This research study used descriptive phenomenological methods to investigate and document the lived experience of altruism as described by moral exemplars. Six moral exemplars wrote descriptions of situations in which they engaged in spontaneous altruism. Altruism was defined for the purpose of this study as a motivational state with the ultimate goal of increasing another's welfare . These descriptions were then expanded and clarified through follow up interviews. The results of this descriptive phenomenological analysis produced two structures: the structure of (...) the lived experience of altruism as described by moral exemplars, and the structure of the lived experience of helping as described by moral exemplars. The differences between these two structures suggest that altruistically motivated pro-social behavior is more committed, extensive and effective than egoistically motivated helping, and results in a higher level of concern for the long-term well-being of the individuals helped. Although differentiated by primary motivations, altruistic or egoistic, both structures identify the motivating factors of empathy, personal historical life experiences, moral values, and personal identity as essential to the experience of assisting another individual in need. (shrink)

A significant amount of research has been conducted examining the social, psychological and behavioral aspects of altruism , as well as the characteristics and practices of eminent altruists but very little research has been done that seeks to understand the nature of the lived experience of spontaneous altruism. This study seeks to fill the gap left by traditional psychosocial research by using descriptive phenomenological methods to reveal the structure and meaning of the lived experience of spontaneous altruism. Three participants wrote (...) descriptions of situations in which they engaged in spontaneous acts of altruism. Altruism was defined as a motivational state with the ultimate goal of increasing another's welfare . These descriptions were then expanded and clarified through a follow up interview. The results of the phenomenological analysis produced a structure of the lived experience of spontaneous altruism consisting of 15 constituent themes. These themes detail the complex emotional, psychological and mental processes that work together in the experience of spontaneous altruism. They also point to the possible roles of love, spirituality, ego-autonomy and creativity in the experience of altruism. (shrink)

Between the years 1643 and 1649, Princess Elisabeth of Bohemia and René Descartes exchanged fifty-eight letters—thirty-two from Descartes and twenty-six from Elisabeth. Their correspondence contains the only known extant philosophical writings by Elisabeth, revealing her mastery of metaphysics, analytic geometry, and moral philosophy, as well as her keen interest in natural philosophy. The letters are essential reading for anyone interested in Descartes’s philosophy, in particular his account of the human being as a union of mind and body, as well as (...) his ethics. They also provide a unique insight into the character of their authors and the way ideas develop through intellectual collaboration. Philosophers have long been familiar with Descartes’s side of the correspondence. Now Elisabeth’s letters—never before available in translation in their entirety—emerge this volume, adding much-needed context and depth both to Descartes’s ideas and the legacy of the princess. Lisa Shapiro’s annotated edition—which also includes Elisabeth’s correspondence with the Quakers William Penn and Robert Barclay—will be heralded by students of philosophy, feminist theorists, and historians of the early modern period. (shrink)

Emmanuel Levinas compares ethical responsibility to a maternal body who bears the Other in the same without assimilation. In explicating this trope, he refers to a biblical passage in which Moses is like a “wet nurse” bearing Others whom he has “neither conceived nor given birth to”. A close reading of this passage raises questions about ethics, maternity, and sexual difference, for both the concept of ethical substitution and the material practice of mothering.

The Football Association has been under pressure to allow girls to play in mixed teams since 1978, following 12-year old Theresa Bennett’s application to play with boys in a local league. In 1991, over a decade after Bennett’s legal challenge, the FA agreed to remove its ban on mixed football and introduced Rule C4 in order to permit males and females to play together in competitive matches under the age of 11. More recently, following a campaign by parents, coaches, local (...) Members of Parliament and the Women’s Sport Foundation, the FA agreed to trial mixed football for the under-12 to under-15 age categories in order to establish, among other things, the risk of injury to players in sex-integrated competitions. A series of exponential changes ensued: between 2010 and 2014, the age at which mixed football was permitted increased from U11 to U16. In 2015, the FA announced the decision to raise the age limit on mixed football from U16 to U18 for the forthcoming 2015–2016 season. We critically examine th... (shrink)

