Deductive Irrationality examines and critiques economic rationalism by assessing the work of influential political philosophers and economic theorists such as Thomas Hobbes, John Locke, Adam Smith, Friedrich Hayek, Gunnar Myrdal, and John F. Muth. It is one of the first serious attempts to investigate the dominant sub-fields in economic theory through the lens of political philosophy.

Deductive Irrationality examines and critiques economic rationalism by assessing the work of influential political philosophers and economic theorists such as Thomas Hobbes, John Locke, Adam Smith, Friedrich Hayek, Gunnar Myrdal, and John F. Muth. It is one of the first serious attempts to investigate the dominant sub-fields in economic theory through the lens of political philosophy.

Economic (mis)management in Australia has understandably been influenced by the experiences of countries such as the UK and the USA with which Australia has traditionally had a close relationship. However, the uncritical acceptance of economic rationalism is an indication of our nation's seduction by the possibility of a ‘quick fix’ for a struggling economy. In accepting economic rationalism there has been a dismissal, or at least a failure to take account of, both past Australian experiences (...) and the overseas experience—including the recent experience of a close neighbour, New Zealand, whose health system is under severe strain.The introduction of economic rationalist programmes into the Australian health sector was an attempt to contain expenditure and at the same time reduce dependence on the public system. This has failed to happen on both counts. Its only real ‘achievement’ has been to produce yet more evidence of the practical inadequacies of economic rationalism in general. (shrink)

The goal of “Inclusive Economics” is to tie together various authoritative strands of contemporary economic theory into an easily comprehensible whole that illuminates the need for a broader approach to contemporary economic policymaking undistorted by obsolete 18th century rationalist assumptions about utility, ethics, worthiness and traditional culture. This is accomplished by elaborating the rationalist competitive ideal along the optimizing lines pioneered by Paul Samuelson (neoclassical economics); plumbing modifications necessitated by Herbert Simon's realist concepts of “bounded rationality” and “satisficing”; (...) refined further by applying a pragmatist outlook to probe the consequences of relaxing Enlightenment teleological, ethical, spiritual and cultural taboos. The exercise will explain why competitive market economies guided by rational utility-seeking invariably are less productive, efficient, just and beneficent than most theorists concede, and will illuminate the full range of interventions needed to achieve better outcomes. We call this program in its entirety “Inclusive Economics”, including the integration of micro and macroeconomics. (shrink)

This book is a critique of rationalism. It aims to explain both its powerful contributions to mathematics and physical sciences, where our arithmetical, geometrical, and mechanical intuitions have had a highly productive role in the development of pure theory, and its disastrous failures in cosmology and the moral sciences. In these supposed sciences, rationalism has all but destroyed the social conscience of the West, by creating the disastrous political philosophy of neoliberalism. To reset our moral compasses, we must (...) develop new, and socially just versions, of the old welfare states. And, to restore democracy, we must return to Keynesian economic management" -- back cover. (shrink)

This paper considers critical rationalism under an institutional perspective. It argues that a methodology must be incentive compatible in order to prevail in scientific competition. As shown by a formal game-theoretic model of scientific competition, incentive compatibility requires quality standards that are hereditary: using high-quality research as an input must increase a researcher’s chances to produce high-quality output. Critical rationalism is incentive compatible because of the way it deals with the Duhem-Quine problem. An example from experimental economics illustrates (...) the relevance of the arguments. (shrink)

The author characterizes the model of rationality devised by critical rationalism in opposition to the classic model of rationality and as an alternative to this. He illustrates and criticizes the trichotomous theory of knowledge which, going back to Max Scheler, is received in a secularized version by Habermas and Apel, also under the influence of the hermeneutic tradition of Heidegger and Gadamer and of the so-called “critical theory” of Max Horkheimer and Theodor Adorno. The author criticizes historicism as it (...) expects to be an alternative to naturalism and not to make use of the method based on scientific laws. The author proposes as an example of technological social science the model developed in economics starting from Adam Smith. With regard to legal theories, natural law is rejected because of its sociomorphic cosmology. It is proposed that legal science as social technology has two parts. One part aims at efficient interpretations of valid law (for the space-time region concerned) and a second part aims at the construction of efficient norms for the modification of valid law by legislation. (shrink)

This book provides an overview of two hundred years of German economic thought, from the Staatswissenschaften of the eighteenth century to National Socialism and the Social Market. Whereas classical economics, from Smith through Ricardo to Marx and Mill, emphasised value, distribution and production, German economic thought had a long-running tradition of human need and the varying conditions for order. These ideas are brought together by a conception of rational action and, therefore, a rationalistic appraisal of welfare and order. (...) By taking this perspective, the usual contrast of market and planning approaches to economic organisation is subsumed by an approach which focuses on the construction of order in economic processes. This book highlights the continuity of this practical approach of German economists through the two centuries under consideration - from the Cameralists to the Ordoliberals. (shrink)

