Testimonial injustice occurs when bias against the credibility of certain social identities results in discounting of their contributions to deliberations. In this analysis, we describe testimonial injustice against women and how it figures in macroallocation procedure. We show how it harms women as deliberators, undermines the objective of inclusivity in macroallocation and affects the justice of resource distributions. We suggest that remedial action is warranted in order to limit the effects of testimonial injustice in this context, especially on marginalised and (...) disadvantaged groups, and propose three areas for action, whose implementation might feasibly be achieved by those immediately involved in macroallocation. (shrink)

Responding to the stimulus afforded by Little et al.’s “Pragmatic pluralism: Mutual tolerance of contested understandings between orthodox and alternative practitioners in autologous stem cell transplantation,” this paper explores how the norms of qualitative inquiry affect the representation of emotion in research reports. It describes a conflict between the construction of emotion in qualitative research accounts and its application to analysis and theorization, whose origins may lie in researchers’ reticence when it comes to conveying or using the emotional features of (...) data. The technical aspects of report writing that are associated with this conflict are explored via a deconstruction of Little et al.’s paper and a survey of the qualitative research methods literature. Writing to convey emotion and analysing to include author-constructed emotional context are neglected topics. Using data in Little et al.’s text, the paper demonstrates the importance of author-constructed emotional context to theory generation. The paper recommends the inclusion of emotional context as data in analysis and points to lessons Little et al.’s paper offers in the areas of narrative technique and reflexive practice. (shrink)

In this analysis of the ethical dimensions of doctors’ participation in macroallocation we set out to understand the skills they use, how they are acquired, and how they influence performance of the role. Using the principles of grounded moral analysis, we conducted a semi-structured interview study with Australian doctors engaged in macroallocation. We found that they performed expertise as argument, bringing together phronetic and rhetorical skills founded on communication, strategic thinking, finance, and health data. They had made significant, purposeful efforts (...) to gain skills for the role. Our findings challenge common assumptions about doctors’ preferences in argumentation, and reveal an unexpected commitment to practical reason. Using the ethics of Paul Ricoeur in our analysis enabled us to identify the moral meaning of doctors’ skills and learning. We concluded that Ricoeur’s ethics offers an empirically grounded matrix for ethical analysis of the doctor’s role in macroallocation that may help to establish norms for procedure. (shrink)

In most socialised health systems there are formal processes that manage resource scarcity and determine the allocation of funds to health services in accordance with their priority. In this analysis, part of a larger qualitative study examining the ethical issues entailed in doctors’ participation as technical experts in priority setting, we describe the values and ethical commitments of doctors who engage in priority setting and make an empirically derived contribution towards the identification of an ethical framework for doctors’ macroallocation work. (...) We conducted semi-structured interviews with 20 doctors, each of whom participated in macroallocation at one or more levels of the Australian health system. Our sampling, data-collection, and analysis strategies were closely modelled on grounded moral analysis, an iterative empirical bioethics methodology that employs contemporaneous interchange between the ethical and empirical to support normative claims grounded in practice. The values held in common by the doctors in our sample related to the domains of personal ethics, justice, and practices of argumentation. Applying the principles of grounded moral analysis, we identified that our participants’ ideas of the good in macroallocation and their normative insights into the practice were strongly aligned with the three levels of Paul Ricoeur’s ‘little ethics’: ‘aiming at the “good life” lived with and for others in just institutions’. Our findings suggest new ways of understanding how doctors’ values might have procedural and substantive impacts on macroallocation, and challenge the prevailing assumption that doctors in this milieu are motivated primarily by deontological considerations. Our empirical bioethics approach enabled us to identify an ethical framework for medical work in macroallocation that was grounded in the values and ethical intuitions of doctors engaged in actions of distributive justice. The concordance between Ricoeur’s ‘little ethics’ and macroallocation practitioners’ experiences, and its embrace of mutuality, suggest that it has the potential to guide practice, support ethical reflection, and harmonise deliberative practices amongst actors in macroallocation generally. (shrink)

