In Defence of QALYs

ABSTRACT A recent article has claimed that one of the significant benefits which people in the UK derive from the existence of the National Health Service must be lost if the Service adopts the QALY maximisation principle to allocate medical resources. The argument fails, partly because its author conflates two distinct benefits. The first is almost certainly important, but there is no reason to believe that it would be lost if the principle were introduced (while there is some reason to believe that the benefit would actually be greater). The second, once it is isolated from others with which it may be confused, is much less obviously important; and in any case there is again no reason to believe that it would be lost. Moreover, to argue against the principle on the ground that the second benefit would disappear is really to beg the question against the principle. We could not justify our rejection of the principle on the ground that the principle's adoption would mean that we lost the second benefit.     

Concepts and Conceptual Analysis

Conceptual analysis is undergoing a revival in philosophy, and much of the credit goes to Frank Jackson. Jackson argues that conceptual analysis is needed as an integral component of so-called serious metaphysics and that it also does explanatory work in accounting for such phenomena as categorization, meaning change, communication, and linguistic understanding. He even goes so far as to argue that opponents of conceptual analysis are implicitly committed to it in practice. We show that he is wrong on all of these points and that his case for conceptual analysis doesn't succeed. At the same time, we argue that the sorts of intuitions that figure in conceptual analysis may still have a significant role to play in philosophy. So naturalists needn't disregard intuitions altogether.     

The Secularization of Confessional Protests: The Role of Religious Processes of Rationalization and Differentiation

In the 1830s, a series of single-issue protests mobilized hundreds of thousands of Americans across the nation. In these protests against social problems like slavery and drinking, men and women gathered together to bear witness against what they viewed as sins, and to demand that their fellow Americans join them in confession. These confessional protests launched and linked a national wave of social movements. The origins of these movements were religious and evangelical. However, for many activists, the outcome of these protests led to a repudiation of this religious source. The development of these confessional protests reveals keys to the processes of secularization. Drawing on the letters and diaries of six white leading anti-slavery activists, we demonstrate how religious processes of rationalization and differentiation led to secularization. We present this development as a reminder to social theorists that processes immanent to religion have been fateful forces driving secularization.     

THE STRUCTURE OF CONSCIENTIOUSNESS: AN EMPIRICAL INVESTIGATION BASED ON SEVEN MAJOR PERSONALITY QUESTIONNAIRES

The purpose of this study was to identify the underlying structure of the trait domain of Conscientiousness using scales drawn from 7 major personality inventories. Thirty-six scales conceptually related to Conscientiousness were administered to a large community sample ( N = 737); analyses of those scales revealed a hierarchical structure with 6 factors: industriousness, order, self-control, responsibility, traditionalism, and virtue. All 6 factors demonstrated excellent convergent validity. Three of the 6 factors, industriousness, order, and self-control, showed good discriminant validity. The remaining 3 factors—responsibility, traditionalism and virtue—appear to be interstitial constructs located equally between Conscientiousness and the remaining Big Five dimensions. In addition, the 6 underlying factors had both differential predictive validity and provided incremental validity beyond the general factor of Conscientiousness when used to predict a variety of criterion variables, including work dedication, drug use, and health behaviors.     

TRAIT AND BEHAVIORAL THEORIES OF LEADERSHIP: AN INTEGRATION AND META‐ANALYTIC TEST OF THEIR RELATIVE VALIDITY

The leadership literature suffers from a lack of theoretical integration ( Avolio, 2007 , American Psychologist, 62, 25–33). This article addresses that lack of integration by developing an integrative trait‐behavioral model of leadership effectiveness and then examining the relative validity of leader traits (gender, intelligence, personality) and behaviors (transformational‐transactional, initiating structure‐consideration) across 4 leadership effectiveness criteria (leader effectiveness, group performance, follower job satisfaction, satisfaction with leader). Combined, leader traits and behaviors explain a minimum of 31% of the variance in leadership effectiveness criteria. Leader behaviors tend to explain more variance in leadership effectiveness than leader traits, but results indicate that an integrative model where leader behaviors mediate the relationship between leader traits and effectiveness is warranted.     

Trinitarian Missiology: Towards a Theology of God as Missionary1

Abstract: This article explores the possibilities of using ‘missionary’ as an attribute of God, as has been done recently in some ecclesial discourse. To this end, it offers an exegesis of John 20:21–23 via expositions of Augustine's discussion of the divine missions in De Trinitate, Barth's account of election, and the Lateran condemnation of Joachim of Fiore, and a discussion of the relationship between trinitarian theology and the divine attributes.