The trajectory of the public discourse on agriculture in the twentieth century presents an interesting pattern:shortly after World War II, the manner in which farming and farmers were discussed underwent a profound shift. This rhetorical change is revealed by comparing the current debate on farmland preservation with a tradition of agricultural discourse that came before, known as “agrarianism.” While agrarian writers conceived of farming as a rewarding life, a public good, and a source of moral virtue, current writers on (...) farmland preservation speak of farming almost entirely in utilitarian terms describing its productive capacity and its economic returns. Proponents of farmland preservation use essentially the same underlying framework as critics of preservation:n “economic utilitarian” paradigm that purports to eschew normative values and evaluate land use decisions based on economic criteria only. I argue that, despite their good intentions, farmland preservationists are doomed to piecemeal victories at best, because their arguments, which rely on a utilitarian justification and disregard the agrarian ethic, are inadequate. Without expanding its focus beyond farmland to encompass farming and farmers, the movement risks losing both integrity and effectiveness. (shrink)

*The views expressed are the author's own. This article should not be construed as representing policies of the American Medical Association.

Trust is a core feature of the physician-patient relationship, and risk is central to trust. Patients take risks when they trust their providers to care for them effectively and appropriately. Not all patients take these risks: some medical relationships are marked by mistrust and suspicion. Empirical evidence suggests that some patients and families of color in the United States may be more likely to mistrust their providers and to be suspicious of specific medical practices and institutions. Given (...) both historical and ongoing oppression and injustice in American medical institutions, such mistrust can be apt. Yet it can also frustrate patient care, leading to family and provider distress. In this paper, I propose one way that providers might work to reestablish trust by taking risks in signaling their own trustworthiness. This interpersonal step is not meant to replace efforts to remedy systemic injustice, but is an immediate measure for addressing mistrust in occurrent cases. (shrink)

One can understand humor in terms of one or some combination of the three types of humor and also by envisioning humor as a finite-province of meaning in the tradition of Alfred Schutz’s essay “On Multiple Realities”. Exemplifying varieties of humor articulated by philosophical theory, especially the superiority theory, which undermines those thought “superior,” African-American humor, from the days of slavery until the 1960s, struggled against widespread cultural suppression, as a brief survey of its history shows. Contemporary philosophical discussions (...) of trust elucidate why it would have been perfectly rational and prudent for African-Americans to avoid sharing humor that vents legitimate aggressiveness against whites even though modified by humor, and yet these discussions present the possibility that by trusting another one can transform that other. One can find examples in African-American folklore, particularly the John/ole Massa stories, of a dream of doing what was impossible in pragmatic everyday life, namely to engage in a comic engagement with white slave-owners. In that dream, African-American slaves utopianly imagined themselves as able through humor understood as a finite province of meaning shaped by an epoché, form of spontaneity, reduced tension of consciousness, sense of self, and a distinctive temporality and sociality, to express outrage at injustice, transform even white slave-owners, and even win freedom for humorists themselves. (shrink)

"--Daniel Callahan, cofounder of the Hastings Center "Doctors and people who have no choice but to trust doctors--which means all of us--need to read this book.

Medical mistrust has a well‐documented harmful impact on a range of patients’ health behaviors and outcomes. It can have such egregious downstream effects on so many aspects of medicine—from clinical trial participation to health care use, timely screening, organ donation, and treatment adherence—that it is sometimes described as one of the social determinants of health. In the article “Trust, Risk, and Race in American Medicine,” Laura Specker Sullivan makes the compelling case that trust is essential to building (...) a therapeutic alliance in which effective, high‐quality health care can be delivered and received. As a complement to her suggestion that health care providers take an active role in mitigating mistrust by demonstrating “not only their capacity to be honest and forthright but also their ability to respond to the potential truster's needs,” we recommend that key health care professionals commit to five actions. (shrink)

Nagel's classic work deals with nineteenth-century America's coming awareness as a nation and its agonizing struggle to turn itself into a model republic. He perceptively explores the growth of American nationalism in its political, social, religious, economic, and literary implications. The resulting book is a vivid portrait of how America viewed itself, what concerned it deeply, and ultimately, of those forces in society that led to a new spirit of militant nationalism.

