The topic of irresistible desires arises with unsurprising frequency in discussions of free agency and moral responsibility. Actions motivated by such desires are standardly viewed as compelled, and hence unfree. Agents in the grip of irresistible desires are often plausibly exempted from moral blame for intentional deeds in which the desires issue. Yet, relatively little attention has been given to the analysis of irresistible desire. Moreover, a popular analysis is fatally flawed. My aim (...) in this paper is to construct and defend a new analysis of irresistible desire. Although, to render the discussion manageable, I shall keep the issues of freedom and responsibility to one side, readers will see them in the background at every major turn. (shrink)

In this paper I set out to investigate the claim that addicts lack su cient control over their drug-taking and are thus not morally responsible for it. More speci cally, I evaluate what I call the Simply Irresistible Argument, which proceeds from the claim that addictive desires are irresistible to the conclusion that addicts are not responsible for acting on such desires. I rst propose that we have to disambiguate the notion of an irresistible desire (...) according to temporal criteria, and revise the original argument accordingly in two di erent ways; one involving proximally irresistible desires and one involving permanently irresistible desires. I propose that both versions of the Simply Irresistible Argument fail, and, as a result, that considerations about irresistible desires and control cannot extricate addicts from responsibility for their drug-taking. (shrink)

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain (...) in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

Excerpt from La Notion d'Espace Le probleme de l'espace que nous nous proposons de traiter forme une partie integrante de la cosmologie. Il a sa place tout indiquee dans cette etude cosmologique, intitulee: les causes constitutives du monde mineral. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format (...) whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works. (shrink)

It is common to think of addiction as involving behavior which in some sense is ?out of control.? But does this mean addictive actions occur because of compulsion or because of ordinary weakness of will? Many philosophers argue that addictive actions occur because of weakness of will, since there is plenty of evidence suggesting that they are not caused by irresistible desires. In fact, addicts seem, in general, to perform these actions freely in the sense of having the (...) ability to refrain from doing so. In this paper I argue, first, that it is not the addiction-as-compulsion view that is mistaken, but rather the view that irresistible desires are a defining feature of compulsion. Second, drawing on some results in addiction neuroscience, I construct and defend a new analysis of compulsivity that distinguishes addictive from weak-willed actions in a way that is consistent with the view that addictive actions are performed freely. (shrink)

Rapid Automatized Naming is considered a universal marker of developmental dyslexia and could also be helpful to identify a reading deficit in minority-language children, in which it may be hard to disentangle whether the reading difficulties are due to a learning disorder or a lower proficiency in the language of instruction. We tested reading and rapid naming skills in monolingual Good Readers, monolingual Poor Readers, and MLC, by using our new version of RAN, the RAN-Shapes, in 127 primary school students. (...) In line with previous research, MLC showed, on average, lower reading performances as compared to mGR. However, the two groups performed similarly to the RAN-Shapes task. On the contrary, the mPR group underperformed both in the reading and the RAN tasks. Our findings suggest that reading difficulties and RAN performance can be dissociated in MLC; consequently, the performance at the RAN-Shapes may contribute to the identification of children at risk of a reading disorder without introducing any linguistic bias, when testing MLC. (shrink)

Desire Joseph Mercier (1851-1926) was founder and first president of the Institute of Philosophy of the Catholic University of Leuven. After his studies in the classics, philosophy, and theology at the seminary of Mechelen, Mercier was ordained (1874), obtained a licentiate in theology at Leuven (1877), and became professor of philosophy at Mechelen the same year. In 1922 he was commissioned to inaugurate the chair of Thomistic philosophy created at the University of Leuven at the request of Pope Leo XIII. (...) Mercier endeavored to realize the program formulated in the encyclical Aeterni Patris (1879): to restore the philosophy of St. Thomas Aquinas, harmonize it with the progress of modern science and thought, and extend its influence to the scientific and social disciplines. On the basis of his initial success, he asked for, and received, the support of the Pope for the creation of an Institute of Philosophy that would provide a complete education in the various philosophical areas. When named president of this institute (1899), Mercier gathered collaborators from among his first students and with their assistance formed an international group of enthusiastic and devoted disciples. The Revue Neo-scolastique made the writings of the institute available throughout the scholarly world. On Feb. 7, 1906, Mercier was named archbishop of Mechelen. He took a lively interest in problems of the universal Church and he was also preoccupied with Church Union. (Cf. A.L. Wylleman, 'Mercier, Desire Joseph' in New Catholic Encyclopedia, Vol IX. New York, St. Louis, San Francisco, Toronto, London, Sydney, McGraw Hill Book Company, 1967, p. 671-672.) See: Cardinal Mercier: A Memoir (David A. Boileau, Peeters, 1996, 417 pages. S 35). Jude P. Dougherty, Dean Emeritus of the School of Philosophy at the Catholic University of America and editor of the Review of Metaphysics, had this to say about Fr. Boileau's book: This book should be required reading for anyone who aspires to leadership in Catholic Intellectual Circles Today, Crisis, January 1998. (shrink)

