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The Importance of Relational Autonomy and Capabilities for an Ethics of Vulnerability

In Catriona Mackenzie, Wendy Rogers & Susan Dodds (eds.), Vulnerability: New Essays in Ethics and Feminist Philosophy. New York: Oup Usa. pp. 33 (2013)

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  1. The Nature of Nurture: Poverty, Father Absence and Gender Equality.Alison E. Denham - 2019 - In Nicolás Brando & Gottfried Schweiger (eds.), Philosophy and Child Poverty: Reflections on the Ethics and Politics of Poor Children and Their Families. Springer. pp. 163-188.
    Progressive family policy regimes typically aim to promote and protect women’s opportunities to participate in the workforce. These policies offer significant benefits to affluent, two-parent households. A disproportionate number of low-income and impoverished families, however, are headed by single mothers. How responsive are such policies to the objectives of these mothers and the needs of their children? This chapter argues that one-size-fits-all family policy regimes often fail the most vulnerable household and contribute to intergenerational poverty in two ways: by denying (...)
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  • Vulnerability, Health Care, and Need.Vida Panitch & L. Chad Horne - 2016 - In Straehle Christine (ed.), Vulnerability, Autonomy, and Applied Ethics. New York: Routledge. pp. 101-120.
  • The Vulnerability of Rural Migrants Under COVID-19 Quarantine in China and its Global Implications: A Socio-Ethical Analysis.Xiang Zou & Jing-Bao Nie - 2023 - Journal of Bioethical Inquiry 20 (2):197-206.
    Despite the role of public health interventions in controlling disease transmission and protecting the public during the COVID-19 emergency, the implementation of quarantine restrictions has raised serious ethical concerns, especially in relation to the well-being of vulnerable populations. Drawing on the lived experiences of rural Chinese migrants who are subject to pandemic control, the authors highlight their inadequate capacities to manage the risks associated with the pandemic and adjust to quarantine restrictions. Informed by an ethical discourse of vulnerability, we show (...)
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  • Health within illness: The negativity of vulnerability revised.Ivana Zagorac & Barbara Stamenković Tadić - 2022 - Medicine, Health Care and Philosophy 25 (2):207-217.
    This paper attempts to philosophically articulate empirical evidence on the positive effects of illness within the wider context of a discussion of the positive aspects of vulnerability. The conventional understanding holds that to be vulnerable is to be open to harms and wrongs; it is to be fragile, defenseless, and of compromised autonomy. In this paper, we challenge the assumption that vulnerability consists of nothing but powerlessness and dependence on others. This paper attempts to: (1) outline the theoretical conceptualisation of (...)
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  • Social Media and its Negative Impacts on Autonomy.Siavosh Sahebi & Paul Formosa - 2022 - Philosophy and Technology 35 (3):1-24.
    How social media impacts the autonomy of its users is a topic of increasing focus. However, much of the literature that explores these impacts fails to engage in depth with the philosophical literature on autonomy. This has resulted in a failure to consider the full range of impacts that social media might have on autonomy. A deeper consideration of these impacts is thus needed, given the importance of both autonomy as a moral concept and social media as a feature of (...)
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  • Vulnerability, Disability, and Public Health Crises.Christopher A. Riddle - 2021 - Public Health Ethics 14 (2):161-167.
    This article suggests that those individuals typically acknowledged as vulnerable during public health crises, such as pandemics, are often-times doubly so. I suggest that individuals can be vulnerable in a person-affecting way as well as in a personhood-affecting way. I suggest that the former notion of vulnerability coincides with many existing accounts of vulnerability and that subsequently, many of the more standard arguments for moral and justice-based obligations to minimize such vulnerability, hold. I also suggest that the latter notion of (...)
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  • Fear Generalization and Mnemonic Injustice.Katherine Puddifoot & Marina Trakas - 2024 - Episteme:1-27.
    This paper focuses on how experiences of trauma can lead to generalized fear of people, objects and places that are similar or contextually or conceptually related to those that produced the initial fear, causing epistemic, affective, and practical harms to those who are unduly feared and those who are intimates of the victim of trauma. We argue that cases of fear generalization that bring harm to other people constitute examples of injustice closely akin to testimonial injustice, specifically, mnemonic injustice. Mnemonic (...)
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  • Ageism and Autonomy in Health Care: Explorations Through a Relational Lens.Laura Pritchard-Jones - 2017 - Health Care Analysis 25 (1):72-89.
