Recent studies of Reinhold Niebuhr's life and work demonstrate his continued importance in theology, ethics, and political thought. Historical studies by Heather Warren, Mark Kleinman, and Normunds Kamergrauzis provide new assessments of Niebuhr's role as a political and religious leader in his own time and trace the consequences of the movements in which he participated. They also show us more clearly how his work was connected to the ideas and programs of his contemporaries. Colm McKeogh offers a more systematic (...) treatment of Niebuhr's political realism in relation to just war theory. Niebuhr's intellectual legacy remains disputed, with Stanley Hauerwas and Langdon Gilkey offering radically different assessments of his theology. Hauerwas sees in Niebuhr a close connection to the religious liberalism of William James that precludes any authentic Christian witness. Niebuhr's empiricism reduces God to a necessary feature of human consciousness. Gilkey notes Niebuhr's early use of James' psychology, but discerns a theology of history that is central to Niebuhr's mature work. In that theology, the ground of hope necessarily lies beyond human consciousness, and indeed beyond history itself. (shrink)

Through arresting narratives we meet a woman aiding refugees in sub-Saharan Africa, facing the chaos of a meaningless society and a doctor trying to stay alive during Mao's cultural revolution - individuals challenged by their societies and in existential moral experiences that define what it means to be human.

The past twenty years have been an incredibly productive period in science studies. Still, because recent work in science studies puts a spotlight on agency and enabling situa tions, many practitioners in the field ignore, underplay, or dismiss the possibility that historically established, structurally stable attributes of the world may systemically shape practice at the laboratory level. This article questions this general position. Draw ing on data from a participant observation study of a university biology laboratory, it describes five features (...) of the institutional landscape that shape this laboratory's practice. (shrink)

This note is in part a response to Alastair Hannay's review discussion, ?A Kind of Philosopher: Comments in Connection with Some Recent Books on Kierkegaard? (Inquiry, Vol. 18 [1975], No. 3). In his review, Hannay states that Kierkegaard and philosophy appear to be on the road to a reconciliation, and asks What is behind this get?together if it is one??. I suggest that in some remarks touching on Kierkegaard's theory of Truth, Hannay has touched on the ground for that ?get?together?, (...) a Pyrrhonian scepticism. (shrink)

The political ideology of neoliberalism is widely recognized as having influenced the organization of national and global economies and public policies since the 1970s. In this article, we examine the relationship between the neoliberal variant of globalization and science. To do so, we develop a framework for sociology of science that emphasizes closer ties among political sociology, the sociology of social movements, and economic and organizational sociology and that draws attention to patterns of increasing and uneven industrial influence amid several (...) countervailing processes. Specifically, we explore three fundamental changes since the 1970s: the advent of the knowledge economy and the increasing interchange between academic and industrial research and development signified by academic capitalism and asymmetric convergence; the increasing prominence of science-based regulation of technology in global trade liberalization, marked by the heightened role of international organizations and the convergence of scientism and neoliberalism; and the epistemic modernization of the relationship between scientists and publics, represented by the proliferation of new institutions of deliberation, participation, activism, enterprise, and social movement mobilization. (shrink)

Through a discursive and organizational analysis we seek to understand the Biosafety Protocol and the place of socioeconomic regulation of agricultural biotechnology in it. The literature on the Protocol has been fairly extensive, but little of it has explored debates over socioeconomic regulation during the negotiation process or the regulatory requirements specified in the final document. This case is especially important at a time when the spread of neoliberalism is increasingly associated with deregulation, because it sheds light on the conditions (...) under which circumvention of the market is deemed legitimate and socio-economic regulation of agricultural technology is possible. (shrink)

Modern socio?cultural studies of medicine demonstrate the symbolic character of much of medical reality. This symbolic reality can be appreciated as mediating the traditional division of medicine into biophysical and human sciences. Comparative studies of medical systems offer a general model for medicine as a human science. These studies document that medicine, from an historical and cross?cultural perspective, is constituted as a cultural system in which symbolic meanings take an active part in disease formation, the classification and cognitive management of (...) illness, and in therapy. Medicine's symbolic reality also forms a bridge between cultural and psychophysiological phenomena; the basis for psychosomatic and socioso?matic pathology and therapy. This in turn becomes a central problem for medical theory and for a philosophical reinvestigation of medicine. (shrink)

This thoughtful and engaging text challenges the widely held notion of science as somehow outside of society, and the idea that technology proceeds automatically down a singular and inevitable path. Through specific case studies involving contemporary debates, this book shows that science and technology are fundamentally part of society and are shaped by it. Draws on concepts from political sociology, organizational analysis, and contemporary social theory. Avoids dense theoretical debate. Includes case studies and concluding chapter summaries for students and scholars.