As the editors of the series, New Literary Theory, proclaim in the preface of the book, the purpose of the series is to make more room in literary theory for playful and accessible approaches to li...

Background:Psychiatric nurses are regularly confronted with the uses and effects of control interventions such as mechanical restraints. Although there are evident tensions in the literature regarding the use of mechanical restraints, very little research has focused on the lived and embodied experience of their use, whether from the patient’s perspective or the perspective of nursing staff responsible for their application.Research aims: to gain access to the bodily phenomenon of being placed in mechanical restraints; to give voice to the intimate experiential (...) understanding of this experience; and through phenomenological interpretation, to understand the subjective processes and meaning-making of this experience.Research design:For this research, we adopted a distinctly ethics-oriented application of the methodology known as interpretative phenomenological analysis, that is, the interpretive dimension of the research focused on ethical practice in mental healthcare – one that is informed by experiential accounts of the lived body.Participants and research context:A total of 40 in-depth semi-structured, nondirected interviews with both nurses and patients we conducted to meet the aims of this article. Participants were recruited from an inpatient psychiatric unit of a Canadian general hospital.Ethical considerations:The research received research ethics board clearance from both the hospital where the study took place and the University of Ottawa.Findings:The comparative analysis is presented under the following headings: context of care, meaning of quality of care, emotional reactions and nurse–patient relationship, meeting the needs and need for alternatives.Discussion/conclusions:The research findings are discussed in light of current literature and implications for practice. (shrink)

Does addiction to heroin undermine the voluntariness of heroin addicts' consent to take part in research which involves giving them free and legal heroin? This question has been raised in connection with research into the effectiveness of heroin prescription as a way of treating dependent heroin users. Participants in such research are required to give their informed consent to take part. Louis C. Charland has argued that we should not presume that heroin addicts are competent to do this since heroin (...) addiction by nature involves a loss of ability to resist the desire for heroin. In this article, I argue that Charland is right that we should not presume that heroin addicts are competent to consent, but not for the reason he thinks. In fact, as Charland's critics correctly point out, there is plenty of evidence showing that heroin addicts can resist their desire for heroin. These critics are wrong, however, to conclude from this that we should presume that heroin addicts are competent to give their voluntary consent. There are, I shall argue, other conditions associated with heroin addiction that might constrain heroin addicts' choice in ways likely to undermine the voluntariness of their consent. In order to see this, we need to move beyond the focus on the addicts' desires for heroin and instead consider the wider social and psychological circumstances of heroin addiction, as well as the effects these circumstances may have on the addicts' beliefs about the nature of their options. (shrink)

When philosophers want an example of a person who lacks the ability to do otherwise, they turn to psychopathology. Addicts, agoraphobics, kleptomaniacs, neurotics, obsessives, and even psychopathic serial murderers, are all purportedly subject to irresistible desires that compel the person to act: no alternative possibility is supposed to exist. I argue that this conception of psychopathology is false and offer an empirically and clinically informed understanding of disorders of agency which preserves the ability to do otherwise. First, I (...) appeal to standard clinical treatment for disorders of agency and argue that it undermines this conception of psychopathology. Second, I offer a detailed discussion of addiction, where our knowledge of the neurobiological mechanisms underpinning the disorder is relatively advanced. I argue that neurobiology notwithstanding, addiction is not a form of compulsion and I explain how addiction can impair behavioural control without extinguishing it. Third, I step back from addiction, and briefly sketch what the philosophical landscape more generally looks like without psychopathological compulsion: we lose our standard purported real-world example of psychologically determined action. I conclude by reflecting on the centrality of choice and free will to our concept of action, and their potency within clinical treatment for disorders of agency. (shrink)

