:Preference-aggregation problems arise in various contexts. One such context, little explored by social choice theorists, is metaethical. ‘Ideal-advisor’ accounts, which have played a major role in metaethics, propose that moral facts are constituted by the idealized preferences of a community of advisors. Such accounts give rise to a preference-aggregation problem: namely, aggregating the advisors’ moral preferences. Do we have reason to believe that the advisors, albeit idealized, can still diverge in their rankings of a given set (...) of alternatives? If so, what are the moral facts when the advisors do diverge? These questions are investigated here using the tools of Arrovian social choice theory. (shrink)

Prior research has shown the relationship between objective economic inequality and searching for positional goods. It also investigated the relationship between social class and low income with conspicuous consumption. However, the causal relationship between economic inequality has been less explored. Furthermore, there are also few studies looking for the psychological mechanisms that underlie these effects. The current research’s main goal is to analyze the consequences of perceived economic inequality on conspicuous and status consumption and the possible psychological mechanisms that could (...) explain its effects. Furthermore, the current research aims to examine whether there is a causal relationship between PEI and materialism preferences and attitudes toward indebtedness. This work includes two preregister experimental studies. In the Study 1, we manipulated PEI and its legitimacy through a 2 × 2 between-participants experiment. Results showed a main effect of PEI on status consumption, status seeking, status anxiety, materialism, and attitude toward indebtedness. No interaction effect between legitimacy and inequality was found. In the Study 2, we manipulated the PEI through the Bimboola Paradigm. We replicated the effect of PEI on status consumption, status seeking, and materialism and found that status seeking mediated the relationship between PEI and status and conspicuous consumption. Economic inequality affects consumer behavior and favors consumption preferences for products that provide desirable symbolic values associated with status. These results could have important implications in the interpersonal and intergroup processes, including those related to consumption and purchase. (shrink)

Background This study introduces an empirical approach for studying the role of prudence in physician treatment of end-of-life (EOL) decision making.Methods A mixed-methods analysis of transcripts from 88 simulated patient encounters in a multicenter study on EOL decision making. Physicians in internal medicine, emergency medicine, and critical care medicine were asked to evaluate a decompensating, end-stage cancer patient. Transcripts of the encounters were coded for actor, action, and content to capture the concept of Aristotelian prudence, and then quantitatively and qualitatively (...) analyzed to identify actions associated with preference-concordant treatment.Results Focusing on codes that describe characteristics of physician-patient interaction, the code for physicians restating patient preferences was associated with avoiding intubation. Multiple codes were associated with secondary measures of preference-concordant treatment.Conclusions Prudent actions can be identified empirically, and research focused on the virtue of prudence may provide a new avenue for assessment and training in EOL care. (shrink)

How the diversity of membership of research ethics committees is arrived at has, to date, largely been fairly arbitrary. However, a tool to help determine one's moral preference is now available and it is introduced here as, arguably, having the potential to assist with ensuring a more meaningful diversity amongst an ethics committee's membership. The tool is seen to be easily applied – but, it is argued, may be conceived on at least two false premises. Firstly, despite different theories (...) of ethics, none can be proved to give the ‘right’ answer other than in its own terms. Secondly, if there is an ethical hierarchy, as the model suggests, then ethical diversity must become redundant for the possibility of achieving ethical excellence. (shrink)

ABSTRACTThis paper considers the moral justifiability of military conscription. Philosopher James Pattison has developed a theoretical framework for this purpose that he calls the Moderate Instrumentalist Approach, which assesses forms of military recruitment in light of a weighted comparison of three main factors: military effectiveness, democratic control and proper treatment of military personnel. According to Pattison, all-volunteer force systems are morally preferable by comparing better when it comes to these factors than other systems of military recruitment, notably conscription. However, (...) I argue that Pattison fails to evaluate certain hybrid systems, in particular what I call the Nordic Model of Conscription. I show that there are good reasons to think that such a hybrid system compares just as well or even better than an all-volunteer force, making the Nordic Model of Conscription at least as morally justifiable and arguably also morally preferable. (shrink)

