This article draws on an empirical investigation of how Australia’s cervical screening program came to be the way it is. The study was carried out using grounded theory methodology and primarily uses interviews with experts involved in establishing, updating or administering the program. We found strong differences in experts’ normative evaluations of the program and beliefs about optimal ways of achieving the same basic outcome: a reduction in morbidity and mortality caused by invasive cervical cancer. Our analysis demonstrates how variations (...) in values and preferences associated with key concepts underpinning public health such as benefit, harm and burden led to different perspectives on the purpose of an organized cervical screening program. These variations were largely driven by different bases of professional experience. Differently conceived purposes in turn led to conflict over how the program should be operationalized. Following Frith’s model of empirical bioethics, the results of the study both draw on and inform the existing public health and screening ethics literature. (shrink)

Surgical innovation promises improvements in healthcare, but it also raises ethical issues including risks of harm to patients, conflicts of interest and increased injustice in access to health care. In this article, we focus on risks of injustice, and use a case study of robotic prostatectomy to identify features of surgical innovation that risk introducing or exacerbating injustices. Interpreting justice as encompassing matters of both efficiency and equity, we first examine questions relating to government decisions about whether to publicly fund (...) access to innovative treatments. Here the case of robotic prostatectomy exemplifies the difficulty of accommodating healthcare priorities such as improving the health of marginalized groups. It also illustrates challenges with estimating the likely long-term costs and benefits of a new intervention, the difficulty of comparing outcomes of an innovative treatment to those of established treatments, and the further complexity associated with patient and surgeon preferences. Once the decision has been made to fund a new procedure, separate issues of justice arise at the level of providing care to individual patients. Here, the case of robotic prostatectomy exemplifies how features of surgical innovation, such as surgeon learning curves and the need for an adequate volume of cases at a treatment centre, can exacerbate injustices associated with treatment cost and the logistics of travelling for treatment. Drawing on our analysis, we conclude by making a number of recommendations for the just introduction of surgical innovations. (shrink)

There are increasing concerns that research regulatory requirements exceed those required to manage risks, particularly for low- and negligible-risk research projects. In particular, inconsistent documentation requirements across research sites can delay the conduct of multi-site projects. For a one-year, negligible-risk project examining biobank operations conducted at three separate Australian institutions, we found that the researcher time required to meet regulatory requirements was eight times greater than that required for the approved research activity. In total, 76 business days were required to (...) obtain the necessary approvals, and site-specific processes required twice as long as primary Human Research Ethics Committee and Research Governance Office processes. We describe the impact of this administrative load on the conduct of a one-year, externally-... (shrink)

This article reports initial findings from a research project that focused on the impact of the reaccreditation process and its outcomes on teacher educators in four institutions in England where Qualified Teacher Status accreditation was removed, despite leading successful programmes as detailed in Ofsted inspections and National Student Survey data. Whilst the outcomes of the reaccreditation process were mentioned in the mainstream press, the impact of this policy on teacher educators had only been reported anecdotally. This research fills a research (...) gap to document impact on teacher educator identity and provides an evidence base to inform teacher education policy debates. Data were gathered through focus groups using a triad collaborative enquiry approach, based on the lesson study model, where researchers took on different roles: clarifier, observer, and questioner. This method formed part of a constructed focus group and built on a process of semi-structured and unstructured creative tasks. Initial findings identified the shifting context university educators perceived in relation to policy constraints, including a greater top-down, centralisation that negated the opportunity for teacher educators to provide a contextualised, evidence informed approach to teacher preparation. This contributed to the impact of the reaccreditation process on teacher educators’ professional identity, self-efficacy and agency. (shrink)

