Ethics of Uncertainty As an Extension of Virtue Epistemology

2021 ◽  
Vol 58 (1) ◽  
pp. 161-177
Author(s):  
Sergei Yu. Shevchenko ◽  

Uncertainty can’t be understood without taking into account both properties of the problem situation and agent’s knowledge about it. The correspondence of knowledge and situation of decision-making is crucial for understanding the onto-epistemological nature of uncertainty. At the same time, this correspondence is the key topic in virtue epistemology, especially in its ‘non-classical’, regulatory, branch, related to works of R. Roberts and W.J. Wood. In this article, genetic consultation is chosen as an example of such a problematic situation since a doctor and a patient explicitly deal with the uncertainty of genetic risks. The problems of communication and joint decision-making in the context of medical-genetic consultation are comprehensively described in bioethics. At the same time, its social dimension is limited to the direct interaction of two individual agents, that allows us to use it as a model for constructing the ethics of uncertainty. In this article, four forms of uncertainty are identified: descriptive, normative and radical uncertainties, and translation uncertainty. Referring to the approaches of virtue epistemology, the author brings each of these forms into conformity with the proposed regulatory principle. The regulations assume that generating or disseminating knowledge under conditions of uncertainty require taking into account the incompleteness of the presented model of reality in its four aspects. A modelled fragment of reality could change in a predictable (descriptive uncertainty) or unexpected (radical uncertainty) way. The goals and values of a model’s user can not be hierarchically ordered, and may also change in the future (normative uncertainty). User’s interpretations of the model may be diverse, and can never be strictly defined by the intentions of the model’s author (indeterminancy of translation, or uncertainty whether success of co-reference is achieved).

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 417-417
Author(s):  
Hyo Jung Lee ◽  
Jacobbina Jin Wen Ng

Abstract This study aims to investigate whether attitude and perception on late-life death and dying, end-of-life care plans and preferences could be better understood from current values shared between aging parents and their adult children in the multi-cultural city-bound country, Singapore. We are in the process of interviewing 20 aging parent-adult child dyads. Up to date, six semi-structured interviews were completed and transcribed. We performed Content analysis to analyze the transcripts. Preliminary findings showed that both aging parents and adult children rarely discussed this issue, although parents had their own plans or preferences. The major barriers against open conversations about death and dying of aging parents include: the perception of not-yet time to talk about this issue (without knowing when the right time is) and tendency to have conversations about death in tandem with finances, but not death itself. Although specific end-of-life care plans or arrangements were not thought out thoroughly, aging parents expressed a high level of trust and reliance on close family members’ decisions regarding their end-of-life care. They tended to agree on joint decision-making process within family, even though adult children had no or unmatched ideas about their aging parents’ end-of-life wishes. This did not necessarily align with previous findings in Western countries, underscoring individuals’ control over their own death and dying process. Open conversation within family, family-involved advance care planning, or joint decision-making processes may be warranted to promote quality of life and death in older Singaporeans and well-being of their family members of all ages.


2019 ◽  
Vol 37 (2) ◽  
pp. 357-376
Author(s):  
Carol R. Underwood ◽  
Lauren I. Dayton ◽  
Zoé Mistrale Hendrickson

Couple communication and joint decision-making are widely recommended in the family planning and reproductive health literature as vital aspects of fertility management. Yet, most studies continue to rely on women’s reports to measure couple concordance. Moreover, the association between communication and decision-making is often assumed and very rarely studied. Arguably, associations between dyadic communication and shared decision-making constitute a missing link in our understanding of how communication affects fertility-related practices. Informed by Carey’s notions of transmission and ritual communication, this study sought to address those gaps with two complementary studies in Nepal: a qualitative study of married men and women and a quantitative study of 737 couples. To assess spousal concordance on matters of family planning-related communication and decision-making in the quantitative study, responses from the couple were compared for each question of interest and matched responses were classified as concordant. Quantitative results found that more than one-third of couples reported spousal communication on all measured family planning-related topics. Nearly, 87% of couples reported joint decision-making on both family planning use and method type. Partner communication was significantly and positively associated with concordant family planning decision-making in both bivariate and multivariate models. Couples communicating about three family planning topics had more than twice the odds of concordant family planning decision-making than did those not reporting such communication. The qualitative findings provided insights into discordant as well as concordant interactions, revealing that decision-making, even when concordant, is not necessarily linear and is often complex.


Author(s):  
Girma Gezimu Gebre ◽  
Hiroshi Isoda ◽  
Yuichiro Amekawa ◽  
Dil Bahadur Rahut ◽  
Hisako Nomura ◽  
...  

AbstractUsing primary data collected from 560 farm households in Dawuro zone, southern Ethiopia, this study analyzes the gender gaps in food security among male, female, and joint decision-making farm households. It examines the factors inducing gender gaps among the households of those three categories. The results show that female decision-making households have a lower probability of ensuring food-security and a higher probability of being transitionally and chronically food-insecure. Joint decision-making households showed a higher probability of falling into the chronically food-insecure category. The decomposition results show significant gender gaps between male and female decision-making households in terms of food-secure, transitory food-insecure, and chronically food-insecure categories. Overall, both the endowment and return effects account for the gaps; however, the magnitude of the effect from the return is higher than from the endowment on significant gaps in the food-secure, transitory, and chronically food-insecure categories. Hence, there is a need for policies that not only ensure equal levels of productive resources but also help households build their capacity in order to improve both transitory and chronically food insecure situations.


