Precedential Ad Hominem in Polemical Exchange: Examples from the Israeli Political Debate

This article explores the modalities by which referring to past discursive performance of adversaries within a continuous polemical exchange is used in ad hominem attacks. Our starting point holds that in the context of lengthy debates, participants and third-party listeners share a rhetorical memory, which, dynamic and subjective as it may be, allows for the evaluation of participants’ characters based on their perceived discursive performances. By analysing opinion articles related to the Israeli political debate, this study shows how drawing inference from adversaries’ prior statements and conduct is used to compromise their credibility as participants in the polemical exchange. It is found that, alongside supporting arguments from inconsistent commitment, previous discursive performance is mobilized to discredit speakers’ epistemic authority (by demonstrating how the adversary’s prior statements were false) and their moral legitimacy (by demonstrating that the adversary failed to act as a fair interlocutor).     

Constructions of Participatory Democracy Institutions and Same-Sex Union Rights in Online Public Deliberation in Greece

This article aims to explore the argumentative lines employed in an online public deliberation concerned with legislation on same-sex civil union in Greece. Drawing on rhetorical and discursive developments in political social psychology and sexual citizenship debates, the article focuses on arguments regarding the relevance and the implications of public deliberation on the construction of LGBTQI+ claims and rights. The analytic corpus consisted of 1,000 comments, analyzed with the concepts and tools of Rhetorical and Critical Discursive Social Psychology. A recurring line of arguing against the legislation questioned the democratic quality of public deliberation, representing it as a means used to legitimize predetermined decisions. Moreover, overtly discriminatory arguments were predicated on the values of participatory democracy. Accounts in favor of the legislation, though, challenged public deliberation on the grounds that it allows room for the dispute of universal human rights. The potential contribution of these findings to the understanding of the dilemmas of participatory democracy, the reproduction of heteronormativity, and the assimilation of LGBTQI+ claims is discussed.     

Slim Futures and the Fat Pill: Civic Imaginations of Innovation and Governance in an Engagement Setting

Innovation politics is seen as an ever more central area of public policy, and as a key means for shaping societal futures. Particularly in Europe, with its history of controversial public debates about innovations, the idea that scientific progress is automatically equated with societal progress seems hard to sustain. Broader public participation within techno-scientific governance seems necessary; though who is to participate in which form often remains unclear. Increasingly, when the innovation process is discussed in both policy and academia, the question of when public engagement should take place in the innovation process is addressed using common models such as ‘upstream engagement’. However, these discussions about public engagement often assume a top-down approach, and pay little attention to citizens' perspectives. To address this gap in the literature, this article will ask the following questions: what tacit understandings of techno-scientific innovation and governance do citizens have; and how do they relate their understandings of the form, structure and dynamics of these innovation processes to their visions of governance and participation? How do specific cultural forms of conceptualising innovation open up or close down particular possibilities of governance and public participation, hence privileging the involvement of certain actors and not others? To address these questions, we analyse the discussions in a long-term public engagement setting involving both genome scientists and citizens in Austria.     

Personal Identity, Autonomy and Advance Statements

abstract    Recent legal rulings concerning the status of advance statements have raised interest in the topic but failed to provide any definitive general guidelines for their enforcement. I examine arguments used to justify the moral authority of such statements. The fundamental ethical issue I am concerned with is how accounts of personal identity underpin our account of moral authority through the connection between personal identity and autonomy. I focus on how recent Animalist accounts of personal identity initially appear to provide a sound basis for extending the moral autonomy of an individual — and hence their autonomous wishes expressed through an advance statement — past the point of severe psychological decline. I argue that neither the traditional psychological account nor the more recent Animalist account of personal identity manage to provide a sufficient basis for extending our moral autonomy past the point of incapacity or incompetence. I briefly explore how analogies to similar areas in law designed to facilitate autonomous decision, such as wills and trusts, provide at best only very limited scope for an alternative justification for granting advance statements any legal or moral authority. I conclude that whilst advance statements play a useful role in formulating what treatment is in a patient's best interests, such statements do not ultimately have sufficient moral force to take precedence over paternalistic best interests judgements concerning an individual's care or treatment.     

Transcendence Matters: Do the Ways Family Members Experience God Meaningfully Relate to Family Life?

