The ends of medicine and the crisis of chronic pain

Pellegrino and Thomasma have proposed a normative medical ethics founded on a conception of the end of medicine detached from any broader notion of the telos of human life. In this essay, I question whether such a narrow teleological account of medicine can be sustained, taking as a starting point Pellegrino and Thomasma’s own contention that the end of medicine projects itself onto the intermediate acts that aim at that end. In order to show how the final end of human life similarly alters intermediate ends, such as the end of medicine, I describe Thomas Aquinas’s concept of pain and explain how his remedies for pain derive from his account of the telos of human life. In turn, this account has implications for the way in which physicians who accept such a telos would manage their patients’ pain. If a comprehensive telos for human life is necessary to make sense of even such a routine aspect of medical care, then medical ethicists may not be able to sidestep questions about the good life for human beings.

     

Virtue Ethics and Situationist Personality Psychology

In this paper I examine and reply to a deflationary challenge brought against virtue ethics. The challenge comes from critics who are impressed by recent psychological evidence suggesting that much of what we take to be virtuous conduct is in fact elicited by narrowly specific social settings, as opposed to being the manifestation of robust individual character. In answer to the challenge, I suggest a conception of virtue that openly acknowledges the likelihood of its deep, ongoing dependence upon particular social relationships and settings. I argue that holding this conception will indeed cause problems for some important strands of thought in virtue ethics, most notably in the tradition of Aristotle's Nicomachean Ethics. But an approach to virtue ethics modeled on David Hume's treatment of virtue and character in A Treatise of Human Nature promises to escape these problems.     

TWO SIDES OF 'SILENCING'

John McDowell argues that for virtuous agents the requirements of virtue do not outweigh competing considerations, but 'silence' them. He explains this claim in two different ways: a virtuous agent (a) will not be tempted to act in a way which is incompatible with virtue ('motivational silencing'), or (b) will not believe that he has any reason to act in a way which is incompatible with virtue ('rational silencing'). I identify a small class of cases in which alone McDowell's claims about rational silencing are true. He draws his claims from Aristotle's assertion that a life of virtue is 'selfsuffcient'. I offer an alternative reading of Aristotle's assertion, which does not imply the truth of McDowell's. But McDowell's claims about motivational silencing are true.     

Good and Well: The Case for Secular Buddhist Ethics

This paper examines the viability, in principle, of a secular Buddhist ethics, aimed at Buddhists, in the absence of the traditional, non-secular motivators of the laws of karma and the doctrine of rebirth. I argue that Buddhist ethics can be construed either as a consequentialist or virtue ethics, with anattā or suññatā as grounding metaphysical ideas, neither of which presupposes a belief in either the cosmic-retribution idea of karma or any multiple-life (or in fact any afterlife) view of human existence. Additionally, consequentialism is primarily concerned with compassion, which is very much a within-world action tendency, and virtue ethics can be construed such that both the end goal (enlightened, compassionate, mindful flourishing) as well as the relevant virtues (the sīla part of the Eightfold Path and the brahmavihāras) are perfectly circumscribed within a single lifetime.     

Shu and zhong as the virtue of the Golden Rule: a Confucian contribution to contemporary virtue ethics

I aim to show how Confucian philosophy can contribute to the contemporary resurgence of virtue ethics education by arguing that it has the resource to address a lacuna in Aristotelian ethics. Aristotelian ethics, which is arguably the main resource of contemporary virtue ethics, lacks a virtue that corresponds to the notion of loving each person as one’s self or the Golden Rule. To be more precise, Aristotelian ethics has no virtue about loving all people as one’s self, although philia comes close but is precisely limited because it lacks universality. However, I believe that Dai Zhen’s interpretation of the Confucian virtues of shu and zhong does have this universal scope which philia lacks. For Dai, the ground for loving another is not any characteristic that a particular group of people have in common, such as, in the case of philia, being virtuous. Rather, the ground is universal human nature itself.     

