Invited media scholars and journalists examine the general issue of nuclear waste, risk and the sicentific promises that were made, but not kept, about safe disposal. The mass media uncovered and reported on nuclear waste problems at Rocky Flats in Colorado and Hanford in Washington. Two environmental journalists review efforts to expose problems at these sites, how secrecy hampered reporting, and the effects of media coverage on nearby residents. An environmental communications scholar evaluates media coverage, the role of the U.S. (...) Department of Energy, and the impact of secrecy on public risk perceptions and attitudes toward government nuclear waste policies. (shrink)

A programme of research into conflict (e.g. violence, absconding, medication refusal) and containment (e.g. seclusion, special observation, physical restraint) in inpatient psychiatry has been under way at City University, London, UK, for the past 10 years. Recent research findings, plus the challenges posed by ongoing projects, have made apparent the need for greater clarity about the overarching concepts of ‘conflict’ and ‘containment’. This paper pulls together research findings pertaining to this issue, and conducts a reasoned analysis of what common characteristics (...) might underlie ‘conflict’ and ‘containment’. It is concluded that these are patient threats to safety, and the staff maintenance of safety. Details are presented on the inclusions and exclusions that follow from taking such a position, and potential definitions offered. On the grounds of this conceptual analysis, plus evidence for moderate degrees of statistical association between behaviours and events in each domain, it is concluded that it is legitimate to conduct analyses at the level of total conflict and containment rates, as well as at the level of individual types of behaviours and events (e.g. verbal abuse, sedation). Some of the mathematical difficulties in the analysis of total conflict and containment are addressed, and results of a weighting exercise presented. This exercise challenges our perception of the severity of some containment measures that are becoming more commonly used in acute psychiatry. (shrink)

There are theoretical difficulties involving the intentions of anglers that must be faced by anyone who wants to argue that sport fishing is ethically impermissible. Recent arguments have focused on what might be called the sadistic argument. This argument is fatally flawed because sport fishing is not a sadistic activity.

In lieu of an abstract, here is a brief excerpt of the content:Using The Spiritual Exercises of Ignatius of Loyola as a Basis for a Buddhist-Christian RetreatLen Tischler and Andre Delbecqorigin of the retreatJesuit (Catholic) universities have struggled to preserve their religious worldview and pass it on to their students, faculty, and staff. Given that most faculty and administrators at these universities are laypeople and many are not Catholic, the universities depend largely on their campus mission/ministry offices for this purpose. (...) One of the primary methods of sharing their worldview has been to provide retreats for students.The retreats are introspective with a religious and Jesuit orientation. Most student retreats are conducted over a weekend; some over a full week. Most Jesuit universities get fewer than ten percent of their students to attend one retreat in their four years on campus. Far fewer students attend more than one retreat. These schools also attempt to encourage faculty and staff to attend similar retreats, and participation in these retreats is similarly modest.Retreats have been a primary tool for the formation of Jesuit priests. Their formation program includes taking at least two retreats of twenty-eight to thirty days each. These retreats use the Spiritual Exercises of Ignatius of Loyola, a specific pattern of reflective meditation and introspection over twenty-eight days that leads to greater clarity about one’s life. The Spiritual Exercises are deeply theistic and are focused on the person of Jesus.Jesuit universities have an increasing number of non-Catholics and non-Christians. For most Christians, shorter retreats or spiritually directed meditations based on the Exercises and undertaken over a number of weeks (referred to as the nineteenth annotation form) are the preferred form. However, there have been limited resources for juxtaposing the Ignatian Exercises with non-Christian traditions.With the above in mind, the authors designed a three-day retreat that follows the pattern and purpose of the Exercises for a Christian, but which presents in parallel [End Page 213] meditations and reflections from the Buddhist tradition. (Sarita Tamayo-Moraga, Bo Tep, and Juan Velasco were co-designers of the retreat and co-authors of the manuscript for the retreat.) This allows Ignatian perspectives on the unfolding spiritual journey and Buddhist wisdom to be shared between Christians and Buddhists. To test our design, a first retreat was undertaken by spiritually mature adults with some experience with the interface between Buddhism and Christianity.the retreatThe Spiritual Exercises are published with contemporary commentary in a number of books. Originally written in the early1500s, they have been rewritten or interpreted for modern times. Often both the original commentary by Ignatius and a contemporary interpretation are provided. Since our retreat was only three days, the essence of each section of the Exercises was summarized in a page or so. With the help of three Buddhist teachers (Sarita Tamayo-Moraga, Bo Tep, and Juan Velasco), we then spent the better part of a year meditating with the Ignatian passages and then searching a variety of Buddhist writings for passages that spoke to a similar spiritual challenge within the Buddhist worldview. A manuscript (Andre L. Delbecq, Sarita Tamayo-Moraga, Bo Tep, Len Tischler, and Juan Velasco, Ignatius and the Buddha in Conversation: A Resource for a Religiously Plural Dialog, self-published, 2014) was created that comprised six sections, each containing a summary of the essence of a section from the Exercises followed by the related Buddhist writings. Original artwork related to both traditions was prepared by a talented Zen artist.For the initial retreat we chose people who had a deep background in both traditions with approximately an equal number of Buddhists and Catholics. Since our focus was Jesuit universities, we chose mostly academics, but there were also two executives. Participants were asked to read the manuscript containing the reflections from the Exercises and Buddhist wisdom before the retreat so that they would be familiar with the content. Catholics and some Buddhists also read the Exercises in full. There were twelve participants.The retreat was structured into six parts. Each part began with two thirty-minute meditations, one on the Ignatian Exercises in the corner with the Ignatius icon, the other on the Buddhist quotes in the corner with... (shrink)

