Half of the 33.2 million people living with HIV today are women. Yet, responses to the epidemic are not adequately meeting the needs of women. This article critically evaluates how prevention of mother-to-child transmission (PMTCT) programs, the principal framework under which women's health is currently addressed in the global response to AIDS, have tended to focus on the prevention of HIV transmission from HIV-positive women to their infants. This paper concludes that more than ten years after their inception, PMTCT programs (...) still do not successfully ensure the adequate treatment, care and support of HIV-infected women. Of particular concern is the continued widespread use of single-dose nevirapine despite World Health Organization recommendations to employ more effective combination therapies that do not potentially jeopardize women's future treatment outcomes. In response, the article calls for a more comprehensive approach that places women's health needs at the centre of AIDS responses. This is critical in settings where the pandemic is generalized and there is a push to greatly expand PMTCT programs, as a more effective and equitable way of meeting the needs of women in the context of HIV. Without such a comprehensive approach, women will continue to be impacted disproportionately by the pandemic, and current strategies for prevention, including PMTCT, and treatment will not be as effective and responsive as they need to be. (shrink)
How do we go about understanding the "classic texts" of sociological theory? This paper begins by reviewing the historicist position of Jones, with its foundations in the work of Quentin Skinner and other historians of political theory. This position then is criticized from the standpoint of the neo-Deweyan pragmatism of Richard Rorty. Specifically, Rorty's pragmatism encourages us to revise Skinner's and Jones's historicism on three specific points: the acceptance of treatments of classical texts that are undeniably anachronistic but (...) nonetheless unobjectionable; the restriction of Skinner's notion of an agent's "privileged access" to his or her intentions; and the adoption of a view of the history of sociological theory as a succession of vocabularies-a view that encourages a new kind of dialogue between historians of sociological theory and theorists themselves. The last point is articulated in a concrete example of the interpretation of one of Durkheim's most characteristic arguments. The conclusion again stresses the benefits to be derived from viewing sociological theory-both past and present-from this pragmatist perspective. (shrink)
Patient consent has been formulated in terms of radical individualism rather than shared benefits. Medical education relies on the provision of patient consent to provide medical students with the training and experience to become competent doctors. Pelvic examination represents an extreme case in which patients may legitimately seek to avoid contact with inexperienced medical students particularly where these are male. However, using this extreme case, this paper will examine practices of framing and obtaining consent as perceived by medical students. This (...) paper reports findings of an exploratory qualitative study of medical students and junior doctors. Participants described a number of barriers to obtaining informed consent. These related to misunderstandings concerning student roles and experiences and insufficient information on the nature of the examination. Participants reported perceptions of the negative framing of decisions on consent by nursing staff where the student was male. Potentially coercive practices of framing of the decision by senior doctors were also reported. Participants outlined strategies they adopted to circumvent patients’ reasons for refusal. Practices of framing the information used by students, nurses and senior doctors to enable patients to decide about consent are discussed in the context of good ethical practice. In the absence of a clear ethical model, coercion appears likely. We argue for an expanded model of autonomy in which the potential tension between respecting patients’ autonomy and ensuring the societal benefit of well-trained doctors is recognised. Practical recommendations are made concerning information provision and clear delineations of student and patient roles and expectations. (shrink)
Abstract I re-present my account of how a liberal democratic society can be tolerant and do so in a way designed to meet Peter Balint’s objections. In particular, I explain how toleration can be approached from a third-party perspective, which is that of neither tolerator nor tolerated but of rule-makers providing for the toleration that the citizens of a society are to extend to one another. Constructing a regime of toleration should not be confused with engaging in toleration. Negative appraisal (...) and power remain ‘possibility conditions’ of toleration but they are not necessary features of either a regime of toleration or the sponsors of such a regime. Content Type Journal Article Pages 1-6 DOI 10.1007/s11158-012-9178-2 Authors Peter Jones, Emeritus Professor of Political Philosophy, School of Geography, Politics and Sociology, Newcastle University, Newcastle upon Tyne, NE1 7RU UK Journal Res Publica Online ISSN 1572-8692 Print ISSN 1356-4765. (shrink)
This important and provocative book on the work of Alfred North Whitehead (1861-1947) explores how his avowed atomism is consistent with his equally essential commitment to a view of reality as a thoroughly interconnected sphere of relations. Judith Jones challenges Whitehead's readers to reconsider certain prevailing interpretations of his organic philosophy.