Hayek's epistemic arguments against planning were aimed not just against socialism but also the tradition of ecological economics. The concern with the physical preconditions of economic activity and defence of non-monetary measures in economic choice were expressions of the same rationalist illusion about the scope of human knowledge that underpinned the socialist project. Neurath's commitment to physicalism, in natura calculation and planning typified these errors. Neurath responded to these criticisms in unpublished notes and correspondence with Hayek. These highlighted (...) the epistemological premises his work shared with Hayek's, representing a response to Hayek from Hayek's own assumptions. This paper examines the cogency and continuing relevance of the arguments in this debate. (shrink)

Val Plumwood's criticism of the ecologically irrational p-centric logic of rationalism, which neglects or denies its dependence on all that is not-p, undercutting its own biological base while denying the illness of the culture it has spawned, is juxtaposed with the clinical picture of the linguistic left hemisphere acting without benefit of input from the more real-time-and-space-centered right. Exploring the metaphor suggests that visual gestalts depicting actual relationships might be effective in drawing our industrial culture's collective attention away from (...) its fascination with endless lines of alphabetic characters and abstract numbers multiplying their way toward infinity, bringing it back to reality and ecological rationality. In illustration, ongoing habitat destruction wrought on the ground as humans follow the detached logic of economic rationalism is seen to reflect, rather than the illusion of eternal "growth" conveyed by Cartesian axes, the relentless finitude of fractal geometry's Sierpinski gasket. (shrink)

Since economies are dynamic processes driven by creativity, social norms, and emotions as well as rational calculation, why do economists largely study them using static equilibrium models and narrow rationalistic assumptions? Economic activity is as much a function of imagination and social sentiments as of the rational optimisation of given preferences and goods. Richard Bronk argues that economists can best model and explain these creative and social aspects of markets by using new structuring assumptions and metaphors derived from the (...) poetry and philosophy of the Romantics. By bridging the divide between literature and science, and between Romanticism and narrow forms of Rationalism, economists can access grounding assumptions, models, and research methods suitable for comprehending the creativity and social dimensions of economic activity. This is a guide to how economists and other social scientists can broaden their analytical repertoire to encompass the vital role of sentiments, language, and imagination. (shrink)

This is a collection of nineteen essays in the tradition of critical rationalism (as advocated by Karl Popper). All but one of the essays is previously unpublished and the one previously published paper has undergone significant revisions. The first four essays tackle topics in the philosophy of science, the first being an exposition of Popper's views, the others discussing falsifiability, truth, the aim of science, and ceteris-paribus law-statements. Five essays follow concerned with Reason, reasoning and reasons, in which faulty (...) conceptions of theoretical and practical reason are criticised, the nature and uses of argument are discussed, and the rationality of debate, agreement and disagreement are explained. Next, there are two papers on economics, one of which is a substantial critique of the so-called subjective theory of value, the other a brief discussion of entrepreneurial insight. The last section of the book contains a miscellany of eight critical essays in which some errors of contemporary philosophers are exposed regarding issues including the interpretation of Popper’s work, the Gettier problem, no-platforming, open-mindedness, homosexual equality, tolerance, philosophical heuristics and the conduct of debate. (shrink)

Albert Schweitzer preached a message of reverence for life - all life - that touched the hearts of a generation. As a medical doctor in French Equatorial Africa who selflessly helped those in need, Schweitzer was recognized with the Nobel Peace Prize in the wake of two world wars. But less than fifty years since the time of his death, the great humanitarian and scholar has faded from public awareness. In The New Rationalism, David Goodin explores the underlying philosophy (...) behind Schweitzer's ethic of compassion, presenting it as a response to contemporary questions in social justice, economic equality, and environmental action. For the first time, the political, sociological, and philosophical contexts supporting the development of Schweitzer's ethic are examined in order to bring his timeless message of elemental morality to new life for the modern world. Inspired by Arthur Schopenhauer and Friedrich Nietzsche, Schweitzer built his ethic to create an elemental nature philosophy compatible with empirical science, and to support a new ontological understanding of the human person - a project he termed the New Rationalism. Goodin recovers and analyzes Schweitzer's arguments and shows where his theories can provide a framework for both environmental and civic ethics today. (shrink)

In the last decade, Australian federal and state governments’ commitment to the economic rationalist imperatives of performance measures, accountability for outcomes, and value-for-money has driven significant change in the Australian not-for-profit community services sector. In an environment shaped by neoliberal-inspired government policies and a renewed government commitment to austerity, Australian not-for-profit community service organizations are now, more than ever, actively engaged in a variety of income-generating strategies to achieve and/or maintain economic sustainability. Central to this process is meeting (...) the dual challenge of succeeding financially in a competitive environment and simultaneously serving mission. In this context, it is time to more closely examine the impact of these challenges, in particular the implications for the organizational values of not-for-profit community service providers themselves. This paper reports on a qualitative study of fourteen not-for-profit community service organizations, their core purposes, and their strategies for economic sustainability. In addition to the new data presented here, this paper contributes to the broader theoretical framework—the lens of value pluralism, which, we argue, provides a sharper focus on the relationship between mission and margin. (shrink)

