Hastings Center Report, Volume 52, Issue S1, Page S39-S41, March‐April 2022.

The Covid‐19 pandemic has revealed myriad social, economic, and health inequities that disproportionately burden populations that have been made medically or socially vulnerable. Inspired by state and local governments that declared racism a public health crisis or emergency, the Anti‐Racism in Public Health Act of 2020 reflects a shifting paradigm in which racism is considered a social determinant of health. Indeed, health inequities fundamentally rooted in structural racism have been exacerbated by the Covid‐19 pandemic, which calls for the integration of (...) antiracist praxis to promote ethical public health research processes. This commentary describes ways in which antiracist praxis—which emphasizes empowerment of traditionally marginalized populations—offers strategies to explicitly address power imbalance, stigmatization, and other consequences of structural racism in public health research. (shrink)

It is well established, following Menzies' work, that nursing practice produces considerable anxiety. Like Menzies, we bring a psychoanalytic perspective to a theorization of anxiety in nursing and do so in order to consider nursing practice in the light of psychoanalytic theory, although from a Lacanian perspective. We also draw on Bataille's notion of ‘surplus’. These concepts provide the theoretical framework for a study investigating how some clinical nurses are able to remain in clinical practice rather than leave the profession (...) or seek work at a distance from the bedside. We conducted focus groups and present here an analysis of two fragments of nurses' speech. We found the nurses responded from one of two positions. In the first position, the nurses focus on doctors, complain about the surplus afforded them, and call for it to be eliminated. In this way, the nursing group is similar to other groups, considered by Bataille, who also attempt to get rid of a surplus. However, in the second position, the nurses stay with the surplus, tolerating it as they nurse the patient. This latter position is one where the nurse practises with a focus on the patient rather than being distracted by their dispute over the doctor's privilege. The importance of this paper is in its illustration of two distinct positions from which the nurse can practise: one that is not optimal because the nurse is distracted and the other that is more focused on practice, and thus the nurse is in a position to provide the best care possible to patients. (shrink)

Their nursing experience and/or training may lead students preparing for the nursing profession to have less moral distress and more favorable attitudes towards a hastened death compared with those preparing for other fields of study. To ascertain if this was true, 66 undergraduates (54 women, 9 men, 3 not stated) in southeastern USA completed measures of moral distress and attitudes towards hastening death. Unexpectedly, the results from nursing and non-nursing majors were not significantly different. All the present students reported moderate (...) moral distress and strong resistance to any efforts to hasten death but these factors were not significantly correlated. However, in the small sample of nurses in training, the results suggest that hastened death situations may not be a prime reason for moral distress. (shrink)

Del Giudice's examination of sex differences in reproductive strategy within an attachment context is well taken. Sex has been studied as behavior within romantic relationships, but attachment styles should also be reflected in strategic behavior within relationships that are sexual. This seems particularly true within adolescence, and sex differences may be better reflected as differences in correlation patterns of process variables than as main effects models.

Causal theories of action have for some time stumbled over so-called wayward causal chains, Gettier-like counter-examples in which the behavior is causally traceable to e.g., a desire/belief complex but the path from this intentional cause to behavior is so tortuous that intuition balks at calling the behavior action proper. Part of the difficulty is that such theories of action presuppose a Humean account of causality, with all its implied passivity.

Retractions have traditionally been reserved for correcting the scientific record and discouraging research misconduct. Nonetheless, the potential for actual societal harm resulting from accurately reported published scientific findings, so-called information hazards, has been the subject of several recent article retractions. As these instances increase, the extent of support for such decisions among the scientific community and lay public remains unclear. Undergraduates (Study 1) and federally funded researchers (Study 2) reported their support for retraction decisions described as due to misconduct, honest (...) errors, or potential information hazards. Participants supported retraction on the former two grounds more than the latter. Despite limited support, women remained more receptive to retractions based on information hazards. Activist tendencies additionally predicted undergraduate men’s receptivity. Receptivity toward retraction due to information hazards was unrelated to scientists’ engagement in activism, suggesting that formal scientific training affords researchers an ability to separate personal and professional values in scientific discourse. Findings could inform the development of educational materials that may aid less experienced scientists and the lay public in understanding retraction ethics. (shrink)

