Many philosophers working today on the normativity of language have concluded that linguistic activity is not a matter of rule following. These conversations have been framed by a conception of linguistic normativity with roots in Wittgenstein and Kripke. In this paper I use conceptual resources developed by the classical American pragmatists and their descendants to argue that punctate linguistic acts are governed by rules in a sense that has been neglected in the recent literature on the normativity of language. In (...) the course of arguing for this conclusion I defend a Kantian conception of rationality as rule-obeying activity, and I argue that this conception is compatible with a naturalistic understanding of ourselves as rational beings governed by rules of thought and action. (shrink)

This article is an attempt to discuss Dooyeweerd’s epistemology in the light of German Idealism. First, a characterization of the thought of Kant and Fichte is offered, focusing in particular on three themes: normativity, autonomy and reflexivity. Second, Dooyeweerd’s criticisms of Kant and Fichte are reviewed, and it is argued that, in both cases, Dooyeweerd focuses in on a central paradox that he seeks in his own thought to avoid. Third, Dooyeweerd’s epistemology is examined and it is argued that, (...) not only does his thought exhibit the primary themes of Idealist thought discussed previously, but that it falls into the same apparent paradox as do Kant and Fichte. Finally, the paradox itself is examined and a way forward for Reformational thought is suggested, by analogy with Fichte’s inter-subjective turn. (shrink)

The few extant arguments concerning the autonomy of science in the rational acceptance of hypotheses are examined. It is concluded that science is not morally autonomous, and that the attendant notion of rationality in science decisionmaking is inadequate. A more comprehensive notion of scientific rationality, which encompasses the old one, is proposed as a replacement. The general idea is that scientists qua scientist ought, in their acceptance decisions, to take into account the ethical consequences of acceptance as (...) well as the consequences with regard to the attainment of "purely scientific" or "epistemic" objectives. The result constitutes an argument for a (presumably cooperative) game theoretic treatment of inductive logic. (shrink)

Ronald S Laura, Michael Leahy; Religious Upbringing and Rational Autonomy, Journal of Philosophy of Education, Volume 23, Issue 2, 30 May 2006, Pages 253–265, h.

Ronald S Laura, Michael Leahy; Religious Upbringing and Rational Autonomy, Journal of Philosophy of Education, Volume 23, Issue 2, 30 May 2006, Pages 253–265, h.

This paper argues against Jon Elster's contention that there is a fundamentalincompatibility between, on one hand, autonomy and rationality and, on theother hand, adaptation to conditions of one's existence in the sense that one'sdesires or preferences are adjusted to what it is possible to achieve. While thefirst part of the paper more narrowly concentrated on Elster's discussion ofthese ideas, this second part goes on to a more general discussion of the conceptof rationality. On the basis of this (...) discussion, it is claimed that Elster's conclusionsconcerning autonomy and adaptation are premised on a defective conceptionof human experience and rationality. Moreover, the claim is made that thesedefects are also characteristic of "rational choice theory" more generally. (shrink)

This article argues against Jon Elster’s contention that there is a fundamental incompatibility between, on the one hand, autonomy and rationality, and, on the other hand, adaptation to the conditions of one’s existence in the sense that one’s desires or preferences are adjusted to what it is possible to achieve. It is claimed that Elster’s conclusions are premised on a defective conception of human faculties and powers, including a defective conception of human experience and rationality. Moreover, the (...) claim is made that these defects are also characteristic of “rational choice theory” more generally. (shrink)

This chapter contains sections titled: I Autonomy and Human Flourishing II Autonomy and the Liberal State III The Other Face of Liberalism IV Moral Agency and Liberal Democratic Education Notes References.