Hans Albert is the leading critical rationalist in the German-speaking world and the main critic of the hermeneutic tradition. He is well-known for applying the idea of critical reason to various kinds of human practice, including economics, politics, and law. But he has also improved on Popper's methodology by introducing the idea of rational heuristics. This collection of essays presents the core of his work on epistemology, philosophy of the social sciences, philosophy of religion, and philosophy of law. Most of (...) Albert's works have not been available in English. It is enormously useful to have these articles collected in a single volume. (shrink)

There are three intentions (aims) of this paper. First, to focus the attention of readers to three not so well known and least frequently quoted by economists of Mises’s books, namely his 1957 Theory and History: An Interpretation of Social and Economic Evolution, and two closely related The Ultimate Foundation of Economic Science: An Essay on Method (1962), and Epistemological Problems of Economics (1933/1960). The second aim is to outline Mises’s legacy, presented in the form of eleven dimensions (...) of Mises’s Intellectual Universe. The eleven dimensions of Mises’s system are: Economics as science, praxeology, and human action; Methodological dualism; Judgments of value and subjectivism; Individualism; Rationalism and human action; Consumer; Cooperation and competition; Thymology; Mathematics in economics; Predictions; and Historical analysis. Third, to present the main issues related to Mises’s concept of rationalism. There is no mention of Ludwig von Mises’s concept of rationality in a great number of books and papers dealing with the understanding of the rationality of human beings. The concept of rationality proposed by Ludwig von Mises is neglected by modern researchers and economists of different schools, but especially by mainstream economists. A good example of neglecting Mises’s ideas on rationality is the latest book by Nassim Taleb, Skin in the Game: Hidden Asymmetries in Daily Life. Although Taleb’s proposition of understanding rationality and irrationality is very close to the concept of Mises, he does not refer to Mises’s work at all. No single word on Mises in that book! (shrink)

Max Weber's dominant scholarly concern was the development of rationalism in the West. He exemplified his interest in this theme in his two great works, Economy and Society and The Economic Ethics of the World Religions. In Wolfgang Schluchter's new book, The Rise of Western Rationalism: Max Weber's Developmental History, the author presents an analysis and re-evaluation of Weber's sociology of Western rationalism. He also wants to show Weber's relation to the sociological school of neo-evolutionism. By (...) an examination of Weber's relation to the neo-evolutionary thought of such men as Habermas and Parsons, Schluchter attempts to show that Weber's developmental historical sociology, if properly understood and formulated, is still the best explanatory model of Western rationalism in contemporary sociology. (shrink)

This book brings together ten previously published essays on the philosophy of economics and economic methodology. The general theme is the application of Karl Popper's philosophy of science to economics -- not only by Popper himself but also by other members of the "Popperian school." There are three major issues that surface repeatedly: the applicability of Popper's falsificationist philosophy of science; the applicability of I. Lakatos's "methodology of scientific research programs" to economics; and the question of Popper's "situational analysis" (...) approach to social science. (shrink)

This work examines the claim to scienific status made by supporters and practitioners of neoclassical economics. The approach taken is that of the history and philosophy of science. Analysis points to the conclusion that theories of economic choice are necessarily normative, essentially because of the nature of human behavior.

In a series of papers in Economica between 1941 and 1944 Hayek’s criticisms of socialist planning were directed at a set of assumptions about the social world and social science that he took to partly underpin the socialist project. Hayek’s epistemic arguments against planning and in defence of the market are deployed against the claims of ‘scientism’, ‘objectivism’ and ‘physicalism’ in the social sciences. These assumptions illustrate a pervasive version of the rationalist errors underlying socialist planning. They foster a form (...) of social engineering which promises to achieve an optimal technical outcome through planning in which monetary calculation in the market place is replaced by in natura calculation in kind. One of the main objects of criticism was Neurath in whom, for Hayek, all these errors are gathered in one person. Neurath responded to those criticisms in a series of notes and letters to Hayek in 1945 which he hoped would form the basis for a public exchange between them . Neurath’s response focused on what he took to be shared epistemological assumptions and their common commitment to a pluralist alternative to totalitarianism. The response was in some ways an attempt to answer a question he formulated in his generous review of Hayek’s Road to Serfdom: ‘What would Professor Hayek answer if the tables were turned on him?’ . Elsewhere I have looked in more detail at the epistemic arguments in this debate . In this paper while I touch upon these arguments, I focus on the discussion of pluralism and its social and economic preconditions. I will argue that while there are internal problems with Neurath’s arguments, his defence of non-market institutional orders in the modern world raises significant problems with Hayek’s position. (shrink)

