This book constitutes a critical case study of the modern search for public sector reform. It includes a detailed account of a study aimed at developing a meaningful way of evaluating difficult-to-measure moral dimensions of the quality of prisons. The author calls for greater clarity and increased attention to these important aspects of organizational life.

Here in more than a hundred photographs is portrayed Liebling's Minnesota. During two decades marked by social, political and cultural change, Liebling travelled the state and found his largest subject -- the depiction and interpretation of commonplace human experience. The images range from the grain elevators and skid row of Minneapolis to the slaughterhouses in South St. Paul and the poor, working-class streets of St. Paul's West Side; from the Iron Range and the Red Lake Indian reservation in (...) the north to the farming towns in the south. The vision of Minnesota that emerges from the extraordinary photographs is uniquely that of the artist, yet it leads viewers effortlessly to an enhanced understanding of the places, the times, and, always, the people. (shrink)

Mild and massive DNA damage are differentially integrated into the cellular signaling networks and, in consequence, provoke different cell fate decisions. After mild damage, the tumor suppressor p53 directs the cellular response to cell cycle arrest, DNA repair, and cell survival, whereas upon severe damage, p53 drives the cell death response. One posttranslational modification of p53, phosphorylation at Serine 46, selectively occurs after severe DNA damage and is envisioned as a marker of the cell death response. However, the molecular mechanism (...) of action of the p53 Ser46 phospho‐isomer, the molecular timing of this phosphorylation event, and its activating effects on apoptosis and ferroptosis still await exploration. In this essay, the current body of evidence on the molecular function of this deadly p53 mark, its evolutionary conservation, and the regulation of the key players of this response, the p53 Serine 46 kinases, are reviewed and dissected. (shrink)

Considerable policy and scholarly interest in the treatment of long-term prisoners in conditions of high security existed throughout the 1970s to 1990s, often precipitated by major calamitous events. It has been a major theme of official discourse on the treatment of long-term prisoners since then that ‘a viable life’ and the preservation of dignity are important principles to adhere to in policy and practice. This morality is under threat.

Underdetermination arguments support the conclusion that no amount of empirical data can uniquely determine theory choice. The full content of a theory outreaches those elements of it (the observational elements) that can be shown to be true (or in agreement with actual observations).2 A number of strategies have been developed to minimize the threat such arguments pose to our aspirations to scientific knowledge. I want to focus on one such strategy: the invocation of additional criteria drawn from a pool of (...) cognitive or theoretical values, such as simplicity or generality, to bolster judgements about the worth of models, theories, and hypotheses. What is the status of such criteria? Larry Laudan, in Science and Values, argued that cognitive values could not be treated as self-validating, beyond justification, but are embedded in a three-way reticulational system containing theories, methods, and aims or values, which are involved in mutually supportive relationships (Laudan, 1984). My interest in this paper is not the purportedly self-validating nature of cognitive values, but their cognitive nature. Although Laudan rejects the idea that what he calls cognitive values are exempt from rational criticism and disagreement, he does seem to think that the reticulational system he identifies is independent of non-cognitive considerations. It is this cognitive/non-cognitive distinction that I wish to query in this paper. Let me begin by summarizing those of my own views about inquiry in which this worry about the distinction arises. (shrink)

The paper considers and opposes the view that processes are best thought of as continuants, to be differentiated from events mainly by way of the fact that the latter, but not the former, are entities with temporal parts. The motivation for the investigation, though, is not so much the defeat of what is, in any case, a rather implausible claim, as the vindication of some of the ideas and intuitions that the claim is made in order to defend — and (...) the grounding of those ideas and intuitions in a more plausible metaphysics than is provided by the continuant view. It is argued that in addition to a distinction between events and processes there is room and need for a third category, that of the individual process, which can be illuminatingly compared with the idea of a substance. Individual processes indeed share important metaphysical features with substantial continuants, but they do not lack temporal parts. Instead, it is argued that individual processes share with substantial continuants an important property I call ‘modal robustness in virtue of form’. The paper explains what this property is, and further suggests that the category of individual process, thus understood, might be of considerable value to the philosophy of action. (shrink)

