Well-Being

The political realm helps determine the nature of the environments we frequent and so shapes the ways perception learns from those environments. Our perceptual-experiential capacities are thereby sensitive to the political realm. Some perpetual learning that is sensitive to the political realm results in individuals being able to have more valuable perceptual experiences. Perceptual learning that is sensitive to the political realm often increases the epistemic and prudential value of perceptual experience. I conclude that norms of fairness apply to our (...) flexible perceptual-experiential capacities and associated perceptual experiences. (shrink)

In the coming years or decades, as frontier AI systems become more capable and agentic, it is increasingly likely that they meet the sufficient conditions to be welfare subjects under the three major theories of well-being. Consequently, we should extend some moral consideration to advanced AI systems. Drawing from leading philosophical theories of desire, affect and autonomy I argue that under the three major theories of well-being, there are two AI welfare risks: restricting the behaviour of advanced AI systems and (...) using reinforcement learning algorithms to train and align them. Both pose risks of causing them harm. This has two important implications. First, there is a tension between AI welfare concerns and AI safety and development efforts: by default these efforts recommend actions that increase AI welfare risks. Accordingly, we have stronger reasons to slow down AI development than the ones we would have if there was no such tension. Second, considering the different costs involved, leading AI companies should try to reduce AI welfare risks. To do so, I propose three tentative AI welfare policies they could implement in their endeavour to develop safe advanced AI systems. (shrink)

For over fifty years in fields spanning the humanities and social sciences, the relationship between disability and quality of life has been vigorously debated. As empirical work concerning this question grew, it became increasingly clear that whatever that relationship involves, it is not simple. In this chapter, I begin by laying out social scientific research on the relationship between disability and quality of life, arguing that it largely supports the claims of disability activism and scholarship concerning the possibilities of flourishing (...) with disability. In section two, I turn to research in philosophy of disability and demonstrate that to understand the meaning of disability, we need to carefully distinguish between disability, well-being, and health status, including recognition of disabled people as a health disparity population. I conclude by discussing the most radical implication of research on disability and its relationship to flourishing: the need for embodied rights. (shrink)

Australia’s newly established wellbeing framework, ‘Measuring What Matters’ (MWM), seeks to measure social progress and influence policy by reporting on 50 wellbeing indicators within five “themes”. In this paper, we assess whether the MWM framework adequately measures what people in Australia value for their wellbeing by examining both the process of the framework’s development and its content. Firstly, we consider whether the consultation process undertaken was adequate. Secondly, we examine whether the MWM indicators align with existing research on what people (...) in Australia value for their wellbeing. We identified limitations across all aspects of the consultation examined: its comprehensiveness, reach, transparency, and extent to which it genuinely incorporated community feedback into the framework. While the MWM framework was found to broadly align with existing research on what Australians value for their wellbeing, there were some notable divergences. We urge the Australian Government to undertake a comprehensive, wide-reaching, transparent, and genuine consultation across Australia. Furthermore, we recommend that the Australian Government develop new indicators in consultation with the public. Enhancing the MWM framework will help establish it as a cornerstone of government decision-making, and importantly, ensure that it does what it purports to do: measure what Australians value for their wellbeing. (shrink)

Proponents of temporal neutrality have challenged the intuitive appeal of future-bias: The intuitive appeal of future-bias is limited to a set of isolated cases that involve only hedonic and self-regarding goods and harms. They suggest that we should treat future-bias as irrational in self-regarding hedonic cases too, or at least not treat the intuitive appeal as evidence for future-bias's permissibility, since hedonic and non-hedonic cases are relevantly similar. This paper defends the rationality of future-bias against this concern. Firstly, hedonic goods (...) and harms mostly concern well-being at a time, while the proposed non-hedonic goods concern lifetime goodness. This is a relevant structural difference between hedonic and non-hedonic goods and harms that warrant different attitude patterns, including the applicability of future-bias. Secondly, the degree of idealisation required to make intuitions favour temporal neutrality obscures the weight of intuitions to a level that makes it unreliable as evidence against the permissibility of future-bias. As temporal neutralists need this degree of idealisation of their cases, the argument fails. In summary, we can keep using intuitive support as evidence for future-bias's rationality, at least when it comes to hedonic goods, but to some extent for its general permissibility. (shrink)