Historical analyses of the genesis of the National Science Foundation have given insufficient attention to the role of business in the legislative struggle to establish a postwar research policy agency. This has led to an incomplete understanding of the defining characteristics of the final NSF legislation. Agency focus on basic research has heretofore been interpreted largely as a response to scientists' interests rather than to those of scientists and business. Moreover, the concern of industry with the intellectual property provisions of (...) the legislation has also been underappreciated. In this article, the standard history of the genesis of the National Science Foundation is revised by dissecting the concerns of business with NSF legislation and the role of business in shaping the legislation. The character and influence of industry on proposals for a National Science Foundation are clarified through an examination of three distinct ways in which industry shaped National Science Foundation legislation. The article concludes that in the debate over the establishment of the NSF, interests and influence must be seen as layered, overlapping, and blurred. (shrink)

In introgressive hybridization (the repeated backcrossing of hybrids with parental populations), Edgar Anderson found a source for variation upon which natural selection could work. In his 1953 review article “Introgressive Hybridization,” he asserted that he was “bringing taxonomy to the service of genetics” whereas distinguished colleagues such as Theodosius Dobzhansky and Ernst Mayr did the precise opposite. His work as a geneticist particularly focused on linkage and recombination and was enriched by collaborations with Missouri Botanical Garden colleagues interested in taxonomy (...) as well as with cytologists C.D. Darlington and Karl Sax. As the culmination of a biosystemtatic research program, Anderson’s views challenged the mainstream of the Evolutionary Synthesis. -/- . (shrink)

Thomas Ogden, writing as a practicing psychoanalyst for other practicing analysts, distinguishes between epistemological psychoanalysis and ontological psychoanalysis, while recognizing that the two approaches often overlap. Epistemological psychoanalysis has to do with assisting patients with the interpretation of significant meanings in their psyches, which in turn has an effect on their symptoms, other problems they may be facing, and their understanding of their own lives. Ontological psychoanalysis is about helping individuals transform themselves so that they are, whatever meanings they may (...) eke out, more present to themselves and to others: a change in being and becoming. Ogden associates... (shrink)

Pre-Socratic -- Socrates (469-399 B.C.) -- Plato (429-347 B.C.) -- Existentialism -- Aristotle (384-322 B.C.) -- The ship of Theseus -- Francis Bacon (1561-1626) -- The cow in the field -- David Hume (1711-1776) -- Hedonism -- Prisoner's dilemma -- St. Thomas Aquinas (1225-1274) -- Hard determinism -- Jean-Jacques Rousseau (1712-1778) -- The trolley problem -- Realism -- Immanuel Kant (1724-1804) -- Dualism -- Utilitarianism -- John Locke (1632-1704) -- Empiricism versus Rationalism -- Georg Wilhelm Friedrich Hegel (1770-1831) -- René (...) Descartes (1596-1650) -- A-Theory -- The liar paradox -- Thomas Hobbes (1588-1679) -- Philosophy of language -- Metaphysics -- Jean-Paul Sartre (1905-1980) -- Free will -- Philosophy of humor -- The Enlightenment -- Friedrich Nietzsche (1844-1900) -- The Sorites paradox -- Ludwig Wittgenstein (1889-1951) -- Aesthetics -- Philosoph of culture -- Epistemology -- Twin Earth -- Arthur Schopenhauer (1788-1860) -- Karl Marx (1818-1883) -- Martin Heidegger (1889-1976) -- Voltaire (1694-1778) -- Relativism -- Eastern philosophy -- Avicenna (980-1037) -- Bertrand Russell (1872-1970) -- Phenomenology -- Nominalism -- Gottfried Wilhelm Leibniz (1646-1716) -- Ethics -- Philosophy of science -- Baruch Spinoza (1632-1677) -- Philosopy of religion. (shrink)

