We provide a novel articulation of the epistemic peril of p-hacking using three resources from philosophy: predictivism, Bayesian confirmation theory, and model selection theory. We defend a nuanced position on p-hacking: p-hacking is sometimes, but not always, epistemically pernicious. Our argument requires a novel understanding of Bayesianism, since a standard criticism of Bayesian confirmation theory is that it cannot represent the influence of biased methods. We then turn to pre-analysis plans, a methodological device used to mitigate p-hacking. Some say that (...) pre-analysis plans are epistemically meritorious while others deny this, and in practice pre-analysis plans are often violated. We resolve this debate with a modest defence of pre-analysis plans. Further, we argue that pre-analysis plans can be epistemically relevant even if the plan is not strictly followed—and suggest that allowing for flexible pre-analysis plans may be the best available policy option. (shrink)

This paper investigates the relationship between economic theory and theories of justice in the design of public policy. In particular, it focuses on the role of mechanism design in policy contexts beset with issues of social, racial and distributive justice. Economists’ involvement in redesigning Boston’s algorithm for allocating K-12 students to public schools serves as an instructive case study. The paper draws on the distinction betweenideal theoryandnon-ideal theoryin political philosophy and the concept ofperformativityin economic sociology to argue that mechanism design (...) can enact elaborate ideal theories of justice. Anormative gapthus emerges between the goals of the policymakers and the objectives of economic designs. As a result, mechanism design may obstruct stakeholders’ avenues for normative criticism of public policies, and serve as a technology of depoliticization. (shrink)

was to test the role of both early and higher visual areas in the integration of local features into global shapes. To this end, we conducted functional magnetic resonance imaging studies. Although fMRI lacks the high spatial resolution of intracortical recordings, it allows simultaneous collection of responses to the same stimulus set from multiple visual areas that is not possible with standard recording techniques. We performed these studies in monkeys, where much is known about the properties of neurons in different (...) visual areas, and in humans, where recent fMRI.. (shrink)

In this paper, I claim that the personal/subpersonal distinction is first and foremost a distinction between two kinds of psychological theory or explanation: it is only in this form that we can understand why the distinction was first introduced, and how it continues to earn its keep. I go on to examine the different ontological commitments that might lead us from the primary distinction between personal and subpersonal explanations to a derivative distinction between personal and subpersonal states. I argue that (...) on one of the most common metaphysical interpretations of the explanatory distinction, talk of a distinction between personal and subpersonal states simply makes no sense. When people insist on applying the personal/subpersonal terminology to psychological states, I allow that they are often making a genuine distinction, but one that it is best understood in terms of Stich's (1978) distinction between doxastic and subdoxastic states. I end the paper by considering some other common misinterpretations of the personal/subpersonal distinction, such as those involving consciousness, normativity, or autonomy. (shrink)

Tomasello provides compelling evidence that children understand that people are morally obligated toward members of their social group. We call for expanding the scope of inquiry to encompass the full developmental trajectory of humans’ understanding of the relation between moral obligation, sociality, and stancetaking in interaction. We suggest that humans display a lifelong preoccupation with the sociality of moral obligation.

This article explores the justification for the defendant’s restitutionary obligation to the plaintiff consequent on an unjust enrichment. It focuses on the dominant corrective justice explanation, according to which the duty of restitution instantiates this virtue. It identifies two types of corrective justice explanation: a thin and thick version, attributed to John Gardner and Ernest Weinrib, respectively. According to the thin version, corrective justice is confined to the remedial relation between the plaintiff and the defendant; it is solely concerned with (...) the norm of justice that provides reasons to transfer back. The thick account in contrast does not restrict corrective justice to this remedial stage. Rather, it understands it as encompassing the relationship between the parties from the outset. Both accounts fail to provide a satisfactory explanation for the duty of restitution for unjust enrichment. Their failures, however, are instructive, illuminating a possible route to a more nuanced understanding of private law’s remedial obligations and their justifications. (shrink)

