La injusticia epistémica significa desacreditar a alguien en su capacidad de sujeto de conocimiento. En las instituciones psiquiátricas se filtran los sesgos y prejuicios, las injusticias e inequidades del conjunto de la sociedad. Las personas diagnosticadas con problemas de « salud mental» suelen ser estereotipadas negativamente y desacreditadas cognoscitivamente. En este artículo analizamos este tema a través del documental uruguayo Locura al aire (2018), basado en una experiencia radial que surgió en una institución psiquiátrica de Montevideo liderada por un grupo (...) de pacientes ambulatorios y de psicólogos con autonomía de la institución. La invitación a participar en el primer encuentro de «radios locas» en México es la excusa para la realización de este documental donde exploramos las injusticias testimoniales y hermenéuticas y visibilizamos el ineludible lugar del cuerpo y las emociones en la producción de conocimiento. La experiencia de la radio Vilardevoz expresa un modo de contrarrestar y resistir al estigma y la agencia disminuida que suelen experimentar los pacientes psiquiátricos, reivindicando así un espacio epistémico alternativo. En primer lugar, nos detendremos en la injusticia como norma del sistema médico, luego en la radio Vilardevoz como espacio de resistencia epistémica y finalizamos con algunas reflexiones sobre este espacio comunitario. Palabras clave: Injusticia epistémica, emociones, resistencia, Vilardevoz. (shrink)

BackgroundClinical ethics support aims to support health care professionals in dealing with ethical issues in clinical practice. Although the prevalence of CES is increasing, it does meet challenges and pressing questions regarding implementation and organization. In this paper we present a specific way of organizing CES, which we have called integrative CES, and argue that this approach meets some of the challenges regarding implementation and organization.MethodsThis integrative approach was developed in an iterative process, combining actual experiences in a case study (...) in which we offered CES to a team that provides transgender health care and reflecting on the theoretical underpinnings of our work stemming from pragmatism, hermeneutics and organizational and educational sciences.ResultsIn this paper we describe five key characteristics of an integrative approach to CES; 1. Positioning CES more within care practices, 2. Involving new perspectives, 3. Creating co-ownership of CES, 4. Paying attention to follow up, and 5. Developing innovative CES activities through an emerging design.ConclusionsIn the discussion we compare this approach to the integrated approach to CES developed in the US and the hub and spokes strategy developed in Canada. Furthermore, we reflect on how an integrative approach to CES can help to handle some of the challenges of current CES. (shrink)

Drawing on the built environment concept of “inclusive design” and its emphasis on creating accessible environments for all persons regardless of ability, I suggest that a central task for feminist disability theory is to redesign foundational philosophical concepts to present opportunities rather than barriers to inclusion for people with disability. Accounts of autonomy within liberal philosophy stress self-determination and the dignity of all individual persons, but have excluded people with intellectual disability from moral and political theories by denying their capacity (...) for individual autonomy, seen as a chief marker of moral personhood. This paper modifies and extends feminist theories of relational autonomy by arguing for the need to view autonomy as a feature of persons that is manifested only through relations of support, advocacy, and enablement. An “inclusively designed,” relational account negotiates the tensions encountered in attempts to apply autonomy to people with high support needs, and politicizes the concept as an advocacy tool for people with intellectual disability and their allies. (shrink)

This paper presents the contribution of the pragmatic sociology of critical capacities to the understanding of environmental conflicts. In the field of 'environmental valuation', nowadays colonised by economics, the approach of plural modes (or 'regimes') of engagement provides a sociological understanding of the unequal power of conflicting 'languages of valuation'. This frame entails a shift from 'values' to 'modes of valuation', and links modes of valuation to modes of practical engagement and coordination with the surrounding environment. Different social sources of (...) incommensurability are thus detected and reframed as critical tension within and among modes of human coordination with the environment. (shrink)

Clinical ethics support for health care professionals and patients is increasingly seen as part of good health care. However, there is a key drawback to the way CES services are currently offered. They are often performed as isolated and one-off services whose ownership and impact are unclear. This paper describes the development of an integrative approach to CES at the Center of Expertise and Care for Gender Dysphoria at Amsterdam University Medical Center. We specifically aimed to integrate CES into daily (...) work processes at the CEGD. In this paper, we describe the CES services offered there in detail and elaborate on the 16 lessons we learned from the process of developing an integrative approach to CES. These learning points can inform and inspire CES professionals, who wish to bring about greater integration of CES services into clinical practice. (shrink)