Lack of health insurance coverage is a large and growing problem for millions of American families. Rising health care costs and economic insecurity continue to threaten the bedrock of the health insurance system - employer-sponsored coverage - while states’ fiscal situations and the escalating federal deficit complicate any efforts at reform. Providing health insurance coverage to the millions of uninsured remains a major health care challenge for the nation and understanding the current health insurance environment, who the uninsured are, and (...) why they are uninsured is critical when considering health care reform. This paper aims to define the problem of the uninsured, providing an overview of the uninsured in America and the roles and limits of private and public insurance. Following this discussion, the paper describes the current health insurance environment and examines the prospects for improving coverage. (shrink)

Lack of health insurance coverage is a large and growing problem for millions of American families. Rising health care costs and economic insecurity continue to threaten the bedrock of the health insurance system - employer-sponsored coverage - while states’ fiscal situations and the escalating federal deficit complicate any efforts at reform. Providing health insurance coverage to the millions of uninsured remains a major health care challenge for the nation and understanding the current health insurance environment, who the uninsured are, and (...) why they are uninsured is critical when considering health care reform. This paper aims to define the problem of the uninsured, providing an overview of the uninsured in America and the roles and limits of private and public insurance. Following this discussion, the paper describes the current health insurance environment and examines the prospects for improving coverage. (shrink)

The field of bioethics is calling for a new generation of scholars equipped with the normative, empirical, and practical knowledge and expertise to prioritize equity concerns largely underrepresent...

A central thesis of this paper is that understanding the nature of child maltreatment is so complex that no one disciplinary specialty is likely to be sufficient for the task. Although life history theory is the guiding principle for our analysis, we argue that an evolutionary explanation adds precision by incorporating empirical findings originating from the fields of anthropology; clinical, developmental, and social psychology; and sociology. Although evolutionary accounts of child maltreatment have been largely limited to the role of the (...) coefficient of relatedness, the prospective reproductive value of a child, and the residual reproductive potential of parents, a case is made for expanding this basic application. An explanatory model is presented that describes how ecological conditions as well as parental and child traits interact to influence the degree of parental investment. As shown in the model, these various “marker variables” alter parental perceptions of the benefits and costs associated with child care and promote low-investment parenting, which leads to disrupted family management practices and to a downward-spiraling, self-perpetuating system of coercive family interaction, increased parental rejection of the child, and even lower parental investment. Child maltreatment is the ultimate outcome of this downward trajectory of family relations. (shrink)

A trait is of adaptive value if it confers a fitness advantage to its possessor. Thus adaptiveness is an ahistorical identification of a trait affording some selective advantage to an agent within some particular environment. In results reported here we identify a trait within natural language discourse as having adaptive value by computing a trait/fitness covariance; the possession of the trait correlates with the replication success of the trait’s possessor. We show that the trait covaries with fitness across multiple unrelated (...) discursive groups. In our analysis the trait in question is a particular statistically derived word-in-context, that is, a word set. Variation of the word-usage is measured as the relative presence of the word set within a particular text, that is, the percentage of the text devoted to this set of words. Fitness is measured as the rate in which the text is responded to, or replicates, within an online environment. Thus we are studying the micro-evolutionary dynamics of natural language discourse. (shrink)

In this consensus report by a diverse group of academics who conduct and/or are concerned about social and behavioral genomics (SBG) research, the authors recount the often‐ugly history of scientific attempts to understand the genetic contributions to human behaviors and social outcomes. They then describe what the current science—including genomewide association studies and polygenic indexes—can and cannot tell us, as well as its risks and potential benefits. They conclude with a discussion of responsible behavior in the context of SBG research. (...) SBG research that compares individuals within a group according to a “sensitive” phenotype requires extra attention to responsible conduct and to responsible communication about the research and its findings. SBG research (1) on sensitive phenotypes that (2) compares two or more groups defined by (a) race, (b) ethnicity, or (c) genetic ancestry (where genetic ancestry could easily be misunderstood as race or ethnicity) requires a compelling justification to be conducted, funded, or published. All authors agree that this justification at least requires a convincing argument that a study's design could yield scientifically valid results; some authors would additionally require the study to have a socially favorable risk‐benefit profile. (shrink)

