The following piece is a summary of a talk given to address the subject of women writing about male protagonists and from a male point of view, arguing that in Gunn’s own work traditional male characters are posited at the centre of texts that are actually female in perspective, so allowing for the reader to have the experience of a sort of inversion of reading. She does this by prioritizing female agency: thus the traditional male becomes someone else, the (...) male gaze transported to another kind of looking that instead of containing and exerting power over the women who are seen, rather reflects them back as powerful influential figures. Gunn defines what she calls this “breaking open the gaze,” the fracturing of a singular point of view into a multiple one, a seeing and a being seen, as a key feature of her own fictions, energizing and transforming the roles of both male and female characters in her work. (shrink)

In Against Democracy, Jason Brennan argues that public ignorance undermines the legitimacy of democracy because, to the extent that ignorant voters make bad policy choices, they harm their own and one another’s interests. The solution, he thinks, is epistocracy, which would leave policy decisions largely in the hands of social-scientific experts or voters who pass tests of political knowledge. However, Brennan fails to explain why we should think that these putative experts are sufficiently knowledgeable to avoid making errors as damaging (...) as those made by voters. Given the strong link between political knowledge and ideological dogmatism, as well as the tendency of social scientists to disagree with one another, the case for epistocracy is deeply implausible, at best. Moreover, given that there are important non-instrumental justifications of democracy—justifications of which Brennan appears to be radically ignorant—the epistocratic alternative would be unnecessary even if it were viable. (shrink)

Measures and theories of information abound, but there are few formalised methods for treating the contextuality that can manifest in different information systems. Quantum theory provides one possible formalism for treating information in context. This paper introduces a quantum inspired model of the human mental lexicon. This model is currently being experimentally investigated and we present a preliminary set of pilot data suggesting that concept combinations can indeed behave non-separably.

This paper takes a critical perspective on corporate social responsibility and examines the ways in which an industry organization discursively manages the relationship between the industry and its stakeholders in a situation where the legitimacy of the industry is called into question. Drawing on the literature on organizational narcissism and sensemaking the paper develops the construct of narcissistic CSR orientation and empirically elaborates on three defensive rhetorical strategies through which the organization makes sense of the accountability and responsibility of the (...) industry for the negative societal effects of their business. The paper advances knowledge in the field of critical CSR by proposing a new framework for critically examining organization-stakeholder relationships and organizational responses to stakeholder demands in contexts where the interests of organizations are in conflict with the public good. (shrink)

The traditional medical epistemology, resting on a biomedical paradigmatic monopoly, fails to display an adequate representation of medical knowledge. Clinical knowledge, including the complexities of human interaction, is not available for inquiry by means of biomedical approaches, and consequently is denied legitimacy within a scientific context. A gap results between medical research and clinical practice. Theories of knowledge, especially the concept of tacit knowing, seem suitable for description and discussion of clinical knowledge, commonly denoted the art of medicine. A metaposition (...) allows for inquiry of clinical knowledge, inviting an expansion of the traditional medical epistemology, provided that relevant criteria for scientific knowledge within this field are developed and applied. The consequences of such approaches are discussed. (shrink)

Conducting research on adolescents raises a number of ethical issues not often confronted in research on younger children. In part, these differences are due to the fact that although assent is usually not an issue, given cognitive and social competencies, the life situations and behavior of youth make it more difficult to balance rights and privacy of the adolescents. In this article, the three ethical principles of beneficence, justice, and respect for persons are discussed in terms of their application to (...) the study of adolescents. Then, seven vignettes are presented to illustrate how these principles apply to real-life situations. How to balance the rights of adolescents and their parents is discussed, using adolescent girls and their parents for illustrative purposes. (shrink)

We all ‘know’ that public opinion came to prominence in the political vocabulary of the late eighteenth century. It may be that this dates its rise a bit late, but it is not relevant to argue the matter here. My concern is rather that we be equally aware of the purposes for which people made use of the concept. Here I wish to consider various possible contexts for speaking or writing of public opinion, or ‘opinion’, as it was usually called (...) prior to the mid-eighteenth century. It may be possible to define, more fully than heretofore, the work that the expression did in eighteenth-century thought. As contemporary students of public opinion have been learning, an answer to this question may not even be wholly irrelevant to the task of specifying the nature of public opinion in our own time. (shrink)