The prevalence of Clinical ethics support services is increasing. Yet, questions about what quality of CES entails and how to foster the quality of CES remain. This paper describes the development of a national network, which aimed to conceptualize and foster the quality of CES in the Netherlands simultaneously. Our methodology was inspired by a responsive evaluation approach which shares some of our key theoretical presuppositions of CES. A responsive evaluation methodology engages stakeholders in developing quality standards of a certain (...) practice, instead of evaluating a practice by predefined standards. In this paper, we describe the relationship between our theoretical viewpoint on CES and a responsive evaluation methodology. Then we describe the development of the network and focus on three activities that exemplify our approach. In the discussion, we reflect on the similarities and differences between our approach and other international initiatives focusing on the quality of CES. (shrink)

Clinical ethics support for health care professionals and patients is increasingly seen as part of good health care. However, there is a key drawback to the way CES services are currently offered. They are often performed as isolated and one-off services whose ownership and impact are unclear. This paper describes the development of an integrative approach to CES at the Center of Expertise and Care for Gender Dysphoria at Amsterdam University Medical Center. We specifically aimed to integrate CES into daily (...) work processes at the CEGD. In this paper, we describe the CES services offered there in detail and elaborate on the 16 lessons we learned from the process of developing an integrative approach to CES. These learning points can inform and inspire CES professionals, who wish to bring about greater integration of CES services into clinical practice. (shrink)

While no one seems to believe that business schools or their faculties bear entire responsibility for the ethical decision-making processes of their students, these same institutions do have some burden of accountability for educating students surrounding these skills. To that end, the standards promulgated by the Association to Advance Collegiate School of Business, their global accrediting body, require that students learn ethics as part of a business degree. However, since the AACSB does not require the inclusion of a specific course (...) to achieve this objective, it may be satisfied by establishing a stand-alone course in ethical decision-making, by integrating ethical decision-making into the existing curricula, by some combination of the two strategies, or through some alternative mechanism. Notwithstanding the choice of delivery process, though, the institution must ensure that it is able to demonstrate the students' achievement of learning with regard to ethics, a bar that was raised, or arguably simply modified, in 2003. With learning objectives designed precisely to measure the student delta based on content, process and engagement in a particular class, those programs that have opted for stand-alone ethics courses may be more prepared to respond to assessment-related inquiries regarding their programs or satisfaction of the standards. The relevance of the AACSB standards modification to the current efforts at ethics integration in business programs is instead a re-examination of how to create a program of integration that is designed to ensure the most effective learning results possible, while responding to the challenges presented by the integrated approach. The purpose of this article is to explore some of those challenges that may be somewhat universal to business school programs implementing the integrated approach, and to share one large university's response to those challenges, along with lessons learned. (shrink)

This article analyses ethnographic material gathered in Sweden amongst dancers in the Church of Sweden. With the help of the writings of Sarah Coakley and Simone Weil I explore if, and how, dancing could be considered a contemplative practice in the Christian traditions of the Latin West.

A sociologist examines contemporary engagements of queer bodies and identities with fertility biomedicine. Drawing on social science, media culture, and the author’s own empirical research, three questions frame the analysis: 1. In what ways have queers on the gendered margins moved into the center and become implicated or central users of biomedicine’s fertility offerings? 2. In what ways is Fertility Inc. transformed by its own incorporation of various gendered and queered bodies and identities? And 3. What are the biosocial and (...) bioethical implications of expanded queer engagements and possibilities with Fertility Inc.? The author argues that “patient” activism through web 2.0 coupled with a largely unregulated free-market of assisted reproduction has included various queer identities as “parents-in-waiting.” Such inclusions raise a set of ethical tensions regarding how to be accountable to the many people implicated in this supply and demand industry. (shrink)

In this paper, we examined how companies are employing new media to engage in dialogue with their stakeholders about corporate social responsibility -related matters. Through a qualitative theory-building study conducted in three stages over a period of 2 years, we discovered that corporations with reputations for CSR have built virtual spaces for dialogue about CSR, but that these spaces remain empty of dialogue. Our theory-building model highlights how the mix of four dialogue processes may allow companies to create open dialogue (...) about CSR initiatives and avoid leaving these spaces empty. Contributions for CSR studies are discussed. (shrink)