A multidisciplinary faculty committee designed a curriculum to shape biomedical graduate students into researchers with a high commitment to professionalism and social responsibility and to provide students with tools to navigate complex, rapidly evolving academic and societal environments with a strong ethical commitment. The curriculum used problem-based learning (PBL), because it is active and learner-centred and focuses on skill and process development. Two courses were developed: Scientific Professionalism: Scientific Integrity addressed discipline-specific and broad professional norms and obligations for the ethical (...) practice of science and responsible conduct of research (RCR). Scientific Professionalism: Bioethics and Social Responsibility focused on current ethical and bioethical issues within the scientific profession, and implications of research for society. Each small-group session examined case scenarios that included: (1) learning objectives for professional norms and obligations; (2) key ethical issues and philosophies within each topic area; (3) one or more of the RCR instructional areas; and (4) at least one type of moral reflection. Cases emphasised professional standards, obligations and underlying philosophies for the ethical practice of science, competing interests of stakeholders and oversight of science (internal and external). To our knowledge, this is the first use of a longitudinal, multi-semester PBL course to teach scientific integrity and professionalism. Both faculty and students endorsed the active learning approach for these topics, in contrast to a compliance-based approach that emphasises learning rules and regulations. (shrink)
This paper reports on selected attitudes of a sample of third-year undergraduate business students in a major urban university. The focus of the research is on respondent perceptions of certain aspects of the employee-employer relationship. Such issues as use of the company car for a personal trip, use of the company copy machine for personal copies, calling in sick when some personal time is needed, eating at the very best restaurant on a business trip and others are explored. Half of (...) the students surveyed were asked to respond as though they were employees of the company. The other half were asked to respond as though they were the President of the company. Both groups seemed to reflect a certain amount of flexibility in their responses to the issues presented. The assumed position of the respondent, the situation, did influence the responses given. (shrink)
Anna Lappé: Diet for a Hot Planet: The Climate Crisis at the End of Your Fork and What You Can Do About it Content Type Journal Article Pages 1-2 DOI 10.1007/s10806-011-9326-2 Authors Diane Veale Jones, College of Saint Benedict/Saint John’s University Environmental Studies Department, 112 New Science Center, Saint John’s University, Collegeville, MN 56321, USA Journal Journal of Agricultural and Environmental Ethics Online ISSN 1573-322X Print ISSN 1187-7863.
This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs.