Autonomy is a fundamental though contested concept both in philosophy and the broader intellectual culture of today’s liberal societies. For instance, most of us place great value on the opportunity to make our own decisions and to lead a life of our own choosing. Yet, there is stark disagreement on what is involved in being able to decide autonomously, as well as how important this is compared to other commitments. For example, the success of every group project requires that (...) group members make decisions about the project collectively rather than each on their own. This disagreement notwithstanding, mental disorder is routinely assumed to put a strain on autonomy; however, it is unclear whether this is effectively the case and, if so, whether this is due to the nature of mental disorder or the social stigma that often attaches to it. This book is the first exploration of the nature and value of autonomy with reference to mental disorder. By reflecting on instances of mental disorder where autonomy is apparently compromised, it offers a systematic discussion of the underlying presuppositions of the present autonomy debates in philosophy and psychiatry. In so doing, it helps address different kinds of emerging scepticism questioning either the appeal of autonomy as a concept or its relevance to specific areas of normative ethics, including psychiatric ethics. (shrink)

Many ethical concerns have been voiced about Clinical Decision Support Systems (CDSSs). Special attention has been paid to the effect of CDSSs on autonomy, responsibility, fairness and transparency. This journal has featured a discussion between Rosalind McDougall and Ezio Di Nucci that focused on the impact of IBM’s Watson for Oncology (Watson) on autonomy. The present article elaborates on this discussion in three ways. First, using Jonathan Pugh’s account of rational autonomy we show that how Watson presents (...) its results might impact decisional autonomy, while how Watson produces knowledge might affect practical autonomy. Second, by drawing an analogy with patient decision aids we identify an empirical way of estimating Watson’s impact on autonomy (ie, value-congruence). Lastly, McDougall introduced the notion of value-flexible design as a way to account for the diverging preferences patients hold. We will clarify its relation with the established domain of value-sensitive design. In terms of the tripartite methodology of value-sensitive design, we offer aconceptualclarification using Pugh’s account of rational autonomy, anempiricaltool to evaluate Watson’s impact on autonomy and situate a group oftechnicaloptions to incorporate autonomy in Watson’s design. (shrink)

This paper sheds light on Kant’s notion of autonomy in his moral philosophy by considering Kant’s critique of the rationalist theories of morality that Kant discussed in his lectures on practical philosophy from the 1760s to the time of the Groundwork. The paper first explains Kant’s taxonomy of moral theories and his perspective on the history of ethics. Second, it considers Kant's arguments against the two main variants of ‘rationalism’ as he construes it, that is, perfectionism and theological voluntarism, (...) pointing out the similarities to previous criticisms. Third, the paper argues that Kant’s discussion of the 'rationalist' views does not amount to an unqualified dismissal, but to an attempt at working out a novel rationalist position. Kant’s criticisms of rationalist views suggest that his project emerges from the failures of previous rationalism, with the aim to work out a rationalist view that can account for moral obligation by integrating insights from the theological conception. The combination of perfectionism and theological views yields the basic outline of the idea of autonomy, consisting in the lawgiving function of a rational will as a key to the legislation of a necessary law. (shrink)

Kant’s ethics conceives of rational beings as autonomous–capable of legislating the moral law, and of motivating themselves to act out of respect for that law. Kant’s ethics also includes a notion of the highest good, the union of virtue with happiness proportional to, and consequent on, virtue. According to Kant, morality sets forth the highest good as an object of the totality of all things good as ends. Much about Kant’s conception of the highest good is controversial. This paper focuses (...) on the apparent conflict between Kant’s claim that we are autonomous, and passages in which he seems to suggest that we require belief in the possibility of the highest good to motivate moral action. I distinguish three distinct versions of these problematic claims that seem to be present in Kant’s texts: that the highest good serves as (1) a motivational supplement to respect for the moral law, (2) a fundamental spring of right action, and (3) a condition of the bindingness of moral requirements. I argue that the texts are better interpreted to yield alternatives to (2) and (3) that do not conflict with our autonomy. I also argue that, properly understood, (1) does not conflict with our autonomy. In arguing for the last claim, I explore Kant’s notion of radical evil and its implications for human agency and virtue. (shrink)