In this essay, we explore consequences of the systemic failure to track and to publicize the prevalence of patient‐safety threats in American medicine. Tens of millions of Americans lose trust in medical care every year due to safety shortfalls. Because this loss of trust is long‐lasting, the corrosive effects build up over time, yielding a collective maelstrom of mistrust among the American public. Yet no one seems to notice that patient safety is a root cause, because (...) no one is counting. In addition to identifying the origins of this purblindness, we offer an alternative policy approach. This would call for government to transparently track safety threats through the systematic collection and reporting of patients’ experiences. This alternative strategy offers real promise for stemming the erosion of trust that currently accompanies patient‐safety shortfalls while staying consistent with Americans’ preferences for a constrained government role with respect to medical care. (shrink)

Since the late 1960's, a mix of government policies has prevented the loss of farmland in Sweden, “either to forest or asphalt”; these policies have also ensured the maintenance of soil fertility and groundwater resources. However, in Sweden as in several other European nations, a chronic and growing “grain glut” in recent years has undermined the economic logic of import protection and farm price supports—the principle means of promoting a sustainable agriculture. Mainstream economists, imbued with urban-biased and production-centered values, (...) have long criticized these costly mechanisms of public support as cost-ineffective and socially unjustified. They and many prominent politicians tend to minimize the non-production benefits of maintaining an open “working landscape” and rural communities dependent upon agriculture. Historically, Sweden's major farm organizations and its agrarian political party have resisted this economistic view with considerable success. Therefore it was a shock to many observers when, in 1986, leaders of the Swedish Federation of Farmers itself proposed planting trees on crop land as one element of a solution to overproduction.This essay traces the evolution of Swedish farm debates and policies since World War II, leading to the present critical juncture. It explores the incipient alliance between farmers and conservationists to protect farmland (as well as family farms and farm communities) and assesses the prospects for maintaining land in production through diversification into biomass energy crops and high protein fodder crops (the former option takes on new significance in the wake of the Chernobil disaster and pressure for early de-commissioning of Sweden's nuclear power plants; the latter would reduce Swedish dependence on imported soybeans). Finally, there is speculation on the relevance of Sweden's experience for American farmland policy. (shrink)

Americans today don't trust each other and their institutions as much as they once did, fueling destructive ideological conflicts and hardened partisanship. In Trust in a Polarized Age, political philosopher Kevin Vallier argues that to build social trust and reduce polarization, we must strengthen liberal democratic institutions--high-quality governance, procedural fairness, markets, social welfare programs, freedom of association, and democracy. These institutions not only create trust, they do so justly, by recognizing and respecting our basic rights.

Situationists such as John Doris, Gilbert Harman, and Maria Merritt suppose that appeal to reliable behavioral dispositions can be dispensed with without radical revision to morality as we know it. This paper challenges this supposition, arguing that abandoning hope in reliable dispositions rules out genuine trust and forces us to suspend core reactive attitudes of gratitude and resentment, esteem and indignation. By examining situationism through the lens of trust we learn something about situationism (in particular, the radically revisionary (...) moral implications of its adoption) as well as something about trust (in particular, that the conditions necessary for genuine trust include a belief in a capacity for robust dispositions). (shrink)

In the early nineteenth century, authoritative treatise writers such as James Kent and Joseph Story represented Anglo-American trust law as a seamless web. But the transplantation of trust law from England to America was not a simple process of adherence. Rather, American courts and legislatures came to discard fundamental English trust doctrines. Restraints on anticipation and on alienation were embraced, and in key state jurisdictions bare trusts were abolished, or else displaced from the core of (...) trust law. Irreducible settlor power over beneficiaries and the strong protection of beneficiaries from creditors under spendthrift trusts were two strikingly original American creations, which flowed from these basic doctrinal choices. The changes made to American trust doctrine yield a paradox for the legal, social and economic historian, namely that republican America ended up with a more dynastic property law, more wedded to dead hand control and more hostile to commercial creditors, than did aristocratic England with its unreformed system of common law and equity rooted in the feudal property system. The American abandonment of free alienability of beneficial interests and the corresponding reduction of the beneficiary’s powers over trust assets may have been rooted in the volatility of credit in America and the desire of the wealthy to escape from the pressures of the market, though disparities between jurisdictions remain to be explained. (shrink)

In this issue of the American Journal of Bioethics, Kraft and colleagues (2018) provide important insights into the role trust plays in donor's decisions to contribute data and samples to local bio...

