The National Institutes of Health is the largest biomedical research institution in the world. It has become one of the world's most highly respected research centers in part because of its efforts over the years to provide the research community with leadership in both the ethical and scientific parameters of research involving humans. As its 113th birthday approaches at the turn of the century, its great legacy is providing an environment to stimulate and nourish the diversity and creativity of ideas, (...) and thereby enable science to progress. This research must continue to be guided and tempered by consistent and critical federally-supported ethical analyses. (shrink)

Given that explicitly realist perspectives are currently quite unfashionable in applied linguistics, we very much welcome your thorough and careful discussion of the various forms they might take. We find the various categories you identify quite persuasive, and we find much to agree with in your characterisation of several of the positions you outline, particularly in the earlier part of the paper. However, we do take issue with aspects of your characterisation of both “social” and “linguistic systems” realism, and with (...) some of the arguments you adduce particularly against the latter and in favour of your seventh way (“linguistic norm circles realism”). Our response, then, concentrates particularly on the challenges arising from these parts of your paper, and addresses: (1) the ways in which we may define language itself, for the purposes of this debate; (2) the distinction between social and linguistic norms; (3) the properties of language; (4) the role of empirical evidence; and (5) the methodological problems we find with the norm circle approach. (shrink)

We examine stigma and how it operates, then develop a novel framework to classify the range of positions that are conceptually possible regarding how stigma ought to be handled from a public health perspective. In the case of weight stigma, the possible positions range from encouraging the intentional use of weight stigma as an obesity prevention and reduction strategy to arguing not only that this is harmful but that weight stigma, independent of obesity, needs to be actively challenged and reduced. (...) Using weight stigma as an illustrative example, we draw on prior theoretical work on stigma mechanisms and intervention strategies to develop a framework for improving the understanding, evaluation, and planning of anti-stigma interventions. This framework has the potential to help public health actors to map out how protest, contact, education, and regulation strategies can be used to reduce direct discrimination, structural discrimination, and internalized stigma. (shrink)

Mindfulness has come to be considered an important approach to help individuals cultivate transformative capacity to free themselves from stress and suffering. However, the transformative potential of mindfulness extends beyond individual stress management. This study contributes to a broadening of the scope of contemplative science by integrating the prominent, individually focused mindfulness meditation literature with collective mindfulness scholarship. In so doing, it aims to illuminate an important context in which mindfulness interventions are increasingly prevalent: workplaces. Typically, the intended effect of (...) workplace mindfulness training is to help workers manage stress better. Since mindfulness in organizations impacts individual and collective processes, the study blends the above literatures to create a cross-level “next-generation” Team Mindfulness Training pilot. Its potential in helping individuals and teams to manage work stress better is investigated via a two-phase mixed-methods research study in high-stress military work populations, and compared to a conventional 8-week mindfulness meditation program based on mindfulness-based stress reduction. Results suggest that compared to the “first-generation” mindfulness program, TMT seems no less effective in raising individual stress management skills, and may hold more promise in generating collective capacity to manage stress and unexpected difficulty, linked to an apparent interdependence between collective and individual mindfulness capacity development. Based on these empirical results, the study contributes to theory in three important ways: first, it outlines how individual and collective mindfulness in workplaces may be interdependent. Second, it explains why “next-generation” workplace training interventions should apply a cross-level approach. And third, it illustrates how its transformative potential for people at work, individually as well as collectively, can be extended by moving beyond an inward-looking meditation focus in mindfulness training. The study contributes to practice by providing a detailed outline of the pilot TMT program, and offers a series of follow-up research opportunities to inspire further scientific innovation in workplace mindfulness training, especially for high-stress work populations. The study’s ultimate aim is to prompt a shift away from adapting clinically oriented, self-focused “first-generation” mindfulness training protocols, and towards mindfulness as team sport: a more prosocially oriented mindfulness science intent on generating wisdom and compassion, for one and all. (shrink)