Autonomy as a personal ideal presupposes a conception of the self who owns and rules in a life that exemplifies the ideal. Philosophical discussion of autonomy continues to be injuenced by the thesis that the governing core of the self resides in our capacities for disengaged rational reflection, even when the thesis is not explicitly avowed. This conception of autonomy is shown to be inadequate because it alienates us from what matters in our lives. An alternative conception (...) of autonomy is presented that accords a substantial role to rejection and choice within an autonomous life without falling preq, to the charge of alienation. Some divergent implications of the two rival conceptions of autonomy for an understanding of liberal education are examined. Finally, the question of the value of autonomy from a social perspective is briefly discussed. (shrink)

This chapter contains sections titled: Rationalist and Existentialist Views of Autonomy and Authenticity Autonomy, Authenticity, and Volitional Necessity Authenticity, Existential Meaning, and Personal Identity Which Rationality? Which Orthodoxy? Autonomy, Authenticity, and Community Authenticity, Responsibility, and Education.

Autonomy as a personal ideal presupposes a conception of the self who owns and rules in a life that exemplifies the ideal. Philosophical discussion of autonomy continues to be injuenced by the thesis that the governing core of the self resides in our capacities for disengaged rational reflection, even when the thesis is not explicitly avowed. This conception of autonomy is shown to be inadequate because it alienates us from what matters in our lives. An alternative conception (...) of autonomy is presented that accords a substantial role to rejection and choice within an autonomous life without falling preq, to the charge of alienation. Some divergent implications of the two rival conceptions of autonomy for an understanding of liberal education are examined. Finally, the question of the value of autonomy from a social perspective is briefly discussed. (shrink)

Personal autonomy is often lauded as a key value in contemporary Western bioethics. Though the claim that there is an important relationship between autonomy and rationality is often treated as uncontroversial in this sphere, there is also considerable disagreement about how we should cash out the relationship. In particular, it is unclear whether a rationalist view of autonomy can be compatible with legal judgments that enshrine a patient's right to refuse medical treatment, regardless of whether the (...) reasons underpinning the choice are known and rational, or indeed whether they even exist. Jonathan Pugh brings recent philosophical work on the nature of rationality to bear on the question of how we should understand personal autonomy in contemporary bioethics. In doing so, he develops a new framework for thinking about the concept of autonomy, one that is grounded in an understanding of the different roles that rational beliefs and rational desires have to play in it. Pugh's account allows for a deeper understanding of d the relationship between our freedom to act and our capacity to decide autonomously. His rationalist perspective is contrasted with other prominent accounts of autonomy in bioethics, and the revisionary implications it has for practical questions in biomedicine are also outlined. (shrink)

This article explores a set of questions about the ‘idea of freedom’ that Kant introduces in the fourth paragraph of Groundwork III. I develop a reading that supports treating it as a normative notion and brings out its normative content in some detail. I argue that we should understand the idea as follows: that it is a general feature of reasoning and judgement that it understands itself to be a correct or sound application of the normative standards of the relevant (...) domain of cognition, not influenced by irrelevant or external factors. Reasoning and judgement are thus normatively committed to these standards of correctness. A second and related concern is to explore connections between the idea of freedom and Kant’s conception of autonomy and to identify different points at which autonomy plays a role in the argument of Groundwork III. In the final section, I mine the idea of freedom for a set of normative commitments specific to rational agency that play a foundational role in Kant’s moral conception. (shrink)

In this essay I critique two influential accounts of rational autonomy in common schooling that conceive liberalism as an ideal form of life, and I offer an alternative approach to democratic education that views liberal theory as concerned with coexistence among rival ways of living. This view places moral agency, not rational autonomy, at the heart of schooling in liberal societies—a moral agency grounded in initiation into dynamic traditions that enable self-definition and are accompanied by exposure to life-paths (...) other than one’s own. This alternative challenges the tendency in large diverse democracies (such as those of the US and the UK) to prefer common to particularistic schools, thereby placing many types of faith and secular schools on a more equal footing and providing moral justification for education in the national cultures of small liberal republics (such as Denmark, Israel and Lithuania) that maintain special relationships to particular groups while acknowledging the rights of all citizens. I call this approach the pedagogy of difference. (shrink)

