Slurs are derogatory words; they seem to express contempt and hatred toward marginalized groups. They are used to insult and derogate their victims. Moreover, slurs give rise to philosophical questions. In virtue of what is the word “chink,” unlike “Chinese,” a derogatory word? Does “chink” refer to the same group as “Chinese”? If “chink” is a derogatory word, how is it possible to use it in a non-derogatory way (e.g., by Chinese comedians or between Chinese (...) friends)? Many theories of slurs answer these questions by assuming that slurs communicate derogatory messages. However, little attention has been paid to the speech acts slurs are used to perform. In this dissertation, I argue that slurs are illocutionary force indicators: words to perform the speech acts of derogation. “Chink” is a derogatory word because its use is to derogate the Chinese, just like the phrase “I promise” has the use to make a promise. To derogate the Chinese is to enforce a norm which assigns to them an inferior normative status. Slurs are also propositional indicators: words that contribute to the truth-conditions. “Chink” has the same referent as “Chinese,” its neutral counterpart. Appealing to speech act theory enables my theory to answer questions about slurs, e.g., slurs can be used in non-derogatory ways because the felicity conditions of derogation are not met. To illustrate the advantage of my theory, I will explain how other theories of slurs fall short because they take positions opposite to mine on certain issues. For instance, Mark Richard’s theory, unlike mine, takes utterances of slurs to have no truth values. It follows from his theory, I will argue, that lying with “Chang is a chink” is impossible. Finally, I will defend the force indicator theory from common objections. My force indicator theory provides a case study of the use theory of meaning and a framework for political philosophers to study the harm of slurs. (shrink)

In a recent paper, after outlining various distinguishing features of derogatory words, Jennifer Hornsby suggests that the phenomenon raises serious difficulties for inferentialism. Against Hornsby, I claim that derogatory words do not pose any insuperable problems for inferentialism, so long as it is supplemented with apparatus borrowed from Grice and Hare. Moreover, I argue, derogatory expressions pose difficulties for Hornsby's favoured alternative theory of meaning, representationalism, unless it too is conjoined with a similar Grice/Hare mechanism. (...) So, the upshot of the discussion is that, contra Hornsby, focus on derogatory expressions alone does not provide grounds for deciding between competing theories of meaning, but nevertheless serves to highlight important features that any such theory must acknowledge and incorporate. (shrink)

Should our commitment to freedom of speech extend to freedom of hate speech: speech that promotes hatred toward an individual or group on the basis of a characteristic such as race, gender, sexuality, nationality, or religion—often, although perhaps not exclusively, using slurs and epithets? Drawing on philosophy of language and empirical research, this essay outlines five theoretical models of how hate speech may function, and explores their implications for this issue. I argue that (some) hate speech can be regulated without (...) compromising freedom of expression; and furthermore that, under certain circumstances, considerations of free speech may favour regulating hate speech. (shrink)

This article provides an original account of slurs and how they may be differentially used by in-group and out-group speakers. Slurs are first distinguished from other terms and their role in social interaction is discussed. A new distinction is introduced between three different uses of slurs : the paradigmatic derogatory use, non-paradigmatic derogatory use, and non-paradigmatic non-derogatory use. I then account for their literal meaning and explain how a family-resemblance conception of category membership can clarify our understanding (...) of the various natural-language uses of slurs, -. The focus is restricted primarily to race-based and sex-based slurs used in the context of English speakers, and the article concludes with desiderata to be met by any subsequent analyses of slurs. (shrink)

Williams explains why there might have been some point to a linguistic approach in ethics. I suggest that there might be some point to paying attention to an ethical dimension in philosophy of language. I shall consider words that I label ‘derogatory’, and questions they raise about linguistic meaning.

Derogatory terms (racist, sexist, ethnic, and homophobic epithets) are bully words with ontological force: they serve to establish and maintain a corrupt social system fuelled by distinctions designed to justify relations of dominance and subordination. No wonder they have occasioned public outcry and legal response. The inferential role analysis developed here helps move us away from thinking of the harms as being located in connotation (representing mere speaker bias) or denotation (holding that the terms fail to refer due (...) to inaccurate descriptive content). The issue is not bad attitudes or referential misfires. An inferential role semantic analysis of derogatory terms shows exactly what is at stake between those who argue that the terms should be eliminated (Absolutists) and those who claim they can be successfully rehabilitated (Reclaimers). The Reclaimer maintains, and the Absolutist denies, that certain contexts can detach the derogatory force from deeply derogatory terms. The article looks at these claims with respect to ‘nigger’ and ‘dyke,’ setting out the inferential role of each term and examining detachability potential. Explaining detachability in terms of linguistic commitments, this article also addresses the issue of whether such terms count as political discourse, and examines the implications of that issue. (shrink)

In this paper, I highlight some important implications of a non-individualistic account of derogatory words. I do so by critically examining an intriguing claim of Jennifer Hornsby‘s: that derogatory words – words that, as she puts it, ―apply to people, and that are commonly understood to convey hatred and contempt‖ – are useless for us. In their stead, she maintains, we employ neutral counterparts: words ―that apply to the same people, but whose uses do (...) not convey these things. I argue that Hornsby‘s distinctions – between derogatory words and neutral counterparts, and them (speakers who have use for the former) and us (who do not) – is not sustainable. I begin by considering examples that suggest that some of the words that some of us have use for are indeed derogatory. I then offer reasons for thinking that words that would presumably be identified as acceptable counterparts to derogatory words are not, in general, neutral. (shrink)

Slurs are both derogatory and offensive, and they are said to exhibit “derogatory force” and “offensiveness.” Almost all theories of slurs, except the truth-conditional content theory and the invocational content theory, conflate these two features and use “derogatory force” and “offensiveness” interchangeably. This paper defends and explains the distinction between slurs’ derogatory force and offensiveness by fulfilling three goals. First, it distinguishes between slurs’ being derogatory and their being offensive with four arguments. For instance, ‘Monday’, (...) a slur in the Bostonian argot, is used to secretly derogate African Americans without causing offense. Second, this paper points out that many theories of slurs run into problems because they conflate derogatory force with offensiveness. For example, the prohibition theory’s account of offensiveness in terms of prohibitions struggles to explain why ‘Monday’ is derogatory when it is not a prohibited word in English. Third, this paper offers a new explanation of this distinction from the perspective of a speech act theory of slurs; derogatory force is different from offensiveness because they arise from two different kinds of speech acts that slurs are used to perform, i.e., the illocutionary act of derogation and the perlocutionary act of offending. This new explanation avoids the problems faced by other theories. (shrink)

