This article introduces a special section concerned with precariousness and cultural work. Its aim is to bring into dialogue three bodies of ideas — the work of the autonomous Marxist `Italian laboratory'; activist writings about precariousness and precarity; and the emerging empirical scholarship concerned with the distinctive features of cultural work, at a moment when artists, designers and (new) media workers have taken centre stage as a supposed `creative class' of model entrepreneurs. The article is divided into three sections. It (...) starts by introducing the ideas of the autonomous Marxist tradition, highlighting arguments about the autonomy of labour, informational capitalism and the `factory without walls', as well as key concepts such as multitude and immaterial labour. The impact of these ideas and of Operaismo politics more generally on the precarity movement is then considered in the second section, discussing some of the issues that have animated debate both within and outside this movement, which has often treated cultural workers as exemplifying the experiences of a new `precariat'. In the third and final section we turn to the empirical literature about cultural work, pointing to its main features before bringing it into debate with the ideas already discussed. Several points of overlap and critique are elaborated — focusing in particular on issues of affect, temporality, subjectivity and solidarity. (shrink)

Community engagement (CE) is gaining prominence in global health research. A number of ethical goals–spanning the instrumental, intrinsic, and transformative–have been ascribed to CE in global health research. This paper draws attention to an additional transformative value that CE is not typically linked to but that seems very relevant: solidarity. Both are concerned with building relationships and connecting parties that are distant from one another. This paper first argues that furthering solidarity should be recognized as another ethical goal for CE (...) in global health research. It contends that, over time, CE can build the bases of solidaristic relationships—moral imagination, recognition, understanding, empathy—between researchers and community members. Applying concepts from existing accounts of solidarity, the paper develops preliminary ideas about who should be engaged and how to advance solidarity. The proposed approach is compared to current CE practice in global health research. Finally, the paper briefly considers how solidaristic CE could affect how global health research is performed. (shrink)

How international research might contribute to justice in global health has not been substantively addressed by bioethics. Theories of justice from political philosophy establish obligations for parties from high‐income countries owed to parties from low and middle‐income countries. We have developed a new framework that is based on Jennifer Ruger's health capability paradigm to strengthen the link between international clinical research and justice in global health. The ‘research for health justice’ framework provides direction on three aspects of international clinical research: (...) the research target, research capacity strengthening, and post‐trial benefits. It identifies the obligations of justice owed by national governments, research funders, research sponsors, and investigators to trial participants and host communities. These obligations vary from those currently articulated in international research ethics guidelines. Ethical requirements of a different kind are needed if international clinical research is to advance global health equity. (shrink)

This paper presents a calculus for mereotopological reasoning in which two-dimensional spatial regions are treated as primitive entities. A first order predicate language ℒ with a distinguished unary predicate c(x), function-symbols +, · and - and constants 0 and 1 is defined. An interpretation ℜ for ℒ is provided in which polygonal open subsets of the real plane serve as elements of the domain. Under this interpretation the predicate c(x) is read as 'region x is connected' and the function-symbols and (...) constants are given their meaning in terms of a Boolean algebra of polygons. We give an alternative interpretation ������ base on the real closed plane which turns out to be isomorphic to ℜ. A set of axioms and a rule of inference are introduced. We prove the soundness and completeness of the calculus with respect to the given interpretation. (shrink)

Recent scholarship has considered what, if anything, rich people owe to poor people to achieve justice in global health and the implications of this for international research. Yet this work has primarily focused on international clinical research. Health systems research is increasingly being performed in low and middle income countries and is essential to reducing global health disparities. This paper provides an initial description of the ethical issues related to priority setting, capacity-building, and the provision of post-study benefits that arise (...) during the conduct of such research. It presents a selection of issues discussed in the health systems research literature and argues that they constitute ethical concerns based on their being inconsistent with a particular theory of global justice (the health capability paradigm). Issues identified include the fact that priority setting for health systems research at the global level is often not driven by national priorities and that capacity-building efforts frequently utilize one-size-fits-all approaches. (shrink)

