A large proportion of the total global burden of disease is caused by emergency medical conditions. Emergency care research is essential to improving emergency medicine but this research can raise some distinctive ethical challenges, especially with regard to (1) standard of care and risk–benefit assessment; (2) blurring of the roles of clinician and researcher; (3) enrolment of populations with intersecting vulnerabilities; (4) fair participant selection; (5) quality of consent; and (6) community engagement. Despite the importance of research to improve emergency (...) care in low-income and middle-income countries (LMICs) and the widely acknowledged ethical challenges, very little has been written on the ethics of emergency care research in LMICs. This paper examines the ethical and regulatory challenges to conducting emergency care research with human participants in LMICs. We outline key challenges, present potential solutions or frameworks for addressing these challenges, and identify gaps. Despite the ethical and regulatory challenges, conducting high-quality, ethical emergency care research in LMICs is possible and it is essential for global health. (shrink)

Literature on racism, anti-racism, whiteness, nursing education and nurse educators was reviewed and analysed for the development of race consciousness and application of anti-racist pedagogy. The literature describes an oppressive educational climate for non-white identifying people, a curriculum that does not attend to the social construction of difference, and a nursing culture that is not consciously situated in a broader sociopolitical context. A particular focus on studies of nurse educators demonstrates a stark need for personal and professional development towards effectively (...) delivering anti-racist pedagogy and a deconstruction of white normativity and dominance amongst white faculty. The protection and reproduction of white privilege is identified through the scholarship itself through a lack of racial analysis, an externalization of the root of oppression and non-specific study measures and outcomes. The persistence and pervasiveness of white dominance in nursing and the lack of anti-racist competence in white educators, particularly, merits a shift in anti-racist efforts away from short-term skill acquisition initiatives towards the deconstruction of socialized white supremacy and enactments of white privilege in nurse educators themselves. (shrink)

Selected as a Financial Times Best Book of 2013Governments today in both Europe and the United States have succeeded in casting government spending as reckless wastefulness that has made the economy worse. In contrast, they have advanced a policy of draconian budget cuts--austerity--to solve the financial crisis. We are told that we have all lived beyond our means and now need to tighten our belts. This view conveniently forgets where all that debt came from. Not from an orgy of government (...) spending, but as the direct result of bailing out, recapitalizing, and adding liquidity to the broken banking system. Through these actions private debt was rechristened as government debt while those responsible for generating it walked away scot free, placing the blame on the state, and the burden on the taxpayer. That burden now takes the form of a global turn to austerity, the policy of reducing domestic wages and prices to restore competitiveness and balance the budget. The problem, according to political economist Mark Blyth, is that austerity is a very dangerous idea. First of all, it doesn't work. As the past four years and countless historical examples from the last 100 years show, while it makes sense for any one state to try and cut its way to growth, it simply cannot work when all states try it simultaneously: all we do is shrink the economy. In the worst case, austerity policies worsened the Great Depression and created the conditions for seizures of power by the forces responsible for the Second World War: the Nazis and the Japanese military establishment. As Blyth amply demonstrates, the arguments for austerity are tenuous and the evidence thin. Rather than expanding growth and opportunity, the repeated revival of this dead economic idea has almost always led to low growth along with increases in wealth and income inequality. Austerity demolishes the conventional wisdom, marshaling an army of facts to demand that we austerity for what it is, and what it costs us. (shrink)

In this essay on epistemological development in college students, I argue that “subjectivism” (a.k.a. “multiplism;” often identified in female undergraduates) should be understood and treated not as amanifestation of a primitive, irrational notion of knowing that must be exterminated and replaced by the more impersonal, detached, objective procedures embodied in scientific method and critical thinking. Rather, it should be regarded as a point of departure for moving into more reflective modes of thought when approached via, and encouraged into, the more (...) personal, empathic procedure made known in Women’s Ways of Knowing as “connected knowing.” Along the way, I develop further the difference between “connected knowing” and “separate knowing” (the latter being the dominant academic paradigm of knowing), bringing out how connected knowing is an important and at times indispensable complement to separate knowing in achieving an objectivity integrated with subjectivity. (shrink)

In the present essay, I explore some ways in which Polanyi’s concepts can be applied to enrich our understanding of epistemological development and the educational practices that seem to facilitate orsuppress it. Among the concepts discussed are Polanyi’s notion of uncertainty, combined with confidence as driving intellectual activity; the role of conviviality in the collaborative construction of knowledge,· the act of discovery as beginning with a problem that obsesses the thinker and proceeding through the integration of (often tacit) fragments into (...) a coherent whole; the notion of personal knowledge and commitment as transcending the disjunction between subjective and objective; apprenticeship as a personal relationship between a learner and a more sophisticated master, and most important, the assertion that beliefis prior to doubt. Thus, in terms ofthe concepts my colleagues and I have developed, “connected knowing” (a personal approach) is not simply equal to “separate knowing” (a detached, impersonal mode) as a procedure for arriving at knowledge, but is prior to it, “making meaning” being a necessary prerequisite to testing the validity ofa position. Drawing on interview data and memoirs of academic experiences, I argue that because these priorities are often reversed in educational practice, students learn to delete their personal responses from their essays in order to meet what they perceive as the utterly objective standards of the academy. When educators “endorse” uncertainty, students are encouraged to engage in the collaborative making of meaning and the pursuit of problems of personal importance. (shrink)

In _Aristotle’s Ever-turning World in _Physics _8_ Blyth analyses the reasoning in Aristotle’s explanation of cosmic movement, with detailed evaluation of ancient and modern commentary on this central text in the history of ancient and medieval philosophy and science.

