In March 1996, the General Accounting Office issued the report Scientific Research: Continued Vigilance Critical to Protecting Human Subjects. It stated that “an inherent conflict of interest exists when physician-researchers include their patients in research protocols. If the physicians do not clearly distinguish between research and treatment in their attempt to inform subjects, the possible benefits of a study can be overemphasized and the risks minimized.” The report also acknowledged that “the line between research and treatment is not always clear (...) to clinicians. Controversy exists regarding whether certain medical procedures should be categorized as research.”This problem currently plagues gene transfer research. A few months prior to the GAO report, an ad hoc committee appointed by National Institutes of Health Director Harold Varmus expressed similar concerns in its assessment of NIH investment in research on gene therapy. (shrink)

As a comparatively recent development, the adventure-sports coach struggles for a clear and distinct identity. The generic term ‘instructor’ no longer characterizes the role and function of this subgroup of outdoor professionals. Indeed, although the fields of adventure/outdoor education and leadership are comparatively well researched, the arrival of this ‘new kid on the block’ appears to challenge both the adventure-sports old guard and traditional views of sports coaching. In an attempt to offer clarity and stimulate debate, this paper attempts to (...) conceptualize the adventure-sports coach in the context of the existing roles in the field and current motivations for activity in the outdoors. We identify issues that are specific to the adventure-sports coach while also recognizing those skills and competencies shared with other professionals, both in the adventure sports profession and traditional sports coaching fields. Based on this review, we offer a conceptual model which may be used to focus debate, stimulate research and, at a possible later stage, to underpin accreditation, training and professional development. (shrink)

This paper considers the personal epistemology of adventure sports coaches, the existence of the epistemological chain and its impact on professional judgment and decision-making. The epistemological chain’s role and operationalization in other fields is considered, offering clues to how it may manifest itself in the adventure sports coach context. High-level adventure sports coaches were interviewed and an interpretive phenomenological analysis approach was adopted for the interview transcripts. Based on these data, we suggest that the epistemological chain provides the criteria by (...) which adventure sports coaches measure the success of their coaching practice in the field and, further, that this epistemological chain also underpins the professional judgment and decision-making process. (shrink)

Among the many philosophers who hold that causal facts1 are to be explained in terms of—or more ambitiously, shown to reduce to—facts about what happens, together with facts about the fundamental laws that govern what happens, the clear favorite is an approach that sees counterfactual dependence as the key to such explanation or reduction. The paradigm examples of causation, so advocates of this approach tell us, are examples in which events c and e— the cause and its effect— both occur, (...) but: had c not occurred, e would not have occurred either. From this starting point ideas proliferate in a vast profusion. But the remarkable disparity among these ideas should not obscure their common foundation. Neither should the diversity of opinion about the prospects for a philosophical analysis of causation obscure their importance. For even those philosophers who see these prospects as dim—perhaps because they suffer post-Quinean queasiness at the thought of any analysis of any concept of interest—can often be heard to say such things as that causal relations among events are somehow “a matter of” the patterns of counterfactual dependence to be found in them. (shrink)

The concept of selecting for a disability, and deafness in particular, has triggered a controversial and sometimes acrimonious debate between key stakeholders. Previous studies have concentrated on the views of the deaf and hard of hearing, health professionals and ethicists towards reproductive selection for deafness. This study, however, is the first of its kind examining the views of hearing children of deaf adults towards preimplantation genetic diagnosis and prenatal diagnosis to select for or against deafness. Hearing children of deaf adults (...) straddle both the deaf and hearing worlds, and this dual perspective makes them ideally placed to add to the academic discourse concerning the use of genetic selection for or against deafness. The study incorporated two complementary stages, using initial, semistructured interviews with key informants as a means to guide the subsequent development of an electronic survey, completed anonymously by 66 individuals. The participants shared many of the same views as deaf individuals in the D/deaf community. The similarities extended to their opinions regarding deafness not being a disability, their ambivalence towards having hearing or deaf children and their general disapproval of the use of genetic technologies to select either for or against deafness. (shrink)