Ten nurses at a university hospital in Norway were interviewed as part of a comprehensive investigation into the narratives of nurses and physicians about being in ethically difficult situations in surgical units. The transcribed interview texts were subjected to a phenomenological-hermeneutic interpretation. The main theme in the narratives was being close to and moved by the suffering of patients and relatives. The nurses' responsibility for patients and relatives was expressed as a commitment to act, and they needed to ask themselves (...) whether their responsibility had been fulfilled, that nothing had been left undone, overlooked or neglected, before they could leave the unit. When there was confirmation by the patients, relatives, colleagues and themselves that the needs of patients and relatives had been attended to in a morally and professionally satisfying manner, this increased the nurses' confidence and satisfaction in their work, and their strength to live with the burden of being in ethically difficult situations. (shrink)

This study examines how the leading beverage company handles the strategic paradox between its core business and the social issue of obesity. A discursive analysis reveals how the organization does embrace a social goal related to obesity but not the paradoxical tension between this goal and its core business. The analysis further shows how the tension, along with the responsibility for the social goal, is projected outside the organization. This response is underpinned by the paradoxical constructions of consumers and the (...) concept of obesity in the organization’s communication. Based on these findings, I outline a new type of process for projection, one of the defensive mechanisms recognized in the literature. The findings increase our understanding of defensive responses to organizational paradoxes and help distinguish between different kinds of strategic paradoxes. They also highlight the need to further open up the complexity and multiplicity of strategic paradoxes related to corporate sustainability. (shrink)

From their interpretation of the Australian Citizens’ Jury on genome editing, Scheinerman (2023) concludes that inclusive and diverse deliberative processes of public engagement have salient benefi...

There are important ethical issues to be examined before launching any public health intervention, particularly when targeting vulnerable groups. The aim of this article is to identify and discuss ethical concerns that may arise when intervening for health behavior change among adolescents identified as overweight. These concerns originate from an intervention designed to capacitate adolescents to increase self-determined physical activity. Utilizing an ethical framework for prevention of overweight and obesity, we identified three ethical aspects as particularly significant: the attribution of (...) responsibility for health behavior, liberty to choose, and the effect on the participants’ psychosocial well-being. It is discussed whether and how measures can be taken to deal with these aspects. It seems evident that the ethical aspects are mainly concerned with the vulnerability of adolescents identified as overweight. However, we claim that when individual feedback and counseling is provided, tailored interventions have a unique potential to empower adolescents to make ethically anchored decisions about their own health behavior. (shrink)

After briefly reviewing some of the empirical and philosophical literature suggesting that there may be an adaptive role for delusion formation, we discuss the results of a recent study consisting of in-depth interviews with people experiencing delusions. We analyse three such cases in terms of the circumstances preceding the development of the delusion; the effects of the development of the delusion on the person’s situation; and the potential protective nature of the delusional belief as seen from the first-person perspective. We (...) argue that the development of the delusional belief can play a short-term protective function and we reflect on the implications that this might have for our understanding of psychotic symptoms, for the stigma associated with mental health issues, and for treatment options. (shrink)

In recent decades political philosophers have increasingly been engaged with the issue of educational equality. However, egalitarians typically focus on achieving equality in the distribution of education, and ignore the relevance of an alternative, relational conception of equality. An exception to this is Elizabeth Anderson, who applies relational egalitarian principles to education in her 2007 article ‘Fair Opportunity in Education: A Democratic Equality Perspective’. Although Anderson remains one of the few relational egalitarians to consider what this ideal requires in education, (...) her arguments have received less attention than they deserve. In this article I examine Anderson's theory of fair educational opportunities for a democratic society of equals and develop an internal critique of her approach. I suggest that the sufficientarian standard Anderson proposes for education has the propensity to undermine the process of integration and the relations of equality she aspires to. Even if all children receive a sufficient education, inequality above the threshold could result in social divisions and status differentials that encourage informal segregation because people typically prefer to associate with other people who are similar to themselves. The article will finish by considering what implications this has for Anderson's relational egalitarian approach to education. (shrink)

