In recent years, there has been a surge in popularity of the fair-trade industry, which seeks to improve trading conditions and to promote the rights of marginalized workers. Although research suggests that fair-trade products are perceived as promoting social and economic responsibility, some individuals—namely, those who seek to maintain existing group inequalities or those induced to think inequality is a good thing—may not share this perception. Across three studies, we found that SDO relates negatively to fair-trade consumption, and this relationship (...) is mediated by the tendency for high-SDO individuals to see fair-trade products as less compatible with their conception of social justice. Our findings held after controlling for related individual-differences variables, and regardless of whether SDO was measured or manipulated. Implications for how to maximize the likelihood that people will perceive fair-trade products as “fair” are discussed. (shrink)

We extend attribution and stakeholder theory in the context of crisis reputation management by examining differences in stakeholder perceptions in the form of organization-related blame. We presented eight stakeholder groups with factual information surrounding the Deepwater Horizon Oil Spill and asked them to indicate the extent to which they blamed the leaders and organizations associated with the event. Stakeholders also completed a survey assessing their attribution styles. Results indicated that perceptions of blame were affected by the interaction of stakeholder role (...) (i.e., active vs. passive) with attribution style (i.e., optimistic vs. pessimistic). Our results suggest that organizational leaders’ understanding of their stakeholders may be an important aspect in managing stakeholders’ sensemaking during crises. (shrink)

Inspired by the third chapter of Anselm's Proslogion, twentieth century philosophers including Charles Hartshorne and Alvin Plantinga developed “modal” ontological arguments for the existence of God. Such arguments use modal logic to infer God's existence from the premises that (i) God's existence is possible and (ii) if God exists, He exists necessarily. Like other ontological arguments, modal arguments have won few converts to theism; many commentators consider them question‐begging or liable to parody. This article details how recent attempts to defend (...) these arguments have tried to overcome these difficulties by drawing on modern accounts of the epistemology and metaphysics of modality. (shrink)

Although many people choose to sign consent forms and participate in research, how many thoroughly read a consent form before signing it? Across 3 experiments using 348 undergraduate student participants, we examined whether personality characteristics as well as consent form content, format, and delivery method were related to thorough reading. Students repeatedly failed to read the consent forms, although small effects were found favoring electronic delivery methods and traditional format forms. Potential explanations are discussed and include participant apathy, participants trying (...) to save time by not reading the consent form, and participant assumptions about consent forms. (shrink)

Thomas Williams has argued that the doctrine of univocity is true and salutary. Such a claim is frequently contested, particularly in regard to the property—if there be any such—of existence or being. Inspired by the thought of Francisco Suárez, I outline a way of understanding the thesis of the analogy of being that avoids the criticisms levelled by Williams and others against analogy. I further suggest that the metaphysically committed version of univocal predication favoured by many analytic philosophers of religion (...) causes difficulties for the practice of perfect being theology, which is often taken to play an important role in the construction of kataphatic philosophical theologies. My exposition of the analogy of being is, I suggest, better fitted to the practice of perfect being theology and, thus, salutary for the practice of Christian natural theology. (shrink)

Some critics claim that ontological arguments are dialectically ineffective against sceptics, whatever the sceptics’ broader metaphysical commitments. In this paper, I examine and contest arguments for this conclusion. I suggest that such critics overlook important claims about God’s nature (viz. divine simplicity and divine inimitability) typically advanced by proponents of ontological arguments who endorse classical theism. I reformulate two representative ontological arguments in light of this characterization of God, arguing that for philosophers prepared to endorse Meinongianism or modal Platonism, alongside (...) divine simplicity and inimitability, such arguments are not invalid, question-begging, or obviously liable to parody. Accordingly, two species of ontological argument may possess some persuasive force, albeit for a select audience. (shrink)

The papers collected in this book share a common motivation: All respond to certain kinds of injustice that unfairly and unreasonably prevent the insights and intellectual abilities of vulnerable and stigmatized groups from being given their due recognition. Most people are opposed to injustice in principle, and do not want to have mistaken views about others. But research in the social sciences reveals a disturbing truth: Even people who intend to be fair-minded and unprejudiced are influenced by unconscious biases and (...) stereotypes, as well as social structures and institutions that lead to unjust judgments. We may sincerely want to be epistemically just, but we frequently fail, and simply thinking harder about it will not fix the problem. -/- This volume collects 17 new essays that draw from cutting-edge social science research, to suggest how we can better manage our own unjust reactions, as well as resist patterns of epistemic injustice that we may face. The volume concludes with an afterward by Miranda Fricker, reflecting on these new lines of research and potential future directions to explore. (shrink)