The correspondence between Edgar Anderson and Ernst Mayr leading into their 1941 Jesup Lectures on “Systematics and the Origin of Species” addressed population thinking, the nature of species, the relationship of microevolution to macroevolution, and the evolutionary dynamics of plants and animals, all central issues in what came to be known as the Evolutionary Synthesis. On some points, they found ready agreement; for others they forged only a short term consensus. They brought two different working styles to this project reflecting (...) their different appreciations of what was possible at this point in evolutionary studies. For Mayr, it was a focused project with definitive short term conclusions imminent while Anderson viewed it as an episode in an ongoing historical process that, while exciting and suggestive, remained openended. Thus, Mayr and Anderson represent two distinct perspectives on the Evolutionary Synthesis in formation; by understanding both of their points of view, we can grasp more fully the state of evolutionary theory at this key moment. (shrink)

We explored collaboration between scientists and nonscientists through a deliberative process in which stakeholders interested in the health challenges of honey bees gathered on four occasions over two years to design, carry out, and analyze a set of field experiments on honey bee health. We found that issues of trust and authority were crucial matters in constraining and enabling dialogue among our deliberants. Over the course of our deliberations, participants’ trust for one another and appreciation of their respective interests grew, (...) and differences in professional status appeared to play an increasingly less important role in shaping discussion. The field experiments that deliberants crafted and collectively organized over time became an engagement object that was crucial in altering the dynamics of trust and authority. We understand engagement objects as entities that stakeholders with diverse interests, experiences, and expertise collectively build over time to collectively solve overlapping, interacting problems. (shrink)

The guiding inspiration of this book is the attraction and distance that mark the relation between anthropology and philosophy. This theme is explored through encounters between individual anthropologists and particular regions of philosophy. Several of the most basic concepts of the discipline—including notions of ethics, politics, temporality, self and other, and the nature of human life—are products of a dialogue, both implicit and explicit, between anthropology and philosophy. These philosophical undercurrents in anthropology also speak to the question of what it (...) is to experience our being in a world marked by radical difference and otherness. In The Ground Between, twelve leading anthropologists offer intimate reflections on the influence of particular philosophers on their way of seeing the world, and on what ethnography has taught them about philosophy. Ethnographies of the mundane and the everyday raise fundamental issues that the contributors grapple with in both their lives and their thinking. With directness and honesty, they relate particular philosophers to matters such as how to respond to the suffering of the other, how concepts arise in the give and take of everyday life, and how to be attuned to the world through the senses. Their essays challenge the idea that philosophy is solely the province of professional philosophers, and suggest that certain modalities of being in the world might be construed as ways of doing philosophy. Contributors. João Biehl, Steven C. Caton, Vincent Crapanzano, Veena Das, Didier Fassin, Michael M. J. Fischer, Ghassan Hage, Clara Han, Michael Jackson, Arthur Kleinman, Michael Puett, Bhrigupati Singh. (shrink)

Tracing the contributions of Edgar Anderson (1897-1969) of the Missouri Botanical Garden to the important discussions in evolutionary biology in the 1940s, this paper argues that Anderson turned to corn research rather than play a more prominent role in what is now known as the Evolutionary Synthesis. His biosystematic studies of Iris and Tradescantia in the 1930s reflected such Synthesis concerns as the species question and population thinking. He shared the 1941 Jesup Lectures with Ernst Mayr. But rather than preparing (...) his lectures as a potentially key text in the Synthesis, Anderson began researching Zea mays -- its taxonomy, its origin, and its agronomic role. In this study, Anderson drew on the disciplines of taxonomy, morphology, genetics, geography, anthropology, archaeology, and agronomy among others in his own creative synthesis. Though his maize research in the 1940s represented the most sustained work of his career, Anderson was also drawn in many directions during his professional life. For example, he enjoyed teaching, working with amateurs, and popular writing. (shrink)

This innovative volume is an extended intellectual conversation about the ways personal lives are being undone and remade today. Examining the ethnography of the modern subject, this preeminent group of scholars probes the continuity and diversity of modes of personhood across a range of Western and non-Western societies. Contributors consider what happens to individual subjectivity when stable or imagined environments such as nations and communities are transformed or displaced by free trade economics, terrorism, and war; how new information and medical (...) technologies reshape the relation one has to oneself; and which forms of subjectivity and life possibilities are produced against a world in pieces. The transdisciplinary conversation includes anthropologists, historians of science, psychologists, a literary critic, a philosopher, physicians, and an economist. The authors touch on how we think and write about contingency, human agency, and ethics today. (shrink)