As more Americans continue to move away from an institutional approach to religion and spirituality to a more personal approach, it is important to explore the ways that personal perspectives about God influence various aspects of life including family life. This study explored how participants viewed and experienced God as an authority figure (Directive Transcendence), as a close confidant (Intimate Transcendence), or as both (Authoritative Transcendence). In-depth interviews with 198 religious families from across America were analyzed using a team-based qualitative approach. These analyses revealed that participants experienced God as both an authority figure and as a close confidant. Both types of experiences are associated with family relationships in different ways. Concepts relating to ideas of authority, parenting styles, and attachment theory are used to help understand familial impacts from how one experiences God.     

Moral Realism as a Moral Doctrine

This paper argues for the legalization of vote markets. I contend that the state should not prohibit the sale of votes under certain institutional conditions. Jason Brennan has recently argued for the moral permissibility of vote selling; yet, thus far, no philosopher has argued for the legal permissibility of vote selling. I begin by giving four prima facie reasons in favour of legalizing vote markets. First, vote markets benefit both buyers and sellers. Second, citizens already enjoy significant discretion in their use of their vote, including the ability to use their vote in ways antithetical to justice and the public interest. Third, vote markets are relevantly similar to other democratic practices that are legally permissible. Fourth, vote markets enable elections to better reflect the intensity of citizens’ preferences. Next, I reply to two counter-arguments. The first contends that vote markets will increase the political power of the wealthy; the second contends that votes must be used in the service of the public interest rather than private interests or influenced by participation in collective political deliberation. I argue that vote markets will not increase political inequalities relative to democracies without vote markets. There is little reason to expect electoral regulations to be less effective in satisfying egalitarian criteria in democracies with vote markets than in democracies without vote markets. Moreover, the claim that votes must be influenced by participation in collective deliberation or serve the common good implies counter-intuitive restrictions on political liberties beyond a ban on vote buying and selling, including an abridgement of equal suffrage.     

Deliberating Risks Under Uncertainty: Experience, Trust, and Attitudes in a Swiss Nanotechnology Stakeholder Discussion Group

Scientific knowledge has not stabilized in the current, early, phase of research and development of nanotechnologies creating a challenge to ‘upstream’ public engagement. Nevertheless, the idea that the public should be involved in deliberative discussions and assessments of emerging technologies at this early stage is widely shared among governmental and nongovernmental stakeholders. Many forums for public debate including focus groups, and citizen juries, have thus been organized to explore public opinions on nanotechnologies in a variety of countries over the past few years. In Switzerland the Centre for Technology Assessment (TA-Swiss) organized such a citizen panel in fall 2006. Drawing from an ethnographic study of this panel called ‘publifocus on nanotechnologies, health, and environment’ this paper looks at the ways members of a stakeholder group deal with the epistemic uncertainty in their deliberation of nanotechnologies. By exploring the statements of the participants in the stakeholder discussion group, this paper reconstructs the narratives that constitute the epistemic foundations of the participants’ evaluations of nanotechnologies.

Power and Public Participation in a Hazardous Waste Dispute: A Community Case Study

Qualitative case study findings are presented. We examined whether public participation in a hazardous waste dispute manifested in ways consistent with theories of social power; particularly whether participatory processes or participants' experiences of them were consistent with the three-dimensional view of power (Gaventa, Power and powerlessness: quiescence and rebellion in an appalacian valley, 1980; Lukes, Power: A radical view, 1974; Parenti, Power and the powerless, 1978). Findings from four data sources collected over 3 years revealed that participatory processes manifested in ways consistent with theories of power, and participants' experiences reflected this. Results illustrated how participation was limited and how citizen influence could be manipulated via control of resources, barriers to participation, agenda setting, and shaping conceptions about what participation was possible. Implications for community research and policy related to participation in hazardous waste disputes are discussed.     

Adult reflection in a graduate-level online distance education course

This study examined adult learners’ ability to engage in critical reflection concerning their own learning in a graduate-level online instructional technology course. The online course was facilitated through asynchronous discussions, and the course topic was about the design and delivery of distance education. The data for this study consisted of four critical reflection papers about students’ perception of their learning. The Periodic Reflection Tool, based on activity systems analysis, was introduced to participants as a guide for engaging in in-depth reflection about their learning process and completing their course assignment. After course completion and during data analysis, we applied instrumental learning and communicative learning theories to evaluate how participants used the tool to reflect on their personal learning in the course. At the conclusion of an analysis of their reflection statements, it was found that purposeful reflections guided by the Periodic Reflection Tool could help guide adult learners to reflect on many aspects of their learning and we suggest that the tool could be used to examine adults’ transition from traditional to online settings.     

