This paper examines the historical rise of both cardiopulmonary resuscitation and the do-not-resuscitate order and the wisdom of their continuing status in U.S. hospital practice and policy. The practice of universal presumed consent to CPR and the resulting DNR policy are the products of a particular time and were responses to particular problems. In order to keep the excesses of technology in check, the DNR policies emerged as a response to the in-hospital universal presumed consent to CPR. We live with (...) this historical concretion, which seems to perpetuate a false culture that the patient's wishes must be followed. The authors are critical of the current U.S. climate, where CPR and DNR are viewed as two among a panoply of patient choices, and point to UK practice as an alternative. They conclude that physicians in the United States should radically rethink approaches to CPR and DNR. (shrink)

In our society, some aspects of life are off-limits to commerce. We prohibit the selling of children and the buying of wives, juries, and kidneys. Tainted blood is an inevitable consequence of paying blood donors; even sophisticated laboratory tests cannot supplant the gift-giving relationship as a safeguard of the purity of blood. Like blood, health care is too precious, intimate, and corruptible to entrust to the market.The hospice movement in the United States is approximately 40 years old. During these past (...) four decades, the concept of holistic, multidisciplinary care for patients who are suffering from a terminal illness has evolved from a modest, grassroots constellation of primarily volunteer-run and community-governed endeavors to a multimillion dollar industry where the surviving nonprofits compete with for-profit providers, often publicly traded, managed by M.B.A.-trained executives, and governed by corporate boards. The relatively recent emergence of for-profit hospice reflects an increasing commercialization of health care in the United States, the potentially adverse impact of which has been well documented. (shrink)

Financial ties between physicians and pharmaceutical companies are pervasive and controversial. However, little is known about how patients perceive such ties. This paper describes an experiment examining how a national sample of U.S. adults perceived a variety of financial relationships between physicians and drug companies. Each respondent read a single scenario about a hypothetical physician and his financial ties to the pharmaceutical industry; scenarios varied in terms of payment type of and amount. Respondents then evaluated the physician on several dimensions (...) . Findings revealed that perceptions of the physician were more strongly influenced by payment type than by payment amount. Specifically, respondents were quite critical of doctors who owned drug company stock or received industry payments for meals and lodging, but were more forgiving of physicians who received free drug samples or consulting fees . Interestingly, physicians who received no payments, while seen as honest, were also viewed by some respondents as inexperienced or uninformed about new treatments. Implications for public policy and future research are discussed. (shrink)

This article critically questions the commercialization of hospice care and the ethical concerns associated with the industry's movement toward “market-driven medicine” at the end of life. For example, the article examines issues raised by an influx of for-profit hospice providers whose business model appears at its core to have an ethical conflict of interest between shareholders doing well and terminal patients dying well. Yet, empirical data analyzing the experience of patients across the hospice industry are limited, and general claims that (...) end-of-life patient care is inferior among for-profit providers or even that their business practices are somehow unseemly when compared to nonprofit providers cannot be substantiated. In fact, non-profit providers are not immune to potentially conflicting concerns regarding financial viability (i.e., “no margin, no mission”). Given the limitations of existing empirical data and contrasting ideological commitments of for-profit versus non-profit providers, the questions raised by this article highlight important areas for reflection and further study. Policymakers and regulators are cautioned to keep ethical concerns in the fore as an increasingly commercialized hospice industry continues to emerge as a dominant component of the U.S. health care system. Both practitioners and researchers are encouraged to expand their efforts to better understand how business practices and commercial interests may compromise the death process of the patient and patient's family — a process premised upon a philosophy and ethical tradition that earlier generations of hospice providers and proponents established as a trusted, end-of-life alternative. (shrink)

Financial relationships and business transactions between physicians and the health care industry are common. These relationships take a variety of forms, including payments to physicians in exchange for consulting services, reimbursement of physician travel expenses when attending medical device and pharmaceutical educational conferences, physician ownership in life science company stocks, and the provision of free drug samples. Such practices are not intrinsic to medical practice, but as the Institute of Medicine described in its 2009 report, these relationships have the potential (...) to produce positive collaborations that improve patient care and public health, and most physicians view it as “ethically proper to accept items ranging from drug samples to a lucrative consultantship.”However, financial relationships between physicians and pharmaceutical, medical device and biotechnology companies can also create negative influences on physician judgment that compromise patient care and jeopardize the public’s trust. (shrink)

"Thinking like a lawyer" is a phrase familiar to every law student, and the development of these analytical skills are, of course, essential. In this essay, however, I reflect on the value of a more expansive approach to professional formation. I argue that legal education best serves students, the bar, and the society when it takes seriously the importance of moral imagination, interpersonal relationships, and personal wellness.

