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If it is evil to sadistically, yet painlessly, destroy someone's reputation, and only painful experiences are harmful, then some evil actions are not harmful (for more about different conceptions of harm see Nagel 1970; Kagan 1998, 29 41).
(For further discussion of these different conceptions of harm to others see e.g., Dyzenhaus 1992, Feinberg 1987).
Experts' conceptions of harm were also important, however, and box 1 describes several examples of ways in which the combination of experts' conception and prioritisation of 'avoiding harm' might affect their level of support for breast screening.
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For instance, someone who has a narrow conception of harm, might believe that evil actions need not be harmful.
Still, the standard sense of having been wronged clearly means having been victimized in some way by an injustice, an evil, or, on a broader conception of harm such as that of Feinberg, a setback to one's interests.
It must either be shown to directly cause actual physical violence to others (e.g., murder, rape, assault, battery), on a narrower understanding of "harm"; or to deliberately or negligently violate sufficiently important interests or rights of others, on a broader, interest-based conception of "harm".
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Not all researchers or clinicians expressed a clear conception of harm, and of those that did, not all described it along these lines.
In contrast, innovation and improving standards in healthcare alter our conceptions of both harm and preventability.
A health professional's conception of both harm to and benefit for a patient can differ sharply from that of the patient, but the health professional's understandings of benefits also often depend on the patient's view of what constitutes a benefit or a worthwhile risk.
What of the choice of terms used, and how might those terms constrict conceptions of the phenomena and harm (or help) the individuals in question?
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com