In recent years much research has been undertaken regarding the feasibility of the human uterine transplant as a treatment for absolute uterine factor infertility. Should it reach clinical application this procedure would allow such individuals what is often a much-desired opportunity to become not only social mothers, or genetic and social mothers but mothers in a social, genetic and gestational sense. Like many experimental transplantation procedures such as face, hand, corneal and larynx transplants, UTx as a therapeutic option falls firmly (...) into the camp of the quality of life transplant, undertaken with the aim, not to save a life, but to enrich one. However, unlike most of these novel procedures – where one would be unlikely to find a willing living donor or an ethics committee that would sanction such a donation – the organs to be transplanted in UTx are potentially available from both living and deceased donors. In this article, in the light of the recent nine-case research trial in Sweden which used uteri obtained from living donors, and the assertions on the part of a number of other research teams currently preparing trials that they will only be using deceased donors, I explore the question of whether, in the case of UTx, there exist compelling moral reasons to prefer the use of deceased donors despite the benefits that may be associated with the use of organs obtained from the living. (shrink)

When faced with an ambiguous pronoun, comprehenders use both multimodal cues and linguistic cues to identify the antecedent. While research has shown that gestures facilitate language comprehension, improve reference tracking, and influence the interpretation of ambiguous pronouns, literature on reference resolution suggests that a wide set of linguistic constraints influences the successful resolution of ambiguous pronouns and that linguistic cues are more powerful than some multimodal cues. To address the outstanding question of the importance of gesture as a cue in (...) reference resolution relative to cues in the speech signal, we have previously investigated the comprehension of contrastive gestures that indexed abstract referents – in this case expressions of personal preference – and found that such gestures did facilitate the resolution of ambiguous statements of preference. In this study, we extend this work to investigate whether the effect of gesture on resolution is diminished when the gesture indexes a statement that is less likely to be interpreted as the correct referent. Participants watched videos in which a speaker contrasted two ideas that were either neutral or moral acceptable). A gesture to the left or right side co-occurred with speech expressing each position. In gesture-disambiguating trials, an ambiguous phrase was accompanied by a gesture to one side or the other. In gesture non-disambiguating trials, no third gesture occurred with the ambiguous phrase. Participants were more likely to choose the idea accompanied by gesture as the stimulus speaker’s preference. We found no effect of scenario type. Regardless of whether the linguistic cue expressed a view that was morally charged or neutral, observers used gesture to understand the speaker’s opinion. This finding contributes to our understanding of the strength and range of cues, both linguistic and multimodal, that listeners use to resolve ambiguous references. (shrink)

This paper copes with a real-world classification problem related to the management of claims received in an insurance company. The way to obtain the classifier is not easy due to the high amount of missing values as well as the inherent imbalanced scenario within class labels. Once the data partition has been done, the training set is submitted to an intensive double grid search in order to obtain the most promising type of missing value imputation approach and then a step (...) ahead is done using the best method and it starts the next round of data mining strategies which now falls into data rebalancing umbrella. Again, a grid search from an undersampling and oversampling family with different settings is done taking into account only seen data. The training data obtained after the first grid search are now submitted to the second step according the second grid search in order to get the ready training set for the further classifier training. The main objective of the work is to find the best combination of data mining techniques that suits the data set with a pipeline containing two types of data preparation methods coming from different families. As an outcome, first the problem of the presence of missing values has been addressed and then the data rebalancing techniques has been applied. The study focuses on obtaining classifiers based on Bayesian and lazy approaches as well as decision trees, evaluated on metrics such as the area under the ROC curve (AUC), Cohen’s kappa, Accuracy and the F-measure, among others. The imputation by the mean the mode is preferable to the Expectation Maximization Imputation in the scenario faced in this paper taking into account that the amount of missing values is higher than a forty percent for many features. (shrink)