We provide a qualitative analysis of resistance to calls for gender-neutral language. We analyzed more than 900 comments responding to two essays—one on AlterNet and another on Vox posted to the Vox editor’s Facebook page—that critiqued a pervasive male-based generic, “you guys.” Five rhetorics of resistance are discussed: appeals to origins, appeals to linguistic authority, appeals to aesthetics, appeals to intentionality and inclusivity, and appeals to women and feminist authorities. These rhetorics justified “you guys” as a nonsexist term, thereby allowing (...) commenters to continue using it without compromising their moral identities as liberals or feminists. In addition to resisting an analysis that linked their use of “you guys” to social harms, commenters positioned the authors who called for true generics as unreasonable, divisive, and authoritarian. We conclude with suggestions for how feminists can challenge the status quo and promote social change. (shrink)

In response to the many pressures facing public higher education, public universities are experimenting with business-oriented practices that seem likely to alter their nature and purposes. In this paper, we examine several hybrid experiments—new organizational strategies intended deliberately, sometimes explicitly, to hybridize the traditional norms and practices associated with academia and business at one emblematic public university. These cases illustrate how each hybrid experiment is a tacit response to existing norms and strategies that govern the university–business boundary, initiated as a (...) hedge against the challenging fiscal and political climate. Taken together, they do not lead to a unitary and/or linear spread of business codes and practices. Instead, what some have referred to as “business logic” appears multifaceted, having many elements that are deployed, institutionalized, and perceived differently in different contexts, even within a single university. (shrink)

Trust is indispensable not only for interpersonal relationships and social life, but for good quality healthcare. As manifested in the increasing violence and tension in patient-physician relationships, China has been experiencing a widespread and profound crisis of patient–physician trust. And globally, the crisis of trust is an issue that every society, either developing or developed, has to face in one way or another. Yet, in spite of some pioneering works, the subject of patient-physician trust and mistrust – a crucial matter (...) in healthcare especially because there are numerous ethical implications – has largely been marginalized in bioethics as a global discourse. Drawing lessons as well as inspirations from China, this paper demonstrates the necessity of a trust-oriented bioethics and presents some key theoretical, methodological and philosophical elements of such a bioethics. A trust-oriented bioethics moves beyond the current dominant bioethical paradigms through putting the subject of trust and mistrust in the central agenda of the field, learning from the social sciences, and reviving indigenous moral resources. In order for global bioethics to claim its relevance to the things that truly matter in social life and healthcare, trust should be as vital as such central norms like autonomy and justice and can serve as a potent theoretical framework. (shrink)

To investigate the phenomenon of patient–physician mistrust in China, a qualitative study involving 107 physicians, nurses and health officials in Guangdong Province, southern China, was conducted through semi-structured interviews and focus groups. In this paper we report the key findings of the empirical study and argue for the essential role of medical professionalism in rebuilding patient-physician trust. Health professionals are trapped in a vicious circle of mistrust. Mistrust leads to increased levels of fear and self-protection by doctors which exacerbate difficulties (...) in communication; in turn, this increases physician workloads, adding to a strong sense of injustice and victimization. These factors produce poorer healthcare outcomes and increasingly discontented and angry patients, escalate conflicts and disputes, and result in negative media coverage, all these ultimately contributing to even greater levels of mistrust. The vicious circle indicates not only the crisis of patient-physician relationship but the crisis of medicine as a profession and institution. Underlying the circle is the inherent conflict of interest in the healthcare system by which health professionals and hospitals have become profit-driven. This institutional conflict of interest seriously compromises the fundamental principle of medical professionalism—the primacy of patient welfare—as well as the traditional Chinese ideal of “medicine as the art of humanity”. Patient trust can be restored through rectifying this institutional conflict of interest and promoting medical professionalism via a series of recommended practical measures. (shrink)

A widely touted approach to involving laypeople in science and technology policy-related decisions is the consensus conference. Virtually nothing written on the topic provides detailed discussion of the many steps from citizen recruitment to citizen report. Little attention is paid to how and why the mechanics of the consensus conference process might influence the diversity of the participants in theses fora, the quality of the deliberation in the citizen sessions, the experiences of the participants and organizers, and other outcomes that (...) affect democratic decision making within the conference and more broadly over the long term. As an aid to those interested in utilizing the consensus conference format, the authors outline in detail how they set about organizing their consensus conference on nanotechnology in the spring of 2005. They discuss what specific aspects of their consensus conference worked, and why, and also consider what they learned of relevance to future application. (shrink)

