The concept of practical, or pragmatic, clinical trials was introduced in the early 2000s, in parallel with the growing availability and use of electronic health data. Researchers and policymakers...

In this essay, Sarah Stitzlein and Amy Rector-Aranda, drawing on John Dewey's theoretical suggestions regarding how to best form publics capable of bringing about change through deliberation and action, offer teachers guidance on how to form and navigate spaces of political protest and become more effective advocates for school reform. Using Aaron Schutz's analysis of teacher activism as a point of departure, Stitzlein and Rector-Aranda argue for the development in schools of “small publics,” that is, Deweyan democratic spaces within (...) which teachers can dialogue and exchange ideas about the problems they face in the classroom. While Schutz treats this type of space merely as a stepping stone toward the real locus of political action, the power public, Stitzlein and Rector-Aranda argue that small publics are themselves important spaces where teachers can work together to frame problems and build coalitions and solidarity with other groups in order to take action in the wider public sphere and bring about change in schools. (shrink)

Conditional cash transfers represent an innovation in social assistance policy by conditioning welfare benefits on recipients’ behaviors associated with human capital development. Although social assistance has expanded throughout the developing world in the 21st century, the political logic guiding CCT adoption differs sharply from that of unconditional cash transfers, and from the politics of social insurance development. Striking spatial and temporal correlations in their adoption also raise the specter of policy interdependence. A dynamic logit analysis of social assistance reforms in (...) developing nations from 1990 to 2011 reveals that although CCTs have been impelled by democratization in developing countries, the model is not embraced systematically by the left or the right of the political spectrum. Rather, CCTs are more likely to be adopted in contexts of divided government and where regional neighbors, and more democratic countries in the region, have previously adopted them. (shrink)

Current guidelines and regulatory frameworks create a dilemma that threatens the effectiveness of much needed communication between patients and medical providers: How can patients be presented with detailed facts without creating cognitive “overload”? We explain how this is a false dichotomy and illustrate, using three examples, how fuzzy-trace theory offers a third way of informing patients.

While the teaching of controversial issues has generally been supported by schools and education scholars, new laws and public outcry have impacted whether and how controversial issues are taught. Calls to ban or limit teaching of controversial issues have largely been spurred by conservative parents, policymakers, and political groups. Some teachers and many education scholars are deeply concerned and want to preserve teaching about controversial issues. This situation suggests that inquiry is needed into changes in the educational aims held and (...) practices endorsed by various stakeholders. This article reconsiders the aims used to justify teaching controversial issues and situates them within larger understandings of good citizenship, revealing important differences in the explanations and values endorsed by opposing groups. It categorizes the aims more generally held by teachers, philosophers of education, and citizenship education scholars as: reasoning, engaging, communicating, and sustaining democratic communities. Then, those aims are compared to aims circulating within the discourse of opposing parents, policymakers, and political organizations. Finally, this article argues that pragmatic adjustments to educational aims held by many teachers and education scholars are both warranted and wise. It provides potential ways to better justify the teaching of controversial issues, including through approaches that more strongly ground teaching in American principles, historical examples, and a commitment to living together well. (shrink)

Current health policy, high‐profile failures and increased media scrutiny have led to a significant focus on patient experience in Britain's National Health Service (NHS). Patient experience data is typically gathered through surveys of satisfaction. The study aimed to support a better understanding of the patient experience and patients' expression of it through consideration of the aspects of the patient experience on NHS wards which are by their nature impossible to capture through patient satisfaction surveys. Existential phenomenology was used to develop (...) an in‐depth exploratory narrative, expressed through the voices of the participants. Data collection involved in‐depth face‐to‐face interviews with 12 purposively sampled participants, with analysis by means of hermeneutics. Though the individuality of each experience was apparent and cannot be overemphasised, common factors emerging from the data included uncertainty and unexpectedness, suffering and finitude, the futility of feedback and bureaucracy and absurdity. Overall, participants demonstrated how their individual personalities and expectations affected their response both to illness or injury and to their hospital admissions, highlighting feelings of vulnerability and voicelessness as a response to hospitalisation. The findings of this study provide useful insight into the patient experience on British hospital wards, and the value of an existential–phenomenological approach is demonstrated. (shrink)

