Health justice is an aspirational north star for scholars, practitioners, and anyone who refuses to accept the status quo of profound inequity. But what does health justice mean? How ought we conceptualize it? There is no correct answer to these questions, but any robust rendering of health justice must account for power and politics. This article posits that the path to health justice requires political struggle taking (at least) two forms: (1) building power and (2) breaking power. Building power for (...) health justice means cultivating the political capacity of people who are disproportionately harmed by health inequity, and who therefore have the most at stake. Breaking power involves weakening and destabilizing the economic and political forces that perpetuate health inequity. By surfacing and elaborating these crucial modes of political struggle, this article points to a way forward for achieving health justice. (shrink)

In this paper we look at some of the ingredients and processes involved in the understanding of mathematics. We analyze elements of mathematical knowledge, organize them in a coherent way and take note of certain classes of items that share noteworthy roles in understanding. We thus build a conceptual framework in which to talk about mathematical knowledge. We then use this representation to describe the acquisition of understanding. We also report on classroom experience with these ideas.

Historical foundations rooted in reproductive oppression have implications for how racism has been integrated into the structures of society, including public policies, institutional practices, and cultural representations that reinforce racial inequality in maternal health. This article examines these connections and sheds light on how they perpetuate both racial disparities in maternal health and high rates of maternal mortality and morbidity among Black women.

This article reports a comparative test of the central-union theory vis-à-vis several other game-theoretic solution concepts in 3-person sidepayment games. Based on a laboratory experiment, this comparison utilizes nine games in characteristic function form. The solution concepts under test include the equal excess model, the Myerson–Shapley solution, the kernel, and two variants of the central-union theory. With regard to the player's payoffs, results show that the CU-1, CU-2, kernel, and equal excess theories have essentially equal predictive accuracy and that all (...) of these are more accurate than Myerson–Shapley. When the solution concepts are extended and coalition structure probability predictions are incorporated in the test, one version of the central-union theory is overall more accurate than the other solutions. (shrink)

Human Rights have in the past been defined legalistically, a practice that tends to restrict their full import, and renders them inaccessible to those who need them. In this essay, I attempt to operationalize human rights without necessarily tying such rights to the legal meaning often attached to them. Definitions of `dignity,' 'access to resources,' `equality,' and `entitlement' are worked out in relation to the local context while simultaneously drawing on the aspirational model of Human Rights that I have developed (...) in this slum area within the city of Salé in Morocco. My research is guided by not only this aspirational concept of Human Rights, but also by Islam as an open and evolving entity and a fan of meanings that structures people's lives. The second component of this project is an examination of the sum of religious beliefs and practices that inform and structure the life of individuals in this slum. I try to establish what Islam is in its life-world dimension, particularly for the slum inhabitants, as a way of understanding and explaining their living conditions. The objective is to locate and emphasize the possible links and compatibilities between Islam and Human Rights in keeping with An-Na'im's postulations. This work then aligns itself with the line of inquiry which probes into the particularity and the preparedness of a context to adopt and/or translate Human Rights in a language that is dear and clear to its members. (shrink)

This semiotic research looks into the vehicle of the process of semiosis, the force or the medium by which the existence of a sign is recognized, and the process of semiosis is carried out. This force, which has been termed as ‘mind’ or ‘quasi-mind’ (Peirce 4.536 and 4.551), ‘organism’ (Johansen 1999), ‘codemaker’ or ‘agent’ (Barbieri 2007, 2008) and ‘interpreter’ (Emmeche et al. 2010) can be “any organism or a part of an organism, or just a product whose mechanism allows or (...) is able to carry out the process of semiosis”. These terms are used with reference to the existence of different types and domains of semiosis. In other words, it is not the process of semiosis, but the vehicle of the process of semiosis which makes the existence of different types and domains of semiosis. (shrink)

This article aims to shed light on Hegel's conception of colonialism and its implications for the postcolonial reception of Hegel. Drawing on the abundant literature on the topic, it begins by engaging with Hegel's understanding of colonialism through a close reading of relevant passages of his works, in particular the Heidelberg Vorlesungen über Naturrecht und Staatswissenschaft (1817–18), the Grundlinien der Philosophie des Rechts (1821), the Vorlesungen über die Philosophie des Rechts (1819/20, 1821/22, 1822/23, 1824/25) and the Vorlesungen über die Philosophie (...) der Weltgeschichte (1822/23, 1830). Having mapped and reconstructed Hegel's conception of colonialism through his writings and lectures, the article argues that his account of Europe's modern colonial expansion is based primarily on economic considerations, rather than on civilizational assumptions proclaiming the spiritual superiority of European peoples—to which Hegel nevertheless subscribes. The conclusion explores distinct and divergent postcolonial perspectives for engaging with the contemporary legacy of Hegelianism. It addresses, on the one hand, Tibebu's critical reading of Hegel's philosophical enterprise as ‘the coldest rationalisation of genocidal murder and carnage’ based on ‘paradigmatic apartheid’ and, on the other, Brennan's redemptive reading of Hegel, which values his theoretical contribution to the shaping of 20th century anticolonial thought. After contrasting these two interpretations, the article argues in favour of postcolonial strategies for critical reappropriation and sabotage of the legacy of Hegel's philosophy. (shrink)