The last decade has seen an explosion of interest in the health and welfare of marginalized communities around the world. In one striking indicator, public and private development assistance for health programs increased from $8.65 billion in 1998 to $21.79 billion in 2007 [1]. There has been emergent academic interest as well, with growing ranks of undergraduate and graduate students and professionals adopting the field as their specialty. Despite the burgeoning interest, however, much about the field remains unclear. Reimagining Global (...) Health is an important contribution to this budding field for two reasons: it proposes a cohesive introductory text for a field in desperate need of one, and it seeks to “reimagine” some key concepts in global health in an effort to provide a bold new direction for the field. Its stated aim is to move global health from a mere “collection of problems” into an identifiable discipline .As a textbook, the work succeeds admirably. The book .. (shrink)

Ausgehend von Kleinmans Differenzierung des Krankheitsbegriffs in disease, illness und sickness und der Unterscheidung von Krankheit und Behinderung durch die Weltgesundheitsorganisation wird am Beispiel von Aufmerksamkeitsstörungen untersucht, welche Zusammenhänge zwischen den beiden Konzeptionen, Krankheit und Behinderung, bestehen. Hierbei wird gefragt, ob und wie Kleinmans Differenzierung des Krankheitsbegriffs auf den Behinderungsbegriff übertragen werden kann und wie eine Modifizierung produktiv für das Verständnis konkreter Syndrome genutzt werden kann. Während die WHO seit 1980 Behinderung von Krankheit auch per Klassifikation unterscheidet, ist der Bereich (...) chronischer Erkrankungen und psychischer sowie kognitiver Syndrome nicht eindeutig verortet. Dies zeigt sich u. a. daran, dass Intelligenzminderungen und Aufmerksamkeitsstörungen (als spezielle Form hyperkinetischer Störungen) sowohl medizinisch mit der ICD-10 (als Krankheitsklassifikation) diagnostiziert als auch mit der Behinderungsklassifikation der WHO, der Internationalen Klassifikation von Funktionsfähigkeit, Behinderung und Gesundheit (ICF), klassifiziert werden können. Im Gegensatz zur ICD lassen sich die Syndrome mit der ICF differenziert kategorisieren, dadurch dass einzelne Körperfunktionen oder Aktivitäten sowie die individuelle Umwelt beurteilt werden. Aufmerksamkeitsschwierigkeiten sowie verschiedene kognitive Fähigkeiten können interdisziplinär beurteilt werden, indem sowohl ihre physischen und psychischen als auch ihre individuellen und gesellschaftlichen Komponenten berücksichtigt werden. Die fachliche und die persönliche Perspektive auf die Syndrome sollten miteinander korreliert werden. Eine klare konzeptionelle Unterscheidung von Krankheit und Behinderung ist nicht möglich. (shrink)

Global Mental Health is a field of research and practice that addresses the expansion of universal and equitable mental health care worldwide. This article explores the ways the concept of culture is employed in Global Mental Health literature. Global Mental Health advocates and critics assume an ontological separation between ‘nature’ and ‘culture’ to typify mental illness, linking it predominantly to one or the other of these two categories. Advocates of Global Mental Health view mental disorders as a nature–culture hybrid, while (...) critics see them as typically cultural phenomena. The cultural critique of Global Mental Health can be strengthened by a sociological approach to both the role of critique and the uses of the concept of culture within social sciences. As an alternative to the ontologization of culture, we propose a different theoretical approach to the social issues involved in the expansion of international public health care in mental health: Arthur Kleinman's and Didier Fassin’s moral anthropological approaches. (shrink)

