Felicitas Publica and community well-being: nourishing relational goods through dialogic conversations between deprived and privileged populations

This article discusses the theoretical justifications, presumed relevance and value of using community interventions designed to be appreciative and strengths based, participatory and conversational, context sensitive and value driven, to promote well-being actions and coordinated meaning between privileged persons and those living in impoverished material and social conditions. It stresses the need for the field of positive psychology to incorporate new theoretical models, topics and participants, and to contribute actively to human relatedness and social justice. The authors endorse the significance of a “positive community psychology”, approaching collective well-being in terms of civil economy and Felicitas Publica, addressing innovative economic development while enabling conditions for positive relational goods. These interventions have the potential for resourceful and consequential change, where critical conscientisation is one of the vehicles. We recommend the use of a dialogic perspective coupled with affirmative language as transformational procedures, presupposing that social practices are inextricably bound up in discourse. To elucidate the ideas proposed in this article, we describe an intervention involving a Portuguese community in the Azores Islands, where the World Café method and the Appreciative inquiry principles were integrated and linked to a communication model emerging from the Coordinated Management of Meaning theory.     

The advantages and disadvantages of a brief intervention strategy in a community counseling service

Abstract

The Isis Centre, a long-established NHS open-access counselling facility in Oxford, experienced excessive demand for service. This placed strain on the capacity to deliver, and an unacceptably long waiting list resulted. A brief intervention strategy limited to four counselling sessions was shown to reduce the waiting time. This outcome study tests the hypothesis that the strategy was sufficiently clinically effective to warrant its continuing availability to those who wished to be seen more quickly, rather than waiting for an open-ended contract. Counsellors assessed outcome on clinical parameters and clients were retrospectively asked their views on the acceptability of the method and its usefulness.

There was a high level of correlation between clients' and counsellors' assessment. One-quarter of the study group had an experience classified as ‘useful and sufficient’. However, half felt the experience ‘useful but insufficient’, although this group also thought the intervention provided more than temporary relief. For one quarter, the experience was not helpful, but for some of these it prevented a long, unnecessary time on the waiting list.

While a brief intervention appears to be an effective strategy in delivering a counselling service, further work is necessary to target those most likely to benefit and those for whom a longer-term option should be sought from the start.     

Slouching Toward Policy: Lazy Bioethics and the Perils of Science Fiction

Too much contemporary bioethical discourse is weak on science, lazily citing and adopting science fiction scenarios rather than science facts in the framing of analyses and policies. We challenge bioethicists to take more seriously the role of providing informed insight into and oversight over contemporary science and its implications and applications. Bioethicists must work harder to understand the fast-changing truths and limits of basic science, and they must incorporate only appropriate and authentic science into their discourse, just as they did in the past when addressing the quandaries of clinical medicine. The field of bioethics is not so old and entrenched that its future is assured. Bioethicists must make themselves useful to society in order to deserve and retain the public's trust. They can best do this by ensuring that decision making and public policy are grounded in facts, not fictions and fantasies.     

Creating Public Alienation: Expert Cultures of Risk and Ethics on GMOs

For a century and a half cholera has been a stigmatizing disease. That the entire world was susceptible to it seemed merely to accentuate its association with Asia, and particularly with Bengal and its people. The recent epidemic in Haiti suggests that cholera still carries stigma. That stigma is the product of epistemic practices within an interdisciplinary and orientalist cholera science that took shape in the 1860s and 1870s, which have, without renewed scrutiny, prevailed largely uncontested until recent decades. Those practices involved an over-interpretation of the historical epidemiological work of John Macpherson by his colleague N. C. Macnamara. Recent research, recognizing the wide distribution and genetic instability of Vibrio cholerae, offers an alternative context for appreciating Macpherson's insights. This new program of interdisciplinary cholera research seems largely free of stigmatizing representations, but nor does it offer (or seek) a single and simple program of cholera prevention. The cholera case study invites reflection on the little-studied problem of epistemic accountability in interdisciplinary research, alerts us to questions of how disciplines are (and might be) made to cohere in policy-driven inquiries. The chief maxim is toward more explicit inclusion of the concept of multiple working hypotheses.     

