I aim to alleviate the pessimism with which some philosophers regard the 'objective attitude', thereby removing a particular obstacle which P.F. Strawson and others have placed in the way of more widespread scepticism about moral responsibility. First, I describe what I consider the objective attitude to be, and then address concerns about this raised by Susan Wolf. Next, I argue that aspects of certain attitudes commonly thought to be opposed to the objective attitude are (...) in fact compatible with it. Finally, I examine the prospects of someone who wishes to adopt the objective attitude permanently. In response to philosophers who claim that this would be psychologically impossible, I argue that our commitment to attitudes that presuppose moral responsibility can soften and fade, often without our noticing it. (shrink)

It has been argued that a retributivist criminal justice system treats offenders with a respect lacking in alternative criminal justice systems; retributivism presumably recognizes that offenders are fellow members of the moral community who can be held responsible for their actions. One version of the respect argument builds on P.F. Strawson’s moral responsibility theory. According to Strawson, we may take either a participant or objective attitude toward other people. The former is the default attitude when interacting with (...) other adults, whereas the latter is fit for children and the mentally disabled or ill, whom we merely try to manage and handle as best we can. The participant attitude also involves holding people responsible when they do wrong. Supposedly, a retributivist criminal justice system functions as a natural continuation of our everyday, participant, and responsibility-holding practices, unlike alternative systems that adopt an objective attitude toward offenders. I argue that this is wrong. The participant attitude requires reciprocity and, usually, some level of equality too. Even an idealized retributivist system has little room for this, not to mention the flawed versions of this system we see in reality. (shrink)

Conscientious objection poses ethical dilemmas frequently encountered by nurses, allowing them to prioritize personal beliefs in caregiving. However, it may also be viewed as a stance jeopardizing patients’ healthcare access. There is no measurement tool to measure conscientious objection in nurses. This study aimed to develop a measurement tool for nurses’ conscientious objection attitudes. This research is a methodological study conducted with a total of 261 nurses in Turkiye. Following content validity assessments by ten experts, a 29-item draft scale was (...) developed. Exploratory and confirmatory factor analyses examined the factor structure, and reliability was assessed via the Spearman-Brown coefficient, intraclass correlation coefficient (ICC), and Bland Altman plot. Cronbach’s alpha estimated internal consistency and discrimination, which were evaluated by comparing lower and upper 27% groups. The Nurses’ Conscientious Objection Attitude Scale (COAS-N) comprises 29 items and three sub-dimensions (prioritizing professional values, prioritizing personal values, and requesting the right to conscientious objection). Cronbach’s alpha for the entire scale is 0.81. Validity and reliability were established for the newly developed scale measuring nurses’ conscientious objection attitudes. (shrink)

In the context of his highly influential defence of compatibilism, P. F. Strawson 1962 introduced the terms "reactive attitude" and "objective attitude" to the free-will lexicon. He argued, in effect, that relinquishing such reactive attitudes as resentment and moral indignation isn't a real possibility for us, since doing so would commit us to exclusive objectivity, a stance incompatible with ordinary interpersonal relationships. While most commentators have challenged Strawson's link between personal relationships and the reactive attitudes, Tamler Sommers (...) 2007 has taken up Strawson's claim that exclusive objectivity would preclude meaningful relationships. Here I set out a defence of this claim by identifying a kind of interpersonal caring that is plausibly both required for such relationships and excluded by the objective attitude. I then argue that this defence helps to support Strawson's more controversial claim about personal relationships and the reactive attitudes. (shrink)

How do social media affect interpersonal relationships? Adopting a Strawsonian framework, I argue that social media make us more likely to adopt the objective attitude towards persons. Technologically mediated communication tends to inhibit interpersonal emotions and other reactive attitudes. This is due to a relative lack of the social cues that typically enable us to read minds and react to them. Adopting the objective attitude can be harmful for two reasons. First, it tends to undermine the (...) basis of interpersonal relationships. In particular, I argue that friendship is a relationship between persons that requires the participant stance. Second, it is a morally risky attitude that makes us more likely to treat persons in problematic, thing-like ways. Some philosophers have rightly urged that social media are compatible with virtuous, Aristotelian friendship. Notwithstanding, I argue that the harms associated with the objective attitude are more pressing than they might appear if we restrict our focus to relatively virtuous people with the social competence to flourish in morally risky online environments. (shrink)

