Strike action in healthcare has been a common global phenomenon. As such action is designed to be disruptive, it creates substantial ethical tension, the most cited of which relates to patient harm, that is, a strike may not only disrupt an employer, but it could also have serious implications for the delivery of care. This article systematically reviewed the literature on strike action in healthcare with the aim of providing an overview of the major justifications for strike action, identifying relative (...) strengths and shortcomings of this literature and providing direction for future discussions, and theoretical and empirical research. Three major themes emerged related to (1) the relationship between healthcare workers, patients and society; (2) the consequences of strike action; and (3) the conduct of strike action. Those who argue against strike action generally cite the harms of such action, particularly as it relates to patients. Many also argue that healthcare workers, because of their skills and position in society, have a special obligation to their patients and society more generally. Those who see this action as not only permissible but also, in some cases, necessary have advanced several points in response, arguing that healthcare workers do not necessarily have any special obligation to their patients or society, and even if so, this obligation is not absolute. Overwhelmingly, when talking about the potential risks of strike action, authors have focused on patient welfare and the impact that a strike could have. Several directions for future work are identified, including greater explorations into how structural and systemic issues impact strike action, the need for greater consideration about the contextual factors that influence the risks and characteristics of strike action and finally the need to tie this literature to existing empirical evidence. (shrink)

Biobanks that are run on an opt-in basis depend on people having the motivation to give and to trust in those who control their samples. Yet in the UK trust in the healthcare system has been in decline and there have been a number of health-related scandals that have received widespread media and public attention. Given this background, and the previous public consultations on UK Biobank, the paper explores the way people express their trust and mistrust in the area of (...) medical and genetic information through discussions in six focus groups held in different areas of Britain. The themes that emerged in the discussion were the special character of genetic data; the ease with which information spreads; the public/private divide in genetic research; the potential of genetic information to harm people; choice, consent and lack of control; and the difficulty of establishing trustworthy governing arrangements. The expert agenda of policy-makers and medical ethics does not address the broader concerns expressed by participants. It seems that public consultation and the language of openness and transparency may not be sufficient to establish trust in the governance of genetic databases. Donors will be asked to give freely without any return but the participants' perception of those using the samples is that they are motivated by success and profit rather than healthcare priorities. In this context altruism seems naive and even dangerous. In order to place their trust well people need evidence of a relationship with obligations and expectations on both sides. (shrink)

© JNCCN-Journal of the National Comprehensive Cancer Network.Background: Next-generation tumor sequencing panels, which include multiple established and novel targets across cancers, are emerging in oncology practice, but lack formal positive coverage by US payers. Lack of coverage may impact access and adoption. This study identified challenges of NGTS coverage by private payers.Methods: We conducted semi-structured interviews with 14 NGTS experts on potential NGTS benefits, and with 10 major payers, representing more than 125,000,000 enrollees, on NGTS coverage considerations. We used the (...) framework approach of qualitative research for study design and thematic analyses and simple frequencies to further describe findings.Results: All interviewed payers see potential NGTS benefits, but all noted challenges to formal coverage: 80% state that inherent features of NGTS do not fit the medical necessity definition required for coverage, 70% view NGTS as a bundle of targets versus comprehensive tumor characterization and may evaluate each target individually, and 70% express skepticism regarding new evidence methods proposed for NGTS. Fifty percent of payers expressed sufficient concerns about NGTS adoption and implementation that will preclude their ability to issue positive coverage policies.Conclusions: Payers perceive that NGTS holds significant promise but, in its current form, poses disruptive challenges to coverage policy frameworks. Proactive multidisciplinary efforts to define the direction for NGTS development, evidence generation, and incorporation into coverage policy are necessary to realize its promise and provide patient access. This study contributes to current literature, as possibly the first study to directly interview US payers on NGTS coverage and reimbursement. (shrink)

