Tag Archives: Health

Why Runners are not Masochists (Usually)

Palace 5KAs a runner, I am often accused of being a masochist or at least having masochistic tendencies. Given that I routinely subject myself to pain and recently wrote an essay about running and freedom that was rather pain focused, this is hardly surprising. Other runners, especially those masochistic ultra-marathon runners, are also commonly accused of masochism.

In some cases, the accusation is made in jest or at least not seriously. That is, the person making it is not actually claiming that runners derive pleasure (perhaps even sexual gratification) their pain. What seems to be going on is merely the observation that runners do things that clearly hurt and that make little sense to many folks. However, some folks do regard runners as masochists in the strict sense of the term. Being a runner and a philosopher, I find this a bit interesting—especially when I am the one being accused of being a masochist.

It is worth noting that I claim that people accuse runners of being masochists with some seriousness. While some people say runners are masochists in jest or with some respect for the toughness of runners, it is sometimes presented as an actual accusation: that there is something mentally wrong with runners and that when they run they are engaged in deviant behavior. While runners do like to joke about being odd and different, I think we generally prefer to not be seen as actually mentally ill or as engaging in deviant behavior. After all, that would indicate that we are doing something wrong—which I believe is (usually) not the case. Based on my experience over years of running and meeting thousands of runners, I think that runners are generally not masochists.

Given that runners engage in some rather painful activities (such as speed work and racing marathons) and that they often just run on despite injuries, it is tempting to believe that runners are really masochists and that I am in denial about the deviant nature of runners.

While this does have some appeal, it rests on a confusion about masochism in regards to matters of means and ends. For the masochist, pain is a means to the end of pleasure. That is, the masochist does not seek pain for the sake of pain, but seeks pain to achieve pleasure. However, there is a special connection between the means of pain and the end of pleasure: for the masochist, the pleasure generated specifically by pain is the pleasure that is desired. While a masochist can get pleasure by other means (such as drugs or cake), it is the desire for pleasure caused by pain that defines the masochist. As such, the pain is not an optional matter—mere pleasure is not the end, but pleasure caused by pain.

This is rather different from those who endure pain as part of achieving an end, be that end pleasure or some other end. For those who endure pain to achieve an end, the pain can be seen as part of the means or, perhaps more accurately, as an effect of the means. It is valuing the end that causes the person to endure the pain to achieve the end—the pain is not sought out as being the “proper cause” of the end. In the case of the masochist, the pain is not endured to achieve an end—it is the “proper cause” of the end, which is pleasure.

In the case of running, runners typically regard pain as something to be endured as part of the process of achieving the desired ends, such as fitness or victory. However, runners generally prefer to avoid pain when they can. For example, while I will endure pain to run a good race, I prefer running well with as little pain as possible. To use an analogy, a person will put up with the unpleasant aspects of a job in order to make money—but they would certainly prefer to have as little unpleasantness as possible. After all, she is in it for the money, not the unpleasant experiences of work. Likewise, a runner is typically running for some other end (or ends) than hurting herself.  It just so happens that achieving that end (or ends) requires doing things that cause pain.

In my essay on running and freedom, I described how I endured the pain in my leg while running the Tallahassee Half Marathon. If I were a masochist, experiencing pleasure by means of that pain would have been my primary end. However, my primary end was to run the half marathon well and the pain was actually an obstacle to that end. As such, I would have been glad to have had a painless start and I was pleased when the pain diminished. I enjoy the running and I do actually enjoy overcoming pain, but I do not enjoy the pain itself—hence the aspirin and Icy Hot in my medicine cabinet.

While I cannot speak for all runners, my experience has been that runners do not run for pain, they run despite the pain. Thus, we are not masochists. We might, however, show some poor judgment when it comes to pain and injury—but that is another matter.

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Picking between Experts

A logic diagram proposed for WP OR to handle a...

A logic diagram proposed for WP OR to handle a situation where two equal experts disagree. (Photo credit: Wikipedia)

One fairly common way to argue is the argument from authority. While people rarely follow the “strict” form of the argument, the basic idea is to infer that a claim is true based on the allegation that the person making the claim is an expert. For example, someone might claim that second hand smoke does not cause cancer because Michael Crichton claimed that it does not. As another example, someone might claim that astral projection/travel is real because Michael Crichton claims it does occur. Given that people often disagree, it is also quite common to find that alleged experts disagree with each other. For example, there are medical experts who claim that second hand smoke does cause cancer.

If you are an expert in the field in question, you can endeavor to pick between the other experts by using your own expertise. For example, a medical doctor who is trying to decide whether to believe that second hand smoke causes cancer can examine the literature and perhaps even conduct her own studies. Being an expert, a person is presumably qualified to make an informed pick. The obvious problem is, of course, that experts themselves pick different experts to accept as being correct.

The problem is even greater when it comes to non-experts who are trying to pick between experts. Being non-experts, they lack the expertise to make authoritative picks between the actual experts based on their own knowledge of the fields. This raises the rather important concern of how to pick between experts when you are not an expert.

Not surprisingly, people tend to pick based on fallacious reasoning. One common approach is to pick an expert based on the fact that she agrees with what you already believe. That is, to infer that the expert is right because you believe what she says. This is rather obviously not good reasoning: to infer that something is true simply because I believe it gets things backwards. It should be first established that a claim is probably true, then it should be believed (with appropriate reservations).

