Wellbeing as a Wicked Problem: Navigating the Arguments for the Role of Government

Governments in a number of countries have shown increasing interest in seeking to elevate happiness or wellbeing as an explicit policy goal. This interest has led to fierce debates both within and, increasingly, beyond academe about the appropriate role for government in this area. It is difficult to adjudicate between the various arguments surrounding the issue as they often take very different starting points, either metatheoretical or disciplinary. In seeking to steer a course through these arguments we take the distinction between ‘wicked’ and ‘tame’ problems as a reference point, arguing that wellbeing should be categorised as the former. The seminal discussion of this distinction (Rittel and Webber in Policy Sci 4:155–169, 1973) resonates sharply with current debates on wellbeing and indeed is located within similar debates in the past. We argue that understanding wellbeing as a wicked problem steers us towards deliberation and scrutiny as central to the agenda and cautions us against expecting to find a panacea. However, this understanding can take us beyond irresolvable disputes by pointing to the need for pragmatic and legitimate government action. In developing our arguments we ground them mainly in relation to empirical research on developments in the UK, where the connection between wellbeing and public policy is seen as relatively advanced. However, we suggest these arguments apply to other contexts where wellbeing is gaining increasing traction as a potential goal of government policy.     

The Curious Case of the De-ICD: Negotiating the Dynamics of Autonomy and Paternalism in Complex Clinical Relationships

This article discusses the response of our ethics consultation service to an exceptional request by a patient to have his implantable cardioverter defibrillator (ICD) removed. Despite assurances that the device had saved his life on at least two occasions, and cautions that without it he would almost certainly suffer a potentially lethal cardiac event within 2 years, the patient would not be swayed. Although the patient was judged to be competent, our protracted consultation process lasted more than 8 months as we consulted, argued with, and otherwise cajoled him to change his mind, all to no avail. Justifying our at times aggressive paternalistic intervention helped us to reflect on the nature of autonomy and the dynamics of the legal, moral, and personal relationships in the clinical decision-making process.     

Assessing the Effect of Language Demand in Bundles of Math Word Problems

Differential bundle functioning (DBF) analyses were conducted to determine whether seventh and eighth grade second language learners (SLLs) had lower probabilities of answering bundles of math word problems correctly that had heavy language demands, when compared to non-SLLs of equal math proficiency. Math word problems on each of four test forms (two at Grade 7 and two at Grade 8) were bundled together if they used the passive voice, conditional clause, relative clause, or a combination of any two. The results showed that the average total scores for SLLs was significantly lower than that for non-SLLs on each test form. However, only two bundles (passive voice and conditional clause at Grade 7 on Form 2) indicated statistically significant DBF against SLLs in favor of matched non-SLLs. An additional step was taken to determine whether the two bundles that showed statistically significant DBF against SLLs had biased the mean total scores for this group.The Walker, Zhang, Banks, and Cappaert (2012) procedure established for this purpose showed that this was not the case. Implications of the results are provided as well as suggestions for future research.     

Visual perspective in remembering and episodic future thought

According to the constructive episodic simulation hypothesis, remembering and episodic future thinking are supported by a common set of constructive processes. In the present study, we directly addressed this assertion in the context of third-person perspectives that arise during remembering and episodic future thought. Specifically, we examined the frequency with which participants remembered past events or imagined future events from third-person perspectives. We also examined the different viewpoints from which third-person perspective events were remembered or imagined. Although future events were somewhat more likely to be imagined from a third-person perspective, the spatial viewpoint distributions of third-person perspectives characterizing remembered and imagined events were highly similar. These results suggest that a similar constructive mechanism may be at work when people remember events from a perspective that could not have been experienced in the past and when they imagine events from a perspective that could not be experienced in the future. The findings are discussed in terms of their consistency with—and as extensions of—the constructive episodic simulation hypothesis.     

Adjusting the Religious Autobiography Course for the Postmodern Classroom

Religious autobiography as an introductory course is popular yet problematic. Often, it lacks methodological breadth and functions to ensconce Western notions of subjectivity which elide difference, locatedness, and the reality of multiple or shifting identifications. These problems can be addressed by incorporating into the course a community‐based learning exercise in which each student is paired with a local senior citizen, conducts a series of interviews with the elder, and then writes an (auto‐)biography based on the interviews. Students are thus given a real‐life situation in which to test the applicability of theories and definitions of religion, as well as a relationship to a subject whose locatedness and relatively unprivileged “I” allow for the problematization of autobiography as a genre as well as an appreciation for the contextual nature of religiosity. This exercise transforms the religious autobiography course into a pedagogically fruitful, intellectually defensible, and institutionally savvy introductory course.     

Adult Attachment,Self‐Efficacy,Perspective Taking,and Conflict Resolution

Parents (N= 124) completed surveys assessing their adult attachment style, conflict resolution style, social self‐efficacy, and perspective taking. Findings supported hypothesized relationships between secure attachment and mutual forms of conflict resolution. More equivocal support was obtained for hypothesized pairings of specific nonsecure attachment styles and nonmutual conflict styles. Findings suggested mediating effects for social competencies (social self‐efficacy and perspective taking), which accounted for some of the negative association between attachment avoidance and mutual conflict style. Follow‐up analyses identified mediating effects of social competencies on specific combinations of attachment and conflict styles–thus suggesting avenues for counseling interventions.     

Letter transpositions within and across morphemic boundaries: Is there a cross-language difference?

Research on the impact of letter transpositions that arise across morpheme boundaries has yielded conflicting results. These results have led to the suggestion that a cross-linguistic difference may exist in the recognition of Spanish and English words. In two masked-priming experiments run on separate groups of Spanish and English speakers, we tested this hypothesis by comparing the impacts of primes with letter transpositions that arose within morphemes or across morpheme boundaries on the recognition of identical or near-identical Spanish–English cognate targets. The results showed transposed-letter benefits in both Spanish and English that were not modulated by the position of the transposed letter in the prime stimulus. Our findings therefore add to the growing body of literature suggesting that the transposed-letter benefit is not affected by the position of the transposed letters relative to the morpheme boundary, and they dispel previous suggestions that there might be a genuine difference in orthographic coding across the Spanish and English writing systems.     

Effect of the Healthy MOMs Lifestyle Intervention on Reducing Depressive Symptoms Among Pregnant Latinas

Depression during the prenatal and postpartum periods is associated with poor maternal, perinatal and child outcomes. This study examines the effectiveness of a culturally and linguistically tailored, social support-based, healthy lifestyle intervention led by trained community health workers in reducing depressive symptoms among pregnant and early postpartum Latinas. A sample of 275 pregnant Latinas was randomized to the Healthy MOMs Healthy Lifestyle Intervention (MOMs) or the Healthy Pregnancy Education (control) group. More than one-third of participants were at risk for depression at baseline. MOMs participants were less likely than control group participants to be at risk for depression at follow-up. Between baseline and 6 weeks postpartum, MOMs participants experienced a significant decline in depressive symptoms; control participants experienced a marginally significant decline. For MOMs participants, most of this decline occurred during the pregnancy intervention period, a time when no change occurred for control participants. The change in depressive symptoms during this period was greater among MOMs than control participants (“intervention effect”). From baseline to postpartum, there was a significant intervention effect among non-English-speaking women only. These findings provide evidence that a community-planned, culturally tailored healthy lifestyle intervention led by community health workers can reduce depressive symptoms among pregnant, Spanish-speaking Latinas.