In this paper we use the contemporary example of trans youth panics to introduce the notion of hermeneutical backlash, in which defenders of an established, unjust hermeneutical regime actively work to undermine and discredit hermeneutical liberation. We argue that the strategies and tropes of the trans youth panic illustrate a general propaganda vulnerability of epistemic liberation movements, and so are troubling for reasons that go beyond their application to trans youth. This exploration of a few specific cases of hermeneutical liberation (...) and hermeneutical backlash calls attention to the need for further theoretical work on the dynamics of struggles for hermeneutical justice. (shrink)

Inspired by Plantinga’s Evolutionary Argument Against Naturalism (EAAN), we develop an argument—the “Scriptural Argument Against Dogmatic Protestantism” (SAADP)—that Protestants who accept the doctrine of sola scriptura cannot reasonably hold that Catholic and Eastern churches are in doctrinal error. If sola scriptura is true and Catholic and Eastern Churches have fallen into error, it is improbable that any Protestant can reliably form true beliefs about controversial points of Christian doctrine, including sola scriptura or suggestions that Catholic and Eastern Christians are in (...) error. We evaluate potential responses to SADDP, considering how SAADP should affect ecumenical doctrinal debates. (shrink)

New Blackfriars, Volume 103, Issue 1105, Page 376-395, May 2022.

Compassion is a prosocial motivation that is critical to the development and survival of the human species. Cultivating compassion involves developing deep wisdom, insight, and understanding into the nature and causes of human suffering; and wisdom and commitment to take positive action to alleviate suffering. This perspective piece discusses how compassion relates to the context of modern technology, which has developed at a rapid pace in recent decades. While advances in digital technology build on humankind’s vast capacity to develop practical (...) tools that promise to enrich our lives and improve our social connections, in reality the effects are often far from benign. The motives underlying the development of many contemporary digital platforms seem rooted in competitiveness and capitalism; while modern social media and online platforms are having a profound and pervasive impact on the mental health and wellbeing of humans around the globe. Nonetheless, digital technology holds considerable potential to promote compassionate insight, wisdom, and prosocial behavior. We reflect on the current state of technology within human society and examine the notion of compassionate technologies; discuss how contemporary paradigm shifts such as the inclusive design movement may be harnessed to build tools and platforms that promote collective good and increase prosocial behavior; and highlight examples of initiatives that are harnessing modern technology to advance democracy, collective knowledge, and personal freedoms and agency. (shrink)