Recent studies of Reinhold Niebuhr's life and work demonstrate his continued importance in theology, ethics, and political thought. Historical studies by Heather Warren, Mark Kleinman, and Normunds Kamergrauzis provide new assessments of Niebuhr's role as a political and religious leader in his own time and trace the consequences of the movements in which he participated. They also show us more clearly how his work was connected to the ideas and programs of his contemporaries. Colm McKeogh offers a more systematic (...) treatment of Niebuhr's political realism in relation to just war theory. Niebuhr's intellectual legacy remains disputed, with Stanley Hauerwas and Langdon Gilkey offering radically different assessments of his theology. Hauerwas sees in Niebuhr a close connection to the religious liberalism of William James that precludes any authentic Christian witness. Niebuhr's empiricism reduces God to a necessary feature of human consciousness. Gilkey notes Niebuhr's early use of James' psychology, but discerns a theology of history that is central to Niebuhr's mature work. In that theology, the ground of hope necessarily lies beyond human consciousness, and indeed beyond history itself. (shrink)

Recent studies of Reinhold Niebuhr's life and work demonstrate his continued importance in theology, ethics, and political thought. Historical studies by Heather Warren, Mark Kleinman, and Normunds Kamergrauzis provide new assessments of Niebuhr's role as a political and religious leader in his own time and trace the consequences of the movements in which he participated. They also show us more clearly how his work was connected to the ideas and programs of his contemporaries. Colm McKeogh offers a more systematic (...) treatment of Niebuhr's political realism in relation to just war theory. Niebuhr's intellectual legacy remains disputed, with Stanley Hauerwas and Langdon Gilkey offering radically different assessments of his theology. Hauerwas sees in Niebuhr a close connection to the religious liberalism of William James that precludes any authentic Christian witness. Niebuhr's empiricism reduces God to a necessary feature of human consciousness. Gilkey notes Niebuhr's early use of James' psychology, but discerns a theology of history that is central to Niebuhr's mature work. In that theology, the ground of hope necessarily lies beyond human consciousness, and indeed beyond history itself. (shrink)

During a prostate exam, Mr. Watson, age 65, learns that his prostate appears to be abnormal. The family physician conducting the exam, Dr. Kleinman, informs Mr. Watson that he may have prostate cancer. Mr. Watson agrees to a variety of tests, including blood tests, bone scans, ultrasound scanning, and a biopsy. After learning about this possible diagnosis and these tests, Mr. Watson surfs the Web for information about prostate cancer and gathers data from many different sources, including the National (...) Cancer Society, the National Institutes of Health, Johns Hopkins University, the Mayo Clinic, and medicine sites. He also searches for information from medical journals using MEDLINE, visits several chat rooms on prostate cancer, and joins some e-mail lists. He arrives in Dr. Kleinman's office for a follow-up appointment with a stack of material and many questions. Dr. Kleinman is surprised, irritated, and offended. He recommends that Mr. Watson have a prostatectomy followed by radiation, but Mr. Watson does not want this operation. He would rather receive a form of radiation therapy recently approved by the FDA that he learned about through his own research. Dr. Kleinman admits that he does not know much about this new treatment, but he says that he would read up on it and consult an oncologist. (shrink)

ZusammenfassungAusgehend von Kleinmans Differenzierung des Krankheitsbegriffs in disease, illness und sickness und der Unterscheidung von Krankheit und Behinderung durch die Weltgesundheitsorganisation wird am Beispiel von Aufmerksamkeitsstörungen untersucht, welche Zusammenhänge zwischen den beiden Konzeptionen, Krankheit und Behinderung, bestehen. Hierbei wird gefragt, ob und wie Kleinmans Differenzierung des Krankheitsbegriffs auf den Behinderungsbegriff übertragen werden kann und wie eine Modifizierung produktiv für das Verständnis konkreter Syndrome genutzt werden kann. Während die WHO seit 1980 Behinderung von Krankheit auch per Klassifikation unterscheidet, ist der Bereich (...) chronischer Erkrankungen und psychischer sowie kognitiver Syndrome nicht eindeutig verortet. Dies zeigt sich u. a. daran, dass Intelligenzminderungen und Aufmerksamkeitsstörungen (als spezielle Form hyperkinetischer Störungen) sowohl medizinisch mit der ICD-10 (als Krankheitsklassifikation) diagnostiziert als auch mit der Behinderungsklassifikation der WHO, der Internationalen Klassifikation von Funktionsfähigkeit, Behinderung und Gesundheit (ICF), klassifiziert werden können. Im Gegensatz zur ICD lassen sich die Syndrome mit der ICF differenziert kategorisieren, dadurch dass einzelne Körperfunktionen oder Aktivitäten sowie die individuelle Umwelt beurteilt werden. Aufmerksamkeitsschwierigkeiten sowie verschiedene kognitive Fähigkeiten können interdisziplinär beurteilt werden, indem sowohl ihre physischen und psychischen als auch ihre individuellen und gesellschaftlichen Komponenten berücksichtigt werden. Die fachliche und die persönliche Perspektive auf die Syndrome sollten miteinander korreliert werden. Eine klare konzeptionelle Unterscheidung von Krankheit und Behinderung ist nicht möglich. (shrink)

