Elsewhere, I proposed a libertarian-based account of freedom and moral blameworthiness which like Harry Frankfurt's 1969 account rejects the principle of alternative possibilities (which I call, Frankfurt-friendly libertarianism). In this paper I develop this account further (a) by responding to an important objection to it raised by Carlos Moya; (b) by exploring the question why, if unavoidability per se does not exonerate from blame, the Frankfurt-friendly libertarian is justified in exculpating an agent under determinism; (c) by arguing that some main (...) compatibilist alternatives to the account are unsatisfactory; and finally (d) by defending it against a general criticism of certain libertarian theories made by Derk Pereboom. (shrink)

Pondering the question of free will in the context of probability allows us to take a fresh look at a number of old problems. We are able to avoid deterministic entrapments and attempt to look at free will as an outcome of the entire decision-making system. In my paper, I will argue that free will should be considered in the context of a complex system of decisions, not individual cases. The proposed system will be probabilistic in character, so it will (...) be embedded in the calculus of probability. To achieve the stated goal, I will refer to two areas of Carnap’s interest: the relationship between free will and determinism, and the probability-based decision-making system. First, I will present Carnap’s compatibilist position. On this basis, I will show how free will can be examined on deterministic grounds. Then I will present Carnap’s probabilistic project—the so-called logical interpretation of probability. In addition to presenting its characteristics and functionality, I will argue for its usefulness in the context of decision analysis and its immunity to problems associated with determinism. Finally, I will show how the two mentioned elements can be combined, as a result of which I will present a concept for a probabilistic analysis of free will. In this context, I will identify free will with the individual characteristics of the system. My main aim is to present the theme of free will in the light of a formal analysis based on probability rather than metaphysical assumptions. (shrink)

Discussions of patient-centred care and patient autonomy in bioethics have tended to focus on the decision-making context and the process of obtaining informed consent, leaving open the question of how patients ought to be counselled in the daily maintenance of their health and management of chronic disease. Patient activation is an increasingly prominent counselling approach and measurement tool that aims to improve patients’ confidence and skills in managing their own health conditions. The strategy, which has received little conceptual or ethical (...) analysis, raises important questions about how clinicians ought to foster confidence and a sense of control in their patients without exposing them to blame, stigma and other harms. In this paper, we describe patient activation, discuss its relationship to personal responsibility, autonomy and health disparities, and make recommendations regarding its use and measurement. (shrink)