The purpose of this essay is to challenge the Modern assertion that economics is a theologically neutral science founded in the pure rationality of number, yet also connected to morality, particularly in regards to the ancient virtue of justice—“to render to each one their due”. Such an understanding has come at great philosophical, moral, and economic cost, as the Great World Recession of 2008–2013 is demonstrating. Instead, I argue that today's current economic crises are due precisely to a (...) loss of orthodox Christian theological understanding of economics and virtue. I make this argument by examining St. Thomas Aquinas’ theological understanding of the virtues and his consequent understanding of political economy in the Summa Theologica. To evaluate the viability of applying Aquinas’ thought in addressing today's severe economic and ethical crises, I also consider Alasdair MacIntyre's call for a revival of Aristotelian virtue ethics along with his advocacy of Thomisic rationalism to combat the West's ethical decline. However, with John Milbank, I maintain that the integral deprivation of Western moral philosophy and political economy requires a distinctly theological solution that supersedes MacIntyre's neo-Aristotelianism and neo-Thomism. This is to be found in a orthodox reading of Aquinas’ Summa. (shrink)

Until the late 1970s, it was difficult publishing economic methodology research in any mainstream economics journal. Today there are at least two journals devoted to articles about economic methodology. However, it is important to keep in mind that there are two types of economic methodology. There is what has been called small-m methodology which is about the assumptions made by economic model builders, and there is big-M methodology which is about matters of interest to philosophers but (...) not to economists. The recent history of economic methodology literature and conferences has displayed the hijacking of economic methodology research by philosophers with the result that those of us who wish to do research on small-m methodology are back where we were in the 1960s and 1970s. (shrink)

En este trabajo se postula que se pueden establecer relaciones entre las diversas ‘visiones dei mundo’ (en sentido vulgar) y las teorías economicas, a través de las epistemologías subyacentes a las mismas. Se ilustra con las siguientes relaciones: entre la cosmovisión propia dei sistema de Aristóteles y su noción de economía, entre la matriz racionalista moderna y la economía clásica y neoclásica, a través del uso de analogías físicas y biologicas, y entre algunas posturas recientes y una vision post-moderna del (...) mundo. Se busca fomentar una actitud crítica frente a las teorías e insistir en la necesidadde buscar siempre el camino epistemológico y metodológico adecuado al objeto de estudio.This paper tries to show the bridges between world visions (in a broad sense) and economic theories, through their underlying epistemological positions. The following relations are brought up: between Aristotle’s world vision and his concept of economics, between the modern rationalist frame and classical and neoclassical economics by the postulation of analogies from physics and biology, and finally between post-modern world vision and some current perspectives. The aim of the paper is to stress on the need of maintaining a critical position toward theories and also always looking for an adequate epistemological and methodological way. (shrink)

Economic research is often isolated from social and political deliberations. Politicians put distinct results together in ad hoc ways. This state of affairs is explained as a result of equating rationality with coherence, system, and justification; the rationality principle, according to which social facts are to be explained as the result of coherent and/or justified plans of individuals, is singled out as the prime source of the isolation. A revised version is proposed which dispenses with the need for justification (...) and/or coherence for rational action of individuals. Partially rational actions are attempts to solve problems within given institutional contexts; individual rationality is a social activity whose value depends on the quality of social standards which individuals use to guide their thought. This revision removes barriers between economic, social, and political theories, without blocking social scientific explanation. Indeed, it opens up possibilities now blocked. (shrink)

Since the early days of economics, the rationality principle has been a core element of economic theorizing. It is part of almost any theoretical framework that economists use to generate knowledge. Despite its central role, the principle’s epistemic status and function continue to be debated between empiricists and rationalists, and a clear winner is yet to emerge. One point of contention is that we cannot explain the principle’s special status in light of clear evidence against its empirical validity and (...) the continuous conceptual changes it undergoes. In this paper, I argue that we should think of the rationality principle as a functional a priori principle along the lines of a pragmatic theory of constitutive elements recently put forward by David Stump. Such an approach would explain the principle’s persistence and changing status. More generally, the pragmatic theory of constitutive elements in science offers a viable alternative to rationalism and empiricism that allows for approaching the debate about the status and function of the rationality principle in economics. It provides a new framework and starting point to think about the usefulness of a central first principle in economics in a constructive way. (shrink)

This essay discusses the origins, biases, and effects on contemporary discussions of economics and ethics of the unexamined use of the metaphor an economy is a machine. Both neoliberal economics and many critiques of capitalist systems take this metaphor as their starting point. The belief that economies run according to universal laws of motion, however, is shown to be based on a variety of rationalist thinking that – while widely held – is inadequate for explaining lived human experience. Feminist scholarship (...) in the philosophy of science and economics has brought to light some of the biases that have supported the mechanistic worldview. Possible alternatives to the an economy is a machine include an economy is a creative process and an economy is an organism. Such metaphors are intellectually defensible as guides to scientific inquiry and provide a richer ground for moral imagination. (shrink)