Another common approach is to believe an expert because he makes a claim that you really want to be true. For example, a smoker might elect to believe an expert who claims second hand smoke does not cause cancer because he does not want to believe that he might be increasing the risk that his children will get cancer by his smoking around them. This sort of “reasoning” is the classic fallacy of wishful thinking. Obviously enough, wishing that something is true (or false) does not prove that the claim is true (or false).

People also pick their expert based on qualities they perceive as positive but that are, in fact, irrelevant to the person’s actually credibility. Factors such as height, gender, appearance, age, personality, religion, political party, wealth, friendliness, backstory, courage, and so on can influence people emotionally, but are not actually relevant to assessing a person’s expertise.  For example, a person might be very likeable, but not know a thing about what they are talking about.

Fortunately, there are some straightforward standards for picking and believing an expert. They are as follows.

 

1. The person has sufficient expertise in the subject matter in question.

Claims made by a person who lacks the needed degree of expertise to make a reliable claim will, obviously, not be well supported. In contrast, claims made by a person with the needed degree of expertise will be supported by the person’s reliability in the area. One rather obvious challenge here is being able to judge that a person has sufficient expertise. In general, the question is whether or not a person has the relevant qualities and these are assessed in terms of such factors as education, experience, reputation, accomplishments and positions.

 

2. The claim being made by the person is within her area(s) of expertise.

If a person makes a claim about some subject outside of his area(s) of expertise, then the person is not an expert in that context. Hence, the claim in question is not backed by the required degree of expertise and is not reliable. People often mistake expertise in one area (acting, for example) for expertise in another area (politics, for example).

 

3. The claims made by the expert are consistent with the views of the majority of qualified experts in the field.

This is perhaps the most important factor. As a general rule, a claim that is held as correct by the majority of qualified experts in the field is the most plausible claim. The basic idea is that the majority of experts are more likely to be right than those who disagree with the majority.

It is important to keep in mind that no field has complete agreement, so some degree of dispute is acceptable. How much is acceptable is, of course, a matter of serious debate.

It is also important to be aware that the majority could turn out to be wrong. That said, the reason it is still reasonable for non-experts to go with the majority opinion is that non-experts are, by definition, not experts. After all, if I am not an expert in a field, I would be hard pressed to justify picking the expert I happen to like or agree with against the view of the majority of experts.

 

4. The person in question is not significantly biased.

This is also a rather important standard. Experts, being people, are vulnerable to biases and prejudices. If there is evidence that a person is biased in some manner that would affect the reliability of her claims, then the person’s credibility as an authority is reduced. This is because there would be reason to believe that the expert might not be making a claim because he has carefully considered it using his expertise. Rather, there would be reason to believe that the claim is being made because of the expert’s bias or prejudice. A biased expert can still be making claims that are true—however, the person’s bias lowers her credibility.

It is important to remember that no person is completely objective. At the very least, a person will be favorable towards her own views (otherwise she would probably not hold them). Because of this, some degree of bias must be accepted, provided that the bias is not significant. What counts as a significant degree of bias is open to dispute and can vary a great deal from case to case. For example, many people would probably suspect that researchers who receive funding from pharmaceutical companies might be biased while others might claim that the money would not sway them if the drugs proved to be ineffective or harmful.

Disagreement over bias can itself be a very significant dispute. For example, those who doubt that climate change is real often assert that the experts in question are biased in some manner that causes them to say untrue things about the climate. Questioning an expert based on potential bias is a legitimate approach—provided that there is adequate evidence of bias that would be strong enough to unduly influence the expert. One way to look for bias is to consider whether the expert is interested or disinterested. Or, more metaphorically, to consider whether they have “skin in the game” and stand to gain (or suffer a loss) from a claim being accepted as true. Merely disagreeing with an expert is, obviously, not proof that an expert is biased. Vague accusations that the expert has “liberal” or “conservative” views also do not count as adequate evidence. What is needed is actual evidence of bias. Anything else is most likely a mere ad homimen attack.

These standards are clearly not infallible. However, they do provide a good general guide to logically picking an expert. Certainly more logical than just picking the one who says things one likes.

 

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Aesthetic Masochsim

English: Double Stuf Oreos, by Nabisco.

(Photo credit: Wikipedia)

Like many philosophers, I am rather drawn to science-fiction movies. One of my colleagues, Stephen, deviates from this usual path-while he does not dislike science fiction, his experience with the genre was somewhat limited. After learning that I was “big into sci-fi” he asked me for some recommendations. While he did like some of the films I suggested, he regarded some as rather awful. As should come as no surprise, this got me thinking about the enjoyment (or lack thereof) of bad films.

As my colleague pointed out, one common approach to explaining the enjoyment of bad films is to appeal to the notion that something can be so bad that it is good. On the face of it, bad would seem to be, well, bad. As such, there is a need to sort out what it could mean for something to be so bad that it is good.

One possibility is what could be called accidental aesthetic success. This is when a work succeeds not at what it was intended to be, but rather in being an accidental parody or mockery of the genre. Using the example of science fiction, this commonly occurs when the work is so absurd that although it is horrible science-fiction, it succeeds as an unintentional comedy. Thus the work is a failure in one sense (to borrow from Aristotle, it fails to produce the  intended effect on the audience). But it succeeds in another sense, by producing an unintended but valuable aesthetic experience for the audience.

