On medicine, culture, and children's basic interests: a reply to three critics

Margaret Mohrmann, Paul Lauritzen, and Sumner Twiss raise questions about my account of basic interests, liberal theory, and the challenges of multiculturalism as developed in Children, Ethics, and Modern Medicine. Their questions point to foundational issues regarding the justification and limitation of parental authority to make decisions on behalf of children in medical and other contexts. One of the central questions in that regard is whether adults' decisions deserve to be respected, especially when they seem contrary to a child's or adolescent's basic interests. Questions about respect, in turn, focus attention on other's decisions about what seems good for families and children, decisions that may be paternalistic or utilitarian. Such decisions are further complicated by a child's or adolescent's budding autonomy and need for respect and recognition. Pediatric bioethics grounded in an account of a child's basic interests produces a theory of negative and positive rights for assessing adults' actions in relation to children, especially (but not only) when adults demand respect in their expressions of care.     

Intelligence and mind in evolution

The growing complexity of global political economy renders difficult our understanding of important phenomena and the forecasting of their trajectories. Global‐historical theory, modeled dynamically, offers a useful approach for integrating a large array of variables and plotting their changes over time. We construct a global dynamic model, based on a modified version of world‐systems theory, to plot the trajectories of key phenomena. Although the findings suggest the longterm stability of the system, considerable dynamism is observable for population, janissarization, capital concentration and intensity, core‐core conflict, and the power of international governmental organizations. Disturbing changes are also evident for nonelite incomes, inequality, government resources, and anti‐systemic movements. The implications of the findings are then discussed.     

Spiritual Need Six: Community Building

SUMMARY

Community building includes but is greater than providing fellowship. Community building promotes connection, belonging, and a sense of togetherness. Based upon the needs of older adults, community building is defined as an engagement that is mutually supportive and stimulating. Community building doesn't just happen naturally. There are important guidelines and categorization that assist in effective planning. Community building can happen any time a person is personally engaged with another and thus, with some intentionality, can happen at worship, committee meetings, as well as pot lucks and fun activities.     

Climate change,justice and the right to development

The primary human rights documents of the United Nations claim that every human has a right to development, a right that also includes continuous improvement of each person's living conditions. On one interpretation, this implies a right to a never-ending improvement of living conditions. According to the author, this interpretation faces several counterintuitive implications. First, it seems reasonable that we cannot have a right to improvement without regard to environmental sustainability; improvements must instead focus on well-being, a concept that is partially unrelated to material improvements. Second, if development is a human right, there are several distributional problems with this right. The paper discusses three different responses to the idea that everybody has a right to continuous improvement and concludes that the best solution is to reject the idea that everyone has such a right. This does not imply that we must reject a right to a certain minimum level of well-being; it just means that this right cannot include claims for never-ending improvement.     

Reconsidering resource rights: the case for a basic right to the benefits of life-sustaining ecosystem services

In the presence of anthropogenic climate change, gross environmental degradation, and mass abject poverty, many political theorists currently debate issues such as people's right to water, the right to food, and the distribution of rights to natural resources more generally. However, thus far many theorists either focus (somewhat arbitrarily) only on one particular resource (e.g. water) or they treat all natural resources alike, meaning that many relevant distinctions within the group of natural resources are overlooked. Hence, the paper will start with an analysis of the various forms which natural resources can take and how this might influence one's conception of resource rights. In so doing, the paper argues that we have to carefully distinguish between the actual physical resources people might control and how we distribute these, and the life-sustaining benefits each and every person draws from sustainable and functioning ecosystems. Based on this distinction, the paper will argue for a right to the benefits of life-sustaining ecosystem services as a universal basic right every person has. Further distributive claims with respect to particular physical resources would thus be limited by the requirements of such a basic right.     