Slurs are derogatory, and theories of slurs aim at explaining their “derogatory force”. This paper draws a distinction between the type derogatory force and the token derogatory force of slurs. To explain the type derogatory force is to explain why a slur is a derogatory word. By contrast, to explain the token derogatory force is to explain why an utterance of a slur is derogatory. This distinction will be defended by examples in (...) which the type and the token derogatory force come apart. Because of the distinction, an adequate theory of slurs must be plausible for both the type and the token derogatory force. However, I will argue that many theories fail to be plausible for both. In particular, Hom’s combinatorial externalism and the conventional implicature theory offer implausible accounts of the token derogatory force, whereas the prohibitionist theory is insufficient to explain the type derogatory force. (shrink)

What makes a word bad? On the one hand, slurs and other derogatory language appear to be meaningful - different slurs can seem to refer to different groups, for example. On the other hand, slurs can seem to be just an arbitrary tool for insulting or enabling harm. How is the meaning of a slur related to its practical uses?

Summary Slurs are pejorative epithets that express negative attitudes toward a class of individuals sharing the same race, country of origin, sexual orientation, religion, and the like. The aim of this paper is to show what happens in communication when slurs are reported. It focuses on the derogatory content of such expressions and on the persistence of their performative effects in reported speech. In this respect, the question concerning the attribution of responsibility for the derogatory content conveyed by (...) the slurs is relevant. Indeed, reporting a slur involves quoting not only the content but also the speaker’s personal commitment and attitude. Different theories on the status of the derogatory component of slurs make different predictions about their offensiveness in reported speech and about the speaker’s “responsibility” for the attitude and feelings conveyed by that word, be she the original speaker or the reporter. The results of a questionnaire show empirically that no single theory can provide a conclusive statement on this matter. (shrink)

