Each year, millions of individuals in the United States are treated for a variety of serious medical conditions with prescription drugs whose therapeutic benefits are well known. The vast majority of these medications are used to treat medical and psychiatric illnesses. Generally, they are used as prescribed, and contribute to a better quality of life for persons suffering from debilitating or life-threatening disorders.The fact that a small portion of these medications is diverted by those who seek their psychoactive effects raises (...) the important policy issue: how to make drugs easily available for medical use while limiting access for purposes of abuse.Such a responsibility poses challenges very different from those of the so-called “war” on illicit drugs, because this control must be achieved without impeding patients’ access to medical care. A rational public policy would attempt to achieve a balance between the need to minimize abuse and the need to provide relief. (shrink)

Each year, millions of individuals in the United States are treated for a variety of serious medical conditions with prescription drugs whose therapeutic benefits are well known. The vast majority of these medications are used to treat medical and psychiatric illnesses. Generally, they are used as prescribed, and contribute to a better quality of life for persons suffering from debilitating or life-threatening disorders.The fact that a small portion of these medications is diverted by those who seek their psychoactive effects raises (...) the important policy issue: how to make drugs easily available for medical use while limiting access for purposes of abuse.Such a responsibility poses challenges very different from those of the so-called “war” on illicit drugs, because this control must be achieved without impeding patients’ access to medical care. A rational public policy would attempt to achieve a balance between the need to minimize abuse and the need to provide relief. (shrink)

The home birth movement in the United States is an alternative health belief system that promotes a model of pregnancy and childbirth contradictory to the conventional biomedical model. The alternative model stresses normalcy and non-intervention and is informed by an ideology that promotes individual authority and responsibility for health and health care. It is founded in an epistemological system that assigns primacy and goodness to the Natural, fuses moral and practical injunctions in the arena of health behavior, and valorizes subjective (...) as well as objective sources of knowledge. ( Natural = as found in nature without technical intervention). Differences of opinion with the conventional medical model of childbirth do not spring from misunderstanding of this model, but from disagreement with it. Members of this movement are typically educated, middle class, and white. Keywords: alternative childbirth, home birth, midwifery, out-of-hospital birth. (shrink)

Tomasello et al. propose that shared intentionality is a uniquely human ability. In light of this, we discuss several cultural behaviors that seem to result from a motivation to share experiences with others, suggest evidence for coordination and collaboration among chimpanzees, and cite recent findings that counter the argument that the predominance of emulation in chimpanzees reflects a deficit in intention reading.

Background and aim With the increasing interest in lifestyle, health and consequences of unhealthy lifestyles for the healthcare system, a new kind of solidarity is gaining importance: lifestyle solidarity. While it might not seem fair to let other people pay for the costs arising from an unhealthy lifestyle, it does not seem fair either to punish people for their lifestyle. However, it is not clear how solidarity is assessed by people, when considering disease risks or lifestyle risks. The aim of (...) this study was to investigate the degree of solidarity with lifestyle as well as with other factors that are related to health outcomes—for example, old age—and the relation between this degree of solidarity and various characteristics. Methods This cross-sectional study is part of the Dutch longitudinal SMILE study. Data on the degree of solidarity with different lifestyles and old age, and the relation between the degree of solidarity and various demographic and other variables were obtained in a questionnaire survey. Results Solidarity with smokers and overweight people was moderate, as was solidarity with older people. Respondents were ambivalent about athletes. Respondents who were younger, male and highly educated, and those with a healthy lifestyle, a small social network, high quality of life and an internal locus of control, showed low solidarity. Conclusions Solidarity with an unhealthy lifestyle and old age is moderate and the degree of solidarity varies among the different subgroups. (shrink)

Genomic research results and incidental findings with health implications for a research participant are of potential interest not only to the participant, but also to the participant's family. Yet investigators lack guidance on return of results to relatives, including after the participant's death. In this paper, a national working group offers consensus analysis and recommendations, including an ethical framework to guide investigators in managing this challenging issue, before and after the participant's death.

