The Spirituality of Compassion: A Public Health Response to Ageing and End-of-Life Care

SUMMARY

The recent revival of interest in spirituality in later life marks a significant step forward in the person-centred care of ageing people. The benefits will, however, be of limited value if we do not attend to the settings in which spirituality is to be lived. In contemporary society many aged people are located in environments unsympathetic to spiritual belief and practice. Health care settings focus on professionally-assessed physical needs and are dominated by concerns about the cost of services. The national social policies that direct health care services and less directly shape older people's place in contemporary society are strongly influenced by globalised neoliberal economic policies characterised by individualism, competition, and greed. For robust and viable spirituality to develop at the individual level we need compassionate social policies that support interdependence within communities and between nations.     

Pharmaceutical companies and access to medicines – social integration and ethical CSR resolution of a global public choice problem

This article argues that effective corporate social responsibility (CSR) of multinational pharmaceutical companies in developing countries should reflect context, opportunity, proximity, time and impact in accordance with the social integration and ethical approaches to CSR. It proposes a CSR model expressed as CSR=COPTI+SI+E, which acknowledges access-to-medicines as a matter in the global public domain, a public choice problem and a moral responsibility issue for multinational pharmaceutical companies. This model recognises the globalisation of the principle of humanity in communities of place and communities of interest as highlighted by the Global Economic Ethic Manifesto 2009 as an integral part of the responsibilities of multinational pharmaceutical companies. The model reflects a global application of the concept of disadvantaged consumer already known to some national laws. The article suggests an access-to-medicines CSR framework for pharmaceutical companies which may include pricing, patents, testing and clinical trials, research and development, joint public private initiative and appropriate use of drugs.     

Victims of Intimate Partner Violence: Arrest Rates Across Recent Studies

Efforts by women's rights activists, concomitant with results of research studies and court cases, have prompted legal reforms in public policy that include recently implemented mandatory arrest and prosecution laws. A review of the recent research since the advent of these laws suggests that arrests of women have increased by 25–35%, while the most liberal estimate is that only 1–7% of all IPV arrests are of actual female primary batterers, suggesting that victim arrests are on the rise. Various factors contribute to officers arresting not only primary batterers but victims as well, creating confusion and resentment over mandatory arrest policies. The negative implications of this arrest pattern are far-reaching because errant arrests hold negative consequences for victims, including legal, financial, employment, and familial repercussions.     

Public Theologies of Love in the Civitas Dei and Civitas Terrena: Sexuality and the Transformation of Sydney,Australia 1960–2010

This article discusses the emergence of a public LGBTQI culture in Sydney that both challenged hetero-normative philosophies and praxes of love and sexuality, and engaged with Christian urban theologies to give voice to alternative, queer-affirming forms of eros, agape, and philia. This case study is situated in the context of the problematic relationship between Christianity and the urban throughout history; the ideal Civitas Dei negated the real Civitas Terrena, faithful Jerusalem triumphed over decadent Sodom. Public theologies, initially formulated by Christians, were hijacked to expose tensions resulting from notions of “proper” and “improper” love being mapped onto urban spaces. Churches and other “official” structures represented planning in the service of institutional religion and heterosexual married love (a Civitas Dei), and the clean, modern city as eschatological ideal (the heavenly Jerusalem). The existence of ruins and “undesirable” places, temporary heterotopias where “unnatural” acts of love and sex took place, challenged this order (a Civitas Terrena or Sodom). We argue that public theologies, mainstream and fringe, play a vital creative role in the planning, regulation, and lived experience of the modern city of Sydney.     

From Classroom to Controversy: Conflict in the Teaching of Religion

What happens when a class assignment becomes a source of controversy? How do we respond? What do we learn? By describing the controversy surrounding an assignment on religion and representation, this article examines conflict's productive role in teaching about New Religious Movements (NRMs) and religion. It suggests that we consider how our personal and institutional dispositions toward conflict influence our pedagogies. Moreover, it urges us to consider how teaching conflicts within and/or between disciplines can enhance our learning objectives and stimulate students' ability to think critically.     

Conflict management and job characteristics of nurses in South African public hospitals

This study sought to determine whether job demands and job resources predicted conflict handling styles among nurses within South African public hospitals. A convenience sample of 205 nurses were included (males?=?10.7%; age range 46 to 60 years?=?38.5%, experience of 5 years and more?=?70.8%, African?=?92.2%). They completed Rahim's Organisational Conflict Inventory – II (ROCI–II: Rahim, 1986) and a job characteristics measure developed for this study. Data were analysed to assess which job demands and resources predicted which conflict handling styles. From the results, time demands, crisis management and colleague support predicted the use of an avoiding style, whereas workload, time demands, job security, feedback and colleague support predict the use of the integrating style. Time demands and payment predicted the use of the obliging style, while workload, crisis management and payment predicted the use of the dominating style. The compromising style was predicted by colleague support. It seems from the findings that conflict is frequently predicted by time demands.     

Romantic Longings,Moral Ideals,and Democratic Priorities: On Richard Rorty's Use of the Distinction Between the Private and the Public

Abstract

The heart of Richard Rorty's philosophy is his distinction between the private and the public. In the first part of this paper, I highlight the profound influence that the inherited vocabularies of Romanticism and Moralism have had on Rorty's understanding of both the distinction and the problems he intends to solve with it. I also suggest that Rorty shares with Plato, Kant, and Nietzsche philosophical habits that cause him to treat two importantly different problems as one. Once the moral problem is disentangled from the political, it becomes clear that Rorty's distinction is unnecessary to the former and inadequate for the latter. In the second part of the paper, I argue that Rorty's non‐foundationalist pragmatism supports the view that the political problem is best resolved by what I call a democratic mechanism of arbitration. It is the lingering influence of Romanticism and Moralism, I suggest, that is the cause of Rorty's reluctance to embrace fully the political priority of democratic consensus. Finally, I discuss why this analysis of Rorty's liberalism may have implications for the general question of how best to resolve political disputes in pluralist societies.     

生态伦理背景中的健康道德凝思

健康道德是关于人类健康的一种道德观念.在生态伦理视域中健康道德观念被拓展、更新.它把人的健康、社会的健康和自然界的健康共同作为研究对象.它提出生态伦理视域下的健康道德具有公益性、代继性和共生性的基本特点,提出人人参加,事事参与;健康生活,健康行为;抵制陋习,抵制败俗;爱护环境,履行责任的道德要求.     

Health promotion from the perspective of social cognitive theory

Abstract

This article examines health promotion and disease prevention from the perspective of social cognitive theory. The areas of overlap with some of the most widely applied psychosocial models of health are identified. The models of health promotion and disease prevention have undergone several generational changes. We have shifted from trying to scare people into health, to rewarding them into health, to equipping them with self-regulatory skills to manage their health habits, to shoring up their habit changes with dependable social supports. These transformations have evolved a multifaceted approach that addresses the reciprocal interplay between self-regulatory and environmental determinants of health behavior. Social cognitive theory addresses the socio structural determinants of health as well as the personal determinants. A comprehensive approach to health promotion requires changing the practices of social systems that have widespread detrimental effects on health rather than solely changing the habits of individuals. Further progress in this field requires building new structures for health promotion, new systems for risk reduction and greater emphasis on health policy initiatives. People's beliefs in their collective efficacy to accomplish social change, therefore, play a key role in the policy and public health approach to health promotion and disease prevention.