Tackling some central problems in the philosophy of action, Mele constructs an explanatory model for intentional behavior, locating the place and significance of such mental phenomena as beliefs, desires, reasons, and intentions in the etiology of intentional action. In the first part, Mele illuminates the connection between desire and action and defends detailed characterizations of irresistible desires and reasons for action. Mele argues for the viability of a causal approach to the explanation of intentional action in terms (...) of psychological states and events, paying special attention to recent worries about the causal relevance of the mental. In Part Two, Mele goes on to develop a subtle and well-defended view that the motivational role of intentions is of a different sort from that of beliefs and desires. Mele's account, based largely on a careful study of the functions of intentions, presents intentions as states irreducible to collections of beliefs and desires which hinge on their executive and representational features. Springs of Action will be of interest not only to philosophers of action, but also to those interested in the philosophy of mind, metaphysics, and ethics. (shrink)

Addicts often are portrayed as agents driven by irresistible desires in the philosophical literature on free will. Although this portrayal is faithful to a popular conception of addiction, that conception has encountered opposition from a variety of quarters (e.g., Bakalar & Grinspoon, 1984; Becker & Murphy, 1988; Peele, 1985 and 1989; Szasz, 1974). My concern here is some theoretical issues surrounding a strategy for self-control of potential use to addicts on the assumption that their pertinent desires fall (...) short of irresistibility. I offer no defense of this assumption; rather, I treat it as a point of departure for one approach to understanding addiction in action. I begin by sketching some conceptual and theoretical background and then turn to a proposal of George Ainslie's (1992) about temptation and self-control and to some reservations that Michael Bratman (1966) has expressed about it. I will argue that in some scenarios typical of addicts, Ainslie's proposal survives Bratman's objections. My guiding question is this: How can behavior exhibiting self-control or its contrary in addicts who are concerned to resist relevant temptations be accommodated in a general theory of human action that features a broad array of so-called "intentional attitudes" as important explanatory items? The attitudes that primarily concern me here are desire, intention, belief, and a species of evaluative judgment. (shrink)

The author argued elsewhere that a necessary condition that John Fischer and Mark Ravizza offer for moral responsibility is too strong and that the sufficient conditions they offer are too weak. This article is a critical examination of their reply. Topics discussed include blameworthiness, irresistible desires, moral responsibility, reactive attitudes, and reasons responsiveness.

ABSTRACT We frequently accuse heavy drinkers and drug users of self‐deception if they refuse to admit that they are addicted. However, given the ways in which we usually conceptualize it, acknowledging addiction merely involves swapping one form of self‐deception for another. We ask addicts to see themselves as in the grip of an irresistible desire, and to accept that addiction is an essentially physiological process. To the extent this is so, we, as much as the addicts, suffer from self‐deception, (...) and the responsibility for their state is in part ours. Conversely, since addicts are compelled to accept a self‐deceptive image of themselves, they are at least partially excused from blame for their self‐deception. (shrink)

