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Autonomy, Enactivism, and Mental
Disorder
This book brings together insights from the enactivist approach in philosophy
of mind and existing work on autonomous agency from both philosophy of
action and feminist philosophy. It then utilizes this proposed account of
autonomous agency to make sense of the impairments in agency that
commonly occur in cases of dissociative identity disorder, mood disorders,
and psychopathy.
While much of the existing philosophical work on autonomy focuses on
threats that come from outside the agent, this book addresses how inner con-
flict, instability of character, or motivational issues can disrupt agency. In the
first half of the book, the author conceptualizes what it means to be self-gov-
erning and to exercise autonomous agency. In the second half, she investigates
the extent to which agents with various forms of mental disorder are capable of
exercising autonomy. In her view, many forms of mental disorder involve dis-
ruptions to self-governance, so that agents lack sufficient control over their
intentional behavior or are unable to formulate and execute coherent action
plans. However, this does not mean that they are utterly incapable of autono-
mous agency; rather, their ability to exercise this capacity is compromised in
important respects. Understanding these agential impairments can help to
deepen our understanding of what it means to exercise autonomy, and also
devise more effective treatments that restore subjects’ agency.
Autonomy, Enactivism, and Mental Disorder will be of interest to
researchers and advanced students working in philosophy of mind, philoso-
phy of action, philosophy of psychiatry, and feminist philosophy.
Michelle Maiese is Professor of Philosophy at Emmanuel College, USA. Her
research addresses issues in philosophy of mind and philosophy of psy-
chiatry. She has authored or co-authored four books: Embodied Minds in
Action (2009), Embodiment, Emotion, and Cognition (2011), Embodied
Selves and Divided Minds (2015), and The MindBody Politic (2019).

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Routledge Studies in Contemporary Philosophy
Time in Action
The Temporal Structure of Rational Agency and Practical Thought
Edited by Carla Bagnoli
Perspectives on Taste
Aesthetics, Language, Metaphysics, and Experimental Philosophy
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A Referential Theory of Truth and Falsity
Ilhan Inan
Existentialism and the Desirability of Immortality
Adam Buben
Recognition and the Human Life-Form: Beyond Identity and Difference
Heikki Ikäheimo
Autonomy, Enactivism, and Mental Disorder
A Philosophical Account
Michelle Maiese
The Philosophy of Fanaticism
Epistemic, Affective, and Political Dimensions
Edited by Leo Townsend, Ruth Rebecca Tietjen, Hans Bernhard Schmid,
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For more information about this series, please visit: https://www.routledge.
com/Routledge-Studies-in-Contemporary-Philosophy/book-series/SE0720

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Autonomy, Enactivism, and
Mental Disorder
A Philosophical Account
Michelle Maiese

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First published 2022
by Routledge
605 Third Avenue, New York, NY 10158
and by Routledge
4 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
Routledge is an imprint of the Taylor & Francis Group, an informa
business
© 2022 Michelle Maiese
The right of Michelle Maiese to be identified as the author of this work
has been asserted in accordance with sections 77 and 78 of the Copyright,
Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced
or utilised in any form or by any electronic, mechanical, or other means,
now known or hereafter invented, including photocopying and recording,
or in any information storage or retrieval system, without permission in
writing from the publishers.
Trademark notice: Product or corporate names may be trademarks or
registered trademarks, and are used only for identification and
explanation without intent to infringe.
Library of Congress Cataloging-in-Publication Data
Names: Maiese, Michelle, author.
Title: Autonomy, enactivism, and mental disorder : a philosophical
account / Michelle Maiese.
Description: New York, NY : Routledge, 2022. |
Series: Routledge studies in contemporary philosophy |
Includes bibliographical references and index.
Identifiers: LCCN 2022000892 (print) | LCCN 2022000893 (ebook) |
ISBN 9781032003160 (hbk) | ISBN 9781032004235 (pbk) |
ISBN 9781003174103 (ebook)
Subjects: LCSH: Autonomy (Philosophy) | Agent (Philosophy) |
Mental illness. | Philosophy of mind. | Cognitive science. |
Act (Philosophy)
Classification: LCC B105.A84 M35 2022 (print) | LCC B105.A84 (ebook) |
DDC 128–dc23/eng/20220225
LC record available at https://lccn.loc.gov/2022000892
LC ebook record available at https://lccn.loc.gov/2022000893
ISBN: 978-1-032-00316-0 (hbk)
ISBN: 978-1-032-00423-5 (pbk)
ISBN: 978-1-003-17410-3 (ebk)
DOI: 10.4324/9781003174103
Typeset in Sabon
by Taylor & Francis Books

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Contents
Acknowledgments
viii
1
Autonomous Agency: Conditions for an Adequate Account
1
1.1 Introduction 1
1.2 Frankfurts Identification Account 4
1.2.1 Second-Order Volitions and Identification 5
1.2.2 Intelligibility and the Problem of External
Manipulation 7
1.2.3 The Regress Problem 9
1.3 Pre-reflective Agency and Reasons-Responsiveness 12
1.4 Autonomy as Relational 18
1.5 Summary of Conditions, and a Way Forward 21
2
An Enactivist Conception of Autonomous Agency
27
2.1 Introduction 27
2.2 Agency, Biological Autonomy, and Sensorimotor
Autonomy 29
2.2.1 Basic Agency, Trying, and Habits 30
2.2.2 Affective Framing, Regional Identities, and the Self 34
2.3 The Stability and Plasticity of Habit 40
2.4 The Role of Social Influences 46
2.4.1 Relational Autonomy and the Socially Embedded
Self 50
2.4.2 The Mindshaping Thesis 54
2.5 Concluding Remarks 59
3
Enactivism Meets Frankfurt: Embracing, Resisting, and
Reconfiguring Habits
65

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3.1 Introduction 65
3.2 The Need for Self-Modification 66
3.3 From Sensorimotor Equilibration to Self-Equilibration 70
3.4 Changing What We Care About 75
3.4.1 Virtual Actions and Agentic Skills 83
3.4.2 Equilibration and the Contribution of the
Environment 86
3.5 Authenticity, Regress, and Manipulation: Making Sense of
Autonomy Deficits 88
3.6 Concluding Remarks 94
4
Ambivalence and Agency in Dissociative Identity Disorder
98
4.1 Introduction: Disruptions to Autonomous Agency in Mental
Disorder 98
4.2 Dissociative Identity Disorder and the Single Self Thesis 103
4.3 Extreme Ambivalence in DID 106
4.4 Disruptions to Agency and Instability of the Self 112
4.4.1 Disjointed Affective Framings 114
4.4.2 Is Ambivalence Always a Threat to Autonomy? 117
4.5 Self-Equilibration in Cases of DID 121
4.6 Concluding Remarks 124
5
“Getting Stuck” in Mood Disorders
129
5.1 Introduction 129
5.2 Disruptions to Motivation in Depression 130
5.3 A Depressive Comportment: Inflexible Habits and
Constriction of the Affordance Field 135
5.4 Self-Equilibration in Cases of Depression 142
5.5 Disruptions to Agency in Bipolar Disorder 146
5.5.1 Distortion of the Affordance Field in Mania 149
5.5.2 Unstable Agency and Fluctuating Moods 151
5.5.3 Self-Equilibration in Bipolar Disorder 154
5.6 Concluding Remarks 156
6
One-Dimensional Selfhood in Psychopathy
160
6.1 Introduction 160
6.2 Reasons-Responsivity and Ethical Know-How 163
6.3 Inflexible Agency and Affordance Engagement 168
6.4 Instability and Lack of Character 171
6.5 Self-Equilibration and Relational Autonomy 176
vi Contents

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6.6 Concluding Remarks 184
7
Further Implications: Responsibility and Treatment
190
7.1 Introduction 190
7.2 Agency and Moral Responsibility 191
7.2.1 Responsibility in Cases of DID 195
7.2.2 Responsible Agency Among Agents with Mood
Disorders 197
7.2.3 Responsible Psychopaths? 199
7.3 Legal Responsibility, Relational Autonomy, and Restorative
Justice 203
7.4 Promoting Autonomy Via Holistic Treatment 209
7.4.1 Moving Beyond Medication 210
7.4.2 Recovery and Patients as Experts 213
7.5 Concluding Remarks 221
Index
225
Contents vii

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Acknowledgments
This monograph expands upon ideas explored in Embodied Selves and Divided
Minds, The MindBody Politic (co-authored with Robert Hanna), several past
articles, and my Ph.D. dissertation. It aims to integrate enactivism, philosophy
of action, philosophy of psychiatry, and feminist theorizing about relational
autonomy. Common sense tells us that autonomy is lacking in many cases of
mental illness. Getting clear about what this entails sheds light on the nature of
agency and self-determination as well the disruptions to agency that occur due
to mental illness. This, in turn, puts us in a better position to develop legal and
treatment practices that cultivate and restore autonomy. However, my discus-
sion of real-world implications in the concluding chapter only briefly touches
upon important topics that need to be explored much more fully. My hope is
that this discussion sets the stage for future research. Thanks to Sam Dayson
(my undergraduate research assistant) for helping me find articles to read. I also
am grateful for the feedback provided by numerous anonymous reviewers,
especially those who provided constructive criticism in a kind manner.