One of the moral questions concerning autonomous vehicles (henceforth AVs) is the choice between types that differ in their built-in algorithms for dealing with rare situations of unavoidable lethal collision. It does not appear to be possible to avoid questions about how these algorithms should be designed. We present the results of our study of moral preferences (N = 2769) with respect to three types of AVs: (1) selfish, which protects the lives of passenger(s) over any number (...) of bystanders; (2) altruistic, which minimizes the number of casualties, even if this leads to death of passenger(s); and (3) conservative, which abstains from interfering in such situations. We differentiate between scenarios in which participants are to make their decisions privately or publicly, and for themselves or for their offspring. We aim to answer two research questions: (1) whether the public visibility of the choice of an AV type choice make this choice more altruistic and (2) which type of situation makes it more difficult to choose altruistically: when choosing for society as a whole, when choosing only for oneself, or when choosing only for one’s offspring. Our results show that respondents exhibit a preference for an altruistic strategy for AVs and that it is reinforced when signaled to others. The altruistic preference is strongest when applies to everybody else, weaker when it reflects a solely personal choice, and weakest when choosing for one’s own child. We conclude that a public choice is considerably more likely to pressure consumers into accepting a more socially beneficial solution. (shrink)

We can morally compare possible alternative states of affairs, judging that various actual historical occurrences were bad, overall—the Holocaust, World War I, and slavery, for example. We should prefer that such events had not occurred, and regret that they had occurred. But the vast majority of people who now exist would not have existed had it not been for those historical events. A ‘package deal’ is involved here: those events, together with oneself; or, the absence of the historical calamity, and (...) the absence of oneself. So, all considered, ought one to prefer never to have existed, and to regret that one exists? Not in itself, of course, but as part of the conjunction? There seems to be a strong case for saying that morally one must wish and prefer that certain historical events had not occurred, even if that would have meant that one would never have existed. One ought to regret, all considered, that the aggregate state of affairs that includes one's existence is the one that materialized. After setting out this idea, I explore arguments against it, and attempt to reach a conclusion. (shrink)

Stanford casts original light on the question of why humans moralize some preferences. However, his account leaves some ambiguity around the relationship between the evolutionary function of moralization and the dynamics of tribal formation. Does the model govern these dynamics, or only explain why there are moralizing dispositions that more conventional modeling of the dynamics can exploit?

La théorie économique standard ne propose pas d’explication plausible à l’émergence de comportements moraux. L’article étudie la façon dont l’économie comportementale tente de remédier à cette limite. Nous nous appuyons sur la littérature en philosophie morale pour montrer le rôle complémentaire que jouent la rationalité et les affects dans la construction des jugements moraux et lors de la prise de décision. Les travaux récents en philosophie expérimentale confirment la dualité du processus de choix. Nous montrons ensuite que la prise en (...) compte formelle des motivations morales en économie s’articule autour du rôle des normes, d’une part, et du rôle des émotions morales, d’autre part. Les modèles basés sur les émotions, les intentions, les attentes ou la prise en compte du contexte de la décision, apparaissent comme les plus réalistes. (shrink)

Contingent valuation surveys generally elicit stated preferences by asking how much a respondent would be willing to pay for an environmental improvement. By drawing on linguistic theory, we propose that the modal phrasing of this question establishes a particular type of commitment towards a hypothetical payment, namely a subjective want or desire. Based on the idea that beyond subjective desires, considerations about what is morally adequate may guide expressed values and that elicitation of these can be linguistically facilitated, we (...) employ an experimental framework to investigate the effects of different modals ( willing, should and appropriate) in the elicitation question on stated preferences. We find that elicited amounts with appropriate are higher than those elicited with willing and should for environmental improvements more associated with use values, while differences are non-significant for environmental improvements more associated with non-use values. We discuss the implications of our findings for stated preference studies, as well as the potential broader theoretical implications that our study entails regarding linguistic representations of the moral entrenchment of environmental values. (shrink)