Volume 20, Issue 4, May 2020, Page 118-120.

The goal of our work is to explore and highlight factors that contribute to positive experiences of Black employees. To accomplish this, we integrate behavioral ethics research into the Black scholarship literature. Specifically, we focus on the role of ethical leadership. We leverage signaling theory to explain the Black cultural implications associated with ethical leadership and how ethical leaders create racially just workplaces. Across three studies (i.e., one cross-sectional field study and two experimental vignettes), we demonstrate that ethical leadership operates (...) as a welcoming signal for Black employees, which positively impacts Black employees’ evaluations of psychological diversity climate. By cultivating Black employees’ evaluations of psychological diversity climate, Black employees are more likely to be engaged and are less likely to be ostracized in the workplace, which are key indicators of a racially just workplace. Theoretical and practical implications are discussed. We conclude with limitations and future research ideas. (shrink)

In this article, we focus on a particular kind of emotional impact of the pandemic, namely the phenomenology of the experience of moral injury in healthcare professionals. Drawing on Weber's reflections in his lecture Politics as a Vocation and data from the Experiences of Social Distancing during the COVID-19 Pandemic Survey, we analyse responses from healthcare professionals which show the experiences of burnout, sense of frustration and impotence, and how these affect clinicians’ emotional state. We argue that this may relate (...) to the ethical conflicts they experience when they are forced to make clinical decisions where there are no optimal outcomes, and how in turn that impacts on their own emotional state. We then further examine the notion of ‘burnout’ and the phenomenology of ‘moral injury’. Our argument is that these experiences of moral injury across a range of clinicians during the pandemic may be more prevalent and long-standing in psychiatry and mental health than in other areas of healthcare, where ethically difficult decisions and resource constraints are common outside times of crisis. Hence, in these clinical arenas, moral injury and the phenomenology of emotional changes may be independent of the pandemic. The insights gained during the pandemic may provide wider insights into the challenges of developing services and training the workforce to provide appropriate mental health care. (shrink)

AbstractCritics charge that agriculture has reached an unsustainable level of consolidation and expropriation, as exemplified by the supply-chain breakdown of the COVID-19 pandemic. Simultaneously, advocates suggest the current system serves consumers well by keeping prices low and access to choices high. At the center of this debate rests a disagreement over how to compute market power to identify monopolies and oligopolies. We propose a method to study power across different sectors by using Social Network Analysis to analyze key players, the (...) presence of core-periphery structures, and agricultural consolidation. We test our market network approach to power through an analysis of the top ten pork powerhouses. We find that Big Finance is closely tied to Big Ag, and that key players limit the capacity for more peripheral actors, like growers, equipment producers, and regional banks, to engage in the network. We identify system level risk of collapse and suggest pathways for reform. (shrink)

Green finance plays a crucial bridge as an intermediary between finance and the environment, facilitating resource allocation. The disclosure of environmental information (EID) is vital for promoting sustainable economic development. This study utilizes panel data covering the period from 2012 to 2019, focusing on Chinese companies listed in high-polluting industries. The findings demonstrate that green finance policies have a significant positive impact on EID, while increased managerial power has a detrimental effect. However, green finance policies can mitigate the negative consequences (...) arising from moral hazard and adverse selection resulting from managerial power. They enhance the quality of EID by restricting long-term loan resources for polluting entities. The heterogeneity test reveals that the effectiveness of green finance policies in promoting EID varies across different regions of China. In non-state-owned companies, green finance policies are more effective in constraining managerial power. The moderating effect of green finance on managerial power is weakened by improvements in internal control. Green financing can offset the adverse impact of managerial power on EID when debt levels are high. Our research plays a crucial role in advancing micro-academic studies in the field of green finance. By strengthening internal controls for corporate managers and promoting EID policies, we provide essential support and guidance to decision-makers. (shrink)

