In ethics, aesthetics and increasingly in epistemology, a distinction is drawn between thick and thin evaluative concepts. A common characterisation of the distinction is that thin concepts have only evaluative content, whereas thick concepts combine evaluative and descriptive content. Because of this combination, it is again commonly thought that thick concepts have various distinctive powers including the power to undermine the distinction between fact and value. This paper discusses the accuracy of this view of the thick concepts debate, as well as assessing the prospects for a thick concepts argument against the fact value distinction, while introducing the three main philosophical positions on the nature of thick concepts.
This article aims to clarify the view that thick concepts are irreducibly thick. I do this by putting the disentangling argument in its place and then setting out what nonreductivists about the thick are committed to. To distinguish the view from possible reductive accounts, defenders of irreducible thickness are, I argue, committed to the claim that evaluative concepts and properties are nonevaluatively shapeless. This in turn requires a commitment to (radical) holism and particularism. Nonreductivists are also committed to the claim that a thick concept is in itself evaluative, and not evaluative because of any link to thin evaluation.
It cannot be assumed by healthcare providers that transgender people routinely receive care and treatment that is of the quality and sensitivity that should be expected. In particular there are concerns from within the transgender community that they experience discrimination and disrespect from both individual practitioners and the healthcare system as a whole. This causes an avoidance of contact that is undesirable for both users and providers of healthcare services. Older transgender people are vulnerable to a range of mental health problems and, like all elderly, increasingly to dementia; failure to access specialist services in a timely manner may result in unnecessary distress and potentially to crisis. This paper reports on the use of an appreciative inquiry approach towards identifying the opportunities for one health board in North Wales to work more closely with older members of the transgender community it serves.
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