Essays and articles in the November‐December 2022 issue of the Hastings Center Report explore the complexities of medical decision‐making. A case‐study essay, for example, argues that the dismaying decision to perform resuscitation efforts on a patient who had obviously been dead for some time can be understood in the context of the harmful practice of defensive medicine. A narrative essay concerns whether an adolescent with locked‐in syndrome should be asked her wishes about life‐sustaining interventions, and the articles illuminate the ethical (...) value of the parental role in pediatric decision‐making, an array of ways in which patient decision‐making is interdependent, and the limitations of measures designed to evaluate the quality of a patient's decision and decision‐making process. (shrink)

The following address considers the relevance of business ethics education to our students. Is our concept of ethics one of practiceand application? And, if so, are we accountable to our students, our institutions and ourselves, for the practical impact that we haveor, conversely, that we do not have? Aren’t we responsible in part if one of our students ventures forth and does not act in an ethicalmanner? Though a positive response to this query may not be popular, what is the (...) alternative? If we are not responsible for the impact(or lack thereof) that we have on our students, then what is our purpose? The discussion further explores the nature of this impact andthe process by which we can amplify the results. (shrink)

The American Assembly of Collegiate Schools of Business has called for stronger ethics programs. There are two problems with this battle cry. First, the AACSB rejects, with weak arguments, the single best way to get ethics into the curriculum. Second, the AACSB can only vaguely describe some unpromising alternatives to that strategy. A number of leading business ethicists have challenged the AACSB to defend and clarify its views, to little avail. The proposed Procedures and Standards cannot by themselves bring about (...) any significant change in the teaching of business ethics. There is a gap between the AACSB’s professed objectives and the means for achieving the objectives and determining whether they are being achieved. The Statement about Curriculum Content gives great prominence to the teaching of business ethics, but the interpretation of the statement, especially in the standards for measuring achievement, shows how improbable it is that the proposed Procedures and Standards will have the desired impact. We must recognize the constraints on the AACSB as we consider current standards and the controversy over a free-standing course versus an integrated curricular approach. The evident conclusion is a call, not only to the AACSB but to all business school educators, to set the stage for strengthened ethics education rather than to have standards imposed on us from outside. (shrink)

This paper discusses the widespread use of "trolley problems" in the ethics classroom from a critical perspective. After tracing the enormous popularity of ‘trolleyology’ in recent moral philosophy, differentiating various functions these hypotheticals are supposed to fulfill in ethical discourse and carving out the underlying conception of normative ethics as a quasi-scientific enterprise, I examine how they are constructed and how they affect their recipient. Against this background, I argue that despite their popularity, the use of trolley problems in the (...) ethics classroom turns out to be questionable for a number of reasons, most of which have already been advanced in the philosophical debate but hardly been reflected upon in the didactic context. Finally, I argue that the deconstruction of trolleyesque scenarios would be a good educational use of them. When it comes to using cases for didactic purposes, I suggest we give trolley problems a rest and develop more realistic scenarios. (shrink)

In this paper, we examine the drivers involved in an alternative business model: cross-sector social partnerships between for-profit, predominantly multinational corporations and nonprofit organizations. We explore these cross-sector social partnerships from the perspective of these primary stakeholders, examining the questions of power differentials and the definitions and determinants of success. In order more deeply to understand these drivers, we review the evolution of the concept of “value” and the perception of the value that each stakeholder brings to the partnership. We (...) then describe and offer the results of an empirical, qualitative study of 18 CSSPs, where we analyze each partner's representations of success, outcomes sought and distinctions in determinants of value within the partnerships. (shrink)

The American Assembly of Collegiate Schools of Business has called for stronger ethics programs. There are two problems with this battle cry. First, the AACSB rejects, with weak arguments, the single best way to get ethics into the curriculum. Second, the AACSB can only vaguely describe some unpromising alternatives to that strategy. A number of leading business ethicists have challenged the AACSB to defend and clarify its views, to little avail. The proposed Procedures and Standards cannot by themselves bring about (...) any significant change in the teaching of business ethics. There is a gap between the AACSB’s professed objectives and the means for achieving the objectives and determining whether they are being achieved. The Statement about Curriculum Content gives great prominence to the teaching of business ethics, but the interpretation of the statement, especially in the standards for measuring achievement, shows how improbable it is that the proposed Procedures and Standards will have the desired impact. We must recognize the constraints on the AACSB as we consider current standards and the controversy over a free-standing course versus an integrated curricular approach. The evident conclusion is a call, not only to the AACSB but to all business school educators, to set the stage for strengthened ethics education rather than to have standards imposed on us from outside. (shrink)

A single mother doing her best to raise her children. A small business owner realizing her dreams in a rural Kansas town. A caregiver for a disabled child. All these Kansans deserve the ability to...