    Ageism within the context of care has attracted increasing attention in recent years. Similarly, autonomy has developed into a prominent concept within health care law and ethics. This paper explores the way that ageism, understood as a set of negative attitudes about old age or older people, may impact on an older person’s ability to make maximally autonomous decisions within health care. In particular, by appealing to feminist constructions of autonomy as relational, I will argue that the key to establishing (...)
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  • Is Being “Paid to Endure” Compatible With Autonomy? Paid Research Participation and Five (Rather Than Four) Goods of Work.Sven Nyholm & Jilles Smids - 2019 - American Journal of Bioethics 19 (9):41-43.
    Volume 19, Issue 9, September 2019, Page 41-43.
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  • Genetic Enhancements and Relational Autonomy: Christian Ethics and the Child’s Autonomy in Vulnerability.Alexander Massmann - 2019 - Studies in Christian Ethics 32 (1):88-104.
    Technical advances in genome editing methods raise the question how autonomy should figure in theological ethical debates about genetic enhancements. Thinking primarily of the parents’ reproductive autonomy, several secular and theological thinkers argue parents should be allowed to ‘enhance’ an embryo genetically. Jürgen Habermas’s critique of enhancements in the name of the child’s autonomy, meanwhile, has been met with a critique of autonomy in theology. This article argues that theological views about God’s relationship to the creature provide strong theological grounds (...)
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  • Vulnerability ethics in pandemic times.Emilio Martínez Navarro - 2020 - Veritas – Revista de Filosofia da Pucrs 46:77-96.
    Resumen La ética es un saber filosófico que puede ser enfocado de distintas maneras, y una de ellas es el enfoque de la vulnerabilidad, que es un aspecto evidente de la realidad humana. Desde este punto de vista, es preciso distinguir entre la vulnerabilidad general y la vulnerabilidad contextual. Por su parte, en el caso de la vulnerabilidad contextual, es necesario distinguir entre la que es producto de opciones voluntarias y la que se produce por razones involuntarias. En el marco (...)
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  • Vulnerability, Insecurity and the Pathologies of Trust and Distrust.Catriona Mackenzie - 2020 - International Journal of Philosophical Studies:624-643.
    While some trust theorists have adverted to the vulnerabilities involved in trust, especially vulnerability to betrayal, the literature on trust has not engaged with recent work on the ethics of vulnerability. This paper initiates a dialogue between these literatures, and in doing so begins to explore the complex interrelations between vulnerability and trust. More specifically, it aims to show how trust can both mitigate and compound vulnerability. Through a discussion of two examples drawn from literary sources, the paper also investigates (...)
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  • Exploring the boundaries of autonomy and the 'right' to access innovative stem cell therapies.Tamra Lysaght, Bernadette Richards & Anantharaman Muralidharan - 2017 - Asian Bioethics Review 9 (1-2):45-60.
    Demands for improved access to innovative therapies have prompted a discourse that claims patients have rights to access treatments that may be of benefit, even if evidence that demonstrates safety and efficacy is lacking. This rights-based discourse is grounded in accounts of autonomy and assertions claiming that the state ought to not interfere with the free choices of patients and clinical decision-making. In this essay, we scrutinise these arguments to defend the ethical and legal permissibility of interference in contexts where (...)
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  • Developing Vulnerability: A Situational Response to the Abuse of Women with Mental Disabilities.Jaime Lindsey - 2016 - Feminist Legal Studies 24 (3):295-314.
    In this paper I present a critical analysis of the English law relating to the safeguarding of vulnerable adults, in particular how the law impacts on the sexual lives of adult women with mental disabilities. I consider the discourses of vulnerability that surround the different legal regimes and whether the emerging theoretical vulnerability literature can assist in developing more nuanced legal responses. I argue that the inherent jurisdiction and Care Act 2014 provide an opportunity to move away from the focus (...)
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  • Towards a Concept of Embodied Autonomy: In what ways can a Patient’s Body contribute to the Autonomy of Medical Decisions?Jonathan Lewis & Søren Holm - 2023 - Medicine, Health Care and Philosophy 26 (3):451-463.
    “Bodily autonomy” has received significant attention in bioethics, medical ethics, and medical law in terms of the general inviolability of a patient’s bodily sovereignty and the rights of patients to make choices (e.g., reproductive choices) that concern their own body. However, the role of the body in terms of how it can or does contribute to a patient’s capacity for, or exercises of their autonomy in clinical decision-making situations has not been explicitly addressed. The approach to autonomy in this paper (...)
