[Words and views on old age, or how ageism undermines the care relationship]. / Mots et regards sur la vieillesse, ou comment l'âgisme mine la relation de soins.

Anxiety about ageing, as well as old age, is rooted in public discourse and has a negative impact on the quality of the relationship with the elderly, particularly in the context of care relationships with more vulnerable seniors. This text proposes a theoretical and empirical reflection on ageism, manifested as much in its hostile as in its compassionate forms.

["Sending a signal of solidarity via bluetooth?"-A medical ethical analysis of the public debate on the Corona-Warn-App]. / "Mit Bluetooth ein Signal der Solidarität senden"? ­ Eine medizinethische Analyse der öffentlichen Debatte über die Corona-Warn-App.

Definition of the problem: In the public debate in Germany on the Corona-Warn-App, the concept of solidarity is a prominent, but contested normative reference point. Thus, different uses of the concept with heterogeneous assumptions, normative implications and practical consequences stand next to each other and require medical ethical investigation. Against this backdrop, this contribution aims firstly to illustrate the spectrum of understandings of the concept of solidarity in the public debate on the Corona-Warn-App. Secondly, it elaborates the preconditions and normative implications of these uses and evaluates them from an ethical perspective. Arguments: Starting with an introduction of the Corona-Warn-App and a general definition of the concept of solidarity, I present four examples for different uses of the concept of solidarity from the public discourse on the Corona-Warn-App that vary regarding the underlying identification, the group of solidarity, the solidarity contribution and the normative goal. They highlight the need for further ethical standards in order to assess their legitimacy. Hence, I use four normative criteria of a context-sensitive, morally substantial conception of solidarity (openness, malleable inclusivity, adequacy of the contribution, normative dependence) to ethically evaluate the solidarity recourses presented. Conclusion: Critical remarks can be formulated for all presented notions of solidarity. On the one hand, the potentials and limitations of solidarity recourses in public debates become apparent. On the other, criteria can be derived for a solidarity-promoting use of the Corona-Warn-App.

Public Discourse and Sentiment Toward Dementia on Chinese Social Media: Machine Learning Analysis of Weibo Posts.

BACKGROUND: Dementia is a global public health priority due to rapid growth of the aging population. As China has the world's largest population with dementia, this debilitating disease has created tremendous challenges for older adults, family caregivers, and health care systems on the mainland nationwide. However, public awareness and knowledge of the disease remain limited in Chinese society. OBJECTIVE: This study examines online public discourse and sentiment toward dementia among the Chinese public on a leading Chinese social media platform Weibo. Specifically, this study aims to (1) assess and examine public discourse and sentiment toward dementia among the Chinese public, (2) determine the extent to which dementia-related discourse and sentiment vary among different user groups (ie, government, journalists/news media, scientists/experts, and the general public), and (3) characterize temporal trends in public discourse and sentiment toward dementia among different user groups in China over the past decade. METHODS: In total, 983,039 original dementia-related posts published by 347,599 unique users between 2010 and 2021, together with their user information, were analyzed. Machine learning analytical techniques, including topic modeling, sentiment analysis, and semantic network analyses, were used to identify salient themes/topics and their variations across different user groups (ie, government, journalists/news media, scientists/experts, and the general public). RESULTS: Topic modeling results revealed that symptoms, prevention, and social support are the most prevalent dementia-related themes on Weibo. Posts about dementia policy/advocacy have been increasing in volume since 2018. Raising awareness is the least discussed topic over time. Sentiment analysis indicated that Weibo users generally attach negative attitudes/emotions to dementia, with the general public holding a more negative attitude than other user groups. CONCLUSIONS: Overall, dementia has received greater public attention on social media since 2018. In particular, discussions related to dementia advocacy and policy are gaining momentum in China. However, disparaging language is still used to describe dementia in China; therefore, a nationwide initiative is needed to alter the public discourse on dementia. The results contribute to previous research by providing a macrolevel understanding of the Chinese public's discourse and attitudes toward dementia, which is essential for building national education and policy initiatives to create a dementia-friendly society. Our findings indicate that dementia is associated with negative sentiments, and symptoms and prevention dominate public discourse. The development of strategies to address unfavorable perceptions of dementia requires policy and public health attention. The results further reveal that an urgent need exists to increase public knowledge about dementia. Social media platforms potentially could be leveraged for future dementia education interventions to increase dementia awareness and promote positive attitudes.