In this article, I discuss Gerbert Faure’s Vrije wil, moraal en het geslaagde leven (Free Will, Morality, and the Well-lived Life). I summarize and elucidate Faure’s argument. My criticisms are directed primarily at the first chapter of the book, in which Faure develops what he regards as a Strawsonian account of free will and moral responsibility. Faure denies that we have free will; I argue that Strawsonians should not deny this. Faure argues that, although we do not have free will, (...) it is often justified to hold others responsible, because we owe it to the victim(s) of a wrong to hold the perpetrator responsible; it is our moral duty. I argue that we only have a moral duty to hold perpetrators responsible if they are morally responsible. I also comment on the way in which Faure presents Strawson’s distinction between theory and practice. (shrink)

Some attitudes typically take whole persons as their objects. Shame, contempt, disgust and admiration have this feature, as do many tokens of love and hate. Objectors complain that these ‘globalist attitudes’ can never fit their targets and thus can never be all-things-considered appropriate. Those who dismiss all globalist attitudes in this way are misguided. The fittingness objection depends on an inaccurate view of the person-assessments at the heart of the globalist attitudes. Once we understand the nature of globalist attitudes and (...) we recognize that we may legitimately treat some traits as more important than others in our overall evaluation of persons, we ought to conclude that our globalist attitudes can, in some cases, fit their targets and should not be summarily dismissed as unfitting. Our relationships contour the fittingness-conditions of globalist attitudes. This relational element poses a problem for fitting-attitude theories of value. (shrink)

BackgroundThe public’s attitudes to conscientious objection are likely to influence political decisions about CO and trust towards healthcare systems and providers. Few studies examine the pub...

The article deals with some problems of formalization of Russell's example with a yacht and Eugeniy Borisov's proposal concerning the usage of “object" affitudes. This idea seems wrong to me in terms of its contents, besides its formal realization fails. I believe that formalization of the example with a yacht must, firstly, take into account the pragmatics of the phrase's usage and, secondly, point at the mental representations of the objects. To do this, one can use propositions reflecting a technical (...) aspect of semantic relations. (shrink)

SummaryIn this article the thesis is defended that all objects of intentional attitudes are of one sort, while the thesis is rejected that epistemic attitudes can be assimilated.

Background Conscientious objection is a person’s refusal to fulfill a legal duty due to their ethical values, religious beliefs, or ideological affiliations. In nursing, it refers to a nurse’s refusal to perform an action or participate in a particular situation based on their conscience. Conscientious objection has become a highly contested topic in recent years. Research objectives This study had four objectives: (1) eliciting information on how Turkish nurses perceive conscientious objection, (2) revealing whether their moral beliefs affect the care (...) they provide, (3) determining their experiences with conscientious objection, and (4) identifying existing or potential issues of conscientious objection. Research design This qualitative study collected data through semi-structured interviews. The data were analyzed using thematic content analysis. Participants The sample consisted of 21 nurses. Ethical considerations The study was approved by an ethics committee. Confidentiality and anonymity were guaranteed. Participation was voluntary. Findings The analysis revealed four themes: (1) universal values of nursing (professional values), (2) experiences with conscientious objection (refusing to provide care/not providing care), (3) possible effects of conscientious objection (positive and negative), and (4) scope of conscientious objection (grounded and groundless). Conclusion Participants did not want to provide care due to (1) patient characteristics or (2) their own religious and moral beliefs. Participants stated that conscientious objection should be limited in the case of moral dilemmas and accepted only if the healthcare team agreed on it. Further research is warranted to define conscientious objection and determine its possible effects, feasibility, and scope in Turkey. (shrink)

This is a prepublication version of my book Objects and Attitudes (please cite the pbished version!). The book develops a novel semantics of attitude reports, modal sentences, and quotation based on the view that sentences semantically act as predicates of various attitudinal and modal objects, entities like claims, requests, promises, obligations, and permissions, rather than standing for abstract propositions playing the role of objects. The approach develops truthmaker semantics for attitudinal and modal objects and has a wide range of (...) applications to issues in philosophy of language, semantics, and philosophy of mind. (shrink)