Humean compatibilism is the combination of a Humean position on laws of nature and the thesis that free will is compatible with determinism. This article's aim is to situate Humean compatibilism in the current debate among libertarians, traditional compatibilists, and semicompatibilists about free will. We argue that a Humean about laws can hold that there is a sense in which the laws of nature are 'up to us' and hence that the leading style of argument for incompatibilism?the consequence argument?has a (...) false premiss. We also display some striking similarities between Humean compatibilism and libertarianism, an incompatibilist view. For example, standard libertarians face a problem about luck, and we show that Humean compatibilists face a very similar problem. (shrink)

Epistemic peer disagreement raises interesting questions, both in epistemology and in philosophy of science. When is it reasonable to defer to the opinion of others, and when should we hold fast to our original beliefs? What can we learn from the fact that an epistemic peer disagrees with us? A question that has received relatively little attention in these debates is the value of epistemic peer disagreement—can it help us to further epistemic goals, and, if so, how? We investigate this (...) through a recent case in paleoanthropology: the debate on the taxonomic status of Homo floresiensis remains unresolved, with some authors arguing the fossils represent a novel hominin species, and others claiming that they are Homo sapiens with congenital growth disorders. Our examination of this case in the recent history of science provides insights into the value of peer disagreement, indicating that it is especially valuable if one does not straightaway defer to a peer’s conclusions, but nevertheless remains open to a peer’s evidence and arguments. (shrink)

The paper argues that actions should be thought of as processes and not events. A number of reasons are offered for thinking that the things that it is most plausible to suppose we are trying to cotton on to with the generic talk of ‘actions’ in which philosophy indulges cannot be events. A framework for thinking about the event-process distinction which can help us understand how we ought to think about the ontology of processes we need instead is then developed, (...) building on some excellent work already done by philosophers working at the intersection of philosophy and linguistics. (shrink)

The paper considers whether psychiatric kinds can be natural kinds and concludes that they can. This depends, however, on a particular conception of ‘natural kind’. We briefly describe and reject two standard accounts – what we call the ‘stipulative account’ (according to which apparently a priori criteria, such as the possession of intrinsic essences, are laid down for natural kindhood) and the ‘Kripkean account’ (according to which the natural kinds are just those kinds that obey Kripkean semantics). We then rehearse (...) a more permissive account: Richard Boyd’s ‘homeostatic property cluster’ (HPC) account. We argue that psychiatric kinds can in principle count as natural kinds on the HPC account. Moreover, specific psychiatric kinds (Tourette’s, schizophrenia, etc.) can be natural kinds even if the category psychiatric disorder is not itself a natural kind. (shrink)

The aim of this literature review was to compose a narrative review supported by a systematic approach to critically identify and examine concerns about accountability and the allocation of responsibility and legal liability as applied to the clinician and the technologist as applied the use of opaque AI-powered systems in clinical decision making. This review questions if it is permissible for a clinician to use an opaque AI system in clinical decision making and if a patient was harmed as a (...) result of using a clinician using an AIS’s suggestion, how would responsibility and legal liability be allocated? Literature was systematically searched, retrieved, and reviewed from nine databases, which also included items from three clinical professional regulators, as well as relevant grey literature from governmental and non-governmental organisations. This literature was subjected to inclusion/exclusion criteria; those items found relevant to this review underwent data extraction. This review found that there are multiple concerns about opacity, accountability, responsibility and liability when considering the stakeholders of technologists and clinicians in the creation and use of AIS in clinical decision making. Accountability is challenged when the AIS used is opaque, and allocation of responsibility is somewhat unclear. Legal analysis would help stakeholders to understand their obligations and prepare should an undesirable scenario of patient harm eventuate when AIS were used. (shrink)

The proposal of anything like a feminist epistemology has, I think, two sources. Feminist scholars have demonstrated how the scientific cards have been stacked against women for centuries. Given that the sciences are taken as the epitome of knowledge and rationality in modern Western societies, the game looks desperate unless some ways of knowing different from those that have validated misogyny and gynephobia can be found. Can we know the world without hating ourselves? This is one of the questions at (...) the core of discussions of feminist epistemology. It has spinoffs, e.g., can we know the world in ways that will permit women as well as men to thrive? Can we know the world without hating any human group? and so on. Now, these questions might be answered in a way that does not require any rethinking of fundamental philosophical issues. Some philosophers might argue that sexism in the sciences from Aristotle to human sociobiology results from a masculinist blinding that impedes the normal workings of the human cognitive apparatus. Unblinded, that apparatus produces real knowledge rather than ideology. Or: that was then, this is now. This somewhat overestimates the progress made in the sciences in the last 20 years, but can be read as a promissory note. (shrink)