A unique concept: 40 extraordinary people give answers to 10 searching questions about their beliefs. In our current age of uncertainty and turmoil, this is a book to give insight for life's journey and to encourage readers to confront the same questions themselves. "My suggestion or advice is very simple; that is, to have a sincere heart." - The Dalai Lama What Has Life Taught You? features the answers given by 40 outstanding people to 10 profound questions about life, the (...) mind and the spirit. Author Zoë Sallis has a passion for stirring up debate on philosophical and ethical questions and journeyed all over the globe to ask well-known figures of widely varying beliefs the same 10 questions. Interviewees include: Nelson Mandela His Holiness the Dalai Lama Neale Donald Walsch Anjelica Huston Jack Nicholson Sophia Loren Teale Swan Richard Dawkins David Lynch Gore Vidal And more... The questions range from "What is your concept of God?" and "Do you think this life is all there is, or do you believe in an afterlife?" to "What has life taught you so far?" and "How do you find peace within yourself?" Socrates thought the unexamined life was not worth living, and perhaps that is why he roamed the streets of Athens accosting people and asking them their thoughts and beliefs. By sharing the wisdom of these truly inspiring people, the book hopes to provoke debate and encourage readers to examine what they have learned on their life journey so far and share their own insights with others. (shrink)

Testimonial accounts of mathematical problem choice typically rely on intrinsic constraints. They focus on the worth of the problem and feelings of beauty. These are often developed as both descriptive and normative constraints on problem choice. In this paper, I aim to add an extrinsic constraint of no less importance: the assurance of contact of minds with a desired audience. A number of elements for the relationship between mathematician and his audience make up this contact. This constraint stems from the (...) mathematician’s role as an arguer, as one of the pre-requisites to argumentation is contact of minds. I examine two exceptional cases which fail to be explained by intrinsic constraints on motivation and posit how this contact could influence usual cases. While not the only constraint or drive in problem choice, establishing contact of minds plays an important role worth further examination. (shrink)

Appearing on the food landscape in the 2010s, “Buddha bowls” are a meal consisting of healthy food elements artfully arranged. This name carries with it a notable spiritual significance, allowing buyers to feel as though they are consuming something more elevated than an average meal. The kind of Buddhism that is consumed here is related to exotic choices and health secrets from the Orient. Discourse around Buddha bowls shows a limited grasp of the religion’s actual history or practices, including frequent (...) confusion between Gautama Buddha and the Chan figure Budai. What is more important in the spiritual dimension of this meal is the sense of elevation and the power of the ascetic choice in an obesogenic consumer environment. Buddha bowls also feed into a “healthist” society where neoliberal self-governance places responsibility for health on the individual and their own choices. By making a healthy choice, a person can feel safe and protect against harm and pollution to the body. In this way, Buddha bowls also perform a common religious role by warding off danger like a talisman. While they offer little towards an exploration of Buddhist history and global praxis, the Buddha bowl has much to reveal about neoliberal spiritual landscapes. (shrink)

Je soutiens qu’Héraclite développe une théorie implicite de l’action : l’accomplissement réussi d’une action intentionnelle dépend de la compréhension du logos, qui constitue une explication causale de toutes les choses dans le cosmos. Mon analyse d’Héraclite repose principalement sur le concept de gnome, qui, comme j’entends le montrer, est une manifestation de la convergence entre la compréhension du logos et l’action intentionnelle. Gnome, qui permet au feu divin de guider « tout à travers tout » en B41, se compose de (...) trois éléments : la capacité à élaborer un plan, le plan lui-même, et son exécution. J’illustre comment l’échec à accomplir une action réussie résulte d’un déficit de gnome en mettant l’accent sur deux aspects particuliers : l’exécution et le plan. J’examine la relation entre la compréhension et le contrôle, ainsi que la manière dont le (manque de) contrôle physique affecte l’exécution d’un plan pour l’homme ivre en B117. J’étudie en outre comment la connaissance peut influencer la pertinence du plan lui-même en examinant les fragments d’Héraclite sur la religion. (shrink)

Although all readers of Mary Shelley’s Frankenstein agree with Victor that his creation of the monster was a mistake, few are certain about how it should be resolved. Shelley offers two vexed solutions to the problem of the creature. The first, explored in the plot of Frankenstein, unfolds with an air of tragic inevitability; Victor destroys his creature and—by extension—himself. But the second solution that Shelley raises, through the creature’s earnest behest that Victor make him a partner, also presents obstacles. (...) Shelley invites her readers to sympathize with the monster’s predicament, but not with its resolution in the nightmarish prospect of a “race of devils … propagated upon the earth, who might make the.. (shrink)

