Libertarianism vs. Marxism: Reflections on G. A. Cohen‘s Self-Ownership, Freedom and Equality

Self-Ownership, Freedom and Equality is G.A. Cohens attempt to rescue something of the socialist outlook on society from the challenge of libertarianism, which Cohen identifies with the work of Robert Nozick in his famous book, Anarchy, State, and Utopia. Sympathizing with the leading idea that a person must belong to himself, and thus be unavailable for forced redistribution of his efforts, Cohen is at pains to reconcile the two. This cannot be done – they are flatly contrary. Moreover, equality is a nonsense principle, calling for such things as equal distribution of natural resources. But resources, as goods, are not natural: all require work to utilize. The only thing exchanged on markets is services, and estimates of value received are relevantly made only by those party to the exchanges in question. Imposition from above on voluntary exchange can only be socially counterproductive.     

For God or Country? Comparing the Sources of Anti-American and Anti-Muslim Attitudes

Negative attitudes about Americans pervade the Muslim world. And many Americans hold negative views of Muslims. Although prior literatures provide many explanations for the sources of antagonism in each population, scholars have yet to provide a direct comparison between the two. Thus, instead of explaining the attitudes themselves, this research compares them. When the same questions are asked of Americans and Muslims, are the same variables significant predictors of antagonism? We use 2008 and 2011 survey data from the Pew Global Attitudes Project and ordered probit models to answer this question at two distinct points in time. The results illustrate the importance of domestic politics for both populations, providing insight into the potential utility of foreign policies designed to improve attitudes. Additionally, we find that the story of religion's influence on anti-American attitudes is a complex one, which changes depending on how religiosity is operationalized. This research represents a first step in bringing the literatures on anti-Muslim and anti-American attitudes together, while also revealing important similarities and differences in the sources of antagonism.     

Three Conceptual Models of Patient and Public Involvement in Standard-setting: From Abstract Principles to Complex Practice

Clinical practice guidelines have been critiqued for prescribing standardized care that neglects patients’ personal circumstances and knowledge in health care decisions. To make care more patient centred, standard-setters are urged to involve patients and the public in guideline development and use. Despite widespread principled support for such Patient and Public Involvement (PPI), the underlying principles guiding PPI in standardization of care are mired on confusion and contradiction. Based on the PPI literature in general, and informed by empirical research on guideline development, it is possible to identify three rationales that justify PPI in clinical standard setting. Each rationale gives rise to a conceptual model which outlines a distinct purpose of participation, who is to be included, and what they are expected to contribute. The Consumer Choice model aims to involve autonomous consumers to personalize clinical care. The Democratic Voice model aims for health care recommendations to better reflect collective values of citizens. The Lay Expertise model aims to re-contextualize universal evidence by including experiential patient knowledge. However, these models can and should not function as ‘Gold Standards’ to be consistently followed in practice. First, the models rely on two distinct types of representation, resulting in contradictory notions of how to be a good representative. Second, imposing models on practice requires a top-down control that is practically and politically problematic. Not only is control difficult to achieve, it may compromise the participatory ideal of participants co-determine practice, and may result in excluding the values and views of ‘real’ patients and public entirely.     

Context-based variations in EFL teachers’ reflection: the case of public schools versus private institutes in Iran

The aim of the present study was twofold: examining the effect of contextual differences on the degree of English as a foreign language (EFL) teachers’ involvement in reflection and exploring context-related factors that may help/hinder the reflection process. A mixed-methods quantitative-qualitative procedure was adopted. Eighty-five Iranian EFL teachers (41 teaching in public schools and 44 working in private language institutes) completed the English-language teaching reflection inventory developed by Akbari, Behzadpour, and Dadvand (2010 Akbari, R., Behzadpoor, F., &; Dadvand, B. (2010). Development of english language teaching reflection inventory. System, 38, 211–227.10.1016/j.system.2010.03.003[Crossref], [Web of Science ®] , [Google Scholar]), with 10 of the participants attending a follow-up interview too. The results of multiple sets of independent samples t-tests showed that teachers in the private sector reported significantly more active involvement in lower levels of reflection (i.e. practical, cognitive, and affective reflection), while no measurable difference was detected between the two groups in terms of higher levels of reflection (i.e. metacognitive and critical reflection). Analysis of the interview data further revealed that teachers’ involvement in reflection was influenced by five main context-specific factors namely, knowledge of reflection, institutional demands, teachers’ attitude toward teaching, availability of resources, and collegial support. The implications of the findings for educational policymakers and teacher educators were discussed and suggestions were provided for future research.     

Les violences externes au travail : facteurs générateurs,perceptions et réactions des agents

External violences are the violences exerted against an employee on his workplace. The phenomenon constitutes an increasing risk, in particular for the employees in relation with a public. This article presents a research undertaken within a social structure, worked out starting from problems which relate to the identification of external violences, perceptions and reactions located of the agents in daily relation with users; starting from a collection of data resulting from interviews and observations on three sites. The article points the multi-determined character of violences and the strategies put in work by the agents to cope with it. In that, he questions the phenomenon within the organizations of service in link with the complexity of the situations of the users.     

An Elephant in the Consulting Room: Making Space for a Patient's Secret

Developing a private self is required for healthy development to proceed during childhood. However, when secrecy becomes a way of life, development becomes derailed. Secretiveness crowds out privacy during this critical phase of development for many reasons and the result is a secret self. This articles examines secrecy as an adaptive way to avoid shame, manage isolation, and hold onto the threads of identity, allowing for the preservation of a self. It also examines the ways in which secrecy creates emotional distance and prevents intimacy. To illustrate these ideas, I present my work with a patient who developed a secret self and came to treatment with a secret he has yet to reveal. Known between the therapist and patient as “the elephant in the room,” the secret became and remained central to the work and the therapeutic relationship.     

The California Linkages Program: Doorway to Housing Support for Child Welfare‐Involved Parents

Housing instability can complicate parents’ efforts to provide for their children. Child welfare service agencies have had difficulty adequately serving parents’ housing needs due to limited and constrained funding streams. This article integrates the voices of four important stakeholders to illuminate how an innovative model of service system coordination called Linkages addresses housing needs for child welfare‐involved parents eligible for public assistance. Facilitated by Linkages, these parents can receive supportive housing services through programs affiliated with the California public assistance program CalWORKs. Personal narratives reflecting the diverse perspectives of stakeholders in the Linkages collaboration—the statewide program director, a child welfare services coordinator, a CalWORKs caseworker, and a parent program participant—shed light on how the collaboration assists parents in attaining case plan goals, and highlights some of the factors facilitating and hindering effective collaboration between the agencies involved. Stakeholders emphasized the value of flexible service approaches, the intensity of the efforts required, the role of advocacy, and the importance of a shared vision between agencies working together to provide housing supports.     

美国医疗系统的中流砥柱:非营利性私立医院

系统介绍了美国医疗系统的主流--非营利性私立医院的起源、性质、运行情况以及在医疗服务中的地位,并将之与营利性医院进行对比,以揭示限制医疗市场化的重要意义.     

对不同所有制卫生服务提供者评价的国际导向

不同所有制并存是世界范围内卫生系统共有的特征.随着不同所有制在卫生系统中份额的增加,尤其是私立卫生服务提供者的引入,如何对他们提供的服务和产生的影响进行评价,越来越引起研究者的关注.阐述了对不同所有制提供者进行评价的背景,呈现了目前对私立卫生服务提供者评价的不同观点,并介绍了国际实证研究的结果.