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In this chapter I argue that Francisco Suárez takes efficient causation to be intensional, rather than extensional. He thinks that co-referring terms cannot be substituted salva veritate into statements about efficient causation. I expect this thesis to be controversial, because it appears to threaten Suárez’s realism about efficient causation. After providing some background about how Suárez understands efficient causation, in the second section I offer some preliminary reasons for thinking that Suárez is an eliminativist about per accidens efficient causation, and accordingly that he is committed to an intensional account of efficient causation. In the third section, I offer a more detailed interpretation of Suárez’s account of per se and per accidens efficient causes, and I consider several alternative interpretations. In the fourth and final section, I respond to the objection that Suárez’s intensional account is inconsistent with his realism about efficient causation.
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