Theo van Willigenburg

Protecting autonomy as authenticity using Ulysses contracts

Pre-commitment directives or Ulysses contracts are often defended as instruments that may strengthen the autonomous self-control of episodically disordered psychiatric patients. Autonomy is understood in this context in terms of sovereignty (governing or managing oneself). After critically analyzing this idea of autonomy in the context of various forms of self-commitment and pre-commitment, we argue that what is at stake in using Ulysses contracts in psychiatry is not autonomy as sovereignty, but autonomy as authenticity. Pre-commitment directives do not function to protect autonomous self-control. They serve in upholding the guidance that is provided by ones deepest identity conferring concerns. We elucidate this concept of autonomy as authenticity, by showing how Ulysses contracts protect the possibility of being a self.

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.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.

An Internalist View on the Value of Life and Some Tricky Cases Relevant to it

If we understand death as the irreversible loss of the good life, we can give meaning to the idea that for suffering patients in the end stage of their illness, life may become an evil and death no longer a threat. Life may lose its good already in the living person. But what does the good of life consist in, then? I defend an internalist view according to which the goodness of life is intrinsically related to the attitudes, concerns, interests and experiences of the person who is leading the life. This results in the contention that the core of what we understand as the value of the persons life is to be identified with what makes life go well for the person living the particular life. This internalist view does not presuppose (or imply) hedonism or mentalism, nor does it pose an experience requirement. Something may be good for you, because it is valuable as seen from your authentic viewpoint, even if you do not actually experience this goodness, or think otherwise because you are mistaken about your own well-being. To test this position, and the authenticity-requirement it includes, I discuss three cases of patients who are persistent in denying that in their life any value is left and who contend that death is not worse than further living. Internalism acknowledges that in the life of these patients there may be functionings and beings that are worthwhile, where the test of value is at least partially independent of subjective assessment. Still, internalism claims that something truly valuable can only contribute to the good of ones life of it has positive meaning as seen from the attitudinal viewpoint that identifies oneself.

P, but I lack sufficient evidence for p: A Reply to Douven

AbstractIn his ‘Review of Beliefs Own Ethics,’ Ars Disputandi 3 (2003), Igor Douven argued that ‘P, but I lack sufficient evidence for p’ is heard as odd not for conceptual reasons, but for pragmatic reasons. We hear this sentence as odd, because we are not regularly exposed to it. In this reply, the author argues that the assertion ‘P, but I lack sufficient evidence for p’ sounds contradictory, because the two parts of the assertion refuse combination on conceptual grounds. We are not regularly exposed to such assertions, because people normally find that a speaker can only be taken to assert p, if she beliefs that p. And people normally find that if one believes that p, then this is because, by one’s own lights, one has sufficient evidence for p. One may not be fully aware of this evidence. But it would certainly be contradictory to believe sincerely that p, while also believing that one lacks sufficient evidence for p.Abstract In his ‘Review of Beliefs Own Ethics,’ Ars Disputandi 3 (2003), Igor Douven argued that ‘P, but I lack sufficient evidence for p’ is heard as odd not for conceptual reasons, but for pragmatic reasons. We hear this sentence as odd, because we are not regularly exposed to it. In this reply, the author argues that the assertion ‘P, but I lack sufficient evidence for p’ sounds contradictory, because the two parts of the assertion refuse combination on conceptual grounds. We are not regularly exposed to such assertions, because people normally find that a speaker can only be taken to assert p, if she beliefs that p. And people normally find that if one believes that p, then this is because, by one’s own lights, one has sufficient evidence for p. One may not be fully aware of this evidence. But it would certainly be contradictory to believe sincerely that p, while also believing that one lacks sufficient evidence for p.