Postmodernism is often characterized, among other things, as the belief in the unattainability of objective truth and as a rejection of teleological and reductionist, or essentialist, forms of thought. For instance, in his provocative book The Rhetoric of Economics, Donald McCloskey sketches the implications for economic methodology of Richard Rorty's rejection of the modernist quest for Truth, as represented by various rationalist and empiricist epistemologies. McCloskey describes modernist methodology as displaying a desire to predict and control, a search for (...) objective–;which often means measurable–;knowledge, and an attempt to develop a value-free inquiry, among other characteristics. This “methodological correctness,” McCloske suggests, is discredited by the postmodern dissatisfaction with traditional epistemology. Thus, in place of the modernist belief in a rule-guided path to truth, he advocates a “free market” approach to knowledge, in which participants in the variety of theoretical conversations agree to be earnest and listen politely to one another. (shrink)

Chattopadhyaya (philosophy, Jadavpur U., Calcutta) examines the epistemological and methodological implications of induction and probability.

This article reports the results of research aimed at developing and validating a multi-item scale to measure consumers' agreement with three main justifications for not engaging in socially responsible consumption behaviours, namely the 'economic rationalist argument' founded on the idea that the costs of SRC are greater than its benefits, the 'economic development reality argument' based on the idea that ethical and moral aspirations are less important than the economic development of countries, and the 'government dependency argument' (...) grounded in the premise that government inaction demonstrates the legal character and the banality of unethical consumption behaviours. The scale items were generated on the basis of a multi-country qualitative study of consumers. The content validity of the scale was assessed in the first study. The second study was a survey of 157 Canadian adult consumers in which the threedimensional scale and other scales measuring relevant concepts were administered. The survey results showed that the 28-item resulting scale is reliable and generally behaves as one would theoretically expect. Implications for consumption ethics researchers and policy makers are proposed. (shrink)

Dramatic, profound and far-reaching changes are being visited on schools worldwide that have their genesis a long way from the classroom but which impact heavily on teachers and their work. Most of this reform has been achieved with little or no involvement of teachers themselves. This book sets out to survey the contemporary context of what is happening to the work of teaching, and focuses on Advanced Skills Teachers. It shows how teachers are 'speaking' the changes that are occuring to (...) their work in protracted economically rationalist times. Arguing against the discourses of economy as the major shaping force, the authors present a persuasive case for focusing on the discourses of teaching itself as the only feasible and adequate basis on which to make sense of teaching. And by presenting a range of voices of practising teachers - allowing them to speak for themselves about the difficulty of trying to translate policy-makers' intentions into words and actions - the book graphically illustrates the devastating long-term consequences for the future of schools of poorly-conceptualised reform policies. (shrink)

Education has been widely criticised as being too narrowly focused on skills, capacities and the transference of knowledge that can be used in the workplace. As a result of the dominance of economic rationalism and neo-liberalism, it has become commodified and marketed to potential customers. As a consequence, students have become consumers of an educational product and education has become an industry. This volume draws together a number of different perspectives on what is meant by 'human formation', argues (...) that for a much richer conception of education, and addresses the lack of attention to human fulfilment. (shrink)

Recently we have come to witness an assault on the traditional conception of the university as a centre of detached concern for pure research. The economic rationalist vision which has occasioned this assault has deeply permeated almost every facet of contemporary life and even the specific kind of discourse emanating from this interpretation has managed to ensconce itself within the academies. Philosophers are at particular risk in the uncertain climate that has been created. However philosophers have not addressed the (...) issues which the new ideology has foisted upon the universities with sufficient rigour and clarity. The facility with which economic rationalist considerations have filtered into academic discourse points, I believe, to a deep malaise in academia. The fatalism with which many philosophers have faced the threat has in its own way hypostatised the new ideology and granted it the titanism of some inevitable, irresistible and irrevocable force. The tradition of the public philosopher has not enjoyed the same degree of public approbation in the English-speaking world as has been the case on the European continent, and in particular, in France. One can think of notable exceptions but on the whole the public philosopher in the English-speaking world is a rare breed. Given the radical changes that contemporary universities are undergoing it is clearly worth while to reflect upon the professional philosopher's relationship to other individuals in society, to communities and to the state. Here the meditation will focus on a debate on these issues within France, a country which perhaps more than anywhere else has elevated public philosophy to an art form. Philosophers, perhaps more than any other academics, are prone to a certain hesitancy in attempting to describe what it is they do. Philosophy no doubt employs techniques but it is not itself a technique, nor is there a single problem or series of problems or mysteries which can claim sway over philosophy's subject matter. Such hesitancy, one might say ambiguity, is the very stuff of philosophy and indeed of the philosopher. In Merleau-Ponty's inaugural address to the College de France, later published as Eloge de la philosophie he returns to these perennial philosophical musings, in particular, through attempting to characterise something of the nature of philosophy and the philosopher. (shrink)

