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Researchers and research organizations acknowledge the importance of paying research participants but often overlook the process of providing participant payments as a locus for improving equity and inclusion in clinical research. In this conceptual paper, we argue that participants’ lived experiences and social context should be recognized and respected when developing these processes.
Methods:
We consider how participant payment processes that require specific payment types, delay the timing of payment, or require sharing sensitive information may impose barriers to equitable research. Building on findings from empirical research of participants’ perspectives on respect in research and a relational ethics framework of person-oriented research ethics, we explore how researchers and research organizations can better demonstrate respect through the research participation payment process.
Results:
We propose five considerations for demonstrating respect when providing payment: (1) practice cultural humility, (2) be mindful of socioeconomic factors, (3) be flexible, (4) be transparent, and (5) maintain open communication. These considerations are intended to address the lack of existing ethical guidance around the process for participant payments and promote more inclusive clinical research. We provide a set of sample questions for research teams to consider how they could modify their payment processes to better demonstrate respect.
Conclusions:
By better demonstrating respect for participants when providing payment, researchers can work toward ensuring that their research procedures are more inclusive, respond to the needs of diverse communities, and result in more equitable relationships with participants.
Numerous reports addressing the care of older people have highlighted deficiencies in th provision of nutrition, hydration, and personal hygiene. Healthcare organisations may inadvertently compromise dignity by prioritising measurable targets and not placing due emphasis on the core work of looking after frail older people who are at risk of having their dignity violated.
The concept of dignity draws on ideas of dignity of merit, moral stature, and Menschenwürde (human dignity) – the dignity that each individual has as an essential component of being a human being. It is argued here that older people, as a group, are particularly worthy of the dignity of merit of wisdom, by virtue of their experience and associated understanding.
A suitable environment is important to promoting dignity; the emphasis is not only on basics like nutrition, hydration, and hygiene but on the delivery of person-centred care that encourages understanding of an older person’s life story.
Dying will come to us all (with even greater certainty than old age), and all older people have a right to respect and dignity when dying. Understanding how someone lived their life, and what was important to that person allows us to co-write the final chapter with preservation of autonomy and maintenance of dignity of personal identity.
This is a study on the inclusion of Muslims in liberal democracies in the presence of value conflict. We focus on handshaking controversies that appear to pit gender equality against religious freedom. The possible outcomes seem mutually exclusive: either conservative Muslim minorities must conform to the norms of the majority culture, or non-Muslim majorities must acquiesce to the legitimacy of conservative Muslim ideas. Using a trio of experiments to replicate our results, we demonstrate the efficacy of introducing alternative gestures of respect. Presented with a substitute gesture of respect – placing the ‘hand on heart’ – non-Muslim demands for Muslim conformity drop dramatically. The results of the handshaking experiments call out a general lesson. Thanks to the ingenuity and versatility of cultural customs to signal respect, value conflicts can be open to resolution in everyday encounters without minorities or majorities having to forsake their convictions.
This response to Kariyawasam and Rai affirms their critique of the pathologization of trans youth but forecasts a foreseeable negative outcome of their proposed elimination of diagnosis as a prerequisite to gender-affirming care (GAC) — the risk of removing GAC entirely from the medical sphere and compromising the wellbeing of those transgender individuals for whom GAC is deeply affirming. We suggest an ethical framework of GAC that expands past a focus on autonomy to incorporate a principle of respect for persons that affirms the dignity and diversity of trans youth — recognizing the need to facilitate both medical assistance and social change.
Chapter 2 examines criteria that people use when forming perceptions of how they and others have been treated is fair or unfair. One of the important criteria that people use is whether they were given sufficient opportunities to voice their opinions about important issues at stake. It is crucial that voiced opinions are given due consideration. Being treated in a polite and respectful manner by people, and especially people of power, is also among the core criteria for evaluating procedural fairness. Generally being treated in a fair and just manner by competent and professional authorities is also among the important criteria of perceived procedural fairness. Taken together, perceived procedural fairness boils down to feeling to be a full-fledged member of your community and society and, ideally, the entire world.
Words have powerful meaning. They can also be scary for some individual to address or confront. Oftentimes it is just “easier” to ignore or look the other way. This case study explores how inappropriate language and the response, or lack thereof, can say a great deal about the power structure of an environment and the importance of respect.
This chapter points to a dilemma at the heart of the judicial role. How can courts robustly review legislation for compliance with rights without exceeding the limits of the judicial role? And how can they pay respect to the democratically elected branches of government without ceding their obligations to uphold rights? Presenting courts as a form of constitutional ‘quality control’, this chapter argues they solve this dilemma by engaging in calibrated constitutional review. This requires judges to carefully calibrate the grounds and intensity of review depending on a complex analysis of legal and institutional concerns.
