Responses to the COVID-19 pandemic prompted people and institutions to turn to online virtual environments for a wide variety of social gatherings. In this perspectives article, we draw upon our previous work and interviews with Ghanaian Christian leaders to consider implications of this shift. Specifically, we propose that the shift from physical to virtual interactions mimics and amplifies the neoliberal individualist experience of abstraction from place associated with Eurocentric modernity. On the positive side, the shift from physical to virtual environments (...) liberates people to selectively pursue the most fulfilling interactions, free from constraints of physical distance. On the negative side, the move from physical to virtual space necessitates a shift from material care and tangible engagement with the local community to the psychologization of care and pursuit of emotional intimacy in relations of one’s choosing—a dynamic that further marginalizes people who are already on the margins. The disruptions of the pandemic provide an opportunity to re-set social relations, to design ways of being that better promote sustainable collective well-being rather than fleeting personal fulfillment. (shrink)

The enrolment of children and adolescents in health research requires that attention to be paid to specific assent and consent requirements such as the age range for seeking assent; conditions for parental consent (and waivers); the age group required to provide written assent; content of assent forms; if separate assent and parental consent forms should be used, consent from emancipated young adults; reconsent at the age of adulthood when a waiver of assent requirements may be appropriate and the conditions for (...) waiving assent requirements. There is however very little available information for researchers and ethics committees on how to navigate these different issues. To provide guidance to research initiatives, the SickleInAfrica consortium conducted a thematic analysis of a sample of research ethics guidelines and procedures in African countries, to identify guidance for assent requirements in health research. The thematic analysis revealed that 12 of 24 African countries specified the age group for which assent is required. The minimum age for written assent varied across the countries. Five countries, Algeria, Botswana, Cameroon, Nigeria and The Democratic Republic of Congo require consent from both parents/family council in certain circumstances. Botswana, Nigeria, South Africa and Uganda have specific assent/consent requirements for research with emancipated minors. South Africa and Algeria requires re-consent at onset of adulthood. Five countries (Botswana, Cameroon, Nigeria, South Africa and Tanzania) specified conditions for waiving assent requirements. The CIOMS and the ICH-GCP guidelines had the most comprehensive information on assent requirements compared to other international guidelines. An interactive map with assent requirements for different African countries is provided. The results show a major gap in national regulations for the inclusion of minors in health research. The SickleInAfrica experience in setting up a multi-country SCD registry in Africa highlights the need for developing and harmonising national and international guidelines on assent and consent requirements for research involving minors. Harmonisation of assent requirements will help facilitate collaborative research across countries. (shrink)

This paper contributes to the discussion on methodological decolonisation in business ethics research by illustrating how local epistemologies can shape methodology. Historically, business ethics research has been dominated by Western methodologies, which have been argued to be restrictive and limit contextually relevant theorising in non-Western contexts. Over the past decade, scholarship has called for more diversity in research methods and epistemologies. This paper regards arguments founded along neatly divided universalist versus contextualised methodologies as a false dilemma. Instead, we explore how (...) _ubuntu_, a sub-Saharan African epistemology, can contribute as a complementary epistemology and methodology to interpretivism when conducting business ethics research in sub-Saharan Africa. The paper discusses four aspects—research agenda, access, power relations, and context-sensitive methods—that highlight practical ways in which _ubuntu_ epistemology, with its communitarian and relational underpinnings, can enhance business ethics research. We illustrate that methodological decolonisation can be achieved by fusing relevant elements of local epistemologies and methodologies and conventional methodologies to generate context-relevant research approaches. (shrink)

