Vividharatnakarandaka. Festgabe für Adelheid Mette. Edited by Christine Chojnacki, Jens-Uwe Hartmann and Volker M. Tschannerl. Indica et Tibetica Verlag, Swisttal-Odendorf 2000. 540 pp. DM 128. ISBN 3-923776-37-3.

Purpose/methods: This study investigated the relationship between ethics education and training, and the use and usefulness of ethics resources, confidence in moral decisions, and moral action/activism through a survey of practicing nurses and social workers from four United States (US) census regions. Findings: The sample (n = 1215) was primarily Caucasian (83%), female (85%), well educated (57% with a master's degree). no ethics education at all was reported by 14% of study participants (8% of social workers had no ethics education, (...) versus 23% of nurses), and only 57% of participants had ethics education in their professional educational program. Those with both professional ethics education and in-service or continuing education were more confident in their moral judgments and more likely to use ethics resources and to take moral action. Social workers had more overall education, more ethics education, and higher confidence and moral action scores, and were more likely to use ethics resources than nurses. Conclusion: Ethics education has a significant positive influence on moral confidence, moral action, and use of ethics resources by nurses and social workers. (shrink)

Mixed inferences are a problem for those who want to combine truth-assessability and antirealism with respect to allegedly nondescriptive sentences: the classical account of validity has apparently to be given up. J.C. Beall's response is that validity can be defined as the conservation of designated valued (Beall 2000). I argue that since it presupposes a truth predicate that can be applied to all sentences, this suggestion is not helpful. I also consider problems arising from mixed conjunctions and discuss the deeper (...) worry that the distinction between truth which does and truth which does not entail realism is inferentially irrelevant. (shrink)

Different types of consent are used to obtain human biospecimens for future research. This variation has resulted in confusion regarding what research is permitted, inadvertent constraints on future research, and research proceeding without consent. The National Institutes of Health Clinical Center's Department of Bioethics held a workshop to consider the ethical acceptability of addressing these concerns by using broad consent for future research on stored biospecimens. Multiple bioethics scholars, who have written on these issues, discussed the reasons for consent, the (...) range of consent strategies, and gaps in our understanding, and concluded with a proposal for broad initial consent coupled with oversight and, when feasible, ongoing provision of information to donors. This article describes areas of agreement and areas that need more research and dialogue. Given recent proposed changes to the Common Rule, and new guidance regarding storing and sharing data and samples, this is an important and tim.. (shrink)

In reply to Geach's objection against expressivism, some have claimed that there is a plurality of truth predicates. I raise a difficulty for this claim: valid inferences can involve sentences assessable by any truth predicate, corresponding to 'lightweight' truth as well as to 'heavyweight' truth. To account for this, some unique truth predicate must apply to all sentences that can appear in inferences. Mixed inferences remind us of a central platitude about truth: truth is what is preserved in valid inferences. (...) The question is why we should postulate truth predicates that do not satisfy this platitude. (shrink)

It has now become a realistic prospect for smart care to be provided at home for those living with long-term conditions such as dementia. In the contemporary smart care scenario, homes are fitted with an array of sensors for remote monitoring providing data that feed into intelligent systems developed to highlight concerning patterns of behaviour or physiological measurements and to alert healthcare professionals to the need for action. This paper explores some ethical issues that may arise within such smart care (...) systems, focusing on the extent to which ethical issues can be addressed at the system design stage. Artificial intelligence has been widely portrayed as an ethically risky technology, posing challenges for privacy and human autonomy and with the potential to introduce and exacerbate bias and inequality. While broad principles for ethical artificial intelligence have become established, the mechanisms for governing ethical artificial intelligence are still evolving. In healthcare settings the implementation of smart technologies falls within the existing frameworks for ethical review and governance. Feeding into this ethical review there are many practical steps that designers can take to build ethical considerations into the technology. After exploring the pre-emptive steps that can be taken in design and governance to provide for an ethical smart care system, the paper reviews the potential for further ethical challenges to arise within the everyday implementation of smart care systems in the context of dementia, despite the best efforts of all concerned to pre-empt them. The paper concludes with an exploration of the dilemmas that may thus face healthcare professionals involved in implementing this kind of smart care and with a call for further research to explore ethical dimensions of smart care both in terms of general principles and lived experience. (shrink)

