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This chapter explores aspects of individual visions and visionaries that increase the traction to create social change. It begins by examining epistemic gaps – knowledge deficits that inspire visionary ideas – and the role of imagination in addressing these gaps. The chapter then focuses on compelling narratives, discussing the importance of storytelling, relatable characters and moral alignment in crafting transformative visions. It continues by discussing the factors that enable a vision to be spread, such as social identity and network positions that bridge social divides. The chapter also considers how visionary ideas interact with group dynamics and system attributes that facilitate or hinder change. Case studies of William Shakespeare, Martin Luther, and Karl Marx are presented: transformative visions arise from unmet needs; are effective when they offer innovative social relationships; are marked by clear, moral narratives; are more likely to emerge in societies with diverse, autonomous subgroups; and spread via networks of higher trust.
To combat declining trust in public health and effectively communicate during public health emergencies, it is critical for the public health workforce to engage with their communities through social media. Little is known about factors that influence the degree to which public health practitioners use social media for information sharing and bidirectional communication. This study aimed to examine perspectives on barriers to incorporating social media use into efforts to rebuild trust in public health.
Methods
31 semistructured interviews were conducted with public health practitioners and subject matter experts. Common themes and barriers to using social media were identified using rapid thematic analysis and analyzed by levels of the socioecological framework.
Results
Barriers to public health practitioner social media use included lack of training, time, and fear (individual-level); limited online and offline relationships (interpersonal); lack of resources and supportive policies (organizational); and politicization of public health (societal).
Conclusions
This study identifies modifiable factors that could be intervened upon to strengthen the public health workforce’s social media communication and highlights existing efforts to address barriers. Sustained investment is required to ensure that public health communicators are maximally supported to effectively use social media for trust-building and communication during public health emergencies.
There is a growing attention towards personalised digital health interventions such as health apps. These often depend on the collection of sensitive personal data, which users generally have limited control over. This work explores perspectives on data sharing and health apps in two different policy contexts, London and Hong Kong. Through this study, our goal is to generate insight about what digital health futures should look like and what needs to be done to achieve them. Using a survey based on a hypothetical health app, we considered a range of behavioural influences on personal health data sharing with the Capability, Opportunity, Motivation model of Behaviour (COM-B) to explore some of the key factors affecting the acceptability of data sharing. Results indicate that willingness to use health apps is influenced by users’ data literacy and control, comfort with sharing health and location data, existing health concerns, access to personalised health advice from a trusted source, and willingness to provide data access to specific parties. Gender is a statistically significant factor, as men are more willing to use health apps. Survey respondents in London are statistically more willing to use health apps than respondents in Hong Kong. Finally, we propose several policy approaches to address these factors, which include the co-creation of standards for using artificial intelligence (AI) to generate health advice, innovating app design and governance models that allow users to carefully control their data, and addressing concerns of gender-specific privacy risks and public trust in institutions dealing with data.
As Generative Artificial Intelligence (GenAI) gets integrated in design processes, building trust in these systems is critical for effective human-AI collaboration. This study introduces a framework aimed at translating the abstract concept of trust into practical strategies for design teams, focusing on four trust factors: transparency, accountability, similarity, and performance. We tested the framework’s impact on trust-building and trust learning using a mixed-methods approach, incorporating design tasks and structured workshops involving university students. The results highlight the framework’s ability to enhance participants’ understanding of trust in AI. Insights from this study contribute to advancing educational approaches for embedding trust in AI-driven design, revealing that design activities alone are not enough to impact trust learning.
‘Truth’ refers to reality – what is, was, will be, and should be – and its aspects, in the context of representations thereof. A true something is the real thing, and a true proposition, belief, hypothesis, exemplar, and so forth is a successful representation of truth in the first sense. The virtue of truthfulness is the judicious love of truth in both senses. From love of reality and correct representations of it, the truthful person tends to tell others the truth as she sees it, but is not fanatical about telling it, because virtues like justice, compassion, and gentleness, which themselves are a kind of truth, can enjoin the withholding or even distortion of truths. Truths can be horrible, and it can take courage and humility to admit them.