Історія відродження хрестительки Київської Русі річки Почайни – це найкращій приклад «глибинної географії», за Тімоті Снайдером. Річка дуже змінилася за століття людської діяльності, а за радянських часів постраждала від політичних репресій та цілеспрямовано була піддана забуттю. Сьогодні історичне річище поділено на частини: верхня є водною системою з шести озер та малої ріки із сучасним гирлом під Північним мостом, на середній створена річкова гавань, а нижня біля сучасної Поштової площі поєдналася із Дніпром. Останнім часом було повернуто історичне значення річки: гідронім Почайна (...) знову прив’язаний до водойми, а найбільш ймовірне місце хрещення киян у історичному гирлі річки Почайни отримало статус Пам’ятки національного значення за видами історія та археологія. Ця стаття присвячена змінам, які відбулися з Почайною протягом століть, причинам зникнення річки з мап Києва, а також сучасній історії відродження. (shrink)

I want to argue here that certain Buddhist and Jewish thinkers say scandalous things on purpose. More scandalously still, I suggest that these statements are infused with deeply transformative ethical power, intended specifically as a way of relating to the dreadful fact of suffering. As scandals, these special responses to suffering intentionally rupture normal semantic patterns and sequences of thought, often through statements or actions which appear paradoxical. These scandalous statements are, in fact, always communicative in function, structure, and intent, (...) but they are designed to create a kind of 'cognitive dissonance'. The thinkers I consider here say scandalous things in order to cause a breaking-open in the consciousness of the hearer and practitioner, which produces compassion, transformation, and liberation. Counter-intuitively, this rupture highlights intersubjectivity and language. In thus talking about scandal and about ethical responses to suffering, this essay brings into dialogue ideas from two very different source traditions . I engage Mahayana Buddhist ideas in conversation with the modern Jewish philosopher of ethics, Emmanuel Levinas. (shrink)

Why do we learn some lessons more easily than others - indeed with alacrity and enthusiasm? Often these are not of the most attractive sort. It seems so frequently as if there is a sheer perversity in us.

Scientific advances in health care have been disproportionately distributed across social strata. Disease burden is also disproportionately distributed, with marginalized groups having the highest risk of poor health outcomes. Social determinants are thought to influence health care delivery and the management of chronic diseases among marginalized groups, but the current conceptualization of social determinants lacks a critical focus on the experiences of people within their environment. The purpose of this article was to integrate the literature on marginalization and situate the (...) concept in the framework of social determinants of health. We demonstrate that social position links marginalization and social determinants of health. This perspective provides a critical lens to assess the societal power dynamics that influence the construction of the socio‐environmental factors affecting health. Linking marginalization with social determinants of health can improve our understanding of the inequities in health care delivery and the disparities in chronic disease burden among vulnerable groups. (shrink)

This chapter is a response to the decades of Western skepticism and cynicism regarding the sustainability of democracy in Africa toward the end of the last century as most African countries experienced what political scientists term the third wave of democratization. Focusing on the human rights tradition in Africa, which is given as the main reason for the skepticism, this chapter argues to the contrary that not only is there a vibrant tradition of human rights in Africa with particular reference (...) to the Akan model, but that its existence offers one of the best explanations for the relative success of democracy in Africa from the last century to the recent. The chapter shows further that an objective analysis into the Akan culture will reveal that the Akan conception of human rights which compliments negative rights with positive rights in principle and practice is more relevant and heuristic within African contexts than dominant conceptions of human rights from the Global North. This is seen in its demonstrated potential for facilitating and sustaining African democracies to maturity, despite the pressures from the pandemic and global economic crises. (shrink)