The paper draws its inspiration from the provocation which Merton offered sociology both to engage with empirical data and to perform analyses adequate to guide intervention beyond the particular case. Whilst contemporary STS is very different both in its models of theory and its forms of methodology, this paper suggests Merton's concerns with engagement and adequacy provide a useful way to interrogate current approaches. Specifically, the paper explores some recent anthropological conceptions of ethnographic fieldwork that have provided potent models for (...) the study of scientific and technological cultures. These multi-sited approaches have also provided the opportunity to develop new notions of intervention and explore alternative ways of making contributions to development of theory and practice. In the process of pursuing the goals of engagement and adequacy notions of ethnography have however become stretched. This sense of detachment from methodological canons accentuates the need for methodological debate and skill-sharing in STS. (shrink)

In this article I begin by discussing the persistent problem of relations between educational inequality and the attainment gap in schools. Because benefits accruing from an education are substantial, the ‘gap’ leads to large disparities in the quality of life many young people can expect to experience in the future. Curriculum knowledge has been a focus for debate in England in relation to educational equality for over 40 years. Given the contestation surrounding views about curriculum knowledge and equality I consider (...) the thinking of two philosophers, Jacques Derrida and Emmanuel Levinas, and their work on justice, to trouble the curriculum framework and discourse of knowledge promoted through the policy text of The Importance of Teaching: The Schools White Paper (2010) and later associated policy reforms to the General Certificate of Secondary Education (GCSE) curriculum in England. The Schools White Paper aims to make the curriculum more challenging to students by introducing tight controls in terms of the assessment framework and curriculum knowledge. I argue that, when considered through Derrida's perspective on language and meaning and Levinas' view on the ethical responsibility for the other, the reforms present obstacles to the search for a just curriculum. I look to the work of Sharon Todd and Paul Standish for a re-imagination of curriculum as or through relations in the light of Derrida's and Levinas' philosophies. (shrink)

Well before patient-centered or patient-controlled research became trendy, and earlier than calls to preferentially refer to research subjects as participants, Bob Veatch wrote “The Patient as Partner” Veatch presciently argued that research patients should not be thought of as passive subjects nor material from which to obtain data, but rather as partners in discovery. In this manuscript, I will explore Veatch’s conception of patient as partner in research and how that idea has evolved and been implemented over time and consider (...) some of the remaining challenges. Complexities of patient partnership include: clarifying the types of research in which patient partnership is most appropriate, recognizing the various possible levels of patient engagement in each case, avoiding tokenism and striving for respectful partnership, and keeping in mind the appropriate implementation of protections and safeguards. Bob Veatch would be pleased with the progress that has been made in creating research partnerships with patients, while also undoubtedly pushing us to continue to do better. (shrink)

In their target article, Morain and colleagues (2019) tackle the long-standing and thorny issue of whether and when it might be ethical for a physician-investigator to obtain research consent from...

Research has shown that a majority of employed women experience sexual harassment and suffer negative repercussions because of it; yet only a minority of these women label their experiences “sexual harassment.” To investigate how people identify sexual harassment, in-depth interviews were conducted with 18 waitpeople in restaurants in Austin, Texas. Most respondents worked in highly sexualized work environments. Respondents labeled sexual advances as sexual harassment only in four specific contexts: when perpetrated by someone who exploited their powerful position for personal (...) sexual gain; when the perpetrator was of a different race/ethnicity than the victim—typically a minority man harassing a white woman; when the perpetrator was of a different sexual orientation than the victim—typically a gay man harassing a straight man; or when violence or the threat of violence was used. The authors argue that the hegemonic norms of acceptable sexual activity privilege heterosexual relationships, legitimize institutionalized forms of sexual exploitation in the workplace, and may protect assailants of the same race and sexual orientation as their victims from charges of sexual harassment. (shrink)

The invocation of large-scale social unities - states, societies, empires, cultures, civilizations - is a long-established and pervasive practice among sociologists, anthropologists, historians, political scientists and so on. This article examines the treatment of such unities as defined or held together by shared understandings and values, and as independent, boundary-maintaining social systems. We argue that both the ideational and the systemic presumptions at work here are dependent on what Foucault calls the figure of man: the first as an inescapable consequence (...) of that figure, the second as a tempting, but by no means necessary, one. Our first major argument concerns the remarkable persistence of concepts, such as ‘culture’, which designate unities that are ideational in character. We use the case study of anthropology to suggest that this is a consequence of the constitutive role of the figure of man within the human sciences. Human scientists and others critical of the stress on sameness resulting from the concern with ideational unities - cultures, ideologies, discourses and so on - as shared across a population, will find it well-nigh impossible either to modify significantly or to jettison altogether such concepts; as long as they rely on some version of the figure of man, scholars are committed irrevocably to the use of these concepts. Our second major argument concerns the conception of society as a systemic unity, a conception which we see as reflecting the influence of the figure of man in the field of governmental reason. In this part of the article we follow Foucault’s argument that the liberal rationality of government leads to a view of social life as traversed by numerous self-regulating spheres of social interaction. However, we dispute his further suggestion that the concept of society itself, as designating a self-regulating sphere of this kind, can be seen as a product of the liberal critique of police. (shrink)

