Health (care) and human rights: a fundamental conditions approach

Many international declarations state that human beings have a human right to health care. However, is there a human right to health care? What grounds this right, and who has the corresponding duties to promote this right? Elsewhere, I have argued that human beings have human rights to the fundamental conditions for pursuing a good life. Drawing on this fundamental conditions approach of human rights, I offer a novel way of grounding a human right to health care.     

The Psychometric Equivalence of the Personal Wellbeing Index for Normally Functioning and Homeostatically Defeated Australian Adults

Understanding subjective wellbeing (SWB) at the population level has major implications for governments and policy makers concerned with enhancing the life quality of citizens. The Personal Wellbeing Index (PWI) is a measure of SWB with theoretical and empirical credentials. Homeostasis theory offers an explanation for the nature of SWB data, including the distribution of scores, maintenance and change over time. According to this theory, under normal conditions, the dominant constituent of SWB is Homeostatically Protected Mood (HPMood), which is held within a genetically determined range of values around a set-point. However, in extreme circumstances (e.g., financial hardship, chronic illness), HPMood may dissociate from SWB, as cognitive/emotional reactions to the cause of homeostatic challenge assume control over SWB. This study investigates two groups as people scoring in the positive range for SWB and people who are likely to be experiencing homeostatic defeat/challenge. We test whether the reduced influence of HPMood on SWB due to homeostatic defeat has implications for the validity of SWB measurement. Participants were 45,192 adults (52 % female), with a mean age of 48.88 years (SD = 17.35 years), who participated in the first 23 surveys of the Australian Unity Wellbeing Index over the years 2001–2010. Multiple regression analysis, multiple group confirmatory factor analysis, and Rasch modelling techniques were used to evaluate the psychometric performance of the PWI across the two groups. Results show that while the PWI functioned as intended for the normal group, SWB in the challenged group was lower across all PWI domains, more variable, and the domain scores lacked the strength of inter-correlation observed in the normal, comparison group. These changes are consistent with predictions based on homeostasis theory and one major implication of the findings is that SWB measures may not function equivalently across the entire spectrum of possible domain satisfaction scores.     

The frequency of actions and thoughts scale: development and psychometric validation of a measure of adaptive behaviours and cognitions

This paper describes the development and preliminary psychometric evaluation of an instrument that measures the frequency of adaptive behaviours and cognitions related to therapeutic change during cognitive behavioural therapy (CBT), for symptoms of anxiety and depression. Two studies were conducted. In study one, 661 participants completed an online survey with 28 items targeting adaptive behaviours and cognitions. Exploratory factor analysis performed on part of the sample (n = 451) revealed that a four-factor solution ‘characterised’ the data. This led to the development of a 12-item instrument, the Frequency of Actions and Thoughts Scale (FATS). Confirmatory factor analysis was used to confirm the factor structure of the FATS using the remaining sample (n = 210), which revealed an acceptable model fit. In study two, 125 participants with clinically significant symptoms of anxiety, depression, or both were recruited to an Internet-delivered CBT (iCBT) treatment course. Participants completed the FATS and other measures throughout treatment, after treatment, and at three-month follow-up. Correlations and residual change scores of the FATS and its subscales with measures of anxiety, depression, behavioural activation, and CBT-related skills usage supported the construct validity of the FATS. A significant increase in FATS scores over treatment was also observed. The findings provide preliminary support for the psychometric properties of the FATS, which appears to have utility in research investigating mechanisms of change in CBT.     

Prayer,Self‐Examination,and Christian Catechesis in Augustine and Luther

Augustine and Luther are well known for their self‐examinations of religious experience, especially its trials and temptations. Their theologies of prayer offer a distinctive window into this self‐examination because they traverse the juncture between doctrine and practice, thereby addressing both the theological and pastoral concerns on sin and grace at the heart of their discussions of religious experience. While emanating from their personal spiritual lives, their theologies of prayer also are firmly rooted within the corporate context of the church and Christian catechesis.     

A Supervenient Trinity: An Alternative to Latin and Social Trinitarian Theories

The Latin Trinity (LT) and the Social Trinity (ST) represent the two dominant approaches for interpreting the doctrine of the Trinity in contemporary philosophical theology. Both approaches have consequences for Christian theology, however, and I believe that neither sufficiently overcomes the charges of modalism or tritheism, respectively. Moreover, the charge of the overall logical incoherency of the doctrine of the Trinity remains a viable criticism. In order to defend the doctrine of the Trinity against charges of incoherency, while avoiding the modalistic and tritheistic leanings of the LT and ST models, I argue that the unitary nature of God‐as‐three‐hypostases is best understood in terms of a relationship of supervenience between the revelation of (1) Deut. 6:4 and (2) the Gospel of John. The Hypostases of the Trinity supervene on the unitary identity of God insofar as to be ‘God’ is to entail the perichoretic relationship of unbegottenness, begottenness, and spiratation (procession). The Supervenient Trinity (SvT), as an analogical model, provides a way to understand God as (1) and (2) that better avoids the modalist and tritheistic difficulties raised by the LT and the ST approaches.     

Cohen on ‘Epistemic’

Stewart Cohen offers a critique of much contemporary epistemology. Epistemologies use the term ‘epistemic’ in order to specify the issues they investigate and about which they disagree. Cohen sees widespread confusion about these issues. The problem, he argues, is that ‘epistemic’ is functioning as an inadequately defined technical term. I will argue, rather, that the troubles come more from non-technical vocabulary, in particular with ‘justification’ and ‘ought’, and generally from the difficulty of explaining normativity. Overall, the message of this paper is that normativity is what’s hard to understand, not the term ‘epistemic.’