Mythos and Mental Illness: Psychopathy, Fantasy, and Contemporary Moral Life

Medical accounts of the absence of conscience are intriguing for the way they seem disposed to drift away from the ideal of scientific objectivity and towards fictional representations of the subject. I examine here several contemporary accounts of psychopathy by Robert Hare and Paul Babiak. I first note how they locate the truth about their subject in fiction, then go on to contend that their accounts ought to be thought of as a "mythos," for they betray a telling uncertainty about where "fact" ends and "fantasy" begins, as well as the means of distinguishing mental health from mental illness in regard to some social roles.     

Care,Commitment and Moral Distress

Moral distress has been the subject of extensive research and debate in the nursing ethics literature since the mid-1980s, but the concept has received comparatively little attention from those working outside of applied ethics. In this article, I defend a care ethical account of moral distress, according to which the phenomenon is the product of an agent’s inability to live up to one of her caring commitments. This account has a number of attractions. First, it places a greater emphasis on the importance of the relationship between the caregiver and her cared-for than that found in previous accounts. Second, it does not make problematic assumptions about the correctness of a caregiver’s moral judgments, as has been claimed in relation to previous accounts of moral distress. Finally, my account allows for a clear conceptual distinction to be drawn between moral distress and other forms of negative moral emotion such as guilt and regret. Earlier accounts draw this distinction by appealing to the causal aetiology of moral distress, but as I show here, such appeals are ultimately unsuccessful unless they are made from an explicitly care ethical starting point. One of the implications of my account is that moral distress has the potential to occur in the context of any caregiving relationship. This claim is explored in the final section of the paper, in relation to student-teacher and parent-child caregiving.     

Moral Judgement and Moral Motivation

I criticize an important argument of Michael Smith, from his recent book The Moral Problem (Oxford: Blackwell, 1994). Smith's argument, if sound, would undermine one form of moral externalism – that which insists that moral judgements only contingently motivate their authors. Smith claims that externalists must view good agents as always prompted by the motive of duty, and that possession of such a motive impugns the goodness of the agent. I argue (i) that externalists do not (ordinarily) need to assign moral agents such as a motive, and (ii) that possession of this motive, when properly understood, is morally admirable.     

Sexual Intimacy,Mental Illness,and Homelessness

The current article reviews the literature on sexuality among individuals with a severe mental illness (SMI) who have experienced homelessness, a topic that has received little attention in the research literature, particularly from a community psychology perspective. The review begins with a synthesis of the literature on SMI and sexuality, followed by a review of the available literature on SMI, homelessness, and sexuality. It concludes with an interpretation of the findings using community psychology values and principles. The findings highlight the importance of intimate relationships to recovery for many individuals with an SMI who have experienced homelessness. Policy implications for homeless shelters and housing interventions are discussed.     

Mapping Moral Motivation

In this paper we defend a version of moral internalism and a cognitivist account of motivation against recent criticisms. The internalist thesis we espouse claims that, if an agent believes she has reason to A, then she is motivated to A. Discussion of counter-examples has been clouded by the absence of a clear account of the nature of motivation. While we can only begin to provide such an account in this paper, we do enough to show that our version of internalism can be defended against putative counter-examples. All theories of motivation which take what motivates to be a psychological state run foul of the following plausible constraint: the reason why you ought to do an action and the reason why you do it can be the same. In our view, however, while what motivates is a reason (which is a fact) the state of being motivated is a cognitive stage, viz. the belief that one has reason to act. In cases where the agent's relevant beliefs are false, then she has no reason to act, but nontheless her action can be explained in other ways.     

Moral Motivation Pluralism

Motivational externalists and internalists of various sorts disagree about the circumstances under which it is conceptually possible to have moral opinions but lack moral motivation. Typically, the evidence referred to are intuitions about whether people in certain scenarios who lack moral motivation count as having moral opinions. People’s intuitions about such scenarios diverge, however. I argue that the nature of this diversity is such that, for each of the internalist and externalist theses, there is a strong prima facie reason to reject it. That much might not be very controversial. But I argue further, that it also gives us a strong prima facie reason to reject all of these theses. This is possible since there is an overlooked alternative option to accepting any of them: moral motivation pluralism, the view that different internalist and externalist theses correctly accounts for different people’s concepts of moral opinions, respectively. I end the paper with a discussion of methodological issues relevant to the argument for moral motivation pluralism and of the consequences of this view for theories about the nature of moral opinions, such as cognitivism and non-cognitivism.     

