well-being

Rethinking ‘Higher’ and ‘Lower’ Pleasures

by Ben Davies

One of John Stuart Mill’s most well-known claims concerns the distinction between higher and lower pleasures. Higher pleasures—which are, roughly, ‘mental’ pleasures—are, says Mill, always preferable to lower pleasures—the pleasures of the body.

In Mill’s rendering, competent judges—those who have experience of both higher and lower pleasures—will choose a higher pleasure over a lower pleasure “even though knowing it to be attended with a greater amount of discontent” and “would not resign it for any quantity of the other [lower] pleasure which their nature is capable of”.

There are two ways we might interpret this claim:

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New Publication: ‘Overriding Adolescent Refusals of Treatment’

Written by Anthony Skelton, Lisa Forsberg, and Isra Black

Consider the following two cases:

Cynthia’s blood transfusion. Cynthia is 16 years of age. She is hit by a car on her way to school. She is rushed to hospital. She sustains serious, life-threatening injuries and loses a lot of blood. Her physicians conclude that she needs a blood transfusion in order to survive. Physicians ask for her consent to this course of treatment. Cynthia is intelligent and thoughtful. She considers, understands and appreciates her medical options. She is deemed to possess the capacity to decide on her medical treatment. She consents to the blood transfusion.

Nathan’s blood transfusion. Nathan is 16 years of age. He has Crohn’s disease. He is admitted to hospital with lower gastrointestinal bleeding. According to the physicians in charge of his care, the bleeding poses a significant threat to his health and to his life. His physicians conclude that a blood transfusion is his best medical option. Nathan is intelligent and thoughtful. He considers, understands and appreciates his medical options. He is deemed to possess the capacity to decide on his medical treatment. He refuses the blood transfusion.

Under English Law, Cynthia’s consent has the power to permit the blood transfusion offered by her physicians. Her consent is considered to be normatively (and legally) determinative. However, Nathan’s refusal is not normatively (or legally) determinative. Nathan’s refusal can be overridden by consent to the blood transfusion of either a parent or court. These parties share (with Nathan) the power to consent to his treatment and thereby make it lawful for his physicians to provide it.

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The Neuroscience of a Life Well-lived: New St Cross Ethics Seminar

Professor Morten Kringelbach (Aarhus and Oxford) recently gave a fascinating New St Cross Ethics Seminar on ‘The Neuroscience of a Life Well-Lived’ (YouTube; mp3). Continue reading

Mandating COVID-19 Vaccination for Children

Written by Lisa Forsberg and Anthony Skelton

In many countries vaccine rollouts are now well underway. Vaccine programmes in Israel, the United Kingdom, Chile, United Arab Emirates, Bahrain and the United States have been particularly successful. Mass vaccination is vital to ending the pandemic. However, at present, vaccines are typically not approved for children under the age of 16. Full protection from COVID-19 at a population level will not be achieved until most children and adolescents are inoculated against the deadly disease. A number of pharmaceutical companies have started or will soon start clinical trials to test the safety and efficacy of COVID-19 vaccinations in children and adolescents. Initial results of clinical trials seem promising (see also here and here).

There are strong reasons to inoculate children. COVID-19 may harm or kill them. It disproportionately affects already disadvantaged populations. For example, a CDC study published in August 2020 found the hospitalisation rate to be five times higher for Black children and eight times higher for Latino children than it is for white children. In addition, inoculating children is necessary for establishing herd immunity and (perhaps more importantly), as Jeremy Samuel Faust and Angela L. Rasmussen explained in the New York Times, preventing the virus from spreading and mutating ‘into more dangerous variants, including ones that could harm both children and adults’. Continue reading

Pain for Ethicists #2: Is the Cerebral Cortex Required for Pain? (Video)

Here’s my presentation from the UQAM 2018 Summer School in Animal Cognition organised by Stevan Harnad:

I also highly recommend Jonathan Birch’s talk on Animal Sentience and the Precautionary Principle and Lars Chittka’s amazing presentation about the minds of bees.

Thanks again to EA Grants for supporting this research as well as my home institutions Uehiro & WEH. And thanks to Mélissa Desrochers for the video.

You can find the first Pain for Ethicists post here.

Adam Shriver is a Research Fellow at the Oxford Uehiro Centre for Practical Ethics and the Wellcome Centre for Ethics and Humanities.

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Happiness, meaning and well-being

If someone were to ask you what you want from life, how would you reply? Plausible answers might include: ‘to be happy’, ‘to be successful’, ‘to make a difference’, or perhaps ‘to experience as much as possible’. Whatever these aspirations mean in their detail, they capture various implicit assessments of what we think it means to live a life that is good for us. A recent psychological study presents interesting data that suggests that two of the things we might want in our lives – happiness and meaning – sometimes do not go together. In fact, some of the things that lead to a life being happy are negatively associated with it being meaningful and some of the things that seem to confer meaning detract from happiness. If this occasional incompatibility is in fact the case, does this mean that we must sometimes make a decision about which to pursue? Continue reading

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