Bioethics and the argumentative legacy of atrocities in medical history: Reflections on a complex relationship.

Slippery slope-, taboo-breaking- or Nazi-analogy-arguments are common, but not uncontroversial examples of the complex relationship between bioethics and the various ways of using historical arguments in these debates. In our analysis we examine first the relationship between bioethics and medical history both as separate disciplines and as argumentative practices. Secondly, we then analyse six common types of historical arguments in bioethics (slippery slope-, analogy-, continuity-, knockout/taboo-, ethical progress- and accomplice-arguments), some as arguments within the academic debate of bioethics, others as arguments within political and public debates over bioethical issues. We conclude by suggesting to bioethicists to better understand historical arguments as socially and culturally embedded practices of critical reflection of power, medical and government paternalism and possible future scenarios. More interdisciplinarity between ethicists and medical historians is needed to appropriately rationalize and understand the different legacies.

COVID-19 heralds a new epistemology of science for the public good.

COVID-19 has revealed that science needs to learn how to better deal with the irreducible uncertainty that comes with global systemic risks as well as with the social responsibility of science towards the public good. Further developing the epistemological principles of new theories and experimental practices, alternative investigative pathways and communication, and diverse voices can be an important contribution of history and philosophy of science and of science studies to ongoing transformations of the scientific enterprise.

Ageism and COVID-19: what does our society's response say about us?

The goal of this commentary is to highlight the ageism that has emerged during the COVID-19 pandemic. Over 20 international researchers in the field of ageing have contributed to this document. This commentary discusses how older people are misrepresented and undervalued in the current public discourse surrounding the pandemic. It points to issues in documenting the deaths of older adults, the lack of preparation for such a crisis in long-term care homes, how some 'protective' policies can be considered patronising and how the initial perception of the public was that the virus was really an older adult problem. This commentary also calls attention to important intergenerational solidarity that has occurred during this crisis to ensure support and social-inclusion of older adults, even at a distance. Our hope is that with this commentary we can contribute to the discourse on older adults during this pandemic and diminish the ageist attitudes that have circulated.

Constructing democratic participation in welfare transitions: An analysis of narrative interactions.

OBJECTIVE: This article provides insights into the democratic character of local enactments of welfare reforms by analysing narrative interactions about changes in care. We analyse processes of storytelling that are part of the interactions between citizens giving, receiving and organizing care and the policymakers governing welfare reforms. We also study how narrative interactions shape understandings about changing care practices and what types of narrative interactions support democracy in care. BACKGROUND: Stories about recent welfare reforms include messages about citizens' care, citizen participation, citizens' powers and revitalization of democracy. However, researchers have cast doubt on their emancipatory and democratic character. RESEARCH SETTING AND METHODOLOGY: We conducted research of four initiatives and municipal policy settings in the city of Maastricht that organized social care in lifeworlds connected to arts, crafts, farming and entrepreneurship during welfare reforms. Using narrative ethnography, we analyse narrative interactions between the master narrative of welfare reforms about 'lifeworld care' and 'citizen powers', and small stories told by participants in new care practices. RESULTS: We identified two types of narrative interaction: idealizing and pragmatizing. Idealizing narrative interactions were strategic for care initiatives in finding support and for policymakers in proving that a so-called 'participation society' works. Pragmatizing narrative interactions gave expression to insights into the everyday practices of social care experiments and included a greater variety of stories. CONCLUSIONS: We conclude that pragmatizing narrative interactions adjust the master narrative about welfare reforms and replace ideals of independency with ideals of active participation in webs of dependency and care.

A DISCURSIVE SPECTRUM: The Narrative of Kenya's 'Neglected' Boy Child.