Because an organization member’s degree of cognitive moral development (CMD) can be expected to influence his or her decisions and behaviour, in this paper we investigate the idea that that employees might prefer to supervise, work with, or work under others of particular levels or stages of CMD. We surveyed undergraduate business students in order to identify typical CMD preferences for co-workers and test preliminary hypotheses concerning possible influences on those preferences. Majorities of subjects expressed preferences (...) for conventional level work peers and subordinates but postconventional superiors, which could augur a lack of congruence between what subordinates typically desire of their superiors and how those superiors are likely to actually behave. (shrink)

I argue that Gauthier's constrained-maximizer rationality is problematic. But standard Maximizing Rationality means one's preferences are only rational if it would not maximize on them to adopt new ones. In the Prisoner's Dilemma, it maximizes to adopt conditionally cooperative preferences. (These are detailed, with a view to avoiding problems of circularity of definition.) Morality then maximizes. I distinguish the roles played in rational choices and their bases by preferences, dispositions, moral and rational principles, the aim of (...) rational action, and rational decision rules. I argue that Maximizing Rationality necessarily structures conclusive reasons for action. Thus conations of any sort can base rational choices only if the conations are structured like a coherent preference function; rational actions maximize on such functions. Maximization-constraining dispositions cannot integrate into a coherent preference function. (shrink)

The moral self-concept has been proposed as a central predictor of prosocial behaviour. In two experiments (one preregistered), we explored the nature of the relation between the moral self-concept (explicit and implicit) and prosocial behaviour. Specifically, we investigated the role of emotions associated with prosocial behaviour (consequential or anticipated) and preference for consistency. The results revealed a relation between the explicit moral self-concept and sharing behaviour. The explicit moral self-concept was linked to anticipated and consequential emotions (...) regarding not-sharing. Importantly, anticipated and consequential emotions about not-sharing mediated the relation between self-concept and behaviour. Yet, the relation was independent of preference for consistency. The implicit moral self-concept was neither related to prosocial behaviour nor to emotions associated with behaviour. Overall, our study demonstrates the interplay between cognitive and emotional processes in explaining prosocial behaviour. More specific, it underlines the link between the moral self-concept and prosocial behaviour and highlights the role of emotions about the omission of prosocial behaviour. (shrink)

In a series of important papers published roughly twenty years ago, Professor Robert Cooter developed a comprehensive economic theory of moral norms. He explained the value of those norms, described the process by which norms are adopted, and offered a set of predictions regarding the circumstances under which an individual will choose to adopt a particular moral norm. This brief Article applies behavioral law and economics and hedonic psychology to expand upon Professor Cooter’s path-breaking theory. In particular, understanding (...) welfare in hedonic terms — rather than preference-satisfaction terms — suggests a multitude of further situations in which individuals will justifiably seek to internalize moral norms. The hedonic approach to welfare then further suggests an enhanced role for the government to play in encouraging the adoption of welfare-enhancing norms. Cooter’s theory, combined with modern understandings of welfare and human behavior, thus offers powerful predictive and prescriptive possibilities. (shrink)

There has been much argument over whether procreative selection is obligatory or wrong. Rebecca Bennett has recently challenged the assumption that procreative choices are properly moral choices, arguing that these views express mere preferences. This article challenges Bennett's view on two fronts. First, I argue that the Non-Identity Problem does not show that there cannot be harmless wrongs – though this would require us to abandon the intuitively attractive ‘person-affecting principle’, that may be a lesser cost than abandoning (...) some more firmly-held intuition. But, even if we accept Bennett's claim that these choices are not moral, that does not show them to be mere personal preferences. I argue that there is a class of non-moral ‘categorical preferences’ that have much the same implications as moral preferences. If a moral preference for able-bodied children is problematic, then so is a non-moral categorical preference. Thus, showing that these preferences are not moral does not show that they are not problematic, since they may still be categorical. (shrink)