This essay examines the contradictions often found in third wave feminist texts that function as strategic choices that may shape, foster, and enhance an individual's sense of agency. Many third wave feminists utilize contradiction as a way to understand emergent identities, to develop new ways of thinking, and to imagine new forms of social action. Agency, then, stems from the use of contradiction as a means of self-determination and identity, of transcendence of seemingly forced or dichotomous choices, and counter-imaginations of (...) a better future. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy and Rhetoric 36.4 (2003) 330-352 [Access article in PDF] Liberal Irony, Rhetoric, and Feminist Thought: A Unifying Third Wave Feminist Theory Valerie R. Renegar School of Communication San Diego State University Stacey K. Sowards Department of Communication Studies California State University, San Bernardino The meanings of a feminist movement and feminism have changed significantly over the past hundred years. From the women's suffrage movement, to the Supreme (...) Court decision in Roe v. Wade, to the 1980s label "feminazi," feminist theories and movements have emphasized many different issues for a variety of reasons. In part, it is these differences that make identification with feminist principles and practices so difficult. As part of the new generation of feminists, we are often left wondering if we are good enough as feminists, if we do enough as activists, and what it is that we really stand for. Many of us have grown up with the benefits and the victories of the feminists in the second wave and feel a responsibility to continue to seek the end of oppression. However, our experiences as feminists and young women often leave us feeling angry, hopeless, and confused as to where we are supposed to go, how we are supposed to get there, and what battles we are supposed to wage as part of a feminist movement. Resolving these tensions and questions will allow us to better understand and articulate what it is that we want and need in a feminist theory. Recent and ongoing division within and among feminist movements and theories, lack of consensus, in-group fighting, and a focus on singular women's theories and issues have created problems and a lack of solidarity that is counterproductive to feminism as a whole."Third wave feminism" is a term used to describe feminists who were born in the 1960s and 1970s. Although not universally recognized as a discrete wave of feminism, the third wave is increasingly distinguishing itself in both popular culture and academic writing. 1 We believe that third wave feminism is an emerging movement that currently lacks an overarching or coherent philosophy of praxis. While this type of unifying philosophy is not necessarily required by a movement, we believe that the presence of such a theory, in the instance of third wave feminism, would be highly [End Page 330] beneficial since it could provide direction and explain the motives of young feminists who are still in the process of developing and defining their feminist beliefs and actions. Often the philosophy of a movement is not apparent until the movement is well established or has accomplished its goals. Third wave feminists, however, are in a unique position to simultaneously create and embrace a coherent philosophy while developing their feminist ideas and practices. In this essay, we argue that Richard Rorty's notion of liberal irony, as interpreted by third wave feminist experience, is a coherent philosophy of thought and action that will center the emerging feminist movement and allow it to prosper.For us, a rhetorical theory constructed from Rorty's liberal irony and pragmatism, together with various third wave feminist theories, provides the sort of solution that addresses many of our concerns about the direction of feminist theory. Rorty's philosophy of liberal ironism is compelling but has received scant attention from feminist or rhetorical theorists. A few feminist philosophers have examined a pragmatist feminism, but have largely focused on the early pragmatists, ignoring Rorty's liberal ironism entirely or discussing it only in the larger context of pragmatism (Aboulafia 1993; Hart 1993; Leffers 1993; Pappas 1993; Rooney 1993; Shuler and Tate 2001; Seigfried 1996; Sullivan 2001; Upin 1993). Donna Haraway (1990), although not dealing directly with irony from a pragmatist perspective, notes that language politics are strongly associated with feminist struggles. She argues that feminists can utilize ironic methods to negotiate identities that "seem contradictory, partial, and strategic" (197). An ironic perspective recognizes the exclusion inherent in naming and allows contradictory fusions of identity to emerge. In this way, irony blurs the boundaries of language... (shrink)

Background: Compassion fatigue is recognized as impacting the health and effectiveness of healthcare providers, and consequently, patient care. Compassion fatigue is distinct from “burnout.” Reliable measurement tools, such as the Professional Quality of Life scale, have been developed to measure the prevalence, and predict risk of compassion fatigue. This study reviews the prevalence of compassion fatigue among healthcare practitioners, and relationships to demographic variables. Methods: A systematic review was conducted using key words in MEDLINE, PubMed, and Ovid databases. Data were (...) extracted from a total of 71 articles meeting inclusion criteria, from studies measuring compassion fatigue in healthcare providers using a validated instrument. Quantitative and qualitative data were extracted and compiled by three independent reviewers into an evidence table that included basic study characteristics, study strength and quality determination, measurements of compassion fatigue, and general findings. Meta-analysis, where data allowed, was stratified by Professional Quality of Life version, heterogeneity was quantified, and pooled means were reported with 95% confidence interval. A table of major study characteristics and results was created. Ethical consideration: This paper contains no primary data obtained directly from research participants. Data obtained from previously published resources have been acknowledged within references. Psychological distress, particularly compassion fatigue, can be insidious, no health profession is immune, and may significantly impact the ability to provide care. Results: A total of 71 studies were included. Compassion fatigue was reported across all practitioner groups studied. Relationships to most demographic variables such as years of experience and specialty were either not statistically significant or unclear. Variability in reporting of Professional Quality of Life results was found. Interpretation: Compassion fatigue exists across diverse practitioner groups. Prevalence is highly variable, and its relationship with demographic, personal, and/or professional variables is inconsistent. Questions are raised about how to mitigate compassion fatigue. (shrink)

Law and morals in the Hebrew Scriptures, Plato, and Aristotle, by M. R. Konvitz.--The ethics of the Pharisees, by L. Finkelstein.--Doubts about justice, by W. Kaufmann.--Law and disorder: Some reflections on the political philosophy of Edmond Cahn, by D. D. Williams.--Ethics and business, by P. Sporn.--Mission and opportunity: religion in a pluralistic culture, by R. Niebuhr.--Reflections on over-population, by C. Merrill.--Ethical issues in psychotherapy, by N. W. Ackerman.--Drama: a mirror of conflict, by E. M. Jackson.--Toward a new cultural federalism, (...) by E. Warren. (shrink)

Book reviewed in this article: The American Blood Supply. By Alvin W. Drake, Stan N. Finkelstein, and Harvey M. Sapolsky. Blood: Gift or Merchandise. By Piet J. Hagen. New York: Alan R. Liss.