In this article, I examine a narrative that on the surface could be backlash to gender equality efforts: that after years of policy attention to girls, Kenya's "boy child" has been neglected. Through a content analysis of Kenyan online newspaper texts spanning the past two decades, I chart the evolution of this discourse, finding that it was present as early as 2000, intensified around 2010, and began to produce concrete actions around 2013. I argue that the narrative is a reaction to expanded women's rights, but not always in the sense of negative backlash. Some boy child claims-makers were indeed concerned with a decline in men's power. However, others, mostly women, used the boy child narrative to redirect attention to issues that profoundly affect the well-being of women such as violence and the struggle to find a partner. These results point to the value of a discursive spectrum approach for analysis of potential backlash to gender equality as well as discussions around policy attention to boys and men.

Synthetic Biology between Self-Regulation and Public Discourse: Ethical Issues and the Many Roles of the Ethicist.

This article discusses the roles of ethicists in the governance of synthetic biology. I am particularly concerned with the idea of self-regulation of bioscience and its relationship to public discourse about ethical issues in bioscience. I will look at the role of philosophical ethicists at different levels and loci, from the "embedded ethicist" in the laboratory or research project, to ethicists' impact on policy and public discourse. In a democratic society, the development of governance frameworks for emerging technologies, such as synthetic biology, needs to be guided by a well-informed public discourse. In the case of synthetic biology, the public discourse has to go further than merely considering technical issues of biosafety and biosecurity, or risk management, to consider more philosophical issues concerning the meaning and value of "life" between the natural and the synthetic. I argue that ethicists have moral expertise to bring to the public arena, which consists not only in guiding the debate but also in evaluating arguments and moral positions and making normative judgments. When ethicists make normative claims or moral judgments, they must be transparent about their theoretical positions and basic moral standpoints.

Beyond the 5-year recovery mark: Perspectives of researchers with lived and living experience on public engagement and discourse.

There has been growing attention toward including people with lived and living experience (PWLLE) with substance use, substance use disorders, and recovery in public-facing activities. The goals of including PWLLE in sharing their perspectives often include demonstrating that recovery is possible, destigmatizing and humanizing people who have substance use experiences, and leveraging their lived experience to illuminate a particular topic or issue. Recently, the National Council for Mental Wellbeing issued a set of guidelines entitled, "Protecting Individuals with Lived Experience in Public Disclosure," which included a "Lived Experience Safeguard Scale." We offer the present commentary to bolster some of the ideas presented by the Council and to articulate suggested changes to this guidance, with the goal of reducing unintentional gatekeeping and stigma. Specifically, we offer that there are numerous problems with the recommendation to only invite people who have "five or more years of sustained recovery" to contribute to public discourse. The idea of perceived stability after five years of abstinence is not new to us or the field. We suggest that this idea excludes people who have experienced the present rapidly changing substance use landscape, people who have briefly returned to use, some young people, and people with living experience who also can valuably contribute to public discourse. We offer alternative guidelines to the National Council for Mental Wellbeing and others seeking to promote practices that are inclusive to the diversity of PWLLE.

Big bang, low bar-risk assessment in the public arena.

One of the basic principles of risk management is that we should always keep an eye on ways that things could go badly wrong, even if they seem unlikely. The more disastrous a potential failure, the more improbable it needs to be, before we can safely ignore it. This principle may seem obvious, but it is easily overlooked in public discourse about risk, even by well-qualified commentators who should certainly know better. The present piece is prompted by neglect of the principle in recent discussions about the potential existential risks of artificial intelligence. The failing is not peculiar to this case, but recent debates in this area provide some particularly stark examples of how easily the principle can be overlooked.

Intersections in the digital society: cancel culture, fake news, and contemporary public discourse.

This article critically examines the intricate relationship between cancel culture and fake news, shedding light on their collective impact on current societies. The changing social landscape, marked by the transition from the "network society" to the "platform society," has given rise to unprecedented phenomena such as cancel culture. Rooted in social media complaints, cancel culture intersects with the dissemination of intentionally created false information, forming a complex web of dynamics. The study explores the multifaceted nature of cancel culture, its unintended consequences and the nuanced definitions surrounding it. The synthesis of erasure culture and fake news prompts critical reflections on the democratization of information, the protection of fundamental rights, and the potential risks to democracies of an unbridled online narrative. As digital networks continue to play a central role in everyday life, understanding and addressing these challenges is essential to maintaining a balanced discourse that upholds democratic values.