An Evidence-Based,Community-Engaged Approach to Develop an Interactive Deliberation Tool for Pediatric Neuromuscular Trials

Duchenne/Becker muscular dystrophy (DBMD) and spinal muscular atrophy (SMA) are rare neuromuscular disorders that present challenges to therapeutic and clinical trial decision making. We developed an interactive, evidence-based online tool designed to encourage thoughtful deliberation of the pros and cons of trial participation and to inform meaningful discussions with healthcare providers. Prior research demonstrates the importance of tool availability at the time each family is considering trial participation, which may be prior to the informed consent process. The tool is intended to be easily modified to other pediatric disease communities. Tool development was informed by prior qualitative research, literature reviews, and stakeholder input. Specific items were derived based on an online exploratory questionnaire of parents whose children participated in a trial for DBMD or SMA to understand motivations for participation. Parent participants in the exploratory survey reported strong impact of altruistic and individual benefit motivations and placed much greater emphasis on anticipated trial benefits than on harms when making participation decisions. We used this data to develop the evidence-based deliberation tool using a community-engaged approach. We initially targeted the tool for DBMD while using SMA survey data to evaluate ease of transition to that population. We conducted two iterative sets of activities to inform development and refinement of the tool: (1) community engagement of key stakeholders and (2) user experience testing. These activities suggest that the tool may increase deliberation and the weighing of benefits and harms. Ongoing evaluation will determine the acceptability and efficacy of this online intervention.     

Afterword: Elaborating Health and Medicine’s Publics

This essay argues that medical and health humanists interested in the rhetorical work of publics can extend their research by attending to embodiment and infrastructure. In addition to discussing how such strategies are illustrated in the essays appearing in this special issue, I relate them to the rhetorical study of personal health records (PHRs) as described in consumer-directed arguments. I conclude by posing two questions to health and medical humanists: “How do discursive constructions of publics and more specific instantiations of embodied experiences mutually shape each other?” and “What do the infrastructures of health and medical users look like and involve in their enactment?”     

Conflict of interest policies in science and medical journals: Editorial practices and author disclosures

This study examines the extent to which scientific and biomedical journals have adopted conflict of interest (COI) policies for authors, and whether the adoption and content of such policies leads to the publishing of authors’ financial interest disclosure statements by such journals. In particular, it reports the results of a survey of journal editors about their practices regarding COI disclosures. About 16 percent of 1396 highly ranked scientific and biomedical journals had COI policies in effect during 1997. Less than 1 percent of the articles published during that year in the journals with COI policies contained any disclosures of author personal financial interests while nearly 66 percent of the journals had zero disclosures of author personal financial interests. Nearly three fourths of journal editors surveyed usually publish author disclosure statements suggesting that low rates of personal financial disclosures are either a result of low rates of author financial interest in the subject matter of their publications or poor compliance by authors to the journals’ COI policies.     

Collective Rights and Personal Freedoms: A Discursive Analysis of Participant Accounts of Authoritarianism

This article presents a discursive analysis of participant accounts of authoritarianism, with the aim of understanding how participants construct accounts about authority, when, and for what purposes. Participants completed a 30‐item Right‐Wing Authoritarianism scale and were then interviewed about how they went about this task. Analyses revealed that, despite an overall consistency when answering items on an authoritarianism scale, participants in this study did not consistently choose to produce authoritarian responses in contrast to the nonauthoritarian alternative. Instead, the construction and expression of authoritarian ideas was found to be directly related to two rhetorical features of conversing about authoritarianism: (1) the ideological dilemma of society versus individual and (2) the mobilization of arguments about social and personal threat that allowed participants to construct accounts about collective rights or personal freedoms. These findings are discussed in terms of their implications for current debates about how authoritarianism should be theorized and studied.     