What are angels? Where were they first encountered? Can we distinguish angels from gods, faeries, ghosts, and aliens? And why do they remain so popular? -/- In this introduction to the history of angels, David Albert Jones outlines some of the more prominent stories and speculations about angels in Judaism, Islam, Christianity and post-Christian spiritualities. He reflects on the way angels are portrayed in art, whether as young men in the Hebrew Scriptures, androgynous winged creatures of the pre-Raphaelites, or (...) the masculine statue of the Angel of the North. He also considers angels in films such as Wim Wenders' Wings of Desire, and Frank Capra's It's a Wonderful Life, as well as angels in literature. -/- From the idea of the angel as a messenger, through to the image of angels sent to protect and help those in need, this is an examination of the implications of angels. It asks why people find the idea of them so attractive, helpful or consoling, and why they remain so powerful in modern culture. In this thought-provoking introduction, Jones considers the view that reflecting on angels can teach us something about human existence. Whether or not we believe that they exist in their own right, angels can still illuminate our thoughts. (shrink)
This article is written from within the Catholic, and more particularly the Augustinian/Thomist tradition of moral theology. It analyses the response of the Catholic Magisterium to the prospect of germline-genetic engineering (GGE). This is a very new issue and the Church has little definitive teaching on it. The statements of Popes and Vatican congregations or commissions have not settled the key questions. An analysis of theological themes drawn from secular writers points beyond pragmatic safety considerations toward intrinsic ethical limits to (...) GGE. Given the impossibility of identifying would-have-been-created persons who would be “treated” by this intervention, altering the human genome for the sake of future generations cannot be regarded as “therapy.” Further theological considerations suggest that GGE may not be morally permissible, even in the case of identifiable genetic diseases. This is an area where more theological reflection is needed. (shrink)
Historically, for Black writers, literary fiction has been a site for transforming the discursive disciplinary spaces of political oppression. From 19th century “slave narratives” to the 20th century, Black novelists have created an impressive literary counter-canon in advancing liberatory struggles. W.E.B. Du Bois argued that “all art is political.” Many Black writers have used fiction to create spaces for political and social freedom—from the early work of Harriet Wilson’s Our Nig; or, Sketches from the Life of a Free Black (1859)—to (...) the enduring works of the Harlem Renaissance (Toomer, Hurston, and Schuyler)—to the great revolutionary Black literature after WWII (Wright, Baldwin, Williams)—to contemporary Black writers (Toni Morrison, Edward Jones, Samuel Delany)—Black fictive space continues to be a necessary site for resistance. Black literary fiction is a vast counter-canon to mainstream literature which unquestioningly reinforces global white supremacy, capitalistic political oppressions, and the dominance/subordinance relations upon which they depend. (shrink)
Webber, Ruth; Jones, Kate This paper is about how three Catholic agencies carved out and adapted over time a role for themselves in assisting in the recovery after the Victorian bushfires of 2009. It tracks the process from the time the Archbishop of Melbourne commissioned Catholic Social Services Victoria to survey the bushfire affected areas and work out where there were gaps in services that the Catholic agencies could fill. A significant amount of funding was allocated to the provision (...) of services by Catholic agencies for a period of up to three years in the bushfire affected regions. This was seen as a Catholic response to an extraordinary natural disaster. This was organisationally difficult because there are in excess of sixty Catholic welfare services in Victoria and it was necessary to determine who would be best able to meet the gaps and deliver appropriate services.1 It was clear that the aim was not to replicate or compete with existing services, it was to meet real needs and to do this in a cooperative and collegial way with existing players. (shrink)
6149 complete π-?-e events have been measured in nuclear emulsion. 3021 events were in ordinary Ilford G5 emulsion and 3128 were in G5 emulsion containing twice the usual amount of gelatin relative to halide. The angular correlation between the initial directions of motion of ?-meson and electron, after possible edge effects have been eliminated, is of the form 1 - (0.149±0.033) cos ? in ordinary emulsion and 1 - (0.190±0.033) cos ? in diluted emulsion. This demonstrates conclusively the breakdown of (...) parity conservation and charge conjugation in both steps of the π-?-e process. It is shown that, with the aid of other data, the partial quenching of the ?-meson's initial spin orientation may be eliminated from these data and the true correlation of the fundamental process obtained: it is 1 - (0.283±0.060) cos ?. This asymmetry is consistent with the prediction of the two-component neutrino theory with. (shrink)
Atom location by channelling-enhanced microanalysis (ALCHEMI) has been applied to a Ti2AlNb compound of composition Ti?23?at.%?Al?21?at.%?Nb so as to deliver absolute compositions for the three sublattices. These compare well with our own neutron diffraction measurements and with previously reported neutron diffraction results. The thus-validated ALCHEMI method has been applied to a single-phase Ti2AlNb compound of composition Ti?27.5?at.%?Al?23?at.%?Nb annealed at three different temperatures.