Marginalised within a minority: Jews with disabilities in the Jewish press of the Kingdom of Poland (1860s-1914).

This article is the first scholarly research focusing exclusively on the history of Jews with disabilities in the Kingdom of Poland from the 1860s to 1914. It analyses sources drawn from the Jewish press in Yiddish, Polish, and Hebrew. Areas of investigation include the hierarchy of attitudes towards different categories of individuals with disabilities, spiritual perspectives on disability, and the portrayal of disabilities within Jewish literature. The study places particular emphasis on the Jewish deaf community, given the proliferation of available source material. Drawing on the broad conceptual framework of disability studies, the authors examine the phenomenon of medicalisation, tracing its influence on Jewish public discourse over the latter half of the nineteenth century and the early decades of the twentieth.

Accuracy of a large language model in distinguishing anti- and pro-vaccination messages on social media: The case of human papillomavirus vaccination.

Objective: Vaccination has engendered a spectrum of public opinions, with social media acting as a crucial platform for health-related discussions. The emergence of artificial intelligence technologies, such as large language models (LLMs), offers a novel opportunity to efficiently investigate public discourses. This research assesses the accuracy of ChatGPT, a widely used and freely available service built upon an LLM, for sentiment analysis to discern different stances toward Human Papillomavirus (HPV) vaccination. Methods: Messages related to HPV vaccination were collected from social media supporting different message formats: Facebook (long format) and Twitter (short format). A selection of 1,000 human-evaluated messages was input into the LLM, which generated multiple response instances containing its classification results. Accuracy was measured for each message as the level of concurrence between human and machine decisions, ranging between 0 and 1. Results: Average accuracy was notably high when 20 response instances were used to determine the machine decision of each message: .882 (SE = .021) and .750 (SE = .029) for anti- and pro-vaccination long-form; .773 (SE = .027) and .723 (SE = .029) for anti- and pro-vaccination short-form, respectively. Using only three or even one instance did not lead to a severe decrease in accuracy. However, for long-form messages, the language model exhibited significantly lower accuracy in categorizing pro-vaccination messages than anti-vaccination ones. Conclusions: ChatGPT shows potential in analyzing public opinions on HPV vaccination using social media content. However, understanding the characteristics and limitations of a language model within specific public health contexts remains imperative.

Public discourse and wilful incommensurability: a case for attentive free speech.

Many thinkers lament the decline of liberal democracy. Some argue that, to rejuvenate it, we must think big. Thinking big involves generating new ideas about how to achieve an unprecedented level of social transformation aimed at cultivating solidarity, empowering citizen efficacy, and promoting the common good. We propose that fundamental to such a transformation must be a radical change in how people speak to one another. To this end, the primary objective of this paper is to offer a framework for understanding how speech currently erodes democratic engagement. The central idea is that much of speech today both reflects and perpetuates a culture of wilful incommensurability. The core features of this culture are totalizing safetyism, expressive safetyism, dismissive intransigence, and polarized alienation, all of which have been worsened by the current trajectory of social media. The result is that people are increasingly prone to engage in degraded free speech, which is characterized by a pervasive aversion to reach out, identify points of unity, benefit from diverse perspectives, and discover truth in all its potential complexity. In view of this diagnosis and the response of those who advocate for freedom of speech, a second objective of this paper is to introduce the concept of attentive free speech. Attentive free speech has similarities with civil discourse but is specifically characterized by discernment and thoughtfulness and is imbued with key dispositions such as courage, reverence, and love. We end by inviting future research into how such speech can promote the social and spiritual health of the public sphere and freedom itself at a practical level.

Ethics and engagement: steering China's synbio future.

In the final article of the series, we delve into the crucial role of public engagement and ethical guidelines in shaping the trajectory of synthetic biology (synbio) within China's evolving scientific landscape. We discuss the interconnectedness of enhanced public discourse, stronger ethics, and responsible, transparent advancements in the field.