This paper offers a positive account of an important but under-explored class of mental states, non-propositional attitudes such as loving one’s department, liking lattice structures, fearing Freddy Krueger, and hating Sherlock Holmes. In broadest terms, the view reached is a representationalist account guided by two puzzles. The proposal allows one to say in an elegant way what differentiates a propositional attitude from an attitude merely about a proposition. The proposal also allows one to offer a unified account of (...) the non-propositional attitudes that captures both empty and non-empty cases by properly locating the posited representations in the metaphysical structure of the attitudes. (shrink)

In a range of recent and not so recent work, I have developed a novel semantics of attitude reports on which the notion of an attitudinal object or cognitive product takes center stage, that is, entities such as thoughts claims and decisions. The purpose of this note is to give a brief summary of this account against the background of the standard semantics of attitude reports and to show that the various sorts of criticism that Felappi recently advanced (...) against it are mistaken. (shrink)

Objective To examine medical students’ views on conscientious objection and controversial medical procedures.Methods Questionnaire study among Norwegian 5th and 6th year medical students.Results Five hundred and thirty-one of 893 students responded. Respondents object to a range of procedures not limited to abortion —notably euthanasia, ritual circumcision for boys, assisted reproduction for same-sex couples and ultrasound in the setting of prenatal diagnosis. A small minority would object to referrals for abortion. In the case of abortion, up to 55% would tolerate (...) conscientious refusals, whereas 42% would not. Higher proportions would tolerate refusals for euthanasia or ritual circumcision for boys.Discussion A majority of Norwegian medical students would object to participation in euthanasia or ritual circumcision for boys. However, in most settings, many medical students think doctors should not be able to refuse participation on grounds of conscience. A minority would accept conscientious refusals for procedures they themselves do not object to personally. Most students would not accept conscientious refusals for referrals.Conclusions Conscientious objection remains a live issue in the context of several medical procedures not limited to abortion. Although most would want a right to object to participation in euthanasia, tolerance towards conscientious objectors in general was moderate or low. (shrink)

My intention is to cast light on the characteristics of epistemic or fundamental research (in contrast to application-oriented research). I contrast a Baconian notion of objectivity, expressing a correspondence of the views of scientists to the facts, with a pluralist notion, involving a critical debate between conflicting approaches. These conflicts include substantive hypotheses or theories but extend to values as well. I claim that a plurality of epistemic values serves to accomplish a non-Baconian form of objectivity that is apt to (...) preserve most of the intuitions tied to the objectivity of science. For instance, pluralism is the only way to cope with the challenge of preference bias. Furthermore, the plurality of epistemic values cannot be substantially reduced by exploring the empirical success of scientific theories distinguished in light of particular such values. However, in addition to pluralism at the level of theories and value-commitments alike, scientific research is also characterized by a joint striving for consensus which I trace back to a shared epistemic attitude. This attitude manifests itself, e.g., in the willingness of scientists to subject their claims to empirical scrutiny and to respect rational argument. This shared epistemic attitude is embodied in rules adopted by the scientific community concerning general principles of dealing with knowledge claims. My contention is that pluralism and consensus formation can be brought into harmony by placing them at different levels of consideration: at the level of scientific reasoning and at the level of social conventions regarding how to deal with claims put forward within the scientific community. (shrink)

Two arguments favoring propositionalist accounts of attitude sentences are being revisited: the Church-Langford translation argument and Thomason's argument against quotational theories of indirect discourse. None of them proves to be decisive, thus leaving the option of searching for a developed quotational alternative. Such an alternative is found in an interpreted logical form theory of attitude ascription. The theory differentiates elegantly among different attitudes but it fails to account for logical dependencies among them. It is argued, however, that the (...) concept of logical consequence does not well apply to dependencies among belief sentences and that the requirement to account for logical relations among such sentences should be relaxed. (shrink)

Propositions are the things we believe, intend, desire, and so on, but discussions are often less precise than they could be and an important driver of this deficiency has been a focus on the objects but a neglect of the attitudinal relations we bear to them. In what follows, we will offer some thoughts on what it means for a proposition to be the object of an attitude and we will argue that an important part of the story lies (...) with the attitude relations rather than the propositions. As we will see there are infinitely many relations we might bear to a proposition, but the propositional attitude relations are special amongst them. Accounting for what makes them special will be an important component in the discussion that follows. We will argue that once one appreciates certain facts about propositional attitude relations, various claims that metaphysicians often make regarding propositions themselves begin to look undermotivated. In fact, many views on the metaphysical nature of propositions come to look like plausible candidates for being that to which our propositional attitudes relate us. As will emerge, we will see that the principle role of propositions in the theory of mind is simply to keep track of how our attitudinal states represent things as being. But, we argue, in order to do this work, very few constraints must be placed on the nature of propositions themselves. In particular, contra much of the recent work on the metaphysics of propositions, they need not represent nor must they be structured. In light of these observations, we conclude by sketching our own favored minimalist view of propositions. (shrink)

