Herbert and between openheartedness and reticence in the Religion. I argue that since there is no upper limit to the extent we may realize moral ends it may be morally permissible to take one’s prudential considerations into account when deciding how to comply with wide duties. In contrast, the deliberate disregard of one’s permissible prudential interests may reflect what Kant calls a fantastic conception of virtue, according to which agents vainly believe that they can completely achieve virtue in this life. I call attention to the fact that for Kant the wise (sapiens) is also a prudens, a person who does not think fantastically in matters of virtue and consequently does not attempt to “maximize virtue” at the expense of one’s permissible prudential interests as a finite being. (shrink)

The elegy flared into existence, commanded the cultural stage for several decades, then went extinct. This book accounts for the swift rise and sudden decline of a genre whose life span was incredibly brief relative to its impact. Examining every major poet from Catullus to Ovid, Subjecting Verses presents the first comprehensive history of Latin erotic elegy since Georg Luck's. Paul Allen Miller harmoniously weds close readings of the poetry with insights from theoreticians as diverse as Jameson, Foucault, Lacan, and (...) Zizek. In welcome contrast to previous, thematic studies of elegy--efforts that have become bogged down in determining whether particular themes and poets were pro- or anti-Augustan--Miller offers a new, "symptomatic" history. He asks two obvious but rarely posed questions: what historical conditions were necessary to produce elegy, and what provoked its decline? Ultimately, he argues that elegiac poetry arose from a fundamental split in the nature of subjectivity that occurred in the late first century--a split symptomatic of the historical changes taking place at the time. Subjecting Verses is a major interpretive feat whose influence will reach across classics and literary studies. Linking the rise of elegy with changes in how Romans imagined themselves within a rapidly changing society, it offers a new model of literary theory that neither reduces the poems to a reflection of their context nor examines them in a vacuum. (shrink)

Despite the problematic political positions he adopted during his life span, the work of Carl Schmitt contains a fascinating argument in favour of `the political', which is understood as a plural symbolic space composed of friends and enemies who reciprocally recognise each other. Schmitt's struggle for the political is a struggle for a public spirit which accounts for this plurality. One of the terrains on which Schmitt wages this struggle is that of historical meaning. The image of history is crucial (...) for the political, as it is one level on which the relation between enemies is symbolised. In this paper, Schmitt's polemic for a political conception of history, which gives the enemy and the defeated their due place as political subjects, will be reconstructed. Central to Schmitt's endeavour is the attempt to think historical singularity, against the notion of repetition in history, against the understanding of history as a reservoir of `lessons' and against ideologies of progress. Through his polemic, a profane and sober image of history appears which stresses singularity, relative contingency and openness, and the pluralisation of social temporalities. The enigmatic notion of the katechon will play a crucial role in providing a very minimal but crucial form of historical meaning for such a political conception of history. (shrink)

Nigeria is developing country where the practice of euthanasia is not legalized. But a look at the socio-economic conditions of Nigeria calls for the need to legalize the practice in this country. This paper examines the features of this country such as poverty, endemic diseases and a low level of investment in healthcare systems . It argues for the need to legalize euthanasia by justifying it as a policy and practice and identifying factors which are to be taken into (...) class='Hi'>account. They include poor standard of living which reduces the life span of many and limited health care resources which prevents access to health care. The paper justifies legalizing euthanasia in Nigeria by responding to some arguments against euthanasia raised by critics emphasizing at the same time ethical issues such as autonomy, dignity and quality of life for euthanasia debate. It concludes by stressing that in Nigeria, a competent person who is terminally ill and undergoing severe pain should be able to determine how and when to end his life; the possibility of this will only depend on the legalization of euthanasia in this country. (shrink)

This invaluable resource presents a state-of-the-art account of the psychology of pain from leading researchers. It features contributions from clinical, social, and biopsychological perspectives, the latest theories of pain, as well as basic processes and applied issues. The book opens with an introduction to the history of pain theory and the epidemiology of pain. It then explores theoretical work, including the gate control theory/neuromatrix model, as well as biopsychosocial, cognitive/behavioral, and psychodynamic perspectives. Issues, such as the link between psychophysiological (...) processes and consciousness and the communication of pain are examined. Pain over the life span, ethno-cultural, and individual differences are the focus of the next three chapters. Pain: Psychological Perspectives addresses current clinical issues: * pain assessment and acute and chronic pain interventions; * the unavailability of psychological interventions for chronic pain in a number of settings, the use of self-report, and issues related to the implementation of certain biomedical interventions; and * the latest ethical standards and the theories. Intended for practitioners, researchers, and students involved with the study of pain in fields such as clinical and health psychology, this book will also appeal to physicians, nurses, and physiotherapists. Pain is ideal for advanced courses on the psychology of pain, pain management, and related courses that address this topic. (shrink)