Doctors are increasingly enjoined by their professional organisations to involve themselves in supraclinical advocacy, which embraces activities focused on changing practice and the system in order to address the social determinants of health. The moral basis for doctors’ decisions on whether or not to do so has been the subject of little empirical research. This opportunistic qualitative study of the values of medical graduates associated with the Sydney Medical School explores the processes that contribute to doctors’ decisions about taking up (...) the advocate role. Our findings show that personal ideals were more important than professional commitments in shaping doctors’ decisions on engagement in advocacy. Experiences in early life and during training, including exposure to power and powerlessness, significantly influenced their role choices. Doctors included supraclinical advocacy in their mature practices if it satisfied their desire to achieve excellence. These findings suggest that common approaches to promoting and facilitating advocacy as an individual professional obligation are not fully congruent with the experiences and values of doctors that are significant in creating the advocate. It would seem important to understand better the moral commitments inherent in advocacy to inform future developments in codes of medical ethics and medical education programs. (shrink)

Little research has explored the possible effects of government institutions in emerging economies on ethical reviews of multinational research. We conducted semi-structured, in-depth telephone interviews with 15 researchers, Research Ethics Committees personnel, and a government agency member involved in multinational HIV Prevention Trials Network research in emerging economies. Ministries of Health or other government agencies often play pivotal roles as facilitators or barriers in the research ethics approval process. Government agency RECs reviewing protocols may face particular challenges, as they can (...) lack resources, be poorly organized, have inconsistent review processes and limited expertise, and use differing definitions of national interests, including upholding national reputation and avoiding potential exploitation and stigma of the country's population. The MOH/governmental review body may be affected by power dynamics and politics in study reviews; may consider issues both related and unrelated to research ethics as understood elsewhere; and may prioritize particular diseases, treatments, or interventions over other topics/types of research. Poor communication and deeply-rooted tensions may exist between sponsor and host countries, impeding optimal interactions and reviews. Investigators must understand and plan for the potential effects of governmental agencies on multinational collaborative research, including preserving adequate time for agency review, and contacting these agencies beforehand to address issues that may arise. Better understanding of these issues can aid and advance appropriate global scientific collaboration. (shrink)

David Chalmers supports his contention that there is a possible world populated by our zombie twins by arguing for the assumption that conceivability entails possibility. But, I argue, the modal epistemology he sets forth, ‘modal rationalism,’ ignores the problem of incompleteness and relies on an idealized notion of conceivability. As a consequence, this epistemology can’t justify our quotidian judgments of possibility, let alone those judgments that concern the mind/body connection. Working from the analogy that the imagination is to the possible (...) as perception is to the actual, I set forth a competing epistemology, ‘modal empiricism.’ This epistemology survives the incompleteness objection and allows some of our everyday modal judgments to be justified. But this epistemology can’t justify the claim that Zombie World is possible, which leaves Chalmers’s property dualism without the support it needs. (shrink)

Feminism is an antiauthoritarian movement that has sought to unmask many traditional “authorities” as ungrounded. Given this, it might seem as if feminists are required to abandon the concept of authority altogether. But, we argue, the exercise of authority enables us to coordinate our efforts to achieve larger social goods and, hence, should be preserved. Instead, what is needed and what we provide for here is a way to distinguish legitimate authority from objectionable authoritarianism.

We can safely infer that a proposition is possible if p is the case. But, I argue, this inference from the actual to the possible is merely explicative in nature, though we employ it at times as if it were ampliative. To make this inference ampliative, we need to include an inference to the best explanation. Specifically, we can draw a substantive conclusion as to whether p is possible from the fact that p is the case, if via our best (...) explanation we can explain how p could occur again in the complete and coherent set of propositions that describes the actual world. (shrink)

Feminism is an antiauthoritarian movement that has sought to unmask many traditional “authorities” as ungrounded. Given this, it might seem as if feminists are required to abandon the concept of authority altogether. But, we argue, the exercise of authority enables us to coordinate our efforts to achieve larger social goods and, hence, should be preserved. Instead, what is needed and what we provide for here is a way to distinguish legitimate authority from objectionable authoritarianism.

