“Public health practice” consists of activities and Programs managed by public health agencies to promote health and prevent disease, injury, and disability. Some of these activities might be deemed to fit within the broad definition of “research” under federal regulations, known as the Common Rule, designed to protect human research subjects. The Common Rule defines research as “a systeniatic investigation, including research development, testing and evaluation, designed to develop or contribute to generalizable knowledge.” Public health activities that might under some (...) circumstances be considered research include disease reporting, review of medical records, surveys, interviews, focus groups, specimen collection, and laboratory testing.There are questions about the extent to which the Common Rule applies or was intended to apply to public health practice: and it has been suggested in any case that Common Rule regulation of public health practice may not be socially optimal for both practical and principled reasons. (shrink)

In 2000, the Center for Disease Control and Prevention’s National Center for Environmental Health issued a report that explored some of the ways in which “sprawl” impacts public health. The report has generated great interest, and state health officials are beginning to discuss the relationship between land use and public health. The CDC report has also produced a backlash. For example, the Southern California Building Industry Association labeled the report “a ludicrous sham” and argued that the CDC should stick to (...) “fighting physical diseases, not defending political ones.”In retrospect, it is probably unfortunate that this report was funded by an organization called “Sprawl Watch.” “Spraw” is a word that has no clear meaning but is applied to a huge range of issues involving suburban development. (shrink)

Public Health Science and practice expanded during the course of the 20th century. Initially focused on controlling infectious disease through basic public health programs regulating water, sanitation and food, by 1988 the Institute of Medicine broadly declared that “public health is what we, as a society, do collectively to. assure the conditions for people to be healthy.” Commensurate with this definition, public health practitioners and policymakers today work on ;in enormous range of issues. The 2002 policy agenda of the American (...) Public Health Association reflects positions on genomics’ role in public health; national health and safety standards for child care programs; sodium in Americans’ diets; the health and safety of emergency rescue workers; and war in Central Asia and the Persian Gulf. (shrink)

Ethical decision making is a core part of the work of social work and human service practitioners, who confront with regularity dilemmas of duty of care; confidentiality, privacy and disclosure; choice and autonomy; and distribution of increasingly scarce resources. This article details the development and application of the Inclusive Model of Ethical Decision Making, created in response to growing awareness of the complexities of work in both public and private sectors. The model rests on four key platforms that are constructed (...) from important foundational values and principles. These platforms are: Accountability, Consultation, Cultural Sensitivity and Critical Reflection, and underlie the dynamic five-step process that uses a reflective yet pragmatic approach to identify and analyze all relevant aspects of an ethical dilemma. The article begins by exploring the anatomy of an ethical dilemma, including the identification of competing ethical principles. It then moves on to highlight the different points in a decision-making process where difficulties typically arise for practitioners who may confront problems of interpretation of ethical codes, lack of access to needed resources and supports, or who may find themselves bound by legal or organizational restrictions. It is argued that this model has useful application for both social work education and practice. (shrink)

Is there anything that is given immediately? This question seems to be of crucial importance for Phenomenology, a field perhaps known most principally for its attempt to return directly to the “things themselves.” The seeming simplicity of the idea is appealing: after all, where better for us to start in any philosophical investigation than with things as they appear to us in their most pure or “immediate” state? When put in its historical context as well, Husserl’s phenomenological project could even (...) be interpreted as a breath of fresh air in the midst of the environment of early 20th century philosophy in comparison with the seemingly constructive philosophy of its Neo-Kantian contemporaries. Indeed, rather than starting with a merely systematic account of our cognition and reality, is it not better for us to first return to the world just as it is given to us in perception or intuition in order to have a more faithful account of these issues? (shrink)

Human behaviour, like everything else, has causes. Most of the time, those causes can be described as reasons. Human beings perform actions because they have reasons for performing them. They are capable of surveying the options available and then selecting one based upon those reasons. But invariably occasions arise in which the reasons known to the agent fail to single out a determinate option. When reasons cannot determine the option to select on their own, the agent must resort to some (...) form of non-reasoned decision-making. This paper distinguishes four different forms of NRDM – picking, randomizing, deferring and judging. Each form may be appropriate under different circumstances. The paper concludes by laying out the theoretical assumptions upon which this account of NRDM rests. (shrink)

