Capacity evaluation has become a widely used assessment device in clinical practice to determine whether patients have the cognitive ability to render their own medical decisions. Such evaluations, which might be better thought of as “capacity challenges,” are generally thought of as benign tools used to facilitate care. This paper proposes that such challenges should be reconceptualized as significant medical interventions with their own set of risks, side effects, and potentially deleterious consequences. As a result, a cost–benefit analysis should be (...) implemented prior to imposing such capacity challenges, and efforts should be made to minimize such challenges in situations where they are unlikely to alter the course of treatment. (shrink)

Metaphysical naturalism can be taken, roughly, to be the view that there is no God, and nothing beyond nature. Alvin Plantinga has argued that naturalism, in this sense, is self‐defeating. More specifically, he argues that an evolutionary account of human origins gives the naturalist compelling reasons for doubting the reliability of human cognitive faculties, and thus compelling reasons for doubting the truth of any of his beliefs, including naturalism itself. This argument, which has come to be known as the ‘evolutionary (...) argument against naturalism’, has generated a great deal of controversy, and a substantial literature concerning it has grown up as a result. In this paper, I will introduce readers to this literature. I begin by explaining the argument itself, and making clear its intuitive force. I then survey the main objections to it, such as the Perspiration Objection, the ‘Can’t the Naturalist Just Add a Little Something?’ Objection, and the Tu Quoque Objection: in the course of this survey, I pay particular attention to the most interesting of these, a version of the Tu Quoque Objection according to which the problem of evil results in a form of epistemic self‐defeat for the theist that is exactly analogous to the self‐defeat with which the naturalist is allegedly faced in the evolutionary argument. I go on to suggest that, despite the wide range of objections in the literature, the challenge of the evolutionary argument against naturalism is still very much with us, and I conclude by describing some promising directions for future research. (shrink)

Alvin Plantinga has famously argued that metaphysical naturalism is self-defeating, and cannot be rationally accepted. I distinguish between two different ways of understanding this argument, which I call the "probabilistic inference conception", and the "process characteristic conception". I argue that the former is what critics of the argument usually presuppose, whereas most critical responses fail when one assumes the latter conception. To illustrate this, I examine three standard objections to Plantinga's evolutionary argument against naturalism: the Perspiration Objection, the Tu Quoque (...) Objection, and the "Why Can't the Naturalist Just Add a Little Something?" Objection. I show that Plantinga's own responses to these objections fail, and propose counterexamples to his first two principles of defeat. I then go on to construct more adequate responses to these objections, using the distinctions I develop in the first part of the paper. (shrink)

Alvin Plantinga has famously argued that metaphysical naturalism is self-defeating, and cannot be rationally accepted. I distinguish between two different ways of understanding this argument, which I call the "probabilistic inference conception", and the "process characteristic conception". I argue that the former is what critics of the argument usually presuppose, whereas most critical responses fail when one assumes the latter conception. To illustrate this, I examine three standard objections to Plantinga's evolutionary argument against naturalism: the Perspiration Objection, the Tu Quoque (...) Objection, and the "Why Can't the Naturalist Just Add a Little Something?" Objection. I show that Plantinga's own responses to these objections fail, and propose counterexamples to his first two principles of defeat. I then go on to construct more adequate responses to these objections, using the distinctions I develop in the first part of the paper. (shrink)