James Stacy Taylor advances a thorough argument for the legalization of markets in current (live) human kidneys. The market is seemly the most abhorrent type of market, a market where the least well-off sell part of their body to the most well off. Though rigorously defended overall, his arguments concerning exploitation are thin. I examine a number of prominent bioethicists’ account of exploitation: most importantly, Ruth Sample’s exploitation as degradation. I do so in the context of Taylor’s argument, with the (...) aim of buttressing Taylor’s position that a regulated kidney market is morally allowable. I argue that Sample fails to provide normative grounds consistent with her claim that exploitation is wrong. I then reformulate her account for consistency and plausibility. Still, this seemingly more plausible view does not show that Taylor’s regulated kidney market is prohibitively exploitative of impoverished persons. I tack into place one more piece of support for Taylor’s conclusion. (shrink)

Putnam and Finkelstein have proposed the abandonment of distributivity in the logic of quantum theory. This change results from defining the connectives, not truth-functionally, but in terms of a certain empirical ordering of propositions. Putnam has argued that the use of this ordering ("implication") to govern proofs resolves certain paradoxes. But his resolutions are faulty; and in any case, the paradoxes may be resolved with no changes in logic. There is therefore no reason to regard the partially ordered set (...) of propositions as a logic--i.e. as embodying a criterion for soundness of proofs. Its role in quantum theory ought to be understood in an entirely different way. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Altars Where We Worship: The Religious Significance of Popular Culture eds. by Juan M. Floyd-Thomas, Stacey M. Floyd-Thomas, and Mark G. ToulouseMichael R. Fisher Jr.The Altars Where We Worship: The Religious Significance of Popular Culture Juan M. Floyd-Thomas, Stacey M. Floyd-Thomas, and Mark G. Toulouse LOUISVILLE: WESTMINSTER JOHN KNOX PRESS, 2016. 250 pp. $25.00The Altars Where We Worship: The Religious Significance of Popular Culture is (...) notable for interested readers of religion and contemporary popular culture. The authors expand scholarly understandings of religion and the sacred, but [End Page 194] more important, the spaces where they appear in society by providing analysis of the religious nature of six aspects of American culture. These "meaning-making" aspects of popular culture function as "altars of worship." They are the body and sex, big business, entertainment, politics, sports, and science and technology. How religious devotion and worship are manifest in everyday life of Americans is fully examined. This book offers an alternative entry to classical secularization debates that have garnered the attention of religious scholars across fields of study. Resisting polarized battle lines in which secularization debates have positioned the death of religion on one hand, and its resilience in industrialized societies on the other hand, this book considers the idiosyncratic nature of secularization by foregrounding historical, national, and local differences that exist in various contexts.The authors argue that "religion is important to Americans. But the religion we practice is often not the religion we confess" (1, emphasis in the original). According to them, Americans basically believe in a serviceable, friendly "God" who meets their every desire and need. In contemporary American culture, the objects that are deemed to fulfill Americans' desires and passions become their God(s) and thus their religion(s). They support their argument by citing studies by the Pew Research Center on "America's Changing Religious Landscape" and "'Nones' on the Rise," which indicate a decrease in religious affiliation among adults and a notable tension between Americans' professed religious beliefs and their actual religious practices. Given these trends, they contend that Americans discover and produce religious meaning in places outside traditional or conventional sacred spaces. Consequently, they confess, Americans have "laid our fair share, if not our all" (186) on the six altars of American popular culture. Thus, though studies indicate a trending decline in traditional religious affiliations, for the authors, this does not "sound the death knell of religion" (185). Religion, they insist, exists in different shapes and practices.In The Religious Experience of Mankind (1969), the religious historian Ninian Smart offers a seven-dimensional scheme for the interpretation of religion: doctrinal, mythological, ethical, ritual, experiential, institutional, and material. This scheme is adopted in the book as a framing device for interpreting the religious nature of popular culture. The sevenfold scheme is paralleled in each of the six chapters dedicated to a particular altar. Making their case, the authors draw on and weave thinkers from across disciplines and over time as critical interlocutors—from Friedrich Nietzsche, Rudolf Otto, Paul Tillich, and Robert Bella to Cornel West, Audre Lord, and bell hooks, among many others—in examining the religious significance of popular culture.Although a truly engaging and provocative book, The Altars Where We Worship is not without challenges. Some readers may find certain categories of analysis underdeveloped. For example, what makes big business or politics sites of popular culture? This line of inquiry may raise questions for readers about what constitutes popular culture in general. Such challenges, however, do not [End Page 195] detract from the overall accomplishments and contributions this book offers the study of religion in the United States.Michael R. Fisher Jr.Vanderbilt UniversityCopyright © 2018 Society of Christian Ethics... (shrink)