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  • Patient Autonomy, Clinical Decision Making, and the Phenomenological Reduction.Jonathan Lewis & Søren Holm - 2022 - Medicine, Health Care and Philosophy 25 (4):615-627.
    Phenomenology gives rise to certain ontological considerations that have far-reaching implications for standard conceptions of patient autonomy in medical ethics, and, as a result, the obligations of and to patients in clinical decision-making contexts. One such consideration is the phenomenological reduction in classical phenomenology, a core feature of which is the characterisation of our primary experiences as immediately and inherently meaningful. This paper builds on and extends the analyses of the phenomenological reduction in the works of Husserl, Heidegger, and Merleau-Ponty (...)
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  • The limitations of liberal reproductive autonomy.J. Y. Lee - 2022 - Medicine, Health Care and Philosophy 25 (3):523-529.
    The common liberal understanding of reproductive autonomy – characterized by free choice and a principle of non-interference – serves as a useful way to analyse the normative appeal of having certain choices open to people in the reproductive realm, especially for issues like abortion rights. However, this liberal reading of reproductive autonomy only offers us a limited ethical understanding of what is at stake in many kinds of reproductive choices, particularly when it comes to different uses of reproductive technologies and (...)
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  • Two ethical concerns about the use of persuasive technology for vulnerable people.Naomi Jacobs - 2019 - Bioethics 34 (5):519-526.
    Persuasive technologies for health‐related behaviour change give rise to ethical concerns. As of yet, no study has explicitly attended to ethical concerns arising with the design and use of these technologies for vulnerable people. This is striking because these technologies are designed to help people change their attitudes or behaviours, which is particularly valuable for vulnerable people. Vulnerability is a complex concept that is both an ontological condition of our humanity and highly context‐specific. Using the Mackenzie, Rogers and Dodds’ taxonomy (...)
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  • Capability Sensitive Design for Health and Wellbeing Technologies.Naomi Jacobs - 2020 - Science and Engineering Ethics 26 (6):3363-3391.
    This article presents the framework Capability Sensitive Design (CSD), which consists of merging the design methodology Value Sensitive Design (VSD) with Martha Nussbaum's capability theory. CSD aims to normatively assess technology design in general, and technology design for health and wellbeing in particular. Unique to CSD is its ability to account for human diversity and to counter (structural) injustices that manifest in technology design. The basic framework of CSD is demonstrated by applying it to the hypothetical design case of a (...)
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  • Neonates as intrinsically worthy recipients of pain management in neonatal intensive care.Emre Ilhan, Verity Pacey, Laura Brown, Kaye Spence, Kelly Gray, Jennifer E. Rowland, Karolyn White & Julia M. Hush - 2020 - Medicine, Health Care and Philosophy 24 (1):65-72.
    One barrier to optimal pain management in the neonatal intensive care unit is how the healthcare community perceives, and therefore manages, neonatal pain. In this paper, we emphasise that healthcare professionals not only have a professional obligation to care for neonates in the NICU, but that these patients are intrinsically worthy of care. We discuss the conditions that make neonates worthy recipients of pain management by highlighting how neonates are vulnerable to pain and harm, and completely dependent on others for (...)
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  • Reflexionen zu einer Ethik des vulnerablen Leibes.Martin Huth - 2016 - Zeitschrift für Praktische Philosophie 3 (1):273-304.
    Traditionelle Personenbegriffe der abendländischen Philosophie rekurrieren oft auf rationale Fähigkeiten wie Vernunft- bzw. Moralfähigkeit oder reflexives Selbstbewusstsein als Grundlage von individuellem moralischem Status bzw. der korrelierenden moralischen Verpflichtung. Dem steht die Erfahrung besonderer moralischer Verpflichtungen etwa gegenüber Kindern, Menschen mit besonderen Bedürfnissen oder Tieren entgegen, die durch ratiozentristische Engführungen aus dem Blick zu geraten drohen. Die gegenwärtigen Diskurse um die Begriffe der Vulnerabilität und Anerkennung sind deshalb eine wichtige Ergänzung, um einerseits die Selektivität klassischer moralphilosophischer Konzeptionen zu mindern, indem sie (...)
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  • Response—Liminality and the Mirage of Settlement.Claire Hooker & Ian Kerridge - 2022 - Journal of Bioethical Inquiry 19 (1):55-60.