Previous conceptualizations of virtue have failed to appreciate how virtuous behaviors can operate in the service of satisfying existential concerns. Integrating existential and positive psychological approaches to virtue, we introduce a new theoretical framework – the 4C Model of Virtue – which posits four interlocking aspects of virtue that are important to consider: (1) existential concerns, (2) culture, (3) context, and (4) calibration. First, people might be motivated to acquire virtues partly by a desire for existential security. Second, virtues are (...) culturally embedded in, and their meaning, function, and manifestation vary by, culture. Third, virtues are affected by a host of contextual features, which moderate their expression and utility. Fourth, virtues must be appropriately calibrated, and their miscalibration can undermine, rather than promote, well-being, relational functioning, and flourishing. Working from positive existential psychology and connecting to existential philosophy, we discuss several testable hypotheses generated from our theorization to catalyze work in this area. (shrink)

Good-for theorists claim that to be valuable is to be good for someone, in the sense of being beneficial for them. Their opponents deny this, arguing that some things are good-simpliciter: good independently of being good for anyone. In this article I argue in favor of good-simpliciter. I appeal to the category of symbolically valuable acts, acts which seem valuable even when they do not benefit anyone and even when they are costly to the agent. I explore various strategies a (...) good-for theorist might pursue to address these apparently valuable acts, for example by appealing to the acts’ connection to beneficial character traits or practices, and I argue that none of these strategies succeed. Instead, I propose that the best way to understand the value of these acts involves seeing them as appropriate responses to what is good-simpliciter, and more specifically, as ways of loving what is worthy of love. (shrink)

Ever since the Harsanyi-Sen debate, it is controversial whether someone's welfare should be measured by her von-Neumann-Morgenstern (VNM) utility, for instance when analysing welfare intensity, social welfare, interpersonal welfare comparisons, or welfare inequality. We prove that natural working hypotheses lead to a different welfare measure. It addresses familiar concerns about VNM utility, by faithfully capturing non-ordinal welfare features such as welfare intensity, despite resting on purely ordinal evidence such as revealed preferences or self-reported welfare comparisons. Using this welfare measure instead (...) of VNM utility alters social welfare analysis -- for instance, Harsanyi's `utilitarian theorem' now effectively supports prioritarianism. VNM utility is shown to be a hybrid object, determined by an interplay of two factors: welfare and attitude to intrinsic risk, i.e., to risk in welfare rather than outcomes. (shrink)

Prudential value is the kind of value that something has when it is good for someone, in the sense that is conceptually tied to welfare or well‐being. Impersonal value is the kind of value that something has when it is good simply, absolutely, or “from the point of view of the universe.” According to the Moorean position on prudential value, the concept of prudential value can be analyzed in terms of that of impersonal value and is unintelligible if it is (...) not so analyzed. I answer some recent arguments for the Moorean position due to Kris McDaniel and Thomas Hurka, and I make a more comprehensive case than has thus far been made for rejecting that position. (shrink)

This paper examines the prospects for an expressivist theory of prudential thought and discussion, or thought and discussion about what is good for us or what makes our lives go well. It is becoming increasingly common to view prudential thought and discussion as a kind of normative thought and discussion. If this is right, then expressivism, like any other meta-normative view, must be able to explain prudential thought and discussion. However, existing expressivist theories offer no such explanation and lack the (...) resources to construct one. I argue that the best strategy for expressivists is to adopt a fitting attitudes account of prudential concepts. More specifically, I propose that expressivists adopt the rational care theory of well-being, according to which claims about what is good for a person are equivalent to claims about what it is rational to want for that person insofar as one cares for them. In doing so, I defend the rational care theory against its most pressing objection and argue that the view provides an independently attractive account of prudential thought and discussion that fits well with the expressivist’s aim to explain normative thought and discussion in terms of its distinctive practical function. (shrink)