The Rationality of Happiness

Abstract

In his recent book, Happiness: personhood, community, purpose, Pedro Tabensky answers the question of what happiness is. He develops an Aristotelian account of happiness that, he claims, is everyone’s maximally rational ideal. Much of the support for this claim rests on what Tabensky calls the method of critical introspection. This method involves introspecting on the kind of beings that we are and the kind of lives we can thus lead. If properly carried out, Tabensky claims, critical introspection will reveal to any individual that the active life of virtue is in fact the maximally rational ideal. I argue that two features of Tabensky’s account undermine this claim. The first is his account of the method of critical introspection itself. The second is his account of the nature and acquisition of virtue developed in his analogy between living and painting, and in his discussion of the eudaimon community. Tabensky’s account of critical introspection carried out at the general level of persons shows only that it works negatively to identify the kind of lives we could not lead as persons. It does not function positively to reveal that the maximally rational life for any person is the active exercise of virtue. Tabensky does suggest that the method carried out by particular individuals will reveal the kind of life they should be leading. However, it follows from Tabensky’s account of the nature and acquisition of virtue, I argue, that critical introspection can only reveal the active life of virtue to be the maximally rational ideal for those individuals who have had the right sort of upbringing in the right sort of community.     

Agency,human nature and character in Kantian theory

Conclusion In order for the duty of friendship to be practically possible, and for gratitude and beneficence to be unencumbered virtues, Kant need not have held that human beings are basically good. He need only have understood that they are social beings, with desires for both independence and connection, autonomy and affiliation, and purposes that are not always merely their own. I have argued that because he did not, his moral theory is flawed in three important respects.In Kant's theory, morality is only possible because humans are rational, and necessary because (absent morality) they are self-interested individuals, egoistically motivated, distrustful and isolated. When this view is applied to particular questions of friendship and the virtues, it becomes a distorting medium. It is my contention that a more adequate theory of character would result from the application of Kantian moral principles to a sounder, more social conception of human nature.In conclusion, I wish to make it clear that I am not arguing that human beings are basically good, only that they are essentially social. In his political writings Kant has emphasized the social dimension of reason itself, and I believe he would agree with Thomas Nagel's recent claim about human nature and morality: To say that altruism and morality are possible in virtue of something basic to human nature is not to say that men are basically good. Men are basically complicated; how good they are depends on whether certain conceptions and ways of thinking have achieved dominance, a dominance which is precarious in any case.

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THE PARADOX OF INQUIRY IN AUGUSTINE'S CONFESSIONS

Abstract: The Confessions recounts Augustine's successful search for God. But Augustine worries that one cannot search for God if one does not already know God. That version of the paradox of inquiry dominates and structures Confessions 1–10. I draw connections between the dramatic opening lines of book 1 and the climactic discussion in book 10.26–38 and argue that the latter discussion contains Augustine's resolution of the paradox of inquiry as it applies to the special case of searching for God. I claim that he develops a model, relying on the universal human experience of joy and truth, that identifies a starting point that (1) is common to all human beings, (2) is sufficient for guiding a successful search for God, and (3) avoids commitment to recollection of experiences prior to birth. The model is crucial to Augustine's rejection of traditional Platonist views about recollection.     

Professional Virtue and Professional Self-Awareness: A Case Study in Engineering Ethics

This paper articulates an Aristotelian theory of professional virtue and provides an application of that theory to the subject of engineering ethics. The leading idea is that Aristotle’s analysis of the definitive function of human beings, and of the virtues humans require to fulfill that function, can serve as a model for an analysis of the definitive function or social role of a profession and thus of the virtues professionals must exhibit to fulfill that role. Special attention is given to a virtue of professional self-awareness, an analogue to Aristotle’s phronesis or practical wisdom. In the course of laying out my account I argue that the virtuous professional is the successful professional, just as the virtuous life is the happy life for Aristotle. I close by suggesting that a virtue ethics approach toward professional ethics can enrich the pedagogy of professional ethics courses and help foster a sense of pride and responsibility in young professionals.     

Are We Essentially Animals?