While a large body of literature on pejorative language has emerged recently, derogatory communication is a broader phenomenon that need not constitutively involve the use of words. This paper delineates the class of non-verbal pejoratives and sketches an account of the derogatory power of a subset of NVPs, namely those whose effectiveness crucially relies on iconicity. Along the way, I point out some ways in which iconic NVPs differ from wholly arbitrary NVPs and ritualized threat signals in (...) the animal kingdom, such as the wolf’s snarl, which do not threaten or demean targets by virtue of any kind of iconographic depiction. An iconic portrayal such as a racist caricature disparages its target by inviting recipients to entertain an unflattering image of the target. “Blackface” performers in the nineteenth-century, for example, promulgated an unflattering image of African-Americans by means of make-up, costumes, and vocal impersonations. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:I Had Never Heard Someone Use That Word BeforeAdrienne Feller NovickThe patient was dying. As the social worker, I had arranged the meeting and sat shoulder to shoulder with the family and the attending physician in the small nondescript room. The family was grief-stricken and asked intelligent questions as they made difficult decisions about end-of-life care for their loved one. The doctor spoke with gentle kindness, acknowledging their difficult (...) decision as he completed the neon pink Medical Orders for Life Sustaining Treatment (MOLST) form and left the room. I was tangled up with emotions; I felt relieved that the meeting had gone smoothly, sad for the patient and family, and in awe of the doctor for his ability to lead the difficult conversation. I stayed behind to ask the family if there was anything I could do to help them. [End Page E4]Before I could speak, the patient's wife turned to me and said, "I am so glad that k--- left the room." (Using a derogatory word for a person of the Jewish faith). My brain began processing the statement. I am a Jewish woman. Did I hear that right? Did she say what I think she said? Should I say something? I froze, and time seemed to stop. She was looking at me expectantly, waiting for a response. Her face reminded me of someone waiting for the other person to return a "high five." I was flooded with emotion. A succession of thoughts ran through my head, everything from being rude in response or getting physical. I did neither. I said nothing. I smiled and left the room feeling like I had been gut-punched.I was in denial. I made excuses for the wife; she was stressed. I kept thinking I must not have heard her correctly and that I was overreacting. I continued to work with the family as though nothing had happened until the patient died five days later. I felt ashamed and never told anyone about what happened. I regretted not saying anything. I replayed the conversation in my mind and felt depressed and angry. Inside I felt complicit for not speaking up, but I had no words. I assumed bias in healthcare was rare. I did nothing.Years later, after I completed a patient visit in the Intensive Care Unit (ICU), I observed a group of surgical residents doing rounds. The attending welcomed me to join this valuable clinical learning experience. As the group approached the next bed, the patient pointed to one resident and loudly said, "I don't want a doctor who looks like that to come near me." I gasped aloud and froze, waiting to see what would happen next. The attending looked directly at the patient and said calmly, "We are all here to help you. That is not an appropriate thing for you to say." Then, he turned to the resident and nodded, directing them to resume their bedside assessment. The patient mumbled something inaudibly and said nothing.To my astonishment, the doctor acknowledged the microaggression (a microaggression is a statement, action, or incident regarded as discrimination), addressed the issue, respectfully supported the resident, created a safe space for everyone on the healthcare team and resumed quality patient care without missing a beat. He modeled a strategy to address patient bias and taught a valuable skill. This was a learning moment for me. It helped me refocus my past experience and provided me with a useful strategy to address bias in the future.As a member of the medical ethics consultation service, I listen, provide support, and aid in challenging communications. I had the opportunity to model the communication strategy I acquired in the ICU. The medical ethics team was consulted for a patient refusing treatment. The patient was disrespectful to healthcare team members, cursing at nurses and residents, using ethnic slurs, and saying he "would rather die than let one of them touch him. I entered the patient's room with the healthcare team, introduced myself, and explained the reason for my visit. The patient defiantly agreed he had used slurs, saying he wanted to go home. I continued, everyone here... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Transcendence of WordsAkos Krassoy (bio)Levinas’s central contribution to aesthetics and the philosophy of art is his well-known and provocative attempt to ethicize art. Yet, there is hardly any certainty regarding the nature of this ethicization. As far as the realization of Levinas’s program is concerned, readers usually remember its harmful effects.1 On the other hand, there are equally appreciative tones in his reading of art. It might be (...) more correct to say that the derogatory side is part of a fundamentally ambiguous attitude. It is almost as if Levinas’s radical ethical thinking, the job of which is to tackle totalizing Western thought, should speak in two voices when it comes to the aesthetic and the arts.Most of the commentaries run into, and then set out to resolve this weird situation marked by pejoration and ambiguity in one way or another. This is no easy task to accomplish; there is surely no single way out of this labyrinth. An element of irony is definitely required on the side of the interpreter. Arguably, my text may be no exception in the long line of attempts. In the following, I shall try my hand at these complexities and, similarly to other readers, deal with the contradictory remarks and implied but underdeveloped ideas by putting them into a meaningful framework. Like others before me, I shall do my best to provide a narrative as coherent as possible in which the letter [End Page 1] and the spirit of Levinas are followed and the relevant (phenomenological) aesthetic context is taken into account. In my case, this will mean siding with those interpreters who see a fixed set of problems dominating — that is, a single consistent path winding — in Levinas’s difficult itinerary. In more concrete terms, I shall join the camp of those who show sensitivity to the introduction of the critical act and argue that the shortcomings of the aesthetic are, to some extent, reversed in its recontextualization in human communication.2 Yet, unlike these authors who touch upon the issue of criticism to varying degrees, I shall concentrate fully on placing critical activity in the center of Levinas’s aesthetic thought and thus treating art as an important segment of ethical signification. My focus will be on the reintegration of the disengaged image into reality; I shall try to determine what this development in art implies in Levinas’s ethical phenomenological project. Concerning the particular course of my text, I shall concentrate mostly on the issue of ambiguity and, gradually working my way through it, deal with pejoration at the same time. I shall first analyze what is at stake in this ambiguousness, then attempt to establish its governing logic, only to prepare the ground on which criticism as a way out of the maze can be seen in its entirety.A Real Headache: AmbiguousnessAnyone interested in Levinas’s aesthetic thought arrives at a truly interesting but nebulous field. By nebulousness I primarily mean the overly ambiguous character of Levinas’s position. What Levinas has to say is indeed quite difficult to pin down or, at least, it is highly equivocal: the noise of critique is balanced by the sound of quiet but all the more patent affirmation. In every phase of his thinking there is a suspicion felt toward artistic expression, which may on occasion reach the level of derogation; all this is nevertheless accompanied by clear-cut support. This can be sensed in chance remarks, such as, in “Reality and Its Shadow” — the essay mostly responsible for the bad reputation of [End Page 2] Levinas in aesthetics — where Levinas discusses the plasticity of literary works and mentions a “particularly admirable page” in Proust’s The Captive (RS 10). In spite of the anti-aesthetic logic and philistine-like rhetoric of the essay, the art-loving character of the author — who is beyond a doubt an affectionate reader — is revealed for a second.Remarks like this are quite suggestive with respect to Levinas’s appraisal of the arts—as are many other details of Levinas’s work. Of all these, his apparent knowledge and use of artworks in his... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Index to Volume Fifty-SixArticlesBernier, Bernard, National Communion: Watsuji Tetsurō's Conception of Ethics, Power, and the Japanese Imperial State, 1 : 84-105Between Principle and Situation: Contrasting Styles in the Japanese and Korean Traditions of Moral Culture, Chai-sik Chung, 2 : 253-280Buxton, Nicholas, The Crow and the Coconut: Accident, Coincidence, and Causation in the Yogavāiṣṭha, 3 : 392-408Chan, Sin Yee, The Confucian Notion of Jing (Respect), Sin Yee Chan, 2 : (...) 229-252Chong, Kim-chong, Zhuangzi and the Nature of Metaphor, 3 : 370-391Chung, Chai-sik, Between Principle and Situation: Contrasting Styles in the Japanese and Korean Traditions of Moral Culture, 2 : 253-280The Confucian Ideal of Harmony, Chenyang Li, 4 : 583-603The Confucian Notion of Jing.(Respect), Sin Yee Chan, 2 : 229-252The Conventional Status of Reflexive Awareness: What's at Stake in a Tibetan Debate? Jay L. Garfield, 2 : 201-228The Crisis of Knowledge in Islam (I): The Case of al-'āmirī, Paul L. Heck, 1 : 106-135The Crow and the Coconut: Accident, Coincidence, and Causation in the Yogavāiṣṭha, Nicholas Buxton, 3 : 392-408De Reu, Wim, Right Words Seem Wrong: Neglected Paradoxes in Early Chinese Philosophical Texts, 2 : 281-300The Desire You Are Required to Get Rid of: A Functionalist Analysis of Desire in the Bhaga-vadgītā, Christopher Framarin, 4 : 604-617Framarin, Christopher, The Desire You Are Required to Get Rid of: A Functionalist Analysis of Desire in the Bhagavadgītā, 4 : 604-617Garfield, Jay L., The Conventional Status of Reflexive Awareness: What's at Stake in a Tibetan Debate? 2 : 201-228Heck, Paul L., The Crisis of Knowledge in Islam (I): The Case of al-'ā mirī, 1 : 106-135Heidegger's Comportment toward East-West Dialogue, Lin Ma and Jaap van Brakel, 4 : 519-566Ho, Chien-hsing, Saying the Unsayable, 3 : 409-427Kantor, Hans-Rudolf, Ontological Indeterminacy and Its Soteriological Relevance: An Assessment of Mou Zongsan's (1909-1995) Interpretation of Zhiyi's (538-597) Tiantai Buddhism, 1 : 16-68Lai, Karyn, Li in the Analects: Training in Moral Competence and the Question of Flexibility, 1 : 69-83Li, Chenyang, The Confucian Ideal of Harmony, 4 : 583-603Li in the Analects: Training in Moral Competence and the Question of Flexibility, Karyn Lai, 1 : 69-83Ma, Lin, and Jaap van Brakel, Heidegger's Comportment toward East-West Dialogue, 4 : 519-566National Communion: Watsuji Tetsurō's Conception of Ethics, Power, and the Japanese Imperial State, Bernard Bernier, 1 : 84-105Ontological Indeterminacy and Its Soteriological Relevance: An Assessment of Mou Zongsan's (1909-1995) Interpretation of Zhiyi's (538- 597) Tiantai Buddhism, Hans-Rudolf Kantor, 1 : 16-68Right Words Seem Wrong: Neglected Paradoxes in Early Chinese Philosophical Texts, Wim De Reu, 2 : 281-300The Role of Time in the Structure of Chinese Logic, Jinmei Yuan, 1 : 136-152Sakya Pandita and the Status of Concepts, Jonathan Stoltz, 4 : 567-582Saying the Unsayable, Chien-hsing Ho, 3 : 409-427Schiltz, Elizabeth, Two Chariots: The Justification of the Best Life in the Katha Upanishad and Plato's Phaedrus, 3 : 451-468Spackman, John, The Tiantai Roots of Dōgen's Philosophy of Language and Thought, 3 : 428-450Stevenson, Frank W., Zhuangzi's Dao as Background Noise, 2 : 301-331Stoltz, Jonathan, Sakya Pandita and the Status of Concepts, 4 : 567-582The Tiantai Roots of Dōgen's Philosophy of Language and Thought, John Spackman, 3 : 428-450 [End Page 709]Two Chariots: The Justification of the Best Life in the Katha Upanishad and Plato's Phaedrus, Elizabeth Schiltz, 3 : 451-468van Brakel, Jaap, and Lin Ma, Heidegger's Comportment toward East-West Dialogue, 4 : 519-566Yuan, Jinmei, The Role of Time in the Structure of Chinese Logic, 1 : 136-152Zhuangzi and the Nature of Metaphor, Kim-chong Chong, 3 : 370-391Zhuangzi's Dao as Background Noise, Frank W. Stevenson, 2 : 301-331Book NotesFenner, David E. W., Introducing Aesthetics (note by James McRae), 3 : 515-516Introducing Aesthetics, by David E. W. Fenner (note by James McRae), 3 : 515-516McRae, James, a book... (shrink)