BackgroundEngagement of people with lived experience and members of the public is an ethically and scientifically essential component of health research. Authentic engagement means they are involved as full partners in research projects. Yet engagement as partnership is uncommon in practice, especially during priority-setting for research projects. What is needed for agenda-setting to be shared by researchers and people with lived experience and/or members of the public (or organisations representing them)? At present, little ethical guidance exists on this matter, particularly (...) that which has been informed by the perspectives of people with lived experience and members of the public. This article provides initial evidence about what they think are essential foundations and barriers to shared decision-making in health research priority-setting and health research more broadly.MethodsAn exploratory, qualitative study was conducted in 2019. 22 semi-structured interviews were performed with key informants from the UK and Australia.ResultsThree main types of foundations were thought to be essential to have in place before shared decision-making can occur in health research priority-setting: relational, environmental, and personal. Collectively, the three types of foundations addressed many (but not all) of the barriers to power sharing identified by interviewees.ConclusionsBased on study findings, suggestions are made for what researchers, engagement practitioners, research institutions, and funders should do in their policy and practice to support meaningful engagement. Finally, key international research ethics guidelines on community engagement are considered in light of study findings. (shrink)

In response to calls to expand the scope of research ethics to address justice in global health, recent scholarship has sought to clarify how external research actors from high-income countries might discharge their obligation to reduce health disparities between and within countries. An ethical framework—‘research for health justice’—was derived from a theory of justice (the health capability paradigm) and specifies how international clinical research might contribute to improved health and research capacity in host communities. This paper examines whether and how (...) external funders, sponsors, and researchers can fulfill their obligations under the framework. (shrink)

Classical pragmatism, despite its recognized concern for questions of freedom and democracy, has little to say directly about questions of power. Some commentators have found Dewey’s notion of habit to be a resource for taking up issues of power while others have argued that pragmatism does not provide a sufficiently critical tool to challenge systematic oppression. Still others have proposed to shore up pragmatism by using resources found in post-structuralism, particularly in the work of Foucault. This paper begins with this (...) suggestion, but argues that while Foucault offers a useful starting point his conception of power fails—at least in an American context characterized by the experience of pluralism. I then argue that the pragmatist tradition, through the work of Mary P. Follett (1868-1933) has the theoretical resources to generate a conception of power that begins with the experience of pluralism. (shrink)

We are in the midst of a crisis of climate change and environmental degradation that will only get worse, unless significant changes are rapidly made. Globally, the healthcare sector causes a large share of our total environmental footprint: 4.4% of greenhouse gases. Sustainable healthcare has emerged as a way for healthcare sectors in high‐income countries to help mitigate climate change by reducing their emissions. Whether global health should be sustainable and what ethical grounds might exist to support such a claim (...) are not questions that have been investigated. The paper argues that global health practice—the delivery of health services to underserved populations in resource‐poor areas of the world—should be sustainable as a matter of climate justice and solidarity. Reducing climate change‐related risks and harms for the vulnerable is integral to the mission of global health and thus it is necessary to consider the climate impact of its practice. The field has a duty to provide sustainable health services that are responsive to climate change‐related changes in the local burden of disease and to build sustainable health system infrastructure. Specific responsibilities for global health funders, managers, and implementers to uphold the duty are proposed. To conclude, the paper considers what limits might be placed on the duty to deliver sustainable global healthcare. (shrink)

i am humbled by the opportunity to address you today as the President of the Society for the Advancement of American Philosophy. From my first experience at the annual meeting in Boston in 1995 to this meeting more than two decades later, SAAP has been my philosophical home. Here I have come to know many of the philosophers who have most influenced me: John Lachs, Peter Hare, John Ryder, Charlene Haddock Seigfried, Jim Campbell, Marilyn Fischer, Erin McKenna, and John McDermott, (...) whose work, in particular, helped me find my philosophical voice by inspiring both the research that led to my first book and my approach to teaching American philosophy. It was McDermott, the second president of this society, who delivered... (shrink)