Pandemics first and foremost hit those who are most vulnerable, and the COVID-19 pandemic is not different. Although the infection rate in the nation’s poorest neighborhoods is twice as it is in th...

La lectura de todo libro, de entrada, crea expectativas en el lector. Hay libros que consiguen despertar el interés a sabiendas de que han sido publicados gracias a la confluencia de diversos factores que prometen algo novedoso y de calidad. Este es el caso de la obra que nos ocupa, publicada por un Instituto que trabaja incansablemente por los Derechos Humanos, y que ha tenido a bien reconocer la obra y el compromiso humano de Raphael Lemkin, la persona que dio (...) su vida por dar nombre y luchar contra el infame delito del genocidio. A su vez, la edición corre a cargo de Donna–Lee Frieze, una profesora de la Universidad de Deakin, editora de la edición original en lengua inglesa de Totally Unoficial. The Autobiography of Raphael Lemkin y del profesor de Derecho Internacional Público y Relaciones Internacionales de la Universidad Alfonso X el Sabio de Madrid, impecable traductor y editor de esta obra en español Por su parte, el prólogo de esta Autobiografía ha salido de la pluma de un Académico de la RAE, Antonio Muñoz Molina y lleva por título: «El dueño de una sola palabra». (shrink)

The principle of beneficence directs healthcare practitioners to promote patients’ well-being, ensuring that the patients’ best interests guide treatment decisions. Because there are a number of distinct theories of well-being that could lead to different conclusions about the patient’s good, a careful consideration of which account is best suited for use in the medical context is needed. While there has been some discussion of the differences between subjective and objective theories of well-being within the bioethics literature, less attention (...) has been given to the questions of what work a theory of well-being needs to do in bioethics and which standards of success ought to be used in selecting a theory of well-being for use in medicine. In this article, I argue that traditional theories of well-being developed in philosophy are not well suited to meet the needs of the medical context. For the principle of beneficence to be most useful, the underlying account of well-being should satisfy two conditions: first, it needs to lead to a concrete, action-guiding determination of the patient’s good; and, second, any recommendations it offers need to be justifiable to patients. Standard accounts of well-being have difficulty satisfying both conditions. Exploring the limitations of these theories when applied to treatment dilemmas helps point the way toward the development of an account of well-being better suited to healthcare. (shrink)

This study identified and compared the attitudes of visitors toward zoo-housed little penguins, their enclosure and visitor experience that may influence the way visitors behave toward little penguins at two Australian zoos. Visitor attitudes were assessed using an anonymous questionnaire, targeting visitor beliefs, and experiences, where visitors were randomly approached at the penguin exhibit after they had finished viewing the penguins. Visitors were given two options to complete the questionnaire, on an iPad during their zoo visit or online (URL sent (...) via email) after their zoo visit. A total of 638 participants (495 at Melbourne Zoo and 143 at Taronga Zoo) completed the questionnaire, 42% were completed onsite during their zoo visit and 58% were completed online after their zoo visit. Most participants were living in Australia, non-zoo members, female, previously or currently owned a pet, aged between 26 and 35 years and had a University degree. Results showed that the attitude dimensions of visitors were consistent between the two zoos which indicates that these measures of attitudes were stable over time and location. Overall, visitors at both zoos had positive attitudes toward little penguins, penguin welfare, the enclosure, and visitor experience. However, whether these positive attitudes and positive visitor experience influenced the way visitors behaved toward the penguins remains unclear. There were some differences in visitor attitudes toward the perceived “aggressiveness” and “timidness” of little penguins, “negative penguin welfare”, “experience with the penguins”, “learning”, “visual barriers” and the way visitors rated their overall experience at the penguin enclosure. While the reasons for the differences in visitor attitudes and visitor experience between the zoos were not clear, some factors such as penguin behavior and enclosure design, may have been attributable to these differences. Also, a relationship was found between visitor attitudes and how visitors rated the welfare of penguins, the enclosure and visitor experience at the enclosure; more positive visitor attitudes were associated with higher ratings of penguin welfare, the enclosure and visitor experience. The practical implications of these results for zoos is unclear because the differences in visitor attitudes were numerically small. This requires further comparisons between zoos or enclosures that are more markedly different than the penguin enclosures in the present study and further research on how visitors assess zoo animals, enclosures and visitor experience. (shrink)