Slurs denigrate individuals qua members of certain groups, such as race or sexual orientation. Most theorists hold that each slur has a neutral counterpart, i.e., a term that references the slur's target group without denigrating them. According to a widely accepted view, which I call ‘Neutral Counterpart Theory’, the truth-conditional content of a slur is identical to the truth-conditional content of its neutral counterpart. My aim is to challenge this view. I argue that the view fails with respect to slurs (...) that encode truth-conditional content which does more than merely classify someone as a member of the target group, as well as slurs that denigrate by virtue of their iconicity. (shrink)

Slurs are derogatory words and they are used to derogate certain groups. Theories of slurs must explain why they are derogatory words, as well as other features like independence and descriptive ineffability. This paper proposes an illocutionary force indicator theory of slurs: they are derogatory terms because their use is to perform the illocutionary act of derogation, which is a declarative illocutionary act to enforce norms against the target. For instance, calling a Chinese person “chink” (...) is an act of derogation to enforce racist norms that license exclusion of the Chinese, deny their rights to dignity, etc. The contribution of this paper is twofold. First, it offers a more comprehensive explanation of the features of slurs than earlier speech act approaches. Second, it provides a theory that is immune to the problems faced by existing theories, such as wrong predictions of truth-conditions, explaining unacceptability to non-bigots, and explaining slurs against the dominant groups. (shrink)

Relativism is usually a derogatory word in philosophical bioethics in the West. If people make the mistake of trying to understand radically “different” points of view, an accusation of relativism is quickly forthcoming. But why should this be an accusation? My aim in this paper is to demonstrate that it should not.

Relativism is usually a derogatory word in philosophical bioethics in the West. If people make the mistake of trying to understand radically “different” points of view, an accusation of relativism is quickly forthcoming. But why should this be an accusation? My aim in this paper is to demonstrate that it should not.

A very common argument against restrictions on hate speech says that since such restrictions curtail freedom of speech, they cause more harm than they prevent. A no less common reply has it that the harms caused by hate speech are sufficiently great to justify legal restrictions on free speech. In ‘Freedom of Expression and Derogatory Words’, West questions a common assumption of both arguments concerning the use of slurs, i.e. that restricting the use of slurs necessarily curtails freedom (...) of speech. According to West, everything that can be said with a slur can be said with its neutral counterpart. Given the psychological and social harms of slurs, this would give us a compelling reason to put legal restrictions on their use. However, in this article, I will argue that, according to the main theories of slurs, slurs can be used to express derogatory information which cannot be expressed by their neutral counterparts. This will leave us with two options when it comes to avoiding the negative effects of slurs: (i) to restrict freedom of speech or (ii) to argue that the derogatory information expressed by slurs is not covered by free speech. Both options will depart significantly from West's argument. (shrink)

The childhood platitude, “sticks and stones may break my bones, but words will never hurt me,” has become nothing more than wishful thinking as we prepare each new generation for the slew of hurtful words they will inevitably encounter throughout their life. The truth of the matter is, words can hurt. To discuss how this is possible, a recent surge in philosophy of language literature has had the sole focus of analyzing pejorative language, particularly slurs. From semantic (...) content theories to deflationary accounts, there have been numerous attempts to answer the questions “How can words hurt?” and “Why do some words hurt?” Unfortunately, in the current discourse, the focus has been so heavily on accounting for the features of derogatory words that the accounts skip over providing for even the most basic insult, as an indirect speech act. Using an analysis of insults, I argue that there is a layer of analysis prior to any semantic content that theories regarding speech acts should include and and I present a framework for an ethicist to do such an analysis. (shrink)

Although there seems to be an agreement on what slurs are, many authors diverge when it comes to classify some words as such. Hence, many debates would benefit from a technical definition of this term that would allow scholars to clearly distinguish what counts as a slur and what not. Although the paper offers different definitions of the term in order to allow the reader to choose her favorite, I claim that ‘slurs’ is the name given to a grammatical (...) category, and I consequently trace a difference in kind between slurs and other kinds of group pejoratives. I rely on a novel approach to slurs that characterizes them based on their membership to a particular kind of register category, an often neglected sociolinguistic notion determining the social contexts in which registered terms are expected, tolerated or unacceptable. The paper also points out to the close link between words registered as [+derogatory] and their usage in the context of dominance relations of different kinds between users and recipients of slurs. By pointing out to this link I hope to underscore the political significance of slur usage, as well as to contribute further to the explanation why slurs are so damaging and unacceptable in most social contexts. (shrink)

The words we call slurs are just plain vanilla descriptions like ‘cowboy’ and ‘coat hanger’. They don't semantically convey any disparagement of their referents, whether as content, conventional implicature, presupposition, “coloring” or mode of presentation. What distinguishes 'kraut' and 'German' is metadata rather than meaning: the former is the conventional description for Germans among Germanophobes when they are speaking in that capacity, in the same way 'mad' is the conventional expression that some teenagers use as an intensifier when they’re (...) emphasizing that social identity. That is, racists don’t use slurs because they’re derogatory; slurs are derogatory because they’re the words that racists use. To use a slur is to exploit the Maxim of Manner (or Levinson’s M-Principle) to signal one’s affiliation with a group that has a disparaging attitude towards the slur’s referent. This account is sufficient to explain all the familiar properties of slurs, such as their speaker orientation and “nondetachability,” with no need of additional linguistic mechanisms. It also explains some features of slurs that are rarely if ever explored; for example the variation in tone and strength among the different slurs for a particular group, the existence of words we count as slurs, such as 'redskin', which almost all of their users consider to be respectful, and the curious absence in Standard English of any commonly used slurs—by which I mean words used to express a negative attitude toward an entire group—for Muslims and women. (shrink)