In August 2021, Froese et al. published survey data collected from 2,543 respondents on their subjective experiences living under imposed social distancing measures during COVID-19 (1). The questionnaire was issued to respondents in the UK, Japan, and Mexico. By combining the authors’ expertise in phenomenological philosophy, phenomenological psychopathology, and enactive cognitive science, the questions were carefully phrased to prompt reports that would be useful to phenomenological investigation and theorizing (2–4). These questions reflected the various author’s research interests (e.g., technology, grief, (...) time). Between April 7th and July 31st, 2021, a second questionnaire with the same question set was issued to respondents of the original who had agreed to do a follow-up. This was intended to capture subjective reports of life under social distancing measures a year after the initial survey. By this time–depending on their country of residence and health status–respondents had potentially lived with repeated and prolonged lockdowns and a variety of other restrictions on their social lives. When taken together, Survey I and Survey II provide a cross-cultural and longitudinal dataset that allows for analysis of longer-term impacts of imposed social distancing measures on people’s experiences. For researchers working in diverse disciplines, this dataset offers a rich resource that reflects people’s reactions to the imposition of different social restrictions in different countries and over different time periods. (shrink)

At the 2022 Clinical Ethics Unconference, the authors perceived a significant lack of racial and ethnic diversity, which was consistent with their experiences in other clinical ethics settings. As a result, they convened a working group to address the pervasive lack of diversity present in the field of clinical ethics and to propose strategies to increase the representation of people from racial and ethnic minority populations. This article identifies the harms associated with the lack of diversity in the healthcare setting (...) and translates these to the field of clinical ethics. The article then proposes a framework that may be used to help diversify the field of clinical ethics. Specifically, the authors identify existing barriers to appropriate diversity, actionable steps to increase diversity, and tools the field can utilize to systematically assess its progress with respect to achieving diversity. (shrink)

Background Professors of nursing sometimes experience specific situations in their daily practice that conflict with their values and ethical principles and may culminate in moral distress. Moral distress occurs when one is prevented from acting according to his or her knowledge or values, or what one considers to be ethically sound. Objectives To identify the profile of professors of nursing through grouping sociodemographic characteristics and intensity of moral distress. Method Cross-sectional and exploratory study addressing 373 nurses teaching in Brazilian federal (...) public higher education institutions. Data were collected from June to December 2018 through email, using the Google Docs tool. A moral distress scale directed to nurse educators was used. Data were analyzed using descriptive statistics, variance analysis, and cluster analysis. Ethical considerations The Institutional Review Board at the Federal University of Rio Grande approved this study. Findings Initially, four clusters emerged for each variable predicting the profile of Brazilian professors of nursing: sex; whether the individual worked in a graduate program; age; experience in years in their respective higher education institution; and intensity of moral distress. The profile of Brazilian professors of nursing was represented by the largest cluster, 36.5% (n = 136), composed of women working in graduate programs, aged 37 years old on average, having worked in their respective institutions for approximately 5 years, and presenting a moderate intensity of moral distress. Conclusion Assigning individuals into groups facilitates seeing similarities among the predictors that compose the profile of Brazilian professors of nursing, thus recognizing those workers experiencing moral distress in their daily work routine. In addition, this study’s results are expected to encourage reflection on the planning of efficacious interventions directed to the context of education and health. (shrink)

Background: Moral distress is considered to be the negative feelings that arise when one knows the morally correct response to a situation but cannot act because of institutional or hierarchal constraints. Objectives: To analyze moral distress and its relation with sociodemographic and academic variables in undergraduate students from different universities in Brazil. Method: Quantitative study with a cross-sectional design. Data were collected through the Moral Distress Scale for Nursing Students, with 499 nursing students from three universities in the extreme south (...) of Brazil answering the scale. The data were analyzed in the statistical software SPSS version 22.0, through descriptive statistical analysis, association tests (t-test and analysis of variance), and linear regression models. Ethical considerations: Approval for the study was obtained from the Research Ethics Committee at Universidade Federal do Rio Grande. Findings: The mean intensity of moral distress in the constructs ranged from 1.60 to 2.55. As to the occurrence of situations leading to moral distress in the constructs, the frequencies ranged from 1.21 to 2.43. The intensity level of moral distress showed higher averages in the more advanced grades of the undergraduate nursing course, when compared to the early grades of this course (between 5 and 10 grade, average = 2.60–3.14, p = 0.000). Conclusion: The demographic and academic characteristics of the undergraduate nursing students who referred higher levels of moral distress were being enrolled in the final course semesters, were at a federal university, and had no prior degree as an auxiliary nurse/nursing technician. (shrink)