I argue that the problem of responsibility for attitudes is best understood as a puzzle about how we are responsible for responding to our object-given reasons for attitudes – i.e., how we are responsible for being (ir)rational. The problem can be solved, I propose, by understanding the normative force of reasons for attitudes in terms of blameworthiness. I present a puzzle about the existence of epistemic and mental blame which poses a challenge for the very idea of reasons for attitudes. (...) We are left with three options: denying that there are any reasons for attitudes, opting for pragmatism about reasons for attitudes, or arguing that the challenge rests on a misunderstanding of the normative force of reasons for attitudes. I finally suggest a version of the last strategy. We can understand the normative force of reasons for attitudes, and thereby solve the problem of mental responsibility, by acknowledging that the way we blame each other for failing to respond correctly to our reasons for attitudes is different from the way we blame each other when one failed to respond correctly to reasons for action. (shrink)

Traditionally, ‘that’-clauses occurring in attitude attributions are taken to denote the objects of the attitudes. Prior raised a famous problem: even if Frege fears that the Begriffsschrift leads to a paradox, it is unlikely that he fears a proposition, a sentence or what have you as the alleged object denoted by the ‘that’-clause. The usual way out is to say that ‘that’-clauses do not contribute the objects of the attitudes but their contents. I will show that, if we accept (...) this answer, either we’d better stop working on attitude attributions or we’d better work harder on them. (shrink)

The fitting attitude analysis of value states that for objects to have value is for them to be the fitting targets of attitudes. Good objects are the fitting targets of positive attitudes, while bad objects are the fitting targets of negative attitudes. The following paper presents an argument to the effect that value and the fittingness of attitudes differ in terms of their explanations. Whereas the fittingness of attitudes is explained, inter alia, by both the properties of attitudes and (...) those of their fitting targets, the explanation of value tends to have a different content. In particular, objects have value in virtue of the features that make them valuable, and these need not involve any attitudinal properties. If this is right, then there are reasons to doubt the claim that for objects to have value is just for them to be the fitting targets of attitudes. Insofar as value is a property, it appears to be distinct from the property of objects being the fitting targets of attitudes. (shrink)

Against the background of standard possible-worlds semantics, this paper outlines a truthmaker approach to the semantics of attitude reports and modal sentences based on an ontology of attitudinal and modal objects.

The explanatory objection against the fitting attitude account of value states that if the properties of attitudes explain fittingness facts, but do not always explain value facts, then value facts cannot be identical with or reduced to fittingness facts. One reply to this objection is to claim that the constitutive properties of attitudes also explain value facts, for they are enablers for the value possessed by an object. In this paper we argue that the enabling maneuver exposes FA to (...) a new explanatory objection, to the extent that the explanatory role played by the constitutive properties of attitudes in value facts is assumed to be different from the explanatory role they play in fittingness facts. (shrink)

How should we understand the notion of moral objectivity? Metaethical positions that vindicate morality’s objective appearance are often associated with moral realism. On a realist construal, moral objectivity is understood in terms of mind-, stance-, or attitude-independence. But realism is not the only game in town for moral objectivists. On an antirealist construal, morality’s objective features are understood in virtue of our attitudes. In this paper I aim to develop this antirealist construal of moral objectivity in further (...) detail, and to make its metaphysical commitments explicit. I do so by building on Sharon Street’s version of “Humean Constructivism”. Instead of the realist notion of attitude-independence, the antirealist account of moral objectivity that I articulate centres on the notion of standpoint-invariance. While constructivists have been criticized for compromising on the issue of moral objectivity, I make a preliminary case for the thesis that, armed with the notion of standpoint-invariance, constructivists have resources to vindicate an account of objectivity with just the right strength, given the commitments of ordinary moral thought and practice. In support of this thesis I highlight recent experimental findings about folk moral objectivism. Empirical observations about the nature of moral discourse have traditionally been taken to give prima facie support to moral realism. I argue, by contrast, that from what we can tell from our current experimental understanding, antirealists can capture the commitments of ordinary discourse at least as well as realists can. (shrink)