The Helen of Gorgias is designed to provoke the aspiring speaker to consider his relationship with society as a whole. The speech's extreme claims regarding the power of logos reflect simplistic ideas about speaker-audience relations current among Gorgias' target audience, ideas reflected in an interpretive stance towards model speeches that privileges method over truth. The Helen pretends to encourage this conception of logos and interpretive stance in order to expose the intense desire and naïve credulity that drive a coolly technical (...) appraisal of model speeches. The Helen thus manifests, with a playfulness suited to its liminal position, a concern for the ethical and social formation of those who might accept the invitation to study logos. (shrink)

Legal orthodoxy has it that the wrong involved in breaking a promise, like that involved in breaking a contract, depends essentially on the making of a binding promise. It is in this sense sui generis. But philosophers are not so sanguine. T.M. Scanlon is the latest in a long line of moral philosophers who have sought to reduce the wrong of promise-breaking to a wider class of wrongs associated with a duty, variously formulated, not to disappoint the expectations one induces (...) in another. I argue that Scanlon's theory founders on a logical impasse that plages all such reductionist accounts. (shrink)

An examination of the concept of God as propounded by Charles Hartshorne and John Macquarrie, two mid-20th century theological thinkers, Relational Deity argues for a concept of God as "relational deity" that arises out of a detailed investigation juxtaposing Hartshorne's neoclassical theism and Macquarrie's existential-ontological theism.

The ethical concept of responsiveness has largely been interpreted in the context of international clinical research. In light of the increasing conduct of externally funded health systems research in low- and middle-income countries, this article examines how responsiveness might be understood for such research and how it can be applied. It contends that four features set HSR in LMICs apart from international clinical research: a focus on systems; being context-driven; being policy-driven; and being closely linked to development objectives. These features (...) support reinterpreting responsiveness for HSR in LMICs as responsiveness to systems needs, where health system performance assessments can be relied upon to identify systems needs, and/or responsiveness to systems priorities, which entails aligning research with HSR priorities set through country-owned processes involving national and sub-national policymakers from host countries. Both concepts may be difficult to achieve in practice. Country ownership is not an established fact for many countries and alignment to their priorities may be meaningless without it. It is argued that more work is, therefore, needed to identify strategies for how the responsiveness requirement can be ethically fulfilled for HSR in LMICs under non-ideal conditions such as where host countries have not set HSR priorities via country-owned processes. Embeddedness is proposed as one approach that could be the focus of further development. (shrink)

Social justice has been identified as a foundational moral commitment for global health research ethics. Yet what a commitment to social justice means for community engagement in such research has not been critically examined. This paper draws on the rich social justice literature from political philosophy to explore the normative question: What should the ethical goals of community engagement be if it is to help connect global health research to social justice? Five ethical goals for community engagement are proposed that (...) promote well-being, agency, and self-development, particularly for those considered disadvantaged and marginalized. The paper also considers how key terms used in the proposed goals should be defined using existing theories of health and social justice. This analysis is done to give global health researchers and their partners a better idea of what the ethical goals mean. Patterns of convergence amongst different theories are identified that support relying on particular definitions of key terms. (shrink)

Supposing that talk of a distinctively artistic type of value is warranted, what separates it from other sorts of value? Any plausible answer must explain both what is of value and what is artistic about artistically valuable properties. Flaws with extant accounts stem from neglect of one component or the other; the account offered here, based on careful attention to actual art-critical practices, brings both together. The “value” component depends on the capacity of artworks to provide subjectively valuable experiences, while (...) the “artistic” component relies on the specific norms constitutive of artworld institutions. Understanding artistic value in this way allows for progress on several persistent problems, including the ethical value of art, relativism in artistic value, and the proper boundaries of philosophical aesthetics. (shrink)

