The use of targets to direct public health programmes, particularly in global initiatives, has become widely accepted and commonplace. This paper is an ethical analysis of the utilisation of targets in global public health using our fieldwork on and experiences with voluntary medical male circumcision initiatives in Kenya. Among the many countries involved in VMMC for HIV prevention, Kenya is considered a success story, its programmes having medically circumcised nearly 2 million men since 2007. We describe ethically problematic practices in (...) Kenyan VMMC programmes revealed by our fieldwork, how the problems are related to the pursuit of targets and discuss possible approaches to their management. Although the establishment and pursuit of targets in public health can have many benefits, assessments of target-driven programmes tend to focus on quantifiable outcomes rather than the processes by which the outcomes are obtained. However, in order to speak more robustly about programmatic ‘success’, and to maintain community trust, it is vital to ethically evaluate how a public health initiative is actually implemented in the pursuit of its targets. (shrink)

Ongoing global efforts to circumcise adolescent and adult males to reduce their risk of acquiring HIV constitute the largest public health prevention initiative, using surgical means, in human history. Voluntary medical male circumcision (VMMC) programs in Africa have significantly altered social norms related to male circumcision among previously non-circumcising groups and groups that have practiced traditional (non-medical) circumcision. One consequence of this change is the stigmatization of males who, for whatever reason, remain uncircumcised. This paper discusses the ethics of stigma (...) with regard to uncircumcised adolescent males in global VMMC programs, particularly in certain recruitment, demand creation and social norm interventions. Grounded in our own experiences gained while conducting HIV-related ethics research with adolescents in Kenya, we argue that use of explicit or implicit stigma to increase the number of VMMC volunteers is unethical from a public health ethics perspective, particularly in campaigns that leverage social norms of masculinity. Ongoing global efforts to circumcise adolescent and adult males to reduce their risk of acquiring HIV constitute the largest public health prevention initiative, using surgical means, in human history. VMMC programs in Africa have significantly altered social norms related to male circumcision among previously non-circumcising groups and groups that have practiced traditional (non-medical) circumcision. One consequence of this change is the stigmatization of males who, for whatever reason, remain uncircumcised. This paper discusses the ethics of stigma with regard to uncircumcised adolescent males in global VMMC programs, particularly in certain recruitment, demand creation and social norm interventions. Grounded in our own experiences gained while conducting HIV-related ethics research with adolescents in Kenya, we argue that use of explicit or implicit stigma to increase the number of VMMC volunteers is unethical from a public health ethics perspective, particularly in campaigns that leverage social norms of masculinity. (shrink)

Today there are multiple implantable medical devices on the market. The type of implants that interface the body’s tissues has been considered to have particular strong ethical implications. This article describes a development of a novel practice for ethical assessment and reflection within medical device research and development of non-CE marked medical devices, taking the perspective of both the ethicist and the researcher. The research case was an EU funded project where the aim was to develop and compare the efficiency (...) of invasive and non-invasive technological medical devices to create meaningful sensations as a novel therapy for phantom limb pain. An Independent Ethical Advisor with a regulatory and advisory role was assigned to the project, allowing us to investigate the projects deliberate incorporation of ethics. In the article we suggest and applied a novel framework based on action research for combining ethical assessment with building ethical reflection. The case analyse five different activities / elements: 1) the use of informed consent; 2) a survey amongst the research partners; 3) a workshop session; 4) observation of consortium meetings; and 5) an interview with a participating patient. (shrink)

Hand function improvement in stroke survivors in the chronic stage usually plateaus by 6 months. Brain-computer interface (BCI)-guided robot-assisted training has been shown to be effective for facilitating upper-limb motor function recovery in chronic stroke. However, the underlying neuroplasticity change is not well understood. This study aimed to investigate the whole-brain neuroplasticity changes after 20-session BCI-guided robot hand training, and whether the changes could be maintained at the 6-month follow-up. Therefore, the clinical improvement and the neurological changes before, immediately after, (...) and 6 months after training were explored in 14 chronic stroke subjects. The upper-limb motor function was assessed by Action Research Arm Test (ARAT) and Fugl-Meyer Assessment for Upper-Limb (FMA), and the neurological changes were assessed using resting-state functional magnetic resonance imaging. Repeated-measure ANOVAs indicated that long-term motor improvement was found by both FMA (F[2,26]= 6.367,p= 0.006) and ARAT (F[2,26]= 7.230,p= 0.003). Seed-based functional connectivity analysis exhibited that significantly modulated FC was observed between ipsilesional motor regions (primary motor cortex and supplementary motor area) and contralesional areas (supplementary motor area, premotor cortex, and superior parietal lobule), and the effects were sustained after 6 months. The fALFF analysis showed that local neuronal activities significantly increased in central, frontal and parietal regions, and the effects were also sustained after 6 months. Consistent results in FC and fALFF analyses demonstrated the increase of neural activities in sensorimotor and fronto-parietal regions, which were highly involved in the BCI-guided training.Clinical Trial Registration:This study has been registered atClinicalTrials.govwith clinical trial registration number NCT02323061. (shrink)

