Background. The increased number of clinical trials taking place in developing countries and the complexity of trial protocols mandate that local ethics review committees reviewing them have the capacity to ensure that they are conducted to the highest ethical standards.Methods. The Kenya AIDS Vaccine Initiative Institute of Clinical Research and the Kenyan National Council for Science and Technology embarked on an exercise to enhance the capacity of ERCs in Kenya to review such protocols. This process involved conducting an audit of (...) all ERCs in the country, and performing training needs assessments to identify knowledge and capacity gaps. Information obtained was used to develop training materials for ERC members at workshops conducted in different parts of the country.Results. Five accredited and 13 non-accredited ERCs were identified. Four of the accredited ERCs were located in the capital city of Kenya, Nairobi. The most common challenges cited by participants during the needs assessments were excess workload, and a lack of co-ordination and/or communication between the ERCs. Subsequently, 140 ERC members from 17 institutions across the country were trained as follows: 36 from institutions in the western part of Kenya, 38 from institutions in the south-eastern coastal region, 38 from the eastern region and 44 from Nairobi.Conclusion. The KAVI-ICR and the NCST have developed training modules for training ERC members in Kenya and are in the process of developing a manual to train members. The Kenyan experience may be used to enhance the capacity of ERCs in the East African region. (shrink)

Prior literature on socially responsible investment has contended that excluding “sin stocks” from a portfolio will reduce performance and increase risk. Further, incorporating stocks of firms with positive social responsibility scores will improve performance and reduce risk. We simulate portfolios designed to mimic typical equity mutual funds’ holdings and investigate these propositions. We remove the potentially confounding influences of differences in manager skill, transaction costs and fees, and conduct a clean experiment on the effect of positive and negative portfolio screening. (...) We find no difference in the return or risk of screened and unscreened portfolios. We conclude that a typical socially responsible fund will neither gain nor lose from screening its portfolio. (shrink)

In this article, I draw on research carried out in Europe, primarily in Germany, on patients’ and scientists’ perspectives on mitochondrial replacement techniques in order to explore some of the complexities related to collective representation in health governance, which includes the translation of emerging technologies into clinical use. Focusing on observations, document analyses, and interviews with eight mitochondrial disease patient organization leaders, this contribution extends our understanding of the logic and meanings behind the ways in which patient participation and collective (...) representation in health governance initiatives take shape. My findings highlight the ways in which a commitment to a global mitochondrial disease patient community and a sense of patient solidarity influence expressions of support with regard to legalizing mitochondrial replacement techniques. My analyses illustrate how normative practices and expectations of participatory governance potentially foreclose opportunities for sustained collective patient engagement with the complex ethical, social, and political dimensions of emerging technologies and may silence diverse and potentially dissenting embodied and lived responses to the prospects of particular technological developments. (shrink)

In Canada, as in many developed countries, healthcare conscientious objection is growing in visibility, if not in incidence. Yet the country's health professional policies on conscientious objection are in disarray. The article reports the results of a comprehensive review of policies relevant to conscientious objection for four Canadian health professions: medicine, nursing, pharmacy and dentistry. Where relevant policies exist in many Canadian provinces, there is much controversy and potential for confusion, due to policy inconsistencies and terminological vagueness. Meanwhile, in Canada's (...) three most northerly territories with significant Aboriginal populations, whose already precarious health is influenced by funding and practitioner shortages, there are major policy gaps applicable to conscientious objection. In many parts of the country, as a result of health professionals' conscientious refusals, access to some legal health services – including but not limited to reproductive health services such as abortion – has been seriously impeded. Although policy reform on conscientious conflicts may be difficult, and may generate strenuous opposition from some professional groups, for the sake of both patients and providers, such policy change must become an urgent priority. (shrink)

This article is based on ethnographic research conducted between 1998 and 2000 in British Columbia, Canada. In this article Luce brings together the narratives of queer women she interviewed about their experiences of trying to become parents with her own stories about doing the research. Both sets of stories explore the ways in which relationships between people are reproduced and represented through images of sexuality, reproduction, queerness, parents, and families. Shifting between telling about the tensions she experienced while doing ethnographic (...) fieldwork and retelling women's stories about how their relationships to partners, fetuses, babies, and donors were perceived, the article draws attention to both political and methodological questions. (shrink)