A growing body of empirical literature challenges philosophers’ reliance on intuitions as evidence based on the fact that intuitions vary according to factors such as cultural and educational background, and socio-economic status. Our research extends this challenge, investigating Lehrer’s appeal to the Truetemp Case as evidence against reliabilism. We found that intuitions in response to this case vary according to whether, and which, other thought experiments are considered first. Our results show that compared to subjects who receive the Truetemp Case (...) first, subjects first presented with a clear case of knowledge are less willing to attribute knowledge in the Truetemp Case, and subjects first presented with a clear case of nonknowledge are more willing to attribute knowledge in the Truetemp Case. We contend that this instability undermines the supposed evidential status of these intuitions, such that philosophers who deal in intuitions can no longer rest comfortably in their armchairs. (shrink)

Though stereotype threat is most well-known for its ability to hinder performance, it actually has a wide range of effects. For instance, it can also cause stress, anxiety, and doubt. These additional effects are as important and as central to the phenomenon as its effects on performance are. As a result, stereotype threat has more far-reaching implications than many philosophers have realized. In particular, the phenomenon has a number of unexplored “epistemic effects.” These are effects on our epistemic lives—i.e., the (...) ways we engage with the world as actual and potential knowers. In this paper I flesh out the implications of a specific epistemic effect: self-doubt. Certain kinds of self-doubt can deeply affect our epistemic lives by exacerbating moments of epistemic injustice and by interacting with pernicious ideals of rationality. In both cases, self-doubt can lead to a person questioning their own humanity or full personhood. Since we have reasons to believe that stereotype threat can trigger this kind of self-doubt, then stereotype threat can affect various aspects of ourselves besides our ability to perform to our potential. It can also affect our very sense of self. (shrink)

Changing the Wor(l)d draws on feminist publishing, postmodern theory and feminist autobiography to powerfully critique both liberal feminism and scholarship on the women's movement, arguing that both ignore feminism's unique contributions to social analysis and politics. These contributions recognize the power of discourse, the diversity of women's experiences, and the importance of changing the world through changing consciousness. Young critiques social movement theory and five key studies of the women's movement, arguing that gender oppression can be understood only in relation (...) to race, sexuality, class and ethnicity; and that feminist activism has always gone beyond the realm of public policy to emphasize improving women's circumstances through transforming discourse and consciousness. Young examines feminist discursive politics, critiques social science methodology, and proposes an alternative approach to understanding the women's movement. This approach explores feminist publishing and feminist autobiographical writing as examples of discursive activism with broadly subversive potential. (shrink)

Digital Media: Human–Technology Connection examines the technologically textured world through case studies that illustrate the way humans and technology connect with each other and the world. An interdisciplinary array of sources from philosophy, postphenomenology, philosophy of technology, media studies, media ecology, and film studies shows that digital media and its content are not neutral. This technology textures the world in multiple and varied ways that transform human abilities, augment experience, and pattern the world.