I briefly introduce Moral Failure as a book that brings together philosophical and empirical work in moral psychology to examine moral requirements that are non-negotiable and that contravene the principle that “ought implies can.” I respond to Rivera by arguing that the process of construction that imbues normative requirements with authority need not systematize or eliminate conflicts between normative requirements. My response to Schwartzman clarifies what is problematic about nonideal theorizing that limits itself to offering action-guidance. In response to Kittay, (...) I defend my rejection of “ought implies can,” and consider the implications of the concept of unfair moral requirements. (shrink)

This paper investigates the mutual embeddedness of “nature” and “culture,” as well as the intersections between race, gender, and sexuality, in the story of the HeLa cell line as viewed by a practicing feminist scientist. It provides a feminist analysis of the scientific discourse surrounding the HeLa cell line, and explores how feminist theories of science can provide a constructive and critical lens through which laboratory scientists can view their work.

When anthropologists and other social scientists study health services in medical institutions, tensions sometimes arise as a result of the social scientists and health care professionals having different ideas about the ethics of research. In order to resolve this type of conflict and to facilitate mutual learning, we describe two general categories of research ethics framing: those of anthropology and those of medicine. The latter focuses on protection of the individual through the preservation of autonomy expressed through the requirement of (...) informed consent whereas the former focuses on broader political implications. After providing an example of a conflict, we outline four issues that characterize the occasional clashes between social scientists and medical staff: (1) a discrepancy in the way anthropologists perceive patients and medical staff; (2) ambiguity concerning the role of medical staff in anthropological research; (3) impediments to informed consent in qualitative research projects; and (4) property rights in data. Enhanced dialogue could serve to invigorate the ethical debate in both traditions. (shrink)

Markets allow for the processing of decentralized information through the price mechanism. But in addition, many markets rely on other mechanisms in markets, or non-market institutions, that provide and manage other forms of knowledge. Within national economies, these institutions form an ‘epistemic infrastructure’ for markets. In global markets, in contrast, this epistemic infrastructure is very patchy, undermining the preconditions for morally responsible agency. New technologies might help to improve the epistemic infrastructure of global markets, but they require conceptualizing knowledge not (...) only as a tradable good, but also as a precondition of morally responsible agency. (shrink)

This article contributes to carework scholarship by examining the nexus of gender, class, and race in long-term care facilities. We draw out a family ideology at work that promotes good care of residents and thus benefits nursing homes. We also found that careworkers value fictive kin relationships with residents, yet we uncover how the family model may be used to exploit these low-income careworkers. Reflecting a subordinate and racialized version of being “part of the family,” we call for an ethic (...) of reciprocity and for concrete change toward valuing equally the humanity of those who need and those who give care. (shrink)

Nearly 90 % of allegations of biomedical research misconduct in the United States are dismissed by responsible institutions without any faculty assessment or auditable record. Recently, members of the U.S. Congress have complained that the penalties for those against whom findings of research misconduct are made are too light and that too few grant funds associated with research misconduct have been recovered for use by other researchers and taxpayers. Here we discuss the laws that empower federal agencies that can oversee (...) investigations of biomedical research misconduct: the Office of Research Integrity and the Office of the Inspector General, both located within the Department of Health and Human Services. Research misconduct investigations pertaining to U.S. physical sciences funded through the National Science Foundation are overseen by the NSF’s OIG. While OIGs may provide some improvement over the ORI in the handling of research misconduct, we have found that a much more serious flaw exists which undermines an ability to conduct performance audits of the effectiveness by which allegations of research misconduct are handled in the United States. Specifically, sufficient data do not need to be retained by U.S. research institutions funded by HHS or NSF to allow effective audit of why allegations of research misconduct are dismissed before being seen by faculty inquiry or investigative committees. U.S. federal Generally Accepted Government Auditing Standards, if applied to the research misconduct oversight process, would allow a determination of whether the handling of allegations of biomedical research misconduct actually functions adequately, and if not, how it might be improved. In particular, we propose that independent, external peer review under GAGAS audit standards should be instituted without delay in assessing the performance of ORI, or any other similarly tasked federal agency, in handling allegations of research misconduct. (shrink)

