This discussion aims to give a normative theoretical basis for a “best judgment” model of surrogate decision making rooted in a regulative ideal of love. Currently, there are two basic models of surrogate decision making for incompetent patients: the “substituted judgment” model and the “best interests” model. The former draws on the value of autonomy and responds with respect; the latter draws on the value of welfare and responds with beneficence. It can be difficult to determine which of these two (...) models is more appropriate for a given patient, and both approaches may seem inadequate for a surrogate who loves the patient. The proposed “best judgment” model effectively draws on the values incorporated in each of the traditional standards, but does so because these values are important to someone who loves a patient, since love responds to the patient as the specific person she is. (shrink)

This paper explores the philosophical aspects of a problem—clutter—that has gathered growing attention from social scientists, but not philosophers, in recent years. The central questions are: What role should things play as we go about the business of living? How can we modify our relationship to things to better reflect who we are—our values and the shape we want our lives to have? I offer an analysis of clutter in both objective and subjective terms, suggesting that the problem of clutter (...) lies on the subjective side. I then defend the claim that the problem stems from a mistaken sense of what kinds of action are appropriate with respect to things, given the attitudes called for by the recognition of value. My answer to the motivating questions, then, is that things can and should have personal value, and that once we recognize this, we are in a better position to see clearly the role they play in our identities and thus to respond appropriately to their value, thus preventing the experience of our stuff as clutter. (shrink)