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DTSTART;TZID=UTC:20260420T173000
DTEND;TZID=UTC:20260420T183000
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SUMMARY:Pleonexia and the Public/Private Health Systems - Kathryn MacKay (University of Sydney)
DESCRIPTION:Abstract: ‘Pleonexia’ is an ancient Greek term that means taking or wanting to take more than is one’s due\, or avoiding or wanting to avoid contributing what one justly owes. It is often translated as ‘greed\,’ though it is more complex than an idea of greed like uncontrolled appetites\, gluttony\, or avarice. It is also concerned with goods beyond those that are material in nature\, and includes honour\, respect\, and other non-material goods. Importantly\, pleonexia is connected to justice and not just to appetite. It demands to know\, what are you rightly owed\, or what do you rightly owe in turn? \nIn this paper\, I use the idea of pleonexia to interrogate the common practice in Australia whereby physicians and specialists trained in the public healthcare system exit the public system immediately upon completing their training\, for an exclusively private healthcare practice. All doctors are trained in the public system\, and learn from doctors who have chosen to have all or part of their practice in the public side. However\, many doctors choose to exit the public system entirely once their training is completed\, removing their skills from the system and closing off access to both other trainees and the patients who would benefit from their practice. I argue that this is a case of pleonexia but not simply in the positive side of wanting more money or status (though these may be involved). Here\, I will focus on the other side of pleonexia involved in this case\, of not contributing what one justly owes\, and leaving the system worse off as a result. \nBio: Kathryn MacKay is a Senior Lecturer and Program Director of the Master of Bioethics at Sydney Health Ethics. She has a BA in philosophy from the University of Western Ontario (Canada)\, an MA in philosophy from McGill University (Canada)\, and a PhD in bioethics from the University of Birmingham (UK). Kathryn’s research brings a feminist theoretical lens to the field of bioethics\, and especially public health ethics. Her work involves examining issues of human flourishing at the intersection of moral theory\, feminist theory\, and political philosophy. She has recently published a book on institutional virtue for public health\, entitled Public Health Virtue Ethics: Institutions\, Structures\, and Political Virtue for the Good Society (Routledge\, 2025).
URL:https://hps-events.sydney.edu.au/event/pleonexia-and-the-public-private-health-systems-kathryn-mackay-sydney-university/
LOCATION:Carslaw Building Lecture Theatre 275\, Carslaw Building (F07)\, Level 2\, Room 275\, The University of Sydney\, NSW\, 2006\, Australia
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DTSTART;TZID=UTC:20260504T173000
DTEND;TZID=UTC:20260504T183000
DTSTAMP:20260425T133914
CREATED:20260422T070948Z
LAST-MODIFIED:20260422T071115Z
UID:192-1777915800-1777919400@hps-events.sydney.edu.au
SUMMARY:PTSD in Australia from DSM-III to the Royal Commission into Defence and Veteran Suicide (2021-2024) - Effie Karageorges (The University of Newcastle)
DESCRIPTION:Effie Karageorgos\nAbstract: In 1980\, the American Psychiatric Association published the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III)\, which introduced post-traumatic stress disorder (PTSD)\, a new psychiatric category applicable to both civilian and veteran trauma. PTSD differed from previous DSM classifications such as ‘gross stress reaction’ in DSM-I of 1952 and ‘transient situational disturbance’ in 1968’s DSM-II by its insistence that such trauma was not related to personality\, but rather ‘normal’ responses to a stressful event. Although this definition harked back to Freudian conceptualisations of ‘psychic trauma’\, it was bound by a set of guidelines in line with the neo-Kraepelinian approach of DSM-III. For the military veteran\, this new definition was revolutionary\, removing – officially\, at least – the suggestion common during the First and Second World Wars that traumatic symptoms were caused by faults in individual or hereditary makeup. In Australia\, the Department of Veterans Affairs began recognising PTSD as a pensionable condition from the early 1980s\, but it was not until the 1990s that Australian veterans mounted a collective approach to advocating for the recognition and pensioning of veteran trauma\, predominantly through the Vietnam Veterans Association of Australia (VVAA).  Since this period\, advocacy by the VVAA and other organisations has promoted the biomedical model of veteran trauma in alignment with the DSM\, ensuring that veterans retain their respectability as ex-soldiers\, while insisting on life-centred treatment options reflecting a biopsychosocial model. This paper focuses on the Australian example\, where the foregrounding of military histories within national identity has led to a specific framing of the masculine soldier ‘hero’ that allows little room for men ‘weakened’ by trauma. Despite tireless advocacy by veteran organisations from the 1980s\, the recent Royal Commission into Defence and Veteran Suicide tells us that the Australian Defence Force (ADF) remains attached to this framing and is yet to embrace the necessarily multifaced approach to ensure quality of life for traumatised military personnel. \nBio: Effie Karageorgos is a historian whose work focuses on conflict\, violence\, protest\, gender and psychiatry. She is Deputy Co-Director of the UON Centre for Society\, Health and Care Research\, co-editor of Health and History journal and co-investigator on the ARC project ‘Life outside institutions: histories of mental health aftercare 1900 – 1960’ led by Catharine Coleborne. With Natalie Hendry (University of Melbourne)\, she coordinates the Social Production of Mental Health seminar series\, which has formed the basis of their recent edited book Critical Mental Health in Australia and Aotearoa New Zealand: Social and Historical Perspectives (Palgrave\, 2025). Her latest book Quiet Protest: A New History of Activism in the Vietnam War is published by UNSW Press in April 2026.
URL:https://hps-events.sydney.edu.au/event/ptsd-in-australia-from-dsm-iii-to-the-royal-commission-into-defence-and-veteran-suicide-2021-2024-effie-karageorges-the-university-of-newcastle/
LOCATION:Carslaw Building Lecture Theatre 275\, Carslaw Building (F07)\, Level 2\, Room 275\, The University of Sydney\, NSW\, 2006\, Australia
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