A Second Cold War? Explaining Changes in the American Discourse on China: Evidence from the Presidential Debates (1960-2020).

When and how do the American political elites react discursively to China as a rising power? Do they depict it as an economic or military risk? What role do discursive references to China play in the US populist discourses? Relying on the thematic and critical discourse analysis of all the American presidential debates, this article explores the way US politicians portray China throughout three eras marked by distinct global power configurations. Several types of discourses have been identified. In contrast to the belligerent rhetoric of the early Cold War, when China was framed as a major military threat, after 2004, presidential candidates started referring to Beijing as an economic rival. By 2008, the emerging bipartisan consensus centered on China as mainly a trade competitor. By contrast, populist narratives in 2016 and 2020 stood out because they included emotional appeals and inflated the risks of the Sino-American rivalry to mobilize voters. In doing so, the populists sought to forge coalitions in favor of protectionist policies among those voters, who were employed in manufacturing sectors facing growing international competition. The anti-China mentions reached a peak during the 2020 debates amidst the pandemic when the populist candidate used biased language, relying on tropes resembling the 19th century racist "yellow peril" rhetoric. Supplementary Information: The online version contains supplementary material available at 10.1007/s11366-023-09857-z.

Understanding service quality concerns from public discourse in Indonesia state electric company.

Indonesia State Electricity Company (PLN) has transformed its business process into a more modern practice with the intention of boosting efficiency and enhancing service quality. In the digital economy space, customer expectation is more complex, influenced by the network effect and public opinion. Facing these facts, it is imperative for PLN to be able to listen to its customers' voices using publicly available social media channels. Understanding and acting upon large-scale opinions and conversations is a nontrivial task. To filter large-scale data, we employ Natural Language Processing (NLP) methodology called Latent Dirichlet Allocation (LDA) to find the dominant topics in public discourse. It is followed by UTAUT2 model implementation to further clarify the most critical issues found. Finally, this study modified the e-ServQual and e-RecServQual methodologies to propose the best and most personalized solution for each issue. By using the proposed approach, PLN could accelerate the implementation of data-driven decision-making and induce sustainability.

Swedish journalists' perceptions of legal protection against unlawful online harassment.

This study examined journalists' perceptions regarding the legal system's ability to protect them against online harassment. By utilizing open-ended survey responses from respondents with varying levels of trust in the legal system, the findings suggested a need for increased technical proficiency, resources, and priority within the legal system to adequately address the issue. Additionally, a reciprocal relationship between the normalization of online harassment within the journalistic profession and the legal system's commitment to providing protection was identified. However, the study also found that when the legal system's mediated approach to online harassment is positive, it affects attitudes and norms relating to legal protection. Consequently, it reveals a unique insight into how journalists respond to the message conveyed by fair treatment and respect from the legal system. Notably, this result implies that when such messages are internalized, journalists feel more empowered to take measures against online harassment. As a result of this analysis, I propose that current laws should be implemented more effectively and that policy strategies should be developed to positively influence social norms and social control to bolster journalistic autonomy and freedom of speech in the digital age.

"Xylella is the Enemy that Must be Fought": Representations of the X. Fastidiosa Bacterium in the Media Discourse.

The paper explores media representations of Xylella fastidiosa, the bacterium that causes severe plant diseases, using data from online sources in English which reported on the developments in the bacterium spreading and treatment from 2015 to 2020. Two directions of analysis are pursued, the quantitative and qualitative one. Quantitative analysis reveals that the bacterium and its effects are described via the terms belonging to the lexical fields of fear, diseases, change, the supernatural, hostility, destruction, killing and war, with the latter three being the most dominant statistically speaking. Further, qualitative analysis attests that some of these terms are used metaphorically as instantiations of the war metaphor, which is generally effective in communicating the severity of the X. fastidiosa induced diseases and mobilising the necessary support. Based on the results, it may be argued that the language used in the media for describing X. fastidiosa fits into the prevalent "catastrophe discourse", with the purpose of raising awareness of the gravity of the threat the bacterium poses, as well as justifying the severe measures undertaken to contain it. Supplementary Information: The online version contains supplementary material available at 10.1007/s41701-022-00129-4.