This paper presents a pantheistic account of spiritual well-being drawn from the life and works of poet Robinson Jeffers. The account is based on a general conceptualisation of the spiritual life according to which it has three components: a conception of ultimate reality, a conception of the human condition (including a view of the actual position human beings find themselves in and a vision of their ideal position congruent with the view of ultimate reality), and a guide to the practical (...) structuring of a human life aimed at its transformation from its actual to its ideal position. Spiritual well-being, then, is conceived as the spiritual life that is going well for a person. A pantheistic account that includes each of the three components of the spiritual life is presented. Therefore, we arrive at a pantheistic account of spiritual well-being, and this undercuts common objections to pantheism. (shrink)

This chapter explores Tatjana Višak’s arguments for the claim that all animals have the same welfare ranges. It starts by defining capacity for welfare and reviews some theoretical considerations that bear on this question. Next, Višak’s empirically informed, theoretical arguments for the claim that all animals have the same welfare ranges are reviewed. Her arguments rely on the idea that relativized accounts of well-being are the most plausible accounts and appeal to a certain view about the evolutionary explanation of hedonic (...) capacities. It’s then argued that relativized accounts of well-being are implausible because (i) they generate absurd conclusions and (ii) cannot plausibly be extended to account for animals’ total well-being. The paper ends by reviewing Višak’s evolutionary explanation of hedonic capacities and argues that the descriptive features of evolution she discusses do not provide evidence of equal hedonic capacities across taxa. In fact, given the way that evolution works, it would be very surprising if that turned out to be true. Consequently, Višak’s arguments fail to establish their conclusion. (shrink)

The argument that is in question in this article concerns the would-be dependence of one form of value on another. When something is intrinsically good for someone, which is to say, directly beneficial for them, it is so because it is good simpliciter. Proponents of the argument have so-called ‘perfectionist’ values chiefly in mind: worthwhile artworks, striking natural formations, intellectual and scientific achievements. They contend that the fact that engaging with perfectionist goods is non-instrumentally good for people depends on the (...) fact that perfectionist goods are good simpliciter. I argue that the dependency argument is not forced on us by intuitive claims about dependence, or by the need to be adequate to our practices with the relevant class of values. The good for theorist can provide a sophisticated account of perfectionist goods. If successful, the article provides a line of defense for the view that good is good for. (shrink)

According to the hybrid account of harm, an agent suffers harm if the agent has negative wellbeing or is worse off than before. However, Erik Carlson, Jens Johansson, and Olle Risberg have criticized the hybrid account, arguing that it finds harm where there is none in cases of temporary benefits and that it fails to find harm in the case of death. In this note, I defend the hybrid account against both criticisms.

The Satisfaction With Life Scale (Diener, Emmons, Larsen, & Griffin, 1985) has been the dominant measure of life satisfaction since its creation more than 30 years ago. We sought to develop an improved measure that includes indirect indicators of life satisfaction (e.g., wishing to change one’s life) to increase the bandwidth of the measure and account for acquiescence bias. In 3 studies, we developed a 6-item measure of life satisfaction, the Riverside Life Satisfaction Scale, and obtained reliability and validity evidence. (...) Importantly, the Riverside Life Satisfaction Scale retained the high internal consistency, test– retest stability, and unidimensionality of the Satisfaction With Life Scale. In addition, the Riverside Life Satisfaction Scale correlated with other well-being measures, Big Five personality traits, values, and demographic information in expected ways. Although the Riverside Life Satisfaction Scale correlated highly with the Satisfaction With Life Scale, we believe it improves the Satisfaction With Life Scale by appropriately increasing construct breadth and reducing the potential for bias. (shrink)

