This analysis of Mexico’s nanotechnology policies utilizes indicators developed by the Organization for Economic Co-operation and Development, which in 2008 conducted a pilot survey comparing the nanotechnology policies of 24 countries. In this paper, we apply the same questionnaire to the Mexican case, adding business information derived from the National Institute of Statistics and Geography survey on nanotechnologies, also an OECD instrument.

En la actualidad, el festival literario Centroamérica Cuenta tiene en su haber seis ediciones realizadas desde 2013. Esta iniciativa internacional, coordinada por el escritor nicaragüense Sergio Ramírez, año con año ha forjado un espacio de intercambio y reflexión para la narrativa centroamericana, proyectando las identidades, literaturas y realidades de la región a diversas zonas del orbe. Desde su inicio, el festival ha contado con la participación de más de 500 escritores del istmo, entre los cuales se encuentran la salvadoreña (...) class='Hi'>Vanessa Núñez y el nicaragüense Alberto Sánchez Argüello, representantes de una nueva generación centroamericana de narradores. En el caso de la escritora Vanesa Núñez (1973, San Salvador), también abogada, docente y editora, incluimos un cuento inédito; “La familia”, de carácter amargo y afilado en su desenlace, como las vidas de muchas personas centroamericanas. Núñez ha publicado los libros: Los locos mueren de viejos (FyG Editores, 2008 y La Pereza, 2015), Dios tenía miedo (FyG Editores, 2011 y Editorial Piedrasanta, 2016), La caja de cuentos (libro objeto) (Alas de Barrilete, 2015), Espejos (Uruk Editores, 2015), Animales Interiores (en coautoría con Frida Larios, 2015), así como varios relatos en diversas antologías y revistas de España, Francia, Alemania, Suiza, Estados Unidos, Colombia, Nicaragua, Costa Rica, El Salvador, Guatemala y México. Su obra ha sido igualmente traducida al francés, alemán e inglés. En cuanto al narrador Alberto Sánchez Argüello (1976, Managua), también psicólogo, ilustrador y reconocido tuitero (de la aplicación Twitter), quien ha creado varios libros de micro-relatos a partir de tuits entrelazados (Parafernalia Ediciones Digitales), publicamos el micro-cuento “La estatua”. El relato se encuentra en diálogo con el cuento de Núñez, a partir de una visión cruda de los mandatos patriarcales imperantes en nuestras sociedades. Sánchez se ha enfocado en literatura juvenil e infantil, con la publicación de las siguientes obras: La casa del agua (Fondo Editorial Libros para niños, 2003), Mi amigo el dragón (Fondo Editorial Libros para niños, 2014), Los Monstruos bajo la cama (Loqueleo Santillana, 2016), Chico Largo y Charco Verde (Loqueleo Santillana, 2017) e Ítaca (Fondo Editorial Libros para niños, 2017). Su obra se ha publicado en antologías en Nicaragua, México, España, El Salvador, Bolivia, Chile y Perú. Algunos de sus cuentos están traducidos al inglés, portugués, italiano, alemán y vietnamita. (shrink)

A survey on the knowledge and attitudes towards the Austrian organ donation legislation (an opt-out solution) of selected groups of the Austrian population taking into account factors such as age, gender, level of education, affiliation to healthcare professions and health related studies was conducted.

