With the increased acceptance of complementary and alternative medicine (CAM) within society, new research reflects deeper folk health histories beyond formal medical spaces. The contested relationships between formal and informal medicine have deep provenance and as scientific medicine began to professionalise in the 19th century, lay health knowledges were simultaneously absorbed and disempowered (Porter 1997). In particular, the ‘medical gaze’ and the responses of informal medicine to this gaze were framed around themes of power, regulation, authenticity and narrative reputation. These (...) responses were emplaced and mobile; enacted within multiple settings by multiple agents and structures over time. The work is drawn from secondary material from Ireland, which identify more indigenous narratives of health and act as potential sources for medical humanities. While assumptions have been made as to the place of folk-medicine being essentially rural, evidence will be presented which shows a more complex network of health beliefs and practices. The narratives of informal practice and folk-medicine drawn from evidence from Ireland point to more fluid and hybrid relations with formal medicine and suggest that the complementary nature of the two models reflected wider cultural debates and models of belief (Del Casino Jnr., Health & Place 10:59-73, 2004). (shrink)

Weak states and ineffective economic policies are assumed to mediate the constraints of the world system and to prevent upward mobility among peripheral countries. This article tests the effects of state strength and economic policy on world system mobility in the period 1970–85 on a sample of 162 countries. World system role and mobility were operationalized using role equivalence based network measures. Countries with effective neoorthodox policies experience significantly higher mobility, even after controlling for economic performance, as do countries with (...) states that have high despotic capacity. No effect, direct or indirect, was found for infrastructural state capacity. (shrink)

Cet article est l’occasion de rappeler que le numérique, outil de communication aux avantages économiques indéniables, est également un facteur de risques pour les libertés individuelles. Devenu incontournable, le développement du numérique exige une recherche perpétuelle d’équilibre entre attraits économiques et préservation des libertés individuelles. Le lecteur est invité à suivre le point de vue d’un avocat exerçant en droit du numérique, observateur de l’oscillation entre progression des outils numériques enrichis par l’intelligence artificielle et respect des principes qui gouvernent toute (...) société démocratique. (shrink)

In a voting context, when the preferences of voters are described by linear orderings over a finite set of alternatives, the Maximin rule orders the alternatives according to their minimal rank in the voters’ preferences. It is equivalent to the Fallback bargaining process described by Brams and Kilgour (Group Decision and Negotiation 10:287–316, 2001). This article proposes a characterization of the Maximin rule as a social welfare function (SWF) based upon five conditions: Neutrality, Duplication, Unanimity, Top Invariance, and Weak Separability. (...) In a similar way, we obtain a characterization for the Maximax SWF by using Bottom Invariance instead of Top Invariance. Then, these results are compared to the axiomatic characterizations of two famous scoring rules, the Plurality rule and the Antiplurality rule. (shrink)

How do gym-goers who are normally not inclined to resort to appearance- and performance-enhancing drugs (APEDs) progressively normalize their use? Based on data collected through a year and a half of participant observation in a gym and thirty semi-directive interviews with practitioners with varying profiles in French-speaking Switzerland, this article examines the evolution of practitioners’ relations with APED use by articulating various levels of analysis. Associated with social vulnerabilities, the progressive normalization of APED use is concomitant with the “conversion” to (...) bodybuilding. Our results show the extent to which and under what conditions interactions within the layout of gyms can influence practices. From refusal to normalization, our results suggest that APEDs and the associated beliefs coincide with career stages, which we aim to bring to light here. (shrink)