What makes your life go well for you? In this paper, we give an account of welfare. Our core idea is simple. There are impersonally good and bad things out there: things that are good or bad period, not (or not only) good or bad for someone. The life that is good for you is the life in contact with the good. We’ll understand the relevant notion of ‘contact’ here in terms of manifestation: you’re in contact with a value when (...) it is manifest in parts of your life or parts of your life are manifest in it. So, the more the good is manifest in your life, or your life manifest in the good, the better for you. The more the bad is manifest in your life, or your life manifest in the bad, the worse for you. We’ll argue that this account is extensionally adequate: it explains the welfare value of achievements, friendships, knowledge, pleasures and virtues. Moreover, it has a number of explanatory virtues: it’s unified, elegant and explanatorily powerful. So, we’ll suggest, it’s an excellent account of welfare, and in many ways superior to its main competitors. (shrink)

This paper examines the integration and unification of the philosophy and psychology of well-being. For the most part, these disciplines investigate well-being without reference to each other. In recent years, however, with the maturing of each discipline, there have been a growing number of calls to integrate the two. While such calls are welcome, what it means to integrate well-being philosophy and psychology can vary greatly depending on one’s theoretical and practical ends. The aim of this paper is to provide (...) a novel conceptual framework for thinking about integrating well-being philosophy and psychology that systematically categorizes different kinds of integration projects. We divide existing attempts in the literature into three broad categories according to the perspective from which the integration takes place: (1) top-down meta-theoretical unification; (2) psychological integration within philosophy; and (3) philosophical integration within psychology. These categories are then broken down into various further subcategories. Our aim in providing this framework is both to facilitate the assessment and comparison of existing integration attempts and to provide a roadmap for future integration attempts. For each category, we discuss one or two representative examples of the approaches. By doing so, we hope to generate interest in the wide variety of existing integration projects, as well as to generate discussion concerning the benefits and pitfalls of different approaches. (shrink)

How does good combine with bad? Most creatures are neither so blessed as to only enjoy good nor so cursed as to only suffer bad. Rather, the good and bad they receive throughout their lives combine to produce their overall quality of life. But it’s not just whole lives that have combined good and bad. Many stretches within contain both positive and negative occurrences whose value is joined to form the overall quality of that span of time. In a single (...) morning someone might wake up, brush their teeth, stub their toe groggily lumbering down the stairs, and have a sip of coffee that’s tasty but so hot they burn their tongue. These events are good and bad for them to various degrees, and their value comes together to form an overall value for them of that morning. A single moment, even, can have combined value from distinct pockets of good and bad that occur simultaneously. The tastiness of the coffee is good, but the pain of the heat is bad. They combine to form an overall value of the sipping moment – negative if the pain outweighed the flavor. Thus, wellbeing and illbeing combine. But how? How can someone rightly chastise themselves for sipping the overly hot coffee when it was, in fact, good because it was tasty? To pose the question starkly, a life can be bad, even so bad to not be worth living, and yet it can have many instances of good, where these goods are, in themselves, pure of any negativity. But how can good make something bad? (shrink)

Precise measurements of well-being would be of profound societal importance. Yet, the sceptical worry that we cannot use social science instruments and tests to measure well-being is widely discussed by philosophers and scientists. A recent and interesting philosophical argument has pointed to the psychometric procedures of construct validation to address this sceptical worry. The argument has proposed that these procedures could warrant confidence in our ability to measure well-being. The present paper evaluates whether this type of argument succeeds. The answer (...) is that it depends on which methodological background assumptions are motivating the sceptical worry to begin with. We show this by doing two things. First, we clarify (a) the different types of well-being theories involved in the science of well-being, and (b) the general methodological dimensions of well-being theorising. Second, we apply these distinctions and argue that construct validation is an unsuccessful response to measurement scepticism if this scepticism is motivated by a form of methodological non-naturalism. In the light of this, the overall point of the paper is that philosophers and scientists, when discussing measurement of well-being, should explicate their deeper methodological commitments. We further suggest that making such explicit commitments might present philosophers with a dilemma. (shrink)

It is an open question whether well-being ought to primarily be understood as a temporal concept or whether it only makes sense to talk about a person’s well-being over their whole lifetime. In this article, I argue that how this principled philosophical disagreement is settled does not have substantive practical implications for well-being science and well-being policy. Trying to measure lifetime well-being directly is extremely challenging as well as unhelpful for guiding well-being public policy, while temporal well-being is both an (...) adequate indirect measure of lifetime well-being, and an adequate focus for the purposes of improving well-being through public policy. Consequently, even if what we ought to care about is lifetime well-being, we should use temporal measures of well-being and focus on temporal well-being policies. (shrink)