Derogatory terms (racist, sexist, ethnic epithets) have long played various roles and achieved diverse ends in works of art. Focusing on basic aspects of an aesthetic object or work, this article examines the interpretive relation between point of view and content, asking how aesthetic contextualization shapes the impact of such terms. Can context, particularly aesthetic contexts, detach the derogatory force from powerful epithets and racist and sexist images? What would it be about aesthetic contexts that would make this (...) possible? The article puts into aesthetic contexts both Absolutist and Reclaimer views about the power of derogatory terms, applying an inferential role semantics, developed for language, to both words and images. The Reclaimer’s position, that derogation is a matter of pragmatics, of use, emphasizes the context-sensitivity of the term, that is matters who says it, to whom, when, where, and why. Understanding derogatory terms used as hate speech helps to make this position clear. The Absolutist’s position, that no contextual variations can detach the derogation from these deeply derogatory terms, is developed here through attention to subordinating images in pornography. The article argues that art may be able to achieve the deviant interpretations that the Reclaimer needs to undermine the derogations while maintaining sensitivity and awareness of the history of oppression. (shrink)

Pejorative Language Some words can hurt. Slurs, insults, and swears can be highly offensive and derogatory. Some theorists hold that the derogatory capacity of a pejorative word or phrase is best explained by the content it expresses. In opposition to content theories, deflationism denies that there is any specifically derogatory content expressed by pejoratives. As […].

Recent years have seen an upsurge of inflammatory speech around the world. Understanding the mechanisms that correlate speech with violence is a necessary step to explore the most effective forms of counterspeech. This paper starts with a review of the features of dangerous speech and ideology, as formulated by Jonathan Maynard and Susan Benesch. It then offers a conceptual framework to analyze some of the underlying linguistic mechanisms at play: derogatory language, code words, figleaves, and meaning perversions. It (...) gives a hypothesis for assessing the moral responsibility of interlocutors in dangerous speech situations. The last section applies this framework to a case of demagogic discourse. The framework offered explains how public discourse has harmed social relations and institutions, and is an obstacle to rational resolutions to the political situation. (shrink)

Most accounts of the derogatory meaning of slurs are semantic. Recently, Nunberg proposed a purely pragmatic account offering a compelling picture of the relation between derogatory content and social context. Nunberg posits that the semantic content of slurs is identical to that of neutral counterparts, and that derogation is a result of the association of slur use with linguistic conventions of bigoted speakers. The mechanism responsible for it is a special kind of conversational implicature. However, this paper argues (...) that Nunberg’s proposal suffers from technical and conceptual problems regarding the application of the concepts of implicature and convention. It is proposed that the implicature mechanism should be replaced by expressive commitment attribution. The account advocated here preserves crucial insights of Nunberg’s analysis, 25–48, 2013a, Analytic Philosophy 54, 350–363, 2013b; Bolinger Nous, 51, 439–462, 2017), giving them a firmer conceptual basis. It supports a distinction between derogation and offensiveness of slurs that improves on the one proposed by Hom and May, 293–313 2013), and sheds light on puzzling borderline cases: the use of slurs by ignorant speakers and controversies surrounding the status of some words as potentially slurs. (shrink)

Pejorative Language Some words can hurt. Slurs, insults, and swears can be highly offensive and derogatory. Some theorists hold that the derogatory capacity of a pejorative word or phrase is best explained by the content it expresses. In opposition to content theories, deflationism denies that there is any specifically derogatory content expressed by pejoratives. As … Continue reading Pejorative Language →.

Our everyday practices are meaningful in several ways. In addition to the linguistic meanings of our terms and sentences, we attach social meanings to actions and statuses. Philosophy of language and public debates often focus on contesting morally and politically pernicious linguistic practices. My aim is to show that this is too little: even if we are only interested in morally and politically problematic terms, we must counteract a pernicious linguistic practice on many levels, especially on the level of its (...) underlying social meanings. Otherwise, the critique of specific words as the most salient fruits of this practice will be futile. I trace out two paths through which pernicious social meanings feed into linguistic meanings and make the case for constructive contestations of social meanings as an alternative to criticising the use of a few highly pernicious terms in which these social meanings are manifest. My investigation into how social structures shape both social and linguistic meanings sheds further light on the ways in which social meanings enter linguistic exchanges. Moreover, it reveals that what is said in specific situations is more closely connected to our non-verbal actions than the current literature on semantics and the social sciences allows. (shrink)

Although the word “indoctrination” in the English language originally had a neutral meaning almost equivalent to educative teaching, it gradually assumed the connotations of coercive teaching and became disassociated from the emerging concepts of democratic education. During this century it finally acquired a derogatory connotation similar to propaganda and brainwashing and came to be regarded as the antithesis of education for life in a democracy. McClellan regards indoctrination as a counterfeit of teaching in two crucial senses: While the counterfeit (...) and the genuine forms of teaching share the same properties, they differ in one property that crucially qualifies all the others. Counterfeiting subverts the institution that gives point to the counterfeiting itself. Indoctrination subverts educational institutions in their activity of teaching-andlearning. (shrink)

Slurs possess interesting linguistic properties and so have recently attracted the attention of linguists and philosophers of language. For instance the racial slur "nigger" is explosively derogatory, enough so that just hearing it mentioned can leave one feeling as if they have been made complicit in a morally atrocious act.. Indeed, the very taboo nature of these words makes discussion of them typically prohibited or frowned upon. Although it is true that the utterance of slurs is illegitimate and (...) derogatory in most contexts, sufficient evidence suggests that slurs are not always or exclusively used to derogate. In fact, slurs are frequently picked up and appropriated by the very in-group members that the slur was originally intended to target. This might be done, for instance, as a means for like speakers to strengthen in-group solidarity. So an investigation into the meaning and use of slurs can give us crucial insight into how words can be used with such derogatory impact, and how they can be turned around and appropriated as vehicles of rapport in certain contexts among in-group speakers. In this essay I will argue that slurs are best characterized as being of a mixed descriptive/expressive type. Next, I will review the most influential accounts of slurs offered thus far, explain their shortcomings, then provide a new analysis of slurs and explain in what ways it is superior to others. Finally, I suggest that a family-resemblance conception of category membership can help us achieve a clearer understanding of the various ways in which slurs, for better or worse, are actually put to use in natural language discourse. (shrink)