Ruth Macklin argued that dignity is nothing more than respect for persons or their autonomy. During the COVID-19 pandemic, difficult decisions are being made about the allocation of scarce resources. Respect for autonomy cannot justify rationing decisions. Justice can be invoked to justify rationing. However, this leaves an uncomfortable tension between the principles. Dignity is not a useless concept because it is able to account for why we respect autonomy and for why it can be legitimate to (...) override autonomy in times of critical care resource shortages. Dignity affirms the worth of the human individual as a meaning-making embodied subject, who is always in relationship to others, the world, time, and transcendence, and who realizes their dignity through their moral behaviour. Such an understanding means people should be helped to make morally right decisions about their own treatment, which may include forgoing potentially beneficial treatment for the good of others. Respect for dignity does not require fulfilling the morally wrong choices of one who insists on treatment at the expense of others. Dignity also protects the discretion of clinicians to make decisions appropriate to their competence by prohibiting the application of broad-based criteria such as age. (shrink)

Kazuo Ishiguro’s book Never Let Me Go is a thoughtful and provocative exploration of what it means to be human. Drawing on insights from the hermeneutic-phenomenology of Martin Heidegger, I argue that the movement of Ishiguro’s story can be understood in terms of actualising the human potential for autonomous action. Liberal theories take autonomy to be concerned with analytically and ethically isolatable social units directing their lives in accordance with self-interested preferences, arrived at by means of rational calculation. However, (...) I argue that such theories are simplistic abstractions from our human-life world, distorting the fundamental embodied, embedded, and relational nature of autonomy. When we attend closely to our concrete, lived existence we see instead that autonomy is about responding appropriately to others with whom we share a world. As we follow the path of Ishiguro’s central character Kathy H., we are shown how an awareness and acceptance of our existential finitude as precarious and fallible creatures is necessary for guiding such appropriate interactions. As Kathy grows and is affirmed into her life-world, which grounds and supports her Being, she moves from heteronomy to autonomy; from being moved by external laws to embodying those laws, thereby becoming autonomous. This is exemplified by her appropriation of the carer role, through which she responds in a fitting way to those with whom she shares her world, bearing the weight of and dwelling responsibly within our human condition. (shrink)

Disclosure in clinical practice is aimed at promoting patient autonomy, usually culminating in patient choice (e.g., to consent to an operation or not, or between different medications). In medical ethics, there is an implicit background assumption that knowing more about (X) automatically translates to greater, or more genuine, autonomy with respect to one's choices involving (X). I challenge this assumption by arguing that in rare cases, withholding information can promote a patient's autonomy (understood as the capacity for (...) rational choice in alignment with one's values and goals). (shrink)

Disease radically changes the life of many people and satisfies formal criteria for being a transformative experience. According to the influential philosophy of Paul, transformative experiences undermine traditional criteria for rational decision-making. Thus, the transformative experience of disease can challenge basic principles and rules in medical ethics, such as patient autonomy and informed consent. This article applies Paul’s theory of transformative experience and its expansion by Carel and Kidd to investigate the implications for medical ethics. It leads to the (...) very uncomfortable conclusion that disease involves transformative experiences in ways that can reduce people’s rational decision-making ability and undermine the basic principle of respect for autonomy and the moral rule of informed consent. While such cases are limited, they are crucial for medical ethics and health policy and deserve more attention and further scrutiny. (shrink)

Marshall et al. (2024) raise questions regarding patient refusals of care. In this commentary we address refusals of care from the lens of patient autonomy and provide suggestions for patient cente...