Burgess-Jackson argues that the duties we have to our companion animals are similar to the duties we have to our children. Specifically, he argues that a person who takes custody of either a nonhuman animal or a child elevates the moral status of the child or animal, endowing each with rights neither had before. These rights obligate that person to provide for the well being of the creature—animal or child—in question. This paper offers two arguments against this position. First, a (...) creature's rights rest solely on the creature's intrinsic properties. Thus, the person taking custody of a creature does not endow the creature with new rights. Rather, the custodian assumes the responsibilities associated with ensuring that the creature's rights are protected and preserved. Second, our children possess intrinsic properties and, hence, rights—most important, the right to life—that our pets lack. This difference undermines the analogy on which Burgess-Jackson's argument depends. Our pets are not like our children, as Burgess-Jackson claims. Instead, they are more akin to our slaves. (shrink)

Hélène Cixous has written a substantial body of writings about art. This article borrows Derrida's conception of the countersignature to explore the relationship she envisages in them between the plastic arts and writing. It argues that the works to which Cixous is drawn, many of which involve copying words, are driven by the desire to capture what is essentially uncapturable in the artist's idiom. Recognizing in them a displacement of her own concerns, Cixous suggests in these texts that all art (...) speaks a common language in so far as it represents the same attempt to pass beyond its own limits, visual or verbal. Writing and painting are thus as much translations of each other as one language is of another. In particular, their status as translations or copies profoundly troubles the possibility of determining the signatory of the text. (shrink)

This article discusses Glas in the light of Derrida's notion of the countersignature as both affirmation and betrayal of the countersigned. It explores how the two columns of Glas confirm as well as oppose each other, notably in relation to sexual difference, and examines how Derrida in turn is both faithful and unfaithful towards Hegel and Genet. Tracing the complexity of Derrida's signature, it reflects on its broader implications for his deconstructive project.

ABSTRACT: Recently the discussion surrounding the conceivability thesis has been less about the link between conceivability and possibility per se and more about the requirements of a successful physicalist program. But before entering this debate it is necessary to consider whether conceivability provides us with even prima facie justification for our modal beliefs. I argue that two methods of conceiving—imagining that p and telling a story about p—can provide us with such justification, but only if certain requirements are met. To (...) make these arguments, I consider those of Paul Tidman, whose position I use as a foil.RÉSUMÉ: Dernièrement, le débat sur la thèse de la concevabilité a peu porté sur le lien entre la concevabilité et la possibilité per se et s’est plutôt intéressé aux conditions requises pour la réalisation du programme physicaliste. Toutefois, avant d’entrer dans ce débat, il est nécessaire de se demander si la concevabilité offre une justification même élémentaire des croyances modales. Je soutiens que deux méthodesde concevoir — imaginer que p et raconter une histoire à propos de p — sont susceptibles de nous fournir cette justification, mais seulement dans la limite de certaines conditions. À l’appui de mon propos, j’envisage la position de Paul Tidman, qui me sert de repoussoir. (shrink)

Consider the claim: Our actions are free if and only if we could have done otherwise; or the claim, We are essentially mental substances because we can exist without our bodies. Both of these claims, along with countless others, employ a notion of possibility. If this notion is to have a place in philosophy, we must be able to justify our modal claims. We need an epistemology of possibility. It is often assumed that the imagination is the key here. The (...) assumption is this; if I can imagine that a proposition is the case, then p is possible. Suppose I am wondering whether Kant Critique could float above my desk; if I can imagine this book floating, then it is possible. But is the imagination a guide to the modal status of propositions? ;To answer this question we must first consider what it is to imagine a proposition. We can distinguish five main methods of imagining: to imagine is to form a mental image, to evoke experiences, to suppose, to pretend, or it is to tell a story. Can any of these methods provide us with a guide to possibility? I contend that only the last two methods are up to this task insofar as they provide us with evidence of p's modal status. Moreover, how good that evidence is depends on our ability to satisfy the requirements of completeness, coherence, and accuracy. Finally, I argue that we will have the best evidence for the possibility of p, if we combine these two methods. For by combining our evoked experiences with a story, we will generate experiences of p, the best possible explanation of a world in which p is true, and an account of p's truth that complements this explanation. Thus, given explanationist standards, we will have what we need to be justified in concluding that p is possible. (shrink)

