Aspergers, Autism and Love

In this posting I want to explore the way someone loves someone else on the autistic spectrum. This exploration is partly a personal exploration as one of my grandsons is on this spectrum. My exploration starts with Charles Foster’s remark that his son is dyslexic and that he is glad . I’m not glad about my grandson’s aspergers and my reaction is one of indifference. Some might think me a very hard hearted person and that Foster’s attitude is infinitely preferable to mine. But I will argue indifference to my grandson’s condition is the only reasonable position for me to take and that being either glad or sad are inappropriate. My indifference does not mean I am indifferent to him as a person. Prior to making my argument I must examine exactly what Foster is glad about.

Let it be accepted that Foster like all good parents is glad to have his son, is glad his son exists. But is there any connection between his natural gladness and dyslexia? What exactly is Foster glad about when talking about his son’s dyslexia? Firstly, Foster might be glad his son is dyslexic or secondly he might be glad his son has dyslexia? To answer the above questions it is important to differentiate clearly between what is meant by being dyslexic and having dyslexia. Being dyslexic means someone’s character is inevitably tied to his dyslexia; his dyslexia helps determine his character. Having dyslexia means someone suffers from dyslexia and that his character is not inevitably tied to his dyslexia. If Foster is glad his son has dyslexia then it is hard to see what he is being glad about in addition to being glad about having his son. It seems to me that Foster must mean he is glad that his son is dyslexic. In this context it seems if he is glad about his son he is glad about the dyslexia only because he believes his son’s dyslexia is inevitably tied to his son’s character; is inevitably tied to his son as a person. I am by no means convinced that dyslexia is inevitably tied to character as having dyslexia doesn’t appear to alter the underlying emotional structure of the dyslexic. I will not pursue this question further here. Unfortunately, aspergers syndrome affects someone’s underlying emotional structure which I believe means it is inevitably tied to his character.

In the light of the above am I not being both unreasonable and hardhearted with my indifference to my grandson’s aspergers? Am I not being indifferent to his character and perhaps even his essential being? Clearly it seems this is what Foster would believe. Before proceeding I had better clarify exactly what I mean by my being indifferent. Being indifferent means I hope that I am neither hard hearted nor callous, but on the other hand I’m not glad either. Moreover, my indifference is not simply a grudging one because I have no choice and wish things were otherwise. I simply accept my grandson’s condition. My acceptance, my indifference, is not expressed as some kind of emotion but rather as a lack of any desire on my part to change the situation. In addition my acceptance includes a lack of desire that the situation might have been different. In the light of some of my previous postings concerning the philosophy of Harry Frankfurt it is important to make it clear my acceptance is simply acceptance and is not a form of loving or ‘caring about’. Loving or ‘caring about’ involves the agent identifying himself with what he cares about. I simply accept or am indifferent to my grandson’s aspergers, to the cause of his character. However, there is no reason why my indifference should carry over to his actual character. This indifference should give no reason why I should fail to identify myself with him and what he ‘cares about’. I have no reason not to love him and many reasons to do so. Does Foster’s being glad at his son’s dyslexia involve any more than my simple acceptance? I’m not sure, but if it does doesn’t his gladness imply that if his son was not dyslexic he would be less happy?

Intuitively my indifference seems to make more sense than being glad about my grandson’s condition. However, should I be sad about his aspergers? Am I not wrong to be indifferent to this condition? I will argue I am not. Firstly, Foster believes if we could take away his son’s dyslexia he would be a different person. I’m not sure Foster is correct. However, I am sure that if we could take away my grandson’s aspergers he would be a different person. If I was sad about my grandson’s condition what exactly would I be sad about? I cannot be sad about him not being a more social person for this is impossible. As a more social person he would be a different person. Provided I cannot reasonably be sad he isn’t the same person but with additional talents then it would appear if I am sad I must be sad he is not someone else. It appears to follow I must be sad he exists provided that he could be replaced by someone else without aspergers syndrome. However, I love my grandson and I believe this love rules out such a thought. Someone might object that I could love someone else with additional talents instead. It is of course true I could love someone else, perhaps an additional grandchild, but I would argue I couldn’t love someone else instead. Frankfurt argues ‘caring about’ someone is equivalent to loving her. Caring about someone means you identify yourself with that person and become vulnerable to his losses and susceptible to what benefits him (1). Moreover, the lover is not free he is captivated by his beloved and his love. The will of the lover is rigorously constrained. Love is not a matter of choice (2). If I love my wife I can’t simply swap her for a younger woman with a Phd. My objector might counter that this is exactly what lovers do all the time especially rich middle aged men. I would counter argue that my objector is construing the terms ‘lover’ and ‘partner’ as being interchangeable. Partners need not be lovers. A patriot cannot simply swap the love of his country for a bigger and better one any more than a football supporter change his allegiance and support a more successful team. It seems inconceivable that a lover of Newcastle United could simply change his allegiance to a more successful team. It follows a lover cannot easily love someone else instead of his beloved. His love is constrained or captured by his beloved. It further follows that because I love my grandson I cannot want to replace my grandson by someone else. It still further follows that I have no reason to be sad about his aspergers and hence my indifference to this condition is a perfectly reasonable.

Nevertheless, even if it is accepted my indifference to his condition is a reasonable position a personally awkward question arises.  People are easily deluded and perhaps I am deluding myself when I say I don’t see why his condition should make me love him less? Perhaps all I'm doing is adopting a stoical attitude and stoics have problems with love, see why I'm not a stoic. I suggested above if you love someone you identify yourself with him and become vulnerable to his losses and susceptible to what benefits him. You ‘care about’ his interests. Accepting the above my objector might suggest that I must care less about my grandson because his aspergers means his interests make it more difficult for me to ‘care about’ him. This lessening of my ability to care might occur for two reasons. First it might be suggested someone with aspergers has narrower interests than most people. Second it might be suggested that even if someone with aspergers does not have fewer interests than most people that nonetheless he has different interests. This second suggestion seems plausible after all someone with aspergers often has difficulty with social relationships and these are of major concern to most people. Moreover, those with aspergers are attracted by routine and order. My objector might now proceed to point out most people find it more difficult to ‘care about’ routine and order rather than social relationships. This follows because to ‘care about’ requires an emotional response. She might then argue this difficulty causes me to love my grandson to a lesser degree due to his aspergers.

