This chapter contains section titled: Introduction Theoretical Perspectives Challenges Conclusion References Further Reading.

Moira Howes and Catherine Hundleby ABSTRACT: While anger can derail argumentation, it can also help arguers and audiences to reason together in argumentation. Anger can provide information about premises, biases, goals, discussants, and depth of disagreement that people might otherwise fail to recognize or prematurely dismiss. Anger can also enhance the salience of certain premises...

While anger can derail argumentation, it can also help arguers and audiences to reason together in argumentation. Anger can provide information about premises, biases, goals, discussants, and depth of disagreement that people might otherwise fail to recognize or prematurely dismiss. Anger can also enhance the salience of certain premises and underscore the importance of related inferences. For these reasons, we claim that anger can serve as an epistemic resource in argumentation.

Feminist critiques of science show that systematic biases strongly influence what scientific communities find salient. Features of reality relevant to women, for instance, may be under-appreciated or disregarded because of bias. Many feminist analyses of values in science identify problems with salience and suggest better epistemologies. But overlooked in such analyses are important discussions about intellectual virtues and the role they play in determining salience. Intellectual virtues influence what we should find salient. They do this in part by managing the (...) emotions, which are cognitively involved in what we actually do find salient. One reason intellectual virtues do not factor more strongly in feminist epistemology is the mistaken assumption that they could not serve as explicit epistemic community standards for scientific inquiry. There are good reasons, however, to think in terms of community intellectual virtue and consequently, to advance explicit public standards of intellectual virtue for scientific research. To show how explicit public standards for intellectual virtue might improve reasoning in biased conditions, I analyze a striking oversight in several evolutionary immunological hypotheses concerning women's reproduction and sexuality. I conclude that feminist epistemology would benefit from greater consideration of intellectual virtues, particularly in connection with social epistemological insights. (shrink)

In this paper, I argue that the objectivity of persons is best understood in terms of intellectual virtue, the telos of which is an enduring commitment to salient and accurate information about reality. On this view, an objective reasoner is one we can trust to manage her perspectives, beliefs, emotions, biases, and responses to evidence in an intellectually virtuous manner. We can be confident that she will exercise intellectual carefulness, openmindedness, fairmindedness, curiosity, and other intellectual virtues in her reasoning. I (...) argue further that the cultivation and exercise of such virtues is a social phenomenon and thus challenge highly individualistic notions of intellectual character, epistemic autonomy, and personal objectivity. An advantage of this account of objectivity is that it better enables us to address bias in scientific research, science policy, and public debates about science. (shrink)

In this paper, I argue that adventurous approaches to physical activity can contribute more to well-being than approaches that have been shaped by fitness ideology. To defend this claim, I draw on work in philosophy and psychology concerning internal goods and intrinsic motivation, respectively. This work shows that motivating ourselves intrinsically and cultivating the internal goods of physical activity can contribute significantly to well-being. Unfortunately, the discourse and images associated with fitness culture tend to undermine intrinsic motivation and the cultivation (...) of internal goods. Consequently, approaches to physical activity shaped by fitness ideology often fail to support well-being. In contrast, I argue that an adventurous approach to physical activity better fosters intrinsic motivation and the pursuit of internal goods. To show this, I consider three examples of internal goods strongly associated with adventure – character development, enlivening kinesthetic and psychological e... (shrink)

Daniel Brennan brings his research in political philosophy and his surfing experience together in this excellent and engaging contribution to philosophy of surfing and surf studies. In the course o...