In this study, we investigate the use of narrative in online conversations among persons suffering from chronic opiate addiction and evaluate both its positive and negative uses. Illness narratives, as argued by sociologist Arthur Frank and psychiatrist/medical anthropologist Arthur Kleinman, enable patients to give order to life experiences and receive support from others. We wished to explore under what circumstances online support coalesces and breaks apart. The narratives we examined exemplify two topics frequently discussed on the message board: the (...) recovery process and what it means to be ‘clean’. To better understand these narratives from a theoretically based approach, we used the work of rhetorical theorist Kenneth Burke. Burke's description of two human motives, suffering and perfection, led us to an understanding of how unification and division happened within the online community. We found that the recovery narrative primarily embodied the author's suffering and, consequently, received support from other members of the message board. The second narrative centered on what it means to be ‘clean’ through a discussion of the author's desire to court temptation, revealing what Burke calls the rotten nature of perfection. As a result, the author of the narrative provoked disagreements and did not receive support. (shrink)

Is the medicalization of poverty a rational and humane response to an intractable problem, or just the latest in a long series of ineffective and costly attempts to address the problem? Considerable ink has been spilled on the dispute, with each side marshalling heart-rending anecdotes to help make their case — along with the obligatory statistics and regression analyses. Rather than add more verbiage to that dispute, this article sketches out a framework for understanding the phenomenon of medicalization, along with (...) a description of the demand-side and supply-side factors that have brought us to this pass. (shrink)

Machine generated contents note: Preface; Introduction; Part I. Global Health, Definitions and Descriptions: 1. What is global health? Solly Benatar and Ross Upshur; 2. The state of global health in a radically unequal world: patterns and prospects Ron Labonte and Ted Schrecker; 3. Addressing the societal determinants of health: the key global health ethics imperative of our times Anne-Emmanuelle Birn; 4. Gender and global health: inequality and differences Lesley Doyal and Sarah Payne; 5. Heath systems and health Martin McKee; Part (...) II. Global Health Ethics, Responsibilities and Justice: Some Central Issues: 6. Is there a need for global health ethics? For and against David Hunter and Angus Dawson; 7. Justice, infectious disease and globalisation Michael Selgelid; 8. International health inequalities and global justice: toward a middle ground Norman Daniels; 9. The human right to health Jonathan Wolff; 10. Responsibility for global health? Allen Buchanan and Matt DeCamp; 11. Global health ethics: the rationale for mutual caring Solly Benatar, Abdallah Daar and Peter Singer; Part III. Analyzing Some Reasons for Poor Health: 12. Trade and health: the ethics of global rights, regulation and redistribution Meri Koivusalo; 13. Debt, structural adjustment and health Jeff Rudin and David Sanders; 14. The international arms trade and global health Salahaddin Mahmudi-Azer; 15. Allocating resources in humanitarian medicine Samia Hurst, Nathalie Mezger and Alex Mauron; 16. International aid and global health Anthony Zwi; 17. Climate change and health: risks and inequities Sharon Friel, Colin Butler and Anthony McMichael; 18. Animals, the environment and global health David Benatar; 19. The global crisis and global health Stephen Gill and Isabella Bakker; Part IV. Shaping the Future: 20. Health impact fund: how to make new medicines accessible to all Thomas Pogge; 21. Biotechnology and global health Hassan Masun, Justin Chakma and Abdallah Daar; 22. Food security and global health Lynn McIntyre and Krista Rondeau; 23. International taxation Gillian Brock; 24. Global health research: changing the agenda Tikki Pang; 25. Justice and research in developing countries Alex John London; 26. Values in global health governance Kearsley Stewart, Gerald T. Keusch and Arthur Kleinman; 27. Poverty, distance and two dimensions of ethics Jonathan Glover; 28. Teaching global health ethics James Dwyer; 29. Towards a new common sense: the need for new paradigms of global health Isabella Bakker and Stephen Gill; Index. (shrink)

