Hierarchical alignment between desires tells us nothing about whether an agent should have those desires, making guidance control normatively hollow without reasons-responsiveness.

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Hierarchical alignment between desires(as used in philosophy of action and ethics): When your desires organize themselves in levels—like wanting to want something, or your deeper values supporting your surface-level goals. For example, wanting to exercise because you value health, not just because you want ice cream.
agent(Economics terminology applied to medical ethics): The party in a principal-agent relationship who is instructed to produce the good or service on the principal's behalf — in the medical context, the doctor
guidance control(Fischer's distinction, invoked by Frankfurt): The form of control concerning what an agent does do and her actual basis for doing it; the freedom pertinent to moral responsibility on Frankfurt's view.
normative(in ethics and philosophy): Relating to how things should be or what people ought to do, rather than just describing how things actually are.

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Hierarchical alignment between desires tells us nothing about whether an agent *should* have those desires, making guidance control normatively hollow without reasons-responsiveness.