The view that metaphysics is a waste of time appears to be gaining in popularity with every passing day. It is held openly by many scientists and even by many philosophers. I argue here that this is a consequence of the way metaphysics is often done, the futility of a certain approach to it, and not a reason to suppose that there is no useful knowledge to be acquired in metaphysics.
Prinz claims that empirical work on emotions and moral judgement can help us resolve longstanding metaethical disputes in favour of simple sentimentalism. I argue that the empirical evidence he marshals does not have the metaethical implications he claims: the studies purporting to show that having an emotion is sufficient for making a moral judgement are tendentiously described. We are entitled to ascribe competence with moral concepts to experimental subjects only if we suppose that they would withdraw their moral judgement on (...) learning that they were fully explained by hypnotically induced disgust. Genuine moral judgements must be reason-responsive. To capture the reason-responsiveness of moral judgement, we must turn to either neo-sentimentalism or to a non-sentimentalist metaethics, either of which is fully compatible with the empirical evidence Prinz cites. (shrink)
Auditory verbal hallucinations (AVHs) are a highly complex and rich phenomena, and this has a number of important clinical, theoretical and methodological implications. However, until recently, this fact has not always been incorporated into the experimental designs and theoretical paradigms used by researchers within the cognitive sciences. In this paper, we will briefly outline two recent examples of phenomenologically informed approaches to the study of AVHs taken from a cognitive science perspective. In the first example, based on Larøi and Woodward (...) (Harv Rev Psychiatry 15:109–117, 2007 ), it is argued that reality monitoring studies examining the cognitive underpinnings of hallucinations have not reflected the phenomenological complexity of AVHs in their experimental designs and theoretical framework. The second example, based on Jones (Schizophr Bull, in press, 2010 ), involves a critical examination of the phenomenology of AVHs in the context of two other prominent cognitive models: inner speech and intrusions from memory. It will be shown that, for both examples, the integration of a phenomenological analysis provides important improvements both on a methodological, theoretical and clinical level. This will be followed by insights and critiques from philosophy and clinical psychiatry—both of which offer a phenomenological alternative to the empiricist–rationalist conceptualisation of AVHs inherent to the cognitive sciences approach. Finally, the paper will conclude with ideas as to how the cognitive sciences may integrate these latter perspectives into their methodological and theoretical programmes. (shrink)
The activities of the life sciences are essential to provide solutions for the future, for both individuals and society. Society has demanded growing accountability from the scientific community as implications of life science research rise in influence and there are concerns about the credibility, integrity and motives of science. While the scientific community has responded to concerns about its integrity in part by initiating training in research integrity and the responsible conduct of research, this approach is minimal. The scientific community (...) justifies itself by appealing to the ethos of science, claiming academic freedom, self-direction, and self-regulation, but no comprehensive codification of this foundational ethos has been forthcoming. A review of the professional norms of science and a prototype code of ethics for the life sciences provide a framework to spur discussions within the scientific community to define scientific professionalism. A formalization of implicit principles can provide guidance for recognizing divergence from the norms, place these norms within a context that would enhance education of trainees, and provide a framework for discussing externally and internally applied pressures that are influencing the practice of science. The prototype code articulates the goal for life sciences research and the responsibilities associated with the freedom of exploration, the principles for the practice of science, and the virtues of the scientists themselves. The time is ripe for scientific communities to reinvigorate professionalism and define the basis of their social contract. Codifying the basis of the social contract between science and society will sustain public trust in the scientific enterprise. (shrink)
Slippery slope arguments have been important in the euthanasia debate for at least half a century. In 1957 the Cambridge legal scholar Glanville Williams wrote a controversial book, The Sanctity of Life and the Criminal Law, in which he presented the decriminalizing of euthanasia as a modern liberal proposal taking its rightful place alongside proposals to decriminalize contraception, sterilization, abortion, and attempted suicide (all of which the book also advocated).1 Opposition to these reforms was in turn presented as exclusively religious (...) and particularly Roman Catholic. Thus Williams asserted that "euthanasia can be condemned only according to religious opinion" (1957, p. 312).The following year, in .. (shrink)