If this is all there is to loving then I have to concede that my objector might well have a point and even if I am not being hypocritical I might nonetheless be deluding myself about the true extent of my love. Perhaps for instance I am deluding myself because I love my daughter. Perhaps however there is more to loving, ‘caring about’, than making yourself vulnerable to your beloved’s losses and benefits. The important question is this, do you simply identify with your beloved and this means you become vulnerable to his losses and benefits? Or do you simply become vulnerable to his losses and benefits? I am inclined to favour the first option. However my objector might well ask me if I could love someone who was in a coma and had nothing that would consciously benefit or harm him. She might proceed to further stipulate this person has always been in a coma in order to rule out my being swayed by anything that would previously have consciously benefited or harmed him. Being truthful I would have to admit I could not identify with such a person. Nonetheless I am reluctant to accept the second option as it seems imply that the lover simply loves the properties of the beloved rather than the beloved. This the position Plato adopted in the symposium.

In order to consider whether I love my grandson to a lesser degree because of his aspergers I want to consider loving from a different angle. Do I love someone when I am asleep or when I am concentrating hard on something else. When sleeping and at certain particular moments it seems clear I am not actively loving, ‘caring about’, my beloved. Does the above lead to the conclusion that at these moments I do not love my beloved? Most people would be reluctant to accept such a conclusion as it is so counter intuitive. If such a conclusion is unacceptable then it would appear loving someone involves both actually ‘caring about’ a beloved’s interests and having a disposition to ‘care about’ these interests. My objector might nonetheless continue to suggest that a disposition to ‘care about’ is not an essential part of loving someone; loving someone should only concern actual ‘caring about’. However, accepting my objector’s suggestion seems to mean accepting that loving someone is really a series of discrete disconnected events separated by periods when the lover’s concentration is focussed elsewhere. It also seems to mean accepting if you love someone today there is no reason why you should love him tomorrow. Whatever my objector may believe love is not at all like this. One of the elements of love is persistence. We question whether a fickle lover really loves or understands the demands of love. If the process of actually loving cannot be sustained continuously over very long periods of time then it seems the demand for persistence can only be met by a lover having a disposition to ‘care about’ his beloved. It follows loving someone involves both being actually ‘caring about’ a beloved’s interests and having a disposition to ‘care about’ these interests.

In the light of the above discussion do I love my grandson any less because of his aspergers? Clearly my disposition to ‘care about’ what he cares about is the same as my disposition to ‘care about’ the things my other grandchildren care about. It follows in this sense of loving I do not love him less. Moreover, when I am actively loving him, ‘caring about’ his interests I become absorbed by this activity and I see no reason why my ‘caring about’, loving, him is of to a lesser degree. Nonetheless because some of his interests may make it harder for him to share these interests with me this might mean that I whilst I always have a disposition to love him that in practices I actively love him less often. This is a highly uncomfortable conclusion for me. However, if I accept it, and after some reflection I am inclined to do so, then I must make a greater effort to make it easier for him to share these interests with me.

1.    Frankfurt, H. (1988) The Importance of What We Care About. Cambridge University Press page 83.

2.   Frankfurt, H. (1999) Necessity, Volition, and Love. Cambridge University Press, page 135.

The virtue of forgiveness

Ernesto Garcia argues we have a moral duty to forgive but that this duty need not necessarily involve giving up resentment (1). In this posting I am going to suggest the opposite; that we should always give up resentment but that we should not always forgive.

Garcia argues there are two levels of forgiveness. Firstly there is our personal relationship with the wrongdoer and secondly we way we see his relationship with the moral community. When Garcia talks about forgiveness he means readmitting the wrongdoer to the moral community. He does not believe that this re-admittance must necessarily involve overcoming the negative emotions we feel towards him. However I would worry that readmitting the wrongdoer to the moral community without giving up resentment might be difficult to achieve in practice. Our moral concerns and emotions are not easily separated. Many philosophers from David Hume to Shaun Nichols have pointed out there is an emotive element in moral relationships. Resentment is an emotion. It follows if we hold on to resentment as suggested by Garcia it might be difficult in practice for us to forgive at the second level.

Before attempting to answer the question, as to what is involved in reaccepting a wrongdoer back into the moral community, the domain of persons needing forgiveness by this reacceptance must be clearly specified. Let it be assumed my wife and family have been murdered by someone who is delusional. Let it be further assumed that he can never be cured of his delusions. Such a person never was and never will be part of our moral community and hence cannot be reaccepted back into it. Such a person of course should be part of our moral concern but then so should animals. Secondly if a drunken driver crashes into my car causing me harm but also causing brain damage to himself which means he will never again be part of the moral community then once again he is of moral concern but there is no question of his being reaccepted back into that community. I would suggest such a person was a wrongdoer but he is not now a wrongdoer and as such is not in need of forgiveness. Lastly if my grandchild, age two pulls, my hair there is no question of his needing forgiveness and needing reacceptance back into our moral community because he isn’t yet part of that community. He is of course again of moral concern and hopefully will one day be admitted to our moral community but his admittance is independent of his previous actions. Wrongdoers who might be forgiven are only those people who at the time of their wrongdoing were part of the moral community and can again be part of that community.

Should we always forgive wrongdoers by reaccepting them back into the moral community? Should we unilaterally forgive wrongdoers who do not apologise by this reacceptance? Whether we should seems to depend on what this reacceptance involves. If reacceptance simply involves the recognition of the wrongdoer as a creature like us who can make moral decisions and be held accountable for these decisions then of course we should do so. Indeed I would argue the very idea of a wrongdoer depends on regarding him as someone who was and could again be part of the moral community. However there is a difference between accepting that someone can be part of the moral community and someone is part of that community. In what follows forgiving wrongdoers means accepting someone once again is part of the moral community. What does it mean to accept someone is part of a moral community? Garcia believes acceptance involves normal­ized moral relationships and these relationships involve impartial goodwill and civility towards him as a fellow human being. Garcia further believes we are morally obligated to normalize relations with wrongdoers and treat them with civility (2).

If someone unjustifiably harms us should we unilaterally accept that he is part of the moral community rather than just someone who could be part of this community? Garcia believes this acceptance involves impartial goodwill and civility. I agree with Garcia that once our initial anger at the harm we suffered fades we should treat the wrongdoer with civility. Should we also treat the wrongdoer with impartial goodwill? Perhaps we should. However treating someone with civility and extending our impartial goodwill towards him is not all that is involved in restoring a normalized moral relationship. After my grandchild has pulled my hair I remain pleasant with him and he retains my impartial goodwill but there is no moral relationship to be restored. It is important distinguish between my moral concern and moral relationships. Moral concern involves caring about, empathy and beneficence. Moral relationships include these elements but also include trust. It follows the normalization of moral relations involves the re-establishment of trust. Trust is very important to our decision making for as O’Neill points an inability to trust produces a total paralysis of action, see (3) If we accept the centrality of restoring trust to the restoration of normal moral relations, when we are unjustifiably harmed, then two questions naturally arise. Firstly can we unconditionally trust the wrongdoer again and secondly should we?