The existence of philosophy as an academic discipline in African universities has been jeopardized by a growing skepticism regarding the value of contemporary African philosophy. First, it is argued that the discipline is either a Western ideology or an instrument of that ideology for the entrenchment of Western imperialism in Africa. Further, it is argued that as a discipline philosophy is too removed from reality to be of any relevance towards development. In short, the discipline should be rejected from African (...) universities for being either counterproductive or nonproductive to the process of development. ;It is the conclusion of this dissertation that both skeptical arguments lack plausibility, and that contemporary African philosophy is neither an ideology, an instrument of any ideology, nor a luxury even for the poorest countries of Africa. The first argument is refuted by arguing that the characteristics of philosophy, such as its critical epistemological attitude, rigorous methodology, and open-ended conclusions, as well as its logical status as a second-order activity that reflects critically on all disciplines including itself, are too incompatible with the corresponding characteristics of the pejorative Marxist sense of ideology presupposed by the critics. ;The second argument is refuted by arguing that contemporary African philosophy, like its Western counterpart, cultivates critical thinking skills, creativity, problem-solving skills, and certain liberal attitudes, all of which promote morality, the democratic way of life, and scientific thinking. In support of this argument a formal representation of the dilemma of development, a new theory of development, and a new ideology for developing countries are projected and defended against their relevant alternatives as the best means for dissolving the dilemma and for achieving accelerated successful development in Africa. ;My counter-arguments are supported by showing how contemporary African philosophers are facilitating the process of development through their analyses and prescriptions for transcending cultural barriers to a general orientation to science. (shrink)

Abstract ‘PLATO’S THEORY OF CHANGE: A POPPERIAN RECONSTRUCTION AND ITS SIGNIFICANCE FOR TRADITIONAL AND EMERGING DEMOCRACIES,’ The International Journal of Applied Philosophy, Vol 8 Winter/Spring 1994, No.2. -/- This paper argues that in the midst of the unprecedented actual and potential socio-political and economic changes and transformations in our world toward the end of the 20th Century, the need for some philosophical grounding and guidance has become an imperative if only to avoid a global disaster or change for its own (...) sake. The changes cited include the collapse of the Soviet hegemony and the emergence of pro-democracy movements throughout in Eastern Europe, Latin America, South East Asia, and Africa including the post-Apartheid South Africa. Other changes mentioned include the integration of EEC members into a political unit, the threats from international terrorism, the increasing socio-economic gap and anti-Black racism in the US, and the changes promised by the new US President, Bill Clinton. The paper initiates discussion about the prospect for such a philosophical grounding and guidance by focusing on Plato’s Theory of Change and the possibility of utilizing it as a fulcrum for the ongoing global changes. Following Karl Popper’s lead, (in The Open Society and Its Enemies Vol .I, The Spell of Plato) Plato’s Theory is critiqued on account of its inherent historicism, totalitarianism, and social injustice. Unlike Popper who stops at the criticism however, this paper proceeds with a reconstruction of Plato’s Theory of Change in the light of the criticism as well as the criticism of Popper’s own inaccurate representation of Plato’s Theory. The new theory of change, aptly called, The Plato-Popper Theory of Change is applied to analyzing and theoretically solving or minimizing some of the problems within traditional democracies like the US and Emerging democracies in the Third World. Finally, the paper also presents a challenge to professional philosophers, especially those skilled in ethics and socio-political philosophy, to shift their focus from solving the abstract problems in some possible worlds to solving the real problems of this world in which we live and die. [312 words] . (shrink)

In response to the rapid and global socio-economic and political transformations within traditional and emerging democracies toward the end of the 20th Century and the beginning of the 21st Century, the need for a credible philosophical theory providing some explanatory wisdom and guidance to avoid descent into chaos, this paper argues, has become an imperative. This paper examines the plausibility of utilizing Plato's Theory of Change for the purpose, and identifies with Karl Popper's criticism of the theory for its inherent (...) historicism and totalitarianism. However, unlike Popper who stops at the criticism of the theory, I proceed with a reconstruction of Plato's theory, partly based on Popper's criticism, and apply it to the ongoing global changes and transformations. The new Plato-Popperian Theory of Change is then tested and applied to traditional as well as emerging democracies. Finally, the paper ends with compelling recommendations for policy-makers as well as social and political philosophers. (shrink)