Alasdair MacIntyre described the late modern West as driven by two moral values: efficiency and effectiveness. Regardless of whether you accept MacIntyre's overarching story, it seems clear that efficiency and effectiveness have achieved a zenith in institutional health care structures, such that these two aspects of care become the final arbiters of what counts as “good” care. At the very least, they are dominant in many clinical contexts and act as the interpretative lens for the judgments of successful health care (...) managers. The drive of efficiency can also be seen in “lean” management methods (originally imported from the automotive manufacturing industry) increasingly deployed in the intensive care unit. This drive gives us pause. The high stress of the ICU is exacerbated by the enormous complexity of technological interventions designed to maintain physiological functioning as the body heals, as well as the ever‐present concerns related to cost, effectiveness, and efficiency. The ICU, therefore, provides an illustrative view of the challenges facing clinicians, as well as resource managers, in terms of delivering care. In short, the goal of technocratic efficiency often ends up at odds with humane purposes. To better understand these contemporary health care dynamics, we conducted a limited series of focus group discussions and interviews with residents experienced in the challenges of delivering care in the ICU environment. In what follows, we highlight some narrative observations drawn from these focus groups. We found a recurrent and disconcerting refrain among our informants that has not been adequately described or addressed in the literature: technocratic management techniques have crept into and bifurcated clinical care strategies in the ICU. Specifically, we highlight the influence of concerns around efficiency and effectiveness and the ways in which these foci have contributed to a bifurcation in care in the ICU along two trajectories: either compassionate care or curative care. (shrink)

This paper examines the historical rise of both cardiopulmonary resuscitation and the do-not-resuscitate order and the wisdom of their continuing status in U.S. hospital practice and policy. The practice of universal presumed consent to CPR and the resulting DNR policy are the products of a particular time and were responses to particular problems. In order to keep the excesses of technology in check, the DNR policies emerged as a response to the in-hospital universal presumed consent to CPR. We live with (...) this historical concretion, which seems to perpetuate a false culture that the patient's wishes must be followed. The authors are critical of the current U.S. climate, where CPR and DNR are viewed as two among a panoply of patient choices, and point to UK practice as an alternative. They conclude that physicians in the United States should radically rethink approaches to CPR and DNR. (shrink)

Writing in 1999, legal ethics scholar Brad Wendel noted that “[v]ery little empirical work has been done on the moral decision making of lawyers.” Indeed, since the mid-1990s, few empirical studies have attempted to explore how attorneys deliberate about ethical dilemmas they encounter in their practice. Moreover, while past research has explored some of the ethical issues confronting lawyers practicing in certain specific areas of practice, no published data exists probing the moral mind of health care lawyers. As signaled by (...) the creation of a regular column “devoted to ethical issues arising in the practice of health law” in the Journal of Law, Medicine & Ethics, the time to address the empirical gap in the professional ethics literature is now. Accordingly, this article presents data collected from 120 health care lawyers. Presenting this population with a number of hypothetical scenarios relating to how they would respond when confronting an ethical dilemma without an obvious solution or when facing a situation in which their personal values were in tension with their professional obligations, this article represents a first step toward better understanding how lawyers who practice in health care settings understand and resolve the moral discomfort they encounter in their professional lives. (shrink)

The empirical literature exploring lawyers and their moral decision making is limited despite the “crisis” of unethical and unprofessional behavior in the bar that has been well documented for over a decade. In particular we are unaware of any empirical studies that investigate the moral landscape of the health lawyer’s practice. In an effort to address this gap in the literature, an interdisciplinary team of researchers at Vanderbilt University designed an empirical study to gather preliminary evidence regarding the moral reasoning (...) of health care attorneys. The primary research question was how health lawyers respond when they encounter ethical or moral dilemmas in their practice for which the law fails to offer a bright-line solution. In exploring this question, we sought to understand better what motivations or influences guide action when health lawyers confront ethical quandaries, and whether there are specific differences, e.g., gender, experience, or religiosity, that are associated with specific responses to situations testing ethical or moral boundaries. (shrink)

