Building trust between academic medical centers and certain communities they depend on in the research process is hard, particularly when those communities consist of minoritized or historically marginalized populations. Some believe that engagement activities like the creation of advisory boards, town halls, or a research workforce that looks more like community members will establish or reestablish trust between academic medical centers and racialized communities. However, without systematic approaches to dismantle racism, those well‐intended actions become public performativity, and trust building will (...) fail. In this essay, we draw upon foundational ethical principles of trust, distrust, and trust building; apply the concept of bounded justice to performative trust acts; and center the works of Black and Indigenous feminist bioethicists to revisit some of the wisdom and valuable lessons they have contributed. Rebuilding trust is hard to do because people and institutions are often not honest about how hard it is and there is no simple box‐checking task that can disentangle our society's injustices, but there are steps to take in this direction. Individuals and institutions can recognize valuable relevant work that has already been written, partake in critical reflection, and then apply insights gained to take both small and sustainable steps toward transformational change and deeper trust. (shrink)

This volume has its roots in two recent developments within mainstream analytic epistemology: a growing recognition over the past two or three decades of the active and social nature of our epistemic lives; and, more recently still, the increasing appreciation of the various ways in which the epistemic practices of individuals and societies can, and often do, go wrong. The theoretical analysis of these breakdowns in epistemic practice, along with the various harms and wrongs that follow as a consequence, constitutes (...) an approach to epistemology that we refer to as non-ideal epistemology. In this introductory chapter we introduce and contextualise the ten essays that comprise this volume, situating them within four broad sub-fields: vice epistemology, epistemic injustice, inter-personal epistemic practices, and applied epistemology. We also provide a brief overview of several other important growth areas in non-ideal epistemology. (shrink)

Much bioethical literature and policy guidances for big data analytics in biomedical research emphasize the importance of trust. It is essential that potential participants trust so they will allow their data to be used to further research. However, comparatively, little guidance is offered as to what trustworthy oversight mechanisms are, or how policy should support them, as data are collected, shared, and used. Generally, “trust” is not characterized well enough, or meaningfully enough, for the term to be systematically applied in (...) policy development. Yet points made in the philosophical literature on trust can help. They allow us, not only to better distinguish the different ways the term “trust” may be interpreted, but also to better determine how different approaches to trust can align with policy and governance—in what ways they may relate to key bioethical concepts and related laws, and in what ways they can help to balance individual and group interests in data sharing. This article draws from the philosophical literature on trust to identify a relationship among consent, trust, and justice. Specifically, parallels are drawn between “character-trustworthiness” and “natural justice,” a set of widely held legal safeguards intended to ensure decision-makers follow a pattern of procedural fairness which protects the rights of the individual and thereby maintains public confidence in the decision-making process. Relevance to traditional bioethical principles, established laws, and consent procedures are addressed throughout. In conclusion, policy actions are suggested. (shrink)

My aim in this paper is to consider whether, by thinking of our ethical relation to one another in terms of vulnerability, we can better resolve the problem of overdemandingness – namely, that cert...

Cognitivism about trust says that it requires belief that the trusted is trustworthy; non-cognitivism denies this. At stake is how to make sense of the strong but competing intuitions that trust is an attitude that is evaluable both morally and rationally. In proposing that one's respect for another's agency may ground one's trusting beliefs, second-personal accounts provide a way to endorse both intuitions. They focus attention on the way that, in normal situations, it is the person whom I trust. My (...) task is to develop an account of the latter insight without the controversial theoretical commitments of the former. I propose a functional account for why the second and third-personal ‘systems’ operate not just in parallel, but in tandem, in support of a cognitivist account of trust. (shrink)