Philosophers disagree, with some rare exceptions. One of those exceptions is the broadest-brush account of what language is. Language is a system of signs used for the communication of --well, and here the agreement begins to break down--thoughts, ideas, messages, propositions or propositional contents, intentions, and a host of technical terms offer themselves to chink the cracks. A list of philosophers subscribing would be impossible to complete. Locke, Carnap, Augustine, Hobbes, Fodor, Katz, Chomsky, Derrida, --well, and on and on. Easier (...) would be to list those who dissent. Heraclitus, Wittgenstein, maybe J.L. Austin, Frank Ebersole, and NOT on and on. The first chapter lays out the view that language is a system of signs in sympathetic terms. The second provides a selection of what are usually called “ordinary language” arguments against the view--reminders about how the view requires us to think in terms which are not consistent with how we think about language and signs when we are not doing philosophy. Those arguments have been unpersuasive among philosophers, and Chapter Three begins the work of investigating separate pieces of the view in detail. Chapter Three takes up an argument for the view which is familiar among philosophers, using Jerry Fodor’s formulation: we cannot be thinking in a public, natural language, because animals and preverbal infants think with no such language. I show this argument is not an argument at all but is rather an expression of the view in question. Chapter Four takes up the argument that the relations between particular words and their meanings is arbitrary or conventional rather than natural or necessary, otherwise there would be only one language among mankind. I argue that the alternatives (conventional vs. natural or necessary) are both generated by taking the division between words and their meanings to be the division between signs and signified--in other words, the question is a result of adopting the view of language as signs. Attempts to argue for the legitimacy of the question without taking the view for granted only serve to call it into question more. In Chapter Five I investigate whether we talk in order to communicate something which is otherwise hidden and invisible. We are tempted to think that you and I talk because I cannot read your mind or you mine. Though Wittgenstein has a famous set of comments on the notion of a private language, it remains a strong temptation to think that language gives public form to something (thoughts, ideas, intentions, feelings, content, meaning) which without language would be unknowable to all but the person whose something it is. Examples help point to the incoherence of this view and show that even if it were not incoherent, remedying the invisibility of those internal whatnots would still leave us with a need for language. Chapter Six takes up a hoary question about boundaries of effability--the possibility that there are limits to what can be said which are more restrictive than what can be thought or felt. The account of language as signs provides one easy way to make sense of this idea, but investigation into examples shows the problem is not one that makes sense unless we just grant that account. Chapter Seven investigates how to make sense of the notion that there are things which are in language and other things which are not. I spell out how the view of language as signs gives us a way to think this, and then show how one reaction to finding problems with the notion resonates with Wittgenstein’s early work and with some work of Jacques Derrida, who bite similar bullets and agree that everything is language, that the limits of language are the limits of our world. I then subject that reaction to critical investigation using examples, which reveals their reaction as a rear-guard attempt to save the view of language as signs. Chapter Eight uses examples as guides toward alternative views of language, feeling our way toward what language might be if it is not a system of signs. Finally, the appendix takes up what I take to be the serious arguments against the methods I use in this work, the first two articulated by John Searle (“the assertion fallacy”) and H. P. Grice (“conversational implicature”), and another the generally unspoken belief that philosophical work is like scientific work. (shrink)

The complexity of the field theoretic methods used for analyzing relativistic bound state problems has forced researchers to look for simpler computational methods. Simpler methods such as the relativistic harmonic oscillator method employed in the description of extended hadrons have been investigated. They are considered phenomenological, however, because they lack a theoretical basis. A probabilistic basis for these methods is presented here in terms of the four-space formulation of relativistic quantum mechanics (FSF). The single-particle FSF is reviewed and its physical (...) meaning is examined. The many-body single-parameter formalism is then developed. Applications are presented to illustrate use of the many-body formalism and demonstrate the ease with which relativistic bound state problems can be handled. A multiple-parameter formalism is constructed in the Appendix. (shrink)

This paper clarifies Merleau-Ponty’s distinction between speaking and spoken speech, and the relation between the two, in his Phenomenology of Perception. Against a common interpretation, I argue on exegetical and philosophical grounds that the distinction should not be understood as one between two kinds of speech, but rather between two internally related dimensions present in all speech. This suggests an interdependence between speaking and spoken aspects of speech, and some commentators have critiqued Merleau-Ponty for claiming a priority of speaking over (...) spoken speech. However, there is a sense in which Merleau-Ponty is right to emphasize the priority, namely, in terms of the ontological priority of the speaking subject with respect to language understood as a constituted cultural ideality. The latter only maintains its ontological status insofar as it is taken up by a language community. I favorably contrast Merleau-Ponty’s views on this question to those of the late Heidegger and de Saussure, and suggest potential applications of this clarified position for contemporary discussions in philosophy of language. (shrink)

