Vaccination complacency occurs when perceived risks of vaccine-preventable diseases are sufficiently low so that vaccination is no longer perceived as a necessary precaution. Disease outbreaks can once again increase perceptions of risk, thereby decrease vaccine complacency, and in turn decrease vaccine hesitancy. It is not well understood, however, how change in perceived risk translates into change in vaccine hesitancy. -/- We advance the concept of vaccine propensity, which relates a change in willingness to vaccinate with a change in perceived risk (...) of infection—holding fixed other considerations such as vaccine confidence and convenience. (shrink)

In early March 2014, some of the members of Culture on the Edge—a scholarly research collaboration of seven scholars of religion, interested in more theoretically sophisticated studies of identity, and all of whom are at different career stages and at a variety of North American institutions—had a conversation online on the use of the terms “critique” and “critical,” terms widely used in the field today but employed in such a variety of ways that the members of the group thought it (...) worthwhile to focus some attention on them. What follows is the transcript of their conversation. (shrink)

The general purposes of this essay are as follows: First, to outline an ecological model of autobiographical remembering by examining the purposes, processes, and products of reconstructing meaningful memories. Second, to argue that autobiographical remembering is embedded in affective, interpersonal, sociocultural, and historical contexts. Improvised selves are created in present contexts to serve psychosocial, cultural, and historical purposes, and third, to demonstrate essential constraints on the construction of coherent personal narratives that give meaning and purpose to our everyday lives. -/- (...) The specific aim of this essay is to illustrate that the subjective experiences of trauma and atrocity often lack the essential narrative elements needed to give coherence to those experiences as well as affectively grounded evaluative information. Evaluations of experiences give meaning to our lives. Evaluative information leads to culturally recognized coherent stories structured by known canonical narrative forms because affect conveys how subjective experiences should be interpreted and understood. On this view, autobiographical memories that are the essence of one's personal history can appear as coherent or incoherent to others to the extent others are familiar with the narrative structure used to reconstruct the past and the coherence inherent in autobiographical memories associated with the temporal and evaluative structure of those recollections. -/- I claim that autobiographical experiences that cannot be reconstructed and shared through spoken or written language, music, movement (e.g., dance), art, literature, or science precipitate feelings of existential stress because articulated deep motivations cannot be related intimately to others. (shrink)

A model of autobiographical remembering and the creation of personal culture is proposed. In this model we hypothesize that autobiographical memories are instantiations--objectifications as in metaphors or idioms-constituted through reconstructive processes that come to be recognized as self. Such memories are subsequently subjectified as personal culture. Our emphasis is on the functions and uses of autobiographical remembering, especially in interaction with others, where reconstructed memories are marked with affective significance. We propose that memories become autobiographical as a function of how (...) they are used--to establish and maintain intimacies or to calm ourselves during times of hightened anxiety-and signified by affect and emotion. From an object-relations theory perspective, autobiographical memories are seen as transitional phenomena (selfobjects) that reconstitue caregiving relationships both when we are alone and when we are interacting with others. (shrink)

Craig Eisendrath reinterprets and unifies the writings of the late-nineteenth-century psychologist William James and the twentieth-century philosopher Alfred North Whitehead. James's psychology achieves greater depth by its grounding in philosophic doctrine, and Whitehead's abstract and frequently abstruse philosophy gains greater specificity through the concrete illustrations provided by a wealth of psychological evidence. The result is an extension of James and an exegesis of Whitehead. The merging of James's theory of will and Whitehead's theory of concrescence and organism is the (...) central pivot of the book. Eisendrath discusses as well the philosophical traditions behind both men and analyzes their theories on perception, time, space, causality, the nature and role of ideas, the laws of nature, God and civilization. (shrink)

Koehler's work will assist the effort to understand legal fact finding. It leaves two questions somewhat open: (i) the extent to which empirical research can measure correctness of fact-finding, a function that involves the resolution of normative questions and (ii) the standards judges should use in the absence of the research he advocates.

The literature on self-driving cars and ethics continues to grow. Yet much of it focuses on ethical complexities emerging from an individual vehicle. That is an important but insufficient step towards determining how the technology will impact human lives and society more generally. What must complement ongoing discussions is a broader, system level of analysis that engages with the interactions and effects that these cars will have on one another and on the socio-technical systems in which they are embedded. To (...) bring the conversation of self-driving cars to the system level, we make use of two traffic scenarios which highlight some of the complexities that designers, policymakers, and others should consider related to the technology. We then describe three approaches that could be used to address such complexities and their associated shortcomings. We conclude by bringing attention to the “Moral Responsibility for Computing Artifacts: The Rules”, a framework that can provide insight into how to approach ethical issues related to self-driving cars. (shrink)

Revelation addresses the ordinary challenges facing Christians under Roman rule, rather than speaking only to those enduring a time of terror. Some of the readers were struggling, but others were affluent and complacent. The book's visions seek to alter the way they see the political, religious, and economic dimensions of imperial life and to call them to renewed faithfulness to God and the Lamb.