Background Trust is an essential phenomenon of relationship between patients and healthcare professionals and can be described as an accepted vulnerability to the power of another person over something that one cares about in virtue of goodwill toward the trustor. This characterization of interpersonal trust appears to be adequate for patients suffering from chronic illness. Trust is especially important in the context of chronic cardiovascular diseases as one of the main global health problems. Research Aim The purpose of the qualitative (...) study was to gain a deeper understanding of how people with chronic cardiovascular disease experience and make sense of trust in healthcare professionals. Research Design Eleven semi-structured interviews with participants analysed using interpretative phenomenological analysis to explore in detail their lived experience of trust as a relational phenomenon. Participants and Research Context Participants with chronic cardiovascular disease were purposively recruited from inpatients on the cardiology ward of the university hospital located in central Slovakia. Ethical Considerations The study was approved by the faculty ethics committee. Participants gave their written informed consent. Findings Four Interrelated Group Experiential Themes Sense of co-existence; Belief in competence; Will to help; Ontological security with eight subthemes were identified. The findings describe the participants' experience with trust in healthcare professionals as a phenomenon of close co-existence, which is rooted in the participants’ vulnerability and dependence on the goodwill and competence of health professionals to help with the consequence of (re)establishing a sense of ontological security in the situation of chronic illness. Conclusion Findings will contribute to an in-depth understanding of trust as an existential dimension of human co-existence and an ethical requirement of healthcare practice, inspire patient empowerment interventions, support adherence to treatment, and person-centred care. (shrink)

We offer a formal treatment of the semantics of both complete and incomplete mistrustful or distrustful information transmissions. The semantics of such relations is analysed in view of rules that define the behaviour of a receiving agent. We justify this approach in view of human agent communications and secure system design. We further specify some properties of such relations.

While there has been considerable interest in the nature of faith and trust in recent philosophical literature, relatively little has been said about what it is for faith or trust to be psychologically stronger or weaker. Drawing on recent accounts of propositional faith by Daniel Howard-Snyder and Lara Buchak, I argue that the strength of one’s faith can vary in two distinct dimensions. The first primarily involves the extent to which one’s confidence motivates one to take risks. The second involves (...) the resilience of the first dimension of strength to possible counterevidence. (shrink)

This paper explores the epistemology and moral psychology of “therapeutic trust,” in which one trusts with the aim of inspiring greater trust-responsiveness in the trusted. Theorists have appealed to alleged cases of rational therapeutic trust to show that trust can be adopted for broadly moral or practical reasons and to motivate accounts of trust that do not involve belief or confidence in someone’s trustworthiness. Some conclude from the cases that trust consists in having normative expectations and adopting vulnerabilities with respect (...) to the trusted; others that trust involves accepting that someone will prove trustworthy. Although there are, I argue, some genuine cases of rational therapeutic trust, some prominent examples confuse trusting with entrusting and are actually counterexamples to the adopted vulnerabilities and acceptance accounts they have been taken to support. An alternative account, which construes trust in terms of being confident enough to take salient risks on someone’s trustworthiness, makes better sense of therapeutic trust. (shrink)

Epistemologists have recently started appealing to the moral philosophy literature on interpersonal trust in order to help explain the epistemology of testimony. We argue that epistemologists who have given trust a significant role in their accounts of the epistemology of testimony have appealed to very different conceptions of the nature of trust, which have inevitably influenced the shape of their epistemological theorizing. Some have employed accounts of the nature of interpersonal trust according to which trust is a practical phenomenon subject (...) to the will and to practical reasoning. Such accounts face the task of showing how the practical phenomenon that is interpersonal trust has epistemic implications for testimonial belief. Other theorists have employed accounts of the nature of interpersonal trust according to which trust is at least partly a cognitive phenomenon, itself subject to epistemic norms. Such accounts do not face the task of showing how practical rationality has implications for theoretical reason. Instead, they face the rather different tasks of showing how it is that cognitive trusting bears genuinely interpersonal features, and of how theoretical rationality can share features with practical rationality. (shrink)

How does trust relate to faith? We do not know of a theory-neutral way to answer our question. So, we begin with what we regard as a plausible theory of faith according to which, in slogan form, faith is resilient reliance. Next, we turn to contemporary theories of trust. They are not of one voice. Still, we can use them to indicate ways in which trust and faith might both differ from and resemble each other. This is what we do. (...) Along the way, we evaluate substantive issues related to these possible differences and similarities. (shrink)