    Little and colleagues’ paper describing a key aspect of cancer patients’ experience, that of “liminality,” is remarkable for giving articulation to a very common and yet mostly overlooked aspect of patient experience. Little et. al. offered a formulation of liminality that deliberately set aside the concept’s more common use in analysing social rituals, in order to grasp at the interior experience that arises when failing bodily function and awareness of mortality are forced into someone’s consciousness, as occurs with a diagnosis (...)
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  • How to Protect Children? A Pragmatic Approach: On State Intervention and Children’s Welfare.Rebecca Gutwald & Michael Reder - 2023 - The Journal of Ethics 27 (1):77-95.
    If a child’s well-being is at risk of considerable harm within their own family, state institutions usually intervene. In severe cases, the parents’ right to rear is suspended. Cases of risk assessment and potential state intervention are decided within a conflict between parents’ rights and claims of children for protection. There is, we argue, a standard model of normative assessment underlying these decisions: It rests on premises rooted in classic liberal political philosophy, which is prevalent in many Western societies, such (...)
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  • A Relational Approach to Evil Action: Vulnerability and its Exploitation.Zachary J. Goldberg - 2019 - Journal of Value Inquiry 53 (1):33-53.
    In this article I seek a more complete understanding of evil action. To this end, in the first half of the article I assess the conceptual strengths and weaknesses of the most compelling theories of evil action found in the contemporary philosophical literature. I conclude that the theories that fall under the category I call ‘‘Nuanced Harm Accounts’’ successfully identify the necessary and sufficient conditions of the concept. However, necessary and sufficient conditions are not coextensive with significant features, and Nuanced (...)
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  • Why Health and Social Care Support for People with Long-Term Conditions Should be Oriented Towards Enabling Them to Live Well.Vikki A. Entwistle, Alan Cribb & John Owens - 2018 - Health Care Analysis 26 (1):48-65.
    There are various reasons why efforts to promote “support for self-management” have rarely delivered the kinds of sustainable improvements in healthcare experiences, health and wellbeing that policy leaders internationally have hoped for. This paper explains how the basis of failure is in some respects built into the ideas that underpin many of these efforts. When support for self-management is narrowly oriented towards educating and motivating patients to adopt the behaviours recommended for disease control, it implicitly reflects and perpetuates limited and (...)
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  • Male Fertility-Related mHealth: Does It Create New Vulnerabilities?Michiel De Proost - 2023 - International Journal of Feminist Approaches to Bioethics 16 (2):199-208.
    Male fertility–related mHealth (MFmHealth), including smartphone applications that allow men to test their fertility at home, is getting some attention now and then. In this commentary, I argue that MFmHealth technology has the potential to undermine established norms around male reproduction but cannot be examined using traditional individualist frameworks in bioethics. Instead, theoretical literature on the concept of vulnerability in feminist bioethics allow a theoretical alliance with critical studies of men and masculinities. Proposed benefits like empowerment, shared responsibility, and democratization (...)
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  • Beyond Liberalism: Marxist Feminism, Migrant Sex Work, and Labour Unfreedom.Katie Cruz - 2018 - Feminist Legal Studies 26 (1):65-92.
    In this article, I use a Marxist feminist methodology to map the organisation of migrant sex workers’ socially reproductive paid and unpaid labour in one city and country of arrival, London, UK. I argue that unfree and ‘free’ labour exists on a continuum of capitalist relations of production, which are gendered, racialised, and legal. It is within these relations that various actors implement, and migrant sex workers contest, unfree labour practices not limited to the most extreme forms. My analysis reveals (...)
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  • All of Us Are Vulnerable, But Some Are More Vulnerable than Others: The Political Ambiguity of Vulnerability Studies, an Ambivalent Critique.Alyson Cole - 2016 - Critical Horizons 17 (2):260-277.
    This paper raises several concerns about vulnerability as an alternative language to conceptualize injustice and politicize its attendant injuries. First, the project of resignifying “vulnerability” by emphasizing its universality and amplifying its generative capacity, I suggest, might dilute perceptions of inequality and muddle important distinctions among specific vulnerabilities, as well as differences between those who are injurable and those who are already injured. Vulnerability scholars, moreover, have yet to elaborate the path from acknowledging constitutive vulnerability to addressing concrete injustices. Second, (...)
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  • Practical Identity and Duties of Love.Berit Brogaard - 2021 - Disputatio 13 (60):27-50.