It has become common to distinguish between two kinds of ethical concepts: thick and thin ones. Bernard Williams, who coined the terms, explains that thick concepts such as “coward, lie, brutality, gratitude and so forth” are marked by having greater empirical content than thin ones. They are both action-guiding and world-guided: -/- If a concept of this kind applies, this often provides someone with a reason for action… At the same time, their application is guided by the world. A concept (...) of this sort may be rightly or wrongly applied, and people who have acquired it can agree that it applies or fails to apply to some new situation. -/- Thin concepts are concepts such as good and bad, right and wrong, obligation and duty. Judgments applying thick concepts have been seen as lending support to the possibility of explaining moral knowledge, and objectivity in ethics. It appears that due to their empirical content – their world-guidedness – judgments employing thick concepts can be true or false, depending on whether they get the worldly facts right. In addition they provide reasons for action – they are action-guiding – and thus may provide the starting point of a realist account of practical reasons: the view that reasons are facts and whether or not a person has a reason to act does not (normally) depend on her attitudes. The cruelty of an action is a reason not to perform it or to prevent it; that an action is kind is a reason in its favour. Of course these remarks aren’t conclusive – far from it. But even so, some non-cognitivists may regard them as completely wrongheaded, and so does Bernard Williams even though he is not a non-cognitivist. However, he believes that having a practical reason does depend on a person’s attitudes and motives. A certain worry about thick concepts will make clear what the problem is. It has most expressly been raised by Simon Blackburn, who sees it as undermining even the most superficial plausibility of moral cognitivism, as well as the claim that the properties picked out by thick concepts provide reasons. While we may readily accept that the kindness of an action or the fact that it is required by justice is a reason to perform it, there are many thick concepts whose action-guiding role we would reject. Some derogatory – e.g., racist or sexist - words express thick concepts too, Blackburn notes. And surely there are no racist or sexist truths. Furthermore there are concepts that some people use evaluatively (like chaste or obscene), but many of us do not regard the propositions in which those concepts feature as even prima facie reason giving. In raising these points, Blackburn claims that it is morally objectionable to regard the facts asserted in propositions which employ thick concepts as action-guiding because it leads to “a conservative and ultimately self-serving complacency.” As he sees it, the problem is that if we believe that the correct application of thick concepts yields evaluative truths and that evaluative truths state reasons for actions, we seem to be committed to accepting that some people are, say, fat, derog., and therefore to be ridiculed, and that there is at least a pro tanto reason to lead a chaste life, or feel affection towards cute women. Therefore, the view that all evaluative properties provide reasons for action or for attitudes such as admiration, affection or (dis)approval must be rejected. I will call this worry henceforth Blackburn’s challenge. The challenge is that understanding judgments employing thick concepts as expressing evaluative truths and providing reasons for actions or for attitudes leads to a morally unacceptable view. Blackburn suggests instead that we should separate the conditions for applying thick concepts and the reasons that we have in virtue of the concept applying. She may be cute, yes, but that is not a reason for “admiration and arousal.” -/- …it is morally vital that we proceed by splitting the input from the output in such a case. By refusing to split we fail to open an essential specifically normative dimension of criticism. -/- According to Blackburn, the meaning of thick concepts is made up of two distinct and in principle separable components: a descriptive one and the expression of an attitude. The truth-aptness and cognitive appearance of judgments employing thick concepts is explained by the descriptive component alone. Blackburn writes “[w]e get nothing but detachable and flexible attitudes, coupled with delineations of traits of character or action”. I will call this reply to Blackburn’s challenge the separability thesis. I agree with Blackburn that any account of thick concepts has to face and answer the challenge that he poses. In this paper, I will focus on one reply to the challenge which denies separability, namely Bernard Williams’s. Williams answers Blackburn’s challenge, while holding on to a cognitivist understanding of thick concepts. But his particular brand of cognitivism is peculiar: Williams rejects the separability thesis, and claims that correct applications of thick concepts yield evaluative (and not just descriptive) knowledge. But this is a special kind of knowledge. It is confined to a local community. The members of a community which uses certain thick concepts may have reasons to act accordingly, but the non-members do not. And even the reasons of members remain a little fragile: they may not want to continue using their concepts upon thorough reflection. The local knowledge view allows Williams to answer Blackburn’s challenge, because even though thick concepts are evaluative concepts and their application can yield evaluative knowledge, no one who isn’t a member of the relevant community has reason to be guided by the concept. Complementing a cognitivist view of thick concepts with reasons internalism allows Williams to answer the challenge. My aim in this paper is to show that Williams’s position is, despite its initial attraction, untenable. In particular, I am going to show why the internal reasons view is incompatible with Williams’s own understanding of thick concepts. My modest result is that the internalist view of reasons does not help to answer Blackburn’s challenge. My aim in this paper is not to answer the challenge but, rather, to explore the possibility of developing Williams’s attenuated version of cognitivism, and the possibility of combining it with reasons internalism. (shrink)

Most theories of slurs fall into one of two families: those which understand slurring terms to involve special descriptive/informational content (however conveyed), and those which understand them to encode special emotive/expressive content. Our view is that both offer essential insights, but that part of what sets slurs apart is use-theoretic content. In particular, we urge that slurring words belong at the intersection of a number of categories in a sociolinguistic register taxonomy, one that usually includes [+slang] and [+vulgar] and (...) always includes [-polite] and [+derogatory]. Thus, e.g., what distinguishes ‘Chinese’ from ‘chink’ is neither a peculiar sort of descriptive nor emotional content, but rather the fact that ‘chink’ is lexically marked as belonging to different registers than ‘Chinese’. It is, moreover, partly such facts which makes slurring ethically unacceptable. (shrink)