When young children confront a vast array of adults' testimonial claims, they should decide which testimony to endorse. If they are unable to immediately verify the content of testimonial assertions, children adopt or reject their informants' statements on the basis of forming trust in the sources of testimony. This kind of trust needs to be based on some underlying reasons. The rational choice theory, which currently dominates the social, cognitive, and psychological sciences, posits that trust should be formed on a (...) rational basis, as a result of probabilistic assessments and utility‐maximizing calculations. In this paper, the predictions stemming from the rational choice approach to trust are systematically compared with the empirical evidence from the field of developmental psychology on how children establish their trust in testimonial statements. The results of this comparison demonstrate an obvious inadequacy of the rational choice explanation of the emergence and development of children's testimonial trust, regardless of which form of trust rationality—weighting, threshold, or ordering—is examined. As none of the three forms of rationality of children's trust in testimony squares with the empirical data, this paper introduces a new version of trust rationality, adaptively rational trust. It explores the compatibility of the concept of adaptively rational trust with the recent empirical findings in the area of developmental psychology and addresses some avenues for future research on the rationality of testimonial trust. (shrink)

In this paper I offer a systematic account of actions of trust and inquire into their cognitive motivation. I first develop the distinction and relationship between attitudes and actions of trust, and then assess Paul Faulkner's thesis that the Humean model cannot explain the cognitive motivation of some actions of trust under circumstances of uncertainty. While I will accept his diagnosis, I will contend that a weaker version of the Humean model could provide this explanation. My proposal will be an (...) attempt to show why some doxastic characteristics of trust would allow for this analysis. In particular, I will show how the nature of the reliance relation, which constitutes actions of trust, requires that trustors believe in the possibility of accomplishing their intentions by means of the trusted party’s collaboration. I will argue that this means-end belief can cognitively motivate trust even in situations where the trustor is uncertain as to whether the trusted party will prove trustworthy. (shrink)

Readers of Stoic ethics may find ‘benefit’ (ōpheleia) an essential but enigmatic concept. It directly connects to some critical terms of Stoic ethics, such as ‘good’ and ‘virtue,’ but there is no extant discussion of a definition. Beyond the superficial connections, what makes ‘benefit’ beneficial? Why is benefit a good thing? I argue that these essential questions remain unanswerable for a good reason: Stobaeus committed to a specious claim about benefit in his Anthology, which has misguided later commentaries. Either the (...) Stoics themselves made a stronger contrast between sages and inferior people at the cost of coherence, or Stobaeus simply mischaracterized the Stoics’ ideas in his descriptions. This paper aims to clarify Stobaeus’s inaccurate description and reconstruct a coherent and comprehensible interpretation of benefit in the Stoic spirit, with the help of Stoic cosmology. To benefit is to further nature’s agreement. Given the available evidence, I argue that Stoics seem to, or should, be committed to my interpretation. This paper is structured as follows. Section 1 offers a quick background of Stoic ethics. Section 2 discusses two important characteristics of benefit. Section 3 discusses Stobaeus’s description of benefit and inferior people. Section 4 attempts an interpretation of benefit. Finally, Section 5 discusses Inwood and Gerson’s interpretation and argues that it is inadequate. (shrink)

Many philosophers hold that moral agency is defined by an agent’s capacity for rational reflection and self-governance. It is only through the exercise of such capacities, these philosophers contend, that one’s actions can be judged to be of distinctively moral value. The moral phenomenology of the Danish philosopher and theologian K. E. Løgstrup, currently enjoying a revival of interest amongst Anglo-American moral philosophers, is an exception to this view. Under the auspices of his signature theory of the ‘sovereign expressions of (...) life,’ Løgstrup provides a rich moral phenomenology aimed at establishing the ethical value of ‘spontaneous,’ non-deliberative actions, such as those exemplified in the showing of trust and acts of mercy. In this thesis, my aim is to investigate what mode of moral agency, if any, is compatible with Løgstrup’s phenomenology of the sovereign expressions of life. I argue that Løgstrup’s moral phenomenology is compatible with a distinctive medio-passive mode of agency. According to this conception of moral agency, the subject’s agency is constituted not through her capacity to stand back and make a judgment on how to act, but rather in the way the subject comports herself in relation to situations and encounters that are experienced first-personally as overwhelming and encompassing. I will proceed by providing detailed analyses of the core aspects of Løgstrup’s moral phenomenology and his theory of the sovereign expressions of life. In the process, I will elucidate the decisive influence that thinkers such as Martin Heidegger, Martin Luther and Søren Kierkegaard had on Løgstrup’s way of thinking about ethics. Thus, in this thesis my aim is to contribute both to Løgstrup scholarship and to central on-going debates in moral philosophy and the philosophy of action. (shrink)