Each person has a special relation to his or her own well-being. This rough thought, which can be sharpened in different ways, is supposed to substantially count against objectivist theories on which one can intrinsically benefit from, or be harmed by, factors that are independent of one’s desires, beliefs, and other attitudes. It is often claimed, contra objectivism, that one cannot be _alienated_ from one’s own interests, or that improvements in a person’s well-being must _resonate_ with that person. However, I (...) argue that every theory of well-being must allow that we can be alienated from our own well-being, and that sophisticated objectivists can accept and make use of a resonance constraint against their opponents. (shrink)

Many philosophers reject the view that well-being over a lifetime is simply an aggregation of well-being at every moment of one's life, and thus they reject theories of well-being like hedonism and concurrentist desire satisfactionism. They raise concerns that such a view misses the importance of the relationships between moments in a person's life or the role narratives play in a person's well-being. In this article, we develop an atomist meta-theory of well-being, according to which the prudential value of a (...) life depends solely on the prudential value of each moment of that life. This is a general account of momentary well-being that can capture different features of well-being that standard atomistic accounts fail to capture, thus allowing for the possibility of an atomism that is compatible with a variety of well-being theories. Contrary to many criticisms leveled against momentary well-being, this well-being atomism captures all of the important features of well-being. (shrink)

What explains why we are subjects for whom objects can have value, and what explains which objects have value for us? Axiologicians say that the value of humanity is the answer. I argue that our value, no matter what it is like, cannot perform this task. We are animals among others. An explanation of the value of objects for us must fit into an explanation of the value of objects for animals generally. Different objects have value for different animals. Those (...) differences depend on differences in animal natures and, in particular, on the diverse characteristic capacities of different animals. Once we invoke animal natures, there is nothing for the value of animality, including the value of humanity, to explain. (shrink)

A person possesses value from various components of wellbeing, but they also have overall wellbeing from various instances of value taken together. Most ethicists assume that there is an objectively unique way that wellbeing from components aggregates into overall wellbeing. However, I argue that aggregation is subjective and varies depending on what sort of aggregation a person values. I end with some implications for the significance of death.

Is well-being the kind of thing that can be summed across individuals? This paper takes a measurement-theoretic approach to answering this question. To make sense of adding well-being, we would need to identify some natural "concatenation" operation on the bearers of well-being that satisfies the axioms of extensive measurement and can therefore be represented by the arithmetic operation of addition. I explore various proposals along these lines, involving the concatenation of segments within lives over time, of entire lives led alongside (...) one another or in sequence, and of evaluatively basic propositions via conjunction. All of these proposals turn out to carry highly controversial commitments about the good. I do not claim that these commitments are unacceptable. But they suggest that we cannot simply take for granted, as many philosophers do, that there is any such thing as the sum of well-being. (shrink)

Many philosophers now see meaning in life as a key evaluative category that stands alongside well-being and moral goodness. Our lives are assessed not only by how well they go for us and how morally good they are, but also by their meaningfulness. In this article, I raise a challenge to this view. Theories of meaning in life closely resemble theories of well-being, and there is a suspicion that the former collapse into the latter. I develop this challenge showing that (...) it is formidable. I then answer it by offering a novel account of what meaning in life is and how it differs from well-being. The account I offer is able to resist the strongest form of the challenge while also having much intuitive appeal. (shrink)

Many questions about wellbeing involve metaphysical dependence. Does wellbeing depend on minds? Is wellbeing determined by distinct sorts of things? Is it determined differently for different subjects? However, we should distinguish two axes of dependence. First, there are the grounds that generate value. Second, there are the connections between the grounds and value which make it so that those grounds generate that value. Given these distinct axes of dependence, there are distinct dimensions to questions about the dependence of wellbeing. In (...) this paper, I offer a view of wellbeing that gives different answers with respect to these different dimensions. The view is subjectivist about connections but objectivist about grounds. Pluralist about grounds but monist about connections. Invariabilist about connections but variabilist about grounds. Thus, the view offers a simple account that captures the complexity of wellbeing. (shrink)