After a thorough examination of the claim that "the underdetermination of theory by evidence forces us to seek sociological explanations of scientists' cognitive choices", Samir Okasha concludes that the only significant problem with this argument is that the thesis of underdetermination is not adequately supported. Against Okasha, I argue (1) that there is a very good reason to question the inference from the underdetermination of a theory to a sociological account of that theory's acceptance, and (2) that Okasha's own objection (...) to the argument is too weak. (shrink)
Shame is one of the more painful consequences of loving someone; my beloved’s doing something immoral can cause me to be ashamed of her. The guiding thought behind this paper is that explaining this phenomenon can tell us something about what it means to love. The phenomenon of beloved-induced shame has been largely neglected by philosophers working on shame, most of whom conceive of shame as being a reflexive attitude. Bennett Helm has recently suggested that in order to account for (...) beloved-induced shame, we should deny the reflexivity of shame. After arguing that Helm’s account is inadequate, I proceed to develop an account of beloved-induced shame that rightly preserves its reflexivity. A familiar feature of love is that it involves an evaluative dependence; when I love someone, my well-being depends upon her life’s going well. I argue that loving someone also involves a persistent tendency to believe that her life is going well, in the sense that she is a good person, that she is not prone to wickedness. Lovers are inclined, more strongly than they otherwise would be, to give their beloveds the moral benefit of the doubt. These two features of loving—an evaluative dependence and a persistent tendency to believe in the beloved’s moral goodness—provide the conditions for a lover to experience shame when he discovers that his beloved has morally transgressed. (shrink)
At the end of Lecture 3 of The Empirical Stance, Bas van Fraassen suggests that we see the change of view involved in scientific revolutions as being, at least in part, emotional. In this paper, I explore one plausible way of cashing out this suggestion. Someone's emotional approval of a description of the world, I argue, thereby shows that she takes herself to have reason to take that description seriously. This is true even if she is convinced— as a scientific (...) community is when it considers alternative theories— that this description is false, that it is not the way the world is. (shrink)
This article examines the relationship between compromise and fairness, and considers in particular why, if a fair outcome to a conflict is available, the conflict should still be subject to compromise. It sets out the defining features of compromise and explains how fair compromise differs from both principled and pragmatic compromise. The fairness relating to compromise can be of two types: procedural or end-state. It is the coherence of end-state fairness with compromise that proves the more puzzling case. We offer (...) reasons why people should be allowed to resolve conflicting or competing claims through compromise, even if compromise comes at the expense of end-state fairness, but we resist the suggestion that the primary rationale for compromise is to be found in non-ideal circumstances. (shrink)
There seems to be no clear consensus in the existing literature about the role of deontic logic in legal knowledge representation — in large part, we argue, because of an apparent misunderstanding of what deontic logic is, and a misplaced preoccupation with the surface formulation of legislative texts. Our aim in this paper is to indicate, first, which aspects of legal reasoning are addressed by deontic logic, and then to sketch out the beginnings of a methodology for its use in (...) the analysis and representation of law.The essential point for which we argue is that deontic logic — in some form or other —needs to be taken seriously whenever it is necessary to make explicit, and then reason about, the distinction between what ought to be the case and what is the case, or as we also say, between the ideal and the actual. We take the library regulations at Imperial College as the main illustration, and small examples from genuinely legal domains to introduce specific points. In conclusion, we touch on the role of deontic logic in the development of the theory of normative positions. (shrink)
This document is a synopsis of discussions at the workshop prepared by Nicholaos Jones and Kevin Coffey, with remarks added by by Chuang Liu, John D. Norton, John Earman, Gordon Belot, Mark Wilson, Bob Batterman and Margie Morrison. The program is included in an appendix.
