Placebo: Its action and place in health research today

The place for the placebo in human clinical research is addressed in this paper. The World Medical Association which is comprised of some 80 National Medical Associations uses much of its resources to address medical ethics and human rights issues. It adopted the Declaration of Helsinki in June 1964 which addressed the protection of individuals in clinical trials. The use of placebos assumes an important role in this document. Five Revisions of the Declaration of Helsinki have occurred and the most recent was adopted in October 2000. The provisions on placebo are now in Paragraph 29 which reads as follows: “The benefit, risks, burdens and effectiveness of a new method should be tested against those of the best current prophylactic, diagnostic and therapeutic methods. This does not exclude the use of placebo, or no treatment, in studies where no proven prophylactic, diagnostic or therapeutic methods exists.” The reactions to the newly revised version of the Declaration of Helsinki were numerous and rapid, not the least of which was the paragraph I quoted above. At the direction of the WMA Council, a small group of experts together with the WMA workgroup studied the Paragraph 29 to ensure that no ethically sound research was being restricted by the revision. The outcome was approved by the Council and later the WMA General Assembly in October 2000. This gives a note of clarification as to the appropriate use of placebos. Numerous papers and statements over the last several years have described positions very much in line with the Note of Clarification cited above. This paper was presented at an international conference, “Placebo: Its Action and Place in Health Research Today,” held in Warsaw, Poland on 12–13 April, 2003.     

Studying ecclesiology in ecumenical perspective: the Finnish context: what does it mean to be ‘the same church in all directions’?

This article introduces the main international ecumenical contacts of the Evangelical Lutheran Church of Finland (ELCF). The article shows how the ecumenical contacts shape the unique ecclesiology of the ELCF. According to its own ecumenical strategy, the ELCF wants to be the same church in all directions. Unlike Lutheran churches in other Nordic countries, the ELCF is not a state church, but a folk church. Its status from a majority church in a national state is rapidly changing to a majority religious body in a multicultural society. This requires a new kind of ecclesiology, too. This article claims that there are four inter-related issues that shape the ecclesial self-understanding of the ELCF as an ecumenically active folk church. These issues are emphasis on doctrinal unity, communion within the LWF and Porvoo Communion, the status of a decreasing majority folk church, and internal debates on socio-ethical issues, especially those related to sexuality.     

Samuel Kobia: Ecumenical,Passionate, Peacemaker

This article discusses the role played by Samuel Kobia in the ecumenical movement and the World Council of Churches, of which he was general secretary from 2004 to 2009, and his involvement in peacemaking and mediation in Africa, especially in his home country of Kenya, in Sudan, and in South Sudan.     

Who Is Afraid of the Chinese State? Evidence Calling into Question Political Fear as an Explanation for Overreporting of Political Trust

Public opinion polls show that political trust tends to be higher in authoritarian regimes compared to liberal democracies. Many scholars have argued that respondents may provide false answers out of fear about repercussions by the state, thereby skewing survey results in a positive direction. Using an unobtrusive measure based on affect transfer, we find that adult participants in experiments conducted in China transfer positive affect toward the state onto evaluations of television advertisements upon mere exposure to the name of a central party institution. Participants did not have incentives to lie because they did not associate the advertisements with the state. Furthermore, people who evaluated the ads more positively upon viewing the name of the state also reported more positive levels of trust in government. Together, these findings raise doubt that Chinese misrepresent political trust in surveys out of political fear.     

Healing as Constitutive of Jesus’ Mission Handed to the Church

After a basic statement of the Catholic doctrine on healing ministry, this article adopts the understanding of the World Council of Churches’ document Healing and Wholeness: The Churches’ Role in Health, adopted in 1990 by the central committee. The document views health, healing, and wholeness not just as medical issues, but as embracing the political, social, economic, cultural, and spiritual dimensions. Building on the above, this article proposes an integral approach to sacramental healing for the African Catholic Church, arguing that alongside healing of physical ailments and deliverance from evil and malignant forces, healing must include working for social justice and peace for the people.     

L’effet d’une procédure engageante par étapes sur la sensibilisation des salariés au projet d’amélioration continue

The purpose of this research was to study the impact of committing procedures aiming at encouraging the involvement in an organisational continuous improvement project. With a research with two steps, some experimental groups of employees were integrated in a committing system. The number of committing procedures used was different between the groups. Attitudinal and behavioural measures showing the commitment in the project were used as dependent variables. The findings show that the involvement of employees in the project is influenced by the level of commitment used. It was noted that the level of commitment impacts the behaviours but no effect on attitudes was noticed. What is at stake in the applications of this psychosocial theory in organisational projects is questioned.     

A Living Conversation

Abstract: Experiencing strong differences regarding Christian faith in his family of origin, Paul Sponheim came to stress the content of Christian faith as something to be explicated and defended. The framework for that work has been the distinction and relationship between self and world in relation to God. S. Kierkegaard and A.N. Whitehead are seen as major influences (self, world; respectively) and as needing each other in faith's appropriation. Five decades of theological work constitute a conversation, including teaching and writing. In closing the question of the efficacy of such a conversation is raised and appeal is made to the transformative power of genuine conversation in which all participants are fully present.