    This paper defends the view that we have special relationship duties that do not derive from our moral duties. Our special relationship duties, I argue, are grounded in what I call close relationships. Sharing a close relationship with another person, I suggest, requires that both people conceive of themselves as being motivated to promote the other’s interests. So, staying true to oneself demands being committed to promoting the interests of those with whom we share a close relationship. Finally, I show (...)
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  • A Value-Oriented Framework for Precision Medicine.Francesca Bosisio & Gaia Barazzetti - 2021 - American Journal of Bioethics 21 (4):88-90.
    In her article, Lee vouches for a reciprocity-based approach that supports an ethics of inclusion in precision medicine research and accounts for participants’ values and experiences of the...
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  • Cashless Welfare Transfers for ‘Vulnerable’ Welfare Recipients: Law, Ethics and Vulnerability.Shelley Bielefeld - 2018 - Feminist Legal Studies 26 (1):1-23.
    This article aims to contribute to literature on the conceptualisation of ‘vulnerability’ and its use by neo-liberal welfare regimes to demean, stigmatize and responsibilize welfare recipients. Several conceptions of ‘vulnerability’ will be explored and utilised in the context of welfare reforms that purport to regulate social security recipients as highly risky ‘vulnerable’ subjects. However, as this article will make clear, ‘vulnerability’ is a somewhat slippery concept and one susceptible to abuse by powerful interests intent on increasing coercive surveillance, discipline and (...)
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  • We are people and so are they: Shared intimacies and the ethics of digital ethnography in autism communities.Débora Antunes & Alexander Dhoest - 2019 - Research Ethics 15 (2):1-17.
    This paper reflects on the three main ethical challenges we faced when conducting digital ethnography in three autism Brazilian communities on Facebook: how to position oneself as a researcher, how...
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  • The Coercer’s Role in Coercion.Scott A. Anderson - 2019 - American Journal of Bioethics 19 (9):39-41.
    Volume 19, Issue 9, September 2019, Page 39-41.
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  • Feminist perspectives on the self.Diana Tietjens Meyers - 2010 - Stanford Encyclopedia of Philosophy.
    The topic of the self has long been salient in feminist philosophy, for it is pivotal to questions about personhood, identity, the body, and agency that feminism must address. In some respects, Simone de Beauvoir's trenchant observation, "He is the Subject, he is the Absolute — she is the Other," sums up why the self is such an important issue for feminism. To be the Other is to be the non-subject, the non-person, the non-agent — in short, the mere body. (...)
     
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  • Safeguarding Vulnerable Autonomy? Situational Vulnerability, The Inherent Jurisdiction and Insights from Feminist Philosophy.Jonathan Lewis - 2021 - Medical Law Review 29 (2):306-336.
    The High Court continues to exercise its inherent jurisdiction to make declarations about interventions into the lives of situationally vulnerable adults with mental capacity. In light of protective responses of health care providers and the courts to decision-making situations involving capacitous vulnerable adults, this paper has two aims. The first is diagnostic. The second is normative. The first aim is to identify the harms to a capacitous vulnerable adult’s autonomy that arise on the basis of the characterisation of situational vulnerability (...)
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  • Decolonization of the West, Desuperiorisation of Thought, and Elative Ethics.Björn Freter - 2019 - In Elvis Imafidon (ed.), Handbook of African Philosophy of Difference: The Othering of the Other. Cham: Springer. pp. 1-24.
    Through the vehicle of Nicolas Sarkozy’s so-called “Dakar Address” we will analyse the West’s persisting lack of insight into the need for a Western decolonization. We will try to identify the dangers that come from this refusal, such as the abidance in colonial patterns, the enduring self-understanding as superior com-pared to Africa, and the persisting unwillingness to accept the colonial guilt. Decolonization has to be understood as a two-fold business. Decolonization is over-coming endured and perpetrated violence. It is not only (...)
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  • The Ambivalent Potentiality of Vulnerability : Museum Pedagogy in Exhibitions on Difficult Matters and its Ethical Implications.Tinning Katrine - 2017 - Dissertation, Lund University
    The aim of this dissertation is to critically investigate and problematize how museum exhibitions on Difficult Matters, like war and sexual violence, can be designed in order to contribute to teaching-learning relations between museum and visitor, which may transform existing perceptions of self, others, and the world and evoke a deepened sense of responsibility in the viewers, i.e. an ethical transformation.Based on a hermeneutic phenomenological approach the study takes three paths to shed light on the above. 1) Investigating literature on (...)
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