This article investigates the hitherto under-examined relations between affirmative action, paternalism, and respect. We provide three main arguments. First, we argue that affirmative action initiatives are typically paternalistic and thus disrespectful towards intended beneficiaries who oppose them. Second, we argue that not introducing affirmative action can be disrespectful towards these potential beneficiaries because such inaction involves a failure to recognize their moral worth adequately. Third, we argue that the paternalistic disrespect involved in affirmative action is alleviated when the potential beneficiaries' preferences against such initiatives are adaptive. We conclude that, although there is a relevant sense in which paternalistic affirmative action is disrespectful, it may be more disrespectful not to pursue such policies.
Chapter 19 opens by asking readers to reflect on prior collaborations, writing down their views on what makes people easy to work with and what makes them hard to work with. The chapter argues for a team-based approach to public engagement, and suggests ways to build effective teams. Also, it’s important to trust our partners at informal learning venues, as they have expertise on the audiences and logistics in these settings. Emphasizing that communication with these partners is still a conversation, the chapter returns to the principles of a successful conversation described in Chapter 3 and unpacks each one with reference to venue partners. A case study exemplifies these points, describing a partnership between university students and faculty and museum professionals. Details are given of negotiation about institutional missions and daily operations through to a demonstration on children’s science practices in a game about vowel sounds. This chapter’s Closing Worksheet asks readers to make a detailed plan for getting their demonstration into a specific place or event.
Chapter 10 opens by asking readers to choose two kinds of people they might encounter in informal learning settings and to identify questions those people might have about their general topic and about their specific activity. Returning to the fact that a successful conversation is cooperative, this chapter emphasizes asking questions and listening. Asking questions of an audience gives the expert substantive information to listen to. Sets of questions give people choice, and the sets can include questions about explanations of the phenomena being shown. A "juicy question," for example, is one that nonexperts can address by using the materials/examples at hand – in effect, encouraging scientific reasoning. Giving people time to answer questions and then listening carefully as they do so shows respect, as does asking new questions that reflect people’s earlier responses. Readers are cautioned to avoid testing their audience or to feel that they themselves are being tested. The Worked Example finds juicy questions in a map-based demonstration of variation in regional dialects.
Moral soundness in our behavior requires more than conformity to the principles described in Chapter 4. This is above all because it requires moral conduct and not just the deeds those principles call for. There are two obligations that are higher level than those described in Chapter 4 in ranging over all the types those principles concern. One posits an obligation to preserve and promote liberty; the other posits an obligation to do the deeds morality calls for respectfully – in a morally appropriate manner. Like the liberty obligation, it is immensely comprehensive and extends to all interpersonal action. This chapter describes these higher-level obligations. To clarify them, the chapter pursues two major moral questions: the scope-question of what range of deeds are discretionary – not obligatory and within our freedom of choice – and the adverbial how-question of what manners of doing what we do are morally appropriate in the relevant contexts.
The theme of recognition is one of the most intensively discussed topics in the humanities and social sciences in the last decades. This chapter discusses its relevance for moral education. We begin with two examples illustrating lack of recognition in the school class, one concerning cultural difference and the other economic and social inequality. Secondly, we introduce the idea of recognition, its importance for individual and social life and some basic ways to think about its various forms. Thirdly, we discuss some specificities of school education that are necessary to bear in mind when applying the concept of recognition in this context. Finally, we tie these conceptual and theoretical considerations back to the two examples and show how a recognition-theoretical perspective can helpfully illuminate them. The conclusion summarizes our most important findings.
Building on the Stereotype Content Model, the present work examined the heterogeneity of the stereotypes about older people. We aimed to broaden the range of perceived predictors of competence in older people and included respect in addition to status. Seventeen subtypes were selected in a pilot study (n = 77). The main study was conducted on a French sample (n = 212) that took part in a self-reported survey. Cluster analysis showed that specific older people subtypes appear in three combinations of warmth and competence. Correlation and regression analyses showed that competition negatively predicts warmth, and that status positively predicts competence. In a substantial number of target groups, respect played a more important role than status in the perception of group competence. To sum up, this study suggests that the perceived competence of older people is not only related to perceived socio-economic status but also to the amount of respect they receive.
Abstract: Moral growth is an evolutionary process, for both the individual and the society. Democracy requires a certain kind of respect that is different from the expression of respect called for in other settings. Here, an object of respect is the capacity of the individual and the society to shape their own development and to determine their own idea of a good life. This calls for an education that aims to promote self-consciousness about existing and emerging possibilities and that enables rising citizens, both as individuals and as part of collective enterprises, to recognize their capacity for growth.
