Sterilizations reconsidered?

Cowdin and Tuohey argue for a rethinking of Catholic bioethical principles and the Church's moral authority. Citing the Second Vatican Council for support, they argue that if the Church were to respect the proper autonomy of medicine, it would allow sterilizations. In this essay I argue against Cowdin and Tuohey's understanding that the Church has derived its moral laws independent of consultation with medicine and that it treats medicine simply as a source of technical expertise. I also argue that they misunderstand that nature of autonomy as well as the Church's position regarding the type of autonomy they request for medicine. I will especially argue against their understanding of the principles of totality and double effect as "dispensations" from the moral order. I conclude that they have provided no grounds to cause the Church to reconsider its condemnation of all sterilizations.     

Sterilization, Catholic health care, and the legitimate autonomy of culture.

Disagreement over the legitimacy of direct sterilization continues within Catholic moral debate, with painful and at times confusing ramifications for Catholic healthcare systems. This paper argues that the medical profession should be construed as a key moral authority in this debate, on two grounds. First, the recent revival of neo-Aristotelianism in moral philosophy as applied to medical ethics has brought out the inherently moral dimensions of the history and current practice of medicine. Second, this recognition can be linked to Catholic morality through Vatican II's affirmation of the legitimate autonomy of culture, including the sciences. A partial precedent for understanding the moral authority of medicine can be found in the recent history of Catholic medical morality, and we further argue that a full contemporary recognition of that authority would weigh against an absolute prohibition of direct sterilizations. Institutionally, we propose the allowance of direct sterilizations in cases where the clinically perceived biomedical good of the patient is at stake.     

Are early confucians consequentialists?

Various attempts have been made to interpret Confucian ethics in the framework of consequentialist ethics. Such interpretations either treat Mencius theory of moral choice as a kind of act-utilitarianism or attribute to Mencius a rather sophisticated consequentialist moral view. In this paper I challenge such interpretations and try to clarify the nature of the Confucian conception of the good. In order to show that the Confucian good is teleological but non-consequentialist, I will discuss different ways (especially those of John Rawls and Alasdair MacIntyre) of classifying ethical theories and show their bearing on my interpretation of Confucian ethics. I will then discuss the consequentialist (utilitarian) understanding of early Confucians, arguing that without a proper understanding of the overall character of Confucian ethics and its primary concern, no interpretation of the Confucian conception of the good may claim to be adequate.     

VI—Ought but Cannot

I assess a series of arguments intended to show that 'ought' implies 'can'. Two are rooted in uses of 'ought' in contexts of deliberation and command. A third draws on the distinctive resources of deontic logic. I show that, in each case, the arguments leave scope for forms of infinite moral consciousness—forms of moral consciousness in which a moral obligation retains its authority even in the face of the conviction that the obligation is impossible to fulfil. In this respect the paper sides with Martin Luther against Erasmus and Kant.     

The Importance of Pleasure in the Moral for Kant's Ethics

I argue for a new reading of Kant's claim that respect is the moral incentive; this reading accommodates the central insights of the affectivist and intellectualist readings of respect, while avoiding shortcomings of each. I show that within Kant's ethical system, the feeling of respect should be understood as paradigmatic of a kind of pleasure, pleasure in the moral. The motivational power of respect arises from its nature as pleasurable feeling, but the feeling does not directly motivate individual dutiful actions. Rather, the feeling is motivational in the sense that, after an agent has acted in a morally good way, the pleasure that results from that action contributes to the cultivation of virtue in the agent and, consequently, morally good actions in the future. Understanding the feeling of respect to be moral pleasure not only gives us insight into how finite rational beings develop virtue, but also a new way of understanding respect as an incentive.     

Moral Compromises, Moral Integrity and the Indeterminacy of Value Rankings

Though the art of compromise, i.e. of settling differences by mutual concessions, is part of communal living on any level, we often think that there is something wrong in compromise, especially in cases where moral convictions are involved. A first reason for distrusting compromises on moral matters refers to the idea of integrity, understood in the basic sense of 'standing for something', especially standing for the values and causes that to some extent confer identity. The second reason points out the objective nature of moral values, which seems to make them immune from negotiation and barter. If one sincerely holds some moral conviction to be true, than compromising on that belief must be a sign of serious confusion.In order to reach a better understanding of these two reasons, I analyse what is involved in personal integrity and how this relates to moral integrity. I argue that the search for moral integrity naturally brings us to the question of how one could accept moral compromises and still uphold the idea that moral values and principles have an objective authority over us. To address this question I will present a version of moral pluralism which tries to capture the enormous complexity of what should matter to us as moral persons, and which explains why value-rankings are often deeply indeterminate. The general position I defend in this paper is that compromises involving moral values and norms may be morally required and, therefore, be laudable. To sustain this position I will arrive at a view of ethical objectivity that allows the possibility to negotiate about the truth of moral beliefs.     