This paper argues that yu 欲 (desire), in Xunzi’s view, cannot by itself motivate action. Such a clarification will also bear on our understanding of the relation between xin 心 (the heart/mind) and yu in the Xunzi. This paper is divided into three main sections. The first section seeks to explicate the common assumption that yu can be an independent source of motivation. In the second section, I will conduct textual analysis that challenges such an assumption and argues that only (...) xin can by itself motivate action. In the third section, I explain that the issue of whether yu can conflict with xin is not applicable in Xunzi’s thought and extrapolate the implications that xin is always activated and that xin has natural inclination to pursue the objects of yu. For these reasons, the source of moral failure lies in xin being active in certain problematic ways. (shrink)

As basic units of communication recognized by speakers themselves, communicative events have always been assumed to have clearly definable boundaries and characterizable joint activity for content. This, however, is not always the case. In this article, I argue for a communicative event I term ` prospecting an encounter' which typically occurs between shoppers and salespersons in Chinese local markets. `Prospecting' opens in a deliberately ambiguous way and ends when it either develops into a fully ratified encounter or dissolves into mere (...) unfocused interaction or even cessation of co-presence. The joint activity that occurs within its boundaries has an equivocal status as engagement. Close analysis of interactional data reveals how `prospecting' events are jointly accomplished by speakers through the strategic withholding of glances and the extensive use of silence. (shrink)

Scholars and providers are coming to realize that one’s ability to notice and respond to internal body sensations contributes to an overall sense of wellbeing. Research has demonstrated a relationship between interoceptive awareness and anxiety, for example. Currently, however, tools for evaluating one’s interoception lack the conceptual foundation and clarity necessary to identify everyday behaviors that specifically reflect interoceptive awareness. Unlike existing interoceptive measures, the Sensory Profile Interoception scale is participation-based and grounded in Dunn’s Sensory Processing framework. In this study (...) we investigated concurrent validity by correlating the SPI with the Adolescent/Adult Sensory Profile ; we investigated construct validity by correlating the SPI with the Perth Alexithymia Scale, the Body Awareness Scale, and the State-Trait Anxiety Inventory. Using the REDCAP online platform, 74 college-aged participants completed the measures. Using Spearman rank order correlations there were statistically significant relationships between the corresponding sensory pattern subscales on SPI and A/ASP. The PAS was only weakly related to the registration subscale of the SPI. The BAS had significant relationships with seeking and avoiding on the SPI. The STAI had significant relationships with sensitivity and registrations of the SPI. Taken together, these findings provide evidence of construct validity of the SPI to identify participation patterns associated with both high and low interoception. With the more precise information the SPI provides, professionals can design tailored interventions to support everyday life goals and researchers can study interoception within authentic activities. (shrink)

In this paper I have two main aims. My first aim is to introduce the notion of bounded emotionality. This notion is the analogue of that of bounded rationality in behavioural economics. Bounded rationality says, roughly, that human beings are cognitively limited with respect to their processing and memory capacities. Bounded emotionality says that we are limited in our emotional capabilities, notably in the intensity, duration, and possible combinations of our emotional states. Bounded rationality is a foundational notion in behavioural (...) economics and has played an important role in various fields of philosophy as well. In particular, in epistemology bounded rationality has been thought to have implications with respect to our doxastic norms. My second aim in this paper is to suggest that bounded emotionality also has an important role to play in philosophy. As a case in point, I discuss the implications that bounded emotionality has for our doxastic norms. In particular, I argue that one is not obligated to believe something or to stop holding a belief if one could not believe/fail to believe it without having an emotional response that exceeds one's bounded emotional capacities. (shrink)

