Virtually all activities of health care are motivated at some level by hope. Patients hope for a cure; for relief from pain; for a return home. Physicians hope to prevent illness in their patients; to make the correct diagnosis when illness presents itself; that their prescribed treatments will be effective. Researchers hope to learn more about the causes of illness; to discover new and more effective treatments; to understand how treatments work. Ultimately, all who work in health care hope to (...) offer their patients hope. In this paper, I offer a brief analysis of hope, considering the definitions of Hobbes, Locke, Hume and Thomas Aquinas. I then differentiate shallow and deep hope and show how hope in health care can remain shallow. Next, I explore what a philosophy of deep hope in health care might look like, drawing important points from Ernst Bloch and Gabriel Marcel. Finally, I suggest some implications of this philosophy of hope for patients, physicians, and researchers. (shrink)

We criticize attempts to define hope in terms of other psychological states and argue that hope is a primitive mental state whose nature can be illuminated by specifying key aspects of its functional profile.

This article offers a general discussion of the concept of false hope. Its ultimate aim is to clarify the meaning and the relevance of that concept for medicine and medical research. In the first part, the concept of hope is discussed. I argue that hope is more than a combination of a desire and a belief about the probability that the desire will be fulfilled. Imagination and anticipation are as well components of hope. I also discuss if hope implies orientation (...) to action. In the second part, I examine the concept of false hope. I show that hope is false if it cannot be justified epistemically. There is, I argue, an intimate relation between false hope and ignorance. Hope is justified—“realistic”—when the hoping person knows and accepts experts’ judgement about the probability of hope fulfillment. I then argue that what matters for evaluating a person’s hope is not only whether it is realistic, but also whether it is reasonable in the light of the aim and goals that a person strives for in his life. Part three goes into the question of what is morally wrong about having or causing false hope. In the fourth part, the relevance is shown of the insights from the previous parts for the debate on false hope in medicine and clinical research. (shrink)

Social inclusion can refer to the ability of individuals and groups to participate in social activities and the extent to which they feel included and recognized as valuable and able to make contributions. I explore the social inclusion of children in K-12 education (ages 4 - 18), and argue it is vital for the development and exercise of attitudes and capacities such as hope and local autonomy. Since schools are tasked with developing children's skills and knowledge, the extent to which (...) they succeed will play a large role in limiting or enabling children's social inclusion both when they become adults and as children. Children's relationships are an important aspect of their school experiences, as they affect not only whether they feel connected to others but also what they deem to be the grounds of their inclusion. Schools can also equip children with the skills and experiences required for social interactions with others in better and worse ways, fostering children's attitudes towards themselves, others, and the world and affecting whether they think they have the resources to have an impact on their environment and society and can achieve both personal and shared goals. (shrink)

I argue that hope is a virtue insofar as it leads to a more realistic view of the future than dispositions like optimism and pessimism, promotes courage, and encourages an important kind of solidarity with others. In light of this proposal, I consider the relationship between hope and our beliefs about what is good as well as the conditions under which hope may fail to be a virtue.

Those who have discussed hopefulness as a general quality of character have tended to regard it as something importantly different from the maintenance of particular hopes about the future. I contend that this approach is mistaken and that we should instead regard one as hopeful to the degree that one nurtures a specific hope, namely, the hope that the future will be good. Thus, rather than attempting to locate hopefulness in personality traits that do not directly concern the maintenance of (...) particular hopes, I instead argue that nurturing the hope for a good future is sufficient to ground many of the other qualities that we associate with hopeful people. (shrink)

According to a common reading of Thomas Hobbes, fear is the most philosophically important passion, responsible for the founding and sustaining of the commonwealth. I argue that this common reading is incorrect by focusing on the necessary and important role of hope in human action as well as in the founding and sustaining of the commonwealth. Life in the Hobbesian commonwealth, on the reading defended in this paper, is less fearful and more hopeful than scholars have noticed.

There is widespread scholarly disagreement whether Hobbesian passions are or involve a type of cognition (i.e., imagination). This largely overlooked disagreement has implications for our understanding of Hobbesian deliberation. If passions are intrinsically cognitive, then, because Hobbesian deliberation is a series of alternating passions, deliberation would appear to be intrinsically cognitive as well. In this paper, I bring to light this overlooked disagreement and argue for a non-cognitive reading of Hobbesian passions, according to which, a passion is an appetite or (...) aversion caused by, but distinct from, an imagination of a future good or harm. (shrink)