This chapter charts the evolution of Kant’s approach to moral evil. It lays out an apparent problem with Kant’s account of the connection between the freedom required for moral responsibility and the freedom of rational autonomy: that if the former requires the latter, then imputable moral evil is impossible.

Informed consent is the practical expression of the doctrine of autonomy. But the very idea of autonomy and conscious free choice is undercut by the view that human beings react as their unconscious brain centres dictate, depending on factors that may or may not be under rational control and reflection. This worry is, however, based on a faulty model of human autonomy and consciousness and needs close neurophilosophical scrutiny. A critique of the ethics implied by the model (...) takes us towards a 'care of the self' view of autonomy and the subject's attunement to the truth as the crux of reasoning rather than the inner mental/neural state views of autonomy and human choice on offer at present. (shrink)

This chapter offers a fine-grained analysis of the relationship between autonomy and responsibility in order to address a challenge according to which considering autonomy and responsibility as closely related is misleading since these concepts serve different normative objectives. In response to this challenge, I first explore two criteria of ascription – rationality and control – that autonomy and responsibility seem to share. I then contrast and compare three pairs of autonomy and responsibility conceptions. Examining these (...) pairs rescues the idea that there are normatively significant connections between autonomy and responsibility, albeit that what that connection is and why it matters is highly sensitive to the different understandings of autonomy and responsibility one might adopt. The first pair, self-governance and accountability, posits a notion of core agency as irreducibly valuable. The second, authenticity and attributability, rests on a shared ideal of actively becoming a distinctive self. The third and final, relational autonomy and answerability, derives from the thought that unequal standing impacts heavily on whether and how the criteria of rationality and control are applied in specific cases. This analysis demonstrates that rationality and control are not independent criteria but always work in tandem. Failing to appreciate these conceptual interactions could obfuscate promising pathways for both supporting personal autonomy and challenging unwarranted responsibility ascriptions. (shrink)

Rousseau’s project in his Social Contract was to construct a conception of human subjectivity and political institutions that would transcend what he saw to be the limits of liberal political theory of his time. I take this as a starting point to put forward an interpretation of his theory of the general will as a kind of social cognition that is able to preserve individual autonomy and freedom alongside concerns with the collective welfare of the community. But whereas many (...) have seen Rousseau’s ideas as a prelude to communitarianism or authoritarianism, we should instead see his project as articulating an alternative model of moral-cognitivist reasoning. In order to provide a framework for this interpretation, I propose reading his conception of the general will through the theory of collective intentionality and social ontology. I end with a consideration of how this interpretation of the general will can provide a more satisfying understanding of political and practical rationality contemporary debates over republicanism and liberalism. (shrink)

With dying increasingly becoming a medicalised experience in old age, we are witnessing a shift from concern over death itself to an interest in dying ‘well’. Fierce discussions about end-of-life decision making and the permissibility of medical intervention in dying, discursively structured around the notion of a ‘good’ death, are evidence of this shift. This article focuses on ‘autonomy’ and ‘dignity’ as key signifiers in these discussions. Rather than being fully fixed and stable, both signifiers are contingent and carry (...) a variety of meanings within different discursive projects. The article aims to distinguish the varieties of these signifiers by elaborating existing theoretical perspectives on autonomy and dignity, and also, starting from a perspective on mass media as sites of meaning production and contestation, to study the contingency of autonomy and dignity in Belgian newspaper coverage of four prominent euthanasia cases. By means of a discourse-theoretical textual analysis, this study exposes a dominant—yet contested—articulation of rational-personal autonomy and of dignity in external terms as something that can be obtained, retained or lost, rather than in terms of intrinsic human integrity. These logics of representation reflect a more general late modern dominance of liberal autonomy and of dignity as being closely connected to self-identity, but at the same time result in limited visibility of alternative ways of experiencing an autonomous and dignified death. (shrink)