When people argue, they are vulnerable to unwanted and costly changes in their beliefs. This vulnerability motivates the position that belief involuntarism makes argument inherently adversarial, as well as the development of alternatives to adversarial argumentation such as “invitational rhetoric”. The emphasis on involuntary belief change in such accounts, in our perspective, neglects three dimensions of arguing: the diversity of arguer intentions, audience agency, and the benefits of belief change. The complex impact of arguments on both audiences and arguers involves (...) vulnerabilities related to various forces of argument, not just the intellectual force of premise-conclusion complexes. Shifting emphasis from adversariality to vulnerability, we propose a more holistic understanding of argument, in which vulnerability reveals various sources of strength and opportunity in addition to risk. (shrink)

Robert Pinto and Laura Pinto advance a non-binary account of reason and emotion in the reasoning process and argue for a naturalistic understanding of objectivity that will allow for the evaluation of emotions as reasonable. Pinto and Pinto’s promising argument generates important and productive lines of inquiry. I suggest a few such lines of inquiry, including the idea that it may be important to support reflexivity and interpretive community with equanimity; that we should further examine the potential of new ideals (...) of objectivity that explicitly incorporate emotion and virtue; and finally, that we should craft methodologies to deepen our understanding of emotion in objective reasoning and fully realize its benefits. (shrink)

At first glance, happiness and objectivity seem to have little in common. I claim, however, that subjective and eudaimonic happiness promotes arguer objectivity. To support my claim, I focus on connections between happiness, social intelligence, and intellectual virtue. After addressing objections concerning unhappy objective and happy unobjective arguers, I conclude that communities should value happiness in argumentative contexts and use happiness as an indicator of their capacity for objective argumentation.

In this article, I argue that we should revise our understanding of physical fitness to include preparation for challenging physically mediated life experiences—such as aging, disability, illness, reproduction, and death—as an important goal of physical activity. Such a revision is needed because the messages about fitness we encounter through “fitness ideology” can undermine the cultivation of skills and perspectives important for finding meaning, equanimity, and even happiness in light of such experiences. Because one of the ways that fitness ideology undermines (...) personal growth and well-being is through the promotion of fear and denial of our mutability and mortality, I focus on death, generally the most... (shrink)

Institutional Review Boards are confronted with new challenges in the face of expanding technologies while fulfll-ing their existing regulatory mandate to ensure that plans are in place to protect subjects and to inform them of risks and benefts of research participation. Existing regulations and guidance do not address the issue of incidental fndings , thus leaving awareness of the issue and the application of ethical principles to IRB judgment alone. In order to assure that researchers are aware of the potential (...) for IFs, IRBs must identify which studies are likely to identify IFs and establish what plans should be put into place prior to study initiation to assure the subjects are appropriately informed of the likelihood of IFs, how IFs will be communicated to subjects, and whether the burden of follow-up falls on the researchers or is the subject's responsibility. (shrink)

Students in critical thinking courses are often instructed to "read carefully" as a prerequisite to thinking critically. This instruction, which seems like a simple preliminary caution, in fact reveals controversial assumptions about how readers read, and whether critical thinking instruction presupposes the reading skill it purports to teach.

Why would the work of the 17th century philosopher Benedict de Spinoza concern us today? How can Spinoza shed any light on contemporary thought? In this intriguing book, Moira Gatens and Genevieve Lloyd show us that in spite of or rather because of Spinoza's apparent strangeness, his philosophy can be a rich resource for cultural self-understanding in the present. _Collective Imaginings_ draws on recent re-assessments of the philosophy of Spinoza to develop new ways of conceptualising issues of freedom and (...) difference. This ground-breaking study will be invaluable reading to anyone wishing to gain a fresh perspective on Spinoza's thought. (shrink)

Summarizes author’s contextual empiricism and uses it to analyze the difference between neuro-endocrinological accounts of presumed behavioral sex differences and neuro-selectionist accounts. Contextual empiricism is a philosophical approach that both shows how feminist critique works in the sciences and makes a contribution to general philosophy of science.