Some hold that if we can imagine God creating a world in which a particular proposition (p) is true, then we can conclude that p is possible. I argue that such appeals to God can’t provide us with a guide to possibility. For either God’s powers aren’t co-extensive with the possible or they are. And if they are, these appeals either beg the question or court a version of Euthyphro’s Dilemma. Some may argue that such appeals were only intended to (...) prompt us to think broadly about the modal claim at issue. I argue instead that these appeals must be understood as more than mere prompts. For it is these appeals that would, if successful, render the conceivability principle viable. (shrink)

Is a woman ever morally obligated to forgo an abortion for the sake of the man who has impregnated her? In “Fathers and Fetuses,” George Harris contends that in some situations women are so obligated. Harris argues that a woman who lies to her partner about her desire to have children, becomes pregnant, and then decides to abort, will, if she acts on this decision, violate her partner’s autonomy and harm him in so far as she will harm his fetus. (...) To avoid these wrongs, a woman must therefore carry this fetus to term. I argue that this conclusion depends on a principle for which Harris offers no argument, namely that the conditions under which a fetus is to be considered a man’s are the same conditions under which a fetus is to be considered a woman’s. Evaluating this principle andconsidering related cases leads to important conclusions about a parent’s relationship with the fetus. Specifically, I challenge the notion that we should ever consider a fetus ‘his’ or even ‘hers.’. (shrink)

Hélène Cixous and Jacques Derrida position themselves very differently in relation to literature. This article analyses that difference in the light of their relation to the symptom, the fundamentally unanalysable form through which the unconscious manifests itself. While Derrida dwells more on the impossibility of ever accessing the original secret wound to whose existence the symptom opaquely attests, Cixous tends to focus more on the effect, the symptom itself. For both, the ‘chance’ of literature lies in the fact that neither (...) the source nor the destination of letters can be determined. I argue that the difference between Derrida's relative resignation to this condition and Cixous's celebration of it helps to explain the contrast between his position at the margins of literature and her unequivocal embrace of it. (shrink)

Modes of rationality in nursing documentation: biology, biography, and the ‘voice of nursing’ This article is based on a discourse analysis of the complete nursing records of 45 patients, and concerns the modes of rationality that mediated text‐based accounts relating to patient care that nurses recorded. The analysis draws on the work of the critical theorist, Jürgen Habermas, who conceptualised rationality in the context of modernity according to two types: purposive rationality based on an instrumental logic, and value rationality based (...) on ethical considerations and moral reasoning. Our analysis revealed that purposive rationality dominated the content of nursing documentation, as evidenced by a particularly bio‐centric and modernist construction of the workings of the body within the texts. There was little reference in the documentation to central themes of contemporary nursing discourses, such as notions of partnership, autonomy, and self‐determination, which are associated with value rationality. Drawing on Habermas, we argue that this nursing documentation depicted the colonisation of the sociocultural lifeworld by the bio‐technocratic system. Where nurses recorded disagreements that patients had with medical regimes, the central struggle inherent in the project of modernity became transparent — the tension between the rational and instrumental control of people through scientific regulation and the autonomy of the subject. The article concludes by problematising communicative action within the context of nursing practice. (shrink)