Basic desert,conceptual revision,and moral justification

I examine Manuel Vargas's revisionist justification for continuing with our responsibility-characteristic practices in the absence of basic desert. I query his claim that this justification need not depend on how we settle questions about the content of morality, arguing that it requires us to reject the Kantian principle that prohibits treating anyone merely as a means. I maintain that any convincing argument against this principle would have to be driven by concerns that arise within the sphere of moral theory itself, whereas Vargas's argument draws solely on concerns about the expensive metaphysics involved in a libertarian conception of freedom. I argue that this amounts not just to changing the concept of free will by stipulation, but also (more problematically) to changing our moral principles by stipulation.     

Perceived variety,psychological needs satisfaction and exercise-related well-being

Objective: Perceived variety represents a psychosocial experience that gives rise to, and supports the maintenance of, an individual’s well-being. In this study, we developed an instrument to measure perceived variety in exercise (PVE), and examined whether ratings of PVE predict unique variance in indices of exercise-related well-being in addition to that explained by satisfaction of the three basic psychological needs (for competence, relatedness and autonomy) embedded within self-determination theory (SDT). We also examined the extent to which variance in perceived variety is empirically distinct from (or subsumed by) competence, relatedness and autonomy in the context of exercise.

Methods: A convenience sample of community adults (N?=?507) completed online surveys twice over a six-week period (n?=?367).

Results: PVE was found to prospectively predict unique variance in indices of exercise-related well-being, in addition to that explained by perceived competence, relatedness and autonomy. Using exploratory and confirmatory factor analytic procedures, perceived variety was found to be empirically distinct from perceived competence, relatedness and autonomy.

Conclusion: Results from this work suggest that perceived variety holds potential for theoretical and applied advancements in understanding and predicting well-being in exercise settings.     

Trainee Perceptions of Drill Sergeant Qualities During Basic Combat Training

Basic combat training plays an important role in military service with approximately 72,000 soldiers participating in the United States annually. Although Drill Sergeant qualities have been widely portrayed in popular media, there is very little empirical research that documents the characteristics of Drill Sergeants and the impact these characteristics may have on trainees. In this study we evaluated a measure of perceived Drill Sergeant qualities and the degree to which these qualities related to mental health symptoms and job-related outcomes of trainees. Three types of perceived Drill Sergeant qualities were found from factor analyses: motivation, respect, and toughness. Using latent growth curve analyses, higher initial scores on motivation and respect, but not toughness, were associated with greater decreases in mental health symptoms over time. Further, changes in perceived Drill Sergeant qualities related to changes in depressive symptoms, unit cohesion, and citizen behaviors assessed over the course of basic combat training.     

Cognitive factors in the explanation of the mismatch between confidence and competence in performing basic life support

Abstract

The main approach to rectifying the well documented poor basic life support (BLS) skills of doctors and nurses, based on a Skills Model, has met with only partial success. This study compares the utility of a Skills Model with one that incorporates a cognitive component in predicting BLS skills. Outcome-expectancy, self-efficacy, training and experience of BLS, and BLS ability were assessed in 53 trained nurses. Ability was unrelated to training or experience of BLS. Nurses who scored highest on the BLS skills assessment perceived the procedure as significantly more successful than those with lower scores. Self-efficacy was unrelated to ability, but was related to status: senior nurses were significantly more confident but no more competent in performing BLS than junior nurses. Nurses who had attended more arrests, while more confident, were no more competent than those who had attended fewer. Assessment of BLS skills reduced self-efficacy beliefs. A model for predicting the relationship between self-assessed ability and objectively assessed skill is outlined.     

Microaggressions,Multiculturalism, and Gifted Individuals Who Are Black,Hispanic, or Low Income

The authors hypothesize that gifted individuals are subject to microaggressions based on their unique characteristics. These microaggressions are perpetuated when gifted individuals are also Black, Hispanic, or low income. Research from the field of gifted education is combined with the counseling and psychology literature to explore the common assumptions that may lead to microaggressions. Multicultural considerations for counseling are discussed through the context of giftedness. Recommendations for counseling culturally different and low‐income gifted students are presented.