This article traces the development and growth of health justice partnerships (HJPs) in three countries: the United States, Australia and the United Kingdom.

Background Scientific and technological advancements in mapping and understanding the interrelated pathways through which biological and environmental exposures affect disease development create new possibilities for detecting disease risk factors. Early detection of such risk factors may help prevent disease onset or moderate the disease course, thereby decreasing associated disease burden, morbidity, and mortality. However, the ethical implications of screening for disease risk factors are unclear and the current literature provides a fragmented and case-by-case picture. Methods To identify key ethical considerations (...) arising from the early detection of disease risk factors, we performed a systematic scoping review. The Scopus, Embase, and Philosopher’s Index databases were searched for peer-reviewed, academic records, which were included if they were written in English or Dutch and concerned the ethics of (1) early detection of (2) disease risk factors for (3) disease caused by environmental factors or gene-environment interactions. All records were reviewed independently by at least two researchers. Results After screening 2034 titles and abstracts, and 112 full papers, 55 articles were included in the thematic synthesis of the results. We identified eight common ethical themes: (1) Reliability and uncertainty in early detection, (2) autonomy, (3) privacy, (4) beneficence and non-maleficence, (5) downstream burdens on others, (6) responsibility, (7) justice, and (8) medicalization and conceptual disruption. We identified several gaps in the literature, including a relative scarcity of research on ethical considerations associated with environmental preventive health interventions, a dearth of practical suggestions on how to address expressed concerns about overestimating health capacities, and a lack of insights into preventing undue attribution of health responsibility to individuals. Conclusions The ethical concerns arising with the early detection of risk factors are often interrelated and complex. Comprehensive ethical analyses are needed that are better embedded in normative frameworks and also assess and weigh the expected benefits of early risk factor detection. Such research is necessary for developing and implementing responsible and fair preventive health policies. (shrink)

We tested the hypothesis that “good feelings”—the central element of subjective well-being—are associated with interdependence and interpersonal engagement of the self in Japan, but with independence and interpersonal disengagement of the self in the United States. Japanese and American college students (total N = 913) reported how frequently they experienced various emotional states in daily life. In support of the hypothesis, the reported frequency of general positive emotions (e.g. calm, elated) was most closely associated with the reported frequency of interpersonally (...) engaged positive emotions (e.g. friendly feelings) in Japan, but with the reported frequency of interpersonally disengaged positive emotions (e.g. pride) in the United States. Further, for Americans the reported frequency of experience was considerably higher for positive emotions than for negative emotions, but for Japanese it was higher for engaged emotions than for disengaged emotions. Implications for cultural constructions of emotion in general and subjective well-being in particular are discussed. (shrink)

The British Government has recently agreed proposals for a National Numeracy Strategy which claims to be based on evidence concerning 'what works'. This article reviews the literature in each key area in which recommendations are made, and makes a judgement of whether the claim is justified. In some areas (e.g. calculators) the recommendations run counter to the evidence.

This chapter compares simple predicates of personal taste (PPTs) such as tasty and beautiful with their complex counterparts (eg tastes good, looks beautiful). I argue that the former differ from the latter along two dimensions. Firstly, simple PPTs are individual-level predicates, whereas complex ones are stage-level. Secondly, covert Experiencer arguments of simple PPTs obligatorily receive a generic interpretation; by contrast, the covert Experiencer of a complex PPT can receive a generic, bound variable or referential interpretation. I provide an analysis of (...) these facts based on a novel proposal about the licensing of individual-level predicates (the ‘Licensing Condition on ILPs’). This condition states that all covert pronominal arguments of an individual-level predicate must be bound by the generic operator. Finally, I show that generic construal of the Experiencer is a necessary condition for faultless disagreement. This is evidence in favour of treatments of subjective meaning that appeal to genericity, and against relativism about PPTs. (shrink)