Controlled languages are regimented fragments of natural languagedesigned to make the processing of natural language more efficient andreliable. This paper defines a controlled language, E2V, whose principalgrammatical resources include determiners, relative clauses, reflexivesand pronouns. We provide a formal syntax and semantics for E2V, in whichanaphoric ambiguities are resolved in a linguistically natural way. Weshow that the expressive power of E2V is equal to that of thetwo-variable fragment of first-order logic. It follows that the problemof determining the satisfiability of a set (...) of E2V sentences is NEXPTIMEcomplete. We show that E2V can be extended in various ways withoutcompromising these complexity results; however, relaxing our policy onanaphora resolution renders the satisfiability problem for E2Vundecidable. Finally, we argue that our results have a bearing on thebroader philosophical issue of the relationship between natural andformal languages. (shrink)

For Leibniz, it was a requirement upon the `fundamentally real' to have a `principle of unity'. What does this mean?One general point is that Substance cannot be understood as pure extension. But there is a particular point about cohesion: a real thing had to have some means by which its parts were stuck together. But Leibniz' insistence on `unity' is also an insistence on indivisibility. Under this head there is first the point that there appears to be a contradiction between (...) extension and being incapable of being cut in two. Second, Leibniz uses the notion of `indivisibility' to mark the following distinction among things made up of parts: those which cannot be split without being destroyed; and the rest . To be `indivisible' is to be of the first type. Leibniz' insistence that the truly real must be `indivisible' is then his insistence that the truly real, if it is made up of parts, must be a thing with `integrity', i.e. not an aggregate.What does Leibniz think of as the connection between what is truly real and the possession of `integrity'? He took from Scholasticism the doctrine that action is necessarily attributed to a substance having `integrity', contructing what was in effect a theory of action with two parts: only self-subsistent substances can act; and an action is an origination of change. Leibniz thus insists that self-subsistent substances must be indivisible, in the sense that they cannot be mere aggregates. Aggregates cannot act, and self-subsistence in effect is the capacity for action. This is the most fundamental reason Leibniz had for insisting that the truly real must have a `principle of unity'.It is misleading to speak of Leibniz reintroducing the Scholastic form-and-matter conception of substance for the following reasons: the Scholastic `form' precisely lacked a `principle of action'; and during the period when it is suggested that Leibniz' conception was essentially Scholastic he was defending the view that what his `form' informed was not matter at all but what he called a `metaphysical point'. (shrink)

The rationale for the common rejection of classical societal functionalism is that it entails treating a society as an intelligent purposer, capable of directing its own internal organization in furtherance of survival. But a more acceptable alternative account of the origins of a society's functional organization is conceivable: the individual unconsciously recognizes the needs of his group and directs his behaviour so that they are met. The plausibility of this explanation hangs on whether selection between groups occurs to any significant (...) extent, however, and it is therefore on this question that the plausibility of classical societal functionalism itself depends. (shrink)

The relational syllogistic extends the classical syllogistic by allowing predicate phrases of the forms “rs every q”, “rs some q” and their negations, where q is a common noun and r a transitive verb. It is known that both the classical and relational syllogistic admit a finite set of syllogism-like rules whose associated derivation relation is sound and complete. In this article, we extend the classical and relational syllogistic by allowing ‘guarded’ predicate phrases of the form “rs onlyqs”, and their (...) negations. We show that, in both cases, the resulting logic is pspace-complete. It follows, on the assumption that NPTIME≠PSPACE\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\textsc {nptime}\ne \textsc {pspace}$$\end{document}, that neither extension admits a finite set of syllogism-like rules whose associated derivation relation is sound and complete, even when reductio ad absurdum is allowed. We also show that further extending these systems with noun-complementation in sentence-subjects results in logics which are exptime-complete. (shrink)

Interreligious dialogue does not take place in a vacuum, nor is it a matter of casual conversation. Dialogue is a contested phenomenon, advocated and embraced on one hand, eschewed and discarded on the other. By way of an exploration of the fact of plurality, the notions of modernism and postmodernism, and a brief discussion of select pertinent issues (unity, truth, and the very idea of theology), the paradigmatic context of pluralism will be critically discussed. Contemporary engagement in interreligious dialogue and (...) interfaith relations requires to be underpinned by a carefully thought-out conceptualising of the context in which it can authentically occur. This paper seeks to contribute to the understanding of the context of and for interreligious dialogue. (shrink)