Animalism is the view that we human individuals are animals. And standard animalists claim that if we are animals, we are animals essentially. This is because they believe that if we are animals, we are essentially members of the human kind (e.g., human animal, Homo sapiens), and as a result, we have the criterion of identity by virtue of that kind. The goal of this paper is to reject the claim that our being animals implies our essentially being animals. I begin by reformulating the standard animalist's argument for the claim that we are essentially biological entities of some sort. I then argue that the very same argumentative strategy can be applied against standard animalism. Specifically, the standard animalist's reasoning for the claim that we are contingently psychological beings faces a dilemma that undermines the claim that we are animals essentially. In the remainder of the paper, I reply to various objections to my argument and consider a strategy that animalists can pursue in attempting to block the dilemma.     

Narrative and Metaphysical Ambition: On Being “in Christ”

This article addresses some of the confusion regarding the role of metaphysical claims in narrative theology. Proponents and critics of narrative theology alike wonder at the ambiguous place of metaphysical speech about God as an objective reality. This essay enters the conversation through the side door of soteriology. Rather than focusing on the relationship between narrative and metaphysics or narrative and analogy or narrative and first‐order theological claims, I examine what sort of metaphysical statements are required to make the Christian claim that human beings are “in Christ” intelligible as a soteriological reality. I argue that the Christian grammar itself assumes a Christology with a certain kind of metaphysical ambition without which Christianity lapses into incoherence. To make this case, I show that David Kelsey's “narrative identity” Christology in Eccentric Existence lacks the metaphysical statements necessary to uphold his conviction that human beings are “in Christ.” A comparison with T. F. Torrance and the Book of Hebrews reveals that when narrative circumvents metaphysical statements about the incarnate Son, soteriological claims lack coherence and the biblical narrative itself is distorted by a false metaphysic. Thus, metaphysical claims internal to the narrative of Jesus are necessary to tell the story of God faithfully. In this way, narrative is the expression of a theological metaphysics.     

The problem of extras and the contingency of physicalism

Perhaps all concrete phenomena obtain solely in virtue of physical phenomena. Even so, it seems that the world could have been otherwise. It seems that physicalism, if true, is contingently true. In fact, many believe that the actual truth of physicalism allows metaphysically possible worlds duplicating the actual world in all physical respects while containing immaterial extras, e.g. ghosts, spirits, or Cartesian souls, that no physicalist would believe actually exist. Here I focus on physicalism regarding mentality and argue that the doctrine does not allow possible worlds that physically duplicate the actual world while differing mentally. By revealing what physicalism (regarding the mind) does not allow, this essay helps us get clear on what the view really amounts to and why it is contingent.     

The virtues of belief: toward a non-evidentialist ethics of belief-formation

William Kingdon Clifford famously argued that “it is wrong always, everywhere, and for anyone, to believe anything upon insufficient evidence.” His ethics of belief can be construed as involving two distinct theses—a moral claim (that it is wrong to hold beliefs to which one is not entitled) and an epistemological claim (that entitlement is always a function of evidential support). Although I reject the (universality of the) epistemological claim, I argue that something deserving of the name ethics of belief can nevertheless be preserved. However, in the second half of the paper I argue that Clifford’s response to the problem of unethical belief is insufficiently attentive to the role played by self-deception in the formation of unethical beliefs. By contrasting the first-person perspective of a doxastic agent with the third-person perspective of an outside observer, I argue that unethical belief is a symptom of deficiencies of character: fix these, and belief will fix itself. I suggest that the moral intuitions implicit in our response to examples of unethical belief (like Clifford’s famous example of the ship owner) can better be accounted for in terms of a non-evidentialist virtue ethics of belief-formation, and that such an account can survive the rejection of strong versions of doxastic voluntarism.

Joseph Butler, “Upon Self-Deceit” (1726)

     

Evil in the Fine‐Tuned World

If the world has been fine‐tuned for human life, why does that life encompass such calamity and suffering? It seems that in so far as we are impressed by the fine‐tuning intuition that the world has been designed for human life, the problem of natural evil gains in urgency. I propose that observing the world from the anthropic point of view is the source of theists’ challenge which arises from this tension. Dealing with this challenge I suggest perhaps the world is fine‐tuned for God’s telos, which may be His manifestation of love through sentient beings’ pains and emotions.     