Returning genomic research results to family members raises complex questions. Genomic research on life-limiting conditions such as cancer, and research involving storage and reanalysis of data and specimens long into the future, makes these questions pressing. This author group, funded by an NIH grant, published consensus recommendations presenting a framework. This follow-up paper offers concrete guidance and tools for implementation. The group collected and analyzed relevant documents and guidance, including tools from the Clinical Sequencing Exploratory Research Consortium. The authors then (...) negotiated a consensus toolkit of processes and documents. That toolkit offers sample consent and notification documents plus decision flow-charts to address return of results to family of living and deceased participants, in adult and pediatric research. Core concerns are eliciting participant preferences on sharing results with family and on choice of a representative to make decisions about sharing after participant death. (shrink)

‘ The Development of Ethics’ proves a rather misleading title for Terence Irwin’s latest book. He describes it more accurately as “a selective historical and critical study in the Socratic tradition, with special attention to Aristotelian naturalism, its formation, elaboration, criticism, and defence” . ‘Socratic’ refers to Irwin’s method: not merely describing “a collective Socratic inquiry” historically but also evaluating it and taking part in it . Unlike Alasdair MacIntyre and J. B. Schneewind, who think that “a moral theory cannot (...) be assessed timelessly, and there are no timelessly appropriate questions that different moral theories try to answer,” Irwin declares that history reveals substantial agreement on the main principles of ethics. The historian’s task is to discover them . Small wonder, then, that Development does so little to illuminate how ethics changed over time. When an author seeks unity among moral philosophers of the past, or at least all the good ones, he can hardly be expected to highlight significantly new issues or approaches, let alone differences in historical context. (shrink)

Aquinas’s admirers, reacting against Donald Davidson’s criticisms of hirn, commonly argue (a) that the will does play a role in Aquinas’s account of incontinence, and (b) that his explanation of incontinent action turns on the weakness of the will. The first part of this paper argues that they are correct about (a) but wholly mistaken about (b). Aquinas rarely even mentions the weakness of the will, and he neverinvokes it to explain why someone acts counter to her own better judgment. (...) In his view, such a person has the capacity for self-control but fails to exercise it. The second part of the paper considers Gary Watson’s account of incontinence, including and especially his objections to analyzing it as the failure to exercise one’s capacity for self-control. Here I argue that Aquinas’s account better serves the purposesof moral discourse and that it should not be expected to provide the kind of causal explanation Watson seeks. (shrink)

We report the identification of a recurrent, 520-kb 16p12.1 microdeletion associated with childhood developmental delay. The microdeletion was detected in 20 of 11,873 cases compared with 2 of 8,540 controls and replicated in a second series of 22 of 9,254 cases compared with 6 of 6,299 controls. Most deletions were inherited, with carrier parents likely to manifest neuropsychiatric phenotypes compared to non-carrier parents. Probands were more likely to carry an additional large copy-number variant when compared to matched controls. The clinical (...) features of individuals with two mutations were distinct from and/or more severe than those of individuals carrying only the co-occurring mutation. Our data support a two-hit model in which the 16p12.1 microdeletion both predisposes to neuropsychiatric phenotypes as a single event and exacerbates neurodevelopmental phenotypes in association with other large deletions or duplications. Analysis of other microdeletions with variable expressivity indicates that this two-hit model might be more generally applicable to neuropsychiatric disease. © 2010 Nature America, Inc. All rights reserved. (shrink)