This paper critically evaluates the transition from crisis to development in northern Uganda from the perspective of agricultural service provision. It contributes to debates on how efforts to link relief to rehabilitation and development may bypass the underlying challenges in linking humanitarian aid to prevailing national development policies and structures. This paper is based on research into agricultural services undertaken in Pader district, northern Uganda, between 2010 and 2012. It studied the interplay between humanitarian interventions and the parallel development of (...) the government’s agricultural departments and services in northern Uganda. The article brings out how Ugandan agricultural policies do not suit the post-conflict realities of northern Uganda. The evolving policies affect power relations and processes of inclusion and exclusion in northern Uganda. As a result, at the time that the government is ready to integrate northern Uganda into the mainstream development of agricultural policy, the gap between addressing humanitarian needs and development has become larger. (shrink)

The Reichenbach-Grunbaum thesis of the conventionality of simultaneity is clarified and defended by developing the consequences of the Special Theory when assumptions are not made concerning the one-way speed of light. It is first shown that the conventionality of simultaneity leads immediately to the conventionality of all relative speeds. From this result, the general-length-contraction and time-dilation relations are then derived. Next, the place of time-dilation and length-contraction effects within the Special Theory is examined in the light of the conventionality thesis. (...) The slow-transport method of synchrony is then examined in the light of these results and is shown not to provide an adequate method of uniquely determining the one-way speed of light. Finally, the general ε -Lorentz transformations for events along the x-axis are derived from three principles: the round-trip light principle, the principle of equal passage times, and the linearity principle. These principles are shown to be independent of one-way velocity assumptions, and thus may form the basis of a Special Theory of Relativity without distant simultaneity assumptions. (shrink)

This study proposes an operational approach to a metaphorical framing analysis using large-scale data. We conducted a case analysis of how war metaphors are framed to address various societal issues in a corpus of public speeches by Hong Kong government officials. By investigating patterns of lexical choices under the source domain of WAR and the underlying reasons for the source-target domain mappings (i.e. Mapping Principles), we found that the target domain of social issues in Hong Kong is primarily conceptualized in (...) terms of a combat frame, and governmental issues are primarily talked about in terms of a protection frame, both of which are positively evaluated. Additionally, economic issues are primarily addressed in terms of a strategy frame, which is both positively and negatively evaluated. We show that analyzing the Mapping Principles of these conceptual metaphors captures the “selection” process of framing at the dimensions of frame frequency and frame sentiment, allowing for a principled way to propose a metaphorical framing analysis in corpora-based studies. The proposed approach enriches Critical Discourse Analysis studies of metaphorical framing and bridges the link between metaphor analysis at a conceptual level and framing analysis at a communication level. (shrink)

This article considers whether there is room in the work of Goldenberg, which is characterized as materialist, for spirituality. The author shows how Freudian psychoanalysis gives the opportunity for the body to be resurrected from the place of signifier of death and dissolution. However, it is also argued that it is possible to bring body and spirit together in such a way as to allow the body to flourish. The author argues for a 'thinking through the body' that is best (...) accomplished when grounded in goddess spirituality. (shrink)

Everyday life is a central theme of Hong Kong poetry. Many Hong Kong poets use the quotidian as a starting point for the exploration of history and alternative imaginings. This mundane focus, unlike the colonial dreamscape of Hong Kong as an economic miracle, allows writers to reflect upon Hong Kong as a post-colonial and global space. The Hong Kong writer Natalia Chan examines the complex nature of everyday life within the space of the global and post-colonial city. Chan’s poems deal (...) with the essence of everydayness and use commodities to conjure up the vivacity of the urbanscape of Hong Kong. Unlike the political and economic discourse that is usually used to define Hong Kong, Chan’s work portrays Hong Kong as a city that offers the possibility of daily re-creation against the background of history. In this article, we will examine Chan’s use of the circulation of commodities in the global world and explore the way fashion becomes a point where high and popular culture, private and public domains, and local and global interests clash, negotiate, and fertilize each other. Chan’s works do not conform to the economic and prosperity discourse that has repressed Hong Kong; rather, she guides her readers to re-experience the everydayness of routines, to celebrate alternate ways of understanding the urbanscape, and to open themselves to the potentialities of art and the everyday. (shrink)