European institutions are widely recognized as wielding regulatory power in a globalized market, exporting its standards across borders and between sectors. This paper asks what institutional dynamics catalyze European external regulatory impact on pharmaceutical governance in low- and middle-income countries (LMICs). The research focuses on two European regulatory bodies, the European Medicines Agency (EMA) and the European Patent Office (EPO), and explores the dynamics of their technocratic outreach beyond European borders. We find that trust is a key underlying institutional dynamic facilitating some forms of European external relations. The agencies extend their influence through technical assistance, collaboration, and work-sharing with LMIC regulators, fostering a one-sided relationship of “technocratic trust.” This trust, reinforced by international regulatory frameworks that position the EMA and EPO as “trustworthy” regulators, enables these agencies to expand their regulatory influence beyond Europe. By critically examining the impact of this trust-building on LMICs’ regulatory autonomy, this research contributes to the broader discourse on European regulatory power in global health governance and highlights potential implications for pharmaceutical markets and access in LMICs.
In his letter to the Galatians, Paul sets out an astute vision of what God has done in Christ against the backdrop of a world out-of-joint, a world engulfed in identity-distorting domination systems. Theologically profound and prophetically challenging, Galatians showcases God's initiative to empower liberation from those systems and their relational toxicity. For Paul, the union of Christ with his followers fosters flourishing forms of relational life that testify to the sovereign power of God over all competing forces. In The Theology of Galatians, respected New Testament scholar Bruce Longenecker cuts through the complexity of a notoriously opaque text, disentangling and interpreting Paul's discourse to reveal its multifaceted cosmology, its comprehensive coherence, and its penetrating analysis humanity and the divine. Offering a new interpretation of Galatians, his volume synthesizes the best of four main interpretative alternatives, finding new solutions to scholarly gridlock.
Extant studies on cross-border venture capital (VC) investment predominantly focus on how country-level formal institutions impact the flow of VCs across borders, but the potential role of country-level sentiments in this process has received less attention. Drawing upon the trust literature, we explore how home country political sentiment affects cross-border VC investment. Using data on Chinese VCs’ cross-border investments from 2000 to 2021, we find that home country political sentiment positively affects the amount of cross-border VC investment. Government VC (GVC) and connected VC (through sentiment transmission) positively, while investor managerial team education and investor host country experience (through sentiment suppression) negatively, moderate the influence of home country political sentiment.
The secrecy of intelligence institutions might give the impression that intelligence is an ethics-free zone, but this is not the case. In The Ethics of National Security Intelligence Institutions, Adam Henschke, Seumas Miller, Andrew Alexandra, Patrick Walsh, and Roger Bradbury examine the ways that liberal democracies have come to rely on intelligence institutions for effective decision-making and look at the best ways to limit these institutions’ power and constrain the abuses they have the potential to cause. In contrast, the value of Amy Zegart’s and Miah Hammond-Errey’s research, in their respective books, Spies, Lies, and Algorithms: The History and Future of American Intelligence and Big Data, Emerging Technologies and Intelligence: National Security Disrupted, is the access each of them provides to the thoughts and opinions of the intelligence practitioners working in these secretive institutions. What emerges is a consensus that the fundamental moral purpose of intelligence institutions should be truth telling. In other words, intelligence should be a rigorous epistemic activity that seeks to improve decision-makers’ understanding of a rapidly changing world. Moreover, a key ethical challenge for intelligence practitioners in liberal democracies is how to do their jobs effectively in a way that does not undermine public trust. Measures recommended include better oversight and accountability mechanisms, adoption of a ‘risk of transparency’ principle, and greater understanding of and respect for privacy rights.