Mechanistic accounts of explanation have recently found popularity within philosophy of science. Presently, we introduce the idea of an extended mechanistic explanation, which makes explicit room for the role of environment in explanation. After delineating Craver and Bechtel’s account, we argue this suggestion is not sufficiently robust when we take seriously the mechanistic environment and modeling practices involved in studying contemporary complex biological systems. Our goal is to extend the already profitable mechanistic picture by pointing out the importance of the (...) mechanistic environment. It is our belief that extended mechanistic explanations, or mechanisms that take into consideration the temporal sequencing of the interplay between the mechanism and the environment, allow for mechanistic explanations regarding a broader group of scientific phenomena. (shrink)

This synthetic review aims to unite a seemingly disjoint collection of studies over the past 3 decades around their shared examination of sexism in an often overlooked U.S. population, namely girls attending private Christian schools. This undertaking reveals substantial harms that I categorize as those of immediacy and potentiality, which are occurring behind the protective wall separating church and state. Contra the majority of philosophers of education and researchers in this area, these studies lead me to argue that the state (...) has the obligation and legal ability to intervene in this private domain. Notably, this study begins to flesh out a notion of educational harm that may be robust enough for state policy making and legal action in private schools. Based on a legalized understanding of sexist harm, I conclude with a detailed analysis of Constitutional provisions and court decisions relative to state intervention and freedom of religious practice. (shrink)

The slogan ‘anything goes’ first appears in Paul Feyerabend’s book Against Method at the end of the first chapter. Since that time, philosophical literature has been peppered with criticism and cries of outrage towards Feyerabend’s call for anarchy. Many have speculated on what exactly was meant by the slogan and even more philosophers and scientists have quickly discarded Feyerabend’s antidote as the obvious ramblings of a madman.In this essay, I will argue that Paul Feyerabend does not promote complete anarchy, contrary (...) to his critics. Upon closer examination, it becomes clear that Feyerabend promotes methodological and theoretical pluralism, and does not call for total chaos. First, I will briefly outline the overwhelmingly cynical yet popular reading of Feyerabend’s anarchical ideas. Unlike other contemporary perspectives, I willthen argue for what I believe to be a much more fair reading of his anarchy as a prescription for the scientific discipline. I will conclude with postulating an overarching and interesting possibility, namely that Feyerabend’s call for anarchy is an attempt to distance philosophy from the scientific domain. (shrink)

Pragmatism and Social Hope: Deepening Democracy in Global Contexts.Judith M. Green. New York, Columbia University Press, 2008. Pp. x + 292.Hbk. $34.50, £24.00.

In this article, I will begin by describing recent divisive concepts legislation, which bans teaching about aspects of racism, sexism, and equity, speculating briefly on the motivations behind it and the implications resulting from it. I will then describe how discussing divisive concepts in classrooms may be a helpful way for students to better understand the particular concepts and for students to take a stand on them. While I will briefly argue for the importance of classroom discussion of divisive concepts, (...) my central claim will be that we must do more than merely discuss these concepts. Instead, we should engage in classroom inquiry about them. Inquiry positions students to not be silent regarding divisive concepts, as some legislation may cause, and inquiry positions students to not just talk about divisive concepts, but to solve social problems related to them in our world today. In other words, inquiry enables us to do something about divisive concepts, rather than just learning about them, as some educators currently advocate in calls for discussion. And inquiry is certainly more effective than banning divisive concepts or pushing them to the background, as recent legislation attempts to do. I argue that rather than excluding divisive concepts or the divisions they may provoke from our classrooms, we need educative spaces where we inquire into what divides us, why we are divided, and how we might respond to such division. Within that inquiry, we can better attend to our divisions while also taking up the specific concepts prohibited in recent legislation. (shrink)

