Autonomy has been the central principle underpinning changes which have affected the practice of medicine in recent years. Medical education is undergoing changes as well, many of which are underpinned, at least implicitly, by increasing concern for autonomy. Some universities have embarked on graduate courses which utilize problem-based learning (PBL) techniques to teach all areas, including medical ethics. I argue that PBL is a desirable method for teaching and learning in medical ethics. It is desirable because the nature of ethical (...) enquiry is highly compatible with the learning processes which characterize PBL. But it is also desirable because it should help keep open the question of what autonomy really is, and how it should operate within the sphere of medical practice and medical education. (shrink)

Behavioral economics and existentialism both present informative perspectives on human choice. We argue in this article that the dialogue between the two approaches can enrich the current debate about the normative implications of behavioral economics. While behavioral economics suggests that our capacity to choose is constrained by cognitive biases and environmental influences, existentialism emphasizes that we can treat ourselves as free and ‘becoming’ beings in spite of the many constraints we face. Acknowledging these two perspectives in the form of a (...) theoretical synthesis—which we propose to call existentialist behavioral economics—provides us with reasons why we should protect our choices ‘as our own’ and how doing so may be more difficult than we anticipate. It also provides a framework to analyze the threat of identity-shaping social and technological developments, such as preference-altering nudges and artificially intelligent prediction algorithms. (shrink)

Ethical theories and theories of the person constrain each other, in that a proposition about the person may be a reason for or against an ethical proposition, and conversely. An important class of such propositions about the person concern the boundaries of the person. These boundaries enclose a person 's defining properties, which constitute his identity. A person 's identity may partly determine and partly be determined by his ethical judgments. An equilibrium between one's identity and one's ethical judgments is (...) the counterpart, at the personal level, of the philosophical ideal of reflective equilibrium between a theory of the person and an ethical theory. (shrink)

A popular view is that we create our own identities and values. An attractive version of this is the thesis that the creation of values follows from the creation of identities. The thesis is best supported by a conception of identity in terms of projects and a conception of values that are internal to projects: in creating my projects, I create values internal to them; so I create those values. This paper argues that the thesis faces a dilemma: it is (...) either true but uninteresting or interesting by false. The dilemma persists whether the values in question are conceived as purpose-relative, as moral, or as both purpose-relative and moral. (shrink)

Sartre presented ‘Existentialism and Humanism’ to a popular audience in Paris late in 1945. As he implies in the discussion which is appended to the text of the lecture (pp. 57–58), he was here simplifying his views so as to make them intelligible to a wide audience. In this he succeeded only too well; the lecture has become exceedingly well known and has been regarded as a definitive presentation not only of Sartre's philosophy at the time, but also of ‘existentialism’. (...) One thing I hope to show in this essay is that this is not a sensible view to take; Sartre's text requires a good deal of interpretation and qualification in the light of his other writings of the period, and what emerges is a position which is uniquely his own. One way in which this can be seen is by considering Heidegger's ‘Letter on Humanism’ of 1947 which is a response to Sartre's lecture and is, indeed, Heidegger's only direct response to Sartre's work. In the lecture Sartre had associated Heidegger with himself as an ‘existential atheist’ (p. 26), but in his letter Heidegger emphatically dissociates himself both from atheism and from existentialism as characterized by Sartre, and goes on to criticize the position advanced by Sartre in the lecture. Yet despite the popular exaggeration of the significance of Sartre's lecture, it is certainly worth studying; for not only is it short and accessible, though in some respects misleading, it is also one of Sartre's few indications of the positive ethical theory which so many of his writings require but do not supply. (shrink)

Sartre presented ‘Existentialism and Humanism’ to a popular audience in Paris late in 1945. As he implies in the discussion which is appended to the text of the lecture (pp. 57–58), he was here simplifying his views so as to make them intelligible to a wide audience. In this he succeeded only too well; the lecture has become exceedingly well known and has been regarded as a definitive presentation not only of Sartre's philosophy at the time, but also of ‘existentialism’. (...) One thing I hope to show in this essay is that this is not a sensible view to take; Sartre's text requires a good deal of interpretation and qualification in the light of his other writings of the period, and what emerges is a position which is uniquely his own. One way in which this can be seen is by considering Heidegger's ‘Letter on Humanism’ of 1947 which is a response to Sartre's lecture and is, indeed, Heidegger's only direct response to Sartre's work. In the lecture Sartre had associated Heidegger with himself as an ‘existential atheist’ (p. 26), but in his letter Heidegger emphatically dissociates himself both from atheism and from existentialism as characterized by Sartre, and goes on to criticize the position advanced by Sartre in the lecture. Yet despite the popular exaggeration of the significance of Sartre's lecture, it is certainly worth studying; for not only is it short and accessible, though in some respects misleading, it is also one of Sartre's few indications of the positive ethical theory which so many of his writings require but do not supply. (shrink)