Sports medicine clinicians face conflicts of interest in providing medical care to athletes. Using a survey of college football players, this study evaluates whether athletes are aware of these conflicts of interest, whether these conflicts affect athlete trust in their health care providers, or whether conflicts or athletes' trust in stakeholders are associated with athletes' injury reporting behaviors.

W.V.O. Quine and A.N. Whitehead shared a dualistic ontology of concrete and abstract objects but differed sharply on the status of properties. In this essay, we explore Whitehead’s reasons for admitting properties into his ontology and Quine’s objections. In the course of examining Quine’s position we demonstrate some deficiencies in his position and conclude that in spite of his claims, neither space-time coordinate systems nor classes can do all the ontological work of properties.

Vulnerability in research is often understood as a diminished ability to protect one's own interests, manifested by a compromised capacity to give informed or voluntary consent. Certain groups of people are thought to be more vulnerable than others and therefore are at risk of being exploited or mistreated in research. Accordingly, the federal regulations call for additional safeguards to protect vulnerable groups.There remains some ambiguity and contradiction, however, regarding what groups are vulnerable in research and why,3 since the available codes (...) of research ethics and regulations describe many groups as vulnerable. When so many groups are considered vulnerable, but no specification is offered as to how they are vulnerable or what particular protections are appropriate, the possibility of meaningful safeguards is diminished. In addition, current concepts of vulnerability are usually applied to whole groups of people, without distinguishing between individuals in a group who might truly have a compromised capacity to protect their own interests from those who do not. (shrink)

Here, we describe how Casas Grandes Medio period (AD 1200 to 1450) shamanic practices of the North American Southwest used tobacco shamanism, a ritual stance called the Tennessee Diviner (TD) posture, and cultural expectations to generate trance experiences of soul flight and divination. We introduce a conceptual model that holds that specific trance experiences are the emergent result of human minds interacting with additional factors including entheogens, cultural expectations, physiological states, postures/movement, and sound/stimulation. Experimental and ethnographic evidence indicates initiating trance (...) with either tobacco intoxication or the TD posture accompanied with a rapidly beating drum or rattle corresponds with perceptions of soul flight, transformation, and divination/information acquisition. Both have similar results but pairing them together as they were during the Medio period likely helped ensure the culturally desired trance experiences. This practice of mutually reinforcing factors was likely part of tobacco‐based shamanism found in other New World cultures as well. We suggest our general model can be applied to other contexts to examine how various aspects of trance induction interact to produce the cultural patterns (and resulting cosmological and spiritual frameworks) anthropologists have documented in other cultures. (shrink)

TO ADDRESS THE ROLE OF CHILDREN AND FAMILIES IN STRUGGLES FOR justice, we must bear in mind not "family" in the abstract but particular families in particular times and places. The decisions and actions of particular families—certain African American and white families with children of high school age in Little Rock, Arkansas, during the academic years 1957 and 1958—prompted the controversy I reconsider here, between the German-born political philosopher Hannah Arendt and African American participants and leaders in the southern civil (...) rights movement, most famously represented by Martin Luther King Jr. (shrink)

Several studies have shown that nondisabled people—especially healthcare professionals—tend to judge the quality of life of disabled people to be much lower than disabled people themselves report. In part, this is due to dominant narratives about disability. Teachers of biomedical ethics courses have the opportunity to help students to think critically about disability. This may involve interrogating our own assumptions, given the pervasiveness of ableism. This article is intended to facilitate reflection on narratives about disability. After discussing two readings that (...) illustrate the medical and social models of disability, I share my own approach to teaching on disability in my biomedical ethics course. I include student responses to the readings and ways that they report their thinking about disability changed through engagement with the medical and social models. (shrink)