It is no secret that one of the biggest public health challenges facing this nation is the obesity epidemic. Two-thirds of adults and one-third of children and teens are either obese or overweight. For adults, the number of obese has doubled since 1980, and for children age 6-11 the number of obese has quadrupled. The epidemic has changed what we thought we knew about medicine. For example, until fairly recently, type 2 diabetes was known as “adult-onset” diabetes. But doctors have (...) dropped this moniker as youth account for almost half of new type 2 diabetes in certain communities. Further, there has always been an assumption that life spans and health would improve with advancements in medicine and technology. However, obesity is related to over 20 major chronic diseases, and therefore obese children are more than twice as likely to die before the age of 55 compared to healthy-weight children. In other words, if trends are not reversed, America’s current generation of children are likely to have shorter life spans than their parents. (shrink)

The Surrey Institution, Blackfriars, founded in 1808, was, after the Royal Institution and London Institution, the third establishment in London aimed at fostering and disseminating scientific, technical, and literary knowledge and understanding among a wider public. The Institution offered its proprietors and subscribers the use of an extensive reference library and reading rooms and, most importantly, the opportunity to attend courses of lectures on scientific, technological, and other subjects. Though popular in approach, the lectures conformed to high educational standards and (...) were delivered by recognized authorities in their fields. In the Surrey Institution's celebrated auditorium, the 'Rotunda', there appeared over the years such notable scientists as Accum, Thomson, and Gurney on chemistry, Millington, Mason Good, and Woodward on natural philosophy, Bakewell on geology, and Shaw on natural history; literature was brilliantlyrepresented by Coleridge and Hazlitt. During its relatively brief life-span -cut short by financial stringencies-the Surrey Institution provided access to scientific knowledge and thinking to a wide and appreciative audience. As a meeting place fo scientists and men of business with mercantile and manufacturing interests, it performed an important function in cross-fertilizing and reinforcing ideas on innovation and enterprise against the background of the ongoing Industrial Revolution. The present article attempts to supply a historical account, so far lacking, of the foundation, activities and achievements of this significant Institution of the metropolis. (shrink)

In drawing on my own research and collaborative work with Karl Pribram, I show that love and power play a central role in psychosocial evolution. When these relations are coupled in a self-regulating system of cooperative interactions, brain growth is stimulated, mind and agency develop, and stable forms of collective social organization are generated. Focusing on the endogenous dynamics of social collectives, the article is organized in four parts. Part I summarizes evidence from developmental neuropsychology and social science to show (...) that stable psychosocial organization, across the human life span, is associated with social interaction organized along two dimensions. One dimension involves love, positive affective attachment, and the second involves power, social regulation of the aroused affective energy. Part II draws on Piaget's theory of cooperation and Bradley and Pribrams' theory of communication to describe how mind and agency are generated, and how stable organization is produced, respectively, from the relations involved in the arousal and regulation of affective energy. Combining elements of the two theories, Part III presents a sketch of a holographic model of collective organization in which goal-directed behavior is generated by a feed-forward process involving imaging and information processing of interaction along the two dimensions. Part IV shows how the model accounts for the emergence of human agency within the context of a more general evolutionary theory, such as Laszlo's. The article concludes with a discussion of my approach for building a "fully human theory of evolution.". (shrink)

In "primitive" cultures, dual symbolic classification systems draw rigid temporal and spatial boundaries between the sacred and the profane. The right and left hands are described as sacred and profane, respectively. Durkheim saw a weakening of these systems as an aspect of modernization. A weakening of such dichotomous reason is shown in two examples. First, Hertz's study of the suppression of the left hand among the Maori links the left hand to the right cerebral hemisphere of the brain. The further (...) inference he might have drawn, but did not, is that the right hemisphere and its pattern thinking might play a significant role in magic, sorcery, and witchcraft. The Maori physical confinement of the left hand is no longer practiced. Second, in the United States, Hugdahl et al. present data from eight one‐decade cohorts showing that the decrease in left‐handedness by age was countered by a corresponding increase in left‐to‐right hand switching. A lower life‐span by left handers might account for some of the change across age cohorts, but at least half of the decrease in manifest left‐handedness was accounted for by a gradual decrease in social pressure not to use the left hand. Implications for the moral solidarity of postmodern society are discussed. (shrink)