The debate in Metaphysics of Science concerning the interaction between metaphysics and science has been mainly approached from the perspective of the scientificdiscipline of physics. In this paper, I address this debate from a different framework, namely that of biology. I pay attention to the recent characterization of Metaphysics of Biology and the different forms in which philosophers use metaphysics when addressing conceptual biological problems. In doing so, I argue that two main lessons can be obtained that can serve to (...) enrich the debate in Metaphysics of Science: i) that the interaction between metaphysics and science seems to be more complex than generally considered; and ii) that the type of metaphysics that is interacting with science when characterizing the ontological status of the world is neither the a priori nor the naturalized one, but a different form of metaphysics that will be labelled here as applied metaphysics. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Ideas 62.2 (2001) 265-279 [Access article in PDF] The Physiological Sublime: Burke's Critique of Reason Vanessa L. Ryan The eighteenth-century discussion of the sublime is primarily concerned not with works of art but with how a particular experience of being moved impacts the self. The discussion of the sublime most fully explores the question of how we make sense of our experience: "Why (...) and how does this object move me?" Focusing on the perceiving subject, most critics cast the British discussion of the sublime as reflecting a gradual shift towards a Kantian focus not on the object judged, but on the judging mind. Certainly, eighteenth-century thinkers move away from understanding the sublime as a set of qualities that are presumed to be internal to a given object, and shift their attention to the mental effects of those objects. Yet the increasing interest in the perceiving subject in eighteenth-century British thought should not be understood as necessarily anticipating a Kantian perspective. In his classic work on the sublime Samuel H. Monk claims that this aspect of the British debate provides a preliminary discussion of the Kantian "autonomy of the subject" and that it constitutes a movement towards the "subjectivism of Kant." 1 This reading of British aesthetics exclusively in [End Page 265] terms of a preparation for the Kantian description of the subject obscures the differences between the British and the German traditions. It thereby fails to accommodate the reluctance of British thinkers to give up the social and ethical when faced with the sublime: instead of explaining the commonality of the aesthetic experience by positing a "disinterested" and "autonomous" subject, thinkers such as Adam Smith, John Dennis, and Edmund Burke subordinate the freedom of the individual subject in an attempt to reconcile the aesthetic affect with moral conduct.The teleological and Kantian understanding of British eighteenth-century aesthetic theory is largely the result of the central position that has been given to its most famous theorist, Edmund Burke. Although Burke's conception of the sublime differs in some points markedly from that of his British contemporaries, his treatment of the sublime in the Philosophical Enquiry (1757) has come to represent eighteenth-century British thought, and as such it is routinely compared to Kant's analytic of the sublime. Yet at the point where the British tradition seems to come closest to the Kantian, namely, in the writings of Burke, it also most clearly marks its distance from it. Burke is in some ways the least Kantian of eighteenth-century British thinkers. Whereas Kant holds that the sublime allows us to intuit our rational capacity, Burke's physiological version of the sublime involves a critique of reason. The sublime for Burke is a question not of the subject's increasing self-awareness but of the subject's sense of limitation and of the ultimate value of that experience within a social and ethical context.One of the most intransigent problems in distinguishing the strains of thought on the sublime is that the relationship between the object and its sublime effect--between the object taken to arouse heightened response and the affective quality of such a response--is so variously conceived. The sublime experience is seen as leading, on the one hand, to an overpowering of the self and, on the other hand, to an intense self-presence and exaltation, sometimes even to self-transcendence. The central question is thus not to what extent the sublime is located in the subject, but in what way the experience of the sublime affects the perceiving subject: Does the sublime enlarge us, or diminish us? 2 Does the sublime annihilate our sense of self, or does it affirm and heighten our sense of identity? These two opposing views of the effect of the sublime on the self can be seen in the contrast between Kant and Longinus, whose theories exerted an enormous influence in Britain, especially on Burke. Whereas Longinus emphasizes that the sublime overpowers and dominates the self, Kant holds that the feeling of... (shrink)

This article takes a parsimonious conception of a developed State operating under a minimalist conception of democracy and asks whether such a State must fully resource any tertiary (post-compulsory) education for its citizens A key public policy barrier to arguing an absolute obligation for the State to resource any tertiary education is considered; namely, the fact of scarce resources creating competing obligations for the State. This article argues even a minimalist conception of democracy requires that States fully resource some tertiary (...) (post-compulsory) education, regardless of whether directing resources away from other public needs results in the non-prevention of some avoidable suffering and death. A policy recommendation for resourcing this education is considered, and an alternative policy proposed. (shrink)

