Empowering Latino Church Leaders to Deal with the HIV-AIDS Crisis: A Strengths-Oriented Service Model

Ideology and attitudes of Latino church leaders in the United States toward HIV/AIDS are explored. A qualitative approach utilized with emergent categories including: a desire within the Latino church for greater acceptance of HIV/AIDS sufferers, the supposed contaminating influence of HIV/AIDS individuals over other church members, and the feelings of helplessness many church members experience in relation to the HIV/AIDS crisis. Understanding ideological resistance that prevents engagement is here identified and a strategy of empowerment of church leaders is recommended to overcome it including: adopting a strengths-oriented service model that focuses on resources religious denominations already have, as opposed to a financially driven, medically oriented service model that highlights what churches often do not have; church leaders educating health care agencies on how to use religious beliefs to motivate church members to work on behalf of HIV/AIDS patients; the power of doctrinal ideology in affecting church and civil society’s response to HIV/AIDS.     

AIDS: ethics, justice and social policy

ABSTRACT Principles of justice and equality demand that HIV seropositive individuals and those with AIDS should not be discriminated against in any area of social provision. If social policy on AIDS is constructed in terms of reciprocal obligations, that is if obligations to the HIV seropositive individual and obligations of the HIV seropositive individual are given equal weight, the civil rights of HIV seropositive individuals may be secured and this may create a climate in which HIV seropositive individuals will more readily notify partners, and others at risk of infection, of their HIV status. It is conceivable that such a climate could facilitate greater control of the spread of HIV/AIDS.     

Faith,Race‐Ethnicity,and Public Policy Preferences: Religious Schemas and Abortion Attitudes Among U.S. Latinos

Research has demonstrated that white conservative Protestants are more opposed to abortion than their Catholic counterparts. At the same time, conservative Protestantism has made significant inroads among U.S. Latinos. This study augments existing research on religion and racial‐ethnic variations in abortion attitudes by comparing levels of support for legalized abortion among Catholic and conservative Protestant Latinos. Data are drawn from a nationally representative sample of U.S. Latinos. Significantly greater opposition to abortion is found among religiously devout conservative Protestant Latinos when compared with their Catholic counterparts. Latino Catholicism, which functions as a near‐monopolistic, highly institutionalized faith tradition among Hispanics, produces weaker antiabortion attitudes than those exhibited in Latino conservative Protestantism. Among Latinos, conservative Protestantism operates as a niche voluntaristic faith. These factors produce a religious schema that yields robust antiabortion attitudes. This study has important implications for understanding the intersection of race‐ethnicity, religion, and public policy preferences.     

How Latino American and European American adolescents discuss conflicts, sexuality, and AIDS with their mothers

The authors examined how the structure of mother-adolescent conversations differs by ethnic group, age, and dyadic and individual factors. Mother-adolescent dyads of European or Latino descent participated in conversations and reported on their relationship and AIDS knowledge. Latina American mothers dominated conversations more than European American mothers, independent of socioeconomic status. Mothers dominated conversations about sexuality and AIDS more than conversations about conflicts. Mothers of older adolescents reacted more negatively, and older adolescents reported less satisfaction, less openness, and more sexual discussions with persons other than their mothers. Latino American adolescents whose mothers dominated conversations more reported fewer sexual discussions. Latina American mothers who dominated conversations more reported more openness and satisfaction. When mothers dominated conversations more, adolescents had lower AIDS knowledge.     

Sustainable development, engineering and multinational corporations: Ethical and public policy implications

This paper explores the concept of sustainable development and its ethical and public policy implications for engineering and multinational corporations. Sustainable development involves achieving objectives in three realms: ecological (sustainable scale), economic (efficient allocation) and social (just distribution). While movement toward a sustainable society is dependent upon satisfying all three objectives, questions of just distribution and other questions of equity are often left off the table or downplayed when engineers and corporate leaders consider sustainable development issues. Indeed, almost all the effort of engineers and engineering organizations on the issue of sustainable development has been focused on striking a balance between economic development and environmental protection. Similarly, corporate approaches rely on technological fixes to the challenges posed by sustainable development. While there have been some efforts aimed at incorporating environmental and social equity concepts into engineering codes of ethics, social concerns have been secondary to environmental issues. The incongruity between the ideal of sustainable development and the way in which it is typically characterized by the engineering and business communities has significant implications for engineering and public policy, engineering ethics, and the potential roles of engineers and multinational corporations as facilitators of a transition to a sustainable society. Presented at the Engineering Foundation Conference on “Ethics for Science and Engineering Based International Industries”, Durham, NC, USA, September 1997. An earlier version was presented at and appeared in the proceedings of the “1997 International Symposium on Technology and Society”, IEEE Society on Social Implications of Technology, Glasgow, Scotland, UK, June 1997. The author, an Assistant Prolessor of Multidisciplinary Studies, teaches in the Science, Technology and Society Program and is Director of the Benjamin Franklin Scholars Program, a dual-degree program in engineering and humanities/social sciences.     