This study describes which clinical ethics approaches are available to support healthcare personnel in clinical practice in terms of their construction, functions and goals. Healthcare personnel frequently face ethically difficult situations in the course of their work and these issues cover a wide range of areas from prenatal care to end-of-life care. Although various forms of clinical ethics support have been developed, to our knowledge there is a lack of review studies describing which ethics support approaches are available, how they (...) are constructed and their goals in supporting healthcare personnel in clinical practice. This study engages in an integrative literature review. We searched for peer-reviewed academic articles written in English between 2000 and 2016 using specific Mesh terms and manual keywords in CINAHL, MEDLINE and Psych INFO databases. In total, 54 articles worldwide described clinical ethics support approaches that include clinical ethics consultation, clinical ethics committees, moral case deliberation, ethics rounds, ethics discussion groups, and ethics reflection groups. Clinical ethics consultation and clinical ethics committees have various roles and functions in different countries. They can provide healthcare personnel with advice and recommendations regarding the best course of action. Moral case deliberation, ethics rounds, ethics discussion groups and ethics reflection groups support the idea that group reflection increases insight into ethical issues. Clinical ethics support in the form of a “bottom-up” perspective might give healthcare personnel opportunities to think and reflect more than a “top-down” perspective. A “bottom-up” approach leaves the healthcare personnel with the moral responsibility for their choice of action in clinical practice, while a “top-down” approach risks removing such moral responsibility. (shrink)

ABSTRACTIn Democratic Reason, Hélène Landemore argues that deliberation and the aggregation of citizens' dispersed knowledge should tend to produce better consequences than rule by the one or the few. However, she pays insufficient attention to the epistemic processes necessary to realize these democratic goods. In particular, she fails to consider the question of where citizens' beliefs and ideas come from, with the result that the democratic decision mechanisms she focuses on are insufficiently powerful to justify her consequentialist defense of mass (...) decision making. If “the few” are technocratic experts, Landemore supplies little reason to resist their rule on epistemic grounds, for she does not secure a knowledge base for the citizens that might compete with the knowledge that is often attributed to such “experts.” Aggregating and deliberating about poor information is no substitute for good information. Her book can therefore be seen as a call for a new phase of epistemic political theory that compares the real-world knowledgeability of ordinary citizens and putative experts, but it does not convincingly deliver on its goal to demonstrate the epistemic superiority of the former. (shrink)

For most people, the internet is now the most dominant source of socially useful knowledge. Its widespread use has made knowledge more accessible, more widely distributed, and more commonly produced. -/- But the internet is also widely seen—and not just by philosophers—as raising a number of distinct epistemological problems. Some of those problems concern the metaphysics of knowledge—the extent to which knowledge via the internet is understood as outsourced, or even extended, knowledge. Others concern the type of knowledge the internet (...) can give us—whether, for example, the knowledge we gain by using our digital devices is a kind of testimonial knowledge. -/- In this chapter, we will focus on a third issue: how our uses of the internet to gain information affect our epistemic agency—or our capacity to take responsibility for our own epistemically relevant mental states and our wider contributions to our epistemic environment. In the early days of digital technology, the internet was generally seen as increasing our epistemic agency for the simple reason that it made information (and presumably knowledge) more accessible and widespread. But in recent years, such optimism has been tempered due to the rise of fake news, massive amounts of misinformation online, and the average consumer’s seeming credulity with regard to what they read on social media. The chapter will outline these objections and critically examine them, arguing that both our epistemic agency and our ability to responsibly exercise such agency can be undermined by some uses of the internet, even as those same uses increase agency in other ways. (shrink)

This paper responds to two trends in debates about Plato's view of women in the Republic. First, many scholars argue or assume that Plato seeks to minimize the influence of femininity in the ideal city, and to make guardian women themselves as “masculine” as possible. Second, scholars who address the relationship between Plato's views of women and his psychological theory tend to focus on the reasoning and appetitive parts of the tripartite soul. In response to the first point, we argue (...) that the idea that Plato seeks to masculinize/de-feminize the city oversimplifies his treatment of Greek gender norms. Although he does want to eliminate some traditionally feminine qualities from the city, he also seeks to eliminate many masculine qualities as well. Moreover, while he tries to make guardian women more like men in some respects, he simultaneously aims to make guardian men more like Greek women in important ways. Regarding the second point, we argue that this project of reimagining gender norms is illuminated by Plato's psychology, but instead of emphasizing reason and appetite, we show how his views are connected to his account of the third, “spirited” part of the soul, thumos, and its dual hard/soft or aggressive/gentle nature. (shrink)