L'itinéraire singulier d'une femme que l'on pourrait, par bien des aspects, considérer comme appartenant à un passé déjà lointain, suscite pourtant chez nombre de nos contemporains un intérêt de plus en plus grand. Edith Stein - connue également sous le nom, qu'elle prit au Carmel, de Thérèse-Bénédicte de la Croix - reste aux yeux de beaucoup un témoin particulièrement saisissant des drames fondamentaux qui ont jalonné le XXe siècle européen et dont nous sommes, pour le meilleur comme peut-être pour le (...) pire, les héritiers. C'est à ce titre que sa vie et son message peuvent constituer pour notre avenir une lumière digne d'être interrogée. S'il est vrai que l'Europe doit d'abord et avant tout être un espace où vivent et se rencontrent des êtres humains capables de promouvoir une culture empreinte de dignité et de responsabilité, il était alors tout naturel de prendre comme fil conducteur de ce colloque le thème essentiel de la réflexion steinienne : la question de la personne humaine. Quatre approches complémentaires ont été choisies pour déployer quelques-unes des composantes de cette interrogation : L'enracinement philosophique d'Edith Stein dans le milieu phénoménologique de Göttingen, sa situation dans l'histoire de son temps, son activité d'éducatrice au service de la formation intégrale de la personne humaine, l'accomplissement de son engagement intellectuel dans la réflexion théologique et l'expérience du mystère de la Croix. (shrink)

A lone fish swims haphazardly in any direction, but. if we get enough fish of the same species together so that neighboring individual fish may exchange signals, they adopt a common direction. Here we have a phenomenon of cooperation: many individuals find themselves in strong interaction with each other, and overall behavior is noticeably affected.

This paper presents novel data regarding the logophoric pronoun in Ewe. We show that, contrary to what had been assumed in the absence of the necessary fieldwork, Ewe logophors are not obligatorily interpreted de se. We discuss the prima facie rather surprising nature of this discovery given the assumptions that de se construals arise via binding of the pronoun by an abstraction operator in the left periphery of the clausal complement of an attitude predicate, and that logophors are elements that (...) are obligatorily bound by such abstractors. We show that this approach can be reconciled with these facts given the additional assumption that elements that are ‘de se’ bound can interact with the concept generator variables posited by Percus and Sauerland to derive de re interpretations of embedded nominals. The proposed set-up has consequences for our understanding of puzzles raised by Heim and Sharvit concerning binding-theoretic effects with de re elements, and for the derivation of the obligatorily de se interpretation of controlled PRO. (shrink)

Os mais importantes paradoxos de decisáo social, ou seja, de votaçáo sáo apresentados. A apresentaçáo indica tanto a origem dos paradoxos discutidos quanto uma breve discussáo das mais importantes tentativas de os resolver. Sáo considerados paradoxos em que a regra de votaçáo preve ruma igualdade de peso entre os eleitores, bem como paradoxos com regras altemativas de votaçáo. A democracia tem se firmado entre a grande maioria dos povos como a maneira mais justa de organizaçáo social e , especialmente em (...) se tratando da esco lha das autoridades de uma democracia representativa, em quase axiomático 0 uso da regra da igualdade de peso de cada eleitor, embora outras regras tambem sejam usadas em clubes, instituições finançeiras e outros bastante conhecido, porem que tanto o proprio conceito de democracia quanto a referida a regra de escolh sáo isentas de problemas e, em especial, geram certos paradoxos. Assim passa-se em revista aqui alguns dos mais importantesparadoxos eleitorais, sem a pretensáo de resoIve-los", mas com o intuito de ampliar a discussao critica e portanto, fortalecer praticas politicas desejaveis. (shrink)

My purpose in this essay is to describe and define the ways in which Afro-American women intellectuals, in the last decade of the nineteenth century, theorized about the possibilities and limits of patriarchal power through its manipulation of racialized and gendered social categories and practices. The essay is especially directed toward two academic constituencies: the practitioners of Afro-American cultural analysis and of feminist historiography and theory. The dialogue with each has its own peculiar form, characterized by its own specific history; (...) yet both groups are addressed in an assertion of difference, of alterity, and in a voice characterized by an anger dangerously self-restrained. For it is not in the nature of Caliban to curse; rather, like Caliban, the black woman has learned from her behaviour of her master and mistress that if accommodation results in a patronizing loosening of her bonds, liberation will be more painful. Hazel V. Carby is assistant professor of English at Wesleyan University. She is the coauthor of the Empire Strikes Back: Race and Racism in Seventies Britain and the author of Uplifting as They Write: The Emergence of the Afro-American Woman Novelist. (shrink)

The book explores and explains the relationship between law and ethics in the context of medically related research in order to provide a practical guide to understanding for members of research ethics committees (RECs), professionals involved with medical research and those with an academic interest in the subject.