Ambiguity associated with everyday practice of science has made it difficult to reach a consensus on how to define misconduct in science. This essay outlines some of the important ambiguities of practice such as distinguishing data from noise, deciding whether results falsify a hypothesis, and converting research into research publications. The problem of ambiguity is further compounded by the prior intellectual commitments inherent in choosing problems and in dealing with the skepticism of one's colleagues. In preparing a draft code of (...) ethics for the American Society of Biochemistry and Molecular Biology (ASBMB), an attempt was made to take into account the ambiguities of practice. Also, the draft code adopted trust as its leading principle, specifically the importance of trust as a condition necessary for there to be science. During revision of the code, the focus on trust was changed. The new orientation was on trust as a consequence of carrying out science responsibly. By addressing the obligations necessary to engender trust, the ASBMB ethics code not only sets professional standards, but also makes a clear statement of public accountability. (shrink)

Previous evidence from developed nations has suggested that more trusting individuals are more likely to take financial risks, such as investing in the stock market. Previous studies have found that Chinese citizens have particularly high generalized trust and are more risk-seeking in investment compared with Americans, which makes China an interesting case. The current study examines the relation between generalized trust and stock market participation in China at both a contextual and individual level. Across provinces, a lower level (...) of generalized trust was associated with stock market participation. For example, the stock market participation was four times higher in provinces with the lowest level of perceived fairness than in provinces with the highest level of perceived fairness. The contextual effects of less generalized trust suggest an association between risk- taking behaviors and societal level inequality. At the individual level, trust of strangers was associated with risk preference in highly educated and wealthy people but its effect on risk behaviors was not clear. The findings suggest that trust may affect financial risk-taking behavior at different levels through different pathways, and that cultural differences in understanding of trust also need to be considered. (shrink)

Using a standard trust game, we elicit trust and reciprocity measures in a representative sample of adult players in Montevideo, the capital city of Uruguay, a country that received a sizeable influx of Venezuelan and Cuban migrants, has lower internal disparities than other Latin American countries and exhibits relatively better levels of tolerance towards migrants. We find no statistically significant differences in trust levels of Uruguayans towards countrymen versus migrants and mixed results regarding reciprocity, with migrants (...) exhibiting a flatter response to trust than their local counterparts. (shrink)

Trust in vaccination is eroding, and attitudes about vaccination have become more polarized. This is an observational study of Twitter analyzing the impact that COVID-19 had on vaccine discourse. We identify the actors, the language they use, how their language changed, and what can explain this change. First, we find that authors cluster into several large, interpretable groups, and that the discourse was greatly affected by American partisan politics. Over the course of our study, both Republicans and Democrats (...) entered the vaccine conversation in large numbers, forming coalitions with Antivaxxers and public health organizations, respectively. After the pandemic was officially declared, the interactions between these groups increased. Second, we show that the moral and non-moral language used by the various communities converged in interesting and informative ways. Finally, vector autoregression analysis indicates that differential responses to public health measures are likely part of what drove this convergence. Taken together, our results suggest that polarization around vaccination discourse in the context of COVID-19 was ultimately driven by a trust-first dynamic of political engagement. (shrink)

Background: Nursing turnover is a very serious problem, and nursing managers need to be aware of how ethical climates are associated with turnover intention. Objectives: The article explored the effects of ethical climates on nurses’ turnover intention, mediated through trust in their organization. Methods: A cross-sectional survey of 285 nurses from three Indian hospitals was conducted to test the research model. Various established Likert-type scales were used to measure ethical climates, turnover intention and trust in organization. Hierarchical regression (...) analysis and mediation analysis were used to test the model. Results: Hierarchical regression analysis and mediation analysis were used to test the model. The indirect effect of benevolent ethical climate on turnover intention through trust in organization was –0.20 with a 95% bootstrap confidence interval of lower level = –0.31 and upper level = –0.01. The indirect effect of principled ethical climate on turnover intention through trust in organization was –0.39 with a 95% bootstrap confidence interval of lower level = –0.58 and upper level = –0.17. Ethical considerations: The study adheres to the ethical standards recommended by the American Psychological Association for conducting research with informed consent, confidentiality and privacy. Conclusion: Both benevolent and principled ethical climates decreased turnover intention indirectly through trust in organization. Only principled ethical climates were directly associated with turnover intention. Our results suggest that nurse managers and leaders should try and establish principled and benevolent climates in order to engender trust in organization and to reduce turnover intention. (shrink)

A free markets needs ethical norms -- Moral maturity -- Ethics in business -- History of business values -- Factories, immigrants, and wealth -- Critics of capitalism -- Personal values and the firm -- Leaders, trust and watchdogs -- Globalization's impact on American values -- Future business values and sustainability.