Background The use of tissue collected at a forensic post-mortem for forensic genetics research purposes remains of ethical concern as the process involves obtaining informed consent from grieving family members. Two forensic genetics research studies using tissue collected from a forensic post-mortem were recently initiated at our institution and were the first of their kind to be conducted in Cape Town, South Africa. Main body This article discusses some of the ethical challenges that were encountered in these research projects. Among (...) these challenges was the adaptation of research workflows to fit in with an exceptionally busy service delivery that is operating with limited resources. Whilst seeking guidance from the literature regarding research on deceased populations, it was noted that next of kin of decedents are not formally recognised as a vulnerable group in the existing ethical and legal frameworks in South Africa. The authors recommend that research in the forensic mortuary setting is approached using guidance for vulnerable groups, and the benefit to risk standard needs to be strongly justified. Lastly, when planning forensic genetics research, consideration must be given to the potential of uncovering incidental findings, funding to validate these findings and the feedback of results to family members; the latter of which is recommended to occur through a genetic counsellor. Conclusion It is hoped that these experiences will contribute towards a formal framework for conducting forensic genetic research in medico-legal mortuaries in South Africa. (shrink)

The family presents an interesting challenge to many conceptions of collective activity and the makeup of social groups. Social philosophers define social groups as being comprised of individuals who knowingly consent to their group membership or voluntarily act to continue their group membership. This notion of voluntarism that is built into the concept of a social group rests upon a narrow conception of agency that is difficult to extend beyond able-minded autonomous adults. Families, however, are often comprised of members who (...) supposedly lack this developed sense of agency and are therefore considered incapable of consenting to join or remain in a group: infants and small children. So, the family seems to be an odd fit for the designation of social group, even though it is often heralded as a paradigm example of one. In this paper I argue that children and infants are in fact agents who are capable of collective intentionality, especially in the context of the family where they act cooperatively and reciprocally with their caretakers. In doing so, I present an understanding of the family as a social group that has degrees of voluntarism for all members in the forms of joint readiness and joint commitment. I argue for this in three steps. First, I employ Margaret Gilbert’s concepts of joint commitment and joint readiness as a framework for collective intentionality. Second, echoing Carol Gould, I argue that we ought to expand our understanding of agency beyond the ideal case. Third, I draw upon recent research from Michael Tomasello that demonstrate a child’s ability to act cooperatively and reciprocally. Together these steps provide a strong foundation for the claim that children and infants are agents capable of collective intentionality within families. (shrink)

L’étude de la notion de nous est un cas très intéressant pour saisir la différence entre l’épistémologie de Socrate et celle de Platon. En effet, le mot nous, au coeur de l’épistémologie du Phédon et de la République malgré des différences évidentes, n’apparaît que rarement dans les dialogues de jeunesse et dans les témoignages de la première génération de socratiques. Il est donc nécessaire de comprendre pourquoi le nous n’est pas central dans la méthode socratique, et une des raisons de (...) la différence entre les méthodes socratique et platonicienne se trouve dans la distinction entre noein et phronein. Si pour Platon la connaissance est d’ordre intellectuel, elle est pour Socrate d'ordre pratique; si la méthode dialectique conduit à la vision des idées, la méthode de définition socratique conduit à l’aporie; si la vision est au coeur du nous, la phronesis tient du sentir et de l’écoute. Malgré ces différences, qui doivent être soulignées pour saisir la spécificité des deux méthodes, le rôle de l'eros dans la connaissance met au jour une forme de continuité entre les deux épistémologies et, ainsi, entre la phronesis et le nous. (shrink)

This paper explores the effect of different types of incubation task (visual, numerical and verbal) with various levels of attentional focus and cognitive effort (non-demanding, low-demanding and high-demanding) on the resolution of insight problems. The most effective was found to be the low-demanding task (regardless of its nature), which although requiring attentional focus, leaves resources available for the unconscious analytical restructuring process, obtaining a high percentage of success in solving the problem shortly after completion of the incubation task. Overall findings (...) support the hypothesis of Unconscious Analytic Thought (UAT), according to which the restructuring required in insight problem solving implies a covert thinking process that includes a relevant, analytic and goal-oriented search. The findings are discussed in the light of UAT and are compared with the main theories of insight in problem solving. (shrink)