Much of this project was completed during the Covid-19 pandemic, at a
time when many of us were struggling with mental health issues. For me,
research and writing provided a much-needed break from doom-scrolling on
social media, television binging, and alcohol consumption. I am grateful for
my friends and family who spent time with me on zoom during the early
days of the pandemic, as well as those who were willing to hang out in the
chilly outdoors in the winter of 2021. I especially want to thank my partner,
Nathan, for being my quarantine buddy and building me a patio. There’s
nobody else I’d prefer to be safe at home with.

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1 Autonomous Agency: Conditions for
an Adequate Account
1.1 Introduction
While the term “autonomy” generally connotes self-determination, it has
taken on many different meanings in the philosophical literature. One
approach, which stems from liberal political philosophy, characterizes
autonomy as freedom of the individual to carry on with their affairs pro-
vided that this does not interfere with the freedom of others. Such freedom
of action requires that individuals be free from coercive interference and
have a range of reasonable options from which to choose. This notion of
choice autonomy signifies a political, pragmatic approach; within the realm
of health care provision, for example, it raises questions about whether it is
ever justifiable to subject someone to medical treatment without their con-
sent (Lillehammer, 2012, p. 197). A second approach, obviously related to
the first, focuses on what it means to be a self-governing agent, one who can
reflect on their beliefs, motivations, and actions, formulate goals, and exe-
cute action plans. A self-governing individual who is capable of agent
autonomy is a paradigm example of someone who can enter into legally
binding contracts, participate in market exchanges, engage in democratic
processes, and be held responsible for their actions.
However, the focus of the present project is largely theoretical. In the first
half of the book, I aim to conceptualize what it means to be self-governing
and exercise autonomous agency. I begin, in the present chapter, by dis-
cussing some of the central questions and puzzles widely discussed in the
literature on autonomy, and then presenting some conditions for an ade-
quate account. Then, in the latter half of the book, I investigate the extent
to which agents suffering from various forms of mental disorder are capable
of exercising autonomy. In my view, many forms of mental disorder involve
disruptions to self-governance, so that agents lack sufficient control over
their intentional behavior or are unable to formulate and execute coherent
action plans. However, this does not mean that they are utterly incapable of
autonomous agency; rather, their ability to exercise this capacity is disrupted
or compromised in distinctive respects. Understanding these disruptions can
both help to deepen our understanding of what it means to exercise
DOI: 10.4324/9781003174103-1

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autonomy, and also pave the way toward more effective, autonomy-restoring
treatment methods. To unpack these ideas, I draw upon insights from existing
philosophical literature on philosophy of action and autonomy, as well as the
enactivist approach in philosophy of mind. Throughout, I operate with the
assumption that autonomous agency is diachronic and that it comes in
degrees. That is, rather than questioning whether agents are autonomous
(where the focus is on personal autonomy) and attempting to provide a clear
“yes” or “no” answer, I aim to investigate to extent to which their agency
over time is autonomous. During different periods of their lives, all indivi-
duals exhibit autonomous agency to greater or lesser degrees. What is notable
about mental disorder is that individuals encounter distinctive and recurrent
disruptions to agency that make it difficult for them to engage effectively with
their surroundings.
Many existing accounts of autonomous agency point to the centrality of
self-control and the ability to suppress or modify one’s mental states on the
basis of higher order reflection. What Paul Benson (2005) calls “identifica-
tion accounts” hold that agents act autonomously when they act upon a will
that is their own, upon desires that they somehow have endorsed. Such
accounts emphasize that what makes a desire or intention truly one’s own is
that one identifies with it. According to Harry Frankfurt’s (1988) well-
known account, for example, such identification consists in the formation of
higher-order desires to the effect that specific first-order desires be effective
in action. This emphasis on authenticity, and the notion that autonomous
agency flows from the desires of the agent themself, ones that they have
embraced, is intuitively very compelling. On the face of it, such accounts do
a good job of explaining why instances of addiction or mere impulsive
behavior do not qualify as autonomous. However, three central objections
that face identification accounts such as Frankfurt’s are the “arbitrariness
problem,” the “regress problem,” and the “manipulation problem.” All these
worries center around questions concerning what makes acts of identifica-
tion the agent’s own, rather than being a random whim or an action
imposed from the outside. After all, one might identify with certain desires
not because they reflect one’s deepest wants, but merely as an expression of
adaptive preferences. However, given the extent to which human psychology
and action are influenced by social and relational factors, there is a sense in
which all preferences are adaptive. Because a human agent is deeply
embedded in the surrounding social world, their mental states and actions
are very much products of their environment. However, surely this does not
mean that all human agency fails to be autonomous. Both from a theoretical
and practical standpoint, it is important to clarify just what it means to
exhibit authenticity and exercise autonomous agency. Rather than treating
autonomous agency as the achievement of individuals, an adequate account
needs to acknowledge the important sense in which autonomous agency is
fundamentally relational; and it must distinguish between coercive and non-
coercive external influences.
2 Autonomous Agency

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In addition, an adequate account of autonomy requires that we exam-
ine the sorts of agentic skills that are involved. Traditionally, self-reflec-
tion and deliberation have been deemed integral or even necessary for
autonomy, and some theorists have failed to acknowledge the important
role of other sorts of skills, such as imagination and perspective-taking.
While I do not deny the importance of reflection and the endorsement of
actions plans, some accounts tend to over-intellectualize autonomous
agency and overlook or downplay the important role of bodily experi-
ence and emotion. We need an account which emphasizes that for an
action to be one’s own, it should be expressive of one’s desires, feelings,
or what one cares about, broadly speaking. An adequate account also
needs to recognize the way in which autonomous agency involves a
responsiveness to changing circumstances, and to acknowledge that this
ability to shift course and modify behavior involves a wide range of
agentic skills, including but not limited to self-reflection and deliberation.
Moreover, an adequate account should acknowledge that autonomous
agency is diachronic and unfolds over time, and that it comes in degrees.
Because autonomy is not an all-or-nothing affair, determining whether
someone’s actions are autonomous requires that we examine the way
they unfold and how they relate to other aspects of their psychology and
circumstances.
Lastly, and perhaps more controversially, I maintain that an adequate
account of autonomous agency should be grounded in naturalistic con-
siderations and engage directly with literature from philosophy of mind.
Specifically, I argue that theorizing about autonomy can be enriched by
insights from the enactivist approach in philosophy of mind. After all,
assumptions about the mind-body relation and the nature of desire, emo-
tion, and cognition shape the way that we think about agency and the
nature of human action. In chapter 2, I will argue that the enactivist
approach developed by theorists such as Thompson (2007) and Weber and
Varela (2002) can provide us with an ontological backdrop and conceptual
tools that not only help us to gain an understanding of the workings of
autonomous agency and its social-relational dimension, but also allow us to
naturalize the concept of autonomy. Enactivist notions of autonomy and
adaptive sense-making, in particular, can help us to conceptualize the way in
which autonomous agency centrally involves the formation and ongoing
modification of habits. Over the course of learning and socialization, human
agents become selectively attuned to particular aspects of their surroundings,
develop a concerned point of view, and begin to exhibit recurring patterns
of engagement and response. Such habits reflect what we care about and
allow for us to engage fluidly and meaningfully with our surroundings, often
without the need for high-level deliberation or reflection. They develop not
in isolation, but rather overlap and become integrated with other habits, so
that they form a bundle; and different “bundles of habits” are called upon
depending on the specific circumstances and situation.