Over the past two decades, the competency movement has been gathering momentum internationally within the ranks of professional nursing. It can be argued that this momentum is in response to government initiatives aimed at improving consistency in workforce training and accreditation, and fostering national and international portability of qualifications. At the same time, the competency movement has provided the opportunity for regulators, service providers and government to develop mechanisms to reconstitute competent nurses as accountable, self‐regulating subjects and to monitor this (...) transformation in particular ways. The ways in which competencies have been taken up to do this transforming work in Canada are unique and deserving of some detailed description and analysis.We argue that Canadian nursing regulatory authorities have chosen to view competence as the rehearsal of ethical attributes consonant with the professional role,as opposed to the enactment of skilled conduct. As a result, reflective practices rather than skill and knowledge have become the cornerstone of nursing competency formulation and review. We argue that this distinctly Canadian approach to competency serves three ends. First, it privileges the ‘attribute’ element of the nursing competency model and side steps the ever‐problematic ‘nursing knowledge’ issue; second, self‐surveillance by nurses shifts the onus for professional development from industry to the individual; and third, it concedes responsibility for skill assessment by the regulatory authorities to industry control, leaving employers free to determine skill base and skill mix requirements for practice. Finally, we argue that the reflective component of the regulatory framework for Canadian nurses radically fails as a tool for auditing quality and assessing competency. Rather, it functions as a governmental practice that furthers the deregulatory and economic rationalist aims of the Canadian health reform agenda. (shrink)

Evidence‐based practice (EBP) first appeared on the healthcare horizon just over a decade ago. In 2003 its presence has intensified and extended beyond its initial relation to medicine embracing as it does now, nursing and the allied health disciplines. In this paper, I contend that its appearance and subsequent growth and development are the effects of potent ‘regimes of truth’, four of which bear the names: positivism, empiricism, pragmatism and economic rationalism. My aim is to show how EBP (...) generates the controversy it does because its nature and methods are inextricably interwoven with the way it has become politicised and professionalised. This exegesis is an attempt to outline how the combined effects of the four forms of rationality mentioned above allow for both the methods and objectives of EBP to be constructed as they are, while at the same moment producing the particular effects of knowledge and power in terms of who sells and who buys the idea of EBP in the culture of contemporary healthcare. (shrink)

Daniel Callahan has argued that economic and social benefits would result from a policy of withholding medical treatments which prolong life in persons over a certain age. He claims 'the real goal of medicine' is to conquer death and prolong life with the use of technology, regardless of the age and quality of life of the patient, and this has been responsible for the escalation of health care expenditure. Callahan's proposal is based on economic rationalism but there (...) is little evidence to suggest that substantial economic savings could be achieved. Moreover, his argument raises serious moral objections. A policy of withholding treatments from members of a social group involves elements of compulsion and discrimination, both of which would intrude on the doctor-patient relationship, undermine the autonomy of elderly patients, and invoke the slippery slope towards involuntary forms of euthanasia. Life-death decisions should be based on more than the one criterion of age, and take account of more relevant factors such as the patient's usual state of well-being, her/his expressed wishes, informed consent and the type of illness. Any move to the implementation and enforcement of the policy Callahan recommends would be rejected by health professionals and the public. (shrink)

This paper is in three parts. In Part One we briefly explain that an unsophisticated form of utilitarianism—economic rationalism (ER)—has become dominant in many health systems. Its proponents argue that one of ER’s most important effects is to increase consumer choice. However, evidence from New Zealand does not support this claim. Furthermore, the logic of ER requires the construction of systems which tend to restrict individual participation.In Part Two we argue that although some have advocated an ‘ethic of (...) care’ in an attempt to counteract ER’s utilitarianism, two decades of campaigning have had little influence on health policy. ER’s pro-care adversaries have failed to make an impact because they have not developed a taxonomy of care—they have not established a language compatible with, or as powerful as, ER’s.In Part Three, in an attempt to raise the conceptual and practical status of caring in contemporary health systems, we distinguish four different forms of care. In opposition to those who believe the ‘ethic of care’ can adequately direct health care practice, we demonstrate that care is a secondary notion. We show that in order for a carer to decide which form of care to adopt in different situations she requires a more powerful idea. We contend further that health care ought to be governed by a theory of health, and suggest that ‘the foundations theory of health’ should be adopted by planners searching for a more humane alternative to ER. We conclude that ER’s dominance can and must be challenged. However, only those arguments which offer detailed theoretical analyses of health care, as well as meticulously derived practical policies, have any chance of success. (shrink)

To what extent does the construction of any curriculum framework have to contain axiological assumptions? Educators have been made aware of tacit epistemological assumptions underlying existing curricular frameworks by the continual demands for their revision. Eisner suggested that curriculum policy should be centred around imagination; economic rationalists have suggested that it be made more functional and accountable than traditional university disciplines allow for. Is it possible, as Efland suggests, to combine competing traditional ideologies of education in a complex postmodern (...) pastiche which can nonetheless provide standards of assessment and evaluation without presuming a grand narrative? Brown suggests not. This paper examines the challenge of maintaining principled standards and recognising postmodern relativities, making particular reference to the notion of the sublime and the arts curriculum. (shrink)