If someone unjustifiably harms us we are more cautious in our future dealings with him and naturally become more suspicious of his motives. However some people are naturally more suspicious than most and others are more trusting. It certainly seems possible to trust a wrongdoer again event though this might prove to be difficult to achieve in practice as I have suggested above. Should we then trust the wrongdoer? This question splits into two. Firstly should we trust the wrongdoer for prudential reasons and secondly should we trust him for moral reasons. Whether we should trust a wrongdoer for prudential reasons seems to depend on his actions post his wrongdoing. If he fails to apologise and promise not to repeat his wrongdoing and we unilaterally trust him then we would seem to be guilty of gullibility. In this context we should not trust the wrongdoer. If however the wrongdoer apologises and promises not to repeat the wrong whether we should trust him again depends on two judgements. Firstly do we judge his apology and promise to be sincere and secondly if we judge his promise to be sincere do we judge him to be capable of carrying out this promise.

Nevertheless it remains a possibility that we should unilaterally trust a wrongdoer for moral reasons. At this point I should note I have a worry as to whether prudential and moral reasons can be completely disentangled. However for the sake of the argument I will put this worry to one side. It might be suggested that by unilaterally trusting wrongdoers we set them an example and hopefully they might come to emulate our good behaviour. It might be further suggested this is exactly what a good or virtuous person would do. I would reject these suggestions for three reasons. Firstly the virtuous person, at least in the Aristotelian sense, seems to aim at some mean. Intuitively the unilateral restoration of trust seems to breach the mean between being too gullible and too suspicious. Secondly the unilateral restoration of trust seems to over emphasise the virtue of beneficence whilst underplaying that of justice. Lastly virtue ethics is concerned with character. It seems to me virtue ethics must be concerned with the good character of others. If it were not would virtue ethics be an ethical system at all? It further seems if someone unilaterally trusts a wrongdoer hoping to set him an example, he might come to emulate, that she might be more concerned with her character than that of the wrongdoer. Let it be accepted a wrongdoer who apologises for his wrongdoing displays better character than a wrongdoer who does not. If someone unilaterally forgives all wrongdoers then she fails to differentiate between wrongdoers who apologise and those who do not. It follows she fails to pay attention to the character of the wrongdoer. An objector might attempt to rebut the above argument. She might argue an agent should only be concerned with her good character and creating the circumstances in which others can express their good character. She might further argue if we attempt to shape another’s character that all we really do is shape his behaviour rather than his character. For instance, if a wrongdoer apologises solely due to our reluctance to forgive his apology would be insincere and his character remain unreformed. She might then conclude the only way we should seek to change the character of others is by example. I would reject my objector’s argument because it is based on a view of the way we become virtuous which I would reject. My objector seems to believe someone becomes virtuous simply by copying the virtuous. I would suggest as does Julia Annas that if someone becomes virtuous simply by copying he might come to merely mimic virtue rather than be truly virtuous, see (4). I would agree with Annas that if we are to become truly virtuous that this requires learning. Learning requires understanding and that understanding sometimes has to taught rather than simply acquired through observation. Being taught why apology is sometimes necessary means expressing our disapproval by expressing what is wrong with the wrongdoer’s actions rather than simply unilaterally forgiving.

However not everyone is a virtue ethicist. Should we unilaterally trust a wrongdoer for moral reasons independent of virtue? It seems clear that part of any ethical system must be some sort of duty at least to preserve and perhaps even enhance moral relationships. It also seems clear moral relationships depend on some norms, some rules of behaviour. In practice we expect people to act morally. We don’t usually check whether others are behaving morally towards we simply trust them. For any system of morality to be reasonably functional we have to take a view of others based on trust, see O’Neill above. A wrongdoer can harm us in many different ways but if we are aware of his wrongdoing then he always harms us by damaging our trust. It might be objected this damage is restricted solely to us as persons and need not of necessity damage our moral relationships. It then might be further objected trusting is not part of a moral relationship. Trusting is only of instrumental value in preserving this relationship. Trust might be seen simply as a lubricant that oils the machinery of morality. I accept trust is instrumental in preserving moral relationships and oils the machinery of morality. Let it be accepted trust helps preserve moral relationships. However if we also accept we have a duty at least to preserve moral relationships then trusting others is also part of moral relationships and we have a duty to preserve. I would suggest that we are less likely to trust wrongdoers who do not seek forgiveness than wrongdoers who do. I would further suggest that unilaterally trusting wrongdoers is likely to make at least some wrongdoers less likely to seek forgiveness. It follows we should not unilaterally forgive wrongdoers as this will make them less likely to seek forgiveness damaging trust which in damages, rather than preserves, moral relationships.

At this point someone might object basing forgiveness purely on the restoration of moral relations restricts the domain of forgiveness. My objector might use the example of Eric Lomax who forgave Nagase Takashi (5). In 1942 Lomax was forced to build the Burma to Siam railway. During this time he was tortured and Takashi was the translator present. Lomax developed a deep hatred of the Japanese and this hatred was focussed on Takashi. Fifty years later Lomax met and forgave Takashi. Lomax wrote “meeting Nagase has turned him from a hated enemy, with whom friendship would have been unthinkable, into a blood brother”. My objector might point out in cases of forgiveness such as this it is possible that the participants will never met again. She might further point out any relationship between such participants will be non existent or extremely limited. In the light of the above she might then suggest we would do better to consider forgiveness in terms of the restoration of moral standing rather than moral relationships. She might argue that doing so would increase the domain of forgiveness. This expanded domain she might suggest would include people who are separated by large distances and who will have no future contact. I accept that the restoration of moral standing is important but I don’t believe moral standing can be detached from moral relationships. Moral standing is not simply moral concern. If we restore someone’s moral standing we must of necessity see them as someone who we could enter a moral relationship with, someone we could trust.

At the beginning of this posting I suggested we should do as Bishop Butler suggested and let go of our resentment towards wrongdoers. For Bishop Butlers forgiveness and the subsequent letting go of resentment is a moral matter. I have argued above we should not readmit a wrongdoer back into the moral community without an apology. It follows I do not believe holding on to resentment is necessary for us express our moral disapproval. I do however believe we should let go of resentment for prudential reasons. A resentful person is basically someone who characteristically sees himself as being undervalued whilst at the same time not expressing this feeling. This feeling when unresolved can become an emotionally debilitating condition. People who don’t have the ability to express this feeling of being undervalued run the risk of undervaluing themselves because of this inability. It seems clear having a resentful character harms an agent. However it is important to differentiate between having a resentful character and simply being morally resentful. Moral resentment involves seeing ourselves as someone who has been wronged. Moral resentment is connected to anger and indignation. I would suggest these are simple emotions which do not contain a cognitive element whilst moral resentment does. I would further suggest anger and indignation express our outrage at the wrong done to us and then like any emotion, free of a cognitive element, fade. However it seems to me moral resentment if unexpressed by anger or indignation may well persist because it contains a cognitive element. This persistence means the agent runs the risk of acquiring a resentful character which is harmful. In the light of the above it seems it would be better for someone who has been morally wronged to express his anger and indignation and let go of moral resentment even if he excludes the wrongdoer from those he regards as part of the normal moral community.