Impaired hand proprioception can lead to difficulties in performing fine motor tasks, thereby affecting activities of daily living. The majority of children with unilateral cerebral palsy experience proprioceptive deficits, but accurately quantifying these deficits is challenging due to the lack of sensitive measurement methods. Robot-assisted assessments provide a promising alternative, however, there is a need for solutions that specifically target children and their needs. We propose two novel robotics-based assessments to sensitively evaluate active and passive position sense of the index (...) finger metacarpophalangeal joint in children. We then investigate test-retest reliability and discriminant validity of these assessments in uCP and typically developing children, and further use the robotic platform to gain first insights into fundamentals of hand proprioception. Both robotic assessments were performed in two sessions with 1-h break in between. In the passive position sense assessment, participant's finger is passively moved by the robot to a randomly selected position, and she/he needs to indicate the perceived finger position on a tablet screen located directly above the hand, so that the vision of the hand is blocked. Active position sense is assessed by asking participants to accurately move their finger to a target position shown on the tablet screen, without visual feedback of the finger position. Ten children with uCP and 10 age-matched TDC were recruited in this study. Test-retest reliability in both populations was good >0.79). Proprioceptive error was larger for children with uCP than TDC, indicating discriminant validity. The active position sense was more accurate than passive, and the scores were not correlated, underlining the need for targeted assessments to comprehensively evaluate proprioception. There was a significant effect of age on passive position sense in TDC but not uCP, possibly linked to disturbed development of proprioceptive acuity in uCP. Overall, the proposed robot-assisted assessments are reliable, valid and a promising alternative to commonly used clinical methods, which could help gain a better understanding of proprioceptive impairments in uCP, facilitating the design of novel therapies. (shrink)

This open access book offers an exploration of delusions--unusual beliefs that can significantly disrupt people's lives. Experts from a range of disciplinary backgrounds, including lived experience, clinical psychiatry, philosophy, clinical psychology, and cognitive neuroscience, discuss how delusions emerge, why it is so difficult to give them up, what their effects are, how they are managed, and what we can do to reduce the stigma associated with them. Taken as a whole, the book proposes that there is continuity between delusions and (...) everyday beliefs. It is essential reading for researchers working on delusions and mental health more generally, and will also appeal to anybody who wants to gain a better understanding of what happens when the way we experience and interpret the world is different from that of the people around us. (shrink)

In philosophy, psychiatry, and cognitive science, definitions of clinical delusions are not based on the mechanisms responsible for the formation of delusions. Some of the defining features of delusions are epistemic and focus on whether delusions are true, justified, or rational, as in the definition of delusions as fixed beliefs that are badly supported by evidence). Other defining features of delusions are psychological and they focus on whether delusions are harmful, as in the definition of delusions as beliefs that disrupt (...) good functioning. Even if the epistemic features go some way towards capturing what otherwise different instances of clinical delusions have in common, they do not succeed in distinguishing delusions as a clinical phenomenon from everyday irrational beliefs. Focusing on the psychological features is a more promising way to mark the difference between clinical and non-clinical irrational beliefs, but there is wide variability in the extent to which delusions are psychologically harmful, and some everyday irrational beliefs can affect functioning in similarly negative ways. In this chapter we consider three types of belief that share similar epistemic features and exhibit variation with respect to how psychologically harmful they are: (1) delusions of thought insertion, (2) alien abduction beliefs, and (3) self-enhancing beliefs. In the light of the similarities and differences between these cases, we highlight the difficulty in providing an answer to what makes an irrational belief delusional. (shrink)