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These organized patterns of behavior and attention can be understood as
regional identities that simultaneously allow for both stability and coherence
of character, as well as flexibility of response. That is, this dual stability and
flexibility enable agents to both (a) form coherent, enduring patterns of
behavior and attention, and thereby form an identity or character, and (b)
modify the way they engage with their surroundings and other people in
response to reasons and evidence. As a result, agents are able to exercise
autonomous agency and engage with relevant action-possibilities in their
surroundings. In chapter 3, I will propose that these insights from the
enactivist approach can be integrated with some of the key insights from the
Frankfurt-style, identity-based theory of autonomy, and that the resulting
account of autonomous agency meets the conditions of adequacy highlighted
in the present chapter.
Then, in chapters 4–6, I examine cases of mental disorder; these are cases
in which agents encounter disruptions to autonomous agency, and the sta-
bility or flexibility of habit is diminished. Agents with dissociative identity
disorder (DID), for example, encounter conflicting regional identities and
are unable to form a coherent and stable sense of self. This lack of coher-
ence and stability might be understood as a form of extreme ambivalence
that makes it difficult for them to exercise autonomous agency (Maiese,
2016). In depression, agents exhibit diminished plasticity: because they get
stuck in particular habits of attention and response, many available action-
possibilities seem closed off (Maiese, 2018) and there is a mismatch between
what they care about and what they actually do. Lastly, agents with psy-
chopathy exhibit an extremely narrow range of cares or concerns. While
ordinary adults have a wide range of regional identities that they fluidly
move between over the course of their daily lives, psychopaths are one-
dimensional and lack a well-developed character. This one-dimensionality is
directly connected to their lack of concern for others and their exclusive
focus on their own immediate desires. As a result, agents with psychopathy
display impulsivity and are deficient in many of the agentic skills (e.g.,
imagination and empathy) that are required to exercise autonomy.
In the concluding chapter, I consider some practical implications of my
proposed account. My general claim is that while the exercise of autonomous
agency is compromised in cases of mental disorder, the general capacity for
autonomy does not disappear altogether, and our real-life practices should
reflect this. I present some proposals regarding legal accountability and mental
health treatment and maintain that one of the central aims of these practices
is to cultivate and restore agents’ ability to exercise autonomy.
1.2 Frankfurt’s Identification Account
What it means to exercise autonomous agency has received considerable
attention in the philosophical literature. However, my central aim is not to
provide a comprehensive review of existing work, but rather to highlight
4 Autonomous Agency

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some of the issues that seem to be central to debate, and then develop a new
way of approaching them. Autonomy is widely understood in terms of a
capacity to guide one’s life from one’s own perspective, and to act in ways
that genuinely express one’s point of view. A natural starting point for an
account of autonomy is individual self-governance: “self-rule free of con-
trolling interferences by others, and without limitations in the individual
that prevent free and informed choice and action” (Beauchamp & Wobber,
2014, p. 118). This general formulation points to two key conditions of
autonomy: (1) liberty, or the absence of controlling influences; and (2)
agency, or self-initiated intentional action. However, some theorists have
emphasized that the satisfaction of these conditions is not yet sufficient for
autonomy. Mere causation of bodily movement by a belief or desire that
someone repudiates or rejects, for example, does not yield autonomous
agency. A person acts autonomously only if they genuinely participate in the
operation of their will, as opposed to being estranged from themself or behav-
ing as a passive bystander. Along these lines, identification accounts hold that
someone’s actions are their own when they arise from, or are incorporated
within, the sphere of what they really care about (Benson, 2005, p. 102).
Michael Bratman (1987), for example, holds that persons take ownership of
what they do when they identify with associated action-plans; Gerald Dworkin
(1988) maintains that autonomy consists in “a second-order capacity of persons
to reflect critically upon their first-order preferences, desires, wishes, and so
forth and the capacity to accept or attempt to change these in light of higher-
order preferences and values” (p. 20); and Frankfurt (1988) famously char-
acterizes autonomous agency in terms of being motivated by psychological
attitudes that are somehow authoritatively expressive of one’s psyche.
Here, I focus on the work of Frankfurt to frame the discussion, though
many of the concerns I discuss apply to other identification accounts as well.
My aim is to examine some of the key objections that have been raised in
order to develop some conditions of adequacy for an account of autono-
mous agency. In my view, the limitations of Frankfurt’s account help to
shed light on the central issues that an adequate account of autonomous
agency ought to address. The main goal of this chapter is to formulate these
conditions of adequacy.
1.2.1 Second-Order Volitions and Identification
To make sense of how an agent takes ownership of their action and will,
Frankfurt introduces the notion of second-order volitions and distinguishes
between mere desires and effective desires. Some desires, such as idle wishes or
preferences, may not be at all likely to play a role in what an agent actually
does or tries to do. These are distinct from effective desires, ones that will or
would move an agent all the way to action, which Frankfurt characterizes as a
person’s will. For example, suppose that I have an effective first-order desire to
work on a paper that leads me to go to my computer and begin writing.
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Frankfurt would say that this is what I have willed, or is my will, on that
occasion.
However, this is not the only sort of desire that influences how our lives
unfold. Due to our unique capacity for self-reflection, persons like us also
are able to form second-order desires with respect to our first-order desires.
That is, we are capable not only of wanting (not) to x, but also of wanting
to (not) want to x. However, this wanting to have the first-order desire need
not entail wanting that the first-order desire actually be satisfied. For
example, I might want to scold a co-worker, and want to want to scold
them (because I have deemed that they deserve it), and yet not want this
desire to be effective in action because it would involve more grief than it is
worth. A second-order desire becomes a second-order volition when an
individual not only wants to want to x, but also wants the desire to x to
move them all the way to action, to “provide the motive in what [they]
actually [do]” (Frankfurt, 1988, p. 14). Suppose, for example, that Avery not
only wants to get good grades in school, but also embraces this first-order
desire and approves of it as a motivating factor. According to Frankfurt,
when Avery embraces her desire to get good grades, she wills that this desire
guide her conduct and thereby makes it “more truly [her] own” (Frankfurt,
1988, p. 18), so that the first-order desire to get good grades has become part
of her self-conception. Central to autonomous agency, in Frankfurt’s view,
is the ability to structure one’s will through the formation of these volitions.
Frankfurt further suggests that the formation of a person’s will is “a matter
of his coming to care about certain things” (1988, p. 91). Because what a person
cares about will often bear a strong connection to what they think it best for
themself to do under various circumstances, a person often will guide their
conduct in accordance with what they care about. In addition, as Frankfurt
points out, caring can act as a means of integrating the various moments of
one’s life into a continuing history. This is because caring “implies a certain
consistency or steadiness of behavior” and affects the way a person guides or
directs themself (Frankfurt, 1988, p. 84). Various desires will arise and compete
for priority; while some desires are granted preference, others are rejected as
unworthy of satisfaction. When we speak of a person with integrity, we speak
of a person with a “coherence and unity of purpose over time” (Frankfurt,
1988, p. 175). Likewise, when we speak of someone who has made a decision,
we say that they have “made up [their] mind” and organized their desires into
an integrated whole (Frankfurt, 1988, p. 172). This is possible because some of
a person’s second-order desires, namely second-order volitions, are directed to
the determination of precisely which first-order desires are to be effective in
action and thereby constitute their will. According to Frankfurt, when the first-
order desires that actually motivate behavior are ones that the agent has
endorsed by way of forming second-order volitions, the person is self-govern-
ing. The behavior of the unwilling addict, in contrast, is directly caused by their
desires, but “without any supervisory oversight from other elements of the
agent’s psyche” (Hasselberger, 2012, p. 257).
6 Autonomous Agency

Page 16
1.2.2 Intelligibility and the Problem of External Manipulation
Frankfurt’s account has received much critical attention in the literature.
Can some of the key objections help to reveal the central issues that any
adequate account of autonomous agency needs to address?