1. Ernesto Garcia, 2011 Bishop Butler on Forgiveness and Resentment, Philosophers Imprint, 11(10).
2. Garcia, page 17.
3. Onora O’Niell, 2002, Autonomy and Trust in Bioethics. Cambridge University Press, page 12).
4. Julia Annas, 2011, Intelligent virtue, Oxford, page 17).
5. Eric Lomax, 1995, The Railway Man, Vintage.

Decreasing Violence

Steven Pinker argues in (The Better Angels of our Nature, 2011, Viking) that in the more advanced countries of the world our propensity for violence is decreasing. He gives various reasons to support his argument. One of the main reasons he gives is that since the enlightenment we have become more rational. John Gray writes that Pinker’s conclusion is nonsense; see (Prospect October 2011). Gray believes “the idea that humans can shape their lives by the use of reason is an inheritance from rationalist philosophy that does not sit easily with what we know of the evolution of our mammalian brain”. In this posting I will suggest our increasing ability to use reason effectively provides some limited support for Pinker’s thesis.

Before proceeding I want to make two points clear. Firstly reason is not simply some product of the evolution of our brain. Of course I accept that the capacity to reason is the product of our brain’s evolution nevertheless I still believe reason is not simply a product of the brain. Reason is something our brain’s increasing capacity allowed us to discover. AI does not depend on simply building bigger more intelligent machines. AI depends on the idea that we might build a machine with the capacity to become intelligent by reacting with some environment that is independent of the machine itself. Secondly I accept Hume’s point that reason is the slave of the passions. I would however distinguish between higher and lower passions. For instance fear might be seen as a simple physiological fact whilst resentment would seem to include a cognitive element.

If it is accepted that Hume is correct how can our increasing reason support Pinker’s thesis? Surely our goals are determined by our passions and reason is only instrumental in achieving these goals. Two responses are possible to the above. Firstly a great deal of violence is caused by nations and religions and it might be questioned whether either nations or religions have passions. They may of course encourage passions but this is not the same as actually having passions. Secondly I have suggested there is a difference between higher and lower passions. Higher passions seem to include a cognitive element, include reason. I would further suggest a great deal of large scale violence such as wars and repression is not caused by lower passions such as anger but by higher passions. If my suggestions are accepted then it seems possible that an increase in reason may indeed lower the scale of violence because higher passions contain a cognitive element. Increasing reason may of course do little to reduce domestic violence.

Someone might object the above is just a house of cards. She might point out there is no evidence for our increasing reason. I accept her point. I certainly don’t believe I am any more rational than Plato or that people in general are today more rational than for instance the population of ancient Athens. However my argument does not simply depend on our increased rationality. My argument depends on our increased ability to use reason effectively. This increase is not due to any increase in our brain capacity. As I suggested above simply increasing a computer’s capacity to compute will not make it intelligent. My increased ability is based on an increase in knowledge, on what I take to be true. I am not naturally more rational than Plato however I live in more knowledgeable times enabling me to use the rationality I possess better. I simply know more than Plato.

Might our increasing when reasoning effectively support Pinker’s thesis? It appears that Stephen Hawking would not. He has suggested if aliens are anything like us they are likely to be aggressive and either exterminate us or pillage our resources. It seems safe to assume any aliens, who can cross interstellar space, would have at least as great an ability to reason as us, see my posting of 25/05/10. In that posting I suggested any intelligent creature must feel some empathy. I then argued increasing knowledge naturally leads to increasing empathy because this knowledge forces us to see other people or intelligent creatures as entities that care about things in the same way as we do. I further argued this increasing empathy increases the domain of our empathic concern. If my arguments are accepted it would seem increasing our ability to reason effectively will reduce violence because it increases the domain of our empathic concern. A second reason might be advanced to support Pinker’s thesis. Let it be accepted Hume is correct and that our goals are determined by our emotions. However our increasing knowledge might tell us some goals are unattainable and that we would not appreciate some other goals even if we attained them. It might then be even if our goals are solely determined by our emotions that nevertheless reason determines which of our emotions determine goals. It is then plausible that our increasing ability to reason effectively rules some emotions, which would produce violence, as reasons to act.

Can Consent be Presumed?

Proponents of an opt out scheme of organ donation seem to assume that in such a scheme, provided someone has not opted out, his consent for organ donation may be presumed. Govert Den Hartogh argues out such an assumption is unsound (1). In this posting I will briefly outline Den Hartogh’s argument. I will accept his argument. Nevertheless I will then argue that nonetheless an opt out scheme still respects donor autonomy.

Consent is roughly defined as the giving of agreement or permission for some act. Clearly the dead cannot give their permission for organ removal. Proponents of an opt out donation scheme argue someone’s consent may be presumed provided he hasn’t opted out of the scheme. Den Hartogh argues “presumed consent” depends on a particular conception of consent. The mental state conception of consent “according to which consent to an action refers to a disposition to prefer or wish or desire that action to be done” (2). “Presumed consent” means it may be presumed that a donor had a disposition to donate her organs and by transplanting some of her organs a transplant team are simply fulfilling her wishes. It is clear that not all potential donors who have failed to opt out had would have had a disposition to donate at the time of donation. It follows that accepting presumed consent would mean accepting that some people who did not have a disposition to have their organs transplanted would nevertheless have had these organs transplanted. It further follows that “presumed consent” as defined above would be better described as “probabilistic presumed consent”. “Probabilistic presumed consent” simply means it was more probable a potential donor had had a disposition to donate than he did not. There are two problems associated with “probabilistic presumed consent”. Firstly accepting “probabilistic presumed consent” seems also to presume the majority of potential donors did have a disposition to donate. However as Den Hartogh points out evidence from the Netherlands would suggest this presumption may be unsound (3). Howevereven if we accept that a majority of potential donors did in fact have a disposition to donate why should we accept this majority view? After all in criminal cases jurors do not presume the defendant guilty because the majority of the evidence points to his guilt. The evidence must be overwhelming, beyond reasonable doubt.

More importantly in my opinion Den Hartogh argues the underlying conception of consent as a disposition to prefer, wish or desire that action is done is unsound. He argues that any form of genuine consent must involve the idea of authorisation. Possibly someone who has died and made a valid will might be said to have authorised some action. However if he has not made a will the idea of his presumed authorisation clearly seems nonsensical. It follows provided we accept Den Hartogh’s arguments that “presumed consent” is a fiction and hence not really a form of consent.