The standard philosophical view is that compulsive behaviors are caused by “irresistible” desires. Gary Watson famously argued that this view conflates compulsion with weakness of the will, and proposed differentiating weakness and compulsion by appealing to the normal strength-of-will of members of the community. This extrinsic distinction leaves no room for phenomenological differences between weakness and compulsion. Evidence from clinical psychology shows, however, that compulsion is associated with certain phenomenological features that are absent in cases of weakness. I (...) therefore reject the irresistible desire account. Instead, I propose that psychological compulsions “wear down” an individual’s normal faculty of self-control, i.e., the will. The recurrent inhibition of the behavior by the will overexerts this faculty, causing the psychological stress noted by psychologists. This stress raises the cost of resistance until it is unbearable. The subject abandons resistance and therefore performs the behavior. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Key Concepts: Criminal ResponsibilityCarl Elliott (bio)AbstractMentally disordered persons occasionally do things for which we would ordinarily blame or even punish a non-disordered person. We often do not blame mentally disordered persons for these actions, however, because we regard mental disorders, at least in some circumstances, as an excuse from moral responsibility. For moral philosophy and the law, the challenge is to understand the specific circumstances under which a mental (...) disorder should excuse an offender from responsibility for his or her actions. Because different types of psychopathology influence a person’s intentions and character in very different ways, judgments of responsibility crucially depend upon the specific nature of a mental disorder. They also depend on adequate understandings of concepts such as moral understanding, especially in the case of psychopathy, as well as an understanding of the reasons why mental disorders may excuse a person from responsibility.Keywordsintention, M’Naghten Rules, irresistible impulse, personality disorders, psychopathyThe mentally ill often do things for which they are not responsible. This has long been recognized, by both morality and the law. But just which mentally ill persons should be excused, and under what circumstances, is an altogether more complicated affair.In the Nicomachean Ethics, Aristotle distinguishes two types of involuntary actions, for which (by implication) a person might be excused from responsibility: those done in ignorance, and those that were compelled. Both excuses are variations on the theme of non-intention. If a person did not intend to act as he did—either because he did not know what he was doing, or because he could not help acting as he did—then he is not responsible for the action. Intention is also a key point for the law, which traditionally has said that for a crime to have been committed, it must be accompanied by evil intent, or mens rea (literally, “guilty mind.”)The problem comes in saying how these distinctions play out for the mentally ill offender. The most widely used standards for determining criminal (legal) responsibility are based on the M’Naghten Rules, which excuse a person from responsibility for an act if, as a result of a mental disorder, he did not know the nature and quality of the act, or did not know that the act was wrong. This standard works nicely for the paradigmatic cases of mentally ill offenders; it would excuse, for example, the person with paranoid schizophrenia who strikes out violently at a person he falsely believes is threatening his life. However, it is unclear on several other points, the most famous of which relates to Aristotle’s excusing condition of compulsion. How should we regard those people, for example, whose psychosis impairs their ability to control their behavior, or whose mental disorders involve the control of their unusual desires, such as kleptomania, pyromania, pedophilia and voyeurism? Many of the [End Page 305] latter such persons are aware of the nature and quality of what they desire to do, and they are aware that it is wrong, but they find great difficulty in resisting their desires.One well-known effort to remedy this deficiency was the “irresistible impulse” test, which excused those persons who as a result of their condition had acted on desires that were irresistible. Yet the difference between an irresistible desire and a desire not resisted has proven notoriously difficult to distinguish, in practice as well as in theory.Another chronic source of philosophical controversy is the question of responsibility for one’s character. In psychiatry, this debate surfaces most often with patients who have personality disorders. Ordinarily, since persons cannot control whether they incur a mental illness, they can be excused from responsibility for some actions they have taken while they were mentally ill. However, personality disorders are also (in some sense) beyond a person’s control, being the product of genetic inheritance and upbringing. This raises old issues of psychological determinism: if personality disorders are beyond a person’s control, is it just to hold that person responsible for the actions that result from them?On the other hand, even if personality disorders are within the proper domain of psychiatry, they are obviously quite different from... (shrink)

This chapter contains sections titled: References Further reading.

Normative thinking about addiction has traditionally been divided between, on the one hand, a medical model which sees addiction as a disease characterized by compulsive and relapsing drug use over which the addict has little or no control and, on the other, a moral model which sees addiction as a choice characterized by voluntary behaviour under the control of the addict. Proponents of the former appeal to evidence showing that regular consumption of drugs causes persistent changes in the brain structures (...) and functions known to be involved in the motivation of behavior. On this evidence, it is often concluded that becoming addicted involves a transition from voluntary, chosen drug use to non-voluntary compulsive drug use. Against this view, proponents of the moral model provide ample evidence that addictive drug use involves voluntary chosen behaviour. In this paper we argue that although they are right about something, both views are mistaken. We present a third model that neither rules out the view of addictive drug use as compulsive, nor that it involves voluntary chosen behavior. -/- . (shrink)