Frankfurt’s hierarchical account is “psychologistic” in the sense that
“being an autonomous agent is a matter of having one’s psychological-
motivational life ordered in a formally specifiable manner” (Hasselberger,
2012, p. 256). It also is content-neutral insofar as it sets no limits on the
content of someone’s desires; any first-order desire can result in autonomous
action so long as it is endorsed or embraced by a second-order volition, even
if this desire harms, marginalizes or oppresses the subject. In one important
sense, this is to be regarded as a strength of the account. Denying that peo-
ple’s “most sincerely endorsed convictions could be accurate guides to their
own good” fails to respect them as persons and also is in danger of legit-
imizing coercive paternalistic intervention (Terlazzo, 2016, p. 214). One
merit of Frankfurt’s account is that it does not dictate the substance or
content of someone’s desires, but rather claims that an agent’s psychologi-
cal-motivational life needs to be structured in a particular way in order for
their action to qualify as autonomous. However, this emphasis on structure
generates a potential problem: because an agent need not be motivated by
attitudes that are genuinely good or worthwhile, Frankfurt’s account leaves
open the possibility that even behavior we intuitively would regard as
unintelligible or dysfunctional might qualify as autonomous.
Hasselberger (2012) presents the example of an agent (Wafflemaker) who
has a powerful first-order desire to make as many square-shaped breakfast
waffles as possible and to put them in piles, and also identifies with this
desire: he embraces this first-order desire and wants it to be effective in
action. Such identification provides structural unity and wholeness to his
psychological life. Because making waffles is something that he cares about,
Wafflemaker qualifies as autonomous on Frankfurt’s account. However,
according to Hasselberger, because Wafflemaker doesn’t have recognizable
ends, his behavior seems dysfunctional and we would not be inclined to
recognize him as autonomous, despite his well-ordered psyche. This suggests
that there is something wrong with “psychologistic” accounts of autonomy
that center on the ordering of the agent’s psychological-motivational life.
While I agree that most of us would find Wafflemaker’s devotion to
waffle-making incomprehensible, it is problematic to treat intelligibility as a
requirement for autonomous agency. After all, there are other instances in
which it is difficult for many of us to imagine that anybody would endorse
their desire to pursue particular goals, e.g., training for an ultramarathon or
collecting buttons. That is, while Wafflemaker’s efforts do seem rather
pointless and not choice-worthy, the same might be said of running incred-
ibly long distances or collecting various objects. And just as someone might
attempt to render long-distance running or collecting intelligible by pointing
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Page 17
to their benefits or derived enjoyment, the same explanatory strategy might
be employed in the case of Wafflemaker: perhaps he really enjoys making
waffles and putting them into piles; perhaps it calms and distracts him from
life’s stresses. If so, then perhaps it simply is not true that “we cannot
recover any intelligible perspective from which it makes sense to choose”
what he is doing (Hasselberger, 2012, p. 264). As long as the activity is
intelligible and worthwhile from the perspective of the agent in question,
then how can we deny that they act autonomously? As Hasselberger
acknowledges, even highly idiosyncratic and unconventional pursuits can be
made intelligible in terms of their place within a background context of
socially recognized practices. He notes that if Wafflemaker is trying to get
into the Guinness Book of World Records, this turns his waffle-making into
socioculturally recognizable and intelligible behavior that qualifies as
autonomous (p. 269). But why should it matter so much whether a practice
is recognized by others as having some socioculturally comprehensible goal?
In fact, it is problematic to assess whether someone’s action is autono-
mous based on whether it is comprehensible or intelligible simply from the
standpoint of sociocultural expectations and norms. To deny autonomy to
agents who pursue goals that don’t align with the status quo would auto-
matically render various “experiments in living” non-autonomous. Still,
these worries about intelligibility point to a larger problem with Frankfurt’s
account, namely what Ekstrom (2005) calls the “problem of arbitrariness”:
second-order volitions need not have been formed carefully or by way of
sober judgment, and do not necessarily represent the agent’s highest ideals,
values, or standards. It is unclear why second-order volitions, if formed
arbitrarily and without the guidance of careful judgment or common sense,
should confer autonomy on first-level desires. This is especially problematic,
Ekstrom notes (following Gary Watson), given that the second-level desires
could have been imposed by a neurosurgeon or hypnotist. If so, they would
not represent “self-imposed standards of the free person” (Christman,
2004, p. 158), but instead reflect the desires and values of someone else.
Thus, Frankfurt’s hierarchical account seems to require an added condition
that the agent’s second-order volitions not be the result of external manip-
ulation. A purely structural account of autonomy, one with no historical
requirement on the relevant mental states, is counterintuitive (Ekstrom, 2005,
p. 51). It is worth noting that while interventions of neurosurgeons and hyp-
notists are rather rare, more subtle forms of external manipulation or
“brainwashing” are far more common. Terlazzo (2016) rightly maintains that
“the paradigm case of an adaptive preference is one in which a person
endorses a marginalizing norm so wholeheartedly that he endorses it at the
second-order as well as the first” (p. 214). For example, consider the depressed
man who refuses treatment, and also endorses the norm of masculinity that
encourages him to do so; or consider the young woman who seeks breast
augmentation, and also endorses the beauty ideals that encourage her to do
so. Frankfurt’s content-neutral account will say that acting on the basis of
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such desires qualifies as autonomous, even if associated second-order volitions
have been formed as a result of social manipulation.
Indeed, there are all sorts of cases in which “circumstances can effectively
socialize us to prefer conditions or options that are bad for us” (Terlazzo, 2016,
p. 206), and it is doubtful whether action on the basis of such preferences qua-
lifies as autonomous. One striking, pervasive, and powerful example of such
external manipulation or “brainwashing” is the influence of overdetermining or
oppressive sociocultural expectations and norms (Maiese, 2021). For example,
shared norms and practices within the workplace may lead people to believe
that they should constantly be online and available for work-related commu-
nication via email or instant messaging. Indeed, for those operating within a
workplace culture where important email communication and decision-making
procedures routinely occur beyond regular working hours, any failure to
adhere to this norm will stand out and agents may face increasing pressure to
adapt—at the expense of their home life (Slaby, 2016). These social norms and
expectations can establish top-down constraints that selectively nudge indivi-
duals toward certain patterns of behavior; and they may very well come to
endorse these desires because they want to be “successful” at their job. Such
behavior in the workplace certainly will be viewed as comprehensible and
intelligible by others (in the way Hasselberger thinks is required for autono-
mous agency), and may very well be endorsed and embraced by the agent (in
the way that Frankfurt thinks is required for autonomous agency); and yet,
even though being accessible via email at all times clearly is something the agent
cares about in Frankfurt’s sense, we may well be inclined to think that they care
about it for the wrong reasons. Namely, they care about it only because they
have been pressured by others to have such concerns.
It is not at all clear, then, that intelligibility is a reliable mark of autonomy,
nor is it clear that all instances of self-monitoring or self-policing allow for
autonomous agency. Foucault famously describes “subjectivation” and “tech-
nologies of the self” as “processes through which the self is constructed or
modified by himself” (Foucault, 1993, pp. 203–204) in accordance with coercive
social controls. Consider, for example, the oppressive beauty ideal of “being
skinny” and how many women (and also men) derive rewards from their
efforts to live up to this ideal, despite the fact that it also harms them in
important ways. Obsessive dieting emerges as a “technology of self” whereby
agents “gear” their freedom to an oppressive situation: they not only want to
modify their food intake, but also want for this first-order desire to be effective
in action. And yet, precisely by way of forming this second-order volition and
having it guide their behavior, agents may become “the principle of [their] own
subjection” (Hamann, 2009, p. 51).
1.2.3 The Regress Problem
In order to assess whether an action is autonomous, we need to be able to
gauge whether it results from desires and intentions that are truly an agent’s
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own. According to Ekstrom (2005), we need an account of what is internal
to the self, and what is external to it (p. 51). However, Frankfurt’s account
faces a “regress problem” that makes it difficult to account for what makes a
desire, intention, or belief internal to the self. Ekstrom notes that on
Frankfurt’s hierarchical account, a second-level attitude can confer intern-
ality only if it is internal to the self (i.e., if it is one’s own). Applying the
account of internality to this state requires a third-level endorsing state; and
what makes this desire one’s own is that one has a fourth-level desire for it,
and so on. Thus, without a separate account of the internality of second-
order volitions, there is a looming regress (Watson, 1975). What we need to
avoid this difficulty, Ekstrom argues, is a “conception of the self which
incorporates our higher-order reflective abilities, yet which is more expan-
sive than Frankfurt’s view of the self as delimited by desire” (p. 53). What
Ekstrom terms a “preference” is a desire formed by a process of critical
evaluation and actively generated in light of the agent’s beliefs, especially as
part of their pursuit of the good. What she calls an “acceptance” is the
endorsement of a proposition formed by critical reflection with the aim of
assenting to what is right, true, and good. Thus, Ekstrom’s account
emphasizes that our character is structured not solely by our desires, but
also by our convictions concerning the truth. Autonomous action is that
which stems from uncoercively formed preferences, and any behavior that is
not preceded by reflective endorsement with reference to a person’s under-
standing of the good should be viewed as animalistic (Ekstrom, 2005, p. 57).