Public education is not just a way to organise and fund education. It is also the expression of a particular ideal about education and of a particular way to conceive of the relationship between education and society. The ideal of public education sees education as an important dimension of the common good and as an important institution in securing the common good. The common good is never what individuals or particular groups want or desire, but always reaches beyond such particular (...) desires towards that which societies as a whole should consider as desirable. This does, of course, put the common good in tension with the desires of individuals and groups. Neo-liberal modes of governance have, over the past decades, put this particular educational set up under pressure and have, according to some, eroded the very idea of the common good. This set of contributions reflects on this state of affairs, partly through an exploration of the idea of publicness itself – how it can be rearticulated and regained – and partly through reflections on the current state of education in the ‘north’ and the ‘south.’. (shrink)

In clinical lectures given between 1850 and 1852, William Pultney Alison, a senior Edinburgh physician, reflected on whether therapeutic bloodletting could be useful in some cases of pneumonia but harmful in others. If so, Alison reasoned, a change in the form of the disease—a change of type—could explain why therapeutic bloodletting had been nearly abandoned in treating a disease for which, only a few years earlier, it had been the standard therapy. In response, a young pathologist, John Hughes (...) Bennett, denied that anything like a change of type had occurred and insisted that bloodletting had never been an effective therapy. Over the next two decades, more than forty physicians debated the usefulness of bloodletting and the reasons for its decline. This debate, known as the Edinburgh Bloodletting Controversy, has attracted the attention of contemporary historians. Those who have discussed the debate side with Bennett and give Alison little serious attention. I argue that by examining the texts to determine what the issues really were, we can see that Alison may actually have been right. Moreover, this examination illuminates the practice of bloodletting and reveals one hitherto unrecognized factor that contributed to its decline. (shrink)

This essay examines the relations between existentialism and atheism, and argues that these are more complicated and multi-faceted than is often thought. Of the main nineteenth-century authors whose ideas prefigure existentialism—Nietzsche, Dostoevsky, and Kierkegaard—the last two are, explicitly, Christians. Even the twentieth-century existentialists who are well known for their positive atheism —Sartre and Camus—actually struggle to extricate their thought from the legacy of Christianity. Because Sartre and Camus reject traditional European moral frameworks on the grounds that these depend upon belief (...) in God, they have difficulty establishing positive ethical frameworks to guide human action and politics, as they nonetheless wish to do. Insofar as Sartre and Camus do derive ethical-political prescriptions from their versions of existentialism, they achieve this only by falling back upon aspects of the traditional Christian morality whose framework and foundations they reject. (shrink)

This paper problematises the ways women’s leadership has been understood in relation to male leadership rather than on its own terms. Focusing specifically on ethical leadership, we challenge and politicise the symbolic status of women in leadership by considering the practice of New Zealand Prime Minister Jacinda Ardern. In so doing, we demonstrate how leadership ethics based on feminised ideals such as care and empathy are problematic in their typecasting of women as being simply the other to men. We apply (...) different strategies of mimesis for developing feminist leadership ethics that does not derive from the masculine. This offers a radical vision for leadership that liberates the feminine and women’s subjectivities from the masculine order. It also offers a practical project for changing women’s working lives through relationality, intercorporeality, collective agency and ethical openness with the desire for fundamental political transformation in the ways in which women can lead. (shrink)

This short article argues that an adequate response to the implications for governance raised by ‘Big Data’ requires much more attention to agency and reflexivity than theories of ‘algorithmic power’ have so far allowed. It develops this through two contrasting examples: the sociological study of social actors used of analytics to meet their own social ends and the study of actors’ attempts to build an economy of information more open to civic intervention than the existing one. The article concludes with (...) a consideration of the broader norms that might contextualise these empirical studies, and proposes that they can be understood in terms of the notion of voice, although the practical implementation of voice as a norm means that voice must sometimes be considered via the notion of transparency. (shrink)

The vagaries of evidential reasoning in archaeology are notorious: the material traces that comprise the archaeological record are fragmentary and profoundly enigmatic, and the inferential gap that archaeologists must cross to constitute them as evidence of the cultural past is a peren­nial source of epistemic anxiety. And yet we know a great deal about the cultural past, including vast reaches of the past for which this material record is our only source of evidence. The contents of this record stand as (...) evidence only under interpretation, but however much a construct it is, archaeological evidence has a striking capacity to disrupt settled assump­tions, redirecting inquiry and expanding interpretive horizons in direc­tions no one could have anticipated. It is this capacity for constraining inference and interpretation that I am concerned to understand. I outline a model of evidential reasoning based on archaeological practice that integrates insights drawn from philosophical theories of confirmation, model building and hypothesis testing. Given growing interest in the uses of material evidence in fields that had been resolutely text-based, the archaeological principles of evidential reasoning may have much wider reach than this particular social/historical discipline. (shrink)