Entrepreneurship is increasingly considered to be integral to development; however, social and cultural norms impact on the extent to which women in developing countries engage with, and accrue the benefits of, entrepreneurial activity. Using data collected from 49 members of a rural social enterprise in North India, we examine the relationships between social entrepreneurship, empowerment and social change. Innovative business processes that facilitated women’s economic activity and at the same time complied with local social and cultural norms that constrain their (...) agency contributed to changing the social order itself. We frame emancipatory social entrepreneurship as processes that empower women and contribute to changing the social order in which women are embedded. (shrink)

This paper argues, by attention to the category of sub-intentional agency, that many conceptions of the nature of agency are 'over-mentalised', in that they insist that an action proper must be produced by something like an intention or a reason or a desire. Sub-intentional actions provide counterexamples to such conceptions. Instead, it is argued, we should turn to the concept of a two-way power in order to home in on the essential characteristics of actions.

Artificially intelligent systems (AISs) are being created by software developing companies (SDCs) to influence clinical decision‐making. Historically, clinicians have led healthcare decision‐making, and the introduction of AISs makes SDCs novel actors in the clinical decision‐making space. Although these AISs are intended to influence a clinician's decision‐making, SDCs have been clear that clinicians are in fact the final decision‐makers in clinical care, and that AISs can only inform their decisions. As such, the default position is that clinicians should hold responsibility for (...) the outcomes of the use of AISs. This is not the case when an AIS has influenced a clinician's judgement and their subsequent decision. In this paper, we argue that this is an imbalanced and unjust position, and that careful thought needs to go into how personal moral responsibility for the use of AISs in clinical decision‐making should be attributed. This paper employs and examines the difference between prospective and retrospective responsibility and considers foreseeability as key in determining how personal moral responsibility can be justly attributed. This leads us to the view that moral responsibility for the outcomes of using AISs in healthcare ought to be shared by the clinical users and SDCs. (shrink)

This article argues in defence of human–robot friendship. I begin by outlining the standard Aristotelian view of friendship, according to which there are certain necessary conditions which x must meet in order to ‘be a friend’. I explain how the current literature typically uses this Aristotelian view to object to human–robot friendships on theoretical and ethical grounds. Theoretically, a robot cannot be our friend because it cannot meet the requisite necessary conditions for friendship. Ethically, human–robot friendships are wrong because they (...) are deceptive, and could also make it more likely that we will favour ‘perfect’ robots, and disrespect, exploit, or exclude other human beings. To argue against the above position, I begin by outlining and assessing current attempts to reject the theoretical argument—that we cannot befriend robots. I argue that the current attempts are problematic, and do little to support the claim that we can be friends with robots now. I then use the standard Aristotelian view as a touchstone to develop a new degrees-of-friendship view. On my view, it is theoretically possible for humans to have some degree of friendship with social robots now. I explain how my view avoids ethical concerns about human–robot friendships being deceptive, and/or leading to the disrespect, exploitation, or exclusion of other human beings. (shrink)

This paper argues for the replacement of the Principle of Alternate Possibilities by an alternative principle, the Principle of Possible Non-Performance, which it is argued represents an important improvement on the Principle of Alternate Possibilities in the context of Frankfurt-style examples. The suggestion that the principle offers only the possibility of something insufficiently 'robust' to supply a decent replacement to PAP is countered.

Uncertainty is pervasive in ecology where the difficulties of dealing with sources of uncertainty are exacerbated by variation in the system itself. Attempts at classifying uncertainty in ecology have, for the most part, focused exclusively on epistemic uncertainty. In this paper we classify uncertainty into two main categories: epistemic uncertainty (uncertainty in determinate facts) and linguistic uncertainty (uncertainty in language). We provide a classification of sources of uncertainty under the two main categories and demonstrate how each impacts on applications in (...) ecology and conservation biology. In particular, we demonstrate the importance of recognizing the effect of linguistic uncertainty, in addition to epistemic uncertainty, in ecological applications. The significance to ecology and conservation biology of developing a clear understanding of the various types of uncertainty, how they arise and how they might best be dealt with is highlighted. Finally, we discuss the various general strategies for dealing with each type of uncertainty and offer suggestions for treating compounding uncertainty from a range of sources. (shrink)

The fields of medical ethics, bioethics, and women's studies have experienced unprecedented growth in the last forty years. Along with the rapid pace of development in medicine and biology, and changes in social expectations, moral quandaries about the body and social practices involving it have multiplied. Philosophers are uniquely situated to attempt to clarify and resolves these questions. Yet the subdiscipline of bioethics still in large part reflects mainstream scholars' lack of interest in gender as a category of analysis. This (...) volume aims to show how a feminist perspective advances bioethics. The author uncover inconsistencies in traditional arguments and argue for the importance of hitherto ignored factors in decision-making. The essays include theory and very specific examples that demonstrate the glaring inadequacy of mainstream bioethics, where gender bias is still often to be found, along with general lack of attention to women's concerns. (shrink)

First published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.