Stoic analysis of the characters of Yoda and the Emperor reveals the opposing logics of the Force. Yoda initially appears to be a jester, but shares with the Stoic wise man the virtues of timely action, patience, commitment, seriousness, calmness, peacefulness, caution, benevolence, joyful mirth, passivity, and wisdom. The logic of the Dark Side is: Anger leads to hatred. Hatred leads to aggressive mastery of others, which is true power, which is irresistibly desirable. The Emperor uses terror and cruelty to (...) oppress others. Instead of wisely pursuing Stoic self-control, the arrogant Emperor serves his vices and dies suffering. (shrink)

We sometimes want to understand irrational action, or actions a person undertakes given that their acting that way conflicts with their beliefs, their desires, or their goals. What is puzzling about all explanations of such irrational actions is this: if we explain the action by offering the agent’s reasons for the action, the action no longer seems irrational, but only a bad decision. If we explain the action mechanistically, without offering the agent’s reasons for it, then the explanation fails (...) to explain the behavior as an action at all. I focus on cases that result from compulsion or irresistible desire, especially addiction, and show that this problem of explaining irrational actions may be insurmountable because, given the constraints on action explanations, we cannot explain irrational actions both as irrational and as actions. (shrink)

‘Do you see this egg? It is with this that all the theological schools and all the churches of the Earth will be overturned.’Diderot, Entretien avec d'Alembert (Conversation with d'Alembert)About fifteen years ago I took a journey through the famous work of Mary Shelley, and the interpretation of her warning call. Let me say briefly why I am interested in Mary Shelley.At the beginning of the 80s I was invited by a journal to reflect on what was totally new at (...) that time: the birth of children conceived asexually and outside the body by in vitro fertilization. At that time very little work existed on these issues, though they were soon to generate a great deal of ink. The only publications to have appeared were Jacques Testart's very first book, De l'éprouvette au bébé spectacle (From the test tube to the miracle baby), and René Frydman's L'irrésistible désir de naissance (The irresistible desire for birth). (shrink)

How should addictive behavior be explained? In terms of neurobiological illness and compulsion, or as a choice made freely, even rationally, in the face of harmful social or psychological circumstances? Some of the disagreement between proponents of the prevailing medical models and choice models in the science of addiction centres on the notion of “loss of control” as a normative characterization of addiction. In this article I examine two of the standard interpretations of loss of control in addiction, one according (...) to which addicts have lost free will, the other according to which their will is weak. I argue that both interpretations are mistaken and propose therefore an alternative based on a dual-process approach. This alternative neither rules out a capacity in addicts to rationally choose to engage in drug-oriented behavior, nor the possibility that addictive behavior can be compulsive and depend upon harmful changes in their brains caused by the regular use of drugs. (shrink)