Having briefly sketched the aims of our paper, namely, to logically analyse the ascription of propositional attitudes to somebody else in terms, not of Fregean senses or of intensions-with-s, but of the intentional object of the person spoken about, say, the believer or intender (Section 1), we try to introduce the concept of an intentional object as simply as possible, to wit, as coming into view whenever two (or more) subjective belief-worlds strikingly diverge (Section 2). Then, we assess the pros (...) and cons of Frege’s view that the indirect reference of an expression is nothing but its customary sense (Sections 3–4), and call the reader’s attention to the fact that in belief ascriptions de re we take it for granted that the believer’s intentional object is at the same time a ‘citizen’ of the belief ascriber’s subjective world (or, for that matter, the real word), and that the idea of such a ‘dual citizenship’ is even more obviously presupposed in the cases of true belief and propositional knowledge (Section 5). Then, we try to argue that it is more fertile to take the belief ascriber’s intentional object to be, not the whole state of affairs the believer has in mind and thinks to exist, but the latter’s intentional object as such, that is, as being his intentional object (Section 6). Finally, we discuss the intricate and mostly neglected question of whether an intentional object’s inhabiting two or more subjective belief-worlds should be considered to be sort of a ‘transmundane identity’ in the numerical sense or rather in some deviant sense of the term, which can be specified as a momentous subcase of a ‘categorial difference’ (Section 7). (shrink)

Orsi and Garcia argue that fitting-attitude analysis of value is vulnerable to an explanatory objection. On FA-analysis, for an object to be valuable is for it to be a fitting target of an attitude—a pro-attitude if its value is positive and a con-attitude if it is negative. For different kinds of value different kinds of attitudes are fitting: desire for desirability, admiration for admirability, etc. To explain the fittingness relation we therefor need to appeal to the (...) features of the relevant attitude, but these seldom, if ever, are needed for explaining the object’s value. This explanatory disparity between the analysans and the analysandum implies that FA-analysis must be incorrect. In our reply to Orsi and Garcia, we provide a refutation of their objection. We argue that the features of a fitting attitude do have a right place in the explanation of an object’s value, even though they are not among the properties that make the object valuable. They help to explain this value-making relation itself. (shrink)

Derek Turner believes that a proper interpretation of Arthur Fine’s natural ontological attitude can help to reveal the nature of the difference between «historical» (geology, archeology, forensics) and «empirical» (physics, chemistry) sciences. From his point of view, the apparent asymmetry between these sciences is a consequence of different understanding of the possibilities to «manipulate» the objects of study and the role played by background theories. In our opinion, Turner’s concept is a good example of how profound and inviting the (...) instrumentalistic concept of science could be. First, it is «reflexive» in the sense that it constrained other instrumentalist theories (B. Fraassen’s constructive empiricism deeply flawed). And secondly, it is «constructive» – the emphasis that «the strength of arguments for or against scientific real- ism can vary depending on the scientific context» quite unexpectedly leads to the fact that «ideographic / nomothetic division is not very helpful», and to the fact that «epistemic disadvantage, but the same epis- temic status». Reflections on the book: Turner D. Making Prehistory: Historical Science and the Scientific Realism Debate. Cambridge University Press, 2007. (shrink)

I am extremely grateful for the very thoughtful and stimulating comments by Daniel Drucker, Miriam Schleifer McCormick,1 and Mark Richard, and for the close attention they gave my book (Hunter 2022...