We explore aversion to the use of algorithms in moral decision-making. So far, this aversion has been explained mainly by the fear of opaque decisions that are potentially biased. Using incentivized experiments, we study which role the desire for human discretion in moral decision-making plays. This seems justified in light of evidence suggesting that people might not doubt the quality of algorithmic decisions, but still reject them. In our first study, we found that people prefer humans with decision-making (...) discretion to algorithms that rigidly apply exogenously given human-created fairness principles to specific cases. In the second study, we found that people do not prefer humans to algorithms because they appreciate flesh-and-blood decision-makers per se, but because they appreciate humans’ freedom to transcend fairness principles at will. Our results contribute to a deeper understanding of algorithm aversion. They indicate that emphasizing the transparency of algorithms that clearly follow fairness principles might not be the only element for fostering societal algorithm acceptance and suggest reconsidering certain features of the decision-making process. (shrink)

This article presents the results of a study that analysed whether social responsibility had any bearing on the decision making of institutional investors. Being that institutional investors prefer socially aligned organizations, this study explored to what extent the corporate actions and/or social/environmental investments influenced their decisions. Our results suggest that there are specific variables that affect the perceived value of the organization, leading to decisions to not only invest, but whether to hold or sell the shares, and therefore having a (...) consequential impact on the capital market’s valuation. (shrink)

In a recent paper, Cassinadri raised substantial criticism about the possibility of using moral reasons to endorse the hypothesis of extended cognition over its most popular alternative, the embedded view. In particular, Cassinadri criticized 4 of the arguments we formulated to defend EXT and argued that our claim that EXT might be preferable to EMB does not stand close scrutiny. In this short reply, we point out—contra Cassinadri—why we still believe that there are moral reasons to prefer EXT (...) over EMB, hence why we think that the former is more inclusive and more progressive than the latter. (shrink)

We study questionnaire responses to situations in which sacrificing one life may save many other lives. We demonstrate gender differences in moral judgments: males are more supportive of the sacrifice than females. We investigate a source of the endorsement of the sacrifice: antisocial preferences. First, we measure individual proneness to spiteful behavior, using an experimental game with monetary stakes. We demonstrate that spitefulness can be sizable—a fifth of our participants behave spitefully—but it is not associated with gender. Second, (...) we find that gender is consistently associated with responses even when we account for individual differences in the propensity to spitefulness. (shrink)

We created paired moral dilemmas with minimal contrasts in wording, a research strategy that has been advocated as a way to empirically establish principles operative in a domain‐specific moral psychology. However, the candidate “principles” we tested were not derived from work in moral philosophy, but rather from work in the areas of consumer choice and risk perception. Participants were paradoxically less likely to choose an action that sacrifices one life to save others when they were asked to (...) provide more reasons for doing so (Experiment 1), and their willingness to sacrifice lives depended not only on how many lives would be saved, but on the number of lives at risk (Experiment 2). The latter effect was also found in a within‐subjects design (Experiment 3). These findings suggest caution in the use of artificial dilemmas as a key testbed for revealing principled bases for moral judgment. (shrink)

Ethics deals with two basic problems. One is what to do to have a good life from our own personal point of view, which I shall call the problem of personal wellbeing The other is what to do to have a good life from a moral point of view, which I shall call the problem of morality.

When considering the role of prayer in the lives of believers, most theists agree that one important effect is the psychological impact on the person who is praying. Nevertheless, the way many of us pray, by primarily or solely focusing on our welfare and the welfare of our loved ones, agitates the human tendency towards exclusion. If we take seriously God’s commandment to love the neighbor as the self, we should use prayer, instead, as a prime opportunity to help cultivate (...) a moral character that embraces more inclusion. In this paper, I use Søren Kierkegaard’s Works of Love as a framework for working towards this more inclusive view of prayer—one that widens our moral circle and awareness to include all human beings, and not just the select ones we have chosen to prefer above all others. It does not follow that we are prohibited from praying for our own welfare or the welfare of our loved ones, but it does mean that using prayer in a way that only (or primarily) shows concern for those whom we prefer is morally problematic. (shrink)