Refugee crises are one of the grand challenges of the 21st century. Despite the theoretical importance attached to value created for beneficiaries in the partnership literature, research tends to focus on internal processes and value created for partners and partnerships, leading to widespread calls to further specify the value created by partnerships for beneficiaries. Applying an analytical framework from the value creation and social impact literatures, we report on a study of multiple social partnerships of a nongovernmental organization in the (...) refugee issue field. Our results demonstrate that frames of refugees held by partners and in partnerships’ implementation contexts shape the value creation activities undertaken for beneficiaries, and determine whether value is created and what types of value. The dual contribution of this article comprises a rare empirical study of value creation activities for beneficiaries (here, refugees) and theorization of how and when implementation context affects value creation by partnerships. (shrink)

Trait emotional intelligence concerns our perceptions of our emotional abilities, that is, how good we believe we are in terms of understanding, regulating, and expressing emotions in order to adapt to our environment and maintain well-being. In this article, we present succinct summaries of selected findings from research on the location of trait EI in personality factor space, the biological underpinnings of the construct, indicative applications in the areas of clinical, health, social, educational, organizational, and developmental psychology, and trait EI (...) training. Findings to date suggest that individual differences in trait EI are a consistent predictor of human behavior across the life span. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Chanter’s Democratizing PhilosophyMoira FradingerDeinvesting Fetishism, Embracing Radical DemocracyA radical democrat: This is how I have come to see Tina Chanter in our intellectual exchanges. She ceaselessly alerts us to the conditions of production of our privileges; the exclusions on which our social, political, sexual, racial identities are constructed; the blood of those others who “have crafted our eyes,” to recall Donna Haraway’s famous manifesto (Haraway 1988, 585);1 the suffering (...) that allows for our happiness; the “danger” that defines our “purity,” to pay homage to Mary Douglas’s early anthropological exploration of boundary-formations (Douglas 1966). Chanter’s questioning of all the exclusions that give meaning to our identities and social orders is not oriented to “include” that which is excluded, as if she aimed at an “adding approach.” Rather, Chanter aims at thinking about how inclusions can change what Jacques Rancière refers to as the “cartography of the perceptible, the thinkable and the feasible” (Rancière 2009, 72). At stake is how to make inclusion speak of difference instead of sameness.Chanter has questioned major feminist thinkers (Irigaray, Kristeva) as to their failure to avoid reinstating exclusions, that is, to avoid the fetishistic logic, thoroughly studied by Chanter, whereby excluded elements are assigned a fixed meaning. Recently she has engaged Rancière’s thought on the radical premise of equality as a starting point for politics and critical thought. But long before this new development, and within the ranks of her discipline, Chanter was a practicing democrat of sorts in the Rancièrian sense, bringing to bear those concepts “with no part” (to use Rancière’s phrase) in philosophy, concepts coming from other disciplines, in order to denaturalize reified “partitions of the sensible” (again Rancière 2010, 36) as they appear in the discipline of philosophy.2 In other words, she was engaged in making philosophy hear the [End Page 144] “difference” of other regimes of thought without reducing them to philosophical categories, with the premise that they are neither “truer” nor “lesser” than philosophical thought (in contrast to certain philosophical traditions of understanding “art,” as Chanter has argued).3 Thus, Chanter’s engagement with such “impurities” (from the point of view of philosophy) as literature, performance, reception studies, or psychoanalysis redraws the boundaries of her home discipline.Rachel Jones calls this practice “Chanter’s ethics of restlessness,” an alertness to the ways in which we, as feminist critics, may reproduce the exclusions that we denounce as constitutive of the systems of representation we inhabit. Double alertness at that, or perhaps an ethical dimension proper to the democratic questioning of boundaries: Chanter alerts us also to the fact that our questioning is never enough. We need a scene of interlocution that can keep our questioning open when we are tempted to close it. We unravel processes of exclusion but we always remain “blind” to the exclusions effected by our own critiques. It is perhaps her engaging of psychoanalysis—for all her critique of its conceptualization of sexual difference—which shows here: a commitment, if I may say so, to the subject of the unconscious, to being subjected to representational systems modeling our perceptions beyond our consciousness. This is to redeem, for philosophical thinking, the strange failure of consciousness that we call “the unconscious,” to paraphrase Lacan’s musings on this concept in Seminar XI (Lacan 1998, 17–64). In other words, Chanter’s conscious attention to exclusions is also an attention to the experience of that which our language makes or leaves silent. It is an experience of an excess or a void—always an experience of precariousness with respect to our symbols, a fragility of our means of expression. A structural failure; a failure of “language as such” that is always already a failure of our language.The inclusion of the subject—individual or collective—is crucial here, and this is where I see the crux of Chanter’s “restlessness”: For it is not a question of philosophizing about “the” essential nature of language as always failing but rather of pointing to the radical singularity through which the failure becomes manifest in any given system of... (shrink)