In the past, experts have disagreed about whether Samuel Clarke accepted the idea that gravity is a power superadded to matter by God. Most scholars now agree that Clarke did not support superaddition. But the argumentation employed by Clarke to reject superaddition has not been studied before in detail. In this paper, I explicate Clarke's argumentation by relating it to an important discussion about the possibility of superadded gravity in the Clarke-Collins correspondence. I examine Clarke's responses to Collins (...) and draw on his other works to reconstruct Clarke's reasons for rejecting superadded gravity. (shrink)

Peer review of grant applications, it has been suggested, might be distorted by what is popularly termed old boyism, cronyism, or particularism. We argue that the existing debate emphasizes the more uninteresting aspects of the peer review system and that the operation of old boyism, as currently understood would have little effect on the overall direction of science. We identify a phenomenon of cognitive particularism, which we consider to be more important than the institutional cronyism analyzed in previous studies. We (...) illustrate with material drawn from observation of grant-awarding commit tees of the Science and Engineering Research CounciL In the concluding discussion, we explore some of the possible implications for the peer review system. (shrink)

In recent years, to protect the rights and welfare of human subjects, institutions in the USA have begun to set up programmes to monitor ongoing medical research. These programmes provide routine, onsite oversight, and thus go beyond existing oversight such as investigating suspected misconduct or reviewing paperwork provided by investigators. However, because of a lack of guidelines and evidence, institutions have had little guidance in setting up their programmes. To help institutions make the right choices, we used interviews and document (...) analysis to study how and why 11 US institutions have set up their monitoring programmes. Although these programmes varied considerably, we were able to distinguish two general types. ‘Compliance’ programmes on the one hand were part of the institutional review board office and set up to ensure compliance with regulations. Investigators’ participation was mandatory. Monitors focused on documentation. Investigators could be disciplined, and could be obliged to take corrective actions. ‘Quality-improvement’ programmes on the other hand were part of a separate office. Investigators requested to be monitored. Monitors focused more on actual research conduct. Investigators and other parties received feedback on how to improve the research process. Although both types of programmes have their drawbacks and advantages, we argue that if institutions want to set up monitoring programmes, quality improvement is the better choice: it can help foster an atmosphere of trust between investigators and the institutional review board, and can help raise the standards for the protection of human subjects. (shrink)