Radical and autopoietic enactivists disagree concerning how to understand the concept of sense-making in enactivist discourse and the extent of its distribution within the organic domain. I situate this debate within a broader conflict of commitments to naturalism on the part of radical enactivists, and to phenomenology on the part of autopoietic enactivists. I argue that autopoietic enactivists are in part responsible for the obscurity of the notion of sense-making by attributing it univocally to sentient and non-sentient beings and following (...) Hans Jonas in maintaining a phenomenological dimension to life-mind continuity among all living beings, sentient or non-sentient. I propose following Merleau-Ponty instead, who offers a properly phenomenological notion of sense-making for which sentience is a necessary condition. Against radicalist efforts to replace sense-making with a deflationary, naturalist conception of intentionality, I discuss the role of the phenomenological notion of sense-making for understanding animal behavior and experience. (shrink)

While strike action has been common since the industrial revolution, it often invokes a passionate and polarising response, from the strikers themselves, from employers, governments and the general public. Support or lack thereof from health workers and the general public is an important consideration in the justification of strike action. This systematic review sought to examine the impact of strike action on patient and clinician attitudes, specifically to explore (1) patient and health worker support for strike action and (2) the (...) predictors for supporting strike action and the reasons given for engaging in strike action. A systematic scoping review was employed to identify all relevant literature, followed by a textual narrative synthesis. A total of 34 studies met inclusion criteria. Support for strike action was largely context‐dependent. A range of factors impact support for strike action; broader cultural and structural factors, such as unionisation and general acceptance of strike action; systemic factors, such as the nature of the healthcare system, including infrastructure and work conditions; the strike itself and a range of individual factors, the most notable of which was being a student or in an early career stage. There were also some surprising results, for example, during doctors strike, nurses were provided with the opportunity to expand their role, which led to greater professional autonomy and job satisfaction. (shrink)

In this paper I develop a novel account of the phenomenality of language by focusing on characteristics of perceived speech. I explore the extent to which the spoken word can be said to have a horizonal structure similar to that of spatiotemporal objects: our perception of each is informed by habitual associations and expectations formed through past experiences of the object or word and other associated objects and experiences. Specifically, the horizonal structure of speech in use can fruitfully be compared (...) to that of a tool in use. The comparison suggests an account of our linguistic faculty as continuous with more foundational faculties of perception and action. I provide empirical corroboration of this account by drawing on recent neuroimaging studies of the multimodal, sensorimotor bases of speech comprehension. I then discuss how such an understanding of our linguistic ability helps advocates of embodied, non-representationalist accounts of cognition respond to a common objection. Critics grant that embodied approaches may be adequate to account for lower-level, online modes of cognition, such as perception and action, which directly engage their object. But they question whether such approaches can “scale up” to higher modes of cognition, such as imagination, memory, thought, and language, which can entertain absent, non-existent, or abstract objects. By providing a plausible account of the continuity of lower cognition and language-involving cognition, my approach responds to this objection, at least where language is concerned. (shrink)

An international legal agreement governing the global antimicrobial commons would represent the strongest commitment mechanism for achieving collective action on antimicrobial resistance (AMR). Since AMR has important similarities to climate change—both are common pool resource challenges that require massive, long-term political commitments—the first article in this special issue draws lessons from various climate agreements that could be applicable for developing a grand bargain on AMR. We consider the similarities and differences between the Paris Climate Agreement and current governance structures for (...) AMR, and identify the merits and challenges associated with different international forums for developing a long-term international agreement on AMR. To be effective, fair, and feasible, an enduring legal agreement on AMR will require a combination of universal, differentiated, and individualized requirements, nationally determined contributions that are regularly reviewed and ratcheted up in level of ambition, a regular independent scientific stocktake to support evidence informed policymaking, and a concrete global goal to rally support. (shrink)