The principle that emergent writing is supported by talk, and that an appropriate pedagogy for writing should include planned opportunities for talk is well researched and well understood. However, the process by which talk becomes text is less clear. The term 'oral rehearsal' is now commonplace in English classrooms and curriculum policy documents, yet as a concept it is not well theorised. Indeed, there is relatively little reference to the concept of oral rehearsal in the international literature, and what references (...) do exist propose differing interpretations of the concept. At its most liberal, the term is used loosely as a synonym for talk; more precise definitions frame oral rehearsal, for example, as a strategy for reducing cognitive load during writing; for post-hoc reviewing of text; for helping writers to 'hear' their own writing; or for practising sentences aloud as a preliminary to writing them down. Drawing on a systematic review of the literature and video data from an empirical study, the paper will offer a theoretical conceptualisation of oral rehearsal, drawing on existing understanding of writing processes and will illustrate the ways in which young writers use oral rehearsal before and during writing. (shrink)
It is well known anecdotally that, for many people in dementia, the appreciation of music outlasts other faculties. Could the residual musicality constitute a 'musical self', an enduring fragment of the person that the sufferer used to be? The question, as far we know, has not been raised before. Towards formulating the hypothesis, this article examines some of the available research and theorizing concerning the self and the neurology of music and dementia. A unified neurocognitive 'musical self' system seems plausible, (...) though at present the evidence is sketchy. Social-relational aspects of both selfhood and musical experience are also considered, and a case history is presented so as to highlight their importance for understanding the complex relationship between music, dementia, and selfhood. (shrink)
How much responsibility ought a professional engineer to have with regard to supporting basic principles of sustainable development? While within the United States, professional engineering societies, as reflected in their codes of ethics, differ in their responses to this question, none of these professional societies has yet to put the engineer’s responsibility toward sustainability on a par with commitments to public safety, health, and welfare. In this paper, we aim to suggest that sustainability should be included in the paramountcy clause (...) because it is a necessary condition to ensure the safety, health, and welfare of the public. Part of our justification rests on the fact that to engineer sustainably means among many things to consider social justice, understood as the fair and equitable distribution of social goods, as a design constraint similar to technical, economic, and environmental constraints. This element of social justice is not explicit in the current paramountcy clause. Our argument rests on demonstrating that social justice in terms of both inter- and intra-generational equity is an important dimension of sustainability (and engineering). We also propose that embracing sustainability in the codes while recognizing the role that social justice plays may elevate the status of the engineer as public intellectual and agent of social good. This shift will then need to be incorporated in how we teach undergraduate engineering students about engineering ethics. (shrink)
The phenomenology of auditory verbal hallucinations (AVHs) occurring in hypnagogic and hypnopompic (H&H) states has received little attention. In a sample of healthy participants ( N = 325), 108 participants reported H&H AVHs and answered subsequent questions on their phenomenology. AVHs in the H&H state were found (1) to be more likely to only feature the occasional clear word than to be clear, (2) to be more likely (...) to be one-off voices than to be recurrent voices, (3) to be more likely to be voices of people known to the individual than unknown persons, (4) to be more likely to talk directly to the person rather than not, and (5) to only rarely give commands, ask questions, or to result in an interactive conversation. Their phenomenology was similar to normative AVHs in wakefulness (as established by previous research) in that the voice-hearer was usually the target of the voice, and the voice was more likely to be of a recognized person. However, H&H AVHs differed from AVHs in wakefulness in that commands and questions were rare, and there was typically no dialogical engagement with the voice. We conclude by proposing that two distinct types of H&H AVHs may exist (which we term “dialogic” and “monologic”), based on an analysis of the phenomenology of the experience, and suggest avenues for future research. (shrink)
The author examines concepts of real time and real-time in relation to notions of perception and processes of sonification. He explores these relationships in three case studies and suggests that sonification can offer a form of reconciliation between ontology and phenomenology, and between ourselves and the flux we are part of.