Behavioral immune system describes psychological mechanisms that detect cues to infectious pathogens in the immediate environment, trigger disease-relevant responses and facilitate behavioral avoidance/escape. BIS activation elicits a perceived vulnerability to disease which can result in conformity with social norms. However, a response to superficial cues can result in aversive responses to people that pose no actual threat, leading to an aversion to unfamiliar others, and likelihood of prejudice. Pathogen-neutralizing behaviors, therefore, have implications for social interaction as well as illness behaviors (...) and responses to health communications. In this study, we investigate how PVD influences conformity, attitudes to other people and to lockdown regulations through the lens of the Reinforcement Sensitivity Theory. RST describes personality in terms of biologically-driven approach and avoidance motivations which support personal goals. Participants from the United Kingdom public completed an RST personality questionnaire and then read either coronavirus morbidity-mortality statistics and current United Kingdom government lifestyle regulations, just the regulations, or no information at all. They all completed the Perceived Vulnerability to Disease scale to assess BIS-relevant Germ Aversion and Perceived Infectability, followed by questions measuring social conformity, warmth toward others and attitudes toward lockdown measures. Significantly lower PVD scores were observed in the no-information condition, with the other conditions showing no difference. In terms of RST, approach behaviors related to goal-drive persistence work alongside fear in explaining conformity to social norms. Reward related approach behaviors partially explained warmth toward others, indicating that social rewards gained through interaction continue to be strong drivers of behavior. We found no role for RST traits in attitudes toward lockdown. Overall, coronavirus-related behavior is not driven purely by fear, but also by social and/or protection goals regulated by approach motivation. This study presents new insights into public perceptions of coronavirus and government regulated lifestyle restrictions, helping to explain social behaviors in terms of biologically driven mechanisms. Such understanding is vital if we are to successfully motivate public behavior to constrain spread of the virus. (shrink)

This paper focuses on how Soldiers make hard choices between competing options. To understand the psychological processes behind these types of decisions, we present qualitative data collected from...

Alzheimer’s disease is an insidious onset neurodegenerative syndrome without effective treatment or cure. It is rapidly becoming a global health crisis that is overwhelming healthcare, society, and individuals. The clinical nature of neurocognitive decline creates significant challenges in bidirectional communication between caregivers and persons with Alzheimer’s disease that can negatively impact quality-of-life. This paper sought to understand how and to what extent would awareness training about the levels of consciousness in AD influence the quality-of-life interactions in the caregiver-patient dyad. A (...) literature review of multiple databases was conducted utilizing a transdisciplinary approach. The sum of findings indicates a positive relationship between enhanced caregiver awareness and training, positive interactions, and improved QOL measures among patients and caregivers. A multidirectional relationship was found among healthcare policies, training and education resources, caregivers, and persons with AD. Specifically, the current lack of policy and inadequate training and educational resources has various detrimental effects on patients and caregivers, while improvements in training and education of caregivers yields positive outcomes in communication and QOL. Furthermore, evidence of preserved consciousness in persons with AD was demonstrated from multiple disciplines, including neurobiological, psychological, and biopsychosocial models. The literature further revealed several methods to access the preserved consciousness in persons with AD and related dementias, including sensory, emotional, and cognitive stimulations. The evidence from the literature suggests a reframed approach to our understanding and treatment of persons with AD is not only warranted, but crucial to address the needs of those affected by AD. (shrink)

ABSTRACT Historically, maternal HIV research has focused on prevention of mother‐to‐child transmission and child outcomes, with little focus on the health outcomes of mothers. Over the course of the HIV epidemic, the approach to including pregnant women in research has shifted. The current landscape lends itself to reviewing the public health ethics of this research. This systematic review aims to identify ethical barriers and considerations for including pregnant and postpartum women living with HIV in treatment adherence and retention research. We (...) completed a systematic literature review following PRISMA guidelines with analysis using a relational ethics perspective. The included studies (n = 7) identified ethical barriers related to (a) women research participants as individuals, (b) partner and family dynamics, (c) community perspectives on research design and conduct, and (d) policy and regulatory implications. These broader contextual factors will yield research responsive to, and respectful of, the needs of pregnant and postpartum women living with HIV. While current regulatory and policy environments may be slow to change, actions can be taken now to foster enabling environments for research. We suggest that a relational approach to public health ethics can best support the needs of pregnant and postpartum women living with HIV; acknowledging this population as systematically disadvantaged and inseparable from their communities will best support the health of this population. (shrink)