Encountering Dissimilar Views in Deliberation: Political Knowledge,Attitude Strength,and Opinion Change

Conversing with diverse points of view stands as the central tenet of deliberative democracy, yet empirical evidence has suggested mixed outcomes related to perspective change as a result of deliberative encounters. I propose a difference‐driven model that suggests individual predispositions moderate the processing of dissimilar views when changing policy preferences. My analysis is based on a random sample of over 400 voters at a California‐wide deliberative event, where participants discussed proposals for reforming the state politics. I find that encountering more and different arguments transforms policy attitudes. Yet it is more difficult for people to change their minds on issues about which they hold strong beliefs. Some evidence suggests that different psychologies are at play for people who enter deliberation with substantial or weak political knowledge and for those who deliberate while holding strong or moderate prior opinions. Well‐grounded strong opinions are resistant to change, while well‐grounded moderate opinions are persuadable in deliberative groups. Uninformed positions can become entrenched in like‐minded groups, yet they can be adjusted once participants deliberate with dissimilar views, especially opinions that are held strongly without good informational ground. The findings urge deliberative forums that introduce participants to diverse perspectives to foster a considered public opinion.     

Beyond Racial Visibility and Invisible: Reply to Hartman and Sheehi

In responding to the rich discussions from Stephen Hartman and Lara Sheehi (this issue), the author builds on the ways each discussant explores how invisibility and visibility shape phantomatic obstacles to reckoning with race in psychoanalytic theory and practice. A struggle with the nexus of racial and other discursive hierarchies of interpellation can serve to liberate clinical movement, otherwise infected by incarcerating categories. This effort is demonstrated to challenge both patient and analyst to find ways to trans-form racial stereotypes of rescuer and victim. Escape from such discursive traps as understanding, empathy, containment and/or recognition challenges the analyst, as Hartman reminds, to embrace vulnerability as a guiding muse and nonrecognition as a source of learning. Such efforts are offered to facilitate a trans-formation process for both clinical participants as intersubjects, complexly constituted by conscious and unconscious ideological (Sheehi, this issue) histories and affiliations.     

Couples’ Experiences of Hope When Participating in the Reflecting Team Process: A Case Study

Hope is believed to be influential to therapeutic change. However, no studies have explored couples’ experiences of hope during participation in a reflecting team process. This exploratory case study attends to this gap in the research literature. Three couples reported on their experiences of hope in relation to participating in the reflecting team process as part of their couple therapy. Themes related to hope were identified during three separate stages of the intervention: anticipating, participating in, and debriefing the reflecting team process. Reflecting team experiences related to hope included: seeking new perspectives, maintaining a positive momentum, identifying strengths, normalizing difficulties, presenting inspiring possibilities, providing support, highlighting growth, and strengthening resolve. These findings serve as a foundation for attending to clients’ hope as an active force during the reflecting team process.     

Eating disorders in the course of life: A qualitative approach to vital change

Eating disorders (EDs) have become one of the biggest mental-health problems in the last decades, especially among youth and women. The present study aims to analyse the suitability of Prochaska and DiClemente’s Transtheoretical Model of Change when applied to the living experiences of people diagnosed with ED and their carers. For this purpose, we applied a narrative biographic approach to the ways in which people face their problems and vital development in the ED domain. Through the narrative analysis of these autobiographies, we aimed to study the patients’ own notions of ‘change’, ‘problem’ and ‘vital trajectory’. We focused on five autobiographic interviews of persons diagnosed as ED (four women and a man). The analysis yields three discourses which organize and give sense to our participants’ vital transitions: a discourse of functional adaptation to events and experiences; one that pays attention to random events and people entering your life; and one that has the personal initiative and agency of an individual agent at its core. It also illuminates particular ways of understanding determination, contemplation and pre-contemplation. These ways of understanding change are shown to extend the possible ways of thinking about people’s lives and ED patients’ perspectives.     

Control deprivation and styles of thinking

Westerners habitually think in analytical ways, whereas East Asians tend to favor holistic styles of thinking. We replicated this difference but showed that it disappeared after control deprivation (Experiment 1). Brief experiences of control deprivation, which stimulate increased desire for control, caused Chinese participants to shift toward Western-style analytical thinking in multiple ways (Experiments 2-5). Western Caucasian participants also increased their use of analytical thinking after control deprivation (Experiment 6). Manipulations that required Chinese participants to think in Western, analytical ways caused their sense of personal control to increase (Experiments 7-9). Prolonged experiences of control deprivation, which past work suggested foster an attitude more akin to learned helplessness than striving for control, had the opposite effect of causing Chinese participants to shift back toward a strongly holistic style of thinking (Experiments 10-12). Taken together, the results support the reality of cultural differences in cognition but also the cross-cultural similarity of using analytical thinking when seeking to enhance personal control.