This article examines two contrasting interviews—with an Anglo and a Puerto Rican woman—and concludes that gender congruence does not help an Anglo interviewer make sense of the working-class, Hispanic woman's account of her marital separation. Both in form and content, her discourse contrasts sharply with an Anglo woman's account. The two women use different narrative genres or forms of telling to communicate their culturally distinctive experiences with marriage. In the case of the Puerto Rican woman, these differences result in major (...) misunderstandings by the interviewer. Applying narrative methods to these interviews shows how closer attention to the voice of the subject can enrich qualitative research. (shrink)

During public health crises including the COVID-19 pandemic, resource scarcity and contagion risks may require health systems to shift—to some degree—from a usual clinical ethic, focused on the well-being of individual patients, to a public health ethic, focused on population health. Many triage policies exist that fall under the legal protections afforded by “crisis standards of care,” but they have key differences. We critically appraise one of the most fundamental differences among policies, namely the use of criteria to categorically exclude (...) certain patients from eligibility for otherwise standard medical services. We examine these categorical exclusion criteria from ethical, legal, disability, and implementation perspectives. Focusing our analysis on the most common type of exclusion criteria, which are disease-specific, we conclude that optimal policies for critical care resource allocation and the use of cardiopulmonary resuscitation (CPR) should not use categorical exclusions. We argue that the avoidance of categorical exclusions is often practically feasible, consistent with public health norms, and mitigates discrimination against persons with disabilities. (shrink)

Teaching is not testimony. Although both convey information, they have different uptake requirements. Testimony aims to impart information and typically succeeds if the recipient believes that informationon account of having been told by a reliable informant. Teaching aims to equip learners to go beyond the information given—to leverage that information to broaden, deepen, and critique their current understanding of a topic. Teaching fails if the recipients believe the information only because it is what they have been told.

In a world surrounded by smart objects from sensors to automated medical devices, the ubiquity of ‘smart’ seems matched only by its lack of clarity. In this article, we use our discussions with expert stakeholders working in areas of implantable medical devices such as cochlear implants, implantable cardiac defibrillators, deep brain stimulators and in vivo biosensors to interrogate the difference facets of smart in ‘implantable smart technologies’, considering also whether regulation needs to respond to the autonomy that such artefacts carry (...) within them. We discover that when smart technology is deconstructed it is a slippery and multi-layered concept. A device’s ability to sense and transmit data and automate medicine can be associated with the ‘sting’ of autonomy being disassociated from human control as well as affecting individual, group, and social environments. (shrink)

L’émergence de l’économique doit-elle être comprise comme l’émancipation des conduites privées de la tutelle politique, ou comme la promotion publique de conduites jusque-là simplement privées, ou particulières? Confrontant le récit classiquement libéral de l’auto-affirmation de l’individu à l’analyse de la recomposition des sphères sociales (famille, économie, État) à l’époque moderne, tout en s’appuyant sur la distinction entre économie formelle et économie substantielle, l’article argumente en faveur de l’étude des sphères qui permet non seulement de rendre compte de l’articulation de l’économique (...) et du politique, mais également du statut de l’individu. (shrink)

« La liberté consiste à n'être soumis qu'aux lois»: cette idée, que Turgot attribue aux «écrivains républicains», a sans doute sa place dans la tradition républicaine. Il s'agit cependant d'une idée essentiellement moderne, et pas nécessairement républicaine, développée dans la critique de l'absolutisme: on en retient l'importance qu'il y a à faire la loi, tout en refusant que qui que ce soit puisse se placer au-dessus des lois. Montesquieu fait du gouvernement modéré, qui peut être une monarchie, le gouvernement de (...) la loi, celle-ci garantit à l'action rationnelle la prévisibilité et la constance dont elle a besoin. C'est Rousseau qui fait du gouvernement de la loi un thème républicain, en identifiant autogouvernement et autonomie. Lier la liberté à la loi, c'est insister sur l'existence politique des libertés: depuis Turgot, les libéraux y voient une menace pour les droits. (shrink)