If we accept “presumed consent” is not a genuine form of consent does this mean that doctors should only be able to transplant organs from those who have registered as donors? I will now argue it does not. I will argue however even though “presumed consent” is meaningless in the context of organ donation it does not follow we cannot take healthy organs from donors who have not opted out. The reason why consent is central to medical ethics is respect for autonomy. Because I have argued consent is meaningless in this context I will base my argument directly on respect for autonomy. Den Hartogh believes when we presume someone consents the following holds. There is no compelling evidence to hold that someone would consent, nevertheless we proceed as if he had consented, unless there is sufficient evidence to show he wouldn’t have consented (4). In an opt out system we only have probabilistic evidence a donor might have consented to donate his organs. However I will now argue we do have evidence that a potential donor who did not opt did not care much about what might happen to his organs after his death. If he had cared enough he would have opted out. Autonomy is linked to caring about. If someone cares about nothing he is merely a wanton and it is difficult to see how he can lead any sort of coherent life. If autonomy is based on caring about then an opt out system offers evidence that a potential donor, who had not opted out, would not have made an autonomous decision to refuse to give consent to the removal of his organs. It follows we have some grounds to presume that if we transplant his organs we are not disrespecting his autonomy.

In the light of the above it seems reasonable to conclude that an opt out system of organ donation might be justified by respect for donor autonomy. And that it is permissible to transplant organs from all potential donors who have not opted out of the system. At this point I want to make it exactly clear what I am suggesting. I am not suggesting a potential donor would have made an autonomous decision to donate had he been in a position to do so. What I am suggesting is that a potential donor is someone who would not have made an autonomous decision not to donate. I would further suggest the needs of the potential recipients of his organs means we are justified in taking these organs provided he has not opted out.

It might be objected that if an opt out system is introduced some people who would have made an autonomous decision not to donate will not opt out because they were unaware of the need to do so. I accept my objectors point. However it seems to me her objection can be nullified to some extent provided the introduction of an opt out system is given sufficient publicity. My objector might then further object that some time after the introduction of the scheme people’s awareness of the need to opt out if they don’t wish to have their organs transplanted will diminish. I accept my objector’s further point. However once again I think this point may also be nullified to some extent. If an opt out system of organ donation is not to infringe donors autonomy must include an ongoing information program. Respecting autonomy involves making sure people have the opportunity to exercise their autonomy it does not involve ensuring they actually do so. This information should actively be made available in doctor’s surgeries and perhaps taught as part of citizenship in schools. Providing such information should not be costly. It follows that provided such information continues to be provided that an opt out system of organ donation will not lead to a diminishment of people’s awareness of the need to opt out if they don’t want to have their organs transplanted. Finally my objector might object that even if people are for the most part aware of the need to opt out that some people who don’t wish to have their organs available for transplant might delay doing so. She might suggest any opt out system does not fully respect the autonomy of these people. I would reject this last objection. Respecting autonomy involves making sure people have the opportunity to exercise their autonomy; it does not involve ensuring they actually do so.

1. Govert Den Hartogh, 2011, Journal of Applied Philosophy, 28(3)
2. Den Hartogh, page 296.
3. Den Hartogh, page 299.
4. Den Hartogh , page 297

Riots and the Unbearable Lightness of Simply Being

Recently in the UK large quantities of people went onto the streets to loot, attack the police and create general mayhem. I’m not sure whether such behaviour is best described as rioting, looting or a combination of the two; nevertheless in this posting for reasons of simplicity I will use the terms riots and rioters to describe such behaviour and those who took part. There are many causes of these riots, greed, gangs, unemployment and poor education may all play a part. However in this posting I want to consider only one reason why these riots occurred and what might be done to help. I want primarily to consider the mental state of the rioters. It might be thought that this state was mainly characterised by anger justified or not. I reject this characteristic and will suggest an even more characteristic of many of the rioters was an absence of caring about anything. The title of one of Milan Kundera’s novels is ‘The unbearable lightness of being’ in this posting I will suggest a major cause of this lawlessness was the rioters’ sense of the unbearable lightness of simply being.

What exactly do I mean by the unbearable lightness of simply being? I mean an absence of really caring about anything which inevitably leads to a sense of inner emptiness and a shallow way of living. What then do I mean by caring? As in previous posts I will use the term care in the way Frankfurt uses the term. Someone who cares about something identifies herself with what she cares about. She is hurt or benefited depending on whether the thing she cares about is damaged or enhanced (1). The person who cares about something is contrasted to a wanton. A wanton is someone moved by mere impulse and inclination and someone to whom nothing matters much (2). It is clear a wanton is not someone who is merely alienated from society. An alienated person must care about something in order to be alienated. I suggest human beings by their nature must care about something. Frankfurt argues that anyone who doesn’t care about anything including herself is not really a person (3), see also my previous postings concerning robots robethics and autonomy .  In reality there is of course a continuum between people who care a great deal about something and people who care very little about anything at all. I would further suggest if someone doesn’t  care much about anything that she will have a sense of simply being. Someone who has a sense of simply being is likely to find this state unbearable, because as I have suggested human beings have a natural propensity to care. Such a person a person will be bored leading to frustration rather than anger. Boredom is not some trivial unimportant state. Boredom is a state of simply being. Frankfurt argues quite rightly in my opinion that our interest in avoiding boredom is not simply resistance to discomfort but a quite elemental urge for psychic survival (4). One consequence of boredom is that a bored person may be easily swayed by emotions such as greed to loot. A further consequence is that a bored person may seek temporarily relief from her discomfort at her sense of simply being by rioting.

I have argued anyone who cares very little about anything can quite easily become a rioter. But why should someone who cares about something in her life be less likely to become a rioter? Firstly if someone cares about something then because she identifies herself with what she cares about her life is not empty. She doesn’t have that sense of the unbearable lightness of simply being in the way a wanton does. She doesn’t have this unpleasant state to relieve. Secondly someone who cares about something is likely to have a more distinct individuality than some who cares very little about anything and is thus less likely to follow the herd, see my previous posting. A lack of distinct individuality may be particularly important in the case of teenagers. Lastly someone who cares about something is likely to take deterrents seriously because these might harm what she cares about. Conversely someone who cares very little about anything is unlikely to take these deterrents seriously. Accepting this last point suggests current deterrent sentencing is unlikely to prove to be very effective.