In reply to a chapter by Robert Ware on the need to include, rather than eliminate, institutions in theories of liberation, the author warns that liberation theory must walk on both social and psychological legs and then argues that Ware’s comparative analysis of institutions fails to lead analysis into crucial reflection on how individuals are transformed. Drawing on the work of John Dewey and George Benello, the author argues that an educational philosophy can offer a helpful framework for thinking about (...) relationships between institutions and individuals, such that genuinely democratic institutions would be recognized as being more developmentally educative for individuals involved. The chapter also contains a brief reply by Ware. (shrink)

It has become fashionable to question attempts to derive internationally agreed duties of clinical care from more general theories of human rights. For example, some argue that such attempts risk moral abstraction through their neglect for the importance of culture and community in shaping moral consciousness and are thus often unhelpful in the resolution of concrete moral dilemmas within medicine. Others denounce the importance of general moral principles altogether in bioethics and attempt to articulate what are claimed to be more (...) practical approaches to resolving moral conflict. This paper challenges such arguments. It does so through arguing that: i) all humans everywhere have the same basic human needs; ii) the satisfaction of these needs varies with culture; iii) the imputation of moral duties on others entails respect for their right to basic need satisfaction, including the right to choose between cultures; iv) internationally accepted clinical duties of care embrace presumptions about the duties and rights of patients which follow from these more general principles and v) problems of moral indeterminacy that arise from putting these principles into practice can be resolved through associated procedural policies of rational negotiation and compromise. The moral importance and practicality of respect for individual human rights within the practice of medicine is thus defended. Indeed, the paper concludes by arguing that without belief in human rights linked to a theory of basic human needs, communitarian theories of morality are incoherent. (shrink)

The intensity of the opposition to health reform in the United States continues to shock and perplex proponents of the Patient Protection and Affordable Care Act. The emotion and the apocalyptic rhetoric, render civil and evidence-based debate over the implications and alternatives to specific provisions in the law difficult if not problematic. The public debate has largely barreled down two non-parallel yet non-intersecting paths: opponents focus on their fear of government expansion in the future if PPACA is implemented now, while (...) proponents focus on the urgency and specifics of our health care market problems and the limited number of tools we have to address them. Frustration on both sides has led opponents to deny the seriousness of our health system’s problems and proponents to ignore the risk of governmental overreach. These non-intersecting lines of argument are not moving us closer to a desired and necessary resolution. (shrink)

There is a respectable feminist tradition in utopian thought. Dreams and fantasies about gender-equal, women-friendly or female-dominated worlds have been formulated abundantly. However, utopian thinking has also met with severe criticism. By definition, utopias were said to be too idealistic, and of little use in the process of societal change. More recently, it has been stressed that the concept of utopia has been superseded by postmodern awareness, in which general explanations of gender inequality (and, along with them, general utopian views) (...) are disqualified to the benefit of more local and more specific theories. In this book, the reader will find not one general, broadly defined utopia, but instead, a wide array of more or less specific, feminist utopias. Utopias are viewed as preliminary and imaginary goals from which present situations can be revalued and from which strategies for change can be developed. As such, utopias have not lost their significance. (shrink)

First published in 2004. Routledge is an imprint of Taylor & Francis, an informa company.

Originally published in 1986. All students of social science must confront a number of important philosophical issues. This introduction to the philosophy of the social sciences provides coherent answers to questions about empiricism, explanation and rationality. It evaluates contemporary writings on the subject which can be as difficult as they are important to understand. Each chapter has an annotated bibliography to enable students to pursue the issues raised and to assess for themselves the arguments of the authors.