Here we are dealing with the two central figures of the female gender in the Judeo-Christian tradition of Holy Scripture, or at least the texts that apply to the narrative of the first couple. The paper focuses on procreation and its symbolic implications in the Genesis narrative. There is a great difference between Eve and Lilith, the opposite archetypes of the female gender. So examining the forgotten existence of Lilith compared with the creation of Eve is an attempt to understand (...) the schema of reproduction and distinction between the sexes. (shrink)

Resumen Los enfoques tradicionales en el estudio de la comunión fática han examinado el concepto en términos de la función social, la función del lenguaje así como su ocurrencia en las etapas iniciales y de cierre de una interacción. Intentos por clasificar la comunión fática en términos universalistas predeterminados corrieron el riesgo de alejarse del concepto de entendimientos cotidianos donde interactuantes emplean el uso del lenguaje dinámico para lograr los objetivos de comunicación específicos en contextos particulares. Los enfoques contemporáneos tratan (...) de redefinir la comunión fática en términos interpersonales. La investigación sobre el uso del lenguaje fático en América Latina ha sido muy limitada, con contadas excepciones. Con la finalidad de investigar el tema en el contexto mexicano, donde todavía se considera en términos convencionales, examinamos un corpus formado por 92 instancias de comunión fática, recabadas en Guadalajara, México. Sostenemos que en el corpus antes aludido se emplea la comunión fática a fin de expresar y destacar la cortesía positiva en maneras poco convencionales, dado que el término tiene un alcance muy amplio en el que abarca: la anticortesía, el uso del lenguaje creativo, los juegos lingüísticos, la ironía, y los anglicismos. (shrink)

Departing from the thought-provoking conversation between David Theo Goldberg and Achille Mbembe on the driving themes in Mbembe’s Critique of Black Reason, this commentary elaborates upon three topics that emerge in this conversation: the role of desire and how it is articulated in black abjection, the politics of care, and contemporary practices of repairing the injustices perpetrated in the context of European modernity. It is emphasized that black reason as a practice of repairing and transformation is especially enacted within contemporary (...) movements like the refugee movements organized around the Black Mediterranean and in the lived freedom archives and abolitionist imaginaries of movements where gender and race cross-cut. Characterized by their transnational dimension and a radical openness towards new beginnings, these expressions of black reason imagine and reinvent justice and democracy anew. (shrink)

Moral distress has been well reviewed in the literature with established deleterious side effects for all healthcare professionals, including nurses, physicians, and others. Yet, little is known about the quality and effectiveness of interventions directed to address moral distress. The aim of this integrative review is to analyze published intervention studies to determine their efficacy and applicability across hospital settings. Of the initial 1373 articles discovered in October 2020, 18 were appraised as relevant, with 1 study added by hand search (...) and 2 after a repeated search was completed in January and then in May of 2021, for a total of 22 reviewed articles. This review revealed data mostly from nurses, with some studies making efforts to include other healthcare professions who have experienced moral distress. Education-based interventions showed the most success, though many reported limited power and few revealed statistically lowered moral distress post intervention. This may point to the difficulty in adequately addressing moral distress in real time without adequate support systems. Ultimately, these studies suggest potential frameworks which, when bolstered by organization-wide support, may aid in moral distress interventions making a measurable impact. (shrink)

Nietzsche coins the enigmatic term homo natura to capture his understanding of the human being as a creature of nature and tasks philosophy with the renaturalisation of humanity. Following Foucault's critique of the human sciences, Vanessa Lemm discusses the reception of Nietzsche's naturalism in philosophical anthropology, psychoanalysis and gender studies. She offers an original reading of homo natura that brings back the ancient Greek idea of nature and sexuality as creative chaos and of the philosophical life as outspoken and (...) embodied truth, perhaps best exemplified by the Cynics' embrace of social and cultural transformation. (shrink)