According to Wlodek Rabinowicz's (2008) fitting-attitude analysis of value relations, two items are on a par if and only if it is both permissible to strictly prefer one to the other and permissible to have the opposite strict preference. Rabinowicz’s account is subject, however, to one important objection: if strict preferences involve betterness judgements, then his analysis contrasts with the intuitive understanding of parity. In this paper, I examine Rabinowicz’s three responses to this objection and argue that they do (...) not succeed. I then propose an alternative solution. I argue that the objection can be avoided if we ‘relativize’ Rabinowicz’s account and define parity in terms of opposite strict preferences between two items that are only relatively permissible, rather than permissible simpliciter. I argue that this account of parity can be defended if we take seriously the distinction between sufficient and decisive reason for a preference relation. I also show that, on the basis of this distinction, we can arrive at a more extensive taxonomy of value relations than the one proposed by Rabinowicz. (shrink)

In the conceptual preliminaries of his philosophical Encyclopedia Hegel discusses three approaches to epistemology under the headings of three ‘Attitudes of Thought Toward Objectivity’. The third of these is Jacobi’s doctrine of ‘immediate’ or intuitive knowledge. Hegel’s discussion presumes great familiarity with Jacobi’s highly polemical and now seldom read texts. In this essay I disambiguate and reconstruct Hegel’s discussion of Jacobi, in close consideration of Jacobi’s texts, showing why Hegel finds him important and what Hegel’s objections to his doctrines are. (...) Jacobi’s importance for Hegel lies in three points. First, Hegel agrees with Jacobi’s claim, against Kant, that God and the world are themselves knowable. Second, Hegel must answer Jacobi’s charge that discursive thinking ineluctably leads to determinism and ultimately to nihilism. Third, Hegel’s analysis of Jacobi’s doctrine of ‘immediate knowledge’ reveals some points that are important to Hegel’s metaphysics. Hegel mounts five objections to Jacobi’s doctrine. First, Jacobi’s key term ‘immediacy’ illicitly equivocates among the rejection of three different kinds of ‘mediation’: syllogistic inference, the application of concepts, and representational accounts of perception. Second, Jacobi’s doctrine of a-conceptual knowledge is untenable because one must apply concepts to objects in order identify objects and thus to know what kinds of things known objects are. Third, if a fundamental point of Hegel’s holistic ontology (explained in the essay) is correct, then the identity conditions of things are interdependent, and this interdependence would render ‘immediate’ knowledge impossible. Fourth, Jacobi’s doctrine is self-referentially inconsistent: it is possible on his doctrine to prove that his doctrine is false. Finally, Jacobi’s doctrine licenses question-begging and is in principle unable to address or to settle disagreements among divergent intuitions. (shrink)

Objectives: Recent legislative changes within the United Kingdom have stimulated professional debate about access to patient data within research. However, there is currently little awareness of public views about such research. The authors sought to explore attitudes of the public, and their lay representatives, towards the use of primary care medical record data for research when patient consent was not being sought.Methods: 49 members of the public and four non-medical members of local community health councils in South Wales, UK gave (...) their views on the value and acceptability of three current research scenarios, each describing access to data without patient consent.Results: Among focus group participants, awareness of research in primary care was low, and the appropriateness of general practitioners as researchers was questioned. There was general support for research but also concerns expressed about data collection without consent. These included lack of respect and patient control over the process. Unauthorised access to data by external agencies was a common fear. Current data collection practices, including population based disease registers elicited much anxiety. The key informants were equally critical of the scenarios and generally less accepting.Conclusions: This exploratory study has highlighted a number of areas of public concern when medical records are accessed for research without patient consent. Public acceptability regarding the use of medical records in research cannot simply be assumed. Further work is required to determine how widespread such views are and to inform those advising on confidentiality issues. (shrink)

Objective: To describe the frequency of support for terminal sedation among internists, determine whether support for terminal sedation is accompanied by support for physician assisted suicide , and explore characteristics of internists who support terminal sedation but not assisted suicide.Design: A statewide, anonymous postal survey.Setting: Connecticut, USA.Participants: 677 Connecticut members of the American College of Physicians.Measurements: Attitudes toward terminal sedation and assisted suicide; experience providing primary care to terminally ill patients; demographic and religious characteristics.Results: 78% of respondents believed that (...) if a terminally ill patient has intractable pain despite aggressive analgesia, it is ethically appropriate to provide terminal sedation . Of those who favoured terminal sedation, 38% also agreed that PAS is ethically appropriate in some circumstances. Along a three point spectrum of aggressiveness in end of life care, the plurality of respondents were in the middle, agreeing with terminal sedation but not with PAS. Compared with respondents who were less aggressive or more aggressive, physicians in this middle group were more likely to report having more experience providing primary care to terminally ill patients and attending religious services more frequently .Conclusions: Support for terminal sedation was widespread in this population of physicians, and most who agreed with terminal sedation did not support PAS. Most internists who support aggressive palliation appear likely to draw an ethical line between terminal sedation and assisted suicide. (shrink)