This paper explicates the concept of an institution of nature, a notion hinted at but never fully developed in Merleau-Ponty’s Collège de France lectures. The study begins by distinguishing institution from sedimentation, arguing for the protean, malleable character of institution as a model for temporality within consciousness, culture, and embodiment. The paper then critically contrasts Descartes’s divine “institution of nature” with Merleau-Ponty’s naturalized alternative, in which nature self-institutes through the autoproduction of sense over deep, evolutionary time. An illustration and proof (...) of concept is the human body, conceived as a primordial institution of nature whose intercorporeality—anatomical, sensory, and affective—grounds higher modes of human intersubjectivity, culture, and language. Through analyses of the intercorporeity of sight, hearing, touch, and affectivity, the paper illustrates how naturally instituted bodily structures both enable and limit culturally elaborated forms of sense-making. Finally, it advocates for an expanded “generative phenomenology” that incorporates evolutionary biology, suggesting that the foundations of human experience, culture, and intersubjectivity are rooted in natural institutions laid down through evolutionary processes. While traditional phenomenology has often remained silent on evolution, the Merleau-Pontian concept of an “institution of nature” offers a promising framework for integrating evolutionary and phenomenological perspectives. This approach bridges phenomenology and the life sciences by embedding the genesis of meaning in both culture and natural evolution. (shrink)

Approaches to the naturalization of phenomenology usually understand naturalization as a matter of rendering continuous the methods, epistemologies, and ontologies of phenomenological and natural scientific inquiry. Presupposed in this statement of the problematic, however, is that there is an original discontinuity, a rupture between phenomenology and the natural sciences that must be remedied. I propose that this way of thinking about the issue is rooted in a simplistic understanding of the phenomenological reduction that entails certain assumptions about the subject matter (...) of phenomenology and its relationship to the natural sciences. By contrast, Merleau‐Ponty's first work, The Structure of Behavior, presents a radically different approach to the phenomenological reduction, one that traverses the natural sciences and integrates them into phenomenology from the outset. I outline the argument for this position in The Structure of Behavior and then discuss consequences for current methodological issues surrounding the naturalization of phenomenology, focusing on the relationship between empirical sciences of mind, phenomenological psychology, and transcendental phenomenology. This novel exegesis of Merleau‐Ponty's view on the reduction offers new insight into his oft‐quoted remark that the phenomenological reduction is impossible to complete. (shrink)

Background Non-violent resistance which has involved healthcare workers has been instrumental in securing a number of health-related gains and a force in opposing threats to health. Despite this, we know little about healthcare workers who have engaged in acts of non-violent resistance. Research aim Amongst a sample of healthcare workers who had engaged in acts of resistance this study sought to explore their understanding of non-violent resistance and how or whether they felt healthcare workers made a distinct contribution to such (...) action. Research design Cross-sectional survey Participants and research context Healthcare workers (doctors, nurses, academics and others) from the UK and Europe who had engaged in acts of non-violent resistance. Ethical considerations Ethical approval for this study was granted by the University of Greenwich Human Research Ethics Committee (UREC/20.5.6.11). Findings/results Most participants spoke about the nature of non-violent resistance, its oppositional, didactic and symbolic functions and the role of violence or harm. While most people understood non-violent resistance as a public, oppositional and collective act, many identified more subtle everyday acts in the workplace that undermined policy or procedures they saw as harmful. When asked about distinctions in non-violent resistance carried out by healthcare workers, most participants referred to their standing in society, noting that healthcare works were a trusted and authoritative source. Some identified an ethical imperative to act while others identified the risks that came with such action, noting their accountability and responsibility they had to patients. About a quarter of participants felt that such action was no different to others carrying out non-violent resistance or dependent on the issue or nature of the action. Conclusions These findings speak to the complex and multifaceted nature of non-violent resistance. Additionally our findings suggest healthcare workers have a distinct role to play in leading and supporting non-violent actions. (shrink)