While this view is certainly tempting, it can also be disputed by contending that the work does not actually succeed. To be specific, while it does produce an effect on the audience, this is a matter of accident rather than intent and hence to credit the work with success would be an error. To use an analogy, if someone intends to defend himself with a devastating martial arts attack, but slips on a banana to great comic effect, then he has not succeeded. Rather, his failure has caused the sort of mocking amusement reserved for failures.

That said, I am willing to extend a certain sort of aesthetic success to works that are so accidentally bad that they are good. There are, of course, works that endeavor to be good at being bad (such as the film Black Dynamite). These works can be assessed at how well they succeed at being good at what is attempted. Intentionally making a work that is good at being bad does open the possibility that the work could fail at being bad in such a way that makes it good in another way. But perhaps in that way lies madness.

Another approach to good badness can be used by drawing an analogy to junk food. Junk food is, by its nature, bad food. At least, it is bad food in terms of its nutritional value. However, people do rather like junk food and regard it as good in regards to how it tastes. The reverse holds for other types of food. For example, as a runner I have tried a wide variety of food products designed for athletes. While such food is often rather good in terms of its nutritional content, the taste is often rather bad (leading to my bad jokes about junk food and anti-junk food).

Going with the food analogy, some works that are so bad they are good could be rather like junk food. That is, they are deficient in what might be regarded as aesthetic nutritional value, yet have a certain tastiness-at least while they are being experienced. As with junk food, the after effects can be rather less pleasant. For example: for me, watching True Blood is like eating a mix of Cheetos and Oreo Cookies washed down with Mountain Dew. Somehow it is enjoyable while it is happening, but after it is done I wonder why the hell I did that…and I feel vaguely sick.

In such cases, I am willing to grant that such works have some sort of aesthetic value, much as I am willing to grant that junk food has some sort of value. However, the value does often seem rather dubious.

One counter to this is to contend that valuing “junk food” aesthetic value is just as big a mistake as valuing actual junk food. While a person might enjoy such experiences, she is making an error. In the case of food, she is making a poor nutritional choice that is masked by a pleasant taste. In the case of art, she is making a poor aesthetic choice, masked by a superficially pleasant experience.

It could be responded that a work might seem to be junk, but that it is actually better than it seems (or sounds, to steal from Twain). Going back to the food analogy, this could have some appeal. After all, food could be bad in one area (taste) but excel in another (nutrition). So, a food could actually be much better than it tastes. However, this sort of approach only works when the thing in question does actually have the capacity to be better than it seems.

In the case of aesthetic experiences it would certainly seem that a work cannot be better than it seems. After all, the aesthetic experience would be the seeming and it is exactly what it is. For example, consider a song that sounds awful. To claim it is better than it sounds would seem to be an error. After all, the song is what it sounds like and if it sounds bad, it is bad. There is nothing beyond the sound that could be appealed to in order to claim that it is better than it sounds. After all, it sounds what it sounds like. This is, of course, in contrast with many other things. For example, it makes sense to say of a wound that it looks worse than it is-the appearance (lots of blood, for example) is distinct from the seriousness of the wound. As another example, it makes sense to say that a car is better than it looks-it  might look like a junker on the outside, but the engine might be brand new.  Naturally, if it can be shown that art has these multiple aspects, then this matter could be properly addressed.

Before moving on, I must note that I am aware that a work of art can be good or bad in various aspects. For example, a song could have great lyrics, but be sung poorly. As another example, a film could have terrible special effects, but a brilliant story. This is, however, a different matter-in the above I am considering the aesthetic experience as a whole. To use an analogy, while a hamburger might have good cheese but a crappy burger, what would be considered is the overall experience of eating the hamburger.

Like other folks I know, I will sometimes indulge in watching a bad sci-fi/horror/fantasy movie that I recognize as being awful and hence prevents any appeal to the idea of good badness. As might be suspected, my colleague asked me why I would waste my time on bad movies that I actually admitted were bad.

My initial response was a somewhat practical one: there are only a limited number of good movies in those genres and when I get a craving for a genre, sometimes the only option is something bad. To use an analogy, this is like getting a craving for a certain food late at night and the only place that is open is rather bad. So, the only options are going without or going bad. In some cases, just as a bad burger is better than no burger, a bad film is better than no film. However, in other cases nothing is better than something bad.

My second response arose from conversations that my colleague and I had about running. While we are both runners, my colleague is the sort of runner who runs for himself and has no real interest in training for or competing in races. I am, however, very much into training and competition. In addition to enjoying the competition, I must admit that I enjoy the painful experience of hard training and running. That is, I obviously have some mild sort of masochism going on in this area which my colleague lacks.

This difference seems to extend beyond running and into aesthetics-I can actually enjoy suffering through a bad movie. Since I know other folks who are the same way, I believe that there is a certain aesthetic masochism that some people possess. I have not worked out a full theory of this, but given the volume of bad films and shows, this does seem like a promising area.

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Mental Illness or Evil?