Abolitionism is the view that if no one is responsible, we ought to abandon the reactive attitudes. This paper defends abolitionism against the claim, made by P.F. Strawson and others, that abandoning these attitudes precludes the formation and maintenance of valuable personal relationships. These anti-abolitionists claim that one who abandons the reactive attitudes is unable to take personally others’ attitudes and actions regarding her, and that taking personally is necessary for certain valuable relationships. I dispute both claims and argue that (...) this objection exaggerates the role of the reactive attitudes and underestimates the importance of non-reactive moral emotions. (shrink)

Background: Although family caregivers play an important role in end-of-life care decisions, few studies have examined the communication between family caregivers and patients at the end of life. Objective: The objective was to describe family caregivers’ attitudes toward death, hospice, and truth disclosure. Research design: A quantitative method was used, and a closed-ended survey of 140 family caregivers was conducted in China. The subjects included 140 primary family caregivers of elders with terminal cancer enrolled at a hospice center (...) from April to August 2017. Participants: 140 primary family caregivers of elders with terminal cancer participated the study. Research Context: A high proportion of cancer patients continue to receive inadequate information about their illness. Family caregivers’ inhibitions about disclosing information to cancer patients have not yet been the objects of research in China. Ethical considerations: This study was reported to and approved by the Regional Ethics Committee in Shenzhen, China. Findings: A questionnaire survey collected information on family caregivers’ background information, emotional state, personal needs, death attitudes, and truth-disclosure opinions. The results revealed that family caregivers’ death attitudes and truth-disclosure opinions played an important role in the process of caring for elders with terminal cancer. Discussion: By adopting a quantitative method, the author revealed not only the general patterns of family caregivers’ attitudes toward cancer diagnosis disclosure but also the reasons for their actions and the practices of family disclosure. Conclusion: The findings suggested that ineffective communication concerning end-of-life issues resulted from family caregivers’ lack of discussion and difficulty in hearing the news. Future studies should examine strategies for optimal communication between family caregivers and patients, especially with regard to breaking the bad news. Professional training in breaking bad news is important and is associated with self-reported truth-disclosure practices among family caregivers. (shrink)

Controversies arise over abortion, assisted dying and conscientious objection in healthcare. The purpose of the study was to examine the relationship between attitudes towards these bioethical dilemmas, and secularity and religiosity. Data were drawn from a 2017 web-based survey of a representative sample of 1615 Norwegian adults. Latent moderated structural equations modelling was used to develop a model of the relationship between attitudes. The resulting model indicates that support for abortion rights is associated with pro-secular attitudes and is a main (...) “driver” for support for assisted dying and opposition to conscientious objection. This finding should be regarded as a hypothesis which ought to be tested in other populations. If the relationship is robust and reproduced elsewhere, there are important consequences for CO advocates who would then have an interest in disentangling the debate about CO from abortion; and for health systems who ought to consider carefully how a sound policy on CO can safeguard both patient trust in the services and the moral integrity of professionals. It is suggested that if religiosity wanes and pro-secular and pro-abortion attitudes become more widespread, support for CO might decline, putting into question whether present policies of toleration of conscientious refusals will remain acceptable to the majority. (shrink)

Background: Attitudes of nurses towards death and related concepts influence end-of-life care. Determining nurses’ views and attitudes towards these concepts and the factors that affect them are necessary to ensure quality end-of-life care. Objectives: The purpose of this study was to determine nurses’ views and attitudes about death, dying patient, euthanasia and the relationships between nurses’ characteristics. Methods: Participants consist of the nurses who volunteered to take part in this descriptive study from 25 hospitals (n = 340) which has a (...) paediatric or adult intensive care unit and located within the boundaries of Ankara, Turkey. ‘Nurse Information Form’ and ‘Attitude Scale about Euthanasia, Death and Dying Patients (DAS)’ were used as data collection tool. Ethical consideration: Written permissions were received from the ‘Noninterventional Clinical Researches Ethics Board’ of authors’ university and education councils of each hospital. Informed consent was obtained from participants. Findings: It is found that there are statistically significant difference among the factors of marital status, having a child, years of experience, bereavement experience, affected by working with dying patient, definition of euthanasia, views about patients who are appropriate for euthanasia, views about patients who desire to die and feeling need for counselling on these concepts according to the mean total score of nurses’ attitudes about euthanasia, death and dying patient (p < 0.05). Conclusion: The results indicate that nurses are negatively affected to face the concepts of death, euthanasia and work with dying patient. This is reflected in their attitude. In order to gain positive attitude towards death, dying patient and euthanasia, the implementation of training and consulting services to nurses at appropriate intervals during both education and professional life are required. (shrink)

