Démasquer le paternalisme latent en santé : apports du philosophe Ruwen Ogien
Bibliographic record
Abstract
Le but de notre article est d’identifier ce qui, dans la pensée du philosophe libertaire et égalitaire Ruwen Ogien, permet de démasquer et de réinterroger le paternalisme latent qui perdure encore dans les pratiques des professionnels de la santé. Car bien que les avancées récentes des modèles de soins laissent plus de place à la voix des personnes accompagnées ainsi qu’à leur libre autodétermination, celles-ci n’ont pas mis fin au paternalisme en santé. Nous présentons ici les différents points clés de l’argumentaire d’Ogien visant à critiquer le paternalisme en santé, pour prendre conscience du paternalisme latent et constater que de celui-ci découle des injustices épistémiques et sociales qu’il importe de renverser.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.015 | 0.012 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.007 | 0.055 |
| Scholarly communication | 0.010 | 0.012 |
| Open science | 0.002 | 0.008 |
| Research integrity | 0.006 | 0.013 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".