Over the past several decades, a large number of publications have claimed that there are important similarities between mindfulness and phenomenology, with a particular emphasis on the epoché and phenomenological reduction. We argue that these comparisons trade on a rather superficial and often misleading presentation of phenomenology. The epoché-reduction is treated either as a matter of bracketing our 'theoretical baggage' so as to allow for a full disclosure and precise description of the objects of experience, or as a matter of (...) bracketing our preoccupation with and absorption in worldly affairs so as to allow for a close attention to subjective acts. Both interpretations mischaracterize the proper scope of phenomenology, namely the subject-object (mind-world) correlation. Furthermore, both miss the theoretical, systematic, and (most importantly) philosophical character of phenomenology. We suggest that, in the end, comparisons between phenomenology and Buddhism would be better off focusing on Buddhist philosophy, rather than Buddhist meditative practice. (shrink)

The rise of managerialism within healthcare systems has been noted globally. This paper uses the findings of a scoping study to investigate the management of poor performance among nurses and midwives in the United Kingdom within this context. The management of poor performance among clinicians in the NHS has been seen as a significant policy problem. There has been a profound shift in the distribution of power between professional and managerial groups in many health systems globally. We examined literature published (...) between 2000 and 10 to explore aspects of poor performance and its management. We used Web of Science, CINAHL, MEDLINE, British Nursing Index, HMIC, Cochrane Library and PubMed. Empirical data are limited but indicate that nurses and midwives are the clinical groups most likely to be suspended and that poor performance is often represented as an individual deficit. A focus on the individual as a source of trouble can serve as a distraction from more complex systematic problems. (shrink)

This article gives a historical-philosophical overview of three generations of pragmatist thinking centered around the question of democracy. It serves as an introduction and contextualization to the papers that develop a third generation pragmatic point of view in the remainder of the special issue. The perspective is from one American-trained philosopher of education who has studied and written widely in pragmatism and European social theory. The article has sections on three generations generally described and with primary influences of John Dewey, (...) Richard Rorty, and Bruno Latour. In each generation, other important philosophic contributions discussed come from C. S. Peirce and William James, Hilary Putnam, Donna Haraway, and Isabelle Stengers as well as relevant commentators. The first two, Dewey and Rorty, contribute to a sub-theme of democracy in their writings that the third, Latour, continues in politics in a section elaboration. The introduction sets forth a generational theme and an international setting for pragmatism. The conclusion summarizes the article's key ideas and points to a need in education for a democratic future. (shrink)

This paper examines how a delusive social imaginary of criminal-justice has underpinned contemporary U.S. mass incarceration and encouraged widespread indifference to its violence. I trace the complicity of this criminal-justice imaginary with state-organized violence by comparing it to an imaginary that supported colonial violence. I conclude by discussing how those of us outside of prison can begin to resist the entrenched images and institutions of mass incarceration by engaging the work and imagining the perspective of incarcerated people.

ABSTRACT In this paper, I reconstruct the views on historical progress of two nineteenth-century English-speaking philosophical women, Harriet Martineau and Frances Power Cobbe. Martineau and Cobbe put forward theories of progress which I classify as versions of teleological progressivism. Their theories are bound up with their accounts of different world civilizations and religions, and their advancement towards either Christianity, for Cobbe, or through and beyond Christianity towards secularization, for Martineau. After explaining the overall nature of teleological progressivism in the Victorian (...) era and locating Cobbe and Martineau within this intellectual context, I turn to the details of Martineau’s version of teleological progressivism, then Cobbe’s initial version followed by her second, revised version. I then draw out some conclusions about the shared structure of Martineau’s and Cobbe’s forms of teleological progressivism and its complicated connections with Eurocentrism and colonialism. (shrink)