Evidence suggests that one reason doctors provide certain interventions in assisted reproductive technologies (ART) is because of patient demand. This is particularly the case when it comes to unproven interventions such as ‘add‐ons’ to in vitro fertilisation (IVF) cycles, or providing IVF cycles that are highly unlikely to succeed. Doctors tend to accede to demands for such interventions because patients are willing to do and pay ‘whatever it takes’ to have a baby. However, there is uncertainty as to what moral (...) weight should be placed on patient‐led demands in ART, including whether it is acceptable for such demands to be invoked as a justification for intervention. We address this issue in this paper. We start by elucidating what we mean by ‘patient‐led demand’ and synthesise some of the evidence for this phenomenon. We then argue that a doctor's professional role morality (PRM) yields special responsibilities, particularly in commercialised healthcare settings such as ART, because of the nature of professions as social institutions that are distinct from markets. We argue on this basis that, while there may be reasons (consistent with PRM) for doctors to accede to patient demand, this is not always the case. There is often a gap in justification between acceding to patient‐led demands and providing contested interventions, particularly in commercial settings. As a result, acceding to demand in such settings needs a strong justification to be consistent with PRM. (shrink)

Previous research has successfully used feature integration theory to operationalise the predictions of Perceptual Load Theory, while simultaneously testing the predictions of both models. Building on this work, we test the extent to which these models hold up in a 3D world. In two experiments, participants responded to a target stimulus within an array of shapes whose apparent depth was manipulated using a combination of monoscopic and stereoscopic cues. The search task was designed to test the predictions of feature integration (...) theory, as the target was identified by a single feature or a conjunction of features and embedded in search arrays of varying size, and perceptual load theory, as the task included congruent and incongruent distractors presented alongside search tasks imposing high or low perceptual load. Findings from both experiments upheld the predictions of feature integration theory, regardless of 2D/3D condition. Longer search times in conditions with a combination of monoscopic and stereoscopic depth cues suggests that binding features into three-dimensional objects requires greater attentional effort. This additional effort should have implications for perceptual load theory, yet our findings did not uphold its predictions; the effect of incongruent distractors did not differ between conjunction search trials and feature search trials. Individual differences in susceptibility to the effects of perceptual load were evident and likely explain the absence of load effects. Overall, our findings suggest that feature integration theory may be useful for predicting attentional performance in a 3D world. (shrink)

This study identified a range of pedagogies developed to promote global citizenship within a university Latin American dance unit. It implemented changes to teaching and learning approaches in the...

Aim To examine the contribution of programme year and demographic factors to medical students’ perceptions of evidence-based classification categories of professional misconduct. Methods Students at an Irish medical school were administered a cross-sectional survey comprising 31 vignettes of professional misconduct, which mapped onto a 12-category classification system. Students scored each item using a 5-point Likert scale, where 1 represents the least severe form of misconduct and 5 the most severe. Results Of the 1012 eligible respondents, 561 students completed the survey, (...) providing a response rate of 55%. Items pertaining to disclosure of conflict of interest were ranked as the least severe examples of professional misconduct, and this perception was highest among finalyear students. While ratings of severity declined for items related to ‘inappropriate conduct not in relation to patient’ and ‘inappropriate use of social media’ between years 1 and 3, ratings for both categories increased again among clinical cycle students. Conclusions Increased clinical exposure during years 4 and 5 of the undergraduate programme was associated with better recognition of the importance of selected professional domains. Disclosure of conflict of interest is identified as an area of medical professionalism that requires greater emphasis for students who are at the point of transition from student to doctor. (shrink)