Soil is fragile and nonrenewable but the most basic of natural resources. It has a capacity to tolerate continuous use but only with proper management. Improper soil management and indiscriminate use of chemicals have contributed to some severe global environmental issues, e.g., volatilization losses and contamination of natural waters by sediments and agricultural fertilizers and pesticides. The increasing substitution of energy for labor and other cultural inputs in agriculture is another issue. Fertilizers and chemicals account for about 25% of the (...) production energy investment in agriculture. An additional 60% is accounted for by machinery, gasoline, electricity, and power-related inputs. Fertilizer additions to cropland are not utilized fully and significant amounts, depending on conditions, are either lost in surface runoff or leached into the ground water. The annual discharge of dissolved solids from agricultural lands to the waterways in the USA is substantial. The increasing use of herbicides in agriculture is a threat to the quality of surface and ground water, although this threat is dependent upon both the chemistry of the compound and the ecosystem in which it is used. Especially within the Third World, development of an environmental ethic and environmental laws have not kept pace with the increase in pesticide use. Above all is the severe and global problem of soil degradation currently occurring at the rate of five to seven million hectares per year. The policy and moral aspects of these issues are discussed. (shrink)

Oaksford & Chater's (O&C's) account of deductive reasoning is parsimonious at a local level (because a rational model is used to explain a wide range of behavior) and at a global level (because their Bayesian approach connects to other areas of research). Their emphasis on environmental structure is especially important, and the power of their approach is seen at both the computational and algorithmic levels.

For a variety of reasons, including the common use of deception in psychology experiments, participants often disbelieve experimenters' assertions about important task parameters. This can lead researchers to conclude incorrectly that participants are behaving non- normatively. The problem can be overcome by deriving and testing normative models that do not assume full belief in key task parameters. A real experimental example is discussed.

Any instance (i.e., event, behavior, trait) belongs to infinitely many reference classes, hence there are infinitely many base rates from which to choose. People clearly do not entertain all possible reference classes, however, so something must be limiting the search space. We suggest some possible mechanisms that determine which reference class is evoked for the purpose of judgment and decision.

The Marcusean concept of one-dimensionality is used to explore contradictions of organized labor. Since the original 1964 publication of One-Dimensional Man, the labor movement has suffered significant losses in membership and power. This essay examines the current relevance of Marcuse’s description of the increasing integration and collusion of organized labor with business, the loss of the union’s role as radical/revolutionary subject, and the containment of organized labor as an oppositional force. The specific mechanisms found in the structure, culture, logic, and (...) legal constraints that characterize the deradicalization of organized labor are critically reviewed. (shrink)

BackgroundSarcomas are a diverse group of neoplasms that vary greatly in clinical presentation and responsiveness to treatment. Given the differences in the sites of involvement, rarity, and treatment modality, a multidisciplinary approach is required. Previous literature suggests patients with sarcoma suffer from poorer quality of life especially physical and functional wellbeing. Adolescent and young adult patients are an underrepresented population in cancer research and have differing factors influencing QoL.MethodsRetrospective analysis of Young Adult patients enrolled in the Sarcoma Tissue Repository at (...) University of Iowa. QoL was assessed using the self-report FACT-G questionnaire at enrollment and 12 months post-diagnosis; overall scores and the 4 wellbeing subscales were calculated. Linear mixed effects models were used to measure the association between the rate of change in FACT-G subscale scores and baseline clinical, comorbidity, and treatment characteristics.Results49 patients were identified. 57.1% of patients had a malignancy involving an extremity. Mean FACT-G scores of overall wellbeing improved from baseline to 12 months. Social and emotional wellbeing did not differ significantly between baseline and 12 months. Physical wellbeing and functional wellbeing scores improved from baseline to 12 months. No difference was seen for FACT-G overall scores for age, sex, laterality, marital status, performance status, having children, clinical stage, limb surgery, chemotherapy, or tumor size. A difference was demonstrated in physical wellbeing scores for patients with baseline limitation compared to those with no baseline limitation. A difference was demonstrated in social wellbeing based on anatomical site.ConclusionYoung adults with sarcoma treated at a tertiary center had improvements in overall reported QoL at 12 months from diagnosis. Overall baseline QoL scores on FACT-G were lower than the general adult population for YA patients with sarcoma but at 12 months became in line with general population norms. The improvements seen merit further investigation to evaluate how these change over the continuum of care. Quality of life changes may be useful outcomes of interest in sarcoma trials. (shrink)

Too many patients are injured in the course of care. Clinicians may mistakenly cause new harm to a patient or fail to take established steps to improve the presenting condition. Medical institutions within which they work may lack mechanisms to reduce errors or prevent them from harming patients. Many, perhaps even most, injuries are preventable, probably numbering in the hundreds of thousands a year for hospital care alone. Long ignored by medical practitioners and health-care payers and little appreciated by the (...) public, the problem of medical injury is finally receiving high-level policy attention. Much credit goes to the Institute of Medicine for its landmark report of November 1999, which marshaled the evidence about medical injuries and highlighted new approaches to systematic improvement of safety within systems of care. (shrink)

Too many patients are injured in the course of care. Clinicians may mistakenly cause new harm to a patient or fail to take established steps to improve the presenting condition. Medical institutions within which they work may lack mechanisms to reduce errors or prevent them from harming patients. Many, perhaps even most, injuries are preventable, probably numbering in the hundreds of thousands a year for hospital care alone. Long ignored by medical practitioners and health-care payers and little appreciated by the (...) public, the problem of medical injury is finally receiving high-level policy attention. Much credit goes to the Institute of Medicine for its landmark report of November 1999, which marshaled the evidence about medical injuries and highlighted new approaches to systematic improvement of safety within systems of care. (shrink)