Patterns of drug use and criminal activities among latino arrestees in California: Treatment and policy implications

This study examined the patterns of drug use and criminal activities among Latino arrestees. The findings indicate that while the prevalence of drug use at time of arrest, and in the prior 12 months were significantly lower for Latinos compared to Whites and Blacks, drug use still is of concern for this ethnic group. Almost 50% of Latinos reported drug use in the last year, and more importantly, they were more likely to report using dangerous drugs such as cocaine, heroin, and PCP than any other ethnic group. These findings are even more alarming considering that, for the most part, Latino drug users were treatment-naive, and that less than half perceived a need for drug treatment. Regarding criminal activities, Latinos were less likely to have a history of prior arrests and to have been arrested in the year prior to the interview than any other ethnic group. Interestingly, those immigrants who have resided in the U.S. for less than 1 year were significantly more likely to have been charged with drug-related crimes. U.S. born Latinos were more likely to have been arrested for property crimes, while Central American immigrants were more likely than any other Latino group to have been arrested for violent and domestic violence crimes. Treatment and policy implications of these findings are discussed.     

Group therapy with the multiply oppressed: Treating Latino,HIV-infected injecting drug users

The Latino community in New York City and across the country is disproportionally represented in the AIDS epidemic. This article explores the impact of multiply oppressed group membership on the psychotherapeutic group treatment of Latino, HIV-infected injecting drug users. The interaction of traditional Latino values with injecting drug user and seropositive identities is described. Clinical examples drawn from a bilingual group held in a methadone maintenance clinic in the South Bronx highlight how oppressed group memberships affect Yalom's curative factors.This article was written with the support of a Ryan White CARE Act Title I grant to Montefiore Medical Center through the City of New York, contract OHF-4165.     

HIV/AIDS Prevention, Faith, and Spirituality among Black/African American and Latino Communities in the United States: Strengthening Scientific Faith-Based Efforts to Shift the Course of the Epidemic and Reduce HIV-Related Health Disparities

Black/African American and Latino communities are disproportionately affected by the domestic HIV/AIDS epidemic. Blacks/African Americans and Latinos are also more likely to report a formal, religious, or faith affiliation when compared with non-Hispanic whites. As such, faith leaders and their institutions have been identified in the National HIV/AIDS Strategy as having a vital role to serve in reducing: (1) HIV-related health disparities and (2) the number of new HIV infections by promoting non-judgmental support for persons living with and at risk for HIV/AIDS and by serving as trusted information resources for their congregants and communities. We describe faith doctrines and faith–science partnerships that are increasing in support of faith-based HIV prevention and service delivery activities and discuss the vital role of these faith-based efforts in highly affected black/African American and Latino communities.     

Averintsev’s Archipelago: Towards Understanding the Era of Post-Atheism

Drawing on MacIntyre’s encyclopaedia–genealogy–tradition typology of the humanities, the author describes Averintsev’s project as bringing together the elements of encyclopaedia and tradition. The article identifies three forms of isolationism which are evident not only in ‘post-atheistic’ societies but more widely, and comments on Averintev’s treatment of these.     

SARS事件后对卫生体制的反思

SARS事件突出暴露了我国经济和社会发展不协调的问题,由于缺乏科学发展观统领医疗卫生事业的发展,在体制改革中片面突出经济增长在社会发展中的作用、片面追求市场化的支配地位,是导致病象的内在逻辑。从构建“和谐社会”的战略出发,认为应避免社会公共事务管理的“泛市场化”倾向,指出“有管理的市场化”是其应然走向,呼吁在改革实践中重新回复人文精神。     

Cross-ethnic friendships, perceived discrimination, and their effects on ethnic activism over time: a longitudinal investigation of three ethnic minority groups

This research examines cross-ethnic friendships as a predictor of perceived discrimination and support for ethnic activism over time among African American, Latino American, and Asian American undergraduate participants from a multi-year, longitudinal study conducted in the United States. Our research builds on prior cross-sectional research by testing effects longitudinally and examining how relationships among these variables may differ across ethnic minority groups. Results indicate that, over time, greater friendships with Whites predict both lower perceptions of discrimination and less support for ethnic activism among African Americans and Latino Americans, but not among Asian Americans. Implications of these findings for future research on inter-group contact, minority-majority relations, and ethnic group differences in status are discussed.     

Race,Gender, and Sexual Orientation in the HIV/AIDS Epidemic: Evaluating an Intervention for Leaders of Diverse Communities

This article discusses the implementation and evaluation of an HIV/AIDS educational intervention for college student leaders in African-American, Latino, feminist, and gay and lesbian campus organizations.     

Culture and Gender Sensitive AIDS Prevention With Mexican Migrant Laborers: A Primer for Counselors

The purpose of this article is to explicate research-informed culture and gender sensitive AIDS prevention strategies aimed at Mexican migrant laborers living and working in the United States for extended time. This unique and extremely marginalized Latino population is yet another emerging high risk group for contracting the HIV virus. Counselors interested in applying their knowledge of psychology and minority groups to preventing such an AIDS epidemic will be challenged by the complex factors that frame this problem.     