An Empirical Assessment of Salesperson Motivation,Commitment, and Job Outcomes

This study contributes to the efforts to integrate work commitment constructs into the long-dominant expectancy theory framework of salesforce motivation and performance. Responses were gathered from 231 industrial salespeople in order to: 1) provide evidence concerning discriminant and convergent validity of two measures of work commitment and 2) distinguish expectancy and commitment constructs; and investigate the relationships between motivation, commitment, and two important outcomes—effort and performance. The results of the study indicate that conceptual and empirical differences do exist between commitment variables and expectancy-based motivation variables. Job commitment and extrinsic motivation are found to be related to salesperson effort, which in turn is related to salesperson performance.     

The Minister and Mental Illness

Focusing on what I present to students on the first day of a seminary class on mental illness, this article cites six reasons why seminary students should learn about mental illness. In addition to noting that they are likely to have many experiences in their ministries of persons who are suffering from a mental illness, I also note the likelihood that some members of the class have experienced mental or emotional illnesses in their lives. These introductory comments emphasize the role that ministers may play in the prevention of mental illness and in supporting persons in the process of rehabilitation. The various roles that pastors may play in relation to mental illness are noted. Finally, I point out that, in the official roster of patron saints, mental illnesses are vastly underrepresented among the illnesses to which human beings are susceptible.     

Mental Illness,Natural Death,and Non-Voluntary Passive Euthanasia

When it is considered to be in their best interests, withholding and withdrawing life-supporting treatment from non-competent physically ill or injured patients – non-voluntary passive euthanasia, as it has been called – is generally accepted. A central reason in support of the procedures relates to the perceived manner of death they involve: in non-voluntary passive euthanasia death is seen to come about naturally. When a non-competent psychiatric patient attempts to kill herself, the mental health care providers treating her are obligated to try to stop her. Yet it has been suggested that death by suicide can be a part of the natural course of a severe mental illness. Accordingly, if the perceived naturalness of the deaths occurring in connection with non-voluntary passive euthanasia speaks for their moral permissibility, it could be taken that a similar reason can support the moral acceptability of the suicidal deaths of non-competent psychiatric patients. In this article, I consider whether the suicidal death of a non-competent psychiatric patient would necessarily be less natural than those of physically ill or injured patients who die as a result of non-voluntary passive euthanasia. I argue that it would not.     

Moral Motivation,Moral Phenomenology,And The Alief/Belief Distinction

In a series of publications, Tamar Gendler has argued for a distinction between belief and what she calls ‘alief’. Gendler's argument for the distinction is a serviceability argument: the distinction is indispensable for explaining a whole slew of phenomena, typically involving ‘belief-behaviour mismatch’. After embedding Gendler's distinction in a dual-process model of moral cognition, I argue here that the distinction also suggests a possible (dis)solution of what is perhaps the organizing problem of contemporary moral psychology: the apparent tension between the inherently motivational role of moral judgments and their manifestly objectivistic phenomenology. I argue that moral judgments come in two varieties, moral aliefs and moral beliefs, and it is only the former that are inherently motivating and only the latter that have an objectivistic phenomenology. This serves to both bolster the case for the alief/belief distinction and shed new light on otherwise well-trodden territory in metaethics. I start with an exposition of the moral-psychological problem (§1) and a discussion of Gendler's alief/belief distinction (§2). I then apply the latter to moral judgments in an attempt to dissolve the former (§3). I close with discussion of the upshot for our understanding of moral thought, moral motivation, and moral phenomenology (§4).     