In this paper, I analyze the witch's dance through the lens of Jahra “Rager” Wasasala's bloo/d/runk (2016) and Liz Lerman's Wicked Bodies (2020) whose invocation of the witch through the moving body, I argue, goes beyond merely metaphorical or esthetic applications, but enacts a certain dramaturgical function as a hinging threshold, a dynamic site of negotiation between material and immaterial forces. In my analysis, I sketch the contours of a hinge‐analytic called “riding the hinge,” seeking suspension in the hinges of (...) performance in order to account for how invisible forces assume presence on stage through the figure of the witch as she dances. “Riding the hinge,” I argue, is a practice performed by choreographers who engage the transformational presencing power of the body of the witch in performance, as well as a critical methodology for analyzing such works. (shrink)

The ability to extrapolate essential gist through the analysis and synthesis of information, prediction of potential outcomes, abstraction of ideas, and integration of relationships with world knowledge is critical for higher-order learning. The present study investigated the efficacy of cognitive training to elicit improvements in gist-reasoning and fact recall ability in 556 public middle-school students (grades seven and eight), versus a sample of 357 middle school students who served as a comparison group, to determine if changes in gist-reasoning and fact (...) recall were demonstrated without cognitive training. The results showed that, in general, cognitive training increased gist-reasoning and fact recall abilities in students from families in poverty as well as students from families living above poverty. However, the magnitude of gains in gist-reasoning varied as a function of gender and grade-level. Our primary findings were that seventh and eighth grade girls and eighth grade boys showed significant increases in gist-reasoning after training regardless of socioeconomic status. There were no significant increases in gist-reasoning or fact recall ability for the 357 middle school students who served in the comparison group. We postulate that cognitive training in middle school is efficacious for improving gist-reasoning ability and fact recall in students from all socioeconomic levels. (shrink)

We provide a comprehensive analysis of differences between socially responsible investment and conventional funds in terms of manager characteristics, performance and fund styles. We use holdings-based analysis to evaluate fund performance and style, which allows us to perform a more in-depth analysis than the extant literature. We find that SRI managers have longer tenure and are more likely to be a female. However, these differences do not result in any significant difference in the performance of SRI and conventional funds. Further, (...) it is possible to find an SRI fund of any style, although these funds are under-represented in value styles. (shrink)

In what follows I will briefly address (1) Mahowald's work on Josiah Royce, (2) her advocacy for "cultural feminism" and its implications for American philosophy and work still to be done, (3) her promotion of a critical pragmatism and the need to provide a pragmatist critique not only of gender injustice but all forms of injustice, and (4) Mahowald's argument for the strategy of "standpoint theory," a strategy that offers great promise for future work in American philosophy.

My thesis is that contemporary ethics needs to reconceptualize its notion of the "ethical subject/agent." In developing this argument, I draw on three sources: (1) the field of moral psychology, (2) philosophical explorations of the concepts of "moral responsibility" and "moral community, and (3) the work of American philosophers such as Josiah Royce and John Dewey. Primary attention will be given to the latter two sources, though, given the short span of this essay, only brief references to Royce and Dewey (...) are possible, even though these philosophers provide the foundational theoretical framework for any reconceptualization efforts. Indeed, these philosophers, as well as William James, engaged in and drew upon .. (shrink)

This article examines the relationship between mothers and medical discourse, drawing from oral narratives of 20 Jewish women who gave birth to their first children between 1928 and 1940. The author shows that women encounter medical discourse not only as a system of technical knowledge but also as a package of cultural and social enterprises. Jewish mothers during this period mobilized medicalized mothering practices to signify their advancement from immigrant culture into the American middle class. Mothers portray themselves as benefiting (...) from the new opportunities of American freedoms, as actively seeking self-improvements, and as engaging medicine in the context of their changing group membership. In more general terms, the author shows that medicalization's effect on social difference extends beyond men's control of women's subjectivity or social position; it also involves women in the creation and maintenance of status hierarchies between women. (shrink)

This article presents qualitative interview data to explore the health-related carework of low-income women caregivers with special-needs children and the implications of carework for women’s financial security. The author documents “direct” and “advocacy” carework as two types of caregiving that low-income women carry out in the context of declining government resources for poor disabled children. The author shows that the unique demands of carework responsibilities and the conditions of low-wage work combine to limit caregivers’ employment and education options as well (...) as their long-term prospects for financial stability. (shrink)