1212mentalhealth-RW

(Photo credit: Robbie Wroblewski)

When a person does terrible things that seem utterly senseless, like murder children, there is sometimes a division in the assessment of the person. Some people will take the view that the person is mentally ill on the grounds that a normal, sane person would not do something so terrible and senseless. Others take the view that the person is evil on the grounds that a normal, non-evil person would not do something so terrible and senseless. Both of these views express an attempt to explain and understand what occurred. As might be imagined, the distinction between being evil and being mentally ill is a matter of significant concern.

One key point of concern is the matter of responsibility and the correct way to respond to a person who has done something terrible. If a person acts from mental illness rather than evil, then it seems somewhat reasonable to regard them as not being accountable for the action (at least to the degree the person is ill). After all, if something terrible occurs because a person suffers from a physical illness, the person is generally not held accountable (there are, obviously, exceptions). For example, my running friend Jay told me about a situation in which a person driving on his street had an unexpected seizure. Oddly, the person’s foot stomped down on the gas pedal and the car rocketed down the street, smashing into another car and coming to a stop in someone’s back yard. The car could have easily plowed over my friend, injuring or killing him. However, since the person was not physically in control of his actions (and he had no reason to think he would have a seizure) he was not held morally accountable. That is, he did nothing wrong. If a person had intentionally tried to murder my friend with his car, then that would be seen as an evil action. Unless, perhaps, the driver was mentally ill in a way that disabled him in a way comparable to a stroke. In that case, the driver might be as “innocent” as the stroke victim.

There seem to be at least two ways that a mentally ill person might be absolved of moral responsibility (at least to the degree she is mentally ill).

First, the person might be suffering from what could be classified as perceptual and interpretative disorders. That is, they have mental defects that cause them to perceive and interpret reality incorrectly.  For example, a person suffering from extreme paranoia might think that my friend Jay intends to steal his brain, even Jay has no such intention. In such a case, it seems reasonable to not regard the person as evil if he tries to harm Jay—after all, he is acting in what he thinks is legitimate self-defense rather than from a wicked motivation. In contrast, someone who wanted to kill Jay to rob his house or just for fun would be acting in an evil way. Put in general terms, mental conditions that distort a person’s perception and interpretation of reality might lead him to engage in acts of wrongful violence even though his moral reasoning might remain normal.  Following Thomas Aquinas, it seems sensible to consider that such people might be following their conscience as best they can, only they have distorted information to work with in their decision making process and this distortion results from mental illness.

Second, the person might be suffering from what could be regarded as a disorder of judgment. That is, the person’s ability to engage in reasoning is damaged or defective due to a mental illness. The person might (or might not) have correct information to work with, but the processing is defective in a way that causes a person to make judgments that would be regarded as evil if made by a “normal” person. For example, a person might infer from the fact that someone is wearing a blue hat that the person should be killed.

One obvious point of concern is that “normal” people are generally bad at reasoning and commit fallacies with alarming regularity. As such, there would be a need to sort out the sort of reasoning that is merely bad reasoning from reasoning that would count as being mentally ill. One point worth considering is that bad reasoning could be fixed by education whereas a mental illness would not be fixed by learning, for example, logic.

A second obvious point of concern is discerning between mental illness as a cause of such judgments and evil as a cause of such judgments. After all, evil people can be seen as having a distorted sense of judgment in regards to value. In fact, some philosophers (such as Kant and Socrates) regard evil as a mental defect or a form of irrationality. This has some intuitive appeal—after all, people who do terrible and senseless things would certainly seem to have something wrong with them. Whether this is a moral wrongness or health wrongness is, of course, the big question here.

One of the main reasons to try to sort out the difference is figuring out whether a person should be treated (cured) or punished (which might also cure the person). As noted above, a person who did something terrible because of mental illness would (to a degree) not be accountable for the act and hence should not be punished (or the punishment should be duly tempered). For some it is tempting to claim that the choice of evil is an illusion because there is no actual free choice (that is, we do what we do because of the biochemical and electrical workings of the bodies that are us). As such, people should not be punished, rather they should be repaired. Of course, there is a certain irony in such advice: if we do not have choice, then advising us to not punish makes no sense since we will just do what we do. Of course, the person advising against punishment would presumably have no choice but to give such advice.

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Training the Will

In general, will is a very useful thing to have. After all, it allows a person to overcome factors that would make his decisions for him, such as pain, fear, anger, fatigue, lust or weakness. I would, of course, be remiss to not mention that the will can be used to overcome generally positive factors such as compassion, love and mercy as well. The will, as Kant noted, can apparently select good or evil with equal resolve. However, I will set aside the concern regarding the bad will and focus on training the will.

Based on my own experience, the will is rather like stamina—while people vary in what they get by nature, it can be improved by proper training. This, of course, nicely matches Aristotle’s view of the virtues.

While there are no doubt many self-help books discussing how to train the will with various elaborate and strange methods, the process is actually very straightforward and is like training any attribute. To be specific, it is mainly a matter of exercising the capacity but not doing so to excess (and thus burning out) or deficiency (and thus getting no gain). To borrow from Aristotle, one way of developing the will in regards to temperance is to practice refraining from pleasures to the proper degree (the mean) and this will help train the will. As another example, one can build will via athletic activities by continuing when pain and fatigue are pushing one to stop. Naturally, one should not do this to excess (because of the possibility of injury) nor be deficient in it (because there will be no gain).