Mathematician. Philosopher. World traveler. Pythagoras was an intelligent and curious scholar and teacher. While he¿s best-known for the Pythagorean theorem, he shared ideas about numbers, animals, and many other areas of knowledge with his students. Since none of his writings were left behind, it¿s not always easy for historians to know what¿s true about Pythagoras and what may be legendary. What does seem apparent is that he was a vegetarian but not a trendy dresser. Some people saw him as (...) godlike. Others felt he made false claims about things. No matter what, Pythagoras¿s curiosity and willingness to grapple with complex issues have helped further the knowledge of mathematics and philosophy for thousands of years. (shrink)

It's unnerving, isn't it? When our faith feels ungrounded, untethered... unreal. When our certainty is adrift, as though an undercurrent has pulled us away from shore into the deep, into the darkness. This is disillusionment. This is spiritual pain. And if this is you, please know that you are not alone. (And you are not as far away from safety as you may feel or fear.) Though faith shines best in full sun, it grows depth in the dark. The (...) night is not your enemy. In fact, the night is necessary. In The Night Is Normal, revered author, speaker, and mentor Dr. Alicia Britt Chole offers a groundbreaking perspective that reveals spiritual disillusionment as an unexpected friend. Within these sacred pages, you'll explore how night-faith develops within your soul something far more satisfying than understanding and far more powerful than peace. Whether you're disillusioned with God, yourself, or others, Alicia offers practical and soul-full tools to help you navigate the night and find your way to a livable and love-saturated hope. Your night will not last forever. Within it, there is priceless treasure (that's simply too weighty to be sourced in sunshine). (shrink)

As traditional organizations using their websites for eCommerce transactions are increasing at an exponential rate, privacy concerns of users are also on the rise. To gain an insight into these concerns, existing policies and legislation, we conducted the research reported in this paper, in 2003. To augment the literature synthesis, a multiple case study analysis was conducted, based on six large organisations in Australia. Our research findings suggested that in the Australian context, an online privacy policy on the website which (...) complies with the Privacy Act, supported by few best practices are reasonably able to address online privacy concerns. However, these findings are restricted in time frame, indicative and relevant in the Australian context. Nevertheless, we hope to stimulate academic research enquiry and discussion forums through this research. (shrink)

Dans cette contribution jouée à quatre mains, l’une des intervenantes veut espérer que l’on puisse répondre aux populismes actuellement dominants, démagogues et xénophobes, par une autre forme de populisme, rassemblant les masses autour de quelques slogans émancipateurs et de quelques récits mobilisateurs. L’autre craint que le ver ne soit dans le fruit dès lors qu’on cherche à parler au peuple (dans un effort de massification) plutôt qu’à penser avec les gens (dans leur pluralisme).

