Introduction: Dworkin puts forth two main arguments to justify adhering to the wishes the patient expressed before becoming demented. As he sees it, this course of action both promotes the patient’s well-being and is required in order to respect the patient’s autonomy. In each argument, while I consider most of the ideas well-founded, I challenge the crucial premise. In the argument focused on the patient’s well-being, I dispute the claim that demented patients are no longer capable of generating what Dworkin calls “critical interests.” In the argument concerning autonomy, I question the premise that demented patients no longer possess the “capacity for autonomy.”7 In each case, I will trace how the problematic premise arises within Dworkin’s argument and then develop an alternative account of the relevant capacity.

Comment: Jaworska asks: 'Should we, in our efforts to best respect a patient with dementia, give priority to the preferences and attitudes this person held before becoming demented, or should we follow the person’s present preferences?' (p. 108). The article offers a useful critical overview of the views expressed by Rebecca Dresser and Ronald Dworkin. It is best used as a primary reading in ethics classes focusing directly on medical ethics or autonomy, or as further reading in general ethics teaching on autonomy.

Publisher’s note: Rae Langton here draws together her ground-breaking and contentious work on pornography and objectification. She shows how women come to be objectified — made subordinate and treated as things — and she argues for the controversial feminist conclusions that pornography subordinates and silences women, and women have rights against pornography.

Comment: Any of these chapters would be really useful for a feminist philosophy or ethics course, and can be studied in a 'stand alone' sense. In particular, the 'sexual solipsism' chapter itself contains numerous discussion points. It could be good for different groups of students to each be assigned a different chapter, and then to present to the class as a whole.