Clinical research is a necessity if effective and safe treatments are to be developed. However, this may well include the need for research that is best described as ‘invasive’ in that it may be associated with some discomfort or inconvenience. Limitations in the undertaking of invasive research involving people with intellectual disabilities (ID) are perhaps related to anxieties within the academic community and among ethics committees; however, the consequence of this neglect is that innovative treatments specific to people with ID (...) may not be developed. Such concerns are likely to continue while there is limited published knowledge regarding the actual experiences of people with ID who have participated in invasive clinical research. As part of a pilot study trialling the novel use of a surgically inserted device to curb overeating in people with Prader–Willi syndrome (PWS) we have investigated the experience of research through semistructured qualitative interviews involving three participants and their carers. Thematic analysis revealed that the adults with PWS and their family carers rated their participation positively, seeing it as a rewarding and enriching experience. This brief report discusses findings from our interview data in order to highlight strategies which may ensure that research is acceptable to participants, meets the necessary ethical standards and is able to achieve the aims set out by the researchers. To our knowledge, this is the first study to record experiences directly from people with PWS and their carers regarding their involvement in invasive clinical research. (shrink)

This article presents a study of corporate-stakeholder relationships using an empirical technique called Data Envelopment Analysis (DEA) to assess company "best practices" with respect to five primary stakeholders at an industry level of analysis. Five key stakeholder domains are considered: community relations, employee relations, environment, customer (product category), and stockholders (financial performance). These data reflect the relationships between companies and these five primary stakeholders; these relationships are considered to be important elements of corporate social performance. About 15% of companies, on (...) average, are found to be operating at the multidimensional "best practices frontier" that DEA establishes. Differences in treatment of stakeholders within industries and between industries are observed. (shrink)

Menu labelling is a public health policy intervention that applies principles of nutrition labelling to the eating out environment. While menu labelling has received a good deal of attention with regard to its effectiveness in shaping food choices for obesity prevention, its premises have not yet been fully explored in terms of its broader applications to social equity and population health. In the following case, we focus on the example of menu labelling within the context of food policy at the (...) local level, a fruitful substantive area of consideration for public health ethics. (shrink)

Why are young women less likely than young men to persist in academic science and engineering? Drawing on 57 in-depth interviews with PhD students and postdoctoral scholars in the United States, we describe how, in academic science and engineering, motherhood is constructed in opposition to professional legitimacy, and as a subject of fear, repudiation, and public controversy. We call this the “specter of motherhood.” This specter disadvantages young women and amplifies anticipatory concerns about combining an academic career with motherhood. By (...) specifying the content of cultural discourses about motherhood in academic workplaces and the processes by which these ideas circulate, produce disadvantage, and inform young, childless scientists and engineers’ career plans, our findings offer novel insight into mechanisms contributing to inequality in academic careers. (shrink)

This article recounts the development of the Professional/problem-based Ethics Program, the original physicians’ professional ethics remediation course. Since 1992, more than 1,200 healthcare professionals of many disciplines have been mandated to attend ProBE by licensing boards and other oversight entities. Using a small-group, interprofessional setting, the ProBE Program assists participants to discover and articulate ethical underpinnings violated by their misconduct; appreciate professional responsibilities that are societal, regulatory, and ethical; and recommit to professional ideals. The authors describe the rationale for developing (...) ProBE, its curriculum, participant demographics, and infractions and reconsider medical professionalism in light of two decades of ProBE. (shrink)

