Preview

The Kazan Socially-Humanitarian Bulletin

Advanced search

The Paternalistic Model of Assistance: Problems and Prospects (A Socio-Philosophical Analysis)

https://doi.org/10.26907/2079-5912.2025.2.73-80

Abstract

The article critically examines the paternalistic model of assistance in the context of modern cultural, technological, and ethical transformations. The author explores the contradictions of classical paternalism, based on the "subject–object" hierarchy, and alternative approaches emphasizing joint agency. Using an interdisciplinary methodology (poststructuralism, Karen Barad’s intra–action theory, Bruno Latour’s actor–network theory), the study reveals the role of technologies, such as AI diagnostics, in reviving paternalistic practices. Special attention is paid to epistemic injustice, dehumanization of medical interactions, and resistance through self–help. The conclusion highlights the need to integrate technological progress with an ethics of reciprocity and horizontal solidarity to preserve the humanistic dimension of care.

About the Author

R. V. Vasyukov
Russian State Social University
Russian Federation

Rostislav Viktorovich Vasyukov, PhD, Associate Professor



References

1. Horkheimer M. Eclipse of Reason: Critique of Instrumental Reason. – Moscow: Canon+ ROOI Rehabilitation, 2011. – 224 p. (In Russ.)

2. Latour B. Reassembling the Social: An Introduction to Actor–Network Theory [Text] / Transl. from English by I. Polonskaya; Ed. by S. Gavrilenko. – Moscow: Higher School of Economics Publishing House, 2014. – 384 p. (In Russ.)

3. Levinas E. Time and the Other: Humanism of the Other / Transl. from French by A. V. Paribok. – St. Petersburg: Higher Religious–Philosophical School, 1998. – 265 p. (In Russ.)

4. Mol A. The Multiple Body: Ontology in Medical Practice / Transl. from English by Cube of Pink group (MSU); Sci. eds. A. Pisarev, S. Gavrilenko. – Perm: Gile Press, 2017. – 254 p. (In Russ.)

5. Fricker M. Epistemic Injustice: Power and the Ethics of Knowing. – Oxford: Oxford University Press, 2009. – 198 p.

6. Shevchenko S. Yu. To Despise and Prompt: Epistemic Injustice and Counter– Expertise // Epistemology and Philosophy of Science. 2020. Vol. 57, No. 2. Pp. 20–32. (In Russ.)

7. Mol A. The Multiple Body: Ontology in Medical Practice / Transl. from English by Cube of Pink group (MSU); Sci. eds. A. Pisarev, S. Gavrilenko. – Perm: Gile Press, 2017. – 254 p. (In Russ.)

8. Barad K. Agential Realism: How Material–Discursive Practices Acquire Significance / Transl. from English by I. Shteiner // Experiments in Inhuman Hospitality: An Anthology / Eds. M. Kramar, K. Sarkisov. – Moscow: V–A–C press, 2018. – Pp. 42–121. (In Russ.)

9. Foucault M. The Hermeneutics of the Subject: Lectures at the Collège de France, 1981–1982 / Transl. from French by A. G. Pogonyailo. – St. Petersburg: Nauka, 2007. – 677 p. (In Russ.)

10. James I. The Technique of Thought: Nancy, Laruelle, Malabou, and Stiegler after Naturalism. – Minneapolis: University of Minnesota Press, 2019. – 232 p.


Review

For citations:


Vasyukov R.V. The Paternalistic Model of Assistance: Problems and Prospects (A Socio-Philosophical Analysis). The Kazan Socially-Humanitarian Bulletin. 2025;(2(69)):73-80. (In Russ.) https://doi.org/10.26907/2079-5912.2025.2.73-80

Views: 29


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2079-5912 (Print)