The limbus is a narrow band of tissue that encircles the cornea, the transparent ‘window’ into the eye. The outermost layer of the cornea is the epithelium, which is necessary for clear vision. The limbus acts as a ‘reservoir’ for limbal stem cells which maintain and regenerate the corneal epithelium. It also functions as a barrier to the conjunctiva and its blood vessels. Limbal stem cell deficiency is a general term for diseases which are characterised by the impairment of the (...) limbus, limbal stem cells and their ability to replenish the corneal epithelium through proliferation and differentiation. Consequently, sufferers experience chronic pain and progressive blindness. This paper will highlight the salient milestones of limbal stem cell biology and potential future treatments for limbal stem cell deficiency. (shrink)

The importance of cultural enterprises to the creation of jobs, generating incomes, alleviating poverty and distributing development has long been recognized. Based on empirical research, this article adopts the convergent parallel mixed design to assess extent of influence of cultural values on the type of cultural industry established in Ghana, taking a case of the kente textile industry in Adanwomase. Adanwomase is argued to be a prominent traditional community in the printing of kente cloths in Ghana. Primary data were obtained (...) from 210 weavers and relevant bodies, such as the Business Advisory Council and traditional leaders through direct interviews, observation and focus group discussions. Findings show that the craft industry in Adanwomase is informal and small-scale in nature. Six key cultural values were identified to statistically have significant influence on the establishment of the textile craft industry. Strongest among them were the festival celebrations and customary law/traditional customs. There was strong correlation between the identified cultural values and the establishment of the textile industry in Adanwomase. Urgent policy and creation of the enabling environment to promote entrepreneurship and create employment through support for research and development (R&D) of cultural industries are needed. (shrink)

Several studies reveal that positive attitudes towards individuals with a mental illness are correlated with knowledge about mental illness. The aim of this study was to explore and describe psychiatric nurses’ experiences of living next to people with mental health problems. In addition, it sought to identify and describe how they handle situations arising in a neighbourhood where people with a mental illness live. Two men and seven women participated in the study. The constant comparative method of grounded theory was (...) used for data collection and analysis. The process of ‘behaving as a nurse or not’ was identified as a core category. Four subcategories were identified: ‘receiving involuntary information’, ‘to take action or not’, ‘behaving as a mediator in the neighbourhood’ and ‘the freedom of choice’. The findings show that psychiatric nurses with professional knowledge about mental illness have moral concerns about their role as nurses during their leisure time. In conclusion, it is not obvious that psychiatric nurses want to live in the same neighbourhood as persons with a mental illness. However, this study shows that their knowledge about mental illness creates for them a moral dilemma consisting of a conflict between whether to care for these mentally ill persons or to preserve their own leisure time. (shrink)

Raising awareness of human indifference and cruelty toward animals, The Global Guide to Animal Protection includes more than 180 introductory articles that survey the extent of worldwide human exploitation of animals from a variety of perspectives. In addition to entries on often disturbing examples of human cruelty toward animals, the book provides inspiring accounts of attempts by courageous individuals--including Jane Goodall, Shirley McGreal, Birute Mary Galdikas, Richard D. Ryder, and Roger Fouts--to challenge and change exploitative practices. As concern for animals (...) and their welfare grows, this volume will be an indispensable aid to general readers, activists, scholars, and students interested in developing a keener awareness of cruelty to animals and considering avenues for reform. Also included is a special foreword by Archbishop Desmond Tutu, urging readers to seek justice and protection for all creatures, humans and animals alike. (shrink)

This study compares 20 subjects, in each of three different settings, with serious psychotic disorder who hear voices, and compares their voice-hearing experience. We find that while there is much that is similar, there are notable differences in the kinds of voices that people seem to experience. In a California sample, people were more likely to describe their voices as intrusive unreal thoughts; in the South Indian sample, they were more likely to describe them as providing useful guidance; and in (...) our West African sample, they were more likely to describe them as morally good and causally powerful. What we think we may be observing is that people who fall ill with serious psychotic disorder pay selective attention to a constant stream of many different auditory and quasi-auditory events because of different “cultural invitations”—variations in ways of thinking about minds, persons, spirits and so forth. Such a process is consistent with processes described in the cognitive psychology and psychiatric anthropology literature, but not yet described or understood with respect to cultural variations in auditory hallucinations. We call this process “social kindling.”. (shrink)