The author uses a case history to compare the approaches taken by social care teams in engaging with parents whose care of their children has been called into question. As organising secretary for Parent Aid, a voluntary support service for Essex families who had or were likely to become clients of Social Services, she drew up a list of five keys points that would improve working relations with parents in child protection and court situations and relates them to the ethical (...) framework; write reports that are both factual and objective ; take as much time to build a relationship with the parents as you do with the child; remember to treat gossip with extreme caution; donât back off from parents just because they seem hostile; and try to be as honest and reliable as possible. The examples used to illustrate these points are said to demonstrate the five areas where parents most often take objection to Social Servicesâ approach; the same areas that are most likely to cause parentsâ anxiety and anger to harden into belligerence. The author goes on to show that all of these points can be found embedded in the Code of Practice for Social Workers. (shrink)

We relate Popper functions to regular and perfectly additive such non-Archimedean probability functions by means of a representation theorem: every such non-Archimedean probability function is infinitesimally close to some Popper function, and vice versa. We also show that regular and perfectly additive non-Archimedean probability functions can be given a lexicographic representation. Thus Popper functions, a specific kind of non-Archimedean probability functions, and lexicographic probability functions triangulate to the same place: they are in a good sense interchangeable.

Religion-based AI chatbots serve religious practitioners by bringing them godly wisdom through technology. These bots reply to spiritual and worldly questions by drawing insights or citing verses from the Quran, the Bible, the Bhagavad Gita, the Torah, or other holy books. They answer religious and theological queries by claiming to offer historical contexts and providing guidance and counseling to their users. A criticism of these bots is that they may give inaccurate answers and proliferate bias by propagating homogenized versions of (...) the religions they represent. These “embodied spiritual machines” may likewise bear bias against women, their gender, and their societal roles. This paper crafts a concept intended to address this GPT issue by reimagining, modifying, and implementing a feminist approach to these chatbots. It examines the concepts and designs of these bots and how they address women-related questions. Along with the challenge of bringing gender and diversity-sensitive religious wisdom closer to the people through technology, the paper proposes a re-engineered model of a fair religion-based AI chatbot. (shrink)

Machine generated contents note: Table of Cases xi -- Table of legislation xv -- Introduction: Medicine Men, Outlaws and Voluntary Euthanasia 1 -- 1. To Kill or not to Kill; is that the Euthanasia Question? 9 -- Introduction-Why Euthanasia? 9 -- Dead or alive? 16 -- Euthanasia as Homicide 25 -- Euthanasia as Death with Dignity 29 -- 2. Euthanasia and Clinically assisted Death: from Caring to Killing? 35 -- Introduction 35 -- The Indefinite Continuation of Palliative Treatment 38 -- (...) Withholding or Withdrawing Treatment 44 -- The Principle of Double Effect 54 -- Physician Assisted Suicide 60 -- Mercy Killing 64 -- Conclusions 66 -- 3. Consent to Treatment but Not to Death 69 -- Introduction-Why Consent? 69 -- Without Consent 70 -- Killing and Consent 73 -- Valid Consent, Freely Given? 74 -- Old Enough to Consent 80 -- Deciding for Others 82 -- Conclusions-A Consent Too Far? 93 -- 4. Autonomy, Self-determination and Self-destruction 95 -- Introduction-Autonomous Choices 95 -- Choosing to Die-Suicide and Autonomy 100 -- Suicidal Intentions 107 -- Autonomous Clinical Discretion 110 -- Deciding to Live or Die-Whose Decision? 112 -- 5. Living Wills and the Will to Die 115 -- Introduction 115 -- I Know My Will 118 -- This is My Will 121 -- I Will Decide 128 -- Will My Will be Done? 134 -- Where There's a Will 137 -- Conclusions 143 -- 6. Is Euthanasia a Dignified Death? 145 -- Introduction-Why Dignity? 145 -- Needing Dignity 146 -- Finding Dignity 149 -- Achieving Dignity in Dying 151 -- Dignifying Death 157 -- 7. Conclusions: Dignified Life, Dignified Death and Dignified Law 165 -- Select Bibliography 175 -- Index 183. (shrink)