Teams are considered to be extremely complex dynamic entities that suffer at the hand of constant evolution of their structure to meet and adapt to the varying situational demands they come face-to-face with (Kozlowski & Ilgen, 2006). Agencies, industries, and government institutions are currently placing greater attention to the adaption of team dynamics and teamwork as they are important to key organizational outcomes. As greater attention is being placed on the maturation of team dynamics, the incorporation of efficient methodological tools (...) to understand how teams are being measured over time becomes critical. Thus, the purpose of this paper is to present a review of relevant academic articles detailing the science behind methodological tools and general approaches to study team dynamics over time. We provide an overview of the methodological tools used to understand team dynamics with accordance to specific temporal elements. Drawing from Kozloski, Gully, Nason, and Smith (1999) process model of team development, we highlight relevant emergent team constructs within each stage. As well, for each stage, we discuss the what and how to measure team dynamics. Our analyses bring to light relevant, novel and complex approaches being used by researchers to examine specific constructs within different team developmental phases (e.g., agent-based simulations, computational modeling) and the importance of transitioning from a single source methodology approach. Implications and future research are also discussed. (shrink)

This paper treats a recalcitrant problem in Spinoza scholarship, namely, how to reconcile the conception of 'power' in his political writings with that found in his Ethics. Some have doubted the capacity of Spinoza's political philosophy to yield an adequate normative theory. If he is unable to provide a normative ground for political philosophy then perhaps this exposes a problem in Spinoza's philosophy taken as a whole. I argue that the considerable normative resources of his ethical and political philosophy, as (...) well their continuing relevance today, are best appreciated through attending to his notion of the exemplar. (shrink)

John A. Matthews and David T. Herbert London and New York: Routledge, 2004, xiv + 402 pp., cloth, $160.00, paper, $44.95 The development of geography during the twentieth century has been a r...

This paper explores the relationship between honour and recognition in the context of normative heterosexuality, and the implications of this relationship for sustaining and transforming problematic sexual norms. Building on recent attempts to move beyond a narrow and restrictive focus on consent as a means of thinking through the ethics of heterosexual sex, we reflect critically on the concept of honour in this domain. Honour, in our approach, is a cluster concept that houses a number of related normative values and (...) affective attitudes, including respect, self-respect, pride, dignity, esteem, integrity, trust, and honesty. We examine how honour is distributed by heterosexual imaginaries in ways that privilege men in the sexual encounter, and argue that part of cultivating ethical heterosexual relations is to imagine a sexual honour code where both men and women see themselves, and are seen by their counterpart, as entitled to sexual respect. To conclude, the paper examines and defends the cultivation of ethical, just, and honourable heterosexual relations as a necessarily embodied, intersubjective, and imaginative endeavour that involves challenges to, and shifts within, multiple imaginaries and sensibilities that cluster to support damaging norms of sexual conduct. (shrink)

