Rhetorics of Health Citizenship: Exploring Vernacular Critiques of Government’s Role in Supporting Healthy Living

This article explores how older adults negotiate and partially counter normative expectations of “health citizenship” that stress individual responsibility for maintaining health and preventing health problems. Based on interviews with 55 participants in Canada and the U.K. about what healthy living means to them in their everyday lives, we examine how the dominant discourse of personal responsibility in participants’ responses is counterpointed by a more muted, yet significant, alternative critical perspective on the relative roles and responsibilities of government and citizens in making healthy living possible. Drawing on Hauser’s (1999) concept of vernacular rhetoric along with recent theories of environmental citizenship, we analyze how participants exercise their civic-political judgment by using a logic of dissociation to argue that what government says about the importance of healthy living is incompatible with what government does to support citizens’ abilities to eat healthily and live actively. By deploying this technique of argumentation to address structural-political-economic dimensions of healthy living, participants enact, in modest ways, an alternative, critical-collective mode of health citizenship that complicates and, at least partially, disrupts neoliberal constructions of the individually responsible, “good” health citizen.     

Stakeholders’ Opinions on the Implementation of Pediatric Whole Exome Sequencing: Implications for Informed Consent

Advances in whole genome and whole exome sequencing (WGS/WES) technologies have led to increased availability in clinical settings. Currently, there are few guidelines relating to the process and content of informed consent for WGS/WES, nor to which results should be returned to families. To address this gap, we conducted focus groups to assess the views of professionals, parents, and adolescents for the future implementation of WES. The discussions assessed understanding of the risks and benefits of WES, preferences for the informed consent discussion, process for return of results, and the decision-making role of the pediatric patient. Professional focus group participants included bioethicists, physicians, laboratory directors, and genetic counselors. Parent focus groups included individuals with children who could be offered sequencing due to a potential genetic cause of the child’s condition. On-line discussion groups were conducted with adolescents aged 13–17 who had a possible genetic disorder. We identified discrepancies between professionals and patient groups regarding the process and content of informed consent, preference for return of results, and the role of the child in decision-making. Professional groups were concerned with the uncertainty regarding professional obligations, changing interpretation in genomic medicine, and practical concerns of returning results over time. Parent and adolescent groups focused on patient choice and personal utility of sequencing results. Each group expressed different views on the role of the child in decision-making and return of results. These discrepancies represent potential barriers to informed consent and a challenge for genetic counselors regarding the involvement of pediatric patients in decision-making and return of results discussions.     

The Relationship Between Parent-Adolescent Conflict Dynamics and Adolescent Depression

Journal of Child and Family Studies - This study investigated the relation between parent–adolescent conflict and adolescents’ depressive symptoms from a dynamic systems framework. Two...     

Suffering and the Shape of Well-Being in Buddhist Ethics

This article explores the defense Indian Buddhist texts make in support of their conceptions of lives that are good for an individual. This defense occurs, largely, through their analysis of ordinary experience as being saturated by subtle forms of suffering (du?kha). I begin by explicating the most influential of the Buddhist taxonomies of suffering: the threefold division into explicit suffering (du?kha-du?khatā), the suffering of change (vipari?āma-du?khatā), and conditioned suffering (sa?skāra-du?khatā). Next, I sketch the three theories of welfare that have been most influential in contemporary ethical theory. I then argue that Buddhist texts underdetermine which of these theories would have been accepted by ancient Indian Buddhists. Nevertheless, Buddhist ideas about suffering narrow the shape any acceptable theory of welfare may take. In my conclusion, I argue that this narrowing process itself is enough to reconstruct a philosophical defense of the forms of life endorsed in Buddhist texts.     

Belief in Magic Predicts Children's Selective Trust in Informants

Children are able to distinguish between regular events that can occur in everyday reality and magical events that are ordinarily impossible. How do children respond to a person who brings about magical as compared with ordinary outcomes? In two studies, we tested children's acceptance of informants' claims when the informants had produced either magical or ordinary outcomes. In Study 1, children's skeptical or credulous stance toward magic predicted their endorsement of the claims made by the informants. Children who were more credulous were likely to accept information from the informant who had produced magical outcomes. In Study 2, a brief manipulation was only partially effective in changing children's initial stance toward magic. Their initial stance toward magic continued to predict their acceptance of information from the informant who had produced magical outcomes.     

Feasibility and effectiveness of school-based relaxation in lowering blood pressure

Progressive muscle relaxation (PMR) is a broadly useful anxiety reduction technique that has been found to lower blood pressure (BP) in essential hypertension. The present investigation is the first to evaluate the feasibility and efficacy of wide-scale PMR instruction as a public health promotion strategy aimed at adolescents. Students (N = 1,400) in Grades 9 and 10 at two large Baltimore City public high schools underwent BP screening; those with BP persistently above the 85th percentile were randomly assigned to (a) 12 weeks daily PMR instruction provided in class for academic credit or (b) a control condition. The latter students had their BP measured at the same frequency as the PMR students and completed the PMR course during the following year. Approximately two thirds of eligible students entered and completed the study. Results demonstrated that treatment students (n = 51) enjoyed daily PMR, mastered the technique, and achieved reduced systolic BP at posttest relative to the untrained controls (n = 59). At follow-up 4 months later, group BP differences were not significant. Implications for use of PMR to promote cardiovascular health are discussed.     

Helicopter Parenting and Drinking Outcomes Among College Students: The Moderating Role of Family Income

Journal of Adult Development - Helicopter parenting, a form of overcontrol defined by intense levels of monitoring and supervision, has been linked to an increase in risky behaviors in emerging...     

Midline and off-midline tongue and right- and left-hand vibrotactile thresholds of stutterers and normal-speaking individuals

Vibrotactile thresholds for 7 male stutterers and 7 normal-speaking men (age range for both groups = 19 to 32 yr.) were obtained from the right, midline, and left sides of the lingual dorsum, and the thenar eminences of both hands. The stutterers showed slightly higher (less sensitive) mean thresholds than the normal speakers for all three lingual test sites. This was not the case for the thresholds obtained from both hands. The preliminary data suggest that oral peripheral sensory integrity might be somewhat different for stutterers than for normal-speaking individuals.