Empathy, Shared Intentionality, and Motivation by Moral Reasons

Internalists about reasons generally insist that if a putative reason, R, is to count as a genuine normative reason for a particular agent to do something, then R must make a rational connection to some desire or interest of the agent in question. If internalism is true, but moral reasons purport to apply to agents independently of the particular desires, interests, and commitments they have, then we may be forced to conclude that moral reasons are incoherent. Richard Joyce (2001) develops an argument along these lines. Against this view, I argue that we can make sense of moral reasons as reasons that apply to, and are capable of motivating, agents independently of their prior interests and desires. More specifically, I argue that moral agents, in virtue of their capacities for empathy and shared intentionality, are sensitive to reasons that do not directly link up with their pre-existing ends. In particular, they are sensitive to, and hence can be motivated by, reasons grounded in the desires, projects, commitments, concerns, and interests of others. Moral reasons are a subset of this class of reasons to which moral agents are sensitive. Thus, moral agents can be motivated by moral reasons, even where such reasons fail to link up to their own pre-existing ends.     

California Firearms Law and Mental Illness

California provides numerous pathways by which people with mental illness can qualify for a state-level firearm prohibition. The state's involuntary detention for psychiatric treatment, or “5150” (CA W&I Code 5150) process, is often cited as one potential mechanism for reducing violence by dangerous people, though its use is limited to people whose dangerousness is due to a mental illness. Additionally, California has taken legislative steps to prohibit firearm ownership among other people who have an increased risk of violence, regardless of whether or not mental illness is a factor. This article compares the California firearm ownership disqualification system for mental illness with the federal system and those of other states, examines the strengths and weaknesses of this system, and reviews alternatives. Copyright © 2015 John Wiley & Sons, Ltd.     

Elaborating Expressivism: Moral judgments,Desires and Motivation

According to expressivism, moral judgments are desire-like states of mind. It is often argued that this view is made implausible because it isn’t consistent with the conceivability of amoralists, i.e., agents who make moral judgments yet lack motivation. In response, expressivists can invoke the distinction between dispositional and occurrent desires. Strandberg (Am Philos Quart 49:81–91, 2012) has recently argued that this distinction does not save expressivism. Indeed, it can be used to argue that expressivism is false. In this paper I argue that expressivism is a much more complex thesis than Strandberg assumes. Once these complexities are acknowledged, Strandberg’s arguments are rendered ineffective and expressivism rendered more plausible.     

Competition Anxiety,Motivation, and Mental Toughness in Golf

The purpose of this study was to examine whether one's profile of motivation was associated with competition anxiety through mental toughness among 173 competitive golfers (164 men, 9 women). Latent profile analysis identified three distinct motivation profiles (high, moderate, and low motivation). Multicategorical mediation models demonstrated that athletes reporting low or moderate levels of motivation had higher levels of competition anxiety, with these associations partially mediated by lower levels of mental toughness. These findings would permit practitioners to better understand motivation, mental toughness, and competition anxiety symptoms, and their associations.     

Moral Obligation and Moral Motivation in Confucian Role-Based Ethics

How is the Confucian moral agent motivated to do what he or she judges to be right or good? In western philosophy, the answer to a question such as this depends on whether one is an internalist or externalist concerning moral motivation. In this article, I will first interpret Confucian ethics as role-based ethics and then argue that we can attribute to Confucianism a position on moral motivation that is neither internalist nor externalist but somewhere in between. I will then illustrate my claim with my reading of Mencius 6A4, showing that it is superior to readings found in the literature, which typically assume that Mencius is an internalist.     

The Dual Moral Self: Moral Centrality and Internal Moral Motivation

In this study, the relationship between two aspects of the moral self, moral centrality and internal moral motivation, was analyzed. It is argued that these 2 aspects are conceptually distinct but nonetheless empirically related. Based on a cross-sectional study of 205 adolescents (M age = 14.83 years, SD = 2.21 years) it was found that moral centrality and internal moral motivation, even though substantially correlated, interacted in predicting moral emotion expectancies. Even though moral centrality was unrelated to adolescents’ age it predicted a longitudinal increase in internal moral motivation over a 1-year interval. Overall, the findings call for a differentiation of moral centrality and internal moral motivation as 2 distinct but interrelated aspects of moral self-development that follow different developmental trajectories and are differentially related to age. At the same time, the study points out that adolescence may be less important for the development of the moral self than commonly assumed.