Wind Power Planning Controversies and the Construction of ‘Expert’ and ‘Lay’ Knowledges

UK and Scottish planning policies include commitments to reflect the views of the public. However, this case study of one planning application for a wind farm in rural Scotland highlights the limited role played by lay knowledge within planning processes. The planning application process had two separate stages which structured the roles of lay and expert knowledge differently. Local objectors were able to influence the early planning application stage. However, this resulted in an appeals process (public inquiry) which was beyond the influence of lay people, and within which lay knowledge played only a marginal role. The early planning application stage enabled a wider range of knowledges to be relevant, perhaps even allowing lay knowledge to sideline expert knowledge. Within the inquiry such roles were reversed. Witnesses who could not back up their evidence with ‘reliable’ data or scientific reasoning were discredited as illegitimate and as having little to contribute to the inquiry process. Thus the inquiry constructed boundaries between expert and lay knowledge, in ways which diminished the role that lay knowledge might play. Whilst the construction of expert knowledge at the public inquiry played a central role in marginalising lay knowledge, it was central to all sides of the argument; the role of expert knowledge was reinforced by both the opposition group and the developers. Therefore, it is not only policy-makers and planning officials, but also lay people who act as though expert and lay knowledge can be clearly distinguished from one another.     

How the Brain Disease Paradigm Remoralizes Addictive Behaviour

In recent decades, addiction has been medicalized anew through the rise of an influential ‘brain disease paradigm’. This questions the equivalence of addiction to drug dependence by re-emphasizing loss of self-control over unhealthy impulses as the disease locus. While showing continuities with the nineteenth-century vision of addictions as ‘diseases of the will’, neurobiology objectifies disease as disrupted neurochemical transmission and lasting neuroadaptation. The brain disease paradigm emerged together with rapid advances in neuroimaging technology as well as intensified research efforts to confirm cigarette smoking as nicotine addiction. After smoking achieved such recognition in the late 1980s, numerous other unhealthy impulses and appetites have likewise come under neurobiological investigation as prospective cases of addiction. Despite its technoscientific sophistication, neurobiology's biomedicalization of addiction remains as partial and ambiguous as past medicalizations. By confirming moral self-transformation anew as an indispensable component of treatment and recovery, neurobiology revives addiction as a moral disease in the process of its objectification. Furthermore, through its rediscovery of a classic nineteenth-century ‘liberal disease’ at the molecular level, the neurobiology of addiction is acting as a vital moralizing resource in the biomedicalization of health and illness more generally today.     

公共卫生实践中诸主体的道德责任

公共卫生伦理的实质是维护公共健康的道德责任,明确其实践诸主体的具体道德责任,即政府应当尽力提供与公正分配公共卫生资源,公众应当追求公共善基础上的合法权利,卫生职业者应当献身职业,进而为维护和促进公共健康利益、减少和预防疾病、降低和最小化风险与伤害提供伦理支撑,也将为公共卫生实践主体提供正确的价值引导.     

AIDS as Threat,AIDS as Stigma correlates of AIDS beliefs among the Dutch general public

Abstract

The central question of this article is whether findings about social and cultural correlates of preventive and public attitudes towards AIDS that were found in other western countries are also valid for the Netherlands. Answering this question contributes to the international accumulation of empirical knowledge about attitudes of the general public and might as well be relevant for the international transfer of knowledge about the public into assumptions of information campaigns. Eight hypotheses derived from international literature were tested on data of the 1987 module of “Cultural changes in the Netherlands,” a general opinion survey of the Dutch population (16-80 years old). In line with international research, younger age and more education are correlated with preventive knowledge and social acceptance; however sex and urbanization do not make a difference in the Netherlands As expected, a negative attitude towards homosexuals is related to a lack of acceptance of people suffering from AIDS, support for mandatory screening for HIV, as well as a lack of preventive knowledge. Also in accordance with earlier research, “authoritarian attitudes” are far more important in explaining the public attitudes than beliefs about AIDS as an individual threat.     

Contours for a Public Lutheran Theology in the Face of Empire

Abstract : Three themes structure Lutheranism's interpretation of the biblical narrative as it intersects with the present challenges of Empire: justification by faith as a declaration of inclusiveness; God's threefold‐multidimensional action creating and sustaining democratic practices (two kingdoms); and the cross as the critical ‘weapon’ against the ‘glory’ of Empire. This implies placing our theology within the present cultural and religious debate in a way consistent with the methodology of the cross: a theology done from the bowels of Empire, revealing its true face behind its alleged ‘benevolent’ mask.