Despite Diotima’s irresistible virtues and attractiveness across the millennia, she spells trouble for philosophy. It is not her fault that she has been misunderstood, nor is it Plato’s. Rather, I suspect, each era has made of Diotima what it desired her to be. Her malleability is related to the assumption that Plato invented her, that she is a mere literary fiction, licensing the imagination to do what it will. In the first part of my paper, I argue against three (...) contemporary ‘majority views’ about Diotima that I regard as false. The first is that we can be certain she is fictional;1 a second is that Diotima is our best evidence for Plato’s feminism; the third, that she is Plato’s mouthpiece for the higher mysteries in the Symposium. After I have set aside what I regard as false, I proceed in the second half of my paper to develop Diotima’s positive contribution to philosophical psychology, her naturalistic account of the psyche as mortal, unified, and developmental. Whether the view Plato assigns to her is one that he held I do not pretend to know; but it is a powerful, defensible, and coherent view that inspired positive aspects of Freudian psychology in the twentieth century. Freud’s insight, in fact, makes clear how erōs can be developed in relation to the bad as well as the good. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:arrêt sur visagefrom Hatred of Translation1Nathanaël (bio)or else isolated in silence—Danielle Collobert, Ça des motsIn the language of film there are often extraordinary divergences between English and French, which prove at times to be irreconcilable.2 If this tendency toward discrepancy is true of translation as a rule, it reveals itself to be particularly true in the case of this work in translation. Danielle Collobert's Recherche,3 rendered as Research, in (...) which the search of re-search must be read as detachable, with emphasis on its repetitive motion—but also in its slide from substantive to predicate (search>searches)—makes salient such divergences, through the implied camera movement panning over the evacuated faces of A and B and the marked distances especially that define the space of their bodies, in proximity and in remove, as though the text were annotating a form of recusal that is implicit in the spaces of desire to which their mortiferous movements owe everything; an intimacy of anticipated death, and seizure, from which the camera extracts movements of degradation through violent stillness.Indeed the term still here is adopted to render the French arrêt, proposing a false equivalency between the (film) still and its seemingly concordant locution, the arrêt (sur image). These are "attested" terms that reveal something of the contexts in which each seeks to function. In Recherche Collobert limits herself [End Page 138] to the use of arrêt sur, designating in each instance a specific detail on which the camera is to stop. "Stop" of course is one of the translations of the lone substantive "arrêt," which also implies "arrest" (from the verb arrêter), replete with its juridical (enforceable/enforcible) intent.4One might just as readily translate "arrêt sur" as "stop at," stopping at nothing to achieve the irresistible demands of such a transitive language that subverts its own objectivity through a persistent preference for passive forms, abdicating one's responsibility to the law in abject deference to its capital aims. Regimens of grammar are coincident with regimens of power now as always.5More than one frontier has now been crossed, and reading the three works6 gathered by Françoise Morvan under the title Expériences (experiments and/ or experiences) in this so-called America is a serious transposition indeed in which the sands of north-western France adjoining the virulent Atlantic, may readily allow themselves to be supplanted by an imagined far-ouest of burnt deserts shimmering with radioactive particulate, under some gun. These are voided investigations that succeed only in subtracting the body from its criminality—a condemnation of ages pressed into moments, a crime committed to each and every one.Meurtre (Murder), the title of Collobert's first acknowledged work,7 is just as operative in these cinematic and radiophonic works; indeed, it can be read as a mot d'ordre for her entire oeuvre,8 and with which its entire topography is suffused. The stills of Recherche and "Polyphonie" attest to this, as does the recurrence of the isolate arrêt, whether in its designation of a bus stop or a pause in action (breaks in the fight, for example, between B and the man on the dock), toppling into the near untranslatable arrêts in the plural, stops, which invites, again, a transitive reading rather than the congealment of the plural substantive, and this, in keeping with the stares that transfix and bore into the faces verging on the dunes. The polysemic displacement of arrêt is such that the cumulative effect of its multiply transposed sense is that of a filmstrip caught in a projector, and it isn't clear whether the image is held or whether it is caught in the mechanism; in either case, the reader is among those held captive by a language that forbids release, burrowing instead, more deeply, into a thickeningly menacing interiority with its inscription of fear similar to that elicited by the perceived approach of the beast in Kafka's "The Burrow." The time of exposure holds the permanent promise of such a threat. [End Page 139]Nathanaël Nathanaël... (shrink)

L'amour a inspiré les chants les plus déchirants, les meilleurs romans et les pires, des comédies irrésistibles, des tragédies bouleversantes. Il est possible d'y ajouter quelques considérations philosophiques. Des préliminaires, seulement. Non à l'amour (le philosophe n'a là-dessus aucune expertise), mais à son concept (c'est son domaine, dit-on). L'amour n'est ni l'amitié, ni le désir, ni la passion. C'est la fusion improbable de ces tendances opposées. Car les composantes de l'amour ne jouent pas collectif, tel est le drame, et la (...) grandeur, de l'amour. C'est parce qu'il est de nature hétérogène, donc instable, qu'il est le moteur tout-puissant de tant d'histoires, grandioses ou banales, dans les littératures universelles et dans nos vies ordinaires. (shrink)