Aquinas’s admirers, reacting against Donald Davidson’s criticisms of him, commonly argue (a) that the will does play a role in Aquinas’s account of incontinence, and (b) that his explanation of incontinent action turns on the weakness of the will. The first part of this paper argues that they are correct about (a) but wholly mistaken about (b). Aquinas rarely even mentions the weakness of the will, and he never invokes it to explain why someone acts counter to her own better (...) judgment. In his view, such a person has the capacity for self‐control but fails to exercise it. The second part of the paper considers Gary Watson’s account of incontinence, including and especially his objections to analyzing it as the failure to exercise one’s capacity for self‐control. Here I argue that Aquinas’s account better serves the purposes of moral discourse and that it should not be expected to provide the kind of causal explanation Watson seeks. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:A Christian’s Appreciation of the BuddhaBonnie ThurstonEs gibt, so glaube ich, in der Tat jenes Ding nicht, das wir >Lernen< nennen.—Hermann Hesse, SiddharthaI must warn you at the beginning that what follows is an embarrassingly personal reflection—a confession even—and not a scholarly essay. I cannot be dispassionate about the Buddha, to whom in a roundabout way I owe both my status as an ordained Christian minister and perhaps the (...) greatest joy of my life, the study and practice of the Christian scripture. How? In February 1970 I was given a copy of Hesse’s novel Siddhartha, a fictionalized account of the Buddha’s life. Already an active Christian, it was this gift, received my senior year in high school, that introduced me to Buddhism and to the reality of spiritual journey and the possibility of enlightenment. While I know the Buddhist meaning of that term, it serves for Christians as well, because our God could not leave us in darkness but made light the first creature (Gen. 1:1–5) and came among us as light (John 1:1–5). 1 When in the fall of 1970 my brother traveled to Japan, the memento I requested was a small statue of the Buddha. It is beside me as I write. In 1983 when we moved to Germany, the second book I bought in German was Siddhartha; the first was the New Testament.Over the years I have had the opportunity to continue to study the life of the Buddha and the spread and development of his teachings. By the Buddha, of course, I mean Sakyamuni (“sage of the Sakyas”) Buddha (“enlightened one”), son of Suddhodana and Maya, whom they called Siddhartha (“wish fulfilled” or “goal realized”) and whom we also know as Gotama or Gautama (literally “superior cow”), whose dates are given variously as 560–480 B.C. or 460–380 B.C. 2 I am appreciative of what I have learned—applying the root meaning of that word, appretiare: “to see” or “to appraise.” The Buddha has helped me to see and to appraise or evaluate many aspects of life. The appreciation that follows, then, is both a grateful recognition as of benefits received and a sensitive awareness or an estimate. I have tried both to view the Buddha clearly and to appraise what he has meant in my life. In essence, Buddhism and the Buddha have been for me the means of establishing a personal, internal religious clarity about what I do believe, passionately. In a deeply Buddhist sense, the Buddha has been my raft. But he has not been my Savior.There is, as Tillich noted in Christianity and the Encounter with World Religions, a point “in the depth of every living religion... at which the religion itself loses its importance, and that to which it points breaks through its particularity.” 3 It has [End Page 121] helped me to understand religions as fingers and the Divine Reality as the moon to which they point. And I am convinced that Tillich’s breakthrough point is usually reached by means of deep penetration into one religious tradition. Jacques-Albert Cuttat was exactly correct: “The more deeply a person probes into his own religious faith, the more he is able to understand the religious faith of others from the inside; conversely, the more a person explores religious connections other than his own, the more he deepens his understanding of his own religion.” 4 This has been my experience. Dialogue with the Buddha has given me great clarity about the Christ. And the study and practice of Christianity has afforded me my glimpses of the moon.What, then, do I appreciate about the Buddha? What have I learned from him? To help focus my answer, I read or reread a number of different accounts of his life 5 and noted six specific aspects of his life and teaching (his quest itself; his powers of analysis; his pragmatism; his moral vision; his compassion; and the outcome of living, his ‘way’) that have attracted and taught me.First, I am appreciative of the Buddha’s quest itself. To put it simply, according to the accounts... (shrink)

I have previously argued that stem cell experiments cannot demonstrate that a single cell is a stem cell (Fagan 2013a, b). Laplane and others dispute this claim, citing experiments that identify stem cells at the singlecell level. This paper rebuts the counterexample, arguing that the alleged ‘crucial stem cell experiments’ do not measure self-renewal for a single cell, do not establish a single cell’s differentiation potential, and, if interpreted as providing results about single cells, fall into epistemic circularity. I then (...) discuss the source of the dispute, locating it in differences between philosophical and experimental perspectives. (shrink)

Smilek, Eastwood, Reynolds, and Kingstone suggests that the studies reported in Beck, M. R., Levin, D. T. and Angelone, B. A. are not ecologically valid. Here, we argue that not only are change blindness and change blindness blindness studies in general ecologically valid, but that the studies we reported in Beck, Levin, and Angelone, 2007 are as well. Specifically, we suggest that many of the changes used in our study could reasonably be expected to occur in the real world. Furthermore, (...) the conclusion from Beck et al. that knowledge about the role of intention and scene complexity in change detection is not readily accessible applies not only to the laboratory studies we conducted but also to real world situations. (shrink)

Book review of Bonnie Honig's 2017 book "Public Things" in Arendt Studies.