Contents: 1) Peter Kung, Why We Need Something Like Imagery; 2) Derek Lam, An Imaginative Person’s Guide to Objective Modality; 3) Rebecca Hanrahan, Crossing Rivers: Imagination and Real Possibilities; 4) Michael Omoge, Imagination, Metaphysical Modality, and Modal Psychology; 5) Joshua Myers, Reasoning with Imagination; 6) Franz Berto, Equivalence in Imagination; 7) Christopher Badura, How Imagination Can Justify; 8) Antonella Mallozzi, Imagination, Inference, and Apriority; 9) Margherita Arcangeli, Narratives and Thought Experiments: Restoring the Role of Imagination; 10) Margot Strohminger, Two (...) Ways of Imagining Galileo’s Experiment; 11) Eric Peterson, Attention to Details: Imagination, Attention, and Epistemic Significance; 12) Amy Kind, Bridging the Divide: Imagining Across Experiential Perspectives; 13) Julia Langkau, On Imagining Being Someone Else; 14) Luke Roelofs, “Imagine If They Did That to You!”: The Complexity of Empathy; 15) Nick Wiltsher and Bence Nanay, Imagination, Selves, and Knowledge of Self: Pessoa’s Dreams in The Book of Disquiet . (shrink)

Australian writer Carmel Bird writes fiction that, while being highly individual and varied, settles within the Australian traditions of both Peter Carey’s fabulism and Thea Astley’s humane wit. As William H. Wilde, Joy Hooton and Barry Andrews state, Bird is a “witty writer with a wide but always highly original tonal range”, who “raises what is often potentially sinister or horrific to something approaching comedy. Disease, deaths and violence are staples in her fictional world, which has similarities with Barbara (...) class='Hi'>Hanrahan’s Gothic sensuality and feminist irony, although Bird’s deadpan humour is a distinctive, determining element”. The present interview focuses on an unexplored area in Bird—Andalusia, Spain—which, paradoxically, becomes the backcloth of some of her fiction—like the recent Child of the Twilight —and a prolific source of inspiration. The following pages explore Bird’s Andalusian/Spanish visions as regards nationalistic, religious, and cultural constructions. To that end, the theoretical communitarian discussion of figures like Ernest Gellner, Ferdinand Tönnies, Benedict Anderson, Jean-Luc Nancy and Maurice Blanchot will prove useful in the structural framework of this interview. Bird herself clarifies that her contribution is not offered from an academic perspective; she speaks about herself as a writer largely unaffected by academic bias. However, communitarian theorisation will prove useful in clarifying her depiction of nationalistic and religious values, while, in the process, she sheds some light on the slippery concept of “Australian writing” and the construction of Spanish cultural values from the perspective of an Australian writer. This interview offers a fresh rendition marked by the humorous, spontaneous and truthful tone that characterises Bird’s fiction. A pesar de la idiosincrasia de la narrativa de Carmel Bird, su producción se enmarca dentro de las tradiciones australianas del fabulismo de Peter Carey y la sabiduría humana de Thea Astley. Como afirman William H. Wilde, Joy Hooton y Barry Andrews, Bird consigue combinar el lado más siniestro con la comedia. La enfermedad, la muerte y la violencia son centrales en su ficción conectándola con la sensualidad gótica y la ironía feminista de Barbara Hanrahan, aunque el humor socarrón es un elemento distintivo y determinante en Bird. La presente entrevista cubre un aspecto inexplorado en la autora que, paradójicamente, se convierte en el telón de fondo de algunas de sus novelas y en una prolífica fuente de inspiración. Las siguientes páginas exploran el imaginario andaluz/español en su construcción nacionalista, religiosa y cultural. Con tal fin, las discusiones comunitarias de figuras como Ernest Gellner, Ferdinand Tönnies, Benedict Anderson, Jean-Luc Nancy y Maurice Blanchot serán el eje teórico vertebrador de esta entrevista. La propia Bird aclara que su contribución no parte de una perspectiva académica puesto que habla de sí misma como una escritora que escapa del sesgo académico. Sin embargo, la teorización comunitaria demostrará ser de vital importancia para aclarar su aproximación literaria a los valores nacionalistas y religiosos, a la par que, en el proceso, la autora arroja luz sobre el escurridizo concepto de «literatura australiana» y la construcción de los valores culturales españoles desde la perspectiva australiana de esta escritora. Esta entrevista ofrece un fresco retrato de la autora marcado por el tono humorístico, espontáneo y sincero que caracteriza su ficción a la par que el marco teórico comunitario garantiza el academicismo del documento. (shrink)