Abstract It would be puzzling if the morally best agents were not so good after all. Yet one prominent account of the morally best agents ascribes to them the exact motivational defect that has famously been called a “fetish.” The supposed defect is a desire to do the right thing, where this is read de dicto . If the morally best agents really are driven by this de dicto desire, and if this de dicto desire is really a fetish, then (...) the morally best agents are moral fetishists. This is puzzling. I resolve the puzzle by showing that on a proper understanding of the interaction between de dicto and de re moral motivation, it is not only not fetishistic, but quite possibly desirable, to be motivated by a de dicto desire to do the right thing. My argument relies partly on an appeal to a non-buck-passing account of moral rightness, according to which rightness is itself an additional reason-giving property over and above the right-making properties of an action. If this account of moral rightness is correct, then we would expect the morally best agents to exhibit de dicto moral motivation. However, since their de dicto desire acts in concert with de re desires, there is no reason to consider it a fetish. Content Type Journal Article Pages 1-19 DOI 10.1007/s11098-011-9825-z Authors Vanessa Carbonell, Philosophy Department, University of Cincinnati, P.O. Box 210374, Cincinnati, OH 45221-0374, USA Journal Philosophical Studies Online ISSN 1573-0883 Print ISSN 0031-8116. (shrink)

Holobionts are symbiotic assemblages composed by a macrobe host plus its symbiotic microbiota. In recent years, the ontological status of holobionts has created a great amount of controversy among philosophers and biologists: are holobionts biological individuals or are they rather ecological communities of independent individuals that interact together? Chiu and Eberl have recently developed an eco-immunity account of the holobiont wherein holobionts are neither biological individuals nor ecological communities, but hybrids between a host and its microbiota. According to their account, (...) the microbiota is not a proper part of the holobiont. Yet, it should be regarded as a set of scaffolds that support the individuality of the host. In this paper, we approach Chiu and Eberl’s account from a metaphysical perspective and argue that, contrary to what the authors claim, the eco-immunity account entails that the microorganisms that compose the host’s microbiota are proper parts of the holobiont. Second, we argue that by claiming that holobionts are hybrids, and therefore, not biological individuals, the authors seem to be assuming a controversial position about the ontology of hybrids, which are conventionally characterized as a type of biological individual. In doing so, our paper aligns with the contemporary tendency to incorporate metaphysical resources to shed light on current biological debates and builds on that to provide additional support to the consideration of holobionts as biological individuals from an eco-immunity perspective. (shrink)

There is a persisting debate about what chemical bonds are and whether they exist. I argue that chemical bonds are real patterns of interactions between subatomic particles. This proposal resolves the problems raised in the context of existing understandings of the chemical bond and provides a novel way to defend the reality of chemical bonds.

Two environmental accidents in the mining industry provide the context for this study of the Mitchell, Agle, and Wood (1997, The Academy of Management Review 22, 853–886) analysis of stakeholder salience. I examine the reactions of two stakeholder groups: shareholder response is examined in terms of changing share returns and risk; management response through change in disclosure. I find the two decision-makers reacted at different times. Management responded to the first accident, though not the second. Shareholders responded to the second (...) accident alone. My findings support the Mitchell, Agle, and Wood (MAW) assertion that stakeholder status is impermanent, and determined through the eyes of the decision-maker. (shrink)

One of the most plausible and widely discussed examples of strong emergence is molecular structure. The only detailed account of it, which has been very influential, is due to Robin Hendry and is formulated in terms of downward causation. This paper explains Hendry’s account of the strong emergence of molecular structure and argues that it is coherent only if one assumes a diachronic reflexive notion of downward causation. However, in the context of this notion of downward causation, the strong emergence (...) of molecular structure faces three challenges that have not been met and which have so far remained unnoticed. First, the putative empirical evidence presented for the strong emergence of molecular structure equally undermines supervenience, which is one of the main tenets of strong emergence. Secondly, it is ambiguous how the assumption of determinate nuclear positions is invoked for the support of strong emergence, as the role of this assumption in Hendry’s argument can be interpreted in more than one way. Lastly, there are understandings of causation which render the postulation of a downward causal relation between a molecule’s structure and its quantum mechanical entities, untenable. (shrink)