In Science, Truth, and Democracy, Philip Kitcher develops the notion of well-ordered science: scientific inquiry whose research agenda and applications are subject to public control guided by democratic deliberation. Kitcher's primary departure from his earlier views involves rejecting the idea that there is any single standard of scientific significance. The context-dependence of scientific significance opens up many normative issues to philosophical investigation and to resolution through democratic processes. Although some readers will feel Kitcher has not moved far enough from earlier (...) epistemological positions, the book does represent an important addition to literature on science, society, and values. (shrink)

This paper explores the relationship between a person's claim right not to be harmed and the duties this claim confers on others. I argue that we should reject Jonathan Quong's evidence-based account of this relationship, which holds that an agent A's possession of a claim against B is partly determined by whether it would be reasonable for A to demand B's compliance with a correlative duty. When B's evidence is that demanding compliance would not be reasonable, A cannot have a (...) claim against B. I suggest that some of the putatively problematic cases that Quong identifies can be resolved by plausibly narrowing the scope of the right not to be harmed. I also argue that Quong's view leads to implausible conclusions, and that his account of what happens to A's claim in the face of lesser-evil justifications is inconsistent with his broader view. I then defend the view that agents are required, and not merely permitted, to act on lesser-evil justifications. I further argue that A may not defend herself against the infliction of harms that are justified on lesser-evil grounds. However, she may defend herself in cases where B is only evidentially, and not objectively, justified in harming her. (shrink)

The modern view of causation can be traced back to the mechanistic science of Descartes, whose rejection of Aristotelian physics, with its concept of substantial forms, in favor of mechanical explanations was a turning-point in the history of philosophy. However the reasoning which led Descartes and other early moderns in this direction is not well understood. This book traces Descartes' groundbreaking theory of scientific explanation back to the mathematical demonstrations of Aristotelian mechanics and interprets these advances in light of the (...) available arguments for and against substantial forms. It also examines how Descartes' new theory led him to develop a metaphysical foundation for his science that could avoid skeptical objections. It will appeal to a wide range of readers interested in the philosophy and science of the early modern period. (shrink)

The subject of this essay is the dependence of evidential relations on background beliefs and assumptions. In Part I, two ways in which the relation between evidence and hypothesis is dependent on such assumptions are discussed and it is shown how in the context of appropriately differing background beliefs what is identifiable as the same state of affairs can be taken as evidence for conflicting hypotheses. The dependence of evidential relations on background beliefs is illustrated by discussions of the Michelson-Morley (...) experiment and the discovery of oxygen. In Part II, Hempel's analysis of confirmation and the contrasting model of theory acceptance provided by philosophers such as Kuhn and Feyerabend are discussed. It is argued that both are inadequate (on different grounds) and the problems addressed by each are shown to be more satisfactorily approached by means of the analysis developed in Part I. In Part III, it is argued that if there are objective criteria for deciding between competing theories, these cannot be simply that one theory has greater evidential support than another. Finally, some further methodological questions arising from the analysis are mentioned. (shrink)

What is the thesis of determinism? Though it is obvious that in principle there is more than one possible thesis that might be given this name, it seems to be the case that philosophers working on the free will problem have gradually gravitated towards a more-or-less standard definition, minor variations on which can now be found widely scattered through the free will literature. I call it the ‘entailment definition’ and it states, roughly, that determinism is the thesis that for any (...) given time, a complete statement of the facts about that time, together with a complete statement of the laws of nature, entails every truth as to what happens after that time. In this paper, I argue that acceptance of the entailment definition has been a mistake—and that we need a definition of determinism which, by contrast with the entailment definition, makes explicit mention of the notion of natural necessity. (shrink)

Philosophy Compass, Volume 17, Issue 2, February 2022.

