Sex from Somewhere Liberally Different?

Philosophical Studies -     

Accountability from Somewhere and for Someone: Relating with Care

Abstract

In contemporary care institutions, accountability procedures and devices are increasingly pervasive and considered crucial for monitoring quality. Such accountability practices are based on the idea that accountability and care belong in two separate domains. The distinction between accountability ‘from nowhere and for everyone’ and accountability ‘from somewhere and for someone’ problematises this implicit split. Taking seriously the observations of everyday caring and accounting by care professionals, who resist splitting care and accountability from the outset, demands a reconceptualisation of the relation between care and accountability as reciprocal and co-emerging. Both accountability and care are highly circumstantial, emerging, relational notions and it is not clear-cut who or what cares or accounts for what, whom, where and how. Paying due attention to the generative interweaving of accounting and caring, that is, to the narrative work of care professionals, affords the potential to turn universal abstract norms of what good care should be into meaningful care. Creatively reconnecting care experiences, observations, records and relations generates accountability with care. Care professionals do this by daring to prioritise speculatively what matters most in a specific situation without falling back on the reassurance of clear-cut norms of good care and by daring to admit that even while prioritising a certain course of action, they might not know its consequences. Such a speculative commitment and the inclusion of the researcher's experiences in trying to be accountable are crucial for studying accountability as a matter of care and as relatedness in the making.     

Going Somewhere: An Ecological and Experimental Approach to Development of Mobility

This article formulates a framework for understanding mobility and how it develops. Research is summarized as a foundation for a theoretical framework. Studies are briefly described that deal with development of detection of a surface of support adequate for traversal, development of the ability to maintain equilib- rium during stance and bipedal locomotion, and development of guided locomo- tion on a path to a destination in a cluttered environment. The informational basis for perceiving essential behavioral supports is examined. The concept of affordance as it relates to and is constrained by developing exploratory and action systems is stressed as an essential part of the theoretical framework for develop- ment. Mobility development is seen as best approached within a functional systems theory with components, both perceptual and motor, coming together in the course of development to permit emergence of new skills, such as crawling and walking, in the service of going somewhere.     

心脑血管疾病防治观的上游与下游

促发心脑血管疾病的多重危险因素属于关系链的上游,糖尿病和代谢综合征属于中游,而心绞痛、心肌梗死和脑卒中属于疾病的下游,干预下游是一种高成本高风险的模式,如将干预重点转移到上游则风险不大,成本低廉,有充分的选择余地.     

心脑血管疾病防治观的上游与下游

促发心脑血管疾病的多重危险因素属于关系链的上游,糖尿病和代谢综合征属于中游,而心绞痛、心肌梗死和脑卒中属于疾病的下游,干预下游是一种高成本高风险的模式,如将干预重点转移到上游则风险不大,成本低廉,有充分的选择余地。     

Hearing loss and perceptual effort: Downstream effects on older adults' memory for speech

A group of older adults with good hearing and a group with mild-to-moderate hearing loss were tested for recall of the final three words heard in a running memory task. Near perfect recall of the final words of the three-word sets by both good- and poor-hearing participants allowed the inference that all three words had been correctly identified. Nevertheless, the poor-hearing group recalled significantly fewer of the nonfinal words than did the better hearing group. This was true even though both groups were matched for age, education, and verbal ability. Results were taken as support for an effortfulness hypothesis: the notion that the extra effort that a hearing-impaired listener must expend to achieve perceptual success comes at the cost of processing resources that might otherwise be available for encoding the speech content in memory.     

Influences of Upstream Social Factors on Downstream Perceptions of Social Support in Cardiac Rehabilitation1

Within Berkman et al.'s (2000) framework, we examined sociodemographic correlates of social networks (SN) and social support (SS) in 155 heart patients (33 women, 122 men), who completed measures of sociodemographics, SN, and SS. Hierarchical regression analyses examined the relationship between sociodemographic factors and SN; and between sociodemographic factors, SN, and SS. Higher social status and more income were related to larger, more diverse networks and more SS. Higher social status and being married were related to more SS. Being married was related to more belonging and tangible support. Results show the complex relationship between higher level social factors and specific SS functions offering areas for future interventions to increase SS in heart patients.     

元明清时期长江下游民众的武当山进香之旅

武当山进香风俗的形成至迟不晚于宋代,到明代达鼎盛,吸收了来自全国各地的香客,清代有衰减,但仍对周边地区产生了影响.长江下游民众自元代开始来武当朝斋,经明清两代,一直持续到民国年间,这期间长江下游人朝武当山的原因除明代武当山地位的尊崇、武当宫观陈设的穷极富丽及武当山自然景观的丰富外,还与长江下游自南宋以来真武信仰的兴盛有关.