In an important and widely discussed series of studies, Jonathan Phillips and colleagues have suggested that the ordinary concept of happiness has a substantial moral component. For in- stance, two persons who enjoy the same extent of positive emotions and are equally satisfied with their lives are judged as happy to different degrees if one is less moral than the other. Considering that the relation between morality and happiness or self-interest has been one of the central questions of moral philosophy (...) since at least Plato, such a result would be of considerable philosophical interest. On closer examination of the original research and new studies, we suggest that the data point to a different conclusion: in the dominant folk understanding of happiness, morality has no fundamental role. Findings seeming to indicate a moralized concept are better explained, we suggest, by folk theories on which extreme moral turpitude indicates that an individual suffers from psychological dysfunction. (shrink)

Critical notice of Guy Fletcher's 'Dear Prudence: The Nature and Normativity of Prudential Discourse' and Dale Dorsey's 'A Theory of Prudence'.

Since Shelly Kagan pointed out the relative neglect of ill-being in philosophical discussions, several philosophers have contributed to an emerging literature on its constituents. In doing so, they have explored possible asymmetries between the constituents of ill-being and the constituents of positive well-being. This paper explores some possible asymmetries that may arise elsewhere in the philosophy of ill-being. In particular, it considers whether there is an asymmetry between the contribution made to prudential value by equal quantities of goods and bads. (...) It then considers a similar question about the contributions made to moral value by equal quantities of ill-being and positive well-being. The paper explores some of the difficulties involved in assessing these questions. It ends by considering broader differences, both practical and theoretical, between the significance of ill-being and of positive well-being. (shrink)

Welfare is the measure of how well someone’s life is going for them (either at one time or over a whole life). This concept is crucial throughout practical philosophy, appearing in debates in ethics, political philosophy, philosophy of law, and beyond. -/- Philosophical discussions of welfare have centered around the extent to which welfare is purely a matter of the quality of one’s experience, the extent to which it is a matter of getting what one desires or, instead, acquiring some (...) fixed set of desire-independent goods and the extent to which it is related to one’s nature. Another set of debates concerns possible theories of welfare, questions about how many theories of welfare are needed to account for all of the facts about welfare, and whether discourse about welfare is linguistically or conceptually pluralistic in a deep and significant way. (shrink)

This paper provides a philosophical assessment of leading theory-based, evidence-based and coherentist approaches to the definition and the measurement of well-being. It then builds on this assessment to articulate a reformed division of labor for the science of well-being and argues that this reformed division of labor can improve on the proffered approaches by combining the most plausible tenets of theory-based approaches with the most plausible tenets of coherentist approaches. This result does not per se exclude the possibility that theory-based (...) and coherentist approaches may be independently improved or amended in the years to come. Still, together with the challenges that affect these approaches, it strengthens the case for combining the most plausible tenets of those approaches. (shrink)

Does our life have value for us after we die? Despite the importance of such a question, many would find it absurd, even incoherent. Once we are dead, the thought goes, we are no longer around to have any wellbeing at all. However, in this paper I argue that this common thought is mistaken. In order to make sense of some of our most central normative thoughts and practices, we must hold that a person can have wellbeing after they die. (...) I provide two arguments for this claim on the basis of postmortem harms and benefits as well as the lasting significance of death. I suggest two ways of underwriting posthumous wellbeing. (shrink)