BackgroundCervical cancer disproportionately burdens disadvantaged women. Organised cervical screening aims to make cancer prevention available to all women in a population, yet screening uptake and cancer incidence and mortality are strongly correlated with socioeconomic status. Reaching underscreened populations is a stated priority in many screening programs, usually with an emphasis on something like ‘equity’. Equity is a poorly defined and understood concept. We aimed to explain experts’ perspectives on how cervical screening programs might justifiably respond to ‘the underscreened’.MethodsThis paper reports (...) on a grounded theory study of cervical screening experts involved in program organisation. Participants were 23 experts from several countries and a range of backgrounds: gynecology; epidemiology; public health; pathology; general practice; policy making. Data were gathered via semi-structured interview and concepts developed through transcript coding and memo writing.ResultsMost experts expressed an intuitive commitment to reducing systematic differences in screening participation or cancer outcomes. They took three different implicit positions, however, on what made organised programs justifiable with respect to underscreened populations. These were: 1) accepting that population screening is likely to miss certain disenfranchised groups for practical and cultural reasons, and focusing on maximising mainstream reach; 2) identifying and removing barriers to screening; and 3) providing parallel tailored screening services that attended to different cultural needs. Positions tended to fall along country of practice lines.ConclusionsExperts emphasised the provision of opportunity for underscreened populations to take up screening. A focus on opportunity appeared to rely on tacit premises not supported by evidence: that provision of meaningful opportunity leads to increased uptake, and that increased uptake of an initial screening test by disadvantaged populations would decrease cervical cancer incidence and mortality. There was little attention to anything other than the point of testing, or the difficulties disadvantaged women can have in accessing follow up care. The different approaches to ‘improving equity’ taken by participants are differently justified, and differently justifiable, but none attend directly to the broader conditions of disadvantage. (shrink)

Background Outbreaks of infectious disease cause serious and costly health and social problems. Two new technologies – pathogen whole genome sequencing and Big Data analytics – promise to improve our capacity to detect and control outbreaks earlier, saving lives and resources. However, routinely using these technologies to capture more detailed and specific personal information could be perceived as intrusive and a threat to privacy. Method Four community juries were convened in two demographically different Sydney municipalities and two regional cities in (...) New South Wales, Australia to elicit the views of well-informed community members on the acceptability and legitimacy of: making pathogen WGS and linked administrative data available for public health researchusing this information in concert with data linkage and machine learning to enhance communicable disease surveillance systems Fifty participants of diverse backgrounds, mixed genders and ages were recruited by random-digit-dialling and topic-blinded social-media advertising. Each jury was presented with balanced factual evidence supporting different expert perspectives on the potential benefits and costs of technologically enhanced public health research and communicable disease surveillance and given the opportunity to question experts. Results Almost all jurors supported data linkage and WGS on routinely collected patient isolates for the purposes of public health research, provided standard de-identification practices were applied. However, allowing this information to be operationalised as a syndromic surveillance system was highly contentious with three juries voting in favour, and one against by narrow margins. For those in favour, support depended on several conditions related to system oversight and security being met. Those against were concerned about loss of privacy and did not trust Australian governments to run secure and effective systems. Conclusions Participants across all four events strongly supported the introduction of data linkage and pathogenomics to public health research under current research governance structures. Combining pathogen WGS with event-based data surveillance systems, however, is likely to be controversial because of a lack of public trust, even when the potential public health benefits are clear. Any suggestion of private sector involvement or commercialisation of WGS or surveillance data was unanimously rejected. (shrink)

Formal models of appearance and reality have proved fruitful for investigating structural properties of perceptual knowledge. This paper applies the same approach to epistemic justification. Our central goal is to give a simple account of The Preface, in which justified belief fails to agglomerate. Following recent work by a number of authors, we understand knowledge in terms of normality. An agent knows p iff p is true throughout all relevant normal worlds. To model The Preface, we appeal to the normality (...) of error. Sometimes, it is more normal for reality and appearance to diverge than to match. We show that this simple idea has dramatic consequences for the theory of knowledge and justification. Among other things, we argue that a proper treatment of The Preface requires a departure from the internalist idea that epistemic justification supervenes on the appearances and the widespread idea that one knows most when free from error. (shrink)

Intentional action is, in some sense, non-accidental, and one common way action theorists have attempted to explain this is with reference to control. The idea, in short, is that intentional action implicates control, and control precludes accidentality. But in virtue of what, exactly, would exercising control over an action suffice to make it non-accidental in whatever sense is required for the action to be intentional? One interesting and prima facie plausible idea that we wish to explore in this paper is (...) that control is non-accidental in virtue of requiring knowledge—either knowledge-that or knowledge-how (e.g., Beddor and Pavese 2021; cf., Setiya 2008; 2012 and Habgood-Coote 2018). We review in detail some key recent work defending such knowledge-centric theories of control, and we show that none of these accounts holds water. We conclude with some discussion about how control opposes the sort of luck intentional action excludes without doing so by requiring knowledge (that- or how). (shrink)