" A une saisie perspicace de la philosophie du droit de Hegel, Alicia Farinati joint une lucide estimation de sa philosophie de l'histoire et de son histoire de la philosophie. Cela lui permet, les textes réunis ici le montrent assez, de situer précisément le philosophe dans les controverses de son temps et du nôtre, et de l'engager organiquement dans le développement mondial de la pensée : tout ceci afin que notre époque en tire profit. [...] La philosophie de Hegel (...) est d'une telle exubérance que même ses erreurs sont instructives et que les esprits les plus divers peuvent, grâce à elle, mieux se comprendre eux-mêmes et déployer plus vigoureusement leur propre originalité. [...] Bien des aspects de cet immense héritage sont inventoriés ici : l'Etat, l'individu, la famille, la société civile, l'histoire, la vie politique ancienne et actuelle, le passage à Marx... Alicia Farinati sait puiser aux meilleures sources, élaborer subtilement, puis répandre à tous vents, en Europe et en Amérique latine. Il s'agit pour elle de favoriser, à l'aide de Hegel, la culture de la liberté. " Extraits de la préface de Jacques D'Hondt, Qu'il nous soit donné de saluer ici le philosophe et le résistant, collègue et ami qui nous a quittés le 10 février 2012. (shrink)

In this study, we explore the global effect of the Internet on democracy over the period of 1992 to 2002 by observing the relationships between measures related to democracy and Internet prevalence. Our findings suggest that while Internet usage was not a very powerful predictor of democracy when examining full panel data from 1992 to 2002, it was a stronger predictor when we study data from just the years 2001 to 2002. We hypothesize that the jump in the ability of (...) Internet penetration indicators to explain variation in democratization that occurred in 2000 suggests that the Internet may have only recently come into its own as a positive force for democratization. However, these results are not globally consistent, and we show that some regions do not enjoy a positive Internet/democracy correlation suggesting that the Internet can be used both as a tool for democratization as well as an instrument for authoritarianism. (shrink)

Convivo is a VoIP system designed to provide reliable voice communication for poor quality networks, especially those found in rural areas of the developing world. Convivo introduces an original approach to maintain voice communication interaction in the presence of poor network performance: an Interface‐ Adaptation mechanism that adjusts the user interface to reduce the impact of high latency and low bandwidth networks. Interface modes facilitate turn taking for high latency connections, and help to sustain voice communication even with extremely low (...) bandwidth or high error rates. An evaluation of the system, conducted in a rural community in the Dominican Republic, found that Interface‐Adaptation helped users to maintain voice communication interaction as network performance degrades. Transitions from full duplex to voice messaging were found particularly valuable. Initial results suggest that as users get more experience with the application they would like to manually control transitions based on feedback provided by the application and their own perceived voice quality. (shrink)

En los límites de este estudio es imposible hacer referencia a todos los aspectos presentes en obras tales como L'Histoire de l'Érotisme o La Souveraineté. Intentaré, por lo tanto, solamente responder a las siguientes preguntas: ¿la moral de la transgresión batailleana que reconoce en Nietzsche y Sade a sus geniales inspiradores responde a una transformación del patriarcado que se hallaría actualmente en curso? ¿Su exaltación de la violencia y el crimen provendrían de un sesgo de género del pensamiento? ¿La cultura (...) de masas y la cultura de élites de hoy en día son la correa de transmisión por la que se generaliza esta moral de la transgresión? ¿Qué relación existe entre la violencia irracional explícita y el crimen sexual omnipresentes en la ficción, por un lado, y una jurisprudencia moderna que busca defender de modo creciente el derecho a la seguridad y a la libertad sexual de las mujeres, por otro? En otras palabras: ¿la voluntad de aniquilación transgresiva esconde el deseo de mantenimiento de jerarquías arcaicas de género? (shrink)

Es difícil pensar tanto la vida moral como la vida comunitaria fuera dela tensión entre los Otros y el sí-mismo. Por una parte, de cara a la cohesión dela sociedad y a que la persona singular encuentre su dimensión comunitaria, sehace necesaria una suerte de vida transparente, sin secretos, a fuer de honesta.Sin embargo, por otra parte, cuando el entorno social es moralmente cuestionable,se hace imprescindible una paideía privada que permita la orientación moral delsujeto personal, por más que ello le (...) reporte soledad e incomprensión por parte desus conciudadanos, debiendo, entonces, construir un espacio de privacidad. (shrink)