Curricular design that addresses residency physician competencies in communication skills and professionalism remains a challenge. Graphic Medicine uses comics, a medium combining text and images, to communicate healthcare concepts. Narrative Medicine, in undergraduate medical education, has limited reported usage in Graduate Medical Education. Given the time constraints and intensity of GME, we hypothesized that comics as a form of narrative medicine would be an efficient medium to engage residents.The authors created a novel curriculum to promote effective communication and professionalism, focusing (...) on empathy, compassion and cultural competency. A four-week curriculum was delivered in a neurology residency program. Excerpts from non-fiction graphic memoirs about neurological conditions were read, discussed, and paired with prompt-driven drawing exercises. Qualitative surveys were used to assess acceptability of comics, usefulness of comics to convey patient illness experience, and perception of patient needs for physician-patient communication.Ninety-seven percent of residents reported the sessions were a good use of their time. Residents identified new symptoms of neurologic disorders, articulated patient communication needs, and expressed increased empathy after participation. Residents participated in drawing exercises, but these were not formally analyzed. Graphic medicine is a well received format that may build communication skills and increase empathy. (shrink)

As the number of computational models of eye-movement control in reading increases, so too will their coverage and complexity. This will make their comparison and testing increasingly challenging. We argue here that there is a need to develop a methodology for constructing and evaluating such models, and outline aspects of a possible methodology.

In her Behavioral and Brain Sciences target article, Greenfield (1991) proposed that early in a child's development Broca's area may serve the dual function of coordinating object assembly and organizing the production of structured utterances. As development progresses, the upper and lower regions of Broca's area become increasingly specialized for motor coordination and speech, respectively. This commentary presents a connectionist simulation of aspects of this proposal. The results of the simulation confirm the main thrust of Greenfield's argument and suggest that (...) an important impetus for the developmental differentiation in Broca's area may be the increasing complexity of the computational demands made upon it. (shrink)

Selon une analyse très répandue aujourd'hui, la société contemporaine serait caractérisée par une vaste autonomie des acteurs ; pourtant, ce n'est pas parce que l'hétéronomie autoritaire a régressé au cours des dernières décennies que toute forme d'hétéronomie a disparu, ni que l'autonomie s'étend automatiquement à toute la société. Les domaines dans lesquels le terme « autonomie » est actuellement d'usage courant sont multiples et les acceptions scientifiques du concept fort diverses ; est-ce à dire qu'un même mot est employé pour (...) désigner des faits irréductibles entre eux ou bien n'est-il de véritable autonomie que complexe, tant individuelle que collective ? En tout cas, l'autonomie est moins, aujourd'hui, une réalité, qu'un projet de société, à la fois exigeant, limité et novateur. (shrink)

Dans le contexte de renaissance régionale qui caractérise l'Europe d'aujourd'hui, la Bretagne se distingue par un fort contraste entre la vivacité de son dynamisme culturel et la déficience de son expression politique. Ceci peut s'expliquer par le fait que la singularité bretonne, longtemps dépréciée et refoulée, ne fait l'objet que d'une réévaluation progressive : si ses connotations négatives s'estompent dans le domaine culturel, il n'en est pas encore de même sur le plan politique, où elle demeure taboue face à un (...) État central qui conserve un caractère en partie sacré. Divers indices, cependant, laissent penser qu'il n'est pas exclu que l'identité prenne bientôt, en Bretagne comme ailleurs, une dimension politique dont les modalités sont envisagées ici sous la forme de trois scénarios. (shrink)

Gender inequity is prevalent in the workplace. It violates the principle of equal treatment for all employees, and often leads to problems with retention, morale, and performance. Individuals, however, may have different perceptions of gender inequity. In this study, we examined the relationship between individual and organizational level variables and perceived gender inequity for a sample of church workers. Regression analysis was used to test several hypotheses informed by social psychological theories. The results showed that (1) individuals perceived gender inequity (...) in the workplace; (2) organizational level variables had more effect on perceived gender inequity than individual level variables; and (3) compared to men, women perceived greater gender inequity favoring males. Discussion, limitations, and suggestions for future research are provided. (shrink)

L’Afrique a participé jusqu’a présent, souvent à titre de laboratoire, au développement de la science occidentale. Les défis rencontrés par la théorie critique aujourd’hui sont l’instrumentalisation de la théorie par les gouvernements, la prolifération de pratiques critiques diverses, notamment écologique, et surtout l’émergence d’un capitalisme de l’image et de l’affect. C’est en relation avec la Chine que l’Afrique peut apporter de nouvelles réponses et relever ces défis.