This study contributes to the definition of populism as a significant current of thought in modern China through a focus on the development of the populist ideas of Liang Shuming . It provides an avenue to understanding a major thinker and social activist of modern China. At the same time, through a comparison with Russian Narodism, it develops populism as a general sociohistorical concept, denoting a constellation of ideas which emerges in a specific historical environment and includes a concern with (...) rural society and a critique of the modern West in the context of questions of the moral nature of progress. ;The dissertation describes the origins and development of Liang's ideas, presenting them against the background of major intellectual tendencies of the times. After an early urban, Westernizing focus, Liang arrived at a populist approach relatively late. A persisting habit of thought, involving a metaphor of mind, informed his early concerns, his attention to the ambiguities of progress and to the appeals of socialism, and his later foci on a critique of the West, an historical approach, and a particular concept of the psyche. The events of the 1920's provided the context in which Liang was able to reconcile his disparate concerns and develop a mature populist theory in which the villages provided a practical intersection of individual subjectivity and history. ;In the evolution of his ideas, Liang Shuming shared with other Chinese, Zhang Taiyan, Zhang Shizhao, Li Dazhao, and Mao Zedong, affinities which help define populism as a broad current of thought still important in China. A critique of the West and desire to skip over capitalism on the way to the future have more weight in Chinese populism than does a focus on rural society. In the absence of a specifically populist political movement, the historical importance of Chinese populism has derived from its interpenetration with Marxist ideas. One potential of the legacy of Chinese populism is to provide a self-conscious orientation toward the future from the perspective of a critique of both the Western present and the Chinese past. (shrink)

Conducted among parents of young ice hockey players, this field experiment tested if making salient increasingly popular social norms that promote sportspersonship, learning, and having fun in sports, increases parents’ own self-determined endorsement of these behaviors and values, improves their psychological well-being, and impacts on their children’s on-ice behaviors. Hockey parents were randomly assigned to the experimental condition vs. control condition. Parents’ motivations for encouraging their child to learn and to have fun in hockey were then assessed. Score sheets for (...) the games that followed the study provided access to their children’s on-ice behaviors, as indicators of sportspersonship. Parents in the experimental condition reported higher self-determination for encouraging their child to learn and have fun in hockey compared to parents in the control condition. Furthermore, children of parents in the experimental condition had more assists. A mediation model revealed that the dynamic norms manipulation increased parents’ self-determined motivation for encouraging their child to learn and to have fun in hockey, which in turn, predicted higher psychological well-being. Together, these results provide support for the contention that highlighting increasingly popular social norms that promote sportspersonship, learning, and fun in sports, represents a promising strategy for creating positive social change in this life context. (shrink)

This article seeks to explore the spiritual guidance of Saint Ignatius of Loyola as a worthy spiritual guide for our time as we consider some ways that we might seek to more clearly understand and authentically live out the call of Christ in our life journey. In this context of considering the work of Ignatius’ Spiritual Exercises as a viable tool for such interior conversion, it is necessary for the work of this article to take a closer look at some (...) highlights of Ignatius’ own life journey in order to appropriately consider the significance of key sections of his Spiritual Exercises and the dynamics for Christian formation and transformation inherent in these selected texts. I seek to argue that any assessment of our spiritual maturity in Christ finds clear context in our everyday life experiences as Saint Ignatius so aptly demonstrates. (shrink)

Au cœur de la prise en charge orthophonique, l’oralité est constituée des phénomènes psychologiques, biologiques et fonctionnels assurant la mise en œuvre du comportement oral de l’enfant. Cet article, écrit par une orthophoniste psychologue, expose en quoi l’oralité verbale se construit pour le jeune enfant conjointement à son oralité alimentaire. L’éducation gnoso-praxique orale précoce concerne l’oralité alimentaire et verbale en partenariat avec les parents. Les modalités d’interaction précoce, la valeur donnée aux comportements par l’entourage et les modes de réponse qui (...) en découlent ont un rôle essentiel et une dimension préventive face aux troubles de l’oralité. (shrink)

Leibniz’s metaphysics has been cited as a source of the dynamic and organic worldview of romantic Naturphilosophie. This chapter evaluates that claim by examining two distinct lineages of Leibniz’s metaphysical conception of dynamic appetition. On one hand, by demonstrating the existence of a “vis viva” in inanimate objects and by ascribing two distinct powers—perception and appetition—to all plants and animals as well as to his incorporeal “monads,” Leibniz seemed to restore force to physics and experience and intentionality to animals. On (...) the other hand, on account of the publication history of his writings, Leibniz’s pre-established harmony and preformation theory were seen by most philosophers before Herder and Schelling as reducing humans as well as animals to machines without free-will and their development to a mechanically predetermined succession of states. While appreciation of Leibniz’s views on activity and creativity in nature did increase towards the end of the century, other philosophical antecedents for the “drive” motif in German philosophy should be considered. (shrink)