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Virtues of the Will: The Transformation of Ethics in the Late Thirteenth Century by Bonnie KentTimothy B. NooneBonnie Kent. Virtues of the Will: The Transformation of Ethics in the Late Thirteenth Century. Washington, D.C.: The Catholic University of America Press, 1995. Pp. viii + 270. Cloth, $44.95.In this admirably written study, Bonnie Kent presents researchers on medieval philosophy with a survey of moral psychology during the (...) crucial period between the death of Thomas Aquinas and the summit of Duns Scotus’s career in the first decade of the fourteenth century. Although there have been many studies of particular issues in particular thinkers during this period and a generous presentation of texts with commentary by the great Dom Lottin (Psychologie et morale aux XIIe et XIIIe siècles, 7 vols. Louvain, 1942–1954), there has not been any lengthy study to date devoted to the period of the late thirteenth century that focused on moral psychology and the will. Simply in drawing attention to this period in the history of moral psychology, Professor Kent has made a tremendous contribution to the study of medieval philosophy, since she has rendered accessible authors that are more often than not neglected and overlooked. Kent, in fact, attempts something more: she places her study in the framework of the general historiography of Scholastic thought and the more recent interest in medieval ethics prompted by those championing virtue ethics.In order to highlight the distinguishing features of recent studies on medieval ethical thought, Kent reviews the established interpretation of philosophy in the thirteenth century. In the opening chapter, entitled “Heroes and Histories,” she points out the features common to the scholarly approaches of Gilson, Van Steenberghen, and even Copleston: (1) a prominent role is assigned to schools and movements, especially Aristotelianism and Augustinianism; (2) metaphysics and epistemology are the primary objects of study along with the relation between philosophy and theology; and (3) the Thomistic point of view is the organizing principle for telling the drama of the period. The last feature means that the history of the period is fundamentally told as streams of influence leading to Aquinas, followed by the golden age of Aquinas and his contemporaries and succeeded by a gradual decline after Aquinas, leading to the demise of Scholastic thought. In the context of the established historiography, accordingly, the approach of Alasdair MacIntyre represents a restatement of the common view, but one more radical in form. Instead of being merely different schools or movements, Augustinianism and Aristotelianism are different worldviews with their own paradigmatic conceptions of rationality, each of which is subsumed into the higher synthesis of Thomism. According to MacIntyre, the passage to modernity is begun by Scotus whose innovative theses in moral psychology and ethics are considered revolutionary.Kent’s stated aim is to challenge the “standard story” found in Gilson and others as well as its revised version in MacIntyre’s writings by providing a detailed study of the [End Page 462] period just prior to Scotus and establishing precisely how revolutionary Scotus’s teachings were when compared to his immediate predecessors. She accomplishes this aim masterfully in a series of chapters dedicated to the sources of medieval thought and elements of moral psychology. Beginning with late thirteenth-century thinkers’ attitude toward Aristotle in her second chapter, she shows in considerable detail that there is little evidence for any serious anti-Aristotelianism in the vast majority of late thirteenth-century authors. Indeed, the posture of these thinkers was to separate Aristotle from radical Aristotelianism and Thomism in order to claim that ancient wisdom was on the side of Christian ethics and psychology. The only exception that Kent finds to this widespread attitude is in the writings of Peter John Olivi whose hostility to pagan philosophy is clearly evident.The focus in the next chapter is on ethical voluntarism, a position characterized by the endorsement of the superiority of will over reason, the claim that human freedom resides primarily in the faculty of the will, that the will can act contrary to reason’s judgment, and that the will, not the intellect, commands the lower powers of the soul. In detailing the advent of... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:?;5. HUME AND SPINOZA It is strange that there has been so little interest in comparing two great philosophers, Hume and -Spinoza, who were both so important and influential in bringing about the decline of traditional religion. Jessop's bibliography indicates no interest in Hume and Spinoza up to the 1930 's. The Hume conferences of 1976, as far as I have been able to 2 determine, avoided the topic. (...) In one of the better new Hume volumes, Livingston and King, Hume, A Re-evaluation, 3 Spinoza is cited twice, and once incorrectly at that. On the other hand, in the massive new Spinoza volume edited by Siegfried Hessing, Speculum Spinozanun 1677-1977, Hume is mentioned four times, but only one of these has any real relevance to Hume's views vis-a-vis Spinoza's. Some discussion of Hume's comments, usually brief, occurs in the commentators. B. M. Laing, in David Hume, (London 1932), has just three short references to Spinoza. John Laird, in Hume's Philosophy of Human Nature, (London 1932) has a couple of cursory references to Spinoza, plus a bit more extended statement of Pierre Bay le" s critique of him. In H. H. Price, Hume's Theory of the External World, (Oxford 1940), there is one paragraph on Hume and Spinoza. In Norman Kemp Smith, The Philosophy of David Hume (London 1941), there are three references to Spinoza. Rachel Kydd, Reason and Conduct in Hume's Treatise (Oxford 194 6), has the greatest number of references to Spinoza. She was concerned to compare him with Hume on other matters than are dealt with in this paper, namely Spinoza's theory of reason and 9 the passions. In contrast, André Leroy, David Hume, (Paris 1953), has just one paragraph on Spinoza dealing with the immateriality of the soul; and Ernest C. Mossner, in his monumental Life of David Hume, (Austin 1954), has only one reference to