The aim of this article is to describe the synthesis of the concept of moral stress and to attempt to identify its preconditions. Qualitative data from two independent studies on professional issues in nursing were analysed from a hypothetical-deductive approach. The findings indicate that moral stress is independent of context-given specific preconditions: (1) nurses are morally sensitive to the patient’s vulnerability; (2) nurses experience external factors preventing them from doing what is best for the patient; and (3) nurses feel that (...) they have no control over the specific situation. The findings from this analysis are supported by recent research on stress in the workplace but differ in that the imperatives directing work are moral in nature. Stress researchers have found that persons who experience that they have no control over their work situation and at the same time experience high demands may be prone to cardiovascular diseases. An important question raised by this study is whether moral stress should be recognized as a health risk in nursing. Further research is required in order to generate intervention models to prevent or deal with moral stress. (shrink)

Il volume edito da F. Calemi, noto studioso di D.M. Armstrong (1926‑2014), al quale ha dedicato un’ampia monografia (Le radici dell’essere. Metafisica e metaontologia in David Malet Armstrong, Armando, 2013), è il primo in memoria del filosofo australiano, le cui opere sono state da noi raccolte in traduzione italiana nel 2012 per la collana Bompiani “Il Pensiero Occidentale” diretta da G. Reale. Una prima raccolta di saggi in onore di Armstrong, Ontology, Causality and Mind, curata da J. Bac...

The proposed national PrEP program would serve people who are uninsured as well as those enrolled in Medicaid. In this article, the authors propose a set of recommendations for the proposed program’s implementers as well as state Medicaid agencies and Medicaid managed care organizations to ensure PrEP access for people enrolled in Medicaid, addressing gaps without undermining the important role of the Medicaid program in covering and promoting PrEP.

When two Christian prelates as internationally prominent as Desmond Tutu and George Carey call for the legalization of euthanasia and physician-assisted suicide, their arguments merit close consideration. This article sets out and evaluates their arguments. It concludes that the prelates rehearse the superficial case regularly advanced by euthanasia campaigners and fail adequately to engage with the arguments, both principled and practical, against legalization.

There couldn't be a more appropriate method for illustrating the dynamics of psychoanalysis than the vehicle of story. In this book, Kerry L. Malawista, Anne J. Adelman, and Catherine L. Anderson share amusing, poignant, and sometimes difficult stories from their personal and professional lives, inviting readers to explore the complex underpinnings of the psychoanalytic profession and its esoteric theories. Through their narratives, these practicing analysts show how to incorporate psychodynamic concepts and identify common truths at the root of shared experience. (...) Their approach demystifies dense material and the emotional consequences of deep clinical work. The book covers psychodynamic theory, the development of ideas, various techniques, the challenges of treatment, and the experiences of trauma and loss. Each section begins with a brief memoir by one of the authors and leads into a discussion of related concepts. Overall the text follows a developmental trajectory, opening with stories from early childhood and concluding with present encounters. The result is a unique approach enabling the absorption of psychodynamic concepts as they unfold across the life span. (shrink)

Bishop Desmond Tutu's call, in 2013, for former UK Prime Minister Tony Blair to be tried for war crimes, led to much reporting and comment in the online pages of UK newspapers. At first sight, it was a topic that seemed particularly conducive to the attraction of trolling, flaming and Ebile in the comments posted below journalistic pieces. Both Tutu and Blair are controversial and divisive characters, and the context of the Iraq War seemed fertile ground for heated (...) exchanges. A content analysis of 2,476 comments and 27,970 likes/dislikes offered a fairly substantial for identification of and evaluation of the value this discourse. In the event, trolling, flaming and Ebile were rare in the context of this political discourse, suggesting, at least a form of discourse closer to the ideals of Habermas. (shrink)