Contemporary thought has been profoundly shaped by the early-twentieth-century turn toward synchronic models of explanation, which analyze phenomena as they appear at a single moment, rather than diachronically as they develop through time. But the relationship between time and system remains unexplained by the standard account of this shift. Through a new history of systematic thinking across the humanities and sciences, The Writing of Spirit argues that nineteenth-century historicism wasn't simply replaced by a more modern synchronic perspective. The structuralist revolution (...) consisted rather in a turn toward time's absolutely minimal conditions, and thus also toward a new theory of diachrony. Pourciau arrives at this surprising and powerful conclusion through an analysis of language-scientific theories over the course of two centuries, associated with thinkers from Jacob Grimm and Richard Wagner to the Russian Futurists, in domains as disparate as historical linguistics, phonology, acoustics, opera theory, philosophy, poetics, and psychology. The result is a novel contribution to a pressing contemporary question--namely, what role history should play in the interpretation of the present. (shrink)

The purpose of this contemporary history study is to analyse nursing strategy documents produced by NHS Trusts in England in the period 2009–2013, through a process of discourse analysis. In 2013 the Francis Report on the Mid-Staffordshire NHS Foundation Trust was published. The Report highlighted the full range of organisational failures in a Trust that valued financial efficiency over patient care. The analysis that followed, however, dwelt heavily on the failings of the nurses. Nursing strategy documents at that time served (...) to set the future direction for NHS Trusts, prescribing specific value frameworks for each nursing workforce. However, the values chosen frequently conflicted with each other pitting nursing values against a managerial trope. It is argued that documents provided a response to wider NHS concerns and high-profile failures in care, particularly the Francis Report, paying lip service to staff engagement whilst maintaining a corporate focus. Nursing values were placed firmly within a managerialist discourse, one that has needed to be re-evaluated in the current Covid-19 pandemic. Wider implications of the research suggest discussion of value conflict may be beneficial within nursing education and a truly local approach to strategy creation would potentially promote staff buy-in to strategy documents. (shrink)

In this essay, Sarah Stitzlein addresses a key current crisis in public education: accountability. Rather than centrally being about poor performance of teachers or inefficiency of schools, as we most often hear in media outlets and in education reform speeches, Stitzlein argues the crisis is at heart one about citizen responsibility and political legitimacy. She claims that the recent accountability movement has shifted the onus of curing society's problems almost exclusively onto schools, but contends that these burdens should not (...) just be unidirectional. There is, Stitzlein maintains, a corresponding obligation on the part of citizens to public schools. This includes all citizens, not just those closely tied to schools through their children or employment. Moreover, this obligation entails a robust commitment that extends beyond merely supporting public schools through taxes, voting for levies, and choosing to send one's children to them. The responsibility of citizens includes upholding a commitment to schools as a central institution of democracy — something that sustains democracy but also, in its best forms, is democracy in action. (shrink)

Imitation recognition provides a viable platform from which advanced social cognitive skills may develop. Despite evidence that non-human primates are capable of imitation recognition, how this ability is related to social cognitive skills is unknown. In this study, we compared imitation recognition performance, as indicated by the production of testing behaviors, with performance on a series of tasks that assess social and physical cognition in 49 chimpanzees. In the initial analyses, we found that males were more responsive than females to (...) being imitated and engaged in significantly greater behavior repetitions and testing sequences. We also found that subjects who consistently recognized being imitated performed better on social but not physical cognitive tasks, as measured by the Primate Cognitive Test Battery. These findings suggest that the neural constructs underlying imitation recognition are likely associated with or among those underlying more general socio-communicative abilities in chimpanzees. Implications regarding how imitation recognition may facilitate other social cognitive processes, such as mirror self-recognition, are discussed. (shrink)

