ABSTRACT Accurate self‐administration of antiretroviral medication therapy for HIV/aids is a significant clinical and ethical concern because of its implications for individual morbidity and mortality, the health of the public, and escalating healthcare costs. However, the traditional construction of patient medication adherence is oversimplified, myopic, and ethically problematic. Adherence relies on existing social power structures and western normative assumptions about the proper roles of patients and providers, and principally focuses on patient variables, obscuring the powerful socioeconomic and institutional influences on (...) behaviour. Some professionals advocate for alternate approaches to adherence, but many of the available alternatives remain conceptually underdeveloped. Using HIV/aids as an exemplar, this paper presents medication practice as a theoretical reconstruction and explicates its conceptual and ethical evolution. We first propose that one of these alternatives, medication practice, broadens the understanding of individuals’ medication‐taking behaviour, speaks to the inherent power inequities in the patient‐provider interaction, and addresses the ethical shortcomings in the traditional construal. We then integrate medication practice with feminist thought, further validating individuals’ situated knowledge, choices, and multiple roles; more fully recognizing the individual as a multidimensional, autonomous human being; and reducing notions of obedience and deference to authority. Blame is thus extricated from the healthcare relationship, reshaping the traditionally adversarial components of the interaction, and eliminating the view of adherence as a patient problem in need of patient‐centred interventions. (shrink)

ABSTRACT Accurate self‐administration of antiretroviral medication therapy for HIV/aids is a significant clinical and ethical concern because of its implications for individual morbidity and mortality, the health of the public, and escalating healthcare costs. However, the traditional construction of patient medication adherence is oversimplified, myopic, and ethically problematic. Adherence relies on existing social power structures and western normative assumptions about the proper roles of patients and providers, and principally focuses on patient variables, obscuring the powerful socioeconomic and institutional influences on (...) behaviour. Some professionals advocate for alternate approaches to adherence, but many of the available alternatives remain conceptually underdeveloped. Using HIV/aids as an exemplar, this paper presents medication practice as a theoretical reconstruction and explicates its conceptual and ethical evolution. We first propose that one of these alternatives, medication practice, broadens the understanding of individuals’ medication‐taking behaviour, speaks to the inherent power inequities in the patient‐provider interaction, and addresses the ethical shortcomings in the traditional construal. We then integrate medication practice with feminist thought, further validating individuals’ situated knowledge, choices, and multiple roles; more fully recognizing the individual as a multidimensional, autonomous human being; and reducing notions of obedience and deference to authority. Blame is thus extricated from the healthcare relationship, reshaping the traditionally adversarial components of the interaction, and eliminating the view of adherence as a patient problem in need of patient‐centred interventions. (shrink)

A survey of Western feminist ethics over the past thirty years reveals considerable diversity; nonetheless, much recent work in this area is characterized by its adoption of a naturalistic approach. Such an approach is similar to that found in contemporary naturalized epistemology and philosophy of science, yet feminist naturalism has a unique focus. This paper explains what feminist naturalism can contribute to moral philosophy, both by critiquing moral concepts that obscure or rationalize women’s subordination and by paying attention to real-life (...) practices of moral inquiry, including those used by women. (shrink)

Western moral and political theorists have devoted much attention to the victimization of women by non-western cultures. But, conceiving injustice to poor women in poor countries as a matter of their oppression by illiberal cultures yields an imcomplete understanding of their situation.