As far as simple and easy ways to train the will, meditation and repetitive mental exercises (such as repeating prayers or simply repeated counting) seem to help in developing this attribute.

One advantage of the indirect training of the will, such as with running, is that it also tends to develop other resources that can be used in place of the will. To use a concrete example, when a person tries to get into shape to run, sticking with the running will initially take a lot of will because the pain and fatigue will begin quickly. However, as the person gets into shape it will take longer for them to start to hurt and feel fatigued. As such, the person will not need to use as much will when running (and if the person becomes a crazy runner like me, then she will need to use a lot of will to take a rest day from running). To borrow a bit from Aristotle, once a person becomes properly habituated to an activity, then the will cost of that activity becomes much less—thus making it easier to engage in that activity.  For example, a person who initially has to struggle to eat healthy food rather than junk food will find that resisting not only builds their will but also makes it easier to resist the temptations of junk.

Another interesting point of consideration is what could be called will surrogates. A will surrogate functions much like the will by allowing a person to resist factors that would otherwise “take control” of the person. However, what makes the will surrogate a surrogate is that it is something that is not actually the will—it merely serves a similar function. Having these would seem to “build the will” by providing a surrogate that can be called upon when the person’s own will is failing—sort of a mental tag team situation.

For example, a religious person could use his belief in God as a will surrogate to resist temptations forbidden by his faith, such as adultery. That is, he is able to do what he wills rather than what his lust is pushing him to do. As another example, a person might use pride or honor as will surrogates—she, for example, might push through the pain and fatigue of a 10K race because of her pride. Other emotions (such as love) and factors could also serve as will surrogates by enabling a person to do what he wills rather than what he is being pushed to do.

One obvious point of concern regarding will surrogates is that they could be seen not as allowing the person to do as he would will when he lacks his own will resources but as merely being other factors that “make the decision” for the person. For example, if a person resists having an affair with a coworker because of his religious beliefs, then it could be contended that he has not chosen to not have the affair. Rather, his religious belief (and perhaps fear of God) was stronger than his lust. If so, those who gain what appears to be willpower from such sources are not really gaining will. Rather they merely have other factors that make them do or not do things in a way that resembles the actions of the will.

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Mental Illness, Violence & Liberty

Human brain NIH

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The mass murder that occurred at Sandy Hook Elementary school has created significant interest in both gun control and mental health. In this essay I will focus on the matter of mental health.

When watching the coverage on CNN, I saw a segment in which Dr. Gupta noted that currently people can only be involuntarily detained for mental health issues when they present an imminent danger. He expressed concern about this high threshold, noting that this has the practical impact that authorities generally cannot act until someone has done something harmful and then it can be rather too late. One rather important matter is sorting out what the threshold for official intervention.

On the one hand, it can be argued that the relevant authorities need to be proactive. They should not wait until they learn that someone with a mental issue is plotting to shoot children before acting. They certainly should not wait until after someone with a mental issue has murdered dozens of people. They have to determine whether or not a person with a mental issue (or issues) is likely to engage in such behavior and deal with the person well before people are hurt.  That is, the authorities need to catch and deal with the person while he is still a pre-criminal rather than an actual criminal.

In terms of arguing in favor of this, a plausible line of approach would be a utilitarian argument: dealing with people with mental issues before they commit acts of violence will prevent the harmful consequences that otherwise would have occurred.

On the other hand, there is the obvious moral concern with allowing authorities to detain and deal with people not for something they have done or have even plotted to do but merely might do.  Obviously, there is rather serious practical challenge of sorting out what a person might do when they are not actually conspiring or planning a misdeed. There is also the moral concern of justifying coercing or detaining a person for what they might do. Intuitively, the mere fact that a person could or might do something wrong does not warrant acting against the person. The obvious exception is when there is adequate evidence to establish that a person is plotting or conspiring to commit a crime. However, these sorts of things are already covered by the law, so what would seem to be under consideration would be coercing people without adequate evidence that they are plotting or conspiring to commit crimes. On the face of it, this would seem unacceptable.

One obvious way to justify using the coercive power of the state against those with mental issues before they commit or even plan a crime is to argue that certain mental issues are themselves adequate evidence that a person is reasonably likely to engage in a crime, even though nothing she has done meets the imminent danger threshold.

On an abstract level, this does have a certain appeal. To use an analogy to physical health, if certain factors indicate a high risk of a condition occurring, then it make sense to treat for that condition before it manifests. Likewise, if certain factors indicate a high risk of a person with mental issues engaging in violence against others, then it makes sense to treat for that condition before it manifests.

It might be objected that people can refuse medical treatment for physical conditions and hence they should be able to do the same for dangerous mental issues. The obvious reply is that if a person refuses treatment for a physical ailment, he is only endangering himself. But if someone refuses treatment for a condition that can result in her engaging in violence against others, then she is putting others in danger without their consent and she does not have the liberty or right to do this.

Moving into the realm of the concrete, the matter becomes rather problematic. One rather obvious point of concern is that mental health science is lagging far behind the physical health sciences (I am using the popular rather than philosophical distinction between mental and physical here) and the physical health sciences are still rather limited. As such, using the best mental health science of the day to predict how likely a person is likely to engage in violence (in the absence of evidence of planning and actual past crimes) will typically result in a prediction of dubious accuracy. To use the coercive power of the state against an individual on the basis of such dubious evidence would not be morally acceptable. After all, a person can only be justly denied liberty on adequate grounds and such a prediction does not seem strong enough to warrant such action.