This commentary explores the potential consequence of latent racial formation in emergent climate finance data projects and draws from ethnographic research on climate finance governance conducted in Fiji. Climate finance data projects emerging in the Pacific aim to ease the flow of finance from the Global North to the South. These emergent data projects, such as renewable energy resource availability and investment mapping, are imbedded in the climate finance organizations that fund, develop, and use them. Thus, the commentary explores climate (...) finance organizations through the lens of Ray’s theory of racial organizations, highlighting the ways in which important climate-related resources are mediated through racial and colonial schemas. The racial mediation of two key resources are spotlighted in this discussion: the finance itself and knowledge. Given that the Pacific region is at the coalface of climate change’s existential effects, the just allocation of resources is imperative. In interrogating the ways in which emergent data projects may deny these resources based on hidden racial schemas, the paper cautions against new and old forms of colonization that may be mobilized through even well-meaning techno-benevolent fixes. (shrink)

1. Introduction Dirac's theory of the electron was the first widely accepted relativistic quantum theory, and it later provided the basis for constructing the modern electromagnetic theory of quantum electrodynamics. Whereas Dirac's theory in its simplest form describes relativistic freely-propagating massive non-chiral particles of spin-½, QED describes how such particles interact with one another electromagnetically, via a dynamical quantum field.

The screen continues to be the primary generator of visual imagery in contemporary culture, including of the natural world. This paper examines the screen as visual interface in the construction and consumption of physical environments. Screens are increasingly incorporated in our daily habits and imbricated into our lives, especially as mediating technologies are embedded into the surfaces of our physical surroundings, shaping and molding our interactions with and perceptions of those environments. As screens become increasingly portable and digitized, they further (...) modify our relationships with environments, projecting multiple images and imagery which fracture and layer visual consumption. And as screens become ubiquitous in urban environments, they network into maps of information control and consumption. We need to fully understand these processes of screen-mediated representation and interaction in order to be able to comment on the ethics of contemporary practices of visually consuming physical environments. In particular, the paper will argue that processes of consumption and their interaction with visual interfacing technologies are not simple or straight-forward, but nevertheless pose ethical questions about the relationship between visual and material circuits of consumption. (shrink)

This paper expands the model of rational action by introducing a new concept. rational laziness, to better understand actors’ decision making. In addition to rational information processing, human beings often rely on automatic and lion-cognitive mental capacities, and I use the term mental laziness to account for information processing based on these capacities. When time is limited, supply abundant, and decisions have to be made, mental laziness might be a rational decision device. Actors’ choice of rational-calculating or automatic-spontaneous mental decision (...) devices is contingent on their locations within an opportunity structure. The empirical case studied is employers’ hiring processes, and employers’ activation of these action generating mechanisms are expected to cause discrimination of job applicants categorized as out-groups members. (shrink)

Over the past 30 years, the Australian state of Victoria has made numerous reforms to a set of jury directions purporting to address concerns that rape trials do not adequately respond to the reality of sexual offending in the community. Building on work identifying the predominant narratives mobilised in rape trials, in this article we consider whether the way in which a jury consumes information during a trial explains why the jury directions, positioned and utilised as they are, appear to (...) have been inadequate to the task of enabling juries to re-imagine evidence through alternative narrative frameworks. (shrink)

Matrix degradation and tissue remodelling directed by matrix‐degrading proteases are activated in physiological situations such as wound healing and involution of the prostate, ovaries and uterus. Recently, other activities, in addition to the cleavage of matrix proteins, have been attributed to matrix proteases including the release of growth factors from the extracellular matrix and roles in the maturation of adipocytes. This review describes extracellular proteases, including MMPs, plasminogen and cathepsins involved in the tissue remodelling processes that occur in the breast (...) during pubertal mammary development and the mammary cycle of pregnancy, lactation and weaning. It particularly focuses on development and weaning, termed mammary gland involution, when the majority of remodelling occurs. It also brings together recent findings on the exciting new functions of matrix‐degrading proteases. BioEssays 27:894–903, 2005. © 2005 Wiley Periodicals, Inc. (shrink)