At the peak of its influence and prestige, theology offered a compelling and complex analysis of the relation of Revelation, Scripture and Word. In Ecriture et Révélation, Breton asks how that relationship might be described in the contemporary world in which the situation of theology, its relation to metaphysics, and the very conditions of understanding have changed. Retaining from Thomas the term “spiritual sense,” Breton uses the notion of “scriptural space,” on which all things can be written, to describe the (...) way in which the self “writes itself in the world.” In place of the classic emphasis on God as author of Scripture Breton focuses upon the Christian community in its search for unity, forming a canon in light of what he calls the “Christic present.” As he critiques different ways in which Scripture is read today, he argues that it is too often objectified or evacuated of meaning. Instead of complacent answers, he asks for continuous and profound interrogation so that praxis be informed by the cross. (shrink)

Information posted by youth in online social media contexts is regularly accessed, downloaded, integrated, and analyzed by academic researchers. The practice raises significant social justice considerations for researchers including issues of representation and equitable distribution of risks and benefits. Use of this type of data for research purposes helps to ensure representation in research of the voices of youth who participate in these online contexts, at times discussing issues that are also under-represented. At the same time, youth whose data are (...) harvested are subject to the risks associated with this research, while receiving little if any direct benefit from the work. These risks include the potential loss of online social community as well as threats to participant rights and wellbeing. This paper explores the tension between the social justice benefit of representation and considerations that would suggest caution, the latter including inequitable distribution of research-related costs and benefits, and the traditional ethics concerns of participant autonomy and privacy in the context of youth participation in online discussions. In the final section, we propose guidelines and considerations for the conduct of online social media research to assist researchers to balance and respect representational and participant rights or wellbeing considerations, especially with youth. (shrink)

In asking to what extent the interaction between pragmatism and phenomenology offers a valuable resource for re-imaging the limits and potentialities of philosophical inquiry, one needs to acknowledge, first, that pragmatist philosophers, beginning with Josiah Royce, actively contributed to the re-elaboration of the issues and strategies of phenomenology in the American context. Secondly, it will be argued that the philosophies of the classical pragmatists, Peirce, Royce, James, and Dewey, contain important resources for creating a new understanding of the human self (...) and of the role of philosophy. We will discuss contributing elements from each of the Classical Pragmatists but focus on the neglected contributions of Josiah Royce. We argue that Royce posits important theses that are valuable to our inquiry: his view of self as “expressive,” i.e. through facial and bodily gestures, through cooperative activities such as art, language, custom, religion, understood via a study of the “expressive signs of mental life”; his idea of science as a thoroughly human enterprise; his belief that habits are common to both physical and mental phenomena; his views on knowledge of other minds and how two minds can know the same thing; and his belief in the social grounding of physical knowledge. (shrink)

This new approach to Josiah Royce shows one of American philosophy's brightest minds in action for today's readers. Although Royce was one of the towering figures of American pragmatism, his thought is often considered in the wake of his more famous peers. Jacquelyn Ann K. Kegley brings fresh perspective to Royce's ideas and clarifies his individual philosophical vision. Kegley foregrounds Royce's concern with contemporary public issues and ethics, focusing in particular on how he addresses long-standing problems such as race, religion, (...) community, the dangers of mass media, mass culture, and blatant individualistic capitalism. She offers a deep and fruitful philosophical exploration of Royce's ideas on conflict resolution, memory, self-identity, and self-development. Kegley's keen understanding and appreciation of Royce reintroduces him to a new generation of scholars and students. (shrink)

In the aftermath of the debate between Derrida and Levinas on Hebraism and Hellenism, Christian thought that retains a place for philosophy is often regarded as “Graeco‐Christian”, a monolithic system with an unfortunate history. The work of the French philosopher Stansilas Breton suggests that the reality is more complex. In Le Verbe et la croix , he examines the function of the term logos staurou in Paul, arguing that this untranslatable term stands as a question mark in a world of (...) language that could only speak “Jew” or “Greek”. Far from being a sign of Christian superiority, the cross signals an imperative for dispossession intrinsic to Christian language. In its “nothingness” the cross functions as a principle of critique that makes innovation and engagement possible. Thus while the cross involves negation it moves beyond negative theology. Drawing upon neoplatonist philosophy, Breton delineates the way in which the cross makes possible “the writing of the self in the world”. This paper draws upon Breton's understanding of the function of the cross to argue that the heritage of Athens endures and must be re‐thought, always recognizing the limits of all human language. After examining Breton's understanding of the logos staurou, it relates this notion to his broader understanding of revelation as “writing”. Finally it shows how Breton appeals to neoplatonist meonotology to speak in more universal terms of the need for a principle of dispossession at the heart of all religious language. For Christians the cross is this principle, enabling human beings to be causes of themselves who engender new being. (shrink)