Also central to Ekstrom’s solution to the regress problem is the notion of
“authorization” (p. 58). She maintains that an agent’s true or most central
self involves the capacity for forming and reforming their character. One’s
preferences are “personally authorized—or sanctioned as one’s own—when
they cohere with one’s other preferences and acceptances” (that is, their
critically endorsed beliefs). Since cohering aspects of the psyche are con-
sistent and mutually supporting, they are particularly long-lasting, and also
well-supported by reasons in their favor. It is only these cohering elements
of character for which the agent can mount a wholehearted defense. Thus, if
someone acts on the basis of an incoherent preference, they are internally
divided in performing it and suffer an internal conflict over what they do.
Ekstrom believes that this notion of mental states fitting together, clinging
to, or supporting each other can help us to make sense of what it means to
act wholeheartedly and be free of ambivalence.
Note that unlike Frankfurt’s hierarchical account, Ekstrom’s account is
not purely structural. This is because it poses requirements on the causal
history of autonomous actions and stipulates that the preferences preceding
autonomous action must not be coercively formed (Ekstrom, 2005, p. 64).
Thus, Ekstrom’s approach combines structural and procedural elements.
Because it does not require an agent to form only certain types of pre-
ferences in order to be autonomous, it leaves room for the subservient
housewife to act autonomously. However, as the previous examples of
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coercive social controls illustrate, it will be difficult to distinguish between
preferences that are coercively formed and those which are truly the agent’s
own. This is connected to a broader worry about Ekstrom’s account: it does
not acknowledge the extent to which preference-formation is a relational
process, and not simply a matter of critical evaluation on the part of the
individual. No doubt it is correct that over time, each of us refines our
understanding of the world, adopts new convictions, rejects others, and
comes to prefer certain activities and ways of life. We do sometimes subject
our motivations to scrutiny, and thereby come to view certain attitudes as
genuine reasons for acting, while rejecting others. However, we also revise
our motivations and change our patterns of thought and behavior as a result
of social influences.
As proponents of relational autonomy have noted, we are not “self-made or
self-sufficient beings who exist in complete isolation from others,” nor should
we aspire to this sort of independence (Baumann, 2008, p. 445). Because human
existence and character formation are fundamentally social, it is difficult to
discern which of a subject’s attitudes are internal to the self, and which are
external to it. If, “for every value, plan, or project endorsed by the self, there is
a set of social influences that can account for why one makes the ‘choices’ one
does” (Barclay, 2000, p. 54), then is autonomous agency illusory? Insofar as it is
situated in particular sociocultural context, “autonomy is inherently hetero-
nomous” (Käll & Zeiler, 2014, p. 118) in some sense. However, this does not
mean that we should give up on the concept of autonomous agency or view it
as meaningless, but rather that we need to recognize the power of social influ-
ences. Moreover, if we wish to make sense of autonomous agency, we need to
account for the way in which some social influences are coercive, while others
are supportive of autonomous agency. The worry is that Ekstrom’s account
does not offer a way to distinguish between modes of social influence that are
(a) constructive and enabling, and (b) more limiting or oppressive.
As I will explore further in chapter 3, social influences are coercive not
because they are external; many external influences are internalized in the form
of bodily habits of action and response that enable skillful and effective action.
This is simply to say that our patterns of behavior and attention are shaped in
powerful ways by the social environment, and that such influence often aug-
ments our agential capacities. Thus, the operation of such influence surely does
not entail that we are incapable of exercising autonomous agency. In chapter 3,
I will argue that social influences are coercive to the extent that they generate
internal instability, operate covertly, and undermine plasticity. As a result of
such influences, agents become “stuck” in particular patterns of engagement
and their reasons-responsivity, attunement to relevant action-possibilities, and
capacity for flexible adaptation all diminish. Agents are unable to revise or
reject habits that they repudiate, or from which they feel alienated. However,
an “intelligent” and autonomous agent is not one who acts independently of
social and material factors that shape, scaffold, and support their cognitive
abilities; instead, it is an agent who
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critically engages the cognitive tools around them, one who selects,
endorses, and uses effective cognitive tools… and who selectively
incorporates these social, relational, technological, environmental, and
bodily resources into their sense of who they are, what they know, what
they want, and what they can do.
(Cash, 2010, p. 661)
The accounts presented by Frankfurt and Ekstrom are not yet sufficient
to acknowledge the important role of social influences or distinguish
between those that scaffold and support autonomy and those that
undermine it.
1.3 Pre-reflective Agency and Reasons-Responsiveness
Another concern surrounding identification accounts, including Ekstrom’s
(2005) theory of authorization, is that even desires or beliefs that an agent
has not embraced or endorsed may be reflective of their overall psyche and
character. Actions driven by emotions, moods, and bodily feelings, for
example, do often exhibit a notable degree of authenticity. Even if the agent
does not engage in self-reflection or stop to consider whether associated
desires are worth having, resulting action may very well qualify as authentic
and autonomous. But because many leading accounts of autonomy require
elevated cognitive capacities and thereby set the bar quite high, they are in
danger of classifying many obvious instances of self-governance as non-
autonomous. Ekstrom, for example, maintains that evaluative reasoning and
critical reflection are crucial for autonomous agency. In her view, the pro-
cess whereby we identify with and embrace first-order desires must be
driven by critical reflection. Thus, it is unclear whether action that is driven
by emotions or carried out habitually, unreflectively, or on “auto-pilot” can
ever qualify as autonomous according to Ekstrom’s account. And yet, argu-
ably, this sort of action often is highly expressive of our character and very
much “our own.” In fact, one might think that the way we spontaneously
react to a situation shows more about our characters, and thus is “more” an
action of our own, than an unimportant but consciously controlled action
(Weichold, 2018). A person’s spontaneous and impulsive jump into a river in
response to a drowning child’s cry for help, for example, may very well be
more character-revealing than a deliberate and carefully controlled purchase
of a particular kind of cereal. While Ekstrom characterizes behavior that is
not preceded by reflective endorsement as “animalistic,” some of our habi-
tual behaviors are highly skillful and express our deepest desires.
Likewise, although Frankfurt emphasizes the importance of what we care
about, his account seems to be too cognitively demanding. He maintains
that autonomous agency requires that someone identify with first-order
desires by way of second-order volitions and that desires which are not
endorsed by way of second-order volitions yield merely animal behavior.
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This account may rule out the possibility that young children and non-
human animals (who are incapable of forming higher-order desires) can
exhibit autonomous agency. Indeed, Frankfurt (1988) maintains that because
no animal other than humans appears to have this capacity for reflective
self-evaluation (as manifested in the formation of second-order desires), only
humans qualify as autonomous. However, he provides no empirical support
for this claim. In fact, the available evidence indicates that chimpanzees are
capable of executing intentional action over lengthy time scales (Beauchamp
& Wobber, 2014): they choose where to move in space, select efficient tools
over inefficient ones to manipulate their environment, distinguish between
intentional and accidental actions when observing others’ behavior, and
modulate their behavior based on knowledge of what other individuals can
see and hear. They utilize knowledge to successfully steal food from an
experimenter, for example, by choosing a “quiet” door over a “squeaky
door” in order to remain undetected (Beauchamp & Wobber, 2014, p. 121).
And they are keenly aware of their social relationships, including both their
bonds with allies and their potential conflicts with rivals. Even if chimpanzees
are not capable of forming second-order volitions, it is difficult to deny that
they engage in some degree of self-initiated intentional action. The same
might be said of young children. Thus, the assumption that autonomous
agency necessarily requires the operation of sophisticated cognitive capacities
associated with reflective endorsement deserves to be questioned.
