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1.
Some individuals with disabilities for whom verbal speech is not reliable use facilitated communication to express thoughts and ideas. While they may require intensive physical support initially, the goal is independent typing. However, this emphasis on fading support and independence bears consideration. We utilize a Disability Studies lens to frame practices around independence and the complicated interplay between interdependence, agency and voice. Based on qualitative analysis of communication training sessions, we present four findings: the complexity of the message versus fading of physical support, the emotional dimensions of independence, the facilitator’s navigation of multiple roles, and the importance of facilitating agency. We also share implications of reframing independence and facilitating agency for the communication training process.  相似文献   

2.
This paper concerns young men who drive motorcycle taxis in Kigali, the capital city of Rwanda. Through an ethnographic account of the livelihoods of these motari, it seeks to account for their continued presence in a city whose authorities are openly hostile to their business, yet in which they remain a significant social force. I argue that it is not either by the exercise of ‘agency’ that motari achieve a social presence in Kigali, but through the social relations in which they are engaged. These relations immobilise them and effectively prevent them from mounting any concerted political challenge to hostile city authorities. However, I suggest that this lack of agency is one reason for their significance, since it makes them available as a resource for the schemes of others. I use this case study to argue for a rethinking of the notion of agency in the anthropology of youth. Rather than celebrating autonomous action or the creative, subversive play of the young, I propose instead a relational understanding in which the capacities and opportunities presented by groups of people in social relations grounds their social significance. It may be the very fact of young people’s domination that makes them socially significant.  相似文献   

3.
The aim of this article is to develop a framework within which the role and social construction of knowledge in International Relations can be understood and theoretically underpinned. In order to do so, the article discusses post-structuralist and neo-Gramscian answers to the structure–agency debate and argues that the role of knowledge remains rather implicit in both understandings on how structure and agency are mutually constituted. The main argument of the article is that the social construction of knowledge can only be understood, if International Relations are analysed in terms of a dialectically constituted relationship between structure and agency visible in and through processes whereby science and expert knowledge are referred to as true and policy relevant. On this basis, the article develops the concept of “epistemic selectivities”, which describes how the use of science and expert knowledge to underpin strategic action leads to hegemonic patterns in the way in which (scientific) expert knowledge is related to particular claims of policies and facts.  相似文献   

4.
This article presents a reflection on the contentious access negotiations involved in researching the Dutch deportation apparatus. Previous studies described how hostility towards researchers and the opacity within migration control regimes more generally lead to difficulties for conducting academic research. This article instead relies on a self-reflexive account of two successful access negotiations to question what acquiring access tells us about the workings of migration control, and what consequences entering into a relationship with powerful actors has for academic knowledge production. I argue that granting access as such serves an important function for the deportation apparatus, as it helps to legitimise state power and assert their moral authority. By selectively facilitating access and enabling scrutiny by researchers, journalists and the wider public, I argue that the deportation apparatus strategically performs transparency and “voluntary accountability.”  相似文献   

5.
Objective: Examine 1) whether observed social reinforcements (i.e., “likes”) received by peers' alcohol-related social media posts are related to first-year college students' perceptions of peer approval for risky drinking behaviors; and 2) whether associations are moderated by students' alcohol use status. Participants: First-year university students (N = 296) completed an online survey in September, 2014. Method: Participants reported their own alcohol use, friends' alcohol use, perceptions of the typical student's approval for risky drinking, and ranked 10 types of social media posts in terms of the relative numbers of “likes” received when posted by peers. Results: Observed social reinforcement (i.e., “likes”) for peers' alcohol-related posts predicted perceptions of peer approval for risky drinking behaviors among non-drinking students, but not drinking students. Conclusions: For first-year college students who have not yet initiated drinking, observing peers' alcohol-related posts to receive abundant “likes” may increase perceptions of peer approval for risky drinking.  相似文献   

6.
This article uses data from the National Educational Panel Study (NEPS) to examine how the composition of tertiary degree holders by social origin has changed across cohorts during a period of massive educational expansion. It also investigates how changes in the composition of social origins affect the proportion of downward mobility of children from academic families. The results of the empirical analysis reveal a surprising paradox: On the one hand, the rising share of children from academic families across cohorts has contributed to an increasing share of children from academic families among tertiary graduates. This is because of both the macro-level proportion of children from academic families and the micro-level probability of these children to obtain a tertiary degree have increased across cohorts. Thus, these macro-level and micro-level changes have reinforced each other. On the other hand, this change in the composition of social origin has also contributed to an increasing proportion of children from academic families who are downward mobile in successive cohorts. This is because the macro-level share of children from academic families has increased more across cohorts than their downward mobility risk has decreased at the micro level. Thus, macro-level changes were stronger and went in opposite direction to micro-level changes.  相似文献   