Psychological evidence suggests that laypeople understand the world around them in terms of intuitive ontologies which describe broad categories of objects in the world, such as ‘person’, ‘artefact’ and ‘animal’. However, because intuitive ontologies are the result of natural selection, they only need to be adaptive; this does not guarantee that the knowledge they provide is a genuine reflection of causal mechanisms in the world. As a result, science has parted ways with intuitive ontologies. Nevertheless, since the brain is evolved (...) to understand objects in the world according to these categories, we can expect that they continue to play a role in scientific understanding. Taking the case of human evolution, we explore relationships between intuitive ontological and scientific understanding. We show that intuitive ontologies not only shape intuitions on human evolution, but also guide the direction and topics of interest in its research programmes. Elucidating the relationships between intuitive ontologies and science may help us gain a clearer insight into scientific understanding. (shrink)

Smart cities are now an established area of technological development and theoretical inquiry. Research on smart cities spans from investigations into its technological infrastructures and design scenarios, to critiques of its proposals for citizenship and sustainability. This article builds on this growing field, while at the same time accounting for expanded urban-sensing practices that take hold through citizen-sensing technologies. Detailing practice-based and participatory research that developed urban-sensing technologies for use in Southeast London, this article considers how the smart city as (...) a large-scale and monolithic version of urban systems breaks down in practice to reveal much different concretizations of sensors, cities, and people. By working through the specific instances where sensor technologies required inventive workarounds to be setup and continue to operate, as well as moments of breakdown and maintenance where sensors required fixes or adjustments, this article argues that urban sensing can produce much different encounters with urban technologies through lived experiences. Rather than propose a “grassroots” approach to the smart city, however, this article instead suggests that the smart city as a figure for urban development be contested and even surpassed by attending to workarounds that account more fully for digital urban practices and technologies as they are formed and situated within urban projects and community initiatives. (shrink)

Revisionist approaches to the ethics of war seem to imply that civilians on the unjust side of a conflict can be legitimate targets of defensive attack. In response, some authors have argued that although civilians do often causally contribute to unjustified global threats – by voting for war, writing propaganda articles, or manufacturing munitions, for example – their contributions are usually too ‘small’, or ‘remote’, to make them liable to be intentionally killed to avert the threat. What defenders of this (...) view lack, however, is a theory of causal contribution. This article sketches and defends a theory of causal contribution. We then apply it to the kinds of situation that defenders of the view are interested in. We argue, however, that since degrees of causal contribution turn out to be sensitive to particular features of the situation that are extrinsic to the agent's action, whether an agent makes a small or a large contribution to a threat may not only be very difficult to discern but in many cases may not line up very well with the kinds of intuition about liability that defenders of the view want to uphold. (shrink)

ABSTRACT In this paper, I argue that having ‘leeway’ is part and parcel of what it is to be the agential source of an action, so that embracing source incompatibilism does not, by itself, absolve the incompatibilist of the need to find Frankfurtian agents to be possessors of alternate possibilities. I offer a response to Frankfurt-style counterexamples to the Principle of Alternate Possibilities, based on the idea that Frankfurt's Jones exercises the two-way power of agency when he acts – a (...) power whose exercise intrinsically implies the possibility of having done otherwise. I then show how to respond to the objection that the alternative possibility noted is not sufficiently ‘robust’ to ground his moral responsibility. I also distinguish my own argument for the claim that source incompatibilism is not truly independent of leeway incompatibilism from an argument for the same conclusion which has been offered previously by Kevin Timpe, and suggest that my own version has the dialectical advantage that it does not automatically assume from the outset that sourcehood requires indeterminism, and hence is in line with the traditional idea that the alternate possibilities requirement on moral responsibility is the common property of compatibilists and incompatibilists alike. (shrink)

The paper offers the outlines of a response to the often-made suggestion that it is impossible to see how indeterminism could possibly provide us with anything that we might want in the way of freedom, anything that could really amount to control, as opposed merely to an openness in the flow of reality that would constitute the injection of chance, or randomness, into the unfolding of the processes which underlie our activity. It is suggested that the best first move for (...) the libertarian is to make a number of important concessions to the compatibilist. It should be conceded, in particular, that certain sorts of alternative possibilities are neither truly available to real, worldly agents nor required in order that those agents act freely; and it should be admitted also that it is the compatibilist who tends to give the most plausible sorts of analyses of many of the 'can' and 'could have' statements which seem to need to be assertible of those agents we regard as free. But these concessions do not bring compatibilism itself in their wake. The most promising version of libertarianism, it is argued, is based on the idea that agency itself (and not merely some special instances of it which we might designate with the honorific appellation 'free') is inconsistent with determinism. This version of libertarianism, it is claimed, can avoid the objection that indeterminism is as difficult to square with true agential control as determinism can sometimes seem to be. (shrink)