Dog whistling—speech that seems ordinary but sends a hidden, often derogatory message to a subset of the audience—is troubling not just for our political ideals, but also for our theories of communication. On the one hand, it seems possible to dog whistle unintentionally, merely by uttering certain expressions. On the other hand, the intention is typically assumed or even inferred from the act, and perhaps for good reason, for dog whistles seem misleading by design, not just by chance. In (...) this paper, I argue that, to understand when and why it’s possible to dog-whistle unintentionally (and indeed, intentionally), we’ll need to recognize the structure of our linguistic practices. For dog whistles and for covertly coded speech more generally, this structure is a pair of practices, one shared by all competent speakers and the other known only to some, but deployable in the same contexts. In trying to identify these enabling conditions, we’ll discover what existing theories of communicated content overlook by focusing on particular utterances in isolation, or on individual speakers’ mental states. The remedy, I argue, lies in attending to the ways in which what is said is shaped by the temporally extended, socio-politically structured linguistic practices that utterances instantiate. (shrink)

The norms surrounding pejorative language, such as racial slurs and swear words, are deeply prohibitive. Pejoratives are typically a means for speakers to express their derogatory attitudes. As these attitudes vary along many dimensions and magnitudes, they initially appear to be resistant to a truth-conditional, semantic analysis. The goal of the paper is to clarify the essential linguistic phenomena surrounding pejoratives, survey the logical space of explanatory theories, evaluate each with respect to the phenomena and provide a preliminary (...) assessment of the initial resistance to a truth-conditional analysis. (shrink)

Aimed at a wide audience, this book in the general area of practical ethics consists of seven independent and humorous philosophical analyses of common moral situations, occurrences, and confrontations. The introduction discusses the idea of moralising; Cohen explains what it is, why moral philosophers tend to avoid it, and why it seems a particularly worthwhile enterprise for the book. Throughout its discussions, the book is accessible to readers at any stage of philosophic interest. The author distinguishes between moral encounters and (...) more mundane concerns, an aspect that separates this book from other practical ethics works. Contents: Introduction; Too Busy: A Note on Wasting Time; The Derogatory Erstwhile Fact, or Calling a Spade a Spade; Justification/Explanation and Treatment, or Putting the Shoe on the Other Foot; Vicarious Pride; 'Women's' Gymnastics; Vocations and Vocations; The Last Word. (shrink)

Corcoran, J. 2007. Psychologism. American Philosophy: an Encyclopedia. Eds. John Lachs and Robert Talisse. New York: Routledge. Pages 628-9. -/- Psychologism with respect to a given branch of knowledge, in the broadest neutral sense, is the view that the branch is ultimately reducible to, or at least is essentially dependent on, psychology. The parallel with logicism is incomplete. Logicism with respect to a given branch of knowledge is the view that the branch is ultimately reducible to logic. Every branch of (...) knowledge depends on logic. Psychologism is found in several fields including history, political science, economics, ethics, epistemology, linguistics, aesthetics, mathematics, and logic. Logicism is found mainly in branches of mathematics: number theory, analysis, and, more rarely, geometry. Although the ambiguous term ‘psychologism’ has senses with entirely descriptive connotations, it is widely used in senses that are derogatory. No writers with any appreciation of this point will label their own views as psychologistic. It is usually used pejoratively by people who disapprove of psychologism. The term ‘scientism’ is similar in that it too has both pejorative and descriptive senses but its descriptive senses are rarely used any more. It is almost a law of linguistics that the negative connotations tend to drive out the neutral and the positive. Dictionaries sometimes mark both words with a usage label such as “Usually disparaging”. In this article, the word is used descriptively mainly because there are many psychologistic views that are perfectly respectable and even endorsed by people who would be offended to have their views labeled psychologism. A person who subscribes to logicism is called a logicist, but there is no standard word for a person who subscribes to psychologism. ‘Psychologist’, which is not suitable, occurs in this sense. ‘Psychologician’, with stress on the second syllable as in ‘psychologist’, has been proposed. In the last century, some of the most prominent forms of psychologism pertained to logic; the rest of this article treats only such forms. Psychologism in logic is very “natural”. After all, logic studies reasoning, which is done by the mind, whose nature and functioning is studied in psychology—using the word ‘psychology’ in its broadest etymological sense. (shrink)

The detection of hate speech and fake news in political discourse is at the same time a crucial necessity for democratic societies and a challenge for several areas of study. However, most of the studies have focused on what is explicitly stated: false article information, language that expresses hatred, derogatory expressions. This paper argues that the explicit dimension of manipulation is only one – and the least problematic – of the risks of political discourse. The language of the unsaid (...) is much more dangerous and incomparably more difficult to detect, hidden in different types of fallacies and inappropriate uses of emotive language. Through a threefold coding scheme based on the instruments of argumentation theory and pragmatics, a corpus of argumentative tweets published by 4 politicians (Matteo Salvini, Donald Trump, Jair Bolsonaro, and Joseph Biden) within 6 months from their taking office (corresponding to the official end of their election campaign) is analyzed, detecting the types of argument, the fallacies, and the uses and misuses of “emotive words.” This coding results in the argumentation profiles of the speakers, which are compared statistically to show their different implicit strategies and deceptive tactics. (shrink)