Background: Mismatch between the perception of one’s moral duty and one’s real social contribution may trigger moral distress, especially when no specific resistance strategies are used to counteract morally distressing situations. Considering a philosophical-ethical conception, individuals need to first reflect upon themselves to later turn to the world and confront their current situation in order to change it. Objectives: To understand moral distress experienced by nursing professors teaching in higher education institutions and the use of parrhesia as a coping strategy. (...) Method: This qualitative exploratory-descriptive study addressed 33 nursing professors working in Brazilian federal public universities using an open-ended question form. Data were collected between June and December 2018 and analyzed using discursive textual analysis. Ethical considerations: The Institutional Review Board at the Federal University of Rio Grande approved this study. Findings: Three categories emerged: performance of nursing professors and potentially distressing situations, the experience of moral distress, and parrhesia as a strategy to deal with moral distress. Nursing professors face situations that cause moral distress in the context of higher education, however, those who adopt parrhesia as a coping strategy find it easier to express their beliefs from the perspective of moral duty, even in the face of conflicts. Conclusion: When the nursing professors in this study acknowledge elements in the power structure that hinder their actions, they express parrhesia, as an essential virtue in an attempt to modify unsymmetrical power relations that can trigger moral distress. (shrink)

This book is an ethnographic study of the Sufi ritual practices and embodied experiences among the female members of the Naqshbandi community in Cape Town, South Africa. The specific Sufi ritual in question is hadra, often called the “Sacred Dance,” a religious gathering that combines bodily movement, the recitation of sacred texts, and music to achieve closeness to God. The book’s main argument is that hadra serves as a somatic platform for Sufi women to express their identity and piety, made (...) visible through their bodies and bodily movements during the ritual. (shrink)

> The Japanese have a word which summarizes all the best in Japanese life, yet it has no explanation and cannot be translated. It is the word shibui, and the best approximation to its meaning is 'acerbic good taste'.—James A. Michener in Iberia The austere beauty of lacquerware, the wizened lines and thickened trunk of a 100-year-old bonsai, the veiled beauty of murky jade—what do all these have in common? These are the qualities of shibumi, a Japanese aesthetic defined (...) by the seven characteristics described by Dr Yanagi Soetsu1 in The Unknown Craftsman: simplicity, implicity, modesty, naturalness, everydayness, imperfection, silence. Derived from the root word shibui, literally meaning ‘bitter’, the antonym of amai, for sweet—the etymology of shibusa encapsulates the jolting acerbity of one inadvertently sinking her teeth into an unripe persimmon; paradoxically described as a moment of inward transcendence. Quite distinct from wabi-sabi—while pottery and stoneware may be embraced for organic lines reflecting naturalness and imperfections as an aesthetic; within the distillation of shibumi, beyond the asymmetrical and flawed, lies an appreciation of ‘beauty with inner implications’ that ‘allows depth of feeling to be visible through spare surface design thereby manifesting the invisible core that …. (shrink)

This is a collection of fifty essays featured in Edward R. Murrow's 1950s This I Believe radio series. It includes such celebrities of the twentieth century as Pearl Buck, Norman Cousins, Margaret Mead, James Michener, Jackie Robinson, and Harry Truman. With an introduction by Edward R. Murrow and a foreword by Dan Gediman, executive producer of the contemporary This I Believe radio broadcasts, heard weekly on public radio.

This text is the transcription, by Jamila Mascat and Sabina Tortorella, of an unpublished manuscript written by Alexandre Kojève in 1965, on the occasion of a conference held as part of the Theological Seminar of the Society of Jesus in Chantilly. In it, Kojève proposes a reformulation of some of his theses from the Introduction à la lecture de Hegel, taken up again in the Essai d’une histoire raisonnée de la philosophie païenne: on the one hand, he identifies the (...) fundamental features of philosophical discourse in relation to other forms of human discourse; on the other, he elaborates a dialectical and historical schema of the evolution of philosophy from its origins. The result is an examination of the status of philosophy, its relationship to time and eternity, and its possible overcoming by wisdom. (shrink)

In the North American context, one trend in introductory Protestant Christian ethics texts is clear: the desire to draw the focus away from moral pronouncements about contemporary ‘issues’ in order to concentrate on what it means to be truly human, that is, to see the world as followers of Christ made in the image of God and to employ forms of moral reasoning appropriate to this vision. The article illuminates the particular emphases displayed in contemporary Protestant ethics texts published in (...) the United States over the past decade as each contributes to this agenda of renewal. In conclusion, I argue that the trend toward eschewing ‘applied’ ends is laudable and yet ambiguous. I suggest this trend may also be tied to the relative gender and racial uniformity of the authors, because what is frequently absent in this collection are the social and political concerns commonly voiced by more marginalized voices. (shrink)