This article focuses on a psychological phenomenon discussed by the early Confucian: yuan 怨, which is often translated as “resentment”, “grievance”, “lament”, or “complaint”. I attempt to use the early Confucian discussions of yuan to shed light on an aspect of human psychology, namely, when one laments about certain conditions that obtain in such a way that she sees as beyond her control and negatively affects her. This is an unusual reactive attitude because one who has yuan takes the “passive (...) stance.” This paper has four main sections: the first section makes textual observations of “yuan” in the early Confucian texts; the second section proposes a Confucian-inspired account of yuan and highlights the psychological state in which one who has yuan sees oneself as object; the third section discusses the problematic dimensions of yuan; the final section discusses the negative implications of the passive stance with respect to contemporary concerns: vulnerability, moral repair, and self-respect. (shrink)

This essay analyses the Confucian conception of xin, an attribute that broadly resembles what we would ordinarily call trustworthiness. More specifically, it provides an analysis of the psychology of someone who is xin and highlights a feature of the Confucian conception of trustworthiness: the trustworthy person has to ensure that there is a match between her self-presentation and the way she is. My goal is not to argue against any of the existing accounts of trustworthiness but to draw on Confucian (...) insights so as to shed light on features of trustworthiness that are overlooked in current discussions. I hope to show that the Confucian conception of trustworthiness puts more emphasis on the way a trustworthy person actively tries to make sure another’s dependency on her is not unwarranted than on how the trustworthy person responds to the one who gives trust. (shrink)

The Reichenbach-Grunbaum thesis of the conventionality of simultaneity is clarified and defended by developing the consequences of the Special Theory when assumptions are not made concerning the one-way speed of light. It is first shown that the conventionality of simultaneity leads immediately to the conventionality of all relative speeds. From this result, the general-length-contraction and time-dilation relations are then derived. Next, the place of time-dilation and length-contraction effects within the Special Theory is examined in the light of the conventionality thesis. (...) The slow-transport method of synchrony is then examined in the light of these results and is shown not to provide an adequate method of uniquely determining the one-way speed of light. Finally, the general ε -Lorentz transformations for events along the x-axis are derived from three principles: the round-trip light principle, the principle of equal passage times, and the linearity principle. These principles are shown to be independent of one-way velocity assumptions, and thus may form the basis of a Special Theory of Relativity without simultaneity assumptions. (shrink)

Some irrational numbers are "random" in a sense which implies that no algorithm can compute their decimal expansions to an arbitrarily high degree of accuracy. This feature of (most) irrational numbers has been claimed to be at the heart of the deterministic, but chaotic, behavior exhibited by many nonlinear dynamical systems. In this paper, a number of now classical chaotic systems are shown to remain chaotic when their domains are restricted to the computable real numbers, providing counterexamples to the above (...) claim. More fundamentally, the randomness view of chaos is shown to be based upon a confusion between a chaotic function on a phase space and its numerical representation in Rn. (shrink)

In a recent essay in this journal, John Maynard Smith argues that the often expressed idea that the genome is the repository of meaningful information is not merely a heuristically useful metaphor. Instead, he contends, it is a central idea in contemporary microbiology. While I am in general agreement with Maynard Smith on this issue, his account suffers, I believe, from using an inappropriate concept of ‘information.’ One result of this is that the concept of genomic information becomes burdened by (...) a conceptual load that the biological facts cannot support. When, however, the appropriate concept of information is used, then these burdens are shed, and the result is an account that is in substantial agreement with the heart of Maynard Smith's thesis. (shrink)

This authoritative volume, written by two well-known psychologist-philosophers, presents a model of the person and its implications for psychological theory and practice. Professors Ramakrishna Rao and Anand Paranjpe draw the contours of Indian psychology, describe the methods of study, explain crucial concepts, and discuss the central ideas and their application, illustrating them with insightful case studies and judicious reviews of available research data and existing scholarly literature. The main theme is organized around the thesis that psychology is the study of (...) the person and that the person is a unique composite of body, mind and consciousness. The goal of the person is self-realization. Self-realization consists in the realization of one's true self as distinct from the manifest ego and it is facilitated by cultivating consciousness. Cultivating consciousness leads to a kind of psycho-spiritual symbiosis resulting in personal transformation, altruistic value orientation and flowering of the hidden human potential. (shrink)