Confucian Cosmopolitanism

Scholars in the humanities and social sciences are keenly aware of and often deeply engaged with more global or cosmopolitan approaches to their respective fields; nevertheless, theories of cosmopolitanism remain exceedingly controversial and arise exclusively from Western philosophical sources. Recently, Martha Nussbaum presented a contemporary Western liberal cosmopolitan theory and sought to integrate it with a call for multicultural education. In this essay, I describe, analyze, and criticize Nussbaum's conception of cosmopolitanism and argue that it does not sit comfortably with her laudable advocacy of multicultural education. I then draw upon resources within the Confucian tradition to sketch two alternative conceptions of cosmopolitanism, which I argue are both more powerful than what Nussbaum proposes and better support the kind of multicultural education she so eloquently advocates.     

Violent children: bridging development,intervention, and public policy

Childhood violence is a major public health and social policy concern in the United States. Scientists and policymakers alike have increasingly turned their attention to the causes of childhood violence and the extent to which its course can be modified through well-planned preventive interventions. However, it is not apparent that policymakers draw upon basic research findings in formulating their priorities and policies, nor is it apparent that developmental scientists incorporate policy considerations and prevention findings into their research frameworks and designs. The goal of this special issue on violent children is to begin to bridge the gaps among basic developmental science, prevention science, and public policy.     

Spirituality and religion in psychiatry: the impact of policy

ABSTRACT

Research and debate on the importance of spirituality and religion in psychiatry has led to a number of national and international policy initiatives, intended to clarify the boundaries of good practice and improve the way in which such matters are managed for the benefit of patients. Significant amongst these is the 2015 position statement of the World Psychiatric Association, the only such policy statement to date which has been internationally agreed. Preliminary evidence available suggests that this is having good effect in generating professional debate and further national policy initiatives in different countries. There is a need for further research on such policy initiatives to confirm whether or not they have the intended impact upon clinical practice and whether or not this in turn is beneficial for patients.     

Talent for Citizenship and the American Dream: the USA as Outlier in the Global Race for Talent

The failed 2007 US Comprehensive Immigration Reform Act (CIRA) included a “points-based system,” a proposal to shift toward supply-driven, merit-based selection. In an intensely polemic environment, this largely Republican initiative was opposed strongly by Democrats who argued that skill-based selection would weaken the traditional moral foundation of the USA, enshrined in its policy of family reunification. Through critical discourse analysis of policy documents and political rhetoric on the floor of the Senate during the CIRA debate, I explore the complexity of the relationship between neoliberalism, race, and immigration policy in the USA. I argue that the points-based system, which would severely disadvantage immigrants from the global south, became a foil for talk about Latino migration. The CIRA debate demonstrates the conflict in the USA between a need for (unskilled) labor and a nation-building project that excludes Latino migrants.     

Feeling skeptical: Worry,dread, and support for environmental policy among climate change skeptics

Emotions about climate change are the subject of a growing area of interdisciplinary scholarship. But so far scholars have not studied the emotions expressed by self-declared climate change skeptics; nor have social scientists turned to affect studies to develop nuanced understandings of the constellation of emotions related to fear. Our team conducted 33 interviews and 1000 surveys with self-identified skeptics living in the U.S. Pacific Northwest. The data demonstrates the variability in perspectives, ideologies, and behaviors among skeptics themselves in new and unique ways, including tracking skeptics’ emotions about climate change. This article focuses on worry and dread. We find that those who believe climate change is a hoax, and skeptics who are politically conservative, tend to express less of these two emotions, as do men who identify as skeptics. Religiosity, as measured by frequency of religious attendance, does not significantly correlate with worry and dread; however, specific religious beliefs related to climate change (e.g. “Climate change is punishment for our sins”) do seem to increase those two feelings. Negative firsthand environmental experiences are also associated with higher degrees of worry and dread. Perhaps most significantly, our data suggests that worry and dread correlate strongly with environmental concern and policy support.Our interdisciplinary approach has several methodological advantages. First, affect studies encourages more nuance in emotion language, including more detailed definitions of emotions like worry and dread, which simmer over time, as opposed to discrete emotions like fear, which are shorter-lived. Second, sociological approaches remind us that emotions function within particular political, historical, and cultural contexts, which are fundamentally shaped by power structures. Finally, humanities scholars can provide useful input both in research design and the interpretation of results by helping craft survey questions and data codes, and by providing close attention to the language of the survey and interview responses. Combined with quantitative data, this multi-pronged methodology brings together forms of knowledge from the humanities and social sciences. Our approach serves as a model for new work in the growing field of empirical ecocriticism and expands the boundaries of the environmental humanities.     

医学人文运动与知识考古--中国人文医学的战略与策略

后现代理论影响和刺激了医学人文学,医学人文学学科意义与价值更加显明,医学需要人文学,人文学需要医学,医务人员迫切需要人文医学教育。经济发展、高新生命科学技术入驻世俗生活、医学模式转变、医疗改革与价值论哲学影响,这五大因素构成中国医学人文运动的背景;中国医学人文运动正在兴起。研究医学人文学的知识背景对制订人文医学战略与策略有重要意义。