There is a lot of talk around about Globalisation and its mana-like benefits; indeed, there are many, in areas such as the spread of communication capabilities, social media, and wider distribution of goods in the free trade marketplace that in previous decades were ‘protected’ by exorbitant excise tariffs, licensing restrictions, and low turn-overs. Since Weber, Robertson, Wallerstein, Appadurai, Tambiah et al, there has been much theorizing on the inevitability of Globalisation and its neat corollaries, Free Trade, Liberalisation, Parallel Modernities, and (...) Economic Rationalism. Yet, Globalisation has both its protagonists and antagonists alike. The paper focuses on case studies from the Indian-end, impelled by the question: in what ways has Globalisation benefited and hurt India’s economy, the slow growth and periodic stagnation of its capabilities, the stability of the nation and its people? As part of the reciprocal deal on Liberalisation, Free Trade agreement has enabled myriads of TNCs with to reign in large Western capital-investment and start-up industrial bases, which have undoubtedly helped push India to becoming the third largest world economy. However, the encroachments of TNCs and their impact on agro-economics, biodiversity, the plight of farmers, the further disenfranchisement of numerically small from a share in the national weal, the uneven regional deliverance from poverty, malnutrition, the disproportionate gender-ratio, rural illiteracy among the neglected, and other fall-outs, have worried critics of India’s ‘easy ride’ on the highway of Globalisation. The arguments will be developed extensively with illustrations. (shrink)

Background:Human health is dependent upon environmental sustainability. Many have argued that environmental sustainability advocacy and environmentally responsible healthcare practice are imperative healthcare actions.Research questions:What are the key obstacles to healthcare professionals supporting environmental sustainability? How may these obstacles be overcome?Research design:Data-driven thematic qualitative analysis of semi-structured interviews identified common and pertinent themes, and differences between specific healthcare disciplines.Participants:A total of 64 healthcare professionals and academics from all states and territories of Australia, and multiple healthcare disciplines were recruited.Ethical considerations:Institutional ethics approval (...) was obtained for data collection. Participants gave informed consent. All data were de-identified to protect participant anonymity.Findings:Qualitative analysis indicated that Australian healthcare professionals often take more action in their personal than professional lives to protect the environment, particularly those with strong professional identities. The healthcare sector’s focus on economic rationalism was a substantial barrier to environmentally responsible behaviour. Professionals also feared conflict and professional ostracism, and often did not feel qualified to take action. This led to healthcare professionals making inconsistent moral judgements, and feeling silenced and powerless. Constraints on non-clinical employees within and beyond the sector exacerbated these difficulties.Discussion:The findings are consistent with the literature reporting that organisational constraints, and strong social identification, can inhibit actions that align with personal values. This disparity can cause moral distress and residue, leading to feelings of powerlessness, resulting in less ethical behaviour.Conclusion:The data highlight a disparity between personal and professional actions to address environmental sustainability. Given the constraints Australian healthcare professionals encounter, they are unlikely to shift to environmentally responsible practice without support from institutions and professional associations. Professional development is required to support this endeavour. The poor transference of pro-ecological behaviour from one setting to another is likely to have international implications for healthcare practice. (shrink)

Empirical evidence advancing the theory of anthropogenic climate change and resultant policy action has been framed through the perspectives of scientists, economists and politicians; the ultimate objective being to minimise the risk of dangerous climate change through the reduction of GHG emissions. However, policies designed to reduce carbon pollution have utilised cost benefit analysis , largely ignoring ethical implications of such actions. This has resulted in a climate debate that sidelines the moral and social considerations of the suggested actions designed (...) to reduce the impact of dangerous climate change. Special interest groups have focussed on subjective interpretations of objective statistics, resulting in an extreme polarisation of viewpoints, pitting climate change deniers against politico-economic rationalists, with climate scientists largely sitting on the sidelines. There has, however, been a recent shift in the science of climate change acknowledging that, “many profound ethical questions are hidden in scientific and economic arguments about various climate change policy proposals” ‘White Paper on the Ethical Dimensions of Climate Change’, Rock Ethics Institute, Penn State University). We wish to promote an inter-disciplinary approach to the ethical considerations of climate change and situate the debate within a ‘real world’ context to enable people to link evidence and resultant policy to their own moral responsibility as ‘global citizens’. By placing reliable scientific information within a holistic framework, scientific outcomes with a high level of certainty may be conveyed within a wider perspective that includes ethical and social considerations, resulting in a stronger claim for practical outcomes with respect to climate change solutions. This can be used to support policies that are practical as well as moral. (shrink)