Research on academic pay finds an unexplained gender pay gap that has not fully dissolved over time and that appears to increase with years of experience. In this study, I consider how role congruity bias contributes to this pay gap. Bias is more likely to manifest in a context where there is some ambiguity about performance and where stereotypes are stronger. I predict that bias in the attribution of credit for coauthored research leads to lower returns to research for female (...) professors. To test this prediction, I use a sample of Canadian faculty in accounting, where research is typically coauthored, where females are underrepresented at the most senior ranks, and where many universities evaluate merit in research, teaching, and service to determine salary increases. In regressions of salary on individual and institutional determinants of salary, I find that women earn marginally less than men. However, the pay gap is only evident for women who publish in a selective list of journals; for the subset of faculty with no publications from this list, there are no significant differences in salary. For researching faculty, the pay gap relates specifically to research productivity. While women publish less on average than men, the returns to their research are also lower. In particular, the relation between the individual’s research ranking and salary is significantly lower for women who publish a higher proportion of their work with men, than for all other faculty. Additional analysis of salary and coauthor patterns confirms that women receive significantly less credit for coauthored articles they publish with men than those they publish with other women but that no similar variations in reward are evident for men across publishing patterns. These findings suggest bias in the attribution of credit for coauthored research in the determination of salary, consistent with role congruity theory, and provide an important potential explanation for why salaries for women vary systematically from those of men even after considering productivity. Providing lower rewards for equal work represents a continuing ethical issue in academe and compounds the challenges women already facing in the profession. (shrink)

Feminist explorations of the sublime and the beautiful have developed in markedly different directions. This is not surprising given the different histories of the two terms. Whereas the nature of the beautiful had been of key importance to Plato, Aristotle, and other ancient Greek and Roman philosophers, it was only during the Englightenment period that a strong contrast was established between the beautiful and the sublime. But this was also the time when there was a decisive shift away from regarding (...) the well-honed male body as best exemplifying the ideal of the beautiful, and beauty itself was domesticated and downgraded. As Mary Wollstonecraft registered in A Vindication of the Rights of Woman (Wollstonecraft 1996 [1792])--one of the earliest European feminist texts--to associate women with the duties of being beautiful in this newly demoted mode was, in effect, to give them the status of subordinate beings. Instead, Wollstonecraft aspired to the newly emergent category of the sublime, which was all too frequently being denied to ideally "feminine" women. (shrink)

Anthropologists have long documented rituals that reinforce the social and spiritual aspects of killing and eating animals. The historical processes of modernization, industrialization, and the spread of market capitalism have driven many such references to sacredness out of meat production in North America, leading dominant social relations around meat into what Max Weber famously termed “disenchantment.” In this article, I argue that re-enchanting discourses are one technique being used to develop the alternative production models of ethically raised meat—animals raised for (...) human consumption with priority on sustainability and well-being. As people redesign a food system that resists the meat industry’s churn of pigs, cows, and chickens from feed lot to factory, they are not just rearranging the material structures of production. They also foster discourses and practices of sacredness, mutuality, and wonder. Ethical meat advocates use these discourses particularly to make sense of conflicts regarding the non-commodifiable nature of mortality and harmony. This article draws on ethnographic research among Southern Wisconsin butchers, farmers, and customers as well as public discourse analysis to trace meaning-making strategies that powerfully counter the commercial meat industry by re-enchanting meat. (shrink)

On admet en général qu’il y a deux sortes de concepts normatifs : les concepts évaluatifs, comme bon, et les concepts déontiques, comme devoir. La question que soulève cette distinction est celle de savoir comment il est possible d’affirmer que les concepts évaluatifs sont normatifs. En effet, comme les concepts déontiques semblent constituer le coeur du domaine normatif, plus le fossé entre les deux sortes de concepts est grand, moins il paraîtra plausible d’affirmer que les concepts évaluatifs sont normatifs. Après (...) avoir présenté les différences principales entre les concepts évaluatifs et les concepts déontiques, et montré qu’il y a plus qu’une différence superficielle entre les deux sortes de concepts, j’examinerai la question de la normativité des concepts évaluatifs. Il deviendra apparent que même s’il s’agit de concepts ayant des fonctions différentes, il existe un grand nombre de relations entre les concepts évaluatifs, d’une part, et les concepts de devoir et de raison, d’autre part.It is generally accepted that there are two sorts of normative concepts : evaluative concepts, such as good, and deontic concepts, such as ought. The question that is raised by this distinction is how it is possible to claim that evaluative concepts are normative. As deontic concepts appear to be at the heart of normativity, the more there is a gap between evaluative and deontic concepts, the less it appears plausible to say that evaluative concepts are normative. After having presented the main differences between evaluative and deontic concepts, and shown that there is more than a superficial difference between the two sorts of concepts, the paper turns to the question of the normativitity of evaluative concepts. It will become clear that even if these concepts have different functions, there are a great many ties between evaluative concepts, on the one hand, and the concepts of ought and of reason, on the other hand. (shrink)

. Enframing geography: subject, curriculum, knowledge, responsibility. Ethics and Education: Vol. 7, Creating spaces, pp. 277-290. doi: 10.1080/17449642.2013.767004.