Instead, autonomous agency in a basic bodily sense might be understood
in terms of free movement in the world and in relation to others, i.e., “a
bodily know-how that allows us to perform in everyday activities and
engage with others in meaningful ways” (Käll & Zeiler, 2014, p. 108). In
Embodied Minds in Action (2009), Robert Hanna and I cash this out in
terms of trying and the active guidance of bodily movement. We characterize
trying as a conscious, intentional process, grounded in desire, which occurs
throughout the duration of overt bodily movement and guides it to com-
pletion. Frankfurt rightly notes that a characteristic feature of guided body
movements is that they “cohere in creating a pattern which strikes us as
meaningful” (1988, p. 72). While a pianist’s hands moving over a keyboard
create a meaningful pattern, the thrashing around of an epileptic does not.
Intentional movement is purposive and occurs “under the guidance of an
independent causal mechanism, whose readiness to bring about compensa-
tory adjustments tends to ensure that the behavior is accomplished”
(Frankfurt, 1988, p. 72). This self-adjusting guidance occurs throughout the
duration of action, such as when an agent swims across a lake or climbs a
steep staircase. Most of the time, trying is seemingly effortless; that is, we
often are not explicitly aware of making any great effort, but rather move
our bodies simply because we want to, as it were. Seemingly effortless trying
is particularly evident in spontaneous or pre-reflective action, such as when
we walk or eat. In such cases the special phenomenological character of
effortless trying manifests itself as the subjective experience of flowing
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forward right into intentional body movement, as in Yeats’s dancer becom-
ing her dance. This kind of “operative intentionality” constitutes an agent’s
directedness to their world and their capacity for free movement, which is
integral to autonomous agency. As I will discuss further in chapter 2, repe-
ated trying yields built-up patterns of intentional action, which ultimately
amounts to the formation of habits, a character, and a specific style of
being-in-the-world.
Along similar lines, Railton (2009) denies that identification or endorsement
is required for autonomy. This is because fluent actions that do not involve
any sort of deliberation nonetheless can qualify as autonomous. He points to
the jazz saxophonist’s solo riff and the basketball player’s well-timed jump
shot as examples of “complex, structured, purposeful activities done mind-
fully but fluently, without deliberation” (pp. 97–98). In fact, deliberating and
reflecting are likely to interfere with the performance of these activities. Such
actions clearly are self-expressive, done for reasons, and not simply enacted
robotically, but instead draw upon the agent’s cognitive and creative skills.
This suggests that “deliberation and decision are a small part of our whole
intelligent, sensitive, goal-directed psyche” (Railton, 2009, p. 108). Moreover,
according to Railton, the kind of deliberative agency typically thought to be
central to autonomy depends upon these non-deliberative, reasons-responsive
processes. He points to “unpremeditated, affect- or trust-guided processes
underwriting deliberation and choice, shaping its course, moving it along,
giving it force” (2009, p. 107). The agent does not decide which considerations
are relevant and how they will strike them; rather, this is determined by an
unreflective process guided by affectivity and trust. In the event that their
actions “fit,” “express,” or “non-accidentally reflect” their feelings, values, and
priorities, it is difficult to deny that they exercise some degree of autonomous
agency (Railton, 2009, pp. 104–105). Railton further notes that if a deliberated
decision is to qualify as autonomous, these non-deliberative elements must be
compatible and work together with deliberation.
The practical competencies that Railton maintains are integral to auton-
omous agency include the ability to act intentionally without intending to do
so, the ability to detect (non-deliberatively) conditions calling for reflection
and deliberation, and the ability to channel emotions into effective behavior.
In chapter 3, I will say more about how reflection, deliberation, and Frank-
furt-style volitional reconfiguration play an integral role in plasticity. I also
will point to other crucial agentic skills, including a responsiveness to dis-
concerting feelings and an ability to “negotiate the conflicts among [one’s]
affective and visceral responses” (Meyers, 2005, p. 47); an aptitude for
registering convergences and clashes with cultural norms, accounting for
one’s convictions and conduct when appropriate, and revising them when
necessary; and an ability to elicit and interpret input and counsel from
others while keeping in mind one’s goals. Meyers (2005) notes that profi-
ciency with respect to such skills is a matter of degree, and that personal
autonomy is a function of how competently one uses these skills on any
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given occasion. Faced with a wide range of action-possibilities, autonomous
agents have the capacity to transition from one activity to another, and to
begin something new. Generally speaking, the plasticity of autonomous
agency requires that the individual reaffirm, renew, revamp, or repair
themself as they act and interact (Meyers, 2005, p. 48). An autonomous
agent is one who is “able to adapt to changing environments, to imagine
alternative possibilities, to take necessary steps to change (unlucky) situa-
tions, to distinguish those expectations or ascriptions that are legitimate
from those that are not,” and to embrace some of these social expectations
while rejecting others (Baumann, 2008, p. 460).
It seems clear, then, that autonomous agency centers on selective
engagement: rather than being a mere triggered response to stimuli,
autonomous action is somehow guided and selectively targeted. In chapters
2 and 3, I will argue that this capacity for selective engagement is central
to plasticity and depends on what I call “affective framing.” An indivi-
dual’s selective responsiveness to action-possibilities is experienced as an
affective allure (Ingerslev, 2020), and without these affectively-contoured
valuations—or what I term “affective framings”—someone would not
encounter a world of meaning. This notion of affective framing is meant to
capture the idea that our behavior is never neutral, but rather always
purpose-driven and infused by values and concerns (Kyselo, 2016, p. 608).
Moreover, as I will explain further in chapter 2, enactivism emphasizes
that this discerning perspective is grounded in the dynamics of living sys-
tems: an entity that is capable of staving off its own dissolution and
decomposition develops a unique perspective and point of view, from
which the world’s events can be partitioned into the favorable, the unfa-
vorable, the multi-valenced, and the neutral (Colombetti, 2014, p. 18). Bar-
andiaran and Di Paolo (2014) point out that “Spinoza’s notion of conatus, as
the striving for perseverance that defines the essence of organisms” anticipates
the naturalistic conception of teleology found in enactivism (p. 5). Such pur-
posive behavior obviously is highly sophisticated in the case of human agents,
but still is very much guided by a background structure of cares and concerns.
Along these lines, drawing on the work of Husserl and Merleau-Ponty,
Ratcliffe (2005; 2008) uses the notion of a “horizon” to capture the sense in
which the feeling body serves as a framework through which world-experience
is structured. One might understand the “horizon” as the pre-reflective, back-
ground sense of belonging to the world that offers up a space of possibilities for
acting and being acted upon. My proposed notion of affective framing builds
on Ratcliffe’s description of the horizon and also on the notion that perception
and action are structured by a background bodily orientation. According to this
account, we play an active role in the constitution of our world of experience,
and do so against a backdrop of desiderative bodily feelings. Autonomous
agency obviously centers around making choices, “but that which stands forth
as a choice is thoroughly formed by our bodily modes of acting and interacting
with others and the world” (Käll & Zeiler, 2014, p. 114). Thus, our very
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perception of something as a choice needs to be understood against the back-
ground of our whole situation together with our emotions, moods, and bodily
habits; this encompasses our bodily capabilities, characteristic patterns of
action and attention, goals, plans, and perceptions of ourselves and others.
Such considerations suggest that it is possible to embrace or endorse one’s
desires pre-reflectively, i.e., without having higher-order motivational states
of which one is reflectively aware. This occurs when someone feels espe-
cially attached and committed to particular first-order desires, so that these
concerns continuously guide their behavior and attention. Of course, it is
possible that this individual has a disposition such that were they to reflect
upon this desire, they would judge that it is worth having. However, such
reflection need not occur in order for someone to embrace or endorse a
desire. Along these lines, Marino (2011) maintains that to have a positive
valuation for something (to care about or value it) is to have a particular
affective stance toward it. This is not simply a matter of wanting something
(since some desires do not reflect what one cares about) or judging it to be
good (since valuation need not involve an explicit judgment). Instead, these
desires are ones that the agent approves of and feels attached to; they want
to continue wanting the thing in question, and the formation of this second-
order desire need not involve a self-reflective judgment to the effect that the
desires in question are worth having. If valuation can occur pre-reflectively
in the manner that Marino suggests, then perhaps autonomous agency does
not require reflective endorsement. In fact, the supposition that autonomous
agency necessarily involves a process of critical reflection with regard to the
agent’s conception of the good is overly intellectually demanding. Even if it is
true that idealized forms of autonomous agency are possible only for agents
who have reflective capacities, I worry that focusing so much on critical
reflection will lead us to overlook the important role that other capacities,
such as imagination, often play in autonomous agency. As Meyers (2005)
notes, “a zealous commitment to reasoned decision-making can leave the
individual inhibited, rigid, unspontaneous, and shallow” (p. 29).