In “Well-Being and Pluralism” (2021), Polly Mitchell and Anna Alexandrova defend conceptual pluralism about well-being. Conceptual pluralism about well-being holds that there are multiple, irreducible concepts of well-being that are employed in different contexts, all equally legitimate as concepts of well-being. Moreover, “Conceptual pluralism about well-being entails that there is no single essence which characterises all and only instances of well-being.” (Mitchell and Alexandrova, 2021, p. 2422) Conceptual monism about well-being, on the other hand, holds, at a minimum, that there (...) is some essence that unites all legitimate uses of ‘well- being’. In this paper, I will argue that there is a version of conceptual monism about well-being, the network theory of well-being defended by Michael Bishop in his book The Good Life (2015), that can secure all of the benefits of Mitchell and Alexandrova’s conceptual pluralism, namely accommodating the wide range of uses of “well-being” in the sciences of well-being and in ordinary language. Mitchell and Alexandrova’s argument for pluralism depends on the inability of a monistic theory of well-being to account for this diversity of conceptions of well-being and the diversity of instruments used to measure well-being in the sciences. Bishop’s network theory, like Mitchell and Alexandrova’s pluralism, is designed to accommodate the scientific study of well-being. Because of this, it avoids the pitfalls of traditional, monistic conceptions of well-being despite its monistic credentials. I conclude with two novel arguments for the network theory. (shrink)

In this paper, we present and defend an analysis of harm that we call the Negative Influence on Well-Being Account (NIWA). We argue that NIWA has a number of significant advantages compared to its two main rivals, the Counterfactual Comparative Account (CCA) and the Causal Account (CA), and that it also helps explain why those views go wrong. In addition, we defend NIWA against a class of likely objections, and consider its implications for several questions about harm and its role (...) in normative theorizing. (shrink)

The promotion of patient welfare is a central goal of medical professionals and serves as a fundamental principle of medical professionalism. Despite its importance, however, it is unclear what is meant by patient welfare. In my dissertation, I explore patient welfare by analyzing the ordinary notion of welfare and applying this analysis to the patient population. I argue that welfare is best understood and expressed in terms of capabilities, which I define using the structure and vocabulary of Basic Formal Ontology. (...) I conclude that patient welfare is a multi-dimensional quality of the human organism corresponding to the degree to which that patient has realized the array of capabilities typical of the human kind. I then identify certain important implications for this view on the practice of medicine. (shrink)

Philosophy Compass, Volume 17, Issue 2, February 2022.

Philosophers, psychologists, economists and other social scientists continue to debate the nature of human well-being. We argue that this debate centers around five main conceptualizations of well-being: hedonic well-being, life satisfaction, desire fulfillment, eudaimonia, and non-eudaimonic objective-list well-being. Each type of well-being is conceptually different, but are they empirically distinguishable? To address this question, we first developed and validated a measure of desire fulfillment, as no measure existed, and then examined associations between this new measure and several other well-being measures. (...) In addition, we explored associations among all five types of well-being. We found high correlations among all measures of well-being, but generally correlations did not approach unity, even when correcting for unreliability. Furthermore, correlations between well-being and related constructs (e.g., demographics, personality) depended on the type of well-being measured. We conclude that empirical findings based on one type of well-being measure may not generalize to all types of well-being. (shrink)

What is it to be mentally healthy? In the ongoing movement to promote mental health, to reduce stigma, and to establish parity between mental and physical health, there is a clear enthusiasm about this concept and a recognition of its value in human life. However, it is often unclear what mental health means in all these efforts and whether there is a single concept underlying them. Sometimes, the initiatives for the sake of mental health are aimed just at reducing mental (...) illness, thus implicitly identifying mental health with the absence of diagnosable psychiatric disease. More ambitiously, there are high-profile proposals to adopt a positive definition, identifying mental health with psychic or even overall well-being. We argue against both: a definition of mental health as mere absence of mental illness is too thin, too undemanding, and too closely linked to psychiatric value judgments, while the definition in terms of well-being is too demanding and potentially oppressive. As a compromise, we sketch out a middle position. On this view, mental health is a primary good, that is, the psychological preconditions of pursuing any conception of the good life, including well-being, without being identical to well-being. (shrink)

A popular view of harming is the causal account (CA), on which harming is causing harm. CA has several attractive features. In particular, it appears well equipped to deal with the most important problems for its main competitor, the counterfactual comparative account (CCA). However, we argue that, despite its advantages, CA is ultimately an unacceptable theory of harming. Indeed, while CA avoids several counterexamples to CCA, it is vulnerable to close variants of some of the problems that beset CCA.