If my analysis is accepted and a fundamental cause of the riots was, the rioters’ sense of the unbearable lightness of simply being, what steps might be taken to alleviate this sense and hence reduce the probability of future rioting? One obvious answer would seem to be better education. Firstly a better education might help someone get a job and this job might alleviate her sense simply being. I of course accept the fact that someone has a job does not automatically mean her sense of simply being is alleviated. It is also true that some of the rioters had jobs. Nevertheless I would argue being employed will in all probability alleviate this sense to some degree. Secondly a better education might allow some to gain a sense of achievement. Someone with a sense of achievement is unlike the wanton in that she must care about herself to some degree. It follows educational achievement might alleviate someone’s sense of simply being. However in the present economic climate there are not enough jobs to satisfy everyone and some people will never obtain a sense of achievement by academic means. Unfortunately it follows that better education will not be very effective in alleviating this sense of simply being for many people.

Are there any other steps that might be taken? I my previous posting I stressed the importance of good parenting and attachment theory. I believe people who where well attached as children are likely as adults to care about something and as a result are less likely to have a sense of simply being. I will not pursue this argument here. Secondly David Cameron has suggested that all sixteen olds should do some sort of civil service. Such a scheme might well mean that some sixteen year olds care about something and this caring might well help alleviate the sense some of them have of simply being. However not all sixteen year olds will gain this sense of caring. Many might see any such scheme as imposed on them and hence alien to them. Moreover such a scheme would be of limited duration. Nevertheless such a scheme might be of some limited value. Thirdly happy people have less of a sense of simply being and we should actively encourage policies that promote happiness, see action for happiness . Lastly, and perhaps most importantly, sport and music might be something which those who have failed at education, or who the education system has failed, might care about. Such caring might alleviate their unbearable sense of simply being for those who participate. It follows youth services promoting sport and music should be vigorously encouraged. Unfortunately in the present economic climate these services are likely to under financial pressure.

1. Frankfurt 1988, The Importance of What We Care About. Cambridge University Press, page 83.
2. Frankfurt, 1999, Necessity, Volition, and Love. Cambridge University Press, page 106.
3. Frankfurt, 1999, page 90.
4. Frankfurt, 1999, page 89.

Zero Degrees of Empathy and Evil

In this posting I want to set out some thoughts about evil and empathy rather than pursuing a specific argument. My starting point is Simon Baron-Cohen’s book (2011, Zero Degrees of Empathy, Allen Lane.) Baron-Cohen defines empathy as follows,

“Empathy is our ability to identify what someone else is thinking or feeling, and to respond to their thoughts and feelings with an appropriate emotion.” (Page 11)

However it might be questioned whether a lack of empathy is really directly connected to evil. Consider the Milgram experiments. These experiments involved the participants in giving what they believed to be very large electric shocks to a learner. In practice there were no real shocks and the learner was really an actor who faked his response. This experiment raises two questions. Firstly were the participants doing something evil? It seems clear to me they were. Secondly did these participants lack empathy? There were 40 volunteer participants in the trial all male whose ages ranged between 20 and 50 and whose jobs ranged from unskilled to professional. Let it be accepted that sociopaths who lack all empathy can commit evil acts. However it seems improbable to me that Milgram could have picked 40 sociopaths for his experiment and that at least some of the participants must have had some degree of empathy. It follows evil acts can be committed by both people who lack and possess empathy.

Baron-Cohen suggests that the extremes of evil are usually relegated to the unanalysable, see page 100. The question immediately arises why do we want to analyse the term evil? Perhaps analysing the term evil might be useful in some contexts? Consider the case of Josef Fritzl who imprisoned and raped his daughter Elisabeth. It seems to me the term evil is useful in this context by simply expressing our moral disgust at Fritzl’s actions. To re-describe Fritzl’s actions as lacking in empathy rather than evil would seem to be much less effective way of expressing our disgust. The term evil simply doesn’t need analysing in this context. However the term evil may have other uses. Baron-Cohen further suggests we can replace the terms ‘evil’ and ‘cruelty’ with the term ‘empathy’ in relation to those with zero negative empathy, see page 65. I will assume here by ‘empathy’ he means ‘lack of empathy’. It seems obvious that simply labelling people like Fritzl simply as evil is not useful in the context of explaining their actions. This context includes both the causes of evil and the way it spreads. Indeed in this context such simple labelling prevents explanation. In the rest of this posting I want to examine the causes of evil and the reasons for its spread. In order to do so I want to differentiate between two categories of people who commit evil acts. Firstly there are people who do evil acts but who do not conceive the acts. They simply propagate these acts. Secondly some people cause evil, originate the evil acts that they and others propagate.

I will consider those who cause, originate, evil first. It seems to me there are three main reasons why people originate evil. Firstly they commit an evil act when pursuing some other goal; for instance the CEO of some company, who knowingly lets his company pollute the environment near to a factory, hereby causing birth defects, in order to maximise profits. Secondly some people simply enjoy the infliction of suffering. Lastly evil is committed to further some greater cause; for instance the purification of the Germanic race or a jihad against the infidels. In this last case the perpetrators of evil may actually see themselves as acting for the best especially if they understand morality in a utilitarian way. None of the above reasons for the origin of evil depend directly on the perpetrators of evil having zero degrees of empathy. The CEO may love his wife and children. The torturer who enjoys suffering may actually need some partial form of empathy with his victim in order to increase his pleasure. He needs the ability to identify what his victim is thinking or feeling even if he lacks an appropriate response. And lastly a Jihadist may have started his Jihad because of his empathy for fellow Moslems. In the light of the above it would appear there is nothing to be gained by simply re-describing people who originate evil as people possessing near zero degrees of empathy rather than evil people. Nonetheless it is true that some people who originate evil acts do have a zero degree of empathy. Does having a zero degree explain the origin of evil in these cases? It would appear not. For as Baron-Cohen points out people with Asperger Syndrome and mild autism often develop a moral code through systemizing rather than empathy and as a result would appear to be no more likely to originate evil than anyone else, see page 84. It would appear having a zero degree of empathy is not useful in explaining why some people originate evil.

Nonetheless Baron-Cohen is correct to connect evil and empathy. A lack of empathy may not originate evil but if someone has sufficient empathy his empathy might act like a vaccine preventing him from originating evil. Sufficient empathy may be very important in controlling what we can think of as permissible. Indeed I would suggest that in the Western World the re-description of the civilian victims of bombing as collateral damage might be seen as an unconscious, at least I hope unconscious, attempt to limit our empathy. After all we describe famine victims as victims and not as the collateral damage caused by drought. It is an interesting question as to what proportion of evil doers are capable of originating evil. Perhaps this question is open to empirical research.