This article considers the ways in which eighteenth-century womens travel narratives function as autobiographical texts, examining the process by which a travellers dislocation from home can enable exploration of the self through the observation and description of place. It also, however, highlights the complexity of the relationship between two forms of writing which a contemporary readership viewed as in many ways distinctly different. The travel accounts considered, composed in manuscript form, in many ways contest the assumption that manuscript travelogues will (...) somehow be more self-revelatory than printed accounts. Focusing upon the travel writing of Lady Mary Wortley Montagu, Katherine Plymley, Caroline Lybbe Powys and Dorothy Richardson, the article argues for a more historically nuanced approach to the reading of womens travel writing and demonstrates that the narration of travel does not always equate to a desired or successful narration of the self. (shrink)

Although working memory and information processing speed impairments in multiple sclerosis have been widely investigated, several questions, regarding the nature of these impairments and their relationship, remain unclear. The aim of this short communication article is to present an overview of our recent research findings regarding the characteristics of WM impairment in MS patients and, more precisely, the degree of impairment observed in each WM’s component, i.e., phonological loop, visuospatial sketchpad, central executive, and episodic buffer and the relationship between IPS (...) and each of the four WM components, in an attempt to expand the existing rather narrow understanding of the interconnection between reduced IPS and WM impairment. Two studies of our research team are presented here and their findings are briefly discussed, highlighting the importance of further research on a specific component, namely the episodic buffer component among MS patients. (shrink)

Rassemblant des écrits issus des domaines de l’histoire de l’art et des études littéraires et théâtrales, Femmes sauvages et ensauvagées dans les arts et les lettres propose une constellation de figures issues de l’imaginaire occidental du Moyen Âge jusqu’au xixe siècle. Les textes sont le prolongement des interventions du colloque éponyme organisé à l’université de Rennes les 13 et 14 octobre 2016 par le département d’histoire de l’art et le département dédié à la littérature, en écho au col...

Self-understanding is to a great extent defined by narrative: who we are as human beings is determined by the stories we, and others, tell about ourselves. Yet many are unable to compose coherent personal narratives, as their experiences do not fall within the scope of an accepted conceptual framework. Survivors of trauma are particularly apt to fall into this “narrative rift,” where there can be no words to describe, and hence can be no assimilation of, their experiences. Using the example (...) of child sexual abuse, and drawing on the work of Bass, Spence, Schafer, and Guignon, I propose an examination of the nature of narrative fragmentation itself. Philosophical counselling may succeed where psychoanalysis might not: for where the latter has theoretical commitments to specific narratives, the former, through its reluctance to force epistemological or metaphysical assumptions on the narrator, may well facilitate a more comprehensive self-understanding. (shrink)

Many philosophers subscribe to the view that philosophy is a priori and in the business of discovering necessary truths from the armchair. This paper sets out to empirically test this picture. If this were the case, we would expect to see this reflected in philosophical practice. In particular, we would expect philosophers to advance mostly deductive, rather than inductive, arguments. The paper shows that the percentage of philosophy articles advancing deductive arguments is higher than those advancing inductive arguments, which is (...) what we would expect from the vantage point of the armchair philosophy picture. The results also show, however, that the percentages of articles advancing deductive arguments and those advancing inductive arguments are converging over time and that the difference between inductive and deductive ratios is declining over time. This trend suggests that deductive arguments are gradually losing their status as the dominant form of argumentation in philosophy. (shrink)

This unpublished article was written around 2009 for a journal special issue of a journal which never materialized. In 2018, the article was rewritten and published in the Oxford Handbook of Philosophy and Disability. It can be found on PhilPapers as Drayson and Clark (2018), 'Cognitive Disability and the Embodied, Extended Mind'.

The neural vehicles of mental representation play an explanatory role in cognitive psychology that their realizers do not. In this paper, I argue that the individuation of realizers as vehicles of representation restricts the sorts of explanations in which they can participate. I illustrate this with reference to Rupert’s (2011) claim that representational vehicles can play an explanatory role in psychology in virtue of their quantity or proportion. I propose that such quantity-based explanatory claims can apply only to realizers and (...) not to vehicles, in virtue of the particular causal role that vehicles play in psychological explanations. (shrink)