This paper aims to provide a clarification of the long debate on whether enhancement will or will not diminish authenticity. It focuses particularly on accounts provided by Carl Elliott and David DeGrazia. Three clarifications will be presented here. First, most discussants only criticise Elliott’s identity argument and neglect that his conservative position in the use of enhancement can be understood as a concern over social coercion. Second, Elliott’s and DeGrazia’s views can, not only co-exist, but even converge together as an (...) autonomy based theory of authenticity. Third, the current account of autonomy provided by DeGrazia fails to address the importance of rationality and the ability of self-correction, which, as a result impedes the theory to provide a fully developed account for authenticity. In conclusion, a satisfactory account of authenticity cannot focus only on identity or subjective preference. (shrink)

The ideal of personal autonomy faces a challenge from advocates of orthonomy, who think good government should displace self-government. These critics claim that autonomy is an arbitrary kind of psychological harmony and that we should instead concentrate on ensuring our motivations and deliberations are responsive to reasons. This paper recasts these objections as part of an intramural debate between approaches to autonomy that accept or reject the requirement for robust rational capacities. It argues that autonomy depends (...) upon such responsiveness to reasons, countering objections that ‘externalist’ rationalist criteria strip the self from self-government. (shrink)

This chapter contains sections titled: Introduction A. The Formula of Autonomy – Initial Statements B. The Formula of Autonomy, the Formula of Universal Law, and the Formula of Humanity C. The Kingdom of Ends D. Price and Dignity E. Critical Remarks and Worries F. The Formula's Larger Implications References.

This article points out an internal tension, or even conflict, in the conceptual foundations of Harvey Siegel’s conception of critical thinking. Siegel justifies critical thinking, or critically rational autonomy, as an educational ideal first and foremost by an appeal to the Kantian principle of respect for persons. It is made explicit that this fundamental moral principle is ultimately grounded in the Kantian conception of autonomous practical reason as normatively and motivationally robust. Yet this Kantian conception openly conflicts with Siegel’s (...) own two-component theory of critical thinking, which on close inspection turns out to be a version of the Humean conception of instrumental practical reason as normatively and motivationally powerless. It is concluded that Siegel cannot have it both ways: he cannot appeal both to means-end and to robust rationality. Siegel’s Kantian justification of the critical thinking educational ideal is, therefore, found wanting in terms of his own Humean premises. (shrink)

_ Source: _Page Count 19 The ideal of personal autonomy faces a challenge from advocates of orthonomy, who think good government should displace self-government. These critics claim that autonomy is an arbitrary kind of psychological harmony and that we should instead concentrate on ensuring our motivations and deliberations are responsive to reasons. This paper recasts these objections as part of an intramural debate between approaches to autonomy that accept or reject the requirement for robust rational capacities. It (...) argues that autonomy depends upon such responsiveness to reasons, countering objections that ‘externalist’ rationalist criteria strip the self from self-government. (shrink)

Bratman's self-governance model of autonomy is part of a tradition of hierarchical accounts, according to which autonomy is a matter of the agent's psychology having a certain functioning and hierarchical structure that is constitutive of her practical standpoint. Bratman develops a sophisticated version of that account by drawing on a temporally extended sense of agency, which is realized and sustained by the role higher-order (self-governing) policies play—by being subject to rational demands of consistency, coherence and stability—in coordinating one's (...) life over time. We shall argue that: (i) there may be autonomous agency without self-governing policies; (ii) there is a tension between understanding autonomy as involving temporally extended agency and as realized essentially by those rational demands. (shrink)

How to conceptualize loving relationships so as to accommodate that just love is geared toward preserving and fostering individual autonomy? To develop an answer, this paper draws on the recent debate on the rational role of experience to motivate a view dubbed Murdochian presentationalism. Murdochian presentationalism takes seriously two presentationalist ideas: 1) individuals harboring different world views who respond to identical situations differently can be equally rational; 2) our views and concepts develop under the constant pressure of experience. It (...) combines these ideas with Murdoch’s tenet that coming to know others (and thus being able to do well by them) requires unselfish love, construed as just attention that involves a continuous refinement of our evaluative concepts and makes us better attuned to what is real. Complemented with a broadly Kantian notion of autonomy, the resulting view fits the bill. The paper ends on a sketch of what is dubbed the ideal lovers’ pledge and a comment on what metaphor the view arrived at suggests for thinking about loving relationships. (shrink)