It is a somewhat vexed question whether presuppositions are always accommodated into the global context of utterance of the sentence, or whether they may sometimes be accommodated into a local context - the context of some subsentential constituent. Von Fintel (2008) argues that there is no local accommodation. He shows that presuppositions in the scope of universally quantified sentences, which have traditionally been handled via local accommodation (eg Heim 1983), can be accounted for by assuming that conversational participants select a (...) domain of quantification such that every relevant element of it has the property required by the presupposition in the scope. It is shown that this domain selection mechanism cannot account for a related set of data involving presupposition triggers in the restrictor rather than scope of the universal. We also discuss the relationship between quantified sentences and conditionals, and general consequences for the theory of presupposition accommodation. (shrink)

Numerous recommendations and guidelines aim to improve the quality, timeliness and transparency of medical publications. However, these guidelines use ambiguous language that can be challenging to interpret, particularly for speakers of English as a second language. Cultural expectations within the Asia-Pacific region raise additional challenges and several studies have suggested that awareness and application of ethical publication practices in the Asia-Pacific region is relatively low compared with other regions. However, guidance on applying ethical publication practice guidelines in the Asia-Pacific region (...) is lacking. This commentary aims to improve publication practices in the Asia-Pacific region by providing guidance on applying the 10 principles of the Good Publication Practice 3 (GPP3) guidelines and the International Committee of Medical Journal Editors (ICMJE) criteria for authorship. Recommendations are provided for encore presentations, applying the ICMJE authorship criteria in the context of regional cultural expectations, and the role of study sponsors and professional medical writers. Ongoing barriers to compliance with guidelines are also highlighted, and additional guidance is provided to support authors submitting manuscripts for publication. The roles of regional journals, regulatory authorities and professional bodies in improving practices are also discussed. (shrink)

This extended literature review proposes to present the trends in the therapeutic alliance, outcomes, and measures in the last decade within the premises of individual cognitive behaviour therapy and its innovations, used as an interventional measure in the context of child and adolescent mental health setting. A brief background of the rationale for conducting this literature search is presented at the start. This is followed by the methodology and design which incorporates the inclusion and exclusion criteria and the basis for (...) the same. The critical appraisal of the primary studies is presented in the literature review section with a brief description of the summary features of the studies in the study tables followed by the results and discussion of the study findings. To summarise, the literature review of primary studies conducted in the last decade demonstrates the need for further research to be conducted both in the field of CBT in children and therapeutic alliance, competence, and therapy outcomes, integrating perspectives in child development, carer alliance, and the social construct theory in children, to allow for further innovations in CBT in the context of increasing challenges in the current times of exponentially developing technology and its utility without compromising the quality of therapy. In conclusion, recommendations are made as a guideline for future studies and research in this field. (shrink)

Calls for the inclusion of women in clinical trials raise the obvious question: why have sponsors excluded them? The answer most often given is one tragically evocative word: Thalidomide. The tragedies of the children born with seal limbs because their mothers took this over-the-counter sleeping pill and cure for morning sickness showed that, contrary to previous perceptions, the placenta could not be depended upon to filter out toxins before they reached the fetus. The specter of birth defects spawned sponsors’ fears (...) of a variety of catastrophes which contributed to closing the doors of clinical trials for women.This paper will not argue that the possibility of birth defects arising from the ingestion of an experimental drug does not exist. Sadly, scientists do not yet have the ability to predict which drugs will cause birth defects. Rather, it will argue that case law does not provide a basis for sponsor liability when a woman gives informed consent and the regulations governing clinical trials are followed. (shrink)