Volume 20, Issue 6, June 2020, Page 33-35.

Dubljević et al. (2022) argue that neuroethics has a socio-political role that can “(1) serve to clarify and resolve conflicts, (2) orient the public with regards to the moral status of neurotechno...

With the growth of precision medicine research on health data and biospecimens, research institutions will need to build and maintain long-term, trusting relationships with patient-participants. While trust is important for all research relationships, the longitudinal nature of precision medicine research raises particular challenges for facilitating trust when the specifics of future studies are unknown. Based on focus groups with racially and ethnically diverse patients, we describe several factors that influence patient trust and potential institutional approaches to building (...) trustworthiness. Drawing on these findings, we suggest several considerations for research institutions seeking to cultivate long-term, trusting relationships with patients: Address the role of history and experience on trust, engage concerns about potential group harm, address cultural values and communication barriers, and integrate patient values and expectations into oversight and governance structures. (shrink)

Not only is deception commonplace in medical encounters, according to Christopher Meyers (2021), but the clinical ethicist might have moral obligations to support and even enact deception. Descriptively Meyers is right that there are “opportunistic, self-interested and benevolent reasons” for deception through omission and commission in clinical medicine. But it is possible to retain this premise while rejecting the normative conclusion that the clinical ethicist “should sometimes be an active participant in the deception of patients and families.” One reason to (...) reject the normative conclusion is its incompatibility with providing trauma informed ethics consultation (TIEC). In the TIEC framework I developed with Uchenna Anani, we defend the integration of trauma informed care (TIC) into ethics consultation (Lanphier and Anani 2021). While ethicists narrowly attend to the question and scope of the ethics consults made to them, doing so in alignment with trauma informed principles is tantamount to providing good ethics consultation. According to Meyers, the clinical ethicist is an “advocate for the best ethical choices.” The best ethical choices are also trauma informed ones. (shrink)

Epistemologists have recently started appealing to the moral philosophy literature on interpersonal trust in order to help explain the epistemology of testimony. We argue that epistemologists who have given trust a significant role in their accounts of the epistemology of testimony have appealed to very different conceptions of the nature of trust, which have inevitably influenced the shape of their epistemological theorizing. Some have employed accounts of the nature of interpersonal trust according to which trust (...) is a practical phenomenon subject to the will and to practical reasoning. Such accounts face the task of showing how the practical phenomenon that is interpersonal trust has epistemic implications for testimonial belief. Other theorists have employed accounts of the nature of interpersonal trust according to which trust is at least partly a cognitive phenomenon, itself subject to epistemic norms. Such accounts do not face the task of showing how practical rationality has implications for theoretical reason. Instead, they face the rather different tasks of showing how it is that cognitive trusting bears genuinely interpersonal features, and of how theoretical rationality can share features with practical rationality. (shrink)

"Active intervention" with suicidal callers to telephone crisis lines involves breaking confidentiality by dispatching emergency services, typically the police, to a suicidal person without that person's consent and sometimes without his or her knowledge.1 Those who oppose active intervention often refer to it as "nonvoluntary intervention." Active intervention is rapidly becoming the standard of practice for crisis centers and is required for certification by the American Association of Suicidology (AAS), the primary organization that certifies telephone crisis centers. A policy (...) of active intervention is also required for any crisis center affiliated with the Hope Line and the National Suicide Prevention Lifeline .. (shrink)