Daniel Dennett's distinction between personal and subpersonal explanations was fundamental in establishing the philosophical foundations of cognitive science. Since it was first introduced in 1969, the personal/subpersonal distinction has been adapted to fit different approaches to the mind. In one example of this, the ‘Pittsburgh school’ of philosophers attempted to map Dennett's distinction onto their own distinction between the ‘space of reasons’ and the ‘space of causes’. A second example can be found in much contemporary philosophy of psychology, where Dennett's (...) distinction has been presumed to be equivalent to Stephen Stich's distinction between doxastic and subdoxastic states. Both these interpretations of the personal/subpersonal distinction, and also Dennett's own philosophical views of the mind, go beyond the personal/subpersonal distinction itself. They each involve supplementing the distinction between personal and subpersonal explanations with metaphysical claims about the relationship between the two kinds of explanation and the entities they posit. (shrink)

According to a traditional picture, perception and belief have starkly different epistemic roles. Beliefs have epistemic statuses as justified or unjustified, depending on how they are formed and maintained. In contrast, perceptions are “unjustified justifiers.” Core cognition is a set of mental systems that stand at the border of perception and belief, and has been extensively studied in developmental psychology. Core cognition's borderline states do not fit neatly into the traditional epistemic picture. What is the epistemic role of these states? (...) Focusing on the core object system, the author argues that core object representations have epistemic statuses like beliefs do, despite their many prototypically perceptual features. First, the author argues that it is a sufficient condition on a mental state's having an epistemic status as justified or unjustified that the state is based on reasons. Then the author argues that core object representations are based on reasons, through an examination of both experimental results and key markers of the basing relation. The scope of mental states that are subject to epistemic evaluation as justified or unjustified is not restricted to beliefs. (shrink)

Perceptual experiences are not immediately responsive to reasons. You see a stick submerged in a glass of water as bent no matter how much you know about light refraction. Due to this isolation from reasons, perception is traditionally considered outside the scope of epistemic evaluability as justified or unjustified. Is perception really as independent from reasons as visual illusions make it out to be? I argue no, drawing on psychological evidence from perceptual learning. The flexibility of perceptual learning is a (...) way of responding to new epistemic reasons. The resulting perceptual experiences are epistemically evaluable as justified or unjustified. (shrink)

Originally, literary prizes were restricted to the world of academia, but since the 19th century they have grown to become commercial events in the publishing calendar. This article looks at the role of the literary prize as an agent of change by focusing on two prominent prizes in the United Kingdom: the Booker and the Women’s Prize for Fiction. By analysing data from archive material held at Oxford Brookes University, this article argues that the founding of the Women’s Prize highlighted (...) an issue with the Booker and promoted discussion around that issue, and that the Booker reacted positively in the years after the introduction of a competing literary prize. (shrink)

In this issue of the Journal of Medical Ethics arguments are cogently made that sustainability and solidarity should be considered as core medical ethical principles, and that more explicit attention should be given to the complex context in which a decision is made.

Despite major advances in gender equality, patrilineal naming—children being granted their father’s surname—persists as a largely unquestioned norm in those Western countries with predominantly Anglo traditions, even in families where mothers retain their birth names. In Australia, when parents cannot agree on the child’s surname, the issue will go to a court or tribunal, to be decided by a judicial decision-maker. Apart from Jonathan Herring’s work in the UK, such cases have been little examined by scholars. This paper explores the (...) question of whether child surnames chosen by Australian courts—a supposedly neutral and objective third party—uphold patriarchal logic or provide more equitable outcomes. Using a feminist critical discourse framework, we examine five recent court judgments about child surname disputes, and six news articles about these types of cases. While these cases are not a representative sample, we find that, despite the existence of specific legal principles relating to children’s surnames, decision-makers’ judgments were inconsistent and subjective. Furthermore, mothers’ names tended to be granted to children when fathers were deemed to be ‘bad dads.’. (shrink)

This study investigated whether some Japanese intransitive verbs, called agent-implying intransitive verbs, are processed differently from other ordinary intransitive verbs. These verbs are special in that they denote agentive events, but they are intransitive verbs, which only allow the patient/theme to be the only nominatively marked argument. The priming experiment was designed based on the situation model theory, assuming that verbs with an agentive semantic structure (e.g., ordinary transitive verbs) has a shorter causal inferential distance than those with a non-agentive (...) semantic structure (e.g., ordinary intransitive verb). In the experiment, participants were instructed to read two sentences that formed a story, of which the second sentence was either a transitive or intransitive sentence. The participants then answered a related question about general knowledge, and their response times were measured. The results show that, whereas the mean response time in the ordinary intransitive condition was significantly longer than that in the ordinary transitive condition, the mean response time in the agent-implying intransitive condition was not significantly different from that of the corresponding transitive condition, suggesting that agent-implying intransitive verbs are interpreted as agentive. The findings suggest that agent-implying intransitive verbs instantly evoke agentivity, whereas ordinary intransitive verbs do not. The theoretical implications of the findings are discussed. (shrink)