This paper argues that, by construing emotion as epistemologically subversive, the Western tradition has tended to obscure the vital role of emotion in the construction of knowledge. The paper begins with an account of emotion that stresses its active, voluntary, and socially constructed aspects, and indicates how emotion is involved in evaluation and observation. It then moves on to show how the myth of dispassionate investigation has functioned historically to undermine the epistemic authority of women as well as other social (...) groups associated culturally with emotion. Finally, the paper sketches some ways in which the emotions of underclass groups, especially women, may contribute to the development of a critical social theory. (shrink)

Traditional conceptions of citizenship have privileged individuals' relationships to the state. However, recent emphasis on civil society as a terrain of democratic empowerment suggests a shift in our ideas about what citizens properly do and the arenas in which they do it. I argue that it would be a mistake to privilege activism in civil society over traditional state-centered political activity and I contend that democratic citizenship may – and must – be performed in multiple arenas. Feminists need enriched understandings (...) of citizenship that recognize the indispensability of both national and transnational civil society but still maintain a strong focus on the state. (shrink)

Many philosophers endorse the ideal of justice yet disagree radically over what that ideal requires. One persistent problem for thinking about justice is that the unjust social arrangements that originally motivated our questions may also distort our thinking about possible answers. This paper suggests some strategies for improving our thinking about justice in the unjust meantime. As our world becomes more just, we may expect our thinking about justice to improve.

Multiculturalism and “The Politics of Recognition.” An Essay by Charles Taylor with commentary by Amy Gutmann, editor, Steven C. Rockefeller, Michael Walzer, and Susan Wolf.

ABSTRACT:As Vice Chair of Clinical Services of Psychiatry at the University of Colorado, I choose to work where clinical services need most attention. As a woman, I want to show up where we can be seen and show up in the best possible way. Just as COVID began, I found myself doing clinical shifts in the newly created psychiatry emergency room. I became part of a front-line team, where “I” became “We,” facing an unknown enemy. Not only was my work (...) life upended, but my personal life was too, as I rushed to help my daughter, a medical student, care for her son when his day-care closed. My commentary highlights the increased burden experienced by women during this time, an example of systemic bias in medicine. (shrink)

Neoliberal globalization has deepened the impoverishment and marginalization of many women. This system is maintained by the debt supposedly owed by many poor nations in the global South to a few rich nations in the global North, because the obligation to service the debt traps the people of the South within an economic order that severely disadvantages them. I offer several reasons for thinking that many of these alleged debt obligations are not morally binding, especially on Southern women.

Behavioral immune system describes psychological mechanisms that detect cues to infectious pathogens in the immediate environment, trigger disease-relevant responses and facilitate behavioral avoidance/escape. BIS activation elicits a perceived vulnerability to disease which can result in conformity with social norms. However, a response to superficial cues can result in aversive responses to people that pose no actual threat, leading to an aversion to unfamiliar others, and likelihood of prejudice. Pathogen-neutralizing behaviors, therefore, have implications for social interaction as well as illness behaviors (...) and responses to health communications. In this study, we investigate how PVD influences conformity, attitudes to other people and to lockdown regulations through the lens of the Reinforcement Sensitivity Theory. RST describes personality in terms of biologically-driven approach and avoidance motivations which support personal goals. Participants from the United Kingdom public completed an RST personality questionnaire and then read either coronavirus morbidity-mortality statistics and current United Kingdom government lifestyle regulations, just the regulations, or no information at all. They all completed the Perceived Vulnerability to Disease scale to assess BIS-relevant Germ Aversion and Perceived Infectability, followed by questions measuring social conformity, warmth toward others and attitudes toward lockdown measures. Significantly lower PVD scores were observed in the no-information condition, with the other conditions showing no difference. In terms of RST, approach behaviors related to goal-drive persistence work alongside fear in explaining conformity to social norms. Reward related approach behaviors partially explained warmth toward others, indicating that social rewards gained through interaction continue to be strong drivers of behavior. We found no role for RST traits in attitudes toward lockdown. Overall, coronavirus-related behavior is not driven purely by fear, but also by social and/or protection goals regulated by approach motivation. This study presents new insights into public perceptions of coronavirus and government regulated lifestyle restrictions, helping to explain social behaviors in terms of biologically driven mechanisms. Such understanding is vital if we are to successfully motivate public behavior to constrain spread of the virus. (shrink)