As a modern academic Ulysses, the historical scientist is enticed by numerous plausible scientific theories that can explain the historical data in search of the truth. However, the predicament of her work is to inevitably crash onto the rocks and cliffs of uncertainty. The problem discussed in this paper is that several scientific models can be suitable to account for the same empirical observations. The risk of falling into speculation is looming, and exceedingly dangerous in science. This is also the (...) case in archaeological sciences, such as bioarchaeology. A bioarchaeologist frequently encounters traces of disease in ancient skeletons, and pertinent patterns may often result from equally probable different causes. This is a methodological issue commonly encountered in the interpretation of pathological patterns in human remains, and constitutes part of the problem known in bioarchaeology as the osteological paradox. During an informal trilogue, three characters discuss the osteological paradox, and attempt to define it in philosophical terms. The aim of this work is to present the problems of scientists with the philosophical approach to the debate between scientific realism and antirealism, focusing in particular on the so-called problem of underdetermination. Our original approach is to apply the distinction between ‘how-possibly’ models and ‘how-actually’ models by Alisa Bokulich to archaeological issues, integrating various fields of science with a multidisciplinary and omnivorous approach. The trilogue ends providing the historical scientist with reasons and means to believe in her ability to conceive of true and reliable scientific models to interpret the historical past. (shrink)

Rousseau's Julie, ou La Nouvelle Héloise is two novels in one: a story of wifely virtue and a counterstory of women's friendship. Whereas the virtue story exemplifies what feminist readers since Mary WoRstonecraft have considered to be the most oppressive of Rousseau's prescriptions for women, the friendship counterstory questions the ethical foundations and social manifestations of the model of patriarchal authority that Rousseau ordinarily defends. In this essay, I read the novel with an eye for both stories and the tension (...) between them. (shrink)

back in about 1984 or 1985, when I'd been in graduate school for a couple of years at Northwestern University in Evanston, Illinois, I started hanging around with three chemists who shared a house. They were colleagues of my roommate, a chemistry grad student. One of them, no kidding, was named Lloyd A. Bumm, who would always introduce himself by saying, "My name is the best joke I know." Lloyd was a quirky, curious guy who often explored unusual places around (...) the City, unlike the typical chemistry grad student. For instance, he frequently would head into Chicago on Sunday mornings to go to this crazy street market he knew about. He invited me to go with him one weekend; he was looking for a power supply, whatever... (shrink)

Tessman responds to her three critics’ comments on Burdened Virtues, focusing on their concerns with her stipulation of an “inclusivity requirement,” according to which one cannot be said to flourish without contributing to the flourishing of an inclusive collectivity. Tessman identifies a naturalized approach to ethics—which she distinguishes from the naturalism she implicitly endorsed in Burdened Virtues—that illuminates how a conception of flourishing that meets the inclusivity requirement could carry moral authority.

O tema da ética tem ganhado espaço em praticamente todos os campos e setores da nossa sociedade, sejam eles acadêmicos, educacionais, profissionais, empresariais, políticos e científicos. Contudo, as discussões em seu entorno têm se pulverizado numa variedade imensa de abordagens, pautadas em distintas e até mesmo contraditórias bases teóricas, perspectivas e interpretações. Diante disso, estes escritos objetivam distinguir, problematizar e relacionar as noções de moral, ética e deontologia no intuito de preservar tanto o sentido filosófico das proposições éticas quanto o (...) rigor argumentativo das discussões emergentes tanto de contextos teóricos não-filosóficos como e de situações vivenciais. (shrink)