Knowledge of the context and development of playful expressions in chimpanzees is limited because research has tended to focus on social play, on older subjects, and on the communicative signaling function of expressions. Here we explore the rate of playful facial and body expressions in solitary and social play, changes from 12- to 15-months of age, and the extent to which social partners match expressions, which may illuminate a route through which context influences expression. Naturalistic observations of seven chimpanzee infants (...) ( Pan troglodytes ) were conducted at Chester Zoo, UK ( n = 4), and Primate Research Institute, Japan ( n = 3), and at two ages, 12 months and 15 months. No group or age differences were found in the rate of infant playful expressions. However, modalities of playful expression varied with type of play: in social play, the rate of play faces was high, whereas in solitary play, the rate of body expressions was high. Among the most frequent types of play, mild contact social play had the highest rates of play faces and multi-modal expressions (often play faces with hitting). Social partners matched both infant play faces and infant body expressions, but play faces were matched at a significantly higher rate that increased with age. Matched expression rates were highest when playing with peers despite infant expressiveness being highest when playing with older chimpanzees. Given that playful expressions emerge early in life and continue to occur in solitary contexts through the second year of life, we suggest that the play face and certain body behaviors are emotional expressions of joy, and that such expressions develop additional social functions through interactions with peers and older social partners. (shrink)

In a recent New Yorker cartoon, a man is fixing a sink. His partner, standing nearby skeptically asks, “Do you really know what you are doing, or do you only google-​know?” This cartoon perfectly captures the mixed relationship we have with googling, or knowing via digital interface, particularly via search engines. On the one hand, googling is now the dominant source of socially useful knowledge. The use of search engines for this purpose is almost completely integrated into many of our (...) lives. On the other, the point the cartoon is making resonates with nearly all of us: users often recognize that there are risks and trade-​offs associated with gaining certain kinds of information via online search. These facts about googling make it particularly interesting to the applied epistemologist. Our practices involving search engines not only have a distinctive character, that character puts some traditional epistemic questions in a new light. This chapter will examine two of those questions. The first concerns the extent to which googling raises problems similar to familiar quandaries surrounding testimonial knowledge. The second –​and more radical –​concerns whether googling is a type of distributed or extended knowledge. (shrink)

By examining first-person descriptions of thought insertion I show that thought insertion is a complex and heterogeneous phenomenon. People experiencing this phenomenon have huge difficulty explaining what it is like due to the bizarre nature of the experience. Through careful analysis of first-person descriptions I identify some of the characteristics of thought insertion. I then briefly examine some of the philosophical literature regarding agency, ownership and thought insertion and conclude that the standard account of the basic characteristics of thought insertion (...) is inadequate when we consider the phenomenon as it is experienced. First person descriptions suggest that thought insertion is characterised by a lack of personal ownership and not simply by a loss of agency or authorship. This is an important factor that should inform research and therapeutic intervention. We cannot hope to arrive at appropriate therapeutic intervention or identify underlying neuronal mechanisms for the experience if we cannot say what the experience actually is. I further suggest that more analysis of first-person description is required for an improved account of the phenomenology of thought insertion. (shrink)

The artist's house is a prism through which to view not only the artistic practice of its inhabitant, but also to apprehend broader developments in sculpture and contemporary art in relation to domestic architecture and interior space. Based on a series of interviews and site visits with living artists about the role of their home in relation to their work, Kirsty Bell looks at the house as receptacle, vehicle, model, theater, or dream space. In-depth analyses of these contemporary examples—including (...) Jorge Pardo, Mirosław Bałka, Danh Vo, Gregor Schneider, Frances Stark, Marc Camille Chaimowicz, Dominique Gonzalez-Foerster, Paweł Althamer, Mark Leckey, Monika Sosnowska, Gabriel Orozco, Rirkrit Tiravanija, and Andrea Zittel—are contextualized by key artists of the twentieth century such as Kurt Schwitters, Alice Neel, Edward Krasiński, Carlo Mollino, and Louise Bourgeois. A two-way flow from the domestic arena to the exhibition space becomes apparent, in which the everyday has a significant role to play in the merging of such developments as installation art, relational aesthetics, expanded collage, and performance art. (shrink)