According to ‘Fitting Attitude’ (FA) analyses of value, for an object to be valuable is for that object to have properties—other than its being valuable—that make it a fitting object of certain responses. In short, if an object is positively valuable it is fitting to favour it; if an object is negatively valuable it is fitting to disfavour it. There are several variants of FA analyses. Some hold that for an object to be valuable is for it to be (...) such that it ought to be favoured; others hold that value is analyzable in terms of reasons or requirements to favour. All these variants of the FA analysis are subject to a partiality challenge : there are circumstances in which some agents have reasons to favour or disfavour some object—due to the personal relations in which they stand to the object—without this having any bearing on the value of the object. A. C. Ewing was one of the first philosophers to draw attention to the partiality challenge for FA analyses. In this paper I explain the challenge and consider Ewing's responses, one of which is preferable to the other, but none of which is entirely satisfactory. I go on to develop an alternative Brentano-inspired response that Ewing could have offered and that may well be preferable to the responses Ewing actually did offer. (shrink)

What is the structure of normative reality? According to X First, normativity has a monistic foundationalist structure: there is a unique normatively basic property in terms of which all the other normative properties are analysed. The main aim of this paper is to defend the view that fittingness—the property that an attitude has when it gets things right with respect to its object, as when you admire the admirable or desire the desirable—is first, or perhaps joint first. I will (...) focus in particular on the questions whether and why fittingness is normative. (shrink)

We defend a fitting-attitude theory of the funny against a set of potential objections. Ultimately, we endorse a version of FA theory that treats reasons for amusement as non-compelling, metaphysically non-conditional, and alterable by social features of the joke telling context. We find that this version of FA theory is well-suited to accommodate our ordinary practices of telling and being amused by jokes, and helpfully bears on the related faultless disagreement dispute.

Objective To explore attitudes towards conscientious objections among medical students in the UK. Methods Medical students at St George's University of London, Cardiff University, King's College London and Leeds University were emailed a link to an anonymous online questionnaire, hosted by an online survey company. The questionnaire contained nine questions. A total of 733 medical students responded. Results Nearly half of the students in this survey stated that they believed in the right of doctors to conscientiously object to any (...) procedure. Demand for the right to conscientiously object is greater in Muslim medical students when compared with other groups of religious medical students. Discussion Abortion continues to be a contentious issue among medical students and this may contribute to the looming crisis in abortion services over the coming years. This project sheds some light on how future doctors view some of their ethical rights and obligations. Using empirical evidence, it reveals that conscientious objection is an issue in the UK medical student body today. These data could help anticipate problems that may arise when these medical students qualify and practise medicine in the community. Conclusion Clearer guidance is needed for medical students about the issue of conscientious objection at medical school. (shrink)

The objective of the study was to explore parental experiences of being offered participation in a previous neonatal research study involving venepuncture. The method employed was a questionnaire-based exploration of parents' attitudes in those approached to participate in a study of term and preterm immunization responses (Preterm Immunisation Study [PREMIS]). We explored experience of the initial approach, knowledge of study, venepuncture and views on research ‘in general’. In all, 59% of families responded. Highest response rates were for those participating (...) in PREMIS (87% term/69% preterm) and lowest in decliners (34% and 35%). Responding parents participating in PREMIS were well informed, positive about research and did not find the venepuncture problematic. Sixty percent of responding parents who declined PREMIS attributed their declining to the need for venepuncture. In conclusion, parents participating or declining a neonatal study involving venepuncture are different, but participating parents were well informed and seemed able to judge that participation was right for them such that in consenting families venepuncture itself is not problematic. (shrink)

This book presents a broad-ranging and fascinating examination of attitudes: how we form them; how we organize them towards others; and whether they are inherently human or could also be developed by computers. Professor Eiser suggests there are fundamental objections to the idea of a computer having a sense of self or a set of attitutdes.