Unlike his contemporaries Virginia Woolf and Henry James, Kipling always denied he was a critic. But his letters, speeches, and stories are full of comments on writing and writers. This collection, including many formerly unpublished private letters and papers, details Kipling's response to the commercialisation of literature and the emerging role of the writer as celebrity in the turbulent literary world of the 1890s and beyond. They reveal a mind intensely concerned with questions of literary value, with language and imagination, (...) with truth, realism, and romanticism. Kipling's fame made him a significant spokesperson for important segments of the reading public - the soldiers, engineers, and functionaries central to Britain's imperial expansion. He profoundly influenced English literary language and our perception of English national character. This book offers access to the private and public history of a writer whose continuing influence is still a matter of fierce controversy. (shrink)

This article looks at riots that consumed Paris and much of France for three consecutive weeks in November 2005. The author argues that the uprisings were not instigated by radical Muslims, children of African polygamists, or despairing youth suffering from high unemployment. First and foremost, they were provoked by a terrible incident of police brutality, a tragedy among a litany of similar tragedies. Black and Arab youth were already frustrated: decades of violent enforcement of France's categorical boundaries—both racial and geographic—had (...) filled many with rage. When Minister of Interior Nicholas Sarkozy responded to the violent death of three teenage boys on October 25, 2005, by condemning the boys rather than the police officers who had killed them, he merely reaffirmed what many young blacks and Arabs already believed: that their lives have no value in France. (shrink)

In response to calls for research to improve human-machine teaming, we present a “perspective” paper that explores techniques from computer science that can enhance machine agents for human-machine teams. As part of this paper, we summarize the state of the science on critical team competencies identified for effective HMT, discuss technological gaps preventing machines from fully realizing these competencies, and identify ways that emerging artificial intelligence capabilities may address these gaps and enhance performance in HMT. We extend beyond extant literature (...) by incorporating recent technologies and techniques and describing their potential for contributing to the advancement of HMT. (shrink)

Purpose: The purpose of this paper is to provide a description of an innovative web-based ethics module that was designed to integrate ethics education across four accounting courses over two years (second and third year courses) in a large Australian tertiary institution. Approach: The approach taken in designing the ethics web-based module was to base the foundations of the module on Rest’s (1976) ethical behavior model with the adoption of a longitudinal approach to thecoverage of financial reporting ethical issues. Practical (...) Implications: The key objectives of the module are to improve students’ awareness and sensitivity to accounting ethics, and to foster student learning in an interesting and stimulating manner, leading to in-depth understanding of accounting ethics. Originality/value of paper: This paper provides a description of an original web-based approach to delivering ethics education to accounting students across four university courses. Its value lies in not only the innovative and interactive ethics education approach but also in providing feedback from students and the profession. (shrink)

This essay discusses the implications of Irigaray's readings of the Antigone in the construction of a feminist ethics. By focusing on the gaps and intersections between Lacanian psychoanalysis and Hegelian phenomenology as formulative of Irigaray's eventual call for an ethics of sexual difference, 1 emphasize the inevitability of rethinking the functions of historicity, femininity, and maternity in the formation of new models of intersubjectivity.

I use Nietzsche's work on theodicy to explore gendered valuation systems around women's bodies. The notion of theodicy provides a different entry point to questions of ideology, as it begins with an account of people's attempts to find meaning in their lives. Nietzsche traced humans' propensity to look for and create stories that give meaning to their lives, even when this meaning is one that may ultimately oppress them or celebrate something negative, such as suffering. For him it is not (...) the suffering that torments humans, but rather its meaninglessness. In the slums of Northeast Brazil, Afro-Brazilian women invest in the Christian glorification of suffering in a context where they experience their bodies in terms of loss, shame and alienation. I explore how, through a process of creative deception, this suffering comes to be experienced as pleasure. That is, the women reconstruct their bodies using two dominant stories to which they have access: Christianity and glamorous Brazilian soap operas. (shrink)