This paper is about two topics: metaepistemological absolutism and the epistemic principles governing perceptual warrant. Our aim is to highlight—by taking the debate between dogmatists and conservativists about perceptual warrant as a case study—a surprising and hitherto unnoticed problem with metaepistemological absolutism, at least as it has been influentially defended by Paul Boghossian as the principal metaepistemological contrast point to relativism. What we find is that the metaepistemological commitments at play on both sides of this dogmatism/conservativism debate do not line (...) up with epistemic relativism nor do they line up with absolutism, at least as Boghossian articulates this position. What this case study reveals is the need in metaepistemological option space for the recognition of a weaker and less tendentious form of absolutism, what we call “environment relativism”. On this view, epistemic principles are knowable, objective, and they can serve as the basis of particular epistemic evaluations, but their validity is relative to the wider global environment in which they are applied. (shrink)

Whereas epistemology is the philosophical theory of knowledge, its nature and scope, metaepistemology takes a step back from particular substantive debates in epistemology in order to inquire into the assumptions and commitments made by those who engage in these debates. This entry will focus on a selection of these assumptions and commitments, including whether there are objective epistemic facts; and how to characterize the subject matter and the methodology of epistemology.

AbstractSimion and Kelp offer a prima facie very promising account of trustworthy AI. One benefit of the account is that it elegantly explains trustworthiness in the case of cancer diagnostic AIs, which involve the acquisition by the AI of a representational etiological function. In this brief note, I offer some reasons to think that their account cannot be extended — at least not straightforwardly — beyond such cases (i.e., to cases of AIs with non-representational etiological functions) without incurring the unwanted (...) cost of overpredicting untrustworthiness. (shrink)

“In When Your Life Is On Fire Erik Kolbell listens, provokes, and most of all, shares with us the enduring lessons and insights of life and faith as realized by a diverse population of thoughtful people. It’s a town hall of the soul.” -- Tom Brokaw If your life was on fire, what would be the one thing you save? Psychotherapist and former pastor Erik Kolbell asks that question of 13 remarkable and unique individuals, and the answers may surprise you. (...) Provided by celebrities such as Jane Pauley and Alan Alda, artists such as Regina Carter and Tao Porchon Lynch, and ordinary people put into extraordinary situations like Don Lange and Brenda Berkman, these reflections will help all of us consider what it is that we value most in life. His goal, Kolbell says, is not to examine the worth of each of these things. “What matters is that for all of the sham and artifice that can make cynics of us all, there are things, solid things, that compel us onward.”. (shrink)

Autonomous Knowledge: Radical Enhancement, Autonomy, and the Future of Knowing motivates and develops a new research programme in epistemology that is centred around the concept of epistemic autonomy.

This paper introduces a novel theory of vagueness. Its main aim is to show how naïve judgments about tolerance and indeterminacy can be preserved while departing from classical logic only in ways which are independently motivated. -/- The theory makes use of a bilateral approach to acceptance and rejection. Combined with a standard account of validity, this approach gives rise to an entailment relation which is non-transitive. I argue that this is desirable: it is both pre-theoretically plausible and provides a (...) compelling solution to a number of longstanding puzzles. The theory aims to preserve the naïve picture of vagueness. It combines tools from expressivist and dynamic treatments of information in conversation to show how principles which are generally assumed to be in tension are compatible. The resulting logic departs from classical logic in precisely those places we should expect it to. -/- . (shrink)

This book encourages readers to acknowledge humanity's contribution to the environmental crisis, proposing a way forward by exploring the power of ordinary people to bring about large-scale cultural change. Is it possible for humankind to change its ways and shed the belief that the planet is ours to do with as we like? Internationally acclaimed philosopher of education Jane Roland Martin argues that "humancentrism" is a learned affair, and what is learned can be unlearned. Turning to the past to (...) see how large-scale cultural change has occurred, she discovers a pattern in the achievements of such historical luminaries as Martin Luther, Mahatma Gandhi, Rosa Parks and Greta Thunberg that we too can follow. Drawing on history, philosophy, and literature as well as the natural and social sciences and hoping to mobilize readers to effective action, Martin employs an accessible and powerful rhetoric, with each chapter beginning with a scene from history written in dialogue form. This book calls on young and old to avert a looming tragedy of Aristotelian proportions--the demise of the "Mother Nature" that made it possible for our species to flourish. Thoroughly interdisciplinary in its approach, it will appeal to students and teachers as well as general readers interested in environmental studies, philosophy, and education. (shrink)

A vexing problem in contemporary epistemology—one with origins in Plato’s Meno—concerns the value of knowledge, and in particular, whether and how the value of knowledge exceeds the value of mere true opinion. The recent literature is deeply divided on the matter of how best to address the problem. One point, however, remains unquestioned: that if a solution is to be found, it will be at the personal level, the level at which states of subjects or agents, as such, appear. We (...) take exception to this orthodoxy, or at least to its unquestioned status. We argue that subpersonal states play a significant—arguably, primary—role in much epistemically relevant cognition and thus constitute a domain in which we might reasonably expect to locate the “missing source” of epistemic value, beyond the value attached to mere true belief. (shrink)