It might be countered that in the light of such events as the shootings at Sandy Hook and Colorado, there are legitimate grounds to use the coercive power of the state against people who might engage in such actions on the grounds that preventing another mass murder is worth the price of denying people their freedom on mere suspicion.

As might be imagined, without very clear guidelines and limitations, this sort of principle could easily be extended to anyone who might commit a crime—thus justifying locking up people for being potential criminals. This would certainly be wrong.

It might be countered that there is no danger of the principle being extended and that such worries are worries based on a slippery slope. After all, one might say, the principle only applies to those deemed to have the right (or rather wrong) sort of mental issues. Normal people, one might say in a calm voice, have nothing to worry about.

However, it seems that normal people might. After all, it is normal for people to have the occasional mental issue (such as depression) and there is the concern that the application of the fuzzy science of mental health might result in incorrect determinations of mental issues.

To close, I am not saying that we should not reconsider the threshold for applying the coercive power of the state to people with mental issues. Rather, my point is that this should be done with due care to avoid creating more harm than it would prevent.

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Will

As a runner, martial artist and philosopher I have considerable interest in the matter of the will. As might be imagined, my view of the will is shaped mostly by my training and competitions. Naturally enough, I see the will from my own perspective and in my own mind. As such, much as Hume noted in his discussion of personal identity, I am obligated to note that other people might find that their experiences vary considerably. That is, other people might see their will as very different or they might even not believe that they have a will at all.

As a gamer, I also have the odd habit of modeling reality in terms of game rules and statistics—I am approaching the will in the same manner. This is, of course, similar to modeling reality in other ways, such as using mathematical models.

In my experience, my will functions as a mental resource that allows me to remain in control of my actions. To be a bit more specific, the use of the will allows me to prevent other factors from forcing me to act or not act in certain ways. In game terms, I see the will as being like “hit points” that get used up in the battle against these other factors. As with hit points, running out of “will points” results in defeat. Since this is rather abstract, I will illustrate this with two examples.

This morning (as I write this) I did my usual Tuesday work out: two hours of martial arts followed by about two hours of running. Part of my running workout  was doing hill repeats in the park—this involves running up and down the hill over and over (rather like marching up and down the square). Not surprisingly, this becomes increasingly painful and fatiguing. As such, the pain and fatigue were “trying” to stop me. I wanted to keep running up and down the hill and doing this required expending those will points. This is because without my will the pain and fatigue would stop me well before I am actually physically incapable of running anymore. Roughly put, as long as I have will points to expend I could keep running until I collapse from exhaustion. At that point no amount of will can move the muscles and my capacity to exercise my will in this matter would also be exhausted. Naturally, I know that training to the point of exhaustion would do more harm than good, so I will myself to stop running even though I desire to keep going. I also know from experience that my will can run out while racing or training—that is, I give in to fatigue or pain before my body is actually at the point of physically failing.  These occurrences are failures of will and nicely illustrate that the will can run out or be overcome.

After my run, I had my breakfast and faced the temptation of two boxes of assorted chocolates. Like all humans, I really like sugar and hence there was a conflict between my hunger for chocolate and my choice to not shove lots of extra calories and junk into my pie port. My hunger, of course, “wants” to control me. But, of course, if I yield to the hunger for chocolate then I am not in control—the desire is directing me against my will. Of course, the hunger is not going to simply “give up” and it must be controlled by expending will and doing this keeps me in control of my actions by making them my choice.

Naturally, many alternatives to the will can be presented. For example, Hobbes’ account of deliberation is that competing desires (or aversions) “battle it out”, but the stronger always wins and thus there is no matter of will or choice. However, I rather like my view more and it seems to match my intuitions and experiences.

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Virginia’s Ultrasound Law

English: The state seal of Virginia. Српски / ...

Is that an ultrasound probe?

The Virginia state legislature is on track to pass a law requiring women to have a transvaginal ultrasound before being permitted to have an abortion. As might be imagined, there is considerable opposition to this law. Some critics have  even argued that forcing women to undergo an invasive procedure could actually be a sex crime under Virginia law. As might be imagined, this matter raises numerous moral concerns.

One point of concern is that, as presented in comedic fashion on the 2/21/2012 Daily Show, some of the folks supporting the bill seem to be directly violating their own professed principles regarding the appropriate role of the state. For example, the woman who put forth the bill previously argued against “Obamacare” on the grounds that the state should not make such an imposition on liberty. As another example, the governor of the state was critical of the TSA “pat downs” as being too invasive. He has, however, expressed his intent to sign the bill into law.

As might be imagined, forcing women to undergo such an invasive procedure seems to be rather inconsistent with the past arguments by these folks regarding individual liberty and the appropriate role of the state. After all, if it is unacceptable for the state to force people to buy health insurance because it violates their liberty, forcing a woman to undergo penetration against her will seems to be even more unacceptable.