This paper seeks to reconceptualise the basis for trusting teachers in current educational discourses. It proposes moving away from trust based on ‘absolute accuracy’ to trust as encapsulated in the practice of parrhesia. On the surface, parrhesia appears to be the opposite of Sartre’s concept of ‘bad faith’. Paradoxically, however, our attempts to be sincere in our accounts are inevitably tainted by this. This paradox is especially evident in autobiographical writing, an activity that is both parrhesiastic in nature and susceptible (...) to bad faith. This does not mean that we should abandon trust in these ways of accounting for oneself, however. Rather, parrhesiastic practices in autobiographical writing can offer a different understanding of how we account for ourselves and our practices, one that does not pertain to a narrow definition of truth as accuracy, but instead leads to a form of self-criticism where one situates oneself in relation to the ‘truth’ of their accounts in new ways. Towards the end of the paper, I explore three ‘parrhesiastic techniques’ and their relationship to accounting for oneself as a teacher, to reimagine these techniques from technicist to existential ways of relating to our practices. (shrink)

Pickering & Garrod's (P&G's) theory could be modified to describe how listeners rapidly incorporate context to generate predictions about speech despite inter-talker variability. However, in order to do so, the content of predicted percepts must be expanded to include phonetic information. Further, the way listeners identify and represent inter-talker differences and subsequently determine which prediction method to use would require further specification.

This article explains some moral dimensions of a transnational feminist research project designed to provide a better standard or metric for measuring poverty across the world. The author is an investigator on this project. Poverty metrics incorporate moral judgments about what is necessary for a decent life, so justifying metrics requires moral argumentation. The article clarifies the moral aspects of poverty valuation, indicates some moral flaws in existing global poverty metrics, and outlines some conditions for a better global metric. It (...) then explains the methodology used in our project, providing its moral rationale and discussing some remaining moral concerns. (shrink)

This is the first of two companion articles drawn from a larger project, provisionally entitled Undisciplining Moral Epistemology. The overall goal is to understand how moral claims may be rationally justified in a world characterized by cultural diversity and social inequality. To show why a new approach to moral justification is needed, it is argued that several currently influential philosophical accounts of moral justification lend themselves to rationalizing the moral claims of those with more social power. The present article explains (...) how discourse ethics is flawed just in this way. The article begins by identifying several conditions of adequacy for assessing reasoning practices designed to achieve moral justification and shows that, when used in contexts of cultural diversity and social inequality, discourse ethics fails these conditions. It goes on to argue that the failure of discourse ethics is rooted in its reliance on a broader conception of moral epistemology that is invidiously idealized. It concludes by pointing to the need to rethink both the mission and the method of moral epistemology. (shrink)

The supplemented edition of this important reader includes a substantive new introduction by the author on the changing nature of feminist methodology. It takes into account the implications of a major new study included for this first time in this book on poverty and gender (in)equality, and it includes an article discussing the ways in which this study was conducted using the research methods put forward by the first edition. This article begins by explaining why a new and better poverty (...) metric is needed and why developing such a metric requires an alternative methodological approach inspired by feminism. Feminist research is a growing tradition of inquiry that aims to produce knowledge not biased by inequitable assumptions about gender and related categories such as class, race, religion, sexuality, and nationality."Just Methods" is designed for upper-level undergraduate and graduate students in a range of disciplines. Rather than being concerned with particular techniques of inquiry, the interdisciplinary readings in this book address broad questions of research methodology. They are designed to help researchers think critically and constructively about the epistemological and ethical implications of various approaches to research selection and research design, evidence-gathering techniques, and publication of results.A key theme running through the readings is the complex interrelationship between social power and inequality on the one hand and the production of knowledge on the other. A second and related theme is the inseparability of research projects and methodologies from ethical and political values. (shrink)