Although natural philosophers of Enlightenment Europe shared common ideals, like reliance on reason and natural philosophy, to promote what they deemed to be progress; there were national differences in attitude and disciplinary focus. This paper takes various eligibility criteria as a starting point from which to define a Nordic Enlightenment science; and situates endeavours in climate science within visions of useful science and international conventions for scientific practice. Two perspectives are explored: the make-up of the Nordic Enlightenment science; and the (...) Nordic natural philosopher’s various platforms for work and knowledge transfer. While historians differ as to what constitutes Enlightenment thought and spirit, I establish the existence of a Nordic Enlightenment science by identifying and examining several of its indicators. The paper concludes with a more specific discussion of climate science in Norway in which I show how climate observations performed during the eighteenth century by a sample of Norway’s clergymen and civil servants bear testimony to an internationally-oriented science, through articles produced for science journals and conventions followed for data presentation and instrumentation. The findings corroborate existing knowledge of a progress-driven, Enlightenment science in Nordic countries; reveal differences between countries, and present Norway’s early-modern climate science in an international light. (shrink)

This article elaborates on a view of human subjectivity as open and intersubjectively constituted and discusses it as a presupposition for student's participation in educational situations. It questions the traditional persistent concept of subjectivity as inner and private, the homo clausus, which puts self realization before recognition of the other and individual cognition before mutual meaning. From the perspective of homo clausus participation is thus limited to mere situated activity. A concept of human subjectivity as open and plural, homines aperti, (...) makes it possible to conceptualize educational situations relationally and to take the in‐between as point of departure for understanding pedagogical relationships. Participation can then be understood in terms of involvement in meaning making, knowledge construction and mutual will formation. The relevance of analyzing discrepancies between concepts in educational theory is that they direct our interest and our attention differently. This is also how theoretical understandings work in the praxis of teaching; teachers’ actions are certainly not guided by their theories, but their conceptions about such basic issues as subjectivity and self make some actions and decisions seem more intelligible than others. (shrink)

This article elaborates on a view of human subjectivity as open and intersubjectively constituted and discusses it as a presupposition for student's participation in educational situations. It questions the traditional persistent concept of subjectivity as inner and private, the homo clausus, which puts self realization before recognition of the other and individual cognition before mutual meaning. From the perspective of homo clausus participation is thus limited to mere situated activity. A concept of human subjectivity as open and plural, homines aperti, (...) makes it possible to conceptualize educational situations relationally and to take the in‐between as point of departure for understanding pedagogical relationships. Participation can then be understood in terms of involvement in meaning making, knowledge construction and mutual will formation. The relevance of analyzing discrepancies between concepts in educational theory is that they direct our interest and our attention differently. This is also how theoretical understandings work in the praxis of teaching; teachers’ actions are certainly not guided by their theories, but their conceptions about such basic issues as subjectivity and self (what is a pupil?) make some actions and decisions seem more intelligible than others. (shrink)