Surrogate Motherhood

ABSTRACT In the first part of this article I discuss some objections which assert that surrogacy is primarily—but not exclusively—harmful in a moral sense. After examination of mainly but not exclusively morality-dependent harms (objections from similarity with prostitution, exploitation, etc.) and after the discussion of possible non-morality-dependent harms (baby, couple, surrogate mother, agency, etc.), I argue, in the second part, that no one reason supports the possible prohibition of surrogacy. In the last part I try to show why moral reasons alone could not be sufficient to criminalize any kind of activity—including surrogacy—in a liberal order.     

Laying down one's life for oneself.

Roman Catholicism has long opposed suicide. Although Scripture neither condones nor condemns suicide explicitly, cases in the Bible that are purported to be suicides fall into several different categories, and the Roman Catholic tradition can show why some of these should be considered morally wrong and some should not. While Christian martyrdom is praised, it is not correct to argue that this Christian outlook invites suicide, or that it recommends physician-assisted suicide for altruistic motives. Church Tradition, from its earliest days, has clearly distinguished martyrdom from suicide. The principles of double effect and cooperation, mainstays in Roman Catholic moral theology, enable one to see the moral difference between martyrdom and suicide, and to appreciate why physician-assisted suicide is wrong for both patient and physician.     

In Defence of Advance Directives in Dementia

It has often been claimed that orthodox thinking about personal identity undermines the moral authority of advance directives in dementia by implying that the signer of the directive is numerically different from the severely demented patient. This is the ‘identity problem'. I introduce the problem, outline some well-known solutions, and explain why they might be deemed unattractive. I then propose an alternative solution. It promises to be compatible with orthodox thinking about personal identity. I discuss three ways in which it might be challenged and find that none is convincing. Personal identity is no bar to the moral authority of advance directives.     

Inwardness and Sociability: A Reply to Carter

Carter argues that Wittgensteinian moral philosophy – typified by the work of Raimond Gaita and Christopher Cordner – rests on shaky foundations because it vacillates between grounding moral judgements in grammar and in a form of life. In this article, I respond to Carter's criticism. I defend Wittgensteinian moral philosophy by showing that Gaita and Cordner specifically repudiate the purported dichotomy between grammar and a form of life. I then go on to explain why Wittgensteinian moral philosophers are right not to try to ground moral judgements in features of a shared form of life.     

Moral Dilemmas,Collective Responsibility,and Moral Progress

Ruth Marcus has offered an account of moral dilemmas in which the presence of dilemmas acts as a motivating force, pushing us to try to minimize predicaments of moral conflict. In this paper, I defend a Marcus-style account of dilemmas against two objections: first, that if dilemmas are real, we are forced to blame those who have done their best, and second, that in some cases, even a stripped down version of blame seems inappropriate. My account highlights the importance of collective responsibility in understanding dilemmas, and I suggest that it sheds light on understanding moral progress.     

Respect for autonomy and medical paternalism reconsidered

We offer a critique of one prominent understanding of the principle of respect for autonomy and of analyses of medical paternalism based on that understanding. Our main critique is that understanding respect for autonomy as respect for freedom from interference is mistaken because it is overly influenced by ‘four-alarm’ cases, because it fails to appreciate the full dimensions of legal self-determination (one of its main sources), because it conflates the research and therapeutic settings, and because it fails to appreciate themes of authority and power that have historically shaped the principle of respect for freedom from interference. We argue that respect for autonomy involves more than just freedom from interference and, on this basis, offer a critique of prevailing accounts of medical paternalism.     

Hume on the Standard of Virtue

Among those sympathetic to Hume'smoral philosophy, a general consensus hasemerged that his first work on the topic,A Treatise of Human Nature, is his best. Hislater work, An Enquiry Concerning thePrinciples of Morals, is regarded as scaleddown in both scope and ambition. In contrastto this standard view, I argue that Hume'slater work offers a more sophisticated theoryof moral evaluation. I begin by reviewing theTreatise theory of moral evaluation tohighlight the reasons why commentators find socompelling Hume's account of the corrections wemake to our moral sentiments. The method isendorsed by philosophers such as Henry DavidAiken and Annette C. Baier because, theyallege, it shows that moral sentiments reflecta process of judgment that includes thepossibility of corrigibility and ofjustification. But Hume's method of correctionfalls short and does not establish why thesentiments conforming to the standard of virtueshould count as moral judgments. In the secondEnquiry, Hume lays out a different set ofcriteria, including not only the need forcertain virtues of good judgment but attentionto the particular cultural and historicalorigins of the norms governing the virtues ofgood judgment. Hume's attention to diversityin evaluative outlook in his more matureposition takes seriously the relation betweenmoral authority and public debate.     