Through her own words, Mary Hamilton demonstrates the rich resources available for the study of an elite womans life during the latter part of the eighteenth-century and allows us to resurrect more fully the life of a member of an elite circle of women during this period. Her diaries reveal the many opportunities that she had to meet with a number of the significant figures of her day, and shed light on how her academic efforts were perceived by those around (...) her. This article shows how her writings offer researchers an insight into eighteenth-century society as viewed and lived by a woman who was close not only to the centre of high society but also to the intellectual elite of the day. It considers how valuable a resource the diaries and papers are as a potential research tool not only for the study of women‘s history but as a rich resource for the period. (shrink)

In a White House ceremony on May 16, 1997, President Clinton issued an apology on behalf of the nation for the Tuskegee Syphilis Study, a forty-year research project in which African-American men were deceived and denied treatment in order to document the natural course of syphilis. Reflection on this occasion can give us pause to take pride in the progress made toward more ethical research with humans. The President's apology is perhaps the most public of a number of recent events (...) representing a renewed attention to ethics in research with human participants. Alongside it stand the efforts of treatment activists for people with acquired immune deficiency syndrome and the revelations of the human radiation experiments. In 1995, President Clinton called for the creation of the National Bioethics Advisory Commission, which was charged with a host of projects aimed at investigating the organization and function of the federal system for overseeing human subjects research in the United States, and giving guidance on specific forms of research. (shrink)

The Law is a grim, unsmiling thing, Not Justice, though. Justice is witty and whimsical and kind and caring.Rohinton Misuy, A Fine Balance;When the South Carolina Supreme Court upheld the conviction and twelve-year sentence of Regina McKnight, it affirmed that state 's commitment to bring the full force of the law to the punishment of pregnant women who use drugs. Prosecutors linked the delivery of Ms.McKnight 's stillborn baby to her use of cocaine, and argued successfully for a finding of (...) homicide by child abuse. The McKnight judgment follows the South Carolina Supreme Court decision in the case of Cornelia Whitner. Whitner was sentenced to prison for illegal drug use during pregnancy on the grounds that the viable fetus is a child under the state s criminal child endangerment statute.On the basis of constitutional concerns such as due process and privacy, worries that criminal prosecutions may thwart public policy goals such as keeping families together and promoting the health of women and children, and findings that legislatures did not intend to include the fetus in the scope of drug laws or child abuse and neglect laws, criminal prosecution has been resisted in most jurisdictions. (shrink)

Classical Mythology in Context encourages students to directly encounter and explore ancient myths and to understand them in broader interpretative contexts. Featuring a modular structure that coincides with the four main components of a classical mythology course--history, theory, comparison, and reception--each chapter is built around one central figure or topic. Classical Mythology in Context provides: A sustained discussion of religious practices and sacred places that offers a key approach to the historical contextualization of Greek myths An introduction to--and integration of--theoretical (...) approaches to myth in each chapter that shows how these approaches affect the ways in which students understand myths and mythic figures Ample selections of primary sources, all from the Oxford World's Classics series A robust comparative approach examining Greek myths alongside other myths from the Mediterranean Basin and the Ancient Near East An approach to the reception of myths as interpretation and reflection in Western art, with an emphasis on contemporary culture An Ancillary Resource Center that includes PowerPoint-based lecture slides and an Instructor's Resource Manual A Companion Website that provides additional student and instructor resources FEATURES Compelling and relevant illustrations provide visual evidence for placing myths in context Abundant maps help students locate all sites in Greece, the larger Greek world, and the Ancient Near East A detailed Timeline for Greece, Rome, and the Ancient Near East helps students situate key works within their cultural and historical contexts "The Essentials": In Part I, these boxes appear at the start of each chapter, introducing students to the most essential information about a god or goddess and previewing that chapter's content. In Part II, they appear whenever a new hero or heroine is introduced. "Before You Read" section for each primary source and critical reading is prefaced with a brief contextual overview followed by questions that encourage critical thinking Paired chapters explore different aspects of a god, hero, or heroine, equipping students with analytical tools that can be applied to other topics A list of Key Terms at the end of each chapter helps students review and retain its most important points A "For Further Exploration" annotated bibliography at the end of each chapter provides a starting point for students who wish to learn more about the chapter's content A Select Bibliography at the end of the book, divided by chapter emphasizes scholarly works that are accessible to students A Combined Glossary and Index includes a pronunciation key, the Greek form, and brief description for all figures, places, and rituals in the text. (shrink)