Education is experiencing a case of misplaced accountability, where an exclusive reliance on high stakes tests overlooks the more subtle judgments of teachers and professional educators and, because of its simplicity, passes as democratic. This article investigates the theoretical underpinnings of current accountability initiatives and draws upon extensive teacher interviews to reveal the practical aspects of accountability pressures in schools today. We provide a discussion of local teacher knowledge that exposes teachers' commitments to a deeper sense of successful education that (...) is eclipsed by testing and that offers a richer resource for improving classrooms and educational outcomes. We provide a discussion of educational foundations and policy that rethinks democratic goals and encourages educationists to shift the current debate in order to make accountability truly democratic. This article suggests that the contemporary climate of accountability may be misplaced in its intentions. (shrink)

Populists employ truth as a tool for aligning the people against the elite. Citizenship education rarely takes up critiques of liberal democracy, discussions of populism, or conversations about what truth is. This paper provides an alternative pragmatist vision of truth that builds on the populist call for democracy to better reflect the will of the people, while also pushing back against the harms potentially caused by populism. Students today need to learn how populism works performatively and through discourse. But more (...) importantly, they also need to learn how to engage with populism by taking up some of the real challenges it poses in their communities today. Citizenship education that overtly talks about how truth operates and demonstrates how inquiry can be used to determine “what works” better prepares students for the flawed democracy we see at play today and provides pathways for improving it in the future. (shrink)

A child’s death is a profound loss for mothers and affects hundreds of thousands of women. Mothers report inconsolable and progressive grief that is distinct from depression and impacts daily emotions and functions. The brain mechanisms responsible for this relatively common and profound mental health problem are unclear, hampering its clinical recognition and care. In an initial exploration of this condition, we used resting state functional MRI (fMRI) scans to examine functional connectivity in key circuits, and task-based fMRI to examine (...) brain network activity in grieving mothers in response to pictures of their deceased child and as well as recognizable deceased celebrities and unfamiliar individuals. We compared nine mothers who had lost an adult child and aged-matched control mothers with a living child of a similar age. Additionally, we collected diffusion imaging scans to probe structural connectivity and complemented the imaging studies with neuropsychological assessments. Increased functional activation in Ventral Attention/Salience Networks accompanied by a reduced activation in the medial prefrontal cortex in response to the deceased child’s picture robustly distinguished the grieving mothers from controls. Heightened resting-state functional connectivity between the paraventricular thalamic nucleus (PVT) and the amygdala distinguished the grieving mothers from the controls and correlated with subjective grief severity. Structurally, maternal grief and its severity were associated with alterations in corticolimbic white matter tracts. Finally, grieving mothers performed worse than controls on neuropsychological tests of learning, memory, and executive function, linked with grief severity. Reduced activation in cortical regions inhibiting emotions and changes in the PVT circuitry—a region involved in long-term emotional memories and decision making under conflict—distinguish grieving mothers from controls. Notably, the magnitude of neurobiological changes correlates with the subjective severity of grief. Together, these new discoveries delineate a prevalent and under-recognized mental health syndrome and chart a path for its appreciation and care. (shrink)

Scientific communities as social groupings and the role that such communities play in scientific change and the production of scientific knowledge is currently under debate. I examine theory change as a complex social interaction among individual scientists and the scientific community, and argue that individuals will be motivated to adopt a more radical or innovative attitude when confronted with striking similarities between model systems and a more robust understanding of specialised vocabulary. Two case studies from the biological sciences, Barbara McClintock (...) and Stanley Prusiner, help motivate the idea that sharing of models and specialised vocabulary fill the gap between discovery and scientific change by promoting the dispersal of important information throughout the scientific community. (shrink)

Throughout his works, John Dewey makes deep and intriguing connections between democracy, education, and daily life. His ideas have contributed to both the theory and practice of participatory democracy and, although he actually “had surprisingly little to say about democratic citizenship” directly, his scholarship has influenced the ideas of others working on citizenship education and has provided rich notions of democracy, education, experience, and public life underlying it.1 However, Dewey commentators Michael Eldridge and Robert Westbrook worry that, although Dewey promoted (...) deeper ways of participating in democracy and engaging in social life, he failed to fully explain how to achieve his vision.2 Instead, he .. (shrink)