Populism entails a unique claim for recognition, which sets it at odds with the democratic ideal of respect for the equal standing of every citizen. This claim arises from a totalizing framing of political conflict, according to which one can and should understand one uniform group in society as the worst-off group for all political purposes. The populist claim for recognition is an exclusionary claim: We are something that you are not, “the people.” In contrast, this chapter argues that in order to show equal respect for everyone, as well as solidaristic concern for diverse marginalized groups, it is imperative to focus on particular struggles for recognition and discuss who actually suffers the greatest injustice in each case separately. The chapter goes on to contrast the populist claim for recognition and its illiberalism with the kind of respect, which Joel Feinberg argues is expressed in and through “the activity of claim-making” characteristic of a society with rights. Adopting a participant attitude and seeing rights claims as an intersubjective activity, we can better appreciate how rights contribute to democratic respect.
The Introduction presents the main idea of the book, namely that populism should be understood and assessed in terms of the kind of recognition for the people that it demands. The debate over the meaning and value of populism is fundamentally a debate over how democracy should recognize the people. Many people in contemporary societies feel disrespected and populism provides the recognition that they feel they have lost or never attained. The populist politics of resentment should not be understood as blindly emotional but as a struggle for recognition based on moral experiences that can be explained by people’s beliefs and principles. However, not all struggles for recognition contribute to the deepening of democracy, and we must distinguish between different kinds of recognition in order to understand why populism is often a threat to democratic principles and practices. The Introduction explains that the book is a study of the reasons people may have for supporting populism rather than the causes of populism. As a corollary of studying reasons rather than causes, populism is defined as a set of claims that can be assessed for their validity. The last part of the Introduction provides an overview of the book.
This chapter distinguishes between and discusses the validity of different kinds of demand for recognition, which are often conflated in the literature on populism. While “equal respect” is central to democracy, not all demands for recognition are demands for equal respect. In particular, the type of respect that citizens and government must display should not be confused with esteem for people’s merits, identity, or way of life, but must consist in respect for citizen status. Demanding and granting esteem for particular traits or ways of life, as populists do, is incompatible with a pluralistic society. Further, demands for respect among populists tend to be bound up with a hierarchical idea of honor, which should be confronted with the democratic idea of respect for dignity. Although democracy is a society of equality of respect and cannot supply equal esteem for everyone, inequality of esteem can still pose a moral and democratic problem. This is because inequality of esteem under some conditions can convert into inequality of respect. Therefore, the second part of the chapter argues that democratic respect depends on a form of solidarity that counteracts the ever-present danger of inequality of esteem turning into inequality of respect.
This chapter examines how different democratic decision-procedures – voting, majority rule, compromise, consensus, and public deliberation – relate to claims for recognition and democratic respect. Via a contrast with Rousseau and an explication of majority rule as a principle that regulates political decision-making over time, the chapter challenges the common view that populism is characterized by its unequivocal adherence to democratic principles of popular sovereignty and majority rule. The second part of the chapter discusses compromise as an attitude one can take when making decisions with one’s fellow citizens. Populists regard compromise as a form of betrayal, weakness, and defeat, while this chapter defends it as an important aspect of democratic respect. Political theorists have discussed whether the reasons for compromise are only pragmatic or whether they can also be principled. Populism’s principled rejection of compromise shows why our defense of this practice must be principled. The last part of the chapter connects the spirit of compromise to the notion of solidarity sketched in Chapter 2 and argues that compromise can be seen as a form of solidaristic inclusion of people with whom one profoundly disagrees.
Commentators often interpret the resentment of supporters of populism as blindly emotional and unconnected to facts and principles. Democratic Respect argues instead that we should approach the populist politics of resentment as a struggle for recognition based on moral experiences that are intimately connected to people's factual and moral beliefs. By associating populist resentment with alleged violations of democratic principles, we can discuss what citizens and governments owe one another in terms of recognition and respect. Populism advances a unique interpretation of democracy and recognition, which Rostbøll confronts with the notion of democratic respect. How democracy should recognize the people is shown to be connected to debates over the meaning and value of democratic procedures, rights, majority rule, compromise, and public deliberation. The book builds a bridge between empirical research and philosophical analysis, while providing insights relevant to a public grappling with the challenges many democracies face today.
Aided by Kant’s account, in “The Analytic of the Sublime,” of how “respect” is accessed, these pages show that effectively endless series of specific representations in A Midsummer Night’s Dream as well as King Lear open a moment of suspension, or space of “negativity,” within which that which Theseus terms “noble respect,” or France calls “inflamed respect,” can emerge. This route to respect may at first seem purely negative, yet its resulting humiliations of self-conceit release the good will of respect that is latent in the human. In these plays the attainment to respect is achieved in a reciprocal “amendment” or “art of known and feeling sorrows” that transpires most fully between spectator and play. Puck — standing amended beyond his play — envisions that which will “ere long . . . restore” these “amends.” He speaks as a minor prophet of a theatrical redemption that is outside time and in liminal space, even sweeping aside the play that was.