In his late lecture course titled “Nature and Logos: The Human Body” (1959-1960), Merleau-Ponty proposed that we understand human symbolism, language, and reason by viewing the human being initially as a variant on animal embodiment and perception prior to being a rational animal. To elaborate this project, he outlined an “esthesiology” informed by the study of evolution. However, in the sketches that survive of “Nature and Logos,” we find neither a detailed explanation of how Merleau-Ponty understood this approach nor its (...) concrete execution with respect to the human body. In this paper I reconstruct Merleau-Ponty’s esthesiology. An animate body possesses two “sides”: it is a sensing organism open onto the world and a sensible part of the natural world. Visual animals such as humans can see, see themselves, and be seen by others. To understand their way of life, we must study not only the body’s capacities for perception and action, but also how those capacities are seen by other organisms, especially conspecifics. The body’s visibility shapes the social prospects of a species and its potential for developing complex sociality, language, and cognition. I apply this basic esthesiological principle to study the human eye. Both in its vision and its visibility, the human eye is a distinctive variation of animality and one that conditions and shapes human sociality and cognition. I develop this insight with respect to a central philosophical theme of Merleau-Ponty’s late work, the relation of the visible and the invisible. I conclude by discussing the importance of Merleau-Ponty’s esthesiology for his late thought and current discussions of the naturalization of phenomenology. (shrink)

This paper tracks the development of Merleau-Ponty's inquiries into language through the themes of institution, symbolism, and nature in his Collège de France lectures of 1953-1960. It seeks to show the continuity of Merleau-Ponty's inquiries over this period. The Problem of Speech course (1953-1954) constitutes his last extended treatment of speech, language, and expression, and it leaves many questions unanswered. Nonetheless, a careful study of the course reveals that the inquiries that follow into institution and symbolism, and later into nature, (...) do not mark a sharp rupture with his earlier thought. Rather, the later investigations are required by those into language and expression to clarify the underlying functions that support them. Ultimately, the themes of language and nature will be deeply interwoven in Merleau-Ponty's late thought, with institution and symbolism serving as important mediating concepts. (shrink)

These last years, the development of AI robots for agriculture, livestock farming and food processing industries is rapidly increasing. These robots are expected to help produce and deliver food more efficiently for a growing human population, but they also raise societal and ethical questions. As the type of questions raised by these AI robots in society have been rarely empirically explored, we engaged in four case studies focussing on four types of AI robots for agri-food ‘in the making’: manure collectors, (...) weeding robots, harvesting robots and food processing robots which select and package fruits, vegetables and meats. Based on qualitative interviews with 33 experts engaged in the development or implementation of these four types of robots, this article provides a broad and varied exploration of the values that play a role in their evaluation and the ethical questions that they raise. Compared to the recently published literature reviews mapping the ethical questions related to AI robots in agri-food, we conclude that stakeholders in our case studies primarily adopt a relational perspective to the value of AI robots and to finding a solution to the ethical questions. Building on our findings we suggest it is best to seek a distribution of tasks between human beings and robots in agri-food, which helps to realize the most acceptable, good or just collaboration between them in food production or processing that contributes to realizing societal goals and help to respond to the 21 century challenges. (shrink)

Antimicrobial resistance (AMR) is an urgent threat to global public health and development. Mitigating this threat requires substantial short-term action on key AMR priorities. While international legal agreements are the strongest mechanism for ensuring collaboration among countries, negotiating new international agreements can be a slow process. In the second article in this special issue, we consider whether harnessing existing international legal agreements offers an opportunity to increase collective action on AMR goals in the short-term. We highlight ten AMR priorities and (...) several strategies for achieving these goals using existing “legal hooks” that draw on elements of international environmental, trade and health laws governing related matters that could be used as they exist or revised to include AMR. We also consider the institutional mandates of international authorities to highlight areas where additional steps could be taken on AMR without constitutional changes. Overall, we identify 37 possible mechanisms to strengthen AMR governance using the International Health Regulations, the Agreement on the Application of Sanitary and Phytosanitary Measures, the Agreement on Trade-Related Aspects of Intellectual Property Rights, the Agreement on Technical Barriers to Trade, the International Convention on the Harmonized Commodity Description and Coding System, and the Basel, Rotterdam, and Stockholm conventions. Although we identify many shorter-term opportunities for addressing AMR using existing legal hooks, none of these options are capable of comprehensively addressing all global governance challenges related to AMR, such that they should be pursued simultaneously with longer-term approaches including a dedicated international legal agreement on AMR. (shrink)

