Discerning the Ministries of Women

In 1988, the historic Rhodes Inter-Orthodox Symposium on the Place of Women in the Orthodox Church encouraged, among other things, fuller participation of women in the life of the church. This article reports on the results of a study that solicited the views of Orthodox Christians regarding the participation of women in the life of the church. Nearly three-quarters of respondents clearly stated or intimated that they would like to see more opportunities for women to serve in the church. One-third of the respondents identified the issue of deaconesses in their essays. Responses here revealed a great diversity of experience, education, and opinion. Nevertheless, more than half of the respondents commenting on deaconesses showed an openness to this ministry. This may be a powerful measurement indicating that exploring the pastoral need for this and other ministries may well be long overdue.     

Sense of community improves community participation in Chinese residential communities: The mediating role of sense of community responsibility and prosocial tendencies

Community participation is essential for community development and enhancing quality of life. Several studies have focused on the relationship between sense of community (SOC) and community participation in organizational settings. Guided by the community experiences framework, this study aims to examine how a SOC improves community participation in Chinese residential communities. Moreover, the study aims to assess the mediating role of SOC responsibility (SOC-R) and prosocial tendencies in that relationship. A sample of 433 residents completed questionnaires regarding their SOC, sense of community responsibility, prosocial tendencies, and community participation. Using a linear regression model, we found that a SOC can positively predict the level of community participation. Mediation effect analysis revealed that a SOC-R mediated the relationship between SOC and community participation. In addition, prosocial tendencies mediated the association between the SOC and community participation. Using multiple mediation analysis, we found that SOC-R and prosocial tendencies mediated the link between a SOC and community participation in a sequential manner. The findings of this study complement existing research by uncovering the mechanism underlying the relationship between a SOC and community participation.     

Exploring the Context-Sensitivity of Collective Action Motivations and the Mobilizing Role of Social Media: A Comparative Interview Study With Activists in Germany and Turkey

Western scholarship has underlined the relevance of social identity, perceived efficacy, emotions, and cost–benefit assessments as central catalysts of collective action. Little has been done to understand the context-sensitivity of these catalysts by means of cross-culturally comparative designs. The current study explores their context-sensitivity. It aims to find out whether existing opportunity structures in a democratic, nonrepressive country like Germany produce catalysts of collective action different from those produced in an autocratic, repressive country like Turkey. It also aims to understand the role of social media in mobilizing people in these two contexts. Semistandardized interviews with activists were carried out in both countries (n = 18 in Germany and n = 15 in Turkey) and analyzed by means of a cross-culturally comparative inductive coding procedure including initial and focused coding. Results show that collective action is related to different configurations of collective-action catalysts in the two countries. Solidarity concerns at the face of existential risks are more pronounced in Turkey, whereas political-change concerns are more important in Germany. The role of social media accordingly differs, adhering to the different activist goals. Theoretical implications for the role of context in studying collective action are discussed.     

The Most Important Election of Our Lifetime: Focalism and Political Participation

This article argues that a psychological bias called “focalism” contributes to an overestimation of the differences between political candidates, which in turn increases participation and polarization. Focalism causes people to confuse the allocation of attention to things with the importance of those things. Because attention to politics typically centers on conflict, the result is an exaggeration of differences across the partisan divide. I test this intuition using an experimental design that provides all respondents with all the information they need to estimate how much Joe Biden and Donald Trump objectively disagreed on policy positions just before the 2020 election. I find that shifting attention—toward either those positions the candidates agreed or disagreed with each other on—influences beliefs about the differences between candidates. The effect exceeds that of identifying as a Democrat or as a Republican. Beyond those perceptions, focalism increases turnout intentions, perceptions of election importance, negative feelings towards the out-candidate, and affective polarization.     

The elderly and high technology medicine: A case for individualized,autonomous allocation

The issues involved in decision making about the aggressiveness of future medical care for older persons are explored. They are related to population trends, the heterogeneity of older persons and a variety of factors involved in individual preferences. Case studies are presented to illustrate these points, as well as a review of pertinent literature. The argument is offered that, considering these many factors, a system of flexible, individualized care by informed patient preference, is more rational than the rationing of technological services by age.     

Ethics in health care and medical technologies

In this paper a case is used to demonstrate how ethical analysis enables health care professionals, patients and family members to make treatment decisions which ensure that medical technologies are used in the overall best interests of the patient. The claim is made and defended that ethical analysis can secure four beneficial outcomes when medical technologies are employed: (1) not allowing any medical technologies to be employed until the appropriate decision makers are identified and consulted; (2) insisting that medical technologies be employed not merely to promote the medical interests of the patient but rather on the basis of their ability to contribute to the overall well-being of the patient; (3) challenging caregivers to reflect on the dynamic interplay between their conscious and unconscious values and consequent determinations of what is in the patient's best interests; and (4) providing a justification for selected interventions which makes possible rational dialogue between caregivers espousing different viewpoints about treatment options.     

Medicine as business and profession

This paper analyzes one dimension of the frequently alleged contradiction between treating medicine as a business and as a profession, namely the incompatibility between viewing the physician patient relationship in economic and moral terms. The paper explores the utilitarian foundations of economics and the deontological foundations of professional medical ethics as one source for the business/medicine conflict that influences beliefs about the proper understanding of the therapeutic relationship. It, then, focuses on the contrast and distinction between medicine as business and profession by critically analyzing the classic economic view of the moral status of medicine articulated by Kenneth Arrow. The paper concludes with a discussion of some advantages associated with regarding medicine as a business.     

Truth and democratic education

The connection of education to democracy is an issue of central importance to communities committed to liberty and justice. In her influential book Democratic Education Amy Gutmann addresses this connection. In doing so she takes up a position regarding democracies and the teaching of truth which is indefensible, and which removes any ban on manipulating citizens. Also indefensible is Gutmann's position concerning publicly-funded community colleges and universities. These she deems nonselective institutions; a mistake that obscures the unequal distribution of opportunities for democratically-required education. The outcome is to reveal Gutmann's analysis of democratic education and democratic participation to be, in important respects, inadequate.     

Linear Analogue Self-Assessment and Procrustean Measurement: A Critical Review of Visual Analogue Scaling in Pain Assessment

Visual analogue scales (VASs) are one of the most widely used self-report measures of clinical pain. This article reviews the empirical literature on linear analogue self-assessment (LASA) and critically examines the features that appear to have made it such an attractive measurement option in pain assessment. It is concluded that analogue scaling does not withstand critical scrutiny as a primary measure of either pain intensity or pain affect and that, in most circumstances, the overall clinical utility of VASs is inferior to that of more structured pain indices.