No consensus yet exists on how to handle incidental fnd-ings in human subjects research. Yet empirical studies document IFs in a wide range of research studies, where IFs are fndings beyond the aims of the study that are of potential health or reproductive importance to the individual research participant. This paper reports recommendations of a two-year project group funded by NIH to study how to manage IFs in genetic and genomic research, as well as imaging research. We conclude that researchers (...) have an obligation to address the possibility of discovering IFs in their protocol and communications with the IRB, and in their consent forms and communications with research participants. Researchers should establish a pathway for handling IFs and communicate that to the IRB and research participants. We recommend a pathway and categorize IFs into those that must be disclosed to research participants, those that may be disclosed, and those that should not be disclosed. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:LettersJames L. Walsh, Moira M. McQueen, Kevin O'Rourke, and Jean deBloisEarly Delivery of the Anencephalic InfantMadam:In the March 1994 issue of the Kennedy Institute of Ethics Journal, Kevin O'Rourke and Jean deBlois have replied to an article of ours (KIEJ, December 1993) on the early induction of the anencephalic fetus. They agree with our conclusion that such early delivery may be morally acceptable, but argue that our justification (...) is flawed. Exchanges on the subject probably could continue ad nauseam; here we simply state some of the elements of their article that leave us perplexed.1. The phrase "prolonging the life of" (p. 49) has one meaning in the case of artificial life supports, which may be unwarranted interventions, but it has a different meaning when it refers to not interfering with a person's enjoyment of necessary natural means of preserving his or her life. Inducing labor prior to viability, which denies the natural means of life support without a possible substitute, has more in common with smothering a dying patient than the nonemployment of or withdrawing of artificial means of life support. To refer to the death of the fetus here as an effect is rather like saying that I suffocated you and the effect of the suffocation is your death. This is quite different from induction after viability where the induction can have different effects.2. If the authors were correct that "the prohibition on inducing delivery before viability is predicated upon the assumption that the fetus in utero is a human being with the potential for further development" (p. 49) and the anencephalic has none, why is there need to employ the principle of double effect? They say that there is no moral obligation to prolong the life of the anencephalic fetus. Just as there is no need for the principle in cases of withdrawing unwarranted artificial life support, so there would be no need for it here. Because the authors seem to perceive a complete disjunction between direct and indirect killing (allowing to die being in the category of indirect killing), it seems that they are unable to let their argument rest here, but have to justify the death that occurs.3. The example concerning smothering and the nonemployment of aggressive interventions (p. 49) explains well the difference between killing and allowing to die. But allowing to die is not indirectly killing since it occurs as a result of the disease and not from the causality of the agent.4. How can we cause something and not intend it? There are instances in which we simply "permit" evil events, but where we are not the cause. For example, evil events may be attributable to the bad will of others. Legislators make just laws knowing that some people of bad will will break them for their own advantage. Here the legislators really do permit evil. Neither are we the cause of death when we allow a person to die by not imposing unwarranted means of life support; we permit his or her death. But can we so readily designate by "permit" [End Page 184] what we knowingly choose to bring about? O'Rourke and deBlois use interchangeably "indirectly intended" and "unintended" for what is caused by our actions; "indirectly intended" is a better designation than "unintended." The whole package, including all foreseen effects, is intended. Evil "happening" (p. 51) as a result of an action that I place can refer either to evil as caused by my action or to evil as arising from a cause apart from my action. Only in this latter sense do I permit evil and not intend it, either directly or indirectly.5. The fourth condition of the principle of double effect is given as follows: "There must be a proportionately grave reason for placing the act. The greater the evil, the more cogent the reason must be for performing the act" (p. 50). How the authors can abstract from balancing goods and evils here is beyond us.6. We cannot follow the authors' use of the term "morally good" with respect to the induced delivery (p. 50). The problem is concerned with the morally right... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:LettersJames L. Walsh, Moira M. McQueen, Kevin O'Rourke, and Jean deBloisEarly Delivery of the Anencephalic InfantMadam:In the March 1994 issue of the Kennedy Institute of Ethics Journal, Kevin O'Rourke and Jean deBlois have replied to an article of ours (KIEJ, December 1993) on the early induction of the anencephalic fetus. They agree with our conclusion that such early delivery may be morally acceptable, but argue that our justification (...) is flawed. Exchanges on the subject probably could continue ad nauseam; here we simply state some of the elements of their article that leave us perplexed.1. The phrase "prolonging the life of" (p. 49) has one meaning in the case of artificial life supports, which may be unwarranted interventions, but it has a different meaning when it refers to not interfering with a person's enjoyment of necessary natural means of preserving his or her life. Inducing labor prior to viability, which denies the natural means of life support without a possible substitute, has more in common with smothering a dying patient than the nonemployment of or withdrawing of artificial means of life support. To refer to the death of the fetus here as an effect is rather like saying that I suffocated you and the effect of the suffocation is your death. This is quite different from induction after viability where the induction can have different effects.2. If the authors were correct that "the prohibition on inducing delivery before viability is predicated upon the assumption that the fetus in utero is a human being with the potential for further development" (p. 49) and the anencephalic has none, why is there need to employ the principle of double effect? They say that there is no moral obligation to prolong the life of the anencephalic fetus. Just as there is no need for the principle in cases of withdrawing unwarranted artificial life support, so there would be no need for it here. Because the authors seem to perceive a complete disjunction between direct and indirect killing (allowing to die being in the category of indirect killing), it seems that they are unable to let their argument rest here, but have to justify the death that occurs.3. The example concerning smothering and the nonemployment of aggressive interventions (p. 49) explains well the difference between killing and allowing to die. But allowing to die is not indirectly killing since it occurs as a result of the disease and not from the causality of the agent.4. How can we cause something and not intend it? There are instances in which we simply "permit" evil events, but where we are not the cause. For example, evil events may be attributable to the bad will of others. Legislators make just laws knowing that some people of bad will will break them for their own advantage. Here the legislators really do permit evil. Neither are we the cause of death when we allow a person to die by not imposing unwarranted means of life support; we permit his or her death. But can we so readily designate by "permit" [End Page 184] what we knowingly choose to bring about? O'Rourke and deBlois use interchangeably "indirectly intended" and "unintended" for what is caused by our actions; "indirectly intended" is a better designation than "unintended." The whole package, including all foreseen effects, is intended. Evil "happening" (p. 51) as a result of an action that I place can refer either to evil as caused by my action or to evil as arising from a cause apart from my action. Only in this latter sense do I permit evil and not intend it, either directly or indirectly.5. The fourth condition of the principle of double effect is given as follows: "There must be a proportionately grave reason for placing the act. The greater the evil, the more cogent the reason must be for performing the act" (p. 50). How the authors can abstract from balancing goods and evils here is beyond us.6. We cannot follow the authors' use of the term "morally good" with respect to the induced delivery (p. 50). The problem is concerned with the morally right... (shrink)