The last twenty years have witnessed a 'social turn' in analytic philosophy. Social epistemology has been crucial to it. Social epistemology starts by repudiating the kind of individualistic epistemology, which, since Descartes' Meditations and through Kant's maxim 'Think for yourself', has dominated philosophy. It is a sign of the deep erasure of Wittgenstein's ideas from many debates in analytic philosophy that neither his views against fundamental tenets of individualistic epistemology, nor his positive contribution to key themes in social epistemology are considered.This Element on Wittgenstein and Social Epistemology is the first comprehensive study of the implications of the later Wittgenstein's ideas for key issues at the core of present-day social epistemology, such as the nature of common sense and its relations to common knowledge; testimony and trust; deep disagreements in connection with genealogical challenges; and the meaning of 'woman' and the role of self-identification in the determination of gender.
This article argues that a relational and trust-based understanding of fides can explain its use and impact in a variety of secular and religious settings, but particularly between members of different religious communities and especially in commercial contracts. The Latin word fides can be translated in a variety of ways, from ‘faith’, ‘trust’ and ‘trustworthiness’, to ‘proof’ and ‘belief’. Within these meanings there are complex religious and legal implications. Most understandings focus on the ways in which the term defines and creates relationships within a community. Contracts from thirteenth- and fourteenth-century Barcelona and Mallorca demonstrate the meaning and significance of the use of the term between merchants and investors from different religious communities. The article provides a new understanding of the place of faith language within the creation of trusting relationships.
This article contributes to debates about the theoretical underpinning for legitimate expectations. Building on existing arguments that what underpins the doctrine is public trust in government, it draws on scholarship on trust from disciplines outside law to reimagine the “trust conception” of legitimate expectations. It argues that the current trust conception lacks conceptual clarity, including several areas of ambiguity which have generated problems for it. The article claims that with the conception so reimagined, trust can offer the necessary theoretical underpinning for legitimate expectations and thus provide much-needed certainty to this confused area of administrative law.
This paper introduces the concept of self-fulfilling testimonial injustice: a distinctive form of epistemic injustice whereby credibility deficits become true by shaping the very conditions that sustain them. Much of the literature on testimonial injustice has rightly emphasized cases in which credibility deficits are rooted in false beliefs, themselves underwritten by ethically bad affective investments. Yet such a focus risks obscuring a structurally significant variant: namely, those credibility deficits that are rendered true through self-fulfilling mechanisms. Drawing on insights from economics and psychology, I distinguish between motivated cognition-based and cognitive bias-based testimonial injustice, which together furnish the background conditions under which self-fulfilling testimonial injustice can take hold. I develop this account by drawing on both theoretical and experimental work on labor market discrimination, which illuminates the ways in which credibility deficits may become self-fulfillingly entrenched. Finally, I explore the distinctive harms of this form of injustice, focusing on its corrosive effects on epistemic self-confidence or self-trust and epistemic self-esteem, and suggest that its insidiousness and relative invisibility render it both difficult to detect and potentially more pervasive than has hitherto been acknowledged.
Citizen trust in public institutions has become a major concern for policy makers, but how institutional design affects institutional trust is not entirely clear. Existing research has mainly focused on the macro-level of welfare regimes or on the micro-level of citizens’ or frontline workers’ attributes. Our knowledge about interrelations between organisational aspects of welfare delivery and (dis)trust-formation at the meso-level of institutional design remains scarce. In the article, we investigate how users experience institutional fragmentation and how this impacts their trust in the welfare system. Based on forty-three interviews with social assistance users in Germany and Poland, we demonstrate that fragmentation is indeed relevant as an experiential context for (dis)trust-formation. However, we found that low institutional fragmentation is not, per se, trust-promoting and that higher fragmentation can be a driver for developing trust in individual caseworkers. Citizens’ perceptions of procedural justice and experienced administrative burdens are discussed as possible mediators.