Against content theories of slurs, according to which slurs have some kind of derogatory content, Anderson and Lepore have objected that they cannot explain that even slurs under quotation can cause offense. If slurs had some kind of derogatory content, the argument goes, quotation would render this content inert and, thus, quoted slurs should not be offensive. Following this, Anderson and Lepore propose that slurs are offensive because they are prohibited words. In this paper, we will show (...) that, pace Anderson and Lepore, content theories of slurs do provide an explanation of the fact that quoted slurs can cause offense: even under quotation, the explanation goes, the derogatory content of a slur can still be psychologically efficacious. We will go one step further by pointing out that offensiveness is not the only function of slurs, but that slurs can also be used to create and reinforce negative attitudes towards the target group. While content theories can easily explain this by referring to some kind of derogatory content, Anderson and Lepore’s prohibitionism will lack a satisfactory explanation of this second function of slurs. Concluding, we will argue that, unlike uses of slurs, uses of quoted slurs normally do not derogate the target group. This will again speak in favor of content theories. Accordingly, uses of quoted slurs are not derogatory because quotation renders the derogatory content inert. Hence, rather than speaking against content theories, quoted slurs speak in their favor. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Plato's Doctrine of the Psyche as a Self-Moving Motion RAPHAEL DEMOS I WILLXSXTHEREADERto ignore for the time being what he has gleaned about the soul from the reading of the Phaedo and the Republic. In these dialogues Plato speaks of the soul sometimes as wholly rational, as having three parts, and so forth. But in these dialogues he is t~lklng of the human soul, which is a special case, (...) whereas in this essay I am de~Hng with the wider role and the concept of the soul as the efficient cause of motion, change, and all becoming everywhere in the cosmos. My cardinal texts in this exposition are the Sophist (246a-249d), the Phaedrus (245c, d), and a considerable portion of Laws, X. Consider the Phaedo, a dialogue with at least four motifs: it is a dramatic evocation of the last day in the life of Socrates, it is an argument for the immortality of the soul and for the reality of the world of ideas, it is a myth of the nether world, and finally, it is a theory of the cosmos as ruled by purpose--all in all, one of the great pieces of literature of the Western world. For the reader, it is an evocation of an attitude to life, based on Plato's conception of the soul--an attitude expressed in the famous phrase that the wise man spends his life meditating on death. As contrasted with what may be called his existential concern with the soul, in the other dialogues on which I will comment, Plato approaches the topic of the soul as part of his explanation of the cosmos. In these his attitude is objective and quasi-scientific. It is to this side of Plato's thought that I wish to call attention in this essay, where the establishment of the immortality of the soul is incidental to the more basic doctrine that the soul is an arche, a primary factor and an ontological principle. In the,Sophist, we find Plato playing the music of his philosophy in a new key. He refers to the "friends of the forms" as though he, himself, were an outsider looking in; then, too, he asserts that motion is really real in contrast to his derogatory references to motion in the Cratylus, the Phaedo, and the Republic.I In these (and other) dialogues, Plato contrasts change and changing things with the timeless forms in respect of reality: the former are said, at best, to be semi-real; only the latter are really real. But in the Sophist he changes his tune, arguing that total reality (~o ~v, to' ~a~rE~ By) includes both motion and rest (248e 8; 249d 3-4). What does he mean by these two words? That by 'rest' he means the realm of ideas is indicated (if not proved) by his references to the forms in the same context (247b 1But in the Theaeteius,he classifiesmotions in a semi-scientific fashion, leaving the impression on the reader that he regards motion as a reality. [133] 134 HISTORY OF PHILOSOPHY 1-2; 249b, 10, c 1).2 As for motion, Plato makes it clear that the term covers not only (a) physical motion but also (b) life, (c) psyche, and (d) phronesis or naus (249b 5). All these are said to be forms of kinesis; how this is so--how life, soul, mason may be described as motions or changes--is a matter for later comment. What is more to the point is Plato's insistence that motion and what is moved are onta (beings, 249b 2, d 3). Plato uses change (metabol$) interchangeably with kinesis; anticipating the Phaedrus, I will include activity under change. And anticipating the Laws, I will characterize some of this activity as mental; indeed the Sophist, includes within change nous, phronesis, and episteme; that is to say, understanding (in the sense of an activity, 249a, b, c).s Plato offers various reasons in support of his contention that change is real. He may also be offering a special demonstration as follows. The philosopher who denies that change is real is engaged in a mental activity, in short... (shrink)

No one who has read the classics with any attention can fail to have been struck by certain oddities in both the Greek and Latin usage of epithets denoting colour. How really strange their application often is may have escaped general notice for three reasons: partly, it may be, because custom has staled their surprising character—phrases such as ‘the wine-dark sea’ having become, so to say, ‘household words’; partly because a natural and on the whole commendable diffidence prevents our (...) attributing, at least to the Greeks, anything that seems in the least derogatory from an artistic point of view; and partly because these instances of curious usage are scattered and so have no cumulative effect on our judgement. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Working with Patience:An Insight into Dealing with Difficult EmotionsDavid VilanovaAs the most trusted professionals in the nation, nurses are expected to care for their patients with empathy and freedom from bias. The reality is that nurses are human, and some form of implicit bias is inevitable. In my own experience, this issue has reared its head on several occasions. My nursing background is prominently in cardiac and intensive care. (...) Seeing patients at their most vulnerable has become a regular part of my practice. Among some of the most challenging cases for me have been when I assume care of a patient withdrawing from alcohol. As an adult child with close alcoholic family members, many instances of abuse and pain stick with me today and these are brought to the surface when I care for patients with alcohol use disorder. In most cases, I easily find a healthy balance between remaining an understanding-and-empathetic provider and protecting my emotional and mental health as I navigate ethical and moral issues. However, with this patient population, walking that fine line is especially challenging. How do I navigate and manage intensely personal emotions and biases while providing the high-quality care I vowed to deliver regardless of my patient's life choices, addictions, and illnesses? How do I maintain an appropriate level of neutrality and clarity as this patient's behavior and attitude spark emotional triggers? In other words, how do I take care of someone I don't like?Mrs. H was a middle-aged Hispanic woman, barely coherent, but speaking clearly enough that I could understand her slurred speech. Immediate dread washed over me as I realized my assignment included a patient withdrawing from alcohol. The patient's affect, incoherence, and aggression were all too reminiscent of a traumatic past I still work to heal from. My coworkers couldn't understand her insults and obscenities and were therefore unphased except for noting her unruly and erratic behavior. On the other hand, I could understand much of what she was yelling at me and any other staff who bravely walked into her room. My immediate thoughts were that this woman clearly did not want our help. My every attempt to enter her room, speak with her, and provide care were met with an all too familiar rejection and denial that she even had a problem. Yet here she was in a hospital room, and I was her nurse. She verbalized denial of drinking too much when told that she was being treated for alcohol withdrawal. She stated this denial more to herself than to the health care providers in the room, and it was reminiscent of the denial I have seen in my loved ones. This was ironic, I always thought, as the need for such self-deception in and of itself points to the fact that something may be wrong and worth addressing.But denial or not, today, this patient—Mrs. H, was entrusted into my care. She refused treatments and medications, and this put me in a complex ethical predicament—treating a patient that I do not like for the personal issues she reminds me of, and the treatment of a patient against their refusal, as she was deemed incapable of making her own decisions. The latter of these two issues was easiest to put aside. Legally, this patient needed to be treated through her alcohol withdrawal. Once her mental status cleared up, she could sign out against medical advice or choose to remain until a safe discharge plan was in place. There was a protocol and legal guidelines for this situation. However, no guidelines [End Page 10] truly exist when it comes to the management of a patient that you simply do not like. The result can be a near-instantaneous dread each time you must answer that patient's bed alarm, call light, or most basic needs. A negative bias takes over, and it would be an understatement to say that this affects the quality of care. Patients in situations like this—with providers who judge them as I have been guilty of—can easily become subject to derogatory remarks, health inequities, and biased labeling... (shrink)