Naturally, I am not claiming that these people are wrong now because their current view seems to be inconsistent with their past views. After all, doing this would be a fallacy (ad hominem tu quoque). However, it is fair to simply take the reasons they presented against forcing people to buy health insurance and apply them to their own view on the forced ultrasounds. As such, if they were right then, then they would seem to be rather wrong now. Naturally, people tend to not be very big on consistency-as Mill noted in his discussion of liberty, people generally take the view that the state should do what they want and do not base this on a consistent principle regarding what is fit and unfit for the state to do (or not do).

The most important point of concern is, obviously enough, whether or not it is right for the state to mandate such a procedure. While, as noted above, proponents of this bill seem to have railed against state imposition in other matters,I will accept that  there are cases in which the state can justly impose. The question then is whether or not this is such a case.

The most common basis for justifying state imposition is the prevention of harm. To use an obvious example, the state justly forbids people from stealing. In the case of the ultrasound, the assumption seems to be that this law will help reduce the number of abortions and this will, as some folks see it, combat a harm. However, the evidence seems to be that this will not be the case. Dr. Jen Gunter has a rather thoughtful analysis of this matter that addresses this point. As she notes, sex education,access to medical care and  contraception have the greatest impact on reducing abortion rates. These are, oddly enough, often opposed by the same folks who are vehemently opposed to abortion. As such, the law makes no sense as an abortion reducer even if it is assumed that the state has the right to make impositions with the goal of reducing abortions. In light of this, it would seem clear that the law is morally unjustified.

Even if the law would, contrary to fact, reduce the number of abortions, there is still the question of whether or not the state has the right to make such an imposition. After all, there are appealing arguments for individual liberty and keeping the government out of peoples’ business-often made by the very same people who back this particular intrusion into liberty (as noted above). My general principle is that the burden of proof rests on those who would make such impositions into law. That is, they have to provide a sufficient reason to warrant impinging on personal liberty and choice. As its stands, the proponents of this law have not made such a case. After all, it will not even achieve its apparent goal of reducing the number of abortions. There are also no legitimate medical reasons for making such an imposition and, as such, it seems to be an unwarranted and  needless attempt to legalize the violation of the rights and bodies of women.

 

 

 

 

 

 

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“Free” Birth Control

Picture Of Ortho Tri-Cyclen oral contraceptive...

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Starting in August 2012, most American health insurance will cover birth control and other preventative services for free. This is being required by the United States Department of Health and Human Services. Not surprisingly, this has created some concerns.

One main concern is that this will result in an increase in premiums. After all, health insurance companies are in the business of making money and they will need to increase their income to offset the cost of covering birth control. Those who do not use this sort of birth control (men and some women) might regard this as unfair and wonder why they should have to pay a price for this new coverage. Those who have moral objections to birth control might also take issue with it being covered.

One obvious reply is that insurance already covers many things that many people will not use. One obvious example is Viagra. It is covered by insurance but is obviously not used by women and is also not used by many men who pay for insurance. Other obvious examples would be other sex specific medical procedures such as prostrate surgery and hysterectomies. If coverage of these things is acceptable (especially Viagra), then it would seem that covering birth control would also be acceptable. Of course, this does not address the moral concern.

While most people do regard birth control as morally acceptable, not everyone does and these folks might object to having it covered by insurance. This point has been addressed, at least to a degree:  the law makes an exception for religious organizations, most notable Catholic organizations. Interestingly enough, the majority of Catholic women and Evangelical Christian women claim to use birth control, despite the fact that the official religious dogma is against it. As such, some of these women will need to pay for their birth control (assuming their insurer is among the exempt). But such is the price of dogma.

Those who truly object to birth control and do not use it can, of course, try to acquire insurance through such organizations. That way they will not need to support, however indirectly, birth control. Of course, they will have to be careful to determine if the insurer covers anything else they might regard as morally offensive. For example, some people might find Viagra unacceptable.  If so, the only option might be to find a truly morally pure insurance company or (more likely) simply forgo insurance so as to avoid even the slightest connection with the morally distasteful.

Of course, some folks regard the coverage of birth control as an evil in and of itself and something that should be prevented. For these folks it is not enough to merely not buy insurance from the same company that provides coverage. These folks contend that birth control should not be covered at all.

One argument is the religious argument, or rather a limited religious argument. As noted above, the official Catholic position (which is relentlessly violated by Catholics) is against birth control. However, there is the obvious problem of making the dogma of one sect a deciding factor in the law of the land. As always is the case in such matters, I leave it up to God to show up at set the matter straight. Until then, of course, we’ll have to settle things by other means.

A second argument is that birth control is not a medicine in the sense that it does not treat or prevent a disease or other health threatening condition (with some notable exceptions). It does not, as Viagra proponents point out, restore a normal function of the body. Rather it simply does what the name states: it prevents (most of the time) pregnancy. As such, it can be argued that it should not be covered by insurance.

Viagra is, of course, covered by insurance. This provides a context in which an argument can be made for having insurance cover birth control. So, if Viagra is covered by insurance, then should birth control be covered?

The answer is clearly “yes.” One argument against covering birth control is that birth control is a matter of lifestyle choice and not (in most cases) a matter of health. Of course, this same argument could be applied to Viagra. Both Viagra and birth control seem to be lifestyle drugs. A person takes Viagra to be able to have sex and a person takes birth control to be able to have sex without becoming pregnant. In general, neither is needed for actual health. Unless, of course, one considers having sex to be important for health. If so, they are still on roughly equal footing.