Spokespeople play a critical role during health emergencies in communicating credible, accurate, and actionable messages to the public. Effective spokespeople not only gain the public’s support during health emergencies but also personalize the health agency. Through professionalism, trustworthiness, authenticity, reliability, and clear communication, spokespeople build trust with the public each time they address the media or deliver a speech. This chapter describes the role of a spokesperson and why this role is critical to emergency response operations. It outlines ideal characteristics of a spokesperson including professionalism, experience working with the media, involvement with decision-making, trustworthiness, charisma, clarity of speech, and relatability. This chapter explains common spokesperson pitfalls and practical tips on how to avoid them. Media briefing and interview techniques on how to communicate effectively with the media are included. Agenda setting theory is described. A student case study uses the Crisis and Emergency Risk Communication framework to analyze the communication of Dr. Nirav D. Shah, director of Maine’s Centers for Disease Control and Pevention, during the COVID-19 outbreak. End-of-chapter reflection questions are included.
Understand how children direct their own learning and learn from others; describe the importance of imitation, play, and instruction; explain how children transfer what they know across different contexts.
Money and finance make up a socioeconomic infrastructure in which trust is integral. The account form of money consists of distinct value and information components. The separate transmission of transaction information has enabled the expansion of trust in money across space. While most financial infrastructures store and transfer value, the Society for Worldwide Interbank Financial Telecommunication (SWIFT) is a critical infrastructure for infrastructures that transfers information about value as financial messages between banks and infrastructures internationally. The SWIFT financial messaging infrastructure is embedded in the organization of the same name, which is a cooperative, co-owned by member banks. SWIFT’s role as a community of practice, and features of shared infrastructure ownership, exclusivity, and cooperative governance, make it a club for banks. This club is a powerful means of engendering trust among competitor banks, allowing them to exercise joint strategic agency to maintain oligopolistic dominance. SWIFT’s predominance is tested by geopolitical and technological forces. This chapter analyses changes in response to mainly techno-organizational challenges.
In this chapter of Complex Ethics Consultations: Cases that Haunt Us, the author reviews chapters from Volume 1 that describe ethics consultations in the perinatal and neonatal patient population. Enduring lessons from these cases include pausing before making recommendations, the value of trust and the importance of emotional intelligence and genuine self-reflection. It includes a brief discussion of how these consultations might be different today and offers suggestions for how clinical ethicists should manage the impact of the affective components of doing ethics consultation.
Health insurers’ role in healthcare systems based on managed competition comprises various tasks. Misconceptions about these tasks may result in low public trust, which may hamper health insurers in performing their tasks. This study examines the relationship between enrollees’ perceptions of health insurers’ tasks and their trust in them.
Methods:
A questionnaire in November 2021 asked respondents to indicate to what extent health insurers have to perform certain tasks, whether they actually perform them, and whether they think these tasks are important. Trust was measured using a validated multiple-item scale. The results from 837 respondents (56 per cent response rate) were analysed using multivariate regression models.
Results:
A larger mismatch between enrollees’ expectations about health insurers’ tasks and their actual statutory tasks is related to less trust regarding the categories ‘controlling healthcare costs’ and ‘mediation and quality of care’. Second, a larger mismatch between expectations and actually performed tasks is related to less trust for all categories. Importance of tasks only affects this relationship concerning ‘informing about price and availability of care’.
Conclusions:
This study emphasises the importance of reducing enrollees’ misconceptions as trust in health insurers is necessary to fulfil their role as purchaser of care.
Social media has a complicated relationship with democracy. Although social media is neither democratic or undemocratic, it is an arena where different actors can promote or undermine democratization. Democracy is built on a foundation of norms and trust in institutions, where elections are the defining characteristic of the democratic process. This chapter outlines two ways disinformation campaigns can undermine democratic elections’ ability to ensure fair competition, representation, and accountability. First, disinformation narratives try to influence elections, by spreading false information about the voting process, or targeting voters, candidates, or parties to alter the outcome. Second, disinformation undermines trust in the integrity of the electoral process (from the ability to have free and fair elections, to expectations about the peaceful transfer of power), which can then erode trust in democracy. Prior work on social media has often focused on foreign election interference, but now it’s important to realize electoral disinformation is increasingly originating from domestic, not foreign, political actors. An important threat to democracy thus comes from within — namely, disinformation about democratic elections that is being created and shared by political leaders and elites, increasing the reach and false credibility of such false narratives.