Shock tactics to counter AIDS: The australian experience

Abstract

The use of shock tactics to motivate people to learn more about AIDS and to take appropriate protective action characterised the approach adopted by the national health authorities in Australia during 1987. The rationale underlying this approach is critically examined, particularly in the light of results obtained from surveys of community concern and knowledge about AIDS in the state of South Australia before the campaign and after it had been in progress for some five months. Contrary to expectations no significant increases in either personal or social concern were found; in fact, among older respondents personal concern had decreased significantly. Levels of knowledge about AIDS, in general, remained unchanged, apart from an increase in acceptance of the safety of blood transfusions from a very low to a somewhat higher level. Among a minority of respondents (29%) who approved of the campaign and also believed they had been influenced by it, personal and social concern about AIDS, but not knowledge, was significantly greater than among others. The view that fear-inducing techniques can be used to bring about increases in knowledge about AIDS was not supported, although some positive effects on the social attitudes of respondents most affected by the campaign are suggested.     

A Transformative Eucharistic Vision for the Entire Oikoumene

This article begins from the awareness that in a world of affluence, millions are hungry. It addresses the question as to whether this is merely an economic issue or whether it also poses an ethical and theological dilemma, considering ways in which the situation we are living in challenges our faith in the transformation of bread and wine into the body and blood of Christ. It asks how, in the situation as it is, there is any possibility of believing in such a transformation. Finally it questions whether there is any relationship between hope for the transformation of hunger amidst affluence and belief in the transformation of bread into the body of Christ, and outlines a transformative eucharistic vision for the global Christian Church.     

Politicised religion and the religionisation of politics

The dilemmas of dealing with difference are currently at the heart of our society. Among the anomalies of our age is the survival and even flourishing of complex systems of values based on religion. However, we see that mosques flourish, ethnic associations with religious undertones multiply and religion is present in the public sphere through conflicts about religion or persons believed to be religious. Islam is a much discussed topic. The line between private and public religion is as thin as ever, and I would argue so is the line between religion and politics. This can be observed at two levels. First, the invocation of religion in the political discourse, leading to the politicisation of religion and second, as the influence religion has on political life, the religionisation of politics.     

Health Literacy,Health Inequality and a Just Healthcare System

Limited health literacy is a pervasive and independent risk factor for poor health outcomes. Despite decades of reports exhibiting that the healthcare system is overly complex, unneeded complexity remains commonplace and endangers the lives of patients, especially those with limited health literacy. In this article, we define health literacy and describe the empirical evidence associating health literacy and poor health outcomes. We recast the issue of poor health literacy from within the ethical perspective of the least well-off and argue that poor health outcomes deriving from limited health literacy ought to be understood as a fundamental injustice of the healthcare system. We offer three proposals that attempt to rectify this injustice, including: universal precautions that presume limited health literacy for all healthcare users; expanded use of technology supported communication; and clinical incentives that account for limited health literacy.     

Why Do Police Arrest Victims of Domestic Violence? The Need for Comprehensive Training and Investigative Protocols

After all the positive changes in the criminal justice system over the last ten to fifteen years concerning the response to incidents of domestic violence, there remains the problem of battered women who are arrested as perpetrators of domestic violence. The reasons for these arrests are complex and varied. They range from the patriarchal structure of criminal justice agencies, to the staffing of these agencies, and finally to the inappropriate and inadequate training of police officers. This article includes real life examples of cases where victims were arrested, and why these arrests occurred. It also includes suggestions on how to minimize these illegal arrests.     

Violence against Women in Contemporary Ghanaian Society

Abstract

Overcoming violence against women requires critical reflective questioning both by individuals and human societies. At stake are not just questions of whether we respond to situations of violence but more importantly, where, when and how we respond. This paper examines the problem with respect to new dimensions arising from existing interventions on violence against women in the Ghanaian context. It calls for well-planned and sustained strategies to help break the cycle of violence being created.

The paper also calls upon the Church to look within its own resources for strategies that are life transforming to help break the vicious cycle. It notes that the Church is not only well placed to respond appropriately but it has been commissioned and given the requisite tools to do so. The call is therefore for the Church to enlist these foundational resources available to it and to put them to good use as it is demanded by its calling.     

CBT in the British NHS: Vague imposition or imposition of vagueness?

The multi-faceted controversy created by the ascendance of cognitive behaviour therapy (CBT) in the British mental health industry is outlined. The historical and philosophical nature of this controversy is traced, by looking at CBT as a psychiatric form of treatment and eclectic form of applied psychology. CBT has become a policy battleground, which can be understood by putting its modernist credentials and its appeal to rationalism, pragmatism and techno-centric optimism into a mixed pre-modern and post-modern context. Given that there are diverse representatives of these realms of belief alive today in our society, the current singular policy emphasis on CBT is anti-democratic and insensitive to diversity. The paradox of this restrictive policy is that CBT itself is now a very diverse set of practices held together mainly by a faith in evidence-based practice. Consequently, a version of pluralism is being tolerated on the supply side of mental health services but a full offer of true choice is not being made on the demand side.     

From world hunger to food sovereignty: food ethics and human development

The role of Amartya Sen's early work on famine notwithstanding, food security is generally seen as but one capability among many for scholars writing in development ethics. The early literature on the ethics of hunger is summarized to show how Sen's Poverty and Famines was written in response to debates of past decades, and a brief discussion of food security as a capability follows. However, Sen's characterization of smallholder food security also supports the development of agency in both a political and an economic sense. Economic agency is discussed and tied to longstanding literatures on the moral significance of farming within political economy. Finally, while the newly emergent literature on food sovereignty includes many themes, it is shown to be re-articulating arguments that stress smallholder's economic agency as a development goal. This pattern of argument thus provides a way to reconcile at least some of the claims being advanced under the banner of food sovereignty with the human development approach, while also restoring food ethics to a more central place in the overall discourse of development ethics.     

Food pleasantness affects visual selective attention

Fundamental to adaptive behaviour is the ability to select environmental objects that best satisfy current needs and preferences. Here we investigated whether temporary changes in food preference influence visual selective attention. To this end, we exploited the fact that when a food is eaten to satiety its motivational value and perceived pleasantness decrease relative to other foods not eaten in the meal, an effect termed sensory-specific satiety. A total of 26 hungry participants were fed until sated with one of two palatable foods. Before and after selective satiation, participants rated the pleasantness of the two foods and then viewed the same as stimuli on a computer screen while attention was assessed by a visual probe task. Results showed that the attentional bias for the food eaten decreased markedly from pre- to postsatiety, along with the subjective pleasantness for that food. By contrast, subjective pleasantness and attentional bias for the food not eaten did not show any such decrease. These findings suggest that the allocation of visual selective attention is flexibly and rapidly adjusted to reflect temporary shift in relative preference for different foods.     

Contemporary Environmental Ethics From Metaethics to Public Philosophy

In the past thirty years environmental ethics has emerged as one of the most vibrant and exciting areas of applied philosophy. Several journals and hundreds of books testify to its growing importance inside and outside philosophical circles. But with all of this scholarly output, it is arguably the case that environmental ethics is not living up to its promise of providing a philosophical contribution to the resolution of environmental problems. This article surveys the current state of the field and offers an alternative path for the future development of environmental ethics toward a more publicly engaged model of applied philosophy.