The Public Performativity of Trust.

The Public Performativity of Trust.
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信任的公共表现力。

DOI:
10.1002/hast.1527
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发表时间:
2023
期刊:
The Hastings Center report
影响因子:
--
通讯作者:
Gerido,LynetteHammond
Gerido,LynetteHammond
中科院分区:
--
文献类型:
--
作者:
Creary,Melissa;Gerido,LynetteHammond

文献摘要

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在学术医疗中心和他们在研究过程中所依赖的某些社区之间建立信任是很困难的,特别是当这些社区由少数民族或历史上被边缘化的人群组成时。一些人认为,诸如创建咨询委员会、市政霍尔斯或看起来更像社区成员的研究人员队伍等参与活动,将在学术医疗中心和种族化社区之间建立或重建信任。然而,如果没有系统的方法来消除种族主义,这些善意的行动就会成为公共行为,信任的建立就会失败。在这篇文章中,我们借鉴了信任,不信任和信任建设的基本伦理原则;将有限正义的概念应用于表演性信任行为;并以黑人和土著女性主义生物伦理学家的作品为中心,重新审视他们所贡献的一些智慧和宝贵的经验教训。重建信任是很难做到的,因为人们和机构往往不诚实地知道这有多难,而且没有简单的方框检查任务可以解开我们社会的不公正,但在这个方向上可以采取一些步骤。个人和机构可以识别已经写好的有价值的相关工作,参与批判性反思,然后应用获得的见解,采取小而可持续的步骤,实现转型变革和更深的信任。
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 ofbounded justiceto 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.