Here is something puzzling. Still Lifes can be expressive. Expression involves movement. Hence, (some) Still Lifes move. This seems odd. I consider a novel explanation to this ‘static-dynamic’ puzzle from Mitchell Green (2007). Green defends an analysis of artistic expressivity that is heavily indebted to work on intermodal perception. He says visual stimuli, like colours and shapes, can elicit experienced resemblances to sounds, smells and feelings. This enables viewers to know how an emotion feels by looking at the picture. The (...) hypothesis is intriguing, but I show that his suggestion that we empathize with the pictorial content is implausible and that this exposes a flaw in the way his argument moves from experiential mappings to experiential-affective mappings. Consequently, I register some reservations about the way Green supposes we detect these cross-modal qualities. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 41.1 (2003) 135-136 [Access article in PDF] Alastair Hannay. Kierkegaard: A Biography. New York: Cambridge University Press, 2001. Pp. xvi + 496. Cloth, $39.95. In the opening pages of this carefully crafted biography, Hannay states that he has no intention of making matters easy for his reader. By this, he means that "final judgments" will not be forthcoming on a number of key (...) issues surrounding Kierkegaard and his works: the nature of his relation to Christianity, the motives leading him to collide with The Corsair, and the meaning and wisdom of his final attack on Bishop Jakob Mynster and the established Danish Church. This is not to say that Hannay presents Kierkegaard either through rose-colored lenses or through narrowly intellectualist ones. Indeed, one of the book's central virtues is that it combines a philosopher's long-standing interest in Kierkegaard's writings with other guiding passions: a fascination with the sources of human creativity, the twists and turns of nineteenth-century European intellectual history, and the drama of one man's sustained grappling with the meaning of (his) life and the degree to which this meaning could be forged and sustained in his own writing.Hannay raises the curtain on Kierkegaard's life at the intellectual debut of the latter. In his first public appearance before the Student Union at the University of Copenhagen, Kierkegaard took issue with a student colleague's espousal of liberal reform. Hannay sees in Kierkegaard's performance signs of things to come: (1) the attempt to gain the notice and approval of the leading cultural lights, such as Danish literary icon Johan Ludvig Heiberg, and (2) a habit of seeking unity and definition through opposition and controversy. In his subsequent discussion of Fear and Trembling, Hannay notes the inescapable fact that Kierkegaard's philosophic positions are often tailor-made justifications for his private [End Page 135] behavior. The classic example is de Silentio's celebration of Abraham's teleological suspension of the ethical, a celebration which would, as often noted, vindicate equally Isaac's sacrifice by Abraham and Regine's "sacrifice" by Kierkegaard. Already on the occasion of his address to the Student Union, Kierkegaard's thought lines up nicely with his self-interest. But Hannay's work is hardly a reductive exposé. His ear for the varied leitmotifs of the authorship, their development and integration, is unrivaled. Regarding Kierkegaard's first skirmish in the academic arena, Hannay alerts his reader to emergent themes: (1) the valorization of personal unity, and the assertion that such unity must emerge from a life rather than be imposed upon it, and (2) a corresponding respect for the power of lived experience and a critique of any life or movement which is either primarily reactive or abstracted from individual existence. While personal unity remains a desideratum throughout his life, the integrity of lived experience is ultimately placed in question by Kierkegaard's construal of Christianity, which he comes increasingly to see as opposed to the humanism which underlies both Enlightened and Romantic thought.Hannay's biography focuses primarily on the development of Kierkegaard's thought as expressed in his journals and published writings. As such, his biography tends to emphasize the continuity of the authorship over its internal tensions. Hannay views, for example, thehumanistic stance of Climacus's Religiousness A as propadeutic to the radical transcendenceof the godhead embraced by Religiousness B. This is a topic open to dispute, since Kierkegaard himself went out of his way to record, and perhaps exhibit, the offensiveness of Christian demands to (fallen) human nature. Hannay acknowledges Kierkegaard's lifelong ambivalencetoward Christianity, but he does not show how this ambivalence echoes in the authorship. Ifhis Kierkegaard is a less divided character than the original, Hannay nevertheless challenges those who would minimize either (1) the depth of Kierkegaard's breach with humanistic thought or (2) the degree to which "the religious life-view [is] persistently in the offing" (Hannay, "Something on Hermeneutics and Communication in Kierkegaard After All," forthcoming in Kierkegaard and the Word, Poul Houe and Gordon D. Marino... (shrink)

