We agree with Emily Walsh (2020) that the current preferences of patients with dementia should sometimes supersede those patients’ advance directives. We also agree that consensus clinical ethics guidance does a poor job of explaining the moral value of such patients’ preferences. Furthermore, Walsh correctly notes that clinicians are often averse to treating patients with dementia over their objections, and that this aversion reflects clinical wisdom that can inform revisions to clinical ethics guidance. But Walsh’s account of the moral value (...) of the preferences of patients with dementia suffers from three major problems: (1) it does not engage the actual practices of clinical ethics; (2) it provides an inadequate account of why these patients’ preferences matter; and (3) it offers a poor explanation of clinicians’ intuitions in these cases. Her arguments engage a philosophical debate that is largely irrelevant to clinical practice and she therefore leaves pressing real-world clinical ethics questions unaddressed. After underscoring some of Walsh’s main points, we will discuss each of these shortcomings. (shrink)

Roughly, animalism is the doctrine that each of us is identical with an organism. This paper explains and defends a hylemorphic version of animalism. I show how hylemorphic animalism handles standard objections to animalism in compelling ways. I also show what the costs of endorsing hylemorphic animalism are. The paper's contention is that despite the costs, the view is worth taking seriously.

Volume 20, Issue 8, August 2020, Page 96-98.

Among your closest associates is a certain human animal – a living, breathing, organism. You see it when you look in the mirror. When it is sick, you don't feel too well. Where it goes, you go. And, one thinks, where you go, it must follow. Indeed, you can make it move through sheer force of will. You bear, in short, an important and intimate relation to this, your animal. So too rest of us with our animals. Animalism says that (...) this relation is nothing short of identity. According to animalists, we do not only coincide with or constitute or inhabit or otherwise hang out with these close associates, our animals: we are them. In this article, I offer an opinionated take on what animalism might be and situate it against contemporary rivals. Then, I outline a simple case for animalism. Finally, I sketch non-standard routes for animalists to take in light of standard challenges. My goal in all of this is to open up some new avenues of animalist thinking. (shrink)

Among the questions to be raised under the heading of “personal identity” are these: “What are we?” (fundamental nature question) and “Under what conditions do we persist through time?” (persistence question). Against the dominant neo-Lockean approach to these questions, the view known as animalism answers that each of us is an organism of the species Homo sapiens and that the conditions of our persistence are those of animals. Beyond describing the content and historical background of animalism and its rivals, this (...) entry explores some of the arguments for and objections to this controversial account of our nature and persistence. (shrink)

A high level of confidence in the identity of individuals is required to let them die as ordered by an advance directive. Thus, if we are animalists, then we should lack the confidence required to apply lethal advance directives to the cheerfully demented, or so I argue. In short, there is consensus among animalists that the best way to avoid serious objections to their account is to adopt an ontology that denies the existence of brains, hands, tables, chairs, iced-tea, and (...) lemonade. The adoption of such an ontology reduces the justificatory force of commonsense, which is key in arguing that we are animals and that we persist as long as we are biologically alive. With this loss of justification comes the loss of a high level of confidence that Quinn-pre-dementia’s lethal advanced directive applies to Quinn-post-dementia, via identity. If we do not have a high level of confidence that Quinn-pre-dementia’s advanced directive applies to Quinn-post- dementia, then it is not enough (on its own) to let Quinn-post-dementia die. (shrink)

Lockean theories of personal identity maintain that we persist by virtue of psychological continuity, and most Lockeans say that we are material things coinciding with animals. Some animalists argue that if persons and animals coincide, they must have the same intrinsic properties, including thinking, and, as a result, there are ‘too many thinkers’ associated with each human being. Further, Lockeans have trouble explaining how animals and persons can be numerically different and have different persistence conditions. For these reasons, the idea (...) of a person being numerically distinct but coincident with an animal is rejected and animalists conclude that we simply are animals. However, animalists face a similar problem when confronted with the vagueness of composition. Animals are entities with vague boundaries. According to the linguistic account of vagueness, the vagueness of a term consists in there being a number of candidates for the denotatum of the vague term. It seems to imply that where we see an animal, there are, in fact, a lot of distinct but overlapping entities with basically the same intrinsic properties, including thinking. As a result, the animalist must also posit ‘too many thinkers’ where we thought there was only one. This seems to imply that the animalist cannot accept the linguistic account of vagueness. In this paper the author argues that the animalist can accept the linguistic account of vagueness and retain her argument against Lockeanism. (shrink)