The article focuses on Kurt Vonnegut’s lesser-known and underappreciated 1987 novel Bluebeard, which is analyzed and interpreted in the light of Marianne Hirsch’s seminal theory of postmemory. Even though it was published prior to Hirsch’s formulation of the concept, Vonnegut’s novel intuitively anticipates it, problematizing the implications of inherited, second-hand memory. To further complicate matters, Rabo Karabekian, the protagonist-narrator of Bluebeard, a World War II veteran, amalgamates his direct, painful memories with those of his parents, survivors of the Armenian Genocide. (...) Both the novel and the theory applied to it centre on the problematics of historical and personal trauma, engendered by two genocides which are often the object of comparative analyses: the Armenian Genocide, also referred to as the Armenian Holocaust, and the Jewish Holocaust. The latter is central to Hirsch’s interdisciplinary work in the field of memory studies, encompassing literature, the visual arts and gender studies. In Bluebeard, Vonnegut holds to account a humanity responsible for the atrocities of twentieth-century history: two world wars and two genocides for which they respectively established the context. The article examines the American writer’s reflection on death and violence, man’s destructive impulse and annihilation. In a world overshadowed by memories of mass extermination, Vonnegut interrogates the possibility of a new beginning, pointing to women as agents of renewal and sociopolitical change. He also identifies the role that art plays in the process of potential reconstruction, the story of Karabekian, a failed artist and highly successful art collector, being a Künstlerroman with a feminist edge. (shrink)

Authors James Wilson and David Hunter (2010) take on the critics of research “overregulation,” defending institutional review boards (IRBs) and their role in research in three ways. According to Wi...

As a result of the world-wide COVID-19 epidemic, an internal tension in the goals of medicine has come to the forefront of public debate. Medical professionals are continuously faced with a tug of...

As presidential campaigns and “Saturday Night Live” have repeatedly demonstrated, debate is an uninteresting mode of communication, imitating dialogue without engaging in it. Formally it encourages infinite regress: my misreading of your misreading of my misreading of your misreading. Intellectually its conclusions are in some ways predetermined. In the short run, the winner is whoever speaks last; in the long run, whoever has the greater power. Rather than occasion or remark on further “shifty moments” , then, I will try to (...) review some general areas of contention suggested in my exchange with Eve Kosofsky Sedgwick.Although Sedgwick and I value the personal and the theoretical both, we disagree on the lines of intersection. I am struck by her initial situation of “Van Leer” in the ranks of those who feel silenced. The complaint might just as easily have been that he has entirely too much to say. Nor, if autobiography is really the issue, do I in any way regret the notoriety of Sedgwick’s work? From what I take to be my point of view, Sedgwick’s book has opened up for me a far more visible space in the academy than has my own. And I attribute to myself at least enough self-consciousness to recognize the disingenuousness of “feeling silenced” in Critical Inquiry. David Van Leer is associate professor of English and American literature at the University of California, Davis. The author of Emerson’s Epistemology: The Argument of the Essays , he is currently examining the issue of contextualism in a book to be called The Queening of America. (shrink)

Americans today are far less likely to trust their institutions, and each other, than in decades past. This collapse in social and political trust arguably fuels our increasingly ferocious ideological conflicts and hardened partisanship. Many believe that our previously high levels of trust and bipartisanship were a pleasant anomaly and that we now live under the historic norm. Seen this way, politics itself is nothing more than a power struggle between groups with irreconcilable aims: contemporary American (...) politics is war because political life as such is war. -/- Must Politics Be War? argues that our shared liberal democratic institutions have the unique capacity to sustain social and political trust between diverse persons. In succinct, convincing prose, Kevin Vallier argues that constitutional rights and democratic governance prevent any one ideology or faith from dominating all others, thereby protecting each person's freedom to live according to her values and principles. Illiberal arrangements, where one group's ideology or faith reigns, turn those who disagree into unwilling subversives, persons with little reason to trust their regime or to be trustworthy in obeying it. Liberal arrangements, in contrast, incentivize trust and trustworthiness because they allow people with diverse and divergent ends to act with conviction. Those with opposing viewpoints become trustworthy because they can obey the rules of their society without acting against their ideals. Therefore, as Vallier illuminates, a liberal society is one at moral peace with a politics that is not war. (shrink)

Layers of complexity arise when a person arrives in an Intensive Care Unit (ICU) due to self-harm intended to end their life and when there is known past personal trauma. We highlight three importa...

Valid Informed consent to medical treatment or research participation has traditionally been viewed as consisting of the following requirements: the person has t...