The use of visual attention for evaluating consumer behavior has become a relevant field in recent years, allowing researchers to understand the decision-making processes beyond classical self-reports. In our research, we focused on using eye-tracking as a method to understand consumer preferences in children. Twenty-eight subjects with ages between seven and twelve years participated in the experiment. Participants were involved in two consecutive phases. The initial phase consisted of the visualization of a set of stimuli for decision-making in an (...) eight-position layout called Alternative Forced-choice. Then the subjects were asked to freely analyze the set of stimuli, they needed to choose the best in terms of preference. The sample was randomly divided into two groups balanced by gender. One group visualized a set of icons and the other a set of toys. The final phase was an independent assessment of each stimulus viewed in the initial phase in terms of liking/disliking using a 7-point Likert scale. Sixty-four stimuli were designed for each of the groups. The visual attention was measured using a non-obstructive eye-tracking device. The results revealed two novel insights. Firstly, the time of fixation during the last 4 visits to each stimulus before the decision-making instant allows us to recognize the icon or toy chosen from the eight alternatives with a 71.2% and 67.2% of accuracy respectively. The result supports the use of visual attention measurements as an implicit tool to analyze decision-making and preferences in children. Secondly, eye movement and the choice of liking/disliking choice are influenced by stimuli design dimensions. The icon observation results revealed how gender samples have different fixation and different visit times which depend on stimuli design dimension. The toy observations results revealed how the materials determinate the largest amount fixations, also, the visit times were differentiated by gender. This research presents a relevant empirical data to understand the decision-making phenomenon by analyzing eye movement behavior. The presented method can be applied to recognize the choice likelihood between several alternatives. Finally, children's opinions represent an extra difficulty judgment to be determined, and the eye-tracking technique seen as an implicit measure to tackle it. (shrink)

Preference formation and choice are dynamic cognitive processes arising from interactions between decision-makers and their immediate choice environment. This thesis examines how preferences and decisions are played out in visual attention, captured by eye-movements, as well as in group contexts. Papers I-II make use of the Choice Blindness paradigm. Paper I compares participants’ eye movements and pupil dilation over the course of a trial when participants detect and fail to detect the false feedback concerning their choices. Results indicate objective (...) markers of detection with important implications for questions concerning possible demand effect or cognitive dissonance explanations of choice blindness. Paper II examines another aspect of the choice environment, namely, the social context. Choice blindness is demonstrated in small groups for the first time. It is shown that preferential change can be induced in dyads by manipulating the group’s beliefs about their choices, thus extending the preference change through choice effects beyond individuals for the first time. Paper III examines how visual attention differentially supports both decision and memory processes depending on the amount of task-relevant information available to participants. Participants’ performance and visual attention dynamics was found to vary depending on the amount of information available to them, and the results indicate that decision outcomes are heavily influenced by encoding prior to traditional choice phases used in decision research. Papers IV-VII concern decision-making in the moral domain. Paper IV investigates visual attention when participants choose between difficult moral dilemmas, showing asymmetries in how participants distribute their attention depending on making utilitarian or deontological choices. Paper V introduces a novel paradigm for influencing decision based manipulating the timing of decision by measuring the direction of gaze while the participant deliberates. Using this method participants’ moral decisions were biased without their knowledge to a randomly chosen alternative. This shows that moral decision and visual attention are highly coupled and that by simply knowing where someone is looking it is possible to influence their decision process. Papers VI&VII build on the links between gaze direction and moral choice and present the first computational decision models based on eye gaze applicable to the moral domain. Paper VI for choices between abstract principles and Paper VII for donations to charitable organizations. Together the papers advance novel methodological solutions to understanding preferences and decisions across a number of domains, both highlighting the important contributions of social and sensorimotor interactions to the content of our decisions as they develop over time, as well as demonstrating how decisions can be influenced by leveraging those interactions. (shrink)

Volume 20, Issue 8, August 2020, Page 76-78.