This study takes as its point of departure a canvas by Rosa Bonheur containing a series of painted sketches of a lion cub, in order to approach her oeuvre from the perspective of animal biographies. The article focuses on the lion and lioness models frequented by the artist during her career. The aim is to shed light on the complexity of these relationships, starting from an analysis of the paintings and of the information about these animals to be found in (...) several early biographies of Bonheur. (shrink)

Feasting and Polis Institutions rassemble les actes d’un colloque du même nom organisé à l’Université d’Utrecht du 16 au 19 janvier 2014. Cet ouvrage vise à comprendre comment deux formes particulières de fêtes — la fête sacrificielle et le symposion — ont émergé et évolué dans le monde grec, mais aussi et surtout comment elles se sont placées au cœur des institutions religieuses et politiques qui définissent la société grecque. Les différentes contributions proposées se fondent sur des sourc...

Nigel Newton’s long-awaited book, building on research from his PhD of 2014, provides insights for anyone involved in values and relationships education. His research questions seek to ascertain wh...

How does the philosophical debate between naive realism and intentionalism relate to the psychological debate between ecological theories and constructivist theories? The participants in each debate take themselves to be doing something distinctive, but I show that characterizing the distinction is difficult: the theories in both debates use inference to the best explanation to draw contingent conclusions about the constitutive nature of perception. I argue that both debates concern the metaphysics of perception, and that philosophers of perception are wrong to (...) think that constructivist and ecological theories are engaged in a distinct and non-metaphysical task. (shrink)

Perception provides us with access to the external world, but that access is shaped by our own experiential histories. Through perceptual learning, we can enhance our capacities for perceptual discrimination, categorization, and attention to salient properties. We can also encode harmful biases and stereotypes. This article reviews interdisciplinary research on perceptual learning, with an emphasis on the implications for our rational and normative theorizing. Perceptual learning raises the possibility that our inquiries into topics such as epistemic justification, aesthetic criticism, and (...) moral knowledge should include not only an examination of cognition but also of perception. (shrink)

Language provides rich social information about its speakers. For instance, adults and children make inferences about a speaker's social identity, geographic origins, and group membership based on her language and accent. Although infants prefer speakers of familiar languages, little is known about the developmental origins of humans’ sensitivity to language as marker of social identity. We investigated whether 9-month-olds use the language a person speaks as an indicator of that person's likely social relationships. Infants were familiarized with videos of two (...) people who spoke the same or different languages, and then viewed test videos of those two individuals affiliating or disengaging. Results suggest that infants expected two people who spoke the same language to be more likely to affiliate than two people who spoke different languages. Thus, infants view language as a meaningful social marker and use language to make inferences about third-party social relationships. (shrink)

Policymakers and researchers consistently call for greater human accountability for AI technologies. We should be clear about two distinct features of accountability.

Recognizing and aligning individuals’ unique adaptive beliefs or “priors” through cooperative communication is critical to establishing a therapeutic relationship and alliance. Using active inference, we present an empirical integrative account of the biobehavioral mechanisms that underwrite therapeutic relationships. A significant mode of establishing cooperative alliances—and potential synchrony relationships—is through ostensive cues generated by repetitive coupling during dynamic touch. Established models speak to the unique role of affectionate touch in developing communication, interpersonal interactions, and a wide variety of therapeutic benefits for (...) patients of all ages; both neurophysiologically and behaviorally. The purpose of this article is to argue for the importance of therapeutic touch in establishing a therapeutic alliance and, ultimately, synchrony between practitioner and patient. We briefly overview the importance and role of therapeutic alliance in prosocial and clinical interactions. We then discuss how cooperative communication and mental state alignment—in intentional communication—are accomplished using active inference. We argue that alignment through active inference facilitates synchrony and communication. The ensuing account is extended to include the role of tactile afferents in realizing the beneficial effect of therapeutic synchrony. We conclude by proposing a method for synchronizing the effects of touch using the concept of active inference. (shrink)