IntroductionThe pelvic floor muscles are active during motor tasks that increase intra-abdominal pressure, but little is known about how the PFM respond to dynamic activities, such as gait. The purpose of this study was to characterize and compare PFM activity during walking and jogging in continent adults across the entire gait cycle.Methods17 able-bodied individuals with no history of incontinence participated in this study. We recorded electromyography from the abdominal muscles, gluteus maximus, and PFM while participants performed attempted maximum voluntary contractions (...) of all muscles and completed 60–70 strides in four gait conditions: slow walk ; regular walk ; transition walk ; jog. We quantified activity throughout the whole gait cycle and during periods of bursting for each participant, and analyzed the timing of PFM bursting periods to explore when the PFM were most active in the gait cycle. We also conducted a phase metric analysis on the PFM and GM burst timings. We performed a Spearman's rank-order correlation to examine the effect of speed on %aMVCGC, %aMVCBR, and phase metric score, and used the Wilcoxon Signed-Rank test to evaluate the effect of gait modality, matched for speed, on these variables.ResultsThe PFM were active throughout the gait cycle, with bursts typically occurring during single-leg support. The PFM and GM were in phase for 44–69% of the gait cycle, depending on condition. There was a positive correlation between gait speed and both %aMVCGC and %aMVCBR. Phase metric scores were significantly higher during jogging than transition walking, but there was no difference between gait modality on %aMVCGC or %aMVCBR. Where possible we disaggregated data by sex, although were unable to make statistical comparisons due to low sample sizes.ConclusionThe PFM are active during walking and jogging, with greater activity at faster speeds and with bursts in activity around single-leg support. The PFM and GM co-activate during gait, but are not completely in phase with each other. (shrink)

A highly original rereading of Kierkegaard through the concept of birthing, highlighting a speculative hypothesis about the nature of Being in Kierkegaard’s work.

Patriarchal institutions govern all aspects of women's lives: their minds, their bodies, and their souls. Additionally, they govern the ways in which women are perceived by others and the ways in which women perceive themselves. (Re) Interpretations: The Shapes of Justice in Women's Experience, is a collection of essays on language, religion, war, sex trafficking, and medicine-the patriarchal structures that form the basis of western society and, thus, are in many ways inherently unjust. The essays illustrate the multitude of ways (...) that women have found to work within and without these structures to create justice. Traditional theories of justice cast it as a cardinal virtue, unbiased and impartial. The essays in this book, however, remove justice from the abstract and return it to the specific: most of the essays use personal narratives to highlight the connections all people share. The women discussed here are challenging the authority of existing patriarchal narratives by telling their versions, and, thus, calling attention to and challenging their own political and social realities. Reflecting a focus on global connectedness and interdisciplinarity, the writers of these essays aim not only to raise questions, but also to show ways in which women are creating new pathways for themselves. Only by exploring solutions will women reclaim justice. From L.A. to Zimbwabe, women have stories to tell about their experiences of justice in the inherently patriarchal institutions of Language, Religion, War, Sex Trafficking, and Medicine. This relevant and thought-provoking collection captures the trials that women across the world face and the hope they create through their courageous actions. Through both personal narrative and factual overview, these essays emphasize that as people committed to justice, women must not simply raise the questions, but they must also explore solutions in order to reclaim justice for themselves, their daughters, their sisters, and their mothers. Contributors: Yifat Bitton, Stephany Ryan Cate, Jo Scott-Coe, Susan Dewey, Carmela Epright, Carmen Faymonville, Adam Gaynor, Pauline Greenhill, Denise Handlarski, Alison Jobe, Marc J.W. de Jong, Jodie M. Lawston, Jody Lisberger, Kristy Maher, Susan Maloney, Mickias Musiyiwa, Ruben Murillo, Annemarie Profanter, Natalie Wilson, and J. Carter Wood. (shrink)