Certification programs seek to promote decent work in global agriculture, yet little is known about their gender standards and implications for female workers, who are often the most disadvantaged. This study outlines the gender standard domains of major agricultural certifications, showing how some programs (Fair Trade USA, Rainforest) prioritize addressing gender equality in employment and others (Fairtrade International, UTZ) incorporate wider gender rights. To illuminate the implications of gender standards in practice, I analyze Fairtrade certification and worker experience on certified (...) flower plantations in Ecuador, drawing on a qualitative and quantitative field research study. (1) I show how Fairtrade seeks to bolster the wellbeing of female workers, addressing their workplace needs via equal employment, treatment, and remuneration standards and their reproductive needs via maternity leave and childcare services. My research demonstrates that for female workers, addressing family responsibilities is critical, since they shape women’s ability to take paid jobs, their employment needs, and their overall wellbeing. (2) I show how Fairtrade seeks to bolster the rights of women workers through individual and collective capacity building standards. My findings reveal how promoting women’s individual empowerment serves as a precondition for collective empowerment, and how targeting traditional labor rights is insufficient for empowering female workers, since their strategic choices are curtailed largely outside the workplace. While Fairtrade certification bolsters the wellbeing and rights of female workers in and beyond the workplace, much still needs to be done before women can claim their rights as workers and citizens. (shrink)

What is wonder? What would it mean to live our lives in wonder or with wonder? Is it possible for wonder to play an integral role in our aesthetic, ethical, and pedagogical experiences? Philosophy is said to begin with wonder. For Plato, wonder is the arche that grounds all philosophical inquiry. I propose to begin my ethical and aesthetic investigation of wonder with Plato, but, unlike Plato who places the imagination’s capacity to be astonished at the bottom of a hierarchy (...) that quests for knowledge and understanding, I will argue that an ethics and aesthetics based on wonder would allow for the imagination to play an active role in all our encounters. First, I look at different philosophical treatments of wonder and then consider the role wonder plays as a virtue. Next I examine the wondrous in relation to aesthetic and ethical experiences, exploring art exhibits and a play, and conclude by drawing upon the many sides of wonder and considering its role in education. In my wanderings on wonder, I seek to value wonder as an integral part of ourselves, in all our imaginings, understandings, growth, and knowledge acquisition. (shrink)

Recently, some philosophers of mind have called the attention to the idea according to which we can perceive, in many cases, some mental states of others. In this paper we consider two recent proposals: the co-presence thesis and the hybrid model. We will examine the aforementioned alternatives and present some objections against both of them. Then, we will propose a way of integrating both accounts that allows us to avoid these objections. In a nutshell, our idea is that by perceiving (...) other people’s behaviors we perceive their mental states because behaviors co-present some features of the latter that go beyond the former, and this perception of others’ minds is direct an immediate because behavior is a constitutive part of mental states. (shrink)

That Schopenhauer’s view of Buddhism influenced Wagner’s and Nietzsche’s Buddhism seems a commonplace among scholars. However, there seem to be no studies which actually demonstrated this, showing how Schopenhauer was their main source of Buddhism compared to the other Buddhist texts they read. In this article, I aim to fill this gap, analysing Wagner’s and Nietzsche’s Buddhism in the light of the sources of Buddhism they read. This will allow me to demonstrate how Schopenhauer was the main source of Buddhism (...) for both Wagner and Nietzsche, having a deep and long-lasting impact on their conceptions of Buddhism. (shrink)

In his commentary on Aristotle’s De intepretatione, Ammonius criticises the view, which he ascribes to Alexander of Aphrodisias, that epirrhêmata, ‘adverbs’, fall under the rubric of onoma. While it is difficult to establish Alexander’s view on the basis of Ammonius’s criticism, I argue that an intelligible view can be reconstructed, mainly based on evidence in Alexander’s commentary on the Topics, about different types of adverbs. In particular, I suggest that Alexander, apparently unlike Ammonius, may have drawn a distinction between two (...) classes of adverbs Aristotle deals with in his logical writings: tropoi (modal operators); and ptôseis, i.e. the specific type of ‘inflections’ (adverbs in -ôs derived from a noun – usually an abstract noun) playing a prominent role in several of the topoi Aristotle gives in the Topics. (shrink)

(1987). The vésuviennes: Images of women warriors in 1848 and their significance for French history. History of European Ideas: Vol. 8, No. 4-5, pp. 451-488.