This paper challenges the widely held view that ‘good for’, ‘well-being’, and related terms express a distinctive evaluative concept of central importance for ethics and separate from ‘simply good’ as used by G. E. Moore and others. More specifically, it argues that there's no philosophically useful good-for or well-being concept that's neither merely descriptive in the sense of naturalistic nor reducible to ‘simply good’. The paper distinguishes two interpretations of the common claim that the value ‘good for’ expresses is distinctively (...) ‘subject-relative’. One concerns the ground of this value, or the properties that make something good for you; it says these must involve some relation to you. The other concerns the resulting value itself, or what supervenes on this ground; it says that too involves a relation. Neither interpretation, the paper argues, yields a significantly distinct evaluative concept. The ethically fundamental evaluative concept is just ‘simply good’. (shrink)

An updated version of this encyclopedia entry on the concept of what, if anything, makes life worthwhile.

The 1948 constitution of the World Health Organization (WHO) defines health as ‘a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’. It was a bold and revolutionary health idea to gain international consensus in a period characterized by fervent anti-communism. This article explores the genealogy of the health definition and demonstrates how it was possible to expand the scope of health, redefine it as ‘well-being’, and overcome ideological resistance to progressive and (...) international health approaches. The first part of the article demonstrates how the health definition was composed through a trajectory of draft ideas from scholars in the history of medicine, as well as political actors working to promote national health insurance. The definition was authored by League of Nations veteran Raymond Gautier, but secretly drew heavily on medical historian Henry E. Sigerist’s controversial book Socialized Medicine in the Soviet Union (1937). The second part analyses how it was possible to resist the ideological pushback against the WHO and secure US ratification. The WHO’s progressive constitution was not simply a deviation from dominant health ideas, but a direct outcome of the entrenched health conflict. The genealogy is based on original archival material from international organizations and US government archives. The article contributes to understandings of the political controversies surrounding the WHO and to scholarship on understandings of health. It also illustrates how influential health ideas cross the boundaries between politics and health sciences, as well as the boundaries between domestic health policy and global health. (shrink)

Temporal nihilism is the view that our lives won’t matter after we die. According to the standard interpretation, this is because our lives won’t make a permanent difference. Many who consider the view thus reject it by denying that our lives need to have an eternal impact. However, in this paper, I develop a different formulation of temporal nihilism revolving around the persistence of personal value itself. According to this stronger version, we do not have personal value after death, so (...) our past life no longer has wellbeing after we die. The standard objections to the standard interpretation don’t apply to this more nihilistic nihilism. I offer a new response according to which personal value persists after death because the person continues to exist. (shrink)

Worker well-being is a hot topic in organizations, consultancy and academia. However, too often, the buzz about worker well-being, enthusiasm for new programs to promote it and interest to research it, have not been accompanied by universal enthusiasm for scientific measurement. Aim to bridge this gap, we address three questions. To address the question ‘What is worker well-being?’, we explain that worker well-being is a multi-facetted concept and that it can be operationalized in a variety of constructs. We propose a (...) four-dimensional taxonomy of worker well-being constructs to illustrate the concept’s complexity and classify ten constructs within this taxonomy. To answer the question ‘How can worker well-being constructs be measured?’, we present two aspects of measures: measure obtrusiveness (i.e., the extent to which obtaining a measure interferes with workers’ experiences) and measure type (i.e., closed question survey, word, behavioral and physiological). We illustrate the diversity of measures across our taxonomy and uncover some hitherto under-appreciated avenues for measuring worker well-being. Finally, we address the question ‘How should a worker well-being measure be selected?’ by discussing conceptual, methodological, practical and ethical considerations when selecting a measure. We summarize these considerations in a short checklist. It is our hope that with this study researchers – working in organizations, in academia or both – will feel more competent to find effective strategies for the measurement worker well-being and eventually make policies and choices with a better understanding of what drives worker well-being. (shrink)