In this paper, I discuss Jenefer Robinson’s personalist account of pictorial expression. [1] According to personalism, a picture possesses the expressive properties we attribute to it because we take it that someone expresses E in the work. Robinson’s particular strategy exploits the concept of an implied persona who ‘unifies’ and ‘specifies’ what is expressed. [2] Dominic Lopes challenges this view by attacking what he takes to be a flawed assumption motivating the personalist account: the priority of figure expression. [3] Once (...) we acknowledge this flaw, he argues, there is no good reason to prefer personalism to an impersonalist theory. I will argue that Robinson qua personalist can pre-empt this strike by clarifying the relation between (a) what a picture expresses and (b) what is depicted as expressing in the picture. Rather than leading with the idea that personalism unifies or determines the meaning, I argue that impersonalism diminishes it and that, should it be accepted, we would be left with an impoverished view of what specific art pieces can mean. (shrink)

This study tests how various kinds of trust impact attitudes toward euthanasia among the general public. The indication that trust might have an impact on euthanasia attitudes is based on the slippery slope argument, which asserts that allowing euthanasia might lead to abuses and involuntary deaths. Adopting this argument usually leads to less positive attitudes towards euthanasia. Tying in with this, it is assumed here that greater trust diminishes such slippery slope fears, and thereby increases euthanasia acceptance.

Emotional development is one of the largest and most productive areas of psychological research. For decades, researchers have been fascinated by how humans respond to, detect, and interpret emotional facial expressions. Much of the research in this area has relied on controlled stimulus sets of adults posing various facial expressions. Here we introduce a new stimulus set of emotional facial expressions into the domain of research on emotional development—The Child Affective Facial Expression set (CAFE). The CAFE set features photographs of (...) a racially and ethnically diverse group of 2- to 8-year-old children posing for six emotional facial expressions—angry, fearful, sad, happy, surprised, and disgusted—and a neutral face. In the current work, we describe the set and report validity and reliability data on the set from 100 untrained adult participants. (shrink)

The aim of this article is to present a different perspective through which to examine reduction and emergence; namely, the perspective of chemistry’s relation to physics.

Why do racist oppression and capitalist exploitation often seem so inescapable and intractable? To describe and explain adequately the persistence of racist ideology, to specify its role in the maintenance of racial capitalism, and to imagine the conditions of its abolition, we must understand racist ideology as a form of false consciousness. False consciousness gets things “right” at the level of appearance, but it mistakes that appearance for a “deep” or essential truth. This chapter articulates a novel, positive account of (...) first-order false consciousness, which occurs in the case of false beliefs about the world that are sustained and superficially justified by objective social arrangements, and of second-order false consciousness, which occurs in the case of false beliefs about how one has come to hold the beliefs that one does. To dismantle racist ideology requires political movements that craft theoretical interventions highlighting the inessentiality and contingency of despised racial groups’ oppressed status, as well as practical interventions aimed at directly undermining the oppressive conditions that are reflected in racist beliefs about the “naturalness” or “appropriateness” of these groups’ degraded status. (shrink)