As climate change intensifies, scientific and policy discussions increasingly address questions of future habitability and potential population movements. In this perspective, we caution against premature or top-down characterizations of areas as uninhabitable, or portrayals of large-scale climate-induced displacement as inevitable—particularly when the perspectives and preferences of affected populations are excluded. While we recognize the importance of modelling and scenario-building to assess future risks, we argue that such efforts must be grounded in local realities and include diverse forms of knowledge. Habitability (...) is not determined by climate alone, but emerges from intersecting environmental, political, economic, and cultural dynamics—including governance, inequality, and historical injustice. Framings that do not consider this risk producing two problematic outcomes: first, by prematurely defining areas as uninhabitable, they may undermine the legitimacy of in-situ adaptation and the agency of affected communities; second, when modelling or the use of modelling results does not consider local context, it may inadvertently contribute to narratives portraying climate-induced mass displacement as inevitable, reinforcing deterministic understandings of migration and overlooking the complex drivers of mobility and immobility. To counter these risks, we propose five guiding recommendations: (1) avoid declaring hard limits to habitability without inclusive, context-specific assessments; (2) treat model-based projections as possible, not predetermined futures; (3) reject simplistic global North/South assumptions in assessing vulnerability and mobility; (4) uphold people’s right to remain, alongside the right to move; and (5) prioritize investment in in-situ adaptation that addresses structural inequalities. These principles aim to inform more reflexive and justice-oriented approaches to climate mobility and habitability research—approaches that recognize lived experiences, engage diverse knowledge systems, and help secure equitable futures for those most exposed to environmental change. (shrink)

I have two objectives in this article. The first is methodological: I elaborate a minimal phenomenological method and attempt to show its importance in studies of infant behavior. The second objective is substantive: Applying the minimal phenomenological approach, combined with Meltzoff’s “like-me” developmental framework, I propose the hypothesis that infants learn the pointing gesture at least in part through imitation. I explain how developments in sensorimotor ability (posture, arm and hand control and coordination, and locomotion) in the first year of (...) life prepare the infant for acquiring the pointing gesture. The former may directly enable the latter by allowing the infant to experience its own body as being “like those” of others, thus allowing it to imitatively appropriate a broader range of adult behavior. My proposal emphasizes the embodiment of mind in the development of cognition, contrary to latent dualistic tendencies in some developmental literature. (shrink)

Previous studies have shown that the perception of neutral emotion stimuli can be negative rather than absolutely neutral. In the current study, we examined the negative bias of both neutral faces...

Nietzsche dismantled the Christian religion, which he regarded as an obstacle to life, and committed himself with passion to his philosophical faith. This new study gives proper attention to the deeply religious aspects of Nietzsche's life and thought.

Some accounts of human distinctiveness focus on anatomical features, such as bipedalism and brain size. Others focus on cognitive abilities, such as tool use and manufacture, language, and social cognition. Embodied approaches to cognition highlight the internal relations between these two groups of characteristics, arguing that cognition is rooted in and shaped by embodiment. This paper complements existing embodied approaches by focusing on an underappreciated aspect of embodiment: the appearance of the human body as condition of human sociality and cognition. (...) I approach this issue through Merleau-Ponty’s understanding of the animate body as an intertwining of perceiving and perceivable aspects. The eye is both an animal’s embodied, perceptual openness onto the world, and the means by which that experiential openness can be perceived by others. The morphology and appearance of its embodiment condition how an animal comes to understand others and itself as animate subjects. I interpret the perceivable appearance of the human eye and skin in comparison with those of other animals. An underappreciated dimension of human distinctiveness, I argue, is the way the human sense organs render human perceiving comparatively more perceivable to conspecifics. (shrink)