I now want to consider the possible causes for the propagation of evil? I would suggest three main interconnected causes. Firstly it seems clear from the Milgram experiment that respect for authority is a factor. In this experiment the experimenter told the teacher either it was essential to continue, the experiment required that he continue or that he had no choice but to go on. The experimenter would seem to be a figure of some authority. The second cause is linked to the first. Most people seem to find some sort of reassurance that what they are doing the right thing if others behave in a similar fashion. The Herd Instinct seems to confer some sort of legitimacy to their actions. The Herd Instinct means people tend to act as others do and their individuality declines. Lastly if the number of people contributing to an evil act is large enough individuals may not see themselves as really responsible for the act. The trouble is no one else may see themselves as responsible for the act. I argued in my posting of 24/05/11 that in such situations responsibility becomes smeared, see also Parfit (1984, Reasons and Persons, Oxford, page 80).

What then might be done to combat the propagation of evil? I argued above a lack of empathy does not cause someone to propagate evil. In addition I suggested if someone has sufficient empathy his empathy might act like a vaccine preventing him from originating evil. I believe this suggestion also applies to the propagation of evil. Intuitively it seems plausible that increasing someone’s empathy might help him resist both authority and herd pressure in his dealings with others. I am however doubtful that increasing someone’s empathy will make him more aware of his responsibilities. Empathy might be increased in at least three ways. Firstly, John Bowlby’s attachment theory shows that children who experience stable loving parenting are likely to grow up well adjusted to the world. This good adjustment may be partly due to an increased capacity to feel empathy, see my posting of 30/03/09. Attachment theory predicts trans-generational effects so it follows that society should take active steps to enable parents, especially mothers, who experienced attachment problems as children become good parents. Someone might object I am encouraging the nanny state and that parenting is a purely personal matter. Let it be accepted bad parenting harms children. Mill argued “that the only purpose for which power can be rightfully exercised over any member of a civilized community, against his will, is to prevent harm to others.” (1859, On Liberty, quote from Penguin Books 1974 page 72.) In the light of the above it would appear that my objector must either accept that the state should be concerned with good parenting or that the state does not have a duty to prevent harm to others. In the real world we of course accept that the state has a duty to prevent harm to children by our acceptance that the state has a duty to ensure children’s education. What steps can the state take to aid good parenting? One way in the UK might be to use the Sure Start scheme. Sure Start was originally conceived as means of teaching poor parents to parent. It has now become popular with parents because it gives them free day care and other benefits. Perhaps it is time Sure Start returned to its original goal of enabling ‘poor parents’ become better parents when ‘poor parent’ simply means one lacking in parenting skills. However not all ‘poor’ parents will use the scheme. Perhaps poor parents might be encouraged to use the scheme by nurses at pre natal checks. Another way of encouraging good parenting might be a campaign similar to the one designed to encourage healthy eating by consuming five portions of fruit or vegetables a day as suggested by Chris Paterson for Centre Forum, see http://www.centreforum.org/assets/pubs/parenting-matters.pdf .

Secondly it is possible that individual empathy flourishes better in less individualistic and more caring societies. Robert Cialdini’s work has shown if we give someone something he is likely to reciprocate, see http://en.wikipedia.org/wiki/Robert_Cialdini. Cialdini’s work is based on giving and not on expressing an emotion. However it seems plausible that the expression of an emotion leads others to reciprocate. Anger leads to anger and perhaps empathy to empathy. It is possible that a more empathic society might increase individual empathy. Someone might object that the above is too simplistic. He might point out there are angry people, empathic people but there are no angry or empathic societies. I accept my objectors point. I would however suggest societies in which people feel at ease are societies which contain less angry and more empathic individuals. I would further suggest people might feel more at ease in caring, giving societies. Lastly in a more speculative vein in the future we might be able to enhance our natural empathy by biomedical means. For instance Paul Zak has shown oxytocin delivered as a nasal spray increases our natural empathy, see http://www.luiss.it/esa2007/programme/papers/3.pdf .

In the light of the above it might appear that we should embrace all three of these means of increasing our natural empathy in order to combat the spread of evil. However I would urge caution. Firstly caution is needed with all biomedical enhancements. Secondly the above appearance depends on the assumption that increased empathy will reduce evil. However we should consider exactly how empathy might be increased. Empathy might be increased in two ways. Firstly empathy might be increased by increasing the empathy we feel towards those people who we already feel empathic concern for. Secondly it might be increased by increasing the range of people we feel empathic concern for; it might increase our domain of empathic concern. I would suggest simply increasing empathy, whilst desirable, is not always useful in combating the spread of evil. For instance if the empathy Germans felt for Germans under the third Reich had been increased it is extremely doubtful whether this increase would have prevented the Holocaust. It follows if we are serious about using increased empathy to combat the spread of evil that we must pay attention to increasing the domain of empathy in addition to increasing empathy in general.

The second cause of the propagation of evil I mentioned above was the herd instinct. For instance when crossing the road a Leeds University study discovered pedestrians are likely to act as a herd, blindly following other pedestrians, see http://www.physorg.com/news/2010-11-pedestrians-herd-instinct-road.html . It therefore seems quite plausible someone might blindly follow others, the herd, in propagating evil. One way of combating the herd instinct is to encourage individuality. It might then be suggested encouraging empathy damages individuality. Accepting this suggestion gives us a further reason to be cautious about simply increasing our empathy if we are seriously thinking about combating evil. However I would reject such a suggestion. I don’t believe building a more caring society must inevitably damage individuality. Firstly if we attempt to increase empathy by encouraging good parenting it seems likely any increase in empathy will not damage individuality. In what follows I will assume individuality means the capacity to act autonomously. Bowlby’s attachment theory predicts children with firm attachment will be more confident in exploring relationships with others. This confidence should increase rather than decrease their capacity to act autonomously. Moreover this confidence to explore their relationships with others should expand the domain of their empathic concern. The second way in which we might encourage empathy I listed above was to foster more caring and giving societies. I see no reason why increasing empathy by this means should damage individuals capacity for autonomy provided this is done from a position of epistemic humility. I believe truly beneficent care must involve adopting a position of epistemic humility, see my posting of 19/06/08. Building a more caring society from such a position means we must give priority to respecting the autonomy of others and provided we do so we should not damage individuality. Unfortunately even if we increase empathy by building a more caring society does not automatically follow that we increase the domain of our empathic concern, which is what I have suggested, is really needed to combat evil. It seems to me that the way our society is structured may be much more likely to increase empathy than by increasing how much it cares. Lastly it seems it may be possible to enhance our natural empathy by biomedical means. I would argue such enhancement should not be attempted if it damages our capacity for autonomy. In addition there appears to be some evidence from Zak’s experiments that such enhancement may only increase our empathic concern for those we already feel some empathy for, rather than expanding the domain of our empathic concern.