It is often claimed that the autonomy of heroin addicts is compromised when they are choosing between taking their drug of addiction and abstaining. This is the basis of claims that they are incompetent to give consent to be prescribed heroin. We reject these claims on a number of empirical and theoretical grounds. First we argue that addicts are likely to be sober, and thus capable of rational thought, when approaching researchers to participate in research. We reject behavioural evidence purported (...) to establish that addicts lack autonomy. We present an argument that extrinsic forces must be irresistible in order to make a choice non-autonomous. We argue that heroin does not present such an irresistible force. We make a case that drug-oriented desires are strong regular appetitive desires, which do not compromise consent. Finally we argue that an addict’s apparent desire to engage in a harmful act cannot be construed as evidence of irrational or compulsive thought. On these arguments, a sober heroin addict must be considered competent, autonomous and capable of giving consent. More generally, any argument against legalisation of drugs or supporting infringement of the liberty of those desiring to take drugs of addiction must be based on considerations of harm and paternalism, and not on false claims that addicts lack freedom of the will. (shrink)

The target of Hanna Pickard's very erudite and thought-provoking article is compulsion. She argues that “addiction is not a form of compulsion” and that “addictive desires are not irresistible” (Pickard 2012, 40). However, I fear that compulsion as she presents it is ultimately a metaphysical straw figure, trapped in a false metaphysical dichotomy. What is lacking is a proper attention to specific individual clinical cases, examined over time. At the same time, Pickard's discussion is extremely important because of (...) the manner in which it highlights both the merits and the perils of philosophical inquiry into the nature of addiction... (shrink)

Certain cases emphatically motivate the view that personal autonomy — autonomy as self-government — is a necessary condition of moral blameworthiness. The cases, that is, suggest that one cannot be morally blameworthy for performing an action unless one is autonomous with respect to that action, or one is autonomous with respect to the motivational underpinnings that figure in the etiology of the action. Here is a typical, fanciful example. Unbeknownst to Bond, a minute electronic device has been implanted in his (...) brain. Maxine can use the device to induce desires or intentions in Bond without her electronic manipulations being ‘felt’ or detected by Bond. Suppose Maxine implants in Bond a powerful desire to kill Oskar, a distant associate of Bond, together with the belief that the desire is irresistible. Though the electronically induced desire is not in fact irresistible, Bond could resist it only with a great deal of difficulty and only at the expense of suffering considerable psychological damage; Bond, to his astonishment, acts on this desire and does away with Oskar. This case is one in which Bond, it appears, is not morally blameworthy for killing Oskar. According to one strand of thought, the judgment that Bond is not blameworthy rests squarely on the view that Bond acts on a desire that is not truly his own;1 Bond is not his own master with respect to the implanted desire that causes him to kill Oskar. (shrink)

There is an ongoing debate about loss of control in addiction: Some theorists say at least some addicts’ drug-directed desires are irresistible, while others insist that pursuing drugs is a choice. The debate is long-standing and has essentially reached a stalemate. This essay suggests a way forward. I propose an alternative model of loss of control in addiction, one based not on irresistibility, but rather fallibility. According to the model, on every occasion of use, self-control processes exhibit a (...) low, but non-zero, rate of failure due to error. When these processes confront highly recurrent drug-directed desires, the cumulative probability of a self-control lapse steadily grows. The model shows why the following statement—which has an air of paradox—can in fact be true: Each drug-directed desire the addict faces is fully resistible, but the addict nonetheless has significantly diminished control over eventually giving in. (shrink)

Can heroin addicts give consent to research on trials in which heroin is prescribed to them? Analyses of addicts and informed consent have been objects of debate in several articles. Informed consent requires the agent not only to be competent but also to give consent voluntarily. This has been questioned because of alleged features of heroin addiction. Until recently the discussion has focused on heroin addicts' desires for heroin, whether these are irresistible and thus pose a problem for (...) giving consent. Still, in light of empirical evidence, there seems to be a consensus more or less that the problem is not whether the addicts can resist their desire for heroin. A recent article concentrates specifically on heroin addicts' false assumptions of options and voluntariness. We argue that the prevailing framing of the options in this discussion in terms of heroin and access to it is problematic. The way in which the options are typically laid out suggests an assumption that participation in the research is allegedly based on the addicts' views on using the drug. We argue that this way of presenting the options is, first, a mismatch to the studies carried out and, second, symptomatic of potential misconceptions about heroin addiction and addicts. Furthermore, we also suggest that the account of voluntariness needs to be realistic in order for subjects to be able to give consent voluntarily in actual situations, and for medical research to carry out studies on improving outcomes in addiction treatment in an ethical way. (shrink)