This volume argues that feminist theory can provide distinctive and potent resources to confront and take on post-truth. By ‘post-truth’, we refer to a variety of discourses and practices that subvert the sense that we share a common world. Because post-truth undermines the norms and conditions that make possible shared political practices and institutions, post-truth politics is fundamentally anti-democratic. The most common response to post-truth has, however, come from those who call for reinstating truth and rationality, with special emphasis on (...) returning to the facts and fact-checking. From a feminist perspective, this approach is worrisome as it risks idealizing the connection between democracy and truth, disowning the tensions within and between them, and suppressing contestation tout court. Diagnosing the post-truth moment we face two challenges: on the one hand, there is too much contestation (of the post-truth variety); on the other hand, there is too much depoliticization (of the technocratic or rationalist variety). This binary effectively limits the space within which critiques of post-truth can meaningfully intervene. Feminist takes on post-truth must take seriously this dual challenge at the crossroads of depoliticization and hyper-politicization, acknowledging the anti-democratic dangers of post-truth while keeping open the possibility and necessity of contestation. Our gambit is that effective rejoinders to post-truth can be found in practices that affirm rather than repudiate a plural world. Rather than simply condemning or dismissing post-truth as mad or irrational, the feminist theorists in this volume move closer to what we’re up against in order to see how encounters with reality provide opportunities to radicalize and politicize our relation to it in ways that do not undermine the conditions for others to do the same. This volume is an attempt to open new, and emphasize existing, feminist modes of response that might break the deadlock in the post-truth discourse. (shrink)

It is an honor and a surprise to find myself speaking with you this evening. I have not yet taken direct part in this community of discourse that is gathered in the name of AJTP; but I have operated for decades in the same intellectual neighborhood—or at least universe—and have always been entangled in some margin or other of your intellectual projects. Which projects I understand are not one. You are after all a plurality of pluralists; and you perhaps all (...) inhabit some version of the Jamesian pluriverse, which makes a universe only by getting strung along in an impossible excess of entanglements. “Without too much you cannot have enough, of anything. Lots of inferior books, lots of bad statues, lots of dull.. (shrink)

It is well known that there has been a steady and significant underrepresentation of women in philosophy on different professional levels. Numerous hypotheses explaining this underrepresentation have been suggested, but empirical analyses are not yet extensive. In particular, studies of the phenomenon in different countries are nonexistent. In this paper, we present findings from an exploratory study in which we analyze the interests, abilities, beliefs, attitudes, perceptions, and goals of bachelor’s students in a semester-long philosophy of science course at a (...) major German university. We furthermore make the first attempt to compare women-only learning environments with mixed-gender learning environments. Our results suggest that while there are generally some gender differences regarding interests, abilities, beliefs, attitudes, perceptions, and goals of students in the classroom, most of the hypotheses we explore to explain dropout rates by gender differences cannot be supported. We conclude that possible factors leading to the underrepresentation of women in philosophy in Germany might be found in the social and institutional environment within which philosophy is taught. (shrink)

In treatments of the relation of Chinese thought to pragmatism, pragmatism most commonly refers to the philosophy of John Dewey, and such treatments look to the Chinese past, whether recent or distant, not to contemporary Chinese philosophy. Nearly a century ago Dewey became the foremost exponent of pragmatism, both in the English-language world and also around the globe. In China, Dewey’s student Hu Shi was a seminal figure in the New Culture Movement. Dewey himself had a direct effect on Chinese (...) intellectuals during the just over two-year period that he spent lecturing and teaching in China between May 1919 and July 1921, his most immediate impact being in the arena of education.1 Beyond studies of... (shrink)