This essay is a short response to comments made by Cannon, Meeks, and Yu to my articles “Beyond Subjectivism,” published in this special edition of Tradition and Discovery (34:1), and “Connected andSeparate Knowing: A Marriage of Two Minds,” published in Knowledge, Difference, and Power, edited by Nancy Goldberger, et al., focusing on convergences between my work and the ideas of Michael Polanyi.

This brief essay summarizes the content of the current issue of Tradition and Discovery which is devoted to a symposium on similarities between and relevance to each other of the work of Blythe Clinchy, one ofthe authors of Women’s Ways of Knowing, and the work of Michael Polanyi. The background of Women’s Ways of Knowing is sketched for readers without independent familiarity with it.

In their target article, Millum and Bromwich situate their article against a backdrop of well-documented empirical research demonstrating that many participants have variable and often poor...

In his famous Crisis of the Early Italian Renaissance Hans Baron treated the Dominican political thinker Ptolemy of Lucca as purely medieval, his ideas totally separate from the doctrine that Baron named civic humanism. However, in an unpublished, and previously-unstudied, manuscript written more than a decade earlier, Baron maintained that Ptolemy's ideology evolved into something quite close to civic humanism. He attempted to prove this through a comparison of early and late work of Ptolemy and through an analysis of Ptolemy's (...) process of composition of his De Regimine Principum. This article analyses Baron's arguments and in general supports them, with some qualifications. Baron's manuscript supports the conclusions previously published by Blythe and is also significant in what it reveals about the intellectual evolution of one of the twentieth century's most significant historians of political thought. (shrink)

Market metaphors have come to dominate discourse on medical practice. In this essay, we revisit Peter Berger and colleagues’ analysis of modernization in their book The Homeless Mind and place that analysis in conversation with Max Weber’s 1917 lecture “Science as a Vocation” to argue that the rise of market metaphors betokens the carry-over to medical practice of various features from the institutions of technological production and bureaucratic administration. We refer to this carry-over as the product presumption. The product presumption (...) foregrounds accidental features of medicine while hiding its essential features. It thereby confounds the public understanding of medicine and impedes the professional achievement of the excellences most central to medical practice. In demonstrating this pattern, we focus on a recent article, “Physicians, Not Conscripts—Conscientious Objection in Health Care,” in which Ronit Stahl and Ezekiel Emanuel decry conscientious refusals by medical practitioners. We demonstrate that Stahl and Emanuel’s argument depends on the product presumption, ignoring and undermining central features of good medicine. We conclude by encouraging conscientious resistance to the product presumption and the language it engenders. (shrink)

Ch.9 of Metaph. 12 gives no support to the common view (against which I have argued elsewhere) that in ch.7 Aristotle identifies his Prime Mover not only as a god but also as an intellect. Rather, ch.9 approaches the divinity of intellect as a common belief (ἔνδοξον) from the Greek philosophical and poetic tradition (as at ch.7, 1072b23) that now requires dialectical testing. Here Aristotle initially establishes that there is a most active intellect (proposed ch.7, 1072b18–19: demonstrated ch.9, 1074b17–21, b28–9), (...) and that it contemplates what is best (proposed loc. cit.: demonstrated ch.9, 1074b21–7). Thus ch.9 proceeds by deducing, as a new result, characteristics implying that this intellect is itself the Prime Mover, since its object, qua best, must be the god of ch.7, and divine intellect is essentially identical (1074b33–1074a5), and an indivisible unity (a5–10), with that object. (shrink)

This text is based on an image that, in some ways, can be understood only in terms of sound. In the lonely darkness of a movie theatre, the audience spends ninety minutes gazing at a single image: that of a rubber dinghy drifting aimlessly on a vast expanse of water.This is the rare challenge posed by German filmmaker Philip Scheffner with his documentary Havarie: viewers are asked to focus on a single image while listening to a variety of sounds – (...) especially the voices of many nameless individuals discussing their own drifting journeys.A few years ago, Scheffner happened “totally by accident” to come across a cellphone video on YouTube lasting three minutes and thirty-six seconds; it was titled simply “refugees”... (shrink)

In this commentary we concur with Frost's view of the centrality of universal principles in models of word identification. However, we argue that other processes in sentence comprehension also fundamentally constrain the nature of written word identification. Furthermore, these processes appear to be universal. We, therefore, argue that universality in word identification should not be considered in isolation, but instead in the context of other linguistic processes that occur during normal reading.

Mark Blyth's 'Austerity: The History of a Dangerous Idea' is at heart a morality tale, or, more accurately, an account of two competing and diametrically opposed morality tales jostling to explain both the recent Global Financial Crisis that engulfed much of Europe in 2008 and the austerity policies that were implemented by most governments in that region in its aftermath. According to proponents of austerity, economic growth can only be achieved through reductions in state spending. Blyth argues with great passion (...) and intelligence that the austerity policies, which have involved severe cuts to government services and higher tax rates for average wage-earners, have not only caused great misery but are, in the end, economically counter-productive. (shrink)