David Gauthier suggested that all genuine moral problems are Prisoners Dilemmas (PDs), and that the morally and rationally required solution to a PD is to co-operate. I say there are four other forms of moral problem, each a different way of agents failing to be in PDs because of the agents’ preferences. This occurs when agents have preferences that are malevolent, self-enslaving, stingy, or bullying. I then analyze preferences as reasons for action, claiming that this (...) means they must not target the impossible, they must be able to be acted on in the circumstances, their targets must be attainable, and having the preferences must make their targets more likely. For groups of agents to have a distribution of preferences, their preferences must jointly have those four features, this imposing a kind of universalizability requirement on possible preferences. I then claim that, if all agents began with preferences satisfying these requirements, their preferences would not be of the morally problematic sort (on pain, variously, of circularity or contradiction in the specification of their targets). Instead, they would be either morally innocent preferences, or ones which put the agents in PDs. And it would then be instrumentally rational for the agents to prefer mutual co-operation. Thus if all agents initially had rationally permissible preferences and made rational choices of actions and preferences thereafter, they would never acquire immoral preferences, and so never be rationally moved to immoral actions. Further, the states of affairs such agents would be moved to bring about would be compatible with what Rawls’ agents would chose behind a veil of ignorance. Morality therefore reduces to rationality; necessarily, the actions categorically required by morality are also categorically required by rationality. (shrink)

People perceive that if their memories and moral beliefs changed, they would change. We investigated why individuals respond this way. In Study 1, participants judged that identity would change more after changes to memories and widely shared moral beliefs versus preferences and controversial moral beliefs. The extent to which participants judged that changes would affect their relationships predicted identity change and mediated the relationship between type of moral belief and perceived identity change. We discuss the (...) role that social relationships play in judgments of identity and highlight implications for psychology and philosophy. (shrink)

Suppose an agent is choosing between rescuing more people with a lower probability of success, and rescuing fewer with a higher probability of success. How should they choose? Our moral judgments about such cases are not well-studied, unlike the closely analogous non-moral preferences over monetary gambles. In this paper, I present an empirical study which aims to elicit the moral analogues of our risk preferences, and to assess whether one kind of evidence—concerning how they depend (...) on outcome probabilities—can debunk them. I find significant heterogeneity in our moral risk preferences—in particular, moral risk-seeking and risk-neutrality are surprisingly popular. I also find that subjects’ judgments aren't probability-dependent, thus providing an empirical defense against debunking arguments from probability dependence. (shrink)

In a recent article [AJP, 2013], Saul Smilansky argues that our own existence is regrettable and that we should prefer not to have existed at all. I show why Smilansky's argument is fallacious, if we understand terms like ‘regrettable’ and ‘prefer’ in a straightforward non-deviant way.

Bioethics has entered a new era: as many commentators have noted, the familiar mantra of autonomy, beneficence, nonmaleficence, and justice has proven to be an overly simplistic framework for understanding problems that arise in modern medicine, particularly at the intersection of public policy and individual preferences. A tradition of liberal pluralism grounds respect for individual preferences and affirmation of competing conceptions of the good. But we struggle to maintain (or at times explicitly reject) this tradition in the face (...) of individual preferences that we find distasteful, suspect, or even repugnant, especially where the broader social good or respect for equality is at stake. Directed donation presents us with such a dilemma: can we uphold the right of self-determination through respect of individual preferences regarding disposition of transplantable organs while at the same time maintaining an allocation system that reflects values of equity and justice claimed to underlie the socially negotiated practice of transplantation? Or are some preferences simply to be deemed unethical and not respected, even if that leads to a reduction in the number of transplantable organs available and to an apparent disregard for the autonomous decisions of the recently deceased? (shrink)

A reconsideration of mill's theory of "higher pleasures," construed as a way of evaluating changes in preferences or character that result from changes in social environment. mill's account is criticized and partly reconstructed in light of modern preference theory, but viewed favorably as an illuminating attempt to address a fundamental problem in moral evaluation of social institutions. mill's advocacy of the higher pleasures is defended in particular against the charge that it is incompatible with his commitment to liberty.