Although some people argue Emmanuel Levinas is a Jewish thinker because he introduces in his philosophical work ideas which come from the Jewish tradition, I want to present him as a philosopher. A philosopher who tries to widen the philosophical horizon which is traditionally a Greek one but, at the same time, a philosopher who does not want to abandon it. In one of his main books Totality and Infinity, he describes western civilization as an hypocritical one because it is (...) attached both to the True and to the Good, but he adds:It is perhaps time to see in hypocrisy not only a base contingent defect of man, but the underlying rending of a world attached to both the philosophers and the prophets, When reading Levinas we may realize that such an ‘hypocrisy’ might well be a blessing from a philosophical point of view. One of Levinas's philosophical aims is to refer to the Greek language of philosophy—a language he asserts to be of universal significance—in order to elucidate ideas that come from the Hebrew world view, from the prophets and from the sages. He wants to give a new insight into Greek categories and concepts but he refuses to abnegate the philosophical requirements for accuracy. That is why when he refers to biblical verses or to Talmudic apologues, he does not want to prove anything. His philosophical writings are indeed philosophical because he does not yield to the temptation of substituting the authority of a certain verse or of a certain name to the philosophical requirement of argumentation. (shrink)

This chapter first outlines the three main phases of the development of the single market, together with the impetus and philosophy underpinning it. The idea behind the original European Economic Community (EEC) Treaty was simple: barriers to free movement of goods, persons, services, and capital would be removed through the use of treaty provisions that prohibited obstacles to free movement. One aspects of the single market have been reformed following the crisis, notably financial services. The legislature is increasingly moving towards (...) the use of regulations, rather than directives, to ensure greater uniformity and maximum as opposed to minimum harmonization to remove the possibility of national variation. The chapter then examines some of the challenges facing the single market. The challenges essentially concern questions of competence, sovereignty and effectiveness. There are two main approaches to attaining a common market, namely decentralized model and centralized model. (shrink)

It is commonly assumed that the desire for a thin female physique and its pathological expression in eating disorders result from a social pressure for thinness. However, such widespread behavior may be better understood not merely as the result of arbitrary social pressure, but as an exaggerated expression of behavior that may have once been adaptive. The reproductive suppression hypothesis suggests that natural selection shaped a mechanism for adjusting female reproduction to socioecological conditions by altering the amount of body fat. (...) In modern Western culture, social and ecological cues, which would have signaled the need for temporary postponement of reproduction in ancestral environments, may now be experienced to an unprecedented intensity and duration. (shrink)

This article compares the landscape of tobacco regulations to the landscape of gun regulations, with a focus on regulations that target youth. This article argues that guns are significantly less regulated compared to tobacco, despite the frequency with which each product causes significant harm to both self and other. Many of the specific ways tobacco is regulated can be applied analogously to firearms while plausibly surviving potential Second Amendment challenges. This article compares the regulatory landscape of tobacco and firearms across (...) six categories: minimum age for purchase, sale by unlicensed individuals, taxation, advertising, graphic warning labels, and zoning. At one time, tobacco was as central — or more so — to American culture as guns are today. However, many decades of public health advocacy led to historic tobacco regulations. Tobacco's regulatory history provides a valuable blueprint for gun regulation, despite Constitutional differences. (shrink)

Cet ouvrage constitue la version révisée d'une thèse de doctorat soutenue à la Scuola Normale Superiore de Pise, et traduite en anglais. Composé de quatre chapitres, l'ouvrage se propose d'abord d'examiner le rôle que Platon attribue à la musique dans l'éducation, pour ensuite analyser la relation que la musique entretient avec l'âme et le corps. F. Pelosi étudie la conception platonicienne de la musique et envisage son importance pour comprendre non seulement la relation corps-esprit chez Platon, mais (…) - 12. (...) Plato 12 (2012). (shrink)

Medical and Taoist sources written or compiled during the Han dynasty provide the first accounts, reflections, and theories on the self, on disease, and on the relationships between humans and the world in which they live. This chapter focuses on this particular period of time which, in fact, lays important foundations for Chinese society and culture. Relying mainly on medical and Taoist sources, it firstly sheds light on how the self was thought of and represented at this time and examines (...) how the links between human beings and their environment were conceived of. It then focuses on what, for humans and in the environment, were thought of as potential threats to health and how the image of an ideal landscape was thus constructed, that is, a landscape into which humans could fit perfectly and live healthy lives. Finally, we analyze how this ideal landscape was supposed to work to preserve good health in humans. (shrink)