7.
This article investigates the limits of the concept of militarization and proposes an alternative concept: martial politics. It argues that the concept of militarization falsely presumes a peaceful liberal order that is encroached on by military values or institutions. Arguing instead that we must grapple with the ways in which war and politics are mutually shaped, the article proposes the concept of martial politics as a means for examining how politics is shot-through with war-like relations. It argues that stark distinctions cannot be made between war and peace, military and civilian or national and social security. This argument is made in relation to two empirical sites: the police and the university. Arguing against the notion that either the police or the university have been “militarized,” the article provides a historical analysis of the ways in which these institutions have always already been implicated in martial politics – that is, of producing White social and economic order through war-like relations with Indigenous, racialized, disabled, poor and other communities. It concludes by assessing the political and scholarly opportunities that are opened up for feminists through the rejection of the concept of militarization in favor of the concept of martial politics.  相似文献   

8.
School-age children need 10–11 h of sleep per night. It has been well-documented that lack of sleep leads to diminished cognitive performance and that people who sleep less are more likely to be overweight or obese. I use data from the American Time Use Survey to examine two factors that can potentially influence the amount of time children sleep: school and maternal employment. I find that school-age children sleep less when school is in session than during the summer, and that they get less sleep on school nights than on non-school nights. Children go to bed about 38 min earlier on school nights, but wake up about 72 min earlier on school days. This translates into about 34 min less sleep on school nights compared with non-school nights, and implies that these children have a cumulative sleep deficit of over two-and-a-half hours by the time they arrive at school Friday morning. In addition to the lost sleep time, the earlier wake-up times on school days appear to disrupt children’s natural sleep cycles. Maternal employment affects children’s sleep time in the summer, because children wake up earlier on days that their mothers work. But during the school year, maternal employment effects are dominated by school effects.  相似文献   

9.
Henry Abelove summarizes the main arguments of “Freud, Male Homosexuality, and the Americans,” a paper he wrote in the early 1980s. He also says that in writing it he aimed chiefly to challenge American moralism, which then was, and still is, both destructive and immensely influential.  相似文献   

10.
In the first part of the paper, the author discusses the origin and obligation of the medical profession and argues that the duty of fidelity in the context of a patient–professional relationship (PPR) is the central obligation of medical professionals. The duty of fidelity entails seeking the patient’s best interests even at the expense of the professional’s own, and refusing to treat a “risk-patient” infected by SARS is a breach of fidelity because the medical professional is involved in a situation of conflict of interests and places his/her own health interests ahead of the patient. The author attributes the failure to the fact that professional ethical codes are not legally enforceable, and this failure at the microethical level damages the integrity of the profession at the macroethical level. The author argues that professional autonomy must be subordinated to professional fidelity for the medical profession to survive as a social institution. In the second part of the paper, the author shows that the PPR has most of the important attributes of a fiduciary relationship, and analyzes several important court cases in some common law jurisdictions to illustrate the increasing importance of fiduciary law in adjudicating disputes between patients and medical professionals, and appeals to law courts and legislatures to apply more stringent fiduciary principles on the medical profession to ensure that the professional duty of fidelity is enforced and the goal of medicine fulfilled for the interests of members of the community who has established the medical profession in the first place.
Zusammenfassung  Im ersten Teil dieses Beitrags diskutiert der Autor den Ursprung und die Verpflichtung des ärztlichen Berufsstands und argumentiert für die Treuepflicht in der patient-professional relationship (PPR) als zentrale Verpflichtung des Arztes. Zu dieser Treuepflicht gehören der absolute Vorrang des besten Patienteninteresses auch auf Kosten der Interessen des Arztes. Die Weigerung, einen an SARS erkrankten „Risikopatienten” zu behandeln ist also ein Bruch dieser Treuepflicht, da der Arzt/die Ärztin hier einer Konfliktsituation gegenübersteht und seine/ihre eigenen Gesundheitsinteressen über die des Patienten stellt. Der Autor führt dieses Versagen auf den Umstand zurück, dass die Einhaltung von Berufsethikleitlinien rechtlich nicht erzwingbar ist. Dieses Versagen auf mikroethischer Ebene schädigt die Integrität des Berufsstands auf makroethischer Ebene. Der Autor argumentiert, für den Ärztestand sei die professionelle Autonomie der professionellen Treue unterzuordnen, wenn der Ärztestand als gesellschaftliche Institution überleben soll. Im zweiten Teil des Beitrags zeigt der Autor, dass die PPR die meisten der wesentlichen Attribute eines Treuhänderverhältnisses aufweist, und analysiert einige wichtige Rechtsfälle vor Gerichtsbarkeiten bürgerlichen Rechts („common law jurisdictions”), um die wachsende Bedeutung des Treuhänderrechts bei Entscheidungen in Disputen zwischen Patienten und Ärzten aufzuzeigen. An Gerichte und Gesetzgeber wird appelliert, auf den Ärztestand strengere treuhänderische Prinzipien anzuwenden, um sicherzustellen, dass die professionelle Treuepflicht Geltung erhält und der Zweck ärztlicher Tätigkeit im Interesse der Mitglieder eben der Gemeinschaft erfüllt wird, die den Ärztestand ursprünglich ins Leben gerufen hat.