Emotion processing is known to be impaired in psychopathy, but less is known about the cognitive mechanisms that drive this. Our study examined experiencing and suppression of emotion processing in psychopathy. Participants, violent offenders with varying levels of psychopathy, viewed positive and negative images under conditions of passive viewing, experiencing and suppressing. Higher scoring psychopathics were more cardiovascularly responsive when processing negative information than positive, possibly reflecting an anomalously rewarding aspect of processing normally unpleasant material. When required to experience emotional (...) response, by ‘getting into the feeling’ of the emotion conveyed by a negative image, higher factor 1 psychopathic individuals showed reduced responsiveness, suggesting that they were less able to do this. These data, together with the absence of corresponding differences in subjective self-report might be used to inform clinical strategies for normalising emotion processing in psychopathic offenders to improve treatment outcome, and reduce risk amongst this client group. (shrink)

''The authors' style is clear, making the book accessible to newcomers, and the illustrations are excellent. There can be no doubt that this book will remain the standard work in the subject, and it will appeal to readers of all types.'' -Sir Patrick Moore in the Times Higher Education Supplement ''It will surely be the standard work on the subject for many years to come and we await with interest the outcome of further research into this fascinating subject.'' -Society for (...) the History of AstronomyFor thousands of years, one scientific puzzle has fascinated and perplexed the greatest philosophers, mathematicians, physicists, and psychologists - why do the moon and sun appear so much larger on the horizon than when high up in the sky? Now, two leading psychologists have provided a compelling account of this fascinating illusion. Taking us through the history, the characters involved, the attempts made to explain the illusion, through to modern day studies of visual perception, the book is the most comprehensive account of this puzzle so far. This is a work which will remain, for some time to come, the definitive book on a mystery that has fascinated and tested the greatest minds throughout the ages. Accessibly written, it will appeal to readers of popular science, along with those within the disciplines of psychology, mathematics, astronomy, and philosophy, from undergraduate upwards. (shrink)

Adam Hosein has recently proposed that a sufficient degree of intervening agency between a person’s contribution to an unjust lethal threat and the posing of that threat can exempt the contributor from liability to defensive killing. Hosein suggests that this will exempt most civilians from liability to lethal defence even if they contribute to unjust killings. I argue that intervening agency does not bear on a person’s responsibility for a threat, and does not exempt her from liability to defensive killing.

Journal of Applied Philosophy, EarlyView.

This article will discuss the concepts of Cradle to Cradle and Circular Economy in relation to sustainable production involving philosophical debates on economic growth, and the risk of subversion of managerial practice to business as usual. The case study is based on the assignments submitted by Masters students as part of a course related to sustainable production and consumption at Leiden University in The Netherlands. Some of the supposedly best practice cases placed on the website of the Ellen MacArthur Foundation (...) or those awarded Cradle to Cradle certificate were evaluated by students as green-washing. Larger implications of circular production for business and ecological management are discussed. (shrink)

The current international healthcare focus on ensuring the perspectives and needs of individual persons, families or communities are met has led to the core tenet of person‐centred care for all. The nurse–patient relationship is central to the provision of care, and enhancing this relationship to ensure trust and respect supports optimal care outcomes for those accessing healthcare services. Engaging authentically is one of the recognised key approaches in person‐centred practice, and this scoping review of the literature aims to gain an (...) understanding of the role this process plays in developing effective relationships between nurses and the people they care for. A systematic search of databases and grey literature was undertaken, and twenty‐one research papers met the inclusion criteria. A thematic analysis revealed four themes: ‘getting to know the patient as a person’, ‘the complexity of relationship building—it takes time’, ‘the nurse: characteristics and behaviours that support the nurse–patient relationship’ and ‘the patient voice’. Nurses and patients both benefit from effective relationships, feeling valued and experiencing greater satisfaction with care. Key elements of engaging authentically were revealed as a nurse–patient relational process through this literature review; however, further research is needed to gain a greater understanding of this concept. (shrink)