Quantifiers are a test case for an interface between psychological questions, which attempt to specify the numerical content that supports the semantics of quantifiers, and linguistic questions, which uncover the range of possible quantifier meanings allowable within the constraints of the syntax. Here we explore the development of comprehension of most in English, of particular interest as it calls on precise numerical content that, in adults, requires an understanding of large exact numerosities (e.g., 23 blue dots and 17 yellow is (...) an instance of “most of the dots are blue”). In a sample of 100 children 2 to 5 years of age we find that (a) successful most comprehension in cases with two salient subsets is achieved at 3 years, 7 months of age, and (b) most comprehension is independent of knowledge of large exact number words; that is, knowledge of large exact number words is neither necessary, as evidenced by children who understand “most” but not “four,” nor sufficient, as evidenced by children who understand “nine” but not “most.”. (shrink)

For some time, clinical ethics committees (CECs) have been a prominent feature of hospitals in North America. Such committees are less common in the United Kingdom and Europe. Focusing on the UK, this paper evaluates why CECs have taken so long to evolve and assesses the roles that they should play in health care policy and clinical decision making. Substantive and procedural moral issues in medicine are differentiated, the former concerning ethicolegal principles and their paradigmatic application to clinical practice and (...) the latter dealing with how such application should be negotiated in the face of disagreement and/or uncertainty. It will be argued that the role of CECs is both substantive and procedural. Provided that they do not overstep their appropriate moral and professional boundaries, CECs will be shown to have an important and positive function in improving hospital care within the UK and elsewhere. (shrink)

Given its non-invasive nature, there is increasing interest in the use of transcutaneous vagus nerve stimulation across basic, translational and clinical research. Contemporaneously, tVNS can be achieved by stimulating either the auricular branch or the cervical bundle of the vagus nerve, referred to as transcutaneous auricular vagus nerve stimulation and transcutaneous cervical VNS, respectively. In order to advance the field in a systematic manner, studies using these technologies need to adequately report sufficient methodological detail to enable comparison of results between (...) studies, replication of studies, as well as enhancing study participant safety. We systematically reviewed the existing tVNS literature to evaluate current reporting practices. Based on this review, and consensus among participating authors, we propose a set of minimal reporting items to guide future tVNS studies. The suggested items address specific technical aspects of the device and stimulation parameters. We also cover general recommendations including inclusion and exclusion criteria for participants, outcome parameters and the detailed reporting of side effects. Furthermore, we review strategies used to identify the optimal stimulation parameters for a given research setting and summarize ongoing developments in animal research with potential implications for the application of tVNS in humans. Finally, we discuss the potential of tVNS in future research as well as the associated challenges across several disciplines in research and clinical practice. (shrink)

Drug recalls and lawsuits against pharmaceutical manufacturers are accompanied by announcements emphasizing harmful drug side-effects. Those with elevated health anxiety may be more reactive to such announcements. We evaluated whether health anxiety and financial incentives affect subjective symptom endorsement, and objective outcomes of cognitive and physiological functioning during a mock drug recall. Hundred and sixty-one participants reported use of over-the-counter pain medications and presented with a fictitious medication recall via a mock Food and Drug Administration website. The opportunity to join (...) a class-action lawsuit was manipulated. We assessed health anxiety, recalled drug usage, blood pressure, heart rate, and performance on a computerized Trail Making Test. Symptom endorsement was strongly predicted by health anxiety. When combined, three health anxiety measures explained 28.5% variance. These effects remain strong after controlling for depression and anxiety. Litigation condition did not predict symptom endorsement. Blood pressure and heart rate were modestly predicted by health anxiety, but not by litigation condition. TMT performance was consistently predicted by health anxiety, with higher scores associated with poorer performance. Although there were no main effects for litigation, interactions consistently emerged for the TMT, with generally poorer performance for those with higher health anxiety in the non-litigation condition; whereas health anxiety was unrelated to performance for the litigation condition. All but one participant joined the litigation when given the opportunity, despite a healthy sample and minimal use of pain medication. Subsequent data from 67 individuals with no mention of the FDA scenario or litigation showed that health anxiety still significantly predicts symptom endorsement, but the explained variance is less than half that obtained in the FDA scenario. The findings suggest that health anxiety plays a significant role in adverse symptom reporting, beyond anxiety or depression, and this effect is independent of the presence of the FDA recall. The lack of differences for health anxiety and symptom endorsement between litigation and non-litigation conditions rules out malingering. Although it is general practice in drug recalls to list potential adverse side effects caused by medications, this may elicit unintended symptom experiences and health anxious individuals may be more susceptible. (shrink)

Originally published in 1986. All students of social science must confront a number of important philosophical issues. This introduction to the philosophy of the social sciences provides coherent answers to questions about empiricism, explanation and rationality. It evaluates contemporary writings on the subject which can be as difficult as they are important to understand. Each chapter has an annotated bibliography to enable students to pursue the issues raised and to assess for themselves the arguments of the authors.