This book closely examines our commonly held beliefs about human suffering, and offers unique insights into God's role in why we suffer. Dr. Perri critically examines what it means to be human from a Judeo-Christian perspective, and extrapolates from the work of Carl Gustav Jung showing a deeply complex development of human transcendence in human suffering. On an interpersonal level, Dr. Perri elaborates on the work of Martin Buber and Emanuel Levinas and shows how our suffering can be shared and (...) lessened by our unconditionality and presence for the other. Scriptural passages are quoted from both the Hebrew and New Testament texts, and are used to depict the suffering of humankind as seen in the face of Job. It was this face, according to Perri, that Jesus saw in the faces of those He came to redeem, and that ultimately brought Him to the crucifix of redemption. Dr. Perri challenges Sartre's position that our existence precedes our essence, and draws on the work of Abraham Joshua Heschel and Christian theology in this regard. He further elaborates a neurodevelopmental paradigm that creates essence as the basis of our freedom to choose. This book can be read and studied by both professionals in the helping and healing professions, and lay persons seeking to better understand our suffering, and how to better help those who suffer. Dr. Perri offers specific ways in how to be present for those who suffer, how to read and receive the hidden language of human suffering, and how to use silence as a communication skill. (shrink)

The latest trend in ethics, sometimes dismissed as a fad, is the effort to connect ethics to empirical science. Two different versions of this “latest thing” can be found in the work of Jonathan Haidt and Joshua Greene. Their projects are, at least partly, unwitting recoveries of eighteenth-century Christian moral sense theory. Such similarities need not worry Christian ethicists but should instead inspire a careful retrieval of sentimentalism. It provides much of what today’s empirical ethicists hope to deliver without (...) the pitfalls. (shrink)

The present volume provides an introduction to the major themes of work in experimental philosophy, bringing together some of the most influential articles in ...

It is well known that the nature of consciousness is elusive, and that attempts to understand it generate problems in metaphysics, philosophy of mind, psychology, and neuroscience. Less appreciated are the important – even if still elusive – connections between consciousness and issues in ethics. In this chapter we consider three such connections. First, we consider the relevance of consciousness for questions surrounding an entity’s moral status. Second, we consider the relevance of consciousness for questions surrounding moral responsibility for action. (...) Third, we consider the relevance of consciousness for the acquisition of moral knowledge. (shrink)

Consider the following explanation: (1) George took his umbrella because it was just about to rain. This is an explanation of a quite distinctive sort. It is profoundly different from the sort of explanation we might use to explain, say, the movements of a bouncing ball or the gradual rise of the tide on a beach. Unlike these other types of explanations, it explains an agent’s behavior by describing the agent’s own _reasons_ for performing that behavior. Explanations that work in (...) this way have a number of distinctive and important properties, and we will refer to them here as _reason explanations_. Looking at the use of reason explanations with a philosophical eye, one is apt to experience a certain puzzlement. One wants to know precisely what makes a given reason explanation true or false. So, for example, the explanation given above seems to be saying that George’s reason for taking his umbrella was that it was just about to rain. But what exactly makes it the case that this is George’s reason? Does he have to actually be. (shrink)

This book provides an analytical and critical appraisal of Rousseau's political thought that, while frank about its limits, also explains its enduring power.

Advocates of the use of intuitions in philosophy argue that they are treated as evidence because they are evidential. Their opponents agree that they are treated as evidence, but argue that they should not be so used, since they are the wrong kinds of things. In contrast to both, we argue that, despite appearances, intuitions are not treated as evidence in philosophy whether or not they should be. Our positive account is that intuitions are a subclass of inclinations to believe. (...) Our thesis explains why intuitions play a role in persuasion and inquiry, without conceding that they are evidential. The account also makes predictions about the structure of intuitions that are confirmed by independent arguments. (shrink)

There are several important arguments in metaethics that rely on explanatory considerations. Gilbert Harman has presented a challenge to the existence of moral facts that depends on the claim that the best explanation of our moral beliefs does not involve moral facts. The Reliability Challenge against moral realism depends on the claim that moral realism is incompatible with there being a satisfying explanation of our reliability about moral truths. The purpose of this chapter is to examine these and related arguments. (...) In particular, this chapter will discuss four kinds of arguments – Harman’s Challenge, evolutionary debunking arguments, irrelevant influence arguments, and the Reliability Challenge – understood as arguments against moral realism. The main goals of this chapter are (i) to articulate the strongest version of these arguments; (ii) to present and assess the central epistemological principles underlying these arguments; and (iii) to determine what a realist would have to do to adequately respond to these arguments. (shrink)