To combat the OneHealth threat of antimicrobial resistance (AMR), the use of antibiotics in agriculture is subject to significant governance-led initiatives to change food system behaviours, including promoting more responsible use of antibiotics on farms through market-level interventions. To combat knowledge gaps about how consumers perceive risks associated with antibiotic use and AMR in farming, the current study carried out an in-depth qualitative focus group study incorporating a risk information exposure exercise with food consumers on the island of Ireland (_n_ (...) = 36). Using a theoretical lens of social representation theory, a thematic analysis of the collected data identified how participants made sense of, often new, information on agricultural antibiotic use and AMR. Participants displayed high awareness and concern for AMR but low understanding and misconceptions around AMR transmission from the agri-food sector. Social representations about antibiotics and food and farming systems shaped preferences for a movement away from antibiotics in farming, and in particular, prophylactic use. However, participants acknowledged the role of antibiotics to protect animal health and the integrity of the food supply chain. They debated the lack of a simple fix to antibiotics in the agri-food system and revealed preferences for preventive actions at farm level and supporting actions at market level. The study highlights the need to first tackle low levels of public understanding through effective risk communication including strategies such as targeted message framing and proactive, cross-sector OneHealth awareness campaigns, followed by the introduction of a trusted antibiotic use food labelling system. (shrink)

The emergency department (ED) serves as the primary gateway for acute care and the source of health care of last resort. Emergency physicians are commonly expected to rapidly assess and treat patients with a variety of life–threatening conditions. However, patients do refuse recommended therapy, even when the consequences are significant morbidity and even mortality. This raises the ethical dilemma of how emergency physicians and ED staff can rapidly determine whether patient refusal of treatment recommendations is based on intact decision–making capacity (...) and how to respond in an appropriate manner when the declining of necessary care by the patient is lacking a basis in informed judgment. This article presents a case that illustrates the ethical tensions raised by the refusal of life–sustaining care in the ED and how such situations can be approached in an ethically appropriate manner. (shrink)