Grounded in the practical problem of light pollution, this paper examines the aesthetic dimensions of urban and natural darkness, and its impact on how we perceive and evaluate nighttime lighting. It is argued that competing notions of the sublime, manifested through artificial illumination and the natural night sky respectively, reinforce a geographical dualism between cities and wilderness. To challenge this spatial differentiation, recent work in urban-focused environmental ethics, as well as environmental aesthetics, are utilized to envision the moral and aesthetic (...) possibilities of a new urban nocturnal sublime. Through articulating the aspirations and constraints of a new urban nocturnal experience, this paper elucidates the axiological dimensions of light pollution, draws attention to nightscapes as a site of importance for urban-focused philosophy, and examines the enduring relevance of the sublime for both the design of nighttime illumination and the appreciation of the night sky. (shrink)

Progress in machine learning and artificial intelligence has spurred the widespread adoption of automated decision systems (ADS). An extensive literature explores what conditions must be met for these systems' decisions to be fair. However, questions of legitimacy -- why those in control of ADS are entitled to make such decisions -- have received comparatively little attention. This paper shows that when such questions are raised theorists often incorrectly conflate legitimacy with either public acceptance or other substantive values such as fairness, (...) accuracy, expertise or efficiency. In search of better theories, we conduct a critical analysis of the philosophical literature on the legitimacy of the state, focusing on consent, public reason, and democratic authorisation. This analysis reveals that the prevailing understanding of legitimacy in analytical political philosophy is also ill-suited to the task of establishing whether and when ADS are legitimate. The paper thus clarifies expectations for theories of ADS legitimacy and charts a path for a future research programme on the topic. (shrink)

Some concerns raised by gender violence have been taken up by churches and individuals within them over the last ten years or so, but now the World Council of Churches has set up a project to work specifically on Overcoming Violence Against Women. The project has a three-fold task aimed at enabling constructive engagement with the issue of gender violence: to support and encourage the churches' to develop a network of concerned theologians; to establish an accessible resource base. The prevalence (...) of violence against women in all parts of society, including churches and Christian communities, raises theological questions. Some areas of language, doctrine and the interpretation of Scripture need to be examined and perhaps reconsidered, to provide theologies consistent with churches as communities of safety, respect and justice for women. (shrink)

I develop and defend a novel account of the private law of remedies according to which it is best understood as facilitating deliberations between the parties about the just outcome of their dispute rather than correcting injustice or righting wrongs. According to my democratic conception, the parties are the ones who ideally ought to resolve moral uncertainty about justice between them by deliberating together in good faith about what justice requires. The law of remedies should therefore often refrain from offering (...) a final judgment about what justice between the parties requires, instead setting and implementing fair default rules and principles in the shadow of which the parties will ideally articulate for themselves a joint vision of justice for their relationship. (shrink)

This chapter offers an overview of Foucault' s conception of power. The new interpretation of power relationships as a kind of war calls traditional understandings of power into question and corrects our errors concerning the role of power in the constitution of knowledge, institutions, and subjects. In his lecture course, Society Must Be Defended, Focault presents his notion of power in terms of “Nietzsche's Hypothesis”. The chapter then turns to the analysis of political power and describes the difference between sovereignty (...) and biopower as political paradigms. Finally, it looks at Foucault's definition of race and racism. Foucault explains how racism enters the political equation as a useful strategy of biopolitics. Two areas that are directly affected by biopower are sexuality and racism. (shrink)

The U.S. agricultural sector relies heavily on agricultural migrant workers, and Florida has a history of (im)migrant labor. However, this system is historically rooted in colonization, and its systems of oppression remain. Currently, migrant workers operate in various systems of oppression, including social, health, and environmental inequities, all of which have been worsened by the COVID-19 pandemic. The literature regarding decoloniality, muted group theory, and decolonial intersectionality has a strong history of uncovering how multiple oppressions overlap for vulnerable and marginalized (...) groups in the US. We draw on this literature to ask: 1) how can examining participants’ stories through decolonial intersectionality help explore structural and institutional racism and the dominance of muting? and 2) how can participants recount how they resist oppression and/or unmute in telling their stories? To answer these questions, literary portraits were co-created with farmworkers and community liaisons about participants’ experiences. The authors used decoloniality, muted group theory, and decolonial intersectionality to analyze participants’ creative non-fiction stories. Farmworkers recounted through their stories that they were often devalued, had their humanity questioned, and negotiated their survival, especially during COVID-19. However, they were able to resist the oppressions of coloniality through their families, faith, pride, and love. Recommendations include using storytelling techniques to align with farmworkers’ wants in research as well as assist in communicating about issues regarding health and safety. Non-profit organizations, centers of faith, and universities can assist in serving the needs of agricultural migrant workers related to childcare, food security, and worksite and home safety issues. (shrink)