This article introduces and analyses the debate between Mencius and Xunzi on xing 性. While Mencius claims that xing is good, Xunzi claims that xing is bad. A common way of interpreting these two different claims is to determine the scope of xing. It is generally agreed that, for Mencius, it is the heart/mind that falls within the scope of xing, for Xunzi, the sensory desires. This article also explores a different way of approaching Mencius's and Xunzi's different claims about (...) xing. It is suggested that Mencius's and Xunzi's different views on xing can be understood in terms of their different views on the heart/mind. While Mencius thinks that the heart/mind has a morally good natural tendency, Xunzi thinks that the heart/mind has a morally problematic tendency. (shrink)

This article seeks to advance discussion of Xunzi’s view of ritual by examining the problem ritual treats and the way in which it targets the problem. I argue that the root of the problem is the natural inclination of the heart/mind to be concerned only with self-interest. The reason ritual works is that, on the one hand, it requires one to disregard concern for self-interest and observe ethical standards and, on the other, it allows one to express feelings in an (...) ethically appropriate way. The ideal character shaped by ritual is one of respect in dealing with affairs and people; the ideal effect of ritual on the person is a sense of ease and security. Based on these conclusions, I will flesh out an implicit assumption Xunzi might have adopted about a pattern in human psychological constitution so as to further our understanding of Xunzi’s moral psychology. (shrink)

The term bu ren 不忍, which may be loosely translated as "cannot bear to harm others," does not occur frequently in the Mencius. However, the passages where the term does occur are ones that are crucial to our understanding of Mencius' thought. In one of the key passages, 1A:7, Mencius uses the example of King Xuan of Qi 齊宣王 having the heart/mind of bu ren for an ox to show that he has the kind of heart/mind that enables him to (...) be a true king. The context of the story is this: King Xuan asks Mencius whether he is capable of protecting his people and being a true king. Mencius reminds the king of an incident where the king spared an ox that is about to be killed for consecrating a bell because the king bu ren to see... (shrink)

Ancient Indian philosophies consider self-realization as a fundamental concept and aim of human life, which appears theoretically similar to the self-actualization concept of the West. This article compares and contrasts the self-actualization concept with the views of ancient Indian wisdom to create a model. Both ideas strive for a more elevated Self, unleashing our potential or the realization/actualization of the true Self. From the Indian Vedanta philosophy emerged the Panchakosha theory of personality, which provides a structural framework for human states (...) of consciousness leading to higher development and transcendental identity. According to the scriptures, any form of stress is due to an underdeveloped state of consciousness at these levels or due to disconnection from the true Self; once an individual comes in contact with the ‘true Self’, the problems of life are eliminated. Yoga is a systematic process and way of human development, and applying the principles of Yoga philosophy in life will help in transcending one from the lower Self to the higher Self, awakening human potential, and becoming self-actualized. Yogis, who practice Yoga, could be responsible for a positive shift towards sustainable communities or transformative environments through enhanced mindfulness, self-actualization, and social capital demonstrated by enhanced moral values, trust, engagement, and acceptance. This theoretical model from classical Indian thought has the potential to provide the needed guidelines to create more self-actualized people. The dimension of well-being and prescriptions on how to reach this state of highest well-being is the essence of Indian philosophy. (shrink)

In this short but meaty book, Peter Unger questions the objective answers that have been given to central problems in philosophy. As Unger hypothesizes, many of these problems are unanswerable, including the problems of knowledge and scepticism, the problems of free will, and problems of causation and explanation. In each case, he argues, we arrive at one answer only relative to an assumption about the meaning of key terms, terms like "know" and like "cause," even while we arrive at an (...) opposite answer relative to quite different assumptions, but equally arbitrary assumptions, about what the key terms mean. (shrink)

This article seeks to interpret Mencius’ criticism of the village worthies and shed light on the distinctive psychological phenomenon that Mencius has captured but not quite articulated. An attempt at filling out the Mencian view of the village worthies will help us better understand the content of the moral charges made against them and also deepen our analysis of the kind of psychology that early Confucians regard as crucial to moral agency. Following an introduction that overviews Mencius’ criticisms of the (...) village worthies, the main discussion of this article is divided into three sections. Section 2 offers an interpretation of the psychology of the village worthy and articulates the way in which the village worthy can be regarded as a special kind of hypocrite, which I label as “appearance-only” hypocrite. Section 3 draws on the proposed interpretation to make sense of Mencius’ criticisms of the village worthy. I argue that while the village worthy can elude some common charges against hypocrisy, it is still problematic in the sense that it weakens an unstable system of morality from the inside and inflicts harm on the genuinely virtuous person. Section 4 delves deeper into analyzing the ethical implications for the self and for others. (shrink)