Dans cet article, nous discutons et développons la taxonomie de la connaissance tacite proposée par Collins dans son livre de 2010, Tacit and Explicit Knowledge. Dans un premier temps, nous critiquons la définition et le nom d’une des trois catégories de connaissance tacite introduites par Collins, à savoir la connaissance tacite relationnelle . Après avoir expliqué quel principe fondamental individualise en fait RTK comme une catégorie distincte des deux autres catégories que sont la connaissance tacite somatique et la (...) connaissance tacite collective , nous suggérons pour RTK un autre nom, plus en harmonie avec ce principe. Dans un second temps, nous mettons en évidence une possible ambiguïté dans l’interprétation de RTK, STK et CTK, et nous indiquons comment éviter les possibles confusions associées, notamment en introduisant plusieurs notations qui précisent celles de Collins. Les développements correspondants renforcent et spécifient un point implicitement suggéré par Collins dans son ouvrage, à savoir la forte asymétrie qui existe entre RTK d’un côté, et STK/CTK de l’autre. Dans un troisième temps, l’article s’emploie à prolonger et interroger dans de nouvelles directions la classification de Collins. Dans cet esprit, la possibilité de différents sous-types de RTK est introduite. L’un de ces sous-types pose la question d’une connaissance tacite individuelle et intellectuelle – cas qui ne semble pas avoir de place dans le cadre de Collins. La classification de Collins est également envisagée dans une perspective dynamique. Nous discutons en particulier la possibilité – non considérée par Collins – de transformations dynamiques entre certaines des trois catégories RTK, STK et CTK. Pour finir, nous faisons deux suggestions en vue d’éviter les confusions et malentendus lors de l’utilisation des distinctions de Collins : s’agissant des affirmations selon lesquelles une connaissance K est explicitable, explicite ou tacite, toujours préciser pour qui et quand ; s’agissant des affirmations selon lesquelles une connaissance K est explicite ou explicitable, ne pas s’en tenir à affirmer cela tout court, mais toujours préciser dans lequel des quatre sens différenciés par Collins .In this paper, we discuss and extend the taxonomy of tacit knowledge proposed by Collins in his 2010 book, Tacit and Explicit Knowledge. First, we question the definition and the name of one of Collins’s three categories of TK, namely Relational Tacit Knowledge . After having explained the true fundamental principle that individuates RTK as one category distinct from the two others , we suggest an alternative name for RTK, which fits this principle better. Second, our analyses identify a possible ambiguity in the interpretation of RTK, STK and CTK, and indicate how to avoid the related possible confusions. For this purpose, we introduce several notations that specify Collins’s ones. The corresponding developments strengthen and specify a point implicitly suggested in Collins’s book, namely the existence of a serious asymmetry between RTK on the one hand, and STK/CTK on the other. Third, the paper attempts to elaborate and complete Collins’s framework. In this vein, we introduce the possibility of different sub-types of RTK. One of these sub-cases raises the issue of individual, intellectual tacit knowledge—a case that does not seem to have any place in Collins’s picture. We also look at Collins’s framework in a dynamical perspective, and discuss the possibility—not considered by Collins—of dynamic transformations between some of the three categories. Finally, we make two suggestions in order to avoid confusions or misunderstandings when using Collins’s distinctions. When the qualities “explicit”, “explicable” or “tacit” are attributed to some knowledge, these qualities should always be accompanied by the specification for whom and when. Moreover, the attributions “explicit” and “explicable” should always indicate which of Collins’s four senses is meant—elaboration, transformation, mechanization or scientific explanation. (shrink)

The Proceedings of the National Summit on Legal Preparedness for Obesity Prevention and Control is based on a two-part conceptual framework composed of public health and legal perspectives. The public health perspective comprises the six target areas and intervention settings that are the focus of the obesity prevention and control efforts of the Centers for Disease Control and Prevention.This paper presents the legal perspective. Legal preparedness in public health is the underpinning of the framework for the four “assessment” papers and (...) the four “action” papers that are integral to the application of public health law to any particular health issue. In addition, this paper gives real-world grounding to the legal framework through examples that illustrate the four core elements of legal preparedness in public health that are at work in obesity prevention and control. (shrink)

The Proceedings of the National Summit on Legal Preparedness for Obesity Prevention and Control is based on a two-part conceptual framework composed of public health and legal perspectives. The public health perspective comprises the six target areas and intervention settings that are the focus of the obesity prevention and control efforts of the Centers for Disease Control and Prevention.This paper presents the legal perspective. Legal preparedness in public health is the underpinning of the framework for the four “assessment” papers and (...) the four “action” papers that are integral to the application of public health law to any particular health issue. In addition, this paper gives real-world grounding to the legal framework through examples that illustrate the four core elements of legal preparedness in public health that are at work in obesity prevention and control. (shrink)

My book, Tacit and Explicit Knowledge, is introduced. The introduction is also helpful in explaining the book to me, the author.Mon livre, Tacit and Explicit Knowledge, est introduit. L’introduction est également utile pour m’expliquer le livre à moi-même, l’auteur.

This article examines the ways that managers in a rapidly globalizing industry use gendered discourses of skill to justify and frame their search for inexperienced workers in low-wage regions, using a case of a U.S.-based apparel firm that relocated and subcontracted its sewing operations in the 1990s. It uses feminist theory to examine managers' claims that women's sewing skills in the United States were disappearing and that they needed to seek out these skills in parts of the world where women (...) were not yet active participants in labor markets. Feminist researchers have long understood the ways that naturalization of skill cheapens women's labor. The case presented here highlights the way in which the portrayal of certain skills as naturally occurring resources justifies the movement of capital in search of new pools of workers without labor market experience or union representation. (shrink)