Veterinary oaths are public declarations sworn by veterinarians, usually when they enter the profession. As such, they may reflect professional and social concerns. Analysis of contemporary veterinary oaths may therefore reveal their ethical foundations. The objective of this article is to contextualize the ethical content of contemporary oaths, in terms of the origin and development of veterinary medicine and wider societal changes such as the intensification of farming and the rise of animal welfare. This informs a comparison of oaths from (...) the United States, Canada, the United Kingdom, and Brazil. This analysis suggests some ways in which the oaths might be developed to better reflect contemporary societal values. (shrink)

We know that microbes contribute to the production of odors that some animals use to communicate, but how common is this phenomenon? Recent studies capitalizing on new molecular technologies are uncovering fascinating associations between microbes and odors of wild animals, but causality is difficult to ascertain. Fundamental questions about the nature of these unique host‐microbe interactions also remain unanswered. For instance, do microbes benefit from signaling associations with hosts? How does microbial community structure influence signal production? How do hosts regulate (...) microbes in order to generate appropriate signals? Here, we review the current state of knowledge on microbially produced signals in animals and discuss key research foci that can advance our understanding of microbial‐based signaling in the animal world. (shrink)

Harold Kincaid in Individualism and the Unity of Science postulates a model of unity-without-reduction in order to accurately describe the relation between individualism and macroeconomics. I present this model and apply it to the description of the relation between chemistry and quantum mechanics. I argue that, when it comes to the description of molecular structure, chemistry and quantum mechanics are unified in Kincaid’s sense. Specifically, the two disciplines contribute to the formation of a unified body of knowledge with respect to (...) molecular structure. (shrink)

There has been an exponential rise in use of the term vulnerability across a number of political and policy arenas, including child protection, sexual offences, poverty, development, care for the elderly, patient autonomy, globalisation, war, public health and ecology. Yet despite its increasing deployment, the exact meaning and parameters of this concept remain somewhat elusive. In this article, we explore the interaction of two very different strategies—one in which vulnerability is relied upon by those seeking improved social justice as a (...) mechanism by which to identify, problematise and compel state responses to a universal condition of precarious dependency, and the other in which it is used as a category of neo-liberal governance which legitimates state encroachment whilst constructing ‘vulnerable’ individuals as ‘risk-managers’ who must behave ‘responsibly’ in the face of disadvantage. We suggest that the co-existence of these divergent approaches highlights the fluidity and malleability of the concept of vulnerability. Using sex work as a specific case study, we explore the ways in which vulnerability bears multiple meanings, and has been used in recent times in the furtherance of moralistic and regressive agendas, which collude with, rather than challenge, state power. Without seeking to reject the label or normative import of vulnerability, we call, therefore, for a more circumspect approach to its usage, and a more critical evaluation of recent claims which hail it as a mechanism, preferable to the conventional use of equality paradigms, by which to secure progressive feminist outcomes. (shrink)

Objectives: Recent legislative changes within the United Kingdom have stimulated professional debate about access to patient data within research. However, there is currently little awareness of public views about such research. The authors sought to explore attitudes of the public, and their lay representatives, towards the use of primary care medical record data for research when patient consent was not being sought.Methods: 49 members of the public and four non-medical members of local community health councils in South Wales, UK gave (...) their views on the value and acceptability of three current research scenarios, each describing access to data without patient consent.Results: Among focus group participants, awareness of research in primary care was low, and the appropriateness of general practitioners as researchers was questioned. There was general support for research but also concerns expressed about data collection without consent. These included lack of respect and patient control over the process. Unauthorised access to data by external agencies was a common fear. Current data collection practices, including population based disease registers elicited much anxiety. The key informants were equally critical of the scenarios and generally less accepting.Conclusions: This exploratory study has highlighted a number of areas of public concern when medical records are accessed for research without patient consent. Public acceptability regarding the use of medical records in research cannot simply be assumed. Further work is required to determine how widespread such views are and to inform those advising on confidentiality issues. (shrink)