Spinoza - James Beattie's denunciation of Hume, Hobbes, Malebranche, Leibniz and Spinoza. Lastly, in a fairly recent commentary by James Noxon, Spinoza is mentioned 66. three times, but not for anything in Hume's text. Noxon does point out (p. 75) that Spinoza is not mentioned in ] 2 Hume's correspondence. John H. Randall has offered an explanation for this neglect of Spinoza by Hume scholars, namely that "Hume stands for all time as the antithesis of Spinoza in his thought". In the England of Hume's day, Spinoza was little known, but still better known at the time than he was in France or England. Spinoza's Tractatus Theologico-Politicus 14 had been twice translated into English anonymously. He had been attacked by Bishop Stillingfleet, by John Evelyn, by Berkeley and several others. But Spinoza was not a major figure, except to the English Deists, and to Hume's early patron, the Chevalier Andrew Michael Ramsay. Most of the information known about Spinoza came from Pierre Bayle' s Historical and Critical Dictionary, where the article "Spinoza" is the longest in the Dictionary, about three hundred pages in length. My suspicion, or hypothesis, is that Hume first became interested in Spinoza through Ramsay, and then learned what he knew about Spinoza from Bayle' s article. When the young David Hume went to France to write his A Treatise of Human Nature in 1734, he went first to see the Chevalier Ramsay, who entertained Hume for about two weeks. Ramsay was a leading Scottish Catholic, was the teacher of Bonnie Prince Charlie, a leading Scottish revolutionary, 18 as well as the Grand Master of the Free Masons. With Ramsay's eclectic views it is not odd that he had a serious interest in Spinoza's theory, and that he was composing answers to it. Ramsay advised Hume about his own book, and Hume felt he had to show Ramsay the Treatise before he 19 brought it back to England. In the Treatise there is a not too well studied section on Spinoza, Of the immateriality of the soul 20 (T240-45). In introducing Spinoza into the discussion of 67. the immateriality of the soul, Hume follows what was common practice in his day, namely to insult Spinoza and his theory... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies.1.1 (2001) 129-130 [Access article in PDF] Book Review The Sound of Liberating Truth: Buddhist-Christian Dialogues in Honor of Frederick J. Streng The Sound of Liberating Truth: Buddhist-Christian Dialogues in Honor of Frederick J. Streng.Edited by Sallie B. King and Paul O.Ingram. Surrey: Curzon Press, 1999. Fred Streng was a close friend of mine. We were born the same year, 1933, and shared many interests. The last time (...) I saw him was in 1992, in Boston.We both took part in the Society for Buddhist-Christian Studies' fourth Buddhist-Christian Dialogue Conference, we both also delivered sermons at Boston University's chapel, and both of us gave commemorative addresses at a memorial service for Dr. Martin Luther King Jr. I was in exile at the time, fleeing from the oppression of the Thai National Peacekeeping Council, which had staged a coup d'etat the year before. Fred offered sincere concern for my well-being and safety, and he encouraged me, when it was most needed, to complete my work on socially engaged Buddhism. Not long after that, I received the tragic news that Fred had died of cancer at age sixty.I've always admired Fred Streng's positive disposition. His metta karuna,.oving and compassionate way, deeply shone through him. And his religious views, though different from mine, were always captivating. Fred was a Christian, yet his attitude and works greatly benefited a Theravada Buddhist like me. I especially learned from his Emptiness: AStudy in Religious Meaning.1974) and the textbook series, "Understanding Religious Life," that he edited.We are in need of different ways of perceiving and understanding reality, ways in which the brain and mind/heart are able to unite as one. In his summary of Dr. Streng's thinking, Paul Ingram summarizes his commitment to interreligious dialogue as a path in itself: [H]e was convinced that religious knowledge and authentic living at their deepest level are dependent upon seeking out alternative forms of religious experience, comparing them, and entering into dialogue with them. Interreligious dialogue, he believed, may involve (1) a mystical sense of unity underlying the diversity of humanity's ways of being religious, (2) the perception that the religious ways of humanity are alternative or complementary means of ultimate transformation, (3) a focus on enriching one's personal faith and participation in one's own religious tradition, or (4) a combination of all three of [End Page 129] the above. Fred also developed these themes further in an essay entitled "Selfhood without Selfishness: Buddhist and Christian Approaches to Authentic Living" (pp. xiv-xv). Reading The Sound of Liberating Truth,.he new collection of writings in Frederick Streng's honor edited by Sallie King and Paul Ingram, evokes fond memories of this kayanamittata(spiritual friend). The book's title is not just appealing and meaningful, it was the "life koan" that Fred grappled with during his final years: what is the sound of liberating truth? Religions can be more harmful and corrupting than even Marx thought. But the highest intention of religions remains unsurpassed--the ultimate transformation from selfishness to selflessness. In a genuine way, this book is a vehicle for helping us realize this noble outcome.I am truly impressed by the wide range of ideas I have picked up reading this volume. In addition to the important contributions by the book's two editors, there are thought-provoking articles by David Chappell and Winston King on "Interreligious Dialogue," by Bonnie Thurston and Paula Cooey on "Nature and Ecology," by Sallie King and John Keenan on "Social and Political Issues of Liberation," and by Tom Kasulis and Ruben Habito on "Ultimate Transformation or Liberation." In each of these, there are challenging dialogues and good responses, too. The Buddhist and Christian epilogues by Taitetsu Unno and John Cobb, respectively, crown all the other dialogues in depth and thoughtfulness.This volume is a well-deserved tribute to Frederick J. Streng, whose memory will be with his many friends--Buddhists, Christians, and so many others... (shrink)