Codes of ethics have a long history in healthcare and, for many, are important documents. Codes however have also been extensively criticized for a range of reasons, from the guidance they provide to their meta-ethical assumptions. This review sought to explore the theoretical literature to critically examine the function of codes in healthcare, with a particular focus on their strengths and shortcomings in relation to these functions. A systematic search was combined with a critical interpretive review. The final sample included (...) twenty-four papers. Results of this synthesis suggest that codes fulfil multiple purposes, from providing guidance on ethical issues, to assertions about acceptable and unacceptable behaviour, to establishing and maintaining the status and identity of the professions. Codes also fulfil a number of social purposes, conveying information to the public and others. The extent to which a code does each of these things varies substantially however. We discuss these functions in relation to the many critiques that have been advanced in relation to these documents. We then put these findings into conversation with the broader literature on codes and discuss the challenges that this presents for normative analysis, namely in needing to first identify what a code should do before assessing its shortcomings. If the primary purpose of a code of ethics is to provide guidance, many fail here, the devil is in the detail however. To what extent should codes provide guidance? (shrink)

This book offers a comprehensive overview of current developments in the field of Responsible Research and Innovation (RRI). Divided into three parts, the book first presents reflections on the concept of RI from various angles: how did it come about, who is involved and how might in be applied in various contexts, such as the academic environment or in developing countries. The second part discusses the actual application of RRI to technology development: for climate engineering, water management and energy technology (...) along with a general discussion on how to integrate RRI in innovation trajectories. The last part offers a closer look at the application of RRI to the business context. This part offers lessons from comparable concepts such as social and sustainability innovation as well as insights from two case-studies, one in the food sector and the other in data management. As a whole, the book contributes to the ongoing development of the framework of RRI by giving an overview of the state-of-the art research, presenting the lessons learned from several case studies, and showing the way for future application of RI in other fields and cultural contexts, such as industry and developing countries. (shrink)

Introduction: Non-violent resistance, carried out by healthcare workers, has been a common phenomenon. Despite this and despite the issues this type of action raises, we know little about the healthcare workers who engage in this action and their perspectives about its justification. This exploratory study sought to address this gap, examining these fundamental questions amongst a sample of healthcare workers who have engaged in acts of resistance, exploring their understanding of non-violent resistance, its justification and the barriers they faced in (...) engaging in such action. Methods: Participants were recruited through Medact's ( https://www.medact.org/ ) member database and directed to an online survey hosted on Qualtrics. While participants were unlikely to be representative of the broader UK healthcare community, participants were in an advantageous position to comment on non-violent resistance. Descriptive quantitative analysis and a content analysis were conducted. Results: The majority of participants felt that non-violent resistance could be justified dependent on its cause and/or the action in question. Within this, most felt that if action were non-violent, that if it didn't harm patients and that if the issue in question had to do with health being compromised, action was often justified. A number of others framed their justification as being a right or duty to engage in non-violent resistance. In relation to barriers to engaging in non-violent resistance, these fell into three categories: personal, professional and broader concerns related to society or the general culture found in healthcare. Within these, time and concerns about registration or the consequences of engaging in action were cited as the greatest barriers. Conclusions: These results suggest that healthcare workers who regularly engage in non-violent action carefully thought through their actions, acknowledging the diversity of actions and issues that could be challenged, for many patient care remained a primary concern. There is a need for clarity from regulatory bodies and in particular the need for dialogue between healthcare bodies and healthcare workers who continue to engage in acts of non-violent resistance. (shrink)

This article provides a comprehensive logical study of the metaethical principle referred to as “ought implies can” (OiC, for short). We analyze and formalize ten OiC interpretations from the philosophical literature and develop a class of sound and strongly complete deontic agency logics axiomatizing these ten principles. To do so, we adopt a non-normal modal logic approach to the agency formalism of ‘seeing to it that,’ that is, $$\textsf{STIT}$$ logic. The resulting logics are employed to demonstrate a formal taxonomy of (...) OiC in $$\textsf{STIT}$$, logically determining the (in)dependencies between the various interpretations. Additionally, we extend the class of logics with four other prominent metaethical principles discussed in the literature, analyzing their relation to OiC. These include the principles of “no vacuous commands,” “deontic contingency,” “deontic consistency,” and “no deontic dilemmas.” Last, to address a common objection, we extend the developed class of logics with restricted forms of monotonicity and aggregation that take into account the variety of OiC. Through this, we restore and enhance some of the inferential power lost in adopting a non-normal modal approach. (shrink)