Another potential difficulty facing identification accounts is the issue of
reasons-responsiveness. While Ekstrom points to coherence and stability of
character as a mark of autonomous agency, it must be acknowledged that
engrained, long-lasting attitudes that don’t answer to the available evidence or
relevant considerations can undermine a subject’s capacity for autonomous
agency. As Ekstrom notes, “since cohering elements hold together firmly, dis-
playing consistency and mutual support, they are particularly long-lasting
(2005, p. 59). While such character stability is a potential contributor to
autonomous agency in certain respects, it also has a potential downside: long-
lasting preferences that cohere with one’s overall psychology will be extremely
difficult to change, even if circumstances urgently call for self-transformation.
Weimer (2013) asks us to consider the case of Barbara, a substance
abuse counselor whose specialty is treatment of individuals addicted to
“Pluzu,” a drug that stimulates the pleasure centers of the brain. Barbara
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believes that first-hand experience will enhance her ability to assist her
patients, and after careful, competent, and informed reflection, she deci-
des to develop a Pluzu habit (p. 625). Because her desire to use Pluzu is
formed via a process of critical evaluation and actively generated in light
of her beliefs, especially as part of her pursuit of the good, it qualifies as
a “preference” in Ekstrom’s sense. This desire coheres with many of
Barbara’s other beliefs and desires, in particular her belief that develop-
ing a Pluzu habit will help her perform her job and her desire to help her
patients. Weimer notes that Barbara’s use of the drug does not diminish
her capacities to make informed decisions about how best to fulfill her
desire for the drug, nor to reflect critically upon her desires for Pluzu.
She regularly asks herself whether it would be best to continue taking
Pluzu, but on the basis of careful reflection, decides to continue the
experiment. Given the compulsion-free history of her desire for the drug,
her possession of deliberative capacities, and the fact that her desire to
continue taking Pluzu coheres with her other preferences and beliefs, it
appears that Barbara qualifies as autonomous on Ekstrom’s account. But
now Weimer asks us to suppose that the reason why her self-reflective
deliberations invariably issue in the conclusion that she should continue
the experiment is that “Pluzu has effectively removed her ability and
disposition to recognize, and thus to properly respond to, important
changes in her circumstances” (p. 626). She finds Pluzu so enjoyable that
she fails to take notice of several unexpected but important develop-
ments: her husband has developed a serious Pluzu habit, and her young
children have not attended school in several weeks.
The reason why the key inputs to self-reflection remain largely unchan-
ged, according to Weimer, is that Barbara is unable to divert her attention
from Pluzu. But one could argue that part of the reason why she is unable to
recognize these developments is that she has a conviction that she is doing
the right thing; taking the drug is a preference that coheres with many of her
other desires and beliefs. The elements of her psyche display consistency and
mutual support, and this contributes to their long-lasting nature. However,
Barbara’s inability to change course in response to these new and unex-
pected developments renders her non-autonomous with respect to the Pluzu
experiment. Although her habit may once have been autonomous, it no
longer is, because she lacks evidence-responsiveness with respect to it
(Weimer, 2013, p. 628).
Less extreme examples are available: consider the graduate student who
has autonomously decided to pursue a career in philosophy, but who lacks
the ability to recognize that evidence concerning the dire state of the job
market and feedback from professors all indicate that he has good reason to
reconsider his plans. While such an agent retains the capacity to reflect on
his desires and “personally authorize” those that cohere with his other
desires and beliefs, he may lack “the ability and disposition to appropriately
update the inputs to such self-evaluations and thus to reflect on career plans
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in light of the new and unexpected evidence available” (Weimer, 2013, p. 628).
Reasons-responsiveness, flexibility, and openness to change seem to be
important conditions for the exercise of autonomous agency, but there is
no mention of these conditions in Ekstrom’s account (or in Frankfurt’s
hierarchical account).
1.4 Autonomy as Relational
In my view there is an important element of truth to the claim that
“identifying” with a desire (in Frankfurt’s sense), or “personally authoriz-
ing” or sanctioning a desire as one’s own (in Ekstrom’s sense) plays an
important role in the exercise of autonomous agency. In chapters 2 and 3, I
will say more about how to make sense of the notion that a self-governing
agent is authentic—they are someone who sets their own course in life and
acts according to principles of their own choosing, embracing some of
their desires while rejecting others. However, it also is important to
acknowledge that individual agency is situated in a particular sociocultural
context and has an integral relational dimension. I already have noted the
important role of social factors in shaping our patterns of attention and
behavior. This brings us to a question hotly debated in the literature:
should autonomous agency be understood as constitutively relational, or
merely causally relational (Mackenzie & Stoljar, 2000, p. 22)?
At the very least, autonomy is relational in the sense that the development
and exercise of autonomy depends on certain relationships and social environ-
ments. However, Baumann (2008) notes that even accounts that do not men-
tion the social dimension of autonomy (e.g., Frankfurt’s account) are at least in
principle compatible with a broadly relational outlook; thus, labeling an
account “relational” in this sense is no longer particularly informative. The
question is whether the relational dimension of autonomy should be under-
stood in a causal sense or a constitutive sense. According to proponents of
causally relational accounts, relationships and social environments operate as
background conditions or contributory factors to the realization of autonomy.
However, autonomy itself is understood in an individualistic fashion: “being
autonomous means that certain psychological states obtain or that a person has
and effectively exercises relevant psychological capacities or competences”
(Baumann, 2008, p. 447). According to proponents of constitutively relational
accounts, in contrast, requirements concerning the agent’s interpersonal or
social environment are among the defining conditions of autonomy. That is,
social conditions must be mentioned in the definition of autonomy, so that
what it means to be autonomous cannot be spelled out without direct reference
to a person’s social environment, position, or standing.
One clear example of a constitutively relational account is the theory
presented by Marina Oshana (2006). Oshana maintains that a person is
autonomous only if they are in control of their life and occupy a social
position of authority over matters of fundamental importance to the
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direction of their life. Two kinds of conditions are central to this account.
First, a control condition requires that the person be in actual control of
their choices, competent (i.e., minimally rational and self-aware), and enjoy
regulative control. That is, they must be in a social position from which
they are able to control their social environment and manage key aspects of
their life in the face of persons or institutions that might attempt to wield
coercive control over them (Oshana, 2006, p. 85). This requires that they
have power to determine how they shall live and control over their external
circumstances (Oshana, 1998, p. 82). Second, an authority condition requires
that the person acknowledges crucial aspects of their identity, even if they
experience some feelings of alienation, and also that they regard themself as
worthy of directing their life. According to Oshana, someone who lacks
access to an adequate range of options, such as a slave or a subservient
woman, fails to be autonomous. Indeed, autonomy obtains only when social
conditions surrounding an agent live up to certain standards and provide
significant options. In her view, “appropriate social relations form an
inherent part of what it means to be self-directed” (2006, p. 50).
One worry about Oshana’s account is that it seems to be overly
demanding. It is unclear whether many of us have significant control over
our social environment or are able to manage key aspects of our lives in the
face of social institutions that seek to manipulate us. It would be strange to
discover that only a tiny fraction of adult human agents is capable of
autonomous agency. Baumann (2008) wonders: does her account exclude
ways of life that are incompatible with certain socio-relational conditions,
and does this lead to an elitist understanding of autonomy and an objec-
tionable form of paternalism? Similarly, Christman (2004) worries that
principles of justice rooted in this sort of conception of autonomy “will
exclude from participation those individuals who reject those types of social
relations” (p. 156). For example, to label some women as non-autonomous
because they do not stand in the proper social relations to their alleged
“superiors” means that people who are otherwise competent will fail to be
autonomous agents. And if such women are not autonomous, this may seem
to make it permissible for other agents to intervene, relieve them of this
oppressive burden, and restore their autonomy. To claim that certain values,
desires, or ways of life automatically count as a non-autonomous is to put
substantive restrictions on the ways of life that persons might pursue, and
also to legitimize problematic forms of paternalism.