Issues of global justice have received increasing attention in academic philosophy in recent years but the gendered dimensions of these issues are often overlooked or treated as peripheral. This groundbreaking collection by Alison Jaggar brings gender to the centre of philosophical debates about global justice. -/- The explorations presented here range far beyond the limited range of issues often thought to constitute feminists’ concerns about global justice, such as female seclusion, genital cutting, and sex trafficking. Instead, established and emerging (...) scholars expose the gendered and racialized aspects of transnational divisions of paid and unpaid labor, class formation, taxation, migration, mental health, the so-called resource curse, and conceptualizations of violence, honor, and consent. Jaggar's introduction explains how these and other feminist investigations of the transnational order raise deep challenges to assumptions about justice that for centuries have underpinned Western political philosophy. -/- Taken together the pieces in this volume present a sustained philosophical engagement with gender and global justice. Gender and Global Justice provides an accessible and original perspective on this important field and looks set to reframe philosophical reflection on global justice. (shrink)

The essays in this interdisciplinary collection share the conviction that modern western paradigms of knowledge and reality are gender-biased.

The feminist conception of discourse offered below differs from classical discourse ethics. Arguing that inequalities of power are even more conspicuous in global than in local contexts, I note that a global discourse community seems to be emerging among feminists, and I explore the role played by small communities in feminism's attempts to reconcile a commitment to open discussion, on the one hand, with a recognition of the realities of power inequalities, on the other.

The present issue of Philosophical Topics is devoted to global gender justice. In this introduction to the volume, I sketch the emergence of global gender justice as a field of philosophical inquiry and identify some of the philosophical challenges that its emergence raises. The easiest way to explain the distinctiveness of this field is to situate it in the context of earlier philosophical inquiries into justice.

Journal of Philosophy of Education, Volume 56, Issue 1, Page 78-87, February 2022.

The terms “ideal theory” and “nonideal theory” are used in contemporary Anglophone political philosophy to identify alternative methodological approaches for justifying normative claims. Each term is used in multiple ways. In this article Alison M. Jaggar disentangles several versions of ideal and nonideal theory with a view to determining which elements may be helpful in designing models of real-world justice that are contextually relevant, morally plausible, and practically feasible.

Across the world, the lives of men and women who are otherwise similarly situated tend to differ from each other systematically. Although gender disparities varywidely within and among regions, women everywhere are disproportionately vulnerable to poverty, abuse and political marginalization. This article proposes thatglobal gender disparities are caused by a network of norms, practices, policies, and institutions that include transnational as well as national elements. These interlaced and interacting factors frequently modify and sometimes even reduce gendered vulnerabilities but their overall (...) effect is to maintain and often intensify them. Women’s vulnerabilities in different areas of life mutually reinforce each other and I follow other authors in referring to such causal feedback loops as cycles of gendered vulnerability. I argue that these cycles now operate on a transnational as well as national scale and I illustrate this by discussing the examples of domestic work and sex work. If global institutional arrangements do indeed contribute to maintaining or intensifying distinctively gendered vulnerabilities, these arrangements deserve criti cal scrutiny from philosophers concerned with global justice. (shrink)

An essay on the article "Reason and Feeling in Thinking about Justice," by Susan Moller Okin is presented. It offers a history of the original position in philosophical reasoning for explaining a sense of justice and examines feminist criticisms against such thinking for failure to appreciate differences and otherness while focused on universality and impartiality. The author relates the choice feminist theories on ethic of sympathy or care for others in place of an ethic of justice in general.

Reviewed Work: Multiculturalism and "The Politics of Recognition" by Charles Taylor, Amy Gutmann, Steven C. Rockefeller, Michael Walzer, Susan Wolf.

The theme of human biology recurs continually both in feminist and in anti-ferminist literature. Reflection on human biology has seemed to promise answers to the urgent questions of why women everywhere are subordinated and whether and how that subordination can be ended. Invariably, anti-feminists have justified women's subordination in terms of perceived biological differences between the sexes, and feminists have responded to their claims in a variety of ways. In this paper, I want to look critically at the ways in (...) which feminists in the liberal and Marxist traditions have responded to the biologically based challenges of anti-feminism, and to suggest an alternative way of conceptualising the relation between human biology and the social status of women. (shrink)

Journal of Philosophy of Education, EarlyView.