I have considered using increased empathy like a vaccine to combat the spread of evil caused by either deference to authority or an inability to resist the herd instinct. However I have suggested increasing empathy may not increase our sense of responsibility. In addition men as a whole feel less empathy than women. Lastly there are some people are incapable of feeling any empathy at all. In the light of these facts are there then any other means of combating the spread of evil? It is possible that increasing individuality might help in combating the spread of evil. I would suggest seeing ourselves as individuals rather than part of a herd increases our ideas of responsibility. Individuality can only flourish in a tolerant society and it might appear that a tolerant society is simply one accepting Mill’s dictum “that the only purpose for which power can be rightfully exercised over any member of a civilized community, against his will, is to prevent harm to others.” However as with the domain of empathic concern mentioned above there might be a problem with the domain of ‘civilised community’. For instance a large number of whites in apartheid South Africa did not regard non whites as part of their ‘civilised community’ and as a result many evil acts were tolerated. It follows simply accepting Mill’s dictum is not enough to ensure toleration or prevent evil. Perhaps however if we accept his dictum should apply to all autonomous creatures we might live in a more tolerant society which encourages individuality hence lessening the propagation of evil.

In conclusion I would suggest the methods discussed above can control the spread of evil acts to some degree. Unfortunately I believe these methods will do less to prevent the occurrence of evil acts such as those committed recently in Norway by Anders Behring Breivik.

Knobe, Erler and our ‘True Self’

In this posting I want to consider the comments by Alexandre Erler in Practical Ethics on an article by Joshua Knobe in the New York Times concerning personal identity see http://blog.practicalethics.ox.ac.uk/2011/06/what-is-my-true-self/#more-1548. Knobe uses the example of the evangelical preacher Mark Pierpont who encourages homosexuals to seek a “cure” for their sexual orientation. Pierpont himself was a homosexual and continues to battle his continuing homosexual urges. Knobe uses him as an example to question what is meant by someone’s ‘true self’. He firstly presents two common concepts of self. The first concept is an unreflective one in which our true self is determined by our nature, our urges. The second concept, as advocated by such as David DeGrazia, holds that our true self is defined by our commitments, values, and endorsements. Knobe suggests both of these concepts are challenged by the case of Pierpont. He further suggests that people regard the traits they value in someone as part of that person’s true self. In this posting I want to question whether the concept of someone’s true self as opposed to simply self is a useful concept.

To whom might the concept of a true self be useful? Firstly it might be useful to someone deciding what to do. She might ask what her true self would do in this situation when making some important decision. She might ask herself if she is acting authentically; to her own self being true. Secondly another may question what, is someone else’s true self, before ascribing praise or blame and predicting what that person will do. Intuitively it seems to me these two uses of the idea of true self are distinct and that a different concept might be useful in each case. I will deal with the second case first.

Knobe suggests that others regard the traits they value in someone as reflecting her ‘true self’. I would suggest any such concept of ‘true self’ should not help them ascribe praise or blame and it is not very useful in predicting the actions of others. Praise and blame seem to be more naturally connected to someone’s autonomy rather than her ‘true self’. Of course I accept that someone’s ‘true self’ may be connected to her autonomy. Nonetheless I believe the ascription praise and blame depends directly on someone’s autonomy and that there is no need to involve the concept of ‘true self’. It is plausible that understanding a person’s values might be useful in predicting her actions. However if our concept of ‘true self’ is limited to the values we approve of then this concept will be useful in predicting what we think someone should do rather than what she actually will do. For these reasons Knobe’s suggested concept of someone’s ‘true self’ does not seem to me to be a useful one when applied to others. Erler suggests that our ‘true self’ might be a composite of the two concepts Knobe introduced initially; our natural idea of a ‘true self ‘and an idea of a ‘true self’ being defined by our values and commitments. Is then Erler’s suggested composite concept any more useful than that of Knobe in this context? Once again I would suggest the ascription of praise and blame should be concerned with the idea of someone’s autonomy rather than her ‘true self’. Erler’s suggested concept may well be more useful in predicting someone’s actions but I wonder whether there is any useful difference in this particular context between the concepts of self and ‘true self’.

Is then any concept of a ‘true self’ useful to someone making a decision? Most ordinary decisions are largely unreflective and we just act without questioning our motives too much. However for some big decisions such as whether to pursue a particular career or start a family much more reflection is usually involved. Perhaps in these cases we might question what our ‘true self’ would do; what is the authentic thing to do. It seems clear to me if someone accepts her ‘true self’ is defined only by the values others value in her and she acts in accordance with this concept then she isn’t acting authentically. Knobe’s suggestion about true self is not useful in this context either. Let us return to the second concept of ‘true self’ initially introduced by Knobe. I would argue our deeply held commitments, values, and endorsements are what we ‘care about’. According to Harry Frankfurt if someone ‘cares about’ something she identifies herself with what she cares about and makes herself vulnerable to losses and susceptible to benefits depending on whether what she cares about is diminished or enhanced, see (1988, The Importance of What We Care About, Cambridge University Press, page 83.) Prima facie it might be assumed this concept of ‘true self seems to be a useful concept for someone to employ when deciding how to make some big decision and there is no need for Erler’s composite definition. Prior to making that decision they ask themselves what they really ‘care about’. It would further seem when Pierpont encourages homosexuals to seek a “cure” for their sexual orientation he is acting in accordance with this concept of his ‘true self’. He is acting authentically.

I believe it is certainly true people act with respect to what they ‘care about’. This concept of ‘true self’ determines their actions. However even if it is accepted that one’s ‘true self’ determines one’s actions it does not automatically follow that one’s true self is useful in deciding what to do. What someone intends to do and what he ‘cares about’ need not be identical. Frankfurt argues someone might be unable to carry out her intentions. She might discover, when the chips are down, that she simply cannot bring herself to pursue the course of action which she has decided upon (page 85). For instance a single mother might intend to have her baby adopted. She might believe he would have a better life if this was done. She might further believe this is what she ‘cares about’. However when the time comes for the adoption she finds she cannot go through with the adoption; it is not what she really ‘cares about’. The reason for the mother’s false belief is the way Frankfurt links ‘caring about’ to wholeheartedness and satisfaction. Frankfurt defines satisfaction as an absence of restlessness or resistance. A satisfied person may be willing to accept a change in her condition, but she has no active interest in bringing about a change (1999, Necessity, Volition, and Love, Cambridge University Press, page 103). Our mother may not be able to accurately predict what will satisfy her prior to her actually having to hand over her child for adoption. It follows the concept of our true self defined by our deeply held commitments, values, and endorsements may not be as useful in making big decisions as I assumed above. It might of course be that I am wrong to equate our deeply held commitments, values, and endorsements with Frankfurt’s ideas on ‘caring about’ or that I have misinterpreted Frankfurt’s ideas on wholeheartedness and satisfaction. Nevertheless it seems to me in making a big decision someone should consider what she ‘cares about’ in conjunction with her nature and urges. It follows Erler’s composite idea of true self’, may be more useful than a concept based purely on ‘caring about’ when making major decisions.