Another worry, though one not unique to Oshana’s account, is that it is
too static. Oshana understands autonomy as a property of persons and
maintains that a person is autonomous over time if they enjoy synchronic
“global autonomy” in the socio-relational sense throughout the course of
their life. Implicit in this synchronic understanding of autonomy is the claim
that we can fix a person’s autonomy at every single point in time, and then
construe diachronic autonomy in additive terms (Baumann, 2008, p. 459).
However, Baumann (2008) suggests that this is a mistake; we cannot
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determine whether a person is autonomous by looking at single points in
time, and this is because autonomy is essentially diachronic. He asks us to
consider a person who accidentally gets into a situation in which the socio-
relational properties that Oshana deems essential for autonomy are absent: a
person becomes unemployed and lacks material resources that would enable
substantive independence. However, now imagine that this person exhibits a
great deal of creativity in navigating unemployment, adapts to their dire
financial situation, and takes steps to become more self-sufficient.
Although this individual fails to be autonomous on Oshana’s account, they
exercise competencies for adaptation, imagination, and realistic evaluation
of their situation. This makes it seem as if they retain their autonomy even
though they lack the proper sort of social position. It appears that to
determine whether an individual is autonomous, we need to look at the
manner in which they lead their life over time (Baumann, 2008, p. 460). If
we understand autonomy as being constituted by specific socio-relational
properties at some point in time, we will be unable to make sense of the
important role in which dynamism, flexibility, and plasticity are central to
autonomous agency.
A related worry is that a constitutively relational account is unable to
make sense of how persons can resist and emancipate themselves from
oppressive social environments. As the example above demonstrates, if a
person’s autonomy is constituted by facts about their social environment,
then it becomes impossible to describe them as autonomous if they live in an
oppressive environment (Baumann, 2008, p. 465). But if slaves and sub-
servient wives who live in deeply racist and sexist societies automatically fail
to qualify as autonomous agents, this leads to the counterintuitive and pro-
blematic implication that they are incapable of resisting their oppressive
social environment and emancipating themselves. Their liberation becomes
something that must be achieved for them by others. While it is difficult to
deny that certain social conditions undermine, threaten, or otherwise com-
promise the exercise of autonomy, agents’ capacity for autonomy typically
does not disappear altogether. Respecting agents as persons requires that we
respect and support their capacity to challenge and resist their own social
positioning and subordination.
But is it true, as Christman (2004) maintains, that a person’s social
environment merely causally contributes to the development and exercise
of capacities relevant for autonomy? Baumann (2008) points out that in
order to exercise capacities such as self-exploration, “we must engage in
temporally extended and dynamic interpersonal relationships with other
persons that provide us, e.g., with new perspectives on ourselves” (p. 462).
That is, we should think of autonomy as a property that is applied to a
person’s way of leading their life over time, and which is constituted by
capacities and skills that are exercised over time and dependent on agents’
relationships with others. Interacting with other persons and with one’s
social environment allows one to discover new perspectives on oneself, and
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to change and grow. This openness to change is central to autonomous
agency. Baumann worries that if autonomy is conceptualized in a purely
internal way, and as relational in a merely causal sense, we will lose sight of
how the exercise of autonomous agency over time depends on interpersonal
relations of trust and friendship.
Along similar lines, Westlund (2009) maintains that autonomy in choice
and action relies in part on “the disposition to hold oneself answerable to
external critical perspectives on one’s action-guiding commitments” (p. 28).
The sort of responsiveness to others that Westlund has in mind involves
an irreducibly dialogical form of reflectiveness; autonomous agency
requires that one be prepared to take up and respond to the critical per-
spectives of others, even if one is unconvinced by their arguments. It is
crucial that one’s reasoning not be “psychologically insulated from con-
frontation with contrary considerations” (p. 33). Indeed, autonomous
agency requires that one be responsive to the perspectives of others, as
well as to new evidence. In my view, such intersubjective responsiveness is
central to the sort of flexible action required for autonomous agency. As
Westlund notes, we are the sorts of creatures who engage in practical
deliberation and reflection (p. 34), and these reasoning processes require
that we be open to the critical perspectives of other people. Deliberation is
rarely a lonely exercise taking place solely in the confines of an indivi-
dual’s psyche (Gallagher, 2018). Similarly, Widdershoven and Abma (2012)
characterize autonomy as a matter of self-development that occurs via
dialogical interaction; this involves a reciprocal relationship in which
people listen to one another and open themselves up to the horizon of the
other (p. 225). This allows an agent to engage in critical investigation of
another person’s point view, understand its relevance for their own situa-
tion, and broaden their perspective.
It appears, then, that autonomy is not purely an internal matter; and yet, it is
unclear that autonomous agency is constituted by social relations, at least not
in the way that theorists such as Marina Oshana have supposed. What is
needed is an account that conceptualizes autonomous agency as diachronic, as
a matter of degree, and as relational in a significant way, and also leaves open
the possibility that individual agents can resist social influences to some extent,
and sometimes play an active role in reshaping their social world.
1.5 Summary of Conditions, and a Way Forward
An adequate account of autonomy, I have argued, needs to address concerns
about brainwashing and external manipulation, avoid the regress problem,
and explain what it means for a desire, intention, or belief to be truly one’s
own. In addition to building upon important insights from the existing lit-
erature, this account should acknowledge the bodily and affective (and
sometimes unreflective) dimensions of autonomous agency, the need for
openness and flexibility, and the social-relational nature of agency.
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Can philosophical insights drawn from work in philosophy of mind help
us to develop such an account? The assumptions that have guided much of
the theorizing in philosophy of action center around some sort of materialist
view of the mind-body relation and a computational or cognitivist approach
to the mind. On this view, cognitive processing involves sequential chains of
events that start with raw data (input) provided by the environment, which
are then converted into representations that are manipulated (computed) in
a hierarchical way in order to create ever more complex representations.
Such processing eventually leads to behavioral responses (outputs) that cor-
respond with situations in the world “out there”; thus, within this general
scheme, intentional actions are treated as “outputs.”
Some of the seminal works in philosophy of action have operated with
these assumptions about cognition and agency. Indeed, it is not uncommon
for action theorists to speak as if the mind causes bodily movement in a
linear, mechanistic manner and to assume that intentions and desires acti-
vate the skeleton and muscles by way of efficient causation. What is more,
these accounts often treat the causal links between mind and body as if they
are one-to-one-deterministic links and assume that the causes of action are
events entirely inside the agent, or simply the agent themself, so that nothing
in the environment is necessary to influence or trigger the mental event.
According to Alfred Mele, for example, overt actions are causally initiated
by proximal intentions, or “intentions to A straightway” (2003, p. 54). For a
desire to be effective is for it be a proximate cause of the agent’s acting in a
particular way. Mele thus defends a casual, input-output theory of action
according to which all intentional movements are causally produced and
sustained by desires and proximal intentions (or their physical realizers).
Another assumption that surfaces repeatedly in philosophy of action is the
general Cartesian idea to the effect that the mind and body are entirely separate
and only contingently connected, and that the only relationship between
desires, intentions, and bodily movements is that of mechanistic causation.
Theorists often depict desires as wholly internal and treat bodily movement
and the surrounding world as wholly external. According to Donald Davidson
(1963), for example, actions should be understood as events that are caused by
pairs of beliefs and desires that are internal to the agent, which he terms the
action’s “primary reason.” He maintains that when it comes to action,
ordinary event causality is at work, whereby internal mental states (beliefs and
desires) are the efficient causes of external events (bodily movements). This
reveals not only an implicit mind-body dualism, but also a commitment to a
general input-output picture of desire and agency.
Beever and Morar (2016) rightly maintain that any notion of autonomy
should be grounded in a biologically-informed ontology; specifically, we can
look to ontology to question the strong view of individuality that has guided
Western conceptions of autonomy. On such views, the self is understood as a
free and rational agent, capable of individual self-rule. However, biological
considerations suggest that these traditional background assumptions for
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