Moral Expertise?: Constitutional Narratives and Philosophical Argument

Using the bench trial of Colorado's Amendment 2 as an example, this article focuses on the more general question of expert testimony in moral philosophy. It argues that there is indeed expertise in moral philosophy but argues against admitting such expert testimony in cases dealing with what John Rawls terms "constitutional essentials" and 'matters of basic justice." Developing the idea of public reason inherent in the Rawlsian concept of political liberalism, the article argues that philosophers can and should speak out on public issues, if they do so with due respect for certain restrictions, but that they should not serve as expert witnesses on core constitutional questions, since doing so suggests that they claim a type of authority that would require fellow citizens to defer to their views. Such claims to authority in basic ethical matters threaten the mutual respect for divergent comprehensive doctrines that lies at the core of political liberalism. Philosophers have a duty to serve the public good, and they perform this service in fruitful ways. But they should refuse a public role that appears incompatible with equal respect for the committed ethical searching of their fellow citizens.     

Person and consciousness.

My interlocuter is Locke with his reduction of person to personal consciousness. This reduction is a main reason preventing people from acknowledging the personhood of the earliest human embryo, which lacks all personal consciousness. I show that Catholic Christians who live the sacramental life of the Church have reason to think that they are, as persons, vastly more than what they experience themselves to be, for they believe that the sacraments work effects in them as persons that can only be believed but that cannot be experienced within themselves in this life. I also show that Christians and non-Christians alike have an experience of moral good and evil in themselves that implies that they are, as moral persons, far more than they find in their conscious self-presence. It is, therefore, natural to think that if my being a person so far exceeds my consciousness, I may well have once existed as person even before the awakening of consciousness.     

Saints, heroes, sages, and villains

This essay explores the question of how to be good. My starting point is a thesis about moral worth that I??ve defended in the past: roughly, that an action is morally worthy if and only it is performed for the reasons why it is right. While I think that account gets at one important sense of moral goodness, I argue here that it fails to capture several ways of being worthy of admiration on moral grounds. Moral goodness is more multi-faceted. My title is intended to capture that multi-facetedness: the essay examines saintliness, heroism, and sagacity. The variety of our common-sense moral ideals underscores the inadequacy of any one account of moral admirableness, and I hope to illuminate the distinct roles these ideals play in our everyday understanding of goodness. Along the way, I give an account of what makes actions heroic, of whether such actions are supererogatory, and of what, if anything, is wrong with moral deference. At the close of the essay, I begin to explore the flipside of these ideals: villainy.     

Schizophrenia and Moral Responsibility: A Kantian Essay

In this paper, I give a Kantian answer to the question whether and why it would be inappropriate to blame people suffering from mental disorders that fall within the schizophrenia spectrum. I answer this question by reconstructing Kant’s account of mental disorder, in particular his explanation of psychotic symptoms. Kant explains these symptoms in terms of various types of cognitive impairment. I show that this explanation is plausible and discuss Kant’s claim that the unifying feature of the symptoms is the patient’s inability to enter into an exchange of reasons with others. After developing a Kantian Quality of Will Thesis, I analyze some real life cases. Firstly, I argue that delusional patients who are unable to enter into an exchange of epistemic reasons are exempted from doxastic rather than moral responsibility. They are part of the moral community and exonerated from moral blame only if their actions do not express a lack of good will. Secondly, I argue that disorganized patients who are unable to form intentions and to make plans are exempted from moral responsibility because they do not satisfy the conditions for agency.     

The Proper Structure of the Intellectual Virtues

If we adopt a virtue approach to epistemology, what form should the intellectual virtues take? In this paper, I argue that the proper structure of the intellectual virtues should be one that follows the tradition of internalism in epistemology. I begin by giving a general characterization of virtue epistemology and then define internalism within that framework. Arguing for internalism, I first consider the thought experiment of the new evil demon and show how externalist accounts of intellectual virtue, though constructed to accommodate our intuitions in such cases, cannot fully do so. I further argue that only adopting an internalist structure of the virtues will provide intellectual virtues that appropriately mirror the structure of the classical moral virtues. Finally, I argue that only an internalist structure of the virtues can explain why the intellectual virtues are valuable in themselves.     

A Consistent Ethic of Life: An American-Catholic Dialogue

Cardinal Bernardin provides an analysis of the Catholic Church and society at large for developing a consistent ethic of life. The Cardinal's position is that the pro-life position of the Catholic Church must be a comprehensive and consistent ethic of life. Furthermore, questions of abortion and nuclear war must be linked by a consistent ethic of life. Cardinal Bernardin closes with a conviction that there is a new openness today in society to the role of moral argument and moral vision in public affairs. The Catholic Church needs to commit itself to domestic and foreign policy changes that reflect a respect for life.