In the past few decades, awareness around gender-based violence has expanded on a global scale with increased attention in global treaties, organizations, and conferences. Previously a taboo topic, it is now viewed as a human rights violation in the broader world culture. Drawing on a quantitative analysis of 568 textbooks from 76 countries from across the world, we examine the extent to which this growing global attention to GBV has filtered down into national educational curricula. We find that textbook discussions (...) of GBV are more prevalent in the post-1993 period and are linked to discussions of women’s rights. In addition, discussions of GBV are more common in countries with more linkages to the global women’s movement. Findings from our study underscore the influence of the women’s rights movement and the radical feminist perspective on the reframing of GBV as a human rights issue. (shrink)

How can Günther Anders’ concern with the threat of the atomic bomb enlighten current social thought about the Anthropocene? Building on Anders’ frustration with the “apocalypse blindness”, “laziness” and “indifference” of his contemporaries and his plea for an “apocalyptic passion,” this text sketches the contours of a thinking in and for ‘our’ end times – a time marked by destruction and the irretrievable loss of habitability on this planet. It first translates Anders’ notion of the end times into current debates (...) about the Anthropocene, and then formulates three perspectives for such thinking in ‘our’ end times – the search for orientation, the spatio-temporal extension of responsibility, and the expansion of feelings in “the apocalyptic situation”. (shrink)

Der Beitrag spürt der Entdeckung dessen, was man heute »Eifersucht« nennt, im antiken Rom in der Zeit des Kaisers Augustus nach. Die Autorin erläutert zunächst einige linguistische, sozioökonomische und gesellschaftliche Voraussetzungen, um dann in einem close reading von Gedichten der Elegiker Properz und Ovid Bedingungen und Umstände der Eifersucht in der Metropole Rom zu diskutieren. Diese philologische Auseinandersetzung bereitet psychologischen Überlegungen den Boden.

This article begins with discussing challenges encountered while managing the epistemology of legal modes of thinking and social science, and the limits of relying on discipline-based methodologies for the advancement of empirical legal scholarship. In then discusses two approaches to empirical legal training employed in New York. Through this, it seeks to demonstrate the strengths of collaborative research with illustrations of a cross-national collaboration. Empirical research on law is a multi-method phenomenon. Ideally, empirical legal training means that students need and (...) can further foster a background in a broad range of social science methods and in a set of methods that can use triangulation or juxtaposition to capture the factors that explain law as a social phenomenon. (shrink)

How a community constructs the notion of childhood and the child is fundamentally implicated in the practices and policies of that community. This article explores the positioning of the child in historical, contemporary and emerging trends in the provision and practices of Australian early childhood education and care. It argues that if left uncontested, emerging contemporary constructions have the potential to normalise policies, practices and pedagogies derived from a commercialised view of childhood. Drawing on the experiences and practices of early (...) childhood pedagogues and policy actors both in Australia and overseas the authors posit an alternative construction of the child as citizen and the possibility of the early childhood field as a site for the practice of democracy. (shrink)

This article describes developments in the use of information technology in the biological discipline of taxonomy, using both a historical overview and a detailed case study of a particular information systems project. Taxonomy has experienced problems with both its scientific legitimacy and its utility to other biologists. IT has been introduced into the discipline m response to these perceived problems. The information systems project described here served as a means of managing the tensions between scientific legitimacy and utility. It is (...) argued that this project represents an example of the use of a technological development m an attempt to re-engineer a discipline. The development of the information system is analyzed as an attempt to develop a scientific instrument that will embody a particular model of the discipline. The concerns of taxonomy with status and legitimacy make it appropriate that this new technology should be introduced at the interface between the discipline and the rest of biology as a means of disseminating results, and thus come to represent the discipline and the plants described to outsiders, just as the system represents outsiders to taxonomists. (shrink)