Children are routinely treated paternalistically. There are good reasons for this. Children are quite vulnerable. They are ill-equipped to meet their most basic needs, due, in part, to deficiencies in practical and theoretical reasoning and in executing their wishes. Children’s motivations and perceptions are often not congruent with their best interests. Consequently, raising children involves facilitating their best interests synchronically and diachronically. In practice, this requires caregivers to (in some sense) manage a child’s daily life. If apposite, this management will (...) focus partly on a child’s well-being. To be ably executed, an account of children’s well-being will need to be articulated. This chapter focuses on the nature of children’s well-being. It has five sections. The first section clarifies the focus. The second section examines some hurdles to articulating a view of children’s well-being. The third section evaluates some accounts of children’s well-being. The fourth section addresses the view that children possess features essential to them that make their lives on balance prudentially bad for them. The fifth section sums things up. (shrink)

Research into the mechanisms of aging has suggested the possibility of extending the human life span. But there may be evolutionary biological reasons for senescence and the limits of the cell cycle that explain the infirmities of aging and the eventual demise of all human organisms. Genetic manipulation of the mechanisms of aging could over many generations alter the course of natural selection and shift the majority of deleterious mutations in humans from later to earlier stages of life. This could (...) harm people in the distant future by making them more susceptible to premature disease and mortality. Thus there are biological and moral reasons to carefully consider the implications of exploiting this technology on a broad scale to extend the lives of people in the present and near future. (shrink)

Patients in a vegetative state/ unresponsive wakefulness syndrome (VS/UWS) pose ethical dilemmas to those involved. Many conflicts occur between professionals and families of these patients. In the Netherlands physicians are supposed to withdraw life sustaining treatment once recovery is not to be expected. Yet these patients have shown to survive sometimes for decades. The role of the families is thought to be important. The aim of this study was to make an inventory of the professional perspective on conflicts in long-term (...) care of patients in VS/UWS. A qualitative study of transcripts on 2 Moral Deliberations (MD’s) in 2 cases of patients in VS/UWS in long-term care facilities. Six themes emerged: 1) Vision on VS/UWS; 2) Treatment and care plan; 3) Impact on relationships; 4) Feelings/attitude; 5) Communication; 6) Organizational aspects. These themes are related to professionals and to what families had expressed to the professionals. We found conflicts as well as contradictory feelings and thoughts to be a general feature in 4 of these themes, both in professionals and families. Conflicts were found in several actors: within families concerning all 6 themes, in nurse teams concerning the theme treatment and care plan, and between physicians concerning all 6 themes. Different visions, different expectations and hope on recovery, deviating goals and contradictory feelings/thoughts in families and professionals can lead to conflicts over a patient with VS/UWS. Key factors to prevent or solve such conflicts are a carefully established diagnosis, clarity upon visions, uniformity in treatment goals and plans, an open and empathic communication, expertise and understanding the importance of contradictory feelings/thoughts. Management should bridge conflicts and support their staff, by developing expertise, by creating stability and by facilitating medical ethical discourses. Shared compassion for the patient might be a key to gain trust and bridge the differences from non-shared to shared decision making. (shrink)

An absolute decline in US life expectancy in low education whites has alarmed policy makers and attracted media attention. Depending on which studies are correct, low education white women have lost between 3 and 5 years of lifespan; men, between 6 months and 3 years. Although absolute declines in life expectancy are relatively rare, some commentators see the public alarm as reflecting a racist concern for white lives over black ones. How ought we ethically to evaluate this lifespan contraction in (...) low education whites? Should we care, or is it racist to care? Does it constitute an injustice or reflect justice being done? I argue that the lifespan contraction in low education whites violates key normative criteria used to make determinations of health justice, and that these judgments do not vitiate concerns about racism. I conclude with reflections on US population health policy and building an inclusive health equity movement. (shrink)

Arguing against the dominant developmental theories (e.g., Piaget, 1945; Vygotsky, 1978) stating that pretend play is limited to early childhood, we illustrate that pretend play is an adaptive human activity of adulthood as well as childhood. We advance this argument on three levels. First, we offer an analysis of why the discipline of developmental psychology in the Western world considered play only as an activity of childhood by neglecting to explore whether or how pretend play exists during adulthood. Second, we (...) discuss the similarities between adult improvisational theater and children’s pretend play in illustrating our thesis that pretend continues to exist during adulthood. In this discussion, we focus on similarities in the definitions, psychological origins, social functions, and developmental consequences of pretend play and adult improvisation. Finally, we end the article with educational implications of conceptualizing pretend play as a life-span activity and offer directions for future research. (shrink)