Proposed educational outcomes for the health humanities in medical education range from empathy to visual thinking skills to social accountability. This lack of widely agreed-upon high-level curricular goals limits humanities educators’ ability to design purposeful curricula toward clear, common ends and threatens justifications for scarce curricular time. We propose a novel approach to the hoped-for outcomes of health humanities training in medical schools, which has the potential to encompass traditional health humanities knowledge, skills, and behaviors while also being concrete and (...) measurable: humanistic practice. Humanistic practice, adapted from the concept of ethical sensitivity, is an intentional process of applying humanities knowledge and skills to a clinical scenario by 1) noticing that the scenario requires humanities knowledge or skills, 2) informing one’s clinical and interpersonal strategy and behavior with humanities knowledge or skills, 3) reflecting on the effectiveness of the strategy and behavior, and 4) reorienting to develop new approaches for future practice. The construct of humanistic practice may help address some of the foundational problems in health humanities outcomes research since it transcends the traditional diverse content domains in the health humanities, can link patient and provider experiences, and may bridge the divide among the additive, curative, and intrinsic epistemic positions of humanities to medical education. (shrink)

Covert behavior may also be strong behavior which cannot be overtly emitted because the proper circumstances are lacking. When we are strongly inclined to go skiing, although there is no snow, we say I would like to go skiing. It is not very  ...

Public health ethics, like the field of public health it addresses, traditionally has focused more on practice and particular cases than on theory, with the result that some concepts, methods, and boundaries remain largely undefined. This paper attempts to provide a rough conceptual map of the terrain of public health ethics. We begin by briefly defining public health and identifying general features of the field that are particularly relevant for a discussion of public health ethics.Public health is primarily concerned with (...) the health of the entire population, rather than the health of individuals. Its features include an emphasis on the promotion of health and the prevention of disease and disability; the collection and use of epidemiological data, population surveillance, and other forms of empirical quantitative assessment; a recognition of the multidimensional nature of the determinants of health; and a focus on the complex interactions of many factors—biological, behavioral, social, and environmental—in developing effective interventions. (shrink)