Résumé  Dans la première partie de cette article, l’auteur discute de l’origine et des obligations de l’ordre des médecins, et soutient que le devoir de loyauté dans la relation patient-professionnel (RPP) est l’obligation centrale des professionnels de la médecine. Ce devoir de loyauté comprend la recherche du meilleur intérêt du patient, même aux dépens des intérêts du médecin, et le refus de traiter un « patient à risque » infecté par le SARS constitue une rupture de ce devoir de loyauté, puisque le professionnel de la santé se trouve dans une situation de conflit d’intérêts et place ses propres intérêts en matière de santé avant ceux du patient. L’auteur attribue cette défaillance au fait que le respect des codes d’éthique professionnelle ne peut être légalement imposé. Une telle défaillance au niveau micro-éthique porte préjudice à l’intégrité de la profession au niveau macro-éthique. L’auteur soutient que l’autonomie professionnelle doit être subordonnée à la loyauté professionnelle dans la profession médicale si celle-ci veut survivre en tant qu’institution sociale. Dans la deuxième partie de l’article, l’auteur montre que la RPP possède la plupart des caractéristiques majeures de la relation fiduciaire, et analyse quelques grands cas juridiques passés devant des juridictions de droit civil, pour illustrer l’importance croissante de la législation fiduciaire dans la sanction de litiges entre patients et médecins. Il en appelle aux tribunaux et aux législateurs pour appliquer des principes fiduciaires plus sévères à la profession médicale, afin que soit renforcée la valeur du devoir de loyauté professionnelle et que le but de la médecine soit rempli dans l’intérêt des membres de la communauté qui a précisément placé la profession médicale au sommet de sa hiérarchie.

Edwin C. HuiEmail:
  相似文献   

11.
The strong presence of Blacks on Twitter has attracted scholarly attention, but few empirical studies have provided a clear, theory-driven answer to the question of how Blacks use Twitter. Drawing on the uses and gratifications framework and the rejection-identification model, we examined how discrimination experience, group identification, and racial agency influence Black Americans’ instrumental use of Twitter. An online survey conducted with a national adult sample of 323 Black American Twitter users showed that the experience of discrimination in everyday settings indirectly predicted three types of instrumental use of Twitter (information seeking, opinion expression, and social networking) through serial mediation of group identification and racial agency. The direct effects of discrimination experience on the three types of instrumental use were not significant, nor were the indirect effects of discrimination experience on instrumental use only through group identification and only through racial agency. These results indicate that Black Americans’ goal-driven, purposeful use of Twitter may be understood as a form of problem-focused coping with discrimination experience. The current findings also suggest that Black users’ identification with their racial group and desire to make a positive difference in the Black community constitute a pivotal mechanism underlying their instrumental use of Twitter.  相似文献   

12.
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ABSTRACT

This essay considers discourses of waste that include humans among the objects of discard: surplus/disposable populations in the Marxian tradition, or what Zygmunt Bauman has called “human waste.” Notions of “surplus people” have a long history in South Africa, and this essay traces a genealogy of their narrative and cultural forms. These forms can alternately mask and expose the “indispensable dispensab[ility]” of vulnerable communities treated as waste: devastated, depleted, discarded, disregarded. I situate the blockbuster film District 9 within a longer tradition of documenting the plight of people who recognise that they have been “thrown away,” in texts by Solomon T. Plaatje, Cosmas Desmond, Nadine Gordimer, and others. Attending to questions of geographic and temporal scale, I read between the historical example of South African apartheid and “global apartheid” as shorthand for the stratifications effected by neoliberal globalisation. How do these formations attend to the ideological violence, racial specificity, and enforced invisibility of surplus? This exclusion from the polity works through acts of un-imagining: in moments of crisis when they are pushed to the brink, the poor may have no recourse to the ethical and political grounds upon which they might claim the right to survival.  相似文献   