The use of foster children as subjects in the pediatric HIV/AIDS clinical trials has been the subject of media controversy, raising a range of ethical and social dimensions. Several unsettled issues and debates in research ethics underlie the controversy and the lack of consensus among professional researchers on these issues was neither adequately appreciated nor presented in media reports. These issues include (1) the tension between protecting subjects from research risk while allowing them access to the possible benefits of research; (...) (2) the blurring of the potentially conflicting roles of investigator and physician and the boundaries between research and therapy; (3) the adequacy of Institutional Review Board oversight; and (4) trust and the relationships among physicians, investigators and industry. The media controversy about the pediatric HIV/AIDS clinical trials can be seen as a means of “manufacturing mistrust” in health care, research and social services that have not always met the needs and expectations of the public. In an era of emerging infections, it is critical to the public’s health that people understand the role of rigorous and ethical research in the development of safe and effective care. Investigators, journalists and the public need to become knowledgeable about major ethical issues in the conduct of research in order to engage in dialogue about balancing research risks and benefits and to be able to distinguish fact from distortion in an era of multiple and rapid transmission of information. (shrink)

New from the bestselling author of Transformers and Becoming Naturally Therapeutic comes a passionate call to all spiritual seekers to awaken their senses, explore their "shadows", and unite the powerful forces of body and soul to find true spiritual fulfillment.

This collection of essays, which includes a revised version of a famous article on the "male lesbian," addresses such issues as race, gender, and sexuality, and explores the body as a physical, psychological, and cultural construct.

In lieu of an abstract, here is a brief excerpt of the content:Josiah Royce on RaceIssues in ContextJacquelyn Ann K. KegleyAll philosophy, whether or not we want to admit it, is done in a context, filtered through lenses that are personal, intellectual, historical, cultural, social, and political. Thus to fairly treat and fully understand Royce's views on race, we must set a situational framework. First, Royce's 1906 article entitled "Race Questions and Prejudices" is the lead piece in a collection that (...) implements his philosophy of loyalty. It applies his principle of loyalty to what he considers one of the most significant social/political issues of his time—the race question. As we discuss Royce and race issues, the philosophy of loyalty must be in the background as a point of reference. Indeed, Royce tells us that he will address the various questions in his article "Race Questions and Prejudices" by calling attention to "a few principles which seem to me to be serviceable to any one who wants to look at race questions fairly and humanely" (6).Secondly, except for W. E. B. DuBois and Jane Addams, no other major figure associated with pragmatic philosophy substantially addressed issues of race and racism in their written work, nor did anyone so early in the twentieth century as did Royce. DuBois's The Souls of Black Folk, which came out in 1903, immediately preceded Royce's article. Jane Addams briefly touched on race issues in her 1915 Democracy and Social Ethics. Alain Locke, who sought to study with Royce at Harvard but could not because of Royce's premature death, gave his "Lectures on the Theory and Practice of Race" in 1915, but they were published posthumously. John Dewey's "Race Prejudice and Friction" appeared in 1922. There is an absence of treatment of race issues in George Herbert Mead, Charles Sanders Peirce, and Alfred North Whitehead. Thus Shannon Sullivan and I agree that Royce stands out in the history of classical American philosophy in taking an antiracist focus on race questions when very few philosophers—especially white male philosophers—took scholarly time to think about these issues.1 [End Page 1]Another important context for Royce's article is the political climate of the time. Royce identifies the era as one in which there were "more ways and places in which men find themselves in the presence of alien races with whom they have to live in the same social order" (4). It was a time of "white anxiety." In 1905, Theodore Roosevelt gave his famous "On American Motherhood" speech in which he warned of white "race suicide" if white families continued to reproduce at a slower rate than other races. Thus, Royce was speaking and writing against racism in a time of anti-immigration and proimperialism sentiment due to white anxiety in the United States about the possible decline of global white supremacy. It is in this setting that Royce highlights the color line as a significant problem.Royce states the problem as follows:This is the problem of dealing with the men who seem to us somehow very widely different from ourselves in physical constitution, in temperament, in all their deeper nature, so that we are temped to think of them as natural strangers to our souls, while nevertheless we find that they are stubbornly there in our world and that they are men as much determined to live as we are, and are men who, in turn, find us as incomprehensible as we find them.(5)With increased contact among different populations, the age-old problem of how to deal with people who seem different from one's own group intensifies. There will be, says Royce, numerous questions including those of superiority-inferiority, power and sovereignty, and a new assessment of the ways in which these "different" people might be helpful or perilous to one's own group interests. Royce notes that one cannot assume an automatic answer. He asks, "Is it a ‘yellow peril,' or a ‘black peril,' or perhaps after all, is it not rather some form of ‘white peril' which threatens the future of humanity in this day of great struggles and of complex issues?" (6). With the question posed in this... (shrink)