This article discusses and develops some recent debates in feminist epistemology, by outlining the concept of an ‘emancipatory value’. It outlines the optimum conditions that a ‘community’ of knowers must satisfy in order that its members have the best chance of producing knowledge claims. The article thus covers general ground in epistemology. The article also argues that one of the conditions that any ‘emancipatory community’ must satisfy is that its underlying values should not oppress women. It is related to feminist (...) debates, therefore, in two ways: first, it develops its arguments by drawing on those debates; and second, after developing the general concepts of emancipatory value and epistemic community, it argues that feminist values are one set of emancipatory values to which an epistemic community should pay regard. (shrink)

This essay discusses the yoked history of witnessing in science and the law and examines the history of attempts, over the past century, to use science to improve the surety of witness testimony. It examines some of these projects, particularly in the 1960s and 1970s. The essay argues that modern psychology offers a particularly problematic form of expertise because its focus is a task central to the jury’s mandate, the evaluation of a witness and his or her testimony. It concludes (...) that a key feature of modern disputes over the legal relevance of psychological techniques is not the quality or character of the expertise being offered to the court but, rather, the question of whether expertise is needed at all and under what circumstances it should impinge on the jury’s decision making. (shrink)

Naomi Zack’s Inclusive Feminism: A Third Wave Theory of Women’s Commonality begins with an original reading of the paradigm shift from gender essentialism to intersectionality that ended U.S. second wave feminism. According to Zack there has been a crisis in academic and professional feminism since the late 1970s. Her project is to explain the motivation behind the shift from commonality to intersectionality, to outline its harmful effects, and to reclaim the idea that all women share something in common . To (...) accomplish this Zack careful retools essentialism in ways that simultaneously acknowledge women’s differences and dodge what she perceives to be intersectionality’s fragmenting effects. This paper addresses Zack’s critique of intersectionality and her effort to ground a feminist empathy-based solidarity in women’s commonalities. My discussion begins with a basic account of intersectionality. I explore Zack’s reasons for rejecting this popular approach by replying to her two strongest arguments against intersectionality: that intersectionality complicates the category woman by multiplying genders beyond necessity, and that intersectionality has a segregating effect on feminist political movements. I argue that Zack’s inclusive feminism generates an oversimplified account of empathy and thus fails to engage the tensions among feminist movements that intersectionality makes visible. I conclude that her account requires a more robust epistemology of empathy if political solidarity is to be grounded in the FMP category. (shrink)

In the last few years, conference programs and publications have begun to appear that reflect a growing interest, among North American archaeologists, in research initiatives that focus on women and gender as subjects of investigation. One of the central questions raised by these developments has to do with their "objectivity" and that of archaeology as a whole. To the extent that they are inspired by or aligned with explicitly political (feminist) commitments, the question arises of whether they do not themselves (...) represent an inherently partial and interest-specific standpoint, and whether their acceptance does not undermine the commitment to value neutrality and empirical rigor associated with scientific approaches to archaeology. I will argue that, in fact, a feminist perspective, among other critical, explicitly political perspectives, may well enhance the conceptual integrity and empirical adequacy of archaeological knowledge claims, where this is centrally a matter of deploying evidential constraints. (shrink)

The recent Science Wars have brought into sharp focus, in a public forum, contentious questions about the authority of science and what counts as properly scientific practice that have long structured archaeological debate. As in the larger debate, localized disputes in archaeology often presuppose a conception of science as a unified enterprise defined by common goals, standards, and research programs; specific forms of inquiry are advocated (or condemned) by claiming afiliation with sciences so conceived. This pattern of argument obscures much (...) that is most creative in archaeological practice. Archaeologists routinely exploit both integrating and fragmenting relations among the sciences, especially in establishing evidential claim. I will argue that the credibility of these claims is a function, not of scientific status acquired by corporate affiliation, but of the substantive trade in tools and techniques, empirical insights, models, and theories that is made possible by local interactions between archaeology and a wide range of other disciplines. There is much more to be gained by developing a rich critical understanding of the interfield relations that make this trade possible than by appealing to generic ideals of science. (shrink)