If asked whether stereotypes about people have the potential to help overcome injustice, I suspect that many think there is a clear-cut answer to this question, and that answer is “no.” Many stereotypes do have harmful effects, from the blatantly dehumanizing to the more subtly disruptive. Reasonably then, a common attitude toward stereotypes is that they are at best shallow, superficial assumptions, and at worst degrading and hurtful vehicles of oppression. I argue that on a broad account of stereotypes, this (...) is not is not an inherent feature of them nor a foregone conclusion about them. At least some positive stereotypes have the potential to help resist certain forms of epistemic injustice--though they likely can only play a limited or temporary role in this regard. The takeaway is that we should approach moral and epistemic analyses of stereotypes by thinking about them as (crude) cognitive tools, and as such, focus on what these tools are being used for, and what their actual impact is. (shrink)

BackgroundPersonal health information and biospecimens are valuable research resources essential for the advancement of medicine and protected by national standards and provincial statutes. Research ethics and privacy standards attempt to balance individual interests with societal interests. However these standards may not reflect public opinion or preferences. The purpose of this study was to assess the opinions and preferences of patients with kidney disease about the use of their health information and biospecimens for medical research.MethodsA 45-item survey was distributed to a (...) convenience sample of patients at an outpatient clinic in a large urban centre. The survey briefly addressed sociodemographic and illness characteristics. Opinions were sought on the research use of health information and biospecimens including consent preferences.ResultsTwo hundred eleven of 400 distributed surveys were completed. Respondents were generally supportive of medical research and trusting of researchers. Many respondents supported the use of their information and biospecimens for health research and also preferred consent be sought for use of health information and biospecimens. Some supported the use of their information and biospecimens for research without consent. There were significant differences in the opinions people offered regarding the research use of biospecimens compared to health information. Some respondent perspectives about consent were at odds with current regulatory and legal standards.ConclusionsClinical health data and biospecimens are valuable research resources, critical to the advancement of medicine. Use of these data for research requires balancing respect for individual autonomy, privacy and the societal interest in the greater good. Incongruence between some respondent perspectives and the regulatory standards suggest both a need for public education and review of legislation to increase understanding and ensure the public’s trust is maintained. (shrink)

The widespread use of stimulants among healthy individuals to improve cognition has received growing attention; however, public attitudes toward this practice are not well understood. We determined the effect of framing metaphors and context of use on public opinion toward cognitive enhancement. We recruited 3,727 participants from the United States to complete three surveys using Amazon’s Mechanical Turk between April and July 2017. Participants read vignettes describing an individual using cognitive enhancement, varying framing metaphors (fuel versus steroid), and context of (...) use (athletes versus students versus employees). The main outcome measure was the difference in respondent-assigned level of acceptability of the use of cognitive enhancement by others and by themselves between the contrasting vignettes. Participants were more likely to support the use of cognitive enhancement by others than by themselves and more when the use of enhancement by others was framed with a fuel metaphor than with a steroid metaphor. Metaphoric framing did not affect participants’ attitudes toward their own use. Participants supported the use of enhancement by employees more than by students or athletes. These results are discussed in relation to existing ethical and policy literature. (shrink)

The stimulant “benefits” of amphetamine and its derivative, methamphetamine, have endured since the drugs first became popular nearly a century ago. The concepts of increasing energy for functional purposes related to work and productivity have been well studied. However, the broader idea of increased alertness, and what this means in the lives of users, has not yet been sufficiently examined. This article draws from ongoing research with active methamphetamine users to explore the perceived benefits, drawbacks, and meanings of remaining alert—awake (...) and vigilant—while most of the world sleeps. The experiences of several users are situated in the contexts of sociostructural and mental health issues that shape cycles of use and meanings of addiction. (shrink)

The author compares the strategies used in the conquest of the American West, the imperialism of the Third Reich, the creation of Bantustans in South Africa, and cautions against sanguine readings of the Oslo Peace Talks between Israel and Palestine. He concludes that the current agreements are in fact the last stages of Israeli conquest of Palestine.

In crisis situations, the authority of the nurse is legitimised by legal powers and professional knowledge. Crisis stakeholders include those who directly use services and their families, and a wide range of health, social service and justice agencies. Alternative strategies such as therapeutic risk taking from the perspective of socially inclusive recovery policy coexist in a sometimes uneasy relationship with mental health legislation. A critical discourse analysis was undertaken to examine mental health policies and guidelines, and we interviewed service users, (...) families, nurses and the police about experiences of accessing services. For those who attempt to access services early in crisis, as is suggested to lead to a better outcome, provision of services and rights appear to be reversed by an attempt to exclude them through practices that screen them out, rather than prioritising a choice in access. (shrink)