It is known that people have been getting distressed for a long‐time and healthcare workers, like the military, seem to fit criteria for being at particular risk. Fairly recently a term of art, moral distress, has been added to types of distress at work, though not restricted to work, they can suffer. There are recognized scales that measure psychological distress such as the General Health Questionnaire and the Kessler scales but moral distress it is claimed is different warranting its own (...) scale. This seems to be because of both the intensity and nature of moral problems encountered at work that is so powerful and so destructive of moral agency and integrity. This paper will focus on how, if at all, moral distress is different by examining the idea of moral normativity. Moral normativity is understood as roughly the sort of thing that all rational persons would endorse regardless of his interests, having an “automatic reason giving force” and is likely to also require an overriding force. Specifically, it will examine how this force of moral claims seems to be needed for moral distress to be so destructive of healthcare professional's moral agency and integrity. This is related to the idea of warrantedness of the reaction of distress. Even if morality had such a strong normativity, one can still ask is distress the correct or warranted reaction? It seems plausible that if distress is a correct response for it to be both moral and warranted it needs a strong account of moral normativity. The idea of a distinct form of distress as moral distress may be true in theory but is too contested both ontologically and epistemologically for a useful practice of measurement at present. (shrink)

This paper offers a neo-pragmatist account of the representational character of the emotions, for those emotions that have such a character. Put most generally, neo-pragmatism is the view that language should not be conceived primarily in terms of a robust relation of reference to or representation of antecedently given objects and properties. Rather, we should view it as a social practice that lets us do various quite different sorts of things. One of those things might be called ‘assessing representational accuracy’, (...) but this need not be thought of in terms of a metaphysically heavyweight relation. In applying neo-pragmatist techniques to the domain of the emotions, the result will be an alternative to currently popular accounts that individuate emotions partly in terms of what they represent. This alternative continues to allow us to use representational language in connection with some emotions. And it also helps to explain the awkwardness of representational talk in connection with other emotions: an awkwardness that was always a liability of monolithic representationalist views. (shrink)

This dissertation is about the partiality problem for fitting attitude (FA) analyses of value. More specifically, it is about whether and how the problem might be resolved. In Chapter 1, I set the stage by offering a short introduction to the topic and a rationale for investigating it. I then give a more detailed account of FA analyses of value in Chapter 2, including a brief outline of their history and appeal, before explaining more thoroughly just what the partiality problem (...) is for such analyses in Chapter 3, where I distinguish between several different versions of the problem, identify two broad strategies for resolving it and put forward six evaluation criteria in terms of which the plausibility of a resolution can be assessed. According to FA analyses of value, what it is for something to have value is, roughly, for it to be fitting to have a certain sort of attitude toward it. To have a positive value, such as being good, is to be something that it is fitting to favor (to have a pro-attitude toward); to have a negative value, such as being bad, is to be something that it is fitting to disfavor (to have a con-attitude toward); and to have a relational or comparative value like being better than, worse than, equally good as or equally bad as something else is to be something that it is fitting to favor more than, disfavor more than, favor equally much as or disfavor equally much as the other thing. The partiality problem is, roughly, that there are situations in which two things seem to have equal value, which, if things are as they seem and FA analyses of value are correct, means that it is fitting to respond to them equally – to be impartial between them. However, in these situations, there are some people for whom it does not seem fitting to respond in that way because they stand in a certain relationship to one of the bearers of value. For these people, it seems that the fitting response is an unequal or partial response, not an impartial one. If such intuitions about fitting partiality and value are veridical, then how can FA analyses of value be correct? The rest of the dissertation is then a critical, in-depth study of a wide range of responses to the partiality problem. In Chapter 4, I examine the first of the two response strategies, which is to deny the veracity of at least one of the intuitions that generate the problem without making any changes to the FA analyses themselves. I then turn to the second strategy, which is to try to accommodate the intuitions by revising the FA analyses in some suitable manner. In Chapters 5–13, I consider the possibility and plausibility of solving the problem by revising the FA analyses on the basis of: the distinction between intrinsic and extrinsic properties (Chapter 5), the notion of basic value (Chapter 6), the notion of agent-relative value (Chapter 7), the notion of an impartial observer (Chapter 8), the distinction between moral and non-moral fittingness (Chapter 9), a sui generis notion of fittingness (Chapter 10), the distinction between pro tanto and overall fittingness (Chapter 11), the distinction between actions and attitudes (Chapter 12) and the notions of evaluative distance and perspective (Chapter 13). My assessment is that none of these responses is entirely plausible. Thus, in Chapter 14, I conclude that although the partiality problem may not be irresolvable, it is yet to receive a fully plausible resolution. I also discuss the ramifications of this conclusion. (shrink)

The wrong kind of reason (WKR) problem is a problem for attempts to analyze normative properties using only facts about the balance of normative reasons, a style of analysis on which the ‘Reasons First’ programme depends. I argue that this problem cannot be solved if the orthodox view of reasons is true --- that is, if each normative reason is numerically identical with some fact, proposition, or state-of-affairs. That’s because solving the WKR problem requires completely distinguishing between the right- and (...) wrong-kind reasons for an attitude. I argue that some facts give both right- and wrong-kind reasons for an attitude. Consequently, no such distinction between the two types of reasons is complete if reasons are facts or the like. I conclude by suggesting that reasons and facts are related by constitution, not identity. (shrink)