The Condorcet Jury Theorem, together with a large and growing literature of ancillary results, suggests two conclusions. First, large committees outperform small committees, other things equal. Second, heterogeneous committees can, under the right circumstances, outperform homogeneous ones, again other things equal. But this literature has done little to bring these two conclusions together. This paper compares the respective contributions of size and difference to optimal committee performance, and draws policy recommendations using these comparisons.

The paper focuses on some puzzles about Carnap's intended epistemological point in the "completion" and "generalization" of the Anschauungsraum in sec. II of Der Raum (leaving aside the technical problems which also arise). Since any global structure at all requires that eidetic intuition be supplemented with freely-chosen postulates and/or intuitively unmotivated generalizations, it is unclear, as several authors have pointed out, how and in what sense "intuitive space" as a whole represents a distinctive, a priori contribution to our knowledge. I (...) suggest a way of approaching this issue based on Carnap's sources -- in particular, Husserl and Driesch, both of whom he repeatedly claims to be following. The idea of a severely finite realm of possible intuition, which both requires and allows supplementation with an infinite conceptual structure, is central to Husserl's thought, and, I argue, it would be natural for Carnap to rely on it in attempting to reconcile Husserlian eidetic intuition with the general theory of relativity. That this larger conceptual structure owes its details to free postulation is, on the other hand, decidedly un-Husserlian. But here, I claim, Carnap takes his cue from Driesch's view, in the first edition of the Ordnungslehre, that natural actuality is the result of a certain demand for order: we demand such order in natural things and reject as non-actual (hallucinatory, dreamed, etc.) whatever nature-like elements of experience fail to fit into it. In conclusion I suggest that more radical versions of this particular constellation of ideas provide the key to understanding much of Carnap's later thought. (shrink)

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

The Anonymous Philosophical Treatise was preserved only in Armenian. It was published first half-a-century ago in Armenian and in Russian translation, but is barely known to western scholarship. Here a new edition is presented, prepared on computer, together with critical apparatuses, translation and commentary. A variety of tools for the study of the text are included: a concordance, a word list of the English translation, triliteral tables of Armenian - Greek - English technical terminology and more.

Scott Shapiro offers an elaboration and defense of “legal positivism,” in which the official acceptance of a plan figures as the central explanatory notion. Rich in both ambition and insight, Legality casts an edifying new light on the structure of positive law and its officialdom. As a defense of positivism, however, it exhibits the odd feature that its main claims will prove quite acceptable to the natural lawyer. Perhaps this betokens – what many have begun to suspect anyway – that (...) our usual tests for classifying legal theories are, in the present state of discussion, no longer credible. In any case, my hope in the following remarks is to suggest how certain ambiguities in Legality might easily be resolved in favor of Planning Natural Law. The Planning Theory of Law, in other words, is not proprietary to positivism. (shrink)

This commentary draws out themes from the narrative symposium on “living with the label “disability”” from the perspective of auto/biography and critical disability studies in the humanities. It notes the disconnect between the experiences discussed in the stories and the preoccupations of bioethicists. Referencing Rosemarie Garland-Thompson’s recent work, it suggests that life stories by people usually described as “disabled” offer narrative, epistemic and ethical resources for bioethics. The commentary suggests that the symposium offers valuable conceptual tools and critiques of taken-for-granted (...) terms like “dependency”. It notes that these narrators do not un–problematically embrace the term “disability”, but emphasize the need to redefine, strategically deploy or reject this term. Some accounts are explicitly critical of medical practitioners while others redefine health and wellbeing, emphasizing the need for reciprocity and respect for the knowledge of people with disability, including knowledge from their experience of “the variant body” (Leach Scully, 2008). (shrink)

In response to nutrient limitation, many animals, including Caenorhabditis elegans, slow or arrest their development. This process requires mechanisms that sense essential nutrients and induce appropriate responses. When faced with nutrient limitation, C. elegans can induce both short and long‐term survival strategies, including larval arrest, decreased developmental rate, and dauer formation. To select the most advantageous strategy, information from many different sensors must be integrated into signaling pathways, including target of rapamycin (TOR) and insulin, that regulate developmental progression. Here, how (...) nutrient information is sensed and integrated into developmental decisions that determine developmental rate and progression in C. elegans is reviewed. (shrink)

If you are black, you are more likely to get inferior health care than if you are white. And if you are Hispanic or Native American, odds are you're also in trouble. So finds the Institute of Medicine report, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.