The use of genetically modified organisms in agriculture makes great promises of better seeds, but also raises many controversies about ownership of seeds and about potential hazards. I suggest that owners of these seeds bear the responsibility to do no harm in using these seeds. After defining the nature of this responsibility, this paper asks, if ownership entails moral responsibility, and ownership can be transferred, then how is moral responsibility transferred? Building on the literature on use plans, I suggest five (...) conditions for a good transfer of moral responsibility for genetically modified seeds. I also look at the Monsanto Technology Use Guide and Technology/Stewardship Agreement, as an examplar of a use plan, to explore the extent to which these conditions are present. I conclude that use plans can play a role in the distribution and transfer of moral responsibility for technologies with high benefits and potential harmful uncertainties. (shrink)

Sixteen new essays by a team of leading international scholars on the theme of the Bible and its reception and appropriation in the context of radical practices, and an exposition of the imaginative possibilities of radical engagement with the Bible in inclusive social contexts.

El presente trabajo tuvo por objetivo, conocer el peso que los adolescentes confieren a las habilidades emocionales para su desempeño personal.Los resultados mostraron que los adolescentes privilegian las capacidades emocionales y sociomorales. Se presentan también experiencias de incorporación de acciones de educación emocional en el currículo docente.

Joshua Parker has made many interesting points, and we welcome the opportunity to develop the ideas of ‘Too Much Medicine, Not Enough Trust’. We will address: (i) the asymmetry between the trust that patients extend to doctors, and the trust that doctors extend to patients; (ii) our reasons for doubting that litigation or complaints reflect a betrayal of the patient–doctor relationship and (iii) the importance of institutional trust, both for the doctor and the patient.

This article offers a survey of the recently discovered scrapbooks collated over a number of decades by the Yorkshirewoman Dorothy Richardson. The large set of thirty-five volumes presents an important collection of press cuttings relating to the history and consequences of the French Revolution, and also contains ‘historical and miscellaneous’ material of a more eclectic nature. I argue that the texts significantly improve our understanding of Dorothy Richardson’s position as a reader, writer and researcher working in the North of England (...) at the turn of the nineteenth century. Furthermore, her set of albums raises important questions about the relationship between commonplacing and scrapbooking practices, and the capacity of such textual curatorship to function as a form of both political engagement and autobiographical expression. (shrink)

Maternal morbidity and mortality are high in the Indian context, but the majority of maternal deaths could be avoided by prompt and effective access to intrapartum care (WHO, 1999). Understanding the care seeking responses to intrapartum morbidities is crucial if maternal health is to be effectively improved, and maternal mortality reduced. This paper presents the results of a prospective study of 388 women followed through delivery and traditional postpartum in rural Karnataka in southern India. In this setting, few women use (...) the existing health facilities and most deliveries occur at home. The analysis uses quantitative data, collected via questionnaires administered to women both during pregnancy and immediately after delivery. By virtue of its prospective design, the study gives a unique insight into intentions for intrapartum care during pregnancy as well as events following morbidities during labour. Routine care in the intrapartum period, both within institutions and at home, and impediments to appropriate care are also examined. The study was designed to collect information about health seeking decisions made by women and their families as pregnancies unfolded, rather than trying to capture women’s experience from a retrospective instrument. The data set is therefore a rich source of quantitative information, which incorporates details of event sequences and health service utilization not previously collected in a Safe Motherhood study. Additional qualitative information was also available from concurrent in-depth interviews with pregnant women, their families, health care providers and other key informants in the area. The level of unplanned institutional care seeking during the intrapartum period within the study area was very high, increasing from 11% planning deliveries at a facility to an eventual 35% actually delivering in hospitals. In addition there was a significant move away from planned deliveries with the auxiliary nurse midwive (ANM), to births with a lay attendant or dai. The proportion of women who planned for an ANM to assist was 49%, as compared with the actual occurrence, which was less than half of this proportion. Perceived quality of care was found to be an important factor in health seeking behaviour, as was wealth, caste, education and experience of previous problems in pregnancy. Actual care given by a range of practitioners was found to contain both beneficial and undesirable elements. As a response to serious morbidities experienced within the study period, many women were able to seek care although sometimes after a long delay. Those women who experienced inadequate progression of labour pains were most likely to proceed unexpectedly to a hospital delivery. (shrink)