Women in Rock, Women in Romanticism is the first book-length work to explore the interrelationships between contemporary female musicians and eighteenth- and nineteenth-century art, music, and literature by women and men. The music and videos of contemporary musicians including Erykah Badu, Beyoncé, The Carters, Hélène Cixous, Missy Elliot, the Indigo Girls, Janet Jackson, Janis Joplin (and Big Brother and the Holding Company), Natalie Merchant, Joni Mitchell, Janelle Monáe, Alanis Morrisette, Siouxsie Sioux, Patti Smith, St. Vincent (Annie Clark), and Alice Walker (...) are explored through the lenses of pastoral and Afropresentism, Gothic, female Gothic, and the literature of William Blake, Beethoven, Arthur Schopenhauer, Samuel Taylor Coleridge, Charlotte Dacre, Ralph Waldo Emerson, E.T.A. Hoffmann, Ann Radcliffe, William Shakespeare, Mary Shelley, her husband Percy Shelley, Henry David Thoreau, Horace Walpole, Jane Williams, Mary Wollstonecraft, and William Wordsworth to explore how each sheds light on the other, and how women have appropriated, responded to, and been inspired by the work of authors from previous centuries. (shrink)

In this article we address Emile Durkheim's theory that norms and values become more generalized and abstract in a society as it becomes more complex and differentiated. To test Durkheim's theory we examine etiquette manuals—the common texts that define normative manners and morals in American society. We perform a deductive content analysis on past and present etiquette manuals to understand what changes have occurred regarding shifting behavioral norms and values over time. Our findings suggest that a change has occurred in (...) the presentation and language of contemporary etiquette manuals, reflecting a greater change in the normative order. We find—as Durkheim would expect—that three main shifts have occurred: a shift from specific to general expectations for behavior in social settings, a shift from demanding to more suggestive rules of behavior in social situations, and a weakening in the severity of sanctions for breaches of etiquette. (shrink)

In Australia, debates over the appropriate length of undergraduate nursing programs have a long history. Submissions from both universities and industry to key government reports have consistently argued that the current minimum entry level of practice, a three‐year program, is too short to enable students to gain the knowledge and skills necessary for the contemporary nursing role. Despite these submissions, the established entry level for nursing practice in Australia remains a three‐year undergraduate bachelor degree. However, there is a small group (...) of high‐achieving students who will begin practice at the end of a four‐year program. Little is known about these programs, or the students who are currently enrolled in them. Designed as a collaborative endeavour, based on co‐operative inquiry, the study discussed in this article aimed to provide an insight into aspects of a four‐year undergraduate nursing program. Potentially, the broader theoretical and clinical preparation that is possible in a four‐year program provides students with enhanced learning opportunities that will enable them to graduate with more confidence and greater ability. In this study a four‐year program provided an opportunity for a regional university to prepare students for the demanding realities of a complex area of practice, rural nursing. (shrink)

Here I reply to criticisms by Jeroen de Ridder and S. Kate Devitt to my "Collective (Telic) Virtue Epistemology".

In Chapter 3 of Judgment and Agency, Sosa (Judgment and Agency, 2015) explicates the concept of a fully apt performance. In the course of doing so, he draws from illustrative examples of practical performances and applies lessons drawn to the case of cognitive performances, and in particular, to the cognitive performance of judging. Sosa’s examples in the practical sphere are rich and instructive. But there is, I will argue, an interesting disanalogy between the practical and cognitive examples he relies on. (...) Ultimately, I think the source of the disanalogy is a problematic picture of the cognitive performance of guessing and its connection to knowledge and defeat. Once this critical line of argument is advanced, an alternative picture of guessing, qua cognitive performance, is articulated, one which avoids the problems discussed, and yet remains compatible with Sosa’s broader framework. (shrink)

Across care settings, the practice of lying to or withholding the truth from people living with dementia is common, yet it is objected to by many. Contrary to this common discomfort, I have argued in previous work that respecting members of this group as moral equals sometimes requires deceiving them. In this paper, I test my proposed practice against complex, controversial cases, demonstrating both its theoretical strength and its practical value for those working in social care.