This special issue of _positions_ adds to the increasingly substantial set of discussions on contemporary visual art in Asia. Approaching the topic from an interrogative perspective-one that explores deceptively simple definitions of terms such as "contemporary" and "Asia"-these essays examine specific works from Hong Kong, Japan, Singapore, China and the Philippines and consider the particular context in which they were created. The result is an issue that encourages larger discussions of reflexivity, historicity, and politicization as it relates to artistic expression (...) in Asian contexts. _Contributors_. Thomas J. Berghuis, Lee Weng Choy, Patrick Flores, Joan Kee, Alice Ming Wai Jim, Sheldon Lu, Gao Minglu, Reiko Tomii. (shrink)

Merleau-Ponty’s phenomenology of language is a central yet underdeveloped component of his overall philosophical project. His recently published 1953–1954 lectures on The Problem of Speech (2020) shed light on his understanding of language at a critical moment in the development of his thought. In this paper, I develop some central ideas from the course materials and use them to interpret Merleau-Ponty’s views on language and their significance for philosophical method. I begin with a reconstruction of the introduction to the course, (...) in which Merleau-Ponty provides a dialectical path into a philosophy of language that progresses alternatively through naïve, objectivist, and extreme subjectivist perspectives on language before arriving at a mature view that integrates what was true in each of the preceding views. A critical moment in this dialectic is the encounter with foreign languages, illustrated by Western linguists’ difficulties assimilating Chinese syntax to the model of the Indo-European languages. The genuine encounter with foreign languages allows Merleau-Ponty to propose a universality of human linguistic experience despite the genuine, radical differences between human languages. I suggest that we understand language as a concrete or lateral universal and situate this view within Merleau-Ponty’s thought. I then elaborate the consequences of this understanding of language for phenomenological method and practice. Because phenomenology requires a language, and because the phenomenologist’s way of being in the world is pervasively linguistic, language cannot be simply and directly suspended at the outset of phenomenology. However, Merleau-Ponty’s indirect method can bring language into view for the phenomenologist, without assuming a view from nowhere on language and experience. (shrink)

Antimicrobial resistance is one of the greatest public health crises of our time. The natural biological process that causes microbes to become resistant to antimicrobial drugs presents a complex social challenge requiring more effective and sustainable management of the global antimicrobial commons—the common pool of effective antimicrobials. This special issue of Health Care Analysis explores the potential of two legal approaches—one long-term and one short-term—for managing the antimicrobial commons. The first article explores the lessons for antimicrobial resistance that can be (...) learned from recent climate change agreements, and the second article explores how existing international laws can be adapted to better support global action in the short-term. (shrink)

Much of everyday language is vague, even in situations where vagueness could have been avoided. Yet the benefits of vagueness for hearers and readers are proving to be elusive. We discuss a range of earlier controlled experiments with human participants, and we report on a new series of experiments that we ourselves have conducted in recent years. These experiments, which focus on vague expressions that are part of referential noun phrases, aim to separate the utility of vagueness from the utility (...) of other factors that tend to co-occur with vagueness. After presenting the evidence, we argue that it supports a view where the benefits that vague terms exert are due to other influences, and not to vagueness itself. (shrink)

The Isis bibliography of the history of science has been published continuously since the first issue of the journal in 1913. This essay examines how information practices used to produce the bibliography have shaped, and were shaped by, the evolving discipline of the history of science. We first focus on the intellectual endeavors of George Sarton, who used the bibliography to help define and create a new academic field: the history of science. Next, we outline the administrative struggles of the (...) History of Science Society (HSS) as it tried to continue the project after Sarton’s retirement. Finally, we examine the technological aspects of producing a bibliography by focusing on the transition from analog to digital technologies over the last fifty years. In this overview, we show the central place the Isis bibliography played in the HSS community and argue that information practices surrounding the bibliography are an underutilized resource for studying the history of the discipline. (shrink)