In recent years educational policy on gender and achievement has concentrated on boys' underachievement, frequently comparing it with the academic success of girls. This has encouraged a perception of girls as the ?winners? of the educational stakes and assumes that they no longer experience the kinds of gender inequalities identified in earlier studies. However, trying to balance academic achievement with being seen as a ?proper girl? presents girls with difficult challenges, particularly in terms of being accepted and approved of by (...) classmates and securing the attention of teachers. This paper explores the views of a group of high achieving 12? to 13?year?old girls who indicate that being regarded as ?clever? continues to be negotiated within acceptable frameworks of femininity. (shrink)

The article attempts to determine whether aristotle's conception of epideictic rhetoric included not only display of the orator's powers but also the functions of judgment and comprehension. It is argued that the term "theoria" or "observation" implies judgment and comprehension as well as perception as the function of epideictic, Therefore paralleling the faculty of practical understanding as described in the "nicomachean ethics". The result is a view of epideictic as an intellectual process through which the audience assesses the speaker's ability (...) to make judgments and, In turn, Receives critical insight into the praiseworthy or blamable object. (shrink)

Cosmopolitanism in normative theory of transnational justice is often characterized by the thesis that the moral and legal status of states must be entirely derived from the moral status of the individuals who constitute them. Although the thesis itself is rather indeterminate in substantive and analytical content, it is generally understood as the claim that states should not be granted the status of moral and legal agents sui generis. This article argues that such a view is analytically and methodologically misleading, (...) and that any fruitful approach towards a liberal theory of transnational justice must face the challenge of coming up with a more complex concept of statehood, and acknowledge that in international relations and international law states are collective moral agents in their own right that can be addressees of genuinely collective forms responsibility. The argument starts with a critical examinations of two common interpretations of the cosmopolitan thesis, a reductivist reading, which suggests that we can reduce the moral and legal status of states to the rights and duties of the individuals (section I), and a methodological reading, which suggests that the moral status of individuals must based on the acknowledgment of “universal” individual rights (section II). For different reasons, both readings are argued to fail. Section III then presents an outline of how to conceive of states as agents that possess moral and legal status sui generis and be addressees of collective responsibility. Keywords : cosmopolitanism, statism, ethical individualism, methodological individualism, collective agents, collective responsibility (Published online: 25 August, 2008) Citation: Ethics & Global Politics 2008. DOI: 10.3402/egp.v1i3.1859. (shrink)

(1997). Semantic fields and meaning: A bridge between mind and matter. World Futures: Vol. 48, The Concept of Collective Consiousness: Research Perspectives, pp. 161-170.

In this paper, I explore the claim that phenomenological accounts grounded in the lived experiences of those most tangibly impacted by social norms related to ability can provide crucial correctives and supplements to the existing philosophical literature on disability. After situating discussions of the body within disability theory and debates over the impairment/disability distinction in philosophy of disability more specifically, I argue that extant models are inadequate for theorizing subjective experiences of living as a disabled person. I then develop an (...) account of the relationship between impairment/disability by drawing upon critical phenomenological approaches to embodiment. In conclusion, I turn to the methodological and metaphilosophical issue of how to conduct ethical inquiry concerning disability. I examine some of the ways that ableist assumptions can inform curiosity, provide examples of disabled people’s accounts of experiencing derivatizing curiosity, and offer suggestions for practices of curiosity that not only avoid epistemic harms, but are actively anti-ableist. (shrink)

Although many women experience harmful behaviors that fit the legal definition of sexual harassment, very few ever label their experiences as such. I explore how psychological ambivalence expressed as sadomasochism may account for some of this gap. Following Lynn Chancer, I argue that certain structural circumstances characteristic of highly stratified bureaucratic organizations may promote these psychological responses. After discussing two illustrations of this dynamic, I draw out the implications for sexual harassment theory and policy.

The authors of the two main articles in this supplement recognize the enormous potential of learning health care systems. Their first article argues that the development of these systems calls into question existing guidelines and practices that treat clinical care and clinical research as distinct activities. Their second article proposes to replace this traditional approach with a new framework, one intended to promote two important goals: support the transformation to a learning health care system and help to ensure the ethical (...) appropriateness of the activities carried out within such a system. To promote these goals, the authors propose a framework consisting of seven obligations. The authors are aware that their framework does not provide much guidance for promoting their second goal. At first glance, the seven obligations also might appear to offer little in the way of promoting the first goal. In what way, then, is the proposed framework novel and transformative, as the authors claim? The answer appears to lie largely in how the authors interpret the sixth obligation in the framework—the obligation to conduct learning activities. (shrink)