Carers often interfere with the choices of people living with dementia. On neorepublican and (most) relational egalitarian views, interference can be justified if it tracks a person's interests: if it does not lead to a relationship of domination. However, the kind of environment-shaping interventions carers often pursue would be considered infantilising or objectionably paternalistic in other cases. In this paper, I defend this indirect approach and argue that it offers the best prospects of dementia care without domination.

This paper addresses problems in the interpretation of Chardin’s still life paintings, which are disconcerting because they are so out of step with those of his contemporaries. It is suggested that, with the application of Kantian aesthetics, Chardin can be best understood as representing things in themselves as well as the limits of language and understanding.

In this paper, the author reflects on an unsuccessful strategy for teaching an introductory philosophy class and charts her transition to a different, successful strategy which strives for intellectual integrity while coming to terms with the “impressive decrease in the level of the average student’s academic preparation.” The author first recalls her attempts to teach an introductory philosophy course with the traditional structure of texts read in chronological order, a midterm and final exam, and two several-page papers throughout the term. (...) This strategy produced panic and incomprehension on the part of both students and professor. Instead, the author recommends a course organized by philosophical theme with stylistically and chronologically mixed readings. Evaluation for this course is based on a series of one-page assignments throughout the term, the topics of which are not strictly academic (e.g. “Explore Marx’ notion of alienation in your own work life”) but which embed course material in a context that is more relevant and comprehensible to students. The author concludes by considering drawbacks to this course structure and arguing that they are outweighed by its benefits. (shrink)

This article will describe two forthcoming art/science projects, ‘Heliosphere’ (Grant, Kin, Matthias) and ‘The Sun Project’ (Grant, Kin, Matthias). Each project materializes data from solar flare activity by tracking the solar wind across the Earth. Using information streamed from satellites orbiting the Earth’s atmosphere and from terrestrial detectors, the Sun’s activity will be visualized and sonified at sites across the Earth. The article also describes the research context undertaken in developing the work including solar physics, anthropology the history of science.

Optimality Theory is a theory of the economy of constraint violation. Can this property of the theory be exploited in our understanding of economy effects in general? Can economy of structure and movement be derived without reference to economy of structure and movement? The central idea of this paper is that the choice between filling positions by movement and filling positions with independent material is determined by markedness and faithfulness constraints. There is no ‘economy of movement’ constraint, just economy of (...) movement effects. Economy of movement follows from the theory of what a chain is. (shrink)

By emphasising the role of concepts like social status, power and respect, all relational egalitarians seek to demonstrate that there is more to the political concept of equality than the distribution of goods. While there is a broad consensus on the nature of equality, however, the nature of justice is a matter of internal dispute. The aim of this paper is to disentangle these argumentative threads, building on work in early relational egalitarian scholarship to develop a relational approach to justice, (...) both distinct from the distributive approach to justice and isolated from the relational approach to equality. In doing so, I reveal possible and sometimes surprising alliances between relational egalitarians and other scholars on the nature of justice. (shrink)

The University of Greenwich Generator is setting sail on a thrilling new journey of knowledge exchange with the launch of its first-ever podcast the Navigator. Crafted in collaboration with Lucien von Schomberg, Senior Lecturer in Creativity and Innovation at Greenwich Business School it promises to be an exciting platform for innovation, entrepreneurship, and thought-provoking conversation. The podcast aims to bridge the gap between academic insights and real-world issues in an easily digestible way. Through engaging conversations, listeners can expect to gain (...) valuable knowledge from industry leaders and academic experts alike. Operating on three key principles—knowledge communication, knowledge exchange, and knowledge creation—this podcast embodies the essence of the Generator's mission, inspiring, educating and fostering collaboration. The first episode explores the limitless potential of AI in today's world, unravelling its impact on business, education, and society. Guests share their profound insights, experiences, and practical advice, shedding light on how AI is shaping our future. The episode delved deep into the ethical implications but also vast potential of using AI in the future and how it will affect both education and the wider world. The episode boasts an impressive lineup of inaugural guests, including Jane Harrington, the Vice-Chancellor of The University of Greenwich, Carl Thomas, Enterprise Advisor, and founder of Audiowings, Ghislaine Boddington, Professor in Digital Immersion, and Neil Saunders, Senior Lecturer in Mathematical Sciences. Together, these guests provide diverse perspectives on the future of AI at the university and beyond. (shrink)

Some utterances of imperative clauses have directive force—they impose obligations. Others have permissive force—they extend permissions. The dominant view is that this difference in force is not accompanied by a difference in semantic content. Drawing on data involving free choice items in imperatives, I argue that the dominant view is incorrect.