In the Laws of Thought, Boole establishes a theory of secondary propositions based upon the notion of time. This temporal interpretation of secondary propositions has historically been met with wide disapproval and is usually dismissed in the modern literature as a philosophical non-starter. What was Boole thinking? This paper attempts to give an answer to this question. Specifically, it provides an account according to which Boole’s temporal interpretation follows from his psychologistic conception of logic, in addition to certain background assumptions (...) regarding the psychological necessity of the concept of time. Once Boole’s psychological premises are laid bare, it becomes clearer how he might have viewed the temporal interpretation to be an essential feature of his theory of secondary propositions. (shrink)

In this article I respond to Wendell Kisner’s Hegelian environmental ethic. Kisner argues that because life is ontologically irreducible to mechanism it is rational to treat life not merely as a means to human purposes but as an end in itself. I argue that had Hegel consistently adhered to this position, he would have had to argue that the modern social world objectively alienates human beings from their rational selves. But Hegel in fact sees this social world as a home (...) for rational humanity. This is because Hegel believes life is ontologically higher than mechanism but ontologically lower than human mind. For Hegel therefore, minded beings may use life for their own self-objectification and self-realisation. (shrink)

In this paper, we will revisit the relation between the respective conceptions of pure experience of Nishida Kitaro and William James. As various authors have previously shown, comparing Nishida and James can not only help us better understand both of their specific understandings of pure experience, and consequently its position within their respective enterprises, but also give a platform with which to see how these two authors could contribute to contemporary discussions on philosophical methodology. However, despite the long history of (...) comparative research on these two thinkers, there is still no consensus about the extent to which Nishida's philosophy actually resembles James' work at all. Was Nishida's interest in James' work found only in superficial similarities between two authors interested in overcoming the subject–object distinction? Or did Nishida attempt to somehow develop or radicalize James' work, taking his notion of pure experience into the realm of religion and metaphysics? In this contribution, we will agree with previous authors who have argued that Nishida is best understood as trying to go beyond or develop James' work. However, we will make this claim with the caveat that James had good reason not to take the avenues Nishida pursued, and that Nishida's attempt to radicalize some ideas in James may have led to some difficult points within his early philosophy. (shrink)

Nicole Hassoun’s Globalization and Global Justice: Shrinking Distance,Expanding Obligations offers a novel argument for the existence ofpositive rights for the world’s poor, and explores institutional alternativessuitable for the realization of those rights. Hassoun’s argument is contractualist, and makes the existence of positive rights dependupon the conditions necessary for meaningful consent to the global order. Itthus provides an interesting example of social contract theory in the globalcontext. But Hassoun’s argument relies crucially upon the ambiguous natureof the concept of consent. Drawing broadly (...) upon the social contract theorytradition, Hassoun relies upon actual consent theory, democratic theory, andhypothetical consent theory. Each theoretical approach makes use of its ownconception of consent. Rather than select one of these conceptions overthe others, she makes use of all three. In doing so, she introduces a crucialambiguity into the terms that, on her account, a legitimate global order mustsatisfy. The resolution of this ambiguity will circumscribe any effort, on thepart of Hassoun or others, to specify the terms of any global social contract. (shrink)

The predominant influences on health are social or upstream factors. Poverty, inadequate education, insecure and toxic environments, and inferior opportunities for jobs and positions are inequitable disadvantages that adversely affect health across the globe. Many causal pathways are yet to be understood. However, elimination of these social inequalities is a moral imperative of the first order. Some physicians by word and deed argue that medical doctors should oppose the “structural violence” of social inequalities that greatly shorten lives and wreak so (...) much suffering. (shrink)