This paper outlines a possible state of affairs in which human moral autonomy and a divine command ethical theory coexist. the theory of human moral autonomy agrees with the divine command theory that moral laws are created by an act of legislation. they disagree on who is the legitimate legislator. the paper argues that a rational agent faced with equally acceptable but incompatible solutions to moral problems or faced with disagreement among agents who insist on exercising their moral (...) autonomy is justified in accepting unconditionally the legitimacy of divine commands legislated by a just, merciful and loving god. (shrink)

Ethics of Psychiatry addresses the key ethical and legal issues in mental health care. With selections by Paul S. Applebaum, Christopher Boorse, Kerry Brace, Peter R. Breggin, Paula J. Caplan, Glen O. Gabbard, Donald H.J. Hermann, Lawrie Reznek, Thomas Szasz, Jerome Wakefield, Bruce J. Winick, and Robert M. Veatch, among others, this sourcebook offers the latest research in psychiatry, psychology, advocacy, mental health law, social services, and medical ethics relevant to the rational autonomy of psychiatric patients.

Through constructive arguments covering the principal topics and controversies in epistemology, ethics, and aesthetics, Autonomy and Normativity demonstrates how truth, right and beauty can retain universal validity without succumbing to the mistaken Enlightenment strategy of seeking foundations for rational autonomy. Presenting a compact, yet comprehensive statement of a powerful and provocative alternative to the reigning orthodoxies of current philosophical debate, Richard Winfield employs Hegelian techniques and presents a radical and systematic critique of the work of mainstream thinkers including: (...) Kant, Rawls, Husserl and Habermas. This book offers an invaluable resource for students of both analytic and continental philosophical traditions, and related areas of law, social theory and aesthetics. (shrink)

With dying increasingly becoming a medicalised experience in old age, we are witnessing a shift from concern over death itself to an interest in dying ‘well’. Fierce discussions about end-of-life decision making and the permissibility of medical intervention in dying, discursively structured around the notion of a ‘good’ death, are evidence of this shift. This article focuses on ‘autonomy’ and ‘dignity’ as key signifiers in these discussions. Rather than being fully fixed and stable, both signifiers are contingent and carry (...) a variety of meanings within different discursive projects. The article aims to distinguish the varieties of these signifiers by elaborating existing theoretical perspectives on autonomy and dignity, and also, starting from a perspective on mass media as sites of meaning production and contestation, to study the contingency of autonomy and dignity in Belgian newspaper coverage of four prominent euthanasia cases. By means of a discourse-theoretical textual analysis, this study exposes a dominant—yet contested—articulation of rational-personal autonomy and of dignity in external terms as something that can be obtained, retained or lost, rather than in terms of intrinsic human integrity. These logics of representation reflect a more general late modern dominance of liberal autonomy and of dignity as being closely connected to self-identity, but at the same time result in limited visibility of alternative ways of experiencing an autonomous and dignified death. (shrink)

It is argued that persuasive advertising overrides the autonomy of consumers, in that it manipulates them without their knowledge and for no good reason. Such advertising causes desires in such a way that a necessary condition of autonomy — the possibility of decision — is removed. Four notions central to autonomous action are discussed — autonomous desire, rational desire and choice, free choice, and control or manipulation — following the strategy of Robert Arrington in a recent paper in (...) this journal. Replies are made to Arrington's arguments in favour of advertising. It is also claimed that the argument developed by Philip Nelson, which concludes that even if persuasive advertising does override autonomy, it is still in the interests of consumers to be subjected to it, is seriously mistaken. Finally, some caveats concerning informative advertising are presented. (shrink)