BackgroundImplementing the routine consultation of patient advance directives in hospital emergency departments and emergency medical services has become essential, given that advance directives constitute the frame of reference for care personalisation and respect for patients’ values and preferences related to healthcare. The aim of this study was to assess the levels and relationship of knowledge and attitudes of nursing and medical professionals towards advance directives in hospital emergency departments and emergency medical services, and to determine the correlated and predictor (...) variables of favourable attitudes towards advance directives.MethodsObservational, descriptive, and cross-sectional study. The study was conducted in the emergency department of a second-level hospital and in the emergency medical service. Data collection was performed from January 2019 to February 2020. The STROBE guidelines were followed for the preparation of the study.ResultsA total of 173 healthcare professionals responded to the questionnaire. Among them, 91.3% considered that they were not sufficiently informed about advance directives, and 74% acknowledged not having incorporated them into their usual practice. Multinomial analysis indicated a statistically significant relationship between the variable emergency medical service and having more favourable attitudes towards consulting the advance directives in their practical application (OR 2.49 [95% CI 1.06–5.88]; p = 0.037) and compliance in complex scenarios (OR 3.65 [95% CI 1.58 − 8.41]; p = 0.002). Working the afternoon and night shift was a predictor variable for obtaining a higher score with respect to attitudes in complex scenarios.ConclusionThere is an association between the level of knowledge that nursing and medical professionals have about advance directives and the scores obtained on the attitude scales at the time of practical implementation and in complex scenarios. This shows that the more knowledge professionals have, the more likely they are to consult patients' advance directives and to respect their wishes and preferences for care and/or treatment. (shrink)

Recently, a multinomial process tree model was developed to measure an agent’s consequence sensitivity, norm sensitivity, and generalized inaction/action preferences when making moral decisions (CNI model). However, the CNI model presupposed that an agent considersconsequences—norms—generalizedinaction/actionpreferences sequentially, which is untenable based on recent evidence. Besides, the CNI model generates parameters at the group level based on binary categorical data. Hence, theC/N/Iparameters cannot be used for correlation analyses or other conventional research designs. To solve these limitations, we developed the CAN (...) algorithm to computenormandconsequencesensitivities and overallaction/inactionpreferences algebraically in a parallel manner. We re-analyzed the raw data of the original CNI model to test the methodological predictions. Our results demonstrate that: (1) theCparameter is approximately equal between the CNI model and CAN algorithm; (2) theNparameter under the CNI model approximately equalsN/(1 −C) under the CAN algorithm; (3) theIparameter andAparameter are reversed around 0.5 – the larger theIparameter, the more the generalized inactionversusaction preference and the larger theAparameter, the more overall actionversusinaction preference; (4) tests of differences in parameters between groups with the CNI model and CAN algorithm led to almost the same statistical conclusion; (5) parameters from the CAN algorithm can be used for correlational analyses and multiple comparisons, and this is an advantage over the parameters from the CNI model. The theoretical and methodological implications of our study were also discussed. (shrink)

A theory of rationality evaluates actions and actors as rational or irrational. Assessing preferences themselves as rational or irrational is contrary to the orthodox view of rational choice. The orthodox view takes preferences as given, holding them beyond reproach, and assesses actions as rational or irrational depending on whether the actions tend to serve as effective means to the satisfaction of the given preferences. Against this view, this paper argues that preferences themselvesare indeed proper objects of (...) rational evaluation. This evaluation of preferences is driven by whether holding and acting on them conduces to, or interferes with the satisfaction of other, more important preferences. Taking the lead from methods in moral theory of holding individuals responsible for their moral or immoral character traits, this paper goes on to sketch parallel ways of determining an agent’s rational responsibility for her rational or irrational preferences. (shrink)