Since public schooling was introduced in the nineteenth century, teachers in many western countries have endeavoured to achieve professional recognition. For a short period in the latter part of the twentieth century, professionalism was seen as a discourse of resistance or the ‘enemy’ of economic rationalism and performativity. However, more recently, governments have responded by ‘colonizing’ professionalism and imposing ‘standards’ whereby the concept is redefined. In this study, we analyse transcripts of interviews with 20 Queensland teachers and conclude (...) that teachers’ notions of professionalism in this second decade of the twenty-first century are effectively reiterations of nineteenth century disciplinary technologies (as proposed by Michel Foucault) yet are enacted in new ways. (shrink)

To what extent does the construction of any curriculum framework have to contain axiological assumptions? Educators have been made aware of tacit epistemological assumptions underlying existing curricular frameworks by the continual demands for their revision., ) suggested that curriculum policy should be centred around imagination; economic rationalists have suggested that it be made more functional and accountable than traditional university disciplines allow for. Is it possible, as ) suggests, to combine competing traditional ideologies of education in a complex postmodern (...) pastiche which can nonetheless provide standards of assessment and evaluation without presuming a grand narrative? ) suggests not. This paper examines the challenge of maintaining principled standards and recognising postmodern relativities, making particular reference to the notion of the sublime and the arts curriculum. (shrink)

Dialogic spaces for kindness in higher education, located in the ‘critical corridor talk’ of informal leaders positioned quietly in the background in many universities, are a form of moral Resistance in an era excessively dominated by the values of some of the harsher exponents of economic rationalism. This is a secret language of dialogic resistance, to be found under the radar, tucked away in the blindspots of formally recognised Communication. It stoically challenges an arguably unhealthy obsession with efficient (...) management, Market/marketisation and economic proficiency at any cost that is, in some institutions, promoted by the harder managerial taskmasters symbolically represented in the concept of ‘homo economicus’. This chapter argues that such ‘understage’ dialogic spaces for kindness are emerging slowly but with progressively firm resistance to challenge unhealthy forms of managerial Instrumental/instrumentalism in some low Trust/trustworthiness/self-trust situations in a stratified UK higher education system. The accumulation of such spaces is occurring almost invisibly, in a subtle, persistent manner, like a soft, repetitive reminder of the need for human values, gently but relentlessly aiming to compensate for and wash away the mistakes, confusion and suffering bound up in poor management. This theoretical chapter, informed by empirical data, discusses the need to recognise this quiet form of understated kindness as a pre-eminent but under-recognised quality, currently marginalised in a higher education system more overtly focused on self-promotion, targets, outputs and League tables than on the Well-being of staff and students. Drawing from leadership data and Autoethnography observations, I argue that this informal, resistant academic critique is gradually questioning economically-driven ‘command and control’ Managerialism. The Critical Corridor Talk model proposed here and elsewhere builds on Barnett’s concept of ‘critical being’, to theorise the ways in which academic staff find relief from hard-nosed forms of management by sharing moments of truthful dialogic Communication, kindness and Empathy for colleagues in the ‘critical corridor talk’ of informal distributed leadership networks. ‘NegativeNegative capability’ is a form of self-reflexive Resistance against the ‘false necessity’ of performative goals demanded by neoliberalist economic management. Resistant informal leadership challenges the manufactured performativity of higher education environments where some in power overstep the acceptable roles of good management. Yet to foster Trust/trustworthiness/self-trust, such resistant leadership needs to ensure it continually practises both kindness and correct moral principles itself. (shrink)

The paradox of the Aged Care Act 1997: the marginalisation of nursing discourse This paper examines the marginalisation of nursing discourse, which followed the enactment of the Aged Care Act 1997. This neo‐reform period in aged care, dominated by theories of economic rationalism, enshrined legislation based upon market principles and by implication, the provision of care at the cheapest possible price. This paper exposes some of the gaps in the neo‐reform period and challenges the assertion that the amalgamation (...) of nursing homes and hostels in such an environment can provide better quality of care and life for residents. It argues that this amalgamation entails a transformation towards a social model of care and fails to address the professional healthcare needs of the acutely sick and complex extreme old person and makes evident new gaps in the provision of aged care services. The paper proceeds to present strategies where the future for nursing practice in aged care necessarily involves a judicious balancing of individual cases alongside economic prescriptions of care and ever‐changing public policy initiatives. It concludes that this can be achieved through a more interactive public, professional and advocacy discourse. The methodology involves extensive analysis of public documents including media, academic journals, government reports and interviews with recognised leaders in the field of aged care. The study utilises a critical interpretative framework consistent with the logic of Michel Foucault. (shrink)

Health sector financing reforms that have been ongoing over the last decade in most developed countries are rooted in philosophical terms in the ideology of economic rationalism. The ideology suggests that it is possible to artificially create markets for activities in contexts where markets do not develop naturally, and that the creation of these artificial markets leads to resource allocations that are both more efficient and more equitable than historical arrangements. The application of the ideology to New Zealand's (...) health sector has generated some benefits—for example, a more rational approach to influencing the decisions of self-interested health care providers; but it has also generated some costs—for example, on ideological grounds it has brought into question the non-market rationales for maintaining a national health service system. (shrink)