If reason and emotion are taken as inseparable founda–tional components of human nature, then all knowledge must be characterized by both objective description and subjective, felt experience. If that is the case, then it is impossible for autonomy to be described in terms of rational knowledge, independent of affective response. Accordingly, autonomy and interdependence are mutually inclusive terms. Following the assumption that reason and emotion are integrally related in human understanding, morality can be explained by reference to both (...) rational principles and emotive, unreflected experience. Spinoza, Hume, and Vasu–bandhu provide three different but compatible views of moral development based on their views of the mutually informing effect of reason and emotion on motivation for action. In contrast to Kant, they describe the morally autonomous person as one who is directed by personal interests shaped by a consciousness of the context of emerging interrelated conditions. It is a context in which individual self–expression is a function of receptivity and responsiveness to the expression of others. (shrink)

According to a familiar criticism, liberal pluralism is undermined by the special value which liberals give to autonomy. This special value is then undermined by the very exercise of autonomy in practical judgement, since rational agents ought to give priority to values they have judged to be worthy, not to autonomy. This criticism presupposes an over-theoretical view of practical judgement which overlooks our need to integrate our diverse practical judgements into our lives. I explain this integration through (...) a conception of autonomy as the ability of a plurality to act in common. Drawing on Rawls' account of overlapping consensus, I argue that this view fits not only cases of collective activity, but also cases of individuals making life-structuring commitments. Understanding the essential connection between autonomy and plurality reveals what is mistaken about the familiar criticism of liberalism. (shrink)

In this chapter, our focus is the role played by notions of rationality in the diagnosis of mental disorders, and in the practice of overriding patient autonomy in psychiatry. We describe and evaluate different hypotheses concerning the relationship between rationality and diagnosis, raising questions about what features underpin psychiatric categories. These questions reinforce widely held concerns about the use of diagnosis as a justification for overriding autonomy, which have motivated a shift to mental incapacity as an (...) alternative justification. However, this approach too has recently been criticized from a mental disability rights perspective. Our analysis of the relationship between mental capacity and rationality is used to illuminate these concerns, and to investigate further the relationship between rationality and psychiatric diagnosis. (shrink)

I provide an analysis of Hegel's interpretation of the faith exemplified in Abraham's journey to Mt. Moriah to sacrifice his son. I do so by looking at changes in Hegel's discussion of this episode in the Lectures on the Philosophy of Religion that were given over the last decade of his career. In the process of tracing the contours of the development of Hegel's thinking on this issue I argue that his social philosophy, on which persons are first and foremost (...) creatures of rational self-determination, is informed by his understanding of logic and metaphysics, and I suggest some of the rationalist and romantic elements animating Hegel's thought remain viable today. (shrink)

This paper suggests that libertarians should avail themselves of a system of natural and autonomy-friendly motivational foundations—intrinsic motives. A psyche equipped with intrinsic motives could allow for some degree of character-formation that is genuinely and robustly autonomous. Such autonomy would rest on motives that are one’s own in the most direct way: they are part of one’s natural make-up. A model with intrinsic motives can help libertarians in multiple ways: to deal with skeptics regarding the very idea of (...) robust self-making; to explain the importance of autonomy (it helps explain how the agent can set her dominant life-goals on the basis of her own motives); to explain why an artificially induced, albeit rational, autonomy is less than genuine (it would not rely on the agent’s own motives). (shrink)

In Rationality and the Genetic Challenge: Making People Better? Matti Häyry provides a clear and informed discussion and analysis of a number of competing answers to the above questions. Häyry describes three main perspectives on the morality of prenatal genetic diagnosis , the “restrictive,” “moderate,” and “permissive” views, and his analysis illuminates that these views can be distinguished in terms of their different “rationalities”—their respective understanding of what counts as a reasonable choice for parents to make in light of (...) PGD. (shrink)