Calls for the inclusion of women in clinical trials raise the obvious question: why have sponsors excluded them? The answer most often given is one tragically evocative word: Thalidomide. The tragedies of the children born with seal limbs because their mothers took this over-the-counter sleeping pill and cure for morning sickness showed that, contrary to previous perceptions, the placenta could not be depended upon to filter out toxins before they reached the fetus. The specter of birth defects spawned sponsors’ fears (...) of a variety of catastrophes which contributed to closing the doors of clinical trials for women.This paper will not argue that the possibility of birth defects arising from the ingestion of an experimental drug does not exist. Sadly, scientists do not yet have the ability to predict which drugs will cause birth defects. Rather, it will argue that case law does not provide a basis for sponsor liability when a woman gives informed consent and the regulations governing clinical trials are followed. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Notes and Fragments SARTRE AND SEXISM by Hazel E. Barnes Insofar as is possible, I want to consider here not Sartre the man but Sartre the philosopher—or, more precisely, the philosophy of Sartre. To askwhether Sartre's long association with Simone de Beauvoir was a model of human relations at their best or an example ofbad faith on both sides is not to my present purpose. Nor are his (...) numerous, sometimes rather unsavory affairs with other women. Of course, the man and his work cannot be separated entirely. Sartre himselfadmitted that despite his wholehearted support of women's liberation, there remained in him vestiges of ingrained male chauvinism which he found difficult to eradicate.1 We should expect to find echoes of these in his writing, and we do—not in the ideas but in the imagery and rhetoric, and these not only in the fiction but in the philosophical works. The grossest example is the well-known passage in which Sartre discusses the "existential meanings" ofslime and holes.2 Slime, the great "Antivalue," is "a moist and feminine sucking" and "a sickly-sweet feminine revenge." Moreover—and this is even worse—Sartre allows his meditation on holes to lead by a process of his own associations to the idea ofa woman's sex as "a voracious mouth" evoking the male castration complex. This is not the only place where Sartre links female with notions of a treacherous receptivity. Furthermore, such passages are complemented by others where Sartre employs male sexual imagery to describe the activity of consciousness. Knowledge is portrayed as penetration and conquest. He points out, without objecting, that banal metaphors of everyday language suggest that "knowing" has overtones of carnal knowing and sexual violation: "What is seen is possessed; to see is to deflower.... The unknown object is given as immaculate, as Philosophy and Literature, © 1990, 14: 340-347 Hazel E. Barnes341 virgin, comparable to a whiteness.... Man has not yet 'snatched' its secret away from it.... Figures of speech... like that of the 'unviolated depths of nature' suggest the idea ofsexual intercourse more plainly."3 There can be no doubt that a full investigation ofthe linguistic codes in Sartre's writing would reveal him to be a man comfortably ensconced in a world of male dominance. Yet Collins and Pierce in their excellent article, "Holes and Slime: Sexism in Sartre's Psychoanalysis," even as diey deplore Sartre's sexist language and his failure to depict any fictional female characters as embodiments of existential authenticity, admit that these weaknesses are at variance with the central philosophy ofBeing and Nothingness and not derived logically from it.4 I agree, and diat is why I hold that the sexism is there but is contingent, relevant to our appraisal of die writer but not essential to ourjudgment on the philosophy and its potential value as a support to feminism. In saying this I am partially making the sort of distinction employed by Jean Grimshaw, who points out that a philosophy built on male assumptions may exclude women essentially as with Kant, inconsistendy as with Aristode, or inadvertendy as with Descartes.5 The difference with Sartre is that in spite of the occasional lapse into traditional male linguistic tropes, the work, like its author, is notjust theoretically egalitarian but concerned explicidy with forms of oppression and the problems of disfavored groups. More than that of any other male writer, Sartre's philosophy seems to me to demand feminism as one of its natural consequences. That diis has been historically true is shown, ofcourse, by the fact that Simone de Beauvoir used Sartrean existentialism as the foundation for her own original analysis of women's situation in TL· Second Sex. The irony is diat this book, which played a key role in launching the movement for women's liberation throughout the world, has been adversely criticized by later feminists precisely on the grounds of its Sartrean orientation, along with Beauvoir's emphasis on women's right to share the things men value rather than to challenge those values. Beauvoir herself later recognized that the book did not go far enough, but she never renounced what she had written there. My claim... (shrink)

In this paper, we discuss specific epistemic injustices suffered by gender minorities in the Philippines. We also show that societal changes have been evident throughout the years. We review some progressive Philippine Catholic communities' sustainable development efforts toward gender equality or toward the eradication of discrimination, marginalisation, and violence based on a person's sexual orientation, gender identity, or gender expression (SOGIE). Despite these epistemic injustices, we reveal that there are ways by which gender disorientations may be disrupted by progressive Philippine (...) Catholic groups and communities in the era of contemporary Christianities. (shrink)