Asymmetrical convergence is the increasing overlap between academic and industrial sectors, but with academia moving closer toward for-profit industrial norms than vice versa. Although this concept, developed by Kleinman and Vallas, is useful, processes of asymmetrical convergence in daily laboratory life are largely unexplored. Here, observations of three lab groups of chemical scientists in academic and industry contexts illustrate variation in interactions with ethics-related policies. Findings show more tension for academic science with business-based practices, such as the move toward (...) greater accountability, than for industrial science with academic practices. This asymmetry is evident in the process of purposive decoupling: for example, where academic scientists use humor to distance themselves from the performance of compliance in required reporting and top-down ethics training requirements. This distancing from meaningless requirements contrasts with mentoring around practices of professional behavior that are thought to matter. Convergence is evident in how safety policies seem more engaging than other kinds of policies. Yet, power structures shape engagement. Academic engagement often means rule following, and flows vertically from professor’s authority to student apprenticeship. Industry engagement includes collaborative problem solving and flows along a more horizontal peer structure where informal power is less visible. (shrink)

Dr. Drew A. Hyland traces the origins of philosophy from its earliest roots in Babylonian and Homeric-Hesiodic mythology to its flowering in the Pre-Socratic imagination. Using selections from the Epic of Gilgamesh, Hesiod, Homer, Pythagoras, Zeno, Plato, and Socrates, to name but a few, Dr. Hyland argues against what he calls the "historical approach" to the origin of philosophy. In Hyland's view the differentiation of the human self from notions of God and nature may rightly be called the origin of (...) philosophy. The book's skilled intermingling of original source material, with commentaries by Kant, Hegel, and Heidegger, among others, and the author's own thought-provoking introduction, provides an invaluable study of this fascinating period in human intellectual development. (shrink)

This article discusses ethnoveterinary medical pluralism in Western Kenya. Qualitative methods of data collection such as key informant interviews, open-ended in-depth interviews, focus group discussions (FGDs), narratives, and participant and direct observations were applied. The study shows that farmers in Nyang’oma seek both curative and preventive medical services for their animals from the broad range of health care providers available to them within a pluralistic medical system. Kleinman’s model of medical pluralism, which describes the professional, folk, and popular sectors, (...) informs this discussion because of its relevance and appropriateness to the study. It is, however, important to note the overlap in the three sectors and to point out that livestock farmers engage in multiple “consultations” based on a combination of their own characteristics and the cost, availability and specialization of health care providers. The study concludes by recognizing the complexity of ethnoveterinary medical pluralism and calls for the integration of a pluralistic perspective into the planning and implementation of animal health care interventions and services. (shrink)

This paper presents an analysis of the applicability of a principalist approach for a global, or cross-cultural, bioethics. We focus especially on the principle of individual autonomy, a core value in ethical discourse. We echo some long-standing criticisms of other anthropologists, sociologists, and many medical ethicists that the individualistic approach to autonomy is a Euro-American value and cannot be ethically applied in all settings. As a remedy, we suggest an adaptation of Kleinman's Explanatory Model approach to questions of decisionmaking. (...) We argue that the analysis and resolution of ethical dilemmas might also benefit from forms of pedagogy that integrate anthropological and other social science perspectives, and the incorporation of ethnographic techniques in ethical practice. (shrink)

ABSTRACTRecent studies of Reinhold Niebuhr's life and work demonstrate his continued importance in theology, ethics, and political thought. Historical studies by Heather Warren, Mark Kleinman, and Normunds Kamergrauzis provide new assessments of Niebuhr's role as a political and religious leader in his own time and trace the consequences of the movements in which he participated. They also show us more clearly how his work was connected to the ideas and programs of his contemporaries. Colm McKeogh offers a more systematic (...) treatment of Niebuhr's political realism in relation to just war theory. Niebuhr's intellectual legacy remains disputed, with Stanley Hauerwas and Langdon Gilkey offering radically different assessments of his theology. Hauerwas sees in Niebuhr a close connection to the religious liberalism of William James that precludes any authentic Christian witness. Niebuhr's empiricism reduces God to a necessary feature of human consciousness. Gilkey notes Niebuhr's early use of James' psychology, but discerns a theology of history that is central to Niebuhr's mature work. In that theology, the ground of hope necessarily lies beyond human consciousness, and indeed beyond history itself. (shrink)