Our brains were designed for tribal life, for getting along with a select group of others and for fighting off everyone else. But modern times have forced the world’s tribes into a shared space, resulting in epic clashes of values along with unprecedented opportunities. As the world shrinks, the moral lines that divide us become more salient and more puzzling. We fight over everything from tax codes to gay marriage to global warming, and we wonder where, if at all, we (...) can find our common ground. (shrink)

This chapter examines when a word’s meaning can change. On the view explored here, the meaning of a term is fixed by language users having certain dispositions to use the term in certain ways. Consequently, meanings change—concepts shift—when the relevant dispositions change. After the view is articulated, it is put to use defending descriptivism from some recent objections. Finally, this chapter examines the extent to which terms really replace meanings at all—conceptual revolution—or just have their meanings and references change shape—conceptual (...) evolution. (shrink)

The Approach to Philosophy By Prof. Ralph Barton Perry Introduction and Approach to Basic Philosophy Brand New Copy Includes The Free Man and The Soldier The Moral Economy The Approach to Philosophy In an essay on "The Problem of Philosophy at the Present Time," Professor Edward Caird says that "philosophy is not a first venture into a new field of thought, but the rethinking of a secular and religious consciousness which has been developed, in the main, independently of philosophy." (...) If there be any inspiration and originality in this book, they are due to my great desire that philosophy should appear in its vital relations to more familiar experiences. If philosophy is, as is commonly assumed, appropriate to a phase in the development of every individual, it should grow out of interests to which he is already alive. And if the great philosophers are indeed never dead, this fact should manifest itself in their classic or historical representation of a perennial outlook upon the world. I am not seeking to attach to philosophy a fictitious liveliness, wherewith to insinuate it into the good graces of the student. I hope rather to be true to the meaning of philosophy. For there is that in its stand-point and its problem which makes it universally significant entirely apart from dialectic and erudition. These are derived interests, indispensable to the scholar, but quite separable from that modicum of philosophy which helps to make the man. The present book is written for the sake of elucidating the inevitable philosophy. It seeks to make the reader more solicitously aware of the philosophy that is in him, or to provoke him to philosophy in his own interests. To this end I have sacrificed all else to the task of mediating between the tradition and technicalities of the academic discipline and the more common terms of life. (shrink)

We think of logic as objective. We also think that we are reliable about logic. These views jointly generate a puzzle: How is it that we are reliable about logic? How is it that our logical beliefs match an objective domain of logical fact? This is an instance of a more general challenge to explain our reliability about a priori domains. In this paper, I argue that the nature of this challenge has not been properly understood. I explicate the challenge (...) both in general and for the particular case of logic. I also argue that two seemingly attractive responses – appealing to a faculty of rational insight or to the nature of concept possession – are incapable of answering the challenge. (shrink)

The correspondence theory of truth is a precise and innovative account of how the truth of a proposition depends upon that proposition's connection to a piece of reality. Joshua Rasmussen refines and defends the correspondence theory of truth, proposing new accounts of facts, propositions, and the correspondence between them. With these theories in hand, he then offers original solutions to the toughest objections facing correspondence theorists. Addressing the Problem of Funny Facts, Liar Paradoxes, and traditional epistemological questions concerning how (...) our minds can access reality, he challenges recent objections, and defends what has traditionally been the most popular theory of truth. Written with clarity, precision, and sensitivity to a range of philosophical backgrounds, his book will appeal to advanced students and scholars seeking a deeper understanding of the relationship between truth and reality. (shrink)

Are properties perfectly natural (or not) relative to worlds, or are they perfectly natural (or not) tout court? That is, could there be a property P that is instanti-ated at worlds w1 and w2, and is perfectly natural at w1 but not at w2? Here, we offer an original argument for the non-world-relativity of perfect naturalness. Along the way, we reply to a prima facie compelling argument for the contin-gency of perfect naturalness, based upon the connection between natural prop-erties and (...) laws of nature. (shrink)

Social organization in microcosm : anomalies and ritual concentrate conflict -- Comparing on a grand scale : elementary forms do the organizing -- Building fundamental explanations : rituals do the institutionalizing, and institutions make change -- Analytic method is also ritual peacemaking : thinking in circles helps to defuse conflict -- Douglas's contribution to understanding human thought and conflict.