The priority that Tessman’s argument gives to phenomenological and neuropsychological explanations of moral requirements entails a fundamental shift in our understanding of these. Two central problems of normative theory come together in Tessman’s account. The first arises when an agent’s sense of requirement clashes with what a systematic theory prescribes. The second arises when neuropsychological accounts fail to fit the prescription. Tessman argues that no account successfully resolves moral dilemmas such that ought always implies can, and she argues that neuropsychology (...) explains our sense of impossible requirements. This explanation eliminates the role of a prescriptive theory in explaining an agent’s sense of requirement. (shrink)

“Home office” has become a reality for many employees. What is normatively at stake in this shift in the geography of work, given the various forms of structural injustice in our societies? Drawing on the normative criteria of employee well-being and protection from harm, autonomy, non-discrimination, environmental impact, and the role of workplaces as spaces of social encounters, I defend two claims: First, decisions about where individuals work need to be proceduralized on a fair basis, giving employees a voice. Second, (...) giving up the workplace requires a broader discussion about alternatives spaces for social integration. (shrink)

Free and informed choice is an oft-acknowledged ethical basis for living kidney donation, including parental living kidney donation. The extent to which choice is present in parental living kidney donation has, however, been questioned. Since parents can be expected to have strong emotional bonds to their children, it has been asked whether these bonds make parents unable to say no to this donation. This article combines a narrative analysis of parents’ stories of living kidney donation with a philosophical discussion of (...) conditions for parental decision-making. Previous research has shown that parents often conclude that it is “natural” to donate. Our study shows that this naturalness needs to be understood as part of a story where parental living kidney donation is regarded as natural and as a matter of non-choice. Our study also highlights the presence of a parenthood moral imperative of always putting one’s child’s needs before one’s own. On the basis of these results, we discuss conditions for decision-making in the context of parental LKD. We argue that the presence of a parenthood moral imperative can matter with regard to the decision-making process when parents consider whether to volunteer as living kidney donors, but that it need not hamper choice. We emphasise the need for exploring relational and situational factors in order to understand parental decision-making in the context of parental LKD. (shrink)

About one-third of Australians use the services of complementary and alternative medicine (CAM); but debate about the role of CAM in public healthcare is vociferous. Despite this, the mechanisms driving CAM healthcare choices are not well understood, especially in rural Australia. From 2016 to 2018, 2,679 persons from the Goulburn Valley, northern Victoria, were surveyed, 28% (755) of whom reporting visiting CAM practitioners. A Generalized Linear Mixed Model was used to assess associations between various socio-demographic variables and the use of (...) CAM services. The strongest significant inverse (p < 0.05) association with CAM use overall was being unemployed, with markedly lower odds of using CAM than those employed full-time (OR 0.22 [0.12, 0.41]). The next strongest inverse relationship was being retired (OR 0.44 [0.30, 0.65]). The strongest positive associations were with English spoken at home (OR 2.38 [1.34, 4.24]), private health insurance (hospital cover) (1.57 [1.28, 1.91]), being Australian born (OR 1.61 [1.14, 2.28]), and female sex (1.25 [1.02, 1.52])). Females had significantly higher odds of using osteopathy than males (OR 1.98 [1.33, 2.96]) but there were no significant sex differences for chiropractic or massage. This is the first such study conducted solely for a rural Australian population. The drivers of CAM use differed from previous nation-wide studies and they varied across modalities. The factors identified here as being associated with CAM use could be used by CAM practitioners in developing person-centred services. Similarly, the findings are relevant to primary-care services in understanding what sectors of society might eschew conventional health care for CAM in rural regions, where health services are often limited. (shrink)