2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Jianfei Ye ◽  
Huimin Ma

In order to solve the joint optimization of production scheduling and maintenance planning problem in the flexible job-shop, a multiobjective joint optimization model considering the maximum completion time and maintenance costs per unit time is established based on the concept of flexible job-shop and preventive maintenance. A weighted sum method is adopted to eliminate the index dimension. In addition, a double-coded genetic algorithm is designed according to the problem characteristics. The best result under the circumstances of joint decision-making is obtained through multiple simulation experiments, which proves the validity of the algorithm. We can prove the superiority of joint optimization model by comparing the result of joint decision-making project with the result of independent decision-making project under fixed preventive maintenance period. This study will enrich and expand the theoretical framework and analytical methods of this problem; it provides a scientific decision analysis method for enterprise to make production plan and maintenance plan.


2017 ◽  
Vol 37 (12) ◽  
pp. 1702-1721 ◽  
Author(s):  
Yuanqiong He ◽  
Hongyi Sun ◽  
Wenbin Ni ◽  
Stephen C.H. Ng

Purpose The importance of supplier integration (SI) in improving firms’ performance has been previously identified but the effects of SI are complicated, as the relationship between supplier and buyer is full of uncertainty. The purpose of this paper is to re-examine the effects of SI on operations performance from a relational view. Design/methodology/approach Two strategies of integrating suppliers are theoretically presented: information sharing and joint decision making. Hypotheses are then developed on when SI influences operations performance, using product complexity and competitive intensity as moderating factors. The hypotheses are tested using a global survey data set, made up of 763 manufacturing firms from 22 countries. Findings The results indicate a positive relationship between SI and operations performance and that the moderating roles of product complexity and competition intensity are significant, but product complexity does not have significant moderation effects on the relationships between joint decision making and product quality/cost reduction. Research limitations/implications The moderators of product complexity and competitive intensity are not comprehensive. Future study into how and under what circumstances SI has the greatest effect will be of benefit. Originality/value This study makes theoretical contributions by exploring the strategies of SI through a relational view, and examining the effects of SI through the moderating roles of product complexity and competition intensity.


2018 ◽  
Vol 30 (2) ◽  
pp. 519-536 ◽  
Author(s):  
Wayne Shand

To make co-production work as a strategy for urban development, and to establish a basis for collaborative action, states and organized communities must find a way to manage their unequal power relationship. Effective partnerships, constructed through projects of co-production, require participants to move beyond institutionally defined roles of service provider and service consumer to forge new terms for collaboration and spaces for joint decision-making. The processes of making space for co-production can be centrally important to establishing the legitimacy of development activity that includes the urban poor as stakeholders. Drawing from research undertaken in Harare, Zimbabwe, this paper examines how a memorandum of understanding was used to frame dialogue between community and state actors and facilitate co-production of housing and infrastructure in a low-income settlement.


2020 ◽  
Author(s):  
Bikila Lencha Gemechu ◽  
Kassahun Ketema ◽  
Girma Beresa ◽  
Bonso Ami ◽  
Aman Urgessa

Abstract Background: In sub-Saharan Africa (SSA), pregnancy and childbirth continue to be viewed as solely a woman’s issues. Increasing partner participation and encouraging joint decision making in maternal health care may provide an important strategy in reducing maternal mortality and morbidity.Objective: To assess the level of male partner involvement in Birth Preparedness and Complication Readiness (BPCR) and its association with women’s use of institutional delivery among mothers who had a child less than 12 months in West Arsi Zone, South Ethiopia Methods: Institutional based cross-sectional study was conducted in West Arsi Zone South Ethiopia in 2019. Systematic random sampling technique was used to select the study subjects. Data was collected using interviewer administered structured questionnaire. Binary and multivariable logistic regression was applied for the analysis of each of the independent variables against the dependent variable. The association between male involvement in BPCR and women’s use of institutional delivery was done. The results were reported using crude and adjusted odds ratio (OR) with their 95% confidence interval. Results: More than half of male partners, 407 (54.3%) accompanied their wife during ANC follow up at least ones for the last pregnancy. Slightly more than three fourth, 571 (76.1%) of male partners involved in BPCR for the last pregnancy. Fife hundred fifty-four (73.9%) of the mothers gave birth in the health institution for the most recent child. Male involvement in BPCR (aOR = 18.7, 95% CI (11.1 – 31.6), joint decision making about place of delivery (aOR = 3.2, 95% CI: 1.76 – 5.7), urban residence (aOR = 2.2, 95% CI: 1.32 – 3.7) and having two or less under-five children (aOR, 95% CI: 2.7 (1.4 – 5.3) were associated with women’s use of institutional delivery. Conclusion: More than three fourth of male partners involved BPCR. Male involvement in BPCR, joint decision making about place of delivery, urban residence and having ≤ 2 under-five children were associated with women’s use of institutional delivery. Designing and implementing health education on the role of male partner in maternal health care is mandatory. Empowering rural mothers to use health institutions for delivery and birth spacing may improve the magnitude of institutional delivery.


2020 ◽  
pp. 199-211
Author(s):  
Guy Jobin

Abstract The introduction of electronic health records (EHRs) into clinical practice appears to be irreversible. Where EHRs are used, chaplains have cooperated willingly with this way of reporting and sharing information with other members of the care team. They will have to, as a result, adapt their own note-taking practices to ensure effective, relevant and meaningful communication as part of the joint decision-making process. Although the specialized literature has addressed some of the “classic” ethical issues raised by EHRs, in particular those in connection with confidentiality and access, other questions, no less crucial, have received less attention and are addressed here. They include questions about the recognition of all players in the care relationship (both patients and caregivers) as subjects, and the communication of “non-generic” information about emotions, values, life history, etc. The fact that chaplains contribute to EHRs is both a sign of and a vector for recognition of their work within healthcare institutions – yet a recognition that could involve a price to pay for chaplains and patients.


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