Antimicrobial resistance (AMR) is a global public health disaster driven largely by antibiotic use in human health care. Doctors considering whether to prescribe antibiotics face an ethical conflict between upholding individual patient health and advancing public health aims. Existing literature mainly examines whether patients awaiting consultations desire or expect to receive antibiotic prescriptions, but does not report views of the wider public regarding conditions under which doctors should prescribe antibiotics. It also does not explore the ethical significance of public views (...) or their sensitivity to awareness of AMR risks or the standpoint (self-interested or impartial) taken by participants. Methods: An online survey was conducted with a sample of the U.S. public (n = 158). Participants were asked to indicate what relative priority should be given to individual patients and society-at-large from various standpoints and in various contexts, including antibiotic prescription. Results: Of the participants, 50.3% thought that doctors should generally prioritize individual patients over society, whereas 32.0% prioritized society over individual patients. When asked in the context of AMR, 39.2% prioritized individuals whereas 45.5% prioritized society. Participants were significantly less willing to prioritize society over individuals when they themselves were the patient, both in general (p = .001) and in relation to AMR specifically (p = .006). Conclusions: Participants’ attitudes were more oriented to society and sensitive to collective responsibility when informed about the social costs of antibiotic use and when considered from a third-person rather than first-person perspective. That is, as participants came closer to taking the perspective of an informed and impartial “ideal observer,” their support for prioritizing society increased. Our findings suggest that, insofar as antibiotic policies and practices should be informed by attitudes that are impartial and well-informed, there is significant support for prioritizing society. (shrink)

Dr Miranda Anderson is an Honorary Fellow in History, Classics and Archaeology at the University of Edinburgh and an Associate Lecturer at the Open University. She has held several prestigious fellowships and was principal investigator of an AHRC-funded project, titled ‘The Art of Distributed Cognition’, which involved collaboration with the Talbot Rice Gallery. Her work has investigated the relations between cognition and culture, particularly literary works, challenging the boundaries between disciplines and engaging with numerous contemporary science, technology and society (STS) (...) questions. In this perspective article, she evokes the ‘fission-fusion’ concept on which she has been working for some years now – a concept that contributes to debates surrounding the issue of identity by drawing on the arts, humanities, social sciences, and natural sciences. (shrink)

Seguramente lo más interesante de la suspensión de la cuenta de Twitter del ya expresidente Trump después del asalto al Capitolio no sea el debate tan manido sobre los límites de la libertad de expresión, sino el hecho mucho más significativo de que hoy es Twitter quien decide sobre el estado de excepción. Para desentrañar esta particular relación entre técnica y estado de excepción tan característica de nuestro predicamento contemporáneo, hay que leer a Giorgio Agamben. En este sentido, el libro (...) de Juan Evaristo Valls Boix, Política sin obra, ofrece una introducción tan divulgativa como profunda al trabajo del filósofo político italiano. Este ejemplar se enmarca dentro de la colección Pensamiento político posfundacional de la Editorial Gedisa, que lleva desempeñando, en los últimos años, una labor pedagógica admirable a la hora de dar a conocer al público, en lengua castellana y catalana, los principales filósofos y filósofas de lo político que han problematizado cualquier tipo de fundacionalismo –Lyotard, Foucault, Arendt, Derrida, Lefort, Laclau, Mouffe, Badiou, Rancière, Butler, Nancy, Abensour y Anzaldúa, entre otros y otras–. Cuando llega el turno de introducir a Agamben, la directora de la colección, Laura Llevadot, ya avisa que se trata de una auténtica “introducción a la vida no fascista”, haciendo un guiño al prólogo de Foucault sobre el Anti-Edipo de Deleuze y Guattari. (shrink)