Nova Scotia’s recently updated Involuntary Psychiatric Treatment Act signii cantly updated mental health law in the province in many respects. However, s.39 of the Act deviates from this record in that it contains a clause that permits overriding the competent prior wishes of involuntarily committed psychiatric patients. This is problematic because it displaces established Canadian common law and legislation on advance directives for psychiatric patients but not other patients, suggesting possible discrimination The paper explores whether s.39 might survive challenge under (...) s.15 of the Canadian Charter of Rights and Freedoms, as either an ai rmative action program under s.15 of the Charter or as an overriding societal concern under s.1 of the Charter. (shrink)

This review essay covers the lesbian writing of philosopher Jeffner Allen, contrasting her fiercely separatist earlier work with her more recent experimental writing. A quest for a separate ontic space-defining difference qua Lesbian and consistently characterized by Allen as "the open"-links her earlier work with her more recent atonalities richly coded with ritual, myth, memory, and play.

In this centennial year of the death of Josiah Royce it is appropriate to explore the lines of influence between Royce as a teacher and one of his students, C.I. Lewis. First, Lewis himself acknowledged an affinity between his ‘conceptual pragmatism’ and Royce’s ‘absolute pragmatism’. Secondly, Lewis also acknowledged Royce’s influence in terms of his explorations of alternative logics. Thirdly, Lewis was called the “most influential American thinker of his generation” and a link between the philosophers of the classic period (...) of the Harvard philosophy department and those of the second half of the twentieth century. This suggests an exploration of Royce’s influence forward into... (shrink)

In this brilliantly articulated new book, ethicist Jacquelyn Kegley carefully explicates and enlarges the scope of Roycean thought and shows that Royce's views on public philosophy have direct and valuable application to current social problems.

This essay explores the criteria for lesbian identity attribution through the case study of "male lesbians": biological males who claim to be lesbians. I analyze such sex/gender identity attribution through the lens of postmodernism, which provides a workable theoretical framework for "male lesbian" identities. My conclusions explore the historicity and cultural constructedness of the body's sex/gender identities, revealing the limitations of both "the postmodernized body" and "the essentialized modernist body.".

When an anxiety‐reducing drug with virtually no side effects is used to enhance performance, is that cheating? Is it drug abuse? Is it an admission of professional weakness?

In recent years, calls have been made to address the relative dearth of qualitative sociological investigation into the sensory dimensions of embodiment, including within physical cultures. This article contributes to a small, innovative and developing literature utilizing sociological phenomenology to examine sensuous embodiment. Drawing upon data from three research projects, here we explore some of the ‘sensuousities’ of ‘intense embodiment’ experiences as a distance-running-woman and a boxing-woman, respectively. Our analysis addresses the relatively unexplored haptic senses, particularly the ‘touch’ of heat. (...) Heat has been argued to constitute a specific sensory mode, a trans-boundary sense. Our findings suggest that ‘lived’ heat, in our own physical-cultural experiences, has highly proprioceptive elements and is experienced as both a form of touch and as a distinct perceptual mode, dependent upon context. Our analysis coheres around two key themes that emerged as salient: (1) warming up, and (2) thermoregulation, which in lived experience were encountered as strongly interwoven. (shrink)