14.
During the nineteenth century, neuroanatomical knowledge and the clinical practice of treating mental illnesses develop at the same time. Some practitioners of mental medicine try to combine the clinical practice of treating mental diseases with neuroanatomical knowledge using the idea of cerebral localisations. This point of view is advocated by Gall and the field of phrenology. But there is no obvious success of such a “localisationist project” before Broca and Wernicke’s works on aphasia. This discovery will provoke a revival of the desire to localise the cerebral zones involved in mental diseases. However, the cerebral localisation project progressively decreases during the end of the nineteenth century while neurological clinical practice emerges. Moreover, neurological clinical practice aims to localise anatomical lesions through clinical examination. From a philosophy of science point of view, this segment of history brings into question the relation between a scientific object (the cerebral localisation of zones involved in diseases) and a scientific subject (psychiatry and neurology). It stresses how a scientific project can migrate from one subject to another.  相似文献   

15.
The sociolinguistic enterprise raises fundamental questions about the nature of the relationships between social phenomena (such as social class or gender) and linguistic variation, while within social theory a persistent concern is the nature of the relationship between structure and agency. Sociolinguistics can draw on social theory for analysis of the relationship between speaker and system, the role of language in the creation, maintenance and change of social institutions, and the role of human agency in sociolinguistic phenomena. This article summarises the key tenets of a sociological realism, based on the recent work of Margaret Archer (in particular her exploration of analytical dualism) and of Derek Layder (specifically his theory of ‘social domains’). It relates these ideas to sociolinguistics, arguing that language can be seen to have a different significance, depending on which domain is the focus of the researcher's interest. The article considers the distinctiveness of this approach, contrasting it with structuralist and social constructionist accounts and with structuration. It concludes by identifying some methodological implications, suggesting that sociological realism offers a productive theoretical framework for sociolinguistics in dealing with questions of language, structure and agency.  相似文献   

16.
The labelling of disabilities in Indonesian society and legislation has changed over time. More recently, the grassroots has used the term difabel to allude to the conceptualisation of ‘differently able’. The persistence of the grassroots in defending the term difabel, while in the UNCRPD ratification era the elites have turned to using disabilitas, alerts us to the power of labels and the role they play. This article provides a critique of the issue of language and the labelling of people with impairments and how it influences the paradigm of policy and service responses, and thereby the future role of differently able people. Given the background on the evolved disability terminology, this article suggests that difabel should also be adopted into broader English usage (i.e. ‘diffability’). Such a term provides a more positive characterisation of people with impairments and reminds us of the importance of emphasising abilities and acknowledging differences.  相似文献   

17.
This paper puts forward the argument that science can not only “save the world” but also “change the world.” While much has been written about the evident power of science to bring politicians to change their policies in order to “save the world,” e.g. the environment, less attention has been drawn on the hidden power of science to “change the world,” i.e. to frame and shape political orders and constituencies so that they get more democratic in the deliberative sense of the term, both at international and domestic scales. The paper sheds light on how science can induce democratizing effects in domestic constituencies. It can do that by the intermediary of three distinct enumerative mechanisms: “teaching,” “empowering,” and “taming.” These mechanisms, it is argued, are especially likely to become effective in those transnational institutional settings linking scientists and technical experts on the one side, with political and societal actors, on the other side, or in what Haas calls “epistemic communities.”  相似文献   

18.
19.
This paper offers a circling around the interrelations of language and trauma, identity and forgiving through the figure and poems of Paul Celan. In this context, the circle itself becomes a cipher for the trauma of the Shoah and the (im)possibility of speaking or writing poetry after Auschwitz. Via Jenny Edkins, Giorgio Agamben, and Derrida, the poetic is interrogated as an ethical response to the political and social betrayal that is trauma; the subsequent effect of trauma on speaking and listening to testimony is then considered. Finally, the paper explores the poetic as a cipher for forgiving, distinct from moral forgiveness and guilt and equally separate from legal responsibility and debt. Celan's own suicide and one of his elegies are considered as final, literal ciphers in this perpetual and imperfect circling.  相似文献   

20.
This study of 84 foster-to-adopt parents (42 lesbian, gay, and heterosexual couples) examined the challenges that parents faced as they navigated multiple systems during the post-placement period. Some participants described the legal insecurity associated with their role as foster-to-adopt parents as impacting their well-being and attachment. Lack of support services, disorganization within social service agencies, and strained relationships with birth parents were also identified as stressors. Lesbian and gay participants faced additional concerns regarding the security of their placement due to the possibility for discrimination. Participants as a whole identified positive aspects of their experiences within various systems (e.g., supportive social workers).  相似文献   

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