Medicine maintains a distinction between the medical symptom -- the patient''ssubjective experience and expression, and the privileged medical sign -- the objective findings observable by the doctor. Although the distinction is not consistently applied, it becomes clearly visible in the undefined, medically unexplained disorders of women patients. Potential impacts of genderized interaction on the interpretation of medical signs are addressed by re-reading the diagnostic process as a matter of social construction, where diagnosis results from human interpretation within a sociopolitical context. (...) The discussion is illustrated by a case story and empirical evidence of the gendering in the doctor-patient relationship. The theoretical analysis is supported by semiotic perspectives of bodily signs, feminist theory on experience, and Foucault''sideas about medical perception and gaze, and concludes that a medical diagnosis is seldom a biological fact, but the outcome of a process where biological, cultural and social elements are interwoven. Further deconstruction of the chain of signs from a feminist perspective, assigning validity to the voice of the woman patient, might broaden the understanding of women''shealth, illness and disease. (shrink)

In Neal Stephenson’s fictional novel, Diamond Age (1995), the protagonist Nell acquires a prototype of what we might today recognise as a highly sophisticated e-reader with a voice-assistant. This e-reader, the “Young Lady’s Illustrated Primer”, uses artificial intelli- gence to serve as Nell’s personal teacher. What is key to the Primer is how it is designed to respond to Nell. The Primer has a theory of Nell – her needs, her real-world situation, her abilities – and it tailors its lessons (...) for her. The Primer is a highly personalised artificially intelligent device. For many readers – myself included – the Primer was a utopian vision of the bespoke digital tutors of the future. The appearance of new media and technologies in the early 2000s all pointed to the near-term reality of devices like Primers. The real-life experience of personalised digital media, though, is so far from Stephen- son’s vision that it is hard to imagine we will ever get there. Nell’s time with the Primer develops her intellectually, emotionally, and physically. Our “bespoke” media experience, by contrast, is more likely to turn us in on ourselves rather than guide us to live well in our societies. Personalised media is making us more like Narcissus: our consumption is driven by personal choices and automated algorithms that reflect what we already want to hear, see, and consume, and we are captivated. Central to our understanding of the problems with the personalisation of digital media are filter bubbles and echo chambers. These phenomena are used interchangeably by some, but in distinct ways by others. I take the position that filter bubbles and echo chambers are distinct phenomena, but ones that raise similar epistemic worries. I begin with a general discussion of filter bubbles and echo chambers, and I introduce the concept of “selective exposure” as central to both phenomena. There is minimal uniformity across uses of the terms “filter bubble” and “echo chamber”. Consequently, I divide the later discussion into two more precise topics: homophily and polarisation. I conclude with some future-looking comments about responsibility and the epistemic risks posed by digital personalisation. (shrink)

In this paper we take up the issue of near-term artificial intelligence (AI). "Near-term AI" is used to denote artificial intelligence algorithms that are already in place in a variety of public and private sectors, guiding decision that pertain to advertising, credit ratings, and sentencing in the justice system. Our focus here is to contribute to a critical discussion of the ways that AI is already being widely used in decision-making procedures in these areas. We will argue that developers and (...) deployers of AI systems--in senses to be defined--bear a particular kind of responsibility for the moral consequences of near-term AI. We will present a tool to aid developers and deployers in engaging in the moral reflection we argue is required of them, in order both the help them meet their moral obligations and to help address the material risks posed by what we take to be the status quo of actual near-term AI development. This chapter can be understood as a contribution to the field of technology assessment, but instead of suggesting policy revisions, we will propose a framework for ethical analysis that can be used to facilitate more robust ethical reflection in AI development and implementation. (shrink)

We have no patterns for relating across our human differences as equals.Advocating the mere tolerance of difference between women is the grossest reformism.... Differences must be not merely tolerated, but seen as a fund of necessary polarities.... Audre Lorde.

This article examines law’s representation of embodied female identity in the context of two medical law cases, R. v. Human Fertilisation and Embryology Authority, ex parte Blood andB v. Croydon Health Authority. Through an examination of contemporary critiques of female embodiment, in particular the work of Judith Butler, two discursive strategies are suggested for their potential to reconfigure the sexed subject within legal discourse. Firstly, the act of transgression – the flight from purportedly fixed subject positions – can be read (...) in the case of Bloodand calls into question law’s ability to contain and sustain sexed identity as prediscursive and immutable. Secondly, the exposure of the historical formation of the female subjects of legal discourse, demonstrated through a genealogical reading of B v. Croydon Health Authority, contributes to the feminist theoretical project to destabilise traditional gender categories and enables us to think beyond the category of ‘Woman’. (shrink)