Do Confucians Really Care? A Defense of the Distinctiveness of Care Ethics: A Reply to Chenyang Li

Chenyang Li argues, in an article originally published in Hypatia, that the ethics of care and Confucian ethics constitute similar approaches to ethics. The present paper takes issue with this claim. It is more accurate to view Confucian ethics as a kind of virtue ethics, rather than as a kind of care ethics. In the process of criticizing Li's claim, the distinctiveness of care ethics is defended, against attempts to assimilate it to virtue ethics.     

Is Personal Identity Evaluative?

Abstract

Martha Nussbaum subscribes to the view that our identity is an evaluative question determined by our common, deeply held beliefs about what is worthwhile in human life. In so doing, she asserts that for an account of ethics to have “philosophical power” it needs to be grounded in an account of human nature that is both evaluative and internal.

I focus on Nussbaum’s claim that personal identity has to include the necessary features of practical rationality and sociability. Although Nussbaum puts forward self-validating arguments to prove that we cannot - on pain of pragmatic inconsistency - dispute that practical rationality and sociability are necessary features of human life, it is my claim that her account is flawed. The nature of the relationship between ethics and human nature is the broader context to such debates. This paper raises questions regarding on the one hand, whether it is possible to found ethics in human nature and, on the other, what we are to make of accounts that turn on the assumption that identity is ethical, not metaphysical.     

VARIETIES OF VIRTUE ETHICS

The revival of virtue ethics over the last thirty-five years has produced a bewildering diversity of theories, which on the face of it seem united only by their opposition to various features of more familiar Kantian and Utilitarian ethical theories. In this paper I present a systematic account of the main positive features of virtue ethics, by articulating the common ground shared by its different varieties. I do so not to offer a fresh defence of virtue ethics, but rather to provide a conceptual map that locates its main claims and arguments in relation to those of rival theories, and identifies its distinctive contribution to contemporary ethics. I set out six specific claims which are made by all forms of virtue ethics, and I explain how these claims distinguish the theory from recent character-based forms of Kantian ethics and Utilitarianism. I then use this framework to briefly survey two main strands of virtue ethics which have been developed in the literature.¹     

德性伦理论要

德性伦理强调以人类自身的内在品质作为人的一切生活的出发点,这不仅使德性伦理在人类伦理思想的起源处规避着人类伦理生活的方向,而且在现代人类遭遇道德困境的形势下,又指示着人类伦理生活所应该采取的态度。德性伦理最终的理论指向便是将成就德性与明其规范统一起来,从而真正实现人自身的价值。在现代社会价值多元化的背景下,对传统德性伦理资源的挖掘,显得尤为重要。无论是亚里士多德的德性传统,还是原始儒家的德性传统,都可以为现代伦理理论的建设提供丰富的智性资源。     

On Hannah Arendt: The Worldly In-Between of Human Beings and its Ethical Consequences

Abstract

In this paper, I show how a concept of ethics can be derived from Hannah Arendt’s theory of action in The Human Condition, which contains from her call for action. When she looks at the ‘political actor’, as well as at the concept of ‘political situation’, her ethical claim is first of all the need to take initiative, to act. Hence, ‘political situations’ as she defines them are discussed as common responsibilities. But common responsibility is rooted in the in-between of human beings, rather than in individual human nature and is determined by Arendt’s principle of humanity. Therefore, at the centre of an implicit Arendtian ethics stands the world and the in-between of human beings.     

In Defense of Hiya as a Filipino Virtue

The Filipino concept of hiya, often translated as ‘shame’ or ‘embarrassment’, has often received ambivalent or negative interpretations. In this article I make an important distinction between two kinds of hiya: (1) the hiya that is suffered as shame or embarrassment (a passion) and (2) the hiya that is an active and sacrificial self-control of one’s individual wants for the sake of other people (a virtue). I borrow and reappropriate this distinction from Aquinas’ virtue ethics. This distinction not only leads to a more positive appraisal of hiya, it also leads to a new understanding of associated concepts that are often confused with hiya such as amor propio, pakikisama and the infamous ‘crab mentality’. Defending hiya as a virtue is part of an even wider philosophical project, the move from ‘Filipino values’ to a ‘Filipino virtue ethics’, which I already introduced in a previous article in this journal.