It might be countered that Viagra is different because it simply restores a natural function that is lacking. In this regard it could be seen as analogous to a hearing aid or a pair of glasses. in contrast, birth control does not restore a natural function or correct a problem. It simply prevents a natural function from taking place.

This argument does have some plausibility. Naturally, the argument would justify covering birth control in the case of women who needed it for clear medical purposes rather than simply to avoid pregnancy. However, this would be a very small number of women.

It can be argued that insurance does cover treatments and medicines that are designed to enhance or preserve quality of life and that this would justify coverage of birth control. For example, a person might be on blood pressure medicine to keep her blood pressure from increasing further even though it is not currently high enough to be a significant danger. In the case of birth control, it could be argued that it is a medicine that enables a woman to maintain a desired quality of life. As such, it would be a preventative medicine. Of course, this would seem to imply that pregnancy is in the same category as diseases and such.

Another argument that can be employed is this: if Viagra is covered and it is justified because men should be able to chose to have sex, then birth control should also be covered because it enables women to chose not to become pregnant. If men need to have sex and hence Viagra should be covered, then women can argue that they also need to be able to avoid getting pregnant and hence birth control should be covered. This seems reasonable.

As a final point, it seems sensible and morally correct to have birth control covered. This coverage might help reduce the number of unwanted pregnancies and thus result in less costs (monetary and social). If so, covering birth control could turn out to be financially a good idea-even if premiums are increased, the overall costs might be lower. There is also the moral argument that reducing the number of unwanted pregnancies would create more happiness than unhappiness-and also perhaps reduce the number of abortions. Then again, maybe the coverage will have no impact-it all depends on how many women forgo birth control on the basis of cost.

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The Nanny Corporation

Nanny and the Professor

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While the “nanny state” is commonly presented as a bugbear, there is typically little talk of the nanny corporation. Like the nanny state, the nanny corporation acts to control people “for their own good.” Interestingly, this is a rather old idea: Henry Ford docked his workers’ pay if they smoked, drank or visited hookers.

While all companies impose a certain degree of tyranny at work (think about all the rules for decoration, dress, behavior and so on that go beyond mere professionalism), the nanny corporation purports to have the right to control people outside of work.

For example, Scotts Miracle-Gro does random urine tests for nicotine. Those who fail are fired. As such, the company demands that workers not smoke-even on their own time. As another example, Clarian Health fines employees $10 per check for being fat and $5 each time they exceed the allowed levels for glucose, blood pressure and cholesterol on regular tests. These are, of course, the sort of impositions that folks who loath the nanny state rail against.

It might be argued that since employees are free to leave a job, these “nannyisms” are a matter of free choice and thus are not truly impositions. After all, a person who wants to smoke can simply elect to not work for Scotts Miracle Grow. In the case of the state, people have far less choice. While they can leave the country, this is something  rather more difficult than merely seeking a different job.

That said, it could be argued that the nanny state is, at least in the case of democracies, also a matter of choice. People vote for or against the nannyisms and are obligated, as per John Locke;s arguments,  to accept the results of these votes (with some notable exceptions that would justify rebellion and resistance). As such, the nanny state would be little worse than the nanny corporation and if choice justifies the nannying, then the state nannyisms wold be just as justified as those of corporations.

It might also be argued that the corporations are merely acting in the way they are supposed to act: to maximize profits. While this nannying might be seen as for the workers’ own good, these impositions actually aim at the bottom line. Healthy employees are more productive, have fewer sick days and cost the company less in health care. As such, nannying is a way to enhance profits or, at least, lower costs.

Of course, proponents of the nanny state can avail themselves of the same sort of argument. Citizens who take poor care of themselves and engage in risky behavior are a greater burden on the public than people who take care of themselves and elect to follow healthy behavior patterns. As such, the same sort of financial and productivity argument can be given. After all, what is good for Miracle Grow is thus good for the nation.

Naturally enough, some people (such as myself) find the public and private nannying to be rather undesirable. After all, as Mill effectively argued, as long as I am a competent adult and not harming others, then I should not be forced to act as others think I should act. Even if it is, in fact, for my own good.

Of course, the argument that the individual is being imposed upon for the general good (or corporate profits) does have some bite. An unhealthy employee who is unhealthy through his/her own choices and actions is unfairly harming the company with lowered productivity, more missed days, and often greater costs. As such, the company would seem to have the right to impose to avoid said harms and fire workers who refused. Likewise, the state has the right to impose on citizens in order to avoid the harms that would accrue from their poor choices regarding health and behavior.

People should, however, have the chance to opt out. As noted above, people who wish to engage in behavior that goes against company policy can find another job. If they prefer to behave in harmful ways, then they cannot expect the company to bear the cost of this behavior. In the case of citizens, they should also have the option to opt out. This can be done by leaving or, less extremely, by forfeiting their claims to state support. So, for example, a person could elect to smoke and forgo buying health insurance. However on that day when she finds she has lung cancer, she cannot expect the state (that is, the rest of us) to pick up the tab for her. She had her choice and, as they say, choices have consequences. While it might be argued that such people would still be owed care and support, the failure would not be on the part of the state. Rather, the person could see who failed them by looking in the mirror. Naturally,  citizens can also seek to change the laws so that they can behave in unhealthy ways and yet still have others bear some of the costs for them.

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