With Euripides’s Bacchae Honig, in A Feminist Theory of Refusal (2021), chooses a story that easily can be read as an “errant path”: the story of a group of “honey-mad” women who, driven by a Dionysian force, slaughter their own kin and are eventually put back into place by fatherly reprimand. Against that, Honig retells the story of the women of Cithaeron as what W.E.B. Du Bois called a “splendid failure” - “a possibility first nurtured outside the city is extinguished, (...) but memory remains” (p. 5). In the three moments that I look at in the following, we find an affirmative politics and a politics of celebration that Honig herself follows in her writing: she lays new foundations upon which future democratic struggle can build. The narrative of “failure,” even in the “splendid form” that Honig employs, however, misses an important aspect of the story: namely the violence and forms of domination that held back the city. Honig reproaches Arendt for not being attuned to the archive’s logic of closure that prevents the seeds of the women’s struggle to flourish in the city. But is Honig? Recognizing the conditions that have led to the bacchant’s failure might push us to think about the work of reformation, or rather transformation, as part of a revolutionary feminist struggle. (shrink)

No consensus yet exists on how to handle incidental fnd-ings in human subjects research. Yet empirical studies document IFs in a wide range of research studies, where IFs are fndings beyond the aims of the study that are of potential health or reproductive importance to the individual research participant. This paper reports recommendations of a two-year project group funded by NIH to study how to manage IFs in genetic and genomic research, as well as imaging research. We conclude that researchers (...) have an obligation to address the possibility of discovering IFs in their protocol and communications with the IRB, and in their consent forms and communications with research participants. Researchers should establish a pathway for handling IFs and communicate that to the IRB and research participants. We recommend a pathway and categorize IFs into those that must be disclosed to research participants, those that may be disclosed, and those that should not be disclosed. (shrink)

Each of us is uniquely subject to certain kinds of stimulation from a small part of the universe within our skins. Mentalistic psychologies insist that other kinds of events, lacking the physical dimensions of stimuli, are accessible to the owner of the skin within which they occur. One solution often regarded as behavioristic, granting the distinction between public and private events and ruling the latter out of consideration, has not been successful. A science of behavior must face the problem of (...) privacy by dealing with events within the skin in their relation to behavior, without assuming they have a special nature or must be known in a special way. (shrink)

Human behavior is the joint product of (i) contingencies of survival responsible for natural selection, and (ii) contingencies of reinforcement responsible for the repertoires of individuals, including (iii) the special contingencies maintained by an evolved social environment. Selection by consequences is a causal mode found only in living things, or in machines made by living things. It was first recognized in natural selection: Reproduction, a first consequence, led to the evolution of cells, organs, and organisms reproducing themselves under increasingly diverse (...) conditions. The behavior functioned well, however, only under conditions similar to those under which it was selected.Reproduction under a wider range of consequences became possible with the evolution of processes through which organisms acquired behavior appropriate to novel environments. One of these, operant conditioning, is a second kind of selection by consequences: New responses could be strengthened by events which followed them. When the selecting consequences are the same, operant conditioning and natural selection work together redundantly. But because a species which quickly acquires behavior appropriate to an environment has less need for an innate repertoire, operant conditioning could replace as well as supplement the natural selection of behavior.Social behavior is within easy range of natural selection, because other members are one of the most stable features of the environment of a species. The human species presumably became more social when its vocal musculature came under operant control. Verbal behavior greatly increased the importance of a third kind of selection by consequences, the evolution of social environments or cultures. The effect on the group, and not the reinforcing consequences for individual members, is responsible for the evolution of culture. (shrink)

Behavior that solves a problem is distinguished by the fact that it changes another part of the solver's behavior and is strengthened when it does so. Problem solving typically involves the construction of discriminative stimuli. Verbal responses produce especially useful stimuli, because they affect other people. As a culture formulates maxims, laws, grammar, and science, its members behave more effectively without direct or prolonged contact with the contingencies thus formulated. The culture solves problems for its members, and does so by (...) transmitting the verbal discriminative stimuli called rules. Induction, deduction, and the construction of models are ways of producing rules. Behavior that solves a problem may result from direct shaping by contingencies or from rules constructed either by the problem solver or by others. Because different controlling variables are involved, contingency-shaped behavior is never exactly like rule-governed behavior. The distinction must take account of a system which establishes certain contingencies of reinforcement, such as some part of the natural environment, a piece of equipment, or a verbal community; the behavior shaped and maintained by these contingencies; rules, derived from the contingencies, which specify discriminative stimuli, responses, and consequences, and the behavior occasioned by the rules. (shrink)