In discussions of the complex and controversial problem of Spartan land-tenure,1 the mysterious ‘ρχαα μορα’ has assumed an importance out of all proportion to its prominence in the sources, for the actual phrase only occurs once in extant literature. It owes its importance to the fact that the reference to it has been used to support the theory that there were two categories of land in Sparta, a theory which in turn is held to explain how, when all Spartans supposedly (...) owned equal estates, there could nevertheless be rich ones and poor ones, as authors such as Herodotos, Thucydides, Xenophon, and Aristotle make clear. The answer, it is claimed, is that although all Spartans possessed an equal share of one category of land, they could own more or less of the other category.2. (shrink)

It describes and explains the patient-centered model examining and evaluating qualitative and quantitative research. It comprehensively covers the evolution and the six interactive components of the patient-centered clinical method, taking the reader through the relationships between the patient and doctor and the patient and clinician. All the editors are professors in the Department of Family Medicine at the University of Western Ontario, London, Canada.

Our everyday notion of freedom is an innate prejudice. It is based on our inadequate knowledge of the causes of things and on our tendency to accord too much credence to the way things appear, that is, to the way that things outside ourselves affect us. Imagination, the lowest kind of knowledge, is the source of falsity and error, and it lies at the origin of human bondage to affect. The imagination can be deployed in the service of attaining a (...) relatively freer existence through imagining ourselves as acting like the free man held up by Spinoza in E4Pref as a model of human nature. The free man embodies the sure maxims of life to a perfect degree. Spinoza explicitly says that the free man is noble and tenacious, that is, he possesses the active affects described under the virtue of strength of character. (shrink)

With rapidly expanding technological capacity, research has outpaced the existing infrastructure of ethical and regulatory guidance. In the area of incidental findings, this is particularly true.The regulations under which most Institutional Review Boards operate were established over 25 years ago and have not been substantially altered in the intervening years. The technology available today that creates the opportunity for IFs was not conceived of, or considered, in the crafting of those regulations. Therefore, little guidance can be derived directly from these (...) regulations. Rather, aspects of existing ethical guidance and regulations can be adapted to assist IRBs and researchers in dealing with issues surrounding IFs. (shrink)

It has typically been assumed that affective and social components of disagreement, such as trust and fair treatment, can be handled separately from substantive components, such as beliefs and logical principles. This has freed us to count as “deep” disagreements only those which persist even between people who have no animosity towards each other, feel equal to one another, and are willing to argue indefinitely in search of truth. A reliance on such ideal participants diverts us from the question of (...) whether we have swept away the opportunity for some real arguers to have their voices heard, and for those voices to determine the real substance of the disagreement. If affective and social issues need to be assessed side by side with belief differences and reasoning paradigms, investigating trust may assist us to understand and make progress on the affective and social components that are involved in disagreement. (shrink)

For individuals pursuing medically assisted gender transition, gender-affirming surgical treatments, such as oophorectomy (removal of the ovaries) and orchiectomy (removal of the testicles), cause sterility, and gender-affirming hormone treatment with medications (i.e., testosterone and estrogen) may negatively impact infertility. The major United States (US) medical associations already endorse fertility preservation (FP) through cryopreservation (i.e., “freezing” egg and sperm) for transgender individuals. Despite these endorsements from the relevant medical societies, medical insurance coverage for FP remains very limited in the US. Given (...) the high out-of-pocket costs for FP services, fertility preservation remains financially out of reach for many transgender individuals who may desire it. We present an ethical justification for universal FP coverage for all transgender and gender diverse (TGD) individuals who request this option during medically assisted gender transition. First, we argue that gender-affirming medical care is analogous to other medical interventions and treatment regimens that compromise fertility, such as cancer care, and that both types of interventions need to be afforded the same medical benefits and assistance in pursuing fertility goals. Second, we argue that the lack of FP for transgender individuals contributes to the ongoing and profound transphobia and anti-trans bias that has been exacerbated in the past several years across the healthcare landscape in the United States. We argue that the provision of FP coverage for transgender individuals is necessary for clinicians and third-party payers to state their unequivocal support for TGD patients and their healthcare needs. (shrink)