We chart how neuroscience and philosophy have together advanced our understanding of moral judgment with implications for when it goes well or poorly. The field initially focused on brain areas associated with reason versus emotion in the moral evaluations of sacrificial dilemmas. But new threads of research have studied a wider range of moral evaluations and how they relate to models of brain development and learning. By weaving these threads together, we are developing a better understanding of the neurobiology of (...) moral judgment in adulthood and to some extent in childhood and adolescence. Combined with rigorous evidence from psychology and careful philosophical analysis, neuroscientific evidence can even help shed light on the extent of moral knowledge and on ways to promote healthy moral development. (shrink)

One of the most influential methodological contributions of twentieth‐century philosophy was the approach known as conceptual analysis. The majority of experimental philosophy papers are doing cognitive science. They are revealing surprising new effects and then offering explanations those effects in terms of certain underlying cognitive processes. The best way to get a sense for actual research programs in experimental philosophy is to look in detail at one particular example. This chapter considers the effect of moral considerations on intuitions about intentional (...) action, as an example. Working in conceptual analysis aimed to develop analyses of concepts, and in that context, the obvious proposal would be that people should be aiming for simple analyses of concepts. The chapter also focuses on the study of intuitions about knowledge. Experimental philosophy has sought to capture the patterns in people's intuitions through theories about underlying cognitive processes. (shrink)

This chapter discusses epistemic objections to non-naturalist moral realism. The goal of the chapter is to determine which objections are pressing and which objections can safely be dismissed. The chapter examines five families of objections: (i) one involving necessary conditions on knowledge, (ii) one involving the idea that the causal history of our moral beliefs reflects the significant impact of irrelevant influences, (iii) one relying on the idea that moral truths do not play a role in explaining our moral beliefs, (...) (iv) one involving the claim that if moral realism is true then our moral beliefs are unlikely to be reliable, and (v) one involving the claim that moral realism is incompatible with there being a plausible explanation of our reliability about morality. The overall conclusion of the chapter is that the final objection is by far the most pressing. (shrink)

Duncan Purves and Nicolas Delon have argued that one’s life will be meaningful to the extent that one contributes to valuable states of affairs and this contribution is a result of one’s intentional actions. They then argue, contrary to some theorists’ intuitions, that non-human animals are capable of fulfilling these requirements, and that this finding might entail important things for the animal ethics movement. In this paper, I also argue that things besides human beings can have meaningful existences, but I (...) disagree with Purves and Delon’s theory of meaning, and some of the practical implications they suggest arise from their conclusion. Specifically, I argue that Purves and Delon are wrong to suggest that intentional agency is necessary for one’s life to be meaningful; contributing to valuable states of affairs can be sufficient by itself. Purves and Delon’s objection to such a claim is that it would allow even inanimate objects’ existences to count as meaningful. However, while I accept this... (shrink)

This paper is a discussion note on Isaacs et al. (2022), who have claimed to offer a new motivation for imprecise probabilities, based on the mathematical phenomenon of non-measurability. In this note, I clarify some consequences of their proposal. In particular, I show that if their proposal is applied to a bounded 3-dimensional space, then they have to reject at least one of the following: (i) If A is at most as probable as B and B is at most as (...) probable as C, then A is at most as probable as C. (ii) Let A ∩ C = B ∩ C = ∅. A is at most as probable as B iff (A ∪ C) is at most as probable as (B ∪ C). But rejecting either statement seems unattractive. (shrink)

In his writing, Gilles Deleuze drew on a vast array of source material, from philosophy and psychoanalysis to science and art. Yet scholars have largely neglected one of the intellectual currents underlying his work: Western esotericism, specifically the lineage of hermetic thought that extends from Late Antiquity into the Renaissance through the work of figures such as Iamblichus, Nicholas of Cusa, Pico della Mirandola, and Giordano Bruno. In this book, Joshua Ramey examines the extent to which Deleuze's ethics, metaphysics, (...) and politics were informed by, and can only be fully understood through, this hermetic tradition. Identifying key hermetic moments in Deleuze's thought, including his theories of art, subjectivity, and immanence, Ramey argues that the philosopher's work represents a kind of contemporary hermeticism, a consistent experiment in unifying thought and affect, percept and concept, and mind and nature in order to engender new relations between knowledge, power, and desire. By uncovering and clarifying the hermetic strand in Deleuze's work, Ramey offers both a new interpretation of Deleuze, particularly his insistence that the development of thought demands a spiritual ordeal, and a framework for retrieving the pre-Kantian paradigm of philosophy as spiritual practice. (shrink)