For the Wild explores the ways in which the commitments of radical environmental and animal-rights activists develop through powerful experiences with the larger-than-human world during childhood and young adulthood. The book addresses the question of how and why activists come to value nonhuman animals and the natural world as worthy of protection. Emotions and memories of wonder, love, compassion, anger, and grief shape activists' protest practices and help us understand their deep-rooted commitments to the planet and its creatures. Drawing on (...) analyses of activist art, music, and writings, as well as interviews and participant-observation in activist communities, Sarah M. Pike delves into the sacred duties of these often misunderstood and marginalized groups with openness and sensitivity."--Provided by publisher. (shrink)

This is the text of a keynote for the International Association for the Psychology of Religion Conference held in Groningen, the Netherlands in August 2023. The talk focuses on ritualized responses to grief around the climate crisis and other environmental threats, such as wildfires. I discuss two case studies: environmental/ climate protests and Indigenous-led restoration work as examples of “ecological rituals.” Protest-performances by the Red Rebel Brigade and Extinction Rebellion funerals for extinct species consecrate public spaces with gestures that invoke (...) kinship and identification with vulnerable species. In similar ways, Indigenous-led restoration work makes visible often hidden losses, creates and expresses sacred relationships with other species, and remakes public spaces into sacred spaces of mourning and hope. Both of these cases, climate protests and restoration, are dynamic and complicated ritualized practices that express and constitute hopeful as well as painful relationships. These opportunities for ritual creativity and meaning-making in the face of climate catastrophe seem to offer participants effective ways of dealing with grief, shame, and loss. (shrink)

This article describes the experience of five high school seniors in a discussion-based, Advanced Placement Government course, in which the teacher of the course frequently implemented controversial public issues (CPI) discussions. By analyzing the ways in which students experienced CPI discussion in their government classroom, the author seeks to better understand the ways in which discussion strategies support the aims of disciplinary literacy in civics. Overall, the discussion-based strategies were successful in supporting the development of disciplinary literacy in civics; however, (...) more intentional connections between CPI discussion and the aims of disciplinary literacy may further enhance the effectiveness of this practice. (shrink)

as covid-19 set in, many people struggled to find or hold onto hope. TIME magazine devoted its entire annual TIME 100 Most Influential People issue to the very topic, offering up suggestions on how to find hope, from religious leaders, politicians, and celebrities. While some presented helpful ideas, I found myself seeking more satisfying and sustaining answers. I turned to pragmatist philosophers, both old and new, to help me understand what hope is, why it matters, and how to foster it.Intriguingly, (...) classic American pragmatists seem to have much to contribute to discussions of hope and yet have actually said very little explicitly about it. Even as pragmatism complemented the late nineteenth- and... (shrink)

Farmers markets can offer solutions to several of the biggest problems besetting the US food system: fair prices to farmers; healthy, fresh food for consumers; direct contacts between consumers and farmers; food for food deserts; support for local economies. Awareness of these benefits led us to study the farmers markets of Greater Cincinnati. Markets grew rapidly in the early 1980s, peaked in 2012, and declined 17% by 2018. Sixty-one percent of the markets that started since 1970 have closed. Two types (...) of markets exist: farmer-focused markets, with farmer vendors, and consumer-focused markets, with farmers and specialist vendors. Detailed information about market management shows that managers, the majority of whom are volunteers or underpaid, have insufficient resources to be sustainable. Market decline is often blamed on an oversupply of markets, but other factors are involved: the inability of market personnel and customers to cross class and racial boundaries; the encroachment of online retailers; a scarcity of farmers; market manager failures. Individual markets need to form coalitions and gain sufficient resources from governments or private funders to employ specialists who can assist managers, expand the consumer base, and design promotion campaigns that effectively promote farmers markets in the changing retail food landscape. (shrink)