There is a persistent tradition of reading Propertius 1.10, according to which the Gallus addressed by the poem is the elegiac poet, and the poem itself is a description, not, or not only, of Gallus and his girl in bed but of Propertius reading Gallus’ love elegy.1 In CQ 39 , 561–2, James O'Hara suggests that the phrase ‘in alternis vocibus’ in Prop. 1.10.10 is a hint at amoebean verse, and as such may refer to the amoebean elegiac experiments by (...) Gallus which Fairweather argues are represented by the Qasr Ibrim papyrus. This may well be right. I suggest, however, that the primary metaphorical meaning of ‘in alternis vocibus’ is ‘in your elegiac verse’. Oblique hints at such a reading can be found in Ross , who describes 9f as ‘an extremely suggestive couplet’, and Hinds, in his discussion of alternus as a programmatic term in Ovid, Fasti 4.484. (shrink)

This article is about the recognition of personhood when death occurs in early life. Drawing from anthropological perspectives on personhood at the beginnings and ends of life, it examines the implications of competing religious and customary definitions of personhood for a small sample of young British Pakistani Muslim women who experienced miscarriage and stillbirth. It suggests that these women's concerns about the lack of recognition given to the personhood of their fetus or baby constitute a challenge to customary practices surrounding (...) burial as a Muslim. The article suggests that these women's concerns cannot be adequately glossed as a clash of Islamic belief versus Western medicine. Rather, they represent a renegotiation of Islamic opinion and customary practices within the broader context of changes in the medical and social norms surrounding pregnancy loss and infant death in multi-ethnic British society. (shrink)

There is deep ambivalence about analogy, both as an object of philosophical fascination and in contexts of practice, like archaeology, where it plays a seemingly central role. In archaeology there has been continuous vacillation between outright rejection of analogical inference as overtly speculative, even systematically misleading, and, when this proves un-tenable, various stock strategies for putting it 'on a firmer foundation'. Frequently these last are accomplished by assimilating analogy to more tractible (better warranted, more readily controllable) forms of inference, salvaging (...) respectability but at the expense, ironically, of reverting to a strategy of elimination. I have been struck by the parallels between this pattern of response and that typical of philosophy; the central question raised in both contexts is that of whether, or in what sense, there is any distinctively analogical form of inference and what sort of warrant (formal, methodological) accrues to it. In what follows I will assess two recent philosophical positions on this question, first in their own terms and then in consideration of archaeological uses of analogy. In this I hope to put the projects of justification themselves on a firmer footing. (shrink)

This is a contribution to the debate on speculative realism deriving from the book The Speculative Turn: Continental Materialism and Realism, eds Levi Bryant, Nick Srnicek and Graham Harman. It is also in part a response to Fabio Gironi’s review article on the subject, ‘Between naturalism and rationalism: a new realist landscape’ 2012: 361–87).

The 30th anniversary of the first DBS surgery of the subthalamic nucleus (STN) for Parkinson’s disease was celebrated in Grenoble this June. Since this initial surgery, the application of DBS has e...

The book offers an original defence of a new materialist thesis that focuses on the biological core of humans to develop a theory of human rights.

Recently, feminists have begun to draw attention to the vulnerability of human beings. This theoretical perspective lies in contrast to an element of the philosophical tradition that values autonomy and freedom. I would like, in this paper, to engage with some of the work of the feminist philosopher Pamela Anderson on the notion of vulnerability. I think that Anderson’s recognition of vulnerability is important but I’d like to suggest a different way of thinking about this issue from Pamela’s. I think (...) there are more difficulties than Anderson recognizes with Kant’s view of autonomy. Anderson argues that Kant’s theory can be adapted to cover the relationality of human beings with each other. However, I don’t think that this can be done without distorting Kant. Linked to this, she suggests that feminists ought to take into account existing “narrative identities.” However, these existing “narrative identities” may be detrimental to their interests. Subjects may be “constituted” by injurious social norms. It seems to me that there is an ontological and normative dimension of the problem that is insufficiently articulated in Pamela’s account. Kant’s view of autonomy leaves no room for vulnerability in the sense of relationality. Drawing on Simone de Beauvoir I would like to suggest a different concept of freedom and autonomy from that of Kant that allows for vulnerability. De Beauvoir argues that the freedom of each of us requires the freedom of others. Additionally I will suggest that de Beauvoir offers an account of the conditions for the removal of oppression, including the elimination of ethically detrimental aspects of vulnerability. (shrink)