The aim of this article is to present a conceptual review and analysis of symptom understanding. Subjective bodily sensations occur abundantly in the normal population and dialogues about symptoms take place in a broad range of contexts, not only in the doctor’s office. Our review of symptom understanding proceeds from an initial subliminal awareness by way of attribution of meaning and subsequent management, with and without professional involvement. We introduce theoretical perspectives from phenomenology, semiotics, social interactionism, and discourse analysis. Drew (...) Leder’s phenomenological perspectives deal with how symptom perception occurs when any kind of altered balance brings forward a bodily attention. Corporeality is brought to explicit awareness and perceived as sensations. Jesper Hoffmeyer’s biosemiotic perspectives provide access to how signs are interpreted to attribute meaning to the bodily messages. Symptom management is then determined by the meaning of a symptom. Dorte E. Gannik’s concept “situational disease” explains how situations can be reviewed not just in terms of their potential to produce signs or symptoms, but also in terms of their capacity to contain symptoms. Disease is a social and relational phenomenon of containment, and regulating the situation where the symptoms originate implies adjusting containment. Discourse analysis, as presented by Jonathan Potter and Margaret Wetherell, provides a tool to notice the subtle ways in which language orders perceptions and how language constructs social interaction. Symptoms are situated in culture and context, and trends in modern everyday life modify symptom understanding continuously. Our analysis suggests that a symptom can only be understood by attention to the social context in which the symptom emerges and the dialogue through which it is negotiated. (shrink)

Paramedics encounter ethical dilemmas at work, and while previous research has improved ethics education and practice, more can be learned from the lived experience of paramedics facing ethical challenges. This paper explores the lived experience of two paramedics, one with five years’ experience, the other twenty, presented with comparable cases. The participants, who were interviewed in a broader qualitative study exploring practical wisdom, were asked to select a case involving ethical decision-making from their own practice experience. Semi-structured interviews employed the (...) five-step Critical Decision Method as a framework to explore various aspects of the decision-making process. The two cases were identified as exemplars of prominent themes suitable for discussion. The findings highlighted several factors that influence paramedic ethical decision-making, including practical wisdom, communication and teamwork, clinical support, and education. This case comparison identifies a greater need to focus education on the fostering of practical wisdom, and the development of non-technical skills such as communication and teamwork, supported by interprofessional education endeavours. Furthermore, greater access to support for paramedics must be available to further evolve practical wisdom. The combination of improved education and support will likely cater for the full spectrum of ethical challenges faced by paramedics in their work. (shrink)

The livestock sector is under increasing pressure to respond to numerous sustainability and health challenges related to the production and consumption of livestock products. However, political and market barriers and conflicting worldviews and values across the environmental, socio-economic and political domains have led to considerable sector inertia, and government inaction. The processes that lead to the formulation of perspectives in this space, and that shape action (or inaction), are currently under-researched. This paper presents results of a mixed methods exploration of (...) the influence of environmental worldviews, values, and demographic factors on perspectives towards the future of the livestock sector. The approach combines survey and interview data derived from a sample of livestock representatives (N = 307). Respondents with higher pro-environmental, ecocentric and relational worldviews and values favour more behaviour-oriented solutions. Those with lower pro-environmental and higher techno-centric worldviews and values favour technological solutions to improve the efficiency of production and to enable continued patterns of meat consumption. Demographic variation and qualitative data emphasise the need to recognise cultural and geographic nuance in narratives. This study improves our understanding of the processes that lead to the formulation of perspectives, enabling the development of more holistic solutions that acknowledge all voices in an increasingly polarised debate. Adopting more pluralistic, relational methodologies will therefore be paramount in developing solutions for sustainable livestock futures. (shrink)

Recent years have seen new general notions of contextuality emerge. Most of these employ context-independent symbols to represent random variables in different contexts. As an example, the operational theory of (Spekkens in Phys Rev A 71(5):52108, 2005) treats an observable being measured in two different contexts identically. Non-contextuality in this approach is the impossibility of drawing ontological distinctions between identical elements of the operational theory. However, a recent collection of work seeks to exploit context-dependent symbols of random variables to interpret (...) contextuality (Kujala et al. in Phys Rev Lett 115(15):150401, 2015; Dzhafarov and Kujala in Phys Scr T163:014009, 2014). This approach associates contextuality with the possibility of imposing a particular joint distribution on random variables recorded under different experimental contexts. This paper compares these two different treatments of random variables and highlights the limitations of the context-dependent approach as a physical theory. (shrink)