While developments of a shared intellectual tradition, the enactivist approach and the organizational account proffer importantly different accounts of organismic normativity. Where enactivists tend to follow Hans Jonas, Andres Weber, and Francisco Varela in grounding intrinsic affordance norms in existential concern, organizational theorists such as Alvaro Moreno, Matteo Mossio, and Leonardo Bich seek a more deflationary account of these normative phenomena. Critiques directed at both of these accounts of organismic normativity motivate the introduction of the precedential account of organismic normativity, (...) which I nevertheless locate within the enactivist approach, broadly construed. After detailing empirical evidence that would seem to vindicate the precedential account, I explore some of its implications. (shrink)

The arc of the moral universe -- Structure, choice, and legitimacy: Locke's theory of the state -- Democratic equality -- A more democratic liberalism -- For a democratic society -- Knowledge, morality and hope: the social thought of Noam Chomsky: with Joel Rogers -- Reflections on Habermas on democracy -- A matter of demolition?: Susan Okin on justice and gender -- Minimalism about human rights: the most we can hope for? -- Is there a human right to democracy? -- Extra (...) republicam nulla justitia?: with Charles Sabel. (shrink)

Are there any things that are such that any things whatsoever are among them. I argue that there are not. My thesis follows from these three premises: (1) There are two or more things; (2) for any things, there is a unique thing that corresponds to those things; (3) for any two or more things, there are fewer of them than there are pluralities of them.

"The influence of materialist ontology largely dominates philosophical and scientific discussions. However, there is a resurgent interest in alternative ontologies from panpsychism to idealism and dualism. The Routledge Handbook of Idealism and Immaterialism is an outstanding reference source and the first major collection of its kind. Historically grounded and constructively motivated, it covers the key topics in philosophy, science, and theology, providing students and scholars with a comprehensive introduction to idealism and immaterialism. Also addressed is post-materialism developments, with explicit attention (...) to variations of idealism and immaterialism. Comprising forty-four chapters written by an international and interdisciplinary team of contributors, the Handbook is organised into five clear parts: Idealism and the History of Philosophy Important Figures in Idealism Systematic Assessment of Idealism and Science Idealism, Physicalism, Panpsychism, and Substance Dualism. Essential reading for students and researchers in metaphysics, philosophy of science, philosophy of religion, and philosophy of mind, The Routledge Handbook of Idealism and Immaterialism will also be of interest to those in related discplines where idealist and immaterialist ontology impinge on history, science, and theology"--. (shrink)

'100 Conversations You Need to Have' is an accessible and thought-provoking collection of life's big questions and corresponding answers from some of history's greatest philosophers. Readers are provided with the opportunity to answer each question, turn the page and receive a short piece of advice from thinkers on topics that include happiness, friendship, discipline, patience, the meaning of life and death, and other essential topics. The list of philosophers that are featured in each notebook is very multicultural. It includes both (...) men and women and spans across time, including, among others, Aristotle, Seneca, Simone de Beauvoir, Lao Tzu, Dr. Martin Luther King Jr., Alfarabi, Jean-Paul Sartre and Pema Chodron. These notebooks duplicate the Socratic dialogue method and embody the idea of philosophy being a pathway to a more fulfilling life by creating 100 meaningful dialogues between the reader and a diverse array of interlocutors who will guide them on their journey to crafting a good life. (shrink)

In this paper I challenge the commonly held view that Plato acknowledges and accepts the possibility of akrasia in the Laws. I offer a new interpretation of the image of the divine puppet in Book 1 - the passage often read as an account of akratic action -- and I show that it is not intended as an illustration of akrasia at all. Rather, it provides the moral psychological background for the text by illustrating a broader notion of self-rule as (...) a virtuous condition of the soul (and lack of self-rule as a vicious condition). I examine key discussions in the Laws in order to show how Plato makes use of this broader notion of self-rule throughout the dialogue, and I argue that nothing Plato says in the Laws commits him to the possibility of akrasia. One significant consequence of my interpretation of the puppet passage is that it avoids the need to posit developmentalism in Plato's late views about the embodied human soul, as some recent commentators have done: the moral psychology of the Laws, on my reading, is not incompatible with the Republic's tripartite theory of the soul. (shrink)